DOCSLIB.ORG

Midas Datavision and CPMS Core Measures

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Midas Datavision and CPMS Core Measures Midas DataVision and CPMS Core Measures Appendices for Hospital-Based Inpatient Psychiatric Services (HBIPS), Perinatal Care (PC), Stroke (STK), Comprehensive Stroke (CSTK) Excerpts from the Specifications Manual for Joint Commission National Quality Core Measures, v2017B2 Encounters discharged July 1, 2017 – December 31, 2017 Acknowledgment The Specifications Manual for Joint Commission National Quality Core Measures is periodically updated by the Joint Commission. Users of the Specifications Manual must update their software and associated documentation based on the published manual production timelines. Midas Health Analytics Solutions CONDUENT 4801 East Broadway Blvd, Suite 200 Tucson, Arizona 85711 (877) 414-2676 www.conduent.com BR435 Appendix A ICD-10 Code Tables Table Number 1.0: Outpatient (E/M codes) Code Shortened Description 99201 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. 99202 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 20 minutes are spent face-to-face with the patient and/or family. 99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family. 99204 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family. 99205 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family. 99211 Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services. 99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. Specifications Manual for Joint Commission National Quality Measures v2017B2 720 Discharges 01-01-18 (1Q18) through 06-30-18 (2Q18) Code Shortened Description 99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family. 99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family. 99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family. Table Number 2.1: Heart Failure Code Shortened Description I110 Hypertensive heart disease with heart failure I130 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease I132 Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease I501 Left ventricular failure, unspecified I5020 Unspecified systolic (congestive) heart failure I5021 Acute systolic (congestive) heart failure I5022 Chronic systolic (congestive) heart failure I5023 Acute on chronic systolic (congestive) heart failure I5030 Unspecified diastolic (congestive) heart failure I5031 Acute diastolic (congestive) heart failure I5032 Chronic diastolic (congestive) heart failure I5033 Acute on chronic diastolic (congestive) heart failure I5040 Unspecified combined systolic (congestive) and diastolic (congestive) heart failure I5041 Acute combined systolic (congestive) and diastolic (congestive) heart failure Specifications Manual for Joint Commission National Quality Measures v2017B2 721 Discharges 01-01-18 (1Q18) through 06-30-18 (2Q18) Code Shortened Description I5042 Chronic combined systolic (congestive) and diastolic (congestive) heart failure I5043 Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure I50810 Right heart failure, unspecified I50811 Acute right heart failure I50812 Chronic right heart failure I50813 Acute on chronic right heart failure I50814 Right heart failure due to left heart failure I5082 Biventricular heart failure I5083 High output heart failure I5084 End stage heart failure I5089 Other heart failure I509 Heart failure, unspecified Table Number 2.2: Left Ventricular Assistive Device (LVAD) and Heart Transplant Code Shortened Description 02HA0QZ Insertion of Implantable Heart Assist System into Heart, Open Approach 02HA0RJ Insertion of Short-term External Heart Assist System into Heart, Intraoperative, Open Approach 02HA0RS Insertion of Biventricular Short-term External Heart Assist System into Heart, Open Approach 02HA0RZ Insertion of Short-term External Heart Assist System into Heart, Open Approach 02HA3QZ Insertion of Implantable Heart Assist System into Heart, Percutaneous Approach 02HA3RJ Insertion of Short-term External Heart Assist System into Heart, Intraoperative, Percutaneous Approach 02HA3RS Insertion of Biventricular Short-term External Heart Assist System into Heart, Percutaneous Approach 02HA3RZ Insertion of Short-term External Heart Assist System into Heart, Percutaneous Approach 02HA4QZ Insertion of Implantable Heart Assist System into Heart, Percutaneous Endoscopic Approach 02HA4RJ Insertion of Short-term External Heart Assist System into Heart, Intraoperative, Percutaneous Endoscopic Approach 02HA4RS Insertion of
Load more

Recommended publications
  • Buffers a Guide for the Preparation and Use of Buffers in Biological Systems Calbiochem® Buffers a Guide for the Preparation and Use of Buffers in Biological Systems
    Buffers A guide for the preparation and use of buffers in biological systems Calbiochem® Buffers A guide for the preparation and use of buffers in biological systems Chandra Mohan, Ph.D. EMD, San Diego, California © EMD, an affiliate of Merck KGaA, Darmstadt, Germany. All rights reserved. A word to our valued customers We are pleased to present to you the newest edition of Buffers: A Guide for the Preparation and Use of Buffers in Biological Systems. This practical resource has been especially revamped for use by researchers in the biological sciences. This publication is a part of our continuing commitment to provide useful product information and exceptional service to you, our customers. You will find this booklet a highly useful resource, whether you are just beginning your research work or training the newest researchers in your laboratory. Over the past several years, EMD Biosciences has clearly emerged as a world leader in providing highly innovative products for your research needs in Signal Transduction, including the areas of Cancer Biology, Alzheimer’s Disease, Diabetes, Hypertension, Inflammation, and Apoptosis. Please call us today for a free copy of our LATEST Catalog that includes tools for signal transduction and life science research. If you have used our products in the past, we thank you for your support and confidence in our products, and if you are just beginning your research career, please call us and give us the opportunity to demonstrate our exceptional customer and technical service. Corrine Fetherston Sr. Director, Marketing ii Table of Contents: Why does Calbiochem® Biochemicals Publish a Booklet on Buffers? .
    [Show full text]
  • Bankruptcy Forms
    Fill in this information to identify the case: Debtor name MBH Highland, LLC United States Bankruptcy Court for the: MIDDLE DISTRICT OF TENNESSEE Case number (if known) 3:20-bk-01940 Check if this is an amended filing Official Form 206Sum Summary of Assets and Liabilities for Non-Individuals 12/15 Part 1: Summary of Assets 1. Schedule A/B: Assets-Real and Personal Property (Official Form 206A/B) 1a. Real property: Copy line 88 from Schedule A/B............................................................................................................................. $ 0.00 1b. Total personal property: Copy line 91A from Schedule A/B......................................................................................................................... $ 5,215,549.26 1c. Total of all property: Copy line 92 from Schedule A/B........................................................................................................................... $ 5,215,549.26 Part 2: Summary of Liabilities 2. Schedule D: Creditors Who Have Claims Secured by Property (Official Form 206D) Copy the total dollar amount listed in Column A, Amount of claim, from line 3 of Schedule D.................................... $ 11,094,253.00 3. Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 206E/F) 3a. Total claim amounts of priority unsecured claims: Copy the total claims from Part 1 from line 5a of Schedule E/F.......................................................................... $ 0.00 3b. Total amount of claims of nonpriority amount of unsecured
    [Show full text]
  • IQI 17 Acute Stroke Mortality Rate
    AHRQ Quality Indicators™ (AHRQ QI™) ICD-10-CM/PCS Specification v2021 Inpatient Quality Indicator 17 (IQI 17) Acute Stroke Mortality Rate July 2021 Hospital-Level Indicator Type of Score: Rate Prepared by: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services www.qualityindicators.ahrq.gov DESCRIPTION In-hospital deaths per 1,000 hospital discharges with a principal diagnosis of acute stroke for patients ages 18 years and older. Includes metrics for discharges grouped by type of stroke. Excludes transfers to another hospital, cases admitted from a hospice facility, and obstetric discharges. [NOTE: The software provides the rate per hospital discharge. However, common practice reports the measure as per 1,000 discharges. The user must multiply the rate obtained from the software by 1,000 to report in-hospital deaths per 1,000 hospital discharges.] Stratification of Indicator The indicator is stratified into three groups by the type of stroke: Cases are assigned to strata according to a hierarchy based on risk of mortality, with cases being assigned to the stratum with the highest mortality for which the case qualifies. In the case of Stroke Mortality the current hierarchy is as follows: Strata hierarchy (listed from highest mortality to lowest mortality): 1) Intracerebral hemorrhage 2) Subarachnoid hemorrhage 3) Ischemic stroke Strata are mutually exclusive. If a discharge qualifies for more than one stratum, it will be assigned to the stratum with the highest risk of mortality (Intracerebral hemorrhage, Subarachnoid hemorrhage, Ischemic stroke). July 2021 1 of 7 AHRQ QI™ ICD-10-CM/PCS Specification v2021 IQI 17 Acute Stroke Mortality Rate www.qualityindicators.ahrq.gov NUMERATOR Overall Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator.
    [Show full text]
  • Biological Buffers and Ultra Pure Reagents
    Biological Buffers and Ultra Pure Reagents Are MP Buffers in your corner? One Call. One Source. A World of Ultra Pure Biochemicals. www.mpbio.com Theoretical Considerations Since buffers are essential for controlling the pH in many Since, under equilibrium conditions, the rates of dissociation and biological and biochemical reactions, it is important to have a association must be equal, they may be expressed as: basic understanding of how buffers control the hydrogen ion concentration. Although a lengthy, detailed discussion is impractical, + - k1 (HAc) = k2 (H ) (Ac ) some explanation of the buffering phenomena is important. Or Let us begin with a discussion of the equilibrium constant (K) for + - weak acids and bases. Acids and bases which do not completely k1 = (H ) (Ac ) dissociate in solution, but instead exist as an equilibrium mixture of k (HAc) undissociated and dissociated species, are termed weak acids and 2 bases. The most common example of a weak acid is acetic acid. If we now let k1/k2 = Ka , the equilibrium constant, the equilibrium In solution, acetic acid exists as an equilibrium mixture of acetate expression becomes: ions, hydrogen ions, and undissociated acetic acid. The equilibrium between these species may be expressed as follows: + - Ka = (H ) (Ac ) k1 (HAc) + - HAc ⇌ H + Ac which may be rearranged to express the hydrogen ion concentration k2 in terms of the equilibrium constant and the concentrations of undissociated acetic acid and acetate ions as follows: where k1 is the dissociation rate constant of acetic acid to acetate and hydrogen ions and k is the association rate constant of the ion 2 (H+) = K (HAc) species to form acetic acid.
    [Show full text]
  • Chemical Mechanical Planarization for Tungsten-Containing Substrates
    (19) TZZ _ T (11) EP 2 779 217 A2 (12) EUROPEAN PATENT APPLICATION (43) Date of publication: (51) Int Cl.: 17.09.2014 Bulletin 2014/38 H01L 21/321 (2006.01) C09G 1/02 (2006.01) (21) Application number: 14158825.1 (22) Date of filing: 11.03.2014 (84) Designated Contracting States: • Zhou, Hongjun AL AT BE BG CH CY CZ DE DK EE ES FI FR GB Chandler, AZ Arizona 85248 (US) GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO • Lew, Blake J. PL PT RO RS SE SI SK SM TR Scottsdale, AZ Arizona 85251 (US) Designated Extension States: • Schlueter, James Allen BA ME Phoenix, AZ Arizona 85045 (US) •Schwartz,Jo- Ann Theresa (30) Priority: 12.03.2013 US 201361777165 P Fountain Hills, AZ Arizona 85268 (US) 27.12.2013 US 201314142087 (74) Representative: Beck Greener (71) Applicant: AIR PRODUCTS AND CHEMICALS, INC. Fulwood House Allentown, PA 18195-1501 (US) 12 Fulwood Place London WC1V 6HR (GB) (72) Inventors: • Shi, Xiaobo Chandler, AZ Arizona 85224 (US) (54) Chemical mechanical planarization for tungsten-containing substrates (57) Chemical mechanical polishing (CMP) compo- of piperazine derivatives, salts of cyanate, and combina- sitions for polishing tungsten or tungsten- containing sub- tions thereof; and a liquid carrier. Systems and processes strates comprise an abrasive, at least one solid catalyst, use the aqueous formulations for polishing tungsten or a chemical additive selected from the groups consisting tungsten-containing substrates. EP 2 779 217 A2 Printed by Jouve, 75001 PARIS (FR) EP 2 779 217 A2 Description BACKGROUND OF THE INVENTION 5 [0001] This invention relates generally to the chemical-mechanical planarization (CMP) of tungsten-containing sub- strates on semiconductor wafers.
    [Show full text]
  • 190.23 - Lipids Testing
    Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM) 190.23 - Lipids Testing HCPCS Codes (Alphanumeric, CPT AMA) Code Description 80061 Lipid panel 82465 Cholesterol, serum or whole blood, total 83700 Lipoprotein, blood; electrophoretic separation and quantitation 83701 Lipoprotein blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (e.g., electrophoresis, ultracentrifugation) 83704 Lipoprotein, blood; quantitation of lipoprotein particle numbers and lipoprotein particle subclasses 83718 Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) 83721 Lipoprotein, direct measurement, LDL cholesterol 84478 Triglycerides ICD-10-CM Codes Covered by Medicare Program The ICD-10-CM codes in the table below can be viewed on CMS’ website as part of Downloads: Lab Code List, at http://www.cms.gov/Medicare/Coverage/CoverageGenInfo/LabNCDsICD10.html Code Description B25.2 Cytomegaloviral pancreatitis B52.0 Plasmodium malariae malaria with nephropathy E00.0 Congenital iodine-deficiency syndrome, neurological type E00.1 Congenital iodine-deficiency syndrome, myxedematous type E00.2 Congenital iodine-deficiency syndrome, mixed type E00.9 Congenital iodine-deficiency syndrome, unspecified E01.8 Other iodine-deficiency related thyroid disorders and allied conditions E02 Subclinical iodine-deficiency hypothyroidism E03.0 Congenital hypothyroidism with diffuse goiter E03.1 Congenital hypothyroidism without goiter NCD 190.23 January
    [Show full text]
  • 2016 Conference Showguide
    Mental Health over the Life Span Scientific Conference and Annual General Meeting March 17–20 2016 The Rimrock Resort Hotel Banff, Alberta WELCOME TO THE 2O16 APA SCIENTIFIC CONFERENCE The Alberta Psychiatric Association (APA) is the not-for-profit professional organization that represents the psychiatrists of Alberta. CONFERENCE LEARNING OBJECTIVES The APA has stood for more than fifty years as an advocate for its psychiatrist members, providing leadership and support for their role in the provision of quality mental health care in Alberta by promoting 1. To examine, consider and appraise current effective professional relationships and influencing health policy and and leading clinical practices to enhance clinical practice. patient care. The APA has close ties to the Canadian Psychiatric Association and its committee structure mirrors that of the federal body addressing science and research, psychiatric education, standards of practice and 2. To explore mental health issues during economics. all life cycles and how it has evolved over The APA allies with the Alberta Medical Association sharing executive time. membership with the Sections of General Psychiatry and Child and Adolescent Psychiatry, through which it elects members to the Representative Forum and works to achieve equitable fees and 3. To discuss and bring more awareness to schedule of medical benefits. mental health issues in children and the This event is an accredited group learning activity (section 1) as elderly. defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, approved by the Canadian Psychiatric Association (CPA). The specific opinions and content of this event are not necessarily those of the CPA, and are the responsibility of the organizer(s) alone.
    [Show full text]
  • Family Education Manual April 29, 2020 Page | 2
    NAVIGATE Family Education Program April 2020 Revised Version Lead authors: Shirley M. Glynn, Ph.D. Susan Gingerich, MSW This manual is the 2020 revision of the Director manual originally developed for the RAISE-ETP study, funded by NIMH. Shirley Glynn is the lead author of the original Family Manual, with collaborators Cori Cather, Susan Gingerich, Jennifer D. Gottlieb, Piper S. Meyer, Kim T. Mueser, and David L. Penn. Shirley M. Glynn, Ph.D. and Susan Gingerich, MSW are the authors of this 2020 revision. The revision updates the original material to reflect 1) new scientific discoveries since the original manual was written, 2) experience providing NAVIGATE treatment in the RAISE- ETP study, and 3) experience of clinics providing NAVIGATE treatment in a wide range of real- world settings. In the Appendix to the introduction to this manual, you will find a list of the major revisions made in the 2020 Family Manual revision. Authorship of all Manuals for the NAVIGATE Program for First Episode Psychosis Psychopharmacological Treatment Manual (now entitled “The Quick Guide to NAVIGATE Psychopharmacological Treatment”) The original manual was written by a committee chaired by Delbert G. Robinson, M.D. Christoph U. Correll, M.D., Ben Kurian, M.D., Alexander L. Miller, M.D., Ronny Pipes, M.A. and Nina R. Schooler, Ph.D. contributed to the scientific content of the Manual and the COMPASS Computer Decision Support System. Preston Park, MCSD led the programming team and Patricia Marcy, R.N. and Cristina Gomes Gonzalez, CCRP provided administrative support. The author of the revision of 2020 is Delbert G.
    [Show full text]
  • Approved Diagnosis Codes for Botox
    MONTANA HEALTHCARE PROGRAMS NOTICE June 12, 2018 Physician, Hospital Inpatient, Hospital Outpatient, Mid-Level Practitioner Effective Immediately REVISED Approved Diagnosis Codes For Botox July 1, 2016, Montana Healthcare Programs removed prior authorization requirement for Botox. These services will be reimbursed only if the claim (UB-04 or CMS-1500) is submitted with an approved diagnosis. Provider claims that are filed on CMS-1500 claim form must use the diagnosis pointer (box 24E) to indicate the specific diagnosis related to the procedure code. Botox is approved for the following diagnosis codes: ICD-10 Diagnosis Code Description G04.1 Tropical spastic paraplegia G11.4 Hereditary spastic paraplegia G24.1 Genetic torsion dystonia G24.2 Idiopathic nonfamilial dystonia G24.3 Spasmodic torticollis G24.4 Idiopathic orofacial dystonia G24.5 Blepharospasm G24.8 Other dystonia G24.9 Dystonia, unspecified G25.3 Myoclonus G25.89 Other specified extrapyramidal and movement disorders G35 Multiple sclerosis G36.1 Acute and subacute hemorrhagic leukoencephalitis [Hurst] G36.8 Other specified acute disseminated demyelination G37.0 Diffuse sclerosis of central nervous system G37.1 Central demyelination of corpus callosum G37.2 Central pontine myelinolysis G37.4 Subacute necrotizing myelitis of central nervous system G37.5 Concentric sclerosis [Balo] of central nervous system G37.8 Other specified demyelinating diseases of central nervous system G37.9 Demyelinating disease of central nervous system, unspecified G43.011 Migraine without aura, intractable,
    [Show full text]
  • Statistical Analysis Plan
    Cover Page for Statistical Analysis Plan Sponsor name: Novo Nordisk A/S NCT number NCT03061214 Sponsor trial ID: NN9535-4114 Official title of study: SUSTAINTM CHINA - Efficacy and safety of semaglutide once-weekly versus sitagliptin once-daily as add-on to metformin in subjects with type 2 diabetes Document date: 22 August 2019 Semaglutide s.c (Ozempic®) Date: 22 August 2019 Novo Nordisk Trial ID: NN9535-4114 Version: 1.0 CONFIDENTIAL Clinical Trial Report Status: Final Appendix 16.1.9 16.1.9 Documentation of statistical methods List of contents Statistical analysis plan...................................................................................................................... /LQN Statistical documentation................................................................................................................... /LQN Redacted VWDWLVWLFDODQDO\VLVSODQ Includes redaction of personal identifiable information only. Statistical Analysis Plan Date: 28 May 2019 Novo Nordisk Trial ID: NN9535-4114 Version: 1.0 CONFIDENTIAL UTN:U1111-1149-0432 Status: Final EudraCT No.:NA Page: 1 of 30 Statistical Analysis Plan Trial ID: NN9535-4114 Efficacy and safety of semaglutide once-weekly versus sitagliptin once-daily as add-on to metformin in subjects with type 2 diabetes Author Biostatistics Semaglutide s.c. This confidential document is the property of Novo Nordisk. No unpublished information contained herein may be disclosed without prior written approval from Novo Nordisk. Access to this document must be restricted to relevant parties.This
    [Show full text]
  • TCD CPT and ICD 10 Codes
    TCD CPT Codes /ICD-10 Codes 2021 CPT Codes / ICD-10 Codes CPT codes covered if selection criteria are met: 93886 Transcranial Doppler study of the intracranial arteries; complete study 93888 limited study 93890 vasoreactivity study 93892 emboli detection without intravenous microbubble injection 93893 emboli detection with intravenous microbubble injection Other CPT codes related to the CPB: 61635 Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed REIMBURSEMENT INFORMATION: A complete transcranial Doppler evaluation includes ultrasound examination of the right and left anterior circulation and the posterior circulation, including the vertebral arteries and basilar artery. A limited transcranial Doppler evaluation includes two or less of the below mentioned areas. Excludes hand-held Dopplers that do not provide a hard copy or vascular flow bidirectional analysis. Includes complete transcranial Doppler (TCD) study. Includes patient care required to perform/supervise studies and interpret results. Includes ultrasound evaluation of right/left anterior circulation territories and posterior circulation territory. DWL USA, Inc. 30320 Rancho Viejo Road, Suite 105 San Juan Capistrano, CA 92675 www.dwl.us TCD CPT Codes /ICD-10 Codes 2021 ICD-10 Diagnosis Codes That Support Medical Necessity: D57.00 – D57.02 Hb-SS disease with crisis D57.1 Sickle-cell disease without crisis D57.20 Sickle-cell/Hb-C disease without crisis D57.211 – D57.219 Sickle-cell/Hb-C disease
    [Show full text]
  • Biological Buffers
    AppliCations No.2 Biological Buffers Many biochemical processes are markedly impaired by even small changes in the con centrations of free H+ ions. It is therefore usually necessary to stabilise the H+ concentration in vitro by adding a suitable buffer to the medium, without, however, affecting the functioning of the system under investigation. A buffer keeps the pH of a solution constant by taking up protons that are released during reactions, or by r eleasing protons when they are consumed by reactions. This handout summarizes the most commonly used buffer substances and respec- tive physical and chemical properties. Keywords Practical Tips – Preparing Buffer Solutions chemical properties Recommendations for the setting of the pH value of a buffer and storage conditions usefull pH range 1. Temperature Depending on the buffer substance, its pH may vary with temperature. It is therefore advisable, as far as possible, to set the pH buffer preparation at the working temperature to be used for the investigation. For instance the physiological pH value for most mammalian cells at 37°C is between 7.0 and 7.5. The temperature dependence of a buffer system is expressed as d(pKa)/dT, which describes the change of the pKa at an increase of temperature by 1°C. 2. Titration (i) Generally, the pH value is set using NaOH/KOH or HCl. Slow addition of a strong acid or base whilst stirring vigorously avoids local high concentrations of H+ or OH– ions. If this is not done, the buffer substances may undergo chemical changes that inactivate them or modify them so that they have an inhibitory action (Ellis & Morrison 1982).
    [Show full text]