Showing codes A9276 (Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply) — A9517 (Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie)
A9276 - Disposable sensor, cgm sys
Long description: Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply
Code added date: 20080101.
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: S (A code denoting Medicare coverage status).
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A9277 - External transmitter, cgm
Long description: Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
Code added date: 20080101.
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: S (A code denoting Medicare coverage status).
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A9278 - External receiver, cgm sys
Long description: Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
Code added date: 20080101.
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: S (A code denoting Medicare coverage status).
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A9279 - Monitoring feature/devicenoc
Long description: Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified
Code added date: 20070101.
Code effective date: 20150101.
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: S (A code denoting Medicare coverage status).
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A9280 - Alert device, noc
Long description: Alert or alarm device, not otherwise classified
Code added date: 20040101.
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: S (A code denoting Medicare coverage status).
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A9281 - Reaching/grabbing device
Long description: Reaching/grabbing device, any type, any length, each
Code added date: 20060101.
Code effective date: 20060101.
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: S (A code denoting Medicare coverage status).
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A9282 - Wig any type
Long description: Wig, any type, each
Code added date: 20060101.
Code effective date: 20060101.
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: S (A code denoting Medicare coverage status).
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A9283 - Foot press off load supp dev
Long description: Foot pressure off loading/supportive device, any type, each
Code added date: 20080101.
Code effective date: 20080101.
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: S (A code denoting Medicare coverage status).
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A9284 - Non-electronic spirometer
Long description: Spirometer, non-electronic, includes all accessories
Code added date: 20090101.
Code effective date: 20090101.
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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A9285 - Inversion eversion cor devic
Long description: Inversion/eversion correction device
Code added date: 20170101.
Code effective date: 20170101.
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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A9286 - Any hygienic item, device
Long description: Hygienic item or device, disposable or non-disposable, any type, each
Code added date: 20170101.
Code effective date: 20170101.
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: S (A code denoting Medicare coverage status).
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A9291 - Pres dig cog behav thera fda
Long description: Prescription digital cognitive and/or behavioral therapy, fda cleared, per course of treatment
Code added date: 20220401.
Code effective date: 20221001.
Pricing Indicator Code(s):
99
; (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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A9292 - Pres dig visual therapy fda
Long description: Prescription digital visual therapy, software-only, fda cleared, per course of treatment
Code added date: 20231001.
Code effective date: 20231001.
Pricing Indicator Code(s):
99
; (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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A9293 - Fertility cycl tracking soft
Long description: Fertility cycle (contraception & conception) tracking software application, fda cleared, per month, includes accessories (e.g., thermometer)
Code added date: 20240401.
Code effective date: 20240401.
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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A9300 - Exercise equipment
Long description: Exercise equipment
Code added date: 19930101.
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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A9500 - Tc99m sestamibi
Long description: Technetium tc-99m sestamibi, diagnostic, per study dose
Code added date: 19960101.
Code effective date: 20100101.
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: C (A code denoting Medicare coverage status).
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A9501 - Technetium tc-99m teboroxime
Long description: Technetium tc-99m teboroxime, diagnostic, per study dose
Code added date: 20080101.
Code effective date: 20080101.
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: C (A code denoting Medicare coverage status).
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A9502 - Tc99m tetrofosmin
Long description: Technetium tc-99m tetrofosmin, diagnostic, per study dose
Code added date: 19980101.
Code effective date: 20090101.
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: C (A code denoting Medicare coverage status).
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A9503 - Tc99m medronate
Long description: Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
Code added date: 19970101.
Code effective date: 20060101.
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: C (A code denoting Medicare coverage status).
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A9504 - Tc99m apcitide
Long description: Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries
Code added date: 20000101.
Code effective date: 20060101.
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: C (A code denoting Medicare coverage status).
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A9505 - Tl201 thallium
Long description: Thallium tl-201 thallous chloride, diagnostic, per millicurie
Code added date: 19960101.
Code effective date: 20060101.
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: C (A code denoting Medicare coverage status).
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A9506 - Tc-99m graphite crucible
Long description: Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible
Code added date: 20240701.
Code effective date: 20240701.
Pricing Indicator Code(s):
99
; (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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A9507 - In111 capromab
Long description: Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
Code added date: 19990101.
Code effective date: 20060101.
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: C (A code denoting Medicare coverage status).
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A9508 - I131 iodobenguate, dx
Long description: Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
Code added date: 20010101.
Code effective date: 20060101.
Pricing Indicator Code(s):
51
; (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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A9509 - Iodine i-123 sod iodide mil
Long description: Iodine i-123 sodium iodide, diagnostic, per millicurie
Code added date: 20080101.
Code effective date: 20080101.
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: C (A code denoting Medicare coverage status).
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A9510 - Tc99m disofenin
Long description: Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
Code added date: 20010101.
Code effective date: 20060101.
Pricing Indicator Code(s):
51
; (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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A9512 - Tc99m pertechnetate
Long description: Technetium tc-99m pertechnetate, diagnostic, per millicurie
Code added date: 20030101.
Code effective date: 20060101.
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: C (A code denoting Medicare coverage status).
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A9513 - Lutetium lu 177 dotatat ther
Long description: Lutetium lu 177, dotatate, therapeutic, 1 millicurie
Code added date: 20190101.
Code effective date: 20240101.
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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A9515 - Choline c-11
Long description: Choline c-11, diagnostic, per study dose up to 20 millicuries
Code added date: 20170101.
Code effective date: 20190101.
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: C (A code denoting Medicare coverage status).
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A9516 - Iodine i-123 sod iodide mic
Long description: Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries
Code added date: 20030101.
Code effective date: 20080101.
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: C (A code denoting Medicare coverage status).
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A9517 - I131 iodide cap, rx
Long description: Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
Code added date: 20030101.
Code effective date: 20060101.
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: C (A code denoting Medicare coverage status).
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PDF