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
No Government Pay Procedure Code List This list is used as an editing tool only. Please consult the authoritative guidance found in the TRICARE Policy Manual or TRICARE Reimbursement Manual to obtain specific information on TRICARE policy, benefits, and coverage.
Subscribe to Codify and get the code details in a flash. CPT Code Description 20985 Computer-assisted surgical navigatoi nal procedure for musculoskeletal procedures, image less (List separately in addition to code for One of our provider did a arthoplasty on the knee CPT 27447 and also used CPT 20985 (computer assisted surgical navigational procedure) it's also an add on code. My question is do you need a Modifier with the 20985??? 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. Applicable codes: 20985, 0054T, 0055T. 0396T : Codes are intended to be used in addition to the code for the primary procedure.
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COMPUTER-ASSISTED SURGICAL NAVIGATIONAL PROCEDURE FOR …… ACCESSORY, AND/OR SERVICE COMPONENT OF ANOTHER HCPCS CODE. $0.00. 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. Any feed back with CPT 20985 when used with CPT 27446 and 27447CPT Therefore, CPT codes 20985, 0054T and 0055T, or other such CPT codes will be denied as not proven effective.
The Current Procedural Terminology (CPT) code 20985 as maintained by American Medical Association, is a medical 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 ICD-9-CM Code† Code Description Common Medicare MS-DRG Assignment ‡ traditional methods of performing these procedures. Therefore, CPT code 20985 will be denied as not proven effective.
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.
20985. 20986. 20987.
proper code selection, often this will be an ostectomy code. Since arthroplasty is a resurfacing procedure of an arthritic joint, look at codes for excision bone cyst/benign tumor since CPT has stated that exostosis are considered benign bone tumors (CPT Assistant April 2012)
Modifier 59 is used on a second 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. Subscribe to Codify and get the code details in a flash.
Other Musculoskeletal.
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Musculoskeletal surgery. T. J8 – Device-intensive procedure; paid at adjusted rate. HCPCS Level II Coding Options. HCPCS Code4. HCPCS Code Description.
Jan 1, 2015 CPT Code. Total. OFF. FAC. TC (27).
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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
Setting. Facility. Medicare. Medicare.
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Procedure Code - A code from the CPT or HCPCS code set. Provider Enrollment Section (PES) - The section of the Department of Healthcare and. Family Services
X. 20985 $.
Dec 6, 2017 20985. Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code.
or HCPCS code book for complete code descriptions.
These policies are guidelines only and do not constitute a benefit determination, medical advice, guarantee of payment, plan preauthorization, an Explanation of Benefits or a contract. I. SUMMARY OF CHANGES: An add-on code is a HCPCS/CPT code that describes a service that is always performed in conjunction with another primary service. An add-on code is eligible for payment only if it is reported with an appropriate primary procedure performed by the same practitioner. An add-on code The CPT code +0056T will be deleted effective December 31, 2007.