code stringlengths 4 12 | description stringlengths 2 264 | codetype stringclasses 8
values | context stringlengths 160 15.5k |
|---|---|---|---|
92520 | PR LARYNGEAL FUNCTION STUDIES | HCPCS | But for more information on any of the coding systems that I'm reviewing in this course, there is a reference that is available for free on the ASHA website where all these things are listed and explained: www.asha.org/practice/reimbursement/coding/hcpcs_slp/. HCPCS Level I - Voice and Resonance CPT Codes for SLPs
I'm ... |
92511 | PR NASOPHARYNGOSCOPY W/ENDOSCOPE SPX | HCPCS | But for more information on any of the coding systems that I'm reviewing in this course, there is a reference that is available for free on the ASHA website where all these things are listed and explained: www.asha.org/practice/reimbursement/coding/hcpcs_slp/. HCPCS Level I - Voice and Resonance CPT Codes for SLPs
I'm ... |
31579 | PR LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY | HCPCS | But for more information on any of the coding systems that I'm reviewing in this course, there is a reference that is available for free on the ASHA website where all these things are listed and explained: www.asha.org/practice/reimbursement/coding/hcpcs_slp/. HCPCS Level I - Voice and Resonance CPT Codes for SLPs
I'm ... |
92524 | ST SPEECH BEHAVIORAL QUALI OF | HCPCS | But for more information on any of the coding systems that I'm reviewing in this course, there is a reference that is available for free on the ASHA website where all these things are listed and explained: www.asha.org/practice/reimbursement/coding/hcpcs_slp/. HCPCS Level I - Voice and Resonance CPT Codes for SLPs
I'm ... |
92597 | PR EVAL&/FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC | HCPCS | But for more information on any of the coding systems that I'm reviewing in this course, there is a reference that is available for free on the ASHA website where all these things are listed and explained: www.asha.org/practice/reimbursement/coding/hcpcs_slp/. HCPCS Level I - Voice and Resonance CPT Codes for SLPs
I'm ... |
92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | HCPCS | But for more information on any of the coding systems that I'm reviewing in this course, there is a reference that is available for free on the ASHA website where all these things are listed and explained: www.asha.org/practice/reimbursement/coding/hcpcs_slp/. HCPCS Level I - Voice and Resonance CPT Codes for SLPs
I'm ... |
92520 | PR LARYNGEAL FUNCTION STUDIES | HCPCS | HCPCS Level I - Voice and Resonance CPT Codes for SLPs
I'm going to spend the rest of the time discussing HCPCS Level I, rather than Level II. I'm not going to read each of these to you, but for those of us who practice in voice and resonance, these are the most common CPT codes that we use in our daily practice. - CPT... |
92511 | PR NASOPHARYNGOSCOPY W/ENDOSCOPE SPX | HCPCS | HCPCS Level I - Voice and Resonance CPT Codes for SLPs
I'm going to spend the rest of the time discussing HCPCS Level I, rather than Level II. I'm not going to read each of these to you, but for those of us who practice in voice and resonance, these are the most common CPT codes that we use in our daily practice. - CPT... |
31579 | PR LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY | HCPCS | HCPCS Level I - Voice and Resonance CPT Codes for SLPs
I'm going to spend the rest of the time discussing HCPCS Level I, rather than Level II. I'm not going to read each of these to you, but for those of us who practice in voice and resonance, these are the most common CPT codes that we use in our daily practice. - CPT... |
92524 | ST SPEECH BEHAVIORAL QUALI OF | HCPCS | HCPCS Level I - Voice and Resonance CPT Codes for SLPs
I'm going to spend the rest of the time discussing HCPCS Level I, rather than Level II. I'm not going to read each of these to you, but for those of us who practice in voice and resonance, these are the most common CPT codes that we use in our daily practice. - CPT... |
92597 | PR EVAL&/FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC | HCPCS | HCPCS Level I - Voice and Resonance CPT Codes for SLPs
I'm going to spend the rest of the time discussing HCPCS Level I, rather than Level II. I'm not going to read each of these to you, but for those of us who practice in voice and resonance, these are the most common CPT codes that we use in our daily practice. - CPT... |
92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | HCPCS | HCPCS Level I - Voice and Resonance CPT Codes for SLPs
I'm going to spend the rest of the time discussing HCPCS Level I, rather than Level II. I'm not going to read each of these to you, but for those of us who practice in voice and resonance, these are the most common CPT codes that we use in our daily practice. - CPT... |
92508 | Speech/hearing therapy | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
92524 | ST SPEECH BEHAVIORAL QUALI OF | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
92522 | ST SPEECH EVAL OF SOUND PRODUC | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
T1023 | PR PROGRAM INTAKE ASSESSMENT | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
T1027 | HC Family Support Individ 15min | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
92523 | ST SPEECH EVAL SOUND W LANGUAG COMPREHEN | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
92610 | ST SWALLOWING EVALUATION | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
S9152 | Speech therapy, re-eval | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
S9128 | Speech therapy, in the home, | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
H2014 | Skills train and dev, 15 min | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
T1028 | Home environment assessment | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
92521 | ST SPEECH EVAL OF FLUENCY | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
92526 | TREATMENT OF SWALLOWING DYSFUNCTION AND/OR ORAL FUNCTION FOR FEEDING | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
G0153 | HHCP-svs of s/l path,ea 15mn | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
T2024 | Serv asmnt/care plan waiver | HCPCS | Missing or incomplete documentation can lead to claim denial. - When using time-based codes, the audiologist has to properly list evaluation start and end times in the patient’s medical record. Speech Therapy and Early Intervention Programs – CPT and HCPCS Codes
CPT codes for speech and language evaluations include:
92... |
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 Meniett® 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 Meniett® 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 – 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 – 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 – 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 – 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 – 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 – 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 – 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 – 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... |
S9345 | HIT anti-hemophil diem | HCPCS | BCBSMS makes no payment for services, treatments, procedures, equipment, drugs, devices, items or supplies which are not documented to be Medically Necessary. The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary... |
36440 | PR PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER | HCPCS | BCBSMS makes no payment for services, treatments, procedures, equipment, drugs, devices, items or supplies which are not documented to be Medically Necessary. The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary... |
85244 | HC CLOTTING; FACTOR VIII (AHG) RELATED ANTIGEN | HCPCS | BCBSMS makes no payment for services, treatments, procedures, equipment, drugs, devices, items or supplies which are not documented to be Medically Necessary. The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary... |
1999 | ANESTHESIOLOGY GROUP | CPT | BCBSMS makes no payment for services, treatments, procedures, equipment, drugs, devices, items or supplies which are not documented to be Medically Necessary. The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary... |
S9345 | HIT anti-hemophil diem | HCPCS | The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary. 4/1999: Approved by Pharmacy & Therapeutics (P & T) Oncology Committee
1/30/2002: Factor VIII (Human), Factor VIII (Recombinant) and Factor VIII (Porcine) po... |
36440 | PR PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER | HCPCS | The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary. 4/1999: Approved by Pharmacy & Therapeutics (P & T) Oncology Committee
1/30/2002: Factor VIII (Human), Factor VIII (Recombinant) and Factor VIII (Porcine) po... |
85244 | HC CLOTTING; FACTOR VIII (AHG) RELATED ANTIGEN | HCPCS | The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary. 4/1999: Approved by Pharmacy & Therapeutics (P & T) Oncology Committee
1/30/2002: Factor VIII (Human), Factor VIII (Recombinant) and Factor VIII (Porcine) po... |
1999 | ANESTHESIOLOGY GROUP | CPT | The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary. 4/1999: Approved by Pharmacy & Therapeutics (P & T) Oncology Committee
1/30/2002: Factor VIII (Human), Factor VIII (Recombinant) and Factor VIII (Porcine) po... |
Q2023 | Xyntha - inj | CPT | 01/01/2009: Accredo preferred provider information removed. BCBSMS information added. 6/30/2009: New HCPC code Q2023 added to covered table. 8/26/2009: Policy statement updated to include medically necessary indications for VIII for routine prophylaxis to reduce the frequency of bleeding episodes and the risk of joint ... |
Q2023 | Xyntha - inj | CPT | BCBSMS information added. 6/30/2009: New HCPC code Q2023 added to covered table. 8/26/2009: Policy statement updated to include medically necessary indications for VIII for routine prophylaxis to reduce the frequency of bleeding episodes and the risk of joint damage in children (0-16) with hemophilia A with no pre-exis... |
Q2023 | Xyntha - inj | CPT | 6/30/2009: New HCPC code Q2023 added to covered table. 8/26/2009: Policy statement updated to include medically necessary indications for VIII for routine prophylaxis to reduce the frequency of bleeding episodes and the risk of joint damage in children (0-16) with hemophilia A with no pre-existing joint damage. 12/15/2... |
J7185 | Xyntha inj | HCPCS | Policy Section updated with coverage for Von Willebrand disease for Factor VIII. Policy Exceptions Section updated to remove Risk Pool language. HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy titl... |
J7187 | Injection, von willebrand factor complex (humate-p), per iu vwf:rco | HCPCS | Policy Section updated with coverage for Von Willebrand disease for Factor VIII. Policy Exceptions Section updated to remove Risk Pool language. HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy titl... |
J7184 | Wilate injection | HCPCS | Policy Section updated with coverage for Von Willebrand disease for Factor VIII. Policy Exceptions Section updated to remove Risk Pool language. HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy titl... |
J7185 | Xyntha inj | HCPCS | Policy Exceptions Section updated to remove Risk Pool language. HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy title changed from "Hemophilia Factor VIII (Human, Recombinant, Porcine) and Factor I... |
J7187 | Injection, von willebrand factor complex (humate-p), per iu vwf:rco | HCPCS | Policy Exceptions Section updated to remove Risk Pool language. HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy title changed from "Hemophilia Factor VIII (Human, Recombinant, Porcine) and Factor I... |
J7184 | Wilate injection | HCPCS | Policy Exceptions Section updated to remove Risk Pool language. HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy title changed from "Hemophilia Factor VIII (Human, Recombinant, Porcine) and Factor I... |
J7185 | Xyntha inj | HCPCS | HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy title changed from "Hemophilia Factor VIII (Human, Recombinant, Porcine) and Factor IX (Human, Complex, Recombinant)" to "Hemophilia Factor VIII Fact... |
J7187 | Injection, von willebrand factor complex (humate-p), per iu vwf:rco | HCPCS | HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy title changed from "Hemophilia Factor VIII (Human, Recombinant, Porcine) and Factor IX (Human, Complex, Recombinant)" to "Hemophilia Factor VIII Fact... |
J7184 | Wilate injection | HCPCS | HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy title changed from "Hemophilia Factor VIII (Human, Recombinant, Porcine) and Factor IX (Human, Complex, Recombinant)" to "Hemophilia Factor VIII Fact... |
J7182 | Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu | HCPCS | Policy description and FDA Approved Indications for Factors VIII and IX were updated. Policy statement updated to include "Factor VIII Deficiency" and "Hemophilia B" in medically necessary statements. Removed deleted HCPCS code Q2023 from the Code Reference section. 12/31/2014: Added the following new 2015 HCPCS code f... |
J7200 | Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu | HCPCS | Policy description and FDA Approved Indications for Factors VIII and IX were updated. Policy statement updated to include "Factor VIII Deficiency" and "Hemophilia B" in medically necessary statements. Removed deleted HCPCS code Q2023 from the Code Reference section. 12/31/2014: Added the following new 2015 HCPCS code f... |
J7201 | Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. | HCPCS | Policy description and FDA Approved Indications for Factors VIII and IX were updated. Policy statement updated to include "Factor VIII Deficiency" and "Hemophilia B" in medically necessary statements. Removed deleted HCPCS code Q2023 from the Code Reference section. 12/31/2014: Added the following new 2015 HCPCS code f... |
J7195 | Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified | HCPCS | Policy statement updated to include "Factor VIII Deficiency" and "Hemophilia B" in medically necessary statements. Removed deleted HCPCS code Q2023 from the Code Reference section. 12/31/2014: Added the following new 2015 HCPCS code for Factor VIII to the Code Reference section: J7182. Added the following new 2015 HCPC... |
J7182 | Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu | HCPCS | Policy statement updated to include "Factor VIII Deficiency" and "Hemophilia B" in medically necessary statements. Removed deleted HCPCS code Q2023 from the Code Reference section. 12/31/2014: Added the following new 2015 HCPCS code for Factor VIII to the Code Reference section: J7182. Added the following new 2015 HCPC... |
J7200 | Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu | HCPCS | Policy statement updated to include "Factor VIII Deficiency" and "Hemophilia B" in medically necessary statements. Removed deleted HCPCS code Q2023 from the Code Reference section. 12/31/2014: Added the following new 2015 HCPCS code for Factor VIII to the Code Reference section: J7182. Added the following new 2015 HCPC... |
J7201 | Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. | HCPCS | Policy statement updated to include "Factor VIII Deficiency" and "Hemophilia B" in medically necessary statements. Removed deleted HCPCS code Q2023 from the Code Reference section. 12/31/2014: Added the following new 2015 HCPCS code for Factor VIII to the Code Reference section: J7182. Added the following new 2015 HCPC... |
J7195 | Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified | HCPCS | 12/31/2014: Added the following new 2015 HCPCS code for Factor VIII to the Code Reference section: J7182. Added the following new 2015 HCPCS codes for Factor IX to the Code Reference section: J7200 and J7201. Revised the description of the following HCPCS code: J7195. 05/28/2015: Policy description updated to add the b... |
J7182 | Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu | HCPCS | 12/31/2014: Added the following new 2015 HCPCS code for Factor VIII to the Code Reference section: J7182. Added the following new 2015 HCPCS codes for Factor IX to the Code Reference section: J7200 and J7201. Revised the description of the following HCPCS code: J7195. 05/28/2015: Policy description updated to add the b... |
J7200 | Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu | HCPCS | 12/31/2014: Added the following new 2015 HCPCS code for Factor VIII to the Code Reference section: J7182. Added the following new 2015 HCPCS codes for Factor IX to the Code Reference section: J7200 and J7201. Revised the description of the following HCPCS code: J7195. 05/28/2015: Policy description updated to add the b... |
J7201 | Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. | HCPCS | 12/31/2014: Added the following new 2015 HCPCS code for Factor VIII to the Code Reference section: J7182. Added the following new 2015 HCPCS codes for Factor IX to the Code Reference section: J7200 and J7201. Revised the description of the following HCPCS code: J7195. 05/28/2015: Policy description updated to add the b... |
J7195 | Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified | HCPCS | Added the following new 2015 HCPCS codes for Factor IX to the Code Reference section: J7200 and J7201. Revised the description of the following HCPCS code: J7195. 05/28/2015: Policy description updated to add the brand name Eloctate® for Factor VIII (recombinant) and Alprolix® for Factor IX (recombinant). 08/28/2015: C... |
J7200 | Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu | HCPCS | Added the following new 2015 HCPCS codes for Factor IX to the Code Reference section: J7200 and J7201. Revised the description of the following HCPCS code: J7195. 05/28/2015: Policy description updated to add the brand name Eloctate® for Factor VIII (recombinant) and Alprolix® for Factor IX (recombinant). 08/28/2015: C... |
J7201 | Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. | HCPCS | Added the following new 2015 HCPCS codes for Factor IX to the Code Reference section: J7200 and J7201. Revised the description of the following HCPCS code: J7195. 05/28/2015: Policy description updated to add the brand name Eloctate® for Factor VIII (recombinant) and Alprolix® for Factor IX (recombinant). 08/28/2015: C... |
J7184 | Wilate injection | HCPCS | Revised the description of the following HCPCS code: J7195. 05/28/2015: Policy description updated to add the brand name Eloctate® for Factor VIII (recombinant) and Alprolix® for Factor IX (recombinant). 08/28/2015: Code Reference section updated for ICD-10. Extended ICD-9 diagnosis code 286.5 to the fifth digit as 286... |
J7195 | Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified | HCPCS | Revised the description of the following HCPCS code: J7195. 05/28/2015: Policy description updated to add the brand name Eloctate® for Factor VIII (recombinant) and Alprolix® for Factor IX (recombinant). 08/28/2015: Code Reference section updated for ICD-10. Extended ICD-9 diagnosis code 286.5 to the fifth digit as 286... |
J7184 | Wilate injection | HCPCS | 05/28/2015: Policy description updated to add the brand name Eloctate® for Factor VIII (recombinant) and Alprolix® for Factor IX (recombinant). 08/28/2015: Code Reference section updated for ICD-10. Extended ICD-9 diagnosis code 286.5 to the fifth digit as 286.52 - 286.59. Removed deleted HCPCS code J7184. 03/01/2016: ... |
J7184 | Wilate injection | HCPCS | 08/28/2015: Code Reference section updated for ICD-10. Extended ICD-9 diagnosis code 286.5 to the fifth digit as 286.52 - 286.59. Removed deleted HCPCS code J7184. 03/01/2016: Policy description updated to add the brand name Nuwiq® for Factor VIII (recombinant) and brand names Rixibus® and Ixinity® for Factor IX (recom... |
J7184 | Wilate injection | HCPCS | Extended ICD-9 diagnosis code 286.5 to the fifth digit as 286.52 - 286.59. Removed deleted HCPCS code J7184. 03/01/2016: Policy description updated to add the brand name Nuwiq® for Factor VIII (recombinant) and brand names Rixibus® and Ixinity® for Factor IX (recombinant). Policy statement unchanged. Policy guidelines ... |
C1715 | SET BRACHYTHERAPY 20CM BEVEL 18GA 2 PART HUB DESIGN STABILIZATION | 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... |
77326 | Brachytx isodose calc simp | 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... |
C2639 | SEED BRACHYTHERAPY IODINE-125 NEEDLE LOOSE TRAY STERILE | 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... |
77762 | HC INTRACAVITARY RADIATION SOURCE APPLIC INTERMED | 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... |
76965 | Echo guidance radiotherapy | 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... |
Q3001 | Radioelements for brachytherapy, any type, each | 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... |
77327 | Brachytx isodose calc interm | 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... |
C2640 | HC Palladium-103 Stranded | 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... |
77799 | HC UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY | 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... |
77778 | HC ASRG INTERSTIT RADIOELEM APPLI | 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... |
77403 | Radiation treatment delivery | 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... |
55859 | Percut/needle insert, pros | 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... |
77761 | HC INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE | 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... |
77406 | Radiation treatment delivery | 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... |
77328 | Brachytx isodose plan compl | 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... |
77777 | Apply interstit radiat inter | 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 | 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... |
76873 | HC PROSTATE VOLUME STUDY | 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... |
77402 | HC RAD TX> 1MEV, SIMPLE | 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... |
77763 | HC INTRACAVITARY RADIATION SOURCE APPLICATION; COMPLEX | 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... |
77776 | Apply interstit radiat simpl | 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... |
C2641 | HC Palladium-103 Seed | 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... |
C1715 | SET BRACHYTHERAPY 20CM BEVEL 18GA 2 PART HUB DESIGN STABILIZATION | 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 the Medical Policy Advisory Committee (MPAC)
8/1999: Addition of medically necessary indication approved by MPAC
5/21/2001: Code Reference section u... |
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