Unlisted preventive medicine service

Description

This code is utilized to report preventive medicine services that lack a specific code. It is applicable when a provider delivers preventive care that does not fit into existing categories, ensuring proper documentation and billing for these services.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

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Patient Copayment / Coinsurance

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Top Modifiers

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List View

HCPCS/CPT 95Telehealth service via real-time interactive audio and video telecommunications(9.46%)

HCPCS/CPT GYItem or service excluded from Medicare benefits(4.05%)

HCPCS/CPT 25Significant, separately identifiable evaluation and management service on the same day(2.7%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(1.35%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
I/OCE Quarterly Release Files, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)