CPT Unlisted Codes – What are they? Use it when there is no other appropriate code!
May31

CPT Unlisted Codes – What are they? Use it when there is no other appropriate code!

Here are our Unlisted Service or Procedure Codes A service encounter or surgical procedure may be provided that is not listed in this edition of the CPT code book. When reporting such a encounter or service, the appropriate “Unlisted Procedure” code may be used to indicate the service, identifying it by “Special Report” as discussed in the section below.         The “Unlisted Procedures” and accompanying codes for Surgery are as follows: 15999 Unlisted procedure, excision pressure ulcer 17999 Unlisted procedure, skin, mucous membrane and subcutaneous tissue 19499 Unlisted procedure, breast 20999 Unlisted procedure, musculoskeletal system, general 21089 Unlisted maxillofacial prosthetic procedure 21299 Unlisted craniofacial and maxillofacial procedure 21499 Unlisted musculoskeletal procedure, head 21899 Unlisted procedure, neck or thorax 22899 Unlisted procedure, spine 22999 Unlisted procedure, abdomen, musculoskeletal system 23929 Unlisted procedure, shoulder 24999 Unlisted procedure, humerus or elbow 25999 Unlisted procedure, forearm or wrist 26989 Unlisted procedure, hands or fingers 27299 Unlisted procedure, pelvis or hip joint 27599 Unlisted procedure, femur or knee 27899 Unlisted procedure, leg or ankle 28899 Unlisted procedure, foot or toes 29799 Unlisted procedure, casting or strapping 29999 Unlisted procedure, arthroscopy 30999 Unlisted procedure, nose 31299 Unlisted procedure, accessory sinuses 31599 Unlisted procedure, larynx 31899 Unlisted procedure, trachea, bronchi 32999 Unlisted procedure, lungs and pleura 33999 Unlisted procedure, cardiac surgery 36299 Unlisted procedure, vascular injection 37501 Unlisted vascular endoscopy procedure 37799 Unlisted procedure, vascular surgery 38129 Unlisted laparoscopy procedure, spleen 38589 Unlisted laparoscopy procedure, lymphatic system 38999 Unlisted procedure, hemic or lymphatic system 39499 Unlisted procedure, mediastinum 39599 Unlisted procedure, diaphragm 40799 Unlisted procedure, lips 40899 Unlisted procedure, vestibule of mouth 41599 Unlisted procedure, tongue, floor of mouth 41899 Unlisted procedure, dentoalveolar structures 42299 Unlisted procedure, palate, uvula 42699 Unlisted procedure, salivary glands or ducts 42999 Unlisted procedure, pharynx, adenoids, or tonsils 43289 Unlisted laparoscopy procedure, esophagus 43499 Unlisted procedure, esophagus 43659 Unlisted laparoscopy procedure, stomach 43999 Unlisted procedure, stomach 44238 Unlisted laparoscopy procedure, intestine (except rectum) 44799 Unlisted procedure, intestine 44899 Unlisted procedure, Meckel’s diverticulum and the mesentery 44979 Unlisted laparoscopy procedure, appendix 45399 Unlisted procedure, colon 45499 Unlisted laparoscopy procedure, rectum 45999 Unlisted procedure, rectum 46999 Unlisted procedure, anus 47379 Unlisted laparoscopic procedure, liver 47399 Unlisted procedure, liver 47579 Unlisted laparoscopy procedure, biliary tract 47999 Unlisted procedure, biliary tract 48999 Unlisted procedure, pancreas 49329 Unlisted laparoscopy procedure, abdomen, peritoneum and omentum 49659 Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy 49999 Unlisted procedure, abdomen, peritoneum and omentum 50549 Unlisted laparoscopy procedure, renal 50949 Unlisted laparoscopy procedure, ureter 51999 Unlisted laparoscopy procedure, bladder 53899 Unlisted procedure, urinary system 54699 Unlisted laparoscopy procedure, testis 55559 Unlisted laparoscopy procedure, spermatic cord 55899 Unlisted procedure, male...

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2017 Billing for Moderate Conscious Sedation with Surgery Procedure Huge Changes in 2017
May29

2017 Billing for Moderate Conscious Sedation with Surgery Procedure Huge Changes in 2017

Moderate Sedation Changes CPT® 2017 Moderate Sedation Change Codes List The 2017 code set revises this code by removing moderate sedation, also called conscious sedation, from this procedure. Use of moderate (conscious) sedation is no longer considered an inherent (bundled) / part of the procedure and can now be reported separately. Prior to the 2017 change, reimbursement for moderate (conscious) sedation was built into the compensation for the procedure as the anesthesia was administered by the same physician or other qualified health care professional who performed the procedure. This code included conscious sedation as an inherent part of providing the service and was not separately reportable. It has been recognized that practice patterns for some procedures have changed, with anesthesia increasingly reported separately by a provider separate from the one who performs the procedure. For this reason, CPT® 2017 unbundles moderate (conscious) sedation from hundreds of codes. To report moderate (conscious) sedation when provided by the same physician or other qualified health care professional who performs the procedure, see new CPT® 2017 codes 99151, 99152, or 99153. To report moderate (conscious) sedation services provided by a physician or other qualified health care professional other than the provider performing the procedure, see new CPT® 2017 codes 99155, 99156, or 99157. For 2017, existing CPT® codes for moderate sedation, 99143-99150, have been deleted. Here are your Code Descriptions 0200T Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, 1 or more needles, includes imaging guidance and bone biopsy, when performed 0201T Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone biopsy, when performed 0293T Insertion of left atrial hemodynamic monitor; complete system, includes implanted communication module and pressure sensor lead in left atrium including transseptal access, radiological supervision and interpretation, and associated injection procedures, when performed 0294T Insertion of left atrial hemodynamic monitor; pressure sensor lead at time of insertion of pacing cardioverter-defibrillator pulse generator including radiological supervision and interpretation and associated injection procedures, when performed (List separately in addition to code for primary procedure) 0301T Destruction/reduction of malignant breast tumor with externally applied focused microwave, including interstitial placement of disposable catheter with combined temperature monitoring probe and microwave focusing sensocatheter under ultrasound thermotherapy guidance 0302T Insertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation when performed and intra-operative interrogation and programming when performed; complete system (includes device and electrode) 0303T Insertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation when performed and intra-operative...

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HCFA 1500 CMS Place of Service Codes Guidelines | Box 24 B POS
Oct24

HCFA 1500 CMS Place of Service Codes Guidelines | Box 24 B POS

HCFA 1500 CMS Place of Service Codes Guidelines Listed below are place of service codes and descriptions. These codes should be used on your professional claims see Box 24B on HCFA 1500 CMS Place of Service: 01 Pharmacy A facility or location where drugs and other medically related items and services are sold, dispensed, or otherwise provided directly to patients. (effective 10/1/05) 2005-10-01 02 Unassigned N/A 03 School A facility whose primary purpose is education. 2003-01-01 04 Homeless Shelter A facility or location whose primary purpose is to provide temporary housing to homeless individuals (e.g., emergency shelters, individual or family shelters). Special Considerations Note that for the purposes of receiving durable medical equipment (DME), a homeless shelter is considered the beneficiary’s home. Because DME is payable in the beneficiary’s home, the crosswalk for Homeless Shelter (code 04) to Office (code 11) that was mandated effective January 1, 2003, may need to be adjusted or local policy developed so that HCPCS codes for DME are covered when other conditions are met and the beneficiary is in a homeless shelter. If desired, local contractors are permitted to work with their medical directors to determine a new crosswalk such as from Homeless Shelter (code 04) to Home (code 12) or Custodial Care Facility (code 33) for DME provided in a homeless shelter setting. If a local contractor is currently paying claims correctly, however, it is not necessary to change the current crosswalk. 2003-01-01 05 Indian Health Service Free-standing Facility A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to American Indians and Alaska Natives who do not require hospitalization. (See 05-08 Special Considerations below.) 2003-01-01 06 Indian Health Service Provider-based Facility A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services rendered by, or under the supervision of, physicians to American Indians and Alaska Natives admitted as inpatients or outpatients. (See 05-08 Special Considerations below.) 2003-01-01 07 Tribal 638 Free-standing Facility A facility or location owned and operated by a federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and nonsurgical), and rehabilitation services to tribal members who do not require hospitalization. (See 05-08 Special Considerations below.) 2003-01-01 08 Tribal 638 Provider-based Facility A facility or location owned and operated by a federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and nonsurgical), and rehabilitation services to tribal members admitted as inpatients or outpatients. (See 05-08...

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Neurology Medical Codes for Billing | Analysis and Programming CPT Codes
Oct20

Neurology Medical Codes for Billing | Analysis and Programming CPT Codes

Neurology Medical Codes for Billing and Analysis and Programming CPT Codes   Neurology CPT Code 95970 Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of waveform, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); simple or complex brain, spinal cord, or peripheral (ie, cranial nerve, peripheral nerve, sacral nerve, neuromuscular) neurostimulator pulse generator/ transmitter, without reprogramming Neurology CPT Code  95971 (3 or fewer parameter changes) Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of waveform, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); simple spinal cord, or peripheral (ie, peripheral nerve, sacral nerve, neuromuscular) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming Neurology CPT Code 95974 (More than 3 parameter changes) Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of waveform, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex cranial nerve neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming, with or without nerve interface testing, first hour Neurology CPT Code 95975 Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of waveform, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex cranial nerve neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming, each additional 30 minutes after first hour (List separately in addition to code for primary procedure.) Epilepsy ICD-10 Neurology Codes Cross Over ICD 10 Code G40.211 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticus ICD 10 Code G40.219 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus ICD 10 Code G40.011 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, with status epilepticus ICD 10 Code G40.111 (Attacks without alteration of conscious) Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus ICD 10 Code G40.019 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus ICD 10 Code G40.119 (Attacks without alteration of conscious) Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus Got Questions? on Physician Billing, Coding and Credentialing?  Please call us today.   Search keywords: Neurology Medical Codes Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

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CPT Code for Urine Drug Screen | Pain Management Clinic Drug Testing
Oct14

CPT Code for Urine Drug Screen | Pain Management Clinic Drug Testing

  *** 2017 NEW CPT CODES FOR URINE DRUG SCREENING – READ AND CLICK HERE! CPT Code for Urine Drug Screen | Pain Management Clinic Drug Testing G0431 (DELETED December 2015) G0434 (DELETED December 2015) New Codes: January 2016 CPT Code for Urine Drug Screen Presumptive CPT Code for Drug Screen Testing G0477 QW Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures, (eg, immunoassay) capable of being read by direct optical observation only (eg, dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service. G0478 Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures, (eg, immunoassay) read by instrument-assisted direct optical observation (eg, dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service. G0479 Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers (eg, immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when performed, per date of service. Definitive CPT Code for Drug Screen Testing G0480 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, 1-7 drug class(es), including metabolite(s) if performed. G0481 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, 8-14 drug class(es), including metabolite(s) if performed. G0482 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (eg, IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)); qualitative or quantitative, all sources, includes specimen validity testing, per day, 15-21 drug class(es), including metabolite(s) if performed.) G0483 Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding...

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CPT Code for Hernia Incisional or Ventral Open or Laparoscopic
Oct13

CPT Code for Hernia Incisional or Ventral Open or Laparoscopic

CPT Code for Hernia Incisional or Ventral Open or Laparoscopic INCISIONAL/VENTRAL HERNIA (OPEN) 49560 Repair initial incisional or ventral hernia; reducible 49561 Repair initial incisional or ventral hernia; incarcerated or strangulated 49565 Repair recurrent incisional or ventral hernia; reducible 49566 Repair recurrent incisional or ventral hernia; incarcerated or strangulated Use CPT Code 49568 (MESH) Implantation… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

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