Revised - See 04/02/2013 Version

Size: px
Start display at page:

Download "Revised - See 04/02/2013 Version"

Transcription

1 CHA/P Codes License for Use of Current Procedural Terminology, Fourth Edition (CPT) Notice The CPT code descriptions herein have been shortened to 28 characters or less to comply with copyright restrictions. Please refer to the current CPT for complete descriptions. CPT is copyright 2010 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the American Medical Association. Applicable FARS/DFARS restrictions apply to government use. You, your employees and agents are authorized to use CPT internally within your organization for the sole use by yourself, employees and agents. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. You should contact CPT Intellectual Property Services, American Medical Association, 515 N. State Street, Chicago, Illinois or at telephone number or at facsimile number , should you wish to make additional uses of CPT. Applicable FARS/DFARS Restrictions Apply to Government Use. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS (b)(2)(June 1995) and/or subject to the restrictions of DFARS (a)(June 1995) and DFARS (a)(June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR (June 1987) and/or subject to the restricted rights provisions of FAR (June 1987) and FAR (June 1987), as applicable, and any applicable agency FAR Supplements, for non-department of Defense Federal procurements. Disclaimer of Warranties and Liabilities CPT is provided "as is" without warranty of any kind, either expressed of implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CPT. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is the Health Care Financing Administration and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement. CHA/P Codes Pg 1 of 6 Last Modified: 12/20/2012

2 CHA/P CPT and HCPCS Codes CODE Drainage of skin abscess Drainage of skin abscess Remove foreign body Puncture drainage of lesion Exc tr-ext b9+marg 0.5 < cm Exc tr-ext b9+marg cm Exc tr-ext b9+marg cm Exc tr-ext b9+marg cm Exc tr-ext b9+marg cm Exc tr-ext b9+marg > 4.0 cm Exc h-f-nk-sp b9+marg 0.5 < Exc h-f-nk-sp b9+marg Exc h-f-nk-sp b9+marg Exc h-f-nk-sp b9+marg Exc h-f-nk-sp b9+marg Exc h-f-nk-sp b9+marg > 4 cm Exc face-mm b9+marg 0.5 < cm Exc face-mm b9+marg cm Exc face-mm b9+marg cm Exc face-mm b9+marg cm Exc face-mm b9+marg cm Exc face-mm b9+marg > 4 cm Debride nail Debride nail 6 or more Excision of nail fold toe Repair superficial wound(s) Repair superficial wound(s) Initial treatment of burn(s) Dress/debrid p-thick burn s Dress/debrid p-thick burn m Dress/debrid p-thick burn l Treatment of nose fracture Treat lower jaw fracture Treatment of rib fracture Treat clavicle fracture Treat humerus fracture Treat shoulder dislocation Treat humerus fracture Treat fracture of radius CHA/P Codes Pg 2 of 6 Last Modified: 12/20/2012

3 26600 Treat metacarpal fracture Treat pelvic ring fracture Treatment of thigh fracture Treatment of thigh fracture Treatment of thigh fracture Treatment of tibia fracture Treatment of heel fracture Apply long arm splint Apply forearm splint Application of finger splint Strapping of chest Strapping of shoulder Strapping of elbow or wrist Strapping of hand or finger Application long leg splint Application lower leg splint Strapping of toes Remove nasal foreign body Control of nosebleed Control of nosebleed Control of nosebleed Repeat control of nosebleed Routine venipuncture Insert needle bone cavity Insert bladder catheter Insert temp bladder cath Obstetrical care Deliver placenta Maternity care procedure Remove foreign body from eye Remove foreign body from eye Clear outer ear canal Remove impacted ear wax Urinalysis nonauto w/scope Urinalysis auto w/scope Urine pregnancy test Glucose blood test H pylori (c-13) breath H pylori drug admin Hemoglobin copper sulfate 83036* Glycosylated hemoglobin test CHA/P Codes Pg 3 of 6 Last Modified: 12/20/2012

4 85018* Hemoglobin 85610* Prothrombin time TB intradermal test Culture screen only 87210* Smear wet mount saline/ink Chylmd trach ag eia 87804* Influenza assay w/optic 87880* Strep a assay w/optic Hep b ig im Imadm any route 1st vac/tox Inadm any route addl vac/tox Immune admin H1N1 im/nasal Immunization admin Immune admin oral/nasal Hep a vaccine adult im Hep a/hep b vacc adult im Hpv vaccine 4 valent im Hpv vaccine 2 valent im Flu vaccine no preserv 6-35m Flu vaccine no preserv 3 & > Flu vaccine 3 yrs im Flu vaccine 3 yrs & > im Flu vaccine nasal Rotovirus vacc 3 dose oral Mmr vaccine sc Tdap vaccine >7 im Chicken pox vaccine sc Pneumococcal vaccine Zoster vacc sc Hep b vaccine adult im Hep b/hib vaccine im Pure tone hearing test air Pure tone audiometry air Tympanometry Heart/lung resuscitation cpr Airway inhalation treatment Measure blood oxygen level Measure blood oxygen level Hydration iv infusion init Ther/proph/diag iv inf init Ther/proph/diag inj sc/im CHA/P Codes Pg 4 of 6 Last Modified: 12/20/2012

5 96374 Ther/proph/diag inj iv push Medical services after hrs Visual acuity screen Office/outpatient visit new Office/outpatient visit new Office/outpatient visit new Office/outpatient visit new Office/outpatient visit new Office/outpatient visit est Office/outpatient visit est Office/outpatient visit est Office/outpatient visit est Office/outpatient visit est Home visit new patient Home visit new patient Home visit new patient Home visit est patient Home visit est patient Home visit est patient Init pm e/m new pat inf Init pm e/m new pat 1-4 yrs Init pm e/m new pat 1-4 yrs Init pm e/m new pat 1-4 yrs Prev visit new age Per pm reeval est pat inf Prev visit est age Prev visit est age Prev visit est age Prev visit est age Behav chng smoking 3-10 min Behav chng smoking > 10 min Audit/dast min Audit/dast over 30 min Init nb em per day non-fac Nb resuscitation Immunization admin each add Immune admin oral/nasal addl Hydrate iv infusion add-on Ther/proph/diag iv inf addon Tx/pro/dx inj new drug addon A4267 Contraceptive prophylactic condom, male CHA/P Codes Pg 5 of 6 Last Modified: 12/20/2012

6 A4565 A4570 A4580 Sling Splint Cast supplies, (eg, plaster) A4614 A4635 E0100 E0114 J0561 J0696 J0885 J1055 J1438 J1885 J2550 J3420 J7030 J7120 J7613 Peak expiratory flow rate meter, hand held Underarm pad, crutch, replacement, each Cane, includes canes of all materials, adjustable or fixed, with tip Crutches, underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips Injection, penicillin G benzathine, 100,000 units (Bicillin L-A, Permapen) Injection, ceftriaxone sodium, per 250 mg (Brand name: Rocephin) Injection, epoetin alfa, 1000 units (Brand name: Epogen or Procrit Injection, medroxyprogesterone acetate for contraceptive use, 150 mg (Depo-Provera) Injection, etanercept, 25 mg (Brand name: Enbrel) Injection, ketorolac tromethamine, per 15 mg (Brand name: Toradol) Injection, promethazine HCI, up to 50 mg (Brand name: Phenergan) Injection, vitamin B-12 cyanocobalamin, up to 1,000 mcg (Sytobex, Redisol, Rubramin PC, Betalin 12, Berubigen, Cobex, Cobal, Crystal B12, Cyano, Cyano Cobalamin, Hydroxocobalamin, Hydroxocobal, Nutri-Twelve) Infusion, normal saline solution, 1,000 cc Ringer's lactate infusion, up to 1,000 cc Albuterol, inhalation solution, FDA-approved final product, non-compounded product, administered through DME, unit dose, 1 mg L0120 L0140 L4350 L4360 L4370 Cervical, flexible, nonadjustable (foam collar) Cervical, semi-rigid, adjustable (plastic collar) Ankle control orthosis, stirrup style, rigid, includes any type interface material, prefabricated, includes any type interface (eg, pneumatic, gel), prefabricated, includes fitting and adjustment Walking boot, pneumatic, with or without joints, with or without interface material, prefabricated includes fitting and adjustment Pneumatic full leg splint (e.g., air cast), prefabricated, includes fitting and adjustment The CPT code descriptions herein have been shortened to 28 characters or less to comply with copyright restrictions. Please refer to the current CPT for complete descriptions. CHA/P Codes Pg 6 of 6 Last Modified: 12/20/2012

FY 18 Top 50 OFFICE PROCEDURES. Procedure Description Units Direct Pay Price

FY 18 Top 50 OFFICE PROCEDURES. Procedure Description Units Direct Pay Price FY 18 Top 50 OFFICE PROCEDURES Description Units Direct Pay Price GASTROENTEROLOGY 99214 EST OTPT SERV; LEV 4 (TYPICALLY 25 MIN) 2423 303.00 99213 EST OTPT SERV; LEV 3 (TYPICALLY 15 MIN) 1586 206.00 99233

More information

Membership Savings Matrix Current as of 8/1/17

Membership Savings Matrix Current as of 8/1/17 Membership Savings Matrix Current as of 8/1/17 Drainage Of Skin Abscess 115.98 300.42 150.21 I & D Complicated Or Multiple 203.89 525.57 262.78 I & D Pilonidal Cyst Simple 176.32 461.27 230.63 I & D Pilonidal

More information

Procedure/Product Code Description

Procedure/Product Code Description Proc. Type Code Procedure/Product Code Description ACA Primary Care Services Fees VFC 90585 TB $23.14 VFC 90632 Hep A $23.14 VFC 90633 Hep A $23.14 VFC 90634 Hep A $23.14 VFC 90636 Hep A - Hep B $23.14

More information

99202 Office visit new patient, problem expanded $ Smoking and tobacco use cessation counseling visit $37.30

99202 Office visit new patient, problem expanded $ Smoking and tobacco use cessation counseling visit $37.30 MILBRIDGE MEDICAL CENTER FAMILY PRACTICE 24 SCHOOL ST, MILBRIDGE ME 99202 Office visit new patient, problem expanded $140.90 99406 Smoking and tobacco use cessation counseling visit $37.30 99397 Preventive

More information

LABORATORY PROCEDURES IMAGING/RADIOLOGY PROCEDURES THERAPY GVH EMERGENCY DEPARTMENT PROCECURES

LABORATORY PROCEDURES IMAGING/RADIOLOGY PROCEDURES THERAPY GVH EMERGENCY DEPARTMENT PROCECURES PROCEDURE CHARGES / HOSPITAL may vary depending on circumstances. Prices subject to change. LABORATORY PROCEDURES Basic Metabolic Panel $112.00 80048 Comprehensive Metabolic Panel $140.00 80053 UA Micro

More information

Medical Policy Coverage Guidelines

Medical Policy Coverage Guidelines Medical Policy Coverage Guidelines Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc. (collectively referred to as "BCBSLA") have developed these medical policies to serve

More information

Certified Community Behavioral Health Clinic Demonstration Grant WRAP Supplemental Payment Reference Guide

Certified Community Behavioral Health Clinic Demonstration Grant WRAP Supplemental Payment Reference Guide Certified Community Behavioral Health Clinic Demonstration Grant WRAP Supplemental Payment Reference Guide (Effective June 2017) Table of Contents WRAP Supplemental Payment Process Overview... 1 WRAP Supplemental

More information

Mecklenburg County Health Department Fee Schedule,

Mecklenburg County Health Department Fee Schedule, Service Fee Program Area Animal Holding Facilities Annual Permit (New & Renewal) $50.00 Animal Holding Facilities Care Coordination for Children No Charge to Patient Case Management Services Home Visit

More information

Musculoskeletal System

Musculoskeletal System Musculoskeletal System CPT CPT copyright 2011 American Medical Association. All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the

More information

Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions

Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions 1. What is caused by overexerting or tearing of a muscle? p. 375 A.) Dislocation B.) Sprain C.) Fracture *D.)

More information

Understanding Your Costs and Coverage

Understanding Your Costs and Coverage Understanding Your Costs and Coverage Thank you for choosing UW. We know that understanding your healthcare costs can be a challenge we re here to help. Your healthcare costs depend on many factors such

More information

Rural Health Clinic Qualifying Visit List (RHC QVL) ( )

Rural Health Clinic Qualifying Visit List (RHC QVL) ( ) Rural Health Clinic Qualifying Visit List (RHC QVL) (4-27-16) The RHC QVL is intended as guidance for RHCs beginning to report HCPCS codes. It consists of frequently reported HCPCS codes that qualify as

More information

Payment Policy. Chiropractic Care. Policy Specific Section: September 10, 2012 November 10, 2012

Payment Policy. Chiropractic Care. Policy Specific Section: September 10, 2012 November 10, 2012 Payment Policy Chiropractic Care Type: Payment Policy Policy Specific Section: Payment Original Policy Date: Effective Date: September 10, 2012 November 10, 2012 Description Chiropractic is a branch of

More information

Physician Office Laboratory Tests

Physician Office Laboratory Tests Important Change Effective March 1, 2018 Physician Office Laboratory Tests Molina Healthcare of Michigan has updated its list of payable laboratory tests that may be performed in a physician s office.

More information

Procedures in the ED. MCEP Straight Talk Most $$$ ED CPT Codes (not including E&M codes) EKGs X-rays Ultrasounds.

Procedures in the ED. MCEP Straight Talk Most $$$ ED CPT Codes (not including E&M codes) EKGs X-rays Ultrasounds. Procedures in the ED Most $$$ ED CPT Codes (not including E&M codes) 93010 Electrocardiogram report 31500 Insert emergency airway 36556 Insert non-tunnel CV cath 92950 Heart/lung resuscitation CPR 12001

More information

Certificate of Conformity

Certificate of Conformity Certificate of Conformity We confirm that the Technical Documentation for the below mentioned (Medical Devices of the Class I) according to the Council Directive 93/42/EEC as amended (2007/47/EC) Body

More information

OP-14: SIMULTANEOUS USE OF BRAIN COMPUTED TOMOGRAPHY (CT) AND SINUS COMPUTED TOMOGRAPHY (CT)

OP-14: SIMULTANEOUS USE OF BRAIN COMPUTED TOMOGRAPHY (CT) AND SINUS COMPUTED TOMOGRAPHY (CT) OP-14: SIMULTANEOUS USE OF BRAIN COMPUTED TOMOGRAPHY (CT) AND SINUS COMPUTED TOMOGRAPHY (CT) Description of Measure This measure calculates the percentage of Brain CT studies with a simultaneous Sinus

More information

End-Diastolic Pneumatic Compression Boot as a Treatment of Peripheral Vascular Disease or Lymphedema

End-Diastolic Pneumatic Compression Boot as a Treatment of Peripheral Vascular Disease or Lymphedema End-Diastolic Pneumatic Compression Boot as a Treatment of Peripheral Vascular Disease or Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary,

More information

Release Notes and Installation Instructions. Medtech32. ACC Subsidy Updates

Release Notes and Installation Instructions. Medtech32. ACC Subsidy Updates Release Notes and Installation Instructions Medtech32 ACC Subsidy Updates General Practitioners, Medical Specialists, Nurses, Podiatrists and Specified Treatment Providers (April 2014) These Release Notes

More information

Coding for the Contraceptive Implant and IUDs

Coding for the Contraceptive Implant and IUDs LARC Quick Coding Guide 2018 UPDATE Coding for the Contraceptive Implant and IUDs CORRECT CODING can result in more appropriate compensation for services and devices. To help practices receive appropriate

More information

Public Statement: Medical Policy. Effective Date: 01/01/2012 Revision Date: 03/24/2014 Code(s): Many. Document: ARB0454:04.

Public Statement: Medical Policy. Effective Date: 01/01/2012 Revision Date: 03/24/2014 Code(s): Many. Document: ARB0454:04. ARBenefits Approval: 01/01/2012 Effective Date: 01/01/2012 Revision Date: 03/24/2014 Code(s): Many Medical Policy Title: Immunization Coverage Document: ARB0454:04 Administered by: Public Statement: 1.

More information

Updated January 2, 2018

Updated January 2, 2018 Service Charges Updated January 2, 2018 Important Notes:! Service charges and availability are subject to change.! No show and late charges may also apply.! What you pay out-of-pocket is dependent on your

More information

Skill Evaluation Sheets

Skill Evaluation Sheets Skill Evaluation Sheets Skill Drill 2-: How to Remove Gloves Skill Drill 4-: Primary Check: RAP-CAB Skill Drill 4-2: Perform a Secondary Check Skill Drill 5-: Adult CPR Skill Drill 5-2: Child CPR Skill

More information

All Providers. All Hospice Providers. All Ambulance Providers

All Providers. All Hospice Providers. All Ambulance Providers INDIANA HEALTH COVERAGE PROGRAMS B A N N E R P A G E All Providers B R 2 0 0 8 0 5 J A N U A R Y 2 9, 2 0 0 8 CPT 90660 Influenza Virus Vaccine, Live for Intranasal Use The age restriction for Current

More information

URBAN RESIDENCY PROGRAM PROCEDURAL SKILLS LOG BOOK NAME: DIVISION:

URBAN RESIDENCY PROGRAM PROCEDURAL SKILLS LOG BOOK NAME: DIVISION: URBAN RESIDENCY PROGRAM PROCEDURAL SKILLS LOG BOOK NAME: DIVISION: Procedures This list is provided as a guide to most of the procedures you might be exposed to during your training. There is no expectation

More information

SCHEDULE OF BENEFITS GAI

SCHEDULE OF BENEFITS GAI SCHEDULE OF BENEFITS The Schedule of Benefits provides a brief outline of the coverage and benefits including the maximum benefit amount, benefit periods, and any limitations applicable to benefits provided

More information

Extremity Injuries and Splinting

Extremity Injuries and Splinting CHAPTER 15 Extremity Injuries and Splinting Lesson Objectives 1. Describe the 3 general types of splints and how to improvise splints with common materials. 2. List the general guidelines for splinting

More information

PEDIATRIC CASTING AND SPLINTING HEATHER KONG, M.D. SHRINERS HOSPITAL FOR CHILDREN PORTLAND OCTOBER 7, 2017

PEDIATRIC CASTING AND SPLINTING HEATHER KONG, M.D. SHRINERS HOSPITAL FOR CHILDREN PORTLAND OCTOBER 7, 2017 PEDIATRIC CASTING AND SPLINTING HEATHER KONG, M.D. SHRINERS HOSPITAL FOR CHILDREN PORTLAND OCTOBER 7, 2017 DISCLOSURES I have no financial relationship with any company or product discussed in this presentation.

More information

AMERICAN RED CROSS FIRST AID RESPONDING TO EMERGENCIES FOURTH EDITION Copyright 2006 by The American National Red Cross All rights reserved.

AMERICAN RED CROSS FIRST AID RESPONDING TO EMERGENCIES FOURTH EDITION Copyright 2006 by The American National Red Cross All rights reserved. Musculoskeletal injuries are most commonly caused by Mechanical forms of energy. Chemicals. Electrical energy. Heat Mechanical energy produces direct, indirect, twisting and contracting forces. Can be

More information

Sutter Health Plus Effective for Calendar Year 2015

Sutter Health Plus Effective for Calendar Year 2015 Sutter Health Plus Effective for Calendar Year 2015 CPTs CPT Descriptions 2015 Cost Under Deducible (Single Unit) Doctor's Office Visit for a New Patient (Also Urgent Care) 99201 Low Level Visit $99.00

More information

Introduction to 3M EAPGs

Introduction to 3M EAPGs Introduction to 3M EAPGs (3M Enhanced Ambulatory Patient Groupings) February 23, 2017 Anne Boucher 3M Health Information Systems Outline 1. Definition of the EAPG Classification System Reference systems

More information

Injuries to Muscles, Bones and Joints. Emergency Medical Response

Injuries to Muscles, Bones and Joints. Emergency Medical Response Injuries to Muscles, Bones and Joints Lesson 33: Injuries to Muscles, Bones and Joints You Are the Emergency Medical Responder You are patrolling the state park where you are the emergency medical responder

More information

Rural Health Clinic (RHC) Qualifying Visit List ( )

Rural Health Clinic (RHC) Qualifying Visit List ( ) Rural Health Clinic (RHC) Qualifying Visit List (3-24-16) The RHC Qualifying Visit List is updated to include additional medically-necessary billable visits, effective April 1, 2016, but not payable until

More information

Concord Hospital Cost of Care Estimates

Concord Hospital Cost of Care Estimates Hospital Departments Laboratory Services Basic Metabolic Panel (BMP)(80048) $88 N/A $88 $35 Blood draw (36415) $29 N/A $29 $12 Complete blood cell count (CBC)(85025) $88 N/A $88 $35 Comprehensive Metabolic

More information

PAIN POINT CHECKLIST THE ULTIMATE TO MAXIMISE COMPENSATION FROM YOUR CLAIM

PAIN POINT CHECKLIST THE ULTIMATE TO MAXIMISE COMPENSATION FROM YOUR CLAIM THE ULTIMATE PAIN POINT CHECKLIST TO MAXIMISE COMPENSATION FROM YOUR CLAIM A visual checklist for personal injury claimants that allows users to comprehensively list and discuss their injuries with their

More information

New Glory Orthopedics

New Glory Orthopedics +91-8043043932 New Glory Orthopedics https://www.indiamart.com/newgloryorthopedics-kerala/ We are engaged in this Endeavor every moment of our existence, in order that we may help each patient recover

More information

The skeletal system is the framework for the muscular system to attach to so we can move.

The skeletal system is the framework for the muscular system to attach to so we can move. Skeletal System The skeletal system is the framework for the muscular system to attach to so we can move. BONE: A rigid connective tissue Helps to move & support the body Protect the organs (skull, ribs)

More information

Hatfield & McCoy Mine Safety Competition First-Aid Contest JULY 15, Page 1

Hatfield & McCoy Mine Safety Competition First-Aid Contest JULY 15, Page 1 Hatfield & McCoy Mine Safety Competition First-Aid Contest JULY 15, 2014 Page 1 PROBLEM Billy is a maintenance person that has been conducting clean-up and service duties on the number one conveyor belt

More information

SOLE INNOVATIONS. May we contact you with new, innovative devices and special offers?

SOLE INNOVATIONS. May we contact you with new, innovative devices and special offers? SOLE INNOVATIONS "Performance Healing Safety" Unsure of what to order? Try our free service! asktheorthotist@gmail.com jnsoleinnovations@gmail.com Email our Certified specialists with any clinical questions

More information

For the people of West Cork and surrounding areas. Information for patients and their families. Bantry Urgent Care Centre

For the people of West Cork and surrounding areas. Information for patients and their families. Bantry Urgent Care Centre Bantry Urgent Care Centre For the people of West Cork and surrounding areas Information for patients and their families The Bantry Urgent Care Centre is made up of a Local Injury Unit and a Medical Assessment

More information

Anesthesia. Chapter 16. CPT copyright 2010 American Medical Association. All rights reserved.

Anesthesia. Chapter 16. CPT copyright 2010 American Medical Association. All rights reserved. Anesthesia Chapter 16 1 CPT Copyright CPT copyright 2010 American Medical Association. All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned

More information

See Important Reminder at the end of this policy for important regulatory and legal information.

See Important Reminder at the end of this policy for important regulatory and legal information. Clinical Policy: Methoxy polyethylene glycol-epoetin beta (Mircera) Reference Number: CP.CPA.322 Effective Date: 06.01.18 Last Review Date: 05.18 Line of Business: Commercial Coding Implications Revision

More information

PROCEDURE/DIAGNOSIS/REVENUE CODES

PROCEDURE/DIAGNOSIS/REVENUE CODES PROCEDURE/DIAGNOSIS/REVENUE CODES TAKE CHARGE offers a limited benefit package of services which includes professional services, outpatient services, and laboratory/radiology and pharmaceutical services.

More information

NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by

NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden

More information

Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions

Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions 1. What do injuries to the shoulder often produce? p. 393 *A.) Anterior dislocation B.) Superior dislocation

More information

Archived SECTION 19 - PROCEDURE CODES. Section 19 - Procedure Codes

Archived SECTION 19 - PROCEDURE CODES. Section 19 - Procedure Codes SECTION 19 - PROCEDURE CODES 19.1 PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY EVALUATION AND TREATMENT CODES...2 19.1.A HEALTHY CHILDREN AND YOUTH (HCY) THERAPY PROCEDURE CODES...2 19.2 HCY OCCUPATIONAL/PHYSICAL

More information

PROCEDURES & SERVICES THAT DO NOT REQUIRE PRIOR AUTHORIZATION

PROCEDURES & SERVICES THAT DO NOT REQUIRE PRIOR AUTHORIZATION Prior Authorization Phone: 480-499-8720 Prior Authorization Fax: 480-499-8798 PROCEDURES & SERVICES THAT DO NOT REQUIRE PRIOR AUTHORIZATION This grid applies only to providers who participate with Arizona

More information

The Musculoskeletal System

The Musculoskeletal System The Musculoskeletal System Introduction The skeletal system and muscular system are often considered together because they are close in terms of structure and function. The two systems are referred to

More information

OUTLINE SHEET 5.4 PRIMARY SURVEY

OUTLINE SHEET 5.4 PRIMARY SURVEY ENABLING OBJECTIVES: 4.7 List the procedures used in a primary survey. 4.8 Demonstrate primary survey procedures used in a mock trauma (moulage) scenario without injury to personnel or damage to equipment.

More information

Contents. Preface v Reviewers vii

Contents. Preface v Reviewers vii Contents Preface v Reviewers vii 1 Administrative Procedures 1 1-1 Incoming Telephone Calls 1 Patient Appointments 1-2 New Patient Appointments 2 1-3 Established Patient Appointments 3 1-4 Referrals to

More information

NOTE If it is necessary to perform abdominal thrusts, expose the abdominal area prior to pressing on the abdomen.

NOTE If it is necessary to perform abdominal thrusts, expose the abdominal area prior to pressing on the abdomen. ENABLING OBJECTIVES: 4.7 List the procedures used in a primary survey. 4.8 Demonstrate primary survey procedures used in a mock trauma (moulage) scenario without injury to personnel or damage to equipment.

More information

Acute Splinting of Fractures

Acute Splinting of Fractures Acute Splinting of Fractures Orthopaedic Trauma Todd Horton, MD Holly Pilson, MD Michael Skeen, NP Jacob Nelson, PA C Disclosure Statement We have no financial interest/arrangement or affiliation with

More information

Ensuring Accuracy: Chargemaster and Outpatient Facility Coding

Ensuring Accuracy: Chargemaster and Outpatient Facility Coding Ensuring Accuracy: Chargemaster and Outpatient Facility Coding Catrena L. Smith CCS, CCS-P, CPC, PCS Disclaimer This material is provided as education for coders and other personnel involved in the coding

More information

2017 Blue Cross and Blue Shield of Louisiana

2017 Blue Cross and Blue Shield of Louisiana Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc.(collectively referred to as the Company ), unless otherwise provided

More information

Aviation Rescue Swimmer Course

Aviation Rescue Swimmer Course Aviation Rescue Swimmer Course Primary Survey LT 5.4 December 2003 1 Objectives List the procedures used in a primary survey. Demonstrate primary survey procedures used in a mock trauma (moulage) scenario

More information

The administration of covered immunizations and vaccines also is covered.

The administration of covered immunizations and vaccines also is covered. Covered Benefit: Vaccines & Immunization Definitions: CMP Published: Yes No CMP Link: CPG Link: Pediatric, Adolescent and Adult Routine Preventative Services Immunizations and vaccinations for treatment

More information

Coding and Reimbursement Guide for Integra Reinforcement Matrix 2018

Coding and Reimbursement Guide for Integra Reinforcement Matrix 2018 Coding and Reimbursement Guide for Integra Reinforcement Matrix 2018 Effective October 1, 2015, the Centers for & Medicaid Services (CMS) is implementing International Classification of Diseases, 10 th

More information

Swatee Enterprises. https://www.indiamart.com/swateeenterprises/

Swatee Enterprises. https://www.indiamart.com/swateeenterprises/ +91-8048706435 Swatee Enterprises https://www.indiamart.com/swateeenterprises/ We are one of the distinguished Wholesale Trader offering an exclusive range of Arm Sling, Fiberglass Tape, Quadripod Walking

More information

UniCare Professional Reimbursement Policy

UniCare Professional Reimbursement Policy UniCare Professional Reimbursement Policy Subject: Laboratory and Venipuncture Services Policy #: UniCare 0029 Adopted: 02/02/2010 Effective: 08/31/2017 Coverage is subject to the terms, conditions, and

More information

Pediatric Solutions. All products manufactured by Corflex are latex free.

Pediatric Solutions. All products manufactured by Corflex are latex free. Pediatric Solutions Corflex offers a comprehensive line of pediatric orthopedic rehabilitation products. > > > Pediatric Fixed Walker Easy to apply design provides stability for the lower leg with low

More information

* Collection & Handling Fees billed separately - see Lab Fee Schedule for pricing- pricing subject to change

* Collection & Handling Fees billed separately - see Lab Fee Schedule for pricing- pricing subject to change OFFICE VISITS Community Fee Range Student Discounted Rate Primary Care Visit $120-.00-$277.00 $20.00 Special Visit $120.00 - $295.00 $45.00 WOMEN S HEALTH (Additional Fees May Apply) Well Woman Exam w/pap

More information

Bone Composition. Bone is very strong for its relatively light weight The major components of bone are:

Bone Composition. Bone is very strong for its relatively light weight The major components of bone are: Human Bones Bone Composition Bone is very strong for its relatively light weight The major components of bone are: Calcium carbonate Calcium phosphate Collagen Water Cortical Bone Spongy Bone Medullary

More information

55-year-old male with 2nd and 3rd degree burns to face, chest, and arms on 25% of the body Respirations: 34 Pulse: 120 Mental Status: moans to painful stimulus Mucous membranes charred Stridor 10 cm scalp

More information

Gordley Family Chiropractic Clinic Patient Introduction Card. First Name MI Last Name Date Address Married Single Mailing Address City State Zip Code

Gordley Family Chiropractic Clinic Patient Introduction Card. First Name MI Last Name Date Address Married Single Mailing Address City State Zip Code Gordley Family Chiropractic Clinic Patient Introduction Card First Name MI Last Name Date Address Married Single Mailing Address Phone City State Zip Code Birth Date Social Security Number Employed By

More information

Injuries to the Extremities

Injuries to the Extremities Injuries to the Extremities KNOWLEDGE OBJECTIVES 1. List seven signs and symptoms that suggest a serious extremity injury. 2. Describe how to care for injuries to the shoulder, upper arm, and elbow. 3.

More information

Anthem Blue Cross and Blue Shield Commercial Professional Reimbursement Policy

Anthem Blue Cross and Blue Shield Commercial Professional Reimbursement Policy Subject: Laboratory and Venipuncture Services ME Policy: 0029 Effective: 08/22/2016 03/31/2017 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products

More information

MIAMI-DADE COLLEGE. Common Course Number: HSC Course Title: Basic Emergency Care. Course Catalog Description:

MIAMI-DADE COLLEGE. Common Course Number: HSC Course Title: Basic Emergency Care. Course Catalog Description: Common Course Number: HSC 2400 MIAMI-DADE COLLEGE Course Title: Basic Emergency Care Course Catalog Description: Designed to provide opportunities to develop, practice, and display skills concerning emergency

More information

Hip $5,200. Wrist or Elbow $1,430 $715. Toe or Finger $390 $195. (except toes/heel), Wrist,

Hip $5,200. Wrist or Elbow $1,430 $715. Toe or Finger $390 $195. (except toes/heel), Wrist, High 24 Hour Module 1 Accident Emergency Treatment Accident Emergency Treatment Benefit For physician treatment and X-rays in a hospital or doctor's office within 96 hours of the accident. Major Diagnostic

More information

vedolizumab (Entyvio )

vedolizumab (Entyvio ) vedolizumab (Entyvio ) Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc.(collectively referred to as the Company ),

More information

The administration of covered immunizations and vaccines also is covered.

The administration of covered immunizations and vaccines also is covered. Covered Benefit: Immunization & Vaccines Definitions: CMP Published: Yes No CMP Link: CPG Link: Pediatric, Adolescent and Adult Routine Preventative Services Immunizations and vaccinations for treatment

More information

Achieving Bright Futures

Achieving Bright Futures Implementation of the ACA Pediatric Preventive Services Provision To ensure that all services children need are provided, it is critical that insurers pay for each separately reported service at a level

More information

36.3 The Integumentary System The Skin. KEY CONCEPT The integumentary system has many tissues that protect the body.

36.3 The Integumentary System The Skin. KEY CONCEPT The integumentary system has many tissues that protect the body. 36.3 The Integumentary System The Skin KEY CONCEPT The integumentary system has many tissues that protect the body. 36.3 The Integumentary System The Skin The integument is the body system that surrounds

More information

Musculoskeletal Injuries

Musculoskeletal Injuries Musculoskeletal Injuries KNOWLEDGE OBJECTIVES 1. Identify the four main structures of the musculoskeletal system. 2. List five common signs or symptoms of musculoskeletal injuries. 3. List seven signs

More information

OFFICE VISITS Community Fee Range Student Discounted Rate. WOMEN S HEALTH (Additional Fees May Apply) COUNSELING / PSYCHOLOGICAL SERVICES

OFFICE VISITS Community Fee Range Student Discounted Rate. WOMEN S HEALTH (Additional Fees May Apply) COUNSELING / PSYCHOLOGICAL SERVICES OFFICE VISITS Primary Care Visit $90.00 - $225.00 $20.00 Special Visit $107.00 - $120.00 $45.00 WOMEN S HEALTH (Additional Fees May Apply) Well Woman Exam w/pap $151.00 - $210.00 $50.00 - $120.00 Well

More information

Medica Health Plans. Minnesota Fee Schedule Revised 5/1/2016 NEW PATIENT EXAMS: MN Medicaid. Medicare

Medica Health Plans. Minnesota Fee Schedule Revised 5/1/2016 NEW PATIENT EXAMS: MN Medicaid. Medicare Medica Health Plans Minnesota Fee Schedule Revised 5/1/2016 NEW PATIENT EXAMS: 99201 Problem focused history and examination --straightforward $23.48 100% of CMS $29.53 99201.25 Problem focused history

More information

and will be denied as not medically necessary** if not met. This criterion only applies to the initial

and will be denied as not medically necessary** if not met. This criterion only applies to the initial Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc.(collectively referred to as the Company ), unless otherwise provided

More information

National Correct Coding Initiative Policy Manual for Medicare Services Revision Date: January 1, 2015

National Correct Coding Initiative Policy Manual for Medicare Services Revision Date: January 1, 2015 National Correct Coding Initiative Policy Manual for Medicare Services Revision Date: January 1, 2015 Current Procedural Terminology (CPT) codes, descriptions and other data only are copyright 2014 American

More information

CARROLL UNIVERSITY College of Natural and Health Sciences Athletic Training Education Program. Athletic Training Seminar I or instructor s approval

CARROLL UNIVERSITY College of Natural and Health Sciences Athletic Training Education Program. Athletic Training Seminar I or instructor s approval CARROLL UNIVERSITY College of Natural and Health Sciences Athletic Training Education Program Course Number: Athletic Training 102 Course Title: Prerequisites: Credit Hours: Contact Hours: Athletic Training

More information

Discussion Topics. Calcium Alginates. DME For the Diabetic Foot 1/25/2017. Jeffrey D. Lehrman, DPM, FASPS, FACFAS, MAPWCA

Discussion Topics. Calcium Alginates. DME For the Diabetic Foot 1/25/2017. Jeffrey D. Lehrman, DPM, FASPS, FACFAS, MAPWCA DME For the Diabetic Foot Jeffrey D. Lehrman, DPM, FASPS, FACFAS, MAPWCA Editorial Advisory Board, WOUNDS Board of Directors, American Society of Podiatric Surgeons Board of Directors, American Professional

More information

ustekinumab (Stelara )

ustekinumab (Stelara ) Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc.(collectively referred to as the Company ), unless otherwise provided

More information

2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process

2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process Measure #428: Pelvic Organ Prolapse: Preoperative Assessment of Occult Stress Urinary Incontinence National Quality Strategy Domain: Effective Clinical Care 2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY

More information

burosumab (Crysvita )

burosumab (Crysvita ) burosumab (Crysvita ) Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc.(collectively referred to as the Company ),

More information

Be Healthy. Be Healthy. Using Your Wellness Benefits. Helping You Stay Healthy. Wellness Benefits

Be Healthy. Be Healthy. Using Your Wellness Benefits. Helping You Stay Healthy. Wellness Benefits Be Healthy Wellness Benefits Be Healthy Using Your Wellness Benefits Helping You Stay Healthy Health Alliance emphasizes prevention through comprehensive wellness coverage. We support members throughout

More information

Urinary Metabolite Tests for Adherence to Direct-Acting Antiviral Medications for Hepatitis C Archived Medical Policy

Urinary Metabolite Tests for Adherence to Direct-Acting Antiviral Medications for Hepatitis C Archived Medical Policy Urinary Metabolite Tests for Adherence to Direct-Acting Antiviral Medications for Hepatitis C Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary,

More information

Product Name or Headline

Product Name or Headline Product Name or Headline Subhead goes here Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding, or site of service requirements. The coding options listed

More information

Family Planning Eligibility Program

Family Planning Eligibility Program INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Family Planning Eligibility Program L I B R A R Y R E F E R E N C E N U M B E R : P R O M O D 0 0 0 5 3 P U B L I S H E D : N O V E M B E R 2

More information

PEDIATRIC SKILLED NURSING POLICY AND PROCEDURE MANUAL. Sample Home Health Agency

PEDIATRIC SKILLED NURSING POLICY AND PROCEDURE MANUAL. Sample Home Health Agency 2019 PEDIATRIC SKILLED NURSING POLICY AND PROCEDURE MANUAL Sample Home Health Agency Pediatric Nursing is a nursing specialty that is provided to children in their places of residence. Because of this

More information

2017 Coding & Payment Quick Reference

2017 Coding & Payment Quick Reference 2017 Coding & Payment Quick Reference Select Pulmonary Procedures Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding or site of service requirements.

More information

Y: Orthopedic Specialty

Y: Orthopedic Specialty Y: Orthopedic Specialty Alberta Licensed Practical Nurses Competency Profile 253 Major Competency Area: Y Priority: One Competency: Y-1 HPA Authorization and Standards Date: September 1, 2005 Y-1-1 Demonstrate

More information

Principles of Anatomy and Physiology

Principles of Anatomy and Physiology Principles of Anatomy and Physiology 14 th Edition CHAPTER 8 The Skeletal System: The Appendicular Skeleton The Appendicular Skeleton The 126 bones of the appendicular skeleton are primarily concerned

More information

Anesthesia Cross Coder. Essential links from CPT codes to ICD-9-CM and HCPCS codes

Anesthesia Cross Coder. Essential links from CPT codes to ICD-9-CM and HCPCS codes Anesthesia Cross Coder Essential links from CPT codes to ICD-9-CM and HCPCS codes 2015 Contents Introduction... i CPT Anesthesia to Procedure Crosswalk...i Format...i Icon Key...ii CPT Codes...ii Resequenced

More information

Lightweight and plaster casts

Lightweight and plaster casts Information for patients This leaflet can be made available in other formats including large print, CD and Braille and in languages other than English, upon request. You have had a plaster cast put on

More information

CODING SHEETS CHRONIC INTRACTABLE PAIN MANAGEMENT. Effective January 1, 2009 CODMAN 3000 NEUROMODULATION AND ONCOLOGY REIMBURSEMENT HOTLINE

CODING SHEETS CHRONIC INTRACTABLE PAIN MANAGEMENT. Effective January 1, 2009 CODMAN 3000 NEUROMODULATION AND ONCOLOGY REIMBURSEMENT HOTLINE CODING SHEETS CHRONIC INTRACTABLE PAIN MANAGEMENT Effective January 1, 2009 CODMAN 3000 NEUROMODULATION AND ONCOLOGY REIMBURSEMENT HOTLINE Phone: 800-609-1108 Email: codmanpump@aol.com Fax: 303-703-1572

More information

Measure #404: Anesthesiology Smoking Abstinence National Quality Strategy Domain: Effective Clinical Care

Measure #404: Anesthesiology Smoking Abstinence National Quality Strategy Domain: Effective Clinical Care Measure #404: Anesthesiology Smoking Abstinence National Quality Strategy Domain: Effective Clinical Care 2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE: Intermediate Outcome DESCRIPTION:

More information

2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Outcome

2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Outcome Quality ID #432: Proportion of Patients Sustaining a Bladder Injury at the Time of any Pelvic Organ Prolapse Repair National Quality Strategy Domain: Patient Safety 2018 OPTIONS FOR INDIVIDUAL MEASURES:

More information

Chapter 7 /8 pgs SKELETAL TISSUES AND THE SKELETAL SYSTEM

Chapter 7 /8 pgs SKELETAL TISSUES AND THE SKELETAL SYSTEM Chapter 7 /8 pgs. 189-250 SKELETAL TISSUES AND THE SKELETAL SYSTEM Skeletal Tissue Introduction Bone and cartilage are a specialized types of connective tissue Individual Bones are considered separate

More information

Edema Exercises. To Improve Drainage

Edema Exercises. To Improve Drainage Edema Exercises To Improve Drainage You will improve your lymph flow by doing a few exercises each day. These exercises are an important part of your home program. They may help you get stronger, too.

More information