Zoledronic acid J code (HCPCS J3489) is applied for service when Zoledronic acid (1 mg) injects by the physician or other healthcare provider. Zoledronic acid administers to the patient to treat abnormal blood calcium levels caused by cancer and bone metastases from solid tumors. Zoledronic Acid J Code Description Zoledronic acid aids to decreased the…
CPT code G0463 will be reported by the physician when service renders at the hospital outpatient clinic visit for assessment and management of a patient. Summary In 2014, CMS proposed three new HCPCS G codes in OPPS (Outpatient Prospective Payment System) to substitute for five levels of evaluation and management settings. It includes one G…
HCPCS Level II codes are also a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as Ambulance services and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) when used outside a physician’s office. The development and use of level II HCPCS codes began…
The HCPCS codes G0402, G0438 & G0439 are used for Healthcare Common Procedure Coding System and the descriptions of the codes can be found underneath. G0438 Description of G0438: First visit, annual wellness visit, includes a personalized prevention plan. G0439 Description of G0439: Subsequent visit, annual wellness visit, includes a personalized prevention plan. Note: G0438…
This article outlines the coding guidelines and descriptions of HCPCS Codes J3490 & J3590. HCPCS J3490 Description of J3490: Unclassified drug. HCPCS J3590 Description of J3590: Unclassified biologic. Billing Guidelines For HCPCS Codes J3490 & J3590 HCPCS J3490 (unclassified drug) and J3590 (unclassified biologic) are the HCPCS codes that are reported for medications that are…
The Centers for Medicare & Medicaid Services (CMS) updated payment rates for travel allowances and specimen collection fees when billed on a per mileage basis using Health Care Common Procedure Coding System (HCPCS) code P9603 and when billed on a flat rate basis using HCPCS code P9604 for 2016. Payment of the travel allowance is…
Claims for Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for solid tumors submitted between October 6 and November 30, 2014 will be held to ensure that Medicare systems can accurately calculate payments. Specifically, these are claims containing Healthcare Common Procedure Coding System (HCPCS) A9552 for all oncologic conditions. No provider action is required.
When a sample is collected by a laboratory from an individual in a SNF or from an individual on behalf of a HHA, the Healthcare Common Procedure Coding System (HCPCS) code, G0471 “Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a SNF or by a laboratory on behalf of a…
G8553 CPT that was used for eRx claims is no longer valid for claims billed dates of service 01/01/2014 and after.Individual eligible professionals and group practices participating in the eRx Group Practice Reporting Option (GPRO) who are not successful electronic prescribers will be subject to a 2.0% payment adjustment on their Medicare Part B services…
Light compression bandages, self-adherent bandages, and conforming bandages are covered when they are used to hold wound cover dressings in place over any wound type. Most compression bandages are reusable. Usual frequency of replacement would be no more than one per week unless they are part of a multi-layer compression bandage system. Conforming bandage dressing…
