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29855
Tibial arthroscopy/surgery
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
27486
REVISION TKA
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29999
Unlisted px arthroscopy
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29875
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
27487
Revision of thigh and lower leg bone components of total knee joint prosthesis
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
27447
Total knee arthroplasty
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29870
PR ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29866
PR ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29889
PR ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
27438
Revise kneecap with implant
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29876
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29881
Removal of knee cartilage using an endoscope
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29888
Repair of anterior cruciate ligament of knee using an endoscope
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29850
PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29882
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29883
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
G0289
PR ARTHRO, LOOSE BODY + CHONDRO
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29856
Tibial arthroscopy/surgery
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29879
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29851
PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29880
Removal of both knee cartilages using an endoscope
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29874
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29868
PR ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29867
PR ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29877
Removal or shaving of knee joint cartilage using an endoscope
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
20000
Incision of abscess
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
27488
REMOVAL PROSTHESIS
HCPCS
CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided tr...
29881
Removal of knee cartilage using an endoscope
HCPCS
- Since CPT codes 29880 and 29881 include debridement/shaving of articular cartilage of any compartment, HCPCS code G0289 may be reported with CPT codes 29880 or 29881 only if reported for removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for...
29880
Removal of both knee cartilages using an endoscope
HCPCS
- Since CPT codes 29880 and 29881 include debridement/shaving of articular cartilage of any compartment, HCPCS code G0289 may be reported with CPT codes 29880 or 29881 only if reported for removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for...
G0289
PR ARTHRO, LOOSE BODY + CHONDRO
HCPCS
- Since CPT codes 29880 and 29881 include debridement/shaving of articular cartilage of any compartment, HCPCS code G0289 may be reported with CPT codes 29880 or 29881 only if reported for removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for...
29875
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
HCPCS
- Since CPT codes 29880 and 29881 include debridement/shaving of articular cartilage of any compartment, HCPCS code G0289 may be reported with CPT codes 29880 or 29881 only if reported for removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for...
29876
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
HCPCS
- Since CPT codes 29880 and 29881 include debridement/shaving of articular cartilage of any compartment, HCPCS code G0289 may be reported with CPT codes 29880 or 29881 only if reported for removal of a loose body or foreign body from a different compartment of the same knee. - HCPCS code G0289 shall not be reported for...
G0289
PR ARTHRO, LOOSE BODY + CHONDRO
HCPCS
- HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or ...
29875
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
HCPCS
- HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or ...
29877
Removal or shaving of knee joint cartilage using an endoscope
HCPCS
- HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or ...
29876
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
HCPCS
- HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure. - Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or ...
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 onl...
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 M...
1999
ANESTHESIOLOGY GROUP
CPT
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: Verb...
1999
ANESTHESIOLOGY GROUP
CPT
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...
76075
Dxa bone density, axial
HCPCS
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 substant...
76071
Ct bone density, peripheral
HCPCS
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 substant...
76077
Dxa bone density/v-fracture
HCPCS
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 substant...
76076
Dxa bone density/peripheral
HCPCS
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 substant...
76077
Dxa bone density/v-fracture
HCPCS
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...
76077
Dxa bone density/v-fracture
HCPCS
Note: V58.65 Long-term (current) use of steroids,” The examples of conditions listed are covered in addition to other chronic illnesses requiring the long term (current) use of glucocorticoid. Note “but not limited to” - coding has been listed in the Code Reference section for the examples listed in the Policy section ...
76077
Dxa bone density/v-fracture
HCPCS
Note “but not limited to” - coding has been listed in the Code Reference section for the examples listed in the Policy section only, ICD-9 diagnosis code 242.00, 242.01, 242.10, 242.11, 242.20, 242.21, 242.30, 242.31, 242.40, 242.41, 242.80, 242.81, 756.10, 756.9 added to covered codes, ICD-9 diagnosis code 252.0 5th d...
G0130
Single energy x-ray study
HCPCS
Note “but not limited to” - coding has been listed in the Code Reference section for the examples listed in the Policy section only, ICD-9 diagnosis code 242.00, 242.01, 242.10, 242.11, 242.20, 242.21, 242.30, 242.31, 242.40, 242.41, 242.80, 242.81, 756.10, 756.9 added to covered codes, ICD-9 diagnosis code 252.0 5th d...
76077
Dxa bone density/v-fracture
HCPCS
HCPCS 2006 revisions added to policy 09/13/2006: Coding updated. ICD9 2006 revisions added to policy 09/25/2006: Policy clarified and partially rewritten 10/25/2006: Code reference section updated. CPT code 76077 added to covered table. HCPC code G0130 added to non-covered table 12/21/2006: Policy clarified. Added "inc...
G0130
Single energy x-ray study
HCPCS
HCPCS 2006 revisions added to policy 09/13/2006: Coding updated. ICD9 2006 revisions added to policy 09/25/2006: Policy clarified and partially rewritten 10/25/2006: Code reference section updated. CPT code 76077 added to covered table. HCPC code G0130 added to non-covered table 12/21/2006: Policy clarified. Added "inc...
76077
Dxa bone density/v-fracture
HCPCS
ICD9 2006 revisions added to policy 09/25/2006: Policy clarified and partially rewritten 10/25/2006: Code reference section updated. CPT code 76077 added to covered table. HCPC code G0130 added to non-covered table 12/21/2006: Policy clarified. Added "including, but not limited to, women 60 years of age or older" to wo...
G0130
Single energy x-ray study
HCPCS
ICD9 2006 revisions added to policy 09/25/2006: Policy clarified and partially rewritten 10/25/2006: Code reference section updated. CPT code 76077 added to covered table. HCPC code G0130 added to non-covered table 12/21/2006: Policy clarified. Added "including, but not limited to, women 60 years of age or older" to wo...
76075
Dxa bone density, axial
HCPCS
CPT code 76077 added to covered table. HCPC code G0130 added to non-covered table 12/21/2006: Policy clarified. Added "including, but not limited to, women 60 years of age or older" to women deficient in estrogen following menopause 12/28/2006: Code Reference section updated per the 2007 CPT/HCPCS revisions 12/17/2007:...
76077
Dxa bone density/v-fracture
HCPCS
CPT code 76077 added to covered table. HCPC code G0130 added to non-covered table 12/21/2006: Policy clarified. Added "including, but not limited to, women 60 years of age or older" to women deficient in estrogen following menopause 12/28/2006: Code Reference section updated per the 2007 CPT/HCPCS revisions 12/17/2007:...
G0130
Single energy x-ray study
HCPCS
CPT code 76077 added to covered table. HCPC code G0130 added to non-covered table 12/21/2006: Policy clarified. Added "including, but not limited to, women 60 years of age or older" to women deficient in estrogen following menopause 12/28/2006: Code Reference section updated per the 2007 CPT/HCPCS revisions 12/17/2007:...
76076
Dxa bone density/peripheral
HCPCS
CPT code 76077 added to covered table. HCPC code G0130 added to non-covered table 12/21/2006: Policy clarified. Added "including, but not limited to, women 60 years of age or older" to women deficient in estrogen following menopause 12/28/2006: Code Reference section updated per the 2007 CPT/HCPCS revisions 12/17/2007:...
76075
Dxa bone density, axial
HCPCS
HCPC code G0130 added to non-covered table 12/21/2006: Policy clarified. Added "including, but not limited to, women 60 years of age or older" to women deficient in estrogen following menopause 12/28/2006: Code Reference section updated per the 2007 CPT/HCPCS revisions 12/17/2007: Coding updated.CPT/HCPCS 2008 revision...
Q9952
Inj Gad-base MR contrast,1ml
HCPCS
HCPC code G0130 added to non-covered table 12/21/2006: Policy clarified. Added "including, but not limited to, women 60 years of age or older" to women deficient in estrogen following menopause 12/28/2006: Code Reference section updated per the 2007 CPT/HCPCS revisions 12/17/2007: Coding updated.CPT/HCPCS 2008 revision...
G0130
Single energy x-ray study
HCPCS
HCPC code G0130 added to non-covered table 12/21/2006: Policy clarified. Added "including, but not limited to, women 60 years of age or older" to women deficient in estrogen following menopause 12/28/2006: Code Reference section updated per the 2007 CPT/HCPCS revisions 12/17/2007: Coding updated.CPT/HCPCS 2008 revision...
76076
Dxa bone density/peripheral
HCPCS
HCPC code G0130 added to non-covered table 12/21/2006: Policy clarified. Added "including, but not limited to, women 60 years of age or older" to women deficient in estrogen following menopause 12/28/2006: Code Reference section updated per the 2007 CPT/HCPCS revisions 12/17/2007: Coding updated.CPT/HCPCS 2008 revision...
76075
Dxa bone density, axial
HCPCS
Added "including, but not limited to, women 60 years of age or older" to women deficient in estrogen following menopause 12/28/2006: Code Reference section updated per the 2007 CPT/HCPCS revisions 12/17/2007: Coding updated.CPT/HCPCS 2008 revisions added to policy 9/17/2008: Annual ICD-9 updates effective 10-1-2008 app...
Q9952
Inj Gad-base MR contrast,1ml
HCPCS
Added "including, but not limited to, women 60 years of age or older" to women deficient in estrogen following menopause 12/28/2006: Code Reference section updated per the 2007 CPT/HCPCS revisions 12/17/2007: Coding updated.CPT/HCPCS 2008 revisions added to policy 9/17/2008: Annual ICD-9 updates effective 10-1-2008 app...
76076
Dxa bone density/peripheral
HCPCS
Added "including, but not limited to, women 60 years of age or older" to women deficient in estrogen following menopause 12/28/2006: Code Reference section updated per the 2007 CPT/HCPCS revisions 12/17/2007: Coding updated.CPT/HCPCS 2008 revisions added to policy 9/17/2008: Annual ICD-9 updates effective 10-1-2008 app...
A9500
TECHNETIUM TC 99M SESTAMIBI IV KIT
HCPCS
Scintimammography, breast-specific gamma imaging (BSGI), and molecular breast imaging (MBI) are considered investigational in all applications, including but not limited to their use as an adjunct to mammography or in staging the axillary lymph nodes. Preoperative or intraoperative sentinel lymph node detection using h...
A9500
TECHNETIUM TC 99M SESTAMIBI IV KIT
HCPCS
Preoperative or intraoperative sentinel lymph node detection using handheld or mounted mobile gamma cameras is considered investigational. The most commonly used radiopharmaceutical used in for BSGI or MBI is technetium Tc 99m sestamibi (marketed by Draxis Specialty Pharmaceuticals Inc., Cardinal Health 414, LLC, Malli...
G0504
INIT/SUBSQ PS CCM EA ADD 30 MN CAL MO BHC MGR AC
HCPCS
Providers should take care to order urine lab testing only when it is medically necessary and provides a corresponding benefit to the care and treatment of the patient. Urinalysis CPT Codes Urinalysis methods used by diagnostic laboratories include visual examination, reagent strip screening, refractometry for specific...
G0502
Init psych care manag, 70min
HCPCS
Providers should take care to order urine lab testing only when it is medically necessary and provides a corresponding benefit to the care and treatment of the patient. Urinalysis CPT Codes Urinalysis methods used by diagnostic laboratories include visual examination, reagent strip screening, refractometry for specific...
G0503
SUBSQT PS CCM 1ST 60 MIN SUBSQT MO BEH HC MGR AC
HCPCS
Providers should take care to order urine lab testing only when it is medically necessary and provides a corresponding benefit to the care and treatment of the patient. Urinalysis CPT Codes Urinalysis methods used by diagnostic laboratories include visual examination, reagent strip screening, refractometry for specific...
G0504
INIT/SUBSQ PS CCM EA ADD 30 MN CAL MO BHC MGR AC
HCPCS
Urinalysis CPT Codes Urinalysis methods used by diagnostic laboratories include visual examination, reagent strip screening, refractometry for specific gravity, and microscopic inspection of centrifuged sediment. New CPT Codes for Behavioral Health Services in 2018. Starting January 2017, the Centers for Medicare and M...
G0502
Init psych care manag, 70min
HCPCS
Urinalysis CPT Codes Urinalysis methods used by diagnostic laboratories include visual examination, reagent strip screening, refractometry for specific gravity, and microscopic inspection of centrifuged sediment. New CPT Codes for Behavioral Health Services in 2018. Starting January 2017, the Centers for Medicare and M...
G0503
SUBSQT PS CCM 1ST 60 MIN SUBSQT MO BEH HC MGR AC
HCPCS
Urinalysis CPT Codes Urinalysis methods used by diagnostic laboratories include visual examination, reagent strip screening, refractometry for specific gravity, and microscopic inspection of centrifuged sediment. New CPT Codes for Behavioral Health Services in 2018. Starting January 2017, the Centers for Medicare and M...
99494
PR 1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS
HCPCS
New CPT Codes for Behavioral Health Services in 2018. Starting January 2017, the Centers for Medicare and Medicaid Services (CMS) approved payment for services provided to patients with behavioral health disorders who are participating in psychiatric collaborative care programs or are receiving behavioral health integr...
99493
Sbsq psyc collab care mgmt
HCPCS
New CPT Codes for Behavioral Health Services in 2018. Starting January 2017, the Centers for Medicare and Medicaid Services (CMS) approved payment for services provided to patients with behavioral health disorders who are participating in psychiatric collaborative care programs or are receiving behavioral health integr...
G0503
SUBSQT PS CCM 1ST 60 MIN SUBSQT MO BEH HC MGR AC
HCPCS
New CPT Codes for Behavioral Health Services in 2018. Starting January 2017, the Centers for Medicare and Medicaid Services (CMS) approved payment for services provided to patients with behavioral health disorders who are participating in psychiatric collaborative care programs or are receiving behavioral health integr...
99492
PR 1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS
HCPCS
New CPT Codes for Behavioral Health Services in 2018. Starting January 2017, the Centers for Medicare and Medicaid Services (CMS) approved payment for services provided to patients with behavioral health disorders who are participating in psychiatric collaborative care programs or are receiving behavioral health integr...
G0504
INIT/SUBSQ PS CCM EA ADD 30 MN CAL MO BHC MGR AC
HCPCS
New CPT Codes for Behavioral Health Services in 2018. Starting January 2017, the Centers for Medicare and Medicaid Services (CMS) approved payment for services provided to patients with behavioral health disorders who are participating in psychiatric collaborative care programs or are receiving behavioral health integr...
G0502
Init psych care manag, 70min
HCPCS
New CPT Codes for Behavioral Health Services in 2018. Starting January 2017, the Centers for Medicare and Medicaid Services (CMS) approved payment for services provided to patients with behavioral health disorders who are participating in psychiatric collaborative care programs or are receiving behavioral health integr...
99494
PR 1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS
HCPCS
Starting January 2017, the Centers for Medicare and Medicaid Services (CMS) approved payment for services provided to patients with behavioral health disorders who are participating in psychiatric collaborative care programs or are receiving behavioral health integration services. Medical coding companies utilized the ...
99493
Sbsq psyc collab care mgmt
HCPCS
Starting January 2017, the Centers for Medicare and Medicaid Services (CMS) approved payment for services provided to patients with behavioral health disorders who are participating in psychiatric collaborative care programs or are receiving behavioral health integration services. Medical coding companies utilized the ...
G0503
SUBSQT PS CCM 1ST 60 MIN SUBSQT MO BEH HC MGR AC
HCPCS
Starting January 2017, the Centers for Medicare and Medicaid Services (CMS) approved payment for services provided to patients with behavioral health disorders who are participating in psychiatric collaborative care programs or are receiving behavioral health integration services. Medical coding companies utilized the ...
99492
PR 1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS
HCPCS
Starting January 2017, the Centers for Medicare and Medicaid Services (CMS) approved payment for services provided to patients with behavioral health disorders who are participating in psychiatric collaborative care programs or are receiving behavioral health integration services. Medical coding companies utilized the ...
G0504
INIT/SUBSQ PS CCM EA ADD 30 MN CAL MO BHC MGR AC
HCPCS
Starting January 2017, the Centers for Medicare and Medicaid Services (CMS) approved payment for services provided to patients with behavioral health disorders who are participating in psychiatric collaborative care programs or are receiving behavioral health integration services. Medical coding companies utilized the ...
G0502
Init psych care manag, 70min
HCPCS
Starting January 2017, the Centers for Medicare and Medicaid Services (CMS) approved payment for services provided to patients with behavioral health disorders who are participating in psychiatric collaborative care programs or are receiving behavioral health integration services. Medical coding companies utilized the ...
99494
PR 1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS
HCPCS
Medical coding companies utilized the three CMS approved HCPCS codes – G0502, G0503 and G0504 – for billing these services. In 2018, new CPT codes replace the 2017 HCPCS codes for Collaborative Care Management-Behavioral Health Integration (CoCM-BHI). The three new CPT codes to report psychiatric collaborative care man...
99493
Sbsq psyc collab care mgmt
HCPCS
Medical coding companies utilized the three CMS approved HCPCS codes – G0502, G0503 and G0504 – for billing these services. In 2018, new CPT codes replace the 2017 HCPCS codes for Collaborative Care Management-Behavioral Health Integration (CoCM-BHI). The three new CPT codes to report psychiatric collaborative care man...
G0503
SUBSQT PS CCM 1ST 60 MIN SUBSQT MO BEH HC MGR AC
HCPCS
Medical coding companies utilized the three CMS approved HCPCS codes – G0502, G0503 and G0504 – for billing these services. In 2018, new CPT codes replace the 2017 HCPCS codes for Collaborative Care Management-Behavioral Health Integration (CoCM-BHI). The three new CPT codes to report psychiatric collaborative care man...
99492
PR 1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS
HCPCS
Medical coding companies utilized the three CMS approved HCPCS codes – G0502, G0503 and G0504 – for billing these services. In 2018, new CPT codes replace the 2017 HCPCS codes for Collaborative Care Management-Behavioral Health Integration (CoCM-BHI). The three new CPT codes to report psychiatric collaborative care man...
G0504
INIT/SUBSQ PS CCM EA ADD 30 MN CAL MO BHC MGR AC
HCPCS
Medical coding companies utilized the three CMS approved HCPCS codes – G0502, G0503 and G0504 – for billing these services. In 2018, new CPT codes replace the 2017 HCPCS codes for Collaborative Care Management-Behavioral Health Integration (CoCM-BHI). The three new CPT codes to report psychiatric collaborative care man...
G0502
Init psych care manag, 70min
HCPCS
Medical coding companies utilized the three CMS approved HCPCS codes – G0502, G0503 and G0504 – for billing these services. In 2018, new CPT codes replace the 2017 HCPCS codes for Collaborative Care Management-Behavioral Health Integration (CoCM-BHI). The three new CPT codes to report psychiatric collaborative care man...
99494
PR 1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS
HCPCS
In 2018, new CPT codes replace the 2017 HCPCS codes for Collaborative Care Management-Behavioral Health Integration (CoCM-BHI). The three new CPT codes to report psychiatric collaborative care management (PCCM) in starting January 1, 2018 are: 99492, 99493 and 99494. Reporting CPT Codes 99492-99494 Psychiatric collabor...
99493
Sbsq psyc collab care mgmt
HCPCS
In 2018, new CPT codes replace the 2017 HCPCS codes for Collaborative Care Management-Behavioral Health Integration (CoCM-BHI). The three new CPT codes to report psychiatric collaborative care management (PCCM) in starting January 1, 2018 are: 99492, 99493 and 99494. Reporting CPT Codes 99492-99494 Psychiatric collabor...
99492
PR 1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS
HCPCS
In 2018, new CPT codes replace the 2017 HCPCS codes for Collaborative Care Management-Behavioral Health Integration (CoCM-BHI). The three new CPT codes to report psychiatric collaborative care management (PCCM) in starting January 1, 2018 are: 99492, 99493 and 99494. Reporting CPT Codes 99492-99494 Psychiatric collabor...
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.
G0472
PR HEP C SCREEN HIGH RISK/OTHER
HCPCS
The evidence collected led the USPSTF to issue a B recommendation for HCV screening in all adults aged 18-79 years in the draft statement. The task force also suggests that physicians consider screening patients for HCV who are aged younger than 18 years and older than 79 years if they are at high risk for infection. T...
G0472
PR HEP C SCREEN HIGH RISK/OTHER
HCPCS
The USPSTF is accepting comments on the draft recommendation statement and draft evidence review on screening adults for HCV infection until Sept. 23. The task force will consider all comments received as they prepare the final recommendation. How to Code HCV Screening When coding HCV screening, use HCPCS Level II code...
G0472
PR HEP C SCREEN HIGH RISK/OTHER
HCPCS
The task force will consider all comments received as they prepare the final recommendation. How to Code HCV Screening When coding HCV screening, use HCPCS Level II code G0472, Hepatitis C antibody screening, for individual at high risk and other covered indication(s). - For high-risk groups, the HCPCS Level II code mu...
G0472
PR HEP C SCREEN HIGH RISK/OTHER
HCPCS
How to Code HCV Screening When coding HCV screening, use HCPCS Level II code G0472, Hepatitis C antibody screening, for individual at high risk and other covered indication(s). - For high-risk groups, the HCPCS Level II code must be accompanied by ICD-10 code Z72.89 Other problems related to lifestyle. - For age-relate...
82465
HC CHOLESTEROL LEVEL W/DIRECT LDL
HCPCS
Code 33871’s descriptor better describes the way the procedure is performed now. Medicare Coverage of Screening for Heart Disease There are two Medicare-covered preventative services for heart disease screening per national coverage determination (NCD) 210.11: “Cardiovascular Disease Screening Tests” and “Intensive Beh...
33871
Transvrs a-arch grf hypthrm
HCPCS
Code 33871’s descriptor better describes the way the procedure is performed now. Medicare Coverage of Screening for Heart Disease There are two Medicare-covered preventative services for heart disease screening per national coverage determination (NCD) 210.11: “Cardiovascular Disease Screening Tests” and “Intensive Beh...
80061
TTH LIPID-SP
HCPCS
Code 33871’s descriptor better describes the way the procedure is performed now. Medicare Coverage of Screening for Heart Disease There are two Medicare-covered preventative services for heart disease screening per national coverage determination (NCD) 210.11: “Cardiovascular Disease Screening Tests” and “Intensive Beh...