Showing codes S3902 (Ballistocardiogram) — S4995 (Smoking cessation gum)

S3902 - Ballistocardiogram
Long description: Ballistocardiogram
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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S3904 - Masters two step
Long description: Masters two step
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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S4005 - Interim labor facility globa
Long description: Interim labor facility global (labor occurring but not resulting in delivery)
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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S4011 - Ivf package
Long description: In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development
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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S4013 - Compl gift case rate
Long description: Complete cycle, gamete intrafallopian transfer (gift), case rate
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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S4014 - Compl zift case rate
Long description: Complete cycle, zygote intrafallopian transfer (zift), case rate
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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S4015 - Complete ivf nos case rate
Long description: Complete in vitro fertilization cycle, not otherwise specified, case rate
Code added date: 20020101.
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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S4016 - Frozen ivf case rate
Long description: Frozen in vitro fertilization cycle, case rate
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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S4017 - Ivf canc a stim case rate
Long description: Incomplete cycle, treatment cancelled prior to stimulation, case rate
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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S4018 - F emb trns canc case rate
Long description: Frozen embryo transfer procedure cancelled before transfer, case rate
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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S4020 - Ivf canc a aspir case rate
Long description: In vitro fertilization procedure cancelled before aspiration, case rate
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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S4021 - Ivf canc p aspir case rate
Long description: In vitro fertilization procedure cancelled after aspiration, case rate
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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S4022 - Asst oocyte fert case rate
Long description: Assisted oocyte fertilization, case rate
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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S4023 - Incompl donor egg case rate
Long description: Donor egg cycle, incomplete, case rate
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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S4025 - Donor serv ivf case rate
Long description: Donor services for in vitro fertilization (sperm or embryo), case rate
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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S4026 - Procure donor sperm
Long description: Procurement of donor sperm from sperm bank
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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S4027 - Store prev froz embryos
Long description: Storage of previously frozen embryos
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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S4028 - Microsurg epi sperm asp
Long description: Microsurgical epididymal sperm aspiration (mesa)
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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S4030 - Sperm procure init visit
Long description: Sperm procurement and cryopreservation services; initial visit
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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S4031 - Sperm procure subs visit
Long description: Sperm procurement and cryopreservation services; subsequent visit
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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S4035 - Stimulated iui case rate
Long description: Stimulated intrauterine insemination (iui), case rate
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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S4037 - Cryo embryo transf case rate
Long description: Cryopreserved embryo transfer, case rate
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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S4040 - Monit store cryo embryo 30 d
Long description: Monitoring and storage of cryopreserved embryos, per 30 days
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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S4042 - Ovulation mgmt per cycle
Long description: Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle
Code added date: 20050101.
Code effective date: 20050101.
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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S4981 - Insert levonorgestrel ius
Long description: Insertion of levonorgestrel-releasing intrauterine system
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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S4988 - Penile contractur devic manu
Long description: Penile contracture device, manual, greater than 3 lbs traction force
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: I (A code denoting Medicare coverage status).
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S4989 - Contracept iud
Long description: Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies
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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S4990 - Nicotine patch legend
Long description: Nicotine patches, legend
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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S4991 - Nicotine patch nonlegend
Long description: Nicotine patches, non-legend
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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S4993 - Contraceptive pills for bc
Long description: Contraceptive pills for birth control
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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S4995 - Smoking cessation gum
Long description: Smoking cessation gum
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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