CPT 62287, S2348 -Laser energy (laser discectomy) and radiofrequency (RF)...
Coding Code Description CPT62287 Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method, single or multiple levels, lumbar (eg, manual or automated percutaneous...
View Articlecpt 0335T. S2117 - Arthroereisis Procedure
Coding Code DescriptionCPT 0335T Extra-osseous subtalar joint implant for talotarsal stabilization HCPCSS2117 Arthroereisis, subtalarIntroductionThe talus bone is the bone in the foot that joins with...
View ArticleAmbulance - round trip, bridge, multiple arrival - how to bill
SPECIAL SITUATIONS on Ambulance billingINTERCEPTSIn situations where a BLS vehicle intercepts with an ALS vehicle, each provider may bill for the appropriate base rate and for the loaded mileage they...
View Articlecpt 38232, 38240, 38241, 38242, S2140, S2142, S1250
Coding Autologous and allogeneic hematopoietic cell transplants are considered investigational to treat advanced stage epithelial ovarian cancer. Code Description CPT 38232 Bone marrow harvesting for...
View ArticleCPT 21299, 21499, 26989
Code Description CPT 21299 Unlisted craniofacial and maxillofacial procedure 21499 Unlisted musculoskeletal procedure, head 26989 Unlisted procedure, hands or fingersIntroduction A face or hand...
View ArticleCPT 64561, 64581, A4290, E0745, L8679 - Sacral Nerve neuromodulation
IntroductionThe brain communicates with the body by sending electrical signals along nerves. When it comes time to go to the bathroom, the brain sends signals to specific nerves that travel throughthe...
View ArticleCPT 61850, 61860, 61863, 61864, 61867, 61868 - Deep brain stimulation
Coding Code Description CPT61850 Twist drill or burr hole(s) for implantation of neurostimulator or electrodes, cortical.61860 Craniectomy or craniotomy for implantation of neurostimulator electrodes,...
View ArticleCPT 61885, 61886, 64553, 64568, 64569 - Cranial neurostimulator pulse generator
Coding Code Description CPT61885 Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array61886...
View ArticleWhen Medicaid Is Secondary Payer:
When Medicaid Is Secondary Payer:When Medicare and other commercial insurance is involved and if the lab or radiology provider is required to bill Medicare or the commercial insurance directly, the...
View ArticleOut of state ambulance transport billing guide
OUT OF STATE NONBORDERLAND TRANSPORTSExcept for emergencies, out of state, nonborderland transports require PA. (Refer to the General Information for Providers chapter of this manual for additional...
View ArticleCPT 64566 - PTNS for uninary control
CPT/HCPCS CodesGroup 1 Codes:64566Neuroeltrd stim post tibialCoverage Indications, Limitations, and/or Medical NecessityBackgroundPosterior Tibial Nerve Stimulation (PTNS), a minimally invasive...
View Articlecpt 64635, 64636 - Lumbar facet blockade
CPT/HCPCS CodesGroup 1 Codes:64493Inj paravert f jnt l/s 1 lev64494Inj paravert f jnt l/s 2 lev64495Inj paravert f jnt l/s 3 lev64635Destroy lumb/sac facet jnt64636Destroy l/s facet jnt addlGroup 2...
View ArticleCPT 81225, 81226, 81227, 81355
Coverage Indications, Limitations, and/or Medical NecessityThis policy limits CYP2C19 (CPT 81225) and CYP2D6 (CPT 81226) genetic testing to defined indications. All other testing for CYP2C19 and CYP2D6...
View ArticleCPT 86152 and 86153 - CTC ASSAYS
Coverage Indications, Limitations, and/or Medical NecessityIndicationsThis LCD addresses limited coverage for the CellSearch ® Circulating Tumor Cell (CTC) (Veridex, LLC) assay. All other methods for...
View ArticleCPT 0191T, 0295T, 0394T, 0075T - catagory III codes
CPT/HCPCS CodesGroup 1 Paragraph: The following lists Category III services determined by WPS Medicare to be reasonable and medically necessary. Coverage will only be allowed when the service is...
View Articlecpt code j3489, j1436 - Bisphosphonate Drug Therapy
CPT/HCPCS CodesGroup 1 Codes:J1436INJECTION, ETIDRONATE DISODIUM, PER 300 MGJ1740INJECTION, IBANDRONATE SODIUM, 1 MGJ2430INJECTION, PAMIDRONATE DISODIUM, PER 30 MGJ3489INJECTION, ZOLEDRONIC ACID, 1...
View ArticleCPT CODE 95923, 95943, 95921, 95924
Coverage GuidanceCoverage Indications, Limitations, and/or Medical NecessityThe autonomic nervous system (ANS) regulates physiologic processes, such as blood pressure, heart rate, body temperature,...
View ArticleCPT CODE 95004, 86003,86001 95024 - Allergy Testing
Coverage Indications, Limitations, and/or Medical NecessityOverview:Allergy testing is performed to determine a patient's immunologic sensitivity or reaction to particular allergens for the purpose of...
View ArticleCPT CODE G0479, G0477, G0480, G0483
Procedure Codes and DescriptionG0477DRUG TEST(S), PRESUMPTIVE, ANY NUMBER OF DRUG CLASSES; ANY NUMBER OF DEVICES OR PROCEDURES, (E.G., IMMUNOASSAY) CAPABLE OF BEING READ BY DIRECT OPTICAL OBSERVATION...
View ArticleMedicare Payment for Ambulance Services Furnished by Certain CAHs
Medically necessary ambulance services furnished for dates of service on or after December 21, 2000 and prior to January 1, 2004, by a CAH or by an entity that is owned and operated by the CAH are paid...
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