Showing codes AP (Determination of refractive state was not performed in the course of diagnostic ophthalmological examination) — B4155 (Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit)

AP - No dtmn of refractive state
Long description: Determination of refractive state was not performed in the course of diagnostic ophthalmological examination
Code added date: 19840101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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AQ - Physician service hpsa area
Long description: Physician providing a service in an unlisted health professional shortage area (hpsa)
Code added date: 20060101.
Code effective date: 20060101.
Coverage Code: C (A code denoting Medicare coverage status).
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AR - Physician scarcity area
Long description: Physician provider services in a physician scarcity area
Code added date: 20050101.
Code effective date: 20050101.
Coverage Code: C (A code denoting Medicare coverage status).
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AS - Assistant at surgery service
Long description: Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
Code added date: 19880101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
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AT - Acute treatment
Long description: Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)
Code added date: 19840101.
Code effective date: 19980101.
Coverage Code: C (A code denoting Medicare coverage status).
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AU - Uro, ostomy or trach item
Long description: Item furnished in conjunction with a urological, ostomy, or tracheostomy supply
Code added date: 20030101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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AV - Item w prosthetic/orthotic
Long description: Item furnished in conjunction with a prosthetic device, prosthetic or orthotic
Code added date: 20030101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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AW - Item w a surgical dressing
Long description: Item furnished in conjunction with a surgical dressing
Code added date: 20030101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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AX - Item w dialysis services
Long description: Item furnished in conjunction with dialysis services
Code added date: 20030101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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AY - Item/service not for esrd tx
Long description: Item or service furnished to an esrd patient that is not for the treatment of esrd
Code added date: 20110101.
Code effective date: 20110101.
Coverage Code: C (A code denoting Medicare coverage status).
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AZ - Physician serv in dent hpsa
Long description: Physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment
Code added date: 20110101.
Code effective date: 20110101.
Coverage Code: I (A code denoting Medicare coverage status).
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B4034 - Enter feed supkit syr by day
Long description: Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
Code added date: 19860101.
Code effective date: 20110101.
Pricing Indicator Code(s): 39 ; (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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B4035 - Enteral feed supp pump per d
Long description: Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
Code added date: 19860101.
Code effective date: 20110101.
Pricing Indicator Code(s): 39 ; (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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B4036 - Enteral feed sup kit grav by
Long description: Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
Code added date: 19860101.
Code effective date: 20110101.
Pricing Indicator Code(s): 39 ; (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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B4081 - Enteral ng tubing w/ stylet
Long description: Nasogastric tubing with stylet
Code added date: 19860101.
Code effective date: 20020101.
Pricing Indicator Code(s): 39 ; (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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B4082 - Enteral ng tubing w/o stylet
Long description: Nasogastric tubing without stylet
Code added date: 19860101.
Code effective date: 20020101.
Pricing Indicator Code(s): 39 ; (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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B4083 - Enteral stomach tube levine
Long description: Stomach tube - levine type
Code added date: 19860101.
Code effective date: 20020101.
Pricing Indicator Code(s): 39 ; (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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B4087 - Gastro/jejuno tube, std
Long description: Gastrostomy/jejunostomy tube, standard, any material, any type, each
Code added date: 20080101.
Code effective date: 20080101.
Pricing Indicator Code(s): 39 ; (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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B4088 - Gastro/jejuno tube, low-pro
Long description: Gastrostomy/jejunostomy tube, low-profile, any material, any type, each
Code added date: 20080101.
Code effective date: 20160101.
Pricing Indicator Code(s): 39 ; (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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B4100 - Food thickener oral
Long description: Food thickener, administered orally, per ounce
Code added date: 20030101.
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: M (A code denoting Medicare coverage status).
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B4102 - Ef adult fluids and electro
Long description: Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s): 39 ; (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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B4103 - Ef ped fluid and electrolyte
Long description: Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s): 46 ; (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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B4104 - Additive for enteral formula
Long description: Additive for enteral formula (e.g., fiber)
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: D (A code denoting Medicare coverage status).
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B4105 - Enzyme cartridge enteral nut
Long description: In-line cartridge containing digestive enzyme(s) for enteral feeding, each
Code added date: 20190101.
Code effective date: 20190101.
Pricing Indicator Code(s): 39 ; (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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B4148 - Enteral feed elastomer daily
Long description: Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
Code added date: 20231001.
Code effective date: 20231001.
Pricing Indicator Code(s): 39 ; (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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B4149 - Ef blenderized foods
Long description: Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Code added date: 20050101.
Code effective date: 20060101.
Pricing Indicator Code(s): 39 ; (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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B4150 - Ef complet w/intact nutrient
Long description: Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Code added date: 19860101.
Code effective date: 20050101.
Pricing Indicator Code(s): 39 ; (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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B4152 - Ef calorie dense>/=1.5kcal
Long description: Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Code added date: 19840101.
Code effective date: 20050101.
Pricing Indicator Code(s): 39 ; (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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B4153 - Ef hydrolyzed/amino acids
Long description: Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Code added date: 19860101.
Code effective date: 20050101.
Pricing Indicator Code(s): 39 ; (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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B4154 - Ef spec metabolic noninherit
Long description: Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Code added date: 19840101.
Code effective date: 20050101.
Pricing Indicator Code(s): 39 ; (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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B4155 - Ef incomplete/modular
Long description: Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit
Code added date: 19860101.
Code effective date: 20050101.
Pricing Indicator Code(s): 39 ; (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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