Opps 20230101

Washington Sta
Outpatient Prosp
Effective dates of se
U
Li
AUTH CPT DESCRPT
0001F Heart failure composite

0001M Infectious dis hcv 6 assays
0001U Rbc dna hea 35 ag 11 bld grp
0002M Liver dis 10 assays w/ash
0002U Onc clrct 3 ur metab alg plp
0003A Fee covid-19 vac 1 booster
0003M Liver dis 10 assays w/nash
0003U Onc ovar 5 prtn ser alg scor
0004A Fee covid-19 vac 1 res
0004M Scoliosis dna alys
0005F Osteoarthritis composite
PA 0005U Onco prst8 3 gene ur alg
0006M Onc hep gene risk classifier
0006U RX MNTR 120+ DRUGS & SBSTS
0007M Onc gastro 51 gene nomogram
0007U RX TEST PRSMV UR W/DEF CONF
0008U HPYLORI DETCJ ABX RSTNC DNA
0009U ONC BRST CA ERBB2 AMP/NONAMP
00100 Anesth salivary gland
00102 Anesth repair of cleft lip
00103 Anesth blepharoplasty
00104 Anesth electroshock
0010U NFCT DS STRN TYP WHL GEN SEQ
0011M Onc prst8 ca mrna 12 gen alg
0011U RX MNTR LC-MS/MS ORAL FLUID
00120 Anesth ear surgery
00124 Anesth ear exam
00126 Anesth tympanotomy
0012F Cap bacterial assess
0012M Onc mrna 5 gen rsk urthl ca
0013M Onc mrna 5 gen recr urthl ca
00140 Anesth procedures on eye
00142 Anesth lens surgery
00144 Anesth corneal transplant
00145 Anesth vitreoretinal surg
00147 Anesth iridectomy
00148 Anesth eye exam
0014F Comp preop assess cat surg
0015F Melan follow-up complete
0015M ADRNL CORTCL TUM BCHM ASY 25
00160 Anesth nose/sinus surgery
00162 Anesth nose/sinus surgery
00164 Anesth biopsy of nose
0016M ONC BLADDER MRNA 209 GEN ALG
0016U ONC HMTLMF NEO RNA BCR/ABL1
00170 Anesth procedure on mouth
00172 Anesth cleft palate repair
00174 Anesth pharyngeal surgery
00176 Anesth pharyngeal surgery
0017U ONC HMTLMF NEO JAK2 MUT DNA
0018M Trnsplj rnl meas cd154+cll
00190 Anesth face/skull bone surg
*PA 00192 Anesth facial bone surgery
00210 Anesth cranial surg nos
00211 Anesth cran surg hemotoma
00212 Anesth skull drainage
00214 Anesth skull drainage
00215 Anesth skull repair/fract
00216 Anesth head vessel surgery
00218 Anesth special head surgery
0021A Fee covid-19 vac 3 dose 1
00220 Anesth intrcrn nerve
00222 Anesth head nerve surgery
00300 Anesth head/neck/ptrunk
00320 Anesth neck organ 1yr/>
00322 Anesth biopsy of thyroid
00326 Anesth larynx/trach < 1 yr
00350 Anesth neck vessel surgery
00352 Anesth neck vessel surgery
0035U Neuro csf prion prtn qual
0036U Xome tum & nml spec seq alys
0037U Trgt gen seq dna 324 genes
0038U Vitamin d srm microsamp quan
0039U Dna antb 2strand hi avidity
00400 Anesth skin ext/per/atrunk
00402 Anesth surgery of breast
0040U Bcr/abl1 gene major bp quan
00410 Anesth correct heart rhythm
0041U B brgdrferi antb 5 prtn igm
0042T Ct perfusion w/contrast cbf
0042U B brgdrferi antb 12 prtn igg
0043U Tbrf b grp antb 4 prtn igm
0044U Tbrf b grp antb 4 prtn igg
00450 Anesth surgery of shoulder
00454 Anesth collar bone biopsy
0045U Onc brst dux carc is 12 gene
0046U Flt3 gene itd variants quan
00470 Anesth removal of rib
00472 Anesth chest wall repair
00474 Anesth surgery of rib
L/PA/EPA 0047U Onc prst8 mrna 17 gene alg
0048U Onc sld org neo dna 468 gene
0049U Npm1 gene analysis quan
00500 Anesth esophageal surgery
0050U Trgt gen seq dna 194 genes
0051U Rx mntr lc-ms/ms ur 31 pnl
00520 Anesth chest procedure
00522 Anesth chest lining biopsy
00524 Anesth chest drainage
00528 Anes mediascpy & dx thorscpy
00529 Anes medscpy&thorscpy 1 lung
0052U Lpoprtn bld w/5 maj classes
00530 Anesth pacemaker insertion
00532 Anesth vascular access
00534 Anesth cardioverter/defib
00537 Anesth cardiac electrophys
00539 Anesth trach-bronch reconst
0053U Onc prst8 ca fish alys 4 gen
00540 Anesth chest surgery
00541 Anesth one lung ventilation
00542 Anesth remvl pleura
00546 Anesth lung chest wall surg
00548 Anesth trachea bronchi surg
0054T Bone surgery using computer
0054U Bone srgry cmptr fluor image
00550 Anesth sternal debridement
0055T Bone surgery using computer
0055U Rx mntr 14+ drugs & sbsts
00560 Anesth heart surg w/o pump
00561 Anesth heart surg < 1 yr
00562 Anesth hrt surg w/pmp age 1+
00563 Anesth heart surg w/arrest
00566 Anesth cabg w/o pump
00567 Anesth cabg w/pump
0057U Card hrt trnspl 96 dna seq
00580 Anesth heart/lung transplnt
0058U Hem aml dna gene reargmt
0059U Onc sld org neo mrna 51 gene
00600 Anesth spine cord surgery
00604 Anesth sitting procedure
0060U Cryopreservation ovary tiss
0061U Onc merkel cll carc srm quan
00625 Anes spine tranthor w/o vent
00626 Anes spine transthor w/vent
0062U Ai sle igg&igm alys 80 bmrk
00632 Anesth removal of nerves
00635 Anesth lumbar puncture
0063U Neuro autism 32 amines alg
00640 Anesth spine manipulation
0064U Antb tp total&rpr ia qual
0065U Syfls tst nontreponemal antb
0066U Pamg-1 ia cervico-vag fluid
0067U Onc brst imhchem prfl 4 bmrk
0068U Candida species pnl amp prb
0069U Onc clrct microrna mir-31- 3p
00700 Anesth abdominal wall surg
00702 Anesth for liver biopsy
0070U Cyp2d6 gen com&slct rar vrnt
0071T U/s leiomyomata ablate <200
0071U Cyp2d6 full gene sequence
0072T U/s leiomyomata ablate >200
0072U Cyp2d6 gen cyp2d6-2d7 hybrid
00731 Anes upr gi ndsc px nos
00732 Anes upr gi ndsc px ercp
0073U Cyp2d6 gen cyp2d7-2d6 hybrid
0074U Cyp2d6 nonduplicated gene
00750 Anesth repair of hernia
0075T Perq stent/chest vert art
0075U Cyp2d6 5' gene dup/mlt
0076T S&i stent/chest vert art
0076U Cyp2d6 3' gene dup/mlt
00770 Anesth blood vessel repair
0077U Ig paraprotein qual bld/ur
0078U Pain mgt opi use gnotyp pnl
00790 Anesth surg upper abdomen
00792 Anesth hemorr/excise liver
00794 Anesth pancreas removal
00796 Anesth for liver transplant
PA 00797 Anesth surgery for obesity
0079U Cmprtv dna alys mlt snps
00802 Anesth fat layer removal
00811 Anes lwr intst ndsc nos
00812 Anes lwr intst scr colsc
00813 Anes upr lwr gi ndsc px
00834 Anesth hernia repair < 1 yr
00836 Anesth hernia repair preemie
00840 Anesth surg lower abdomen
00842 Anesth amniocentesis
00844 Anesth pelvis surgery
00846 Anesth hysterectomy
00848 Anesth pelvic organ surg
0084U Rbc dna gnotyp 10 bld groups
00851 Anesth tubal ligation
00860 Anesth surgery of abdomen
00862 Anesth kidney/ureter surg
00864 Anesth removal of bladder
00865 Anesth removal of prostate
00866 Anesth removal of adrenal
00868 Anesth kidney transplant
0086U Nfct ds bact&fng org id 6+
00870 Anesth bladder stone surg
00872 Anesth kidney stone destruct
00873 Anesth kidney stone destruct
0087U CRD HRT TRNSPL MRNA 1283 GEN
00880 Anesth abdomen vessel surg
00882 Anesth major vein ligation
0088U Trnsplj kdn algrft rej 1494
0089U ONC MLNMA PRAME & LINC00518
00902 Anesth anorectal surgery
00904 Anesth perineal surgery
00906 Anesth removal of vulva
0090U Onc cutan mlnma mrna 23 gene
00910 Anesth bladder surgery
00912 Anesth bladder tumor surg
00916 Anesth bleeding control
00918 Anesth stone removal
0091U ONC CLRCT SCR WHL BLD ALG
00920 Anesth genitalia surgery
00921 Anesth vasectomy
00922 Anesth sperm duct surgery
00924 Anesth testis exploration
00926 Anesth removal of testis
00928 Anesth removal of testis
0092U Onc lng 3 prtn bmrk plsm alg
00930 Anesth testis suspension
00932 Anesth amputation of penis
00934 Anesth penis nodes removal
00936 Anesth penis nodes removal
00938 Anesth insert penis device
0093U RX MNTR 65 COM DRUGS URINE
00940 Anesth vaginal procedures
00942 Anesth surg on vag/urethral
00944 Anesth vaginal hysterectomy
00948 Anesth repair of cervix
0094U Genome rapid sequence alys
00950 Anesth vaginal endoscopy
00952 Anesth hysteroscope/graph
0095T Artific diskectomy addl
0095U INFLM EE ELISA ALYS ALG
0096U Hpv hi risk types male urine
0098T Rev artific disc addl
0100T Prosth retina receive&gen
0101T Extracorp shockwv tx hi enrg
0101U HERED COLON CA DO 15 GENES
0102T Extracorp shockwv tx anesth
0102U Hered brst ca rltd do 17 gen
0103U HERED OVA CA PNL 24 GENES
0104U Hered pan ca pnl 32 genes
0105U NEPH CKD MULT ECLIA TUM NEC
0106T Touch quant sensory test
0106U GSTR EMPTG 7 TIMED BRTH SPEC
0107T Vibrate quant sensory test
0107U C DIFF TOX AG DETCJ IA STOOL
0108T Cool quant sensory test
0108U GI BARRETT ESOPH 9 PRTN BMRK
0109T Heat quant sensory test
0109U ID ASPERGILLUS DNA 4 SPECIES
0110T Nos quant sensory test
0110U RX MNTR 1+ORAL ONC RX&SBSTS
01112 Anesth bone aspirate/bx
0111U ONC COLON CA KRAS&NRAS ALYS
0112U IADI 16S&18S RRNA GENES
01130 Anesth body cast procedure
0113U ONC PRST8 PCA3&TMPRSS2- ERG
01140 Anesth amputation at pelvis
0114U GI BARRETTS ESOPH VIM&CCNA1
01150 Anesth pelvic tumor surgery
0115U RESPIR IADNA 18 VIRAL&2 BACT
01160 Anesth pelvis procedure
0116U RX MNTR NZM IA 35+ORAL FLU
01173 Anesth fx repair pelvis
0117U PAIN MGMT 11 ENDOGENOUS ANAL
0118U TRNSPLJ DON-DRV CLL-FR DNA
0119U CRD CERAMIDES LIQ CHROM PLSM
01200 Anesth hip joint procedure
01202 Anesth arthroscopy of hip
0120U ONC B CLL LYMPHM MRNA 58 GEN
01210 Anesth hip joint surgery
01212 Anesth hip disarticulation
01214 Anesth hip arthroplasty
01215 Anesth revise hip repair
0121U SC DIS VCAM-1 WHOLE BLOOD
01220 Anesth procedure on femur
0122U SC DIS P-SELECTIN WHL BLOOD
01230 Anesth surgery of femur
01232 Anesth amputation of femur
01234 Anesth radical femur surg
0123U MCHNL FRAGILITY RBC PRFLG
01250 Anesth upper leg surgery
01260 Anesth upper leg veins surg
01270 Anesth thigh arteries surg
01272 Anesth femoral artery surg
01274 Anesth femoral embolectomy
0129U HERED BRST CA RLTD DO PANEL
0130U HERED COLON CA DO MRNA PNL
0131U HERED BRST CA RLTD DO PNL 13
01320 Anesth knee area surgery
0132U HERED OVA CA RLTD DO PNL 17
0133U HERED PRST8 CA RLTD DO 11
01340 Anesth knee area procedure
0134U HERED PAN CA MRNA PNL 18 GEN
0135U HERED GYN CA MRNA PNL 12 GEN
0136U ATM MRNA SEQ ALYS
0137U PALB2 MRNA SEQ ALYS
01380 Anesth knee joint procedure
01382 Anesth dx knee arthroscopy
0138U BRCA1 BRCA2 MRNA SEQ ALYS
01390 Anesth knee area procedure
01400 Anesth knee joint surgery
01402 Anesth knee arthroplasty
01404 Anesth amputation at knee
0140U Nfct ds fungi dna 15 trgt
0141U Nfct ds bact&fng gram pos
01420 Anesth knee joint casting
0142U Nfct ds bact&fng gram neg
01430 Anesth knee veins surgery
01432 Anesth knee vessel surg
0143U Drug assay 120+ rx/metablt
01440 Anesth knee arteries surg
01442 Anesth knee artery surg
01444 Anesth knee artery repair
01462 Anesth lower leg procedure
01464 Anesth ankle/ft arthroscopy
01470 Anesth lower leg surgery
01472 Anesth achilles tendon surg
01474 Anesth lower leg surgery
01480 Anesth lower leg bone surg
01482 Anesth radical leg surgery
01484 Anesth lower leg revision
01486 Anesth ankle replacement
01490 Anesth lower leg casting
01500 Anesth leg arteries surg
01502 Anesth lwr leg embolectomy
01520 Anesth lower leg vein surg
01522 Anesth lower leg vein surg
0152U Nfct bct fng prst dna >1000
0153U Onc breast mrna 101 genes
0154U Fgfr3 gene analysis
0155U Pik3ca gene analysis
0156U Copy number sequence alys
0157U Apc mrna seq alys
0158U Mlh1 mrna seq alys
0159T Cad breast mri
0159U Msh2 mrna seq alys
0160U Msh6 mrna seq alys
0161U Pms2 mrna seq alys
01620 Anesth shoulder procedure
01622 Anes dx shoulder arthroscopy
0162U Hered colon ca trgt mrna pnl
01634 Anesth shoulder joint amput
01636 Anesth forequarter amput
01638 Anesth shoulder replacement
0163T Tot disc arthrp ea addl lmbr
0164T Remove lumb artif disc addl
01650 Anesth shoulder artery surg
01652 Anesth shoulder vessel surg
01654 Anesth shoulder vessel surg
01656 Anesth arm-leg vessel surg
0165T Revise lumb artif disc addl
01670 Anesth shoulder vein surg
01680 Anesth shoulder casting
01710 Anesth elbow area surgery
01712 Anesth uppr arm tendon surg
01714 Anesth uppr arm tendon surg
01716 Anesth biceps tendon repair
0172U Onc sld tum alys brca1 brca2
01730 Anesth uppr arm procedure
01732 Anesth dx elbow arthroscopy
0173U Psyc gen alys panel 14 genes
01740 Anesth upper arm surgery
01742 Anesth humerus surgery
01744 Anesth humerus repair
0174T Cad cxr with interp
0174U Onc solid tumor 30 prtn trgt
01756 Anesth radical humerus surg
01758 Anesth humeral lesion surg
0175T Cad cxr remote
0175U Psyc gen alys panel 15 genes
01760 Anesth elbow replacement
0176U Cdtb&vinculin igg antb ia
01770 Anesth uppr arm artery surg
01772 Anesth uppr arm embolectomy
0177U Onc brst ca dna pik3ca 11
01780 Anesth upper arm vein surg
01782 Anesth uppr arm vein repair
0178U Peanut allg asmt epi clin rx
0179U Onc nonsm cll lng ca alys 23
0180U Abo gnotyp abo 7 exons
01810 Anesth lower arm surgery
0181U Co gnotyp aqp1 exon 1
01820 Anesth lower arm procedure
01829 Anesth dx wrist arthroscopy
0182U Crom gnotyp cd55 exons 1-10
01830 Anesth lower arm surgery
01832 Anesth wrist replacement
0183U Di gnotyp slc4a1 exon 19
01840 Anesth lwr arm artery surg
01842 Anesth lwr arm embolectomy
01844 Anesth vascular shunt surg
PA 0184T Exc rectal tumor endoscopic
0184U Do gnotyp art4 exon 2
01850 Anesth lower arm vein surg
01852 Anesth lwr arm vein repair
0185U Fut1 gnotyp fut1 exon 4
01860 Anesth lower arm casting
0186U Fut2 gnotyp fut2 exon 2
0187U Fy gnotyp ackr1 exons 1-2
0188T Videoconf crit care 74 min
0188U Ge gnotyp gypc exons 1-4
0189T Videoconf crit care addl 30
0189U Gypa gnotyp ntrns 1 5 exon 2
0190T Place intraoc radiation src
0190U Gypb gnotyp ntrns 1 5 seux 3
01916 Anesth dx arteriography
0191U In gnotyp cd44 exons 2 3 6
01920 Anesth catheterize heart
L 01922 Anesth cat or mri scan
01924 Anes ther interven rad art
01925 Anes ther interven rad car
01926 Anes tx interv rad hrt/cran
0192U Jk gnotyp slc14a1 exon 9
01930 Anes ther interven rad vei
01931 Anes ther interven rad tip
01932 Anes tx interv rad th vein
01933 Anes tx interv rad cran vein
01937 Anes drg/aspir crv/thrc
01938 Anes drg/aspir lmbr/sac
01939 Anes nulyt agt crv/thrc
0193U Jr gnotyp abcg2 exons 2-26
01940 Anes nulyt agt lmbr/sac
01941 Anes neuromd/ntrvrt crv/thrc
01942 Anes neuromd/ntrvrt lmbr/sac
0194U Kel gnotyp kel exon 8
01951 Anesth burn less 4 percent
01952 Anesth burn 4-9 percent
01953 Anesth burn each 9 percent
01958 Anesth antepartum manipul
0195T Arthrod presac interbody
0195U Klf1 targeted sequencing
01960 Anesth vaginal delivery
01961 Anesth cs delivery
01962 Anesth emer hysterectomy
01963 Anesth cs hysterectomy
01965 Anesth inc/missed ab proc
01966 Anesth induced ab procedure
01967 Anesth/analg vag delivery
01968 Anes/analg cs deliver add-on
01969 Anesth/analg cs hyst add-on
0196T Arthrod presac interbody eac
0196U Lu gnotyp bcam exon 3
0197U Lw gnotyp icam4 exon 1
0198T Ocular blood flow measure
0198U Rhd&rhce gntyp rhd1-10&rhce5
01990 Support for organ donor
01991 Anesth nerve block/inj
01992 Anesth n block/inj prone
01996 Hosp manage cont drug admin
01999 Unlisted anesth procedure
0199U Sc gnotyp ermap exons 4 12
0200T Perq sacral augmt unilat inj
0200U Xk gnotyp xk exons 1-3
0201T Perq sacral augmt bilat inj
0201U Yt gnotyp ache exon 2
0202T Post vert arthrplst 1 lumbar
0203U AI IBD MRNA XPRSN PRFL 17
0204U ONC THYR MRNA XPRSN ALYS 593
0205U OPH AMD ALYS 3 GENE VARIANTS
0206U NEURO ALZHEIMER CELL AGGREGJ
0207T Clear eyelid gland w/heat
0207U NEURO ALZHEIMER QUAN IMAGING
0208T Audiometry air only
0209T Audiometry air & bone
0209U CYTOG CONST ALYS INTERROG
0210T Speech audiometry threshold
0210U SYPHILIS TST ANTB IA QUAN
0211T Speech audiom thresh & recog
0211U ONC PAN-TUM DNA&RNA GNRJ SEQ
0212T Compre audiometry evaluation
0212U RARE DS GEN DNA ALYS PROBAND
CPA 0213T Njx paravert w/us cer/thor
0213U RARE DS GEN DNA ALYS EA COMP
0214U RARE DS XOM DNA ALYS PROBAND
0215U RARE DS XOM DNA ALYS EA COMP
CPA 0216T Njx paravert w/us lumb/sac
0216U NEURO INH ATAXIA DNA 12 COM
0217U NEURO INH ATAXIA DNA 51 GENE
0218U NEURO MUSC DYS DMD SEQ ALYS
0219T Plmt post facet implt cerv
0219U NFCT AGT HIV GNRJ SEQ ALYS
0220T Plmt post facet implt thor
0220U ONC BRST CA AI ASSMT 12 FEAT
0221T Plmt post facet implt lumb
0221U ABO GNOTYP NEXT GNRJ SEQ ABO
0222T Plmt post facet implt addl
0222U RHD&RHCE GNTYP NEXT GNRJ SEQ
0227U Rx asy prsmv 30+rx/metablt
0228U Onc prst8 ma molec prfl alg
0229U Bcat1 promoter mthyltn alys
0230U Ar full sequence analysis
0231U Cacna1a full gene analysis
0232T Njx platelet plasma
0232U Cstb full gene analysis
0233U Fxn gene analysis
0234T Trluml perip athrc renal art
0234U Mecp2 full gene analysis
0235U Pten full gene analysis
0236T Trluml perip athrc abd aorta
0236U Smn1&smn2 full gene analysis
0237T Trluml perip athrc brchiocph
0237U Car ion chnlpthy gen seq pnl
0238T Trluml perip athrc iliac art
0238U Onc lnch syn gen dna seq aly
0239U Trgt gen seq alys pnl 311+
0242U TRGT GEN SEQ ALYS PNL 55-74
0243U OB PE BIOCHEM ASSAY PGF ALG
0244U ONC SOLID ORGN DNA 257 GENES
0245U ONC THYR MUT ALYS 10 GEN&37
0246U RBC DNA GNOTYP 16 BLD GROUPS
0247U OB PRTRM BRTH IBP4 SHBG MEAS
0248U Onc brn sphrd cll 12 rx pnl
0249U Onc brst alys 32 phsprtn alg
0250U Onc sld org neo dna 505 gene
0251U Hepcidin-25 elisa serum/plsm
0252U Ftl aneuploidy str alys dna
0253T Insert aqueous drain device
0253U Rprdtve med rna gen prfl 238
0254U Reprdtve med alys 24 chrmsm
0255U Andrology infertility assmt
0256U Tma/tmao prfl ms/ms ur alg
0257U Vlcad leuk nzm actv whl bld
0258U Ai psor mrna 50-100 gen alg
0259U Neph ckd nuc mrs meas gfr
0260U Rare ds id opt genome mapg
0261U Onc clrct ca img alys w/ai
0262U Onc sld tum rtpcr 7 gen
0263T Im B1 mrw cel ther cmpl
0263U Neuro asd meas 16 c metblt
0264T Im B1 mrw cel ther xcl hrvst
0264U Rare ds id opt genome mapg
0265T Im B1 mrw cel ther hrvst onl
0265U Rar do whl gn&mtcdrl dna als
0266T Implt/rpl crtd sns dev total
0266U Unxpl cnst hrtbl do gn xprsn
0267T Implt/rpl crtd sns dev lead
0267U Rare do id opt gen mapg&seq
0268T Implt/rpl crtd sns dev gen
0268U Hem ahus gen seq alys 15 gen
0269T Rev/remvl crtd sns dev total
0269U Hem aut dm cgen trmbctpna 14
0270T Rev/remvl crtd sns dev lead
0270U Hem cgen coagj do 20 genes
0271T Rev/remvl crtd sns dev gen
0271U Hem cgen neutropenia 23 gen
0272T Interrogate crtd sns dev
0272U Hem genetic bld do 51 genes
0273T Interrogate crtd sns w/pgrmg
0273U Hem gen hyprfibrnlysis 8 gen
0274T Perq lamot/lam crv/thrc
0274U Hem gen pltlt do 43 genes
0275T Perq lamot/lam lumbar
0275U Hem heprn nduc trmbctpna srm
0276U Hem inh thrombocytopenia 23
0277U Hem gen pltlt funcj do 31
0278T Tempr
0278U Hem gen thrombosis 12 genes
0279U Hem vw factor&clgn iii bndg
0280U Hem vw factor&clgn iv bndg
0281U Hem vwd propeptide ag lvl
0282U Rbc dna gntyp 12 bld grp gen
0283U Vw factor type 2b eval plsm
0284U Vw factor type 2n eval plsm
0285U Onc rsps radj cll fr dna tox
0286U Cep72 nudt15&tpmt gene alys
0287U Onc thyr dna&mrna 112 genes
0288U Onc lung mrna quan pcr 11&3
0289U Neuro alzheimer mrna 24 gen
0290U Pain mgmt mrna gen xprsn 36
0291U Psyc mood do mrna 144 genes
0292U Psyc strs do mrna 72 genes
0293U Psyc suicidal idea mrna 54
0294U Lngvty&mrtlty rsk mrna 18gen
0295U Onc brst dux carc 7 proteins
0296U Onc orl&/orop ca 20 mlc feat
0297U Onc pan tum whl gen seq dna
0298U Onc pan tum whl trns seq rna
0299U Onc pan tum whl gen opt mapg
0300U Onc pan tum whl gen seq&opt
0301U Iadna bartonella ddpcr
0302U Iadna brtnla ddpcr flwg liq
0303U Hem rbc ads whl bld hypoxic
0304U Hem rbc ads whl bld normoxic
0305U Hem rbc fnclty&dfrm shr strs
0306U Onc mrd nxt-gnrj alys 1st
0307U Onc mrd nxt-gnrj alys sbsq
0308T Insj ocular telescope prosth
0308U Crd cad alys 3 prtn plsm alg
0309U Crd cv ds aly 4 prtn plm alg
0310U Ped vsclts kd alys 3 bmrks
0311U Nfct ds bct quan antmcrb sc
0312T Laps impltj nstim vagus
0312U Ai ds sle alys 8 igg autoant
0313T Laps rmvl nstim array vagus
0313U Onc pncrs dna&mrna seq 74
0314T Laps rmvl vgl arry&pls gen
0314U Onc cutan mlnma mrna 35 gene
0315T Rmvl vagus nerve pls gen
0315U Onc cutan sq cll ca mrna 40
0316T Replc vagus nerve pls gen
0316U B brgdrferi lyme ds ospa evl
0317T Elec alys vagus nrv pls gen
0317U Onc lung ca 4-prb fish assay
0318U Ped whl gen mthyltn alys 50+
0319U Neph rna pretrnspl perph bld
0320U Neph rna psttrnspl perph bld
0321U Iadna gu pthgn 20bct&fng org
0322U Neuro asd meas 14 acyl carn
0323U IADNA CNS PTHGN NEXT GEN SEQ
0324U ONC OVAR SPHRD CELL 4 RX PNL
0325U ONC OVAR SPHRD CELL PARP
0326U TRGT GEN SEQ ALYS PNL 83+
0327U FTL ANEUPLOIDY TRSMY DNA SEQ
0328U DRUG ASSAY 120+ RX&METABLT
0329T mntr io press 24hrs/>uni/bi
0329U ONC NEO XOME&TRNS SEQ ALYS
0330T Tear film img uni/bi w/i&r
0330U IADNA VAG PTHGN PANEL 27 ORG
0331T Heart symp image plnr
0331U ONC HL NEO OPT GEN MAPPING
0332T Heart symp image plnr spect
0332U ONC PAN TUM GEN PRFLG 8 DNA
0333T Visual ep acuity screen auto
0333U ONC LVR SURVEILANC HCC CFDNA
0334U ONC SLD ORGN TGSA DNA 84/+
0335T Extraosseous joint stblztion
0335U RARE DS WHL GEN SEQ FETAL
0336U RARE DS WHL GEN SEQ BLD/SLV
0337T Endothel fxnassmnt non-invas
0337U ONC PLSM CELL DO&MYELOMA ID
0338T Trnscth renal symp denrv unl
0338U ONC SLD TUM CRCG TUM CL SLCT
0339T Trnscth renal symp denrv bil
0339U ONC PRST8 MRNA HOXC6 & DLX1
0340U ONC PAN CA ALYS MRD PLASMA
0341U FTL ANEUP DNA SEQ CMPR ALYS
0342T Thxp apheresis w/hdl delip
0342U ONC PNCRTC CA MULT IA ECLIA
0343U ONC PRST8 XOM ALY 442 SNCRNA
0344U HEP NAFLD SEMIQ EVL 28 LIPID
0345T Transcath mtral vlve repair
0345U PSYC GENOM ALYS PNL 15 GEN
0346T Ultrasound elastography
0346U BETA AMYL Aβ40&Aβ42 LC-MS/MS
0347T Ins bone device for rsa
0347U RX METAB/PCX DNA 16 GEN ALYS
0348T Rsa spine exam
0349T Rsa upper extr exam
0349U RX METAB/PCX DNA 27GEN RX IA
0350T Rsa lower extr exam
0351T Intraop oct brst/node spec
0351U NFCT DS BCT/VIRAL TRAIL IP10
0352T Oct brst/node i&r per spec
0352U NFCT DS BV&VAGINITIS AMP PRB
0353T Intraop oct breast cavity
0353U IADNA CHLMYD&GONORR AMP PRB
0354T Oct breast surg cavity i&r
0354U HPV HI RSK QUAL MRNA E6/E7
0355U Apol1 risk variants
0356U Onc orop 17 dna ddpcr alg
0357U Onc mlnma ai quan alys 142
0358T Bia whole body
0358U Neuro alys b-amyl 1-42&1-40
0359U Onc prst8 ca alys all psa
0360U Onc lung elisa 7 autoant alg
0361U Neurflmnt lt chn dig ia quan
0362U Onc pap thyr ca rna 82&10
0363U Onc urthl mrna 5 gen alg
PA 0373T Exposure Behavior Treatment
PA 0374T Expose Behav Treatment Addl
0378T Visual field assmnt rev/rprt
0379T Vis field assmnt tech suppt
0387T Leadless c pm ins/rpl ventr
0388T Leadless c pm remove ventr
0389T Prog eval inper leadls pm
0390T Periproc eval inper ledls pm
0391T Intergt eval inper leadls pm
0394T Hdr elctrnc skn surf brchytx
0395T Hdr elctr ntrst/ntrcv brchtx
0397T Ercp w/optical endomicroscpy
0398T Mrgfus strtctc les abltj
PA 0402T Collagen crosslinking cornea
0403T Diabetes prev standard curr
0404T Trnscrv uterin fibroid abltj
0406T Sin ndsc plmt drg elut mplnt
0407T SIN NDSC PLMT DRG ELUT MPLNT
0408T Insj/rplc cardiac modulj sys
0409T Insj/rplc cardiac modulj pls gn
0410T Insj/rplc car modulj atr elt
0411T Insj/rplc car modulj vnt elt
0412T Rmvl cardiac modulj pls gen
0413T Rmvl car modulj tranvns elt
0414T Rmvl & rpl car modulj pls gn
0415T Repos car modulj tranvns elt
0416T Reloc skin pocket pls gen
0417T Prgrmg eval cardiac modulj
0418T Interro eval cardiac modulj
0419T Dstrj neurofibromata xtnsv
0420T Dstrj neurofibromata xtnsv
0421T Waterjet prostate abltj cmpl
0422T Tactile breast img uni/bi
0424T Insj/rplc nstim apnea compl
0425T Insj/rplc nstim apnea sen ld
0426T Insj/rplc nstim apnea stm ld
0427T Insj/rplc nstim apnea pls gn
0428T Rmvl nstim apnea pls gen
0429T Rmvl nstim apnea sen ld
0430T Rmvl nstim apnea stimj ld
0431T Rmvl/rplc nstim apnea pls gn
0432T Repos nstim apnea stimj ld
0433T Repos nstim apnea sensing ld
0434T Interro eval npgs sleep apnea
0435T Prgrmg eval npgs apnea 1 ses
0436T Prgrmg eval npgs apnea study
0437T Impltj synth rnfcmt abdl wal
0439T Myocrd contrast prfuj echo
0440T Abltj perc uxtr/perph nrv
0441T Abltj perc lxtr/perph nrv
0442T Abltj perc plex/trncl nrv
0443T R-t spctrl alys prst8 tiss
0444T 1st plmt drug elut oc ins
0445T Sbsqt plmt drug elut oc ins
0446T Insj impltbl glucose sensor
0447T Rmvl impltbl glucose sensor
0448T Remvl insj impltbl gluc sens
0449T Insj aqueous drain dev 1st
0450T Insj aqueous drain dev each
0464T Visual ep test for glaucoma
0465T Supchrdl njx rxw/o supply
0469T Rec ftl car sgl elec tr data
0470T Oct skn img acquisj i&r 1st
0471T Oct skn img acquisj i&r addl
0472T Prgrmg io rta eltrd ra
0473T Reprgrmg io rta eltrd ra
0474T Insj aqueous drg dev io rsvr
0475T Rec ftl car sgl 3 ch i&r
0476T Rec ftl car sgl elec tr data
0477T Rec ftl car sgl xrtj alys
0478T Rec ftl car 3 ch rev i&r
0479T Fxjl abl lsr 1st 100 sq cm
0480T Fxjl abl lsr ea addl 100sqcm
0481T Njx autol wbc concentrate
0483T Tmvi percutaneous approach
0484T Tmvi transthoracic exposure
0485T Oct mid ear i&r unilateral
0486T Oct mid ear i&r bilateral
0487T Trvg biomchn mapg w/reprt
0488T Diabetes prev online/elec
0489T Regn cell tx scldr hands
0490T Regn cell tx scldr h mlt inj
0491T Abl lsr opn wnd 1st 20 sqcm
0492T Abl lsr opn wnd addl 20 sqcm
0493T Cntc near ifr spectrsc wound
0494T Prep & cannulj cdvr don lung
0495T Mntr cdvr don lng 1st 2 hrs
0496T Mntr cdvr don lng ea addl hr
0497T Xtrnl pt act ecg in-off conn
0498T Xtrnl pt act ecg r&i pr 30 d
0499T Cysto f/urtl strix/stenosis
0500F Initial prenatal care visit
0500T Hpv 5+ hi risk hpv types
0501F Prenatal flow sheet
0501T Cor ffr derived cor cta data
0502F Subsequent prenatal care
0502T Cor ffr data prep & transmis
0503F Postpartum care visit
0503T Cor ffr alys gnrj ffr mdl
0504T Cor ffr data review i&r
0505F Hemodialysis plan docd
0505T Ev fempop artl revsc
0506T Mac pgmt opt dns meas hfp
0507F Periton dialysis plan docd
0507T Near ifr 2img mibmn glnd i&r
0508T Pls echo us b1 dns meas tib
0509F Urine incon plan docd
0509T Pattern erg w/i&r
0510T Removal of sinus tarsi implant
0511T Rmval & reinsrt of sinus tarsi implant
0512T Esw integ wnd hlg 1st wnd
0513F Elev bp plan of care docd
0513T Esw integ wnd hlg ea addl
0514F Care plan hgb docd esa pt
0514T Intraop vis axis id pt fixj
0515T Insj wcs lv compl sys
0516F Anemia plan of care docd
0516T Insj wcs lv eltrd only
0517F Glaucoma plan of care docd
0517T Insj wcs lv pg compnt
0518F Fall plan of care docd
0518T Rmvl pg compnt wcs
0519F Pland chemo docd b/4 txmnt
0519T Rmvl & rplcmt pg compnt wcs
0520F Rad dos limts b/4 3d rad
0520T Rmvl&rplcmt pg wcs new eltrd
0521F Plan of care 4 pain docd
0521T Interrog dev eval wcs ip
0522T Prgrmg dev eval wcs ip
0523T Ntrapx c ffr w/3d funcjl map
0524T Ev cath dir chem abltj w/img
0525F Initial visit for episode
0525T Insj/rplcmt compl iims
0526F Subs visit for episode
0526T Insj/rplcmt iims eltrd only
0527T Insj/rplcmt iims implt mntr
0528F Rcmnd flw-up 10 yrs docd
0528T Prgrmg dev eval iims ip
0529F Intrvl 3+yrs pts clnscp docd
0529T Interrog dev eval iims ip
0530T Removal complete iims
0531T Removal iims electrode only
0532T Removal iims implt mntr only
0533T Cont rec mvmt do 6-10 days
0534T Cont rec mvmt do setup&train
0535F Dyspnea mngmnt plan docd
0535T Cont rec mvmt do reprt cnfig
0536T Cont rec mvmt do dl w/i&r
0537T Bld drv t lymphcyt car-t cll
0538T Bld drv t lymphcyt prep trns
0539T Receipt&prep car-t cll admn
0540F Gluco mngmnt plan docd
0540T Car-t cll admn autologous
0541T Myocardial imaging mcg
0542T Myocardial imaging mcg i&r
0543T TA MV RPR W/ARTIF CHORD TEND
0544T Tcat mv annulus rcnstj
0545F Follow up care plan mdd docd
0545T TCAT TV ANNULUS RCNSTJ
0546T Rf spectrsc ntraop mrgn asmt
0547T B1 MATRL QUAL TST MCRIND TIB
0550F Cytopath report nongyn spcmn
0551F Cytopath report non routine
0552T Low-level laser therapy
0553T PERQ TCAT ILIAC ANAST IMPLT
0554T B1 str & fx rsk analysis
0555F Symptom mgmnt plan care docd
0555T B1 STR&FX RSK TRANSMIS DATA
0556F Plan care lipid control docd
0556T B1 str & fx rsk assessment
0557F Plan caremng angnl symptdocd
0557T B1 STR & FX RSK I&R
0558T Ct scan f/biomchn ct alys
0559T ANTMC MDL 3D PRINT 1ST CMPNT
0560T Antmc mdl 3d print ea addl
0561T Antmc guide 3d print 1st gd
0562T Antmc guide 3d print ea addl
0563T Evac meibomian glnd heat bi
0564T Onc chemo rx cytotox csc 14
0565T Autol cell implt adps hrvg
0566T Autol cell implt adps njx
0567T Perm flp tube occls w/implt
0568T Intro mix saline&air f/ssg
0569T Ttvr perq appr 1st prosth
0570T Ttvr perq ea addl prosth
0571T Insj/rplcmt icds ss eltrd
0572T Insertion ss dfb electrode
0573T Removal ss dfb electrode
0574T Repos prev ss impl dfb eltrd
0575F HIV rna plan care docd
0575T Prgrmg dev eval icds ss ip
0576T Interrog dev eval icds ss ip
0577T Ephys eval icds ss
0578T Rem interrog dev icds phys
0579T Rem interrog dev icds tech
0580F Multidisciplinary care plan
0580T Rmvl ss impl dfb pg only
0581F Pt trnsfrd from anesth to cc
0581T Abltj mal brst tum perq crtx
0582F No trnsfr from anesth to cc
0582T Trurl abltj mal prst8 tiss
0583F Transfer care checklist used
0583T Tmpst auto tube dlvr sys
0584F No transfercare chklist used
0584T Perq islet cell transplant
0585T Laps islet cell transplant
0586T Open islet cell transplant
0587T Perq impltj/rplcmt isdns ptn
0588T Revision/removal isdns ptn
0589T Elec alys smpl prgrmg iins
0590T Elec alys cplx prgrmg iins
0591T Hlth&wb coaching indiv 1st
0592T Hlth&wb coaching indiv f-up
0593T Hlth&wb coaching group
0594T Osteot hum xtrnl lngth dev
0595T Rmvl humrl xtrnl lngth dev
0596T Temp fml iu vlv-pmp 1st insj
0597T Temp fml iu valve-pmp rplcmt
0598T Ncntc r-t fluor wnd img 1st
0599T Ncntc r-t fluor wnd img ea
0600T Ire abltj 1+tum organ perq
0601T Ire abltj 1+tumors open
0602T Transdermal gfr measurements
0603T Transdermal gfr monitoring
0604T Rem oct rta dev setup&educaj
0605T Rem oct rta techl sprt min 8
0606T Rem oct rta phys/qhp ea 30d
0607T Rem mntr pulm flu mntr setup
0608T Rem mntr pulm flu mntr alys
0609T Mrs disc pain acquisj data
0610T Mrs disc pain transmis data
0611T Mrs disc pain alg alys data
0612T Mrs discogenic pain i&r
0613T Perq tcat intratrl septl sht
0614T Rmvl&rplcmt ss impl dfb pg
0615T Eye mvmt alys w/o calbrj i&r
0616T Insertion of iris prosthesis
0617T Insj iris prosth w/rmvl&insj
0618T Insj iris prosth sec io lens
0619T Cysto w/prst8 commissurotomy
0620T Evasc ven artlz tibl/prnl vn
0621T Trabeculostomy interno laser
0622T Trabeculostomy int lsr w/scp
0623T Auto quantification c plaque
0624T Auto quan c plaq data prep
0625T Auto quan c plaq cptr alys
0626T Auto quan c plaq i&r
0627T Perq njx algc fluor lmbr 1st
0628T Perq njx algc fluor lmbr ea
0629T Perq njx algc ct lmbr 1st
0630T Perq njx algc ct lmbr ea
0631T Tc vis lit hyperspectral img
0632T Perq tcat us abltj nrv p-art
PA 0633T Ct breast w/3d uni c-
PA 0634T Ct breast w/3d uni c+
PA 0635T Ct breast w/3d uni c-/c+
PA 0636T Ct breast w/3d bi c-
PA 0637T Ct breast w/3d bi c+
PA 0638T Ct breast w/3d bi c-/c+
0639T Wrls skn snr anisotropy meas
0640T NCNTC NR IFR SPCTRSC WND
0641T NCNTC NR IFR SPCTRSC WND IMG
0642T NCNTC NR IFR SPCTRSC WND I&R
0643T TCAT L VENTR RSTRJ DEV IMPLT
0644T TCAT RMVL/DBLK ICAR MAS PERQ
0645T TCAT IMPLTJ C SINS RDCTJ DEV
0646T TTVI/RPLCMT W/PRSTC VLV PERQ
0647T INSJ GTUBE PERQ MAG GASTRPXY
0648T QUAN MR ALYS TISS W/O MRI
0649T QUAN MR ALYS TISS W/MRI
0650T PRGRMG DEV EVAL SCRMS REMOTE
0651T MAG CTRLD CAPSULE ENDOSCOPY
0652T EGD FLX TRANSNASAL DX BR/WA
0653T EGD FLX TRANSNASAL BX 1/MLT
0654T EGD FLX TRANSNASAL TUBE/CATH
0655T TPRNL FOCAL ABLTJ MAL PRST8
0656T VRT BDY TETHERING ANT <7 SEG
0657T VRT BDY TETHERING ANT 8+ SEG
0658T ELEC IMPD SPECTRSC 1+SKN LES
0659T TCAT INTRA-C NFS SUPERSAT O2
0660T IMPLT ANT SGM IO NBIO RX SYS
0661T RMVL&RIMPLTJ ANT SGM IMPLT
0662T SCALP COOL 1ST MEAS&CALBRJ
0663T SCALP COOL PLMT MNTR RMVL
0664T DON HYSTERECTOMY OPEN CDVR
0665T DON HYSTERECTOMY OPEN LIV
0666T DON HYSTERECTOMY LAPS LIV
0667T DON HYSTERECTOMY RCP UTER
0668T BKBENCH PREP DON UTER ALGRFT
0669T BKBENCH RCNSTJ DON UTER VEN
0670T BKBENCH RCNSTJ DON UTER ARTL
0671T Insj ant sgm aq drg dev 1+
0672T Ndovag cryg rf remdl tiss
0673T Abltj b9 thyr ndul perq lasr
0674T Laps insj nw/rpcmt prm isdss
0675T Laps insj nw/rpcmt isdss 1ld
0676T Laps insj nw/rpcmt isdss ea
0677T Laps repos lead isdss 1st ld
0678T Laps repos lead isdss ea add
0679T Laps rmvl lead isdss
0680T Insj/rplcmt pg only isdss
0681T Rlcj pulse gen only isdss
0682T Removal pulse gen only isdss
0683T Prgrmg dev eval isdss ip
0684T Peri-px dev eval isdss ip
0685T Interrog dev eval isdss ip
0686T Histotripsy mal hepatcel tis
0687T Tx amblyopia dev setup 1st
0688T Tx amblyopia assmt w/report
0689T Quan us tis charac w/o dx us
0690T Quan us tis charac w/dx us
0691T Auto alys xst ct std vrt fx
0692T Therapeutic ultrafiltration
0693T Compre ful bdy 3d mtn alys
0694T 3d vol img&rcnstj brst/ax
0695T Bdy srf mpg pm/cvdfb tm impl
0696T Bdy surf mapg pm/cvdfb f/up
0697T Quan mr tis wo mri mlt orgn
0698T Quan mr tiss w/mri mlt orgn
0699T Njx pst chmbr eye medication
0700T Molec fluor img sus nev 1st
0701T Molec fluor img sus nev ea
0702T Rem ther mntr ol tech sprt
0703T Rem ther mntr ol cog bhv
0704T Rem tx amblyopia setup&edu
0705T Rem tx amblyopia tech sprt
0706T Rem tx amblyopia i&r phy/qhp
0707T Njx b1 sub mtrl sbchdrl dfct
0708T Id ca immntx prep & 1st njx
0709T Id ca immntx each addl njx
0710T N-invas artl plaq alys
0711T N-nvs artl plaq alys dat prp
0712T N-nvs artl plaq alys quan
0713T N-nvs artl plaq alys rvw i&r
0714T TPRNL LSR ABLT B9 PRST8 HYPR
0715T PERQ TRLUML CORONRY LITHOTRP
0716T CAR ACOUS WAVFRM REC CAD RSK
0717T ADRC THER PRTL RC TEAR
0718T ADRC THER PRTL RC TEAR NJX
0719T PST VRT JT RPLCMT LMBR 1 SGM
0720T PRQ ELC NRV STIM CN WO IMPLT
0721T QUAN CT TISS CHARAC W/O CT
0722T QUAN CT TISS CHARAC W/CT
0723T QMRCP W/O DX MRI SM ANAT SES
0724T QMRCP W/DX MRI SAME ANATOMY
0725T VESTIBULAR DEV IMPLTJ UNI
0726T RMVL IMPLT VSTIBULAR DEV UNI
0727T RMVL&RPLCMT IMPLT VSTBLR DEV
0728T DX ALYS VSTBLR IMPLT UNI 1ST
0729T DX ALYS VSTBLR IMPLT UNI SBQ
0730T TRABECULOTOMY LSR W/OCT GDN
0731T AUGMNT AI-BASED FCL PHNT A/R
0732T IMMNTX ADMN ELECTROPORATN IM
0733T REM BDY&LMB KNMTC THER SPLY
0734T REM BDY&LMB KNMTC TX MGMT
0735T PREP TUM CAV IORT PRIM CRNOT
0736T COLONIC LAVAGE 35+L WATER
0737T XENOGRAFT IMPLTJ ARTCLR SURF
0738T Tx pln mag fld abltj prst8
0739T Abltj mal prst8 mag fld ndct
0740T Rem auton alg nsln cal setup
0741T Rem auton alg nsln data coll
0742T Aqmbf spect xers/strs & rest
0743T B1 str & fx rsk vrt fx assmt
0744T Insj bioprostc vlv fem vn
0745T Car ablt rad arr n-invas loc
0746T Car ablt rad arr cnv loc map
0747T Car ablt rad arrhyt dlvr rad
0748T Njx stm cl prdct anl sft tis
0749T B1 str&fx rsk assmt dxr-bmd
0750T B1 str&fx rsk asmt dxrbmd1vw
0751T Dgtz gls mcrscp sld level ii
0752T Dgtz gls mcrscp sld lvl iii
0753T Dgtz gls mcrscp sld level iv
0754T Dgtz gls mcrscp sld level v
0755T Dgtz gls mcrscp sld level vi
0756T Dgtz gls mcrscp sld spc grpi
0757T Dgtz gls mcrscp sl spc grpii
0758T Dgtz gls mcrscp sl spc hchem
0759T Dgtz gls mcrscp sl sp grpiii
0760T Dgtz gls mcrscp sl imm 1st
0761T Dgtz gls mcrscp sl imm ea 1
0762T Dgtz gls mcrscp sl imm ea m
0763T Dgtz gls mcrscp mphmtrc alys
0764T Asstv alg ecg rsk asmt cncrt
0765T Asstv alg ecg rsk asmt prev
0766T Tc mag stimj pn 1st tx 1nrv
0767T Tc mag stimj pn 1st tx ea
0768T Tc mag stimj pn sbsq tx 1nrv
0769T Tc mag stimj pn sbsq tx ea
0770T Vr technology assist therapy
0771T Vr px dissoc svc sm phy 1st
0772T Vr px dissoc svc sm phy ea
0773T Vr px dissoc svc oth phy 1st
0774T Vr px dissoc svc oth phy ea
0775T Arthrd si jt prq iartic impl
0776T Ther indctj ntrabrn hypthrm
0777T R-t prs sensing edrl gdn sys
0778T Smmg cncrnt appl imu snr
0779T Gi myoelectrical actv study
0780T Instlj fecal microbiota ssp
0781T Brnchsc rf dstrj pulm nrv bi
0782T Brnchsc rf dstrj plm nrv uni
0783T Tc auriculr neurostimulation
10004 Fna bx w/o img gdn ea addl
10005 Fna bx w/us gdn 1st les
10006 Fna bx w/us gdn ea addl
10007 Fna bx w/fluor gdn 1st les
10008 Fna bx w/fluor gdn ea addl
10009 Fna bx w/ct gdn 1st les
1000F Tobacco use assessed
10010 Fna bx w/ct gdn ea addl
10011 Fna bx w/mr gdn 1st les
10012 Fna bx w/mr gdn ea addl
10021 Fna w/o image
10022 Fna w/image
1002F Assess anginal symptom/level
10030 Guide cathet fluid drainage
10035 Perq dev soft tiss 1st imag
10036 Perq dev soft tiss add imag
1003F Level of activity assess
10040 Acne surgery
1004F Clin symp vol ovrld assess
1005F Asthma symptoms evaluate
10060 Drainage of skin abscess
10061 Drainage of skin abscess
1006F Osteoarthritis assess
1007F Anti-inflm/anlgsc otc assess
10080 Drainage of pilonidal cyst
10081 Drainage of pilonidal cyst
1008F Gi/renal risk assess
1010F Severity angina by actvty
1011F Angina present
10120 Remove foreign body
10121 Remove foreign body
1012F Angina absent
10140 Drainage of hematoma/fluid
1015F Copd symptoms assess
10160 Puncture drainage of lesion
10180 Complex drainage wound
1018F Assess dyspnea not present
1019F Assess dyspnea present
1022F Pneumo imm status assess
1026F Co-morbid condition assess
1030F Influenza imm status assess
1031F Smoking & 2nd hand assessed
1032F Smoker/exposed 2nd hnd smoke
1033F Tobacco nonsmoker nor 2ndhnd
1034F Current tobacco smoker
1035F Smokeless tobacco user
1036F Tobacco non-user
1038F Persistent asthma
1039F Intermittent asthma
1040F Dsm-iv info mdd docd
1050F History of mole changes
1052F Type location activity asses
1055F Visual funct status assess
1060F Doc perm/cont/parox atr fib
1061F Doc lack perm+cont+parox fib
1065F Ischm stroke symp lt3 hrsb/4
1066F Ischm stroke symp ge3 hrsb/4
1070F Alarm symp assessed-absent
1071F Alarm symp assessed-1+ prsnt
1090F Pres/absn urine incon assess
1091F Urine incon characterized
11000 Debride infected skin
11001 Debride infected skin add-on
1100F Ptfalls assess-docd ge2+/yr
11010 Debride skin at fx site
11011 Debride skin musc at fx site
11012 Deb skin bone at fx site
1101F Pt falls assess-docd le1/yr
11042 Deb subq tissue 20 sq cm/<
11043 Deb musc/fascia 20 sq cm/<
11044 Deb bone 20 sq cm/<
11045 Deb subq tissue add-on
11046 Deb musc/fascia add-on
11047 Deb bone add-on
11055 Trim skin lesion
11056 Trim skin lesions 2 to 4
11057 Trim skin lesions over 4
11100 Biopsy skin lesion
11101 Biopsy skin add-on
PA 11102 Tangntl bx skin single les
PA 11103 Tangntl bx skin ea sep/addl
11104 Punch bx skin single lesion
11105 Punch bx skin ea sep/addl
PA 11106 Incal bx skn single les
PA 11107 Incal bx skn ea sep/addl
1110F Pt lft inpt fac w/in 60 days
1111F Dschrg med/current med merge
1116F Auric/peri pain assessed
1118F GERD symps assessed 12 month
1119F Init eval for condition
11200 Removal of skin tags
11201 Remove skin tags add-on
1121F Subs eval for condition
1123F Acp discuss/dscn mkr docd
1124F Acp discuss-no dscnmkr docd
1125F Amnt pain noted pain prsnt
1126F Amnt pain noted none prsnt
1127F New episode for condition
1128F Subs episode for condition
11300 Shave skin lesion
1130F Bk pain + fxn assessed
1134F Epsd bk pain for =< 6 wks
1135F Epsd bk pain for > 6 wks
1136F Epsd bk pain for <= 12 wks
1137F Epsd bk pain for > 12 wks
11400 Exc tr-ext b9+marg 0.5 < cm
11401 Exc tr-ext b9+marg 0.6-1 cm
11406 Exc tr-ext b9+marg > 4.0 cm
11420 Exc h-f-nk-sp b9+marg 0.5 <
11421 Exc h-f-nk-sp b9+marg 0.6-1
11426 Exc h-f-nk-sp b9+marg > 4 cm
11440 Exc face-mm b9+marg 0.5 < cm
11441 Exc face-mm b9+marg 0.6-1 cm
11446 Exc face-mm b9+marg > 4 cm
11450 Removal sweat gland lesion
1150F Doc pt rsk death w/in 1yr
1151F Doc no pt rsk death w/in 1yr
1152F Doc advncd dis comfort 1st
1153F Doc advncd dis cmfrt not 1st
1157F Advnc care plan in rcrd
1158F Advnc care plan tlk docd
1159F Med list docd in rcrd
11600 Exc tr-ext mal+marg 0.5 < cm
11601 Exc tr-ext mal+marg 0.6-1 cm
11606 Exc tr-ext mal+marg > 4 cm
1160F Rvw meds by rx/dr in rcrd
11620 Exc h-f-nk-sp mal+marg 0.5 <
11621 Exc s/n/h/f/g mal+mrg 0.6-1
11626 Exc s/n/h/f/g mal+mrg > 4 cm
11640 Exc f/e/e/n/l mal+mrg 0.5cm<
11641 Exc f/e/e/n/l mal+mrg 0.6-1
11646 Exc f/e/e/n/l mal+mrg > 4 cm
1170F Fxnl status assessed
11719 Trim nail(s)
11720 Debride nail 1-5
11721 Debride nail 6 or more
11730 Removal of nail plate
11732 Remove nail plate add-on
11740 Drain blood from under nail
11750 Removal of nail bed
11755 Biopsy nail unit
1175F Function stat assessed rvwd
11760 Repair of nail bed
11762 Reconstruction of nail bed
11765 Excision of nail fold toe
11770 Removal of pilonidal lesion
1180F Thromboemb risk assessed
1181F Neuropsychia sympts assessed
1182F Neuropsychi sympt 1+present
1183F Neuropsychiatric symp absent
11900 Injection into skin lesions
11901 Added skin lesions injection
L 11920 Correct skin color defects
L 11921 Correct skin color defects
11922 Correct skin color defects
11950 Therapy for contour defects
L 11960 Insert tissue expander(s)
L 11970 Replace tissue expander
L 11971 Remove tissue expander(s)
11976 Removal of contraceptive cap
L 11980 Implant hormone pellet(s)
L 11981 Insert drug implant device
L 11982 Remove drug implant device
L 11983 Remove/insert drug implant
12001 Repair superficial wound(s)
1200F Seizure type& frequ docd
12020 Closure of split wound
12021 Closure of split wound
12031 Intmd wnd repair s/a/t/ext
12034 Intmd wnd repair s/tr/ext
12037 Intmd wnd repair s/tr/ext
12041 Intmd wnd repair n-hf/genit
12051 Intmd wnd repair face/mm
1205F EPI etiol synd rvwd and docd
1220F Pt screened for depression
13100 Repair of wound or lesion
13102 Repair wound/lesion add-on
*PA 13132 Repair of wound or lesion
*PA 13133 Repair wound/lesion add-on
13160 Late closure of wound
14000 Skin tissue rearrangement
1400F Prkns diag rviewed
*PA 14041 Skin tissue rearrangement
14302 Skin tissue rearrange add-on
1450F Symptoms improved/consist
1451F Sympt show clin import drop
1460F Qual card diag prior 12 mons
1461F No qual card diag prior12mon
1490F Dem severity classified mild
1491F Dem severity classified mod
1493F Dem severity class severe
1494F Cognit assessed and reviewed
15002 Wound prep trk/arm/leg
15003 Wound prep addl 100 cm
15004 Wound prep f/n/hf/g
15005 Wnd prep f/n/hf/g addl cm
1500F Symptom+sign symm polyneuro
1501F Not initial eval for cond
1502F Pt queried pain fxn w/ instr
1503F Pt queried symp resp insuff
15040 Harvest cultured skin graft
1504F Pt has resp insufficiency
15050 Skin pinch graft
1505F Pt has no resp insufficiency
*PA 15100 Skin splt grft trnk/arm/leg
*PA 15101 Skin splt grft t/a/l add-on
15110 Epidrm autogrft trnk/arm/leg
15111 Epidrm autogrft t/a/l add-on
15115 Epidrm a-grft face/nck/hf/g
15116 Epidrm a-grft f/n/hf/g addl
15120 Skn splt a-grft fac/nck/hf/g
15121 Skn splt a-grft f/n/hf/g add
15130 Derm autograft trnk/arm/leg
15131 Derm autograft t/a/l add-on
15135 Derm autograft face/nck/hf/g
15136 Derm autograft f/n/hf/g add
15150 Cult skin grft t/arm/leg
15151 Cult skin grft t/a/l addl
15152 Cult skin graft t/a/l +%
15155 Cult skin graft f/n/hf/g
15156 Cult skin grft f/n/hfg add
15157 Cult epiderm grft f/n/hfg +%
15200 Skin full graft trunk
15201 Skin full graft trunk add-on
15220 Skin full graft sclp/arm/leg
15221 Skin full graft add-on
15240 Skin full grft face/genit/hf
15260 Skin full graft een & lips
*PA 15271 Skin sub graft trnk/arm/leg
15272 Skin sub graft t/a/l add-on
15273 Skin sub grft t/arm/lg child
15274 Skn sub grft t/a/l child add
15275 Skin sub graft face/nk/hf/g
15276 Skin sub graft f/n/hf/g addl
15277 Skn sub grft f/n/hf/g child
15278 Skn sub grft f/n/hf/g ch add
15570 Form skin pedicle flap
15600 Skin graft
15610 Skin graft
15620 Skin graft
15630 Skin graft
15650 Transfer skin pedicle flap
15730 Mdfc flap w/prsrv vasc pedcl
15731 Forehead flap w/vasc pedicle
15733 Musc myoq/fscq flp h&n pedcl
*PA 15734 Muscle-skin graft trunk
15736 Muscle-skin graft arm
15738 Muscle-skin graft leg
15740 Island pedicle flap graft
15750 Neurovascular pedicle graft
15760 Composite skin graft
15769 Grfg autol soft tiss dir exc
15770 Derma-fat-fascia graft
15771 Grfg autol fat lipo 50 cc/<
15772 Grfg autol fat lipo ea addl
15773 Grfg autol fat lipo 25 cc/<
15774 Gfrg autol fat lipo ea addl
15775 Hair transplant punch grafts
15776 Hair transplant punch grafts
PA 15777 Acellular derm matrix implt
15778 Impl absrb msh/prsth dly cls
15780 Abrasion treatment of skin
15786 Abrasion lesion single
15787 Abrasion lesions add-on
15788 Chemical peel face epiderm
15789 Chemical peel face dermal
15792 Chemical peel nonfacial
15793 Chemical peel nonfacial
15819 Plastic surgery neck
15820 Revision of lower eyelid
15821 Revision of lower eyelid
EPA 15822 Revision of upper eyelid
EPA 15823 Revision of upper eyelid
PA 15824 Removal of forehead wrinkles
15825 Removal of neck wrinkles
15826 Removal of brow wrinkles
15828 Removal of face wrinkles
15829 Removal of skin wrinkles
PA 15830 Exc skin abd
15832 Excise excessive skin tissue
*PA 15839 Excise excessive skin tissue
15840 Graft for face nerve palsy
15841 Graft for face nerve palsy
15842 Flap for face nerve palsy
15845 Skin and muscle repair face
15847 Exc skin abd add-on
15850 Remove sutures same surgeon
15851 Removal of sutures
15852 Dressing change not for burn
15853 Removal sutr/stapl xreq anes
15854 Removal sutr&stapl xreq anes
15860 Test for blood flow in graft
*PA 15876 Suction assisted lipectomy
15877 Suction assisted lipectomy
15878 Suction assisted lipectomy
*PA 15879 Suction assisted lipectomy
15920 Removal of tail bone ulcer
15922 Removal of tail bone ulcer
15931 Remove sacrum pressure sore
15940 Remove hip pressure sore
15950 Remove thigh pressure sore
15999 Removal of pressure sore
16000 Initial treatment of burn(s)
16020 Dress/debrid p-thick burn s
16025 Dress/debrid p-thick burn m
16030 Dress/debrid p-thick burn l
16035 Incision of burn scab initi
17000 Destruct premalg lesion
17003 Destruct premalg les 2-14
17004 Destroy premal lesions 15/>
17106 Destruction of skin lesions
17110 Destruct b9 lesion 1-14
17111 Destruct lesion 15 or more
17250 Chemical cautery tissue
17311 Mohs 1 stage h/n/hf/g
17312 Mohs addl stage
17313 Mohs 1 stage t/a/l
17314 Mohs addl stage t/a/l
17315 Mohs surg addl block
17340 Cryotherapy of skin
17360 Skin peel therapy
*PA 17380 Hair removal by electrolysis
PA 17999 Skin tissue procedure
19000 Drainage of breast lesion
19001 Drain breast lesion add-on
19020 Incision of breast lesion
19030 Injection for breast x-ray
19081 Bx breast 1st lesion strtctc
19082 Bx breast add lesion strtctc
19083 Bx breast 1st lesion us imag
19084 Bx breast add lesion us imag
19085 Bx breast 1st lesion mr imag
19086 Bx breast add lesion mr imag
19100 Bx breast percut w/o image
19101 Biopsy of breast open
19105 Cryosurg ablate fa each
19110 Nipple exploration
19112 Excise breast duct fistula
19120 Removal of breast lesion
19125 Excision breast lesion
19126 Excision addl breast lesion
19281 Perq device breast 1st imag
19282 Perq device breast ea imag
19283 Perq dev breast 1st strtctc
19284 Perq dev breast add strtctc
19285 Perq dev breast 1st us imag
19286 Perq dev breast add us imag
PA 19287 Perq dev breast 1st mr guide
PA 19288 Perq dev breast add mr guide
19294 Prep tum cav iort prtl mast
19296 Place po breast cath for rad
19297 Place breast cath for rad
19298 Place breast rad tube/caths
EPA 19300 Removal of breast tissue
L 19301 Partial mastectomy
L 19302 P-mastectomy w/ln removal
L/PA* 19303 Mast simple complete
19305 Mast radical
19306 Mast rad urban type
19307 Mast mod rad
*PA 19316 Suspension of breast
EPA 19318 Reduction of large breast
*PA 19325 Enlarge breast with implant
L 19328 Removal of breast implant
L 19330 Removal of implant material
L/PA* 19340 Immediate breast prosthesis
*PA 19342 Delayed breast prosthesis
L/PA* 19350 Breast reconstruction
*PA 19355 Correct inverted nipple(s)
19361 Breast reconstr w/lat flap
19368 Breast reconstruction
L/PA* 19370 Surgery of breast capsule
L/PA* 19371 Removal of breast capsule
*PA 19380 Revise breast reconstruction
*PA 19396 Design custom breast implant
19499 Breast surgery procedure
20005 I&d abscess subfascial
2000F Blood pressure measure
2001F Weight record
2002F Clin sign vol ovrld assess
2004F Initial exam involved joints
20100 Explore wound neck
20101 Explore wound chest
20102 Explore wound abdomen
20103 Explore wound extremity
2010F Vital signs recorded
2014F Mental status assess
20150 Excise epiphyseal bar
2015F Asthma impairment assessed
2016F Asthma risk assessed
2018F Hydration status assess
2019F Dilated macul exam done
20200 Muscle biopsy
20205 Deep muscle biopsy
20206 Needle biopsy muscle
2020F Dilated fundus eval done
2021F Dilat macul+ exam done
20220 Bone biopsy trocar/needle
20225 Bone biopsy trocar/needle
2022F Dil retina exam interp rev
2023F DILAT RTA XM W/O RTNOPTHY
20240 Bone biopsy excisional
20245 Bone biopsy excisional
2024F 7 field photo interp doc rev
20250 Open bone biopsy
20251 Open bone biopsy
2025F 7 FLD RTA PHOTO W/O RTNOPTHY
2026F Eye image valid to dx rev
2027F Optic nerve head eval done
2028F Foot exam performed
2029F Complete phys skin exam done
2030F H2o stat docd normal
2031F H2o stat docd dehydrated
2033F EYE IMG VALID W/O RTNOPTHY
2035F Tymp memb motion examd
2040F Bk pn xm on init visit date
2044F Doc mntl tst b/4 bk trxmnt
20500 Injection of sinus tract
20501 Inject sinus tract for x-ray
2050F Wound char size etc docd
20520 Removal of foreign body
20526 Ther injection carp tunnel
PA 20527 Inj dupuytren cord w/enzyme
20550 Inj tendon sheath/ligament
20551 Inj tendon origin/insertion
20552 Inj trigger point 1/2 muscl
20553 Inject trigger points =/> 3
20555 Place ndl musc/tis for rt
20560 Ndl insj w/o njx 1 or 2 musc
20561 Ndl insj w/o njx 3+ musc
20600 Drain/inject joint/bursa
20604 Drain/inj joint/bursa w/us
2060F Pt talk eval hlthwkr re mdd
20612 Aspirate/inj ganglion cyst
20615 Treatment of bone cyst
20650 Insert and remove bone pin
20660 Apply rem fixation device
20661 Application of head brace
20662 Application of pelvis brace
20663 Application of thigh brace
20664 Application of halo
20665 Removal of fixation device
20670 Removal of support implant
20680 Removal of support implant
20690 Apply bone fixation device
20692 Apply bone fixation device
20693 Adjust bone fixation device
20694 Remove bone fixation device
20696 Comp multiplane ext fixation
20697 Comp ext fixate strut change
20700 Mnl prep&insj dp rx dlvr dev
20701 Rmvl deep rx delivery device
20702 Mnl prep&insj imed rx dev
20703 Rmvl imed rx delivery device
20704 Mnl prep&insj i-artic rx dev
20705 Rmvl i-artic rx delivery dev
20802 Replantation arm complete
20805 Replant forearm complete
20808 Replantation hand complete
20816 Replantation digit complete
20822 Replantation digit complete
20824 Replantation thumb complete
20827 Replantation thumb complete
20838 Replantation foot complete
20900 Removal of bone for graft
20902 Removal of bone for graft
20910 Remove cartilage for graft
20912 Remove cartilage for graft
20920 Removal of fascia for graft
20922 Removal of fascia for graft
20924 Removal of tendon for graft
20930 Sp bone algrft morsel add-on
20931 Sp bone algrft struct add-on
20932 Osteoart algrft w/surf & b1
20933 Hemicrt intrclry algrft prtl
20934 Intercalary algrft compl
20936 Sp bone agrft local add-on
20937 Sp bone agrft morsel add-on
20938 Sp bone agrft struct add-on
20939 Bone marrow aspir bone grfg
20950 Fluid pressure muscle
20955 Fibula bone graft microvasc
20956 Iliac bone graft microvasc
20957 Mt bone graft microvasc
20962 Other bone graft microvasc
20969 Bone/skin graft microvasc
20970 Bone/skin graft iliac crest
20972 Bone/skin graft metatarsal
20973 Bone/skin graft great toe
20974 Electrical bone stimulation
PA 20975 Electrical bone stimulation
20979 Us bone stimulation
20982 Ablate bone tumor(s) perq
20983 Ablate bone tumor(s) perq
20985 Cptr-asst dir ms px
PA 20999 Musculoskeletal surgery
21010 Incision of jaw joint
21011 Exc face les sc < 2 cm
21012 Exc face les sbq 2 cm/>
21013 Exc face tum deep < 2 cm
21014 Exc face tum deep 2 cm/>
21015 Resect face tum < 2 cm
21016 Resect face tum 2 cm/>
21025 Excision of bone lower jaw
21026 Excision of facial bone(s)
21029 Contour of face bone lesion
21030 Excise max/zygoma b9 tumor
PA 21031 Remove exostosis mandible
PA 21032 Remove exostosis maxilla
21034 Excise max/zygoma mal tumor
21040 Excise mandible lesion
21044 Removal of jaw bone lesion
PA 21045 Extensive jaw surgery
21046 Remove mandible cyst complex
21047 Excise lwr jaw cyst w/repair
21048 Remove maxilla cyst complex
21049 Excis uppr jaw cyst w/repair
PA 21050 Removal of jaw joint
PA 21060 Remove jaw joint cartilage
PA 21070 Remove coronoid process
21073 Mnpj of tmj w/anesth
PA 21076 Prepare face/oral prosthesis
21077 Prepare face/oral prosthesis
21100 Maxillofacial fixation
21110 Interdental fixation
21116 Injection jaw joint x-ray
PA 21120 Reconstruction of chin
21123 Reconstruction of chin
PA 21125 Augmentation lower jaw bone
21127 Augmentation lower jaw bone
21137 Reduction of forehead
PA/EPA 21141 LEFORT I-1 PIECE W/O GRAFT
PA/EPA 21142 Reconstruct midface lefort
PA 21143 Reconstruct midface lefort
21172 Reconstruct orbit/forehead
21175 Reconstruct orbit/forehead
21179 Reconstruct entire forehead
21180 Reconstruct entire forehead
21181 Contour cranial bone lesion
21182 Reconstruct cranial bone
21188 Reconstruction of midface
PA 21193 Reconst lwr jaw w/o graft
21194 Reconst lwr jaw w/graft
PA 21195 Reconst lwr jaw w/o fixation
PA/EPA 21196 Reconst lwr jaw w/fixation
PA 21198 Reconstr lwr jaw segment
PA 21199 Reconstr lwr jaw w/advance
PA 21206 Reconstruct upper jaw bone
PA 21208 Augmentation of facial bones
PA 21209 Reduction of facial bones
PA 21210 Face bone graft
PA 21215 Lower jaw bone graft
PA 21230 Rib cartilage graft
21235 Ear cartilage graft
PA 21240 Reconstruction of jaw joint
PA 21244 Reconstruction of lower jaw
PA 21245 Reconstruction of jaw
21247 Reconstruct lower jaw bone
PA 21255 Reconstruct lower jaw bone
21256 Reconstruction of orbit
21260 Revise eye sockets
*PA 21270 Augmentation cheek bone
21275 Revision orbitofacial bones
21280 Revision of eyelid
PA 21295 Revision of jaw muscle/bone
PA 21296 Revision of jaw muscle/bone
21299 Cranio/maxillofacial surgery
21315 Treatment of nose fracture
21336 Treat nasal septal fracture
21337 Treat nasal septal fracture
21338 Treat nasoethmoid fracture
21339 Treat nasoethmoid fracture
21343 Treatment of sinus fracture
21344 Treatment of sinus fracture
21345 Treat nose/jaw fracture
21355 Treat cheek bone fracture
21385 Treat eye socket fracture
21421 Treat mouth roof fracture
21431 Treat craniofacial fracture
21440 Treat dental ridge fracture
21445 Treat dental ridge fracture
21450 Treat lower jaw fracture
21480 Reset dislocated jaw
21485 Reset dislocated jaw
21490 Repair dislocated jaw
21497 Interdental wiring
21499 Head surgery procedure
21501 Drain neck/chest lesion
21502 Drain chest lesion
21510 Drainage of bone lesion
21550 Biopsy of neck/chest
21552 Exc neck les sc 3 cm/>
21554 Exc neck tum deep 5 cm/>
21555 Exc neck les sc < 3 cm
21556 Exc neck tum deep < 5 cm
21557 Resect neck tum < 5 cm
21558 Resect neck tum 5 cm/>
21600 Partial removal of rib
21601 Exc chest wall tumor w/ribs
21602 Exc ch wal tum w/o lymphadec
21603 Exc ch wal tum w/lymphadec
21610 Partial removal of rib
21615 Removal of rib
21616 Removal of rib and nerves
21620 Partial removal of sternum
21627 Sternal debridement
21630 Extensive sternum surgery
21632 Extensive sternum surgery
L 21685 Hyoid myotomy & suspension
21700 Revision of neck muscle
21705 Revision of neck muscle/rib
21740 Reconstruction of sternum
21742 Repair stern/nuss w/o scope
21743 Repair sternum/nuss w/scope
21750 Repair of sternum separation
21811 Optx of rib fx w/fixj scope
21812 Treatment of rib fracture
21813 Treatment of rib fracture
21820 Treat sternum fracture
21825 Treat sternum fracture
21899 Neck/chest surgery procedure
21920 Biopsy soft tissue of back
21925 Biopsy soft tissue of back
21930 Exc back les sc < 3 cm
21931 Exc back les sc 3 cm/>
21932 Exc back tum deep < 5 cm
21933 Exc back tum deep 5 cm/>
21935 Resect back tum < 5 cm
21936 Resect back tum 5 cm/>
22010 I&d p-spine c/t/cerv-thor
22015 I&d p-spine l/s/ls
22100 Remove part of neck vertebra
22101 Remove part thorax vertebra
22102 Remove part lumbar vertebra
22103 Remove extra spine segment
22110 Remove part of neck vertebra
22112 Remove part thorax vertebra
22114 Remove part lumbar vertebra
22116 Remove extra spine segment
22206 Cut spine 3 col thor
22207 Cut spine 3 col lumb
22208 Cut spine 3 col addl seg
22210 Revision of neck spine
22212 Revision of thorax spine
22214 Revision of lumbar spine
22216 Revise extra spine segment
22220 Revision of neck spine
22222 Revision of thorax spine
22224 Revision of lumbar spine
22226 Revise extra spine segment
22310 Treat spine fracture
22318 Treat odontoid fx w/o graft
22319 Treat odontoid fx w/graft
22326 Treat neck spine fracture
22327 Treat thorax spine fracture
22328 Treat each add spine fx
22505 Manipulation of spine
22510 Perq cervicothoracic inject
22511 Perq lumbosacral injection
22512 Vertebroplasty addl inject
22513 Perq vertebral augmentation
PA 22526 Idet single level
PA 22527 Idet 1 or more levels
22532 Lat thorax spine fusion
22533 Lat lumbar spine fusion
22534 Lat thor/lumb addl seg
22548 Neck spine fusion
22551 Neck spine fuse&remov bel c2
22552 Addl neck spine fusion
L 22554 Neck spine fusion
22556 Thorax spine fusion
L 22558 Lumbar spine fusion
L 22585 Additional spinal fusion
L 22586 Prescrl fuse w/ instr l5/s1
22590 Spine & skull spinal fusion
22595 Neck spinal fusion
L 22600 Neck spine fusion
22610 Thorax spine fusion
L 22614 Spine fusion extra segment
L 22632 Spine fusion extra segment
22633 Lumbar spine fusion combined
22634 Spine fusion extra segment
22800 Fusion of spine
22818 Kyphectomy 1-2 segments
22819 Kyphectomy 3 or more
L 22830 Exploration of spinal fusion
L 22840 Insert spine fixation device
22841 Insert spine fixation device
22848 Insert pelv fixation device
22849 Reinsert spinal fixation
L 22850 Remove spine fixation device
22852 Remove spine fixation device
CPA 22853 Insj biomechanical device
L 22855 Remove spine fixation device
L 22856 Cerv artific diskectomy
22857 Lumbar artif diskectomy
CPA 22858 Second level cer diskectomy
22860 Tot disc arthrp 2ntrspc lmbr
22861 Revise cerv artific disc
22862 Revise lumbar artif disc
22864 Remove cerv artif disc
22865 Remove lumb artif disc
CPA 22867 Insj stablj dev w/dcmprn
CPA 22868 Insj stablj dev w/dcmprn
CPA 22869 Insj stablj dev w/o dcmprn
CPA 22870 Insj stablj dev w/o dcmprn
CPA 22899 Spine surgery procedure
22900 Exc abdl tum deep < 5 cm
22901 Exc abdl tum deep 5 cm/>
22902 Exc abd les sc < 3 cm
22903 Exc abd les sc 3 cm/>
22904 Resect abd tum < 5 cm
22905 Resect abd tum 5 cm/>
22999 Abdomen surgery procedure
23000 Removal of calcium deposits
23020 Release shoulder joint
23030 Drain shoulder lesion
23031 Drain shoulder bursa
23035 Drain shoulder bone lesion
23040 Exploratory shoulder surgery
23044 Exploratory shoulder surgery
23065 Biopsy shoulder tissues
23066 Biopsy shoulder tissues
23071 Exc shoulder les sc 3 cm/>
23073 Exc shoulder tum deep 5 cm/>
23075 Exc shoulder les sc < 3 cm
23076 Exc shoulder tum deep < 5 cm
23077 Resect shoulder tum < 5 cm
23078 Resect shoulder tum 5 cm/>
L 23100 Biopsy of shoulder joint
L 23101 Shoulder joint surgery
L 23105 Remove shoulder joint lining
L 23106 Incision of collarbone joint
L 23107 Explore treat shoulder joint
L 23120 Partial removal collar bone
L 23125 Removal of collar bone
L 23130 Remove shoulder bone part
23140 Removal of bone lesion
23150 Removal of humerus lesion
23170 Remove collar bone lesion
23172 Remove shoulder blade lesion
23174 Remove humerus lesion
23180 Remove collar bone lesion
23182 Remove shoulder blade lesion
23190 Partial removal of scapula
23195 Removal of head of humerus
23200 Resect clavicle tumor
23210 Resect scapula tumor
23220 Resect prox humerus tumor
23330 Remove shoulder foreign body
23333 Remove shoulder fb deep
23334 Shoulder prosthesis removal
23335 Shoulder prosthesis removal
23350 Injection for shoulder x-ray
23395 Muscle transfer shoulder/arm
23397 Muscle transfers
23400 Fixation of shoulder blade
L 23405 Incision of tendon & muscle
L 23406 Incise tendon(s) & muscle(s)
L 23410 Repair rotator cuff acute
L 23412 Repair rotator cuff chronic
L 23415 Release of shoulder ligament
L 23420 Repair of shoulder
L 23430 Repair biceps tendon
L 23440 Remove/transplant tendon
L 23450 Repair shoulder capsule
L 23470 Reconstruct shoulder joint
CPA 23472 Reconstruct shoulder joint
L 23473 Revis reconst shoulder joint
23474 Revis reconst shoulder joint
23480 Revision of collar bone
23485 Revision of collar bone
23490 Reinforce clavicle
23491 Reinforce shoulder bones
23500 Treat clavicle fracture
23520 Treat clavicle dislocation
23570 Treat shoulder blade fx
23575 Treat shoulder blade fx
23585 Treat scapula fracture
23600 Treat humerus fracture
23650 Treat shoulder dislocation
23665 Treat dislocation/fracture
23700 Fixation of shoulder
23800 Fusion of shoulder joint
23802 Fusion of shoulder joint
23900 Amputation of arm & girdle
23920 Amputation at shoulder joint
23921 Amputation follow-up surgery
PA 23929 Shoulder surgery procedure
23930 Drainage of arm lesion
23931 Drainage of arm bursa
23935 Drain arm/elbow bone lesion
24000 Exploratory elbow surgery
24006 Release elbow joint
24065 Biopsy arm/elbow soft tissue
24066 Biopsy arm/elbow soft tissue
24071 Exc arm/elbow les sc 3 cm/>
24073 Ex arm/elbow tum deep 5 cm/>
24075 Exc arm/elbow les sc < 3 cm
24076 Ex arm/elbow tum deep < 5 cm
24077 Resect arm/elbow tum < 5 cm
24079 Resect arm/elbow tum 5 cm/>
24100 Biopsy elbow joint lining
24101 Explore/treat elbow joint
24102 Remove elbow joint lining
24105 Removal of elbow bursa
24115 Remove/graft bone lesion
24120 Remove elbow lesion
24130 Removal of head of radius
24134 Removal of arm bone lesion
24136 Remove radius bone lesion
24138 Remove elbow bone lesion
24140 Partial removal of arm bone
24145 Partial removal of radius
24147 Partial removal of elbow
24149 Radical resection of elbow
24150 Resect distal humerus tumor
24152 Resect radius tumor
24155 Removal of elbow joint
24160 Remove elbow joint implant
24164 Remove radius head implant
24200 Removal of arm foreign body
24201 Removal of arm foreign body
24220 Injection for elbow x-ray
24300 Manipulate elbow w/anesth
24301 Muscle/tendon transfer
24305 Arm tendon lengthening
24310 Revision of arm tendon
24320 Repair of arm tendon
24330 Revision of arm muscles
24331 Revision of arm muscles
24332 Tenolysis triceps
24340 Repair of biceps tendon
24341 Repair arm tendon/muscle
24342 Repair of ruptured tendon
24343 Repr elbow lat ligmnt w/tiss
24344 Reconstruct elbow lat ligmnt
24345 Repr elbw med ligmnt w/tissu
24346 Reconstruct elbow med ligmnt
L 24357 Repair elbow perc
L 24358 Repair elbow w/deb open
L 24359 Repair elbow deb/attch open
24360 Reconstruct elbow joint
L 24363 Replace elbow joint
24365 Reconstruct head of radius
24366 Reconstruct head of radius
24370 Revise reconst elbow joint
24371 Revise reconst elbow joint
24400 Revision of humerus
24430 Repair of humerus
24435 Repair humerus with graft
24470 Revision of elbow joint
24495 Decompression of forearm
24498 Reinforce humerus
24586 Treat elbow fracture
24600 Treat elbow dislocation
24650 Treat radius fracture
24670 Treat ulnar fracture
24800 Fusion of elbow joint
24802 Fusion/graft of elbow joint
24900 Amputation of upper arm
24920 Amputation of upper arm
24931 Amputate upper arm & implant
24935 Revision of amputation
24940 Revision of upper arm
L 24999 Upper arm/elbow surgery
L 25000 Incision of tendon sheath
L 25001 Incise flexor carpi radialis
25020 Decompress forearm 1 space
25023 Decompress forearm 1 space
25024 Decompress forearm 2 spaces
25025 Decompress forearm 2 spaces
25028 Drainage of forearm lesion
25031 Drainage of forearm bursa
25035 Treat forearm bone lesion
25040 Explore/treat wrist joint
25065 Biopsy forearm soft tissues
25066 Biopsy forearm soft tissues
25071 Exc forearm les sc 3 cm/>
25073 Exc forearm tum deep 3 cm/>
25075 Exc forearm les sc < 3 cm
25076 Exc forearm tum deep < 3 cm
25077 Resect forearm/wrist tum<3cm
25078 Resect forarm/wrist tum 3cm>
25085 Incision of wrist capsule
25100 Biopsy of wrist joint
25101 Explore/treat wrist joint
25105 Remove wrist joint lining
25107 Remove wrist joint cartilage
25109 Excise tendon forearm/wrist
25110 Remove wrist tendon lesion
25111 Remove wrist tendon lesion
25112 Reremove wrist tendon lesion
25115 Remove wrist/forearm lesion
25116 Remove wrist/forearm lesion
25118 Excise wrist tendon sheath
25119 Partial removal of ulna
25120 Removal of forearm lesion
25125 Remove/graft forearm lesion
25126 Remove/graft forearm lesion
25130 Removal of wrist lesion
25135 Remove & graft wrist lesion
25136 Remove & graft wrist lesion
25145 Remove forearm bone lesion
25170 Resect radius/ulnar tumor
25210 Removal of wrist bone
25215 Removal of wrist bones
25246 Injection for wrist x-ray
25248 Remove forearm foreign body
25250 Removal of wrist prosthesis
25251 Removal of wrist prosthesis
25259 Manipulate wrist w/anesthes
25260 Repair forearm tendon/muscle
25275 Repair forearm tendon sheath
25280 Revise wrist/forearm tendon
25290 Incise wrist/forearm tendon
25295 Release wrist/forearm tendon
25300 Fusion of tendons at wrist
25301 Fusion of tendons at wrist
25310 Transplant forearm tendon
25312 Transplant forearm tendon
25315 Revise palsy hand tendon(s)
25316 Revise palsy hand tendon(s)
25320 Repair/revise wrist joint
25332 Revise wrist joint
25335 Realignment of hand
25337 Reconstruct ulna/radioulnar
25350 Revision of radius
25355 Revision of radius
25360 Revision of ulna
25365 Revise radius & ulna
25370 Revise radius or ulna
25375 Revise radius & ulna
25390 Shorten radius or ulna
25391 Lengthen radius or ulna
25392 Shorten radius & ulna
25393 Lengthen radius & ulna
25394 Repair carpal bone shorten
25400 Repair radius or ulna
25405 Repair/graft radius or ulna
25415 Repair radius & ulna
25420 Repair/graft radius & ulna
25425 Repair/graft radius or ulna
25426 Repair/graft radius & ulna
25430 Vasc graft into carpal bone
25431 Repair nonunion carpal bone
25440 Repair/graft wrist bone
25441 Reconstruct wrist joint
25446 Wrist replacement
25447 Repair wrist joints
25449 Remove wrist joint implant
L 25450 Revision of wrist joint
L 25455 Revision of wrist joint
25490 Reinforce radius
25491 Reinforce ulna
25492 Reinforce radius and ulna
25500 Treat fracture of radius
25530 Treat fracture of ulna
25560 Treat fracture radius & ulna
25575 Treat fracture radius/ulna
25606 Treat fx distal radial
25607 Treat fx rad extra-articul
25608 Treat fx rad intra-articul
25609 Treat fx radial 3+ frag
25622 Treat wrist bone fracture
25651 Pin ulnar styloid fracture
25652 Treat fracture ulnar styloid
25660 Treat wrist dislocation
25671 Pin radioulnar dislocation
25680 Treat wrist fracture
25685 Treat wrist fracture
25800 Fusion of wrist joint
25805 Fusion/graft of wrist joint
25810 Fusion/graft of wrist joint
25820 Fusion of hand bones
25825 Fuse hand bones with graft
25830 Fusion radioulnar jnt/ulna
25900 Amputation of forearm
25920 Amputate hand at wrist
25922 Amputate hand at wrist
25927 Amputation of hand
25999 Forearm or wrist surgery
26010 Drainage of finger abscess
26011 Drainage of finger abscess
26020 Drain hand tendon sheath
26025 Drainage of palm bursa
26030 Drainage of palm bursas
26034 Treat hand bone lesion
26035 Decompress fingers/hand
26037 Decompress fingers/hand
26040 Release palm contracture
26055 Incise finger tendon sheath
26060 Incision of finger tendon
26070 Explore/treat hand joint
26075 Explore/treat finger joint
26080 Explore/treat finger joint
26100 Biopsy hand joint lining
26105 Biopsy finger joint lining
26110 Biopsy finger joint lining
26111 Exc hand les sc 1.5 cm/>
26113 Exc hand tum deep 1.5 cm/>
26115 Exc hand les sc < 1.5 cm
26116 Exc hand tum deep < 1.5 cm
26117 Exc hand tum ra < 3 cm
26118 Exc hand tum ra 3 cm/>
26130 Remove wrist joint lining
26135 Revise finger joint each
26140 Revise finger joint each
26145 Tendon excision palm/finger
26160 Remove tendon sheath lesion
26170 Removal of palm tendon each
26180 Removal of finger tendon
26185 Remove finger bone
26200 Remove hand bone lesion
26210 Removal of finger lesion
26215 Remove/graft finger lesion
26230 Partial removal of hand bone
26235 Partial removal finger bone
26236 Partial removal finger bone
26250 Extensive hand surgery
26260 Resect prox finger tumor
26262 Resect distal finger tumor
26320 Removal of implant from hand
26340 Manipulate finger w/anesth
PA 26341 Manipulat palm cord post inj
26350 Repair finger/hand tendon
26352 Repair/graft hand tendon
26390 Revise hand/finger tendon
26410 Repair hand tendon
26415 Excision hand/finger tendon
26416 Graft hand or finger tendon
26418 Repair finger tendon
26420 Repair/graft finger tendon
26437 Realignment of tendons
26440 Release palm/finger tendon
26442 Release palm & finger tendon
26445 Release hand/finger tendon
26449 Release forearm/hand tendon
26450 Incision of palm tendon
26455 Incision of finger tendon
26460 Incise hand/finger tendon
26471 Fusion of finger tendons
26474 Fusion of finger tendons
26476 Tendon lengthening
26477 Tendon shortening
26478 Lengthening of hand tendon
26479 Shortening of hand tendon
26480 Transplant hand tendon
26483 Transplant/graft hand tendon
26485 Transplant palm tendon
26489 Transplant/graft palm tendon
26490 Revise thumb tendon
26492 Tendon transfer with graft
26494 Hand tendon/muscle transfer
26496 Revise thumb tendon
26497 Finger tendon transfer
26498 Finger tendon transfer
26499 Revision of finger
26500 Hand tendon reconstruction
26502 Hand tendon reconstruction
26508 Release thumb contracture
26510 Thumb tendon transfer
26516 Fusion of knuckle joint
26517 Fusion of knuckle joints
26518 Fusion of knuckle joints
26520 Release knuckle contracture
26525 Release finger contracture
26530 Revise knuckle joint
26531 Revise knuckle with implant
26535 Revise finger joint
26536 Revise/implant finger joint
26540 Repair hand joint
26541 Repair hand joint with graft
26542 Repair hand joint with graft
26545 Reconstruct finger joint
26546 Repair nonunion hand
26548 Reconstruct finger joint
26550 Construct thumb replacement
26551 Great toe-hand transfer
26553 Single transfer toe-hand
26554 Double transfer toe-hand
26555 Positional change of finger
26556 Toe joint transfer
26560 Repair of web finger
26565 Correct metacarpal flaw
26567 Correct finger deformity
26568 Lengthen metacarpal/finger
26580 Repair hand deformity
26587 Reconstruct extra finger
26590 Repair finger deformity
26591 Repair muscles of hand
26593 Release muscles of hand
26596 Excision constricting tissue
26600 Treat metacarpal fracture
26641 Treat thumb dislocation
26645 Treat thumb fracture
26670 Treat hand dislocation
26676 Pin hand dislocation
26700 Treat knuckle dislocation
26706 Pin knuckle dislocation
26720 Treat finger fracture each
26756 Pin finger fracture each
26770 Treat finger dislocation
26776 Pin finger dislocation
26820 Thumb fusion with graft
26841 Fusion of thumb
26842 Thumb fusion with graft
26843 Fusion of hand joint
26844 Fusion/graft of hand joint
26850 Fusion of knuckle
26852 Fusion of knuckle with graft
26860 Fusion of finger joint
26861 Fusion of finger jnt add-on
26862 Fusion/graft of finger joint
26863 Fuse/graft added joint
26910 Amputate metacarpal bone
26951 Amputation of finger/thumb
26952 Amputation of finger/thumb
26989 Hand/finger surgery
26990 Drainage of pelvis lesion
26991 Drainage of pelvis bursa
27000 Incision of hip tendon
27006 Incision of hip tendons
27025 Incision of hip/thigh fascia
27027 Buttock fasciotomy
27030 Drainage of hip joint
27033 Exploration of hip joint
27035 Denervation of hip joint
27036 Excision of hip joint/muscle
27040 Biopsy of soft tissues
27041 Biopsy of soft tissues
27043 Exc hip pelvis les sc 3 cm/>
27045 Exc hip/pelv tum deep 5 cm/>
27047 Exc hip/pelvis les sc < 3 cm
27048 Exc hip/pelv tum deep < 5 cm
27049 Resect hip/pelv tum < 5 cm
27050 Biopsy of sacroiliac joint
27052 Biopsy of hip joint
27054 Removal of hip joint lining
27057 Buttock fasciotomy w/dbrdmt
27059 Resect hip/pelv tum 5 cm/>
27060 Removal of ischial bursa
27062 Remove femur lesion/bursa
27065 Remove hip bone les super
27066 Remove hip bone les deep
27067 Remove/graft hip bone lesion
27070 Part remove hip bone super
27071 Part removal hip bone deep
27075 Resect hip tumor
27076 Resect hip tum incl acetabul
27077 Resect hip tum w/innom bone
27078 Rsect hip tum incl femur
27080 Removal of tail bone
27086 Remove hip foreign body
27087 Remove hip foreign body
27090 Removal of hip prosthesis
27091 Removal of hip prosthesis
27093 Injection for hip x-ray
27095 Injection for hip x-ray
27096 Inject sacroiliac joint
27097 Revision of hip tendon
27098 Transfer tendon to pelvis
27100 Transfer of abdominal muscle
27105 Transfer of spinal muscle
27110 Transfer of iliopsoas muscle
27111 Transfer of iliopsoas muscle
27120 Reconstruction of hip socket
27122 Reconstruction of hip socket
27125 Partial hip replacement
PA 27130 Total hip arthroplasty
27132 Total hip arthroplasty
27134 Revise hip joint replacement
27140 Transplant femur ridge
27146 Incision of hip bone
27147 Revision of hip bone
27151 Incision of hip bones
27156 Revision of hip bones
27158 Revision of pelvis
27161 Incision of neck of femur
27165 Incision/fixation of femur
27170 Repair/graft femur head/neck
27175 Treat slipped epiphysis
27179 Revise head/neck of femur
27185 Revision of femur epiphysis
27187 Reinforce hip bones
27197 Clsd tx pelvic ring fx
27198 Clsd tx pelvic ring fx
27200 Treat tail bone fracture
27202 Treat tail bone fracture
27215 Treat pelvic fracture(s)
27216 Treat pelvic ring fracture
27220 Treat hip socket fracture
27222 Treat hip socket fracture
27226 Treat hip wall fracture
27227 Treat hip fracture(s)
27228 Treat hip fracture(s)
27230 Treat thigh fracture
27250 Treat hip dislocation
27267 Cltx thigh fx
27268 Cltx thigh fx w/mnpj
27269 Optx thigh fx
27275 Manipulation of hip joint
CPA 27279 Arthrodesis sacroiliac joint
27280 Fusion of sacroiliac joint
27282 Fusion of pubic bones
27284 Fusion of hip joint
27286 Fusion of hip joint
27290 Amputation of leg at hip
27295 Amputation of leg at hip
CPA 27299 Pelvis/hip joint surgery
27301 Drain thigh/knee lesion
27305 Incise thigh tendon & fascia
27306 Incision of thigh tendon
27307 Incision of thigh tendons
L 27310 Exploration of knee joint
27323 Biopsy thigh soft tissues
27324 Biopsy thigh soft tissues
27325 Neurectomy hamstring
27326 Neurectomy popliteal
27327 Exc thigh/knee les sc < 3 cm
27328 Exc thigh/knee tum deep <5cm
27329 Resect thigh/knee tum < 5 cm
L 27330 Biopsy knee joint lining
L 27331 Explore/treat knee joint
L 27332 Removal of knee cartilage
L 27333 Removal of knee cartilage
L 27334 Remove knee joint lining
L 27335 Remove knee joint lining
27337 Exc thigh/knee les sc 3 cm/>
27339 Exc thigh/knee tum dep 5cm/>
CPA 27340 Removal of kneecap bursa
CPA 27345 Removal of knee cyst
CPA 27347 Remove knee cyst
L 27350 Removal of kneecap
27355 Remove femur lesion
27356 Remove femur lesion/graft
27357 Remove femur lesion/graft
27358 Remove femur lesion/fixation
27360 Partial removal leg bone(s)
27364 Resect thigh/knee tum 5 cm/>
27365 Resect femur/knee tumor
27369 Njx cntrst kne arthg/ct/mri
27370 Injection for knee x-ray
27380 Repair of kneecap tendon
27381 Repair/graft kneecap tendon
27385 Repair of thigh muscle
27386 Repair/graft of thigh muscle
L 27390 Incision of thigh tendon
L 27391 Incision of thigh tendons
L 27392 Incision of thigh tendons
L 27393 Lengthening of thigh tendon
L 27394 Lengthening of thigh tendons
L 27395 Lengthening of thigh tendons
L 27396 Transplant of thigh tendon
L 27397 Transplants of thigh tendons
L 27400 Revise thigh muscles/tendons
L 27403 Repair of knee cartilage
L 27405 Repair of knee ligament
L 27407 Repair of knee ligament
L 27409 Repair of knee ligaments
27412 Autochondrocyte implant knee
CPA 27415 Osteochondral knee allograft
CPA 27416 Osteochondral knee autograft
L 27418 Repair degenerated kneecap
L 27420 Revision of unstable kneecap
L 27422 Revision of unstable kneecap
L 27424 Revision/removal of kneecap
L 27425 Lat retinacular release open
L 27427 Reconstruction knee
L 27430 Revision of thigh muscles
L 27435 Incision of knee joint
L 27437 Revise kneecap
L 27438 Revise kneecap with implant
L 27440 Revision of knee joint
27445 Revision of knee joint
L 27447 Total knee arthroplasty
27448 Incision of thigh
27450 Incision of thigh
27454 Realignment of thigh bone
L 27455 Realignment of knee
L 27457 Realignment of knee
27465 Shortening of thigh bone
27466 Lengthening of thigh bone
27468 Shorten/lengthen thighs
27470 Repair of thigh
27472 Repair/graft of thigh
L 27475 Surgery to stop leg growth
27485 Surgery to stop leg growth
27486 Revise/replace knee joint
27487 Revise/replace knee joint
27488 Removal of knee prosthesis
27495 Reinforce thigh
27496 Decompression of thigh/knee
27500 Treatment of thigh fracture
27516 Treat thigh fx growth plate
27520 Treat kneecap fracture
27524 Treat kneecap fracture
27530 Treat knee fracture
27538 Treat knee fracture(s)
27550 Treat knee dislocation
27560 Treat kneecap dislocation
27570 Fixation of knee joint
27580 Fusion of knee
27590 Amputate leg at thigh
27598 Amputate lower leg at knee
L 27599 Leg surgery procedure
27600 Decompression of lower leg
27603 Drain lower leg lesion
27604 Drain lower leg bursa
27605 Incision of achilles tendon
27606 Incision of achilles tendon
27607 Treat lower leg bone lesion
27610 Explore/treat ankle joint
27612 Exploration of ankle joint
27613 Biopsy lower leg soft tissue
27614 Biopsy lower leg soft tissue
27615 Resect leg/ankle tum < 5 cm
27616 Resect leg/ankle tum 5 cm/>
27618 Exc leg/ankle tum < 3 cm
27619 Exc leg/ankle tum deep <5 cm
27620 Explore/treat ankle joint
27625 Remove ankle joint lining
27626 Remove ankle joint lining
27630 Removal of tendon lesion
27632 Exc leg/ankle les sc 3 cm/>
27634 Exc leg/ankle tum dep 5 cm/>
27635 Remove lower leg bone lesion
27637 Remove/graft leg bone lesion
27638 Remove/graft leg bone lesion
27640 Partial removal of tibia
27641 Partial removal of fibula
27645 Resect tibia tumor
27646 Resect fibula tumor
27647 Resect talus/calcaneus tum
27648 Injection for ankle x-ray
27650 Repair achilles tendon
27652 Repair/graft achilles tendon
27654 Repair of achilles tendon
27656 Repair leg fascia defect
27658 Repair of leg tendon each
27675 Repair lower leg tendons
27676 Repair lower leg tendons
27680 Release of lower leg tendon
27681 Release of lower leg tendons
27685 Revision of lower leg tendon
27686 Revise lower leg tendons
27687 Revision of calf tendon
27690 Revise lower leg tendon
27691 Revise lower leg tendon
27692 Revise additional leg tendon
27695 Repair of ankle ligament
27696 Repair of ankle ligaments
27698 Repair of ankle ligament
L 27700 Revision of ankle joint
27702 Reconstruct ankle joint
27703 Reconstruction ankle joint
27704 Removal of ankle implant
27705 Incision of tibia
27707 Incision of fibula
27709 Incision of tibia & fibula
27712 Realignment of lower leg
27715 Revision of lower leg
27720 Repair of tibia
27722 Repair/graft of tibia
27724 Repair/graft of tibia
27725 Repair of lower leg
27726 Repair fibula nonunion
27727 Repair of lower leg
L 27730 Repair of tibia epiphysis
L 27732 Repair of fibula epiphysis
L 27734 Repair lower leg epiphyses
L 27740 Repair of leg epiphyses
27742 Repair of leg epiphyses
27745 Reinforce tibia
27750 Treatment of tibia fracture
27760 Cltx medial ankle fx
27762 Cltx med ankle fx w/mnpj
27766 Optx medial ankle fx
27767 Cltx post ankle fx
27768 Cltx post ankle fx w/mnpj
27769 Optx post ankle fx
27780 Treatment of fibula fracture
27786 Treatment of ankle fracture
27824 Treat lower leg fracture
27829 Treat lower leg joint
27830 Treat lower leg dislocation
27840 Treat ankle dislocation
27860 Fixation of ankle joint
27870 Fusion of ankle joint open
27871 Fusion of tibiofibular joint
27880 Amputation of lower leg
27888 Amputation of foot at ankle
27889 Amputation of foot at ankle
27892 Decompression of leg
27899 Leg/ankle surgery procedure
28001 Drainage of bursa of foot
28002 Treatment of foot infection
28003 Treatment of foot infection
28005 Treat foot bone lesion
28008 Incision of foot fascia
28010 Incision of toe tendon
28011 Incision of toe tendons
28020 Exploration of foot joint
28022 Exploration of foot joint
28024 Exploration of toe joint
28035 Decompression of tibia nerve
28039 Exc foot/toe tum sc 1.5 cm/>
28041 Exc foot/toe tum dep 1.5cm/>
28043 Exc foot/toe tum sc < 1.5 cm
28045 Exc foot/toe tum deep <1.5cm
28046 Resect foot/toe tumor < 3 cm
28047 Resect foot/toe tumor 3 cm/>
28050 Biopsy of foot joint lining
28052 Biopsy of foot joint lining
28054 Biopsy of toe joint lining
28055 Neurectomy foot
28060 Partial removal foot fascia
28062 Removal of foot fascia
28070 Removal of foot joint lining
28072 Removal of foot joint lining
28080 Removal of foot lesion
28086 Excise foot tendon sheath
28088 Excise foot tendon sheath
28092 Removal of toe lesions
28100 Removal of ankle/heel lesion
28102 Remove/graft foot lesion
28108 Removal of toe lesions
28110 Part removal of metatarsal
28114 Removal of metatarsal heads
28116 Revision of foot
28118 Removal of heel bone
28119 Removal of heel spur
28120 Part removal of ankle/heel
28122 Partial removal of foot bone
28124 Partial removal of toe
28130 Removal of ankle bone
28140 Removal of metatarsal
28150 Removal of toe
28171 Resect tarsal tumor
28173 Resect metatarsal tumor
28175 Resect phalanx of toe tumor
28190 Removal of foot foreign body
28200 Repair of foot tendon
28202 Repair/graft of foot tendon
28208 Repair of foot tendon
28210 Repair/graft of foot tendon
28220 Release of foot tendon
28222 Release of foot tendons
28225 Release of foot tendon
28226 Release of foot tendons
28230 Incision of foot tendon(s)
28232 Incision of toe tendon
28234 Incision of foot tendon
28238 Revision of foot tendon
28240 Release of big toe
28250 Revision of foot fascia
28260 Release of midfoot joint
28261 Revision of foot tendon
28262 Revision of foot and ankle
28264 Release of midfoot joint
28270 Release of foot contracture
28272 Release of toe joint each
28280 Fusion of toes
28285 Repair of hammertoe
28286 Repair of hammertoe
28288 Partial removal of foot bone
28289 Repair hallux rigidus
28291 Corrj halux rigdus w/implt
28292 Correction of bunion
28295 Correction hallux valgus
28300 Incision of heel bone
28302 Incision of ankle bone
28304 Incision of midfoot bones
28305 Incise/graft midfoot bones
28306 Incision of metatarsal
28309 Incision of metatarsals
28310 Revision of big toe
28312 Revision of toe
28313 Repair deformity of toe
28315 Removal of sesamoid bone
28320 Repair of foot bones
28322 Repair of metatarsals
28340 Resect enlarged toe tissue
28341 Resect enlarged toe
28344 Repair extra toe(s)
28345 Repair webbed toe(s)
28360 Reconstruct cleft foot
28400 Treatment of heel fracture
28415 Treat heel fracture
28420 Treat/graft heel fracture
28445 Treat ankle fracture
28446 Osteochondral talus autogrft
28450 Treat midfoot fracture each
28456 Treat midfoot fracture
28470 Treat metatarsal fracture
28490 Treat big toe fracture
28510 Treatment of toe fracture
28515 Treatment of toe fracture
28525 Treat toe fracture
28530 Treat sesamoid bone fracture
28531 Treat sesamoid bone fracture
28540 Treat foot dislocation
28555 Repair foot dislocation
28630 Treat toe dislocation
28645 Repair toe dislocation
28675 Repair of toe dislocation
28705 Fusion of foot bones
28737 Revision of foot bones
28750 Fusion of big toe joint
28800 Amputation of midfoot
28805 Amputation thru metatarsal
28810 Amputation toe & metatarsal
28820 Amputation of toe
28825 Partial amputation of toe
28890 High energy eswt plantar f
PA 28899 Foot/toes surgery procedure
29000 Application of body cast
29049 Application of figure eight
29055 Application of shoulder cast
29058 Application of shoulder cast
29065 Application of long arm cast
29075 Application of forearm cast
29085 Apply hand/wrist cast
29086 Apply finger cast
29105 Apply long arm splint
29125 Apply forearm splint
29126 Apply forearm splint
29130 Application of finger splint
29131 Application of finger splint
29200 Strapping of chest
29240 Strapping of shoulder
29260 Strapping of elbow or wrist
29280 Strapping of hand or finger
29305 Application of hip cast
29325 Application of hip casts
29345 Application of long leg cast
29358 Apply long leg cast brace
29405 Apply short leg cast
29440 Addition of walker to cast
29445 Apply rigid leg cast
29450 Application of leg cast
29505 Application long leg splint
29515 Application lower leg splint
29520 Strapping of hip
29530 Strapping of knee
29540 Strapping of ankle and/or ft
29550 Strapping of toes
29580 Application of paste boot
29581 Apply multlay comprs lwr leg
29584 Appl multlay comprs arm/hand
29700 Removal/revision of cast
29720 Repair of body cast
29730 Windowing of cast
29740 Wedging of cast
29750 Wedging of clubfoot cast
29799 Casting/strapping procedure
PA 29800 Jaw arthroscopy/surgery
PA 29804 Jaw arthroscopy/surgery
L 29805 Shoulder arthroscopy dx
L 29806 Shoulder arthroscopy/surgery
L 29827 Arthroscop rotator cuff repr
L 29828 Arthroscopy biceps tenodesis
L 29830 Elbow arthroscopy
L 29834 Elbow arthroscopy/surgery
L 29840 Wrist arthroscopy
L 29843 Wrist arthroscopy/surgery
CPA 29847 Wrist arthroscopy/surgery
L 29848 Wrist endoscopy/surgery
29850 Knee arthroscopy/surgery
29851 Knee arthroscopy/surgery
29855 Tibial arthroscopy/surgery
29856 Tibial arthroscopy/surgery
L 29860 Hip arthroscopy dx
L 29861 Hip arthro w/fb removal
L 29862 Hip arthr0 w/debridement
L 29863 Hip arthr0 w/synovectomy
L 29866 Autgrft implnt knee w/scope
L 29867 Allgrft implnt knee w/scope
L 29868 Meniscal trnspl knee w/scpe
L 29870 Knee arthroscopy dx
L 29871 Knee arthroscopy/drainage
L 29873 Knee arthroscopy/surgery
29891 Ankle arthroscopy/surgery
29893 Scope plantar fasciotomy
29900 Mcp joint arthroscopy dx
29901 Mcp joint arthroscopy surg
29902 Mcp joint arthroscopy surg
29904 Subtalar arthro w/fb rmvl
29905 Subtalar arthro w/exc
29906 Subtalar arthro w/deb
29907 Subtalar arthro w/fusion
29914 Hip arthro w/femoroplasty
29915 Hip arthro acetabuloplasty
CPA 29916 Hip arthro w/labral repair
CPA 29999 Arthroscopy of joint
30000 Drainage of nose lesion
30020 Drainage of nose lesion
3006F Cxr doc rev
3008F Body mass index docd
30100 Intranasal biopsy
30110 Removal of nose polyp(s)
30115 Removal of nose polyp(s)
30117 Removal of intranasal lesion
30118 Removal of intranasal lesion
3011F Lipid panel doc rev
30120 Revision of nose
30124 Removal of nose lesion
30125 Removal of nose lesion
30130 Excise inferior turbinate
30140 Resect inferior turbinate
3014F Screen mammo doc rev
30150 Partial removal of nose
3015F Cerv cancer screen docd
30160 Removal of nose
3016F Pt scrnd unhlthy OH use
3017F Colorectal ca screen doc rev
3018F Pre-prxd rsk et al docd
3019F Lvef assess planpost dschrge
30200 Injection treatment of nose
3020F Lvf assess
30210 Nasal sinus therapy
3021F Lvef mod/sever deprs syst
30220 Insert nasal septal button
3022F Lvef >=40% systolic
3023F Spirom doc rev
3025F Spirom fev/fvc<70% w/copd
3027F Spirom fev/fvc>=70%/w/o copd
3028F O2 saturation doc rev
30300 Remove nasal foreign body
3035F O2 saturation<=88% /pao<=55
3037F O2 saturation> 88% /pao>55
3038F Pulm fx w/in 12 mon b/4 surg
*PA 30400 Reconstruction of nose
3040F Fev<40% predicted value
3042F Fev>=40% predicted value
3044F Hg a1c level lt 7.0%
30465 Repair nasal stenosis
30468 Rpr nsl vlv collapse w/implt
30469 Rpr nsl vlv collapse w/rmdlg
3046F Hemoglobin a1c level > 9.0%
3048F Ldl-c <100 mg/dl
3049F Ldl-c 100-129 mg/dl
3050F Ldl-c >= 130 mg/dl
3051F HG A1C>EQUAL 7.0%<8.0%
30520 Repair of nasal septum
3052F HG A1C>EQUAL 8.0%<EQUAL 9.0%
30540 Repair nasal defect
30545 Repair nasal defect
3055F Lvef less than/equal to 35%
30560 Release of nasal adhesions
3056F Lvef greater than 35%
30580 Repair upper jaw fistula
30600 Repair mouth/nose fistula
3060F Pos microalbuminuria rev
3061F Neg microalbuminuria rev
30620 Intranasal reconstruction
3062F Pos macroalbuminuria rev
30630 Repair nasal septum defect
3066F Nephropathy doc tx
3072F Low risk for retinopathy
3073F Pre-surg eye measures docd
3074F Syst bp lt 130 mm hg
3075F Syst bp ge 130 - 139mm hg
3077F Syst bp >= 140 mm hg
3078F Diast bp < 80 mm hg
3079F Diast bp 80-89 mm hg
30801 Ablate inf turbinate superf
30802 Ablate inf turbinate submuc
3080F Diast bp >= 90 mm hg
3082F Kt/v <1.2
3083F Kt/v > 1.2 <1.7
3084F Kt/v >= 1.7
3085F Suicide risk assessed
3088F Mdd mild
3089F Mdd moderate
30901 Control of nosebleed
30906 Repeat control of nosebleed
3090F Mdd severe w/o psych
30915 Ligation nasal sinus artery
3091F Mdd severe w/psych
30920 Ligation upper jaw artery
3092F Mdd in remission
30930 Ther fx nasal inf turbinate
3093F Doc new diag 1st/addl mdd
3095F Central dexa results docd
3096F Central dexa ordered
30999 Nasal surgery procedure
31000 Irrigation maxillary sinus
31002 Irrigation sphenoid sinus
3100F Image test ref carot diam
31020 Exploration maxillary sinus
31032 Explore sinus remove polyps
31040 Exploration behind upper jaw
31050 Exploration sphenoid sinus
31051 Sphenoid sinus surgery
31070 Exploration of frontal sinus
31075 Exploration of frontal sinus
31080 Removal of frontal sinus
31090 Exploration of sinuses
3110F Pres/absn hmrhg/lesion docd
3111F Ct/mri brain done w/in 24hrs
3112F Ct/mri brain done >24 hrs
3115F Quant results activity +symp
3117F Hf assessment tool completed
3118F Ny heart assoc class docd
3119F No eval activity clin symp
31200 Removal of ethmoid sinus
3120F 12-lead ecg performed
31230 Removal of upper jaw
31231 Nasal endoscopy dx
31233 Nsl/sins ndsc dx max sinusc
31235 Nsl/sins ndsc dx sphn sinusc
31237 Nasal/sinus endoscopy surg
31241 Nsl/sins ndsc w/artery lig
31253 Nsl/sins ndsc total
31254 Revision of ethmoid sinus
31257 Nsl/sins ndsc tot w/sphendt
31259 Nsl/sins ndsc sphn tiss rmvl
31267 Endoscopy maxillary sinus
3126F Esoph bx rprt w/dyspl info
31276 Sinus endoscopy surgical
31292 Nsl/sins ndsc med/inf dcmprn
31293 Nsl/sins ndsc med&inf dcmprn
31294 Nsl/sins ndsc surg on dcmprn
31295 Nsl/sins ndsc surg max sins
31296 Nsl/sins ndsc surg frnt sins
31297 Nsl/sins ndsc surg sphn sins
31298 Nsl/sins ndsc surg frnt&sphn
31299 Sinus surgery procedure
31300 Removal of larynx lesion
3130F Upper gi endoscopy performed
3132F Doc ref upper gi endoscopy
31360 Removal of larynx
31365 Removal of larynx
31367 Partial removal of larynx
31390 Removal of larynx & pharynx
31395 Reconstruct larynx & pharynx
31400 Revision of larynx
3140F Upper gi endo shows barrtts
3141F Upper gi endo not barrtts
31420 Removal of epiglottis
3142F Barium swallow test ordered
31500 Insert emergency airway
31502 Change of windpipe airway
31505 Diagnostic laryngoscopy
3150F Forceps esoph biopsy done
31510 Laryngoscopy with biopsy
31511 Remove foreign body larynx
31513 Injection into vocal cord
31515 Laryngoscopy for aspiration
31520 Dx laryngoscopy newborn
31525 Dx laryngoscopy excl nb
31526 Dx laryngoscopy w/oper scope
31527 Laryngoscopy for treatment
31528 Laryngoscopy and dilation
31529 Laryngoscopy and dilation
31530 Laryngoscopy w/fb removal
31531 Laryngoscopy w/fb & op scope
31535 Laryngoscopy w/biopsy
31536 Laryngoscopy w/bx & op scope
31540 Laryngoscopy w/exc of tumor
31541 Larynscop w/tumr exc + scope
31545 Remove vc lesion w/scope
31546 Remove vc lesion scope/graft
31551 Laryngoplasty laryngeal sten
3155F Cytogen test marrow b/4 tx
31560 Laryngoscop w/arytenoidectom
31561 Larynscop remve cart + scop
31570 Laryngoscope w/vc inj
31571 Laryngoscop w/vc inj + scope
31572 Largsc w/laser dstrj les
31573 Largsc w/ther injection
31574 Largsc w/njx augmentation
31576 Laryngoscopy with biopsy
31577 Remove foreign body larynx
31584 Treat larynx fracture
31590 Reinnervate larynx
31591 Laryngoplasty medialization
31592 Cricotracheal resection
31595 Larynx nerve surgery
31599 Larynx surgery procedure
31600 Incision of windpipe
3160F Doc fe+ stores b/4 epo thx
31611 Surgery/speech prosthesis
31612 Puncture/clear windpipe
31613 Repair windpipe opening
31614 Repair windpipe opening
31615 Visualization of windpipe
31622 Dx bronchoscope/wash
31623 Dx bronchoscope/brush
31624 Dx bronchoscope/lavage
31625 Bronchoscopy w/biopsy(s)
31626 Bronchoscopy w/markers
31627 Navigational bronchoscopy
31628 Bronchoscopy/lung bx each
31629 Bronchoscopy/needle bx each
31630 Bronchoscopy dilate/fx repr
31631 Bronchoscopy dilate w/stent
31632 Bronchoscopy/lung bx addl
31633 Bronchoscopy/needle bx addl
31634 Bronch w/balloon occlusion
31635 Bronchoscopy w/fb removal
31636 Bronchoscopy bronch stents
31637 Bronchoscopy stent add-on
31638 Bronchoscopy revise stent
31640 Bronchoscopy w/tumor excise
31641 Bronchoscopy treat blockage
31643 Diag bronchoscope/catheter
31645 Bronchoscopy clear airways
31646 Bronchoscopy reclear airway
31647 Bronchial valve init insert
31648 Bronchial valve addl insert
31649 Bronchial valve remov init
31651 Bronchial valve remov addl
31652 Bronch ebus samplng 1/2 node
31653 Bronch ebus samplng 3/> node
31654 Bronch ebus ivntj perph les
31660 Bronch thermoplsty 1 lobe
31661 Bronch thermoplsty 2/> lobes
3170F Flow cyto done b/4 tx
31717 Bronchial brush biopsy
31720 Clearance of airways
31725 Clearance of airways
31730 Intro windpipe wire/tube
31750 Repair of windpipe
31766 Reconstruction of windpipe
31770 Repair/graft of bronchus
31775 Reconstruct bronchus
31780 Reconstruct windpipe
31781 Reconstruct windpipe
31785 Remove windpipe lesion
31786 Remove windpipe lesion
31800 Repair of windpipe injury
31805 Repair of windpipe injury
31820 Closure of windpipe lesion
31825 Repair of windpipe defect
PA 31830 Revise windpipe scar
31899 Airways surgical procedure
3200F Barium swallow test not req
32035 Thoracostomy w/rib resection
32036 Thoracostomy w/flap drainage
32096 Open wedge/bx lung infiltr
32097 Open wedge/bx lung nodule
32098 Open biopsy of lung pleura
32100 Exploration of chest
3210F Grp a strep test performed
32110 Explore/repair chest
32120 Re-exploration of chest
32124 Explore chest free adhesions
32140 Removal of lung lesion(s)
32141 Remove/treat lung lesions
32150 Removal of lung lesion(s)
32151 Remove lung foreign body
3215F Pt immunity to hep a docd
32160 Open chest heart massage
3216F Pt immunity to hep b docd
3218F Rna tstng hep c docd done
32200 Drain open lung lesion
3220F Hep c quant rna tstng docd
32215 Treat chest lining
32220 Release of lung
32225 Partial release of lung
3230F Note hring tst w/in 6 mon
32310 Removal of chest lining
32320 Free/remove chest lining
32400 Needle biopsy chest lining
32408 Core ndl bx lng/med perq
32440 Remove lung pneumonectomy
32442 Sleeve pneumonectomy
32445 Removal of lung extrapleural
32480 Partial removal of lung
32482 Bilobectomy
32484 Segmentectomy
32486 Sleeve lobectomy
32488 Completion pneumonectomy
32491 Lung volume reduction
32501 Repair bronchus add-on
32503 Resect apical lung tumor
32504 Resect apical lung tum/chest
32505 Wedge resect of lung initial
32506 Wedge resect of lung add-on
32507 Wedge resect of lung diag
3250F Nonprim loc anat bx site tum
32540 Removal of lung lesion
32550 Insert pleural cath
32551 Insertion of chest tube
32552 Remove lung catheter
32553 Ins mark thor for rt perq
32554 Aspirate pleura w/o imaging
32555 Aspirate pleura w/ imaging
32556 Insert cath pleura w/o image
32557 Insert cath pleura w/ image
32560 Treat pleurodesis w/agent
32561 Lyse chest fibrin init day
32562 Lyse chest fibrin subq day
32601 Thoracoscopy diagnostic
32604 Thoracoscopy wbx sac
32606 Thoracoscopy w/bx med space
32607 Thoracoscopy w/bx infiltrate
32608 Thoracoscopy w/bx nodule
32609 Thoracoscopy w/bx pleura
3260F Pt cat/pn cat/hist grd docd
32652 Thoracoscopy rem totl cortex
3265F Rna tstng hepc vir ord/docd
32663 Thoracoscopy w/lobectomy
32665 Thoracoscop w/esoph musc exc
32666 Thoracoscopy w/wedge resect
32667 Thoracoscopy w/w resect addl
32668 Thoracoscopy w/w resect diag
32669 Thoracoscopy remove segment
3266F Hepc gn tstng docd b/4txmnt
32670 Thoracoscopy bilobectomy
32671 Thoracoscopy pneumonectomy
32672 Thoracoscopy for lvrs
32673 Thoracoscopy w/thymus resect
32674 Thoracoscopy lymph node exc
3267F path rprt w/ pt pn cat et al
3268F Psa/t/glsc docd b/4 txmnt
3269F Bone scn b/4 txmnt/aftr Dx
32701 Thorax stereo rad targetw/tx
3270F No bone scn b/4 txmnt/aftrDx
3271F Low risk prostate cancer
3272F Med risk prostate cancer
3273F High risk prostate cancer
3274F Prost Cncr rsk not lw/md/hgh
3278F Serum lvls CA/iPTH/lpd ord
3279F Hgb lvl >/= 13 g/dl
32800 Repair lung hernia
3280F Hgb lvl 11-12.9 g/dL
32810 Close chest after drainage
32815 Close bronchial fistula
3281F Hgb lvl < 11 g/dl
32820 Reconstruct injured chest
3284F Iop down >15% of pre-svc lvl
32850 Donor pneumonectomy
32851 Lung transplant single
32852 Lung transplant with bypass
32853 Lung transplant double
32854 Lung transplant with bypass
32855 Prepare donor lung single
32856 Prepare donor lung double
3285F IOP down <15% of pre-svc lvl
3288F Fall risk assessment docd
32900 Removal of rib(s)
32905 Revise & repair chest wall
32906 Revise & repair chest wall
3290F Pt=D(Rh)- and unsensitized
3291F Pt=d(rh)+ or sensitized
3292F Hiv tstng asked/docd/revwd
3293F Abo rh blood typing docd
32940 Revision of lung
3294F Grp b strep screening docd
32960 Therapeutic pneumothorax
32994 Ablate pulm tumor perq crybl
32997 Total lung lavage
32998 Perq rf ablate tx pul tumor
32999 Chest surgery procedure
3300F AJCC stage docd b/4 thxpy
33016 Pericardiocentesis w/imaging
33017 Prcrd drg 6yr+ w/o cgen car
33018 Prcrd drg 0-5yr or w/anomly
33019 Perq prcrd drg insj cath ct
3301F Cancer stage docd metast
33020 Incision of heart sac
33025 Incision of heart sac
33030 Partial removal of heart sac
33031 Partial removal of heart sac
33050 Resect heart sac lesion
33120 Removal of heart lesion
33140 Heart revascularize (tmr)
33141 Heart tmr w/other procedure
3315F Er+ or pr+ breast cancer
3316F ER- or PR- breast cancer
3317F Path rpt malig cancer docd
3318F Path rpt malig cancer docd
3319F X-ray/ct/ultrsnd et al ord
33202 Insert epicard eltrd open
33203 Insert epicard eltrd endo
33206 Insert heart pm atrial
33207 Insert heart pm ventricular
33208 Insrt heart pm atrial & vent
3320F No xray/ct/ et al ordd
33210 Insert electrd/pm cath sngl
33211 Insert card electrodes dual
33212 Insert pulse gen sngl lead
33213 Insert pulse gen dual leads
33214 Upgrade of pacemaker system
33215 Reposition pacing-defib lead
33216 Insert 1 electrode pm-defib
33217 Insert 2 electrode pm-defib
33218 Repair lead pace-defib one
3321F AJCC cncr 0/IA melan docd
33220 Repair lead pace-defib dual
33221 Insert pulse gen mult leads
33222 Revise pocket pacemaker
33223 Revise pocket for defib
33224 Insert pacing lead & connect
33225 L ventric pacing lead add-on
33226 Reposition l ventric lead
33227 Remove&replace pm gen singl
33228 Remv&replc pm gen dual lead
33229 Remv&replc pm gen mult leads
3322F Melanoma>ajcc stage 0 or ia
33230 Insrt pulse gen w/dual leads
33231 Insrt pulse gen w/mult leads
33233 Removal of pm generator
33234 Removal of pacemaker system
33235 Removal pacemaker electrode
33236 Remove electrode/thoracotomy
3323F Clin node stgng docdb/4 surg
33240 Insrt pulse gen w/singl lead
33241 Remove pulse generator
33243 Remove eltrd/thoracotomy
33244 Remove eltrd transven
33249 Nsert pace-defib w/lead
3324F Mri ct scan ord rvwd rqstd
33250 Ablate heart dysrhythm focus
33254 Ablate atria lmtd
33255 Ablate atria w/o bypass ext
33256 Ablate atria w/bypass exten
33257 Ablate atria lmtd add-on
33258 Ablate atria x10sv add-on
33259 Ablate atria w/bypass add-on
3325F Preop asses 4 cataract surg
33262 Remv&replc cvd gen sing lead
33263 Remv&replc cvd gen dual lead
33264 Remv&replc cvd gen mult lead
33265 Ablate atria lmtd endo
33266 Ablate atria x10sv endo
33267 Excl laa open any method
33268 Excl laa opn oth px any meth
33269 Excl laa thrscp any method
33270 Ins/rep subq defibrillator
PA 33271 Insj subq impltbl dfb elctrd
PA 33272 Rmvl of subq defibrillator
PA 33273 Repos prev impltbl subq dfb
33274 Tcat insj/rpl perm ldls pm
33275 Tcat rmvl perm ldls pm w/img
33282 Implant pat-active ht record
33284 Remove pat-active ht record
33285 Insj subq car rhythm mntr
33286 Rmvl subq car rhythm mntr
33289 Tcat impl wrls p-art prs snr
3328F Prfrmnc docd 2 wks b/4 surg
33300 Repair of heart wound
33305 Repair of heart wound
3330F Imaging study ordered (bkp)
33310 Exploratory heart surgery
33315 Exploratory heart surgery
3331F Bk imaging tst not ordered
33320 Repair major blood vessel(s)
33321 Repair major vessel
33322 Repair major blood vessel(s)
33330 Insert major vessel graft
33335 Insert major vessel graft
33340 Perq clsr tcat l atr apndge
33361 Replace aortic valve perq
33362 Replace aortic valve open
33366 Trcath replace aortic valve
33367 Replace aortic valve w/byp
33370 Tcat plmt&rmvl cepd perq
33404 Prepare heart-aorta conduit
33405 Replacement of aortic valve
3340F Mammo assess inc xray docd
33414 Repair of aortic valve
33415 Revision subvalvular tissue
33416 Revise ventricle muscle
33417 Repair of aortic valve
33418 Repair tcat mitral valve
33419 Repair tcat mitral valve
3341F Mammo assess negative docd
33420 Revision of mitral valve
33425 Repair of mitral valve
3342F Mammo assess bengn docd
33430 Replacement of mitral valve
3343F Mammo probably bengn docd
3344F Mammo assess susp docd
3345F Mammo assess hghlymalig doc
33460 Revision of tricuspid valve
33463 Valvuloplasty tricuspid
33464 Valvuloplasty tricuspid
33465 Replace tricuspid valve
33468 Revision of tricuspid valve
33471 Valvotomy pulmonary valve
33474 Revision of pulmonary valve
33475 Replacement pulmonary valve
33476 Revision of heart chamber
33477 Implant tcat pulm vlv perq
33496 Repair prosth valve clot
33500 Repair heart vessel fistula
33501 Repair heart vessel fistula
33502 Coronary artery correction
33503 Coronary artery graft
33504 Coronary artery graft
33505 Repair artery w/tunnel
33506 Repair artery translocation
33507 Repair art intramural
33508 Endoscopic vein harvest
33509 Ndsc hrv uxtr art 1 sgm cab
3350F Mammo bx proven malig docd
33510 Cabg vein single
33511 Cabg vein two
33512 Cabg vein three
33513 Cabg vein four
33514 Cabg vein five
33516 Cabg vein six or more
33517 Cabg artery-vein single
33518 Cabg artery-vein two
33519 Cabg artery-vein three
3351F Neg scrn dep symp by deptool
33521 Cabg artery-vein four
33522 Cabg artery-vein five
33523 Cabg art-vein six or more
3352F No sig dep symp by dep tool
33530 Coronary artery bypass/reop
33533 Cabg arterial single
33534 Cabg arterial two
33535 Cabg arterial three
33536 Cabg arterial four or more
3353F Mild-mod dep symp by deptool
33545 Repair of heart damage
33548 Restore/remodel ventricle
3354F Clin sig dep sym by dep tool
33572 Open coronary endarterectomy
33600 Closure of valve
33602 Closure of valve
33606 Anastomosis/artery-aorta
33608 Repair anomaly w/conduit
33610 Repair by enlargement
33611 Repair double ventricle
33612 Repair double ventricle
33615 Repair modified fontan
33617 Repair single ventricle
33619 Repair single ventricle
33620 Apply r&l pulm art bands
33622 Redo compl cardiac anomaly
33641 Repair heart septum defect
33645 Revision of heart veins
33647 Repair heart septum defects
33660 Repair of heart defects
33670 Repair of heart chambers
33675 Close mult vsd
33676 Close mult vsd w/resection
33677 Cl mult vsd w/rem pul band
33690 Reinforce pulmonary artery
3370F AJCC brst cncr stage 0 docd
33720 Repair of heart defect
33724 Repair venous anomaly
33726 Repair pul venous stenosis
3372F Ajcc brst cncr stage 1 docd
33730 Repair heart-vein defect(s)
33732 Repair heart-vein defect
33741 Tas congenital car anomal
33745 Tis cgen car anomal 1st shnt
33746 Tis cgen car anomal ea addl
3374F Ajcc brst cncr stage 1 docd
33750 Major vessel shunt
33764 Major vessel shunt & graft
33768 Cavopulmonary shunting
3376F AJCC brstcncr stage 2 docd
33770 Repair great vessels defect
33782 Nikaidoh proc
33783 Nikaidoh proc w/ostia implt
33786 Repair arterial trunk
33788 Revision of pulmonary artery
33800 Aortic suspension
33802 Repair vessel defect
33803 Repair vessel defect
33813 Repair septal defect
33820 Revise major vessel
3382F AJCC cln cncr stage 0 docd
33840 Remove aorta constriction
33858 As-aort grf f/aortic dsj
33859 As-aort grf f/ds oth/thn dsj
33863 Ascending aortic graft
33864 Ascending aortic graft
33866 Aortic hemiarch graft
33871 Transvrs a-arch grf hypthrm
33875 Thoracic aortic graft
33877 Thoracoabdominal graft
33880 Endovasc taa repr incl subcl
33881 Endovasc taa repr w/o subcl
33883 Insert endovasc prosth taa
33884 Endovasc prosth taa add-on
33886 Endovasc prosth delayed
33889 Artery transpose/endovas taa
33891 Car-car bp grft/endovas taa
33894 Evasc st rpr thrc/aa acrs br
33895 Evasc st rpr thrc/aa x crsg
33897 Perq trluml angp nt/recr coa
33900 Perq p-art revsc 1 nm nt uni
33901 Perq p-art revsc 1 nm nt bi
33902 Perq p-art revsc 1 abnor uni
33903 Perq p-art revsc 1 abnor bi
33904 Perq p-art revsc each addl
33910 Remove lung artery emboli
33915 Remove lung artery emboli
33916 Surgery of great vessel
33917 Repair pulmonary artery
33920 Repair pulmonary atresia
33922 Transect pulmonary artery
33924 Remove pulmonary shunt
33925 Rpr pul art unifocal w/o cpb
33926 Repr pul art unifocal w/cpb
33930 Removal of donor heart/lung
33933 Prepare donor heart/lung
33935 Transplantation heart/lung
33940 Removal of donor heart
33944 Prepare donor heart
33945 Transplantation of heart
33946 Ecmo/ecls initiation venous
33947 Ecmo/ecls initiation artery
33948 Ecmo/ecls daily mgmt-venous
33949 Ecmo/ecls daily mgmt artery
3394F Quant her2 ihc eval brst cx
33951 Ecmo/ecls insj prph cannula
33955 Ecmo/ecls insj ctr cannula
33956 Ecmo/ecls insj ctr cannula
33957 Ecmo/ecls repos perph cnula
3395F Quant nonher2 ihc brst cx
33965 Ecmo/ecls rmvl perph cannula
33966 Ecmo/ecls rmvl prph cannula
33967 Insert ia percut device
33968 Remove aortic assist device
33969 Ecmo/ecls rmvl perph cannula
33970 Aortic circulation assist
33971 Aortic circulation assist
33973 Insert balloon device
33974 Remove intra-aortic balloon
33975 Implant ventricular device
33976 Implant ventricular device
33977 Remove ventricular device
33978 Remove ventricular device
33979 Insert intracorporeal device
33980 Remove intracorporeal device
33981 Replace vad pump ext
33982 Replace vad intra w/o bp
33983 Replace vad intra w/bp
33984 Ecmo/ecls rmvl prph cannula
33985 Ecmo/ecls rmvl ctr cannula
33986 Ecmo/ecls rmvl ctr cannula
33987 Artery expos/graft artery
33988 Insertion of left heart vent
33989 Removal of left heart vent
33990 Insert vad artery access
33991 Insert vad art&vein access
33992 Remove vad different session
33993 Reposition vad diff session
33995 Insj perq vad r hrt venous
33997 Rmvl perq right heart vad
33999 Cardiac surgery procedure
34001 Removal of artery clot
34111 Removal of arm artery clot
34203 Removal of leg artery clot
34401 Removal of vein clot
34501 Repair valve femoral vein
34502 Reconstruct vena cava
3450F Dyspnea scrnd no-mild dysp
34510 Transposition of vein valve
3451F Dyspnea scrnd mod-high dysp
34520 Cross-over vein graft
3452F Dyspnea not screened
34530 Leg vein fusion
3455F TB scrng done-interpd 6mon
34701 Evasc rpr a-ao ndgft
34702 Evasc rpr a-ao ndgft rpt
34703 Evasc rpr a-unilac ndgft
34704 Evasc rpr a-unilac ndgft rpt
34705 Evac rpr a-biiliac ndgft
34706 Evasc rpr a-biiliac rpt
34707 Evasc rpr ilio-iliac ndgft
34708 Evasc rpr ilio-iliac rpt
34709 Plmt xtn prosth evasc rpr
3470F Ra disease activity low
34710 Dlyd plmt xtn prosth 1st vsl
34711 Dlyd plmt xtn prosth ea addl
34713 Perq access & clsr fem art
34714 Opn fem art expos cndt crtj
34715 Opn ax/subcla art expos
34716 Opn ax/subcla art expos cndt
34717 Evasc rpr a-iliac ndgft
34718 Evasc rpr n/a a-iliac ndgft
3471F Ra disease activity mod
3472F Ra disease activity high
3475F Disease progn RA poor docd
3476F Disease progn RA good docd
34808 Endovas iliac a device addon
34812 Xpose for endoprosth femorl
34820 Xpose for endoprosth iliac
34830 Open aortic tube prosth repr
34831 Open aortoiliac prosth repr
34832 Open aortofemor prosth repr
34833 Xpose for endoprosth iliac
34834 Xpose endoprosth brachial
34841 Endovasc visc aorta 1 graft
3490F History aids-defining cond
3491F HIV unsure baby of HIV+moms
3492F History cd4+ cell count <350
3493F No hist cd4+ cell count<350
3494F CD4+cell count <200cells/mm3
3495F Cd4+cell cnt 200-499 cells
3496F Cd4+ cell count + 500 cells
3497F CD4+ cell percentage <15%
3498F Cd4+ cell >=15% (hiv)
35001 Repair defect of artery
35002 Repair artery rupture neck
3500F Cd4+cell cnt/% docd as done
35013 Repair artery rupture arm
35022 Repair artery rupture chest
3502F HIV rna vrl ld <lmts quantif
3503F HIV rna vrl ldnot<lmts quntf
35045 Repair defect of arm artery
35082 Repair artery rupture aorta
35092 Repair artery rupture aorta
35103 Repair artery rupture groin
3510F Doc tb scrng-rslts interpd
35112 Repair artery rupture spleen
3511F Chlmyd/gonrh tsts docd done
35122 Repair artery rupture belly
3512F Syph scrng docd as done
35132 Repair artery rupture groin
3513F Hep B scrng docd as done
35142 Repair artery rupture thigh
3514F Hep C scrng docd as done
35152 Repair artery rupture knee
3515F Pt has docd immun to hep C
3517F Hbv assess&results intrp 1yr
35180 Repair blood vessel lesion
3520F Cdifficile testing performe
35301 Rechanneling of artery
35390 Reoperation carotid add-on
35400 Angioscopy
35500 Harvest vein for bypass
35501 Artery bypass graft
3550F Low rsk thromboembolism
3551F Intrmed rsk thromboembolism
3552F Hgh risk for thromboembolism
3555F Pt inr measurement performed
35572 Harvest femoropopliteal vein
35583 Vein bypass graft
35600 Harvest art for cabg add-on
35623 Bypass graft not vein
35681 Composite bypass graft
35685 Bypass graft patency/patch
35686 Bypass graft/av fist patency
35691 Arterial transposition
35697 Reimplant artery each
35700 Reoperation bypass graft
35702 Expl n/flwd surg uxtr art
35703 Expl n/flwd surg lxtr art
3570F Rprt bone scint xref w xray
3572F Pt consid poss risk fx
3573F Pt not consid poss risk fx
35800 Explore neck vessels
35840 Explore abdominal vessels
35860 Explore limb vessels
35870 Repair vessel graft defect
35875 Removal of clot in graft
35876 Removal of clot in graft
35879 Revise graft w/vein
35883 Revise graft w/nonauto graft
35903 Excision graft extremity
35905 Excision graft thorax
35907 Excision graft abdomen
36000 Place needle in vein
36002 Pseudoaneurysm injection trt
36005 Injection ext venography
36010 Place catheter in vein
36013 Place catheter in artery
36100 Establish access to artery
36140 Establish access to artery
36160 Establish access to aorta
36200 Place catheter in aorta
36221 Place cath thoracic aorta
36222 Place cath carotid/inom art
36223 Place cath carotid/inom art
36224 Place cath carotd art
36225 Place cath subclavian art
36226 Place cath vertebral art
36227 Place cath xtrnl carotid
36228 Place cath intracranial art
36245 Ins cath abd/l-ext art 1st
36246 Ins cath abd/l-ext art 2nd
36247 Ins cath abd/l-ext art 3rd
36248 Ins cath abd/l-ext art addl
36251 Ins cath ren art 1st unilat
36252 Ins cath ren art 1st bilat
36253 Ins cath ren art 2nd+ unilat
36254 Ins cath ren art 2nd+ bilat
36260 Insertion of infusion pump
36261 Revision of infusion pump
36262 Removal of infusion pump
36299 Vessel injection procedure
36400 Bl draw < 3 yrs fem/jugular
36405 Bl draw < 3 yrs scalp vein
36406 Bl draw < 3 yrs other vein
36410 Non-routine bl draw > 3 yrs
36415 Routine venipuncture
36416 Capillary blood draw
36420 Vein access cutdown < 1 yr
36425 Vein access cutdown > 1 yr
36430 Blood transfusion service
36440 Bl push transfuse 2 yr or <
36450 Bl exchange/transfuse nb
36455 Bl exchange/transfuse non-nb
36456 Prtl exchange transfuse nb
36460 Transfusion service fetal
CPA 36465 Njx noncmpnd sclrsnt 1 vein
CPA 36466 Njx noncmpnd sclrsnt mlt vn
CPA 36468 Injection(s) spider veins
CPA 36470 Injection therapy of vein
CPA 36471 Injection therapy of veins
CPA 36473 Endovenous mchnchem 1st vein
CPA 36474 Endovenous mchnchem add-on
CPA 36475 Endovenous rf 1st vein
CPA 36476 Endovenous rf vein add-on
CPA 36478 Endovenous laser 1st vein
CPA 36479 Endovenous laser vein addon
36481 Insertion of catheter vein
PA 36482 Endoven ther chem adhes 1st
PA 36483 Endoven ther chem adhes sbsq
3650F Eeg ordered rvwd reqstd
36511 Apheresis wbc
36512 Apheresis rbc
36513 Apheresis platelets
36514 Apheresis plasma
36516 Apheresis selective
36522 Photopheresis
36555 Insert non-tunnel cv cath
36556 Insert non-tunnel cv cath
36557 Insert tunneled cv cath
36568 Insert picc cath
36569 Insert picc cath
36570 Insert picvad cath
36571 Insert picvad cath
36572 Insj picc rs&i <5 yr
36573 Insj picc rs&i 5 yr+
36575 Repair tunneled cv cath
36576 Repair tunneled cv cath
36578 Replace tunneled cv cath
36580 Replace cvad cath
36584 Replace picc cath
36585 Replace picvad cath
36589 Removal tunneled cv cath
36590 Removal tunneled cv cath
36591 Draw blood off venous device
36592 Collect blood from picc
36593 Declot vascular device
36595 Mech remov tunneled cv cath
36596 Mech remov tunneled cv cath
36597 Reposition venous catheter
36598 Inj w/fluor eval cv device
36600 Withdrawal of arterial blood
36620 Insertion catheter artery
36680 Insert needle bone cavity
36800 Insertion of cannula
36818 Av fuse uppr arm cephalic
36819 Av fuse uppr arm basilic
36820 Av fusion/forearm vein
36821 Av fusion direct any site
36825 Artery-vein autograft
36830 Artery-vein nonautograft
36831 Open thrombect av fistula
36832 Av fistula revision open
36833 Av fistula revision
36835 Artery to vein shunt
36836 Prq av fstl crtj uxtr 1 acs
36837 Prq av fstl crt uxtr sep acs
36838 Dist revas ligation hemo
36860 External cannula declotting
36861 Cannula declotting
36901 Intro cath dialysis circuit
36904 Thrmbc/nfs dialysis circuit
36907 Balo angiop ctr dialysis seg
36908 Stent plmt ctr dialysis seg
36909 Dialysis circuit embolj
3700F Psych disorders assessed
37140 Revision of circulation
37181 Splice spleen/kidney veins
37182 Insert hepatic shunt (tips)
37183 Remove hepatic shunt (tips)
37184 Prim art mech thrombectomy
37185 Prim art m-thrombect add-on
37186 Sec art m-thrombect add-on
37187 Venous mech thrombectomy
37188 Venous m-thrombectomy add-on
37191 Ins endovas vena cava filtr
37192 Redo endovas vena cava filtr
37193 Rem endovas vena cava filter
37195 Thrombolytic therapy stroke
37197 Remove intrvas foreign body
37200 Transcatheter biopsy
3720F Cognit impairment assessed
37211 Thrombolytic art therapy
37212 Thrombolytic venous therapy
37213 Thromblytic art/ven therapy
37214 Cessj therapy cath removal
37215 Transcath stent cca w/eps
37216 Transcath stent cca w/o eps
37217 Stent placemt retro carotid
37218 Stent placemt ante carotid
37220 Iliac revasc
37221 Iliac revasc w/stent
37222 Iliac revasc add-on
37223 Iliac revasc w/stent add-on
37224 Fem/popl revas w/tla
37225 Fem/popl revas w/ather
37226 Fem/popl revasc w/stent
37227 Fem/popl revasc stnt & ather
37228 Tib/per revasc w/tla
37229 Tib/per revasc w/ather
37230 Tib/per revasc w/stent
37231 Tib/per revasc stent & ather
37232 Tib/per revasc add-on
37233 Tibper revasc w/ather add-on
37234 Revsc opn/prq tib/pero stent
37235 Tib/per revasc stnt & ather
37236 Open/perq place stent 1st
37237 Open/perq place stent ea add
37238 Open/perq place stent same
37239 Open/perq place stent ea add
37241 Vasc embolize/occlude venous
37242 Vasc embolize/occlude artery
37243 Vasc embolize/occlude organ
37244 Vasc embolize/occlude bleed
37246 Trluml balo angiop 1st art
37247 Trluml balo angiop addl art
37248 Trluml balo angiop 1st vein
37249 Trluml balo angiop addl vein
37252 Intrvasc us noncoronary 1st
37253 Intrvasc us noncoronary addl
3725F Screen depression performed
37500 Endoscopy ligate perf veins
37501 Vascular endoscopy procedure
3750F Ptnotrcvngsteroid>/=10mg/day
3751F Electrodiag polyneuro 6mon
3752F no electrodiag polyneuro6mon
3753F Pt has symp+signs neuropathy
3754F Screening tests dm done
3755F Cog+behav imprmnt scrng done
37565 Ligation of neck vein
3756F Pt w/pseudobulb affect/als
3757F Pt w/no pseudobulbaffect/als
3758F Pt ref pulmon fx test/peak
3759F Pt scrn dysphag/wt loss/nutr
37600 Ligation of neck artery
37607 Ligation of a-v fistula
37609 Temporal artery procedure
3760F Pt w/dysphag/wt loss/nutr
37616 Ligation of chest artery
37617 Ligation of abdomen artery
37619 Ligation of inf vena cava
3761F Pt w/o dysphag/wt loss/nutr
3762F Patient is dysarthric
3763F Patient is not dysarthric
37650 Revision of major vein
37660 Revision of major vein
CPA 37700 Revise leg vein
CPA 37718 Ligate/strip short leg vein
CPA 37722 Ligate/strip long leg vein
CPA 37735 Removal of leg veins/lesion
3775F Adenoma detected screening
CPA 37760 Ligate leg veins radical
CPA 37761 Ligate leg veins open
CPA 37765 Stab phleb veins xtr 10-20
CPA 37766 Phleb veins - extrem 20+
3776F Adenoma not detect screening
CPA 37780 Revision of leg vein
CPA 37785 Ligate/divide/excise vein
37788 Revascularization penis
37790 Penile venous occlusion
CPA/PA 37799 Vascular surgery procedure
38100 Removal of spleen total
38101 Removal of spleen partial
38102 Removal of spleen total
38115 Repair of ruptured spleen
38120 Laparoscopy splenectomy
38129 Laparoscope proc spleen
38200 Injection for spleen x-ray
L 38204 Bl donor search management
38205 Harvest allogeneic stem cells
L 38206 Harvest auto stem cells
38207 Cryopreserve stem cells
38208 Thaw preserved stem cells
38209 Wash harvest stem cells
38210 T-cell depletion of harvest
38211 Tumor cell deplete of harvst
38212 Rbc depletion of harvest
38213 Platelet deplete of harvest
38214 Volume deplete of harvest
38215 Harvest stem cell concentrte
38220 Bone marrow aspiration
38221 Bone marrow biopsy
38222 Dx bone marrow bx & aspir
L 38230 Bone marrow harvest allogen
L 38232 Bone marrow harvest autolog
L 38240 Bn marrow/stm transplt allo
L 38241 Bn marrow/stm transplt auto
L 38242 Lymphocyte infuse transplant
38243 Transplj hematopoietic boost
38300 Drainage lymph node lesion
38305 Drainage lymph node lesion
38308 Incision of lymph channels
38381 Thoracic duct procedure
38382 Thoracic duct procedure
38500 Biopsy/removal lymph nodes
38505 Needle biopsy lymph nodes
38531 Open bx/exc inguinofem nodes
38542 Explore deep node(s) neck
38550 Removal neck/armpit lesion
38555 Removal neck/armpit lesion
38562 Removal pelvic lymph nodes
38564 Removal abdomen lymph nodes
38570 Laparoscopy lymph node biop
38571 Laparoscopy lymphadenectomy
38572 Laparoscopy lymphadenectomy
38573 Laps pelvic lymphadec
38589 Laparoscope proc lymphatic
38700 Removal of lymph nodes neck
38740 Remove armpit lymph nodes
38745 Remove armpit lymph nodes
38747 Remove abdominal lymph nodes
38760 Remove groin lymph nodes
38765 Remove groin lymph nodes
38770 Remove pelvis lymph nodes
38780 Remove abdomen lymph nodes
38790 Inject for lymphatic x-ray
38792 Ra tracer id of sentinl node
38794 Access thoracic lymph duct
38900 Io map of sent lymph node
PA 38999 Blood/lymph system procedure
39200 Resect mediastinal cyst
39220 Resect mediastinal tumor
39401 Mediastinoscpy w/medstnl bx
39402 Mediastinoscpy w/lmph nod bx
39501 Repair diaphragm laceration
39503 Repair of diaphragm hernia
39560 Resect diaphragm simple
39561 Resect diaphragm complex
4000F Tobacco use txmnt counseling
4001F Tobacco use txmnt pharmacol
4003F Pt ed write/oral pts w/ hf
4004F Pt tobacco screen rcvd tlk
4005F Pharm thx for op rxd
4008F Beta-blocker therapy rxd/tkn
4010F ACE/ARB therapy rxd/taken
4011F Oral antiplatelet therapy rx
4012F Warfarin therapy rx
4013F Statin therapy/currently tkn
4014F Written discharge instr prvd
4015F Persist asthma medicine ctrl
4016F Anti-inflm/anlgsc agent rx
4017F Gi prophylaxis for nsaid rx
4018F Therapy exercise joint rx
4019F Doc recpt counsl vit d/calc+
4025F Inhaled bronchodilator rx
4030F Oxygen therapy rx
4033F Pulmonary rehab rec
4035F Influenza imm rec
4037F Influenza imm order/admin
4040F Pneumoc vac/admin/rcvd
4041F Doc order cefazolin/cefurox
4042F Doc antibio not given
4043F Doc order given stop antibio
4044F Doc order given vte prophylx
4045F Empiric antibiotic rx
4046F Doc antibio given b/4 surg
40490 Biopsy of lip
4049F Doc order given stop antibio
*PA 40500 Partial excision of lip
4050F Ht care plan doc
*PA 40510 Partial excision of lip
4051F Referred for an AV fistula
40520 Partial excision of lip
40525 Reconstruct lip with flap
40527 Reconstruct lip with flap
4052F Hemodialysis via AV fistula
40530 Partial removal of lip
4053F Hemodialysis via AV graft
4054F Hemodialysis via catheter
4055F Pt rcvng periton dialysis
4056F Approp oral rehyd recommd
4058F Ped gastro ed given caregvr
4060F Psych svcs provided
4062F Pt referral psych docd
4063F Antidepres rxthxpy not rxd
4064F Antidepressant rx
40650 Repair lip
40652 Repair lip
40654 Repair lip
4065F Antipsychotic rx
4066F ECT provided
4067F Pt referral for ect docd
4069F Vte prophylaxis rcvd
40700 Repair cleft lip/nasal
4070F Dvt prophylx recvd day 2
PA 40720 Repair cleft lip/nasal
4073F Oral antiplat thx rx dischrg
4075F Anticoag thx rx at dischrg
4077F Doc t-pa admin considered
40799 Lip surgery procedure
4079F Doc rehab svcs considered
40800 Drainage of mouth lesion
40804 Removal foreign body mouth
40805 Removal foreign body mouth
40806 Incision of lip fold
40808 Biopsy of mouth lesion
40810 Excision of mouth lesion
40812 Excise/repair mouth lesion
40814 Excise/repair mouth lesion
40818 Excise oral mucosa for graft
40819 Excise lip or cheek fold
40820 Treatment of mouth lesion
40830 Repair mouth laceration
40831 Repair mouth laceration
40840 Reconstruction of mouth
4084F Aspirin recvd w/in 24 hrs
4086F Aspirin/clopidogrel rxd
40899 Mouth surgery procedure
4090F Pt rcvng epo thxpy
4095F Pt not rcvng epo thxpy
4100F Biphos thxpy vein ord/recvd
41010 Incision of tongue fold
41019 Place needles h&n for rt
41100 Biopsy of tongue
41105 Biopsy of tongue
41108 Biopsy of floor of mouth
4110F Int mam art used for cabg
41110 Excision of tongue lesion
41115 Excision of tongue fold
41120 Partial removal of tongue
41135 Tongue and neck surgery
41140 Removal of tongue
41145 Tongue removal neck surgery
41150 Tongue mouth jaw surgery
41153 Tongue mouth neck surgery
41155 Tongue jaw & neck surgery
4115F Beta blckr admin w/in 24 hrs
4120F Antibiot rxd/given
4124F Antibiot not rxd/given
41250 Repair tongue laceration
4130F Topical prep rx aoe
4131F Syst antimicrobial thx rx
4132F No syst antimicrobial thx rx
4133F Antihist/decong rx/recom
4134F No antihist/decong rx/recom
4135F Systemic corticosteroids rx
4136F Syst corticosteroids not rx
4140F Inhaled corticosteroids rxd
4142F Corticoster sparng txmnt rxd
4144F Alt long-term cntrl med rxd
4145F 2+ anti-hyprtnsv agents tkn
4148F Hep A vac injxn admin/recvd
4149F Hep B vac injxn admin/recvd
41500 Fixation of tongue
4150F Pt recvng antivir txmnt hepc
41510 Tongue to lip surgery
41512 Tongue suspension
4151F Pt not recvng antiv hep c
41520 Reconstruction tongue fold
PA 41530 Tongue base vol reduction
4153F Combo pegintf/rib rx
4155F Hep A vac series prev recvd
4157F Hep B vac series prev recvd
4158F Pt edu re alcoh drnkng done
41599 Tongue and mouth surgery
4159F Contrcp talk b/4 antiv txmnt
4163F Pt couns 4 txmnt opt prost
4164F Adjv hrmnl thxpy rxd
4165F 3d-crt/imrt received
4167F Hd bed tilted 1st day vent
4168F Pt care icu&vent w/in 24hrs
4169F No pt care ICU/vent in 24hrs
4171F Pt rcvng esa thxpy
4172F Pt not rcvng esa thxpy
4174F Couns potent glauc impct
4175F Vis of >= 20/40 w/in 90 days
4176F Talk re uv light pt/crgvr
4177F Talk pt/crgvr re areds prev
4178F Antid glbln rcvd w/in 26wks
4179F Tamoxifen/AI prescribed
41800 Drainage of gum lesion
41805 Removal foreign body gum
41806 Removal foreign body jawbone
4180F Adjv thxpyrxd/rcvd colon ca
4181F Conformal radn thxpy rcvd
41820 Excision gum each quadrant
41821 Excision of gum flap
41822 Excision of gum lesion
4182F No conformal radn thxpy
41830 Removal of gum tissue
41850 Treatment of gum lesion
4185F Continuous ppi or h2ra rcvd
4186F No cont ppi or h2ra rcvd
41870 Gum graft
41872 Repair gum
41874 Repair tooth socket
4187F Anti rheum drugthxpyrxd/gvn
4188F Approp ACE/ARB tstng done
41899 Dental surgery procedure
4189F Approp digoxin tstng done
4190F Approp diuretic tstng done
4191F Approp anticonvuls tstng
4192F Pt not rcvng glucoco thxpy
4193F Pt rcvng<10mg daily predniso
4194F Pt rcvng>10mg daily predniso
4195F Pt rcvng anti-rheum thxpy RA
4196F Ptnot rcvng anti-rhm thxpyRA
42000 Drainage mouth roof lesion
4200F External beam to prost only
4201F Extrnl beam other than prost
42100 Biopsy roof of mouth
42104 Excision lesion mouth roof
4210F Ace/arb thxpy for mos/>
L 42120 Remove palate/lesion
L 42140 Excision of uvula
PA 42145 Repair palate pharynx/uvula
42160 Treatment mouth roof lesion
PA 42180 Repair palate
42200 Reconstruct cleft palate
4220F Digoxin thxpy for 6 mos/>
4221F Diuretic thxpy for 6 mos/>
PA 42226 Lengthening of palate
PA 42227 Lengthening of palate
42260 Repair nose to lip fistula
42280 Preparation palate mold
42281 Insertion palate prosthesis
L 42299 Palate/uvula surgery
42300 Drainage of salivary gland
4230F Anticonv thxpy for 6 mos/>
42330 Removal of salivary stone
42400 Biopsy of salivary gland
42405 Biopsy of salivary gland
42408 Excision of salivary cyst
42409 Drainage of salivary cyst
4240F Instr xrcz 4bk pn >12 weeks
42410 Excise parotid gland/lesion
4242F Sprvsd xrcz bk pn >12 weeks
42440 Excise submaxillary gland
42450 Excise sublingual gland
4245F Pt instr nrml lifest
4248F Pt instr no bd rest 4 days/>
42500 Repair salivary duct
42505 Repair salivary duct
42507 Parotid duct diversion
4250F Wrmng 4 surg normothermia
42550 Injection for salivary x-ray
4255F Anesth 60 min/> as docd
4256F Anesthe <60 min as docd
42600 Closure of salivary fistula
4260F Wound srfc culturetech used
4261F Tech other than surfc cultr
42650 Dilation of salivary duct
4265F Wet-dry dressings rx recmd
42660 Dilation of salivary duct
42665 Ligation of salivary duct
4266F No wet-dry drssings rx recmd
4267F Comprssion thxpy prescribed
4268F Pt ed re comp thxpy rcvd
42699 Salivary surgery procedure
4269F Appropos mthd offloading Rxd
42700 Drainage of tonsil abscess
4270F Pt rcvng anti r-viral thxpy
4271F Pt rcvng anti r-viral thxpy
42720 Drainage of throat abscess
42725 Drainage of throat abscess
4274F Flu immuno admind rcvd
4276F Potent antivir thxpy Rxd
4279F PCP prophylaxis Rxd
42800 Biopsy of throat
42804 Biopsy of upper nose/throat
42806 Biopsy of upper nose/throat
42808 Excise pharynx lesion
42809 Remove pharynx foreign body
4280F PCP prophylax Rxd 3mon low %
42810 Excision of neck cyst
42815 Excision of neck cyst
42820 Remove tonsils and adenoids
42821 Remove tonsils and adenoids
42825 Removal of tonsils
42826 Removal of tonsils
42830 Removal of adenoids
42842 Extensive surgery of throat
42860 Excision of tonsil tags
42870 Excision of lingual tonsil
42890 Partial removal of pharynx
42892 Revision of pharyngeal walls
42894 Revision of pharyngeal walls
42900 Repair throat wound
4290F Pt scrned for inj drug use
4293F Pt scrnd hgh-risk sex behav
42950 Reconstruction of throat
42955 Surgical opening of throat
42960 Control throat bleeding
42970 Control nose/throat bleeding
42975 Dise eval slp do brth flx dx
42999 Throat surgery procedure
4300F Pt rcvng warf thxpy
4301F Pt not rcvng warf thxpy
43020 Incision of esophagus
43030 Throat muscle surgery
43045 Incision of esophagus
4305F Pt ed re ft care inspct rcvd
4306F Pt tlk psych & Rx opd addic
43101 Excision of esophagus lesion
43107 Removal of esophagus
43116 Partial removal of esophagus
43130 Removal of esophagus pouch
43180 Esophagoscopy rigid trnso
43191 Esophagoscopy rigid trnso dx
43192 Esophagoscp rig trnso inject
43193 Esophagoscp rig trnso biopsy
43194 Esophagoscp rig trnso rem fb
43195 Esophagoscopy rigid balloon
43196 Esophagoscp guide wire dilat
43197 Esophagoscopy flex dx brush
43198 Esophagosc flex trnsn biopy
43200 Esophagus endoscopy
43201 Esoph scope w/submucous inj
43202 Esophagus endoscopy biopsy
43204 Esoph scope w/sclerosis inj
43205 Esophagus endoscopy/ligation
43206 Esoph optical endomicroscopy
4320F Pt talk psychsoc&rx oh dpnd
43210 Egd esophagogastrc fndoplsty
43211 Esophagoscop mucosal resect
43212 Esophagoscop stent placement
43213 Esophagoscopy retro balloon
43214 Esophagosc dilate balloon 30
43216 Esophagus endoscopy/lesion
43220 Esoph endoscopy dilation
43227 Esoph endoscopy repair
43229 Esophagoscopy lesion ablate
4322F Crgvr prov w/ ed addl rsrcs
43231 Esoph endoscopy w/us exam
43232 Esoph endoscopy w/us fn bx
43233 Egd balloon dil esoph30 mm/>
43235 Uppr gi endoscopy diagnosis
43236 Uppr gi scope w/submuc inj
43237 Endoscopic us exam esoph
43238 Uppr gi endoscopy w/us fn bx
43239 Upper gi endoscopy biopsy
43240 Esoph endoscope w/drain cyst
43241 Upper GI endoscopy with tube
43242 Uppr gi endoscopy w/us fn bx
43243 Upper gi endoscopy & inject
43244 Upper GI endoscopy/ligation
43245 Uppr gi scope dilate strictr
43246 Place gastrostomy tube
43247 Operative upper GI endoscopy
43248 Uppr gi endoscopy/guide wire
4324F Pt queried prkns complic
43250 Upper GI endoscopy/tumor
43252 Uppr gi opticl endomicrscopy
43253 Egd us transmural injxn/mark
43254 Egd endo mucosal resection
43257 Uppr gi scope w/thrml txmnt
43259 Endoscopic ultrasound exam
4325F Med txmnt options rvwd w/pt
43260 Endo cholangiopancreatograph
43266 Egd endoscopic stent place
4326F Pt asked re symp auto dysfxn
43270 Egd lesion ablation
43273 Endoscopic pancreatoscopy
43274 Ercp duct stent placement
43275 Ercp remove forgn body duct
43276 Ercp stent exchange w/dilate
43277 Ercp ea duct/ampulla dilate
43278 Ercp lesion ablate w/dilate
43280 Laparoscopy fundoplasty
43281 Lap paraesophag hern repair
43282 Lap paraesoph her rpr w/mesh
43284 Laps esophgl sphnctr agmntj
43285 Rmvl esophgl sphnctr dev
43286 Esphg tot w/laps moblj
43287 Esphg dstl 2/3 w/laps moblj
43288 Esphg thrsc moblj
43289 Laparoscope proc esoph
4328F Pt asked re sleep disturb
43290 Egd flx trnsorl dplmnt balo
43291 Egd flx trnsorl rmvl balo
4330F Cnslng epi spec sfty issues
43310 Repair of esophagus
43312 Repair esophagus and fistula
43313 Esophagoplasty congenital
43314 Tracheo-esophagoplasty cong
43325 Revise esophagus & stomach
43327 Esoph fundoplasty lap
43328 Esoph fundoplasty thor
43330 Esophagomyotomy abdominal
43331 Esophagomyotomy thoracic
43340 Fuse esophagus & intestine
43341 Fuse esophagus & intestine
43351 Surgical opening esophagus
43352 Surgical opening esophagus
43360 Gastrointestinal repair
43361 Gastrointestinal repair
43400 Ligate esophagus veins
43405 Ligate/staple esophagus
4340F Cnslng chldbrng women epi
43415 Repair esophagus wound
43420 Repair esophagus opening
43425 Repair esophagus opening
43450 Dilate esophagus
43453 Dilate esophagus
43460 Pressure treatment esophagus
43496 Free jejunum flap microvasc
43497 Transorl lwr esophgl myotomy
43499 Esophagus surgery procedure
43501 Surgical repair of stomach
43502 Surgical repair of stomach
4350F Cnslng provided symp mngmnt
43510 Surgical opening of stomach
43520 Incision of pyloric muscle
43605 Biopsy of stomach
43610 Excision of stomach lesion
43611 Excision of stomach lesion
43620 Removal of stomach
43631 Removal of stomach partial
43640 Vagotomy & pylorus repair
43641 Vagotomy & pylorus repair
43644 Lap gastric bypass/roux-en-y
43645 Lap gastr bypass incl smll i
PA 43647 Lap impl electrode antrum
PA 43648 Lap revise/remv eltrd antrum
43651 Laparoscopy vagus nerve
43652 Laparoscopy vagus nerve
43653 Laparoscopy gastrostomy
PA 43659 Laparoscope proc stom
43752 Nasal/orogastric w/stent
43753 Tx gastro intub w/asp
43754 Dx gastr intub w/asp spec
43755 Dx gastr intub w/asp specs
43756 Dx duod intub w/asp spec
43757 Dx duod intub w/asp specs
43760 Change gastrostomy tube
43761 Reposition gastrostomy tube
43762 Rplc gtube no revj trc
43763 Rplc gtube revj gstrst trc
43770 Lap place gastr adj device
43771 Lap revise gastr adj device
43772 Lap rmvl gastr adj device
43773 Lap replace gastr adj device
43774 Lap rmvl gastr adj all parts
43775 Lap sleeve gastrectomy
43800 Reconstruction of pylorus
43810 Fusion of stomach and bowel
43840 Repair of stomach lesion
43842 V-band gastroplasty
43843 Gastroplasty w/o v-band
43845 Gastroplasty duodenal switch
43846 Gastric bypass for obesity
43847 Gastric bypass incl small i
43848 Revision gastroplasty
43860 Revise stomach-bowel fusion
43865 Revise stomach-bowel fusion
43870 Repair stomach opening
43881 Impl/redo electrd antrum
43882 Revise/remove electrd antrum
PA 43886 Revise gastric port open
PA 43887 Remove gastric port open
PA 43888 Change gastric port open
43999 Stomach surgery procedure
4400F Rehab thxpy options w/pt
44010 Incision of small bowel
44015 Insert needle cath bowel
44021 Decompress small bowel
44025 Incision of large bowel
44050 Reduce bowel obstruction
44100 Biopsy of bowel
44111 Excision of bowel lesion(s)
44120 Removal of small intestine
44121 Removal of small intestine
44126 Enterectomy w/o taper cong
44127 Enterectomy w/taper cong
44128 Enterectomy cong add-on
44132 Enterectomy cadaver donor
44133 Enterectomy live donor
44135 Intestine transplnt cadaver
44136 Intestine transplant live
44137 Remove intestinal allograft
44139 Mobilization of colon
44140 Partial removal of colon
44150 Removal of colon
44151 Removal of colon/ileostomy
44157 Colectomy w/ileoanal anast
44158 Colectomy w/neo-rectum pouch
44160 Removal of colon
44180 Lap enterolysis
44186 Lap jejunostomy
44202 Lap enterectomy
44203 Lap resect s/intestine addl
44204 Laparo partial colectomy
44205 Lap colectomy part w/ileum
44210 Laparo total proctocolectomy
44211 Lap colectomy w/proctectomy
44212 Laparo total proctocolectomy
44227 Lap close enterostomy
44238 Laparoscope proc intestine
44300 Open bowel to skin
44310 Ileostomy/jejunostomy
44312 Revision of ileostomy
44314 Revision of ileostomy
44316 Devise bowel pouch
44320 Colostomy
44322 Colostomy with biopsies
44340 Revision of colostomy
44360 Small bowel endoscopy
44361 Small bowel endoscopy/biopsy
44370 Small bowel endoscopy/stent
44377 Small bowel endoscopy/biopsy
44379 S bowel endoscope w/stent
44381 Small bowel endoscopy br/wa
44385 Endoscopy of bowel pouch
44386 Endoscopy bowel pouch/biop
44388 Colonoscopy
44389 Colonoscopy with biopsy
44390 Colonoscopy for foreign body
44391 Colonoscopy for bleeding
44392 Colonoscopy & polypectomy
44394 Colonoscopy w/snare
44401 Colonoscopy with ablation
44402 Colonoscopy w/stent plcmt
44403 Colonoscopy w/resection
44404 Colonoscopy w/injection
44405 Colonoscopy w/dilation
44406 Colonoscopy w/ultrasound
44407 Colonoscopy w/ndl aspir/bx
44408 Colonoscopy w/decompression
44500 Intro gastrointestinal tube
4450F Self-care ed provided to pt
44602 Suture small intestine
44604 Suture large intestine
44605 Repair of bowel lesion
44625 Repair bowel opening
44626 Repair bowel opening
44660 Repair bowel-bladder fistula
44661 Repair bowel-bladder fistula
44680 Surgical revision intestine
44700 Suspend bowel w/prosthesis
44701 Intraop colon lavage add-on
44705 Prepare fecal microbiota
4470F Icd counseling provided
44715 Prepare donor intestine
44720 Prep donor intestine/venous
44721 Prep donor intestine/artery
44799 Unlisted procedure intestine
44800 Excision of bowel pouch
4480F Pt rcvng ace/arb b-blockertx
4481F Pt rcvng ace/arb blker<3mons
44950 Appendectomy
44955 Appendectomy add-on
44960 Appendectomy
44970 Laparoscopy appendectomy
44979 Laparoscope proc app
45000 Drainage of pelvic abscess
45005 Drainage of rectal abscess
4500F Ref to outpt card rehab prog
45020 Drainage of rectal abscess
45100 Biopsy of rectum
45108 Removal of anorectal lesion
4510F Prev cardrehab qualcardevent
45110 Removal of rectum
45111 Partial removal of rectum
45119 Remove rectum w/reservoir
45121 Removal of rectum and colon
45126 Pelvic exenteration
45130 Excision of rectal prolapse
45135 Excision of rectal prolapse
45150 Excision of rectal stricture
45160 Excision of rectal lesion
45171 Exc rect tum transanal part
45172 Exc rect tum transanal full
45190 Destruction rectal tumor
4525F Neuropsychia interven order
4526F Neuropsychia interven rcvd
45300 Proctosigmoidoscopy dx
45303 Proctosigmoidoscopy dilate
45305 Proctosigmoidoscopy w/bx
45307 Proctosigmoidoscopy fb
45308 Proctosigmoidoscopy removal
45317 Proctosigmoidoscopy bleed
45320 Proctosigmoidoscopy ablate
45321 Proctosigmoidoscopy volvul
45327 Proctosigmoidoscopy w/stent
45330 Diagnostic sigmoidoscopy
45331 Sigmoidoscopy and biopsy
45332 Sigmoidoscopy w/fb removal
45333 Sigmoidoscopy & polypectomy
45334 Sigmoidoscopy for bleeding
45335 Sigmoidoscopy w/submuc inj
45337 Sigmoidoscopy & decompress
45338 Sigmoidoscopy w/tumr remove
45340 Sig w/balloon dilation
45341 Sigmoidoscopy w/ultrasound
45342 Sigmoidoscopy w/us guide bx
45346 Sigmoidoscopy w/ablation
45347 Sigmoidoscopy w/plcmt stent
45349 Sigmoidoscopy w/resection
45350 Sgmdsc w/band ligation
45378 Diagnostic colonoscopy
45379 Colonoscopy w/fb removal
45380 Colonoscopy and biopsy
45381 Colonoscopy submucous inj
45382 Colonoscopy/control bleeding
45384 Lesion remove colonoscopy
45385 Lesion removal colonoscopy
45386 Colonoscopy dilate stricture
45388 Colonoscopy w/ablation
45389 Colonoscopy w/stent plcmt
45390 Colonoscopy w/resection
45391 Colonoscopy w/endoscope us
45392 Colonoscopy w/endoscopic fnb
45393 Colonoscopy w/decompression
45395 Lap removal of rectum
45397 Lap remove rectum w/pouch
45398 Colonoscopy w/band ligation
PA 45399 Unlisted procedure colon
4540F Disease modif pharmacothxpy
4541F Pt offered tx for pseudobulb
45499 Laparoscope proc rectum
45500 Repair of rectum
45505 Repair of rectum
4550F noninvas resp support talk
4551F Nutritional support offered
45520 Treatment of rectal prolapse
4552F Pt ref for speech lang path
4553F Pt asst re end life issues
45540 Correct rectal prolapse
45541 Correct rectal prolapse
4554F Pt recvd inhal anesthetic
45550 Repair rectum/remove sigmoid
4555F Pt recvd no inhal anesthic
45560 Repair of rectocele
45563 Exploration/repair of rectum
4556F Ptw/ 3+ post-op nausea+vomm
4557F Pt w/o 3+ post-opnausea+vomm
4558F Pt recvd 2 rx anti-emetagnts
4559F 1 bodytemp >=35.5cw/in 30min
4560F Anesth w/o gen/neurax anesth
4561F Pt w/coronary artery stent
4562F Pt w/o coronary artery stent
4563F Pt recvd aspirin w/in 24 hrs
45805 Repair fistula w/colostomy
45825 Repair fistula w/colostomy
45900 Reduction of rectal prolapse
45905 Dilation of anal sphincter
45910 Dilation of rectal narrowing
45915 Remove rectal obstruction
45990 Surg dx exam anorectal
45999 Rectum surgery procedure
46020 Placement of seton
46030 Removal of rectal marker
46040 Incision of rectal abscess
46050 Incision of anal abscess
46070 Incision of anal septum
46080 Incision of anal sphincter
46083 Incise external hemorrhoid
46200 Removal of anal fissure
46220 Excise anal ext tag/papilla
46221 Ligation of hemorrhoid(s)
46230 Removal of anal tags
46250 Remove ext hem groups 2+
46255 Remove int/ext hem 1 group
46257 Remove in/ex hem grp & fiss
46258 Remove in/ex hem grp w/fistu
46260 Remove in/ex hem groups 2+
46261 Remove in/ex hem grps & fiss
46262 Remove in/ex hem grps w/fist
46270 Remove anal fist subq
46275 Remove anal fist inter
46280 Remove anal fist complex
46285 Remove anal fist 2 stage
46288 Repair anal fistula
46320 Removal of hemorrhoid clot
46500 Injection into hemorrhoid(s)
PA 46505 Chemodenervation anal musc
46600 Diagnostic anoscopy
EPA 46601 Diagnostic anoscopy
46604 Anoscopy and dilation
46606 Anoscopy and biopsy
EPA 46607 Diagnostic anoscopy & biopsy
46608 Anoscopy remove for body
46610 Anoscopy remove lesion
46611 Anoscopy
46612 Anoscopy remove lesions
46614 Anoscopy control bleeding
46615 Anoscopy
46700 Repair of anal stricture
46706 Repr of anal fistula w/glue
46707 Repair anorectal fist w/plug
46730 Construction of absent anus
46735 Construction of absent anus
46742 Repair of imperforated anus
46744 Repair of cloacal anomaly
46750 Repair of anal sphincter
46753 Reconstruction of anus
46754 Removal of suture from anus
46762 Implant artificial sphincter
46900 Destruction anal lesion(s)
46916 Cryosurgery anal lesion(s)
46917 Laser surgery anal lesions
46922 Excision of anal lesion(s)
46930 Destroy internal hemorrhoids
46940 Treatment of anal fissure
46942 Treatment of anal fissure
46945 Int hrhc lig 1 hroid w/o img
46946 Int hrhc lig 2+hroid w/o img
46947 Hemorrhoidopexy by stapling
46948 Int hrhc tranal dartlzj 2+
46999 Anus surgery procedure
47000 Needle biopsy of liver
47001 Needle biopsy liver add-on
47010 Open drainage liver lesion
47100 Wedge biopsy of liver
47120 Partial removal of liver
47122 Extensive removal of liver
47133 Removal of donor liver
47135 Transplantation of liver
47140 Partial removal donor liver
47143 Prep donor liver whole
47144 Prep donor liver 3-segment
47145 Prep donor liver lobe split
47146 Prep donor liver/venous
47147 Prep donor liver/arterial
47300 Surgery for liver lesion
47350 Repair liver wound
47370 Laparo ablate liver tumor rf
47371 Laparo ablate liver cryosurg
47379 Laparoscope procedure liver
47380 Open ablate liver tumor rf
47381 Open ablate liver tumor cryo
47382 Percut ablate liver rf
PA 47383 Perq abltj lvr cryoablation
47399 Liver surgery procedure
47400 Incision of liver duct
47420 Incision of bile duct
47425 Incision of bile duct
47460 Incise bile duct sphincter
47480 Incision of gallbladder
47490 Incision of gallbladder
47531 Injection for cholangiogram
47532 Injection for cholangiogram
47533 Plmt biliary drainage cath
47534 Plmt biliary drainage cath
47535 Conversion ext bil drg cath
47536 Exchange biliary drg cath
47537 Removal biliary drg cath
47538 Perq plmt bile duct stent
47541 Plmt access bil tree sm bwl
47542 Dilate biliary duct/ampulla
47543 Endoluminal bx biliary tree
47544 Removal duct glbldr calculi
47550 Bile duct endoscopy add-on
47552 Biliary endoscopy thru skin
47562 Laparoscopic cholecystectomy
47563 Laparo cholecystectomy/graph
47564 Laparo cholecystectomy/explr
47579 Laparoscope proc biliary
47600 Removal of gallbladder
47700 Exploration of bile ducts
47701 Bile duct revision
47711 Excision of bile duct tumor
47712 Excision of bile duct tumor
47715 Excision of bile duct cyst
47720 Fuse gallbladder & bowel
47721 Fuse upper gi structures
47760 Fuse bile ducts and bowel
47765 Fuse liver ducts & bowel
47800 Reconstruction of bile ducts
47802 Fuse liver duct & intestine
47900 Suture bile duct injury
47999 Bile tract surgery procedure
48020 Removal of pancreatic stone
48100 Biopsy of pancreas open
48102 Needle biopsy pancreas
48105 Resect/debride pancreas
48120 Removal of pancreas lesion
48145 Partial removal of pancreas
48146 Pancreatectomy
48148 Removal of pancreatic duct
48150 Partial removal of pancreas
48155 Removal of pancreas
L 48160 Pancreas removal/transplant
48400 Injection intraop add-on
48500 Surgery of pancreatic cyst
48520 Fuse pancreas cyst and bowel
48540 Fuse pancreas cyst and bowel
48545 Pancreatorrhaphy
48547 Duodenal exclusion
48548 Fuse pancreas and bowel
L 48550 Donor pancreatectomy
48551 Prep donor pancreas
48552 Prep donor pancreas/venous
48554 Transpl allograft pancreas
48556 Removal allograft pancreas
48999 Pancreas surgery procedure
49000 Exploration of abdomen
49010 Exploration behind abdomen
49013 Prpertl pel pack hemrrg trma
49014 Reexploration pelvic wound
49020 Drain abdominal abscess
49040 Drain open abdom abscess
49060 Drain open retrop abscess
49062 Drain to peritoneal cavity
49082 Abd paracentesis
49083 Abd paracentesis w/imaging
49084 Peritoneal lavage
49180 Biopsy abdominal mass
49185 Sclerotx fluid collection
49203 Exc abd tum 5 cm or less
49204 Exc abd tum over 5 cm
49205 Exc abd tum over 10 cm
49215 Excise sacral spine tumor
49250 Excision of umbilicus
49255 Removal of omentum
49320 Diag laparo separate proc
49321 Laparoscopy biopsy
49322 Laparoscopy aspiration
49323 Laparo drain lymphocele
49324 Lap insert tunnel ip cath
49325 Lap revision perm ip cath
49326 Lap w/omentopexy add-on
49327 Lap ins device for rt
49329 Laparo proc abdm/per/oment
49400 Air injection into abdomen
49402 Remove foreign body adbomen
49405 Image cath fluid colxn visc
49406 Image cath fluid peri/retro
49407 Image cath fluid trns/vgnl
49411 Ins mark abd/pel for rt perq
49418 Insert tun ip cath perc
49419 Insert tun ip cath w/port
49421 Ins tun ip cath for dial opn
49422 Remove tunneled ip cath
49423 Exchange drainage catheter
49424 Assess cyst contrast inject
49426 Revise abdomen-venous shunt
49427 Injection abdominal shunt
49428 Ligation of shunt
49429 Removal of shunt
49435 Insert subq exten to ip cath
49436 Embedded ip cath exit-site
49440 Place gastrostomy tube perc
49441 Place duod/jej tube perc
49442 Place cecostomy tube perc
49446 Change g-tube to g-j perc
49450 Replace g/c tube perc
49451 Replace duod/jej tube perc
49452 Replace g-j tube perc
49460 Fix g/colon tube w/device
49465 Fluoro exam of g/colon tube
49491 Rpr hern preemie reduc
49492 Rpr ing hern premie blocked
49495 Rpr ing hernia baby reduc
49496 Rpr ing hernia baby blocked
49500 Rpr ing hernia init reduce
49501 Rpr ing hernia init blocked
49505 Prp i/hern init reduc >5 yr
49507 Prp i/hern init block >5 yr
49520 Rerepair ing hernia reduce
49521 Rerepair ing hernia blocked
49525 Repair ing hernia sliding
49540 Repair lumbar hernia
49550 Rpr rem hernia init reduce
49553 Rpr fem hernia init blocked
49555 Rerepair fem hernia reduce
49557 Rerepair fem hernia blocked
49560 Rpr ventral hern init reduc
49561 Rpr ventral hern init block
49565 Rerepair ventrl hern reduce
49566 Rerepair ventrl hern block
49568 Hernia repair w/mesh
49570 Rpr epigastric hern reduce
49572 Rpr epigastric hern blocked
49580 Rpr umbil hern reduc < 5 yr
49582 Rpr umbil hern block < 5 yr
49585 Rpr umbil hern reduc > 5 yr
49587 Rpr umbil hern block > 5 yr
49590 Repair spigelian hernia
49591 Rpr aa hrn 1st < 3 cm rdc
49592 Rpr aa hrn 1st < 3 ncr/strn
49593 Rpr aa hrn 1st 3-10 rdc
49594 Rpr aa hrn 1st 3-10 ncr/strn
49595 Rpr aa hrn 1st > 10 rdc
49596 Rpr aa hrn 1st > 10 ncr/strn
49600 Repair umbilical lesion
49613 Rpr aa hrn rcr < 3 rdc
49614 Rpr aa hrn rcr < 3 ncr/strn
49615 Rpr aa hrn rcr 3-10 rdc
49616 Rpr aa hrn rcr 3-10 ncr/strn
49617 Rpr aa hrn rcr > 10 rdc
49618 Rpr aa hrn rcr > 10 ncr/strn
49621 Rpr parastomal hernia rdc
49622 Rpr parastomal hrna ncr/strn
49623 Rmvl ninfct mesh hernia rpr
49650 Lap ing hernia repair init
49651 Lap ing hernia repair recur
49652 Lap vent/abd hernia repair
49653 Lap vent/abd hern proc comp
49654 Lap inc hernia repair
49655 Lap inc hern repair comp
49656 Lap inc hernia repair recur
49657 Lap inc hern recur comp
49659 Laparo proc hernia repair
49905 Omental flap intra-abdom
49999 Abdomen surgery procedure
50010 Exploration of kidney
50020 Renal abscess open drain
50040 Drainage of kidney
5005F Pt counsld on exam for moles
50060 Removal of kidney stone
50065 Incision of kidney
50070 Incision of kidney
50100 Revise kidney blood vessels
5010F Macul result to phy mng dm
50125 Explore and drain kidney
5015F Doc fx & test/txmnt for op
50200 Renal biopsy perq
50205 Renal biopsy open
5020F Txmnts 2 main Dr by 1 mon
50220 Remove kidney open
50225 Removal kidney open complex
50234 Removal of kidney & ureter
50236 Removal of kidney & ureter
50240 Partial removal of kidney
50250 Cryoablate renal mass open
50280 Removal of kidney lesion
50290 Removal of kidney lesion
50300 Remove cadaver donor kidney
50320 Remove kidney living donor
50323 Prep cadaver renal allograft
50325 Prep donor renal graft
50327 Prep renal graft/venous
50328 Prep renal graft/arterial
50329 Prep renal graft/ureteral
50340 Removal of kidney
50360 Transplantation of kidney
50365 Transplantation of kidney
50370 Remove transplanted kidney
50380 Reimplantation of kidney
50382 Change ureter stent percut
50384 Remove ureter stent percut
50385 Change stent via transureth
50386 Remove stent via transureth
50387 Change ext/int ureter stent
50389 Remove renal tube w/fluoro
50390 Drainage of kidney lesion
50391 Instll rx agnt into rnal tub
50395 Create passage to kidney
50396 Measure kidney pressure
50400 Revision of kidney/ureter
50405 Revision of kidney/ureter
50430 Njx px nfrosgrm &/urtrgrm
50431 Njx px nfrosgrm &/urtrgrm
50432 Plmt nephrostomy catheter
50433 Plmt nephroureteral catheter
50434 Convert nephrostomy catheter
50435 Exchange nephrostomy cath
50436 Dilat xst trc ndurlgc px
50437 Dilat xst trc new access rcs
50500 Repair of kidney wound
5050F Plan 2 main dr by 1 month
50520 Close kidney-skin fistula
50525 Repair renal-abdomen fistula
50526 Repair renal-abdomen fistula
50540 Revision of horseshoe kidney
50541 Laparo ablate renal cyst
50542 Laparo ablate renal mass
50543 Laparo partial nephrectomy
50544 Laparoscopy pyeloplasty
50545 Laparo radical nephrectomy
50546 Laparoscopic nephrectomy
50547 Laparo removal donor kidney
50548 Laparo remove w/ureter
50549 Laparoscope proc renal
50551 Kidney endoscopy
50555 Kidney endoscopy & biopsy
50557 Kidney endoscopy & treatment
50562 Renal scope w/tumor resect
50574 Kidney endoscopy & biopsy
50590 Fragmenting of kidney stone
50592 Perc rf ablate renal tumor
50593 Perc cryo ablate renal tum
50600 Exploration of ureter
50605 Insert ureteral support
50606 Endoluminal bx urtr rnl plvs
5060F Fndngs mammo 2pt w/in 3 days
50610 Removal of ureter stone
5062F Mammo result com to pt 5 day
50650 Removal of ureter
50660 Removal of ureter
50684 Injection for ureter x-ray
50686 Measure ureter pressure
50688 Change of ureter tube/stent
50690 Injection for ureter x-ray
50693 Plmt ureteral stent prq
50700 Revision of ureter
50705 Ureteral embolization/occl
50706 Balloon dilate urtrl strix
50715 Release of ureter
50725 Release/revise ureter
50727 Revise ureter
50728 Revise ureter
50740 Fusion of ureter & kidney
50750 Fusion of ureter & kidney
50760 Fusion of ureters
50770 Splicing of ureters
50780 Reimplant ureter in bladder
50800 Implant ureter in bowel
50810 Fusion of ureter & bowel
50815 Urine shunt to intestine
50820 Construct bowel bladder
50825 Construct bowel bladder
50830 Revise urine flow
50840 Replace ureter by bowel
50860 Transplant ureter to skin
50900 Repair of ureter
50920 Closure ureter/skin fistula
50930 Closure ureter/bowel fistula
50945 Laparoscopy ureterolithotomy
50947 Laparo new ureter/bladder
50948 Laparo new ureter/bladder
50949 Laparoscope proc ureter
50951 Endoscopy of ureter
50953 Endoscopy of ureter
50955 Ureter endoscopy & biopsy
50957 Ureter endoscopy & treatment
50970 Ureter endoscopy
50972 Ureter endoscopy & catheter
50974 Ureter endoscopy & biopsy
5100F Rsk fx ref w/n 24 hrs xray
51020 Incise & treat bladder
51030 Incise & treat bladder
51040 Incise & drain bladder
51045 Incise bladder/drain ureter
51050 Removal of bladder stone
51065 Remove ureter calculus
51080 Drainage of bladder abscess
51100 Drain bladder by needle
51101 Drain bladder by trocar/cath
51102 Drain bl w/cath insertion
51500 Removal of bladder cyst
51520 Removal of bladder lesion
51535 Repair of ureter lesion
51550 Partial removal of bladder
51555 Partial removal of bladder
51565 Revise bladder & ureter(s)
51570 Removal of bladder
51575 Removal of bladder & nodes
51580 Remove bladder/revise tract
51585 Removal of bladder & nodes
51596 Remove bladder/create pouch
51597 Removal of pelvic structures
51600 Injection for bladder x-ray
51605 Preparation for bladder xray
51610 Injection for bladder x-ray
51700 Irrigation of bladder
51701 Insert bladder catheter
51702 Insert temp bladder cath
51703 Insert bladder cath complex
51705 Change of bladder tube
51710 Change of bladder tube
L 51715 Endoscopic injection/implant
51720 Treatment of bladder lesion
51725 Simple cystometrogram
51726 Complex cystometrogram
51727 Cystometrogram w/up
51728 Cystometrogram w/vp
51729 Cystometrogram w/vp&up
51736 Urine flow measurement
51741 Electro-uroflowmetry first
51784 Anal/urinary muscle study
51785 Anal/urinary muscle study
51792 Urinary reflex study
51797 Intraabdominal pressure test
51798 Us urine capacity measure
51800 Revision of bladder/urethra
51820 Revision of urinary tract
51840 Attach bladder/urethra
51841 Attach bladder/urethra
51845 Repair bladder neck
51860 Repair of bladder wound
51865 Repair of bladder wound
51880 Repair of bladder opening
51900 Repair bladder/vagina lesion
51920 Close bladder-uterus fistula
51925 Hysterectomy/bladder repair
51940 Correction of bladder defect
51960 Revision of bladder & bowel
51980 Construct bladder opening
51990 Laparo urethral suspension
51992 Laparo sling operation
51999 Laparoscope proc bla
52000 Cystoscopy
52001 Cystoscopy removal of clots
52005 Cystoscopy & ureter catheter
52007 Cystoscopy and biopsy
5200F Eval appros surg thxpy epi
52010 Cystoscopy & duct catheter
52204 Cystoscopy w/biopsy(s)
52214 Cystoscopy and treatment
52250 Cystoscopy and radiotracer
52270 Cystoscopy & revise urethra
52275 Cystoscopy & revise urethra
52282 Cystoscopy implant stent
PA 52287 Cystoscopy chemodenervation
52317 Remove bladder stone
52318 Remove bladder stone
52325 Cystoscopy stone removal
52327 Cystoscopy inject material
52334 Create passage to kidney
52341 Cysto w/ureter stricture tx
52342 Cysto w/up stricture tx
52343 Cysto w/renal stricture tx
52344 Cysto/uretero stricture tx
52345 Cysto/uretero w/up stricture
52346 Cystouretero w/renal strict
52351 Cystouretero & or pyeloscope
52352 Cystouretero w/stone remove
52353 Cystouretero w/lithotripsy
52354 Cystouretero w/biopsy
52355 Cystouretero w/excise tumor
52356 Cysto/uretero w/lithotripsy
52400 Cystouretero w/congen repr
PA 52402 Cystourethro cut ejacul duct
52441 Cystourethro w/implant
52442 Cystourethro w/addl implant
52450 Incision of prostate
52500 Revision of bladder neck
5250F Asthma discharge plan presnt
52601 Prostatectomy (TURP)
52630 Remove prostate regrowth
52640 Relieve bladder contracture
52647 Laser surgery of prostate
52648 Laser surgery of prostate
52649 Prostate laser enucleation
52700 Drainage of prostate abscess
53000 Incision of urethra
53040 Drainage of urethra abscess
53060 Drainage of urethra abscess
53080 Drainage of urinary leakage
53085 Drainage of urinary leakage
53200 Biopsy of urethra
53210 Removal of urethra
53215 Removal of urethra
53220 Treatment of urethra lesion
53230 Removal of urethra lesion
53235 Removal of urethra lesion
53240 Surgery for urethra pouch
53250 Removal of urethra gland
53270 Removal of urethra gland
53275 Repair of urethra defect
53400 Revise urethra stage 1
53405 Revise urethra stage 2
*PA 53410 Reconstruction of urethra
53415 Reconstruction of urethra
*PA 53420 Reconstruct urethra stage 1
*PA 53425 Reconstruct urethra stage 2
*PA 53430 Reconstruction of urethra
53431 Reconstruct urethra/bladder
53440 Male sling procedure
53442 Remove/revise male sling
53444 Insert tandem cuff
53445 Insert uro/ves nck sphincter
53446 Remove uro sphincter
53447 Remove/replace ur sphincter
53449 Repair uro sphincter
*PA 53450 Revision of urethra
53451 Tprnl balo cntnc dev bi
53452 Tprnl balo cntnc dev uni
53453 Tprnl balo cntnc dev rmvl ea
53454 Tprnl balo cntnc dev adjmt
53460 Revision of urethra
53500 Urethrlys transvag w/ scope
53502 Repair of urethra injury
53520 Repair of urethra defect
53600 Dilate urethra stricture
53660 Dilation of urethra
53850 Prostatic microwave thermotx
53852 Prostatic rf thermotx
53854 Trurl dstrj prst8 tiss rf wv
53855 Insert prost urethral stent
53860 Transurethral rf treatment
53899 Urology surgery procedure
54000 Slitting of prepuce
54001 Slitting of prepuce
54015 Drain penis lesion
54050 Destruction penis lesion(s)
54056 Cryosurgery penis lesion(s)
54057 Laser surg penis lesion(s)
54060 Excision of penis lesion(s)
54100 Biopsy of penis
54105 Biopsy of penis
54110 Treatment of penis lesion
54111 Treat penis lesion graft
54112 Treat penis lesion graft
*PA 54120 Partial removal of penis
54125 Removal of penis
54130 Remove penis & nodes
54135 Remove penis & nodes
L 54150 Circumcision w/regionl block
L 54160 Circumcision neonate
L 54161 Circum 28 days or older
54162 Lysis penil circumic lesion
54163 Repair of circumcision
54164 Frenulotomy of penis
54230 Prepare penis study
54231 Dynamic cavernosometry
54235 Penile injection
54240 Penis study
54250 Penis study
54300 Revision of penis
54328 Revise penis/urethra
54340 Secondary urethral surgery
54352 Reconstruct urethra/penis
54360 Penis plastic surgery
54380 Repair penis
54385 Repair penis
54400 Insert semi-rigid prosthesis
54401 Insert self-contd prosthesis
54405 Insert multi-comp penis pros
54406 Remove muti-comp penis pros
54408 Repair multi-comp penis pros
54410 Remove/replace penis prosth
54411 Remov/replc penis pros comp
54415 Remove self-contd penis pros
PA 54416 Remv/repl penis contain pros
PA 54417 Remv/replc penis pros compl
54437 Repair corporeal tear
54440 Repair of penis
54450 Preputial stretching
54500 Biopsy of testis
54505 Biopsy of testis
54512 Excise lesion testis
*PA 54520 Removal of testis
54522 Orchiectomy partial
54530 Removal of testis
54535 Extensive testis surgery
54550 Exploration for testis
54560 Exploration for testis
54600 Reduce testis torsion
54620 Suspension of testis
54640 Orchiopexy ingun/scrot appr
54650 Orchiopexy (Fowler-Stephens)
*PA 54660 Revision of testis
54670 Repair testis injury
54680 Relocation of testis(es)
*PA 54690 Laparoscopy orchiectomy
54692 Laparoscopy orchiopexy
54699 Laparoscope proc testis
54700 Drainage of scrotum
54800 Biopsy of epididymis
54830 Remove epididymis lesion
54840 Remove epididymis lesion
54860 Removal of epididymis
54861 Removal of epididymis
54865 Explore epididymis
54900 Fusion of spermatic ducts
54901 Fusion of spermatic ducts
55000 Drainage of hydrocele
55040 Removal of hydrocele
55041 Removal of hydroceles
55060 Repair of hydrocele
55100 Drainage of scrotum abscess
55110 Explore scrotum
55120 Removal of scrotum lesion
55150 Removal of scrotum
*PA 55175 Revision of scrotum
*PA 55180 Revision of scrotum
55200 Incision of sperm duct
55250 Removal of sperm duct(s)
55300 Prepare sperm duct x-ray
55400 Repair of sperm duct
55500 Removal of hydrocele
55520 Removal of sperm cord lesion
55530 Revise spermatic cord veins
55535 Revise spermatic cord veins
55540 Revise hernia & sperm veins
55550 Laparo ligate spermatic vein
55559 Laparo proc spermatic cord
55600 Incise sperm duct pouch
55680 Remove sperm pouch lesion
55700 Biopsy of prostate
55705 Biopsy of prostate
55706 Prostate saturation sampling
55801 Removal of prostate
55810 Extensive prostate surgery
55860 Surgical exposure prostate
55866 Laparo radical prostatectomy
55867 Laps surg prst8ect smpl stot
55870 Electroejaculation
PA 55873 Cryoablate prostate
55874 Tprnl plmt biodegrdabl matrl
55875 Transperi needle place pros
55876 Place rt device/marker pros
55880 Abltj mal prst8 tiss hifu
*PA 55899 Genital surgery procedure
55920 Place needles pelvic for rt
*PA 55970 Sex transformation m to f
*PA 55980 Sex transformation f to m
56405 I & D of vulva/perineum
56420 Drainage of gland abscess
56440 Surgery for vulva lesion
56441 Lysis of labial lesion(s)
56442 Hymenotomy
56501 Destroy vulva lesions sim
56515 Destroy vulva lesion/s compl
56605 Biopsy of vulva/perineum
56606 Biopsy of vulva/perineum
*PA 56620 Partial removal of vulva
56625 Complete removal of vulva
56630 Extensive vulva surgery
56700 Partial removal of hymen
56740 Remove vagina gland lesion
*PA 56800 Repair of vagina
*PA 56805 Repair clitoris
56810 Repair of perineum
56820 Exam of vulva w/scope
56821 Exam/biopsy of vulva w/scope
57000 Exploration of vagina
57010 Drainage of pelvic abscess
57020 Drainage of pelvic fluid
57022 I & d vaginal hematoma pp
57023 I & d vag hematoma non-ob
57061 Destroy vag lesions simple
57065 Destroy vag lesions complex
57100 Biopsy of vagina
57105 Biopsy of vagina
*PA 57106 Remove vagina wall partial
*PA 57107 Remove vagina tissue part
57109 Vaginectomy partial w/nodes
57110 Remove vagina wall complete
57111 Remove vagina tissue compl
57120 Closure of vagina
57130 Remove vagina lesion
57135 Remove vagina lesion
57150 Treat vagina infection
57155 Insert uteri tandem/ovoids
57156 Ins vag brachytx device
57160 Insert pessary/other device
57170 Fitting of diaphragm/cap
57180 Treat vaginal bleeding
57200 Repair of vagina
57210 Repair vagina/perineum
57220 Revision of urethra
57230 Repair of urethral lesion
57240 Repair bladder & vagina
57250 Repair rectum & vagina
57260 Repair of vagina
57265 Extensive repair of vagina
57267 Insert mesh/pelvic flr addon
57268 Repair of bowel bulge
57270 Repair of bowel pouch
57280 Suspension of vagina
57282 Colpopexy extraperitoneal
57283 Colpopexy intraperitoneal
57284 Repair paravag defect open
57285 Repair paravag defect vag
57287 Revise/remove sling repair
57288 Repair bladder defect
57289 Repair bladder & vagina
*PA 57291 Construction of vagina
*PA 57292 Construct vagina with graft
*PA 57295 Revise vag graft via vagina
57300 Repair rectum-vagina fistula
57305 Repair rectum-vagina fistula
57307 Fistula repair & colostomy
57308 Fistula repair transperine
57310 Repair urethrovaginal lesion
57311 Repair urethrovaginal lesion
57320 Repair bladder-vagina lesion
57330 Repair bladder-vagina lesion
*PA 57335 Repair vagina
*PA 57400 Dilation of vagina
57410 Pelvic examination
57415 Remove vaginal foreign body
57420 Exam of vagina w/scope
57421 Exam/biopsy of vag w/scope
57423 Repair paravag defect lap
*PA 57425 Laparoscopy surg colpopexy
PA 57426 Revise prosth vag graft lap
57452 Exam of cervix w/scope
57454 Bx/curett of cervix w/scope
57455 Biopsy of cervix w/scope
57456 Endocerv curettage w/scope
57460 Bx of cervix w/scope leep
57461 Conz of cervix w/scope leep
57465 Cam cervix uteri drg colp
57500 Biopsy of cervix
57505 Endocervical curettage
57510 Cauterization of cervix
57511 Cryocautery of cervix
57513 Laser surgery of cervix
57520 Conization of cervix
57522 Conization of cervix
57530 Removal of cervix
57531 Removal of cervix radical
57540 Removal of residual cervix
57545 Remove cervix/repair pelvis
57550 Removal of residual cervix
57555 Remove cervix/repair vagina
57556 Remove cervix repair bowel
57558 D&c of cervical stump
57700 Revision of cervix
57800 Dilation of cervical canal
58100 Biopsy of uterus lining
58110 Bx done w/colposcopy add-on
58120 Dilation and curettage
58140 Myomectomy abdom method
58145 Myomectomy vag method
58146 Myomectomy abdom complex
58150 Total hysterectomy
58152 Total hysterectomy
58180 Partial hysterectomy
58200 Extensive hysterectomy
58240 Removal of pelvis contents
PA/EPA 58260 Vaginal hysterectomy
CPA 58262 Vag hyst including t/o
CPA 58263 Vag hyst w/t/o & vag repair
CPA 58270 Vag hyst w/enterocele repair
58275 Hysterectomy/revise vagina
58280 Hysterectomy/revise vagina
CPA 58290 Vag hyst complex
CPA 58291 Vag hyst incl t/o complex
CPA 58292 Vag hyst t/o & repair compl
CPA 58294 Vag hyst w/enterocele compl
58300 Insert intrauterine device
58301 Remove intrauterine device
58321 Artificial insemination
58322 Artificial insemination
58323 Sperm washing
58340 Catheter for hysterography
58345 Reopen fallopian tube
58346 Insert heyman uteri capsule
58350 Reopen fallopian tube
58353 Endometr ablate thermal
PA 58356 Endometrial cryoablation
CPA/PA/EPA 58541 Lsh uterus 250 g or less
CPA/PA/EPA 58542 Lsh w/t/o ut 250 g or less
CPA/PA/EPA 58543 Lsh uterus above 250 g
CPA/PA/EPA 58544 Lsh w/t/o uterus above 250 g
58545 Laparoscopic myomectomy
58546 Laparo-myomectomy complex
58548 Lap radical hyst
CPA/PA/EPA 58550 Laparo-asst vag hysterectomy
CPA/PA/EPA 58552 Laparo-vag hyst incl t/o
CPA/PA/EPA 58553 Laparo-vag hyst complex
CPA/PA/EPA 58554 Laparo-vag hyst w/t/o compl
58555 Hysteroscopy dx sep proc
58558 Hysteroscopy biopsy
58559 Hysteroscopy lysis
58560 Hysteroscopy resect septum
58561 Hysteroscopy remove myoma
58562 Hysteroscopy remove fb
58563 Hysteroscopy ablation
58565 Hysteroscopy sterilization
CPA/PA/EPA 58570 Tlh uterus 250 g or less
CPA/PA/EPA 58571 Tlh w/t/o 250 g or less
CPA/PA/EPA 58572 Tlh uterus over 250 g
CPA/PA/EPA 58573 Tlh w/t/o uterus over 250 g
58575 Laps tot hyst resj mal
58578 Laparo proc uterus
58579 Hysteroscope procedure
58600 Division of fallopian tube
58605 Division of fallopian tube
58611 Ligate oviduct(s) add-on
58615 Occlude fallopian tube(s)
58660 Laparoscopy lysis
58661 Laparoscopy remove adnexa
58662 Laparoscopy excise lesions
58670 Laparoscopy tubal cautery
58671 Laparoscopy tubal block
58672 Laparoscopy fimbrioplasty
58673 Laparoscopy salpingostomy
58674 Laps abltj uterine fibroids
58679 Laparo proc oviduct-ovary
58700 Removal of fallopian tube
58720 Removal of ovary/tube(s)
58750 Repair oviduct
58752 Revise ovarian tube(s)
58760 Fimbrioplasty
58770 Create new tubal opening
58800 Drainage of ovarian cyst(s)
58805 Drainage of ovarian cyst(s)
58820 Drain ovary abscess open
58822 Drain ovary abscess percut
58825 Transposition ovary(s)
58900 Biopsy of ovary(s)
58920 Partial removal of ovary(s)
58925 Removal of ovarian cyst(s)
58940 Removal of ovary(s)
58943 Removal of ovary(s)
58950 Resect ovarian malignancy
58953 Tah rad dissect for debulk
58954 Tah rad debulk/lymph remove
58956 Bso omentectomy w/tah
58957 Resect recurrent gyn mal
58958 Resect recur gyn mal w/lym
58970 Retrieval of oocyte
58974 Transfer of embryo
58976 Transfer of embryo
58999 Genital surgery procedure
59000 Amniocentesis diagnostic
59001 Amniocentesis therapeutic
59012 Fetal cord puncture prenatal
59015 Chorion biopsy
59020 Fetal contract stress test
59025 Fetal non-stress test
59030 Fetal scalp blood sample
59050 Fetal monitor w/report
59051 Fetal monitor/interpret only
59070 Transabdom amnioinfus w/us
59072 Umbilical cord occlud w/us
59074 Fetal fluid drainage w/us
59076 Fetal shunt placement w/us
59100 Remove uterus lesion
59130 Treat ectopic pregnancy
59160 D & c after delivery
59200 Insert cervical dilator
59300 Episiotomy or vaginal repair
59350 Repair of uterus
59400 Obstetrical care
EPA 59409 Obstetrical care
59410 Obstetrical care
59412 Antepartum manipulation
59414 Deliver placenta
59425 Antepartum care only
59426 Antepartum care only
59430 Care after delivery
59510 Cesarean delivery
59514 Cesarean delivery only
59515 Cesarean delivery
59525 Remove uterus after cesarean
59610 Vbac delivery
EPA 59612 Vbac delivery only
59614 Vbac care after delivery
59618 Attempted vbac delivery
59620 Attempted vbac delivery only
59622 Attempted vbac after care
59812 Treatment of miscarriage
59820 Care of miscarriage
59821 Treatment of miscarriage
59840 Abortion
59841 Abortion
59852 Abortion
59855 Abortion
59856 Abortion
59857 Abortion
59866 Abortion (mpr)
59870 Evacuate mole of uterus
59871 Remove cerclage suture
59897 Fetal invas px w/us
59898 Laparo proc ob care/deliver
59899 Maternity care procedure
60000 Drain thyroid/tongue cyst
6005F Care level rationale doc
60100 Biopsy of thyroid
6010F Dysphag test done b/4 eating
6015F Dysphag test done b/4 eating
60200 Remove thyroid lesion
6020F Npo (nothing-mouth) ordered
60210 Partial thyroid excision
60212 Partial thyroid excision
60220 Partial removal of thyroid
60225 Partial removal of thyroid
60240 Removal of thyroid
60254 Extensive thyroid surgery
60260 Repeat thyroid surgery
60280 Remove thyroid duct lesion
60281 Remove thyroid duct lesion
60300 Aspir/inj thyroid cyst
6030F Max sterile barriers follwd
6040F Appro rad ds dvcs techs docd
6045F Radxps in end rprt4fluro pxd
60500 Explore parathyroid glands
60502 Re-explore parathyroids
60505 Explore parathyroid glands
60512 Autotransplant parathyroid
60520 Removal of thymus gland
60540 Explore adrenal gland
60545 Explore adrenal gland
60600 Remove carotid body lesion
60605 Remove carotid body lesion
60650 Laparoscopy adrenalectomy
60659 Laparo proc endocrine
60699 Endocrine surgery procedure
6070F Pt asked/cnsld aed effects
6080F Pt/caregiver queried falls
6090F Pt/caregiver counsel safety
61000 Remove cranial cavity fluid
61001 Remove cranial cavity fluid
6100F Verify pt site pxd docd
6101F Safety counseling dementia
61020 Remove brain cavity fluid
61026 Injection into brain canal
6102F Safety counseling dem order
61050 Remove brain canal fluid
61055 Injection into brain canal
61070 Brain canal shunt procedure
61105 Twist drill hole
61107 Drill skull for implantation
61108 Drill skull for drainage
6110F Counsel prov driving risks
61120 Burr hole for puncture
61140 Pierce skull for biopsy
61150 Pierce skull for drainage
61154 Pierce skull & remove clot
61210 Pierce skull implant device
61215 Insert brain-fluid device
61250 Pierce skull & explore
61253 Pierce skull & explore
61304 Open skull for exploration
61305 Open skull for exploration
61312 Open skull for drainage
61316 Implt cran bone flap to abdo
61322 Decompressive craniotomy
61323 Decompressive lobectomy
61330 Decompress eye socket
61332 Explore/biopsy eye socket
61333 Explore orbit/remove lesion
61340 Subtemporal decompression
61343 Incise skull (press relief)
61345 Relieve cranial pressure
61450 Incise skull for surgery
61458 Incise skull for brain wound
61500 Removal of skull lesion
61501 Remove infected skull bone
6150F Pt notrcvng1st antitnf txmnt
61510 Removal of brain lesion
61512 Remove brain lining lesion
61514 Removal of brain abscess
61517 Implt brain chemotx add-on
61519 Remove brain lining lesion
61522 Removal of brain abscess
61531 Implant brain electrodes
61535 Remove brain electrodes
61537 Removal of brain tissue
61541 Incision of brain tissue
61544 Remove & treat brain lesion
61545 Excision of brain tumor
61546 Removal of pituitary gland
61548 Removal of pituitary gland
61550 Release of skull seams
61552 Release of skull seams
61556 Incise skull/sutures
61557 Incise skull/sutures
61558 Excision of skull/sutures
61559 Excision of skull/sutures
61563 Excision of skull tumor
61564 Excision of skull tumor
61567 Incision of brain tissue
61570 Remove foreign body brain
61571 Incise skull for brain wound
61575 Skull base/brainstem surgery
61580 Craniofacial approach skull
61584 Orbitocranial approach/skull
61586 Resect nasopharynx skull
61590 Infratemporal approach/skull
61591 Infratemporal approach/skull
61595 Transtemporal approach/skull
61596 Transcochlear approach/skull
61597 Transcondylar approach/skull
61598 Transpetrosal approach/skull
61600 Resect/excise cranial lesion
61610 Transect artery sinus
61613 Remove aneurysm sinus
61615 Resect/excise lesion skull
61616 Resect/excise lesion skull
61618 Repair dura
61619 Repair dura
61623 Endovasc tempory vessel occl
61624 Transcath occlusion cns
61626 Transcath occlusion non-cns
61630 Intracranial angioplasty
61635 Intracran angioplsty w/stent
61640 Dilate ic vasospasm init
61641 Dilate ic vasospasm add-on
61642 Dilate ic vasospasm add-on
61651 Evasc prlng admn rx agnt add
61680 Intracranial vessel surgery
61697 Brain aneurysm repr complx
61698 Brain aneurysm repr complx
61700 Brain aneurysm repr simple
61702 Inner skull vessel surgery
61703 Clamp neck artery
61705 Revise circulation to head
61711 Fusion of skull arteries
61720 Incise skull/brain surgery
61735 Incise skull/brain surgery
61736 Litt icr 1 traj 1 smpl les
61737 Litt icr mlt trj mlt/cplx ls
61750 Incise skull/brain biopsy
61751 Brain biopsy w/ct/mr guide
61770 Incise skull for treatment
61781 Scan proc cranial intra
61782 Scan proc cranial extra
61783 Scan proc spinal
61790 Treat trigeminal nerve
61791 Treat trigeminal tract
PA 61796 Srs, cranial lesion simple
PA 61797 Srs, cran les simple, addl
PA 61798 Srs, cranial lesion complex
PA 61799 Srs, cran les complex, addl
PA 61800 Apply srs headframe add-on
61860 Implant neuroelectrodes
61863 Implant neuroelectrode
61864 Implant neuroelectrde addl
61867 Implant neuroelectrode
61868 Implant neuroelectrde addl
PA 61880 Revise/remove neuroelectrode
EPA/PA 61885 Insrt/redo neurostim 1 array
EPA/PA 61886 Implant neurostim arrays
PA 61888 Revise/remove neuroreceiver
62000 Treat skull fracture
62005 Treat skull fracture
62010 Treatment of head injury
62100 Repair brain fluid leakage
62115 Reduction of skull defect
62117 Reduction of skull defect
62120 Repair skull cavity lesion
62121 Incise skull repair
62140 Repair of skull defect
62141 Repair of skull defect
62142 Remove skull plate/flap
62143 Replace skull plate/flap
62145 Repair of skull & brain
62146 Repair of skull with graft
62147 Repair of skull with graft
62148 Retr bone flap to fix skull
62160 Neuroendoscopy add-on
62161 Dissect brain w/scope
62162 Remove colloid cyst w/scope
62164 Remove brain tumor w/scope
62165 Remove pituit tumor w/scope
62180 Establish brain cavity shunt
62194 Replace/irrigate catheter
62201 Brain cavity shunt w/scope
62225 Replace/irrigate catheter
62230 Replace/revise brain shunt
62252 Csf shunt reprogram
62256 Remove brain cavity shunt
62258 Replace brain cavity shunt
62263 Epidural lysis mult sessions
62264 Epidural lysis on single day
62267 Interdiscal perq aspir dx
62268 Drain spinal cord cyst
62269 Needle biopsy spinal cord
62270 Dx lmbr spi pnxr
62272 Ther spi pnxr drg csf
62273 Inject epidural patch
62280 Treat spinal cord lesion
62281 Treat spinal cord lesion
62282 Treat spinal canal lesion
62284 Injection for myelogram
CPA 62287 Percutaneous diskectomy
L 62290 Inject for spine disk x-ray
L 62291 Inject for spine disk x-ray
62292 Injection into disk lesion
62294 Injection into spinal artery
62302 Myelography lumbar injection
L 62320 Njx interlaminar crv/thrc
CPA/EPA 62321 Njx interlaminar crv/thrc
L 62322 Njx interlaminar lmbr/sac
CPA/EPA 62323 Njx interlaminar lmbr/sac
L 62324 Njx interlaminar crv/thrc
PA/EPA 62325 Njx interlaminar crv/thrc
L 62326 Njx interlaminar lmbr/sac
PA/EPA 62327 NJX INTERLAMINAR LMBR/SAC
62328 Dx lmbr spi pnxr w/fluor/ct
62329 Ther spi pnxr csf fluor/ct
62350 Implant spinal canal cath
62351 Implant spinal canal cath
62355 Remove spinal canal catheter
62360 Insert spine infusion device
62361 Implant spine infusion pump
62362 Implant spine infusion pump
62365 Remove spine infusion device
62367 Analyze spine infus pump
62368 Analyze sp inf pump w/reprog
62369 Anal sp inf pmp w/reprg&fill
62370 Anl sp inf pmp w/mdreprg&fil
CPA 62380 NDSC DCMPRN 1 NTRSPC LUMBAR
L 63001 Removal of spinal lamina
L 63020 Neck spine disk surgery
L 63030 Low back disk surgery
L 63035 Spinal disk surgery add-on
L 63040 Laminotomy single cervical
L 63042 Laminotomy single lumbar
L 63043 Laminotomy addl cervical
L 63044 Laminotomy addl lumbar
L 63048 Remove spinal lamina add-on
CPA 63052 Lam facetc/frmt arthrd lum 1
CPA 63053 Lam factc/frmt arthrd lum ea
L 63055 Decompress spinal cord
L 63057 Decompress spine cord add-on
L 63066 Decompress spine cord add-on
63077 Spine disk surgery thorax
63078 Spine disk surgery thorax
63081 Removal of vertebral body
63082 Remove vertebral body add-on
63170 Incise spinal cord tract(s)
63172 Drainage of spinal cyst
63173 Drainage of spinal cyst
63185 Incise spinal column/nerves
63190 Incise spinal column/nerves
63197 Incise spinal column & cord
63200 Release of spinal cord
63250 Revise spinal cord vessels
63265 Excise intraspinal lesion
L 63267 Excise intraspinal lesion
63275 Biopsy/excise spinal tumor
63295 Repair of laminectomy defect
63600 Remove spinal cord lesion
63610 Stimulation of spinal cord
63615 Remove lesion of spinal cord
PA 63620 Srs spinal lesion
63621 Srs spinal lesion addl
PA 63650 Implant neuroelectrodes
PA 63661 Remove spine eltrd perq aray
PA 63662 Remove spine eltrd plate
PA 63663 Revise spine eltrd perq aray
PA 63664 Revise spine eltrd plate
PA 63685 Insrt/redo spine n generator
PA 63688 Revise/remove neuroreceiver
63700 Repair of spinal herniation
63709 Repair spinal fluid leakage
63710 Graft repair of spine defect
63740 Install spinal shunt
63741 Install spinal shunt
63744 Revision of spinal shunt
63746 Removal of spinal shunt
64400 Njx aa&/strd trigeminal nrv
64405 Njx aa&/strd gr ocpl nrv
64408 Njx aa&/strd vagus nrv
64415 Njx aa&/strd brach plexus
64416 Njx aa&/strd brach plex nfs
64417 Njx aa&/strd axillary nrv
64418 Njx aa&/strd sprscap nrv
64420 Njx aa&/strd ntrcost nrv 1
64421 Njx aa&/strd ntrcost nrv ea
64425 Njx aa&/strd ii ih nerves
64430 Njx aa&/strd pudendal nerve
64435 Njx aa&/strd paracrv nrv
64445 Njx aa&/strd sciatic nerve
64446 Njx aa&/strd sciatic nrv nfs
64447 Njx aa&/strd femoral nerve
64448 Njx aa&/strd fem nerve nfs
64449 Njx aa&/strd lmbr plex nfs
64450 Njx aa&/strd other pn/branch
64451 Njx aa&/strd nrv nrvtg si jt
64454 Njx aa&/strd gnclr nrv brnch
64455 N block inj plantar digit
64461 Pvb thoracic single inj site
64462 Pvb thoracic 2nd+ inj site
64463 Pvb thoracic cont infusion
CPA 64479 Inj foramen epidural c/t
CPA 64480 Inj foramen epidural add-on
CPA 64483 Inj foramen epidural l/s
CPA 64484 Inj foramen epidural add-on
64486 Tap block unil by injection
64487 Tap block uni by infusion
64488 Tap block bi injection
64489 Tap block bi by infusion
CPA 64490 Inj paravert f jnt c/t 1 lev
CPA 64493 Inj paravert f jnt l/s 1 lev
64505 N block spenopalatine gangl
64508 N block carotid sinus s/p
64510 N block stellate ganglion
64517 N block inj hypogas plxs
64520 N block lumbar/thoracic
64530 N block inj celiac pelus
64550 Apply neurostimulator
PA/EPA 64553 Implant neuroelectrodes
64566 Neuroeltrd stim post tibial
EPA/PA 64568 Inc for vagus n elect impl
PA 64569 Revise/repl vagus n eltrd
PA 64570 Remove vagus n eltrd
64582 Opn mpltj hpglsl nstm ary pg
64583 Rev/rplct hpglsl nstm ary pg
64584 Rmvl hpglsl nstim ary pg
PA 64585 Revise/remove neuroelectrode
PA 64590 Insrt/redo pn/gastr stimul
PA 64595 Revise/rmv pn/gastr stimul
PA 64600 Injection treatment of nerve
64605 Injection treatment of nerve
PA 64611 Chemodenerv saliv glands
PA 64612 Destroy nerve face muscle
PA/CPA 64615 Chemodenerv musc migraine
PA 64616 Chemodenerv musc neck dyston
PA 64617 Chemodener muscle larynx emg
64624 Dstrj nulyt agt gnclr nrv
64625 Rf abltj nrv nrvtg si jt
64628 Trml dstrj ios bvn 1st 2 l/s
64629 Trml dstrj ios bvn ea addl
64632 N block inj common digit
CPA 64633 Destroy cerv/thor facet jnt
CPA 64634 Destroy c/th facet jnt addl
CPA 64635 Destroy lumb/sac facet jnt
64636 Destroy l/s facet jnt addl
PA 64640 Injection treatment of nerve
PA 64642 Chemodenerv 1 extremity 1-4
PA 64643 Chemodenerv 1 extrem 1-4 ea
PA 64644 Chemodenerv 1 extrem 5/> mus
PA 64645 Chemodenerv 1 extrem 5/> ea
PA 64646 Chemodenerv trunk musc 1-5
PA 64647 Chemodenerv trunk musc 6/>
PA 64650 Chemodenerv eccrine glands
PA 64653 Chemodenerv eccrine glands
64702 Revise finger/toe nerve
64704 Revise hand/foot nerve
L 64708 Revise arm/leg nerve
CPA 64712 Revision of sciatic nerve
L 64713 Revision of arm nerve(s)
64714 Revise low back nerve(s)
CPA 64716 Revision of cranial nerve
L 64718 Revise ulnar nerve at elbow
L 64719 Revise ulnar nerve at wrist
L 64721 Carpal tunnel surgery
L 64722 Relieve pressure on nerve(s)
L 64726 Release foot/toe nerve
L 64727 Internal nerve revision
64732 Incision of brow nerve
64734 Incision of cheek nerve
64736 Incision of chin nerve
64738 Incision of jaw nerve
64740 Incision of tongue nerve
64742 Incision of facial nerve
64744 Incise nerve back of head
64746 Incise diaphragm nerve
64755 Incision of stomach nerves
64760 Incision of vagus nerve
64763 Incise hip/thigh nerve
64766 Incise hip/thigh nerve
64771 Sever cranial nerve
64772 Incision of spinal nerve
64774 Remove skin nerve lesion
64776 Remove digit nerve lesion
64778 Digit nerve surgery add-on
64782 Remove limb nerve lesion
64783 Limb nerve surgery add-on
64784 Remove nerve lesion
64786 Remove sciatic nerve lesion
64787 Implant nerve end
64788 Remove skin nerve lesion
64790 Removal of nerve lesion
64792 Removal of nerve lesion
64795 Biopsy of nerve
64802 Remove sympathetic nerves
64831 Repair of digit nerve
64832 Repair nerve add-on
64834 Repair of hand or foot nerve
64837 Repair nerve add-on
64840 Repair of leg nerve
64856 Repair/transpose nerve
64857 Repair arm/leg nerve
64858 Repair sciatic nerve
*PA 64859 Nerve surgery
64861 Repair of arm nerves
64862 Repair of low back nerves
64864 Repair of facial nerve
64865 Repair of facial nerve
64872 Subsequent repair of nerve
64874 Repair & revise nerve add-on
64876 Repair nerve/shorten bone
64885 Nerve graft head or neck
64886 Nerve graft head or neck
64890 Nerve graft hand or foot
64892 Nerve graft arm or leg
64901 Nerve graft add-on
64902 Nerve graft add-on
64905 Nerve pedicle transfer
64907 Nerve pedicle transfer
64910 Nerve repair w/allograft
64911 Neurorraphy w/vein autograft
64912 Nrv rpr w/nrv algrft 1st
64913 Nrv rpr w/nrv algrft ea addl
PA 64999 Nervous system surgery
65091 Revise eye
65093 Revise eye with implant
65101 Removal of eye
65103 Remove eye/insert implant
65105 Remove eye/attach implant
65110 Removal of eye
65112 Remove eye/revise socket
65114 Remove eye/revise socket
65125 Revise ocular implant
65130 Insert ocular implant
65135 Insert ocular implant
65140 Attach ocular implant
65150 Revise ocular implant
65155 Reinsert ocular implant
65175 Removal of ocular implant
65205 Remove foreign body from eye
65270 Repair of eye wound
65290 Repair of eye socket wound
65400 Removal of eye lesion
65410 Biopsy of cornea
65430 Corneal smear
65435 Curette/treat cornea
65436 Curette/treat cornea
65450 Treatment of corneal lesion
65600 Revision of cornea
65710 Corneal transplant
65756 Corneal trnspl endothelial
65757 Prep corneal endo allograft
65767 Corneal tissue transplant
65770 Revise cornea with implant
65771 Radial keratotomy
65772 Correction of astigmatism
65775 Correction of astigmatism
65778 Cover eye w/membrane
65779 Cover eye w/membrane suture
PA 65780 Ocular reconst transplant
65785 Impltj ntrstrml crnl rng seg
65800 Drainage of eye
65820 Relieve inner eye pressure
65850 Incision of eye
65855 Laser surgery of eye
65860 Incise inner eye adhesions
65900 Remove eye lesion
65920 Remove implant of eye
65930 Remove blood clot from eye
66020 Injection treatment of eye
66030 Injection treatment of eye
66130 Remove eye lesion
66150 Glaucoma surgery
66172 Incision of eye
66174 Translum dil eye canal
66175 Trnslum dil eye canal w/stnt
66179 Aqueous shunt eye w/o graft
66180 Implant eye shunt
PA 66183 Insert ant drainage device
66184 Revision of aqueous shunt
66185 Revise eye shunt
66220 Repair eye lesion
66225 Repair/graft eye lesion
66250 Follow-up surgery of eye
66500 Incision of iris
66505 Incision of iris
66600 Remove iris and lesion
66605 Removal of iris
66680 Repair iris & ciliary body
66682 Repair iris & ciliary body
66700 Destruction ciliary body
66710 Ciliary transsleral therapy
66711 Ecp ciliary body destruction
66761 Revision of iris
66762 Revision of iris
66770 Removal of inner eye lesion
66820 Incision secondary cataract
66821 After cataract laser surgery
66825 Reposition intraocular lens
66830 Removal of lens lesion
66840 Removal of lens material
66920 Extraction of lens
66982 Xcapsl ctrc rmvl cplx wo ecp
66983 Cataract surg w/iol 1 stage
66984 Xcapsl ctrc rmvl w/o ecp
66985 Insert lens prosthesis
66986 Exchange lens prosthesis
66987 Xcapsl ctrc rmvl cplx w/ecp
66988 Xcapsl ctrc rmvl w/ecp
PA 66989 Xcpsl ctrc rmvl cplx insj 1+
66990 Ophthalmic endoscope add-on
PA 66991 Xcapsl ctrc rmvl insj 1+
66999 Eye surgery procedure
67005 Partial removal of eye fluid
67010 Partial removal of eye fluid
67015 Release of eye fluid
67025 Replace eye fluid
67027 Implant eye drug system
67028 Injection eye drug
67030 Incise inner eye strands
67031 Laser surgery eye strands
67036 Removal of inner eye fluid
67039 Laser treatment of retina
67040 Laser treatment of retina
67041 Vit for macular pucker
67042 Vit for macular hole
67043 Vit for membrane dissect
67101 Repair detached retina
67113 Repair retinal detach cplx
67115 Release encircling material
67120 Remove eye implant material
67121 Remove eye implant material
67141 Treatment of retina
67145 Treatment of retina
67208 Treatment of retinal lesion
67220 Treatment of choroid lesion
67221 Ocular photodynamic ther
67225 Eye photodynamic ther add-on
67229 Tr retinal les preterm inf
67250 Reinforce eye wall
67255 Reinforce/graft eye wall
67299 Eye surgery procedure
EPA 67311 Revise eye muscle
EPA 67312 Revise two eye muscles
EPA 67314 Revise eye muscle
EPA 67316 Revise two eye muscles
EPA 67318 Revise eye muscle(s)
EPA 67320 Revise eye muscle(s) add-on
EPA 67331 Eye surgery follow-up add-on
EPA 67332 Rerevise eye muscles add-on
EPA 67334 Revise eye muscle w/suture
EPA 67335 Eye suture during surgery
EPA 67340 Revise eye muscle add-on
67343 Release eye tissue
PA 67345 Destroy nerve of eye muscle
67346 Biopsy eye muscle
67399 Eye muscle surgery procedure
67405 Explore/drain eye socket
67412 Explore/treat eye socket
67414 Explr/decompress eye socket
67415 Aspiration orbital contents
67440 Explore/drain eye socket
67445 Explr/decompress eye socket
67500 Inject/treat eye socket
67550 Insert eye socket implant
67560 Revise eye socket implant
67570 Decompress optic nerve
67599 Orbit surgery procedure
67700 Drainage of eyelid abscess
67710 Incision of eyelid
67715 Incision of eyelid fold
67800 Remove eyelid lesion
67801 Remove eyelid lesions
67805 Remove eyelid lesions
67808 Remove eyelid lesion(s)
67810 Biopsy of eyelid
67820 Revise eyelashes
67840 Remove eyelid lesion
67850 Treat eyelid lesion
67875 Closure of eyelid by suture
PA 67900 Repair brow defect
EPA 67901 Repair eyelid defect
PA 67909 Revise eyelid defect
67911 Revise eyelid defect
67912 Correction eyelid w/implant
67914 Repair eyelid defect
67930 Repair eyelid wound
67935 Repair eyelid wound
67938 Remove eyelid foreign body
PA 67950 Revision of eyelid
67971 Reconstruction of eyelid
68020 Incise/drain eyelid lining
68040 Treatment of eyelid lesions
68100 Biopsy of eyelid lining
68110 Remove eyelid lining lesion
68200 Treat eyelid by injection
68320 Revise/graft eyelid lining
68330 Revise eyelid lining
68340 Separate eyelid adhesions
PA 68371 Harvest eye tissue alograft
68399 Eyelid lining surgery
68400 Incise/drain tear gland
68420 Incise/drain tear sac
68440 Incise tear duct opening
68500 Removal of tear gland
68505 Partial removal tear gland
68510 Biopsy of tear gland
68520 Removal of tear sac
68525 Biopsy of tear sac
68530 Clearance of tear duct
68540 Remove tear gland lesion
68550 Remove tear gland lesion
68700 Repair tear ducts
68705 Revise tear duct opening
68720 Create tear sac drain
68745 Create tear duct drain
68750 Create tear duct drain
68760 Close tear duct opening
68761 Close tear duct opening
68770 Close tear system fistula
68801 Dilate tear duct opening
68810 Probe nasolacrimal duct
68816 Probe nl duct w/balloon
68840 Explore/irrigate tear ducts
68841 Insj rx elut implt lac canal
68850 Injection for tear sac x-ray
68899 Tear duct system surgery
69000 Drain external ear lesion
69005 Drain external ear lesion
69020 Drain outer ear canal lesion
69090 Pierce earlobes
69100 Biopsy of external ear
69105 Biopsy of external ear canal
69110 Remove external ear partial
69120 Removal of external ear
69140 Remove ear canal lesion(s)
69145 Remove ear canal lesion(s)
69150 Extensive ear canal surgery
69155 Extensive ear/neck surgery
69200 Clear outer ear canal
69205 Clear outer ear canal
69209 Remove impacted ear wax uni
69210 Remove impacted ear wax
69220 Clean out mastoid cavity
69222 Clean out mastoid cavity
69300 Revise external ear
69310 Rebuild outer ear canal
69320 Rebuild outer ear canal
69399 Outer ear surgery procedure
69420 Incision of eardrum
69421 Incision of eardrum
69424 Remove ventilating tube
69433 Create eardrum opening
69436 Create eardrum opening
69440 Exploration of middle ear
69450 Eardrum revision
69501 Mastoidectomy
69502 Mastoidectomy
69505 Remove mastoid structures
69511 Extensive mastoid surgery
69530 Extensive mastoid surgery
69535 Remove part of temporal bone
69540 Remove ear lesion
69601 Mastoid surgery revision
69610 Repair of eardrum
69620 Repair of eardrum
69631 Repair eardrum structures
69632 Rebuild eardrum structures
69635 Repair eardrum structures
69641 Revise middle ear & mastoid
69650 Release middle ear bone
69660 Revise middle ear bone
69666 Repair middle ear structures
69667 Repair middle ear structures
69670 Remove mastoid air cells
69676 Remove middle ear nerve
69700 Close mastoid fistula
69705 Nps surg dilat eust tube uni
69706 Nps surg dilat eust tube bi
69710 Implant/replace hearing aid
69711 Remove/repair hearing aid
PA 69714 Implant temple bone w/stimul
PA/EPA 69716 Impltj oi implt skl tc esp
PA 69717 Temple bone implant revision
PA/EPA 69719 Revj/rplcmt oi implt tc esp
69720 Release facial nerve
PA 69726 Rmvl oi implt skl perq esp
PA 69727 Rmvl oi implt skl tc esp
PA/EPA 69728 Rmv ntr oi imp sktc esp>=100
PA/EPA 69729 Impl oi implt sk tc esp>=100
PA/EPA 69730 Rplc oi implt sk tc esp>=100
69740 Repair facial nerve
69745 Repair facial nerve
69799 Middle ear surgery procedure
69801 Incise inner ear
69805 Explore inner ear
69806 Explore inner ear
69905 Remove inner ear
69910 Remove inner ear & mastoid
69915 Incise inner ear nerve
PA/EPA 69930 Implant cochlear device
69949 Inner ear surgery procedure
69950 Incise inner ear nerve
69960 Release inner ear canal
69970 Remove inner ear lesion
69979 Temporal bone surgery
69990 Microsurgery add-on
70010 Contrast x-ray of brain
70015 Contrast x-ray of brain
70030 X-ray eye for foreign body
70100 X-ray exam of jaw
7010F Pt info into recall system
70110 X-ray exam of jaw
70120 X-ray exam of mastoids
70130 X-ray exam of mastoids
70134 X-ray exam of middle ear
70140 X-ray exam of facial bones
70150 X-ray exam of facial bones
70160 X-ray exam of nasal bones
70170 X-ray exam of tear duct
70190 X-ray exam of eye sockets
70200 X-ray exam of eye sockets
7020F Mammo assess cat in dbase
70210 X-ray exam of sinuses
70220 X-ray exam of sinuses
70240 X-ray exam pituitary saddle
70250 X-ray exam of skull
7025F Pt infosys alarm 4 nxt mammo
70260 X-ray exam of skull
70300 X-ray exam of teeth
70310 X-ray exam of teeth
70320 Full mouth x-ray of teeth
70328 X-ray exam of jaw joint
70330 X-ray exam of jaw joints
70332 X-ray exam of jaw joint
70336 Magnetic image jaw joint
70350 X-ray head for orthodontia
70355 Panoramic x-ray of jaws
70360 X-ray exam of neck
70370 Throat x-ray & fluoroscopy
70371 Speech evaluation complex
70380 X-ray exam of salivary gland
70390 X-ray exam of salivary duct
CPA/EPA 70450 Ct head/brain w/o dye
CPA/EPA 70460 Ct head/brain w/dye
CPA/EPA 70470 Ct head/brain w/o & w/dye
70480 Ct orbit/ear/fossa w/o dye
70481 Ct orbit/ear/fossa w/dye
70482 Ct orbit/ear/fossa w/o&w/dye
CPA/EPA 70486 Ct maxillofacial w/o dye
CPA/EPA 70487 Ct maxillofacial w/dye
CPA/EPA 70488 Ct maxillofacial w/o & w/dye
70490 Ct soft tissue neck w/o dye
70491 Ct soft tissue neck w/dye
70492 Ct sft tsue nck w/o & w/dye
70496 Ct angiography head
70498 Ct angiography neck
CPA/EPA/PA 70540 Mri orbit/face/neck w/o dye
CPA/EPA/PA 70542 Mri orbit/face/neck w/dye
CPA/EPA/PA 70543 Mri orbt/fac/nck w/o & w/dye
70544 Mr angiography head w/o dye
70545 Mr angiography head w/dye
70546 Mr angiograph head w/o&w/dye
70547 Mr angiography neck w/o dye
70548 Mr angiography neck w/dye
70549 Mr angiograph neck w/o&w/dye
CPA 70551 Mri brain w/o dye
CPA 70552 Mri brain w/dye
CPA 70553 Mri brain w/o & w/dye
PA 70554 Fmri brain by tech
PA 70555 Fmri brain by phys/psych
70557 Mri brain w/o dye
70558 Mri brain w/dye
70559 Mri brain w/o & w/dye
71045 Radiologic examination, chest; 1 view
71046 X-ray exam chest 2 views
71047 X-ray exam chest 3 views
71048 X-ray exam chest 4+ views
71100 X-ray exam of ribs
71101 X-ray exam of ribs/chest
71110 X-ray exam of ribs
71111 X-ray exam of ribs/chest
71120 X-ray exam of breastbone
71130 X-ray exam of breastbone
71250 Ct thorax w/o dye
71260 Ct thorax w/dye
71270 Ct thorax w/o & w/dye
PA/EPA 71271 Ct thorax lung cancer scr c-
71275 Ct angiography chest
71550 Mri chest w/o dye
71551 Mri chest w/dye
71552 Mri chest w/o & w/dye
71555 Mri angio chest w or w/o dye
72020 X-ray exam of spine
72040 X-ray exam of neck spine
72070 X-ray exam of thoracic spine
72080 X-ray exam of trunk spine
72081 X-ray exam entire spi 1 vw
72082 X-ray exam entire spi 2/3 vw
72083 X-ray exam entire spi 4/5 vw
72084 X-ray exam entire spi 6/> vw
72100 X-ray exam of lower spine
72125 Ct neck spine w/o dye
72126 Ct neck spine w/dye
72127 Ct neck spine w/o & w/dye
72128 Ct chest spine w/o dye
72129 Ct chest spine w/dye
72130 Ct chest spine w/o & w/dye
72131 Ct lumbar spine w/o dye
72132 Ct lumbar spine w/dye
72133 Ct lumbar spine w/o & w/dye
CPA 72141 Mri neck spine w/o dye
CPA 72142 Mri neck spine w/dye
72146 Mri chest spine w/o dye
72147 Mri chest spine w/dye
CPA 72148 Mri lumbar spine w/o dye
CPA 72149 Mri lumbar spine w/dye
CPA 72156 Mri neck spine w/o & w/dye
72157 Mri chest spine w/o & w/dye
CPA 72158 Mri lumbar spine w/o & w/dye
72159 Mr angio spine w/o&w/dye
72170 X-ray exam of pelvis
72190 X-ray exam of pelvis
72191 Ct angiograph pelv w/o&w/dye
CPA 72192 Ct pelvis w/o dye
CPA 72193 Ct pelvis w/dye
CPA 72194 Ct pelvis w/o & w/dye
72195 Mri pelvis w/o dye
72196 Mri pelvis w/dye
72197 Mri pelvis w/o & w/dye
72198 Mr angio pelvis w/o & w/dye
72200 X-ray exam sacroiliac joints
72202 X-ray exam sacroiliac joints
72220 X-ray exam of tailbone
72240 Contrast x-ray of neck spine
72255 Contrast x-ray thorax spine
72265 Contrast x-ray lower spine
72270 Contrast x-ray spine
72285 X-ray c/t spine disk
72295 X-ray of lower spine disk
73000 X-ray exam of collar bone
73010 X-ray exam of shoulder blade
73020 X-ray exam of shoulder
73030 X-ray exam of shoulder
73040 Contrast x-ray of shoulder
73050 X-ray exam of shoulders
73060 X-ray exam of humerus
73070 X-ray exam of elbow
73080 X-ray exam of elbow
73085 Contrast x-ray of elbow
73090 X-ray exam of forearm
73092 X-ray exam of arm infant
73100 X-ray exam of wrist
73110 X-ray exam of wrist
73115 Contrast x-ray of wrist
73120 X-ray exam of hand
73130 X-ray exam of hand
73140 X-ray exam of finger(s)
73200 Ct upper extremity w/o dye
73201 Ct upper extremity w/dye
73202 Ct uppr extremity w/o&w/dye
73206 Ct angio upr extrm w/o&w/dye
73218 Mri upper extremity w/o dye
73219 Mri upper extremity w/dye
73220 Mri uppr extremity w/o&w/dye
CPA 73221 Mri joint upr extrem w/o dye
CPA 73222 Mri joint upr extrem w/dye
CPA 73223 Mri joint upr extr w/o&w/dye
73225 Mr angio upr extr w/o&w/dye
73501 X-ray exam hip uni 1 view
73502 X-ray exam hip uni 2-3 views
73503 X-ray exam hip uni 4/> views
73521 X-ray exam hips bi 2 views
73522 X-ray exam hips bi 3-4 views
73523 X-ray exam hips bi 5/> views
73525 Contrast x-ray of hip
73551 X-ray exam of femur 1
73552 X-ray exam of femur 2/>
73560 X-ray exam of knee 1 or 2
73562 X-ray exam of knee 3
73564 X-ray exam knee 4 or more
73565 X-ray exam of knees
73580 Contrast x-ray of knee joint
73590 X-ray exam of lower leg
73592 X-ray exam of leg infant
73600 X-ray exam of ankle
73610 X-ray exam of ankle
73615 Contrast x-ray of ankle
73620 X-ray exam of foot
73630 X-ray exam of foot
73650 X-ray exam of heel
73660 X-ray exam of toe(s)
73700 Ct lower extremity w/o dye
73701 Ct lower extremity w/dye
73702 Ct lwr extremity w/o&w/dye
73706 Ct angio lwr extr w/o&w/dye
73718 Mri lower extremity w/o dye
73719 Mri lower extremity w/dye
73720 Mri lwr extremity w/o&w/dye
CPA 73721 Mri jnt of lwr extre w/o dye
CPA 73722 Mri joint of lwr extr w/dye
CPA 73723 Mri joint lwr extr w/o&w/dye
73725 Mr ang lwr ext w or w/o dye
74018 X-ray exam abdomen 1 view
74019 Radiologic examination, abdomen; 2 views
74021 X-ray exam abdomen 3+ views
74022 X-ray exam complete abdomen
CPA 74150 Ct abdomen w/o dye
CPA 74160 Ct abdomen w/dye
CPA 74170 Ct abdomen w/o & w/dye
74174 Ct angio abd&pelv w/o&w/dye
74175 Ct angio abdom w/o & w/dye
CPA 74176 Ct abd & pelvis
CPA 74177 Ct abd & pelv w/contrast
CPA 74178 Ct abd & pelv 1/> regns
74181 Mri abdomen w/o dye
74182 Mri abdomen w/dye
74183 Mri abdomen w/o & w/dye
74185 Mri angio abdom w orw/o dye
74190 X-ray exam of peritoneum
74210 X-ray xm phrnx&/crv esoph c+
74220 X-ray xm esophagus 1cntrst
74221 X-ray xm esophagus 2cntrst
74230 Cine/vid x-ray throat/esoph
74235 Remove esophagus obstruction
74240 X-ray xm upr gi trc 1cntrst
74246 X-ray xm upr gi trc 2cntrst
74248 X-ray sm int f-thru std
74250 X-ray xm sm int 1cntrst std
74251 X-ray xm sm int 2cntrst std
74261 Ct colonography dx
74262 Ct colonography dx w/dye
74263 Ct colonography screening
74270 X-ray xm colon 1cntrst std
74280 X-ray xm colon 2cntrst std
74283 Contrast x-ray exam of colon
74290 Contrast x-ray gallbladder
74300 X-ray bile ducts/pancreas
74301 X-rays at surgery add-on
74328 X-ray bile duct endoscopy
74329 X-ray for pancreas endoscopy
74330 X-ray bile/panc endoscopy
74340 X-ray guide for GI tube
74355 X-ray guide intestinal tube
74360 X-ray guide gi dilation
74363 X-ray bile duct dilation
74400 Contrst x-ray urinary tract
74430 Contrast x-ray bladder
74440 X-ray male genital tract
74445 X-ray exam of penis
74450 X-ray urethra/bladder
74455 X-ray urethra/bladder
74470 X-ray exam of kidney lesion
74485 X-ray guide gu dilation
74710 X-ray measurement of pelvis
74712 MRI FETAL SNGL/1ST GESTATION
74713 MRI FETAL EA ADDL GESTATION
74740 X-ray female genital tract
74742 X-ray fallopian tube
74775 X-ray exam of perineum
75557 Cardiac mri for morph
75559 Cardiac mri w/stress img
75561 Cardiac mri for morph w/dye
75563 Card mri w/stress img & dye
75565 Card mri veloc flow mapping
PA 75571 Ct hrt w/o dye w/ca test
75572 Ct hrt w/3d image
75573 Ct hrt w/3d image congen
75574 Ct angio hrt w/3d image
75600 Contrast x-ray exam of aorta
75630 X-ray aorta leg arteries
75635 Ct angio abdominal arteries
75705 Artery x-rays spine
75710 Artery x-rays arm/leg
75716 Artery x-rays arms/legs
75726 Artery x-rays abdomen
75731 Artery x-rays adrenal gland
75733 Artery x-rays adrenals
75736 Artery x-rays pelvis
75741 Artery x-rays lung
75743 Artery x-rays lungs
75746 Artery x-rays lung
75756 Artery x-rays chest
75774 Artery x-ray each vessel
75801 Lymph vessel x-ray arm/leg
75803 Lymph vessel x-ray arms/legs
75805 Lymph vessel x-ray trunk
75807 Lymph vessel x-ray trunk
75809 Nonvascular shunt x-ray
75810 Vein x-ray spleen/liver
75820 Vein x-ray arm/leg
75822 Vein x-ray arms/legs
75825 Vein x-ray trunk
75827 Vein x-ray chest
75831 Vein x-ray kidney
75833 Vein x-ray kidneys
75840 Vein x-ray adrenal gland
75842 Vein x-ray adrenal glands
75860 Vein x-ray neck
75870 Vein x-ray skull
75872 Vein x-ray skull
75880 Vein x-ray eye socket
75885 Vein x-ray liver
75893 Venous sampling by catheter
75894 X-rays transcath therapy
75898 Follow-up angiography
75901 Remove cva device obstruct
75902 Remove cva lumen obstruct
75970 Vascular biopsy
75984 Xray control catheter change
75989 Abscess drainage under x-ray
76000 Fluoroscope examination
76001 Fluoroscope exam extensive
76010 X-ray nose to rectum
76080 X-ray exam of fistula
76098 X-ray exam breast specimen
76100 X-ray exam of body section
76120 Cine/video x-rays
76125 Cine/video x-rays add-on
76140 X-ray consultation
76145 Med physic dos eval rad exps
76376 3d render w/o postprocess
76377 3d rendering w/postprocess
76380 CAT scan follow-up study
76390 Mr spectroscopy
76391 Mr elastography
76496 Fluoroscopic procedure
76497 Ct procedure
PA 76498 Mri procedure
PA 76499 Radiographic procedure
76506 Echo exam of head
76510 Ophth us b & quant a
76511 Ophth us quant a only
76512 Ophth us b w/non-quant a
76513 Echo exam of eye water bath
76514 Echo exam of eye thickness
76516 Echo exam of eye
76536 Us exam of head and neck
76604 Us exam chest
76641 Ultrasound breast complete
76642 Ultrasound breast limited
76700 Us exam abdom complete
76705 Echo exam of abdomen
76706 US ABDL AORTA SCREEN AAA
76770 Us exam abdo back wall comp
76775 Us exam abdo back wall lim
76776 Us exam k transpl w/doppler
76800 Us exam spinal canal
76801 Ob us < 14 wks single fetus
76802 Ob us < 14 wks addl fetus
76805 Ob us >= 14 wks sngl fetus
76810 Ob us >= 14 wks addl fetus
76811 Ob us detailed sngl fetus
76812 Ob us detailed addl fetus
76813 Ob us nuchal meas 1 gest
76814 Ob us nuchal meas add-on
76815 Ob us limited fetus(s)
76816 Ob us follow-up per fetus
76817 Transvaginal us obstetric
76818 Fetal biophys profile w/nst
76819 Fetal biophys profil w/o nst
76820 Umbilical artery echo
76821 Middle cerebral artery echo
76825 Echo exam of fetal heart
76830 Transvaginal us non-ob
76831 Echo exam uterus
76856 Us exam pelvic complete
76857 Us exam pelvic limited
76870 Us exam scrotum
76872 Us transrectal
76873 Echograp trans r pros study
76881 Us xtr non-vasc complete
76882 Us xtr non-vasc lmtd
76883 Us nrv&acc strux 1xtr compre
76885 Us exam infant hips dynamic
76886 Us exam infant hips static
76932 Echo guide for heart biopsy
76936 Echo guide for artery repair
76937 Us guide vascular access
76940 Us guide tissue ablation
76941 Echo guide for transfusion
76942 Echo guide for biopsy
76945 Echo guide villus sampling
76946 Echo guide for amniocentesis
76948 Echo guide ova aspiration
76965 Echo guidance radiotherapy
76975 GI endoscopic ultrasound
76977 Us bone density measure
L 76978 Us trgt dyn mbubb 1st les
L 76979 Us trgt dyn mbubb ea addl
L 76981 Use parenchyma
L 76982 Use 1st target lesion
L 76983 Use ea addl target lesion
76998 Us guide intraop
76999 Echo examination procedure
77001 Fluoroguide for vein device
77002 Needle localization by xray
77003 Fluoroguide for spine inject
77011 Ct scan for localization
77012 Ct scan for needle biopsy
77013 Ct guide for tissue ablation
77014 Ct scan for therapy guide
77021 Mr guidance for needle place
77022 Mri for tissue ablation
CPA 77046 Mri breast c- unilateral
CPA 77047 Mri breast c- bilateral
CPA 77048 Mri breast c-+ w/cad uni
CPA 77049 Mri breast c-+ w/cad bi
77053 X-ray of mammary duct
77054 X-ray of mammary ducts
77058 Mri one breast
77059 Mri both breasts
77061 Breast tomosynthesis uni
77062 Breast tomosynthesis bi
L 77063 Breast tomosynthesis bi
77065 Dx mammo incl cad uni
77066 Dx mammo incl cad bi
L 77067 Scr mammo bi incl cad
77071 X-ray stress view
77072 X-rays for bone age
77073 X-rays bone length studies
77074 X-rays bone survey limited
77075 X-rays bone survey complete
77076 X-rays bone survey infant
77077 Joint survey single view
77078 Ct bone density axial
PA/EPA 77080 Dxa bone density axial
PA/EPA 77081 Dxa bone density/peripheral
77084 Magnetic image bone marrow
77085 Dxa bone density study
77086 Fracture assessment via dxa
77089 Tbs dxa cal w/i&r fx risk
77090 Tbs techl prep&transmis data
77091 Tbs techl calculation only
77092 Tbs i&r fx rsk qhp
77261 Radiation therapy planning
77280 Set radiation therapy field
77293 Respirator motion mgmt simul
77300 Radiation therapy dose plan
PA/EPA 77301 Radiotherapy dose plan imrt
77306 Telethx isodose plan simple
77307 Telethx isodose plan cplx
77316 Brachytx isodose plan simple
77317 Brachytx isodose intermed
77318 Brachytx isodose complex
77321 Special teletx port plan
77331 Special radiation dosimetry
77332 Radiation treatment aid(s)
77336 Radiation physics consult
PA/EPA 77338 Design mlc device for imrt
PA/EPA 77370 Radiation physics consult
PA 77371 Srs multisource
PA 77372 Srs linear based
PA 77373 Sbrt delivery
77385 Ntsty modul rad tx dlvr smpl
77386 Ntsty modul rad tx dlvr cplx
77387 Guidance for radiaj tx dlvr
77399 External radiation dosimetry
77401 Radiation treatment delivery
77417 Radiology port film(s)
77423 Neutron beam tx complex
PA 77424 Io rad tx delivery by x-ray
PA 77425 Io rad tx deliver by elctrns
77427 Radiation tx management x5
77431 Radiation therapy management
77432 Stereotactic radiation trmt
PA 77435 Sbrt management
PA 77469 Io radiation tx management
77470 Special radiation treatment
77499 Radiation therapy management
PA 77520 Proton trmt simple w/o comp
PA 77522 Proton trmt simple w/comp
PA 77523 Proton trmt intermediate
PA 77525 Proton treatment complex
77600 Hyperthermia treatment
77750 Infuse radioactive materials
77761 Apply intrcav radiat simple
77762 Apply intrcav radiat interm
77763 Apply intrcav radiat compl
77767 Hdr rdncl skn surf brachytx
77768 Hdr rdncl skn surf brachytx
77770 Hdr rdncl ntrstl/icav brchtx
77778 Apply interstit radiat compl
77789 Apply surface radiation
77790 Radiation handling
77799 Radium/radioisotope therapy
78012 Thyroid uptake measurement
78013 Thyroid imaging w/blood flow
78014 Thyroid imaging w/blood flow
78015 Thyroid met imaging
78016 Thyroid met imaging/studies
78018 Thyroid met imaging body
78020 Thyroid met uptake
78070 Parathyroid nuclear imaging
PA/CPA 78071 Parathyrd planar w/wo subtrj
PA/CPA 78072 Parathyrd planar w/spect&ct
78075 Adrenal nuclear imaging
78099 Endocrine nuclear procedure
78102 Bone marrow imaging ltd
78103 Bone marrow imaging mult
78104 Bone marrow imaging body
78110 Plasma volume single
78111 Plasma volume multiple
78120 Red cell mass single
78121 Red cell mass multiple
78122 Blood volume
78130 Red cell survival study
78140 Red cell sequestration
78185 Spleen imaging
78191 Platelet survival
78195 Lymph system imaging
78199 Blood/lymph nuclear exam
78201 Liver imaging
78202 Liver imaging with flow
78215 Liver and spleen imaging
78216 Liver & spleen image/flow
78226 Hepatobiliary system imaging
78227 Hepatobil syst image w/drug
78230 Salivary gland imaging
78231 Serial salivary imaging
78232 Salivary gland function exam
78258 Esophageal motility study
78261 Gastric mucosa imaging
78262 Gastroesophageal reflux exam
78264 Gastric emptying study
78265 Gastric emptying imag study
78266 Gastric emptying imag study
78267 Breath tst attain/anal c-14
78268 Breath test analysis c-14
78270 Vit B-12 absorption exam
78271 Vit b-12 absrp exam int fac
78272 Vit b-12 absorp combined
78278 Acute GI blood loss imaging
78282 GI protein loss exam
78290 Meckels divert exam
78291 Leveen/shunt patency exam
78299 GI nuclear procedure
78300 Bone imaging limited area
78305 Bone imaging multiple areas
78306 Bone imaging whole body
78315 Bone imaging 3 phase
78350 Bone mineral single photon
78351 Bone mineral dual photon
78399 Musculoskeletal nuclear exam
78414 Non-imaging heart function
78428 Cardiac shunt imaging
CPA 78429 Myocrd img pet 1 std w/ct
CPA 78430 Myocrd img pet rst/strs w/ct
CPA 78431 Myocrd img pet rst&strs ct
CPA 78432 Myocrd img pet 2rtracer
CPA 78433 Myocrd img pet 2rtracer ct
CPA 78434 Aqmbf pet rest & rx stress
78445 Vascular flow imaging
CPA 78451 Ht muscle image spect sing
CPA 78452 Ht muscle image spect mult
CPA 78453 Ht muscle image planar sing
CPA 78454 Ht musc image planar mult
78456 Acute venous thrombus image
78457 Venous thrombosis imaging
78458 Ven thrombosis images bilat
CPA 78459 Myocrd img pet single study
78466 Heart infarct image
78468 Heart infarct image (ef)
78469 Heart infarct image (3D)
78472 Gated heart planar single
78473 Gated heart multiple
78481 Heart first pass single
78483 Heart first pass multiple
CPA 78491 Myocrd img pet 1std rst/strs
CPA 78492 Myocrd img pet mlt rst&strs
78494 Heart image spect
78496 Heart first pass add-on
78499 Cardiovascular nuclear exam
78579 Lung ventilation imaging
78580 Lung perfusion imaging
78582 Lung ventilat&perfus imaging
78597 Lung perfusion differential
78598 Lung perf&ventilat diferentl
78599 Respiratory nuclear exam
78600 Brain image < 4 views
78601 Brain image w/flow < 4 views
78605 Brain image 4+ views
78606 Brain image w/flow 4 + views
CPA 78608 Brain imaging (PET)
78609 Brain imaging (PET)
78610 Brain flow imaging only
78630 Cerebrospinal fluid scan
78635 CSF ventriculography
78645 CSF shunt evaluation
78650 CSF leakage imaging
78660 Nuclear exam of tear flow
78699 Nervous system nuclear exam
78700 Kidney imaging morphol
78701 Kidney imaging with flow
78707 K flow/funct image w/o drug
78708 K flow/funct image w/drug
78709 K flow/funct image multiple
78725 Kidney function study
78730 Urinary bladder retention
78740 Ureteral reflux study
78761 Testicular imaging w/flow
78799 Genitourinary nuclear exam
78800 Rp loclzj tum 1 area 1 d img
78801 Rp loclzj tum 2+area 1+d img
78802 Rp loclzj tum whbdy 1 d img
78803 Rp loclzj tum spect 1 area
78804 Rp loclzj tum whbdy 2+d img
78808 Iv inj ra drug dx study
CPA 78811 Pet image ltd area
CPA 78812 Pet image skull-thigh
CPA 78813 Pet image full body
CPA 78814 Pet image w/ct lmtd
CPA 78815 Pet image w/ct skull-thigh
CPA 78816 Pet image w/ct full body
CPA 78830 Rp loclzj tum spect w/ct 1
CPA 78831 Rp loclzj tum spect 2 areas
CPA 78832 Rp loclzj tum spect w/ct 2
78835 Rp quan meas single area
78999 Nuclear diagnostic exam
79005 Nuclear rx oral admin
79101 Nuclear rx iv admin
79200 Nuclear rx intracav admin
79300 Nuclr rx interstit colloid
PA 79403 Hematopoietic nuclear tx
79440 Nuclear rx intra-articular
79445 Nuclear rx intra-arterial
79999 Nuclear medicine therapy
80047 Metabolic panel ionized ca
80048 Metabolic panel total ca
80050 General health panel
80051 Electrolyte panel
80053 Comprehen metabolic panel
80055 Obstetric panel
80061 Lipid panel
80069 Renal function panel
80074 Acute hepatitis panel
80076 Hepatic function panel
80081 Obstetric panel
80143 Drug assay acetaminophen
80145 Drug assay adalimumab
80150 Assay of amikacin
80151 Drug assay amiodarone
80155 Drug screen quant caffeine
80156 Assay carbamazepine total
80157 Assay carbamazepine free
80158 Assay of cyclosporine
80159 Drug screen quant clozapine
80161 Asy carbamazepin 10,11-epxid
80162 Assay of digoxin
80163 Assay of digoxin free
80164 Assay dipropylacetic acid
80165 Dipropylacetic acid free
80167 Drug assay felbamate
80168 Assay of ethosuximide
80169 Drug screen quant everolimus
80170 Assay of gentamicin
80171 Drug screen quant gabapentin
80173 Assay of haloperidol
80175 Drug screen quan lamotrigine
80176 Assay of lidocaine
80177 Drug scrn quan levetiracetam
80178 Assay of lithium
80179 Drug assay salicylate
80180 Drug scrn quan mycophenolate
80181 Drug assay flecainide
80183 Drug scrn quant oxcarbazepin
80184 Assay of phenobarbital
80185 Assay of phenytoin total
80186 Assay of phenytoin free
80187 Drug assay posaconazole
80188 Assay of primidone
80189 Drug assay itraconzaole
80190 Assay of procainamide
80192 Assay of procainamide
80193 Drug assay leflunomide
80194 Assay of quinidine
80195 Assay of sirolimus
80197 Assay of tacrolimus
80198 Assay of theophylline
80199 Drug screen quant tiagabine
80200 Assay of tobramycin
80201 Assay of topiramate
80202 Assay of vancomycin
80203 Drug screen quant zonisamide
80204 Drug assay methotrexate
80210 Drug assay rufinamide
80220 Drug asy hydroxychloroquine
80230 Drug assay infliximab
80235 Drug assay lacosamide
80280 Drug assay vedolizumab
80285 Drug assay voriconazole
80299 Quantitative assay drug
80305 Drug test prsmv dir opt obs
80306 Drug test prsmv instrmnt
80307 Drug test prsmv chem anlyzr
80320 Drug screen quantalcohols
80321 Alcohols biomarkers 1or 2
80322 Alcohols biomarkers 3/more
80323 Alkaloids nos
80324 Drug screen amphetamines 1/2
80325 Amphetamines 3or 4
80326 Amphetamines 5 or more
80327 Anabolic steroid 1 or 2
80328 Anabolic steroid 3 or more
80329 Analgesics non-opioid 1 or 2
80330 Analgesics non-opioid 3-5
80331 Analgesics non-opioid 6/more
80332 Antidepressants class 1 or 2
80333 Antidepressants class 3-5
80334 Antidepressants class 6/more
80335 Antidepressant tricyclic 1/2
80336 Antidepressant tricyclic 3-5
80337 Tricyclic & cyclicals 6/more
80338 Antidepressant not specified
80339 Antiepileptics nos 1-3
80340 Antiepileptics nos 4-6
80341 Antiepileptics nos 7/more
80342 Antipsychotics nos 1-3
80343 Antipsychotics nos 4-6
80344 Antipsychotics nos 7/more
80345 Drug screening barbiturates
80346 Benzodiazepines1-12
80347 Benzodiazepines 13 or more
80348 Drug screening buprenorphine
80349 Cannabinoids natural
80350 Cannabinoids synthetic 1-3
80351 Cannabinoids synthetic 4-6
80352 Cannabinoid synthetic 7/more
80353 Drug screening cocaine
80354 Drug screening fentanyl
80355 Gabapentin non-blood
80356 Heroin metabolite
80357 Ketamine and norketamine
80358 Drug screening methadone
80359 Methylenedioxyamphetamines
80360 Methylphenidate
80361 Opiates 1 or more
80362 Opioids & opiate analogs 1/2
80363 Opioids & opiate analogs 3/4
80364 Opioid &opiate analog 5/more
80365 Drug screening oxycodone
80366 Drug screening pregabalin
80367 Drug screening propoxyphene
80368 Sedative hypnotics
80369 Skeletal muscle relaxant 1/2
80370 Skel musc relaxant 3 or more
80371 Stimulants synthetic
80372 Drug screening tapentadol
80373 Drug screening tramadol
80374 Stereoisomer analysis
80375 Drug/substance nos 1-3
80376 Drug/substance nos 4-6
80377 Drug/substance nos 7/more
80400 Acth stimulation panel
80408 Aldosterone suppression eval
80410 Calcitonin stimul panel
80412 CRH stimulation panel
80414 Testosterone response
80415 Estradiol response panel
80416 Renin stimulation panel
80417 Renin stimulation panel
80418 Pituitary evaluation panel
80420 Dexamethasone panel
80422 Glucagon tolerance panel
80424 Glucagon tolerance panel
80426 Gonadotropin hormone panel
80428 Growth hormone panel
80430 Growth hormone panel
80432 Insulin suppression panel
80434 Insulin tolerance panel
80435 Insulin tolerance panel
80436 Metyrapone panel
80438 TRH stimulation panel
80439 TRH stimulation panel
80503 Path clin consltj sf 5-20
80504 Path clin consltj mod 21-40
80505 Path clin consltj high 41-60
80506 Path clin consltj prolng svc
81000 Urinalysis nonauto w/scope
81001 Urinalysis auto w/scope
81002 Urinalysis nonauto w/o scope
81003 Urinalysis auto w/o scope
81005 Urinalysis
81007 Urine screen for bacteria
81015 Microscopic exam of urine
81020 Urinalysis glass test
81025 Urine pregnancy test
81050 Urinalysis volume measure
81099 Urinalysis test procedure
L 81105 Hpa-1 genotyping
L 81120 Idh1 common variants
L 81121 Idh2 common variants
81161 DMD dup/delet analysis
L/EPA/PA 81162 Brca1&2 seq & full dup/del
L/EPA/PA 81163 Brca1&2 gene full seq alys
L/EPA/PA 81164 Brca1&2 gen ful dup/del alys
L/EPA/PA 81165 Brca1 gene full seq alys
L/EPA/PA 81166 Brca1 gene full dup/del alys
L/EPA/PA 81167 Brca2 gene full dup/del alys
PA 81168 Ccnd1/igh translocation alys
PA 81170 Abl1 gene
L/PA 81171 Aff2 gene detc abnor alleles
L/PA 81172 Aff2 gene charac alleles
L/PA 81173 Ar gene full gene sequence
L/PA 81174 Ar gene known famil variant
PA 81175 Asxl1 full gene sequence
PA 81176 Asxl1 gene target seq alys
L/PA 81177 Atn1 gene detc abnor alleles
L/PA 81178 Atxn1 gene detc abnor allele
L/PA 81182 Atxn8os gen detc abnor allel
L/PA 81183 Atxn10 gene detc abnor allel
L/PA 81184 Cacna1a gen detc abnor allel
L/PA 81185 Cacna1a gene full gene seq
L/PA 81186 Cacna1a gen known famil vrnt
L/PA 81187 Cnbp gene detc abnor allele
L/PA 81188 Cstb gene detc abnor allele
L/PA 81189 Cstb gene full gene sequence
L/PA 81190 Cstb gene known famil vrnt
PA 81191 Ntrk1 translocation analysis
PA 81194 Ntrk translocation analysis
L 81200 Aspa gene
PA 81201 Apc gene full sequence
PA 81202 Apc gene known fam variants
PA 81203 Apc gene dup/delet variants
L/PA 81204 Ar gene charac alleles
PA 81205 Bckdhb gene
81206 Bcr/abl1 gene major bp
81207 Bcr/abl1 gene minor bp
81208 Bcr/abl1 gene other bp
PA 81209 Blm gene
81210 Braf gene
PA 81211 Brca1&2 seq & com dup/del
L/EPA/PA 81212 Brca1&2 185&5385&6174 var
PA 81213 Brca1&2 uncom dup/del var
PA 81214 Brca1 full seq & com dup/del
L/EPA/PA 81215 Brca1 gene known fam variant
L/EPA/PA 81216 Brca2 gene full sequence
L/EPA/PA 81217 Brca2 gene known fam variant
PA 81218 Cebpa gene full sequence
81219 Calr gene com variants
L 81220 Cftr gene com variants
L/PA 81221 Cftr gene known fam variants
L/PA 81222 Cftr gene dup/delet variants
L/PA 81223 Cftr gene full sequence
L/PA 81224 Cftr gene intron poly t
L/PA 81225 Cyp2c19 gene com variants
L/PA 81226 Cyp2d6 gene com variants
L/PA 81227 Cyp2c9 gene com variants
L/PA 81228 Cytogen micrarray copy nmbr
L/PA 81229 Cytogen m array copy no&snp
81230 Cyp3a4 gene common variants
81231 Cyp3a5 gene common variants
81232 Dpyd gene common variants
L/PA 81233 Btk gene common variants
L/PA 81234 Dmpk gene detc abnor allele
L 81235 Egfr gene com variants
PA 81236 Ezh2 gene full gene sequence
PA 81237 Ezh2 gene common variants
L 81238 F9 full gene sequence
L/PA 81239 Dmpk gene charac alleles
L 81240 F2 gene
L 81241 F5 gene
L/PA 81242 Fancc gene
L/PA 81243 Fmr1 gene detection
L/PA 81244 Fmr1 gene characterization
L 81245 Flt3 gene
PA 81246 Flt3 gene analysis
L 81247 G6pd gene alys cmn variant
L 81248 G6pd known familial variant
L 81249 G6pd full gene sequence
PA 81250 G6pc gene
PA 81251 Gba gene
PA 81252 Gjb2 gene full sequence
PA 81253 Gjb2 gene known fam variants
PA 81254 Gjb6 gene com variants
PA 81255 Hexa gene
L 81256 Hfe gene
81257 Hba1/hba2 gene
L 81258 Hba1/hba2 gene fam vrnt
L 81259 Hba1/hba2 full gene sequence
L/PA 81260 Ikbkap gene
L 81261 Igh gene rearrange amp meth
L 81262 Igh gene rearrang dir probe
L 81263 Igh vari regional mutation
L 81264 Igk rearrangeabn clonal pop
81265 Str markers specimen anal
81266 Str markers spec anal addl
81267 Chimerism anal no cell selec
81268 Chimerism anal w/cell select
L 81269 Hba1/hba2 gene dup/del vrnts
L 81270 Jak2 gene
L/PA 81271 Htt gene detc abnor alleles
PA 81272 Kit gene targeted seq analys
81273 Kit gene analys d816 variant
L/PA 81274 Htt gene charac alleles
L 81275 Kras gene
81276 Kras gene addl variants
PA 81277 Cytogenomic neo microra alys
PA 81278 Igh@/bcl2 translocation alys
PA 81279 Jak2 gene trgt sequence alys
L 81283 Ifnl3 gene
L/PA 81284 Fxn gene detc abnor alleles
L/PA 81285 Fxn gene charac alleles
L/PA 81286 Fxn gene full gene sequence
81287 Mgmt gene methylation anal
PA 81288 Mlh1 gene
L/PA 81289 Fxn gene known famil variant
L/PA 81290 Mcoln1 gene
81291 Mthfr gene
L/PA 81292 Mlh1 gene full seq
L/PA 81293 Mlh1 gene known variants
L/PA 81294 Mlh1 gene dup/delete variant
L/PA 81295 Msh2 gene full seq
L/PA 81296 Msh2 gene known variants
L/PA 81297 Msh2 gene dup/delete variant
L/PA 81298 Msh6 gene full seq
L/PA 81299 Msh6 gene known variants
L/PA 81300 Msh6 gene dup/delete variant
81301 Microsatellite instability
L/PA 81302 Mecp2 gene full seq
L/PA 81303 Mecp2 gene known variant
L/PA 81304 Mecp2 gene dup/delet variant
L/PA 81305 Myd88 gene p.leu265pro vrnt
81306 Nudt15 gene common variants
L/PA 81307 Palb2 gene full gene seq
L/PA 81308 Palb2 gene known famil vrnt
PA 81309 Pik3ca gene trgt seq alys
L/PA 81310 Npm1 gene
PA 81311 Nras gene variants exon 2&3
L/PA 81312 Pabpn1 gene detc abnor allel
PA 81313 Pca3/klk3 antigen
81314 Pdgfra gene
PA 81315 Pml/raralpha com breakpoints
L/PA 81316 Pml/raralpha 1 breakpoint
L/PA 81317 Pms2 gene full seq analysis
L/PA 81318 Pms2 known familial variants
L/PA 81319 Pms2 gene dup/delet variants
81320 Plcg2 gene common variants
PA 81321 Pten gene full sequence
PA 81322 Pten gene known fam variant
PA 81323 Pten gene dup/delet variant
L/PA 81324 Pmp22 gene dup/delet
L/PA 81325 Pmp22 gene full sequence
L/PA 81326 Pmp22 gene known fam variant
81327 Sept9 methylation analysis
81328 Slco1b1 gene com variants
L/PA 81329 Smn1 gene dos/deletion alys
81330 Smpd1 gene common variants
81331 Snrpn/ube3a gene
81332 Serpina1 gene
L/PA 81333 Tgfbi gene common variants
L/PA 81334 Runx1 gene targeted seq alys
L 81335 Tpmt gene com variants
L/PA 81336 Smn1 gene full gene sequence
L/PA 81337 Smn1 gen nown famil seq vrnt
PA 81338 Mpl gene common variants
PA 81339 Mpl gene seq alys exon 10
81340 Trb@ gene rearrange amplify
81341 Trb@ gene rearrange dirprobe
81342 Trg gene rearrangement anal
L/PA 81343 Ppp2r2b gen detc abnor allel
L/PA 81344 Tbp gene detc abnor alleles
81345 Tert gene targeted seq alys
81346 Tyms gene com variants
PA 81347 Sf3b1 gene common variants
PA 81348 Srsf2 gene common variants
81349 Cytog alys chrml abnr lw-ps
L/PA 81350 Ugt1a1 gene common variants
81351 Tp53 gene full gene sequence
81352 Tp53 gene trgt sequence alys
81353 Tp53 gene known famil vrnt
81355 Vkorc1 gene
PA 81357 U2af1 gene common variants
PA 81360 Zrsr2 gene common variants
81361 Hbb gene com variants
81362 Hbb gene known fam variant
81363 Hbb gene dup/del variants
L/PA 81364 Hbb full gene sequence
81370 Hla i & ii typing lr
81371 Hla i & ii type verify lr
81372 Hla i typing complete lr
81373 Hla i typing 1 locus lr
81374 Hla i typing 1 antigen lr
81375 Hla ii typing ag equiv lr
81376 Hla ii typing 1 locus lr
81377 Hla ii type 1 ag equiv lr
81378 Hla i & ii typing hr
81379 Hla i typing complete hr
81380 Hla i typing 1 locus hr
81381 Hla i typing 1 allele hr
81382 Hla ii typing 1 loc hr
81383 Hla ii typing 1 allele hr
81400 Mopath procedure level 1
PA 81403 Mopath procedure level 4
PA 81410 Aortic dysfunction/dilation
PA 81411 Aortic dysfunction/dilation
L/PA 81412 Ashkenazi jewish assoc dis
81413 Car ion chnnlpath inc 10 gns
81414 Car ion chnnlpath inc 2 gns
PA 81415 Exome sequence analysis
PA 81416 Exome sequence analysis
PA 81417 Exome re-evaluation
PA 81418 Rx metab gen seq alys pnl 6
81419 Epilepsy gen seq alys panel
EPA 81420 Fetal chrmoml aneuploidy
81422 Fetal chrmoml microdeltj
PA 81425 Genome sequence analysis
PA 81426 Genome sequence analysis
PA 81427 Genome re-evaluation
PA 81430 Hearing loss sequence analys
PA 81431 Hearing loss dup/del analys
81432 Hrdtry brst ca-rlatd dsordrs
81433 Hrdtry brst ca-rlatd dsordrs
81434 Hereditary retinal disorders
PA 81435 Hereditary colon cancer
PA 81436 Hereditary colon ca synd
81437 Heredtry nurondcrn tum dsrdr
81438 Heredtry nurondcrn tum dsrdr
81439 Inherited cardmypthy 5 gns
PA 81440 Mitochondrial gene
PA 81441 Ibmfs seq alys pnl 30 genes
81442 Noonan spectrum disorders
L/PA 81443 Genetic tstg severe inh cond
PA 81445 Targeted genomic seq analys
L/PA 81448 Hrdtry perph neurphy panel
PA 81449 Tgsap so neo 5-50 rna alys
PA/EPA 81451 Tgsap hl neo 5-50 rna alys
PA/EPA 81456 Tgsap so/hl 51/< rna alys
PA 81460 Whole mitochondrial genome
PA 81465 Whole mitochondrial genome
PA 81470 X-linked intellectual dblt
PA 81471 X-linked intellectual dblt
L/PA/EPA 81479 Unlisted molecular pathology
81490 Autoimmune rheumatoid arthr
81493 Cor artery disease mrna
81500 Onco (ovar) two proteins
81503 Onco (ovar) five proteins
81504 Oncology tissue of origin
81506 Endo assay seven anal
EPA 81507 Fetal aneuploidy trisom risk
81508 Ftl cgen abnor two proteins
81509 Ftl cgen abnor 3 proteins
81510 Ftl cgen abnor three anal
81511 Ftl cgen abnor four anal
81512 Ftl cgen abnor five anal
81513 Nfct ds bv rna vag flu alg
81514 Nfct ds bv&vaginitis dna alg
PA 81518 Onc brst mrna 11 genes
L/PA/EPA 81519 Oncology breast mrna
L/PA/EPA 81520 Onc breast mrna 58 genes
L/PA/EPA 81521 Onc breast mrna 70 genes
PA 81522 Onc breast mrna 12 genes
EPA 81523 Onc brst mrna 70 cnt 31 gene
81525 Oncology colon mrna
81528 Oncology colorectal scr
81529 Onc cutan mlnma mrna 31 gene
81535 Oncology gynecologic
81536 Oncology gynecologic
81538 Oncology lung
81539 Oncology prostate prob score
81540 Oncology tum unknown origin
L/PA/EPA 81541 Onc prostate mrna 46 genes
PA 81542 Onc prostate mrna 22 cnt gen
PA/EPA 81546 Onc thyr mrna 10,196 gen alg
81551 Onc prostate 3 genes
PA 81552 Onc uveal mlnma mrna 15 gene
81554 Pulm ds ipf mrna 190 gen alg
81560 Trnsplj pd lvr&bwl cd154+cll
81595 Cardiology hrt trnspl mrna
81596 Nfct ds chrnc hcv 6 assays
L/PA/EPA 81599 Unlisted maaa
82009 Test for acetone/ketones
82010 Acetone assay
82013 Acetylcholinesterase assay
82016 Acylcarnitines qual
82017 Acylcarnitines quant
82024 Assay of acth
82030 Assay of adp & amp
82040 Assay of serum albumin
82042 Assay of urine albumin
82043 Microalbumin quantitative
82044 Microalbumin semiquant
82045 Albumin ischemia modified
L 82075 Assay of breath ethanol
82077 Assay spec xcp ur&breath ia
82085 Assay of aldolase
82088 Assay of aldosterone
82103 Alpha-1-antitrypsin total
82104 Alpha-1-antitrypsin pheno
82105 Alpha-fetoprotein serum
82106 Alpha-fetoprotein amniotic
82107 Alpha-fetoprotein l3
82108 Assay of aluminum
82120 Amines vaginal fluid qual
82127 Amino acid single qual
82128 Amino acids mult qual
82131 Amino acids single quant
82135 Assay aminolevulinic acid
82136 Amino acids quant 2-5
82139 Amino acids quan 6 or more
82140 Assay of ammonia
82143 Amniotic fluid scan
82150 Assay of amylase
82154 Androstanediol glucuronide
82157 Assay of androstenedione
82160 Assay of androsterone
82163 Assay of angiotensin II
82164 Angiotensin I enzyme test
82172 Assay of apolipoprotein
82175 Assay of arsenic
82180 Assay of ascorbic acid
82190 Atomic absorption
82232 Assay of beta-2 protein
82239 Bile acids total
82240 Bile acids cholylglycine
82247 Bilirubin total
82248 Bilirubin direct
82252 Fecal bilirubin test
82261 Assay of biotinidase
82270 Occult blood feces
82271 Occult blood other sources
82272 Occult bld feces 1-3 tests
82274 Assay test for blood fecal
82286 Assay of bradykinin
82300 Assay of cadmium
L 82306 Vitamin d 25 hydroxy
82308 Assay of calcitonin
82310 Assay of calcium
82330 Assay of calcium
82331 Calcium infusion test
82340 Assay of calcium in urine
82355 Calculus analysis qual
82360 Calculus assay quant
82365 Calculus spectroscopy
82370 X-ray assay calculus
82373 Assay c-d transfer measure
82374 Assay blood carbon dioxide
82375 Assay carboxyhb quant
82376 Assay carboxyhb qual
82378 Carcinoembryonic antigen
82379 Assay of carnitine
82380 Assay of carotene
82382 Assay urine catecholamines
82383 Assay blood catecholamines
82384 Assay three catecholamines
82387 Assay of cathepsin-d
82390 Assay of ceruloplasmin
82397 Chemiluminescent assay
82415 Assay of chloramphenicol
82435 Assay of blood chloride
82436 Assay of urine chloride
82438 Assay other fluid chlorides
82441 Test for chlorohydrocarbons
82465 Assay bld/serum cholesterol
82480 Assay serum cholinesterase
82482 Assay rbc cholinesterase
82485 Assay chondroitin sulfate
82495 Assay of chromium
82507 Assay of citrate
82523 Collagen crosslinks
82525 Assay of copper
82528 Assay of corticosterone
82530 Cortisol free
82533 Total cortisol
82540 Assay of creatine
82542 Column chromotography quant
82550 Assay of ck (cpk)
82552 Assay of cpk in blood
82553 Creatine mb fraction
82554 Creatine isoforms
82565 Assay of creatinine
82570 Assay of urine creatinine
82575 Creatinine clearance test
82585 Assay of cryofibrinogen
82595 Assay of cryoglobulin
82600 Assay of cyanide
82607 Vitamin B-12
82608 B-12 binding capacity
82610 Cystatin c
82615 Test for urine cystines
82626 Dehydroepiandrosterone
82627 Dehydroepiandrosterone
82633 Desoxycorticosterone
82634 Deoxycortisol
82638 Assay of dibucaine number
82642 Dihydrotestosterone (DHT)
L 82652 Vit d 1 25-dihydroxy
82653 El-1 fecal quantitative
82656 Pancreatic elastase fecal
82657 Enzyme cell activity
82658 Enzyme cell activity ra
82664 Electrophoretic test
82668 Assay of erythropoietin
82670 Assay of estradiol
82671 Assay of estrogens
82672 Assay of estrogen
82677 Assay of estriol
82679 Assay of estrone
82681 Assay dir meas fr estradiol
82693 Assay of ethylene glycol
82696 Assay of etiocholanolone
82705 Fats/lipids feces qual
82710 Fats/lipids feces quant
82715 Assay of fecal fat
82725 Assay of blood fatty acids
82726 Long chain fatty acids
82728 Assay of ferritin
L 82731 Assay of fetal fibronectin
82735 Assay of fluoride
82746 Blood folic acid serum
82747 Assay of folic acid rbc
82757 Assay of semen fructose
82759 Assay of rbc galactokinase
82760 Assay of galactose
82775 Assay galactose transferase
82776 Galactose transferase test
82777 Galectin 3
82784 Assay iga/igd/igg/igm each
82785 Assay of ige
82787 Igg 1 2 3 or 4 each
82800 Blood pH
82803 Blood gases any combination
82805 Blood gases w/o2 saturation
82810 Blood gases o2 sat only
82820 Hemoglobin-oxygen affinity
82930 Gastric analy w/ph ea spec
82938 Gastrin test
82941 Assay of gastrin
82943 Assay of glucagon
82945 Glucose other fluid
82946 Glucagon tolerance test
82947 Assay glucose blood quant
82948 Reagent strip/blood glucose
82950 Glucose test
82951 Glucose tolerance test (GTT)
82952 GTT-added samples
82955 Assay of g6pd enzyme
82960 Test for G6PD enzyme
82962 Glucose blood test
82963 Assay of glucosidase
82965 Assay of gdh enzyme
82977 Assay of GGT
82978 Assay of glutathione
82979 Assay rbc glutathione
82985 Glycated protein
83001 Gonadotropin (FSH)
83002 Gonadotropin (LH)
83003 Assay growth hormone (hgh)
PA 83006 Growth stimulation gene 2
83009 H pylori (c-13) blood
83010 Assay of haptoglobin quant
83012 Assay of haptoglobins
83013 H pylori (c-13) breath
83014 H pylori drug admin
83015 Heavy metal screen
83018 Quantitative screen metals
83020 Hemoglobin electrophoresis
83021 Hemoglobin chromotography
83026 Hemoglobin copper sulfate
83030 Fetal hemoglobin chemical
83033 Fetal hemoglobin assay qual
83036 Glycosylated hemoglobin test
83037 Glycosylated hb home device
83045 Blood methemoglobin test
83050 Blood methemoglobin assay
83051 Assay of plasma hemoglobin
83060 Blood sulfhemoglobin assay
83065 Assay of hemoglobin heat
83068 Hemoglobin stability screen
83069 Assay of urine hemoglobin
83070 Assay of hemosiderin qual
83080 Assay of b hexosaminidase
83088 Assay of histamine
83090 Assay of homocystine
83150 Assay of for hva
83491 Assay of corticosteroids
83497 Assay of 5-hiaa
83498 Assay of progesterone
83500 Assay free hydroxyproline
83505 Assay total hydroxyproline
83516 Immunoassay nonantibody
83518 Immunoassay dipstick
83519 Ria nonantibody
83520 Immunoassay quant nos nonab
83521 Ig light chains free each
83525 Assay of insulin
83527 Assay of insulin
83528 Assay of intrinsic factor
83529 Asay of interleukin-6 (il-6)
83540 Assay of iron
83550 Iron binding test
83570 Assay of idh enzyme
83582 Assay of ketogenic steroids
83586 Assay 17- ketosteroids
83593 Fractionation ketosteroids
83605 Assay of lactic acid
83615 Lactate (LD) (LDH) enzyme
83625 Assay of ldh enzymes
83630 Lactoferrin fecal (qual)
83631 Lactoferrin fecal (quant)
83632 Placental lactogen
83633 Test urine for lactose
L 83655 Assay of lead
83661 L/s ratio fetal lung
83662 Foam stability fetal lung
83663 Fluoro polarize fetal lung
83664 Lamellar bdy fetal lung
83670 Assay of lap enzyme
83690 Assay of lipase
83695 Assay of lipoprotein(a)
83698 Assay lipoprotein pla2
83700 Lipopro bld electrophoretic
83701 Lipoprotein bld hr fraction
83704 Lipoprotein bld by nmr
83718 Assay of lipoprotein
83719 Assay of blood lipoprotein
83721 Assay of blood lipoprotein
83722 Lipoprtn dir meas sd ldl chl
83727 Assay of lrh hormone
83735 Assay of magnesium
83775 Assay of md enzyme
83785 Assay of manganese
83789 Mass spectrometry quant
83825 Assay of mercury
83835 Assay of metanephrines
83857 Assay of methemalbumin
83861 Microfluid analy tears
83864 Mucopolysaccharides
83872 Assay synovial fluid mucin
83873 Assay of csf protein
83874 Assay of myoglobin
83876 Assay myeloperoxidase
83880 Natriuretic peptide
83883 Assay nephelometry not spec
83885 Assay of nickel
83915 Assay of nucleotidase
83916 Oligoclonal bands
83918 Organic acids total quant
83919 Organic acids qual each
83921 Organic acid single quant
83930 Assay of blood osmolality
83935 Assay of urine osmolality
83937 Assay of osteocalcin
83945 Assay of oxalate
83950 Oncoprotein her-2/neu
83951 Oncoprotein dcp
83970 Assay of parathormone
83986 Assay ph body fluid nos
83987 Exhaled breath condensate
83992 Assay for phencyclidine
83993 Assay for calprotectin fecal
84030 Assay of blood pku
84035 Assay of phenylketones
84060 Assay acid phosphatase
84066 Assay prostate phosphatase
84075 Assay alkaline phosphatase
84078 Assay alkaline phosphatase
84080 Assay alkaline phosphatases
84081 Amniotic fluid enzyme test
84085 Assay of rbc pg6d enzyme
84087 Assay phosphohexose enzymes
84100 Assay of phosphorus
84105 Assay of urine phosphorus
84106 Test for porphobilinogen
84110 Assay of porphobilinogen
84112 Placenta alpha micro ig c/v
84119 Test urine for porphyrins
84120 Assay of urine porphyrins
84126 Assay of feces porphyrins
84132 Assay of serum potassium
84133 Assay of urine potassium
84134 Assay of prealbumin
84135 Assay of pregnanediol
84138 Assay of pregnanetriol
84140 Assay of pregnenolone
84143 Assay of 17-hydroxypregneno
84145 Procalcitonin (pct)
84146 Assay of prolactin
84150 Assay of prostaglandin
84152 Assay of psa complexed
84153 Assay of psa total
84154 Assay of psa free
84155 Assay of protein serum
84156 Assay of protein urine
84157 Assay of protein other
84160 Assay of protein any source
84163 Pappa serum
84165 Protein e-phoresis serum
84166 Protein e-phoresis/urine/csf
84181 Western blot test
84182 Protein western blot test
84202 Assay RBC protoporphyrin
84203 Test RBC protoporphyrin
84206 Assay of proinsulin
84207 Assay of vitamin b-6
84210 Assay of pyruvate
84220 Assay of pyruvate kinase
84228 Assay of quinine
84233 Assay of estrogen
84235 Assay of endocrine hormone
84238 Assay nonendocrine receptor
84244 Assay of renin
84255 Assay of selenium
84260 Assay of serotonin
84270 Assay of sex hormone globul
84275 Assay of sialic acid
84285 Assay of silica
84295 Assay of serum sodium
84300 Assay of urine sodium
84302 Assay of sweat sodium
84305 Assay of somatomedin
84307 Assay of somatostatin
84311 Spectrophotometry
84315 Body fluid specific gravity
84375 Chromatogram assay sugars
84376 Sugars single qual
84377 Sugars multiple qual
84378 Sugars single quant
84379 Sugars multiple quant
84392 Assay of urine sulfate
PA/EPA 84402 Assay of testosterone
PA/EPA 84403 Assay of total testosterone
PA/EPA 84410 Cytogen m array copy no&snp
84430 Assay of thiocyanate
84431 Thromboxane urine
84432 Assay of thyroglobulin
84433 Asy thiopurin s-mthyltrnsfrs
84436 Assay of total thyroxine
84437 Assay of neonatal thyroxine
84439 Assay of free thyroxine
84442 Assay of thyroid activity
84443 Assay thyroid stim hormone
84445 Assay of tsi
84446 Assay of vitamin e
84449 Assay of transcortin
84450 Transferase (AST) (SGOT)
84460 Alanine amino (ALT) (SGPT)
84466 Assay of transferrin
84478 Assay of triglycerides
84479 Assay of thyroid (t3 or t4)
84480 Assay triiodothyronine (t3)
84481 Free assay (FT-3)
84482 T3 reverse
84484 Assay of troponin quant
84485 Assay duodenal fluid trypsin
84488 Test feces for trypsin
84490 Assay of feces for trypsin
84510 Assay of tyrosine
84512 Assay of troponin qual
84520 Assay of urea nitrogen
84525 Urea nitrogen semi-quant
84540 Assay of urine/urea-n
84545 Urea-N clearance test
84550 Assay of blood/uric acid
84560 Assay of urine/uric acid
84577 Assay of feces/urobilinogen
84578 Test urine urobilinogen
84580 Assay of urine urobilinogen
84583 Assay of urine urobilinogen
84585 Assay of urine vma
84586 Assay of vip
84588 Assay of vasopressin
84590 Assay of vitamin a
84591 Assay of nos vitamin
84597 Assay of vitamin k
84600 Assay of volatiles
84620 Xylose tolerance test
84630 Assay of zinc
84681 Assay of c-peptide
84702 Chorionic gonadotropin test
84703 Chorionic gonadotropin assay
84704 Hcg free betachain test
84830 Ovulation tests
PA 84999 Clinical chemistry test
85002 Bleeding time test
85004 Automated diff wbc count
85007 Bl smear w/diff wbc count
85008 Bl smear w/o diff wbc count
85009 Manual diff wbc count b-coat
85013 Spun microhematocrit
85014 Hematocrit
85018 Hemoglobin
85025 Complete cbc w/auto diff wbc
85027 Complete cbc automated
85032 Manual cell count each
85041 Automated rbc count
85044 Manual reticulocyte count
85045 Automated reticulocyte count
85046 Reticyte/hgb concentrate
85048 Automated leukocyte count
85049 Automated platelet count
85055 Reticulated platelet assay
85060 Blood smear interpretation
85097 Bone marrow interpretation
85130 Chromogenic substrate assay
85170 Blood clot retraction
85175 Blood clot lysis time
85210 Blood clot factor II test
85220 Blood clot factor V test
85230 Blood clot factor VII test
85240 Blood clot factor VIII test
85250 Blood clot factor IX test
85260 Blood clot factor X test
85270 Blood clot factor XI test
85280 Blood clot factor XII test
85290 Blood clot factor XIII test
85291 Blood clot factor XIII test
85292 Blood clot factor assay
85293 Blood clot factor assay
85300 Antithrombin III test
85301 Antithrombin III test
85302 Blood clot inhibitor antigen
85303 Blood clot inhibitor test
85305 Blood clot inhibitor assay
85306 Blood clot inhibitor test
85307 Assay activated protein c
85335 Factor inhibitor test
85337 Thrombomodulin
85345 Coagulation time
85360 Euglobulin lysis
85362 Fibrin degradation products
85366 Fibrinogen test
85370 Fibrinogen test
85378 Fibrin degrade semiquant
85379 Fibrin degradation quant
85380 Fibrin degradation vte
85384 Fibrinogen
85385 Fibrinogen
85390 Fibrinolysins screen
85396 Clotting assay whole blood
85397 Clotting funct activity
85400 Fibrinolytic plasmin
85410 Fibrinolytic antiplasmin
85415 Fibrinolytic plasminogen
85441 Heinz bodies direct
85445 Heinz bodies induced
85460 Hemoglobin fetal
85461 Hemoglobin fetal
85475 Hemolysin
85520 Heparin assay
85525 Heparin neutralization
85530 Heparin-protamine tolerance
85536 Iron stain peripheral blood
85540 Wbc alkaline phosphatase
85547 RBC mechanical fragility
85549 Muramidase
85555 RBC osmotic fragility
85557 RBC osmotic fragility
85576 Blood platelet aggregation
85597 Phospholipid pltlt neutraliz
85598 Hexagnal phosph pltlt neutrl
85610 Prothrombin time
85611 Prothrombin test
85612 Viper venom prothrombin time
85613 Russell viper venom diluted
85635 Reptilase test
85651 Rbc sed rate nonautomated
85652 Rbc sed rate automated
85660 RBC sickle cell test
85670 Thrombin time plasma
85675 Thrombin time titer
85705 Thromboplastin inhibition
85730 Thromboplastin time partial
85732 Thromboplastin time partial
85810 Blood viscosity examination
85999 Hematology procedure
86000 Agglutinins febrile
86001 Allergen specific igg
86003 Allergen specific IgE
86005 Allergen specific IgE
86008 Allg spec ige recomb ea
86015 Actin antibody each
86021 WBC antibody identification
86022 Platelet antibodies
86023 Immunoglobulin assay
86036 Anca screen each antibody
86037 Anca titer each antibody
86038 Antinuclear antibodies
86039 Antinuclear antibodies (ANA)
86051 Aquaporin-4 antb elisa
86052 Aquaporin-4 antb cba each
86053 Aqaprn-4 antb flo cytmtry ea
86060 Antistreptolysin o titer
86063 Antistreptolysin o screen
86077 Physician blood bank service
86140 C-reactive protein
86141 C-reactive protein hs
86146 Glycoprotein antibody
86147 Cardiolipin antibody
86148 Phospholipid antibody
86152 Cell enumeration & id
86153 Cell enumeration phys interp
86155 Chemotaxis assay
86156 Cold agglutinin screen
86157 Cold agglutinin titer
86160 Complement antigen
86161 Complement/function activity
86162 Complement total (ch50)
86171 Complement fixation each
86200 Ccp antibody
86215 Deoxyribonuclease antibody
86225 DNA antibody
86226 Dna antibody single strand
86231 Ema each ig class
86235 Nuclear antigen antibody
86255 Fluorescent antibody screen
86256 Fluorescent antibody titer
86258 Dgp antibody each ig class
86277 Growth hormone antibody
86280 Hemagglutination inhibition
86294 Immunoassay tumor qual
86300 Immunoassay tumor ca 15-3
86301 Immunoassay tumor ca 19-9
86304 Immunoassay tumor ca 125
86305 Human epididymis protein 4
86308 Heterophile antibodies
86316 Immunoassay tumor other
86317 Immunoassay infectious agent
86318 Immunoassay infectious agent
86320 Serum immunoelectrophoresis
86325 Other immunoelectrophoresis
86327 Immunoelectrophoresis assay
86329 Immunodiffusion
86331 Immunodiffusion ouchterlony
86332 Immune complex assay
86334 Immunofix e-phoresis serum
86335 Immunfix e-phorsis/urine/csf
86336 Inhibin A
86337 Insulin antibodies
86340 Intrinsic factor antibody
86341 Islet cell antibody
86343 Leukocyte histamine release
86344 Leukocyte phagocytosis
86352 Cell function assay w/stim
86353 Lymphocyte transformation
86355 B cells total count
86356 Mononuclear cell antigen
86357 Nk cells total count
86359 T cells total count
86360 T cell absolute count/ratio
86361 T cell absolute count
86362 Mog-igg1 antb cba each
86363 Mog-igg1 antb flo cytmtry ea
86364 Tiss trnsgltmnase ea ig clas
86367 Stem cells total count
86376 Microsomal antibody
86381 Mitochondrial antibody each
86382 Neutralization test viral
86384 Nitroblue tetrazolium dye
86386 Nuclear matrix protein 22
86403 Particle agglutination test
86406 Particle agglutination test
86430 Rheumatoid factor test
86431 Rheumatoid factor quant
PA/EPA 86480 Tb test, cell immun measure
PA/EPA 86481 Tb ag response t-cell susp
86485 Skin test candida
86486 Skin test nos antigen
86490 Coccidioidomycosis skin test
86510 Histoplasmosis skin test
86580 TB intradermal test
86590 Streptokinase antibody
86592 Syphilis test non-trep qual
86593 Syphilis test non-trep quant
86596 Voltage-gtd ca chnl antb ea
86602 Antinomyces antibody
86603 Adenovirus antibody
86606 Aspergillus antibody
86609 Bacterium antibody
86611 Bartonella antibody
86612 Blastomyces antibody
86615 Bordetella antibody
86617 Lyme disease antibody
86618 Lyme disease antibody
86619 Borrelia antibody
86622 Brucella antibody
86625 Campylobacter antibody
86628 Candida antibody
86631 Chlamydia antibody
86632 Chlamydia igm antibody
86635 Coccidioides antibody
86638 Q fever antibody
86641 Cryptococcus antibody
86644 CMV antibody
86645 Cmv antibody igm
86648 Diphtheria antibody
86651 Encephalitis antibody
86658 Enterovirus antibody
86663 Epstein-barr antibody
86666 Ehrlichia antibody
86668 Francisella tularensis
86671 Fungus antibody
86674 Giardia lamblia antibody
86677 Helicobacter pylori
86682 Helminth antibody
86684 Hemophilus influenza
86687 Htlv-i antibody
86688 Htlv-ii antibody
86689 HTLV/HIV confirmatory test
86692 Hepatitis delta agent
86694 Herpes simplex test
86695 Herpes simplex test
86696 Herpes simplex type 2
86698 Histoplasma
86701 HIV-1
86702 HIV-2
86703 Hiv-1/hiv-2 single result
86704 Hep b core antibody total
86705 Hep b core antibody igm
86706 Hep b surface antibody
86707 Hep be antibody
86708 Hep a antibody total
86709 Hep a antibody igm
86710 Influenza virus antibody
86711 John cunningham antibody
86713 Legionella antibody
86717 Leishmania antibody
86720 Leptospira antibody
86723 Listeria monocytogenes ab
86727 Lymph choriomeningitis ab
86732 Mucormycosis antibody
86735 Mumps antibody
86738 Mycoplasma antibody
86741 Neisseria meningitidis
86744 Nocardia antibody
86747 Parvovirus antibody
86750 Malaria antibody
86753 Protozoa antibody nos
86756 Respiratory virus antibody
86757 Rickettsia antibody
86759 Rotavirus antibody
86762 Rubella antibody
86765 Rubeola antibody
86768 Salmonella antibody
86771 Shigella antibody
86774 Tetanus antibody
86777 Toxoplasma antibody
86778 Toxoplasma antibody igm
86780 Treponema pallidum
86784 Trichinella antibody
86787 Varicella-zoster antibody
86788 West nile virus ab igm
86789 West nile virus antibody
86790 Virus antibody nos
86793 Yersinia antibody
86794 Antibody; Zika virus, IgM
86800 Thyroglobulin antibody
86803 Hepatitis c ab test
86804 Hep c ab test confirm
86805 Lymphocytotoxicity assay
86806 Lymphocytotoxicity assay
86807 Cytotoxic antibody screening
86808 Cytotoxic antibody screening
L 86812 Hla typing a b or c
L 86813 Hla typing a b or c
L 86816 Hla typing dr/dq
L 86817 Hla typing dr/dq
L 86821 Lymphocyte culture mixed
86825 Hla x-math non-cytotoxic
86826 Hla x-match noncytotoxc addl
L 86828 Hla class i&ii antibody qual
L 86829 Hla class i/ii antibody qual
PA 86830 Hla class i phenotype qual
PA 86831 Hla class ii phenotype qual
L 86832 Hla class i high defin qual
L 86833 Hla class ii high defin qual
L 86834 Hla class i semiquant panel
L 86835 Hla class ii semiquant panel
86849 Immunology procedure
86850 RBC antibody screen
86860 RBC antibody elution
86870 RBC antibody identification
86880 Coombs test direct
86885 Coombs test indirect qual
86886 Coombs test indirect titer
86890 Autologous blood process
86891 Autologous blood op salvage
86900 Blood typing abo
86901 Blood typing rh (d)
86902 Blood type antigen donor ea
86904 Blood typing patient serum
86905 Blood typing rbc antigens
86906 Blood typing rh phenotype
86910 Blood typing paternity test
86911 Blood typing antigen system
86920 Compatibility test spin
86921 Compatibility test incubate
86922 Compatibility test antiglob
86923 Compatibility test electric
86927 Plasma fresh frozen
86930 Frozen blood prep
86931 Frozen blood thaw
86932 Frozen blood freeze/thaw
86940 Hemolysins/agglutinins auto
86941 Hemolysins/agglutinins
86945 Blood product/irradiation
86950 Leukacyte transfusion
86960 Vol reduction of blood/prod
86965 Pooling blood platelets
86970 RBC pretreatment
86975 Rbc pretreatment serum
86985 Split blood or products
86999 Transfusion procedure
87003 Small animal inoculation
87015 Specimen concentration
87040 Blood culture for bacteria
87045 Feces culture bacteria
87046 Stool cultr bacteria each
87070 Culture bacteria other
87071 Culture bacteri aerobic othr
87073 Culture bacteria anaerobic
87075 Cultr bacteria except blood
87076 Culture anaerobe ident each
87077 Culture aerobic identify
87081 Culture screen only
87084 Culture of specimen by kit
87086 Urine culture/colony count
87088 Urine bacteria culture
87101 Skin fungi culture
87102 Fungus isolation culture
87103 Blood fungus culture
87106 Fungi identification yeast
87107 Fungi identification mold
87109 Mycoplasma
87110 Chlamydia culture
87116 Mycobacteria culture
87118 Mycobacteric identification
87140 Culture type immunofluoresc
87143 Culture typing glc/hplc
87147 Culture type immunologic
87149 Dna/rna direct probe
87150 Dna/rna amplified probe
87152 Culture type pulse field gel
87153 Dna/rna sequencing
87154 Cul typ id bld pthgn 6+ trgt
87158 Culture typing added method
87164 Dark field examination
87166 Dark field examination
87168 Macroscopic exam arthropod
87169 Macroscopic exam parasite
87172 Pinworm exam
87176 Tissue homogenization cultr
87177 Ova and parasites smears
87181 Microbe susceptible diffuse
87184 Microbe susceptible disk
87185 Microbe susceptible enzyme
87186 Microbe susceptible mic
87187 Microbe susceptible mlc
87188 Microbe suscept macrobroth
87190 Microbe suscept mycobacteri
87197 Bactericidal level serum
87205 Smear gram stain
87206 Smear fluorescent/acid stai
87207 Smear special stain
87209 Smear complex stain
87210 Smear wet mount saline/ink
87220 Tissue exam for fungi
87230 Assay toxin or antitoxin
87250 Virus inoculate eggs/animal
87252 Virus inoculation tissue
87253 Virus inoculate tissue addl
87254 Virus inoculation shell via
87255 Genet virus isolate hsv
87260 Adenovirus ag if
87265 Pertussis ag if
87267 Enterovirus antibody dfa
87269 Giardia ag if
87270 Chlamydia trachomatis ag if
87271 Cytomegalovirus dfa
87272 Cryptosporidium ag if
87273 Herpes simplex 2 ag if
87274 Herpes simplex 1 ag if
87275 Influenza b ag if
87276 Influenza a ag if
87278 Legion pneumophilia ag if
87279 Parainfluenza ag if
87280 Respiratory syncytial ag if
87281 Pneumocystis carinii ag if
87283 Rubeola ag if
87285 Treponema pallidum ag if
87290 Varicella zoster ag if
87299 Antibody detection nos if
87300 Ag detection polyval if
87301 Adenovirus ag eia
87305 Aspergillus ag eia
87320 Chylmd trach ag eia
87324 Clostridium ag eia
87327 Cryptococcus neoform ag eia
87328 Cryptosporidium ag eia
87329 Giardia ag eia
87332 Cytomegalovirus ag eia
87335 E coli 0157 ag eia
87336 Entamoeb hist dispr ag eia
87337 Entamoeb hist group ag eia
87338 Hpylori stool eia
87339 H pylori ag eia
87340 Hepatitis b surface ag eia
87341 Hepatitis b surface ag eia
87350 Hepatitis be ag eia
87380 Hepatitis delta ag eia
87385 Histoplasma capsul ag eia
87389 Hiv-1 ag w/hiv-1 & hiv-2 ab
87390 Hiv-1 ag eia
87391 Hiv-2 ag eia
87400 Influenza a/b ag eia
87420 Resp syncytial ag eia
87425 Rotavirus ag eia
87427 Shiga-like toxin ag eia
87430 Strep a ag eia
87449 Ag detect nos eia mult
87451 Ag detect polyval eia mult
PA/EPA 87467 Hepatitis b surface ag quan
87468 Anaplsma phgcytophlm amp prb
87469 Babesia microti amp prb
87471 Bartonella dna amp probe
87472 Bartonella dna quant
87475 Lyme dis dna dir probe
87476 Lyme dis dna amp probe
87478 Borrelia miyamotoi amp prb
87480 Candida dna dir probe
87481 Candida dna amp probe
87482 Candida dna quant
87483 Cns dna amp probe type 12-25
87484 Ehrlicha chaffeensis amp prb
87485 Chylmd pneum dna dir probe
87486 Chylmd pneum dna amp probe
87487 Chylmd pneum dna quant
87490 Chylmd trach dna dir probe
87491 Chylmd trach dna amp probe
87492 Chylmd trach dna quant
87493 C diff amplified probe
87495 Cytomeg dna dir probe
87496 Cytomeg dna amp probe
87497 Cytomeg dna quant
87498 Enterovirus dna amp probe
87500 Vanomycin dna amp probe
87501 Influenza dna amp prob 1+
87502 Influenza dna amp probe
87503 Influenza dna amp prob addl
87505 Nfct agent detection gi
87506 Iadna-dna/rna probe tq 6-11
PA 87507 Iadna-dna/rna probe tq 12-25
87510 Gardner vag dna dir probe
87511 Gardner vag dna amp probe
87512 Gardner vag dna quant
87516 Hepatitis b dna amp probe
87517 Hepatitis b dna quant
87520 Hepatitis c rna dir probe
87521 Hepatitis c rna amp probe
87522 Hepatitis c rna quant
87525 Hepatitis g dna dir probe
87526 Hepatitis g dna amp probe
87527 Hepatitis g dna quant
87528 Hsv dna dir probe
87529 Hsv dna amp probe
87530 Hsv dna quant
87531 Hhv-6 dna dir probe
87532 Hhv-6 dna amp probe
87533 Hhv-6 dna quant
L 87534 Hiv-1 dna dir probe
L 87535 Hiv-1 dna amp probe
L 87536 Hiv-1 dna quant
L 87537 Hiv-2 dna dir probe
L 87538 Hiv-2 dna amp probe
L 87539 Hiv-2 dna quant
87540 Legion pneumo dna dir prob
87541 Legion pneumo dna amp prob
87542 Legion pneumo dna quant
87550 Mycobacteria dna dir probe
87551 Mycobacteria dna amp probe
87552 Mycobacteria dna quant
87555 M.tuberculo dna dir probe
87556 M.tuberculo dna amp probe
87557 M.tuberculo dna quant
87560 M.avium-intra dna dir prob
87561 M.avium-intra dna amp prob
87562 M.avium-intra dna quant
87563 M. genitalium amp probe
87580 M.pneumon dna dir probe
87581 M.pneumon dna amp probe
87582 M.pneumon dna quant
87590 N.gonorrhoeae dna dir prob
87591 N.gonorrhoeae dna amp prob
87592 N.gonorrhoeae dna quant
87593 Orthopoxvirus amp prb each
87623 Hpv low-risk types
87624 Hpv high-risk types
PA/EPA 87625 Hpv types 16 & 18 only
87631 Resp virus 3-11 targets
87634 Rsv dna/rna amp probe
87640 Staph a dna amp probe
87641 Mr-staph dna amp probe
87650 Strep a dna dir probe
87651 Strep a dna amp probe
87652 Strep a dna quant
87653 Strep b dna amp probe
87660 Trichomonas vagin dir probe
87661 TRICHOMONAS VAGINALIS AMPLIF
87662 Zika virus dna/rna amp probe
87797 Detect agent nos dna dir
87798 Detect agent nos dna amp
87799 Detect agent nos dna quant
87800 Detect agnt mult dna direc
87801 Detect agnt mult dna ampli
87802 Strep b assay w/optic
87803 Clostridium toxin a w/optic
87804 Influenza assay w/optic
87806 Hiv antigen w/hiv antibodies
87807 Rsv assay w/optic
87808 Trichomonas assay w/optic
87809 Adenovirus assay w/optic
87810 Chylmd trach assay w/optic
87850 N. gonorrhoeae assay w/optic
87880 Strep a assay w/optic
87899 Agent nos assay w/optic
87900 Phenotype infect agent drug
87901 Genotype dna hiv reverse t
87902 Genotype dna hepatitis c
87903 Phenotype dna hiv w/culture
87904 Phenotype dna hiv w/clt add
87905 Sialidase enzyme assay
87906 Genotype dna hiv reverse t
87910 Genotype cytomegalovirus
87912 Genotype dna hepatitis b
PA 87999 Microbiology procedure
88000 Autopsy (necropsy) gross
88020 Autopsy (necropsy) complete
88036 Limited autopsy
88037 Limited autopsy
88040 Forensic autopsy (necropsy)
88045 Coroners autopsy (necropsy)
88099 Necropsy (autopsy) procedure
88104 Cytopath fl nongyn smears
88106 Cytopath fl nongyn filter
88108 Cytopath concentrate tech
88112 Cytopath cell enhance tech
88120 Cytp urne 3-5 probes ea spec
88121 Cytp urine 3-5 probes cmptr
88125 Forensic cytopathology
88130 Sex chromatin identification
88140 Sex chromatin identification
88141 Cytopath c/v interpret
88142 Cytopath c/v thin layer
88143 Cytopath c/v thin layer redo
L 88147 Cytopath c/v automated
L 88148 Cytopath c/v auto rescreen
L 88150 Cytopath c/v manual
L 88152 Cytopath c/v auto redo
L 88153 Cytopath c/v redo
88155 Cytopath c/v index add-on
88160 Cytopath smear other source
L 88164 Cytopath tbs c/v manual
L 88165 Cytopath tbs c/v redo
L 88166 Cytopath tbs c/v auto redo
L 88167 Cytopath tbs c/v select
88172 Cytp dx eval fna 1st ea site
88173 Cytopath eval fna report
88174 Cytopath c/v auto in fluid
88175 Cytopath c/v auto fluid redo
88177 Cytp fna eval ea addl
88182 Cell marker study
88184 Flowcytometry/ tc 1 marker
88185 Flowcytometry/tc add-on
88187 Flowcytometry/read 2-8
88188 Flowcytometry/read 9-15
88189 Flowcytometry/read 16 & >
88199 Cytopathology procedure
88230 Tissue culture lymphocyte
88233 Tissue culture skin/biopsy
88235 Tissue culture placenta
88237 Tissue culture bone marrow
88239 Tissue culture tumor
88240 Cell cryopreserve/storage
88241 Frozen cell preparation
88245 Chromosome analysis 20-25
88249 Chromosome analysis 100
88267 Chromosome analys placenta
88269 Chromosome analys amniotic
88271 Cytogenetics dna probe
88272 Cytogenetics 3-5
88280 Chromosome karyotype study
88283 Chromosome banding study
88285 Chromosome count additional
88289 Chromosome study additional
88291 Cyto/molecular report
88299 Cytogenetic study
88300 Surgical path gross
88302 Tissue exam by pathologist
88311 Decalcify tissue
88312 Special stains group 1
88313 Special stains group 2
88314 Histochemical stains add-on
88319 Enzyme histochemistry
88321 Microslide consultation
88323 Microslide consultation
88325 Comprehensive review of data
88329 Path consult introp
88331 Path consult intraop 1 bloc
88332 Path consult intraop addl
88333 Intraop cyto path consult 1
88334 Intraop cyto path consult 2
88341 Immunohisto antibody slide
88342 Immunohistochemistry
88344 Immunohisto antibody slide
88346 Immunofluorescent study
88348 Electron microscopy
88350 Immunofluor antb addl stain
88355 Analysis skeletal muscle
88356 Analysis nerve
88358 Analysis tumor
88360 Tumor immunohistochem/manual
88361 Tumor immunohistochem/comput
88362 Nerve teasing preparations
88363 Xm archive tissue molec anal
88364 Insitu hybridization (fish)
88365 Insitu hybridization (fish)
PA 88366 Insitu hybridization (fish)
88367 Insitu hybridization auto
88368 Insitu hybridization manual
PA 88369 M/phmtrc alysishquant/semiq
88371 Protein western blot tissue
88372 Protein analysis w/probe
88373 M/phmtrc alys ishquant/semiq
88375 Optical endomicroscpy interp
88380 Microdissection laser
88381 Microdissection manual
88387 Tiss exam molecular study
88388 Tiss ex molecul study add-on
88399 Surgical pathology procedure
88720 Bilirubin total transcut
88738 Hgb quant transcutaneous
88740 Transcutaneous carboxyhb
88741 Transcutaneous methb
88749 In vivo lab service
89049 Chct for mal hyperthermia
89050 Body fluid cell count
89051 Body fluid cell count
89055 Leukocyte assessment fecal
89060 Exam synovial fluid crystals
89125 Specimen fat stain
89160 Exam feces for meat fibers
89190 Nasal smear for eosinophils
89220 Sputum specimen collection
89230 Collect sweat for test
89240 Pathology lab procedure
89250 Cultr oocyte/embryo <4 days
89251 Cultr oocyte/embryo <4 days
89253 Embryo hatching
89254 Oocyte identification
89255 Prepare embryo for transfer
89257 Sperm identification
89258 Cryopreservation embryo(s)
89259 Cryopreservation sperm
89260 Sperm isolation simple
89261 Sperm isolation complex
89264 Identify sperm tissue
89268 Insemination of oocytes
89272 Extended culture of oocytes
89280 Assist oocyte fertilization
89281 Assist oocyte fertilization
89290 Biopsy oocyte polar body
89291 Biopsy oocyte polar body
89300 Semen analysis w/huhner
89310 Semen analysis w/count
89320 Semen anal vol/count/mot
89321 Semen anal sperm detection
89322 Semen anal strict criteria
89325 Sperm antibody test
89329 Sperm evaluation test
89330 Evaluation cervical mucus
89331 Retrograde ejaculation anal
89335 Cryopreserve testicular tiss
89337 Cryopreservation oocyte(s)
89342 Storage/year embryo(s)
89343 Storage/year sperm/semen
89344 Storage/year reprod tissue
89346 Storage/year oocyte(s)
89352 Thawing cryopresrved embryo
89353 Thawing cryopresrved sperm
89354 Thaw cryoprsvrd reprod tiss
89356 Thawing cryopresrved oocyte
89398 Unlisted reprod med lab proc
9001F Aortic aneurysm<5cm diam ct
9002F Aortic aneurysm 5-5.4cm diam
9003F Aortic anrysm5.5-5.9cm diam
9004F Aortic anrysm 6/> cm diam
9005F Asympt carot/vrtbrbas sten
9006F Sympt sten-tia/strk<120days
9007F Other carot sten 120 days/>
90281 Human ig im
90283 Human ig iv
90284 Human ig sc
90287 Botulinum antitoxin
90288 Botulism ig iv
90291 Cmv ig iv
90296 Diphtheria antitoxin
90371 Hep b ig im
90375 Rabies ig im/sc
90376 Rabies ig heat treated
90377 Rabies ig ht&sol human im/sc
PA 90378 Rsv mab im 50mg
90384 Rh ig full-dose im
90385 Rh ig minidose im
90386 Rh ig iv
90389 Tetanus ig im
90393 Vaccina ig im
90396 Varicella-zoster ig im
90399 Immune globulin
90460 Im admin 1st/only component
90461 Im admin each addl component
90471 Immunization admin
90472 Immunization admin each add
90473 Immune admin oral/nasal
90474 Immune admin oral/nasal addl
90476 Adenovirus vaccine type 4
90477 Adenovirus vaccine type 7
90581 Anthrax vaccine sc or im
90584 DENGUE VACC QUAD 2 DOSE SUBQ
90585 Bcg vaccine percut
90586 Bcg vaccine intravesical
90587 Dengue vacc quad 3 dose subq
90611 SMALLPOX&MONKEYPOX VAC 0.5ML
90619 Menacwy-tt vaccine im
90620 Menb pr w/omv vaccine im
90621 Menb rlp vaccine im
90622 VACCINIA VRS VAC 0.3 ML PERQ
90625 Cholera vaccine live oral
90626 TIC-BRN ENCEPH VAC 0.25ML IM
90627 TIC-BRN ENCEPH VAC 0.5ML IM
90630 Flu vacc iiv4 no preserv id
L 90632 Hep a vaccine adult im
90633 Hep a vacc ped/adol 2 dose
90634 Hep a vacc ped/adol 3 dose
L 90636 Hep a/hep b vacc adult im
90644 Hib-mency vacc 6wk-18m0 im
90647 Hib vaccine prp-omp im
90648 Hib vaccine prp-t im
90649 Hpv vaccine 4 valent im
90650 Hpv vaccine 2 valent im
90651 Hpv vaccine non valent im
90653 Flu vaccine adjuvant im
90654 Flu vaccine no preserv id
90655 Flu vaccine no preserv 6-35m
90656 Flu vaccine no preserv 3 & >
90657 Flu vaccine 3 yrs im
90658 Flu vaccine 3 yrs & > im
90660 Flu vaccine nasal
90661 Flu vacc cell cult prsv free
L 90662 Flu vacc prsv free inc antig
90664 Flu vacc pandemic intranasal
90666 Flu vac pandem prsrv free im
90667 Flu vac pandemic adjuvant im
90668 Flu vac pandemic splt im
90670 Pneumococcal vacc 13 val im
90671 Pcv15 vaccine im
90672 Flu vaccine 4 valent nasal
L 90673 Flu vacc riv3 no preserv
L 90674 Cciiv4 vac no prsv 0.5 ml im
90675 Rabies vaccine im
90676 Rabies vaccine id
90677 PCV20 VACCINE IM
90678 Rsv vacc pref bivalent im
90680 Rotovirus vacc 3 dose oral
90681 Rotavirus vacc 2 dose oral
L 90682 Riv4 vacc recombinant dna im
90685 Flu vac no prsv 4 val 6-35 m
90686 Flu vac no prsv 4 val 3 yrs+
90687 Flu vaccine 4 val 6-35 mo im
90688 Flu vacc 4 val 3 yrs plus im
90689 Vacc iiv4 no prsrv 0.25ml im
90690 Typhoid vaccine oral
90691 Typhoid vaccine im
90694 Vacc aiiv4 no prsrv 0.5ml im
90696 Dtap-ipv vacc 4-6 yr im
90697 combined vaccine
90698 Dtap-hib-ip vaccine im
90700 Dtap vaccine < 7 yrs im
90702 Dt vaccine < 7 im
90707 Mmr vaccine sc
90710 Mmrv vaccine sc
90713 Poliovirus ipv sc/im
90714 Td vaccine no prsrv >/= 7 im
90715 Tdap vaccine >7 im
90716 Chicken pox vaccine sc
90717 Yellow fever vaccine sc
90723 Dtap-hep b-ipv vaccine im
90732 Pneumococcal vaccine
90733 Meningococcal vaccine sc
L/PA 90734 Menacwyd/menacwycrm vacc im
L 90736 Zoster vacc sc
90738 Inactivated je vacc im
90739 Hep b vacc adult 2 dose im
90740 Hepb vacc ill pat 3 dose im
90743 Hep b vacc adol 2 dose im
90744 Hepb vacc ped/adol 3 dose im
L 90746 Hep b vaccine adult im
90747 Hepb vacc ill pat 4 dose im
90748 Hep b/hib vaccine im
90749 Vaccine toxoid
L 90750 Hzv vacc recombinant im njx
90756 Cciiv4 vacc abx free im
90758 ZAIRE EBOLAVIRUS VAC LIVE IM
90759 Hep b vac 3ag 10mcg 3 dos im
90785 Psytx complex interactive
90791 Psych diagnostic evaluation
90792 Psych diag eval w/med srvcs
90832 Psytx pt&/family 30 minutes
90833 Psytx pt&/fam w/e&m 30 min
90839 Psytx crisis initial 60 min
90840 Psytx crisis ea addl 30 min
90845 Psychoanalysis
90846 Family psytx w/o patient
90847 Family psytx w/patient
90849 Multiple family group psytx
90853 Group psychotherapy
90863 Pharmacologic mgmt w/psytx
90865 Narcosynthesis
90867 Tcranial magn stim tx plan
90868 Tcranial magn stim tx deli
90869 Tcran magn stim redetemine
90870 Electroconvulsive therapy
90875 Psychophysiological therapy
90876 Psychophysiological therapy
90880 Hypnotherapy
90882 Environmental manipulation
90885 Psy evaluation of records
90887 Consultation with family
90889 Preparation of report
90899 Psychiatric service/therapy
90901 Biofeedback train any meth
90912 Bfb training 1st 15 min
90913 Bfb training ea addl 15 min
90935 Hemodialysis one evaluation
90937 Hemodialysis repeated eval
90940 Hemodialysis access study
90945 Dialysis one evaluation
90947 Dialysis repeated eval
90951 Esrd serv 4 visits p mo <2
90952 Esrd serv 2-3 vsts p mo <2
90953 Esrd serv 1 visit p mo <2
90954 Esrd serv 4 vsts p mo 2-11
90955 Esrd srv 2-3 vsts p mo 2-11
90956 Esrd srv 1 visit p mo 2-11
90957 Esrd srv 4 vsts p mo 12-19
90958 Esrd srv 2-3 vsts p mo 12-19
90959 Esrd serv 1 vst p mo 12-19
90960 Esrd srv 4 visits p mo 20+
90961 Esrd srv 2-3 vsts p mo 20+
90962 Esrd serv 1 visit p mo 20+
90963 Esrd home pt serv p mo <2
90964 Esrd home pt serv p mo 2-11
90965 Esrd home pt serv p mo 12-19
90966 Esrd home pt serv p mo 20+
90967 Esrd home pt serv p day <2
90968 Esrd home pt srv p day 2-11
90969 Esrd home pt srv p day 12-19
90970 Esrd home pt serv p day 20+
90989 Dialysis training complete
90993 Dialysis training incompl
90997 Hemoperfusion
90999 Dialysis procedure
91010 Esophagus motility study
91013 Esophgl motil w/stim/perfus
91020 Gastric motility studies
91022 Duodenal motility study
91030 Acid perfusion of esophagus
91034 Gastroesophageal reflux test
91035 G-esoph reflx tst w/electrod
91037 Esoph imped function test
91038 Esoph imped funct test > 1h
91040 Esoph balloon distension tst
91065 Breath hydrogen test
PA 91110 Gi tract capsule endoscopy
PA 91111 Esophageal capsule endoscopy
91112 Gi wireless capsule measure
PA 91113 Gi trc img intral colon i&r
91117 Colon motility 6 hr study
91120 Rectal sensation test
91122 Anal pressure record
91132 Electrogastrography
91133 Electrogastrography w/test
EPA 91200 Liver elastography
91299 Gastroenterology procedure
91302 Coronavirus vaccine 3
92002 Eye exam new patient
92004 Eye exam new patient
92012 Eye exam established pat
92014 Eye exam & treatment
92015 Refraction
92018 New eye exam & treatment
92019 Eye exam & treatment
92020 Special eye evaluation
EPA 92025 Corneal topography
92060 Special eye evaluation
PA/EPA 92065 Orthoptic/pleoptic training
92066 Orthop traing supvj phys/qhp
92071 Contact lens fitting for tx
92072 Fit contac lens for managmnt
92081 Visual field examination(s)
92100 Serial tonometry exam(s)
92132 Cmptr ophth dx img ant segmt
L 92133 Cmptr ophth img optic nerve
PA/EPA 92134 Cptr ophth dx img post segmt
92136 Ophthalmic biometry
92145 Corneal hysteresis deter
92201 Opscpy extnd rta draw uni/bi
92202 Opscpy extnd on/mac draw
92227 Remote dx retinal imaging
92228 Remote retinal imaging mgmt
92229 Img rta detc/mntr ds poc aly
92230 Eye exam with photos
92240 Icg angiography
92242 Fluorescein icg angiography
92260 Ophthalmoscopy/dynamometry
92265 Eye muscle evaluation
92270 Electro-oculography
92273 Full field erg w/i&r
92274 Multifocal erg w/i&r
92275 Electroretinography
92283 Color vision examination
92284 Dark adaptation eye exam
92285 Eye photography
92286 Internal eye photography
92287 Internal eye photography
92310 Contact lens fitting
92314 Prescription of contact lens
92325 Modification of contact lens
92326 Replacement of contact lens
92340 Fitting of spectacles
92352 Special spectacles fitting
92358 Eye prosthesis service
92370 Repair & adjust spectacles
92371 Repair & adjust spectacles
PA 92499 Eye service or procedure
92502 Ear and throat examination
92504 Ear microscopy examination
92507 Speech/hearing therapy
92508 Speech/hearing therapy
92511 Nasopharyngoscopy
92512 Nasal function studies
92516 Facial nerve function test
92517 Vemp test i&r cervical
92518 Vemp test i&r ocular
92519 Vemp tst i&r cervical&ocular
92520 Laryngeal function studies
92521 Evaluation of speech fluency
92522 Evaluate speech production
92523 Speech sound lang comprehen
92524 Behavral qualit analys voice
92526 Oral function therapy
92531 Spontaneous nystagmus study
92532 Positional nystagmus test
92533 Caloric vestibular test
92534 Optokinetic nystagmus test
92537 Caloric vstblr test w/rec
92538 Caloric vstblr test w/rec
92540 Basic vestibular evaluation
92541 Spontaneous nystagmus test
92542 Positional nystagmus test
92544 Optokinetic nystagmus test
92545 Oscillating tracking test
92546 Sinusoidal rotational test
92547 Supplemental electrical test
92548 Cdp-sot 6 cond w/i&r
92549 Cdp-sot 6 cond w/i&r mct&adt
92550 Tympanometry & reflex thresh
92551 Pure tone hearing test air
92552 Pure tone audiometry air
92553 Audiometry air & bone
92555 Speech threshold audiometry
92556 Speech audiometry complete
92557 Comprehensive hearing test
92558 Evoked auditory test qual
92562 Loudness balance test
92563 Tone decay hearing test
92565 Stenger test pure tone
92567 Tympanometry
92568 Acoustic refl threshold tst
92570 Acoustic immitance testing
92571 Filtered speech hearing test
92572 Staggered spondaic word test
92575 Sensorineural acuity test
92576 Synthetic sentence test
92577 Stenger test speech
92579 Visual audiometry (vra)
92582 Conditioning play audiometry
92583 Select picture audiometry
92584 Electrocochleography
92587 Evoked auditory test limited
92588 Evoked auditory tst complete
92590 Hearing aid exam one ear
92591 Hearing aid exam both ears
92592 Hearing aid check one ear
92593 Hearing aid check both ears
92594 Electro hearng aid test one
92595 Electro hearng aid tst both
92596 Ear protector evaluation
92597 Oral speech device eval
92601 Cochlear implt f/up exam < 7
92602 Reprogram cochlear implt < 7
92603 Cochlear implt f/up exam 7 >
92604 Reprogram cochlear implt 7 >
L 92605 Ex for nonspeech device rx
92606 Non-speech device service
92607 Ex for speech device rx 1hr
92608 Ex for speech device rx addl
92609 Use of speech device service
92610 Evaluate swallowing function
L 92611 Motion fluoroscopy/swallow
92612 Endoscopy swallow tst (fees)
92613 Endoscopy swallow tst (fees)
92614 Laryngoscopic sensory test
92615 Eval laryngoscopy sense tst
92616 Fees w/laryngeal sense test
92617 Interprt fees/laryngeal test
92618 Ex for nonspeech dev rx add
92620 Auditory function 60 min
92621 Auditory function + 15 min
92625 Tinnitus assessment
92626 Eval aud funcj 1st hour
92627 Eval aud funcj ea addl 15
L 92630 Aud rehab pre-ling hear loss
L 92633 Aud rehab postling hear loss
92640 Aud brainstem implt programg
92650 Aep scr auditory potential
92651 Aep hearing status deter i&r
92652 Aep thrshld est mlt freq i&r
92653 Aep neurodiagnostic i&r
PA 92700 Ent procedure/service
92920 Prq cardiac angioplast 1 art
92921 Prq cardiac angio addl art
92924 Prq card angio/athrect 1 art
92925 Prq card angio/athrect addl
92928 Prq card stent w/angio 1 vsl
92929 Prq card stent w/angio addl
92933 Prq card stent/ath/angio
92934 Prq card stent/ath/angio
92937 Prq revasc byp graft 1 vsl
92938 Prq revasc byp graft addl
92943 Prq card revasc chronic 1vsl
92944 Prq card revasc chronic addl
92950 Heart/lung resuscitation cpr
92953 Temporary external pacing
92960 Cardioversion electric ext
92961 Cardioversion electric int
92970 Cardioassist internal
92971 Cardioassist external
92973 Percut coronary thrombectomy
92974 Cath place cardio brachytx
92975 Dissolve clot heart vessel
92977 Dissolve clot heart vessel
92978 Intravasc us heart add-on
92979 Intravasc us heart add-on
92986 Revision of aortic valve
92990 Revision of pulmonary valve
92997 Pul art balloon repr percut
92998 Pul art balloon repr percut
93000 Electrocardiogram complete
93005 Electrocardiogram tracing
93010 Electrocardiogram report
93015 Cardiovascular stress test
93024 Cardiac drug stress test
93025 Microvolt t-wave assess
93040 Rhythm ECG with report
93041 Rhythm ecg tracing
93042 Rhythm ecg report
93050 Art pressure waveform analys
93224 Ecg monit/reprt up to 48 hrs
93228 Remote 30 day ecg rev/report
93229 Remote 30 day ecg tech supp
93241 Ext ecg>48hr<7d rec scan a/r
93242 Ext ecg>48hr<7d recording
93243 Ext ecg>48hr<7d scan a/r
93244 Ext ecg>48hr<7d rev&interpj
93245 Ext ecg>7d<15d rec scan a/r
93246 Ext ecg>7d<15d recording
93247 Ext ecg>7d<15d scan a/r
93248 Ext ecg>7d<15d rev&interpj
93260 Prgrmg dev eval impltbl sys
93261 Interrogate subq defib
93264 Rem mntr wrls p-art prs snr
93268 ECG record/review
93270 Remote 30 day ecg rev/report
93271 Ecg/monitoring and analysis
93272 Ecg/review interpret only
93278 ECG/signal-averaged
93279 Pm device progr eval sngl
93280 Pm device progr eval dual
93281 Pm device progr eval multi
93282 Icd device prog eval 1 sngl
93283 Icd device progr eval dual
93284 Icd device progr eval mult
93285 Ilr device eval progr
93286 Pre-op pm device eval
93287 Pre-op icd device eval
93288 Pm device eval in person
93289 Icd device interrogate
93290 Icm device eval
93291 Ilr device interrogate
93292 Wcd device interrogate
93293 Pm phone r-strip device eval
93294 Pm device interrogate remote
93295 Icd device interrogat remote
93296 Pm/icd remote tech serv
93297 Icm device interrogat remote
93298 Ilr device interrogat remote
93303 Echo transthoracic
93304 Echo transthoracic
93306 Tte w/doppler complete
93307 Tte w/o doppler complete
93308 Tte f-up or lmtd
93312 Echo transesophageal
93318 Echo transesophageal intraop
93319 3d echo img cgen car anomal
93320 Doppler echo exam heart
93321 Doppler echo exam heart
93325 Doppler color flow add-on
93350 Stress tte only
93351 Stress tte complete
93352 Admin ecg contrast agent
93355 Echo transesophageal (tee)
93356 Myocrd strain img spckl trck
93451 Right heart cath
93452 Left hrt cath w/ventrclgrphy
93453 R&l hrt cath w/ventriclgrphy
93454 Coronary artery angio s&i
93455 Coronary art/grft angio s&i
93456 R hrt coronary artery angio
93457 R hrt art/grft angio
93458 L hrt artery/ventricle angio
93459 L hrt art/grft angio
93460 R&l hrt art/ventricle angio
93461 R&l hrt art/ventricle angio
93462 L hrt cath trnsptl puncture
93463 Drug admin & hemodynmic meas
93464 Exercise w/hemodynamic meas
93503 Insert/place heart catheter
93505 Biopsy of heart lining
93563 Inject congenital card cath
93564 Inject hrt congntl art/grft
93565 Inject l ventr/atrial angio
93566 Inject r ventr/atrial angio
93567 Inject suprvlv aortography
93568 Inject pulm art hrt cath
93569 Njx cth slct p-art angrp uni
93571 Heart flow reserve measure
93572 Heart flow reserve measure
93573 Njx cath slct p-art angrp bi
93574 Njx cath slct pulm vn angrph
93575 Njx cath slct p angrph mapca
93580 Transcath closure of asd
93581 Transcath closure of vsd
93582 Perq transcath closure pda
93590 Perq transcath cls mitral
93591 Perq transcath cls aortic
93592 Perq transcath closure each
93593 R hrt cath chd nml nt cnj
93594 R hrt cath chd abnl nt cnj
93595 L hrt cath chd nm/abn nt cnj
93596 R&l hrt cath chd nml nt cnj
93597 R&l hrt cath chd abnl nt cnj
93598 Car outp meas drg cath chd
93600 Bundle of His recording
93602 Intra-atrial recording
93603 Right ventricular recording
93609 Map tachycardia add-on
93610 Intra-atrial pacing
93612 Intraventricular pacing
93613 Electrophys map 3d add-on
93615 Esophageal recording
93616 Esophageal recording
93618 Heart rhythm pacing
93619 Electrophysiology evaluation
93623 Stimulation pacing heart
93624 Electrophysiologic study
93631 Heart pacing mapping
93640 Evaluation heart device
93653 Ep & ablate supravent arrhyt
93654 Ep & ablate ventric tachy
93655 Ablate arrhythmia add on
93656 Tx atrial fib pulm vein isol
93657 Tx l/r atrial fib addl
93660 Tilt table evaluation
93662 Intracardiac ecg (ice)
L 93668 Peripheral vascular rehab
93701 Bioimpedance cv analysis
93702 Bis xtracell fluid analysis
93724 Analyze pacemaker system
93740 Temperature gradient studies
PA 93745 Set-up cardiovert-defibrill
93750 Interrogation vad in person
93770 Measure venous pressure
93784 Ambl bp mntr w/software
93786 Ambl bp mntr w/sw rec only
93788 Ambl bp mntr w/sw a/r
93790 Ambl bp mntr w/sw i&r
93792 Pt/caregiver traing home inr
93793 Anticoag mgmt pt warfarin
93797 Cardiac rehab
93798 Cardiac rehab/monitor
93799 Cardiovascular procedure
93880 Extracranial study
93882 Extracranial study
93886 Intracranial study
93888 Intracranial study
93890 Tcd vasoreactivity study
93892 Tcd emboli detect w/o inj
93893 Tcd emboli detect w/inj
93895 Carotid intima atheroma eval
93922 Upr/l xtremity art 2 levels
93923 Upr/lxtr art stdy 3+ lvls
93924 Lwr xtr vasc stdy bilat
93925 Lower extremity study
93926 Lower extremity study
93930 Upper extremity study
93931 Upper extremity study
93970 Extremity study
93971 Extremity study
93975 Vascular study
93980 Penile vascular study
93981 Penile vascular study
93985 Dup-scan hemo compl bi std
93986 Dup-scan hemo compl uni std
93990 Doppler flow testing
93998 Noninvas vasc dx study proc
94002 Vent mgmt inpat init day
94003 Vent mgmt inpat subq day
94004 Vent mgmt nf per day
94005 Home vent mgmt supervision
94010 Breathing capacity test
94011 Spirometry up to 2 yrs old
94012 Spirmtry w/brnchdil inf-2 yr
94013 Meas lung vol thru 2 yrs
94014 Patient recorded spirometry
94015 Patient recorded spirometry
94016 Review patient spirometry
94060 Evaluation of wheezing
94070 Evaluation of wheezing
94150 Vital capacity test
94200 Lung function test (MBC/MVV)
94375 Respiratory flow volume loop
94450 Hypoxia response curve
94452 Hast w/report
94453 Hast w/oxygen titrate
94610 Surfactant admin thru tube
94617 Exercise tst brncspsm
94618 Pulmonary stress testing
94619 Exercise tst brncspsm wo ecg
94621 Pulm stress test/complex
94625 Phy/qhp op pulm rhb w/o mntr
94626 Phy/qhp op pulm rhb w/mntr
94640 Airway inhalation treatment
94642 Aerosol inhalation treatment
94644 Cbt 1st hour
94645 Cbt each addl hour
94660 Pos airway pressure cpap
94662 Neg press ventilation cnp
94664 Evaluate pt use of inhaler
94667 Chest wall manipulation
94668 Chest wall manipulation
94669 Mechanical chest wall oscill
94680 Exhaled air analysis o2
94681 Exhaled air analysis o2/co2
94690 Exhaled air analysis
94726 Pulm funct tst plethysmograp
94727 Pulm function test by gas
94728 Airwy resist by oscillometry
94729 C0 diffuse capacity
94760 Measure blood oxygen level
94772 Breath recording infant
94774 Ped home apnea rec compl
94775 Ped home apnea rec hk-up
94776 Ped home apnea rec downld
94777 Ped home apnea rec report
94780 Car seat/bed test 60 min
94781 Car seat/bed test + 30 min
94799 Pulmonary service/procedure
95004 Percut allergy skin tests
95012 Exhaled nitric oxide meas
95017 Perq & icut allg test venoms
95018 Perq&ic allg test drugs/biol
95024 Id allergy test drug/bug
95027 Id allergy titrate-airborne
95028 Id allergy test-delayed type
95044 Allergy patch tests
95052 Photo patch test
95056 Photosensitivity tests
95060 Eye allergy tests
95065 Nose allergy test
95070 Bronchial allergy tests
95076 Ingest challenge ini 120 min
95079 Ingest challenge addl 60 min
95115 Immunotherapy one injection
95117 Immunotherapy injections
95120 Immunotherapy one injection
95125 Immunotherapy many antigens
95130 Immunotherapy insect venom
95131 Immunotherapy insect venoms
95144 Antigen therapy services
L 95165 Antigen therapy services
95180 Rapid desensitization
95199 Allergy immunology services
95249 Cont gluc mntr pt prov eqp
EPA 95250 Glucose monitoring cont
95251 Gluc monitor cont phys i&r
95700 Eeg cont rec w/vid eeg tech
95705 Eeg w/o vid 2-12 hr unmntr
95706 Eeg wo vid 2-12hr intmt mntr
95707 Eeg w/o vid 2-12hr cont mntr
95708 Eeg wo vid ea 12-26hr unmntr
95709 Eeg w/o vid ea 12-26hr intmt
95710 Eeg w/o vid ea 12-26hr cont
95711 Veeg 2-12 hr unmonitored
95712 Veeg 2-12 hr intmt mntr
95713 Veeg 2-12 hr cont mntr
95714 Veeg ea 12-26 hr unmntr
95715 Veeg ea 12-26hr intmt mntr
95716 Veeg ea 12-26hr cont mntr
95717 Eeg phys/qhp 2-12 hr w/o vid
95718 Eeg phys/qhp 2-12 hr w/veeg
95719 Eeg phys/qhp ea incr w/o vid
95720 Eeg phy/qhp ea incr w/veeg
95721 Eeg phy/qhp>36<60 hr w/o vid
95722 Eeg phy/qhp>36<60 hr w/veeg
95723 Eeg phy/qhp>60<84 hr w/o vid
95724 Eeg phy/qhp>60<84 hr w/veeg
95725 Eeg phy/qhp>84 hr w/o vid
95726 Eeg phy/qhp>84 hr w/veeg
L 95782 Polysom <6 yrs 4/> paramtrs
L 95783 Polysom <6 yrs cpap/bilvl
L 95800 Slp stdy unattended
L 95801 Slp stdy unatnd w/anal
L 95803 Actigraphy testing
L 95805 Multiple sleep latency test
L 95806 Sleep study unatt&resp efft
L 95807 Sleep study attended
L 95808 Polysomnography 1-3
L 95810 Polysomnography 4 or more
L 95811 Polysomnography w/cpap
95812 Eeg 41-60 minutes
95813 Eeg extnd mntr 61-119 min
95816 Eeg awake and drowsy
95819 Eeg awake and asleep
95822 Eeg coma or sleep only
95824 Eeg cerebral death only
95829 Surgery electrocorticogram
95830 Insert electrodes for EEG
95836 Ecog impltd brn npgt <30 d
L 95851 Range of motion measurements
L 95852 Range of motion measurements
95857 Cholinesterase challenge
95860 Muscle test one limb
95861 Muscle test 2 limbs
L 95865 Muscle test larynx
L 95866 Muscle test hemidiaphragm
95867 Muscle test cran nerv unilat
95868 Muscle test cran nerve bilat
L 95869 Muscle test thor paraspinal
L 95870 Muscle test nonparaspinal
95872 Muscle test one fiber
PA 95873 Guide nerv destr elec stim
PA 95874 Guide nerv destr needle emg
95875 Limb exercise test
95885 Musc tst done w/nerv tst lim
95886 Musc test done w/n test comp
95887 Musc tst done w/n tst nonext
95905 Motor/sens nrve conduct test
95907 Motor&/sens 1-2 nrv cndj tst
95910 Motor&sens 7-8 nrv cndj test
95911 Motor&sen 9-10 nrv cndj test
95912 Motor&sen 11-12 nrv cnd test
95913 Motor&sens 13/> nrv cnd test
95919 Quan puplmtry phy/qhp uni/bi
95921 Autonomic nerv function test
95924 Ans parasymp & symp w/tilt
95925 Somatosensory testing
95928 C motor evoked uppr limbs
95929 C motor evoked lwr limbs
95930 Visual evoked potential test
95933 Blink reflex test
95937 Neuromuscular junction test
95939 C motor evoked upr&lwr limbs
95940 Ionm in operatng room 15 min
95941 Ionm remote/>1 pt or per hr
95954 EEG monitoring/giving drugs
95955 EEG during surgery
95957 EEG digital analysis
95958 EEG monitoring/function test
95961 Electrode stimulation brain
95962 Electrode stim brain add-on
PA 95965 Meg spontaneous
PA 95966 Meg evoked single
PA 95967 Meg evoked each addl
PA 95970 Analyze neurostim no prog
95971 Analyze neurostim simple
95972 Analyze neurostim complex
95974 Cranial neurostim complex
95975 Cranial neurostim complex
PA 95976 Alys smpl cn npgt prgrmg
PA 95977 Alys cplx cn npgt prgrmg
95978 Analyze neurostim brain/1h
95979 Analyz neurostim brain addon
PA 95980 Io anal gast n-stim init
PA 95981 Io anal gast n-stim subsq
PA 95982 Io ga n-stim subsq w/reprog
95983 Alys brn npgt prgrmg 15 min
95984 Alys brn npgt prgrmg addl 15
95990 Spin/brain pump refil & main
95991 Spin/brain pump refil & main
L 95992 Canalith repositioning proc
95999 Neurological procedure
96000 Motion analysis video/3d
96001 Motion test w/ft press meas
96002 Dynamic surface emg
96003 Dynamic fine wire emg
96004 Phys review of motion tests
96020 Functional brain mapping
96040 Genetic counseling 30 min
L/PA 96101 Psycho testing by psych/phys
96102 Psycho testing by technician
96103 Psycho testing admin by comp
96105 Assessment of aphasia
L 96110 Developmental screen
96111 Hzv vacc recombinant im njx
96112 Devel tst phys/qhp 1st hr
96113 Devel tst phys/qhp ea addl
96116 Neurobehavioral status exam
EPA 96118 Neuropsych tst by psych/phys
EPA 96119 Neuropsych testing by tec
96120 Neuropsych tst admin w/comp
96121 Nubhvl xm phy/qhp ea addl hr
96125 Cognitive test by hc pro
L 96127 Brief emotional/behav assmt
L/EPA 96130 Psycl tst eval phys/qhp 1st
L/EPA 96131 Psycl tst eval phys/qhp ea
L/EPA 96132 Nrpsyc tst eval phys/qhp 1st
L/EPA 96133 Nrpsyc tst eval phys/qhp ea
L/EPA 96136 Psycl/nrpsyc tst phy/qhp 1st
L/EPA 96137 Psycl/nrpsyc tst phy/qhp ea
L/EPA 96138 Psycl/nrpsyc tech 1st
L/EPA 96139 Psycl/nrpsyc tst tech ea
96146 Psycl/nrpsyc tst auto result
96156 Hlth bhv assmt/reassessment
96158 Hlth bhv ivntj indiv 1st 30
96159 Hlth bhv ivntj indiv ea addl
96160 PT-FOCUSED HLTH RISK ASSMT
EPA 96161 CAREGIVER HEALTH RISK ASSMT
96164 Hlth bhv ivntj grp 1st 30
96165 Hlth bhv ivntj grp ea addl
96167 Hlth bhv ivntj fam 1st 30
96168 Hlth bhv ivntj fam ea addl
96170 Hlth bhv ivntj fam wo pt 1st
96171 Hlth bhv ivntj fam w/o pt ea
96202 Mlt fam grp bhv train 1st 60
96203 Mlt fam grp bhv train ea add
96360 Hydration iv infusion init
96361 Hydrate iv infusion add-on
96365 Ther/proph/diag iv inf init
96366 Ther/proph/diag iv inf addon
96367 Tx/proph/dg addl seq iv inf
96368 Ther/diag concurrent inf
96369 Sc ther infusion up to 1 hr
96370 Sc ther infusion addl hr
96371 Sc ther infusion reset pump
96372 Ther/proph/diag inj sc/im
96373 Ther/proph/diag inj ia
96374 Ther/proph/diag inj iv push
96375 Tx/pro/dx inj new drug addon
96376 Tx/pro/dx inj same drug adon
96377 Applicaton on-body injector
PA 96379 Ther/prop/diag inj/inf proc
96401 Chemo anti-neopl sq/im
96402 Chemo hormon antineopl sq/im
96405 Chemo intralesional up to 7
96406 Chemo intralesional over 7
96409 Chemo iv push sngl drug
96411 Chemo iv push addl drug
96413 Chemo iv infusion 1 hr
96415 Chemo iv infusion addl hr
96416 Chemo prolong infuse w/pump
96417 Chemo iv infus each addl seq
96420 Chemo ia push tecnique
96422 Chemo ia infusion up to 1 hr
96423 Chemo ia infuse each addl hr
96425 Chemotherapy infusion method
96440 Chemotherapy intracavitary
96446 Chemotx admn prtl cavity
96450 Chemotherapy into cns
96521 Refill/maint portable pump
96522 Refill/maint pump/resvr syst
96523 Irrig drug delivery device
96542 Chemotherapy injection
PA 96549 Chemotherapy unspecified
96567 Photodynamic tx skin
96570 Photodynmc tx 30 min add-on
96571 Photodynamic tx addl 15 min
PA 96573 Pdt dstr prmlg les phys/qhp
PA 96574 Dbrdmt prmlg les w/pdt
96900 Ultraviolet light therapy
96902 Trichogram
96904 Whole body photography
L 96910 Photochemotherapy with UV-B
L 96912 Photochemotherapy with UV-A
L 96913 Photochemotherapy uv-a or b
96920 Laser tx skin < 250 sq cm
96921 Laser tx skin 250-500 sq cm
96922 Laser tx skin > 500 sq cm
96931 Rcm celulr subcelulr img skn
96999 Dermatological procedure
L 97010 Hot or cold packs therapy
97012 Mechanical traction therapy
97014 Electric stimulation therapy
97016 Vasopneumatic device therapy
97018 Paraffin bath therapy
97022 Whirlpool therapy
97024 Diathermy eg microwave
97026 Infrared therapy
97028 Ultraviolet therapy
97032 Electrical stimulation
97033 Electric current therapy
97034 Contrast bath therapy
97035 Ultrasound therapy
97036 Hydrotherapy
97039 Physical therapy treatment
97110 Therapeutic exercises
97112 Neuromuscular reeducation
97113 Aquatic therapy/exercises
97116 Gait training therapy
97124 Massage therapy
97127 Ther ivntj w/focus cog funcj
97129 Ther ivntj 1st 15 min
97130 Ther ivntj ea addl 15 min
97139 Physical medicine procedure
97140 Manual therapy
97150 Group therapeutic procedures
97151 Bhv id assmt by phys/qhp
97152 Bhv id suprt assmt by 1 tech
97153 Adaptive behavior tx by tech
97154 Grp adapt bhv tx by tech
97155 Adapt behavior tx phys/qhp
97156 Fam adapt bhv tx gdn phy/qhp
97157 Mult fam adapt bhv tx gdn
97158 Grp adapt bhv tx by phy/qhp
97161 Pt eval low complex 20 min
97162 Pt eval mod complex 30 min
97163 Pt eval high complex 45 min
97164 Pt re-eval est plan care
97165 Ot eval low complex 30 min
97166 Ot eval mod complex 45 min
97167 Ot eval high complex 60 min
97168 Ot re-eval est plan care
97169 Athletic trn eval low cmplx
97170 Athletic trn eval mod cmplx
97171 Athletic trn eval high cmplx
97172 Athletic trn re-eval plan cr
97530 Therapeutic activities
97533 Sensory integration
97535 Self care mngment training
97537 Community/work reintegration
97542 Wheelchair mngment training
97545 Work hardening
97546 Work hardening add-on
L 97597 Rmvl devital tis 20 cm/<
L 97598 Rmvl devital tis addl 20 cm<
L 97602 Wound(s) care non-selective
L 97605 Neg press wound tx <=50 cm
L 97606 Neg press wound tx > 50 cm
97607 Neg press wnd tx <=50 sq cm
97608 Neg press wound tx >50 cm
97610 Low frequency non-thermal us
97750 Physical performance test
97755 Assistive technology assess
97760 Orthotic mgmt&traing 1st enc
97761 Prosthetic traing 1st enc
97763 Orthc/prostc mgmt sbsq enc
PA 97799 Physical medicine procedure
L 97802 Medical nutrition indiv in
L 97803 Med nutrition indiv subseq
L 97804 Medical nutrition group
97810 Acupunct w/o stimul 15 min
97811 Acupunct w/o stimul addl 15m
97813 Acupunct w/stimul 15 min
97814 Acupunct w/stimul addl 15m
98925 Osteopathic manipulation
98940 Chiropractic manipulation
98960 Self-mgmt educ & train 1 pt
98961 Self-mgmt educ/train 2-4 pt
98962 Self-mgmt educ/train 5-8 pt
98970 Qnhp ol dig e/m svc 5-10min
98971 Qnhp ol dig em svc 11-20min
98972 Qnhp ol dig e/m svc 21+ min
98975 Rem ther mntr 1st setup&edu
98976 Rem ther mntr dev sply resp
98977 Rem ther mntr dv sply mscskl
98978 Rem ther mntr dev sply cbt
98980 Rem ther mntr 1st 20 min
98981 Rem ther mntr ea addl 20 min
99000 Specimen handling
99002 Device handling
99024 Postop follow-up visit
99026 In-hospital on call service
99027 Out-of-hosp on call service
99053 Med serv 10pm-8am 24 hr fac
99056 Med service out of office
99058 Office emergency care
99060 Out of office emerg med serv
99070 Special supplies
99071 Patient education materials
99075 Medical testimony
99078 Group health education
99080 Special reports or forms
99082 Unusual physician travel
99090 Computer data analysis
PA/EPA 99091 Rem physiol mntr ea addl 20
99100 Special anesthesia service
99116 Anesthesia with hypothermia
99135 Special anesthesia procedure
99140 Emergency anesthesia
99151 Mod sed same phys/qhp <5 yrs
99152 Mod sed same phys/qhp 5/>yrs
99153 Mod sed same phys/qhp ea
99155 Mod sed oth phys/qhp <5 yrs
99156 Mod sed oth phys/qhp 5/>yrs
99157 Mod sed other phys/qhp ea
99170 Anogenital exam child
99172 Ocular function screen
99173 Visual acuity screen
99174 Ocular photoscreening
99175 Induction of vomiting
99177 Ocular instrumnt screen bil
99183 Hyperbaric oxygen therapy
99184 Hypothermia ill neonate
99188 App topical fluoride varnish
99190 Special pump services
99195 Phlebotomy
99199 Special service/proc/report
99202 Office/outpatient visit new
99211 Office/outpatient visit est
99217 Observation care discharge
99218 Initial observation care
99221 Initial hospital care
99224 Subsequent observation care
99231 Subsequent hospital care
99234 Observ/hosp same date
99238 Hospital discharge day
99239 Hospital discharge day
99241 Office consultation
99251 Inpatient consultation
99281 Emergency dept visit
99288 Direct advanced life support
99291 Critical care first hour
99292 Critical care addl 30 min
99304 Nursing facility care init
99307 Nursing fac care subseq
99315 Nursing fac discharge day
99316 Nursing fac discharge day
99318 Annual nursing fac assessmnt
99324 Domicil/r-home visit new pat
99334 Domicil/r-home visit est pat
99339 Domicil/r-home care supervis
99340 Domicil/r-home care supervis
99341 Home visit new patient
99347 Home visit est patient
99354 Prolng svc o/p 1st hour
99355 Prolng svc o/p ea addl 30
99356 Prolng svc i/p/obs 1st hour
99357 Prolng svc i/p/obs ea addl
99358 Mod sed oth phys/qhp 5/>yrs
99359 Mod sed other phys/qhp ea
99360 Physician standby services
99366 Team conf w/pat by hc pro
99367 Team conf w/o pat by phys
99368 Team conf w/o pat by hc pro
99374 Home health care supervision
99375 Home health care supervision
99377 Hospice care supervision
99378 Hospice care supervision
99379 Nursing fac care supervision
99380 Nursing fac care supervision
99381 Init pm e/m new pat inf
99382 Init pm e/m new pat 1-4 yrs
99383 Prev visit new age 5-11
99387 Init pm e/m new pat 65+ yrs
99391 Per pm reeval est pat inf
99392 Prev visit est age 1-4
99397 Per pm reeval est pat 65+ yr
99402 Preventive counseling indiv
99406 Behav chng smoking 3-10 min
99407 Behav chng smoking > 10 min
L 99408 Audit/dast 15-30 min
L 99409 Audit/dast over 30 min
99411 Preventive counseling group
99412 Preventive counseling group
99415 Prolong clincl staff svc
99416 Prolong clincl staff svc add
99417 Prolng off/op e/m ea 15 min
99418 Prolng ip/obs e/m ea 15 min
99424 Prin care mgmt phys 1st 30
99425 Prin care mgmt phys ea addl
99426 Prin care mgmt staff 1st 30
99427 Prin care mgmt staff ea addl
99437 Chrnc care mgmt phys ea addl
99439 Chrnc care mgmt svc ea addl
99446 Interprof phone/online 5-10
99449 Interprof phone/online 31/>
99450 Basic life disability exam
99452 Ntrprof ph1/ntrnet/ehr rfrl
PA/EPA 99453 Rem mntr physiol param setup
PA/EPA 99454 Rem mntr physiol param dev
99455 Work related disability exam
99456 Disability examination
PA/EPA 99457 Rem physiol mntr 1st 20 min
PA/EPA 99458 Rem physiol mntr ea addl 20
99460 Init nb em per day hosp
99461 Init nb em per day non-fac
99462 Sbsq nb em per day hosp
99463 Same day nb discharge
99464 Attendance at delivery
99465 Nb resuscitation
99466 Ped crit care transport
99467 Ped crit care transport addl
99468 Neonate crit care initial
99469 Neonate crit care subsq
99471 Ped critical care initial
99472 Ped critical care subsq
99473 Self-meas bp pt educaj/train
99474 Self-meas bp 2 readg bid 30d
99475 Ped crit care age 2-5 init
99476 Ped crit care age 2-5 subsq
99477 Init day hosp neonate care
99478 Ic lbw inf < 1500 gm subsq
99479 Ic lbw inf 1500-2500 g subsq
99480 Ic inf pbw 2501-5000 g subsq
99483 Assmt & care pln pt cog imp
99484 Care mgmt svc bhvl hlth cond
99485 Suprv interfacilty transport
99486 Suprv interfac trnsport addl
99487 Cmplx chron care w/o pt vsit
99489 Complx chron care addl30 min
99490 Chron care mgmt srvc 20 min
99491 Chrnc care mgmt svc 30 min
PA/EPA 99492 2nd psyc collab care mgmt
PA/EPA 99493 Sbsq psyc collab care mgmt
PA/EPA 99494 1st/sbsq psyc collab care
99495 Trans care mgmt 14 day disch
99496 Trans care mgmt 7 day disch
99497 Advncd care plan 30 min
99498 Advncd care plan addl 30 min
99499 Unlisted e&m service
99500 Home visit prenatal
99501 Home visit postnatal
99502 Home visit nb care
99503 Home visit resp therapy
99504 Home visit mech ventilator
99505 Home visit stoma care
99506 Home visit im injection
99507 Home visit cath maintain
99509 Home visit day life activity
99510 Home visit sing/m/fam couns
99511 Home visit fecal/enema mgmt
99512 Home visit for hemodialysis
99601 Home infusion/visit 2 hrs
99602 Home infusion each addtl hr
99605 Mtms by pharm np 15 min
99606 Mtms by pharm est 15 min
99607 Mtms by pharm addl 15 min
A0021 Outside state ambulance serv
A0080 Noninterest escort in non er
A0090 Interest escort in non er
A0100 Nonemergency transport taxi
A0110 Nonemergency transport bus
A0120 Noner transport mini-bus
A0130 Noner transport wheelch van
A0140 Nonemergency transport air
A0160 Noner transport case worker
A0170 Transport parking fees/tolls
A0180 Noner transport lodgng recip
A0190 Noner transport meals recip
A0200 Noner transport lodgng escrt
A0210 Noner transport meals escort
A0225 Neonatal emergency transport
A0380 Basic life support mileage
A0382 Basic support routine suppls
A0384 Bls defibrillation supplies
A0390 Advanced life support mileag
A0392 Als defibrillation supplies
A0394 Als IV drug therapy supplies
A0396 Als esophageal intub suppls
A0398 Als routine disposble suppls
A0420 Ambulance waiting 1/2 hr
A0422 Ambulance 02 life sustaining
A0424 Extra ambulance attendant
A0425 Ground mileage
A0426 Als 1
A0427 ALS1-emergency
A0428 bls
A0429 BLS-emergency
A0430 Fixed wing air transport
A0431 Rotary wing air transport
A0432 PI volunteer ambulance co
A0433 als 2
A0434 Specialty care transport
A0435 Fixed wing air mileage
A0436 Rotary wing air mileage
A0888 Noncovered ambulance mileage
A0998 Ambulance response/treatment
A0999 Unlisted ambulance service
A2001 Innovamatrix ac, per sq cm
A2002 Mirragen adv wnd mat per sq
A2003 Bio-connekt wound matrix
A2004 Xcellistem, per sq cm
A2005 Microlyte matrix, per sq cm
A2006 Novosorb synpath per sq cm
A2007 Restrata, per sq cm
A2008 Theragenesis, per sq cm
A2009 Symphony, per sq cm
A2010 Apis, per square centimeter
A2011 Supra sdrm, per sq cm
A2012 Suprathel, per sq cm
A2013 Innovamatrix fs, per sq cm
A2014 Omeza collag per 100 mg
A2015 Phoenix wnd mtrx, per sq cm
A2016 Permeaderm b, per sq cm
A2017 Permeaderm glove, each
A2018 Permeaderm c, per sq cm
A4100 Skin sub fda clrd as dev nos
A4206 1 CC sterile syringe&needle
A4209 5+ CC sterile syringe&needle
A4210 Nonneedle injection device
A4211 Supp for self-adm injections
A4212 Non coring needle or stylet
A4213 20+ CC syringe only
A4215 Sterile needle
A4216 Sterile water/saline, 10 ml
A4217 Sterile water/saline, 500 ml
A4218 Sterile saline or water
A4220 Infusion pump refill kit
A4221 Maint drug infus cath per wk
A4222 Infusion supplies with pump
A4223 Infusion supplies w/o pump
A4224 Supply insulin inf cath/wk
A4225 Sup/ext insulin inf pump syr
A4226 Weekly supply maint cgs pump
A4230 Infus insulin pump non needl
A4231 Infusion insulin pump needle
A4232 Syringe w/needle insulin 3cc
A4233 Alkalin batt for glucose mon
A4234 J-cell batt for glucose mon
A4235 Lithium batt for glucose mon
A4236 Silvr oxide batt glucose mon
PA A4238 Adju cgm supply allowance
PA A4239 Non-adju cgm supply allow
A4244 Alcohol or peroxide per pint
A4245 Alcohol wipes per box
A4246 Betadine/phisohex solution
A4247 Betadine/iodine swabs/wipes
A4248 Chlorhexidine antisept
A4250 Urine reagent strips/tablets
A4252 Blood ketone test or strip
A4253 Blood glucose/reagent strips
A4255 Glucose monitor platforms
A4256 Calibrator solution/chips
A4257 Replace Lensshield Cartridge
A4258 Lancet device each
A4259 Lancets per box
A4261 Cervical cap contraceptive
A4262 Temporary tear duct plug
A4263 Permanent tear duct plug
A4264 Intratubal occlusion device
A4265 Paraffin
A4266 Diaphragm
A4267 Male condom
A4268 Female condom
A4269 Spermicide
A4270 Disposable endoscope sheath
A4280 Brst prsths adhsv attchmnt
A4281 Replacement breastpump tube
A4282 Replacement breastpump adpt
A4283 Replacement breastpump cap
A4284 Replcmnt breast pump shield
A4285 Replcmnt breast pump bottle
A4286 Replcmnt breastpump lok ring
A4290 Sacral nerve stim test lead
A4300 Cath impl vasc access portal
A4301 Implantable access syst perc
A4305 Drug delivery system >=50 ML
A4306 Drug delivery system <=50 ml
A4310 Insert tray w/o bag/cath
A4311 Catheter w/o bag 2-way latex
A4312 Cath w/o bag 2-way silicone
A4313 Catheter w/bag 3-way
A4314 Cath w/drainage 2-way latex
A4315 Cath w/drainage 2-way silcne
A4316 Cath w/drainage 3-way
A4320 Irrigation tray
A4321 Cath therapeutic irrig agent
A4322 Irrigation syringe
A4326 Male external catheter
A4327 Fem urinary collect dev cup
A4328 Fem urinary collect pouch
A4330 Stool collection pouch
A4331 Extension drainage tubing
A4332 Lube sterile packet
A4333 Urinary cath anchor device
A4334 Urinary cath leg strap
A4335 Incontinence supply
A4336 Urethral insert
A4337 Incontinent rectal insert
A4338 Indwelling catheter latex
A4340 Indwelling catheter special
A4344 Cath indw foley 2 way silicn
A4346 Cath indw foley 3 way
A4349 Disposable male external cat
A4351 Straight tip urine catheter
A4352 Coude tip urinary catheter
A4353 Intermittent urinary cath
A4354 Cath insertion tray w/bag
A4355 Bladder irrigation tubing
A4356 Ext ureth clmp or compr dvc
A4357 Bedside drainage bag
A4358 Urinary leg or abdomen bag
A4360 Disposable ext urethral dev
A4361 Ostomy face plate
A4362 Solid skin barrier
A4363 Ostomy clamp, replacement
A4364 Adhesive, liquid or equal
A4366 Ostomy vent
A4367 Ostomy belt
A4368 Ostomy filter
A4369 Skin barrier liquid per oz
A4371 Skin barrier powder per oz
A4372 Skin barrier solid 4x4 equiv
A4373 Skin barrier with flange
A4375 Drainable plastic pch w fcpl
A4376 Drainable rubber pch w fcplt
A4377 Drainable plstic pch w/o fp
A4378 Drainable rubber pch w/o fp
A4379 Urinary plastic pouch w fcpl
A4380 Urinary rubber pouch w fcplt
A4381 Urinary plastic pouch w/o fp
A4382 Urinary hvy plstc pch w/o fp
A4383 Urinary rubber pouch w/o fp
A4384 Ostomy faceplt/silicone ring
A4385 Ost skn barrier sld ext wear
A4387 Ost clsd pouch w att st barr
A4388 Drainable pch w ex wear barr
A4389 Drainable pch w st wear barr
A4390 Drainable pch ex wear convex
A4391 Urinary pouch w ex wear barr
A4392 Urinary pouch w st wear barr
A4393 Urine pch w ex wear bar conv
A4394 Ostomy pouch liq deodorant
A4395 Ostomy pouch solid deodorant
A4396 Peristomal hernia supprt blt
A4398 Ostomy irrigation bag
A4399 Ostomy irrig cone/cath w brs
A4400 Ostomy irrigation set
A4402 Lubricant per ounce
A4404 Ostomy ring each
A4405 Nonpectin based ostomy paste
A4406 Pectin based ostomy paste
A4407 Ext wear ost skn barr <=4sq"
A4408 Ext wear ost skn barr >4sq"
A4409 Ost skn barr convex <=4 sq i
A4410 Ost skn barr extnd >4 sq
A4411 Ost skn barr extnd =4sq
A4412 Ost pouch drain high output
A4413 2 pc drainable ost pouch
A4414 Ost sknbar w/o conv<=4 sq in
A4415 Ost skn barr w/o conv >4 sqi
A4416 Ost pch clsd w barrier/filtr
A4417 Ost pch w bar/bltinconv/fltr
A4418 Ost pch clsd w/o bar w filtr
A4419 Ost pch for bar w flange/flt
A4420 Ost pch clsd for bar w lk fl
A4421 Ostomy supply misc
A4422 Ost pouch absorbent material
A4423 Ost pch for bar w lk fl/fltr
A4424 Ost pch drain w bar & filter
A4425 Ost pch drain for barrier fl
A4426 Ost pch drain 2 piece system
A4427 Ost pch drain/barr lk flng/f
A4428 Urine ost pouch w faucet/tap
A4429 Urine ost pouch w bltinconv
A4430 Ost urine pch w b/bltin conv
A4431 Ost pch urine w barrier/tapv
A4432 Os pch urine w bar/fange/tap
A4433 Urine ost pch bar w lock fln
A4434 Ost pch urine w lock flng/ft
A4435 1pc ost pch drain hgh output
A4436 Irr supply sleev reus per mo
A4437 Irr supply sleev disp per mo
A4450 Non-waterproof tape
A4452 Waterproof tape
A4453 Rec cath man pump enema repl
A4455 Adhesive remover per ounce
A4456 Adhesive remover, wipes
A4458 Reusable enema bag
A4459 Manual pump enema, reusable
A4461 Surgicl dress hold non-reuse
A4463 Surgical dress holder reuse
A4465 Non-elastic extremity binder
A4467 Belt strap sleev grmnt cover
A4470 Gravlee jet washer
A4480 Vabra aspirator
A4481 Tracheostoma filter
A4483 Moisture exchanger
A4490 Above knee surgical stocking
A4495 Thigh length surg stocking
A4500 Below knee surgical stocking
A4510 Full length surg stocking
A4520 Incontinence garment anytype
A4550 Surgical trays
A4553 Nondisp underpads, all sizes
A4554 Disposable underpads
A4555 Ca tx e-stim electr/transduc
A4556 Electrodes, pair
A4557 Lead wires, pair
A4558 Conductive gel or paste
A4559 Coupling gel or paste
A4561 Pessary rubber, any type
A4562 Pessary, non rubber,any type
A4563 Vag inser rectal control sys
A4565 Slings
A4566 Should sling/vest/abrestrain
A4570 Splint
A4575 Hyperbaric o2 chamber disps
A4580 Cast supplies (plaster)
A4590 Special casting material
A4595 TENS suppl 2 lead per month
A4596 Ces system monthly supp
A4600 Sleeve, inter limb comp dev
A4601 Lith ion batt, non-pros use
A4604 Tubing with heating element
A4605 Trach suction cath close sys
A4606 Oxygen probe used w oximeter
A4608 Transtracheal oxygen cath
A4611 Heavy duty battery
A4612 Battery cables
A4613 Battery charger
A4614 Hand-held PEFR meter
A4615 Cannula nasal
A4616 Tubing (oxygen) per foot
A4617 Mouth piece
A4618 Breathing circuits
A4619 Face tent
A4620 Variable concentration mask
A4623 Tracheostomy inner cannula
A4624 Tracheal suction tube
A4625 Trach care kit for new trach
A4626 Tracheostomy cleaning brush
A4627 Spacer bag/reservoir
A4628 Oropharyngeal suction cath
A4629 Tracheostomy care kit
A4630 Repl bat t.e.n.s. own by pt
A4633 Uvl replacement bulb
A4634 Replacement bulb th lightbox
A4635 Underarm crutch pad
A4636 Handgrip for cane etc
A4637 Repl tip cane/crutch/walker
A4638 Repl batt pulse gen sys
A4639 Infrared ht sys replcmnt pad
A4640 Alternating pressure pad
A4641 Radiopharm dx agent noc
A4642 In111 satumomab
A4648 Implantable tissue marker
PA A4649 Surgical supplies
A4650 Implant radiation dosimeter
A4651 Calibrated microcap tube
A4652 Microcapillary tube sealant
A4653 PD catheter anchor belt
A4657 Syringe w/wo needle
A4660 Sphyg/bp app w cuff and stet
A4663 Dialysis blood pressure cuff
A4670 Automatic bp monitor, dial
A4671 Disposable cycler set
A4672 Drainage ext line, dialysis
A4673 Ext line w easy lock connect
A4674 Chem/antisept solution, 8oz
A4680 Activated carbon filter, ea
A4690 Dialyzer, each
A4706 Bicarbonate conc sol per gal
A4707 Bicarbonate conc pow per pac
A4708 Acetate conc sol per gallon
A4709 Acid conc sol per gallon
A4714 Treated water per gallon
A4719 Y set tubing
A4720 Dialysat sol fld vol > 249cc
A4721 Dialysat sol fld vol > 999cc
A4722 Dialys sol fld vol > 1999cc
A4728 Dialysate solution, non-dex
A4730 Fistula cannulation set, ea
A4736 Topical anesthetic, per gram
A4737 Inj anesthetic per 10 ml
A4740 Shunt accessory
A4750 Art or venous blood tubing
A4755 Comb art/venous blood tubing
A4760 Dialysate sol test kit, each
A4765 Dialysate conc pow per pack
A4766 Dialysate conc sol add 10 ml
A4770 Blood collection tube/vacuum
A4771 Serum clotting time tube
A4772 Blood glucose test strips
A4773 Occult blood test strips
A4774 Ammonia test strips
A4802 Protamine sulfate per 50 mg
A4860 Disposable catheter tips
A4870 Plumb/elec wk hm hemo equip
A4890 Repair/maint cont hemo equip
A4911 Drain bag/bottle
A4913 Misc dialysis supplies noc
A4918 Venous pressure clamp
A4927 Non-sterile gloves
A4928 Surgical mask
A4929 Tourniquet for dialysis, ea
A4930 Sterile, gloves per pair
A4931 Reusable oral thermometer
A4932 Reusable rectal thermometer
A5051 Pouch clsd w barr attached
A5052 Clsd ostomy pouch w/o barr
A5053 Clsd ostomy pouch faceplate
A5054 Clsd ostomy pouch w/flange
A5055 Stoma cap
A5056 1 pc ost pouch w filter
A5057 1 pc ost pou w built-in conv
A5061 Pouch drainable w barrier at
A5062 Drnble ostomy pouch w/o barr
A5063 Drain ostomy pouch w/flange
A5071 Urinary pouch w/barrier
A5072 Urinary pouch w/o barrier
A5073 Urinary pouch on barr w/flng
A5081 Continent stoma plug
A5082 Continent stoma catheter
A5083 Stoma absorptive cover
A5093 Ostomy accessory convex inse
A5102 Bedside drain btl w/wo tube
A5105 Urinary suspensory
A5112 Urinary leg bag
A5113 Latex leg strap
A5114 Foam/fabric leg strap
A5120 Skin barrier, wipe or swab
A5121 Solid skin barrier 6x6
A5122 Solid skin barrier 8x8
A5126 Disk/foam pad +or- adhesive
A5131 Appliance cleaner
A5200 Percutaneous catheter anchor
A5500 Diab shoe for density insert
A5501 Diabetic custom molded shoe
A5503 Diabetic shoe w/roller/rockr
A5504 Diabetic shoe with wedge
A5505 Diab shoe w/metatarsal bar
A5506 Diabetic shoe w/off set heel
A5507 Modification diabetic shoe
A5508 Diabetic deluxe shoe
A5510 Compression form shoe insert
A5512 Multi den insert direct form
A5513 Multi den insert custom mold
A5514 Mult den insert dir carv/cam
A6000 Wound warming wound cover
A6010 Collagen based wound filler
A6011 Collagen gel/paste wound fil
A6021 Collagen dressing <=16 sq in
A6022 Collagen drsg>16<=48 sq in
A6023 Collagen dressing >48 sq in
A6024 Collagen dsg wound filler
A6025 Silicone gel sheet, each
A6154 Wound pouch each
A6196 Alginate dressing <=16 sq in
A6197 Alginate drsg >16 <=48 sq in
A6198 alginate dressing > 48 sq in
A6199 Alginate drsg wound filler
A6203 Composite drsg <= 16 sq in
A6204 Composite drsg >16<=48 sq in
A6205 Composite drsg > 48 sq in
A6206 Contact layer <= 16 sq in
A6207 Contact layer >16<= 48 sq in
A6208 Contact layer > 48 sq in
A6209 Foam drsg <=16 sq in w/o bdr
A6210 Foam drg >16<=48 sq in w/o b
A6211 Foam drg > 48 sq in w/o brdr
A6212 Foam drg <=16 sq in w/border
A6213 Foam drg >16<=48 sq in w/bdr
A6214 Foam drg > 48 sq in w/border
A6215 Foam dressing wound filler
A6216 Non-sterile gauze<=16 sq in
A6217 Non-sterile gauze>16<=48 sq
A6218 Non-sterile gauze > 48 sq in
A6219 Gauze <= 16 sq in w/border
A6220 Gauze >16 <=48 sq in w/bordr
A6221 Gauze > 48 sq in w/border
A6222 Gauze <=16 in no w/sal w/o b
A6223 Gauze >16<=48 no w/sal w/o b
A6224 Gauze > 48 in no w/sal w/o b
A6228 Gauze <= 16 sq in water/sal
A6229 Gauze >16<=48 sq in watr/sal
A6230 Gauze > 48 sq in water/salne
A6231 Hydrogel dsg<=16 sq in
A6232 Hydrogel dsg>16<=48 sq in
A6233 Hydrogel dressing >48 sq in
A6234 Hydrocolld drg <=16 w/o bdr
A6235 Hydrocolld drg >16<=48 w/o b
A6236 Hydrocolld drg > 48 in w/o b
A6237 Hydrocolld drg <=16 in w/bdr
A6238 Hydrocolld drg >16<=48 w/bdr
A6239 Hydrocolld drg > 48 in w/bdr
A6240 Hydrocolld drg filler paste
A6241 Hydrocolloid drg filler dry
A6242 Hydrogel drg <=16 in w/o bdr
A6243 Hydrogel drg >16<=48 w/o bdr
A6244 Hydrogel drg >48 in w/o bdr
A6245 Hydrogel drg <= 16 in w/bdr
A6246 Hydrogel drg >16<=48 in w/b
A6247 Hydrogel drg > 48 sq in w/b
A6248 Hydrogel drsg gel filler
A6250 Skin seal protect moisturizr
A6251 Absorpt drg <=16 sq in w/o b
A6252 Absorpt drg >16 <=48 w/o bdr
A6253 Absorpt drg > 48 sq in w/o b
A6254 Absorpt drg <=16 sq in w/bdr
A6255 Absorpt drg >16<=48 in w/bdr
A6256 Absorpt drg > 48 sq in w/bdr
A6257 Transparent film <= 16 sq in
A6258 Transparent film >16<=48 in
A6259 Transparent film > 48 sq in
A6260 Wound cleanser any type/size
A6261 Wound filler gel/paste /oz
A6262 Wound filler dry form / gram
A6266 Impreg gauze no h20/sal/yard
A6402 Sterile gauze <= 16 sq in
A6403 Sterile gauze>16 <= 48 sq in
A6404 Sterile gauze > 48 sq in
A6407 Packing strips, non-impreg
A6410 Sterile eye pad
A6411 Non-sterile eye pad
A6412 Occlusive eye patch
A6413 Adhesive bandage, first-aid
A6441 Pad band w>=3" <5"/yd
A6442 Conform band n/s w<3"/yd
A6443 Conform band n/s w>=3"<5"/yd
A6444 Conform band n/s w>=5"/yd
A6445 Conform band s w <3"/yd
A6446 Conform band s w>=3" <5"/yd
A6447 Conform band s w >=5"/yd
A6448 Lt compres band <3"/yd
A6449 Lt compres band >=3" <5"/yd
A6450 Lt compres band >=5"/yd
A6451 Mod compres band w>=3"<5"/yd
A6452 High compres band w>=3"<5"yd
A6453 Self-adher band w <3"/yd
A6454 Self-adher band w>=3" <5"/yd
A6455 Self-adher band >=5"/yd
A6456 Zinc paste band w >=3"<5"/yd
A6457 Tubular dressing
A6460 Synthetic drsg <= 16 sq in
A6461 Synthetic drsg >16<=48 sq in
A6501 Compres burngarment bodysuit
A6502 Compres burngarment chinstrp
A6503 Compres burngarment facehood
A6504 Cmprsburngarment glove-wrist
A6505 Cmprsburngarment glove-elbow
A6506 Cmprsburngrmnt glove-axilla
A6507 Cmprs burngarment foot-knee
A6508 Cmprs burngarment foot-thigh
A6509 Compres burn garment jacket
A6510 Compres burn garment leotard
A6511 Compres burn garment panty
A6512 Compres burn garment, noc
A6513 Compress burn mask face/neck
A6530 Compression stocking BK18-30
A6533 Gc stocking thighlngth 18-30
A6536 Gc stocking full lngth 18-30
A6539 Gc stocking waistlngth 18-30
A6544 Gc stocking garter belt
A6545 Grad comp non-elastic BK
A6549 G compression stocking
A6550 Neg pres wound ther drsg set
A7000 Disposable canister for pump
A7001 Nondisposable pump canister
A7002 Tubing used w suction pump
A7003 Nebulizer administration set
A7004 Disposable nebulizer sml vol
A7005 Nondisposable nebulizer set
A7006 Filtered nebulizer admin set
A7007 Lg vol nebulizer disposable
A7008 Disposable nebulizer prefill
A7009 Nebulizer reservoir bottle
A7010 Disposable corrugated tubing
A7012 Nebulizer water collec devic
A7013 Disposable compressor filter
A7014 Compressor nondispos filter
A7015 Aerosol mask used w nebulize
A7016 Nebulizer dome & mouthpiece
A7017 Nebulizer not used w oxygen
A7018 Water distilled w/nebulizer
A7020 Interface, cough stim device
A7025 Replace chest compress vest
A7026 Replace chst cmprss sys hose
A7027 Combination oral/nasal mask
A7028 Repl oral cushion combo mask
A7029 Repl nasal pillow comb mask
A7030 CPAP full face mask
A7031 Replacement facemask interfa
A7032 Replacement nasal cushion
A7033 Replacement nasal pillows
A7034 Nasal application device
A7035 Pos airway press headgear
A7036 Pos airway press chinstrap
A7037 Pos airway pressure tubing
A7038 Pos airway pressure filter
A7039 Filter, non disposable w pap
A7040 One way chest drain valve
A7041 Water seal drain container
A7044 PAP oral interface
A7045 Repl exhalation port for PAP
A7046 Repl water chamber, PAP dev
A7047 Resp suction oral interface
A7048 Vacuum drain bottle/tube kit
A7501 Tracheostoma valve w diaphra
A7502 Replacement diaphragm/fplate
A7503 HMES filter holder or cap
A7504 Tracheostoma HMES filter
A7505 HMES or trach valve housing
A7506 HMES/trachvalve adhesivedisk
A7507 Integrated filter & holder
A7508 Housing & Integrated Adhesiv
A7509 Heat & moisture exchange sys
A7520 Trach/laryn tube non-cuffed
A7521 Trach/laryn tube cuffed
A7522 Trach/laryn tube stainless
A7523 Tracheostomy shower protect
A7524 Tracheostoma stent/stud/bttn
A7525 Tracheostomy mask
A7526 Tracheostomy tube collar
A7527 Trach/laryn tube plug/stop
A8000 Soft protect helmet prefab
A8001 Hard protect helmet prefab
A8002 Soft protect helmet custom
A8003 Hard protect helmet custom
A8004 Repl soft interface, helmet
A9150 Misc/exper non-prescript dru
A9152 Single vitamin nos
A9153 Multi-vitamin nos
A9155 Artificial saliva
A9180 Lice treatment, topical
A9270 Non-covered item or service
A9272 Disposable mech wound suct
A9273 Hot/cold h2obot/cap/col/wrap
A9274 Ext amb insulin delivery sys
A9275 Disp home glucose monitor
A9276 Disposable sensor, CGM sys
A9277 External transmitter, CGM
A9278 External receiver, CGM sys
A9279 Monitoring feature/deviceNOC
A9280 Alert device, noc
A9281 Reaching/grabbing device
A9282 Wig any type
A9283 Foot press off load supp dev
A9284 Non-electronic spirometer
A9285 Inversion eversion cor devic
A9286 Any hygienic item, device
A9291 Pres digital behav thera fda
A9300 Exercise equipment
A9500 Tc99m sestamibi
A9501 Technetium TC-99m teboroxime
A9502 Tc99m tetrofosmin
A9503 Tc99m medronate
A9504 Tc99m apcitide
A9505 TL201 thallium
PA A9507 In111 capromab
A9508 I131 iodobenguate, dx
A9509 Iodine I-123 sod iodide mil
A9510 Tc99m disofenin
A9512 Tc99m pertechnetate
PA A9513 Lutetium lu 177 dotatat ther
A9515 Choline c-11
A9516 Iodine I-123 sod iodide mic
A9517 I131 iodide cap, rx
A9520 Tc99 tilmanocept diag 0.5mci
A9521 Tc99m exametazime
A9524 I131 serum albumin, dx
A9526 Nitrogen N-13 ammonia
A9527 Iodine I-125 sodium iodide
A9528 Iodine I-131 iodide cap, dx
A9529 I131 iodide sol, dx
A9530 I131 iodide sol, rx
A9531 I131 max 100uCi
A9532 I125 serum albumin, dx
A9536 Tc99m depreotide
A9537 Tc99m mebrofenin
A9538 Tc99m pyrophosphate
A9539 Tc99m pentetate
A9540 Tc99m MAA
A9541 Tc99m sulfur colloid
A9542 In111 ibritumomab, dx
PA A9543 Y90 ibritumomab, rx
A9546 Co57/58
A9547 In111 oxyquinoline
A9548 In111 pentetate
A9550 Tc99m gluceptate
A9551 Tc99m succimer
A9552 F18 fdg
A9553 Cr51 chromate
A9554 I125 iothalamate, dx
A9555 Rb82 rubidium
A9556 Ga67 gallium
A9557 Tc99m bicisate
A9558 Xe133 xenon 10mci
A9559 Co57 cyano
A9560 Tc99m labeled rbc
A9561 Tc99m oxidronate
A9562 Tc99m mertiatide
A9563 P32 Na phosphate
A9564 P32 chromic phosphate
A9566 Tc99m fanolesomab
A9567 Technetium TC-99m aerosol
A9569 Technetium TC-99m auto WBC
A9570 Indium In-111 auto WBC
A9571 Indium IN-111 auto platelet
A9572 Indium In-111 pentetreotide
A9574 Air poly intrauterine foam
A9575 Inj gadoterate meglumi 0.1ml
A9576 Inj prohance multipack
A9577 Inj multihance
A9578 Inj multihance multipack
A9579 Gad-base MR contrast NOS,1ml
A9580 Sodium fluoride F-18
A9581 Gadoxetate disodium inj
A9582 Iodine I-123 iobenguane
A9583 Gadofosveset trisodium inj
A9584 Iodine i-123 ioflupane
A9585 Gadobutrol injection
A9586 Florbetapir F18
A9587 Gallium ga-68
PA A9588 Fluciclovine f-18
A9589 Insti hexaminolevulinate hcl
PA A9590 Iodine i-131 iobenguane 1mci
A9591 Fluoroestradiol f 18
PA A9592 Copper cu 64 dotatate diag
A9593 Gallium ga-68 psma-11 ucsf
A9594 Gallium ga-68 psma-11, ucla
A9595 Piflu f-18, dia 1 millicurie
A9596 Gallium illuccix 1 millicure
A9597 Pet, dx, for tumor id, noc
A9598 Pet dx for non-tumor id, noc
A9600 Sr89 strontium
A9601 Flortaucipir inj 1 millicuri
A9602 Fluorodopa f-18 diag per mci
A9604 Sm 153 lexidronam
PA A9606 Radium ra223 dichloride ther
PA A9607 Lutetium lu 177 vipivotide
A9698 Non-rad contrast materialNOC
A9699 Radiopharm rx agent noc
A9700 Echocardiography Contrast
A9800 Gallium locametz 1 millicuri
A9900 Supply/accessory/service
A9901 Delivery/set up/dispensing
A9999 DME supply or accessory, nos
B4034 Enter feed supkit syr by day
B4035 Enteral feed supp pump per d
B4036 Enteral feed sup kit grav by
B4081 Enteral ng tubing w/ stylet
B4082 Enteral ng tubing w/o stylet
B4083 Enteral stomach tube levine
B4087 Gastro/jejuno tube, std
B4088 Gastro/jejuno tube, low-pro
B4100 Food thickener oral
B4102 EF adult fluids and electro
B4103 EF ped fluid and electrolyte
B4104 Additive for enteral formula
B4105 Enzyme cartridge enteral nut
B4149 EF blenderized foods
B4150 EF complet w/intact nutrient
B4152 EF calorie dense>/=1.5Kcal
B4153 EF hydrolyzed/amino acids
B4154 EF spec metabolic noninherit
B4155 EF incomplete/modular
B4157 EF special metabolic inherit
B4158 EF ped complete intact nut
B4159 EF ped complete soy based
B4160 EF ped caloric dense>/=0.7kc
B4161 EF ped hydrolyzed/amino acid
B4162 EF ped specmetabolic inherit
B4164 Parenteral 50% dextrose solu
B4168 Parenteral sol amino acid 3.
B4172 Parenteral sol amino acid 5.
B4176 Parenteral sol amino acid 7-
B4178 Parenteral sol amino acid >
B4180 Parenteral sol carb > 50%
B4185 Pn soln nos 10 grams lipids
B4187 Omegaven, 10 grams lipids
B4189 Parenteral sol amino acid &
B4193 Parenteral sol 52-73 gm prot
B4197 Parenteral sol 74-100 gm pro
B4199 Parenteral sol > 100gm prote
B4216 Parenteral nutrition additiv
B4220 Parenteral supply kit premix
B4222 Parenteral supply kit homemi
B4224 Parenteral administration ki
B5000 Parenteral sol renal-amirosy
B5100 Parenteral sol hepatic-fream
B5200 Parenteral sol stres-brnch c
B9002 Enteral infusion pump w/ ala
B9004 Parenteral infus pump portab
B9006 Parenteral infus pump statio
B9998 Enteral supp not otherwise c
B9999 Parenteral supp not othrws c
C1052 Hemostatic agent, gi, topic
C1062 Intravertebral fx aug impl
C1713 Anchor/screw bn/bn,tis/bn
C1714 Cath, trans atherectomy, dir
C1715 Brachytherapy needle
C1716 Brachytx, non-str, Gold-198
C1717 Brachytx, non-str,HDR Ir-192
C1719 Brachytx, NS, Non-HDRIr-192
C1721 AICD, dual chamber
C1722 AICD, single chamber
C1724 Cath, trans atherec,rotation
C1725 Cath, translumin non-laser
C1726 Cath, bal dil, non-vascular
C1727 Cath, bal tis dis, non-vas
C1728 Cath, brachytx seed adm
C1729 Cath, drainage
C1730 Cath, EP, 19 or few elect
C1731 Cath, EP, 20 or more elec
C1732 Cath, EP, diag/abl, 3D/vect
C1733 Cath, EP, othr than cool-tip
C1734 Orth/devic/drug bn/bn,tis/bn
C1747 Endo, single, urinary tract
PA C1748 Endoscope, single, ugi
C1749 Endo, colon, retro imaging
C1750 Cath, hemodialysis,long-term
C1751 Cath, inf, per/cent/midline
C1752 Cath,hemodialysis,short-term
C1753 Cath, intravas ultrasound
C1754 Catheter, intradiscal
C1755 Catheter, intraspinal
C1756 Cath, pacing, transesoph
C1757 Cath, thrombectomy/embolect
C1758 Catheter, ureteral
C1759 Cath, intra echocardiography
C1760 Closure dev, vasc
C1761 Cath, trans intra litho/coro
C1762 Conn tiss, human(inc fascia)
C1763 Conn tiss, non-human
C1764 Event recorder, cardiac
C1765 Adhesion barrier
C1766 Intro/sheath,strble,non-peel
PA C1767 Generator, neuro non-recharg
C1768 Graft, vascular
C1769 Guide wire
C1770 Imaging coil, MR, insertable
C1771 Rep dev, urinary, w/sling
C1772 Infusion pump, programmable
C1773 Ret dev, insertable
C1776 Joint device (implantable)
C1777 Lead, AICD, endo single coil
PA C1778 Lead, neurostimulator
C1779 Lead, pmkr, transvenous VDD
C1780 Lens, intraocular (new tech)
C1781 Mesh (implantable)
C1782 Morcellator
C1783 Ocular imp, aqueous drain de
C1784 Ocular dev, intraop, det ret
C1785 Pmkr, dual, rate-resp
C1786 Pmkr, single, rate-resp
C1787 Patient progr, neurostim
C1788 Port, indwelling, imp
C1789 Prosthesis, breast, imp
C1813 Prosthesis, penile, inflatab
C1814 Retinal tamp, silicone oil
C1815 Pros, urinary sph, imp
C1816 Receiver/transmitter, neuro
C1817 Septal defect imp sys
C1818 Integrated keratoprosthesis
C1819 Tissue localization-excision
C1820 Generator neuro rechg bat sy
C1821 Interspinous implant
EPA/PA C1822 Gen, neuro, hf, rechg bat
C1823 Gen, neuro, trans sen/stim
C1824 Generator, ccm, implant
C1825 Gen, neuro, carot sinus baro
C1826 Gen, neuro, clo loop, rechg
C1827 Gen, neuro, imp led, ex cntr
C1830 Power bone marrow bx needle
C1831 Personalized interbody cage
C1832 Auto cell process sys
C1833 Cardiac monitor sys
C1834 Pressure sensor system, im
C1839 Iris prosthesis
C1840 Telescopic intraocular lens
C1841 Retinal prosth int/ext comp
C1842 Retinal prosth, add-on
C1849 Skin substitute, synthetic
EPA C1874 Stent, coated/cov w/del sys
EPA C1875 Stent, coated/cov w/o del sy
C1876 Stent, non-coa/non-cov w/del
C1877 Stent, non-coat/cov w/o del
C1878 Matrl for vocal cord
C1880 Vena cava filter
C1881 Dialysis access system
C1882 AICD, other than sing/dual
C1883 Adapt/ext, pacing/neuro lead
C1884 Embolization Protect syst
C1885 Cath, translumin angio laser
C1886 Catheter, ablation
C1887 Catheter, guiding
C1888 Endovas non-cardiac abl cath
C1889 Implant/insert device, noc
C1891 Infusion pump,non-prog, perm
C1892 Intro/sheath,fixed,peel-away
C1893 Intro/sheath, fixed,non-peel
C1894 Intro/sheath, non-laser
C1895 Lead, AICD, endo dual coil
C1896 Lead, AICD, non sing/dual
C1897 Lead, neurostim test kit
C1898 Lead, pmkr, other than trans
C1899 Lead, pmkr/AICD combination
C1900 Lead, coronary venous
C1982 Cath, pressure,valve-occlu
C2596 Probe, robotic, water-jet
C2613 Lung bx plug w/del sys
C2614 Probe, perc lumb disc
C2615 Sealant, pulmonary, liquid
C2616 Brachytx, non-str,Yttrium-90
C2617 Stent, non-cor, tem w/o del
PA C2618 Probe, cryoablation
C2619 Pmkr, dual, non rate-resp
C2620 Pmkr, single, non rate-resp
C2621 Pmkr, other than sing/dual
C2622 Prosthesis, penile, non-inf
C2623 Cath, translumin, drug-coat
C2624 Wireless pressure sensor
C2625 Stent, non-cor, tem w/del sy
C2626 Infusion pump, non-prog,temp
C2627 Cath, suprapubic/cystoscopic
C2628 Catheter, occlusion
C2629 Intro/sheath, laser
C2630 Cath, EP, cool-tip
C2631 Rep dev, urinary, w/o sling
C2634 Brachytx, non-str, HA, I-125
C2635 Brachytx, non-str, HA, P-103
C2636 Brachy linear, non-str,P-103
C2637 Brachy,non-str,Ytterbium-169
C2638 Brachytx, stranded, I-125
C2639 Brachytx, non-stranded,I-125
C2640 Brachytx, stranded, P-103
C2641 Brachytx, non-stranded,P-103
C2642 Brachytx, stranded, C-131
C2643 Brachytx, non-stranded,C-131
C2644 Brachytx, cesium 131-chloride
C2645 Brachytx planar, p-103
C2698 Brachytx, stranded, NOS
C2699 Brachytx, non-stranded, NOS
C5271 Low cost skin substitute app
C7500 Deb bone 20 cm2 w/drug dev
C7501 Perc bx breast lesions stero
C7502 Perc bx breast lesions mr
C7503 Open exc cerv node(s) w/ id
C7504 Perq cvt&ls inj vert bodies
C7505 Perq ls&cvt inj vert bodies
C7506 Fusion of finger joints
C7507 Perq thor&lumb vert aug
C7508 Perq lumb&thor vert aug
C7509 Dx bronch w/ navigation
C7510 Bronch/lavag w/ navigation
C7511 Bronch/bpsy(s) w/ navigation
C7512 Bronch/bpsy(s) w/ ebus
C7513 Cath/angio dialcir w/aplasty
C7514 Cath/angio dial cir w/stents
C7515 Cath/angio dial cir w/embol
C7516 Cor angio w/ ivus or oct
C7517 Cor angio w/ilic/fem angio
C7518 Cor/gft angio w/ ivus or oct
C7519 Cor/gft angio w/ flow resrv
C7520 Cor/gft angio w/ilic/fem ang
C7521 R hrt angio w/ ivus or oct
C7522 R hrt angio w/flow resrv
C7523 L hrt angio w/ ivus or oct
C7524 L hrt angio w/flow resrv
C7525 L hrt gft ang w/ ivus or oct
C7526 L hrt gft ang w/flow resrv
C7527 R&l hrt angio w/ ivus or oct
C7528 R&l hrt angio w/flow resrv
C7529 R&l hrt gft ang w/flow resrv
C7530 Cath/aplasty dial cir w/stnt
C7531 Angio fem/pop w/ us
C7532 Angio w/ us non-coronary
C7533 Ptca w/ plcmt brachytx dev
C7534 Fem/pop revasc w/arthr & us
C7535 Fem/pop revasc w/stent & us
C7537 Insrt atril pm w/l vent lead
C7538 Insrt vent pm w/l vent lead
C7539 Insrt a & v pm w/l vent lead
C7540 Rmv&rplc pm dul w/l vnt lead
C7541 Ercp w/ pancreatoscopy
C7542 Ercp w/bx & pancreatoscopy
C7543 Ercp w/otomy, pancreatoscopy
C7544 Ercp rmv calc pancreatoscopy
C7545 Exch bil cath w/ rmv calculi
C7546 Rep nph/urt cath w/dil stric
C7547 Cnvrt neph cath w/ dil stric
C7548 Exch neph cath w/ dil stric
C7549 Chge urtr stent w/ dil stric
C7550 Cysto w/ bx(s) w/ blue light
C7551 Exc neuroma w/ implnt nv end
C7552 R hrt art/grft ang hrt flow
C7553 R&i hrt art/vent ang drg ad
C7554 Cystureth blu li cyst fl img
C7555 Rmvl thyrd w/autotran parath
C7900 Hopd mntl hlt, 15-29 min
C7901 Hopd mntl hlt, 30-60 min
C7902 Hopd mntl hlt, ea addl
C8900 MRA w/cont, abd
C8901 MRA w/o cont, abd
C8902 MRA w/o fol w/cont, abd
CPA C8903 MRI w/cont, breast, uni
CPA C8905 MRI w/o fol w/cont, brst, un
CPA C8906 MRI w/cont, breast, bi
CPA C8908 MRI w/o fol w/cont, breast,
C8909 MRA w/cont, chest
C8910 MRA w/o cont, chest
C8911 MRA w/o fol w/cont, chest
C8912 MRA w/cont, lwr ext
C8913 MRA w/o cont, lwr ext
C8914 MRA w/o fol w/cont, lwr ext
C8918 MRA w/cont, pelvis
C8919 MRA w/o cont, pelvis
C8920 MRA w/o fol w/cont, pelvis
C8921 TTE w or w/o fol w/cont, com
C8922 TTE w or w/o fol w/cont, f/u
C8923 2D TTE w or w/o fol w/con,co
C8924 2D TTE w or w/o fol w/con,fu
C8925 2D TEE w or w/o fol w/con,in
C8926 TEE w or w/o fol w/cont,cong
C8927 TEE w or w/o fol w/cont, mon
C8928 TTE w or w/o fol w/con,stres
C8929 TTE w or wo fol wcon,Doppler
C8930 TTE w or w/o contr, cont ECG
C8931 MRA, w/dye, spinal canal
C8932 MRA, w/o dye, spinal canal
C8933 MRA, w/o&w/dye, spinal canal
C8934 MRA, w/dye, upper extremity
C8935 MRA, w/o dye, upper extr
C8936 MRA, w/o&w/dye, upper extr
C8937 Cad breast mri
C8957 Prolonged IV inf, req pump
PA C9014 Injection, cerliponase alfa, 1 mg
PA C9015 Injection, c-1 esterase inhibitor (human)
PA C9016 Injection, triptorelin extended release
PA C9024 Inj, daunorubicin-cytarabine
PA C9028 Injection, inotuzumab ozogamicin, 0.1 mg
PA C9029 Injection, guselkumab, 1 mg
C9030 Inj copanlisib
C9031 Lutetium Lu 177 dotatate, tx
PA C9033 Inj, akynzeo
C9034 Injection, dexamethasone 9%,
C9035 Aristada Initio
C9036 Injection, patisiran
C9037 Injection, risperidone
C9038 inj mogamulizumab-kpkc
C9039 injection, plazomicin
C9040 Injection, fremanezumab-vfrm
C9042 Inj., belrapzo 1 mg
C9044 Injection, cemiplimab-rwlc
C9045 Moxetumomab pasudotox-tdfk
C9046 Cocaine hcl nasal solution
C9047 Injection, caplacizumab-yhdp
C9048 Dexamethasone ophth insert
C9049 Injection, tagraxofusp-erzs
C9050 Injection, emapalumab-lzsg
C9051 Injection, omadacycline
C9052 Injection, ravulizumab-cwv
C9067 Gallium ga-68 dotatoc
PA C9088 Instill, bupivacaine and meloxicam, 1 mg/0.03 mg
C9089 Bupivacaine implant, 1 mg
C9101 Inj, oliceridine 0.1 mg
C9113 Inj pantoprazole sodium, via
C9141 Factor viii pegylated-aucl
C9142 Inj, alymsys, 10 mg
C9143 Cocaine hcl nasal solution (numbrino), 1 mg
C9144 Inj, bupivacaine (posimir)
C9248 Inj, clevidipine butyrate
C9250 Artiss fibrin sealant
PA C9254 Injection, lacosamide
C9257 Bevacizumab injection
C9275 Hexaminolevulinate HCl
PA C9285 Patch, lidocaine/tetracaine
C9290 Inj, bupivacaine liposome
PA C9293 Injection, glucarpidase
C9352 Neuragen nerve guide, per cm
C9353 Neurawrap nerve protector,cm
C9354 Veritas collagen matrix, cm2
C9355 Neuromatrix nerve cuff, cm
C9356 TenoGlide tendon prot, cm2
C9358 SurgiMend, fetal
C9359 Implnt,bon void filler-putty
C9360 SurgiMend, neonatal
C9361 NeuroMend nerve wrap
C9362 Implnt,bon void filler-strip
C9363 Integra meshed bil wound mat
C9364 Porcine implant, Permacol
PA C9399 Unclassified drugs or biolog
C9447 Inj, phenylephrine ketorolac
C9458 Florbetaben f18
C9459 Flutemetamol f18
PA C9460 Injection, cangrelor (Kengreal)
C9462 Injection, delafloxacin
C9469 Inj triamcinolone acetonide
C9482 Sotalol hydrochloride IV
C9487 Ustekinumab IV inj, 1 mg
PA C9488 Injection, conivaptan hydrochloride, 1 mg
C9497 Loxapine, inhalation powder
C9600 Perc drug-el cor stent sing
C9601 Perc drug-el cor stent bran
C9602 Perc d-e cor stent ather s
C9603 Perc d-e cor stent ather br
C9604 Perc d-e cor revasc t cabg s
C9605 Perc d-e cor revasc t cabg b
C9607 Perc d-e cor revasc chro sin
C9608 Perc d-e cor revasc chro add
C9725 Place endorectal app
PA C9726 Rxt breast appl place/remov
PA C9727 Insert palate implants
C9728 Place device/marker, non pro
C9733 Non-ophthalmic FVA
C9734 U/S trtmt, not leiomyomata
C9738 Blue light cysto imag agent
PA C9739 Cystoscopy prostatic imp 1-3
PA C9740 Cysto impl 4 or more
C9741 Impl pressure sensor w/angio
C9743 Bulking/Spacer Material Implantation
C9744 Abd us w/contrast
C9746 Trans imp balloon cont
PA C9750 Ins/rem-replace compl iims
C9751 Microwave bronch, 3d, ebus
C9756 Fluorescence lymph map w/ICG
C9757 Spine/lumbar disk surgery
C9758 Interatrial shunt ide
C9759 Transcath intraop microinf
C9760 Non-blind interatrial shunt
C9761 Cysto, litho, vacuum kidney
C9762 Cardiac mri seg dys strain
C9763 Cardiac mri seg dys stress
C9764 Revasc intravasc lithotripsy
C9765 Revasc intra lithotrip-stent
C9766 Revasc intra lithotrip-ather
C9767 Revasc lithotrip-stent-ather
C9768 Endo us-guide hep porto grad
C9769 Cysto w/temp pros implant
C9770 Vitrec/mech pars, subret inj
C9771 Nsl/sins cryo post nasal tis
C9772 Revasc lithotrip tibi/perone
C9773 Revasc lithotr-stent tib/per
C9774 Revasc lithotr-ather tib/per
C9775 Revasc lith-sten-ath tib/per
C9776 Fluo bile duct imaging w/icg
C9777 Esophag mucosal integ add-on
C9778 Colpopexy, min/inv, ex-perit
C9779 Esd endoscopy or colonoscopy
C9780 Insert cv cath inf & sup app
C9781 Arthro/shoul surg; w/spacer
C9782 Blind myocar trpl bon marrow
C9783 Blind cor sinus reducer impl
C9898 Inpnt stay radiolabeled item
C9899 Inpt implant pros dev,no cov
D0120 Periodic oral evaluation
D0140 Limit oral eval problm focus
D0145 Oral evaluation, pt < 3yrs
D0150 Comprehensve oral evaluation
L D0160 Extensv oral eval prob focus
D0171 Re-eval post-op visit
D0180 Comp periodontal evaluation
D0190 Screening of a patient
D0191 Assessment of a patient
D0210 Intraor complete film series
D0220 Intraoral periapical first
D0230 Intraoral periapical ea add
L D0240 Intraoral occlusal film
D0250 Extraoral first film
D0251 Extraoral posterior image
D0270 Dental bitewing single image
D0272 Dental bitewings two images
D0273 Bitewings - three images
D0274 Bitewings four images
D0277 Vert bitewings 7 to 8 images
D0310 Dental saliography
D0320 Dental tmj arthrogram incl i
D0321 Other tmj images by report
D0322 Dental tomographic survey
D0330 Panoramic image
L D0340 Cephalometric image
L/PA D0350 Oral/facial photo images
D0351 3d photographic image
D0364 Cone beam ct capt & interp
D0365 Cone beam ct interprete man
D0366 Cone beam ct interprete max
D0367 Cone beam ct interp both jaw
D0368 Cone beam ct interprete tmj
D0369 Max mri capture & interprete
D0370 Max ultrasound capt & interp
D0371 Sialoendoscopy capt & interp
D0372 Tomo comp series images
D0373 Tomo bitewing image
D0374 Tomo periapical image
D0380 Cone beam ct capture limited
D0381 Cone beam ct capt mandible
D0382 Cone beam ct capt maxilla
D0383 Cone beam ct both jaws
D0384 Cone beam ct capture tmj
D0385 Max mri image capture
D0386 Max ultrasound image capture
D0387 Comp image capture only
D0388 Bitewing image capture only
D0389 Periopic image capture only
D0391 Imterprete diagnostic image
D0393 Trtmnt simulation 3d image
D0394 Digital sub 2 or more images
D0395 Fusion 2 or more 3d images
D0411 Hba1c in office testing
D0412 Blood glucose level test
D0414 Lab process microbial spec
D0416 Viral culture
D0417 Collect & prep saliva sample
D0418 Analysis of saliva sample
D0419 Assess of salivary flow
D0422 Collect & prep genetic samp
D0423 Genetic test spec analysis
D0425 Caries susceptibility test
D0431 Diag tst detect mucos abnorm
D0460 Pulp vitality test
D0470 Diagnostic casts
D0472 Gross exam, prep & report
D0473 Micro exam, prep & report
D0474 Micro w exam of surg margins
D0475 Decalcification procedure
D0476 Spec stains for microorganis
D0477 Spec stains not for microorg
D0478 Immunohistochemical stains
D0479 Tissue in-situ hybridization
D0480 Cytopath smear prep & report
D0481 Electron microscopy diagnost
D0482 Direct immunofluorescence
D0483 Indirect immunofluorescence
D0484 Consult slides prep elsewher
D0485 Consult inc prep of slides
D0486 Access of transep cytol samp
D0502 Other oral pathology procedu
D0600 Non-ionizing diag proc
D0601 Caries risk assess low risk
D0602 Caries risk assess mod risk
D0603 Caries risk assess high risk
D0605 Antibody test pub hlth path
D0701 Pano radio image
D0702 2d cephal radio image
D0703 2d oral/facial photo image
D0704 3d photo image capture only
D0705 Extra oral post radio image
D0706 Intraoral occlus radio image
D0707 Intraoral periap radio image
D0708 Intraoral bite radio image
D0709 Intraoral cmplt radio images
D0801 3d dental scan direct
D0802 3d dental scan indirect
D0803 3d facial scan direct
D0804 3d facial scan indirect
D0999 Unspecified diagnostic proce
D1110 Dental prophylaxis adult
L D1120 Dental prophylaxis child
D1206 Topical fluoride varnish
D1208 Topical app of fluoride
D1310 Nutri counsel-control caries
D1320 Tobacco counseling
D1321 Couns for high risk sub use
D1330 Oral hygiene instruction
L D1351 Dental sealant per tooth
D1352 Prev resin rest, perm tooth
D1353 Sealant repair per tooth
D1354 INTERIM CARIES MED APP
D1355 Caries med app per tooth
L D1510 Space maintainer fxd unilat
L D1515 Fixed bilat space maintainer
PA D1516 Fixed bilat space maint, max
PA D1517 Fixed bilat space maint, man
D1520 Remove unilat space maintain
D1525 Remove bilat space maintain
D1526 Remove bilat space main, max
D1527 Remove bilat space main, man
D1551 Recement bilateral space maintainer – Maxillary
D1552 Recement bilateral space maintainer -Mandibular
D1553 Recement unilat space maint
D1556 Removal of unilateral space maintainer per quadrant
D1557 Removal of bilateral space maintainer-maxillary
D1558 Removal of bilateral space maintainer-mandibular
D1575 Dist space maint, fixed unil
D1781 Vac admin human pap dose 1
D2140 Amalgam one surface permanen
D2150 Amalgam two surfaces permane
D2160 Amalgam three surfaces perma
D2161 Amalgam 4 or > surfaces perm
D2330 Resin one surface-anterior
D2331 Resin two surfaces-anterior
D2332 Resin three surfaces-anterio
D2335 Resin 4/> surf or w incis an
L D2390 Ant resin-based cmpst crown
D2391 Post 1 srfc resinbased cmpst
D2394 Post >=4srfc resinbase cmpst
D2410 Dental gold foil one surface
D2420 Dental gold foil two surface
D2430 Dental gold foil three surfa
D2510 Dental inlay metalic 1 surf
D2520 Dental inlay metallic 2 surf
D2530 Dental inlay metl 3/more sur
D2542 Dental onlay metallic 2 surf
D2543 Dental onlay metallic 3 surf
D2544 Dental onlay metl 4/more sur
D2610 Inlay porcelain/ceramic 1 su
D2620 Inlay porcelain/ceramic 2 su
D2630 Dental onlay porc 3/more sur
D2642 Dental onlay porcelin 2 surf
D2643 Dental onlay porcelin 3 surf
D2644 Dental onlay porc 4/more sur
D2650 Inlay composite/resin one su
D2651 Inlay composite/resin two su
D2652 Dental inlay resin 3/mre sur
D2662 Dental onlay resin 2 surface
D2663 Dental onlay resin 3 surface
D2664 Dental onlay resin 4/mre sur
L/PA D2710 Crown resin-based indirect
D2712 Crown 3/4 resin-based compos
L/PA D2720 Crown resin w/ high noble me
L/PA D2721 Crown resin w/ base metal
L/PA D2722 Crown resin w/ noble metal
L/PA D2740 Crown porcelain/ceramic subs
L/PA D2750 Crown porcelain w/ h noble m
L/PA D2751 Crown porcelain fused base m
L/PA D2752 Crown porcelain w/ noble met
D2753 Crown porc fused to titanium
D2780 Crown 3/4 cast hi noble met
D2781 Crown 3/4 cast base metal
D2782 Crown 3/4 cast noble metal
D2783 Crown 3/4 porcelain/ceramic
D2790 Crown full cast high noble m
D2791 Crown full cast base metal
D2792 Crown full cast noble metal
D2794 Crown-titanium
D2799 Provisional crown
L D2910 Recement inlay onlay or part
L D2915 Recement cast or prefab post
D2920 Dental recement crown
D2921 Reattach tooth fragment
D2928 Prefab porc/cer crown perm
L D2929 Prefab porc/ceram crown pri
L D2930 Prefab stnlss steel crwn pri
L D2931 Prefab stnlss steel crown pe
L D2932 Prefabricated resin crown
D2933 Prefab stainless steel crown
L D2934 Prefab steel crown primary
D2940 Protective restoration
D2941 Int therapeutic restoration
D2949 Restorative foundation
L/PA D2950 Core build-up incl any pins
D2951 Tooth pin retention
L/PA D2952 Post and core cast + crown
D2953 Each addtnl cast post
L/PA D2954 Prefab post/core + crown
D2955 Post removal
D2957 Each addtnl prefab post
D2960 Laminate labial veneer
D2961 Lab labial veneer resin
D2962 Lab labial veneer porcelain
D2971 Add proc construct new crown
D2975 Coping
D2980 Crown repair
D2981 Inlay repair
D2982 Onlay repair
D2983 Veneer repair
D2990 Resin infiltration of lesion
D2999 Dental unspec restorative pr
D3110 Pulp cap direct
D3120 Pulp cap indirect
L D3220 Therapeutic pulpotomy
D3221 Gross pulpal debridement
D3221 Gross pulpal debridement
D3222 Part pulp for apexogenesis
L D3230 Pulpal therapy anterior prim
L D3240 Pulpal therapy posterior pri
D3310 End thxpy, anterior tooth
L D3320 End thxpy, bicuspid tooth
L D3330 End thxpy, molar
D3331 Non-surg tx root canal obs
D3332 Incomplete endodontic tx
D3333 Internal root repair
PA D3346 Retreat root canal anterior
L/PA D3347 Retreat root canal bicuspid
L/PA D3348 Retreat root canal molar
L/PA D3351 Apexification/recalc initial
L/PA D3352 Apexification/recalc interim
D3353 Apexification/recalc final
D3355 Pulpal regeneration initial
D3356 Pulpal regeneration interim
D3357 Pulpal regeneration complete
L/PA D3410 Apicoectomy - anterior
D3421 Root surgery bicuspid
D3425 Root surgery molar
D3426 Root surgery ea add root
D3428 Bone graft peri per tooth
D3429 Bone graft peri each addl
L/PA D3430 Retrograde filling
D3431 Biological materials
D3432 Guided tissue regeneration
D3450 Root amputation
D3460 Endodontic endosseous implan
D3470 Intentional replantation
D3471 Surg rep root res anterior
D3472 Surg rep root res premolar
D3473 Surg rep root res molar
D3501 Surg exp root surf anterior
D3502 Surg exp root surf premolar
D3503 Surg exp root surf molar
D3910 Isolation- tooth w rubb dam
D3911 Intraorifice barrier
D3920 Tooth splitting
D3921 Decor or submerg erupt tooth
D3950 Canal prep/fitting of dowel
D3999 Endodontic procedure
L/PA D4210 Gingivectomy/plasty 4 or mor
L/PA D4211 Gingivectomy/plasty 1 to 3
D4212 Gingivectomy/plasty rest
D4230 Ana crown exp 4 or> per quad
D4231 Ana crown exp 1-3 per quad
D4240 Gingival flap proc w/ planin
D4241 Gngvl flap w rootplan 1-3 th
D4245 Apically positioned flap
D4249 Crown lengthen hard tissue
D4260 Osseous surgery 4 or more
D4261 Osseous surg 1 to 3 teeth
D4263 Bone replce graft first site
D4264 Bone replce graft each add
D4265 Bio mtrls to aid soft/os reg
D4266 Guided tiss regen resorble
D4267 Guided tiss regen nonresorb
D4268 Surgical revision procedure
D4270 Pedicle soft tissue graft pr
D4273 Subepithelial tissue graft
D4274 Distal/proximal wedge proc
D4275 Soft tissue allograft
D4276 Con tissue w dble ped graft
D4277 Soft tissue graft firsttooth
D4278 Soft tissue graft addl tooth
D4283 Auto tissue graft addl tooth
D4285 Non-auto graft addl tooth
D4286 Remove non-resorb barrier
D4322 Splint intra-coronal
D4323 Splint extra-coronal
PA D4341 Periodontal scaling & root
PA D4342 Periodontal scaling 1-3teeth
D4346 SCALING GINGIV INFLAMMATION
D4355 Full mouth debridement
D4355 Full mouth debridement
D4381 Localized delivery antimicro
PA D4910 Periodontal maint procedures
D4920 Unscheduled dressing change
D4921 Gingival irrigation per quad
D4999 Unspecified periodontal proc
PA D5110 Dentures complete maxillary
PA D5120 Dentures complete mandible
D5130 Dentures immediat maxillary
D5140 Dentures immediat mandible
PA D5211 Dentures maxill part resin
PA D5212 Dentures mand part resin
D5213 Dentures maxill part metal
D5214 Dentures mandibl part metal
D5221 Immed max part denture resin
D5222 Immed man part denture resin
D5223 Immed max part dent metal
D5224 Immed mand part dent metal
D5225 Maxillary part denture flex
D5226 Mandibular part denture flex
D5227 Immed max part denture
D5228 Immed mand part denture
D5281 Removable partial denture
D5282 Remove unil part denture,max
D5283 Remove unil part denture,man
D5284 Rem unilat dent flex base
D5286 Rem unilat dent 1 pc resin
D5410 Dentures adjust cmplt maxil
D5410 Dentures adjust cmplt maxil
D5411 Dentures adjust cmplt mand
D5411 Dentures adjust cmplt mand
D5421 Dentures adjust part maxill
D5421 Dentures adjust part maxill
D5422 Dentures adjust part mandbl
D5422 Dentures adjust part mandbl
D5511 Rep broke comp dent base man
D5512 Rep broke comp dent base max
D5520 Replace denture teeth complt
D5611 Rep resin part dent base man
D5612 Rep resin part dent base max
D5621 Rep cast part frame man
D5622 Rep cast part frame max
D5630 Rep partial denture clasp
D5640 Replace part denture teeth
D5650 Add tooth to partial denture
D5660 Add clasp to partial denture
D5670 Replc tth&acrlc on mtl frmwk
D5671 Replc tth&acrlc mandibular
D5710 Dentures rebase cmplt maxil
D5711 Dentures rebase cmplt mand
D5720 Dentures rebase part maxill
D5721 Dentures rebase part mandbl
D5725 Rebase hybrid prosthesis
D5730 Denture reln cmplt maxil ch
D5731 Denture reln cmplt mand chr
D5740 Denture reln part maxil chr
D5741 Denture reln part mand chr
D5750 Denture reln cmplt max lab
D5751 Denture reln cmplt mand lab
D5760 Denture reln part maxil lab
D5761 Denture reln part mand lab
D5765 Liner compl/partial rem dent
D5810 Denture interm cmplt maxill
D5811 Denture interm cmplt mandbl
D5820 Denture interm part maxill
D5821 Denture interm part mandbl
D5850 Denture tiss conditn maxill
D5851 Denture tiss condtin mandbl
D5862 Precision attachment
PA D5863 Overdenture complete max
D5864 Overdenture partial max
PA D5865 Overdenture complete mandib
D5866 Overdenture partial mandib
D5867 Replacement of precision att
D5875 Prosthesis modification
D5876 Add metal sub to acrylc dent
PA D5899 Removable prosthodontic proc
D5911 Facial moulage sectional
D5912 Facial moulage complete
D5913 Nasal prosthesis
D5914 Auricular prosthesis
D5915 Orbital prosthesis
D5916 Ocular prosthesis
D5919 Facial prosthesis
D5922 Nasal septal prosthesis
D5923 Ocular prosthesis interim
D5924 Cranial prosthesis
D5925 Facial augmentation implant
D5926 Replacement nasal prosthesis
D5927 Auricular replacement
D5928 Orbital replacement
D5929 Facial replacement
D5931 Surgical obturator
D5932 Postsurgical obturator
D5933 Refitting of obturator
D5934 Mandibular flange prosthesis
D5935 Mandibular denture prosth
D5936 Temp obturator prosthesis
D5937 Trismus appliance
D5951 Feeding aid
D5952 Pediatric speech aid
D5953 Adult speech aid
D5954 Superimposed prosthesis
D5955 Palatal lift prosthesis
D5958 Intraoral con def inter plt
D5959 Intraoral con def mod palat
D5960 Modify speech aid prosthesis
D5982 Surgical stent
D5983 Radiation applicator
D5984 Radiation shield
D5985 Radiation cone locator
D5986 Fluoride applicator
D5987 Commissure splint
D5988 Surgical splint
D5991 Vesiculobullous disease carr
D5992 Adjust max prost appliance
D5993 Main/clean max prosthesis
D5995 Peri medicament w/seal, max
D5996 Peri medicament w/seal, mand
D5999 Maxillofacial prosthesis
D6010 Odontics endosteal implant
D6011 Second stage implant surgery
D6012 Endosteal implant
D6013 Surgical place mini implant
D6040 Odontics eposteal implant
D6050 Odontics transosteal implnt
D6051 Interim abutment
D6055 Implant connecting bar
D6056 Prefabricated abutment
D6057 Custom abutment
D6058 Abutment supported crown
D6059 Abutment supported mtl crown
D6065 Implant supported crown
D6066 Implant supported mtl crown
D6067 Implant supported mtl crown
D6068 Abutment supported retainer
D6075 Implant supported retainer
D6080 Implant maintenance
D6081 Scale & debride, single imp
D6082 Imp crown porc to base alloy
D6083 Imp crown porc to noble allo
D6084 Imp crown porc to titanium
D6085 Provisional implant crown
D6086 Imp crown base alloys
D6087 Implant crown noble alloys
D6088 Imp crown titanium alloys
D6090 Repair implant
D6091 Repl semi/precision attach
D6092 Recement supp crown
D6093 Recement supp part denture
D6094 Abut support crown titanium
D6095 Odontics repr abutment
D6096 Remove broken imp ret screw
D6097 Abut crown porc to titanium
D6098 Imp retain porc to base allo
D6099 Imp retainer for fpd
D6100 Removal of implant
D6101 Debridement of a periimplant
D6102 Debridement & contouring
D6103 Bone graft repair perimplant
D6104 Bone graft time of implant
D6105 Remove implant body
D6106 Tissue regen resorbable
D6107 Tissue regen non-resorbable
D6110 Implnt/abut remov dent max
D6111 Implnt/abut remov dent mand
D6112 Imp/abut rem dent part max
D6113 Imp/abut rem dent part mand
D6114 Implnt/abut fixed dent max
D6115 Implnt/abut fixed dent mand
D6116 Imp/abut fixed dent part max
D6117 Imp/abut fixed dent part man
D6118 Imp/abut int fixed dent man
D6119 Int/abut int fixed dent max
D6120 Imp retain porc to titanium
D6121 Retain metal fpd base alloys
D6122 Retain metal fpd noble alloy
D6123 Retain metal fpd titanium
D6190 Radio/surgical implant index
D6191 Semi precision abutment
D6192 Semi precision attachment
D6194 Abut support retainer titani
D6195 Abut retain porc to titanium
D6197 Replace material prosthesis
D6198 Remove interim implant
D6199 Implant procedure
D6205 Pontic-indirect resin based
D6210 Prosthodont high noble metal
D6211 Bridge base metal cast
D6212 Bridge noble metal cast
D6214 Pontic titanium
D6240 Bridge porcelain high noble
D6241 Bridge porcelain base metal
D6242 Bridge porcelain nobel metal
D6243 Pontic porcelain to titanium
D6245 Bridge porcelain/ceramic
D6250 Bridge resin w/high noble
D6251 Bridge resin base metal
D6252 Bridge resin w/noble metal
D6253 Provisional pontic
D6545 Dental retainr cast metl
D6548 Porcelain/ceramic retainer
D6549 Resin retainer
D6600 Porcelain/ceramic inlay 2srf
D6601 Porc/ceram inlay >= 3 surfac
D6602 Cst hgh nble mtl inlay 2 srf
D6603 Cst hgh nble mtl inlay >=3sr
D6604 Cst bse mtl inlay 2 surfaces
D6605 Cst bse mtl inlay >= 3 surfa
D6606 Cast noble metal inlay 2 sur
D6607 Cst noble mtl inlay >=3 surf
D6608 Onlay porc/crmc 2 surfaces
D6609 Onlay porc/crmc >=3 surfaces
D6610 Onlay cst hgh nbl mtl 2 srfc
D6611 Onlay cst hgh nbl mtl >=3srf
D6612 Onlay cst base mtl 2 surface
D6613 Onlay cst base mtl >=3 surfa
D6614 Onlay cst nbl mtl 2 surfaces
D6615 Onlay cst nbl mtl >=3 surfac
D6624 Inlay titanium
D6634 Onlay titanium
D6710 Crown-indirect resin based
D6720 Retain crown resin w hi nble
D6721 Crown resin w/base metal
D6722 Crown resin w/noble metal
D6740 Crown porcelain/ceramic
D6750 Crown porcelain high noble
D6751 Crown porcelain base metal
D6752 Crown porcelain noble metal
D6753 Retain crown porc to titaniu
D6780 Crown 3/4 high noble metal
D6781 Crown 3/4 cast based metal
D6782 Crown 3/4 cast noble metal
D6783 Crown 3/4 porcelain/ceramic
D6784 Retainer crown 3/4 titanium
D6790 Crown full high noble metal
D6791 Crown full base metal cast
D6792 Crown full noble metal cast
D6793 Provisional retainer crown
D6794 Crown titanium
D6920 Dental connector bar
PA D6930 Dental recement bridge
D6940 Stress breaker
D6950 Precision attachment
D6980 Fixed partial repair
D6985 Pediatric partial denture fx
D6999 Fixed prosthodontic proc
D7111 Extraction coronal remnants
D7140 Extraction erupted tooth/exr
D7210 Rem imp tooth w mucoper flp
D7220 Impact tooth remov soft tiss
D7230 Impact tooth remov part bony
D7240 Impact tooth remov comp bony
PA D7241 Impact tooth rem bony w/comp
D7250 Tooth root removal
D7251 Coronectomy
D7260 Oral antral fistula closure
D7261 Primary closure sinus perf
D7270 Tooth reimplantation
D7272 Tooth transplantation
L/PA D7280 Exposure impact tooth orthod
D7282 Mobilize erupted/malpos toot
L/PA D7283 Place device impacted tooth
D7285 Biopsy of oral tissue hard
PA D7286 Biopsy of oral tissue soft
D7287 Exfoliative cytolog collect
D7288 Brush biopsy
D7288 Brush biopsy
D7290 Repositioning of teeth
D7291 Transseptal fiberotomy
D7292 Screw retained plate
D7293 Temp anchorage dev w flap
D7294 Temp anchorage dev w/o flap
D7295 Bone harvest,auto graft proc
D7296 Corticotomy, 1-3 teeth
D7297 Corticotomy, 4 or more teeth
D7298 Remove screw retained plate
D7299 Rem anchorage device w/flap
D7300 Rem anchorage dev w/o flap
D7310 Alveoplasty w/ extraction
D7311 Alveoloplasty w/extract 1-3
D7320 Alveoplasty w/o extraction
D7321 Alveoloplasty not w/extracts
D7340 Vestibuloplasty ridge extens
D7350 Vestibuloplasty exten graft
D7410 Rad exc lesion up to 1.25 cm
D7411 Excision benign lesion>1.25c
D7412 Excision benign lesion compl
D7413 Excision malig lesion<=1.25c
D7414 Excision malig lesion>1.25cm
D7415 Excision malig les complicat
D7440 Malig tumor exc to 1.25 cm
D7441 Malig tumor > 1.25 cm
D7450 Rem odontogen cyst to 1.25cm
D7451 Rem odontogen cyst > 1.25 cm
D7460 Rem nonodonto cyst to 1.25cm
D7461 Rem nonodonto cyst > 1.25 cm
D7465 Lesion destruction
PA D7471 Rem exostosis any site
PA D7472 Removal of torus palatinus
PA D7473 Remove torus mandibularis
PA D7485 Surg reduct osseoustuberosit
D7490 Maxilla or mandible resectio
D7509 Marsupialization odon cyst
D7510 I&d absc intraoral soft tiss
D7511 Incision/drain abscess intra
D7520 I&d abscess extraoral
D7521 Incision/drain abscess extra
D7530 Removal fb skin/areolar tiss
D7540 Removal of fb reaction
D7550 Removal of sloughed off bone
D7560 Maxillary sinusotomy
D7610 Maxilla open reduct simple
D7620 Clsd reduct simpl maxilla fx
D7630 Open red simpl mandible fx
D7640 Clsd red simpl mandible fx
D7650 Open red simp malar/zygom fx
D7660 Clsd red simp malar/zygom fx
D7670 Closd rductn splint alveolus
D7671 Alveolus open reduction
D7680 Reduct simple facial bone fx
D7710 Maxilla open reduct compound
D7720 Clsd reduct compd maxilla fx
D7730 Open reduct compd mandble fx
D7740 Clsd reduct compd mandble fx
D7750 Open red comp malar/zygma fx
D7760 Clsd red comp malar/zygma fx
D7770 Open reduc compd alveolus fx
D7771 Alveolus clsd reduc stblz te
D7780 Reduct compnd facial bone fx
D7810 Tmj open reduct-dislocation
D7820 Closed tmp manipulation
D7830 Tmj manipulation under anest
D7840 Removal of tmj condyle
D7850 Tmj meniscectomy
D7852 Tmj repair of joint disc
D7854 Tmj excisn of joint membrane
D7856 Tmj cutting of a muscle
D7858 Tmj reconstruction
D7860 Tmj cutting into joint
D7865 Tmj reshaping components
D7870 Tmj aspiration joint fluid
D7871 Lysis + lavage w catheters
D7872 Tmj diagnostic arthroscopy
D7873 Tmj arthroscopy lysis adhesn
D7874 Tmj arthroscopy disc reposit
D7875 Tmj arthroscopy synovectomy
D7876 Tmj arthroscopy discectomy
D7877 Tmj arthroscopy debridement
L/PA D7880 Occlusal orthotic appliance
D7881 Occ orthotic device adjust
D7899 Tmj unspecified therapy
D7910 Dent sutur recent wnd to 5cm
D7911 Dental suture wound to 5 cm
D7912 Suture complicate wnd > 5 cm
D7920 Dental skin graft
D7921 Collect & appl blood product
D7922 Place intra-socket bio dress
D7940 Reshaping bone orthognathic
D7941 Bone cutting ramus closed
D7943 Cutting ramus open w/graft
D7944 Bone cutting segmented
D7945 Bone cutting body mandible
D7946 Reconstruction maxilla total
D7947 Reconstruct maxilla segment
D7948 Reconstruct midface no graft
D7949 Reconstruct midface w/graft
D7950 Mandible graft
D7951 Sinus aug w bone or bone sub
D7952 Sinus augmentation vertical
D7953 Bone replacement graft
D7955 Repair maxillofacial defects
D7956 Tiss regen edent resorb
D7957 Tiss regen edent nonresorb
D7961 Buccal/labial frenectomy
D7962 Lingual frenectomy
L/PA D7963 Frenuloplasty
L/PA D7970 Excision hyperplastic tissue
L/EPA D7971 Excision pericoronal gingiva
L/PA D7972 Surg redct fibrous tuberosit
D7979 Non-surgical sialolithotomy
D7980 Sialolithotomy
D7981 Excision of salivary gland
D7982 Sialodochoplasty
D7983 Closure of salivary fistula
D7990 Emergency tracheotomy
D7991 Dental coronoidectomy
D7993 Surg place craniofacial impl
D7994 Surg place zygomatic impl
D7995 Synthetic graft facial bones
D7996 Implant mandible for augment
D7997 Appliance removal
D7998 Intraoral place of fix dev
D7999 Oral surgery procedure
L/PA D8010 Limited dental tx primary
L/PA D8030 Limited dental tx adolescent
D8040 Limited dental tx adult
L/PA D8080 Compre dental tx adolescent
D8090 Compre dental tx adult
D8210 Orthodontic rem appliance tx
L/PA D8220 Fixed appliance therapy habt
L/PA D8660 Preorthodontic tx visit
D8670 Periodic orthodontc tx visit
L/PA D8680 Orthodontic retention
D8681 Removable retainer adjust
PA D8695 Remove fixed ortho appliance
D8696 Rep of ortho appliance max
D8697 Rep of ortho appliance man
D8698 Recement fixed retainer max
D8699 Recement fixed retainer man
D8701 Repair fixed retainer max
D8702 Repair of fixed retainer man
D8703 Replace broken retainer max
D8704 Replace broken retainer man
D8999 Orthodontic procedure
D9110 Tx dental pain minor proc
D9120 Fix partial denture section
D9130 Temporomandibular joint dysf
D9210 Dent anesthesia w/o surgery
D9211 Regional block anesthesia
D9212 Trigeminal block anesthesia
D9215 Local anesthesia
D9219 Eval for deep sed/gen anesth
D9222 Deep anest, 1st 15 min
D9223 General anesthesia each 15m
D9230 Analgesia
D9239 Iv mod sedation, 1st 15 min
D9243 Iv sedation each 15m
PA D9248 Sedation (non-iv)
D9310 Dental consultation
D9311 Consult w/med hlth care prof
D9410 Dental house call
D9420 Hospital/asc call
D9430 Office visit during hours
D9440 Office visit after hours
D9450 Case presentation tx plan
D9610 Dent therapeutic drug inject
D9612 Thera par drugs 2 or > admin
D9612 Thera par drugs 2 or > admin
D9613 Infiltration thera drug
L D9630 Other drugs/medicaments
D9910 Dent appl desensitizing med
D9911 Appl desensitizing resin
D9912 Pre-visit patient screening
D9920 Behavior management
D9930 Treatment of complications
D9930 Treatment of complications
D9932 Clean & inspect rem dent max
D9933 Clean & inspect rem dent man
D9934 Clean rem part denture max
D9935 Clean rem part denture mand
L/PA D9940 Dental occlusal guard
D9941 Fabrication athletic guard
D9942 Repair/reline occlusal guard
D9943 Occlusal guard adjustment
L/PA D9944 occ guard, hard, full arch
L/PA D9945 occ guard, soft, full arch
D9946 Occ guard, hard, part arch
D9947 Sleep apnea appliance
D9948 Adjust sleep apnea appliance
D9949 Repair sleep apnea appliance
D9950 Occlusion analysis
D9951 Limited occlusal adjustment
D9952 Complete occlusal adjustment
D9953 Reline sleep apnea appliance
D9961 Dup/copy patient's records
D9970 Enamel microabrasion
D9971 Odontoplasty 1-2 teeth
D9972 Extrnl bleaching per arch
D9973 Extrnl bleaching per tooth
D9974 Intrnl bleaching per tooth
D9975 External bleaching home app
D9985 Sales tax
D9986 Missed appointment
D9987 Cancelled appointment
D9990 Trans or sign language svcs
D9991 Case mgmt, appt barriers
D9993 Case mgmt, interviewing
D9994 Case mgmt, pt education
D9995 Teledentistry real-time
D9996 Teledentistry dent review
D9997 Dent case mgmt special needs
D9999 Adjunctive procedure
E0100 Cane adjust/fixed with tip
E0105 Cane adjust/fixed quad/3 pro
E0110 Crutch forearm pair
E0111 Crutch forearm each
E0112 Crutch underarm pair wood
E0113 Crutch underarm each wood
E0114 Crutch underarm pair no wood
E0116 Crutch underarm each no wood
E0117 Underarm springassist crutch
E0118 Crutch substitute
E0130 Walker rigid adjust/fixed ht
E0135 Walker folding adjust/fixed
E0140 Walker w trunk support
E0141 Rigid wheeled walker adj/fix
E0143 Walker folding wheeled w/o s
E0144 Enclosed walker w rear seat
E0147 Walker variable wheel resist
E0148 Heavyduty walker no wheels
E0149 Heavy duty wheeled walker
E0153 Forearm crutch platform atta
E0154 Walker platform attachment
E0155 Walker wheel attachment,pair
E0156 Walker seat attachment
E0157 Walker crutch attachment
E0158 Walker leg extenders set of4
E0159 Brake for wheeled walker
E0160 Sitz type bath or equipment
E0161 Sitz bath/equipment w/faucet
E0162 Sitz bath chair
E0163 Commode chair with fixed arm
E0165 Commode chair with detacharm
E0167 Commode chair pail or pan
E0168 Heavyduty/wide commode chair
E0170 Commode chair electric
E0171 Commode chair non-electric
E0172 Seat lift mechanism toilet
E0175 Commode chair foot rest
E0181 Press pad alternating w/ pum
E0182 Replace pump, alt press pad
E0183 Press underlay alter w/pump
E0184 Dry pressure mattress
E0185 Gel pressure mattress pad
E0186 Air pressure mattress
E0187 Water pressure mattress
E0188 Synthetic sheepskin pad
E0189 Lambswool sheepskin pad
E0190 Positioning cushion
E0191 Protector heel or elbow
E0193 Powered air flotation bed
E0194 Air fluidized bed
E0196 Gel pressure mattress
E0197 Air pressure pad for mattres
E0198 Water pressure pad for mattr
E0199 Dry pressure pad for mattres
E0200 Heat lamp without stand
E0202 Phototherapy light w/ photom
E0203 Therapeutic lightbox tabletp
E0205 Heat lamp with stand
E0210 Electric heat pad standard
E0215 Electric heat pad moist
E0217 Water circ heat pad w pump
E0218 Water circ cold pad w pump
E0221 Infrared heating pad system
E0225 Hydrocollator unit
E0231 Wound warming device
E0232 Warming card for NWT
E0235 Paraffin bath unit portable
E0236 Pump for water circulating p
E0239 Hydrocollator unit portable
E0240 Bath/shower chair
E0241 Bath tub wall rail
E0242 Bath tub rail floor
E0243 Toilet rail
E0244 Toilet seat raised
E0245 Tub stool or bench
E0246 Transfer tub rail attachment
E0247 Trans bench w/wo comm open
E0248 HDtrans bench w/wo comm open
E0249 Pad water circulating heat u
E0250 Hosp bed fixed ht w/ mattres
E0251 Hosp bed fixd ht w/o mattres
E0255 Hospital bed var ht w/ mattr
E0256 Hospital bed var ht w/o matt
E0260 Hosp bed semi-electr w/ matt
E0261 Hosp bed semi-electr w/o mat
E0265 Hosp bed total electr w/ mat
E0266 Hosp bed total elec w/o matt
E0270 Hospital bed institutional t
E0271 Mattress innerspring
E0272 Mattress foam rubber
E0273 Bed board
E0274 Over-bed table
E0275 Bed pan standard
E0276 Bed pan fracture
E0277 Powered pres-redu air mattrs
E0280 Bed cradle
E0290 Hosp bed fx ht w/o rails w/m
E0291 Hosp bed fx ht w/o rail w/o
E0292 Hosp bed var ht w/o rail w/o
E0293 Hosp bed var ht w/o rail w/
E0294 Hosp bed semi-elect w/ mattr
E0295 Hosp bed semi-elect w/o matt
E0296 Hosp bed total elect w/ matt
E0297 Hosp bed total elect w/o mat
E0300 Enclosed ped crib hosp grade
E0301 HD hosp bed, 350-600 lbs
E0302 Ex hd hosp bed > 600 lbs
E0303 Hosp bed hvy dty xtra wide
E0304 Hosp bed xtra hvy dty x wide
E0305 Rails bed side half length
E0310 Rails bed side full length
E0315 Bed accessory brd/tbl/supprt
E0316 Bed safety enclosure
E0325 Urinal male jug-type
E0326 Urinal female jug-type
E0328 Ped hospital bed, manual
E0329 Ped hospital bed semi/elect
E0350 Control unit bowel system
E0352 Disposable pack w/bowel syst
E0370 Air elevator for heel
E0371 Nonpower mattress overlay
E0372 Powered air mattress overlay
E0373 Nonpowered pressure mattress
E0424 Stationary compressed gas 02
E0425 Gas system stationary compre
E0430 Oxygen system gas portable
E0431 Portable gaseous 02
E0433 Portable liquid oxygen sys
E0434 Portable liquid 02
E0435 Oxygen system liquid portabl
E0439 Stationary liquid 02
E0440 Oxygen system liquid station
E0441 Stationary O2 contents, gas
E0442 Stationary O2 contents, liq
E0443 Portable 02 contents, gas
E0444 Portable 02 contents, liquid
E0445 Oximeter non-invasive
E0446 Topical Ox Deliver sys, nos
E0447 Port o2 cont, liq over 4 lpm
E0455 Oxygen tent excl croup/ped t
E0457 Chest shell
E0459 Chest wrap
E0462 Rocking bed w/ or w/o side r
E0465 Home vent invasive interface
E0466 Home vent non-invasive inter
E0467 Home vent multi-function
E0470 RAD w/o backup non-inv intfc
E0471 RAD w/backup non inv intrfc
E0472 RAD w backup invasive intrfc
E0480 Percussor elect/pneum home m
E0481 Intrpulmnry percuss vent sys
E0482 Cough stimulating device
E0483 Chest compression gen system
E0484 Non-elec oscillatory pep dvc
E0485 Oral device/appliance prefab
E0486 Oral device/appliance cusfab
E0487 Electronic spirometer
E0500 Ippb all types
E0550 Humidif extens supple w ippb
E0555 Humidifier for use w/ regula
E0560 Humidifier supplemental w/ i
E0561 Humidifier nonheated w PAP
E0562 Humidifier heated used w PAP
E0565 Compressor air power source
E0570 Nebulizer with compression
E0572 Aerosol compressor adjust pr
E0574 Ultrasonic generator w svneb
E0575 Nebulizer ultrasonic
E0580 Nebulizer for use w/ regulat
E0585 Nebulizer w/ compressor & he
E0600 Suction pump portab hom modl
E0601 Cont airway pressure device
E0602 Manual breast pump
E0603 Electric breast pump
E0604 Hosp grade elec breast pump
E0605 Vaporizer room type
E0606 Drainage board postural
E0607 Blood glucose monitor home
E0610 Pacemaker monitr audible/vis
E0615 Pacemaker monitr digital/vis
E0616 Cardiac event recorder
E0617 Automatic ext defibrillator
E0618 Apnea monitor
E0619 Apnea monitor w recorder
E0620 Cap bld skin piercing laser
E0621 Patient lift sling or seat
E0625 Patient lift bathroom or toi
E0627 Seat lift incorp lift-chair
E0629 Seat lift for pt furn-non-el
E0630 Patient lift hydraulic
E0635 Patient lift electric
E0636 PT support & positioning sys
E0637 Combination sit to stand sys
E0638 Standing frame sys
E0639 Moveable patient lift system
E0640 Fixed patient lift system
E0641 Multi-position stnd fram sys
E0642 Dynamic standing frame
E0650 Pneuma compresor non-segment
E0651 Pneum compressor segmental
E0652 Pneum compres w/cal pressure
E0655 Pneumatic appliance half arm
E0656 Segmental pneumatic trunk
E0657 Segmental pneumatic chest
E0660 Pneumatic appliance full leg
E0665 Pneumatic appliance full arm
E0666 Pneumatic appliance half leg
E0667 Seg pneumatic appl full leg
E0668 Seg pneumatic appl full arm
E0669 Seg pneumatic appli half leg
E0670 Seg pneum int legs/trunk
E0671 Pressure pneum appl full leg
E0672 Pressure pneum appl full arm
E0673 Pressure pneum appl half leg
E0675 Pneumatic compression device
E0676 Inter limb compress dev NOS
E0691 Uvl pnl 2 sq ft or less
E0692 Uvl sys panel 4 ft
E0693 Uvl sys panel 6 ft
E0694 Uvl md cabinet sys 6 ft
E0700 Safety equipment
E0705 Transfer device
E0710 Restraints any type
E0720 Tens two lead
E0730 Tens four lead
E0731 Conductive garment for tens/
E0740 Incontinence treatment systm
E0744 Neuromuscular stim for scoli
E0745 Neuromuscular stim for shock
E0746 Electromyograph biofeedback
E0747 Elec osteogen stim not spine
E0748 Elec osteogen stim spinal
PA E0749 Elec osteogen stim implanted
E0755 Electronic salivary reflex s
E0760 Osteogen ultrasound stimltor
E0761 Nontherm electromgntc device
E0762 Trans elec jt stim dev sys
E0764 Functional neuromuscularstim
E0765 Nerve stimulator for tx n&v
E0766 Elec stim cancer treatment
E0769 Electric wound treatment dev
E0770 Functional electric stim NOS
E0776 Iv pole
E0779 Amb infusion pump mechanical
E0780 Mech amb infusion pump <8hrs
E0781 External ambulatory infus pu
E0782 Non-programble infusion pump
E0783 Programmable infusion pump
E0784 Ext amb infusn pump insulin
E0785 Replacement impl pump cathet
E0786 Implantable pump replacement
E0787 Cgs dose adj insulin inf pmp
E0791 Parenteral infusion pump sta
E0830 Ambulatory traction device
E0840 Tract frame attach headboard
E0849 Cervical pneum trac equip
E0850 Traction stand free standing
E0855 Cervical traction equipment
E0856 Cervic collar w air bladder
E0860 Tract equip cervical tract
E0870 Tract frame attach footboard
E0880 Trac stand free stand extrem
E0890 Traction frame attach pelvic
E0900 Trac stand free stand pelvic
E0910 Trapeze bar attached to bed
E0911 HD trapeze bar attach to bed
E0912 HD trapeze bar free standing
E0920 Fracture frame attached to b
E0930 Fracture frame free standing
E0935 Cont pas motion exercise dev
E0936 CPM device, other than knee
E0940 Trapeze bar free standing
E0941 Gravity assisted traction de
E0942 Cervical head harness/halter
E0944 Pelvic belt/harness/boot
E0945 Belt/harness extremity
E0946 Fracture frame dual w cross
E0947 Fracture frame attachmnts pe
E0948 Fracture frame attachmnts ce
E0950 Tray
E0951 Loop heel
E0952 Toe loop/holder, each
E0953 W/c lateral thigh/knee sup
E0954 Foot box, any type each foot
E0955 Cushioned headrest
E0956 W/c lateral trunk/hip suppor
E0957 W/c medial thigh support
E0958 Whlchr att- conv 1 arm drive
E0959 Amputee adapter
E0960 W/c shoulder harness/straps
E0961 Wheelchair brake extension
E0966 Wheelchair head rest extensi
E0967 Manual wc hand rim w project
E0968 Wheelchair commode seat
E0969 Wheelchair narrowing device
E0970 Wheelchair no. 2 footplates
E0971 Wheelchair anti-tipping devi
E0973 W/Ch access det adj armrest
E0974 W/Ch access anti-rollback
E0978 W/C acc,saf belt pelv strap
E0980 Wheelchair safety vest
E0981 Seat upholstery, replacement
E0982 Back upholstery, replacement
E0983 Add pwr joystick
E0984 Add pwr tiller
E0985 W/c seat lift mechanism
E0986 Man w/c push-rim pow assist
E0988 Lever-activated wheel drive
E0990 Wheelchair elevating leg res
E0992 Wheelchair solid seat insert
E0994 Wheelchair arm rest
E0995 Wheelchair calf rest
E1002 Pwr seat tilt
E1003 Pwr seat recline
E1004 Pwr seat recline mech
E1005 Pwr seat recline pwr
E1006 Pwr seat combo w/o shear
E1007 Pwr seat combo w/shear
E1008 Pwr seat combo pwr shear
E1009 Add mech leg elevation
E1010 Add pwr leg elevation
E1011 Ped wc modify width adjustm
E1012 Ctr mount pwr elev leg rest
E1014 Reclining back add ped w/c
E1015 Shock absorber for man w/c
E1016 Shock absorber for power w/c
E1017 HD shck absrbr for hd man wc
E1018 HD shck absrber for hd powwc
E1020 Residual limb support system
E1028 W/c manual swingaway
E1029 W/c vent tray fixed
E1030 W/c vent tray gimbaled
E1031 Rollabout chair with casters
E1035 Patient transfer system <300
E1036 Patient transfer system >300
E1037 Transport chair, ped size
E1038 Transport chair pt wt<=300lb
E1039 Transport chair pt wt >300lb
E1050 Whelchr fxd full length arms
E1060 Wheelchair detachable arms
E1070 Wheelchair detachable foot r
E1083 Hemi-wheelchair fixed arms
E1084 Hemi-wheelchair detachable a
E1085 Hemi-wheelchair fixed arms
E1086 Hemi-wheelchair detachable a
E1087 Wheelchair lightwt fixed arm
E1088 Wheelchair lightweight det a
E1090 Wheelchair lightweight det a
E1092 Wheelchair wide w/ leg rests
E1093 Wheelchair wide w/ foot rest
E1100 Whchr s-recl fxd arm leg res
E1110 Wheelchair semi-recl detach
E1130 Whlchr stand fxd arm ft rest
E1140 Wheelchair standard detach a
E1150 Wheelchair standard w/ leg r
E1160 Wheelchair fixed arms
E1161 Manual adult wc w tiltinspac
E1170 Whlchr ampu fxd arm leg rest
E1171 Wheelchair amputee w/o leg r
E1172 Wheelchair amputee detach ar
E1180 Wheelchair amputee w/ foot r
E1190 Wheelchair amputee w/ leg re
E1195 Wheelchair amputee heavy dut
E1200 Wheelchair amputee fixed arm
E1220 Whlchr special size/constrc
E1221 Wheelchair spec size w foot
E1222 Wheelchair spec size w/ leg
E1223 Wheelchair spec size w foot
E1224 Wheelchair spec size w/ leg
E1225 Manual semi-reclining back
E1226 Manual fully reclining back
E1227 Wheelchair spec sz spec ht a
E1228 Wheelchair spec sz spec ht b
E1229 Pediatric wheelchair NOS
E1230 Power operated vehicle
E1231 Rigid ped w/c tilt-in-space
E1232 Folding ped wc tilt-in-space
E1233 Rig ped wc tltnspc w/o seat
E1234 Fld ped wc tltnspc w/o seat
E1235 Rigid ped wc adjustable
E1236 Folding ped wc adjustable
E1237 Rgd ped wc adjstabl w/o seat
E1238 Fld ped wc adjstabl w/o seat
E1239 Ped power wheelchair NOS
E1240 Whchr litwt det arm leg rest
E1260 Wheelchair lightwt foot rest
E1270 Wheelchair lightweight leg r
E1280 Whchr h-duty det arm leg res
E1285 Wheelchair heavy duty fixed
E1290 Wheelchair hvy duty detach a
E1295 Wheelchair heavy duty fixed
E1296 Wheelchair special seat heig
E1297 Wheelchair special seat dept
E1298 Wheelchair spec seat depth/w
E1300 Whirlpool portable
E1310 Whirlpool non-portable
E1352 O2 flow reg pos inspir press
E1353 Oxygen supplies regulator
E1354 Wheeled cart, port cyl/conc
E1355 Oxygen supplies stand/rack
E1356 Batt pack/cart, port conc
E1357 Battery charger, port conc
E1358 DC power adapter, port conc
E1372 Oxy suppl heater for nebuliz
E1390 Oxygen concentrator
E1391 Oxygen concentrator, dual
E1392 Portable oxygen concentrator
E1399 Durable medical equipment mi
E1405 O2/water vapor enrich w/heat
E1406 O2/water vapor enrich w/o he
E1500 Centrifuge
E1510 Kidney dialysate delivry sys
E1520 Heparin infusion pump
E1530 Replacement air bubble detec
E1540 Replacement pressure alarm
E1550 Bath conductivity meter
E1560 Replace blood leak detector
E1570 Adjustable chair for esrd pt
E1575 Transducer protect/fld bar
E1580 Unipuncture control system
E1590 Hemodialysis machine
E1592 Auto interm peritoneal dialy
E1594 Cycler dialysis machine
E1600 Deli/install chrg hemo equip
E1610 Reverse osmosis h2o puri sys
E1615 Deionizer H2O puri system
E1620 Replacement blood pump
E1625 Water softening system
E1629 Tablo for dialysis service
E1630 Reciprocating peritoneal dia
E1632 Wearable artificial kidney
E1634 Peritoneal dialysis clamp
E1635 Compact travel hemodialyzer
E1636 Sorbent cartridges per 10
E1637 Hemostats for dialysis, each
E1639 Dialysis scale
E1699 Dialysis equipment noc
E1700 Jaw motion rehab system
E1701 Repl cushions for jaw motion
E1702 Repl measr scales jaw motion
E1800 Adjust elbow ext/flex device
E1801 SPS elbow device
E1802 Adjst forearm pro/sup device
E1805 Adjust wrist ext/flex device
E1806 SPS wrist device
E1810 Adjust knee ext/flex device
E1811 SPS knee device
E1812 Knee ext/flex w act res ctrl
E1815 Adjust ankle ext/flex device
E1816 SPS ankle device
E1818 SPS forearm device
E1820 Soft interface material
E1821 Replacement interface SPSD
E1825 Adjust finger ext/flex devc
E1830 Adjust toe ext/flex device
E1831 Static str toe dev ext/flex
E1840 Adj shoulder ext/flex device
E1841 Static str shldr dev rom adj
E1902 AAC non-electronic board
E2000 Gastric suction pump hme mdl
E2100 Bld glucose monitor w voice
E2101 Bld glucose monitor w lance
PA E2102 Adju cgm receiver/monitor
PA E2103 Non-adju cgm receiver/mon
E2120 Pulse gen sys tx endolymp fl
E2201 Man w/ch acc seat w>=20"<24"
E2202 Seat width 24-27 in
E2203 Frame depth less than 22 in
E2204 Frame depth 22 to 25 in
E2205 Manual wc accessory, handrim
E2206 Complete wheel lock assembly
E2207 Crutch and cane holder
E2208 Cylinder tank carrier
E2209 Arm trough each
E2210 Wheelchair bearings
E2211 Pneumatic propulsion tire
E2212 Pneumatic prop tire tube
E2213 Pneumatic prop tire insert
E2214 Pneumatic caster tire each
E2215 Pneumatic caster tire tube
E2216 Foam filled propulsion tire
E2217 Foam filled caster tire each
E2218 Foam propulsion tire each
E2219 Foam caster tire any size ea
E2220 Solid propulsion tire each
E2221 Solid caster tire each
E2222 Solid caster integrated whl
E2224 Propulsion whl excludes tire
E2225 Caster wheel excludes tire
E2226 Caster fork replacement only
E2227 Gear reduction drive wheel
E2228 Mwc acc, wheelchair brake
E2230 Manual standing system
E2231 Solid seat support base
E2291 Planar back for ped size wc
E2292 Planar seat for ped size wc
E2293 Contour back for ped size wc
E2294 Contour seat for ped size wc
E2295 Ped dynamic seating frame
E2300 Pwr seat elevation sys
E2301 Pwr standing
E2310 Electro connect btw control
E2311 Electro connect btw 2 sys
E2312 Mini-prop remote joystick
E2313 PWC harness, expand control
E2321 Hand interface joystick
E2322 Mult mech switches
E2323 Special joystick handle
E2324 Chin cup interface
E2325 Sip and puff interface
E2326 Breath tube kit
E2327 Head control interface mech
E2328 Head/extremity control inter
E2329 Head control nonproportional
E2330 Head control proximity switc
E2331 Attendant control
E2340 W/c wdth 20-23 in seat frame
E2341 W/c wdth 24-27 in seat frame
E2342 W/c dpth 20-21 in seat frame
E2343 W/c dpth 22-25 in seat frame
E2351 Electronic SGD interface
E2358 Gr 34 nonsealed leadacid
E2359 Gr34 sealed leadacid battery
E2360 22nf nonsealed leadacid
E2361 22nf sealed leadacid battery
E2362 Gr24 nonsealed leadacid
E2364 U1nonsealed leadacid battery
E2365 U1 sealed leadacid battery
E2366 Battery charger, single mode
E2367 Battery charger, dual mode
E2368 Power wc motor replacement
E2369 Pwr wc gear box replacement
E2370 Pwr wc motor/gear box combo
E2372 Gr27 non-sealed leadacid
E2373 Hand/chin ctrl spec joystick
E2374 Hand/chin ctrl std joystick
E2375 Non-expandable controller
E2376 Expandable controller, repl
E2377 Expandable controller, initl
E2378 Pw actuator replacement
E2381 Pneum drive wheel tire
E2382 Tube, pneum wheel drive tire
E2383 Insert, pneum wheel drive
E2384 Pneumatic caster tire
E2385 Tube, pneumatic caster tire
E2386 Foam filled drive wheel tire
E2387 Foam filled caster tire
E2388 Foam drive wheel tire
E2389 Foam caster tire
E2390 Solid drive wheel tire
E2391 Solid caster tire
E2392 Solid caster tire, integrate
E2394 Drive wheel excludes tire
E2395 Caster wheel excludes tire
E2396 Caster fork
E2397 Pwc acc, lith-based battery
E2398 Wc dynamic pos back hardware
E2402 Neg press wound therapy pump
E2500 SGD digitized pre-rec <=8min
E2502 SGD prerec msg >8min <=20min
E2504 SGD prerec msg>20min <=40min
E2506 SGD prerec msg > 40 min
E2508 SGD spelling phys contact
E2510 SGD w multi methods msg/accs
E2511 SGD sftwre prgrm for PC/PDA
E2512 SGD accessory, mounting sys
E2599 SGD accessory noc
E2601 Gen w/c cushion wdth < 22 in
E2602 Gen w/c cushion wdth >=22 in
E2603 Skin protect wc cus wd <22in
E2604 Skin protect wc cus wd>=22in
E2605 Position wc cush wdth <22 in
E2606 Position wc cush wdth>=22 in
E2607 Skin pro/pos wc cus wd <22in
E2608 Skin pro/pos wc cus wd>=22in
E2609 Custom fabricate w/c cushion
E2610 Powered w/c cushion
E2611 Gen use back cush wdth <22in
E2612 Gen use back cush wdth>=22in
E2613 Position back cush wd <22in
E2614 Position back cush wd>=22in
E2615 Pos back post/lat wdth <22in
E2616 Pos back post/lat wdth>=22in
E2617 Custom fab w/c back cushion
E2619 Replace cover w/c seat cush
E2620 WC planar back cush wd <22in
E2621 WC planar back cush wd>=22in
E2622 Adj skin pro w/c cus wd<22in
E2623 Adj skin pro wc cus wd>=22in
E2624 Adj skin pro/pos cus<22in
E2625 Adj skin pro/pos wc cus>=22
E2626 Seo mobile arm sup att to wc
E2627 Arm supp att to wc rancho ty
E2628 Mobile arm supports reclinin
E2629 Friction dampening arm supp
E2630 Monosuspension arm/hand supp
E2631 Elevat proximal arm support
E2632 Offset/lat rocker arm w/ela
E2633 Mobile arm support supinator
E8000 Posterior gait trainer
E8001 Upright gait trainer
E8002 Anterior gait trainer
G0008 Admin influenza virus vac
G0009 Admin pneumococcal vaccine
G0010 Admin hepatitis b vaccine
G0027 Semen analysis
G0028 Doc med rsn no scr tob
G0029 No tob scr/cess int
G0030 Pt scr tob & cess int
G0031 Pall serv during meas
G0032 2+ antipsy schiz
G0033 2+ benzo seiz
G0035 Pt ed pos 23
G0036 Pt/ptn decln assess
G0037 Pt not able to participate
G0038 Clin pt no ref
G0039 Pt no ref, rn spec
G0040 Pt phys/occ therapy
G0041 Pt/ptn decln referral
G0042 Ref to therapy
G0043 Pt mech pros ht valv
G0044 Pt mitral stenosis
G0045 Mrs 90 days post stk
G0046 No mrs 90 days post stk
G0047 Ped blunt hd traum
G0049 Main hemo in-cntr
G0050 Pt w/ lmted life expec
G0051 Pt hospice mnth
G0052 Pt peri dialysis dur mo
G0053 Adv rheum pt care mvp
G0054 Strk cr prev pos outcme mvp
G0055 Adv care heart dx mvp
G0056 Opt chronic dx mang mvp
G0057 Best pct pt safety em mvp
G0058 Imprv care le jnt repr mvp
G0059 Pt sfty pos exp w aneth mvp
G0060 Allergy/immunology ss
G0061 Anesthesiology ss
G0062 Audiology ss
G0063 Cardiology ss
G0064 Cert nurse midwife ss
G0065 Chiropractic ss
G0066 Clinical social work ss
G0067 Dentistry ss
G0068 Adm of infusion drug in home
G0069 Adm of immune drug in home-SQ
G0070 Adm of chemo drug in home
G0071 Comm svcs by rhc/fqhc 5 min
G0076 Care manag h vst new pt 20 m
G0081 Care man h v ext pt 20 mi
G0082 Care man h v ext pt 30 m
G0086 Care man home care plan 30 m
G0087 Care man home care plan 60 m
G0088 Adm iv drug 1st home visit
G0089 Adm subq drug 1st home visit
G0090 Adm iv chemo 1st home visit
L G0101 CA screen;pelvic/breast exam
G0102 Prostate ca screening; dre
L G0103 PSA screening
L G0104 CA screen;flexi sigmoidscope
L G0105 Colorectal scrn; hi risk ind
G0106 Colon CA screen;barium enema
G0108 Diab manage trn per indiv
G0109 Diab manage trn ind/group
L G0117 Glaucoma scrn hgh risk direc
G0118 Glaucoma scrn hgh risk direc
G0120 Colon ca scrn; barium enema
L G0121 Colon ca scrn not hi rsk ind
G0122 Colon ca scrn; barium enema
G0123 Screen cerv/vag thin layer
G0124 Screen c/v thin layer by MD
G0127 Trim nail(s)
G0129 Partial hosp prog service
G0130 Single energy x-ray study
G0141 Scr c/v cyto,autosys and md
G0143 Scr c/v cyto,thinlayer,rescr
G0147 Scr c/v cyto, automated sys
G0148 Scr c/v cyto, autosys, rescr
G0151 HHCP-serv of pt,ea 15 min
G0152 HHCP-serv of ot,ea 15 min
G0153 HHCP-svs of s/l path,ea 15mn
G0155 HHCP-svs of csw,ea 15 min
G0156 HHCP-svs of aide,ea 15 min
G0157 HHC PT assistant ea 15
G0158 HHC OT assistant ea 15
G0159 HHC PT maint ea 15 min
G0160 HHC Occup Therapy ea 15
G0161 HHC SLP ea 15 min
G0162 HHC RN E&M plan svs, 15 min
PA G0166 Extrnl counterpulse, per tx
G0168 Wound closure by adhesive
G0175 OPPS Service,sched team conf
G0176 OPPS/PHP;activity therapy
G0177 OPPS/PHP; train & educ serv
G0179 MD recertification HHA PT
G0180 MD certification HHA patient
G0181 Home health care supervision
G0182 Hospice care supervision
G0186 Dstry eye lesn,fdr vssl tech
G0219 PET img wholbod melano nonco
G0235 PET not otherwise specified
G0237 Therapeutic procd strg endur
G0238 Oth resp proc, indiv
G0239 Oth resp proc, group
G0245 Initial foot exam pt lops
G0246 Followup eval of foot pt lop
G0247 Routine footcare pt w lops
G0248 Demonstrate use home inr mon
G0249 Provide INR test mater/equip
G0250 MD INR test revie inter mgmt
G0252 PET imaging initial dx
G0255 Current percep threshold tst
G0257 Unsched dialysis ESRD pt hos
G0259 Inject for sacroiliac joint
G0260 Inj for sacroiliac jt anesth
G0268 Removal of impacted wax md
G0269 Occlusive device in vein art
G0270 MNT subs tx for change dx
G0271 Group MNT 2 or more 30 mins
G0276 Pild/placebo control clin tr
G0277 Hbot, full body chamber, 30m
G0278 Iliac art angio,cardiac cath
G0279 Tomosynthesis, mammo screen
G0281 Elec stim unattend for press
G0282 Elect stim wound care not pd
G0283 Elec stim other than wound
G0288 Recon, CTA for surg plan
G0289 Arthro, loose body + chondro
G0293 Non-cov surg proc,clin trial
G0294 Non-cov proc, clinical trial
G0295 Electromagnetic therapy onc
G0296 Visit to determ ldct elig
G0298 Hiv combination assay
G0299 Hhs/hospice of rn ea 15 min
G0300 Hhs/hospice of lpn ea 15 min
G0302 Pre-op service LVRS complete
G0303 Pre-op service LVRS 10-15dos
G0304 Pre-op service LVRS 1-9 dos
G0305 Post op service LVRS min 6
G0306 CBC/diffwbc w/o platelet
G0307 CBC without platelet
G0308 180 d implant glucose sensor
G0309 Rem/inser glu sensor dif sit
G0310 Immunize counsel 5-15 min
G0311 Immunize counsel 16-30 mins
G0312 Immunize couns < 21yr 5-15 m
G0313 Immunize couns < 21yr 6-30 m
G0314 Counsel immune <21 16-30 m
G0315 Counsel immune <21á 5-15 m
G0316 Prolong inpt eval add15 m
G0317 Prolong nursin fac eval 15m
G0318 Prolong home eval add 15m
G0320 Two-way audio and video hhs
G0321 Audio-only hhs
G0322 Home h physio data collec tr
G0323 Care manage beh svs 20mins
G0327 Colon ca scrn;bld-bsd biomrk
G0328 Fecal blood scrn immunoassay
G0329 Electromagntic tx for ulcers
G0330 Facility svs dental rehab
G0333 Dispense fee initial 30 day
G0337 Hospice evaluation preelecti
G0339 Robot lin-radsurg com, first
G0340 Robt lin-radsurg fractx 2-5
G0341 Percutaneous islet celltrans
G0342 Laparoscopy islet cell trans
G0343 Laparotomy islet cell transp
G0372 MD service required for PMD
G0378 Hospital observation per hr
G0379 Direct refer hospital observ
G0380 Lev 1 hosp type B ED visit
G0390 Trauma Respons w/hosp criti
G0396 Alcohol/subs interv 15-30mn
G0397 Alcohol/subs interv >30 min
G0398 Home sleep test/type 2 Porta
G0402 Initial preventive exam
G0403 EKG for initial prevent exam
G0404 EKG tracing for initial prev
G0405 EKG interpret & report preve
G0406 Inpt/tele follow up 15
G0409 CORF related serv 15 mins ea
G0410 Grp psych partial hosp 45-50
G0411 Inter active grp psych parti
G0412 Open tx iliac spine uni/bil
G0413 Pelvic ring fracture uni/bil
G0414 Pelvic ring fx treat int fix
G0415 Open tx post pelvic fxcture
G0416 Sat biopsy prostate 1-20 spc
G0420 Ed svc CKD ind per session
G0421 Ed svc CKD grp per session
G0422 Intens cardiac rehab w/exerc
G0423 Intens cardiac rehab no exer
G0425 Inpt/ED teleconsult30
G0428 Collagen Meniscus Implant
G0429 Dermal filler injection(s)
G0432 EIA HIV-1/HIV-2 screen
G0433 ELISA HIV-1/HIV-2 screen
G0435 Oral HIV-1/HIV-2 screen
G0436 Tobacco-use counsel 3-10 min
G0437 Tobacco-use counsel>10min
G0438 PPPS, initial visit
G0439 PPPS, subseq visit
G0442 Annual alcohol screen 15 min
G0443 Brief alcohol misuse counsel
G0444 Depression Screen annual
G0445 High inten beh couns STD 30m
G0446 Intens behave ther cardio dx
G0447 Behavior counsel obesity 15m
G0448 Place perm pacing cardiovert
G0451 Devlopment test interpt&rep
G0452 Molecular pathology interpr
G0453 Cont intraop neuro monitor
G0454 MD document visit by NPP
G0455 Fecal microbiota prep instil
PA G0458 LDR prostate brachy comp rat
G0459 Telehealth inpt pharm mgmt
G0460 Autologous PRP for ulcers
G0463 Hospital outpt clinic visit
G0466 FQHC visit new patient
G0467 FQHC visit, estab pt
G0468 FQHC visit, IPPE or AWV
G0469 FQHC visit, MH new pt
G0470 FQHC visit, MH estab pt
G0471 Ven blood coll snf/hha
G0472 Hep C Screen High Risk/Other
G0473 Group behave couns 2-10
G0475 Hiv combination assay
G0476 Hpv combo assay ca screen
G0480 Drug test def 1-7 classes
G0483 Drug test def 22+ classes
G0490 Home visit rn, lpn by rhc/fq
G0491 Dialysis acu kidney no esrd
G0492 Md/oth eval acut kid no esrd
G0493 Rn care ea 15 min hh/hospice
G0494 Lpn care ea 15min hh/hospice
G0495 Rn care train/edu in hh
G0496 Lpn care train/edu in hh
G0498 Chemo extend iv infus w/pump
G0499 Hepb screen high risk indiv
G0500 Mod sedat endo service >5yrs
G0501 Resource-inten svc during ov
G0506 Comp asses care plan ccm svc
G0508 Crit care telehea consult 60
G0509 Crit care telehea consult 50
G0511 Ccm/bhi by rhc/fqhc 20min mo
G0512 Cocm by rhc/fqhc 60 min mo
G0513 Prolong prev svcs, first 30m
G0514 Prolong prev svcs, addl 30m
PA G0516 Insert drug del implant, >5
PA G0517 Remove drug implant
PA G0518 Remove w insert drug implant
G0659 Drug test def simple all cl
G0913 Improve visual funct
G0914 Survey not complete
G0915 No improve visual funct
G0916 Satisfy with care
G0917 Satisfy survey not complete
G0918 No satisfy with care
G1001 Cdsm evicore
G1002 Cdsm medcurrent
G1003 Cdsm medicalis
G1004 Cdsm ndsc
G1007 Cdsm aim
G1008 Cdsm cranberry pk
G1010 Cdsm stanson
G1011 Cdsm qualified nos
G1012 Cdsm agilemd
G1013 Cdsm evidencecare
G1014 Cdsm inveniqa
G1015 Cdsm reliant
G1016 Cdsm speed of care
G1017 Cdsm healthhelp
G1018 Cdsm infinx
G1019 Cdsm logicnets
G1020 Cdsm curbside
G1021 Cdsm ehealthline
G1022 Cdsm intermountain
G1023 Cdsm persivia
G1024 Cdsm radrite
G1025 Pt mnth 1 mcp prov
G1026 Pt hemo > 3mo
G1027 Pt hemo < 3mo
G1028 Take-home supply 8mg per 0.1 ml
G2000 Blinded conv. tx mdd clin tr
G2001 Post D/C H Vst new pt 20 m
G2002 Post-D/C H Vst new pt 30 m
G2003 Post-d/c h vst new pt 45 m
G2006 Post-d/c h vst ext pt 20 m
G2010 Remot image submit by pt
G2011 Alcohol/sub abuse assess
G2014 Post-d/c care plan overs 30m
G2015 Post-d/c care plan overs 60m
G2020 Hi inten serv for SIP model
G2021 Hea care pract tx in place
G2022 Benef refuses service, mod
G2066 Inter devc remote 30d
G2067 Med assist tx meth wk
G2068 Med assist tx bupre oral
G2069 Med assist tx inject
G2070 Med assist tx implant
G2071 Med tx remove implant
G2072 Med tx insert/remove imp
G2073 Med tx naltrexone
G2074 Med assist tx no drug
G2075 Med tx meds nos
G2076 Intake act w/med exam
G2077 Periodic assessment
G2078 Take-home meth
G2079 Take-hom buprenorphine
G2080 Add 30 mins counsel
G2081 Pt 66+ snp or ltc pos > 90d
G2082 Visit esketamine 56m or less
G2083 Visit esketamine, > 56m
G2086 Off base opioid tx 70min
G2087 Off base opioid tx, 60 m
G2088 Off base opioid tx, add30
G2090 Pt 66+ frailty and med dem
G2091 Pt 66+ frailty and adv ill
G2092 Ace arb arni
G2093 Med doc rsn no ace arn arni
G2094 Pt rsn no ace arn arni
G2095 Sys rsn no ace arn arni
G2096 No rsn ace arb arni
G2097 Child dx uri 3d of other dx
G2105 Pt 66+ lt ints > 90
G2106 Pt 66+ lt ints > 90
G2108 Pt 66+ lt ints > 90
G2112 Pred<=5 mg ra glu <6m
G2113 Pred>5 mg >6m, no chg da
G2118 Pt 81+ frailty
G2121 Psy dep anx ap and icd asse
G2122 Psy/dep/anx/apandicd noasse
G2125 Pt 81+ frailty
G2126 Pt 66+ frailty adv ill
G2127 Pt 66+ frailty med dem
G2128 No aspirin med rsn
G2129 No bp outpt
G2136 Bk pain vas 6-20wk = 3
G2137 Bk pain vas 6-20wk > 3
G2138 Bk pain vas 9-15mo = 3
G2139 Bk pain vas 9-20mo > 3
G2140 Leg pain vas 6-20wk = 3
G2141 Leg pain vas 6-20wk > 3
G2142 Fs odi 9-15mo postop<= 22
G2143 Fs odi 9-15mo > 22
G2144 Fs odi 6-20wk postop > 22
G2145 Fsodi 6-20wk >22 or chg 30pt
G2146 Leg pain vas 9-15mo <= 3
G2147 Leg pain vas 9-15mo > 3
G2148 Mpm used
G2149 No mpm med rsn
G2150 No mpm
G2151 Dx degen neuro
G2152 Res change sc =0
G2167 Res change sc < 0
G2168 Svs by pt in home health
G2169 Svs by ot in home health
G2170 Avf by tissue w thermal e
G2171 Avf use magnetic/art/ven
G2172 Tx for opioid use demo proj
G2173 Uri w comorb 12m oth dx
G2174 Uri new rx antibiotic 30d
G2175 Pt comorb dx 12m of epi
G2176 Outpt ed obs w inpt admit
G2177 Bronch w rx antibx 30d
G2178 Pt not elig low neuro ex
G2179 Med doc rsn no low ex
G2180 Inelig footwr eval
G2181 Bmi not doc medrsn ptref
G2182 Pt 1st biolog antirheum
G2183 Doc pt unable comm
G2184 No caregiver
G2185 Caregiver dem trained
G2186 Pt ref app rsrcs
G2187 Clin ind img hd trauma
G2188 Pt 50 yrs w/clin ind hd
G2189 Img hd abnml neuro exam
G2190 Ind img hd rad neck
G2191 Ind img hd pos hd ache
G2192 >55 yrs temp hd ache
G2193 <6yr new onset hd ache
G2194 New hdache ped pt dis
G2195 Occip hdache child
G2196 Screen unhlthy etoh use
G2197 Screen hlthy etoh use
G2198 Med rsn no unhlthy etoh
G2199 Not scrn etoh no rsn
G2200 Unhlthy etoh rcvd couns
G2201 Med rsn no brief couns
G2202 No rsn no brief couns
G2203 Med rsn no etoh couns
G2204 Pt 50-85 w/ scope
G2205 Preg drng adjv trtmt
G2206 Adjv trtmt chemo her2
G2207 Rsn no trtmt chem her2
G2208 No trtmt chemo and her2
G2209 Refused to participate
G2210 No neck fs prom no rsn
G2211 Complex e/m visit add on
G2212 Prolong outpt/office vis
G2213 Initiat med assist tx in er
PA/EPA G2214 Init/sub psych care m 1st 30
G2215 Home supply nasal naloxone
G2216 Home supply inject naloxon
G2250 Remot img sub by pt, non e/m
G2251 Brief chkin, 5-10, non-e/m
G2252 Brief chkin by md/qhp, 11-20
G3002 Chronic pain mgmt 30 mins
G3003 Chronic pain mgmt addl 15m
G4000 Dermatology ss
G4001 Diagnostic rad ss
G4002 Ep cardio ss
G4003 Emergency med ss
G4004 Endocrinology ss
G4005 Family medicine ss
G4006 Gastroenterology ss
G4007 General surgery ss
G4008 Geriatrics ss
G4009 Hospitalists ss
G4010 Infectious disease ss
G4011 Internal medicine ss
G4012 Interventional rad ss
G4013 Mentl/behav health ss
G4014 Nephrology ss
G4015 Neurology ss
G4016 Neurosurgical ss
G4017 Nutrition/dietician ss
G4018 Ob/gyn ss
G4019 Oncology/hema ss
G4020 Ophthalmology ss
G4021 Orthopedic surgery ss
G4022 Otolaryngology ss
G4023 Pathology ss
G4024 Pediatric ss
G4025 Physical medicine ss
G4026 Phys/occ therapy ss
G4027 Plastic surgery ss
G4028 Podiatry ss
G4029 Preventive medicine ss
G4030 Pulmonology ss
G4031 Radiation oncology ss
G4032 Rheumatology ss
G4033 Skilled nursing facility ss
G4034 Speech language path ss
G4035 Thoracic surgery ss
G4036 Urgent care ss
G4037 Urology ss
G4038 Vascular surgery ss
G6001 Echo guidance radiotherapy
G6002 Stereoscopic x-ray guidance
G6003 Radiation treatment delivery
PA/EPA G6015 Radiation tx delivery imrt
PA/EPA G6016 Delivery comp imrt
G6017 Intrafraction track motion
G8395 LVEF>=40% doc normal or mild
G8396 LVEF not performed
G8397 Dil macula/fundus exam/w doc
G8399 Pt w/DXA document or order
G8400 Pt w/DXA no document or orde
G8404 Low extemity neur exam docum
G8405 Low extemity neur not perfor
G8410 Eval on foot documented
G8415 Eval on foot not performed
G8416 Pt inelig footwear evaluatio
G8417 Calc BMI abv up param f/u
G8418 Calc BMI blw low param f/u
G8419 Calc BMI out nrm param nof/u
G8420 Calc BMI norm parameters
G8421 BMI not calculated
G8427 Doc cur meds by prov
G8428 Cur meds not document
G8430 Pt inelig med check
G8431 Pos clin depres scrn f/u doc
G8432 Clin depression screen not d
G8433 Pt inelig; scrn clin dep
G8450 Beta-bloc rx pt w/abn lvef
G8451 Pt w/abn lvef inelig b-bloc
G8452 Pt w/abn lvef b-bloc no rx
G8465 High risk recurrence pro ca
G8473 ACE/ARB thxpy rx'd
G8474 ACE/ARB not rx'd; doc reas
G8475 ACE/ARB thxpy not rx'd
G8476 BP sys <130 and dias <80
G8477 BP sys>=130 and/or dias >=80
G8478 BP not performed/doc
G8482 Flu immunize order/admin
G8483 Flu imm no ord/admin doc rea
G8484 Flu immunize no order/admin
G8506 Pt rec ACE/ARB
G8510 Pt inelig neg scrn depres
G8511 Clin depres scrn no f/u doc
G8535 Pt inelig no eld mal scrn
G8536 No doc elder mal scrn
G8539 Doc funct and care plan
G8540 Pt inelig funct assess
G8541 No doc cur funct assess
G8542 Doc funct no deficiencies
G8543 Cur funct asses; no care pln
G8559 Pt ref doc oto eval
G8560 Pt hx act drain prev 90 days
G8561 Pt inelig for ref oto eval
G8562 Pt no hx act drain 90 d
G8563 Pt no ref oto reas no spec
G8564 Pt ref oto eval
G8565 Ver doc hear loss
G8566 Pt inelig ref oto eval
G8567 Pt no doc hear loss
G8568 Pt no ref otolo no spec
G8569 Prol intubation req
G8570 No prol intub req
G8575 Postop ren fail
G8576 No postop ren fail
G8577 Reop req bld grft oth
G8578 No reop req bld grft oth
G8598 Asp therp used
G8599 No asp therp used
G8600 tPA initi w/in 3 hrs
G8601 No elig tPA init w/in 3 hrs
G8602 No tPA init w/in 3 hrs
G8633 Pharm ther osteo rx
G8635 No pharm ther osteo rx
G8647 Fun stat score knee >= 0
G8648 Fun stat score knee < 0
G8650 Rafs crs ki no scor no surv
G8651 Fun stat score hip >= 0
G8652 Fun stat score hip < 0
G8654 Rafs crs hi no scor no surv
G8655 Fun stat score LE >= 0
G8656 Fun stat score LE < 0
G8658 Fun stat score LE not done
G8659 Fun stat score LS >= 0
G8660 Fun stat score LS < 0
G8661 Fun stat score LS pt no elg
G8662 Rafs crs lbi no scor no surv
G8663 Fun stat score shdl >=0
G8664 Fun stat score shdl < 0
G8666 Rafs crs si no scor no surv
G8667 Fun stat score UE >=0
G8668 Fun stat score UE < 0
G8670 Rafs crs ewh no scor no surv
G8694 Lvef <40%
G8708 Antibiotic not pres
G8709 Med reas antibiotic pres
G8710 Pt pres antibiotic
G8711 Pres antibiotic
G8712 Not pres antibiotic
G8721 Pt, pn, hist grade doc
G8722 Med reas pt, pn, not doc
G8723 Spec sit not prim tumor
G8724 Pt, pn, hist grade not doc
G8733 Doc pos elder mal scrn plan
G8734 Doc neg elder mal no plan
G8735 Eld mal scrn pos no plan
G8749 Signs of melanoma absent
G8752 Sys BP less 140
G8753 Sys BP > or = 140
G8754 Dias BP less 90
G8755 Dias BP > or = 90
G8756 No BP measure doc
G8783 BP scrn perf rec interval
G8785 BP scrn no perf at interval
G8797 Specimen site not esophagus
G8798 Specimen site not prostate
G8806 Transab or transvag US
G8807 Doc reas no US
G8808 No transab or transvag US
G8815 Doc reas no statin therapy
G8816 Statin med pres at disch
G8817 Doc reas no statin med disch
G8818 Pt disch to home by day#7
G8825 Pt not disch to home day#7
G8826 Pt disch home day #2 EVAR
G8833 Pt not disch home day#2 EVAR
G8834 Pt disch home day #2 CEA
G8838 Not disch home by day #2
G8839 Sleep apnea assess
G8840 Doc reas no sleep apnea
G8841 No sleep apnea assess
G8842 AHI or RDI initial dx
G8843 Doc reas no AHI or RDI
G8844 No AHI or RDI initial dx
G8845 Pos Airway Press prescribed
G8846 Mod or severe OSA
G8849 Doc reas no Pos Air Press
G8850 No PAP prescribed
G8851 Adhere Pos Air Press therapy
G8852 Pos Air Press prescribe
G8854 Reas no adhere Pos Air Pres
G8855 Pos Air Press adhere no perf
G8856 Ref for oto eval
G8857 No elig ref for oto eval
G8858 Not ref for oto eval
G8863 No assess bone loss
G8864 Pneumococcal vaccine admin
G8865 Doc med reas no pneumococcal
G8866 Doc pt reas no pneumococcal
G8867 No pneumococcal admin
G8869 Doc immun hep B 1st antiTNF
G8875 Breast cancer dx min invsive
G8876 Doc reas no min inv dx
G8877 No brst cncr dx min invasive
G8878 Sent lymph node biopsy
G8880 Doc reas no lymph node biop
G8881 Brst cncr stage > T1N0M0
G8882 No sent lymph node biopsy
G8883 Rev, comm, track, doc biopsy
G8884 Doc reas biopsy not review
G8885 No rev, comm, track biopsy
G8907 Pt doc no events on discharge
G8908 Pt doc w burn prior to D/C
G8909 Pt doc no burn prior to D/C
G8910 Pt doc to have fall in ASC
G8911 Pt doc no fall in ASC
G8912 Pt doc with wrong event
G8913 Pt doc no wrong event
G8914 Pt trans to hosp post D/C
G8915 Pt not trans to hosp at D/C
G8916 Pt w IV AB given on time
G8917 Pt w IV AB not given on time
G8918 Pt w/o preop order IV AB prop
G8923 LVEF < 40% or lvsd
G8924 Spiro EV1/FVC <60% COPD sym
G8934 LVEF <40% or dep lv sys fcn
G8935 Rx ACE or ARB therapy
G8936 Pt not eligible ACE/ARB
G8937 No rx ACE/ARB therapy
G8941 No doc elder scrn, pt no el
G8942 Doc fcn/care plan w/30 days
G8944 AJCC Mel cnr stg 0 - IIC
G8946 MIBM but no dx of breast CA
G8950 Pre-htn or htn doc, f/u indc
G8952 Pre-htn/htn, no f/u, not gvn
G8955 Most recent assess vol mgmt
G8956 Pt rcv HeDia outpt dyls fac
G8958 Assess vol mgmt not doc
G8961 CSIT lowrisk surg pts preop
G8962 CSIT on pt any reas 30 days
G8963 CSI per asx pt w/PCI 2 yrs
G8964 CSI any other than PCI 2 yr
G8965 CSIT perf on low CHD rsk
G8966 CSIT perf sx or high CHD rsk
G8967 Wrfrn or oral antigoag pres
G8968 Md rsn no pres Wrfrn or othr
G8969 Pt rsn no pres Wrfrn or othr
G8970 No rsk fac or 1 mod risk TE
G9001 MCCD, initial rate
G9002 MCCD,maintenance rate
G9003 MCCD, risk adj hi, initial
G9004 MCCD, risk adj lo, initial
G9005 MCCD, risk adj, maintenance
G9006 MCCD, Home monitoring
G9007 MCCD, sch team conf
G9008 Mccd,phys coor-care ovrsght
G9009 MCCD, risk adj, level 3
G9012 Other Specified Case Mgmt
G9013 ESRD demo bundle level I
G9014 ESRD demo bundle-level II
G9016 Demo-smoking cessation coun
G9050 Oncology work-up evaluation
G9051 Oncology tx decision-mgmt
G9052 Onc surveillance for disease
G9053 Onc expectant management pt
G9054 Onc supervision palliative
G9055 Onc visit unspecified NOS
G9056 Onc prac mgmt adheres guide
G9057 Onc pract mgmt differs trial
G9058 Onc prac mgmt disagree w/gui
G9059 Onc prac mgmt pt opt alterna
G9060 Onc prac mgmt dif pt comorb
G9061 Onc prac cond noadd by guide
G9062 Onc prac guide differs nos
G9063 Onc dx nsclc stgI no progres
G9064 Onc dx nsclc stg2 no progres
G9065 Onc dx nsclc stg3A no progre
G9066 Onc dx nsclc stg3B-4 metasta
G9067 Onc dx nsclc dx unknown nos
G9068 Onc dx sclc/nsclc limited
G9069 Onc dx sclc/nsclc ext at dx
G9070 Onc dx sclc/nsclc ext unknwn
G9071 Onc dx brst stg1-2B HR,nopro
G9072 Onc dx brst stg1-2 noprogres
G9073 Onc dx brst stg3-HR, no pro
G9074 Onc dx brst stg3-noprogress
G9075 Onc dx brst metastic/ recur
G9077 Onc dx prostate T1no progres
G9078 Onc dx prostate T2no progres
G9079 Onc dx prostate T3b-T4noprog
G9080 Onc dx prostate w/rise PSA
G9083 Onc dx prostate unknwn nos
G9084 Onc dx colon t1-3,n1-2,no pr
G9085 Onc dx colon T4, N0 w/o prog
G9086 Onc dx colon T1-4 no dx prog
G9087 Onc dx colon metas evid dx
G9088 Onc dx colon metas noevid dx
G9089 Onc dx colon extent unknown
G9090 Onc dx rectal T1-2 no progr
G9091 Onc dx rectal T3 N0 no prog
G9092 Onc dx rectal T1-3,N1-2noprg
G9093 Onc dx rectal T4,N,M0 no prg
G9094 Onc dx rectal M1 w/mets prog
G9095 Onc dx rectal extent unknwn
G9096 Onc dx esophag T1-T3 noprog
G9097 Onc dx esophageal T4 no prog
G9098 Onc dx esophageal mets recur
G9099 Onc dx esophageal unknown
G9100 Onc dx gastric no recurrence
G9101 Onc dx gastric p R1-R2noprog
G9102 Onc dx gastric unresectable
G9103 Onc dx gastric recurrent
G9104 Onc dx gastric unknown NOS
G9105 Onc dx pancreatc p R0 res no
G9106 Onc dx pancreatc p R1/R2 no
G9107 Onc dx pancreatic unresectab
G9108 Onc dx pancreatic unknwn NOS
G9109 Onc dx head/neck T1-T2no prg
G9110 Onc dx head/neck T3-4 noprog
G9111 Onc dx head/neck M1 mets rec
G9112 Onc dx head/neck ext unknown
G9113 Onc dx ovarian stg1A-B no pr
G9114 Onc dx ovarian stg1A-B or 2
G9115 Onc dx ovarian stg3/4 noprog
G9116 Onc dx ovarian recurrence
G9117 Onc dx ovarian unknown NOS
G9123 Onc dx CML chronic phase
G9124 Onc dx CML acceler phase
G9125 Onc dx CML blast phase
G9126 Onc dx CML remission
G9128 Onc dx multi myeloma stage I
G9129 Onc dx mult myeloma stg2 hig
G9130 Onc dx multi myeloma unknown
G9131 Onc dx brst unknown NOS
G9132 Onc dx prostate mets no cast
G9133 Onc dx prostate clinical met
G9134 Onc NHLstg 1-2 no relap no
G9135 Onc dx NHL stg 3-4 not relap
G9136 Onc dx NHL trans to lg Bcell
G9137 Onc dx NHL relapse/refractor
G9138 Onc dx NHL stg unknown
G9139 Onc dx CML dx status unknown
G9140 Frontier extended stay demo
PA G9143 Warfarin respon genetic test
G9147 Outpt IV insulin tx any mea
G9148 Medical Home Level I
G9149 Medical Home Level II
G9150 Medical Home Level III
G9151 MAPCP demo State
G9152 MAPCP demo community
G9153 MAPCP demo physician
G9156 Evaluation for wheelchair
G9157 Transesophageal Doppler mon
G9187 BPCI home visit
G9188 Beta not given no reason
G9189 Beta pres or already taking
G9190 Medical reason for no beta
G9191 Pt reason for no beta
G9192 System reason for no beta
G9196 Med reason for no ceph
G9197 Order for ceph
G9198 No order for ceph no reason
G9212 Doc of dsm-iv init eval
G9213 No doc of dsm-iv
G9223 Pjp proph ordered cd4 low
G9225 Norsn no foot exam
G9226 3 comp foot exam completed
G9227 Docrsn no care plan
G9228 Gc chl syp documented
G9229 Ptrsn no gc chl syp test
G9230 Norsn for gc chl syp test
G9231 Doc esrd dia trans preg
G9242 Doc viral load >=200
G9243 Doc viral load <200
G9246 No med visit in 24mo
G9247 1 med visit in 24mo
G9250 Doc of pain comfort 48hr
G9251 Doc no pain comfort 48hr
G9254 Doc pt dischg >2d
G9255 Doc pt dischg <=2d
G9273 Sys<140 and dia<90
G9274 Bp out of nrml limits
G9275 Doc of non tobacco user
G9276 Doc of tobacco user
G9277 Doc daily aspirin or contra
G9278 Doc no daily aspirin
G9279 Pne scrn done doc vac done
G9280 Pne not given norsn
G9281 Pne scrn done doc not ind
G9282 Doc medrsn no histo type
G9283 Hist type doc on report
G9284 No hist type doc on report
G9285 Site not small cell lung ca
G9286 Doc antibio order w in 7d
G9287 No doc antibio order w in 7d
G9288 Doc medrsn no hist type rpt
G9289 Doc type nsm lung ca
G9290 No doc type nsm lung ca
G9291 Not nsm lung ca
G9292 Medrsn no pt category
G9293 No pt category on report
G9294 Pt cat and thck on report
G9295 Non cutaneous loc
G9296 Doc share dec prior proc
G9297 No doc share dec prior proc
G9298 Eval risk vte card 30d prior
G9299 No eval riskk vte card prior
G9305 No interv req for leak
G9306 Interv req for leak
G9307 No ret for surg w in 30d
G9308 Unplnd ret to surg w in 30d
G9309 No unplnd hosp readm in 30d
G9310 Unplnd hosp readm in 30d
G9311 No surg site infection
G9312 Surgical site infection
G9313 Docrsn not first line amox
G9314 Norsn not first line amox
G9315 Doc first line amox
G9316 Doc comm risk calc
G9317 No doc comm risk calc
G9318 Image std nomenclature
G9319 Image not std nomenclature
G9321 Doc count of ct in 12mo
G9322 No doc count of ct in 12mo
G9341 Srch for ct w in 12 mos
G9342 No srch for ct in 12mo norsn
G9344 Sysrsn no dicom srch
G9345 Follow up pulm nod
G9347 No follow up pulm nod norsn
G9351 Doc >1 sinus ct w 90d dx
G9352 Not >1 sinus ct w 90d dx
G9353 Medrsn >1 sinus ct w 90d dx
G9354 Norsn >1 sinus ct w 90d dx
G9355 No early ind/delivery
G9356 Early ind/delivery
G9357 Pp eval/edu perf
G9358 Pp eval/edu not perf
G9359 Neg mgd pos tb notact
G9360 No doc of neg or man pos tb
G9361 Med Ind for induction
G9451 1x scrn hcv infect
G9452 Doc med reas no scrn hcv
G9453 Pt reas no hcv infect
G9454 No hcv infect srn
G9455 Abd imag w/us, ct or mri
G9456 Doc med pt reas no hcc scrn
G9457 No abd imag w/o reason
G9458 Tob user recd cess interv
G9459 Tob non-user
G9460 No tob assess or cess inter
G9468 No recd cortico>=10mg/d >60d
G9470 No rec cortico>60d 1rx 600mg
G9471 W/in 2yr dxa not order
G9473 Chap services at hospice
G9474 Diet counsel at hospice
G9475 Other counselor at hospice
G9476 Volun service at hospice
G9477 Care coord at hospice
G9478 Othe therapist at hospice
G9479 Pharmacist at hospice
G9480 Admission to mccm
G9481 Remote E/M new pt 10mins
G9486 Remote E/M est. pt 10mins
G9490 Joint replac mod home visit
G9497 Preop anes or proxy b/4 surg
G9498 Abx reg prescribed
G9500 Rad exp time w/fluor doc
G9501 Rad exp time w/o fluor doc
G9502 Med reas no perf foot exam
G9504 Doc reas no hbv status
G9505 Abx pres w/in 10 dys of symp
G9506 Bio imm resp mod presc
G9507 Doc reas on statin or contra
G9508 Doc pt not on statin
G9509 Remis 12m phq-9 score <5
G9510 Remis12m not phq-9 score <5
G9511 Phq-9 >9 during 12m time
G9512 Indiv pdc > 0.8
G9513 Indiv pdc not > 0.8
G9514 Req ret or w/in 90d of surg
G9515 No reas, no ret or w/in 90d
G9516 Impr vis acuit w/in 90d
G9517 No impr vis acuit w/in 90d
G9518 Doc active inj drug use
G9519 Final ref +/- 1.0 w/in 90d
G9520 Refract not +/- 1.0 w/in 90d
G9521 Er and ip hosp <2 in 12 mos
G9522 Er/ip hosp =/>2 in 12 mos
G9529 Minor blunt trauma w/head ct
G9530 Min hd traum gcs=15 w/ct ed
G9531 Pt doc
G9533 Indic for head ct not valid
G9534 Adv brain image not ordered
G9535 Normal neuro exam
G9536 Doc med reas adv brain image
G9537 Doc system reas adv imaging
G9538 Adv brain image ordered
G9539 Intent pot remv time placemt
G9540 Pt alive 3 mos post proc
G9541 Filter gone aft 3mos placmt
G9542 Doc reass appr remo filt 3ms
G9543 Doc 2x re-assess filt remov
G9544 No filt remov w/in 3mos plcm
G9547 Cys ren les or adren
G9548 No f/u rec image study
G9549 Doc med rsn for f/u imag
G9550 Imag rec
G9551 Imag no les
G9552 Inc thyr node <1.0 in rpt
G9553 Prior thyroid dise dx
G9554 Ct/mri chest/neck follup rec
G9555 Doc med reas no follow imag
G9556 Ct/mri chest follup not rec
G9557 Ct/mri chest/neck no thy nod
G9580 Door to punc time <2hrs
G9582 Door to punc time >2hr, nrg
G9593 Low pecarn ped head trauma
G9594 Gsc >15 & hd ct by ed md
G9595 Doc shnt/tum/coag
G9596 Hd inj >24h/gcs >15/no res
G9597 No low pecarn ped head traum
G9598 Aor ane 5.5-5.9 cm max diam
G9599 Aor ane >=6.0 cm max diam
G9603 Pt surv improv bsline tx
G9604 Pt surv results not avail
G9605 Surv score no improv w/tx
G9606 Intraop cyst eval trac inj
G9607 Pt not elig
G9608 Intraop cyst eval not done
G9609 Doc order anti-plat or p2y12
G9610 Doc md rsn no antipla/p2y12
G9611 No antipla/p2y12 ord, rs nos
G9612 Pho doc >1 cecal ldmk com ex
G9613 Doc post surg anatomy
G9614 No photodoc cecal ldmk exam
G9618 Doc scr uter mal or us/samp
G9620 No scr utr malig/us/samp rng
G9621 Scr unheal etoh w/counsel
G9622 No unheal etoh user
G9623 Doc med rsn no scr etoh use
G9624 No etoh scr/no counc/nrg
G9625 Bld inj at surg/1mos post
G9626 Pt not elig
G9627 No bld inj at surg/1mos post
G9628 Vis inj at surg/1mos post
G9629 Pt not elig
G9630 No vis inj at surg/1mos post
G9631 Pt ui srg 30 day pst srg
G9632 Med rsn for no rpt uret inj
G9633 Pt no ui srg 30 day pst srg
G9637 Doc >1 dose reduc tech
G9638 No doc >1 dose reduc tech
G9642 Current cig smoker
G9643 Elective surgery
G9644 No smok b/4 anes day of surg
G9645 Had smoke b/4 anes day surg
G9646 Pt w/90d mrs 0-2
G9648 Pt w/90d mrs >2
G9649 Psori tool doc w/benchmk
G9651 Psori tool doc/no bnchmk met
G9654 Mon anesth care
G9655 Toc tool incl key elem
G9656 Pt direct anesth loc to pacu
G9658 Toc tool incl elem not used
G9659 >85y no hx colo ca/rsn scope
G9660 Doc med rsn scope pt >85y
G9661 >85y scope othr rsn
G9662 Prior dx/active clin ascvd
G9663 Fast/dir ldl <= 190 mg/dl
G9664 Taking statin or rec'd order
G9665 No statin/no order statin
G9668 Doc med rsn no stat tx/presc
G9674 Pt w/clin ascvd dx
G9675 Pt w/fast/dir lab ldl-c >190
G9676 40-75y w/type 1/2 w/ldl-c rs
G9679 Acute care pneumonia
G9680 Acute care congestive heart
G9681 Acute care chronic obstruct
G9682 Acute care skin infection
G9683 Acute care fluid or electrol
G9684 Acute care urinary tract inf
G9685 Acute nursing facility care
G9686 Nursing facility conference
G9687 Hospice anytime msmt per
G9688 Pt w/hosp anytime msmt per
G9689 Inpt elect carotid intervent
G9690 Pt rec hospice dur msmt per
G9691 Pt hosp dur msmt period
G9692 Hosp recd by pt dur msmt per
G9693 Pt use hosp during msmt per
G9694 Hosp srv used pt in msmt per
G9695 Long act inhal bronchdil pre
G9696 Med rsn no presc bronchdil
G9697 Pt rsn no presc bronchdil
G9698 Sys rsn no presc bronchdil
G9699 Long inhal bronchdil no pres
G9700 Pt is w/hosp during msmt per
G9703 Child anbx 30 prior dx phary
G9704 Ajcc br ca stg i: t1 mic/t1a
G9705 Ajcc br ca stg ib
G9706 Low recur prost ca
G9707 Pt had hosp dur msmt per
G9708 Bilat mast/hx bi /unilat mas
G9709 Hosp srv used pt in msmt per
G9710 Pt prov hosp srv msmt per
G9711 Pt hx tot col or colon ca
G9712 Doc med rsn presc anbx
G9714 Pt is w/hosp during msmt per
G9716 Bmi not norm, no follow, doc
G9717 Doc dx depr/dx bipol, no scr
G9719 Pt not ambul/immob/wc
G9721 Pt not ambul/immob/wc
G9722 Doc hx renal fail or cr+ >4
G9723 Hosp recd by pt dur msmt per
G9724 Pt w/doc use anticoag mst yr
G9727 Pt unable cmplt knee fs prom
G9729 Pt unbl cmplt hip fs prom
G9731 Pt unbl cmplt ft/ank fs prom
G9733 Pt unbl cmplt lb fs prom
G9735 Pt unbl cmplt shld fs prom
G9737 Pt unbl cmplt ewh fs prom
G9740 Hosp srv to pt dur msmt per
G9744 Pt not elig, dx htn
G9745 Doc rsn no scr high bp
G9746 Mit sten, valve or trans af
G9751 Pt died w/in 24 mos rpt time
G9752 Urgent surgery
G9753 Doc no dicom, ct other fac
G9754 Incid pulm nodule
G9755 Doc med rsn for imaging
G9756 Surg proc w/silicone oil
G9757 Surg proc w/silicone oil
G9758 Hospice or term phase
G9762 Pt had hpv b/t 9-13 yr
G9763 Pt no hpv b/t 9-13 yr
G9764 Pt tx oral syst/bio med psor
G9765 Pt decl chan/conind or <6m
G9766 Cva stroke dx tx transf fac
G9767 Hosp new dx cva consid evst
G9769 Bn den 2yr/got ost med/ther
G9770 Perip nerve block
G9771 Anes end, 1 temp >35.5(95.9)
G9772 Doc med rsn no temp >= 35.5
G9773 No temp >35.5(95.9), anes
G9774 Pt had hyst
G9775 Recd 2 anti-emet pre/intraop
G9776 Doc med rsn no proph antiem
G9777 Pt no antiemet pre/intraop
G9778 Pts dx w/pregn
G9779 Pts breastfeeding
G9780 Pts dx w/rhabdomyolysis
G9781 Doc rsn no statin
G9782 Hx dx fam/pure hypercholes
G9784 Path/derm 2nd opin bx
G9785 Path report sent
G9786 Path report not sent
G9787 Pt alive lst day msmt yr
G9788 Most rct bp </= 140/90
G9789 Record bp ip, er, urg/self
G9790 Most rct bp >/= 140/90
G9791 Most rct tob stat free
G9792 Most rct tob stat not free
G9793 Pt on daily asa/antiplat
G9794 Doc med rsn no asa/antiplat
G9795 Pt no daily asa/antiplat
G9796 Pt not currently on statin
G9797 Pt currently on statin
G9806 Pt recd cerv cyto/hpv
G9807 Pt no recd cerv cyto/hpv
G9808 Pt no asthm cont med mst per
G9810 Pdc 75% w/asth cont med
G9811 No pdc 75% w/asth cont med
G9812 Pt died during inpt/30d aft
G9813 Pt not died w/in 30d of proc
G9818 Doc sex activity
G9820 Doc chlam scr test w/follow
G9821 No doc chlam scr ts w/follow
G9822 Endo abl proc yr prev ind dt
G9823 Endo smpl/hyst bx res doc
G9824 Endo smpl/hyst bx res no doc
G9830 Her-2 pos
G9831 Ajcc stg brt ca dx ii or iii
G9832 Brt ca dx i, no t1/t1a/t1b
G9838 Pt met dis at dx
G9839 Anti-egfr mon anti ther
G9840 Kras tst bfr beg anti moab
G9841 No kras tst bfr beg ant moab
G9842 Pt met dis at dx
G9843 Kras gene mut
G9844 Pt no recd anti-egfr ther
G9845 Pt recd anti-egfr ther
G9846 Pt died from cancer
G9847 Pt recd chemo last 14d life
G9848 Pt no chemo last 14d life
G9853 Icu stay last 30d life
G9854 No icu stay last 30d life
G9858 Pt enroll hospice
G9860 Pt less 3d hospice
G9861 Pt more than 3d hospice
G9862 Doc rsn no 10 yr follow
G9873 1 em core session
G9874 4 em core sessions
G9875 9 em core sessions
G9876 2 em core ms mo 7-9 no wl
G9877 2 em core ms mo 10-12 no wl
G9878 2 em core ms mo 7-9 wl
G9879 2 em core ms mo 10-12 wl
G9880 EM 5 percent WL
G9881 EM 9 percent WL
G9882 2 em ongoing ms mo 13-15 wl
G9890 Mac exam perf
G9891 Doc med rsn no dil mac exam
G9892 Doc pt rsn no dil mac exam
G9893 No mac exam
G9894 Adr dep thrpy prescribed
G9895 Doc med rsn no adr dep thrpy
G9896 Doc pt rsn no adr dep thrpy
G9897 Pt nt prsc adr dep thrpy rng
G9898 Pt 66+ snp or ltc pos
G9899 Scrn mam perf rslts doc
G9900 Scrn mam perf rslts not doc
G9902 Pt scrn tbco and id as user
G9903 Pt scrn tbco id as non user
G9904 Doc med rsn no tbco scrn
G9905 No pt tbco scrn rng
G9906 Pt recv tbco cess interv
G9907 Doc med rsn no tbco interv
G9908 No pt tbco cess interv rng
G9909 Doc med rsn no tbco interv
G9911 Node neg pre/post syst ther
G9912 Hbv status assesed and int
G9913 No hbv status assesd and int
G9914 Pt receiving anti-tnf agent
G9915 No documntd hbv results rcd
G9916 Funct status past 12 months
G9917 Adv dem crgvr limited
G9918 No funct stat perf, rsn nos
G9919 Scrn nd pos nd prov of rec
G9920 Scrning perf and negative
G9921 No or part scrn nd rng or os
G9922 Sfty cncrns scrn nd mit recs
G9923 Safty cncrns scrn and neg
G9925 No scrn prov rsn nos
G9926 Sfty cncrns scrn but no recs
G9927 Doc no warf /fda pt trial
G9928 No warf or fda drug presc
G9929 Trs/rev af
G9930 Com care
G9931 No chad or chad scr 0 or 1
G9932 Doc pt rsn no tb scrn recrds
G9939 Same path/derm perf biopsy
G9940 Doc reas no statin therapy
G9942 Adtl spine proc on same date
G9943 Bk pn nt msr vas scl pre/pst
G9945 Pt w/cancer scoliosis
G9946 Bk pain no vas
G9948 Adtl spine proc on same date
G9949 Leg pain no vas
G9954 Pt >2 rsk fac post-op vomit
G9955 Inhlnt anesth only for induc
G9956 Combo thrpy of >= 2 prophly
G9957 Doc med rsn no combo thrpy
G9958 No combo prohpyl thrp for pt
G9959 Systemic antimicro not presc
G9960 Med rsn sys antimi nt rx
G9961 Systemic antimicro presc
G9962 Embolization doc separatly
G9963 Embolization not doc separat
G9964 Pt recv >=1 well-chld visit
G9965 No well-chld vist recv by pt
G9968 Pt refrd 2 pvdr/spclst in pp
G9969 Pvdr rfrd pt rprt rcvd
G9970 Pvdr rfrd pt no rprt rcvd
G9974 Dil mac exam performed
G9975 Doc med rsn no mac exm perf
G9976 Doc pat rsn no mac exm perf
G9977 Dil mac exam no perf rsn nos
G9980 Remote E/M new pt 30 mins
G9987 BPCI Advanced In home visit
G9989 Med rsn no pneum vax
G9990 No pneum vax admin 60+
G9991 Pneum vax admin 60+
G9996 Doc pt pal or hospice
G9997 Doc pt preg dur msrmt pd
G9998 Doc med rsn <3 colon
G9999 Doc sys rsn <3 colon
H0017 Alcohol and/or drug services
PA H2020 Ther behav svc per diem
H2038 Skill train and dev/diem
J0120 Tetracyclin injection
J0121 Inj., omadacycline, 1 mg
PA J0122 Inj., eravacycline, 1 mg
EPA J0129 Abatacept injection
J0130 Abciximab injection
J0131 Acetaminophen injection
J0132 Acetylcysteine injection
J0133 Acyclovir injection
J0134 Inj acetaminophen (fresenius), 10 mg
J0135 Adalimumab injection
J0136 Inj, acetaminophen (b braun), 10 mg
J0153 Adenosine inj 1mg
J0171 Adrenalin epinephrine inject
PA J0172 Inj, aducanumab-avwa, 2 mg
J0173 Inj, epinephrine (belcher)
J0178 Aflibercept injection
PA J0179 Inj, brolucizumab-dbll, 1 mg
PA J0180 Injection, agalsidase beta, 1 mg
J0185 Inj., aprepitant, 1 mg
PA J0202 Injection, alemtuzumab (Lemtrada)
J0207 Amifostine
J0210 Methyldopate hcl injection
PA J0215 Alefacept
PA J0219 Inj aval alfa-nqpt 4mg
PA J0221 Lumizyme injection
PA J0222 Inj., patisiran, 0.1 mg
PA J0223 Inj givosiran 0.5 mg
PA J0224 Inj. lumasiran, 0.5 mg
PA J0225 Inj, vutrisiran, 1 mg
J0256 Alpha 1 proteinase inhibitor
J0257 Glassia injection
J0270 Alprostadil for injection
J0275 Alprostadil urethral suppos
J0278 Amikacin sulfate injection
J0280 Aminophyllin 250 MG inj
J0282 Amiodarone HCl
J0283 Inj, amiodarone (nexterone)
J0285 Amphotericin B
J0287 Amphotericin b lipid complex
J0289 Amphotericin b liposome inj
J0290 Ampicillin 500 MG inj
J0291 Inj., plazomicin, 5 mg
J0295 Ampicillin sodium per 1.5 gm
J0300 Amobarbital 125 MG inj
J0330 Succinycholine chloride inj
J0348 Anidulafungin injection
J0360 Hydralazine hcl injection
PA J0364 Apomorphine hydrochloride
J0380 Inj metaraminol bitartrate
J0400 Aripiprazole injection
J0401 Inj aripiprazole ext rel 1mg
J0456 Azithromycin
J0461 Atropine sulfate injection
J0470 Dimecaprol injection
J0475 Baclofen 10 MG injection
J0476 Baclofen intrathecal trial
J0480 Basiliximab
J0485 Belatacept injection
PA J0490 Belimumab injection
PA J0491 Inj anifrolumab-fnia 1mg
J0500 Dicyclomine injection
J0515 Inj benztropine mesylate
PA J0517 Inj., benralizumab, 1 mg
J0558 PenG benzathine/procaine inj
J0561 Penicillin g benzathine inj
PA J0565 Injection, bezlotoxumab, 10 mg
PA J0567 inj., cerliponase alfa 1 mg
PA J0570 Buprenorphine implant 74.2mg
J0571 Buprenorphine oral 1mg
J0572 Buprenorphin/nalox up to 3mg
J0573 Buprenorph/nalox 3.1 to 6mg
J0574 Buprenorph/nalox 6.1 to 10mg
J0575 Buprenorph/nalox over 10mg
J0583 Bivalirudin
PA J0584 Injection, burosumab-twza 1m
CPA/PA J0585 Injection, onabotulinumotoxinA
PA J0586 AbobotulinumtoxinA
PA J0587 Inj, rimabotulinumtoxinB
PA J0588 Incobotulinumtoxin a
J0591 Inj deoxycholic acid, 1 mg
J0592 Buprenorphine hydrochloride
PA J0593 Injection, lanadelumab-flyo, 1 mg
J0594 Busulfan injection
J0595 Butorphanol tartrate 1 mg
PA J0596 Inj, c1 esterase inh (recombinant), ruconest, 10 units
PA J0597 Inj, c-1 esterase inh (human), berinert, 10 units
PA J0598 Inj-1 esterase inh (human), cinryze, 10 units
PA J0599 Inj, c-1 esterase inh (human), (haegarda), 10 units
J0600 Edetate calcium disodium inj
PA J0606 Injection, etelcalcetide, 0.1 mg
J0610 Calcium gluconate injection
J0611 Calcium glucon (wg critical)
J0620 Calcium glycer & lact/10 ML
J0630 Calcitonin salmon injection
J0636 Inj calcitriol per 0.1 mcg
L J0637 Caspofungin acetate
PA J0638 Canakinumab injection
J0640 Leucovorin calcium injection
J0641 Levoleucovorin injection
PA J0642 Injection, levoleucovorin, 0.5 mg
J0670 Inj mepivacaine HCL/10 ml
J0689 Inj cefazolin sodium, baxter
J0690 Cefazolin sodium injection
J0691 Inj lefamulin 1 mg
J0692 Cefepime HCl for injection
J0694 Cefoxitin sodium injection
PA J0695 Inj ceftolozane tazobactam (Zerbaxa)
J0696 Ceftriaxone sodium injection
J0697 Sterile cefuroxime injection
J0698 Cefotaxime sodium injection
PA J0699 Inj, cefiderocol, 10 mg
J0701 Inj. cefepime hcl (baxter), 500 mg
J0702 Betamethasone acet&sod phosp
J0703 Inj, cefepime hcl (b braun)
J0706 Caffeine citrate injection
PA J0712 Ceftaroline fosamil inj
J0713 Inj ceftazidime per 500 mg
PA J0714 Ceftazidime and avibactam (Avycaz)
J0716 Centruroides immune f(ab)
PA J0717 Certolizumab pegol inj 1mg
J0720 Chloramphenicol sodium injec
J0725 Chorionic gonadotropin/1000u
J0735 Clonidine hydrochloride
PA J0739 Injection, cabotegravir, 1 mg
J0740 Cidofovir injection
PA J0741 Inj, cabote rilpivir 2mg 3mg
PA J0742 Inj imip 4 cilas 4 releb 2mg
J0743 Cilastatin sodium injection
J0744 Ciprofloxacin iv
J0745 Inj codeine phosphate /30 MG
J0770 Colistimethate sodium inj
PA J0775 Collagenase, clost hist inj
J0780 Prochlorperazine injection
PA J0791 Inj crizanlizumab-tmca 5mg
J0795 Corticorelin ovine triflutal
J0800 Corticotropin injection
J0833 Cosyntropin injection NOS
J0834 Cosyntropin cortrosyn inj
J0840 Crotalidae poly immune fab
PA J0841 Inj crotalidae im f(ab')2 eq
J0850 Cytomegalovirus imm IV /vial
PA J0875 Injection, dalbavancin (Dalvance)
J0877 Inj, daptomycin (hospira), 1 mg
J0878 Daptomycin injection
PA J0879 Difelikefalin, esrd on dialy
J0881 Darbepoetin alfa, non-esrd
J0882 Darbepoetin alfa, esrd use
J0883 Argatroban nonesrd use 1mg
J0884 Argatroban esrd dialysis 1mg
J0885 Epoetin alfa, non-esrd
PA J0887 Epoetin beta esrd use
PA J0888 Epoetin beta non esrd
J0890 Peginesatide injection
J0891 Argatroban nonesrd (accord), 1 mg
J0892 Argatroban dialysis (accord), 1 mg
J0893 Inj, decitabine (sun pharma), 1 mg
J0894 Decitabine injection
J0895 Deferoxamine mesylate inj
PA J0896 Inj luspatercept-aamt 0.25mg
PA J0897 Denosumab injection
J0898 Argatroban nonesrd (auromed)
J0899 Argatroban dialysis, auromed
J0945 Brompheniramine maleate inj
J1000 Depo-estradiol cypionate inj
J1020 Methylprednisolone 20 MG inj
J1050 Medroxyprogesterone acetate
J1071 Inj testosterone cypionate
PA J1095 Injection, dexamethasone 9%
J1096 Dexametha opth insert 0.1 mg
PA J1097 Injection, phenylephrine and ketorolac, 4 ml vial
J1100 Dexamethasone sodium phos
J1110 Inj dihydroergotamine mesylt
J1120 Acetazolamid sodium injectio
J1130 Inj diclofenac sodium 0.5mg
J1160 Digoxin injection
J1162 Digoxin immune fab (ovine)
J1165 Phenytoin sodium injection
J1170 Hydromorphone injection
J1190 Dexrazoxane HCl injection
J1200 Diphenhydramine hcl injectio
PA J1201 Inj. cetirizine hcl 0.5mg
J1205 Chlorothiazide sodium inj
L J1212 Dimethyl sulfoxide 50% 50 ML
J1230 Methadone injection
J1240 Dimenhydrinate injection
J1245 Dipyridamole injection
J1250 Inj dobutamine HCL/250 mg
J1260 Dolasetron mesylate
J1265 Dopamine injection
J1267 Doripenem injection
J1270 Injection, doxercalciferol
PA J1290 Injection, ecallantide, 1 mg
J1300 Eculizumab injection
PA J1301 injection, edaravone, 1 mg
PA J1302 Inj, sutimlimab-jome, 10 mg
PA J1303 Injection, ravulizumab-cwvz, 10 mg
PA J1305 Inj, evinacumab-dgnb, 5mg
PA J1306 Injection, inclisiran, 1 mg
PA J1322 Injection, elosulfase alfa, 1 mg
PA J1324 Injection, enfuvirtide, 1 mg
PA J1325 Epoprostenol injection
J1327 Eptifibatide injection
J1330 Ergonovine maleate injection
J1335 Ertapenem injection
J1364 Erythro lactobionate /500 MG
J1380 Estradiol valerate 10 MG inj
J1410 Inj estrogen conjugate 25 MG
PA J1426 Injection, casimersen, 10 mg
PA J1427 Inj. viltolarsen
PA J1428 Injection, eteplirsen, 10 mg
PA J1429 Inj golodirsen 10 mg
J1430 Ethanolamine oleate 100 mg
J1435 Injection estrone per 1 MG
J1437 Inj, ferric derisomaltose, 10 mg
J1438 Etanercept injection
PA J1439 Inj ferric carboxymaltos 1mg
J1442 Inj, filgrastim g-csf 1mcg
PA J1443 Inj ferric pyrophosphate cit (Triferic)
J1444 Fe pyro cit pow 0.1 mg iron
J1445 Inj triferic avnu 0.1mg iron
J1447 Inj tbo filgrastim 1 microg (Granix)
PA J1448 Injection, trilaciclib, 1mg
J1450 Fluconazole
J1451 Fomepizole, 15 mg
J1453 Fosaprepitant injection
PA J1454 inj fosnetupitant, palonoset
J1455 Foscarnet sodium injection
J1456 Inj, fosaprepitant (teva)
PA J1458 Injection, galsulfase, 1 mg
J1459 Inj IVIG privigen 500 mg
J1460 Gamma globulin 1 CC inj
J1551 Injection, immune globulin (cutaquig), 100 mg
J1554 Inj. asceniv
PA J1555 Injection, immune globulin (cuvitru)
PA J1556 Inj, imm glob bivigam, 500mg
J1557 Gammaplex injection
PA J1558 Inj. xembify, 100 mg
J1559 Hizentra injection
J1560 Gamma globulin > 10 CC inj
J1561 Gamunex, Gamunex-C, Gammaked
J1566 Immune globulin, powder
J1568 Octagam injection
J1569 Gammagard liquid injection
J1570 Ganciclovir sodium injection
J1571 Hepagam b im injection
J1572 Flebogamma injection
J1573 Hepagam b intravenous, inj
J1574 Inj, ganciclovir (exela), 500 mg
J1575 Hyqvia 100mg immuneglobulin
J1580 Garamycin gentamicin inj
L J1595 Injection glatiramer acetate
J1599 Ivig non-lyophilized, NOS
J1600 Gold sodium thiomaleate inj
PA J1602 Golimumab for iv use 1mg
J1610 Glucagon hydrochloride/1 MG
J1611 Inj glucagon hcl (fresenius kabi), per 1 mg
J1626 Granisetron hcl injection
PA J1627 Injection, granisetron, extended-releasE
PA J1628 inj., guselkumab, 1 mg
J1630 Haloperidol injection
J1631 Haloperidol decanoate inj
PA J1632 Inj., brexanolone, 1 mg
J1640 Hemin, 1 mg
J1642 Inj heparin sodium per 10 u
J1643 Inj heparin (pfizer), 1000u
J1644 Inj heparin sodium per 1000u
J1645 Dalteparin sodium
J1650 Inj enoxaparin sodium
J1652 Fondaparinux sodium
J1670 Tetanus immune globulin inj
J1675 Histrelin acetate
J1720 Hydrocortisone sodium succ i
J1726 Injection, hydroxyprogesterone caproate
PA J1729 Inj hydroxyprogst capoat nos
J1738 Inj. meloxicam 1 mg
J1740 Ibandronate sodium injection
J1741 Ibuprofen injection
J1742 Ibutilide fumarate injection
PA J1743 Injection, idursulfase, 1 mg
PA J1744 Injection, icatibant, 1 mg
PA J1745 Infliximab injection
PA J1746 Inj., ibalizumab-uiyk, 10 mg
J1750 Inj iron dextran
L J1756 Iron sucrose injection
PA J1786 Injection, imiglucerase, 10 units
J1790 Droperidol injection
J1800 Propranolol injection
J1815 Insulin injection
J1817 Insulin for insulin pump use
PA J1823 Injection, inebilizumab-cdon, 1 mg
J1826 Interferon Beta-1A inj
J1830 Interferon beta-1b / .25 MG
PA J1833 Injection, isavuconazonium (Cresemba)
J1840 Kanamycin sulfate 500 MG inj
J1850 Kanamycin sulfate 75 MG inj
J1885 Ketorolac tromethamine inj
PA J1930 Lanreotide injection
PA J1931 Injection, laronidase, 0.1 mg
PA J1932 Inj, lanreotide, (cipla) 1mg
J1940 Furosemide injection
J1942 Aripiprazole lauroxil 1mg
J1943 Inj., aristada initio, 1 mg
J1944 aripirazole lauroxil 1 mg
J1950 Leuprolide acetate /3.75 MG
J1951 Inj fensolvi 0.25 mg
J1952 Leuprolide inj, camcevi, 1mg
J1953 Levetiracetam injection
J1955 Inj levocarnitine per 1 gm
J1956 Levofloxacin injection
J1980 Hyoscyamine sulfate inj
J2001 Lidocaine injection
J2010 Lincomycin injection
PA J2020 Linezolid injection
J2021 Inj, linezolid (hospira), 200 mg
J2060 Lorazepam injection
J2062 Loxapine for inhalation 1 mg
J2150 Mannitol injection
J2170 Mecasermin injection
J2175 Meperidine hydrochl /100 MG
PA J2182 Injection, mepolizumab, 1 mg
J2184 Inj, meropenem (b. braun), 100 mg
J2185 Meropenem
J2186 Inj., meropenem, vaborbactam
J2210 Methylergonovin maleate inj
PA J2212 Methylnaltrexone injection
J2247 Inj, micafungin (par pharm), 1 mg
J2248 Micafungin sodium injection
J2250 Inj midazolam hydrochloride
J2251 Inj midazolam (wg crit care), per 1 mg
J2260 Inj milrinone lactate / 5 MG
J2265 Minocycline hydrochloride
J2270 Morphine sulfate injection
J2272 Inj, morphine (fresenius), up to 10 mg
PA J2274 In morphine preservativ free
J2278 Ziconotide injection
J2280 Inj, moxifloxacin 100 mg
J2281 Inj moxifloxacin (fres kabi)
J2300 Inj nalbuphine hydrochloride
J2310 Inj naloxone hydrochloride
J2311 Inj, naloxone hcl (zimhi)
J2315 Naltrexone, depot form
J2320 Nandrolone decanoate 50 MG
L/PA J2323 Natalizumab injection
L J2325 Nesiritide injection
PA J2326 Injection, nusinersen, 0.1 mg
PA J2327 Inj risankizumab-rzaa 1 mg
PA J2350 Injection, ocrelizumab, 1 mg
J2353 Octreotide injection, depot
J2354 Octreotide inj, non-depot
J2355 Oprelvekin injection
PA J2356 Injection, tezepelumab-ekko, 1 mg
PA J2357 Omalizumab injection
J2358 Olanzapine long-acting inj
J2360 Orphenadrine injection
J2370 Phenylephrine hcl injection
J2400 Chloroprocaine hcl injection
J2401 Chloroprocaine hcl injection
J2402 Inj,Chloroprocaine (clorotekal) , per 1 mg
J2405 Ondansetron hcl injection
PA J2406 Injection, oritavancin 10 mg
PA J2407 Injection, oritavancin (Orbactiv)
J2410 Oxymorphone hcl injection
J2425 Palifermin injection
J2426 Paliperidone palmitate inj
J2430 Pamidronate disodium /30 MG
J2440 Papaverin hcl injection
J2469 Palonosetron hcl
L J2501 Paricalcitol
PA J2502 Inj, pasireotide long acting (Signifor)
J2503 Pegaptanib sodium injection
J2504 Pegademase bovine, 25 iu
J2506 Inj, pegfilgrastim, excludes biosimilar, 0.5 mg
PA J2507 Pegloticase injection
J2510 Penicillin g procaine inj
J2513 Pentastarch 10% solution
J2515 Pentobarbital sodium inj
J2540 Penicillin g potassium inj
J2543 Piperacillin/tazobactam
J2545 Pentamidine non-comp unit
PA J2547 Injection, peramivir (Rapivab)
J2550 Promethazine hcl injection
J2560 Phenobarbital sodium inj
J2562 Plerixafor injection
J2590 Oxytocin injection
J2597 Inj desmopressin acetate
J2675 Inj progesterone per 50 MG
J2680 Fluphenazine decanoate 25 MG
J2690 Procainamide hcl injection
J2700 Oxacillin sodium injeciton
J2704 Inj, propofol, 10 mg
J2710 Neostigmine methylslfte inj
J2720 Inj protamine sulfate/10 MG
J2724 Protein c concentrate
J2730 Pralidoxime chloride inj
J2760 Phentolaine mesylate inj
J2765 Metoclopramide hcl injection
J2770 Quinupristin/dalfopristin
PA J2777 Inj, faricimab-svoa, 0.1mg
J2778 Ranibizumab injection
J2779 Inj, susvimo 0.1 mg
J2780 Ranitidine hydrochloride inj
J2783 Rasburicase
J2785 Regadenoson injection
PA J2786 Injection, reslizumab, 1 mg
J2788 Rho d immune globulin 50 mcg
J2790 Rho d immune globulin inj
J2791 Rhophylac injection
J2792 Rho(D) immune globulin h, sd
PA J2793 Rilonacept injection
J2794 Risperidone, long acting
J2795 Ropivacaine HCl injection
PA J2796 Romiplostim injection
PA J2797 Inj., rolapitant, 0.5 mg
CPA J2798 Inj., perseris, 0.5 mg
J2800 Methocarbamol injection
J2805 Sincalide injection
J2810 Inj theophylline per 40 MG
J2820 Sargramostim injection
PA J2840 Inj, sebelipase alfa, 1 mg
J2850 Inj secretin synthetic human
PA J2860 Injection, siltuximab (Sylvant)
L J2916 Na ferric gluconate complex
J2920 Methylprednisolone injection
J2930 Methylprednisolone injection
PA J2941 Somatropin injection
J2993 Reteplase injection
J2997 Alteplase recombinant
PA J2998 Injection, plasminogen, human-tvmh, 1 mg
J3000 Streptomycin injection
J3010 Fentanyl citrate injeciton
J3030 Sumatriptan succinate / 6 MG
J3031 Inj., fremanezumab-vfrm 1 mg
PA J3032 Inj. eptinezumab-jjmr 1 mg
PA J3060 Injection, taliglucerase alfa, 10 units
J3070 Pentazocine injection
PA J3090 Inj tedizolid phosphate (Silvextro)
J3095 Telavancin injection
J3101 Tenecteplase injection
J3105 Terbutaline sulfate inj
J3110 Teriparatide injection
PA J3111 Inj. romosozumab-aqqg 1 mg
J3121 Inj testostero enanthate 1mg
PA J3145 Testosterone undecanoate 1mg
J3230 Chlorpromazine hcl injection
J3240 Thyrotropin injection
PA J3241 Injection, teprotumumab-trbw, 10 mg
J3243 Tigecycline injection
J3244 Injection, tigecycline (accord), 1 mg
J3245 inj., tildrakizumab, 1 mg
J3246 Tirofiban HCl
J3250 Trimethobenzamide hcl inj
J3260 Tobramycin sulfate injection
PA J3262 Tocilizumab injection
L J3285 Treprostinil injection
PA J3299 Injection, triamcinolone acetonide, (xipere), 1 mg
J3300 Triamcinolone A inj PRS-free
J3301 Triamcinolone acet inj NOS
J3303 Triamcinolone hexacetonl inj
PA J3304 Inj triamcinolone ace xr 1mg
J3315 Triptorelin pamoate
PA J3316 inj., triptorelin xr 3.75 mg
J3355 Urofollitropin, 75 iu
PA J3357 Ustekinumab injection
PA J3358 Ustekinumab, for intravenous injection
J3360 Diazepam injection
J3370 Vancomycin hcl injection
J3371 Inj, vancomycin hcl (mylan), 500 mg
J3372 Inj, vancomycin hcl (xellia), 500 mg
PA J3380 Injection, vedolizumab (Entyvio)
PA J3385 Injection, velaglucerase alfa, 100 units
L J3396 Verteporfin injection
PA J3397 inj., vestronidase alfa-vjbk
PA J3398 inj luxturna 1 billion vec g
PA J3399 Inj onase abepar-xioi treat
J3410 Hydroxyzine hcl injection
J3411 Thiamine hcl 100 mg
J3415 Pyridoxine hcl 100 mg
J3420 Vitamin b12 injection
J3430 Vitamin k phytonadione inj
L J3465 Injection, voriconazole
J3470 Hyaluronidase injection
J3471 Ovine, up to 999 USP units
J3472 Ovine, 1000 USP units
J3473 Hyaluronidase recombinant
J3475 Inj magnesium sulfate
J3480 Inj potassium chloride
PA J3485 Injection, zidovudine, 10 mg
J3486 Ziprasidone mesylate
J3489 Zoledronic acid 1mg
PA J3490 Drugs unclassified
J3490 Drugs unclassified
J3490 Drugs unclassified
J3520 Edetate disodium per 150 mg
J3530 Nasal vaccine inhalation
J3535 Metered dose inhaler drug
J3570 Laetrile amygdalin vit B17
*PA J3590 Unclassified biologics
J3591 Esrd on dialysi drug/bio noc
J7030 Normal saline solution infus
J7042 5% dextrose/normal saline
J7060 5% dextrose/water
J7070 D5w infusion
J7100 Dextran 40 infusion
J7110 Dextran 75 infusion
J7120 Ringers lactate infusion
J7121 5% dextrose in lac ringers
J7131 Hypertonic saline sol
J7168 Prothrombin complex kcentra
J7169 Inj andexxa, 10 mg
PA J7170 inj., emicizumab-kxwh 0.5 mg
PA J7175 Injection, factor x, (human), 1 i.u.
PA J7177 Inj., fibryga, 1 mg
J7178 Human fibrinogen conc inj
PA J7179 Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u.
PA J7180 Factor XIII anti-hem factor
J7181 Factor xiii recomb a-subunit
J7182 Factor viii recomb novoeight
J7183 Wilate injection
J7185 Xyntha inj
J7186 Antihemophilic viii/vwf comp
J7187 Humate-P, inj
PA J7188 Factor viii recomb obizur (Obizur)
J7189 Factor viia
J7190 Factor viii
J7192 Factor viii recombinant NOS
J7193 Factor IX non-recombinant
J7194 Factor ix complex
J7195 Factor IX recombinant
J7196 Antithrombin recombinant
J7197 Antithrombin iii injection
J7198 Anti-inhibitor
PA J7199 Hemophilia clot factor noc
J7200 Factor ix recombinan rixubis
PA J7201 Factor ix fc fusion recomb
PA J7202 Factor ix idelvion inj
PA J7203 factor ix recomb gly rebinyn
PA J7204 Inj recombin esperoct per iu
PA J7205 Factor viii fc fusion recomb
PA J7207 Factor viii pegylated recomb
PA J7208 Inj. jivi 1 iu
J7209 Factor viii nuwiq recomb 1iu
PA J7210 Inj, afstyla, 1 i.u.
PA J7211 Inj, kovaltry, 1 i.u.
J7212 Factor viia recomb sevenfact
J7294 Seg acet and eth estr yearly
J7295 Eth estr and eton monthly
J7296 Kyleena, 19.5 mg
L J7297 Levonorgestrel iu 52mg 3 yr (Liletta)
L J7298 Levonorgestrel iu 52mg 5 yr (Mirena)
J7300 Intraut copper contraceptive
J7301 Skyla 13.5mg
J7304 Contraceptive hormone patch
J7306 Levonorgestrel implant sys
L J7307 Etonogestrel implant system
PA J7308 Aminolevulinic acid hcl top
J7309 Methyl aminolevulinate, top
PA J7311 Fluocinolone acetonide implt
J7312 Dexamethasone intra implant
PA J7313 Fluocinol acet intravit imp (Iluvien)
PA J7314 Inj., yutiq, 0.01 mg
PA J7315 Opthalmic mitomycin
PA J7316 Inj, ocriplasmin, 0.125 mg
J7318 Inj, durolane 1 mg
L J7320 Genvisc 850, inj, 1mg
L J7321 Hyalgan/supartz inj per dose
L J7322 Hymovis injection 1 mg
L J7323 Euflexxa inj per dose
L J7324 Orthovisc inj per dose
L J7325 Synvisc or Synvisc-One
L J7326 Hyalgan/supartz inj per dose
L J7327 Hymovis in per dose
L J7328 Gel-one
J7329 Inj, trivisc 1 mg
J7330 Cultured chondrocytes implnt
J7331 Synojoynt, inj., 1 mg
J7332 Inj., triluron, 1 mg
PA J7336 Capsaicin 8% patch
PA J7340 Carbidopa levodopa enteral (Duopa)
J7342 Installation, ciprofloxacin otic suspension, 6 mg
J7345 Aminolevulinic acid, 10% gel
PA J7351 Inj bimatoprost itc imp 1mcg
PA J7352 Afamelanotide implant, 1 mg
PA J7402 Mometasone sinus sinuva
J7500 Azathioprine oral 50mg
J7501 Azathioprine parenteral
J7502 Cyclosporine oral 100 mg
PA J7503 Tacrol envarsus ex rel oral (Envarsus XR)
PA J7504 Lymphocyte immune globulin
J7505 Monoclonal antibodies
J7507 Tacrolimus oral per 1 MG
J7508 Tacrolimus ex rel oral 0.1mg
J7509 Methylprednisolone oral
J7510 Prednisolone oral per 5 mg
J7511 Antithymocyte globuln rabbit
J7512 Prednisone ir or dr oral 1mg (Rayos)
J7515 Cyclosporine oral 25 mg
J7516 Cyclosporin parenteral 250mg
J7517 Mycophenolate mofetil oral
J7518 Mycophenolic acid
J7520 Sirolimus, oral
J7525 Tacrolimus injection
J7527 Oral everolimus
J7599 Immunosuppressive drug noc
J7604 Acetylcysteine comp unit
J7605 Arformoterol non-comp unit
J7606 Formoterol fumarate, inh
J7607 Levalbuterol comp con
J7608 Acetylcysteine non-comp unit
J7609 Albuterol comp unit
J7610 Albuterol comp con
J7611 Albuterol non-comp con
J7612 Levalbuterol non-comp con
J7613 Albuterol non-comp unit
J7614 Levalbuterol non-comp unit
J7615 Levalbuterol comp unit
J7620 Albuterol ipratrop non-comp
J7622 Beclomethasone comp unit
J7624 Betamethasone comp unit
J7626 Budesonide non-comp unit
J7627 Budesonide comp unit
J7628 Bitolterol mesylate comp con
J7629 Bitolterol mesylate comp unt
J7631 Cromolyn sodium noncomp unit
J7632 Cromolyn sodium comp unit
J7633 Budesonide non-comp con
J7634 Budesonide comp con
J7635 Atropine comp con
J7636 Atropine comp unit
J7637 Dexamethasone comp con
J7638 Dexamethasone comp unit
J7639 Dornase alfa non-comp unit
J7641 Flunisolide comp unit
J7642 Glycopyrrolate comp con
J7643 Glycopyrrolate comp unit
J7644 Ipratropium bromide non-comp
J7645 Ipratropium bromide comp
J7647 Isoetharine comp con
J7648 Isoetharine non-comp con
J7649 Isoetharine non-comp unit
J7650 Isoetharine comp unit
J7657 Isoproterenol comp con
J7658 Isoproterenol non-comp con
J7659 Isoproterenol non-comp unit
J7660 Isoproterenol comp unit
J7665 Mannitol for inhaler
J7667 Metaproterenol comp con
J7668 Metaproterenol non-comp con
J7669 Metaproterenol non-comp unit
J7670 Metaproterenol comp unit
J7674 Methacholine chloride, neb
J7676 Pentamidine comp unit dose
J7677 Revefenacin inh non-com 1mcg
J7680 Terbutaline sulf comp con
J7681 Terbutaline sulf comp unit
J7682 Tobramycin non-comp unit
J7683 Triamcinolone comp con
J7684 Triamcinolone comp unit
J7685 Tobramycin comp unit
J7686 Treprostinil, non-comp unit
J7699 Inhalation solution for DME
J7799 Non-inhalation drug for DME
J7999 Compounded drug, noc
J8498 Antiemetic rectal/supp NOS
J8499 Oral prescrip drug non chemo
J8501 Oral aprepitant
J8510 Oral busulfan
J8515 Cabergoline, oral 0.25mg
J8520 Capecitabine, oral, 150 mg
J8521 Capecitabine, oral, 500 mg
J8530 Cyclophosphamide oral 25 MG
J8540 Oral dexamethasone
J8560 Etoposide oral 50 MG
J8562 Oral fludarabine phosphate
J8565 Gefitinib oral
J8597 Antiemetic drug oral NOS
J8600 Melphalan oral 2 MG
J8610 Methotrexate oral 2.5 MG
J8650 Nabilone oral
PA J8655 Netupitant palonosetron oral (Akynzeo)
J8670 Rolapitant, oral, 1 mg
J8700 Temozolomide
J8705 Topotecan oral
J8999 Oral prescription drug chemo
J9000 Doxorubicin hcl injection
J9015 Aldesleukin injection
J9017 Arsenic trioxide injection
PA J9019 Erwinaze injection
PA J9021 Inj, asparaginase, recombinant, (rylaze), 0.1 mg
PA J9022 Inj, atezolizumab,10 mg
PA J9023 Injection, avelumab, 10 mg
J9025 Azacitidine injection
J9027 Clofarabine injection
J9030 Bcg live intravesical 1mg
PA J9032 Injection, belinostat, 10mg (Beleodaq)
J9033 Bendamustine injection
PA J9034 Inj., bendeka 1 mg
J9035 Bevacizumab injection
J9036 Inj., belrapzo, 1 mg
PA J9037 Inj belantamab mafodont blmf
PA J9039 Injection, blinatumomab (Blincyto)
J9040 Bleomycin sulfate injection
L J9041 Bortezomib injection
PA J9042 Brentuximab vedotin inj
PA J9043 Cabazitaxel injection
J9044 Inj, bortezomib, nos, 0.1 mg
J9045 Carboplatin injection
PA J9046 Inj, bortezomib (dr. reddy's), 0.1 mg
PA J9047 Injection, carfilzomib, 1 mg
PA J9048 Inj, bortezomib (fresenius kabi), 0.1 mg
PA J9049 Inj, bortezomib (hospira), 0.1 mg
J9050 Carmustine injection
J9055 Cetuximab injection
PA J9057 inj., copanlisib, 1 mg
J9060 Cisplatin 10 MG injection
PA J9061 Injection, amivantamab-vmjw, 2 mg
J9065 Inj cladribine per 1 MG
J9070 Cyclophosphamide 100 MG inj
J9071 Inj cyclophosphamd auromedic
J9098 Cytarabine liposome inj
J9100 Cytarabine hcl 100 MG inj
J9118 Inj. Calaspargase pegol-mknl
PA J9119 Inj., cemiplimab-rwlc, 1 mg
J9120 Dactinomycin injection
J9130 Dacarbazine 100 mg inj
PA J9144 Daratumumab, hyaluronidase
PA J9145 Injection, daratumumab 10 mg
J9150 Daunorubicin injection
J9151 Daunorubicin citrate inj
PA J9153 Inj daunorubicin, cytarabine
J9155 Degarelix injection
J9160 Denileukin diftitox inj
J9171 Docetaxel injection
PA J9173 Inj., durvalumab, 10 mg
J9175 Elliotts b solution per ml
PA J9176 Injection, elotuzumab, 1mg
PA J9177 Inj enfort vedo-ejfv 0.25mg
J9178 Inj, epirubicin hcl, 2 mg
J9179 Eribulin mesylate injection
J9181 Etoposide injection
J9185 Fludarabine phosphate inj
J9190 Fluorouracil injection
PA J9198 Inj. infugem, 100 mg
J9201 In gemcitabine hcl nos 200mg
PA J9203 Injection, gemtuzumab ozogamicin, 0.1 mg
PA J9204 Inj mogamulizumab-kpkc, 1 mg
PA J9205 Injection, irinotecan liposome, 1 mg
J9206 Irinotecan injection
J9207 Ixabepilone injection
J9208 Ifosfamide injection
J9209 Mesna injection
PA J9210 Inj., emapalumab-lzsg, 1 mg
J9211 Idarubicin hcl injection
J9213 Interferon alfa-2a inj
J9214 Interferon alfa-2b inj
J9216 Interferon gamma 1-b inj
J9217 Leuprolide acetate suspnsion
J9218 Leuprolide acetate injeciton
J9219 Leuprolide acetate implant
PA J9223 Inj. lurbinectedin, 0.1 mg
J9225 Vantas implant
J9226 Supprelin LA implant
PA J9227 Injection, isatuximab-irfc, 10 mg
PA J9228 Ipilimumab injection
PA J9229 inj inotuzumab ozogam 0.1 mg
J9230 Mechlorethamine hcl inj
J9245 Inj melphalan hydrochl 50 MG
PA J9246 Inj., evomela, 1 mg
PA J9247 Inj, melphalan flufenami 1mg
J9250 Methotrexate sodium inj
J9260 Methotrexate sodium inj
J9261 Nelarabine injection
PA J9262 Inj, omacetaxine mep, 0.01mg
J9263 Oxaliplatin
J9264 Paclitaxel protein bound
J9266 Pegaspargase injection
J9267 Paclitaxel injection
J9268 Pentostatin injection
PA J9269 Inj. tagraxofusp-erzs 10 mcg
PA J9271 Inj pembrolizumab (Keytruda)
PA J9272 Injection, dostarlimab-gxly, 10 mg
PA J9273 Inj tisotu vedotin-tftv, 1mg
PA J9274 Inj, tebentafusp-tebn, 1 mcg
J9280 Mitomycin 5 MG inj
PA J9281 Mitomycin instillation
PA J9285 Injection, olaratumab, 10 mg
J9293 Mitoxantrone hydrochl / 5 MG
PA J9295 Injection, necitumumab, 1 mg
PA J9298 Inj nivol relatlimab 3mg/1mg
PA J9299 Injection, nivolumab (Opdivo)
PA J9301 Obinutuzumab inj
J9302 Ofatumumab injection
J9303 Panitumumab injection
J9304 Inj. pemetrexed, 10 mg
J9305 Pemetrexed injection
PA J9306 Injection, pertuzumab, 1 mg
J9307 Pralatrexate injection
PA J9308 Injection, ramucirumab (Cyramza)
PA J9309 Inj, polatuzumab vedotin 1mg
J9310 Rituximab injection
PA J9311 inj rituximab, hyaluronidase
PA J9312 inj., rituximab, 10 mg
PA J9313 Inj., lumoxiti, 0.01 mg
J9314 Romidepsin non-lyophilized
PA J9316 Pertuzu, trastuzu, 10 mg
PA J9317 Sacituzumab govitecan-hziy
J9318 Inj romidepsin non-lyo 0.1mg
J9319 Inj romidepsin lyophil 0.1mg
J9320 Streptozocin injection
PA J9325 Injection, talimogene laherparepvec, per 1 million plaque forming units
J9328 Temozolomide injection
J9330 Temsirolimus injection
PA J9331 Injection, sirolimus protein-bound particles, 1 mg
PA J9332 Injection, efgartigimod alfa-fcab, 2mg
J9340 Thiotepa injection
PA J9348 Inj. naxitamab-gqgk, 1 mg
PA J9349 Inj., tafasitamab-cxix
J9351 Topotecan injection
PA J9352 Injection, trabectedin, 0.1 mg 59676-0610-01
PA J9353 Inj. margetuximab-cmkb, 5 mg
PA J9354 Inj, ado-trastuzumab emt 1mg
J9355 Trastuzumab injection
J9356 Inj. herceptin hylecta, 10mg
J9357 Valrubicin injection
PA J9358 Inj fam-trastu deru-nxki 1mg
PA J9359 Inj lon tesirin-lpyl 0.075mg
J9360 Vinblastine sulfate inj
J9370 Vincristine sulfate 1 MG inj
PA J9371 Inj, vincristine sul lip 1mg
J9390 Vinorelbine tartrate inj
J9393 Inj, fulvestrant (teva)
J9394 Inj, fulvestrant (fresenius), 25 mg
J9395 Injection, Fulvestrant
PA J9400 Inj, ziv-aflibercept, 1mg
PA J9600 Porfimer sodium injection
PA J9999 Chemotherapy drug
K0001 Standard wheelchair
K0002 Stnd hemi (low seat) whlchr
K0003 Lightweight wheelchair
K0004 High strength ltwt whlchr
K0005 Ultralightweight wheelchair
K0006 Heavy duty wheelchair
K0007 Extra heavy duty wheelchair
K0008 Cstm manual wheelchair/base
K0009 Other manual wheelchair/base
K0010 Stnd wt frame power whlchr
K0011 Stnd wt pwr whlchr w control
K0012 Ltwt portbl power whlchr
K0013 Custom power wlchr base
K0014 Other power whlchr base
K0015 Detach non-adjus hght armrst
K0017 Detach adjust armrest base
K0018 Detach adjust armrst upper
K0019 Arm pad each
K0020 Fixed adjust armrest pair
K0037 High mount flip-up footrest
K0038 Leg strap each
K0039 Leg strap h style each
K0040 Adjustable angle footplate
K0041 Large size footplate each
K0042 Standard size footplate each
K0043 Ftrst lower extension tube
K0044 Ftrst upper hanger bracket
K0045 Footrest complete assembly
K0046 Elevat legrst low extension
K0047 Elevat legrst up hangr brack
K0050 Ratchet assembly
K0051 Cam relese assem ftrst/lgrst
K0052 Swingaway detach footrest
K0053 Elevate footrest articulate
K0056 Seat ht <17 or >=21 ltwt wc
K0065 Spoke protectors
K0069 Rear whl complete solid tire
K0070 Rear whl compl pneum tire
K0071 Front castr compl pneum tire
K0072 Frnt cstr cmpl sem-pneum tir
K0073 Caster pin lock each
K0077 Front caster assem complete
K0098 Drive belt power wheelchair
K0105 Iv hanger
K0108 W/c component-accessory NOS
K0195 Elevating whlchair leg rests
K0455 Pump uninterrupted infusion
K0462 Temporary replacement eqpmnt
K0552 Supply/ext inf pump syr type
K0553 Ther cgm supply allowance
K0554 Ther cgm receiver/monitor
K0601 Repl batt silver oxide 1.5 v
K0602 Repl batt silver oxide 3 v
K0603 Repl batt alkaline 1.5 v
K0604 Repl batt lithium 3.6 v
K0605 Repl batt lithium 4.5 v
K0606 AED garment w elec analysis
K0607 Repl batt for AED
K0608 Repl garment for AED
K0609 Repl electrode for AED
K0669 Seat/back cus no dmepdac ver
K0672 Removable soft interface LE
K0730 Ctrl dose inh drug deliv sys
K0733 12-24hr sealed lead acid
K0738 Portable gas oxygen system
K0739 Repair/svc DME non-oxygen eq
K0740 Repair/svc oxygen equipment
K0743 Portable home suction pump
K0744 Absorp drg <= 16 suc pump
K0745 Absorp drg >16<=48 suc pump
K0746 Absorp drg >48 suc pump
K0800 POV group 1 std up to 300lbs
K0801 POV group 1 hd 301-450 lbs
K0802 POV group 1 vhd 451-600 lbs
K0806 POV group 2 std up to 300lbs
K0807 POV group 2 hd 301-450 lbs
K0808 POV group 2 vhd 451-600 lbs
K0812 Power operated vehicle NOC
K0813 PWC gp 1 std port seat/back
K0814 PWC gp 1 std port cap chair
K0815 PWC gp 1 std seat/back
K0816 PWC gp 1 std cap chair
K0820 PWC gp 2 std port seat/back
K0821 PWC gp 2 std port cap chair
K0824 PWC gp 2 hd seat/back
K0825 PWC gp 2 hd cap chair
K0826 PWC gp 2 vhd seat/back
K0827 PWC gp vhd cap chair
K0828 PWC gp 2 xtra hd seat/back
K0829 PWC gp 2 xtra hd cap chair
K0830 PWC gp2 std seat elevate s/b
K0831 PWC gp2 std seat elevate cap
K0835 PWC gp2 std sing pow opt s/b
K0836 PWC gp2 std sing pow opt cap
K0837 PWC gp 2 hd sing pow opt s/b
K0838 PWC gp 2 hd sing pow opt cap
K0839 PWC gp2 vhd sing pow opt s/b
K0840 PWC gp2 xhd sing pow opt s/b
K0841 PWC gp2 std mult pow opt s/b
K0842 PWC gp2 std mult pow opt cap
K0843 PWC gp2 hd mult pow opt s/b
K0851 PWC gp 3 hd cap chair
K0853 PWC gp 3 vhd cap chair
K0854 PWC gp 3 xhd seat/back
K0855 PWC gp 3 xhd cap chair
K0858 PWC gp3 hd sing pow opt s/b
K0859 PWC gp3 hd sing pow opt cap
K0862 PWC gp3 hd mult pow opt s/b
K0863 PWC gp3 vhd mult pow opt s/b
K0864 PWC gp3 xhd mult pow opt s/b
K0879 PWC gp4 hd sing pow opt s/b
K0885 PWC gp4 std mult pow opt cap
K0886 PWC gp4 hd mult pow s/b
K0890 PWC gp5 ped sing pow opt s/b
K0891 PWC gp5 ped mult pow opt s/b
K0898 Power wheelchair NOC
K0899 Pow mobil dev no dmepdac
K0900 Cstm dme other than wheelchr
K1001 Electronic posa treatment
K1002 Ces system w/supplies access
K1003 Whirlpool tub walkin portabl
K1004 Lo freq us diathermy device
K1005 Disp col sto bag breast milk
K1006 Suct pum ext urine mgmt sys
K1007 Bil hkaf pc s/d micro sensor
K1009 Speech volume modulation sys
K1013 Enema tube, any, replac only
K1014 Ak 4 bar link hydl swg/stanc
K1015 Foot, adductus position, adj
K1016 Trans elec nerv for trigemin
K1017 Monthly supp use with k1016
K1018 Ext up limb tremor stim wris
K1019 Monthly supp use with k1018
K1020 Non-invasive vagus nerv stim
K1021 Exsuff belt incl all sup acc
K1022 Endoskel posit rotat unit
K1023 Trans elec nerv periph nerv
K1024 Non pneum comp control cal
K1025 Non pneum compress full arm
K1026 Mech allergen parti barrier
K1027 Oral dev without fix mech
K1028 Control unit neuromuscul osa
K1029 Oral dv/app neuromus mouthpi
K1030 Ext recharge bat replacement
K1031 Non pneu comp control w/o ca
K1032 Non pneum seq comp full leg
K1033 Non pneum seq comp half leg
K1034 Covid test self-admn/collect
L0112 Cranial cervical orthosis
L0113 Cranial cervical torticollis
L0120 Cerv flexible non-adjustable
L0130 Flex thermoplastic collar mo
L0140 Cervical semi-rigid adjustab
L0150 Cerv semi-rig adj molded chn
L0160 Cerv semi-rig wire occ/mand
L0170 Cervical collar molded to pt
L0172 Cerv col thermplas foam 2 pi
L0174 Cerv col foam 2 piece w thor
L0180 Cer post col occ/man sup adj
L0190 Cerv collar supp adj cerv ba
L0200 Cerv col supp adj bar & thor
L0220 Thor rib belt custom fabrica
L0450 TLSO flex prefab thoracic
L0452 tlso flex custom fab thoraci
L0454 TLSO flex prefab sacrococ-T9
L0455 Tlso flex trnk sj-t9 pre ots
L0456 TLSO flex prefab
L0457 Tlso flex trnk sj-ss pre ots
L0458 TLSO 2Mod symphis-xipho pre
L0460 TLSO2Mod symphysis-stern pre
L0462 TLSO 3Mod sacro-scap pre
L0464 TLSO 4Mod sacro-scap pre
L0466 TLSO rigid frame pre soft ap
L0467 Tlso r fram soft pre ots
L0468 TLSO rigid frame prefab pelv
L0469 Tlso rig fram pelvic pre ots
L0470 TLSO rigid frame pre subclav
L0472 TLSO rigid frame hyperex pre
L0480 TLSO rigid plastic custom fa
L0482 TLSO rigid lined custom fab
L0484 TLSO rigid plastic cust fab
L0486 TLSO rigidlined cust fab two
L0488 TLSO rigid lined pre one pie
L0490 TLSO rigid plastic pre one
L0491 TLSO 2 piece rigid shell
L0492 TLSO 3 piece rigid shell
L0621 SIO flex pelvisacral prefab
L0622 SIO flex pelvisacral custom
L0623 SIO panel prefab
L0624 SIO panel custom
L0625 LO flexibl L1-below L5 pre
L0626 LO sag stays/panels pre-fab
L0627 LO sagitt rigid panel prefab
L0628 LO flex w/o rigid stays pre
L0629 LSO flex w/rigid stays cust
L0630 LSO post rigid panel pre
L0631 LSO sag-coro rigid frame pre
L0632 LSO sag rigid frame cust
L0633 LSO flexion control prefab
L0634 LSO flexion control custom
L0635 LSO sagit rigid panel prefab
L0636 LSO sagittal rigid panel cus
L0637 LSO sag-coronal panel prefab
L0638 LSO sag-coronal panel custom
L0639 LSO s/c shell/panel prefab
L0640 LSO s/c shell/panel custom
L0641 Lo rig pos pnl l1-l5 pre ots
L0642 Lo sag ri an/pos pnl pre ots
L0643 Lso sag ctr rigi pos pre ots
L0648 Lso sag r an/pos pnl pre ots
L0649 Lso sc r pos/lat pnl pre ots
L0650 Lso sc r ant/pos pnl pre ots
L0651 LSO sag-co shell pnl pre ots
L0700 Ctlso a-p-l control molded
L0710 Ctlso a-p-l control w/ inter
L0810 Halo cervical into jckt vest
L0820 Halo cervical into body jack
L0830 Halo cerv into milwaukee typ
L0859 MRI compatible system
L0861 Halo repl liner/interface
L0970 Tlso corset front
L0972 Lso corset front
L0974 Tlso full corset
L0976 Lso full corset
L0978 Axillary crutch extension
L0980 Peroneal straps pair
L0982 Stocking supp grips set of f
L0984 Protective body sock each
L0999 Add to spinal orthosis NOS
L1000 Ctlso milwauke initial model
L1001 CTLSO infant immobilizer
L1005 Tension based scoliosis orth
L1010 Ctlso axilla sling
L1020 Kyphosis pad
L1025 Kyphosis pad floating
L1030 Lumbar bolster pad
L1040 Lumbar or lumbar rib pad
L1050 Sternal pad
L1060 Thoracic pad
L1070 Trapezius sling
L1080 Outrigger
L1085 Outrigger bil w/ vert extens
L1090 Lumbar sling
L1100 Ring flange plastic/leather
L1110 Ring flange plas/leather mol
L1120 Covers for upright each
L1200 Furnsh initial orthosis only
L1210 Lateral thoracic extension
L1220 Anterior thoracic extension
L1230 Milwaukee type superstructur
L1240 Lumbar derotation pad
L1250 Anterior asis pad
L1260 Anterior thoracic derotation
L1270 Abdominal pad
L1280 Rib gusset (elastic) each
L1290 Lateral trochanteric pad
L1300 Body jacket mold to patient
L1310 Post-operative body jacket
L1499 Spinal orthosis NOS
L1600 Abduct hip flex frejka w cvr
L1610 Abduct hip flex frejka covr
L1620 Abduct hip flex pavlik harne
L1630 Abduct control hip semi-flex
L1640 Pelv band/spread bar thigh c
L1650 HO abduction hip adjustable
L1652 HO bi thighcuffs w sprdr bar
L1660 HO abduction static plastic
L1680 Pelvic & hip control thigh c
L1685 Post-op hip abduct custom fa
L1686 HO post-op hip abduction
L1690 Combination bilateral HO
L1700 Leg perthes orth toronto typ
L1710 Legg perthes orth newington
L1720 Legg perthes orthosis trilat
L1730 Legg perthes orth scottish r
L1755 Legg perthes patten bottom t
L1810 Ko elastic with joints
L1812 Ko elastic w/joints pre ots
L1820 Ko elas w/ condyle pads & jo
L1830 Ko immobilizer canvas longit
L1831 Knee orth pos locking joint
L1832 KO adj jnt pos rigid support
L1833 Ko adj jnt pos r sup pre ots
L1834 Ko w/0 joint rigid molded to
L1836 Rigid KO wo joints
L1840 Ko derot ant cruciate custom
L1843 KO single upright custom fit
L1844 Ko w/adj jt rot cntrl molded
L1845 Ko w/ adj flex/ext rotat cus
L1846 Ko w adj flex/ext rotat mold
L1847 KO adjustable w air chambers
L1848 Ko dbl upright w/air pre ots
L1850 Ko swedish type
L1851 Ko single upright prefab ots
L1852 Ko double upright prefab ots
L1860 Ko supracondylar socket mold
L1900 Afo sprng wir drsflx calf bd
L1902 Afo ankle gauntlet
L1904 Afo molded ankle gauntlet
L1906 Afo multiligamentus ankle su
L1907 AFO supramalleolar custom
L1910 Afo sing bar clasp attach sh
L1920 Afo sing upright w/ adjust s
L1930 Afo plastic
L1932 Afo rig ant tib prefab TCF/=
L1940 Afo molded to patient plasti
L1945 Afo molded plas rig ant tib
L1950 Afo spiral molded to pt plas
L1951 AFO spiral prefabricated
L1960 Afo pos solid ank plastic mo
L1970 Afo plastic molded w/ankle j
L1971 AFO w/ankle joint, prefab
L1980 Afo sing solid stirrup calf
L1990 Afo doub solid stirrup calf
L2000 Kafo sing fre stirr thi/calf
L2005 KAFO sng/dbl mechanical act
L2006 Kaf sng/dbl swg/stn mcpr cus
L2010 Kafo sng solid stirrup w/o j
L2020 Kafo dbl solid stirrup band/
L2030 Kafo dbl solid stirrup w/o j
L2034 KAFO pla sin up w/wo k/a cus
L2035 KAFO plastic pediatric size
L2036 Kafo plas doub free knee mol
L2037 Kafo plas sing free knee mol
L2038 Kafo w/o joint multi-axis an
L2040 Hkafo torsion bil rot straps
L2050 Hkafo torsion cable hip pelv
L2060 Hkafo torsion ball bearing j
L2070 Hkafo torsion unilat rot str
L2080 Hkafo unilat torsion cable
L2090 Hkafo unilat torsion ball br
L2106 Afo tib fx cast plaster mold
L2108 Afo tib fx cast molded to pt
L2112 Afo tibial fracture soft
L2114 Afo tib fx semi-rigid
L2116 Afo tibial fracture rigid
L2126 Kafo fem fx cast thermoplas
L2128 Kafo fem fx cast molded to p
L2132 Kafo femoral fx cast soft
L2134 Kafo fem fx cast semi-rigid
L2136 Kafo femoral fx cast rigid
L2180 Plas shoe insert w ank joint
L2182 Drop lock knee
L2184 Limited motion knee joint
L2186 Adj motion knee jnt lerman t
L2188 Quadrilateral brim
L2190 Waist belt
L2192 Pelvic band & belt thigh fla
L2200 Limited ankle motion ea jnt
L2210 Dorsiflexion assist each joi
L2220 Dorsi & plantar flex ass/res
L2230 Split flat caliper stirr & p
L2232 Rocker bottom, contact AFO
L2240 Round caliper and plate atta
L2250 Foot plate molded stirrup at
L2260 Reinforced solid stirrup
L2265 Long tongue stirrup
L2270 Varus/valgus strap padded/li
L2275 Plastic mod low ext pad/line
L2280 Molded inner boot
L2300 Abduction bar jointed adjust
L2310 Abduction bar-straight
L2320 Non-molded lacer
L2330 Lacer molded to patient mode
L2335 Anterior swing band
L2340 Pre-tibial shell molded to p
L2350 Prosthetic type socket molde
L2360 Extended steel shank
L2370 Patten bottom
L2375 Torsion ank & half solid sti
L2380 Torsion straight knee joint
L2385 Straight knee joint heavy du
L2387 Add LE poly knee custom KAFO
L2390 Offset knee joint each
L2395 Offset knee joint heavy duty
L2397 Suspension sleeve lower ext
L2405 Knee joint drop lock ea jnt
L2415 Knee joint cam lock each joi
L2425 Knee disc/dial lock/adj flex
L2430 Knee jnt ratchet lock ea jnt
L2492 Knee lift loop drop lock rin
L2500 Thi/glut/ischia wgt bearing
L2510 Th/wght bear quad-lat brim m
L2520 Th/wght bear quad-lat brim c
L2525 Th/wght bear nar m-l brim mo
L2526 Th/wght bear nar m-l brim cu
L2530 Thigh/wght bear lacer non-mo
L2540 Thigh/wght bear lacer molded
L2550 Thigh/wght bear high roll cu
L2570 Hip clevis type 2 posit jnt
L2580 Pelvic control pelvic sling
L2600 Hip clevis/thrust bearing fr
L2610 Hip clevis/thrust bearing lo
L2620 Pelvic control hip heavy dut
L2622 Hip joint adjustable flexion
L2624 Hip adj flex ext abduct cont
L2627 Plastic mold recipro hip & c
L2628 Metal frame recipro hip & ca
L2630 Pelvic control band & belt u
L2640 Pelvic control band & belt b
L2650 Pelv & thor control gluteal
L2660 Thoracic control thoracic ba
L2670 Thorac cont paraspinal uprig
L2680 Thorac cont lat support upri
L2750 Plating chrome/nickel pr bar
L2755 Carbon graphite lamination
L2760 Extension per extension per
L2768 Ortho sidebar disconnect
L2780 Non-corrosive finish
L2785 Drop lock retainer each
L2795 Knee control full kneecap
L2800 Knee cap medial or lateral p
L2810 Knee control condylar pad
L2820 Soft interface below knee se
L2830 Soft interface above knee se
L2840 Tibial length sock fx or equ
L2850 Femoral lgth sock fx or equa
L2861 Torsion mechanism knee/ankle
L2999 Lower extremity orthosis NOS
L3000 Ft insert ucb berkeley shell
L3001 Foot insert remov molded spe
L3002 Foot insert plastazote or eq
L3003 Foot insert silicone gel eac
L3010 Foot longitudinal arch suppo
L3020 Foot longitud/metatarsal sup
L3030 Foot arch support remov prem
L3031 Foot lamin/prepreg composite
L3040 Ft arch suprt premold longit
L3050 Foot arch supp premold metat
L3060 Foot arch supp longitud/meta
L3070 Arch suprt att to sho longit
L3080 Arch supp att to shoe metata
L3090 Arch supp att to shoe long/m
L3100 Hallus-valgus nght dynamic s
L3140 Abduction rotation bar shoe
L3150 Abduct rotation bar w/o shoe
L3160 Shoe styled positioning dev
L3170 Foot plastic heel stabilizer
L3201 Oxford w supinat/pronat inf
L3202 Oxford w/ supinat/pronator c
L3203 Oxford w/ supinator/pronator
L3204 Hightop w/ supp/pronator inf
L3206 Hightop w/ supp/pronator chi
L3207 Hightop w/ supp/pronator jun
L3208 Surgical boot each infant
L3209 Surgical boot each child
L3211 Surgical boot each junior
L3212 Benesch boot pair infant
L3213 Benesch boot pair child
L3214 Benesch boot pair junior
L3215 Orthopedic ftwear ladies oxf
L3216 Orthoped ladies shoes dpth i
L3217 Ladies shoes hightop depth i
L3219 Orthopedic mens shoes oxford
L3221 Orthopedic mens shoes dpth i
L3222 Mens shoes hightop depth inl
L3224 Woman's shoe oxford brace
L3225 Man's shoe oxford brace
L3230 Custom shoes depth inlay
L3250 Custom mold shoe remov prost
L3251 Shoe molded to pt silicone s
L3252 Shoe molded plastazote cust
L3253 Shoe molded plastazote cust
L3254 Orth foot non-stndard size/w
L3255 Orth foot non-standard size/
L3257 Orth foot add charge split s
L3260 Ambulatory surgical boot eac
L3265 Plastazote sandal each
L3300 Sho lift taper to metatarsal
L3310 Shoe lift elev heel/sole neo
L3320 Shoe lift elev heel/sole cor
L3330 Lifts elevation metal extens
L3332 Shoe lifts tapered to one-ha
L3334 Shoe lifts elevation heel /i
L3340 Shoe wedge sach
L3350 Shoe heel wedge
L3360 Shoe sole wedge outside sole
L3370 Shoe sole wedge between sole
L3380 Shoe clubfoot wedge
L3390 Shoe outflare wedge
L3400 Shoe metatarsal bar wedge ro
L3410 Shoe metatarsal bar between
L3420 Full sole/heel wedge btween
L3430 Sho heel count plast reinfor
L3440 Heel leather reinforced
L3450 Shoe heel sach cushion type
L3455 Shoe heel new leather standa
L3460 Shoe heel new rubber standar
L3465 Shoe heel thomas with wedge
L3470 Shoe heel thomas extend to b
L3480 Shoe heel pad & depress for
L3485 Shoe heel pad removable for
L3500 Ortho shoe add leather insol
L3510 Orthopedic shoe add rub insl
L3520 O shoe add felt w leath insl
L3530 Ortho shoe add half sole
L3540 Ortho shoe add full sole
L3550 O shoe add standard toe tap
L3560 O shoe add horseshoe toe tap
L3570 O shoe add instep extension
L3580 O shoe add instep velcro clo
L3590 O shoe convert to sof counte
L3595 Ortho shoe add march bar
L3600 Trans shoe calip plate exist
L3610 Trans shoe caliper plate new
L3620 Trans shoe solid stirrup exi
L3630 Trans shoe solid stirrup new
L3640 Shoe dennis browne splint bo
L3649 Orthopedic shoe modifica NOS
L3650 Shlder fig 8 abduct restrain
L3660 Abduct restrainer canvas&web
L3670 Acromio/clavicular canvas&we
L3671 SO cap design w/o jnts CF
L3674 SO airplane w/wo joint CF
L3675 Canvas vest SO
L3677 SO hard plastic stabilizer
L3678 So hard plas stabili pre ots
L3702 EO w/o joints CF
L3710 Elbow elastic with metal joi
L3720 Forearm/arm cuffs free motio
L3730 Forearm/arm cuffs ext/flex a
L3740 Cuffs adj lock w/ active con
L3760 EO withjoint, Prefabricated
L3761 Eo, adj lock joint prefab ot
L3762 Rigid EO wo joints
L3763 EWHO rigid w/o jnts CF
L3764 EWHO w/joint(s) CF
L3765 EWHFO rigid w/o jnts CF
L3766 EWHFO w/joint(s) CF
L3806 WHFO w/joint(s) custom fab
L3807 WHFO,no joint, prefabricated
L3808 WHFO, rigid w/o joints
L3809 Whfo w/o joints pre ots
L3891 Torsion mechanism wrist/elbo
L3900 Hinge extension/flex wrist/f
L3901 Hinge ext/flex wrist finger
L3904 Whfo electric custom fitted
L3905 WHO w/nontorsion jnt(s) CF
L3906 WHO w/o joints CF
L3908 Wrist cock-up non-molded
L3912 Flex glove w/elastic finger
L3913 HFO w/o joints CF
L3915 WHO w nontor jnt(s) prefab
L3916 Who nontorsion jnts pre ots
L3917 Prefab metacarpl fx orthosis
L3918 Metacarp fx orthosis pre ots
L3919 HO w/o joints CF
L3921 HFO w/joint(s) CF
L3923 HFO w/o joints PF
L3924 Hfo without joints pre ots
L3925 FO pip/dip with joint/spring
L3927 FO pip/dip w/o joint/spring
L3929 HFO nontorsion joint, prefab
L3930 Hfo nontorsion jnts pre ots
L3931 WHFO nontorsion joint prefab
L3933 FO w/o joints CF
L3935 FO nontorsion joint CF
L3956 Add joint upper ext orthosis
L3960 Sewho airplan desig abdu pos
L3961 SEWHO cap design w/o jnts CF
L3962 Sewho erbs palsey design abd
L3967 SEWHO airplane w/o jnts CF
L3971 SEWHO cap design w/jnt(s) CF
L3973 SEWHO airplane w/jnt(s) CF
L3975 SEWHFO cap design w/o jnt CF
L3976 SEWHFO airplane w/o jnts CF
L3977 SEWHFO cap desgn w/jnt(s) CF
L3978 SEWHFO airplane w/jnt(s) CF
L3980 Upp ext fx orthosis humeral
L3982 Upper ext fx orthosis rad/ul
L3984 Upper ext fx orthosis wrist
L3995 Sock fracture or equal each
L3999 Upper limb orthosis NOS
L4000 Repl girdle milwaukee orth
L4002 Replace strap, any orthosis
L4010 Replace trilateral socket br
L4020 Replace quadlat socket brim
L4030 Replace socket brim cust fit
L4040 Replace molded thigh lacer
L4045 Replace non-molded thigh lac
L4050 Replace molded calf lacer
L4055 Replace non-molded calf lace
L4060 Replace high roll cuff
L4070 Replace prox & dist upright
L4080 Repl met band kafo-afo prox
L4090 Repl met band kafo-afo calf/
L4100 Repl leath cuff kafo prox th
L4110 Repl leath cuff kafo-afo cal
L4130 Replace pretibial shell
L4205 Ortho dvc repair per 15 min
L4210 Orth dev repair/repl minor p
L4350 Ankle control orthosi prefab
L4360 Pneumati walking boot prefab
L4361 Pneuma/vac walk boot pre ots
L4370 Pneumatic full leg splint
L4386 Non-pneum walk boot prefab
L4387 Non-pneum walk boot pre ots
L4392 Replace AFO soft interface
L4394 Replace foot drop spint
L4396 Static AFO
L4397 Static or dynami afo pre ots
L4398 Foot drop splint recumbent
L4631 Afo, walk boot type, cus fab
L5000 Sho insert w arch toe filler
L5010 Mold socket ank hgt w/ toe f
L5020 Tibial tubercle hgt w/ toe f
L5050 Ank symes mold sckt sach ft
L5060 Symes met fr leath socket ar
L5100 Molded socket shin sach foot
L5105 Plast socket jts/thgh lacer
L5150 Mold sckt ext knee shin sach
L5160 Mold socket bent knee shin s
L5200 Kne sing axis fric shin sach
L5210 No knee/ankle joints w/ ft b
L5220 No knee joint with artic ali
L5230 Fem focal defic constant fri
L5250 Hip canad sing axi cons fric
L5270 Tilt table locking hip sing
L5280 Hemipelvect canad sing axis
L5301 BK mold socket SACH ft endo
L5312 Knee disart, SACH ft, endo
L5321 AK open end SACH
L5331 Hip disart canadian SACH ft
L5341 Hemipelvectomy canadian SACH
L5400 Postop dress & 1 cast chg bk
L5410 Postop dsg bk ea add cast ch
L5420 Postop dsg & 1 cast chg ak/d
L5430 Postop dsg ak ea add cast ch
L5450 Postop app non-wgt bear dsg
L5460 Postop app non-wgt bear dsg
L5500 Init bk ptb plaster direct
L5505 Init ak ischal plstr direct
L5510 Prep BK ptb plaster molded
L5520 Perp BK ptb thermopls direct
L5530 Prep BK ptb thermopls molded
L5535 Prep BK ptb open end socket
L5540 Prep BK ptb laminated socket
L5560 Prep AK ischial plast molded
L5570 Prep AK ischial direct form
L5580 Prep AK ischial thermo mold
L5585 Prep AK ischial open end
L5590 Prep AK ischial laminated
L5595 Hip disartic sach thermopls
L5600 Hip disart sach laminat mold
L5610 Above knee hydracadence
L5611 Ak 4 bar link w/fric swing
L5613 Ak 4 bar ling w/hydraul swig
L5614 4-bar link above knee w/swng
L5616 Ak univ multiplex sys frict
L5617 AK/BK self-aligning unit ea
L5618 Test socket symes
L5620 Test socket below knee
L5622 Test socket knee disarticula
L5624 Test socket above knee
L5626 Test socket hip disarticulat
L5628 Test socket hemipelvectomy
L5629 Below knee acrylic socket
L5630 Syme typ expandabl wall sckt
L5631 Ak/knee disartic acrylic soc
L5632 Symes type ptb brim design s
L5634 Symes type poster opening so
L5636 Symes type medial opening so
L5637 Below knee total contact
L5638 Below knee leather socket
L5639 Below knee wood socket
L5640 Knee disarticulat leather so
L5642 Above knee leather socket
L5643 Hip flex inner socket ext fr
L5644 Above knee wood socket
L5645 Bk flex inner socket ext fra
L5646 Below knee cushion socket
L5647 Below knee suction socket
L5648 Above knee cushion socket
L5649 Isch containmt/narrow m-l so
L5650 Tot contact ak/knee disart s
L5651 Ak flex inner socket ext fra
L5652 Suction susp ak/knee disart
L5653 Knee disart expand wall sock
L5654 Socket insert symes
L5655 Socket insert below knee
L5656 Socket insert knee articulat
L5658 Socket insert above knee
L5661 Multi-durometer symes
L5665 Multi-durometer below knee
L5666 Below knee cuff suspension
L5668 Socket insert w/o lock lower
L5670 Bk molded supracondylar susp
L5671 BK/AK locking mechanism
L5672 Bk removable medial brim sus
L5673 Socket insert w lock mech
L5676 Bk knee joints single axis p
L5677 Bk knee joints polycentric p
L5678 Bk joint covers pair
L5679 Socket insert w/o lock mech
L5680 Bk thigh lacer non-molded
L5681 Intl custm cong/latyp insert
L5682 Bk thigh lacer glut/ischia m
L5683 Initial custom socket insert
L5684 Bk fork strap
L5685 Below knee sus/seal sleeve
L5686 Bk back check
L5688 Bk waist belt webbing
L5690 Bk waist belt padded and lin
L5692 Ak pelvic control belt light
L5694 Ak pelvic control belt pad/l
L5695 Ak sleeve susp neoprene/equa
L5696 Ak/knee disartic pelvic join
L5697 Ak/knee disartic pelvic band
L5698 Ak/knee disartic silesian ba
L5699 Shoulder harness
L5700 Replace socket below knee
L5701 Replace socket above knee
L5702 Replace socket hip
L5703 Symes ankle w/o (SACH) foot
L5704 Custom shape cover BK
L5705 Custom shape cover AK
L5706 Custom shape cvr knee disart
L5707 Custom shape cvr hip disart
L5710 Kne-shin exo sng axi mnl loc
L5711 Knee-shin exo mnl lock ultra
L5712 Knee-shin exo frict swg & st
L5714 Knee-shin exo variable frict
L5716 Knee-shin exo mech stance ph
L5718 Knee-shin exo frct swg & sta
L5722 Knee-shin pneum swg frct exo
L5724 Knee-shin exo fluid swing ph
L5726 Knee-shin ext jnts fld swg e
L5728 Knee-shin fluid swg & stance
L5780 Knee-shin pneum/hydra pneum
L5781 Lower limb pros vacuum pump
L5782 HD low limb pros vacuum pump
L5785 Exoskeletal bk ultralt mater
L5790 Exoskeletal ak ultra-light m
L5795 Exoskel hip ultra-light mate
L5810 Endoskel knee-shin mnl lock
L5811 Endo knee-shin mnl lck ultra
L5812 Endo knee-shin frct swg & st
L5814 Endo knee-shin hydral swg ph
L5816 Endo knee-shin polyc mch sta
L5818 Endo knee-shin frct swg & st
L5822 Endo knee-shin pneum swg frc
L5824 Endo knee-shin fluid swing p
L5826 Miniature knee joint
L5828 Endo knee-shin fluid swg/sta
L5830 Endo knee-shin pneum/swg pha
L5840 Multi-axial knee/shin system
L5845 Knee-shin sys stance flexion
L5848 Knee-shin sys hydraul stance
L5850 Endo ak/hip knee extens assi
L5855 Mech hip extension assist
L5856 Elec knee-shin swing/stance
L5857 Elec knee-shin swing only
L5858 Stance phase only
L5859 Knee-shin pro flex/ext cont
L5910 Endo below knee alignable sy
L5920 Endo ak/hip alignable system
L5925 Above knee manual lock
L5930 High activity knee frame
L5940 Endo bk ultra-light material
L5950 Endo ak ultra-light material
L5960 Endo hip ultra-light materia
L5961 Endo poly hip, pneu/hyd/rot
L5962 Below knee flex cover system
L5964 Above knee flex cover system
L5966 Hip flexible cover system
L5968 Multiaxial ankle w dorsiflex
L5969 Ak/ft power asst incl motors
L5970 Foot external keel sach foot
L5971 SACH foot, replacement
L5972 Flexible keel foot
L5973 Ank-foot sys dors-plant flex
L5974 Foot single axis ankle/foot
L5975 Combo ankle/foot prosthesis
L5976 Energy storing foot
L5978 Ft prosth multiaxial ankl/ft
L5979 Multi-axial ankle/ft prosth
L5980 Flex foot system
L5981 Flex-walk sys low ext prosth
L5982 Exoskeletal axial rotation u
L5984 Endoskeletal axial rotation
L5985 Lwr ext dynamic prosth pylon
L5986 Multi-axial rotation unit
L5987 Shank ft w vert load pylon
L5988 Vertical shock reducing pylo
L5990 User adjustable heel height
L5999 Lowr extremity prosthes NOS
L6000 Part hand thumb rem
L6010 Part hand little/ring
L6020 Part hand no fingers
L6026 Part hand myo exclu term dev
L6050 Wrst MLd sck flx hng tri pad
L6055 Wrst mold sock w/exp interfa
L6100 Elb mold sock flex hinge pad
L6110 Elbow mold sock suspension t
L6120 Elbow mold doub splt soc ste
L6130 Elbow stump activated lock h
L6200 Elbow mold outsid lock hinge
L6205 Elbow molded w/ expand inter
L6250 Elbow inter loc elbow forarm
L6300 Shlder disart int lock elbow
L6310 Shoulder passive restor comp
L6320 Shoulder passive restor cap
L6350 Thoracic intern lock elbow
L6360 Thoracic passive restor comp
L6370 Thoracic passive restor cap
L6380 Postop dsg cast chg wrst/elb
L6382 Postop dsg cast chg elb dis/
L6384 Postop dsg cast chg shlder/t
L6386 Postop ea cast chg & realign
L6388 Postop applicat rigid dsg on
L6400 Below elbow prosth tiss shap
L6450 Elb disart prosth tiss shap
L6500 Above elbow prosth tiss shap
L6550 Shldr disar prosth tiss shap
L6570 Scap thorac prosth tiss shap
L6580 Wrist/elbow bowden cable mol
L6582 Wrist/elbow bowden cbl dir f
L6584 Elbow fair lead cable molded
L6586 Elbow fair lead cable dir fo
L6588 Shdr fair lead cable molded
L6590 Shdr fair lead cable direct
L6600 Polycentric hinge pair
L6605 Single pivot hinge pair
L6610 Flexible metal hinge pair
L6611 Additional switch, ext power
L6615 Disconnect locking wrist uni
L6616 Disconnect insert locking wr
L6620 Flexion/extension wrist unit
L6621 Flex/ext wrist w/wo friction
L6623 Spring-ass rot wrst w/ latch
L6624 Flex/ext/rotation wrist unit
L6625 Rotation wrst w/ cable lock
L6628 Quick disconn hook adapter o
L6629 Lamination collar w/ couplin
L6630 Stainless steel any wrist
L6632 Latex suspension sleeve each
L6635 Lift assist for elbow
L6637 Nudge control elbow lock
L6638 Elec lock on manual pw elbow
L6640 Shoulder abduction joint pai
L6641 Excursion amplifier pulley t
L6642 Excursion amplifier lever ty
L6645 Shoulder flexion-abduction j
L6646 Multipo locking shoulder jnt
L6647 Shoulder lock actuator
L6648 Ext pwrd shlder lock/unlock
L6650 Shoulder universal joint
L6655 Standard control cable extra
L6660 Heavy duty control cable
L6665 Teflon or equal cable lining
L6670 Hook to hand cable adapter
L6672 Harness chest/shlder saddle
L6675 Harness figure of 8 sing con
L6676 Harness figure of 8 dual con
L6677 UE triple control harness
L6680 Test sock wrist disart/bel e
L6682 Test sock elbw disart/above
L6684 Test socket shldr disart/tho
L6686 Suction socket
L6687 Frame typ socket bel elbow/w
L6688 Frame typ sock above elb/dis
L6689 Frame typ socket shoulder di
L6690 Frame typ sock interscap-tho
L6691 Removable insert each
L6692 Silicone gel insert or equal
L6693 Lockingelbow forearm cntrbal
L6694 Elbow socket ins use w/lock
L6695 Elbow socket ins use w/o lck
L6696 Cus elbo skt in for con/atyp
L6697 Cus elbo skt in not con/atyp
L6698 Below/above elbow lock mech
L6703 Term dev, passive hand mitt
L6704 Term dev, sport/rec/work att
L6706 Term dev mech hook vol open
L6707 Term dev mech hook vol close
L6708 Term dev mech hand vol open
L6709 Term dev mech hand vol close
L6711 Ped term dev, hook, vol open
L6712 Ped term dev, hook, vol clos
L6713 Ped term dev, hand, vol open
L6714 Ped term dev, hand, vol clos
L6715 Term device, multi art digit
L6721 Hook/hand, hvy dty, vol open
L6722 Hook/hand, hvy dty, vol clos
L6805 Term dev modifier wrist unit
L6810 Term dev precision pinch dev
L6880 Elec hand ind art digits
L6881 Term dev auto grasp feature
L6882 Microprocessor control uplmb
L6883 Replc sockt below e/w disa
L6884 Replc sockt above elbow disa
L6885 Replc sockt shldr dis/interc
L6890 Prefab glove for term device
L6895 Custom glove for term device
L6900 Hand restorat thumb/1 finger
L6905 Hand restoration multiple fi
L6910 Hand restoration no fingers
L6915 Hand restoration replacmnt g
L6920 Wrist disarticul switch ctrl
L6925 Wrist disart myoelectronic c
L6930 Below elbow switch control
L6935 Below elbow myoelectronic ct
L6940 Elbow disarticulation switch
L6945 Elbow disart myoelectronic c
L6950 Above elbow switch control
L6955 Above elbow myoelectronic ct
L6960 Shldr disartic switch contro
L6965 Shldr disartic myoelectronic
L6970 Interscapular-thor switch ct
L6975 Interscap-thor myoelectronic
L7007 Adult electric hand
L7008 Pediatric electric hand
L7009 Adult electric hook
L7040 Prehensile actuator
L7045 Pediatric electric hook
L7170 Electronic elbow hosmer swit
L7180 Electronic elbow sequential
L7181 Electronic elbo simultaneous
L7185 Electron elbow adolescent sw
L7186 Electron elbow child switch
L7190 Elbow adolescent myoelectron
L7191 Elbow child myoelectronic ct
L7259 Electronic wrist rotator any
L7360 Six volt bat otto bock/eq ea
L7362 Battery chrgr six volt otto
L7364 Twelve volt battery utah/equ
L7366 Battery chrgr 12 volt utah/e
L7367 Replacemnt lithium ionbatter
L7368 Lithium ion battery charger
L7400 Add UE prost be/wd, ultlite
L7401 Add UE prost a/e ultlite mat
L7402 Add UE prost s/d ultlite mat
L7403 Add UE prost b/e acrylic
L7404 Add UE prost a/e acrylic
L7405 Add UE prost s/d acrylic
L7499 Upper extremity prosthes NOS
L7510 Prosthetic device repair rep
L7520 Repair prosthesis per 15 min
L7600 Prosthetic donning sleeve
L7700 Pros soc insert gasket/seal
L7900 Male vacuum erection system
L7902 Tension ring, vac erect dev
L8000 Mastectomy bra
L8001 Breast prosthesis bra & form
L8002 Brst prsth bra & bilat form
L8010 Mastectomy sleeve
L8015 Ext breastprosthesis garment
L8020 Mastectomy form
L8030 Breast prosthes w/o adhesive
L8031 Breast prosthesis w adhesive
L8032 Reusable nipple prosthesis
L8033 Nipple prosthesis custom, ea
L8035 Custom breast prosthesis
L8039 Breast prosthesis NOS
L8040 Nasal prosthesis
L8041 Midfacial prosthesis
L8042 Orbital prosthesis
L8043 Upper facial prosthesis
L8044 Hemi-facial prosthesis
L8045 Auricular prosthesis
L8046 Partial facial prosthesis
L8047 Nasal septal prosthesis
L8048 Unspec maxillofacial prosth
L8049 Repair maxillofacial prosth
L8300 Truss single w/ standard pad
L8310 Truss double w/ standard pad
L8320 Truss addition to std pad wa
L8330 Truss add to std pad scrotal
L8400 Sheath below knee
L8410 Sheath above knee
L8415 Sheath upper limb
L8417 Pros sheath/sock w gel cushn
L8420 Prosthetic sock multi ply BK
L8430 Prosthetic sock multi ply AK
L8435 Pros sock multi ply upper lm
L8440 Shrinker below knee
L8460 Shrinker above knee
L8465 Shrinker upper limb
L8470 Pros sock single ply BK
L8480 Pros sock single ply AK
L8485 Pros sock single ply upper l
L8499 Unlisted misc prosthetic ser
L8500 Artificial larynx
L8501 Tracheostomy speaking valve
L8505 Artificial larynx, accessory
L8507 Trach-esoph voice pros pt in
L8509 Trach-esoph voice pros md in
L8510 Voice amplifier
L8511 Indwelling trach insert
L8512 Gel cap for trach voice pros
L8513 Trach pros cleaning device
L8514 Repl trach puncture dilator
L8515 Gel cap app device for trach
L8600 Implant breast silicone/eq
L L8603 Collagen imp urinary 2.5 ml
L L8604 Dextranomer/hyaluronic acid
L8605 Inj bulking agent anal canal
L L8606 Synthetic implnt urinary 1ml
L8607 Inj vocal cord bulking agent
PA L8608 Arg ii ext com/sup/acc misc
L8609 Artificial cornea
L L8610 Ocular implant
L8612 Aqueous shunt prosthesis
L L8613 Ossicular implant
PA L8614 Cochlear device
L8615 Coch implant headset replace
L8616 Coch implant microphone repl
L8617 Coch implant trans coil repl
L8618 Coch implant tran cable repl
L8619 Coch imp ext proc/contr rplc
L8621 Repl zinc air battery
L8622 Repl alkaline battery
L8623 Lith ion batt CID,non-earlvl
L8624 Lith ion batt CID, ear level
L8625 Charger coch impl/aoi battry
L8627 CID ext speech process repl
L8628 CID ext controller repl
L8629 CID transmit coil and cable
L8630 Metacarpophalangeal implant
L8631 MCP joint repl 2 pc or more
L8641 Metatarsal joint implant
L8642 Hallux implant
L8658 Interphalangeal joint spacer
L8659 Interphalangeal joint repl
L8670 Vascular graft, synthetic
EPA/PA L8679 IMP NEUROSTI PLS GN ANY TYPE
EPA/PA L8680 Implt neurostim elctr each
PA L8681 Pt prgrm for implt neurostim
EPA/PA L8682 Implt neurostim radiofq rec
EPA/PA L8683 Radiofq trsmtr for implt neu
L8684 Radiof trsmtr implt scrl neu
EPA/PA L8685 Implt nrostm pls gen sng rec
EPA/PA L8686 Implt nrostm pls gen sng non
EPA/PA L8687 Implt nrostm pls gen dua rec
EPA/PA L8688 Implt nrostm pls gen dua non
PA L8689 External recharg sys intern
PA L8690 Aud osseo dev, int/ext comp
L8691 Osseointegrated snd proc rpl
L8692 Non-osseointegrated snd proc
L8693 Aud osseo dev, abutment
L8694 Aoi transducer/actuator repl
PA L8695 External recharg sys extern
PA L8698 Misc used with tot art heart
PA L8699 Prosthetic implant NOS
PA L8701 Pow ue rom dev ewh uprt cust
PA L8702 Pow ue rom dev ewhf uprt cus
L9900 O&P supply/accessory/service
M0001 Advancing cancer care mvp
M0002 Opt care kidney hlth mvp
M0003 Opt care episod neuro mvp
M0004 Support care neur cond mvp
M0005 Promot wellness mvp
M0075 Cellular therapy
M0076 Prolotherapy
M0100 Intragastric hypothermia
M0300 IV chelationtherapy
M0301 Fabric wrapping of aneurysm
M1003 Tb scr 12 mo pri fst bio dz
M1004 Doc med rsn no srn tb
M1005 Tb scr no perf
M1006 Dz not ases, no rsn
M1007 >=50% total pt outpt ra enct
M1008 <50% total pt outpt ra encts
M1009 Dc eoc doc med rec
M1014 Dc epi care doc medrec
M1016 Pt dx meop or sur steri
M1017 Pt admt to palitve serv
M1018 Pt dx hst cr pt sk lg cr scr
M1019 Adl pt mj dep ds rs 12 phq<5
M1020 Adl pt mj dep ds no rs 12 mo
M1021 Pt uc in pp
M1027 Img head (ct or mri) obtnd
M1028 Doc of pt prm hda dx and otr
M1029 Doc sysm rsn img hd
M1032 Adt tkng pharmthry for oud
M1034 Adt 180 dys pharmthry oud
M1035 Adt pd out mat pr 180 dys tx
M1036 Adt no 180 dys pharmthry oud
M1037 Pt dx lum sp reg cacr
M1038 Pt dx lum sp reg fract
M1039 Pt dx lum sp reg inf
M1040 Pt dx lum idi or cong scol
M1041 Pt cr ft inf lm or pt id sl
M1043 Fs no odi 9-15mo
M1045 Fs oks 9-15mo = 37
M1046 Fs oks 9-15mo = 37
M1049 Fs wth scr no odi pre and p
M1051 Pt w/cancer scoliosis
M1052 Lg pn not meas w/ vas 1yr po
M1054 Pt uc in pp
M1055 Aspirin used
M1056 Presc antico med in pp
M1057 Aspirin not used, no rsn
M1058 Pt prm nurs hm res in pp
M1059 Pt no prm nurs hm res in pp
M1060 Pt died in pp
M1067 Hspc pt prv time meam per
M1068 Pt not ambulatory
M1069 Pt scr ft fall rsk
M1070 Pt not scrn fut fall no rsn
M1071 Pt had add'l sp pcr perf
M1072 Rom rad therapy anal, pc
M1073 Rom rad therapy anal, tc
M1074 Rom rad therapy bladder, pc
M1075 Rom rad therapy bladder, tc
M1076 Rom rad ther bone mets, pc
M1077 Rom rad ther bone mets, tc
M1078 Rom rad ther brain mets, pc
M1079 Rom rad ther brain mets, tc
M1080 Rom rad therapy breast, pc
M1081 Rom rad therapy breast, tc
M1082 Rom rad therapy cervical, pc
M1083 Rom rad therapy cervical, tc
M1084 Rom rad therapy cns, pc
M1085 Rom rad therapy cns, tc
M1086 Rom rad ther colorectal, pc
M1087 Rom rad ther colorectal, tc
M1088 Rom rad ther head/neck, pc
M1089 Rom rad ther head/neck, tc
M1094 Rom rad therapy lung, pc
M1095 Rom rad therapy lung, tc
M1096 Rom rad therapy lymphoma, pc
M1097 Rom rad therapy lymphoma, tc
M1098 Rom rad therapy pancreas, pc
M1099 Rom rad therapy pancreas, pc
M1100 Rom rad therapy prostate, pc
M1101 Rom rad therapy prostate, tc
M1102 Rom rad therapy gi, pc
M1103 Rom rad therapy gi, tc
M1104 Rom rad therapy uterus, pc
M1105 Rom rad therapy uterus, tc
M1106 Start eoc doc med rec
M1107 Docu dx degen neuro
M1108 Oc ni pt 1-2 vis
M1109 Oc ni pt dc 1-2 vis
M1110 Oc ni pt selfdc 1-2 vis
M1130 Oc ni pt self dc 1-2 vis
M1134 Oc ni pt self dc 1-2 vis
M1141 Fs no oks
M1142 Emerge cases
M1143 Ni rehab med chiro
M1146 Ongoing care not ind
M1147 Care not poss med rsn
M1148 Pt self dschg
M1149 No neck fs prom incap
M1150 Lvef <=40% or mod/sev l vsf
M1151 Pt w/ hx trnsplt or lvad
M1152 Pt w/ hx trnsplt or lvad
M1153 Pt w/ dx osteo doe
M1154 Hospc serv dur meas pd
M1155 Pt anphx due to pneum
M1156 Pt recd actv chemo any time
M1157 Pt recd bone mar trnsplt
M1158 Pt hx immcomp prior/dur pd
M1159 Hospc serv dur meas pd
M1160 Pt anphx due to mengb bef 13
M1161 Pt anphx due to dtp bef 13
M1162 Pt enceph due to dtp bef 13
M1163 Pt anphx due to hpv bef 13
M1164 Pt w/ dementia any time
M1165 Pt use hspc dur meas pd
M1166 Path rpt tis spec wle/reexc
M1167 Hspc dur meas pd
M1168 Pt recd flu vax 7/1-6/30
M1169 Doc med rsn no flu vax
M1170 Pt w/o flu vax 7/1-6/30
M1171 Pt recd 1 td/tdap 9yrs prior
M1172 Doc med rsn no td/tdap
M1173 Pt no rec td/tdap 9yrs prior
M1174 Pt w/ 1 hzv lv or 2 hzv recm
M1175 Doc med rsn no hzv
M1176 Pt w/o hzv on/aft age 50
M1177 Pt recd pcv on/aft 60
M1178 Doc med rsn no pcv
M1179 No pcv recd
M1180 Pt imm ckpt inhib therapy
M1181 Gr 2 or> dia or gr2 or> col
M1182 Not elg pre ex ibd/uc/crohn
M1183 Doc imm ckpt inhib hld
M1184 Doc med rsn no cst/ist rx
M1185 Imm ckpt inhib not hld no rx
M1186 Pt w/ rx for hspc/plltv care
M1187 Pt w/ esrd
M1188 Pt w/ ckd stg 5
M1189 Doc khe pef w/efgr/uacr
M1190 Doc khe not pef w/efgr/uacr
M1191 Hspc svc any time in meas pd
M1192 Pt w/ dx sq cell ca of esoph
M1193 Rpts w/ imp/con mmr/msi
M1194 Med rsn no imp/con mmr/msi
M1195 Rpt wo imp/con mmr/msi
M1196 Ixv nrs vrs iqa >=4
M1197 Isa red >=2 fr ixv
M1198 Isa not red 2pts fr ixv
M1199 Pt rec'g rrt
M1200 Ace-i/arb rx
M1201 Med rsn no ace-i/arb rx
M1202 Pt rsn no ace-i/arb rx
M1203 No rsn ace-i/arb rx
M1204 Ixv nrs vrs iqa >=4
M1205 Isa red >=2 fr ixv
M1206 Isa not red 2pts fr ixv
M1207 #pts scrn sdoh
M1208 #pts no scrn sdoh
M1209 >=2 same hi-rsk med w/o diag
M1210 >=2 same meds tbl4 not ord
P2028 Cephalin floculation test
P2029 Congo red blood test
P2031 Hair analysis
P2033 Blood thymol turbidity
P2038 Blood mucoprotein
P3000 Screen pap by tech w md supv
P3001 Screening pap smear by phys
P7001 Culture bacterial urine
P9010 Whole blood for transfusion
P9011 Blood split unit
P9012 Cryoprecipitate each unit
P9016 RBC leukocytes reduced
P9017 Plasma 1 donor frz w/in 8 hr
P9019 Platelets, each unit
P9020 Plaelet rich plasma unit
P9021 Red blood cells unit
P9022 Washed red blood cells unit
P9023 Frozen plasma, pooled, sd
P9025 Plasma cryo redu path each
P9026 Cryo fib comp path redu each
P9031 Platelets leukocytes reduced
P9032 Platelets, irradiated
P9033 Platelets leukoreduced irrad
P9034 Platelets, pheresis
P9035 Platelet pheres leukoreduced
P9036 Platelet pheresis irradiated
P9037 Plate pheres leukoredu irrad
P9038 RBC irradiated
P9039 RBC deglycerolized
P9040 RBC leukoreduced irradiated
P9041 Albumin (human),5%, 50ml
P9043 Plasma protein fract,5%,50ml
P9044 Cryoprecipitatereducedplasma
P9045 Albumin (human), 5%, 250 ml
P9046 Albumin (human), 25%, 20 ml
P9047 Albumin (human), 25%, 50ml
P9048 Plasmaprotein fract,5%,250ml
P9050 Granulocytes, pheresis unit
P9051 Blood, l/r, cmv-neg
P9052 Platelets, hla-m, l/r, unit
P9053 Plt, pher, l/r cmv-neg, irr
P9054 Blood, l/r, froz/degly/wash
P9055 Plt, aph/pher, l/r, cmv-neg
P9056 Blood, l/r, irradiated
P9057 RBC, frz/deg/wsh, l/r, irrad
P9058 RBC, l/r, cmv-neg, irrad
P9059 Plasma, frz between 8-24hour
P9060 Fr frz plasma donor retested
P9070 Pathogen reduced plasma pool
P9071 Pathogen reduced plasma sing
P9073 Platelets, pathogen reduced
P9099 Blood component/product noc
P9100 Pathogen(s) test for platelets
P9603 One-way allow prorated miles
P9604 One-way allow prorated trip
P9612 Catheterize for urine spec
P9615 Urine specimen collect mult
Q0035 Cardiokymography
Q0081 Infusion ther other than che
Q0083 Chemo by other than infusion
Q0084 Chemotherapy by infusion
Q0085 Chemo by both infusion and o
Q0091 Obtaining screen pap smear
Q0092 Set up port xray equipment
Q0111 Wet mounts/ w preparations
Q0112 Potassium hydroxide preps
Q0113 Pinworm examinations
Q0114 Fern test
Q0115 Post-coital mucous exam
PA Q0138 Ferumoxytol, non-esrd
PA Q0139 Ferumoxytol, esrd use
Q0144 Azithromycin dihydrate, oral
Q0161 Chlorpromazine hcl 5mg oral
Q0162 Ondansetron oral
Q0163 Diphenhydramine HCl 50mg
Q0164 Prochlorperazine maleate 5mg
Q0166 Granisetron hcl 1 mg oral
Q0167 Dronabinol 2.5mg oral
Q0169 Promethazine HCl 12.5mg oral
Q0173 Trimethobenzamide HCl 250mg
Q0175 Perphenazine 4mg oral
Q0177 Hydroxyzine pamoate 25mg
Q0180 Dolasetron mesylate oral
Q0181 Unspecified oral anti-emetic
Q0477 Pwr module pt cable lvad rpl
Q0478 Power adapter, combo vad
Q0479 Power module combo vad, rep
PA Q0480 Driver pneumatic vad, rep
PA Q0481 Microprcsr cu elec vad, rep
PA Q0482 Microprcsr cu combo vad, rep
PA Q0483 Monitor elec vad, rep
PA Q0484 Monitor elec or comb vad rep
PA Q0485 Monitor cable elec vad, rep
PA Q0486 Mon cable elec/pneum vad rep
PA Q0487 Leads any type vad, rep only
PA Q0488 Pwr pack base elec vad, rep
PA Q0489 Pwr pck base combo vad, rep
PA Q0490 Emr pwr source elec vad, rep
PA Q0491 Emr pwr source combo vad rep
PA Q0492 Emr pwr cbl elec vad, rep
PA Q0493 Emr pwr cbl combo vad, rep
PA Q0494 Emr hd pmp elec/combo, rep
PA Q0495 Charger elec/combo vad, rep
PA Q0496 Battery elec/combo vad, rep
PA Q0497 Bat clps elec/comb vad, rep
PA Q0498 Holster elec/combo vad, rep
PA Q0499 Belt/vest elec/combo vad rep
PA Q0500 Filters elec/combo vad, rep
PA Q0501 Shwr cov elec/combo vad, rep
PA Q0502 Mobility cart pneum vad, rep
PA Q0503 Battery pneum vad replacemnt
PA Q0504 Pwr adpt pneum vad, rep veh
Q0506 Lith-ion batt elec/pneum VAD
PA Q0507 Misc sup/acc ext vad
PA Q0508 Misc sup/acc imp vad
PA Q0509 Mis sup/ac imp vad nopay med
Q0510 Dispens fee immunosupressive
Q0511 Sup fee antiem,antica,immuno
Q0512 Px sup fee anti-can sub pres
Q0513 Disp fee inhal drugs/30 days
Q0514 Disp fee inhal drugs/90 days
Q1004 Ntiol category 4
Q1005 Ntiol category 5
Q2004 Bladder calculi irrig sol
Q2009 Fosphenytoin inj PE
Q2017 Teniposide, 50 mg
Q2026 Radiesse injection
Q2028 Inj, sculptra, 0.5mg
Q2034 Agriflu vaccine
L Q2035 Afluria vacc, 3 yrs & >, im
L Q2036 Flulaval vacc, 3 yrs & >, im
Q2037 Fluvirin vacc, 3 yrs & >, im
Q2038 Fluzone vacc, 3 yrs & >, im
Q2039 NOS flu vacc, 3 yrs & >, im
PA Q2041 Axicabtagene ciloleucel car+
PA Q2042 Tisagenlecleucel car-pos t
PA Q2043 Sipuleucel-T auto CD54+
Q2049 Imported Lipodox inj
Q2050 Doxorubicin inj 10mg
Q2052 Ivig demo, services/supplies
PA Q2053 Brexucabtagene car pos t
PA Q2054 Lisocabtagene mara car pos t
PA Q2055 Idecabtagene vicleucel car
PA Q2056 Ciltacabtagene car-pos t
Q3001 Brachytherapy Radioelements
L Q3027 Inj beta interferon im 1 mcg
L Q3028 Inj beta interferon sq 1 mcg
PA Q3031 Collagen skin test
Q4001 Cast sup body cast plaster
Q4002 Cast sup body cast fiberglas
Q4003 Cast sup shoulder cast plstr
Q4004 Cast sup shoulder cast fbrgl
Q4005 Cast sup long arm adult plst
Q4006 Cast sup long arm adult fbrg
Q4007 Cast sup long arm ped plster
Q4008 Cast sup long arm ped fbrgls
Q4009 Cast sup sht arm adult plstr
Q4010 Cast sup sht arm adult fbrgl
Q4011 Cast sup sht arm ped plaster
Q4012 Cast sup sht arm ped fbrglas
Q4013 Cast sup gauntlet plaster
Q4014 Cast sup gauntlet fiberglass
Q4015 Cast sup gauntlet ped plster
Q4016 Cast sup gauntlet ped fbrgls
Q4017 Cast sup lng arm splint plst
Q4018 Cast sup lng arm splint fbrg
Q4019 Cast sup lng arm splnt ped p
Q4020 Cast sup lng arm splnt ped f
Q4021 Cast sup sht arm splint plst
Q4022 Cast sup sht arm splint fbrg
Q4023 Cast sup sht arm splnt ped p
Q4024 Cast sup sht arm splnt ped f
Q4025 Cast sup hip spica plaster
Q4026 Cast sup hip spica fiberglas
Q4027 Cast sup hip spica ped plstr
Q4028 Cast sup hip spica ped fbrgl
Q4029 Cast sup long leg plaster
Q4030 Cast sup long leg fiberglass
Q4031 Cast sup lng leg ped plaster
Q4032 Cast sup lng leg ped fbrgls
Q4033 Cast sup lng leg cylinder pl
Q4034 Cast sup lng leg cylinder fb
Q4035 Cast sup lngleg cylndr ped p
Q4036 Cast sup lngleg cylndr ped f
Q4037 Cast sup shrt leg plaster
Q4038 Cast sup shrt leg fiberglass
Q4039 Cast sup shrt leg ped plster
Q4040 Cast sup shrt leg ped fbrgls
Q4041 Cast sup lng leg splnt plstr
Q4042 Cast sup lng leg splnt fbrgl
Q4043 Cast sup lng leg splnt ped p
Q4044 Cast sup lng leg splnt ped f
Q4045 Cast sup sht leg splnt plstr
Q4046 Cast sup sht leg splnt fbrgl
Q4047 Cast sup sht leg splnt ped p
Q4048 Cast sup sht leg splnt ped f
Q4049 Finger splint, static
Q4050 Cast supplies unlisted
Q4051 Splint supplies misc
Q4074 Iloprost non-comp unit dose
Q4081 Epoetin alfa, 100 units ESRD
Q4082 Drug/bio NOC part B drug CAP
Q4100 Skin substitute, NOS
Q4101 Apligraf
Q4102 Oasis wound matrix
Q4103 Oasis burn matrix
Q4104 Integra bmwd
Q4105 Integra drt or omnigraft
Q4106 Dermagraft
Q4107 Graftjacket
Q4108 Integra matrix
Q4110 Primatrix
Q4111 Gammagraft
Q4112 Cymetra injectable
Q4113 Graftjacket xpress
Q4114 Integra flowable wound matri
Q4115 Alloskin
Q4116 Alloderm
Q4117 Hyalomatrix
Q4118 Matristem micromatrix
Q4121 Theraskin
Q4122 Dermacell
Q4123 Alloskin
Q4124 Oasis tri-layer wound matrix
Q4125 Arthroflex
Q4126 Memoderm/derma/tranz/integup
Q4127 Talymed
Q4128 Flexhd or allopatch hd
Q4130 Strattice TM
Q4131 Epifix
Q4132 Grafix core, grafixpl core
Q4133 Grafix stravix prime pl sqcm
Q4134 Hmatrix
Q4135 Mediskin
Q4136 Ezderm
Q4137 Amnioexcel biodexcel, 1 sq cm
Q4138 Biodfence dryflex, 1cm
Q4139 Amnio or biodmatrix, inj 1cc
Q4140 Biodfence 1cm
Q4141 Alloskin ac, 1cm
Q4142 Xcm biologic tiss matrix 1cm
Q4143 Repriza, 1cm
Q4145 Epifix, inj, 1mg
Q4146 Tensix, 1cm
Q4147 Architect ecm px fx 1 sq cm
Q4148 Neox rt or clarix cord
Q4149 Excellagen, 0.1 cc
Q4150 Allowrap ds or dry 1 sq cm
Q4151 Amnioband, guardian 1 sq cm
Q4152 Dermapure 1 square cm
Q4153 Dermavest, plurivest sq cm
Q4154 Biovance 1 square cm
Q4155 Neoxflo or clarixflo 1 mg
Q4156 Neox 100 or clarix 100
Q4157 Revitalon 1 square cm
Q4158 Kerecis omega3, per sq cm
Q4159 Affinity1 square cm
Q4160 Nushield 1 square cm
Q4161 Bio-connekt per square cm
Q4162 Amnio bio and woundex flow
Q4163 Woundex, bioskin, per sq cm
Q4164 Helicoll, per square cm
Q4165 Keramatrix, per square cm
Q4166 Cytal, per square centimeter
Q4167 Truskin, per sq centimeter
Q4168 Amnioband, 1 mg
Q4169 Artacent wound, per sq cm
Q4170 Cygnus, per sq cm
Q4171 Interfyl, 1 mg
Q4172 Puraply or puraply am
Q4173 Palingen or palingen xplus
Q4174 Palingen or promatrx
Q4175 Miroderm
Q4176 Neopatch, per sq centimeter
Q4177 Floweramnioflo, 0.1 cc
Q4178 Floweramniopatch, per sq cm
Q4179 Flowerderm, per sq cm
Q4180 Revita, per sq cm
Q4181 Amnio wound, per square cm
Q4182 Transcyte, per sq centimeter
Q4183 Surgigraft, 1 sq cm
Q4184 Cellesta, 1 sq cm
Q4185 Cellesta flowab amnion 0.5cc
Q4186 Epifix 1 sq cm
Q4187 Epicord 1 sq cm
Q4188 Amnioarmor 1 sq cm
Q4189 Artacent ac, 1 mg
Q4190 Artacent ac 1 sq cm
Q4191 Restorigin 1 sq cm
Q4192 Restorigin, 1 cc
Q4193 Coll-e-derm 1 sq cm
Q4194 Novachor 1 sq cm
Q4195 Puraply 1 sq cm
Q4196 Puraply am 1 sq cm
Q4197 Puraply xt 1 sq cm
Q4198 Genesis amnio membrane 1sqcm
Q4199 Cygnus matrix, per sq cm
Q4200 Skin te 1 sq cm
Q4201 Matrion 1 sq cm
Q4202 Keroxx (2.5g/cc), 1cc
Q4203 Derma-gide, 1 sq cm
Q4204 Xwrap 1 sq cm
Q4205 Membrane graft or wrap sq cm
Q4206 Fluid flow or fluid gf 1 cc
Q4208 Novafix per sq cm
Q4209 Surgraft per sq cm
Q4210 Axolotl graf dualgraf sq cm
Q4211 Amnion bio or axobio sq cm
Q4212 Allogen, per cc
Q4213 Ascent, 0.5 mg
Q4214 Cellesta cord per sq cm
Q4215 Axolotl ambient, cryo 0.1 mg
Q4216 Artacent cord per sq cm
Q4217 Woundfix biowound plus xplus
Q4218 Surgicord per sq cm
Q4219 Surgigraft dual per sq cm
Q4220 Bellacell HD, Surederm sq cm
Q4221 Amniowrap2 per sq cm
Q4222 Progenamatrix, per sq cm
Q4224 Hhf10-p per sq cm
Q4225 Amniobind, per sq cm
Q4226 Myown harv prep proc sq cm
Q4227 Amniocore per sq cm
Q4229 Cogenex amnio memb per sq cm
Q4230 Cogenex flow amnion 0.5 cc
Q4231 Corplex p, per cc
Q4232 Corplex, per sq cm
Q4233 Surfactor /nudyn per 0.5 cc
Q4234 Xcellerate, per sq cm
Q4235 Amniorepair or altiply sq cm
Q4236 Carepatch Per SQ CM
Q4237 Cryo-cord, per sq cm
Q4238 Derm-maxx, per sq cm
Q4239 Amnio-maxx or lite per sq cm
Q4240 Corecyte topical only 0.5 cc
Q4241 Polycyte, topical only 0.5cc
Q4242 Amniocyte plus, per 0.5 cc
Q4244 Procenta, per 200 mg
Q4245 Amniotext, per cc
Q4246 Coretext or protext, per cc
Q4247 Amniotext patch, per sq cm
Q4248 Dermacyte amn mem allo sq cm
Q4249 Amniply, per sq cm
Q4250 Amnioamp-mp per sq cm
Q4251 Vim, per square centimeter
Q4252 Vendaje, per square centimet
Q4253 Zenith amniotic membrane psc
Q4254 Novafix dl per sq cm
Q4255 Reguard, topical use per sq
Q4256 Mlg complet, per sq cm
Q4257 Relese, per sq cm
Q4258 Enverse, per sq cm
Q4259 Celera per sq cm
Q4260 Signature apatch, per sq cm
Q4261 Tag, per square centimeter
Q4262 Dual layer impax, per sq cm
Q4263 Surgraft tl, per sq cm
Q4264 Cocoon membrane, per sq cm
Q5001 Hospice in patient home
Q5002 Hospice in assisted living
Q5003 Hospice in LT/non-skilled NF
Q5004 Hospice in SNF
Q5005 Hospice, inpatient hospital
Q5006 Hospice in hospice facility
Q5007 Hospice in LTCH
Q5008 Hospice in inpatient psych
Q5009 Hospice care, NOS
Q5010 Hospice home care in hospice
Q5101 Inj filgrastim g-csf biosim
Q5102 Inj., infliximab biosimilar
PA Q5103 Injection, inflectra
PA Q5104 Injection, renflexis
Q5105 Inj Retacrit esrd on dialysi
Q5106 Inj Retacrit non-esrd use
Q5107 Inj mvasi 10 mg
Q5108 Injection, fulphila
PA Q5109 injection, ixifi, 10 mg
Q5110 Nivestym
PA Q5111 Injection, udenyca 0.5 mg
Q5112 Inj ontruzant 10 mg
Q5113 Inj herzuma 10 mg
Q5114 Inj ogivri 10 mg
PA Q5115 Inj rituximab-abbs bio 10 mg
Q5116 Inj., trazimera, 10 mg
Q5117 Inj., kanjinti, 10 mg
Q5118 Inj., zirabev, 10 mg
PA Q5119 Injection, Rituximab-pvvr, biosimilar, (Ruxience), 10 mg
PA Q5120 Injection, pegfilgrastim-bmez, biosimilar, (ziextenzo), 0.5 mg
PA Q5121 Inj. avsola, 10 mg
Q5122 Inj, nyvepria
Q5123 Inj. riabni, 10 mg
Q5124 Inj. byooviz, 0.1 mg
PA Q5125 Inj, releuko 1 mcg
Q5126 Inj alymsys 10 mg
Q9001 Va chaplain assessment
Q9002 Va chaplain counsel individu
Q9003 Va chaplain counsel group
Q9004 Va whole health partner serv
Q9950 Inj sulf hexa lipid microsph
Q9953 Inj Fe-based MR contrast,1ml
Q9954 Oral MR contrast, 100 ml
Q9956 Inj octafluoropropane mic,ml
Q9957 Inj perflutren lip micros,ml
Q9958 HOCM <=149 mg/ml iodine, 1ml
Q9960 HOCM 200-249mg/ml iodine,1ml
Q9965 LOCM 100-199mg/ml iodine,1ml
Q9968 Visualization adjunct
PA Q9969 Non-HEU TC-99M add-on/dose
Q9982 Flutemetamol f18 diagnostic
Q9983 Florbetaben f18 diagnostic
Q9991 Buprenorph xr 100 mg or less
Q9992 Buprenorphine xr over 100 mg
Q9993 Inj., triamcinolone ext rel
Q9994 Enzyme cartridge enteral nut
Q9995 inj. emicizumab-kxwh, 0.5 mg
R0070 Transport portable x-ray
R0075 Transport port x-ray multipl
R0076 Transport portable EKG
PA S0013 Esketamine, nasal spray
S0020 Injection, bupivicaine hydro
S0030 Injection, metronidazole
S0074 Injection, cefotetan disodiu
PA S0093 Morphine 500 mg
S0119 Ondansetron 4 mg
PA S0148 Peginterferon alfa-2B for Injkit
S0166 Inj olanzapine 2.5mg
S0190 Mifepristone, oral, 200 mg
S0191 Misoprostol, oral, 200 mcg
S0285 Cnslt before screen colonosc
S0311 Comp mgmt care coord adv ill
S1015 IV tubing extension set
S1016 Non-pvc intravenous administ
S1034 Art pancreas system
S1035 Art pancreas inv disp sensor
S1036 Art pancreas ext transmitter
S1037 Art pancreas ext receiver
S1090 Mometasone sinus implant
PA S1091 Stent non-coronary propel
S2066 Breast GAP flap reconst
S2067 Breast "stacked" diep/gap
S2068 Breast DIEP or SIEA flap
S2117 Arthroereisis, subtalar
S2118 Total hip resurfacing
S2202 Echosclerotherapy
S2900 Robotic surgical system
S5000 Prescription drug, generic
S5010 5% dextrose and 0.45% saline
S5012 5% dextrose with potassium
S5181 HH respiratory thrpy nos/day
PA S8030 Tantalum ring application
S8032 Low dose CT lung screening
S8490 100 insulin syringes
S8940 Hippotherapy per session
S8950 Complex lymphedema therapy,
S8990 Pt or manip for maint
S9128 Speech therapy, in the home,
S9129 Occupational therapy, in the
S9131 PT in the home per diem
S9152 Speech therapy, re-eval
S9430 Pharmacy comp/disp serv
S9432 Med food non inborn err meta
S9452 Nutrition class
S9470 Nutritional counseling, diet
S9472 Cardiac rehabilitation progr
S9473 Pulmonary rehabilitation pro
S9476 Vestibular rehab per diem
S9901 Christian sci nurse visit
S9960 Air ambulanc nonemerg fixed
S9961 Air ambulan nonemerg rotary
T1002 RN services up to 15 minutes
T1016 Case management, each 15 minutes
T1032 Sv doula brth wrk per 15 min
T1033 Sv doula brth wrk per diem
T1040 Comm bh clinic svc per diem
T1041 Comm bh clinic svc per month
T2047 Hab prevo waiver per 15
T2050 Financial mgt waiver/diem
T2051 Support broker waiver/diem
T4545 Incon disposable penile wrap
V2020 Vision svcs frames purchases
V2025 Eyeglasses delux frames
V2100 Lens spher single plano 4.00
V2101 Single visn sphere 4.12-7.00
V2102 Singl visn sphere 7.12-20.00
V2103 Spherocylindr 4.00d/12-2.00d
V2104 Spherocylindr 4.00d/2.12-4d
V2105 Spherocylinder 4.00d/4.25-6d
V2106 Spherocylinder 4.00d/>6.00d
V2107 Spherocylinder 4.25d/12-2d
V2110 Spherocylinder 4.25d/over 6d
V2111 Spherocylindr 7.25d/.25-2.25
V2114 Spherocylinder over 12.00d
V2115 Lens lenticular bifocal
V2118 Lens aniseikonic single
V2121 Lenticular lens, single
V2199 Lens single vision not oth c
V2200 Lens spher bifoc plano 4.00d
V2201 Lens sphere bifocal 4.12-7.0
V2202 Lens sphere bifocal 7.12-20.
V2203 Lens sphcyl bifocal 4.00d/.1
V2204 Lens sphcy bifocal 4.00d/2.1
V2205 Lens sphcy bifocal 4.00d/4.2
V2206 Lens sphcy bifocal 4.00d/ove
V2207 Lens sphcy bifocal 4.25-7d/.
V2208 Lens sphcy bifocal 4.25-7/2.
V2209 Lens sphcy bifocal 4.25-7/4.
V2210 Lens sphcy bifocal 4.25-7/ov
V2211 Lens sphcy bifo 7.25-12/.25-
V2212 Lens sphcyl bifo 7.25-12/2.2
V2213 Lens sphcyl bifo 7.25-12/4.2
V2214 Lens sphcyl bifocal over 12.
V2215 Lens lenticular bifocal
V2218 Lens aniseikonic bifocal
V2219 Lens bifocal seg width over
V2220 Lens bifocal add over 3.25d
V2221 Lenticular lens, bifocal
V2299 Lens bifocal speciality
V2300 Lens sphere trifocal 4.00d
V2301 Lens sphere trifocal 4.12-7.
V2302 Lens sphere trifocal 7.12-20
V2303 Lens sphcy trifocal 4.0/.12-
V2304 Lens sphcy trifocal 4.0/2.25
V2305 Lens sphcy trifocal 4.0/4.25
V2306 Lens sphcyl trifocal 4.00/>6
V2307 Lens sphcy trifocal 4.25-7/.
V2308 Lens sphc trifocal 4.25-7/2.
V2309 Lens sphc trifocal 4.25-7/4.
V2310 Lens sphc trifocal 4.25-7/>6
V2311 Lens sphc trifo 7.25-12/.25-
V2312 Lens sphc trifo 7.25-12/2.25
V2313 Lens sphc trifo 7.25-12/4.25
V2314 Lens sphcyl trifocal over 12
V2315 Lens lenticular trifocal
V2318 Lens aniseikonic trifocal
V2319 Lens trifocal seg width > 28
V2320 Lens trifocal add over 3.25d
V2321 Lenticular lens, trifocal
V2399 Lens trifocal speciality
V2410 Lens variab asphericity sing
V2430 Lens variable asphericity bi
V2499 Variable asphericity lens
V2500 Contact lens pmma spherical
V2501 Cntct lens pmma-toric/prism
V2502 Contact lens pmma bifocal
V2503 Cntct lens pmma color vision
V2510 Cntct gas permeable sphericl
V2511 Cntct toric prism ballast
V2512 Cntct lens gas permbl bifocl
V2513 Contact lens extended wear
V2520 Contact lens hydrophilic
V2521 Cntct lens hydrophilic toric
V2522 Cntct lens hydrophil bifocl
V2523 Cntct lens hydrophil extend
V2524 Cntct lens hydrophil photoch
V2525 Cl, hydrophilic, dual focus
V2530 Contact lens gas impermeable
V2531 Contact lens gas permeable
V2599 Contact lens/es other type
V2600 Hand held low vision aids
V2610 Single lens spectacle mount
V2615 Telescop/othr compound lens
V2623 Plastic eye prosth custom
V2624 Polishing artifical eye
V2625 Enlargemnt of eye prosthesis
V2626 Reduction of eye prosthesis
V2627 Scleral cover shell
V2628 Fabrication & fitting
V2629 Prosthetic eye other type
V2630 Anter chamber intraocul lens
V2631 Iris support intraoclr lens
V2632 Post chmbr intraocular lens
V2700 Balance lens
V2702 Deluxe lens feature
V2710 Glass/plastic slab off prism
V2715 Prism lens/es
V2718 Fresnell prism press-on lens
V2730 Special base curve
V2744 Tint photochromatic lens/es
V2745 Tint, any color/solid/grad
V2750 Anti-reflective coating
V2755 UV lens/es
V2756 Eye glass case
V2760 Scratch resistant coating
V2761 Mirror coating
V2762 Polarization, any lens
V2770 Occluder lens/es
V2780 Oversize lens/es
V2781 Progressive lens per lens
V2782 Lens, 1.54-1.65 p/1.60-1.79g
V2783 Lens, >= 1.66 p/>=1.80 g
V2784 Lens polycarb or equal
V2785 Corneal tissue processing
V2786 Occupational multifocal lens
V2787 Astigmatism-correct function
V2788 Presbyopia-correct function
V2790 Amniotic membrane
V2797 Vis item/svc in other code
V2799 Miscellaneous vision service
V5008 Hearing screening
V5010 Assessment for hearing aid
V5011 Hearing aid fitting/checking
V5014 Hearing aid repair/modifying
V5020 Conformity evaluation
V5030 Body-worn hearing aid air
V5040 Body-worn hearing aid bone
V5050 Hearing aid monaural in ear
V5060 Behind ear hearing aid
V5070 Glasses air conduction
V5080 Glasses bone conduction
V5090 Hearing aid dispensing fee
V5095 Implant mid ear hearing pros
V5100 Body-worn bilat hearing aid
V5110 Hearing aid dispensing fee
V5120 Body-worn binaur hearing aid
V5130 In ear binaural hearing aid
V5140 Behind ear binaur hearing ai
V5150 Glasses binaural hearing aid
V5160 Dispensing fee binaural
V5170 Within ear cros hearing aid
L V5171 Hearing aid monaural ite
V5172 Hearing aid monaural itc
V5180 Behind ear cros hearing aid
L V5181 Hearing aid monaural bte
V5190 Glasses cros hearing aid
V5200 Cros hearing aid dispens fee
V5210 In ear bicros hearing aid
L V5211 Hearing aid binaural ite/ite
L V5212 Hearing aid binaural ite/itc
L V5213 Hearing aid binaural ite/bte
L V5214 Hearing aid binaural itc/itc
L V5215 Hearing aid binaural itc/bte
V5220 Behind ear bicros hearing ai
L V5221 Hearing aid binaural bte/bte
V5230 Glasses bicros hearing aid
V5240 Dispensing fee bicros
V5241 Dispensing fee, monaural
V5242 Hearing aid, monaural, cic
V5243 Hearing aid, monaural, itc
V5244 Hearing aid, prog, mon, cic
V5245 Hearing aid, prog, mon, itc
V5246 Hearing aid, prog, mon, ite
V5247 Hearing aid, prog, mon, bte
V5248 Hearing aid, binaural, cic
V5249 Hearing aid, binaural, itc
V5250 Hearing aid, prog, bin, cic
V5251 Hearing aid, prog, bin, itc
V5252 Hearing aid, prog, bin, ite
V5253 Hearing aid, prog, bin, bte
V5254 Hearing id, digit, mon, cic
V5255 Hearing aid, digit, mon, itc
V5256 Hearing aid, digit, mon, ite
V5257 Hearing aid, digit, mon, bte
V5258 Hearing aid, digit, bin, cic
V5259 Hearing aid, digit, bin, itc
V5260 Hearing aid, digit, bin, ite
V5261 Hearing aid, digit, bin, bte
V5262 Hearing aid, disp, monaural
V5263 Hearing aid, disp, binaural
V5264 Ear mold/insert
V5265 Ear mold/insert, disp
V5266 Battery for hearing device
V5267 Hearing aid supply/accessory
V5268 ALD Telephone Amplifier
V5269 Alerting device, any type
V5270 ALD, TV amplifier, any type
V5271 ALD, TV caption decoder
V5272 Tdd
V5273 ALD for cochlear implant
V5274 ALD unspecified
V5275 Ear impression
V5281 Ald fm/dm system, monaural
V5282 Ald fm/dm system binaural
V5283 Ald neck, loop ind receiver
V5284 Ald FM/DM ear level receiver
V5285 Ald fm/dm aud input receiver
V5286 Ald blu tooth fm/dm receiver
V5287 Ald fm/dm receiver, NOS
V5288 Ald fm/dm transmitter ald
V5289 Ald fm/dm adapt/boot couplin
V5290 Ald transmitter microphone
V5298 Hearing aid noc
V5299 Hearing service
V5336 Repair communication device
V5362 Speech screening
V5363 Language screening
V5364 Dysphagia screening
Washington State Health Care Authority (HCA)
Outpatient Prospective Payment Systems (OPPS)
Effective dates of service on and after January 01, 2023
Updated 02/23/2023
Link to Legend for Codes
COV MAX. EAPG OP FEE

UNITS PRCING
0 0
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1 1 E
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1 1 E
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0 0
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1 1 E
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1 1 E
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0 0
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1 1 E
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1 1 E
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0 0
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1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
0 0
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1 1 E
0 0
0 0
1 1 E
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1 1 E
1 1 E
1 1 E
0 0
1 1 E
0 0
0 0
1 1 E
1 1 E
0 0
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0 0
1 1 E
1 1 E
1 1 E
0 0
0 0
1 1 E
1 1 E
1 1 E
0 0
0 0
1 1 E
0 0
0 0
0 0
0 0
1 1 E
0 0
0 0
0 0
1 1 E
1 1 E
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 E
1 1 E
1 1 E
0 0
0 0
0 0
0 0
1 1 E
1 1 E
1 1 E
1 1 E
0 0
0 0
0 0
0 0
1 1 E
0 0
0 0
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
0 0
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
0 0
1 1 E
0 0
1 1 E
1 1 E
1 1 E
1 1 E
0 0
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
0 0
0 0
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
0 0
1 1 E
1 1 E
1 1 E
0 0
1 1 E
1 1 E
0 0
0 0
1 1 E
1 1 E
1 1 E
1 1 E
0 0
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
0 0
0 0
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
0 0
0 0
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
0 0
0 0
1 1 E
1 1 E
1 1 E
1 1 E
0 0
0 0
1 1 E
1 1 E
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 E
0 0
1 1 E
0 0
1 1 E
0 0
1 1 E
0 0
1 1 E
0 0
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
0 0
0 0
1 1 E
0 0
1 1 E
1 1 E
0 0
1 1 E
1 1 E
1 1 E
0 0
0 0
1 1 E
1 1 E
0 0
1 1 E
1 1 E
1 1 E
0 0
1 1 E
1 1 E
1 1 E
1 1 E
0 0
1 1 E
0 0
1 1 E
1 1 E
0 0
1 1 E
1 1 E
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 E
0 0
1 1 E
1 1 E
0 0
1 1 E
1 1 E
1 1 E
1 1 E
0 0
0 0
1 1 E
1 1 E
1 1 E
1 1 E
0 0
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
0 0
1 1 E
1 1 E
0 0
1 1 E
1 1 E
1 1 E
0 0
0 0
1 1 E
1 1 E
0 0
0 0
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0 0
1 1 E
1 1 E
0 0
1 1 E
1 1 E
0 0
0 0
0 0
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0 0
1 1 E
1 1 E
0 0
1 1 E
1 1 E
0 0
1 1 E
1 1 E
1 1 E
1 1 E
0 0
1 1 E
1 1 E
0 0
1 1 E
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 E
0 0
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
0 0
1 1 E
1 1 E
1 1 E
1 1 E
0 0
1 1 E
1 1 E
0 0
1 1 E
1 1 E
1 1 E
0 0
1 1 E
1 1 E
1 1 E
1 1 E
0 0
0 0
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
0 0
0 0
0 0
0 0
0 0
0 0
1 1 E
1 1 E
1 1 E
1 1 E
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 E
0 0
1 1 E
0 0
1 1 E
0 0
1 1 E
0 0
1 1 E
0 0
1 1 E
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 E
0 0
0 0
1 1 E
0 0
1 1 E
0 0
1 1 E
0 0
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0 0
1 1 E
0 0
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0 0
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0 0
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0 0
0 0
0 0
0 0
1 1 E
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 E
0 0
0 0
0 0
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0 0
0 0
0 0
0 0
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0 0
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
0 0
0 0
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0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 E
1 1 E
1 1 E
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 A
0 0
0 0
0 0
1 1 E
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 E
0 0
0 0
1 1 E
0 0
0 0
0 0
1 1 E
1 1 E
1 1 E
1 1 E
1 1 E
0 0
1 1 E
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
re Authority (HCA)
ent Systems (OPPS)
after January 01, 2023
2023
Codes
COMMENTS
*PA required if for Transhealth
Please see the Physician-Related Billing Guide
For HCA approved Bariatric Services only
*PA required if for Transhealth, per policy eff 11/01/2021


*Covered only for Transhealth / PA required




Please see Orthodontic Services Billing Guide for EPA

CPA age 21+. No PA age <21







PA age 21+. No PA age <21

(No PA Rqd Age < 21)/(CPA Age 21+)






COE
COE
COE
COE
COE
COE

PA required for dental related services. See the Physician-Related Billing Guide
COE
COE









EPA required for elective deliveries see Physician Billing Guide
EPA required for elective deliveries see Physician Billing Guide
CPA all ages
EPA age 21+. No PA age <21. Only covered for Intraoperative or postoperative pain management with EP
CPA age 21+. No PA age <21 EPA**
CPA age 21+. No PA age <21 EPA**
PA/EPA age 21+. No PA age <21
PA/EPA age 21+. No PA age <21



0 through 20 years of age
PA age 21+, No PA age <21




1 per client per lifetime


















1 per lifetime. Please see Professional Services Billing Guide for limitations
1 per lifetime. Please see Professional Services Billing Guide for limitations
Once Per Life Time
Once Per Life Time



COE
COE
Added PA. Retro Eff 01/01/2013
Added PA. Retro Eff 01/01/2013
COE
COE
COE
COE
Effective 07/26/2022
Free from Federal Government
Professional Administered Drug Fee Schedule

Free from Federal Government
Please see Injectable Fee Schedule for possible limitations



Free from DOH, under VFC, for ages 0 years to 19 years, 19+ years of age
19+ years of age

65+ years of age


50+ years of age


COE
COE
COE
COE
COE
COE
COE
COE
COE
COE
COE

1 unit per day
Please see Mental Health Guide for limitations.

PA Required for Vitiligo
Please See Medical Nutrition Therapy Billing Guide for limitaions
Please see Applied Behavioral Analysis (ABA) Billing Guide for coverage
Invoice Required
Invoice Required
Invoice Required
Invoice Required. See OPPS billing guide and PHYS billing guide for policy
Invoice Required
Payable in OPPS only
65+ years of age
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
21+ years of age
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
21+ years of age
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
21+ years of age
21+ years of age
21+ years of age
21+ years of age
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL

21+ years of age
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
PA age 7-12. No PA age < 7
PA age 7-12. No PA age < 7
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
DENTAL
21+ years of age
DENTAL
21+ years of age

DENTAL
DENTAL
DENTAL
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
CPA/PA all ages
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
HG-Take-home Naloxone 4g nasal spray. Eff 01/01/2022
TG-Take-home Naloxone 4g nasal spray. Eff 01/01/2022
Invoice Required
Invoice Required

Invoice Required
Outpatient Prescription Drug Program. Billable by pharmacy only
Invoice Required
Invoice Required
Invoice Required
See OPPS/PHYS billing guides for policy. May require invoice


Invoice Required
Invoice Required
Invoice Required
Invoice Required
Invoice Required
INVOICE REQUIRED

















Please see the Physician-Related Billing Guide, *PA required if for Transhealth
Invoice Required


OUTPATIENT FEE SCHEDULE LEGEND
Return to Fee Schedule
COV
0
1
PRICING*
A
E
F
AUTH*
CPA
EPA
PA
COMMENTS
ABA
BR
COE
CVP
DENTAL
PROFESSIONAL SERVICES
TELEHEALTH
MID-QUARTER UPDATES
SPC
C
NC
**If a code is not listed, it is not covered under the Outpatient Hosp
**MUE is based on CMS guidelines, and does not guarantee Med
OUTPATIENT FEE SCHEDULE LEGEND
Return to Fee Schedule
Non-Covered, all hospitals

Covered for all hospitals, paid according to hospital's specific methodology.
* A single unit in OPPS equals the national average units per episode of care
Procedure code paid by acquisition cost - Invoice Required
Procedure code paid via EAPG pricing
Procedure code paid via fee established by HCA
* See specific program billing instructions for details

Contractor Prior Auth required - Current Vendor is COMAGINE
Expedited Prior Authorization required
The use of this procedure code may have certain restrictions ie; ages, authorization requirements, diagnosis, facilities. Please
specific publications for details prior to providing this service.
Prior Authorization required
By Report
Allowed only in HCA approved Center of Excellence
Vaccine Free from DOH Child Vaccine Program
Refer to the dental fee schedule and the dental Medicaid Provider Guide for information on what is covered in dental and any
coverage, including prior authorization.
Please see Professional Services Billing Guide for limitations
For telehealth use: HCA does not pay facility fees for audio only telehealth
Special Payment Consideration - Effective dates have changed refer to "what's changed" tab for specifics
Covered
Non-Covered
**If a code is not listed, it is not covered under the Outpatient Hospital Fee Schedule**
**MUE is based on CMS guidelines, and does not guarantee Medicaid coverage**
AUTH CPT DESCRPT COV UNITS PRICING FEE
EPA 46601 Diagnostic anoscopy 1 1 E

EPA 46607 Diagnostic anoscopy & biopsy 1 1 E
J3420 Vitamin b12 injection 1 1 E
G2215 Home supply nasal naloxone 0 0
G1028 Take-home supply 8mg per 0.1 ml 0 0
J3490 Drugs unclassified 1 1 F 41.55
J3490 Drugs unclassified 1 1 F 60.00
A9596 Gallium illuccix 1 millicure 1 1 E
*PA 21270 Augmentation cheek bone 1 1 E
*PA 15734 Muscle-skin graft trunk 1 1 E
*PA 53450 Revision of urethra 1 1 E
J2311 Inj, naloxone hcl (zimhi) 1 1 F 12.50
11105 Punch bx skin ea sep/addl 1 1 E
Q5124 Inj. byooviz, 0.1 mg 1 1 E
J9118 Inj. Calaspargase pegol-mknl 1 1 E
EPA/PA C1822 Gen, neuro, hf, rechg bat 1 1 A

D4355 Full mouth debridement 1 1 F 98.00
D9930 Treatment of complications 1 1 F 60.70
D7288 Brush biopsy 1 1 F 59.84
D3221 Gross pulpal debridement 1 1 F 57.96
D9612 Thera par drugs 2 or > admin 1 1 F 48.92
D5410 Dentures adjust cmplt maxil 1 1 F 23.53
D5411 Dentures adjust cmplt mand 1 1 F 23.53
D5421 Dentures adjust part maxill 1 1 F 22.82
D5422 Dentures adjust part mandbl 1 1 F 22.82
J2310 Inj naloxone hydrochloride 1 1 F 10.30
J0348 Anidulafungin injection 1 1 F 0.51
G9907 Doc med rsn no tbco interv 0 0
*PA 15100 Skin splt grft trnk/arm/leg 1 1 E
*PA 15101 Skin splt grft t/a/l add-on 1 1 E
*PA 19316 Suspension of breast 1 1 E
90671 Pcv15 vaccine im 1 1 E
PA J0225 Inj, vutrisiran, 1 mg 1 1 A
PA J9332 Injection, efgartigimod alfa-fcab, 2mg 1 1 A
PA 81418 Rx metab gen seq alys pnl 6 1 1 E
15853 Removal sutr/stapl xreq anes 1 1 E
15854 Removal sutr&stapl xreq anes 1 1 E
33900 Perq p-art revsc 1 nm nt uni 1 1 E
33901 Perq p-art revsc 1 nm nt bi 1 1 E
33902 Perq p-art revsc 1 abnor uni 1 1 E
33903 Perq p-art revsc 1 abnor bi 1 1 E
33904 Perq p-art revsc each addl 1 1 E
CPA 36465 Njx noncmpnd sclrsnt 1 vein 1 1 E
CPA 36466 Njx noncmpnd sclrsnt mlt vn 1 1 E
CPA 36468 Injection(s) spider veins 1 1 E
36836 Prq av fstl crtj uxtr 1 acs 1 1 E
36837 Prq av fstl crt uxtr sep acs 1 1 E
49591 Rpr aa hrn 1st < 3 cm rdc 1 1 E
49592 Rpr aa hrn 1st < 3 ncr/strn 1 1 E
49593 Rpr aa hrn 1st 3-10 rdc 1 1 E
49594 Rpr aa hrn 1st 3-10 ncr/strn 1 1 E
49595 Rpr aa hrn 1st > 10 rdc 1 1 E
49596 Rpr aa hrn 1st > 10 ncr/strn 1 1 E
49613 Rpr aa hrn rcr < 3 rdc 1 1 E
49614 Rpr aa hrn rcr < 3 ncr/strn 1 1 E
49615 Rpr aa hrn rcr 3-10 rdc 1 1 E
49616 Rpr aa hrn rcr 3-10 ncr/strn 1 1 E
49617 Rpr aa hrn rcr > 10 rdc 1 1 E
49618 Rpr aa hrn rcr > 10 ncr/strn 1 1 E
49621 Rpr parastomal hernia rdc 1 1 E
49622 Rpr parastomal hrna ncr/strn 1 1 E
49623 Rmvl ninfct mesh hernia rpr 1 1 E
55867 Laps surg prst8ect smpl stot 1 1 E
PA/EPA 69728 Rmv ntr oi imp sktc esp>=100 1 1 E
PA/EPA 69729 Impl oi implt sk tc esp>=100 1 1 E
PA/EPA 69730 Rplc oi implt sk tc esp>=100 1 1 E
76883 Us nrv&acc strux 1xtr compre 1 1 E
PA 81441 Ibmfs seq alys pnl 30 genes 1 1 E
PA 81449 Tgsap so neo 5-50 rna alys 1 1 E
PA/EPA 81451 Tgsap hl neo 5-50 rna alys 1 1 E
PA/EPA 81456 Tgsap so/hl 51/< rna alys 1 1 E
84433 Asy thiopurin s-mthyltrnsfrs 1 1 E
PA/EPA 87467 Hepatitis b surface ag quan 1 1 E
87468 Anaplsma phgcytophlm amp prb 1 1 E
87469 Babesia microti amp prb 1 1 E
87478 Borrelia miyamotoi amp prb 1 1 E
87484 Ehrlicha chaffeensis amp prb 1 1 E
93569 Njx cth slct p-art angrp uni 1 1 E
93573 Njx cath slct p-art angrp bi 1 1 E
93574 Njx cath slct pulm vn angrph 1 1 E
93575 Njx cath slct p angrph mapca 1 1 E
99418 Prolng ip/obs e/m ea 15 min 1 1 E
PA A4239 Non-adju cgm supply allow 1 1 E
C9143 Cocaine hcl nasal solution (numbrino), 1 mg 1 1 E
PA E2103 Non-adju cgm receiver/mon 1 1 E
G0316 Prolong inpt eval add15 m 1 1 E
G0317 Prolong nursin fac eval 15m 1 1 E
J0134 Inj acetaminophen (fresenius), 10 mg 1 1 E
J0136 Inj, acetaminophen (b braun), 10 mg 1 1 E
J0283 Inj, amiodarone (nexterone) 1 1 E
J0611 Calcium glucon (wg critical) 1 1 E
J0701 Inj. cefepime hcl (baxter), 500 mg 1 1 E
J0877 Inj, daptomycin (hospira), 1 mg 1 1 E
J0891 Argatroban nonesrd (accord), 1 mg 1 1 E
J0892 Argatroban dialysis (accord), 1 mg 1 1 E
J0893 Inj, decitabine (sun pharma), 1 mg 1 1 E
PA J1324 Injection, enfuvirtide, 1 mg 1 1 E
J1574 Inj, ganciclovir (exela), 500 mg 1 1 E
J1611 Inj glucagon hcl (fresenius kabi), per 1 mg 1 1 E
J1643 Inj heparin (pfizer), 1000u 1 1 E
PA J1786 Injection, imiglucerase, 10 units 1 1 E
J2021 Inj, linezolid (hospira), 200 mg 1 1 E
J2184 Inj, meropenem (b. braun), 100 mg 1 1 E
J2247 Inj, micafungin (par pharm), 1 mg 1 1 E
J2251 Inj midazolam (wg crit care), per 1 mg 1 1 E
J2272 Inj, morphine (fresenius), up to 10 mg 1 1 E
J2281 Inj moxifloxacin (fres kabi) 1 1 E
J2311 Inj, naloxone hcl (zimhi) 1 1 E
PA J2327 Inj risankizumab-rzaa 1 mg 1 1 E
J2401 Chloroprocaine hcl injection 1 1 E
J2402 Inj,Chloroprocaine (clorotekal) , per 1 mg 1 1 E
PA J3060 Injection, taliglucerase alfa, 10 units 1 1 E
J3244 Injection, tigecycline (accord), 1 mg 1 1 E
J3371 Inj, vancomycin hcl (mylan), 500 mg 1 1 E
J3372 Inj, vancomycin hcl (xellia), 500 mg 1 1 E
PA J3385 Injection, velaglucerase alfa, 100 units 1 1 E
PA J3485 Injection, zidovudine, 10 mg 1 1 E
PA J9046 Inj, bortezomib (dr. reddy's), 0.1 mg 1 1 E
PA J9048 Inj, bortezomib (fresenius kabi), 0.1 mg 1 1 E
PA J9049 Inj, bortezomib (hospira), 0.1 mg 1 1 E
J9394 Inj, fulvestrant (fresenius), 25 mg 1 1 E
Q4236 Carepatch Per SQ CM 1 1 E
Q5126 Inj alymsys 10 mg 1 1 E
15778 Impl absrb msh/prsth dly cls 0 0
15850 Remove sutures same surgeon 0 0
22860 Tot disc arthrp 2ntrspc lmbr 0 0
30469 Rpr nsl vlv collapse w/rmdlg 0 0
43290 Egd flx trnsorl dplmnt balo 0 0
43291 Egd flx trnsorl rmvl balo 0 0
49560 Rpr ventral hern init reduc 0 0
49561 Rpr ventral hern init block 0 0
49565 Rerepair ventrl hern reduce 0 0
49566 Rerepair ventrl hern block 0 0
49568 Hernia repair w/mesh 0 0
49570 Rpr epigastric hern reduce 0 0
49572 Rpr epigastric hern blocked 0 0
49580 Rpr umbil hern reduc < 5 yr 0 0
49582 Rpr umbil hern block < 5 yr 0 0
49585 Rpr umbil hern reduc > 5 yr 0 0
49587 Rpr umbil hern block > 5 yr 0 0
49590 Repair spigelian hernia 0 0
49652 Lap vent/abd hernia repair 0 0
49653 Lap vent/abd hern proc comp 0 0
49654 Lap inc hernia repair 0 0
49655 Lap inc hern repair comp 0 0
49656 Lap inc hernia repair recur 0 0
49657 Lap inc hern recur comp 0 0
90678 Rsv vacc pref bivalent im 0 0
92066 Orthop traing supvj phys/qhp 0 0
95919 Quan puplmtry phy/qhp uni/bi 0 0
96202 Mlt fam grp bhv train 1st 60 0 0
96203 Mlt fam grp bhv train ea add 0 0
98978 Rem ther mntr dev sply cbt 0 0
99217 Observation care discharge 0 0
99218 Initial observation care 0 0
99224 Subsequent observation care 0 0
99241 Office consultation 0 0
99251 Inpatient consultation 0 0
99318 Annual nursing fac assessmnt 0 0
99324 Domicil/r-home visit new pat 0 0
99334 Domicil/r-home visit est pat 0 0
99339 Domicil/r-home care supervis 0 0
99340 Domicil/r-home care supervis 0 0
99343 Home visit new patient 0 0
99354 Prolng svc o/p 1st hour 0 0
99355 Prolng svc o/p ea addl 30 0 0
99356 Prolng svc i/p/obs 1st hour 0 0
99357 Prolng svc i/p/obs ea addl 0 0
0163T Tot disc arthrp ea addl lmbr 0 0
0312T Laps impltj nstim vagus 0 0
0313T Laps rmvl nstim array vagus 0 0
0314T Laps rmvl vgl arry&pls gen 0 0
0315T Rmvl vagus nerve pls gen 0 0
0316T Replc vagus nerve pls gen 0 0
0317T Elec alys vagus nrv pls gen 0 0
0355U Apol1 risk variants 0 0
0356U Onc orop 17 dna ddpcr alg 0 0
0357U Onc mlnma ai quan alys 142 0 0
0358U Neuro alys b-amyl 1-42&1-40 0 0
0359U Onc prst8 ca alys all psa 0 0
0360U Onc lung elisa 7 autoant alg 0 0
0361U Neurflmnt lt chn dig ia quan 0 0
0362U Onc pap thyr ca rna 82&10 0 0
0363U Onc urthl mrna 5 gen alg 0 0
0470T Oct skn img acquisj i&r 1st 0 0
0471T Oct skn img acquisj i&r addl 0 0
0475T Rec ftl car sgl 3 ch i&r 0 0
0476T Rec ftl car sgl elec tr data 0 0
0477T Rec ftl car sgl xrtj alys 0 0
0478T Rec ftl car 3 ch rev i&r 0 0
0487T Trvg biomchn mapg w/reprt 0 0
0491T Abl lsr opn wnd 1st 20 sqcm 0 0
0492T Abl lsr opn wnd addl 20 sqcm 0 0
0493T Cntc near ifr spectrsc wound 0 0
0497T Xtrnl pt act ecg in-off conn 0 0
0498T Xtrnl pt act ecg r&i pr 30 d 0 0
0499T Cysto f/urtl strix/stenosis 0 0
0514T Intraop vis axis id pt fixj 0 0
0702T Rem ther mntr ol tech sprt 0 0
0703T Rem ther mntr ol cog bhv 0 0
0738T Tx pln mag fld abltj prst8 0 0
0739T Abltj mal prst8 mag fld ndct 0 0
0740T Rem auton alg nsln cal setup 0 0
0741T Rem auton alg nsln data coll 0 0
0742T Aqmbf spect xers/strs & rest 0 0
0743T B1 str & fx rsk vrt fx assmt 0 0
0744T Insj bioprostc vlv fem vn 0 0
0745T Car ablt rad arr n-invas loc 0 0
0746T Car ablt rad arr cnv loc map 0 0
0747T Car ablt rad arrhyt dlvr rad 0 0
0748T Njx stm cl prdct anl sft tis 0 0
0749T B1 str&fx rsk assmt dxr-bmd 0 0
0750T B1 str&fx rsk asmt dxrbmd1vw 0 0
0751T Dgtz gls mcrscp sld level ii 0 0
0752T Dgtz gls mcrscp sld lvl iii 0 0
0753T Dgtz gls mcrscp sld level iv 0 0
0754T Dgtz gls mcrscp sld level v 0 0
0755T Dgtz gls mcrscp sld level vi 0 0
0756T Dgtz gls mcrscp sld spc grpi 0 0
0757T Dgtz gls mcrscp sl spc grpii 0 0
0758T Dgtz gls mcrscp sl spc hchem 0 0
0759T Dgtz gls mcrscp sl sp grpiii 0 0
0760T Dgtz gls mcrscp sl imm 1st 0 0
0761T Dgtz gls mcrscp sl imm ea 1 0 0
0762T Dgtz gls mcrscp sl imm ea m 0 0
0763T Dgtz gls mcrscp mphmtrc alys 0 0
0764T Asstv alg ecg rsk asmt cncrt 0 0
0765T Asstv alg ecg rsk asmt prev 0 0
0766T Tc mag stimj pn 1st tx 1nrv 0 0
0767T Tc mag stimj pn 1st tx ea 0 0
0768T Tc mag stimj pn sbsq tx 1nrv 0 0
0769T Tc mag stimj pn sbsq tx ea 0 0
0770T Vr technology assist therapy 0 0
0771T Vr px dissoc svc sm phy 1st 0 0
0772T Vr px dissoc svc sm phy ea 0 0
0773T Vr px dissoc svc oth phy 1st 0 0
0774T Vr px dissoc svc oth phy ea 0 0
0775T Arthrd si jt prq iartic impl 0 0
0776T Ther indctj ntrabrn hypthrm 0 0
0777T R-t prs sensing edrl gdn sys 0 0
0778T Smmg cncrnt appl imu snr 0 0
0779T Gi myoelectrical actv study 0 0
0780T Instlj fecal microbiota ssp 0 0
0781T Brnchsc rf dstrj pulm nrv bi 0 0
0782T Brnchsc rf dstrj plm nrv uni 0 0
0783T Tc auriculr neurostimulation 0 0
C1747 Endo, single, urinary tract 0 0
C1826 Gen, neuro, clo loop, rechg 0 0
C1827 Gen, neuro, imp led, ex cntr 0 0
C1841 Retinal prosth int/ext comp 0 0
C1842 Retinal prosth, add-on 0 0
C1849 Skin substitute, synthetic 0 0
C7500 Deb bone 20 cm2 w/drug dev 0 0
C7501 Perc bx breast lesions stero 0 0
C7502 Perc bx breast lesions mr 0 0
C7503 Open exc cerv node(s) w/ id 0 0
C7504 Perq cvt&ls inj vert bodies 0 0
C7505 Perq ls&cvt inj vert bodies 0 0
C7506 Fusion of finger joints 0 0
C7507 Perq thor&lumb vert aug 0 0
C7508 Perq lumb&thor vert aug 0 0
C7509 Dx bronch w/ navigation 0 0
C7510 Bronch/lavag w/ navigation 0 0
C7511 Bronch/bpsy(s) w/ navigation 0 0
C7512 Bronch/bpsy(s) w/ ebus 0 0
C7513 Cath/angio dialcir w/aplasty 0 0
C7514 Cath/angio dial cir w/stents 0 0
C7515 Cath/angio dial cir w/embol 0 0
C7516 Cor angio w/ ivus or oct 0 0
C7517 Cor angio w/ilic/fem angio 0 0
C7518 Cor/gft angio w/ ivus or oct 0 0
C7519 Cor/gft angio w/ flow resrv 0 0
C7520 Cor/gft angio w/ilic/fem ang 0 0
C7521 R hrt angio w/ ivus or oct 0 0
C7522 R hrt angio w/flow resrv 0 0
C7523 L hrt angio w/ ivus or oct 0 0
C7524 L hrt angio w/flow resrv 0 0
C7525 L hrt gft ang w/ ivus or oct 0 0
C7526 L hrt gft ang w/flow resrv 0 0
C7527 R&l hrt angio w/ ivus or oct 0 0
C7528 R&l hrt angio w/flow resrv 0 0
C7529 R&l hrt gft ang w/flow resrv 0 0
C7530 Cath/aplasty dial cir w/stnt 0 0
C7531 Angio fem/pop w/ us 0 0
C7532 Angio w/ us non-coronary 0 0
C7533 Ptca w/ plcmt brachytx dev 0 0
C7534 Fem/pop revasc w/arthr & us 0 0
C7535 Fem/pop revasc w/stent & us 0 0
C7537 Insrt atril pm w/l vent lead 0 0
C7538 Insrt vent pm w/l vent lead 0 0
C7539 Insrt a & v pm w/l vent lead 0 0
C7540 Rmv&rplc pm dul w/l vnt lead 0 0
C7541 Ercp w/ pancreatoscopy 0 0
C7542 Ercp w/bx & pancreatoscopy 0 0
C7543 Ercp w/otomy, pancreatoscopy 0 0
C7544 Ercp rmv calc pancreatoscopy 0 0
C7545 Exch bil cath w/ rmv calculi 0 0
C7546 Rep nph/urt cath w/dil stric 0 0
C7547 Cnvrt neph cath w/ dil stric 0 0
C7548 Exch neph cath w/ dil stric 0 0
C7549 Chge urtr stent w/ dil stric 0 0
C7550 Cysto w/ bx(s) w/ blue light 0 0
C7551 Exc neuroma w/ implnt nv end 0 0
C7552 R hrt art/grft ang hrt flow 0 0
C7553 R&i hrt art/vent ang drg ad 0 0
C7554 Cystureth blu li cyst fl img 0 0
C7555 Rmvl thyrd w/autotran parath 0 0
C7900 Hopd mntl hlt, 15-29 min 0 0
C7901 Hopd mntl hlt, 30-60 min 0 0
C7902 Hopd mntl hlt, ea addl 0 0
C9142 Inj, alymsys, 10 mg 0 0
C9144 Inj, bupivacaine (posimir) 0 0
D0351 3d photographic image 0 0
D0372 Tomo comp series images 0 0
D0373 Tomo bitewing image 0 0
D0374 Tomo periapical image 0 0
D0387 Comp image capture only 0 0
D0388 Bitewing image capture only 0 0
D0389 Periopic image capture only 0 0
D0704 3d photo image capture only 0 0
D0801 3d dental scan direct 0 0
D0802 3d dental scan indirect 0 0
D0803 3d facial scan direct 0 0
D0804 3d facial scan indirect 0 0
D1781 Vac admin human pap dose 1 0 0
D4286 Remove non-resorb barrier 0 0
D6105 Remove implant body 0 0
D6106 Tissue regen resorbable 0 0
D6107 Tissue regen non-resorbable 0 0
D6197 Replace material prosthesis 0 0
D7509 Marsupialization odon cyst 0 0
D7956 Tiss regen edent resorb 0 0
D7957 Tiss regen edent nonresorb 0 0
D9953 Reline sleep apnea appliance 0 0
G0028 Doc med rsn no scr tob 0 0
G0308 180 d implant glucose sensor 0 0
G0309 Rem/inser glu sensor dif sit 0 0
G0318 Prolong home eval add 15m 0 0
G0320 Two-way audio and video hhs 0 0
G0321 Audio-only hhs 0 0
G0322 Home h physio data collec tr 0 0
G0323 Care manage beh svs 20mins 0 0
G0330 Facility svs dental rehab 0 0
G2095 Sys rsn no ace arn arni 0 0
G2170 Avf by tissue w thermal e 0 0
G2171 Avf use magnetic/art/ven 0 0
G2198 Med rsn no unhlthy etoh 0 0
G2201 Med rsn no brief couns 0 0
G2203 Med rsn no etoh couns 0 0
G3002 Chronic pain mgmt 30 mins 0 0
G3003 Chronic pain mgmt addl 15m 0 0
G9196 Med reason for no ceph 0 0
G9197 Order for ceph 0 0
G9198 No order for ceph no reason 0 0
G9250 Doc of pain comfort 48hr 0 0
G9251 Doc no pain comfort 48hr 0 0
G9359 Neg mgd pos tb notact 0 0
G9360 No doc of neg or man pos tb 0 0
G9506 Bio imm resp mod presc 0 0
G9618 Doc scr uter mal or us/samp 0 0
G9620 No scr utr malig/us/samp rng 0 0
G9623 Doc med rsn no scr etoh use 0 0
G9631 Pt ui srg 30 day pst srg 0 0
G9632 Med rsn for no rpt uret inj 0 0
G9633 Pt no ui srg 30 day pst srg 0 0
G9718 Hospice anytime msmt per 0 0
G9774 Pt had hyst 0 0
G9778 Pts dx w/pregn 0 0
G9808 Pt no asthm cont med mst per 0 0
G9809 Pt w/hosp anytime msmt per 0 0
G9810 Pdc 75% w/asth cont med 0 0
G9811 No pdc 75% w/asth cont med 0 0
G9904 Doc med rsn no tbco scrn 0 0
G9909 Doc med rsn no tbco interv 0 0
G9932 Doc pt rsn no tb scrn recrds 0 0
G9942 Adtl spine proc on same date 0 0
G9948 Adtl spine proc on same date 0 0
G9989 Med rsn no pneum vax 0 0
J0173 Inj, epinephrine (belcher) 0 0
J0689 Inj cefazolin sodium, baxter 0 0
J0703 Inj, cefepime hcl (b braun) 0 0
J0898 Argatroban nonesrd (auromed) 0 0
J0899 Argatroban dialysis, auromed 0 0
J1456 Inj, fosaprepitant (teva) 0 0
J2400 Chloroprocaine hcl injection 0 0
J9044 Inj, bortezomib, nos, 0.1 mg 0 0
J9393 Inj, fulvestrant (teva) 0 0
K0553 Ther cgm supply allowance 0 0
K0554 Ther cgm receiver/monitor 0 0
L8684 Radiof trsmtr implt scrl neu 0 0
M0001 Advancing cancer care mvp 0 0
M0002 Opt care kidney hlth mvp 0 0
M0003 Opt care episod neuro mvp 0 0
M0004 Support care neur cond mvp 0 0
M0005 Promot wellness mvp 0 0
M1017 Pt admt to palitve serv 0 0
M1071 Pt had add'l sp pcr perf 0 0
M1150 Lvef <=40% or mod/sev l vsf 0 0
M1151 Pt w/ hx trnsplt or lvad 0 0
M1152 Pt w/ hx trnsplt or lvad 0 0
M1153 Pt w/ dx osteo doe 0 0
M1154 Hospc serv dur meas pd 0 0
M1155 Pt anphx due to pneum 0 0
M1156 Pt recd actv chemo any time 0 0
M1157 Pt recd bone mar trnsplt 0 0
M1158 Pt hx immcomp prior/dur pd 0 0
M1159 Hospc serv dur meas pd 0 0
M1160 Pt anphx due to mengb bef 13 0 0
M1161 Pt anphx due to dtp bef 13 0 0
M1162 Pt enceph due to dtp bef 13 0 0
M1163 Pt anphx due to hpv bef 13 0 0
M1164 Pt w/ dementia any time 0 0
M1165 Pt use hspc dur meas pd 0 0
M1166 Path rpt tis spec wle/reexc 0 0
M1167 Hspc dur meas pd 0 0
M1168 Pt recd flu vax 7/1-6/30 0 0
M1169 Doc med rsn no flu vax 0 0
M1170 Pt w/o flu vax 7/1-6/30 0 0
M1171 Pt recd 1 td/tdap 9yrs prior 0 0
M1172 Doc med rsn no td/tdap 0 0
M1173 Pt no rec td/tdap 9yrs prior 0 0
M1174 Pt w/ 1 hzv lv or 2 hzv recm 0 0
M1175 Doc med rsn no hzv 0 0
M1176 Pt w/o hzv on/aft age 50 0 0
M1177 Pt recd pcv on/aft 60 0 0
M1178 Doc med rsn no pcv 0 0
M1179 No pcv recd 0 0
M1180 Pt imm ckpt inhib therapy 0 0
M1181 Gr 2 or> dia or gr2 or> col 0 0
M1182 Not elg pre ex ibd/uc/crohn 0 0
M1183 Doc imm ckpt inhib hld 0 0
M1184 Doc med rsn no cst/ist rx 0 0
M1185 Imm ckpt inhib not hld no rx 0 0
M1186 Pt w/ rx for hspc/plltv care 0 0
M1187 Pt w/ esrd 0 0
M1188 Pt w/ ckd stg 5 0 0
M1189 Doc khe pef w/efgr/uacr 0 0
M1190 Doc khe not pef w/efgr/uacr 0 0
M1191 Hspc svc any time in meas pd 0 0
M1192 Pt w/ dx sq cell ca of esoph 0 0
M1193 Rpts w/ imp/con mmr/msi 0 0
M1194 Med rsn no imp/con mmr/msi 0 0
M1195 Rpt wo imp/con mmr/msi 0 0
M1196 Ixv nrs vrs iqa >=4 0 0
M1197 Isa red >=2 fr ixv 0 0
M1198 Isa not red 2pts fr ixv 0 0
M1199 Pt rec'g rrt 0 0
M1200 Ace-i/arb rx 0 0
M1201 Med rsn no ace-i/arb rx 0 0
M1202 Pt rsn no ace-i/arb rx 0 0
M1203 No rsn ace-i/arb rx 0 0
M1204 Ixv nrs vrs iqa >=4 0 0
M1205 Isa red >=2 fr ixv 0 0
M1206 Isa not red 2pts fr ixv 0 0
M1207 #pts scrn sdoh 0 0
M1208 #pts no scrn sdoh 0 0
M1209 >=2 same hi-rsk med w/o diag 0 0
M1210 >=2 same meds tbl4 not ord 0 0
Q4262 Dual layer impax, per sq cm 0 0
Q4263 Surgraft tl, per sq cm 0 0
Q4264 Cocoon membrane, per sq cm 0 0
COMMENTS
HG-Take-home Naloxone 4g nasal spray. Eff 01/01/2022

TG-Take-home Naloxone 4g nasal spray. Eff 01/01/2022

Invoice Required. See OPPS billing guide and PHYS billing guide for policy

Free from DOH, under VFC, for ages 0 years to 19 years, 19+ years of age
Invoice Required
Invoice Required
Once Per Life Time
WHAT_CHANGED
NON-COVERED TO COVERED. EFF 01/01/2023

REMOVED L
COVERED_TO_NON-COVERED. EFF 12/31/2021
COVERED_TO_NON-COVERED. EFF 12/31/2021
COVERED EFF 01/01/2022
COVERED EFF 01/01/2022
ADDED COMMENTS
ADDED COMMENTS
ADDED COMMENTS
PAYMENT CHANGED TO FEE
PA REMOVED EFF 01/01/2023
RETRO-EFF DATE TO 06/09/2022
RETRO-EFF DATE TO 01/09/2022
UPDATED "OPPS_DRUG_LIST"
NO CHANGE SINCE LAST QUARTER
FEE CHANGE
FEE CHANGE
FEE CHANGE
FEE CHANGE
FEE CHANGE
FEE CHANGE
FEE CHANGE
FEE CHANGE
FEE CHANGE
FEE CHANGE
FEE CHANGE
SUM_DISCONTIUED
SUM_PA_NEW
SUM_PA_NEW
ADDED COMMENTS
ADDED COMMENTS
SUM_NEW_CODES_C/SUM_UNITS_NEW/SUM_PA_NEW/SUM_PRICING_CHANGE
ADDED COMMENTS
SUM_NEW_CODES_C/SUM_UNITS_NEW/SUM_PRICING_CHANGE
Please remove PA and add CPA to 36465, 36466,36468
SUM_PA_NEW
SUM_PA_NEW
SUM_PA_NEW
SUM_PA_NEW
SUM_PA_NEW
SUM_NEW_CODES_NC
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SUM_NEW_CODES_NC
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SUM_NEW_CODES_NC
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SUM_NEW_CODES_NC
SUM_DISCONTIUED
SUM_DISCONTIUED
SUM_NEW_CODES_NC
SUM_DISCONTIUED
SUM_DISCONTIUED
SUM_C_TO_NC/SUM_UNITS_CHANGED/SUM_PA_REMOVED/SUM_PRICING_CHANGE
SUM_NEW_CODES_NC
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SUM_NEW_CODES_NC
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SUM_NEW_CODES_NC
SUM_NEW_CODES_NC
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SUM_NEW_CODES_NC
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SUM_NEW_CODES_NC
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SUM_NEW_CODES_NC
SUM_NEW_CODES_NC
SUM_NEW_CODES_NC
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SUM_NEW_CODES_NC
SUM_NEW_CODES_NC
SUM_NEW_CODES_NC
SUM_NEW_CODES_NC
SUM_NEW_CODES_NC
SUM_NEW_CODES_NC
SUM_NEW_CODES_NC
SUM_NEW_CODES_NC
SUM_NEW_CODES_NC
UPDATE_DATE
2/23/2023
2/23/2023
2/21/2023
2/21/2023
2/21/2023
2/21/2023
2/21/2023
2/8/2023
1/26/2023
1/26/2023
1/26/2023
1/11/2023
1/11/2023
1/11/2023
1/10/2023
1/9/2023
1/5/2023
Washington State Health Care Authorit
Outpatient Specialty Drugs
Updated 01/05/2023
Drug Miscellaneous HCA PA

Drug Required
Spinraza J3490 Yes
Radicava-Edavarone J3490 Yes
Brineura J3590 Yes
Kymriah J3590 Yes
Luxturna J3590 Yes
Gamifant J3590 Yes
Sutimlimab-Jome J1302 Yes
Ciltacabtagene car-pos t Q2056 Yes
Idecabtagene vicleucel C9081 Yes
Casimersen J1426 Yes

Lisocabtagene Q2054 Yes
Gamifant J9210 Yes
Eculizumab J1300 No
Interferon Gamma 1-B J9216 No
Desmopressin Acetate Nasal Soln J3490 No
Ryplazim J2998 Yes
Afamelanotide J7352 Yes

Enjaymo C9094 Yes
Carvykti C9098 Yes
Oxlumo J0224 Yes

Tepezza J3241 Yes
Nulibry J3490 Yes
Amondys 45 C9075 Yes
Breyanzi C9076 Yes
Zolgensma J3399 Yes
Givlaari J0223 Yes

Adakveo J0791 Yes
Vyondys J1429 Yes
Revcovi J3590 Yes
Lutathera A9513 Yes
Gamifant C9050 Yes

Zolgensma J3590 Yes
Luxturna C9032 Yes
Exondys J3490 Yes
Spinraza C9489 Yes

Polivy J9999 Yes
Avalglucosidase Alfa-NGPT J0219 Yes
Brexucabtagene Autoleucel Q2053 Yes
Viltolarsen J1427 Yes
Yescarta Q2041 Yes
Efgartigimod Alfa-FCAB J9332 Yes
Vutrisiran J0225 Yes
Ravulizumab-CWVZ J1303 Yes
Ecallantide J1290 Yes

Elosulfase Alfa J1322 Yes
Galsulfase J1458 Yes
Idursulfase J1743 Yes
Icatibant J1744 Yes
Inebilizumab-CDON J1823 Yes
Laronidase J1931 Yes
Sebelipase Alfa J2840 Yes
Agalsidase Beta J0180 Yes
Lanadelumab-Flyo J0593 Yes
Ruconest J0596 Yes
Berinert J0597 Yes
Cinryze J0598 Yes
Haegarda J0599 Yes

Ducanumab-AVWA J0172 Yes
Idecabtagene Vicleucel Q2055 Yes
Alglucosidase Alfa, (Lumizyme) J0221 Yes
Avalglucosidase Alfa-NGPT C9085 Yes

Tecartus C9073 Yes
Viltepso C9071 Yes
Reblozyl J0896 Yes
Polivy J3909 Yes
Palynziq J3590 Yes
Brineura J0567 Yes
Kymriah Q2042 Yes
Crysvita J0584 Yes
Luxturna J3398 Yes
Spinraza J2326 Yes
Exondys J1428 Yes
Brineura C9014 Yes
Radicava-Edavarone C9493 Yes
Kymriah Q2040 Yes
Yescarta J3490 Yes

Washington State Health Care Authority (HCA)
Outpatient Specialty Drugs
Updated 01/05/2023
National Drug Code Professional Date Span
64406005801 07/01/2017 – 12/31/2017

70510217101
01/01/2018 – 12/31/2018
70510217102
68135081102 01/01/2018 – 12/31/2018
00078084619
01/01/2018 – 12/31/2018
00078084619
71394006501
07/01/2018 – 12/31/2018
71394041501
72171050101
72171050501 07/01/2019 – 09/30/2019
80203034701 10/01/2022 - 12/31/2999

57894011101
N/A
57894011102
59572051501
59572051502 10/01/2021 - 12/31/2999
59572051503
60923022702 10/01/2021 - 12/31/2999
73153090001 10/01/2021 - 12/31/2999
72171050101
10/01/2019 - 12/31/2999
72171050501
25682000101 1/1/2022 - 12/31/2999
75987011110
1/1/2022 - 12/31/2999
75987011111
73177011415 07/16/2021 - 12/31/2999
70573009901
07/01/2022 - 12/31/2999
70573009902
73372011601 07/01/2022 - 12/31/2999
80203034701 N/A
57894011101
N/A
57894011102
71336100201 07/01/2021 - 12/31/2999
75987013015 07/01/2021 - 12/31/2999
73129000101 07/01/2021 - 12/31/2999
60923022702 07/01/2021 - 09/30/2021
73153090001 07/01/2021 - 09/30/2021
71894013507
71894013608
71894013808
71894013909
71894014009
71894014109
71894012002
71894012103
71894012203
71894012303
71894012404
07/01/2020 - 12/31/2999
71894012504
71894012604
71894012705
71894012805
71894012905
71894013006
71894013106
71894013206
71894013307
71894013407
71894013708
71336100101 07/01/2020 - 12/31/2999

00078088361 07/01/2020 - 12/31/2999
60923046502 07/01/2020 - 12/31/2999
57665000201 07/01/2019 – 12/31/2999
69488000301 07/01/2019 - 12/31/2999
72171050101
N/A
72171050501
71894013507
71894013608
71894013808
71894013909
71894014009
71894014109
71894012002
71894012103
71894012203
71894012303
71894012404
07/01/2019 – 06/30/2020
71894012504
71894012604
71894012705
71894012805
71894012905
71894013006
71894013106
71894013206
71894013307
71894013407
71894013708
71394006501
N/A
71394041501
60923036302 07/01/2017 – 12/31/2017
60923028410
64406005801 N/A
50242010501 06/10/2019 – 12/31/2019
58468042601 04/01/2022 - 12/31/2999
71287021901 04/01/2021 - 12/31/2999
73292001101 04/01/2021-12/31/2999
71287011901 04/01/2018 - 12/31/2999
73475304105 01/01/2023 - 12/31/2999
71336100301 01/01/2023 - 12/31/2999
25682002501
25682002201 01/01/2022 - 12/31/2999
25682002801
47783010101 01/01/2022 - 12/31/2999
68135010001 01/01/2022 - 12/31/2999
68135002001 01/01/2022 - 12/31/2999
54092070001 01/01/2022 - 12/31/2999
54092070202 54092070203 01/01/2022 - 12/31/2999
72677055101 N/A
58468007001 01/01/2022 - 12/31/2999
25682000701 01/01/2022 - 12/31/2999
58468004101 58468004001 01/01/2022 - 12/31/2999
47783064401 01/01/2022 - 12/31/2999
68012035001 68012035002
71274035001 01/01/2022 - 12/31/2999
71274035002
63833082502 01/01/2022 - 12/31/2999
42227008105
01/01/2022 - 12/31/2999
42227008301
63833082802
01/01/2022 - 12/31/2999
63833082902
64406010101 64406010202 01/01/2022 - 12/31/2999
59572051501 59572051502 59572051503 N/A
58468016001
58468016002 01/01/2022 - 12/31/2999
58468042601 N/A
71287021901 N/A
73292001101 N/A
59572071101
07/01/2020 - 12/31/2999
59572077501
50242010501 01/01/2020 - 12/31/2999
68135005890
68135075620 01/01/2019 – 12/31/2999
68135067340
68135081102 01/01/2019 - 12/31/2999
00078084619 01/01/2019 - 12/31/2999
00078084619
69794010201
69794020301 01/01/2019 - 12/31/2999
69794030401
71394006501
01/01/2019 - 12/31/2999
71394041501
64406005801 01/01/2018 - 12/31/2999
60923036302
01/01/2018 - 12/31/2999
60923028410
68135081102 N/A
70510217101
N/A
70510217102
00078084619
N/A
00078084619
71287011901 01/01/2018 – 03/31/2018
Outpatient Hospital Date Span
N/A
N/A
N/A
N/A
N/A
N/A
10/01/2022 - 12/31/2999
10/01/2022 - 12/31/2999
10/01/2021 - 12/31/2999
10/01/2021 - 12/31/2999
10/01/2021 - 12/31/2999
10/01/2019 - 12/31/2999
1/1/2022 - 12/31/2999
1/1/2022 - 12/31/2999
07/16/2021 - 12/31/2999
07/01/2022 - 12/31/2999
07/01/2022 - 12/31/2999
07/01/2022 - 09/30/2022
07/01/2022 - 09/30/2022
07/01/2021 - 12/31/2999
07/01/2021 - 12/31/2999
07/01/2021 - 12/31/2999
07/01/2021 - 09/30/2021
07/01/2021 - 09/30/2021
07/01/2020 - 12/31/2999
07/01/2020 - 12/31/2999
07/01/2020 - 12/31/2999
07/01/2020 - 12/31/2999
07/01/2019 – 12/31/2999
07/01/2019 - 12/31/2999
07/01/2019 - 09/30/2019
07/01/2019 – 06/30/2020
07/01/2018 - 12/31/2018
07/01/2017 – 12/31/2017
07/01/2017 - 12/31/2017
06/10/2019 – 12/31/2019
04/01/2022 - 12/31/2999
04/01/2021 - 12/31/2999
04/01/2021 - 12/31/2999
04/01/2018 - 12/31/2999
01/01/2023 - 12/31/2999
01/01/2023 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 12/31/2999
01/01/2022 - 03/31/2022
01/01/2021 - 03/31/2021
01/01/2021 - 03/31/2021
01/01/2020 - 12/31/2999
01/01/2020 - 12/31/2999
01/01/2019 – 12/31/2999
01/01/2019 - 12/31/2999
01/01/2019 - 12/31/2999
01/01/2019 - 12/31/2999
01/01/2019 - 12/31/2999
01/01/2018 - 12/31/2999
01/01/2018 - 12/31/2999
01/01/2018 - 12/31/2019
01/01/2018 -- 12/31/2018
01/01/2018 - 12/31/2018
01/01/2018 – 03/31/2018
PLEASE SEE COVID-19 FEE SCHEDULE FOR MOST CURRENT OPPS COVERAG
***ALL OPPS COVID CODES ARE LISTED IN COVID-19 FEE SCHEDULE ONLY*
COVID-19 Fee Schedule

PPS COVERAGE
EDULE ONLY***

Opps 20230101

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Opps 20230101

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Washington Sta

AUTH CPT DESCRPT

0001F Heart failure composite

COV MAX. EAPG OP FEE

*PA required if for Transhealth, per policy eff 11/01/2021

*PA required if for Transhealth

*PA required if for Transhealth

*PA required if for Transhealth

*PA required if for Transhealth

*PA required if for Transhealth

*Covered only for Transhealth / PA required

*PA required if for Transhealth

*PA required if for Transhealth

*PA required if for Transhealth

*PA required if for Transhealth

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

(No PA Rqd Age < 21)/(CPA Age 21+)

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

*Covered only for Transhealth / PA required

*Covered only for Transhealth / PA required

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

*PA required if for Transhealth

*PA required if for Transhealth

*PA required if for Transhealth

Please see the Physician-Related Billing Guide

*PA required if for Transhealth

*PA required if for Transhealth

*Covered only for Transhealth / PA required

*PA required if for Transhealth, per policy eff 11/01/2021

*PA required if for Transhealth

*PA required if for Transhealth

*PA required if for Transhealth

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

CPA age 21+. No PA age <21

0 through 20 years of age

PA age 21+, No PA age <21

Please see the Physician-Related Billing Guide

CPA age 21+. No PA age <21