code
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|---|---|---|---|
G6003
|
Radiation treatment delivery
|
HCPCS
|
Removed deleted CPT code 61795 from the Code Reference section, and added the following ICD-9 codes as covered: 194.6, 198.3, 237.0, 237.3. 12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes.
|
G6005
|
Radiation treatment delivery
|
HCPCS
|
Removed deleted CPT code 61795 from the Code Reference section, and added the following ICD-9 codes as covered: 194.6, 198.3, 237.0, 237.3. 12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes.
|
G6009
|
Radiation treatment delivery
|
HCPCS
|
Removed deleted CPT code 61795 from the Code Reference section, and added the following ICD-9 codes as covered: 194.6, 198.3, 237.0, 237.3. 12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes.
|
G6013
|
Radiation treatment delivery
|
HCPCS
|
Removed deleted CPT code 61795 from the Code Reference section, and added the following ICD-9 codes as covered: 194.6, 198.3, 237.0, 237.3. 12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes.
|
G6008
|
Radiation treatment delivery
|
HCPCS
|
Removed deleted CPT code 61795 from the Code Reference section, and added the following ICD-9 codes as covered: 194.6, 198.3, 237.0, 237.3. 12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes.
|
77412
|
RAD TRMT DELIVERY, > 1 MEV, COMPL
|
HCPCS
|
Removed deleted CPT code 61795 from the Code Reference section, and added the following ICD-9 codes as covered: 194.6, 198.3, 237.0, 237.3. 12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes.
|
77402
|
HC RAD TX> 1MEV, SIMPLE
|
HCPCS
|
Removed deleted CPT code 61795 from the Code Reference section, and added the following ICD-9 codes as covered: 194.6, 198.3, 237.0, 237.3. 12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes.
|
G6010
|
Radiation treatment delivery
|
HCPCS
|
Removed deleted CPT code 61795 from the Code Reference section, and added the following ICD-9 codes as covered: 194.6, 198.3, 237.0, 237.3. 12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes.
|
G6014
|
Radiation treatment delivery
|
HCPCS
|
Removed deleted CPT code 61795 from the Code Reference section, and added the following ICD-9 codes as covered: 194.6, 198.3, 237.0, 237.3. 12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes.
|
G6004
|
Radiation treatment delivery
|
HCPCS
|
Removed deleted CPT code 61795 from the Code Reference section, and added the following ICD-9 codes as covered: 194.6, 198.3, 237.0, 237.3. 12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes.
|
61795
|
Brain surgery using computer
|
HCPCS
|
Removed deleted CPT code 61795 from the Code Reference section, and added the following ICD-9 codes as covered: 194.6, 198.3, 237.0, 237.3. 12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes.
|
G6006
|
Radiation treatment delivery
|
HCPCS
|
Removed deleted CPT code 61795 from the Code Reference section, and added the following ICD-9 codes as covered: 194.6, 198.3, 237.0, 237.3. 12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes.
|
G6011
|
Radiation treatment delivery
|
HCPCS
|
12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added.
|
G6007
|
Radiation treatment delivery
|
HCPCS
|
12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added.
|
77407
|
HC RADIATION TREATMENT DELIVERY
|
HCPCS
|
12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added.
|
G6012
|
Radiation treatment delivery
|
HCPCS
|
12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added.
|
G6003
|
Radiation treatment delivery
|
HCPCS
|
12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added.
|
G6005
|
Radiation treatment delivery
|
HCPCS
|
12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added.
|
G6009
|
Radiation treatment delivery
|
HCPCS
|
12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added.
|
G6013
|
Radiation treatment delivery
|
HCPCS
|
12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added.
|
G6008
|
Radiation treatment delivery
|
HCPCS
|
12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added.
|
77412
|
RAD TRMT DELIVERY, > 1 MEV, COMPL
|
HCPCS
|
12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added.
|
77402
|
HC RAD TX> 1MEV, SIMPLE
|
HCPCS
|
12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added.
|
G6010
|
Radiation treatment delivery
|
HCPCS
|
12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added.
|
G6014
|
Radiation treatment delivery
|
HCPCS
|
12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added.
|
G6004
|
Radiation treatment delivery
|
HCPCS
|
12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added.
|
G6006
|
Radiation treatment delivery
|
HCPCS
|
12/13/2013: Policy statement updated to state that SRS is considered investigational for uveal melanoma. 12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added.
|
G6011
|
Radiation treatment delivery
|
HCPCS
|
12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions.
|
G6007
|
Radiation treatment delivery
|
HCPCS
|
12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions.
|
77407
|
HC RADIATION TREATMENT DELIVERY
|
HCPCS
|
12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions.
|
G6012
|
Radiation treatment delivery
|
HCPCS
|
12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions.
|
G6003
|
Radiation treatment delivery
|
HCPCS
|
12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions.
|
G6005
|
Radiation treatment delivery
|
HCPCS
|
12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions.
|
G6009
|
Radiation treatment delivery
|
HCPCS
|
12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions.
|
G6013
|
Radiation treatment delivery
|
HCPCS
|
12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions.
|
G6008
|
Radiation treatment delivery
|
HCPCS
|
12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions.
|
77412
|
RAD TRMT DELIVERY, > 1 MEV, COMPL
|
HCPCS
|
12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions.
|
77402
|
HC RAD TX> 1MEV, SIMPLE
|
HCPCS
|
12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions.
|
G6010
|
Radiation treatment delivery
|
HCPCS
|
12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions.
|
G6014
|
Radiation treatment delivery
|
HCPCS
|
12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions.
|
G6004
|
Radiation treatment delivery
|
HCPCS
|
12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions.
|
G6006
|
Radiation treatment delivery
|
HCPCS
|
12/31/2014: Code Reference section updated to revise the description of the following CPT codes: 77402, 77407, and 77412. Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions.
|
G6011
|
Radiation treatment delivery
|
HCPCS
|
Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions. SOURCE(S)Hayes Medical Technology Directory
Blue Cross Blue Shield Association policies # 6.01.10 and # 8.01.10
This may not be a comprehensive list of procedure codes applicable to this policy.
|
G6007
|
Radiation treatment delivery
|
HCPCS
|
Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions. SOURCE(S)Hayes Medical Technology Directory
Blue Cross Blue Shield Association policies # 6.01.10 and # 8.01.10
This may not be a comprehensive list of procedure codes applicable to this policy.
|
G6012
|
Radiation treatment delivery
|
HCPCS
|
Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions. SOURCE(S)Hayes Medical Technology Directory
Blue Cross Blue Shield Association policies # 6.01.10 and # 8.01.10
This may not be a comprehensive list of procedure codes applicable to this policy.
|
G6003
|
Radiation treatment delivery
|
HCPCS
|
Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions. SOURCE(S)Hayes Medical Technology Directory
Blue Cross Blue Shield Association policies # 6.01.10 and # 8.01.10
This may not be a comprehensive list of procedure codes applicable to this policy.
|
G6005
|
Radiation treatment delivery
|
HCPCS
|
Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions. SOURCE(S)Hayes Medical Technology Directory
Blue Cross Blue Shield Association policies # 6.01.10 and # 8.01.10
This may not be a comprehensive list of procedure codes applicable to this policy.
|
G6009
|
Radiation treatment delivery
|
HCPCS
|
Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions. SOURCE(S)Hayes Medical Technology Directory
Blue Cross Blue Shield Association policies # 6.01.10 and # 8.01.10
This may not be a comprehensive list of procedure codes applicable to this policy.
|
G6013
|
Radiation treatment delivery
|
HCPCS
|
Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions. SOURCE(S)Hayes Medical Technology Directory
Blue Cross Blue Shield Association policies # 6.01.10 and # 8.01.10
This may not be a comprehensive list of procedure codes applicable to this policy.
|
G6008
|
Radiation treatment delivery
|
HCPCS
|
Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions. SOURCE(S)Hayes Medical Technology Directory
Blue Cross Blue Shield Association policies # 6.01.10 and # 8.01.10
This may not be a comprehensive list of procedure codes applicable to this policy.
|
G6010
|
Radiation treatment delivery
|
HCPCS
|
Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions. SOURCE(S)Hayes Medical Technology Directory
Blue Cross Blue Shield Association policies # 6.01.10 and # 8.01.10
This may not be a comprehensive list of procedure codes applicable to this policy.
|
G6014
|
Radiation treatment delivery
|
HCPCS
|
Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions. SOURCE(S)Hayes Medical Technology Directory
Blue Cross Blue Shield Association policies # 6.01.10 and # 8.01.10
This may not be a comprehensive list of procedure codes applicable to this policy.
|
G6004
|
Radiation treatment delivery
|
HCPCS
|
Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions. SOURCE(S)Hayes Medical Technology Directory
Blue Cross Blue Shield Association policies # 6.01.10 and # 8.01.10
This may not be a comprehensive list of procedure codes applicable to this policy.
|
G6006
|
Radiation treatment delivery
|
HCPCS
|
Added the following new 2015 HCPCS codes: G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014. 08/27/2015: Code Reference section updated to add ICD-10 codes. 06/07/2016: Policy number added. Policy Guidelines updated to add medically necessary and investigative definitions. SOURCE(S)Hayes Medical Technology Directory
Blue Cross Blue Shield Association policies # 6.01.10 and # 8.01.10
This may not be a comprehensive list of procedure codes applicable to this policy.
|
1999
|
ANESTHESIOLOGY GROUP
|
CPT
|
- Ophthalmic Technology Assessment Committee Cornea Panel American Academy of Ophthalmology. Corneal topography. Ophthalmology 1999; 106(8-Jan):1628-38. |CPT||92025||Computerized corneal topography, unilateral or bilateral, with interpretation and report|
|92002–92014||General ophthalmological services|
|ICD-9 Procedure||95.02||Comprehensive eye examination|
|95.09||Eye examination, not otherwise specified|
|ICD-9 Diagnosis||Not medically necessary for all diagnoses|
|ICD-10-CM (effective 10/01/15)||Not medically necessary for all diagnoses|
|H16.001-H16.9||Keratitis code range|
|H17.00-H17.9||Corneal scars and opacities code range|
|H18.001-H18.9||Other disorders of cornea code range|
|ICD-10-PCS (effective 10/01/15)||ICD-10-PCS codes are only used for inpatient services. There is no specific ICD-10-PCS code for this examination.|
|08J0XZZ, 08J1XZZ||Eye examination, code by body part (right eye or left eye)|
|Type of Service||Ophthalmology|
|Place of Service||Physician’s Office|
|11/1/97||Add to Vision section||New policy|
|7/12/02||Replace policy||Policy reviewed without literature review; new review date only|
|10/09/03||Replace policy||Policy reviewed by consensus without literature review; no changes in policy; no further review scheduled|
|10/10/2006||Replace policy||Policy updated with literature review.
|
1999
|
ANESTHESIOLOGY GROUP
|
CPT
|
Corneal topography. Ophthalmology 1999; 106(8-Jan):1628-38. |CPT||92025||Computerized corneal topography, unilateral or bilateral, with interpretation and report|
|92002–92014||General ophthalmological services|
|ICD-9 Procedure||95.02||Comprehensive eye examination|
|95.09||Eye examination, not otherwise specified|
|ICD-9 Diagnosis||Not medically necessary for all diagnoses|
|ICD-10-CM (effective 10/01/15)||Not medically necessary for all diagnoses|
|H16.001-H16.9||Keratitis code range|
|H17.00-H17.9||Corneal scars and opacities code range|
|H18.001-H18.9||Other disorders of cornea code range|
|ICD-10-PCS (effective 10/01/15)||ICD-10-PCS codes are only used for inpatient services. There is no specific ICD-10-PCS code for this examination.|
|08J0XZZ, 08J1XZZ||Eye examination, code by body part (right eye or left eye)|
|Type of Service||Ophthalmology|
|Place of Service||Physician’s Office|
|11/1/97||Add to Vision section||New policy|
|7/12/02||Replace policy||Policy reviewed without literature review; new review date only|
|10/09/03||Replace policy||Policy reviewed by consensus without literature review; no changes in policy; no further review scheduled|
|10/10/2006||Replace policy||Policy updated with literature review. Policy statement revised.|
|12/13/07||Replace Policy||Policy updated with literature review; reference 3 added; policy statement unchanged.|
|04/24/09||Replace policy||Policy updated with literature review through January 2009; policy statement changed to not medically necessary.|
|04/08/10||Replace policy||Policy updated with literature review through February 2010; reference 3 added; policy statement unchanged|
|4/14/11||Replace policy||Policy updated with literature review through February 2011; policy statement unchanged|
|04/12/12||Replace policy||Policy updated with literature review through February 2012; policy statement unchanged|
|04/11/13||Replace policy||Policy updated with literature review through March 13, 2013; reference 4 added; policy statement unchanged|
|4/10/14||Replace policy||Policy updated with literature review through March 3, 2014; policy statement unchanged|
|
1999
|
ANESTHESIOLOGY GROUP
|
CPT
|
Ophthalmology 1999; 106(8-Jan):1628-38. |CPT||92025||Computerized corneal topography, unilateral or bilateral, with interpretation and report|
|92002–92014||General ophthalmological services|
|ICD-9 Procedure||95.02||Comprehensive eye examination|
|95.09||Eye examination, not otherwise specified|
|ICD-9 Diagnosis||Not medically necessary for all diagnoses|
|ICD-10-CM (effective 10/01/15)||Not medically necessary for all diagnoses|
|H16.001-H16.9||Keratitis code range|
|H17.00-H17.9||Corneal scars and opacities code range|
|H18.001-H18.9||Other disorders of cornea code range|
|ICD-10-PCS (effective 10/01/15)||ICD-10-PCS codes are only used for inpatient services. There is no specific ICD-10-PCS code for this examination.|
|08J0XZZ, 08J1XZZ||Eye examination, code by body part (right eye or left eye)|
|Type of Service||Ophthalmology|
|Place of Service||Physician’s Office|
|11/1/97||Add to Vision section||New policy|
|7/12/02||Replace policy||Policy reviewed without literature review; new review date only|
|10/09/03||Replace policy||Policy reviewed by consensus without literature review; no changes in policy; no further review scheduled|
|10/10/2006||Replace policy||Policy updated with literature review. Policy statement revised.|
|12/13/07||Replace Policy||Policy updated with literature review; reference 3 added; policy statement unchanged.|
|04/24/09||Replace policy||Policy updated with literature review through January 2009; policy statement changed to not medically necessary.|
|04/08/10||Replace policy||Policy updated with literature review through February 2010; reference 3 added; policy statement unchanged|
|4/14/11||Replace policy||Policy updated with literature review through February 2011; policy statement unchanged|
|04/12/12||Replace policy||Policy updated with literature review through February 2012; policy statement unchanged|
|04/11/13||Replace policy||Policy updated with literature review through March 13, 2013; reference 4 added; policy statement unchanged|
|4/10/14||Replace policy||Policy updated with literature review through March 3, 2014; policy statement unchanged|
|
90581
|
Anthrax vaccine sc or im
|
HCPCS
|
The safety of raxibacumab was evaluated in 326 healthy human volunteers. Common side effects included rash, extremity pain, itching and drowsiness. |HCPCS / CPT Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes covered if selection criteria are met:|
|90581||Anthrax vaccine, for subcutaneous or intramuscular use|
|ICD-10 codes covered if selection criteria are met:|
|Z20.810||Contact with and (suspected) exposure to anthrax|
|Z23||Encounter for immunization|
|
90581
|
Anthrax vaccine sc or im
|
HCPCS
|
Common side effects included rash, extremity pain, itching and drowsiness. |HCPCS / CPT Codes / ICD-10 Codes|
|Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+":|
|ICD-10 codes will become effective as of October 1, 2015:|
|CPT codes covered if selection criteria are met:|
|90581||Anthrax vaccine, for subcutaneous or intramuscular use|
|ICD-10 codes covered if selection criteria are met:|
|Z20.810||Contact with and (suspected) exposure to anthrax|
|Z23||Encounter for immunization|
|
1996
|
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
|
HCPCS
|
The Healthcare Common Procedure Coding System (HCPCS) is a two-tiered system that includes Common Procedure Terminology, at Level I, which is usually referred to as CPT codes. More specialized codes are used for reporting services to Medicare and other payers at Level II. Since these codes do not have an equivalent in any other manual but the Center for Medicare and Medicaid Services HCPCS manual, these codes are referred to as HCPCS in the field, to differentiate them from the more universal CPT codes. The use of HCPCS for all medical transactions was mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPPA). While HIPPA established a number of regulations governing the transmission of Protected Health Information (PHI), its enactment also mandated the use of the same codes across the industry to describe medical procedures.
|
1996
|
Daily Hospital Management Of Epidural Or Subarachnoid Continuous Drug Administration
|
HCPCS
|
More specialized codes are used for reporting services to Medicare and other payers at Level II. Since these codes do not have an equivalent in any other manual but the Center for Medicare and Medicaid Services HCPCS manual, these codes are referred to as HCPCS in the field, to differentiate them from the more universal CPT codes. The use of HCPCS for all medical transactions was mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPPA). While HIPPA established a number of regulations governing the transmission of Protected Health Information (PHI), its enactment also mandated the use of the same codes across the industry to describe medical procedures. For this reason, both medical billers and medical coders need a solid understanding of how these codes are meant to be used, the kind of understanding that can only be gained through a formal education program of study.
|
99213
|
Telehealth visit INT
|
HCPCS
|
When the coder locations the code J02.9 on the health-related assert, it tells the insurance coverage business that the affected person was observed since they have been complaining of a sore throat. • CPT, or treatment, codes, explain to the insurance organization what methods have been done on the patient on the day that they had been seen. For example, the code 99213 is employed to depict a typical place of work visit. When the coder includes the code 99213 on the declare, it tells the insurance policy business that the health-related service provider done a mid-assortment place of work go to. • HCPCS, or provide codes, are utilised to signify all of the other miscellaneous companies or materials presented to a client on the day they were seen.
|
99213
|
Telehealth visit INT
|
HCPCS
|
• CPT, or treatment, codes, explain to the insurance organization what methods have been done on the patient on the day that they had been seen. For example, the code 99213 is employed to depict a typical place of work visit. When the coder includes the code 99213 on the declare, it tells the insurance policy business that the health-related service provider done a mid-assortment place of work go to. • HCPCS, or provide codes, are utilised to signify all of the other miscellaneous companies or materials presented to a client on the day they were seen. These codes are not often integrated on a claim kind due to the fact they include supplies or other solutions that are not integrated in the CPT e-book, such as ambulance transportation or durable healthcare products.
|
99213
|
Telehealth visit INT
|
HCPCS
|
For example, the code 99213 is employed to depict a typical place of work visit. When the coder includes the code 99213 on the declare, it tells the insurance policy business that the health-related service provider done a mid-assortment place of work go to. • HCPCS, or provide codes, are utilised to signify all of the other miscellaneous companies or materials presented to a client on the day they were seen. These codes are not often integrated on a claim kind due to the fact they include supplies or other solutions that are not integrated in the CPT e-book, such as ambulance transportation or durable healthcare products. Health-related companies only monthly bill for CPT and HCPCS codes since they depict real solutions and provides offered to the client.
|
99213
|
Telehealth visit INT
|
HCPCS
|
When the coder includes the code 99213 on the declare, it tells the insurance policy business that the health-related service provider done a mid-assortment place of work go to. • HCPCS, or provide codes, are utilised to signify all of the other miscellaneous companies or materials presented to a client on the day they were seen. These codes are not often integrated on a claim kind due to the fact they include supplies or other solutions that are not integrated in the CPT e-book, such as ambulance transportation or durable healthcare products. Health-related companies only monthly bill for CPT and HCPCS codes since they depict real solutions and provides offered to the client. Each and every code is provided an individual cost, and is separately reimbursed by the insurance policies firm.
|
1743
|
Percutaneous robotic assisted procedure
|
ICD
|
Search for a rare disease
Other search option(s)
Retinitis pigmentosa (RP) is an inherited retinal dystrophy leading to progressive loss of the photoreceptors and retinal pigment epithelium and resulting in blindness usually after several decades. - Synonym(s): -
- Prevalence: 1-5 / 10 000
- Inheritance: Autosomal dominant or Autosomal recessive or X-linked recessive or Mitochondrial inheritance
- Age of onset: Childhood, Adolescent, Adult
- ICD-10: H35.5
- OMIM: 180100 180104 180105 180210 268000 268025 268060 300029 300155 300424 300605 312600 312612 400004 600059 600105 600132 600138 600852 601414 601718 602594 602772 604232 604393 606068 607921 608133 608380 609913 609923 610282 610359 610599 611131 612095 612165 612572 612712 612943 613194 613341 613428 613464 613575 613581 613582 613617 613660 613731 613750 613756 613758 613767 613769 613794 613801 613809 613810 613827 613861 613862 613983 614180 614181 614494 614500 615233 615434 615565 615725 615780 615922 616188 616394 616469 616544 616562 617023 617123 617304 617433 617460 617781
- UMLS: C0035334
- MeSH: D012174
- GARD: 5694
- MedDRA: 10038914
Prevalence of RP is reported to be 1/3,000 to 1/5,000. No ethnic specificities have been reported although founder effects are possible. Retinitis pigmentosa is slowly progressive but relentless.
|
0212
|
Other Inpatient
|
RC
|
University of Michigan Health System
1500 E. Medical Center Drive
Ann Arbor, MI 48109
Sherman Leis, D.O., F.A.C.O.S. The Center For Plastic And Reconstructive Surgery
19 Montgomery Avenue
Bala Cynwyd, PA 19004
Ellie Zara Ley, MD
7025 N. Scottsdale Rd, Suite 302
Scottsdale, AZ 85253
Christine McGinn, MD
Papillon Gender Wellness Center
18 Village Row
New Hope, PA 18938
Toby R Meltzer, MD, PC
7025 N. Scottsdale Rd, Suite 302
Scottsdale, AZ 85253
Tuan A. Nguyen, M.D., D.D.S. 15820 Quarry Road
Lake Oswego, OR 97035
Harold M. Reed, M.D., F.I.C.S. 1111 Kane Concourse
Bay Harbor, Florida 33154
Kathy Rumer, MD, FACOS
Rumer Cosmetic Surgery
105 Ardmore Avenue
Ardmore, PA 19003
575 Sir Francis Drake Blvd
Greenbrae, CA 94904
University Plastic Surgery, 9000 Waukegan Rd, Suite 210,
Morton Grove, IL, 60053, US
Christopher Salgado, MD
1120 NW 14th Street
Miami, FL 33136
9884 South Santa Monica Blvd
Beverly Hills, CA 90212
Heidi Wittenberg, MD
Urogynecology Center of San Francisco
55 Francisco Street, #300
San Francisco, CA 94133
NEW! DR. RIAN MAERCKS, M.D.
|
86328
|
HC SARS - COV-2 ANTIBODY TESTING SINGLE STEP METHOD
|
HCPCS
|
Another common code being used now is CPT, which stands for Current Procedural Training. The addition of CPT code 87635 for novel coronavirus testing through infectious agent detection by nucleic acid, as well as codes 86328 and 86769 for COVID-19 antibody tests, as well as 86318, which is the revision for SARS-CoV-2 nucleic acid tests, also fall under this category as well. Additionally, code 86328 was also created for antibody tests that use a single step method immunoassay. This typically includes a strip with all of the most critical components for the assay itself and is more appropriate for a point-of-care platform. HCPCS is another common code being used now, which stands for Healthcare Common Procedure Coding System.
|
86318
|
HC IMMUNOASSAY FOR INFECTIOUS AGENT ANTIBODY, QUALITATIVE OR SEM
|
HCPCS
|
Another common code being used now is CPT, which stands for Current Procedural Training. The addition of CPT code 87635 for novel coronavirus testing through infectious agent detection by nucleic acid, as well as codes 86328 and 86769 for COVID-19 antibody tests, as well as 86318, which is the revision for SARS-CoV-2 nucleic acid tests, also fall under this category as well. Additionally, code 86328 was also created for antibody tests that use a single step method immunoassay. This typically includes a strip with all of the most critical components for the assay itself and is more appropriate for a point-of-care platform. HCPCS is another common code being used now, which stands for Healthcare Common Procedure Coding System.
|
86769
|
SARS-COV-2 COVID-19 ANTIBODY
|
HCPCS
|
Another common code being used now is CPT, which stands for Current Procedural Training. The addition of CPT code 87635 for novel coronavirus testing through infectious agent detection by nucleic acid, as well as codes 86328 and 86769 for COVID-19 antibody tests, as well as 86318, which is the revision for SARS-CoV-2 nucleic acid tests, also fall under this category as well. Additionally, code 86328 was also created for antibody tests that use a single step method immunoassay. This typically includes a strip with all of the most critical components for the assay itself and is more appropriate for a point-of-care platform. HCPCS is another common code being used now, which stands for Healthcare Common Procedure Coding System.
|
87635
|
SARS-COV-2 COVID-19 AMP PRB
|
HCPCS
|
Another common code being used now is CPT, which stands for Current Procedural Training. The addition of CPT code 87635 for novel coronavirus testing through infectious agent detection by nucleic acid, as well as codes 86328 and 86769 for COVID-19 antibody tests, as well as 86318, which is the revision for SARS-CoV-2 nucleic acid tests, also fall under this category as well. Additionally, code 86328 was also created for antibody tests that use a single step method immunoassay. This typically includes a strip with all of the most critical components for the assay itself and is more appropriate for a point-of-care platform. HCPCS is another common code being used now, which stands for Healthcare Common Procedure Coding System.
|
U0002
|
HC Sars-Cov-2 Naa Coronavirus
|
HCPCS
|
Additionally, code 86328 was also created for antibody tests that use a single step method immunoassay. This typically includes a strip with all of the most critical components for the assay itself and is more appropriate for a point-of-care platform. HCPCS is another common code being used now, which stands for Healthcare Common Procedure Coding System. Two codes are being included as part of this – U0001 and U0002, both of which are designed for COVID-19 tests. The first code is used for documenting and billing tests performed at CDC testing laboratories, and the second code is used to help with supporting the CDC’s efforts with enabling clinical laboratories outside of the CDC itself to both create and bill for their own COVID-19 tests.
|
U0001
|
HC NOVEL CORONAVIRUS REALT TIME PCR
|
HCPCS
|
Additionally, code 86328 was also created for antibody tests that use a single step method immunoassay. This typically includes a strip with all of the most critical components for the assay itself and is more appropriate for a point-of-care platform. HCPCS is another common code being used now, which stands for Healthcare Common Procedure Coding System. Two codes are being included as part of this – U0001 and U0002, both of which are designed for COVID-19 tests. The first code is used for documenting and billing tests performed at CDC testing laboratories, and the second code is used to help with supporting the CDC’s efforts with enabling clinical laboratories outside of the CDC itself to both create and bill for their own COVID-19 tests.
|
86328
|
HC SARS - COV-2 ANTIBODY TESTING SINGLE STEP METHOD
|
HCPCS
|
Additionally, code 86328 was also created for antibody tests that use a single step method immunoassay. This typically includes a strip with all of the most critical components for the assay itself and is more appropriate for a point-of-care platform. HCPCS is another common code being used now, which stands for Healthcare Common Procedure Coding System. Two codes are being included as part of this – U0001 and U0002, both of which are designed for COVID-19 tests. The first code is used for documenting and billing tests performed at CDC testing laboratories, and the second code is used to help with supporting the CDC’s efforts with enabling clinical laboratories outside of the CDC itself to both create and bill for their own COVID-19 tests.
|
U0002
|
HC Sars-Cov-2 Naa Coronavirus
|
HCPCS
|
This typically includes a strip with all of the most critical components for the assay itself and is more appropriate for a point-of-care platform. HCPCS is another common code being used now, which stands for Healthcare Common Procedure Coding System. Two codes are being included as part of this – U0001 and U0002, both of which are designed for COVID-19 tests. The first code is used for documenting and billing tests performed at CDC testing laboratories, and the second code is used to help with supporting the CDC’s efforts with enabling clinical laboratories outside of the CDC itself to both create and bill for their own COVID-19 tests. Thank you for visiting the Quick Claimers blog, medical billing and coding el paso company.
|
U0001
|
HC NOVEL CORONAVIRUS REALT TIME PCR
|
HCPCS
|
This typically includes a strip with all of the most critical components for the assay itself and is more appropriate for a point-of-care platform. HCPCS is another common code being used now, which stands for Healthcare Common Procedure Coding System. Two codes are being included as part of this – U0001 and U0002, both of which are designed for COVID-19 tests. The first code is used for documenting and billing tests performed at CDC testing laboratories, and the second code is used to help with supporting the CDC’s efforts with enabling clinical laboratories outside of the CDC itself to both create and bill for their own COVID-19 tests. Thank you for visiting the Quick Claimers blog, medical billing and coding el paso company.
|
U0002
|
HC Sars-Cov-2 Naa Coronavirus
|
HCPCS
|
HCPCS is another common code being used now, which stands for Healthcare Common Procedure Coding System. Two codes are being included as part of this – U0001 and U0002, both of which are designed for COVID-19 tests. The first code is used for documenting and billing tests performed at CDC testing laboratories, and the second code is used to help with supporting the CDC’s efforts with enabling clinical laboratories outside of the CDC itself to both create and bill for their own COVID-19 tests. Thank you for visiting the Quick Claimers blog, medical billing and coding el paso company. If you are looking for a better way to do billing for your practice contact us today!
|
U0001
|
HC NOVEL CORONAVIRUS REALT TIME PCR
|
HCPCS
|
HCPCS is another common code being used now, which stands for Healthcare Common Procedure Coding System. Two codes are being included as part of this – U0001 and U0002, both of which are designed for COVID-19 tests. The first code is used for documenting and billing tests performed at CDC testing laboratories, and the second code is used to help with supporting the CDC’s efforts with enabling clinical laboratories outside of the CDC itself to both create and bill for their own COVID-19 tests. Thank you for visiting the Quick Claimers blog, medical billing and coding el paso company. If you are looking for a better way to do billing for your practice contact us today!
|
1999
|
ANESTHESIOLOGY GROUP
|
CPT
|
No matter what form is used dr still need to enter progress notes (most dr choose dictation/transcription process) **some may be outsourced, others in house*
What are clinical templates and what do they allow? structured form (progress notes) that allows dr's to document pt encounters into an EHR, once it is entered it must be INTEROPERABLE: must be able to exchange info and use it in a meaningful way, therefore clinical standards are important to the details of pt info
-ensure consistency, reliability and safety
Types of Clinical Standards
-CLINICAL VOCABULARIES- set of common definitions for medical terms, they ease communications by decreasing ambiguity
-SNOMED-CT- clinical vocabulary designed to encompass all terms used in medicine
-LOINC- terms and codes used for electronic exchange of lab results and clinical observations
-UMLS- thesaurus database of medical terms
What are CLASSIFICATION SYSTEMS? they organize terms into categories for easy retrieval, they are used for billing and reimbursement, statistical reporting and admin functions
ICD-9 and ICD-10
International Classification of Disease-standard developed by World Health Organization (WHO) contains diagnosis codes that are used in all health care settings. DIAGNOSIS USAGE: Inpatient & Outpatient
*Number of characters: 3-5 alphanumeric
*Number of Codes: 13,000
PROCEDURE USAGE: Inpatient*
*# of characters: 3-4 numeric
*# of codes 4,000
DIAGNOSIS USAGE: inpatient & outpatient
*# of characters: 3-7 alphanumeric
*# of codes: 120,00
PROCEDURE USAGE: none
DIAGNOSIS USAGE: none
PROCEDURE USAGE: inpatient
*# of characters: 7 alphanumeric
*# of codes: 200,000
Current Procedural Terminology- list of descriptive terms and identifying codes for reporting medical services and procedures performed by health care professionals in outpatient setting, developed and maintained by American Medical Association (AMA)
CPT Code Ranges
EVALUATION & MANAGEMENT (E&M): 99201-99499 (go to dr feeling 99% leave getting high five)
ANESTHESIA: 00100-01999 (knocked out, always begin w/ 0)
SURGERY: 10021-69990 (want to feel 100%, begins w/ 1)
RADIOLOGY: (RPM, R=7, begins w/ 7)
PATHOLOGY AND LABORATORY: 80047-89356 (RPM. P=8, begins w/ 8)
MEDICINE: 90281-99607 (RPM, M=9, begins w/ 9)
Healthcare Common Procedure Coding System- level II, national codes, contains codes for products, supplies, and certain services not included in CPT.
|
00100
|
ANESTH SALIVARY GLAND
|
CPT
|
No matter what form is used dr still need to enter progress notes (most dr choose dictation/transcription process) **some may be outsourced, others in house*
What are clinical templates and what do they allow? structured form (progress notes) that allows dr's to document pt encounters into an EHR, once it is entered it must be INTEROPERABLE: must be able to exchange info and use it in a meaningful way, therefore clinical standards are important to the details of pt info
-ensure consistency, reliability and safety
Types of Clinical Standards
-CLINICAL VOCABULARIES- set of common definitions for medical terms, they ease communications by decreasing ambiguity
-SNOMED-CT- clinical vocabulary designed to encompass all terms used in medicine
-LOINC- terms and codes used for electronic exchange of lab results and clinical observations
-UMLS- thesaurus database of medical terms
What are CLASSIFICATION SYSTEMS? they organize terms into categories for easy retrieval, they are used for billing and reimbursement, statistical reporting and admin functions
ICD-9 and ICD-10
International Classification of Disease-standard developed by World Health Organization (WHO) contains diagnosis codes that are used in all health care settings. DIAGNOSIS USAGE: Inpatient & Outpatient
*Number of characters: 3-5 alphanumeric
*Number of Codes: 13,000
PROCEDURE USAGE: Inpatient*
*# of characters: 3-4 numeric
*# of codes 4,000
DIAGNOSIS USAGE: inpatient & outpatient
*# of characters: 3-7 alphanumeric
*# of codes: 120,00
PROCEDURE USAGE: none
DIAGNOSIS USAGE: none
PROCEDURE USAGE: inpatient
*# of characters: 7 alphanumeric
*# of codes: 200,000
Current Procedural Terminology- list of descriptive terms and identifying codes for reporting medical services and procedures performed by health care professionals in outpatient setting, developed and maintained by American Medical Association (AMA)
CPT Code Ranges
EVALUATION & MANAGEMENT (E&M): 99201-99499 (go to dr feeling 99% leave getting high five)
ANESTHESIA: 00100-01999 (knocked out, always begin w/ 0)
SURGERY: 10021-69990 (want to feel 100%, begins w/ 1)
RADIOLOGY: (RPM, R=7, begins w/ 7)
PATHOLOGY AND LABORATORY: 80047-89356 (RPM. P=8, begins w/ 8)
MEDICINE: 90281-99607 (RPM, M=9, begins w/ 9)
Healthcare Common Procedure Coding System- level II, national codes, contains codes for products, supplies, and certain services not included in CPT.
|
01999
|
Unlisted anesth procedure
|
CPT
|
No matter what form is used dr still need to enter progress notes (most dr choose dictation/transcription process) **some may be outsourced, others in house*
What are clinical templates and what do they allow? structured form (progress notes) that allows dr's to document pt encounters into an EHR, once it is entered it must be INTEROPERABLE: must be able to exchange info and use it in a meaningful way, therefore clinical standards are important to the details of pt info
-ensure consistency, reliability and safety
Types of Clinical Standards
-CLINICAL VOCABULARIES- set of common definitions for medical terms, they ease communications by decreasing ambiguity
-SNOMED-CT- clinical vocabulary designed to encompass all terms used in medicine
-LOINC- terms and codes used for electronic exchange of lab results and clinical observations
-UMLS- thesaurus database of medical terms
What are CLASSIFICATION SYSTEMS? they organize terms into categories for easy retrieval, they are used for billing and reimbursement, statistical reporting and admin functions
ICD-9 and ICD-10
International Classification of Disease-standard developed by World Health Organization (WHO) contains diagnosis codes that are used in all health care settings. DIAGNOSIS USAGE: Inpatient & Outpatient
*Number of characters: 3-5 alphanumeric
*Number of Codes: 13,000
PROCEDURE USAGE: Inpatient*
*# of characters: 3-4 numeric
*# of codes 4,000
DIAGNOSIS USAGE: inpatient & outpatient
*# of characters: 3-7 alphanumeric
*# of codes: 120,00
PROCEDURE USAGE: none
DIAGNOSIS USAGE: none
PROCEDURE USAGE: inpatient
*# of characters: 7 alphanumeric
*# of codes: 200,000
Current Procedural Terminology- list of descriptive terms and identifying codes for reporting medical services and procedures performed by health care professionals in outpatient setting, developed and maintained by American Medical Association (AMA)
CPT Code Ranges
EVALUATION & MANAGEMENT (E&M): 99201-99499 (go to dr feeling 99% leave getting high five)
ANESTHESIA: 00100-01999 (knocked out, always begin w/ 0)
SURGERY: 10021-69990 (want to feel 100%, begins w/ 1)
RADIOLOGY: (RPM, R=7, begins w/ 7)
PATHOLOGY AND LABORATORY: 80047-89356 (RPM. P=8, begins w/ 8)
MEDICINE: 90281-99607 (RPM, M=9, begins w/ 9)
Healthcare Common Procedure Coding System- level II, national codes, contains codes for products, supplies, and certain services not included in CPT.
|
1999
|
ANESTHESIOLOGY GROUP
|
CPT
|
structured form (progress notes) that allows dr's to document pt encounters into an EHR, once it is entered it must be INTEROPERABLE: must be able to exchange info and use it in a meaningful way, therefore clinical standards are important to the details of pt info
-ensure consistency, reliability and safety
Types of Clinical Standards
-CLINICAL VOCABULARIES- set of common definitions for medical terms, they ease communications by decreasing ambiguity
-SNOMED-CT- clinical vocabulary designed to encompass all terms used in medicine
-LOINC- terms and codes used for electronic exchange of lab results and clinical observations
-UMLS- thesaurus database of medical terms
What are CLASSIFICATION SYSTEMS? they organize terms into categories for easy retrieval, they are used for billing and reimbursement, statistical reporting and admin functions
ICD-9 and ICD-10
International Classification of Disease-standard developed by World Health Organization (WHO) contains diagnosis codes that are used in all health care settings. DIAGNOSIS USAGE: Inpatient & Outpatient
*Number of characters: 3-5 alphanumeric
*Number of Codes: 13,000
PROCEDURE USAGE: Inpatient*
*# of characters: 3-4 numeric
*# of codes 4,000
DIAGNOSIS USAGE: inpatient & outpatient
*# of characters: 3-7 alphanumeric
*# of codes: 120,00
PROCEDURE USAGE: none
DIAGNOSIS USAGE: none
PROCEDURE USAGE: inpatient
*# of characters: 7 alphanumeric
*# of codes: 200,000
Current Procedural Terminology- list of descriptive terms and identifying codes for reporting medical services and procedures performed by health care professionals in outpatient setting, developed and maintained by American Medical Association (AMA)
CPT Code Ranges
EVALUATION & MANAGEMENT (E&M): 99201-99499 (go to dr feeling 99% leave getting high five)
ANESTHESIA: 00100-01999 (knocked out, always begin w/ 0)
SURGERY: 10021-69990 (want to feel 100%, begins w/ 1)
RADIOLOGY: (RPM, R=7, begins w/ 7)
PATHOLOGY AND LABORATORY: 80047-89356 (RPM. P=8, begins w/ 8)
MEDICINE: 90281-99607 (RPM, M=9, begins w/ 9)
Healthcare Common Procedure Coding System- level II, national codes, contains codes for products, supplies, and certain services not included in CPT. Codes are maintained by Center for Medicare and Medicaid Services (CMS)
-make it possible to transfer data from systems such as lab or pharmacy system, play crucial role in interoperability among info systems
EX: HL7, DICOM, NCPDP AND IEEE1073
Health Level 7 (HL7) Messaging Standards
(messaging standard used to send data from one application to another)-scheduling, medical record & image management, pt administration, observation reporting, financial management, public health notification, and pt care
**units of measure
**Text based reports
Digital Imaging & Communications in Medicine (DICOM) Messaging Standards
image info to workstations (x-rays, nuclear medicine) **standards that enable info exchange between imaging systems**
National Council for Prescription Drug Programs (NCPDP) SCRIPT Messaging Standards
used for retail pharmacy transactions **standard for exchanging prescription info** HIPPA requires use in retail pharmacies
The institute of Electrical and Electronics Engineers 1073 (IEEE1073) Messaging Standard
standard that provides communication among medical devices at pt's bedside (device-device connectivity)
Logical Observation Identifiers Names and Codes (LOINC) Clinical Vocabulary
contains laboratory results names, Interventions/procedures (Part A): Lab test order names
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) Clinical Vocabulary
contains lab results contents, interventions/procedures (Part B): nonlaboratory, diagnosis/problem list.
|
00100
|
ANESTH SALIVARY GLAND
|
CPT
|
structured form (progress notes) that allows dr's to document pt encounters into an EHR, once it is entered it must be INTEROPERABLE: must be able to exchange info and use it in a meaningful way, therefore clinical standards are important to the details of pt info
-ensure consistency, reliability and safety
Types of Clinical Standards
-CLINICAL VOCABULARIES- set of common definitions for medical terms, they ease communications by decreasing ambiguity
-SNOMED-CT- clinical vocabulary designed to encompass all terms used in medicine
-LOINC- terms and codes used for electronic exchange of lab results and clinical observations
-UMLS- thesaurus database of medical terms
What are CLASSIFICATION SYSTEMS? they organize terms into categories for easy retrieval, they are used for billing and reimbursement, statistical reporting and admin functions
ICD-9 and ICD-10
International Classification of Disease-standard developed by World Health Organization (WHO) contains diagnosis codes that are used in all health care settings. DIAGNOSIS USAGE: Inpatient & Outpatient
*Number of characters: 3-5 alphanumeric
*Number of Codes: 13,000
PROCEDURE USAGE: Inpatient*
*# of characters: 3-4 numeric
*# of codes 4,000
DIAGNOSIS USAGE: inpatient & outpatient
*# of characters: 3-7 alphanumeric
*# of codes: 120,00
PROCEDURE USAGE: none
DIAGNOSIS USAGE: none
PROCEDURE USAGE: inpatient
*# of characters: 7 alphanumeric
*# of codes: 200,000
Current Procedural Terminology- list of descriptive terms and identifying codes for reporting medical services and procedures performed by health care professionals in outpatient setting, developed and maintained by American Medical Association (AMA)
CPT Code Ranges
EVALUATION & MANAGEMENT (E&M): 99201-99499 (go to dr feeling 99% leave getting high five)
ANESTHESIA: 00100-01999 (knocked out, always begin w/ 0)
SURGERY: 10021-69990 (want to feel 100%, begins w/ 1)
RADIOLOGY: (RPM, R=7, begins w/ 7)
PATHOLOGY AND LABORATORY: 80047-89356 (RPM. P=8, begins w/ 8)
MEDICINE: 90281-99607 (RPM, M=9, begins w/ 9)
Healthcare Common Procedure Coding System- level II, national codes, contains codes for products, supplies, and certain services not included in CPT. Codes are maintained by Center for Medicare and Medicaid Services (CMS)
-make it possible to transfer data from systems such as lab or pharmacy system, play crucial role in interoperability among info systems
EX: HL7, DICOM, NCPDP AND IEEE1073
Health Level 7 (HL7) Messaging Standards
(messaging standard used to send data from one application to another)-scheduling, medical record & image management, pt administration, observation reporting, financial management, public health notification, and pt care
**units of measure
**Text based reports
Digital Imaging & Communications in Medicine (DICOM) Messaging Standards
image info to workstations (x-rays, nuclear medicine) **standards that enable info exchange between imaging systems**
National Council for Prescription Drug Programs (NCPDP) SCRIPT Messaging Standards
used for retail pharmacy transactions **standard for exchanging prescription info** HIPPA requires use in retail pharmacies
The institute of Electrical and Electronics Engineers 1073 (IEEE1073) Messaging Standard
standard that provides communication among medical devices at pt's bedside (device-device connectivity)
Logical Observation Identifiers Names and Codes (LOINC) Clinical Vocabulary
contains laboratory results names, Interventions/procedures (Part A): Lab test order names
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) Clinical Vocabulary
contains lab results contents, interventions/procedures (Part B): nonlaboratory, diagnosis/problem list.
|
01999
|
Unlisted anesth procedure
|
CPT
|
structured form (progress notes) that allows dr's to document pt encounters into an EHR, once it is entered it must be INTEROPERABLE: must be able to exchange info and use it in a meaningful way, therefore clinical standards are important to the details of pt info
-ensure consistency, reliability and safety
Types of Clinical Standards
-CLINICAL VOCABULARIES- set of common definitions for medical terms, they ease communications by decreasing ambiguity
-SNOMED-CT- clinical vocabulary designed to encompass all terms used in medicine
-LOINC- terms and codes used for electronic exchange of lab results and clinical observations
-UMLS- thesaurus database of medical terms
What are CLASSIFICATION SYSTEMS? they organize terms into categories for easy retrieval, they are used for billing and reimbursement, statistical reporting and admin functions
ICD-9 and ICD-10
International Classification of Disease-standard developed by World Health Organization (WHO) contains diagnosis codes that are used in all health care settings. DIAGNOSIS USAGE: Inpatient & Outpatient
*Number of characters: 3-5 alphanumeric
*Number of Codes: 13,000
PROCEDURE USAGE: Inpatient*
*# of characters: 3-4 numeric
*# of codes 4,000
DIAGNOSIS USAGE: inpatient & outpatient
*# of characters: 3-7 alphanumeric
*# of codes: 120,00
PROCEDURE USAGE: none
DIAGNOSIS USAGE: none
PROCEDURE USAGE: inpatient
*# of characters: 7 alphanumeric
*# of codes: 200,000
Current Procedural Terminology- list of descriptive terms and identifying codes for reporting medical services and procedures performed by health care professionals in outpatient setting, developed and maintained by American Medical Association (AMA)
CPT Code Ranges
EVALUATION & MANAGEMENT (E&M): 99201-99499 (go to dr feeling 99% leave getting high five)
ANESTHESIA: 00100-01999 (knocked out, always begin w/ 0)
SURGERY: 10021-69990 (want to feel 100%, begins w/ 1)
RADIOLOGY: (RPM, R=7, begins w/ 7)
PATHOLOGY AND LABORATORY: 80047-89356 (RPM. P=8, begins w/ 8)
MEDICINE: 90281-99607 (RPM, M=9, begins w/ 9)
Healthcare Common Procedure Coding System- level II, national codes, contains codes for products, supplies, and certain services not included in CPT. Codes are maintained by Center for Medicare and Medicaid Services (CMS)
-make it possible to transfer data from systems such as lab or pharmacy system, play crucial role in interoperability among info systems
EX: HL7, DICOM, NCPDP AND IEEE1073
Health Level 7 (HL7) Messaging Standards
(messaging standard used to send data from one application to another)-scheduling, medical record & image management, pt administration, observation reporting, financial management, public health notification, and pt care
**units of measure
**Text based reports
Digital Imaging & Communications in Medicine (DICOM) Messaging Standards
image info to workstations (x-rays, nuclear medicine) **standards that enable info exchange between imaging systems**
National Council for Prescription Drug Programs (NCPDP) SCRIPT Messaging Standards
used for retail pharmacy transactions **standard for exchanging prescription info** HIPPA requires use in retail pharmacies
The institute of Electrical and Electronics Engineers 1073 (IEEE1073) Messaging Standard
standard that provides communication among medical devices at pt's bedside (device-device connectivity)
Logical Observation Identifiers Names and Codes (LOINC) Clinical Vocabulary
contains laboratory results names, Interventions/procedures (Part A): Lab test order names
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) Clinical Vocabulary
contains lab results contents, interventions/procedures (Part B): nonlaboratory, diagnosis/problem list.
|
1999
|
ANESTHESIOLOGY GROUP
|
CPT
|
they organize terms into categories for easy retrieval, they are used for billing and reimbursement, statistical reporting and admin functions
ICD-9 and ICD-10
International Classification of Disease-standard developed by World Health Organization (WHO) contains diagnosis codes that are used in all health care settings. DIAGNOSIS USAGE: Inpatient & Outpatient
*Number of characters: 3-5 alphanumeric
*Number of Codes: 13,000
PROCEDURE USAGE: Inpatient*
*# of characters: 3-4 numeric
*# of codes 4,000
DIAGNOSIS USAGE: inpatient & outpatient
*# of characters: 3-7 alphanumeric
*# of codes: 120,00
PROCEDURE USAGE: none
DIAGNOSIS USAGE: none
PROCEDURE USAGE: inpatient
*# of characters: 7 alphanumeric
*# of codes: 200,000
Current Procedural Terminology- list of descriptive terms and identifying codes for reporting medical services and procedures performed by health care professionals in outpatient setting, developed and maintained by American Medical Association (AMA)
CPT Code Ranges
EVALUATION & MANAGEMENT (E&M): 99201-99499 (go to dr feeling 99% leave getting high five)
ANESTHESIA: 00100-01999 (knocked out, always begin w/ 0)
SURGERY: 10021-69990 (want to feel 100%, begins w/ 1)
RADIOLOGY: (RPM, R=7, begins w/ 7)
PATHOLOGY AND LABORATORY: 80047-89356 (RPM. P=8, begins w/ 8)
MEDICINE: 90281-99607 (RPM, M=9, begins w/ 9)
Healthcare Common Procedure Coding System- level II, national codes, contains codes for products, supplies, and certain services not included in CPT. Codes are maintained by Center for Medicare and Medicaid Services (CMS)
-make it possible to transfer data from systems such as lab or pharmacy system, play crucial role in interoperability among info systems
EX: HL7, DICOM, NCPDP AND IEEE1073
Health Level 7 (HL7) Messaging Standards
(messaging standard used to send data from one application to another)-scheduling, medical record & image management, pt administration, observation reporting, financial management, public health notification, and pt care
**units of measure
**Text based reports
Digital Imaging & Communications in Medicine (DICOM) Messaging Standards
image info to workstations (x-rays, nuclear medicine) **standards that enable info exchange between imaging systems**
National Council for Prescription Drug Programs (NCPDP) SCRIPT Messaging Standards
used for retail pharmacy transactions **standard for exchanging prescription info** HIPPA requires use in retail pharmacies
The institute of Electrical and Electronics Engineers 1073 (IEEE1073) Messaging Standard
standard that provides communication among medical devices at pt's bedside (device-device connectivity)
Logical Observation Identifiers Names and Codes (LOINC) Clinical Vocabulary
contains laboratory results names, Interventions/procedures (Part A): Lab test order names
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) Clinical Vocabulary
contains lab results contents, interventions/procedures (Part B): nonlaboratory, diagnosis/problem list. anatomy
use of the language or the actual words spoken, key components are sound, words, speaking and language.
|
00100
|
ANESTH SALIVARY GLAND
|
CPT
|
they organize terms into categories for easy retrieval, they are used for billing and reimbursement, statistical reporting and admin functions
ICD-9 and ICD-10
International Classification of Disease-standard developed by World Health Organization (WHO) contains diagnosis codes that are used in all health care settings. DIAGNOSIS USAGE: Inpatient & Outpatient
*Number of characters: 3-5 alphanumeric
*Number of Codes: 13,000
PROCEDURE USAGE: Inpatient*
*# of characters: 3-4 numeric
*# of codes 4,000
DIAGNOSIS USAGE: inpatient & outpatient
*# of characters: 3-7 alphanumeric
*# of codes: 120,00
PROCEDURE USAGE: none
DIAGNOSIS USAGE: none
PROCEDURE USAGE: inpatient
*# of characters: 7 alphanumeric
*# of codes: 200,000
Current Procedural Terminology- list of descriptive terms and identifying codes for reporting medical services and procedures performed by health care professionals in outpatient setting, developed and maintained by American Medical Association (AMA)
CPT Code Ranges
EVALUATION & MANAGEMENT (E&M): 99201-99499 (go to dr feeling 99% leave getting high five)
ANESTHESIA: 00100-01999 (knocked out, always begin w/ 0)
SURGERY: 10021-69990 (want to feel 100%, begins w/ 1)
RADIOLOGY: (RPM, R=7, begins w/ 7)
PATHOLOGY AND LABORATORY: 80047-89356 (RPM. P=8, begins w/ 8)
MEDICINE: 90281-99607 (RPM, M=9, begins w/ 9)
Healthcare Common Procedure Coding System- level II, national codes, contains codes for products, supplies, and certain services not included in CPT. Codes are maintained by Center for Medicare and Medicaid Services (CMS)
-make it possible to transfer data from systems such as lab or pharmacy system, play crucial role in interoperability among info systems
EX: HL7, DICOM, NCPDP AND IEEE1073
Health Level 7 (HL7) Messaging Standards
(messaging standard used to send data from one application to another)-scheduling, medical record & image management, pt administration, observation reporting, financial management, public health notification, and pt care
**units of measure
**Text based reports
Digital Imaging & Communications in Medicine (DICOM) Messaging Standards
image info to workstations (x-rays, nuclear medicine) **standards that enable info exchange between imaging systems**
National Council for Prescription Drug Programs (NCPDP) SCRIPT Messaging Standards
used for retail pharmacy transactions **standard for exchanging prescription info** HIPPA requires use in retail pharmacies
The institute of Electrical and Electronics Engineers 1073 (IEEE1073) Messaging Standard
standard that provides communication among medical devices at pt's bedside (device-device connectivity)
Logical Observation Identifiers Names and Codes (LOINC) Clinical Vocabulary
contains laboratory results names, Interventions/procedures (Part A): Lab test order names
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) Clinical Vocabulary
contains lab results contents, interventions/procedures (Part B): nonlaboratory, diagnosis/problem list. anatomy
use of the language or the actual words spoken, key components are sound, words, speaking and language.
|
01999
|
Unlisted anesth procedure
|
CPT
|
they organize terms into categories for easy retrieval, they are used for billing and reimbursement, statistical reporting and admin functions
ICD-9 and ICD-10
International Classification of Disease-standard developed by World Health Organization (WHO) contains diagnosis codes that are used in all health care settings. DIAGNOSIS USAGE: Inpatient & Outpatient
*Number of characters: 3-5 alphanumeric
*Number of Codes: 13,000
PROCEDURE USAGE: Inpatient*
*# of characters: 3-4 numeric
*# of codes 4,000
DIAGNOSIS USAGE: inpatient & outpatient
*# of characters: 3-7 alphanumeric
*# of codes: 120,00
PROCEDURE USAGE: none
DIAGNOSIS USAGE: none
PROCEDURE USAGE: inpatient
*# of characters: 7 alphanumeric
*# of codes: 200,000
Current Procedural Terminology- list of descriptive terms and identifying codes for reporting medical services and procedures performed by health care professionals in outpatient setting, developed and maintained by American Medical Association (AMA)
CPT Code Ranges
EVALUATION & MANAGEMENT (E&M): 99201-99499 (go to dr feeling 99% leave getting high five)
ANESTHESIA: 00100-01999 (knocked out, always begin w/ 0)
SURGERY: 10021-69990 (want to feel 100%, begins w/ 1)
RADIOLOGY: (RPM, R=7, begins w/ 7)
PATHOLOGY AND LABORATORY: 80047-89356 (RPM. P=8, begins w/ 8)
MEDICINE: 90281-99607 (RPM, M=9, begins w/ 9)
Healthcare Common Procedure Coding System- level II, national codes, contains codes for products, supplies, and certain services not included in CPT. Codes are maintained by Center for Medicare and Medicaid Services (CMS)
-make it possible to transfer data from systems such as lab or pharmacy system, play crucial role in interoperability among info systems
EX: HL7, DICOM, NCPDP AND IEEE1073
Health Level 7 (HL7) Messaging Standards
(messaging standard used to send data from one application to another)-scheduling, medical record & image management, pt administration, observation reporting, financial management, public health notification, and pt care
**units of measure
**Text based reports
Digital Imaging & Communications in Medicine (DICOM) Messaging Standards
image info to workstations (x-rays, nuclear medicine) **standards that enable info exchange between imaging systems**
National Council for Prescription Drug Programs (NCPDP) SCRIPT Messaging Standards
used for retail pharmacy transactions **standard for exchanging prescription info** HIPPA requires use in retail pharmacies
The institute of Electrical and Electronics Engineers 1073 (IEEE1073) Messaging Standard
standard that provides communication among medical devices at pt's bedside (device-device connectivity)
Logical Observation Identifiers Names and Codes (LOINC) Clinical Vocabulary
contains laboratory results names, Interventions/procedures (Part A): Lab test order names
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) Clinical Vocabulary
contains lab results contents, interventions/procedures (Part B): nonlaboratory, diagnosis/problem list. anatomy
use of the language or the actual words spoken, key components are sound, words, speaking and language.
|
1999
|
ANESTHESIOLOGY GROUP
|
CPT
|
DIAGNOSIS USAGE: Inpatient & Outpatient
*Number of characters: 3-5 alphanumeric
*Number of Codes: 13,000
PROCEDURE USAGE: Inpatient*
*# of characters: 3-4 numeric
*# of codes 4,000
DIAGNOSIS USAGE: inpatient & outpatient
*# of characters: 3-7 alphanumeric
*# of codes: 120,00
PROCEDURE USAGE: none
DIAGNOSIS USAGE: none
PROCEDURE USAGE: inpatient
*# of characters: 7 alphanumeric
*# of codes: 200,000
Current Procedural Terminology- list of descriptive terms and identifying codes for reporting medical services and procedures performed by health care professionals in outpatient setting, developed and maintained by American Medical Association (AMA)
CPT Code Ranges
EVALUATION & MANAGEMENT (E&M): 99201-99499 (go to dr feeling 99% leave getting high five)
ANESTHESIA: 00100-01999 (knocked out, always begin w/ 0)
SURGERY: 10021-69990 (want to feel 100%, begins w/ 1)
RADIOLOGY: (RPM, R=7, begins w/ 7)
PATHOLOGY AND LABORATORY: 80047-89356 (RPM. P=8, begins w/ 8)
MEDICINE: 90281-99607 (RPM, M=9, begins w/ 9)
Healthcare Common Procedure Coding System- level II, national codes, contains codes for products, supplies, and certain services not included in CPT. Codes are maintained by Center for Medicare and Medicaid Services (CMS)
-make it possible to transfer data from systems such as lab or pharmacy system, play crucial role in interoperability among info systems
EX: HL7, DICOM, NCPDP AND IEEE1073
Health Level 7 (HL7) Messaging Standards
(messaging standard used to send data from one application to another)-scheduling, medical record & image management, pt administration, observation reporting, financial management, public health notification, and pt care
**units of measure
**Text based reports
Digital Imaging & Communications in Medicine (DICOM) Messaging Standards
image info to workstations (x-rays, nuclear medicine) **standards that enable info exchange between imaging systems**
National Council for Prescription Drug Programs (NCPDP) SCRIPT Messaging Standards
used for retail pharmacy transactions **standard for exchanging prescription info** HIPPA requires use in retail pharmacies
The institute of Electrical and Electronics Engineers 1073 (IEEE1073) Messaging Standard
standard that provides communication among medical devices at pt's bedside (device-device connectivity)
Logical Observation Identifiers Names and Codes (LOINC) Clinical Vocabulary
contains laboratory results names, Interventions/procedures (Part A): Lab test order names
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) Clinical Vocabulary
contains lab results contents, interventions/procedures (Part B): nonlaboratory, diagnosis/problem list. anatomy
use of the language or the actual words spoken, key components are sound, words, speaking and language. is the use of eye contact, body lang, facial expressions, or symbolic expressions to communicate a message
essential part in the process of communication w/ coworkers, pt's & visitors.
|
00100
|
ANESTH SALIVARY GLAND
|
CPT
|
DIAGNOSIS USAGE: Inpatient & Outpatient
*Number of characters: 3-5 alphanumeric
*Number of Codes: 13,000
PROCEDURE USAGE: Inpatient*
*# of characters: 3-4 numeric
*# of codes 4,000
DIAGNOSIS USAGE: inpatient & outpatient
*# of characters: 3-7 alphanumeric
*# of codes: 120,00
PROCEDURE USAGE: none
DIAGNOSIS USAGE: none
PROCEDURE USAGE: inpatient
*# of characters: 7 alphanumeric
*# of codes: 200,000
Current Procedural Terminology- list of descriptive terms and identifying codes for reporting medical services and procedures performed by health care professionals in outpatient setting, developed and maintained by American Medical Association (AMA)
CPT Code Ranges
EVALUATION & MANAGEMENT (E&M): 99201-99499 (go to dr feeling 99% leave getting high five)
ANESTHESIA: 00100-01999 (knocked out, always begin w/ 0)
SURGERY: 10021-69990 (want to feel 100%, begins w/ 1)
RADIOLOGY: (RPM, R=7, begins w/ 7)
PATHOLOGY AND LABORATORY: 80047-89356 (RPM. P=8, begins w/ 8)
MEDICINE: 90281-99607 (RPM, M=9, begins w/ 9)
Healthcare Common Procedure Coding System- level II, national codes, contains codes for products, supplies, and certain services not included in CPT. Codes are maintained by Center for Medicare and Medicaid Services (CMS)
-make it possible to transfer data from systems such as lab or pharmacy system, play crucial role in interoperability among info systems
EX: HL7, DICOM, NCPDP AND IEEE1073
Health Level 7 (HL7) Messaging Standards
(messaging standard used to send data from one application to another)-scheduling, medical record & image management, pt administration, observation reporting, financial management, public health notification, and pt care
**units of measure
**Text based reports
Digital Imaging & Communications in Medicine (DICOM) Messaging Standards
image info to workstations (x-rays, nuclear medicine) **standards that enable info exchange between imaging systems**
National Council for Prescription Drug Programs (NCPDP) SCRIPT Messaging Standards
used for retail pharmacy transactions **standard for exchanging prescription info** HIPPA requires use in retail pharmacies
The institute of Electrical and Electronics Engineers 1073 (IEEE1073) Messaging Standard
standard that provides communication among medical devices at pt's bedside (device-device connectivity)
Logical Observation Identifiers Names and Codes (LOINC) Clinical Vocabulary
contains laboratory results names, Interventions/procedures (Part A): Lab test order names
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) Clinical Vocabulary
contains lab results contents, interventions/procedures (Part B): nonlaboratory, diagnosis/problem list. anatomy
use of the language or the actual words spoken, key components are sound, words, speaking and language. is the use of eye contact, body lang, facial expressions, or symbolic expressions to communicate a message
essential part in the process of communication w/ coworkers, pt's & visitors.
|
01999
|
Unlisted anesth procedure
|
CPT
|
DIAGNOSIS USAGE: Inpatient & Outpatient
*Number of characters: 3-5 alphanumeric
*Number of Codes: 13,000
PROCEDURE USAGE: Inpatient*
*# of characters: 3-4 numeric
*# of codes 4,000
DIAGNOSIS USAGE: inpatient & outpatient
*# of characters: 3-7 alphanumeric
*# of codes: 120,00
PROCEDURE USAGE: none
DIAGNOSIS USAGE: none
PROCEDURE USAGE: inpatient
*# of characters: 7 alphanumeric
*# of codes: 200,000
Current Procedural Terminology- list of descriptive terms and identifying codes for reporting medical services and procedures performed by health care professionals in outpatient setting, developed and maintained by American Medical Association (AMA)
CPT Code Ranges
EVALUATION & MANAGEMENT (E&M): 99201-99499 (go to dr feeling 99% leave getting high five)
ANESTHESIA: 00100-01999 (knocked out, always begin w/ 0)
SURGERY: 10021-69990 (want to feel 100%, begins w/ 1)
RADIOLOGY: (RPM, R=7, begins w/ 7)
PATHOLOGY AND LABORATORY: 80047-89356 (RPM. P=8, begins w/ 8)
MEDICINE: 90281-99607 (RPM, M=9, begins w/ 9)
Healthcare Common Procedure Coding System- level II, national codes, contains codes for products, supplies, and certain services not included in CPT. Codes are maintained by Center for Medicare and Medicaid Services (CMS)
-make it possible to transfer data from systems such as lab or pharmacy system, play crucial role in interoperability among info systems
EX: HL7, DICOM, NCPDP AND IEEE1073
Health Level 7 (HL7) Messaging Standards
(messaging standard used to send data from one application to another)-scheduling, medical record & image management, pt administration, observation reporting, financial management, public health notification, and pt care
**units of measure
**Text based reports
Digital Imaging & Communications in Medicine (DICOM) Messaging Standards
image info to workstations (x-rays, nuclear medicine) **standards that enable info exchange between imaging systems**
National Council for Prescription Drug Programs (NCPDP) SCRIPT Messaging Standards
used for retail pharmacy transactions **standard for exchanging prescription info** HIPPA requires use in retail pharmacies
The institute of Electrical and Electronics Engineers 1073 (IEEE1073) Messaging Standard
standard that provides communication among medical devices at pt's bedside (device-device connectivity)
Logical Observation Identifiers Names and Codes (LOINC) Clinical Vocabulary
contains laboratory results names, Interventions/procedures (Part A): Lab test order names
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) Clinical Vocabulary
contains lab results contents, interventions/procedures (Part B): nonlaboratory, diagnosis/problem list. anatomy
use of the language or the actual words spoken, key components are sound, words, speaking and language. is the use of eye contact, body lang, facial expressions, or symbolic expressions to communicate a message
essential part in the process of communication w/ coworkers, pt's & visitors.
|
0079U
|
Comparative Deoxyribonucleic Acid (DNA) analysis using multiple selected Single-Nucleotide Polymorphisms (SNPs), urine and buccal DNA, for specimen identity verification
|
CPT
|
Examples include:
33275 Transcatheter removal of permanent leadless pacemaker, right ventricular, including imaging guidance (e.g., fluoroscopy, venous ultrasound, ventriculography, femoral venography), when performed. 004A Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3 mL dosage, diluent reconstituted; booster dose. 3006F Chest X-ray results documented and reviewed (CAP). 0510T Removal of sinus tarsi implant. 0079U Comparative DNA analysis using multiple selected single-nucleotide polymorphisms (SNPs), urine and buccal DNA, for specimen identity verification
Understanding the Types of CPT® Codes
Coders assign a code for every service or procedure a provider performs.
|
0079U
|
Comparative Deoxyribonucleic Acid (DNA) analysis using multiple selected Single-Nucleotide Polymorphisms (SNPs), urine and buccal DNA, for specimen identity verification
|
CPT
|
004A Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3 mL dosage, diluent reconstituted; booster dose. 3006F Chest X-ray results documented and reviewed (CAP). 0510T Removal of sinus tarsi implant. 0079U Comparative DNA analysis using multiple selected single-nucleotide polymorphisms (SNPs), urine and buccal DNA, for specimen identity verification
Understanding the Types of CPT® Codes
Coders assign a code for every service or procedure a provider performs. CPT® even includes codes called unlisted codes for those services and procedures not specifically named in another defined CPT® code.
|
0079U
|
Comparative Deoxyribonucleic Acid (DNA) analysis using multiple selected Single-Nucleotide Polymorphisms (SNPs), urine and buccal DNA, for specimen identity verification
|
CPT
|
3006F Chest X-ray results documented and reviewed (CAP). 0510T Removal of sinus tarsi implant. 0079U Comparative DNA analysis using multiple selected single-nucleotide polymorphisms (SNPs), urine and buccal DNA, for specimen identity verification
Understanding the Types of CPT® Codes
Coders assign a code for every service or procedure a provider performs. CPT® even includes codes called unlisted codes for those services and procedures not specifically named in another defined CPT® code. Given the vast number of services and procedures, the AMA has organized CPT® codes logically, beginning with classifying them into three types:
CPT® Category I: The largest body of codes, consisting of those commonly used by providers to report their services and procedures
CPT® Category II: Supplemental tracking codes used for performance management
CPT® Category III: Temporary codes used to report emerging and experimental services and procedures
Navigating Category I Codes
Most CPT® codes are Category I codes.
|
0079U
|
Comparative Deoxyribonucleic Acid (DNA) analysis using multiple selected Single-Nucleotide Polymorphisms (SNPs), urine and buccal DNA, for specimen identity verification
|
CPT
|
0510T Removal of sinus tarsi implant. 0079U Comparative DNA analysis using multiple selected single-nucleotide polymorphisms (SNPs), urine and buccal DNA, for specimen identity verification
Understanding the Types of CPT® Codes
Coders assign a code for every service or procedure a provider performs. CPT® even includes codes called unlisted codes for those services and procedures not specifically named in another defined CPT® code. Given the vast number of services and procedures, the AMA has organized CPT® codes logically, beginning with classifying them into three types:
CPT® Category I: The largest body of codes, consisting of those commonly used by providers to report their services and procedures
CPT® Category II: Supplemental tracking codes used for performance management
CPT® Category III: Temporary codes used to report emerging and experimental services and procedures
Navigating Category I Codes
Most CPT® codes are Category I codes. These represent existing services or procedures widely used and, when appropriate, approved by the Food and Drug Administration (FDA).
|
0079U
|
Comparative Deoxyribonucleic Acid (DNA) analysis using multiple selected Single-Nucleotide Polymorphisms (SNPs), urine and buccal DNA, for specimen identity verification
|
CPT
|
0079U Comparative DNA analysis using multiple selected single-nucleotide polymorphisms (SNPs), urine and buccal DNA, for specimen identity verification
Understanding the Types of CPT® Codes
Coders assign a code for every service or procedure a provider performs. CPT® even includes codes called unlisted codes for those services and procedures not specifically named in another defined CPT® code. Given the vast number of services and procedures, the AMA has organized CPT® codes logically, beginning with classifying them into three types:
CPT® Category I: The largest body of codes, consisting of those commonly used by providers to report their services and procedures
CPT® Category II: Supplemental tracking codes used for performance management
CPT® Category III: Temporary codes used to report emerging and experimental services and procedures
Navigating Category I Codes
Most CPT® codes are Category I codes. These represent existing services or procedures widely used and, when appropriate, approved by the Food and Drug Administration (FDA). With a few exceptions, Category I codes, typically denoted by five numeric characters, are arranged in numerical order.
|
55289-211-60
|
METFORMIN HCL 500 MG PO TAB
|
NDC
|
Answers to the “quiz”
Code Source Term 1. 55454-3 LOINC Hemoglobin A1C 2. 250.02 ICD-9-CM Diabetes Mellitus without complications 3. E11.9 ICD-10-CM Type 2 Diabetes Mellitus without Complications 4. 55289-211-60 NDC GLUCOPHAGE 500 MG TABLET [PD-RX PHARM 60ea F/C] 5.
|
55289-211-60
|
METFORMIN HCL 500 MG PO TAB
|
NDC
|
55454-3 LOINC Hemoglobin A1C 2. 250.02 ICD-9-CM Diabetes Mellitus without complications 3. E11.9 ICD-10-CM Type 2 Diabetes Mellitus without Complications 4. 55289-211-60 NDC GLUCOPHAGE 500 MG TABLET [PD-RX PHARM 60ea F/C] 5. 3E013VG ICD-10-PCS Intro of Insulin into SubQ Tissue, Percutaneous Approach 6.
|
55289-211-60
|
METFORMIN HCL 500 MG PO TAB
|
NDC
|
250.02 ICD-9-CM Diabetes Mellitus without complications 3. E11.9 ICD-10-CM Type 2 Diabetes Mellitus without Complications 4. 55289-211-60 NDC GLUCOPHAGE 500 MG TABLET [PD-RX PHARM 60ea F/C] 5. 3E013VG ICD-10-PCS Intro of Insulin into SubQ Tissue, Percutaneous Approach 6. 1-800-783-3637 US Phone Stanley Steemer (1-800-STEEMER) (go ahead... sing the rest)
|
55289-211-60
|
METFORMIN HCL 500 MG PO TAB
|
NDC
|
E11.9 ICD-10-CM Type 2 Diabetes Mellitus without Complications 4. 55289-211-60 NDC GLUCOPHAGE 500 MG TABLET [PD-RX PHARM 60ea F/C] 5. 3E013VG ICD-10-PCS Intro of Insulin into SubQ Tissue, Percutaneous Approach 6. 1-800-783-3637 US Phone Stanley Steemer (1-800-STEEMER) (go ahead... sing the rest)
|
55289-211-60
|
METFORMIN HCL 500 MG PO TAB
|
NDC
|
55289-211-60 NDC GLUCOPHAGE 500 MG TABLET [PD-RX PHARM 60ea F/C] 5. 3E013VG ICD-10-PCS Intro of Insulin into SubQ Tissue, Percutaneous Approach 6. 1-800-783-3637 US Phone Stanley Steemer (1-800-STEEMER) (go ahead... sing the rest)
|
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