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77776
Apply interstit radiat simpl
HCPCS
POLICY HISTORY11/2000: Approved by Medical Policy Advisory Committee (MPAC), CPT code 76872-76873 added 5/23/2001: Code Reference section revised, CPT code 55860, 77326-77328, 77781-77784 added, ICD-9 procedure code 60.0, 92.27 added, ICD-9 diagnosis code 185,198.82, 233.4 added, HCPCS “All Codes - For brachytherapy needles and radioelements” added 6/13/2001: Code Reference section updated, CPT code 76965, 77776-77778 added 2/8/2002: Investigational definition added 5/1/2002: Type of Service and Place of Service deleted 9/20/2002: CPT codes 76872-76873 deleted 8/16/2005: Code Reference section updated, CPT code 55859, 77761, 77762, 77763, 77790 added, CPT code 77326-77328 code range listed separately and description revised, CPT code 77776-77778, 77781-77784 code range listed separately, ICD-9 procedure code 60.99 added, ICD-9 procedure code 92.27 description revised, ICD-9 diagnosis code 185, 198.82, 233.4 deleted, HCPCS “All Codes - For brachytherapy needles and radioelements” deleted, HCPCS Q3001 added 8/28/2006: Policy reviewed, no changes 12/28/2006: Code reference section updated per the 2007 CPT/HCPCS revisions 12/31/2008: Code reference section updated per the 2009 CPT/HCPCS revisions 06/30/2009: Policy Description section updated to explain procedure; Policy Statement section updated to state monotherapy or in conjunction with external beam radiation therapy may be considered medically necessary while salvage therapy remains investigational; Non-Covered Codes Table removed, Covered Codes Table added, CPT code 76873 added to covered table, CPT codes 77761, 77762, and 77763 deleted from covered table, ICD-9 Diagnosis code 185 added to covered table, HCPCS code C1717 added to covered table, added statement to covered table regarding HCPCS C-codes 4/12/2010: Description and policy statement reviewed, no changes. Code reference section updated. Description revised for CPT code 55876. CPT codes 77781, 77782, 77783, 77784 deleted from covered table due to codes were deleted as of 12-31-2008. 07/29/2011: Policy reviewed; no changes.
77318
HC BRACHYTX ISODOSE PLAN, CPLX
HCPCS
Therefore, IMRT should be limited only to cases in which 3D CRT planning is not able to meet dose volume constraints for normal tissue tolerance. 10/17/2013: Policy reviewed; no changes. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77316, 77317, and 77318. 08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717.
C1717
HC HDR NUCLETRON IRID 192 NON STN
HCPCS
Therefore, IMRT should be limited only to cases in which 3D CRT planning is not able to meet dose volume constraints for normal tissue tolerance. 10/17/2013: Policy reviewed; no changes. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77316, 77317, and 77318. 08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717.
77317
HC BRACHYTX ISODOSE PLAN, INTRMED
HCPCS
Therefore, IMRT should be limited only to cases in which 3D CRT planning is not able to meet dose volume constraints for normal tissue tolerance. 10/17/2013: Policy reviewed; no changes. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77316, 77317, and 77318. 08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717.
77316
HC CHG BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL
HCPCS
Therefore, IMRT should be limited only to cases in which 3D CRT planning is not able to meet dose volume constraints for normal tissue tolerance. 10/17/2013: Policy reviewed; no changes. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77316, 77317, and 77318. 08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717.
77318
HC BRACHYTX ISODOSE PLAN, CPLX
HCPCS
10/17/2013: Policy reviewed; no changes. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77316, 77317, and 77318. 08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions.
C1717
HC HDR NUCLETRON IRID 192 NON STN
HCPCS
10/17/2013: Policy reviewed; no changes. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77316, 77317, and 77318. 08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions.
77317
HC BRACHYTX ISODOSE PLAN, INTRMED
HCPCS
10/17/2013: Policy reviewed; no changes. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77316, 77317, and 77318. 08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions.
77316
HC CHG BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL
HCPCS
10/17/2013: Policy reviewed; no changes. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77316, 77317, and 77318. 08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions.
77326
Brachytx isodose calc simp
HCPCS
12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77316, 77317, and 77318. 08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328.
77327
Brachytx isodose calc interm
HCPCS
12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77316, 77317, and 77318. 08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328.
77318
HC BRACHYTX ISODOSE PLAN, CPLX
HCPCS
12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77316, 77317, and 77318. 08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328.
77316
HC CHG BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL
HCPCS
12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77316, 77317, and 77318. 08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328.
77328
Brachytx isodose plan compl
HCPCS
12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77316, 77317, and 77318. 08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328.
C1717
HC HDR NUCLETRON IRID 192 NON STN
HCPCS
12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77316, 77317, and 77318. 08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328.
77317
HC BRACHYTX ISODOSE PLAN, INTRMED
HCPCS
12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77316, 77317, and 77318. 08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328.
77326
Brachytx isodose calc simp
HCPCS
08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799.
77327
Brachytx isodose calc interm
HCPCS
08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799.
77772
Hdr rdncl ntrstl/icav brchtx
HCPCS
08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799.
0395T
Hdr elctr ntrst/ntrcv brchtx
HCPCS
08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799.
77799
HC UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY
HCPCS
08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799.
77328
Brachytx isodose plan compl
HCPCS
08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799.
77770
Hdr rdncl ntrstl/icav brchtx
HCPCS
08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799.
C1717
HC HDR NUCLETRON IRID 192 NON STN
HCPCS
08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799.
77771
Hdr rdncl ntrstl/icav brchtx
HCPCS
08/31/2015: Code Reference section updated for ICD-10. Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799.
77778
HC ASRG INTERSTIT RADIOELEM APPLI
HCPCS
Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799. Code description for CPT code 77778 revised with an effective date of 01/01/2016.
77326
Brachytx isodose calc simp
HCPCS
Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799. Code description for CPT code 77778 revised with an effective date of 01/01/2016.
77327
Brachytx isodose calc interm
HCPCS
Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799. Code description for CPT code 77778 revised with an effective date of 01/01/2016.
77772
Hdr rdncl ntrstl/icav brchtx
HCPCS
Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799. Code description for CPT code 77778 revised with an effective date of 01/01/2016.
0395T
Hdr elctr ntrst/ntrcv brchtx
HCPCS
Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799. Code description for CPT code 77778 revised with an effective date of 01/01/2016.
77799
HC UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY
HCPCS
Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799. Code description for CPT code 77778 revised with an effective date of 01/01/2016.
77328
Brachytx isodose plan compl
HCPCS
Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799. Code description for CPT code 77778 revised with an effective date of 01/01/2016.
77770
Hdr rdncl ntrstl/icav brchtx
HCPCS
Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799. Code description for CPT code 77778 revised with an effective date of 01/01/2016.
C1717
HC HDR NUCLETRON IRID 192 NON STN
HCPCS
Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799. Code description for CPT code 77778 revised with an effective date of 01/01/2016.
77771
Hdr rdncl ntrstl/icav brchtx
HCPCS
Removed ICD-9 procedure codes 60.0 and 60.99, added ICD-9 procedure code 92.23, and removed HCPCS C1717. 12/31/2015: Policy guidelines updated to add medically necessary and investigative definitions. Code Reference section updated to remove deleted CPT codes 77326, 77327, and 77328. Added new 2016 CPT codes 0395T, 77770, 77771, 77772, and 77799. Code description for CPT code 77778 revised with an effective date of 01/01/2016.
1744
Endoscopic robotic assisted procedure
ICD
doi:10.1111/j.1469-7610.2007.01744.x. World Health Organization (WHO). (1993). The ICD-10 classification of mental and behavioural disorders: Diagnostic criteria for research. Geneva: World Health Organization.
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.
1606
SNARE GOOSENECK 10MMX120CMX4FR
CDM
Diagnosis codes for case finding can be mapped across terminologies by using the Codemapper, developed in the ADVANCE project, as explained in CodeMapper: semiautomatic coding of case definitions (Pharmacoepidemiol Drug Saf 2017;26(8):998-1005). An approach to quantify the impact of different case finding algorithms, called the component strategy, was developed in the EMIF and ADVANCE projects and could also be compatible with the simple and generalised common data model (see Identifying Cases of Type 2 Diabetes in Heterogeneous Data Sources: Strategy from the EMIF Project. PLoS One 2016;11(8):e0160648). 126.96.36.199. General CDM: common protocol, local and common data extraction and analysis, general CDM In this approach, the local databases are transformed into a CDM prior to and independent of any study protocol.
83036
TTH AIC-SP
HCPCS
Category III contains provisional codes that describe tools or technologies under evaluation. In addition, HCPCS Level I (CPT) codes are also found in AMA. Different types of CPT codes are used in chemistry. For example, common CPT codes used in chemistry are CPT code 83036 for hemoglobin and CPT 83605 for lipase enzyme. CPT codes are a standard nomenclature for medical procedures and services.
83605
Lactic acid level
HCPCS
Category III contains provisional codes that describe tools or technologies under evaluation. In addition, HCPCS Level I (CPT) codes are also found in AMA. Different types of CPT codes are used in chemistry. For example, common CPT codes used in chemistry are CPT code 83036 for hemoglobin and CPT 83605 for lipase enzyme. CPT codes are a standard nomenclature for medical procedures and services.
83036
TTH AIC-SP
HCPCS
In addition, HCPCS Level I (CPT) codes are also found in AMA. Different types of CPT codes are used in chemistry. For example, common CPT codes used in chemistry are CPT code 83036 for hemoglobin and CPT 83605 for lipase enzyme. CPT codes are a standard nomenclature for medical procedures and services. CPT codes are used in medical billing.
83605
Lactic acid level
HCPCS
In addition, HCPCS Level I (CPT) codes are also found in AMA. Different types of CPT codes are used in chemistry. For example, common CPT codes used in chemistry are CPT code 83036 for hemoglobin and CPT 83605 for lipase enzyme. CPT codes are a standard nomenclature for medical procedures and services. CPT codes are used in medical billing.
0234
Incremental Nursing Charge - CCU
RC
To protect the privacy of participating patients, pseudonymization of the study data took place. Study participants were not compensated for their participation. The local ethics committee of the University of Giessen approved the RCT (AZ 73/20), and the study was registered in the German Clinical Trials Register (DRKS00023445). Inclusion and exclusion criteria of the randomized controlled trial. - 18 years or older - Previous outpatient or inpatient stay at the clinic, with an operation or conservative therapy - Need of a follow-up that does not require more than a visual examination - Ownership of a computer, laptop, tablet, or smartphone with microphone and camera - Stable internet connection - Mental and physical ability to consent and to participate - Sufficient knowledge of German in order to understand the declaration of consent - Shoulder International Classification of Diseases, Tenth Revision (ICD-10) codes: M75.1, M75.6, M75.0, Z96.60, M75.4, M19.91, S43.1, S42.20, S42.00, M75.2, M75.3, and S43.0 - Knee ICD-10 codes: S83.53, S83.54, S83.2, S83.0, M22.0, M23.32, M23.35, M17.1, M17.5, M21.16, M21.06, S83.3, S83.44, S83.43, S82.18, S82.0, S72.3, S72.43, M25.56, M76.5, S83.6, S76.1, and S86.8 - Neurological diseases that preclude the use of digital devices - Diagnosis of dementia, blindness, or deafness - Need for presence in the clinic and on-site treatment and diagnostics (ie, imaging, laboratory, stitches, and drainage) - Appointments where the patient has to be touched and moved by the treating physicians - Lack of willingness to participate - Failure to consent Sample Size and Randomization The sample size calculation of the underlying RCT was based on an a priori power analysis.
0234
Incremental Nursing Charge - CCU
RC
The local ethics committee of the University of Giessen approved the RCT (AZ 73/20), and the study was registered in the German Clinical Trials Register (DRKS00023445). Inclusion and exclusion criteria of the randomized controlled trial. - 18 years or older - Previous outpatient or inpatient stay at the clinic, with an operation or conservative therapy - Need of a follow-up that does not require more than a visual examination - Ownership of a computer, laptop, tablet, or smartphone with microphone and camera - Stable internet connection - Mental and physical ability to consent and to participate - Sufficient knowledge of German in order to understand the declaration of consent - Shoulder International Classification of Diseases, Tenth Revision (ICD-10) codes: M75.1, M75.6, M75.0, Z96.60, M75.4, M19.91, S43.1, S42.20, S42.00, M75.2, M75.3, and S43.0 - Knee ICD-10 codes: S83.53, S83.54, S83.2, S83.0, M22.0, M23.32, M23.35, M17.1, M17.5, M21.16, M21.06, S83.3, S83.44, S83.43, S82.18, S82.0, S72.3, S72.43, M25.56, M76.5, S83.6, S76.1, and S86.8 - Neurological diseases that preclude the use of digital devices - Diagnosis of dementia, blindness, or deafness - Need for presence in the clinic and on-site treatment and diagnostics (ie, imaging, laboratory, stitches, and drainage) - Appointments where the patient has to be touched and moved by the treating physicians - Lack of willingness to participate - Failure to consent Sample Size and Randomization The sample size calculation of the underlying RCT was based on an a priori power analysis. As a conservative estimate, we used half of the effect size of 2.19 that was observed for the findings of patient satisfaction with telemedicine in a study by Sharareh and Schwarzkopf . The effect size of 1.095 yielded 19 patients per study arm for a power of 90% in a 2-sided t test with a 5% significance level.
1745
Thoracoscopic robotic assisted procedure
ICD
PMID 17141745. doi:10.1016/j.biopsych.2006.08.041. - World Health Organisation. (1992). The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organisation.
G0281
PR ELEC STIM UNATTEND FOR PRESS
HCPCS
Electrical stimulation performed by the patient in the home setting for the treatment of wounds is considered investigational. Electromagnetic therapy for the treatment of wounds is considered investigational. The following HCPCS codes are available for this treatment: G0281: Electrical stimulation (unattended), to one or more areas, for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care. G0282: Electrical stimulation (unattended), to one or more areas, for wound care other than described in G0281. G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses.
G0282
HC ELECTRICAL STIMULATION, TO ONE OR MORE AREAS, FOR WOUND CARE
HCPCS
Electrical stimulation performed by the patient in the home setting for the treatment of wounds is considered investigational. Electromagnetic therapy for the treatment of wounds is considered investigational. The following HCPCS codes are available for this treatment: G0281: Electrical stimulation (unattended), to one or more areas, for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care. G0282: Electrical stimulation (unattended), to one or more areas, for wound care other than described in G0281. G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses.
G0329
PR ELECTROMAGNTIC TX FOR ULCERS
HCPCS
Electrical stimulation performed by the patient in the home setting for the treatment of wounds is considered investigational. Electromagnetic therapy for the treatment of wounds is considered investigational. The following HCPCS codes are available for this treatment: G0281: Electrical stimulation (unattended), to one or more areas, for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care. G0282: Electrical stimulation (unattended), to one or more areas, for wound care other than described in G0281. G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses.
G0295
Electromagnetic therapy onc
HCPCS
Electrical stimulation performed by the patient in the home setting for the treatment of wounds is considered investigational. Electromagnetic therapy for the treatment of wounds is considered investigational. The following HCPCS codes are available for this treatment: G0281: Electrical stimulation (unattended), to one or more areas, for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care. G0282: Electrical stimulation (unattended), to one or more areas, for wound care other than described in G0281. G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses.
G0281
PR ELEC STIM UNATTEND FOR PRESS
HCPCS
Electromagnetic therapy for the treatment of wounds is considered investigational. The following HCPCS codes are available for this treatment: G0281: Electrical stimulation (unattended), to one or more areas, for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care. G0282: Electrical stimulation (unattended), to one or more areas, for wound care other than described in G0281. G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses. G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care.
G0282
HC ELECTRICAL STIMULATION, TO ONE OR MORE AREAS, FOR WOUND CARE
HCPCS
Electromagnetic therapy for the treatment of wounds is considered investigational. The following HCPCS codes are available for this treatment: G0281: Electrical stimulation (unattended), to one or more areas, for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care. G0282: Electrical stimulation (unattended), to one or more areas, for wound care other than described in G0281. G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses. G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care.
G0329
PR ELECTROMAGNTIC TX FOR ULCERS
HCPCS
Electromagnetic therapy for the treatment of wounds is considered investigational. The following HCPCS codes are available for this treatment: G0281: Electrical stimulation (unattended), to one or more areas, for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care. G0282: Electrical stimulation (unattended), to one or more areas, for wound care other than described in G0281. G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses. G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care.
G0295
Electromagnetic therapy onc
HCPCS
Electromagnetic therapy for the treatment of wounds is considered investigational. The following HCPCS codes are available for this treatment: G0281: Electrical stimulation (unattended), to one or more areas, for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care. G0282: Electrical stimulation (unattended), to one or more areas, for wound care other than described in G0281. G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses. G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care.
E0761
Nontherm electromgntc device
HCPCS
The following HCPCS codes are available for this treatment: G0281: Electrical stimulation (unattended), to one or more areas, for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care. G0282: Electrical stimulation (unattended), to one or more areas, for wound care other than described in G0281. G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses. G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care. E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device.
G0282
HC ELECTRICAL STIMULATION, TO ONE OR MORE AREAS, FOR WOUND CARE
HCPCS
The following HCPCS codes are available for this treatment: G0281: Electrical stimulation (unattended), to one or more areas, for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care. G0282: Electrical stimulation (unattended), to one or more areas, for wound care other than described in G0281. G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses. G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care. E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device.
G0329
PR ELECTROMAGNTIC TX FOR ULCERS
HCPCS
The following HCPCS codes are available for this treatment: G0281: Electrical stimulation (unattended), to one or more areas, for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care. G0282: Electrical stimulation (unattended), to one or more areas, for wound care other than described in G0281. G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses. G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care. E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device.
G0295
Electromagnetic therapy onc
HCPCS
The following HCPCS codes are available for this treatment: G0281: Electrical stimulation (unattended), to one or more areas, for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care. G0282: Electrical stimulation (unattended), to one or more areas, for wound care other than described in G0281. G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses. G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care. E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device.
G0281
PR ELEC STIM UNATTEND FOR PRESS
HCPCS
The following HCPCS codes are available for this treatment: G0281: Electrical stimulation (unattended), to one or more areas, for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care. G0282: Electrical stimulation (unattended), to one or more areas, for wound care other than described in G0281. G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses. G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care. E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device.
E0761
Nontherm electromgntc device
HCPCS
G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses. G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care. E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device. E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation.
G0329
PR ELECTROMAGNTIC TX FOR ULCERS
HCPCS
G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses. G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care. E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device. E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation.
G0295
Electromagnetic therapy onc
HCPCS
G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses. G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care. E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device. E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation.
E0769
Electric wound treatment dev
HCPCS
G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses. G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care. E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device. E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation.
G0281
PR ELEC STIM UNATTEND FOR PRESS
HCPCS
G0295: Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses. G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care. E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device. E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation.
E0761
Nontherm electromgntc device
HCPCS
G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care. E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device. E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation. Attended electrical stimulation is identified by CPT code 97032.
G0329
PR ELECTROMAGNTIC TX FOR ULCERS
HCPCS
G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care. E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device. E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation. Attended electrical stimulation is identified by CPT code 97032.
E0769
Electric wound treatment dev
HCPCS
G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care. E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device. E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation. Attended electrical stimulation is identified by CPT code 97032.
G0281
PR ELEC STIM UNATTEND FOR PRESS
HCPCS
G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care. E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device. E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation. Attended electrical stimulation is identified by CPT code 97032.
97032
TENS APPLICATION CONSTANT SUP
HCPCS
G0329: Electromagnetic therapy, to one or more areas, for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care. E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device. E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation. Attended electrical stimulation is identified by CPT code 97032.
E0761
Nontherm electromgntc device
HCPCS
E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device. E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation. Attended electrical stimulation is identified by CPT code 97032. Although the description of this CPT code is nonspecific and could describe any type of electrical stimulation, electrical stimulation for wound healing would not require constant attendance, and thus the CPT code would not be applicable.
97032
TENS APPLICATION CONSTANT SUP
HCPCS
E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device. E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation. Attended electrical stimulation is identified by CPT code 97032. Although the description of this CPT code is nonspecific and could describe any type of electrical stimulation, electrical stimulation for wound healing would not require constant attendance, and thus the CPT code would not be applicable.
E0769
Electric wound treatment dev
HCPCS
E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device. E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation. Attended electrical stimulation is identified by CPT code 97032. Although the description of this CPT code is nonspecific and could describe any type of electrical stimulation, electrical stimulation for wound healing would not require constant attendance, and thus the CPT code would not be applicable.
G0281
PR ELEC STIM UNATTEND FOR PRESS
HCPCS
E0761: Non-thermal pulsed high-frequency radiowaves, high peak power electromagnetic energy treatment device. E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation. Attended electrical stimulation is identified by CPT code 97032. Although the description of this CPT code is nonspecific and could describe any type of electrical stimulation, electrical stimulation for wound healing would not require constant attendance, and thus the CPT code would not be applicable.
G0281
PR ELEC STIM UNATTEND FOR PRESS
HCPCS
E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation. Attended electrical stimulation is identified by CPT code 97032. Although the description of this CPT code is nonspecific and could describe any type of electrical stimulation, electrical stimulation for wound healing would not require constant attendance, and thus the CPT code would not be applicable. The Medicare policy notes that coverage for electrical stimulation is limited to supervised settings.
E0769
Electric wound treatment dev
HCPCS
E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation. Attended electrical stimulation is identified by CPT code 97032. Although the description of this CPT code is nonspecific and could describe any type of electrical stimulation, electrical stimulation for wound healing would not require constant attendance, and thus the CPT code would not be applicable. The Medicare policy notes that coverage for electrical stimulation is limited to supervised settings.
97032
TENS APPLICATION CONSTANT SUP
HCPCS
E0769: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified. The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation. Attended electrical stimulation is identified by CPT code 97032. Although the description of this CPT code is nonspecific and could describe any type of electrical stimulation, electrical stimulation for wound healing would not require constant attendance, and thus the CPT code would not be applicable. The Medicare policy notes that coverage for electrical stimulation is limited to supervised settings.
G0281
PR ELEC STIM UNATTEND FOR PRESS
HCPCS
The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation. Attended electrical stimulation is identified by CPT code 97032. Although the description of this CPT code is nonspecific and could describe any type of electrical stimulation, electrical stimulation for wound healing would not require constant attendance, and thus the CPT code would not be applicable. The Medicare policy notes that coverage for electrical stimulation is limited to supervised settings. Although the terminology is confusing, for the purposes of Medicare policy, supervised is interpreted to mean that while a physician or other health professional is supervising the treatment, this person does not have to be in constant attendance.
97032
TENS APPLICATION CONSTANT SUP
HCPCS
The HCPCS code G0281 (unattended electrical stimulation) was specifically developed to make a distinction between attended and unattended electrical stimulation. Attended electrical stimulation is identified by CPT code 97032. Although the description of this CPT code is nonspecific and could describe any type of electrical stimulation, electrical stimulation for wound healing would not require constant attendance, and thus the CPT code would not be applicable. The Medicare policy notes that coverage for electrical stimulation is limited to supervised settings. Although the terminology is confusing, for the purposes of Medicare policy, supervised is interpreted to mean that while a physician or other health professional is supervising the treatment, this person does not have to be in constant attendance.
G0329
PR ELECTROMAGNTIC TX FOR ULCERS
HCPCS
2004; www.cms.hhs.gov. Accessed July, 2014. |CPT||See Policy Guidelines| |ICD-9||707.00-707.9||Chronic ulcer of skin, code range| |HCPCS||See Policy Guidelines| |ICD-10-CM (effective 10/1/15)||Investigational for all wounds| |E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622||Various types of diabetes with skin complications (foot ulcer or other skin ulcer) code list| |I83.001-I83.029; I83.201-I83.229||Varicose veins with ulcer code range| |L00 – L08.9||Infections of the skin code range (includes cellulitis – L03)| |L89.00-L89.95||Pressure ulcer code range| |L97.10-L97.929||Non-pressure chronic ulcer of skin code range| |L98.41-L98.499||Non-pressure chronic ulcer of skin not otherwise classified code range| |L99||Other disorders of skin and subcutaneous tissue in diseases classified elsewhere| |ICD-10-PCS (effective 10/1/15)||ICD-10-PCS codes are only used for inpatient services. There is no specific ICD-10-PCS code for the initiation or application of this therapy.| Alternative Current (AC), Electrical Stimulation, Wounds Electrical Stimulation, Wounds Electrostimulation and Electromagnetic Therapy High Voltage Pulsed Current (HVPC) Low Intensity Direct Current (LIDC), Wounds Transcutaneous Electrical Nerve Stimulation (TENS), Treatment of Wounds Ulcers, Electrical Stimulation Wounds, Electrical Stimulation |07/17/03||Add policy to Medicine section||New policy| |04/1/05||Replace policy||Policy updated with February 2005 TEC Assessment; policy statement on electrical stimulation of wounds in now considered investigational. HCPCS code G0329 added to policy guidelines| |04/25/06||Replace policy||Literature review update for the period of February 2005 through February 2006; reference number 4 added.
G0329
PR ELECTROMAGNTIC TX FOR ULCERS
HCPCS
Accessed July, 2014. |CPT||See Policy Guidelines| |ICD-9||707.00-707.9||Chronic ulcer of skin, code range| |HCPCS||See Policy Guidelines| |ICD-10-CM (effective 10/1/15)||Investigational for all wounds| |E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622||Various types of diabetes with skin complications (foot ulcer or other skin ulcer) code list| |I83.001-I83.029; I83.201-I83.229||Varicose veins with ulcer code range| |L00 – L08.9||Infections of the skin code range (includes cellulitis – L03)| |L89.00-L89.95||Pressure ulcer code range| |L97.10-L97.929||Non-pressure chronic ulcer of skin code range| |L98.41-L98.499||Non-pressure chronic ulcer of skin not otherwise classified code range| |L99||Other disorders of skin and subcutaneous tissue in diseases classified elsewhere| |ICD-10-PCS (effective 10/1/15)||ICD-10-PCS codes are only used for inpatient services. There is no specific ICD-10-PCS code for the initiation or application of this therapy.| Alternative Current (AC), Electrical Stimulation, Wounds Electrical Stimulation, Wounds Electrostimulation and Electromagnetic Therapy High Voltage Pulsed Current (HVPC) Low Intensity Direct Current (LIDC), Wounds Transcutaneous Electrical Nerve Stimulation (TENS), Treatment of Wounds Ulcers, Electrical Stimulation Wounds, Electrical Stimulation |07/17/03||Add policy to Medicine section||New policy| |04/1/05||Replace policy||Policy updated with February 2005 TEC Assessment; policy statement on electrical stimulation of wounds in now considered investigational. HCPCS code G0329 added to policy guidelines| |04/25/06||Replace policy||Literature review update for the period of February 2005 through February 2006; reference number 4 added. Policy statement unchanged| |04/17/07||Replace policy||Policy updated with literature review; policy statement unchanged| |05/08/08||Replace policy||Policy updated with literature review; references 5-7 added; policy statements unchanged| |10/06/09||Replace policy||Policy updated with literature review; policy statement unchanged; reference 2 removed and others renumbered; new reference 7 added.
G0329
PR ELECTROMAGNTIC TX FOR ULCERS
HCPCS
|CPT||See Policy Guidelines| |ICD-9||707.00-707.9||Chronic ulcer of skin, code range| |HCPCS||See Policy Guidelines| |ICD-10-CM (effective 10/1/15)||Investigational for all wounds| |E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622||Various types of diabetes with skin complications (foot ulcer or other skin ulcer) code list| |I83.001-I83.029; I83.201-I83.229||Varicose veins with ulcer code range| |L00 – L08.9||Infections of the skin code range (includes cellulitis – L03)| |L89.00-L89.95||Pressure ulcer code range| |L97.10-L97.929||Non-pressure chronic ulcer of skin code range| |L98.41-L98.499||Non-pressure chronic ulcer of skin not otherwise classified code range| |L99||Other disorders of skin and subcutaneous tissue in diseases classified elsewhere| |ICD-10-PCS (effective 10/1/15)||ICD-10-PCS codes are only used for inpatient services. There is no specific ICD-10-PCS code for the initiation or application of this therapy.| Alternative Current (AC), Electrical Stimulation, Wounds Electrical Stimulation, Wounds Electrostimulation and Electromagnetic Therapy High Voltage Pulsed Current (HVPC) Low Intensity Direct Current (LIDC), Wounds Transcutaneous Electrical Nerve Stimulation (TENS), Treatment of Wounds Ulcers, Electrical Stimulation Wounds, Electrical Stimulation |07/17/03||Add policy to Medicine section||New policy| |04/1/05||Replace policy||Policy updated with February 2005 TEC Assessment; policy statement on electrical stimulation of wounds in now considered investigational. HCPCS code G0329 added to policy guidelines| |04/25/06||Replace policy||Literature review update for the period of February 2005 through February 2006; reference number 4 added. Policy statement unchanged| |04/17/07||Replace policy||Policy updated with literature review; policy statement unchanged| |05/08/08||Replace policy||Policy updated with literature review; references 5-7 added; policy statements unchanged| |10/06/09||Replace policy||Policy updated with literature review; policy statement unchanged; reference 2 removed and others renumbered; new reference 7 added. Policy guidelines section revised.| |10/08/10||Replace policy||Policy updated with literature review; no other changes to policy statements; Rationale rewritten; reference numbers 4-6 added.| |10/11/12||Replace policy||Policy updated with literature review; policy statements unchanged.
G0329
PR ELECTROMAGNTIC TX FOR ULCERS
HCPCS
There is no specific ICD-10-PCS code for the initiation or application of this therapy.| Alternative Current (AC), Electrical Stimulation, Wounds Electrical Stimulation, Wounds Electrostimulation and Electromagnetic Therapy High Voltage Pulsed Current (HVPC) Low Intensity Direct Current (LIDC), Wounds Transcutaneous Electrical Nerve Stimulation (TENS), Treatment of Wounds Ulcers, Electrical Stimulation Wounds, Electrical Stimulation |07/17/03||Add policy to Medicine section||New policy| |04/1/05||Replace policy||Policy updated with February 2005 TEC Assessment; policy statement on electrical stimulation of wounds in now considered investigational. HCPCS code G0329 added to policy guidelines| |04/25/06||Replace policy||Literature review update for the period of February 2005 through February 2006; reference number 4 added. Policy statement unchanged| |04/17/07||Replace policy||Policy updated with literature review; policy statement unchanged| |05/08/08||Replace policy||Policy updated with literature review; references 5-7 added; policy statements unchanged| |10/06/09||Replace policy||Policy updated with literature review; policy statement unchanged; reference 2 removed and others renumbered; new reference 7 added. Policy guidelines section revised.| |10/08/10||Replace policy||Policy updated with literature review; no other changes to policy statements; Rationale rewritten; reference numbers 4-6 added.| |10/11/12||Replace policy||Policy updated with literature review; policy statements unchanged. References 3 and 8 added; other references renumbered or removed.| |10/10/13||Replace policy||Policy updated with literature review through September 5, 2013; policy statements unchanged.
11710
Debridement of nails-electric grinder-five or less
CPT
For example, a doctor may provide documentation of a mole removed from the torso of a patient via cryoablation (essentially, freezing the mole). The medical biller and coder would look at the procedure documentation and decide which codes correspond to the diagnosis and procedure listed. In the case of this example, a coder would select the CPT code 11710 (destruction of benign lesions or skin tags or cutaneous vascular proliferative lesions; up to 14 lesions) for the procedure, and the ICD-9-CM code 216.5 (benign neoplasm of skin of trunk, except scrotum) for the diagnosis. The bulk of the medical coding portion of the billing process involves turning procedure reports into correct medical code, then entering it into the system for the claims process. Medical coders spend their day taking procedure documentation, looking up the proper codes, and entering that information into their claims software.
00216
ANESTH HEAD VESSEL SURGERY
CPT
For the procedure, we’d code 23140 for “excision or curretage of bone cyst or benign tumor, humerus; with autograft (includes obtaining the graft).” Since the procedure was completed but not fully successful, we’d add the -52 modifier, for reduced services, to the code, and we’d end up with 23140-52. Physical Status Modifier (for Anesthesia) Anesthesia procedures have their own special set of modifiers, which are simple and correspond to the condition of the patient as the anesthesia is administered. These codes are: - P1 – a normal, healthy patient - P2 – a patient with mild systemic disease - P3 – a patient with severe systemic disease - P4 – a patient with severe systemic disease that is a constant threat to life - P5 – a moribund patient who is not expected to survive without the operation - P6 – a declared brain-dead patient whose organs are being removed for donor purposes As we said, these are relatively straightforward, but let’s look at an example that will also use some of the CPT modifiers we learned just a minute ago. Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1.
00216
ANESTH HEAD VESSEL SURGERY
CPT
These codes are: - P1 – a normal, healthy patient - P2 – a patient with mild systemic disease - P3 – a patient with severe systemic disease - P4 – a patient with severe systemic disease that is a constant threat to life - P5 – a moribund patient who is not expected to survive without the operation - P6 – a declared brain-dead patient whose organs are being removed for donor purposes As we said, these are relatively straightforward, but let’s look at an example that will also use some of the CPT modifiers we learned just a minute ago. Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1. Modifiers Approved for Ambulatory Surgery Center (ASC) Hospital Outpatient Use CPT modifiers are also used in ambulatory surgery centers (ASC). These hospital outpatient facilities specialize in procedures where the patient leaves the same day.
00216
ANESTH HEAD VESSEL SURGERY
CPT
Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1. Modifiers Approved for Ambulatory Surgery Center (ASC) Hospital Outpatient Use CPT modifiers are also used in ambulatory surgery centers (ASC). These hospital outpatient facilities specialize in procedures where the patient leaves the same day. Note that there may be some overlap or contradiction with the set of HCPCS modifiers, which we’ll cover in more depth later on.
A5120
Skin barrier, wipes or swabs, each
HCPCS
HCPCS codes are five digits in length with no decimal holders and are alphanumeric in nature. Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next.
K0011
Stnd wt pwr whlchr w control
HCPCS
HCPCS codes are five digits in length with no decimal holders and are alphanumeric in nature. Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next.
Q4011
Cast sup sht arm ped plaster
HCPCS
HCPCS codes are five digits in length with no decimal holders and are alphanumeric in nature. Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next.
A5120
Skin barrier, wipes or swabs, each
HCPCS
Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index.
K0011
Stnd wt pwr whlchr w control
HCPCS
Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index.
Q4011
Cast sup sht arm ped plaster
HCPCS
Each codes begins with a letter and is followed by four numbers. The HCPCS book structured very similar to the CPT book. HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index.
A5120
Skin barrier, wipes or swabs, each
HCPCS
HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index. ~ The Tabular index lists all codes with their full description, conventions, and notations and is located in the center of the book. ~ Appendix A which is for Internet Only Manuals makes up the remainder of the book.
K0011
Stnd wt pwr whlchr w control
HCPCS
HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index. ~ The Tabular index lists all codes with their full description, conventions, and notations and is located in the center of the book. ~ Appendix A which is for Internet Only Manuals makes up the remainder of the book.
Q4011
Cast sup sht arm ped plaster
HCPCS
HCPCS Code ExamplesK0011 - Standard-weight frame motorized power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking A5120 - Skin barrier, wipes or swabs, each Q4011 - Cast supplies, short arm cast, pediatric (0-10 years), plaster. ~ The Table of Drugs with drugs listed alphabeticaly is next. ~ HCPCS modifiers listed with their full description is located between the Table of Drugs and the Tabula index. ~ The Tabular index lists all codes with their full description, conventions, and notations and is located in the center of the book. ~ Appendix A which is for Internet Only Manuals makes up the remainder of the book.
96115
Neurobehavior status exam
HCPCS
No change to criteria. References were updated. Coding updated; removed CPT 96115, 96117 deleted 12/31/2005.| |Reviewed||09/14/2006||MPTAC review. No change to guideline criteria. References were updated.| | ||01/01/2006||Updated coding section with 01/01/2006 CPT/HCPCS changes| | ||11/22/2005||Added reference for Centers for Medicare and Medicaid Services (CMS) – National Coverage Determination (NCD).| |Revised||09/22/2005||MPTAC review.
96117
NEUROPSYCH TEST BATTERY
CPT
No change to criteria. References were updated. Coding updated; removed CPT 96115, 96117 deleted 12/31/2005.| |Reviewed||09/14/2006||MPTAC review. No change to guideline criteria. References were updated.| | ||01/01/2006||Updated coding section with 01/01/2006 CPT/HCPCS changes| | ||11/22/2005||Added reference for Centers for Medicare and Medicaid Services (CMS) – National Coverage Determination (NCD).| |Revised||09/22/2005||MPTAC review.
96115
Neurobehavior status exam
HCPCS
Coding updated; removed CPT 96115, 96117 deleted 12/31/2005.| |Reviewed||09/14/2006||MPTAC review. No change to guideline criteria. References were updated.| | ||01/01/2006||Updated coding section with 01/01/2006 CPT/HCPCS changes| | ||11/22/2005||Added reference for Centers for Medicare and Medicaid Services (CMS) – National Coverage Determination (NCD).| |Revised||09/22/2005||MPTAC review. Revision based on Pre-merger Anthem and Pre-merger WellPoint Harmonization. | Last Review Date |Anthem BCBS NH| |Local Region UM Document||Neuropsychological Testing| |Anthem BCBS West Region| |Local Region UM Document UMR.002||Neuropsychological Testing| |WellPoint Health Networks, Inc.| |Clinical Guideline ||Neuropsychological Testing|
96117
NEUROPSYCH TEST BATTERY
CPT
Coding updated; removed CPT 96115, 96117 deleted 12/31/2005.| |Reviewed||09/14/2006||MPTAC review. No change to guideline criteria. References were updated.| | ||01/01/2006||Updated coding section with 01/01/2006 CPT/HCPCS changes| | ||11/22/2005||Added reference for Centers for Medicare and Medicaid Services (CMS) – National Coverage Determination (NCD).| |Revised||09/22/2005||MPTAC review. Revision based on Pre-merger Anthem and Pre-merger WellPoint Harmonization. | Last Review Date |Anthem BCBS NH| |Local Region UM Document||Neuropsychological Testing| |Anthem BCBS West Region| |Local Region UM Document UMR.002||Neuropsychological Testing| |WellPoint Health Networks, Inc.| |Clinical Guideline ||Neuropsychological Testing|
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. POLICY HISTORY4/1993: Approved by Medical Policy Advisory Committee (MPAC) 2/1997: Expanded clinical indications approved by MPAC. Limited to DEXA method only, once every 12 months. 6/1999: Interim policy revision: Included use of quantitative ultrasound (QUS) as an approved method 8/1999: Addition of QUS approved by MPAC 11/2000: Reviewed by MPAC; no changes 5/21/2001: Code Reference section revised; non-covered codes table added 10/15/2001: Verbiage revised under "policy" section; "Reimbursement is not provided for SPA, DPA or QCT bone densitometry techniques" to "SPA, DPA and QCT bone densitometry techniques are considered investigational and not eligible for coverage." 2/14/2002: Investigational definition added 4/18/2002: Type of Service and Place of Service deleted 6/12/2002: ICD-9 diagnosis codes 493 and 579 4th/5th digit added 3/2003: Reviewed by MPAC, frequency of all current indications changed to every 2 years except long term glucocortocoid therapy where bone density substantiates need for glucocorticoid reduction remains every 12 months, Sources updated 6/12/2003: Code Reference section updated 8/7/2003: Code Reference section updated, CPT code range 76075-76076 listed separately, fourth and fifth digit added as appropriate to 242.9, 256.3, and 556, ICD-9 diagnosis code ranges listed separately 493.00-493.92, 555.0-555.9, 579.0-579.9, 756.5-756.59, ICD-9 diagnosis codes 491.20 and 491.21 complete descriptions added 8/14/2003: CPT code 76071 added, ICD-9 diagnosis codes 227.3, V07.4 added 7/14/2004: Code Reference section updated, ICD-9 diagnosis code 491.20, 491.21, 493.00, 493.01, 493.02, 493.10, 493.11, 493.12, 493.20, 493.21, 493.22, 493.90, 493.91, 493.92, 496, 555.0, 555.1, 555.2, 555.9, 556.0, 556.1, 556.2, 556.3, 556.4, 556.5, 556.6.
1999
ANESTHESIOLOGY GROUP
CPT
POLICY HISTORY4/1993: Approved by Medical Policy Advisory Committee (MPAC) 2/1997: Expanded clinical indications approved by MPAC. Limited to DEXA method only, once every 12 months. 6/1999: Interim policy revision: Included use of quantitative ultrasound (QUS) as an approved method 8/1999: Addition of QUS approved by MPAC 11/2000: Reviewed by MPAC; no changes 5/21/2001: Code Reference section revised; non-covered codes table added 10/15/2001: Verbiage revised under "policy" section; "Reimbursement is not provided for SPA, DPA or QCT bone densitometry techniques" to "SPA, DPA and QCT bone densitometry techniques are considered investigational and not eligible for coverage." 2/14/2002: Investigational definition added 4/18/2002: Type of Service and Place of Service deleted 6/12/2002: ICD-9 diagnosis codes 493 and 579 4th/5th digit added 3/2003: Reviewed by MPAC, frequency of all current indications changed to every 2 years except long term glucocortocoid therapy where bone density substantiates need for glucocorticoid reduction remains every 12 months, Sources updated 6/12/2003: Code Reference section updated 8/7/2003: Code Reference section updated, CPT code range 76075-76076 listed separately, fourth and fifth digit added as appropriate to 242.9, 256.3, and 556, ICD-9 diagnosis code ranges listed separately 493.00-493.92, 555.0-555.9, 579.0-579.9, 756.5-756.59, ICD-9 diagnosis codes 491.20 and 491.21 complete descriptions added 8/14/2003: CPT code 76071 added, ICD-9 diagnosis codes 227.3, V07.4 added 7/14/2004: Code Reference section updated, ICD-9 diagnosis code 491.20, 491.21, 493.00, 493.01, 493.02, 493.10, 493.11, 493.12, 493.20, 493.21, 493.22, 493.90, 493.91, 493.92, 496, 555.0, 555.1, 555.2, 555.9, 556.0, 556.1, 556.2, 556.3, 556.4, 556.5, 556.6. 556.8, 556.9, 558.9, 564.2, 571.49, 714.0 deleted 9/27/2004: Under Policy “chronic” renal failure specified, ICD-9 diagnosis code 491.20, 491.21, 493.00, 493.01, 493.02, 493.10, 493.11, 493.12, 493.20, 493.21, 493.22, 493.90, 493.91, 493.92, 496, 555.0, 555.1, 555.2, 555.9, 556.0, 556.1, 556.2, 556.3, 556.4, 556.5, 556.6, 556.8, 556.9, 558.9, 564.2, 571.49, 714.0 added to covered codes with notation “Bone density measurement, using either the QUS or DEXA technology is considered medically necessary and eligible for coverage once every 12 months for long term glucocorticoid therapy where bone density substantiates a need for glucocorticoid reduction in conditions such as listed above but not limited to the condition above.