Month: April 2017

Anesthesia CPT code that require authorization

by Niels
Anesthesiologists are NOT required to request prior authorization. The surgeon must obtain prior authorization when required for procedures identified in the Medical and Surgical Procedure Code List included with the Utah Medicaid Provider Manual for Physician Services. The anesthesiologist is required to enter the prior authorization number obtained by the surgeon for the CPT code ... Read More

Monitored anesthesia cpt code list

by Niels
CPT/HCPCS Codes Group 1 Paragraph: These CPT codes are the Anesthesia and Moderate Sedation codes addressed for coverage in this LCD: Modifiers used: QS Monitored anesthesia care (MAC) G8 Monitored anesthesia care (MAC) for deep, complex, complicated, or markedly invasive surgical procedure G9 Monitored anesthesia care (MAC) for patient who has history of severe cardio-pulmonary ... Read More

Immune Globulin Injection cpt codes – j1569

by Niels
CPT/HCPCS Codes Group 1 Codes: J1459INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG J1556INJECTION, IMMUNE GLOBULIN (BIVIGAM), 500 MG J1557INJECTION, IMMUNE GLOBULIN, (GAMMAPLEX), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG J1561INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG J1566INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G., POWDER), NOT OTHERWISE SPECIFIED, 500 MG J1568INJECTION, IMMUNE GLOBULIN, ... Read More

CPT code Flow cytometry

by Niels
Coverage Indications, Limitations, and/or Medical Necessity Flow cytometry (FCM) is a complex process to examine blood, body fluids, CSF, bone marrow, lymph node, tonsil, spleen and other solid tissues. The use of peripheral blood and fine needle aspirate material avoids more invasive procedures for diagnosis. A flow cytometer evaluates the physical and/or chemical characteristics of ... Read More