code stringlengths 4 12 | description stringlengths 2 264 | codetype stringclasses 8
values | context stringlengths 160 15.5k |
|---|---|---|---|
L8628 | Cochlear implant, external controller component, replacement | HCPCS | ICD-9 2007 revisions added to policy
1/7/2009: Policy reviewed, policy section partially rewritten and clarified. 3/12/2010: Code Reference section updated. New HCPCS codes L8627, L8628 and L8629 added to covered table. 04/26/2010: Policy description updated regarding devices. Policy statements modified for clarity; in... |
L8629 | Transmitting coil and cable, integrated, for use with cochlear implant device, replacement | HCPCS | ICD-9 2007 revisions added to policy
1/7/2009: Policy reviewed, policy section partially rewritten and clarified. 3/12/2010: Code Reference section updated. New HCPCS codes L8627, L8628 and L8629 added to covered table. 04/26/2010: Policy description updated regarding devices. Policy statements modified for clarity; in... |
L8627 | Cochlear implant, external speech processor, component, replacement | HCPCS | 3/12/2010: Code Reference section updated. New HCPCS codes L8627, L8628 and L8629 added to covered table. 04/26/2010: Policy description updated regarding devices. Policy statements modified for clarity; intent unchanged. Contraindications to cochlear implantation added to the policy guidelines. |
L8628 | Cochlear implant, external controller component, replacement | HCPCS | 3/12/2010: Code Reference section updated. New HCPCS codes L8627, L8628 and L8629 added to covered table. 04/26/2010: Policy description updated regarding devices. Policy statements modified for clarity; intent unchanged. Contraindications to cochlear implantation added to the policy guidelines. |
L8629 | Transmitting coil and cable, integrated, for use with cochlear implant device, replacement | HCPCS | 3/12/2010: Code Reference section updated. New HCPCS codes L8627, L8628 and L8629 added to covered table. 04/26/2010: Policy description updated regarding devices. Policy statements modified for clarity; intent unchanged. Contraindications to cochlear implantation added to the policy guidelines. |
1000 | HC ASAM LEVEL 3.7 MEDICALLY MONITORED INPATIENT | RC | Medically necessary policy statement updated to make correction: "100 HZ" updated to "1000 HZ." Policy Guidelines section updated regarding cochlear ossification and to add medically necessary and investigative definitions. 05/31/2016: Policy number added. SOURCE(S)Blue Cross Blue Shield Association policy # 7.01.05
CO... |
A9580 | Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries | HCPCS | 04/12/2010: Description section revised to add the four oncologic applications of PET Scanning; Policy section revised to add indications considered medically necessary for Melanoma, Lymphoma, lung; colorectal; pancreatic; head & neck; esophageal; breast; ovarian and testicular cancers. Added indications considered med... |
A9580 | Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries | HCPCS | Added indications considered medically necessary for differentiated thyroid and cervical cancers; added prostate cancer and cancer surveillance as investigational for all indications. Code reference section revised to add the following ICD-9 diagnosis codes to the covered codes table: 140.0 - 140.9; 141.0 - 141.9; 142.... |
A9580 | Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries | HCPCS | Code reference section revised to add the following ICD-9 diagnosis codes to the covered codes table: 140.0 - 140.9; 141.0 - 141.9; 142.0 - 142.9; 143.0 - 143.9; 150.0 -150.9; 151.0 - 151.9, 155.1; 156.0; 156.2; 157.0 -157.9; 158.0 - 158.9; 159.0 - 159.9; 174.0 - 174.5 and 174.8 - 174.9; 175.0; 175.9; 180.0 - 180.9; 18... |
A9580 | Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries | HCPCS | Moved HCPCS Code A9580 from non-covered to covered table. 10/05/2010: Policy reviewed; policy statement unchanged. Removed the following ICD-9 codes from the Covered Codes table to be consistent with the policy statement: 151.0-151.9, 152.0-152.9, 155.0-155.2, 156.0-156.9, 158.0-158.9, 159.0, 159.1, 159.8, 159.9, 194.0... |
99184 | PR INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
38204 | PR MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
J7516 | Injection, cyclosporine, 250 mg | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
97814 | PR ACUP 1/> NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
38215 | PR TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
J3230 | Injection, chlorpromazine hcl, up to 50 mg | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
J7502 | ZZ IMS TEMPLATE | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
J0885 | INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
38207 | PR TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
J0153 | INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS) | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
J7515 | ZZ IMS TEMPLATE | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
38241 | Transplt autol hct/donor | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
J0887 | INJECTION, EPOETIN BETA, 1 MICROGRAM, (FOR ESRD ON DIALYSIS) | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
38240 | Transplt allo hct/donor | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
J0881 | INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE) | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
38230 | PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
J0888 | Injection, epoetin beta, 1 microgram, (for non esrd use) | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
J7604 | N-ACETYL-L-CYSTEINE POWDER | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
97810 | PR ACUPUNCTURE 1/> NDLES W/O ELEC STIMJ INIT 15 MIN | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
38205 | PR BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
38242 | Transplt allo lymphocytes | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
J3475 | NEONATAL TPN 2-IN-1 (ENTERPRISE) | HCPCS | Additional strategies that may be useful as adjuncts to hypothermia include …. Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been adde... |
99184 | PR INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
38204 | PR MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
J7516 | Injection, cyclosporine, 250 mg | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
97814 | PR ACUP 1/> NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
38215 | PR TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
J3230 | Injection, chlorpromazine hcl, up to 50 mg | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
J7502 | ZZ IMS TEMPLATE | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
J0885 | INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
38207 | PR TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
J0153 | INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS) | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
J7515 | ZZ IMS TEMPLATE | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
38241 | Transplt autol hct/donor | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
J0887 | INJECTION, EPOETIN BETA, 1 MICROGRAM, (FOR ESRD ON DIALYSIS) | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
38240 | Transplt allo hct/donor | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
J0881 | INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE) | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
38230 | PR BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
J0888 | Injection, epoetin beta, 1 microgram, (for non esrd use) | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
J7604 | N-ACETYL-L-CYSTEINE POWDER | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
97810 | PR ACUPUNCTURE 1/> NDLES W/O ELEC STIMJ INIT 15 MIN | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
38205 | PR BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
38242 | Transplt allo lymphocytes | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
J3475 | NEONATAL TPN 2-IN-1 (ENTERPRISE) | HCPCS | Administration of growth factors (monosialo-gangliosides, brain derived growth factor), nitric oxide synthase inhibitors, and blockers of apoptosis”. |CPT Codes / HCPCS Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented b... |
48154 | PR PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY | HCPCS | R.A. Fischer Company will bill your insurance company if you have prior authorization and approval. Otherwise, patients typically purchase the device and then obtain reimbursement from their health plan. Your insurance company may require one or more of the following codes to process a claim:
- ICD-10 Codes:
- L74.5 – ... |
97033 | SBT PTA IONTOPHORESIS EACH 15 MIN | HCPCS | R.A. Fischer Company will bill your insurance company if you have prior authorization and approval. Otherwise, patients typically purchase the device and then obtain reimbursement from their health plan. Your insurance company may require one or more of the following codes to process a claim:
- ICD-10 Codes:
- L74.5 – ... |
E1399 | ITEM 6664 | CPT | R.A. Fischer Company will bill your insurance company if you have prior authorization and approval. Otherwise, patients typically purchase the device and then obtain reimbursement from their health plan. Your insurance company may require one or more of the following codes to process a claim:
- ICD-10 Codes:
- L74.5 – ... |
48154 | PR PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY | HCPCS | Otherwise, patients typically purchase the device and then obtain reimbursement from their health plan. Your insurance company may require one or more of the following codes to process a claim:
- ICD-10 Codes:
- L74.5 – Focal Hyperhidrosis
- L74.51 – Primary Focal Hyperhidrosis
- L74.510 – Axilla
- L74.511 – Face
- L74... |
97033 | SBT PTA IONTOPHORESIS EACH 15 MIN | HCPCS | Otherwise, patients typically purchase the device and then obtain reimbursement from their health plan. Your insurance company may require one or more of the following codes to process a claim:
- ICD-10 Codes:
- L74.5 – Focal Hyperhidrosis
- L74.51 – Primary Focal Hyperhidrosis
- L74.510 – Axilla
- L74.511 – Face
- L74... |
E1399 | ITEM 6664 | CPT | Otherwise, patients typically purchase the device and then obtain reimbursement from their health plan. Your insurance company may require one or more of the following codes to process a claim:
- ICD-10 Codes:
- L74.5 – Focal Hyperhidrosis
- L74.51 – Primary Focal Hyperhidrosis
- L74.510 – Axilla
- L74.511 – Face
- L74... |
U0002 | HC Sars-Cov-2 Naa Coronavirus | HCPCS | Knowing your state laws and payer rules is important in this instance. (See resources for AAP fact sheet on coding for telehealth services and help in navigating your state laws on telehealth services.) Advocacy and payment
The AAP is monitoring health plan carrier uptake of the new Healthcare Common Procedure Coding S... |
U0001 | HC NOVEL CORONAVIRUS REALT TIME PCR | HCPCS | Knowing your state laws and payer rules is important in this instance. (See resources for AAP fact sheet on coding for telehealth services and help in navigating your state laws on telehealth services.) Advocacy and payment
The AAP is monitoring health plan carrier uptake of the new Healthcare Common Procedure Coding S... |
U0002 | HC Sars-Cov-2 Naa Coronavirus | HCPCS | (See resources for AAP fact sheet on coding for telehealth services and help in navigating your state laws on telehealth services.) Advocacy and payment
The AAP is monitoring health plan carrier uptake of the new Healthcare Common Procedure Coding System (HCPCS) Level II codes: U0001 and U0002. Per CMS, the Medicare cl... |
U0001 | HC NOVEL CORONAVIRUS REALT TIME PCR | HCPCS | (See resources for AAP fact sheet on coding for telehealth services and help in navigating your state laws on telehealth services.) Advocacy and payment
The AAP is monitoring health plan carrier uptake of the new Healthcare Common Procedure Coding System (HCPCS) Level II codes: U0001 and U0002. Per CMS, the Medicare cl... |
G6015 | Radiation tx delivery imrt | HCPCS | Policy description and statement updated to change "radiation therapy" to "radiotherapy." Added policy statement: Intensity-modulated radiotherapy (IMRT) is considered not medically necessary for the treatment of tumors of the CNS for all indications not meeting the criteria above. 12/31/2014: Added the following new 2... |
77386 | HC IMRT COMPLEX | HCPCS | Policy description and statement updated to change "radiation therapy" to "radiotherapy." Added policy statement: Intensity-modulated radiotherapy (IMRT) is considered not medically necessary for the treatment of tumors of the CNS for all indications not meeting the criteria above. 12/31/2014: Added the following new 2... |
77385 | HC IMRT SIMPLE | HCPCS | Policy description and statement updated to change "radiation therapy" to "radiotherapy." Added policy statement: Intensity-modulated radiotherapy (IMRT) is considered not medically necessary for the treatment of tumors of the CNS for all indications not meeting the criteria above. 12/31/2014: Added the following new 2... |
G6016 | PR DELIVERY COMP IMRT | HCPCS | Policy description and statement updated to change "radiation therapy" to "radiotherapy." Added policy statement: Intensity-modulated radiotherapy (IMRT) is considered not medically necessary for the treatment of tumors of the CNS for all indications not meeting the criteria above. 12/31/2014: Added the following new 2... |
G6015 | Radiation tx delivery imrt | HCPCS | Added policy statement: Intensity-modulated radiotherapy (IMRT) is considered not medically necessary for the treatment of tumors of the CNS for all indications not meeting the criteria above. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015... |
77386 | HC IMRT COMPLEX | HCPCS | Added policy statement: Intensity-modulated radiotherapy (IMRT) is considered not medically necessary for the treatment of tumors of the CNS for all indications not meeting the criteria above. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015... |
77385 | HC IMRT SIMPLE | HCPCS | Added policy statement: Intensity-modulated radiotherapy (IMRT) is considered not medically necessary for the treatment of tumors of the CNS for all indications not meeting the criteria above. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015... |
G6016 | PR DELIVERY COMP IMRT | HCPCS | Added policy statement: Intensity-modulated radiotherapy (IMRT) is considered not medically necessary for the treatment of tumors of the CNS for all indications not meeting the criteria above. 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015... |
G6015 | Radiation tx delivery imrt | HCPCS | 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: Policy reviewed; no change in policy statements. Policy Guidelin... |
77386 | HC IMRT COMPLEX | HCPCS | 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: Policy reviewed; no change in policy statements. Policy Guidelin... |
77385 | HC IMRT SIMPLE | HCPCS | 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: Policy reviewed; no change in policy statements. Policy Guidelin... |
G6016 | PR DELIVERY COMP IMRT | HCPCS | 12/31/2014: Added the following new 2015 CPT codes to the Code Reference section: 77385 and 77386. Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: Policy reviewed; no change in policy statements. Policy Guidelin... |
G6015 | Radiation tx delivery imrt | HCPCS | Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: Policy reviewed; no change in policy statements. Policy Guidelines section updated to add medically necessary and investigative definitions. 05/26/2016: Policy num... |
G6016 | PR DELIVERY COMP IMRT | HCPCS | Added the following new 2015 HCPCS codes to the Code Reference section: G6015 and G6016. 08/28/2015: Medical policy revised to add ICD-10 codes. 09/16/2015: Policy reviewed; no change in policy statements. Policy Guidelines section updated to add medically necessary and investigative definitions. 05/26/2016: Policy num... |
S0145 | Peg interferon alfa-2A/180 | HCPCS | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
S0146 | Peg interferon alfa-2b/10 | CPT | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
J9214 | interferon alfa-2b per 1000000 Units | HCPCS | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
J8499 | ZONISAMIDE 2.5ML 50MG 2.5ML SPPO | HCPCS | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
J9213 | Interferon alfa-2a inj | HCPCS | For the definition of Investigative, “generally accepted standards of medical practice” means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, and physician specialty society recommendations, and the views of m... |
S0145 | Peg interferon alfa-2A/180 | HCPCS | 11/19/2003: Approved by external gastroenterology consultants
12/18/2003: Code Reference section completed
11/02/2005: Description section updated, Off Label Uses and Renal carcinoma deleted. Policy section updated; changed preferred provider to CuraScript. 11/4/2005: Code Reference section updated, HCPCS codes J8499, ... |
S0146 | Peg interferon alfa-2b/10 | CPT | 11/19/2003: Approved by external gastroenterology consultants
12/18/2003: Code Reference section completed
11/02/2005: Description section updated, Off Label Uses and Renal carcinoma deleted. Policy section updated; changed preferred provider to CuraScript. 11/4/2005: Code Reference section updated, HCPCS codes J8499, ... |
J9214 | interferon alfa-2b per 1000000 Units | HCPCS | 11/19/2003: Approved by external gastroenterology consultants
12/18/2003: Code Reference section completed
11/02/2005: Description section updated, Off Label Uses and Renal carcinoma deleted. Policy section updated; changed preferred provider to CuraScript. 11/4/2005: Code Reference section updated, HCPCS codes J8499, ... |
J8499 | ZONISAMIDE 2.5ML 50MG 2.5ML SPPO | HCPCS | 11/19/2003: Approved by external gastroenterology consultants
12/18/2003: Code Reference section completed
11/02/2005: Description section updated, Off Label Uses and Renal carcinoma deleted. Policy section updated; changed preferred provider to CuraScript. 11/4/2005: Code Reference section updated, HCPCS codes J8499, ... |
J9213 | Interferon alfa-2a inj | HCPCS | 11/19/2003: Approved by external gastroenterology consultants
12/18/2003: Code Reference section completed
11/02/2005: Description section updated, Off Label Uses and Renal carcinoma deleted. Policy section updated; changed preferred provider to CuraScript. 11/4/2005: Code Reference section updated, HCPCS codes J8499, ... |
S0145 | Peg interferon alfa-2A/180 | HCPCS | Policy section updated; changed preferred provider to CuraScript. 11/4/2005: Code Reference section updated, HCPCS codes J8499, J9213, J9214 moved from the CPT4 code section in the table to the HCPCS code section, a deletion date of 6/30/2005 was added to codes J9213 and J9214; HCPCS codes S0145 and S0146 added with an... |
S0146 | Peg interferon alfa-2b/10 | CPT | Policy section updated; changed preferred provider to CuraScript. 11/4/2005: Code Reference section updated, HCPCS codes J8499, J9213, J9214 moved from the CPT4 code section in the table to the HCPCS code section, a deletion date of 6/30/2005 was added to codes J9213 and J9214; HCPCS codes S0145 and S0146 added with an... |
J9214 | interferon alfa-2b per 1000000 Units | HCPCS | Policy section updated; changed preferred provider to CuraScript. 11/4/2005: Code Reference section updated, HCPCS codes J8499, J9213, J9214 moved from the CPT4 code section in the table to the HCPCS code section, a deletion date of 6/30/2005 was added to codes J9213 and J9214; HCPCS codes S0145 and S0146 added with an... |
J8499 | ZONISAMIDE 2.5ML 50MG 2.5ML SPPO | HCPCS | Policy section updated; changed preferred provider to CuraScript. 11/4/2005: Code Reference section updated, HCPCS codes J8499, J9213, J9214 moved from the CPT4 code section in the table to the HCPCS code section, a deletion date of 6/30/2005 was added to codes J9213 and J9214; HCPCS codes S0145 and S0146 added with an... |
J9213 | Interferon alfa-2a inj | HCPCS | Policy section updated; changed preferred provider to CuraScript. 11/4/2005: Code Reference section updated, HCPCS codes J8499, J9213, J9214 moved from the CPT4 code section in the table to the HCPCS code section, a deletion date of 6/30/2005 was added to codes J9213 and J9214; HCPCS codes S0145 and S0146 added with an... |
S0145 | Peg interferon alfa-2A/180 | HCPCS | 11/4/2005: Code Reference section updated, HCPCS codes J8499, J9213, J9214 moved from the CPT4 code section in the table to the HCPCS code section, a deletion date of 6/30/2005 was added to codes J9213 and J9214; HCPCS codes S0145 and S0146 added with an effective date of 7/1/2005; the Non-Covered Codes table was delet... |
S0146 | Peg interferon alfa-2b/10 | CPT | 11/4/2005: Code Reference section updated, HCPCS codes J8499, J9213, J9214 moved from the CPT4 code section in the table to the HCPCS code section, a deletion date of 6/30/2005 was added to codes J9213 and J9214; HCPCS codes S0145 and S0146 added with an effective date of 7/1/2005; the Non-Covered Codes table was delet... |
J9214 | interferon alfa-2b per 1000000 Units | HCPCS | 11/4/2005: Code Reference section updated, HCPCS codes J8499, J9213, J9214 moved from the CPT4 code section in the table to the HCPCS code section, a deletion date of 6/30/2005 was added to codes J9213 and J9214; HCPCS codes S0145 and S0146 added with an effective date of 7/1/2005; the Non-Covered Codes table was delet... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.