Showing codes AQ (Physician providing a service in an unlisted health professional shortage area (hpsa)) — B4157 (Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit)

AQ - Physician service hpsa area
Long description: Physician providing a service in an unlisted health professional shortage area (hpsa)
Code added date: 20060101.
Code effective date: 20060101.
Coverage Code: C (A code denoting Medicare coverage status).
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AR - Physician scarcity area
Long description: Physician provider services in a physician scarcity area
Code added date: 20050101.
Code effective date: 20050101.
Coverage Code: C (A code denoting Medicare coverage status).
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AS - Assistant at surgery service
Long description: Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
Code added date: 19880101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
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AT - Acute treatment
Long description: Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)
Code added date: 19840101.
Code effective date: 19980101.
Coverage Code: C (A code denoting Medicare coverage status).
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AU - Uro, ostomy or trach item
Long description: Item furnished in conjunction with a urological, ostomy, or tracheostomy supply
Code added date: 20030101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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AV - Item w prosthetic/orthotic
Long description: Item furnished in conjunction with a prosthetic device, prosthetic or orthotic
Code added date: 20030101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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AW - Item w a surgical dressing
Long description: Item furnished in conjunction with a surgical dressing
Code added date: 20030101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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AX - Item w dialysis services
Long description: Item furnished in conjunction with dialysis services
Code added date: 20030101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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AY - Item/service not for esrd tx
Long description: Item or service furnished to an esrd patient that is not for the treatment of esrd
Code added date: 20110101.
Code effective date: 20110101.
Coverage Code: C (A code denoting Medicare coverage status).
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AZ - Physician serv in dent hpsa
Long description: Physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment
Code added date: 20110101.
Code effective date: 20110101.
Coverage Code: I (A code denoting Medicare coverage status).
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B4034 - Enter feed supkit syr by day
Long description: Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
Code added date: 19860101.
Code effective date: 20110101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4035 - Enteral feed supp pump per d
Long description: Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
Code added date: 19860101.
Code effective date: 20110101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4036 - Enteral feed sup kit grav by
Long description: Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
Code added date: 19860101.
Code effective date: 20110101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4081 - Enteral ng tubing w/ stylet
Long description: Nasogastric tubing with stylet
Code added date: 19860101.
Code effective date: 20020101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4082 - Enteral ng tubing w/o stylet
Long description: Nasogastric tubing without stylet
Code added date: 19860101.
Code effective date: 20020101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4083 - Enteral stomach tube levine
Long description: Stomach tube - levine type
Code added date: 19860101.
Code effective date: 20020101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4087 - Gastro/jejuno tube, std
Long description: Gastrostomy/jejunostomy tube, standard, any material, any type, each
Code added date: 20080101.
Code effective date: 20080101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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B4088 - Gastro/jejuno tube, low-pro
Long description: Gastrostomy/jejunostomy tube, low-profile, any material, any type, each
Code added date: 20080101.
Code effective date: 20160101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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B4100 - Food thickener oral
Long description: Food thickener, administered orally, per ounce
Code added date: 20030101.
Code effective date: 20050101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: M (A code denoting Medicare coverage status).
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B4102 - Ef adult fluids and electro
Long description: Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4103 - Ef ped fluid and electrolyte
Long description: Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s): 46 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4104 - Additive for enteral formula
Long description: Additive for enteral formula (e.g., fiber)
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4105 - Enzyme cartridge enteral nut
Long description: In-line cartridge containing digestive enzyme(s) for enteral feeding, each
Code added date: 20190101.
Code effective date: 20190101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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B4148 - Enteral feed elastomer daily
Long description: Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
Code added date: 20231001.
Code effective date: 20231001.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4149 - Ef blenderized foods
Long description: Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Code added date: 20050101.
Code effective date: 20060101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4150 - Ef complet w/intact nutrient
Long description: Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Code added date: 19860101.
Code effective date: 20050101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4152 - Ef calorie dense>/=1.5kcal
Long description: Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Code added date: 19840101.
Code effective date: 20050101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4153 - Ef hydrolyzed/amino acids
Long description: Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Code added date: 19860101.
Code effective date: 20050101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4154 - Ef spec metabolic noninherit
Long description: Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Code added date: 19840101.
Code effective date: 20050101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4155 - Ef incomplete/modular
Long description: Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit
Code added date: 19860101.
Code effective date: 20050101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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B4157 - Ef special metabolic inherit
Long description: Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s): 39 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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