Reasonable and necessary provisions of an LMRP and,an LCD that contains only reasonable and necessary language.
| Anesthesia (1) |
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|
| CMS ID |
Name |
View |
|
| L5304 |
Post-Operative Pain Management |
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|
| |
| Chiropractic (1) |
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| CMS ID |
Name |
View |
|
| L3525 |
Chiropractic Services |
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| |
| Diagnostic Tests (39) |
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|
| CMS ID |
Name |
View |
|
| L3131 |
Audiologic/Vestibular Function Tests |
|
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| L25907 |
Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA) |
|
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| L4640 |
Cardiac Electrophysiology Services (EPS) |
|
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| L26415 |
Cardiac Event Detection |
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| L25447 |
Cardiac Output Measurement Thoracic Electrical Bioimpedance |
|
|
| L25275 |
Category III CPT®Codes |
|
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| L26404 |
Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy |
|
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| L26402 |
Colorectal Cancer Screening |
|
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| L24184 |
Diagnostic Cardiac Catheterization |
|
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| L26409 |
Dynamic Electrocardiography (EKG, ECG) |
|
|
| L3536 |
Electrocardiogram (ECG, EKG) |
|
|
| L22382 |
Endothelial Cell Count |
|
|
| L3558 |
Erectile Dysfunction, Evaluation and Treatment |
|
|
| L26394 |
Esophagogastroduodenoscopy (EGD) |
|
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| L3654 |
General Ophthalmological Services |
|
|
| L3670 |
Gonioscopy |
|
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| L3835 |
Helicobacter Pylori (H. Pylori) Testing |
|
|
| L26445 |
High-Sensitivity C-ReactiveHigh-Sensitivity C-Reactive Protein (hsCRP) |
|
|
| L3846 |
Interventional Cardiology |
|
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| L25367 |
Magnetic Resonance Angiography (MRA) |
|
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| L3535 |
Nerve Conduction Studies (NCS)/Electromyography (EMS) |
|
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| L25563 |
Neuromuscular Junction Testing |
|
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| L3580 |
Non-Invasive Vascular Diagnostic Studies |
|
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| L26422 |
Ocular Blood Flow Tests |
|
|
| L20509 |
Ocular Photography, External |
|
|
| L25347 |
Ophthalmic Angiography (Fluorescein and Indocyanine Green) |
|
|
| L25466 |
Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) |
|
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| L3755 |
Post-Void Residual Urine and/or Bladder Capacity by Ultrasound |
|
|
| L18648 |
Pulse Oximetry |
|
|
| L3898 |
Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) |
|
|
| L3912 |
Stress Echocardiography |
|
|
| L13069 |
Surveillance of Implantable Cardioverter Defibrillators (ICDs), Office, Web or Non-Web Based |
|
|
| L4801 |
Swallow Evaluation - Dysphagia |
|
|
| L19492 |
Transesophogeal Echocardiography TEE |
|
|
| L4241 |
Transrectal Ultrasound |
|
|
| L20452 |
Transtelephonic Spirometry |
|
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| L3959 |
Transthoracic Echocardiography (TTE) |
|
|
| L5288 |
Urodynamics |
|
|
| L26367 |
Visual Fields Testing |
|
|
| |
| Drugs and Biologicals (14) |
|
|
| CMS ID |
Name |
View |
|
| L3540 |
Allergy Immunotherapy |
|
|
| L14463 |
Baclofen Intrathecal Therapy |
|
|
| L26003 |
Biologic Products for Wound Treatment and Surgical Interventions |
|
|
| L15641 |
Bortezomib (Velcade) for Injection |
|
|
| L3699 |
Botulinum Toxin Type A and Type B |
|
|
| DL26841 |
Botulinum Toxins Type A and Type B |
|
|
| L3476 |
Chelation Therapy |
|
|
| L25820 |
Drugs and Biologicals Coverage for Label and Off-Label Uses |
|
|
| L25211 |
Erythropoietin Stimulating Agents |
|
|
| L3844 |
Filgrastim, Pegfilgrastim(e.g., Neupogen?, Neulasta TM) |
|
|
| L26369 |
Luteinizing Hormone-Releasing Hormone (LHRH) Analogs |
|
|
| L26418 |
Nesiritide Infusion for Heart Failure |
|
|
| L3994 |
Thyrotropin Alfa (Thyrogen) |
|
|
| L5270 |
Vitamin B12 Injections |
|
|
| |
| Evaluation and Management (E/M) Services (2) |
|
|
| CMS ID |
Name |
View |
|
| L13965 |
Health and Behavior Assessment/Intervention |
|
|
| L3827 |
Initial Hospital Visits |
|
|
| |
| Foot Care (1) |
|
|
| CMS ID |
Name |
View |
|
| L26426 |
Routine Foot Care and Debridement of Nails |
|
