code stringlengths 4 12 | description stringlengths 2 264 | codetype stringclasses 8
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G0007 | PT DEMAND RECORD/30 DA; MD REVIEW & | 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... |
93270 | PR XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS | 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... |
33999 | Unlisted px cardiac surgery | 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... |
93014 | Report on transmitted ecg | 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... |
G0004 | PT DEMAND RECORD/30 DA; INCL TRANSM | 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... |
93012 | Transmission of ecg | 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... |
93271 | PR XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS | 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... |
93272 | PR XTRNL PT ACTIVTD ECG DWNLD W/R&I </30 DAYS | 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... |
G0015 | Post Symptom Ecg Tracing | 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... |
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... |
G0007 | PT DEMAND RECORD/30 DA; MD REVIEW & | 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... |
93270 | PR XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS | 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... |
33999 | Unlisted px cardiac surgery | 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... |
93014 | Report on transmitted ecg | 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... |
G0004 | PT DEMAND RECORD/30 DA; INCL TRANSM | 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... |
93012 | Transmission of ecg | 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... |
93271 | PR XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS | 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... |
93272 | PR XTRNL PT ACTIVTD ECG DWNLD W/R&I </30 DAYS | 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... |
G0015 | Post Symptom Ecg Tracing | 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 | 2/1999: Implantable Continuous "Memory Loop" Devices policy approved by Medical Policy Advisory Committee (MPAC), CPT 33999 added
5/1999: MPAC expanded and renamed policy to include all Ambulatory Event Monitors
1/23/2002: Prior authorization deleted
2/15/2002: Investigational definition added
4/18/2002: Type of Servic... |
G0007 | PT DEMAND RECORD/30 DA; MD REVIEW & | HCPCS | 2/1999: Implantable Continuous "Memory Loop" Devices policy approved by Medical Policy Advisory Committee (MPAC), CPT 33999 added
5/1999: MPAC expanded and renamed policy to include all Ambulatory Event Monitors
1/23/2002: Prior authorization deleted
2/15/2002: Investigational definition added
4/18/2002: Type of Servic... |
93228 | TELEMETRY MONITOR UP TO 30 DAYS | HCPCS | 2/1999: Implantable Continuous "Memory Loop" Devices policy approved by Medical Policy Advisory Committee (MPAC), CPT 33999 added
5/1999: MPAC expanded and renamed policy to include all Ambulatory Event Monitors
1/23/2002: Prior authorization deleted
2/15/2002: Investigational definition added
4/18/2002: Type of Servic... |
93270 | PR XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS | HCPCS | 2/1999: Implantable Continuous "Memory Loop" Devices policy approved by Medical Policy Advisory Committee (MPAC), CPT 33999 added
5/1999: MPAC expanded and renamed policy to include all Ambulatory Event Monitors
1/23/2002: Prior authorization deleted
2/15/2002: Investigational definition added
4/18/2002: Type of Servic... |
33999 | Unlisted px cardiac surgery | HCPCS | 2/1999: Implantable Continuous "Memory Loop" Devices policy approved by Medical Policy Advisory Committee (MPAC), CPT 33999 added
5/1999: MPAC expanded and renamed policy to include all Ambulatory Event Monitors
1/23/2002: Prior authorization deleted
2/15/2002: Investigational definition added
4/18/2002: Type of Servic... |
93014 | Report on transmitted ecg | HCPCS | 2/1999: Implantable Continuous "Memory Loop" Devices policy approved by Medical Policy Advisory Committee (MPAC), CPT 33999 added
5/1999: MPAC expanded and renamed policy to include all Ambulatory Event Monitors
1/23/2002: Prior authorization deleted
2/15/2002: Investigational definition added
4/18/2002: Type of Servic... |
G0004 | PT DEMAND RECORD/30 DA; INCL TRANSM | HCPCS | 2/1999: Implantable Continuous "Memory Loop" Devices policy approved by Medical Policy Advisory Committee (MPAC), CPT 33999 added
5/1999: MPAC expanded and renamed policy to include all Ambulatory Event Monitors
1/23/2002: Prior authorization deleted
2/15/2002: Investigational definition added
4/18/2002: Type of Servic... |
93012 | Transmission of ecg | HCPCS | 2/1999: Implantable Continuous "Memory Loop" Devices policy approved by Medical Policy Advisory Committee (MPAC), CPT 33999 added
5/1999: MPAC expanded and renamed policy to include all Ambulatory Event Monitors
1/23/2002: Prior authorization deleted
2/15/2002: Investigational definition added
4/18/2002: Type of Servic... |
93271 | PR XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS | HCPCS | 2/1999: Implantable Continuous "Memory Loop" Devices policy approved by Medical Policy Advisory Committee (MPAC), CPT 33999 added
5/1999: MPAC expanded and renamed policy to include all Ambulatory Event Monitors
1/23/2002: Prior authorization deleted
2/15/2002: Investigational definition added
4/18/2002: Type of Servic... |
93272 | PR XTRNL PT ACTIVTD ECG DWNLD W/R&I </30 DAYS | HCPCS | 2/1999: Implantable Continuous "Memory Loop" Devices policy approved by Medical Policy Advisory Committee (MPAC), CPT 33999 added
5/1999: MPAC expanded and renamed policy to include all Ambulatory Event Monitors
1/23/2002: Prior authorization deleted
2/15/2002: Investigational definition added
4/18/2002: Type of Servic... |
G0015 | Post Symptom Ecg Tracing | HCPCS | 2/1999: Implantable Continuous "Memory Loop" Devices policy approved by Medical Policy Advisory Committee (MPAC), CPT 33999 added
5/1999: MPAC expanded and renamed policy to include all Ambulatory Event Monitors
1/23/2002: Prior authorization deleted
2/15/2002: Investigational definition added
4/18/2002: Type of Servic... |
93229 | Remote 30 day ecg tech supp | HCPCS | 2/1999: Implantable Continuous "Memory Loop" Devices policy approved by Medical Policy Advisory Committee (MPAC), CPT 33999 added
5/1999: MPAC expanded and renamed policy to include all Ambulatory Event Monitors
1/23/2002: Prior authorization deleted
2/15/2002: Investigational definition added
4/18/2002: Type of Servic... |
93229 | Remote 30 day ecg tech supp | HCPCS | HCPCS 2006 revisions added to policy
09/12/2006: Coding updated. ICD9 2006 revisions added to policy
1/3/2007: Policy reviewed, policy section clarified
5/11/2007: Policy reviewed. Policy section updated; no change to policy statements
12/24/2008: Coding reference section updated per the 2009 CPT/HCPCS revisions
5/14/2... |
93228 | TELEMETRY MONITOR UP TO 30 DAYS | HCPCS | HCPCS 2006 revisions added to policy
09/12/2006: Coding updated. ICD9 2006 revisions added to policy
1/3/2007: Policy reviewed, policy section clarified
5/11/2007: Policy reviewed. Policy section updated; no change to policy statements
12/24/2008: Coding reference section updated per the 2009 CPT/HCPCS revisions
5/14/2... |
93229 | Remote 30 day ecg tech supp | HCPCS | ICD9 2006 revisions added to policy
1/3/2007: Policy reviewed, policy section clarified
5/11/2007: Policy reviewed. Policy section updated; no change to policy statements
12/24/2008: Coding reference section updated per the 2009 CPT/HCPCS revisions
5/14/2009: Outpatient cardiac telemetry (MCOT) changed from "investigat... |
93228 | TELEMETRY MONITOR UP TO 30 DAYS | HCPCS | ICD9 2006 revisions added to policy
1/3/2007: Policy reviewed, policy section clarified
5/11/2007: Policy reviewed. Policy section updated; no change to policy statements
12/24/2008: Coding reference section updated per the 2009 CPT/HCPCS revisions
5/14/2009: Outpatient cardiac telemetry (MCOT) changed from "investigat... |
93229 | Remote 30 day ecg tech supp | HCPCS | Policy section updated; no change to policy statements
12/24/2008: Coding reference section updated per the 2009 CPT/HCPCS revisions
5/14/2009: Outpatient cardiac telemetry (MCOT) changed from "investigational" to "not medically necessary"
04/12/2010: Description section revised with other outpatient cardiac telemetry ... |
93228 | TELEMETRY MONITOR UP TO 30 DAYS | HCPCS | Policy section updated; no change to policy statements
12/24/2008: Coding reference section updated per the 2009 CPT/HCPCS revisions
5/14/2009: Outpatient cardiac telemetry (MCOT) changed from "investigational" to "not medically necessary"
04/12/2010: Description section revised with other outpatient cardiac telemetry ... |
93229 | Remote 30 day ecg tech supp | HCPCS | Coding Section revised to add CPT Codes 93228 and 93229 and ICD-9 Diagnosis codes 427.0, 427.1, 427.2, 427.31, 427.32, 427.41, 427.42, 427.61, 427.69 and 427.81 to the Covered Codes Table. Also identified HCPCS Codes S0345, S0346 & S0347 were deleted as of 12/31/2009. 10/21/2010: Policy reviewed; no changes. 03/10/2011... |
93228 | TELEMETRY MONITOR UP TO 30 DAYS | HCPCS | Coding Section revised to add CPT Codes 93228 and 93229 and ICD-9 Diagnosis codes 427.0, 427.1, 427.2, 427.31, 427.32, 427.41, 427.42, 427.61, 427.69 and 427.81 to the Covered Codes Table. Also identified HCPCS Codes S0345, S0346 & S0347 were deleted as of 12/31/2009. 10/21/2010: Policy reviewed; no changes. 03/10/2011... |
1999 | ANESTHESIOLOGY GROUP | CPT | - Ophthalmic Technology Assessment Committee Cornea Panel American Academy of Ophthalmology. Corneal topography. Ophthalmology 1999; 106(8-Jan):1628-38. |CPT||92025||Computerized corneal topography, unilateral or bilateral, with interpretation and report|
|92002–92014||General ophthalmological services|
|ICD-9 Procedur... |
1999 | ANESTHESIOLOGY GROUP | CPT | Corneal topography. Ophthalmology 1999; 106(8-Jan):1628-38. |CPT||92025||Computerized corneal topography, unilateral or bilateral, with interpretation and report|
|92002–92014||General ophthalmological services|
|ICD-9 Procedure||95.02||Comprehensive eye examination|
|95.09||Eye examination, not otherwise specified|
|I... |
1999 | ANESTHESIOLOGY GROUP | CPT | Ophthalmology 1999; 106(8-Jan):1628-38. |CPT||92025||Computerized corneal topography, unilateral or bilateral, with interpretation and report|
|92002–92014||General ophthalmological services|
|ICD-9 Procedure||95.02||Comprehensive eye examination|
|95.09||Eye examination, not otherwise specified|
|ICD-9 Diagnosis||Not ... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | For the procedure, we’d code 23140 for “excision or curretage of bone cyst or benign tumor, humerus; with autograft (includes obtaining the graft).” Since the procedure was completed but not fully successful, we’d add the -52 modifier, for reduced services, to the code, and we’d end up with 23140-52. Physical Status Mo... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | These codes are:
- P1 – a normal, healthy patient
- P2 – a patient with mild systemic disease
- P3 – a patient with severe systemic disease
- P4 – a patient with severe systemic disease that is a constant threat to life
- P5 – a moribund patient who is not expected to survive without the operation
- P6 – a declared bra... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier t... |
1999 | ANESTHESIOLOGY GROUP | CPT | Understanding and recognizing the changes is imperative and can be done through crosswalking. What is ASA Crosswalk? All anesthesia services are billed with the CPT codes ranging from 00100-01999, which are crosswalked to surgical codes. The American Society of Anesthesiologists offers their service of Find-A-Code usin... |
00100 | ANESTH SALIVARY GLAND | CPT | Understanding and recognizing the changes is imperative and can be done through crosswalking. What is ASA Crosswalk? All anesthesia services are billed with the CPT codes ranging from 00100-01999, which are crosswalked to surgical codes. The American Society of Anesthesiologists offers their service of Find-A-Code usin... |
01999 | Unlisted anesth procedure | CPT | Understanding and recognizing the changes is imperative and can be done through crosswalking. What is ASA Crosswalk? All anesthesia services are billed with the CPT codes ranging from 00100-01999, which are crosswalked to surgical codes. The American Society of Anesthesiologists offers their service of Find-A-Code usin... |
1999 | ANESTHESIOLOGY GROUP | CPT | All anesthesia services are billed with the CPT codes ranging from 00100-01999, which are crosswalked to surgical codes. The American Society of Anesthesiologists offers their service of Find-A-Code using which crosswalking of anesthesia is made easier. Using Find-A-Code you can crosswalk from CPT Anesthesia codes to S... |
00100 | ANESTH SALIVARY GLAND | CPT | All anesthesia services are billed with the CPT codes ranging from 00100-01999, which are crosswalked to surgical codes. The American Society of Anesthesiologists offers their service of Find-A-Code using which crosswalking of anesthesia is made easier. Using Find-A-Code you can crosswalk from CPT Anesthesia codes to S... |
01999 | Unlisted anesth procedure | CPT | All anesthesia services are billed with the CPT codes ranging from 00100-01999, which are crosswalked to surgical codes. The American Society of Anesthesiologists offers their service of Find-A-Code using which crosswalking of anesthesia is made easier. Using Find-A-Code you can crosswalk from CPT Anesthesia codes to S... |
A5120 | Skin barrier, wipes or swabs, each | HCPCS | HCPCS codes are five digits in length with no decimal holders and are alphanumeric in nature. Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control par... |
K0011 | Stnd wt pwr whlchr w control | HCPCS | HCPCS codes are five digits in length with no decimal holders and are alphanumeric in nature. Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control par... |
Q4011 | Cast sup sht arm ped plaster | HCPCS | HCPCS codes are five digits in length with no decimal holders and are alphanumeric in nature. Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control par... |
A5120 | Skin barrier, wipes or swabs, each | HCPCS | Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
A5120 - Skin ... |
K0011 | Stnd wt pwr whlchr w control | HCPCS | Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
A5120 - Skin ... |
Q4011 | Cast sup sht arm ped plaster | HCPCS | Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
A5120 - Skin ... |
A5120 | Skin barrier, wipes or swabs, each | HCPCS | HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
A5120 - Skin barrier, wipes or swabs, each
Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drug... |
K0011 | Stnd wt pwr whlchr w control | HCPCS | HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
A5120 - Skin barrier, wipes or swabs, each
Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drug... |
Q4011 | Cast sup sht arm ped plaster | HCPCS | HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
A5120 - Skin barrier, wipes or swabs, each
Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drug... |
00100 | ANESTH SALIVARY GLAND | CPT | The more than 7,000 five-character CPT Codes are an important part of the billing process. They are used by insurers to aid in determining the amount of reimbursement the physician or healthcare provider will receive for services rendered. CPT Codes are copyrighted and maintained by the American Medical Association (AM... |
00100 | ANESTH SALIVARY GLAND | CPT | CPT Codes are copyrighted and maintained by the American Medical Association (AMA). Updated annually, these codes fall into three major categories. - Category I- The codes range is 00100 to 99499. Each five-digit code has a corresponding description of the procedure or service. - Category II – These are more of alphanu... |
1999 | ANESTHESIOLOGY GROUP | CPT | CPT codes help government agencies keep tabs on the value and prevalence of particular procedures whereas hospitals may evaluate the efficiency of divisions and individuals in their facility using Current Procedural Terminology Codes. CPT Code Categories
Category I is concerning procedures and contemporary medical prac... |
00100 | ANESTH SALIVARY GLAND | CPT | CPT codes help government agencies keep tabs on the value and prevalence of particular procedures whereas hospitals may evaluate the efficiency of divisions and individuals in their facility using Current Procedural Terminology Codes. CPT Code Categories
Category I is concerning procedures and contemporary medical prac... |
01999 | Unlisted anesth procedure | CPT | CPT codes help government agencies keep tabs on the value and prevalence of particular procedures whereas hospitals may evaluate the efficiency of divisions and individuals in their facility using Current Procedural Terminology Codes. CPT Code Categories
Category I is concerning procedures and contemporary medical prac... |
1999 | ANESTHESIOLOGY GROUP | CPT | CPT Code Categories
Category I is concerning procedures and contemporary medical practices performed across the United States. This category is generally identified with the 5-character CPT Codes that identify a service or procedure sanctioned by the FDA, and performed by a physician or healthcare professional. This ca... |
00100 | ANESTH SALIVARY GLAND | CPT | CPT Code Categories
Category I is concerning procedures and contemporary medical practices performed across the United States. This category is generally identified with the 5-character CPT Codes that identify a service or procedure sanctioned by the FDA, and performed by a physician or healthcare professional. This ca... |
10000 | Incision & drainage of sebaceous cyst-one | CPT | CPT Code Categories
Category I is concerning procedures and contemporary medical practices performed across the United States. This category is generally identified with the 5-character CPT Codes that identify a service or procedure sanctioned by the FDA, and performed by a physician or healthcare professional. This ca... |
01999 | Unlisted anesth procedure | CPT | CPT Code Categories
Category I is concerning procedures and contemporary medical practices performed across the United States. This category is generally identified with the 5-character CPT Codes that identify a service or procedure sanctioned by the FDA, and performed by a physician or healthcare professional. This ca... |
1999 | ANESTHESIOLOGY GROUP | CPT | This category is generally identified with the 5-character CPT Codes that identify a service or procedure sanctioned by the FDA, and performed by a physician or healthcare professional. This category is broken down into six sections and they are:
- Evaluation and Management (99201-99499) – which includes hospital obser... |
00100 | ANESTH SALIVARY GLAND | CPT | This category is generally identified with the 5-character CPT Codes that identify a service or procedure sanctioned by the FDA, and performed by a physician or healthcare professional. This category is broken down into six sections and they are:
- Evaluation and Management (99201-99499) – which includes hospital obser... |
10000 | Incision & drainage of sebaceous cyst-one | CPT | This category is generally identified with the 5-character CPT Codes that identify a service or procedure sanctioned by the FDA, and performed by a physician or healthcare professional. This category is broken down into six sections and they are:
- Evaluation and Management (99201-99499) – which includes hospital obser... |
01999 | Unlisted anesth procedure | CPT | This category is generally identified with the 5-character CPT Codes that identify a service or procedure sanctioned by the FDA, and performed by a physician or healthcare professional. This category is broken down into six sections and they are:
- Evaluation and Management (99201-99499) – which includes hospital obser... |
99199 | Unlisted special svc px/rprt | CPT | - Radiology (70000-79999) –including ultrasound, mammography, bone/joint, oncology and nuclear medicine. - Pathology and Laboratory (80000–89398) – including organ or disease-oriented panels, drug testing, therapeutic drug assays, evocative/suppression testing, consultations (clinical pathology), urinalysis, transfusio... |
99199 | Unlisted special svc px/rprt | CPT | - Medicine (90281–99099; 99151–99199; 99500–99607) – including vaccines, toxoids, psychiatry, biofeedback, dialysis, gastroenterology, ophthalmology, special otorhinolaryngologic services, cardiovascular, noninvasive vascular diagnostic studies, pulmonary, allergy and clinical immunology, endocrinology and more. Catego... |
96115 | Neurobehavior status exam | HCPCS | References were updated.|
|Reviewed||08/23/2007||MPTAC review. References were updated. Coding updated; removed CPT 96115, 96117 deleted 12/31/2005.|
|Reviewed||09/14/2006||MPTAC review. References were updated.|
| ||01/01/2006||Updated coding section with 01/01/2006 CPT/HCPCS changes|
| ||11/22/2005||Added reference f... |
96117 | NEUROPSYCH TEST BATTERY | CPT | References were updated.|
|Reviewed||08/23/2007||MPTAC review. References were updated. Coding updated; removed CPT 96115, 96117 deleted 12/31/2005.|
|Reviewed||09/14/2006||MPTAC review. References were updated.|
| ||01/01/2006||Updated coding section with 01/01/2006 CPT/HCPCS changes|
| ||11/22/2005||Added reference f... |
96115 | Neurobehavior status exam | HCPCS | References were updated. Coding updated; removed CPT 96115, 96117 deleted 12/31/2005.|
|Reviewed||09/14/2006||MPTAC review. References were updated.|
| ||01/01/2006||Updated coding section with 01/01/2006 CPT/HCPCS changes|
| ||11/22/2005||Added reference for Centers for Medicare and Medicaid Services (CMS) – National ... |
96117 | NEUROPSYCH TEST BATTERY | CPT | References were updated. Coding updated; removed CPT 96115, 96117 deleted 12/31/2005.|
|Reviewed||09/14/2006||MPTAC review. References were updated.|
| ||01/01/2006||Updated coding section with 01/01/2006 CPT/HCPCS changes|
| ||11/22/2005||Added reference for Centers for Medicare and Medicaid Services (CMS) – National ... |
92508 | Speech/hearing therapy | HCPCS | Inpatient benefits are considered not medically necessary if the hospital admission is solely for the purpose of receiving speech therapy. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY9/1994: Issued
11/1997: Prior ... |
92598 | Voice Prosthetic Modification | HCPCS | Inpatient benefits are considered not medically necessary if the hospital admission is solely for the purpose of receiving speech therapy. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY9/1994: Issued
11/1997: Prior ... |
S9128 | Speech therapy, in the home, | HCPCS | Inpatient benefits are considered not medically necessary if the hospital admission is solely for the purpose of receiving speech therapy. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY9/1994: Issued
11/1997: Prior ... |
92506 | ST SPEECH THERAPY EVALUATION | HCPCS | Inpatient benefits are considered not medically necessary if the hospital admission is solely for the purpose of receiving speech therapy. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY9/1994: Issued
11/1997: Prior ... |
92508 | Speech/hearing therapy | 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 HISTORY9/1994: Issued
11/1997: Prior authorization required; expanded description of non-covered services
2/14/2002: Investigational definition added
2/27/2002: Prior Authoriza... |
92598 | Voice Prosthetic Modification | 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 HISTORY9/1994: Issued
11/1997: Prior authorization required; expanded description of non-covered services
2/14/2002: Investigational definition added
2/27/2002: Prior Authoriza... |
S9128 | Speech therapy, in the home, | 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 HISTORY9/1994: Issued
11/1997: Prior authorization required; expanded description of non-covered services
2/14/2002: Investigational definition added
2/27/2002: Prior Authoriza... |
92506 | ST SPEECH THERAPY EVALUATION | 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 HISTORY9/1994: Issued
11/1997: Prior authorization required; expanded description of non-covered services
2/14/2002: Investigational definition added
2/27/2002: Prior Authoriza... |
1743 | Percutaneous robotic assisted procedure | ICD | 2010, 7, 1720–1743. [Google Scholar] [CrossRef]
- Good Health Adds Life to Years. Global Brief for World Health Day 2012; WHO: Geneva, Switzerland, 2012. - Giannangelo, K.; Millar, J. Mapping SNOMED CT to ICD-10. Stud. |
99396 | PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS | HCPCS | Healthcare service providers utilize these codes all across the United States. The code has five digits that denote a particular type of test or procedure depending on the code combination. These codes are also referred to as HCPCS Level I codes or service codes. An individual can make a quick CPT search to verify if t... |
99396 | PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS | HCPCS | The code has five digits that denote a particular type of test or procedure depending on the code combination. These codes are also referred to as HCPCS Level I codes or service codes. An individual can make a quick CPT search to verify if the service offered to them corresponds to what is on the bill. An example of a ... |
99396 | PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS | HCPCS | These codes are also referred to as HCPCS Level I codes or service codes. An individual can make a quick CPT search to verify if the service offered to them corresponds to what is on the bill. An example of a CPT code is 99396, which denotes the code for a preventive visit to a healthcare facility. The type of diagnost... |
20694 | Rmvl ext fixj sys under anes | HCPCS | The mean follow-up time was 28.7 months. The authors concluded that in addition to its positive effect on facial appearance, mandibular distraction osteogenesis is an effective procedure for the treatment of airway obstruction associated with congenital craniofacial defects involving mandibular hypoplasia in appropriat... |
21206 | Reconstruct upper jaw bone | HCPCS | The mean follow-up time was 28.7 months. The authors concluded that in addition to its positive effect on facial appearance, mandibular distraction osteogenesis is an effective procedure for the treatment of airway obstruction associated with congenital craniofacial defects involving mandibular hypoplasia in appropriat... |
42200 | Reconstruct cleft palate | HCPCS | The mean follow-up time was 28.7 months. The authors concluded that in addition to its positive effect on facial appearance, mandibular distraction osteogenesis is an effective procedure for the treatment of airway obstruction associated with congenital craniofacial defects involving mandibular hypoplasia in appropriat... |
D6199 | PR UNSPEC IMPLANT PROCEDURE BY REPORT | HCPCS | The mean follow-up time was 28.7 months. The authors concluded that in addition to its positive effect on facial appearance, mandibular distraction osteogenesis is an effective procedure for the treatment of airway obstruction associated with congenital craniofacial defects involving mandibular hypoplasia in appropriat... |
21196 | Reconst lwr jaw w/fixation | HCPCS | The mean follow-up time was 28.7 months. The authors concluded that in addition to its positive effect on facial appearance, mandibular distraction osteogenesis is an effective procedure for the treatment of airway obstruction associated with congenital craniofacial defects involving mandibular hypoplasia in appropriat... |
21247 | Reconstruct lower jaw bone | HCPCS | The mean follow-up time was 28.7 months. The authors concluded that in addition to its positive effect on facial appearance, mandibular distraction osteogenesis is an effective procedure for the treatment of airway obstruction associated with congenital craniofacial defects involving mandibular hypoplasia in appropriat... |
D8999 | PR UNS ORTHODONTIC PROCEDURE BY REPORT | HCPCS | The mean follow-up time was 28.7 months. The authors concluded that in addition to its positive effect on facial appearance, mandibular distraction osteogenesis is an effective procedure for the treatment of airway obstruction associated with congenital craniofacial defects involving mandibular hypoplasia in appropriat... |
20693 | PR ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES | HCPCS | The mean follow-up time was 28.7 months. The authors concluded that in addition to its positive effect on facial appearance, mandibular distraction osteogenesis is an effective procedure for the treatment of airway obstruction associated with congenital craniofacial defects involving mandibular hypoplasia in appropriat... |
D8010 | PR LTD ORTHODONT TX PRIMARY DENTITION | HCPCS | The mean follow-up time was 28.7 months. The authors concluded that in addition to its positive effect on facial appearance, mandibular distraction osteogenesis is an effective procedure for the treatment of airway obstruction associated with congenital craniofacial defects involving mandibular hypoplasia in appropriat... |
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