code stringlengths 4 12 | description stringlengths 2 264 | codetype stringclasses 8
values | context stringlengths 160 15.5k |
|---|---|---|---|
28285 | Repair of hammertoe | HCPCS | A cast is placed on the foot during the tenotomy procedure, but this is not billable because it’s not a separately identifiable procedure. More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, part... |
L2300 | Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable | HCPCS | A cast is placed on the foot during the tenotomy procedure, but this is not billable because it’s not a separately identifiable procedure. More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, part... |
L2280 | Molded inner boot | HCPCS | A cast is placed on the foot during the tenotomy procedure, but this is not billable because it’s not a separately identifiable procedure. More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, part... |
L2768 | Orthotic side bar disconnect device, per bar | HCPCS | A cast is placed on the foot during the tenotomy procedure, but this is not billable because it’s not a separately identifiable procedure. More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, part... |
28300 | PR OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION | HCPCS | A cast is placed on the foot during the tenotomy procedure, but this is not billable because it’s not a separately identifiable procedure. More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, part... |
28309 | PR OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT | HCPCS | More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding
For t... |
L1960 | HC SUPPLY ANKLE FOOT ORTHOSIS POSTERIOR SOLID ANKLE CUSTOM - L1960 | HCPCS | More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding
For t... |
28285 | Repair of hammertoe | HCPCS | More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding
For t... |
L2300 | Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable | HCPCS | More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding
For t... |
L2280 | Molded inner boot | HCPCS | More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding
For t... |
L2768 | Orthotic side bar disconnect device, per bar | HCPCS | More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding
For t... |
28300 | PR OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION | HCPCS | More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding
For t... |
L1960 | HC SUPPLY ANKLE FOOT ORTHOSIS POSTERIOR SOLID ANKLE CUSTOM - L1960 | HCPCS | DME Supply Coding
For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician:
L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated
L2280 Addition to lower extremity, molded inner boot
L2300 Addition to lower extremity, abduction bar (bilateral hip invo... |
L2300 | Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable | HCPCS | DME Supply Coding
For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician:
L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated
L2280 Addition to lower extremity, molded inner boot
L2300 Addition to lower extremity, abduction bar (bilateral hip invo... |
L2280 | Molded inner boot | HCPCS | DME Supply Coding
For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician:
L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated
L2280 Addition to lower extremity, molded inner boot
L2300 Addition to lower extremity, abduction bar (bilateral hip invo... |
L2768 | Orthotic side bar disconnect device, per bar | HCPCS | DME Supply Coding
For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician:
L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated
L2280 Addition to lower extremity, molded inner boot
L2300 Addition to lower extremity, abduction bar (bilateral hip invo... |
1744 | Endoscopic robotic assisted procedure | ICD | Epub 2015/07/16. pmid:26174442. - 26. Koopman B, Zuccon G, Nguyen A, Bergheim A, Grayson N. Automatic ICD-10 classification of cancers from free-text death certificates. Int J Med Inform. |
1744 | Endoscopic robotic assisted procedure | ICD | pmid:26174442. - 26. Koopman B, Zuccon G, Nguyen A, Bergheim A, Grayson N. Automatic ICD-10 classification of cancers from free-text death certificates. Int J Med Inform. 2015;84(11):956–65. |
G0296 | Visit to determ ldct elig | HCPCS | Coding for Lung Cancer Preventative Services
Medicare covers annual lung cancer screening with LDCT and counseling to discuss the need for lung cancer screening the first year. There is no deductible or coinsurance/copayment for these services. Medicare covers lung cancer screening services for beneficiaries who meet a... |
G0296 | Visit to determ ldct elig | HCPCS | There is no deductible or coinsurance/copayment for these services. Medicare covers lung cancer screening services for beneficiaries who meet all of the following conditions:
- Aged 55 through 77
- Asymptomatic (no signs or symptoms of lung cancer)
- Tobacco smoking history of at least 30 pack-years (one pack-year = sm... |
G0297 | LOW-DOSE CT SCAN (LDCT) FOR LUNG CANCER SCREENING | HCPCS | There is no deductible or coinsurance/copayment for these services. Medicare covers lung cancer screening services for beneficiaries who meet all of the following conditions:
- Aged 55 through 77
- Asymptomatic (no signs or symptoms of lung cancer)
- Tobacco smoking history of at least 30 pack-years (one pack-year = sm... |
G0296 | Visit to determ ldct elig | HCPCS | HCPCS Level II Codes
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct). Service is for eligibility determination and shared decision making. G0297 Low dose ct scan (ldct) for lung cancer screening
Bill these services with the ICD-10-CM code Z87.891 Personal history of tobacc... |
G0297 | LOW-DOSE CT SCAN (LDCT) FOR LUNG CANCER SCREENING | HCPCS | HCPCS Level II Codes
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct). Service is for eligibility determination and shared decision making. G0297 Low dose ct scan (ldct) for lung cancer screening
Bill these services with the ICD-10-CM code Z87.891 Personal history of tobacc... |
2002 | CARDIAC STRUCTURAL & VALVULAR DISORDERS | APR-DRG | Retrospective case-control study. Administrative claims data from 45 academic medical centers. A total of 10,857 patients who developed health care-associated CDI and were discharged between April 1, 2002, and March 31, 2007 (cases); each case patient was matched by hospital, age, quarter and year of hospital discharge... |
2002 | CARDIAC STRUCTURAL & VALVULAR DISORDERS | APR-DRG | A total of 10,857 patients who developed health care-associated CDI and were discharged between April 1, 2002, and March 31, 2007 (cases); each case patient was matched by hospital, age, quarter and year of hospital discharge, and diagnosis related group to at least one control patient who did not develop health care-a... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | For this procedure, we’d code 35471 for “transluminal balloon angioplasty, percutaneous; renal or other visceral artery,” and we’d add the modifier -66 for “surgical team.” So we’d end up with 35471-66. Source: http://www.medicalbillingandcoding.org/cpt-modifiers/
Physical Status Modifier (For Anesthesia)
Anesthesia pr... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | These codes are:
- P1 – a normal, healthy patient
- P2 – a patient with mild systemic disease
- P3 – a patient with severe systemic disease
- P4 – a patient with severe systemic disease that is a constant threat to life
- P5 – a moribund patient who is not expected to survive without the operation
- P6 – a declared bra... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier t... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00... |
1999 | ANESTHESIOLOGY GROUP | CPT | Stemming from the French Bertillon classification in the late 1800s, the WHO took over ICD in 1946. The three-volume ICD-9 CM (ICD-Version 9 Clinical Modifications) was introduced in 1979 and is also the HIPAA transaction code set. Physicians use Volumes 1 and 2 of ICD-9 CM for diagnostic codes and Current Procedural T... |
1999 | ANESTHESIOLOGY GROUP | CPT | The three-volume ICD-9 CM (ICD-Version 9 Clinical Modifications) was introduced in 1979 and is also the HIPAA transaction code set. Physicians use Volumes 1 and 2 of ICD-9 CM for diagnostic codes and Current Procedural Terminology (CPT) codes for their procedures. Volume 3 of ICD-9 CM is used by hospitals for procedure... |
1999 | ANESTHESIOLOGY GROUP | CPT | Physicians use Volumes 1 and 2 of ICD-9 CM for diagnostic codes and Current Procedural Terminology (CPT) codes for their procedures. Volume 3 of ICD-9 CM is used by hospitals for procedure codes. ICD-10, ICD-10 CM and ICD-10 PCS
ICD-Version 10 has been used for morbidity and mortality statistics worldwide since 1994 an... |
24640 | PR CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ | HCPCS | Treatment: Mild but constant traction of the arm with supranational and then probation with flex ion and extension should return the radial head to its proper anatomical location. To see how this works, click on the following link to watch a You Tube video showing a toddler having her radial head reduced. To see this t... |
24640 | PR CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ | HCPCS | To see how this works, click on the following link to watch a You Tube video showing a toddler having her radial head reduced. To see this technique demonstrated, click on the YouTube link: http://www.youtube.com/watch?v=tJb5rGOFiTY
CPT Coding: 24640
Aimee Wilcox, MA, CST, CCS-P is a Certified Coding Guru (CCG) for Fin... |
L0100 | CRANIL ORTHOSIS W/WO SOFT INTERFCE MOLDED PT MDL | 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... |
97799 | Unlisted physcl med/rehab px | 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... |
97703 | PROSTHETIC CHECKOUT | CPT | 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... |
L0110 | CRANIAL ORTHOSIS W/WO SOFT-INTERFACE NON-MOLDED | 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... |
S1040 | Cranial remolding orthosis | 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... |
L0100 | CRANIL ORTHOSIS W/WO SOFT INTERFCE MOLDED PT MDL | 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 HISTORY11/1997: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, CPT code 97799, 97703, ICD-9 procedure code 93.29, ICD-9 diagnosis code ... |
97799 | Unlisted physcl med/rehab px | 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 HISTORY11/1997: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, CPT code 97799, 97703, ICD-9 procedure code 93.29, ICD-9 diagnosis code ... |
97703 | PROSTHETIC CHECKOUT | CPT | The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY11/1997: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, CPT code 97799, 97703, ICD-9 procedure code 93.29, ICD-9 diagnosis code ... |
L0110 | CRANIAL ORTHOSIS W/WO SOFT-INTERFACE NON-MOLDED | 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 HISTORY11/1997: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, CPT code 97799, 97703, ICD-9 procedure code 93.29, ICD-9 diagnosis code ... |
S1040 | Cranial remolding orthosis | 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 HISTORY11/1997: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, CPT code 97799, 97703, ICD-9 procedure code 93.29, ICD-9 diagnosis code ... |
L0100 | CRANIL ORTHOSIS W/WO SOFT INTERFCE MOLDED PT MDL | HCPCS | POLICY HISTORY11/1997: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, CPT code 97799, 97703, ICD-9 procedure code 93.29, ICD-9 diagnosis code 754.0, HCPCS L0100, L0110
8/2000: Reviewed by Medical Policy Advisory Committee (MPAC), investigational status maintained. 10/17/2001: So... |
97799 | Unlisted physcl med/rehab px | HCPCS | POLICY HISTORY11/1997: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, CPT code 97799, 97703, ICD-9 procedure code 93.29, ICD-9 diagnosis code 754.0, HCPCS L0100, L0110
8/2000: Reviewed by Medical Policy Advisory Committee (MPAC), investigational status maintained. 10/17/2001: So... |
97703 | PROSTHETIC CHECKOUT | CPT | POLICY HISTORY11/1997: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, CPT code 97799, 97703, ICD-9 procedure code 93.29, ICD-9 diagnosis code 754.0, HCPCS L0100, L0110
8/2000: Reviewed by Medical Policy Advisory Committee (MPAC), investigational status maintained. 10/17/2001: So... |
L0110 | CRANIAL ORTHOSIS W/WO SOFT-INTERFACE NON-MOLDED | HCPCS | POLICY HISTORY11/1997: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, CPT code 97799, 97703, ICD-9 procedure code 93.29, ICD-9 diagnosis code 754.0, HCPCS L0100, L0110
8/2000: Reviewed by Medical Policy Advisory Committee (MPAC), investigational status maintained. 10/17/2001: So... |
S1040 | Cranial remolding orthosis | HCPCS | POLICY HISTORY11/1997: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, CPT code 97799, 97703, ICD-9 procedure code 93.29, ICD-9 diagnosis code 754.0, HCPCS L0100, L0110
8/2000: Reviewed by Medical Policy Advisory Committee (MPAC), investigational status maintained. 10/17/2001: So... |
L0100 | CRANIL ORTHOSIS W/WO SOFT INTERFCE MOLDED PT MDL | HCPCS | 10/17/2001: Sources and Code Reference sections updated
2/11/2002: Investigational definition added
4/26/2002: Type of Service and Place of Service deleted
9/20/2002: Policy statement revised
10/11/2002: HCPCS S1040 added
5/20/2004: Code Reference section updated, CPT code 97799 deleted, HCPCS L0100, L0110 description ... |
S1040 | Cranial remolding orthosis | HCPCS | 10/17/2001: Sources and Code Reference sections updated
2/11/2002: Investigational definition added
4/26/2002: Type of Service and Place of Service deleted
9/20/2002: Policy statement revised
10/11/2002: HCPCS S1040 added
5/20/2004: Code Reference section updated, CPT code 97799 deleted, HCPCS L0100, L0110 description ... |
97799 | Unlisted physcl med/rehab px | HCPCS | 10/17/2001: Sources and Code Reference sections updated
2/11/2002: Investigational definition added
4/26/2002: Type of Service and Place of Service deleted
9/20/2002: Policy statement revised
10/11/2002: HCPCS S1040 added
5/20/2004: Code Reference section updated, CPT code 97799 deleted, HCPCS L0100, L0110 description ... |
L0110 | CRANIAL ORTHOSIS W/WO SOFT-INTERFACE NON-MOLDED | HCPCS | 10/17/2001: Sources and Code Reference sections updated
2/11/2002: Investigational definition added
4/26/2002: Type of Service and Place of Service deleted
9/20/2002: Policy statement revised
10/11/2002: HCPCS S1040 added
5/20/2004: Code Reference section updated, CPT code 97799 deleted, HCPCS L0100, L0110 description ... |
1512 | New Technology - Level 12 | APC | ICD-9 Look up and Description
ICD-10 Look up, Code and Description
300.00 – anxiety state, unspecified
Look up as; Anxiety – includes, neurosis, reaction, state (Neurotic) and atypical anxiety disorder
Look up as; Anxiety – F41.9 – anxiety disorder, unspecified
300.01 – Panic disorder without agoraphobia
Look up as; An... |
1516 | New Technology - Level 16 | APC | ICD-9 Look up and Description
ICD-10 Look up, Code and Description
300.00 – anxiety state, unspecified
Look up as; Anxiety – includes, neurosis, reaction, state (Neurotic) and atypical anxiety disorder
Look up as; Anxiety – F41.9 – anxiety disorder, unspecified
300.01 – Panic disorder without agoraphobia
Look up as; An... |
1512 | New Technology - Level 12 | APC | This will also allow the coding staff to select the most appropriate ICD-10 diagnosis code for reporting on the claim for reimbursement. - ICD-10-CM, 2016 Complete Official Code Set, Chapter 5, Page 533, Mental, Behavioral and Neurodevelpmental Disorders (F01-F99), AAPC, Optum360 2015. - ICD-9-CM, 2014, Sixth Edition, ... |
1516 | New Technology - Level 16 | APC | This will also allow the coding staff to select the most appropriate ICD-10 diagnosis code for reporting on the claim for reimbursement. - ICD-10-CM, 2016 Complete Official Code Set, Chapter 5, Page 533, Mental, Behavioral and Neurodevelpmental Disorders (F01-F99), AAPC, Optum360 2015. - ICD-9-CM, 2014, Sixth Edition, ... |
1512 | New Technology - Level 12 | APC | - ICD-10-CM, 2016 Complete Official Code Set, Chapter 5, Page 533, Mental, Behavioral and Neurodevelpmental Disorders (F01-F99), AAPC, Optum360 2015. - ICD-9-CM, 2014, Sixth Edition, 9th Revision, Clinical Modification, Volume 1, Chapter 5, Page 86, Mental, Behavioral and Neurodevelopmental Disorders (290-319), Editor ... |
1516 | New Technology - Level 16 | APC | - ICD-10-CM, 2016 Complete Official Code Set, Chapter 5, Page 533, Mental, Behavioral and Neurodevelpmental Disorders (F01-F99), AAPC, Optum360 2015. - ICD-9-CM, 2014, Sixth Edition, 9th Revision, Clinical Modification, Volume 1, Chapter 5, Page 86, Mental, Behavioral and Neurodevelopmental Disorders (290-319), Editor ... |
L8606 | SYRINGE DURASPHERE EXP 1ML | HCPCS | Added bulking agent HCPCS codes L8603, L8604, and L8606. 12/30/2010: Policy reviewed; no changes. 12/01/2011: Policy reviewed; no changes. 12/13/2013: Policy reviewed; no changes to policy statement. Deleted duplicated ureter as a contraindication in the policy guidelines. |
L8604 | SYRINGE DEFLUX INJ PREFILL 1ML GLASS | HCPCS | Added bulking agent HCPCS codes L8603, L8604, and L8606. 12/30/2010: Policy reviewed; no changes. 12/01/2011: Policy reviewed; no changes. 12/13/2013: Policy reviewed; no changes to policy statement. Deleted duplicated ureter as a contraindication in the policy guidelines. |
L8603 | Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies | HCPCS | Added bulking agent HCPCS codes L8603, L8604, and L8606. 12/30/2010: Policy reviewed; no changes. 12/01/2011: Policy reviewed; no changes. 12/13/2013: Policy reviewed; no changes to policy statement. Deleted duplicated ureter as a contraindication in the policy guidelines. |
1999 | ANESTHESIOLOGY GROUP | CPT | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
S2120 | Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation | HCPCS | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
36511 | PR THERAPEUTIC APHERESIS WHITE BLOOD CELLS | HCPCS | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
36513 | PR THERAPEUTIC APHERESIS PLATELETS | HCPCS | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
36512 | PR THERAPEUTIC APHERESIS RED BLOOD CELLS | HCPCS | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
36521 | USE 36516 | HCPCS | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
36520 | SEE 36511-36512 | HCPCS | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
1999 | ANESTHESIOLOGY GROUP | CPT | 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... |
S2120 | Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation | 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... |
36511 | PR THERAPEUTIC APHERESIS WHITE BLOOD CELLS | 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... |
36513 | PR THERAPEUTIC APHERESIS PLATELETS | 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... |
36512 | PR THERAPEUTIC APHERESIS RED BLOOD CELLS | 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... |
36521 | USE 36516 | 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... |
36520 | SEE 36511-36512 | 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... |
1999 | ANESTHESIOLOGY GROUP | CPT | POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/1999: MPAC reviewed policies; updated, combined and renamed
12/1999: Interim revision; new FDA-approved indication added for some stages of... |
S2120 | Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation | HCPCS | POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/1999: MPAC reviewed policies; updated, combined and renamed
12/1999: Interim revision; new FDA-approved indication added for some stages of... |
36511 | PR THERAPEUTIC APHERESIS WHITE BLOOD CELLS | HCPCS | POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/1999: MPAC reviewed policies; updated, combined and renamed
12/1999: Interim revision; new FDA-approved indication added for some stages of... |
36513 | PR THERAPEUTIC APHERESIS PLATELETS | HCPCS | POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/1999: MPAC reviewed policies; updated, combined and renamed
12/1999: Interim revision; new FDA-approved indication added for some stages of... |
36512 | PR THERAPEUTIC APHERESIS RED BLOOD CELLS | HCPCS | POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/1999: MPAC reviewed policies; updated, combined and renamed
12/1999: Interim revision; new FDA-approved indication added for some stages of... |
36521 | USE 36516 | HCPCS | POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/1999: MPAC reviewed policies; updated, combined and renamed
12/1999: Interim revision; new FDA-approved indication added for some stages of... |
36520 | SEE 36511-36512 | HCPCS | POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/1999: MPAC reviewed policies; updated, combined and renamed
12/1999: Interim revision; new FDA-approved indication added for some stages of... |
36522 | PR PHOTOPHERESIS EXTRACORPOREAL | HCPCS | IgA or IgG paraproteinemia polyneuropathy added as a medically necessary indication. Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 7... |
S2120 | Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation | HCPCS | IgA or IgG paraproteinemia polyneuropathy added as a medically necessary indication. Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 7... |
86960 | HC VOL REDUC BLD/PRD EA UN | HCPCS | IgA or IgG paraproteinemia polyneuropathy added as a medically necessary indication. Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 7... |
36516 | PR THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION | HCPCS | IgA or IgG paraproteinemia polyneuropathy added as a medically necessary indication. Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 7... |
36515 | Apheresis adsorp/reinfuse | HCPCS | IgA or IgG paraproteinemia polyneuropathy added as a medically necessary indication. Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 7... |
36522 | PR PHOTOPHERESIS EXTRACORPOREAL | HCPCS | Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 714.0-714.9 removed; HCPCS S2120 removed. ICD-9 diagnosis codes 203.00, 203.01, 341.0,... |
S2120 | Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation | HCPCS | Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 714.0-714.9 removed; HCPCS S2120 removed. ICD-9 diagnosis codes 203.00, 203.01, 341.0,... |
86960 | HC VOL REDUC BLD/PRD EA UN | HCPCS | Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 714.0-714.9 removed; HCPCS S2120 removed. ICD-9 diagnosis codes 203.00, 203.01, 341.0,... |
36516 | PR THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION | HCPCS | Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 714.0-714.9 removed; HCPCS S2120 removed. ICD-9 diagnosis codes 203.00, 203.01, 341.0,... |
36515 | Apheresis adsorp/reinfuse | HCPCS | Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 714.0-714.9 removed; HCPCS S2120 removed. ICD-9 diagnosis codes 203.00, 203.01, 341.0,... |
1742 | Laparoscopic robotic assisted procedure | ICD | Different manufacturers offer either one or the other and sometimes both. CS1 maint: Uses authors parameter (link)
For other uses, seeBlack Light (disambiguation). Operations/surgeriesand other procedures of theskinandsubcutaneous tissueICD-9-CM V386,ICD-10-PCS 0H)
(7): 10534.PMID17427621Archivedfrom the original on 20... |
1742 | Laparoscopic robotic assisted procedure | ICD | CS1 maint: Uses authors parameter (link)
For other uses, seeBlack Light (disambiguation). Operations/surgeriesand other procedures of theskinandsubcutaneous tissueICD-9-CM V386,ICD-10-PCS 0H)
(7): 10534.PMID17427621Archivedfrom the original on 2008-08-28. CS1 maint: Uses authors parameter (link)
High powermercury vapor... |
1742 | Laparoscopic robotic assisted procedure | ICD | Operations/surgeriesand other procedures of theskinandsubcutaneous tissueICD-9-CM V386,ICD-10-PCS 0H)
(7): 10534.PMID17427621Archivedfrom the original on 2008-08-28. CS1 maint: Uses authors parameter (link)
High powermercury vaporblack light lamps are made in power ratings of 100 to 1000 watts. These do not use phospho... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | For the procedure, we’d code 23140 for “excision or curretage of bone cyst or benign tumor, humerus; with autograft (includes obtaining the graft).” Since the procedure was completed but not fully successful, we’d add the -52 modifier, for reduced services, to the code, and we’d end up with 23140-52. Physical Status Mo... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | These codes are:
- P1 – a normal, healthy patient
- P2 – a patient with mild systemic disease
- P3 – a patient with severe systemic disease
- P4 – a patient with severe systemic disease that is a constant threat to life
- P5 – a moribund patient who is not expected to survive without the operation
- P6 – a declared bra... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier t... |
0212 | Other Inpatient | RC | University of Michigan Health System
1500 E. Medical Center Drive
Ann Arbor, MI 48109
Sherman Leis, D.O., F.A.C.O.S. The Center For Plastic And Reconstructive Surgery
19 Montgomery Avenue
Bala Cynwyd, PA 19004
Ellie Zara Ley, MD
7025 N. Scottsdale Rd, Suite 302
Scottsdale, AZ 85253
Christine McGinn, MD
Papillon Gender ... |
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