code stringlengths 4 12 | description stringlengths 2 264 | codetype stringclasses 8
values | context stringlengths 160 15.5k |
|---|---|---|---|
4127 | CATH SWN/GZ VIP 5FR 110CM | CDM | For this example the concept ID 38000275 (“EHR order list entry”) is used as the procedure record is from an EHR record.|
|MODIFIER_CONCEPT_ ID||0||This is meant for a concept ID representing the modifier on the procedure. For example, if the record indicated that a CPT4 procedure was performed bilaterally then the con... |
0275 | PACEMAKER, SINGLE CHAMBER, RATE-RESPONSIVE (IMPLANTABLE) | RC | For this example the concept ID 38000275 (“EHR order list entry”) is used as the procedure record is from an EHR record.|
|MODIFIER_CONCEPT_ ID||0||This is meant for a concept ID representing the modifier on the procedure. For example, if the record indicated that a CPT4 procedure was performed bilaterally then the con... |
0443 | Speech-language Pathology - Group | RC | For example, if the record indicated that a CPT4 procedure was performed bilaterally then the concept ID 42739579 (“Bilateral procedure”) would be used.|
|QUANTITY||0||The quantity of Procedures ordered or administered. A missing Quantity, the numbers 0 and 1 all mean the same thing.|
|PROVIDER_ID||NULL||If the Procedu... |
4127 | CATH SWN/GZ VIP 5FR 110CM | CDM | For example, if the record indicated that a CPT4 procedure was performed bilaterally then the concept ID 42739579 (“Bilateral procedure”) would be used.|
|QUANTITY||0||The quantity of Procedures ordered or administered. A missing Quantity, the numbers 0 and 1 all mean the same thing.|
|PROVIDER_ID||NULL||If the Procedu... |
9158 | Inj, pegcetacoplan, 1mg | APC | Traumatic amputation. This can range from fingers or toes on up to hands and feet or entire limbs. The typical person who suffers a traumatic amputation is male (80%), between the ages of fifteen and thirty, and has just said, Hey, Bubba, watch this! (No, actually and seriously, farming and factory accidents are the mo... |
9158 | Inj, pegcetacoplan, 1mg | APC | The typical person who suffers a traumatic amputation is male (80%), between the ages of fifteen and thirty, and has just said, Hey, Bubba, watch this! (No, actually and seriously, farming and factory accidents are the most common causes of traumatic amputation.) I wasnt entirely sure whether to put traumatic amputatio... |
9158 | Inj, pegcetacoplan, 1mg | APC | (No, actually and seriously, farming and factory accidents are the most common causes of traumatic amputation.) I wasnt entirely sure whether to put traumatic amputations in this part of Trauma and You (soft tissue) or in the last part (skeletal ...
Get PDF - Evaluation of causes of traumatic amputations of extremities... |
9158 | Inj, pegcetacoplan, 1mg | APC | I wasnt entirely sure whether to put traumatic amputations in this part of Trauma and You (soft tissue) or in the last part (skeletal ...
Get PDF - Evaluation of causes of traumatic amputations of extremities in children and adults and their social and occupational...
Dega, W.; Bernardczyk, K.; Godycka, I.; Jankowiak, ... |
0234 | Incremental Nursing Charge - CCU | RC | To protect the privacy of participating patients, pseudonymization of the study data took place. Study participants were not compensated for their participation. The local ethics committee of the University of Giessen approved the RCT (AZ 73/20), and the study was registered in the German Clinical Trials Register (DRKS... |
0234 | Incremental Nursing Charge - CCU | RC | The local ethics committee of the University of Giessen approved the RCT (AZ 73/20), and the study was registered in the German Clinical Trials Register (DRKS00023445). Inclusion and exclusion criteria of the randomized controlled trial. - 18 years or older
- Previous outpatient or inpatient stay at the clinic, with an... |
9406 | Inj, nyvepria | APC | How to Code
The CPT codes for tobacco cessation counseling are:
99406 Tobacco use cessation intermediate 3-10 minutes
99407 greater than 10 minutes
Diagnosis codes should be carefully chosen to reflect the severity of the patient’s tobacco use, as well as the pertinent comorbidity. Disorders from chapter 5, Mental, Beh... |
9407 | Inj. lumasiran, 0.5 mg | APC | How to Code
The CPT codes for tobacco cessation counseling are:
99406 Tobacco use cessation intermediate 3-10 minutes
99407 greater than 10 minutes
Diagnosis codes should be carefully chosen to reflect the severity of the patient’s tobacco use, as well as the pertinent comorbidity. Disorders from chapter 5, Mental, Beh... |
1996 | Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration | HCPCS | Most people confuse these people with one another. But these are two totally different codes. The main difference between HCPCS and CPT is that HCPCS is a set code used by medical workers to claim their health insurance from insurance companies. CPT is a code, especially for the usage of medical students by the authori... |
1996 | Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration | HCPCS | But these are two totally different codes. The main difference between HCPCS and CPT is that HCPCS is a set code used by medical workers to claim their health insurance from insurance companies. CPT is a code, especially for the usage of medical students by the authorities. Let’s take a closer look at CPT vs. HCPCS
|De... |
1996 | Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration | HCPCS | The main difference between HCPCS and CPT is that HCPCS is a set code used by medical workers to claim their health insurance from insurance companies. CPT is a code, especially for the usage of medical students by the authorities. Let’s take a closer look at CPT vs. HCPCS
|Developed In||HCPCS was developed in 1996, wh... |
1996 | Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration | HCPCS | CPT is a code, especially for the usage of medical students by the authorities. Let’s take a closer look at CPT vs. HCPCS
|Developed In||HCPCS was developed in 1996, while CPT was in 1978|
|Creators||HCPCS was created by CMS, while CPT was by AMA|
|Access||HCPCS has free access, while CPT has a paid access|
|Divided||H... |
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... |
36415 | VENIPUNCTURE | HCPCS | However, the organization limits you to no more than 25 searches at a time. You can access this tool at CPT Code/Relative Value Search. Also, your doctor may have a sheet (called an encounter form or "superbill") that lists the most common CPT and diagnosis codes used in her office. Your physician's office may share th... |
93000 | PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | HCPCS | However, the organization limits you to no more than 25 searches at a time. You can access this tool at CPT Code/Relative Value Search. Also, your doctor may have a sheet (called an encounter form or "superbill") that lists the most common CPT and diagnosis codes used in her office. Your physician's office may share th... |
99201 | Office Visit New Min | HCPCS | However, the organization limits you to no more than 25 searches at a time. You can access this tool at CPT Code/Relative Value Search. Also, your doctor may have a sheet (called an encounter form or "superbill") that lists the most common CPT and diagnosis codes used in her office. Your physician's office may share th... |
36415 | VENIPUNCTURE | HCPCS | Also, your doctor may have a sheet (called an encounter form or "superbill") that lists the most common CPT and diagnosis codes used in her office. Your physician's office may share this form with you. Some examples of CPT codes are:
- 99201 - office or other outpatient visit for the evaluation and management of a new ... |
93000 | PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | HCPCS | Also, your doctor may have a sheet (called an encounter form or "superbill") that lists the most common CPT and diagnosis codes used in her office. Your physician's office may share this form with you. Some examples of CPT codes are:
- 99201 - office or other outpatient visit for the evaluation and management of a new ... |
99201 | Office Visit New Min | HCPCS | Also, your doctor may have a sheet (called an encounter form or "superbill") that lists the most common CPT and diagnosis codes used in her office. Your physician's office may share this form with you. Some examples of CPT codes are:
- 99201 - office or other outpatient visit for the evaluation and management of a new ... |
36415 | VENIPUNCTURE | HCPCS | Your physician's office may share this form with you. Some examples of CPT codes are:
- 99201 - office or other outpatient visit for the evaluation and management of a new patient
- 93000 - electrocardiogram
- 36415 - collection of venous blood by venipuncture (drawing blood)
Healthcare Common Procedure Coding System
T... |
93000 | PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | HCPCS | Your physician's office may share this form with you. Some examples of CPT codes are:
- 99201 - office or other outpatient visit for the evaluation and management of a new patient
- 93000 - electrocardiogram
- 36415 - collection of venous blood by venipuncture (drawing blood)
Healthcare Common Procedure Coding System
T... |
99201 | Office Visit New Min | HCPCS | Your physician's office may share this form with you. Some examples of CPT codes are:
- 99201 - office or other outpatient visit for the evaluation and management of a new patient
- 93000 - electrocardiogram
- 36415 - collection of venous blood by venipuncture (drawing blood)
Healthcare Common Procedure Coding System
T... |
L4386 | WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE | HCPCS | Some examples of CPT codes are:
- 99201 - office or other outpatient visit for the evaluation and management of a new patient
- 93000 - electrocardiogram
- 36415 - collection of venous blood by venipuncture (drawing blood)
Healthcare Common Procedure Coding System
The Healthcare Common Procedure Coding System (HCPCS) i... |
36415 | VENIPUNCTURE | HCPCS | Some examples of CPT codes are:
- 99201 - office or other outpatient visit for the evaluation and management of a new patient
- 93000 - electrocardiogram
- 36415 - collection of venous blood by venipuncture (drawing blood)
Healthcare Common Procedure Coding System
The Healthcare Common Procedure Coding System (HCPCS) i... |
93000 | PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | HCPCS | Some examples of CPT codes are:
- 99201 - office or other outpatient visit for the evaluation and management of a new patient
- 93000 - electrocardiogram
- 36415 - collection of venous blood by venipuncture (drawing blood)
Healthcare Common Procedure Coding System
The Healthcare Common Procedure Coding System (HCPCS) i... |
E0455 | Oxygen tent excl croup/ped t | HCPCS | Some examples of CPT codes are:
- 99201 - office or other outpatient visit for the evaluation and management of a new patient
- 93000 - electrocardiogram
- 36415 - collection of venous blood by venipuncture (drawing blood)
Healthcare Common Procedure Coding System
The Healthcare Common Procedure Coding System (HCPCS) i... |
E0605 | Vaporizer, room type | HCPCS | Some examples of CPT codes are:
- 99201 - office or other outpatient visit for the evaluation and management of a new patient
- 93000 - electrocardiogram
- 36415 - collection of venous blood by venipuncture (drawing blood)
Healthcare Common Procedure Coding System
The Healthcare Common Procedure Coding System (HCPCS) i... |
99201 | Office Visit New Min | HCPCS | Some examples of CPT codes are:
- 99201 - office or other outpatient visit for the evaluation and management of a new patient
- 93000 - electrocardiogram
- 36415 - collection of venous blood by venipuncture (drawing blood)
Healthcare Common Procedure Coding System
The Healthcare Common Procedure Coding System (HCPCS) i... |
E0455 | Oxygen tent excl croup/ped t | HCPCS | Level I HCPCS codes are the same as the CPT codes from the American Medical Association. Medicare also maintains a set of codes known as HCPCS Level II. These codes are used to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment (wheelchairs ... |
L4386 | WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE | HCPCS | Level I HCPCS codes are the same as the CPT codes from the American Medical Association. Medicare also maintains a set of codes known as HCPCS Level II. These codes are used to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment (wheelchairs ... |
E0605 | Vaporizer, room type | HCPCS | Level I HCPCS codes are the same as the CPT codes from the American Medical Association. Medicare also maintains a set of codes known as HCPCS Level II. These codes are used to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment (wheelchairs ... |
E0455 | Oxygen tent excl croup/ped t | HCPCS | Medicare also maintains a set of codes known as HCPCS Level II. These codes are used to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment (wheelchairs and hospital beds), prosthetics, orthotics, and supplies that are used outside your docto... |
L4386 | WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE | HCPCS | Medicare also maintains a set of codes known as HCPCS Level II. These codes are used to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment (wheelchairs and hospital beds), prosthetics, orthotics, and supplies that are used outside your docto... |
E0605 | Vaporizer, room type | HCPCS | Medicare also maintains a set of codes known as HCPCS Level II. These codes are used to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment (wheelchairs and hospital beds), prosthetics, orthotics, and supplies that are used outside your docto... |
E0455 | Oxygen tent excl croup/ped t | HCPCS | These codes are used to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment (wheelchairs and hospital beds), prosthetics, orthotics, and supplies that are used outside your doctor's office. Some examples of Level II HCPCS codes are:
- L4386 -... |
L4386 | WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE | HCPCS | These codes are used to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment (wheelchairs and hospital beds), prosthetics, orthotics, and supplies that are used outside your doctor's office. Some examples of Level II HCPCS codes are:
- L4386 -... |
E0605 | Vaporizer, room type | HCPCS | These codes are used to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment (wheelchairs and hospital beds), prosthetics, orthotics, and supplies that are used outside your doctor's office. Some examples of Level II HCPCS codes are:
- L4386 -... |
55289-211-60 | METFORMIN HCL 500 MG PO TAB | NDC | Answers to the “quiz”
Code Source Term 1. 55454-3 LOINC Hemoglobin A1C 2. 250.02 ICD-9-CM Diabetes Mellitus without complications 3. E11.9 ICD-10-CM Type 2 Diabetes Mellitus without Complications 4. 55289-211-60 NDC GLUCOPHAGE 500 MG TABLET [PD-RX PHARM 60ea F/C] 5. |
55289-211-60 | METFORMIN HCL 500 MG PO TAB | NDC | 55454-3 LOINC Hemoglobin A1C 2. 250.02 ICD-9-CM Diabetes Mellitus without complications 3. E11.9 ICD-10-CM Type 2 Diabetes Mellitus without Complications 4. 55289-211-60 NDC GLUCOPHAGE 500 MG TABLET [PD-RX PHARM 60ea F/C] 5. 3E013VG ICD-10-PCS Intro of Insulin into SubQ Tissue, Percutaneous Approach 6. |
55289-211-60 | METFORMIN HCL 500 MG PO TAB | NDC | 250.02 ICD-9-CM Diabetes Mellitus without complications 3. E11.9 ICD-10-CM Type 2 Diabetes Mellitus without Complications 4. 55289-211-60 NDC GLUCOPHAGE 500 MG TABLET [PD-RX PHARM 60ea F/C] 5. 3E013VG ICD-10-PCS Intro of Insulin into SubQ Tissue, Percutaneous Approach 6. 1-800-783-3637 US Phone Stanley Steemer (1-800-S... |
55289-211-60 | METFORMIN HCL 500 MG PO TAB | NDC | E11.9 ICD-10-CM Type 2 Diabetes Mellitus without Complications 4. 55289-211-60 NDC GLUCOPHAGE 500 MG TABLET [PD-RX PHARM 60ea F/C] 5. 3E013VG ICD-10-PCS Intro of Insulin into SubQ Tissue, Percutaneous Approach 6. 1-800-783-3637 US Phone Stanley Steemer (1-800-STEEMER) (go ahead... sing the rest) |
55289-211-60 | METFORMIN HCL 500 MG PO TAB | NDC | 55289-211-60 NDC GLUCOPHAGE 500 MG TABLET [PD-RX PHARM 60ea F/C] 5. 3E013VG ICD-10-PCS Intro of Insulin into SubQ Tissue, Percutaneous Approach 6. 1-800-783-3637 US Phone Stanley Steemer (1-800-STEEMER) (go ahead... sing the rest) |
44950 | PR APPENDECTOMY | HCPCS | it is a collection of standard prices for services and items that a provider organization offers. Computer-assisted coding (CAC) solutions can help speed up the medical coding process and increase coding accuracy and efficiency. For Evaluating Patient: CPT = 99285
ICD = K35.80
For Procedure: CPT = 44950
ICD = K35.80
Th... |
99285 | PROFESSIONAL FEE LEVEL 5 | HCPCS | it is a collection of standard prices for services and items that a provider organization offers. Computer-assisted coding (CAC) solutions can help speed up the medical coding process and increase coding accuracy and efficiency. For Evaluating Patient: CPT = 99285
ICD = K35.80
For Procedure: CPT = 44950
ICD = K35.80
Th... |
1999 | ANESTHESIOLOGY GROUP | CPT | Code 02703DZ specifies the procedure for dilation of one coronary artery using an intraluminal device via percutaneous approach (i.e., percutaneous transluminal coronary angioplasty with stent)
Current Procedure Terminology (CPT) is one of the three main medical code sets that is owned and maintained by American Medica... |
00100 | ANESTH SALIVARY GLAND | CPT | Code 02703DZ specifies the procedure for dilation of one coronary artery using an intraluminal device via percutaneous approach (i.e., percutaneous transluminal coronary angioplasty with stent)
Current Procedure Terminology (CPT) is one of the three main medical code sets that is owned and maintained by American Medica... |
01999 | Unlisted anesth procedure | CPT | Code 02703DZ specifies the procedure for dilation of one coronary artery using an intraluminal device via percutaneous approach (i.e., percutaneous transluminal coronary angioplasty with stent)
Current Procedure Terminology (CPT) is one of the three main medical code sets that is owned and maintained by American Medica... |
1999 | ANESTHESIOLOGY GROUP | CPT | The CPT descriptive terminology and associated code numbers provide the most widely accepted medical nomenclature used to report medical procedures and services for processing claims, conducting research, evaluating healthcare utilization, and developing medical guidelines and other forms of healthcare documentation. C... |
00100 | ANESTH SALIVARY GLAND | CPT | The CPT descriptive terminology and associated code numbers provide the most widely accepted medical nomenclature used to report medical procedures and services for processing claims, conducting research, evaluating healthcare utilization, and developing medical guidelines and other forms of healthcare documentation. C... |
01999 | Unlisted anesth procedure | CPT | The CPT descriptive terminology and associated code numbers provide the most widely accepted medical nomenclature used to report medical procedures and services for processing claims, conducting research, evaluating healthcare utilization, and developing medical guidelines and other forms of healthcare documentation. C... |
1999 | ANESTHESIOLOGY GROUP | CPT | CPT coding system is the preferred system for coding and describing healthcare services and procedures in federal programs (Medicare and Medicaid) and throughout the United States by private insurers and providers of healthcare services. CPT codes are five characters long and may be numeric or alphanumeric. It can be i... |
00100 | ANESTH SALIVARY GLAND | CPT | CPT coding system is the preferred system for coding and describing healthcare services and procedures in federal programs (Medicare and Medicaid) and throughout the United States by private insurers and providers of healthcare services. CPT codes are five characters long and may be numeric or alphanumeric. It can be i... |
01999 | Unlisted anesth procedure | CPT | CPT coding system is the preferred system for coding and describing healthcare services and procedures in federal programs (Medicare and Medicaid) and throughout the United States by private insurers and providers of healthcare services. CPT codes are five characters long and may be numeric or alphanumeric. It can be i... |
1999 | ANESTHESIOLOGY GROUP | CPT | CPT codes are five characters long and may be numeric or alphanumeric. It can be identified by one of the following three categories :
- Category I CPT: Eg: Anesthesia (00100–01999), Radiology Procedures (70010–79999), etc
- Category II CPT: E.g. 2029F: complete physical skin exam performed,
Patient Management (0500F–0... |
00100 | ANESTH SALIVARY GLAND | CPT | CPT codes are five characters long and may be numeric or alphanumeric. It can be identified by one of the following three categories :
- Category I CPT: Eg: Anesthesia (00100–01999), Radiology Procedures (70010–79999), etc
- Category II CPT: E.g. 2029F: complete physical skin exam performed,
Patient Management (0500F–0... |
01999 | Unlisted anesth procedure | CPT | CPT codes are five characters long and may be numeric or alphanumeric. It can be identified by one of the following three categories :
- Category I CPT: Eg: Anesthesia (00100–01999), Radiology Procedures (70010–79999), etc
- Category II CPT: E.g. 2029F: complete physical skin exam performed,
Patient Management (0500F–0... |
1999 | ANESTHESIOLOGY GROUP | CPT | It can be identified by one of the following three categories :
- Category I CPT: Eg: Anesthesia (00100–01999), Radiology Procedures (70010–79999), etc
- Category II CPT: E.g. 2029F: complete physical skin exam performed,
Patient Management (0500F–0584F), Physical Examination (2000F–2060F
- Category III CPT: E.g. 0307T... |
00100 | ANESTH SALIVARY GLAND | CPT | It can be identified by one of the following three categories :
- Category I CPT: Eg: Anesthesia (00100–01999), Radiology Procedures (70010–79999), etc
- Category II CPT: E.g. 2029F: complete physical skin exam performed,
Patient Management (0500F–0584F), Physical Examination (2000F–2060F
- Category III CPT: E.g. 0307T... |
01999 | Unlisted anesth procedure | CPT | It can be identified by one of the following three categories :
- Category I CPT: Eg: Anesthesia (00100–01999), Radiology Procedures (70010–79999), etc
- Category II CPT: E.g. 2029F: complete physical skin exam performed,
Patient Management (0500F–0584F), Physical Examination (2000F–2060F
- Category III CPT: E.g. 0307T... |
S9562 | HT inj palivizumab diem | 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... |
86756 | HC RESPITORY SYNCYTIAL VIRUS AB 86756 | 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... |
90781 | IV infusion, additional hour | 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... |
J1565 | RSV-ivig | 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... |
90780 | IV infusion therapy, 1 hour | 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... |
90782 | Injection, sc/im | 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... |
S9562 | HT inj palivizumab diem | 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 HISTORY8/1998: RSV policy approved by Medical Policy Advisory Committee (MPAC)
11/1998: Synagis® criteria approved by MPAC; policy merged with RSV and renamed
2/2/2001: Entire ... |
86756 | HC RESPITORY SYNCYTIAL VIRUS AB 86756 | 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 HISTORY8/1998: RSV policy approved by Medical Policy Advisory Committee (MPAC)
11/1998: Synagis® criteria approved by MPAC; policy merged with RSV and renamed
2/2/2001: Entire ... |
90781 | IV infusion, additional hour | 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 HISTORY8/1998: RSV policy approved by Medical Policy Advisory Committee (MPAC)
11/1998: Synagis® criteria approved by MPAC; policy merged with RSV and renamed
2/2/2001: Entire ... |
J1565 | RSV-ivig | 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 HISTORY8/1998: RSV policy approved by Medical Policy Advisory Committee (MPAC)
11/1998: Synagis® criteria approved by MPAC; policy merged with RSV and renamed
2/2/2001: Entire ... |
90780 | IV infusion therapy, 1 hour | 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 HISTORY8/1998: RSV policy approved by Medical Policy Advisory Committee (MPAC)
11/1998: Synagis® criteria approved by MPAC; policy merged with RSV and renamed
2/2/2001: Entire ... |
90782 | Injection, sc/im | 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 HISTORY8/1998: RSV policy approved by Medical Policy Advisory Committee (MPAC)
11/1998: Synagis® criteria approved by MPAC; policy merged with RSV and renamed
2/2/2001: Entire ... |
S9562 | HT inj palivizumab diem | HCPCS | POLICY HISTORY8/1998: RSV policy approved by Medical Policy Advisory Committee (MPAC)
11/1998: Synagis® criteria approved by MPAC; policy merged with RSV and renamed
2/2/2001: Entire "Policy Section" revised
10/26/2001: Infants < 28 weeks of gestation up to 12 months of age "at the start of RSV season" added
1/30/2002:... |
86756 | HC RESPITORY SYNCYTIAL VIRUS AB 86756 | HCPCS | POLICY HISTORY8/1998: RSV policy approved by Medical Policy Advisory Committee (MPAC)
11/1998: Synagis® criteria approved by MPAC; policy merged with RSV and renamed
2/2/2001: Entire "Policy Section" revised
10/26/2001: Infants < 28 weeks of gestation up to 12 months of age "at the start of RSV season" added
1/30/2002:... |
90781 | IV infusion, additional hour | HCPCS | POLICY HISTORY8/1998: RSV policy approved by Medical Policy Advisory Committee (MPAC)
11/1998: Synagis® criteria approved by MPAC; policy merged with RSV and renamed
2/2/2001: Entire "Policy Section" revised
10/26/2001: Infants < 28 weeks of gestation up to 12 months of age "at the start of RSV season" added
1/30/2002:... |
J1565 | RSV-ivig | HCPCS | POLICY HISTORY8/1998: RSV policy approved by Medical Policy Advisory Committee (MPAC)
11/1998: Synagis® criteria approved by MPAC; policy merged with RSV and renamed
2/2/2001: Entire "Policy Section" revised
10/26/2001: Infants < 28 weeks of gestation up to 12 months of age "at the start of RSV season" added
1/30/2002:... |
90780 | IV infusion therapy, 1 hour | HCPCS | POLICY HISTORY8/1998: RSV policy approved by Medical Policy Advisory Committee (MPAC)
11/1998: Synagis® criteria approved by MPAC; policy merged with RSV and renamed
2/2/2001: Entire "Policy Section" revised
10/26/2001: Infants < 28 weeks of gestation up to 12 months of age "at the start of RSV season" added
1/30/2002:... |
90782 | Injection, sc/im | HCPCS | POLICY HISTORY8/1998: RSV policy approved by Medical Policy Advisory Committee (MPAC)
11/1998: Synagis® criteria approved by MPAC; policy merged with RSV and renamed
2/2/2001: Entire "Policy Section" revised
10/26/2001: Infants < 28 weeks of gestation up to 12 months of age "at the start of RSV season" added
1/30/2002:... |
S9562 | HT inj palivizumab diem | HCPCS | 9/17/2004: Code Reference section updated, CPT 86756, 90780, 90781, 90782 deleted, ICD-9 diagnosis code 460.0 invalid and deleted, ICD-9 diagnosis code range 460-466.0, 478.8-480.0, 493.0-493.1, 765.00-765.19, 770.0-770.9 listed separately, ICD-9 diagnosis code range 493.0-493.1 5th digit added, HCPCS J1565 description... |
86756 | HC RESPITORY SYNCYTIAL VIRUS AB 86756 | HCPCS | 9/17/2004: Code Reference section updated, CPT 86756, 90780, 90781, 90782 deleted, ICD-9 diagnosis code 460.0 invalid and deleted, ICD-9 diagnosis code range 460-466.0, 478.8-480.0, 493.0-493.1, 765.00-765.19, 770.0-770.9 listed separately, ICD-9 diagnosis code range 493.0-493.1 5th digit added, HCPCS J1565 description... |
90378 | HC RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E | HCPCS | 9/17/2004: Code Reference section updated, CPT 86756, 90780, 90781, 90782 deleted, ICD-9 diagnosis code 460.0 invalid and deleted, ICD-9 diagnosis code range 460-466.0, 478.8-480.0, 493.0-493.1, 765.00-765.19, 770.0-770.9 listed separately, ICD-9 diagnosis code range 493.0-493.1 5th digit added, HCPCS J1565 description... |
90781 | IV infusion, additional hour | HCPCS | 9/17/2004: Code Reference section updated, CPT 86756, 90780, 90781, 90782 deleted, ICD-9 diagnosis code 460.0 invalid and deleted, ICD-9 diagnosis code range 460-466.0, 478.8-480.0, 493.0-493.1, 765.00-765.19, 770.0-770.9 listed separately, ICD-9 diagnosis code range 493.0-493.1 5th digit added, HCPCS J1565 description... |
90379 | Rsv Ig, Iv | HCPCS | 9/17/2004: Code Reference section updated, CPT 86756, 90780, 90781, 90782 deleted, ICD-9 diagnosis code 460.0 invalid and deleted, ICD-9 diagnosis code range 460-466.0, 478.8-480.0, 493.0-493.1, 765.00-765.19, 770.0-770.9 listed separately, ICD-9 diagnosis code range 493.0-493.1 5th digit added, HCPCS J1565 description... |
90772 | Ther/Proph/Diag Inj, Sc/Im | HCPCS | 9/17/2004: Code Reference section updated, CPT 86756, 90780, 90781, 90782 deleted, ICD-9 diagnosis code 460.0 invalid and deleted, ICD-9 diagnosis code range 460-466.0, 478.8-480.0, 493.0-493.1, 765.00-765.19, 770.0-770.9 listed separately, ICD-9 diagnosis code range 493.0-493.1 5th digit added, HCPCS J1565 description... |
J1565 | RSV-ivig | HCPCS | 9/17/2004: Code Reference section updated, CPT 86756, 90780, 90781, 90782 deleted, ICD-9 diagnosis code 460.0 invalid and deleted, ICD-9 diagnosis code range 460-466.0, 478.8-480.0, 493.0-493.1, 765.00-765.19, 770.0-770.9 listed separately, ICD-9 diagnosis code range 493.0-493.1 5th digit added, HCPCS J1565 description... |
90766 | Ther/Proph/Dg Iv Inf, Add-On | HCPCS | 9/17/2004: Code Reference section updated, CPT 86756, 90780, 90781, 90782 deleted, ICD-9 diagnosis code 460.0 invalid and deleted, ICD-9 diagnosis code range 460-466.0, 478.8-480.0, 493.0-493.1, 765.00-765.19, 770.0-770.9 listed separately, ICD-9 diagnosis code range 493.0-493.1 5th digit added, HCPCS J1565 description... |
90765 | Ther/Proph/Diag Iv Inf, Init | HCPCS | 9/17/2004: Code Reference section updated, CPT 86756, 90780, 90781, 90782 deleted, ICD-9 diagnosis code 460.0 invalid and deleted, ICD-9 diagnosis code range 460-466.0, 478.8-480.0, 493.0-493.1, 765.00-765.19, 770.0-770.9 listed separately, ICD-9 diagnosis code range 493.0-493.1 5th digit added, HCPCS J1565 description... |
90780 | IV infusion therapy, 1 hour | HCPCS | 9/17/2004: Code Reference section updated, CPT 86756, 90780, 90781, 90782 deleted, ICD-9 diagnosis code 460.0 invalid and deleted, ICD-9 diagnosis code range 460-466.0, 478.8-480.0, 493.0-493.1, 765.00-765.19, 770.0-770.9 listed separately, ICD-9 diagnosis code range 493.0-493.1 5th digit added, HCPCS J1565 description... |
90782 | Injection, sc/im | HCPCS | 9/17/2004: Code Reference section updated, CPT 86756, 90780, 90781, 90782 deleted, ICD-9 diagnosis code 460.0 invalid and deleted, ICD-9 diagnosis code range 460-466.0, 478.8-480.0, 493.0-493.1, 765.00-765.19, 770.0-770.9 listed separately, ICD-9 diagnosis code range 493.0-493.1 5th digit added, HCPCS J1565 description... |
90379 | Rsv Ig, Iv | HCPCS | FDA approved indications revised. Policy section updated: changed preferred provider to Accredo, changed telephone # from 1-866-591-9075 to 1-866-240-3373, changed fax # from 1-866-591-9094 to 1-877-369-3447. Sources updated; American Academy of Pediatrics Web Site, Synagis® and RespiGam® added
11/4/2005: Code Referenc... |
90378 | HC RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E | HCPCS | FDA approved indications revised. Policy section updated: changed preferred provider to Accredo, changed telephone # from 1-866-591-9075 to 1-866-240-3373, changed fax # from 1-866-591-9094 to 1-877-369-3447. Sources updated; American Academy of Pediatrics Web Site, Synagis® and RespiGam® added
11/4/2005: Code Referenc... |
90772 | Ther/Proph/Diag Inj, Sc/Im | HCPCS | FDA approved indications revised. Policy section updated: changed preferred provider to Accredo, changed telephone # from 1-866-591-9075 to 1-866-240-3373, changed fax # from 1-866-591-9094 to 1-877-369-3447. Sources updated; American Academy of Pediatrics Web Site, Synagis® and RespiGam® added
11/4/2005: Code Referenc... |
90766 | Ther/Proph/Dg Iv Inf, Add-On | HCPCS | FDA approved indications revised. Policy section updated: changed preferred provider to Accredo, changed telephone # from 1-866-591-9075 to 1-866-240-3373, changed fax # from 1-866-591-9094 to 1-877-369-3447. Sources updated; American Academy of Pediatrics Web Site, Synagis® and RespiGam® added
11/4/2005: Code Referenc... |
J1565 | RSV-ivig | HCPCS | FDA approved indications revised. Policy section updated: changed preferred provider to Accredo, changed telephone # from 1-866-591-9075 to 1-866-240-3373, changed fax # from 1-866-591-9094 to 1-877-369-3447. Sources updated; American Academy of Pediatrics Web Site, Synagis® and RespiGam® added
11/4/2005: Code Referenc... |
90765 | Ther/Proph/Diag Iv Inf, Init | HCPCS | FDA approved indications revised. Policy section updated: changed preferred provider to Accredo, changed telephone # from 1-866-591-9075 to 1-866-240-3373, changed fax # from 1-866-591-9094 to 1-877-369-3447. Sources updated; American Academy of Pediatrics Web Site, Synagis® and RespiGam® added
11/4/2005: Code Referenc... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.