Showing codes G0402 (Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment) — G0433 (Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening)

G0402 - Initial preventive exam
Long description: Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
Code added date: 20090101.
Code effective date: 20090101.
Pricing Indicator Code(s): 11 ; (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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G0403 - Ekg for initial prevent exam
Long description: Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
Code added date: 20090101.
Code effective date: 20090101.
Pricing Indicator Code(s): 11 ; (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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G0404 - Ekg tracing for initial prev
Long description: Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination
Code added date: 20090101.
Code effective date: 20090101.
Pricing Indicator Code(s): 11 ; (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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G0405 - Ekg interpret & report preve
Long description: Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination
Code added date: 20090101.
Code effective date: 20090101.
Pricing Indicator Code(s): 11 ; (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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G0406 - Inpt/tele follow up 15
Long description: Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth
Code added date: 20090101.
Code effective date: 20120101.
Pricing Indicator Code(s): 13 ; (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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G0407 - Inpt/tele follow up 25
Long description: Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth
Code added date: 20090101.
Code effective date: 20120101.
Pricing Indicator Code(s): 11 ; (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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G0408 - Inpt/tele follow up 35
Long description: Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth
Code added date: 20090101.
Code effective date: 20120101.
Pricing Indicator Code(s): 11 ; (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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G0409 - Corf related serv 15 mins ea
Long description: Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified social worker or psychologist in a corf)
Code added date: 20090101.
Code effective date: 20090101.
Pricing Indicator Code(s): 13 ; (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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G0410 - Grp psych php/iop 45-50
Long description: Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes
Code added date: 20090101.
Code effective date: 20240101.
Pricing Indicator Code(s): 13 ; (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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G0411 - Interactive grp psyc php/iop
Long description: Interactive group psychotherapy, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes
Code added date: 20090101.
Code effective date: 20240101.
Pricing Indicator Code(s): 13 ; (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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G0412 - Open tx iliac spine uni/bil
Long description: Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed
Code added date: 20090101.
Code effective date: 20090101.
Pricing Indicator Code(s): 13 ; (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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G0413 - Pelvic ring fracture uni/bil
Long description: Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)
Code added date: 20090101.
Code effective date: 20090101.
Pricing Indicator Code(s): 13 ; (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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G0414 - Pelvic ring fx treat int fix
Long description: Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)
Code added date: 20090101.
Code effective date: 20090101.
Pricing Indicator Code(s): 13 ; (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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G0415 - Open tx post pelvic fxcture
Long description: Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)
Code added date: 20090101.
Code effective date: 20090101.
Pricing Indicator Code(s): 13 ; (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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G0416 - Prostate biopsy, any mthd
Long description: Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method
Code added date: 20090101.
Code effective date: 20150101.
Pricing Indicator Code(s): 13 ; (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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G0417 - Sat biopsy prostate 21-40
Long description: Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 21-40 specimens
Code added date: 20090101.
Code effective date: 20150101.
Pricing Indicator Code(s): 13 ; (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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G0418 - Sat biopsy prostate 41-60
Long description: Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 41-60 specimens
Code added date: 20090101.
Code effective date: 20150101.
Pricing Indicator Code(s): 13 ; (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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G0419 - Sat biopsy prostate: >60
Long description: Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, >60 specimens
Code added date: 20090101.
Code effective date: 20150101.
Pricing Indicator Code(s): 13 ; (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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G0420 - Ed svc ckd ind per session
Long description: Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour
Code added date: 20100101.
Code effective date: 20100101.
Pricing Indicator Code(s): 11 ; (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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G0421 - Ed svc ckd grp per session
Long description: Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour
Code added date: 20100101.
Code effective date: 20100101.
Pricing Indicator Code(s): 11 ; (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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G0422 - Intens cardiac rehab w/exerc
Long description: Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session
Code added date: 20100101.
Code effective date: 20100101.
Pricing Indicator Code(s): 11 ; (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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G0423 - Intens cardiac rehab no exer
Long description: Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session
Code added date: 20100101.
Code effective date: 20100101.
Pricing Indicator Code(s): 11 ; (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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G0424 - Pulmonary rehab w exer
Long description: Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day
Code added date: 20100101.
Code effective date: 20220101.
Pricing Indicator Code(s): 11 ; (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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G0425 - Inpt/ed teleconsult30
Long description: Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth
Code added date: 20100101.
Code effective date: 20120101.
Pricing Indicator Code(s): 13 ; (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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G0426 - Inpt/ed teleconsult50
Long description: Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth
Code added date: 20100101.
Code effective date: 20120101.
Pricing Indicator Code(s): 13 ; (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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G0427 - Inpt/ed teleconsult70
Long description: Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth
Code added date: 20100101.
Code effective date: 20120101.
Pricing Indicator Code(s): 13 ; (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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G0428 - Collagen meniscus implant
Long description: Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex)
Code added date: 20100525.
Code effective date: 20100525.
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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G0429 - Dermal filler injection(s)
Long description: Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy)
Code added date: 20100323.
Code effective date: 20170101.
Pricing Indicator Code(s): 13 ; (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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G0431 - Drug screen multiple class
Long description: Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter
Code added date: 20100101.
Code effective date: 20160101.
Pricing Indicator Code(s): 13 , 21 ; (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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G0432 - Eia hiv-1/hiv-2 screen
Long description: Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening
Code added date: 20091208.
Code effective date: 20101001.
Pricing Indicator Code(s): 21 ; (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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G0433 - Elisa hiv-1/hiv-2 screen
Long description: Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening
Code added date: 20091208.
Code effective date: 20130101.
Pricing Indicator Code(s): 21 ; (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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