Notification



Notification Issue Date:



Policy Attachment


Attachment to Policy # 00.10.36p


Attachment:A

Policy #:00.10.36p

Description:Radiologic Guidance and Supervision and Interpretation Procedure Codes

Title:Radiologic Guidance of a Procedure


Inclusion of a code in this table does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.

The codes listed below are updated on a regular basis, in accordance with nationally accepted coding guidelines. Therefore, this policy applies to any and all future applicable coding changes, revisions, or updates.

In order to ensure optimal reimbursement, all health care services, devices, and pharmaceuticals should be reported using the billing codes and modifiers that most accurately represent the services rendered, unless otherwise directed by the Company.



RADIOLOGIC GUIDANCE AND SUPERVISION AND INTERPRETATION PROCEDURE CODES

The following codes represent services for radiologic guidance or supervision and/or interpretation of a procedure.

Inclusion of a code in this policy table does not guarantee reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and applicable policies apply.

CODE
0075T
0076T
0080T
0081T
70010
70015
70170
70332
70390
72240
72255
72265
72270
72275
72285
72295
73040
73085
73115
73525
73580
73615
74190
74235
74300
74301
74328
74329
74330
74340
74355
74360
74363
74425
74430
74440
74445
74450
74455
74470
74485
74740
74742
75600
75605
75625
75630
75705
75710
75716
75724
75726
75731
75733
75736
75741
75743
75746
75756
75774
75801
75803
75805
75807
75809
75810
75820
75822
75825
75827
75831
75833
75840
75842
75860
75870
75872
75880
75885
75887
75889
75891
75893
75894
75901
75902
75940
75956
75957
75958
75959
75970
75984
75989
76080
76930
76932
76936
76937
76940
76941
76942
76945
76946
76948
76965
76975
76998
77001
77002
77003
77011
77012
77013
77014
77021
77022
77053
77054
77387
92242
92978
92979
93662
G0278
G6001
G6002




Version Effective Date: 01/01/2019
Version Issued Date: 01/03/2019
Version Reissued Date: N/A

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Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.