Showing codes S9560 (Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin), including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem) — SG (Ambulatory surgical center (asc) facility service)

S9560 - Ht inj hormone diem
Long description: Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin), including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
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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S9562 - Ht inj palivizumab/ab diem
Long description: Home injectable therapy, palivizumab or other monoclonal antibody for rsv, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
Code added date: 20030101.
Code effective date: 20230401.
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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S9563 - Ht inj immuno diem
Long description: Home injectable therapy, immunotherapy, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
Code added date: 20230401.
Code effective date: 20230401.
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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S9590 - Ht irrigation diem
Long description: Home therapy, irrigation therapy (e.g., sterile irrigation of an organ or anatomical cavity); including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
Code added date: 20030101.
Code effective date: 20030101.
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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S9810 - Ht pharm per hour
Long description: Home therapy; professional pharmacy services for provision of infusion, specialty drug administration, and/or disease state management, not otherwise classified, per hour (do not use this code with any per diem code)
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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S9900 - Christian sci pract visit
Long description: Services by a journal-listed christian science practitioner for the purpose of healing, per diem
Code added date: 20020701.
Code effective date: 20120101.
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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S9901 - Christian sci nurse visit
Long description: Services by a journal-listed christian science nurse, per hour
Code added date: 20150101.
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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S9960 - Air ambulanc nonemerg fixed
Long description: Ambulance service, conventional air service, nonemergency transport, one way (fixed wing)
Code added date: 20140101.
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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S9961 - Air ambulan nonemerg rotary
Long description: Ambulance service, conventional air service, nonemergency transport, one way (rotary wing)
Code added date: 20140101.
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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S9970 - Health club membership yr
Long description: Health club membership, annual
Code added date: 20020401.
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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S9975 - Transplant related per diem
Long description: Transplant related lodging, meals and transportation, per diem
Code added date: 20020401.
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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S9976 - Lodging per diem
Long description: Lodging, per diem, not otherwise classified
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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S9977 - Meals per diem
Long description: Meals, per diem, not otherwise specified
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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S9981 - Med record copy admin
Long description: Medical records copying fee, administrative
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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S9982 - Med record copy per page
Long description: Medical records copying fee, per page
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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S9986 - Not medically necessary svc
Long description: Not medically necessary service (patient is aware that service not medically necessary)
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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S9988 - Serv part of phase i trial
Long description: Services provided as part of a phase i clinical trial
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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S9989 - Services outside us
Long description: Services provided outside of the united states of america (list in addition to code(s) for service(s))
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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S9990 - Services provided as part of
Long description: Services provided as part of a phase ii clinical trial
Code added date: 20000101.
Code effective date: 20000101.
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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S9991 - Services provided as part of
Long description: Services provided as part of a phase iii clinical trial
Code added date: 20000101.
Code effective date: 20000101.
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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S9992 - Transportation costs to and
Long description: Transportation costs to and from trial location and local transportation costs (e.g., fares for taxicab or bus) for clinical trial participant and one caregiver/companion
Code added date: 20000101.
Code effective date: 20000101.
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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S9994 - Lodging costs (e.g. hotel ch
Long description: Lodging costs (e.g., hotel charges) for clinical trial participant and one caregiver/companion
Code added date: 20000101.
Code effective date: 20000101.
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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S9996 - Meals for clinical trial par
Long description: Meals for clinical trial participant and one caregiver/companion
Code added date: 20000101.
Code effective date: 20000101.
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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S9999 - Sales tax
Long description: Sales tax
Code added date: 20000101.
Code effective date: 20000101.
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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SA - Nurse practitioner w physici
Long description: Nurse practitioner rendering service in collaboration with a physician
Code added date: 20010701.
Code effective date: 20010701.
Coverage Code: I (A code denoting Medicare coverage status).
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SB - Nurse midwife
Long description: Nurse midwife
Code added date: 20010701.
Code effective date: 20010701.
Coverage Code: I (A code denoting Medicare coverage status).
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SC - Medically necessary serv/sup
Long description: Medically necessary service or supply
Code added date: 20010701.
Code effective date: 20110401.
Coverage Code: C (A code denoting Medicare coverage status).
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SD - Serv by home infusion rn
Long description: Services provided by registered nurse with specialized, highly technical home infusion training
Code added date: 20010701.
Code effective date: 20010701.
Coverage Code: I (A code denoting Medicare coverage status).
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SE - State/fed funded program/ser
Long description: State and/or federally-funded programs/services
Code added date: 20010701.
Code effective date: 20010701.
Coverage Code: I (A code denoting Medicare coverage status).
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SF - 2nd opinion ordered by pro
Long description: Second opinion ordered by a professional review organization (pro) per section 9401, p.l. 99-272 (100% reimbursement - no medicare deductible or coinsurance)
Code added date: 19870101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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SG - Asc facility service
Long description: Ambulatory surgical center (asc) facility service
Code added date: 19920101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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