CPT code Prolotherapy therapy (proliferative therapy) - 20999
IntroductionProlotherapy therapy (proliferative therapy) is a method to try to heal joints and connective tissue. A solution is injected in the area. The solution irritates the tissue, causing...
View ArticleCPT 33340 - Percutaneous Left Atrial Appendage Closure Devices
Coding Code Description CPT33340 Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left...
View ArticleCPT 0345T, 0483T, 0484T, 33418, 33419 - Transcatheter Mitral Valve Repair
Code Description CPT0345T Transcatheter mitral valve repair percutaneous approach via the coronary sinus0483T Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve;...
View ArticleCPT 0003u, 81503 - Multimarker Serum Testing Related to Ovarian Cancer
Coding Code Description CPT0003U Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1, CA 125 II, follicle stimulating hormone, human epididymis protein 4, transferrin), utilizing...
View ArticleCPT 81538 - Proteomic Testing for Targeted Therapy in Non-Small Cell Lung Cancer
Coding Code DescriptionCPT81538 Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall...
View ArticleArizona Long Term Care System (ALTCS) program Basic information
ARIZON HEALTH CARE COST CONTAINMENT SYSTEM FEE-FOR-SERVICE PROVIDER BILLING MANUALGENERAL INFORMATIONAll Arizona residents can apply for AHCCCS services or the Arizona Long Term Care System (ALTCS)...
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CPT code 99231, 99232. 99233 - Medical necessity tips
Define Medical necessity:Medical necessity of a service is the overarching criterion for payment in addition to the individual requirements of a CPT code. It would not be medically necessary or...
View ArticleDoes out of state patient eligible for coverage ?
COVERAGE OUT OF STATEA member, who is temporarily out of the state but still a resident of Arizona, is entitled to receive AHCCCS benefits under any of the following conditions:1. Medical services are...
View ArticleMedicare Diabetes Prevention Program (MDPP)
Expanded Model Fact Sheet Overview of MDPPThe MDPP expanded model includes an evidence-based set of services aimed to help prevent the onset of type 2 diabetes among Medicare beneficiaries with an...
View ArticleCSHCS - Inital and ongoing comprehension evaluation basic
INITIAL COMPREHENSIVE EVALUATIONThe Initial Comprehensive Evaluation is performed during the CSHCS client’s first visit to the CMDS clinic. The medical team integrates assessments and recommendations...
View ArticleCPT 21100, 21110, 21120,21121 - 21127 - Orthognathic surgery codes
CPT code and Description21100 Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure)21110 Application of interdental fixation device for conditions other...
View ArticleCPT 99500, 99502, 99504, 99511, 99601, G0068, G0070 - Home health codes
CPT Code Description99500 Home visit for prenatal monitoring and assessment to include fetal heart rate, non-stress test, uterine monitoring, and gestational diabetes monitoring99501Home visit for...
View ArticleModifier UB, UC, UA - Billing Guidelines
Modifier DescriptionUB Medically necessary delivery prior to 39 weeks of gestationUC Delivery at 39 weeks of gestation or laterUA Nonmedically necessary delivery prior to 39 weeks of gestationEED...
View ArticleST Join INJECTION CPT code - 27096, G0259, G0260
CPT Description64450 Injection, anesthetic agent; other peripheral nerve or branch27096 Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including...
View ArticleCPT 99224, 99225,99226, 99234, 99235 - Subsequent observation code
CPT Code Description99224 Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history;...
View ArticleCPT G0121, G0122, G0328, G0464
Procedure code and descriptionEffective for services furnished on or after July 1, 2001, the following codes are added for colorectal cancer screening services:• HCPCS G0121 - Colorectal cancer...
View ArticlePost operative period billing guidelines - Modifier usage
POST-OPERATIVE PERIOD BILLINGUnrelated Procedure or Service or E/M Service by the Same Physician During a Post-operative PeriodTwo CPT modifiers are used to simplify billing for visits and other...
View ArticleMedicare Credit balance report - General overview
MEDICARE CREDIT BALANCE REPORT CERTIFICATION PAGEThe Medicare Credit Balance Report is required under the authority of sections 1815(a), 1833(e), 1886(a)(1)(C) and related provisions of the Social...
View ArticleCPT 97110, 97112, 97113, 97116, 97124, 97139 - Therapeutic procedure codes
Billing Coding/Physician Documentation Information97110 Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and...
View ArticleCPT CODE 30801, 30802, 30930, 30130, 30140
Procedure code and Description * 30801: cautery and/or ablation, mucosa of inferior turbinates, unilat or bilat, any method; superficial (3.4 rvu)* 30802: intramural (4.92 rvu) (this includes...
View ArticleCPT code 49505, 49507, 49520, 49521, 49525
Procedure code and Description49505 - Repair initial inguinal hernia, age 5 years or older; reducible49507 - Repair initial inguinal hernia, age 5 years or older; incarcerated49520 - Repair recurrent...
View ArticleCPT Ferrlecit J code - j2916, J1756, Venofer
HCPCS Code DescriptionJ1756 Injection, Iron Sucrose, 1 mg (Venofer®)J2916 Injection, Sodium Ferric Gluconate Complex in Sucrose Injection, 12.5 mg (Ferrlecit®)DescriptionSodium ferric gluconate...
View ArticleCPT code 49560, 49561 - Ventral Hernia
Procedure code and Description 49560 - Repair initial incisional or ventral hernia; reducible49561 - Repair initial incisional or ventral hernia incarcerated or strangulated 2016 Coding and...
View ArticleTelevisit , Telehealth CPT CODES
Telephone or Telehealth CPT codes.E/M cpt codes - 99201-99205 & 99212- 99215 Will be consider for Televisit codes.What is a Telehealth Visit?A visit with a provider that uses telecommunication...
View ArticleCPT 80061, 82465, 83718, 84478 - Lipid panel
Code Code Type Definition80061CPT® L– this panel must include the following: cholesterol, serum, total (82465); lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718); and...
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