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AG Modifier Exception: CPT code 58565 (hysteroscopy, surgical; with bilateral 20985. 21088. 21089. 22103. 22116.

Providers should be knowledgeable about BCBSIL Medical Policies. These Medical Policies serve as guidelines for health care benefit coverage decisions, which may vary according to the different products and benefit plans offered by BCBSIL. Policies, Guidelines & Manuals We’re committed to supporting you in providing quality care and services to the members in our network. Here you will find information for assessing coverage options, guidelines for clinical utilization management, practice policies, the provider manual and support for delivering benefits to our members. Se hela listan på cigna.com 2020-06-18 · This list of covered services is not all inclusive. TRICARE covers services that are medically necessary To be medically necessary means it is appropriate, reasonable, and adequate for your condition.

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CPT* Procedure Code Code Description 20985 Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure) ICD-9 Inpatient Procedural Coding Guidance for iASSIST Knee 000. 55.80. Ablate Bone Tumor(S) Perq. 20985. C. 2.50. 1.26.

Back to Top Coding Information Bill Type Codes: Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Applicable codes: 20985, 0054T, 0055T. 0396T : Codes are intended to be used in addition to the code for the primary procedure.
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The American Medical Association (AMA) develops temporary Current Procedural Terminology (CPT) Category III codes to track the utilization of emerging technologies, services, and procedures. The Category III CPT coded escription does not establish a service or procedure as safe, effective or applicable to the clinical practice of medicine. endomicroscopy (List separately in addition to code for primary procedure) Unproven . 0398T Magnetic resonance image guided high intenstiy focused ultrasound (MRgFUS), stereotactci ablation lesion, intracranai fl or movement disorder including stereotactic navgi ation and frame placement when performed Unproven We make our reimbursement policies available to health care professionals as part of Anthem's commitment to transparency. Visit Anthem.com to find our policies and understand the basis for reimbursement if a service is covered by a patient's benefit plan.

Current Procedural Terminology (CPT®) category II supplemental tracking codes (0001F). Drug testing CPT codes (80320-80377, 83992) as our health plan requires the use of the appropriate Healthcare Common Procedure Coding System (HCPCS) G codes. CPT® Code 27447 – Repair, Revision, and/or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint – Codify by AAPC.
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Therefore, CPT code 20985 will be denied as not proven effective.