Special Review Considerations
End of Life
What is Hospice?
Cervical Spine
What is neck?
Colonoscopy
What is P43?
PFT
What is 94010-94016, 94060-94070?
Detect early signs of cancer, heart disease and brain conditions. It involves an injection of a safe radioactive tracer that helps detect disease.
What is PET Scan?
Skilled Nursing, Registered Nurse, PT/OT in the home, ECHO/EHHC/Respite Care
What is Home Health?
Lower Extremity
What is hip, knee, ankle, leg, foot?
Chiropractic care
What is P14?
Low Dose CT Scan (LDCT)
What is 71271?
View inside any part of the body using a combination of X-rays and a computer to create pictures of your organs, bones, and other tissues. It shows more detail than a regular X-ray.
What is CT Scan?
Obstructive sleep apnea (OSA) requests for oral splints.
What is Adjunctive Dental?
Stomach, Liver, Kidney, Pancreas
What is abdomen?
Adjunctive Dental?
What is P22, P127 and P101?
Stress Echocardiogram with Doppler
What is 93015, 93350?
Mammograms, Breast biopsy, Sniff Test, Holter Event Monitor, Cologuard (oncology screening), Bone Scan, EEG, EMG, NCV, etc.
What is Diagnostic, Misc?
In Vitro Fertilization
What is Other- Lead Approval Required?
Upper Extermity
What is shoulder, elbow, wrist, hand?
Home Health
What is P26, P28, P47 and P48?
Venous Doppler Study - Extremity Mapping
What is 93970-93971?
Evaluates the cardiovascular system's response to external stress within a controlled clinical setting, through physical exercise or intravenous pharmacological stimulation of heart rate.
What is Cardiac Stress Test?
Massage Therapy, not completed by a Physical Therapist
What is Provider Specialty Invalid, Poss Non Covered
Internal Auditory Canal
What is Brain?
IDES and Terminal Leave
What is P111 and P128?
MRI Wrist + fluoroscopic guidance and arthogram
What is 73222-73223, 77002, 25246?
View of the joints. Consists of MRI code(s) + Fluoroscopic Guidance code + Arthrogram injection code.
What is Mr (Magnetic Resonance) Arthorgram?