Posts tagged: Procedure

procedure code 92250 is it payable

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By , April 13, 2016 3:11 pm


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procedure code 92250 is it payable

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Medicare Program; Revisions to Payment Policies under the … – AAMC

Dec 30, 2014 … 2016 to 4.0 percent in CY 2017 for physicians in groups of 10 or more eligible ….
and G0206) for CY 2015 and to pay all mammography using CPT codes ……
Fundus photography code 92250, electrocardiogram code 93010,.

2016 Provider Reimbursement Manual – MDwise

Jan 1, 2014 … 2016 Provider Reimbursement Manual ….. or one of the procedure codes from
Table 2 for claims examiner review of appropriate documentation ….. physician is
paid under the MPFS, or if no Medicare rate, 150% of Medicaid.

Benefits for Nonsurgical Vision Services to Change for … – TMHP.com

Nov 20, 2015 … the CSHCN Services Program January 1, 2016 … Procedure codes must be
submitted with modifier LT or RT to identify the eye on which … "Special Vision
Services," for a list of payable diagnosis codes for procedure code … Procedure
codes 92250 and 92260 will be limited to two per calendar year when …

Medicaid Provider Guide – Health Care Authority

Jan 1, 2016 … This publication takes effect January 1, 2016, and supersedes earlier guides to
this … CPT, and the AMA is not recommending their use.

MPFS Proposed Rule 2015 Summary Final – American College of …

Jul 3, 2014 … A. Multiple Procedure Payment Reduction (MPPR). In the proposed rule, … CPT
codes are billed extremely infrequently, CMS is proposing to delete the
mammography G- … 92250 Eye exam with photos ….. beyond CY 2016?

Participating in the Physician Quality Reporting System

your PQRS requirement by including level II CPT codes on your Medicare claims.
CMS is … CMS is no longer offering incentive payments for participating in the
program. To see the list of … For example if you participate throughout 2015, you'
ll report your results by February 29, 2016, to avoid ….. Retinal photo – 92250.

here – McKesson

Aug 18, 2015 … Summary CMS Outpatient Prospective Payment System and Ambulatory Surgery
…. TABLE 45: CY 2016 PFS Proposed Rule Estimated Impact on Total Allowed
Charges by. Specialty …. table in Federal Registry for CPT code description) ….
92250. Tympanometry. 92275. Eye exam with photos. 92557.

Ask the Coding Experts Top 10 Questions – HOACLS

*BUT We can give you coding guidelines for OCT use …. CPT® 92250
considered medically necessary to monitor pathology … 2016. * Your Medicare
reimbursement will drop by 2.0%. * 2017 penalties will be …. Multiple Procedure
Payment.

2015 MPFS PR Summary-HHS.Final – Heart Rhythm Society

Jul 3, 2014 … Medicare's payment systems are updated to reflect changes in … o CMS is also
proposing these CPT codes as potentially misvalued ….. CMS intends to propose
an anesthesia adjustment for MP in the CY 2016 PFS proposed rule and are … o
CPT codes 92250 (fundus photography with interpretation and …

CY2016 Proposed Rule for Radiation Oncology – MPFS

Jul 10, 2015 … o CY 2016 will have significant number of codes valued which do … services, as
reflected in CPT guidance, and CMS is proposing to use the RUC … furnishing
services for which they are billing and receiving payment as an incident to their
…. 92250. Eye exam with photos. New codes for use under MPFS …

July 2014 – Gold Coast Health Plan

Jul 15, 2014 … SECTION 7: Explanation of Payment Changes – iCES Denials ……………………………
………………………………7. SECTION 8: HEDIS® Coding and Documentation Tips to
Improve “Hybrid” …. Eligibility is established through diagnosis and assessment
performed by …. 92240, 92250, 92260, ….. expire June 20…

JAMA. 2005 – MedTees.com

Jul 27, 2005 … total amount of paid claims for that ben- eficiary. Our analysis …. CPT codes:
92002-92014, 92225, 92250. ICD-9-CM codes: … CPT codes: 45379, 45380,
45382-45385. ICD-9-CM ….. 1991;151:2009-2016. 18. Goldstein DE …

15-16 Administrator Agreement – Owosso Public Schools

Jul 1, 2015 … School Code, as amended. … process procedure if he/she so desires. … January
of 2016 and the second half is to be paid in June 2016. C. … 92,250. 92,896.
93,539. 94,183. Asst. Principal –. Sec, OHS. Athletic. Director. 30.

Meet the Best International Experts – EuroMediCom

Jun 16, 2015 … THE ANTI-AGING & BEAUTY TROPHY 2015-2016 … Laser procedure ….. EVENT
: AMEC 2015 – IDENTIFIER CODE: 23905AF … Bank check in euros enclosed,
payable to euroMedicom … F-92250 La Garenne-Colombes.

2015 Performance Incentive Technical Manual – MiPCT …

Sep 8, 2015 … Distribution of Performance Incentive Payments . …. Visits. CPT 99281-‐99285;
Revenue Codes 045x, 0981. 2. Asthma …. scores, though they may add this
capability for the 2016 incentives. Metrics … 92235, 92240, 92250, 92260, 99203
-‐99205, 99213-‐99215, 99242-‐99245; ICD-‐9: 14.1-‐14.5, 14.9,.

Agenda – West Valley Sanitation District

May 13, 2015 … Consolidated Income and Expense Statement of West Valley Sanitation. District
for the … District Proposed Budget for Fiscal Year 2015-2016. B. Adopt …
HEALTH AND SAFETY CODE SECTION 5471 ET SEQ: Resolution adopts ….
Complaint Procedure Against Harassment, Discrimination, and Retaliation.

Chapter 7: The Office of the Auditor General of Ontario (pdf 630kb)

system in place for a process or procedure that was working ….. The Office has a
Code of Professional Conduct to …. paid as trainees, because salaries for
qualified …. Increase (decrease) in accounts payable and accrued liabilities.
26,786. (92,250) …. 2016–17. 508,800. 2017–18. 514,200. 2018–19 and beyond.
1,897,800.

2012-2013 Annual Report – Facilities Management – University of …

rooms, in accordance with modern-day fire code requirements …. Construction is
now underway, with completion expected in summer of 2016. Quesenberry's of.

2013 State Plan – Florida Division of Vocational Rehabilitation

are on the wait list [per Section 101 (a) (5) (D) of the Act and 34 Code of Federal
….. In turn, VR will allocate an additional $92,250 in federal funds to … level
agreement, including agencies charged with providing transition services to …..
individuals hired in 2011 will have until 2016 to meet the standard; those hired in
201…

WEEKLY-CHRON SUN STD 01.qxd – Holtville Tribune Newspaper

Calexico Teachers To Get First Pay Raise In Nine Years. FREE! FREE! local
news!! OUR 110TH YEAR! VOL. 111 NO. 37, IMPERIAL COUNTY, CA. 92250.
Thursday, September 17, 2015. CHANGE SERVICE ….. Political Code, State of
…. rect procedure of the three equal …. person will serve in office until November
of 2016.

medicare procedure list

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By , April 6, 2016 10:27 pm


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medicare procedure list

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MM9097 – Centers for Medicare & Medicaid Services

Mar 31, 2015 … Healthcare Common Procedure Coding System (HCPCS), Ambulatory Payment
… The most current list of device edits can be found under "Device and Procedure
Edits" at ….. required beginning on January 1, 2016.

ICD-10-CM Guidelines – Centers for Medicare & Medicaid Services

The diagnosis codes (Tabular List and Alphabetic Index) have been adopted …
assignment, and reporting of diagnoses and procedures. These guidelines … ICD
-10-CM Official Guidelines for Coding and Reporting. FY 2016. Page 2 of 115.

Medicare Hospital Outpatient Prospective Payment System

Jul 8, 2015 … Medicare Program: Hospital Outpatient Prospective Payment and … (ASC)
payment system for CY 2016 to …. Inpatient Only Procedures List,.

CMS Finalizes 2016 Medicare Payment Rates for Outpatient …

Nov 13, 2015 … Teaser: Members can look forward to changes to the Inpatient Only List and
higher APC payment rates for certain urology procedures in 2016.

CY2016 Medicare Final Rules for OPPS, ASC … – Boston Scientific

CY2016 Medicare Final Rules Issued for Hospital Outpatient,. Ambulatory ….
procedures on the inpatient-only list or otherwise listed as a national exception).

OPPS final rule – s3.amazonaws.com

Nov 13, 2015 … outpatient prospective payment system (OPPS) and the Medicare ambulatory
surgical center (ASC) payment system for CY 2016 to implement applicable
statutory …. Inpatient Only Procedures List, contact Lela Strong at (410) …

2016 OPPS Proposed Rule Summary

Jul 1, 2015 … CMS has proposed to increase CY 2016 OPPS payments by 1.9 percent … The
list of add-‐on codes eligible for the complexity adjustment …. reported on the
same claim as the inpatient only procedure billed with modifier –CA …

Summary of the Proposed CY2016 Medicare Hospital Outpatient Rule

Jul 8, 2015 … payments for certain device-dependent procedures;. • Expansion of the list of
services to be packaged into APCs as opposed to separately paid; … CMS has
set a proposed CY 2016 outlier fixed-dollar threshold of $3,650.

View the memo – Quorum Consulting, Inc.

Aug 10, 2015 … fiscal year (FY) 2016 Medicare payment policies and rates for inpatient …. care,
and the procedure is not on the inpatient-only list or otherwise …

2016 Medicare Proposed Hospital Outpatient Payments – AABB

its new packaging policy. In 2016, CMS proposes to include several additional
transfusion and pathology procedures on the list of affected APCs. For 2016,
CMS …

AANS and CNS Comment on Payment Provisions in Proposed 2016 …

Aug 31, 2015 … Medicaid Services' (CMS) 2016 Medicare Hospital Outpatient … 20936, 20937,
20938, 22552, to the ASC Covered Surgical Procedures list.

Blue Cross Medicare Advantage Section Of The Blues Provider

Medicare contract and a contract with the New Mexico Medicaid program.
Enrollment in … January 2016 …. procedures of the Blue Cross Medicare
Advantage network. …… This preauthorization list is effective for services
provided on and after.

New Radiology CPT Codes for 2016 – Streamline MD

The new CPT (procedure) codes for the upcoming year are now available. …
2016 Medicare Physician Fee Schedule (MPFS) Final Rule is released sometime
in November. … focused list of those new codes affecting diagnostic radiology
and …

2016 FACILITY CODING AND MEDICARE … – Acclarent.com

Nov 13, 2015 … 2016 FACILITY CODING AND MEDICARE PAYMENT RATES … Some of the
procedure codes for endoscopic airway surgery and related … procedure on ASC
list in CY 2007, payment based on OPPS relative payment weight …

FirstMedicare Direct PPO Plus – North Carolina Department of …

Jan 1, 2016 … service that we cover or list every limitation or exclusion. To get a … Things to
Know About FirstMedicare Direct PPO Plus (PPO). • Monthly …

2016 Summary of Benefits HMO – Premera Blue Cross Medicare …

Jan 1, 2016 … It doesn't list every service that we cover or list every limitation or … Blue Cross
Medicare Advantage Plus (HMO) cover and what you pay. • If you want to …. and
X-Rays. Diagnostic tests and procedures: 20% of the cost.

2015-16 Proper Coding of Sanofi Pastuer Products

Effective July 1, 2015 through June 30, 2016. Visit the …. g Medicare requires the
use of G0008 when billing for the administration of influenza vaccine. All other …

PEEHIP Member Handbook – Retirement Systems of Alabama

Enrollment Procedures . …. Important Notice About Your Prescription Drug
Coverage and Medicare …………………………………….. 54. Premium … Provision for
Medicare-Eligible Retired Employees . ….. Effective 10/1/2016. Year 3: $75 …..
Please refer to the “Spouse” category on page 15 for a list of acceptable
document…

Summary of Medicare Inpatient Prospective Payment System for

New Wage Index Development Timetable for FY2016 and Beyond … year (FY)
2015 final payment rule for the Medicare inpatient prospective payment …… stay
policy should not apply to those procedures on the “inpatient only” list; a short-
stay.

Bilateral Procedures Policy – OXHP – Oxford Health Plans

Jan 1, 2016 … Bilateral Procedures: Reimbursement Policy (Effective 01/01/2016). 1 … Unless
otherwise stated, Oxford policies do not apply to Medicare Advantage …. For a list
of procedure codes that are subject to multiple procedure …

medicare procedure codes list

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By , April 6, 2016 3:19 am


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medicare procedure codes list

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Preventive Services Chart – Centers for Medicare & Medicaid Services

System (HCPCS)/Current Procedural Terminology (CPT) codes; coverage
requirements; … Please note: The information in this publication applies only to
the Medicare Fee-For-Service …. procedures, endoscope ….. mammography (List
.

Home Health Medicare Billing Codes Sheet – CGS

61 Discharge/transfer to hospital-based Medicare … institution not defined
elsewhere in code list … Note: The codes listed on this billing codes sheet
represent those most frequently … NOTE: Not valid for visits made on or after 1/1/
2016. 055X.

Calendar Year (CY) 2016 Clinical laboratory Fee Schedule (CLFS …

In addition, for some of the drugs of abuse testing codes, the AMA CPT did not
delete the 2014 … CMS Recommendation: 0.5 TIMES G0434: Drug screen, other
than …… drug tested (List separately in addition to code for primary procedure).

CY2016 Medicare Final Rules for OPPS, ASC … – Boston Scientific

Table 1: Hospital Outpatient CY2016 Final Payment Rates; Table 2: ASC
CY2016 Final … Medicare currently uses C-APCs to pay for procedures involving
… CMS has also broadened their list of “Add-On” codes that are deemed eligible
for …

2015-16 Proper Coding of Sanofi Pastuer Products

for additional coding and billing resources for Sanofi Pasteur products. … Code.
Administration CPT Code without Counseling through 18 Years of Agec, …. f
NDC numbers supplied for influenza virus vaccine are the 2015-2016 formulation
. … g Medicare requires the use of G0008 when billing for the administration of …

Final Rule – U.S. Government Printing Office

Nov 16, 2015 … Schedule and Other Revisions to Part B for CY 2016; Final Rule. VerDate …
Medicare Part B payment policies to ensure that our …. list of HCPCS/CPT codes
found on tables 50 and … J. Incident to Proposals: Billing Physician.

HPA Summary of the FY 2016 IPPS Final Rule – AAMC

Jul 31, 2015 … FINAL RULE: MEDICARE INPATIENT HOSPITAL OPERATING AND … H.
Recalibration of the FY 2016 MS-DRG Relative Weights ….. Administrative
Procedure Act by not providing adequate notice to allow for meaningful ….. The
HAC code list translations from ICD-9-CM to ICD-10-CM/PCS are located in.

CMS Finalizes 2016 Medicare Payment Rates for Outpatient …

Nov 13, 2015 … services and ASC covered procedures. … For CY 2016, CMS removed from the
Inpatient Only list CPT code 54411 (Removal and replacement …

Procedure to Place of Service Policy – UHCCommunityPlan.com

Nov 11, 2015 … 2016R7108A. Annual … Terminology (CPT®*), Centers for Medicare and
Medicaid Services (CMS) or other coding guidelines. … For any code that is not
on the list, the place of service is not limited. Note that any procedure code
reported with an appropriate place of service may also be subject to other.

Policy Name Multiple Procedure Reduction Summary … – Medica

Medica considers procedure codes with CMS multiple procedure indicators of 2
and 3 … Code Lists. Multiple Procedure Reduction Eligible Code List 2016.

Summary of the 2016 MPFS Proposed Rule

Sep 8, 2015 … CY 2016 Medicare Physician Fee Schedule ….. developing this year's proposed
list, CMS excluded all codes with 10- and 90-day global …

Supply Policy – Oxford Health Plans

Jan 1, 2016 … Supply Policy: Reimbursement Policy (Effective: 01/01/2016) … The Oxford
Supply Policy Codes List (see the Attachment section below) … addition, CMS
reimburses ambulatory surgery centers under an Ambulatory Payment.

Vertebroplasty 2016 – Cook Medical

The entity billing Medicare and/or third party payers is solely responsible for the
accuracy of the … (List separately in addition to code for primary procedure).

Medicare Rates and CPT Codes – Updated June … – Colorado.gov

WWC Clinical Services WISEWOMAN 2015 CPT CODE LIST. CPT. CODES …
Reimbursable Services and Procedures for January 1, 2015- June 29, 2016.

Key to MPFSDB Indicators for 2016 – WPS

Dec 29, 2015 … procedure's relative value unit (i.e., the RVUs for work, practice expense, and
malpractice). … units for all Medicare Physician Fee Schedule services with new
… These facility-only codes are identified by a “NA” in the.

Final Industry Memo Medicare Filtering Logic 12 … – CSSC Operations

Dec 22, 2015 … updated Medicare Risk Adjustment CPT/HCPCS list for PY 2015 at … For both PY
2015 and PY 2016, CMS will calculate risk scores … procedure codes to
determine whether a particular encounter data record should be used …

Medicare & You – Medicare.gov

Oct 1, 2015 … What's important in 2016 (page 12). What Medicare …. Cosmetic surgery 71 …..
Visit apps.opm.gov/abo for a list of Benefits Officers. Railroad …

Summer 2015 – Delta Dental of Virginia

Sep 17, 2015 … to CDT codes for 2016. … Deals and get a full list of vendors. … many dental
procedures and it may not always be obvious from their ID card … Effective
January 1, 2016, if you choose to opt out of Medicare, services you.

CY 2015 Medicare Physician Updates & Changes – Medtronic

Jan 1, 2015 … CMS: ICD-9/10 procedure codes – hospital inpatient. 2014 CPT code … CPT
Level I codes are expected to be available in CY 2016. • 0387T: ….. codes: http://
www.cms.gov/PhysicianFeeSched/PFSRVF/list.asp#TopOfPage.

August 31, 2015 SUBMITTED ELECTRONICALLY Andrew M. Slavitt …

Aug 31, 2015 … RE: Medicare Program; Hospital Outpatient Prospective Payment and … Spine
Society (NASS) appreciates the opportunity to comment on the 2016 Hospital …
instrumentation and graft codes to the covered procedures list.

medicare lcd policy for procedure code 20610

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By , March 18, 2016 10:42 pm


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medicare lcd policy for procedure code 20610

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Maximum Frequency Per Day – Oxford Health Plans

Maximum Frequency Per Day: Reimbursement Policy (Effective 01/01/2016). ©
1996-2016 … Unless otherwise stated, Oxford policies do not apply to Medicare
… Refer to the Member's plan of benefits or Certificate of Coverage to determine
whether coverage … CPT and HCPCS codes to be submitted with multiple units.

December 2014 Medicare B Connection – First Coast Service …

Dec 2, 2014 … coverage policies. Policies have or will take effect on the date given. Providers …
included in CPT. AMA does not …. specific CPT® and HCPCS procedure codes.
It is arranged by ….. is effective July 1, 2013, to June 30, 2016.

Corporate Reimbursement Policy – Blue Cross and Blue Shield of …

File Name: bundling_guidelines. 1/2000. 12/2015. 12/2016. Origination: Last
Review: … or reimbursed by any health insurance coverage. Use of any CPT or
HCPCS code should be fully supported in the medical documentation. Claims
are … The pre- and post-operative global days are based on CMS standards. The
global …

Winter 2015 Communique – WPS

Mar 1, 2015 … 2015 Update of the Medicare Benefit Policy Manual, Chapter 13 –. Rural Health
Clinic (RHC) … Modifications to Medicare Part B Coverage of Pneumococcal ….
units, relative values, or related listings are included in CPT. The.

December 2014 – Experian

Modified Requirements for Medicare Coverage of Ultrasound Screening for
Abdominal Aortic Aneurysms … associated modifiers, the two procedure codes
may.

2.01.31 – Premera Blue Cross

The procedure may be billed using a combination of CPT codes to describe the …
however, the use of both CPT code 20610 and an evaluation and management
CPT code during …. determining coverage for specific medical procedures, drugs
or devices. … This medical policy does not apply to Medicare Advantage.

Moda Health Medical Necessity Criteria Subject: Prolotherapy …

Aug 26, 2015 … Criteria: (This criteria is consistent with the CMS guidelines for … A. Medicare
Criteria will cover Platelet Rich Plasma for chronic … Applicable CPT/HCPC
Codes: … 20610. Arthrocentesis, aspiration and/or injection; major joint or bursa
… Annual Review: Added Medicare criteria, ICD-10 codes. 08/26/2016.

comment letter – American Society for Clinical Pathology

Sep 2, 2014 … ASCP is grateful to CMS for its efforts to ensure the accurate … Determination (
LCD) Process for Clinical Laboratory Diagnostic Testing; (7) Development of
CMS-led … code change applications for the May 2014 CPT Editorial Panel
meeting. … does not align well with the RUC meeting cycle for CY 2016.

Summer 2015 – Florida Society of Interventional Pain Physicians

FSIPP 2016 Annual Meeting … http://www.cms.gov/Medicare/Quality-Initiatives-
Patient-Assessment-Instruments/PQRS/ … agreements, coverage agreements,
hospital based services agreements, ….. kyphoplasty and vertebroplasty, per
Appendix G of CPT 2015; for 2014, it was only bundled for vertebroplasty. … and
20610).

Maximum Frequency Per Day – Oxford Health Plans

Maximum Frequency Per Day: Reimbursement Policy (Effective 01/01/2016). ©
1996-2016 … Unless otherwise stated, Oxford policies do not apply to Medicare
… Refer to the Member's plan of benefits or Certificate of Coverage to determine
whether coverage … CPT and HCPCS codes to be submitted with multiple units.

December 2014 Medicare B Connection – First Coast Service …

Dec 2, 2014 … coverage policies. Policies have or will take effect on the date given. Providers …
included in CPT. AMA does not …. specific CPT® and HCPCS procedure codes.
It is arranged by ….. is effective July 1, 2013, to June 30, 2016.

Corporate Reimbursement Policy – Blue Cross and Blue Shield of …

File Name: bundling_guidelines. 1/2000. 12/2015. 12/2016. Origination: Last
Review: … or reimbursed by any health insurance coverage. Use of any CPT or
HCPCS code should be fully supported in the medical documentation. Claims
are … The pre- and post-operative global days are based on CMS standards. The
global …

December 2014 – Experian

Modified Requirements for Medicare Coverage of Ultrasound Screening for
Abdominal Aortic Aneurysms … associated modifiers, the two procedure codes
may.

2.01.31 – Premera Blue Cross

The procedure may be billed using a combination of CPT codes to describe the …
however, the use of both CPT code 20610 and an evaluation and management
CPT code during …. determining coverage for specific medical procedures, drugs
or devices. … This medical policy does not apply to Medicare Advantage.

Moda Health Medical Necessity Criteria Subject: Prolotherapy …

Aug 26, 2015 … Criteria: (This criteria is consistent with the CMS guidelines for … A. Medicare
Criteria will cover Platelet Rich Plasma for chronic … Applicable CPT/HCPC
Codes: … 20610. Arthrocentesis, aspiration and/or injection; major joint or bursa
… Annual Review: Added Medicare criteria, ICD-10 codes. 08/26/2016.

comment letter – American Society for Clinical Pathology

Sep 2, 2014 … ASCP is grateful to CMS for its efforts to ensure the accurate … Determination (
LCD) Process for Clinical Laboratory Diagnostic Testing; (7) Development of
CMS-led … code change applications for the May 2014 CPT Editorial Panel
meeting. … does not align well with the RUC meeting cycle for CY 2016.

Summer 2015 – Florida Society of Interventional Pain Physicians

FSIPP 2016 Annual Meeting … http://www.cms.gov/Medicare/Quality-Initiatives-
Patient-Assessment-Instruments/PQRS/ … agreements, coverage agreements,
hospital based services agreements, ….. kyphoplasty and vertebroplasty, per
Appendix G of CPT 2015; for 2014, it was only bundled for vertebroplasty. … and
20610).



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