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G0446 | PR INTENS BEHAVE THER CARDIO DX | HCPCS | Medicare Coverage of Screening for Heart Disease
There are two Medicare-covered preventative services for heart disease screening per national coverage determination (NCD) 210.11: “Cardiovascular Disease Screening Tests” and “Intensive Behavioral Therapy (IBT) for Cardiovascular Disease (CVD).”
If you are a Medicare patient and don’t have apparent signs or symptoms of CVD, you are still covered once every five years for cardiovascular disease screening tests. These tests are reported using CPT® code:
80061 Lipid panel
This panel must include the following:
Cholesterol, serum, total (82465)
Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) (83718)
ICD-10-CM code Z13.6 Encounter for screening for cardiovascular disorders supports 80061; however, other codes may apply, as well. To see Change Requests (CRs) specific to individual ICD-10 codes for screening for cardiovascular disorders, go to the Centers for Medicare & Medicaid Services’ (CMS) Medicare Coverage – General Information ICD-10 webpage. According to NCD 210.11, IBT for CVD is covered annually for Medicare patients “who are competent and alert at the time counseling is provided” and if the counseling is furnished “by a qualified primary care physician or other primary care practitioner in a primary care setting.” Coding for the CVD risk reduction visit includes HCPCS Level II G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes. To see CRs specific to individual ICD-10 codes for IBT for CVD, go to the CMS Medicare Coverage – General Information ICD-10 webpage. |
82465 | HC CHOLESTEROL LEVEL W/DIRECT LDL | HCPCS | These tests are reported using CPT® code:
80061 Lipid panel
This panel must include the following:
Cholesterol, serum, total (82465)
Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) (83718)
ICD-10-CM code Z13.6 Encounter for screening for cardiovascular disorders supports 80061; however, other codes may apply, as well. To see Change Requests (CRs) specific to individual ICD-10 codes for screening for cardiovascular disorders, go to the Centers for Medicare & Medicaid Services’ (CMS) Medicare Coverage – General Information ICD-10 webpage. According to NCD 210.11, IBT for CVD is covered annually for Medicare patients “who are competent and alert at the time counseling is provided” and if the counseling is furnished “by a qualified primary care physician or other primary care practitioner in a primary care setting.” Coding for the CVD risk reduction visit includes HCPCS Level II G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes. To see CRs specific to individual ICD-10 codes for IBT for CVD, go to the CMS Medicare Coverage – General Information ICD-10 webpage. More Heart Smart Resources
You can find more heart conscious resource links in the weekly MLN Connects, some of them include:
- Medicare Preventive Services Educational Tool
- Million Hearts®: An HHS initiative to prevent a million heart attacks and strokes
- Centers for Disease Control and Prevention Heart Disease website
- American Heart Month webpage
Prove Your Heart Expertise
AAPC has two credentials that can help prove your know-how in cardiovascular coding. |
8006 | CT and CTA with Contrast | APC | These tests are reported using CPT® code:
80061 Lipid panel
This panel must include the following:
Cholesterol, serum, total (82465)
Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) (83718)
ICD-10-CM code Z13.6 Encounter for screening for cardiovascular disorders supports 80061; however, other codes may apply, as well. To see Change Requests (CRs) specific to individual ICD-10 codes for screening for cardiovascular disorders, go to the Centers for Medicare & Medicaid Services’ (CMS) Medicare Coverage – General Information ICD-10 webpage. According to NCD 210.11, IBT for CVD is covered annually for Medicare patients “who are competent and alert at the time counseling is provided” and if the counseling is furnished “by a qualified primary care physician or other primary care practitioner in a primary care setting.” Coding for the CVD risk reduction visit includes HCPCS Level II G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes. To see CRs specific to individual ICD-10 codes for IBT for CVD, go to the CMS Medicare Coverage – General Information ICD-10 webpage. More Heart Smart Resources
You can find more heart conscious resource links in the weekly MLN Connects, some of them include:
- Medicare Preventive Services Educational Tool
- Million Hearts®: An HHS initiative to prevent a million heart attacks and strokes
- Centers for Disease Control and Prevention Heart Disease website
- American Heart Month webpage
Prove Your Heart Expertise
AAPC has two credentials that can help prove your know-how in cardiovascular coding. |
80061 | TTH LIPID-SP | HCPCS | These tests are reported using CPT® code:
80061 Lipid panel
This panel must include the following:
Cholesterol, serum, total (82465)
Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) (83718)
ICD-10-CM code Z13.6 Encounter for screening for cardiovascular disorders supports 80061; however, other codes may apply, as well. To see Change Requests (CRs) specific to individual ICD-10 codes for screening for cardiovascular disorders, go to the Centers for Medicare & Medicaid Services’ (CMS) Medicare Coverage – General Information ICD-10 webpage. According to NCD 210.11, IBT for CVD is covered annually for Medicare patients “who are competent and alert at the time counseling is provided” and if the counseling is furnished “by a qualified primary care physician or other primary care practitioner in a primary care setting.” Coding for the CVD risk reduction visit includes HCPCS Level II G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes. To see CRs specific to individual ICD-10 codes for IBT for CVD, go to the CMS Medicare Coverage – General Information ICD-10 webpage. More Heart Smart Resources
You can find more heart conscious resource links in the weekly MLN Connects, some of them include:
- Medicare Preventive Services Educational Tool
- Million Hearts®: An HHS initiative to prevent a million heart attacks and strokes
- Centers for Disease Control and Prevention Heart Disease website
- American Heart Month webpage
Prove Your Heart Expertise
AAPC has two credentials that can help prove your know-how in cardiovascular coding. |
G0446 | PR INTENS BEHAVE THER CARDIO DX | HCPCS | These tests are reported using CPT® code:
80061 Lipid panel
This panel must include the following:
Cholesterol, serum, total (82465)
Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) (83718)
ICD-10-CM code Z13.6 Encounter for screening for cardiovascular disorders supports 80061; however, other codes may apply, as well. To see Change Requests (CRs) specific to individual ICD-10 codes for screening for cardiovascular disorders, go to the Centers for Medicare & Medicaid Services’ (CMS) Medicare Coverage – General Information ICD-10 webpage. According to NCD 210.11, IBT for CVD is covered annually for Medicare patients “who are competent and alert at the time counseling is provided” and if the counseling is furnished “by a qualified primary care physician or other primary care practitioner in a primary care setting.” Coding for the CVD risk reduction visit includes HCPCS Level II G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes. To see CRs specific to individual ICD-10 codes for IBT for CVD, go to the CMS Medicare Coverage – General Information ICD-10 webpage. More Heart Smart Resources
You can find more heart conscious resource links in the weekly MLN Connects, some of them include:
- Medicare Preventive Services Educational Tool
- Million Hearts®: An HHS initiative to prevent a million heart attacks and strokes
- Centers for Disease Control and Prevention Heart Disease website
- American Heart Month webpage
Prove Your Heart Expertise
AAPC has two credentials that can help prove your know-how in cardiovascular coding. |
83718 | LIPOPROTEIN, DIRECT MEASUREMENT_ HIGH DENSITY CHOLESTEROL (HDL CHOLESTEROL) | HCPCS | These tests are reported using CPT® code:
80061 Lipid panel
This panel must include the following:
Cholesterol, serum, total (82465)
Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) (83718)
ICD-10-CM code Z13.6 Encounter for screening for cardiovascular disorders supports 80061; however, other codes may apply, as well. To see Change Requests (CRs) specific to individual ICD-10 codes for screening for cardiovascular disorders, go to the Centers for Medicare & Medicaid Services’ (CMS) Medicare Coverage – General Information ICD-10 webpage. According to NCD 210.11, IBT for CVD is covered annually for Medicare patients “who are competent and alert at the time counseling is provided” and if the counseling is furnished “by a qualified primary care physician or other primary care practitioner in a primary care setting.” Coding for the CVD risk reduction visit includes HCPCS Level II G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes. To see CRs specific to individual ICD-10 codes for IBT for CVD, go to the CMS Medicare Coverage – General Information ICD-10 webpage. More Heart Smart Resources
You can find more heart conscious resource links in the weekly MLN Connects, some of them include:
- Medicare Preventive Services Educational Tool
- Million Hearts®: An HHS initiative to prevent a million heart attacks and strokes
- Centers for Disease Control and Prevention Heart Disease website
- American Heart Month webpage
Prove Your Heart Expertise
AAPC has two credentials that can help prove your know-how in cardiovascular coding. |
G0446 | PR INTENS BEHAVE THER CARDIO DX | HCPCS | To see Change Requests (CRs) specific to individual ICD-10 codes for screening for cardiovascular disorders, go to the Centers for Medicare & Medicaid Services’ (CMS) Medicare Coverage – General Information ICD-10 webpage. According to NCD 210.11, IBT for CVD is covered annually for Medicare patients “who are competent and alert at the time counseling is provided” and if the counseling is furnished “by a qualified primary care physician or other primary care practitioner in a primary care setting.” Coding for the CVD risk reduction visit includes HCPCS Level II G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes. To see CRs specific to individual ICD-10 codes for IBT for CVD, go to the CMS Medicare Coverage – General Information ICD-10 webpage. More Heart Smart Resources
You can find more heart conscious resource links in the weekly MLN Connects, some of them include:
- Medicare Preventive Services Educational Tool
- Million Hearts®: An HHS initiative to prevent a million heart attacks and strokes
- Centers for Disease Control and Prevention Heart Disease website
- American Heart Month webpage
Prove Your Heart Expertise
AAPC has two credentials that can help prove your know-how in cardiovascular coding. Go to AAPC’s Certified Cardiovascular and Thoracic Surgery Coder (CCVTC™) and Certified Interventional Radiology Cardiovascular Coder (CIRCC®) credential pages to find out more. |
1745 | Thoracoscopic robotic assisted procedure | ICD | doi:10.1016/j.biopsych.2006.08.041. PMID 17141745. - World Health Organisation (1992). The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organisation. |
1745 | Thoracoscopic robotic assisted procedure | ICD | PMID 17141745. - World Health Organisation (1992). The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organisation. ISBN 978-92-4-154422-1. |
1743 | Percutaneous robotic assisted procedure | ICD | 2010, 7, 1720–1743. [Google Scholar] [CrossRef]
- Good Health Adds Life to Years. Global Brief for World Health Day 2012; WHO: Geneva, Switzerland, 2012. - Giannangelo, K.; Millar, J. Mapping SNOMED CT to ICD-10. Stud. |
0516 | HB URG HIM- NEEDLE ASPIRATION | RC | Nephrectomy specimen. H&E stain. ICD-10 C64 ICD-9 189.0 ICD-O: M8312/3 OMIM 144700 605074 DiseasesDB 11245 MedlinePlus 000516 eMedicine med/2002
Renal cell carcinoma (RCC, also known as hypernephroma) is a kidney cancer that originates in the lining of the proximal convoluted tubule, the very small tubes in the kidney that filter the blood and remove waste products. RCC is the most common type of kidney cancer in adults, responsible for approximately 80% of cases. It is also known to be the most lethal of all the genitourinary tumors. |
0516 | HB URG HIM- NEEDLE ASPIRATION | RC | H&E stain. ICD-10 C64 ICD-9 189.0 ICD-O: M8312/3 OMIM 144700 605074 DiseasesDB 11245 MedlinePlus 000516 eMedicine med/2002
Renal cell carcinoma (RCC, also known as hypernephroma) is a kidney cancer that originates in the lining of the proximal convoluted tubule, the very small tubes in the kidney that filter the blood and remove waste products. RCC is the most common type of kidney cancer in adults, responsible for approximately 80% of cases. It is also known to be the most lethal of all the genitourinary tumors. Initial treatment is most commonly a radical or partial nephrectomy and remains the mainstay of curative treatment. |
1743 | Percutaneous robotic assisted procedure | ICD | The Journal of Sexual Medicine. 8 (3): 751–757. doi:10.1111/j.1743-6109.2011.02567.x. - ^"Gender identity disorder in adolescence and adulthood". ICD10Data.com. |
1745 | Thoracoscopic robotic assisted procedure | ICD | PMID 17141745. doi:10.1016/j.biopsych.2006.08.041. - World Health Organisation. (1992). The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organisation. |
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