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List of CPT/HCPCS Codes | CMS

Nov 19, 2021 · 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. Code List updates for years 2022 and earlier were published in the Federal Register as an addendum to the annual Physician Fee Schedule final rule and posted on this webpage as soon as

https://www.cms.gov/Medicare/Fraud-and-Abuse/PhysicianSelfReferral 

MCD Search - Centers for Medicare & Medicaid Services

Dec 10, 2021 · On the Medicare Coverage Database (MCD) you can use CPT/HCPCS codes to search for documents. Results will return Billing and Coding Articles or other documents that include the specified code. (Note: Sometimes an EOB or MSN may display the CPT/HCPCS code with an associated modifier, which is represented by a dash and two characters. …

https://www.cms.gov/medicare-coverage-database/search.aspx 

Alabama Medicaid

Medicaid rate. 0001A. 1st dose, 30mcg/0.3 mL. $16.94. 0002A. 2nd dose, 30mcg/0.3 mL. $28.39. Effective December 18, 2020, Medicaid covers the following procedure codes for the administration of the Moderna COVID-19 vaccine for recipients 18 years of age and older: Administration CPT code.

https://medicaid.alabama.gov/alert_detail.aspx?ID=14273 

ProPAT CPT Code Lookup : Aetna Better Health

The five character codes included in the Aetna Medicaid PA Requirement Search Tool are obtained from Current Procedural Terminology (CPT), by the American Medical Association (AMA).CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures

https://medicaidportal.aetna.com/propat/default.aspx?C=gC22PLUQvRHLke0X3IsIeHPZntfwhXHkY%2B1vljrIkUiowVsFZZ9%2B%2BiCwUdFKhAj9g3DzA34i0qRz%0AXLqq%2FgfuE%2FZfGTTt0%2FyJIGOJF0kQV%2BqbuFLrl3b4%2FUkx4%2Fno4EykGRU3hOvRgIfUKmQFXwy6EgKr%0Ao7yitiZ5m4wiJp71mYLsOomLfnY%2BQE3%2FibOdUbxwRNTrxktxSE9OzUB8w6mXctQb2WTVLkF7Kz2%2B%0A7CFqxPFpJJ%2BbqCsHDFphpVrjAEX77MOSXGyIRe6Nsd16Ojh2tLf1moVYEr8rlXeh3Y%2BiEXTLwUcI%0Azog%2FdIzXejCrJV1AWRo4YeYK7LWPT6tXi7q11A%3D%3D 

Procedure Price Lookup for Outpatient Services | Medicare.gov

Use official Procedure Price Lookup tool to compare national average to Medicare costs in ambulatory surgical centers, hosptial outpatient departments Enter a CPT code or HCPCS code. These are used for billing insurance. You might get them from your health care provider.

https://www.medicare.gov/procedure-price-lookup/ 

New CPT® codes for online digital E/M - 99421

Nov 11, 2021 · New CPT® codes and CMS payment. In the 2020 CPT ® book, CPT deleted code 99444, which was defined as an online E/M service by a physician or other qualified health care professional. CPT ® is adding three new time-based codes for online evaluation and treatment, for use by clinicians who have E/M in their scope of practice, and three codes for …

https://codingintel.com/cpt-codes-online-digital-evaluation-and-management-services/ 

Medicaid: New prior authorization codes in select states

Jan 01, 2022 · Effective April 1, 2022, we are adding new codes to the prior authorization list for cardiovascular procedures, prostate procedures, spine surgery and cosmetic surgery. These changes impact UnitedHealthcare Community Plans (Medicaid, CHIP, long-term care and Medicare-Medicaid Plans (MMP)) in certain states.

https://www.uhcprovider.com/en/resource-library/news/2022/uhccp-prior-auth-codes-for-april.html 

Procedure Fee Files & CPT Codes | DMAS - Department of

Historical Procedure Rate File Layout. CPT Part 1 - Contains CPT Codes 0001F - 29999 - CSV. CPT Part 2 - Contains CPT Codes 3000F - 49999 - CSV. CPT Part 3 - Contains CPT Codes 50010 - 79999 - CSV. CPT Part 4 - Contains CPT Codes 80002 - 99607 - CSV. CPT Part 1 - Contains CPT Codes 0001F - 29999 - TXT.

https://www.dmas.virginia.gov/for-providers/procedure-fee-files-cpt-codes/ 

Indiana Medicaid: Providers: Code Sets

The provider search tool enables you to locate providers enrolled with the IHCP to provide services to Medicaid members. OPR Provider Verification IHCP providers should verify enrollment of the ordering, prescribing or referring (OPR) provider before services or …

http://www.in.gov/medicaid/providers/business-transactions/billing-and-remittance/code-sets/