Showing codes G0420 (Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour) — G0455 (Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen)

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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G0434 - Drug screen multi drug class
Long description: Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter
Code added date: 20110101.
Code effective date: 20160101.
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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G0435 - Oral hiv-1/hiv-2 screen
Long description: Infectious agent antibody detection by rapid antibody test, 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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G0436 - Tobacco-use counsel 3-10 min
Long description: Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes
Code added date: 20110101.
Code effective date: 20161001.
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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G0437 - Tobacco-use counsel>10min
Long description: Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes
Code added date: 20110101.
Code effective date: 20161001.
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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G0438 - Ppps, initial visit
Long description: Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
Code added date: 20110101.
Code effective date: 20110101.
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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G0439 - Ppps, subseq visit
Long description: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Code added date: 20110101.
Code effective date: 20110101.
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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G0442 - Annual alcohol screen 15 min
Long description: Annual alcohol misuse screening, 5 to 15 minutes
Code added date: 20111014.
Code effective date: 20230101.
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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G0443 - Brief alcohol misuse counsel
Long description: Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes
Code added date: 20111014.
Code effective date: 20111014.
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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G0444 - Depression screen annual
Long description: Annual depression screening, 5 to 15 minutes
Code added date: 20111014.
Code effective date: 20230101.
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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G0445 - High inten beh couns std 30m
Long description: High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes
Code added date: 20111108.
Code effective date: 20111108.
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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G0446 - Intens behave ther cardio dx
Long description: Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
Code added date: 20111108.
Code effective date: 20111108.
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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G0447 - Behavior counsel obesity 15m
Long description: Face-to-face behavioral counseling for obesity, 15 minutes
Code added date: 20111129.
Code effective date: 20111129.
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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G0448 - Place perm pacing cardiovert
Long description: Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ventricular pacing
Code added date: 20120101.
Code effective date: 20140101.
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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G0451 - Devlopment test interpt&rep
Long description: Development testing, with interpretation and report, per standardized instrument form
Code added date: 20120101.
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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G0452 - Molecular pathology interpr
Long description: Molecular pathology procedure; physician interpretation and report
Code added date: 20130101.
Code effective date: 20130101.
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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G0453 - Cont intraop neuro monitor
Long description: Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)
Code added date: 20130101.
Code effective date: 20130101.
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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G0454 - Md document visit by npp
Long description: Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist
Code added date: 20130101.
Code effective date: 20130101.
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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G0455 - Fecal microbiota prep instil
Long description: Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen
Code added date: 20130101.
Code effective date: 20130101.
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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