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J7181
Injection, factor xiii a-subunit, (recombinant), per iu
HCPCS
- Q9995 Injection, emicizumab-kxwh, 0.5 mg Other HCPCS codes for blood-clotting factors and injections are - J7170 Injection, emicizumab-kxwh, 0.5 mg - J7175 Injection, factor X, (human), 1 IU - J7179 Injection, von Willebrand factor (recombinant), (Vonvendi), 1 IU VWF:RCo - J7180 Injection, factor XIII (antihemophilic...
J7175
Inj, factor x, (human), 1iu
HCPCS
- Q9995 Injection, emicizumab-kxwh, 0.5 mg Other HCPCS codes for blood-clotting factors and injections are - J7170 Injection, emicizumab-kxwh, 0.5 mg - J7175 Injection, factor X, (human), 1 IU - J7179 Injection, von Willebrand factor (recombinant), (Vonvendi), 1 IU VWF:RCo - J7180 Injection, factor XIII (antihemophilic...
Q9995
INJ. EMICIZUMAB-KXWH, 0.5 MG
HCPCS
- Q9995 Injection, emicizumab-kxwh, 0.5 mg Other HCPCS codes for blood-clotting factors and injections are - J7170 Injection, emicizumab-kxwh, 0.5 mg - J7175 Injection, factor X, (human), 1 IU - J7179 Injection, von Willebrand factor (recombinant), (Vonvendi), 1 IU VWF:RCo - J7180 Injection, factor XIII (antihemophilic...
J7185
Xyntha inj
HCPCS
- Q9995 Injection, emicizumab-kxwh, 0.5 mg Other HCPCS codes for blood-clotting factors and injections are - J7170 Injection, emicizumab-kxwh, 0.5 mg - J7175 Injection, factor X, (human), 1 IU - J7179 Injection, von Willebrand factor (recombinant), (Vonvendi), 1 IU VWF:RCo - J7180 Injection, factor XIII (antihemophilic...
J7182
Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu
HCPCS
- Q9995 Injection, emicizumab-kxwh, 0.5 mg Other HCPCS codes for blood-clotting factors and injections are - J7170 Injection, emicizumab-kxwh, 0.5 mg - J7175 Injection, factor X, (human), 1 IU - J7179 Injection, von Willebrand factor (recombinant), (Vonvendi), 1 IU VWF:RCo - J7180 Injection, factor XIII (antihemophilic...
J7183
Wilate injection
HCPCS
- Q9995 Injection, emicizumab-kxwh, 0.5 mg Other HCPCS codes for blood-clotting factors and injections are - J7170 Injection, emicizumab-kxwh, 0.5 mg - J7175 Injection, factor X, (human), 1 IU - J7179 Injection, von Willebrand factor (recombinant), (Vonvendi), 1 IU VWF:RCo - J7180 Injection, factor XIII (antihemophilic...
J7179
VON WILLEBRAND FACTOR (RECOMB) 650 UNITS IV SOLR
HCPCS
- Q9995 Injection, emicizumab-kxwh, 0.5 mg Other HCPCS codes for blood-clotting factors and injections are - J7170 Injection, emicizumab-kxwh, 0.5 mg - J7175 Injection, factor X, (human), 1 IU - J7179 Injection, von Willebrand factor (recombinant), (Vonvendi), 1 IU VWF:RCo - J7180 Injection, factor XIII (antihemophilic...
J7170
Inj., emicizumab-kxwh 0.5 mg
HCPCS
- Q9995 Injection, emicizumab-kxwh, 0.5 mg Other HCPCS codes for blood-clotting factors and injections are - J7170 Injection, emicizumab-kxwh, 0.5 mg - J7175 Injection, factor X, (human), 1 IU - J7179 Injection, von Willebrand factor (recombinant), (Vonvendi), 1 IU VWF:RCo - J7180 Injection, factor XIII (antihemophilic...
J7195
Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified
HCPCS
- Q9995 Injection, emicizumab-kxwh, 0.5 mg Other HCPCS codes for blood-clotting factors and injections are - J7170 Injection, emicizumab-kxwh, 0.5 mg - J7175 Injection, factor X, (human), 1 IU - J7179 Injection, von Willebrand factor (recombinant), (Vonvendi), 1 IU VWF:RCo - J7180 Injection, factor XIII (antihemophilic...
J7194
HC Profilnine Sd Phs Home
HCPCS
- Q9995 Injection, emicizumab-kxwh, 0.5 mg Other HCPCS codes for blood-clotting factors and injections are - J7170 Injection, emicizumab-kxwh, 0.5 mg - J7175 Injection, factor X, (human), 1 IU - J7179 Injection, von Willebrand factor (recombinant), (Vonvendi), 1 IU VWF:RCo - J7180 Injection, factor XIII (antihemophilic...
J7193
HC Mononine-Tc/Phsa Home Phs
HCPCS
- Q9995 Injection, emicizumab-kxwh, 0.5 mg Other HCPCS codes for blood-clotting factors and injections are - J7170 Injection, emicizumab-kxwh, 0.5 mg - J7175 Injection, factor X, (human), 1 IU - J7179 Injection, von Willebrand factor (recombinant), (Vonvendi), 1 IU VWF:RCo - J7180 Injection, factor XIII (antihemophilic...
88384
Eval molecular probes 11-50
CPT
Neither CancerType ID® nor miRview® (or Rosetta Cancer Origin™) have been submitted to FDA for approval. Gene expression profiling is considered investigational to evaluate the site of origin of a tumor of unknown primary, or to distinguish a primary from a metastatic tumor. Effective in July 2013, there is a specific ...
88384
Eval molecular probes 11-50
CPT
Gene expression profiling is considered investigational to evaluate the site of origin of a tumor of unknown primary, or to distinguish a primary from a metastatic tumor. Effective in July 2013, there is a specific CPT coding for the Pathwork Tissue of Origin test: 81504 - Oncology (tissue of origin), microarray gene e...
81599
Unlisted multianalyte assay with algorithmic analysis
CPT
Gene expression profiling is considered investigational to evaluate the site of origin of a tumor of unknown primary, or to distinguish a primary from a metastatic tumor. Effective in July 2013, there is a specific CPT coding for the Pathwork Tissue of Origin test: 81504 - Oncology (tissue of origin), microarray gene e...
88384
Eval molecular probes 11-50
CPT
Effective in July 2013, there is a specific CPT coding for the Pathwork Tissue of Origin test: 81504 - Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as tissue similarity scores Prior to July 2013, the preparation ...
81599
Unlisted multianalyte assay with algorithmic analysis
CPT
Effective in July 2013, there is a specific CPT coding for the Pathwork Tissue of Origin test: 81504 - Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as tissue similarity scores Prior to July 2013, the preparation ...
81599
Unlisted multianalyte assay with algorithmic analysis
CPT
Prior to July 2013, Pathwork Diagnostics stated that they used 84999 (unlisted chemistry procedure). The other tests described below do not have specific CPT codes. If the test result is calculated using an algorithm and reported as a numeric score(s) or as a probability, the unlisted multianalyte assays with algorithm...
81599
Unlisted multianalyte assay with algorithmic analysis
CPT
The other tests described below do not have specific CPT codes. If the test result is calculated using an algorithm and reported as a numeric score(s) or as a probability, the unlisted multianalyte assays with algorithmic analyses code 81599 would be reported. If not, the unlisted molecular pathology code 81479 would b...
90850
nan
CPT
Cancers of unknown primary site: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. Sep 2011;22 Suppl 6:vi64-68. PMID 21908507 |CPT||81504||Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm re...
90850
nan
CPT
Ann Oncol. Sep 2011;22 Suppl 6:vi64-68. PMID 21908507 |CPT||81504||Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as tissue similarity scores| |ICD-9 Diagnosis||Investigational for all codes| |ICD-10-CM (effective ...
90850
nan
CPT
Sep 2011;22 Suppl 6:vi64-68. PMID 21908507 |CPT||81504||Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as tissue similarity scores| |ICD-9 Diagnosis||Investigational for all codes| |ICD-10-CM (effective 10/1/15)||I...
90850
nan
CPT
PMID 21908507 |CPT||81504||Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as tissue similarity scores| |ICD-9 Diagnosis||Investigational for all codes| |ICD-10-CM (effective 10/1/15)||Investigational for all releva...
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...
20987
Cptr-asst dir ms px pre img
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...
20986
Cptr-asst dir ms px io img
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...
96379
HC THER/PRO/DIAG INJ/INF PRO
HCPCS
RiaSTAP is available as single-use vials containing 900 to 1,300 mg lyophilized fibrinogen concentrate powder for reconstitution. Actual fibrinogen potency for each lot is printed on vial label and carton. The dosing of RiaSTAP is as follows (Israels, 2009; CSL Behring US Package Insert, 2009): |CPT Codes / HCPCS Codes...
96375
TX/PRO/DX INJ NEW DRUG ADDON
HCPCS
RiaSTAP is available as single-use vials containing 900 to 1,300 mg lyophilized fibrinogen concentrate powder for reconstitution. Actual fibrinogen potency for each lot is printed on vial label and carton. The dosing of RiaSTAP is as follows (Israels, 2009; CSL Behring US Package Insert, 2009): |CPT Codes / HCPCS Codes...
96374
THER/PROPH/DIAG INJ IV PUSH
HCPCS
RiaSTAP is available as single-use vials containing 900 to 1,300 mg lyophilized fibrinogen concentrate powder for reconstitution. Actual fibrinogen potency for each lot is printed on vial label and carton. The dosing of RiaSTAP is as follows (Israels, 2009; CSL Behring US Package Insert, 2009): |CPT Codes / HCPCS Codes...
J7178
Inj human fibrinogen con nos
HCPCS
RiaSTAP is available as single-use vials containing 900 to 1,300 mg lyophilized fibrinogen concentrate powder for reconstitution. Actual fibrinogen potency for each lot is printed on vial label and carton. The dosing of RiaSTAP is as follows (Israels, 2009; CSL Behring US Package Insert, 2009): |CPT Codes / HCPCS Codes...
96376
TX/PRO/DX INJ SAME DRUG ADON
HCPCS
RiaSTAP is available as single-use vials containing 900 to 1,300 mg lyophilized fibrinogen concentrate powder for reconstitution. Actual fibrinogen potency for each lot is printed on vial label and carton. The dosing of RiaSTAP is as follows (Israels, 2009; CSL Behring US Package Insert, 2009): |CPT Codes / HCPCS Codes...
96379
HC THER/PRO/DIAG INJ/INF PRO
HCPCS
Actual fibrinogen potency for each lot is printed on vial label and carton. The dosing of RiaSTAP is as follows (Israels, 2009; CSL Behring US Package Insert, 2009): |CPT Codes / HCPCS Codes / ICD-10 Codes| |Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character a...
96375
TX/PRO/DX INJ NEW DRUG ADDON
HCPCS
Actual fibrinogen potency for each lot is printed on vial label and carton. The dosing of RiaSTAP is as follows (Israels, 2009; CSL Behring US Package Insert, 2009): |CPT Codes / HCPCS Codes / ICD-10 Codes| |Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character a...
96374
THER/PROPH/DIAG INJ IV PUSH
HCPCS
Actual fibrinogen potency for each lot is printed on vial label and carton. The dosing of RiaSTAP is as follows (Israels, 2009; CSL Behring US Package Insert, 2009): |CPT Codes / HCPCS Codes / ICD-10 Codes| |Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character a...
J7178
Inj human fibrinogen con nos
HCPCS
Actual fibrinogen potency for each lot is printed on vial label and carton. The dosing of RiaSTAP is as follows (Israels, 2009; CSL Behring US Package Insert, 2009): |CPT Codes / HCPCS Codes / ICD-10 Codes| |Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character a...
96376
TX/PRO/DX INJ SAME DRUG ADON
HCPCS
Actual fibrinogen potency for each lot is printed on vial label and carton. The dosing of RiaSTAP is as follows (Israels, 2009; CSL Behring US Package Insert, 2009): |CPT Codes / HCPCS Codes / ICD-10 Codes| |Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character a...
G0358
IV PUSH TECHNIQUE EACH ADD SUBSTANCE/DRUG
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
38214
Volume deplete of harvest
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
38209
Wash harvest stem cells
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
G0360
Each additional hr 1-8 hrs
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
38204
PR MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
38213
PR TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
38215
PR TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
J9999
Not otherwise classified, antineoplastic drugs
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
G0361
Prolong chemo infuse>8hrs pu
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
38211
Tumor cell deplete of harvst
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
38207
PR TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
38208
Thaw preserved stem cells
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
G0359
Chemotherapy IV one hr initi
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
38210
T-cell depletion of harvest
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
38230
PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
38212
Rbc depletion of harvest
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
G0363
IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL SYS
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
J9000
INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
G0364
HC BONE MARROW ASPIRATE & BIOPSY
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
38205
PR BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
G0362
Each add sequential infusion
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
G0357
IV PUSH TECHNIQUE SINGLE/INIT SUBSTANCE/DRUG
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
G0356
HORMONAL ANTINEOPLASTIC
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
G0355
CHEMO ADMN SUBQ/IM NONHORMONAL ANTINEOPLASTIC
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
G0358
IV PUSH TECHNIQUE EACH ADD SUBSTANCE/DRUG
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
38214
Volume deplete of harvest
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
38209
Wash harvest stem cells
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
G0360
Each additional hr 1-8 hrs
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
38204
PR MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
38213
PR TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
38215
PR TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
J9999
Not otherwise classified, antineoplastic drugs
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
G0361
Prolong chemo infuse>8hrs pu
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
38211
Tumor cell deplete of harvst
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
38207
PR TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
38208
Thaw preserved stem cells
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
G0359
Chemotherapy IV one hr initi
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
38210
T-cell depletion of harvest
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
38230
PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
38212
Rbc depletion of harvest
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
G0363
IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL SYS
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
J9000
INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
G0364
HC BONE MARROW ASPIRATE & BIOPSY
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
38205
PR BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
G0362
Each add sequential infusion
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
G0357
IV PUSH TECHNIQUE SINGLE/INIT SUBSTANCE/DRUG
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
G0356
HORMONAL ANTINEOPLASTIC
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
G0355
CHEMO ADMN SUBQ/IM NONHORMONAL ANTINEOPLASTIC
HCPCS
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference s...
G0358
IV PUSH TECHNIQUE EACH ADD SUBSTANCE/DRUG
HCPCS
POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC; no changes 10/27/2005: Code Reference section updated; CPT-4 codes 38204, 38205, 38207, 38...
38214
Volume deplete of harvest
HCPCS
POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC; no changes 10/27/2005: Code Reference section updated; CPT-4 codes 38204, 38205, 38207, 38...
38209
Wash harvest stem cells
HCPCS
POLICY HISTORY3/25/2004: See policy "Allogeneic Stem Cell Transplant" prior to 3/25/2004, separate policy developed and aligned with BCBSA policy # 8.01.22 8/19/2004: Code Reference section completed 11/18/2004: Reviewed by MPAC; no changes 10/27/2005: Code Reference section updated; CPT-4 codes 38204, 38205, 38207, 38...