The following is a list of the codes categories included in the HCPCS Level II system:
- Transportation Services Including Ambulance (A0000-A0999)
- Medical and Surgical Supplies (A4000-A8999)
- Enteral and Parenteral Therapy (B4000-B9999)
- Outpatient PPS (C1300-C9899)
- Durable Medical Equipment (E0100-E8999)
- Procedural/Professional Services (G0008-G9147) Please refer to CPT code book for possible alternatives to these codes
| Code | Description |
|---|---|
| A0100 | Non-emergency transportation; taxi |
| A0110 | Non-emergency transportation and bus, intra or inter state carrier |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
| A0130 | Non-emergency transportation: wheelchair van |
Is CPT code accepted by Medicare?
Medicare uses a system of CPT and HCPCS codes to reimburse health care providers for their services. Learn how to look up these codes to find out Medicare reimbursement rates.
Is CPT CPDE 36415 payable?
When routine venipuncture CPT code 36415 is reported with Evaluation and Management (E/M) office visit codes (99201-99205 and 99211-99215) then the routine venipuncture code is included in the reimbursement for office visit E/M services and not reimbursed separately. Modifiers will not override the edit.
Is CPT 99058 a payable code for Medicare?
Click to expand... CPT 99058 is not a recognized service that is billable to Medicare. The E&M codes will have to be billed according to the actual level of care that is provided to the patient.
Is CPT code 97799 covered by Medicare?
If MENS therapy is billed to Medicare for a denial, such as in cases of supplemental coverage, providers should bill using procedure code 97799, placing “MENS therapy” in Item 19 on the CMS 1500 form or equivalent electronic field. An Advance Beneficiary Notice (ABN) should be obtained when MENS is utilized. * Vertebral Axial Decompression (VAX-D®)
What is CPT code A0425?
Group 1CodeDescriptionA0425GROUND MILEAGE, PER STATUTE MILEA0426AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, NON-EMERGENCY TRANSPORT, LEVEL 1 (ALS 1)A0427AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS 1 - EMERGENCY)A0428AMBULANCE SERVICE, BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT, (BLS)4 more rows
What is CPT code A0999?
For both DMS and ambulance services with no listed national HCPCS procedure codes, providers may use HCPCS procedure code A0999 (Unlisted ambulance service). The following DMS and services are included in the reimbursement for the ambulance base rate: Additional time Emergency Medical Technician (EMT)
What is CPT code S0215?
S0215 — Non-emergency transportation; mileage per mile.
What is CPT code A0429?
HCPCS code A0429 for Ambulance service, basic life support, emergency transport (BLS-emergency) as maintained by CMS falls under Ambulance and Other Transport Services and Supplies.
What is CPT code A0428?
HCPCS code A0428 for Ambulance service, basic life support, non-emergency transport, (BLS) as maintained by CMS falls under Ambulance and Other Transport Services and Supplies.
What is CPT code A2001?
The HCPCS codes A2001-A2010 are for non-autologous skin (dermal or epidermal, cellular, and acellular) grafts (e.g., homograft, allograft), non-human skin substitute grafts (i.e., xenograft), and biological products that form a sheet scaffolding for skin growth.
What is CPT T2003?
HCPCS code T2003 for Non-emergency transportation; encounter/trip as maintained by CMS falls under Transportation Services .
What is the ICD 10 code for transportation?
Other transport vehicle as the place of occurrence of the external cause. Y92. 818 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What is CPT code A0431?
HCPCS code A0431 for Ambulance service, conventional air services, transport, one way (rotary wing) as maintained by CMS falls under Ambulance and Other Transport Services and Supplies.
What is CPT code A0998?
A0998 is a valid 2022 HCPCS code for Ambulance response and treatment, no transport or just “Ambulance response/treatment” for short, used in Ambulance.
What does CPT code 64450 mean?
Description. 64450. INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; OTHER PERIPHERAL NERVE OR BRANCH.
What is the description of CPT code 64999?
CPT® code 64999 billed for percutaneous neuromodulation using a percutaneous electrode array (e.g., BioWave) has been evaluated by WPS GHA and deemed a noncovered service.
What is the CPT code 64493?
CPT code 64493 is defined as an “Injection(s), diagnostic or therapeutic agent paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level.” CPT code 64494 is the “second level (list separately in addition to code for primary ...
What is the CPT code 76942?
CPT Code 76942, Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection and localization device), imaging supervision and interpretation, is an appropriate code for certain procedures when performed. In these cases, the primary injection code is billed in addition to 76942 for ultrasound guidance.
What is the HCPCS code for ambulances?
A0100 is a valid 2021 HCPCS code for Non-emergency transportation; taxi or just “ Nonemergency transport taxi ” for short, used in Ambulance .
How many pricing codes are there in a procedure?
Code used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.
What is BETOS code?
A code denoting Medicare coverage status. The Berenson-Eggers Type of Service (BETOS) for the procedure code based on generally agreed upon clinically meaningful groupings of procedures and services. A code denoting the change made to a procedure or modifier code within the HCPCS system.
What is a modifier in HCPCS level 2?
In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.
What is a modifier in a report?
Modifiers may be used to indicate to the recipient of a report that: A service or procedure has both a professional and technical component. A service or procedure was performed by more than one physician and/or in more than one location. A service or procedure has been increased or reduced.
What is CMS type?
The carrier assigned CMS type of service which describes the particular kind (s) of service represented by the procedure code.
What does modifier mean in medical?
A modifier provides the means by which the reporting physician or provider can indicate that a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code. Modifiers may be used to indicate to the recipient of a report that: A service or procedure has both a professional ...
How many pricing codes are there in a procedure?
Code used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.
What is CMS type?
The carrier assigned CMS type of service which describes the particular kind (s) of service represented by the procedure code.
What is BETOS code?
A code denoting Medicare coverage status. The Berenson-Eggers Type of Service (BETOS) for the procedure code based on generally agreed upon clinically meaningful groupings of procedures and services. A code denoting the change made to a procedure or modifier code within the HCPCS system.
What is the HCPCS code for 2021?
Commercial Payers (Temporary Codes) S0215 is a valid 2021 HCPCS code for Non-emergency transportation; mileage, per mile or just “ Nonemerg transp mileage ” for short, used in Ambulance .
What is a modifier in a report?
Modifiers may be used to indicate to the recipient of a report that: A service or procedure has both a professional and technical component. A service or procedure was performed by more than one physician and/or in more than one location. A service or procedure has been increased or reduced.
What does modifier mean in medical?
A modifier provides the means by which the reporting physician or provider can indicate that a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code. Modifiers may be used to indicate to the recipient of a report that: A service or procedure has both a professional ...