Showing codes S0400 (Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s)) — S1002 (Customized item (list in addition to code for basic item))
S0400 - Global eswl kidney
Long description: Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s)
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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S0500 - Dispos cont lens
Long description: Disposable contact lens, per lens
Code added date: 20010701.
Code effective date: 20010701.
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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S0504 - Singl prscrp lens
Long description: Single vision prescription lens (safety, athletic, or sunglass), per lens
Code added date: 20010701.
Code effective date: 20010701.
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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S0506 - Bifoc prscp lens
Long description: Bifocal vision prescription lens (safety, athletic, or sunglass), per lens
Code added date: 20010701.
Code effective date: 20010701.
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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S0508 - Trifoc prscrp lens
Long description: Trifocal vision prescription lens (safety, athletic, or sunglass), per lens
Code added date: 20010701.
Code effective date: 20010701.
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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S0510 - Non-prscrp lens
Long description: Non-prescription lens (safety, athletic, or sunglass), per lens
Code added date: 20010701.
Code effective date: 20010701.
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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S0512 - Daily cont lens
Long description: Daily wear specialty contact lens, per lens
Code added date: 20010701.
Code effective date: 20010701.
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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S0514 - Color cont lens
Long description: Color contact lens, per lens
Code added date: 20010701.
Code effective date: 20010701.
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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S0515 - Scleral lens liquid bandage
Long description: Scleral lens, liquid bandage device, per lens
Code added date: 20041001.
Code effective date: 20041001.
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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S0516 - Safety frames
Long description: Safety eyeglass frames
Code added date: 20010701.
Code effective date: 20010701.
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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S0518 - Sunglass frames
Long description: Sunglasses frames
Code added date: 20010701.
Code effective date: 20010701.
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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S0580 - Polycarb lens
Long description: Polycarbonate lens (list this code in addition to the basic code for the lens)
Code added date: 20010701.
Code effective date: 20010701.
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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S0581 - Nonstnd lens
Long description: Nonstandard lens (list this code in addition to the basic code for the lens)
Code added date: 20010701.
Code effective date: 20010701.
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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S0590 - Misc integral lens serv
Long description: Integral lens service, miscellaneous services reported separately
Code added date: 20010701.
Code effective date: 20010701.
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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S0592 - Comp cont lens eval
Long description: Comprehensive contact lens evaluation
Code added date: 20010701.
Code effective date: 20010701.
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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S0595 - New lenses in pts old frame
Long description: Dispensing new spectacle lenses for patient supplied frame
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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S0596 - Phakic iol refractive error
Long description: Phakic intraocular lens for correction of refractive error
Code added date: 20120401.
Code effective date: 20120401.
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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S0601 - Screening proctoscopy
Long description: Screening proctoscopy
Code added date: 20000101.
Code effective date: 20000101.
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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S0610 - Annual gynecological examina
Long description: Annual gynecological examination, new patient
Code added date: 20000101.
Code effective date: 20000101.
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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S0612 - Annual gynecological examina
Long description: Annual gynecological examination, established patient
Code added date: 20000101.
Code effective date: 20000101.
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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S0613 - Ann breast exam
Long description: Annual gynecological examination; clinical breast examination without pelvic evaluation
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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S0618 - Audiometry for hearing aid
Long description: Audiometry for hearing aid evaluation to determine the level and degree of hearing loss
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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S0620 - Routine ophthalmological exa
Long description: Routine ophthalmological examination including refraction; new patient
Code added date: 20000101.
Code effective date: 20000101.
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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S0621 - Routine ophthalmological exa
Long description: Routine ophthalmological examination including refraction; established patient
Code added date: 20000101.
Code effective date: 20000101.
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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S0622 - Phys exam for college
Long description: Physical exam for college, new or established patient (list separately in addition to appropriate evaluation and management code)
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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S0630 - Removal of sutures
Long description: Removal of sutures; by a physician other than the physician who originally closed the wound
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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S0800 - Laser in situ keratomileusis
Long description: Laser in situ keratomileusis (lasik)
Code added date: 20000101.
Code effective date: 20000101.
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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S0810 - Photorefractive keratectomy
Long description: Photorefractive keratectomy (prk)
Code added date: 20000101.
Code effective date: 20000101.
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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S0812 - Phototherap keratect
Long description: Phototherapeutic keratectomy (ptk)
Code added date: 20010701.
Code effective date: 20010701.
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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S1001 - Deluxe item
Long description: Deluxe item, patient aware (list in addition to code for basic item)
Code added date: 20010701.
Code effective date: 20010701.
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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PDF
S1002 - Custom item
Long description: Customized item (list in addition to code for basic item)
Code added date: 20010701.
Code effective date: 20010701.
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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PDF