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Dec 1, 2025 · We update the Code List to conform to the most recent publications of CPT and HCPCS codes and to account for changes in Medicare coverage and payment policies.

Jun 6, 2023 · DescriptionThis review will determine if a Wearable Automatic External Defibrillator is reasonable and necessary for the patient’s condition based on the documentation in the …

Jan 7, 2026 · Brief descriptions for the code ranges and modifiers are provided in the readme file. The data set name contains the year followed by a five character sequence that is the …

The list contains the fee schedule amounts, floors, and ceilings for all procedure codes and payment category, jurisdiction, and short description assigned to each procedure code.

devices that are categorized and billed under code K0606 without the KF modifier. Consequently, as part of this update, the fee schedule amounts for HCPCS code K0606

Injections that utilize a kit to create the platelet rich plasma, must be billed with category III code 0232T, and according to the CPT® codebook is not a transfusion medicine service.

Aug 12, 2024 · Back to Master List of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items Potentially Subject to Conditions of Payment

Use the appropriate CPT code in Item 24D on the CMS-1500 claim form (or electronic equivalent) and link it to the applicable ICD-9-CM code listed above under the ICD-9-CM Codes that …

Providers should report these procedures, when they represent covered, reasonable and necessary services, using the CPT codes that describe the service supplied.