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Frequently Asked Questions

What is the difference between CPT codes and ICD-9 codes?

School-Based Health Services Frequently Asked Questions
Current Prodedural Terminology (CPT) is a listing of descriptive terms and identifying codes for reporting medical services and procedures as they are performed by physicians. The purpose is to provide a uniform language to describe medical, surgical, and diagnostic services. The book is prepared by the American Medical Association.

Can I add more CPT codes to the CPT hot list?

FAQ
Yes. You can add any number of codes to the CPT hot list from the database that is included with our system. You can also remove a code from the list. See similar questions...

What are the CPT codes for reimbursement?

Practitioner Coding Information
CPT 22520 Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; thoracic. CPT 22521 Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; lumbar. CPT 22522 Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; each additional thoracic or lumbar vertebral body. (List separately in addition to code for primary procedure. See similar questions...

What are the CPT codes for chronic hemodialysis procedures?

Arrow International Inc - Hemodialysis Catheters - Frequentl...
Consult your payor organizations with regard to local coverage, bundling requirements, and reimbursement policies. See similar questions...

Can you put billing codes (CPT) codes on a custom MedicalTemplate?

MedicalTemplates FAQ | Medical Notes | Medical Documentation
No. Billing codes are part of the CPT system developed by the American Medical Association. As the copyright holder for the CPT system, the AMA requires a license for the inclusion of these codes in all commercial products such as MedicalTemplates. See similar questions...

What CPT Codes are to be Reported? What ICD-9-CM Codes are to be Reported?

Please refer to Procedure Codes, Required Outpatient Surgical Procedures and Related CPT and ICD-9 CM Procedure Codes, for a detailed list of CPT codes and ICD-9-CM procedure codes required. These codes will also be periodically reviewed and updated by the Board of Health with input from affected parties and others. Because codes are sometimes modified by the federal government and others, you may wish to periodically check to see if revisions have been made to the list. See similar questions...

What are the Insurance Billing Codes or CPT codes for CPAP?

SleepMed Online - SleepMed Resource Center - FAQs
Codes have changed as of January 2003. These updated codes are used to bill insurance and government plans for CPAP items. See similar questions...

Is there a global period for the CPT codes in APC 0050?

Practitioner Coding Information
There is no global period for the facility. However, there is a 10-day global period for the physician. This global surgical package of 10 days includes same day services (either preoperative or postoperative care), intraoperative* care and care within the global period of 10 days after the surgery. During this time, the physician will not be reimbursed for services related to the initial procedure. See similar questions...

Are the new CPT codes only for Part D MTM billing?

Pharmacist Services Technical Advisory Coalition
No. The MTM codes may be used by pharmacists in any situation where the described service is provided. Other CPT codes may be accepted by payers and depending on which CPT code being used, there may be restrictions with respect to how these specific codes may be used. It is advisable to contact a payer before using the code for the first time to make sure that they are configured to process the MTM codes. See similar questions...

I want to import CPT and ICD9 codes. Where can I get the Master CD's that I need?

M.D. Complete - Medical Billing Software and HCFA Software w...
The Office Suite version comes complete with all recent CPT? and ICD-9 codes. You can also purchase the codes on CD. These CD's are sold separately from MDC. See similar questions...

Q 2: What's the difference between the Building Code and NYC Construction Codes?

Department of Buildings - New NYC Construction Codes FAQs
The Building Code - which sets forth regulations for construction - is one of four codes in the new NYC Construction Codes. Other codes that have been revised as part of the Model Code Program are the Fuel Gas, Mechanical, and Plumbing Codes. See similar questions...

What is an ICD-9 code and why is it so important?

Frequently Asked Questions
ICD-9 codes are diagnoses codes regulated by Medicare and used for a variety of reasons. The Medicare Catastrophe Coverage Act of 1988 requires physicians to provide ICD-9 codes in the treatment of their patients. Insurance companies require these codes as an explanation for an occurrence or patient visit to a doctor's office, clinical tests and/or procedures. See similar questions...

Are the MTM CPT codes exclusive for pharmacists and pharmacy services?

Pharmacist Services Technical Advisory Coalition
Yes. While physicians and other non-pharmacist providers may perform MTM services, the recently approved MTM codes can ONLY be used by pharmacists when submitting a claim for MTM. This has been specified by the AMA. (See MTM rationale) See similar questions...

Are there any standard or published payment schedules for use with the CPT codes?

Pharmacist Services Technical Advisory Coalition
No. Payers will be establishing their own fee schedules for the services provided with the CPT codes. See similar questions...

What is the difference between a HCPC code and a CPT code?

Pharmacist Services Technical Advisory Coalition
CPT Codes are a subcategory of HCPCS codes. An excellent explanation of the difference can be found on the CMS website at HCPCS General Information. There are numerous aspects to this question. Succinct responses to some of the most important aspects of this question are provided below. If you have additional questions related to this issue you may contact PSTAC at info@pstac.org and your question will be routed to the appropriate individual. See similar questions...

What if I have both CPT and CCS certification?

NSPA FAQ
Since the Certified Personal Trainer (CPT) Course is a pre-requisite for the Certified Conditioning Specialist (CCS) course, your re-certification will be for CCS only. Therefore, your expiration date is based on your CCS Certificate date. See similar questions...

Do we have to use the full 5-digit ICD-9 code?

Interscope Pathology - Frequently Asked Questions
Yes, if the code goes to 5-digits. Some codes only go to 4-digits. Using the proper ICD-9 Code makes billing claims easier for both the laboratory as well as your patient. ICD-9 Codes update annually. Please be sure to use current ICD-9 Codes. The laboratory billed the patient's insurance; the balance now due is the co-pay, deductible, or balance after the patient's insurance response to our claim. See similar questions...

What is the difference between RFID/EPC tags and bar codes?

Dillard's.com | Frequently Asked Questions
RFID/EPC tags and bar codes are two different technologies that overlap in the identification of products. Bar codes require line-of-sight to identify a product. RFID does not require the tags to be within line-of-sight. Bar codes typically identify the UPC (representing a unique style, color and size of the product), while an RFID/EPC tag contains the UPC plus a serial number which differentiates one like item from another. See similar questions...

What is the difference between zoning and codes?

Centre Region Code
Zoning regulates what can be placed on the parcel of land (house, garage, decks, etc) and where. Zoning ensures that setback and easement requirements are met. Codes regulate how the structure is built, ensuring that the structure meets the minimum state adopted building code standard. See similar questions...

What CPT codes do I use to bill a visit to a patient's home or to an assisted living facility?

American Academy of Home Care Physicians - Info for Home Car...
Home visits are billed using codes 99341-99350. Visits to domiciliary care facilities are billed using CPT codes 99324-99337. For specific code information, including, Approximate Medicare Allowable Charges, see our booklets, "Making House Calls a Part of Your Practice," or "Making Home Care Work in a Medical Practice." These booklets are updated annually. Yes, the Academy updates its booklets and website annually to reflect the current codes and fee schedule. See similar questions...

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