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99054
MEDICAL SERVICES-UNUSUAL HRS
CPT
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 ...
38211
Tumor cell deplete of harvst
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 ...
90805
Psytx off 20-30 min w/e&m
HCPCS
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 holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical co...
38221
PR DIAGNOSTIC BONE MARROW BIOPSIES
HCPCS
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 holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical co...
99263
Follow-up inpatient consult
HCPCS
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 holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical co...
99261
Follow-up inpatient consult
HCPCS
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 holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical co...
99054
MEDICAL SERVICES-UNUSUAL HRS
CPT
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 holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical co...
38211
Tumor cell deplete of harvst
HCPCS
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 holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical co...
J8700
Temozolomide per 5 mg
HCPCS
Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ...
J3490
ZINC SULFATE 220MG 220MG CP
HCPCS
Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ...
P9010
WHOLE BLOOD FOR TRANSFUSION
HCPCS
Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ...
J8700
Temozolomide per 5 mg
HCPCS
Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS cod...
J3490
ZINC SULFATE 220MG 220MG CP
HCPCS
Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS cod...
P9010
WHOLE BLOOD FOR TRANSFUSION
HCPCS
Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS cod...
J8700
Temozolomide per 5 mg
HCPCS
CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conven...
J3490
ZINC SULFATE 220MG 220MG CP
HCPCS
CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conven...
P9010
WHOLE BLOOD FOR TRANSFUSION
HCPCS
CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conven...
J8700
Temozolomide per 5 mg
HCPCS
HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection o...
J3490
ZINC SULFATE 220MG 220MG CP
HCPCS
HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection o...
P9010
WHOLE BLOOD FOR TRANSFUSION
HCPCS
HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection o...
J8700
Temozolomide per 5 mg
HCPCS
Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability...
J3490
ZINC SULFATE 220MG 220MG CP
HCPCS
Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability...
P9010
WHOLE BLOOD FOR TRANSFUSION
HCPCS
Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability...
97804
PR MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI
HCPCS
The documentation during this session should include nutritional therapy and counseling services provided to manage the condition or disease, and changes to the plan, as needed. Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-f...
97803
Therapy procedure reassessment for nutrition management, each 15 minutes
HCPCS
The documentation during this session should include nutritional therapy and counseling services provided to manage the condition or disease, and changes to the plan, as needed. Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-f...
97802
Therapy procedure for nutrition management, each 15 minutes
HCPCS
The documentation during this session should include nutritional therapy and counseling services provided to manage the condition or disease, and changes to the plan, as needed. Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-f...
G0270
PR MNT SUBS TX FOR CHANGE DX
HCPCS
The documentation during this session should include nutritional therapy and counseling services provided to manage the condition or disease, and changes to the plan, as needed. Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-f...
9451
Injection, peramivir
APC
The documentation during this session should include nutritional therapy and counseling services provided to manage the condition or disease, and changes to the plan, as needed. Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-f...
9452
Inj ceftolozane tazobacta
APC
The documentation during this session should include nutritional therapy and counseling services provided to manage the condition or disease, and changes to the plan, as needed. Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-f...
G0271
PR GROUP MNT 2 OR MORE 30 MINS
HCPCS
The documentation during this session should include nutritional therapy and counseling services provided to manage the condition or disease, and changes to the plan, as needed. Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-f...
9449
Injection, blinatumomab
APC
The documentation during this session should include nutritional therapy and counseling services provided to manage the condition or disease, and changes to the plan, as needed. Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-f...
S9449
Weight mgmt class
HCPCS
The documentation during this session should include nutritional therapy and counseling services provided to manage the condition or disease, and changes to the plan, as needed. Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-f...
S9452
Nutrition class
HCPCS
The documentation during this session should include nutritional therapy and counseling services provided to manage the condition or disease, and changes to the plan, as needed. Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-f...
S9451
Exercise class
HCPCS
The documentation during this session should include nutritional therapy and counseling services provided to manage the condition or disease, and changes to the plan, as needed. Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-f...
97804
PR MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI
HCPCS
Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of ...
97803
Therapy procedure reassessment for nutrition management, each 15 minutes
HCPCS
Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of ...
97802
Therapy procedure for nutrition management, each 15 minutes
HCPCS
Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of ...
G0270
PR MNT SUBS TX FOR CHANGE DX
HCPCS
Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of ...
9451
Injection, peramivir
APC
Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of ...
9452
Inj ceftolozane tazobacta
APC
Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of ...
G0271
PR GROUP MNT 2 OR MORE 30 MINS
HCPCS
Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of ...
9449
Injection, blinatumomab
APC
Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of ...
S9449
Weight mgmt class
HCPCS
Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of ...
S9452
Nutrition class
HCPCS
Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of ...
S9451
Exercise class
HCPCS
Nutrition therapy codes are time-based: The nutritionist must document the time spent. Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of ...
97804
PR MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI
HCPCS
Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of the initial assessment (97802). There are also HCPCS Level II S codes (not payable unde...
97803
Therapy procedure reassessment for nutrition management, each 15 minutes
HCPCS
Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of the initial assessment (97802). There are also HCPCS Level II S codes (not payable unde...
97802
Therapy procedure for nutrition management, each 15 minutes
HCPCS
Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of the initial assessment (97802). There are also HCPCS Level II S codes (not payable unde...
G0270
PR MNT SUBS TX FOR CHANGE DX
HCPCS
Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of the initial assessment (97802). There are also HCPCS Level II S codes (not payable unde...
9451
Injection, peramivir
APC
Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of the initial assessment (97802). There are also HCPCS Level II S codes (not payable unde...
9452
Inj ceftolozane tazobacta
APC
Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of the initial assessment (97802). There are also HCPCS Level II S codes (not payable unde...
G0271
PR GROUP MNT 2 OR MORE 30 MINS
HCPCS
Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of the initial assessment (97802). There are also HCPCS Level II S codes (not payable unde...
9449
Injection, blinatumomab
APC
Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of the initial assessment (97802). There are also HCPCS Level II S codes (not payable unde...
S9449
Weight mgmt class
HCPCS
Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of the initial assessment (97802). There are also HCPCS Level II S codes (not payable unde...
S9452
Nutrition class
HCPCS
Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of the initial assessment (97802). There are also HCPCS Level II S codes (not payable unde...
S9451
Exercise class
HCPCS
Note also that 97802 and 97803 are individual face-to-face assessments, while 97804 is for a group setting. Use HCPCS Level II codes G0270-G0271 to identify a change in diagnosis requiring additional services within the same year of the initial assessment (97802). There are also HCPCS Level II S codes (not payable unde...
9451
Injection, peramivir
APC
There are also HCPCS Level II S codes (not payable under Medicare) to report classes to assist patients: S9449 Weight management classes, non-physician provider, per session S9451 Exercise classes, non-physician provider, per session S9452 Nutrition classes, non-physician provider, per session Chelle Johnson, CPC, CPMA...
9452
Inj ceftolozane tazobacta
APC
There are also HCPCS Level II S codes (not payable under Medicare) to report classes to assist patients: S9449 Weight management classes, non-physician provider, per session S9451 Exercise classes, non-physician provider, per session S9452 Nutrition classes, non-physician provider, per session Chelle Johnson, CPC, CPMA...
9449
Injection, blinatumomab
APC
There are also HCPCS Level II S codes (not payable under Medicare) to report classes to assist patients: S9449 Weight management classes, non-physician provider, per session S9451 Exercise classes, non-physician provider, per session S9452 Nutrition classes, non-physician provider, per session Chelle Johnson, CPC, CPMA...
S9449
Weight mgmt class
HCPCS
There are also HCPCS Level II S codes (not payable under Medicare) to report classes to assist patients: S9449 Weight management classes, non-physician provider, per session S9451 Exercise classes, non-physician provider, per session S9452 Nutrition classes, non-physician provider, per session Chelle Johnson, CPC, CPMA...
S9452
Nutrition class
HCPCS
There are also HCPCS Level II S codes (not payable under Medicare) to report classes to assist patients: S9449 Weight management classes, non-physician provider, per session S9451 Exercise classes, non-physician provider, per session S9452 Nutrition classes, non-physician provider, per session Chelle Johnson, CPC, CPMA...
S9451
Exercise class
HCPCS
There are also HCPCS Level II S codes (not payable under Medicare) to report classes to assist patients: S9449 Weight management classes, non-physician provider, per session S9451 Exercise classes, non-physician provider, per session S9452 Nutrition classes, non-physician provider, per session Chelle Johnson, CPC, CPMA...
0089T
Actigraphy testing - 3-day
CPT
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 treatment of the conditio...
0089T
Actigraphy testing - 3-day
CPT
POLICY HISTORY7/21/2005: Approved by Medical Policy Advisory Committee (MPAC) 8/7/2006: Policy reviewed, no changes 9/18/2007: Policy reviewed, no changes 12/24/2008: Coding updated per the 2009 CPT/HCPCS revisions 8/14/2009: Policy reviewed, no changes 04/20/2011: Policy description updated; policy statement unchanged...
G6015
Radiation tx delivery imrt
HCPCS
Added policy statement: IMRT is considered investigational for the treatment of prostate cancer when the above criteria are not met. Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2...
77386
HC IMRT COMPLEX
HCPCS
Added policy statement: IMRT is considered investigational for the treatment of prostate cancer when the above criteria are not met. Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2...
77385
HC IMRT SIMPLE
HCPCS
Added policy statement: IMRT is considered investigational for the treatment of prostate cancer when the above criteria are not met. Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2...
G6016
PR DELIVERY COMP IMRT
HCPCS
Added policy statement: IMRT is considered investigational for the treatment of prostate cancer when the above criteria are not met. Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2...
G6015
Radiation tx delivery imrt
HCPCS
Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. SOURCE(S)Blue...
77386
HC IMRT COMPLEX
HCPCS
Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. SOURCE(S)Blue...
77385
HC IMRT SIMPLE
HCPCS
Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. SOURCE(S)Blue...
G6016
PR DELIVERY COMP IMRT
HCPCS
Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. SOURCE(S)Blue...
G6015
Radiation tx delivery imrt
HCPCS
12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. SOURCE(S)Blue Cross Blue Shield Association policy # 8.01.47 CODE REFERENCET...
77386
HC IMRT COMPLEX
HCPCS
12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. SOURCE(S)Blue Cross Blue Shield Association policy # 8.01.47 CODE REFERENCET...
77385
HC IMRT SIMPLE
HCPCS
12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. SOURCE(S)Blue Cross Blue Shield Association policy # 8.01.47 CODE REFERENCET...
G6016
PR DELIVERY COMP IMRT
HCPCS
12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. SOURCE(S)Blue Cross Blue Shield Association policy # 8.01.47 CODE REFERENCET...
G6015
Radiation tx delivery imrt
HCPCS
Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. SOURCE(S)Blue Cross Blue Shield Association policy # 8.01.47 CODE REFERENCEThis may not be a comprehensive list of procedure codes applicable to this policy. The code(s) liste...
G6016
PR DELIVERY COMP IMRT
HCPCS
Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. SOURCE(S)Blue Cross Blue Shield Association policy # 8.01.47 CODE REFERENCEThis may not be a comprehensive list of procedure codes applicable to this policy. The code(s) liste...
1996
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
HCPCS
The Healthcare Common Procedure Coding System (HCPCS) is a two-tiered system that includes Common Procedure Terminology, at Level I, which is usually referred to as CPT codes. More specialized codes are used for reporting services to Medicare and other payers at Level II. Since these codes do not have an equivalent in ...
1996
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
HCPCS
More specialized codes are used for reporting services to Medicare and other payers at Level II. Since these codes do not have an equivalent in any other manual but the Center for Medicare and Medicaid Services HCPCS manual, these codes are referred to as HCPCS in the field, to differentiate them from the more universa...
G0358
IV PUSH TECHNIQUE EACH ADD SUBSTANCE/DRUG
HCPCS
Investigative 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 treatment of the condition being treated a...
G0360
Each additional hr 1-8 hrs
HCPCS
Investigative 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 treatment of the condition being treated a...
G0363
IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL SYS
HCPCS
Investigative 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 treatment of the condition being treated a...
J9000
INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG
HCPCS
Investigative 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 treatment of the condition being treated a...
G0364
HC BONE MARROW ASPIRATE & BIOPSY
HCPCS
Investigative 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 treatment of the condition being treated a...
G0362
Each add sequential infusion
HCPCS
Investigative 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 treatment of the condition being treated a...
J9999
Not otherwise classified, antineoplastic drugs
HCPCS
Investigative 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 treatment of the condition being treated a...
G0359
Chemotherapy IV one hr initi
HCPCS
Investigative 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 treatment of the condition being treated a...
38230
PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC
HCPCS
Investigative 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 treatment of the condition being treated a...
G0361
Prolong chemo infuse>8hrs pu
HCPCS
Investigative 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 treatment of the condition being treated a...
G0357
IV PUSH TECHNIQUE SINGLE/INIT SUBSTANCE/DRUG
HCPCS
Investigative 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 treatment of the condition being treated a...
G0356
HORMONAL ANTINEOPLASTIC
HCPCS
Investigative 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 treatment of the condition being treated a...
G0355
CHEMO ADMN SUBQ/IM NONHORMONAL ANTINEOPLASTIC
HCPCS
Investigative 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 treatment of the condition being treated a...
G0358
IV PUSH TECHNIQUE EACH ADD SUBSTANCE/DRUG
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
G0360
Each additional hr 1-8 hrs
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
G0363
IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL SYS
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
J9000
INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
G0364
HC BONE MARROW ASPIRATE & BIOPSY
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
G0362
Each add sequential infusion
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...
J9999
Not otherwise classified, antineoplastic drugs
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 HISTORY3/25/2004: See policy "High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Malignancies" prior to 3/25/2004, separate policy developed and aligned with BCBSA...