Medical code for mammogram
[DOCX File]Firefighter Cancer Support Network | Together we can...
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ICD-10 Diagnosis Code:_____ Clinical History: Call VBMC Scheduling Departmen. t (956) 389-1852 to schedule or reschedule your appointment. Office Hours: 8 am-12 pm & 1pm – 5 pm. Screening or Diagnostic Mammogram Information * Bring this request with you on day of appointment. *
Bring this request with you when you come to the Breast Center
Guidelines for Medical Necessity. Determination for Breast MRI. ... Breast MRI as an alternative to mammogram or ultrasound, or in lieu of biopsy of a suspicious finding on mammography or ultrasound. ... guidance does not require prior authorization as the breast MRI portion of the procedure is included in the procedure code for the MRI-guided ...
[DOC File]SURGERIES/PROCEDURES RECOMMENDED FOR PREAUTH …
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P.O. Box 149347, Mail Code (MC) 2835 1100 West 49th Street Austin, Texas 78714-9347 Austin, Texas 78756 Mammography Certification Program (512) 834-6688 - Fax (512) 834-6716
HEDIS®
Initial Comprehensive Medical Exam, New pt 40 + years old. 99386. Complex Preventive Medical Exam
[DOCX File]Breast Implant Information
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Manage the medical and health care needs of health plan members/patients, including monitoring and following up on care provided by other providers, providing coordination necessary for services provided by specialists and ancillary providers (both in and out-of-network), and maintaining a medical record meeting GMG standards
Mass.Gov
Rationale: there is not significant medical science to support use of MRI over Mammogram for breast CA screening tool. BREAST RECONSTRUCTION (multiple CPT codes) What is it: Any reconstructive procedure (including implants) to the breast. Rationale: Review for medical necessity vs. cosmetic. CAPSULE OR WIRELESS ENDOSCOPY – 91110
Answer Key - Introduction to Clinical Coding
A code for a mammogram that is designated obsolete during the 2005 measurement year is not deleted from the specifications until the 2008 measurement year (i.e., one year after the two-year look-back period). NCQA uses the National Drug Code (NDC) system.
[DOC File]RC230R-1 - Texas Department of State Health Services
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MAMMOGRAM IMAGES: SINGLE VISIT Item #90. ... use applicable PATIENT MEDICAL RECORDS. CODE 15 REPORTS. use applicable PATIENT MEDICAL RECORDS. COMMUNICATIONS TAPE RECORDINGS: EMERGENCY MEDICAL SERVICES. use General Records Schedule GS1-SL for State and Local Government Agencies, Item #377, 911 RECORDS: LOGS ...
[DOC File]E
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Date [Insurance company] Claims DepartmentAddress Line 1. Address Line 2. RE: Letter of Medical Necessity for [patient name]Group/policy number: . [Number] Date(s) of service: . [Dates] Diagnosis: . [Code & Description] Dear [Insurance company] Claims Department:I am writing on behalf of my patient, [patient name], to document medical necessity for explantation of two breast implants.
Replacement of Mammography HCPCS Codes, Waiver of Coinsuran…
Note that the description for code 77055 is for a unilateral (one side) mammogram. 77056 is the correct code for a bilateral mammogram. Use of modifier -50 for bilateral is not appropriate when CPT code descriptions differentiate between unilateral and bilateral.
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