Showing codes S0176 (Hydroxyurea, oral, 500 mg) — S0274 (Nurse practitioner visit at member's home, outside of a capitation arrangement)

S0176 - Hydroxyurea 500 mg
Long description: Hydroxyurea, oral, 500 mg
Code added date: 20020101.
Code effective date: 20020101.
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: I (A code denoting Medicare coverage status).
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S0177 - Levamisole 50 mg
Long description: Levamisole hydrochloride, oral, 50 mg
Code added date: 20020101.
Code effective date: 20020101.
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: I (A code denoting Medicare coverage status).
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S0178 - Lomustine 10 mg
Long description: Lomustine, oral, 10 mg
Code added date: 20020101.
Code effective date: 20020101.
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: I (A code denoting Medicare coverage status).
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S0179 - Megestrol 20 mg
Long description: Megestrol acetate, oral, 20 mg
Code added date: 20020101.
Code effective date: 20020101.
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: I (A code denoting Medicare coverage status).
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S0182 - Procarbazine, oral
Long description: Procarbazine hydrochloride, oral, 50 mg
Code added date: 20020101.
Code effective date: 20140101.
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: I (A code denoting Medicare coverage status).
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S0183 - Prochlorperazine 5 mg
Long description: Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)
Code added date: 20020101.
Code effective date: 20150101.
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: I (A code denoting Medicare coverage status).
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S0187 - Tamoxifen 10 mg
Long description: Tamoxifen citrate, oral, 10 mg
Code added date: 20020101.
Code effective date: 20020101.
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: I (A code denoting Medicare coverage status).
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S0189 - Testosterone pellet 75 mg
Long description: Testosterone pellet, 75 mg
Code added date: 20020101.
Code effective date: 20020101.
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: I (A code denoting Medicare coverage status).
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S0190 - Mifepristone, oral, 200 mg
Long description: Mifepristone, oral, 200 mg
Code added date: 20010101.
Code effective date: 20010101.
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: I (A code denoting Medicare coverage status).
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S0191 - Misoprostol, oral, 200 mcg
Long description: Misoprostol, oral, 200 mcg
Code added date: 20010101.
Code effective date: 20010101.
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: I (A code denoting Medicare coverage status).
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S0194 - Vitamin suppl 100 caps
Long description: Dialysis/stress vitamin supplement, oral, 100 capsules
Code added date: 20040401.
Code effective date: 20040401.
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: I (A code denoting Medicare coverage status).
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S0195 - Pneumo vaccine 5-9 yrs
Long description: Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine
Code added date: 20030101.
Code effective date: 20160101.
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: I (A code denoting Medicare coverage status).
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S0197 - Prenatal vitamins 30 day
Long description: Prenatal vitamins, 30-day supply
Code added date: 20050401.
Code effective date: 20050401.
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: I (A code denoting Medicare coverage status).
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S0199 - Med abortion inc all ex drug
Long description: Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs
Code added date: 20010101.
Code effective date: 20010101.
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: I (A code denoting Medicare coverage status).
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S0201 - Partial hospitalization serv
Long description: Partial hospitalization services, less than 24 hours, per diem
Code added date: 20021001.
Code effective date: 20021001.
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: I (A code denoting Medicare coverage status).
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S0207 - Paramedicintercep nonhospals
Long description: Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport
Code added date: 20021001.
Code effective date: 20021001.
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: I (A code denoting Medicare coverage status).
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S0208 - Paramed intrcept nonvol
Long description: Paramedic intercept, hospital-based als service (non-voluntary), non-transport
Code added date: 20020101.
Code effective date: 20020101.
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: I (A code denoting Medicare coverage status).
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S0209 - Wc van mileage per mi
Long description: Wheelchair van, mileage, per mile
Code added date: 20020101.
Code effective date: 20020101.
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: I (A code denoting Medicare coverage status).
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S0215 - Nonemerg transp mileage
Long description: Non-emergency transportation; mileage, per mile
Code added date: 20020101.
Code effective date: 20020401.
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: I (A code denoting Medicare coverage status).
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S0220 - Medical conference by physic
Long description: Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes
Code added date: 20010101.
Code effective date: 20010101.
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: I (A code denoting Medicare coverage status).
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S0221 - Medical conference, 60 min
Long description: Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes
Code added date: 20010101.
Code effective date: 20010101.
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: I (A code denoting Medicare coverage status).
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S0250 - Comp geriatr assmt team
Long description: Comprehensive geriatric assessment and treatment planning performed by assessment team
Code added date: 20020101.
Code effective date: 20020101.
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: I (A code denoting Medicare coverage status).
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S0255 - Hospice refer visit nonmd
Long description: Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staff
Code added date: 20020101.
Code effective date: 20020101.
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: I (A code denoting Medicare coverage status).
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S0257 - End of life counseling
Long description: Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service)
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: I (A code denoting Medicare coverage status).
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S0260 - H&p for surgery
Long description: History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)
Code added date: 20020101.
Code effective date: 20020101.
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: I (A code denoting Medicare coverage status).
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S0265 - Genetic counsel 15 mins
Long description: Genetic counseling, under physician supervision, each 15 minutes
Code added date: 20050701.
Code effective date: 20050701.
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: I (A code denoting Medicare coverage status).
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S0270 - Home std case rate 30 days
Long description: Physician management of patient home care, standard monthly case rate (per 30 days)
Code added date: 20070401.
Code effective date: 20070401.
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: I (A code denoting Medicare coverage status).
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S0271 - Home hospice case 30 days
Long description: Physician management of patient home care, hospice monthly case rate (per 30 days)
Code added date: 20070401.
Code effective date: 20070401.
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: I (A code denoting Medicare coverage status).
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S0272 - Home episodic case 30 days
Long description: Physician management of patient home care, episodic care monthly case rate (per 30 days)
Code added date: 20070401.
Code effective date: 20070401.
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: I (A code denoting Medicare coverage status).
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S0273 - Md home visit outside cap
Long description: Physician visit at member's home, outside of a capitation arrangement
Code added date: 20070401.
Code effective date: 20070401.
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: I (A code denoting Medicare coverage status).
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S0274 - Nurse practr visit outs cap
Long description: Nurse practitioner visit at member's home, outside of a capitation arrangement
Code added date: 20070401.
Code effective date: 20070401.
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: I (A code denoting Medicare coverage status).
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