No Modified codes for 7/1/2018.
New codes added 7/1/2014, effective 10/1/2014

175T00000X
 
Under the Other Service Providers Type the Peer Specialist was added:

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Source: National Uniform Claim Committee

246ZX2200X
 
Under the Technologists, Technicians & Other Technical Service Providers and Specialist/Technologist, Other the Orthopedic Assistant was added:

An Orthopaedic Assistant is a person who has been trained to work as a physician extender in both clinical and surgical environments. An Orthopaedic Assistant assists with aspects of patient care as determined by the supervising surgeon including, but not limited to, obtaining patient history, assisting with examinations, injections, recording of office notes, and application/adjustment/removal of splints, casts, and other immobilization devices. Acting as a surgical first assistant for orthopaedic surgery cases includes providing aid in exposure, hemostasis, positioning of the patient, suturing and closure of body planes and skin, application of wound dressings or immobilization devices, and other technical functions that will help the surgeon carry out a safe operation with optimal results for the patient. An Orthopaedic Assistant may be licensed, registered, or certified depending on the state in which the individual practices.
Source: American Society of Orthopaedic Assistants (ASOA), 2014

Additional Resources: National Board for Certification of Orthopaedic Assistants
New codes added 1/1/2015, effective 4/1/2015

125Q00000X
 
Under the Dental Providers the Oral Medicinist was added:

A dentist with advanced training specializing in the recognition and treatment of oral conditions resulting from the interrelationship between oral disease and systemic health. The Oral Medicinist manages clinical and non-surgical treatment of non-dental pathologies affecting the oral and maxillofacial region, such as cancer, organ transplants, and acute and chronic pain. Activities include provision of interdisciplinary patient care in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention.
Source: National Uniform Claim Committee

Additional Resources: American Academy of Oral Medicine
New codes added 7/1/2015, effective 10/1/2015

2080B0002X 2083B0002X
 
Under the Pediatrics and Preventive Medicine the following code was added:

Obesity Medicine
A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

Source: American Board of Obesity Medicine

Additional Resource: American Society of Bariatric Physicians, www.asbp.org.

207RA0001X
 
Under the Allopathic & Osteopathic Physicians; Internal Medicine the following code was added:

Advanced Heart Failure and Transplant Cardiology
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Source: American Board of Internal Medicine, www.abim.org

1835P2201X
 
Under the Pharmacy Service Providers; Pharmacist the following code was added:

Ambulatory Care
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.

Source: Board of Pharmacy Specialties, www.bpsweb.org
New codes added 1/1/2016, effective 4/1/2016

207WX0200X
 
Under the Allopathic & Osteopathic Physicians; Ophthalmology the Ophthalmic Plastic and Reconstructive Surgery was added:

Ophthalmic Plastic and Reconstructive Surgery
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Source: American Academy of Ophthalmology, 2015

2081P0301X
 
Under the Allopathic & Osteopathic Physicians; Physical Medicine & Rehabilitation the Brain Injury Medicine was added:

Brain Injury Medicine
A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.

Source: American Board of Physical Medicine and Rehabilitation, 2015

2084P0301X
 
Under the Allopathic & Osteopathic Physicians; Psychiatry & Neurology the Brain Injury Medicine was added:

Brain Injury Medicine
A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.

Source: American Board of Physical Medicine and Rehabilitation, 2015

405300000X
 
Under the Other Service Providers the Prevention Professional was added:

Prevention Professional
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Source: National Uniform Claim Committee, 2015

1835C0205X
 
Under the Pharmacy Service Providers; Pharmacist the Critical Care was added:

Critical Care
A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists, as integral members of interprofessional teams, working to ensure the safe and effective use of medications in critically ill patients.

Source: Board of Pharmacy Specialties, www.bpsweb.org

1835P0200X
 
Under the Pharmacy Service Providers; Pharmacist the Pediatrics was added:

Pediatrics
A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists that ensures the safe and effective use of medications for all children from neonates through adolescents.

Source: Board of Pharmacy Specialties, www.bpsweb.org

226000000X
 
Under the Respiratory, Developmental, Rehabilitative and Restorative Service Providers the Recreational Therapist Assistant was added:

Recreational Therapist Assistant
Recreational Therapist Assistants work in support of or assistant to Recreational Therapists treating patients with disabilities, injuries, and illnesses. Recreational Therapist Assistants work in a variety of settings providing treatments using recreational activities, including games, sports, and crafts.

Source: National Uniform Claim Committee, 2015
New codes added 7/1/2016, effective 10/1/2016

2084A2900X
 

Under the Allopathic & Osteopathic Physicians; Psychiatry & Neurology the Neurocritical Care was added:

Neurocritical Care
The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system.

Source: Adapted from the United Council for Neurologic Subspecialties website definition at:
http://www.ucns.org/go/subspecialty/neurocritical

Additional Resource: National Board for Certification of Orthopaedic Assistants


106E00000X
 

Under the Behavioral Health & Social Service Providers was added:

Assistant Behavior Analyst
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com)


106S00000X
 
Under the Behavioral Health & Social Service Providers was added:

Behavior Technician
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com)
New codes added 1/1/2017, effective 4/1/2017

207WX0009X
 

Under the Allopathic & Osteopathic Physicians; Ophthalmology was added:

Glaucoma Specialist
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.

Source: American Academy of Ophthalmology, www.aao.org

Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org


207WX0107X
 

Under the Allopathic & Osteopathic Physicians; Ophthalmology was added:

Retina Specialist
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Source: American Society of Retina Specialists, www.asrs.org

Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org.


207WX0108X
 

Under the Allopathic & Osteopathic Physicians; Ophthalmology was added:

Uveitis and Ocular Inflammatory Disease
An ophthalmologist who specializes in the treatment of intraocular inflammation, scleritis, keratitis and infectious disorders affecting the eye and inflammatory disorders of the adnexa and/or orbit.

Source: American Academy of Ophthalmology, www.aao.org

Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org

New codes added 7/1/2017, effective 10/1/2017

207WX0109X
 

Under the Allopathic & Osteopathic Physicians; Ophthalmology was added:

Neuro-ophthalmology
A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.

Source: American Academy of Ophthalmology, www.aao.org


207WX0110X
 

Under the Allopathic & Osteopathic Physicians; Ophthalmology was added:

Pediatric Ophthalmology and Strabismus Specialist
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.

Source: American Academy of Ophthalmology, www.aao.org

New code added 1/1/2018, effective 4/1/2018

207WX0120X
 

Under the Allopathic & Osteopathic Physicians; Ophthalmology was added:

Cornea and External Diseases Specialist
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.

Source: American Academy of Ophthalmology, www.aao.org

New codes added 7/1/2018, effective 10/1/2018

207RA0002X
 

Under the Allopathic & Osteopathic Physicians; Internal Medicine was added:

Adult Congenital Heart Disease
A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.

Source: American College of Cardiology, www.acc.org

Modified codes 1/1/2019

103G00000X
 
Under the Behavioral Health & Social Service Providers the Clinical Neuropsychologist definition changed to:

Clinical Neuropsychologist
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain‐behavior relationships and the application of such knowledge to human problems.
Source: American Psychological Association, www.apa.org

103TA0400X
 
Under the Behavioral Health & Social Service Providers; Psychologist the Addiction (Substance Use Disorder) definition changed to:

Addiction (Substance Use Disorder)
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Source: American Psychological Association, www.apa.org
Additional Resources: The APA proficiency is "Addiction Psychology."

103TA0700X
 
Under the Behavioral Health & Social Service Providers; Psychologist the Adult Development & Aging definition changed to:

Adult Development & Aging
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.
Source: American Psychological Association, www.apa.org
Additional Resources: The APA specialty is "Geropsychology."

103TC0700X
 
Under the Behavioral Health & Social Service Providers; Psychologist the Clinical definition changed to:

Clinical
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Source: American Psychological Association, www.apa.org

103TC2200X
 
Under the Behavioral Health & Social Service Providers; Psychologist the Clinical Child & Adolescent definition changed to:

Clinical Child & Adolescent
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Source: American Psychological Association, www.apa.org
Additional Resources: The APA specialty is "Clinical Child Psychology."

103TB0200X
 
Under the Behavioral Health & Social Service Providers; Psychologist the Cognitive & Behavioral definition changed to:

Cognitive & Behavioral
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Source: American Psychological Association, www.apa.org
Additional Resources: The APA specialty is "Behavioral and Cognitive Psychology."

103TC1900X
 
Under the Behavioral Health & Social Service Providers; Psychologist the Counseling definition changed to:

Counseling
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well‐being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Source: American Psychological Association, www.apa.org

103TE1100X
 
Under the Behavioral Health & Social Service Providers; Psychologist the Exercise & Sports definition changed to:

Exercise & Sports
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists.

Sport Psychology interventions are designed to assist athletes and other sports participants (e.g., coaches, administrators, parents) from a wide array of settings, levels of competition, and ages, ranging from recreational youth participants to professional and Olympic athletes to master's level performers.
Source: American Psychological Association, www.apa.org
Additional Resources: The APA proficiency is "Sport Psychology."

103TF0000X
 
Under the Behavioral Health & Social Service Providers; Psychologist the Family definition changed to:

Family
A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.
Source: American Psychological Association, www.apa.org
Additional Resources: The APA specialty is "Couple and Family Psychology."

103TF0200X
 
Under the Behavioral Health & Social Service Providers; Psychologist the Forensic definition changed to:

Forensic
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Source: American Psychological Association, www.apa.org

103TP2701X
 
Under the Behavioral Health & Social Service Providers; Psychologist the Group Psychotherapy definition changed to:

Group Psychotherapy
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
Source: American Psychological Association, www.apa.org
Additional Resources: The APA specialty is "Group Psychology and Group Psychotherapy."

103TH0004X
 
Under the Behavioral Health & Social Service Providers; Psychologist the Health definition changed to:

Health
A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability.

Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:
  • Research
  • Clinical services
  • Consulting with, educating, and supervising other health care providers and psychologists
  • Advising organizations, institutions, the public, and policymakers
Source: American Psychological Association, www.apa.org
Additional Resources: The APA specialty is "Clinical Health Psychology."

103TP0016X
 
Under the Behavioral Health & Social Service Providers; Psychologist the Prescribing (Medical) definition changed to:

Prescribing (Medical)
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
Source: American Psychological Association, www.apa.org

103TP0814X
 
Under the Behavioral Health & Social Service Providers; Psychologist the Psychoanalysis definition changed to:

Psychoanalysis
A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.
Source: American Psychological Association, www.apa.org

103TR0400X
 
Under the Behavioral Health & Social Service Providers; Psychologist the Rehabilitation definition changed to:

Rehabilitation
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.
Source: American Psychological Association, www.apa.org

103TS0200X
 
Under the Behavioral Health & Social Service Providers; Psychologist the School definition changed to:

School
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems.

School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development.
Source: American Psychological Association, www.apa.org
Modified codes 7/1/2019

136A00000X
 
Under the Dietary & Nutritional Service Providers the Dietetic Technician, Registered definition changed to:

Dietetic Technician, Registered
A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) or established by CDR, the nature of which are dependent upon the level of academic degree obtained. The scope of practice of the NDTR focuses on food, nutrition, and dietetics practice, as well as related services. NDTRs work under the supervision of a Registered Dietitian Nutritionist (RDN) when in direct patient/client nutrition care, and may work independently in providing general nutrition education to healthy populations. Patient/client populations include individuals receiving individualized care who have medical conditions or diseases, as well as at-risk individuals receiving personalized nutrition guidance as part of preventive health care.
Source: Academy of Nutrition and Dietetics Definition of Terms List, Current Version, https://www.eatrightpro.org/practice/quality-management/scope-of-practice

133V00000X
 
Under the Dietary & Nutritional Service Providers the Dietitian, Registered definition changed to:

Dietitian, Registered
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Source: Academy of Nutrition and Dietetics Definition of Terms List , Current Version, https://www.eatrightpro.org/practice/quality-management/scope-of-practice

133VN1004X
 
Under the Dietary & Nutritional Service Providers; Dietitian, Registered the Nutrition, Pediatric definition changed to:

Nutrition, Pediatric
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
Source: The Commission on Dietetic Registration, https://www.cdrnet.org/certifications/specialty-practice-experience

133VN1005X
 
Under the Dietary & Nutritional Service Providers; Dietitian, Registered the Nutrition, Renal definition changed to:

Nutrition, Renal
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
Source: The Commission on Dietetic Registration, https://www.cdrnet.org/certifications/specialty-practice-experience
No Modified codes for 1/1/2015.
Modified codes 7/1/2015

207QB0002X 207RB0002X 207VB0002X 2084B0002X
 
Replaced the current code title and definition for Bariatric Medicine under Family Medicine, Internal Medicine, Obstetrics & Gynecology, and Psychiatry & Neurology with the following:

Obesity Medicine
A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

Source: American Board of Obesity Medicine

Additional Resource: American Society of Bariatric Physicians, www.asbp.org.
Modified codes 1/1/2016

103K00000X
 
Replaced the current code definition for Behavior Analyst under Behavioral Health & Social Service Providers with the following:

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com)

335V00000X
 
Replaced the current code title and definition for Portable X-ray Supplier under Suppliers with the following:

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

Source: National Uniform Claim Committee, 2015