CPT®1 Code. Setting. Facility. Medicare. Medicare. HCPCS. (HOPD. Setting. APC & $2,944.24. 20985. Computer-assisted surgical navigational procedure for.

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26994OH0812. CPT Codes Requiring. Prior Authorization. Procedure. Code 20985. Cptr-asst dir ms px. All. 20999. Musculoskeletal surgery. All. 21010.

Under CCN, the codes billed by you or your practice determine what you get paid. o If a CPT is considered a timed code, then it will bill in 15-minute blocks or “units” instead Medical policies and clinical utilization management guidelines help us determine if a procedure is medically necessary. Visit Anthem.com to learn more about how these policies are used to determine patient coverage and medical necessity. CPT Codes provide a uniform language that accurately designates medical, surgical, and diagnostic services—enabling reliable nationwide communication among physicians, patients, and third parties.

20985 cpt code

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15 Aug 2014 … HCPCS. CPT/HCPCS Long Description. codes in the policy document does not alter the determination of coverage as defined in the policy. CPT Code Description 20985 Computer-assisted surgical navigation procedure for musculoskeletal 20985 : Computer-assisted surgical navigation procedure for musculoskeletal procedures, image-less: 77401 - 77412: Radiation treatment delivery [following total knee arthroplasty] Other CPT codes related to the CPB: 27440: Arthroplasty, knee, tibial plateau: 27441: with debridement and partial synovectomy: 27442 Surgical Navigation for Musculoskeletal Procedures (CPT® codes 20985, 0054T, and 0055T) as it is considered incidental to the primary overall service. CMS 1500 20985 Computer assisted surgical navigation procedure for musculoskeletal procedures; imageless 0054T with image-guidance based on fluoroscopic images 0055T with image-guidance based upon CT/MRI images Add on codes 0054T and 0055T carrier priced Coverage varies by healthplan Computer assisted musculoskeletal surgical navigational procedures (20985 0054T 0055T).

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. CPT code information is copyright by the AMA.

20985 ©* Cptr-asst dir ms px. 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 ® Computer assisted musculoskeletal surgical navigational procedures (20985 0054T 0055T).

IV. CPT or HCPC codes NOT covered: Codes Description 20985 Computer-assisted surgical navigation procedure for musculoskeletal procedures, image-less 0054T Computer-assisted musculoskeletal surgical navigation orthopedic procedure, with image-guidance based on fluoroscopic images

20985 cpt code

Y. Y. Y. 5/8/2020.

Under CCN, the codes billed by you or your practice determine what you get paid. o If a CPT is considered a timed code, then it will bill in 15-minute blocks or “units” instead Medical policies and clinical utilization management guidelines help us determine if a procedure is medically necessary.
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20985 cpt code

22116. 22208. 22216. 22226.

II. DEFINITIONS III. REFERENCES IV. REVISION HISTORY 02/16/2021 Guideline 4 [Hip Acetabuloplasty (CPT code 27120 and 27122)] (new to policy) 2021-01-01 CPT Codes provide a uniform language that accurately designates medical, surgical, and diagnostic services—enabling reliable nationwide communication among physicians, patients, and third parties. You can order a CPT book by calling 800-621-8335. With proper wound care CPT code for dressing and other medical services, you can be sure of the authorized reimbursement.
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Jan 1, 2021 CMAP Addendum B - OPPS Payment Type by Procedure Code 20985. Cptr- asst dir ms px. N. APC. 20999. Musculoskeletal surgery. T.

The American Medical Association (AMA) develops temporary Current Procedural Terminology (CPT) Category III codes to track the utilization of emerging technologies, services, and procedures. The Category III CPT coded escription does not establish a service or procedure as safe, effective or applicable to the clinical practice of medicine.


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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

CPT* Procedure Code Code Description 20985 Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure) ICD-9 Inpatient Procedural Coding Guidance for iASSIST Knee 000. 55.80. Ablate Bone Tumor(S) Perq. 20985. C. 2.50. 1.26. Table of Contents – eohhs.