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85999
HC EOSINOPHIL COUNT
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
80500
Lab pathology consultation
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
88300
SURGICAL TISSUE, GROSS ONLY
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
82000
Assay of blood acetaldehyde
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
81099
URINE COLLECTION
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
88399
HC UNLISTED SURGICAL PATHOLOGY PROCEDURE
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
81000
HC URINALYSIS, BY DIP STICK OR TABLET REAGENT; NON-AUTOMATED, WI
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
88104
HC CYTOPATHOLOGY, FLUIDS, WASHINGS OR BRUSHINGS, EXCEPT CERVICAL
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
81479
UNLISTED MOLECULAR PATHOLOGY PROCEDURE
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
87001
Small animal inoculation
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
85002
HC BLEEDING TIME
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
88000
Autopsy (necropsy) gross
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
81200
HC UNIVERSAL CARRIER SCREEN
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
84999
UNLISTED CHEMISTRY PROCEDURE
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
80100
DRUG SCREEN QUALITATE/MULTI
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
88199
Unlisted cytopathology px
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
80502
Lab pathology consultation
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
87999
HC UNLISTED MICROBIOLOGY PROCEDURE
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
80104
Drug scrn 1+ class nonchromo
HCPCS
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) โ€“ Another widely-used coding system that provides more spe...
E2120
Pulse gen sys tx endolymp fl
HCPCS
Patients then place an ear-cuff in the external ear canal and treat themselves for 3 minutes, 3 times daily. Treatment is continued for as long as patients find themselves in a period of attacks of vertigo. In 1999, the Meniettยฎ device (Medtronic, Minneapolis, MN) received clearance to market through a U.S. Food and Dr...
E2120
Pulse gen sys tx endolymp fl
HCPCS
In 1999, the Meniettยฎ device (Medtronic, Minneapolis, MN) received clearance to market through a U.S. Food and Drug Administration (FDA) 510(k) process specifically as a symptomatic treatment of Meniere's disease. Transtympanic micropressure applications as a treatment of Meniere`s disease are considered investigationa...
A4638
Repl batt pulse gen sys
HCPCS
2012. Available online at: http://guidance.nice.org.uk/IPG426/Guidance/pdf/English. Last accessed July 2014. |ICD-9 Diagnosis||Investigational for all diagnoses| |386.00 โ€“ 386.04||Meniere`s disease code range| |HCPCS||A4638||Replacement battery for patient-owned ear generator, each| |E2120||Pulse generator system for t...
E2120
Pulse gen sys tx endolymp fl
HCPCS
2012. Available online at: http://guidance.nice.org.uk/IPG426/Guidance/pdf/English. Last accessed July 2014. |ICD-9 Diagnosis||Investigational for all diagnoses| |386.00 โ€“ 386.04||Meniere`s disease code range| |HCPCS||A4638||Replacement battery for patient-owned ear generator, each| |E2120||Pulse generator system for t...
A4638
Repl batt pulse gen sys
HCPCS
Available online at: http://guidance.nice.org.uk/IPG426/Guidance/pdf/English. Last accessed July 2014. |ICD-9 Diagnosis||Investigational for all diagnoses| |386.00 โ€“ 386.04||Meniere`s disease code range| |HCPCS||A4638||Replacement battery for patient-owned ear generator, each| |E2120||Pulse generator system for tympani...
E2120
Pulse gen sys tx endolymp fl
HCPCS
Available online at: http://guidance.nice.org.uk/IPG426/Guidance/pdf/English. Last accessed July 2014. |ICD-9 Diagnosis||Investigational for all diagnoses| |386.00 โ€“ 386.04||Meniere`s disease code range| |HCPCS||A4638||Replacement battery for patient-owned ear generator, each| |E2120||Pulse generator system for tympani...
A4638
Repl batt pulse gen sys
HCPCS
Last accessed July 2014. |ICD-9 Diagnosis||Investigational for all diagnoses| |386.00 โ€“ 386.04||Meniere`s disease code range| |HCPCS||A4638||Replacement battery for patient-owned ear generator, each| |E2120||Pulse generator system for tympanic treatment of inner ear endolymphatic fluid| |ICD-10-CM (effective 10/1/15)||...
E2120
Pulse gen sys tx endolymp fl
HCPCS
Last accessed July 2014. |ICD-9 Diagnosis||Investigational for all diagnoses| |386.00 โ€“ 386.04||Meniere`s disease code range| |HCPCS||A4638||Replacement battery for patient-owned ear generator, each| |E2120||Pulse generator system for tympanic treatment of inner ear endolymphatic fluid| |ICD-10-CM (effective 10/1/15)||...
A4638
Repl batt pulse gen sys
HCPCS
|ICD-9 Diagnosis||Investigational for all diagnoses| |386.00 โ€“ 386.04||Meniere`s disease code range| |HCPCS||A4638||Replacement battery for patient-owned ear generator, each| |E2120||Pulse generator system for tympanic treatment of inner ear endolymphatic fluid| |ICD-10-CM (effective 10/1/15)||Investigational for all d...
E2120
Pulse gen sys tx endolymp fl
HCPCS
|ICD-9 Diagnosis||Investigational for all diagnoses| |386.00 โ€“ 386.04||Meniere`s disease code range| |HCPCS||A4638||Replacement battery for patient-owned ear generator, each| |E2120||Pulse generator system for tympanic treatment of inner ear endolymphatic fluid| |ICD-10-CM (effective 10/1/15)||Investigational for all d...
J9000
INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
G0364
HC BONE MARROW ASPIRATE & BIOPSY
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
J9999
Not otherwise classified, antineoplastic drugs
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
38230
PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
86812
Immunologic analysis for autoimmune disease, A, B, or C, single antigen
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
86822
Lymphocyte culture primed
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
38204
PR MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
G0355
CHEMO ADMN SUBQ/IM NONHORMONAL ANTINEOPLASTIC
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
J9000
INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
G0364
HC BONE MARROW ASPIRATE & BIOPSY
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
J9999
Not otherwise classified, antineoplastic drugs
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
38230
PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
86812
Immunologic analysis for autoimmune disease, A, B, or C, single antigen
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
86822
Lymphocyte culture primed
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
38204
PR MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
G0355
CHEMO ADMN SUBQ/IM NONHORMONAL ANTINEOPLASTIC
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
J9000
INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG
HCPCS
POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.28 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Review...
G0364
HC BONE MARROW ASPIRATE & BIOPSY
HCPCS
POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.28 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Review...
J9999
Not otherwise classified, antineoplastic drugs
HCPCS
POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.28 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Review...
38230
PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC
HCPCS
POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.28 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Review...
86812
Immunologic analysis for autoimmune disease, A, B, or C, single antigen
HCPCS
POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.28 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Review...
86822
Lymphocyte culture primed
HCPCS
POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.28 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Review...
38204
PR MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ
HCPCS
POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.28 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Review...
G0355
CHEMO ADMN SUBQ/IM NONHORMONAL ANTINEOPLASTIC
HCPCS
POLICY HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.28 per approval by Medical Policy Advisory Committee (MPAC) 6/25/2004: Code Reference section completed 11/18/2004: Review...
86816
HC HLA TYPING DR/DQ SINGLE AG
HCPCS
Policy statement reworded and ependymoma and embryonal CNS tumors are addressed separately. FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140...
86826
Hla x-match noncytotoxc addl
HCPCS
Policy statement reworded and ependymoma and embryonal CNS tumors are addressed separately. FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140...
S2140
Cord blood harvesting for transplantation, allogeneic
HCPCS
Policy statement reworded and ependymoma and embryonal CNS tumors are addressed separately. FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140...
86821
Lymphocyte culture mixed
HCPCS
Policy statement reworded and ependymoma and embryonal CNS tumors are addressed separately. FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140...
86813
HC HLA TYPING; A, B, OR C, MULTIPLE ANTIGENS
HCPCS
Policy statement reworded and ependymoma and embryonal CNS tumors are addressed separately. FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140...
86822
Lymphocyte culture primed
HCPCS
Policy statement reworded and ependymoma and embryonal CNS tumors are addressed separately. FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140...
86812
Immunologic analysis for autoimmune disease, A, B, or C, single antigen
HCPCS
Policy statement reworded and ependymoma and embryonal CNS tumors are addressed separately. FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140...
86825
X-MATCHAHG
HCPCS
Policy statement reworded and ependymoma and embryonal CNS tumors are addressed separately. FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140...
86817
HC HLA TYPING; DR/DQ, MULTIPLE ANTIGENS
HCPCS
Policy statement reworded and ependymoma and embryonal CNS tumors are addressed separately. FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140...
S2142
Cord blood-derived stem-cell transplantation, allogeneic
HCPCS
Policy statement reworded and ependymoma and embryonal CNS tumors are addressed separately. FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140...
86816
HC HLA TYPING DR/DQ SINGLE AG
HCPCS
Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140 and S2142 to the non-covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Policy reviewed; no changes. 01/17/2012: Policy reviewed; no...
G0267
Bone marrow or psc harvest
CPT
Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140 and S2142 to the non-covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Policy reviewed; no changes. 01/17/2012: Policy reviewed; no...
S2140
Cord blood harvesting for transplantation, allogeneic
HCPCS
Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140 and S2142 to the non-covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Policy reviewed; no changes. 01/17/2012: Policy reviewed; no...
G0265
Cryopresevation Freeze+stora
CPT
Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140 and S2142 to the non-covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Policy reviewed; no changes. 01/17/2012: Policy reviewed; no...
86813
HC HLA TYPING; A, B, OR C, MULTIPLE ANTIGENS
HCPCS
Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140 and S2142 to the non-covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Policy reviewed; no changes. 01/17/2012: Policy reviewed; no...
86822
Lymphocyte culture primed
HCPCS
Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140 and S2142 to the non-covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Policy reviewed; no changes. 01/17/2012: Policy reviewed; no...
86812
Immunologic analysis for autoimmune disease, A, B, or C, single antigen
HCPCS
Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140 and S2142 to the non-covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Policy reviewed; no changes. 01/17/2012: Policy reviewed; no...
G0266
Thawing + expansion froz cel
CPT
Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140 and S2142 to the non-covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Policy reviewed; no changes. 01/17/2012: Policy reviewed; no...
86821
Lymphocyte culture mixed
HCPCS
Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140 and S2142 to the non-covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Policy reviewed; no changes. 01/17/2012: Policy reviewed; no...
86817
HC HLA TYPING; DR/DQ, MULTIPLE ANTIGENS
HCPCS
Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140 and S2142 to the non-covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Policy reviewed; no changes. 01/17/2012: Policy reviewed; no...
S2142
Cord blood-derived stem-cell transplantation, allogeneic
HCPCS
Removed CPT codes 86812, 86813, 86816, 86817, 86821, and 86822 from the non-covered table. Added HCPCS S2140 and S2142 to the non-covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Policy reviewed; no changes. 01/17/2012: Policy reviewed; no...
15001
Wound prep, addl 100 sq cm
HCPCS
For additional information on the MS-DRG system, including yearly reviews and changes to the Madras, please view prior Inpatient Prospective Payment System (IPS) proposed and final rules located in the left navigational area of this page. CMS is hosting a listening session that will describe the Medicare-Severity Diagn...
15001
Wound prep, addl 100 sq cm
HCPCS
CMS is hosting a listening session that will describe the Medicare-Severity Diagnosis-Related Group (MDR) Complication and Comorbidity (CC)/Major Complication and Comorbidity (MCC) Comprehensive Analysis discussed in the FY 2020 Inpatient Prospective Payment System (IPS) proposed and final rules. This listening session...
15001
Wound prep, addl 100 sq cm
HCPCS
This listening session will include review of the methodology to measure the impact on resource use and will provide an opportunity for CMS to receive public input on this analysis and to address any clarifying questions in order to assist the public in formulating written comments on the current severity level designa...
1744
Endoscopic robotic assisted procedure
ICD
2009, 30 (6): 1297-1305. 10.1016/j.ridd.2009.05.006.PubMedView ArticleGoogle Scholar - World Health Organization (WHO): International Classification of Diseases; tenth Edition (ICD-10) Diagnostic Criteria for Research. 1993, WHO GenevaGoogle Scholar - Bakare MO, Ubochi VN, Okoroikpa IN, Aguocha CM, Ebigbo PO: Agreement...
1500
New Technology - Level 1
APC
Complete list of Medical Abbreviations by. Acronym Finder, All Rights Reserved. PSP, HIPAA CPT is defined as Common Procedural Terminology (medical) very frequently. ยฉ 1988-2021, This book is an invaluable tool for everyone involved in learning, reading, writing or interpreting medical terminology. ChiroCode.com for Ch...
1500
New Technology - Level 1
APC
PSP, HIPAA CPT is defined as Common Procedural Terminology (medical) very frequently. ยฉ 1988-2021, This book is an invaluable tool for everyone involved in learning, reading, writing or interpreting medical terminology. ChiroCode.com for Chiropractors CMS 1500 Claim Form Code-A-Note - Computer Assisted Coding Codapedia...
1500
New Technology - Level 1
APC
ยฉ 1988-2021, This book is an invaluable tool for everyone involved in learning, reading, writing or interpreting medical terminology. ChiroCode.com for Chiropractors CMS 1500 Claim Form Code-A-Note - Computer Assisted Coding Codapedia.com - Coding Forum Q&A CPT Codes DRGs & APCs DRG Grouper E/M Guidelines HCPCS Codes H...
G0358
IV PUSH TECHNIQUE EACH ADD SUBSTANCE/DRUG
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 mus...
G0360
Each additional hr 1-8 hrs
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 mus...
G0363
IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL SYS
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 mus...
J9000
INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG
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 mus...
G0364
HC BONE MARROW ASPIRATE & BIOPSY
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 mus...
G0362
Each add sequential infusion
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 mus...
J9999
Not otherwise classified, antineoplastic drugs
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 mus...
G0359
Chemotherapy IV one hr initi
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 mus...
38230
PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC
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 mus...
G0361
Prolong chemo infuse>8hrs pu
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 mus...
G0357
IV PUSH TECHNIQUE SINGLE/INIT SUBSTANCE/DRUG
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 mus...
G0356
HORMONAL ANTINEOPLASTIC
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 mus...
G0355
CHEMO ADMN SUBQ/IM NONHORMONAL ANTINEOPLASTIC
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 mus...
G0358
IV PUSH TECHNIQUE EACH ADD SUBSTANCE/DRUG
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
G0360
Each additional hr 1-8 hrs
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
G0363
IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL SYS
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
J9000
INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
G0364
HC BONE MARROW ASPIRATE & BIOPSY
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
G0362
Each add sequential infusion
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...