Date Posted: Wednesday,
March 08, 2017
The date of service (DOS) is the reference point for determining the frequency of code submission and subsequent reimbursement during that period, generally if the service was provided in a different calendar month, the service would qualify for reimbursement.
Modifiers will not override a time span code if it is billed with another code that has a partial description included in it.
For example; 94014, 94015 and 94016 cannot be billed together or appended with a modifier.
Patient-initiated spirometric recording per 30-day period of time:
94014 includes reinforced education, transmission of spirometric tracing, data capture, analysis of transmitted data, periodic recalibration
94015 recording (includes hook-up, reinforced education, data transmission, data capture, trend analysis, and periodic recalibration)
94016 review and interpretation only by a physician or other qualified health care professional
Effective Date: February 1, 2017
Code / Description
89343 - 365 Days
89344 - 365 Days
89346 - 365 Days
90963 - 28 Days
90964 - 28 Days
90965 - 28 Days
90966 - 28 Days
93224 - 2 days
93225 - 2 days
93226 - 2 days
93227 - 2 days
93228 - 30 days
93229 - 30 days
93268 - 30 days
93270 - 30 days
93271 - 30 days
93272 - 30 days
93293 - 90 Days
93294 - 90 Days
93295 - 90 Days
93296 - 90 Days
93297 - 30 days
93298 - 30 days
93299 - 30 days
94005 - Calendar Month
94014 - 30 days
94015 - 30 days
94016 - 30 days
94774 - 30 days
94775 - 30 days
94776 - 30 days
94777 - 30 days
95250 - 28 Days
95251 - 28 Days
99318 - 365 Days
99340 - Calendar Month
99375 - Calendar Month
99378 - Calendar Month
99380 - Calendar Month
99490 - Calendar Month
99495 - 29 Days
99496 - 29 Days
0295T - 21 days
0296T - 21 days
0297T - 21 days
0298T - 21 days
0378T - 30 days
0379T - 30 days
0381T - 14 days
0382T - 14 days
0383T - 30 days
0384T - 30 days
0385T - 30 Days
0386T - 30 Days
0405T - Calendar Month
A4221 - 7 Days
A4224 - 7
A4595 - 28 Days
E0441 - 28 Days
E0442 - 28 Days
E0443 - 28 Days
E0444 - 28 Days
G0181 - Calendar Month
G0182 - Calendar Month
G0249 - 7 Days
G0250 - 7 Days
G0303 - 15 Days
G0304 - 9 Days
G0438 - 365 Days
G0439 - 335 Days
G0442 - 365 Days
G0444 - 365 Days
G0445 - Semi-Annual
G0446 - 365 Days
G0502 - Calendar Month
G0503 - Calendar Month
G0504 - Calendar Month
G0506 - Calendar Month
G0507 - Calendar Month
G9678 - 28
H0042 - 28 Days
H0044 - 28 Days
Q0513 - 30 days
Q0514 - 90 Days
S0197 - 30 days
S0311 - Calendar Month
S0320 - 28 Days
S0610 - 365 Days
S0612 - 365 Days
S0613 - 365 Days
S4040 - 30 days
S5141 - 28 Days
S5146 - 28 Days
S5161 - 28 Days
S5185 - 28 Days
S9110 - 28 Days
S9970 - 365 Days
T1041 - 28
T2022 - 28 Days
T2023 - 28 Days
T2030 - 28 Days
T2032 - 28 Days
Source: Findacode
