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Showing posts with label Procedure Code Table. Show all posts
Showing posts with label Procedure Code Table. Show all posts

Wednesday, March 8, 2017

Procedure Code Table - Continuation

CPT or HCPCS Procedure Code : T1024
Short Description: Team evaluation & management
Covered Benefit :No
Prior Authorization Needed: -

 CPT or HCPCS Procedure Code : T1025
Short Description: Ped compr care pkg, per diem 
Covered Benefit :No
Prior Authorization Needed: -

 CPT or HCPCS Procedure Code : V5010
Short Description: Hearing aid evaluation test 
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5011
Short Description: Fitting/orientation/checking of hear aid 
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5014
Short Description: Hearing aid repair/modifying
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5060
Short Description: Behind ear hearing aid
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5090
Short Description: Dispensing fee
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5095
Short Description:Implant mid ear hearing pros
Covered Benefit :No
Prior Authorization Needed: -

 CPT or HCPCS Procedure Code : V5140
Short Description:Behind ear binaur hearing ai
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5244
Short Description:Hearing aid, prog, mon, cic
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5245
Short Description:Hearing aid, prog, mon, itc
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5246
Short Description:Hearing aid, prog, mon, itc
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5247
Short Description:Hearing aid, prog, mon, bte
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5250
Short Description:Hearing aid, prog, bin, cic
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5251
Short Description:Hearing aid, prog, bin, itc
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5252
Short Description:Hearing aid, prog, bin, ite
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5253
Short Description:Hearing aid, prog, bin, bte
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5254
Short Description:Hearing id, digit, mon, cic
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5255
Short Description:Hearing aid, digit, mon, itc
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5256
Short Description:Hearing aid, digit, mon, ite
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5257
Short Description:Hearing aid, digit, mon, bte
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5258
Short Description:Hearing aid, digit, bin, cic
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5259
Short Description:Hearing aid, digit, bin, itc
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5260
Short Description:Hearing aid, digit, bin, ite
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5261
Short Description:Hearing aid, digit, bin, bte
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5262
Short Description:Hearing aid, disp, monaural
Covered Benefit :No
Prior Authorization Needed: -

 CPT or HCPCS Procedure Code : V5263
Short Description:Hearing aid, disp, binaural
Covered Benefit :No
Prior Authorization Needed: -

 CPT or HCPCS Procedure Code : V5264
Short Description:Ear mold/insert
Covered Benefit :No
Prior Authorization Needed: -

 CPT or HCPCS Procedure Code : V5265
Short Description:Ear mold/insert, disposable
Covered Benefit :No
Prior Authorization Needed: -

 CPT or HCPCS Procedure Code : V5266
Short Description:Battery for hearing device
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5267
Short Description:Hearing aid supply/accessory
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5275
Short Description:Ear impression
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5299
Short Description:Hearing service
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : V5336
Short Description:Repair/mod augmentative com sys/or devic
Covered Benefit :No
Prior Authorization Needed: -

 CPT or HCPCS Procedure Code : V5362
Short Description:Speech screening
Covered Benefit :No
Prior Authorization Needed: -

 CPT or HCPCS Procedure Code : V5363
Short Description:Language screening
Covered Benefit :No
Prior Authorization Needed: -

 CPT or HCPCS Procedure Code : V5364
Short Description:Dysphagia screening
Covered Benefit :No
Prior Authorization Needed: -
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Tuesday, March 7, 2017

Procedure Code Table - continued

CPT or HCPCS Procedure Code : 99215
Short Description: Office/outpatient visit est
Covered Benefit : Yes
Prior Authorization Needed: No
CPT or HCPCS Procedure Code : 99241
Short Description: Office consultation
Covered Benefit :No
Prior Authorization Needed: -
CPT or HCPCS Procedure Code : 99242
Short Description: Office consultation
Covered Benefit :No
Prior Authorization Needed: -
CPT or HCPCS Procedure Code : 99243
Short Description: Office consultation
Covered Benefit :No
Prior Authorization Needed: -
CPT or HCPCS Procedure Code : 99244
Short Description: Office consultation
Covered Benefit :No
Prior Authorization Needed: -
CPT or HCPCS Procedure Code : 99245
Short Description: Office consultation
Covered Benefit :No
Prior Authorization Needed: -

CPT or HCPCS Procedure Code : 99251
Short Description: Inpatient consultation
Covered Benefit :No
Prior Authorization Needed: -
CPT or HCPCS Procedure Code : 99252
Short Description: Inpatient consultation
Covered Benefit :No
Prior Authorization Needed: -
CPT or HCPCS Procedure Code : 99253
Short Description: Inpatient consultation
Covered Benefit :No
Prior Authorization Needed: -
CPT or HCPCS Procedure Code : 99254
Short Description: Inpatient consultation
Covered Benefit :No
Prior Authorization Needed: -
CPT or HCPCS Procedure Code : 99255
Short Description: Inpatient consultation
Covered Benefit :No
Prior Authorization Needed: -
CPT or HCPCS Procedure Code : L7510
Short Description: Prosthetic device repair rep
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : L8515
Short Description: Gel cap app device for trach
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : L8615
Short Description: Headpiece for cochlear implant
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : L8616
Short Description: Microphone for cochlear implant
Covered Benefit :Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : L8617
Short Description: Transmit coil cochlear implant
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : L8618
Short Description: Transmit cable cochlear impl
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : L8619
Short Description: Coch imp ext proc/contr rplc
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : L8621
Short Description: Zinc air battery cochlear impl
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : L8622
Short Description: Alkaline battery cochlear imp
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : L8623
Short Description: Lith ion batt CID, non-ear lvl
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : L8624
Short Description: Lith ion batt CID, ear level
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : L8691
Short Description: Auditory osseointegrated device, external sound processor, replacement
Covered Benefit :Yes
Prior Authorization Needed: Yes

 CPT or HCPCS Procedure Code : L8692
Short Description: Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment
Covered Benefit :Yes
Prior Authorization Needed: Yes

CPT or HCPCS Procedure Code : S0618
Short Description: Audiometry for hearing aid evaluation to determine the level and degree of hearing loss
Covered Benefit :Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : S9152
Short Description: Speech therapy, re-eval
Covered Benefit :No
Prior Authorization Needed: -
No comments:
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Monday, March 6, 2017

Procedure Code Table - Continuation

CPT or HCPCS Procedure Code : 92620
Short Description:Auditory function 60 min
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 92621
Short Description:Auditory function + 15 min
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 92625
Short Description:Tinnitus assessment
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 92626
Short Description:Eval aud rehab status
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 92627
Short Description:Eval aud status rehab add-on
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 92630
Short Description:Aud rehab pre-ling hear loss
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 92633
Short Description:Aud rehab postling hear loss
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 92640
Short Description:Aud brainstem implt programg
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 95861
Short Description:Muscle test 2 limbs
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 95920
Short Description:Intraop nerve test add-on
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 95925
Short Description:Somatosensory evoked study - upper limbs
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 95926
Short Description:Somatosensory study lower limbs
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 95927
Short Description:Somatosensory study trunk/head
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 95928
Short Description:C motor evoked uppr limbs
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 95929
Short Description:C motor evoked lwr limbs
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 95930
Short Description:Visual evoke potential - cns
Covered Benefit : Yes
Prior Authorization Needed: No.

 CPT or HCPCS Procedure Code : 95934
Short Description:H-reflex test
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 95936
Short Description:H-reflex test
Covered Benefit : Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 95937
Short Description: Neuromuscular junction testing (repetiti
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 96111
Short Description: Developmental test extend
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 97112
Short Description: Neuromuscular reeducation
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 97201
Short Description: Office/outpatient visit new
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 97202
Short Description: Office/outpatient visit new
Covered Benefit : Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 97203
Short Description: Office/outpatient visit new
Covered Benefit : Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 97204
Short Description: Office/outpatient visit new
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 97205
Short Description: Office/outpatient visit new
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 99211
Short Description: Office/outpatient visit est
Covered Benefit : Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 99212
Short Description: Office/outpatient visit est
Covered Benefit : Yes
Prior Authorization Needed: No

 CPT or HCPCS Procedure Code : 99213
Short Description: Office/outpatient visit est
Covered Benefit : Yes
Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 99214
Short Description: Office/outpatient visit est
Covered Benefit : Yes
Prior Authorization Needed: No
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