Documentation requirements
Title XVIII of the Social Security Act, §1833(e) states that no payment shall be made to any provider for any claim which lacks the necessary information to process the claim.
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
| Code | Code system | Status in this policy |
|---|---|---|
| 64450 | HCPCS | Covered |
| 97032 | HCPCS | Covered |
| 97139 | HCPCS | Covered |
| G0282 | HCPCS | Covered |
| G0283 | HCPCS | Covered |
| A52.15 | ICD10CM | Not covered |
| E08.40 | ICD10CM | Not covered |
| E08.41 | ICD10CM | Not covered |
| E08.42 | ICD10CM | Not covered |
| E08.43 | ICD10CM | Not covered |
| E09.40 | ICD10CM | Not covered |
| E09.41 | ICD10CM | Not covered |
| E09.42 | ICD10CM | Not covered |
| E09.43 | ICD10CM | Not covered |
| E10.40 | ICD10CM | Not covered |
| E10.41 | ICD10CM | Not covered |
| E10.42 | ICD10CM | Not covered |
| E10.43 | ICD10CM | Not covered |
| E11.40 | ICD10CM | Not covered |
| E11.41 | ICD10CM | Not covered |
| E11.42 | ICD10CM | Not covered |
| E11.43 | ICD10CM | Not covered |
| E13.40 | ICD10CM | Not covered |
| E13.41 | ICD10CM | Not covered |
| E13.42 | ICD10CM | Not covered |
| E13.43 | ICD10CM | Not covered |
| G13.0 | ICD10CM | Not covered |
| G56.40 | ICD10CM | Not covered |
| G56.41 | ICD10CM | Not covered |
| G56.42 | ICD10CM | Not covered |
| G56.43 | ICD10CM | Not covered |
| G56.80 | ICD10CM | Not covered |
| G56.81 | ICD10CM | Not covered |
| G56.82 | ICD10CM | Not covered |
| G56.83 | ICD10CM | Not covered |
| G56.90 | ICD10CM | Not covered |
| G56.91 | ICD10CM | Not covered |
| G56.92 | ICD10CM | Not covered |
| G57.70 | ICD10CM | Not covered |
| G57.71 | ICD10CM | Not covered |
| G57.72 | ICD10CM | Not covered |
| G57.73 | ICD10CM | Not covered |
| G57.80 | ICD10CM | Not covered |
| G57.81 | ICD10CM | Not covered |
| G57.82 | ICD10CM | Not covered |
| G57.83 | ICD10CM | Not covered |
| G57.90 | ICD10CM | Not covered |
| G57.91 | ICD10CM | Not covered |
| G57.92 | ICD10CM | Not covered |
| G58.7 | ICD10CM | Not covered |
| G58.8 | ICD10CM | Not covered |
| G58.9 | ICD10CM | Not covered |
| G59 | ICD10CM | Not covered |
| G60.0 | ICD10CM | Not covered |
| G60.1 | ICD10CM | Not covered |
| G60.2 | ICD10CM | Not covered |
| G60.3 | ICD10CM | Not covered |
| G60.8 | ICD10CM | Not covered |
| G60.9 | ICD10CM | Not covered |
| G61.0 | ICD10CM | Not covered |
| G61.1 | ICD10CM | Not covered |
| G61.81 | ICD10CM | Not covered |
| G61.82 | ICD10CM | Not covered |
| G61.89 | ICD10CM | Not covered |
| G61.9 | ICD10CM | Not covered |
| G62.0 | ICD10CM | Not covered |
| G62.1 | ICD10CM | Not covered |
| G62.2 | ICD10CM | Not covered |
| G62.81 | ICD10CM | Not covered |
| G62.82 | ICD10CM | Not covered |
| G62.89 | ICD10CM | Not covered |
| G62.9 | ICD10CM | Not covered |
| G63 | ICD10CM | Not covered |
| G64 | ICD10CM | Not covered |
| G65.0 | ICD10CM | Not covered |
| G65.1 | ICD10CM | Not covered |
| G65.2 | ICD10CM | Not covered |
| M05.50 | ICD10CM | Not covered |
| M05.511 | ICD10CM | Not covered |
| M05.512 | ICD10CM | Not covered |
| M05.519 | ICD10CM | Not covered |
| M05.521 | ICD10CM | Not covered |
| M05.522 | ICD10CM | Not covered |
| M05.529 | ICD10CM | Not covered |
| M05.531 | ICD10CM | Not covered |
| M05.532 | ICD10CM | Not covered |
| M05.539 | ICD10CM | Not covered |
| M05.541 | ICD10CM | Not covered |
| M05.542 | ICD10CM | Not covered |
| M05.549 | ICD10CM | Not covered |
| M05.551 | ICD10CM | Not covered |
| M05.552 | ICD10CM | Not covered |
| M05.559 | ICD10CM | Not covered |
| M05.561 | ICD10CM | Not covered |
| M05.562 | ICD10CM | Not covered |
| M05.569 | ICD10CM | Not covered |
| M05.571 | ICD10CM | Not covered |
| M05.572 | ICD10CM | Not covered |
| M05.579 | ICD10CM | Not covered |
| M05.59 | ICD10CM | Not covered |
| M34.83 | ICD10CM | Not covered |
| M35.06 | ICD10CM | Not covered |
| M79.2 | ICD10CM | Not covered |
| M79.601 | ICD10CM | Not covered |
| M79.602 | ICD10CM | Not covered |
| M79.603 | ICD10CM | Not covered |
| M79.604 | ICD10CM | Not covered |
| M79.605 | ICD10CM | Not covered |
| M79.606 | ICD10CM | Not covered |
| M79.609 | ICD10CM | Not covered |
| M79.621 | ICD10CM | Not covered |
| M79.622 | ICD10CM | Not covered |
| M79.629 | ICD10CM | Not covered |
| M79.631 | ICD10CM | Not covered |
| M79.632 | ICD10CM | Not covered |
| M79.639 | ICD10CM | Not covered |
| M79.641 | ICD10CM | Not covered |
| M79.642 | ICD10CM | Not covered |
| M79.643 | ICD10CM | Not covered |
| M79.644 | ICD10CM | Not covered |
| M79.645 | ICD10CM | Not covered |
| M79.646 | ICD10CM | Not covered |
| M79.651 | ICD10CM | Not covered |
| M79.652 | ICD10CM | Not covered |
| M79.659 | ICD10CM | Not covered |
| M79.661 | ICD10CM | Not covered |
| M79.662 | ICD10CM | Not covered |
| M79.669 | ICD10CM | Not covered |
| M79.671 | ICD10CM | Not covered |
| M79.672 | ICD10CM | Not covered |
| M79.673 | ICD10CM | Not covered |
| M79.674 | ICD10CM | Not covered |
| M79.675 | ICD10CM | Not covered |
| M79.676 | ICD10CM | Not covered |