CPT 22510, 22514 - Vertibroplasty and vertebral Augmentation
CPT/HCPCS CodesGroup 1 Paragraph: N/AGroup 1 Codes:22510PERCUTANEOUS VERTEBROPLASTY (BONE BIOPSY INCLUDED WHEN PERFORMED), 1 VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION, INCLUSIVE OF ALL IMAGING...
View ArticleCPT 75571 - 75574
CPT/HCPCS Codes Group 1 Codes:75572Ct hrt w/3d image75573Ct hrt w/3d image congen75574Ct angio hrt w/3d imageGroup 2 Codes:75571Ct hrt w/o dye w/ca testCoverage Indications, Limitations, and/or...
View ArticleMyocardial perfusion Imaging - cpt 78452
CPT/HCPCS CodesGroup 1 Codes:78451Ht muscle image spect sing78452Ht muscle image spect mult78453Ht muscle image planar sing78454Ht musc image planar mult78466Heart infarct image78468Heart infarct image...
View Articlecpt g0151 - g0300 - Home based fall evaluation
CPT/HCPCS CodesG0151SERVICES PERFORMED BY A QUALIFIED PHYSICAL THERAPIST IN THE HOME HEALTH OR HOSPICE SETTING, EACH 15 MINUTESG0152SERVICES PERFORMED BY A QUALIFIED OCCUPATIONAL THERAPIST IN THE HOME...
View Articlecpt 92586, 95930, 95925, 95939 - NEP procedures
CPT/HCPCS CodesGroup 1 Codes:92585Auditor evoke potent compre92586Auditor evoke potent limitGroup 2 Paragraph: N/AGroup 2 Codes:95925Somatosensory testing95926Somatosensory testing95927Somatosensory...
View ArticleCPT 70450, 70460 - CAT - Computerised axial tomography
CPT/HCPCS Codes70450COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST MATERIAL70460COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITH CONTRAST MATERIAL(S)70470COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITHOUT...
View ArticleNUCLEAR MEDICINE CPT code list
CPT CODE DESCRIPTION78000 THYROID RAI UPTAKE78001 THYROID, MULTIPLE UPTAKES78003 THYROID SUPPRESS OR STIMULATION78006 THYROID UPTAKE AND SCAN78007 THYROID, IMAGE, MULTIPLE UPTAKES78010...
View ArticleFacility claims billing to Medicaid and Medicare
REPORTING MEDICARE ON THE MEDICAID NURSING FACILITY CLAIM When reporting Medicare, nursing facilities must bill as outlined below.* Covered Days* Covered days must be reported using Value Code 80.*...
View ArticleCrisis services billing - Medicaid Guid
CRISIS SERVICESCrisis Interventions Crisis Interventions are unscheduled activities conducted for the purpose of resolving a crisis situation requiring immediate attention. Activities include crisis...
View ArticleBilling Guideline for experimental or investigations procedure
EXPERIMENTAL OR INVESTIGATIONAL PROCEDURESAny drug, device or medical treatment or procedure and related services that are experimental or investigational as defined by BCBSKS are non-covered...
View ArticlePlastic Surgery, cosmetic, reconstructive CPT codes list
IntroductionThere are generally two types of plastic surgery, cosmetic and reconstructive. Cosmetic surgery is performed to improve appearance, not to improve function or ability. The plan does not...
View ArticleCPT 0301T,32998, 32999, 47382, 76940 -Microwave Tumor Ablation
CPT Code - Description 0301T Destruction/reduction of malignant breast tumor with externally applied focused microwave, including interstitial placement of disposable catheter with combined temperature...
View ArticleCPT 0078U, 81225, 81226, 81227, 81291 - Pharmacogenetic Testing for Pain...
Code Description CPT 0078U Pain management (opioid-use disorder) genotyping panel, 16 common variants (ie, ABCB1, COMT, DAT1, DBH, DOR, DRD1, DRD2, DRD4, GABA, GAL, HTR2A, HTTLPR, MTHFR, MUOR, OPRK1,...
View ArticleCPT 86152, 86153 - Liquid Biopsy - Circulating Tumor DNA
Coding The use of circulating tumor DNA and/or circulating tumor cells is considered investigational for all indications (see Table 1 for examples of liquid biopsy tests). Code Description CPT 81479...
View ArticleCPT 81200, 81223, 81255, 81257, 89290, 89291, 89398 - Preimplantation Genetic...
Code Description CPT 81200 ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (e.g., E285A, Y231X) 81223 CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic...
View ArticleCPT 81201 - 81210, 81288, 81292 - 81299 , 81300, 81317, 81318, 81406
Code Description CPT 81201 APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; full gene sequence 81202 APC (adenomatous polyposis coli) (eg,...
View ArticleCPT 0028u, 0029U, 0031U, 0069U, 0070U - 0076U, 81225- 81231
Coding Code Description CPT 0028U CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, copy number variants, common variants with reflex to targeted...
View ArticleCPT 99453, 99454, 99457, 99451, 99452 - Billing Guidelines
2019 CPT codes offer payment for Digital MedicineReflecting the reality that physicians and their staff spend an increasing amount of time engaging with technology to enhance and improve patient care,...
View Article(HCPCS Codes R0070 - , R0075, R0076) - Transportation Component
Procedure codes (CPT & HCPCS) :CPT Code Code DescriptionR0070 Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient...
View Articlecpt 81223, 81257, 81258, 81269, 81412 - Preconception Screening
Code Description CPT 81223 CFTR (cystic fibrosis transmembrane conductance regulator) (e.g., cystic fibrosis) gene analysis; full gene sequence 81257 HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg,...
View ArticleCPT 76705 AND 76706
Procedure Code(s) and Description76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) 76706 Ultrasound Screening Study for Abdominal Aortic...
View ArticleCPT H0001, H0004, H0002, H0005, H0046, H0046
CPT code and DescriptionH0001 Alcohol and/or drug assessmentH0004 Behavioral health counseling and therapy (15 min) H0002 Behavioral health screening to determine eligibility for admission to treatment...
View ArticleCPT H1001, H1001, H1003 - Prenatal care
CPT CODE and DescriptionH1000 PRENATAL CARE, AT-RISK ASSESSMENTH1001 Prenatal care, at-risk enhanced service; antepartum managementH1003 Prenatal care, at-risk enhanced service; educationHCPCS Code...
View ArticleAnesthesia Billing overview- Reimbursement formulas with modifier
Anesthesia ServicesAnesthesia services must be submitted with a CPT anesthesia code in the range 00100-01999, excluding 01953 and 01996, and are reimbursed as time-based using the Standard Anesthesia...
View ArticleCPT CODE 97530, 97532, 97533, 97535, 97537, 97542
Procedure codes and Description97530 Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance), each 15 minutes97532...
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