CPT CODE J7326 – Hyaluronan or derivative, Gel-One

HCPCS (Healthcare Common Procedure Coding System) Codes Code Description J7326 Hyaluronan or derivative, Gel-One, for intra-articular injection, per dose Coding and Billing for Gel-One Cross-Linked Hyaluronate • Prior authorization/pre-determination is suggested prior...

CPT 92002, 92004, 92012, 92014 and 92015 – Ophthalmological services

CPT CODE Definitions 92002 Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient 92004 Ophthalmological services: medical examination and evaluation with initiation of diagnostic...

CPT 994999 – Reporting code , UNLISTED EVALUATION AND MANAGEMENT

CPT CODE AND Description 99499 UNLISTED EVALUATION AND MANAGEMENT SERVICE Reporting CPT code 99499 (Unlisted evaluation and management service) should be limited to cases where there is no other specific E/M code payable by Medicare that describes that service....

CPT 94640, 94644, 94060, 94070 – Bronchodilation responsiveness

CPT code and Description 94640 – Pressurized or non-pressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or...

CPT 97012, 97010 – APPLICATION OF MODALITY

Procedure Code Description 97012 Application of modality to one or more areas traction mechanical97010 – Application of a modality to 1 or more areas; hot or cold packs – average fee amount – $10 – $20 Traction is used to treat a variety of...

CPT CODE 97530, 97532, 97533, 97535, 97537, 97542

 Procedure codes and Description 97530 Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance), each 15 minutes 97532 Development of cognitive skills to improve attention, memory,...

Anesthesia Billing overview- Reimbursement formulas with modifier

Anesthesia Services Anesthesia services must be submitted with a CPT anesthesia code in the range 00100-01999, excluding 01953 and 01996, and are reimbursed as time-based using the Standard Anesthesia Formula. Refer to the attached Anesthesia Codes list for all...

CPT H1001, H1001, H1003 – Prenatal care

CPT CODE and DescriptionH1000  PRENATAL CARE, AT-RISK ASSESSMENTH1001 Prenatal care, at-risk enhanced service; antepartum managementH1003 Prenatal care, at-risk enhanced service; educationHCPCS Code  H1000 – Prenatal care atriskassessmRisk...

CPT H0001, H0004, H0002, H0005, H0046, H0046

CPT code and Description H0001 Alcohol and/or drug assessment H0004 Behavioral health counseling and therapy (15 min) H0002 Behavioral health screening to determine eligibility for admission to treatment program  H0005 Alcohol and/or drug services; group...

CPT 76705 AND 76706

Procedure Code(s) and Description76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant,  follow-up) 76706  Ultrasound Screening Study for Abdominal Aortic AneurysmPreventive Benefit InstructionsAge 65 through 75...