LCD | Title |
Effective Date |
L38150 |
MolDX: Pigmented Lesion Assay-Noridian Healthcare Solutions, LLC |
|
L38152 |
MolDX: Pigmented Lesion Assay-Noridian Healthcare Solutions, LLC |
|
L38221 |
Vertebroplasty/Kyphoplasty-Palmetto GBA |
|
L38237 |
MolDX: Razor 14-Gene Lung Cancer Assay-Palmetto GBA |
|
L38239 |
MolDX: Erythrocyte Molecular Antigen Typing-Palmetto GBA |
|
L38248 |
MolDX: Erythrocyte Molecular Antigen Typing-CGS Administrators, LLC |
|
L38253 |
MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)-Palmetto GBA |
|
L38254 |
MolDX: AlloSure® Cell-Free DNA Testing-Palmetto GBA |
|
L38256 |
MolDX: DecisionDx-Melanoma -Palmetto GBA |
|
L38265 |
MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)-CGS Administrators, LLC |
|
L38266 |
MolDX: DecisionDx-Melanoma -CGS Administrators, LLC |
|
L38271 |
MolDX: AlloSure® Cell-Free DNA Testing-CGS Administrators, LLC |
|
L38273 |
MolDX: Repeat Germline Testing-Palmetto GBA |
|
L38275 |
Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea-Palmetto GBA |
|
L38277 |
Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease-Palmetto GBA |
|
L38283 |
MolDX: Razor 14-Gene Lung Cancer Assay-CGS Administrators, LLC |
|
L38287 |
MolDX: Repeat Germline Testing-CGS Administrators, LLC |
|
L38289 |
MolDX: Signatera and Minimal Residual Disease Testing for Colorectal Cancer-Palmetto GBA |
|
L38291 |
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Favorable Intermediate Risk Disease-Palmetto GBA |
|
L38293 |
MolDX: Pharmacogenomics Testing-Palmetto GBA |
|
L38302 |
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Favorable Intermediate Risk Disease-CGS Administrators, LLC |
|
L38304 |
MolDX: Signatera and Minimal Residual Disease Testing for Colorectal Cancer-CGS Administrators, LLC |
|
L38326 |
MolDX: Razor 14-Gene Lung Cancer Assay-Noridian Healthcare Solutions, LLC |
|
L38328 |
MolDX: Razor 14-Gene Lung Cancer Assay-Noridian Healthcare Solutions, LLC |
|
L38330 |
MolDX: Erythrocyte Molecular Antigen Typing-Noridian Healthcare Solutions, LLC |
|
L38332 |
MolDX: Erythrocyte Molecular Antigen Typing-Noridian Healthcare Solutions, LLC |
|
L38334 |
MolDX: Pharmacogenomics Testing-Noridian Healthcare Solutions, LLC |
|
L38336 |
MolDX: Pharmacogenomics Testing-Noridian Healthcare Solutions, LLC |
|
L38338 |
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Favorable Intermediate Risk Disease-Noridian Healthcare Solutions, LLC |
|
L38340 |
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Favorable Intermediate Risk Disease-Noridian Healthcare Solutions, LLC |
|
L38350 |
MolDX: Repeat Germline Testing-Noridian Healthcare Solutions, LLC |
|
L38352 |
MolDX: Repeat Germline Testing-Noridian Healthcare Solutions, LLC |
|
L38354 |
MolDX: AlloSure® Cell-Free DNA Testing-Noridian Healthcare Solutions, LLC |
|
L38360 |
MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)-Noridian Healthcare Solutions, LLC |
|
L38361 |
MolDX: DecisionDx-Melanoma -Noridian Healthcare Solutions, LLC |
|
L38362 |
MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)-Noridian Healthcare Solutions, LLC |
|
L38363 |
MolDX: DecisionDx-Melanoma -Noridian Healthcare Solutions, LLC |
|
L38370 |
Multimarker Serum Tests Related to Ovarian Cancer Testing-National Government Services, Inc. |
|
L38379 |
MolDX: AlloSure® Cell-Free DNA Testing-Noridian Healthcare Solutions, LLC |
|
L38388 |
Biomarkers for Oncology-Novitas Solutions, Inc. |
|
L38393 |
MolDX: Pharmacogenomics Testing-CGS Administrators, LLC |
|
L38428 |
MolDX: Repeat Germline Testing-Wisconsin Physicians Service Insurance Corporation |
|
L38430 |
MolDX: Signatera and Minimal Residual Disease Testing for Colorectal Cancer-Wisconsin Physicians Service Insurance Corporation |
|
L38432 |
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Favorable Intermediate Risk Disease-Wisconsin Physicians Service Insurance Corporation |
|
L38434 |
MolDX: Pharmacogenomics Testing-Wisconsin Physicians Service Insurance Corporation |
|
L38438 |
MolDX: AlloSure® Cell-Free DNA Testing-Wisconsin Physicians Service Insurance Corporation |
|
L38440 |
MolDX: Erythrocyte Molecular Antigen Typing-Wisconsin Physicians Service Insurance Corporation |
|
L38442 |
MolDX Razor 14-Gene Lung Cancer Assay-Wisconsin Physicians Service Insurance Corporation |
|
L38448 |
MolDX: DecisionDX-Melanoma-Wisconsin Physicians Service Insurance Corporation |
|
L38450 |
MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)-Wisconsin Physicians Service Insurance Corporation |
|
L38459 |
Thrombolytic Agents-Novitas Solutions, Inc. |
|
L38480 |
Prostate Rectal Spacers-National Government Services, Inc. |
|
L38491 |
Vitamin D Assay Testing-CGS Administrators, LLC |
|
L38494 |
Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor-Novitas Solutions, Inc. |
|
L38499 |
Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)-First Coast Service Options, Inc. |
|
L38505 |
Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor-First Coast Service Options, Inc. |
|
L38507 |
Oxygen and Oxygen Equipment-Noridian Administrative Services |
|
L38508 |
External Infusion Pumps-Noridian Administrative Services |
|
L38523 |
Transcranial Magnetic Stimulation-National Government Services, Inc. |
|
L38524 |
Urological Supplies-Noridian Administrative Services |
|
L38527 |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea-Wisconsin Physicians Service Insurance Corporation |
|
L38536 |
Water Vapor Thermal Therapy for LUTS/BPH-National Government Services, Inc. |
|
L38548 |
Fluid Jet System in the Treatment of Benign Prostatic Hypertrophy (BPH)-Palmetto GBA |
|
L38550 |
Transanal Endoscopic Surgery (TES)-Palmetto GBA |
|
L38558 |
Stretta Procedure-Palmetto GBA |
|
L38560 |
MolDX: EndoPredict Breast Cancer Gene Expression Test-Palmetto GBA |
|
L38565 |
MolDX: Phenotypic Biomarker Detection in Circulating Tumor Cells-Palmetto GBA |
|
L38567 |
MolDX: Liquid Biopsies for Solid Organ Transplantation-Palmetto GBA |
|
L38569 |
MolDX: Breast Cancer Index™ (BCI) Gene Expression Test-Palmetto GBA |
|
L38570 |
Colon Capsule Endoscopy (CCE)-National Government Services, Inc. |
|
L38572 |
Percutaneous Arteriovenous Fistula (pAVF) for Hemodialysis-National Government Services, Inc. |
|
L38574 |
Intravenous Immunoglobulin (IVIG)-Palmetto GBA |
|
L38575 |
MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer-Palmetto GBA |
|
L38581 |
MolDX: Liquid Biopsies for Solid Organ Transplantation-CGS Administrators, LLC |
|
L38583 |
MolDX: Phenotypic Biomarker Detection in Circulating Tumor Cells-CGS Administrators, LLC |
|
L38585 |
MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer-CGS Administrators, LLC |
|
L38587 |
MolDX: EndoPredict Breast Cancer Gene Expression Test-CGS Administrators, LLC |
|
L38588 |
MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test-CGS Administrators, LLC |
|
L38593 |
Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)-National Government Services, Inc. |
|
L38612 |
Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease-Noridian Healthcare Solutions, LLC |
|
L38614 |
Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease-Noridian Healthcare Solutions, LLC |
|
L38616 |
Implantable Continuous Glucose Monitors (I-CGM)-Novitas Solutions, Inc. |
|
L38622 |
Implantable Continuous Glucose Monitors (I-CGM)-National Government Services, Inc. |
|
L38628 |
MolDX: Liquid Biopsies for Solid Organ Transplantation-Noridian Healthcare Solutions, LLC |
|
L38630 |
MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test-Noridian Healthcare Solutions, LLC |
|
L38631 |
MolDX: EndoPredict® Breast Cancer Gene Expression Test-Noridian Healthcare Solutions, LLC |
|
L38632 |
MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test-Noridian Healthcare Solutions, LLC |
|
L38633 |
MolDX: EndoPredict® Breast Cancer Gene Expression Test-Noridian Healthcare Solutions, LLC |
|
L38640 |
Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)-Noridian Healthcare Solutions, LLC |
|
L38641 |
Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)-Noridian Healthcare Solutions, LLC |
|
L38642 |
MolDX: Phenotypic Biomarker Detection in Circulating Tumor Cells-Noridian Healthcare Solutions, LLC |
|
L38644 |
MolDX: Phenotypic Biomarker Detection in Circulating Tumor Cells-Noridian Healthcare Solutions, LLC |
|
L38646 |
MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer-Noridian Healthcare Solutions, LLC |
|
L38648 |
MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer-Noridian Healthcare Solutions, LLC |
|
L38656 |
Implantable Continuous Glucose Monitors (I-CGM)-Noridian Healthcare Solutions, LLC |
|
L38658 |
Implantable Continuous Glucose Monitors (I-CGM)-Noridian Healthcare Solutions, LLC |
|
L38660 |
External Infusion Pumps-Noridian Administrative Services |
|
L38661 |
Implantable Continuous Glucose Monitors (I-CGM)-CGS Administrators, LLC |
|
L38663 |
Implantable Continuous Glucose Monitors (I-CGM)-First Coast Service Options, Inc. |
|
L38665 |
Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)-CGS Administrators, LLC |
|
L38666 |
Computed Tomography Cerebral Perfusion Analysis (CTP)-National Government Services, Inc. |
|
L38670 |
MolDX: Liquid Biopsies for Solid Organ Transplantation-Noridian Healthcare Solutions, LLC |
|
L38674 |
MolDX: Breast Cancer Index™ (BCI) Gene Expression Test-Wisconsin Physicians Service Insurance Corporation |
|
L38675 |
MolDX: EndoPredict® Breast Cancer Gene Expression Test-Wisconsin Physicians Service Insurance Corporation |
|
L38677 |
MolDX: Phenotypic Biomarker Detection in Circulating Tumor Cells-Wisconsin Physicians Service Insurance Corporation |
|
L38679 |
MolDx: Liquid Biopsies for Solid Organ Transplantation-Wisconsin Physicians Service Insurance Corporation |
|
L38681 |
Fluid Jet System Treatment for LUTS/BPH-Wisconsin Physicians Service Insurance Corporation |
|
L38683 |
MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer-Wisconsin Physicians Service Insurance Corporation |
|
L38685 |
Implantable Continuous Glucose Monitors (I-CGM)-Wisconsin Physicians Service Insurance Corporation |
|
L38693 |
Computed Tomography Cerebral Perfusion Analysis (CTP)-CGS Administrators, LLC |
|
L38699 |
Computed Tomography Cerebral Perfusion Analysis (CTP)-Noridian Healthcare Solutions, LLC |
|
L38704 |
Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia-Noridian Healthcare Solutions, LLC |
|
L38706 |
Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia-Noridian Healthcare Solutions, LLC |
|
L38708 |
Computed Tomography Cerebral Perfusion Analysis (CTP)-Noridian Healthcare Solutions, LLC |
|
L38711 |
Transuretheral Waterjet Ablation of the Prostate-Novitas Solutions, Inc. |
|
L38713 |
Endovenous Stenting-Novitas Solutions, Inc. |
|
L38716 |
Treatment of Chronic Venous Insufficiency of the Lower Extremities-Novitas Solutions, Inc. |
|
L38719 |
Treatment of Chronic Venous Insufficiency of the Lower Extremities-First Coast Service Options, Inc. |
|
L38725 |
Transurethral Waterjet Ablation of the Prostate-First Coast Service Options, Inc. |
|
L38729 |
Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Tremor-National Government Services, Inc. |
|
L38730 |
Endovenous Stenting-First Coast Service Options, Inc. |
|
L38735 |
Heavy Metal Testing-National Government Services, Inc. |
|
L38736 |
Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)-Palmetto GBA |
|
L38742 |
Implantable Continuous Glucose Monitors (I-CGM)-Palmetto GBA |
|
L38744 |
Platelet Rich Plasma-Palmetto GBA |
|
L38746 |
Peroral Endoscopic Myotomy (POEM)-Palmetto GBA |
|
L38753 |
Controlled Substance Monitoring and Drugs of Abuse Testing-CGS Administrators, LLC |
|
L38754 |
Colon Capsule Endoscopy (CCE)-Palmetto GBA |
|
L38756 |
Magnetic Resonance Guided Focused Ultrasound Surgery System (MRgFUS) for the treatment of neurologic conditions-CGS Administrators, LLC |
|
L38757 |
Select Minimally Invasive GERD Procedures-National Government Services, Inc. |
|
L38764 |
Facet Joint Interventions for Pain Management-Palmetto GBA |
|
L38768 |
Computed Tomography Cerebral Perfusion Analysis (CTP)-Palmetto GBA |
|
L38770 |
Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease-CGS Administrators, LLC |
|
L38772 |
Facet Joint Interventions for Pain Management-CGS Administrators, LLC |
|
L38774 |
Extracorporeal Shock Wave Therapy (ESWT)-Palmetto GBA |
|
L38776 |
Colon Capsule Endoscopy (CCE)-CGS Administrators, LLC |
|
L38778 |
MolDX: Minimal Residual Disease Testing for Cancer-Palmetto GBA |
|
L38785 |
Echocardiography for Myocardial Perfusion-Palmetto GBA |
|
L38788 |
Facet Joint Interventions for Pain Management-National Government Services, Inc. |
|
L38791 |
Dexamethasone Intracanalicular Ophthalmic Insert (Dextenza®)-Palmetto GBA |
|
L38800 |
Facet Joint Interventions for Pain Management-Noridian Healthcare Solutions, LLC |
|
L38802 |
Facet Joint Interventions for Pain Management-Noridian Healthcare Solutions, LLC |
|
L38804 |
Colon Capsule Endoscopy (CCE)-First Coast Service Options, Inc. |
|
L38806 |
Colon Capsule Endoscopy (CCE)-Novitas Solutions, Inc. |
|
L38808 |
Botulinum Toxins-Novitas Solutions, Inc. |
|
L38810 |
Blepharoplasty and Surgical Procedures of the Brow-Novitas Solutions, Inc. |
|
L38811 |
Diagnostic Colonoscopy-Novitas Solutions, Inc. |
|
L38813 |
MolDX: Minimal Residual Disease Testing for Cancer-Noridian Healthcare Solutions, LLC |
|
L38815 |
MolDX: Minimal Residual Disease Testing for Cancer-Noridian Healthcare Solutions, LLC |
|
L38821 |
MolDX: Minimal Residual Disease Testing for Cancer-CGS Administrators, LLC |
|
L38823 |
Colon Capsule Endoscopy (CCE)-Noridian Healthcare Solutions, LLC |
|
L38825 |
Colon Capsule Endoscopy (CCE)-Noridian Healthcare Solutions, LLC |
|
L38827 |
Diagnostic Colonoscopy-First Coast Service Options, Inc. |
|
L38828 |
Botulinum Toxins-First Coast Service Options, Inc. |
|
L38829 |
Blepharoplasty and Surgical Procedures of the Brow-First Coast Service Options, Inc. |
|
L38833 |
Endoscopic Treatment of GERD-Wisconsin Physicians Service Insurance Corporation |
|
L38834 |
MolDX: Minimal Residual Disease Testing for Cancer-Wisconsin Physicians Service Insurance Corporation |
|
L38836 |
Colon Capsule Endoscopy (CCE)-Wisconsin Physicians Service Insurance Corporation |
|
L38838 |
Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease-Wisconsin Physicians Service Insurance Corporation |
|
L38840 |
Facet Joint Interventions for Pain Management-Wisconsin Physicians Service Insurance Corporation |
|
L38842 |
Cardiology Non-emergent Outpatient Stress Testing-First Coast Service Options, Inc. |
|
L38845 |
Cardiology Non-emergent Outpatient Stress Testing-Novitas Solutions, Inc. |
|
L38849 |
Facet Joint Interventions for Pain Management-Novitas Solutions, Inc. |
|
L38850 |
Facet Joint Interventions for Pain Management-First Coast Service Options, Inc. |
|
L38853 |
Biomarker Testing (Prior to Initial Biopsy) for Prostate Cancer Diagnosis-National Government Services, Inc. |
|
L38876 |
Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)-Novitas Solutions, Inc. |
|
L38877 |
Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)-First Coast Service Options, Inc. |
|
L38897 |
External Infusion Pumps-Noridian Administrative Services |
|
L38900 |
Glucose Monitors-Noridian Administrative Services |
|
L38901 |
Wound Care-Noridian Healthcare Solutions, LLC |
|
L38903 |
Wound Care-Noridian Healthcare Solutions, LLC |
|
L38912 |
Cosmetic and Reconstructive Surgery-Novitas Solutions, Inc. |
|
L38913 |
Cosmetic and Reconstructive Surgery-First Coast Service Options, Inc. |
|
L38915 |
Respiratory Pathogen Panel Testing-Novitas Solutions, Inc. |
|
L38917 |
Respiratory Pathogen Panel Testing-First Coast Service Options, Inc. |
|
L38919 |
Off-label Use of Rituximab and Rituximab Biosimilars-CGS Administrators, LLC |
|
L38921 |
Allergy Testing-Novitas Solutions, Inc. |
|
L38922 |
Cataract Extraction (including Complex Cataract Surgery)-Novitas Solutions, Inc. |
|
L38925 |
Cataract Extraction (including Complex Cataract Surgery)-First Coast Service Options, Inc. |
|
L38927 |
Allergy Testing-First Coast Service Options, Inc. |
|
L38928 |
Allergen Immunotherapy-Novitas Solutions, Inc. |
|
L38931 |
Allergen Immunotherapy-First Coast Service Options, Inc. |
|
L38936 |
Platelet Rich Plasma-National Government Services, Inc. |
|
L38940 |
Transvenous Phrenic Nerve Stimulation in the Treatment of Central Sleep Apnea-National Government Services, Inc. |
|
L38949 |
Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea-Noridian Administrative Services |
|
L38950 |
Oral Appliances for Obstructive Sleep Apnea-Noridian Administrative Services |
|
L38951 |
Respiratory Assist Devices-Noridian Administrative Services |
|
L38952 |
Parenteral Nutrition-Noridian Administrative Services |
|
L38954 |
Enteral Nutrition-Noridian Administrative Services |
|
L32553 |
Allergy Immunotherapy-CGS Administrators, LLC |
10/01/2015 |
L33252 |
Psychiatric Diagnostic Evaluation and Psychotherapy Services-First Coast Service Options, Inc. |
10/01/2015 |
L33256 |
3D Interpretation and Reporting of Imaging Studies-First Coast Service Options, Inc. |
10/01/2015 |
L33261 |
Allergy Testing-First Coast Service Options, Inc. |
10/01/2015 |
L33267 |
B-Type Natriuretic Peptide (BNP)-First Coast Service Options, Inc. |
10/01/2015 |
L33270 |
Bisphosphonates (Intravenous [IV]) and Monoclonal Antibodies in the Treatment of Osteoporosis and Their Other Indications-First Coast Service Options, Inc. |
10/01/2015 |
L33271 |
Biventricular Pacing/Cardiac Resynchronization Therapy-First Coast Service Options, Inc. |
10/01/2015 |
L33274 |
Botulinum Toxins-First Coast Service Options, Inc. |
10/01/2015 |
L33282 |
Computed Tomographic Angiography of the Chest, Heart and Coronary Arteries-First Coast Service Options, Inc. |
10/01/2015 |
L33312 |
Wheelchair Seating-Noridian Administrative Services |
10/01/2015 |
L33317 |
External Breast Prostheses-Noridian Administrative Services |
10/01/2015 |
L33318 |
Knee Orthoses-Noridian Administrative Services |
10/01/2015 |
L33369 |
Therapeutic Shoes for Persons with Diabetes-Noridian Administrative Services |
10/01/2015 |
L33370 |
Nebulizers-Noridian Administrative Services |
10/01/2015 |
L33380 |
Long-Term Wearable Electrocardiographic Monitoring (WEM)-First Coast Service Options, Inc. |
10/01/2015 |
L33382 |
Lumbar Spinal Fusion for Instability and Degenerative Disc Conditions-First Coast Service Options, Inc. |
10/01/2015 |
L33392 |
Category III CPT® Codes-National Government Services, Inc. |
10/01/2015 |
L33393 |
Hospice - Determining Terminal Status-National Government Services, Inc. |
10/01/2015 |
L33394 |
Drugs and Biologicals, Coverage of, for Label and Off-Label Uses-National Government Services, Inc. |
10/01/2015 |
L33396 |
Posterior Tibial Nerve Stimulation for Voiding Dysfunction-National Government Services, Inc. |
10/01/2015 |
L33398 |
Transcranial Magnetic Stimulation-National Government Services, Inc. |
10/01/2015 |
L33399 |
EEG – Ambulatory Monitoring-National Government Services, Inc. |
10/01/2015 |
L33405 |
Polysomnography and Sleep Testing-First Coast Service Options, Inc. |
10/01/2015 |
L33406 |
Posterior Tibial Nerve Stimulation (PTNS)-First Coast Service Options, Inc. |
10/01/2015 |
L33410 |
Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)-First Coast Service Options, Inc. |
10/01/2015 |
L33411 |
Surgical Management of Morbid Obesity-First Coast Service Options, Inc. |
10/01/2015 |
L33413 |
Therapy and Rehabilitation Services-First Coast Service Options, Inc. |
10/01/2015 |
L33417 |
Allergy Skin Testing-Palmetto GBA |
10/01/2015 |
L33418 |
Assays for Vitamins and Metabolic Function-Palmetto GBA |
10/01/2015 |
L33420 |
Lab: Bladder/Urothelial Tumor Markers-Palmetto GBA |
10/01/2015 |
L33422 |
Brain Natriuretic Peptide (BNP) Level-Palmetto GBA |
10/01/2015 |
L33423 |
Cardiac Computed Tomography & Angiography (CCTA)-Palmetto GBA |
10/01/2015 |
L33428 |
Cosmetic and Reconstructive Surgery-Palmetto GBA |
10/01/2015 |
L33431 |
HbA1c-Palmetto GBA |
10/01/2015 |
L33432 |
Hyaluronate Polymers-Palmetto GBA |
10/01/2015 |
L33436 |
Mohs Micrographic Surgery (MMS)-Palmetto GBA |
10/01/2015 |
L33438 |
Octreotide Acetate for Injectable Suspension (Sandostatin LAR® depot)-Palmetto GBA |
10/01/2015 |
L33443 |
Posterior Tibial Nerve Stimulation (PTNS) for Urinary Control-Palmetto GBA |
10/01/2015 |
L33444 |
Pulmonary Stress Testing-Palmetto GBA |
10/01/2015 |
L33445 |
Removal of Benign and Malignant Skin Lesions-Palmetto GBA |
10/01/2015 |
L33446 |
Respiratory Therapy and Oximetry Services-Palmetto GBA |
10/01/2015 |
L33447 |
Special Electroencephalography-Palmetto GBA |
10/01/2015 |
L33449 |
Swallowing Studies for Dysphagia-Palmetto GBA |
10/01/2015 |
L33452 |
Virtual Colonoscopy (CT Colonography)-Palmetto GBA |
10/01/2015 |
L33454 |
Varicose Veins of the Lower Extremities-Palmetto GBA |
10/01/2015 |
L33455 |
Wireless Gastrointestinal Motility Monitoring Systems-Palmetto GBA |
10/01/2015 |
L33456 |
Total Joint Arthroplasty-Palmetto GBA |
10/01/2015 |
L33457 |
Cardiac Radionuclide Imaging-Palmetto GBA |
10/01/2015 |
L33458 |
Chemodenervation-Palmetto GBA |
10/01/2015 |
L33459 |
Computerized Axial Tomography (CT), Thorax-Palmetto GBA |
10/01/2015 |
L33461 |
Implantable Infusion Pump-Palmetto GBA |
10/01/2015 |
L33467 |
Ophthalmology: Extended Ophthalmoscopy and Fundus Photography-Palmetto GBA |
10/01/2015 |
L33473 |
Vertebroplasty/Kyphoplasty-Palmetto GBA |
10/01/2015 |
L33557 |
Cardiac Catheterization and Coronary Angiography-National Government Services, Inc. |
10/01/2015 |
L33558 |
Cataract Extraction-National Government Services, Inc. |
10/01/2015 |
L33559 |
Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)-National Government Services, Inc. |
10/01/2015 |
L33560 |
Cardiovascular Nuclear Medicine-National Government Services, Inc. |
10/01/2015 |
L33562 |
Computed Tomographic (CT) Colonography for Diagnostic Uses-National Government Services, Inc. |
10/01/2015 |
L33563 |
Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures-National Government Services, Inc. |
10/01/2015 |
L33567 |
Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)-National Government Services, Inc. |
10/01/2015 |
L33569 |
Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)-National Government Services, Inc. |
10/01/2015 |
L33573 |
B-type Natriuretic Peptide (BNP) Testing-National Government Services, Inc. |
10/01/2015 |
L33574 |
Visual Fields Testing-National Government Services, Inc. |
10/01/2015 |
L33575 |
Varicose Veins of the Lower Extremity, Treatment of-National Government Services, Inc. |
10/01/2015 |
L33576 |
Urodynamics-National Government Services, Inc. |
10/01/2015 |
L33577 |
Transthoracic Echocardiography (TTE)-National Government Services, Inc. |
10/01/2015 |
L33578 |
Transrectal Ultrasound-National Government Services, Inc. |
10/01/2015 |
L33579 |
Transesophageal Echocardiography (TEE)-National Government Services, Inc. |
10/01/2015 |
L33580 |
Speech-Language Pathology-National Government Services, Inc. |
10/01/2015 |
L33583 |
Diagnostic and Therapeutic Esophagogastroduodenoscopy-First Coast Service Options, Inc. |
10/01/2015 |
L33584 |
Implantable Miniature Telescope (IMT)-National Government Services, Inc. |
10/01/2015 |
L33585 |
Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography-National Government Services, Inc. |
10/01/2015 |
L33586 |
Gene Expression Profiling Panel for use in the Management of Breast Cancer Treatment-First Coast Service Options, Inc. |
10/01/2015 |
L33591 |
RAST Type Tests-National Government Services, Inc. |
10/01/2015 |
L33594 |
Manipulation Under Anesthesia (MUA)-First Coast Service Options, Inc. |
10/01/2015 |
L33600 |
Sinus X-ray(s)-First Coast Service Options, Inc. |
10/01/2015 |
L33609 |
Autonomic Function Tests-First Coast Service Options, Inc. |
10/01/2015 |
L33610 |
Intravenous Immune Globulin-Noridian Administrative Services |
10/01/2015 |
L33611 |
Oral Appliances for Obstructive Sleep Apnea-Noridian Administrative Services |
10/01/2015 |
L33612 |
Suction Pumps-Noridian Administrative Services |
10/01/2015 |
L33614 |
Debridement Services-National Government Services, Inc. |
10/01/2015 |
L33615 |
Biofeedback-First Coast Service Options, Inc. |
10/01/2015 |
L33616 |
Osteopathic Manipulative Treatment-National Government Services, Inc. |
10/01/2015 |
L33618 |
Major Joint Replacement (Hip and Knee)-First Coast Service Options, Inc. |
10/01/2015 |
L33619 |
Nonvascular Extremity Ultrasound-National Government Services, Inc. |
10/01/2015 |
L33621 |
Ophthalmic Biometry for Intraocular Lens Power Calculation-National Government Services, Inc. |
10/01/2015 |
L33622 |
Pain Management-National Government Services, Inc. |
10/01/2015 |
L33623 |
Percutaneous Coronary Intervention-National Government Services, Inc. |
10/01/2015 |
L33624 |
Psychiatric Inpatient Hospitalization-National Government Services, Inc. |
10/01/2015 |
L33626 |
Psychiatric Partial Hospitalization Programs-National Government Services, Inc. |
10/01/2015 |
L33627 |
Non-Invasive Vascular Studies-National Government Services, Inc. |
10/01/2015 |
L33628 |
Panretinal (Scatter) Laser Photocoagulation-National Government Services, Inc. |
10/01/2015 |
L33629 |
Non-covered Services-National Government Services, Inc. |
10/01/2015 |
L33630 |
Corneal Pachymetry-National Government Services, Inc. |
10/01/2015 |
L33631 |
Outpatient Physical and Occupational Therapy Services-National Government Services, Inc. |
10/01/2015 |
L33632 |
Psychiatry and Psychology Services-National Government Services, Inc. |
10/01/2015 |
L33633 |
Magnetic Resonance Angiography (MRA)-National Government Services, Inc. |
10/01/2015 |
L33636 |
Routine Foot Care and Debridement of Nails-National Government Services, Inc. |
10/01/2015 |
L33641 |
Orthopedic Footwear-Noridian Administrative Services |
10/01/2015 |
L33642 |
Pressure Reducing Support Surfaces - Group 2-Noridian Administrative Services |
10/01/2015 |
L33646 |
Botulinum Toxins-National Government Services, Inc. |
10/01/2015 |
L33661 |
Flow Cytometry-First Coast Service Options, Inc. |
10/01/2015 |
L33667 |
Duplex Scan Of Lower Extremity Arteries-First Coast Service Options, Inc. |
10/01/2015 |
L33669 |
Electrocardiography-First Coast Service Options, Inc. |
10/01/2015 |
L33670 |
Fundus Photography-First Coast Service Options, Inc. |
10/01/2015 |
L33671 |
Diagnostic Colonoscopy-First Coast Service Options, Inc. |
10/01/2015 |
L33674 |
Duplex Scanning-First Coast Service Options, Inc. |
10/01/2015 |
L33684 |
Hemophilia Clotting Factors-First Coast Service Options, Inc. |
10/01/2015 |
L33685 |
Luteinizing Hormone-Releasing Hormone (LHRH) Analogs-First Coast Service Options, Inc. |
10/01/2015 |
L33686 |
Ankle-Foot/Knee-Ankle-Foot Orthosis-Noridian Administrative Services |
10/01/2015 |
L33689 |
Mohs Micrographic Surgery (MMS)-First Coast Service Options, Inc. |
10/01/2015 |
L33690 |
Automatic External Defibrillators-Noridian Administrative Services |
10/01/2015 |
L33692 |
Pressure Reducing Support Surfaces - Group 3-Noridian Administrative Services |
10/01/2015 |
L33693 |
Non-Invasive Evaluation of Extremity Veins-First Coast Service Options, Inc. |
10/01/2015 |
L33695 |
Non-invasive Extracranial Arterial Studies-First Coast Service Options, Inc. |
10/01/2015 |
L33696 |
Noninvasive Physiologic Studies of Upper or Lower Extremity Arteries-First Coast Service Options, Inc. |
10/01/2015 |
L33704 |
Infliximab-First Coast Service Options, Inc. |
10/01/2015 |
L33707 |
Pulmonary Diagnostic Services-First Coast Service Options, Inc. |
10/01/2015 |
L33718 |
Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea-Noridian Administrative Services |
10/01/2015 |
L33733 |
Canes and Crutches-Noridian Administrative Services |
10/01/2015 |
L33735 |
Cold Therapy-Noridian Administrative Services |
10/01/2015 |
L33736 |
Commodes-Noridian Administrative Services |
10/01/2015 |
L33737 |
Eye Prostheses-Noridian Administrative Services |
10/01/2015 |
L33738 |
Facial Prostheses-Noridian Administrative Services |
10/01/2015 |
L33739 |
Speech Generating Devices (SGD)-Noridian Administrative Services |
10/01/2015 |
L33745 |
Respiratory Therapeutic Services-First Coast Service Options, Inc. |
10/01/2015 |
L33747 |
Pegfilgrastim-First Coast Service Options, Inc. |
10/01/2015 |
L33751 |
Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)-First Coast Service Options, Inc. |
10/01/2015 |
L33754 |
Syphilis Test-First Coast Service Options, Inc. |
10/01/2015 |
L33755 |
Susceptibility Studies-First Coast Service Options, Inc. |
10/01/2015 |
L33756 |
Transesophageal Echocardiogram-First Coast Service Options, Inc. |
10/01/2015 |
L33762 |
Treatment of varicose veins of the lower extremity-First Coast Service Options, Inc. |
10/01/2015 |
L33763 |
Vascular Stenting of Lower Extremity Arteries-First Coast Service Options, Inc. |
10/01/2015 |
L33766 |
Visual Field Examination-First Coast Service Options, Inc. |
10/01/2015 |
L33767 |
Viscosupplementation Therapy For Knee-First Coast Service Options, Inc. |
10/01/2015 |
L33768 |
Transthoracic Echocardiography (TTE)-First Coast Service Options, Inc. |
10/01/2015 |
L33771 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed-First Coast Service Options, Inc. |
10/01/2015 |
L33774 |
Wireless Capsule Endoscopy-First Coast Service Options, Inc. |
10/01/2015 |
L33777 |
Noncovered Services-First Coast Service Options, Inc. |
10/01/2015 |
L33783 |
Enteral Nutrition-Noridian Administrative Services |
10/01/2015 |
L33784 |
Heating Pads and Heat Lamps-Noridian Administrative Services |
10/01/2015 |
L33785 |
High Frequency Chest Wall Oscillation Devices-Noridian Administrative Services |
10/01/2015 |
L33786 |
Intrapulmonary Percussive Ventilation System-Noridian Administrative Services |
10/01/2015 |
L33787 |
Lower Limb Prostheses-Noridian Administrative Services |
10/01/2015 |
L33788 |
Manual Wheelchair Bases-Noridian Administrative Services |
10/01/2015 |
L33789 |
Power Mobility Devices-Noridian Administrative Services |
10/01/2015 |
L33790 |
Spinal Orthoses: TLSO and LSO-Noridian Administrative Services |
10/01/2015 |
L33791 |
Walkers-Noridian Administrative Services |
10/01/2015 |
L33792 |
Wheelchair Options/Accessories-Noridian Administrative Services |
10/01/2015 |
L33793 |
Refractive Lenses-Noridian Administrative Services |
10/01/2015 |
L33794 |
External Infusion Pumps-Noridian Administrative Services |
10/01/2015 |
L33795 |
Mechanical In-exsufflation Devices-Noridian Administrative Services |
10/01/2015 |
L33796 |
Osteogenesis Stimulators-Noridian Administrative Services |
10/01/2015 |
L33797 |
Oxygen and Oxygen Equipment-Noridian Administrative Services |
10/01/2015 |
L33798 |
Parenteral Nutrition-Noridian Administrative Services |
10/01/2015 |
L33799 |
Patient Lifts-Noridian Administrative Services |
10/01/2015 |
L33800 |
Respiratory Assist Devices-Noridian Administrative Services |
10/01/2015 |
L33801 |
Seat Lift Mechanisms-Noridian Administrative Services |
10/01/2015 |
L33802 |
Transcutaneous Electrical Nerve Stimulators (TENS)-Noridian Administrative Services |
10/01/2015 |
L33803 |
Urological Supplies-Noridian Administrative Services |
10/01/2015 |
L33810 |
Computerized Corneal Topography-First Coast Service Options, Inc. |
10/01/2015 |
L33813 |
Destruction of Malignant Skin Lesions-First Coast Service Options, Inc. |
10/01/2015 |
L33814 |
Destruction of Paravertebral Facet Joint Nerve(s)-First Coast Service Options, Inc. |
10/01/2015 |
L33815 |
Diagnostic Nasal Endoscopy-First Coast Service Options, Inc. |
10/01/2015 |
L33817 |
E&M Home and Domiciliary Visits-First Coast Service Options, Inc. |
10/01/2015 |
L33818 |
Excision of Malignant Skin Lesions-First Coast Service Options, Inc. |
10/01/2015 |
L33820 |
Hospital Beds And Accessories-Noridian Administrative Services |
10/01/2015 |
L33821 |
Negative Pressure Wound Therapy Pumps-Noridian Administrative Services |
10/01/2015 |
L33822 |
Glucose Monitors-Noridian Administrative Services |
10/01/2015 |
L33823 |
Cervical Traction Devices-Noridian Administrative Services |
10/01/2015 |
L33824 |
Immunosuppressive Drugs-Noridian Administrative Services |
10/01/2015 |
L33825 |
Infrared Heating Pad Systems-Noridian Administrative Services |
10/01/2015 |
L33826 |
Oral Anticancer Drugs-Noridian Administrative Services |
10/01/2015 |
L33827 |
Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics)-Noridian Administrative Services |
10/01/2015 |
L33828 |
Ostomy Supplies-Noridian Administrative Services |
10/01/2015 |
L33829 |
Pneumatic Compression Devices-Noridian Administrative Services |
10/01/2015 |
L33830 |
Pressure Reducing Support Surfaces - Group 1-Noridian Administrative Services |
10/01/2015 |
L33831 |
Surgical Dressings-Noridian Administrative Services |
10/01/2015 |
L33832 |
Tracheostomy Care Supplies-Noridian Administrative Services |
10/01/2015 |
L33833 |
Surgical Treatment of Nails-First Coast Service Options, Inc. |
10/01/2015 |
L33834 |
Health and Behavior Assessment/Intervention-First Coast Service Options, Inc. |
10/01/2015 |
L33903 |
Diagnostic Laryngoscopy-First Coast Service Options, Inc. |
10/01/2015 |
L33906 |
Epidural-First Coast Service Options, Inc. |
10/01/2015 |
L33907 |
Hepatic (Liver) Function Panel-First Coast Service Options, Inc. |
10/01/2015 |
L33908 |
High Sensitivity C-Reactive Protein (hsCRP)-First Coast Service Options, Inc. |
10/01/2015 |
L33909 |
Incision and Drainage of Abscess of Skin, Subcutaneous and Accessory Structures-First Coast Service Options, Inc. |
10/01/2015 |
L33910 |
Independent Diagnostic Testing Facility (IDTF)-First Coast Service Options, Inc. |
10/01/2015 |
L33911 |
Indocyanine-Green Angiography-First Coast Service Options, Inc. |
10/01/2015 |
L33912 |
Injection of Trigger Points-First Coast Service Options, Inc. |
10/01/2015 |
L33914 |
Iridotomy by Laser Surgery-First Coast Service Options, Inc. |
10/01/2015 |
L33915 |
Label and Off-label Coverage of Outpatient Drugs and Biologicals-First Coast Service Options, Inc. |
10/01/2015 |
L33917 |
Laser Trabeculoplasty-First Coast Service Options, Inc. |
10/01/2015 |
L33918 |
Laser Treatment for Psoriasis-First Coast Service Options, Inc. |
10/01/2015 |
L33922 |
Nail Debridement-First Coast Service Options, Inc. |
10/01/2015 |
L33923 |
Noninvasive Ear or Pulse Oximetry For Oxygen Saturation-First Coast Service Options, Inc. |
10/01/2015 |
L33924 |
Omalizumab-First Coast Service Options, Inc. |
10/01/2015 |
L33925 |
Ophthalmological Diagnostic Services-First Coast Service Options, Inc. |
10/01/2015 |
L33927 |
Optical Coherence Biometry-First Coast Service Options, Inc. |
10/01/2015 |
L33929 |
Osteopathic Manipulative Treatment-First Coast Service Options, Inc. |
10/01/2015 |
L33930 |
Paravertebral Facet Joint Blocks-First Coast Service Options, Inc. |
10/01/2015 |
L33933 |
Peripheral Nerve Blocks-First Coast Service Options, Inc. |
10/01/2015 |
L33935 |
Post-Voiding Residual Ultrasound-First Coast Service Options, Inc. |
10/01/2015 |
L33937 |
Proton Beam Radiotherapy-First Coast Service Options, Inc. |
10/01/2015 |
L33939 |
Reduction Mammaplasty-First Coast Service Options, Inc. |
10/01/2015 |
L33941 |
Routine Foot Care-First Coast Service Options, Inc. |
10/01/2015 |
L33942 |
Physical Therapy - Home Health-CGS Administrators, LLC |
10/01/2015 |
L33943 |
B-type Natriuretic Peptide (BNP) Testing-CGS Administrators, LLC |
10/01/2015 |
L33944 |
Blepharoplasty-CGS Administrators, LLC |
10/01/2015 |
L33945 |
Cerumen (Earwax) Removal-CGS Administrators, LLC |
10/01/2015 |
L33946 |
Capsule Opacification Following Cataract Surgery: Discission and YAG Laser Capsulotomy-CGS Administrators, LLC |
10/01/2015 |
L33947 |
Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)-CGS Administrators, LLC |
10/01/2015 |
L33949 |
Botulinum Toxins-CGS Administrators, LLC |
10/01/2015 |
L33950 |
Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography-CGS Administrators, LLC |
10/01/2015 |
L33952 |
Cardiac Event Detection-CGS Administrators, LLC |
10/01/2015 |
L33954 |
Cataract Extraction-CGS Administrators, LLC |
10/01/2015 |
L33957 |
Sacroiliac Joint Injection-First Coast Service Options, Inc. |
10/01/2015 |
L33958 |
Somatosensory Testing-First Coast Service Options, Inc. |
10/01/2015 |
L33959 |
Cardiac Catheterization and Coronary Angiography-CGS Administrators, LLC |
10/01/2015 |
L33960 |
Cardiovascular Nuclear Medicine-CGS Administrators, LLC |
10/01/2015 |
L33961 |
Therapy Services billed by Physicians/Nonphysician Practitioners -First Coast Service Options, Inc. |
10/01/2015 |
L33965 |
Urinary Tumor Markers for Bladder Cancer-First Coast Service Options, Inc. |
10/01/2015 |
L33966 |
Vestibular Function Tests-First Coast Service Options, Inc. |
10/01/2015 |
L33967 |
Vitamin B12 Injections-First Coast Service Options, Inc. |
10/01/2015 |
L33968 |
YAG Laser Capsulotomy-First Coast Service Options, Inc. |
10/01/2015 |
L33969 |
Diagnostic Aerosol or Vapor Inhalation-First Coast Service Options, Inc. |
10/01/2015 |
L33974 |
Troponin-First Coast Service Options, Inc. |
10/01/2015 |
L33975 |
Psychiatric Inpatient Hospitalization-First Coast Service Options, Inc. |
10/01/2015 |
L33977 |
Transcranial Doppler Studies-First Coast Service Options, Inc. |
10/01/2015 |
L33979 |
Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L33996 |
Vitamin D Assay Testing-CGS Administrators, LLC |
10/01/2015 |
L33997 |
Fluorescein Angiography-First Coast Service Options, Inc. |
10/01/2015 |
L33999 |
Corneal Pachymetry-CGS Administrators, LLC |
10/01/2015 |
L34002 |
G-CSF Filgrastim-First Coast Service Options, Inc. |
10/01/2015 |
L34005 |
Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy-CGS Administrators, LLC |
10/01/2015 |
L34006 |
Interspinous Process Decompression-First Coast Service Options, Inc. |
10/01/2015 |
L34007 |
Intravenous Immune Globulin-First Coast Service Options, Inc. |
10/01/2015 |
L34008 |
Computerized Corneal Topography-CGS Administrators, LLC |
10/01/2015 |
L34010 |
Treatment of Varicose Veins of the Lower Extremities-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34011 |
Ionized Calcium-First Coast Service Options, Inc. |
10/01/2015 |
L34014 |
Magnesium-First Coast Service Options, Inc. |
10/01/2015 |
L34017 |
Ophthalmoscopy-First Coast Service Options, Inc. |
10/01/2015 |
L34018 |
Parathormone (Parathyroid Hormone)-First Coast Service Options, Inc. |
10/01/2015 |
L34021 |
Sedimentation Rate, Erythrocyte-First Coast Service Options, Inc. |
10/01/2015 |
L34022 |
Serum Phosphorus-First Coast Service Options, Inc. |
10/01/2015 |
L34023 |
Strapping-First Coast Service Options, Inc. |
10/01/2015 |
L34025 |
Surgical Decompression for Peripheral Polyneuropathy-First Coast Service Options, Inc. |
10/01/2015 |
L34026 |
Trastuzumab – Trastuzumab Biologics-First Coast Service Options, Inc. |
10/01/2015 |
L34027 |
Ultrasound, Soft Tissues of Head and Neck-First Coast Service Options, Inc. |
10/01/2015 |
L34028 |
Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow-First Coast Service Options, Inc. |
10/01/2015 |
L34031 |
Total Calcium-First Coast Service Options, Inc. |
10/01/2015 |
L34032 |
Debridement Services-CGS Administrators, LLC |
10/01/2015 |
L34037 |
Flow Cytometry-CGS Administrators, LLC |
10/01/2015 |
L34038 |
B-type Natriuretic Peptide (BNP) Testing-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34040 |
Polysomnography and Other Sleep Studies-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34043 |
Dysphagia/Swallowing Diagnosis and Therapy-First Coast Service Options, Inc. |
10/01/2015 |
L34045 |
Non-Invasive Vascular Studies-CGS Administrators, LLC |
10/01/2015 |
L34046 |
Speech-Language Pathology-CGS Administrators, LLC |
10/01/2015 |
L34049 |
Outpatient Physical and Occupational Therapy Services-CGS Administrators, LLC |
10/01/2015 |
L34051 |
Vitamin D Assay Testing-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34055 |
Virtual Colonoscopy (CT Colonography)-CGS Administrators, LLC |
10/01/2015 |
L34056 |
Urodynamics-CGS Administrators, LLC |
10/01/2015 |
L34061 |
Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)-CGS Administrators, LLC |
10/01/2015 |
L34062 |
Dialysis Access Maintenance-CGS Administrators, LLC |
10/01/2015 |
L34063 |
RAST Type Tests-CGS Administrators, LLC |
10/01/2015 |
L34064 |
Panretinal (Scatter) Laser Photocoagulation-CGS Administrators, LLC |
10/01/2015 |
L34066 |
MolDX: Circulating Tumor Cell Marker Assays-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34074 |
Immune Globulin Intravenous (IVIg)-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34076 |
Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34080 |
Intensity Modulated Radiation Therapy (IMRT)-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34081 |
Endoscopy by Capsule-CGS Administrators, LLC |
10/01/2015 |
L34082 |
Varicose Veins of the Lower Extremity, Treatment of-CGS Administrators, LLC |
10/01/2015 |
L34084 |
Transcatheter Infusion Therapy-CGS Administrators, LLC |
10/01/2015 |
L34085 |
Post-Void Residual Urine and/or Bladder Capacity by Ultrasound-CGS Administrators, LLC |
10/01/2015 |
L34087 |
Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based-CGS Administrators, LLC |
10/01/2015 |
L34089 |
Human Papillomavirus (HPV) Testing-CGS Administrators, LLC |
10/01/2015 |
L34090 |
Laser Ablation of the Prostate-CGS Administrators, LLC |
10/01/2015 |
L34093 |
Chemotherapy and Biologicals-CGS Administrators, LLC |
10/01/2015 |
L34106 |
Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34149 |
Respiratory Care (Respiratory Therapy)-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34151 |
Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34163 |
Total Hip Arthroplasty-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34171 |
Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation-CGS Administrators, LLC |
10/01/2015 |
L34175 |
Ophthalmic Angiography (Fluorescein and Indocyanine Green)-CGS Administrators, LLC |
10/01/2015 |
L34181 |
Ophthalmic Biometry for Intraocular Lens Power Calculation-CGS Administrators, LLC |
10/01/2015 |
L34183 |
Psychiatric Inpatient Hospitalization-CGS Administrators, LLC |
10/01/2015 |
L34194 |
Blepharoplasty, Eyelid Surgery, and Brow Lift-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34195 |
Mohs Micrographic Surgery-CGS Administrators, LLC |
10/01/2015 |
L34196 |
Psychiatric Partial Hospitalization Programs-CGS Administrators, LLC |
10/01/2015 |
L34199 |
Treatment of Ulcers & Symptomatic Hyperkeratoses-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34200 |
Removal of Benign Skin Lesions-CGS Administrators, LLC |
10/01/2015 |
L34203 |
Cataract Surgery in Adults-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34209 |
Treatment of Varicose Veins of the Lower Extremities-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34211 |
Trigger Point Injections-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34213 |
Diagnostic and Therapeutic Colonoscopy-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34215 |
Lab: Flow Cytometry-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34217 |
Intensity Modulated Radiation Therapy (IMRT)-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34218 |
Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34219 |
Noninvasive Peripheral Arterial Studies-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34220 |
Lumbar MRI-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34221 |
Noninvasive Cerebrovascular Studies-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34223 |
Stereotactic Radiosurgery-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34224 |
Stereotactic Body Radiation Therapy-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34228 |
Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34229 |
Noninvasive Peripheral Venous Studies-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34233 |
Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34243 |
Treatment of Ulcers & Symptomatic Hyperkeratoses-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34246 |
Routine Foot Care and Debridement of Nails-CGS Administrators, LLC |
10/01/2015 |
L34247 |
Pulmonary Function Testing-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34313 |
Allergy Testing-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34314 |
Immune Globulin Intravenous (IVIg)-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34315 |
Electrocardiograms-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34324 |
Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34328 |
Peripheral Nerve Stimulation-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34337 |
Transesophageal Echocardiography (TEE)-CGS Administrators, LLC |
10/01/2015 |
L34338 |
Transthoracic Echocardiography (TTE)-CGS Administrators, LLC |
10/01/2015 |
L34353 |
Outpatient Psychiatry and Psychology Services-CGS Administrators, LLC |
10/01/2015 |
L34356 |
Erythropoiesis Stimulating Agents (ESA)-CGS Administrators, LLC |
10/01/2015 |
L34370 |
Category III CPT® Codes-CGS Administrators, LLC |
10/01/2015 |
L34372 |
Magnetic Resonance Angiography (MRA)-First Coast Service Options, Inc. |
10/01/2015 |
L34380 |
Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)-National Government Services, Inc. |
10/01/2015 |
L34393 |
Ocular Photography - External-CGS Administrators, LLC |
10/01/2015 |
L34394 |
Visual Fields Testing-CGS Administrators, LLC |
10/01/2015 |
L34399 |
Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)-CGS Administrators, LLC |
10/01/2015 |
L34410 |
B-type Natriuretic Peptide (BNP) Testing-Palmetto GBA |
10/01/2015 |
L34411 |
Blepharoplasty, Eyelid Surgery, and Brow Lift-Palmetto GBA |
10/01/2015 |
L34413 |
Cataract Surgery-Palmetto GBA |
10/01/2015 |
L34415 |
CT of the Abdomen and Pelvis-Palmetto GBA |
10/01/2015 |
L34417 |
CT of the Head-Palmetto GBA |
10/01/2015 |
L34419 |
Homocysteine Level, Serum-Palmetto GBA |
10/01/2015 |
L34422 |
Infrared Coagulation (IRC) of Hemorrhoids-Palmetto GBA |
10/01/2015 |
L34424 |
Magnetic Resonance Angiography-Palmetto GBA |
10/01/2015 |
L34425 |
Magnetic Resonance Imaging of the Orbit, Face, and/or Neck-Palmetto GBA |
10/01/2015 |
L34426 |
Ophthalmic Angiography (Fluorescein and Indocyanine Green)-Palmetto GBA |
10/01/2015 |
L34427 |
Outpatient Occupational Therapy-Palmetto GBA |
10/01/2015 |
L34428 |
Outpatient Physical Therapy-Palmetto GBA |
10/01/2015 |
L34429 |
Outpatient Speech Language Pathology-Palmetto GBA |
10/01/2015 |
L34430 |
Respiratory Therapy (Respiratory Care)-Palmetto GBA |
10/01/2015 |
L34431 |
Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)-Palmetto GBA |
10/01/2015 |
L34433 |
Somatosensory Testing-Palmetto GBA |
10/01/2015 |
L34434 |
Upper Gastrointestinal Endoscopy and Visualization-Palmetto GBA |
10/01/2015 |
L34454 |
Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy-Palmetto GBA |
10/01/2015 |
L34512 |
Corneal Pachymetry-Palmetto GBA |
10/01/2015 |
L34513 |
Lab: Flow Cytometry-Palmetto GBA |
10/01/2015 |
L34518 |
Molecular Pathology Procedures for Human Leukocyte Antigen (HLA) Typing-First Coast Service Options, Inc. |
10/01/2015 |
L34519 |
Molecular Pathology Procedures-First Coast Service Options, Inc. |
10/01/2015 |
L34520 |
Psychological and Neuropsychological Tests-First Coast Service Options, Inc. |
10/01/2015 |
L34521 |
Special EEG Tests-First Coast Service Options, Inc. |
10/01/2015 |
L34522 |
Transcranial Magnetic Stimulation for Major Depressive Disorder-First Coast Service Options, Inc. |
10/01/2015 |
L34526 |
Surgical Treatment of Obstructive Sleep Apnea (OSA)-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34528 |
Blepharoplasty, Blepharoptosis and Brow Lift-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34536 |
Treatment of Varicose Veins of the Lower Extremities-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34537 |
Vestibular Function Testing-Palmetto GBA |
10/01/2015 |
L34538 |
Hospice Determining Terminal Status-CGS Administrators, LLC |
10/01/2015 |
L34539 |
Psychological Services Coverage under the Incident to Provision for Physicians and Non-physicians-CGS Administrators, LLC |
10/01/2015 |
L34540 |
Stretta Procedure-CGS Administrators, LLC |
10/01/2015 |
L34541 |
Transtelephonic Spirometry-CGS Administrators, LLC |
10/01/2015 |
L34544 |
Hospice - Liver Disease-Palmetto GBA |
10/01/2015 |
L34547 |
Hospice - Neurological Conditions-Palmetto GBA |
10/01/2015 |
L34548 |
Hospice Cardiopulmonary Conditions-Palmetto GBA |
10/01/2015 |
L34549 |
Ambulance Services-Palmetto GBA |
10/01/2015 |
L34551 |
One Day Stays for Chest Pain-Palmetto GBA |
10/01/2015 |
L34552 |
Outpatient Observation Bed/Room Services-Palmetto GBA |
10/01/2015 |
L34553 |
Stretta Procedure-Palmetto GBA |
10/01/2015 |
L34554 |
In Vitro Chemosensitivity & Chemoresistance Assays-Palmetto GBA |
10/01/2015 |
L34555 |
Non-Covered Category III CPT Codes-Palmetto GBA |
10/01/2015 |
L34558 |
Hospice The Adult Failure To Thrive Syndrome-Palmetto GBA |
10/01/2015 |
L34559 |
Hospice - Renal Care-Palmetto GBA |
10/01/2015 |
L34560 |
Home Health Occupational Therapy-Palmetto GBA |
10/01/2015 |
L34561 |
Home Health - Psychiatric Care-Palmetto GBA |
10/01/2015 |
L34562 |
Home Health Skilled Nursing Care-Teaching and Training: Alzheimer's Disease and Behavioral Disturbances-Palmetto GBA |
10/01/2015 |
L34563 |
Home Health Speech-Language Pathology-Palmetto GBA |
10/01/2015 |
L34564 |
Home Health Physical Therapy-Palmetto GBA |
10/01/2015 |
L34565 |
Home Health-Surface Electrical Stimulation in the Treatment of Dysphagia-Palmetto GBA |
10/01/2015 |
L34566 |
Hospice - HIV Disease-Palmetto GBA |
10/01/2015 |
L34567 |
Hospice Alzheimer's Disease & Related Disorders-Palmetto GBA |
10/01/2015 |
L34570 |
Psychiatric Inpatient Hospitalization-Palmetto GBA |
10/01/2015 |
L34573 |
Cardiac Event Detection-Palmetto GBA |
10/01/2015 |
L34574 |
Dental Services-Palmetto GBA |
10/01/2015 |
L34575 |
Frequency of Hemodialysis-Palmetto GBA |
10/01/2015 |
L34576 |
Laparoscopic Sleeve Gastrectomy for Severe Obesity-Palmetto GBA |
10/01/2015 |
L34577 |
Retroperitoneal Ultrasound-Palmetto GBA |
10/01/2015 |
L34578 |
Surface Electrical Stimulation in the Treatment of Dysphagia-Palmetto GBA |
10/01/2015 |
L34580 |
Intravenous Immunoglobulin (IVIG)-Palmetto GBA |
10/01/2015 |
L34588 |
Trigger Points, Local Injections-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34594 |
Nerve Conduction Studies and Electromyography-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34596 |
Immunizations-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34614 |
Colonoscopy and Sigmoidoscopy-Diagnostic-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34615 |
Visual Fields-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34616 |
Psychiatry and Psychology Services-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34623 |
Intraoperative Neurophysiological Testing-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34624 |
Somatosensory Testing-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34633 |
Erythropoiesis Stimulating Agents (ESAs)-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34635 |
Botulinum Toxin Type A & Type B-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34636 |
Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring)-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34641 |
Transcranial Magnetic Stimulation (TMS)-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34645 |
Drug Testing-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34646 |
Psychological and Neuropsychological Testing-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34648 |
Bisphosphonate Drug Therapy-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34658 |
Vitamin D Assay Testing-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34659 |
Endoscopic Treatment of GERD-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34698 |
Cosmetic and Reconstructive Surgery-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34760 |
Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34761 |
Percutaneous Coronary Interventions-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34771 |
Immune Globulins-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L34807 |
Lumbar Epidural Steroid Injections (ESI)-CGS Administrators, LLC |
10/01/2015 |
L34821 |
Transcutaneous Electrical Joint Stimulation Devices (TEJSD)-Noridian Administrative Services |
10/01/2015 |
L34822 |
Luteinizing Hormone-Releasing Hormone (LHRH) Analogs-Novitas Solutions, Inc. |
10/01/2015 |
L34823 |
Tumor Treatment Field Therapy (TTFT)-Noridian Administrative Services |
10/01/2015 |
L34824 |
Vacuum Erection Devices (VED)-Noridian Administrative Services |
10/01/2015 |
L34832 |
Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy-CGS Administrators, LLC |
10/01/2015 |
L34833 |
Cardiac Rhythm Device Evaluation-Novitas Solutions, Inc. |
10/01/2015 |
L34834 |
Blood Glucose Monitoring in a Skilled Nursing Facility (SNF)-Novitas Solutions, Inc. |
10/01/2015 |
L34856 |
C-Reactive Protein High Sensitivity Testing (hsCRP)-Novitas Solutions, Inc. |
10/01/2015 |
L34859 |
Nerve Conduction Studies and Electromyography-First Coast Service Options, Inc. |
10/01/2015 |
L34862 |
Co-Management of Surgical Procedures-Novitas Solutions, Inc. |
10/01/2015 |
L34864 |
Loss-of-Heterozygosity Based Topographic Genotyping with PathfinderTG ®-Novitas Solutions, Inc. |
10/01/2015 |
L34865 |
Magnetic Resonance Angiography (MRA)-Novitas Solutions, Inc. |
10/01/2015 |
L34869 |
Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder-Palmetto GBA |
10/01/2015 |
L34887 |
Surgical Treatment of Nails-Novitas Solutions, Inc. |
10/01/2015 |
L34891 |
Speech-Language Pathology (SLP) Services: Dysphagia; Includes VitalStim® Therapy-Novitas Solutions, Inc. |
10/01/2015 |
L34892 |
Facet Joint Interventions for Pain Management-Novitas Solutions, Inc. |
10/01/2015 |
L34912 |
Genetic Testing for Lynch Syndrome-First Coast Service Options, Inc. |
10/01/2015 |
L34914 |
Assays for Vitamins and Metabolic Function-Novitas Solutions, Inc. |
10/01/2015 |
L34924 |
Treatment of Chronic Venous Insufficiency of the Lower Extremities-Novitas Solutions, Inc. |
10/01/2015 |
L34938 |
Removal of Benign Skin Lesions-Novitas Solutions, Inc. |
10/01/2015 |
L34953 |
Cardiac Event Detection Monitoring-Novitas Solutions, Inc. |
10/01/2015 |
L34960 |
Hydration Therapy-Novitas Solutions, Inc. |
10/01/2015 |
L34961 |
Mohs Micrographic Surgery (MMS)-Novitas Solutions, Inc. |
10/01/2015 |
L34975 |
Neurophysiology Evoked Potentials (NEPs)-Novitas Solutions, Inc. |
10/01/2015 |
L34976 |
Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)-First Coast Service Options, Inc. |
10/01/2015 |
L34977 |
Anorectal Manometry, Anal Electromyography, and Biofeedback Training for Perineal Muscles and Anorectal or Urethral Sphincters-Novitas Solutions, Inc. |
10/01/2015 |
L34980 |
Lumbar Epidural Injections-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34982 |
Lumbar Epidural Injections-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34993 |
Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34995 |
Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L34996 |
Neuromuscular Junction Testing-Novitas Solutions, Inc. |
10/01/2015 |
L34997 |
Real-Time, Outpatient Cardiac Telemetry-Novitas Solutions, Inc. |
10/01/2015 |
L34998 |
Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder -Novitas Solutions, Inc. |
10/01/2015 |
L35000 |
Molecular Pathology Procedures-National Government Services, Inc. |
10/01/2015 |
L35001 |
Reduction Mammaplasty-National Government Services, Inc. |
10/01/2015 |
L35003 |
Intraoperative Neurophysiological Testing-Novitas Solutions, Inc. |
10/01/2015 |
L35004 |
Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow-Novitas Solutions, Inc. |
10/01/2015 |
L35006 |
Controlled Substance Monitoring and Drugs of Abuse Testing-Novitas Solutions, Inc. |
10/01/2015 |
L35007 |
Vestibular and Audiologic Function Studies-Novitas Solutions, Inc. |
10/01/2015 |
L35008 |
Non-Covered Services-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L35009 |
Prostate Mapping Biopsy-Novitas Solutions, Inc. |
10/01/2015 |
L35010 |
Trigger Point Injections-Novitas Solutions, Inc. |
10/01/2015 |
L35011 |
Surgery: Posterior Tibial Nerve Stimulation (PTNS) for Urinary Control-Novitas Solutions, Inc. |
10/01/2015 |
L35013 |
Debridement of Mycotic Nails-Novitas Solutions, Inc. |
10/01/2015 |
L35014 |
Frequency of Hemodialysis-Novitas Solutions, Inc. |
10/01/2015 |
L35015 |
Molecular Diagnostics: Genitourinary Infectious Disease Testing-Novitas Solutions, Inc. |
10/01/2015 |
L35016 |
Transesophageal Echocardiography (TEE)-Novitas Solutions, Inc. |
10/01/2015 |
L35021 |
Hyperbaric Oxygen (HBO) Therapy-Novitas Solutions, Inc. |
10/01/2015 |
L35022 |
Bariatric Surgical Management of Morbid Obesity-Novitas Solutions, Inc. |
10/01/2015 |
L35024 |
MolDX: Genetic Testing for Lynch Syndrome-Palmetto GBA |
10/01/2015 |
L35025 |
MolDX: Molecular Diagnostic Tests (MDT)-Palmetto GBA |
10/01/2015 |
L35026 |
Rituximab-Palmetto GBA |
10/01/2015 |
L35028 |
Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiency-National Government Services, Inc. |
10/01/2015 |
L35032 |
Flow Cytometry-Novitas Solutions, Inc. |
10/01/2015 |
L35035 |
Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography-Novitas Solutions, Inc. |
10/01/2015 |
L35036 |
Therapy and Rehabilitation Services (PT, OT)-Novitas Solutions, Inc. |
10/01/2015 |
L35038 |
Scanning Computerized Ophthalmic Diagnostic Imaging-Novitas Solutions, Inc. |
10/01/2015 |
L35041 |
Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds-Novitas Solutions, Inc. |
10/01/2015 |
L35048 |
Nerve Conduction Studies and Electromyography-Palmetto GBA |
10/01/2015 |
L35049 |
Monitored Anesthesia Care-Novitas Solutions, Inc. |
10/01/2015 |
L35050 |
Outpatient Sleep Studies-Novitas Solutions, Inc. |
10/01/2015 |
L35062 |
Biomarkers Overview-Novitas Solutions, Inc. |
10/01/2015 |
L35068 |
Evaluation and Management Services Provided in a Nursing Facility-Novitas Solutions, Inc. |
10/01/2015 |
L35070 |
Speech - Language Pathology (SLP) Services: Communication Disorders-Novitas Solutions, Inc. |
10/01/2015 |
L35071 |
MolDX: Circulating Tumor Cell Marker Assays-Palmetto GBA |
10/01/2015 |
L35072 |
MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing-Palmetto GBA |
10/01/2015 |
L35073 |
MolDX: NRAS Genetic Testing-Palmetto GBA |
10/01/2015 |
L35074 |
Heavy Metal Testing-National Government Services, Inc. |
10/01/2015 |
L35075 |
Proton Beam Therapy-National Government Services, Inc. |
10/01/2015 |
L35076 |
Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)-National Government Services, Inc. |
10/01/2015 |
L35080 |
Select Minimally Invasive GERD Procedures-National Government Services, Inc. |
10/01/2015 |
L35081 |
Nerve Conduction Studies and Electromyography-Novitas Solutions, Inc. |
10/01/2015 |
L35083 |
Cardiovascular Nuclear Medicine-Novitas Solutions, Inc. |
10/01/2015 |
L35084 |
Non-Coronary Vascular Stents-Novitas Solutions, Inc. |
10/01/2015 |
L35089 |
Wireless Capsule Endoscopy-Novitas Solutions, Inc. |
10/01/2015 |
L35090 |
Cosmetic and Reconstructive Surgery-Novitas Solutions, Inc. |
10/01/2015 |
L35091 |
Cataract Extraction (including Complex Cataract Surgery)-Novitas Solutions, Inc. |
10/01/2015 |
L35092 |
Diagnostic Abdominal Aortography and Renal Angiography-Novitas Solutions, Inc. |
10/01/2015 |
L35093 |
Intravenous Immune Globulin (IVIG)-Novitas Solutions, Inc. |
10/01/2015 |
L35094 |
Services That Are Not Reasonable and Necessary-Novitas Solutions, Inc. |
10/01/2015 |
L35095 |
Lacrimal Punctum Plugs-Novitas Solutions, Inc. |
10/01/2015 |
L35098 |
Nerve Conduction Studies and Electromyography-National Government Services, Inc. |
10/01/2015 |
L35099 |
Frequency of Laboratory Tests-Novitas Solutions, Inc. |
10/01/2015 |
L35101 |
Psychiatric Codes-Novitas Solutions, Inc. |
10/01/2015 |
L35111 |
Hemophilia Factor Products-Novitas Solutions, Inc. |
10/01/2015 |
L35112 |
Implantable Infusion Pump-Novitas Solutions, Inc. |
10/01/2015 |
L35121 |
Coronary Computed Tomography Angiography (CCTA)-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L35124 |
Autonomic Function Testing-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L35125 |
Wound Care-Novitas Solutions, Inc. |
10/01/2015 |
L35130 |
Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)-Novitas Solutions, Inc. |
10/01/2015 |
L35132 |
Home Health Plans of Care: Monitoring Glucose Control in the Medicare Home Health Population with Type II Diabetes Mellitus-Palmetto GBA |
10/01/2015 |
L35136 |
Spinal Cord Stimulators for Chronic Pain-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L35138 |
Routine Foot Care-Novitas Solutions, Inc. |
10/01/2015 |
L35148 |
Lumbar Epidural Steroid Injections-Palmetto GBA |
10/01/2015 |
L35160 |
MolDX: Molecular Diagnostic Tests (MDT)-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L35162 |
Ambulance Services (Ground Ambulance)-Novitas Solutions, Inc. |
10/01/2015 |
L35163 |
Plastic Surgery-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L35170 |
Botulinum Toxin Types A and B Policy-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L35172 |
Botulinum Toxin Types A and B-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L35175 |
MRI and CT Scans of the Head and Neck-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L35222 |
Nerve Blocks for Peripheral Neuropathy-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L35249 |
Nerve Blocks for Peripheral Neuropathy-CGS Administrators, LLC |
10/01/2015 |
L35332 |
MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing-CGS Administrators, LLC |
10/01/2015 |
L35349 |
MolDX: Genetic Testing for Lynch Syndrome-CGS Administrators, LLC |
10/01/2015 |
L35350 |
Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)-Novitas Solutions, Inc. |
10/01/2015 |
L35360 |
Pulmonary Function Testing-Novitas Solutions, Inc. |
10/01/2015 |
L35391 |
Multiple Imaging in Oncology-Novitas Solutions, Inc. |
10/01/2015 |
L35395 |
Autonomic Function Tests-Novitas Solutions, Inc. |
10/01/2015 |
L35396 |
Biomarkers for Oncology-Novitas Solutions, Inc. |
10/01/2015 |
L35397 |
Non-Invasive Cerebrovascular Arterial Studies-Novitas Solutions, Inc. |
10/01/2015 |
L35408 |
3D Interpretation and Reporting of Imaging Studies-Novitas Solutions, Inc. |
10/01/2015 |
L35409 |
Non-Vascular Extremity Ultrasound-Novitas Solutions, Inc. |
10/01/2015 |
L35424 |
Chiropractic Services-Novitas Solutions, Inc. |
10/01/2015 |
L35427 |
Hyaluronan Acid Therapies for Osteoarthritis of the Knee-Novitas Solutions, Inc. |
10/01/2015 |
L35428 |
Thrombolytic Agents-Novitas Solutions, Inc. |
10/01/2015 |
L35433 |
Barium Swallow Studies, Modified-Novitas Solutions, Inc. |
10/01/2015 |
L35434 |
Oximetry Services-Novitas Solutions, Inc. |
10/01/2015 |
L35442 |
MolDX: NRAS Genetic Testing-CGS Administrators, LLC |
10/01/2015 |
L35443 |
MolDX: GeneSight ® Assay for Refractory Depression-CGS Administrators, LLC |
10/01/2015 |
L35448 |
Independent Diagnostic Testing Facility (IDTF)-Novitas Solutions, Inc. |
10/01/2015 |
L35449 |
Sacral Nerve Stimulation-Novitas Solutions, Inc. |
10/01/2015 |
L35450 |
Spinal Cord Stimulation (Dorsal Column Stimulation)-Novitas Solutions, Inc. |
10/01/2015 |
L35451 |
Non-Invasive Peripheral Venous Studies-Novitas Solutions, Inc. |
10/01/2015 |
L35456 |
Nerve Blockade for Treatment of Chronic Pain and Neuropathy-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L35457 |
Nerve Blockade for Treatment of Chronic Pain and Neuropathy-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L35486 |
Pelvic Floor Dysfunction: Anorectal Manometry and EMG-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L35490 |
Category III Codes-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L35494 |
Mohs Micrographic Surgery-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L35498 |
Removal of Benign Skin Lesions-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L35526 |
B-type Natriuretic Peptide (BNP) Testing-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L35632 |
MolDX: ConfirmMDx Epigenetic Molecular Assay-Palmetto GBA |
10/01/2015 |
L35633 |
MolDX: GeneSight® Assay for Refractory Depression-Palmetto GBA |
10/01/2015 |
L35677 |
Infliximab -Palmetto GBA |
10/01/2015 |
L35698 |
CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing-First Coast Service Options, Inc. |
10/01/2015 |
L35702 |
Mohs Micrographic Surgery-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L35704 |
Mohs Micrographic Surgery-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L35710 |
MolDX: Circulating Tumor Cell Marker Assays-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L35724 |
Lab: Controlled Substance Monitoring and Drugs of Abuse Testing-Palmetto GBA |
10/01/2015 |
L35751 |
Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L35753 |
Non-Invasive Cerebrovascular Studies-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L35755 |
Non-Invasive Abdominal / Visceral Vascular Studies-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L35761 |
Non-Invasive Peripheral Arterial Vascular Studies-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L35868 |
MolDX: Decipher® Prostate Cancer Classifier Assay-Palmetto GBA |
10/01/2015 |
L35869 |
MolDX: Prolaris™ Prostate Cancer Genomic Assay-Palmetto GBA |
10/01/2015 |
L35891 |
Intravenous Immune Globulin-CGS Administrators, LLC |
10/01/2015 |
L35897 |
Nerve Conduction Studies and Electromyography-CGS Administrators, LLC |
10/01/2015 |
L35906 |
Somatosensory Testing-CGS Administrators, LLC |
10/01/2015 |
L35922 |
Lab: Special Histochemical Stains and Immunohistochemical Stains-Palmetto GBA |
10/01/2015 |
L35936 |
Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy-National Government Services, Inc. |
10/01/2015 |
L35937 |
Lumbar Epidural Injections-National Government Services, Inc. |
10/01/2015 |
L35974 |
MolDX: MGMT Promoter Methylation Analysis-Palmetto GBA |
10/01/2015 |
L35984 |
MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)-CGS Administrators, LLC |
10/01/2015 |
L35986 |
Special Histochemical Stains and Immunohistochemical Stains-CGS Administrators, LLC |
10/01/2015 |
L35996 |
Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L35998 |
Non-Coronary Vascular Stents-Wisconsin Physicians Service Insurance Corporation |
10/01/2015 |
L36007 |
Lower Extremity Major Joint Replacement (Hip and Knee)-Novitas Solutions, Inc. |
10/01/2015 |
L36021 |
MolDX: Molecular Diagnostic Tests (MDT)-CGS Administrators, LLC |
10/01/2015 |
L36035 |
Spinal Cord Stimulation for Chronic Pain-First Coast Service Options, Inc. |
10/01/2015 |
L36074 |
MolDX: Molecular RBC Phenotyping-Palmetto GBA |
10/01/2015 |
L36089 |
MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)-Palmetto GBA |
10/01/2015 |
L36094 |
Lab: Flow Cytometry-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L36109 |
Minimally Invasive Treatment for Benign Prostatic Hyperplasia Involving Prostatic Urethral Lift (Urolift®)-Palmetto GBA |
10/01/2015 |
L36125 |
MolDX: Breast Cancer Assay: Prosigna -Palmetto GBA |
10/01/2015 |
L36153 |
MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay-Palmetto GBA |
10/01/2015 |
L36209 |
Cardiology – non-emergent outpatient testing: exercise stress test, stress echo, MPI SPECT, and cardiac PET-First Coast Service Options, Inc. |
10/01/2015 |
L36219 |
Non-Covered Services-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L36236 |
Autonomic Function Testing-National Government Services, Inc. |
10/01/2015 |
L36237 |
Amniotic Membrane- Sutureless Placement on the Ocular Surface -First Coast Service Options, Inc. |
10/01/2015 |
L36238 |
Humanitarian Use Device (HUD) and Humanitarian Device Exemption (HDE) process-First Coast Service Options, Inc. |
10/01/2015 |
L36240 |
Allergen Immunotherapy -Novitas Solutions, Inc. |
10/01/2015 |
L36241 |
Allergy Testing-Novitas Solutions, Inc. |
10/01/2015 |
L36256 |
MolDX: Molecular Diagnostic Tests (MDT)-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L36276 |
Erythropoiesis Stimulating Agents -First Coast Service Options, Inc. |
10/01/2015 |
L36286 |
Blepharoplasty, Eyelid Surgery, and Brow Lift-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L36296 |
Sacral Neuromodulation-First Coast Service Options, Inc. |
10/01/2015 |
L36310 |
MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L36312 |
MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L36323 |
MolDX: GeneSight® Assay for Refractory Depression-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L36325 |
MolDX: GeneSight® Assay for Refractory Depression-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L36327 |
MolDX: ConfirmMDx Epigenetic Molecular Assay-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L36329 |
MolDX: ConfirmMDx Epigenetic Molecular Assay-Noridian Healthcare Solutions, LLC |
10/01/2015 |
L36356 |
Bone Mineral Density Studies-First Coast Service Options, Inc. |
10/01/2015 |
L36377 |
Application of Skin Substitute Grafts for Treatment of DFU and VLU of Lower Extremities-First Coast Service Options, Inc. |
10/01/2015 |
L36002 |
MolDX: Prolaris™ Prostate Cancer Genomic Assay-CGS Administrators, LLC |
10/05/2015 |
L36006 |
MolDX: ConfirmMDx Epigenetic Molecular Assay-CGS Administrators, LLC |
10/05/2015 |
L36011 |
MolDX: Molecular RBC Phenotyping-CGS Administrators, LLC |
10/05/2015 |
L36029 |
Controlled Substance Monitoring and Drugs of Abuse Testing-CGS Administrators, LLC |
10/05/2015 |
L36033 |
MolDX: HLA-B*15:02 Genetic Testing-Palmetto GBA |
10/05/2015 |
L36044 |
MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease-Palmetto GBA |
10/05/2015 |
L36048 |
MolDX: HLA-B*15:02 Genetic Testing-CGS Administrators, LLC |
10/05/2015 |
L36082 |
MolDX: BRCA1 and BRCA2 Genetic Testing-Palmetto GBA |
10/05/2015 |
L36113 |
MolDX: MGMT Promoter Methylation Analysis-CGS Administrators, LLC |
10/05/2015 |
L36117 |
MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease-CGS Administrators, LLC |
10/05/2015 |
L36129 |
MolDX: Biomarkers in Cardiovascular Risk Assessment-Palmetto GBA |
10/05/2015 |
L36139 |
MolDX: Biomarkers in Cardiovascular Risk Assessment-CGS Administrators, LLC |
10/05/2015 |
L36206 |
MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay-CGS Administrators, LLC |
10/05/2015 |
L36393 |
Controlled Substance Monitoring and Drugs of Abuse Testing-First Coast Service Options, Inc. |
10/11/2015 |
L36343 |
MolDX: Decipher® Prostate Cancer Classifier Assay-Noridian Healthcare Solutions, LLC |
10/15/2015 |
L36345 |
MolDX: Decipher® Prostate Cancer Classifier Assay-Noridian Healthcare Solutions, LLC |
10/15/2015 |
L36348 |
MolDX: Prolaris™ Prostate Cancer Genomic Assay-Noridian Healthcare Solutions, LLC |
10/15/2015 |
L36350 |
MolDX: Prolaris™ Prostate Cancer Genomic Assay-Noridian Healthcare Solutions, LLC |
10/15/2015 |
L36351 |
Lab: Special Histochemical Stains and Immunohistochemical Stains-Noridian Healthcare Solutions, LLC |
10/15/2015 |
L36353 |
Lab: Special Histochemical Stains and Immunohistochemical Stains-Noridian Healthcare Solutions, LLC |
10/15/2015 |
L36230 |
Evaluation and Management Services in a Nursing Facility -First Coast Service Options, Inc. |
11/15/2015 |
L36232 |
Diagnostic Evaluation and Medical Management of Moderate-Severe Dry Eye Disease (DED)-First Coast Service Options, Inc. |
11/22/2015 |
L36037 |
Urine Drug Testing-National Government Services, Inc. |
12/01/2015 |
L36039 |
Total Joint Arthroplasty-National Government Services, Inc. |
12/01/2015 |
L36267 |
Bowel Management Devices-Noridian Administrative Services |
12/01/2015 |
L36234 |
Special Histochemical Stains & Immunohistochemical Stains -First Coast Service Options, Inc. |
12/06/2015 |
L36000 |
Percutaneous minimally invasive fusion/stabilization of the sacroiliac joint for the treatment of back pain-Wisconsin Physicians Service Insurance Corporation |
12/17/2015 |
L36427 |
Wireless Capsule Endoscopy-Palmetto GBA |
01/25/2016 |
L36425 |
MolDX: Breast Cancer Assay: Prosigna-CGS Administrators, LLC |
02/01/2016 |
L36460 |
Bone Mass Measurement-CGS Administrators, LLC |
02/01/2016 |
L36494 |
Minimally-Invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint-CGS Administrators, LLC |
02/01/2016 |
L36469 |
Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder-CGS Administrators, LLC |
02/08/2016 |
L36456 |
MolDX: BRCA1 and BRCA2 Genetic Testing-CGS Administrators, LLC |
02/15/2016 |
L36464 |
MolDX: HLA-DQB1*06:02 Testing for Narcolepsy-Palmetto GBA |
02/15/2016 |
L36471 |
Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy-Palmetto GBA |
02/15/2016 |
L36485 |
MolDX: HLA-DQB1*06:02 Testing for Narcolepsy-CGS Administrators, LLC |
02/15/2016 |
L36402 |
Allergy Testing-Wisconsin Physicians Service Insurance Corporation |
03/18/2016 |
L36408 |
Allergy Immunotherapy-Wisconsin Physicians Service Insurance Corporation |
03/18/2016 |
L36145 |
MolDX: HLA-B*15:02 Genetic Testing-Noridian Healthcare Solutions, LLC |
04/01/2016 |
L36149 |
MolDX: HLA-B*15:02 Genetic Testing-Noridian Healthcare Solutions, LLC |
04/01/2016 |
L36167 |
MolDX: Molecular RBC Phenotyping-Noridian Healthcare Solutions, LLC |
04/01/2016 |
L36171 |
MolDX: Molecular RBC Phenotyping-Noridian Healthcare Solutions, LLC |
04/01/2016 |
L36406 |
Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint-National Government Services, Inc. |
04/01/2016 |
L36419 |
Outpatient Wireless Pulmonary Artery Pressure Monitoring for Heart Failure -Novitas Solutions, Inc. |
04/07/2016 |
L36423 |
Strapping-Novitas Solutions, Inc. |
04/07/2016 |
L36434 |
Microvascular Therapy-Novitas Solutions, Inc. |
04/07/2016 |
L36499 |
BRCA1 and BRCA2 Genetic Testing-First Coast Service Options, Inc. |
04/11/2016 |
L36504 |
Hyperbaric Oxygen (HBO) Therapy -First Coast Service Options, Inc. |
04/11/2016 |
L36634 |
In Vitro Chemosensitivity & Chemoresistance Assays -Novitas Solutions, Inc. |
04/11/2016 |
L36161 |
MolDX: BRCA1 and BRCA2 Genetic Testing-Noridian Healthcare Solutions, LLC |
04/15/2016 |
L36163 |
MolDX: BRCA1 and BRCA2 Genetic Testing-Noridian Healthcare Solutions, LLC |
04/15/2016 |
L36188 |
MolDX: MGMT Promoter Methylation Analysis-Noridian Healthcare Solutions, LLC |
04/15/2016 |
L36192 |
MolDX: MGMT Promoter Methylation Analysis-Noridian Healthcare Solutions, LLC |
04/15/2016 |
L36398 |
MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing-Wisconsin Physicians Service Insurance Corporation |
04/16/2016 |
L36400 |
MolDX: Genetic Testing for Hypercoagulability/Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)-Wisconsin Physicians Service Insurance Corporation |
04/16/2016 |
L36180 |
MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease-Noridian Healthcare Solutions, LLC |
04/19/2016 |
L36186 |
MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease-Noridian Healthcare Solutions, LLC |
04/19/2016 |
L36380 |
MolDX: Breast Cancer Assay: Prosigna -Noridian Healthcare Solutions, LLC |
05/03/2016 |
L36386 |
MolDX: Breast Cancer Assay: Prosigna -Noridian Healthcare Solutions, LLC |
05/03/2016 |
L36204 |
Spinal Cord Stimulators for Chronic Pain-Noridian Healthcare Solutions, LLC |
06/01/2016 |
L36358 |
MolDX: Biomarkers in Cardiovascular Risk Assessment-Noridian Healthcare Solutions, LLC |
06/01/2016 |
L36362 |
MolDX: Biomarkers in Cardiovascular Risk Assessment-Noridian Healthcare Solutions, LLC |
06/01/2016 |
L36370 |
MolDX: Genetic Testing for Lynch Syndrome-Noridian Healthcare Solutions, LLC |
06/01/2016 |
L36374 |
MolDX: Genetic Testing for Lynch Syndrome-Noridian Healthcare Solutions, LLC |
06/01/2016 |
L36524 |
Nerve Conduction Studies and Electromyography-Noridian Healthcare Solutions, LLC |
06/01/2016 |
L36526 |
Nerve Conduction Studies and Electromyography-Noridian Healthcare Solutions, LLC |
06/01/2016 |
L36593 |
Polysomnography-Palmetto GBA |
06/13/2016 |
L36155 |
MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)-Noridian Healthcare Solutions, LLC |
06/16/2016 |
L36159 |
MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)-Noridian Healthcare Solutions, LLC |
06/16/2016 |
L36521 |
Lumbar Epidural Injections-Wisconsin Physicians Service Insurance Corporation |
06/16/2016 |
L36523 |
MolDX: Biomarkers in Cardiovascular Risk Assessment-Wisconsin Physicians Service Insurance Corporation |
06/16/2016 |
L36668 |
Lab:Controlled Substance Monitoring and Drugs of Abuse Testing-Noridian Healthcare Solutions, LLC |
06/28/2016 |
L36707 |
Lab: Controlled Substance Monitoring and Drugs of Abuse Testing-Noridian Healthcare Solutions, LLC |
06/28/2016 |
L36335 |
MolDX: NRAS Genetic Testing-Noridian Healthcare Solutions, LLC |
07/05/2016 |
L36339 |
MolDX: NRAS Genetic Testing-Noridian Healthcare Solutions, LLC |
07/05/2016 |
L36364 |
MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay-Noridian Healthcare Solutions, LLC |
07/05/2016 |
L36368 |
MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay-Noridian Healthcare Solutions, LLC |
07/05/2016 |
L36538 |
Treatment of Males with Low Testosterone-Noridian Healthcare Solutions, LLC |
07/12/2016 |
L36569 |
Treatment of Males with Low Testosterone-Noridian Healthcare Solutions, LLC |
07/12/2016 |
L36573 |
Total Hip Arthroplasty-Noridian Healthcare Solutions, LLC |
09/07/2016 |
L36575 |
Total Knee Arthroplasty-Noridian Healthcare Solutions, LLC |
09/07/2016 |
L36577 |
Total Knee Arthroplasty-Noridian Healthcare Solutions, LLC |
09/07/2016 |
L36617 |
Chiropractic Services-First Coast Service Options, Inc. |
09/12/2016 |
L36544 |
MolDX: HLA-DQB1*06:02 Testing for Narcolepsy-Noridian Healthcare Solutions, LLC |
09/15/2016 |
L36551 |
MolDX: HLA-DQB1*06:02 Testing for Narcolepsy-Noridian Healthcare Solutions, LLC |
09/15/2016 |
L36656 |
MolDX: Decipher® Prostate Cancer Classifier Assay-CGS Administrators, LLC |
10/10/2016 |
L36665 |
MolDX: ProMark Risk Score-Palmetto GBA |
10/10/2016 |
L36675 |
MolDX- CDD: ProMark Risk Score-CGS Administrators, LLC |
10/10/2016 |
L36690 |
Wound Application of Cellular and/or Tissue Based Products (CTPs), Lower Extremities-CGS Administrators, LLC |
10/10/2016 |
L36761 |
GlycoMark® Testing for Glycemic Control-Palmetto GBA |
10/17/2016 |
L36658 |
Proton Beam Therapy-CGS Administrators, LLC |
10/24/2016 |
L36767 |
Aortography and peripheral angiography-First Coast Service Options, Inc. |
10/31/2016 |
L36775 |
Prostatic Urethral Lift (PUL)-First Coast Service Options, Inc. |
10/31/2016 |
L36773 |
Intensity Modulated Radiation Therapy (IMRT) -First Coast Service Options, Inc. |
11/07/2016 |
L36763 |
MolDX: 4Kscore Assay-Palmetto GBA |
11/21/2016 |
L36711 |
Intensity Modulated Radiation Therapy (IMRT)-Novitas Solutions, Inc. |
12/01/2016 |
L36713 |
Corus® CAD Test-Novitas Solutions, Inc. |
12/01/2016 |
L36715 |
BRCA1 and BRCA2 Genetic Testing-Novitas Solutions, Inc. |
12/01/2016 |
L36692 |
Vitamin D Assay Testing-Noridian Healthcare Solutions, LLC |
02/03/2017 |
L36787 |
MolDX: Prolaris™ Prostate Cancer Genomic Assay -Wisconsin Physicians Service Insurance Corporation |
02/16/2017 |
L36789 |
MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay-Wisconsin Physicians Service Insurance Corporation |
02/16/2017 |
L36791 |
MolDX: Decipher® Prostate Cancer Classifier Assay -Wisconsin Physicians Service Insurance Corporation |
02/16/2017 |
L36793 |
MolDX: Genetic Testing for Lynch Syndrome-Wisconsin Physicians Service Insurance Corporation |
02/16/2017 |
L36795 |
MolDX: Molecular RBC Phenotyping-Wisconsin Physicians Service Insurance Corporation |
02/16/2017 |
L36797 |
MolDX: NRAS Genetic Testing-Wisconsin Physicians Service Insurance Corporation |
02/16/2017 |
L36799 |
MolDX: GeneSight® Assay for Refractory Depression-Wisconsin Physicians Service Insurance Corporation |
02/16/2017 |
L36801 |
MolDX: HLA-B*15:02 Genetic Testing-Wisconsin Physicians Service Insurance Corporation |
02/16/2017 |
L36805 |
Lab: Special Histochemical Stains and Immunohistochemical Stains-Wisconsin Physicians Service Insurance Corporation |
02/16/2017 |
L36807 |
MolDX: Molecular Diagnostic Tests (MDT)-Wisconsin Physicians Service Insurance Corporation |
02/16/2017 |
L36811 |
MolDX: Breast Cancer Assay: Prosigna-Wisconsin Physicians Service Insurance Corporation |
02/16/2017 |
L36813 |
MolDX: BRCA1 and BRCA2 Genetic Testing-Wisconsin Physicians Service Insurance Corporation |
02/16/2017 |
L36815 |
MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease-Wisconsin Physicians Service Insurance Corporation |
02/16/2017 |
L36839 |
Polysomnography and Other Sleep Studies-Wisconsin Physicians Service Insurance Corporation |
02/16/2017 |
L36902 |
Polysomnography and Other Sleep Studies-CGS Administrators, LLC |
03/06/2017 |
L36906 |
GlycoMark® Testing for Glycemic Control-CGS Administrators, LLC |
03/06/2017 |
L36912 |
MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)-Palmetto GBA |
03/06/2017 |
L36951 |
MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)-CGS Administrators, LLC |
03/06/2017 |
L36973 |
MolDX: Circulating Tumor Cell Marker Assays-CGS Administrators, LLC |
03/06/2017 |
L36975 |
Bladder/Urothelial Tumor Markers-CGS Administrators, LLC |
03/06/2017 |
L36700 |
Serum Magnesium-Noridian Healthcare Solutions, LLC |
03/13/2017 |
L36702 |
Serum Magnesium-Noridian Healthcare Solutions, LLC |
03/13/2017 |
L36827 |
MolDX: APC and MUTYH Gene Testing -Palmetto GBA |
03/13/2017 |
L36854 |
MolDX: Percepta® Bronchial Genomic Classifier-Palmetto GBA |
03/13/2017 |
L36908 |
MolDX: Percepta® Bronchial Genomic Classifier-CGS Administrators, LLC |
03/13/2017 |
L36910 |
MolDX: APC and MUTYH Gene Testing-CGS Administrators, LLC |
03/13/2017 |
L36979 |
MolDX: 4Kscore Assay-CGS Administrators, LLC |
03/13/2017 |
L36831 |
Visual Electrophysiology Testing -National Government Services, Inc. |
03/16/2017 |
L36941 |
MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)-Noridian Healthcare Solutions, LLC |
03/27/2017 |
L36947 |
MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)-Noridian Healthcare Solutions, LLC |
03/27/2017 |
L36850 |
Peripheral Nerve Blocks-National Government Services, Inc. |
05/01/2017 |
L36920 |
Epidural Injections for Pain Management-Novitas Solutions, Inc. |
05/04/2017 |
L36882 |
MolDX: APC and MUTYH Gene Testing -Noridian Healthcare Solutions, LLC |
05/15/2017 |
L36884 |
MolDX: APC and MUTYH Gene Testing -Noridian Healthcare Solutions, LLC |
05/15/2017 |
L36886 |
MolDX: Percepta© Bronchial Genomic Classifier-Noridian Healthcare Solutions, LLC |
05/15/2017 |
L36891 |
MolDX: Percepta© Bronchial Genomic Classifier-Noridian Healthcare Solutions, LLC |
05/15/2017 |
L36678 |
Lab: Bladder/Urothelial Tumor Markers-Noridian Healthcare Solutions, LLC |
05/16/2017 |
L36680 |
Lab: Bladder/Urothelial Tumor Markers-Noridian Healthcare Solutions, LLC |
05/16/2017 |
L36859 |
Trigger Point Injections-Noridian Healthcare Solutions, LLC |
05/26/2017 |
L36704 |
MolDX: ProMark Risk Score-Noridian Healthcare Solutions, LLC |
06/01/2017 |
L36706 |
MolDX: ProMark Risk Score-Noridian Healthcare Solutions, LLC |
06/01/2017 |
L36861 |
Polysomnography and Other Sleep Studies-Noridian Healthcare Solutions, LLC |
06/05/2017 |
L36954 |
Noncovered Services other than CPT® Category III Noncovered Services-Palmetto GBA |
06/05/2017 |
L37176 |
White Cell Colony Stimulating Factors-Palmetto GBA |
06/12/2017 |
L37022 |
Lab: Coenzyme Q10 (CoQ10)-Palmetto GBA |
07/10/2017 |
L37031 |
MolDX: BDX-XL2-Palmetto GBA |
07/10/2017 |
L37033 |
MolDX: DecisionDx-UM (Uveal Melanoma)-Palmetto GBA |
07/10/2017 |
L37043 |
MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease-Palmetto GBA |
07/10/2017 |
L37126 |
Coenzyme Q10 (CoQ10)-CGS Administrators, LLC |
07/10/2017 |
L37130 |
MolDX: DecisionDx-UM (Uveal Melanoma)-CGS Administrators, LLC |
07/10/2017 |
L37134 |
MolDX: BDX-XL2-CGS Administrators, LLC |
07/10/2017 |
L37142 |
MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease-CGS Administrators, LLC |
07/10/2017 |
L36868 |
Diagnostic and Therapeutic Colonoscopy-Noridian Healthcare Solutions, LLC |
07/17/2017 |
L36889 |
Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography-Noridian Healthcare Solutions, LLC |
07/17/2017 |
L37001 |
MolDX: MGMT Promoter Methylation Analysis-Wisconsin Physicians Service Insurance Corporation |
07/17/2017 |
L37003 |
MolDX: HLA-DQB1*06:02 Testing for Narcolepsy-Wisconsin Physicians Service Insurance Corporation |
07/17/2017 |
L37005 |
MolDX: ConfirmMDx Epigenetic Molecular Assay-Wisconsin Physicians Service Insurance Corporation |
07/17/2017 |
L37011 |
MolDX: ProMark Risk Score-Wisconsin Physicians Service Insurance Corporation |
07/17/2017 |
L37013 |
MolDX: 4Kscore Assay-Wisconsin Physicians Service Insurance Corporation |
07/17/2017 |
L37015 |
Visual Electrophysiology Testing-Wisconsin Physicians Service Insurance Corporation |
07/17/2017 |
L36846 |
Measurement of Salivary Hormones-Noridian Healthcare Solutions, LLC |
07/21/2017 |
L36857 |
Measurement of Salivary Hormones-Noridian Healthcare Solutions, LLC |
07/21/2017 |
L36962 |
Vascular Endothelial Growth Factor Inhibitors for the Treatment of Ophthalmological Diseases -First Coast Service Options, Inc. |
07/24/2017 |
L36864 |
GlycoMark® Testing for Glycemic Control-Noridian Healthcare Solutions, LLC |
08/01/2017 |
L36866 |
GlycoMark® Testing for Glycemic Control-Noridian Healthcare Solutions, LLC |
08/01/2017 |
L37195 |
MolDX: Percepta® Bronchial Genomic Classifier-Wisconsin Physicians Service Insurance Corporation |
09/16/2017 |
L37199 |
MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)-Wisconsin Physicians Service Insurance Corporation |
09/16/2017 |
L37205 |
Chemotherapy Drugs and their Adjuncts-Wisconsin Physicians Service Insurance Corporation |
09/16/2017 |
L37210 |
MolDX: Decision Dx-UM (Uveal Melanoma)-Wisconsin Physicians Service Insurance Corporation |
09/16/2017 |
L37216 |
MolDX: BDX-XL2-Wisconsin Physicians Service Insurance Corporation |
09/16/2017 |
L37224 |
MolDX: APC and MUTYH Gene Testing-Wisconsin Physicians Service Insurance Corporation |
09/16/2017 |
L37226 |
MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease-Wisconsin Physicians Service Insurance Corporation |
09/16/2017 |
L37379 |
Echocardiography -Palmetto GBA |
09/18/2017 |
L37070 |
MolDX: DecisionDx-UM (Uveal Melanoma)-Noridian Healthcare Solutions, LLC |
09/22/2017 |
L37072 |
MolDX: DecisionDx-UM (Uveal Melanoma)-Noridian Healthcare Solutions, LLC |
09/22/2017 |
L37080 |
MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease-Noridian Healthcare Solutions, LLC |
09/25/2017 |
L37082 |
MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease-Noridian Healthcare Solutions, LLC |
09/25/2017 |
L37387 |
Chiropractic Services-Palmetto GBA |
09/25/2017 |
L37260 |
MolDX: Prometheus IBD sgi Diagnostic® Policy-Palmetto GBA |
09/26/2017 |
L37054 |
MolDX: BDX-XL2-Noridian Healthcare Solutions, LLC |
09/29/2017 |
L37062 |
MolDX: BDX-XL2-Noridian Healthcare Solutions, LLC |
09/29/2017 |
L37066 |
Lab: Coenzyme Q10 (CoQ10)-Noridian Healthcare Solutions, LLC |
10/02/2017 |
L37068 |
Lab: Coenzyme Q10 (CoQ10)-Noridian Healthcare Solutions, LLC |
10/02/2017 |
L37262 |
MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer-Palmetto GBA |
10/02/2017 |
L37264 |
MolDX: EndoPredict Breast Cancer Gene Expression Test-Palmetto GBA |
10/02/2017 |
L37266 |
MolDX: AlloSure® Donor-Derived Cell-Free DNA Test-Palmetto GBA |
10/02/2017 |
L37020 |
Plastic Surgery-Noridian Healthcare Solutions, LLC |
10/10/2017 |
L37027 |
Cataract Surgery in Adults-Noridian Healthcare Solutions, LLC |
10/10/2017 |
L37254 |
Chiropractic Services-CGS Administrators, LLC |
11/06/2017 |
L37352 |
MolDX: Prometheus IBD sgi Diagnostic® Policy-CGS Administrators, LLC |
11/06/2017 |
L37244 |
Micro-Invasive Glaucoma Surgery (MIGS) -National Government Services, Inc. |
12/01/2017 |
L37166 |
Wound Care-First Coast Service Options, Inc. |
12/07/2017 |
L37303 |
MolDX: AlloSure® Donor-Derived Cell-Free DNA Test-Noridian Healthcare Solutions, LLC |
12/11/2017 |
L37358 |
MolDX: AlloSure® Donor-Derived Cell-Free DNA Test-Noridian Healthcare Solutions, LLC |
12/11/2017 |
L37371 |
Electroretinography (ERG)-Novitas Solutions, Inc. |
01/25/2018 |
L37375 |
Reflectance Confocal Microscopy-Novitas Solutions, Inc. |
01/25/2018 |
L37632 |
Spinal Cord Stimulators for Chronic Pain-Palmetto GBA |
01/29/2018 |
L37633 |
Partial Hospitalization Programs-Palmetto GBA |
01/29/2018 |
L37638 |
Health and Behavior Assessment/Intervention-Palmetto GBA |
01/29/2018 |
L37641 |
Continuous Peripheral Nerve Blocks (CPNB)-Palmetto GBA |
01/29/2018 |
L37642 |
Nerve Blocks and Electrostimulation for Peripheral Neuropathy-Palmetto GBA |
01/29/2018 |
L37643 |
Routine Foot Care-Palmetto GBA |
01/29/2018 |
L37644 |
YAG Capsulotomy-Palmetto GBA |
01/29/2018 |
L37295 |
MolDX: EndoPredict® Breast Cancer Gene Expression Test-Noridian Healthcare Solutions, LLC |
01/30/2018 |
L37299 |
MolDX: Prometheus IBD sgi Diagnostic® Policy-Noridian Healthcare Solutions, LLC |
01/30/2018 |
L37311 |
MolDX: EndoPredict® Breast Cancer Gene Expression Test-Noridian Healthcare Solutions, LLC |
01/30/2018 |
L37313 |
MolDX: Prometheus IBD sgi Diagnostic® Policy-Noridian Healthcare Solutions, LLC |
01/30/2018 |
L37398 |
Electroretinography (ERG)-First Coast Service Options, Inc. |
02/02/2018 |
L37561 |
Cystatin C Measurement-First Coast Service Options, Inc. |
02/02/2018 |
L37635 |
Trigger Point Injections-Palmetto GBA |
02/26/2018 |
L37636 |
Nonobstetric Pelvic Ultrasound-Palmetto GBA |
02/26/2018 |
L37354 |
MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer-CGS Administrators, LLC |
03/06/2018 |
L37356 |
MolDX: EndoPredict Breast Cancer Gene Expression Test-CGS Administrators, LLC |
03/06/2018 |
L37362 |
MolDX: AlloSure® Donor-Derived Cell-Free DNA Test-CGS Administrators, LLC |
03/06/2018 |
L37305 |
MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer-Noridian Healthcare Solutions, LLC |
03/18/2018 |
L37321 |
MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer-Noridian Healthcare Solutions, LLC |
03/18/2018 |
L37539 |
MolDX: Prometheus IBD sgi Diagnostic® Policy-Wisconsin Physicians Service Insurance Corporation |
03/19/2018 |
L37578 |
Micro-Invasive Glaucoma Surgery (MIGS)-CGS Administrators, LLC |
03/19/2018 |
L37283 |
Electrocardiograms-Noridian Healthcare Solutions, LLC |
03/26/2018 |
L37421 |
Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Tremor-National Government Services, Inc. |
04/01/2018 |
L37535 |
Vitamin D Assay Testing-National Government Services, Inc. |
04/01/2018 |
L37228 |
Wound Care-Wisconsin Physicians Service Insurance Corporation |
04/16/2018 |
L37086 |
Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder-Noridian Healthcare Solutions, LLC |
05/14/2018 |
L37088 |
Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder-Noridian Healthcare Solutions, LLC |
05/14/2018 |
L37547 |
Chest X-Ray Policy-Noridian Healthcare Solutions, LLC |
06/22/2018 |
L37549 |
Chest X-Ray Policy-Noridian Healthcare Solutions, LLC |
06/22/2018 |
L37697 |
Emergency and Non-Emergency Ground Ambulance Services-First Coast Service Options, Inc. |
06/28/2018 |
L37485 |
Prostate Rectal Spacers-National Government Services, Inc. |
07/02/2018 |
L37293 |
Respiratory Care (Respiratory Therapy)-Noridian Healthcare Solutions, LLC |
07/09/2018 |
L37606 |
Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases-National Government Services, Inc. |
08/01/2018 |
L37663 |
MolDX: EndoPredict® Breast Cancer Gene Expression Test-Wisconsin Physicians Service Insurance Corporation |
08/16/2018 |
L37665 |
MolDX: AlloSure® Donor-Derived Cell-Free DNA Test-Wisconsin Physicians Service Insurance Corporation |
08/16/2018 |
L37667 |
MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer-Wisconsin Physicians Service Insurance Corporation |
08/16/2018 |
L37281 |
Lumbar MRI-Noridian Healthcare Solutions, LLC |
08/27/2018 |
L37360 |
Peripheral Nerve Stimulation-Noridian Healthcare Solutions, LLC |
08/27/2018 |
L37682 |
Nusinersen (Spinraza) -Novitas Solutions, Inc. |
09/14/2018 |
L37761 |
Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor-Palmetto GBA |
09/24/2018 |
L37779 |
Intraoperative Radiation Therapy-Palmetto GBA |
09/24/2018 |
L37628 |
In Vitro Chemosensitivity & Chemoresistance Assays-Noridian Healthcare Solutions, LLC |
10/01/2018 |
L37630 |
In Vitro Chemosensitivity & Chemoresistance Assays-Noridian Healthcare Solutions, LLC |
10/01/2018 |
L37790 |
Magnetic Resonance Guided Focused Ultrasound Surgery System (MRgFUS) for the treatment of neurologic conditions-CGS Administrators, LLC |
10/01/2018 |
L37373 |
MRI and CT Scans of the Head and Neck-Noridian Healthcare Solutions, LLC |
10/08/2018 |
L37671 |
MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC) -Wisconsin Physicians Service Insurance Corporation |
10/17/2018 |
L37800 |
Allergen Immunotherapy -First Coast Service Options, Inc. |
10/18/2018 |
L37649 |
MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC)-Noridian Healthcare Solutions, LLC |
10/20/2018 |
L37651 |
MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC)-Noridian Healthcare Solutions, LLC |
10/20/2018 |
L37612 |
MolDX: Corus® CAD Assay-Palmetto GBA |
11/05/2018 |
L37713 |
MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels-Palmetto GBA |
11/12/2018 |
L37787 |
MolDX: Corus® CAD Assay-CGS Administrators, LLC |
11/12/2018 |
L37774 |
Supervised Exercise Therapy for the Treatment of Peripheral Arterial Disease with Symptomatic Lower Extremity Intermittent Claudication-Palmetto GBA |
11/19/2018 |
L37733 |
Biomarker Testing (Prior to Initial Biopsy) for Prostate Cancer Diagnosis-National Government Services, Inc. |
12/01/2018 |
L37808 |
Water Vapor Thermal Therapy for LUTS/BPH-National Government Services, Inc. |
12/01/2018 |
L37348 |
MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels-CGS Administrators, LLC |
12/03/2018 |
L37581 |
MolDX: Cystatin C Measurement-Palmetto GBA |
12/03/2018 |
L37725 |
MolDX: Melanoma Risk Stratification Molecular Testing-Palmetto GBA |
12/03/2018 |
L37701 |
MolDX: Androgen Receptor Variant (AR-V7) Protein Test-Palmetto GBA |
12/10/2018 |
L37709 |
Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification (NAATs)-Palmetto GBA |
12/10/2018 |
L37598 |
MolDX: Cystatin C Measurement-CGS Administrators, LLC |
12/17/2018 |
L37764 |
MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels-Wisconsin Physicians Service Insurance Corporation |
12/17/2018 |
L37768 |
MolDX: CYSTATIN C Measurement-Wisconsin Physicians Service Insurance Corporation |
12/17/2018 |
L37770 |
MolDX: CORUS® CAD ASSAY-Wisconsin Physicians Service Insurance Corporation |
12/17/2018 |
L37531 |
Micro-Invasive Glaucoma Surgery (MIGS) -Palmetto GBA |
12/24/2018 |
L37364 |
Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification Tests (NAATs)-CGS Administrators, LLC |
01/07/2019 |
L37120 |
MolDX: 4Kscore Assay-Noridian Healthcare Solutions, LLC |
01/13/2019 |
L37122 |
MolDX: 4Kscore Assay-Noridian Healthcare Solutions, LLC |
01/13/2019 |
L37673 |
MolDX: Corus® CAD Assay-Noridian Healthcare Solutions, LLC |
02/10/2019 |
L37675 |
MolDX: Corus® CAD Assay-Noridian Healthcare Solutions, LLC |
02/10/2019 |
L37748 |
MolDX: Melanoma Risk Stratification Molecular Testing-Noridian Healthcare Solutions, LLC |
02/10/2019 |
L37750 |
MolDX: Melanoma Risk Stratification Molecular Testing-Noridian Healthcare Solutions, LLC |
02/10/2019 |
L37350 |
Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification Tests (NAATs) -Noridian Healthcare Solutions, LLC |
02/11/2019 |
L37368 |
Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification Tests (NAATs) -Noridian Healthcare Solutions, LLC |
02/11/2019 |
L37616 |
MolDX: Cystatin C Measurement-Noridian Healthcare Solutions, LLC |
02/11/2019 |
L37618 |
MolDX: Cystatin C Measurement-Noridian Healthcare Solutions, LLC |
02/11/2019 |
L37766 |
Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification Tests (NAATs)-Wisconsin Physicians Service Insurance Corporation |
02/16/2019 |
L37915 |
MolDX: Androgen Receptor Variant (AR-V7) Protein Test-Wisconsin Physicians Service Insurance Corporation |
02/16/2019 |
L37502 |
Frequency of Hemodialysis-Noridian Healthcare Solutions, LLC |
02/18/2019 |
L37504 |
Frequency of Hemodialysis-Noridian Healthcare Solutions, LLC |
02/18/2019 |
L37475 |
Frequency of Hemodialysis-National Government Services, Inc. |
03/01/2019 |
L37537 |
Frequency of Hemodialysis-Wisconsin Physicians Service Insurance Corporation |
03/01/2019 |
L37564 |
Frequency of Hemodialysis-First Coast Service Options, Inc. |
03/01/2019 |
L37744 |
MolDX: Androgen Receptor Variant (AR-V7) Protein Test-Noridian Healthcare Solutions, LLC |
03/02/2019 |
L37746 |
MolDX: Androgen Receptor Variant (AR-V7) Protein Test-Noridian Healthcare Solutions, LLC |
03/02/2019 |
L37794 |
MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test -Palmetto GBA |
03/11/2019 |
L37798 |
4Kscore Test Algorithm-First Coast Service Options, Inc. |
03/18/2019 |
L37792 |
4Kscore Test Algorithm-Novitas Solutions, Inc. |
03/21/2019 |
L37836 |
MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)-CGS Administrators, LLC |
03/25/2019 |
L37575 |
Frequency of Hemodialysis-CGS Administrators, LLC |
04/01/2019 |
L37729 |
Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor-Noridian Healthcare Solutions, LLC |
04/01/2019 |
L37738 |
Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor-Noridian Healthcare Solutions, LLC |
04/01/2019 |
L37785 |
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease-Palmetto GBA |
04/01/2019 |
L37810 |
Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms-National Government Services, Inc. |
04/01/2019 |
L37832 |
MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test-CGS Administrators, LLC |
04/01/2019 |
L37851 |
Biomarker Testing for Neuroendocrine Tumors/Neoplasms-National Government Services, Inc. |
04/01/2019 |
L37857 |
MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test-Palmetto GBA |
04/01/2019 |
L37929 |
Transvenous Phrenic Nerve Stimulation in the Treatment of Central Sleep Apnea-National Government Services, Inc. |
04/01/2019 |
L37602 |
MolDX: MDS FISH-Palmetto GBA |
04/08/2019 |
L37870 |
MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer-Palmetto GBA |
04/08/2019 |
L37913 |
MolDX: Breast Cancer Index™ (BCI) Gene Expression Test-Wisconsin Physicians Service Insurance Corporation |
04/15/2019 |
L37921 |
MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer-Wisconsin Physicians Service Insurance Corporation |
04/15/2019 |
L37822 |
MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test -Noridian Healthcare Solutions, LLC |
04/16/2019 |
L37824 |
MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test -Noridian Healthcare Solutions, LLC |
04/16/2019 |
L37834 |
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease-CGS Administrators, LLC |
04/29/2019 |
L37859 |
MolDX: myPath Melanoma Assay -Palmetto GBA |
04/29/2019 |
L37608 |
MolDX: MDS FISH-CGS Administrators, LLC |
05/06/2019 |
L37826 |
Lumbar Artificial Disc Replacement-Palmetto GBA |
05/06/2019 |
L37848 |
Lumbar Spinal Fusion-Palmetto GBA |
05/06/2019 |
L37863 |
Voretigene Neparvovec-rzyl (Luxturna®)-Palmetto GBA |
05/06/2019 |
L37873 |
Topical Oxygen Therapy -Palmetto GBA |
05/06/2019 |
L37301 |
MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels-Noridian Healthcare Solutions, LLC |
05/13/2019 |
L37315 |
MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels-Noridian Healthcare Solutions, LLC |
05/13/2019 |
L37772 |
MolDX: MDS FISH-Wisconsin Physicians Service Insurance Corporation |
05/13/2019 |
L37903 |
MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer-CGS Administrators, LLC |
05/13/2019 |
L37911 |
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease-Wisconsin Physicians Service Insurance Corporation |
05/13/2019 |
L37919 |
MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test-Wisconsin Physicians Service Insurance Corporation |
05/13/2019 |
L37893 |
Endovenous Stenting-Novitas Solutions, Inc. |
05/20/2019 |
L37905 |
MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test-CGS Administrators, LLC |
05/20/2019 |
L37624 |
Helicobacter Pylori Infection Testing-Noridian Healthcare Solutions, LLC |
05/27/2019 |
L37626 |
Helicobacter Pylori Infection Testing-Noridian Healthcare Solutions, LLC |
05/27/2019 |
L37818 |
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease-Noridian Healthcare Solutions, LLC |
05/27/2019 |
L37820 |
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease-Noridian Healthcare Solutions, LLC |
05/27/2019 |
L37887 |
MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test-Noridian Healthcare Solutions, LLC |
05/27/2019 |
L37891 |
MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test-Noridian Healthcare Solutions, LLC |
05/27/2019 |
L37620 |
MolDX: MDS FISH-Noridian Healthcare Solutions, LLC |
06/03/2019 |
L37622 |
MolDX: MDS FISH-Noridian Healthcare Solutions, LLC |
06/03/2019 |
L37879 |
MolDX: myPath Melanoma Assay -Noridian Healthcare Solutions, LLC |
06/03/2019 |
L37881 |
MolDX: myPath Melanoma Assay -Noridian Healthcare Solutions, LLC |
06/03/2019 |
L37897 |
MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer-Noridian Healthcare Solutions, LLC |
06/03/2019 |
L37899 |
MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer-Noridian Healthcare Solutions, LLC |
06/03/2019 |
L37907 |
MolDX: myPath Melanoma Assay-CGS Administrators, LLC |
06/03/2019 |
L37923 |
MolDX: myPath Melanoma Assay -Wisconsin Physicians Service Insurance Corporation |
06/10/2019 |
L38016 |
MolDX: Melanoma Risk Stratification Molecular Testing-CGS Administrators, LLC |
06/24/2019 |
L38014 |
Corneal Hysteresis-National Government Services, Inc. |
08/01/2019 |
L37943 |
Anorectal Manometry and Electromyography (EMG) of the Urinary and Anal Sphincters-First Coast Service Options, Inc. |
08/12/2019 |
L38018 |
MolDX: Melanoma Risk Stratification Molecular Testing-Wisconsin Physicians Service Insurance Corporation |
08/12/2019 |
L38211 |
Corneal Hysteresis-Wisconsin Physicians Service Insurance Corporation |
10/14/2019 |
L38026 |
Corneal Hysteresis-Palmetto GBA |
10/21/2019 |
L38033 |
Cervical Disc Replacement-Palmetto GBA |
10/28/2019 |
L38201 |
Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)-CGS Administrators, LLC |
11/18/2019 |
L38039 |
MolDX: TruGraf Blood Gene Expression Test -Palmetto GBA |
11/25/2019 |
L38160 |
MolDX: TruGraf® Blood Gene Expression Test-Wisconsin Physicians Service Insurance Corporation |
12/16/2019 |
L38213 |
Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)-Wisconsin Physicians Service Insurance Corporation |
12/16/2019 |
L38053 |
MolDX: TruGraf Blood Gene Expression Test-CGS Administrators, LLC |
12/30/2019 |
L38223 |
Micro-Invasive Glaucoma Surgery (MIGS)-Novitas Solutions, Inc. |
12/30/2019 |
L38227 |
Gastrointestinal Pathogen (GIP) Panels Utilizing Multiplex Nucleic Acid Amplification Techniques (NAATs)-First Coast Service Options, Inc. |
12/30/2019 |
L38229 |
Gastrointestinal Pathogen (GIP) Panels Utilizing Multiplex Nucleic Acid Amplification Techniques (NAATs) -Novitas Solutions, Inc. |
12/30/2019 |
L38231 |
Endovenous Stenting-First Coast Service Options, Inc. |
12/30/2019 |
L38233 |
Micro-Invasive Glaucoma Surgery (MIGS)-First Coast Service Options, Inc. |
12/30/2019 |
L38135 |
MolDX: TruGraf Blood Gene Expression Test -Noridian Healthcare Solutions, LLC |
01/05/2020 |
L38137 |
MolDX: TruGraf Blood Gene Expression Test -Noridian Healthcare Solutions, LLC |
01/05/2020 |
L38029 |
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Intermediate Risk Disease-Palmetto GBA |
01/06/2020 |
L38166 |
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Intermediate Risk Disease-Wisconsin Physicians Service Insurance Corporation |
01/12/2020 |
L38041 |
MolDX: Prospera™-Palmetto GBA |
02/03/2020 |
L38043 |
MolDX: Plasma-Based Genomic Profiling in Solid Tumors-Palmetto GBA |
02/03/2020 |
L38158 |
MolDX: Next-Generation Sequencing for Solid Tumors-Wisconsin Physicians Service Insurance Corporation |
02/09/2020 |
L38176 |
MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies-Wisconsin Physicians Service Insurance Corporation |
02/09/2020 |
L38045 |
MolDX: Next-Generation Sequencing for Solid Tumors-Palmetto GBA |
02/10/2020 |
L38047 |
MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies-Palmetto GBA |
02/10/2020 |
L38051 |
MolDX: Pigmented Lesion Assay-Palmetto GBA |
02/10/2020 |
L38067 |
MolDX: Next-Generation Sequencing for Solid Tumors-CGS Administrators, LLC |
02/10/2020 |
L38070 |
MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies-CGS Administrators, LLC |
02/10/2020 |
L38059 |
MolDX: Prospera-CGS Administrators, LLC |
03/10/2020 |
L38168 |
MolDX: Plasma-Based Genomic Profiling in Solid Tumors-Wisconsin Physicians Service Insurance Corporation |
03/15/2020 |
L38310 |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea-Noridian Healthcare Solutions, LLC |
03/15/2020 |
L38312 |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea-Noridian Healthcare Solutions, LLC |
03/15/2020 |
L38385 |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea-Novitas Solutions, Inc. |
03/15/2020 |
L38396 |
Cardiology Non-emergent Outpatient Stress Testing-First Coast Service Options, Inc. |
03/15/2020 |
L38398 |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea-First Coast Service Options, Inc. |
03/15/2020 |
L38299 |
Micro-Invasive Glaucoma Surgery (MIGS) -Noridian Healthcare Solutions, LLC |
03/23/2020 |
L38301 |
Micro-Invasive Glaucoma Surgery (MIGS)-Noridian Healthcare Solutions, LLC |
03/23/2020 |
L38111 |
MolDX: Pigmented Lesion Assay-CGS Administrators, LLC |
03/30/2020 |
L38262 |
Salvage High-intensity Focused Ultrasound (HIFU) Treatment in Prostate Cancer (PCa)-National Government Services, Inc. |
04/01/2020 |
L38268 |
Immune Thrombocytopenia (ITP) Therapy-CGS Administrators, LLC |
04/01/2020 |
L38307 |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea-CGS Administrators, LLC |
04/01/2020 |
L38367 |
Fluid Jet System Treatment for LUTS/BPH-National Government Services, Inc. |
04/01/2020 |
L38378 |
Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia (BPH)-CGS Administrators, LLC |
04/01/2020 |
L38387 |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea-National Government Services, Inc. |
04/01/2020 |
L38077 |
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Intermediate Risk Disease-CGS Administrators, LLC |
04/06/2020 |
L38174 |
MolDX: Prospera™-Wisconsin Physicians Service Insurance Corporation |
04/12/2020 |
L38178 |
MolDX: Pigmented Lesion Assay-Wisconsin Physicians Service Insurance Corporation |
04/12/2020 |
L38147 |
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Intermediate Risk Disease-Noridian Healthcare Solutions, LLC |
05/04/2020 |
L38149 |
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Intermediate Risk Disease-Noridian Healthcare Solutions, LLC |
05/04/2020 |
L38119 |
MolDX: Next-Generation Sequencing for Solid Tumors-Noridian Healthcare Solutions, LLC |
05/17/2020 |
L38121 |
MolDX: Next-Generation Sequencing for Solid Tumors-Noridian Healthcare Solutions, LLC |
05/17/2020 |
L38123 |
MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies-Noridian Healthcare Solutions, LLC |
05/17/2020 |
L38125 |
MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies-Noridian Healthcare Solutions, LLC |
05/17/2020 |
L38274 |
MolDX: Repeat Germline Testing-Palmetto GBA |
05/31/2020 |
L38151 |
MolDX: Pigmented Lesion Assay-Noridian Healthcare Solutions, LLC |
06/07/2020 |
L38153 |
MolDX: Pigmented Lesion Assay-Noridian Healthcare Solutions, LLC |
06/07/2020 |
L38288 |
MolDX: Repeat Germline Testing-CGS Administrators, LLC |
06/07/2020 |
L38238 |
MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer-Palmetto GBA |
06/14/2020 |
L38429 |
MolDX: Repeat Germline Testing-Wisconsin Physicians Service Insurance Corporation |
06/14/2020 |
L38443 |
MolDX: Predictive Classifiers for Early Stage Non-small Cell Lung Cancer-Wisconsin Physicians Service Insurance Corporation |
06/14/2020 |
L38528 |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea-Wisconsin Physicians Service Insurance Corporation |
06/14/2020 |
L38276 |
Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea-Palmetto GBA |
06/21/2020 |
L38371 |
Multimarker Serum Tests Related to Ovarian Cancer Testing-National Government Services, Inc. |
07/01/2020 |
L38495 |
Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor-Novitas Solutions, Inc. |
07/12/2020 |
L38506 |
Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor-First Coast Service Options, Inc. |
07/12/2020 |
L38294 |
MolDX: Pharmacogenomics Testing-Palmetto GBA |
07/26/2020 |
L38435 |
MolDX: Pharmacogenomics Testing-Wisconsin Physicians Service Insurance Corporation |
07/26/2020 |
L38065 |
MolDX: Plasma-Based Genomic Profiling in Solid Tumors-CGS Administrators, LLC |
07/27/2020 |
L38284 |
MolDX: Predictive Classifiers for Early Stage Non-small Cell Lung Cancer-CGS Administrators, LLC |
07/27/2020 |
L38351 |
MolDX: Repeat Germline Testing-Noridian Healthcare Solutions, LLC |
08/03/2020 |
L38353 |
MolDX: Repeat Germline Testing-Noridian Healthcare Solutions, LLC |
08/03/2020 |
L38394 |
MolDX: Pharmacogenomics Testing-CGS Administrators, LLC |
08/03/2020 |
L38335 |
MolDX: Pharmacogenomics Testing-Noridian Healthcare Solutions, LLC |
08/17/2020 |
L38337 |
MolDX: Pharmacogenomics Testing-Noridian Healthcare Solutions, LLC |
08/17/2020 |
L38327 |
MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer-Noridian Healthcare Solutions, LLC |
08/24/2020 |
L38329 |
MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer-Noridian Healthcare Solutions, LLC |
08/24/2020 |
L38551 |
Transanal Endoscopic Surgery (TES)-Palmetto GBA |
10/11/2020 |
L38617 |
Implantable Continuous Glucose Monitors (I-CGM)-Novitas Solutions, Inc. |
10/11/2020 |
L38664 |
Implantable Continuous Glucose Monitors (I-CGM)-First Coast Service Options, Inc. |
10/11/2020 |
L38686 |
Implantable Continuous Glucose Monitors (I-CGM)-Wisconsin Physicians Service Insurance Corporation |
10/11/2020 |
L38290 |
MolDX: Minimal Residual Disease Testing for Colorectal Cancer-Palmetto GBA |
10/18/2020 |
L38431 |
MolDX: Minimal Residual Disease Testing for Colorectal Cancer-Wisconsin Physicians Service Insurance Corporation |
10/18/2020 |
L38305 |
MolDX: Minimal Residual Disease Testing for Colorectal Cancer-CGS Administrators, LLC |
10/19/2020 |
L38240 |
MolDX: Blood Product Molecular Antigen Typing-Palmetto GBA |
10/25/2020 |
L38441 |
MolDX: Blood Product Molecular Antigen Typing-Wisconsin Physicians Service Insurance Corporation |
10/25/2020 |
L38249 |
MolDX: Blood Product Molecular Antigen Typing-CGS Administrators, LLC |
11/01/2020 |
L38667 |
Computed Tomography Cerebral Perfusion Analysis (CTP)-National Government Services, Inc. |
11/01/2020 |
L38657 |
Implantable Continuous Glucose Monitors (I-CGM)-Noridian Healthcare Solutions, LLC |
11/02/2020 |
L38659 |
Implantable Continuous Glucose Monitors (I-CGM)-Noridian Healthcare Solutions, LLC |
11/02/2020 |
L38662 |
Implantable Continuous Glucose Monitors (I-CGM)-CGS Administrators, LLC |
11/02/2020 |
L38694 |
Computed Tomography Cerebral Perfusion Analysis (CTP)-CGS Administrators, LLC |
11/02/2020 |
L38292 |
MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease-Palmetto GBA |
11/08/2020 |
L38433 |
MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease-Wisconsin Physicians Service Insurance Corporation |
11/08/2020 |
L38303 |
MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease-CGS Administrators, LLC |
11/09/2020 |
L38255 |
MolDX: AlloSure® or Equivalent Cell-Free DNA Testing for Kidney and Heart Allografts-Palmetto GBA |
11/15/2020 |
L38439 |
MolDX: AlloSure® or Equivalent Cell-Free DNA Testing for Kidney and Heart Allografts-Wisconsin Physicians Service Insurance Corporation |
11/15/2020 |
L38278 |
Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease-Palmetto GBA |
11/22/2020 |
L38623 |
Implantable Continuous Glucose Monitors (I-CGM)-National Government Services, Inc. |
12/01/2020 |
L38331 |
MolDX: Blood Product Molecular Antigen Typing-Noridian Healthcare Solutions, LLC |
12/06/2020 |
L38333 |
MolDX: Blood Product Molecular Antigen Typing-Noridian Healthcare Solutions, LLC |
12/06/2020 |
L38339 |
MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease-Noridian Healthcare Solutions, LLC |
12/06/2020 |
L38341 |
MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease-Noridian Healthcare Solutions, LLC |
12/06/2020 |
L38355 |
MolDX: AlloSure® or Equivalent Cell-Free DNA Testing for Kidney and Heart Allografts-Noridian Healthcare Solutions, LLC |
12/06/2020 |
L38380 |
MolDX: AlloSure® or Equivalent Cell-Free DNA Testing for Kidney and Heart Allografts-Noridian Healthcare Solutions, LLC |
12/06/2020 |
L38700 |
Computed Tomography Cerebral Perfusion Analysis (CTP)-Noridian Healthcare Solutions, LLC |
12/13/2020 |
L38709 |
Computed Tomography Cerebral Perfusion Analysis (CTP)-Noridian Healthcare Solutions, LLC |
12/13/2020 |
L38549 |
Transurethral Waterjet Ablation of the Prostate-Palmetto GBA |
12/27/2020 |
L38682 |
Transurethral Waterjet Ablation of the Prostate-Wisconsin Physicians Service Insurance Corporation |
12/27/2020 |
L38705 |
Transurethral Waterjet Ablation of the Prostate-Noridian Healthcare Solutions, LLC |
12/27/2020 |
L38707 |
Transurethral Waterjet Ablation of the Prostate-Noridian Healthcare Solutions, LLC |
12/27/2020 |
L38712 |
Transurethral Waterjet Ablation of the Prostate-Novitas Solutions, Inc. |
12/27/2020 |
L38720 |
Treatment of Chronic Venous Insufficiency of the Lower Extremities-First Coast Service Options, Inc. |
12/27/2020 |
L38726 |
Transurethral Waterjet Ablation of the Prostate-First Coast Service Options, Inc. |
12/27/2020 |
L38272 |
MolDX: AlloSure® or Equivalent Cell-Free DNA Testing for Kidney and Heart Allografts-CGS Administrators, LLC |
12/28/2020 |
L38573 |
Percutaneous Arteriovenous Fistula (pAVF) for Hemodialysis-National Government Services, Inc. |
01/18/2021 |
L38745 |
Platelet Rich Plasma-Palmetto GBA |
02/07/2021 |
L38769 |
Computed Tomography Cerebral Perfusion Analysis (CTP)-Palmetto GBA |
02/07/2021 |
L38786 |
Echocardiography for Myocardial Perfusion-Palmetto GBA |
02/07/2021 |
L38792 |
Dexamethasone Intracanalicular Ophthalmic Insert (Dextenza®)-Palmetto GBA |
02/07/2021 |
L38775 |
Extracorporeal Shock Wave Therapy (ESWT)-Palmetto GBA |
02/14/2021 |
L38747 |
Peroral Endoscopic Myotomy (POEM)-Palmetto GBA |
02/28/2021 |
L38809 |
Botulinum Toxins-Novitas Solutions, Inc. |
03/21/2021 |
L38812 |
Diagnostic Colonoscopy-Novitas Solutions, Inc. |
03/21/2021 |
L38805 |
Colon Capsule Endoscopy (CCE)-First Coast Service Options, Inc. |
03/28/2021 |
L38807 |
Colon Capsule Endoscopy (CCE)-Novitas Solutions, Inc. |
03/28/2021 |
L38824 |
Colon Capsule Endoscopy (CCE)-Noridian Healthcare Solutions, LLC |
03/28/2021 |
L38826 |
Colon Capsule Endoscopy (CCE)-Noridian Healthcare Solutions, LLC |
03/28/2021 |
L38837 |
Colon Capsule Endoscopy (CCE)-Wisconsin Physicians Service Insurance Corporation |
03/28/2021 |
L38777 |
Colon Capsule Endoscopy (CCE)-CGS Administrators, LLC |
03/29/2021 |
L38755 |
Colon Capsule Endoscopy (CCE)-Palmetto GBA |
04/12/2021 |
L38571 |
Colon Capsule Endoscopy (CCE)-National Government Services, Inc. |
04/15/2021 |
L38743 |
Implantable Continuous Glucose Monitors (I-CGM)-Palmetto GBA |
04/18/2021 |