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train · 15.7k rows

code stringlengths 4 12	description stringlengths 2 264	codetype stringclasses 8 values	context stringlengths 160 15.5k
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 and Place of Service deleted 6/12/2002: ICD-9 procedure codes 99.82 and 99.83 added 2/19/2003: Description of E0202 and E0690 updated to be consistent with AMA 3/11/2003: Code Reference section updated 6/27/2003: HCPCS A4633, A4634 deleted, replacement included in rental 12/6/2004: Code Reference section updated, CPT 97028 added, ICD-9 diagnosis code 202.1 5th digit added and description revised, ICD-9 diagnosis 696.8, 698.9 added, HCPCS A4633, S9098 added, HCPCS A4639, E0690 deleted, HCPCS E0691, E0692, E0693, E0694 effective date added 10/24/2006: Policy reviewed, seasonal affective disorder changed from investigational to medically necessary. 10/30/2006: Code reference section updated. ICD-9 diagnosis code 296.99 added to table. 03/16/2011: The policy statement regarding home ultraviolet light was revised to remove the requirement for a documented response to UVL. It was changed to state the following: Home ultraviolet light is a covered service when provided to patients who have chronic or recalcitrant disease requiring long term maintenance exceeding four (4) months.
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 and Place of Service deleted 6/12/2002: ICD-9 procedure codes 99.82 and 99.83 added 2/19/2003: Description of E0202 and E0690 updated to be consistent with AMA 3/11/2003: Code Reference section updated 6/27/2003: HCPCS A4633, A4634 deleted, replacement included in rental 12/6/2004: Code Reference section updated, CPT 97028 added, ICD-9 diagnosis code 202.1 5th digit added and description revised, ICD-9 diagnosis 696.8, 698.9 added, HCPCS A4633, S9098 added, HCPCS A4639, E0690 deleted, HCPCS E0691, E0692, E0693, E0694 effective date added 10/24/2006: Policy reviewed, seasonal affective disorder changed from investigational to medically necessary. 10/30/2006: Code reference section updated. ICD-9 diagnosis code 296.99 added to table. 03/16/2011: The policy statement regarding home ultraviolet light was revised to remove the requirement for a documented response to UVL. It was changed to state the following: Home ultraviolet light is a covered service when provided to patients who have chronic or recalcitrant disease requiring long term maintenance exceeding four (4) months.
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 and Place of Service deleted 6/12/2002: ICD-9 procedure codes 99.82 and 99.83 added 2/19/2003: Description of E0202 and E0690 updated to be consistent with AMA 3/11/2003: Code Reference section updated 6/27/2003: HCPCS A4633, A4634 deleted, replacement included in rental 12/6/2004: Code Reference section updated, CPT 97028 added, ICD-9 diagnosis code 202.1 5th digit added and description revised, ICD-9 diagnosis 696.8, 698.9 added, HCPCS A4633, S9098 added, HCPCS A4639, E0690 deleted, HCPCS E0691, E0692, E0693, E0694 effective date added 10/24/2006: Policy reviewed, seasonal affective disorder changed from investigational to medically necessary. 10/30/2006: Code reference section updated. ICD-9 diagnosis code 296.99 added to table. 03/16/2011: The policy statement regarding home ultraviolet light was revised to remove the requirement for a documented response to UVL. It was changed to state the following: Home ultraviolet light is a covered service when provided to patients who have chronic or recalcitrant disease requiring long term maintenance exceeding four (4) months.
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 and Place of Service deleted 6/12/2002: ICD-9 procedure codes 99.82 and 99.83 added 2/19/2003: Description of E0202 and E0690 updated to be consistent with AMA 3/11/2003: Code Reference section updated 6/27/2003: HCPCS A4633, A4634 deleted, replacement included in rental 12/6/2004: Code Reference section updated, CPT 97028 added, ICD-9 diagnosis code 202.1 5th digit added and description revised, ICD-9 diagnosis 696.8, 698.9 added, HCPCS A4633, S9098 added, HCPCS A4639, E0690 deleted, HCPCS E0691, E0692, E0693, E0694 effective date added 10/24/2006: Policy reviewed, seasonal affective disorder changed from investigational to medically necessary. 10/30/2006: Code reference section updated. ICD-9 diagnosis code 296.99 added to table. 03/16/2011: The policy statement regarding home ultraviolet light was revised to remove the requirement for a documented response to UVL. It was changed to state the following: Home ultraviolet light is a covered service when provided to patients who have chronic or recalcitrant disease requiring long term maintenance exceeding four (4) months.
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 and Place of Service deleted 6/12/2002: ICD-9 procedure codes 99.82 and 99.83 added 2/19/2003: Description of E0202 and E0690 updated to be consistent with AMA 3/11/2003: Code Reference section updated 6/27/2003: HCPCS A4633, A4634 deleted, replacement included in rental 12/6/2004: Code Reference section updated, CPT 97028 added, ICD-9 diagnosis code 202.1 5th digit added and description revised, ICD-9 diagnosis 696.8, 698.9 added, HCPCS A4633, S9098 added, HCPCS A4639, E0690 deleted, HCPCS E0691, E0692, E0693, E0694 effective date added 10/24/2006: Policy reviewed, seasonal affective disorder changed from investigational to medically necessary. 10/30/2006: Code reference section updated. ICD-9 diagnosis code 296.99 added to table. 03/16/2011: The policy statement regarding home ultraviolet light was revised to remove the requirement for a documented response to UVL. It was changed to state the following: Home ultraviolet light is a covered service when provided to patients who have chronic or recalcitrant disease requiring long term maintenance exceeding four (4) months.
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 and Place of Service deleted 6/12/2002: ICD-9 procedure codes 99.82 and 99.83 added 2/19/2003: Description of E0202 and E0690 updated to be consistent with AMA 3/11/2003: Code Reference section updated 6/27/2003: HCPCS A4633, A4634 deleted, replacement included in rental 12/6/2004: Code Reference section updated, CPT 97028 added, ICD-9 diagnosis code 202.1 5th digit added and description revised, ICD-9 diagnosis 696.8, 698.9 added, HCPCS A4633, S9098 added, HCPCS A4639, E0690 deleted, HCPCS E0691, E0692, E0693, E0694 effective date added 10/24/2006: Policy reviewed, seasonal affective disorder changed from investigational to medically necessary. 10/30/2006: Code reference section updated. ICD-9 diagnosis code 296.99 added to table. 03/16/2011: The policy statement regarding home ultraviolet light was revised to remove the requirement for a documented response to UVL. It was changed to state the following: Home ultraviolet light is a covered service when provided to patients who have chronic or recalcitrant disease requiring long term maintenance exceeding four (4) months.
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 and Place of Service deleted 6/12/2002: ICD-9 procedure codes 99.82 and 99.83 added 2/19/2003: Description of E0202 and E0690 updated to be consistent with AMA 3/11/2003: Code Reference section updated 6/27/2003: HCPCS A4633, A4634 deleted, replacement included in rental 12/6/2004: Code Reference section updated, CPT 97028 added, ICD-9 diagnosis code 202.1 5th digit added and description revised, ICD-9 diagnosis 696.8, 698.9 added, HCPCS A4633, S9098 added, HCPCS A4639, E0690 deleted, HCPCS E0691, E0692, E0693, E0694 effective date added 10/24/2006: Policy reviewed, seasonal affective disorder changed from investigational to medically necessary. 10/30/2006: Code reference section updated. ICD-9 diagnosis code 296.99 added to table. 03/16/2011: The policy statement regarding home ultraviolet light was revised to remove the requirement for a documented response to UVL. It was changed to state the following: Home ultraviolet light is a covered service when provided to patients who have chronic or recalcitrant disease requiring long term maintenance exceeding four (4) months.
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 and Place of Service deleted 6/12/2002: ICD-9 procedure codes 99.82 and 99.83 added 2/19/2003: Description of E0202 and E0690 updated to be consistent with AMA 3/11/2003: Code Reference section updated 6/27/2003: HCPCS A4633, A4634 deleted, replacement included in rental 12/6/2004: Code Reference section updated, CPT 97028 added, ICD-9 diagnosis code 202.1 5th digit added and description revised, ICD-9 diagnosis 696.8, 698.9 added, HCPCS A4633, S9098 added, HCPCS A4639, E0690 deleted, HCPCS E0691, E0692, E0693, E0694 effective date added 10/24/2006: Policy reviewed, seasonal affective disorder changed from investigational to medically necessary. 10/30/2006: Code reference section updated. ICD-9 diagnosis code 296.99 added to table. 03/16/2011: The policy statement regarding home ultraviolet light was revised to remove the requirement for a documented response to UVL. It was changed to state the following: Home ultraviolet light is a covered service when provided to patients who have chronic or recalcitrant disease requiring long term maintenance exceeding four (4) months.
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 and Place of Service deleted 6/12/2002: ICD-9 procedure codes 99.82 and 99.83 added 2/19/2003: Description of E0202 and E0690 updated to be consistent with AMA 3/11/2003: Code Reference section updated 6/27/2003: HCPCS A4633, A4634 deleted, replacement included in rental 12/6/2004: Code Reference section updated, CPT 97028 added, ICD-9 diagnosis code 202.1 5th digit added and description revised, ICD-9 diagnosis 696.8, 698.9 added, HCPCS A4633, S9098 added, HCPCS A4639, E0690 deleted, HCPCS E0691, E0692, E0693, E0694 effective date added 10/24/2006: Policy reviewed, seasonal affective disorder changed from investigational to medically necessary. 10/30/2006: Code reference section updated. ICD-9 diagnosis code 296.99 added to table. 03/16/2011: The policy statement regarding home ultraviolet light was revised to remove the requirement for a documented response to UVL. It was changed to state the following: Home ultraviolet light is a covered service when provided to patients who have chronic or recalcitrant disease requiring long term maintenance exceeding four (4) months.
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 and Place of Service deleted 6/12/2002: ICD-9 procedure codes 99.82 and 99.83 added 2/19/2003: Description of E0202 and E0690 updated to be consistent with AMA 3/11/2003: Code Reference section updated 6/27/2003: HCPCS A4633, A4634 deleted, replacement included in rental 12/6/2004: Code Reference section updated, CPT 97028 added, ICD-9 diagnosis code 202.1 5th digit added and description revised, ICD-9 diagnosis 696.8, 698.9 added, HCPCS A4633, S9098 added, HCPCS A4639, E0690 deleted, HCPCS E0691, E0692, E0693, E0694 effective date added 10/24/2006: Policy reviewed, seasonal affective disorder changed from investigational to medically necessary. 10/30/2006: Code reference section updated. ICD-9 diagnosis code 296.99 added to table. 03/16/2011: The policy statement regarding home ultraviolet light was revised to remove the requirement for a documented response to UVL. It was changed to state the following: Home ultraviolet light is a covered service when provided to patients who have chronic or recalcitrant disease requiring long term maintenance exceeding four (4) months.
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 and Place of Service deleted 6/12/2002: ICD-9 procedure codes 99.82 and 99.83 added 2/19/2003: Description of E0202 and E0690 updated to be consistent with AMA 3/11/2003: Code Reference section updated 6/27/2003: HCPCS A4633, A4634 deleted, replacement included in rental 12/6/2004: Code Reference section updated, CPT 97028 added, ICD-9 diagnosis code 202.1 5th digit added and description revised, ICD-9 diagnosis 696.8, 698.9 added, HCPCS A4633, S9098 added, HCPCS A4639, E0690 deleted, HCPCS E0691, E0692, E0693, E0694 effective date added 10/24/2006: Policy reviewed, seasonal affective disorder changed from investigational to medically necessary. 10/30/2006: Code reference section updated. ICD-9 diagnosis code 296.99 added to table. 03/16/2011: The policy statement regarding home ultraviolet light was revised to remove the requirement for a documented response to UVL. It was changed to state the following: Home ultraviolet light is a covered service when provided to patients who have chronic or recalcitrant disease requiring long term maintenance exceeding four (4) months.
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 and Place of Service deleted 6/12/2002: ICD-9 procedure codes 99.82 and 99.83 added 2/19/2003: Description of E0202 and E0690 updated to be consistent with AMA 3/11/2003: Code Reference section updated 6/27/2003: HCPCS A4633, A4634 deleted, replacement included in rental 12/6/2004: Code Reference section updated, CPT 97028 added, ICD-9 diagnosis code 202.1 5th digit added and description revised, ICD-9 diagnosis 696.8, 698.9 added, HCPCS A4633, S9098 added, HCPCS A4639, E0690 deleted, HCPCS E0691, E0692, E0693, E0694 effective date added 10/24/2006: Policy reviewed, seasonal affective disorder changed from investigational to medically necessary. 10/30/2006: Code reference section updated. ICD-9 diagnosis code 296.99 added to table. 03/16/2011: The policy statement regarding home ultraviolet light was revised to remove the requirement for a documented response to UVL. It was changed to state the following: Home ultraviolet light is a covered service when provided to patients who have chronic or recalcitrant disease requiring long term maintenance exceeding four (4) months.
G0416	SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONS, FOR PROSTATE NEEDLE BIOPSY, ANY METHOD	HCPCS	- 4th digit of “1” defines lower urinary tract symptoms (LUTS), and directs the coder to use an additional code for the associated symptoms, when specified. - R33 is the primary descriptor for retention of urine. - 4th digit of “8” defines the urinary retention as “Other”, and includes an instructional note to code first, if applicable, any causal condition such as: enlarged prostate (N40.1). CPT Codes & Guideline for Coding - HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. - “Medicare has decided to combine reporting of prostate biopsies regardless of number of specimens under revised code G0416.
G0419	Sat biopsy prostate: >60	CPT	- 4th digit of “1” defines lower urinary tract symptoms (LUTS), and directs the coder to use an additional code for the associated symptoms, when specified. - R33 is the primary descriptor for retention of urine. - 4th digit of “8” defines the urinary retention as “Other”, and includes an instructional note to code first, if applicable, any causal condition such as: enlarged prostate (N40.1). CPT Codes & Guideline for Coding - HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. - “Medicare has decided to combine reporting of prostate biopsies regardless of number of specimens under revised code G0416.
88305	Tissue exam by pathologist	HCPCS	- R33 is the primary descriptor for retention of urine. - 4th digit of “8” defines the urinary retention as “Other”, and includes an instructional note to code first, if applicable, any causal condition such as: enlarged prostate (N40.1). CPT Codes & Guideline for Coding - HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. - “Medicare has decided to combine reporting of prostate biopsies regardless of number of specimens under revised code G0416. 88305 should not be used for the analyses of prostate biopsies for Medicare patients with dates of service on or after Jan. 1, 2015.” Prostate biopsies were “separated” from other surgical specimens listed in 88305, even though they are still listed in the CPT code for 2015.
G0416	SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONS, FOR PROSTATE NEEDLE BIOPSY, ANY METHOD	HCPCS	- R33 is the primary descriptor for retention of urine. - 4th digit of “8” defines the urinary retention as “Other”, and includes an instructional note to code first, if applicable, any causal condition such as: enlarged prostate (N40.1). CPT Codes & Guideline for Coding - HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. - “Medicare has decided to combine reporting of prostate biopsies regardless of number of specimens under revised code G0416. 88305 should not be used for the analyses of prostate biopsies for Medicare patients with dates of service on or after Jan. 1, 2015.” Prostate biopsies were “separated” from other surgical specimens listed in 88305, even though they are still listed in the CPT code for 2015.
G0419	Sat biopsy prostate: >60	CPT	- R33 is the primary descriptor for retention of urine. - 4th digit of “8” defines the urinary retention as “Other”, and includes an instructional note to code first, if applicable, any causal condition such as: enlarged prostate (N40.1). CPT Codes & Guideline for Coding - HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. - “Medicare has decided to combine reporting of prostate biopsies regardless of number of specimens under revised code G0416. 88305 should not be used for the analyses of prostate biopsies for Medicare patients with dates of service on or after Jan. 1, 2015.” Prostate biopsies were “separated” from other surgical specimens listed in 88305, even though they are still listed in the CPT code for 2015.
88305	Tissue exam by pathologist	HCPCS	- 4th digit of “8” defines the urinary retention as “Other”, and includes an instructional note to code first, if applicable, any causal condition such as: enlarged prostate (N40.1). CPT Codes & Guideline for Coding - HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. - “Medicare has decided to combine reporting of prostate biopsies regardless of number of specimens under revised code G0416. 88305 should not be used for the analyses of prostate biopsies for Medicare patients with dates of service on or after Jan. 1, 2015.” Prostate biopsies were “separated” from other surgical specimens listed in 88305, even though they are still listed in the CPT code for 2015. Medicare no longer pays 88305 for prostate needle biopsies.
G0416	SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONS, FOR PROSTATE NEEDLE BIOPSY, ANY METHOD	HCPCS	- 4th digit of “8” defines the urinary retention as “Other”, and includes an instructional note to code first, if applicable, any causal condition such as: enlarged prostate (N40.1). CPT Codes & Guideline for Coding - HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. - “Medicare has decided to combine reporting of prostate biopsies regardless of number of specimens under revised code G0416. 88305 should not be used for the analyses of prostate biopsies for Medicare patients with dates of service on or after Jan. 1, 2015.” Prostate biopsies were “separated” from other surgical specimens listed in 88305, even though they are still listed in the CPT code for 2015. Medicare no longer pays 88305 for prostate needle biopsies.
G0419	Sat biopsy prostate: >60	CPT	- 4th digit of “8” defines the urinary retention as “Other”, and includes an instructional note to code first, if applicable, any causal condition such as: enlarged prostate (N40.1). CPT Codes & Guideline for Coding - HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. - “Medicare has decided to combine reporting of prostate biopsies regardless of number of specimens under revised code G0416. 88305 should not be used for the analyses of prostate biopsies for Medicare patients with dates of service on or after Jan. 1, 2015.” Prostate biopsies were “separated” from other surgical specimens listed in 88305, even though they are still listed in the CPT code for 2015. Medicare no longer pays 88305 for prostate needle biopsies.
88305	Tissue exam by pathologist	HCPCS	CPT Codes & Guideline for Coding - HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. - “Medicare has decided to combine reporting of prostate biopsies regardless of number of specimens under revised code G0416. 88305 should not be used for the analyses of prostate biopsies for Medicare patients with dates of service on or after Jan. 1, 2015.” Prostate biopsies were “separated” from other surgical specimens listed in 88305, even though they are still listed in the CPT code for 2015. Medicare no longer pays 88305 for prostate needle biopsies. G0416 is now the appropriate code for all prostate needle biopsies regardless of the number of biopsies/cores.
G0416	SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONS, FOR PROSTATE NEEDLE BIOPSY, ANY METHOD	HCPCS	CPT Codes & Guideline for Coding - HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. - “Medicare has decided to combine reporting of prostate biopsies regardless of number of specimens under revised code G0416. 88305 should not be used for the analyses of prostate biopsies for Medicare patients with dates of service on or after Jan. 1, 2015.” Prostate biopsies were “separated” from other surgical specimens listed in 88305, even though they are still listed in the CPT code for 2015. Medicare no longer pays 88305 for prostate needle biopsies. G0416 is now the appropriate code for all prostate needle biopsies regardless of the number of biopsies/cores.
G0419	Sat biopsy prostate: >60	CPT	CPT Codes & Guideline for Coding - HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. - “Medicare has decided to combine reporting of prostate biopsies regardless of number of specimens under revised code G0416. 88305 should not be used for the analyses of prostate biopsies for Medicare patients with dates of service on or after Jan. 1, 2015.” Prostate biopsies were “separated” from other surgical specimens listed in 88305, even though they are still listed in the CPT code for 2015. Medicare no longer pays 88305 for prostate needle biopsies. G0416 is now the appropriate code for all prostate needle biopsies regardless of the number of biopsies/cores.
G0417	Sat biopsy prostate 21-40	CPT	88305 should not be used for the analyses of prostate biopsies for Medicare patients with dates of service on or after Jan. 1, 2015.” Prostate biopsies were “separated” from other surgical specimens listed in 88305, even though they are still listed in the CPT code for 2015. Medicare no longer pays 88305 for prostate needle biopsies. G0416 is now the appropriate code for all prostate needle biopsies regardless of the number of biopsies/cores. G0416– Surgical pathology, gross and micro exam for prostate needle saturation biopsy sampling 1-20 specimens. G0417- ” 21-40 specimens.
G0416	SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONS, FOR PROSTATE NEEDLE BIOPSY, ANY METHOD	HCPCS	G0418- ” 41-60 specimens. G0419- ” greater than 60 specimens. NOTE : G0416 to Medicare for TURP specimens. However, per the code descriptor, (Surgical pathology, gross and microscopic examinations for prostate needle biopsy, any method), G0416 is specific to needle core biopsy samples, and not appropriate for TURP specimens. As of January 1, 2012 CMS has issued new guidance in the NCCI Policy Manual regarding these HCPCS codes.
G0416	SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONS, FOR PROSTATE NEEDLE BIOPSY, ANY METHOD	HCPCS	G0419- ” greater than 60 specimens. NOTE : G0416 to Medicare for TURP specimens. However, per the code descriptor, (Surgical pathology, gross and microscopic examinations for prostate needle biopsy, any method), G0416 is specific to needle core biopsy samples, and not appropriate for TURP specimens. As of January 1, 2012 CMS has issued new guidance in the NCCI Policy Manual regarding these HCPCS codes. It states: HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure.
88305	Tissue exam by pathologist	HCPCS	NOTE : G0416 to Medicare for TURP specimens. However, per the code descriptor, (Surgical pathology, gross and microscopic examinations for prostate needle biopsy, any method), G0416 is specific to needle core biopsy samples, and not appropriate for TURP specimens. As of January 1, 2012 CMS has issued new guidance in the NCCI Policy Manual regarding these HCPCS codes. It states: HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. CMS requires that these codes rather than CPT code 88305 be utilised to report surgical pathology on prostate needle biopsy specimens only if the number of separately identified needle biopsy specimens is five or more.
G0416	SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONS, FOR PROSTATE NEEDLE BIOPSY, ANY METHOD	HCPCS	NOTE : G0416 to Medicare for TURP specimens. However, per the code descriptor, (Surgical pathology, gross and microscopic examinations for prostate needle biopsy, any method), G0416 is specific to needle core biopsy samples, and not appropriate for TURP specimens. As of January 1, 2012 CMS has issued new guidance in the NCCI Policy Manual regarding these HCPCS codes. It states: HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. CMS requires that these codes rather than CPT code 88305 be utilised to report surgical pathology on prostate needle biopsy specimens only if the number of separately identified needle biopsy specimens is five or more.
G0419	Sat biopsy prostate: >60	CPT	NOTE : G0416 to Medicare for TURP specimens. However, per the code descriptor, (Surgical pathology, gross and microscopic examinations for prostate needle biopsy, any method), G0416 is specific to needle core biopsy samples, and not appropriate for TURP specimens. As of January 1, 2012 CMS has issued new guidance in the NCCI Policy Manual regarding these HCPCS codes. It states: HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. CMS requires that these codes rather than CPT code 88305 be utilised to report surgical pathology on prostate needle biopsy specimens only if the number of separately identified needle biopsy specimens is five or more.
88305	Tissue exam by pathologist	HCPCS	However, per the code descriptor, (Surgical pathology, gross and microscopic examinations for prostate needle biopsy, any method), G0416 is specific to needle core biopsy samples, and not appropriate for TURP specimens. As of January 1, 2012 CMS has issued new guidance in the NCCI Policy Manual regarding these HCPCS codes. It states: HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. CMS requires that these codes rather than CPT code 88305 be utilised to report surgical pathology on prostate needle biopsy specimens only if the number of separately identified needle biopsy specimens is five or more. Surgical pathology on four or fewer prostate needle biopsy specimens should be reported with CPT code 88305 with the unit of service corresponding to the number of separately identified biopsy specimens.
G0416	SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONS, FOR PROSTATE NEEDLE BIOPSY, ANY METHOD	HCPCS	However, per the code descriptor, (Surgical pathology, gross and microscopic examinations for prostate needle biopsy, any method), G0416 is specific to needle core biopsy samples, and not appropriate for TURP specimens. As of January 1, 2012 CMS has issued new guidance in the NCCI Policy Manual regarding these HCPCS codes. It states: HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. CMS requires that these codes rather than CPT code 88305 be utilised to report surgical pathology on prostate needle biopsy specimens only if the number of separately identified needle biopsy specimens is five or more. Surgical pathology on four or fewer prostate needle biopsy specimens should be reported with CPT code 88305 with the unit of service corresponding to the number of separately identified biopsy specimens.
G0419	Sat biopsy prostate: >60	CPT	However, per the code descriptor, (Surgical pathology, gross and microscopic examinations for prostate needle biopsy, any method), G0416 is specific to needle core biopsy samples, and not appropriate for TURP specimens. As of January 1, 2012 CMS has issued new guidance in the NCCI Policy Manual regarding these HCPCS codes. It states: HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. CMS requires that these codes rather than CPT code 88305 be utilised to report surgical pathology on prostate needle biopsy specimens only if the number of separately identified needle biopsy specimens is five or more. Surgical pathology on four or fewer prostate needle biopsy specimens should be reported with CPT code 88305 with the unit of service corresponding to the number of separately identified biopsy specimens.
88305	Tissue exam by pathologist	HCPCS	As of January 1, 2012 CMS has issued new guidance in the NCCI Policy Manual regarding these HCPCS codes. It states: HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. CMS requires that these codes rather than CPT code 88305 be utilised to report surgical pathology on prostate needle biopsy specimens only if the number of separately identified needle biopsy specimens is five or more. Surgical pathology on four or fewer prostate needle biopsy specimens should be reported with CPT code 88305 with the unit of service corresponding to the number of separately identified biopsy specimens. The Medicare Physician Fee Schedule National Payment Amount for G0416-26 is $182.10 which is equivalent to 5 units of 88305-26 which has a National Payment Amount of $36.08 per unit.
G0416	SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONS, FOR PROSTATE NEEDLE BIOPSY, ANY METHOD	HCPCS	As of January 1, 2012 CMS has issued new guidance in the NCCI Policy Manual regarding these HCPCS codes. It states: HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. CMS requires that these codes rather than CPT code 88305 be utilised to report surgical pathology on prostate needle biopsy specimens only if the number of separately identified needle biopsy specimens is five or more. Surgical pathology on four or fewer prostate needle biopsy specimens should be reported with CPT code 88305 with the unit of service corresponding to the number of separately identified biopsy specimens. The Medicare Physician Fee Schedule National Payment Amount for G0416-26 is $182.10 which is equivalent to 5 units of 88305-26 which has a National Payment Amount of $36.08 per unit.
G0419	Sat biopsy prostate: >60	CPT	As of January 1, 2012 CMS has issued new guidance in the NCCI Policy Manual regarding these HCPCS codes. It states: HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. CMS requires that these codes rather than CPT code 88305 be utilised to report surgical pathology on prostate needle biopsy specimens only if the number of separately identified needle biopsy specimens is five or more. Surgical pathology on four or fewer prostate needle biopsy specimens should be reported with CPT code 88305 with the unit of service corresponding to the number of separately identified biopsy specimens. The Medicare Physician Fee Schedule National Payment Amount for G0416-26 is $182.10 which is equivalent to 5 units of 88305-26 which has a National Payment Amount of $36.08 per unit.
88305	Tissue exam by pathologist	HCPCS	It states: HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. CMS requires that these codes rather than CPT code 88305 be utilised to report surgical pathology on prostate needle biopsy specimens only if the number of separately identified needle biopsy specimens is five or more. Surgical pathology on four or fewer prostate needle biopsy specimens should be reported with CPT code 88305 with the unit of service corresponding to the number of separately identified biopsy specimens. The Medicare Physician Fee Schedule National Payment Amount for G0416-26 is $182.10 which is equivalent to 5 units of 88305-26 which has a National Payment Amount of $36.08 per unit. For a physician practice that typically bills for more than 6 specimens for a prostate case, you will see reimbursement capped at 5.0 units.
G0416	SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONS, FOR PROSTATE NEEDLE BIOPSY, ANY METHOD	HCPCS	It states: HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. CMS requires that these codes rather than CPT code 88305 be utilised to report surgical pathology on prostate needle biopsy specimens only if the number of separately identified needle biopsy specimens is five or more. Surgical pathology on four or fewer prostate needle biopsy specimens should be reported with CPT code 88305 with the unit of service corresponding to the number of separately identified biopsy specimens. The Medicare Physician Fee Schedule National Payment Amount for G0416-26 is $182.10 which is equivalent to 5 units of 88305-26 which has a National Payment Amount of $36.08 per unit. For a physician practice that typically bills for more than 6 specimens for a prostate case, you will see reimbursement capped at 5.0 units.
G0419	Sat biopsy prostate: >60	CPT	It states: HCPCS codes G0416-G0419 describe surgical pathology, including gross and microscopic examination, of prostate needle biopsies from a saturation biopsy sampling procedure. CMS requires that these codes rather than CPT code 88305 be utilised to report surgical pathology on prostate needle biopsy specimens only if the number of separately identified needle biopsy specimens is five or more. Surgical pathology on four or fewer prostate needle biopsy specimens should be reported with CPT code 88305 with the unit of service corresponding to the number of separately identified biopsy specimens. The Medicare Physician Fee Schedule National Payment Amount for G0416-26 is $182.10 which is equivalent to 5 units of 88305-26 which has a National Payment Amount of $36.08 per unit. For a physician practice that typically bills for more than 6 specimens for a prostate case, you will see reimbursement capped at 5.0 units.
00216	ANESTH HEAD VESSEL SURGERY	CPT	For this procedure, we’d code 35471 for “transluminal balloon angioplasty, percutaneous; renal or other visceral artery,” and we’d add the modifier -66 for “surgical team.” So we’d end up with 35471-66. Source: http://www.medicalbillingandcoding.org/cpt-modifiers/ Physical Status Modifier (For Anesthesia) Anesthesia procedures have their own special set of modifiers, which are simple and correspond to the condition of the patient as the anesthesia is administered. These codes are: - P1 – a normal, healthy patient - P2 – a patient with mild systemic disease - P3 – a patient with severe systemic disease - P4 – a patient with severe systemic disease that is a constant threat to life - P5 – a moribund patient who is not expected to survive without the operation - P6 – a declared brain-dead patient whose organs are being removed for donor purposes These are relatively straightforward, but let’s look at an example that will also use some of the CPT modifiers we learned just a minute ago. Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1.
00216	ANESTH HEAD VESSEL SURGERY	CPT	These codes are: - P1 – a normal, healthy patient - P2 – a patient with mild systemic disease - P3 – a patient with severe systemic disease - P4 – a patient with severe systemic disease that is a constant threat to life - P5 – a moribund patient who is not expected to survive without the operation - P6 – a declared brain-dead patient whose organs are being removed for donor purposes These are relatively straightforward, but let’s look at an example that will also use some of the CPT modifiers we learned just a minute ago. Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1. Source: http://www.medicalbillingandcoding.org/cpt-modifiers/ Complete List of CPT Modifiers 2015 To view a complete list of CPT Modifiers, you can check out these resources below: - 2014 Level I and Level II CPT Modifiers - CPT and HCPCS Level II Modifiers - 2012 Coding Modifiers Table As the year comes to an end and a new one is upon us, Certification Coaching Organization (CCO) has finally launched a video that explains exactly what is changing in CPT 2015. And we've done it in a “warm and fuzzy” fashion — The CCO Webinar on CPT Modifiers 2015 Updates.
00216	ANESTH HEAD VESSEL SURGERY	CPT	Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1. Source: http://www.medicalbillingandcoding.org/cpt-modifiers/ Complete List of CPT Modifiers 2015 To view a complete list of CPT Modifiers, you can check out these resources below: - 2014 Level I and Level II CPT Modifiers - CPT and HCPCS Level II Modifiers - 2012 Coding Modifiers Table As the year comes to an end and a new one is upon us, Certification Coaching Organization (CCO) has finally launched a video that explains exactly what is changing in CPT 2015. And we've done it in a “warm and fuzzy” fashion — The CCO Webinar on CPT Modifiers 2015 Updates. In this webinar, you will learn about the 143 deleted codes and why they were given the boot.
00216	ANESTH HEAD VESSEL SURGERY	CPT	The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1. Source: http://www.medicalbillingandcoding.org/cpt-modifiers/ Complete List of CPT Modifiers 2015 To view a complete list of CPT Modifiers, you can check out these resources below: - 2014 Level I and Level II CPT Modifiers - CPT and HCPCS Level II Modifiers - 2012 Coding Modifiers Table As the year comes to an end and a new one is upon us, Certification Coaching Organization (CCO) has finally launched a video that explains exactly what is changing in CPT 2015. And we've done it in a “warm and fuzzy” fashion — The CCO Webinar on CPT Modifiers 2015 Updates. In this webinar, you will learn about the 143 deleted codes and why they were given the boot. You will also learn the 264 New codes and when to use them and if they replaced older codes and more.
00216	ANESTH HEAD VESSEL SURGERY	CPT	For this procedure, we’d code 35471 for “transluminal balloon angioplasty, percutaneous; renal or other visceral artery,” and we’d add the modifier -66 for “surgical team.” So we’d end up with 35471-66. Source: http://www.medicalbillingandcoding.org/cpt-modifiers/ Physical Status Modifier (For Anesthesia) Anesthesia procedures have their own special set of modifiers, which are simple and correspond to the condition of the patient as the anesthesia is administered. These codes are: - P1 – a normal, healthy patient - P2 – a patient with mild systemic disease - P3 – a patient with severe systemic disease - P4 – a patient with severe systemic disease that is a constant threat to life - P5 – a moribund patient who is not expected to survive without the operation - P6 – a declared brain-dead patient whose organs are being removed for donor purposes These are relatively straightforward, but let’s look at an example that will also use some of the CPT modifiers we learned just a minute ago. Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1.
00216	ANESTH HEAD VESSEL SURGERY	CPT	These codes are: - P1 – a normal, healthy patient - P2 – a patient with mild systemic disease - P3 – a patient with severe systemic disease - P4 – a patient with severe systemic disease that is a constant threat to life - P5 – a moribund patient who is not expected to survive without the operation - P6 – a declared brain-dead patient whose organs are being removed for donor purposes These are relatively straightforward, but let’s look at an example that will also use some of the CPT modifiers we learned just a minute ago. Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1. Source: http://www.medicalbillingandcoding.org/cpt-modifiers/ Complete List of CPT Modifiers 2015 To view a complete list of CPT Modifiers, you can check out these resources below: - 2014 Level I and Level II CPT Modifiers - CPT and HCPCS Level II Modifiers - 2012 Coding Modifiers Table As the year comes to an end and a new one is upon us, Certification Coaching Organization (CCO) has finally launched a video that explains exactly what is changing in CPT 2015. And we’ve done it in a “warm and fuzzy” fashion — The CCO Webinar on CPT Modifiers 2015 Updates.
00216	ANESTH HEAD VESSEL SURGERY	CPT	Let’s return to that angioplasty example. The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1. Source: http://www.medicalbillingandcoding.org/cpt-modifiers/ Complete List of CPT Modifiers 2015 To view a complete list of CPT Modifiers, you can check out these resources below: - 2014 Level I and Level II CPT Modifiers - CPT and HCPCS Level II Modifiers - 2012 Coding Modifiers Table As the year comes to an end and a new one is upon us, Certification Coaching Organization (CCO) has finally launched a video that explains exactly what is changing in CPT 2015. And we’ve done it in a “warm and fuzzy” fashion — The CCO Webinar on CPT Modifiers 2015 Updates. In this webinar, you will learn about the 143 deleted codes and why they were given the boot.
00216	ANESTH HEAD VESSEL SURGERY	CPT	The patient needs to be anesthetized before undergoing this procedure, so we turn to the Anesthesia section of the CPT codebook and find the code 00216 for “vascular procedures.” Now, kidney problems notwithstanding, our patient is in good health, so we’d add the –P1 modifier to this anesthesia code, and end up with 00216-P1. Source: http://www.medicalbillingandcoding.org/cpt-modifiers/ Complete List of CPT Modifiers 2015 To view a complete list of CPT Modifiers, you can check out these resources below: - 2014 Level I and Level II CPT Modifiers - CPT and HCPCS Level II Modifiers - 2012 Coding Modifiers Table As the year comes to an end and a new one is upon us, Certification Coaching Organization (CCO) has finally launched a video that explains exactly what is changing in CPT 2015. And we’ve done it in a “warm and fuzzy” fashion — The CCO Webinar on CPT Modifiers 2015 Updates. In this webinar, you will learn about the 143 deleted codes and why they were given the boot. You will also learn the 264 New codes and when to use them and if they replaced older codes and more.
90805	Psytx off 20-30 min w/e&m	HCPCS	The CPT codes were established and are sustained by the American Medical Association. Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System).
38221	PR DIAGNOSTIC BONE MARROW BIOPSIES	HCPCS	The CPT codes were established and are sustained by the American Medical Association. Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System).
99263	Follow-up inpatient consult	HCPCS	The CPT codes were established and are sustained by the American Medical Association. Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System).
99261	Follow-up inpatient consult	HCPCS	The CPT codes were established and are sustained by the American Medical Association. Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System).
99054	MEDICAL SERVICES-UNUSUAL HRS	CPT	The CPT codes were established and are sustained by the American Medical Association. Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System).
38211	Tumor cell deplete of harvst	HCPCS	The CPT codes were established and are sustained by the American Medical Association. Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System).
90805	Psytx off 20-30 min w/e&m	HCPCS	Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS.
38221	PR DIAGNOSTIC BONE MARROW BIOPSIES	HCPCS	Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS.
99263	Follow-up inpatient consult	HCPCS	Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS.
99261	Follow-up inpatient consult	HCPCS	Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS.
99054	MEDICAL SERVICES-UNUSUAL HRS	CPT	Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS.
38211	Tumor cell deplete of harvst	HCPCS	Medical coders use CPT to code outpatient procedures and procedures done in physicians' offices. CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS.
90805	Psytx off 20-30 min w/e&m	HCPCS	CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels.
38221	PR DIAGNOSTIC BONE MARROW BIOPSIES	HCPCS	CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels.
99263	Follow-up inpatient consult	HCPCS	CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels.
99261	Follow-up inpatient consult	HCPCS	CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels.
99054	MEDICAL SERVICES-UNUSUAL HRS	CPT	CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels.
38211	Tumor cell deplete of harvst	HCPCS	CPT codes are numeric. Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels.
90805	Psytx off 20-30 min w/e&m	HCPCS	Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two.
38221	PR DIAGNOSTIC BONE MARROW BIOPSIES	HCPCS	Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two.
99263	Follow-up inpatient consult	HCPCS	Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two.
99261	Follow-up inpatient consult	HCPCS	Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two.
99054	MEDICAL SERVICES-UNUSUAL HRS	CPT	Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two.
38211	Tumor cell deplete of harvst	HCPCS	Changes and additions to the CPT are generally made, at most, four times a year. Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two.
90805	Psytx off 20-30 min w/e&m	HCPCS	Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT.
38221	PR DIAGNOSTIC BONE MARROW BIOPSIES	HCPCS	Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT.
99263	Follow-up inpatient consult	HCPCS	Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT.
99261	Follow-up inpatient consult	HCPCS	Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT.
99054	MEDICAL SERVICES-UNUSUAL HRS	CPT	Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT.
38211	Tumor cell deplete of harvst	HCPCS	Here are just a few examples of CPT codes: - 90805 = outpatient psychotherapy - 38221 = bone marrow biopsy, trocar or needle - 38211 = tumor cell depletion - 99261 - 99263 = follow-up inpatient consultation - 99054 = services requested on holidays or Sundays HCPCS (Healthcare Common Procedure Coding System). Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT.
J8700	Temozolomide per 5 mg	HCPCS	Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability and Accounting Act), the Final Rule was instituted in 2000.
J3490	ZINC SULFATE 220MG 220MG CP	HCPCS	Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability and Accounting Act), the Final Rule was instituted in 2000.
P9010	WHOLE BLOOD FOR TRANSFUSION	HCPCS	Medical coders who work with Medicare or Medicaid must become proficient in HCPCS. Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability and Accounting Act), the Final Rule was instituted in 2000.
J8700	Temozolomide per 5 mg	HCPCS	Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability and Accounting Act), the Final Rule was instituted in 2000. It stated that the CPT and HCPCS codes are defined as procedure codes for "physician services, physical and occupational therapy services, radiological procedures, clinical laboratory tests, other medical diagnostic procedures, hearing and vision services and transportation services including ambulance."
J3490	ZINC SULFATE 220MG 220MG CP	HCPCS	Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability and Accounting Act), the Final Rule was instituted in 2000. It stated that the CPT and HCPCS codes are defined as procedure codes for "physician services, physical and occupational therapy services, radiological procedures, clinical laboratory tests, other medical diagnostic procedures, hearing and vision services and transportation services including ambulance."
P9010	WHOLE BLOOD FOR TRANSFUSION	HCPCS	Maintained by the American Medical Association, the HCPCS has two levels. CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability and Accounting Act), the Final Rule was instituted in 2000. It stated that the CPT and HCPCS codes are defined as procedure codes for "physician services, physical and occupational therapy services, radiological procedures, clinical laboratory tests, other medical diagnostic procedures, hearing and vision services and transportation services including ambulance."
J8700	Temozolomide per 5 mg	HCPCS	CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability and Accounting Act), the Final Rule was instituted in 2000. It stated that the CPT and HCPCS codes are defined as procedure codes for "physician services, physical and occupational therapy services, radiological procedures, clinical laboratory tests, other medical diagnostic procedures, hearing and vision services and transportation services including ambulance." (Source:American Medical Association) You can learn more about CPT and HCPCS - including how codes are determined and new changes are made - at the American Medical Association's website by clicking here.
J3490	ZINC SULFATE 220MG 220MG CP	HCPCS	CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability and Accounting Act), the Final Rule was instituted in 2000. It stated that the CPT and HCPCS codes are defined as procedure codes for "physician services, physical and occupational therapy services, radiological procedures, clinical laboratory tests, other medical diagnostic procedures, hearing and vision services and transportation services including ambulance." (Source:American Medical Association) You can learn more about CPT and HCPCS - including how codes are determined and new changes are made - at the American Medical Association's website by clicking here.
P9010	WHOLE BLOOD FOR TRANSFUSION	HCPCS	CPT procedure codes are level one, and HCPCS are level two. HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability and Accounting Act), the Final Rule was instituted in 2000. It stated that the CPT and HCPCS codes are defined as procedure codes for "physician services, physical and occupational therapy services, radiological procedures, clinical laboratory tests, other medical diagnostic procedures, hearing and vision services and transportation services including ambulance." (Source:American Medical Association) You can learn more about CPT and HCPCS - including how codes are determined and new changes are made - at the American Medical Association's website by clicking here.
J8700	Temozolomide per 5 mg	HCPCS	HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability and Accounting Act), the Final Rule was instituted in 2000. It stated that the CPT and HCPCS codes are defined as procedure codes for "physician services, physical and occupational therapy services, radiological procedures, clinical laboratory tests, other medical diagnostic procedures, hearing and vision services and transportation services including ambulance." (Source:American Medical Association) You can learn more about CPT and HCPCS - including how codes are determined and new changes are made - at the American Medical Association's website by clicking here. ICD-9.
J3490	ZINC SULFATE 220MG 220MG CP	HCPCS	HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability and Accounting Act), the Final Rule was instituted in 2000. It stated that the CPT and HCPCS codes are defined as procedure codes for "physician services, physical and occupational therapy services, radiological procedures, clinical laboratory tests, other medical diagnostic procedures, hearing and vision services and transportation services including ambulance." (Source:American Medical Association) You can learn more about CPT and HCPCS - including how codes are determined and new changes are made - at the American Medical Association's website by clicking here. ICD-9.
P9010	WHOLE BLOOD FOR TRANSFUSION	HCPCS	HCPCS codes are all alphanumeric and include services, products and supplies - such as prosthetics and ambulance services - not covered in the CPT. Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability and Accounting Act), the Final Rule was instituted in 2000. It stated that the CPT and HCPCS codes are defined as procedure codes for "physician services, physical and occupational therapy services, radiological procedures, clinical laboratory tests, other medical diagnostic procedures, hearing and vision services and transportation services including ambulance." (Source:American Medical Association) You can learn more about CPT and HCPCS - including how codes are determined and new changes are made - at the American Medical Association's website by clicking here. ICD-9.
J8700	Temozolomide per 5 mg	HCPCS	Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability and Accounting Act), the Final Rule was instituted in 2000. It stated that the CPT and HCPCS codes are defined as procedure codes for "physician services, physical and occupational therapy services, radiological procedures, clinical laboratory tests, other medical diagnostic procedures, hearing and vision services and transportation services including ambulance." (Source:American Medical Association) You can learn more about CPT and HCPCS - including how codes are determined and new changes are made - at the American Medical Association's website by clicking here. ICD-9. According to the Final Rule, ICD-9 provides coding for diagnosis, procedures and inpatient hospital services.
J3490	ZINC SULFATE 220MG 220MG CP	HCPCS	Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability and Accounting Act), the Final Rule was instituted in 2000. It stated that the CPT and HCPCS codes are defined as procedure codes for "physician services, physical and occupational therapy services, radiological procedures, clinical laboratory tests, other medical diagnostic procedures, hearing and vision services and transportation services including ambulance." (Source:American Medical Association) You can learn more about CPT and HCPCS - including how codes are determined and new changes are made - at the American Medical Association's website by clicking here. ICD-9. According to the Final Rule, ICD-9 provides coding for diagnosis, procedures and inpatient hospital services.
P9010	WHOLE BLOOD FOR TRANSFUSION	HCPCS	Here are several examples of HCPCS codes: - J8700 = Temozolmide, oral, 5 mg. - A0030 = Ambulance service, conventional air service, transport, one way - JO530 = Injection of penicillin - J3490 = Unclassified drugs - P9010 = Blood (whole) for transfusion To meet the standards set by HIPAA (Health Information Portability and Accounting Act), the Final Rule was instituted in 2000. It stated that the CPT and HCPCS codes are defined as procedure codes for "physician services, physical and occupational therapy services, radiological procedures, clinical laboratory tests, other medical diagnostic procedures, hearing and vision services and transportation services including ambulance." (Source:American Medical Association) You can learn more about CPT and HCPCS - including how codes are determined and new changes are made - at the American Medical Association's website by clicking here. ICD-9. According to the Final Rule, ICD-9 provides coding for diagnosis, procedures and inpatient hospital services.
1749	Other and unspecified robotic assisted procedure	ICD	Search for a rare disease Other search option(s) Delta-beta-thalassemia is a form of beta-thalassemia (see this term) characterized by decreased or absent synthesis of the delta- and beta-globin chains with a compensatory increase in expression of fetal gamma-chain synthesis. ORPHA:231237Classification level: Disorder - Synonym(s): - - Prevalence: Unknown - Inheritance: Autosomal recessive - Age of onset: Infancy, Neonatal - ICD-10: D56.2 - OMIM: 141749 - UMLS: C0271985 - MeSH: - - GARD: - - MedDRA: 10012236 Prevalence of this form is not known. The condition is found in many ethnic groups but is most common in Greece and Italy. The heterozygous form of the condition is clinically asymptomatic with mild microcytosis and no elevation of HbA2 whereas the few homozygous patients have a mild clinical presentation.
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.
G0358	IV PUSH TECHNIQUE EACH ADD SUBSTANCE/DRUG	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 1/2004: Interim policy, High-dose chemotherapy with autologous stem-cell support considered investigational to treat primary amyloidosis or Waldenstrom's macroglobulinemia 3/25/2004: Reviewed by MPAC, "High-dose chemotherapy with autologous stem-cell support to treat primary systemic amyloidosis" changed to medically necessary, "High-dose chemotherapy with autologous stem-cell support to treat Waldenstrom’s macroglobulinemia" remains investigational 5/5/2004: Code Reference section completed 8/18/2004: Code Reference section updated, CPT 38215 note added covered codes, CPT chemotherapy administration code range added covered codes, CPT 96520, 96530, 96545 added covered codes, ICD-9 procedure code 41.07, 99.25 added covered codes, HCPCS chemotherapy drug range added covered codes, HCPCS Q0083, Q0084, Q0085 added covered codes, HCPCS S2150 note added covered codes, non-covered table added, CPT 38205, 38240, 38242 added non-covered codes, ICD-9 procedure code 41.05, 41.08, 41.91 added non-covered codes 11/18/2004: Reviewed by MPAC; no changes 10/27/2005: Code Reference sections updated; Covered table: CPT codes 38230 added; ICD-9 procedure 41.09 added; HCPCS codes G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added; J9000-J9999 deleted; Non-Covered table: CPT-4 code 38204, 86812, 86816, 86817, 86821, 86822 added, ICD-9 Procedure 41.02, 41.03 added 3/21/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy 8/31/2006: Policy reviewed, no changes 9/12/2006: Coding updated. ICD9 2006 revisions added to policy 9/18/2007: Policy reviewed, no changes 12/19/2007: Coding updated per 2008 CPT/HCPCS revisions 9/26/2008: Allogeneic SCT added to policy statements as investigational.
86816	HC HLA TYPING DR/DQ SINGLE AG	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 1/2004: Interim policy, High-dose chemotherapy with autologous stem-cell support considered investigational to treat primary amyloidosis or Waldenstrom's macroglobulinemia 3/25/2004: Reviewed by MPAC, "High-dose chemotherapy with autologous stem-cell support to treat primary systemic amyloidosis" changed to medically necessary, "High-dose chemotherapy with autologous stem-cell support to treat Waldenstrom’s macroglobulinemia" remains investigational 5/5/2004: Code Reference section completed 8/18/2004: Code Reference section updated, CPT 38215 note added covered codes, CPT chemotherapy administration code range added covered codes, CPT 96520, 96530, 96545 added covered codes, ICD-9 procedure code 41.07, 99.25 added covered codes, HCPCS chemotherapy drug range added covered codes, HCPCS Q0083, Q0084, Q0085 added covered codes, HCPCS S2150 note added covered codes, non-covered table added, CPT 38205, 38240, 38242 added non-covered codes, ICD-9 procedure code 41.05, 41.08, 41.91 added non-covered codes 11/18/2004: Reviewed by MPAC; no changes 10/27/2005: Code Reference sections updated; Covered table: CPT codes 38230 added; ICD-9 procedure 41.09 added; HCPCS codes G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added; J9000-J9999 deleted; Non-Covered table: CPT-4 code 38204, 86812, 86816, 86817, 86821, 86822 added, ICD-9 Procedure 41.02, 41.03 added 3/21/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy 8/31/2006: Policy reviewed, no changes 9/12/2006: Coding updated. ICD9 2006 revisions added to policy 9/18/2007: Policy reviewed, no changes 12/19/2007: Coding updated per 2008 CPT/HCPCS revisions 9/26/2008: Allogeneic SCT added to policy statements as investigational.
G0360	Each additional hr 1-8 hrs	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 1/2004: Interim policy, High-dose chemotherapy with autologous stem-cell support considered investigational to treat primary amyloidosis or Waldenstrom's macroglobulinemia 3/25/2004: Reviewed by MPAC, "High-dose chemotherapy with autologous stem-cell support to treat primary systemic amyloidosis" changed to medically necessary, "High-dose chemotherapy with autologous stem-cell support to treat Waldenstrom’s macroglobulinemia" remains investigational 5/5/2004: Code Reference section completed 8/18/2004: Code Reference section updated, CPT 38215 note added covered codes, CPT chemotherapy administration code range added covered codes, CPT 96520, 96530, 96545 added covered codes, ICD-9 procedure code 41.07, 99.25 added covered codes, HCPCS chemotherapy drug range added covered codes, HCPCS Q0083, Q0084, Q0085 added covered codes, HCPCS S2150 note added covered codes, non-covered table added, CPT 38205, 38240, 38242 added non-covered codes, ICD-9 procedure code 41.05, 41.08, 41.91 added non-covered codes 11/18/2004: Reviewed by MPAC; no changes 10/27/2005: Code Reference sections updated; Covered table: CPT codes 38230 added; ICD-9 procedure 41.09 added; HCPCS codes G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added; J9000-J9999 deleted; Non-Covered table: CPT-4 code 38204, 86812, 86816, 86817, 86821, 86822 added, ICD-9 Procedure 41.02, 41.03 added 3/21/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy 8/31/2006: Policy reviewed, no changes 9/12/2006: Coding updated. ICD9 2006 revisions added to policy 9/18/2007: Policy reviewed, no changes 12/19/2007: Coding updated per 2008 CPT/HCPCS revisions 9/26/2008: Allogeneic SCT added to policy statements as investigational.
96520	Port pump refill & main	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 1/2004: Interim policy, High-dose chemotherapy with autologous stem-cell support considered investigational to treat primary amyloidosis or Waldenstrom's macroglobulinemia 3/25/2004: Reviewed by MPAC, "High-dose chemotherapy with autologous stem-cell support to treat primary systemic amyloidosis" changed to medically necessary, "High-dose chemotherapy with autologous stem-cell support to treat Waldenstrom’s macroglobulinemia" remains investigational 5/5/2004: Code Reference section completed 8/18/2004: Code Reference section updated, CPT 38215 note added covered codes, CPT chemotherapy administration code range added covered codes, CPT 96520, 96530, 96545 added covered codes, ICD-9 procedure code 41.07, 99.25 added covered codes, HCPCS chemotherapy drug range added covered codes, HCPCS Q0083, Q0084, Q0085 added covered codes, HCPCS S2150 note added covered codes, non-covered table added, CPT 38205, 38240, 38242 added non-covered codes, ICD-9 procedure code 41.05, 41.08, 41.91 added non-covered codes 11/18/2004: Reviewed by MPAC; no changes 10/27/2005: Code Reference sections updated; Covered table: CPT codes 38230 added; ICD-9 procedure 41.09 added; HCPCS codes G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added; J9000-J9999 deleted; Non-Covered table: CPT-4 code 38204, 86812, 86816, 86817, 86821, 86822 added, ICD-9 Procedure 41.02, 41.03 added 3/21/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy 8/31/2006: Policy reviewed, no changes 9/12/2006: Coding updated. ICD9 2006 revisions added to policy 9/18/2007: Policy reviewed, no changes 12/19/2007: Coding updated per 2008 CPT/HCPCS revisions 9/26/2008: Allogeneic SCT added to policy statements as investigational.
38204	PR MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 1/2004: Interim policy, High-dose chemotherapy with autologous stem-cell support considered investigational to treat primary amyloidosis or Waldenstrom's macroglobulinemia 3/25/2004: Reviewed by MPAC, "High-dose chemotherapy with autologous stem-cell support to treat primary systemic amyloidosis" changed to medically necessary, "High-dose chemotherapy with autologous stem-cell support to treat Waldenstrom’s macroglobulinemia" remains investigational 5/5/2004: Code Reference section completed 8/18/2004: Code Reference section updated, CPT 38215 note added covered codes, CPT chemotherapy administration code range added covered codes, CPT 96520, 96530, 96545 added covered codes, ICD-9 procedure code 41.07, 99.25 added covered codes, HCPCS chemotherapy drug range added covered codes, HCPCS Q0083, Q0084, Q0085 added covered codes, HCPCS S2150 note added covered codes, non-covered table added, CPT 38205, 38240, 38242 added non-covered codes, ICD-9 procedure code 41.05, 41.08, 41.91 added non-covered codes 11/18/2004: Reviewed by MPAC; no changes 10/27/2005: Code Reference sections updated; Covered table: CPT codes 38230 added; ICD-9 procedure 41.09 added; HCPCS codes G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added; J9000-J9999 deleted; Non-Covered table: CPT-4 code 38204, 86812, 86816, 86817, 86821, 86822 added, ICD-9 Procedure 41.02, 41.03 added 3/21/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy 8/31/2006: Policy reviewed, no changes 9/12/2006: Coding updated. ICD9 2006 revisions added to policy 9/18/2007: Policy reviewed, no changes 12/19/2007: Coding updated per 2008 CPT/HCPCS revisions 9/26/2008: Allogeneic SCT added to policy statements as investigational.
S2150	Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; m	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 1/2004: Interim policy, High-dose chemotherapy with autologous stem-cell support considered investigational to treat primary amyloidosis or Waldenstrom's macroglobulinemia 3/25/2004: Reviewed by MPAC, "High-dose chemotherapy with autologous stem-cell support to treat primary systemic amyloidosis" changed to medically necessary, "High-dose chemotherapy with autologous stem-cell support to treat Waldenstrom’s macroglobulinemia" remains investigational 5/5/2004: Code Reference section completed 8/18/2004: Code Reference section updated, CPT 38215 note added covered codes, CPT chemotherapy administration code range added covered codes, CPT 96520, 96530, 96545 added covered codes, ICD-9 procedure code 41.07, 99.25 added covered codes, HCPCS chemotherapy drug range added covered codes, HCPCS Q0083, Q0084, Q0085 added covered codes, HCPCS S2150 note added covered codes, non-covered table added, CPT 38205, 38240, 38242 added non-covered codes, ICD-9 procedure code 41.05, 41.08, 41.91 added non-covered codes 11/18/2004: Reviewed by MPAC; no changes 10/27/2005: Code Reference sections updated; Covered table: CPT codes 38230 added; ICD-9 procedure 41.09 added; HCPCS codes G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added; J9000-J9999 deleted; Non-Covered table: CPT-4 code 38204, 86812, 86816, 86817, 86821, 86822 added, ICD-9 Procedure 41.02, 41.03 added 3/21/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy 8/31/2006: Policy reviewed, no changes 9/12/2006: Coding updated. ICD9 2006 revisions added to policy 9/18/2007: Policy reviewed, no changes 12/19/2007: Coding updated per 2008 CPT/HCPCS revisions 9/26/2008: Allogeneic SCT added to policy statements as investigational.
86821	Lymphocyte culture mixed	HCPCS	In order for equipment, devices, drugs or supplies [i.e, technologies], to be considered not investigative, the technology must have final approval from the appropriate governmental bodies, and scientific evidence must permit conclusions concerning the effect of the technology on health outcomes, and the technology must improve the net health outcome, and the technology must be as beneficial as any established alternative and the improvement must be attainable outside the testing/investigational setting. The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language. 1/2004: Interim policy, High-dose chemotherapy with autologous stem-cell support considered investigational to treat primary amyloidosis or Waldenstrom's macroglobulinemia 3/25/2004: Reviewed by MPAC, "High-dose chemotherapy with autologous stem-cell support to treat primary systemic amyloidosis" changed to medically necessary, "High-dose chemotherapy with autologous stem-cell support to treat Waldenstrom’s macroglobulinemia" remains investigational 5/5/2004: Code Reference section completed 8/18/2004: Code Reference section updated, CPT 38215 note added covered codes, CPT chemotherapy administration code range added covered codes, CPT 96520, 96530, 96545 added covered codes, ICD-9 procedure code 41.07, 99.25 added covered codes, HCPCS chemotherapy drug range added covered codes, HCPCS Q0083, Q0084, Q0085 added covered codes, HCPCS S2150 note added covered codes, non-covered table added, CPT 38205, 38240, 38242 added non-covered codes, ICD-9 procedure code 41.05, 41.08, 41.91 added non-covered codes 11/18/2004: Reviewed by MPAC; no changes 10/27/2005: Code Reference sections updated; Covered table: CPT codes 38230 added; ICD-9 procedure 41.09 added; HCPCS codes G0355, G0356, G0357, G0358, G0359, G0360, G0361, G0362, G0363, G0364 added; J9000-J9999 deleted; Non-Covered table: CPT-4 code 38204, 86812, 86816, 86817, 86821, 86822 added, ICD-9 Procedure 41.02, 41.03 added 3/21/2006: Coding updated. CPT4/HCPCS 2006 revisions added to policy 8/31/2006: Policy reviewed, no changes 9/12/2006: Coding updated. ICD9 2006 revisions added to policy 9/18/2007: Policy reviewed, no changes 12/19/2007: Coding updated per 2008 CPT/HCPCS revisions 9/26/2008: Allogeneic SCT added to policy statements as investigational.

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