code stringlengths 4 12 | description stringlengths 2 264 | codetype stringclasses 8
values | context stringlengths 160 15.5k |
|---|---|---|---|
88144 | Cytopath, c/v, thin lyr redo | HCPCS | POLICY HISTORY8/1998: Approved by Medical Policy Advisory Committee (MPAC)
8/21/2002: Policy Guidelines revised, CPT codes 88147, 88148, 88153, 88164, 88165 deleted, HCPCS P3000-P3001 deleted, HCPCS G0123-G0124, G0143-G0145 added
10/17/2005: Code reference section updated; CPT-4: 87620, 87621, 87622, 88147, 88148 added... |
88175 | PAP | HCPCS | POLICY HISTORY8/1998: Approved by Medical Policy Advisory Committee (MPAC)
8/21/2002: Policy Guidelines revised, CPT codes 88147, 88148, 88153, 88164, 88165 deleted, HCPCS P3000-P3001 deleted, HCPCS G0123-G0124, G0143-G0145 added
10/17/2005: Code reference section updated; CPT-4: 87620, 87621, 87622, 88147, 88148 added... |
87622 | Hpv dna quant | HCPCS | Code reference section udpated. CPT codes 88174 and 88175; HCPCS P3000 and P3001 added to policy
11/14/2006: Code Reference section updated: CPT code 87622 deleted. 8/28/2007: In situ hybridization (ISH) for HPV testing is considered investigational. 7/22/2008: Policy reviewed, no changes
09/10/2010: Policy reviewed; p... |
P3000 | Screen pap by tech w md supv | HCPCS | Code reference section udpated. CPT codes 88174 and 88175; HCPCS P3000 and P3001 added to policy
11/14/2006: Code Reference section updated: CPT code 87622 deleted. 8/28/2007: In situ hybridization (ISH) for HPV testing is considered investigational. 7/22/2008: Policy reviewed, no changes
09/10/2010: Policy reviewed; p... |
88174 | Cytopath c/v auto in fluid | HCPCS | Code reference section udpated. CPT codes 88174 and 88175; HCPCS P3000 and P3001 added to policy
11/14/2006: Code Reference section updated: CPT code 87622 deleted. 8/28/2007: In situ hybridization (ISH) for HPV testing is considered investigational. 7/22/2008: Policy reviewed, no changes
09/10/2010: Policy reviewed; p... |
P3001 | Screening pap smear by phys | HCPCS | Code reference section udpated. CPT codes 88174 and 88175; HCPCS P3000 and P3001 added to policy
11/14/2006: Code Reference section updated: CPT code 87622 deleted. 8/28/2007: In situ hybridization (ISH) for HPV testing is considered investigational. 7/22/2008: Policy reviewed, no changes
09/10/2010: Policy reviewed; p... |
88175 | PAP | HCPCS | Code reference section udpated. CPT codes 88174 and 88175; HCPCS P3000 and P3001 added to policy
11/14/2006: Code Reference section updated: CPT code 87622 deleted. 8/28/2007: In situ hybridization (ISH) for HPV testing is considered investigational. 7/22/2008: Policy reviewed, no changes
09/10/2010: Policy reviewed; p... |
87622 | Hpv dna quant | HCPCS | CPT codes 88174 and 88175; HCPCS P3000 and P3001 added to policy
11/14/2006: Code Reference section updated: CPT code 87622 deleted. 8/28/2007: In situ hybridization (ISH) for HPV testing is considered investigational. 7/22/2008: Policy reviewed, no changes
09/10/2010: Policy reviewed; policy statement unchanged. The f... |
P3000 | Screen pap by tech w md supv | HCPCS | CPT codes 88174 and 88175; HCPCS P3000 and P3001 added to policy
11/14/2006: Code Reference section updated: CPT code 87622 deleted. 8/28/2007: In situ hybridization (ISH) for HPV testing is considered investigational. 7/22/2008: Policy reviewed, no changes
09/10/2010: Policy reviewed; policy statement unchanged. The f... |
88174 | Cytopath c/v auto in fluid | HCPCS | CPT codes 88174 and 88175; HCPCS P3000 and P3001 added to policy
11/14/2006: Code Reference section updated: CPT code 87622 deleted. 8/28/2007: In situ hybridization (ISH) for HPV testing is considered investigational. 7/22/2008: Policy reviewed, no changes
09/10/2010: Policy reviewed; policy statement unchanged. The f... |
P3001 | Screening pap smear by phys | HCPCS | CPT codes 88174 and 88175; HCPCS P3000 and P3001 added to policy
11/14/2006: Code Reference section updated: CPT code 87622 deleted. 8/28/2007: In situ hybridization (ISH) for HPV testing is considered investigational. 7/22/2008: Policy reviewed, no changes
09/10/2010: Policy reviewed; policy statement unchanged. The f... |
88175 | PAP | HCPCS | CPT codes 88174 and 88175; HCPCS P3000 and P3001 added to policy
11/14/2006: Code Reference section updated: CPT code 87622 deleted. 8/28/2007: In situ hybridization (ISH) for HPV testing is considered investigational. 7/22/2008: Policy reviewed, no changes
09/10/2010: Policy reviewed; policy statement unchanged. The f... |
87622 | Hpv dna quant | HCPCS | 8/28/2007: In situ hybridization (ISH) for HPV testing is considered investigational. 7/22/2008: Policy reviewed, no changes
09/10/2010: Policy reviewed; policy statement unchanged. The following ICD-9 codes were added to the Covered Codes Table: 795.00-795.04, 795.06, 795.08, 795.10, 795.11, 795.71, 796.9, V73.81 and ... |
G0141 | Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician | HCPCS | 8/28/2007: In situ hybridization (ISH) for HPV testing is considered investigational. 7/22/2008: Policy reviewed, no changes
09/10/2010: Policy reviewed; policy statement unchanged. The following ICD-9 codes were added to the Covered Codes Table: 795.00-795.04, 795.06, 795.08, 795.10, 795.11, 795.71, 796.9, V73.81 and ... |
87622 | Hpv dna quant | HCPCS | 7/22/2008: Policy reviewed, no changes
09/10/2010: Policy reviewed; policy statement unchanged. The following ICD-9 codes were added to the Covered Codes Table: 795.00-795.04, 795.06, 795.08, 795.10, 795.11, 795.71, 796.9, V73.81 and V72.3. CPT code 87622 was moved from non-covered to covered. Revised the description o... |
G0141 | Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician | HCPCS | 7/22/2008: Policy reviewed, no changes
09/10/2010: Policy reviewed; policy statement unchanged. The following ICD-9 codes were added to the Covered Codes Table: 795.00-795.04, 795.06, 795.08, 795.10, 795.11, 795.71, 796.9, V73.81 and V72.3. CPT code 87622 was moved from non-covered to covered. Revised the description o... |
87622 | Hpv dna quant | HCPCS | The following ICD-9 codes were added to the Covered Codes Table: 795.00-795.04, 795.06, 795.08, 795.10, 795.11, 795.71, 796.9, V73.81 and V72.3. CPT code 87622 was moved from non-covered to covered. Revised the description of HCPCS code G0141. 12/30/2010: Policy description updated. Policy title changed from "Monolayer... |
G0141 | Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician | HCPCS | The following ICD-9 codes were added to the Covered Codes Table: 795.00-795.04, 795.06, 795.08, 795.10, 795.11, 795.71, 796.9, V73.81 and V72.3. CPT code 87622 was moved from non-covered to covered. Revised the description of HCPCS code G0141. 12/30/2010: Policy description updated. Policy title changed from "Monolayer... |
87622 | Hpv dna quant | HCPCS | CPT code 87622 was moved from non-covered to covered. Revised the description of HCPCS code G0141. 12/30/2010: Policy description updated. Policy title changed from "Monolayer Slide Preparation and AutoSlide Reading Systems for Cervical Cancer Screening" to "Cervical Cancer Screening Technologies with Pap and HPV." 05/... |
G0141 | Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician | HCPCS | CPT code 87622 was moved from non-covered to covered. Revised the description of HCPCS code G0141. 12/30/2010: Policy description updated. Policy title changed from "Monolayer Slide Preparation and AutoSlide Reading Systems for Cervical Cancer Screening" to "Cervical Cancer Screening Technologies with Pap and HPV." 05/... |
32856 | Prepare donor lung double | HCPCS | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
S2061 | Donor lobectomy (lung) for transplantation, living donor | HCPCS | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
32855 | Prepare donor lung single | HCPCS | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
S2060 | LOBAR LUNG TRANSPLANTATION | HCPCS | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
S2152 | SOLID ORGAN TRANSPL PKG | HCPCS | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
32856 | Prepare donor lung double | HCPCS | In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology mus... |
S2061 | Donor lobectomy (lung) for transplantation, living donor | HCPCS | In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology mus... |
32855 | Prepare donor lung single | HCPCS | In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology mus... |
S2060 | LOBAR LUNG TRANSPLANTATION | HCPCS | In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology mus... |
S2152 | SOLID ORGAN TRANSPL PKG | HCPCS | In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology mus... |
32856 | Prepare donor lung double | HCPCS | Each individual transplant certer will determine patient selection criteria for HIV positive patients"
10/17/2005: Code Reference table updated: CPT codes 32855, 32856 added; ICD-9 procedure code 00.91, 00.92, 00.93 added; HCPCS codes S2060, S2061 S2152 added; diagnosis code 518.3 added
3/14/2006: Coding updated. CPT4 ... |
S2061 | Donor lobectomy (lung) for transplantation, living donor | HCPCS | Each individual transplant certer will determine patient selection criteria for HIV positive patients"
10/17/2005: Code Reference table updated: CPT codes 32855, 32856 added; ICD-9 procedure code 00.91, 00.92, 00.93 added; HCPCS codes S2060, S2061 S2152 added; diagnosis code 518.3 added
3/14/2006: Coding updated. CPT4 ... |
32855 | Prepare donor lung single | HCPCS | Each individual transplant certer will determine patient selection criteria for HIV positive patients"
10/17/2005: Code Reference table updated: CPT codes 32855, 32856 added; ICD-9 procedure code 00.91, 00.92, 00.93 added; HCPCS codes S2060, S2061 S2152 added; diagnosis code 518.3 added
3/14/2006: Coding updated. CPT4 ... |
S2060 | LOBAR LUNG TRANSPLANTATION | HCPCS | Each individual transplant certer will determine patient selection criteria for HIV positive patients"
10/17/2005: Code Reference table updated: CPT codes 32855, 32856 added; ICD-9 procedure code 00.91, 00.92, 00.93 added; HCPCS codes S2060, S2061 S2152 added; diagnosis code 518.3 added
3/14/2006: Coding updated. CPT4 ... |
S2152 | SOLID ORGAN TRANSPL PKG | HCPCS | Each individual transplant certer will determine patient selection criteria for HIV positive patients"
10/17/2005: Code Reference table updated: CPT codes 32855, 32856 added; ICD-9 procedure code 00.91, 00.92, 00.93 added; HCPCS codes S2060, S2061 S2152 added; diagnosis code 518.3 added
3/14/2006: Coding updated. CPT4 ... |
0369 | Operating Room Services - Other or Services | RC | Introduction to ICD-10-PCS Procedure Coding 27. Medical and Surgical Procedures (Section 0) 28. Medical and Surgical Related Procedures (Sections 1-9) 29. Ancillary Procedures (Sections B-D, F-H) SECTION IV: PUTTING IT ALL TOGETHER 30. Putting it All Together APPENDIX A: EXERCISE ANSWERS APPENDIX B: GLOSSARY APPENDIX C... |
0132 | Room & Board - Semi-private - Three and Four Beds - Obstetrics (OB) | RC | Introduction to ICD-10-PCS Procedure Coding 27. Medical and Surgical Procedures (Section 0) 28. Medical and Surgical Related Procedures (Sections 1-9) 29. Ancillary Procedures (Sections B-D, F-H) SECTION IV: PUTTING IT ALL TOGETHER 30. Putting it All Together APPENDIX A: EXERCISE ANSWERS APPENDIX B: GLOSSARY APPENDIX C... |
0369 | Operating Room Services - Other or Services | RC | Medical and Surgical Procedures (Section 0) 28. Medical and Surgical Related Procedures (Sections 1-9) 29. Ancillary Procedures (Sections B-D, F-H) SECTION IV: PUTTING IT ALL TOGETHER 30. Putting it All Together APPENDIX A: EXERCISE ANSWERS APPENDIX B: GLOSSARY APPENDIX C: INDEX
Number Of Pages:
- ID: 9780132860369
- S... |
0132 | Room & Board - Semi-private - Three and Four Beds - Obstetrics (OB) | RC | Medical and Surgical Procedures (Section 0) 28. Medical and Surgical Related Procedures (Sections 1-9) 29. Ancillary Procedures (Sections B-D, F-H) SECTION IV: PUTTING IT ALL TOGETHER 30. Putting it All Together APPENDIX A: EXERCISE ANSWERS APPENDIX B: GLOSSARY APPENDIX C: INDEX
Number Of Pages:
- ID: 9780132860369
- S... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | For this procedure, we’d code 35471 for “transluminal balloon angioplasty, percutaneous; renal or other visceral artery,” and we’d add the modifier -66 for “surgical team.” So we’d end up with 35471-66. Physical Status Modifier (for Anesthesia)
Anesthesia procedures have their own special set of modifiers, which are si... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | These codes are:
- P1 – a normal, healthy patient
- P2 – a patient with mild systemic disease
- P3 – a patient with severe systemic disease
- P4 – a patient with severe systemic disease that is a constant threat to life
- P5 – a moribund patient who is not expected to survive without the operation
- P6 – a declared bra... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier t... |
U0002 | HC Sars-Cov-2 Naa Coronavirus | HCPCS | For a patient with a respiratory infection, NOS, code J98.8, Other specified respiratory disorders, with code B97.29, Other coronavirus as the cause of diseases classified elsewhere. Patients that develop acute respiratory distress (ARDS) would be coded with J80, Acute respiratory distress syndrome and B97.29 Other cor... |
U0001 | HC NOVEL CORONAVIRUS REALT TIME PCR | HCPCS | For a patient with a respiratory infection, NOS, code J98.8, Other specified respiratory disorders, with code B97.29, Other coronavirus as the cause of diseases classified elsewhere. Patients that develop acute respiratory distress (ARDS) would be coded with J80, Acute respiratory distress syndrome and B97.29 Other cor... |
87635 | SARS-COV-2 COVID-19 AMP PRB | HCPCS | For a patient with a respiratory infection, NOS, code J98.8, Other specified respiratory disorders, with code B97.29, Other coronavirus as the cause of diseases classified elsewhere. Patients that develop acute respiratory distress (ARDS) would be coded with J80, Acute respiratory distress syndrome and B97.29 Other cor... |
U0002 | HC Sars-Cov-2 Naa Coronavirus | HCPCS | Patients that develop acute respiratory distress (ARDS) would be coded with J80, Acute respiratory distress syndrome and B97.29 Other coronavirus as the cause of diseases classified elsewhere. The AMA and CMS have added new codes to report the COVID-19 testing. These would be used in conjunction with the ICD-10-CM code... |
U0001 | HC NOVEL CORONAVIRUS REALT TIME PCR | HCPCS | Patients that develop acute respiratory distress (ARDS) would be coded with J80, Acute respiratory distress syndrome and B97.29 Other coronavirus as the cause of diseases classified elsewhere. The AMA and CMS have added new codes to report the COVID-19 testing. These would be used in conjunction with the ICD-10-CM code... |
87635 | SARS-COV-2 COVID-19 AMP PRB | HCPCS | Patients that develop acute respiratory distress (ARDS) would be coded with J80, Acute respiratory distress syndrome and B97.29 Other coronavirus as the cause of diseases classified elsewhere. The AMA and CMS have added new codes to report the COVID-19 testing. These would be used in conjunction with the ICD-10-CM code... |
U0002 | HC Sars-Cov-2 Naa Coronavirus | HCPCS | The AMA and CMS have added new codes to report the COVID-19 testing. These would be used in conjunction with the ICD-10-CM codes listed above. The CPT code added by the AMA is a Category I CPT code and is listed as follows:
87635 – Infectious agent detection by nucleic acid (DNA or RNA); sever acute respiratory syndrom... |
U0001 | HC NOVEL CORONAVIRUS REALT TIME PCR | HCPCS | The AMA and CMS have added new codes to report the COVID-19 testing. These would be used in conjunction with the ICD-10-CM codes listed above. The CPT code added by the AMA is a Category I CPT code and is listed as follows:
87635 – Infectious agent detection by nucleic acid (DNA or RNA); sever acute respiratory syndrom... |
87635 | SARS-COV-2 COVID-19 AMP PRB | HCPCS | The AMA and CMS have added new codes to report the COVID-19 testing. These would be used in conjunction with the ICD-10-CM codes listed above. The CPT code added by the AMA is a Category I CPT code and is listed as follows:
87635 – Infectious agent detection by nucleic acid (DNA or RNA); sever acute respiratory syndrom... |
S8930 | Auricular electrostimulation | HCPCS | Cranial electrotherapy stimulation (also known as cranial electrostimulation therapy or CES) is investigational. Electrical stimulation of auricular acupuncture points is investigational. There are no CPT codes that are specific to electrical stimulation of auricular acupuncture points. The following CPT codes would pr... |
97813 | PR ACUPUNCTURE 1/> NDLS W/ELEC STIMJ 1ST 15 MIN | HCPCS | Cranial electrotherapy stimulation (also known as cranial electrostimulation therapy or CES) is investigational. Electrical stimulation of auricular acupuncture points is investigational. There are no CPT codes that are specific to electrical stimulation of auricular acupuncture points. The following CPT codes would pr... |
97814 | PR ACUP 1/> NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ | HCPCS | Cranial electrotherapy stimulation (also known as cranial electrostimulation therapy or CES) is investigational. Electrical stimulation of auricular acupuncture points is investigational. There are no CPT codes that are specific to electrical stimulation of auricular acupuncture points. The following CPT codes would pr... |
S8930 | Auricular electrostimulation | HCPCS | Electrical stimulation of auricular acupuncture points is investigational. There are no CPT codes that are specific to electrical stimulation of auricular acupuncture points. The following CPT codes would probably be used:
97813: Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of persona... |
97813 | PR ACUPUNCTURE 1/> NDLS W/ELEC STIMJ 1ST 15 MIN | HCPCS | Electrical stimulation of auricular acupuncture points is investigational. There are no CPT codes that are specific to electrical stimulation of auricular acupuncture points. The following CPT codes would probably be used:
97813: Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of persona... |
97814 | PR ACUP 1/> NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ | HCPCS | Electrical stimulation of auricular acupuncture points is investigational. There are no CPT codes that are specific to electrical stimulation of auricular acupuncture points. The following CPT codes would probably be used:
97813: Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of persona... |
S8930 | Auricular electrostimulation | HCPCS | There are no CPT codes that are specific to electrical stimulation of auricular acupuncture points. The following CPT codes would probably be used:
97813: Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient
97814: ; with electrical stimulation,... |
97813 | PR ACUPUNCTURE 1/> NDLS W/ELEC STIMJ 1ST 15 MIN | HCPCS | There are no CPT codes that are specific to electrical stimulation of auricular acupuncture points. The following CPT codes would probably be used:
97813: Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient
97814: ; with electrical stimulation,... |
97814 | PR ACUP 1/> NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ | HCPCS | There are no CPT codes that are specific to electrical stimulation of auricular acupuncture points. The following CPT codes would probably be used:
97813: Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient
97814: ; with electrical stimulation,... |
S8930 | Auricular electrostimulation | HCPCS | Adjuvant auricular electroacupuncture and autogenic training in rheumatoid arthritis: a randomized controlled trial. Auricular acupuncture and autogenic training in rheumatoid arthritis. Forsch Komplementmed 2008; 15(4):187-93. |CPT||See Policy Guidelines|
|ICD-9-CM Diagnosis||Investigational for all diagnoses|
|HCPCS|... |
S8930 | Auricular electrostimulation | HCPCS | Auricular acupuncture and autogenic training in rheumatoid arthritis. Forsch Komplementmed 2008; 15(4):187-93. |CPT||See Policy Guidelines|
|ICD-9-CM Diagnosis||Investigational for all diagnoses|
|HCPCS||S8930||Electrical stimulation of auricular accupuncture points; each 15 minutes of personal one-on-one contact with ... |
S8930 | Auricular electrostimulation | HCPCS | Forsch Komplementmed 2008; 15(4):187-93. |CPT||See Policy Guidelines|
|ICD-9-CM Diagnosis||Investigational for all diagnoses|
|HCPCS||S8930||Electrical stimulation of auricular accupuncture points; each 15 minutes of personal one-on-one contact with the patient|
|ICD-10-CM (effective 10/1/14)||Investigational for all d... |
S8930 | Auricular electrostimulation | HCPCS | |CPT||See Policy Guidelines|
|ICD-9-CM Diagnosis||Investigational for all diagnoses|
|HCPCS||S8930||Electrical stimulation of auricular accupuncture points; each 15 minutes of personal one-on-one contact with the patient|
|ICD-10-CM (effective 10/1/14)||Investigational for all diagnoses|
|ICD-10-PCS (effective 10/1/14)... |
76499 | XR UNLISTED DIAGNOSTIC PROCEDU | HCPCS | POLICY HISTORY6/16/2008: Policy added
7/17/2008: Reviewed and approved by the Medical Policy Advisory Committee (MPAC)
12/31/2008: Code reference section updated per 2009 CPT/HCPCS revisions
6/23/2010: Policy statement unchanged. FEP verbiage added to Policy Exceptions section. CPT Code 0028T was removed because the co... |
87635 | SARS-COV-2 COVID-19 AMP PRB | HCPCS | For instance, the first new code — 87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique — was published and effective March 13, 2020. The vaccine and immunization codes may include a note i... |
U0002 | HC Sars-Cov-2 Naa Coronavirus | HCPCS | The AMA posts new codes on its COVID-19 Coding and Guidance page and its COVID-19 CPT® Vaccine and Immunizations Codes page. The pages also include links to CPT® Assistant guides for many of the codes. HCPCS Level II Codes for SARS-CoV-2/COVID-19 Services
Medicare has released HCPCS Level II codes in response to the CO... |
U0001 | HC NOVEL CORONAVIRUS REALT TIME PCR | HCPCS | The AMA posts new codes on its COVID-19 Coding and Guidance page and its COVID-19 CPT® Vaccine and Immunizations Codes page. The pages also include links to CPT® Assistant guides for many of the codes. HCPCS Level II Codes for SARS-CoV-2/COVID-19 Services
Medicare has released HCPCS Level II codes in response to the CO... |
U0002 | HC Sars-Cov-2 Naa Coronavirus | HCPCS | HCPCS Level II Codes for SARS-CoV-2/COVID-19 Services
Medicare has released HCPCS Level II codes in response to the COVID-19 pandemic, covering services such as specimen collection and testing. Check with non-Medicare payers to confirm their policies on use and coverage of these codes. As an example, two HCPCS Level II... |
U0001 | HC NOVEL CORONAVIRUS REALT TIME PCR | HCPCS | HCPCS Level II Codes for SARS-CoV-2/COVID-19 Services
Medicare has released HCPCS Level II codes in response to the COVID-19 pandemic, covering services such as specimen collection and testing. Check with non-Medicare payers to confirm their policies on use and coverage of these codes. As an example, two HCPCS Level II... |
U0002 | HC Sars-Cov-2 Naa Coronavirus | HCPCS | Check with non-Medicare payers to confirm their policies on use and coverage of these codes. As an example, two HCPCS Level II codes for COVID-19 testing (U0001 and U0002) had an implementation date of April 1, 2020, which is when Medicare claims processing systems were able to accept the codes. Dates of service for th... |
U0001 | HC NOVEL CORONAVIRUS REALT TIME PCR | HCPCS | Check with non-Medicare payers to confirm their policies on use and coverage of these codes. As an example, two HCPCS Level II codes for COVID-19 testing (U0001 and U0002) had an implementation date of April 1, 2020, which is when Medicare claims processing systems were able to accept the codes. Dates of service for th... |
1996 | Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration | HCPCS | CPT identifies the services provided and helps determine how much physicians will be paid for their services by insurance companies. HCPCS – Healthcare Common Procedure Coding System (HCPCS) is a set of health care procedure codes based on the AMA’s CPT system. HCPCS is a medical billing process used by the Centers for... |
1996 | Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration | HCPCS | HCPCS – Healthcare Common Procedure Coding System (HCPCS) is a set of health care procedure codes based on the AMA’s CPT system. HCPCS is a medical billing process used by the Centers for Medicare and Medicaid Services (CMS). The HCPCS coding system was created to standardize the coding of specific items and services p... |
1996 | Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration | HCPCS | HCPCS is a medical billing process used by the Centers for Medicare and Medicaid Services (CMS). The HCPCS coding system was created to standardize the coding of specific items and services provided by health care professionals and billed to Medicare and Medicaid. The HIPPA Act of 1996 made the use of HCPCS coding mand... |
U0002 | HC Sars-Cov-2 Naa Coronavirus | HCPCS | Consistent with this WHO update to the ICD-10, the CDC will implement U07.1 2019-nCoV acute respiratory disease into ICD-10-CM for reporting, effective with the next update, Oct. 1, 2020. See the announcement and interim coding guidance for more information. Does COVID-19 Have a Test Code? According to a Centers for Me... |
U0001 | HC NOVEL CORONAVIRUS REALT TIME PCR | HCPCS | Consistent with this WHO update to the ICD-10, the CDC will implement U07.1 2019-nCoV acute respiratory disease into ICD-10-CM for reporting, effective with the next update, Oct. 1, 2020. See the announcement and interim coding guidance for more information. Does COVID-19 Have a Test Code? According to a Centers for Me... |
U0002 | HC Sars-Cov-2 Naa Coronavirus | HCPCS | See the announcement and interim coding guidance for more information. Does COVID-19 Have a Test Code? According to a Centers for Medicare & Medicaid Services (CMS) press release, “Healthcare providers who need to test patients for Coronavirus using the Centers for Disease Control and Prevention (CDC) 2019 Novel Corona... |
U0001 | HC NOVEL CORONAVIRUS REALT TIME PCR | HCPCS | See the announcement and interim coding guidance for more information. Does COVID-19 Have a Test Code? According to a Centers for Medicare & Medicaid Services (CMS) press release, “Healthcare providers who need to test patients for Coronavirus using the Centers for Disease Control and Prevention (CDC) 2019 Novel Corona... |
U0002 | HC Sars-Cov-2 Naa Coronavirus | HCPCS | Does COVID-19 Have a Test Code? According to a Centers for Medicare & Medicaid Services (CMS) press release, “Healthcare providers who need to test patients for Coronavirus using the Centers for Disease Control and Prevention (CDC) 2019 Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel may bill for that test usi... |
U0001 | HC NOVEL CORONAVIRUS REALT TIME PCR | HCPCS | Does COVID-19 Have a Test Code? According to a Centers for Medicare & Medicaid Services (CMS) press release, “Healthcare providers who need to test patients for Coronavirus using the Centers for Disease Control and Prevention (CDC) 2019 Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel may bill for that test usi... |
U0002 | HC Sars-Cov-2 Naa Coronavirus | HCPCS | According to a Centers for Medicare & Medicaid Services (CMS) press release, “Healthcare providers who need to test patients for Coronavirus using the Centers for Disease Control and Prevention (CDC) 2019 Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel may bill for that test using the newly created HCPCS code ... |
U0001 | HC NOVEL CORONAVIRUS REALT TIME PCR | HCPCS | According to a Centers for Medicare & Medicaid Services (CMS) press release, “Healthcare providers who need to test patients for Coronavirus using the Centers for Disease Control and Prevention (CDC) 2019 Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel may bill for that test using the newly created HCPCS code ... |
U0002 | HC Sars-Cov-2 Naa Coronavirus | HCPCS | CMS has developed a second HCPCS Level II code (U0002) for labs to bill for non-CDC lab tests for SARS-CoV-2/2019-nCoV (COVD-19). This code may be used for tests developed by certain laboratories in accordance with a new policy the Food and Drug Administration issued Feb. 29. Medicare claims will be accepted beginning ... |
E2120 | Pulse gen sys tx endolymp fl | HCPCS | Patients then place an ear-cuff in the external ear canal and treat themselves for 3 minutes, 3 times daily. Treatment is continued for as long as patients find themselves in a period of attacks of vertigo. In 1999, the Meniett® device (Medtronic, Minneapolis, MN) received clearance to market through a U.S. Food and Dr... |
E2120 | Pulse gen sys tx endolymp fl | HCPCS | In 1999, the Meniett® device (Medtronic, Minneapolis, MN) received clearance to market through a U.S. Food and Drug Administration (FDA) 510(k) process specifically as a symptomatic treatment of Meniere's disease. Transtympanic micropressure applications as a treatment of Meniere`s disease are considered investigationa... |
A4638 | Repl batt pulse gen sys | HCPCS | 2012. Available online at: http://guidance.nice.org.uk/IPG426/Guidance/pdf/English. Last accessed July 2014. |ICD-9 Diagnosis||Investigational for all diagnoses|
|386.00 – 386.04||Meniere`s disease code range|
|HCPCS||A4638||Replacement battery for patient-owned ear generator, each|
|E2120||Pulse generator system for t... |
E2120 | Pulse gen sys tx endolymp fl | HCPCS | 2012. Available online at: http://guidance.nice.org.uk/IPG426/Guidance/pdf/English. Last accessed July 2014. |ICD-9 Diagnosis||Investigational for all diagnoses|
|386.00 – 386.04||Meniere`s disease code range|
|HCPCS||A4638||Replacement battery for patient-owned ear generator, each|
|E2120||Pulse generator system for t... |
A4638 | Repl batt pulse gen sys | HCPCS | Available online at: http://guidance.nice.org.uk/IPG426/Guidance/pdf/English. Last accessed July 2014. |ICD-9 Diagnosis||Investigational for all diagnoses|
|386.00 – 386.04||Meniere`s disease code range|
|HCPCS||A4638||Replacement battery for patient-owned ear generator, each|
|E2120||Pulse generator system for tympani... |
E2120 | Pulse gen sys tx endolymp fl | HCPCS | Available online at: http://guidance.nice.org.uk/IPG426/Guidance/pdf/English. Last accessed July 2014. |ICD-9 Diagnosis||Investigational for all diagnoses|
|386.00 – 386.04||Meniere`s disease code range|
|HCPCS||A4638||Replacement battery for patient-owned ear generator, each|
|E2120||Pulse generator system for tympani... |
A4638 | Repl batt pulse gen sys | HCPCS | Last accessed July 2014. |ICD-9 Diagnosis||Investigational for all diagnoses|
|386.00 – 386.04||Meniere`s disease code range|
|HCPCS||A4638||Replacement battery for patient-owned ear generator, each|
|E2120||Pulse generator system for tympanic treatment of inner ear endolymphatic fluid|
|ICD-10-CM (effective 10/1/15)||... |
E2120 | Pulse gen sys tx endolymp fl | HCPCS | Last accessed July 2014. |ICD-9 Diagnosis||Investigational for all diagnoses|
|386.00 – 386.04||Meniere`s disease code range|
|HCPCS||A4638||Replacement battery for patient-owned ear generator, each|
|E2120||Pulse generator system for tympanic treatment of inner ear endolymphatic fluid|
|ICD-10-CM (effective 10/1/15)||... |
A4638 | Repl batt pulse gen sys | HCPCS | |ICD-9 Diagnosis||Investigational for all diagnoses|
|386.00 – 386.04||Meniere`s disease code range|
|HCPCS||A4638||Replacement battery for patient-owned ear generator, each|
|E2120||Pulse generator system for tympanic treatment of inner ear endolymphatic fluid|
|ICD-10-CM (effective 10/1/15)||Investigational for all d... |
E2120 | Pulse gen sys tx endolymp fl | HCPCS | |ICD-9 Diagnosis||Investigational for all diagnoses|
|386.00 – 386.04||Meniere`s disease code range|
|HCPCS||A4638||Replacement battery for patient-owned ear generator, each|
|E2120||Pulse generator system for tympanic treatment of inner ear endolymphatic fluid|
|ICD-10-CM (effective 10/1/15)||Investigational for all d... |
1996 | Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration | HCPCS | With this adoption, CMS mandated the use of HCPCS to report services for Part B of the Medicare Program. In October 1986, CMS also required state Medicaid agencies to use HCPCS in the Medicaid Management Information System. In July 1987, as part of the Omnibus Budget Reconciliation Act, CMS mandated the use of CPT for ... |
1996 | Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration | HCPCS | In October 1986, CMS also required state Medicaid agencies to use HCPCS in the Medicaid Management Information System. In July 1987, as part of the Omnibus Budget Reconciliation Act, CMS mandated the use of CPT for reporting outpatient hospital surgical procedures. Today, in addition to use in federal programs (Medicar... |
1996 | Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration | HCPCS | HIPAA and CPT
The Administrative Simplification Section of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 requires the Department of Health and Human Services to name national standards for electronic transaction of health care information. This includes transactions and code sets, national pro... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | For the procedure, we’d code 23140 for “excision or curretage of bone cyst or benign tumor, humerus; with autograft (includes obtaining the graft).” Since the procedure was completed but not fully successful, we’d add the -52 modifier, for reduced services, to the code, and we’d end up with 23140-52. Physical Status Mo... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | These codes are:
- P1 – a normal, healthy patient
- P2 – a patient with mild systemic disease
- P3 – a patient with severe systemic disease
- P4 – a patient with severe systemic disease that is a constant threat to life
- P5 – a moribund patient who is not expected to survive without the operation
- P6 – a declared bra... |
00216 | ANESTH HEAD VESSEL SURGERY | CPT | Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier t... |
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