code stringlengths 4 12 | description stringlengths 2 264 | codetype stringclasses 8
values | context stringlengths 160 15.5k |
|---|---|---|---|
51720 | Treatment of bladder lesion | HCPCS | For example, if a urologist diagnoses a patient with bladder cancer and performs a bladder instillation of 1 mg of Bacillus Calmette-Guerin (BCG) to treat the tumor, the medical coder might assign:
- CPT® codes (did): 51720 (Bladder instillation of anticarcinogenic agent (including retention time))
- HCPCS code (used):... |
G0121 | SCRN COLONOSCOPY PT NOT HI RISK | HCPCS | The operative word in each of these HCPCS G code descriptors is screening. Screening procedures are not diagnostic procedures. In other words, the HCPCS screening codes apply only to asymptomatic patients. Consider the following HCPCS code examples:
You might submit HCPCS code G0121 (Colorectal cancer screening; barium... |
45378 | PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | HCPCS | Screening procedures are not diagnostic procedures. In other words, the HCPCS screening codes apply only to asymptomatic patients. Consider the following HCPCS code examples:
You might submit HCPCS code G0121 (Colorectal cancer screening; barium enema) when an asymptomatic patient fits the once every 10-year interval. ... |
G0121 | SCRN COLONOSCOPY PT NOT HI RISK | HCPCS | Screening procedures are not diagnostic procedures. In other words, the HCPCS screening codes apply only to asymptomatic patients. Consider the following HCPCS code examples:
You might submit HCPCS code G0121 (Colorectal cancer screening; barium enema) when an asymptomatic patient fits the once every 10-year interval. ... |
45378 | PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | HCPCS | In other words, the HCPCS screening codes apply only to asymptomatic patients. Consider the following HCPCS code examples:
You might submit HCPCS code G0121 (Colorectal cancer screening; barium enema) when an asymptomatic patient fits the once every 10-year interval. If you bill G0121 earlier than the 10-year period, y... |
G0121 | SCRN COLONOSCOPY PT NOT HI RISK | HCPCS | In other words, the HCPCS screening codes apply only to asymptomatic patients. Consider the following HCPCS code examples:
You might submit HCPCS code G0121 (Colorectal cancer screening; barium enema) when an asymptomatic patient fits the once every 10-year interval. If you bill G0121 earlier than the 10-year period, y... |
45378 | PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | HCPCS | Consider the following HCPCS code examples:
You might submit HCPCS code G0121 (Colorectal cancer screening; barium enema) when an asymptomatic patient fits the once every 10-year interval. If you bill G0121 earlier than the 10-year period, your claim will likely be denied. But if a patient complains of symptoms such as... |
G0121 | SCRN COLONOSCOPY PT NOT HI RISK | HCPCS | Consider the following HCPCS code examples:
You might submit HCPCS code G0121 (Colorectal cancer screening; barium enema) when an asymptomatic patient fits the once every 10-year interval. If you bill G0121 earlier than the 10-year period, your claim will likely be denied. But if a patient complains of symptoms such as... |
45378 | PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | HCPCS | If you bill G0121 earlier than the 10-year period, your claim will likely be denied. But if a patient complains of symptoms such as blood in stool, and the gastroenterologist performs a diagnostic colonoscopy, you would choose CPT® code 45378 (Colonoscopy, flexible; diagnostic, including collection of specimen[s] by br... |
G0121 | SCRN COLONOSCOPY PT NOT HI RISK | HCPCS | If you bill G0121 earlier than the 10-year period, your claim will likely be denied. But if a patient complains of symptoms such as blood in stool, and the gastroenterologist performs a diagnostic colonoscopy, you would choose CPT® code 45378 (Colonoscopy, flexible; diagnostic, including collection of specimen[s] by br... |
45378 | PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | HCPCS | But if a patient complains of symptoms such as blood in stool, and the gastroenterologist performs a diagnostic colonoscopy, you would choose CPT® code 45378 (Colonoscopy, flexible; diagnostic, including collection of specimen[s] by brushing or washing, when performed [separate procedure]). Similarly, if an abnormal fi... |
29540 | Strapping of ankle and/or ft | HCPCS | But if a patient complains of symptoms such as blood in stool, and the gastroenterologist performs a diagnostic colonoscopy, you would choose CPT® code 45378 (Colonoscopy, flexible; diagnostic, including collection of specimen[s] by brushing or washing, when performed [separate procedure]). Similarly, if an abnormal fi... |
29540 | Strapping of ankle and/or ft | HCPCS | Similarly, if an abnormal finding prompts your physician to convert a colorectal cancer screening into a diagnostic procedure, you would abandon the HCPCS code for the appropriate CPT® code and append it with CPT® modifier PT (Colorectal cancer screening test; converted to diagnostic test or other procedure). Other cir... |
99070 | Special supplies phys/qhp | HCPCS | Similarly, if an abnormal finding prompts your physician to convert a colorectal cancer screening into a diagnostic procedure, you would abandon the HCPCS code for the appropriate CPT® code and append it with CPT® modifier PT (Colorectal cancer screening test; converted to diagnostic test or other procedure). Other cir... |
A6448 | Lt compres band <3"/yd | HCPCS | Other circumstances may involve the option of reporting a HCPCS Level II code if the HCPCS code offers greater specificity than the CPT® code. This is sometimes the case with CPT® codes that represent supplies. For example, you would choose CPT® code 29540 (Strapping; ankle and/or foot) to report the service of a physi... |
29540 | Strapping of ankle and/or ft | HCPCS | Other circumstances may involve the option of reporting a HCPCS Level II code if the HCPCS code offers greater specificity than the CPT® code. This is sometimes the case with CPT® codes that represent supplies. For example, you would choose CPT® code 29540 (Strapping; ankle and/or foot) to report the service of a physi... |
99070 | Special supplies phys/qhp | HCPCS | Other circumstances may involve the option of reporting a HCPCS Level II code if the HCPCS code offers greater specificity than the CPT® code. This is sometimes the case with CPT® codes that represent supplies. For example, you would choose CPT® code 29540 (Strapping; ankle and/or foot) to report the service of a physi... |
A6448 | Lt compres band <3"/yd | HCPCS | This is sometimes the case with CPT® codes that represent supplies. For example, you would choose CPT® code 29540 (Strapping; ankle and/or foot) to report the service of a physician who diagnosed a sprained right ankle and applied layers of web roll followed by adhesive tape to stabilize the patient’s ankle, which he t... |
29540 | Strapping of ankle and/or ft | HCPCS | This is sometimes the case with CPT® codes that represent supplies. For example, you would choose CPT® code 29540 (Strapping; ankle and/or foot) to report the service of a physician who diagnosed a sprained right ankle and applied layers of web roll followed by adhesive tape to stabilize the patient’s ankle, which he t... |
99070 | Special supplies phys/qhp | HCPCS | This is sometimes the case with CPT® codes that represent supplies. For example, you would choose CPT® code 29540 (Strapping; ankle and/or foot) to report the service of a physician who diagnosed a sprained right ankle and applied layers of web roll followed by adhesive tape to stabilize the patient’s ankle, which he t... |
A6448 | Lt compres band <3"/yd | HCPCS | For example, you would choose CPT® code 29540 (Strapping; ankle and/or foot) to report the service of a physician who diagnosed a sprained right ankle and applied layers of web roll followed by adhesive tape to stabilize the patient’s ankle, which he then covered with the application of an elastic bandage. If this enco... |
29540 | Strapping of ankle and/or ft | HCPCS | For example, you would choose CPT® code 29540 (Strapping; ankle and/or foot) to report the service of a physician who diagnosed a sprained right ankle and applied layers of web roll followed by adhesive tape to stabilize the patient’s ankle, which he then covered with the application of an elastic bandage. If this enco... |
99070 | Special supplies phys/qhp | HCPCS | For example, you would choose CPT® code 29540 (Strapping; ankle and/or foot) to report the service of a physician who diagnosed a sprained right ankle and applied layers of web roll followed by adhesive tape to stabilize the patient’s ankle, which he then covered with the application of an elastic bandage. If this enco... |
A6448 | Lt compres band <3"/yd | HCPCS | If this encounter was an initial service with "no other procedure or treatment" required, you would also report CPT® code 99070 to document the use of supplies like tape or bandages. Some coders, though, opt to forgo the generic CPT® code 99070, preferring instead the detailed HCPCS A code options, such as A6448 (Light... |
99070 | Special supplies phys/qhp | HCPCS | If this encounter was an initial service with "no other procedure or treatment" required, you would also report CPT® code 99070 to document the use of supplies like tape or bandages. Some coders, though, opt to forgo the generic CPT® code 99070, preferring instead the detailed HCPCS A code options, such as A6448 (Light... |
E1130 | Whlchr stand fxd arm ft rest | HCPCS | If this encounter was an initial service with "no other procedure or treatment" required, you would also report CPT® code 99070 to document the use of supplies like tape or bandages. Some coders, though, opt to forgo the generic CPT® code 99070, preferring instead the detailed HCPCS A code options, such as A6448 (Light... |
A6448 | Lt compres band <3"/yd | HCPCS | Some coders, though, opt to forgo the generic CPT® code 99070, preferring instead the detailed HCPCS A code options, such as A6448 (Light compression bandage, elastic, knitted/woven, width less than 3 inches, per yard). HCPCS Level II Modifiers
HCPCS modifiers consist of two alpha or alphanumeric characters and are app... |
99070 | Special supplies phys/qhp | HCPCS | Some coders, though, opt to forgo the generic CPT® code 99070, preferring instead the detailed HCPCS A code options, such as A6448 (Light compression bandage, elastic, knitted/woven, width less than 3 inches, per yard). HCPCS Level II Modifiers
HCPCS modifiers consist of two alpha or alphanumeric characters and are app... |
E1130 | Whlchr stand fxd arm ft rest | HCPCS | Some coders, though, opt to forgo the generic CPT® code 99070, preferring instead the detailed HCPCS A code options, such as A6448 (Light compression bandage, elastic, knitted/woven, width less than 3 inches, per yard). HCPCS Level II Modifiers
HCPCS modifiers consist of two alpha or alphanumeric characters and are app... |
E1130 | Whlchr stand fxd arm ft rest | HCPCS | HCPCS Level II Modifiers
HCPCS modifiers consist of two alpha or alphanumeric characters and are appended with a hyphen to the end of a HCPCS (or CPT®) code to expand the description of the code. Medical coders use HCPCS Level II modifiers when the information provided by a HCPCS code descriptor needs supplementation t... |
J0585 | PR INJECTION,ONABOTULINUMTOXINA 1 UNITS | HCPCS | Medical coders use HCPCS Level II modifiers when the information provided by a HCPCS code descriptor needs supplementation to fully capture the circumstances that apply to an item or service. For example, you would use the HCPCS modifier UE when an item identified by a HCPCS code is “used equipment.” The NU modifier wo... |
E1130 | Whlchr stand fxd arm ft rest | HCPCS | Medical coders use HCPCS Level II modifiers when the information provided by a HCPCS code descriptor needs supplementation to fully capture the circumstances that apply to an item or service. For example, you would use the HCPCS modifier UE when an item identified by a HCPCS code is “used equipment.” The NU modifier wo... |
J0585 | PR INJECTION,ONABOTULINUMTOXINA 1 UNITS | HCPCS | For example, you would use the HCPCS modifier UE when an item identified by a HCPCS code is “used equipment.” The NU modifier would be added to indicate “new equipment.”
So, if you're filing a claim for a patient who was prescribed and received a new wheelchair, you might report HCPCS code E1130 (Standard wheelchair, f... |
E1130 | Whlchr stand fxd arm ft rest | HCPCS | For example, you would use the HCPCS modifier UE when an item identified by a HCPCS code is “used equipment.” The NU modifier would be added to indicate “new equipment.”
So, if you're filing a claim for a patient who was prescribed and received a new wheelchair, you might report HCPCS code E1130 (Standard wheelchair, f... |
J0585 | PR INJECTION,ONABOTULINUMTOXINA 1 UNITS | HCPCS | Another HCPCS code example demonstrates how modifiers affect reimbursement by accounting for loss. If your provider administers 44 units of Botulinum toxin injection by direct laryngoscopy from a 100-unit single-dose vial, and then had to discard the remaining contents of the vial, you could report the discarded drug w... |
J0585 | PR INJECTION,ONABOTULINUMTOXINA 1 UNITS | HCPCS | If your provider administers 44 units of Botulinum toxin injection by direct laryngoscopy from a 100-unit single-dose vial, and then had to discard the remaining contents of the vial, you could report the discarded drug with the HCPCS JW modifier. For this scenario, you'd report HCPCS code J0585 (Injection, onabotulinu... |
J0585 | PR INJECTION,ONABOTULINUMTOXINA 1 UNITS | HCPCS | For this scenario, you'd report HCPCS code J0585 (Injection, onabotulinumtoxinA, 1 unit) on two separate lines. On the first line, you’d report J0585 x 44 to identify the amount administered. On the second line you would report J0585-JW x 56 to identify the amount discarded. When reporting codes with more than one modi... |
83906 | Molecule mutation identify | HCPCS | As noted above, cancers of the fallopian tube and primary peritoneal cancer are also considered BRCA-associated malignancies and are to be considered along with breast and ovarian cancer in assessing the family history. POLICY HISTORY2/2001: Approved by Medical Policy Advisory Committee (MPAC)
2/12/2002: Investigationa... |
83890 | Molecule isolate | HCPCS | As noted above, cancers of the fallopian tube and primary peritoneal cancer are also considered BRCA-associated malignancies and are to be considered along with breast and ovarian cancer in assessing the family history. POLICY HISTORY2/2001: Approved by Medical Policy Advisory Committee (MPAC)
2/12/2002: Investigationa... |
83906 | Molecule mutation identify | HCPCS | POLICY HISTORY2/2001: Approved by Medical Policy Advisory Committee (MPAC)
2/12/2002: Investigational definition added
3/8/2002: Case-by-case consideration deleted
5/1/2002: Type of Service and Place of Service deleted. 5/14/2002: Code Reference section updated; ICD-9 diagnosis codes V10.3 and V10.43 deleted
1/30/2003:... |
83890 | Molecule isolate | HCPCS | POLICY HISTORY2/2001: Approved by Medical Policy Advisory Committee (MPAC)
2/12/2002: Investigational definition added
3/8/2002: Case-by-case consideration deleted
5/1/2002: Type of Service and Place of Service deleted. 5/14/2002: Code Reference section updated; ICD-9 diagnosis codes V10.3 and V10.43 deleted
1/30/2003:... |
83906 | Molecule mutation identify | HCPCS | 5/14/2002: Code Reference section updated; ICD-9 diagnosis codes V10.3 and V10.43 deleted
1/30/2003: Medically necessary verbiage added to "Policy" section
6/12/2003: Code Reference section updated
7/2003: Reviewed by MPAC, "Genetic counseling is required by a board certified geneticist." deleted, minors age changed to... |
83890 | Molecule isolate | HCPCS | 5/14/2002: Code Reference section updated; ICD-9 diagnosis codes V10.3 and V10.43 deleted
1/30/2003: Medically necessary verbiage added to "Policy" section
6/12/2003: Code Reference section updated
7/2003: Reviewed by MPAC, "Genetic counseling is required by a board certified geneticist." deleted, minors age changed to... |
83906 | Molecule mutation identify | HCPCS | deleted, minors age changed to 18Code Reference section updated, CPT code range 83890-83906 listed separately, ICD-9 diagnosis code range 174.0-174.9, 175.0-175.9 listed separately, FEP exception added
7/30/2004: Code Reference section updated, ICD-9 diagnosis code V10.3, V10.43 added
11/11/2005: Code Reference section... |
83890 | Molecule isolate | HCPCS | deleted, minors age changed to 18Code Reference section updated, CPT code range 83890-83906 listed separately, ICD-9 diagnosis code range 174.0-174.9, 175.0-175.9 listed separately, FEP exception added
7/30/2004: Code Reference section updated, ICD-9 diagnosis code V10.3, V10.43 added
11/11/2005: Code Reference section... |
S3823 | 3 mutation brst/ovar | CPT | Genetic testing of unaffected individuals of potentially high-risk populations (e.g. Ashkenazi Jewish descent) changed from investigational to may be medically necessary. HCPCS S3823 moved to covered. Non-covered codes table removed. FEP exceptions removed
9/12/2007: Code reference section updated per the annual ICD-9 ... |
S3823 | 3 mutation brst/ovar | CPT | HCPCS S3823 moved to covered. Non-covered codes table removed. FEP exceptions removed
9/12/2007: Code reference section updated per the annual ICD-9 updates effective 10-1-2007
12/19/2007: Coding updated per the 2008 CPT/HCPCS revisions
2/26/2008: Policy description updated. Policy statements revised. Added genetic tes... |
83914 | Mutation ident ola/sbce/aspe | HCPCS | 04/07/2014: Policy statement updated to add "including those with a family history of pancreatic cancer" to the investigational statement. Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Rem... |
S3819 | COMPLETE GENE SEQUENCE ANALYSIS-BRCA2 GENE | CPT | 04/07/2014: Policy statement updated to add "including those with a family history of pancreatic cancer" to the investigational statement. Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Rem... |
83890 | Molecule isolate | HCPCS | 04/07/2014: Policy statement updated to add "including those with a family history of pancreatic cancer" to the investigational statement. Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Rem... |
83896 | Molecular diagnostics | HCPCS | 04/07/2014: Policy statement updated to add "including those with a family history of pancreatic cancer" to the investigational statement. Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Rem... |
S3822 | Sing mutation brst/ovar | CPT | 04/07/2014: Policy statement updated to add "including those with a family history of pancreatic cancer" to the investigational statement. Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Rem... |
S3823 | 3 mutation brst/ovar | CPT | 04/07/2014: Policy statement updated to add "including those with a family history of pancreatic cancer" to the investigational statement. Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Rem... |
83909 | Nucleic acid high resolute | HCPCS | 04/07/2014: Policy statement updated to add "including those with a family history of pancreatic cancer" to the investigational statement. Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Rem... |
83912 | Genetic examination | HCPCS | 04/07/2014: Policy statement updated to add "including those with a family history of pancreatic cancer" to the investigational statement. Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Rem... |
83894 | Molecule gel electrophor | HCPCS | 04/07/2014: Policy statement updated to add "including those with a family history of pancreatic cancer" to the investigational statement. Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Rem... |
83898 | Molecule nucleic ampli each | HCPCS | 04/07/2014: Policy statement updated to add "including those with a family history of pancreatic cancer" to the investigational statement. Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Rem... |
83900 | Molecule nucleic ampli 2 seq | HCPCS | 04/07/2014: Policy statement updated to add "including those with a family history of pancreatic cancer" to the investigational statement. Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Rem... |
S3818 | COMPLETE GENE SEQUENCE ANALYSIS-BRCA1 GENE | CPT | 04/07/2014: Policy statement updated to add "including those with a family history of pancreatic cancer" to the investigational statement. Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Rem... |
S3820 | Comp BRCA1/BRCA2 | CPT | 04/07/2014: Policy statement updated to add "including those with a family history of pancreatic cancer" to the investigational statement. Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Rem... |
83914 | Mutation ident ola/sbce/aspe | HCPCS | Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and... |
S3819 | COMPLETE GENE SEQUENCE ANALYSIS-BRCA2 GENE | CPT | Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and... |
83890 | Molecule isolate | HCPCS | Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and... |
83896 | Molecular diagnostics | HCPCS | Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and... |
S3822 | Sing mutation brst/ovar | CPT | Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and... |
S3823 | 3 mutation brst/ovar | CPT | Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and... |
83909 | Nucleic acid high resolute | HCPCS | Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and... |
83912 | Genetic examination | HCPCS | Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and... |
83894 | Molecule gel electrophor | HCPCS | Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and... |
83898 | Molecule nucleic ampli each | HCPCS | Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and... |
83900 | Molecule nucleic ampli 2 seq | HCPCS | Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and... |
S3818 | COMPLETE GENE SEQUENCE ANALYSIS-BRCA1 GENE | CPT | Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and... |
S3820 | Comp BRCA1/BRCA2 | CPT | Removed deleted CPT Codes 83890 - 83894, 83896 - 83898, 83900 - 83909, and 83912 - 83914 from the Code Reference section. 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and... |
S3819 | COMPLETE GENE SEQUENCE ANALYSIS-BRCA2 GENE | CPT | 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference sec... |
S3822 | Sing mutation brst/ovar | CPT | 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference sec... |
81162 | HC BRCA1&BRCA2 FULL SEQ ANALYSIS FULL DUP DEL ANALYS | HCPCS | 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference sec... |
S3823 | 3 mutation brst/ovar | CPT | 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference sec... |
S3818 | COMPLETE GENE SEQUENCE ANALYSIS-BRCA1 GENE | CPT | 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference sec... |
S3820 | Comp BRCA1/BRCA2 | CPT | 08/28/2015: Medical policy revised to add ICD-10 codes. Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference sec... |
S3819 | COMPLETE GENE SEQUENCE ANALYSIS-BRCA2 GENE | CPT | Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to add new 2016 CPT code 81162. 06/08/2016:... |
S3822 | Sing mutation brst/ovar | CPT | Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to add new 2016 CPT code 81162. 06/08/2016:... |
81162 | HC BRCA1&BRCA2 FULL SEQ ANALYSIS FULL DUP DEL ANALYS | HCPCS | Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to add new 2016 CPT code 81162. 06/08/2016:... |
S3823 | 3 mutation brst/ovar | CPT | Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to add new 2016 CPT code 81162. 06/08/2016:... |
S3818 | COMPLETE GENE SEQUENCE ANALYSIS-BRCA1 GENE | CPT | Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to add new 2016 CPT code 81162. 06/08/2016:... |
S3820 | Comp BRCA1/BRCA2 | CPT | Removed ICD-9 procedure code 99.99 from the Code Reference section. Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to add new 2016 CPT code 81162. 06/08/2016:... |
S3819 | COMPLETE GENE SEQUENCE ANALYSIS-BRCA2 GENE | CPT | Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to add new 2016 CPT code 81162. 06/08/2016: Policy number A.2.04.02 added. SOURCE(S)Blue Cross Blue Shield Asso... |
S3822 | Sing mutation brst/ovar | CPT | Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to add new 2016 CPT code 81162. 06/08/2016: Policy number A.2.04.02 added. SOURCE(S)Blue Cross Blue Shield Asso... |
81162 | HC BRCA1&BRCA2 FULL SEQ ANALYSIS FULL DUP DEL ANALYS | HCPCS | Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to add new 2016 CPT code 81162. 06/08/2016: Policy number A.2.04.02 added. SOURCE(S)Blue Cross Blue Shield Asso... |
S3823 | 3 mutation brst/ovar | CPT | Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to add new 2016 CPT code 81162. 06/08/2016: Policy number A.2.04.02 added. SOURCE(S)Blue Cross Blue Shield Asso... |
S3818 | COMPLETE GENE SEQUENCE ANALYSIS-BRCA1 GENE | CPT | Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to add new 2016 CPT code 81162. 06/08/2016: Policy number A.2.04.02 added. SOURCE(S)Blue Cross Blue Shield Asso... |
S3820 | Comp BRCA1/BRCA2 | CPT | Removed the following deleted HCPCS codes: S3818, S3819, S3820, S3822, and S3823. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to add new 2016 CPT code 81162. 06/08/2016: Policy number A.2.04.02 added. SOURCE(S)Blue Cross Blue Shield Asso... |
87804 | INFLUENZA ASSAY W/OPTIC | HCPCS | The authors concluded that from thees findings, the dual-channel PSPWB potentially offers great opportunity in developing an alternative PCR-free diagnostic method for rapid, sensitive, and accurate detection of viral pathogens with epidemiological relevance in clinical samples by using an appropriate pathogen-specific... |
87804 | INFLUENZA ASSAY W/OPTIC | HCPCS | Additional information concerning diagnostic testing for influenza is available at http://www.cdc.gov/flu/professionals/diagnosis/. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 co... |
93893 | Tcd emboli detect w/inj | HCPCS | They stated that TCD can be used as a part of the stroke work-up and for patients being considered for PFO closure. If knowledge of the precise anatomy is required, then TEE can be obtained before scheduling a patient for transcatheter PFO closure. The American Institute of Ultrasound in Medicine’s practice guideline o... |
93886 | PR TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL | HCPCS | They stated that TCD can be used as a part of the stroke work-up and for patients being considered for PFO closure. If knowledge of the precise anatomy is required, then TEE can be obtained before scheduling a patient for transcatheter PFO closure. The American Institute of Ultrasound in Medicine’s practice guideline o... |
93892 | Tcd emboli detect w/o inj | HCPCS | They stated that TCD can be used as a part of the stroke work-up and for patients being considered for PFO closure. If knowledge of the precise anatomy is required, then TEE can be obtained before scheduling a patient for transcatheter PFO closure. The American Institute of Ultrasound in Medicine’s practice guideline o... |
61635 | PR TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD | HCPCS | They stated that TCD can be used as a part of the stroke work-up and for patients being considered for PFO closure. If knowledge of the precise anatomy is required, then TEE can be obtained before scheduling a patient for transcatheter PFO closure. The American Institute of Ultrasound in Medicine’s practice guideline o... |
93893 | Tcd emboli detect w/inj | HCPCS | If knowledge of the precise anatomy is required, then TEE can be obtained before scheduling a patient for transcatheter PFO closure. The American Institute of Ultrasound in Medicine’s practice guideline on “Transcranial Doppler ultrasound for adults and children” (2012) listed “detection of right-to-left shunts’ as one... |
93886 | PR TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL | HCPCS | If knowledge of the precise anatomy is required, then TEE can be obtained before scheduling a patient for transcatheter PFO closure. The American Institute of Ultrasound in Medicine’s practice guideline on “Transcranial Doppler ultrasound for adults and children” (2012) listed “detection of right-to-left shunts’ as one... |
93892 | Tcd emboli detect w/o inj | HCPCS | If knowledge of the precise anatomy is required, then TEE can be obtained before scheduling a patient for transcatheter PFO closure. The American Institute of Ultrasound in Medicine’s practice guideline on “Transcranial Doppler ultrasound for adults and children” (2012) listed “detection of right-to-left shunts’ as one... |
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