Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Procedures Requiring a Valid Diagnosis – HK/HFP The following list of procedure codes requires a valid diagnosis code which is related to the service rendered for the Healthy Kids and Healthy Family lines of business. Unrelated or invalid diagnosis codes are subject to denial. Procedure Code 59025 68761 76856 76857 Procedure Description Fetal Non-Stress Test Closure Of The Lacrimal Punctum; By Plug, Each Ultrasound, Pelvic (Nonobstetric), B-Scan And/Or Real Time With Image Documentation; Complete Ultrasound, Pelvic (Nonobstetric), B-Scan And/Or Real Time W/Image Documentation; Limited/Follow-Up 80048 80050 80053 80061 80069 80170 Basic Metabolic Panel General Health Screen Panel Comprehensive Metabolic Panel Lipid Panel Renal Function Panel Gentamicin 80299 81001 81002 81243 82043 82247 Quantitation Of Therapeutic Drug, Not Elsewhere Specified Urinalysis; Automated, With Microscopy Urinalysis,By Dipstick/Tablet Reagent;Non-Automated,W/0 Micr Fmr1 (Fragile X Mental Retardation) Gene Analysis; Evaluation To Detect Abnormal (Eg Expanded) Alleles Albumin; Urine, Microalbumin, Quantitative Bilirubin; Total 82248 82306 82570 82607 82746 82962 Bilirubin; Direct Calcifediol (25-Oh Vitamin D-3) Creatinine; Other Source Cyanocobalamin (Vitamin B-12) Folic Acid; Serum Glucose, Blood By Glucose Monitoring Device(S) Cleared By The Fda Specifically For Home Use 82977 83013 83014 83036 83540 83615 Glutamyltransferase, Gamma (Ggt) Helicobacter Pylori; Breath Test Analysis For Urease Activity, Non-Radioactive Isotope (E.G C-13) Helicobacter Pylori, Breath Test Analysis; Drug Administration Hemoglobin, Glycosylated (A1c) Iron Lactate Dehydrogenase (Ld), (Ldh) 83735 84100 84132 84153 84295 Magnesium Phosphorus Inorganic (Phosphate) Potassium; Serum Prostate Specific Antigen (Psa); Total Sodium; Serum CenCal HEALTH Improving the health and well-being of people on the Central Coast 4050 Calle Real, Santa Barbara CA 93110 | 1288 Morro St, Suite 101, San Luis Obispo, CA 93401 | (800) 421-2560 | www.cencalhealth.org Page 1 of 3 Procedure Code Procedure Description 84439 84443 84478 84550 84702 84703 Thyroxine; Free Thyroid Stimulating Hormone (Tsh) Triglycerides Uric Acid; Blood Gonadotropin, Chorionic (Hcg); Quantitative Gonadotropin, Chorionic (Hcg); Qualitative 85007 85025 85027 85045 85652 86038 Blood Count; Blood Smear Microscopic Examination With Manual Differential Wbc Count Blood Count; Complete (Cbc), Automated And Automated Differential Wbc Count Blood Count; Complete (Cbc), Automated (Hgb, Hct, Rbc, Wbc And Platelet Count) Blood Count; Reticulocyte, Automated Sedimentation Rate, Erythrocyte; Automated Antinuclear Antibodies, (Ana) 86140 86200 86431 86592 86704 86706 C-Reactive Protein Cyclic Citrullinated Peptide (Ccp), Antibody Rheumatoid Factor; Quantitative Syphilis Test; Qualitative (Eg, Vdrl, Rpr, Art) Hepatitis B Core Antibody (Hbcab), Total Hepatitis B Surface Antibody (Hbsab) 86708 86880 86900 86901 87040 87045 Hepatitis A Antibody (Haab), Total Antihuman Globulin Test (Coombs Test); Direct, Each Antiserum Blood Typing; Serologic; Abo Blood Typing; Serologic; Rh (D) Culture, Bacterial; Blood, With Isolation And Presumptive Identification Of Isolates Culture, Bacterial; Feces, With Isolation And Preliminary Examination, Salmonella And Shignella Spec 87088 87177 87186 87209 87340 87338 87427 87491 Culture, Bacterial; With Isolation And Presumptive Identification Of Isolates, Urine Ova And Parasites, Direct Smears, Concentration And Identification Susceptibility Studies, Antimicrobial Agent; Microdilution Or Agar Dilution, Each Multi-Antimicrobia Smear, Primary Source W/ Interpretation; Complex Special Stain For Ova And Parasites Infectious Agent Antigen Detection; Hepatitis B Surface Antigen (Hbsag) Infectious Agent Antigen Detection By Immunoassay Technique (Eg, Enzyme Immunoassay (EIA), Enzymelinked Immunosorbent Assay (ELISA), Immunochemiluminometric Assay (IMCA), Qualitative or Semi=Quantitative, Multiple-Step Method; Helicobacter Pylori, Stool Infectious Agent Antigen Detection By Enzyme Immunoassay Technique, ...; Shiga-Like Toxin Infectious Agent Detection By Nucleic Acid; Chlamydia Trachomatis, Amplified Probe Technique 87522 87591 87621 Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Hepatitis C, Quantification, Includes Reverse Transcription When Performed Infectious Agent Detection By Nucleic Acid; Neisseria Gonorrhoeae, Amplified Probe Technique Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Papillomavirus, Human, Amplif Probe Techni 87902 Infectious Agent Genotype Analysis By Nucleic Acid (Dna Or Rna); Hepatitis C Virus CenCal HEALTH Improving the health and well-being of people on the Central Coast 4050 Calle Real, Santa Barbara CA 93110 | 1288 Morro St, Suite 101, San Luis Obispo, CA 93401 | (800) 421-2560 | www.cencalhealth.org Page 2 of 3 Procedure Code Procedure Description 88141 Cytopathology, Cervical Or Vaginal; Requiring Interpretation By Physician 88175 92060 Cytopathology, Cervical Or Vaginal (Any Reporting System), Collected In Preservative Fluid, Automated Thin Layer Preparation; With Screening By Automated System And Manual Rescreening Or Review, Under Physician Supervision Sensorimotor Examination With Multiple Measurements Of Ocular Deviation W/Interpretation And Report 92134 92225 92235 Scanning Computerized Opthalmic Diagnostic Imaging, Posterior Segment, W/Interpretation And Report, Uni- Or Bilateral; Retina Ophthalmoscopy, Extended, With Retinal Drawing, With Interpretation And Report; Initial Fluorescein Angiography With Interpretation And Report 93880 99173 J0295 J0697 J2001 J2180 Duplex Scan Of Extracranial Arteries; Complete Bilateral Study Screening Test Of Visual Acuity, Quantitative, Bilateral (See Remarks) Injection, Ampicillin Sodium/Sulbactam Sodium, Per 1.5 Gm Injection, Sterile Cefuroxime Sodium, Per 750 Mg Injection, Lidocaine, Hcl For Intravenous Infusion, 10 Mg Injection, Meperidine And Prometha J2370 J2710 J3360 J8501 Injection, Phenylephrine Hcl, Up T Injection, Neostigmine Methylsulfa, Up To 0.5 Mg Injection, Diazepam, Up To 5 Mg Aprepitant, Oral, 150mg (Crossover Claims Only) CenCal HEALTH Improving the health and well-being of people on the Central Coast 4050 Calle Real, Santa Barbara CA 93110 | 1288 Morro St, Suite 101, San Luis Obispo, CA 93401 | (800) 421-2560 | www.cencalhealth.org Page 3 of 3