code stringlengths 4 12 | description stringlengths 2 264 | codetype stringclasses 8
values | context stringlengths 160 15.5k |
|---|---|---|---|
G0363 | IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL SYS | HCPCS | 08/27/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. 04/04/2016: Policy description updated regarding FDA regulations. Policy statement updated to ... |
38240 | Transplt allo hct/donor | HCPCS | 08/27/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. 04/04/2016: Policy description updated regarding FDA regulations. Policy statement updated to ... |
38242 | Transplt allo lymphocytes | HCPCS | 08/27/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. 04/04/2016: Policy description updated regarding FDA regulations. Policy statement updated to ... |
96445 | Chemotherapy, intracavitary | HCPCS | 08/27/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. 04/04/2016: Policy description updated regarding FDA regulations. Policy statement updated to ... |
96446 | PR CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH | HCPCS | 08/27/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. 04/04/2016: Policy description updated regarding FDA regulations. Policy statement updated to ... |
E0218 | Fluid circ cold pad w pump | 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... |
E0236 | Pump for water circulating pad | 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... |
E0218 | Fluid circ cold pad w pump | 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 HISTORY2/2001: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, HCPCS E0218 added
5/2/2002: Type of Service and Place of Service deleted
... |
E0236 | Pump for water circulating pad | 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 HISTORY2/2001: Approved by Medical Policy Advisory Committee (MPAC), Code Reference section completed, HCPCS E0218 added
5/2/2002: Type of Service and Place of Service deleted
... |
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 HISTORY1/1993: Approved by Medical Policy Advisory Committee (MPAC)
11/1998: Medical Management of Obesity approved by MPAC
8/1999: Revisions to Surgery for Morbid Obesity appr... |
43644 | PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM | HCPCS | POLICY HISTORY1/1993: Approved by Medical Policy Advisory Committee (MPAC)
11/1998: Medical Management of Obesity approved by MPAC
8/1999: Revisions to Surgery for Morbid Obesity approved by MPAC
1/2000: Medical Management of Obesity and Surgery for Morbid Obesity policies merged; interim policy revisions
2/2000: Inter... |
S2083 | PR ADJUSTMENT GASTRIC BAND | HCPCS | POLICY HISTORY1/1993: Approved by Medical Policy Advisory Committee (MPAC)
11/1998: Medical Management of Obesity approved by MPAC
8/1999: Revisions to Surgery for Morbid Obesity approved by MPAC
1/2000: Medical Management of Obesity and Surgery for Morbid Obesity policies merged; interim policy revisions
2/2000: Inter... |
1999 | ANESTHESIOLOGY GROUP | CPT | POLICY HISTORY1/1993: Approved by Medical Policy Advisory Committee (MPAC)
11/1998: Medical Management of Obesity approved by MPAC
8/1999: Revisions to Surgery for Morbid Obesity approved by MPAC
1/2000: Medical Management of Obesity and Surgery for Morbid Obesity policies merged; interim policy revisions
2/2000: Inter... |
S2082 | Lap adjustable gastric band | CPT | POLICY HISTORY1/1993: Approved by Medical Policy Advisory Committee (MPAC)
11/1998: Medical Management of Obesity approved by MPAC
8/1999: Revisions to Surgery for Morbid Obesity approved by MPAC
1/2000: Medical Management of Obesity and Surgery for Morbid Obesity policies merged; interim policy revisions
2/2000: Inter... |
43659 | HC UNLISTED LAPAROSCOPE PROC STOM | HCPCS | POLICY HISTORY1/1993: Approved by Medical Policy Advisory Committee (MPAC)
11/1998: Medical Management of Obesity approved by MPAC
8/1999: Revisions to Surgery for Morbid Obesity approved by MPAC
1/2000: Medical Management of Obesity and Surgery for Morbid Obesity policies merged; interim policy revisions
2/2000: Inter... |
43633 | Removal of stomach partial | HCPCS | POLICY HISTORY1/1993: Approved by Medical Policy Advisory Committee (MPAC)
11/1998: Medical Management of Obesity approved by MPAC
8/1999: Revisions to Surgery for Morbid Obesity approved by MPAC
1/2000: Medical Management of Obesity and Surgery for Morbid Obesity policies merged; interim policy revisions
2/2000: Inter... |
43847 | PR GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ | HCPCS | POLICY HISTORY1/1993: Approved by Medical Policy Advisory Committee (MPAC)
11/1998: Medical Management of Obesity approved by MPAC
8/1999: Revisions to Surgery for Morbid Obesity approved by MPAC
1/2000: Medical Management of Obesity and Surgery for Morbid Obesity policies merged; interim policy revisions
2/2000: Inter... |
43845 | PR GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM | HCPCS | POLICY HISTORY1/1993: Approved by Medical Policy Advisory Committee (MPAC)
11/1998: Medical Management of Obesity approved by MPAC
8/1999: Revisions to Surgery for Morbid Obesity approved by MPAC
1/2000: Medical Management of Obesity and Surgery for Morbid Obesity policies merged; interim policy revisions
2/2000: Inter... |
43846 | PR GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/< | HCPCS | POLICY HISTORY1/1993: Approved by Medical Policy Advisory Committee (MPAC)
11/1998: Medical Management of Obesity approved by MPAC
8/1999: Revisions to Surgery for Morbid Obesity approved by MPAC
1/2000: Medical Management of Obesity and Surgery for Morbid Obesity policies merged; interim policy revisions
2/2000: Inter... |
43645 | PR LAPS GSTR RSTCV PX W/BYP&SM INT RCNSTJ | HCPCS | POLICY HISTORY1/1993: Approved by Medical Policy Advisory Committee (MPAC)
11/1998: Medical Management of Obesity approved by MPAC
8/1999: Revisions to Surgery for Morbid Obesity approved by MPAC
1/2000: Medical Management of Obesity and Surgery for Morbid Obesity policies merged; interim policy revisions
2/2000: Inter... |
S2085 | Laparoscop gastric bypass | CPT | POLICY HISTORY1/1993: Approved by Medical Policy Advisory Committee (MPAC)
11/1998: Medical Management of Obesity approved by MPAC
8/1999: Revisions to Surgery for Morbid Obesity approved by MPAC
1/2000: Medical Management of Obesity and Surgery for Morbid Obesity policies merged; interim policy revisions
2/2000: Inter... |
43848 | Revision gastroplasty | HCPCS | POLICY HISTORY1/1993: Approved by Medical Policy Advisory Committee (MPAC)
11/1998: Medical Management of Obesity approved by MPAC
8/1999: Revisions to Surgery for Morbid Obesity approved by MPAC
1/2000: Medical Management of Obesity and Surgery for Morbid Obesity policies merged; interim policy revisions
2/2000: Inter... |
43644 | PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM | HCPCS | See Surgical Management
1/9/2001: See POLICY EXCEPTIONS for BancorpSouth
2/2/2001: See POLICY EXCEPTIONS for Mississippi Power
11/29/2001: See POLICY EXCEPTIONS for Ryder System, Incorporation
1/7/2002: Singing River (self insured group) will cover all 5 surgical procedures for morbid obesity added to POLICY EXCEPTIONS... |
S2083 | PR ADJUSTMENT GASTRIC BAND | HCPCS | See Surgical Management
1/9/2001: See POLICY EXCEPTIONS for BancorpSouth
2/2/2001: See POLICY EXCEPTIONS for Mississippi Power
11/29/2001: See POLICY EXCEPTIONS for Ryder System, Incorporation
1/7/2002: Singing River (self insured group) will cover all 5 surgical procedures for morbid obesity added to POLICY EXCEPTIONS... |
S2082 | Lap adjustable gastric band | CPT | See Surgical Management
1/9/2001: See POLICY EXCEPTIONS for BancorpSouth
2/2/2001: See POLICY EXCEPTIONS for Mississippi Power
11/29/2001: See POLICY EXCEPTIONS for Ryder System, Incorporation
1/7/2002: Singing River (self insured group) will cover all 5 surgical procedures for morbid obesity added to POLICY EXCEPTIONS... |
43659 | HC UNLISTED LAPAROSCOPE PROC STOM | HCPCS | See Surgical Management
1/9/2001: See POLICY EXCEPTIONS for BancorpSouth
2/2/2001: See POLICY EXCEPTIONS for Mississippi Power
11/29/2001: See POLICY EXCEPTIONS for Ryder System, Incorporation
1/7/2002: Singing River (self insured group) will cover all 5 surgical procedures for morbid obesity added to POLICY EXCEPTIONS... |
43633 | Removal of stomach partial | HCPCS | See Surgical Management
1/9/2001: See POLICY EXCEPTIONS for BancorpSouth
2/2/2001: See POLICY EXCEPTIONS for Mississippi Power
11/29/2001: See POLICY EXCEPTIONS for Ryder System, Incorporation
1/7/2002: Singing River (self insured group) will cover all 5 surgical procedures for morbid obesity added to POLICY EXCEPTIONS... |
43847 | PR GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ | HCPCS | See Surgical Management
1/9/2001: See POLICY EXCEPTIONS for BancorpSouth
2/2/2001: See POLICY EXCEPTIONS for Mississippi Power
11/29/2001: See POLICY EXCEPTIONS for Ryder System, Incorporation
1/7/2002: Singing River (self insured group) will cover all 5 surgical procedures for morbid obesity added to POLICY EXCEPTIONS... |
43845 | PR GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM | HCPCS | See Surgical Management
1/9/2001: See POLICY EXCEPTIONS for BancorpSouth
2/2/2001: See POLICY EXCEPTIONS for Mississippi Power
11/29/2001: See POLICY EXCEPTIONS for Ryder System, Incorporation
1/7/2002: Singing River (self insured group) will cover all 5 surgical procedures for morbid obesity added to POLICY EXCEPTIONS... |
43846 | PR GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/< | HCPCS | See Surgical Management
1/9/2001: See POLICY EXCEPTIONS for BancorpSouth
2/2/2001: See POLICY EXCEPTIONS for Mississippi Power
11/29/2001: See POLICY EXCEPTIONS for Ryder System, Incorporation
1/7/2002: Singing River (self insured group) will cover all 5 surgical procedures for morbid obesity added to POLICY EXCEPTIONS... |
43645 | PR LAPS GSTR RSTCV PX W/BYP&SM INT RCNSTJ | HCPCS | See Surgical Management
1/9/2001: See POLICY EXCEPTIONS for BancorpSouth
2/2/2001: See POLICY EXCEPTIONS for Mississippi Power
11/29/2001: See POLICY EXCEPTIONS for Ryder System, Incorporation
1/7/2002: Singing River (self insured group) will cover all 5 surgical procedures for morbid obesity added to POLICY EXCEPTIONS... |
S2085 | Laparoscop gastric bypass | CPT | See Surgical Management
1/9/2001: See POLICY EXCEPTIONS for BancorpSouth
2/2/2001: See POLICY EXCEPTIONS for Mississippi Power
11/29/2001: See POLICY EXCEPTIONS for Ryder System, Incorporation
1/7/2002: Singing River (self insured group) will cover all 5 surgical procedures for morbid obesity added to POLICY EXCEPTIONS... |
43848 | Revision gastroplasty | HCPCS | See Surgical Management
1/9/2001: See POLICY EXCEPTIONS for BancorpSouth
2/2/2001: See POLICY EXCEPTIONS for Mississippi Power
11/29/2001: See POLICY EXCEPTIONS for Ryder System, Incorporation
1/7/2002: Singing River (self insured group) will cover all 5 surgical procedures for morbid obesity added to POLICY EXCEPTIONS... |
43644 | PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM | HCPCS | 2/1/2002: Mid-Delta Home Health added to POLICY EXCEPTIONS
2/13/2002: Investigational definition added
3/8/2002: Prior authorization deleted. Policy Exceptions are Group Specific, Renal Care Group added to POLICY EXCEPTIONS
5/1/2002: Type of Service and Place of Service deleted
6/3/2002: CPT code 43848 moved to covered... |
S2083 | PR ADJUSTMENT GASTRIC BAND | HCPCS | 2/1/2002: Mid-Delta Home Health added to POLICY EXCEPTIONS
2/13/2002: Investigational definition added
3/8/2002: Prior authorization deleted. Policy Exceptions are Group Specific, Renal Care Group added to POLICY EXCEPTIONS
5/1/2002: Type of Service and Place of Service deleted
6/3/2002: CPT code 43848 moved to covered... |
S2082 | Lap adjustable gastric band | CPT | 2/1/2002: Mid-Delta Home Health added to POLICY EXCEPTIONS
2/13/2002: Investigational definition added
3/8/2002: Prior authorization deleted. Policy Exceptions are Group Specific, Renal Care Group added to POLICY EXCEPTIONS
5/1/2002: Type of Service and Place of Service deleted
6/3/2002: CPT code 43848 moved to covered... |
43659 | HC UNLISTED LAPAROSCOPE PROC STOM | HCPCS | 2/1/2002: Mid-Delta Home Health added to POLICY EXCEPTIONS
2/13/2002: Investigational definition added
3/8/2002: Prior authorization deleted. Policy Exceptions are Group Specific, Renal Care Group added to POLICY EXCEPTIONS
5/1/2002: Type of Service and Place of Service deleted
6/3/2002: CPT code 43848 moved to covered... |
43633 | Removal of stomach partial | HCPCS | 2/1/2002: Mid-Delta Home Health added to POLICY EXCEPTIONS
2/13/2002: Investigational definition added
3/8/2002: Prior authorization deleted. Policy Exceptions are Group Specific, Renal Care Group added to POLICY EXCEPTIONS
5/1/2002: Type of Service and Place of Service deleted
6/3/2002: CPT code 43848 moved to covered... |
43847 | PR GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ | HCPCS | 2/1/2002: Mid-Delta Home Health added to POLICY EXCEPTIONS
2/13/2002: Investigational definition added
3/8/2002: Prior authorization deleted. Policy Exceptions are Group Specific, Renal Care Group added to POLICY EXCEPTIONS
5/1/2002: Type of Service and Place of Service deleted
6/3/2002: CPT code 43848 moved to covered... |
43845 | PR GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM | HCPCS | 2/1/2002: Mid-Delta Home Health added to POLICY EXCEPTIONS
2/13/2002: Investigational definition added
3/8/2002: Prior authorization deleted. Policy Exceptions are Group Specific, Renal Care Group added to POLICY EXCEPTIONS
5/1/2002: Type of Service and Place of Service deleted
6/3/2002: CPT code 43848 moved to covered... |
43846 | PR GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/< | HCPCS | 2/1/2002: Mid-Delta Home Health added to POLICY EXCEPTIONS
2/13/2002: Investigational definition added
3/8/2002: Prior authorization deleted. Policy Exceptions are Group Specific, Renal Care Group added to POLICY EXCEPTIONS
5/1/2002: Type of Service and Place of Service deleted
6/3/2002: CPT code 43848 moved to covered... |
43645 | PR LAPS GSTR RSTCV PX W/BYP&SM INT RCNSTJ | HCPCS | 2/1/2002: Mid-Delta Home Health added to POLICY EXCEPTIONS
2/13/2002: Investigational definition added
3/8/2002: Prior authorization deleted. Policy Exceptions are Group Specific, Renal Care Group added to POLICY EXCEPTIONS
5/1/2002: Type of Service and Place of Service deleted
6/3/2002: CPT code 43848 moved to covered... |
S2085 | Laparoscop gastric bypass | CPT | 2/1/2002: Mid-Delta Home Health added to POLICY EXCEPTIONS
2/13/2002: Investigational definition added
3/8/2002: Prior authorization deleted. Policy Exceptions are Group Specific, Renal Care Group added to POLICY EXCEPTIONS
5/1/2002: Type of Service and Place of Service deleted
6/3/2002: CPT code 43848 moved to covered... |
43848 | Revision gastroplasty | HCPCS | 2/1/2002: Mid-Delta Home Health added to POLICY EXCEPTIONS
2/13/2002: Investigational definition added
3/8/2002: Prior authorization deleted. Policy Exceptions are Group Specific, Renal Care Group added to POLICY EXCEPTIONS
5/1/2002: Type of Service and Place of Service deleted
6/3/2002: CPT code 43848 moved to covered... |
43644 | PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM | HCPCS | All surgical procedures must be prior authorized and all BCBSMS policy requirements under 'Surgical Management' section in effect at the time of the surgical procedure must be satisfied for coverage.” added
10/21/2004: Metropolitan Life Height and Weight Tables added
11/18/2004: Reviewed by MPAC, no changes, Sources up... |
S2083 | PR ADJUSTMENT GASTRIC BAND | HCPCS | All surgical procedures must be prior authorized and all BCBSMS policy requirements under 'Surgical Management' section in effect at the time of the surgical procedure must be satisfied for coverage.” added
10/21/2004: Metropolitan Life Height and Weight Tables added
11/18/2004: Reviewed by MPAC, no changes, Sources up... |
S2082 | Lap adjustable gastric band | CPT | All surgical procedures must be prior authorized and all BCBSMS policy requirements under 'Surgical Management' section in effect at the time of the surgical procedure must be satisfied for coverage.” added
10/21/2004: Metropolitan Life Height and Weight Tables added
11/18/2004: Reviewed by MPAC, no changes, Sources up... |
43659 | HC UNLISTED LAPAROSCOPE PROC STOM | HCPCS | All surgical procedures must be prior authorized and all BCBSMS policy requirements under 'Surgical Management' section in effect at the time of the surgical procedure must be satisfied for coverage.” added
10/21/2004: Metropolitan Life Height and Weight Tables added
11/18/2004: Reviewed by MPAC, no changes, Sources up... |
43846 | PR GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/< | HCPCS | All surgical procedures must be prior authorized and all BCBSMS policy requirements under 'Surgical Management' section in effect at the time of the surgical procedure must be satisfied for coverage.” added
10/21/2004: Metropolitan Life Height and Weight Tables added
11/18/2004: Reviewed by MPAC, no changes, Sources up... |
43847 | PR GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ | HCPCS | All surgical procedures must be prior authorized and all BCBSMS policy requirements under 'Surgical Management' section in effect at the time of the surgical procedure must be satisfied for coverage.” added
10/21/2004: Metropolitan Life Height and Weight Tables added
11/18/2004: Reviewed by MPAC, no changes, Sources up... |
43645 | PR LAPS GSTR RSTCV PX W/BYP&SM INT RCNSTJ | HCPCS | All surgical procedures must be prior authorized and all BCBSMS policy requirements under 'Surgical Management' section in effect at the time of the surgical procedure must be satisfied for coverage.” added
10/21/2004: Metropolitan Life Height and Weight Tables added
11/18/2004: Reviewed by MPAC, no changes, Sources up... |
43845 | PR GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM | HCPCS | All surgical procedures must be prior authorized and all BCBSMS policy requirements under 'Surgical Management' section in effect at the time of the surgical procedure must be satisfied for coverage.” added
10/21/2004: Metropolitan Life Height and Weight Tables added
11/18/2004: Reviewed by MPAC, no changes, Sources up... |
S2085 | Laparoscop gastric bypass | CPT | All surgical procedures must be prior authorized and all BCBSMS policy requirements under 'Surgical Management' section in effect at the time of the surgical procedure must be satisfied for coverage.” added
10/21/2004: Metropolitan Life Height and Weight Tables added
11/18/2004: Reviewed by MPAC, no changes, Sources up... |
S2083 | PR ADJUSTMENT GASTRIC BAND | HCPCS | CPT codes 43770-43774, 43886-43888, HCPCS code S2083, ICD-9 procedure codes 44.95, 44.97, 44.98 moved to covered
7/30/2010: Policy description updated to include detailed descriptions of gastric restrictive procedures and malabsorptive procedures. Policy statement section updated to include open or laparoscopic biliopa... |
43774 | PR LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE & PORT | HCPCS | CPT codes 43770-43774, 43886-43888, HCPCS code S2083, ICD-9 procedure codes 44.95, 44.97, 44.98 moved to covered
7/30/2010: Policy description updated to include detailed descriptions of gastric restrictive procedures and malabsorptive procedures. Policy statement section updated to include open or laparoscopic biliopa... |
43888 | PR GSTR RSTCV OPN RMVL & RPLCMT SUBQ PORT | HCPCS | CPT codes 43770-43774, 43886-43888, HCPCS code S2083, ICD-9 procedure codes 44.95, 44.97, 44.98 moved to covered
7/30/2010: Policy description updated to include detailed descriptions of gastric restrictive procedures and malabsorptive procedures. Policy statement section updated to include open or laparoscopic biliopa... |
43770 | PR LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE | HCPCS | CPT codes 43770-43774, 43886-43888, HCPCS code S2083, ICD-9 procedure codes 44.95, 44.97, 44.98 moved to covered
7/30/2010: Policy description updated to include detailed descriptions of gastric restrictive procedures and malabsorptive procedures. Policy statement section updated to include open or laparoscopic biliopa... |
43886 | Revise gastric port open | HCPCS | CPT codes 43770-43774, 43886-43888, HCPCS code S2083, ICD-9 procedure codes 44.95, 44.97, 44.98 moved to covered
7/30/2010: Policy description updated to include detailed descriptions of gastric restrictive procedures and malabsorptive procedures. Policy statement section updated to include open or laparoscopic biliopa... |
43845 | PR GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM | HCPCS | FEP prior authorization requirement and FDA language added to policy exception section. Policy guidelines section updated to include detailed information regarding patient selection criteria and BMI calculation. Code reference section updated: Description revised for CPT codes 43659 and 43846. CPT code 43845 added to c... |
S9452 | Nutrition class | HCPCS | FEP prior authorization requirement and FDA language added to policy exception section. Policy guidelines section updated to include detailed information regarding patient selection criteria and BMI calculation. Code reference section updated: Description revised for CPT codes 43659 and 43846. CPT code 43845 added to c... |
43659 | HC UNLISTED LAPAROSCOPE PROC STOM | HCPCS | FEP prior authorization requirement and FDA language added to policy exception section. Policy guidelines section updated to include detailed information regarding patient selection criteria and BMI calculation. Code reference section updated: Description revised for CPT codes 43659 and 43846. CPT code 43845 added to c... |
43846 | PR GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/< | HCPCS | FEP prior authorization requirement and FDA language added to policy exception section. Policy guidelines section updated to include detailed information regarding patient selection criteria and BMI calculation. Code reference section updated: Description revised for CPT codes 43659 and 43846. CPT code 43845 added to c... |
43845 | PR GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM | HCPCS | Policy guidelines section updated to include detailed information regarding patient selection criteria and BMI calculation. Code reference section updated: Description revised for CPT codes 43659 and 43846. CPT code 43845 added to covered table, ICD-9 diagnosis code 997.4 added to covered table, HCPCS code S9452 added ... |
S9452 | Nutrition class | HCPCS | Policy guidelines section updated to include detailed information regarding patient selection criteria and BMI calculation. Code reference section updated: Description revised for CPT codes 43659 and 43846. CPT code 43845 added to covered table, ICD-9 diagnosis code 997.4 added to covered table, HCPCS code S9452 added ... |
43659 | HC UNLISTED LAPAROSCOPE PROC STOM | HCPCS | Policy guidelines section updated to include detailed information regarding patient selection criteria and BMI calculation. Code reference section updated: Description revised for CPT codes 43659 and 43846. CPT code 43845 added to covered table, ICD-9 diagnosis code 997.4 added to covered table, HCPCS code S9452 added ... |
43846 | PR GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/< | HCPCS | Policy guidelines section updated to include detailed information regarding patient selection criteria and BMI calculation. Code reference section updated: Description revised for CPT codes 43659 and 43846. CPT code 43845 added to covered table, ICD-9 diagnosis code 997.4 added to covered table, HCPCS code S9452 added ... |
43845 | PR GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM | HCPCS | Code reference section updated: Description revised for CPT codes 43659 and 43846. CPT code 43845 added to covered table, ICD-9 diagnosis code 997.4 added to covered table, HCPCS code S9452 added to covered table. 10/19/2010: Annual ICD-9 code update: V85.4 deleted/expanded to the fifth digit. Added V85.41-V85.45 to th... |
S9452 | Nutrition class | HCPCS | Code reference section updated: Description revised for CPT codes 43659 and 43846. CPT code 43845 added to covered table, ICD-9 diagnosis code 997.4 added to covered table, HCPCS code S9452 added to covered table. 10/19/2010: Annual ICD-9 code update: V85.4 deleted/expanded to the fifth digit. Added V85.41-V85.45 to th... |
43659 | HC UNLISTED LAPAROSCOPE PROC STOM | HCPCS | Code reference section updated: Description revised for CPT codes 43659 and 43846. CPT code 43845 added to covered table, ICD-9 diagnosis code 997.4 added to covered table, HCPCS code S9452 added to covered table. 10/19/2010: Annual ICD-9 code update: V85.4 deleted/expanded to the fifth digit. Added V85.41-V85.45 to th... |
43846 | PR GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/< | HCPCS | Code reference section updated: Description revised for CPT codes 43659 and 43846. CPT code 43845 added to covered table, ICD-9 diagnosis code 997.4 added to covered table, HCPCS code S9452 added to covered table. 10/19/2010: Annual ICD-9 code update: V85.4 deleted/expanded to the fifth digit. Added V85.41-V85.45 to th... |
43845 | PR GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM | HCPCS | CPT code 43845 added to covered table, ICD-9 diagnosis code 997.4 added to covered table, HCPCS code S9452 added to covered table. 10/19/2010: Annual ICD-9 code update: V85.4 deleted/expanded to the fifth digit. Added V85.41-V85.45 to the Covered Codes table. 08/19/2011: Policy statement revised to state that the patie... |
S9452 | Nutrition class | HCPCS | CPT code 43845 added to covered table, ICD-9 diagnosis code 997.4 added to covered table, HCPCS code S9452 added to covered table. 10/19/2010: Annual ICD-9 code update: V85.4 deleted/expanded to the fifth digit. Added V85.41-V85.45 to the Covered Codes table. 08/19/2011: Policy statement revised to state that the patie... |
00100 | ANESTH SALIVARY GLAND | CPT | Note: Medical necessity is the overarching criteria for a service and the diagnosis code is used to indicate medical necessity in conjunction with a CPT code. On Oct. 1, 2014, ICD-10 will be implemented and will be the standard coding system for the U.S. ICD-10 is currently used by the rest of the world to report healt... |
00100 | ANESTH SALIVARY GLAND | CPT | The most current list of codes in use is ICD-10 which is beginning to be implemented in the U.S. It will give billing and coding professionals and providers the ability to report conditions, diseases, and injuries with more accurate specificity, which will provide clearer information overall about a person’s health sta... |
00100 | ANESTH SALIVARY GLAND | CPT | CPT (Current Procedural Terminology) codes are published by the American Medical Association, and there are approximately 7,800 CPT codes ranging from 00100 through 99499, currently at use. The U.S. and other countries use the fourth edition and they were designed to provide a uniform data set that could be used to des... |
90653 | HC FLU VACCINE ADJUVANT IM | HCPCS | It is also used by physicians to report care they administer in inpatient facilities. Here’s a little behind the scenes about CPT ® codes being made. Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. E... |
49540 | Repair lumbar hernia | HCPCS | It is also used by physicians to report care they administer in inpatient facilities. Here’s a little behind the scenes about CPT ® codes being made. Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. E... |
99213 | Telehealth visit INT | HCPCS | It is also used by physicians to report care they administer in inpatient facilities. Here’s a little behind the scenes about CPT ® codes being made. Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. E... |
71045 | XR CHEST 1 VIEW | HCPCS | It is also used by physicians to report care they administer in inpatient facilities. Here’s a little behind the scenes about CPT ® codes being made. Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. E... |
27250 | TREAT HIP DISLOCATION | HCPCS | It is also used by physicians to report care they administer in inpatient facilities. Here’s a little behind the scenes about CPT ® codes being made. Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. E... |
90653 | HC FLU VACCINE ADJUVANT IM | HCPCS | Here’s a little behind the scenes about CPT ® codes being made. Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for tr... |
49540 | Repair lumbar hernia | HCPCS | Here’s a little behind the scenes about CPT ® codes being made. Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for tr... |
99213 | Telehealth visit INT | HCPCS | Here’s a little behind the scenes about CPT ® codes being made. Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for tr... |
71045 | XR CHEST 1 VIEW | HCPCS | Here’s a little behind the scenes about CPT ® codes being made. Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for tr... |
27250 | TREAT HIP DISLOCATION | HCPCS | Here’s a little behind the scenes about CPT ® codes being made. Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for tr... |
90653 | HC FLU VACCINE ADJUVANT IM | HCPCS | Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for treatment of hip dislocation
49540 billed for repair of a lumbar h... |
49540 | Repair lumbar hernia | HCPCS | Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for treatment of hip dislocation
49540 billed for repair of a lumbar h... |
99213 | Telehealth visit INT | HCPCS | Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for treatment of hip dislocation
49540 billed for repair of a lumbar h... |
J3420 | Vitamin b12 inj per 1000 mcg | HCPCS | Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for treatment of hip dislocation
49540 billed for repair of a lumbar h... |
71045 | XR CHEST 1 VIEW | HCPCS | Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for treatment of hip dislocation
49540 billed for repair of a lumbar h... |
27250 | TREAT HIP DISLOCATION | HCPCS | Over 10,000 CPT codes are available and are updated at the start of each year and no memorization is needed. On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for treatment of hip dislocation
49540 billed for repair of a lumbar h... |
90653 | HC FLU VACCINE ADJUVANT IM | HCPCS | On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for treatment of hip dislocation
49540 billed for repair of a lumbar hernia
71045 billed for chest x-ray
90653 billed for flu injection
|HCPCS Level II (Health Care Procedural Cod... |
49540 | Repair lumbar hernia | HCPCS | On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for treatment of hip dislocation
49540 billed for repair of a lumbar hernia
71045 billed for chest x-ray
90653 billed for flu injection
|HCPCS Level II (Health Care Procedural Cod... |
99213 | Telehealth visit INT | HCPCS | On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for treatment of hip dislocation
49540 billed for repair of a lumbar hernia
71045 billed for chest x-ray
90653 billed for flu injection
|HCPCS Level II (Health Care Procedural Cod... |
J3420 | Vitamin b12 inj per 1000 mcg | HCPCS | On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for treatment of hip dislocation
49540 billed for repair of a lumbar hernia
71045 billed for chest x-ray
90653 billed for flu injection
|HCPCS Level II (Health Care Procedural Cod... |
71045 | XR CHEST 1 VIEW | HCPCS | On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for treatment of hip dislocation
49540 billed for repair of a lumbar hernia
71045 billed for chest x-ray
90653 billed for flu injection
|HCPCS Level II (Health Care Procedural Cod... |
27250 | TREAT HIP DISLOCATION | HCPCS | On the insurance claim forms, CPT codes must be registered. Examples of CPT codes:
99213 billed for an established office visit
27250 billed for treatment of hip dislocation
49540 billed for repair of a lumbar hernia
71045 billed for chest x-ray
90653 billed for flu injection
|HCPCS Level II (Health Care Procedural Cod... |
90653 | HC FLU VACCINE ADJUVANT IM | HCPCS | Examples of CPT codes:
99213 billed for an established office visit
27250 billed for treatment of hip dislocation
49540 billed for repair of a lumbar hernia
71045 billed for chest x-ray
90653 billed for flu injection
|HCPCS Level II (Health Care Procedural Coding System, Level II)||HCPCS Level II’s 7,000-plus alphanume... |
49540 | Repair lumbar hernia | HCPCS | Examples of CPT codes:
99213 billed for an established office visit
27250 billed for treatment of hip dislocation
49540 billed for repair of a lumbar hernia
71045 billed for chest x-ray
90653 billed for flu injection
|HCPCS Level II (Health Care Procedural Coding System, Level II)||HCPCS Level II’s 7,000-plus alphanume... |
99213 | Telehealth visit INT | HCPCS | Examples of CPT codes:
99213 billed for an established office visit
27250 billed for treatment of hip dislocation
49540 billed for repair of a lumbar hernia
71045 billed for chest x-ray
90653 billed for flu injection
|HCPCS Level II (Health Care Procedural Coding System, Level II)||HCPCS Level II’s 7,000-plus alphanume... |
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