code stringlengths 4 12 | description stringlengths 2 264 | codetype stringclasses 8
values | context stringlengths 160 15.5k |
|---|---|---|---|
0052T | Replace thrc unit hrt syst | 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... |
33976 | PR INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR | 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... |
33975 | PR INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE | 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... |
0050T | Removal circulation assist | 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... |
0053T | Replace implantable hrt syst | 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... |
Q0480 | Driver pneumatic vad, rep | 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... |
0048T | Implant ventricular device | 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... |
0051T | Implant total heart system | 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... |
0049T | External circulation assist | 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... |
33978 | Remove ventricular device | 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... |
33977 | Remove ventricular device | 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... |
0052T | Replace thrc unit hrt syst | 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... |
33976 | PR INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR | 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... |
33975 | PR INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE | 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... |
0050T | Removal circulation assist | 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... |
0053T | Replace implantable hrt syst | 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... |
Q0480 | Driver pneumatic vad, rep | 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... |
0048T | Implant ventricular device | 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... |
0051T | Implant total heart system | 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... |
0049T | External circulation assist | CPT | POLICY HISTORY8/1998: Approved by Medical Policy Advisory Committee (MPAC)
2/14/2002: Investigational definition added
3/2003: Reviewed by MPAC; Policy title "Ventricular Assist Devices as a Bridge to Heart Transplantation" renamed "Ventricular Assist Devices", LVAD as a "destination" therapy considered investigational... |
33978 | Remove ventricular device | HCPCS | POLICY HISTORY8/1998: Approved by Medical Policy Advisory Committee (MPAC)
2/14/2002: Investigational definition added
3/2003: Reviewed by MPAC; Policy title "Ventricular Assist Devices as a Bridge to Heart Transplantation" renamed "Ventricular Assist Devices", LVAD as a "destination" therapy considered investigational... |
33977 | Remove ventricular device | HCPCS | POLICY HISTORY8/1998: Approved by Medical Policy Advisory Committee (MPAC)
2/14/2002: Investigational definition added
3/2003: Reviewed by MPAC; Policy title "Ventricular Assist Devices as a Bridge to Heart Transplantation" renamed "Ventricular Assist Devices", LVAD as a "destination" therapy considered investigational... |
0052T | Replace thrc unit hrt syst | HCPCS | POLICY HISTORY8/1998: Approved by Medical Policy Advisory Committee (MPAC)
2/14/2002: Investigational definition added
3/2003: Reviewed by MPAC; Policy title "Ventricular Assist Devices as a Bridge to Heart Transplantation" renamed "Ventricular Assist Devices", LVAD as a "destination" therapy considered investigational... |
33976 | PR INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR | HCPCS | POLICY HISTORY8/1998: Approved by Medical Policy Advisory Committee (MPAC)
2/14/2002: Investigational definition added
3/2003: Reviewed by MPAC; Policy title "Ventricular Assist Devices as a Bridge to Heart Transplantation" renamed "Ventricular Assist Devices", LVAD as a "destination" therapy considered investigational... |
33975 | PR INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE | HCPCS | POLICY HISTORY8/1998: Approved by Medical Policy Advisory Committee (MPAC)
2/14/2002: Investigational definition added
3/2003: Reviewed by MPAC; Policy title "Ventricular Assist Devices as a Bridge to Heart Transplantation" renamed "Ventricular Assist Devices", LVAD as a "destination" therapy considered investigational... |
0050T | Removal circulation assist | CPT | POLICY HISTORY8/1998: Approved by Medical Policy Advisory Committee (MPAC)
2/14/2002: Investigational definition added
3/2003: Reviewed by MPAC; Policy title "Ventricular Assist Devices as a Bridge to Heart Transplantation" renamed "Ventricular Assist Devices", LVAD as a "destination" therapy considered investigational... |
0053T | Replace implantable hrt syst | HCPCS | POLICY HISTORY8/1998: Approved by Medical Policy Advisory Committee (MPAC)
2/14/2002: Investigational definition added
3/2003: Reviewed by MPAC; Policy title "Ventricular Assist Devices as a Bridge to Heart Transplantation" renamed "Ventricular Assist Devices", LVAD as a "destination" therapy considered investigational... |
Q0480 | Driver pneumatic vad, rep | HCPCS | POLICY HISTORY8/1998: Approved by Medical Policy Advisory Committee (MPAC)
2/14/2002: Investigational definition added
3/2003: Reviewed by MPAC; Policy title "Ventricular Assist Devices as a Bridge to Heart Transplantation" renamed "Ventricular Assist Devices", LVAD as a "destination" therapy considered investigational... |
0048T | Implant ventricular device | CPT | POLICY HISTORY8/1998: Approved by Medical Policy Advisory Committee (MPAC)
2/14/2002: Investigational definition added
3/2003: Reviewed by MPAC; Policy title "Ventricular Assist Devices as a Bridge to Heart Transplantation" renamed "Ventricular Assist Devices", LVAD as a "destination" therapy considered investigational... |
0051T | Implant total heart system | HCPCS | POLICY HISTORY8/1998: Approved by Medical Policy Advisory Committee (MPAC)
2/14/2002: Investigational definition added
3/2003: Reviewed by MPAC; Policy title "Ventricular Assist Devices as a Bridge to Heart Transplantation" renamed "Ventricular Assist Devices", LVAD as a "destination" therapy considered investigational... |
0053T | Replace implantable hrt syst | HCPCS | Ventricular assist devices as destination therapy with end-stage heart failure changed from investigational to medically necessary for FDA-approved devices in patients ineligible for human heart transplant. Other policy statements revised for clarity; coverage remains the same. CPT codes 0051T-0053T moved to covered. I... |
0051T | Implant total heart system | HCPCS | Ventricular assist devices as destination therapy with end-stage heart failure changed from investigational to medically necessary for FDA-approved devices in patients ineligible for human heart transplant. Other policy statements revised for clarity; coverage remains the same. CPT codes 0051T-0053T moved to covered. I... |
Q4079 | Natalizumab injection | HCPCS | Other policy statements revised for clarity; coverage remains the same. CPT codes 0051T-0053T moved to covered. ICD-9 procedure codes 37.52-37.54 moved to covered
9/22/2008: Annual ICD-9 updates effective 10-1-2008 applied
12/31/2008: Code Reference section updated per 2009 CPT/HCPCS revisions
8/19/2009: Policy reviewe... |
0053T | Replace implantable hrt syst | HCPCS | Other policy statements revised for clarity; coverage remains the same. CPT codes 0051T-0053T moved to covered. ICD-9 procedure codes 37.52-37.54 moved to covered
9/22/2008: Annual ICD-9 updates effective 10-1-2008 applied
12/31/2008: Code Reference section updated per 2009 CPT/HCPCS revisions
8/19/2009: Policy reviewe... |
0051T | Implant total heart system | HCPCS | Other policy statements revised for clarity; coverage remains the same. CPT codes 0051T-0053T moved to covered. ICD-9 procedure codes 37.52-37.54 moved to covered
9/22/2008: Annual ICD-9 updates effective 10-1-2008 applied
12/31/2008: Code Reference section updated per 2009 CPT/HCPCS revisions
8/19/2009: Policy reviewe... |
Q4079 | Natalizumab injection | HCPCS | ICD-9 procedure codes 37.52-37.54 moved to covered
9/22/2008: Annual ICD-9 updates effective 10-1-2008 applied
12/31/2008: Code Reference section updated per 2009 CPT/HCPCS revisions
8/19/2009: Policy reviewed, no changes
03/12/2010: Coding Section revised for 2010 CPT4 and HCPCS revision
12/30/2010: Policy description... |
Q4079 | Natalizumab injection | HCPCS | Policy statements revised to address only implantable VADs and total artificial hearts. 03/09/2011: Added new HCPCS codes Q4078 and Q4079 to the Code Reference section. 12/13/2011: Policy description and statement updated regarding percutaneous ventricular assist devices. Added the following policy statement: Percutane... |
0048T | Implant ventricular device | CPT | Replaced "cleared devices" with "clearance." Added "Implantable" to the beggining of the policy statement under the Bridge to Transplantation section. Policy statement on implantable VADs as a bridge to heart tranplantation in children was revised to change the age range from "5 to 16" to "16 years old or younger," ref... |
0050T | Removal circulation assist | CPT | Replaced "cleared devices" with "clearance." Added "Implantable" to the beggining of the policy statement under the Bridge to Transplantation section. Policy statement on implantable VADs as a bridge to heart tranplantation in children was revised to change the age range from "5 to 16" to "16 years old or younger," ref... |
0048T | Implant ventricular device | CPT | Policy statement on implantable VADs as a bridge to heart tranplantation in children was revised to change the age range from "5 to 16" to "16 years old or younger," reflecting the approval of the BERLIN heart EXCOR device for pediatric patients. Policy guidelines updated to include coagulation disorders and inadequate... |
0050T | Removal circulation assist | CPT | Policy statement on implantable VADs as a bridge to heart tranplantation in children was revised to change the age range from "5 to 16" to "16 years old or younger," reflecting the approval of the BERLIN heart EXCOR device for pediatric patients. Policy guidelines updated to include coagulation disorders and inadequate... |
0048T | Implant ventricular device | CPT | Policy guidelines updated to include coagulation disorders and inadequate psychosocial support as contraindications for bridge to transplant VADs and TAH. Removed deleted CPT codes 0048T and 0050T from the Code Reference section. 07/07/2015: Code Reference section updated to add Investigational Codes table. CPT codes 3... |
0050T | Removal circulation assist | CPT | Policy guidelines updated to include coagulation disorders and inadequate psychosocial support as contraindications for bridge to transplant VADs and TAH. Removed deleted CPT codes 0048T and 0050T from the Code Reference section. 07/07/2015: Code Reference section updated to add Investigational Codes table. CPT codes 3... |
0048T | Implant ventricular device | CPT | Removed deleted CPT codes 0048T and 0050T from the Code Reference section. 07/07/2015: Code Reference section updated to add Investigational Codes table. CPT codes 33990, 33991, 33992, 33993 and ICD-9 procedure code 37.68 moved from Covered to Investigational. 08/27/2015: Code Reference section updated for ICD-10. Remo... |
0050T | Removal circulation assist | CPT | Removed deleted CPT codes 0048T and 0050T from the Code Reference section. 07/07/2015: Code Reference section updated to add Investigational Codes table. CPT codes 33990, 33991, 33992, 33993 and ICD-9 procedure code 37.68 moved from Covered to Investigational. 08/27/2015: Code Reference section updated for ICD-10. Remo... |
L8684 | Radiof trsmtr implt scrl neu | HCPCS | PMID 19732075
- National Institute for Health and Care Excellence. IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||In... |
L8689 | SYSTEM CHARGING AXONICS WRELS | HCPCS | PMID 19732075
- National Institute for Health and Care Excellence. IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||In... |
L8680 | KIT NRSTM 40CM STIMLOC . | HCPCS | PMID 19732075
- National Institute for Health and Care Excellence. IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||In... |
L8683 | TRANSMITTER SGL | HCPCS | PMID 19732075
- National Institute for Health and Care Excellence. IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||In... |
L8682 | Implt neurostim radiofq rec | HCPCS | PMID 19732075
- National Institute for Health and Care Excellence. IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||In... |
L8681 | REMOTE SLEEP | HCPCS | PMID 19732075
- National Institute for Health and Care Excellence. IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||In... |
L8686 | Implt nrostm pls gen sng non | HCPCS | PMID 19732075
- National Institute for Health and Care Excellence. IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||In... |
L8687 | KIT NEUROSTIMULATOR SENZA IPG STERILE LATEX FREE DISPOSABLE | HCPCS | PMID 19732075
- National Institute for Health and Care Excellence. IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||In... |
L8685 | Implt nrostm pls gen sng rec | HCPCS | PMID 19732075
- National Institute for Health and Care Excellence. IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||In... |
L8688 | Implt nrostm pls gen dua non | HCPCS | PMID 19732075
- National Institute for Health and Care Excellence. IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||In... |
L8684 | Radiof trsmtr implt scrl neu | HCPCS | IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurost... |
L8689 | SYSTEM CHARGING AXONICS WRELS | HCPCS | IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurost... |
L8680 | KIT NRSTM 40CM STIMLOC . | HCPCS | IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurost... |
L8683 | TRANSMITTER SGL | HCPCS | IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurost... |
L8682 | Implt neurostim radiofq rec | HCPCS | IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurost... |
L8681 | REMOTE SLEEP | HCPCS | IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurost... |
L8686 | Implt nrostm pls gen sng non | HCPCS | IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurost... |
L8687 | KIT NEUROSTIMULATOR SENZA IPG STERILE LATEX FREE DISPOSABLE | HCPCS | IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurost... |
L8685 | Implt nrostm pls gen sng rec | HCPCS | IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurost... |
L8688 | Implt nrostm pls gen dua non | HCPCS | IPG452 Occipital nerve stimulation for intractable chronic migraine. 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurost... |
L8684 | Radiof trsmtr implt scrl neu | HCPCS | 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, ... |
L8689 | SYSTEM CHARGING AXONICS WRELS | HCPCS | 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, ... |
L8680 | KIT NRSTM 40CM STIMLOC . | HCPCS | 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, ... |
L8683 | TRANSMITTER SGL | HCPCS | 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, ... |
L8682 | Implt neurostim radiofq rec | HCPCS | 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, ... |
L8681 | REMOTE SLEEP | HCPCS | 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, ... |
L8686 | Implt nrostm pls gen sng non | HCPCS | 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, ... |
L8687 | KIT NEUROSTIMULATOR SENZA IPG STERILE LATEX FREE DISPOSABLE | HCPCS | 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, ... |
L8685 | Implt nrostm pls gen sng rec | HCPCS | 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, ... |
L8688 | Implt nrostm pls gen dua non | HCPCS | 2013; http://publications.nice.org.uk/occipital-nerve-stimulation-for-intractable-chronic-migraine-ipg452. Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, ... |
L8684 | Radiof trsmtr implt scrl neu | HCPCS | Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (eff... |
L8689 | SYSTEM CHARGING AXONICS WRELS | HCPCS | Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (eff... |
L8680 | KIT NRSTM 40CM STIMLOC . | HCPCS | Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (eff... |
L8683 | TRANSMITTER SGL | HCPCS | Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (eff... |
L8682 | Implt neurostim radiofq rec | HCPCS | Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (eff... |
L8681 | REMOTE SLEEP | HCPCS | Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (eff... |
L8686 | Implt nrostm pls gen sng non | HCPCS | Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (eff... |
L8687 | KIT NEUROSTIMULATOR SENZA IPG STERILE LATEX FREE DISPOSABLE | HCPCS | Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (eff... |
L8685 | Implt nrostm pls gen sng rec | HCPCS | Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (eff... |
L8688 | Implt nrostm pls gen dua non | HCPCS | Accessed September 9, 2014. |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (eff... |
L8684 | Radiof trsmtr implt scrl neu | HCPCS | |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (effective 10/1/15)||Investigati... |
L8689 | SYSTEM CHARGING AXONICS WRELS | HCPCS | |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (effective 10/1/15)||Investigati... |
L8680 | KIT NRSTM 40CM STIMLOC . | HCPCS | |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (effective 10/1/15)||Investigati... |
L8683 | TRANSMITTER SGL | HCPCS | |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (effective 10/1/15)||Investigati... |
L8682 | Implt neurostim radiofq rec | HCPCS | |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (effective 10/1/15)||Investigati... |
L8681 | REMOTE SLEEP | HCPCS | |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (effective 10/1/15)||Investigati... |
L8686 | Implt nrostm pls gen sng non | HCPCS | |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (effective 10/1/15)||Investigati... |
L8687 | KIT NEUROSTIMULATOR SENZA IPG STERILE LATEX FREE DISPOSABLE | HCPCS | |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (effective 10/1/15)||Investigati... |
L8685 | Implt nrostm pls gen sng rec | HCPCS | |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (effective 10/1/15)||Investigati... |
L8688 | Implt nrostm pls gen dua non | HCPCS | |CPT||See Policy Guidelines|
|ICD-9 Diagnosis||Investigational for all diagnoses|
|HCPCS||L8680||Implantable neurostimulator electrode, each|
|L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689||Implantable neurostimulator programmer and pulse generator code range|
|ICD-10-CM (effective 10/1/15)||Investigati... |
G0281 | PR ELEC STIM UNATTEND FOR PRESS | HCPCS | Electrical stimulation performed by the patient in the home setting for the treatment of wounds is considered investigational. Electromagnetic therapy for the treatment of wounds is considered investigational. The following HCPCS codes are available for this treatment:
G0281: Electrical stimulation (unattended), to one... |
G0282 | HC ELECTRICAL STIMULATION, TO ONE OR MORE AREAS, FOR WOUND CARE | HCPCS | Electrical stimulation performed by the patient in the home setting for the treatment of wounds is considered investigational. Electromagnetic therapy for the treatment of wounds is considered investigational. The following HCPCS codes are available for this treatment:
G0281: Electrical stimulation (unattended), to one... |
G0329 | PR ELECTROMAGNTIC TX FOR ULCERS | HCPCS | Electrical stimulation performed by the patient in the home setting for the treatment of wounds is considered investigational. Electromagnetic therapy for the treatment of wounds is considered investigational. The following HCPCS codes are available for this treatment:
G0281: Electrical stimulation (unattended), to one... |
G0295 | Electromagnetic therapy onc | HCPCS | Electrical stimulation performed by the patient in the home setting for the treatment of wounds is considered investigational. Electromagnetic therapy for the treatment of wounds is considered investigational. The following HCPCS codes are available for this treatment:
G0281: Electrical stimulation (unattended), to one... |
G0281 | PR ELEC STIM UNATTEND FOR PRESS | HCPCS | Electromagnetic therapy for the treatment of wounds is considered investigational. The following HCPCS codes are available for this treatment:
G0281: Electrical stimulation (unattended), to one or more areas, for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers ... |
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