Medicare definition of surgical procedure
[DOC File]CMN_Blepharoplasty_Brow_Surgical_Procedures_Final
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Blepharoplasty/Brow Surgical Procedures. Fax or mail this completed form Voluntary Pre-Service Coverage Review (VPCR): (877) 219-9448. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. For Post-Service Claims: Florida Blue. P.O. Box 1798. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider
[DOC File]OWCP MEDICAL FEE SCHEDULE - 2001
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Jun 30, 2020 · Note: a radiology/diagnostic procedure is considered to be directly related to the performance of the surgical procedure only if it is an inherent part of the surgical procedure, e.g., the CPT code for the surgical procedure includes the diagnostic or radiology procedure as part of …
[DOC File]North Carolina Health Insurance Plans | Blue Cross NC
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Minimum surgical assistant services are identified by adding modifier -81 to the usual procedure number. Modifier -82 may be used when a qualified resident surgeon is not available. Modifiers -62 and -66 designate services performed by two surgeons or a surgical team, and will be reviewed on an individual consideration basis.
[DOC File]NEW JERSEY ADMINISTRATIVE CODE
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2. A physician-owned single operating room in an office setting that is certified by Medicare. “Ambulatory surgical case” means a procedure that is not minor surgery as defined in N.J.A.C. 13:35-4A.3 .
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Report the procedure code for the surgical procedure, followed by modifier 55. Report the date post-operative care began and ended along with the number of post-operative care days provided in the narrative field on electronic claims, or block 19 on the CMS-1500 claim form.
[DOC File]STATE OF CALIFORNIA
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G0413 is added to the definition of surgical procedure codes. This subdivision was also amended to refer to section 9789.39(b) for the HCPCS codes included in the definition of emergency room visits and surgical procedures by date of service.
[DOC File]Department of Veterans Affairs Home | Veterans ...
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Their purpose is to provide a uniform language that will accurately describe medical, surgical, and diagnostic services, thereby providing an effective means for reliable nationwide communication among physicians, patients, and third parties. ... and the Common Procedure Coding System from the Health Care Financing Administration (HCPCS). These ...
[DOC File]OWCP MEDICAL FEE SCHEDULE - 2001 - DOL
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Note: a radiology/diagnostic procedure is considered to be directly related to the performance of the surgical procedure only if it is an inherent part of the surgical procedure, e.g., the CPT code for the surgical procedure includes the diagnostic or radiology procedure as part of the code description.
[DOC File]Procedure codes that are Modifier 51 exempt and not ...
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Procedure codes that are Modifier 51 exempt and not subject to the multiple procedure reduction rule Author: Cheryl LaFleur Last modified by: Keith Phillips Created Date: 8/20/2004 7:45:00 PM Company: CIGNA Other titles: Procedure codes that are Modifier 51 exempt and not subject to the multiple procedure reduction rule
[DOCX File]Submitting Requests for Prior Authorization
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Requests outside of this definition should be submitted as routine/non-urgent. Referral/Service Type Requested. Inpatient ☐Surgical procedures ☐Admission ☐SNF ☐Rehab ☐LTAC. Outpatient ☐Office Visit ☐Rehab (PT, OT, & ST) ☐Surgical Procedure ☐Wound Care ☐Diagnostic Procedure☐Infusion Therapy ☐DME ☐ Other: ...
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