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0232T
Njx platelet plasma
HCPCS
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 appropriately selected patients. |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 codes will become effective as of October 1, 2015:| |CPT codes covered if selection criteria are met:| |20692||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)| |20693||Adjustment or revision of external fixation system requiring anesthesia (eg, new pin(s) or wire(s) and/or new ring(s) or bar(s))| |20694||Removal, under anesthesia, of external fixation system| |20696||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)| |20697||exchange (ie, removal and replacement) of strut, each| |CPT codes not covered for indications listed in the CPB:| |0232T||Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed| |Other CPT codes related to the CPB:| |21110||Application of interdental fixation device for conditions other than fracture or dislocation, includes removal| |21120 - 21196||Repair, revision, and/or reconstruction bones of face| |21206||Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard)| |21210||Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)| |21247||Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)| |30400 - 30462||Rhinoplasty| |38220||Bone marrow, aspiration only| |42200 - 42225||Palatoplasty| |HCPCS codes not covered for indicationslisted in the CPB:| |S9055||Procuren or other growth factor preparation to promote wound healing| |Other HCPCS codes related to the CPB:| |D6010 - D6199||Implant services| |D7946 - D7949||LeFort procedures I, II, or III| |D8010 - D8999||Orthodontic dental procedures| |ICD-10 codes covered if selection criteria are met:| |M26.00 - M26.59||Dentofacial anomalies [including malocclusion]| |Q35.1 - Q35.9||Cleft palate| |Q37.0 - Q37.9||Cleft palate with cleft lip| |Q67.0 - Q67.4||Congenital deformities of skull, face and jaw| |Q75.0 - Q75.9||Congenital malformation of skull and face bones [includes hemifacial microstomia]| |Q87.0||Congenital malformation syndromes predominantly affecting facial appearance| |ICD-10 codes not covered for indications listed in the CPB:| |G47.33||Obstructive sleep apnea (adult) (pediatric)| |M95.2||Other acquired deformity of head [acquired craniofacial defects]| |Z41.1||Encounter for cosmetic surgery| |Z46.3||Encounter for fitting and adjustment of dental prosthetic device| |Z46.4||Encounter for fitting and adjustment of orthodontic device|
21210
PR GRAFT BONE NASAL/MAXILLARY/MALAR AREAS
HCPCS
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 appropriately selected patients. |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 codes will become effective as of October 1, 2015:| |CPT codes covered if selection criteria are met:| |20692||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)| |20693||Adjustment or revision of external fixation system requiring anesthesia (eg, new pin(s) or wire(s) and/or new ring(s) or bar(s))| |20694||Removal, under anesthesia, of external fixation system| |20696||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)| |20697||exchange (ie, removal and replacement) of strut, each| |CPT codes not covered for indications listed in the CPB:| |0232T||Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed| |Other CPT codes related to the CPB:| |21110||Application of interdental fixation device for conditions other than fracture or dislocation, includes removal| |21120 - 21196||Repair, revision, and/or reconstruction bones of face| |21206||Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard)| |21210||Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)| |21247||Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)| |30400 - 30462||Rhinoplasty| |38220||Bone marrow, aspiration only| |42200 - 42225||Palatoplasty| |HCPCS codes not covered for indicationslisted in the CPB:| |S9055||Procuren or other growth factor preparation to promote wound healing| |Other HCPCS codes related to the CPB:| |D6010 - D6199||Implant services| |D7946 - D7949||LeFort procedures I, II, or III| |D8010 - D8999||Orthodontic dental procedures| |ICD-10 codes covered if selection criteria are met:| |M26.00 - M26.59||Dentofacial anomalies [including malocclusion]| |Q35.1 - Q35.9||Cleft palate| |Q37.0 - Q37.9||Cleft palate with cleft lip| |Q67.0 - Q67.4||Congenital deformities of skull, face and jaw| |Q75.0 - Q75.9||Congenital malformation of skull and face bones [includes hemifacial microstomia]| |Q87.0||Congenital malformation syndromes predominantly affecting facial appearance| |ICD-10 codes not covered for indications listed in the CPB:| |G47.33||Obstructive sleep apnea (adult) (pediatric)| |M95.2||Other acquired deformity of head [acquired craniofacial defects]| |Z41.1||Encounter for cosmetic surgery| |Z46.3||Encounter for fitting and adjustment of dental prosthetic device| |Z46.4||Encounter for fitting and adjustment of orthodontic device|
20696
PR APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST&SUBSQ
HCPCS
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 appropriately selected patients. |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 codes will become effective as of October 1, 2015:| |CPT codes covered if selection criteria are met:| |20692||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)| |20693||Adjustment or revision of external fixation system requiring anesthesia (eg, new pin(s) or wire(s) and/or new ring(s) or bar(s))| |20694||Removal, under anesthesia, of external fixation system| |20696||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)| |20697||exchange (ie, removal and replacement) of strut, each| |CPT codes not covered for indications listed in the CPB:| |0232T||Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed| |Other CPT codes related to the CPB:| |21110||Application of interdental fixation device for conditions other than fracture or dislocation, includes removal| |21120 - 21196||Repair, revision, and/or reconstruction bones of face| |21206||Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard)| |21210||Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)| |21247||Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)| |30400 - 30462||Rhinoplasty| |38220||Bone marrow, aspiration only| |42200 - 42225||Palatoplasty| |HCPCS codes not covered for indicationslisted in the CPB:| |S9055||Procuren or other growth factor preparation to promote wound healing| |Other HCPCS codes related to the CPB:| |D6010 - D6199||Implant services| |D7946 - D7949||LeFort procedures I, II, or III| |D8010 - D8999||Orthodontic dental procedures| |ICD-10 codes covered if selection criteria are met:| |M26.00 - M26.59||Dentofacial anomalies [including malocclusion]| |Q35.1 - Q35.9||Cleft palate| |Q37.0 - Q37.9||Cleft palate with cleft lip| |Q67.0 - Q67.4||Congenital deformities of skull, face and jaw| |Q75.0 - Q75.9||Congenital malformation of skull and face bones [includes hemifacial microstomia]| |Q87.0||Congenital malformation syndromes predominantly affecting facial appearance| |ICD-10 codes not covered for indications listed in the CPB:| |G47.33||Obstructive sleep apnea (adult) (pediatric)| |M95.2||Other acquired deformity of head [acquired craniofacial defects]| |Z41.1||Encounter for cosmetic surgery| |Z46.3||Encounter for fitting and adjustment of dental prosthetic device| |Z46.4||Encounter for fitting and adjustment of orthodontic device|
30400
Reconstruction of nose
HCPCS
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 appropriately selected patients. |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 codes will become effective as of October 1, 2015:| |CPT codes covered if selection criteria are met:| |20692||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)| |20693||Adjustment or revision of external fixation system requiring anesthesia (eg, new pin(s) or wire(s) and/or new ring(s) or bar(s))| |20694||Removal, under anesthesia, of external fixation system| |20696||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)| |20697||exchange (ie, removal and replacement) of strut, each| |CPT codes not covered for indications listed in the CPB:| |0232T||Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed| |Other CPT codes related to the CPB:| |21110||Application of interdental fixation device for conditions other than fracture or dislocation, includes removal| |21120 - 21196||Repair, revision, and/or reconstruction bones of face| |21206||Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard)| |21210||Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)| |21247||Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)| |30400 - 30462||Rhinoplasty| |38220||Bone marrow, aspiration only| |42200 - 42225||Palatoplasty| |HCPCS codes not covered for indicationslisted in the CPB:| |S9055||Procuren or other growth factor preparation to promote wound healing| |Other HCPCS codes related to the CPB:| |D6010 - D6199||Implant services| |D7946 - D7949||LeFort procedures I, II, or III| |D8010 - D8999||Orthodontic dental procedures| |ICD-10 codes covered if selection criteria are met:| |M26.00 - M26.59||Dentofacial anomalies [including malocclusion]| |Q35.1 - Q35.9||Cleft palate| |Q37.0 - Q37.9||Cleft palate with cleft lip| |Q67.0 - Q67.4||Congenital deformities of skull, face and jaw| |Q75.0 - Q75.9||Congenital malformation of skull and face bones [includes hemifacial microstomia]| |Q87.0||Congenital malformation syndromes predominantly affecting facial appearance| |ICD-10 codes not covered for indications listed in the CPB:| |G47.33||Obstructive sleep apnea (adult) (pediatric)| |M95.2||Other acquired deformity of head [acquired craniofacial defects]| |Z41.1||Encounter for cosmetic surgery| |Z46.3||Encounter for fitting and adjustment of dental prosthetic device| |Z46.4||Encounter for fitting and adjustment of orthodontic device|
21120
Reconstruction of chin
HCPCS
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 appropriately selected patients. |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 codes will become effective as of October 1, 2015:| |CPT codes covered if selection criteria are met:| |20692||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)| |20693||Adjustment or revision of external fixation system requiring anesthesia (eg, new pin(s) or wire(s) and/or new ring(s) or bar(s))| |20694||Removal, under anesthesia, of external fixation system| |20696||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)| |20697||exchange (ie, removal and replacement) of strut, each| |CPT codes not covered for indications listed in the CPB:| |0232T||Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed| |Other CPT codes related to the CPB:| |21110||Application of interdental fixation device for conditions other than fracture or dislocation, includes removal| |21120 - 21196||Repair, revision, and/or reconstruction bones of face| |21206||Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard)| |21210||Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)| |21247||Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)| |30400 - 30462||Rhinoplasty| |38220||Bone marrow, aspiration only| |42200 - 42225||Palatoplasty| |HCPCS codes not covered for indicationslisted in the CPB:| |S9055||Procuren or other growth factor preparation to promote wound healing| |Other HCPCS codes related to the CPB:| |D6010 - D6199||Implant services| |D7946 - D7949||LeFort procedures I, II, or III| |D8010 - D8999||Orthodontic dental procedures| |ICD-10 codes covered if selection criteria are met:| |M26.00 - M26.59||Dentofacial anomalies [including malocclusion]| |Q35.1 - Q35.9||Cleft palate| |Q37.0 - Q37.9||Cleft palate with cleft lip| |Q67.0 - Q67.4||Congenital deformities of skull, face and jaw| |Q75.0 - Q75.9||Congenital malformation of skull and face bones [includes hemifacial microstomia]| |Q87.0||Congenital malformation syndromes predominantly affecting facial appearance| |ICD-10 codes not covered for indications listed in the CPB:| |G47.33||Obstructive sleep apnea (adult) (pediatric)| |M95.2||Other acquired deformity of head [acquired craniofacial defects]| |Z41.1||Encounter for cosmetic surgery| |Z46.3||Encounter for fitting and adjustment of dental prosthetic device| |Z46.4||Encounter for fitting and adjustment of orthodontic device|
20692
PR APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM
HCPCS
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 appropriately selected patients. |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 codes will become effective as of October 1, 2015:| |CPT codes covered if selection criteria are met:| |20692||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)| |20693||Adjustment or revision of external fixation system requiring anesthesia (eg, new pin(s) or wire(s) and/or new ring(s) or bar(s))| |20694||Removal, under anesthesia, of external fixation system| |20696||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)| |20697||exchange (ie, removal and replacement) of strut, each| |CPT codes not covered for indications listed in the CPB:| |0232T||Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed| |Other CPT codes related to the CPB:| |21110||Application of interdental fixation device for conditions other than fracture or dislocation, includes removal| |21120 - 21196||Repair, revision, and/or reconstruction bones of face| |21206||Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard)| |21210||Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)| |21247||Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)| |30400 - 30462||Rhinoplasty| |38220||Bone marrow, aspiration only| |42200 - 42225||Palatoplasty| |HCPCS codes not covered for indicationslisted in the CPB:| |S9055||Procuren or other growth factor preparation to promote wound healing| |Other HCPCS codes related to the CPB:| |D6010 - D6199||Implant services| |D7946 - D7949||LeFort procedures I, II, or III| |D8010 - D8999||Orthodontic dental procedures| |ICD-10 codes covered if selection criteria are met:| |M26.00 - M26.59||Dentofacial anomalies [including malocclusion]| |Q35.1 - Q35.9||Cleft palate| |Q37.0 - Q37.9||Cleft palate with cleft lip| |Q67.0 - Q67.4||Congenital deformities of skull, face and jaw| |Q75.0 - Q75.9||Congenital malformation of skull and face bones [includes hemifacial microstomia]| |Q87.0||Congenital malformation syndromes predominantly affecting facial appearance| |ICD-10 codes not covered for indications listed in the CPB:| |G47.33||Obstructive sleep apnea (adult) (pediatric)| |M95.2||Other acquired deformity of head [acquired craniofacial defects]| |Z41.1||Encounter for cosmetic surgery| |Z46.3||Encounter for fitting and adjustment of dental prosthetic device| |Z46.4||Encounter for fitting and adjustment of orthodontic device|
38220
PR DIAGNOSTIC BONE MARROW ASPIRATIONS
HCPCS
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 appropriately selected patients. |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 codes will become effective as of October 1, 2015:| |CPT codes covered if selection criteria are met:| |20692||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)| |20693||Adjustment or revision of external fixation system requiring anesthesia (eg, new pin(s) or wire(s) and/or new ring(s) or bar(s))| |20694||Removal, under anesthesia, of external fixation system| |20696||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)| |20697||exchange (ie, removal and replacement) of strut, each| |CPT codes not covered for indications listed in the CPB:| |0232T||Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed| |Other CPT codes related to the CPB:| |21110||Application of interdental fixation device for conditions other than fracture or dislocation, includes removal| |21120 - 21196||Repair, revision, and/or reconstruction bones of face| |21206||Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard)| |21210||Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)| |21247||Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)| |30400 - 30462||Rhinoplasty| |38220||Bone marrow, aspiration only| |42200 - 42225||Palatoplasty| |HCPCS codes not covered for indicationslisted in the CPB:| |S9055||Procuren or other growth factor preparation to promote wound healing| |Other HCPCS codes related to the CPB:| |D6010 - D6199||Implant services| |D7946 - D7949||LeFort procedures I, II, or III| |D8010 - D8999||Orthodontic dental procedures| |ICD-10 codes covered if selection criteria are met:| |M26.00 - M26.59||Dentofacial anomalies [including malocclusion]| |Q35.1 - Q35.9||Cleft palate| |Q37.0 - Q37.9||Cleft palate with cleft lip| |Q67.0 - Q67.4||Congenital deformities of skull, face and jaw| |Q75.0 - Q75.9||Congenital malformation of skull and face bones [includes hemifacial microstomia]| |Q87.0||Congenital malformation syndromes predominantly affecting facial appearance| |ICD-10 codes not covered for indications listed in the CPB:| |G47.33||Obstructive sleep apnea (adult) (pediatric)| |M95.2||Other acquired deformity of head [acquired craniofacial defects]| |Z41.1||Encounter for cosmetic surgery| |Z46.3||Encounter for fitting and adjustment of dental prosthetic device| |Z46.4||Encounter for fitting and adjustment of orthodontic device|
D7949
Reconstruct midface w/graft
HCPCS
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 appropriately selected patients. |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 codes will become effective as of October 1, 2015:| |CPT codes covered if selection criteria are met:| |20692||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)| |20693||Adjustment or revision of external fixation system requiring anesthesia (eg, new pin(s) or wire(s) and/or new ring(s) or bar(s))| |20694||Removal, under anesthesia, of external fixation system| |20696||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)| |20697||exchange (ie, removal and replacement) of strut, each| |CPT codes not covered for indications listed in the CPB:| |0232T||Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed| |Other CPT codes related to the CPB:| |21110||Application of interdental fixation device for conditions other than fracture or dislocation, includes removal| |21120 - 21196||Repair, revision, and/or reconstruction bones of face| |21206||Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard)| |21210||Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)| |21247||Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)| |30400 - 30462||Rhinoplasty| |38220||Bone marrow, aspiration only| |42200 - 42225||Palatoplasty| |HCPCS codes not covered for indicationslisted in the CPB:| |S9055||Procuren or other growth factor preparation to promote wound healing| |Other HCPCS codes related to the CPB:| |D6010 - D6199||Implant services| |D7946 - D7949||LeFort procedures I, II, or III| |D8010 - D8999||Orthodontic dental procedures| |ICD-10 codes covered if selection criteria are met:| |M26.00 - M26.59||Dentofacial anomalies [including malocclusion]| |Q35.1 - Q35.9||Cleft palate| |Q37.0 - Q37.9||Cleft palate with cleft lip| |Q67.0 - Q67.4||Congenital deformities of skull, face and jaw| |Q75.0 - Q75.9||Congenital malformation of skull and face bones [includes hemifacial microstomia]| |Q87.0||Congenital malformation syndromes predominantly affecting facial appearance| |ICD-10 codes not covered for indications listed in the CPB:| |G47.33||Obstructive sleep apnea (adult) (pediatric)| |M95.2||Other acquired deformity of head [acquired craniofacial defects]| |Z41.1||Encounter for cosmetic surgery| |Z46.3||Encounter for fitting and adjustment of dental prosthetic device| |Z46.4||Encounter for fitting and adjustment of orthodontic device|
42225
Reconstruct cleft palate
HCPCS
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 appropriately selected patients. |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 codes will become effective as of October 1, 2015:| |CPT codes covered if selection criteria are met:| |20692||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)| |20693||Adjustment or revision of external fixation system requiring anesthesia (eg, new pin(s) or wire(s) and/or new ring(s) or bar(s))| |20694||Removal, under anesthesia, of external fixation system| |20696||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)| |20697||exchange (ie, removal and replacement) of strut, each| |CPT codes not covered for indications listed in the CPB:| |0232T||Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed| |Other CPT codes related to the CPB:| |21110||Application of interdental fixation device for conditions other than fracture or dislocation, includes removal| |21120 - 21196||Repair, revision, and/or reconstruction bones of face| |21206||Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard)| |21210||Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)| |21247||Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)| |30400 - 30462||Rhinoplasty| |38220||Bone marrow, aspiration only| |42200 - 42225||Palatoplasty| |HCPCS codes not covered for indicationslisted in the CPB:| |S9055||Procuren or other growth factor preparation to promote wound healing| |Other HCPCS codes related to the CPB:| |D6010 - D6199||Implant services| |D7946 - D7949||LeFort procedures I, II, or III| |D8010 - D8999||Orthodontic dental procedures| |ICD-10 codes covered if selection criteria are met:| |M26.00 - M26.59||Dentofacial anomalies [including malocclusion]| |Q35.1 - Q35.9||Cleft palate| |Q37.0 - Q37.9||Cleft palate with cleft lip| |Q67.0 - Q67.4||Congenital deformities of skull, face and jaw| |Q75.0 - Q75.9||Congenital malformation of skull and face bones [includes hemifacial microstomia]| |Q87.0||Congenital malformation syndromes predominantly affecting facial appearance| |ICD-10 codes not covered for indications listed in the CPB:| |G47.33||Obstructive sleep apnea (adult) (pediatric)| |M95.2||Other acquired deformity of head [acquired craniofacial defects]| |Z41.1||Encounter for cosmetic surgery| |Z46.3||Encounter for fitting and adjustment of dental prosthetic device| |Z46.4||Encounter for fitting and adjustment of orthodontic device|
20697
PR APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE
HCPCS
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 appropriately selected patients. |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 codes will become effective as of October 1, 2015:| |CPT codes covered if selection criteria are met:| |20692||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)| |20693||Adjustment or revision of external fixation system requiring anesthesia (eg, new pin(s) or wire(s) and/or new ring(s) or bar(s))| |20694||Removal, under anesthesia, of external fixation system| |20696||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)| |20697||exchange (ie, removal and replacement) of strut, each| |CPT codes not covered for indications listed in the CPB:| |0232T||Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed| |Other CPT codes related to the CPB:| |21110||Application of interdental fixation device for conditions other than fracture or dislocation, includes removal| |21120 - 21196||Repair, revision, and/or reconstruction bones of face| |21206||Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard)| |21210||Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)| |21247||Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)| |30400 - 30462||Rhinoplasty| |38220||Bone marrow, aspiration only| |42200 - 42225||Palatoplasty| |HCPCS codes not covered for indicationslisted in the CPB:| |S9055||Procuren or other growth factor preparation to promote wound healing| |Other HCPCS codes related to the CPB:| |D6010 - D6199||Implant services| |D7946 - D7949||LeFort procedures I, II, or III| |D8010 - D8999||Orthodontic dental procedures| |ICD-10 codes covered if selection criteria are met:| |M26.00 - M26.59||Dentofacial anomalies [including malocclusion]| |Q35.1 - Q35.9||Cleft palate| |Q37.0 - Q37.9||Cleft palate with cleft lip| |Q67.0 - Q67.4||Congenital deformities of skull, face and jaw| |Q75.0 - Q75.9||Congenital malformation of skull and face bones [includes hemifacial microstomia]| |Q87.0||Congenital malformation syndromes predominantly affecting facial appearance| |ICD-10 codes not covered for indications listed in the CPB:| |G47.33||Obstructive sleep apnea (adult) (pediatric)| |M95.2||Other acquired deformity of head [acquired craniofacial defects]| |Z41.1||Encounter for cosmetic surgery| |Z46.3||Encounter for fitting and adjustment of dental prosthetic device| |Z46.4||Encounter for fitting and adjustment of orthodontic device|
D6010
PR SURG PLCMT IMPL BODY: ENDOSTEAL
HCPCS
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 appropriately selected patients. |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 codes will become effective as of October 1, 2015:| |CPT codes covered if selection criteria are met:| |20692||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)| |20693||Adjustment or revision of external fixation system requiring anesthesia (eg, new pin(s) or wire(s) and/or new ring(s) or bar(s))| |20694||Removal, under anesthesia, of external fixation system| |20696||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)| |20697||exchange (ie, removal and replacement) of strut, each| |CPT codes not covered for indications listed in the CPB:| |0232T||Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed| |Other CPT codes related to the CPB:| |21110||Application of interdental fixation device for conditions other than fracture or dislocation, includes removal| |21120 - 21196||Repair, revision, and/or reconstruction bones of face| |21206||Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard)| |21210||Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)| |21247||Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)| |30400 - 30462||Rhinoplasty| |38220||Bone marrow, aspiration only| |42200 - 42225||Palatoplasty| |HCPCS codes not covered for indicationslisted in the CPB:| |S9055||Procuren or other growth factor preparation to promote wound healing| |Other HCPCS codes related to the CPB:| |D6010 - D6199||Implant services| |D7946 - D7949||LeFort procedures I, II, or III| |D8010 - D8999||Orthodontic dental procedures| |ICD-10 codes covered if selection criteria are met:| |M26.00 - M26.59||Dentofacial anomalies [including malocclusion]| |Q35.1 - Q35.9||Cleft palate| |Q37.0 - Q37.9||Cleft palate with cleft lip| |Q67.0 - Q67.4||Congenital deformities of skull, face and jaw| |Q75.0 - Q75.9||Congenital malformation of skull and face bones [includes hemifacial microstomia]| |Q87.0||Congenital malformation syndromes predominantly affecting facial appearance| |ICD-10 codes not covered for indications listed in the CPB:| |G47.33||Obstructive sleep apnea (adult) (pediatric)| |M95.2||Other acquired deformity of head [acquired craniofacial defects]| |Z41.1||Encounter for cosmetic surgery| |Z46.3||Encounter for fitting and adjustment of dental prosthetic device| |Z46.4||Encounter for fitting and adjustment of orthodontic device|
S9055
Procuren or other growth fac
HCPCS
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 appropriately selected patients. |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 codes will become effective as of October 1, 2015:| |CPT codes covered if selection criteria are met:| |20692||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)| |20693||Adjustment or revision of external fixation system requiring anesthesia (eg, new pin(s) or wire(s) and/or new ring(s) or bar(s))| |20694||Removal, under anesthesia, of external fixation system| |20696||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)| |20697||exchange (ie, removal and replacement) of strut, each| |CPT codes not covered for indications listed in the CPB:| |0232T||Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed| |Other CPT codes related to the CPB:| |21110||Application of interdental fixation device for conditions other than fracture or dislocation, includes removal| |21120 - 21196||Repair, revision, and/or reconstruction bones of face| |21206||Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard)| |21210||Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)| |21247||Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)| |30400 - 30462||Rhinoplasty| |38220||Bone marrow, aspiration only| |42200 - 42225||Palatoplasty| |HCPCS codes not covered for indicationslisted in the CPB:| |S9055||Procuren or other growth factor preparation to promote wound healing| |Other HCPCS codes related to the CPB:| |D6010 - D6199||Implant services| |D7946 - D7949||LeFort procedures I, II, or III| |D8010 - D8999||Orthodontic dental procedures| |ICD-10 codes covered if selection criteria are met:| |M26.00 - M26.59||Dentofacial anomalies [including malocclusion]| |Q35.1 - Q35.9||Cleft palate| |Q37.0 - Q37.9||Cleft palate with cleft lip| |Q67.0 - Q67.4||Congenital deformities of skull, face and jaw| |Q75.0 - Q75.9||Congenital malformation of skull and face bones [includes hemifacial microstomia]| |Q87.0||Congenital malformation syndromes predominantly affecting facial appearance| |ICD-10 codes not covered for indications listed in the CPB:| |G47.33||Obstructive sleep apnea (adult) (pediatric)| |M95.2||Other acquired deformity of head [acquired craniofacial defects]| |Z41.1||Encounter for cosmetic surgery| |Z46.3||Encounter for fitting and adjustment of dental prosthetic device| |Z46.4||Encounter for fitting and adjustment of orthodontic device|
D7946
Reconstruction maxilla total
HCPCS
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 appropriately selected patients. |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 codes will become effective as of October 1, 2015:| |CPT codes covered if selection criteria are met:| |20692||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)| |20693||Adjustment or revision of external fixation system requiring anesthesia (eg, new pin(s) or wire(s) and/or new ring(s) or bar(s))| |20694||Removal, under anesthesia, of external fixation system| |20696||Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)| |20697||exchange (ie, removal and replacement) of strut, each| |CPT codes not covered for indications listed in the CPB:| |0232T||Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed| |Other CPT codes related to the CPB:| |21110||Application of interdental fixation device for conditions other than fracture or dislocation, includes removal| |21120 - 21196||Repair, revision, and/or reconstruction bones of face| |21206||Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard)| |21210||Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)| |21247||Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)| |30400 - 30462||Rhinoplasty| |38220||Bone marrow, aspiration only| |42200 - 42225||Palatoplasty| |HCPCS codes not covered for indicationslisted in the CPB:| |S9055||Procuren or other growth factor preparation to promote wound healing| |Other HCPCS codes related to the CPB:| |D6010 - D6199||Implant services| |D7946 - D7949||LeFort procedures I, II, or III| |D8010 - D8999||Orthodontic dental procedures| |ICD-10 codes covered if selection criteria are met:| |M26.00 - M26.59||Dentofacial anomalies [including malocclusion]| |Q35.1 - Q35.9||Cleft palate| |Q37.0 - Q37.9||Cleft palate with cleft lip| |Q67.0 - Q67.4||Congenital deformities of skull, face and jaw| |Q75.0 - Q75.9||Congenital malformation of skull and face bones [includes hemifacial microstomia]| |Q87.0||Congenital malformation syndromes predominantly affecting facial appearance| |ICD-10 codes not covered for indications listed in the CPB:| |G47.33||Obstructive sleep apnea (adult) (pediatric)| |M95.2||Other acquired deformity of head [acquired craniofacial defects]| |Z41.1||Encounter for cosmetic surgery| |Z46.3||Encounter for fitting and adjustment of dental prosthetic device| |Z46.4||Encounter for fitting and adjustment of orthodontic device|
77385
HC IMRT SIMPLE
HCPCS
New CPT codes 77385-77387, effective 1/1/15, added to policy; deleted code 0073T and 77418 noted on policy effective 12/31/14. Coding update. New code 77387 removed from policy; this is not specific to IMRT. Coding update. HCPCS code G6015 added to the policy, new code effective 1/1/15.
77418
Radiation tx delivery imrt
HCPCS
New CPT codes 77385-77387, effective 1/1/15, added to policy; deleted code 0073T and 77418 noted on policy effective 12/31/14. Coding update. New code 77387 removed from policy; this is not specific to IMRT. Coding update. HCPCS code G6015 added to the policy, new code effective 1/1/15.
77387
HC STEREOSCOPIC X-RAY GUIDANCE
HCPCS
New CPT codes 77385-77387, effective 1/1/15, added to policy; deleted code 0073T and 77418 noted on policy effective 12/31/14. Coding update. New code 77387 removed from policy; this is not specific to IMRT. Coding update. HCPCS code G6015 added to the policy, new code effective 1/1/15.
G6015
Radiation tx delivery imrt
HCPCS
New CPT codes 77385-77387, effective 1/1/15, added to policy; deleted code 0073T and 77418 noted on policy effective 12/31/14. Coding update. New code 77387 removed from policy; this is not specific to IMRT. Coding update. HCPCS code G6015 added to the policy, new code effective 1/1/15.
0073T
Delivery comp imrt
HCPCS
New CPT codes 77385-77387, effective 1/1/15, added to policy; deleted code 0073T and 77418 noted on policy effective 12/31/14. Coding update. New code 77387 removed from policy; this is not specific to IMRT. Coding update. HCPCS code G6015 added to the policy, new code effective 1/1/15.
G6015
Radiation tx delivery imrt
HCPCS
New code 77387 removed from policy; this is not specific to IMRT. Coding update. HCPCS code G6015 added to the policy, new code effective 1/1/15. Annual Review. Policy updated with literature review through March 5, 2015.
77387
HC STEREOSCOPIC X-RAY GUIDANCE
HCPCS
New code 77387 removed from policy; this is not specific to IMRT. Coding update. HCPCS code G6015 added to the policy, new code effective 1/1/15. Annual Review. Policy updated with literature review through March 5, 2015.
G6015
Radiation tx delivery imrt
HCPCS
HCPCS code G6015 added to the policy, new code effective 1/1/15. Annual Review. Policy updated with literature review through March 5, 2015. Reference 12 added, and reference 13 updated. Title changed from “radiation therapy” to “radiotherapy” to be consistent with other medical policies.
1996
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
HCPCS
CMS is considering phasing out HCPCS. There are 3 levels within HCPCS: HCPCS Level 1 Consists of the American Medical Association's Current Procedural Terminology (CPT) and is numeric (as opposed to alphabetic like the index). HCPCS Level 2 Level 2 consists of non-physician services such as ambulatory care and durable medical goods such as prosthetics. HCPCS Level 3 Level 3 consisted of state-level medical coding codesets. The HIPAA Act of 1996 required a nationwide standard for medical coding.
1996
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
HCPCS
There are 3 levels within HCPCS: HCPCS Level 1 Consists of the American Medical Association's Current Procedural Terminology (CPT) and is numeric (as opposed to alphabetic like the index). HCPCS Level 2 Level 2 consists of non-physician services such as ambulatory care and durable medical goods such as prosthetics. HCPCS Level 3 Level 3 consisted of state-level medical coding codesets. The HIPAA Act of 1996 required a nationwide standard for medical coding. As a result, level 3 was discontinued on December 31, 2003.
1996
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
HCPCS
HCPCS Level 2 Level 2 consists of non-physician services such as ambulatory care and durable medical goods such as prosthetics. HCPCS Level 3 Level 3 consisted of state-level medical coding codesets. The HIPAA Act of 1996 required a nationwide standard for medical coding. As a result, level 3 was discontinued on December 31, 2003. Current Procedural Terminology (CPT) is an outpatient medical coding codeset that is copy-written by the American Medical Association.
1996
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
HCPCS
HCPCS Level 3 Level 3 consisted of state-level medical coding codesets. The HIPAA Act of 1996 required a nationwide standard for medical coding. As a result, level 3 was discontinued on December 31, 2003. Current Procedural Terminology (CPT) is an outpatient medical coding codeset that is copy-written by the American Medical Association. Despite CPT's widespread use, you have to pay high licensing fees to use the CPT codeset.
L8692
Non-osseointegrated snd proc
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 licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated and as such therefore is not considered medially necessary. The coverage guidelines outlined in the Medical Policy should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY8/24/2007: Policy added 9/19/2007: Code reference section updated. ICD-9 2007 revisions added to policy 11/15/2007: Policy approved by MPAC 10/7/2008: Policy reviewed, no changes 3/15/2010: Code Reference section updated. New HCPCS code L8692 added to covered table.
L8692
Non-osseointegrated snd proc
HCPCS
The coverage guidelines outlined in the Medical Policy should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY8/24/2007: Policy added 9/19/2007: Code reference section updated. ICD-9 2007 revisions added to policy 11/15/2007: Policy approved by MPAC 10/7/2008: Policy reviewed, no changes 3/15/2010: Code Reference section updated. New HCPCS code L8692 added to covered table. 04/21/2010: Policy description updated regarding FDA approval of devices.
L8692
Non-osseointegrated snd proc
HCPCS
POLICY HISTORY8/24/2007: Policy added 9/19/2007: Code reference section updated. ICD-9 2007 revisions added to policy 11/15/2007: Policy approved by MPAC 10/7/2008: Policy reviewed, no changes 3/15/2010: Code Reference section updated. New HCPCS code L8692 added to covered table. 04/21/2010: Policy description updated regarding FDA approval of devices. The medically necessary policy statements were revised to add “5 years of age and older” to be consistent with FDA-approved labeling.
L8692
Non-osseointegrated snd proc
HCPCS
ICD-9 2007 revisions added to policy 11/15/2007: Policy approved by MPAC 10/7/2008: Policy reviewed, no changes 3/15/2010: Code Reference section updated. New HCPCS code L8692 added to covered table. 04/21/2010: Policy description updated regarding FDA approval of devices. The medically necessary policy statements were revised to add “5 years of age and older” to be consistent with FDA-approved labeling. “Sensorineural” added to the second statement.
L8692
Non-osseointegrated snd proc
HCPCS
New HCPCS code L8692 added to covered table. 04/21/2010: Policy description updated regarding FDA approval of devices. The medically necessary policy statements were revised to add “5 years of age and older” to be consistent with FDA-approved labeling. “Sensorineural” added to the second statement. The intent of the policy statements unchanged.
L8693
IMPL COCLR 4MM BAHA TI ABTMNT B1300
HCPCS
The intent of the policy statements unchanged. FEP verbiage added to the Policy Exceptions section. 03/09/2011: Added new HCPCS code L8693 to the Code Reference section. 04/25/2011: Audiologic criteria moved from the policy guidelines to the policy statement. 03/02/2012: Added policy statement to indicate that partially implantable bone conduction hearing systems using magnetic coupling for acoustic transmission are considered investigational.
L8693
IMPL COCLR 4MM BAHA TI ABTMNT B1300
HCPCS
FEP verbiage added to the Policy Exceptions section. 03/09/2011: Added new HCPCS code L8693 to the Code Reference section. 04/25/2011: Audiologic criteria moved from the policy guidelines to the policy statement. 03/02/2012: Added policy statement to indicate that partially implantable bone conduction hearing systems using magnetic coupling for acoustic transmission are considered investigational. Other policy statements unchanged.
L8693
IMPL COCLR 4MM BAHA TI ABTMNT B1300
HCPCS
03/09/2011: Added new HCPCS code L8693 to the Code Reference section. 04/25/2011: Audiologic criteria moved from the policy guidelines to the policy statement. 03/02/2012: Added policy statement to indicate that partially implantable bone conduction hearing systems using magnetic coupling for acoustic transmission are considered investigational. Other policy statements unchanged. 04/04/2013: Policy reviewed; no changes.
95904
Sense nerve conduction test
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 must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/2/2007: Policy added 3/22/2007: Reviewed and approved by Medical Policy Advisory Committee (MPAC) 6/14/2007: Code Reference section updated per quarterly HCPCS and Category III revisions 10/11/2007: Code Reference section reviewed. CPT 95900, 95903, and 95904 removed from policy as non-covered for an automated point of care nerve conduction test (Note: Standard nerve conduction tests may be covered with these Copts); a specific HCPCS code for an automated point of care nerve conduction test became effective 7-1-2007 7/6/2009: Policy reviewed, description updated, policy statement unchanged 11/03/2010: Policy description section revised to provide a list of devices and research findings regarding portable automated nerve conduction tests compared to standard testing. Policy statement unchanged.
95903
Motor nerve conduction test
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 must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/2/2007: Policy added 3/22/2007: Reviewed and approved by Medical Policy Advisory Committee (MPAC) 6/14/2007: Code Reference section updated per quarterly HCPCS and Category III revisions 10/11/2007: Code Reference section reviewed. CPT 95900, 95903, and 95904 removed from policy as non-covered for an automated point of care nerve conduction test (Note: Standard nerve conduction tests may be covered with these Copts); a specific HCPCS code for an automated point of care nerve conduction test became effective 7-1-2007 7/6/2009: Policy reviewed, description updated, policy statement unchanged 11/03/2010: Policy description section revised to provide a list of devices and research findings regarding portable automated nerve conduction tests compared to standard testing. Policy statement unchanged.
95900
Motor nerve conduction test
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 must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY3/2/2007: Policy added 3/22/2007: Reviewed and approved by Medical Policy Advisory Committee (MPAC) 6/14/2007: Code Reference section updated per quarterly HCPCS and Category III revisions 10/11/2007: Code Reference section reviewed. CPT 95900, 95903, and 95904 removed from policy as non-covered for an automated point of care nerve conduction test (Note: Standard nerve conduction tests may be covered with these Copts); a specific HCPCS code for an automated point of care nerve conduction test became effective 7-1-2007 7/6/2009: Policy reviewed, description updated, policy statement unchanged 11/03/2010: Policy description section revised to provide a list of devices and research findings regarding portable automated nerve conduction tests compared to standard testing. Policy statement unchanged.
95904
Sense nerve conduction test
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 HISTORY3/2/2007: Policy added 3/22/2007: Reviewed and approved by Medical Policy Advisory Committee (MPAC) 6/14/2007: Code Reference section updated per quarterly HCPCS and Category III revisions 10/11/2007: Code Reference section reviewed. CPT 95900, 95903, and 95904 removed from policy as non-covered for an automated point of care nerve conduction test (Note: Standard nerve conduction tests may be covered with these Copts); a specific HCPCS code for an automated point of care nerve conduction test became effective 7-1-2007 7/6/2009: Policy reviewed, description updated, policy statement unchanged 11/03/2010: Policy description section revised to provide a list of devices and research findings regarding portable automated nerve conduction tests compared to standard testing. Policy statement unchanged. FEP verbiage added to the Policy Exceptions section.
95903
Motor nerve conduction test
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 HISTORY3/2/2007: Policy added 3/22/2007: Reviewed and approved by Medical Policy Advisory Committee (MPAC) 6/14/2007: Code Reference section updated per quarterly HCPCS and Category III revisions 10/11/2007: Code Reference section reviewed. CPT 95900, 95903, and 95904 removed from policy as non-covered for an automated point of care nerve conduction test (Note: Standard nerve conduction tests may be covered with these Copts); a specific HCPCS code for an automated point of care nerve conduction test became effective 7-1-2007 7/6/2009: Policy reviewed, description updated, policy statement unchanged 11/03/2010: Policy description section revised to provide a list of devices and research findings regarding portable automated nerve conduction tests compared to standard testing. Policy statement unchanged. FEP verbiage added to the Policy Exceptions section.
95900
Motor nerve conduction test
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 HISTORY3/2/2007: Policy added 3/22/2007: Reviewed and approved by Medical Policy Advisory Committee (MPAC) 6/14/2007: Code Reference section updated per quarterly HCPCS and Category III revisions 10/11/2007: Code Reference section reviewed. CPT 95900, 95903, and 95904 removed from policy as non-covered for an automated point of care nerve conduction test (Note: Standard nerve conduction tests may be covered with these Copts); a specific HCPCS code for an automated point of care nerve conduction test became effective 7-1-2007 7/6/2009: Policy reviewed, description updated, policy statement unchanged 11/03/2010: Policy description section revised to provide a list of devices and research findings regarding portable automated nerve conduction tests compared to standard testing. Policy statement unchanged. FEP verbiage added to the Policy Exceptions section.
00100
ANESTH SALIVARY GLAND
CPT
The American Medical Association was first to introduce Current Procedural Terminology codes. It was in the 1960s and its aim was to enable medical staff to use standardized terms to document procedures and services in medical records. Nowadays, more than 10,000 different 6-digit CPT codes ranging between 00100 and 99499 exist and each code consists of six digits. Furthermore, two-digit modifying codes can be added with the aim to provide more clarification on the specifics of a procedure that has to be done. These additional digits in codes are required in cases when the code only describes a part of a procedure.
1000
HC ASAM LEVEL 3.7 MEDICALLY MONITORED INPATIENT
RC
The ICD-10 codes are applicable for hospital inpatient procedures. ICD-10-PCS (Procedure Coding System), designed by 3M Health Information Management for Centers of Medicare and Medicaid, is the code set to replace the Volume 3 of ICD-9-CM for inpatient procedure reporting. This ICD-10-PCS has approx. 71000 alpha-numeric codes which has seven digits. Structure of ICD-10-PCS Codes: In the structure, For the example shown above, ICD-10 code for knee joint replacement (0SRC0JZ – Replacement of Right Knee Joint with Synthetic Substitute, Open Approach) means the following: For more information on ICD-10-PCD codes, click here: https://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/08_ICD10.asp Moving to ICD-10 will speed up the medical reimbursement process in the industry and reduce the payment errors.
1000
HC ASAM LEVEL 3.7 MEDICALLY MONITORED INPATIENT
RC
ICD-10-PCS (Procedure Coding System), designed by 3M Health Information Management for Centers of Medicare and Medicaid, is the code set to replace the Volume 3 of ICD-9-CM for inpatient procedure reporting. This ICD-10-PCS has approx. 71000 alpha-numeric codes which has seven digits. Structure of ICD-10-PCS Codes: In the structure, For the example shown above, ICD-10 code for knee joint replacement (0SRC0JZ – Replacement of Right Knee Joint with Synthetic Substitute, Open Approach) means the following: For more information on ICD-10-PCD codes, click here: https://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/08_ICD10.asp Moving to ICD-10 will speed up the medical reimbursement process in the industry and reduce the payment errors. It also enhances the quality of healthcare offered to patients.
1000
HC ASAM LEVEL 3.7 MEDICALLY MONITORED INPATIENT
RC
This ICD-10-PCS has approx. 71000 alpha-numeric codes which has seven digits. Structure of ICD-10-PCS Codes: In the structure, For the example shown above, ICD-10 code for knee joint replacement (0SRC0JZ – Replacement of Right Knee Joint with Synthetic Substitute, Open Approach) means the following: For more information on ICD-10-PCD codes, click here: https://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/08_ICD10.asp Moving to ICD-10 will speed up the medical reimbursement process in the industry and reduce the payment errors. It also enhances the quality of healthcare offered to patients. The Department of Health & Human Services (HHS) published the final rules for adoption of new HIPAA standards on January 16, 2009.
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.
28309
PR OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT
HCPCS
A cast is placed on the foot during the tenotomy procedure, but this is not billable because it’s not a separately identifiable procedure. More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly.
L1960
HC SUPPLY ANKLE FOOT ORTHOSIS POSTERIOR SOLID ANKLE CUSTOM - L1960
HCPCS
A cast is placed on the foot during the tenotomy procedure, but this is not billable because it’s not a separately identifiable procedure. More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly.
28285
Repair of hammertoe
HCPCS
A cast is placed on the foot during the tenotomy procedure, but this is not billable because it’s not a separately identifiable procedure. More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly.
L2300
Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable
HCPCS
A cast is placed on the foot during the tenotomy procedure, but this is not billable because it’s not a separately identifiable procedure. More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly.
L2280
Molded inner boot
HCPCS
A cast is placed on the foot during the tenotomy procedure, but this is not billable because it’s not a separately identifiable procedure. More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly.
L2768
Orthotic side bar disconnect device, per bar
HCPCS
A cast is placed on the foot during the tenotomy procedure, but this is not billable because it’s not a separately identifiable procedure. More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly.
28300
PR OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION
HCPCS
A cast is placed on the foot during the tenotomy procedure, but this is not billable because it’s not a separately identifiable procedure. More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly.
28309
PR OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT
HCPCS
More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly. ICD-10-CM coding for clubfoot is tricky.
L1960
HC SUPPLY ANKLE FOOT ORTHOSIS POSTERIOR SOLID ANKLE CUSTOM - L1960
HCPCS
More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly. ICD-10-CM coding for clubfoot is tricky.
28285
Repair of hammertoe
HCPCS
More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly. ICD-10-CM coding for clubfoot is tricky.
L2300
Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable
HCPCS
More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly. ICD-10-CM coding for clubfoot is tricky.
L2280
Molded inner boot
HCPCS
More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly. ICD-10-CM coding for clubfoot is tricky.
L2768
Orthotic side bar disconnect device, per bar
HCPCS
More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly. ICD-10-CM coding for clubfoot is tricky.
28300
PR OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION
HCPCS
More extensive procedures may be necessary if the deformity is severe. Some examples of these are hammertoe correction (28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)) and osteotomies (code range 28300-28309, depending on the affected bones in the foot). DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly. ICD-10-CM coding for clubfoot is tricky.
L1960
HC SUPPLY ANKLE FOOT ORTHOSIS POSTERIOR SOLID ANKLE CUSTOM - L1960
HCPCS
DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly. ICD-10-CM coding for clubfoot is tricky. If you look for “clubfoot” in the ICD-10-CM Alphabetic Index, you’ll see Clubfoot (congenital) Q66.89. When you reference the Tabular List, however, Q66.89 describes other specified congenital deformities of the feet.
L2300
Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable
HCPCS
DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly. ICD-10-CM coding for clubfoot is tricky. If you look for “clubfoot” in the ICD-10-CM Alphabetic Index, you’ll see Clubfoot (congenital) Q66.89. When you reference the Tabular List, however, Q66.89 describes other specified congenital deformities of the feet.
L2280
Molded inner boot
HCPCS
DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly. ICD-10-CM coding for clubfoot is tricky. If you look for “clubfoot” in the ICD-10-CM Alphabetic Index, you’ll see Clubfoot (congenital) Q66.89. When you reference the Tabular List, however, Q66.89 describes other specified congenital deformities of the feet.
L2768
Orthotic side bar disconnect device, per bar
HCPCS
DME Supply Coding For the bracing, the following HCPCS Level II supply codes may be used, as prescribed by the physician: L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L2280 Addition to lower extremity, molded inner boot L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2768 Orthotic side bar disconnect device, per bar Billing these codes depends on your facility’s DME status, and if you are billing for the orthotic providers that create the boots and ankle-foot orthosis (AFOs), also known as foot-drop braces. As the child grows, new AFOs and bigger bars will be required and may be billed, accordingly. ICD-10-CM coding for clubfoot is tricky. If you look for “clubfoot” in the ICD-10-CM Alphabetic Index, you’ll see Clubfoot (congenital) Q66.89. When you reference the Tabular List, however, Q66.89 describes other specified congenital deformities of the feet.
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 Procedure||95.02||Comprehensive eye examination| |95.09||Eye examination, not otherwise specified| |ICD-9 Diagnosis||Not medically necessary for all diagnoses| |ICD-10-CM (effective 10/01/15)||Not medically necessary for all diagnoses| |H16.001-H16.9||Keratitis code range| |H17.00-H17.9||Corneal scars and opacities code range| |H18.001-H18.9||Other disorders of cornea code range| |ICD-10-PCS (effective 10/01/15)||ICD-10-PCS codes are only used for inpatient services. There is no specific ICD-10-PCS code for this examination.| |08J0XZZ, 08J1XZZ||Eye examination, code by body part (right eye or left eye)| |Type of Service||Ophthalmology| |Place of Service||Physician’s Office| |11/1/97||Add to Vision section||New policy| |7/12/02||Replace policy||Policy reviewed without literature review; new review date only| |10/09/03||Replace policy||Policy reviewed by consensus without literature review; no changes in policy; no further review scheduled| |10/10/2006||Replace policy||Policy updated with literature review.
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| |ICD-9 Diagnosis||Not medically necessary for all diagnoses| |ICD-10-CM (effective 10/01/15)||Not medically necessary for all diagnoses| |H16.001-H16.9||Keratitis code range| |H17.00-H17.9||Corneal scars and opacities code range| |H18.001-H18.9||Other disorders of cornea code range| |ICD-10-PCS (effective 10/01/15)||ICD-10-PCS codes are only used for inpatient services. There is no specific ICD-10-PCS code for this examination.| |08J0XZZ, 08J1XZZ||Eye examination, code by body part (right eye or left eye)| |Type of Service||Ophthalmology| |Place of Service||Physician’s Office| |11/1/97||Add to Vision section||New policy| |7/12/02||Replace policy||Policy reviewed without literature review; new review date only| |10/09/03||Replace policy||Policy reviewed by consensus without literature review; no changes in policy; no further review scheduled| |10/10/2006||Replace policy||Policy updated with literature review. Policy statement revised.| |12/13/07||Replace Policy||Policy updated with literature review; reference 3 added; policy statement unchanged.| |04/24/09||Replace policy||Policy updated with literature review through January 2009; policy statement changed to not medically necessary.| |04/08/10||Replace policy||Policy updated with literature review through February 2010; reference 3 added; policy statement unchanged| |4/14/11||Replace policy||Policy updated with literature review through February 2011; policy statement unchanged| |04/12/12||Replace policy||Policy updated with literature review through February 2012; policy statement unchanged| |04/11/13||Replace policy||Policy updated with literature review through March 13, 2013; reference 4 added; policy statement unchanged| |4/10/14||Replace policy||Policy updated with literature review through March 3, 2014; policy statement unchanged|
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 medically necessary for all diagnoses| |ICD-10-CM (effective 10/01/15)||Not medically necessary for all diagnoses| |H16.001-H16.9||Keratitis code range| |H17.00-H17.9||Corneal scars and opacities code range| |H18.001-H18.9||Other disorders of cornea code range| |ICD-10-PCS (effective 10/01/15)||ICD-10-PCS codes are only used for inpatient services. There is no specific ICD-10-PCS code for this examination.| |08J0XZZ, 08J1XZZ||Eye examination, code by body part (right eye or left eye)| |Type of Service||Ophthalmology| |Place of Service||Physician’s Office| |11/1/97||Add to Vision section||New policy| |7/12/02||Replace policy||Policy reviewed without literature review; new review date only| |10/09/03||Replace policy||Policy reviewed by consensus without literature review; no changes in policy; no further review scheduled| |10/10/2006||Replace policy||Policy updated with literature review. Policy statement revised.| |12/13/07||Replace Policy||Policy updated with literature review; reference 3 added; policy statement unchanged.| |04/24/09||Replace policy||Policy updated with literature review through January 2009; policy statement changed to not medically necessary.| |04/08/10||Replace policy||Policy updated with literature review through February 2010; reference 3 added; policy statement unchanged| |4/14/11||Replace policy||Policy updated with literature review through February 2011; policy statement unchanged| |04/12/12||Replace policy||Policy updated with literature review through February 2012; policy statement unchanged| |04/11/13||Replace policy||Policy updated with literature review through March 13, 2013; reference 4 added; policy statement unchanged| |4/10/14||Replace policy||Policy updated with literature review through March 3, 2014; policy statement unchanged|
1745
Thoracoscopic robotic assisted procedure
ICD
PMID 17141745. - World Health Organisation. (1992). The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organisation.
9067
Lutetium lu 177 dotatat t
APC
According to the CDC, flu vaccines protect against the three or four viruses (depending on the vaccine) that research suggests will be most common. For 2019-2020, trivalent (three-component) influenza vaccines contain: - A/Brisbane/02/2018 (H1N1)pdm09-like virus (updated) - A/Kansas/14/2017 (H3N2)-like virus (updated) - B/Colorado/06/2017-like (Victoria lineage) virus The American Academy of Professional Coders (AAPC) reports that the 2019-20 U.S. quadrivalent influenza vaccines would contain HA derived from these three viruses and an additional influenza B virus HA, a B/Phuket/3073/2013-like virus (Yamagata lineage). Compared with the 2018-19 season, the composition for 2019-20 represents updates in the influenza A(H1N1)pdm09 and influenza A(H3N2) components of the vaccine. Healthcare providers should prepare for the flux of injections by updating their billing systems with the 2019 Average Sales Price (ASP) Drug Pricing files and reading the latest vaccine recommendations. CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness.
9075
Inj, kovaltry, 1 i.u.
APC
According to the CDC, flu vaccines protect against the three or four viruses (depending on the vaccine) that research suggests will be most common. For 2019-2020, trivalent (three-component) influenza vaccines contain: - A/Brisbane/02/2018 (H1N1)pdm09-like virus (updated) - A/Kansas/14/2017 (H3N2)-like virus (updated) - B/Colorado/06/2017-like (Victoria lineage) virus The American Academy of Professional Coders (AAPC) reports that the 2019-20 U.S. quadrivalent influenza vaccines would contain HA derived from these three viruses and an additional influenza B virus HA, a B/Phuket/3073/2013-like virus (Yamagata lineage). Compared with the 2018-19 season, the composition for 2019-20 represents updates in the influenza A(H1N1)pdm09 and influenza A(H3N2) components of the vaccine. Healthcare providers should prepare for the flux of injections by updating their billing systems with the 2019 Average Sales Price (ASP) Drug Pricing files and reading the latest vaccine recommendations. CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness.
9065
Argatroban esrd dialysis
APC
According to the CDC, flu vaccines protect against the three or four viruses (depending on the vaccine) that research suggests will be most common. For 2019-2020, trivalent (three-component) influenza vaccines contain: - A/Brisbane/02/2018 (H1N1)pdm09-like virus (updated) - A/Kansas/14/2017 (H3N2)-like virus (updated) - B/Colorado/06/2017-like (Victoria lineage) virus The American Academy of Professional Coders (AAPC) reports that the 2019-20 U.S. quadrivalent influenza vaccines would contain HA derived from these three viruses and an additional influenza B virus HA, a B/Phuket/3073/2013-like virus (Yamagata lineage). Compared with the 2018-19 season, the composition for 2019-20 represents updates in the influenza A(H1N1)pdm09 and influenza A(H3N2) components of the vaccine. Healthcare providers should prepare for the flux of injections by updating their billing systems with the 2019 Average Sales Price (ASP) Drug Pricing files and reading the latest vaccine recommendations. CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness.
9068
Smallpox&monkeypox vac 0.
APC
According to the CDC, flu vaccines protect against the three or four viruses (depending on the vaccine) that research suggests will be most common. For 2019-2020, trivalent (three-component) influenza vaccines contain: - A/Brisbane/02/2018 (H1N1)pdm09-like virus (updated) - A/Kansas/14/2017 (H3N2)-like virus (updated) - B/Colorado/06/2017-like (Victoria lineage) virus The American Academy of Professional Coders (AAPC) reports that the 2019-20 U.S. quadrivalent influenza vaccines would contain HA derived from these three viruses and an additional influenza B virus HA, a B/Phuket/3073/2013-like virus (Yamagata lineage). Compared with the 2018-19 season, the composition for 2019-20 represents updates in the influenza A(H1N1)pdm09 and influenza A(H3N2) components of the vaccine. Healthcare providers should prepare for the flux of injections by updating their billing systems with the 2019 Average Sales Price (ASP) Drug Pricing files and reading the latest vaccine recommendations. CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness.
9067
Lutetium lu 177 dotatat t
APC
Compared with the 2018-19 season, the composition for 2019-20 represents updates in the influenza A(H1N1)pdm09 and influenza A(H3N2) components of the vaccine. Healthcare providers should prepare for the flux of injections by updating their billing systems with the 2019 Average Sales Price (ASP) Drug Pricing files and reading the latest vaccine recommendations. CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness. CDC’s Recommendations for the 2019-2020 Flu Season - Routine annual influenza vaccination of all persons aged ≥6 months who do not have contraindications continues to be recommended - The American Academy of Pediatrics (AAP) no longer expresses a preference for the flu shot over nasal spray vaccine for children during the 2019-2020 flu season - The AAP recommends using the flu shot (inactivated influenza vaccine, IIV) as the primary vaccine choice The AAPC highlights two recent regulatory actions: - “In October 2018, the FDA approved an expanded age indication for Afluria Quadrivalent (IIV4). Previously licensed for persons aged ≥5 years, Afluria Quadrivalent (IIV4) is now licensed for persons aged ≥6 months.
9075
Inj, kovaltry, 1 i.u.
APC
Compared with the 2018-19 season, the composition for 2019-20 represents updates in the influenza A(H1N1)pdm09 and influenza A(H3N2) components of the vaccine. Healthcare providers should prepare for the flux of injections by updating their billing systems with the 2019 Average Sales Price (ASP) Drug Pricing files and reading the latest vaccine recommendations. CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness. CDC’s Recommendations for the 2019-2020 Flu Season - Routine annual influenza vaccination of all persons aged ≥6 months who do not have contraindications continues to be recommended - The American Academy of Pediatrics (AAP) no longer expresses a preference for the flu shot over nasal spray vaccine for children during the 2019-2020 flu season - The AAP recommends using the flu shot (inactivated influenza vaccine, IIV) as the primary vaccine choice The AAPC highlights two recent regulatory actions: - “In October 2018, the FDA approved an expanded age indication for Afluria Quadrivalent (IIV4). Previously licensed for persons aged ≥5 years, Afluria Quadrivalent (IIV4) is now licensed for persons aged ≥6 months.
9065
Argatroban esrd dialysis
APC
Compared with the 2018-19 season, the composition for 2019-20 represents updates in the influenza A(H1N1)pdm09 and influenza A(H3N2) components of the vaccine. Healthcare providers should prepare for the flux of injections by updating their billing systems with the 2019 Average Sales Price (ASP) Drug Pricing files and reading the latest vaccine recommendations. CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness. CDC’s Recommendations for the 2019-2020 Flu Season - Routine annual influenza vaccination of all persons aged ≥6 months who do not have contraindications continues to be recommended - The American Academy of Pediatrics (AAP) no longer expresses a preference for the flu shot over nasal spray vaccine for children during the 2019-2020 flu season - The AAP recommends using the flu shot (inactivated influenza vaccine, IIV) as the primary vaccine choice The AAPC highlights two recent regulatory actions: - “In October 2018, the FDA approved an expanded age indication for Afluria Quadrivalent (IIV4). Previously licensed for persons aged ≥5 years, Afluria Quadrivalent (IIV4) is now licensed for persons aged ≥6 months.
9068
Smallpox&monkeypox vac 0.
APC
Compared with the 2018-19 season, the composition for 2019-20 represents updates in the influenza A(H1N1)pdm09 and influenza A(H3N2) components of the vaccine. Healthcare providers should prepare for the flux of injections by updating their billing systems with the 2019 Average Sales Price (ASP) Drug Pricing files and reading the latest vaccine recommendations. CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness. CDC’s Recommendations for the 2019-2020 Flu Season - Routine annual influenza vaccination of all persons aged ≥6 months who do not have contraindications continues to be recommended - The American Academy of Pediatrics (AAP) no longer expresses a preference for the flu shot over nasal spray vaccine for children during the 2019-2020 flu season - The AAP recommends using the flu shot (inactivated influenza vaccine, IIV) as the primary vaccine choice The AAPC highlights two recent regulatory actions: - “In October 2018, the FDA approved an expanded age indication for Afluria Quadrivalent (IIV4). Previously licensed for persons aged ≥5 years, Afluria Quadrivalent (IIV4) is now licensed for persons aged ≥6 months.
9067
Lutetium lu 177 dotatat t
APC
Healthcare providers should prepare for the flux of injections by updating their billing systems with the 2019 Average Sales Price (ASP) Drug Pricing files and reading the latest vaccine recommendations. CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness. CDC’s Recommendations for the 2019-2020 Flu Season - Routine annual influenza vaccination of all persons aged ≥6 months who do not have contraindications continues to be recommended - The American Academy of Pediatrics (AAP) no longer expresses a preference for the flu shot over nasal spray vaccine for children during the 2019-2020 flu season - The AAP recommends using the flu shot (inactivated influenza vaccine, IIV) as the primary vaccine choice The AAPC highlights two recent regulatory actions: - “In October 2018, the FDA approved an expanded age indication for Afluria Quadrivalent (IIV4). Previously licensed for persons aged ≥5 years, Afluria Quadrivalent (IIV4) is now licensed for persons aged ≥6 months. The dose volume is 0.25 mL per dose (containing 7.5 µg of hemagglutinin (HA) per vaccine virus) for children aged 6 through 35 months and 0.5 mL per dose (containing 15 µg of HA per vaccine virus) for all persons aged ≥36 months (≥3 years)”.
9075
Inj, kovaltry, 1 i.u.
APC
Healthcare providers should prepare for the flux of injections by updating their billing systems with the 2019 Average Sales Price (ASP) Drug Pricing files and reading the latest vaccine recommendations. CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness. CDC’s Recommendations for the 2019-2020 Flu Season - Routine annual influenza vaccination of all persons aged ≥6 months who do not have contraindications continues to be recommended - The American Academy of Pediatrics (AAP) no longer expresses a preference for the flu shot over nasal spray vaccine for children during the 2019-2020 flu season - The AAP recommends using the flu shot (inactivated influenza vaccine, IIV) as the primary vaccine choice The AAPC highlights two recent regulatory actions: - “In October 2018, the FDA approved an expanded age indication for Afluria Quadrivalent (IIV4). Previously licensed for persons aged ≥5 years, Afluria Quadrivalent (IIV4) is now licensed for persons aged ≥6 months. The dose volume is 0.25 mL per dose (containing 7.5 µg of hemagglutinin (HA) per vaccine virus) for children aged 6 through 35 months and 0.5 mL per dose (containing 15 µg of HA per vaccine virus) for all persons aged ≥36 months (≥3 years)”.
9065
Argatroban esrd dialysis
APC
Healthcare providers should prepare for the flux of injections by updating their billing systems with the 2019 Average Sales Price (ASP) Drug Pricing files and reading the latest vaccine recommendations. CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness. CDC’s Recommendations for the 2019-2020 Flu Season - Routine annual influenza vaccination of all persons aged ≥6 months who do not have contraindications continues to be recommended - The American Academy of Pediatrics (AAP) no longer expresses a preference for the flu shot over nasal spray vaccine for children during the 2019-2020 flu season - The AAP recommends using the flu shot (inactivated influenza vaccine, IIV) as the primary vaccine choice The AAPC highlights two recent regulatory actions: - “In October 2018, the FDA approved an expanded age indication for Afluria Quadrivalent (IIV4). Previously licensed for persons aged ≥5 years, Afluria Quadrivalent (IIV4) is now licensed for persons aged ≥6 months. The dose volume is 0.25 mL per dose (containing 7.5 µg of hemagglutinin (HA) per vaccine virus) for children aged 6 through 35 months and 0.5 mL per dose (containing 15 µg of HA per vaccine virus) for all persons aged ≥36 months (≥3 years)”.
9068
Smallpox&monkeypox vac 0.
APC
Healthcare providers should prepare for the flux of injections by updating their billing systems with the 2019 Average Sales Price (ASP) Drug Pricing files and reading the latest vaccine recommendations. CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness. CDC’s Recommendations for the 2019-2020 Flu Season - Routine annual influenza vaccination of all persons aged ≥6 months who do not have contraindications continues to be recommended - The American Academy of Pediatrics (AAP) no longer expresses a preference for the flu shot over nasal spray vaccine for children during the 2019-2020 flu season - The AAP recommends using the flu shot (inactivated influenza vaccine, IIV) as the primary vaccine choice The AAPC highlights two recent regulatory actions: - “In October 2018, the FDA approved an expanded age indication for Afluria Quadrivalent (IIV4). Previously licensed for persons aged ≥5 years, Afluria Quadrivalent (IIV4) is now licensed for persons aged ≥6 months. The dose volume is 0.25 mL per dose (containing 7.5 µg of hemagglutinin (HA) per vaccine virus) for children aged 6 through 35 months and 0.5 mL per dose (containing 15 µg of HA per vaccine virus) for all persons aged ≥36 months (≥3 years)”.
9067
Lutetium lu 177 dotatat t
APC
CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness. CDC’s Recommendations for the 2019-2020 Flu Season - Routine annual influenza vaccination of all persons aged ≥6 months who do not have contraindications continues to be recommended - The American Academy of Pediatrics (AAP) no longer expresses a preference for the flu shot over nasal spray vaccine for children during the 2019-2020 flu season - The AAP recommends using the flu shot (inactivated influenza vaccine, IIV) as the primary vaccine choice The AAPC highlights two recent regulatory actions: - “In October 2018, the FDA approved an expanded age indication for Afluria Quadrivalent (IIV4). Previously licensed for persons aged ≥5 years, Afluria Quadrivalent (IIV4) is now licensed for persons aged ≥6 months. The dose volume is 0.25 mL per dose (containing 7.5 µg of hemagglutinin (HA) per vaccine virus) for children aged 6 through 35 months and 0.5 mL per dose (containing 15 µg of HA per vaccine virus) for all persons aged ≥36 months (≥3 years)”. - “In January 2019, the FDA approved a change in dose volume for Fluzone Quadrivalent (IIV4).
9075
Inj, kovaltry, 1 i.u.
APC
CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness. CDC’s Recommendations for the 2019-2020 Flu Season - Routine annual influenza vaccination of all persons aged ≥6 months who do not have contraindications continues to be recommended - The American Academy of Pediatrics (AAP) no longer expresses a preference for the flu shot over nasal spray vaccine for children during the 2019-2020 flu season - The AAP recommends using the flu shot (inactivated influenza vaccine, IIV) as the primary vaccine choice The AAPC highlights two recent regulatory actions: - “In October 2018, the FDA approved an expanded age indication for Afluria Quadrivalent (IIV4). Previously licensed for persons aged ≥5 years, Afluria Quadrivalent (IIV4) is now licensed for persons aged ≥6 months. The dose volume is 0.25 mL per dose (containing 7.5 µg of hemagglutinin (HA) per vaccine virus) for children aged 6 through 35 months and 0.5 mL per dose (containing 15 µg of HA per vaccine virus) for all persons aged ≥36 months (≥3 years)”. - “In January 2019, the FDA approved a change in dose volume for Fluzone Quadrivalent (IIV4).
9065
Argatroban esrd dialysis
APC
CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness. CDC’s Recommendations for the 2019-2020 Flu Season - Routine annual influenza vaccination of all persons aged ≥6 months who do not have contraindications continues to be recommended - The American Academy of Pediatrics (AAP) no longer expresses a preference for the flu shot over nasal spray vaccine for children during the 2019-2020 flu season - The AAP recommends using the flu shot (inactivated influenza vaccine, IIV) as the primary vaccine choice The AAPC highlights two recent regulatory actions: - “In October 2018, the FDA approved an expanded age indication for Afluria Quadrivalent (IIV4). Previously licensed for persons aged ≥5 years, Afluria Quadrivalent (IIV4) is now licensed for persons aged ≥6 months. The dose volume is 0.25 mL per dose (containing 7.5 µg of hemagglutinin (HA) per vaccine virus) for children aged 6 through 35 months and 0.5 mL per dose (containing 15 µg of HA per vaccine virus) for all persons aged ≥36 months (≥3 years)”. - “In January 2019, the FDA approved a change in dose volume for Fluzone Quadrivalent (IIV4).
9068
Smallpox&monkeypox vac 0.
APC
CPT Vaccine Codes 2019-2020 CPT vaccine codes for the 2019-2020 flu season are as follows: - 90653: Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use - 90662: Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use - 90672: Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use - 90674: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use - 90682: Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use - 90685: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use - 90686: Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use - 90687: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use - 90688: Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use - 90756: Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Using the right ICD-10 codes for influenza is necessary to demonstrate the severity of the patient’s illness. CDC’s Recommendations for the 2019-2020 Flu Season - Routine annual influenza vaccination of all persons aged ≥6 months who do not have contraindications continues to be recommended - The American Academy of Pediatrics (AAP) no longer expresses a preference for the flu shot over nasal spray vaccine for children during the 2019-2020 flu season - The AAP recommends using the flu shot (inactivated influenza vaccine, IIV) as the primary vaccine choice The AAPC highlights two recent regulatory actions: - “In October 2018, the FDA approved an expanded age indication for Afluria Quadrivalent (IIV4). Previously licensed for persons aged ≥5 years, Afluria Quadrivalent (IIV4) is now licensed for persons aged ≥6 months. The dose volume is 0.25 mL per dose (containing 7.5 µg of hemagglutinin (HA) per vaccine virus) for children aged 6 through 35 months and 0.5 mL per dose (containing 15 µg of HA per vaccine virus) for all persons aged ≥36 months (≥3 years)”. - “In January 2019, the FDA approved a change in dose volume for Fluzone Quadrivalent (IIV4).
S9345
HIT anti-hemophil diem
HCPCS
BCBSMS makes no payment for services, treatments, procedures, equipment, drugs, devices, items or supplies which are not documented to be Medically Necessary. The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary. 4/1999: Approved by Pharmacy & Therapeutics (P & T) Oncology Committee 1/30/2002: Factor VIII (Human), Factor VIII (Recombinant) and Factor VIII (Porcine) policies combined into one policy titled "Factor VIII"; Prior authorization deleted 4/24/2002: Type of Service and Place of Service deleted. Code Reference section completed 11/6/2002: Koate-DVI® added, Koate-P® and Koate-HP® deleted 8/17/2004: Code Reference section updated, ICD-9 diagnosis code 286.1, 286.4, 286.5 added, HCPCS S9345 added 9/24/2004: Code Reference section updated, CPT code 36440, 85244 deleted 10/29/2006: Factor VIII and Factor IX policies combined 9/12/2007: Added Mississippi Comprehensive Health Insurance Risk Pool Association will no longer provide benefits for antihemophilic factor, factor VIII, factor IX, factor concentrate or factorate products of any kind and services or related supplies received on an outpatient basis effective August 1, 2007, to Policy Exceptions 12/31/2008: Code Reference section updated per 2009 CPT/HCPCS revisions. 01/01/2009: Accredo preferred provider information removed.
36440
PR PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER
HCPCS
BCBSMS makes no payment for services, treatments, procedures, equipment, drugs, devices, items or supplies which are not documented to be Medically Necessary. The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary. 4/1999: Approved by Pharmacy & Therapeutics (P & T) Oncology Committee 1/30/2002: Factor VIII (Human), Factor VIII (Recombinant) and Factor VIII (Porcine) policies combined into one policy titled "Factor VIII"; Prior authorization deleted 4/24/2002: Type of Service and Place of Service deleted. Code Reference section completed 11/6/2002: Koate-DVI® added, Koate-P® and Koate-HP® deleted 8/17/2004: Code Reference section updated, ICD-9 diagnosis code 286.1, 286.4, 286.5 added, HCPCS S9345 added 9/24/2004: Code Reference section updated, CPT code 36440, 85244 deleted 10/29/2006: Factor VIII and Factor IX policies combined 9/12/2007: Added Mississippi Comprehensive Health Insurance Risk Pool Association will no longer provide benefits for antihemophilic factor, factor VIII, factor IX, factor concentrate or factorate products of any kind and services or related supplies received on an outpatient basis effective August 1, 2007, to Policy Exceptions 12/31/2008: Code Reference section updated per 2009 CPT/HCPCS revisions. 01/01/2009: Accredo preferred provider information removed.
85244
HC CLOTTING; FACTOR VIII (AHG) RELATED ANTIGEN
HCPCS
BCBSMS makes no payment for services, treatments, procedures, equipment, drugs, devices, items or supplies which are not documented to be Medically Necessary. The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary. 4/1999: Approved by Pharmacy & Therapeutics (P & T) Oncology Committee 1/30/2002: Factor VIII (Human), Factor VIII (Recombinant) and Factor VIII (Porcine) policies combined into one policy titled "Factor VIII"; Prior authorization deleted 4/24/2002: Type of Service and Place of Service deleted. Code Reference section completed 11/6/2002: Koate-DVI® added, Koate-P® and Koate-HP® deleted 8/17/2004: Code Reference section updated, ICD-9 diagnosis code 286.1, 286.4, 286.5 added, HCPCS S9345 added 9/24/2004: Code Reference section updated, CPT code 36440, 85244 deleted 10/29/2006: Factor VIII and Factor IX policies combined 9/12/2007: Added Mississippi Comprehensive Health Insurance Risk Pool Association will no longer provide benefits for antihemophilic factor, factor VIII, factor IX, factor concentrate or factorate products of any kind and services or related supplies received on an outpatient basis effective August 1, 2007, to Policy Exceptions 12/31/2008: Code Reference section updated per 2009 CPT/HCPCS revisions. 01/01/2009: Accredo preferred provider information removed.
1999
ANESTHESIOLOGY GROUP
CPT
BCBSMS makes no payment for services, treatments, procedures, equipment, drugs, devices, items or supplies which are not documented to be Medically Necessary. The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary. 4/1999: Approved by Pharmacy & Therapeutics (P & T) Oncology Committee 1/30/2002: Factor VIII (Human), Factor VIII (Recombinant) and Factor VIII (Porcine) policies combined into one policy titled "Factor VIII"; Prior authorization deleted 4/24/2002: Type of Service and Place of Service deleted. Code Reference section completed 11/6/2002: Koate-DVI® added, Koate-P® and Koate-HP® deleted 8/17/2004: Code Reference section updated, ICD-9 diagnosis code 286.1, 286.4, 286.5 added, HCPCS S9345 added 9/24/2004: Code Reference section updated, CPT code 36440, 85244 deleted 10/29/2006: Factor VIII and Factor IX policies combined 9/12/2007: Added Mississippi Comprehensive Health Insurance Risk Pool Association will no longer provide benefits for antihemophilic factor, factor VIII, factor IX, factor concentrate or factorate products of any kind and services or related supplies received on an outpatient basis effective August 1, 2007, to Policy Exceptions 12/31/2008: Code Reference section updated per 2009 CPT/HCPCS revisions. 01/01/2009: Accredo preferred provider information removed.
S9345
HIT anti-hemophil diem
HCPCS
The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary. 4/1999: Approved by Pharmacy & Therapeutics (P & T) Oncology Committee 1/30/2002: Factor VIII (Human), Factor VIII (Recombinant) and Factor VIII (Porcine) policies combined into one policy titled "Factor VIII"; Prior authorization deleted 4/24/2002: Type of Service and Place of Service deleted. Code Reference section completed 11/6/2002: Koate-DVI® added, Koate-P® and Koate-HP® deleted 8/17/2004: Code Reference section updated, ICD-9 diagnosis code 286.1, 286.4, 286.5 added, HCPCS S9345 added 9/24/2004: Code Reference section updated, CPT code 36440, 85244 deleted 10/29/2006: Factor VIII and Factor IX policies combined 9/12/2007: Added Mississippi Comprehensive Health Insurance Risk Pool Association will no longer provide benefits for antihemophilic factor, factor VIII, factor IX, factor concentrate or factorate products of any kind and services or related supplies received on an outpatient basis effective August 1, 2007, to Policy Exceptions 12/31/2008: Code Reference section updated per 2009 CPT/HCPCS revisions. 01/01/2009: Accredo preferred provider information removed. BCBSMS information added.
36440
PR PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER
HCPCS
The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary. 4/1999: Approved by Pharmacy & Therapeutics (P & T) Oncology Committee 1/30/2002: Factor VIII (Human), Factor VIII (Recombinant) and Factor VIII (Porcine) policies combined into one policy titled "Factor VIII"; Prior authorization deleted 4/24/2002: Type of Service and Place of Service deleted. Code Reference section completed 11/6/2002: Koate-DVI® added, Koate-P® and Koate-HP® deleted 8/17/2004: Code Reference section updated, ICD-9 diagnosis code 286.1, 286.4, 286.5 added, HCPCS S9345 added 9/24/2004: Code Reference section updated, CPT code 36440, 85244 deleted 10/29/2006: Factor VIII and Factor IX policies combined 9/12/2007: Added Mississippi Comprehensive Health Insurance Risk Pool Association will no longer provide benefits for antihemophilic factor, factor VIII, factor IX, factor concentrate or factorate products of any kind and services or related supplies received on an outpatient basis effective August 1, 2007, to Policy Exceptions 12/31/2008: Code Reference section updated per 2009 CPT/HCPCS revisions. 01/01/2009: Accredo preferred provider information removed. BCBSMS information added.
85244
HC CLOTTING; FACTOR VIII (AHG) RELATED ANTIGEN
HCPCS
The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary. 4/1999: Approved by Pharmacy & Therapeutics (P & T) Oncology Committee 1/30/2002: Factor VIII (Human), Factor VIII (Recombinant) and Factor VIII (Porcine) policies combined into one policy titled "Factor VIII"; Prior authorization deleted 4/24/2002: Type of Service and Place of Service deleted. Code Reference section completed 11/6/2002: Koate-DVI® added, Koate-P® and Koate-HP® deleted 8/17/2004: Code Reference section updated, ICD-9 diagnosis code 286.1, 286.4, 286.5 added, HCPCS S9345 added 9/24/2004: Code Reference section updated, CPT code 36440, 85244 deleted 10/29/2006: Factor VIII and Factor IX policies combined 9/12/2007: Added Mississippi Comprehensive Health Insurance Risk Pool Association will no longer provide benefits for antihemophilic factor, factor VIII, factor IX, factor concentrate or factorate products of any kind and services or related supplies received on an outpatient basis effective August 1, 2007, to Policy Exceptions 12/31/2008: Code Reference section updated per 2009 CPT/HCPCS revisions. 01/01/2009: Accredo preferred provider information removed. BCBSMS information added.
1999
ANESTHESIOLOGY GROUP
CPT
The fact that a Physician or other Provider has prescribed, ordered, recommended, or approved a service or supply does not in itself, make it Medically Necessary. 4/1999: Approved by Pharmacy & Therapeutics (P & T) Oncology Committee 1/30/2002: Factor VIII (Human), Factor VIII (Recombinant) and Factor VIII (Porcine) policies combined into one policy titled "Factor VIII"; Prior authorization deleted 4/24/2002: Type of Service and Place of Service deleted. Code Reference section completed 11/6/2002: Koate-DVI® added, Koate-P® and Koate-HP® deleted 8/17/2004: Code Reference section updated, ICD-9 diagnosis code 286.1, 286.4, 286.5 added, HCPCS S9345 added 9/24/2004: Code Reference section updated, CPT code 36440, 85244 deleted 10/29/2006: Factor VIII and Factor IX policies combined 9/12/2007: Added Mississippi Comprehensive Health Insurance Risk Pool Association will no longer provide benefits for antihemophilic factor, factor VIII, factor IX, factor concentrate or factorate products of any kind and services or related supplies received on an outpatient basis effective August 1, 2007, to Policy Exceptions 12/31/2008: Code Reference section updated per 2009 CPT/HCPCS revisions. 01/01/2009: Accredo preferred provider information removed. BCBSMS information added.
Q2023
Xyntha - inj
CPT
01/01/2009: Accredo preferred provider information removed. BCBSMS information added. 6/30/2009: New HCPC code Q2023 added to covered table. 8/26/2009: Policy statement updated to include medically necessary indications for VIII for routine prophylaxis to reduce the frequency of bleeding episodes and the risk of joint damage in children (0-16) with hemophilia A with no pre-existing joint damage. 12/15/2009: Coding Section revised for 2010 CPT4 and HCPCS revisions 03/08/2010: Description section was updated with Humate-P®, Wilate®.
Q2023
Xyntha - inj
CPT
BCBSMS information added. 6/30/2009: New HCPC code Q2023 added to covered table. 8/26/2009: Policy statement updated to include medically necessary indications for VIII for routine prophylaxis to reduce the frequency of bleeding episodes and the risk of joint damage in children (0-16) with hemophilia A with no pre-existing joint damage. 12/15/2009: Coding Section revised for 2010 CPT4 and HCPCS revisions 03/08/2010: Description section was updated with Humate-P®, Wilate®. Also added brand names (ReFacto®, Xyntha® and Advate®) for Factor VIII (recombinant).
Q2023
Xyntha - inj
CPT
6/30/2009: New HCPC code Q2023 added to covered table. 8/26/2009: Policy statement updated to include medically necessary indications for VIII for routine prophylaxis to reduce the frequency of bleeding episodes and the risk of joint damage in children (0-16) with hemophilia A with no pre-existing joint damage. 12/15/2009: Coding Section revised for 2010 CPT4 and HCPCS revisions 03/08/2010: Description section was updated with Humate-P®, Wilate®. Also added brand names (ReFacto®, Xyntha® and Advate®) for Factor VIII (recombinant). Policy Section updated with coverage for Von Willebrand disease for Factor VIII.
J7185
Xyntha inj
HCPCS
Policy Section updated with coverage for Von Willebrand disease for Factor VIII. Policy Exceptions Section updated to remove Risk Pool language. HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy title changed from "Hemophilia Factor VIII (Human, Recombinant, Porcine) and Factor IX (Human, Complex, Recombinant)" to "Hemophilia Factor VIII Factor IX."
J7187
Injection, von willebrand factor complex (humate-p), per iu vwf:rco
HCPCS
Policy Section updated with coverage for Von Willebrand disease for Factor VIII. Policy Exceptions Section updated to remove Risk Pool language. HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy title changed from "Hemophilia Factor VIII (Human, Recombinant, Porcine) and Factor IX (Human, Complex, Recombinant)" to "Hemophilia Factor VIII Factor IX."
J7184
Wilate injection
HCPCS
Policy Section updated with coverage for Von Willebrand disease for Factor VIII. Policy Exceptions Section updated to remove Risk Pool language. HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy title changed from "Hemophilia Factor VIII (Human, Recombinant, Porcine) and Factor IX (Human, Complex, Recombinant)" to "Hemophilia Factor VIII Factor IX."
J7185
Xyntha inj
HCPCS
Policy Exceptions Section updated to remove Risk Pool language. HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy title changed from "Hemophilia Factor VIII (Human, Recombinant, Porcine) and Factor IX (Human, Complex, Recombinant)" to "Hemophilia Factor VIII Factor IX." Policy description and FDA Approved Indications for Factors VIII and IX were updated.
J7187
Injection, von willebrand factor complex (humate-p), per iu vwf:rco
HCPCS
Policy Exceptions Section updated to remove Risk Pool language. HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy title changed from "Hemophilia Factor VIII (Human, Recombinant, Porcine) and Factor IX (Human, Complex, Recombinant)" to "Hemophilia Factor VIII Factor IX." Policy description and FDA Approved Indications for Factors VIII and IX were updated.
J7184
Wilate injection
HCPCS
Policy Exceptions Section updated to remove Risk Pool language. HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy title changed from "Hemophilia Factor VIII (Human, Recombinant, Porcine) and Factor IX (Human, Complex, Recombinant)" to "Hemophilia Factor VIII Factor IX." Policy description and FDA Approved Indications for Factors VIII and IX were updated.
J7185
Xyntha inj
HCPCS
HCPCS code J7185 & J7187 were added to Covered Codes for Factor VIII. 02/28/2011: Added new HCPCS code J7184 for Wilate® to the Code Reference section. 04/01/2014: Policy title changed from "Hemophilia Factor VIII (Human, Recombinant, Porcine) and Factor IX (Human, Complex, Recombinant)" to "Hemophilia Factor VIII Factor IX." Policy description and FDA Approved Indications for Factors VIII and IX were updated. Policy statement updated to include "Factor VIII Deficiency" and "Hemophilia B" in medically necessary statements.