Update app.py

app.py

@@ -3,7 +3,143 @@ import streamlit as st
 st.set_page_config(layout="wide")
 
 st.markdown("""
-EACN - EDI, ADT, CCD, Note
+
+## Service Code Ranges:
+
+1. Organ Transplant
+   - CPT Code Range: 50300-50380
+   - Rules for Required Evidence of Medical Necessity: Diagnosis, waiting list, physician referral
+
+2. Spinal Fusion Surgery
+   - CPT Code Range: 22532-22812
+   - Rules for Required Evidence of Medical Necessity: Diagnosis, conservative treatment history, physician referral
+
+3. Bariatric Surgery
+   - CPT Code Range: 43644-43775
+   - Rules for Required Evidence of Medical Necessity: BMI, documented weight loss attempts, physician referral, psychological evaluation
+
+4. Joint Replacement Surgery
+   - CPT Code Range: 27130-27447
+   - Rules for Required Evidence of Medical Necessity: Diagnosis, conservative treatment history, physician referral
+
+5. Chemotherapy
+   - CPT Code Range: 96401-96549
+   - Rules for Required Evidence of Medical Necessity: Cancer diagnosis, treatment plan, medication, dosage, and frequency
+
+6. Radiation Therapy
+   - CPT Code Range: 77261-77799
+   - Rules for Required Evidence of Medical Necessity: Cancer diagnosis, treatment plan, physician referral
+
+7. Cardiac Surgery
+   - CPT Code Range: 33010-33999
+   - Rules for Required Evidence of Medical Necessity: Diagnosis, conservative treatment history, physician referral
+
+8. Dialysis
+   - CPT Code Range: 90935-90999
+   - Rules for Required Evidence of Medical Necessity: Diagnosis of kidney disease, treatment plan, physician referral
+
+9. Gastrointestinal Surgery
+   - CPT Code Range: 43620-44979
+   - Rules for Required Evidence of Medical Necessity: Diagnosis, conservative treatment history, physician referral
+
+10. Advanced Imaging Services
+    - CPT Code Range: 70450-72159 (CT), 70540-72198 (MRI)
+    - Rules for Required Evidence of Medical Necessity: Clinical history, prior relevant imaging, symptoms justification
+
+11. Interventional Radiology
+    - CPT Code Range: 37220-37235
+    - Rules for Required Evidence of Medical Necessity: Diagnosis, conservative treatment history, physician referral
+
+12. Sleep Study
+    - CPT Code Range: 95800-95811
+    - Rules for Required Evidence of Medical Necessity: Documented sleep disorder symptoms, sleep diary, physician referral
+
+13. Infusion Therapy
+    - CPT Code Range: 96360-96549
+    - Rules for Required Evidence of Medical Necessity: Diagnosis, medication, dosage, frequency, and duration
+
+14. Pain Management
+    - CPT Code Range: 64400-64530
+    - Rules for Required Evidence of Medical Necessity: Diagnosis, conservative treatment history, treatment plan
+
+15. Cardiac Stress Test
+    - CPT Code Range: 93015-93018
+    - Rules for Required Evidence of Medical Necessity: Documented symptoms, cardiac risk factors, physician referral
+
+16. Pulmonary Function Test
+    - CPT Code Range: 94010-94799
+    - Rules for Required Evidence of Medical Necessity: Documented respiratory issues, physician referral
+
+17. Physical Therapy
+    - CPT Code Range: 97110-97546
+    - Rules for Required Evidence of Medical
+
+
+## Services
+
+| Service Type              | CPT Code | Rules for Required Evidence of Medical Necessity                       |
+|---------------------------|----------|-----------------------------------------------------------------------|
+| Mental Health Services    | 90791    | Physician referral, initial evaluation, treatment plan                |
+| Eye Examination           | 92002    | Documented vision problems, physician referral                        |
+| Hearing Test              | 92502    | Documented hearing problems, physician referral                       |
+| Sinus CT Scan             | 31231    | Clinical history, prior relevant imaging, symptoms justification      |
+| Dental Surgery            | 00100    | Diagnosis, treatment plan, physician referral                         |
+| Thyroidectomy             | 60210    | Diagnosis, conservative treatment history, physician referral         |
+| Cardiac Stress Test       | 93015    | Documented symptoms, cardiac risk factors, physician referral         |
+| Pulmonary Function Test   | 94002    | Documented respiratory issues, physician referral                     |
+| Upper GI Endoscopy        | 43200    | Documented gastrointestinal issues, physician referral                |
+| Liver Biopsy              | 47000    | Diagnosis, treatment plan, physician referral                         |
+| Kidney Stone Removal      | 50010    | Diagnosis, conservative treatment history, physician referral         |
+| Adrenal Gland Surgery     | 60500    | Diagnosis, conservative treatment history, physician referral         |
+| Pancreatic Surgery        | 48100    | Diagnosis, conservative treatment history, physician referral         |
+| Splenectomy               | 38100    | Diagnosis, conservative treatment history, physician referral         |
+| Colonoscopy               | 44140    | Documented gastrointestinal issues, physician referral                |
+| Cystoscopy                | 51700    | Documented urinary issues, physician referral                         |
+| Hysterectomy              | 58150    | Diagnosis, conservative treatment history, physician referral         |
+| Nerve Conduction Study    | 95900    | Documented peripheral neuropathy, physician referral                  |
+| Skin Biopsy               | 96910    | Documented skin lesions, physician referral                           |
+| Physical Therapy          | 97110    | Physician referral, initial evaluation, treatment plan                |
+
+
+
+
+## Main Headings - Policy or Plan
+
+| Main Heading                         | Policy or Plan                                                       |
+|--------------------------------------|----------------------------------------------------------------------|
+| Service Code Grouping                | Group codes based on service type or specialty                       |
+| Listing for PA Medical Necessity     | List of services requiring prior authorization for medical necessity |
+| Approval Criteria                    | Guidelines and criteria for approving prior authorization requests   |
+| Required Evidence of Medical Necessity| Documentation needed to support medical necessity for PA requests     |
+| Service Codes (CPT)                  | Specific service codes that require prior authorization               |
+
+## Service Code Groupings:
+
+| Service Type          | CPT Code | Rules for Required Evidence of Medical Necessity                            |
+|-----------------------|----------|----------------------------------------------------------------------------|
+| Physical Therapy      | 97001    | Physician referral, initial evaluation, treatment plan                     |
+| Occupational Therapy  | 97165    | Physician referral, initial evaluation, treatment plan                     |
+| Speech Therapy        | 92507    | Physician referral, initial evaluation, treatment plan                     |
+| MRI Brain             | 70551    | Clinical history, prior relevant imaging, symptoms justification           |
+| CT Scan Abdomen       | 74150    | Clinical history, prior relevant imaging, symptoms justification           |
+| Sleep Study           | 95810    | Documented sleep disorder symptoms, sleep diary, physician referral        |
+| Cardiac Stress Test   | 93015    | Documented symptoms, cardiac risk factors, physician referral              |
+| Echocardiogram        | 93306    | Documented symptoms, cardiac risk factors, physician referral              |
+| Home Health Services  | 99341    | Physician referral, homebound status, plan of care                         |
+| Infusion Therapy      | 96365    | Diagnosis, medication, dosage, frequency, and duration                     |
+| Pain Management       | 64490    | Diagnosis, conservative treatment history, treatment plan                  |
+| Bariatric Surgery     | 43644    | BMI, documented weight loss attempts, physician referral, psychological evaluation |
+| Joint Replacement     | 27447    | Diagnosis, conservative treatment history, physician referral              |
+| Spinal Fusion         | 22630    | Diagnosis, conservative treatment history, physician referral              |
+| Outpatient Surgery    | 10060    | Diagnosis, procedure necessity justification, physician referral           |
+| Allergy Testing       | 86003    | Documented allergy symptoms, treatment history, physician referral         |
+| Chemotherapy          | 96413    | Cancer diagnosis, treatment plan, medication, dosage, and frequency        |
+| Radiation Therapy     | 77412    | Cancer diagnosis, treatment plan, physician referral                       |
+| Dialysis              | 90935    | Diagnosis of kidney disease, treatment plan, physician referral            |
+| Inpatient Hospitalization | 99223 | Medical necessity for admission, diagnosis, treatment plan, physician referral |
+
+
+
 
 ## EDI Sample with All DX and Services