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95812
|
PR ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN
|
HCPCS
|
The authors concluded that abnormalities in EEG and EPs are present in the majority of septic patients. They stated that there is some evidence to support EEG use in the detection and prognostication of sepsis-associated encephalopathy, but further clinical investigation is needed to confirm this suggestion. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015 :|
|CPT codes covered if selection criteria are met:|
|95961||Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified health care professional.|
|+ 95962||each additional hour of attendance by a physician or other qualified health care professional (List separately in addition to code for primary procedure)|
|Other CPT codes related to the CPB:|
|95812 - 95830||Electroencephalography|
|HCPCS code covered if selection criteria are met:|
|S8040||Topographic brain mapping|
|ICD-10 codes covered if selection criteria are met (not all-inclusive):|
|A81.00 - A81.9||Atypical virus infections of central nervous system|
|F02.80||Dementia in other diseases classified elsewhere, without behavioral disturbance|
|F02.81||Dementia in other diseases classified elsewhere, with behavioral disturbance|
|F03.90 - F03.91||Unspecified dementia|
|F06.1, F06.8||Psychotic disorders with hallucinations and other specified mental disorders due to known physiological conditions|
|G40.00 - G40.919||Epilepsy and recurrent seizures|
|G93.1||Anoxic brain damage, not elsewhere classified|
|G93.40 - G93.49||Encephalopathy, not elsewhere classified [not covered for assessing prognosis of sepsis-associated encephalopathy]|
|G97.31 - G97.32||Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure|
|I65.01 - I69.998||Occlusion and stenosis of precerebral arteries, occlusion of cerebral arteries, transient cerebral ischemia, acute, but ill-defined cerebrovascular disease, other and ill-defined cerebrovascular disease, and late effects of cerebrovascular disease|
|I97.810 - I97.821||Other intraoperative and postprocedural cerebrovascular infarction during surgery|
|R56.1||Post traumatic seizures|
|T56.0x1+||Toxic effect of lead and its compounds, accidental (unintentional)|
|ICD-10 codes not covered for indications listed in the CPB:|
|F10.121||Alcohol abuse with intoxication delirium|
|F10.14||Alcohol abuse with alcohol-induced mood disorder|
|F10.150 - F10.159||Alcohol abuse with alcohol-induced psychotic disorder|
|F10.180 - F10.19||Alcohol abuse with other alcohol-induced disorders|
|F10.221||Alcohol dependence with intoxication delirium|
|F10.230 - F10.24||Alcohol dependence with withdrawal and alcohol-induced mood disorder|
|F10.250 - F10.29||Alcohol dependence with alcohol-induced psychotic, persisting amnestic, persisting dementia and other alcohol-induced disorders|
|F10.920 - F10.99||Alcohol use, unspecified, with intoxication, alcohol-induced mood, psychotic, persisting amnestic, persisting dementia and other and unspecified alcohol-induced disorders|
|F11.10 - F19.999||Drug induced mental disorders|
|F20.0 - F20.9||Schizophrenia|
|F25.0 - F25.9||Schizoaffective disorders|
|F30.10 - F39||Mood [affective] disorders|
|F41.0||Panic disorder [episodic paroxysmal anxiety] without agoraphobia|
|F51.09||Other insomnia not due to a substance or known physiological condition|
|F80.0 - F89||Pervasive and specific developmental disorders|
|F90.0 - F90.9||Attention-deficit hyperactivity disorders|
|G20 - G21.9||Parkinson's disease|
|H93.11 - H93.9||Tinnitus|
|P91.60||Hypoxic-ischemic encephalopathy (HIE), unspecified|
|S06.0x0+ - S06.9x9+||Intracranial injury [excluding those with skull fracture]|
|S09.10x+ - S09.11x+
S09.19x+, S09.8xx+ - S09.90x+
|Head injury, unspecified|
|R48.0||Dyslexia and alexia|
|W21.00+ - W21.9||Striking against or struck by sports equipment|
|Z73.810 - Z73.819||Behavioral insomnia of childhood|
|
95962
|
PR FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND ADDL HR
|
HCPCS
|
The authors concluded that abnormalities in EEG and EPs are present in the majority of septic patients. They stated that there is some evidence to support EEG use in the detection and prognostication of sepsis-associated encephalopathy, but further clinical investigation is needed to confirm this suggestion. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015 :|
|CPT codes covered if selection criteria are met:|
|95961||Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified health care professional.|
|+ 95962||each additional hour of attendance by a physician or other qualified health care professional (List separately in addition to code for primary procedure)|
|Other CPT codes related to the CPB:|
|95812 - 95830||Electroencephalography|
|HCPCS code covered if selection criteria are met:|
|S8040||Topographic brain mapping|
|ICD-10 codes covered if selection criteria are met (not all-inclusive):|
|A81.00 - A81.9||Atypical virus infections of central nervous system|
|F02.80||Dementia in other diseases classified elsewhere, without behavioral disturbance|
|F02.81||Dementia in other diseases classified elsewhere, with behavioral disturbance|
|F03.90 - F03.91||Unspecified dementia|
|F06.1, F06.8||Psychotic disorders with hallucinations and other specified mental disorders due to known physiological conditions|
|G40.00 - G40.919||Epilepsy and recurrent seizures|
|G93.1||Anoxic brain damage, not elsewhere classified|
|G93.40 - G93.49||Encephalopathy, not elsewhere classified [not covered for assessing prognosis of sepsis-associated encephalopathy]|
|G97.31 - G97.32||Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure|
|I65.01 - I69.998||Occlusion and stenosis of precerebral arteries, occlusion of cerebral arteries, transient cerebral ischemia, acute, but ill-defined cerebrovascular disease, other and ill-defined cerebrovascular disease, and late effects of cerebrovascular disease|
|I97.810 - I97.821||Other intraoperative and postprocedural cerebrovascular infarction during surgery|
|R56.1||Post traumatic seizures|
|T56.0x1+||Toxic effect of lead and its compounds, accidental (unintentional)|
|ICD-10 codes not covered for indications listed in the CPB:|
|F10.121||Alcohol abuse with intoxication delirium|
|F10.14||Alcohol abuse with alcohol-induced mood disorder|
|F10.150 - F10.159||Alcohol abuse with alcohol-induced psychotic disorder|
|F10.180 - F10.19||Alcohol abuse with other alcohol-induced disorders|
|F10.221||Alcohol dependence with intoxication delirium|
|F10.230 - F10.24||Alcohol dependence with withdrawal and alcohol-induced mood disorder|
|F10.250 - F10.29||Alcohol dependence with alcohol-induced psychotic, persisting amnestic, persisting dementia and other alcohol-induced disorders|
|F10.920 - F10.99||Alcohol use, unspecified, with intoxication, alcohol-induced mood, psychotic, persisting amnestic, persisting dementia and other and unspecified alcohol-induced disorders|
|F11.10 - F19.999||Drug induced mental disorders|
|F20.0 - F20.9||Schizophrenia|
|F25.0 - F25.9||Schizoaffective disorders|
|F30.10 - F39||Mood [affective] disorders|
|F41.0||Panic disorder [episodic paroxysmal anxiety] without agoraphobia|
|F51.09||Other insomnia not due to a substance or known physiological condition|
|F80.0 - F89||Pervasive and specific developmental disorders|
|F90.0 - F90.9||Attention-deficit hyperactivity disorders|
|G20 - G21.9||Parkinson's disease|
|H93.11 - H93.9||Tinnitus|
|P91.60||Hypoxic-ischemic encephalopathy (HIE), unspecified|
|S06.0x0+ - S06.9x9+||Intracranial injury [excluding those with skull fracture]|
|S09.10x+ - S09.11x+
S09.19x+, S09.8xx+ - S09.90x+
|Head injury, unspecified|
|R48.0||Dyslexia and alexia|
|W21.00+ - W21.9||Striking against or struck by sports equipment|
|Z73.810 - Z73.819||Behavioral insomnia of childhood|
|
95961
|
PR FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND INIT HR
|
HCPCS
|
The authors concluded that abnormalities in EEG and EPs are present in the majority of septic patients. They stated that there is some evidence to support EEG use in the detection and prognostication of sepsis-associated encephalopathy, but further clinical investigation is needed to confirm this suggestion. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015 :|
|CPT codes covered if selection criteria are met:|
|95961||Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified health care professional.|
|+ 95962||each additional hour of attendance by a physician or other qualified health care professional (List separately in addition to code for primary procedure)|
|Other CPT codes related to the CPB:|
|95812 - 95830||Electroencephalography|
|HCPCS code covered if selection criteria are met:|
|S8040||Topographic brain mapping|
|ICD-10 codes covered if selection criteria are met (not all-inclusive):|
|A81.00 - A81.9||Atypical virus infections of central nervous system|
|F02.80||Dementia in other diseases classified elsewhere, without behavioral disturbance|
|F02.81||Dementia in other diseases classified elsewhere, with behavioral disturbance|
|F03.90 - F03.91||Unspecified dementia|
|F06.1, F06.8||Psychotic disorders with hallucinations and other specified mental disorders due to known physiological conditions|
|G40.00 - G40.919||Epilepsy and recurrent seizures|
|G93.1||Anoxic brain damage, not elsewhere classified|
|G93.40 - G93.49||Encephalopathy, not elsewhere classified [not covered for assessing prognosis of sepsis-associated encephalopathy]|
|G97.31 - G97.32||Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure|
|I65.01 - I69.998||Occlusion and stenosis of precerebral arteries, occlusion of cerebral arteries, transient cerebral ischemia, acute, but ill-defined cerebrovascular disease, other and ill-defined cerebrovascular disease, and late effects of cerebrovascular disease|
|I97.810 - I97.821||Other intraoperative and postprocedural cerebrovascular infarction during surgery|
|R56.1||Post traumatic seizures|
|T56.0x1+||Toxic effect of lead and its compounds, accidental (unintentional)|
|ICD-10 codes not covered for indications listed in the CPB:|
|F10.121||Alcohol abuse with intoxication delirium|
|F10.14||Alcohol abuse with alcohol-induced mood disorder|
|F10.150 - F10.159||Alcohol abuse with alcohol-induced psychotic disorder|
|F10.180 - F10.19||Alcohol abuse with other alcohol-induced disorders|
|F10.221||Alcohol dependence with intoxication delirium|
|F10.230 - F10.24||Alcohol dependence with withdrawal and alcohol-induced mood disorder|
|F10.250 - F10.29||Alcohol dependence with alcohol-induced psychotic, persisting amnestic, persisting dementia and other alcohol-induced disorders|
|F10.920 - F10.99||Alcohol use, unspecified, with intoxication, alcohol-induced mood, psychotic, persisting amnestic, persisting dementia and other and unspecified alcohol-induced disorders|
|F11.10 - F19.999||Drug induced mental disorders|
|F20.0 - F20.9||Schizophrenia|
|F25.0 - F25.9||Schizoaffective disorders|
|F30.10 - F39||Mood [affective] disorders|
|F41.0||Panic disorder [episodic paroxysmal anxiety] without agoraphobia|
|F51.09||Other insomnia not due to a substance or known physiological condition|
|F80.0 - F89||Pervasive and specific developmental disorders|
|F90.0 - F90.9||Attention-deficit hyperactivity disorders|
|G20 - G21.9||Parkinson's disease|
|H93.11 - H93.9||Tinnitus|
|P91.60||Hypoxic-ischemic encephalopathy (HIE), unspecified|
|S06.0x0+ - S06.9x9+||Intracranial injury [excluding those with skull fracture]|
|S09.10x+ - S09.11x+
S09.19x+, S09.8xx+ - S09.90x+
|Head injury, unspecified|
|R48.0||Dyslexia and alexia|
|W21.00+ - W21.9||Striking against or struck by sports equipment|
|Z73.810 - Z73.819||Behavioral insomnia of childhood|
|
95830
|
PR INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP
|
HCPCS
|
The authors concluded that abnormalities in EEG and EPs are present in the majority of septic patients. They stated that there is some evidence to support EEG use in the detection and prognostication of sepsis-associated encephalopathy, but further clinical investigation is needed to confirm this suggestion. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015 :|
|CPT codes covered if selection criteria are met:|
|95961||Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified health care professional.|
|+ 95962||each additional hour of attendance by a physician or other qualified health care professional (List separately in addition to code for primary procedure)|
|Other CPT codes related to the CPB:|
|95812 - 95830||Electroencephalography|
|HCPCS code covered if selection criteria are met:|
|S8040||Topographic brain mapping|
|ICD-10 codes covered if selection criteria are met (not all-inclusive):|
|A81.00 - A81.9||Atypical virus infections of central nervous system|
|F02.80||Dementia in other diseases classified elsewhere, without behavioral disturbance|
|F02.81||Dementia in other diseases classified elsewhere, with behavioral disturbance|
|F03.90 - F03.91||Unspecified dementia|
|F06.1, F06.8||Psychotic disorders with hallucinations and other specified mental disorders due to known physiological conditions|
|G40.00 - G40.919||Epilepsy and recurrent seizures|
|G93.1||Anoxic brain damage, not elsewhere classified|
|G93.40 - G93.49||Encephalopathy, not elsewhere classified [not covered for assessing prognosis of sepsis-associated encephalopathy]|
|G97.31 - G97.32||Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure|
|I65.01 - I69.998||Occlusion and stenosis of precerebral arteries, occlusion of cerebral arteries, transient cerebral ischemia, acute, but ill-defined cerebrovascular disease, other and ill-defined cerebrovascular disease, and late effects of cerebrovascular disease|
|I97.810 - I97.821||Other intraoperative and postprocedural cerebrovascular infarction during surgery|
|R56.1||Post traumatic seizures|
|T56.0x1+||Toxic effect of lead and its compounds, accidental (unintentional)|
|ICD-10 codes not covered for indications listed in the CPB:|
|F10.121||Alcohol abuse with intoxication delirium|
|F10.14||Alcohol abuse with alcohol-induced mood disorder|
|F10.150 - F10.159||Alcohol abuse with alcohol-induced psychotic disorder|
|F10.180 - F10.19||Alcohol abuse with other alcohol-induced disorders|
|F10.221||Alcohol dependence with intoxication delirium|
|F10.230 - F10.24||Alcohol dependence with withdrawal and alcohol-induced mood disorder|
|F10.250 - F10.29||Alcohol dependence with alcohol-induced psychotic, persisting amnestic, persisting dementia and other alcohol-induced disorders|
|F10.920 - F10.99||Alcohol use, unspecified, with intoxication, alcohol-induced mood, psychotic, persisting amnestic, persisting dementia and other and unspecified alcohol-induced disorders|
|F11.10 - F19.999||Drug induced mental disorders|
|F20.0 - F20.9||Schizophrenia|
|F25.0 - F25.9||Schizoaffective disorders|
|F30.10 - F39||Mood [affective] disorders|
|F41.0||Panic disorder [episodic paroxysmal anxiety] without agoraphobia|
|F51.09||Other insomnia not due to a substance or known physiological condition|
|F80.0 - F89||Pervasive and specific developmental disorders|
|F90.0 - F90.9||Attention-deficit hyperactivity disorders|
|G20 - G21.9||Parkinson's disease|
|H93.11 - H93.9||Tinnitus|
|P91.60||Hypoxic-ischemic encephalopathy (HIE), unspecified|
|S06.0x0+ - S06.9x9+||Intracranial injury [excluding those with skull fracture]|
|S09.10x+ - S09.11x+
S09.19x+, S09.8xx+ - S09.90x+
|Head injury, unspecified|
|R48.0||Dyslexia and alexia|
|W21.00+ - W21.9||Striking against or struck by sports equipment|
|Z73.810 - Z73.819||Behavioral insomnia of childhood|
|
S8040
|
TOPOGRAPHIC BRAIN MAPPING
|
HCPCS
|
The authors concluded that abnormalities in EEG and EPs are present in the majority of septic patients. They stated that there is some evidence to support EEG use in the detection and prognostication of sepsis-associated encephalopathy, but further clinical investigation is needed to confirm this suggestion. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015 :|
|CPT codes covered if selection criteria are met:|
|95961||Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified health care professional.|
|+ 95962||each additional hour of attendance by a physician or other qualified health care professional (List separately in addition to code for primary procedure)|
|Other CPT codes related to the CPB:|
|95812 - 95830||Electroencephalography|
|HCPCS code covered if selection criteria are met:|
|S8040||Topographic brain mapping|
|ICD-10 codes covered if selection criteria are met (not all-inclusive):|
|A81.00 - A81.9||Atypical virus infections of central nervous system|
|F02.80||Dementia in other diseases classified elsewhere, without behavioral disturbance|
|F02.81||Dementia in other diseases classified elsewhere, with behavioral disturbance|
|F03.90 - F03.91||Unspecified dementia|
|F06.1, F06.8||Psychotic disorders with hallucinations and other specified mental disorders due to known physiological conditions|
|G40.00 - G40.919||Epilepsy and recurrent seizures|
|G93.1||Anoxic brain damage, not elsewhere classified|
|G93.40 - G93.49||Encephalopathy, not elsewhere classified [not covered for assessing prognosis of sepsis-associated encephalopathy]|
|G97.31 - G97.32||Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure|
|I65.01 - I69.998||Occlusion and stenosis of precerebral arteries, occlusion of cerebral arteries, transient cerebral ischemia, acute, but ill-defined cerebrovascular disease, other and ill-defined cerebrovascular disease, and late effects of cerebrovascular disease|
|I97.810 - I97.821||Other intraoperative and postprocedural cerebrovascular infarction during surgery|
|R56.1||Post traumatic seizures|
|T56.0x1+||Toxic effect of lead and its compounds, accidental (unintentional)|
|ICD-10 codes not covered for indications listed in the CPB:|
|F10.121||Alcohol abuse with intoxication delirium|
|F10.14||Alcohol abuse with alcohol-induced mood disorder|
|F10.150 - F10.159||Alcohol abuse with alcohol-induced psychotic disorder|
|F10.180 - F10.19||Alcohol abuse with other alcohol-induced disorders|
|F10.221||Alcohol dependence with intoxication delirium|
|F10.230 - F10.24||Alcohol dependence with withdrawal and alcohol-induced mood disorder|
|F10.250 - F10.29||Alcohol dependence with alcohol-induced psychotic, persisting amnestic, persisting dementia and other alcohol-induced disorders|
|F10.920 - F10.99||Alcohol use, unspecified, with intoxication, alcohol-induced mood, psychotic, persisting amnestic, persisting dementia and other and unspecified alcohol-induced disorders|
|F11.10 - F19.999||Drug induced mental disorders|
|F20.0 - F20.9||Schizophrenia|
|F25.0 - F25.9||Schizoaffective disorders|
|F30.10 - F39||Mood [affective] disorders|
|F41.0||Panic disorder [episodic paroxysmal anxiety] without agoraphobia|
|F51.09||Other insomnia not due to a substance or known physiological condition|
|F80.0 - F89||Pervasive and specific developmental disorders|
|F90.0 - F90.9||Attention-deficit hyperactivity disorders|
|G20 - G21.9||Parkinson's disease|
|H93.11 - H93.9||Tinnitus|
|P91.60||Hypoxic-ischemic encephalopathy (HIE), unspecified|
|S06.0x0+ - S06.9x9+||Intracranial injury [excluding those with skull fracture]|
|S09.10x+ - S09.11x+
S09.19x+, S09.8xx+ - S09.90x+
|Head injury, unspecified|
|R48.0||Dyslexia and alexia|
|W21.00+ - W21.9||Striking against or struck by sports equipment|
|Z73.810 - Z73.819||Behavioral insomnia of childhood|
|
95812
|
PR ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN
|
HCPCS
|
They stated that there is some evidence to support EEG use in the detection and prognostication of sepsis-associated encephalopathy, but further clinical investigation is needed to confirm this suggestion. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015 :|
|CPT codes covered if selection criteria are met:|
|95961||Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified health care professional.|
|+ 95962||each additional hour of attendance by a physician or other qualified health care professional (List separately in addition to code for primary procedure)|
|Other CPT codes related to the CPB:|
|95812 - 95830||Electroencephalography|
|HCPCS code covered if selection criteria are met:|
|S8040||Topographic brain mapping|
|ICD-10 codes covered if selection criteria are met (not all-inclusive):|
|A81.00 - A81.9||Atypical virus infections of central nervous system|
|F02.80||Dementia in other diseases classified elsewhere, without behavioral disturbance|
|F02.81||Dementia in other diseases classified elsewhere, with behavioral disturbance|
|F03.90 - F03.91||Unspecified dementia|
|F06.1, F06.8||Psychotic disorders with hallucinations and other specified mental disorders due to known physiological conditions|
|G40.00 - G40.919||Epilepsy and recurrent seizures|
|G93.1||Anoxic brain damage, not elsewhere classified|
|G93.40 - G93.49||Encephalopathy, not elsewhere classified [not covered for assessing prognosis of sepsis-associated encephalopathy]|
|G97.31 - G97.32||Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure|
|I65.01 - I69.998||Occlusion and stenosis of precerebral arteries, occlusion of cerebral arteries, transient cerebral ischemia, acute, but ill-defined cerebrovascular disease, other and ill-defined cerebrovascular disease, and late effects of cerebrovascular disease|
|I97.810 - I97.821||Other intraoperative and postprocedural cerebrovascular infarction during surgery|
|R56.1||Post traumatic seizures|
|T56.0x1+||Toxic effect of lead and its compounds, accidental (unintentional)|
|ICD-10 codes not covered for indications listed in the CPB:|
|F10.121||Alcohol abuse with intoxication delirium|
|F10.14||Alcohol abuse with alcohol-induced mood disorder|
|F10.150 - F10.159||Alcohol abuse with alcohol-induced psychotic disorder|
|F10.180 - F10.19||Alcohol abuse with other alcohol-induced disorders|
|F10.221||Alcohol dependence with intoxication delirium|
|F10.230 - F10.24||Alcohol dependence with withdrawal and alcohol-induced mood disorder|
|F10.250 - F10.29||Alcohol dependence with alcohol-induced psychotic, persisting amnestic, persisting dementia and other alcohol-induced disorders|
|F10.920 - F10.99||Alcohol use, unspecified, with intoxication, alcohol-induced mood, psychotic, persisting amnestic, persisting dementia and other and unspecified alcohol-induced disorders|
|F11.10 - F19.999||Drug induced mental disorders|
|F20.0 - F20.9||Schizophrenia|
|F25.0 - F25.9||Schizoaffective disorders|
|F30.10 - F39||Mood [affective] disorders|
|F41.0||Panic disorder [episodic paroxysmal anxiety] without agoraphobia|
|F51.09||Other insomnia not due to a substance or known physiological condition|
|F80.0 - F89||Pervasive and specific developmental disorders|
|F90.0 - F90.9||Attention-deficit hyperactivity disorders|
|G20 - G21.9||Parkinson's disease|
|H93.11 - H93.9||Tinnitus|
|P91.60||Hypoxic-ischemic encephalopathy (HIE), unspecified|
|S06.0x0+ - S06.9x9+||Intracranial injury [excluding those with skull fracture]|
|S09.10x+ - S09.11x+
S09.19x+, S09.8xx+ - S09.90x+
|Head injury, unspecified|
|R48.0||Dyslexia and alexia|
|W21.00+ - W21.9||Striking against or struck by sports equipment|
|Z73.810 - Z73.819||Behavioral insomnia of childhood|
|
95962
|
PR FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND ADDL HR
|
HCPCS
|
They stated that there is some evidence to support EEG use in the detection and prognostication of sepsis-associated encephalopathy, but further clinical investigation is needed to confirm this suggestion. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015 :|
|CPT codes covered if selection criteria are met:|
|95961||Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified health care professional.|
|+ 95962||each additional hour of attendance by a physician or other qualified health care professional (List separately in addition to code for primary procedure)|
|Other CPT codes related to the CPB:|
|95812 - 95830||Electroencephalography|
|HCPCS code covered if selection criteria are met:|
|S8040||Topographic brain mapping|
|ICD-10 codes covered if selection criteria are met (not all-inclusive):|
|A81.00 - A81.9||Atypical virus infections of central nervous system|
|F02.80||Dementia in other diseases classified elsewhere, without behavioral disturbance|
|F02.81||Dementia in other diseases classified elsewhere, with behavioral disturbance|
|F03.90 - F03.91||Unspecified dementia|
|F06.1, F06.8||Psychotic disorders with hallucinations and other specified mental disorders due to known physiological conditions|
|G40.00 - G40.919||Epilepsy and recurrent seizures|
|G93.1||Anoxic brain damage, not elsewhere classified|
|G93.40 - G93.49||Encephalopathy, not elsewhere classified [not covered for assessing prognosis of sepsis-associated encephalopathy]|
|G97.31 - G97.32||Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure|
|I65.01 - I69.998||Occlusion and stenosis of precerebral arteries, occlusion of cerebral arteries, transient cerebral ischemia, acute, but ill-defined cerebrovascular disease, other and ill-defined cerebrovascular disease, and late effects of cerebrovascular disease|
|I97.810 - I97.821||Other intraoperative and postprocedural cerebrovascular infarction during surgery|
|R56.1||Post traumatic seizures|
|T56.0x1+||Toxic effect of lead and its compounds, accidental (unintentional)|
|ICD-10 codes not covered for indications listed in the CPB:|
|F10.121||Alcohol abuse with intoxication delirium|
|F10.14||Alcohol abuse with alcohol-induced mood disorder|
|F10.150 - F10.159||Alcohol abuse with alcohol-induced psychotic disorder|
|F10.180 - F10.19||Alcohol abuse with other alcohol-induced disorders|
|F10.221||Alcohol dependence with intoxication delirium|
|F10.230 - F10.24||Alcohol dependence with withdrawal and alcohol-induced mood disorder|
|F10.250 - F10.29||Alcohol dependence with alcohol-induced psychotic, persisting amnestic, persisting dementia and other alcohol-induced disorders|
|F10.920 - F10.99||Alcohol use, unspecified, with intoxication, alcohol-induced mood, psychotic, persisting amnestic, persisting dementia and other and unspecified alcohol-induced disorders|
|F11.10 - F19.999||Drug induced mental disorders|
|F20.0 - F20.9||Schizophrenia|
|F25.0 - F25.9||Schizoaffective disorders|
|F30.10 - F39||Mood [affective] disorders|
|F41.0||Panic disorder [episodic paroxysmal anxiety] without agoraphobia|
|F51.09||Other insomnia not due to a substance or known physiological condition|
|F80.0 - F89||Pervasive and specific developmental disorders|
|F90.0 - F90.9||Attention-deficit hyperactivity disorders|
|G20 - G21.9||Parkinson's disease|
|H93.11 - H93.9||Tinnitus|
|P91.60||Hypoxic-ischemic encephalopathy (HIE), unspecified|
|S06.0x0+ - S06.9x9+||Intracranial injury [excluding those with skull fracture]|
|S09.10x+ - S09.11x+
S09.19x+, S09.8xx+ - S09.90x+
|Head injury, unspecified|
|R48.0||Dyslexia and alexia|
|W21.00+ - W21.9||Striking against or struck by sports equipment|
|Z73.810 - Z73.819||Behavioral insomnia of childhood|
|
95961
|
PR FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND INIT HR
|
HCPCS
|
They stated that there is some evidence to support EEG use in the detection and prognostication of sepsis-associated encephalopathy, but further clinical investigation is needed to confirm this suggestion. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015 :|
|CPT codes covered if selection criteria are met:|
|95961||Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified health care professional.|
|+ 95962||each additional hour of attendance by a physician or other qualified health care professional (List separately in addition to code for primary procedure)|
|Other CPT codes related to the CPB:|
|95812 - 95830||Electroencephalography|
|HCPCS code covered if selection criteria are met:|
|S8040||Topographic brain mapping|
|ICD-10 codes covered if selection criteria are met (not all-inclusive):|
|A81.00 - A81.9||Atypical virus infections of central nervous system|
|F02.80||Dementia in other diseases classified elsewhere, without behavioral disturbance|
|F02.81||Dementia in other diseases classified elsewhere, with behavioral disturbance|
|F03.90 - F03.91||Unspecified dementia|
|F06.1, F06.8||Psychotic disorders with hallucinations and other specified mental disorders due to known physiological conditions|
|G40.00 - G40.919||Epilepsy and recurrent seizures|
|G93.1||Anoxic brain damage, not elsewhere classified|
|G93.40 - G93.49||Encephalopathy, not elsewhere classified [not covered for assessing prognosis of sepsis-associated encephalopathy]|
|G97.31 - G97.32||Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure|
|I65.01 - I69.998||Occlusion and stenosis of precerebral arteries, occlusion of cerebral arteries, transient cerebral ischemia, acute, but ill-defined cerebrovascular disease, other and ill-defined cerebrovascular disease, and late effects of cerebrovascular disease|
|I97.810 - I97.821||Other intraoperative and postprocedural cerebrovascular infarction during surgery|
|R56.1||Post traumatic seizures|
|T56.0x1+||Toxic effect of lead and its compounds, accidental (unintentional)|
|ICD-10 codes not covered for indications listed in the CPB:|
|F10.121||Alcohol abuse with intoxication delirium|
|F10.14||Alcohol abuse with alcohol-induced mood disorder|
|F10.150 - F10.159||Alcohol abuse with alcohol-induced psychotic disorder|
|F10.180 - F10.19||Alcohol abuse with other alcohol-induced disorders|
|F10.221||Alcohol dependence with intoxication delirium|
|F10.230 - F10.24||Alcohol dependence with withdrawal and alcohol-induced mood disorder|
|F10.250 - F10.29||Alcohol dependence with alcohol-induced psychotic, persisting amnestic, persisting dementia and other alcohol-induced disorders|
|F10.920 - F10.99||Alcohol use, unspecified, with intoxication, alcohol-induced mood, psychotic, persisting amnestic, persisting dementia and other and unspecified alcohol-induced disorders|
|F11.10 - F19.999||Drug induced mental disorders|
|F20.0 - F20.9||Schizophrenia|
|F25.0 - F25.9||Schizoaffective disorders|
|F30.10 - F39||Mood [affective] disorders|
|F41.0||Panic disorder [episodic paroxysmal anxiety] without agoraphobia|
|F51.09||Other insomnia not due to a substance or known physiological condition|
|F80.0 - F89||Pervasive and specific developmental disorders|
|F90.0 - F90.9||Attention-deficit hyperactivity disorders|
|G20 - G21.9||Parkinson's disease|
|H93.11 - H93.9||Tinnitus|
|P91.60||Hypoxic-ischemic encephalopathy (HIE), unspecified|
|S06.0x0+ - S06.9x9+||Intracranial injury [excluding those with skull fracture]|
|S09.10x+ - S09.11x+
S09.19x+, S09.8xx+ - S09.90x+
|Head injury, unspecified|
|R48.0||Dyslexia and alexia|
|W21.00+ - W21.9||Striking against or struck by sports equipment|
|Z73.810 - Z73.819||Behavioral insomnia of childhood|
|
95830
|
PR INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP
|
HCPCS
|
They stated that there is some evidence to support EEG use in the detection and prognostication of sepsis-associated encephalopathy, but further clinical investigation is needed to confirm this suggestion. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015 :|
|CPT codes covered if selection criteria are met:|
|95961||Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified health care professional.|
|+ 95962||each additional hour of attendance by a physician or other qualified health care professional (List separately in addition to code for primary procedure)|
|Other CPT codes related to the CPB:|
|95812 - 95830||Electroencephalography|
|HCPCS code covered if selection criteria are met:|
|S8040||Topographic brain mapping|
|ICD-10 codes covered if selection criteria are met (not all-inclusive):|
|A81.00 - A81.9||Atypical virus infections of central nervous system|
|F02.80||Dementia in other diseases classified elsewhere, without behavioral disturbance|
|F02.81||Dementia in other diseases classified elsewhere, with behavioral disturbance|
|F03.90 - F03.91||Unspecified dementia|
|F06.1, F06.8||Psychotic disorders with hallucinations and other specified mental disorders due to known physiological conditions|
|G40.00 - G40.919||Epilepsy and recurrent seizures|
|G93.1||Anoxic brain damage, not elsewhere classified|
|G93.40 - G93.49||Encephalopathy, not elsewhere classified [not covered for assessing prognosis of sepsis-associated encephalopathy]|
|G97.31 - G97.32||Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure|
|I65.01 - I69.998||Occlusion and stenosis of precerebral arteries, occlusion of cerebral arteries, transient cerebral ischemia, acute, but ill-defined cerebrovascular disease, other and ill-defined cerebrovascular disease, and late effects of cerebrovascular disease|
|I97.810 - I97.821||Other intraoperative and postprocedural cerebrovascular infarction during surgery|
|R56.1||Post traumatic seizures|
|T56.0x1+||Toxic effect of lead and its compounds, accidental (unintentional)|
|ICD-10 codes not covered for indications listed in the CPB:|
|F10.121||Alcohol abuse with intoxication delirium|
|F10.14||Alcohol abuse with alcohol-induced mood disorder|
|F10.150 - F10.159||Alcohol abuse with alcohol-induced psychotic disorder|
|F10.180 - F10.19||Alcohol abuse with other alcohol-induced disorders|
|F10.221||Alcohol dependence with intoxication delirium|
|F10.230 - F10.24||Alcohol dependence with withdrawal and alcohol-induced mood disorder|
|F10.250 - F10.29||Alcohol dependence with alcohol-induced psychotic, persisting amnestic, persisting dementia and other alcohol-induced disorders|
|F10.920 - F10.99||Alcohol use, unspecified, with intoxication, alcohol-induced mood, psychotic, persisting amnestic, persisting dementia and other and unspecified alcohol-induced disorders|
|F11.10 - F19.999||Drug induced mental disorders|
|F20.0 - F20.9||Schizophrenia|
|F25.0 - F25.9||Schizoaffective disorders|
|F30.10 - F39||Mood [affective] disorders|
|F41.0||Panic disorder [episodic paroxysmal anxiety] without agoraphobia|
|F51.09||Other insomnia not due to a substance or known physiological condition|
|F80.0 - F89||Pervasive and specific developmental disorders|
|F90.0 - F90.9||Attention-deficit hyperactivity disorders|
|G20 - G21.9||Parkinson's disease|
|H93.11 - H93.9||Tinnitus|
|P91.60||Hypoxic-ischemic encephalopathy (HIE), unspecified|
|S06.0x0+ - S06.9x9+||Intracranial injury [excluding those with skull fracture]|
|S09.10x+ - S09.11x+
S09.19x+, S09.8xx+ - S09.90x+
|Head injury, unspecified|
|R48.0||Dyslexia and alexia|
|W21.00+ - W21.9||Striking against or struck by sports equipment|
|Z73.810 - Z73.819||Behavioral insomnia of childhood|
|
S8040
|
TOPOGRAPHIC BRAIN MAPPING
|
HCPCS
|
They stated that there is some evidence to support EEG use in the detection and prognostication of sepsis-associated encephalopathy, but further clinical investigation is needed to confirm this suggestion. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015 :|
|CPT codes covered if selection criteria are met:|
|95961||Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified health care professional.|
|+ 95962||each additional hour of attendance by a physician or other qualified health care professional (List separately in addition to code for primary procedure)|
|Other CPT codes related to the CPB:|
|95812 - 95830||Electroencephalography|
|HCPCS code covered if selection criteria are met:|
|S8040||Topographic brain mapping|
|ICD-10 codes covered if selection criteria are met (not all-inclusive):|
|A81.00 - A81.9||Atypical virus infections of central nervous system|
|F02.80||Dementia in other diseases classified elsewhere, without behavioral disturbance|
|F02.81||Dementia in other diseases classified elsewhere, with behavioral disturbance|
|F03.90 - F03.91||Unspecified dementia|
|F06.1, F06.8||Psychotic disorders with hallucinations and other specified mental disorders due to known physiological conditions|
|G40.00 - G40.919||Epilepsy and recurrent seizures|
|G93.1||Anoxic brain damage, not elsewhere classified|
|G93.40 - G93.49||Encephalopathy, not elsewhere classified [not covered for assessing prognosis of sepsis-associated encephalopathy]|
|G97.31 - G97.32||Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure|
|I65.01 - I69.998||Occlusion and stenosis of precerebral arteries, occlusion of cerebral arteries, transient cerebral ischemia, acute, but ill-defined cerebrovascular disease, other and ill-defined cerebrovascular disease, and late effects of cerebrovascular disease|
|I97.810 - I97.821||Other intraoperative and postprocedural cerebrovascular infarction during surgery|
|R56.1||Post traumatic seizures|
|T56.0x1+||Toxic effect of lead and its compounds, accidental (unintentional)|
|ICD-10 codes not covered for indications listed in the CPB:|
|F10.121||Alcohol abuse with intoxication delirium|
|F10.14||Alcohol abuse with alcohol-induced mood disorder|
|F10.150 - F10.159||Alcohol abuse with alcohol-induced psychotic disorder|
|F10.180 - F10.19||Alcohol abuse with other alcohol-induced disorders|
|F10.221||Alcohol dependence with intoxication delirium|
|F10.230 - F10.24||Alcohol dependence with withdrawal and alcohol-induced mood disorder|
|F10.250 - F10.29||Alcohol dependence with alcohol-induced psychotic, persisting amnestic, persisting dementia and other alcohol-induced disorders|
|F10.920 - F10.99||Alcohol use, unspecified, with intoxication, alcohol-induced mood, psychotic, persisting amnestic, persisting dementia and other and unspecified alcohol-induced disorders|
|F11.10 - F19.999||Drug induced mental disorders|
|F20.0 - F20.9||Schizophrenia|
|F25.0 - F25.9||Schizoaffective disorders|
|F30.10 - F39||Mood [affective] disorders|
|F41.0||Panic disorder [episodic paroxysmal anxiety] without agoraphobia|
|F51.09||Other insomnia not due to a substance or known physiological condition|
|F80.0 - F89||Pervasive and specific developmental disorders|
|F90.0 - F90.9||Attention-deficit hyperactivity disorders|
|G20 - G21.9||Parkinson's disease|
|H93.11 - H93.9||Tinnitus|
|P91.60||Hypoxic-ischemic encephalopathy (HIE), unspecified|
|S06.0x0+ - S06.9x9+||Intracranial injury [excluding those with skull fracture]|
|S09.10x+ - S09.11x+
S09.19x+, S09.8xx+ - S09.90x+
|Head injury, unspecified|
|R48.0||Dyslexia and alexia|
|W21.00+ - W21.9||Striking against or struck by sports equipment|
|Z73.810 - Z73.819||Behavioral insomnia of childhood|
|
92508
|
Speech/hearing therapy
|
HCPCS
|
Other programs and methods have no or a very low level of evidence or conflicting expert opinion. In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92551
|
Test for screening hearing
|
HCPCS
|
Other programs and methods have no or a very low level of evidence or conflicting expert opinion. In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92588
|
PR DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL
|
HCPCS
|
Other programs and methods have no or a very low level of evidence or conflicting expert opinion. In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92524
|
ST SPEECH BEHAVIORAL QUALI OF
|
HCPCS
|
Other programs and methods have no or a very low level of evidence or conflicting expert opinion. In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92522
|
ST SPEECH EVAL OF SOUND PRODUC
|
HCPCS
|
Other programs and methods have no or a very low level of evidence or conflicting expert opinion. In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92620
|
PR EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN
|
HCPCS
|
Other programs and methods have no or a very low level of evidence or conflicting expert opinion. In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92621
|
PR EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN
|
HCPCS
|
Other programs and methods have no or a very low level of evidence or conflicting expert opinion. In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92523
|
ST SPEECH EVAL SOUND W LANGUAG COMPREHEN
|
HCPCS
|
Other programs and methods have no or a very low level of evidence or conflicting expert opinion. In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
S9128
|
Speech therapy, in the home,
|
HCPCS
|
Other programs and methods have no or a very low level of evidence or conflicting expert opinion. In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92507
|
Treatment of speech, language, voice, communication, and/or hearing processing disorder
|
HCPCS
|
Other programs and methods have no or a very low level of evidence or conflicting expert opinion. In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92521
|
ST SPEECH EVAL OF FLUENCY
|
HCPCS
|
Other programs and methods have no or a very low level of evidence or conflicting expert opinion. In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92508
|
Speech/hearing therapy
|
HCPCS
|
In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92551
|
Test for screening hearing
|
HCPCS
|
In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92588
|
PR DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL
|
HCPCS
|
In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92524
|
ST SPEECH BEHAVIORAL QUALI OF
|
HCPCS
|
In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92522
|
ST SPEECH EVAL OF SOUND PRODUC
|
HCPCS
|
In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92620
|
PR EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN
|
HCPCS
|
In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92621
|
PR EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN
|
HCPCS
|
In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92523
|
ST SPEECH EVAL SOUND W LANGUAG COMPREHEN
|
HCPCS
|
In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
S9128
|
Speech therapy, in the home,
|
HCPCS
|
In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92507
|
Treatment of speech, language, voice, communication, and/or hearing processing disorder
|
HCPCS
|
In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92521
|
ST SPEECH EVAL OF FLUENCY
|
HCPCS
|
In a systematic evidence review, Fey, et al. (2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92508
|
Speech/hearing therapy
|
HCPCS
|
(2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92551
|
Test for screening hearing
|
HCPCS
|
(2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92588
|
PR DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL
|
HCPCS
|
(2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92524
|
ST SPEECH BEHAVIORAL QUALI OF
|
HCPCS
|
(2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92522
|
ST SPEECH EVAL OF SOUND PRODUC
|
HCPCS
|
(2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92620
|
PR EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN
|
HCPCS
|
(2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92621
|
PR EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN
|
HCPCS
|
(2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92523
|
ST SPEECH EVAL SOUND W LANGUAG COMPREHEN
|
HCPCS
|
(2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
S9128
|
Speech therapy, in the home,
|
HCPCS
|
(2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92507
|
Treatment of speech, language, voice, communication, and/or hearing processing disorder
|
HCPCS
|
(2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
92521
|
ST SPEECH EVAL OF FLUENCY
|
HCPCS
|
(2011) found only weak evidence on the efficacy of auditory processing disorder training and auditory/language interventions for children. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes not covered for indications listed in the CPB:|
|92507||Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual|
|92508||group, two or more individuals|
|92521||Evaluation of speech fluency (eg, stuttering, cluttering)|
|92522||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)|
|92523||Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)|
|92524||Behavioral and qualitative analysis of voice and resonance|
|92551 - 92588||Audiological function tests with medical diagnostic evaluation|
|92620||Evaluation of central auditory function, with report; initial 60 minutes|
|92621||each additional 15 minutes|
|Other HCPCS codes related to the CPB:|
|S9128||Speech therapy, in the home, per diem|
|ICD-10 codes not covered for indications listed in the CPB:|
|H93.25||Central auditory processing disorder|
|H93.291 - H93.299||Other abnormal auditory perceptions|
|
1999
|
ANESTHESIOLOGY GROUP
|
CPT
|
- Ophthalmic Technology Assessment Committee Cornea Panel American Academy of Ophthalmology. Corneal topography. Ophthalmology 1999; 106(8-Jan):1628-38. |CPT||92025||Computerized corneal topography, unilateral or bilateral, with interpretation and report|
|92002–92014||General ophthalmological services|
|ICD-9 Procedure||95.02||Comprehensive eye examination|
|95.09||Eye examination, not otherwise specified|
|ICD-9 Diagnosis||Not medically necessary for all diagnoses|
|ICD-10-CM (effective 10/01/15)||Not medically necessary for all diagnoses|
|H16.001-H16.9||Keratitis code range|
|H17.00-H17.9||Corneal scars and opacities code range|
|H18.001-H18.9||Other disorders of cornea code range|
|ICD-10-PCS (effective 10/01/15)||ICD-10-PCS codes are only used for inpatient services. There is no specific ICD-10-PCS code for this examination.|
|08J0XZZ, 08J1XZZ||Eye examination, code by body part (right eye or left eye)|
|Type of Service||Ophthalmology|
|Place of Service||Physician’s Office|
|11/1/97||Add to Vision section||New policy|
|7/12/02||Replace policy||Policy reviewed without literature review; new review date only|
|10/09/03||Replace policy||Policy reviewed by consensus without literature review; no changes in policy; no further review scheduled|
|10/10/2006||Replace policy||Policy updated with literature review.
|
1999
|
ANESTHESIOLOGY GROUP
|
CPT
|
Corneal topography. Ophthalmology 1999; 106(8-Jan):1628-38. |CPT||92025||Computerized corneal topography, unilateral or bilateral, with interpretation and report|
|92002–92014||General ophthalmological services|
|ICD-9 Procedure||95.02||Comprehensive eye examination|
|95.09||Eye examination, not otherwise specified|
|ICD-9 Diagnosis||Not medically necessary for all diagnoses|
|ICD-10-CM (effective 10/01/15)||Not medically necessary for all diagnoses|
|H16.001-H16.9||Keratitis code range|
|H17.00-H17.9||Corneal scars and opacities code range|
|H18.001-H18.9||Other disorders of cornea code range|
|ICD-10-PCS (effective 10/01/15)||ICD-10-PCS codes are only used for inpatient services. There is no specific ICD-10-PCS code for this examination.|
|08J0XZZ, 08J1XZZ||Eye examination, code by body part (right eye or left eye)|
|Type of Service||Ophthalmology|
|Place of Service||Physician’s Office|
|11/1/97||Add to Vision section||New policy|
|7/12/02||Replace policy||Policy reviewed without literature review; new review date only|
|10/09/03||Replace policy||Policy reviewed by consensus without literature review; no changes in policy; no further review scheduled|
|10/10/2006||Replace policy||Policy updated with literature review. Policy statement revised.|
|12/13/07||Replace Policy||Policy updated with literature review; reference 3 added; policy statement unchanged.|
|04/24/09||Replace policy||Policy updated with literature review through January 2009; policy statement changed to not medically necessary.|
|04/08/10||Replace policy||Policy updated with literature review through February 2010; reference 3 added; policy statement unchanged|
|4/14/11||Replace policy||Policy updated with literature review through February 2011; policy statement unchanged|
|04/12/12||Replace policy||Policy updated with literature review through February 2012; policy statement unchanged|
|04/11/13||Replace policy||Policy updated with literature review through March 13, 2013; reference 4 added; policy statement unchanged|
|4/10/14||Replace policy||Policy updated with literature review through March 3, 2014; policy statement unchanged|
|
1999
|
ANESTHESIOLOGY GROUP
|
CPT
|
Ophthalmology 1999; 106(8-Jan):1628-38. |CPT||92025||Computerized corneal topography, unilateral or bilateral, with interpretation and report|
|92002–92014||General ophthalmological services|
|ICD-9 Procedure||95.02||Comprehensive eye examination|
|95.09||Eye examination, not otherwise specified|
|ICD-9 Diagnosis||Not medically necessary for all diagnoses|
|ICD-10-CM (effective 10/01/15)||Not medically necessary for all diagnoses|
|H16.001-H16.9||Keratitis code range|
|H17.00-H17.9||Corneal scars and opacities code range|
|H18.001-H18.9||Other disorders of cornea code range|
|ICD-10-PCS (effective 10/01/15)||ICD-10-PCS codes are only used for inpatient services. There is no specific ICD-10-PCS code for this examination.|
|08J0XZZ, 08J1XZZ||Eye examination, code by body part (right eye or left eye)|
|Type of Service||Ophthalmology|
|Place of Service||Physician’s Office|
|11/1/97||Add to Vision section||New policy|
|7/12/02||Replace policy||Policy reviewed without literature review; new review date only|
|10/09/03||Replace policy||Policy reviewed by consensus without literature review; no changes in policy; no further review scheduled|
|10/10/2006||Replace policy||Policy updated with literature review. Policy statement revised.|
|12/13/07||Replace Policy||Policy updated with literature review; reference 3 added; policy statement unchanged.|
|04/24/09||Replace policy||Policy updated with literature review through January 2009; policy statement changed to not medically necessary.|
|04/08/10||Replace policy||Policy updated with literature review through February 2010; reference 3 added; policy statement unchanged|
|4/14/11||Replace policy||Policy updated with literature review through February 2011; policy statement unchanged|
|04/12/12||Replace policy||Policy updated with literature review through February 2012; policy statement unchanged|
|04/11/13||Replace policy||Policy updated with literature review through March 13, 2013; reference 4 added; policy statement unchanged|
|4/10/14||Replace policy||Policy updated with literature review through March 3, 2014; policy statement unchanged|
|
E0218
|
Fluid circ cold pad w pump
|
HCPCS
|
In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY2/2001: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, HCPCS E0218 added
5/2/2002: Type of Service and Place of Service deleted
8/16/2005: Policy title "Polar Care" renamed "Cooling Devices," Description and Policy sections revised to be consistent with BCBSA policy # 1.01.26, Code Reference section updated, HCPCS E0236 added
4/25/2008: Policy reviewed, no changes
12/10/2009: Policy Exclusions revised to include FEP verbiage, HCPCS code E1399 added to Non-Covered Codes Table. 05/17/2011: Policy reviewed; no changes to policy statement. Removed outdated references from the Sources section.
|
E0236
|
Pump for water circulating pad
|
HCPCS
|
In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY2/2001: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, HCPCS E0218 added
5/2/2002: Type of Service and Place of Service deleted
8/16/2005: Policy title "Polar Care" renamed "Cooling Devices," Description and Policy sections revised to be consistent with BCBSA policy # 1.01.26, Code Reference section updated, HCPCS E0236 added
4/25/2008: Policy reviewed, no changes
12/10/2009: Policy Exclusions revised to include FEP verbiage, HCPCS code E1399 added to Non-Covered Codes Table. 05/17/2011: Policy reviewed; no changes to policy statement. Removed outdated references from the Sources section.
|
E0218
|
Fluid circ cold pad w pump
|
HCPCS
|
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY2/2001: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, HCPCS E0218 added
5/2/2002: Type of Service and Place of Service deleted
8/16/2005: Policy title "Polar Care" renamed "Cooling Devices," Description and Policy sections revised to be consistent with BCBSA policy # 1.01.26, Code Reference section updated, HCPCS E0236 added
4/25/2008: Policy reviewed, no changes
12/10/2009: Policy Exclusions revised to include FEP verbiage, HCPCS code E1399 added to Non-Covered Codes Table. 05/17/2011: Policy reviewed; no changes to policy statement. Removed outdated references from the Sources section. 03/02/2012: Policy reviewed.
|
E0236
|
Pump for water circulating pad
|
HCPCS
|
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY2/2001: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, HCPCS E0218 added
5/2/2002: Type of Service and Place of Service deleted
8/16/2005: Policy title "Polar Care" renamed "Cooling Devices," Description and Policy sections revised to be consistent with BCBSA policy # 1.01.26, Code Reference section updated, HCPCS E0236 added
4/25/2008: Policy reviewed, no changes
12/10/2009: Policy Exclusions revised to include FEP verbiage, HCPCS code E1399 added to Non-Covered Codes Table. 05/17/2011: Policy reviewed; no changes to policy statement. Removed outdated references from the Sources section. 03/02/2012: Policy reviewed.
|
A5120
|
Skin barrier, wipes or swabs, each
|
HCPCS
|
HCPCS codes are five digits in length with no decimal holders and are alphanumeric in nature. Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
A5120 - Skin barrier, wipes or swabs, each
Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next.
|
K0011
|
Stnd wt pwr whlchr w control
|
HCPCS
|
HCPCS codes are five digits in length with no decimal holders and are alphanumeric in nature. Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
A5120 - Skin barrier, wipes or swabs, each
Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next.
|
Q4011
|
Cast sup sht arm ped plaster
|
HCPCS
|
HCPCS codes are five digits in length with no decimal holders and are alphanumeric in nature. Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
A5120 - Skin barrier, wipes or swabs, each
Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next.
|
A5120
|
Skin barrier, wipes or swabs, each
|
HCPCS
|
Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
A5120 - Skin barrier, wipes or swabs, each
Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index.
|
K0011
|
Stnd wt pwr whlchr w control
|
HCPCS
|
Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
A5120 - Skin barrier, wipes or swabs, each
Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index.
|
Q4011
|
Cast sup sht arm ped plaster
|
HCPCS
|
Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
A5120 - Skin barrier, wipes or swabs, each
Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index.
|
A5120
|
Skin barrier, wipes or swabs, each
|
HCPCS
|
HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
A5120 - Skin barrier, wipes or swabs, each
Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index. ~ The Tabular index lists all codes with their full description, conventions, and notations and is located in the center of the book. ~ Appendix A which is for Internet Only Manuals makes up the remainder of the book.
|
K0011
|
Stnd wt pwr whlchr w control
|
HCPCS
|
HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
A5120 - Skin barrier, wipes or swabs, each
Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index. ~ The Tabular index lists all codes with their full description, conventions, and notations and is located in the center of the book. ~ Appendix A which is for Internet Only Manuals makes up the remainder of the book.
|
Q4011
|
Cast sup sht arm ped plaster
|
HCPCS
|
HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
A5120 - Skin barrier, wipes or swabs, each
Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index. ~ The Tabular index lists all codes with their full description, conventions, and notations and is located in the center of the book. ~ Appendix A which is for Internet Only Manuals makes up the remainder of the book.
|
1996
|
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
|
HCPCS
|
With appropriate training from an accredited education program, professional medical billers and certified medical coders navigate these issues every day as part of their workday routine. It is a rewarding career, and it is an essential part of the healthcare industry. Medical billing and medical coding are based on the Healthcare Common Procedural Coding System (HCPCS), the foundation of how medical claims are submitted to commercial health insurers and government healthcare programs. The Healthcare Portability and Protection Act of 1996 (HIPPA) mandated that all healthcare claims be reported using HCPCS. Medical billers ensure that all healthcare claims are compliant with HIPPA through the accurate application of medical codes based on the documentation in the patient’s medical record, and based on the standards established by HCPCS.
|
1996
|
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
|
HCPCS
|
It is a rewarding career, and it is an essential part of the healthcare industry. Medical billing and medical coding are based on the Healthcare Common Procedural Coding System (HCPCS), the foundation of how medical claims are submitted to commercial health insurers and government healthcare programs. The Healthcare Portability and Protection Act of 1996 (HIPPA) mandated that all healthcare claims be reported using HCPCS. Medical billers ensure that all healthcare claims are compliant with HIPPA through the accurate application of medical codes based on the documentation in the patient’s medical record, and based on the standards established by HCPCS. How HCPCS Codes are Used
The federal Centers for Medicare and Medicaid Services (CMS) oversees the definition and use of HCPCS codes.
|
1996
|
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
|
HCPCS
|
Medical billing and medical coding are based on the Healthcare Common Procedural Coding System (HCPCS), the foundation of how medical claims are submitted to commercial health insurers and government healthcare programs. The Healthcare Portability and Protection Act of 1996 (HIPPA) mandated that all healthcare claims be reported using HCPCS. Medical billers ensure that all healthcare claims are compliant with HIPPA through the accurate application of medical codes based on the documentation in the patient’s medical record, and based on the standards established by HCPCS. How HCPCS Codes are Used
The federal Centers for Medicare and Medicaid Services (CMS) oversees the definition and use of HCPCS codes. HCPCS are divided in two levels.
|
1996
|
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
|
HCPCS
|
The Healthcare Portability and Protection Act of 1996 (HIPPA) mandated that all healthcare claims be reported using HCPCS. Medical billers ensure that all healthcare claims are compliant with HIPPA through the accurate application of medical codes based on the documentation in the patient’s medical record, and based on the standards established by HCPCS. How HCPCS Codes are Used
The federal Centers for Medicare and Medicaid Services (CMS) oversees the definition and use of HCPCS codes. HCPCS are divided in two levels. Level I codes are commonly referred to as CPT codes because they belong to the Current Procedural Terminology (CPT) administered by the American Medical Association (AMA).
|
1996
|
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
|
HCPCS
|
NCCI was established to prevent fraud and abuse of the Medicare system by preventing improper payments for services. Medical billers with the proper training understand that HCPCS Level I codes are used to bill Medicare, a government health insurance program that covers 48 million Americans, who make up a large percentage of any healthcare facility’s patient population. Understanding the use of HCPCS Level I codes is essential for professional medical billers to obtain maximum, legal reimbursement for their employers. CMS reviews the guidelines the AMA uses to define CPT codes, then it establishes coding methodologies and policies that promote correct coding on a national scale. Because of the number of healthcare claims processed and paid by the Medicare Part B program, NCCI policies have been in place since 1996 to ensure that only appropriate claims are paid.
|
1996
|
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
|
HCPCS
|
Medical billers with the proper training understand that HCPCS Level I codes are used to bill Medicare, a government health insurance program that covers 48 million Americans, who make up a large percentage of any healthcare facility’s patient population. Understanding the use of HCPCS Level I codes is essential for professional medical billers to obtain maximum, legal reimbursement for their employers. CMS reviews the guidelines the AMA uses to define CPT codes, then it establishes coding methodologies and policies that promote correct coding on a national scale. Because of the number of healthcare claims processed and paid by the Medicare Part B program, NCCI policies have been in place since 1996 to ensure that only appropriate claims are paid. The system has been expanded to include claims submitted under the Outpatient Prospective Payment System (OPPS) and claims submitted by skilled nursing facilities (SNFs).
|
1996
|
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
|
HCPCS
|
Understanding the use of HCPCS Level I codes is essential for professional medical billers to obtain maximum, legal reimbursement for their employers. CMS reviews the guidelines the AMA uses to define CPT codes, then it establishes coding methodologies and policies that promote correct coding on a national scale. Because of the number of healthcare claims processed and paid by the Medicare Part B program, NCCI policies have been in place since 1996 to ensure that only appropriate claims are paid. The system has been expanded to include claims submitted under the Outpatient Prospective Payment System (OPPS) and claims submitted by skilled nursing facilities (SNFs). HCPCS Codes and NCCI
Medical billers and medical coders need to be aware of the current guidance established by the NCCI when they submit claims to Medicare.
|
1996
|
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
|
HCPCS
|
CMS reviews the guidelines the AMA uses to define CPT codes, then it establishes coding methodologies and policies that promote correct coding on a national scale. Because of the number of healthcare claims processed and paid by the Medicare Part B program, NCCI policies have been in place since 1996 to ensure that only appropriate claims are paid. The system has been expanded to include claims submitted under the Outpatient Prospective Payment System (OPPS) and claims submitted by skilled nursing facilities (SNFs). HCPCS Codes and NCCI
Medical billers and medical coders need to be aware of the current guidance established by the NCCI when they submit claims to Medicare. While the guidelines are updated quarterly, a basic understanding of the use of HCPCS, and how they are meant to be used according to the NCCI, is essential to adapt to the ongoing changes in the healthcare industry.
|
1996
|
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
|
HCPCS
|
Because of the number of healthcare claims processed and paid by the Medicare Part B program, NCCI policies have been in place since 1996 to ensure that only appropriate claims are paid. The system has been expanded to include claims submitted under the Outpatient Prospective Payment System (OPPS) and claims submitted by skilled nursing facilities (SNFs). HCPCS Codes and NCCI
Medical billers and medical coders need to be aware of the current guidance established by the NCCI when they submit claims to Medicare. While the guidelines are updated quarterly, a basic understanding of the use of HCPCS, and how they are meant to be used according to the NCCI, is essential to adapt to the ongoing changes in the healthcare industry. Employers can be assured that professional medical billers and certified medical coders have this understanding after they have successfully completed a formal program of study offered by an accredited institution that teaches medical billing and medical coding.
|
1999
|
ANESTHESIOLOGY GROUP
|
CPT
|
This is the HIPAA required code set. Published annually by the American Medical Association (AMA). 17 Procedure Codes: The CPT Except for the first section, the reference book is arranged in numerical order. Section Range of Codes Evaluation and Management99201-99499 Anesthesiology0010-01999 Surgery10021-69990 Radiology70010-79999 Pathology and Laboratory80048-89356 Medicine90281-99602
18 Add-On Codes A plus sign (+) is used Modifiers One or more two-digit numbers are added with a hyphen after the five digit number Category II, III, and Unlisted Procedure Codes Category II (tracks healthcare performance measures) Category III (temporary codes) Unlisted Codes (Used when no other code is adequate) Procedure Codes: The CPT (cont.) 19 Evaluation and Management Services Explains how to code different levels of patient services based on: Procedure Codes: The CPT (cont.)
|
01999
|
Unlisted anesth procedure
|
CPT
|
This is the HIPAA required code set. Published annually by the American Medical Association (AMA). 17 Procedure Codes: The CPT Except for the first section, the reference book is arranged in numerical order. Section Range of Codes Evaluation and Management99201-99499 Anesthesiology0010-01999 Surgery10021-69990 Radiology70010-79999 Pathology and Laboratory80048-89356 Medicine90281-99602
18 Add-On Codes A plus sign (+) is used Modifiers One or more two-digit numbers are added with a hyphen after the five digit number Category II, III, and Unlisted Procedure Codes Category II (tracks healthcare performance measures) Category III (temporary codes) Unlisted Codes (Used when no other code is adequate) Procedure Codes: The CPT (cont.) 19 Evaluation and Management Services Explains how to code different levels of patient services based on: Procedure Codes: The CPT (cont.)
|
1999
|
ANESTHESIOLOGY GROUP
|
CPT
|
Published annually by the American Medical Association (AMA). 17 Procedure Codes: The CPT Except for the first section, the reference book is arranged in numerical order. Section Range of Codes Evaluation and Management99201-99499 Anesthesiology0010-01999 Surgery10021-69990 Radiology70010-79999 Pathology and Laboratory80048-89356 Medicine90281-99602
18 Add-On Codes A plus sign (+) is used Modifiers One or more two-digit numbers are added with a hyphen after the five digit number Category II, III, and Unlisted Procedure Codes Category II (tracks healthcare performance measures) Category III (temporary codes) Unlisted Codes (Used when no other code is adequate) Procedure Codes: The CPT (cont.) 19 Evaluation and Management Services Explains how to code different levels of patient services based on: Procedure Codes: The CPT (cont.) The extent of the patient history taken The extent of the examination conducted The complexity of the medical decision made New Patient versus Established Patient New patients have not been seen by physician within the past 3 years.
|
01999
|
Unlisted anesth procedure
|
CPT
|
Published annually by the American Medical Association (AMA). 17 Procedure Codes: The CPT Except for the first section, the reference book is arranged in numerical order. Section Range of Codes Evaluation and Management99201-99499 Anesthesiology0010-01999 Surgery10021-69990 Radiology70010-79999 Pathology and Laboratory80048-89356 Medicine90281-99602
18 Add-On Codes A plus sign (+) is used Modifiers One or more two-digit numbers are added with a hyphen after the five digit number Category II, III, and Unlisted Procedure Codes Category II (tracks healthcare performance measures) Category III (temporary codes) Unlisted Codes (Used when no other code is adequate) Procedure Codes: The CPT (cont.) 19 Evaluation and Management Services Explains how to code different levels of patient services based on: Procedure Codes: The CPT (cont.) The extent of the patient history taken The extent of the examination conducted The complexity of the medical decision made New Patient versus Established Patient New patients have not been seen by physician within the past 3 years.
|
1999
|
ANESTHESIOLOGY GROUP
|
CPT
|
17 Procedure Codes: The CPT Except for the first section, the reference book is arranged in numerical order. Section Range of Codes Evaluation and Management99201-99499 Anesthesiology0010-01999 Surgery10021-69990 Radiology70010-79999 Pathology and Laboratory80048-89356 Medicine90281-99602
18 Add-On Codes A plus sign (+) is used Modifiers One or more two-digit numbers are added with a hyphen after the five digit number Category II, III, and Unlisted Procedure Codes Category II (tracks healthcare performance measures) Category III (temporary codes) Unlisted Codes (Used when no other code is adequate) Procedure Codes: The CPT (cont.) 19 Evaluation and Management Services Explains how to code different levels of patient services based on: Procedure Codes: The CPT (cont.) The extent of the patient history taken The extent of the examination conducted The complexity of the medical decision made New Patient versus Established Patient New patients have not been seen by physician within the past 3 years. Established patients have been seen within a 3 year period.
|
01999
|
Unlisted anesth procedure
|
CPT
|
17 Procedure Codes: The CPT Except for the first section, the reference book is arranged in numerical order. Section Range of Codes Evaluation and Management99201-99499 Anesthesiology0010-01999 Surgery10021-69990 Radiology70010-79999 Pathology and Laboratory80048-89356 Medicine90281-99602
18 Add-On Codes A plus sign (+) is used Modifiers One or more two-digit numbers are added with a hyphen after the five digit number Category II, III, and Unlisted Procedure Codes Category II (tracks healthcare performance measures) Category III (temporary codes) Unlisted Codes (Used when no other code is adequate) Procedure Codes: The CPT (cont.) 19 Evaluation and Management Services Explains how to code different levels of patient services based on: Procedure Codes: The CPT (cont.) The extent of the patient history taken The extent of the examination conducted The complexity of the medical decision made New Patient versus Established Patient New patients have not been seen by physician within the past 3 years. Established patients have been seen within a 3 year period.
|
1999
|
ANESTHESIOLOGY GROUP
|
CPT
|
Section Range of Codes Evaluation and Management99201-99499 Anesthesiology0010-01999 Surgery10021-69990 Radiology70010-79999 Pathology and Laboratory80048-89356 Medicine90281-99602
18 Add-On Codes A plus sign (+) is used Modifiers One or more two-digit numbers are added with a hyphen after the five digit number Category II, III, and Unlisted Procedure Codes Category II (tracks healthcare performance measures) Category III (temporary codes) Unlisted Codes (Used when no other code is adequate) Procedure Codes: The CPT (cont.) 19 Evaluation and Management Services Explains how to code different levels of patient services based on: Procedure Codes: The CPT (cont.) The extent of the patient history taken The extent of the examination conducted The complexity of the medical decision made New Patient versus Established Patient New patients have not been seen by physician within the past 3 years. Established patients have been seen within a 3 year period. 20 Surgical Procedures The Surgical Pack is a combination of services needed for surgery such as: Anesthesia Surgery Routine Follow-Up Care Global Period refers to the time period that follow-up is rendered following surgery.
|
01999
|
Unlisted anesth procedure
|
CPT
|
Section Range of Codes Evaluation and Management99201-99499 Anesthesiology0010-01999 Surgery10021-69990 Radiology70010-79999 Pathology and Laboratory80048-89356 Medicine90281-99602
18 Add-On Codes A plus sign (+) is used Modifiers One or more two-digit numbers are added with a hyphen after the five digit number Category II, III, and Unlisted Procedure Codes Category II (tracks healthcare performance measures) Category III (temporary codes) Unlisted Codes (Used when no other code is adequate) Procedure Codes: The CPT (cont.) 19 Evaluation and Management Services Explains how to code different levels of patient services based on: Procedure Codes: The CPT (cont.) The extent of the patient history taken The extent of the examination conducted The complexity of the medical decision made New Patient versus Established Patient New patients have not been seen by physician within the past 3 years. Established patients have been seen within a 3 year period. 20 Surgical Procedures The Surgical Pack is a combination of services needed for surgery such as: Anesthesia Surgery Routine Follow-Up Care Global Period refers to the time period that follow-up is rendered following surgery.
|
1743
|
Percutaneous robotic assisted procedure
|
ICD
|
Search for a rare disease
Other search option(s)
Retinitis pigmentosa (RP) is an inherited retinal dystrophy leading to progressive loss of the photoreceptors and retinal pigment epithelium and resulting in blindness usually after several decades. ORPHA:791Classification level: Disorder
- Synonym(s): -
- Prevalence: 1-5 / 10 000
- Inheritance: Autosomal dominant or Autosomal recessive or X-linked recessive or Mitochondrial inheritance
- Age of onset: Childhood, Adolescent, Adult
- ICD-10: H35.5
- OMIM: 180100 180104 180105 180210 268000 268025 268060 300029 300155 300424 300605 312600 312612 400004 600059 600105 600132 600138 600852 601414 601718 602594 602772 604232 604393 606068 607921 608133 608380 609913 609923 610282 610359 610599 611131 612095 612165 612572 612712 612943 613194 613341 613428 613464 613575 613581 613582 613617 613660 613731 613750 613756 613758 613767 613769 613794 613801 613809 613810 613827 613861 613862 613983 614180 614181 614494 614500 615233 615434 615565 615725 615780 615922 616188 616394 616469 616544 616562 617023 617123 617304 617433 617460 617781 618173 618195 618220 618345 618613 618697 618826
- UMLS: C0035334
- MeSH: D012174
- GARD: 5694
- MedDRA: 10038914
Prevalence of RP is reported to be 1/3,000 to 1/5,000. No ethnic specificities have been reported although founder effects are possible. Retinitis pigmentosa is slowly progressive but relentless.
|
E1399
|
ITEM 6664
|
CPT
|
Prepare the following information when submitting a request to insurance companies:
PRESCRIPTION: You can also speak to your family doctor about getting a diagnosis for wandering. We have a Sample Doctor Letter with Wandering Code your doctor can personalize attached below; this may help you with the insurance company requirements. Codes to personalize for your diagnosis:
• Autism F84.0
• Mild Intellectual disability F70
• Moderate Intellectual disability F71
• Dementia F03
• Alzheimer’s G30.9
Wandering codes: V40.31 or Z91.83
Other Codes to use for devices/systems:
• X5012 Personal Emergency Response System (HIPAA Compliant)
• S5160, S5161, S5162 Personal Emergency Response System (CPT/HCPC)
• S5160K, S5161HK Health & Safety Welfare
• E1399 Durable Medical Equipment & Other
• F84.0 Augmentative Devices (GPS tracking device) due to Autism wandering in diseases classified elsewhere Z91.83
A medical diagnosis code in the ICD-10-CM Code Z91.83 was been approved by the Centers for Disease Control (CDC) in October 2011. Caregivers of those at risk of wandering should discuss this diagnosis code with their physician. Official diagnosis may assist with insurance coverage for safety equipment and strengthen requests for implementation of safety-related strategies and accommodations in a student’s IEP.
|
00811
|
ANES LWR INTST NDSC NOS
|
CPT
|
These codes are organized into six sections as follows:
1. Evaluation and Management:
This section includes codes for services provided by healthcare professionals, such as consultations, office visits, hospital visits and stays, and preventive medicine services to evaluate, diagnose and manage patients. E&M codes start from 99-series of CPT codes, i.e., 99213, 99214, etc
This section includes codes for anesthesia services, such as the type of anesthesia used, the patient’s physical status during the procedure, and the duration of anesthesia provided during surgical or diagnostic procedures. Anesthesia codes are unique that begin with the digit “zero.” For example, 00811, 00720, etc. This section includes the codes assigned to major and minor surgical procedures.
|
00811
|
ANES LWR INTST NDSC NOS
|
CPT
|
Evaluation and Management:
This section includes codes for services provided by healthcare professionals, such as consultations, office visits, hospital visits and stays, and preventive medicine services to evaluate, diagnose and manage patients. E&M codes start from 99-series of CPT codes, i.e., 99213, 99214, etc
This section includes codes for anesthesia services, such as the type of anesthesia used, the patient’s physical status during the procedure, and the duration of anesthesia provided during surgical or diagnostic procedures. Anesthesia codes are unique that begin with the digit “zero.” For example, 00811, 00720, etc. This section includes the codes assigned to major and minor surgical procedures. These codes describe the extent of the procedure, the surgical approach used, and any additional procedures provided.
|
85999
|
HC EOSINOPHIL COUNT
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
80500
|
Lab pathology consultation
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
88300
|
SURGICAL TISSUE, GROSS ONLY
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
82000
|
Assay of blood acetaldehyde
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
81099
|
URINE COLLECTION
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
88399
|
HC UNLISTED SURGICAL PATHOLOGY PROCEDURE
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
81000
|
HC URINALYSIS, BY DIP STICK OR TABLET REAGENT; NON-AUTOMATED, WI
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
88104
|
HC CYTOPATHOLOGY, FLUIDS, WASHINGS OR BRUSHINGS, EXCEPT CERVICAL
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
81479
|
UNLISTED MOLECULAR PATHOLOGY PROCEDURE
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
87001
|
Small animal inoculation
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
85002
|
HC BLEEDING TIME
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
88000
|
Autopsy (necropsy) gross
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
81200
|
HC UNIVERSAL CARRIER SCREEN
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
84999
|
UNLISTED CHEMISTRY PROCEDURE
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
80100
|
DRUG SCREEN QUALITATE/MULTI
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
88099
|
Unlisted necropsy (autopsy) procedure
|
CPT
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
88199
|
Unlisted cytopathology px
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
80502
|
Lab pathology consultation
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
87999
|
HC UNLISTED MICROBIOLOGY PROCEDURE
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
80104
|
Drug scrn 1+ class nonchromo
|
HCPCS
|
Many different types of codes can be used in medical billing claims:
- CPT (Current Procedural Terminology) is healthcare providers’ most widely accepted coding system worldwide. It contains detailed descriptions of each procedure and any associated equipment costs and facility fees that may be involved with performing said procedure/treatment on a patient at an institution like yours! - HCPCS (Healthcare Common Procedure Coding System) – Another widely-used coding system that provides more specific information about individual services performed by healthcare professionals such as nurses or physicians who work within hospitals/clinics across America today! Below are the pathology codes that billing companies use:
Field Code Range
Anatomic Pathology 88000 – 88099
Hematology and Coagulation 85002 – 85999
Clinical Pathology Consultation 80500 – 80502
Surgical Pathology 88300 – 88399
Urinalysis 81000 – 81099
Molecular Pathology 81200 – 81479
Drug Testing 80100 – 80104
Chemistry 82000 – 84999
Cytopathology 88104 – 88199
Microbiology 87001 – 87999
Here are the top ICD-10 codes for pathology coding –
- ICD-10-CM Code K29.50 – Medical ailments related to gastritis
- ICD-10-CM Code K20.8 – Medical diagnosis of the allergic inflammatory condition in the esophagus
- ICD-10-CM Code N20.1 – Code for kidney stones
- ICD-10-CM Code C50.911 – Code that helps specify Breast cancer in women
EMR System in Pathology Billing
An EMR system is software that hospitals to manage patient records, including their medical history. Many doctors also use it to bill their patients, and it can be an essential tool for the medical billing industry.
|
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