Provider Notifications

0562U 

Oncology (solid tumor), targeted genomic sequence analysis, 33 genes, detection of single-nucleotide variants (SNVs), insertions and deletions, copy-number amplifications, and translocations in human genomic circulating cell-free DNA, plasma, reported as presence of actionable variants 

0569U 

Oncology (solid tumor), next-generation sequencing analysis of tumor methylation markers (>20000 differentially methylated regions) present in cell-free circulating tumor DNA (ctDNA), whole blood, algorithm reported as presence or absence of ctDNA with tumor fraction, if appropriate 

0570U 

Neurology (traumatic brain injury), analysis of glial fibrillary acidic protein (GFAP) and ubiquitin carboxyl-terminal hydrolase L1 (UCH-L1), immunoassay, whole blood or plasma, individual components reported with the overall result of elevated or nonelevated based on threshold comparison 

0571U 

Oncology (solid tumor), DNA (80 genes) and RNA (10 genes), by next-generation sequencing, plasma, including single-nucleotide variants, insertions/deletions, copy-number alterations, microsatellite instability, and fusions, reported as clinically actionable variants 

87513 

Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique 

A2040 

Microlyte PainGuard, per sq cm 

A2041 

Foundation DRS+ Duo, per sq cm 

A2042 

Foundation DRS+ Solo, per sq cm 

A2043 

BIOBRANE, per sq cm 

A2044 

BIOBRANE Glove, each 

A2045 

NovaShield or NovoGen Wound Matrix, per sq cm 

A4479 

Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type 

A8005 

Powered, cable driven grip assist glove, hand, finger, includes microprocessor, pressure sensors, all components and accessories, custom fitted 

A8806 

Powered, cable driven grip assist glove, hand, finger, includes pressure sensors, glove replacement only 

C8010 

Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral 

C9309 

Onasemnogene abeparvovec-brve (Itvisma) 

G0681 

Application of a premarket approval (PMA), 510(k), 361 human cells, tissues or cellular and tissue-based products (HCT/P) nonsheet form skin substitute for a wound surface area up to 100 sq cm; first 25 sq cm or less of wound surface area 

G0682 

Application of a premarket approval (PMA), 510(k), 361 human cells, tissues or cellular and tissue-based products (HCT/P) nonsheet form skin substitute for a wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure) 

G0683 

Application of a premarket approval (PMA), 510(k), 361 human cells, tissues or cellular and tissue-based products (HCT/P) nonsheet form skin substitute graft for a wound surface greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children 

G0684 

Application of a premarket approval (PMA), 510(k), 361 human cells, tissues or cellular and tissue-based products (HCT/P) nonsheet form skin substitute graft for a wound surface greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure) 

J2506 

INJ PEGFILGRAST EX BIO 0.5MG 

J3404 

Zopapogene imadenovec-drba (Papzimeos) 

L2221 

Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source 

Q4418 

BioLab Membrane Wrap Flow, per sq cm (add-on, list separately in addition to primary procedure) 

Q4419 

BioLab Membrane Wrap Lite Flow, per sq cm (add-on, list separately in addition to primary procedure) 

Q4421 

BioLab Membrane Wrap Solo, per sq cm (add-on, list separately in addition to primary procedure) 

Q4422 

A/C Wrap, per sq cm (add-on, list separately in addition to primary procedure) 

Q4423 

BioLab Tri-Membrane Wrap Flow, per sq cm (add-on, list separately in addition to primary procedure) 

Q4424 

Revive FT, per sq cm (add-on, list separately in addition to primary procedure) 

Q4425 

Revive TL, per sq cm (add-on, list separately in addition to primary procedure) 

Q4426 

DermaBind TL + or DermaBind TL X, per sq cm (add-on, list separately in addition to primary procedure) 

Q4427 

DermaBind DL N, DermaBind DL +, or DermaBind DL X, per sq cm (add-on, list separately in addition to primary procedure) 

Q4428 

DermaBind SL N, DermaBind SL +, or DermaBind SL X, per sq cm (add-on, list separately in addition to primary procedure) 

Q4429 

DermaBind CH N or DermaBind CH X, per sq cm (add-on, list separately in addition to primary procedure) 

Q4435 

Renati Membrane, per sq cm (add-on, list separately in addition to primary procedure) 

Q4436 

Renati AC Membrane, per sq cm (add-on, list separately in addition to primary procedure) 

Q4437 

Revival AC, per sq cm (add-on, list separately in addition to primary procedure) 

Q4438 

Pretect, per sq cm (add-on, list separately in addition to primary procedure) 

Q4439 

InstaGraft, per sq cm (add-on, list separately in addition to primary procedure) 

Q4440 

CuraMatrix, per sq cm (add-on, list separately in addition to primary procedure) 

Q5117 

INJ., KANJINTI, 10 MG