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---
title: AIProvider-ChatGPT
emoji: ⚕️AIEPro👩‍⚕️
colorFrom: gray
colorTo: red
sdk: static
pinned: false
license: mit
duplicated_from: awacke1/Generative-AI-EACN
---
| No. | Service Type                | CPT Code Range       | Rules for Required Evidence of Medical Necessity        |
|-----|-----------------------------|----------------------|--------------------------------------------------------|
| 1   | 🫀 Organ Transplant          | 50300-50380          | Diagnosis📄, waiting list📃, physician referral👩‍⚕️   |
| 2   | 🦴 Spinal Fusion Surgery     | 22532-22812          | Diagnosis📄, conservative treatment history📚, physician referral👩‍⚕️ |
| 3   | 🍔 Bariatric Surgery         | 43644-43775          | BMI🏋️, documented weight loss attempts📉, physician referral👩‍⚕️, psychological evaluation🧠 |
| 4   | 🦵 Joint Replacement Surgery | 27130-27447          | Diagnosis📄, conservative treatment history📚, physician referral👩‍⚕️ |
| 5   | 💉 Chemotherapy             | 96401-96549          | Cancer diagnosis🦠, treatment plan💊, medication💊, dosage💊, frequency💊 |
| 6   | ☢️ Radiation Therapy         | 77261-77799          | Cancer diagnosis🦠, treatment plan💊, physician referral👩‍⚕️ |
| 7   | ❤️ Cardiac Surgery           | 33010-33999          | Diagnosis📄, conservative treatment history📚, physician referral👩‍⚕️ |
| 8   | 🧊 Dialysis                  | 90935-90999          | Diagnosis of kidney disease🩸, treatment plan💊, physician referral👩‍⚕️ |
| 9   | 🫁 Gastrointestinal Surgery   | 43620-44979          | Diagnosis📄, conservative treatment history📚, physician referral👩‍⚕️ |
| 10  | 🖼️ Advanced Imaging Services | 70450-72159 (CT), 70540-72198 (MRI) | Clinical history📚, prior relevant imaging📸, symptoms justification😷 |
| 11  | 🎯 Interventional Radiology  | 37220-37235          | Diagnosis📄, conservative treatment history📚, physician referral👩‍⚕️ |
| 12  | 🛌 Sleep Study               | 95800-95811          | Documented sleep disorder symptoms😴, sleep diary📘, physician referral👩‍⚕️ |
| 13  | 💉 Infusion Therapy          | 96360-96549          | Diagnosis📄, medication💊, dosage💊, frequency💊, duration⏳ |
| 14  | 💊 Pain Management           | 64400-64530          | Diagnosis📄, conservative treatment history📚, treatment plan💊 |
| 15  | ❤️ Cardiac Stress Test       | 93015-93018          | Documented symptoms😷, cardiac risk factors❤️, physician referral👩‍⚕️ |
| 16  | 🫁 Pulmonary Function Test    | 94010-94799          | Documented respiratory issues😷, physician referral👩‍⚕️ |