Unlisted/Non-specific HCPCS/CPT Codes

PG0097 05/03/2021 Unlisted/Non-specific HCPCS/CPT Codes Policy Number: PG0097 Last Review: 05/03/2021 GUIDELINES This policy does not certify benefits or authorization of benefits, which is designated by each individual policyholder contract. Paramount applies coding edits to all medical claims through coding logic software to evaluate the accuracy and adherence to accepted national standards. This guideline is solely for explaining correct procedure reporting and does not imply coverage and reimbursement. SCOPE X Professional X Facility DESCRIPTION Healthcare Common Procedure Coding System ( hcpcs ) are billing Codes developed by the Centers of Medicare and Medicaid Services (CMS). They are assigned to every task and service a medical practitioner may provide to a patient including medical, surgical and diagnostic services. Current Procedural Terminology (CPT) are billing Codes developed by the American Medical Association (AMA) that describes the range of services that can be billed for by a physician, hospital, or outpatient facility that provides medical services.

Dec 01, 2007 · unlisted services or items. Fees for unlisted codes are assigned once the documentation has been reviewed. ... whether or not the procedure is covered, was medically necessary, and if separate service is warranted or is a bundled service. ... o DME items should include: the name of the item, a description, the manufacturer,

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  Code, Time, Specific, Hcpcs, Covered, Unlisted, Unlisted non specific hcpcs cpt codes, Dme items

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