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15.5k
1999
ANESTHESIOLOGY GROUP
CPT
Evaluation and management services reported on the same date as ultraviolet light therapy are appropriate in the following circumstances: The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY7/1993: Approved by Medical Pol...
E0692
Uvl sys panel 4 ft
HCPCS
Evaluation and management services reported on the same date as ultraviolet light therapy are appropriate in the following circumstances: The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY7/1993: Approved by Medical Pol...
97028
Ultraviolet therapy
HCPCS
Evaluation and management services reported on the same date as ultraviolet light therapy are appropriate in the following circumstances: The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY7/1993: Approved by Medical Pol...
S9098
Home phototherapy visit
HCPCS
Evaluation and management services reported on the same date as ultraviolet light therapy are appropriate in the following circumstances: The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY7/1993: Approved by Medical Pol...
E0202
Phototherapy light w/ photom
HCPCS
Evaluation and management services reported on the same date as ultraviolet light therapy are appropriate in the following circumstances: The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY7/1993: Approved by Medical Pol...
A4634
Replacement bulb th lightbox
HCPCS
Evaluation and management services reported on the same date as ultraviolet light therapy are appropriate in the following circumstances: The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY7/1993: Approved by Medical Pol...
E0694
Uvl md cabinet sys 6 ft
HCPCS
Evaluation and management services reported on the same date as ultraviolet light therapy are appropriate in the following circumstances: The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY7/1993: Approved by Medical Pol...
E0691
Uvl pnl 2 sq ft or less
HCPCS
Evaluation and management services reported on the same date as ultraviolet light therapy are appropriate in the following circumstances: The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY7/1993: Approved by Medical Pol...
A4633
Uvl replacement bulb
HCPCS
Evaluation and management services reported on the same date as ultraviolet light therapy are appropriate in the following circumstances: The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY7/1993: Approved by Medical Pol...
E0690
UV CABINET APPROPRIATE HOME USE
CPT
Evaluation and management services reported on the same date as ultraviolet light therapy are appropriate in the following circumstances: The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY7/1993: Approved by Medical Pol...
E0693
Uvl sys panel 6 ft
HCPCS
Evaluation and management services reported on the same date as ultraviolet light therapy are appropriate in the following circumstances: The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY7/1993: Approved by Medical Pol...
A4639
Replacement pad for infrared heating pad system, each
HCPCS
POLICY HISTORY7/1993: Approved by Medical Policy Advisory Committee (MPAC) 4/1997: Investigational indication of seasonal affective disorder approved by (MPAC) 8/1999: Revisions approved by MPAC 2/11/2002: Appeal statement deleted from Policy Exception section, investigational definition added 5/2/2002: Type of Service...
1999
ANESTHESIOLOGY GROUP
CPT
POLICY HISTORY7/1993: Approved by Medical Policy Advisory Committee (MPAC) 4/1997: Investigational indication of seasonal affective disorder approved by (MPAC) 8/1999: Revisions approved by MPAC 2/11/2002: Appeal statement deleted from Policy Exception section, investigational definition added 5/2/2002: Type of Service...
E0692
Uvl sys panel 4 ft
HCPCS
POLICY HISTORY7/1993: Approved by Medical Policy Advisory Committee (MPAC) 4/1997: Investigational indication of seasonal affective disorder approved by (MPAC) 8/1999: Revisions approved by MPAC 2/11/2002: Appeal statement deleted from Policy Exception section, investigational definition added 5/2/2002: Type of Service...
97028
Ultraviolet therapy
HCPCS
POLICY HISTORY7/1993: Approved by Medical Policy Advisory Committee (MPAC) 4/1997: Investigational indication of seasonal affective disorder approved by (MPAC) 8/1999: Revisions approved by MPAC 2/11/2002: Appeal statement deleted from Policy Exception section, investigational definition added 5/2/2002: Type of Service...
S9098
Home phototherapy visit
HCPCS
POLICY HISTORY7/1993: Approved by Medical Policy Advisory Committee (MPAC) 4/1997: Investigational indication of seasonal affective disorder approved by (MPAC) 8/1999: Revisions approved by MPAC 2/11/2002: Appeal statement deleted from Policy Exception section, investigational definition added 5/2/2002: Type of Service...
E0202
Phototherapy light w/ photom
HCPCS
POLICY HISTORY7/1993: Approved by Medical Policy Advisory Committee (MPAC) 4/1997: Investigational indication of seasonal affective disorder approved by (MPAC) 8/1999: Revisions approved by MPAC 2/11/2002: Appeal statement deleted from Policy Exception section, investigational definition added 5/2/2002: Type of Service...
A4634
Replacement bulb th lightbox
HCPCS
POLICY HISTORY7/1993: Approved by Medical Policy Advisory Committee (MPAC) 4/1997: Investigational indication of seasonal affective disorder approved by (MPAC) 8/1999: Revisions approved by MPAC 2/11/2002: Appeal statement deleted from Policy Exception section, investigational definition added 5/2/2002: Type of Service...
E0694
Uvl md cabinet sys 6 ft
HCPCS
POLICY HISTORY7/1993: Approved by Medical Policy Advisory Committee (MPAC) 4/1997: Investigational indication of seasonal affective disorder approved by (MPAC) 8/1999: Revisions approved by MPAC 2/11/2002: Appeal statement deleted from Policy Exception section, investigational definition added 5/2/2002: Type of Service...
E0691
Uvl pnl 2 sq ft or less
HCPCS
POLICY HISTORY7/1993: Approved by Medical Policy Advisory Committee (MPAC) 4/1997: Investigational indication of seasonal affective disorder approved by (MPAC) 8/1999: Revisions approved by MPAC 2/11/2002: Appeal statement deleted from Policy Exception section, investigational definition added 5/2/2002: Type of Service...
A4633
Uvl replacement bulb
HCPCS
POLICY HISTORY7/1993: Approved by Medical Policy Advisory Committee (MPAC) 4/1997: Investigational indication of seasonal affective disorder approved by (MPAC) 8/1999: Revisions approved by MPAC 2/11/2002: Appeal statement deleted from Policy Exception section, investigational definition added 5/2/2002: Type of Service...
E0690
UV CABINET APPROPRIATE HOME USE
CPT
POLICY HISTORY7/1993: Approved by Medical Policy Advisory Committee (MPAC) 4/1997: Investigational indication of seasonal affective disorder approved by (MPAC) 8/1999: Revisions approved by MPAC 2/11/2002: Appeal statement deleted from Policy Exception section, investigational definition added 5/2/2002: Type of Service...
E0693
Uvl sys panel 6 ft
HCPCS
POLICY HISTORY7/1993: Approved by Medical Policy Advisory Committee (MPAC) 4/1997: Investigational indication of seasonal affective disorder approved by (MPAC) 8/1999: Revisions approved by MPAC 2/11/2002: Appeal statement deleted from Policy Exception section, investigational definition added 5/2/2002: Type of Service...
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. The page also includes 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 COVID-19 pandemic, covering services such as specimen collect...
U0001
HC NOVEL CORONAVIRUS REALT TIME PCR
HCPCS
The AMA posts new codes on its COVID-19 Coding and Guidance page. The page also includes 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 COVID-19 pandemic, covering services such as specimen collect...
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...
87999
HC UNLISTED MICROBIOLOGY PROCEDURE
HCPCS
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated a...
87999
HC UNLISTED MICROBIOLOGY PROCEDURE
HCPCS
Policy statement unchanged. FEP verbiage added to the Policy Exceptions section. Deleted outdated references from the Sources section. Deleted CPT code 87999 from the codes table as HCPCS S3890 is the specific code for this test. 02/23/2011: Policy reviewed; no changes 01/17/2012: Policy reviewed; no changes 03/13/2013...
G0464
Colorec ca scr, sto bas dna
HCPCS
Policy statement unchanged. FEP verbiage added to the Policy Exceptions section. Deleted outdated references from the Sources section. Deleted CPT code 87999 from the codes table as HCPCS S3890 is the specific code for this test. 02/23/2011: Policy reviewed; no changes 01/17/2012: Policy reviewed; no changes 03/13/2013...
87999
HC UNLISTED MICROBIOLOGY PROCEDURE
HCPCS
FEP verbiage added to the Policy Exceptions section. Deleted outdated references from the Sources section. Deleted CPT code 87999 from the codes table as HCPCS S3890 is the specific code for this test. 02/23/2011: Policy reviewed; no changes 01/17/2012: Policy reviewed; no changes 03/13/2013: Policy reviewed; no change...
G0464
Colorec ca scr, sto bas dna
HCPCS
FEP verbiage added to the Policy Exceptions section. Deleted outdated references from the Sources section. Deleted CPT code 87999 from the codes table as HCPCS S3890 is the specific code for this test. 02/23/2011: Policy reviewed; no changes 01/17/2012: Policy reviewed; no changes 03/13/2013: Policy reviewed; no change...
87999
HC UNLISTED MICROBIOLOGY PROCEDURE
HCPCS
Deleted outdated references from the Sources section. Deleted CPT code 87999 from the codes table as HCPCS S3890 is the specific code for this test. 02/23/2011: Policy reviewed; no changes 01/17/2012: Policy reviewed; no changes 03/13/2013: Policy reviewed; no changes 03/07/2014: Policy reviewed; no changes 12/31/2014:...
G0464
Colorec ca scr, sto bas dna
HCPCS
Deleted outdated references from the Sources section. Deleted CPT code 87999 from the codes table as HCPCS S3890 is the specific code for this test. 02/23/2011: Policy reviewed; no changes 01/17/2012: Policy reviewed; no changes 03/13/2013: Policy reviewed; no changes 03/07/2014: Policy reviewed; no changes 12/31/2014:...
87999
HC UNLISTED MICROBIOLOGY PROCEDURE
HCPCS
Deleted CPT code 87999 from the codes table as HCPCS S3890 is the specific code for this test. 02/23/2011: Policy reviewed; no changes 01/17/2012: Policy reviewed; no changes 03/13/2013: Policy reviewed; no changes 03/07/2014: Policy reviewed; no changes 12/31/2014: Added the following new 2015 HCPCS code to the Code R...
G0464
Colorec ca scr, sto bas dna
HCPCS
Deleted CPT code 87999 from the codes table as HCPCS S3890 is the specific code for this test. 02/23/2011: Policy reviewed; no changes 01/17/2012: Policy reviewed; no changes 03/13/2013: Policy reviewed; no changes 03/07/2014: Policy reviewed; no changes 12/31/2014: Added the following new 2015 HCPCS code to the Code R...
S8035
MAGNETIC SOURCE IMAGING
HCPCS
HCPCS code S8035 was previously added to codes table. FEP verbiage added to the Policy Exceptions section. Deleted outdated references from the Sources section. 04/20/2011: Policy reviewed; no changes. 11/30/2012: Policy statement revised to state that magnetoencephalography/magnetic source imaging as part of the preop...
G0358
IV PUSH TECHNIQUE EACH ADD SUBSTANCE/DRUG
HCPCS
The following statement was added: "High-dose chemotherapy with allogeneic stem cell support is considered medically necessary for patients with T-cell disease." Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered ta...
G0360
Each additional hr 1-8 hrs
HCPCS
The following statement was added: "High-dose chemotherapy with allogeneic stem cell support is considered medically necessary for patients with T-cell disease." Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered ta...
G0363
IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL SYS
HCPCS
The following statement was added: "High-dose chemotherapy with allogeneic stem cell support is considered medically necessary for patients with T-cell disease." Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered ta...
J9000
INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG
HCPCS
The following statement was added: "High-dose chemotherapy with allogeneic stem cell support is considered medically necessary for patients with T-cell disease." Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered ta...
G0364
HC BONE MARROW ASPIRATE & BIOPSY
HCPCS
The following statement was added: "High-dose chemotherapy with allogeneic stem cell support is considered medically necessary for patients with T-cell disease." Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered ta...
G0362
Each add sequential infusion
HCPCS
The following statement was added: "High-dose chemotherapy with allogeneic stem cell support is considered medically necessary for patients with T-cell disease." Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered ta...
J9999
Not otherwise classified, antineoplastic drugs
HCPCS
The following statement was added: "High-dose chemotherapy with allogeneic stem cell support is considered medically necessary for patients with T-cell disease." Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered ta...
G0359
Chemotherapy IV one hr initi
HCPCS
The following statement was added: "High-dose chemotherapy with allogeneic stem cell support is considered medically necessary for patients with T-cell disease." Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered ta...
38230
PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC
HCPCS
The following statement was added: "High-dose chemotherapy with allogeneic stem cell support is considered medically necessary for patients with T-cell disease." Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered ta...
G0361
Prolong chemo infuse>8hrs pu
HCPCS
The following statement was added: "High-dose chemotherapy with allogeneic stem cell support is considered medically necessary for patients with T-cell disease." Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered ta...
G0357
IV PUSH TECHNIQUE SINGLE/INIT SUBSTANCE/DRUG
HCPCS
The following statement was added: "High-dose chemotherapy with allogeneic stem cell support is considered medically necessary for patients with T-cell disease." Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered ta...
G0356
HORMONAL ANTINEOPLASTIC
HCPCS
The following statement was added: "High-dose chemotherapy with allogeneic stem cell support is considered medically necessary for patients with T-cell disease." Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered ta...
G0355
CHEMO ADMN SUBQ/IM NONHORMONAL ANTINEOPLASTIC
HCPCS
The following statement was added: "High-dose chemotherapy with allogeneic stem cell support is considered medically necessary for patients with T-cell disease." Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered ta...
G0358
IV PUSH TECHNIQUE EACH ADD SUBSTANCE/DRUG
HCPCS
Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 d...
G0360
Each additional hr 1-8 hrs
HCPCS
Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 d...
G0363
IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL SYS
HCPCS
Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 d...
J9000
INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG
HCPCS
Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 d...
G0364
HC BONE MARROW ASPIRATE & BIOPSY
HCPCS
Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 d...
G0362
Each add sequential infusion
HCPCS
Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 d...
J9999
Not otherwise classified, antineoplastic drugs
HCPCS
Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 d...
G0359
Chemotherapy IV one hr initi
HCPCS
Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 d...
38230
PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC
HCPCS
Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 d...
G0361
Prolong chemo infuse>8hrs pu
HCPCS
Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 d...
G0357
IV PUSH TECHNIQUE SINGLE/INIT SUBSTANCE/DRUG
HCPCS
Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 d...
G0356
HORMONAL ANTINEOPLASTIC
HCPCS
Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 d...
G0355
CHEMO ADMN SUBQ/IM NONHORMONAL ANTINEOPLASTIC
HCPCS
Code Reference section updated; Non-Covered table was split into two tables -- Covered and Non-Covered. 10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 d...
G0358
IV PUSH TECHNIQUE EACH ADD SUBSTANCE/DRUG
HCPCS
10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 deleted; Non-Covered table -- ICD-9 Procedure codes 41.01, 41.09 3/22/2006: Coding policy updated. CPT4/H...
G0360
Each additional hr 1-8 hrs
HCPCS
10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 deleted; Non-Covered table -- ICD-9 Procedure codes 41.01, 41.09 3/22/2006: Coding policy updated. CPT4/H...
G0363
IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL SYS
HCPCS
10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 deleted; Non-Covered table -- ICD-9 Procedure codes 41.01, 41.09 3/22/2006: Coding policy updated. CPT4/H...
J9000
INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG
HCPCS
10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 deleted; Non-Covered table -- ICD-9 Procedure codes 41.01, 41.09 3/22/2006: Coding policy updated. CPT4/H...
G0364
HC BONE MARROW ASPIRATE & BIOPSY
HCPCS
10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 deleted; Non-Covered table -- ICD-9 Procedure codes 41.01, 41.09 3/22/2006: Coding policy updated. CPT4/H...
G0362
Each add sequential infusion
HCPCS
10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 deleted; Non-Covered table -- ICD-9 Procedure codes 41.01, 41.09 3/22/2006: Coding policy updated. CPT4/H...
J9999
Not otherwise classified, antineoplastic drugs
HCPCS
10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 deleted; Non-Covered table -- ICD-9 Procedure codes 41.01, 41.09 3/22/2006: Coding policy updated. CPT4/H...
G0359
Chemotherapy IV one hr initi
HCPCS
10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 deleted; Non-Covered table -- ICD-9 Procedure codes 41.01, 41.09 3/22/2006: Coding policy updated. CPT4/H...
38230
PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC
HCPCS
10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 deleted; Non-Covered table -- ICD-9 Procedure codes 41.01, 41.09 3/22/2006: Coding policy updated. CPT4/H...
G0361
Prolong chemo infuse>8hrs pu
HCPCS
10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 deleted; Non-Covered table -- ICD-9 Procedure codes 41.01, 41.09 3/22/2006: Coding policy updated. CPT4/H...
G0357
IV PUSH TECHNIQUE SINGLE/INIT SUBSTANCE/DRUG
HCPCS
10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 deleted; Non-Covered table -- ICD-9 Procedure codes 41.01, 41.09 3/22/2006: Coding policy updated. CPT4/H...
G0356
HORMONAL ANTINEOPLASTIC
HCPCS
10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 deleted; Non-Covered table -- ICD-9 Procedure codes 41.01, 41.09 3/22/2006: Coding policy updated. CPT4/H...
G0355
CHEMO ADMN SUBQ/IM NONHORMONAL ANTINEOPLASTIC
HCPCS
10/27/2005: Code Reference section updated: Covered table -- CPT-4 code 38230 added; ICD-9 Procedure codes 41.02, 41.03, HCPCS G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added, J9000-J9999 deleted; Non-Covered table -- ICD-9 Procedure codes 41.01, 41.09 3/22/2006: Coding policy updated. CPT4/H...
86826
Hla x-match noncytotoxc addl
HCPCS
Added new CPT codes 86825 and 86826. Also added HCPCS S2140 and S2142 to the covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 04/19/2011: Policy reviewed; no changes. 03/02/2012: Policy reviewed; no changes.
G0267
Bone marrow or psc harvest
CPT
Added new CPT codes 86825 and 86826. Also added HCPCS S2140 and S2142 to the covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 04/19/2011: Policy reviewed; no changes. 03/02/2012: Policy reviewed; no changes.
S2140
Cord blood harvesting for transplantation, allogeneic
HCPCS
Added new CPT codes 86825 and 86826. Also added HCPCS S2140 and S2142 to the covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 04/19/2011: Policy reviewed; no changes. 03/02/2012: Policy reviewed; no changes.
G0265
Cryopresevation Freeze+stora
CPT
Added new CPT codes 86825 and 86826. Also added HCPCS S2140 and S2142 to the covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 04/19/2011: Policy reviewed; no changes. 03/02/2012: Policy reviewed; no changes.
G0266
Thawing + expansion froz cel
CPT
Added new CPT codes 86825 and 86826. Also added HCPCS S2140 and S2142 to the covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 04/19/2011: Policy reviewed; no changes. 03/02/2012: Policy reviewed; no changes.
86825
X-MATCHAHG
HCPCS
Added new CPT codes 86825 and 86826. Also added HCPCS S2140 and S2142 to the covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 04/19/2011: Policy reviewed; no changes. 03/02/2012: Policy reviewed; no changes.
S2142
Cord blood-derived stem-cell transplantation, allogeneic
HCPCS
Added new CPT codes 86825 and 86826. Also added HCPCS S2140 and S2142 to the covered table. Deleted HCPCS G0265, G0266, and G0267 from the code section as these codes were deleted on 12/31/2007. 04/19/2011: Policy reviewed; no changes. 03/02/2012: Policy reviewed; no changes.
38241
Transplt autol hct/donor
HCPCS
Policy statements unchanged. Policy guidelines updated. 08/26/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. Blue Cross Blue Shield Association pol...
G0363
IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL SYS
HCPCS
Policy statements unchanged. Policy guidelines updated. 08/26/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. Blue Cross Blue Shield Association pol...
38240
Transplt allo hct/donor
HCPCS
Policy statements unchanged. Policy guidelines updated. 08/26/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. Blue Cross Blue Shield Association pol...
38242
Transplt allo lymphocytes
HCPCS
Policy statements unchanged. Policy guidelines updated. 08/26/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. Blue Cross Blue Shield Association pol...
96445
Chemotherapy, intracavitary
HCPCS
Policy statements unchanged. Policy guidelines updated. 08/26/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. Blue Cross Blue Shield Association pol...
96446
PR CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH
HCPCS
Policy statements unchanged. Policy guidelines updated. 08/26/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. Blue Cross Blue Shield Association pol...
38241
Transplt autol hct/donor
HCPCS
Policy guidelines updated. 08/26/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. Blue Cross Blue Shield Association policy # 8.01.15 This may not be...
G0363
IRRIG IMPLANTED VENOUS ACESS DEVICE DRUG DEL SYS
HCPCS
Policy guidelines updated. 08/26/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. Blue Cross Blue Shield Association policy # 8.01.15 This may not be...
38240
Transplt allo hct/donor
HCPCS
Policy guidelines updated. 08/26/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. Blue Cross Blue Shield Association policy # 8.01.15 This may not be...
38242
Transplt allo lymphocytes
HCPCS
Policy guidelines updated. 08/26/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. Blue Cross Blue Shield Association policy # 8.01.15 This may not be...
96445
Chemotherapy, intracavitary
HCPCS
Policy guidelines updated. 08/26/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. Blue Cross Blue Shield Association policy # 8.01.15 This may not be...
96446
PR CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH
HCPCS
Policy guidelines updated. 08/26/2015: Code Reference section updated to add ICD-10 codes, updated the code descriptions for 38240, 38241, and 38242; removed deleted HCPCS code G0363, and removed deleted code CPT 96445 and replaced with CPT code 96446. Blue Cross Blue Shield Association policy # 8.01.15 This may not be...
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.
Q3014
TELEH ORG SITE FAC FEE Injectable Drugs Not on Fee Schedule
HCPCS
Under Medicare billing rules, for example, the consulting practitioner can bill for the level of service provided, but cannot bill for a similar in-person visit for the same service on the same day. "Claims for professional consultations, office visits, individual psychotherapy and pharmacologic management provided via...