CPT 97813, 97814, S8930 – Cranial electrotherapy stimulation (CES)

Coding  Code Description CPT 97813 Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient 97814 Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needle(s) (List separately in addition to code for primary ... Read More

CPT Q2043 – Cellular Immunotherapy for Prostate Cancer

Code Description HCPCS Q2043 Sipuleucel-T, minimum of 50 million autologous CD54+ cells activated with PAP-GMCSF, including leukapheresis and all other preparatory procedures, per infusion (Provenge®)  Cellular Immunotherapy for Prostate Cancer Introduction Immunotherapy is a way to fight disease, even cancer, by using a person’s own immune system. Dendritic cells are part of the immune system. ... Read More

CPT 20999, 38206, 38241 – Mesenchymal stem cells

Code Description CPT 20999 Unlisted procedure, musculoskeletal system, general 38206 Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous 38241 Hematopoietic progenitor cell (HPC); autologous transplantation Orthopedic Applications of Stem Cell Therapy (Including Allografts and Bone Substitutes Used with Autologous Bone Marrow) Mesenchymal stem cells are adult stem cells which are usually found in ... Read More

Immune Globulin Injection cpt codes – j1569

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

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

cpt j0885 – ESA – Erythropietin stimulating agent

CPT/HCPCS Codes Group 1 Codes: J0881INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE) J0882INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (FOR ESRD ON DIALYSIS) J0885INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS Q4081INJECTION, EPOETIN ALFA, 100 UNITS (FOR ESRD ON DIALYSIS) Coverage Indications, Limitations, and/or Medical Necessity An erythropoietin stimulating agent (ESA) is an analog of erythropoietin. ESAs ... Read More

cpt j0885 – ESA – Erythropietin stimulating agent

CPT/HCPCS Codes Group 1 Codes: J0881INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE) J0882INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (FOR ESRD ON DIALYSIS) J0885INJECTION, EPOETIN ALFA, (FOR NON-ESRD USE), 1000 UNITS Q4081INJECTION, EPOETIN ALFA, 100 UNITS (FOR ESRD ON DIALYSIS) Coverage Indications, Limitations, and/or Medical Necessity An erythropoietin stimulating agent (ESA) is an analog of erythropoietin. ESAs ... Read More

How to submit a claim for Co surgeons and Team surgeons – Full guide with example

A. General Under some circumstances, the individual skills of two or more surgeons are required to perform surgery on the same patient during the same operative session. This may be required because of the complex nature of the procedure(s) and/or the patient’s condition. In these cases, the additional physicians are not acting as assistants-at-surgery. B. ... Read More

When to complete a CMS-855I

CMS-855I is to be used by Physicians and non-physician practitioners (including clinical psychologists) — Complete this application if you are an individual practitioner who plans to bill Medicare and you are: • An individual practitioner who will provide services in a private setting. • An individual practitioner who will provide services in a group setting. ... Read More

PQRS Payment Adjustments and Providers Who Rendered Services at IDTFs

The Physician Quality Reporting System (PQRS) is a program that promotes the reporting of quality information by eligible professionals (EPs) and group practices. Participation in PQRS is at the individual National Provider Identifier (NPI) level within a Tax Identification Number (TIN). EPs who worked for more than one organization during the 2013 PQRS program year ... Read More