code
stringlengths
4
12
description
stringlengths
2
264
codetype
stringclasses
8 values
context
stringlengths
160
15.5k
E1340
Repair for DME - per 15 min
CPT
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1992: Pneumogram policy approved by Medical Policy Advisory Committee (MPAC) 8/1992: Home Apnea Monitor policy approved by Medical Policy Advisory Committee (MPAC) 9/1999: Policies ...
A4556
PT ELECTRODES
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1992: Pneumogram policy approved by Medical Policy Advisory Committee (MPAC) 8/1992: Home Apnea Monitor policy approved by Medical Policy Advisory Committee (MPAC) 9/1999: Policies ...
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. 6/1992: Pneumogram policy approved by Medical Policy Advisory Committee (MPAC) 8/1992: Home Apnea Monitor policy approved by Medical Policy Advisory Committee (MPAC) 9/1999: Policies ...
E0608
APNEA MONITOR
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1992: Pneumogram policy approved by Medical Policy Advisory Committee (MPAC) 8/1992: Home Apnea Monitor policy approved by Medical Policy Advisory Committee (MPAC) 9/1999: Policies ...
A4557
Lead wires, pair
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1992: Pneumogram policy approved by Medical Policy Advisory Committee (MPAC) 8/1992: Home Apnea Monitor policy approved by Medical Policy Advisory Committee (MPAC) 9/1999: Policies ...
E0619
Apnea monitor w recorder
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1992: Pneumogram policy approved by Medical Policy Advisory Committee (MPAC) 8/1992: Home Apnea Monitor policy approved by Medical Policy Advisory Committee (MPAC) 9/1999: Policies ...
E0618
Apnea monitor, without recording feature
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1992: Pneumogram policy approved by Medical Policy Advisory Committee (MPAC) 8/1992: Home Apnea Monitor policy approved by Medical Policy Advisory Committee (MPAC) 9/1999: Policies ...
E1340
Repair for DME - per 15 min
CPT
6/1992: Pneumogram policy approved by Medical Policy Advisory Committee (MPAC) 8/1992: Home Apnea Monitor policy approved by Medical Policy Advisory Committee (MPAC) 9/1999: Policies merged; interim policy changes made 11/1999: Revisions to interim policy approved by MPAC 2/27/2002: Managed Care Requirements deleted 3/...
A4556
PT ELECTRODES
HCPCS
6/1992: Pneumogram policy approved by Medical Policy Advisory Committee (MPAC) 8/1992: Home Apnea Monitor policy approved by Medical Policy Advisory Committee (MPAC) 9/1999: Policies merged; interim policy changes made 11/1999: Revisions to interim policy approved by MPAC 2/27/2002: Managed Care Requirements deleted 3/...
1999
ANESTHESIOLOGY GROUP
CPT
6/1992: Pneumogram policy approved by Medical Policy Advisory Committee (MPAC) 8/1992: Home Apnea Monitor policy approved by Medical Policy Advisory Committee (MPAC) 9/1999: Policies merged; interim policy changes made 11/1999: Revisions to interim policy approved by MPAC 2/27/2002: Managed Care Requirements deleted 3/...
E0608
APNEA MONITOR
HCPCS
6/1992: Pneumogram policy approved by Medical Policy Advisory Committee (MPAC) 8/1992: Home Apnea Monitor policy approved by Medical Policy Advisory Committee (MPAC) 9/1999: Policies merged; interim policy changes made 11/1999: Revisions to interim policy approved by MPAC 2/27/2002: Managed Care Requirements deleted 3/...
A4557
Lead wires, pair
HCPCS
6/1992: Pneumogram policy approved by Medical Policy Advisory Committee (MPAC) 8/1992: Home Apnea Monitor policy approved by Medical Policy Advisory Committee (MPAC) 9/1999: Policies merged; interim policy changes made 11/1999: Revisions to interim policy approved by MPAC 2/27/2002: Managed Care Requirements deleted 3/...
E0619
Apnea monitor w recorder
HCPCS
6/1992: Pneumogram policy approved by Medical Policy Advisory Committee (MPAC) 8/1992: Home Apnea Monitor policy approved by Medical Policy Advisory Committee (MPAC) 9/1999: Policies merged; interim policy changes made 11/1999: Revisions to interim policy approved by MPAC 2/27/2002: Managed Care Requirements deleted 3/...
E0618
Apnea monitor, without recording feature
HCPCS
6/1992: Pneumogram policy approved by Medical Policy Advisory Committee (MPAC) 8/1992: Home Apnea Monitor policy approved by Medical Policy Advisory Committee (MPAC) 9/1999: Policies merged; interim policy changes made 11/1999: Revisions to interim policy approved by MPAC 2/27/2002: Managed Care Requirements deleted 3/...
E0751
PULSE GENERATOR OR RECEIVER
CPT
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...
95972
PR ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG
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...
63690
-1
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...
1999
ANESTHESIOLOGY GROUP
CPT
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...
95970
PR ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING
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...
E0753
NEUROSTIMUL ELECTRODES/LEADS
CPT
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...
95971
PR ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG
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...
63685
PR INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ&CONNJ
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...
63691
-1
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...
E0754
PT PROGRAMMER W/IMPL PROG NEUROSTIM PULSE GEN
CPT
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...
E0752
IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH
CPT
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...
63660
Revise/Remove Neuroelectrode
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...
95973
Analyze neurostim complex
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...
E0751
PULSE GENERATOR OR RECEIVER
CPT
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1993: Approved by Medical Policy Advisory Committee (MPAC) 3/2001: Policy reviewed; Hyperlinks inserted under Policy, Managed Care Requirements deleted, Sources updated 2/15/2002: I...
95972
PR ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1993: Approved by Medical Policy Advisory Committee (MPAC) 3/2001: Policy reviewed; Hyperlinks inserted under Policy, Managed Care Requirements deleted, Sources updated 2/15/2002: I...
63690
-1
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1993: Approved by Medical Policy Advisory Committee (MPAC) 3/2001: Policy reviewed; Hyperlinks inserted under Policy, Managed Care Requirements deleted, Sources updated 2/15/2002: I...
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. 6/1993: Approved by Medical Policy Advisory Committee (MPAC) 3/2001: Policy reviewed; Hyperlinks inserted under Policy, Managed Care Requirements deleted, Sources updated 2/15/2002: I...
95970
PR ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1993: Approved by Medical Policy Advisory Committee (MPAC) 3/2001: Policy reviewed; Hyperlinks inserted under Policy, Managed Care Requirements deleted, Sources updated 2/15/2002: I...
E0753
NEUROSTIMUL ELECTRODES/LEADS
CPT
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1993: Approved by Medical Policy Advisory Committee (MPAC) 3/2001: Policy reviewed; Hyperlinks inserted under Policy, Managed Care Requirements deleted, Sources updated 2/15/2002: I...
95971
PR ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1993: Approved by Medical Policy Advisory Committee (MPAC) 3/2001: Policy reviewed; Hyperlinks inserted under Policy, Managed Care Requirements deleted, Sources updated 2/15/2002: I...
63685
PR INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ&CONNJ
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1993: Approved by Medical Policy Advisory Committee (MPAC) 3/2001: Policy reviewed; Hyperlinks inserted under Policy, Managed Care Requirements deleted, Sources updated 2/15/2002: I...
63691
-1
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1993: Approved by Medical Policy Advisory Committee (MPAC) 3/2001: Policy reviewed; Hyperlinks inserted under Policy, Managed Care Requirements deleted, Sources updated 2/15/2002: I...
E0754
PT PROGRAMMER W/IMPL PROG NEUROSTIM PULSE GEN
CPT
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1993: Approved by Medical Policy Advisory Committee (MPAC) 3/2001: Policy reviewed; Hyperlinks inserted under Policy, Managed Care Requirements deleted, Sources updated 2/15/2002: I...
E0752
IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH
CPT
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1993: Approved by Medical Policy Advisory Committee (MPAC) 3/2001: Policy reviewed; Hyperlinks inserted under Policy, Managed Care Requirements deleted, Sources updated 2/15/2002: I...
63660
Revise/Remove Neuroelectrode
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1993: Approved by Medical Policy Advisory Committee (MPAC) 3/2001: Policy reviewed; Hyperlinks inserted under Policy, Managed Care Requirements deleted, Sources updated 2/15/2002: I...
95973
Analyze neurostim complex
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 6/1993: Approved by Medical Policy Advisory Committee (MPAC) 3/2001: Policy reviewed; Hyperlinks inserted under Policy, Managed Care Requirements deleted, Sources updated 2/15/2002: I...
95972
PR ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG
HCPCS
Policy statement updated to add heart failure as investigational. 08/27/2015: Code Reference section updated for ICD-10. Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to re...
E0756
Implantable pulse generator
CPT
Policy statement updated to add heart failure as investigational. 08/27/2015: Code Reference section updated for ICD-10. Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to re...
E0758
External RF transmitter
CPT
Policy statement updated to add heart failure as investigational. 08/27/2015: Code Reference section updated for ICD-10. Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to re...
E0754
PT PROGRAMMER W/IMPL PROG NEUROSTIM PULSE GEN
CPT
Policy statement updated to add heart failure as investigational. 08/27/2015: Code Reference section updated for ICD-10. Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to re...
E0752
IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH
CPT
Policy statement updated to add heart failure as investigational. 08/27/2015: Code Reference section updated for ICD-10. Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to re...
E0757
Implantable RF receiver
CPT
Policy statement updated to add heart failure as investigational. 08/27/2015: Code Reference section updated for ICD-10. Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to re...
95972
PR ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG
HCPCS
08/27/2015: Code Reference section updated for ICD-10. Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to revise the description for CPT code 95972. 05/31/2016: Policy number...
E0756
Implantable pulse generator
CPT
08/27/2015: Code Reference section updated for ICD-10. Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to revise the description for CPT code 95972. 05/31/2016: Policy number...
E0758
External RF transmitter
CPT
08/27/2015: Code Reference section updated for ICD-10. Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to revise the description for CPT code 95972. 05/31/2016: Policy number...
E0754
PT PROGRAMMER W/IMPL PROG NEUROSTIM PULSE GEN
CPT
08/27/2015: Code Reference section updated for ICD-10. Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to revise the description for CPT code 95972. 05/31/2016: Policy number...
E0752
IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH
CPT
08/27/2015: Code Reference section updated for ICD-10. Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to revise the description for CPT code 95972. 05/31/2016: Policy number...
E0757
Implantable RF receiver
CPT
08/27/2015: Code Reference section updated for ICD-10. Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to revise the description for CPT code 95972. 05/31/2016: Policy number...
95972
PR ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG
HCPCS
Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to revise the description for CPT code 95972. 05/31/2016: Policy number added. 07/20/2016: Policy description updated regardin...
E0756
Implantable pulse generator
CPT
Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to revise the description for CPT code 95972. 05/31/2016: Policy number added. 07/20/2016: Policy description updated regardin...
E0758
External RF transmitter
CPT
Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to revise the description for CPT code 95972. 05/31/2016: Policy number added. 07/20/2016: Policy description updated regardin...
E0754
PT PROGRAMMER W/IMPL PROG NEUROSTIM PULSE GEN
CPT
Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to revise the description for CPT code 95972. 05/31/2016: Policy number added. 07/20/2016: Policy description updated regardin...
E0752
IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH
CPT
Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to revise the description for CPT code 95972. 05/31/2016: Policy number added. 07/20/2016: Policy description updated regardin...
E0757
Implantable RF receiver
CPT
Removed deleted HCPCS codes E0752, E0754, E0756, E0757, and E0758. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to revise the description for CPT code 95972. 05/31/2016: Policy number added. 07/20/2016: Policy description updated regardin...
11710
Debridement of nails-electric grinder-five or less
CPT
For example, a doctor may provide documentation of a mole removed from the torso of a patient via cryoablation (essentially, freezing the mole). The medical biller and coder would look at the procedure documentation and decide which codes correspond to the diagnosis and procedure listed. In the case of this example, a ...
A0428
HC BLS NON EMERGENCY A0428
HCPCS
Level II or HCPCS Modifiers Level II or HCPCS modifiers consist of two characters— either Alphabets or Alphanumeric. It’s pertinent to mention here that these modifiers are updated by the Centre for Medicare & Medicaid Services(CMS). The HCPCS modifiers are used to provide additional information on specific items used ...
A0428
HC BLS NON EMERGENCY A0428
HCPCS
It’s pertinent to mention here that these modifiers are updated by the Centre for Medicare & Medicaid Services(CMS). The HCPCS modifiers are used to provide additional information on specific items used to deliver non-physician services. Before forwarding to the payers, all of this information is represented in the for...
A0428
HC BLS NON EMERGENCY A0428
HCPCS
The HCPCS modifiers are used to provide additional information on specific items used to deliver non-physician services. Before forwarding to the payers, all of this information is represented in the format ‘HCPCS code modifier’. For instance, A0428-QN is used to represent “basic life support ambulance service, non-eme...
32856
Prepare donor lung double
HCPCS
For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m...
S2061
Donor lobectomy (lung) for transplantation, living donor
HCPCS
For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m...
32855
Prepare donor lung single
HCPCS
For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m...
S2060
LOBAR LUNG TRANSPLANTATION
HCPCS
For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m...
S2152
SOLID ORGAN TRANSPL PKG
HCPCS
For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m...
32856
Prepare donor lung double
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...
S2061
Donor lobectomy (lung) for transplantation, living donor
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...
32855
Prepare donor lung single
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...
S2060
LOBAR LUNG TRANSPLANTATION
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...
S2152
SOLID ORGAN TRANSPL PKG
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...
32856
Prepare donor lung double
HCPCS
Each individual transplant certer will determine patient selection criteria for HIV positive patients" 10/17/2005: Code Reference table updated: CPT codes 32855, 32856 added; ICD-9 procedure code 00.91, 00.92, 00.93 added; HCPCS codes S2060, S2061 S2152 added; diagnosis code 518.3 added 3/14/2006: Coding updated. CPT4 ...
S2061
Donor lobectomy (lung) for transplantation, living donor
HCPCS
Each individual transplant certer will determine patient selection criteria for HIV positive patients" 10/17/2005: Code Reference table updated: CPT codes 32855, 32856 added; ICD-9 procedure code 00.91, 00.92, 00.93 added; HCPCS codes S2060, S2061 S2152 added; diagnosis code 518.3 added 3/14/2006: Coding updated. CPT4 ...
32855
Prepare donor lung single
HCPCS
Each individual transplant certer will determine patient selection criteria for HIV positive patients" 10/17/2005: Code Reference table updated: CPT codes 32855, 32856 added; ICD-9 procedure code 00.91, 00.92, 00.93 added; HCPCS codes S2060, S2061 S2152 added; diagnosis code 518.3 added 3/14/2006: Coding updated. CPT4 ...
S2060
LOBAR LUNG TRANSPLANTATION
HCPCS
Each individual transplant certer will determine patient selection criteria for HIV positive patients" 10/17/2005: Code Reference table updated: CPT codes 32855, 32856 added; ICD-9 procedure code 00.91, 00.92, 00.93 added; HCPCS codes S2060, S2061 S2152 added; diagnosis code 518.3 added 3/14/2006: Coding updated. CPT4 ...
S2152
SOLID ORGAN TRANSPL PKG
HCPCS
Each individual transplant certer will determine patient selection criteria for HIV positive patients" 10/17/2005: Code Reference table updated: CPT codes 32855, 32856 added; ICD-9 procedure code 00.91, 00.92, 00.93 added; HCPCS codes S2060, S2061 S2152 added; diagnosis code 518.3 added 3/14/2006: Coding updated. CPT4 ...
1996
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
HCPCS
HCPCS Level III contains alphanumeric codes that are assigned by Medicaid state agencies to identify additional items and services not included in levels I or II. These are usually called "local codes", and must have "W", "X", "Y", or "Z" in the first position. HCPCS Procedure Modifier Codes can be used with all three ...
1996
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
HCPCS
These are usually called "local codes", and must have "W", "X", "Y", or "Z" in the first position. HCPCS Procedure Modifier Codes can be used with all three levels, with the WA - ZY range used for locally assigned procedure modifiers. - Health Insurance Portability & Accountability Act (HIPAA) – A law passed in 1996 wh...
B4105
Enzyme cartridge enteral nut
HCPCS
- The latest updates include 279 new codes, 51 deleted codes, and 143 revised codes. A total of 71,932 active codes have been recorded with the most recent CMS revisions. - Chapters 1, 3 and 8 witnessed no new changes whereas chapter 2,7,11,14,15,16 and 19 went through the highest changes. - HCPCS codes overhaul - CMS ...
B4105
Enzyme cartridge enteral nut
HCPCS
A total of 71,932 active codes have been recorded with the most recent CMS revisions. - Chapters 1, 3 and 8 witnessed no new changes whereas chapter 2,7,11,14,15,16 and 19 went through the highest changes. - HCPCS codes overhaul - CMS has also changed HCPCS codes Q9994, effective December 3, 2018. - The HCPCS code B410...
B4105
Enzyme cartridge enteral nut
HCPCS
- Chapters 1, 3 and 8 witnessed no new changes whereas chapter 2,7,11,14,15,16 and 19 went through the highest changes. - HCPCS codes overhaul - CMS has also changed HCPCS codes Q9994, effective December 3, 2018. - The HCPCS code B4105 is changed from D "Special Coverage Instructions Apply" to C "Contractor Discretion....
B4105
Enzyme cartridge enteral nut
HCPCS
- HCPCS codes overhaul - CMS has also changed HCPCS codes Q9994, effective December 3, 2018. - The HCPCS code B4105 is changed from D "Special Coverage Instructions Apply" to C "Contractor Discretion. Code B4105 replaces code Q9994 effective for claims with dates of service on or after January 1, 2019. With the latest ...
90834
Psytx w pt 45 minutes
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
95927
Somatosensory testing
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
0333T
Visual ep scr acuity auto
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
96125
Test to assess the ability to complete specific functional tasks applicable to environment
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
92540
PR VSTBLR FUNCJ NYSTAG FOVL&PERPH STIMJ OSCIL TRK
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
90875
PR INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
96101
Psycho testing by psych/phys
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
90867
PR REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
70554
MRI PITUITARY W/O
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
90869
PR REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV & MN
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
S9355
HIT chelation diem
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
98943
PR CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
97530
Therapy procedure using functional activities
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
70553
MRI scan of brain before and after contrast
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
95957
PR DIGITAL ANALYSIS ELECTROENCEPHALOGRAM
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
J0895
INJECTION, DEFEROXAMINE MESYLATE, 500 MG
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...
92544
PR OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC
HCPCS
Most of these interventions have not been proven efficacious in blinded randomized controlled trials”. An UpToDate review on “Attention deficit hyperactivity disorder in children and adolescents: Treatment with medications” (Krull, 2015b) does not mention bupropion, reboxetine, desipramine and nortriptyline as therapeu...