code stringlengths 4 12 | description stringlengths 2 264 | codetype stringclasses 8
values | context stringlengths 160 15.5k |
|---|---|---|---|
1996 | Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration | HCPCS | NCCI was established to prevent fraud and abuse of the Medicare system by preventing improper payments for services. Medical billers with the proper training understand that HCPCS Level I codes are used to bill Medicare, a government health insurance program that covers 48 million Americans, who make up a large percent... |
1996 | Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration | HCPCS | Medical billers with the proper training understand that HCPCS Level I codes are used to bill Medicare, a government health insurance program that covers 48 million Americans, who make up a large percentage of any healthcare facility’s patient population. Understanding the use of HCPCS Level I codes is essential for pr... |
1996 | Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration | HCPCS | Understanding the use of HCPCS Level I codes is essential for professional medical billers to obtain maximum, legal reimbursement for their employers. CMS reviews the guidelines the AMA uses to define CPT codes, then it establishes coding methodologies and policies that promote correct coding on a national scale. Becau... |
1996 | Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration | HCPCS | CMS reviews the guidelines the AMA uses to define CPT codes, then it establishes coding methodologies and policies that promote correct coding on a national scale. Because of the number of healthcare claims processed and paid by the Medicare Part B program, NCCI policies have been in place since 1996 to ensure that onl... |
1996 | Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration | HCPCS | Because of the number of healthcare claims processed and paid by the Medicare Part B program, NCCI policies have been in place since 1996 to ensure that only appropriate claims are paid. The system has been expanded to include claims submitted under the Outpatient Prospective Payment System (OPPS) and claims submitted ... |
1999 | ANESTHESIOLOGY GROUP | CPT | This procedure is to be considered only for diagnostic services under Other Medical Benefits and is not to be considered as a routine/preventive screening service under Additional Benefits. Under the Blue Cross & Blue Shield Service Benefit Plan, routine services (i.e., services not related to a specific illness, injur... |
1999 | ANESTHESIOLOGY GROUP | CPT | Effective retroactively to November 17, 1999, and forward, for the Federal Employee Program (FEP) only, plans are to implement this policy immediately. Since there is no specific CPT code for EBCT scanning of the heart, providers may possibly code this service by using 71250, CT scan of the thorax. Claims for EBCT scan... |
1999 | ANESTHESIOLOGY GROUP | CPT | (Document #00-081HR)
POLICY GUIDELINESInvestigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the trea... |
1999 | ANESTHESIOLOGY GROUP | CPT | The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY2/1998: Approved by Medical Policy Advisory Committee (MPAC)
5/1999: Reviewed by MPAC; investigational status maintained
11/1999: Reviewed by MPAC; investigational statu... |
1999 | ANESTHESIOLOGY GROUP | CPT | POLICY HISTORY2/1998: Approved by Medical Policy Advisory Committee (MPAC)
5/1999: Reviewed by MPAC; investigational status maintained
11/1999: Reviewed by MPAC; investigational status maintained for all indications
2/2000: Revisions for FEP only
2/8/2002: Investigational definition added
4/26/2002: Type of Service and... |
0144 | Psych/Detox | RC | 06/18/2014: Policy reviewed; description updated regarding CT angiography. Policy statement revised to change "electron-beam CT or spiral" to "computed tomography" to reflect the scope of the policy; intent unchanged. Removed deleted CPT code 0144T from the Code Reference section. 07/13/2015: Code Reference section upd... |
0144 | Psych/Detox | RC | Policy statement revised to change "electron-beam CT or spiral" to "computed tomography" to reflect the scope of the policy; intent unchanged. Removed deleted CPT code 0144T from the Code Reference section. 07/13/2015: Code Reference section updated for ICD-10. SOURCE(S)Blue Cross Blue Shield Association policy #6.01.0... |
0144 | Psych/Detox | RC | Removed deleted CPT code 0144T from the Code Reference section. 07/13/2015: Code Reference section updated for ICD-10. SOURCE(S)Blue Cross Blue Shield Association policy #6.01.03
CODE REFERENCEThis may not be a comprehensive list of procedure codes applicable to this policy. |
1745 | Thoracoscopic robotic assisted procedure | ICD | doi:10.1016/j.biopsych.2006.08.041. PMID 17141745. - World Health Organisation (1992). The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organisation. |
1745 | Thoracoscopic robotic assisted procedure | ICD | PMID 17141745. - World Health Organisation (1992). The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organisation. ISBN 978-92-4-154422-1. |
31615 | Visualization of windpipe | HCPCS | These are listed in Table B, with an explanation of the difference in code description from 2016. Two airway procedure codes, 31582 and 31588, were removed to correspond with the new and revised codes, noted above. Deletion of the “moderate sedation included” symbol () affected many otolaryngology endoscopy codes, such... |
31588 | Revision of larynx | HCPCS | These are listed in Table B, with an explanation of the difference in code description from 2016. Two airway procedure codes, 31582 and 31588, were removed to correspond with the new and revised codes, noted above. Deletion of the “moderate sedation included” symbol () affected many otolaryngology endoscopy codes, such... |
31582 | Revision of larynx | HCPCS | These are listed in Table B, with an explanation of the difference in code description from 2016. Two airway procedure codes, 31582 and 31588, were removed to correspond with the new and revised codes, noted above. Deletion of the “moderate sedation included” symbol () affected many otolaryngology endoscopy codes, such... |
31622 | PR BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX | HCPCS | These are listed in Table B, with an explanation of the difference in code description from 2016. Two airway procedure codes, 31582 and 31588, were removed to correspond with the new and revised codes, noted above. Deletion of the “moderate sedation included” symbol () affected many otolaryngology endoscopy codes, such... |
43200 | PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC | HCPCS | These are listed in Table B, with an explanation of the difference in code description from 2016. Two airway procedure codes, 31582 and 31588, were removed to correspond with the new and revised codes, noted above. Deletion of the “moderate sedation included” symbol () affected many otolaryngology endoscopy codes, such... |
31615 | Visualization of windpipe | HCPCS | Deletion of the “moderate sedation included” symbol () affected many otolaryngology endoscopy codes, such as 31615 Tracheobronchoscopy through established tracheostomy incision, the bronchoscopy codes (Eg: 31622 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell wash... |
99499 | HC CONSULTATIVE PHYSICIAN, PRIMARY PHYSICIAN, PSYCHOLOGISTS, NP | HCPCS | Deletion of the “moderate sedation included” symbol () affected many otolaryngology endoscopy codes, such as 31615 Tracheobronchoscopy through established tracheostomy incision, the bronchoscopy codes (Eg: 31622 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell wash... |
31622 | PR BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX | HCPCS | Deletion of the “moderate sedation included” symbol () affected many otolaryngology endoscopy codes, such as 31615 Tracheobronchoscopy through established tracheostomy incision, the bronchoscopy codes (Eg: 31622 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell wash... |
43200 | PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC | HCPCS | Deletion of the “moderate sedation included” symbol () affected many otolaryngology endoscopy codes, such as 31615 Tracheobronchoscopy through established tracheostomy incision, the bronchoscopy codes (Eg: 31622 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell wash... |
99201 | Office Visit New Min | HCPCS | Deletion of the “moderate sedation included” symbol () affected many otolaryngology endoscopy codes, such as 31615 Tracheobronchoscopy through established tracheostomy incision, the bronchoscopy codes (Eg: 31622 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell wash... |
99499 | HC CONSULTATIVE PHYSICIAN, PRIMARY PHYSICIAN, PSYCHOLOGISTS, NP | HCPCS | Reporting Mental Health in Drug Screening. Major changes have occurred in mental health coding and drug screen services.The evolving public awareness of mental health, parity laws, revisions to CDC guidelines, and HCPCS Level II dual coding for drug screen services prompted more changes in 2017. In 2013, CPT® created s... |
99201 | Office Visit New Min | HCPCS | Reporting Mental Health in Drug Screening. Major changes have occurred in mental health coding and drug screen services.The evolving public awareness of mental health, parity laws, revisions to CDC guidelines, and HCPCS Level II dual coding for drug screen services prompted more changes in 2017. In 2013, CPT® created s... |
99499 | HC CONSULTATIVE PHYSICIAN, PRIMARY PHYSICIAN, PSYCHOLOGISTS, NP | HCPCS | Major changes have occurred in mental health coding and drug screen services.The evolving public awareness of mental health, parity laws, revisions to CDC guidelines, and HCPCS Level II dual coding for drug screen services prompted more changes in 2017. In 2013, CPT® created separate reporting guidelines for physicians... |
99201 | Office Visit New Min | HCPCS | Major changes have occurred in mental health coding and drug screen services.The evolving public awareness of mental health, parity laws, revisions to CDC guidelines, and HCPCS Level II dual coding for drug screen services prompted more changes in 2017. In 2013, CPT® created separate reporting guidelines for physicians... |
80305 | Urine Drug Screen[Panel] | HCPCS | In 2015, CPT® changed drug screening services to define them as either presumptive or definitive. The Centers for Medicare & Medicaid Services (CMS) still required providers to use an appropriate HCPCS Level II code, which CMS subsequently updated in 2016. HCPCS Level II codes adopted by CMS in 2016 for presumptive dru... |
G0477 | DRUG TST PRESUMP;CPBL BEING READ DC OPT OBV ONLY | HCPCS | In 2015, CPT® changed drug screening services to define them as either presumptive or definitive. The Centers for Medicare & Medicaid Services (CMS) still required providers to use an appropriate HCPCS Level II code, which CMS subsequently updated in 2016. HCPCS Level II codes adopted by CMS in 2016 for presumptive dru... |
G0478 | DRUG TEST PRESUMP;READ BY INSTRUM-AST DC OPT OBV | HCPCS | The Centers for Medicare & Medicaid Services (CMS) still required providers to use an appropriate HCPCS Level II code, which CMS subsequently updated in 2016. HCPCS Level II codes adopted by CMS in 2016 for presumptive drug screen services became popular among coders and payers, forcing CPT® to adopt these code definit... |
80305 | Urine Drug Screen[Panel] | HCPCS | The Centers for Medicare & Medicaid Services (CMS) still required providers to use an appropriate HCPCS Level II code, which CMS subsequently updated in 2016. HCPCS Level II codes adopted by CMS in 2016 for presumptive drug screen services became popular among coders and payers, forcing CPT® to adopt these code definit... |
G0477 | DRUG TST PRESUMP;CPBL BEING READ DC OPT OBV ONLY | HCPCS | The Centers for Medicare & Medicaid Services (CMS) still required providers to use an appropriate HCPCS Level II code, which CMS subsequently updated in 2016. HCPCS Level II codes adopted by CMS in 2016 for presumptive drug screen services became popular among coders and payers, forcing CPT® to adopt these code definit... |
80306 | Drug test prsmv instrmnt | HCPCS | The Centers for Medicare & Medicaid Services (CMS) still required providers to use an appropriate HCPCS Level II code, which CMS subsequently updated in 2016. HCPCS Level II codes adopted by CMS in 2016 for presumptive drug screen services became popular among coders and payers, forcing CPT® to adopt these code definit... |
80307 | TRAMADOL SCRN URINE CONFIRM | HCPCS | HCPCS Level II codes adopted by CMS in 2016 for presumptive drug screen services became popular among coders and payers, forcing CPT® to adopt these code definitions in 2017. With the adoption of the new CPT® codes, CMS deleted the dual coding methodology for presumptive drug screen services in the HCPCS Level II codeb... |
G0479 | Drug test presump not opt | HCPCS | HCPCS Level II codes adopted by CMS in 2016 for presumptive drug screen services became popular among coders and payers, forcing CPT® to adopt these code definitions in 2017. With the adoption of the new CPT® codes, CMS deleted the dual coding methodology for presumptive drug screen services in the HCPCS Level II codeb... |
G0478 | DRUG TEST PRESUMP;READ BY INSTRUM-AST DC OPT OBV | HCPCS | HCPCS Level II codes adopted by CMS in 2016 for presumptive drug screen services became popular among coders and payers, forcing CPT® to adopt these code definitions in 2017. With the adoption of the new CPT® codes, CMS deleted the dual coding methodology for presumptive drug screen services in the HCPCS Level II codeb... |
80305 | Urine Drug Screen[Panel] | HCPCS | HCPCS Level II codes adopted by CMS in 2016 for presumptive drug screen services became popular among coders and payers, forcing CPT® to adopt these code definitions in 2017. With the adoption of the new CPT® codes, CMS deleted the dual coding methodology for presumptive drug screen services in the HCPCS Level II codeb... |
G0477 | DRUG TST PRESUMP;CPBL BEING READ DC OPT OBV ONLY | HCPCS | HCPCS Level II codes adopted by CMS in 2016 for presumptive drug screen services became popular among coders and payers, forcing CPT® to adopt these code definitions in 2017. With the adoption of the new CPT® codes, CMS deleted the dual coding methodology for presumptive drug screen services in the HCPCS Level II codeb... |
80306 | Drug test prsmv instrmnt | HCPCS | HCPCS Level II codes adopted by CMS in 2016 for presumptive drug screen services became popular among coders and payers, forcing CPT® to adopt these code definitions in 2017. With the adoption of the new CPT® codes, CMS deleted the dual coding methodology for presumptive drug screen services in the HCPCS Level II codeb... |
80307 | TRAMADOL SCRN URINE CONFIRM | HCPCS | With the adoption of the new CPT® codes, CMS deleted the dual coding methodology for presumptive drug screen services in the HCPCS Level II codebook, creating a uniformed coding system for presumptive drug screen services. The new CPT® codes are:
- 80305Drug test(s), presumptive, any number of drug classes, any number ... |
G0479 | Drug test presump not opt | HCPCS | With the adoption of the new CPT® codes, CMS deleted the dual coding methodology for presumptive drug screen services in the HCPCS Level II codebook, creating a uniformed coding system for presumptive drug screen services. The new CPT® codes are:
- 80305Drug test(s), presumptive, any number of drug classes, any number ... |
G0478 | DRUG TEST PRESUMP;READ BY INSTRUM-AST DC OPT OBV | HCPCS | With the adoption of the new CPT® codes, CMS deleted the dual coding methodology for presumptive drug screen services in the HCPCS Level II codebook, creating a uniformed coding system for presumptive drug screen services. The new CPT® codes are:
- 80305Drug test(s), presumptive, any number of drug classes, any number ... |
80305 | Urine Drug Screen[Panel] | HCPCS | With the adoption of the new CPT® codes, CMS deleted the dual coding methodology for presumptive drug screen services in the HCPCS Level II codebook, creating a uniformed coding system for presumptive drug screen services. The new CPT® codes are:
- 80305Drug test(s), presumptive, any number of drug classes, any number ... |
G0477 | DRUG TST PRESUMP;CPBL BEING READ DC OPT OBV ONLY | HCPCS | With the adoption of the new CPT® codes, CMS deleted the dual coding methodology for presumptive drug screen services in the HCPCS Level II codebook, creating a uniformed coding system for presumptive drug screen services. The new CPT® codes are:
- 80305Drug test(s), presumptive, any number of drug classes, any number ... |
80306 | Drug test prsmv instrmnt | HCPCS | With the adoption of the new CPT® codes, CMS deleted the dual coding methodology for presumptive drug screen services in the HCPCS Level II codebook, creating a uniformed coding system for presumptive drug screen services. The new CPT® codes are:
- 80305Drug test(s), presumptive, any number of drug classes, any number ... |
20526 | PR INJECTION THERAPEUTIC CARPAL TUNNEL | HCPCS | To achieve coverage and payment, the provider should document the conservative treatment provided, along with the patient’s response to these methods. Following more conservative treatments, an injection performed in the wrist with corticosteroids and/or anesthetics can provide temporary relief of the symptoms. The inj... |
20526 | PR INJECTION THERAPEUTIC CARPAL TUNNEL | HCPCS | Following more conservative treatments, an injection performed in the wrist with corticosteroids and/or anesthetics can provide temporary relief of the symptoms. The injection is reported with 20526 Injection, therapeutic (Eg: Local anesthetic corticosteroid), carpal tunnel. If one performs this service in an office se... |
1741 | Open robotic assisted procedure | ICD | 2005, 3: 12-10.1186/1741-7015-3-12. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. 2000, Washington, DC , American Psychiatric Association
World Health Organization: International Classification of Diseases, 10th Revision (ICD-10). 1992, Geneva, S... |
1500 | New Technology - Level 1 | APC | The American Academy of Professionals Coders (AAPC) provides physician-based coding certification courses, such as CPC certification. The organization offers both classroom and online training, which can be completed in less than 5 months. The course fee is $1500. The American Health Information Management Association ... |
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... |
00100 | ANESTH SALIVARY GLAND | CPT | The American Medical Association was first to introduce Current Procedural Terminology codes. It was in the 1960s and its aim was to enable medical staff to use standardized terms to document procedures and services in medical records. Nowadays, more than 10,000 different 6-digit CPT codes ranging between 00100 and 994... |
V2799 | Misc vision item or service | HCPCS | PMID 19874111
- Vision, learning and dyslexia. A joint organizational policy statement of the American Academy of Optometry and the American Optometric Association. 1997;
Accessed November, 2014. |CPT||92065||Orthoptic and/or pleoptic training, with continuing medical direction and evaluation|
|ICD-9 Procedure||95.35||... |
92065 | PR ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP | HCPCS | PMID 19874111
- Vision, learning and dyslexia. A joint organizational policy statement of the American Academy of Optometry and the American Optometric Association. 1997;
Accessed November, 2014. |CPT||92065||Orthoptic and/or pleoptic training, with continuing medical direction and evaluation|
|ICD-9 Procedure||95.35||... |
V2799 | Misc vision item or service | HCPCS | A joint organizational policy statement of the American Academy of Optometry and the American Optometric Association. 1997;
Accessed November, 2014. |CPT||92065||Orthoptic and/or pleoptic training, with continuing medical direction and evaluation|
|ICD-9 Procedure||95.35||Orthoptic training|
|ICD-9 Diagnosis||315.00-31... |
92065 | PR ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP | HCPCS | A joint organizational policy statement of the American Academy of Optometry and the American Optometric Association. 1997;
Accessed November, 2014. |CPT||92065||Orthoptic and/or pleoptic training, with continuing medical direction and evaluation|
|ICD-9 Procedure||95.35||Orthoptic training|
|ICD-9 Diagnosis||315.00-31... |
V2799 | Misc vision item or service | HCPCS | 1997;
Accessed November, 2014. |CPT||92065||Orthoptic and/or pleoptic training, with continuing medical direction and evaluation|
|ICD-9 Procedure||95.35||Orthoptic training|
|ICD-9 Diagnosis||315.00-315.09||Developmental reading disorder coding range|
|378.83||Other disorders of binocular eye movements; converge insuf... |
92065 | PR ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP | HCPCS | 1997;
Accessed November, 2014. |CPT||92065||Orthoptic and/or pleoptic training, with continuing medical direction and evaluation|
|ICD-9 Procedure||95.35||Orthoptic training|
|ICD-9 Diagnosis||315.00-315.09||Developmental reading disorder coding range|
|378.83||Other disorders of binocular eye movements; converge insuf... |
V2799 | Misc vision item or service | HCPCS | |CPT||92065||Orthoptic and/or pleoptic training, with continuing medical direction and evaluation|
|ICD-9 Procedure||95.35||Orthoptic training|
|ICD-9 Diagnosis||315.00-315.09||Developmental reading disorder coding range|
|378.83||Other disorders of binocular eye movements; converge insufficiency or palsy|
|HCPCS||V279... |
92065 | PR ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP | HCPCS | |CPT||92065||Orthoptic and/or pleoptic training, with continuing medical direction and evaluation|
|ICD-9 Procedure||95.35||Orthoptic training|
|ICD-9 Diagnosis||315.00-315.09||Developmental reading disorder coding range|
|378.83||Other disorders of binocular eye movements; converge insufficiency or palsy|
|HCPCS||V279... |
15878 | Suction lipectomy upr extrem | HCPCS | changed from investigational to medically necessary as follows: "Treatment of severe primary axillary hyperhidrosis with botulinum toxin is considered medically necessary after failed treatment using topical agents. "; "The treatment of axillary hyperhidrosis is considered cosmetic and therefore not eligible for covera... |
97033 | SBT PTA IONTOPHORESIS EACH 15 MIN | HCPCS | changed from investigational to medically necessary as follows: "Treatment of severe primary axillary hyperhidrosis with botulinum toxin is considered medically necessary after failed treatment using topical agents. "; "The treatment of axillary hyperhidrosis is considered cosmetic and therefore not eligible for covera... |
J0585 | PR INJECTION,ONABOTULINUMTOXINA 1 UNITS | HCPCS | changed from investigational to medically necessary as follows: "Treatment of severe primary axillary hyperhidrosis with botulinum toxin is considered medically necessary after failed treatment using topical agents. "; "The treatment of axillary hyperhidrosis is considered cosmetic and therefore not eligible for covera... |
17999 | UNLISTED PROC SKIN SUBQ | HCPCS | changed from investigational to medically necessary as follows: "Treatment of severe primary axillary hyperhidrosis with botulinum toxin is considered medically necessary after failed treatment using topical agents. "; "The treatment of axillary hyperhidrosis is considered cosmetic and therefore not eligible for covera... |
J0585 | PR INJECTION,ONABOTULINUMTOXINA 1 UNITS | HCPCS | 01/01/2009: Accredo preferred provider information removed. BCBSMS information added. 07/27/2009: Policy Description section updated for a clearer understanding of primary and secondary hyperhidrosis symptoms and treatments, Policy Statement section revised to add table with treatments considered medically necessary pe... |
J0587 | rimabotulinumtoxinB 5,000 unit/mL solution 1 mL Vial | HCPCS | 01/01/2009: Accredo preferred provider information removed. BCBSMS information added. 07/27/2009: Policy Description section updated for a clearer understanding of primary and secondary hyperhidrosis symptoms and treatments, Policy Statement section revised to add table with treatments considered medically necessary pe... |
J0585 | PR INJECTION,ONABOTULINUMTOXINA 1 UNITS | HCPCS | BCBSMS information added. 07/27/2009: Policy Description section updated for a clearer understanding of primary and secondary hyperhidrosis symptoms and treatments, Policy Statement section revised to add table with treatments considered medically necessary per region and treatments considered investigational per regio... |
J0587 | rimabotulinumtoxinB 5,000 unit/mL solution 1 mL Vial | HCPCS | BCBSMS information added. 07/27/2009: Policy Description section updated for a clearer understanding of primary and secondary hyperhidrosis symptoms and treatments, Policy Statement section revised to add table with treatments considered medically necessary per region and treatments considered investigational per regio... |
0929 | Other Diagnostic Services - Other Diagnostic Service | RC | The WHO Application of ICD-10 to deaths during pregnancy, childbirth and the puerperium: ICD-MM. World Health Organization; Geneva. 2011. https://apps.who.int/iris/bitstream/handle/10665/70929/9789241548458_eng.pdf. Accessed 12 October 2021. Ameh CA, Adegoke A, Pattinson RC, van den Broek N. Using the new ICD-MM classi... |
0929 | Other Diagnostic Services - Other Diagnostic Service | RC | 2011. https://apps.who.int/iris/bitstream/handle/10665/70929/9789241548458_eng.pdf. Accessed 12 October 2021. Ameh CA, Adegoke A, Pattinson RC, van den Broek N. Using the new ICD-MM classification system for attribution of cause of maternal death–a pilot study. BJOG. 2014;121(Suppl 4):32–40. |
92135 | Ophth dx imaging post seg | 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... |
93875 | Extracranial study | 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... |
S0820 | COMPUTERIZED CORNEAL TOPOGRA | 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... |
99499 | HC CONSULTATIVE PHYSICIAN, PRIMARY PHYSICIAN, PSYCHOLOGISTS, NP | HCPCS | In this
situation, you would add a/an
Level II code. When a neonate or infant is not considered critically ill but still needs intensive observation and other
intensive care services, the initial and continuing intensive care services codes are
99499, unlisted evaluation and management services. What CPT code is assign... |
A4638 | Repl batt pulse gen sys | HCPCS | In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology mus... |
E2120 | Pulse gen sys tx endolymp fl | 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... |
90805 | Psytx off 20-30 min w/e&m | HCPCS | The CPT codes were established and are sustained by the American Medical Association. Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of C... |
38221 | PR DIAGNOSTIC BONE MARROW BIOPSIES | HCPCS | The CPT codes were established and are sustained by the American Medical Association. Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of C... |
99263 | Follow-up inpatient consult | HCPCS | The CPT codes were established and are sustained by the American Medical Association. Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of C... |
99261 | Follow-up inpatient consult | HCPCS | The CPT codes were established and are sustained by the American Medical Association. Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of C... |
99054 | MEDICAL SERVICES-UNUSUAL HRS | CPT | The CPT codes were established and are sustained by the American Medical Association. Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of C... |
38211 | Tumor cell deplete of harvst | HCPCS | The CPT codes were established and are sustained by the American Medical Association. Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of C... |
90805 | Psytx off 20-30 min w/e&m | HCPCS | Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or n... |
38221 | PR DIAGNOSTIC BONE MARROW BIOPSIES | HCPCS | Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or n... |
99263 | Follow-up inpatient consult | HCPCS | Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or n... |
99261 | Follow-up inpatient consult | HCPCS | Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or n... |
99054 | MEDICAL SERVICES-UNUSUAL HRS | CPT | Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or n... |
38211 | Tumor cell deplete of harvst | HCPCS | Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or n... |
90805 | Psytx off 20-30 min w/e&m | HCPCS | CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or needle
- 38211 = tumor cell depletion
- 99261 - 99263 = follow-up inpatient consultation
- 99054 =... |
38221 | PR DIAGNOSTIC BONE MARROW BIOPSIES | HCPCS | CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or needle
- 38211 = tumor cell depletion
- 99261 - 99263 = follow-up inpatient consultation
- 99054 =... |
99263 | Follow-up inpatient consult | HCPCS | CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or needle
- 38211 = tumor cell depletion
- 99261 - 99263 = follow-up inpatient consultation
- 99054 =... |
99261 | Follow-up inpatient consult | HCPCS | CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or needle
- 38211 = tumor cell depletion
- 99261 - 99263 = follow-up inpatient consultation
- 99054 =... |
99054 | MEDICAL SERVICES-UNUSUAL HRS | CPT | CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or needle
- 38211 = tumor cell depletion
- 99261 - 99263 = follow-up inpatient consultation
- 99054 =... |
38211 | Tumor cell deplete of harvst | HCPCS | CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or needle
- 38211 = tumor cell depletion
- 99261 - 99263 = follow-up inpatient consultation
- 99054 =... |
90805 | Psytx off 20-30 min w/e&m | HCPCS | Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or needle
- 38211 = tumor cell depletion
- 99261 - 99263 = follow-up inpatient consultation
- 99054 = services requested on ... |
38221 | PR DIAGNOSTIC BONE MARROW BIOPSIES | HCPCS | Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or needle
- 38211 = tumor cell depletion
- 99261 - 99263 = follow-up inpatient consultation
- 99054 = services requested on ... |
99263 | Follow-up inpatient consult | HCPCS | Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or needle
- 38211 = tumor cell depletion
- 99261 - 99263 = follow-up inpatient consultation
- 99054 = services requested on ... |
99261 | Follow-up inpatient consult | HCPCS | Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes:
- 90805 = outpatient psychotherapy
- 38221 = bone marrow biopsy, trocar or needle
- 38211 = tumor cell depletion
- 99261 - 99263 = follow-up inpatient consultation
- 99054 = services requested on ... |
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