American Medical Association Summer 2015, Vol. 1 - page 10

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10 Summer 2015,Vol. 1 AMERICANMEDICALASSOCIATION
CPT®REFERENCEGUIDEFOR
CARDIOVASCULARCODING2015
Co-publishedbyprocedural codingexpertsat theAMA
andcardiovascular specialistsat theAmericanCollege
ofCardiologyFoundation (ACCF), this resourceprovides
acompleteoverviewof theheart structures, vesselsand
conduction system, includingcardiovascularbasicsand
commonailments.
Softbound, 8½" x11", 338pages
Item#:OP076014FTG
ISBN: 978-1-62202-013-3
Price: $175
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ESSENTIALCPT®CODINGRESOURCES
HCPCS2016LEVEL IIPROFESSIONALEDITION
Alongwith themost currentHCPCScodesand regulations, this codebook
containseverythingyouneed for accuratemedical billingandappropriate
reimbursement including theAmericanDentalAssociation’sCDTdental
codes, acompanionwebsite thatoffersaccess to the latestupdatesand
special reports, a full-color tableofdrugswithdrug-codeannotations,
colorphotographsand illustrations.
Available:December2015
Spiralbound, 8½" x11", approx. 389pages
Item#:OP231516FTG
ISBN: 978-1-62202-222-9
Price: $96.95
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2015HCPCS:LEVEL IINATIONALCODES
344
XNew Revised ✔ Reinstated deletedDeleted [Notcoveredor validbyMedicare
❂ Specialcoverage instructions ✽Carrierdiscretion Bill localcarrier BillDMEMAC
Q4029 –Q4106 TEMPORARYCODESASSIGNEDBYCMS
✽ Q4048Cast supplies, short leg splint, pediatric(0-10 years), fiberglass A B
✽ Q4049Finger splint, static B
✽ Q4050Cast supplies, for unlisted types andmaterials of casts B
✽ Q4051Splint supplies,miscellaneous (includesthermoplastics, strapping, fasteners,
padding and other supplies) B
Drugs
✽ Q4074Iloprost, inhalation solution,FDA-approved final product, non-
compounded, administered through
DME, unit dose form, up to 20
micrograms Qp Qh Y
NDC:Ventavis
❂ Q4081Injection, epoetin alfa, 100 units (forESRD on dialysis) N
Bill local carrier ( ) formethod II
home dialysis.
NDC:Epogen, Procrit
✽ Q4082Drug or biological, not otherwiseclassified,PartB drug competitive
acquisition program (CAP) B
SkinSubstitutes
✽ Q4100Skin substitute, not otherwisespecified N1 N
Other:Orcel, Surgimend collagenmatrix
CodingClinic: 2012,Q2,P7
✽ Q4101Apligraf, per squarecentimeter Qp Qh N1 N
CodingClinic: 2012,Q2,P7; 2011,Q1,P9
✽ Q4102OasisWoundMatrix, per squarecentimeter Qp Qh N1 N
CodingClinic: 2012,Q3,P8;Q2,P7; 2011,Q1,P9
✽ Q4103OasisBurnMatrix, per squarecentimeter Qp Qh N1 N
CodingClinic: 2012,Q2,P7; 2011,Q1,P9
✽ Q4104IntegraBilayerMatrixWoundDressing (BMWD), per square
centimeter Qp Qh N1 N
CodingClinic: 2012,Q2,P7; 2011,Q1,P9; 2010,Q2,P8
✽ Q4105IntegraDermalRegenerationTemplate (DRT), per square
centimeter Qp Qh N1 N
CodingClinic: 2012,Q2,P7; 2011,Q1,P9; 2010,Q2,P8
✽ Q4106Dermagraft, per squarecentimeter Qp Qh N1 N
CodingClinic: 2012,Q2,P7; 2011,Q1,P9
Figure 50 Finger splint.
✽ Q4029Cast supplies, long leg cast, adult(11 years +), plaster A B
✽ Q4030Cast supplies, long leg cast, adult(11 years +), fiberglass A B
✽ Q4031Cast supplies, long leg cast, pediatric(0-10 years), plaster A B
✽ Q4032Cast supplies, long leg cast, pediatric(0-10 years), fiberglass A B
✽ Q4033Cast supplies, long leg cylinder cast,adult (11 years +), plaster A B
✽ Q4034Cast supplies, long leg cylindercast, adult (11 years +),
fiberglass A B
✽ Q4035Cast supplies, long leg cylindercast, pediatric (0-10 years),
plaster A B
✽ Q4036Cast supplies, long leg cylindercast, pediatric (0-10 years),
fiberglass A B
✽ Q4037Cast supplies, short leg cast, adult(11 years +), plaster A B
✽ Q4038Cast supplies, short leg cast, adult(11 years +), fiberglass A B
✽ Q4039Cast supplies, short leg cast, pediatric(0-10 years), plaster A B
✽ Q4040Cast supplies, short leg cast, pediatric(0-10 years), fiberglass A B
✽ Q4041Cast supplies, long leg splint, adult(11 years +), plaster A B
✽ Q4042Cast supplies, long leg splint, adult(11 years +), fiberglass A B
✽ Q4043Cast supplies, long leg splint, pediatric(0-10 years), plaster A B
✽ Q4044Cast supplies, long leg splint, pediatric(0-10 years), fiberglass A B
✽ Q4045Cast supplies, short leg splint, adult(11 years +), plaster A B
✽ Q4046Cast supplies, short leg splint, adult(11 years +), fiberglass A B
✽ Q4047Cast supplies, short leg splint, pediatric(0-10 years), plaster A B
SAMPLEPAGE
ENTERALANDPARENTERALTHERAPY
135
PQRSPQRS Qp QuantityPhysicianAppendixA Qh QuantityHospitalAppendixB Femaleonly
Maleonly A Age DMEPOS A2-Z3 ASCPayment Indicator A-Y ASCStatus Indicator CodingClinic
ENTERALANDPARENTERAL THERAPY
B4168 –B4220
❂ B4185Parenteral nutrition solution, per10 grams lipids B
PEN:OnFeeSchedule
❂ B4189Parenteral nutrition solution;compounded amino acid and
carbohydrateswith electrolytes,
trace elements, and vitamins,
including preparation, any strength,
10 to 51 grams of protein -
premix Qp Qh Y
IOM: 100-02, 15, 120; 100-03, 3, 180.2;
100-04, 20, 100.2.2
PEN:OnFeeSchedule
❂ B4193Parenteral nutrition solution;compounded amino acid and
carbohydrateswith electrolytes,
trace elements, and vitamins,
including preparation, any strength,
52 to 73 grams of protein -
premix Qh Y
IOM: 100-02, 15, 120; 100-03, 3, 180.2;
100-04, 20, 100.2.2
PEN:OnFeeSchedule
❂ B4197Parenteral nutrition solution;compounded amino acid and
carbohydrateswith electrolytes,
trace elements and vitamins,
including preparation, any strength,
74 to 100 grams of protein -
premix Qh Y
IOM: 100-02, 15, 120; 100-03, 3, 180.2;
100-04, 20, 100.2.2
PEN:OnFeeSchedule
❂ B4199Parenteral nutrition solution;compounded amino acid and
carbohydrateswith electrolytes,
trace elements and vitamins,
including preparation, any strength,
over 100 grams of protein -
premix Qp Qh Y
IOM: 100-02, 15, 120; 100-03, 3, 180.2;
100-04, 20, 100.2.2
PEN:OnFeeSchedule
❂ B4216Parenteral nutrition; additives(vitamins, trace elements, heparin,
electrolytes) homemix per
day Qh Y
IOM: 100-02, 15, 120; 100-03, 3, 180.2;
100-04, 20, 100.2.2
PEN:OnFeeSchedule
❂ B4220Parenteral nutrition supply kit; premix,per day Qh Y
IOM: 100-02, 15, 120; 100-03, 3, 180.2;
100-04, 20, 100.2.2
PEN:OnFeeSchedule
Figure 8 Total ParenteralNutrition (TPN) involves
percutaneous placement of central venous catheter into vena
cava or right atrium.
❂ B4168Parenteral nutrition solution; aminoacid, 3.5%, (500ml 1 unit) -
homemix Qh Y
IOM: 100-02, 15, 120; 100-03, 3, 180.2;
100-04, 20, 100.2.2
PEN:OnFeeSchedule
❂ B4172Parenteral nutrition solution; aminoacid, 5.5% through 7%, (500ml
1 unit) - homemix Qh Y
IOM: 100-02, 15, 120; 100-03, 3, 180.2;
100-04, 20, 100.2.2
❂ B4176Parenteral nutrition solution; aminoacid, 7% through 8.5%, (500ml
1 unit) - homemix Qp Qh Y
IOM: 100-02, 15, 120; 100-03, 3, 180.2;
100-04, 20, 100.2.2
PEN:OnFeeSchedule
❂ B4178Parenteral nutrition solution: aminoacid, greater than 8.5% (500ml
1 unit) - homemix Qh Y
IOM: 100-02, 15, 120; 100-03, 3, 180.2;
100-04, 20, 100.2.2
PEN:OnFeeSchedule
❂ B4180Parenteral nutrition solution;carbohydrates (dextrose), greater
than 50% (500ml 1 unit) - home
mix Qh Y
IOM: 100-02, 15, 120; 100-03, 3, 180.2;
100-04, 20, 100.2.2
PEN:OnFeeSchedule
Samplepages from HCPCS2015
Level II Professional Edition.
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