HCPCS ‘C’ Modifiers (20)

Modifier Description CA Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission CB Service ordered by a renal dialysis facility (rdf) physician as part of the esrd beneficiary’s dialysis benefit, is not part of the composite rate, and is separately reimbursable CC Procedure code change (use … Read more

HCPCS ‘B’ Modifiers (6)

Modifier Description BA Item furnished in conjunction with parenteral enteral nutrition (pen) services BL Special acquisition of blood and blood products BO Orally administered nutrition, not by feeding tube BP The beneficiary has been informed of the purchase and rental options and has elected to purchase the item BR The beneficiary has been informed of … Read more

HCPCS ‘A’ Modifiers (32)

Modifier Description A1 Dressing for one wound A2 Dressing for two wounds A3 Dressing for three wounds A4 Dressing for four wounds A5 Dressing for five wounds A6 Dressing for six wounds A7 Dressing for seven wounds A8 Dressing for eight wounds A9 Dressing for nine or more wounds AA Anesthesia services performed personally by … Read more

HCPCS ‘V’ Codes (212)

Vision, Hearing And Speech-Language Pathology Services Code Description V2020 Frames, purchases V2025 Deluxe frame V2100 Sphere, single vision, plano to plus or minus 4.00, per lens V2101 Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens V2102 Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per … Read more

HCPCS ‘U’ Codes (5)

Coronavirus Diagnostic Panel Code Description U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use … Read more

HCPCS ‘T’ Codes (114)

Established For State Medical Agencies Code Description T1000 Private duty / independent nursing service(s) – licensed, up to 15 minutes T1001 Nursing assessment / evaluation T1002 Rn services, up to 15 minutes T1003 Lpn/lvn services, up to 15 minutes T1004 Services of a qualified nursing aide, up to 15 minutes T1005 Respite care services, up … Read more

HCPCS ‘S’ Codes (532)

Commercial Payers (Temporary Codes) Code Description S0012 Butorphanol tartrate, nasal spray, 25 mg S0013 Esketamine, nasal spray, 1 mg S0014 Tacrine hydrochloride, 10 mg S0017 Injection, aminocaproic acid, 5 grams S0020 Injection, bupivicaine hydrochloride, 30 mlTerminated June 30, 2023. S0021 Injection, cefoperazone sodium, 1 gram S0023 Injection, cimetidine hydrochloride, 300 mg S0028 Injection, famotidine, 20 … Read more

HCPCS ‘R’ Codes (3)

Diagnostic Radiology Services Code Description R0070 Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen R0075 Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen R0076 Transportation of portable … Read more

HCPCS ‘Q’ Codes (459)

Miscellaneous Services (Temporary Codes) Code Description Q0035 Cardiokymography Q0081 Infusion therapy, using other than chemotherapeutic drugs, per visit Q0083 Chemotherapy administration by other than infusion technique only (e.g., subcutaneous, intramuscular, push), per visit Q0084 Chemotherapy administration by infusion technique only, per visit Q0085 Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, … Read more

HCPCS ‘P’ Codes (58)

Pathology And Laboratory Services Code Description P2028 Cephalin floculation, blood P2029 Congo red, blood P2031 Hair analysis (excluding arsenic) P2033 Thymol turbidity, blood P2038 Mucoprotein, blood (seromucoid) (medical necessity procedure) P3000 Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision P3001 Screening papanicolaou smear, cervical or vaginal, up to … Read more

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