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Additional Code Information (Global Days, MUEs, etc.)The above description is abbreviated. This code description may also have Includes , Excludes , Notes, Guidelines, Examples and other information.
auto-open Additional Code Information (Global Days, MUEs, etc.)
Additional Code Information includes:
auto-open Top Modifiers - Most Often Billed
Save time with a Professional or Facility subscription! You will be able to see the most common modifiers billed to Medicare along with this code.
Invalid code.auto-open HCPCS Index Entries (Reverse Index Lookup) reverse_index/reverse_index_content.php?set=HCPCS&c=E0430
auto-open Code History
View historical information about the code including when it was added, changed, deleted, etc.
auto-open Dictionary Definitions dictionaries/dictionary_content.php?set=HCPCS&c=E0430
auto-open My Notes
Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account.
Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account.
auto-open Alerts (1 alert)
THIS PROCESSING NOTE DELETED 1/1/97.
Medicare - Special Coverage Instructions
auto-open Articles & Newsletters newsletters/newsletter_content.php?set=HCPCS&c=E0430
auto-open Coding Tips
auto-open DMEPOS Products (Durable Medical Equipment, Prosthetics, Orthotics, Supplies) dmepos/dmepos_content.php?set=HCPCS&c=E0430
auto-open Web-A-Code - Useful Web Links webacode/webacode_content.php?set=HCPCS&c=E0430
auto-open Medical Laboratory Tests medlabtests/medlabtests_content.php?set=HCPCS&c=E0430
auto-open Fees
* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.
auto-open Facility (Hospital, etc.)
| Modifier | Medicare Allowed | 150% | 200% | My Fee |
|---|---|---|---|---|
| Medicare has not established fees for this medical code. | ||||
Access to calculated fee values is available.
| Modifier | Allowed | Medicare 80% | Patient Pays |
|---|---|---|---|
| Medicare has not established fees for this medical code. | |||
| Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
|---|---|---|---|---|
| Medicare has not established fees for this medical code. | ||||
| Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
|---|---|---|---|---|
| Medicare has not established fees for this medical code. | ||||
auto-open Non-Facility (Office, etc.)
| Modifier | Medicare Allowed | 150% | 200% | My Fee |
|---|---|---|---|---|
| Medicare has not established fees for this medical code. | ||||
Access to calculated fee values is available.
| Modifier | Allowed | Medicare 80% | Patient Pays |
|---|---|---|---|
| Medicare has not established fees for this medical code. | |||
| Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
|---|---|---|---|---|
| Medicare has not established fees for this medical code. | ||||
| Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
|---|---|---|---|---|
| Medicare has not established fees for this medical code. | ||||
auto-open APC Fee Information
This section shows APC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more.
auto-open Fee Schedules
View fees for this code from 4 different built-in fee schedules and from those you've added using the Compare-A-Fee™ tool.
If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Fee™ tool.
auto-open UCR Fees (UCR, WC, Medicare)
View a table of UCR, Worker's Comp, and Medicare Fees here, as well as see UCR Fees in the charts below.
View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts.
View relationships (or crosswalks) between code sets.
auto-open APCs & OPPS apc/apc_content.php?set=HCPCS&c=E0430
auto-open WK Drug Dictionary wk_drug/wk_drug_content.php?set=HCPCS&c=E0430
auto-open NCCI Edits (PTP, MUE) ncciedits/ncci_content.php?set=HCPCS&c=E0430
auto-open Medicare Policies & Guidelines (Articles, LCDs, NCDs) coverage/coverage_content.php?set=HCPCS&c=E0430
auto-open Commercial Payer Policies commercial-payers/commercial-payers-content.php?set=HCPCS&c=E0430
auto-open QPP (Quality Payment Program) Measures qpp/qpp_content.php?set=HCPCS&c=E0430
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