Showing codes GE (This service has been performed by a resident without the presence of a teaching physician under the primary care exception) — H0010 (Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient))
GE - Resident prim care exception
Long description: This service has been performed by a resident without the presence of a teaching physician under the primary care exception
Code added date: 19970101.
Code effective date: 19970101.
Coverage Code: D (A code denoting Medicare coverage status).
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GF - Nonphysician serv c a hosp
Long description: Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital
Code added date: 20030401.
Code effective date: 20030401.
Coverage Code: C (A code denoting Medicare coverage status).
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GG - Payment screen mam + diagmam
Long description: Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day
Code added date: 20020101.
Code effective date: 20020101.
Coverage Code: C (A code denoting Medicare coverage status).
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GH - Diag mammo to screening mamo
Long description: Diagnostic mammogram converted from screening mammogram on same day
Code added date: 19981001.
Code effective date: 19981001.
Coverage Code: C (A code denoting Medicare coverage status).
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GK - Actual item/service ordered
Long description: Reasonable and necessary item/service associated with a ga or gz modifier
Code added date: 20020101.
Code effective date: 20080101.
Coverage Code: C (A code denoting Medicare coverage status).
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GL - Upgraded item, no charge
Long description: Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)
Code added date: 20020101.
Code effective date: 20080101.
Coverage Code: C (A code denoting Medicare coverage status).
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GM - Multiple transports
Long description: Multiple patients on one ambulance trip
Code added date: 20020101.
Code effective date: 20020101.
Coverage Code: C (A code denoting Medicare coverage status).
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GN - Op speech language service
Long description: Services delivered under an outpatient speech language pathology plan of care
Code added date: 19990101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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GO - Op occupational therapy serv
Long description: Services delivered under an outpatient occupational therapy plan of care
Code added date: 19990101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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GP - Op pt services
Long description: Services delivered under an outpatient physical therapy plan of care
Code added date: 19990101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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GQ - Telehealth store and forward
Long description: Via asynchronous telecommunications system
Code added date: 20011001.
Code effective date: 20011001.
Coverage Code: C (A code denoting Medicare coverage status).
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GR - Service by va resident
Long description: This service was performed in whole or in part by a resident in a department of veterans affairs medical center or clinic, supervised in accordance with va policy
Code added date: 20060101.
Code effective date: 20060101.
Coverage Code: C (A code denoting Medicare coverage status).
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GS - Epo/darbepoietin reduced 25%
Long description: Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level
Code added date: 20060101.
Code effective date: 20130101.
Coverage Code: D (A code denoting Medicare coverage status).
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GT - Interactivetelecommunication
Long description: Via interactive audio and video telecommunication systems
Code added date: 19990101.
Code effective date: 19990101.
Coverage Code: D (A code denoting Medicare coverage status).
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GU - Liability waiver rout notice
Long description: Waiver of liability statement issued as required by payer policy, routine notice
Code added date: 20110101.
Code effective date: 20110101.
Coverage Code: C (A code denoting Medicare coverage status).
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GV - Attending phys not hospice
Long description: Attending physician not employed or paid under arrangement by the patient's hospice provider
Code added date: 20020101.
Code effective date: 20020101.
Coverage Code: D (A code denoting Medicare coverage status).
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GW - Service unrelated to term co
Long description: Service not related to the hospice patient's terminal condition
Code added date: 20020101.
Code effective date: 20020101.
Coverage Code: D (A code denoting Medicare coverage status).
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GX - Voluntary liability notice
Long description: Notice of liability issued, voluntary under payer policy
Code added date: 20100401.
Code effective date: 20100401.
Coverage Code: C (A code denoting Medicare coverage status).
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GY - Statutorily excluded
Long description: Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
Code added date: 20020101.
Code effective date: 20070701.
Coverage Code: S (A code denoting Medicare coverage status).
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GZ - Not reasonable and necessary
Long description: Item or service expected to be denied as not reasonable and necessary
Code added date: 20020101.
Code effective date: 20020101.
Coverage Code: M (A code denoting Medicare coverage status).
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H0001 - Alcohol and/or drug assess
Long description: Alcohol and/or drug assessment
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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H0002 - Alcohol and/or drug screenin
Long description: Behavioral health screening to determine eligibility for admission to treatment program
Code added date: 20010101.
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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H0003 - Alcohol and/or drug screenin
Long description: Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or 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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H0004 - Alcohol and/or drug services
Long description: Behavioral health counseling and therapy, per 15 minutes
Code added date: 20010101.
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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H0005 - Alcohol and/or drug services
Long description: Alcohol and/or drug services; group counseling by a clinician
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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H0006 - Alcohol and/or drug services
Long description: Alcohol and/or drug services; case management
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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H0007 - Alcohol and/or drug services
Long description: Alcohol and/or drug services; crisis intervention (outpatient)
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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H0008 - Alcohol and/or drug services
Long description: Alcohol and/or drug services; sub-acute detoxification (hospital inpatient)
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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H0009 - Alcohol and/or drug services
Long description: Alcohol and/or drug services; acute detoxification (hospital inpatient)
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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H0010 - Alcohol and/or drug services
Long description: Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient)
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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PDF