Showing codes MF (The order for this service does not adhere to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional) — P9020 (Platelet rich plasma, each unit)

MF - Order does not adhere to auc
Long description: The order for this service does not adhere to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional
Code added date: 20200101.
Code effective date: 20200101.
Coverage Code: C (A code denoting Medicare coverage status).
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MG - Auc not applicable to order
Long description: The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional
Code added date: 20200101.
Code effective date: 20200101.
Coverage Code: C (A code denoting Medicare coverage status).
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MH - Auc consult not provided
Long description: Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider
Code added date: 20200101.
Code effective date: 20200101.
Coverage Code: C (A code denoting Medicare coverage status).
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MS - 6-mo maint/svc fee parts/lbr
Long description: Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty
Code added date: 19890101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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N1 - Group 1 oxygen cov crit met
Long description: Group 1 oxygen coverage criteria met
Code added date: 20230101.
Code effective date: 20230101.
Coverage Code: C (A code denoting Medicare coverage status).
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N2 - Group 2 oxygen cov crit met
Long description: Group 2 oxygen coverage criteria met
Code added date: 20230101.
Code effective date: 20230101.
Coverage Code: C (A code denoting Medicare coverage status).
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N3 - Group 3 oxygen cov crit met
Long description: Group 3 oxygen coverage criteria met
Code added date: 20230101.
Code effective date: 20230101.
Coverage Code: C (A code denoting Medicare coverage status).
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NB - Drug specific nebulizer
Long description: Nebulizer system, any type, fda-cleared for use with specific drug
Code added date: 20110101.
Code effective date: 20110101.
Coverage Code: C (A code denoting Medicare coverage status).
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NR - New when rented
Long description: New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased)
Code added date: 19840101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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NU - New equipment
Long description: New equipment
Code added date: 19840101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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P1 - Normal healthy patient
Long description: A normal healthy patient
Code added date: 20060101.
Code effective date: 20060101.
Coverage Code: C (A code denoting Medicare coverage status).
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P2 - Patient w/mild syst disease
Long description: A patient with mild systemic disease
Code added date: 20060101.
Code effective date: 20060101.
Coverage Code: C (A code denoting Medicare coverage status).
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P2028 - Cephalin floculation test
Long description: Cephalin floculation, blood
Code added date: 19860101.
Code effective date: 19900101.
Pricing Indicator Code(s): 57 ; (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: D (A code denoting Medicare coverage status).
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P2029 - Congo red blood test
Long description: Congo red, blood
Code added date: 19860101.
Code effective date: 19900101.
Pricing Indicator Code(s): 57 ; (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: D (A code denoting Medicare coverage status).
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P2031 - Hair analysis
Long description: Hair analysis (excluding arsenic)
Code added date: 19860101.
Code effective date: 19890101.
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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P2033 - Blood thymol turbidity
Long description: Thymol turbidity, blood
Code added date: 19860101.
Code effective date: 19900101.
Pricing Indicator Code(s): 57 ; (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: D (A code denoting Medicare coverage status).
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P2038 - Blood mucoprotein
Long description: Mucoprotein, blood (seromucoid) (medical necessity procedure)
Code added date: 19860101.
Code effective date: 19930101.
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: D (A code denoting Medicare coverage status).
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P3 - Patient w/severe sys disease
Long description: A patient with severe systemic disease
Code added date: 20060101.
Code effective date: 20060101.
Coverage Code: C (A code denoting Medicare coverage status).
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P3000 - Screen pap by tech w md supv
Long description: Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision
Code added date: 19920101.
Code effective date: 19950101.
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: D (A code denoting Medicare coverage status).
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P3001 - Screening pap smear by phys
Long description: Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician
Code added date: 19920101.
Code effective date: 20020101.
Pricing Indicator Code(s): 11 , 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: D (A code denoting Medicare coverage status).
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P4 - Pt w/sev sys dis threat life
Long description: A patient with severe systemic disease that is a constant threat to life
Code added date: 20060101.
Code effective date: 20060101.
Coverage Code: C (A code denoting Medicare coverage status).
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P5 - Pt not expect surv w/o oper
Long description: A moribund patient who is not expected to survive without the operation
Code added date: 20060101.
Code effective date: 20060101.
Coverage Code: C (A code denoting Medicare coverage status).
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P6 - Brain-dead pt organs removed
Long description: A declared brain-dead patient whose organs are being removed for donor purposes
Code added date: 20060101.
Code effective date: 20060101.
Coverage Code: C (A code denoting Medicare coverage status).
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P7001 - Culture bacterial urine
Long description: Culture, bacterial, urine; quantitative, sensitivity study
Code added date: 19860101.
Code effective date: 19960101.
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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P9010 - Whole blood for transfusion
Long description: Blood (whole), for transfusion, per unit
Code added date: 19870101.
Code effective date: 19870101.
Pricing Indicator Code(s): 52 ; (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: D (A code denoting Medicare coverage status).
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P9011 - Blood split unit
Long description: Blood, split unit
Code added date: 19870101.
Code effective date: 20070101.
Pricing Indicator Code(s): 52 ; (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: D (A code denoting Medicare coverage status).
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P9012 - Cryoprecipitate each unit
Long description: Cryoprecipitate, each unit
Code added date: 19870101.
Code effective date: 20010101.
Pricing Indicator Code(s): 52 ; (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: D (A code denoting Medicare coverage status).
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P9016 - Rbc leukocytes reduced
Long description: Red blood cells, leukocytes reduced, each unit
Code added date: 19870101.
Code effective date: 20010101.
Pricing Indicator Code(s): 52 ; (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: D (A code denoting Medicare coverage status).
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P9017 - Plasma 1 donor frz w/in 8 hr
Long description: Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit
Code added date: 19870101.
Code effective date: 20040101.
Pricing Indicator Code(s): 52 ; (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: D (A code denoting Medicare coverage status).
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P9019 - Platelets, each unit
Long description: Platelets, each unit
Code added date: 19870101.
Code effective date: 20010101.
Pricing Indicator Code(s): 52 ; (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: D (A code denoting Medicare coverage status).
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P9020 - Plaelet rich plasma unit
Long description: Platelet rich plasma, each unit
Code added date: 19870101.
Code effective date: 20010101.
Pricing Indicator Code(s): 52 ; (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: D (A code denoting Medicare coverage status).
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