Other (Miscellaneous Categories)

Document Title Document Type Document Size Effective Date
Adoptive Immunotherapy - (0225)   PDF 213kB 11/15/2020
Ambulance Services - (0555)  PDF 93kB 05/15/2020
Anesthesia and Facility Services for Dental Treatment - (0415)  PDF 131kB 08/15/2020
Biventricular Pacing/Cardiac Resynchronization Therapy (CRT) - (0174)  PDF 361kB 12/15/2020
Cardiac Electrophysiological (EP) Studies - (0532)  PDF 188kB 10/15/2020
Complementary and Alternative Medicine - (0086)  PDF 589kB 02/15/2021
Computerized Dynamic Posturography (CDP) - (0270)  PDF 89kB 12/15/2020
Distraction Osteogenesis (DO) for Craniofacial Deformities - (0407)  PDF 135kB 09/15/2020
Electrical Stimulation Therapy and Home Devices - (0160)  PDF 767kB 09/15/2020
Extracorporeal Photopheresis - (0320)   PDF 104kB 05/15/2020
Foot Care Services - (0277)  PDF 97kB 03/15/2021
Gait Analysis - (0315)  PDF 105kB 04/15/2020
Hearing Aids - (0093)  PDF 289kB 06/15/2020
Hospice Care - (0462)  PDF 146kB 02/15/2021
Hospital Beds and Accessories - (0273)  PDF 119kB 01/15/2021
Hospitalization for the Initiation of a Ketogenic Diet - (0359)  PDF 92kB 06/15/2020
Hyperbaric and Topical Oxygen Therapies - (0053)  PDF 328kB 05/15/2020
Inhaled Nitric Oxide (INO) - (0453)  PDF 417kB 07/15/2020
Inpatient Acute Rehabilitation - (0427)  PDF 164kB 02/15/2021
Intraocular Lens Implant - (0125)  PDF 162kB 09/15/2020
Lyme Disease Treatment - Antibiotic Treatment - (0400)  PDF 340kB 07/15/2020
Malignant Melanoma Surveillance Technologies - (0240)   PDF 221kB 10/15/2020
Miscellaneous Musculoskeletal Procedures - (0515)  PDF 266kB 03/15/2020
Negative Pressure Wound Therapy/Vacuum-Assisted Closure (VAC) for Nonhealing Wounds - (0064)  PDF 225kB 05/15/2020
Nonpharmacological Treatments for Atrial Fibrillation - (0469)  PDF 523kB 11/15/2020
Omnibus Codes - (0504)  PDF 1056kB 03/15/2021
Pediatric Intensive Feeding Programs - (0422)  PDF 114kB 12/15/2020
Rosacea Procedures - (0482)   PDF 107kB 07/15/2020
Suit Therapy - (0353)  PDF 119kB 04/15/2020
Tissue Engineered Skin Substitutes - (0068)  PDF 1179kB 11/15/2020
Transcranial Magnetic Stimulation - (0383)  PDF 457kB 03/15/2021
Transthoracic Echocardiography in Adults - (0510)  PDF 592kB 02/15/2021
Umbilical Cord Blood Banking - (0466)  PDF 93kB 06/15/2020
Wearable Cardioverter Defibrillator and Automatic External Defibrillator - (0431)  PDF 263kB 03/15/2020