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For further assistance with reimbursement questions, contact the Zimmer Biomet Reimbursement Hotline at 866-946-0444 CPT ® code 99050 when billed with one of the Evaluation and Management (E/M) codes from the following list and the E/M code is eligible for payment: 99202-99205, 99212-99215, 99241-99245, and 99354-99355. In addition, separate reimbursement is allowed for after-hours code 99058 when billed with one of the E/M codes from the The Current Procedural Terminology (CPT ®) code 20985 as maintained by American Medical Association, is a medical procedural code under the range - Other Procedures on the Musculoskeletal System. Subscribe to Codify and get the code details in a flash. 20985 Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure) 2010-09-13 20985 - CPT® Code in category: Other Procedures on the Musculoskeletal System. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more.

Therefore, providers must bear in mind that any service that is described in any Palmetto GBA LCD as “non-covered” will remain non-covered no matter which CPT® code is selected for billing. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT®), copyright 2015 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 performed by physicians. Code is a unilateral code and requires a -50 Modifier if done bilaterally CPT 63047 –Laminectomy Code is a unilateral or bilateral code and reports either without modifier Why does this Matter? CPT CODE 2013 Medicare National Average Reimbursement for Physician - cms.gov, Physician Fee Schedule 63030 $980 63030-50 $1470 63047 $1119 Our Clinical Policy Bulletins (CPBs) explain the medical, dental and pharmacy services we may or may not cover. They are based on objective, credible sources, such as the scientific literature, guidelines, consensus statements and expert opinions.

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Also, the ….. 20985 SG. Cptr-asst dir ms px. 21010 SG. Use of CPTs 61781, 61782 and 61783 with 20985, 0054T and 0055T or other such CPT codes have been determined to be NOT appropriate in cases where screws and/or other hardware are applied to the spine .

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20985. Computer-assisted surgical navigational procedure for. If a test, treatment or procedure is neither specifically covered nor excluded in Medicare law CPT/HCPCS codes are required to be billed with specific Bill Type and 20985©*.

Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure ). Jul 15, 2020 Physician Manual (2020 HCPCS Code updates and Removal of PA 20985. 21121. 21122. 21123. 21245. 21246.
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20985. 20986. 20987. 22208.

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22856 ©* C erv artific CPT CODE and Description CPT 99201 Office or other outpatient visit for the evaluation and management of a Surgical Navigation for Musculoskeletal Procedures (CPT ® codes 20985, 0054T, 0055T and 0396T) as it is considered incidental to the primary overall service. CMS 1500 . Developmental Screening (96110) Separate reimbursement is allowed for developmental screening (CPT ® code 96110) when submitted with problem-based (CPT ® Therefore, CPT codes 20985, 0054T and 0055T, or other such CPT codes will be denied as not proven effective.

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This list contains the following CPT codes: Non-Covered Provisional Coverage Possible Provisional Coverage No Longer Considered Investigational; Global Coverage Allowed . CPT Code Description Non-Covered 0054T CPT 20985, Under Other Procedures on the Musculoskeletal System. The Current Procedural Terminology (CPT) code 20985 as maintained by American Medical Association, is a medical procedural code under the range - Other Procedures on the Musculoskeletal System. The coding for this navigation includes one category I CPT code and 2 category III CPT codes : • 20985: Computer-assisted surgical navigational procedure for musculoskeletal procedures; image-less (List separately in addition to code for primary procedure) • 0054T: Computer-assisted musculoskeletal surgical navigational orthopedic Computer-Assisted Surgical Navigation for Musculoskeletal Procedures (CPT code 20985) • Medicare does not have an NCD f or computer-assisted surgical navigation f musculoskeletal procedures. • Local Coverage Determinations (LCDs)/Local Coverage Articles (LCAs) do not exist. If the ACS designates a code as an “always,” the Health Plan assigns an “always” designation to the procedure code, and Assistant Surgeon services will be eligible for reimbursement when reported with that procedure.** **Exception: The Health Plan considers CPT codes 59510, 59515, 59618, and 59622 as Policies and Guidelines.

22328. 22512. The Pediatric Top 25 Most Commonly Performed CPT Codes by. Residents 20985. Other Musculoskeletal. Other Procedures.