Showing codes G0146 (Principal illness navigation - peer support, additional 30 minutes per calendar month (list separately in addition to g0140)) — G0206 (Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral)

G0146 - Nav srv peer sup add 30 pr m
Long description: Principal illness navigation - peer support, additional 30 minutes per calendar month (list separately in addition to g0140)
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 13 ; (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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G0147 - Scr c/v cyto, automated sys
Long description: Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision
Code added date: 19990101.
Code effective date: 19990101.
Pricing Indicator Code(s): 21 ; (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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G0148 - Scr c/v cyto, autosys, rescr
Long description: Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening
Code added date: 19990101.
Code effective date: 19990101.
Pricing Indicator Code(s): 21 ; (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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G0151 - Hhcp-serv of pt,ea 15 min
Long description: Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes
Code added date: 19990701.
Code effective date: 20110101.
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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G0152 - Hhcp-serv of ot,ea 15 min
Long description: Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes
Code added date: 19990701.
Code effective date: 20110101.
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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G0153 - Hhcp-svs of s/l path,ea 15mn
Long description: Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes
Code added date: 19990701.
Code effective date: 20110101.
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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G0154 - Hhcp-svs of rn,ea 15 min
Long description: Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutes
Code added date: 19990701.
Code effective date: 20160301.
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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G0155 - Hhcp-svs of csw,ea 15 min
Long description: Services of clinical social worker in home health or hospice settings, each 15 minutes
Code added date: 19990701.
Code effective date: 20100101.
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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G0156 - Hhcp-svs of aide,ea 15 min
Long description: Services of home health/hospice aide in home health or hospice settings, each 15 minutes
Code added date: 19990701.
Code effective date: 20100101.
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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G0157 - Hhc pt assistant ea 15
Long description: Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes
Code added date: 20110101.
Code effective date: 20110101.
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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G0158 - Hhc ot assistant ea 15
Long description: Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes
Code added date: 20110101.
Code effective date: 20110101.
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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G0159 - Hhc pt maint ea 15 min
Long description: Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes
Code added date: 20110101.
Code effective date: 20110101.
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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G0160 - Hhc occup therapy ea 15
Long description: Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes
Code added date: 20110101.
Code effective date: 20110101.
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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G0161 - Hhc slp ea 15 min
Long description: Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, each 15 minutes
Code added date: 20110101.
Code effective date: 20110101.
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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G0162 - Hhc rn e&m plan svs, 15 min
Long description: Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting)
Code added date: 20110101.
Code effective date: 20110101.
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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G0163 - Hhc lpn/rn obs/asses ea 15
Long description: Skilled services of a licensed nurse (lpn or rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting)
Code added date: 20110101.
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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G0164 - Hhc lis nurse train ea 15
Long description: Skilled services of a licensed nurse (lpn or rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes
Code added date: 20110101.
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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G0166 - Extrnl counterpulse, per tx
Long description: External counterpulsation, per treatment session
Code added date: 20000101.
Code effective date: 20000101.
Pricing Indicator Code(s): 11 ; (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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G0168 - Wound closure by adhesive
Long description: Wound closure utilizing tissue adhesive(s) only
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: C (A code denoting Medicare coverage status).
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G0173 - Linear acc stereo radsur com
Long description: Linear accelerator based stereotactic radiosurgery, complete course of therapy in one session
Code added date: 20000801.
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: D (A code denoting Medicare coverage status).
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G0175 - Opps service,sched team conf
Long description: Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present
Code added date: 20000701.
Code effective date: 20000701.
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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G0176 - Opps/php/iop; activity thrpy
Long description: Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)
Code added date: 20010101.
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: D (A code denoting Medicare coverage status).
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G0177 - Opps/php/iop; train & educ
Long description: Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)
Code added date: 20010101.
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: D (A code denoting Medicare coverage status).
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G0179 - Md recertification hha pt
Long description: Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care
Code added date: 20010101.
Code effective date: 20200301.
Pricing Indicator Code(s): 11 ; (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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G0180 - Md certification hha patient
Long description: Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care
Code added date: 20001001.
Code effective date: 20200301.
Pricing Indicator Code(s): 11 ; (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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G0181 - Home health care supervision
Long description: Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans
Code added date: 20010101.
Code effective date: 20200301.
Pricing Indicator Code(s): 11 ; (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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G0182 - Hospice care supervision
Long description: Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 11 ; (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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G0186 - Dstry eye lesn,fdr vssl tech
Long description: Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)
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: C (A code denoting Medicare coverage status).
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G0202 - Scr mammo bi incl cad
Long description: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed
Code added date: 20010401.
Code effective date: 20180101.
Pricing Indicator Code(s): 13 ; (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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G0204 - Dx mammo incl cad bi
Long description: Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral
Code added date: 20010401.
Code effective date: 20180101.
Pricing Indicator Code(s): 13 ; (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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G0206 - Dx mammo incl cad uni
Long description: Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral
Code added date: 20010401.
Code effective date: 20180101.
Pricing Indicator Code(s): 13 ; (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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