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We update the Code List to conform to the most recent publications of CPT and HCPCS codes and to account for changes in Medicare coverage and payment policies.
You, your employees and agents are authorized to use CPT only as contained in the following authorized materials of Centers for Medicare and Medicaid Services (CMS) internally within your organization within the United States for the sole use by yourself, employees and agents.
This Medicare Coding Guide helps physicians ensure that they are coding services correctly to be eligible for zero-dollar coverage. Click here for more information.
Healthcare Common Procedure Coding System (HCPCS) Lookup. Enter a HCPCS code in the search bar to view the description of the individual code.
Search by procedure name or. code. Type a procedure or code and select one from the list. Need help? Use official Procedure Price Lookup tool to compare national average to Medicare costs in ambulatory surgical centers, hosptial outpatient departments.
Medicare uses a system of CPT and HCPCS codes to reimburse health care providers for their services. Learn how to look up these codes to find out Medicare reimbursement rates.
Medicare Part B pays for physician services based on the Medicare Physician Fee Schedule (MPFS), which lists the more than 7,400 unique covered services and their payment rates.
With Codify by AAPC cross-reference tools, you can check common code pairings. You also get CPT to ICD-10-CM, CPT to HCPCS, and CPT to Modifier crosswalks. Our NCCI Edit tool will help you prevent denials from Medicare’s National Correct Coding Initiative edits.
Our NCCI tool provides steps you can take to prevent these NCCI denials: First, know if NCCI edits apply to the services you are submitting. Search for coding pairs by entering your major procedure code. The search results show coding pair lists entitled Column I or Column II.
There are hundreds of changes related to CPT codes this year, including revised descriptors for prolonged services and chronic care management codes.