Showing codes S0145 (Injection, pegylated interferon alfa-2a, 180 mcg per ml) — S0208 (Paramedic intercept, hospital-based als service (non-voluntary), non-transport)

S0145 - Peg interferon alfa-2a/180
Long description: Injection, pegylated interferon alfa-2a, 180 mcg per ml
Code added date: 20050701.
Code effective date: 20050701.
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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S0148 - Peg interferon alfa-2b/10
Long description: Injection, pegylated interferon alfa-2b, 10 mcg
Code added date: 20101001.
Code effective date: 20101001.
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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S0155 - Epoprostenol dilutant
Long description: Sterile dilutant for epoprostenol, 50 ml
Code added date: 20020101.
Code effective date: 20020101.
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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S0156 - Exemestane, 25 mg
Long description: Exemestane, 25 mg
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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S0157 - Becaplermin gel 1%, 0.5 gm
Long description: Becaplermin gel 0.01%, 0.5 gm
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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S0160 - Dextroamphetamine
Long description: Dextroamphetamine sulfate, 5 mg
Code added date: 20040401.
Code effective date: 20040401.
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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S0164 - Injection pantroprazole
Long description: Injection, pantoprazole sodium, 40 mg
Code added date: 20040401.
Code effective date: 20240701.
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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S0166 - Inj olanzapine 2.5mg
Long description: Injection, olanzapine, 2.5 mg
Code added date: 20041001.
Code effective date: 20231001.
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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S0169 - Calcitrol
Long description: Calcitrol, 0.25 microgram
Code added date: 20101001.
Code effective date: 20101001.
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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S0170 - Anastrozole 1 mg
Long description: Anastrozole, oral, 1 mg
Code added date: 20020101.
Code effective date: 20020101.
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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S0171 - Bumetanide 0.5 mg
Long description: Injection, bumetanide, 0.5 mg
Code added date: 20020101.
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: I (A code denoting Medicare coverage status).
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S0172 - Chlorambucil 2 mg
Long description: Chlorambucil, oral, 2 mg
Code added date: 20020101.
Code effective date: 20020101.
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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S0174 - Dolasetron 50 mg
Long description: Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)
Code added date: 20020101.
Code effective date: 20020101.
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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S0175 - Flutamide 125 mg
Long description: Flutamide, oral, 125 mg
Code added date: 20020101.
Code effective date: 20020101.
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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S0176 - Hydroxyurea 500 mg
Long description: Hydroxyurea, oral, 500 mg
Code added date: 20020101.
Code effective date: 20020101.
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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S0177 - Levamisole 50 mg
Long description: Levamisole hydrochloride, oral, 50 mg
Code added date: 20020101.
Code effective date: 20020101.
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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S0178 - Lomustine 10 mg
Long description: Lomustine, oral, 10 mg
Code added date: 20020101.
Code effective date: 20020101.
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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S0179 - Megestrol 20 mg
Long description: Megestrol acetate, oral, 20 mg
Code added date: 20020101.
Code effective date: 20020101.
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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S0182 - Procarbazine, oral
Long description: Procarbazine hydrochloride, oral, 50 mg
Code added date: 20020101.
Code effective date: 20140101.
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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S0183 - Prochlorperazine 5 mg
Long description: Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)
Code added date: 20020101.
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: I (A code denoting Medicare coverage status).
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S0187 - Tamoxifen 10 mg
Long description: Tamoxifen citrate, oral, 10 mg
Code added date: 20020101.
Code effective date: 20020101.
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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S0189 - Testosterone pellet 75 mg
Long description: Testosterone pellet, 75 mg
Code added date: 20020101.
Code effective date: 20020101.
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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S0190 - Mifepristone, oral, 200 mg
Long description: Mifepristone, oral, 200 mg
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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S0191 - Misoprostol, oral, 200 mcg
Long description: Misoprostol, oral, 200 mcg
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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S0194 - Vitamin suppl 100 caps
Long description: Dialysis/stress vitamin supplement, oral, 100 capsules
Code added date: 20040401.
Code effective date: 20040401.
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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S0195 - Pneumo vaccine 5-9 yrs
Long description: Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine
Code added date: 20030101.
Code effective date: 20160101.
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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S0197 - Prenatal vitamins 30 day
Long description: Prenatal vitamins, 30-day supply
Code added date: 20050401.
Code effective date: 20050401.
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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S0199 - Med abortion inc all ex drug
Long description: Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except 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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S0201 - Partial hospitalization serv
Long description: Partial hospitalization services, less than 24 hours, per diem
Code added date: 20021001.
Code effective date: 20021001.
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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S0207 - Paramedicintercep nonhospals
Long description: Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport
Code added date: 20021001.
Code effective date: 20021001.
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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S0208 - Paramed intrcept nonvol
Long description: Paramedic intercept, hospital-based als service (non-voluntary), non-transport
Code added date: 20020101.
Code effective date: 20020101.
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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