evekhm/cms_iom_500 huggingface dataset:
Article - Billing and Coding: Independent Diagnostic Testing Facilities (IDTF) (A58559)
93893Board Certified* Radiologist, Neurologist, Cardiologist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93895Board Certified* PhysicianARDMS -RDMS, RVT or ARRT- RS93922Board Certified* Radiologist, Cardiologist, Podiatrist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93923Board Certified* Radiologist, Cardiologist, Podiatrist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93924Board Certified* Radiologist, Cardiologist, Podiatrist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93925Board Certified* Radiologist, Cardiologist, Podiatrist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93926Board Certified* Radiologist, Cardiologist, Podiatrist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93930Board Certified* Radiologist, Cardiologist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93931Board Certified* Radiologist, Cardiologist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93970Board Certified* Radiologist, Cardiologist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93971Board Certified* Radiologist, Cardiologist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93975Board Certified* Radiologist, Vascular Surgeon or UrologistARDMS: RVT, ARRT: VS or CCI: RVS93976Board Certified* Radiologist, Vascular Surgeon or UrologistARDMS: RVT, ARRT: VS or CCI: RVS93978Board Certified* Radiologist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93979Board Certified* Radiologist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS
Article - Billing and Coding: Independent Diagnostic Testing Facilities (IDTF) (A58559)
93979Board Certified* Radiologist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93980Board Certified* Radiologist, Urologist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93981Board Certified* Radiologist, Urologist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93985Board Certified* Radiologist, Urologist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93986Board Certified* Radiologist, Urologist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS93990Board Certified* Radiologist or Vascular SurgeonARDMS: RVT, ARRT: VS or CCI: RVS94010Board Certified* PulmonologistRespiratory Therapist or RN94014Board Certified* PulmonologistRespiratory Therapist or RN94015Board Certified* PulmonologistRespiratory Therapist or RN94016Board Certified* Pulmonologist/ Physician supervision concept does not applyProfessional component only code - must be performed by a physician94060Board Certified* PulmonologistRespiratory Therapist or RN94070Board Certified* PulmonologistRespiratory Therapist or RN94150Board Certified* PulmonologistRespiratory Therapist94200Board Certified* PulmonologistRespiratory Therapist94375Board Certified* PulmonologistRespiratory Therapist94450Board Certified* PulmonologistRespiratory Therapist94452Board Certified* PulmonologistRespiratory Therapist or RN94453Board Certified* PulmonologistRespiratory Therapist or RN94617Board Certified* PulmonologistRespiratory Therapist or RN94618Board Certified* PulmonologistRespiratory Therapist or RN94619Board Certified* PulmonologistRespiratory Therapist or RN94621Board Certified* PulmonologistRespiratory Therapist or RN94680Board Certified* PulmonologistRespiratory Therapist94681Board Certified* PulmonologistRespiratory Therapist94690Board Certified* PulmonologistRespiratory Therapist94726Board Certified* PulmonologistRespiratory Therapist94727Board Certified* PulmonologistRespiratory Therapist94728Board Certified* PulmonologistRespiratory Therapist94729Board Certified* PulmonologistRespiratory Therapist
Article - Billing and Coding: Independent Diagnostic Testing Facilities (IDTF) (A58559)
94726Board Certified* PulmonologistRespiratory Therapist94727Board Certified* PulmonologistRespiratory Therapist94728Board Certified* PulmonologistRespiratory Therapist94729Board Certified* PulmonologistRespiratory Therapist94760Board Certified* PulmonologistDemonstrates proficiency94761Board Certified* PulmonologistDemonstrates proficiency94762Board Certified* PulmonologistDemonstrates proficiency94772Board Certified* PulmonologistRespiratory Therapist95700Board Certified* NeurologistABRET: R. EEG T95705Board Certified* NeurologistABRET: R. EEG T95706Board Certified* NeurologistABRET: R. EEG T95707Board Certified* NeurologistABRET: R. EEG T95708Board Certified* NeurologistABRET: R. EEG T95709Board Certified* NeurologistABRET: R. EEG T95710Board Certified* NeurologistABRET: R. EEG T95711Board Certified* NeurologistABRET: R. EEG T95712Board Certified* NeurologistABRET: R. EEG T95713Board Certified* NeurologistABRET: R. EEG T95714Board Certified* NeurologistABRET: R. EEG T95715Board Certified* NeurologistABRET: R. EEG T95716Board Certified* NeurologistABRET: R. EEG T95717Board Certified* NeurologistABRET: R. EEG T95718Board Certified* NeurologistABRET: R. EEG T95719Board Certified* NeurologistABRET: R. EEG T95720Board Certified* NeurologistABRET: R. EEG T95721Board Certified* NeurologistABRET: R. EEG T95722Board Certified* NeurologistABRET: R. EEG T95723Board Certified* NeurologistABRET: R. EEG T95724Board Certified* NeurologistABRET: R. EEG T95725Board Certified* NeurologistABRET: R. EEG T95726Board Certified* NeurologistABRET: R. EEG T
Article - Billing and Coding: Independent Diagnostic Testing Facilities (IDTF) (A58559)
95725Board Certified* NeurologistABRET: R. EEG T95726Board Certified* NeurologistABRET: R. EEG T95800Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto)BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS95801Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto)BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS95805Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto)BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS95806Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto)BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS95807Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto)BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS95808Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto)BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS95810Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto)BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS95811Board Certified* Physician with (ABSM, ABFM, ABIM or ABOto)BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS95812Board Certified* NeurologistABRET: R. EEG T
Article - Billing and Coding: Independent Diagnostic Testing Facilities (IDTF) (A58559)
95812Board Certified* NeurologistABRET: R. EEG T95813Board Certified* NeurologistABRET: R. EEG T95816Board Certified* NeurologistABRET: R. EEG T95819Board Certified* NeurologistABRET: R. EEG T95822Board Certified* NeurologistABRET: R. EEG T95830Board Certified* Neurologist/ Physician Supervision concept does not applyPhysician service code - must be performed by a physician95836Board Certified* Neurosurgeon or NeurologistABRET: R. EEG T95860Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:a) American Board of Electrodiagnostic Medicine,b) Clinical Neurophysiology, orc) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist95861Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:a) American Board of Electrodiagnostic Medicine,b) Clinical Neurophysiology, orc) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist95863Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:a) American Board of Electrodiagnostic Medicine,b) Clinical Neurophysiology, orc) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist
Article - Billing and Coding: Independent Diagnostic Testing Facilities (IDTF) (A58559)
95864Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:a) American Board of Electrodiagnostic Medicine,b) Clinical Neurophysiology, orc) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist95867Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:a) American Board of Electrodiagnostic Medicine,b) Clinical Neurophysiology, orc) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist95868Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:a) American Board of Electrodiagnostic Medicine,b) Clinical Neurophysiology, orc) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist95869Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:a) American Board of Electrodiagnostic Medicine,b) Clinical Neurophysiology, orc) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist
Article - Billing and Coding: Independent Diagnostic Testing Facilities (IDTF) (A58559)
95870Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:a) American Board of Electrodiagnostic Medicine,b) Clinical Neurophysiology, orc) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist95872Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:a) American Board of Electrodiagnostic Medicine,b) Clinical Neurophysiology, orc) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist95875Board Certified* Neurologist or PhysiatristABRET: R. EP T.95885Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:a) American Board of Electrodiagnostic Medicine,b) Clinical Neurophysiology, orc) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist95886Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:a) American Board of Electrodiagnostic Medicine,b) Clinical Neurophysiology, orc) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist
Article - Billing and Coding: Independent Diagnostic Testing Facilities (IDTF) (A58559)
95887Board Certified* Neurologist or Board Certified* PMR Specialist with additional certification by:a) American Board of Electrodiagnostic Medicine,b) Clinical Neurophysiology, orc) American Board of Neurophysiology; or a Physical therapist who is certified by the ABPTS as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law.AAET: R. NCS. T, ABEM: CNCT, or ABPTS: State licensed Physical Therapist95905Board Certified* Neurologist, Physiatrist or PodiatristAAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT95907Board Certified* Neurologist or Physiatrist- General supervision level applies if PT not certifiedAAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT95908Board Certified* Neurologist or Physiatrist- General supervision level applies if PT not certifiedAAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT95909Board Certified* Neurologist or Physiatrist- General supervision level applies if PT not certifiedAAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT95910Board Certified* Neurologist or Physiatrist- General supervision level applies if PT not certifiedAAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT95911Board Certified* Neurologist or Physiatrist- General supervision level applies if PT not certifiedAAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT95912Board Certified* Neurologist or Physiatrist- General supervision level applies if PT not certifiedAAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT
Article - Billing and Coding: Independent Diagnostic Testing Facilities (IDTF) (A58559)
95913Board Certified* Neurologist or Physiatrist- General supervision level applies if PT not certifiedAAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT95921Board Certified* Neurologist or PhysiatristAAET: R. NCS.T95922Board Certified* Neurologist or PhysiatristAAET: R. NCS.T95923Board Certified* Neurologist or PhysiatristAAET: R. NCS.T95924Board Certified* Neurologist or PhysiatristAAET: R. NCS.T95925Board Certified* Neurologist or PhysiatristABRET: R. EPT or R. EEG T.95926Board Certified* Neurologist, Physiatrist or PodiatristABRET: R. EPT or R. EEG T.95927Board Certified* Neurologist or PhysiatristABRET: R. EPT or R. EEG T.95928Board Certified* Neurologist or PhysiatristABRET: R. EPT or R. EEG T.95929Board Certified* Neurologist or PhysiatristABRET: R. EPT or R. EEG T.95930Board Certified* Neurologist or PhysiatristABRET: R. EPT or R. EEG T.95933Board Certified* Neurologist or PhysiatristAAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT95937Board Certified* Neurologist or Physiatrist - General supervision level applies if PT not certifiedAAET: R. NCS.T, ABRET: R. EP T., ABPTS: Physical Therapist or ABEM: CNCT95938Board Certified* Neurologist, Physiatrist or Podiatrist - General supervision level applies if PT not certifiedABRET: R. EPT or R. EEG T.95939Board Certified* Neurologist or PhysiatristABRET: R. EPT or R. EEG T.
Article - Billing and Coding: Independent Diagnostic Testing Facilities (IDTF) (A58559)
95939Board Certified* Neurologist or PhysiatristABRET: R. EPT or R. EEG T.95943Board Certified* Neurologist or PhysiatristAAET: R. NCS.T95957Board Certified* NeurologistABRET: R. EEG T95958Board Certified* NeurologistABRET: R. EEG T95965Board Certified* Neurosurgeon or NeurologistABRET: R. EEG T95966Board Certified* Neurosurgeon or NeurologistABRET: R. EEG T95967Board Certified* Neurosurgeon or NeurologistABRET: R. EEG T95976Board Certified* Neurosurgeon or NeurologistABRET: R. EEG T95977Board Certified* Neurosurgeon or NeurologistABRET: R. EEG T95983Board Certified* Neurosurgeon or NeurologistABRET: R. EEG T95984Board Certified* PhysicianN/A96105Psychiatrist, Clinical Psychologist or Qualified Independent PsychologistPhysician service code - must be performed by a physician96110Psychiatrist, Clinical Psychologist or Qualified Independent PsychologistPhysician service code - must be performed by a physician96116Board Certified* Physician or PsychologistPhysician Service Code - must be performed by a physician or other qualified health care professional99151Board Certified* PhysicianPhysician Service Code - must be performed by a physician or other qualified health care professional99152Board Certified* PhysicianRN99153Board Certified* PhysicianRN99155Board Certified* PhysicianRN99156Board Certified* PhysicianRN99157Board Certified* PhysicianRN99202Board Certified* PhysicianRN99211Board Certified* PhysicianRN99453Board Certified* PhysicianRN99454Board Certified* PhysicianRN99457Board Certified* PhysicianRN99458Board Certified* PhysicianRN
Article - Billing and Coding: Independent Diagnostic Testing Facilities (IDTF) (A58559)
99202Board Certified* PhysicianRN99211Board Certified* PhysicianRN99453Board Certified* PhysicianRN99454Board Certified* PhysicianRN99457Board Certified* PhysicianRN99458Board Certified* PhysicianRNThese associations hold licenses and/or certifications and are approved to perform in areas of expertise within the bounds of organization:American Association of Electrodiagnostic Technologists (AAET)American Board of Electrodiagnostic Medicine (ABEM)American Board of Family Medicine (ABFM)American Board of Internal Medicine (ABIM)American Board of Medical Specialties (ABMS)American Board of Nuclear Medicine (ABNM)American Board of Otolaryngology (ABOto)American Board of Psychiatry and Neurology (ABPN)American Board of Physical Therapy Specialties (ABPTS)American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET)American Board of Sleep Medicine (ABSM)American Osteopathic Association (AOA)American Registry of Diagnostic Medical Sonographers (ARDMS)American Registry of Magnetic Resonance Imaging Technologists (ARMRIT)The American Registry of Radiologic Technologists (ARRT)American Society of Neuroimaging (ASN)Board of Registered Polysomnographic Technologists (BRPT)Cardiovascular Credentialing International (CCI)The International Society for Clinical Densitometry (ISCD)Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO)National Board for Respiratory Care (NBRC)National Healthcare Association (NHA)Nuclear Medicine Technology Certification Board (NMTCB)The Board of Certification of the Ophthalmic Photographers' Society (OPS)Physical Medicine and Rehabilitation (PMR)United Council for Neurologic Subspecialties (UCNS)
Article - Billing and Coding: Wound and Ulcer Care (A58565)
CMS National Coverage PolicyN/AArticle TextRefer to Local Coverage Determination (LCD) L38902, Wound and Ulcer Care, for reasonable and necessary requirements.The Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) code(s) may be subject to National Correct Coding Initiative (NCCI) edits. This information does not take precedence over NCCI edits. Please refer to NCCI for correct coding guidelines and specific applicable code combinations prior to billing Medicare.Coding GuidelinesClaims must be submitted with an ICD-10-CM code that represents the reason the procedure was done. The ICD-10-CM code must be billed to the highest level of specificity for that code set. The ICD-10-CM code must be linked to the appropriate procedure code.When the only service provided is the non-surgical cleansing of the ulcer site with or without the applications of a surgical dressing, the provider should bill this service with the appropriate evaluation and management (E/M) code and not bill a debridement code(s).The debridement codes listed below are appropriate for treatment of skin ulcers, circumscribed dermal infections, conditions affecting contiguous deeper structures, and debridement of ground-in dirt such as from road abrasions.Active Wound Care Management  CPT codes 97597, 97598, 97602, 97605, 97606, 97607, and 97608
Article - Billing and Coding: Wound and Ulcer Care (A58565)
Currently, code 97602 is a status B (bundled) code for physicians services; therefore, separate payment is not allowed for this service.A therapist acting within their scope of practice and licensure performing active wound care management services must add the appropriate therapy modifier to the CPT code billed.In addition, the therapy Revenue Code must be submitted for that service when performed in a Part A outpatient facility setting. If a non-therapist performs the service, no therapy modifiers are used, and a non-therapy Revenue Code must be submitted for the service if performed in a Part A outpatient facility setting.Please see MM10176 for more information.For debridement codes 97597, 97598, or 97602:Debridement should be coded with either selective or non-selective CPT codes (97597, 97598, or 97602) unless the medical record supports a surgical debridement has been performed.Dressings applied to the wound are part of the services for CPT codes 97597, 97598 and 97602 and they may not be billed separately.It is not appropriate to report CPT code 97602 in addition to CPT code 97597 and/or 97598 for wound care performed on the same wound on the same date of service.Code(s) 97597, 97598 and 97602 should not be reported in conjunction with code(s) 11042-11047 for the same wound. The wound depth debrided determines the appropriate code.For example, when only biofilm on the surface of a muscular ulceration is debrided, then codes 97597-97598 would be appropriate. If muscle substance was debrided, then the 11043-11046 series would be appropriate, depending on the area.
Article - Billing and Coding: Wound and Ulcer Care (A58565)
Codes 97602, 97605, 97606, 97607 and 97608 include the application of and the removal of any protective or bulk dressings. However, if only a dressing change is performed without any active wound procedure as described by these debridement codes, these debridement codes should not be reported.CPT 97597 and 97598 may be used for the medically reasonable and necessary debridement with utilization consistent with this LCD and within scope of practice of the performing provider.Generally, whirlpool is a component of CPT codes 97597/97598 and should not be reported separately during the same encounter. Only when there is a separately identifiable service being treated by the therapist, and the documentation supports this treatment, would the service be considered for payment utilizing modifier -59 or a more specific modifier as appropriate (e.g., LT, RT, -XS, etc.).Surgical Debridement  CPT codes 11000-11012, and 11042-11047