Showing codes L8721 (Receptor sole for use with l8720, replacement, each) — M0244 (Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency)
L8721 - Receptor sole l8720 replace
Long description: Receptor sole for use with l8720, replacement, each
Code added date: 20241001.
Code effective date: 20241001.
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: C (A code denoting Medicare coverage status).
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L9900 - O&p supply/accessory/service
Code added date: 20000101.
Code effective date: 20000101.
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: C (A code denoting Medicare coverage status).
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LC - Lft circum coronary artery
Long description: Left circumflex coronary artery
Code added date: 19970101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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LD - Left ant des coronary artery
Long description: Left anterior descending coronary artery
Code added date: 19970101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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LL - Lease/rental (appld to pur)
Long description: Lease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price)
Code added date: 19840101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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LM - Left main coronary artery
Long description: Left main coronary artery
Code added date: 20130101.
Code effective date: 20130101.
Coverage Code: C (A code denoting Medicare coverage status).
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LR - Laboratory round trip
Long description: Laboratory round trip
Code added date: 19870101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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LS - Fda-monitored iol implant
Long description: Fda-monitored intraocular lens implant
Code added date: 19910101.
Code effective date: 19970101.
Coverage Code: D (A code denoting Medicare coverage status).
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LT - Left side
Long description: Left side (used to identify procedures performed on the left side of the body)
Code added date: 19840101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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LU - Fractionated payment
Long description: Fractionated payment
Code added date: 20220101.
Code effective date: 20230401.
Coverage Code: C (A code denoting Medicare coverage status).
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M0001 - Advancing cancer care mvp
Long description: Advancing cancer care mips value pathways
Code added date: 20230101.
Code effective date: 20230101.
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: C (A code denoting Medicare coverage status).
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M0002 - Opt care kidney hlth mvp
Long description: Optimal care for kidney health mips value pathways
Code added date: 20230101.
Code effective date: 20230101.
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: C (A code denoting Medicare coverage status).
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M0003 - Opt care episod neuro mvp
Long description: Optimal care for patients with episodic neurological conditions mips value pathways
Code added date: 20230101.
Code effective date: 20250101.
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: C (A code denoting Medicare coverage status).
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M0004 - Qual care neurologic cnd mvp
Long description: Quality care for patients with neurological conditions mips value pathway
Code added date: 20230101.
Code effective date: 20250101.
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: C (A code denoting Medicare coverage status).
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M0005 - Value in primary care mvp
Long description: Value in primary care mips value pathway
Code added date: 20230101.
Code effective date: 20240101.
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: C (A code denoting Medicare coverage status).
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M0010 - Eom meos payment
Long description: Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services
Code added date: 20230401.
Code effective date: 20230401.
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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M0064 - Visit for drug monitoring
Long description: Brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disorders
Code added date: 19920101.
Code effective date: 20150101.
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: D (A code denoting Medicare coverage status).
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M0075 - Cellular therapy
Long description: Cellular therapy
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: M (A code denoting Medicare coverage status).
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M0076 - Prolotherapy
Long description: Prolotherapy
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: M (A code denoting Medicare coverage status).
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M0100 - Intragastric hypothermia
Long description: Intragastric hypothermia using gastric freezing
Code added date: 19860101.
Code effective date: 20040101.
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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M0201 - Pne flu hepb cov home admin
Long description: Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home
Code added date: 20210608.
Code effective date: 20240101.
Pricing Indicator Code(s):
54
; (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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M0220 - Tixagev and cilgav inj
Long description: Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring
Code added date: 20211208.
Code effective date: 20211208.
Pricing Indicator Code(s):
54
; (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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M0221 - Tixagev and cilgav inj hm
Long description: Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency
Code added date: 20211208.
Code effective date: 20211208.
Pricing Indicator Code(s):
54
; (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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M0222 - Bebtelovimab injection
Long description: Intravenous injection, bebtelovimab, includes injection and post administration monitoring
Code added date: 20220211.
Code effective date: 20220211.
Pricing Indicator Code(s):
54
; (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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M0223 - Bebtelovimab injection home
Long description: Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency
Code added date: 20220211.
Code effective date: 20220211.
Pricing Indicator Code(s):
54
; (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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M0224 - Pemivibart infusion
Long description: Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, includes infusion and post administration monitoring
Code added date: 20240322.
Code effective date: 20240322.
Pricing Indicator Code(s):
54
; (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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M0239 - Bamlanivimab-xxxx infusion
Long description: Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring
Code added date: 20201109.
Code effective date: 20210417.
Pricing Indicator Code(s):
54
; (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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M0240 - Casiri and imdev repeat
Long description: Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat doses
Code added date: 20210730.
Code effective date: 20210730.
Pricing Indicator Code(s):
54
; (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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M0241 - Casiri and imdev repeat hm
Long description: Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency, subsequent repeat doses
Code added date: 20210730.
Code effective date: 20210730.
Pricing Indicator Code(s):
54
; (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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M0243 - Casirivi and imdevi inj
Long description: Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring
Code added date: 20201121.
Code effective date: 20201121.
Pricing Indicator Code(s):
54
; (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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M0244 - Casirivi and imdevi inj hm
Long description: Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency
Code added date: 20210506.
Code effective date: 20210506.
Pricing Indicator Code(s):
54
; (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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