code stringlengths 4 12 | description stringlengths 2 264 | codetype stringclasses 8
values | context stringlengths 160 15.5k |
|---|---|---|---|
G6016 | PR DELIVERY COMP IMRT | HCPCS | 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. SOURCE(S)Blue Cross Blue Shield Association Policy # 8.01.46
CODE REFERENCET... |
G6015 | Radiation tx delivery imrt | HCPCS | Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. SOURCE(S)Blue Cross Blue Shield Association Policy # 8.01.46
CODE REFERENCEThis may not be a comprehensive list of procedure codes applicable to this policy. The code(s) liste... |
G6016 | PR DELIVERY COMP IMRT | HCPCS | Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. SOURCE(S)Blue Cross Blue Shield Association Policy # 8.01.46
CODE REFERENCEThis may not be a comprehensive list of procedure codes applicable to this policy. The code(s) liste... |
93784 | PR AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R | HCPCS | ABPM is also used for monitoring patients with established hypertension under treatment, evaluating refractory or resistant BP, checking whether symptoms such as lightheadedness correspond with blood pressure changes and also for examining diurnal patterns of BP. However, ABPM is indicated for diagnostic purposes only ... |
93786 | PR AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY | HCPCS | ABPM is also used for monitoring patients with established hypertension under treatment, evaluating refractory or resistant BP, checking whether symptoms such as lightheadedness correspond with blood pressure changes and also for examining diurnal patterns of BP. However, ABPM is indicated for diagnostic purposes only ... |
93788 | PR AMBULATORY BP MNTR W/SW 24 HR+ SCANNING A/R | HCPCS | ABPM is also used for monitoring patients with established hypertension under treatment, evaluating refractory or resistant BP, checking whether symptoms such as lightheadedness correspond with blood pressure changes and also for examining diurnal patterns of BP. However, ABPM is indicated for diagnostic purposes only ... |
93790 | PR AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R | HCPCS | ABPM is also used for monitoring patients with established hypertension under treatment, evaluating refractory or resistant BP, checking whether symptoms such as lightheadedness correspond with blood pressure changes and also for examining diurnal patterns of BP. However, ABPM is indicated for diagnostic purposes only ... |
93784 | PR AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R | HCPCS | However, ABPM is indicated for diagnostic purposes only and should not be used for maintenance monitoring. Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood... |
93786 | PR AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY | HCPCS | However, ABPM is indicated for diagnostic purposes only and should not be used for maintenance monitoring. Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood... |
93788 | PR AMBULATORY BP MNTR W/SW 24 HR+ SCANNING A/R | HCPCS | However, ABPM is indicated for diagnostic purposes only and should not be used for maintenance monitoring. Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood... |
93790 | PR AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R | HCPCS | However, ABPM is indicated for diagnostic purposes only and should not be used for maintenance monitoring. Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood... |
93788 | PR AMBULATORY BP MNTR W/SW 24 HR+ SCANNING A/R | HCPCS | Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring:
- 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic ta... |
93784 | PR AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R | HCPCS | Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring:
- 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic ta... |
93786 | PR AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY | HCPCS | Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring:
- 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic ta... |
A4670 | Automatic bp monitor, dial | HCPCS | Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring:
- 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic ta... |
93790 | PR AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R | HCPCS | Though ABPM does not require authorization or prior authorization, it is critical to use the right CPT, ICD-10 and HCPCS codes. There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring:
- 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic ta... |
93788 | PR AMBULATORY BP MNTR W/SW 24 HR+ SCANNING A/R | HCPCS | There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring:
- 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report
- 93786: Ambu... |
93784 | PR AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R | HCPCS | There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring:
- 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report
- 93786: Ambu... |
93786 | PR AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY | HCPCS | There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring:
- 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report
- 93786: Ambu... |
A4670 | Automatic bp monitor, dial | HCPCS | There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring:
- 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report
- 93786: Ambu... |
93790 | PR AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R | HCPCS | There are four current procedural terminology (CPT) codes related to ambulatory blood pressure monitoring:
- 93784: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report
- 93786: Ambu... |
93784 | PR AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R | HCPCS | It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspec... |
93786 | PR AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY | HCPCS | It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspec... |
A4670 | Automatic bp monitor, dial | HCPCS | It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspec... |
93790 | PR AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R | HCPCS | It is recommended to use code 93784 when you provide both the technical and professional components. The code 93786 can be used when you provide the technical component only and use the code 93790, when providing the professional component only. Applicable Common Procedure Coding System (HCPCS) code for ABPM for suspec... |
G6015 | Radiation tx delivery imrt | HCPCS | Added policy statement: IMRT is considered investigational for the treatment of prostate cancer when the above criteria are not met. Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2... |
77386 | HC IMRT COMPLEX | HCPCS | Added policy statement: IMRT is considered investigational for the treatment of prostate cancer when the above criteria are not met. Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2... |
77385 | HC IMRT SIMPLE | HCPCS | Added policy statement: IMRT is considered investigational for the treatment of prostate cancer when the above criteria are not met. Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2... |
G6016 | PR DELIVERY COMP IMRT | HCPCS | Added policy statement: IMRT is considered investigational for the treatment of prostate cancer when the above criteria are not met. Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2... |
G6015 | Radiation tx delivery imrt | HCPCS | Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: P... |
77386 | HC IMRT COMPLEX | HCPCS | Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: P... |
77385 | HC IMRT SIMPLE | HCPCS | Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: P... |
G6016 | PR DELIVERY COMP IMRT | HCPCS | Policy guidelines updated regarding localized prostate cancer. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: P... |
G6015 | Radiation tx delivery imrt | HCPCS | 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: Policy description updated regarding IMRT systems. Policy statem... |
77386 | HC IMRT COMPLEX | HCPCS | 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: Policy description updated regarding IMRT systems. Policy statem... |
77385 | HC IMRT SIMPLE | HCPCS | 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: Policy description updated regarding IMRT systems. Policy statem... |
G6016 | PR DELIVERY COMP IMRT | HCPCS | 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: Policy description updated regarding IMRT systems. Policy statem... |
G6015 | Radiation tx delivery imrt | HCPCS | Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: Policy description updated regarding IMRT systems. Policy statements unchanged. Policy Guidelines section updated to add medically necessary and investigative defi... |
G6016 | PR DELIVERY COMP IMRT | HCPCS | Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: Policy description updated regarding IMRT systems. Policy statements unchanged. Policy Guidelines section updated to add medically necessary and investigative defi... |
1999 | ANESTHESIOLOGY GROUP | CPT | - Ophthalmic Technology Assessment Committee Cornea Panel American Academy of Ophthalmology. Corneal topography. Ophthalmology 1999; 106(8-Jan):1628-38. |CPT||92025||Computerized corneal topography, unilateral or bilateral, with interpretation and report|
|92002–92014||General ophthalmological services|
|ICD-9 Procedur... |
1999 | ANESTHESIOLOGY GROUP | CPT | Corneal topography. Ophthalmology 1999; 106(8-Jan):1628-38. |CPT||92025||Computerized corneal topography, unilateral or bilateral, with interpretation and report|
|92002–92014||General ophthalmological services|
|ICD-9 Procedure||95.02||Comprehensive eye examination|
|95.09||Eye examination, not otherwise specified|
|I... |
1999 | ANESTHESIOLOGY GROUP | CPT | Ophthalmology 1999; 106(8-Jan):1628-38. |CPT||92025||Computerized corneal topography, unilateral or bilateral, with interpretation and report|
|92002–92014||General ophthalmological services|
|ICD-9 Procedure||95.02||Comprehensive eye examination|
|95.09||Eye examination, not otherwise specified|
|ICD-9 Diagnosis||Not ... |
53899 | HC UNLISTED PROCEDURE, URINARY SYSTEM | HCPCS | Revisions approved per Medical Policy Advisory Committee (MPAC)
6/21/2006.Coding reference section updated, 76940 added to covered table, 50549, 50592, 53899, 55.39 moved to non-covered table. 85.20 added to non-covered table. 189.0 deleted. 9/22/2006: Coding updated. ICD9 2006 revisions added to policy
1/3/2007: Code ... |
50592 | PR ABLTJ 1/> RENAL TUMOR PRQ UNI RADIOFREQUENCY | HCPCS | Revisions approved per Medical Policy Advisory Committee (MPAC)
6/21/2006.Coding reference section updated, 76940 added to covered table, 50549, 50592, 53899, 55.39 moved to non-covered table. 85.20 added to non-covered table. 189.0 deleted. 9/22/2006: Coding updated. ICD9 2006 revisions added to policy
1/3/2007: Code ... |
50549 | Unlisted laps px renal | HCPCS | Revisions approved per Medical Policy Advisory Committee (MPAC)
6/21/2006.Coding reference section updated, 76940 added to covered table, 50549, 50592, 53899, 55.39 moved to non-covered table. 85.20 added to non-covered table. 189.0 deleted. 9/22/2006: Coding updated. ICD9 2006 revisions added to policy
1/3/2007: Code ... |
76940 | HC ULTRASOUND GUIDANCE FOR, AND MONITORING OF, PARENCHYMAL TISSU | HCPCS | Revisions approved per Medical Policy Advisory Committee (MPAC)
6/21/2006.Coding reference section updated, 76940 added to covered table, 50549, 50592, 53899, 55.39 moved to non-covered table. 85.20 added to non-covered table. 189.0 deleted. 9/22/2006: Coding updated. ICD9 2006 revisions added to policy
1/3/2007: Code ... |
1999 | ANESTHESIOLOGY GROUP | CPT | POLICY GUIDELINESInvestigative 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 conditio... |
S2120 | Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation | HCPCS | POLICY GUIDELINESInvestigative 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 conditio... |
36511 | PR THERAPEUTIC APHERESIS WHITE BLOOD CELLS | HCPCS | POLICY GUIDELINESInvestigative 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 conditio... |
36513 | PR THERAPEUTIC APHERESIS PLATELETS | HCPCS | POLICY GUIDELINESInvestigative 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 conditio... |
36512 | PR THERAPEUTIC APHERESIS RED BLOOD CELLS | HCPCS | POLICY GUIDELINESInvestigative 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 conditio... |
36521 | USE 36516 | HCPCS | POLICY GUIDELINESInvestigative 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 conditio... |
36520 | SEE 36511-36512 | HCPCS | POLICY GUIDELINESInvestigative 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 conditio... |
1999 | ANESTHESIOLOGY GROUP | CPT | The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/19... |
S2120 | Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation | HCPCS | The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/19... |
36511 | PR THERAPEUTIC APHERESIS WHITE BLOOD CELLS | HCPCS | The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/19... |
36513 | PR THERAPEUTIC APHERESIS PLATELETS | HCPCS | The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/19... |
36512 | PR THERAPEUTIC APHERESIS RED BLOOD CELLS | HCPCS | The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/19... |
36521 | USE 36516 | HCPCS | The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/19... |
36520 | SEE 36511-36512 | HCPCS | The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/19... |
1999 | ANESTHESIOLOGY GROUP | CPT | POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/1999: MPAC reviewed policies; updated, combined and renamed
12/1999: Interim revision; new FDA-approved indication added for some stages of... |
S2120 | Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation | HCPCS | POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/1999: MPAC reviewed policies; updated, combined and renamed
12/1999: Interim revision; new FDA-approved indication added for some stages of... |
36511 | PR THERAPEUTIC APHERESIS WHITE BLOOD CELLS | HCPCS | POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/1999: MPAC reviewed policies; updated, combined and renamed
12/1999: Interim revision; new FDA-approved indication added for some stages of... |
36513 | PR THERAPEUTIC APHERESIS PLATELETS | HCPCS | POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/1999: MPAC reviewed policies; updated, combined and renamed
12/1999: Interim revision; new FDA-approved indication added for some stages of... |
36512 | PR THERAPEUTIC APHERESIS RED BLOOD CELLS | HCPCS | POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/1999: MPAC reviewed policies; updated, combined and renamed
12/1999: Interim revision; new FDA-approved indication added for some stages of... |
36521 | USE 36516 | HCPCS | POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/1999: MPAC reviewed policies; updated, combined and renamed
12/1999: Interim revision; new FDA-approved indication added for some stages of... |
36520 | SEE 36511-36512 | HCPCS | POLICY HISTORY6/1993: Therapeutic Apheresis approved by Medical Policy Advisory Committee (MPAC)
11/1993: Extracorporeal Immunoadsorption Using Protein A Columns approved by MPAC
5/1999: MPAC reviewed policies; updated, combined and renamed
12/1999: Interim revision; new FDA-approved indication added for some stages of... |
36522 | PR PHOTOPHERESIS EXTRACORPOREAL | HCPCS | IgA or IgG paraproteinemia polyneuropathy added as a medically necessary indication. Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 7... |
S2120 | Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation | HCPCS | IgA or IgG paraproteinemia polyneuropathy added as a medically necessary indication. Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 7... |
86960 | HC VOL REDUC BLD/PRD EA UN | HCPCS | IgA or IgG paraproteinemia polyneuropathy added as a medically necessary indication. Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 7... |
36516 | PR THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION | HCPCS | IgA or IgG paraproteinemia polyneuropathy added as a medically necessary indication. Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 7... |
36515 | Apheresis adsorp/reinfuse | HCPCS | IgA or IgG paraproteinemia polyneuropathy added as a medically necessary indication. Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 7... |
36522 | PR PHOTOPHERESIS EXTRACORPOREAL | HCPCS | Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 714.0-714.9 removed; HCPCS S2120 removed. ICD-9 diagnosis codes 203.00, 203.01, 341.0,... |
S2120 | Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation | HCPCS | Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 714.0-714.9 removed; HCPCS S2120 removed. ICD-9 diagnosis codes 203.00, 203.01, 341.0,... |
86960 | HC VOL REDUC BLD/PRD EA UN | HCPCS | Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 714.0-714.9 removed; HCPCS S2120 removed. ICD-9 diagnosis codes 203.00, 203.01, 341.0,... |
36516 | PR THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION | HCPCS | Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 714.0-714.9 removed; HCPCS S2120 removed. ICD-9 diagnosis codes 203.00, 203.01, 341.0,... |
36515 | Apheresis adsorp/reinfuse | HCPCS | Inclusion body myositis and asthma added as investigational. Code reference section reviewed; CPT codes 36515, 36516, 36522, 86960 removed; ICD-9 procedure codes 99.76, 99.88 removed; ICD-9 diagnosis codes 202.20-202.28, 272.0-272.2, 714.0-714.9 removed; HCPCS S2120 removed. ICD-9 diagnosis codes 203.00, 203.01, 341.0,... |
E0472 | Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
A7035 | Pos airway press headgear | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
A7038 | Pos airway pressure filter | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
A7032 | Replacement nasal cushion | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
A7028 | Repl oral cushion combo mask | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
A7045 | Repl exhalation port for PAP | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
A7044 | PAP oral interface | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
A4604 | Tubing with integrated heating element for use with positive airway pressure device | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
E1399 | ITEM 6664 | CPT | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
A7029 | Repl nasal pillow comb mask | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
E0562 | Humidifier heated used w PAP | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
E0601 | Continuous positive airway pressure (cpap) device | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
E0471 | Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
A7031 | Replacement facemask interfa | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
A7039 | Filter, non disposable w pap | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
A7037 | Tubing used with positive airway pressure device | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
A7033 | Replacement nasal pillows | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
A7027 | Combination oral/nasal mask, used with continuous positive airway pressure device, each | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
E0561 | Humidifier nonheated w PAP | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | HCPCS | Insurance policies vary. Be sure to check with your specific provider before making any purchases. Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Ye... |
E0472 | Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre | HCPCS | Below is a list of the HCPCS Codes and medicare guidelines for replacement schedule:
HCPCS Code Product Replacement Schedule E0601 CPAP/APAP machine 1 per 5 Years E0470 BiPAP machine without backup rate feature 1 per 5 Years E0471 BiPAP-ST machine with backup rate feature 1 per 5 Years E0472 Respiratory assist device, ... |
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