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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...