Requisitos de aprobación previa
Nebraska Total Care requiere aprobación previa (PA) para algunos servicios. Este aviso contiene información sobre dichos requisitos de PA. Estos datos aplican a la cobertura de Medicaid que ofrece Nebraska Total Care.
Nebraska Total Care se compromete a proporcionar una atención rentable a nuestros miembros, quienes reciben el tratamiento médicamente necesario. Este compromiso se basa en los estándares de práctica. La PA es un paso que inicia el proveedor. Comprobamos la necesidad médica de atención de salud. Utilizamos criterios médicos o el uso de servicios dentro de la red.
Es responsabilidad del proveedor averiguar qué códigos necesitan aprobación previa.
Los proveedores verifican el estado y los beneficios del miembro antes de prestar los servicios. El pago depende del estado del miembro en el momento del servicio. Los proveedores y los centros no participantes requieren aprobación previa para todos los servicios de planes de organización para el mantenimiento de la salud (HMO). Existen algunas excepciones.
Proveedor: Consulte nuestra herramienta de aprobación previa para ver la lista actualizada.
Los siguientes códigos necesitan aprobación previa a partir del 12/31/2025:
Categoría de servicio | Servicio | Códigos de procedimiento |
|---|---|---|
Administrativo y calidad | Informes de calidad y medidas de rendimiento | G9473, G9474, G9475, G9476, G9477, G9478, G9479, G9490 |
Servicios de anestesia | Tratamiento intervencionista del dolor (bloqueos nerviosos) | 62263, 62264, 62280, 62281, 62282, 62287, 64400, 64405, 64408, 64415, 64416, 64417, 64418, 64420, 64421, 64430, 64445, 64446, 64447, 64448, 64449, 64450, 64451, 64461, 64462, 64463, 64466, 64467, 64468, 64469, 64473, 64474, 64479, 64480, 64483, 64484, 64486, 64487, 64488, 64489, 64490, 64491, 64492, 64493, 64494, 64495, 64505, 64510, 64517, 64520, 64600, 64620, 64622, 64625, 64630, 64632, 64633, 64634, 64635, 64636, 64640, 64650, 64680, 64681 |
Salud del comportamiento y consumo de sustancias | Gestión, tratamiento y rehabilitación del consumo de drogas y alcohol Análisis del comportamiento aplicado (ABA) Gestión, tratamiento y rehabilitación de la salud del comportamiento Servicios intensivos de salud del comportamiento y crisis (programa de hospitalización parcial (PHP)/programa intensivo ambulatorio (IOP)/programa para crisis) Evaluaciones psicológicas y neuropsicológicas Evaluación y terapia psicológica y psiquiátrica | G0552, H0010, H0012, H0014, H0015, H0018, H0019, H0045, H2014, H2034 97151, 97152, 97153, 97154, 97155, 97156, 97158 1001, 1002, A9291, H0036, H0040, H0045, H0046, H2000, H2013, H2015, H2017, H2018, H2020, H2027, H2033, T2048 H2012, S9480, S9485 96105, 96110, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139 0889T, 0890T, 0891T, 0892T, 90870 |
Salud del comportamiento y consumo de sustancias | Gestión, tratamiento y rehabilitación del consumo de drogas y alcohol Análisis del comportamiento aplicado (ABA) Gestión, tratamiento y rehabilitación de la salud del comportamiento Servicios intensivos de salud del comportamiento y crisis (programa de hospitalización parcial (PHP)/programa intensivo ambulatorio (IOP)/programa para crisis) Evaluaciones psicológicas y neuropsicológicas Evaluación y terapia psicológica y psiquiátrica | G0552, H0010, H0012, H0014, H0015, H0018, H0019, H0045, H2014, H2034 |
| 97151, 97152, 97153, 97154, 97155, 97156, 97158 | ||
| 1001, 1002, A9291, H0036, H0040, H0045, H0046, H2000, H2013, H2015, H2017, H2018, H2020, H2027, H2033, T2048 | ||
| H2012, S9480, S9485 | ||
| 96105, 96110, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139 | ||
| 0889T, 0890T, 0891T, 0892T, 90870 | ||
Procedimientos cardiovasculares y torácicos | Injerto de derivación de la arteria coronaria (CABG) | 33542, 33548 |
Procedimientos cardiovasculares y torácicos | Procedimientos valvulares cardíacos | 33406, 33410, 33411, 33412, 33413, 33930, 33933, 33935, 33940, 33944, 33945 |
Procedimientos cardiovasculares y torácicos | Inserción, revisión, sustitución y extracción de marcapasos cardíacos o desfibriladores | 0698T, 33254, 33255, 33256, 33257, 33258, 33259, 33265, 33266, C1605 |
Procedimientos cardiovasculares y torácicos | Lobectomía, neumonectomía y procedimientos mediastínicos | 32491, 32672, 32850, 32851, 32852, 32853, 32854, 32855, 32856, S2060, S2061 |
Procedimientos cardiovasculares y torácicos | Derivación vascular periférica | 37220, 37221, 37224, 37225, 37226, 37227, 37228, 37229, 37230, 37231, 37243, C9782, C9783 |
Procedimientos cardiovasculares y torácicos | Extirpación de varices, extremidad inferior | 36465, 36466, 36468, 36470, 36471, 36475, 36476, 36478, 36479, 36482, 36483, 37500, 37700, 37718, 37722, 37735, 37760, 37761, 37765, 37766, 37780, 37785, S2202 |
Servicios de consulta y evaluación | Consulta, evaluación y atención preventiva | 0794T, 0893T, 99183, 99341, 99342, 99344, 99345, 99347, 99348, 99349, 99350, 99375, 99377, 99378, A9293, G0182, G0248, G0302, G0303, G0304, G0305, G0378, G0379, G3002, S0255, S0270, S0271, S0272, S0273, S0280, S0281, S9976, S9988, S9990, S9991, S9992, S9994, S9996 |
Servicios dentales | Servicios bucales y dentales | D0120, D0140, D0145, D0150, D0160, D0170, D0171, D0180, D0190, D0191, D0210, D0220, D0230, D0240, D0250, D0260, D0270, D0272, D0273, D0274, D0277, D0290, D0310, D0320, D0321, D0322, D0330, D0340, D0350, D0351, D0360, D0362, D0363, D0364, D0365, D0366, D0367, D0368, D0369, D0370, D0371, D0380, D0381, D0382, D0383, D0384, D0385, D0386, D0391, D0415, D0416, D0417, D0418, D0421, D0425, D0431, D0460, D0470, D0472, D0473, D0474, D0475, D0476, D0477, D0478, D0479, D0480, D0481, D0482, D0483, D0484, D0485, D0486, D0999, D1110, D1120, D1203, D1204, D1206, D1208, D1310, D1320, D1330, D1351, D1352, D1353, D1510, D1515, D1520, D1525, D1550, D1555, D1708, D1709, D1710, D1711, D1712, D1713, D1714, D2140, D2150, D2160, D2161, D2330, D2331, D2332, D2335, D2390, D2391, D2392, D2393, D2394, D2410, D2420, D2430, D2510, D2520, D2530, D2542, D2543, D2544, D2610, D2620, D2630, D2642, D2643, D2644, D2650, D2651, D2652, D2662, D2663, D2664, D2710, D2712, D2720, D2721, D2722, D2740, D2750, D2751, D2752, D2780, D2781, D2782, D2783, D2790, D2791, D2792, D2794, D2799, D2910, D2915, D2920, D2929, D2930, D2931, D2932, D2933, D2934, D2940, D2950, D2951, D2952, D2953, D2954, D2955, D2957, D2960, D2961, D2962, D2970, D2971, D2975, D2980, D2981, D2982, D2983, D2990, D2999, D3110, D3120, D3220, D3221, D3222, D3230, D3240, D3310, D3320, D3330, D3331, D3332, D3333, D3346, D3347, D3348, D3351, D3352, D3353, D3354, D3410, D3421, D3425, D3426, D3430, D3450, D3460, D3470, D3910, D3920, D3950, D3999, D4210, D4211, D4212, D4230, D4231, D4240, D4241, D4245, D4249, D4260, D4261, D4263, D4264, D4265, D4266, D4267, D4268, D4270, D4271, D4273, D4274, D4275, D4276, D4277, D4278, D4320, D4321, D4341, D4342, D4355, D4381, D4910, D4920, D4999, D5110, D5120, D5130, D5140, D5211, D5212, D5213, D5214, D5225, D5226, D5281, D5410, D5411, D5421, D5422, D5510, D5520, D5610, D5620, D5630, D5640, D5650, D5660, D5670, D5671, D5710, D5711, D5720, D5721, D5730, D5731, D5740, D5741, D5750, D5751, D5760, D5761, D5810, D5811, D5820, D5821, D5850, D5851, D5860, D5861, D5862, D5867, D5875, D5899, D5911, D5912, D5913, D5914, D5915, D5916, D5919, D5922, D5923, D5924, D5925, D5926, D5927, D5928, D5929, D5931, D5932, D5933, D5934, D5935, D5936, D5937, D5951, D5952, D5953, D5954, D5955, D5958, D5959, D5960, D5982, D5983, D5984, D5985, D5986, D5987, D5988, D5991, D5992, D5993, D5999, D6010, D6012, D6040, D6050, D6051, D6053, D6054, D6055, D6056, D6057, D6058, D6059, D6060, D6061, D6062, D6063, D6064, D6065, D6066, D6067, D6068, D6069, D6070, D6071, D6072, D6073, D6074, D6075, D6076, D6077, D6078, D6079, D6080, D6090, D6091, D6092, D6093, D6094, D6095, D6100, D6101, D6102, D6103, D6104, D6110, D6111, D6112, D6113, D6114, D6115, D6116, D6117, D6190, D6194, D6199, D6205, D6210, D6211, D6212, D6214, D6240, D6241, D6242, D6245, D6250, D6251, D6252, D6253, D6254, D6545, D6548, D6549, D6600, D6601, D6602, D6603, D6604, D6605, D6606, D6607, D6608, D6609, D6610, D6611, D6612, D6613, D6614, D6615, D6624, D6634, D6710, D6720, D6721, D6722, D6740, D6750, D6751, D6752, D6780, D6781, D6782, D6783, D6790, D6791, D6792, D6793, D6794, D6795, D6920, D6930, D6940, D6950, D6970, D6972, D6973, D6975, D6976, D6977, D6980, D6985, D6999, D7111, D7140, D7210, D7220, D7230, D7240, D7241, D7250, D7251, D7260, D7261, D7270, D7272, D7280, D7282, D7283, D7285, D7286, D7287, D7288, D7290, D7291, D7292, D7293, D7294, D7295, D7310, D7311, D7320, D7321, D7340, D7350, D7410, D7411, D7412, D7413, D7414, D7415, D7440, D7441, D7450, D7451, D7460, D7461, D7465, D7471, D7472, D7473, D7485, D7490, D7510, D7511, D7520, D7521, D7530, D7540, D7550, D7560, D7610, D7620, D7630, D7640, D7650, D7660, D7670, D7671, D7680, D7710, D7720, D7730, D7740, D7750, D7760, D7770, D7771, D7780, D7810, D7820, D7830, D7840, D7850, D7852, D7854, D7856, D7858, D7860, D7865, D7870, D7871, D7872, D7873, D7874, D7875, D7876, D7877, D7880, D7899, D7910, D7911, D7912, D7920, D7921, D7940, D7941, D7943, D7944, D7945, D7946, D7947, D7948, D7949, D7950, D7951, D7952, D7953, D7955, D7960, D7963, D7970, D7971, D7972, D7980, D7981, D7982, D7983, D7990, D7991, D7995, D7996, D7997, D7998, D7999, D8010, D8020, D8030, D8040, D8050, D8060, D8070, D8080, D8090, D8210, D8220, D8660, D8670, D8680, D8690, D8691, D8692, D8693, D8999, D9110, D9120, D9210, D9211, D9212, D9215, D9219, D9220, D9221, D9230, D9241, D9242, D9248, D9310, D9410, D9420, D9430, D9440, D9450, D9610, D9612, D9630, D9910, D9911, D9920, D9930, D9931, D9940, D9941, D9942, D9950, D9951, D9952, D9970, D9971, D9972, D9973, D9974, D9975, D9986, D9987, D9999 |
Cardiología diagnóstica | Ecografía diagnóstica del corazón (ecocardiograma) | 93303, 93304, 93306, 93307, 93308, 93312, 93313, 93314, 93315, 93316, 93317, 93318, 93350, 93351, 93356 |
Cardiología diagnóstica | Monitorización cardíaca electrográfica | 0695T, 0696T, 0897T, G0429 |
Neurología diagnóstica | Electroencefalograma (EEG), estudios del sueño y neurodiagnóstico | 95805, 95807, 95808, 95810, 95811, 95851, 95852, 95782, 95783, 95872, G0400 |
Radiología diagnóstica e imagenología | Imágenes de tomografía axial computarizada (CT) | 0042T, 0691T, 0710T, 0711T, 0712T, 0713T, 0722T, 0877T, 0878T, 0879T, 0880T, 70450, 70460, 70470, 70480, 70481, 70482, 70486, 70487, 70488, 70490, 70491, 70492, 70496, 70498, 71250, 71260, 71270, 71271, 71275, 72125, 72126, 72127, 72128, 72129, 72130, 72131, 72132, 72133, 72191, 72192, 72193, 72194, 72198, 73200, 73201, 73202, 73206, 73700, 73701, 73702, 73706, 73718, 73719, 73720, 73721, 73722, 73723, 73725, 74150, 74160, 74170, 74174, 74175, 74176, 74177, 74178, 74261, 74262, 75572, 75573, 75574, 75635, 76380, 76497, 77078, G0288, S8032 |
Radiología diagnóstica e imagenología | Imágenes por resonancia magnética (MRI)/Angiografía por resonancia magnética (MRA) | 0697T, 0724T, 0898T, 0899T, 0900T, 70336, 70540, 70542, 70543, 70544, 70545, 70546, 70547, 70548, 70549, 70551, 70552, 70553, 71550, 71551, 71552, 71555, 72141, 72142, 72146, 72147, 72148, 72149, 72156, 72157, 72158, 72159, 72195, 72196, 72197, 73218, 73219, 73220, 73221, 73222, 73223, 73225, 74181, 74182, 74183, 74185, 74712, 74713, 75557, 75559, 75561, 75563, 75565, 76498, 77046, 77047, 77048, 77049, 77084, C8900, C8901, C8902, C8903, C8905, C8906, C8908, C8909, C8910, C8911, C8912, C8913, C8914, C8918, C8919, S8037, S8042 |
Radiología diagnóstica e imagenología | Mamografía | 0694T |
Radiología diagnóstica e imagenología | Otras ecografías diagnósticas | 0689T, 0690T, 0876T |
Radiología diagnóstica e imagenología | Gammagrafía con radioisótopos, tomografía por emisión de positrones (PET) y medicina nuclear | 78429, 78430, 78431, 78432, 78433, 78434, 78451, 78452, 78453, 78454, 78459, 78466, 78468, 78469, 78472, 78473, 78481, 78483, 78491, 78492, 78494, 78499, 78608, 78609, 78811, 78812, 78813, 78814, 78815, 78816 |
Servicios de diálisis y nefrología | Hemodiálisis y diálisis peritoneal | 0692T, C8000 |
Equipo médico duradero (DME) | DME y suministros | A4100, A4210, A4239, A4341, A4342, A4560, A4593, A4594, A6501, A6507, A6511, A6590, A6591, A7049, A8003, A9156, A9900, A9999, E0152, E0170, E0172, E0190, E0193, E0194, E0221, E0236, E0240, E0250, E0255, E0256, E0260, E0261, E0265, E0266, E0290, E0292, E0294, E0295, E0296, E0297, E0300, E0301, E0302, E0303, E0304, E0316, E0328, E0329, E0371, E0372, E0373, E0450, E0453, E0455, E0460, E0461, E0463, E0464, E0465, E0466, E0467, E0468, E0469, E0470, E0480, E0481, E0482, E0483, E0490, E0491, E0492, E0493, E0500, E0530, E0550, E0575, E0605, E0606, E0607, E0610, E0616, E0617, E0619, E0620, E0625, E0630, E0635, E0636, E0637, E0638, E0639, E0640, E0641, E0642, E0650, E0651, E0652, E0656, E0658, E0659, E0670, E0675, E0676, E0677, E0678, E0679, E0680, E0681, E0682, E0683, E0691, E0692, E0693, E0694, E0711, E0715, E0721, E0732, E0733, E0734, E0735, E0736, E0737, E0738, E0739, E0743, E0745, E0747, E0748, E0749, E0760, E0764, E0766, E0767, E0770, E0781, E0782, E0783, E0784, E0785, E0786, E0791, E0912, E0954, E0983, E0984, E0986, E1002, E1003, E1004, E1005, E1006, E1007, E1008, E1010, E1011, E1012, E1030, E1031, E1032, E1033, E1034, E1035, E1037, E1050, E1060, E1070, E1083, E1084, E1086, E1087, E1088, E1089, E1090, E1092, E1093, E1100, E1110, E1130, E1140, E1150, E1160, E1161, E1170, E1171, E1172, E1180, E1190, E1195, E1200, E1220, E1223, E1224, E1229, E1230, E1232, E1233, E1234, E1235, E1236, E1237, E1238, E1240, E1250, E1260, E1270, E1280, E1285, E1290, E1295, E1301, E1310, E1399, E1406, E1800, E1801, E1802, E1803, E1804, E1805, E1806, E1807, E1808, E1810, E1811, E1812, E1813, E1814, E1815, E1816, E1818, E1822, E1823, E1825, E1826, E1827, E1828, E1829, E1830, E1832, E1840, E1841, E1905, E2102, E2103, E2204, E2227, E2228, E2291, E2292, E2293, E2294, E2295, E2298, E2310, E2311, E2312, E2313, E2321, E2322, E2325, E2327, E2328, E2329, E2330, E2331, E2343, E2351, E2370, E2375, E2376, E2378, E2402, E2502, E2504, E2506, E2508, E2510, E2512, E2599, E2603, E2604, E2605, E2606, E2607, E2608, E2609, E2613, E2614, E2615, E2616, E2617, E2620, E2621, E2622, E2624, E2628, E3000, E8000, E8001, E8002, K0001, K0002, K0003, K0004, K0005, K0006, K0007, K0008, K0009, K0010, K0011, K0012, K0014, K0108, K0455, K0606, K0609, K0730, K0742, K0800, K0801, K0802, K0806, K0807, K0808, K0813, K0814, K0815, K0816, K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829, K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843, K0848, K0849, K0850, K0851, K0852, K0853, K0854, K0855, K0856, K0857, K0858, K0859, K0860, K0861, K0862, K0863, K0864, K0868, K0877, K0884, K0885, K0886, K0890, K0891, K0898, K0899, K1035, K1036, Q3025, Q3026, Q3031, S4030, S4031, S4035, S4037, S4040, S4042, S5035, S5036, S8092, S8262, T1999 |
Equipo médico duradero (DME) | Terapia enteral y parenteral (fórmulas/bombas) | B4105, B9002 |
Equipo médico duradero (DME) | Aparatos ortopédicos, prótesis y dispositivos del Sistema de pago prospectivo para pacientes ambulatorios (OPPS) | C1735, C1736, C1737, C1742, C1826, C1827, C1832, L0112, L0456, L0457, L0458, L0460, L0462, L0464, L0469, L0480, L0482, L0484, L0486, L0488, L0631, L0635, L0636, L0637, L0638, L0639, L0640, L0648, L0650, L0651, L0700, L0710, L0720, L0810, L0820, L0830, L0859, L0999, L1000, L1001, L1005, L1006, L1007, L1200, L1300, L1310, L1320, L1499, L1653, L1680, L1681, L1685, L1686, L1690, L1700, L1710, L1720, L1730, L1755, L1840, L1843, L1844, L1845, L1846, L1860, L1932, L1933, L1945, L1951, L1952, L1970, L2000, L2005, L2010, L2020, L2030, L2034, L2036, L2037, L2038, L2108, L2112, L2126, L2128, L2134, L2136, L2350, L2525, L2627, L2628, L2999, L3230, L3671, L3674, L3730, L3740, L3765, L3766, L3900, L3901, L3904, L3905, L3916, L3961, L3967, L3971, L3973, L3975, L3976, L3977, L3978, L3981, L3999, L4000, L4020, L4631, L5010, L5020, L5050, L5060, L5100, L5105, L5150, L5160, L5200, L5210, L5220, L5230, L5250, L5270, L5280, L5301, L5312, L5321, L5331, L5341, L5400, L5410, L5420, L5430, L5450, L5460, L5500, L5505, L5510, L5520, L5530, L5535, L5540, L5560, L5570, L5580, L5585, L5590, L5595, L5600, L5610, L5611, L5613, L5614, L5615, L5616, L5639, L5643, L5645, L5647, L5649, L5651, L5657, L5681, L5683, L5700, L5701, L5702, L5703, L5705, L5706, L5707, L5716, L5718, L5722, L5724, L5726, L5728, L5780, L5781, L5782, L5783, L5795, L5814, L5816, L5818, L5822, L5824, L5826, L5827, L5828, L5830, L5840, L5841, L5845, L5848, L5859, L5926, L5930, L5950, L5960, L5961, L5964, L5966, L5968, L5969, L5979, L5980, L5981, L5987, L5988, L5990, L5991, L5999, L6000, L6010, L6020, L6026, L6028, L6029, L6031, L6032, L6033, L6034, L6035, L6036, L6038, L6039, L6050, L6055, L6100, L6110, L6120, L6130, L6200, L6205, L6250, L6300, L6310, L6320, L6350, L6360, L6370, L6380, L6382, L6384, L6400, L6450, L6500, L6550, L6570, L6580, L6582, L6584, L6586, L6588, L6590, L6621, L6624, L6638, L6646, L6648, L6693, L6696, L6697, L6700, L6707, L6708, L6709, L6712, L6713, L6714, L6715, L6721, L6722, L6880, L6881, L6883, L6884, L6885, L6900, L6905, L6910, L6915, L6920, L6925, L6930, L6935, L6940, L6945, L6950, L6955, L6960, L6965, L6970, L6975, L7007, L7008, L7009, L7040, L7045, L7170, L7185, L7186, L7190, L7191, L7259, L7364, L7366, L7368, L7406, L7499, L7900, L8035, L8039, L8040, L8041, L8042, L8043, L8044, L8045, L8046, L8047, L8499, L8600, L8605, L8609, L8610, L8612, L8614, L8619, L8627, L8628, L8629, L8631, L8659, L8670, L8678, L8679, L8680, L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689, L8690, L8691, L8692, L8693, L8694, L8720 |
Cirugía de oído, nariz y garganta (ENT) | Procedimientos diagnósticos en nariz, boca, faringe y oído | 0881T, 30120, 30520, 30620, 30630, 31276, 42145, 42831, 42835, 42836, 69300, 69716 |
Procedimientos gastroenterológicos | Endoscopia gastrointestinal (y diagnóstica) | 0884T, 0886T, 91110, 91111, 91112, A9268, A9269, S2140, S2142 |
Cirugía general y abdominal | Laparotomía exploratoria (y cirugía abdominal abierta mayor) | 0600T, 0601T, 0673T, 0686T, 0868T, 0870T, 0871T, 0873T, 0874T, 47133, 47135, 47140, 47141, 47142, 47143, 47144, 47145, 47146, 47147, 47370, 47371, 47380, 47381, 48160, 48550, 48551, 48552, 48554, 48556, S2102 |
Cirugía general y abdominal | Derivación gástrica y reducción de volumen (bariátrica) | 43290, 43291, 43328, 43644, 43645, 43647, 43648, 43770, 43771, 43772, 43773, 43774, 43775, 43842, 43843, 43845, 43846, 43847, 43848, C9784, C9785 |
Cirugía general y abdominal | Cirugía estructural gástrica, esofágica y bariátrica | 43881, 43882, 43886, 43887, 43888, 43999 |
Cirugía general y abdominal | Laparoscopia | C9736, S2103 |
Cirugía general y abdominal | Otras reparaciones de hernias | 49595 |
Cirugía general y abdominal | Resección del intestino delgado/Resección y estoma | 44132, 44133, 44135, 44136, 44137, 44715, 44720, 44721 |
Cirugía ginecológica | Histerectomía abdominal y vaginal | 58150, 58260, 58262, 58290, 58291, 58541, 58542, 58543, 58550, 58552, 58553, 58554, 58570, 58571, 58572, 58573 |
Cirugía ginecológica | Ginecología menor, sin histerectomía y maternidad | 56625, 56800, 56805, 57110, 57291, 57292, 58350, 59840, 59841, 59850, 59851, 59852, 59855, 59856, 59857, 59866, 59871, 59897, 59898, 59899, S4011, S4013, S4014, S4015, S4016, S4017, S4018, S4020, S4021, S4022, S4023, S4025, S4026, S4027, S4028, S9001, S9002, S9208, S9209, S9211, S9212, S9213, S9214 |
Cirugía ginecológica | Otras cirugías ginecológicas (ovario/trompas) | 58661, 58720, 58760, 58770, 58920, 58940 |
Procedimientos hematológicos y oncológicos | Transfusión de sangre y productos derivados de la sangre | P9051 |
Procedimientos hematológicos y oncológicos | Trasplante de médula ósea | 0584T, 0585T, 0586T, 38204, 38205, 38206, 38207, 38208, 38209, 38210, 38211, 38212, 38213, 38214, 38215, 38220, 38221, 38230, 38232, 38240, 38241, 38242, S2150, S2152 |
Procedimientos hematológicos y oncológicos | Radiología terapéutica (oncología radioterápica) | 77371, 77372, 77373, 77385, 77386, 77423, C2623, G0293, G0294, G0339, G0340 |
Servicios de salud y comunitarios en el hogar | Servicios de infusión en el hogar | S5497, S5498, S5501, S5502, S5517, S5518, S5520, S5521, S5522, S5523, S9098, S9325, S9326, S9327, S9328, S9329, S9330, S9331, S9335, S9336, S9338, S9339, S9345, S9346, S9347, S9348, S9349, S9351, S9353, S9355, S9357, S9359, S9361, S9363, S9364, S9365, S9366, S9367, S9368, S9370, S9372, S9373, S9374, S9375, S9376, S9377, S9379, S9490, S9494, S9497, S9500, S9501, S9502, S9503, S9504, S9538, S9542, S9560, S9590, S9810 |
Servicios de salud y comunitarios en el hogar | Servicios de centros de convalecencia | G0299, G0300, T1002, T1003, T1021, T1022, T1024, T1027, T1028, T1029, T1030, T1031 |
Servicios de salud y comunitarios en el hogar | Atención no hospitalaria (por ejemplo, atención de salud en el hogar, atención para pacientes terminales) | 99500, 99501, 99502, 99503, 99504, 99505, 99506, 99507, 99509, 99510, 99511, G0128, G0151, G0152, G0153, G0154, G0156, G0162, G0529, G0530, G0531, G9187, Q5001, Q5002, Q5003, Q5004, Q5005, Q5006, Q5007, Q5008, Q5009, Q5010, Q5098, Q5099, Q5100, S9122, S9123, S9124, S9125, S9126, S9127, S9128, S9129, S9131 |
Servicios de salud y comunitarios en el hogar | Servicios suplementarios y exenciones estatales | S5108, S5109, S5110, S5111, S5115, S5116, S5165, S5180, S5181, T2013, T2027, T2028, T2029, T2035, T2043, T2044, T2045, T2046, T5001 |
Procedimientos tegumentarios | Blefaroplastia y procedimientos de cejas | 15820, 15821, 15822, 15823, 67900, 67901, 67902, 67903, 67904, 67906, 67908, 67909, 67911, 67914, 67915, 67916, 67917, 67921, 67922, 67923, 67924, 67938, 67950 |
Procedimientos tegumentarios | Reconstrucción mamaria y mastectomía | 19300, 19303, 19316, 19318, 19325, 19328, 19330, 19340, 19342, 19350, 19355, 19370, 19371, 19396, 19499, S2053, S2054, S2055 |
Procedimientos tegumentarios | Reconstrucción compleja e injertos (sustitutos cutáneos) | Q4199, Q4224, Q4225, Q4236, Q4256, Q4257, Q4258, Q4259, Q4260, Q4261, Q4262, Q4263, Q4264, Q4265, Q4266, Q4267, Q4268, Q4269, Q4270, Q4271, Q4272, Q4273, Q4274, Q4275, Q4276, Q4277, Q4278, Q4279, Q4280, Q4281, Q4282, Q4283, Q4284, Q4285, Q4286, Q4287, Q4288, Q4289, Q4290, Q4291, Q4292, Q4293, Q4294, Q4295, Q4296, Q4297, Q4298, Q4299, Q4300, Q4301, Q4302, Q4303, Q4304, Q4309, Q4311, Q4312, Q4313, Q4314, Q4315, Q4316, Q4317, Q4318, Q4319, Q4320, Q4321, Q4322, Q4323, Q4324, Q4325, Q4326, Q4327, Q4328, Q4329, Q4330, Q4331, Q4332, Q4333, Q4346, Q4347, Q4348, Q4349, Q4350, Q4351, Q4352, Q4353, Q4354, Q4355, Q4356, Q4357, Q4358, Q4359, Q4360, Q4361, Q4362, Q4363, Q4364, Q4365, Q4366, Q4367, Q4368, Q4369, Q4370, Q4371, Q4372, Q4373, Q4375, Q4376, Q4377, Q4378, Q4379, Q4380, Q4381, Q4382, Q4383, Q4384, Q4385, Q4386, Q4387, Q4388, Q4389, Q4390, Q4391, Q4392, Q4393, Q4394, Q4395, Q4396, Q4397 |
Procedimientos tegumentarios | Desbridamiento de heridas, infecciones o quemaduras | 97602, 97605 |
Procedimientos tegumentarios | Injerto de piel | 15734, 15736, 15738, 15769, 15771, 15772, 15773, 15774, 15776, A2001, A2002, A2003, A2004, A2005, A2006, A2007, A2008, A2009, A2010, A2011, A2012, A2013, A2014, A2015, A2016, A2017, A2018, A2019, A2020, A2021, A2022, A2023, A2024, A2025, A2026, A2027, A2028, A2029, A2030, A2031, A2032, A2033, A2034, A2035, A2036, A2037, A2038, A2039 |
Procedimientos tegumentarios | Reparación de heridas y destrucción de lesiones | 13100, 13101, 13102, 13120, 13121, 13122, 13131, 13132, 13133, 13150, 13151, 13152, 13153, 13160, 17340, 17360, 17999 |
Servicios de laboratorio y patología | Pruebas genéticas y moleculares | 0006M, 0012M, 0013M, 0019M, 0020M, 81105, 81106, 81161, 81162, 81163, 81164, 81165, 81166, 81167, 81171, 81172, 81173, 81174, 81175, 81177, 81178, 81179, 81180, 81181, 81182, 81183, 81184, 81185, 81186, 81187, 81188, 81189, 81190, 81195, 81200, 81204, 81205, 81206, 81207, 81208, 81209, 81210, 81212, 81215, 81216, 81217, 81218, 81219, 81222, 81223, 81225, 81226, 81227, 81229, 81233, 81234, 81235, 81236, 81237, 81239, 81241, 81242, 81243, 81244, 81250, 81251, 81252, 81253, 81255, 81256, 81260, 81261, 81268, 81270, 81271, 81274, 81275, 81276, 81277, 81284, 81285, 81286, 81289, 81290, 81292, 81293, 81294, 81295, 81296, 81297, 81298, 81299, 81300, 81301, 81302, 81304, 81305, 81306, 81307, 81308, 81309, 81312, 81314, 81315, 81317, 81318, 81319, 81320, 81327, 81329, 81330, 81331, 81332, 81333, 81336, 81337, 81342, 81343, 81344, 81345, 81349, 81350, 81355, 81370, 81371, 81372, 81373, 81374, 81375, 81376, 81377, 81378, 81379, 81380, 81381, 81382, 81383, 81400, 81401, 81402, 81403, 81404, 81405, 81406, 81407, 81408, 81418, 81441, 81443, 81449, 81451, 81456, 81457, 81458, 81459, 81462, 81463, 81464, 81479, 81506, 81517, 81518, 81522, 81523, 81542, 81552, 81558, S3713, S3818, S3819, S3820, S3822, S3823, S3828, S3829, S3830, S3831, S3833, S3834, S3835, S3837, S3840, S3843, S3847, S3848, S3851, S3855, S3860, S3862, S3870, S3890 |
Servicios de laboratorio y patología | Inmunología | 86812, 86813, 86816, 86817, 86821, 86825, 86826, 86828, 86829, 86830, 86831, 86832, 86833, 86834, 86835 |
Servicios de laboratorio y patología | Laboratorio: química, hematología y banco de sangre | 80184, 80220, 83890, 83891, 83892, 83893, 83894, 83896, 83897, 83898, 83900, 83901, 83902, 83903, 83904, 83905, 83906, 83907, 83908, 83909, 83912, 83913, 83914, 83992, 88720, 88738, 89050, 89055, 89060, 89125, 89190, 89398 |
Servicios de laboratorio y patología | Examen microscópico (bacteriano, toxicológico, COVID-19) | 80324, 80325, 80345, 80347, 80350, 80351, 80352, 80356, 80362, 80363, 87484, 87593, G0482, G0483, G6053 |
Servicios de laboratorio y patología | Patología | 88230, 88233, 88235, 88237, 88239, 88240, 88241, 88245, 88248, 88249, 88261, 88262, 88263, 88264, 88267, 88269, 88271, 88272, 88273, 88274, 88275, 88280, 88283, 88285, 88289, 88291, 88299, 88350, 88384, 88385, 88386 |
Servicios de laboratorio y patología | Análisis de laboratorio patentados (códigos PLA) | 0002U, 0003U, 0045U, 0046U, 0047U, 0048U, 0049U, 0050U, 0051U, 0054U, 0055U, 0056U, 0060U, 0062U, 0063U, 0067U, 0069U, 0070U, 0071U, 0073U, 0074U, 0075U, 0076U, 0078U, 0079U, 0080U, 0082U, 0083U, 0084U, 0087U, 0088U, 0089U, 0090U, 0092U, 0094U, 0101U, 0102U, 0103U, 0105U, 0108U, 0111U, 0112U, 0113U, 0114U, 0117U, 0118U, 0120U, 0126U, 0128U, 0129U, 0130U, 0131U, 0132U, 0133U, 0134U, 0135U, 0136U, 0137U, 0138U, 0139U, 0153U, 0154U, 0155U, 0156U, 0157U, 0158U, 0159U, 0160U, 0161U, 0162U, 0163U, 0168U, 0169U, 0170U, 0171U, 0172U, 0173U, 0174U, 0175U, 0177U, 0179U, 0180U, 0181U, 0182U, 0183U, 0184U, 0185U, 0186U, 0187U, 0188U, 0189U, 0190U, 0191U, 0192U, 0193U, 0194U, 0195U, 0196U, 0197U, 0198U, 0199U, 0200U, 0201U, 0242U, 0243U, 0244U, 0245U, 0246U, 0247U, 0285U, 0286U, 0287U, 0288U, 0289U, 0290U, 0291U, 0292U, 0293U, 0294U, 0295U, 0296U, 0297U, 0298U, 0299U, 0300U, 0306U, 0307U, 0308U, 0309U, 0310U, 0313U, 0314U, 0315U, 0317U, 0318U, 0319U, 0320U, 0322U, 0327U, 0328U, 0329U, 0331U, 0333U, 0334U, 0335U, 0336U, 0339U, 0340U, 0341U, 0343U, 0345U, 0347U, 0348U, 0349U, 0350U, 0353U, 0355U, 0356U, 0357U, 0358U, 0359U, 0360U, 0361U, 0362U, 0363U, 0364U, 0365U, 0366U, 0367U, 0368U, 0369U, 0370U, 0371U, 0372U, 0373U, 0374U, 0375U, 0376U, 0377U, 0378U, 0379U, 0384U, 0385U, 0386U, 0387U, 0388U, 0389U, 0390U, 0391U, 0392U, 0393U, 0395U, 0396U, 0397U, 0398U, 0400U, 0401U, 0403U, 0405U, 0406U, 0407U, 0409U, 0410U, 0411U, 0412U, 0413U, 0414U, 0415U, 0417U, 0418U, 0419U, 0420U, 0421U, 0422U, 0423U, 0424U, 0425U, 0426U, 0433U, 0434U, 0436U, 0437U, 0438U, 0439U, 0440U, 0443U, 0444U, 0449U, 0450U, 0451U, 0452U, 0453U, 0454U, 0457U, 0458U, 0459U, 0460U, 0461U, 0462U, 0463U, 0465U, 0466U, 0467U, 0468U, 0469U, 0470U, 0472U, 0473U, 0474U, 0475U, 0476U, 0477U, 0478U, 0479U, 0480U, 0481U, 0485U, 0486U, 0487U, 0488U, 0489U, 0493U, 0494U, 0495U, 0496U, 0497U, 0498U, 0499U, 0500U, 0501U, 0502U, 0503U, 0506U, 0507U, 0508U, 0509U, 0510U, 0511U, 0516U, 0523U, 0529U, 0530U, 0531U, 0532U, 0533U, 0534U, 0536U, 0537U, 0538U, 0539U, 0540U, 0543U, 0544U, 0549U, 0552U, 0553U, 0554U, 0555U, 0560U, 0561U, 0562U, 0565U, 0566U, 0567U, 0568U, 0569U, 0571U, 0575U, 0576U, 0578U, 0582U, 0583U, 0585U, 0586U, 0592U, 0597U |
Medicamentos y farmacia | Medicamentos (inyecciones, infusiones y otras formas) | 0708T, 0709T, A9274, A9277, A9278, A9513, A9542, A9607, C9021, C9022, C9025, C9026, C9027, C9034, C9035, C9036, C9037, C9038, C9040, C9044, C9045, C9048, C9049, C9050, C9051, C9052, C9053, C9054, C9055, C9056, C9057, C9058, C9061, C9063, C9065, C9071, C9072, C9073, C9075, C9076, C9079, C9080, C9081, C9082, C9083, C9088, C9089, C9094, C9095, C9096, C9097, C9098, C9121, C9122, C9130, C9131, C9132, C9133, C9134, C9135, C9136, C9151, C9166, C9167, C9168, C9173, C9174, C9175, C9255, C9256, C9257, C9259, C9260, C9261, C9263, C9264, C9265, C9266, C9267, C9269, C9270, C9271, C9272, C9273, C9276, C9277, C9278, C9280, C9281, C9284, C9286, C9287, C9289, C9291, C9292, C9293, C9294, C9295, C9296, C9297, C9298, C9301, C9302, C9303, C9304, C9305, C9306, C9399, C9442, C9445, C9448, C9449, C9450, C9451, C9452, C9453, C9454, C9455, C9456, J0121, J0129, J0139, J0172, J0174, J0175, J0177, J0178, J0179, J0180, J0184, J0202, J0205, J0208, J0215, J0217, J0218, J0219, J0220, J0221, J0222, J0223, J0224, J0225, J0256, J0257, J0291, J0364, J0480, J0485, J0490, J0491, J0517, J0565, J0567, J0577, J0578, J0584, J0585, J0586, J0587, J0588, J0589, J0591, J0593, J0594, J0596, J0597, J0598, J0599, J0601, J0602, J0603, J0604, J0605, J0606, J0607, J0608, J0609, J0614, J0638, J0642, J0668, J0691, J0717, J0718, J0738, J0739, J0741, J0751, J0752, J0775, J0791, J0799, J0800, J0801, J0802, J0850, J0870, J0879, J0881, J0882, J0885, J0887, J0888, J0889, J0890, J0893, J0894, J0896, J0897, J0901, J1072, J1190, J1202, J1203, J1290, J1299, J1301, J1302, J1303, J1304, J1305, J1306, J1307, J1322, J1323, J1324, J1325, J1326, J1411, J1412, J1413, J1414, J1426, J1429, J1434, J1439, J1440, J1441, J1442, J1447, J1448, J1449, J1454, J1456, J1458, J1459, J1460, J1470, J1480, J1490, J1500, J1510, J1520, J1530, J1540, J1550, J1551, J1552, J1555, J1556, J1557, J1558, J1559, J1560, J1561, J1562, J1566, J1568, J1569, J1572, J1575, J1576, J1595, J1599, J1602, J1628, J1632, J1640, J1652, J1655, J1680, J1729, J1740, J1743, J1744, J1745, J1746, J1747, J1748, J1785, J1786, J1809, J1823, J1825, J1826, J1930, J1931, J1932, J1950, J1951, J1952, J1954, J1961, J2170, J2182, J2212, J2267, J2277, J2278, J2311, J2313, J2323, J2325, J2326, J2327, J2329, J2350, J2351, J2353, J2354, J2355, J2356, J2357, J2403, J2425, J2427, J2428, J2468, J2501, J2502, J2503, J2504, J2505, J2506, J2507, J2508, J2562, J2724, J2777, J2778, J2779, J2781, J2782, J2786, J2792, J2793, J2795, J2797, J2801, J2802, J2820, J2840, J2860, J2941, J2998, J3031, J3032, J3055, J3060, J3095, J3110, J3111, J3240, J3241, J3245, J3247, J3262, J3263, J3285, J3299, J3304, J3315, J3316, J3357, J3358, J3380, J3385, J3391, J3392, J3393, J3394, J3396, J3397, J3398, J3399, J3401, J3402, J3403, J3487, J3488, J3490, J3590, J3591, J7169, J7171, J7172, J7173, J7174, J7177, J7178, J7179, J7181, J7184, J7188, J7190, J7191, J7193, J7194, J7196, J7197, J7198, J7199, J7200, J7201, J7202, J7203, J7204, J7205, J7207, J7210, J7211, J7212, J7213, J7214, J7294, J7310, J7311, J7312, J7313, J7314, J7315, J7316, J7318, J7320, J7321, J7323, J7324, J7325, J7326, J7327, J7329, J7330, J7331, J7332, J7333, J7335, J7351, J7352, J7353, J7355, J7356, J7401, J7504, J7508, J7511, J7513, J7514, J7516, J7518, J7521, J7525, J7527, J7599, J7601, J7639, J7682, J7686, J7699, J8499, J8522, J8541, J8561, J8562, J8565, J8611, J8612, J8705, J8999, J9000, J9001, J9002, J9010, J9011, J9015, J9017, J9019, J9020, J9021, J9022, J9023, J9024, J9025, J9026, J9027, J9028, J9029, J9032, J9033, J9034, J9035, J9038, J9039, J9040, J9041, J9042, J9043, J9045, J9046, J9047, J9048, J9049, J9050, J9051, J9052, J9054, J9055, J9056, J9057, J9060, J9061, J9062, J9063, J9064, J9065, J9071, J9072, J9073, J9074, J9075, J9076, J9090, J9091, J9092, J9093, J9094, J9097, J9098, J9100, J9110, J9118, J9119, J9120, J9130, J9140, J9144, J9145, J9150, J9151, J9153, J9155, J9161, J9171, J9172, J9173, J9174, J9175, J9176, J9177, J9178, J9179, J9181, J9185, J9190, J9196, J9198, J9199, J9200, J9201, J9202, J9204, J9205, J9206, J9207, J9208, J9209, J9210, J9211, J9212, J9213, J9214, J9215, J9216, J9217, J9218, J9219, J9223, J9225, J9226, J9227, J9228, J9229, J9230, J9245, J9246, J9248, J9249, J9258, J9261, J9262, J9263, J9264, J9265, J9266, J9267, J9268, J9269, J9271, J9272, J9273, J9274, J9275, J9276, J9280, J9281, J9286, J9289, J9290, J9291, J9292, J9294, J9295, J9296, J9297, J9298, J9299, J9301, J9302, J9303, J9304, J9305, J9306, J9307, J9308, J9309, J9311, J9312, J9313, J9314, J9315, J9316, J9317, J9318, J9319, J9320, J9321, J9322, J9323, J9324, J9328, J9329, J9330, J9331, J9332, J9333, J9334, J9340, J9341, J9342, J9345, J9347, J9348, J9350, J9351, J9352, J9353, J9354, J9355, J9357, J9358, J9359, J9360, J9361, J9370, J9371, J9375, J9376, J9380, J9381, J9382, J9390, J9393, J9394, J9395, J9400, J9600, J9999, M0224, Q0155, Q0224, Q2017, Q2025, Q2026, Q2027, Q2028, Q2042, Q2043, Q2044, Q2045, Q2046, Q2047, Q2048, Q2049, Q2050, Q2051, Q2052, Q2053, Q2054, Q2055, Q2056, Q2057, Q2058, Q3027, Q3028, Q4074, Q4082, Q5101, Q5103, Q5104, Q5105, Q5106, Q5107, Q5108, Q5109, Q5110, Q5111, Q5113, Q5115, Q5116, Q5117, Q5118, Q5119, Q5120, Q5121, Q5122, Q5123, Q5124, Q5125, Q5126, Q5127, Q5128, Q5129, Q5130, Q5133, Q5134, Q5135, Q5136, Q5137, Q5138, Q5140, Q5141, Q5142, Q5143, Q5144, Q5145, Q5146, Q5147, Q5148, Q5149, Q5150, Q5151, Q5152, Q5153, Q5154, Q5155, Q5156, Q5157, Q5158, Q5159, Q9972, Q9973, Q9975, Q9976, Q9977, Q9978, Q9979, Q9996, Q9997, Q9998, Q9999, S0013, S0088, S0122, S0126, S0128, S0132, S0145, S0148, S0190 |
Medicamentos y farmacia | Radiofármacos | C7901, C7902 |
Neurocirugía | Incisión y resección del sistema nervioso central (CNS) | 61796, 61797, 61798, 61799, 63620, 63621 |
Neurocirugía | Inserción de catéter o estimulador espinal | 0587T, 0588T, 0589T, 0590T, 0674T, 0675T, 0676T, 0677T, 0678T, 0680T, 62320, 62321, 62322, 62323, 62324, 62325, 62326, 62327, 62350, 62351, 62355, 62360, 62361, 62362, 62365, 62367, 62369, 62370, 63650, 63655, 63661, 63662, 63685, 63688, 64553, 64555, 64560, 64561, 64566, 64568, 64590, 64595, 95980, 95981, 95982 |
Oftalmología y cuidado de la vista | Exámenes oculares generales y diagnósticos | 0563T, 0687T, 0688T, 0704T, 0705T, 0706T |
Oftalmología y cuidado de la vista | Glaucoma y procedimientos oculares | 0671T, 66020, 67715 |
Oftalmología y cuidado de la vista | Ayudas visuales y otros suministros ópticos | S0500, S0504, S0506, S0508, S0510, S0512, S0514, S0515, S0516, S0518, S0580, S0581, S0590, S0592, S0595, V2020, V2100, V2101, V2102, V2103, V2104, V2105, V2106, V2107, V2108, V2109, V2110, V2111, V2112, V2113, V2114, V2115, V2118, V2121, V2199, V2200, V2201, V2202, V2203, V2204, V2205, V2206, V2207, V2208, V2209, V2210, V2211, V2212, V2213, V2214, V2215, V2218, V2219, V2220, V2221, V2299, V2300, V2301, V2302, V2303, V2304, V2305, V2306, V2307, V2308, V2309, V2310, V2311, V2312, V2313, V2314, V2315, V2318, V2319, V2320, V2321, V2399, V2410, V2430, V2499, V2500, V2501, V2502, V2503, V2510, V2511, V2512, V2513, V2520, V2521, V2522, V2523, V2525, V2526, V2530, V2531, V2599, V2600, V2610, V2615, V2623, V2624, V2625, V2626, V2627, V2628, V2629, V2700, V2702, V2710, V2715, V2718, V2730, V2744, V2745, V2750, V2755, V2756, V2760, V2761, V2762, V2770, V2780, V2781, V2782, V2783, V2784, V2786, V2787, V2788, V2790, V2797, V2799 |
Cirugía ortopédica y de columna vertebral | Ortopedia general, traumatología y tratamiento de fracturas | 0707T, 0869T, 20939, 21120, 21121, 21122, 21123, 21125, 21127, 21137, 21138, 21139, 21141, 21142, 21143, 21145, 21146, 21147, 21150, 21151, 21154, 21155, 21159, 21160, 21172, 21175, 21179, 21180, 21181, 21182, 21183, 21184, 21188, 21193, 21194, 21195, 21196, 21198, 21199, 21206, 21208, 21209, 21210, 21215, 21230, 21235, 21240, 21242, 21243, 21244, 21247, 21248, 21249, 21255, 21256, 21260, 21261, 21263, 21267, 21268, 21270, 21275, 21280, 21282, 21295, 21296, 21299, 22101, 22102, 22103, 22110, 22112, 22114, 22116, 22206, 22207, 22208, 22210, 22212, 22214, 22216, 22220, 22222, 22224, 22226, 22510, 22511, 22512, 22513, 22514, 22515, 22521, 22522, 22523, 22524, 22532, 22856, 22857, 22858, 22860, 22861, 22862, 22864, 22865, 24360, 24361, 24362, 24363, 24366, 24370, 24371, 25332, 25441, 25442, 25443, 25444, 25445, 25446, 25447, 25449, 26530, 26531, 26535, 26536, 27096, 27125, 27278, 27279, 27437, 27438, 27702, 27703, 27704 |
Cirugía ortopédica y de columna vertebral | Reconstrucción articular mayor y artroscopia | 23470, 23472, 23473, 23474, 27130, 27132, 27134, 27137, 27138, 27440, 27441, 27442, 27443, 27445, 27446, 27447, 27486, 27487 |
Cirugía ortopédica y de columna vertebral | Cirugía de columna (fusión, laminectomía y deformidad) | 0719T, 0790T, 22533, 22534, 22548, 22551, 22552, 22554, 22556, 22558, 22585, 22586, 22590, 22595, 22600, 22610, 22612, 22614, 22630, 22632, 22633, 22634, 22800, 22802, 22804, 22808, 22810, 22812, 22818, 22819, 22830, 22836, 22837, 22838, 22840, 22841, 22842, 22843, 22844, 22845, 22846, 22847, 22848, 22849, 22850, 22852, 22853, 22855, 63001, 63003, 63005, 63011, 63012, 63015, 63016, 63017, 63020, 63030, 63035, 63040, 63042, 63043, 63044, 63045, 63046, 63047, 63048, 63050, 63051, 63052, 63053, 63055, 63056, 63057, 63064, 63066, 63075, 63076, 63077, 63078, 63081, 63082, 63085, 63086, 63087, 63088, 63090, 63091, 63101, 63102, 63103, 63170, 63172, 63173, 63185, 63190, 63191, 63194, 63195, 63196, 63197, 63198, 63199, 63200, 63250, 63251, 63252, 63265, 63266, 63267, 63268, 63270, 63271, 63272, 63273, 63275, 63276, 63277, 63278, 63280, 63281, 63282, 63283, 63285, 63286, 63287, 63290, 63295, 63300, 63301, 63302, 63303, 63304, 63305, 63306, 63307, 63308, C7504, C7505, C7507, C7508, C9757, G0276, G0277, S2350, S2351, S2360, S2361 |
Fisioterapia, terapia ocupacional y del habla | Fisioterapia (PT), terapia ocupacional (OT) y del habla | 0693T, 97110, 97112, 97113, 97116, 97124, 97139, 97140, 97150, 97161, 97162, 97163, 97165, 97166, 97167, 97530, 97542, G0129, S8948 |
Fisioterapia, terapia ocupacional y del habla | Modalidades terapéuticas (ecografía, tracción, estimulación) | 97010, 97012, 97014, 97016, 97018, 97022, 97024, 97026, 97028, 97032, 97033, 97034, 97035, 97036, 97039, 97750, 97755, 97760, 97761, 97763 |
Cirugía plástica y reconstructiva | Cirugía reconstructiva cosmética y funcional | 11950, 11951, 11952, 11954, 11960, 15780, 15781, 15782, 15783, 15786, 15787, 15788, 15789, 15792, 15793, 15824, 15825, 15826, 15828, 15829, 15830, 15832, 15833, 15834, 15835, 15836, 15837, 15838, 15839, 15840, 15841, 15842, 15845, 15847, 15876, 15877, 15878, 15879 |
Cirugía plástica y reconstructiva | Cirugía plástica de nariz (rinoplastia) | 30400, 30410, 30420, 30430, 30435, 30450, 30460, 30462, 30465 |
Servicios respiratorios | Pruebas de función pulmonar (PFT) y diagnósticas | 94005, 94774, 94777 |
Servicios del habla, el lenguaje y la audición | Evaluación de la audición y el habla | 92507, 92508, 92521, 92522, 92523, 92524, 92526, 92551, 92597, 92605, 92606, 92607, 92608, 92609, 92610, 92612, 92613, 92614, 92615, 92616, 92617 |
Servicios del habla, el lenguaje y la audición | Audífonos y suministros de audiología | V5030, V5040, V5050, V5060, V5070, V5080, V5095, V5100, V5110, V5120, V5130, V5140, V5150, V5171, V5172, V5181, V5190, V5211, V5212, V5213, V5214, V5215, V5221, V5230, V5244, V5245, V5246, V5247, V5250, V5251, V5252, V5253, V5254, V5255, V5256, V5257, V5258, V5259, V5260, V5261, V5262, V5263, V5265, V5268, V5269, V5270, V5271, V5272, V5273, V5274, V5281, V5282, V5283, V5284, V5285, V5286, V5287, V5288, V5289, V5290, V5298, V5336 |
Servicios de telesalud | Telesalud (llamadas, comunicación en línea, monitorización remota) | G0406 |
Inyecciones e infusiones terapéuticas | Inyecciones: músculos, tendones, bursas, articulaciones, tejidos blandos | 20552, 20553 |
Inyecciones e infusiones terapéuticas | Vacunas y productos de inmunoglobulina | 90281, 90283, 90284, 90291, 90378, 90741, 91305, 91306 |
Servicios de transporte | Transporte: paciente, proveedor, equipo | A0430, A0435 |
Cirugía urológica y renal | Procedimientos diagnósticos, genitales masculinos (incluye cirugía menor) | 54125, 54520, 54660, 54680, 54690, 55175, 55180 |
Cirugía urológica y renal | Trasplante de riñón | 50300, 50320, 50323, 50325, 50327, 50328, 50329, 50340, 50360, 50365, 50370, 50380, S2065 |
Cirugía urológica y renal | Nefrectomía y reconstrucción mayor del tracto urinario | 0672T, 0888T, 50547, 50548, 53430 |
Cirugía urológica y renal | Procedimientos del tracto urinario | 0872T |
Cirugía urológica y renal | Resección transuretral de próstata (TURP) | 0867T |