APPENDIX M: DETAIL CODES Commander's Guide to ... - Tricare

ITEM
NBR
STANDARD
ABBR
108 LASIK Laser-insitukeratomileusis
APPENDIX M: DETAIL CODES
DESCRIPTION DEFINITION Additional
Instructions/
Comments
Laser-in-situkeratomileusis: Reserved
for a patient 21 years old and older for
reduction or elimination of myopia and
hyperopia, with or without astigmatism
by use of keratome and laser
treatment.
109 LBX Liver Biopsy Liver Biopsy: Liver biopsy is a needle
aspiration of liver tissue for histological
analysis. This is a specialized
procedure, which necessitates
individualized pre-procedure teaching,
special order supplies, and
109a LEEP Loop Electro-surgical
Excision Procedure
110 LES Leishmaniasis
Treatment
coordination with other departments.
Loop Electro-surgical Excision
Procedure: Reserved for colposcopy
patient that may require specialized
surgical service in a clinic or a same
day surgery setting.
Leishmaniasis Treatment: This
appointment is for a patient with
Leishmaniasis, a disease caused by a
protozoan organism. Procedure
requires specialized skills and specific
equipment.
111 LIFE Life Skills Group Life Skills Group: Reserved for
patients who would benefit from life
skills training (goal planning, stress
management, anger control, alcohol
use, etc.). This class is for beginners.
Requires staff trained to present on
specific topics.
112 LP Lumbar Puncture Lumbar Puncture: Procedure requires
specialized skills and specific
equipment.
113 MA Male Patient Only Male Patient Only: Reserved
appointments for male patients only.
Commander’s Guide to Access Success Appendix M M-30
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