Medicine – Claim Documentation Requirements

Code Description Documentation Required
0569T Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis Clinical notes
0570T Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (list separately in addition to code for primary procedure) Clinical notes
0584T Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; percutaneous Clinical notes
0585T Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; laparoscopic Clinical notes
0586T Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; open Clinical notes
0627T Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; first level Clinical notes
0628T Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; each additional level (List separately in addition to code for primary procedure) Clinical notes
0629T Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; first level Clinical notes
0630T Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; each additional level (List separately in addition to code for primary procedure) Clinical notes
0646T Transcatheter tricuspid valve implantation (ttvi)/replacement with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertion, and selective right ventricular or right atrial angiography, when performed Medicine – Claim Documentation Requirements Clinical notes
0647T Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation and report medicine - claim documentation requirements Clinical notes
0658T Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score Clinical notes
0673T Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance Clinical notes
0686T Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant hepatocellular tissue, including image guidance Clinical notes
0687T Treatment of amblyopia using an online digital program; device supply, educational set-up, and initial session Clinical notes
0688T Treatment of amblyopia using an online digital program; assessment of patient performance and program data by physician or other qualified health care professional, with report, per calendar month Clinical notes
0820T CONTINUOUS IN-PERSON MONITORING AND INTERVENTION (EG, PSYCHOTHERAPY, CRISIS INTERVENTION), AS NEEDED, DURING PSYCHEDELIC MEDICATION THERAPY; FIRST PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL, EACH HOUR Clinical notes
0821T CONTINUOUS IN-PERSON MONITORING AND INTERVENTION (EG, PSYCHOTHERAPY, CRISIS INTERVENTION), AS NEEDED, DURING PSYCHEDELIC MEDICATION THERAPY; SECOND PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL, CONCURRENT WITH FIRST PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL, EACH HOUR Clinical notes
0822T ONTINUOUS IN-PERSON MONITORING AND INTERVENTION (EG, PSYCHOTHERAPY, CRISIS INTERVENTION), AS NEEDED, DURING PSYCHEDELIC MEDICATION THERAPY; CLINICAL STAFF UNDER THE DIRECTION OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL, CONCURRENT WITH FIRST PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL, EACH HOUR Clinical notes
0889T Personalized target development for accelerated, repetitive high-dose functional connectivity mri–guided theta-burst stimulation derived from a structural and resting-state functional mri, including data preparation and transmission, generation of the target, motor threshold–starting location, neuronavigation files and target report, review and interpretationincluding data preparation and transmission, generation of the tar Clinical notes
0890T Accelerated, repetitive high-dose functional connectivity mri–guided theta-burst stimulation, including target assessment, initial motor threshold determination, neuronavigation, delivery and management, initial treatment day Clinical notes
0891T Accelerated, repetitive high-dose functional connectivity mri–guided theta-burst stimulation, including neuronavigation, delivery and management, subsequent treatment day Clinical notes
0892T Accelerated, repetitive high-dose functional connectivity mri–guided theta-burst stimulation, including neuronavigation, delivery and management, subsequent motor threshold redetermination with delivery and management, per treatment day Clinical notes
62328 Spinal puncture, lumbar, diagnostic; with fluoroscopic or ct guidance Clinical notes
62329 Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or ct guidance Clinical notes
66989 Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage; with insertion of intraocular (eg, trabecular meshwork, supraciliary, suprachoroidal) anterior segment aqueous drainage device, without extraocular reservoir, internal approach, one or more Clinical notes
66991 Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion of intraocular (eg, trabecular meshwork, supraciliary, suprachoroidal) anterior segment aqueous drainage device, without extraocular reservoir, internal approach, one or more Clinical notes
92549 Computerized dynamic posturography sensory organization test (cdp-sot), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), including interpretation and report; with motor control test (mct) and adaptation test (adt) Clinical notes
93356 Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (list separately in addition to codes for echocardiography imaging) Clinical notes
93896 Vasoreactivity study performed with transcranial doppler study of intracranial arteries, complete (list separately in addition to code for primary procedure) Clinical notes
93897 Emboli detection without intravenous microbubble injection performed with transcranial doppler study of intracranial arteries, complete (list separately in addition to code for primary procedure) Clinical notes
93898 Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial doppler study of intracranial arteries, complete (list separately in addition to code for primary procedure) Clinical notes
95705 Electroencephalogram (eeg), without video, review of data, technical description by eeg technologist, 2-12 hours; unmonitored Clinical notes
95717 Electroencephalogram (eeg), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation and report, 2-12 hours of eeg recording; without video Clinical notes
93895 Quantitative Carotid Intima Media Thickness And Carotid Atheroma Evaluation, Bilateral Clinical notes
96547 INTRAOPERATIVE HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY (HIPEC) PROCEDURE, INCLUDING SEPARATE INCISION(S) AND CLOSURE, WHEN PERFORMED; FIRST 60 MINUTES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) Diagnostic/Imaging Report
96548 INTRAOPERATIVE HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY (HIPEC) PROCEDURE, INCLUDING SEPARATE INCISION(S) AND CLOSURE, WHEN PERFORMED; EACH ADDITIONAL 30 MINUTES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)  
98976 Remote Therapeutic Monitoring (Eg, Respiratory System Status, Musculoskeletal System Status, Therapy Adherence, Therapy Response); Device(S) Supply With Scheduled (Eg, Daily) Recording(S) And/Or Programmed Alert(S) Transmission To Monitor Respiratory System, Each 30 Days Clinical notes
99174 Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report

** For individuals <5 years, medical necessity review not required. All other ages require documentation.
Clinical notes
A4468 EXSUFFLATION BELT, INCLUDES ALL SUPPLIES AND ACCESSORIES Clinical notes
A6521 GRADIENT COMPRESSION GARMENT, GLOVE, PADDED, FOR NIGHTTIME USE, CUSTOM, EACH Clinical notes
A6523 GRADIENT COMPRESSION GARMENT, ARM, PADDED, FOR NIGHTTIME USE, CUSTOM, EACH Clinical notes
A6525 GRADIENT COMPRESSION GARMENT, LOWER LEG AND FOOT, PADDED, FOR NIGHTTIME USE, CUSTOM, EACH Clinical notes
A6526 RADIENT COMPRESSION GARMENT, FULL LEG AND FOOT, PADDED, FOR NIGHTTIME USE, EACH Clinical notes
A6527 GRADIENT COMPRESSION GARMENT, FULL LEG AND FOOT, PADDED, FOR NIGHTTIME USE, CUSTOM, EACH Clinical notes
A6528 GRADIENT COMPRESSION GARMENT, BRA, FOR NIGHTTIME USE, EACH Clinical notes
A6529 GRADIENT COMPRESSION GARMENT, BRA, FOR NIGHTTIME USE, CUSTOM, EACH Clinical notes
A6559 GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 18-30 MMHG, CUSTOM, EACH Clinical notes
A6560 GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 30-40 MMHG, CUSTOM, EACH Clinical notes
A6561 GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 40 MMHG OR GREATER, CUSTOM, EAC Clinical notes
A6562 GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 18-30 MMHG, CUSTOM, EACH Clinical notes
A6563 GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 30-40 MMHG, CUSTOM, EACH Clinical notes
A6564 GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 40 MMHG OR GREATER, CUSTOM, EACH Clinical notes
A6566 GRADIENT COMPRESSION GARMENT, NECK/HEAD, EACH Clinical notes
A6567 GRADIENT COMPRESSION GARMENT, NECK/HEAD, CUSTOM, EACH Clinical notes
A6568 GRADIENT COMPRESSION GARMENT, TORSO AND SHOULDER, EACH Clinical notes
A6569 GRADIENT COMPRESSION GARMENT, TORSO/SHOULDER, CUSTOM, EACH Clinical notes
A6570 GRADIENT COMPRESSION GARMENT, GENITAL REGION, EACH Clinical notes
A6571 GRADIENT COMPRESSION GARMENT, GENITAL REGION, CUSTOM, EACH Clinical notes
A6584 GRADIENT COMPRESSION WRAP WITH ADJUSTABLE STRAPS, NOT OTHERWISE SPECIFIED Clinical notes
A6586 GRADIENT PRESSURE WRAP WITH ADJUSTABLE STRAPS, FULL LEG, EACH Clinical notes
A6589 GRADIENT PRESSURE WRAP WITH ADJUSTABLE STRAPS, BRA, EACH Clinical notes
A6593 ACCESSORY FOR GRADIENT COMPRESSION GARMENT OR WRAP WITH ADJUSTABLE STRAPS, NON-OTHERWISE SPECIFIED Clinical notes
A6609 GRADIENT COMPRESSION BANDAGING SUPPLY, NOT OTHERWISE SPECIFIED Clinical notes
A6610 GRADIENT COMPRESSION STOCKING, BELOW KNEE, 18-30 MMHG, CUSTOM, EACH Clinical notes
A9294 Prescription digital cognitive and/or behavioral therapy, biofeedback, fda cleared, per course of treatment Clinical notes
A9506 GRAPHITE CRUCIBLE FOR PREPARATION OF TECHNETIUM TC 99M-LABELED CARBON AEROSOL, EACH Clinical notes
A9593 Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie Clinical notes
A9609 FLUDEOXYGLUCOSE F18 UP TO 15 MILLICURIES Clinical notes
A9601 Flortaucipir f 18 injection, diagnostic, 1 millicurie Clinical notes
C1737 Joint fusion and fixation device(s), sacroiliac and pelvis, including all system components (implantable) Clinical notes
C1739 Tissue marker, imaging and non-imaging device (implantable) Clinical notes
G0166 External counterpulsation, per treatment session Clinical notes
G0545 Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission risk assessment and mitigation, public health investigation Clinical notes
J0174 Injection, lecanemab-irmb, 1 mg Clinical notes
J0799 FDA APPROVED PRESCRIPTION DRUG, ONLY FOR USE AS HIV PRE-EXPOSURE PROPHYLAXIS (NOT FOR USE AS TREATMENT OF HIV), NOT OTHERWISE CLASSIFIED Clinical notes
J0879 Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) Clinical notes
J1096 Dexamethasone, Lacrimal Ophthalmic insert, 0.1 mg Operative Report
J1097 Phenylephrine 10.16 mg/ml and Ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml Operative Report
J1412 Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 1013 vector genomes Clinical notes
J1413 Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose Clinical notes
J1440 Fecal microbiota, live - jslm, 1 ml Clinical notes
J1632 Injection, brexanolone, 1 mg Clinical notes
J7168 Prothrombin complex concentrate (human), kcentra, per i.u. Of factor ix activity Clinical notes
J2561 Injection, phenobarbital sodium (sezaby), 1 mg Clinical notes
J7165 Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity Clinical notes
J7401 Mometasone Furoate sinus implant, 10 micrograms Clinical notes
J9029 Injection, nadofaragene firadenovec-vncg, per therapeutic dose Clinical notes
J9161 Injection, denileukin diftitox-cxdl, 1 mcg Clinical notes
J9248 Injection, melphalan (hepzato), 1 mg Clinical notes
J9275 Injection, cosibelimab-ipdl, 2 mg Clinical notes, diagnostic/Imaging report, History and Physical, and Pathology Report

In addition, HMSA may require submission of clinical records before or after payment of claims for the purpose of investigating potential fraudulent, abusive or other inappropriate billing practices, but only as long as there is a reasonable basis for believing such investigation is warranted.


Revision History

Date Nature of Revision
08/03/2026 Migrated to new platform.