code stringlengths 4 12 | description stringlengths 2 264 | codetype stringclasses 8
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J1212 | Injection, dmso, dimethyl sulfoxide, 50%, 50 ml | HCPCS | The use of lidocaine or other local analgesic is also not usually reported separately. Besides CPT code 51700 for the bladder instillation, you will also need to report the code for the drug instilled. For example, if the documentation indicates that 50 ml of dimethyl sulfoxide (DMSO) 50% aqueous irrigation solution wa... |
51700 | Simple bladder irrigation and/or instillation | HCPCS | The use of lidocaine or other local analgesic is also not usually reported separately. Besides CPT code 51700 for the bladder instillation, you will also need to report the code for the drug instilled. For example, if the documentation indicates that 50 ml of dimethyl sulfoxide (DMSO) 50% aqueous irrigation solution wa... |
00811 | ANES LWR INTST NDSC NOS | CPT | These codes are organized into six sections as follows:
1. Evaluation and Management:
This section includes codes for services provided by healthcare professionals, such as consultations, office visits, hospital visits and stays, and preventive medicine services to evaluate, diagnose and manage patients. E&M codes star... |
00811 | ANES LWR INTST NDSC NOS | CPT | Evaluation and Management:
This section includes codes for services provided by healthcare professionals, such as consultations, office visits, hospital visits and stays, and preventive medicine services to evaluate, diagnose and manage patients. E&M codes start from 99-series of CPT codes, i.e., 99213, 99214, etc
This... |
90739 | HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY | HCPCS | The infection can last as little as a few weeks or become a lifelong, debilitating illness. There is no vaccine for Hepatitis C.
Coding and Billing Guidelines
Medicare Part B provides payment for Hepatitis B vaccine and its administration, as well as for screening for sexually transmitted infections (STIs) and Hepatiti... |
90746 | Hepb vaccine 3 dose adult im | HCPCS | The infection can last as little as a few weeks or become a lifelong, debilitating illness. There is no vaccine for Hepatitis C.
Coding and Billing Guidelines
Medicare Part B provides payment for Hepatitis B vaccine and its administration, as well as for screening for sexually transmitted infections (STIs) and Hepatiti... |
90743 | HC HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM | HCPCS | The infection can last as little as a few weeks or become a lifelong, debilitating illness. There is no vaccine for Hepatitis C.
Coding and Billing Guidelines
Medicare Part B provides payment for Hepatitis B vaccine and its administration, as well as for screening for sexually transmitted infections (STIs) and Hepatiti... |
G0010 | PR ADMIN HEPATITIS B VACCINE | HCPCS | The infection can last as little as a few weeks or become a lifelong, debilitating illness. There is no vaccine for Hepatitis C.
Coding and Billing Guidelines
Medicare Part B provides payment for Hepatitis B vaccine and its administration, as well as for screening for sexually transmitted infections (STIs) and Hepatiti... |
90744 | Hepb vacc 3 dose ped/adol im | HCPCS | The infection can last as little as a few weeks or become a lifelong, debilitating illness. There is no vaccine for Hepatitis C.
Coding and Billing Guidelines
Medicare Part B provides payment for Hepatitis B vaccine and its administration, as well as for screening for sexually transmitted infections (STIs) and Hepatiti... |
90747 | HC HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM | HCPCS | The infection can last as little as a few weeks or become a lifelong, debilitating illness. There is no vaccine for Hepatitis C.
Coding and Billing Guidelines
Medicare Part B provides payment for Hepatitis B vaccine and its administration, as well as for screening for sexually transmitted infections (STIs) and Hepatiti... |
90740 | Hepb vacc 3 dose immunsup im | HCPCS | The infection can last as little as a few weeks or become a lifelong, debilitating illness. There is no vaccine for Hepatitis C.
Coding and Billing Guidelines
Medicare Part B provides payment for Hepatitis B vaccine and its administration, as well as for screening for sexually transmitted infections (STIs) and Hepatiti... |
90739 | HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY | HCPCS | There is no vaccine for Hepatitis C.
Coding and Billing Guidelines
Medicare Part B provides payment for Hepatitis B vaccine and its administration, as well as for screening for sexually transmitted infections (STIs) and Hepatitis C, and high-intensity behavioral counseling to prevent STIs. CPT® vaccination codes:
90739... |
90746 | Hepb vaccine 3 dose adult im | HCPCS | There is no vaccine for Hepatitis C.
Coding and Billing Guidelines
Medicare Part B provides payment for Hepatitis B vaccine and its administration, as well as for screening for sexually transmitted infections (STIs) and Hepatitis C, and high-intensity behavioral counseling to prevent STIs. CPT® vaccination codes:
90739... |
90743 | HC HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM | HCPCS | There is no vaccine for Hepatitis C.
Coding and Billing Guidelines
Medicare Part B provides payment for Hepatitis B vaccine and its administration, as well as for screening for sexually transmitted infections (STIs) and Hepatitis C, and high-intensity behavioral counseling to prevent STIs. CPT® vaccination codes:
90739... |
G0010 | PR ADMIN HEPATITIS B VACCINE | HCPCS | There is no vaccine for Hepatitis C.
Coding and Billing Guidelines
Medicare Part B provides payment for Hepatitis B vaccine and its administration, as well as for screening for sexually transmitted infections (STIs) and Hepatitis C, and high-intensity behavioral counseling to prevent STIs. CPT® vaccination codes:
90739... |
90744 | Hepb vacc 3 dose ped/adol im | HCPCS | There is no vaccine for Hepatitis C.
Coding and Billing Guidelines
Medicare Part B provides payment for Hepatitis B vaccine and its administration, as well as for screening for sexually transmitted infections (STIs) and Hepatitis C, and high-intensity behavioral counseling to prevent STIs. CPT® vaccination codes:
90739... |
90747 | HC HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM | HCPCS | There is no vaccine for Hepatitis C.
Coding and Billing Guidelines
Medicare Part B provides payment for Hepatitis B vaccine and its administration, as well as for screening for sexually transmitted infections (STIs) and Hepatitis C, and high-intensity behavioral counseling to prevent STIs. CPT® vaccination codes:
90739... |
90740 | Hepb vacc 3 dose immunsup im | HCPCS | There is no vaccine for Hepatitis C.
Coding and Billing Guidelines
Medicare Part B provides payment for Hepatitis B vaccine and its administration, as well as for screening for sexually transmitted infections (STIs) and Hepatitis C, and high-intensity behavioral counseling to prevent STIs. CPT® vaccination codes:
90739... |
33246 | Insert epic eltrd/generator | HCPCS | The phrase "investigational/not medically necessary" was clarified to read "investigational and not medically necessary." Rationale and references were updated. Coding section was updated with 01/01/08 CPT/HCPCS changes; removed HCPCS G0297, G0298, G0299, G0300 deleted 12/31/2007.|
|Reviewed||03/08/2007||MPTAC review. ... |
G0300 | Hhs/hospice of lpn ea 15 min | HCPCS | The phrase "investigational/not medically necessary" was clarified to read "investigational and not medically necessary." Rationale and references were updated. Coding section was updated with 01/01/08 CPT/HCPCS changes; removed HCPCS G0297, G0298, G0299, G0300 deleted 12/31/2007.|
|Reviewed||03/08/2007||MPTAC review. ... |
33245 | Insert epic eltrd pace-defib | HCPCS | The phrase "investigational/not medically necessary" was clarified to read "investigational and not medically necessary." Rationale and references were updated. Coding section was updated with 01/01/08 CPT/HCPCS changes; removed HCPCS G0297, G0298, G0299, G0300 deleted 12/31/2007.|
|Reviewed||03/08/2007||MPTAC review. ... |
G0299 | Hhs/hospice of rn ea 15 min | HCPCS | The phrase "investigational/not medically necessary" was clarified to read "investigational and not medically necessary." Rationale and references were updated. Coding section was updated with 01/01/08 CPT/HCPCS changes; removed HCPCS G0297, G0298, G0299, G0300 deleted 12/31/2007.|
|Reviewed||03/08/2007||MPTAC review. ... |
G0297 | LOW-DOSE CT SCAN (LDCT) FOR LUNG CANCER SCREENING | HCPCS | The phrase "investigational/not medically necessary" was clarified to read "investigational and not medically necessary." Rationale and references were updated. Coding section was updated with 01/01/08 CPT/HCPCS changes; removed HCPCS G0297, G0298, G0299, G0300 deleted 12/31/2007.|
|Reviewed||03/08/2007||MPTAC review. ... |
G0298 | Insert dual chamber/cd | CPT | The phrase "investigational/not medically necessary" was clarified to read "investigational and not medically necessary." Rationale and references were updated. Coding section was updated with 01/01/08 CPT/HCPCS changes; removed HCPCS G0297, G0298, G0299, G0300 deleted 12/31/2007.|
|Reviewed||03/08/2007||MPTAC review. ... |
33245 | Insert epic eltrd pace-defib | HCPCS | Rationale, References, and Coding sections have been updated.|
|01/01/2007||Updated Coding section with 01/01/2007 CPT/HCPCS changes; removed CPT 33245, 33246 deleted 12/31/2006.|
|Reviewed||03/23/2006||MPTAC review. References were updated to include the recently released updated TEC Assessment Directories (2) and add... |
33246 | Insert epic eltrd/generator | HCPCS | Rationale, References, and Coding sections have been updated.|
|01/01/2007||Updated Coding section with 01/01/2007 CPT/HCPCS changes; removed CPT 33245, 33246 deleted 12/31/2006.|
|Reviewed||03/23/2006||MPTAC review. References were updated to include the recently released updated TEC Assessment Directories (2) and add... |
G0358 | IV PUSH TECHNIQUE EACH ADD SUBSTANCE/DRUG | 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... |
G0360 | Each additional hr 1-8 hrs | 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... |
G0363 | IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL 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... |
J9000 | INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG | 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... |
G0364 | HC BONE MARROW ASPIRATE & BIOPSY | 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... |
G0362 | Each add sequential infusion | 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... |
J9999 | Not otherwise classified, antineoplastic drugs | 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... |
G0359 | Chemotherapy IV one hr initi | 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... |
38230 | PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC | 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... |
G0361 | Prolong chemo infuse>8hrs pu | 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... |
G0357 | IV PUSH TECHNIQUE SINGLE/INIT SUBSTANCE/DRUG | 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... |
G0356 | HORMONAL ANTINEOPLASTIC | 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... |
G0355 | CHEMO ADMN SUBQ/IM NONHORMONAL ANTINEOPLASTIC | 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... |
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... |
G0359 | Chemotherapy IV one hr initi | 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... |
38230 | PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC | 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... |
G0361 | Prolong chemo infuse>8hrs pu | 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... |
G0357 | IV PUSH TECHNIQUE SINGLE/INIT 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... |
G0356 | HORMONAL ANTINEOPLASTIC | 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... |
G0355 | CHEMO ADMN SUBQ/IM NONHORMONAL ANTINEOPLASTIC | 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... |
86826 | Hla x-match noncytotoxc addl | HCPCS | Supporting explanations added to the policy guidelines. FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Added policy statement regard... |
G0267 | Bone marrow or psc harvest | CPT | Supporting explanations added to the policy guidelines. FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Added policy statement regard... |
G0265 | Cryopresevation Freeze+stora | CPT | Supporting explanations added to the policy guidelines. FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Added policy statement regard... |
G0266 | Thawing + expansion froz cel | CPT | Supporting explanations added to the policy guidelines. FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Added policy statement regard... |
86825 | X-MATCHAHG | HCPCS | Supporting explanations added to the policy guidelines. FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Added policy statement regard... |
86826 | Hla x-match noncytotoxc addl | HCPCS | FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Added policy statement regarding when tandem autologous HSCT may be considered medica... |
G0267 | Bone marrow or psc harvest | CPT | FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Added policy statement regarding when tandem autologous HSCT may be considered medica... |
G0265 | Cryopresevation Freeze+stora | CPT | FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Added policy statement regarding when tandem autologous HSCT may be considered medica... |
G0266 | Thawing + expansion froz cel | CPT | FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Added policy statement regarding when tandem autologous HSCT may be considered medica... |
86825 | X-MATCHAHG | HCPCS | FEP and State and School Employee verbiage added to the Policy Exceptions section. Added new CPT codes 86825 and 86826. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Added policy statement regarding when tandem autologous HSCT may be considered medica... |
86826 | Hla x-match noncytotoxc addl | HCPCS | Added new CPT codes 86825 and 86826. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Added policy statement regarding when tandem autologous HSCT may be considered medically necessary. 01/17/2012: Policy reviewed; no changes. 03/13/2013: Policy reviewed... |
G0267 | Bone marrow or psc harvest | CPT | Added new CPT codes 86825 and 86826. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Added policy statement regarding when tandem autologous HSCT may be considered medically necessary. 01/17/2012: Policy reviewed; no changes. 03/13/2013: Policy reviewed... |
G0265 | Cryopresevation Freeze+stora | CPT | Added new CPT codes 86825 and 86826. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Added policy statement regarding when tandem autologous HSCT may be considered medically necessary. 01/17/2012: Policy reviewed; no changes. 03/13/2013: Policy reviewed... |
G0266 | Thawing + expansion froz cel | CPT | Added new CPT codes 86825 and 86826. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Added policy statement regarding when tandem autologous HSCT may be considered medically necessary. 01/17/2012: Policy reviewed; no changes. 03/13/2013: Policy reviewed... |
86825 | X-MATCHAHG | HCPCS | Added new CPT codes 86825 and 86826. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 12/28/2010: Added policy statement regarding when tandem autologous HSCT may be considered medically necessary. 01/17/2012: Policy reviewed; no changes. 03/13/2013: Policy reviewed... |
38241 | Transplt autol hct/donor | HCPCS | 03/13/2013: Policy reviewed; no changes. 03/10/2014: Policy reviewed; no changes. 01/29/2015: Policy description updated regarding the estimated number of cases for Hodgkin Lymphoma and to change "radiation therapy" to "radiotherapy." Investigational policy statements updated to change "stem-cell transplantation" to "h... |
G0363 | IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL SYS | HCPCS | 03/13/2013: Policy reviewed; no changes. 03/10/2014: Policy reviewed; no changes. 01/29/2015: Policy description updated regarding the estimated number of cases for Hodgkin Lymphoma and to change "radiation therapy" to "radiotherapy." Investigational policy statements updated to change "stem-cell transplantation" to "h... |
38240 | Transplt allo hct/donor | HCPCS | 03/13/2013: Policy reviewed; no changes. 03/10/2014: Policy reviewed; no changes. 01/29/2015: Policy description updated regarding the estimated number of cases for Hodgkin Lymphoma and to change "radiation therapy" to "radiotherapy." Investigational policy statements updated to change "stem-cell transplantation" to "h... |
96445 | Chemotherapy, intracavitary | HCPCS | 03/13/2013: Policy reviewed; no changes. 03/10/2014: Policy reviewed; no changes. 01/29/2015: Policy description updated regarding the estimated number of cases for Hodgkin Lymphoma and to change "radiation therapy" to "radiotherapy." Investigational policy statements updated to change "stem-cell transplantation" to "h... |
96446 | PR CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH | HCPCS | 03/13/2013: Policy reviewed; no changes. 03/10/2014: Policy reviewed; no changes. 01/29/2015: Policy description updated regarding the estimated number of cases for Hodgkin Lymphoma and to change "radiation therapy" to "radiotherapy." Investigational policy statements updated to change "stem-cell transplantation" to "h... |
38241 | Transplt autol hct/donor | HCPCS | 01/29/2015: Policy description updated regarding the estimated number of cases for Hodgkin Lymphoma and to change "radiation therapy" to "radiotherapy." Investigational policy statements updated to change "stem-cell transplantation" to "hematopoietic stem-cell transplantation." 08/27/2015: Code Reference section update... |
G0363 | IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL SYS | HCPCS | 01/29/2015: Policy description updated regarding the estimated number of cases for Hodgkin Lymphoma and to change "radiation therapy" to "radiotherapy." Investigational policy statements updated to change "stem-cell transplantation" to "hematopoietic stem-cell transplantation." 08/27/2015: Code Reference section update... |
38240 | Transplt allo hct/donor | HCPCS | 01/29/2015: Policy description updated regarding the estimated number of cases for Hodgkin Lymphoma and to change "radiation therapy" to "radiotherapy." Investigational policy statements updated to change "stem-cell transplantation" to "hematopoietic stem-cell transplantation." 08/27/2015: Code Reference section update... |
96445 | Chemotherapy, intracavitary | HCPCS | 01/29/2015: Policy description updated regarding the estimated number of cases for Hodgkin Lymphoma and to change "radiation therapy" to "radiotherapy." Investigational policy statements updated to change "stem-cell transplantation" to "hematopoietic stem-cell transplantation." 08/27/2015: Code Reference section update... |
96446 | PR CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH | HCPCS | 01/29/2015: Policy description updated regarding the estimated number of cases for Hodgkin Lymphoma and to change "radiation therapy" to "radiotherapy." Investigational policy statements updated to change "stem-cell transplantation" to "hematopoietic stem-cell transplantation." 08/27/2015: Code Reference section update... |
38241 | Transplt autol hct/donor | HCPCS | Investigational policy statements updated to change "stem-cell transplantation" to "hematopoietic stem-cell transplantation." 08/27/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240 and 38241; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replac... |
G0363 | IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL SYS | HCPCS | Investigational policy statements updated to change "stem-cell transplantation" to "hematopoietic stem-cell transplantation." 08/27/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240 and 38241; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replac... |
38240 | Transplt allo hct/donor | HCPCS | Investigational policy statements updated to change "stem-cell transplantation" to "hematopoietic stem-cell transplantation." 08/27/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240 and 38241; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replac... |
96445 | Chemotherapy, intracavitary | HCPCS | Investigational policy statements updated to change "stem-cell transplantation" to "hematopoietic stem-cell transplantation." 08/27/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240 and 38241; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replac... |
96446 | PR CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH | HCPCS | Investigational policy statements updated to change "stem-cell transplantation" to "hematopoietic stem-cell transplantation." 08/27/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240 and 38241; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replac... |
30230Y3 | TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Unrelated Non ICU | ICD | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
0243 | All Inclusive Ancillary - Specialty | RC | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
30240Y3 | TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Unrelated Non ICU | ICD | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
30230G3 | TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Unrelated Non ICU | ICD | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
30230Y2 | TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity Medsurg | ICD | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
0230 | Incremental Nursing Charge - General Classification | RC | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
30233Y3 | TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Unrelated Non ICU | ICD | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
30243G3 | TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Unrelated Non ICU | ICD | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
30230G2 | TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity Medsurg | ICD | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
30240G2 | TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity Medsurg | ICD | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
30243Y2 | TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity Medsurg | ICD | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
0233 | Incremental Nursing Charge - ICU | RC | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
30243G2 | TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity Medsurg | ICD | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
30243Y3 | TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Unrelated Non ICU | ICD | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
30240Y2 | TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity Medsurg | ICD | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
30233G3 | TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous Allogeneic Unrelated Non ICU | ICD | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
0240 | HC BH RESIDENTIAL FULL MONTH STAY | RC | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
30240G3 | TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous Allogeneic Unrelated Non ICU | ICD | Policy statements unchanged. Policy guidelines updated to add medically necessary and investigative definitions. 05/26/2016: Policy number added. 09/30/2016: Code Reference section updated to add the following new ICD-10 procedure codes: 30230G2, 30233G2, 30240G2, 30243G2, 30230G3, 30233G3, 30240G3, 30243G3, 30230G4, 3... |
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