Showing codes S1015 (Iv tubing extension set) — S2117 (Arthroereisis, subtalar)
S1015 - Iv tubing extension set
Long description: Iv tubing extension set
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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S1016 - Non-pvc intravenous administ
Long description: Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel
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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S1030 - Gluc monitor purchase
Long description: Continuous noninvasive glucose monitoring device, purchase (for physician interpretation of data, use cpt 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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S1031 - Gluc monitor rental
Long description: Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use cpt 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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S1034 - Art pancreas system
Long description: Artificial pancreas device system (e.g., low glucose suspend (lgs) feature) including continuous glucose monitor, blood glucose device, insulin pump and computer algorithm that communicates with all of the devices
Code added date: 20140701.
Code effective date: 20140701.
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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S1035 - Art pancreas inv disp sensor
Long description: Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system
Code added date: 20140701.
Code effective date: 20140701.
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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S1036 - Art pancreas ext transmitter
Long description: Transmitter; external, for use with artificial pancreas device system
Code added date: 20140701.
Code effective date: 20140701.
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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S1037 - Art pancreas ext receiver
Long description: Receiver (monitor); external, for use with artificial pancreas device system
Code added date: 20140701.
Code effective date: 20140701.
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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S1040 - Cranial remolding orthosis
Long description: Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)
Code added date: 20021001.
Code effective date: 20070101.
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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S1090 - Mometasone sinus implant
Long description: Mometasone furoate sinus implant, 370 micrograms
Code added date: 20120701.
Code effective date: 20191001.
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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S1091 - Stent non-coronary propel
Long description: Stent, non-coronary, temporary, with delivery system (propel)
Code added date: 20210401.
Code effective date: 20210401.
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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S2053 - Transplantation of small int
Long description: Transplantation of small intestine and liver allografts
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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S2054 - Transplantation of multivisc
Long description: Transplantation of multivisceral organs
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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S2055 - Harvesting of donor multivis
Long description: Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor
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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S2060 - Lobar lung transplantation
Long description: Lobar lung transplantation
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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S2061 - Donor lobectomy (lung)
Long description: Donor lobectomy (lung) for transplantation, living donor
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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S2065 - Simult panc kidn trans
Long description: Simultaneous pancreas kidney transplantation
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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S2066 - Breast gap flap reconst
Long description: Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral
Code added date: 20070701.
Code effective date: 20070701.
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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S2067 - Breast "stacked" diep/gap
Code added date: 20070701.
Code effective date: 20070701.
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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S2068 - Breast diep or siea flap
Long description: Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral
Code added date: 20060101.
Code effective date: 20070701.
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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S2070 - Cysto laser tx ureteral calc
Long description: Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization)
Code added date: 20031001.
Code effective date: 20031001.
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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S2079 - Lap esophagomyotomy
Long description: Laparoscopic esophagomyotomy (heller type)
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: I (A code denoting Medicare coverage status).
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S2080 - Laup
Long description: Laser-assisted uvulopalatoplasty (laup)
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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S2083 - Adjustment gastric band
Long description: Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline
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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S2095 - Transcath emboliz microspher
Long description: Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres
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: I (A code denoting Medicare coverage status).
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S2102 - Islet cell tissue transplant
Long description: Islet cell tissue transplant from pancreas; allogeneic
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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S2103 - Adrenal tissue transplant
Long description: Adrenal tissue transplant to brain
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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S2107 - Adoptive immunotherapy
Long description: Adoptive immunotherapy i.e. development of specific anti-tumor reactivity (e.g., tumor-infiltrating lymphocyte therapy) per course of treatment
Code added date: 20020401.
Code effective date: 20020401.
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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S2112 - Knee arthroscp harv
Long description: Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells)
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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S2115 - Periacetabular osteotomy
Long description: Osteotomy, periacetabular, with internal fixation
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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S2117 - Arthroereisis, subtalar
Long description: Arthroereisis, subtalar
Code added date: 20051001.
Code effective date: 20051001.
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