doczyai-pipelines/fieldExtraction/crosswalk/mapping_csvs/proc_cd/hcpcs.csv

1	Code	Category	Description
2	A0021	Ambulance and Other Transport Services and Supplies	Ambulance service, outside state per mile, transport (Medicaid only)
3	A0080	Ambulance and Other Transport Services and Supplies	Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest
4	A0090	Ambulance and Other Transport Services and Supplies	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest
5	A0100	Ambulance and Other Transport Services and Supplies	Non-emergency transportation; taxi
6	A0110	Ambulance and Other Transport Services and Supplies	Non-emergency transportation and bus, intra or inter state carrier
7	A0120	Ambulance and Other Transport Services and Supplies	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems
8	A0130	Ambulance and Other Transport Services and Supplies	Non-emergency transportation: wheel-chair van
9	A0140	Ambulance and Other Transport Services and Supplies	Non-emergency transportation and air travel (private or commercial) intra or inter state
10	A0160	Ambulance and Other Transport Services and Supplies	Non-emergency transportation: per mile - case worker or social worker
11	A0170	Ambulance and Other Transport Services and Supplies	Transportation ancillary: parking fees, tolls, other
12	A0180	Ambulance and Other Transport Services and Supplies	Non-emergency transportation: ancillary: lodging-recipient
13	A0190	Ambulance and Other Transport Services and Supplies	Non-emergency transportation: ancillary: meals-recipient
14	A0200	Ambulance and Other Transport Services and Supplies	Non-emergency transportation: ancillary: lodging escort
15	A0210	Ambulance and Other Transport Services and Supplies	Non-emergency transportation: ancillary: meals-escort
16	A0225	Ambulance and Other Transport Services and Supplies	Ambulance service, neonatal transport, base rate, emergency transport, one way
17	A0380	Ambulance and Other Transport Services and Supplies	BLS mileage (per mile)
18	A0382	Ambulance and Other Transport Services and Supplies	BLS routine disposable supplies
19	A0384	Ambulance and Other Transport Services and Supplies	BLS specialized service disposable supplies; defibrillation (used by ALS ambulances and BLS ambulances in jurisdictions where defibrillation is permitted in BLS ambulances)
20	A0390	Ambulance and Other Transport Services and Supplies	ALS mileage (per mile)
21	A0392	Ambulance and Other Transport Services and Supplies	ALS specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in BLS ambulances)
22	A0394	Ambulance and Other Transport Services and Supplies	ALS specialized service disposable supplies; IV drug therapy
23	A0396	Ambulance and Other Transport Services and Supplies	ALS specialized service disposable supplies; esophageal intubation
24	A0398	Ambulance and Other Transport Services and Supplies	ALS routine disposable supplies
25	A0420	Ambulance and Other Transport Services and Supplies	Ambulance waiting time (ALS or BLS), one half (1/2) hour increments
26	A0422	Ambulance and Other Transport Services and Supplies	Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation
27	A0424	Ambulance and Other Transport Services and Supplies	Extra ambulance attendant, ground (ALS or BLS) or air (fixed or rotary winged); (requires medical review)
28	A0425	Ambulance and Other Transport Services and Supplies	Ground mileage, per statute mile
29	A0426	Ambulance and Other Transport Services and Supplies	Ambulance service, advanced life support, non-emergency transport, level 1 (ALS 1)
30	A0427	Ambulance and Other Transport Services and Supplies	Ambulance service, advanced life support, emergency transport, level 1 (ALS 1-emergency)
31	A0428	Ambulance and Other Transport Services and Supplies	Ambulance service, basic life support, non-emergency transport, (BLS)
32	A0429	Ambulance and Other Transport Services and Supplies	Ambulance service, basic life support, emergency transport (BLS-emergency)
33	A0430	Ambulance and Other Transport Services and Supplies	Ambulance service, conventional air services, transport, one way (fixed wing)
34	A0431	Ambulance and Other Transport Services and Supplies	Ambulance service, conventional air services, transport, one way (rotary wing)
35	A0432	Ambulance and Other Transport Services and Supplies	Paramedic intercept (PI), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers
36	A0433	Ambulance and Other Transport Services and Supplies	Advanced life support, level 2 (ALS 2)
37	A0434	Ambulance and Other Transport Services and Supplies	Specialty care transport (SCT)
38	A0435	Ambulance and Other Transport Services and Supplies	Fixed wing air mileage, per statute mile
39	A0436	Ambulance and Other Transport Services and Supplies	Rotary wing air mileage, per statute mile
40	A0888	Ambulance and Other Transport Services and Supplies	Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)
41	A0998	Ambulance and Other Transport Services and Supplies	Ambulance response and treatment, no transport
42	A0999	Ambulance and Other Transport Services and Supplies	Unlisted ambulance service
43	A2001	Matrix for Wound Management (Placental, Equine, Synthetic)	Innovamatrix ac, per square centimeter
44	A2002	Matrix for Wound Management (Placental, Equine, Synthetic)	Mirragen advanced wound matrix, per square centimeter
45	A2004	Matrix for Wound Management (Placental, Equine, Synthetic)	Xcellistem, 1 mg
46	A2005	Matrix for Wound Management (Placental, Equine, Synthetic)	Microlyte matrix, per square centimeter
47	A2006	Matrix for Wound Management (Placental, Equine, Synthetic)	Novosorb synpath dermal matrix, per square centimeter
48	A2007	Matrix for Wound Management (Placental, Equine, Synthetic)	Restrata, per square centimeter
49	A2008	Matrix for Wound Management (Placental, Equine, Synthetic)	Theragenesis, per square centimeter
50	A2009	Matrix for Wound Management (Placental, Equine, Synthetic)	Symphony, per square centimeter
51	A2010	Matrix for Wound Management (Placental, Equine, Synthetic)	Apis, per square centimeter
52	A2011	Matrix for Wound Management (Placental, Equine, Synthetic)	Supra sdrm, per square centimeter
53	A2012	Matrix for Wound Management (Placental, Equine, Synthetic)	Suprathel, per square centimeter
54	A2013	Matrix for Wound Management (Placental, Equine, Synthetic)	Innovamatrix fs, per square centimeter
55	A2014	Matrix for Wound Management (Placental, Equine, Synthetic)	Omeza collagen matrix, per 100 mg
56	A2015	Matrix for Wound Management (Placental, Equine, Synthetic)	Phoenix wound matrix, per square centimeter
57	A2016	Matrix for Wound Management (Placental, Equine, Synthetic)	Permeaderm b, per square centimeter
58	A2017	Matrix for Wound Management (Placental, Equine, Synthetic)	Permeaderm glove, each
59	A2018	Matrix for Wound Management (Placental, Equine, Synthetic)	Permeaderm c, per square centimeter
60	A2019	Matrix for Wound Management (Placental, Equine, Synthetic)	Kerecis omega3 marigen shield, per square centimeter
61	A2020	Matrix for Wound Management (Placental, Equine, Synthetic)	Ac5 advanced wound system (ac5)
62	A2021	Matrix for Wound Management (Placental, Equine, Synthetic)	Neomatrix, per square centimeter
63	A2022	Matrix for Wound Management (Placental, Equine, Synthetic)	Innovaburn or innovamatrix xl, per square centimeter
64	A2023	Matrix for Wound Management (Placental, Equine, Synthetic)	Innovamatrix pd, 1 mg
65	A2024	Matrix for Wound Management (Placental, Equine, Synthetic)	Resolve matrix or xenopatch, per square centimeter
66	A2025	Matrix for Wound Management (Placental, Equine, Synthetic)	Miro3d, per cubic centimeter
67	A2026	Matrix for Wound Management (Placental, Equine, Synthetic)	Restrata minimatrix, 5 mg
68	A2027	Matrix for Wound Management (Placental, Equine, Synthetic)	Matriderm, per square centimeter
69	A2028	Matrix for Wound Management (Placental, Equine, Synthetic)	Micromatrix flex, per mg
70	A2029	Matrix for Wound Management (Placental, Equine, Synthetic)	Mirotract wound matrix sheet, per cubic centimeter
71	A4100	Skin Substitute Device	Skin substitute, fda cleared as a device, not otherwise specified
72	C1052	Other Therapeutic Procedures	Hemostatic agent, gastrointestinal, topical
73	C1062	Other Therapeutic Procedures	Intravertebral body fracture augmentation with implant (e.g., metal, polymer)
74	C1600	Surgical, Imaging Devices and Grafts	Catheter, transluminal intravascular lesion preparation device, bladed, sheathed (insertable)
75	C1601	Surgical, Imaging Devices and Grafts	Endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable)
76	C1602	Surgical, Imaging Devices and Grafts	Orthopedic/device/drug matrix/absorbable bone void filler, antimicrobial-eluting (implantable)
77	C1603	Surgical, Imaging Devices and Grafts	Retrieval device, insertable, laser (used to retrieve intravascular inferior vena cava filter)
78	C1604	Surgical, Imaging Devices and Grafts	Graft, transmural transvenous arterial bypass (implantable), with all delivery system components
79	C1605	Surgical, Imaging Devices and Grafts	Pacemaker, leadless, dual chamber (right atrial and right ventricular implantable components), rate-responsive, including all necessary components for implantation
80	C1606	Surgical, Imaging Devices and Grafts	Adapter, single-use (i.e. disposable), for attaching ultrasound system to upper gastrointestinal endoscope
81	J9000	Chemotherapy Drugs	Injection, doxorubicin hydrochloride, 10 mg
82	J9015	Chemotherapy Drugs	Injection, aldesleukin, per single use vial
83	J9017	Chemotherapy Drugs	Injection, arsenic trioxide, 1 mg
84	J9019	Chemotherapy Drugs	Injection, asparaginase (Erwinaze), 1, 000 IU
85	J9020	Chemotherapy Drugs	Injection, asparaginase, not otherwise specified, 10, 000 units
86	J9021	Chemotherapy Drugs	Injection, asparaginase, recombinant, (rylaze), 0.1 mg
87	J9022	Chemotherapy Drugs	Injection, atezolizumab, 10 mg
88	J9023	Chemotherapy Drugs	Injection, avelumab, 10 mg
89	J9025	Chemotherapy Drugs	Injection, azacitidine, 1 mg
90	J9026	Chemotherapy Drugs	Injection, tarlatamab-dlle, 1 mg
91	J9027	Chemotherapy Drugs	Injection, clofarabine, 1 mg
92	J9028	Chemotherapy Drugs	Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram
93	J9029	Chemotherapy Drugs	Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose
94	J9030	Chemotherapy Drugs	BCG live intravesical instillation, 1 mg
95	J9032	Chemotherapy Drugs	Injection, belinostat, 10 mg
96	J9033	Chemotherapy Drugs	Injection, bendamustine hydrochloride, 1 mg
97	J9034	Chemotherapy Drugs	Injection, bendamustine HCL (bendeka), 1 mg
98	J9035	Chemotherapy Drugs	Injection, bevacizumab, 10 mg
99	J9036	Chemotherapy Drugs	Injection, bendamustine hydrochloride, (Belrapzo), 1 mg
100	J9037	Chemotherapy Drugs	Injection, belantamab mafodontin-blmf, 0.5 mg
101	J9039	Chemotherapy Drugs	Injection, blinatumomab, 1 microgram
102	J9040	Chemotherapy Drugs	Injection, bleomycin sulfate, 15 units
103	J9041	Chemotherapy Drugs	Injection, bortezomib, 0.1 mg
104	J9042	Chemotherapy Drugs	Injection, brentuximab vedotin, 1 mg
105	J9043	Chemotherapy Drugs	Injection, cabazitaxel, 1 mg
106	J9045	Chemotherapy Drugs	Injection, carboplatin, 50 mg
107	J9046	Chemotherapy Drugs	Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg
108	J9047	Chemotherapy Drugs	Injection, carfilzomib, 1 mg
109	J9048	Chemotherapy Drugs	Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg
110	J9049	Chemotherapy Drugs	Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg
111	J9050	Chemotherapy Drugs	Injection, carmustine, 100 mg
112	J9051	Chemotherapy Drugs	Injection, bortezomib (maia), not therapeutically equivalent to j9041, 0.1 mg
113	J9052	Chemotherapy Drugs	Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg
114	J9055	Chemotherapy Drugs	Injection, cetuximab, 10 mg
115	J9056	Chemotherapy Drugs	Injection, bendamustine hydrochloride (vivimusta), 1 mg
116	J9057	Chemotherapy Drugs	Injection, copanlisib, 1 mg
117	J9060	Chemotherapy Drugs	Injection, cisplatin, powder or solution, 10 mg
118	J9061	Chemotherapy Drugs	Injection, amivantamab-vmjw, 2 mg
119	J9063	Chemotherapy Drugs	Injection, mirvetuximab soravtansine-gynx, 1 mg
120	J9064	Chemotherapy Drugs	Injection, cabazitaxel (sandoz), not therapeutically equivalent to j9043, 1 mg
121	J9065	Chemotherapy Drugs	Injection, cladribine, per 1 mg
122	J9071	Chemotherapy Drugs	Injection, cyclophosphamide (auromedics), 5 mg
123	J9072	Chemotherapy Drugs	Injection, cyclophosphamide (avyxa), 5 mg
124	J9073	Chemotherapy Drugs	Injection, cyclophosphamide (ingenus), 5 mg
125	J9074	Chemotherapy Drugs	Injection, cyclophosphamide (sandoz), 5 mg
126	J9075	Chemotherapy Drugs	Injection, cyclophosphamide, not otherwise specified, 5 mg
127	J9076	Chemotherapy Drugs	Injection, cyclophosphamide (baxter), 5 mg
128	J9098	Chemotherapy Drugs	Injection, cytarabine liposome, 10 mg
129	J9100	Chemotherapy Drugs	Injection, cytarabine, 100 mg
130	J9118	Chemotherapy Drugs	Injection, calaspargase pegol-mknl, 10 units
131	J9119	Chemotherapy Drugs	Injection, cemiplimab-rwlc, 1 mg
132	J9120	Chemotherapy Drugs	Injection, dactinomycin, 0.5 mg
133	J9130	Chemotherapy Drugs	Dacarbazine, 100 mg
134	J9144	Chemotherapy Drugs	Injection, daratumumab, 10 mg and hyaluronidase-fihj
135	J9145	Chemotherapy Drugs	Injection, daratumumab, 10 mg
136	J9150	Chemotherapy Drugs	Injection, daunorubicin, 10 mg
137	J9151	Chemotherapy Drugs	Injection, daunorubicin Citrate, liposomal formulation, 10 mg
138	J9153	Chemotherapy Drugs	Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine
139	J9155	Chemotherapy Drugs	Injection, degarelix, 1 mg
140	J9165	Chemotherapy Drugs	Injection, diethylstilbestrol diphosphate, 250 mg
141	J9171	Chemotherapy Drugs	Injection, docetaxel, 1 mg
142	J9172	Chemotherapy Drugs	Injection, docetaxel (docivyx), 1 mg
143	J9173	Chemotherapy Drugs	Injection, durvalumab, 10 mg
144	J9175	Chemotherapy Drugs	Injection, Elliotts' B solution, 1 ml
145	J9176	Chemotherapy Drugs	Injection, elotuzumab, 1 mg
146	J9177	Chemotherapy Drugs	Injection, enfortumab vedotin-ejfv, 0.25 mg
147	J9178	Chemotherapy Drugs	Injection, epirubicin HCl, 2 mg
148	J9179	Chemotherapy Drugs	Injection, eribulin mesylate, 0.1 mg
149	J9181	Chemotherapy Drugs	Injection, etoposide, 10 mg
150	J9185	Chemotherapy Drugs	Injection, fludarabine phosphate, 50 mg
151	J9190	Chemotherapy Drugs	Injection, fluorouracil, 500 mg
152	J9196	Chemotherapy Drugs	Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg
153	J9198	Chemotherapy Drugs	Injection, gemcitabine hydrochloride, (infugem), 100 mg
154	J9200	Chemotherapy Drugs	Injection, floxuridine, 500 mg
155	J9201	Chemotherapy Drugs	Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg
156	J9202	Chemotherapy Drugs	Goserelin acetate implant, per 3.6 mg
157	J9203	Chemotherapy Drugs	Injection, gemtuzumab ozogamicin, 0.1 mg
158	J9204	Chemotherapy Drugs	Injection, mogamulizumab-kpkc, 1 mg
159	J9205	Chemotherapy Drugs	Injection, irinotecan liposome, 1 mg
160	J9206	Chemotherapy Drugs	Injection, irinotecan, 20 mg
161	J9207	Chemotherapy Drugs	Injection, ixabepilone, 1 mg
162	J9208	Chemotherapy Drugs	Injection, ifosfamide, 1 gram
163	J9209	Chemotherapy Drugs	Injection, mesna, 200 mg
164	J9210	Chemotherapy Drugs	Injection, emapalumab-lzsg, 1 mg
165	J9211	Chemotherapy Drugs	Injection, idarubicin hydrochloride, 5 mg
166	J9212	Chemotherapy Drugs	Injection, interferon alfacon-1, recombinant, 1 microgram
167	J9213	Chemotherapy Drugs	Injection, interferon, alfa-2a, recombinant, 3 million units
168	J9214	Chemotherapy Drugs	Injection, interferon, alfa-2b, recombinant, 1 million units
169	J9215	Chemotherapy Drugs	Injection, interferon, alfa-N3, (human leukocyte derived), 250, 000 IU
170	J9216	Chemotherapy Drugs	Injection, interferon, gamma 1-b, 3 million units
171	J9217	Chemotherapy Drugs	Leuprolide acetate (for depot suspension), 7.5 mg
172	J9218	Chemotherapy Drugs	Leuprolide acetate, per 1 mg
173	J9219	Chemotherapy Drugs	Leuprolide acetate implant, 65 mg
174	J9223	Chemotherapy Drugs	Injection, lurbinectedin, 0.1 mg
175	J9225	Chemotherapy Drugs	Histrelin implant (Vantas), 50 mg
176	J9226	Chemotherapy Drugs	Histrelin implant (Supprelin LA), 50 mg
177	J9227	Chemotherapy Drugs	Injection, isatuximab-irfc, 10 mg
178	J9228	Chemotherapy Drugs	Injection, ipilimumab, 1 mg
179	J9229	Chemotherapy Drugs	Injection, inotuzumab ozogamicin, 0.1 mg
180	J9230	Chemotherapy Drugs	Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg
181	J9245	Chemotherapy Drugs	Injection, melphalan hydrochloride, not otherwise specified, 50 mg
182	J9246	Chemotherapy Drugs	Injection, melphalan (evomela), 1 mg
183	J9247	Chemotherapy Drugs	Injection, melphalan flufenamide, 1mg
184	J9248	Chemotherapy Drugs	Injection, melphalan (hepzato), 1 mg
185	J9249	Chemotherapy Drugs	Injection, melphalan (apotex), 1 mg
186	J9255	Chemotherapy Drugs	Injection, methotrexate (accord), not therapeutically equivalent to j9260, 50 mg
187	J9260	Chemotherapy Drugs	Injection, methotrexate sodium, 50 mg
188	J9261	Chemotherapy Drugs	Injection, nelarabine, 50 mg
189	J9262	Chemotherapy Drugs	Injection, omacetaxine mepesuccinate, 0.01 mg
190	J9263	Chemotherapy Drugs	Injection, oxaliplatin, 0.5 mg
191	J9264	Chemotherapy Drugs	Injection, paclitaxel protein-bound particles, 1 mg
192	J9266	Chemotherapy Drugs	Injection, pegaspargase, per single dose vial
193	J9267	Chemotherapy Drugs	Injection, paclitaxel, 1 mg
194	J9268	Chemotherapy Drugs	Injection, pentostatin, 10 mg
195	J9269	Chemotherapy Drugs	Injection, tagraxofusp-erzs, 10 micrograms
196	J9270	Chemotherapy Drugs	Injection, plicamycin, 2.5 mg
197	J9271	Chemotherapy Drugs	Injection, pembrolizumab, 1 mg
198	J9272	Chemotherapy Drugs	Injection, dostarlimab-gxly, 10 mg
199	J9273	Chemotherapy Drugs	Injection, tisotumab vedotin-tftv, 1 mg
200	J9274	Chemotherapy Drugs	Injection, tebentafusp-tebn, 1 microgram
201	J9280	Chemotherapy Drugs	Injection, mitomycin, 5 mg
202	J9281	Chemotherapy Drugs	Mitomycin pyelocalyceal instillation, 1 mg
203	J9285	Chemotherapy Drugs	Injection, olaratumab, 10 mg
204	J9286	Chemotherapy Drugs	Injection, glofitamab-gxbm, 2.5 mg
205	J9292	Chemotherapy Drugs	Injection, pemetrexed (avyxa), not therapeutically equivalent to j9305, 10 mg
206	J9293	Chemotherapy Drugs	Injection, mitoxantrone hydrochloride, per 5 mg
207	J9294	Chemotherapy Drugs	Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg
208	J9295	Chemotherapy Drugs	Injection, necitumumab, 1 mg
209	J9296	Chemotherapy Drugs	Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg
210	J9297	Chemotherapy Drugs	Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg
211	J9298	Chemotherapy Drugs	Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg
212	J9299	Chemotherapy Drugs	Injection, nivolumab, 1 mg
213	J9301	Chemotherapy Drugs	Injection, obinutuzumab, 10 mg
214	J9302	Chemotherapy Drugs	Injection, ofatumumab, 10 mg
215	J9303	Chemotherapy Drugs	Injection, panitumumab, 10 mg
216	J9304	Chemotherapy Drugs	Injection, pemetrexed (pemfexy), 10 mg
217	J9305	Chemotherapy Drugs	Injection, pemetrexed, not otherwise specified, 10 mg
218	J9306	Chemotherapy Drugs	Injection, pertuzumab, 1 mg
219	J9307	Chemotherapy Drugs	Injection, pralatrexate, 1 mg
220	J9308	Chemotherapy Drugs	Injection, ramucirumab, 5 mg
221	J9309	Chemotherapy Drugs	Injection, polatuzumab vedotin-piiq, 1 mg
222	J9311	Chemotherapy Drugs	Injection, rituximab 10 mg and hyaluronidase
223	J9312	Chemotherapy Drugs	Injection, rituximab, 10 mg
224	J9313	Chemotherapy Drugs	Injection, moxetumomab pasudotox-tdfk, 0.01 mg
225	J9314	Chemotherapy Drugs	Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg
226	J9316	Chemotherapy Drugs	Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg
227	J9317	Chemotherapy Drugs	Injection, sacituzumab govitecan-hziy, 2.5 mg
228	J9318	Chemotherapy Drugs	Injection, romidepsin, non-lyophilized, 0.1 mg
229	J9319	Chemotherapy Drugs	Injection, romidepsin, lyophilized, 0.1 mg
230	J9320	Chemotherapy Drugs	Injection, streptozocin, 1 gram
231	J9321	Chemotherapy Drugs	Injection, epcoritamab-bysp, 0.16 mg
232	J9322	Chemotherapy Drugs	Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg
233	J9323	Chemotherapy Drugs	Injection, pemetrexed ditromethamine, 10 mg
234	J9324	Chemotherapy Drugs	Injection, pemetrexed (pemrydi rtu), 10 mg
235	J9325	Chemotherapy Drugs	Injection, talimogene laherparepvec, per 1 million plaque forming units
236	J9328	Chemotherapy Drugs	Injection, temozolomide, 1 mg
237	J9329	Chemotherapy Drugs	Injection, tislelizumab-jsgr, 1mg
238	J9330	Chemotherapy Drugs	Injection, temsirolimus, 1 mg
239	J9331	Chemotherapy Drugs	Injection, sirolimus protein-bound particles, 1 mg
240	J9332	Chemotherapy Drugs	Injection, efgartigimod alfa-fcab, 2mg
241	J9333	Chemotherapy Drugs	Injection, rozanolixizumab-noli, 1 mg
242	J9334	Chemotherapy Drugs	Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc
243	J9340	Chemotherapy Drugs	Injection, thiotepa, 15 mg
244	J9345	Chemotherapy Drugs	Injection, retifanlimab-dlwr, 1 mg
245	J9347	Chemotherapy Drugs	Injection, tremelimumab-actl, 1 mg
246	J9348	Chemotherapy Drugs	Injection, naxitamab-gqgk, 1 mg
247	J9349	Chemotherapy Drugs	Injection, tafasitamab-cxix, 2 mg
248	J9350	Chemotherapy Drugs	Injection, mosunetuzumab-axgb, 1 mg
249	J9351	Chemotherapy Drugs	Injection, topotecan, 0.1 mg
250	J9352	Chemotherapy Drugs	Injection, trabectedin, 0.1 mg
251	J9353	Chemotherapy Drugs	Injection, margetuximab-cmkb, 5 mg
252	J9354	Chemotherapy Drugs	Injection, ado-trastuzumab emtansine, 1 mg
253	J9355	Chemotherapy Drugs	Injection, trastuzumab, excludes biosimilar, 10 mg
254	J9356	Chemotherapy Drugs	Injection, trastuzumab, 10 mg and Hyaluronidase-oysk
255	J9357	Chemotherapy Drugs	Injection, valrubicin, intravesical, 200 mg
256	J9358	Chemotherapy Drugs	Injection, fam-trastuzumab deruxtecan-nxki, 1 mg
257	J9359	Chemotherapy Drugs	Injection, loncastuximab tesirine-lpyl, 0.075 mg
258	J9360	Chemotherapy Drugs	Injection, vinblastine sulfate, 1 mg
259	J9361	Chemotherapy Drugs	Injection, efbemalenograstim alfa-vuxw, 0.5 mg
260	J9370	Chemotherapy Drugs	Vincristine sulfate, 1 mg
261	J9376	Chemotherapy Drugs	Injection, pozelimab-bbfg, 1 mg
262	J9380	Chemotherapy Drugs	Injection, teclistamab-cqyv, 0.5 mg
263	J9381	Chemotherapy Drugs	Injection, teplizumab-mzwv, 5 mcg
264	J9390	Chemotherapy Drugs	Injection, vinorelbine tartrate, 10 mg
265	J9393	Chemotherapy Drugs	Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg
266	J9394	Chemotherapy Drugs	Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg
267	J9395	Chemotherapy Drugs	Injection, fulvestrant, 25 mg
268	J9400	Chemotherapy Drugs	Injection, ziv-aflibercept, 1 mg
269	J9600	Chemotherapy Drugs	Injection, porfimer sodium, 75 mg
270	J9999	Chemotherapy Drugs	Not otherwise classified, antineoplastic drugs
271	K1004	Components, Accessories and Supplies	Low frequency ultrasonic diathermy treatment device for home use
272	K1007	Components, Accessories and Supplies	Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and accessories, motors, microprocessors, sensors
273	K1027	Components, Accessories and Supplies	Oral device/appliance used to reduce upper airway collapsibility, without fixed mechanical hinge, custom fabricated, includes fitting and adjustment
274	K1030	Components, Accessories and Supplies	External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator, replacement only
275	K1034	Components, Accessories and Supplies	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count
276	K1035	Components, Accessories and Supplies	Molecular diagnostic test reader, nonprescription self-administered and self-collected use, fda approved, authorized or cleared
277	K1036	Components, Accessories and Supplies	Supplies and accessories (e.g., transducer) for low frequency ultrasonic diathermy treatment device, per month
278	K1037	Components, Accessories and Supplies	Docking station for use with oral device/appliance used to reduce upper airway collapsibility
279	M0001	MIPS Value Pathways	Advancing cancer care mips value pathways
280	M0002	MIPS Value Pathways	Optimal care for kidney health mips value pathways
281	M0004	MIPS Value Pathways	Quality care for patients with neurological conditions mips value pathway
282	M0005	MIPS Value Pathways	Value in primary care mips value pathway
283	M0010	EOM (Enhancing Oncology Model) Enhanced Services	Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services
284	M0075	Miscellaneous Medical Services	Cellular therapy
285	M0076	Miscellaneous Medical Services	Prolotherapy
286	M0100	Miscellaneous Medical Services	Intragastric hypothermia using gastric freezing
287	M0201	Miscellaneous Medical Services	Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home
288	M0220	Miscellaneous Medical Services	Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring
289	M0221	Miscellaneous Medical Services	Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring in the home or residence; this includes a beneficiary’s home that has been made provider-based to the hospital during the covid-19 public health emergency
290	M0222	Miscellaneous Medical Services	Intravenous injection, bebtelovimab, includes injection and post administration monitoring
291	M0223	Miscellaneous Medical Services	Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary’s home that has been made provider-based to the hospital during the covid-19 public health emergency
292	M0224	Miscellaneous Medical Services	Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, includes infusion and post administration monitoring
293	M0240	Miscellaneous Medical Services	Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat doses
294	M0241	Miscellaneous Medical Services	Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency, subsequent repeat doses
295	M0243	Miscellaneous Medical Services	Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring
296	M0244	Miscellaneous Medical Services	Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary’s home that has been made provider-based to the hospital during the COVID-19 public health emergency
297	M0245	Miscellaneous Medical Services	Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring
298	M0246	Miscellaneous Medical Services	Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider based to the hospital during the covid 19 public health emergency
299	M0247	Miscellaneous Medical Services	Intravenous infusion, sotrovimab, includes infusion and post administration monitoring
300	M0248	Miscellaneous Medical Services	Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency
301	M0249	Miscellaneous Medical Services	Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) only, includes infusion and post administration monitoring, first dose
302	M0250	Miscellaneous Medical Services	Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) only, includes infusion and post administration monitoring, second dose
303	M0300	Miscellaneous Medical Services	IV chelation therapy (chemical endarterectomy)
304	M0301	Miscellaneous Medical Services	Fabric wrapping of abdominal aneurysm
305	M1106	Episode of Care	The start of an episode of care documented in the medical record
306	M1107	Episode of Care	Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care
307	M1108	Episode of Care	Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record
308	M1109	Episode of Care	Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery
309	M1110	Episode of Care	Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)
310	M1111	Episode of Care	The start of an episode of care documented in the medical record
311	M1112	Episode of Care	Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care
312	M1113	Episode of Care	Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record
313	M1114	Episode of Care	Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery
314	M1115	Episode of Care	Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)
315	M1116	Episode of Care	The start of an episode of care documented in the medical record
316	M1117	Episode of Care	Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care
317	M1118	Episode of Care	Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record
318	M1119	Episode of Care	Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery
319	M1120	Episode of Care	Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)
320	M1121	Episode of Care	The start of an episode of care documented in the medical record
321	M1122	Episode of Care	Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care
322	M1123	Episode of Care	Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record
323	M1124	Episode of Care	Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery
324	M1125	Episode of Care	Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)
325	M1126	Episode of Care	The start of an episode of care documented in the medical record
326	M1127	Episode of Care	Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care
327	M1128	Episode of Care	Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record
328	M1129	Episode of Care	Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery
329	M1130	Episode of Care	Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)
330	M1131	Episode of Care	Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care
331	M1132	Episode of Care	Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record
332	M1133	Episode of Care	Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery
333	M1134	Episode of Care	Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)
334	M1135	Episode of Care	The start of an episode of care documented in the medical record
335	M1141	Episode of Care	Functional status was not measured by the oxford knee score (oks) or the knee injury and osteoarthritis outcome score joint replacement (koos, jr.) at one year (9 to 15 months) postoperatively
336	M1142	Episode of Care	Emergent cases
337	M1143	Episode of Care	Initiated episode of rehabilitation therapy, medical, or chiropractic care for neck impairment
338	M1146	Other Services	Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record
339	M1147	Other Services	Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery
340	M1148	Other Services	Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)
341	M1149	Other Services	Patient unable to complete the neck fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility, and an adequate proxy is not available
342	M1150	Other Services	Current or prior left ventricular ejection fraction (lvef) less than or equal to 40% or documentation of moderately or severely depressed left ventricular systolic function
343	M1151	Other Services	Patients with a history of heart transplant or with a left ventricular assist device (lvad)
344	M1152	Other Services	Patients with a history of heart transplant or with a left ventricular assist device (lvad)
345	M1153	Other Services	Patient with diagnosis of osteoporosis on date of encounter
346	M1159	Other Services	Hospice services provided to patient any time during the measurement period
347	M1160	Other Services	Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient's 13th birthday
348	M1161	Other Services	Patient had anaphylaxis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday
349	M1162	Other Services	Patient had encephalitis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday
350	M1163	Other Services	Patient had anaphylaxis due to the hpv vaccine any time on or before the patient's 13th birthday
351	M1164	Other Services	Patients with dementia any time during the patient's history through the end of the measurement period
352	M1165	Other Services	Patients who use hospice services any time during the measurement period
353	M1166	Other Services	Pathology report for tissue specimens produced from wide local excisions or re-excisions
354	M1167	Other Services	In hospice or using hospice services during the measurement period
355	M1168	Other Services	Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period
356	M1169	Other Services	Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine)
357	M1170	Other Services	Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period
358	M1171	Other Services	Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period
359	M1172	Other Services	Documentation of medical reason(s) for not administering td or tdap vaccine (e.g., prior anaphylaxis due to the td or tdap vaccine or history of encephalopathy within seven days after a previous dose of a td-containing vaccine)
360	M1173	Other Services	Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period
361	M1174	Other Services	Patient received at least two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period
362	M1175	Other Services	Documentation of medical reason(s) for not administering zoster vaccine (e.g., prior anaphylaxis due to the zoster vaccine)
363	M1176	Other Services	Patient did not receive two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period
364	M1177	Other Services	Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period
365	M1178	Other Services	Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., prior anaphylaxis due to the pneumococcal vaccine)
366	M1179	Other Services	Patient did not receive any pneumococcal conjugate or polysaccharide vaccine, on or after their 19th birthday and before or during measurement period
367	M1180	Other Services	Patients on immune checkpoint inhibitor therapy
368	M1181	Other Services	Grade 2 or above diarrhea and/or grade 2 or above colitis
369	M1182	Other Services	Patients not eligible due to pre-existing inflammatory bowel disease (ibd) (e.g., ulcerative colitis, crohn's disease)
370	M1183	Other Services	Documentation of immune checkpoint inhibitor therapy held and corticosteroids or immunosuppressants prescribed or administered
371	M1184	Other Services	Documentation of medical reason(s) for not prescribing or administering corticosteroid or immunosuppressant treatment (e.g., allergy, intolerance, infectious etiology, pancreatic insufficiency, hyperthyroidism, prior bowel surgical interventions, celiac disease, receiving other medication, awaiting diagnostic workup results for alternative etiologies, other medical reasons/contraindication)
372	M1185	Other Services	Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed, reason not given
373	M1186	Other Services	Patients who have an order for or are receiving hospice or palliative care
374	M1187	Other Services	Patients with a diagnosis of end stage renal disease (esrd)
375	M1188	Other Services	Patients with a diagnosis of chronic kidney disease (ckd) stage 5
376	M1189	Other Services	Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed
377	M1190	Other Services	Documentation of a kidney health evaluation was not performed or defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr)
378	M1191	Other Services	Hospice services provided to patient any time during the measurement period
379	M1192	Other Services	Patients with an existing diagnosis of squamous cell carcinoma of the esophagus
380	M1193	Other Services	Surgical pathology reports that contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both
381	M1194	Other Services	Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both tests were not included (e.g., patient will not be treated with checkpoint inhibitor therapy, no residual carcinoma is present in the sample [tissue exhausted or status post neoadjuvant treatment], insufficient tumor for testing)
382	M1195	Other Services	Surgical pathology reports that do not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both, reason not given
383	M1196	Other Services	Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or itchyquant assessment score of greater than or equal to 4
384	M1197	Other Services	Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score
385	M1198	Other Services	Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter
386	M1199	Other Services	Patients receiving rrt
387	M1200	Other Services	Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period
388	M1201	Other Services	Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or arb therapy during the measurement period (e.g., pregnancy, history of angioedema to ace-i, other allergy to ace-i and arb, hyperkalemia or history of hyperkalemia while on ace-i or arb therapy, acute kidney injury due to ace-i or arb therapy), other medical reasons)
389	M1202	Other Services	Documentation of patient reason(s) for not prescribing ace inhibitor or arb therapy during the measurement period, (e.g., patient declined, other patient reasons)
390	M1203	Other Services	Ace inhibitor or arb therapy not prescribed during the measurement period, reason not given
391	M1204	Other Services	Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or itchyquant assessment score of greater than or equal to 4
392	M1205	Other Services	Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score
393	M1206	Other Services	Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter
394	M1207	Other Services	Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety
395	M1208	Other Services	Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety
396	M1209	Other Services	At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses
397	M1210	Other Services	At least two orders for high-risk medications from the same drug class, (table 4), not ordered
398	M1211	Other Services	Most recent glycemic status assessment (hba1c or gmi) level > 9.0%
399	M1212	Other Services	Glycemic status assessment (hba1c or gmi) level is missing, or was not performed during the measurement period
400	M1213	Other Services	No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%
401	M1214	Other Services	Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed
402	M1215	Other Services	Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)
403	M1216	Other Services	No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter
404	M1217	Other Services	Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g., spirometry equipment not available at the time of the encounter)
405	M1218	Other Services	Patient has copd symptoms (e.g., dyspnea, cough/sputum, wheezing)
406	M1220	Other Services	Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of retinopathy
407	M1221	Other Services	Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy
408	M1222	Other Services	Glaucoma plan of care not documented, reason not otherwise specified
409	M1223	Other Services	Glaucoma plan of care documented
410	M1224	Other Services	Intraocular pressure (iop) reduced by a value less than 20% from the pre-intervention level
411	M1225	Other Services	Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level
412	M1226	Other Services	Iop measurement not documented, reason not otherwise specified
413	M1227	Other Services	Evidence-based therapy was prescribed
414	M1228	Other Services	Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, has hcv treatment initiated within 3 months of the reactive hcv antibody test
415	M1229	Other Services	Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, is referred within 1 month of the reactive hcv antibody test to a clinician who treats hcv infection
416	M1230	Other Services	Patient has a reactive hcv antibody test and does not have a follow up hcv viral test, or patient has a reactive hcv antibody test and has a follow up hcv viral test that detects hcv viremia and is not referred to a clinician who treats hcv infection within 1 month and does not have hcv treatment initiated within 3 months of the reactive hcv antibody test, reason not given
417	M1231	Other Services	Patient receives hcv antibody test with nonreactive result
418	M1232	Other Services	Patient receives hcv antibody test with reactive result
419	M1233	Other Services	Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented, reason not given
420	M1234	Other Services	Patient has a reactive hcv antibody test, and has a follow up hcv viral test that does not detect hcv viremia
421	M1235	Other Services	Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period
422	M1236	Other Services	Baseline mrs > 2
423	M1237	Other Services	Patient reason for not screening for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety (e.g., patient declined or other patient reasons)
424	M1238	Other Services	Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i.e, first dose received after october 31)
425	M1239	Other Services	Patient did not respond to the question of patient felt heard and understood by this provider and team
426	M1240	Other Services	Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care
427	M1241	Other Services	Patient did not respond to the question of patient felt this provider and team saw me as a person, not just someone with a medical problem
428	M1242	Other Services	Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life
429	M1243	Other Services	Patient provided a response other than "completely true" for the question of patient felt heard and understood by this provider and team
430	M1244	Other Services	Patient provided a response other than "completely true" for the question of patient felt this provider and team put my best interests first when making recommendations about my care
431	M1245	Other Services	Patient provided a response other than "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem
432	M1246	Other Services	Patient provided a response other than "completely true" for the question of patient felt this provider and team understood what is important to me in my life
433	M1247	Other Services	Patient responded "completely true" for the question of patient felt this provider and team put my best interests first when making recommendations about my care
434	M1248	Other Services	Patient responded "completely true" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem
435	M1249	Other Services	Patient responded "completely true" for the question of patient felt this provider and team understood what is important to me in my life
436	M1250	Other Services	Patient responded as "completely true" for the question of patient felt heard and understood by this provider and team
437	M1251	Other Services	Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)
438	M1252	Other Services	Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit
439	M1253	Other Services	Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal)
440	M1254	Other Services	Patients who were deceased when the hu survey reached them
441	M1255	Other Services	Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)
442	M1256	Other Services	Prior history of known cvd
443	M1257	Other Services	Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specified
444	M1258	Other Services	Cvd risk assessment performed, have a documented calculated risk score
445	M1259	Other Services	Patient status documented within the first year of initiating dialysis
446	M1260	Other Services	Patient status not documented within the first year of initiating dialysis
447	M1261	Other Services	Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis
448	M1262	Other Services	Patients who had a transplant prior to initiation of dialysis
449	M1263	Other Services	Patients in hospice on their initiation of dialysis date or during the month of evaluation
450	M1265	Other Services	Cms medical evidence form 2728 for dialysis patients: initial form completed
451	M1266	Other Services	Patients admitted to a skilled nursing facility (snf)
452	M1267	Other Services	Patients not observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
453	M1268	Other Services	Patients observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
454	M1269	Other Services	Receiving esrd mcp dialysis services by the provider on the last day of the reporting month
455	M1270	Other Services	Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
456	M1271	Other Services	Patients with dementia at any time prior to or during the month
457	M1272	Other Services	Patients observed on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
458	M1273	Other Services	Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form
459	M1274	Other Services	Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month
460	M1275	Other Services	Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period
461	M1276	Other Services	Bmi documented outside normal parameters, no follow-up plan documented, no reason given
462	M1277	Other Services	Colorectal cancer screening results documented and reviewed
463	M1278	Other Services	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented
464	M1279	Other Services	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given
465	M1280	Other Services	Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy
466	M1281	Other Services	Blood pressure reading not documented, reason not given
467	M1282	Other Services	Patient screened for tobacco use and identified as a tobacco non-user
468	M1283	Other Services	Patient screened for tobacco use and identified as a tobacco user
469	M1284	Other Services	Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period
470	M1285	Other Services	Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified
471	M1286	Other Services	Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason
472	M1287	Other Services	Bmi is documented below normal parameters and a follow-up plan is documented
473	M1288	Other Services	Documented reason for not screening or recommending a follow-up for high blood pressure
474	M1289	Other Services	Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
475	M1290	Other Services	Patient not eligible due to active diagnosis of hypertension
476	M1291	Other Services	Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
477	M1292	Other Services	Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period
478	M1293	Other Services	Bmi is documented above normal parameters and a follow-up plan is documented
479	M1294	Other Services	Normal blood pressure reading documented, follow-up not required
480	M1295	Other Services	Patients with a diagnosis or past history of total colectomy or colorectal cancer
481	M1296	Other Services	Bmi is documented within normal parameters and no follow-up plan is required
482	M1297	Other Services	Bmi not documented due to medical reason or patient refusal of height or weight measurement
483	M1298	Other Services	Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter
484	M1299	Other Services	Influenza immunization administered or previously received
485	M1300	Other Services	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)
486	M1301	Other Services	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
487	M1302	Other Services	Screening, diagnostic, film digital or digital breast tomosynthesis (3d) mammography results documented and reviewed
488	M1303	Other Services	Hospice services provided to patient any time during the measurement period
489	M1304	Other Services	Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period
490	M1305	Other Services	Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period
491	M1306	Other Services	Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period
492	M1307	Other Services	Documentation stating the patient has received or is currently receiving palliative or hospice care
493	M1308	Other Services	Influenza immunization was not administered, reason not given
494	M1309	Other Services	Palliative care services provided to patient any time during the measurement period
495	M1310	Other Services	Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user
496	M1311	Other Services	Anaphylaxis due to the vaccine on or before the date of the encounter
497	M1312	Other Services	Patient not screened for tobacco use
498	M1313	Other Services	Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period
499	M1314	Other Services	Bmi not documented and no reason is given
500	M1315	Other Services	Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified
501	M1316	Other Services	Current tobacco non-user
502	M1317	Other Services	Patients who are counseled on connection with a csp and explicitly opt out
503	M1318	Other Services	Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no contact with a csp
504	M1319	Other Services	Patients who had documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening
505	M1320	Other Services	Patients who screened positive for at least 1 of the 5 hrsns
506	M1321	Other Services	Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 mm hg
507	M1322	Other Services	Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop =<25 mm hg for injected eye
508	M1323	Other Services	Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan of care was documented
509	M1324	Other Services	Patients who had an intravitreal or periocular corticosteroid injection (e.g., triamcinolone, preservative-free triamcinolone, dexamethasone, dexamethasone intravitreal implant, or fluocinolone intravitreal implant)
510	M1325	Other Services	Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g., inadequate time for follow-up, patients who received a prior intravitreal or periocular steroid injection within the last six (6) months and had a subsequent iop evaluation with iop <25mm hg within seven (7) weeks of treatment)
511	M1326	Other Services	Patients with a diagnosis of hypotony
512	M1327	Other Services	Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks
513	M1328	Other Services	Patients with a diagnosis of acute vitreous hemorrhage
514	M1329	Other Services	Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter
515	M1330	Other Services	Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)
516	M1331	Other Services	Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial exam
517	M1332	Other Services	Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks
518	M1333	Other Services	Acute vitreous hemorrhage
519	M1334	Other Services	Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 2 weeks after initial acute pvd encounter
520	M1335	Other Services	Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)
521	M1336	Other Services	Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks
522	M1337	Other Services	Acute pvd
523	M1338	Other Services	Patients who had follow-up assessment 30 to 180 days after the index assessment who did not demonstrate positive improvement or maintenance of functioning scores during the performance period
524	M1339	Other Services	Patients who had follow-up assessment 30 to 180 days after the index assessment who demonstrated positive improvement or maintenance of functioning scores during the performance period
525	M1340	Other Services	Index assessment completed using the 12-item whodas 2.0 or sds during the denominator identification period
526	M1341	Other Services	Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period
527	M1342	Other Services	Patients who died during the performance period
528	M1343	Other Services	Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam or with excessive missing responses
529	M1344	Other Services	Patients who did not have a baseline pam score and/or a second score within 4 to 12 months of baseline pam score
530	M1345	Other Services	Patients who had a baseline pam score and a second score within 4 to 12 month of baseline pam score
531	M1346	Other Services	Patients who did not have a net increase in pam score of at least 6 points within a 4 to 12 month period
532	M1347	Other Services	Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing)
533	M1348	Other Services	Patients who achieved a net increase in pam score of at least 6-points in a 4 to 12 month period (excellent)
534	M1349	Other Services	Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period
535	M1350	Other Services	Patients who had a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter
536	M1351	Other Services	Patients who had a suicide safety plan initiated, reviewed, or updated and reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation
537	M1352	Other Services	Suicidal ideation and/or behavior symptoms based on the c-ssrs or equivalent assessment
538	M1353	Other Services	Patients who did not have a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter
539	M1354	Other Services	Patients who did not have a suicide safety plan initiated, reviewed, or updated or reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation
540	M1355	Other Services	Suicide risk based on their clinician's evaluation or a clinician-rated tool
541	M1356	Other Services	Patients who died during the measurement period
542	M1357	Other Services	Patients who had a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment
543	M1358	Other Services	Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment
544	M1359	Other Services	Index assessment during the denominator period when the suicidal ideation and/or behavior symptoms or increased suicide risk by clinician determination occurs and a non-zero c-ssrs score is obtained
545	M1360	Other Services	Suicidal ideation and/or behavior symptoms based on the c-ssrs
546	M1361	Other Services	Suicide risk based on their clinician's evaluation or a clinician-rated tool
547	M1362	Other Services	Patients who died during the measurement period
548	M1363	Other Services	Patients who did not have a follow-up assessment within 120 days of the index assessment
549	M1364	Other Services	Calculated 10-year ascvd risk score of >= 20 percent during the performance period
550	M1365	Other Services	Patient encounter during the performance period with hospice and palliative care specialty code 17
551	M1366	Other Services	Focusing on women's health mips value pathway
552	M1367	Other Services	Quality care for the treatment of ear, nose, and throat disorders mips value pathway
553	M1368	Other Services	Prevention and treatment of infectious disorders including hepatitis c and hiv mips value pathway
554	M1369	Other Services	Quality care in mental health and substance use disorders mips value pathway
555	M1370	Other Services	Rehabilitative support for musculoskeletal care mips value pathway
556	M1371	Other Services	Most recent glycemic status assessment (hba1c or gmi) level < 7.0%
557	M1372	Other Services	Most recent glycemic status assessment (hba1c or gmi) level >= 7.0% and < 8.0%
558	M1373	Other Services	Most recent glycemic status assessment (hba1c or gmi) level >= 8.0% and <= 9.0%
559	M1374	Other Services	An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period
560	M1375	Other Services	An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period
561	M1376	Other Services	An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period
562	M1377	Other Services	Recommended follow-up interval for repeat colonoscopy of 10 years documented in colonoscopy report and communicated with patient
563	M1378	Other Services	Documentation of medical reason(s) for not recommending a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is >= 66 years old, or life expectancy < 10 years, other medical reasons)
564	M1379	Other Services	A 10 year follow-up interval for colonoscopy not recommended, reason not otherwise specified
565	M1380	Other Services	Filled at least two prescriptions during the performance period for any combination of the qualifying oral antipsychotic medications listed under "denominator note" or the long-acting injectable antipsychotic medications listed under "denominator note"
566	M1381	Other Services	Patients with secondary stroke (e.g., a subsequent stroke that may occur with vasospasm in the setting of subarachnoid hemorrhage) within 5 days of the initial procedure
567	M1382	Other Services	Patient encounter during the performance period with place of service code 11
568	M1383	Other Services	Acute pvd
569	M1384	Other Services	Patients who died during the performance period
570	M1385	Other Services	Documentation of patient reasons for patients who were not seen for the second pam survey (e.g., less than four months between baseline pam assessment and follow-up
571	M1386	Other Services	Patients with an excisional surgery for melanoma or melanoma in situ in the past 5 years with an initial ajcc staging of 0, i, or ii at the start of the performance period
572	M1387	Other Services	Patients who died during the performance period
573	M1388	Other Services	Patients with documentation of an exam performed for recurrence of melanoma
574	M1390	Other Services	Patients who do not have a documented exam performed for recurrence of melanoma or no documentation within the performance period
575	M1391	Other Services	All patients who were diagnosed with recurrent melanoma during the current performance period
576	M1392	Other Services	Documentation of patient reasons for no examination, i.e., refusal of examination or lost to follow-up (documentation must include information that the clinician was unable to reach the patient by phone, mail or secure electronic mail - at least one method must be documented)
577	M1393	Other Services	Patients who were not diagnosed with recurrent melanoma during the current performance period
578	M1394	Other Services	Stages i-iii breast cancer
579	M1395	Other Services	Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or group
580	M1396	Other Services	Patients on a therapeutic clinical trial
581	M1397	Other Services	Patients with recurrence/disease progression
582	M1398	Other Services	Patients with baseline and follow-up promis surveys documented in the medical record
583	M1399	Other Services	Patients who leave the practice during the follow-up period
584	M1400	Other Services	Patients who died during the follow-up period
585	M1401	Other Services	Stages i-iii breast cancer
586	M1402	Other Services	Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or group
587	M1403	Other Services	Patients with baseline and follow-up promis surveys documented in the medical record
588	M1404	Other Services	Patients on a therapeutic clinical trial
589	M1405	Other Services	Patients with recurrence/disease progression
590	M1406	Other Services	Patients who leave the practice during the follow-up period
591	M1407	Other Services	Patients who died during the follow-up period
592	M1408	Other Services	Patients who have germline brca testing completed before diagnosis of epithelial ovarian, fallopian tube, or primary peritoneal cancer
593	M1409	Other Services	Patients who received germline testing for brca1 and brca2 or genetic counseling completed within 6 months of diagnosis
594	M1410	Other Services	Patients who did not have germline testing for brca1 and brca2 or genetic counseling completed within 6 months of diagnosis
595	M1411	Other Services	Currently on first-line immune checkpoint inhibitors without chemotherapy
596	M1412	Other Services	Patients with metastatic nsclc with epidermal growth factor receptor (egfr) mutations, alk genomic tumor aberrations, or other targetable genomic abnormalities with approved first-line targeted therapy, such as nsclc with ros1 rearrangement, braf v600e mutation, ntrk 1/2/3 gene fusion, met ex14 skipping mutation, and ret rearrangement
597	M1413	Other Services	Patients who had a positive pd-l1 biomarker expression test result prior to the initiation of first-line immune checkpoint inhibitor therapy
598	M1414	Other Services	Documentation of medical reason(s) for not performing the pd-l1 biomarker expression test prior to initiation of first-line immune checkpoint inhibitor therapy (e.g., patient is in an urgent or emergent situation where delay of treatment would jeopardize the patient's health status; other medical reasons/contraindication)
599	M1415	Other Services	Patients who did not have a positive pd-l1 biomarker expression test result prior to the initiation of first-line immune checkpoint inhibitor therapy
600	M1416	Other Services	Patient received hospice services any time during the performance period
601	M1417	Other Services	Patients who are up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination
602	M1418	Other Services	Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination because of a medical contraindication documented by clinician
603	M1419	Other Services	Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination
604	M1420	Other Services	Complete ophthalmologic care mips value pathway
605	M1421	Other Services	Dermatological care mips value pathway
606	M1422	Other Services	Gastroenterology care mips value pathway
607	M1423	Other Services	Optimal care for patients with urologic conditions mips value pathway
608	M1424	Other Services	Pulmonology care mips value pathway
609	M1425	Other Services	Surgical care mips value pathway
610	R0070	Diagnostic Radiology Services	Transportation of portable X-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen
611	R0075	Diagnostic Radiology Services	Transportation of portable X-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen
612	R0076	Diagnostic Radiology Services	Transportation of portable EKG to facility or location, per patient
613	U0001	Coronavirus Diagnostic Panel	Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel
614	U0002	Coronavirus Diagnostic Panel	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc
615	A1	Modifiers for HCPCS codes	Dressing for one wound
616	A2	Modifiers for HCPCS codes	Dressing for two wounds
617	A3	Modifiers for HCPCS codes	Dressing for three wounds
618	A4	Modifiers for HCPCS codes	Dressing for four wounds
619	A5	Modifiers for HCPCS codes	Dressing for five wounds
620	A6	Modifiers for HCPCS codes	Dressing for six wounds
621	A7	Modifiers for HCPCS codes	Dressing for seven wounds
622	A8	Modifiers for HCPCS codes	Dressing for eight wounds
623	A9	Modifiers for HCPCS codes	Dressing for nine or more wounds
624	AA	Modifiers for HCPCS codes	Anesthesia services performed personally by anesthesiologist
625	AB	Modifiers for HCPCS codes	Audiology service furnished personally by an audiologist without a physician/npp order for non-acute hearing assessment unrelated to disequilibrium, or hearing aids, or examinations for the purpose of prescribing, fitting, or changing hearing aids; service may be performed once every 12 months, per beneficiary
626	AD	Modifiers for HCPCS codes	Medical supervision by a physician: more than four concurrent anesthesia procedures
627	AE	Modifiers for HCPCS codes	Registered dietician
628	AF	Modifiers for HCPCS codes	Specialty physician
629	AG	Modifiers for HCPCS codes	Primary physician
630	AH	Modifiers for HCPCS codes	Clinical psychologist
631	AI	Modifiers for HCPCS codes	Principal physician of record
632	AJ	Modifiers for HCPCS codes	Clinical social worker
633	AK	Modifiers for HCPCS codes	Non participating physician
634	AM	Modifiers for HCPCS codes	Physician, team member service
635	AO	Modifiers for HCPCS codes	Alternate payment method declined by provider of service
636	AP	Modifiers for HCPCS codes	Determination of refractive state was not performed in the course of diagnostic ophthalmological examination
637	AQ	Modifiers for HCPCS codes	Physician providing a service in an unlisted health professional shortage area (hpsa)
638	AR	Modifiers for HCPCS codes	Physician provider services in a physician scarcity area
639	AS	Modifiers for HCPCS codes	Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
640	AT	Modifiers for HCPCS codes	Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)
641	AU	Modifiers for HCPCS codes	Item furnished in conjunction with a urological, ostomy, or tracheostomy supply
642	AV	Modifiers for HCPCS codes	Item furnished in conjunction with a prosthetic device, prosthetic or orthotic
643	AW	Modifiers for HCPCS codes	Item furnished in conjunction with a surgical dressing
644	AX	Modifiers for HCPCS codes	Item furnished in conjunction with dialysis services
645	AY	Modifiers for HCPCS codes	Item or service furnished to an esrd patient that is not for the treatment of esrd
646	AZ	Modifiers for HCPCS codes	Physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment
647	BA	Modifiers for HCPCS codes	Item furnished in conjunction with parenteral enteral nutrition (pen) services
648	BL	Modifiers for HCPCS codes	Special acquisition of blood and blood products
649	BO	Modifiers for HCPCS codes	Orally administered nutrition, not by feeding tube
650	BP	Modifiers for HCPCS codes	The beneficiary has been informed of the purchase and rental options and has elected to purchase the item
651	BR	Modifiers for HCPCS codes	The beneficiary has been informed of the purchase and rental options and has elected to rent the item
652	BU	Modifiers for HCPCS codes	The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision
653	CA	Modifiers for HCPCS codes	Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission
654	CB	Modifiers for HCPCS codes	Service ordered by a renal dialysis facility (rdf) physician as part of the esrd beneficiary's dialysis benefit, is not part of the composite rate, and is separately reimbursable
655	CC	Modifiers for HCPCS codes	Procedure code change (use 'CC' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
656	CD	Modifiers for HCPCS codes	Amcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable
657	CE	Modifiers for HCPCS codes	Amcc test has been ordered by an esrd facility or mcp physician that is a composite rate test but is beyond the normal frequency covered under the rate and is separately reimbursable based on medical necessity
658	CF	Modifiers for HCPCS codes	Amcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable
659	CG	Modifiers for HCPCS codes	Policy criteria applied
660	CH	Modifiers for HCPCS codes	0 percent impaired, limited or restricted
661	CI	Modifiers for HCPCS codes	At least 1 percent but less than 20 percent impaired, limited or restricted
662	CJ	Modifiers for HCPCS codes	At least 20 percent but less than 40 percent impaired, limited or restricted
663	CK	Modifiers for HCPCS codes	At least 40 percent but less than 60 percent impaired, limited or restricted
664	CL	Modifiers for HCPCS codes	At least 60 percent but less than 80 percent impaired, limited or restricted
665	CM	Modifiers for HCPCS codes	At least 80 percent but less than 100 percent impaired, limited or restricted
666	CN	Modifiers for HCPCS codes	100 percent impaired, limited or restricted
667	CO	Modifiers for HCPCS codes	Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant
668	CQ	Modifiers for HCPCS codes	Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant
669	CR	Modifiers for HCPCS codes	Catastrophe/disaster related
670	CS	Modifiers for HCPCS codes	Cost-sharing waived for specified covid-19 testing-related services that result in and order for or administration of a covid-19 test and/or used for cost-sharing waived preventive services furnished via telehealth in rural health clinics and federally qualified health centers during the covid-19 public health emergency
671	CT	Modifiers for HCPCS codes	Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (nema) xr-29-2013 standard
672	DA	Modifiers for HCPCS codes	Oral health assessment by a licensed health professional other than a dentist
673	E1	Modifiers for HCPCS codes	Upper left, eyelid
674	E2	Modifiers for HCPCS codes	Lower left, eyelid
675	E3	Modifiers for HCPCS codes	Upper right, eyelid
676	E4	Modifiers for HCPCS codes	Lower right, eyelid
677	EA	Modifiers for HCPCS codes	Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy
678	EB	Modifiers for HCPCS codes	Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy
679	EC	Modifiers for HCPCS codes	Erythropoetic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy
680	ED	Modifiers for HCPCS codes	Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle
681	EE	Modifiers for HCPCS codes	Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle
682	EJ	Modifiers for HCPCS codes	Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab
683	EM	Modifiers for HCPCS codes	Emergency reserve supply (for esrd benefit only)
684	EP	Modifiers for HCPCS codes	Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program
685	ER	Modifiers for HCPCS codes	Items and services furnished by a provider-based, off-campus emergency department
686	ET	Modifiers for HCPCS codes	Emergency services
687	EX	Modifiers for HCPCS codes	Expatriate Beneficiary
688	EY	Modifiers for HCPCS codes	No physician or other licensed health care provider order for this item or service
689	F1	Modifiers for HCPCS codes	Left hand, second digit
690	F2	Modifiers for HCPCS codes	Left hand, third digit
691	F3	Modifiers for HCPCS codes	Left hand, fourth digit
692	F4	Modifiers for HCPCS codes	Left hand, fifth digit
693	F5	Modifiers for HCPCS codes	Right hand, thumb
694	F6	Modifiers for HCPCS codes	Right hand, second digit
695	F7	Modifiers for HCPCS codes	Right hand, third digit
696	F8	Modifiers for HCPCS codes	Right hand, fourth digit
697	F9	Modifiers for HCPCS codes	Right hand, fifth digit
698	FA	Modifiers for HCPCS codes	Left hand, thumb
699	FB	Modifiers for HCPCS codes	Item provided without cost to provider, supplier or practitioner, or full credit received for replaced device (examples, but not limited to, covered under warranty, replaced due to defect, free samples)
700	FC	Modifiers for HCPCS codes	Partial credit received for replaced device
701	FP	Modifiers for HCPCS codes	Service provided as part of family planning program
702	FQ	Modifiers for HCPCS codes	The service was furnished using audio-only communication technology
703	FR	Modifiers for HCPCS codes	The supervising practitioner was present through two-way, audio/video communication technology
704	FS	Modifiers for HCPCS codes	Split (or shared) evaluation and management visit
705	FT	Modifiers for HCPCS codes	Unrelated evaluation and management (e/m) visit on the same day as another e/m visit or during a global procedure (preoperative, postoperative period, or on the same day as the procedure, as applicable). (report when an e/m visit is furnished within the global period but is unrelated, or when one or more additional e/m visits furnished on the same day are unrelated)
706	FX	Modifiers for HCPCS codes	X-ray taken using film
707	FY	Modifiers for HCPCS codes	X-ray taken using computed radiography technology/cassette-based imaging
708	G0	Modifiers for HCPCS codes	Telehealth Services For Diagnosis, Evaluation, Or Treatment, Of Symptoms Of An Acute Stroke
709	G1	Modifiers for HCPCS codes	Most recent urr reading of less than 60
710	G2	Modifiers for HCPCS codes	Most recent urr reading of 60 to 64.9
711	G3	Modifiers for HCPCS codes	Most recent urr reading of 65 to 69.9
712	G4	Modifiers for HCPCS codes	Most recent urr reading of 70 to 74.9
713	G5	Modifiers for HCPCS codes	Most recent urr reading of 75 or greater
714	G6	Modifiers for HCPCS codes	Esrd patient for whom less than six dialysis sessions have been provided in a month
715	G7	Modifiers for HCPCS codes	Pregnancy resulted from rape or incest or pregnancy certified by physician as life threatening
716	G8	Modifiers for HCPCS codes	Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure
717	G9	Modifiers for HCPCS codes	Monitored anesthesia care for patient who has history of severe cardio-pulmonary condition
718	GA	Modifiers for HCPCS codes	Waiver of liability statement issued as required by payer policy, individual case
719	GB	Modifiers for HCPCS codes	Claim being re-submitted for payment because it is no longer covered under a global payment demonstration
720	GC	Modifiers for HCPCS codes	This service has been performed in part by a resident under the direction of a teaching physician
721	GE	Modifiers for HCPCS codes	This service has been performed by a resident without the presence of a teaching physician under the primary care exception
722	GF	Modifiers for HCPCS codes	Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital
723	GG	Modifiers for HCPCS codes	Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day
724	GH	Modifiers for HCPCS codes	Diagnostic mammogram converted from screening mammogram on same day
725	GJ	Modifiers for HCPCS codes	"opt out" physician or practitioner emergency or urgent service
726	GK	Modifiers for HCPCS codes	Reasonable and necessary item/service associated with a ga or gz modifier
727	GL	Modifiers for HCPCS codes	Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)
728	GM	Modifiers for HCPCS codes	Multiple patients on one ambulance trip
729	GN	Modifiers for HCPCS codes	Services delivered under an outpatient speech language pathology plan of care
730	GO	Modifiers for HCPCS codes	Services delivered under an outpatient occupational therapy plan of care
731	GP	Modifiers for HCPCS codes	Services delivered under an outpatient physical therapy plan of care
732	GQ	Modifiers for HCPCS codes	Via asynchronous telecommunications system
733	GR	Modifiers for HCPCS codes	This service was performed in whole or in part by a resident in a department of veterans affairs medical center or clinic, supervised in accordance with va policy
734	GS	Modifiers for HCPCS codes	Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level
735	GT	Modifiers for HCPCS codes	Via interactive audio and video telecommunication systems
736	GU	Modifiers for HCPCS codes	Waiver of liability statement issued as required by payer policy, routine notice
737	GV	Modifiers for HCPCS codes	Attending physician not employed or paid under arrangement by the patient's hospice provider
738	GW	Modifiers for HCPCS codes	Service not related to the hospice patient's terminal condition
739	GX	Modifiers for HCPCS codes	Notice of liability issued, voluntary under payer policy
740	GY	Modifiers for HCPCS codes	Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
741	GZ	Modifiers for HCPCS codes	Item or service expected to be denied as not reasonable and necessary
742	H9	Modifiers for HCPCS codes	Court-ordered
743	HA	Modifiers for HCPCS codes	Child/adolescent program
744	HB	Modifiers for HCPCS codes	Adult program, non geriatric
745	HC	Modifiers for HCPCS codes	Adult program, geriatric
746	HD	Modifiers for HCPCS codes	Pregnant/parenting women's program
747	HE	Modifiers for HCPCS codes	Mental health program
748	HF	Modifiers for HCPCS codes	Substance abuse program
749	HG	Modifiers for HCPCS codes	Opioid addiction treatment program
750	HH	Modifiers for HCPCS codes	Integrated mental health/substance abuse program
751	HI	Modifiers for HCPCS codes	Integrated mental health and intellectual disability/developmental disabilities program
752	HJ	Modifiers for HCPCS codes	Employee assistance program
753	HK	Modifiers for HCPCS codes	Specialized mental health programs for high-risk populations
754	HL	Modifiers for HCPCS codes	Intern
755	HM	Modifiers for HCPCS codes	Less than bachelor degree level
756	HN	Modifiers for HCPCS codes	Bachelors degree level
757	HO	Modifiers for HCPCS codes	Masters degree level
758	HP	Modifiers for HCPCS codes	Doctoral level
759	HQ	Modifiers for HCPCS codes	Group setting
760	HR	Modifiers for HCPCS codes	Family/couple with client present
761	HS	Modifiers for HCPCS codes	Family/couple without client present
762	HT	Modifiers for HCPCS codes	Multi-disciplinary team
763	HU	Modifiers for HCPCS codes	Funded by child welfare agency
764	HV	Modifiers for HCPCS codes	Funded state addictions agency
765	HW	Modifiers for HCPCS codes	Funded by state mental health agency
766	HX	Modifiers for HCPCS codes	Funded by county/local agency
767	HY	Modifiers for HCPCS codes	Funded by juvenile justice agency
768	HZ	Modifiers for HCPCS codes	Funded by criminal justice agency
769	J1	Modifiers for HCPCS codes	Competitive acquisition program no-pay submission for a prescription number
770	J2	Modifiers for HCPCS codes	Competitive acquisition program, restocking of emergency drugs after emergency administration
771	J3	Modifiers for HCPCS codes	Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology
772	J4	Modifiers for HCPCS codes	Dmepos item subject to dmepos competitive bidding program that is furnished by a hospital upon discharge
773	J5	Modifiers for HCPCS codes	Off-the-shelf orthotic subject to dmepos competitive bidding program that is furnished as part of a physical therapist or occupational therapist professional service
774	JA	Modifiers for HCPCS codes	Administered intravenously
775	JB	Modifiers for HCPCS codes	Administered subcutaneously
776	JC	Modifiers for HCPCS codes	Skin substitute used as a graft
777	JD	Modifiers for HCPCS codes	Skin substitute not used as a graft
778	JE	Modifiers for HCPCS codes	Administered via dialysate
779	JK	Modifiers for HCPCS codes	One month supply or less of drug or biological
780	JL	Modifiers for HCPCS codes	Three month supply of drug or biological
781	JW	Modifiers for HCPCS codes	Drug amount discarded/not administered to any patient
782	JZ	Modifiers for HCPCS codes	Zero drug amount discarded/not administered to any patient
783	K0	Modifiers for HCPCS codes	Lower extremity prosthesis functional level 0 - does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility.
784	K1	Modifiers for HCPCS codes	Lower extremity prosthesis functional level 1 - has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. typical of the limited and unlimited household ambulator.
785	K2	Modifiers for HCPCS codes	Lower extremity prosthesis functional level 2 - has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces. typical of the limited community ambulator.
786	K3	Modifiers for HCPCS codes	Lower extremity prosthesis functional level 3 - has the ability or potential for ambulation with variable cadence. typical of the community ambulator who has the ability to transverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion.
787	K4	Modifiers for HCPCS codes	Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete.
788	KA	Modifiers for HCPCS codes	Add on option/accessory for wheelchair
789	KB	Modifiers for HCPCS codes	Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim
790	KC	Modifiers for HCPCS codes	Replacement of special power wheelchair interface
791	KD	Modifiers for HCPCS codes	Drug or biological infused through dme
792	KE	Modifiers for HCPCS codes	Bid under round one of the dmepos competitive bidding program for use with non-competitive bid base equipment
793	KF	Modifiers for HCPCS codes	Item designated by fda as class iii device
794	KG	Modifiers for HCPCS codes	Dmepos item subject to dmepos competitive bidding program number 1
795	KH	Modifiers for HCPCS codes	Dmepos item, initial claim, purchase or first month rental
796	KI	Modifiers for HCPCS codes	Dmepos item, second or third month rental
797	KJ	Modifiers for HCPCS codes	Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen
798	KK	Modifiers for HCPCS codes	Dmepos item subject to dmepos competitive bidding program number 2
799	KL	Modifiers for HCPCS codes	Dmepos item delivered via mail
800	KM	Modifiers for HCPCS codes	Replacement of facial prosthesis including new impression/moulage
801	KN	Modifiers for HCPCS codes	Replacement of facial prosthesis using previous master model
802	KO	Modifiers for HCPCS codes	Single drug unit dose formulation
803	KP	Modifiers for HCPCS codes	First drug of a multiple drug unit dose formulation
804	KQ	Modifiers for HCPCS codes	Second or subsequent drug of a multiple drug unit dose formulation
805	KR	Modifiers for HCPCS codes	Rental item, billing for partial month
806	KS	Modifiers for HCPCS codes	Glucose monitor supply for diabetic beneficiary not treated with insulin
807	KT	Modifiers for HCPCS codes	Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item
808	KU	Modifiers for HCPCS codes	Dmepos item subject to dmepos competitive bidding program number 3
809	KV	Modifiers for HCPCS codes	Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service
810	KW	Modifiers for HCPCS codes	Dmepos item subject to dmepos competitive bidding program number 4
811	KX	Modifiers for HCPCS codes	Requirements specified in the medical policy have been met
812	KY	Modifiers for HCPCS codes	Dmepos item subject to dmepos competitive bidding program number 5
813	KZ	Modifiers for HCPCS codes	New coverage not implemented by managed care
814	LC	Modifiers for HCPCS codes	Left circumflex coronary artery
815	LD	Modifiers for HCPCS codes	Left anterior descending coronary artery
816	LL	Modifiers for HCPCS codes	Lease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price)
817	LM	Modifiers for HCPCS codes	Left main coronary artery
818	LR	Modifiers for HCPCS codes	Laboratory round trip
819	LS	Modifiers for HCPCS codes	Fda-monitored intraocular lens implant
820	LT	Modifiers for HCPCS codes	Left side (used to identify procedures performed on the left side of the body)
821	LU	Modifiers for HCPCS codes	Fractionated payment
822	M2	Modifiers for HCPCS codes	Medicare secondary payer (msp)
823	MS	Modifiers for HCPCS codes	Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty
824	N1	Modifiers for HCPCS codes	Group 1 oxygen coverage criteria met
825	N2	Modifiers for HCPCS codes	Group 2 oxygen coverage criteria met
826	N3	Modifiers for HCPCS codes	Group 3 oxygen coverage criteria met
827	NB	Modifiers for HCPCS codes	Nebulizer system, any type, fda-cleared for use with specific drug
828	NR	Modifiers for HCPCS codes	New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased)
829	NU	Modifiers for HCPCS codes	New equipment
830	P1	Modifiers for HCPCS codes	A normal healthy patient
831	P2	Modifiers for HCPCS codes	A patient with mild systemic disease
832	P3	Modifiers for HCPCS codes	A patient with severe systemic disease
833	P4	Modifiers for HCPCS codes	A patient with severe systemic disease that is a constant threat to life
834	P5	Modifiers for HCPCS codes	A moribund patient who is not expected to survive without the operation
835	P6	Modifiers for HCPCS codes	A declared brain-dead patient whose organs are being removed for donor purposes
836	PA	Modifiers for HCPCS codes	Surgical or other invasive procedure on wrong body part
837	PB	Modifiers for HCPCS codes	Surgical or other invasive procedure on wrong patient
838	PC	Modifiers for HCPCS codes	Wrong surgery or other invasive procedure on patient
839	PD	Modifiers for HCPCS codes	Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days
840	PI	Modifiers for HCPCS codes	Positron emission tomography (pet) or pet/computed tomography (ct) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other diagnostic testing
841	PL	Modifiers for HCPCS codes	Progressive addition lenses
842	PM	Modifiers for HCPCS codes	Post mortem
843	PN	Modifiers for HCPCS codes	Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital
844	PO	Modifiers for HCPCS codes	Excepted service provided at an off-campus, outpatient, provider-based department of a hospital
845	PS	Modifiers for HCPCS codes	Positron emission tomography (pet) or pet/computed tomography (ct) to inform the subsequent treatment strategy of cancerous tumors when the beneficiary's treating physician determines that the pet study is needed to inform subsequent anti-tumor strategy
846	PT	Modifiers for HCPCS codes	Colorectal cancer screening test; converted to diagnostic test or other procedure
847	Q0	Modifiers for HCPCS codes	Investigational clinical service provided in a clinical research study that is in an approved clinical research study
848	Q1	Modifiers for HCPCS codes	Routine clinical service provided in a clinical research study that is in an approved clinical research study
849	Q2	Modifiers for HCPCS codes	Demonstration procedure/service
850	Q3	Modifiers for HCPCS codes	Live kidney donor surgery and related services
851	Q4	Modifiers for HCPCS codes	Service for ordering/referring physician qualifies as a service exemption
852	Q5	Modifiers for HCPCS codes	Service furnished under a reciprocal billing arrangement by a substitute physician; or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
853	Q6	Modifiers for HCPCS codes	Service furnished under a fee-for-time compensation arrangement by a substitute physician; or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
854	Q7	Modifiers for HCPCS codes	One class a finding
855	Q8	Modifiers for HCPCS codes	Two class b findings
856	Q9	Modifiers for HCPCS codes	One class b and two class c findings
857	QA	Modifiers for HCPCS codes	Prescribed Amounts Of Stationary Oxygen For Daytime Use While At Rest And Nighttime Use Differ And The Average Of The Two Amounts Is Less Than 1 Liter Per Minute (LPM)
858	QB	Modifiers for HCPCS codes	Prescribed Amounts Of Stationary Oxygen For Daytime Use While At Rest And Nighttime Use Differ And The Average Of The Two Amounts Exceeds 4 Liters Per Minute (LPM) And Portable Oxygen Is Prescribed
859	QC	Modifiers for HCPCS codes	Single channel monitoring
860	QD	Modifiers for HCPCS codes	Recording and storage in solid state memory by a digital recorder
861	QE	Modifiers for HCPCS codes	Prescribed Amount Of Stationary Oxygen While At Rest Is Less Than 1 Liter Per Minute (lpm)
862	QF	Modifiers for HCPCS codes	Prescribed Amount Of Stationary Oxygen While At Rest Exceeds 4 Liters Per Minute (lpm) And Portable Oxygen Is Prescribed
863	QG	Modifiers for HCPCS codes	Prescribed Amount Of Stationary Oxygen While At Rest Is Greater Than 4 Liters Per Minute (lpm)
864	QH	Modifiers for HCPCS codes	Oxygen conserving device is being used with an oxygen delivery system
865	QJ	Modifiers for HCPCS codes	Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b)
866	QK	Modifiers for HCPCS codes	Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals
867	QL	Modifiers for HCPCS codes	Patient pronounced dead after ambulance called
868	QM	Modifiers for HCPCS codes	Ambulance service provided under arrangement by a provider of services
869	QN	Modifiers for HCPCS codes	Ambulance service furnished directly by a provider of services
870	QP	Modifiers for HCPCS codes	Documentation is on file showing that the laboratory test(s) was ordered individually or ordered as a cpt-recognized panel other than automated profile codes 80002-80019, G0058, G0059, and G0060.
871	QR	Modifiers for HCPCS codes	Prescribed Amounts Of Stationary Oxygen For Daytime Use While At Rest And Nighttime Use Differ And The Average Of The Two Amounts Is Greater Than 4 Liters Per Minute (LPM)
872	QS	Modifiers for HCPCS codes	Monitored anesthesia care service
873	QT	Modifiers for HCPCS codes	Recording and storage on tape by an analog tape recorder
874	QW	Modifiers for HCPCS codes	CLIA waived test
875	QX	Modifiers for HCPCS codes	Crna service: with medical direction by a physician
876	QY	Modifiers for HCPCS codes	Medical direction of one certified registered nurse anesthetist (crna) by an anesthesiologist
877	QZ	Modifiers for HCPCS codes	Crna service: without medical direction by a physician
878	RA	Modifiers for HCPCS codes	Replacement of a dme, orthotic or prosthetic item
879	RB	Modifiers for HCPCS codes	Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair
880	RC	Modifiers for HCPCS codes	Right coronary artery
881	RD	Modifiers for HCPCS codes	Drug provided to beneficiary, but not administered "incident-to"
882	RE	Modifiers for HCPCS codes	Furnished in full compliance with fda-mandated risk evaluation and mitigation strategy (rems)
883	RI	Modifiers for HCPCS codes	Ramus intermedius coronary artery
884	RR	Modifiers for HCPCS codes	Rental (use the 'rr' modifier when dme is to be rented)
885	RT	Modifiers for HCPCS codes	Right side (used to identify procedures performed on the right side of the body)
886	SA	Modifiers for HCPCS codes	Nurse practitioner rendering service in collaboration with a physician
887	SB	Modifiers for HCPCS codes	Nurse midwife
888	SC	Modifiers for HCPCS codes	Medically necessary service or supply
889	SD	Modifiers for HCPCS codes	Services provided by registered nurse with specialized, highly technical home infusion training
890	SE	Modifiers for HCPCS codes	State and/or federally-funded programs/services
891	SF	Modifiers for HCPCS codes	Second opinion ordered by a professional review organization (pro) per section 9401, p.l. 99-272 (100% reimbursement - no medicare deductible or coinsurance)
892	SG	Modifiers for HCPCS codes	Ambulatory surgical center (asc) facility service
893	SH	Modifiers for HCPCS codes	Second concurrently administered infusion therapy
894	SJ	Modifiers for HCPCS codes	Third or more concurrently administered infusion therapy
895	SK	Modifiers for HCPCS codes	Member of high risk population (use only with codes for immunization)
896	SL	Modifiers for HCPCS codes	State supplied vaccine
897	SM	Modifiers for HCPCS codes	Second surgical opinion
898	SN	Modifiers for HCPCS codes	Third surgical opinion
899	SQ	Modifiers for HCPCS codes	Item ordered by home health
900	SS	Modifiers for HCPCS codes	Home infusion services provided in the infusion suite of the iv therapy provider
901	ST	Modifiers for HCPCS codes	Related to trauma or injury
902	SU	Modifiers for HCPCS codes	Procedure performed in physician's office (to denote use of facility and equipment)
903	SV	Modifiers for HCPCS codes	Pharmaceuticals delivered to patient's home but not utilized
904	SW	Modifiers for HCPCS codes	Services provided by a certified diabetic educator
905	SY	Modifiers for HCPCS codes	Persons who are in close contact with member of high-risk population (use only with codes for immunization)
906	T1	Modifiers for HCPCS codes	Left foot, second digit
907	T2	Modifiers for HCPCS codes	Left foot, third digit
908	T3	Modifiers for HCPCS codes	Left foot, fourth digit
909	T4	Modifiers for HCPCS codes	Left foot, fifth digit
910	T5	Modifiers for HCPCS codes	Right foot, great toe
911	T6	Modifiers for HCPCS codes	Right foot, second digit
912	T7	Modifiers for HCPCS codes	Right foot, third digit
913	T8	Modifiers for HCPCS codes	Right foot, fourth digit
914	T9	Modifiers for HCPCS codes	Right foot, fifth digit
915	TA	Modifiers for HCPCS codes	Left foot, great toe
916	TB	Modifiers for HCPCS codes	Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes
917	TC	Modifiers for HCPCS codes	Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles
918	TD	Modifiers for HCPCS codes	RN
919	TE	Modifiers for HCPCS codes	Lpn/lvn
920	TF	Modifiers for HCPCS codes	Intermediate level of care
921	TG	Modifiers for HCPCS codes	Complex/high tech level of care
922	TH	Modifiers for HCPCS codes	Obstetrical treatment/services, prenatal or postpartum
923	TJ	Modifiers for HCPCS codes	Program group, child and/or adolescent
924	TK	Modifiers for HCPCS codes	Extra patient or passenger, non-ambulance
925	TL	Modifiers for HCPCS codes	Early intervention/individualized family service plan (ifsp)
926	TM	Modifiers for HCPCS codes	Individualized education program (iep)
927	TN	Modifiers for HCPCS codes	Rural/outside providers' customary service area
928	TP	Modifiers for HCPCS codes	Medical transport, unloaded vehicle
929	TQ	Modifiers for HCPCS codes	Basic life support transport by a volunteer ambulance provider
930	TR	Modifiers for HCPCS codes	School-based individualized education program (iep) services provided outside the public school district responsible for the student
931	TS	Modifiers for HCPCS codes	Follow-up service
932	TT	Modifiers for HCPCS codes	Individualized service provided to more than one patient in same setting
933	TU	Modifiers for HCPCS codes	Special payment rate, overtime
934	TV	Modifiers for HCPCS codes	Special payment rates, holidays/weekends
935	TW	Modifiers for HCPCS codes	Back-up equipment
936	U1	Modifiers for HCPCS codes	Medicaid level of care 1, as defined by each state
937	U2	Modifiers for HCPCS codes	Medicaid level of care 2, as defined by each state
938	U3	Modifiers for HCPCS codes	Medicaid level of care 3, as defined by each state
939	U4	Modifiers for HCPCS codes	Medicaid level of care 4, as defined by each state
940	U5	Modifiers for HCPCS codes	Medicaid level of care 5, as defined by each state
941	U6	Modifiers for HCPCS codes	Medicaid level of care 6, as defined by each state
942	U7	Modifiers for HCPCS codes	Medicaid level of care 7, as defined by each state
943	U8	Modifiers for HCPCS codes	Medicaid level of care 8, as defined by each state
944	U9	Modifiers for HCPCS codes	Medicaid level of care 9, as defined by each state
945	UA	Modifiers for HCPCS codes	Medicaid level of care 10, as defined by each state
946	UB	Modifiers for HCPCS codes	Medicaid level of care 11, as defined by each state
947	UC	Modifiers for HCPCS codes	Medicaid level of care 12, as defined by each state
948	UD	Modifiers for HCPCS codes	Medicaid level of care 13, as defined by each state
949	UE	Modifiers for HCPCS codes	Used durable medical equipment
950	UF	Modifiers for HCPCS codes	Services provided in the morning
951	UG	Modifiers for HCPCS codes	Services provided in the afternoon
952	UH	Modifiers for HCPCS codes	Services provided in the evening
953	UJ	Modifiers for HCPCS codes	Services provided at night
954	UK	Modifiers for HCPCS codes	Services provided on behalf of the client to someone other than the client (collateral relationship)
955	UN	Modifiers for HCPCS codes	Two patients served
956	UP	Modifiers for HCPCS codes	Three patients served
957	UQ	Modifiers for HCPCS codes	Four patients served
958	UR	Modifiers for HCPCS codes	Five patients served
959	US	Modifiers for HCPCS codes	Six or more patients served
960	V1	Modifiers for HCPCS codes	Demonstration modifier 1
961	V2	Modifiers for HCPCS codes	Demonstration modifier 2
962	V3	Modifiers for HCPCS codes	Demonstration modifier 3
963	V4	Modifiers for HCPCS codes	Demonstration modifier 4
964	V5	Modifiers for HCPCS codes	Vascular catheter (alone or with any other vascular access)
965	V6	Modifiers for HCPCS codes	Arteriovenous graft (or other vascular access not including a vascular catheter)
966	V7	Modifiers for HCPCS codes	Arteriovenous fistula only (in use with two needles)
967	VM	Modifiers for HCPCS codes	Medicare diabetes prevention program (mdpp) virtual make-up session
968	VP	Modifiers for HCPCS codes	Aphakic patient
969	X1	Modifiers for HCPCS codes	Continuous/broad services: for reporting services by clinicians, who provide the principal care for a patient, with no planned endpoint of the relationship; services in this category represent comprehensive care, dealing with the entire scope of patient problems, either directly or in a care coordination role; reporting clinician service examples include, but are not limited to: primary care, and clinicians providing comprehensive care to patients in addition to specialty care
970	X2	Modifiers for HCPCS codes	Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services
971	X3	Modifiers for HCPCS codes	Episodic/broad services: for reporting services by clinicians who have broad responsibility for the comprehensive needs of the patient that is limited to a defined period and circumstance such as a hospitalization; reporting clinician service examples include but are not limited to the hospitalist's services rendered providing comprehensive and general care to a patient while admitted to the hospital
972	X4	Modifiers for HCPCS codes	Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period
973	X5	Modifiers for HCPCS codes	Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician
974	XE	Modifiers for HCPCS codes	Separate encounter, a service that is distinct because it occurred during a separate encounter
975	XP	Modifiers for HCPCS codes	Separate practitioner, a service that is distinct because it was performed by a different practitioner
976	XS	Modifiers for HCPCS codes	Separate structure, a service that is distinct because it was performed on a separate organ/structure
977	XU	Modifiers for HCPCS codes	Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
978	A4206	Injection and Infusion Supplies	Syringe with needle, sterile, 1 cc or less, each
979	A4207	Injection and Infusion Supplies	Syringe with needle, sterile 2 cc, each
980	A4208	Injection and Infusion Supplies	Syringe with needle, sterile 3 cc, each
981	A4209	Injection and Infusion Supplies	Syringe with needle, sterile 5 cc or greater, each
982	A4210	Injection and Infusion Supplies	Needle-free injection device, each
983	A4211	Injection and Infusion Supplies	Supplies for self-administered injections
984	A4212	Injection and Infusion Supplies	Non-coring needle or stylet with or without catheter
985	A4213	Injection and Infusion Supplies	Syringe, sterile, 20 cc or greater, each
986	A4215	Injection and Infusion Supplies	Needle, sterile, any size, each
987	A4216	Injection and Infusion Supplies	Sterile water, saline and/or dextrose, diluent/flush, 10 ml
988	A4217	Injection and Infusion Supplies	Sterile water/saline, 500 ml
989	A4218	Injection and Infusion Supplies	Sterile saline or water, metered dose dispenser, 10 ml
990	A4220	Injection and Infusion Supplies	Refill kit for implantable infusion pump
991	A4221	Injection and Infusion Supplies	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)
992	A4222	Injection and Infusion Supplies	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)
993	A4223	Injection and Infusion Supplies	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)
994	A4224	Injection and Infusion Supplies	Supplies for maintenance of insulin infusion catheter, per week
995	A4225	Injection and Infusion Supplies	Supplies for external insulin infusion pump, syringe type cartridge, sterile, each
996	A4226	Injection and Infusion Supplies	Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week
997	A4230	Injection and Infusion Supplies	Infusion set for external insulin pump, non needle cannula type
998	A4231	Injection and Infusion Supplies	Infusion set for external insulin pump, needle type
999	A4232	Injection and Infusion Supplies	Syringe with needle for external insulin pump, sterile, 3 cc
1000	A4233	Replacement Batteries	Replacement battery, alkaline (other than J cell), for use with medically necessary home blood glucose monitor owned by patient, each
1001	A4234	Replacement Batteries	Replacement battery, alkaline, J cell, for use with medically necessary home blood glucose monitor owned by patient, each
1002	A4235	Replacement Batteries	Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each
1003	A4236	Replacement Batteries	Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each
1004	A4238	Replacement Batteries	Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service
1005	A4239	Replacement Batteries	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service
1006	A4244	Other Supplies Including Diabetes Supplies and Contraceptives	Alcohol or peroxide, per pint
1007	A4245	Other Supplies Including Diabetes Supplies and Contraceptives	Alcohol wipes, per box
1008	A4246	Other Supplies Including Diabetes Supplies and Contraceptives	Betadine or pHisoHex solution, per pint
1009	A4247	Other Supplies Including Diabetes Supplies and Contraceptives	Betadine or iodine swabs/wipes, per box
1010	A4248	Other Supplies Including Diabetes Supplies and Contraceptives	Chlorhexidine containing antiseptic, 1 ml
1011	A4250	Other Supplies Including Diabetes Supplies and Contraceptives	Urine test or reagent strips or tablets (100 tablets or strips)
1012	A4252	Other Supplies Including Diabetes Supplies and Contraceptives	Blood ketone test or reagent strip, each
1013	A4253	Other Supplies Including Diabetes Supplies and Contraceptives	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips
1014	A4255	Other Supplies Including Diabetes Supplies and Contraceptives	Platforms for home blood glucose monitor, 50 per box
1015	A4256	Other Supplies Including Diabetes Supplies and Contraceptives	Normal, low and high calibrator solution / chips
1016	A4257	Other Supplies Including Diabetes Supplies and Contraceptives	Replacement lens shield cartridge for use with laser skin piercing device, each
1017	A4258	Other Supplies Including Diabetes Supplies and Contraceptives	Spring-powered device for lancet, each
1018	A4259	Other Supplies Including Diabetes Supplies and Contraceptives	Lancets, per box of 100
1019	A4261	Other Supplies Including Diabetes Supplies and Contraceptives	Cervical cap for contraceptive use
1020	A4262	Other Supplies Including Diabetes Supplies and Contraceptives	Temporary, absorbable lacrimal duct implant, each
1021	A4263	Other Supplies Including Diabetes Supplies and Contraceptives	Permanent, long term, non-dissolvable lacrimal duct implant, each
1022	A4264	Other Supplies Including Diabetes Supplies and Contraceptives	Permanent implantable contraceptive intratubal occlusion device(s) and delivery system
1023	A4265	Other Supplies Including Diabetes Supplies and Contraceptives	Paraffin, per pound
1024	A4266	Other Supplies Including Diabetes Supplies and Contraceptives	Diaphragm for contraceptive use
1025	A4267	Other Supplies Including Diabetes Supplies and Contraceptives	Contraceptive supply, condom, male, each
1026	A4268	Other Supplies Including Diabetes Supplies and Contraceptives	Contraceptive supply, condom, female, each
1027	A4269	Other Supplies Including Diabetes Supplies and Contraceptives	Contraceptive supply, spermicide (e.g., foam, gel), each
1028	A4270	Other Supplies Including Diabetes Supplies and Contraceptives	Disposable endoscope sheath, each
1029	A4271	Other Supplies Including Diabetes Supplies and Contraceptives	Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests
1030	A4280	Other Supplies Including Diabetes Supplies and Contraceptives	Adhesive skin support attachment for use with external breast prosthesis, each
1031	A4281	Other Supplies Including Diabetes Supplies and Contraceptives	Tubing for breast pump, replacement
1032	A4282	Other Supplies Including Diabetes Supplies and Contraceptives	Adapter for breast pump, replacement
1033	A4283	Other Supplies Including Diabetes Supplies and Contraceptives	Cap for breast pump bottle, replacement
1034	A4284	Other Supplies Including Diabetes Supplies and Contraceptives	Breast shield and splash protector for use with breast pump, replacement
1035	A4285	Other Supplies Including Diabetes Supplies and Contraceptives	Polycarbonate bottle for use with breast pump, replacement
1036	A4286	Other Supplies Including Diabetes Supplies and Contraceptives	Locking ring for breast pump, replacement
1037	A4287	Other Supplies Including Diabetes Supplies and Contraceptives	Disposable collection and storage bag for breast milk, any size, any type, each
1038	A4290	Other Supplies Including Diabetes Supplies and Contraceptives	Sacral nerve stimulation test lead, each
1039	A4300	Access Catheters and Drug Delivery Systems	Implantable access catheter, (e, g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access
1040	A4301	Access Catheters and Drug Delivery Systems	Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)
1041	A4305	Access Catheters and Drug Delivery Systems	Disposable drug delivery system, flow rate of 50 ml or greater per hour
1042	A4306	Access Catheters and Drug Delivery Systems	Disposable drug delivery system, flow rate of less than 50 ml per hour
1043	A4310	Incontinence Devices and Supplies	Insertion tray without drainage bag and without catheter (accessories only)
1044	A4311	Incontinence Devices and Supplies	Insertion tray without drainage bag with indwelling catheter, Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)
1045	A4312	Incontinence Devices and Supplies	Insertion tray without drainage bag with indwelling catheter, Foley type, 2-way, all silicone
1046	A4313	Incontinence Devices and Supplies	Insertion tray without drainage bag with indwelling catheter, Foley type, 3-way, for continuous irrigation
1047	A4314	Incontinence Devices and Supplies	Insertion tray with drainage bag with indwelling catheter, Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)
1048	A4315	Incontinence Devices and Supplies	Insertion tray with drainage bag with indwelling catheter, Foley type, 2-way, all silicone
1049	A4316	Incontinence Devices and Supplies	Insertion tray with drainage bag with indwelling catheter, Foley type, 3-way, for continuous irrigation
1050	A4320	Incontinence Devices and Supplies	Irrigation tray with bulb or piston syringe, any purpose
1051	A4321	Incontinence Devices and Supplies	Therapeutic agent for urinary catheter irrigation
1052	A4322	Incontinence Devices and Supplies	Irrigation syringe, bulb or piston, each
1053	A4326	Incontinence Devices and Supplies	Male external catheter with integral collection chamber, any type, each
1054	A4327	Incontinence Devices and Supplies	Female external urinary collection device; meatal cup, each
1055	A4328	Incontinence Devices and Supplies	Female external urinary collection device; pouch, each
1056	A4330	Incontinence Devices and Supplies	Perianal fecal collection pouch with adhesive, each
1057	A4331	Incontinence Devices and Supplies	Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each
1058	A4332	Incontinence Devices and Supplies	Lubricant, individual sterile packet, each
1059	A4333	Incontinence Devices and Supplies	Urinary catheter anchoring device, adhesive skin attachment, each
1060	A4334	Incontinence Devices and Supplies	Urinary catheter anchoring device, leg strap, each
1061	A4335	Incontinence Devices and Supplies	Incontinence supply; miscellaneous
1062	A4336	Incontinence Devices and Supplies	Incontinence supply, urethral insert, any type, each
1063	A4337	Incontinence Devices and Supplies	Incontinence supply, rectal insert, any type, each
1064	A4338	Incontinence Devices and Supplies	Indwelling catheter; Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
1065	A4340	Incontinence Devices and Supplies	Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each
1066	A4341	Incontinence Devices and Supplies	Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each
1067	A4342	Incontinence Devices and Supplies	Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each
1068	A4344	Incontinence Devices and Supplies	Indwelling catheter, foley type, two-way, all silicone or polyurethane, each
1069	A4346	Incontinence Devices and Supplies	Indwelling catheter; Foley type, three way for continuous irrigation, each
1070	A4349	Incontinence Devices and Supplies	Male external catheter, with or without adhesive, disposable, each
1071	A4351	Incontinence Devices and Supplies	Intermittent urinary catheter; straight tip, with or without coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
1072	A4352	Incontinence Devices and Supplies	Intermittent urinary catheter; Coude (curved) tip, with or without coating (Teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each
1073	A4353	Incontinence Devices and Supplies	Intermittent urinary catheter, with insertion supplies
1074	A4354	Incontinence Devices and Supplies	Insertion tray with drainage bag but without catheter
1075	A4355	Incontinence Devices and Supplies	Irrigation tubing set for continuous bladder irrigation through a 3-way indwelling Foley catheter, each
1076	A4356	Incontinence Devices and Supplies	External urethral clamp or compression device (not to be used for catheter clamp), each
1077	A4357	Incontinence Devices and Supplies	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each
1078	A4358	Incontinence Devices and Supplies	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each
1079	A4360	Incontinence Devices and Supplies	Disposable external urethral clamp or compression device, with pad and/or pouch, each
1080	A4361	Ostomy Pouches and Supplies	Ostomy faceplate, each
1081	A4362	Ostomy Pouches and Supplies	Skin barrier; solid, 4 x 4 or equivalent; each
1082	A4363	Ostomy Pouches and Supplies	Ostomy clamp, any type, replacement only, each
1083	A4364	Ostomy Pouches and Supplies	Adhesive, liquid or equal, any type, per oz
1084	A4366	Ostomy Pouches and Supplies	Ostomy vent, any type, each
1085	A4367	Ostomy Pouches and Supplies	Ostomy belt, each
1086	A4368	Ostomy Pouches and Supplies	Ostomy filter, any type, each
1087	A4369	Ostomy Pouches and Supplies	Ostomy skin barrier, liquid (spray, brush, etc), per oz
1088	A4371	Ostomy Pouches and Supplies	Ostomy skin barrier, powder, per oz
1089	A4372	Ostomy Pouches and Supplies	Ostomy skin barrier, solid 4x4 or equivalent, standard wear, with built-in convexity, each
1090	A4373	Ostomy Pouches and Supplies	Ostomy skin barrier, with flange (solid, flexible or accordian), with built-in convexity, any size, each
1091	A4375	Ostomy Pouches and Supplies	Ostomy pouch, drainable, with faceplate attached, plastic, each
1092	A4376	Ostomy Pouches and Supplies	Ostomy pouch, drainable, with faceplate attached, rubber, each
1093	A4377	Ostomy Pouches and Supplies	Ostomy pouch, drainable, for use on faceplate, plastic, each
1094	A4378	Ostomy Pouches and Supplies	Ostomy pouch, drainable, for use on faceplate, rubber, each
1095	A4379	Ostomy Pouches and Supplies	Ostomy pouch, urinary, with faceplate attached, plastic, each
1096	A4380	Ostomy Pouches and Supplies	Ostomy pouch, urinary, with faceplate attached, rubber, each
1097	A4381	Ostomy Pouches and Supplies	Ostomy pouch, urinary, for use on faceplate, plastic, each
1098	A4382	Ostomy Pouches and Supplies	Ostomy pouch, urinary, for use on faceplate, heavy plastic, each
1099	A4383	Ostomy Pouches and Supplies	Ostomy pouch, urinary, for use on faceplate, rubber, each
1100	A4384	Ostomy Pouches and Supplies	Ostomy faceplate equivalent, silicone ring, each
1101	A4385	Ostomy Pouches and Supplies	Ostomy skin barrier, solid 4x4 or equivalent, extended wear, without built-in convexity, each
1102	A4387	Ostomy Pouches and Supplies	Ostomy pouch, closed, with barrier attached, with built-in convexity (1-piece), each
1103	A4388	Ostomy Pouches and Supplies	Ostomy pouch, drainable, with extended wear barrier attached, (1-piece), each
1104	A4389	Ostomy Pouches and Supplies	Ostomy pouch, drainable, with barrier attached, with built-in convexity (1-piece), each
1105	A4390	Ostomy Pouches and Supplies	Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1-piece), each
1106	A4391	Ostomy Pouches and Supplies	Ostomy pouch, urinary, with extended wear barrier attached (1-piece), each
1107	A4392	Ostomy Pouches and Supplies	Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1-piece), each
1108	A4393	Ostomy Pouches and Supplies	Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1-piece), each
1109	A4394	Ostomy Pouches and Supplies	Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce
1110	A4395	Ostomy Pouches and Supplies	Ostomy deodorant for use in ostomy pouch, solid, per tablet
1111	A4396	Ostomy Pouches and Supplies	Ostomy belt with peristomal hernia support
1112	A4398	Ostomy Pouches and Supplies	Ostomy irrigation supply; bag, each
1113	A4399	Ostomy Pouches and Supplies	Ostomy irrigation supply; cone/catheter, with or without brush
1114	A4400	Ostomy Pouches and Supplies	Ostomy irrigation set
1115	A4402	Ostomy Pouches and Supplies	Lubricant, per ounce
1116	A4404	Ostomy Pouches and Supplies	Ostomy ring, each
1117	A4405	Ostomy Pouches and Supplies	Ostomy skin barrier, non-pectin based, paste, per ounce
1118	A4406	Ostomy Pouches and Supplies	Ostomy skin barrier, pectin-based, paste, per ounce
1119	A4407	Ostomy Pouches and Supplies	Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each
1120	A4408	Ostomy Pouches and Supplies	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each
1121	A4409	Ostomy Pouches and Supplies	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each
1122	A4410	Ostomy Pouches and Supplies	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each
1123	A4411	Ostomy Pouches and Supplies	Ostomy skin barrier, solid 4x4 or equivalent, extended wear, with built-in convexity, each
1124	A4412	Ostomy Pouches and Supplies	Ostomy pouch, drainable, high output, for use on a barrier with flange (2-piece system), without filter, each
1125	A4413	Ostomy Pouches and Supplies	Ostomy pouch, drainable, high output, for use on a barrier with flange (2-piece system), with filter, each
1126	A4414	Ostomy Pouches and Supplies	Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each
1127	A4415	Ostomy Pouches and Supplies	Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4x4 inches, each
1128	A4416	Ostomy Pouches and Supplies	Ostomy pouch, closed, with barrier attached, with filter (1-piece), each
1129	A4417	Ostomy Pouches and Supplies	Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1-piece), each
1130	A4418	Ostomy Pouches and Supplies	Ostomy pouch, closed; without barrier attached, with filter (1-piece), each
1131	A4419	Ostomy Pouches and Supplies	Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2-piece), each
1132	A4420	Ostomy Pouches and Supplies	Ostomy pouch, closed; for use on barrier with locking flange (2-piece), each
1133	A4421	Ostomy Pouches and Supplies	Ostomy supply; miscellaneous
1134	A4422	Ostomy Pouches and Supplies	Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each
1135	A4423	Ostomy Pouches and Supplies	Ostomy pouch, closed; for use on barrier with locking flange, with filter (2-piece), each
1136	A4424	Ostomy Pouches and Supplies	Ostomy pouch, drainable, with barrier attached, with filter (1-piece), each
1137	A4425	Ostomy Pouches and Supplies	Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2-piece system), each
1138	A4426	Ostomy Pouches and Supplies	Ostomy pouch, drainable; for use on barrier with locking flange (2-piece system), each
1139	A4427	Ostomy Pouches and Supplies	Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2-piece system), each
1140	A4428	Ostomy Pouches and Supplies	Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1-piece), each
1141	A4429	Ostomy Pouches and Supplies	Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1-piece), each
1142	A4430	Ostomy Pouches and Supplies	Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1-piece), each
1143	A4431	Ostomy Pouches and Supplies	Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1-piece), each
1144	A4432	Ostomy Pouches and Supplies	Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2-piece), each
1145	A4433	Ostomy Pouches and Supplies	Ostomy pouch, urinary; for use on barrier with locking flange (2-piece), each
1146	A4434	Ostomy Pouches and Supplies	Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2-piece), each
1147	A4435	Ostomy Pouches and Supplies	Ostomy pouch, drainable, high output, with extended wear barrier (1-piece system), with or without filter, each
1148	A4436	Ostomy Pouches and Supplies	Irrigation supply; sleeve, reusable, per month
1149	A4437	Ostomy Pouches and Supplies	Irrigation supply; sleeve, disposable, per month
1150	A4438	Ostomy Pouches and Supplies	Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each
1151	A4450	Various Medical Supplies Including Tapes and Surgical Dressings	Tape, non-waterproof, per 18 square inches
1152	A4452	Various Medical Supplies Including Tapes and Surgical Dressings	Tape, waterproof, per 18 square inches
1153	A4453	Various Medical Supplies Including Tapes and Surgical Dressings	Rectal catheter for use with the manual pump-operated enema system, replacement only
1154	A4455	Various Medical Supplies Including Tapes and Surgical Dressings	Adhesive remover or solvent (for tape, cement or other adhesive), per ounce
1155	A4456	Various Medical Supplies Including Tapes and Surgical Dressings	Adhesive remover, wipes, any type, each
1156	A4457	Various Medical Supplies Including Tapes and Surgical Dressings	Enema tube, with or without adapter, any type, replacement only, each
1157	A4458	Various Medical Supplies Including Tapes and Surgical Dressings	Enema bag with tubing, reusable
1158	A4459	Various Medical Supplies Including Tapes and Surgical Dressings	Manual pump-operated enema system, includes balloon, catheter and all accessories, reusable, any type
1159	A4461	Various Medical Supplies Including Tapes and Surgical Dressings	Surgical dressing holder, non-reusable, each
1160	A4463	Various Medical Supplies Including Tapes and Surgical Dressings	Surgical dressing holder, reusable, each
1161	A4465	Various Medical Supplies Including Tapes and Surgical Dressings	Non-elastic binder for extremity
1162	A4467	Various Medical Supplies Including Tapes and Surgical Dressings	Belt, strap, sleeve, garment, or covering, any type
1163	A4468	Various Medical Supplies Including Tapes and Surgical Dressings	Exsufflation belt, includes all supplies and accessories
1164	A4470	Various Medical Supplies Including Tapes and Surgical Dressings	Gravlee jet washer
1165	A4480	Various Medical Supplies Including Tapes and Surgical Dressings	Vabra aspirator
1166	A4481	Various Medical Supplies Including Tapes and Surgical Dressings	Tracheostoma filter, any type, any size, each
1167	A4483	Various Medical Supplies Including Tapes and Surgical Dressings	Moisture exchanger, disposable, for use with invasive mechanical ventilation
1168	A4490	Various Medical Supplies Including Tapes and Surgical Dressings	Surgical stockings above knee length, each
1169	A4495	Various Medical Supplies Including Tapes and Surgical Dressings	Surgical stockings thigh length, each
1170	A4500	Various Medical Supplies Including Tapes and Surgical Dressings	Surgical stockings below knee length, each
1171	A4510	Various Medical Supplies Including Tapes and Surgical Dressings	Surgical stockings full length, each
1172	A4520	Various Medical Supplies Including Tapes and Surgical Dressings	Incontinence garment, any type, (e.g., brief, diaper), each
1173	A4540	Various Medical Supplies Including Tapes and Surgical Dressings	Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm
1174	A4541	Various Medical Supplies Including Tapes and Surgical Dressings	Monthly supplies for use of device coded at e0733
1175	A4542	Various Medical Supplies Including Tapes and Surgical Dressings	Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist
1176	A4543	Various Medical Supplies Including Tapes and Surgical Dressings	Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month
1177	A4544	Various Medical Supplies Including Tapes and Surgical Dressings	Electrode for external lower extremity nerve stimulator for restless legs syndrome
1178	A4545	Various Medical Supplies Including Tapes and Surgical Dressings	Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month
1179	A4550	Various Medical Supplies Including Tapes and Surgical Dressings	Surgical trays
1180	A4553	Various Medical Supplies Including Tapes and Surgical Dressings	Non-disposable underpads, all sizes
1181	A4554	Various Medical Supplies Including Tapes and Surgical Dressings	Disposable underpads, all sizes
1182	A4555	Various Medical Supplies Including Tapes and Surgical Dressings	Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only
1183	A4556	Various Medical Supplies Including Tapes and Surgical Dressings	Electrodes, (e.g., apnea monitor), per pair
1184	A4557	Various Medical Supplies Including Tapes and Surgical Dressings	Lead wires, (e.g., apnea monitor), per pair
1185	A4558	Various Medical Supplies Including Tapes and Surgical Dressings	Conductive gel or paste, for use with electrical device (e.g., TENS, NMES), per oz
1186	A4559	Various Medical Supplies Including Tapes and Surgical Dressings	Coupling gel or paste, for use with ultrasound device, per oz
1187	A4560	Various Medical Supplies Including Tapes and Surgical Dressings	Neuromuscular electrical stimulator (nmes), disposable, replacement only
1188	A4561	Various Medical Supplies Including Tapes and Surgical Dressings	Pessary, reusable, rubber, any type
1189	A4562	Various Medical Supplies Including Tapes and Surgical Dressings	Pessary, reusable, non rubber, any type
1190	A4563	Various Medical Supplies Including Tapes and Surgical Dressings	Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each
1191	A4564	Various Medical Supplies Including Tapes and Surgical Dressings	Pessary, disposable, any type
1192	A4565	Various Medical Supplies Including Tapes and Surgical Dressings	Slings
1193	A4566	Various Medical Supplies Including Tapes and Surgical Dressings	Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment
1194	A4570	Various Medical Supplies Including Tapes and Surgical Dressings	Splint
1195	A4575	Various Medical Supplies Including Tapes and Surgical Dressings	Topical hyperbaric oxygen chamber, disposable
1196	A4580	Various Medical Supplies Including Tapes and Surgical Dressings	Cast supplies (e.g., plaster)
1197	A4590	Various Medical Supplies Including Tapes and Surgical Dressings	Special casting material (e.g., fiberglass)
1198	A4593	Various Medical Supplies Including Tapes and Surgical Dressings	Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller
1199	A4594	Various Medical Supplies Including Tapes and Surgical Dressings	Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each
1200	A4595	Various Medical Supplies Including Tapes and Surgical Dressings	Electrical stimulator supplies, 2 lead, per month, (e.g., TENS, NMES)
1201	A4596	Various Medical Supplies Including Tapes and Surgical Dressings	Cranial electrotherapy stimulation (ces) system supplies and accessories, per month
1202	A4600	Various Medical Supplies Including Tapes and Surgical Dressings	Sleeve for intermittent limb compression device, replacement only, each
1203	A4601	Various Medical Supplies Including Tapes and Surgical Dressings	Lithium ion battery, rechargeable, for non-prosthetic use, replacement
1204	A4602	Various Medical Supplies Including Tapes and Surgical Dressings	Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each
1205	A4604	Various Medical Supplies Including Tapes and Surgical Dressings	Tubing with integrated heating element for use with positive airway pressure device
1206	A4605	Various Medical Supplies Including Tapes and Surgical Dressings	Tracheal suction catheter, closed system, each
1207	A4606	Various Medical Supplies Including Tapes and Surgical Dressings	Oxygen probe for use with oximeter device, replacement
1208	A4608	Various Medical Supplies Including Tapes and Surgical Dressings	Transtracheal oxygen catheter, each
1209	A4611	Respiratory Supplies and Equipment	Battery, heavy duty; replacement for patient owned ventilator
1210	A4612	Respiratory Supplies and Equipment	Battery cables; replacement for patient-owned ventilator
1211	A4613	Respiratory Supplies and Equipment	Battery charger; replacement for patient-owned ventilator
1212	A4614	Respiratory Supplies and Equipment	Peak expiratory flow rate meter, hand held
1213	A4615	Respiratory Supplies and Equipment	Cannula, nasal
1214	A4616	Respiratory Supplies and Equipment	Tubing (oxygen), per foot
1215	A4617	Respiratory Supplies and Equipment	Mouth piece
1216	A4618	Respiratory Supplies and Equipment	Breathing circuits
1217	A4619	Respiratory Supplies and Equipment	Face tent
1218	A4620	Respiratory Supplies and Equipment	Variable concentration mask
1219	A4623	Respiratory Supplies and Equipment	Tracheostomy, inner cannula
1220	A4624	Respiratory Supplies and Equipment	Tracheal suction catheter, any type other than closed system, each
1221	A4625	Respiratory Supplies and Equipment	Tracheostomy care kit for new tracheostomy
1222	A4626	Respiratory Supplies and Equipment	Tracheostomy cleaning brush, each
1223	A4627	Respiratory Supplies and Equipment	Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler
1224	A4628	Respiratory Supplies and Equipment	Oral and/or oropharyngeal suction catheter, each
1225	A4629	Respiratory Supplies and Equipment	Tracheostomy care kit for established tracheostomy
1226	A4630	Replacement Parts	Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient
1227	A4633	Replacement Parts	Replacement bulb/lamp for ultraviolet light therapy system, each
1228	A4634	Replacement Parts	Replacement bulb for therapeutic light box, tabletop model
1229	A4635	Replacement Parts	Underarm pad, crutch, replacement, each
1230	A4636	Replacement Parts	Replacement, handgrip, cane, crutch, or walker, each
1231	A4637	Replacement Parts	Replacement, tip, cane, crutch, walker, each.
1232	A4638	Replacement Parts	Replacement battery for patient-owned ear pulse generator, each
1233	A4639	Replacement Parts	Replacement pad for infrared heating pad system, each
1234	A4640	Replacement Parts	Replacement pad for use with medically necessary alternating pressure pad owned by patient
1235	A4641	Diagnostic Radiopharmaceuticals	Radiopharmaceutical, diagnostic, not otherwise classified
1236	A4642	Diagnostic Radiopharmaceuticals	Indium In-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
1237	A4648	Other Supplies	Tissue marker, implantable, any type, each
1238	A4649	Other Supplies	Surgical supply; miscellaneous
1239	A4650	Other Supplies	Implantable radiation dosimeter, each
1240	A4651	Other Supplies	Calibrated microcapillary tube, each
1241	A4652	Other Supplies	Microcapillary tube sealant
1242	A4653	Dialysis Equipment and Supplies	Peritoneal dialysis catheter anchoring device, belt, each
1243	A4657	Dialysis Equipment and Supplies	Syringe, with or without needle, each
1244	A4660	Dialysis Equipment and Supplies	Sphygmomanometer/blood pressure apparatus with cuff and stethoscope
1245	A4663	Dialysis Equipment and Supplies	Blood pressure cuff only
1246	A4670	Dialysis Equipment and Supplies	Automatic blood pressure monitor
1247	A4671	Dialysis Equipment and Supplies	Disposable cycler set used with cycler dialysis machine, each
1248	A4672	Dialysis Equipment and Supplies	Drainage extension line, sterile, for dialysis, each
1249	A4673	Dialysis Equipment and Supplies	Extension line with easy lock connectors, used with dialysis
1250	A4674	Dialysis Equipment and Supplies	Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz
1251	A4680	Dialysis Equipment and Supplies	Activated carbon filter for hemodialysis, each
1252	A4690	Dialysis Equipment and Supplies	Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each
1253	A4706	Dialysis Equipment and Supplies	Bicarbonate concentrate, solution, for hemodialysis, per gallon
1254	A4707	Dialysis Equipment and Supplies	Bicarbonate concentrate, powder, for hemodialysis, per packet
1255	A4708	Dialysis Equipment and Supplies	Acetate concentrate solution, for hemodialysis, per gallon
1256	A4709	Dialysis Equipment and Supplies	Acid concentrate, solution, for hemodialysis, per gallon
1257	A4714	Dialysis Equipment and Supplies	Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon
1258	A4719	Dialysis Equipment and Supplies	"Y set" tubing for peritoneal dialysis
1259	A4720	Dialysis Equipment and Supplies	Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis
1260	A4721	Dialysis Equipment and Supplies	Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis
1261	A4722	Dialysis Equipment and Supplies	Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis
1262	A4723	Dialysis Equipment and Supplies	Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis
1263	A4724	Dialysis Equipment and Supplies	Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis
1264	A4725	Dialysis Equipment and Supplies	Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis
1265	A4726	Dialysis Equipment and Supplies	Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis
1266	A4728	Dialysis Equipment and Supplies	Dialysate solution, non-dextrose containing, 500 ml
1267	A4730	Dialysis Equipment and Supplies	Fistula cannulation set for hemodialysis, each
1268	A4736	Dialysis Equipment and Supplies	Topical anesthetic, for dialysis, per gram
1269	A4737	Dialysis Equipment and Supplies	Injectable anesthetic, for dialysis, per 10 ml
1270	A4740	Dialysis Equipment and Supplies	Shunt accessory, for hemodialysis, any type, each
1271	A4750	Dialysis Equipment and Supplies	Blood tubing, arterial or venous, for hemodialysis, each
1272	A4755	Dialysis Equipment and Supplies	Blood tubing, arterial and venous combined, for hemodialysis, each
1273	A4760	Dialysis Equipment and Supplies	Dialysate solution test kit, for peritoneal dialysis, any type, each
1274	A4765	Dialysis Equipment and Supplies	Dialysate concentrate, powder, additive for peritoneal dialysis, per packet
1275	A4766	Dialysis Equipment and Supplies	Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml
1276	A4770	Dialysis Equipment and Supplies	Blood collection tube, vacuum, for dialysis, per 50
1277	A4771	Dialysis Equipment and Supplies	Serum clotting time tube, for dialysis, per 50
1278	A4772	Dialysis Equipment and Supplies	Blood glucose test strips, for dialysis, per 50
1279	A4773	Dialysis Equipment and Supplies	Occult blood test strips, for dialysis, per 50
1280	A4774	Dialysis Equipment and Supplies	Ammonia test strips, for dialysis, per 50
1281	A4802	Dialysis Equipment and Supplies	Protamine sulfate, for hemodialysis, per 50 mg
1282	A4860	Dialysis Equipment and Supplies	Disposable catheter tips for peritoneal dialysis, per 10
1283	A4870	Dialysis Equipment and Supplies	Plumbing and/or electrical work for home hemodialysis equipment
1284	A4890	Dialysis Equipment and Supplies	Contracts, repair and maintenance, for hemodialysis equipment
1285	A4911	Dialysis Equipment and Supplies	Drain bag/bottle, for dialysis, each
1286	A4913	Dialysis Equipment and Supplies	Miscellaneous dialysis supplies, not otherwise specified
1287	A4918	Dialysis Equipment and Supplies	Venous pressure clamp, for hemodialysis, each
1288	A4927	Dialysis Equipment and Supplies	Gloves, non-sterile, per 100
1289	A4928	Dialysis Equipment and Supplies	Surgical mask, per 20
1290	A4929	Dialysis Equipment and Supplies	Tourniquet for dialysis, each
1291	A4930	Dialysis Equipment and Supplies	Gloves, sterile, per pair
1292	A4931	Dialysis Equipment and Supplies	Oral thermometer, reusable, any type, each
1293	A4932	Dialysis Equipment and Supplies	Rectal thermometer, reusable, any type, each
1294	A5051	Ostomy Pouches and Supplies	Ostomy pouch, closed; with barrier attached (1-piece), each
1295	A5052	Ostomy Pouches and Supplies	Ostomy pouch, closed; without barrier attached (1-piece), each
1296	A5053	Ostomy Pouches and Supplies	Ostomy pouch, closed; for use on faceplate, each
1297	A5054	Ostomy Pouches and Supplies	Ostomy pouch, closed; for use on barrier with flange (2-piece), each
1298	A5055	Ostomy Pouches and Supplies	Stoma cap
1299	A5056	Ostomy Pouches and Supplies	Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1-piece), each
1300	A5057	Ostomy Pouches and Supplies	Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1-piece), each
1301	A5061	Ostomy Pouches and Supplies	Ostomy pouch, drainable; with barrier attached, (1-piece), each
1302	A5062	Ostomy Pouches and Supplies	Ostomy pouch, drainable; without barrier attached (1-piece), each
1303	A5063	Ostomy Pouches and Supplies	Ostomy pouch, drainable; for use on barrier with flange (2-piece system), each
1304	A5071	Ostomy Pouches and Supplies	Ostomy pouch, urinary; with barrier attached (1-piece), each
1305	A5072	Ostomy Pouches and Supplies	Ostomy pouch, urinary; without barrier attached (1-piece), each
1306	A5073	Ostomy Pouches and Supplies	Ostomy pouch, urinary; for use on barrier with flange (2-piece), each
1307	A5081	Ostomy Pouches and Supplies	Stoma plug or seal, any type
1308	A5082	Ostomy Pouches and Supplies	Continent device; catheter for continent stoma
1309	A5083	Ostomy Pouches and Supplies	Continent device, stoma absorptive cover for continent stoma
1310	A5093	Ostomy Pouches and Supplies	Ostomy accessory; convex insert
1311	A5102	Incontinence Devices and Supplies	Bedside drainage bottle with or without tubing, rigid or expandable, each
1312	A5105	Incontinence Devices and Supplies	Urinary suspensory with leg bag, with or without tube, each
1313	A5112	Incontinence Devices and Supplies	Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each
1314	A5113	Incontinence Devices and Supplies	Leg strap; latex, replacement only, per set
1315	A5114	Incontinence Devices and Supplies	Leg strap; foam or fabric, replacement only, per set
1316	A5120	Incontinence Devices and Supplies	Skin barrier, wipes or swabs, each
1317	A5121	Incontinence Devices and Supplies	Skin barrier; solid, 6 x 6 or equivalent, each
1318	A5122	Incontinence Devices and Supplies	Skin barrier; solid, 8 x 8 or equivalent, each
1319	A5126	Incontinence Devices and Supplies	Adhesive or non-adhesive; disk or foam pad
1320	A5131	Incontinence Devices and Supplies	Appliance cleaner, incontinence and ostomy appliances, per 16 oz.
1321	A5200	Incontinence Devices and Supplies	Percutaneous catheter/tube anchoring device, adhesive skin attachment
1322	A5500	Diabetic Footwear	For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi- density insert(s), per shoe
1323	A5501	Diabetic Footwear	For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe
1324	A5503	Diabetic Footwear	For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe
1325	A5504	Diabetic Footwear	For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe
1326	A5505	Diabetic Footwear	For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe
1327	A5506	Diabetic Footwear	For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe
1328	A5507	Diabetic Footwear	For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
1329	A5508	Diabetic Footwear	For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
1330	A5510	Diabetic Footwear	For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe
1331	A5512	Diabetic Footwear	For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees Fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each
1332	A5513	Diabetic Footwear	For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
1333	A5514	Diabetic Footwear	For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
1334	A6000	Miscellaneous Dressing and Wound Supplies	Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card
1335	A6010	Miscellaneous Dressing and Wound Supplies	Collagen based wound filler, dry form, sterile, per gram of collagen
1336	A6011	Miscellaneous Dressing and Wound Supplies	Collagen based wound filler, gel/paste, per gram of collagen
1337	A6021	Miscellaneous Dressing and Wound Supplies	Collagen dressing, sterile, size 16 sq. in. or less, each
1338	A6022	Miscellaneous Dressing and Wound Supplies	Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each
1339	A6023	Miscellaneous Dressing and Wound Supplies	Collagen dressing, sterile, size more than 48 sq. in., each
1340	A6024	Miscellaneous Dressing and Wound Supplies	Collagen dressing wound filler, sterile, per 6 inches
1341	A6025	Miscellaneous Dressing and Wound Supplies	Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each
1342	A6154	Miscellaneous Dressing and Wound Supplies	Wound pouch, each
1343	A6196	Miscellaneous Dressing and Wound Supplies	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing
1344	A6197	Miscellaneous Dressing and Wound Supplies	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
1345	A6198	Miscellaneous Dressing and Wound Supplies	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing
1346	A6199	Miscellaneous Dressing and Wound Supplies	Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches
1347	A6203	Miscellaneous Dressing and Wound Supplies	Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
1348	A6204	Miscellaneous Dressing and Wound Supplies	Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
1349	A6205	Miscellaneous Dressing and Wound Supplies	Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
1350	A6206	Miscellaneous Dressing and Wound Supplies	Contact layer, sterile, 16 sq. in. or less, each dressing
1351	A6207	Miscellaneous Dressing and Wound Supplies	Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
1352	A6208	Miscellaneous Dressing and Wound Supplies	Contact layer, sterile, more than 48 sq. in., each dressing
1353	A6209	Foam Dressings	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
1354	A6210	Foam Dressings	Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
1355	A6211	Foam Dressings	Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
1356	A6212	Foam Dressings	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
1357	A6213	Foam Dressings	Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
1358	A6214	Foam Dressings	Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
1359	A6215	Foam Dressings	Foam dressing, wound filler, sterile, per gram
1360	A6216	Gauze Dressings	Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
1361	A6217	Gauze Dressings	Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
1362	A6218	Gauze Dressings	Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing
1363	A6219	Gauze Dressings	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
1364	A6220	Gauze Dressings	Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
1365	A6221	Gauze Dressings	Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
1366	A6222	Gauze Dressings	Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
1367	A6223	Gauze Dressings	Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing
1368	A6224	Gauze Dressings	Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
1369	A6228	Gauze Dressings	Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
1370	A6229	Gauze Dressings	Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
1371	A6230	Gauze Dressings	Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
1372	A6231	Gauze Dressings	Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing
1373	A6232	Gauze Dressings	Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing
1374	A6233	Gauze Dressings	Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing
1375	A6234	Hydrocolloid Dressings	Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
1376	A6235	Hydrocolloid Dressings	Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
1377	A6236	Hydrocolloid Dressings	Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
1378	A6237	Hydrocolloid Dressings	Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
1379	A6238	Hydrocolloid Dressings	Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
1380	A6239	Hydrocolloid Dressings	Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
1381	A6240	Hydrocolloid Dressings	Hydrocolloid dressing, wound filler, paste, sterile, per ounce
1382	A6241	Hydrocolloid Dressings	Hydrocolloid dressing, wound filler, dry form, sterile, per gram
1383	A6242	Hydrogel Dressings	Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
1384	A6243	Hydrogel Dressings	Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
1385	A6244	Hydrogel Dressings	Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
1386	A6245	Hydrogel Dressings	Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
1387	A6246	Hydrogel Dressings	Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
1388	A6247	Hydrogel Dressings	Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
1389	A6248	Hydrogel Dressings	Hydrogel dressing, wound filler, gel, per fluid ounce
1390	A6250	Other Dressings, Coverings, and Wound Treatment Supplies	Skin sealants, protectants, moisturizers, ointments, any type, any size
1391	A6251	Other Dressings, Coverings, and Wound Treatment Supplies	Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
1392	A6252	Other Dressings, Coverings, and Wound Treatment Supplies	Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
1393	A6253	Other Dressings, Coverings, and Wound Treatment Supplies	Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
1394	A6254	Other Dressings, Coverings, and Wound Treatment Supplies	Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
1395	A6255	Other Dressings, Coverings, and Wound Treatment Supplies	Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
1396	A6256	Other Dressings, Coverings, and Wound Treatment Supplies	Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
1397	A6257	Other Dressings, Coverings, and Wound Treatment Supplies	Transparent film, sterile, 16 sq. in. or less, each dressing
1398	A6258	Other Dressings, Coverings, and Wound Treatment Supplies	Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
1399	A6259	Other Dressings, Coverings, and Wound Treatment Supplies	Transparent film, sterile, more than 48 sq. in., each dressing
1400	A6260	Other Dressings, Coverings, and Wound Treatment Supplies	Wound cleansers, any type, any size
1401	A6261	Other Dressings, Coverings, and Wound Treatment Supplies	Wound filler, gel/paste, per fluid ounce, not otherwise specified
1402	A6262	Other Dressings, Coverings, and Wound Treatment Supplies	Wound filler, dry form, per gram, not otherwise specified
1403	A6266	Other Dressings, Coverings, and Wound Treatment Supplies	Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard
1404	A6402	Other Dressings, Coverings, and Wound Treatment Supplies	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
1405	A6403	Other Dressings, Coverings, and Wound Treatment Supplies	Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing
1406	A6404	Other Dressings, Coverings, and Wound Treatment Supplies	Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
1407	A6407	Other Dressings, Coverings, and Wound Treatment Supplies	Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard
1408	A6410	Other Dressings, Coverings, and Wound Treatment Supplies	Eye pad, sterile, each
1409	A6411	Other Dressings, Coverings, and Wound Treatment Supplies	Eye pad, non-sterile, each
1410	A6412	Other Dressings, Coverings, and Wound Treatment Supplies	Eye patch, occlusive, each
1411	A6413	Bandages	Adhesive bandage, first-aid type, any size, each
1412	A6441	Bandages	Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to 3 inches and less than 5 inches, per yard
1413	A6442	Bandages	Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than 3 inches, per yard
1414	A6443	Bandages	Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 3 inches and less than 5 inches, per yard
1415	A6444	Bandages	Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard
1416	A6445	Bandages	Conforming bandage, non-elastic, knitted/woven, sterile, width less than 3 inches, per yard
1417	A6446	Bandages	Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to 3 inches and less than 5 inches, per yard
1418	A6447	Bandages	Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to 5 inches, per yard
1419	A6448	Bandages	Light compression bandage, elastic, knitted/woven, width less than 3 inches, per yard
1420	A6449	Bandages	Light compression bandage, elastic, knitted/woven, width greater than or equal to 3 inches and less than 5 inches, per yard
1421	A6450	Bandages	Light compression bandage, elastic, knitted/woven, width greater than or equal to 5 inches, per yard
1422	A6451	Bandages	Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to 3 inches and less than 5 inches, per yard
1423	A6452	Bandages	High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to 3 inches and less than 5 inches, per yard
1424	A6453	Bandages	Self-adherent bandage, elastic, non-knitted/non-woven, width less than 3 inches, per yard
1425	A6454	Bandages	Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to 3 inches and less than 5 inches, per yard
1426	A6455	Bandages	Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to 5 inches, per yard
1427	A6456	Bandages	Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to 3 inches and less than 5 inches, per yard
1428	A6457	Bandages	Tubular dressing with or without elastic, any width, per linear yard
1429	A6460	Bandages	Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
1430	A6461	Bandages	Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
1431	A6501	Compression Garments and Stockings	Compression burn garment, bodysuit (head to foot), custom fabricated
1432	A6502	Compression Garments and Stockings	Compression burn garment, chin strap, custom fabricated
1433	A6503	Compression Garments and Stockings	Compression burn garment, facial hood, custom fabricated
1434	A6504	Compression Garments and Stockings	Compression burn garment, glove to wrist, custom fabricated
1435	A6505	Compression Garments and Stockings	Compression burn garment, glove to elbow, custom fabricated
1436	A6506	Compression Garments and Stockings	Compression burn garment, glove to axilla, custom fabricated
1437	A6507	Compression Garments and Stockings	Compression burn garment, foot to knee length, custom fabricated
1438	A6508	Compression Garments and Stockings	Compression burn garment, foot to thigh length, custom fabricated
1439	A6509	Compression Garments and Stockings	Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated
1440	A6510	Compression Garments and Stockings	Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated
1441	A6511	Compression Garments and Stockings	Compression burn garment, lower trunk including leg openings (panty), custom fabricated
1442	A6512	Compression Garments and Stockings	Compression burn garment, not otherwise classified
1443	A6513	Compression Garments and Stockings	Compression burn mask, face and/or neck, plastic or equal, custom fabricated
1444	A6520	Compression Garments and Stockings	Gradient compression garment, glove, padded, for nighttime use, each
1445	A6521	Compression Garments and Stockings	Gradient compression garment, glove, padded, for nighttime use, custom, each
1446	A6522	Compression Garments and Stockings	Gradient compression garment, arm, padded, for nighttime use, each
1447	A6523	Compression Garments and Stockings	Gradient compression garment, arm, padded, for nighttime use, custom, each
1448	A6524	Compression Garments and Stockings	Gradient compression garment, lower leg and foot, padded, for nighttime use, each
1449	A6525	Compression Garments and Stockings	Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each
1450	A6526	Compression Garments and Stockings	Gradient compression garment, full leg and foot, padded, for nighttime use, each
1451	A6527	Compression Garments and Stockings	Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each
1452	A6528	Compression Garments and Stockings	Gradient compression garment, bra, for nighttime use, each
1453	A6529	Compression Garments and Stockings	Gradient compression garment, bra, for nighttime use, custom, each
1454	A6530	Compression Garments and Stockings	Gradient compression stocking, below knee, 18-30 mmHg, each
1455	A6531	Compression Garments and Stockings	Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each
1456	A6532	Compression Garments and Stockings	Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each
1457	A6533	Compression Garments and Stockings	Gradient compression stocking, thigh length, 18-30 mmHg, each
1458	A6534	Compression Garments and Stockings	Gradient compression stocking, thigh length, 30-40 mmHg, each
1459	A6535	Compression Garments and Stockings	Gradient compression stocking, thigh length, 40 mmhg or greater, each
1460	A6536	Compression Garments and Stockings	Gradient compression stocking, full length/chap style, 18-30 mmHg, each
1461	A6537	Compression Garments and Stockings	Gradient compression stocking, full length/chap style, 30-40 mmHg, each
1462	A6538	Compression Garments and Stockings	Gradient compression stocking, full length/chap style, 40 mmhg or greater, each
1463	A6539	Compression Garments and Stockings	Gradient compression stocking, waist length, 18-30 mmHg, each
1464	A6540	Compression Garments and Stockings	Gradient compression stocking, waist length, 30-40 mmHg, each
1465	A6541	Compression Garments and Stockings	Gradient compression stocking, waist length, 40 mmhg or greater, each
1466	A6544	Compression Garments and Stockings	Gradient compression stocking, garter belt
1467	A6545	Compression Garments and Stockings	Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each
1468	A6549	Compression Garments and Stockings	Gradient compression garment, not otherwise specified
1469	A6550	Compression Garments and Stockings	Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
1470	A6552	Compression Garments and Stockings	Gradient compression stocking, below knee, 30-40 mmhg, each
1471	A6553	Compression Garments and Stockings	Gradient compression stocking, below knee, 30-40 mmhg, custom, each
1472	A6554	Compression Garments and Stockings	Gradient compression stocking, below knee, 40 mmhg or greater, each
1473	A6555	Compression Garments and Stockings	Gradient compression stocking, below knee, 40 mmhg or greater, custom, each
1474	A6556	Compression Garments and Stockings	Gradient compression stocking, thigh length, 18-30 mmhg, custom, each
1475	A6557	Compression Garments and Stockings	Gradient compression stocking, thigh length, 30-40 mmhg, custom, each
1476	A6558	Compression Garments and Stockings	Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each
1477	A6559	Compression Garments and Stockings	Gradient compression stocking, full length/chap style, 18-30 mmhg, custom, each
1478	A6560	Compression Garments and Stockings	Gradient compression stocking, full length/chap style, 30-40 mmhg, custom, each
1479	A6561	Compression Garments and Stockings	Gradient compression stocking, full length/chap style, 40 mmhg or greater, custom, each
1480	A6562	Compression Garments and Stockings	Gradient compression stocking, waist length, 18-30 mmhg, custom, each
1481	A6563	Compression Garments and Stockings	Gradient compression stocking, waist length, 30-40 mmhg, custom, each
1482	A6564	Compression Garments and Stockings	Gradient compression stocking, waist length, 40 mmhg or greater, custom, each
1483	A6565	Compression Garments and Stockings	Gradient compression gauntlet, custom, each
1484	A6566	Compression Garments and Stockings	Gradient compression garment, neck/head, each
1485	A6567	Compression Garments and Stockings	Gradient compression garment, neck/head, custom, each
1486	A6568	Compression Garments and Stockings	Gradient compression garment, torso and shoulder, each
1487	A6569	Compression Garments and Stockings	Gradient compression garment, torso/shoulder, custom, each
1488	A6570	Compression Garments and Stockings	Gradient compression garment, genital region, each
1489	A6571	Compression Garments and Stockings	Gradient compression garment, genital region, custom, each
1490	A6572	Compression Garments and Stockings	Gradient compression garment, toe caps, each
1491	A6573	Compression Garments and Stockings	Gradient compression garment, toe caps, custom, each
1492	A6574	Compression Garments and Stockings	Gradient compression arm sleeve and glove combination, custom, each
1493	A6575	Compression Garments and Stockings	Gradient compression arm sleeve and glove combination, each
1494	A6576	Compression Garments and Stockings	Gradient compression arm sleeve, custom, medium weight, each
1495	A6577	Compression Garments and Stockings	Gradient compression arm sleeve, custom, heavy weight, each
1496	A6578	Compression Garments and Stockings	Gradient compression arm sleeve, each
1497	A6579	Compression Garments and Stockings	Gradient compression glove, custom, medium weight, each
1498	A6580	Compression Garments and Stockings	Gradient compression glove, custom, heavy weight, each
1499	A6581	Compression Garments and Stockings	Gradient compression glove, each
1500	A6582	Compression Garments and Stockings	Gradient compression gauntlet, each
1501	A6583	Compression Garments and Stockings	Gradient compression wrap with adjustable straps, below knee, 30-50 mmhg, each
1502	A6584	Compression Garments and Stockings	Gradient compression wrap with adjustable straps, not otherwise specified
1503	A6585	Compression Garments and Stockings	Gradient pressure wrap with adjustable straps, above knee, each
1504	A6586	Compression Garments and Stockings	Gradient pressure wrap with adjustable straps, full leg, each
1505	A6587	Compression Garments and Stockings	Gradient pressure wrap with adjustable straps, foot, each
1506	A6588	Compression Garments and Stockings	Gradient pressure wrap with adjustable straps, arm, each
1507	A6589	Compression Garments and Stockings	Gradient pressure wrap with adjustable straps, bra, each
1508	A6590	Compression Garments and Stockings	External urinary catheters; disposable, with wicking material, for use with suction pump, per month
1509	A6591	Compression Garments and Stockings	External urinary catheter; non-disposable, for use with suction pump, per month
1510	A6593	Compression Garments and Stockings	Accessory for gradient compression garment or wrap with adjustable straps, non-otherwise specified
1511	A6594	Compression Garments and Stockings	Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each
1512	A6595	Compression Garments and Stockings	Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each
1513	A6596	Compression Garments and Stockings	Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each
1514	A6597	Compression Garments and Stockings	Gradient compression bandage roll, elastic long stretch, linear yard, any width, each
1515	A6598	Compression Garments and Stockings	Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each
1516	A6599	Compression Garments and Stockings	Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each
1517	A6600	Compression Garments and Stockings	Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each
1518	A6601	Compression Garments and Stockings	Gradient compression bandaging supply, high density foam pad, any size or shape, each
1519	A6602	Compression Garments and Stockings	Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each
1520	A6603	Compression Garments and Stockings	Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each
1521	A6604	Compression Garments and Stockings	Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each
1522	A6605	Compression Garments and Stockings	Gradient compression bandaging supply, padded foam, per linear yard, any width, each
1523	A6606	Compression Garments and Stockings	Gradient compression bandaging supply, padded textile, per linear yard, any width, each
1524	A6607	Compression Garments and Stockings	Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each
1525	A6608	Compression Garments and Stockings	Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each
1526	A6609	Compression Garments and Stockings	Gradient compression bandaging supply, not otherwise specified
1527	A6610	Compression Garments and Stockings	Gradient compression stocking, below knee, 18-30 mmhg, custom, each
1528	A7000	Breathing Aids	Canister, disposable, used with suction pump, each
1529	A7001	Breathing Aids	Canister, non-disposable, used with suction pump, each
1530	A7002	Breathing Aids	Tubing, used with suction pump, each
1531	A7003	Breathing Aids	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable
1532	A7004	Breathing Aids	Small volume nonfiltered pneumatic nebulizer, disposable
1533	A7005	Breathing Aids	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable
1534	A7006	Breathing Aids	Administration set, with small volume filtered pneumatic nebulizer
1535	A7007	Breathing Aids	Large volume nebulizer, disposable, unfilled, used with aerosol compressor
1536	A7008	Breathing Aids	Large volume nebulizer, disposable, prefilled, used with aerosol compressor
1537	A7009	Breathing Aids	Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer
1538	A7010	Breathing Aids	Corrugated tubing, disposable, used with large volume nebulizer, 100 feet
1539	A7012	Breathing Aids	Water collection device, used with large volume nebulizer
1540	A7013	Breathing Aids	Filter, disposable, used with aerosol compressor or ultrasonic generator
1541	A7014	Breathing Aids	Filter, nondisposable, used with aerosol compressor or ultrasonic generator
1542	A7015	Breathing Aids	Aerosol mask, used with DME nebulizer
1543	A7016	Breathing Aids	Dome and mouthpiece, used with small volume ultrasonic nebulizer
1544	A7017	Breathing Aids	Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen
1545	A7018	Breathing Aids	Water, distilled, used with large volume nebulizer, 1000 ml
1546	A7020	Breathing Aids	Interface for cough stimulating device, includes all components, replacement only
1547	A7021	Breathing Aids	Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter)
1548	A7023	Breathing Aids	Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical
1549	A7025	Breathing Aids	High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each
1550	A7026	Breathing Aids	High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each
1551	A7027	Breathing Aids	Combination oral/nasal mask, used with continuous positive airway pressure device, each
1552	A7028	Breathing Aids	Oral cushion for combination oral/nasal mask, replacement only, each
1553	A7029	Breathing Aids	Nasal pillows for combination oral/nasal mask, replacement only, pair
1554	A7030	Breathing Aids	Full face mask used with positive airway pressure device, each
1555	A7031	Breathing Aids	Face mask interface, replacement for full face mask, each
1556	A7032	Breathing Aids	Cushion for use on nasal mask interface, replacement only, each
1557	A7033	Breathing Aids	Pillow for use on nasal cannula type interface, replacement only, pair
1558	A7034	Breathing Aids	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap
1559	A7035	Breathing Aids	Headgear used with positive airway pressure device
1560	A7036	Breathing Aids	Chinstrap used with positive airway pressure device
1561	A7037	Breathing Aids	Tubing used with positive airway pressure device
1562	A7038	Breathing Aids	Filter, disposable, used with positive airway pressure device
1563	A7039	Breathing Aids	Filter, non disposable, used with positive airway pressure device
1564	A7040	Breathing Aids	One way chest drain valve
1565	A7041	Breathing Aids	Water seal drainage container and tubing for use with implanted chest tube
1566	A7044	Breathing Aids	Oral interface used with positive airway pressure device, each
1567	A7045	Breathing Aids	Exhalation port with or without swivel used with accessories for positive airway devices, replacement only
1568	A7046	Breathing Aids	Water chamber for humidifier, used with positive airway pressure device, replacement, each
1569	A7047	Breathing Aids	Oral interface used with respiratory suction pump, each
1570	A7048	Breathing Aids	Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each
1571	A7049	Breathing Aids	Expiratory positive airway pressure intranasal resistance valve
1572	A7501	Tracheostoma Supplies	Tracheostoma valve, including diaphragm, each
1573	A7502	Tracheostoma Supplies	Replacement diaphragm/faceplate for tracheostoma valve, each
1574	A7503	Tracheostoma Supplies	Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each
1575	A7504	Tracheostoma Supplies	Filter for use in a tracheostoma heat and moisture exchange system, each
1576	A7505	Tracheostoma Supplies	Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each
1577	A7506	Tracheostoma Supplies	Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each
1578	A7507	Tracheostoma Supplies	Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each
1579	A7508	Tracheostoma Supplies	Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each
1580	A7509	Tracheostoma Supplies	Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each
1581	A7520	Tracheostoma Supplies	Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (PVC), silicone or equal, each
1582	A7521	Tracheostoma Supplies	Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (PVC), silicone or equal,each
1583	A7522	Tracheostoma Supplies	Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each
1584	A7523	Tracheostoma Supplies	Tracheostomy shower protector, each
1585	A7524	Tracheostoma Supplies	Tracheostoma stent/stud/button, each
1586	A7525	Tracheostoma Supplies	Tracheostomy mask, each
1587	A7526	Tracheostoma Supplies	Tracheostomy tube collar/holder, each
1588	A7527	Tracheostoma Supplies	Tracheostomy/laryngectomy tube plug/stop, each
1589	A8000	Helmets	Helmet, protective, soft, prefabricated, includes all components and accessories
1590	A8001	Helmets	Helmet, protective, hard, prefabricated, includes all components and accessories
1591	A8002	Helmets	Helmet, protective, soft, custom fabricated, includes all components and accessories
1592	A8003	Helmets	Helmet, protective, hard, custom fabricated, includes all components and accessories
1593	A8004	Helmets	Soft interface for helmet, replacement only
1594	A9150	Miscellaneous Supplies and Equipment	Non-prescription drugs
1595	A9152	Miscellaneous Supplies and Equipment	Single vitamin/mineral/trace element, oral, per dose, not otherwise specified
1596	A9153	Miscellaneous Supplies and Equipment	Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified
1597	A9155	Miscellaneous Supplies and Equipment	Artificial saliva, 30 ml
1598	A9156	Miscellaneous Supplies and Equipment	Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml
1599	A9180	Miscellaneous Supplies and Equipment	Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker
1600	A9268	Miscellaneous Supplies and Equipment	Programmer for transient, orally ingested capsule
1601	A9269	Miscellaneous Supplies and Equipment	Programable, transient, orally ingested capsule, for use with external programmer, per month
1602	A9270	Miscellaneous Supplies and Equipment	Non-covered item or service
1603	A9272	Miscellaneous Supplies and Equipment	Wound suction, disposable, includes dressing, all accessories and components, any type, each
1604	A9273	Miscellaneous Supplies and Equipment	Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type
1605	A9274	Miscellaneous Supplies and Equipment	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories
1606	A9275	Miscellaneous Supplies and Equipment	Home glucose disposable monitor, includes test strips
1607	A9276	Miscellaneous Supplies and Equipment	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply
1608	A9277	Miscellaneous Supplies and Equipment	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
1609	A9278	Miscellaneous Supplies and Equipment	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
1610	A9279	Miscellaneous Supplies and Equipment	Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified
1611	A9280	Miscellaneous Supplies and Equipment	Alert or alarm device, not otherwise classified
1612	A9281	Miscellaneous Supplies and Equipment	Reaching/grabbing device, any type, any length, each
1613	A9282	Miscellaneous Supplies and Equipment	Wig, any type, each
1614	A9283	Miscellaneous Supplies and Equipment	Foot pressure off loading/supportive device, any type, each
1615	A9284	Miscellaneous Supplies and Equipment	Spirometer, non-electronic, includes all accessories
1616	A9285	Miscellaneous Supplies and Equipment	Inversion/eversion correction device
1617	A9286	Miscellaneous Supplies and Equipment	Hygienic item or device, disposable or non-disposable, any type, each
1618	A9291	Miscellaneous Supplies and Equipment	Prescription digital cognitive and/or behavioral therapy, fda cleared, per course of treatment
1619	A9292	Miscellaneous Supplies and Equipment	Prescription digital visual therapy, software-only, fda cleared, per course of treatment
1620	A9293	Miscellaneous Supplies and Equipment	Fertility cycle (contraception & conception) tracking software application, fda cleared, per month, includes accessories (e.g., thermometer)
1621	A9300	Miscellaneous Supplies and Equipment	Exercise equipment
1622	A9500	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m sestamibi, diagnostic, per study dose
1623	A9501	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m teboroxime, diagnostic, per study dose
1624	A9502	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m tetrofosmin, diagnostic, per study dose
1625	A9503	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
1626	A9504	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries
1627	A9505	Diagnostic and Therapeutic Radiopharmaceuticals	Thallium Tl-201 thallous chloride, diagnostic, per millicurie
1628	A9506	Diagnostic and Therapeutic Radiopharmaceuticals	Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible
1629	A9507	Diagnostic and Therapeutic Radiopharmaceuticals	Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
1630	A9508	Diagnostic and Therapeutic Radiopharmaceuticals	Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
1631	A9509	Diagnostic and Therapeutic Radiopharmaceuticals	Iodine I-123 sodium iodide, diagnostic, per millicurie
1632	A9510	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
1633	A9512	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m pertechnetate, diagnostic, per millicurie
1634	A9513	Diagnostic and Therapeutic Radiopharmaceuticals	Lutetium lu 177, dotatate, therapeutic, 1 millicurie
1635	A9515	Diagnostic and Therapeutic Radiopharmaceuticals	Choline c-11, diagnostic, per study dose up to 20 millicuries
1636	A9516	Diagnostic and Therapeutic Radiopharmaceuticals	Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries
1637	A9517	Diagnostic and Therapeutic Radiopharmaceuticals	Iodine I-131 sodium iodide capsule(s), therapeutic, per millicurie
1638	A9520	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m, tilmanocept, diagnostic, up to 0.5 millicuries
1639	A9521	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
1640	A9524	Diagnostic and Therapeutic Radiopharmaceuticals	Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries
1641	A9526	Diagnostic and Therapeutic Radiopharmaceuticals	Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 millicuries
1642	A9527	Diagnostic and Therapeutic Radiopharmaceuticals	Iodine I-125, sodium iodide solution, therapeutic, per millicurie
1643	A9528	Diagnostic and Therapeutic Radiopharmaceuticals	Iodine I-131 sodium iodide capsule(s), diagnostic, per millicurie
1644	A9529	Diagnostic and Therapeutic Radiopharmaceuticals	Iodine I-131 sodium iodide solution, diagnostic, per millicurie
1645	A9530	Diagnostic and Therapeutic Radiopharmaceuticals	Iodine I-131 sodium iodide solution, therapeutic, per millicurie
1646	A9531	Diagnostic and Therapeutic Radiopharmaceuticals	Iodine I-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)
1647	A9532	Diagnostic and Therapeutic Radiopharmaceuticals	Iodine I-125 serum albumin, diagnostic, per 5 microcuries
1648	A9536	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries
1649	A9537	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries
1650	A9538	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries
1651	A9539	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries
1652	A9540	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries
1653	A9541	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries
1654	A9542	Diagnostic and Therapeutic Radiopharmaceuticals	Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries
1655	A9543	Diagnostic and Therapeutic Radiopharmaceuticals	Yttrium Y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries
1656	A9546	Diagnostic and Therapeutic Radiopharmaceuticals	Cobalt Co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie
1657	A9547	Diagnostic and Therapeutic Radiopharmaceuticals	Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurie
1658	A9548	Diagnostic and Therapeutic Radiopharmaceuticals	Indium In-111 pentetate, diagnostic, per 0.5 millicurie
1659	A9550	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie
1660	A9551	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 millicuries
1661	A9552	Diagnostic and Therapeutic Radiopharmaceuticals	Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries
1662	A9553	Diagnostic and Therapeutic Radiopharmaceuticals	Chromium Cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries
1663	A9554	Diagnostic and Therapeutic Radiopharmaceuticals	Iodine I-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries
1664	A9555	Diagnostic and Therapeutic Radiopharmaceuticals	Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuries
1665	A9556	Diagnostic and Therapeutic Radiopharmaceuticals	Gallium Ga-67 citrate, diagnostic, per millicurie
1666	A9557	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries
1667	A9558	Diagnostic and Therapeutic Radiopharmaceuticals	Xenon Xe-133 gas, diagnostic, per 10 millicuries
1668	A9559	Diagnostic and Therapeutic Radiopharmaceuticals	Cobalt Co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie
1669	A9560	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries
1670	A9561	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries
1671	A9562	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries
1672	A9563	Diagnostic and Therapeutic Radiopharmaceuticals	Sodium phosphate P-32, therapeutic, per millicurie
1673	A9564	Diagnostic and Therapeutic Radiopharmaceuticals	Chromic phosphate P-32 suspension, therapeutic, per millicurie
1674	A9566	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries
1675	A9567	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries
1676	A9568	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries
1677	A9569	Diagnostic and Therapeutic Radiopharmaceuticals	Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose
1678	A9570	Diagnostic and Therapeutic Radiopharmaceuticals	Indium In-111 labeled autologous white blood cells, diagnostic, per study dose
1679	A9571	Diagnostic and Therapeutic Radiopharmaceuticals	Indium In-111 labeled autologous platelets, diagnostic, per study dose
1680	A9572	Diagnostic and Therapeutic Radiopharmaceuticals	Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries
1681	A9573	Diagnostic and Therapeutic Radiopharmaceuticals	Injection, gadopiclenol, 1 ml
1682	A9575	Diagnostic and Therapeutic Radiopharmaceuticals	Injection, gadoterate meglumine, 0.1 ml
1683	A9576	Diagnostic and Therapeutic Radiopharmaceuticals	Injection, gadoteridol, (ProHance multipack), per ml
1684	A9577	Diagnostic and Therapeutic Radiopharmaceuticals	Injection, gadobenate dimeglumine (MultiHance), per ml
1685	A9578	Diagnostic and Therapeutic Radiopharmaceuticals	Injection, gadobenate dimeglumine (MultiHance multipack), per ml
1686	A9579	Diagnostic and Therapeutic Radiopharmaceuticals	Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml
1687	A9580	Diagnostic and Therapeutic Radiopharmaceuticals	Sodium fluoride F-18, diagnostic, per study dose, up to 30 millicuries
1688	A9581	Diagnostic and Therapeutic Radiopharmaceuticals	Injection, gadoxetate disodium, 1 ml
1689	A9582	Diagnostic and Therapeutic Radiopharmaceuticals	Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 millicuries
1690	A9583	Diagnostic and Therapeutic Radiopharmaceuticals	Injection, gadofosveset trisodium, 1 ml
1691	A9584	Diagnostic and Therapeutic Radiopharmaceuticals	Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
1692	A9585	Diagnostic and Therapeutic Radiopharmaceuticals	Injection, gadobutrol, 0.1 ml
1693	A9586	Diagnostic and Therapeutic Radiopharmaceuticals	Florbetapir F18, diagnostic, per study dose, up to 10 millicuries
1694	A9587	Diagnostic and Therapeutic Radiopharmaceuticals	Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
1695	A9588	Diagnostic and Therapeutic Radiopharmaceuticals	Fluciclovine f-18, diagnostic, 1 millicurie
1696	A9589	Diagnostic and Therapeutic Radiopharmaceuticals	Instillation, hexaminolevulinate hydrochloride, 100 mg
1697	A9590	Diagnostic and Therapeutic Radiopharmaceuticals	Iodine i-131, iobenguane, 1 millicurie
1698	A9591	Diagnostic and Therapeutic Radiopharmaceuticals	Fluoroestradiol f 18, diagnostic, 1 millicurie
1699	A9592	Diagnostic and Therapeutic Radiopharmaceuticals	Copper cu-64, dotatate, diagnostic, 1 millicurie
1700	A9593	Diagnostic and Therapeutic Radiopharmaceuticals	Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie
1701	A9594	Diagnostic and Therapeutic Radiopharmaceuticals	Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie
1702	A9595	Diagnostic and Therapeutic Radiopharmaceuticals	Piflufolastat f-18, diagnostic, 1 millicurie
1703	A9596	Diagnostic and Therapeutic Radiopharmaceuticals	Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie
1704	A9597	Diagnostic and Therapeutic Radiopharmaceuticals	Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified
1705	A9598	Diagnostic and Therapeutic Radiopharmaceuticals	Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified
1706	A9600	Diagnostic and Therapeutic Radiopharmaceuticals	Strontium Sr-89 chloride, therapeutic, per millicurie
1707	A9601	Diagnostic and Therapeutic Radiopharmaceuticals	Flortaucipir f 18 injection, diagnostic, 1 millicurie
1708	A9602	Diagnostic and Therapeutic Radiopharmaceuticals	Fluorodopa f-18, diagnostic, per millicurie
1709	A9603	Diagnostic and Therapeutic Radiopharmaceuticals	Injection, pafolacianine, 0.1 mg
1710	A9604	Diagnostic and Therapeutic Radiopharmaceuticals	Samarium Sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
1711	A9606	Diagnostic and Therapeutic Radiopharmaceuticals	Radium Ra-223 dichloride, therapeutic, per microcurie
1712	A9607	Diagnostic and Therapeutic Radiopharmaceuticals	Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie
1713	A9608	Diagnostic and Therapeutic Radiopharmaceuticals	Flotufolastat f 18, diagnostic, 1 millicurie
1714	A9609	Diagnostic and Therapeutic Radiopharmaceuticals	Fludeoxyglucose f18 up to 15 millicuries
1715	A9610	Diagnostic and Therapeutic Radiopharmaceuticals	Xenon xe-129 hyperpolarized gas, diagnostic, per study dose
1716	A9615	Diagnostic and Therapeutic Radiopharmaceuticals	Injection, pegulicianine, 1 mg
1717	A9697	Diagnostic and Therapeutic Radiopharmaceuticals	Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose
1718	A9698	Diagnostic and Therapeutic Radiopharmaceuticals	Non-radioactive contrast imaging material, not otherwise classified, per study
1719	A9699	Diagnostic and Therapeutic Radiopharmaceuticals	Radiopharmaceutical, therapeutic, not otherwise classified
1720	A9700	Diagnostic and Therapeutic Radiopharmaceuticals	Supply of injectable contrast material for use in echocardiography, per study
1721	A9800	Diagnostic and Therapeutic Radiopharmaceuticals	Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie
1722	A9900	Miscellaneous DME Supplies and Services	Miscellaneous DME supply, accessory, and/or service component of another HCPCS code
1723	A9901	Miscellaneous DME Supplies and Services	DME delivery, set up, and/or dispensing service component of another HCPCS code
1724	A9999	Miscellaneous DME Supplies and Services	Miscellaneous DME supply or accessory, not otherwise specified
1725	B4034	Enteral Feeding Supplies and Equipment	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
1726	B4035	Enteral Feeding Supplies and Equipment	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
1727	B4036	Enteral Feeding Supplies and Equipment	Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
1728	B4081	Enteral Feeding Supplies and Equipment	Nasogastric tubing with stylet
1729	B4082	Enteral Feeding Supplies and Equipment	Nasogastric tubing without stylet
1730	B4083	Enteral Feeding Supplies and Equipment	Stomach tube - Levine type
1731	B4087	Enteral Feeding Supplies and Equipment	Gastrostomy/jejunostomy tube, standard, any material, any type, each
1732	B4088	Enteral Feeding Supplies and Equipment	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each
1733	B4100	Enteral Formulas and Additives	Food thickener, administered orally, per ounce
1734	B4102	Enteral Formulas and Additives	Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
1735	B4103	Enteral Formulas and Additives	Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
1736	B4104	Enteral Formulas and Additives	Additive for enteral formula (e.g., fiber)
1737	B4105	Enteral Formulas and Additives	In-line cartridge containing digestive enzyme(s) for enteral feeding, each
1738	B4148	Enteral Formulas and Additives	Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
1739	B4149	Enteral Formulas and Additives	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
1740	B4150	Enteral Formulas and Additives	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
1741	B4152	Enteral Formulas and Additives	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
1742	B4153	Enteral Formulas and Additives	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
1743	B4154	Enteral Formulas and Additives	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
1744	B4155	Enteral Formulas and Additives	Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit
1745	B4157	Enteral Formulas and Additives	Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
1746	B4158	Enteral Formulas and Additives	Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit
1747	B4159	Enteral Formulas and Additives	Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit
1748	B4160	Enteral Formulas and Additives	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
1749	B4161	Enteral Formulas and Additives	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
1750	B4162	Enteral Formulas and Additives	Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
1751	B4164	Parenteral Solutions and Supplies	Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit) - homemix
1752	B4168	Parenteral Solutions and Supplies	Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - homemix
1753	B4172	Parenteral Solutions and Supplies	Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - homemix
1754	B4176	Parenteral Solutions and Supplies	Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - homemix
1755	B4178	Parenteral Solutions and Supplies	Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - homemix
1756	B4180	Parenteral Solutions and Supplies	Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500 ml=1 unit) - homemix
1757	B4185	Parenteral Solutions and Supplies	Parenteral nutrition solution, not otherwise specified, 10 grams lipids
1758	B4187	Parenteral Solutions and Supplies	Omegaven, 10 grams lipids
1759	B4189	Parenteral Solutions and Supplies	Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix
1760	B4193	Parenteral Solutions and Supplies	Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix
1761	B4197	Parenteral Solutions and Supplies	Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix
1762	B4199	Parenteral Solutions and Supplies	Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix
1763	B4216	Parenteral Solutions and Supplies	Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes) homemix per day
1764	B4220	Parenteral Solutions and Supplies	Parenteral nutrition supply kit; premix, per day
1765	B4222	Parenteral Solutions and Supplies	Parenteral nutrition supply kit; home mix, per day
1766	B4224	Parenteral Solutions and Supplies	Parenteral nutrition administration kit, per day
1767	B5000	Parenteral Solutions and Supplies	Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal-Amirosyn RF, NephrAmine, RenAmine-premix
1768	B5100	Parenteral Solutions and Supplies	Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic, HepAtamine-premix
1769	B5200	Parenteral Solutions and Supplies	Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress-branch chain amino acids-freamine-hbc-premix
1770	B9002	Nutrition Infusion Pumps and Supplies Not Otherwise Classified, NOC	Enteral nutrition infusion pump, any type
1771	B9004	Nutrition Infusion Pumps and Supplies Not Otherwise Classified, NOC	Parenteral nutrition infusion pump, portable
1772	B9006	Nutrition Infusion Pumps and Supplies Not Otherwise Classified, NOC	Parenteral nutrition infusion pump, stationary
1773	B9998	Nutrition Infusion Pumps and Supplies Not Otherwise Classified, NOC	NOC for enteral supplies
1774	B9999	Nutrition Infusion Pumps and Supplies Not Otherwise Classified, NOC	NOC for parenteral supplies
1775	C1713	Assorted Devices and Supplies	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)
1776	C1714	Assorted Devices and Supplies	Catheter, transluminal atherectomy, directional
1777	C1715	Assorted Devices and Supplies	Brachytherapy needle
1778	C1716	Brachytherapy Sources	Brachytherapy source, non-stranded, gold-198, per source
1779	C1717	Brachytherapy Sources	Brachytherapy source, non-stranded, high dose rate iridium-192, per source
1780	C1719	Brachytherapy Sources	Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
1781	C1721	Cardioverter-defibrillators	Cardioverter-defibrillator, dual chamber (implantable)
1782	C1722	Cardioverter-defibrillators	Cardioverter-defibrillator, single chamber (implantable)
1783	C1724	Catheters for Multiple Applications	Catheter, transluminal atherectomy, rotational
1784	C1725	Catheters for Multiple Applications	Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)
1785	C1726	Catheters for Multiple Applications	Catheter, balloon dilatation, non-vascular
1786	C1727	Catheters for Multiple Applications	Catheter, balloon tissue dissector, non-vascular (insertable)
1787	C1728	Catheters for Multiple Applications	Catheter, brachytherapy seed administration
1788	C1729	Catheters for Multiple Applications	Catheter, drainage
1789	C1730	Catheters for Multiple Applications	Catheter, electrophysiology, diagnostic, other than 3D mapping (19 or fewer electrodes)
1790	C1731	Catheters for Multiple Applications	Catheter, electrophysiology, diagnostic, other than 3D mapping (20 or more electrodes)
1791	C1732	Catheters for Multiple Applications	Catheter, electrophysiology, diagnostic/ablation, 3D or vector mapping
1792	C1733	Catheters for Multiple Applications	Catheter, electrophysiology, diagnostic/ablation, other than 3D or vector mapping, other than cool-tip
1793	C1734	Catheters for Multiple Applications	Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)
1794	C1735	Catheters for Multiple Applications	Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components
1795	C1736	Catheters for Multiple Applications	Catheter(s), intravascular for renal denervation, ultrasound, including all single use system components
1796	C1737	Joint Fixation Device	Joint fusion and fixation device(s), sacroiliac and pelvis, including all system components (implantable)
1797	C1738	Imaging Supplies	Powered, single-use (i.e. disposable) endoscopic ultrasound-guided biopsy device
1798	C1739	Imaging Supplies	Tissue marker, imaging and non-imaging device (implantable)
1799	C1747	Imaging Supplies	Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)
1800	C1748	Imaging Supplies	Endoscope, single-use (i.e. disposable), upper gi, imaging/illumination device (insertable)
1801	C1749	Imaging Supplies	Endoscope, retrograde imaging/illumination colonoscope device (implantable)
1802	C1750	Catheters for Multiple Applications	Catheter, hemodialysis/peritoneal, long-term
1803	C1751	Catheters for Multiple Applications	Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)
1804	C1752	Catheters for Multiple Applications	Catheter, hemodialysis/peritoneal, short-term
1805	C1753	Catheters for Multiple Applications	Catheter, intravascular ultrasound
1806	C1754	Catheters for Multiple Applications	Catheter, intradiscal
1807	C1755	Catheters for Multiple Applications	Catheter, intraspinal
1808	C1756	Catheters for Multiple Applications	Catheter, pacing, transesophageal
1809	C1757	Catheters for Multiple Applications	Catheter, thrombectomy/embolectomy
1810	C1758	Catheters for Multiple Applications	Catheter, ureteral
1811	C1759	Catheters for Multiple Applications	Catheter, intracardiac echocardiography
1812	C1760	Assorted Devices, Implants, and Systems	Closure device, vascular (implantable/insertable)
1813	C1761	Assorted Devices, Implants, and Systems	Catheter, transluminal intravascular lithotripsy, coronary
1814	C1762	Assorted Devices, Implants, and Systems	Connective tissue, human (includes fascia lata)
1815	C1763	Assorted Devices, Implants, and Systems	Connective tissue, non-human (includes synthetic)
1816	C1764	Assorted Devices, Implants, and Systems	Event recorder, cardiac (implantable)
1817	C1765	Assorted Devices, Implants, and Systems	Adhesion barrier
1818	C1766	Assorted Devices, Implants, and Systems	Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away
1819	C1767	Assorted Devices, Implants, and Systems	Generator, neurostimulator (implantable), non-rechargeable
1820	C1768	Assorted Devices, Implants, and Systems	Graft, vascular
1821	C1769	Assorted Devices, Implants, and Systems	Guide wire
1822	C1770	Assorted Devices, Implants, and Systems	Imaging coil, magnetic resonance (insertable)
1823	C1771	Assorted Devices, Implants, and Systems	Repair device, urinary, incontinence, with sling graft
1824	C1772	Assorted Devices, Implants, and Systems	Infusion pump, programmable (implantable)
1825	C1773	Assorted Devices, Implants, and Systems	Retrieval device, insertable (used to retrieve fractured medical devices)
1826	C1776	Assorted Devices, Implants, and Systems	Joint device (implantable)
1827	C1777	Assorted Devices, Implants, and Systems	Lead, cardioverter-defibrillator, endocardial single coil (implantable)
1828	C1778	Assorted Devices, Implants, and Systems	Lead, neurostimulator (implantable)
1829	C1779	Assorted Devices, Implants, and Systems	Lead, pacemaker, transvenous VDD single pass
1830	C1780	Assorted Devices, Implants, and Systems	Lens, intraocular (new technology)
1831	C1781	Assorted Devices, Implants, and Systems	Mesh (implantable)
1832	C1782	Assorted Devices, Implants, and Systems	Morcellator
1833	C1783	Assorted Devices, Implants, and Systems	Ocular implant, aqueous drainage assist device
1834	C1784	Assorted Devices, Implants, and Systems	Ocular device, intraoperative, detached retina
1835	C1785	Assorted Devices, Implants, and Systems	Pacemaker, dual chamber, rate-responsive (implantable)
1836	C1786	Assorted Devices, Implants, and Systems	Pacemaker, single chamber, rate-responsive (implantable)
1837	C1787	Assorted Devices, Implants, and Systems	Patient programmer, neurostimulator
1838	C1788	Assorted Devices, Implants, and Systems	Port, indwelling (implantable)
1839	C1789	Assorted Devices, Implants, and Systems	Prosthesis, breast (implantable)
1840	C1813	Assorted Devices, Implants, and Systems	Prosthesis, penile, inflatable
1841	C1814	Assorted Devices, Implants, and Systems	Retinal tamponade device, silicone oil
1842	C1815	Assorted Devices, Implants, and Systems	Prosthesis, urinary sphincter (implantable)
1843	C1816	Assorted Devices, Implants, and Systems	Receiver and/or transmitter, neurostimulator (implantable)
1844	C1817	Assorted Devices, Implants, and Systems	Septal defect implant system, intracardiac
1845	C1818	Assorted Devices, Implants, and Systems	Integrated keratoprosthesis
1846	C1819	Assorted Devices, Implants, and Systems	Surgical tissue localization and excision device (implantable)
1847	C1820	Assorted Devices, Implants, and Systems	Generator, neurostimulator (implantable), with rechargeable battery and charging system.
1848	C1821	Assorted Devices, Implants, and Systems	Interspinous process distraction device (implantable)
1849	C1822	Assorted Devices, Implants, and Systems	Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system
1850	C1823	Assorted Devices, Implants, and Systems	Generator, neurostimulator (implantable), non-rechargeable, with transvenous sensing and stimulation leads
1851	C1824	Assorted Devices, Implants, and Systems	Generator, cardiac contractility modulation (implantable)
1852	C1825	Assorted Devices, Implants, and Systems	Generator, neurostimulator (implantable), non-rechargeable with carotid sinus baroreceptor stimulation lead(s)
1853	C1826	Assorted Devices, Implants, and Systems	Generator, neurostimulator (implantable), includes closed feedback loop leads and all implantable components, with rechargeable battery and charging system
1854	C1827	Assorted Devices, Implants, and Systems	Generator, neurostimulator (implantable), non-rechargeable, with implantable stimulation lead and external paired stimulation controller
1855	C1830	Assorted Devices, Implants, and Systems	Powered bone marrow biopsy needle
1856	C1831	Assorted Devices, Implants, and Systems	Interbody cage, anterior, lateral or posterior, personalized (implantable)
1857	C1832	Assorted Devices, Implants, and Systems	Autograft suspension, including cell processing and application, and all system components
1858	C1833	Assorted Devices, Implants, and Systems	Monitor, cardiac, including intracardiac lead and all system components (implantable)
1859	C1839	Assorted Devices, Implants, and Systems	Iris prosthesis
1860	C1840	Assorted Devices, Implants, and Systems	Lens, intraocular (telescopic)
1861	C1874	Assorted Devices, Implants, and Systems	Stent, coated/covered, with delivery system
1862	C1875	Assorted Devices, Implants, and Systems	Stent, coated/covered, without delivery system
1863	C1876	Assorted Devices, Implants, and Systems	Stent, non-coated/non-covered, with delivery system
1864	C1877	Assorted Devices, Implants, and Systems	Stent, non-coated/non-covered, without delivery system
1865	C1878	Assorted Devices, Implants, and Systems	Material for vocal cord medialization, synthetic (implantable)
1866	C1880	Assorted Devices, Implants, and Systems	Vena cava filter
1867	C1881	Assorted Devices, Implants, and Systems	Dialysis access system (implantable)
1868	C1882	Assorted Devices, Implants, and Systems	Cardioverter-defibrillator, other than single or dual chamber (implantable)
1869	C1883	Assorted Devices, Implants, and Systems	Adaptor/extension, pacing lead or neurostimulator lead (implantable)
1870	C1884	Assorted Devices, Implants, and Systems	Embolization protective system
1871	C1885	Assorted Devices, Implants, and Systems	Catheter, transluminal angioplasty, laser
1872	C1886	Assorted Devices, Implants, and Systems	Catheter, extravascular tissue ablation, any modality (insertable)
1873	C1887	Assorted Devices, Implants, and Systems	Catheter, guiding (may include infusion/perfusion capability)
1874	C1888	Assorted Devices, Implants, and Systems	Catheter, ablation, non-cardiac, endovascular (implantable)
1875	C1889	Assorted Devices, Implants, and Systems	Implantable/insertable device, not otherwise classified
1876	C1890	Assorted Devices, Implants, and Systems	No implantable/insertable device used with device-intensive procedures
1877	C1891	Assorted Devices, Implants, and Systems	Infusion pump, non-programmable, permanent (implantable)
1878	C1892	Assorted Devices, Implants, and Systems	Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away
1879	C1893	Assorted Devices, Implants, and Systems	Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away
1880	C1894	Assorted Devices, Implants, and Systems	Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser
1881	C1895	Assorted Devices, Implants, and Systems	Lead, cardioverter-defibrillator, endocardial dual coil (implantable)
1882	C1896	Assorted Devices, Implants, and Systems	Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)
1883	C1897	Assorted Devices, Implants, and Systems	Lead, neurostimulator test kit (implantable)
1884	C1898	Assorted Devices, Implants, and Systems	Lead, pacemaker, other than transvenous VDD single pass
1885	C1899	Assorted Devices, Implants, and Systems	Lead, pacemaker/cardioverter-defibrillator combination (implantable)
1886	C1900	Assorted Devices, Implants, and Systems	Lead, left ventricular coronary venous system
1887	C1982	Assorted Devices, Implants, and Systems	Catheter, pressure-generating, one-way valve, intermittently occlusive
1888	C2596	Assorted Devices, Implants, and Systems	Probe, image-guided, robotic, waterjet ablation
1889	C2613	Assorted Devices, Implants, and Systems	Lung biopsy plug with delivery system
1890	C2614	Assorted Devices, Implants, and Systems	Probe, percutaneous lumbar discectomy
1891	C2615	Assorted Devices, Implants, and Systems	Sealant, pulmonary, liquid
1892	C2616	Brachytherapy Sources	Brachytherapy source, non-stranded, yttrium-90, per source
1893	C2617	Assorted Cardiovascular and Genitourinary Devices	Stent, non-coronary, temporary, without delivery system
1894	C2618	Assorted Cardiovascular and Genitourinary Devices	Probe/needle, cryoablation
1895	C2619	Assorted Cardiovascular and Genitourinary Devices	Pacemaker, dual chamber, non rate-responsive (implantable)
1896	C2620	Assorted Cardiovascular and Genitourinary Devices	Pacemaker, single chamber, non rate-responsive (implantable)
1897	C2621	Assorted Cardiovascular and Genitourinary Devices	Pacemaker, other than single or dual chamber (implantable)
1898	C2622	Assorted Cardiovascular and Genitourinary Devices	Prosthesis, penile, non-inflatable
1899	C2623	Assorted Cardiovascular and Genitourinary Devices	Catheter, transluminal angioplasty, drug-coated, non-laser
1900	C2624	Assorted Cardiovascular and Genitourinary Devices	Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components
1901	C2625	Assorted Cardiovascular and Genitourinary Devices	Stent, non-coronary, temporary, with delivery system
1902	C2626	Assorted Cardiovascular and Genitourinary Devices	Infusion pump, non-programmable, temporary (implantable)
1903	C2627	Assorted Cardiovascular and Genitourinary Devices	Catheter, suprapubic/cystoscopic
1904	C2628	Assorted Cardiovascular and Genitourinary Devices	Catheter, occlusion
1905	C2629	Assorted Cardiovascular and Genitourinary Devices	Introducer/sheath, other than guiding, other than intracardiac electrophysiological, laser
1906	C2630	Assorted Cardiovascular and Genitourinary Devices	Catheter, electrophysiology, diagnostic/ablation, other than 3D or vector mapping, cool-tip
1907	C2631	Assorted Cardiovascular and Genitourinary Devices	Repair device, urinary, incontinence, without sling graft
1908	C2634	Brachytherapy Sources	Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mCi (NIST), per source
1909	C2635	Brachytherapy Sources	Brachytherapy source, non-stranded, high activity, paladium-103, greater than 2.2 mCi (NIST), per source
1910	C2636	Brachytherapy Sources	Brachytherapy linear source, non-stranded, paladium-103, per 1 mm
1911	C2637	Brachytherapy Sources	Brachytherapy source, non-stranded, ytterbium-169, per source
1912	C2638	Brachytherapy Sources	Brachytherapy source, stranded, iodine-125, per source
1913	C2639	Brachytherapy Sources	Brachytherapy source, non-stranded, iodine-125, per source
1914	C2640	Brachytherapy Sources	Brachytherapy source, stranded, palladium-103, per source
1915	C2641	Brachytherapy Sources	Brachytherapy source, non-stranded, palladium-103, per source
1916	C2642	Brachytherapy Sources	Brachytherapy source, stranded, cesium-131, per source
1917	C2643	Brachytherapy Sources	Brachytherapy source, non-stranded, cesium-131, per source
1918	C2644	Brachytherapy Sources	Brachytherapy source, cesium-131 chloride solution, per millicurie
1919	C2645	Brachytherapy Sources	Brachytherapy planar source, Palladium-103, per square millimeter
1920	C2698	Brachytherapy Sources	Brachytherapy source, stranded, not otherwise specified, per source
1921	C2699	Brachytherapy Sources	Brachytherapy source, non-stranded, not otherwise specified, per source
1922	C5271	Skin Substitute Graft Application	Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
1923	C5272	Skin Substitute Graft Application	Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)
1924	C5273	Skin Substitute Graft Application	Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
1925	C5274	Skin Substitute Graft Application	Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)
1926	C5275	Skin Substitute Graft Application	Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
1927	C5276	Skin Substitute Graft Application	Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)
1928	C5277	Skin Substitute Graft Application	Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
1929	C5278	Skin Substitute Graft Application	Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)
1930	C7500	Miscellaneous Surgical Procedures	Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (eg, subfacial) drug-delivery device(s)
1931	C7501	Miscellaneous Surgical Procedures	Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, all lesions unilateral and bilateral (for single lesion biopsy, use appropriate code)
1932	C7502	Miscellaneous Surgical Procedures	Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, all lesions unilateral or bilateral (for single lesion biopsy, use appropriate code)
1933	C7503	Miscellaneous Surgical Procedures	Open biopsy or excision of deep cervical node(s) with intraoperative identification (eg, mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed
1934	C7504	Miscellaneous Surgical Procedures	Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance
1935	C7505	Miscellaneous Surgical Procedures	Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance
1936	C7506	Miscellaneous Surgical Procedures	Arthrodesis, interphalangeal joints, with or without internal fixation
1937	C7507	Miscellaneous Surgical Procedures	Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (eg, kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging guidance
1938	C7508	Miscellaneous Surgical Procedures	Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (eg, kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging guidance
1939	C7509	Miscellaneous Surgical Procedures	Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed
1940	C7510	Miscellaneous Surgical Procedures	Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed
1941	C7511	Miscellaneous Surgical Procedures	Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed
1942	C7512	Miscellaneous Surgical Procedures	Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance when performed
1943	C7513	Miscellaneous Surgical Procedures	Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with transluminal balloon angioplasty of central dialysis segment, performed through dialysis circuit, including all required imaging, radiological supervision and interpretation, image documentation and report
1944	C7514	Miscellaneous Surgical Procedures	Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with all angioplasty in the central dialysis segment, and transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all required imaging, radiological supervision and interpretation, image documentation and report
1945	C7515	Miscellaneous Surgical Procedures	Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with dialysis circuit permanent endovascular embolization or occlusion of main circuit or any accessory veins, including all required imaging, radiological supervision and interpretation, image documentation and report
1946	C7516	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report
1947	C7517	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation
1948	C7518	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging, supervision, interpretation and report
1949	C7519	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress
1950	C7520	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) includes intraprocedural injection(s) for bypass graft angiography with iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation
1951	C7521	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report
1952	C7522	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheterization, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress
1953	C7523	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report
1954	C7524	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress
1955	C7525	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report
1956	C7526	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress
1957	C7527	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report
1958	C7528	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress
1959	C7529	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress
1960	C7530	Miscellaneous Surgical Procedures	Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty and all angioplasty in the central dialysis segment, with transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging, radiological supervision and interpretation, documentation and report
1961	C7531	Miscellaneous Surgical Procedures	Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation
1962	C7532	Miscellaneous Surgical Procedures	Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation
1963	C7533	Miscellaneous Surgical Procedures	Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy
1964	C7534	Miscellaneous Surgical Procedures	Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation
1965	C7535	Miscellaneous Surgical Procedures	Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation
1966	C7537	Miscellaneous Surgical Procedures	Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (e.g., for upgrade to dual chamber system)
1967	C7538	Miscellaneous Surgical Procedures	Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (e.g., for upgrade to dual chamber system)
1968	C7539	Miscellaneous Surgical Procedures	Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system)
1969	C7540	Miscellaneous Surgical Procedures	Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system)
1970	C7541	Miscellaneous Surgical Procedures	Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)
1971	C7542	Miscellaneous Surgical Procedures	Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)
1972	C7543	Miscellaneous Surgical Procedures	Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)
1973	C7544	Miscellaneous Surgical Procedures	Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)
1974	C7545	Miscellaneous Surgical Procedures	Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or gallbladder, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, including diagnostic cholangiography(ies) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation
1975	C7546	Miscellaneous Surgical Procedures	Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guidance and all associated radiological supervision and interpretation
1976	C7547	Miscellaneous Surgical Procedures	Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dialation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation
1977	C7548	Miscellaneous Surgical Procedures	Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation
1978	C7549	Miscellaneous Surgical Procedures	Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation
1979	C7550	Miscellaneous Surgical Procedures	Cystourethroscopy, with biopsy(ies) with adjuctive blue light cystoscopy with fluorescent imaging agent
1980	C7551	Miscellaneous Surgical Procedures	Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle
1981	C7552	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography and right heart catheterization with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, initial vessel
1982	C7553	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed
1983	C7554	Miscellaneous Surgical Procedures	Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent
1984	C7555	Miscellaneous Surgical Procedures	Thyroidectomy, total or complete with parathyroid autotransplantation
1985	C7556	Miscellaneous Surgical Procedures	Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance, when performed
1986	C7557	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed and intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention
1987	C7560	Miscellaneous Surgical Procedures	Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s)
1988	C7562	Miscellaneous Surgical Procedures	Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed with intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention
1989	C7563	Miscellaneous Surgical Procedures	Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery, initial artery and all additional arteries
1990	C7564	Miscellaneous Surgical Procedures	Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vessel(s)) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation
1991	C7565	Miscellaneous Surgical Procedures	Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s) less than 3 cm, reducible with removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair
1992	C7900	Mental Health Evaluation and Management Services	Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 15-29 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service
1993	C7901	Mental Health Evaluation and Management Services	Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service
1994	C7902	Mental Health Evaluation and Management Services	Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, each additional 15 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service (list separately in addition to code for primary service)
1995	C7903	Mental Health Evaluation and Management Services	Group psychotherapy service for diagnosis, evaluation, or treatment of a mental health or substance use disorder provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service
1996	C8000	Implantable Support Device for AV Fistula	Support device, extravascular, for arteriovenous fistula (implantable)
1997	C8001	3D Imaging for Preoperative Planning	3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same anatomy
1998	C8002	Preparation of Skin Cell Autograft	Preparation of skin cell suspension autograft, automated, including all enzymatic processing and device components (do not report with manual suspension preparation)
1999	C8003	Extraarticular Knee Implants	Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imaging guidance (eg, fluoroscopy)
2000	C8900	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance angiography with contrast, abdomen
2001	C8901	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance angiography without contrast, abdomen
2002	C8902	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance angiography without contrast followed by with contrast, abdomen
2003	C8903	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance imaging with contrast, breast; unilateral
2004	C8905	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral
2005	C8906	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance imaging with contrast, breast; bilateral
2006	C8908	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral
2007	C8909	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance angiography with contrast, chest (excluding myocardium)
2008	C8910	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance angiography without contrast, chest (excluding myocardium)
2009	C8911	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)
2010	C8912	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance angiography with contrast, lower extremity
2011	C8913	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance angiography without contrast, lower extremity
2012	C8914	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance angiography without contrast followed by with contrast, lower extremity
2013	C8918	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance angiography with contrast, pelvis
2014	C8919	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance angiography without contrast, pelvis
2015	C8920	Magnetic Resonance Angiography, Trunk and Lower Extremities	Magnetic resonance angiography without contrast followed by with contrast, pelvis
2016	C8921	Transesophageal/Transthoracic Echocardiography	Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; complete
2017	C8922	Transesophageal/Transthoracic Echocardiography	Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; follow-up or limited study
2018	C8923	Transesophageal/Transthoracic Echocardiography	Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color doppler echocardiography
2019	C8924	Transesophageal/Transthoracic Echocardiography	Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study
2020	C8925	Transesophageal/Transthoracic Echocardiography	Transesophageal echocardiography (TEE) with contrast, or without contrast followed by with contrast, real time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report
2021	C8926	Transesophageal/Transthoracic Echocardiography	Transesophageal echocardiography (TEE) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report
2022	C8927	Transesophageal/Transthoracic Echocardiography	Transesophageal echocardiography (TEE) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis
2023	C8928	Transesophageal/Transthoracic Echocardiography	Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report
2024	C8929	Transesophageal/Transthoracic Echocardiography	Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography
2025	C8930	Transesophageal/Transthoracic Echocardiography	Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision
2026	C8931	Magnetic Resonance Angiography, Spine and Upper Extremities	Magnetic resonance angiography with contrast, spinal canal and contents
2027	C8932	Magnetic Resonance Angiography, Spine and Upper Extremities	Magnetic resonance angiography without contrast, spinal canal and contents
2028	C8933	Magnetic Resonance Angiography, Spine and Upper Extremities	Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents
2029	C8934	Magnetic Resonance Angiography, Spine and Upper Extremities	Magnetic resonance angiography with contrast, upper extremity
2030	C8935	Magnetic Resonance Angiography, Spine and Upper Extremities	Magnetic resonance angiography without contrast, upper extremity
2031	C8936	Magnetic Resonance Angiography, Spine and Upper Extremities	Magnetic resonance angiography without contrast followed by with contrast, upper extremity
2032	C8937	Breast MRI - Computer Aided Detection	Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure)
2033	C8957	Miscellaneous Drugs, Biologicals, and Supplies	Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump
2034	C9046	Miscellaneous Drugs, Biologicals, and Supplies	Cocaine hydrochloride nasal solution for topical administration, 1 mg
2035	C9047	Miscellaneous Drugs, Biologicals, and Supplies	Injection, caplacizumab-yhdp, 1 mg
2036	C9067	Miscellaneous Drugs, Biologicals, and Supplies	Gallium ga-68, dotatoc, diagnostic, 0.01 mci
2037	C9088	Miscellaneous Drugs, Biologicals, and Supplies	Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg
2038	C9089	Miscellaneous Drugs, Biologicals, and Supplies	Bupivacaine, collagen-matrix implant, 1 mg
2039	C9101	Miscellaneous Drugs, Biologicals, and Supplies	Injection, oliceridine, 0.1 mg
2040	C9143	Miscellaneous Drugs, Biologicals, and Supplies	Cocaine hydrochloride nasal solution (numbrino), 1 mg
2041	C9144	Miscellaneous Drugs, Biologicals, and Supplies	Injection, bupivacaine (posimir), 1 mg
2042	C9145	Miscellaneous Drugs, Biologicals, and Supplies	Injection, aprepitant, (aponvie), 1 mg
2043	C9173	Miscellaneous Drugs, Biologicals, and Supplies	Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram
2044	C9248	Miscellaneous Drugs, Biologicals, and Supplies	Injection, clevidipine butyrate, 1 mg
2045	C9250	Miscellaneous Drugs, Biologicals, and Supplies	Human plasma fibrin sealant, vapor-heated, solvent-detergent (Artiss), 2ml
2046	C9254	Miscellaneous Drugs, Biologicals, and Supplies	Injection, lacosamide, 1 mg
2047	C9257	Miscellaneous Drugs, Biologicals, and Supplies	Injection, bevacizumab, 0.25 mg
2048	C9285	Miscellaneous Drugs, Biologicals, and Supplies	Lidocaine 70 mg/tetracaine 70 mg, per patch
2049	C9293	Miscellaneous Drugs, Biologicals, and Supplies	Injection, glucarpidase, 10 units
2050	C9352	Miscellaneous Drugs, Biologicals, and Supplies	Microporous collagen implantable tube (NeuraGen Nerve Guide), per centimeter length
2051	C9353	Miscellaneous Drugs, Biologicals, and Supplies	Microporous collagen implantable slit tube (NeuraWrap Nerve Protector), per centimeter length
2052	C9354	Miscellaneous Drugs, Biologicals, and Supplies	Acellular pericardial tissue matrix of non-human origin (Veritas), per square centimeter
2053	C9355	Miscellaneous Drugs, Biologicals, and Supplies	Collagen nerve cuff (NeuroMatrix), per 0.5 centimeter length
2054	C9356	Miscellaneous Drugs, Biologicals, and Supplies	Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (TenoGlide Tendon Protector Sheet), per square centimeter
2055	C9358	Miscellaneous Drugs, Biologicals, and Supplies	Dermal substitute, native, non-denatured collagen, fetal bovine origin (SurgiMend Collagen Matrix), per 0.5 square centimeters
2056	C9359	Miscellaneous Drugs, Biologicals, and Supplies	Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra Os Osteoconductive Scaffold Putty), per 0.5 cc
2057	C9360	Miscellaneous Drugs, Biologicals, and Supplies	Dermal substitute, native, non-denatured collagen, neonatal bovine origin (SurgiMend Collagen Matrix), per 0.5 square centimeters
2058	C9361	Miscellaneous Drugs, Biologicals, and Supplies	Collagen matrix nerve wrap (NeuroMend Collagen Nerve Wrap), per 0.5 centimeter length
2059	C9362	Miscellaneous Drugs, Biologicals, and Supplies	Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Strip), per 0.5 cc
2060	C9363	Miscellaneous Drugs, Biologicals, and Supplies	Skin substitute, Integra Meshed Bilayer Wound Matrix, per square centimeter
2061	C9364	Miscellaneous Drugs, Biologicals, and Supplies	Porcine implant, Permacol, per square centimeter
2062	C9399	Miscellaneous Drugs, Biologicals, and Supplies	Unclassified drugs or biologicals
2063	C9460	Miscellaneous Drugs, Biologicals, and Supplies	Injection, cangrelor, 1 mg
2064	C9462	Miscellaneous Drugs, Biologicals, and Supplies	Injection, delafloxacin, 1 mg
2065	C9482	Miscellaneous Drugs, Biologicals, and Supplies	Injection, sotalol hydrochloride, 1 mg
2066	C9488	Miscellaneous Drugs, Biologicals, and Supplies	Injection, conivaptan hydrochloride, 1 mg
2067	C9507	Fresh Frozen Plasma-Covid-19	Fresh frozen plasma, high titer COVID-19 convalescent, frozen within 8 hours of collection, each unit
2068	C9600	Percutaneous Transcatheter/Transluminal Coronary Procedures	Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch
2069	C9601	Percutaneous Transcatheter/Transluminal Coronary Procedures	Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)
2070	C9602	Percutaneous Transcatheter/Transluminal Coronary Procedures	Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch
2071	C9603	Percutaneous Transcatheter/Transluminal Coronary Procedures	Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)
2072	C9604	Percutaneous Transcatheter/Transluminal Coronary Procedures	Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel
2073	C9605	Percutaneous Transcatheter/Transluminal Coronary Procedures	Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure)
2074	C9606	Percutaneous Transcatheter/Transluminal Coronary Procedures	Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel
2075	C9607	Percutaneous Transcatheter/Transluminal Coronary Procedures	Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel
2076	C9608	Percutaneous Transcatheter/Transluminal Coronary Procedures	Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (list separately in addition to code for primary procedure)
2077	C9610	Percutaneous Transcatheter/Transluminal Coronary Procedures	Catheter, transluminal drug delivery with or without angioplasty, coronary, non-laser (insertable)
2078	C9725	Other Therapeutic Services and Supplies	Placement of endorectal intracavitary applicator for high intensity brachytherapy
2079	C9726	Other Therapeutic Services and Supplies	Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure
2080	C9727	Other Therapeutic Services and Supplies	Insertion of implants into the soft palate; minimum of three implants
2081	C9728	Other Therapeutic Services and Supplies	Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperitoneum, thorax, single or multiple
2082	C9733	Other Therapeutic Services and Supplies	Non-ophthalmic fluorescent vascular angiography
2083	C9734	Other Therapeutic Services and Supplies	Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (MR) guidance
2084	C9738	Other Therapeutic Services and Supplies	Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure)
2085	C9739	Other Therapeutic Services and Supplies	Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants
2086	C9740	Other Therapeutic Services and Supplies	Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants
2087	C9751	Other Therapeutic Services and Supplies	Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, computer-assisted, image-guided navigation, and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]) and all mediastinal and/or hilar lymph node stations or structures and therapeutic intervention(s)
2088	C9756	Other Therapeutic Services and Supplies	Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (ICG) (List separately in addition to code for primary procedure)
2089	C9757	Other Therapeutic Services and Supplies	Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implantation of bone anchored annular closure device, including annular defect measurement, alignment and sizing assessment, and image guidance; 1 interspace, lumbar
2090	C9758	Other Therapeutic Services and Supplies	Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study
2091	C9759	Other Therapeutic Services and Supplies	Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when performed
2092	C9760	Other Therapeutic Services and Supplies	Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study
2093	C9761	Other Therapeutic Services and Supplies	Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter)
2094	C9762	Other Therapeutic Services and Supplies	Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging
2095	C9763	Other Therapeutic Services and Supplies	Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging
2096	C9764	Other Therapeutic Services and Supplies	Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed
2097	C9765	Other Therapeutic Services and Supplies	Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed
2098	C9766	Other Therapeutic Services and Supplies	Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed
2099	C9767	Other Therapeutic Services and Supplies	Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed
2100	C9768	Other Therapeutic Services and Supplies	Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure)
2101	C9772	Other Therapeutic Services and Supplies	Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed
2102	C9773	Other Therapeutic Services and Supplies	Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed
2103	C9774	Other Therapeutic Services and Supplies	Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed
2104	C9775	Other Therapeutic Services and Supplies	Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel (s), when performed
2105	C9776	Other Therapeutic Services and Supplies	Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct(s) (e.g., cystic duct, common bile duct and common hepatic duct) with intravenous administration of indocyanine green (icg) (list separately in addition to code for primary procedure)
2106	C9777	Other Therapeutic Services and Supplies	Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy
2107	C9778	Other Therapeutic Services and Supplies	Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous)
2108	C9779	Other Therapeutic Services and Supplies	Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed
2109	C9780	Other Therapeutic Services and Supplies	Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance
2110	C9781	Other Therapeutic Services and Supplies	Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed
2111	C9782	Other Therapeutic Services and Supplies	Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial transplantation of autologous bone marrow cells (e.g., mononuclear) or placebo control, autologous bone marrow harvesting and preparation for transplantation, left heart catheterization including ventriculography, all laboratory services, and all imaging with or without guidance (e.g., transthoracic echocardiography, ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study
2112	C9783	Other Therapeutic Services and Supplies	Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catherization, venous and coronary sinus angiography, imaging guidance and supervision and interpretation when performed in an approved investigational device exemption (ide) study
2113	C9784	Other Therapeutic Services and Supplies	Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
2114	C9785	Other Therapeutic Services and Supplies	Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
2115	C9789	Other Therapeutic Services and Supplies	Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed
2116	C9791	Other Therapeutic Services and Supplies	Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent
2117	C9792	Other Therapeutic Services and Supplies	Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein access, including all imaging necessary to intra procedurally map the coronary sinus for optimal shunt placement (e.g., tee or ice ultrasound, fluoroscopy), performed under general anesthesia in an approved investigational device exemption (ide) study)
2118	C9793	Other Therapeutic Services and Supplies	3d predictive model generation for pre-planning of a cardiac procedure, using data from cardiac computed tomographic angiography with report
2119	C9796	Other Therapeutic Services and Supplies	Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])
2120	C9797	Other Therapeutic Services and Supplies	Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction
2121	C9804	Other Therapeutic Services and Supplies	Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
2122	C9806	Other Therapeutic Services and Supplies	Rotary peristaltic infusion pump (e.g., ambit pump), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
2123	C9807	Other Therapeutic Services and Supplies	Nerve stimulator, percutaneous, peripheral (e.g., sprint peripheral nerve stimulation system), including electrode and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
2124	C9808	Other Therapeutic Services and Supplies	Nerve cryoablation probe (e.g., cryoice, cryosphere, cryosphere max, cryoice cryosphere, cryoice cryo2), including probe and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
2125	C9809	Other Therapeutic Services and Supplies	Cryoablation needle (e.g., iovera system), including needle/tip and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
2126	C9898	Other Therapeutic Services and Supplies	Radiolabeled product provided during a hospital inpatient stay
2127	C9899	Other Therapeutic Services and Supplies	Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage
2128	C9901	Other Therapeutic Services and Supplies	Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system and tissue anchoring components
2129	E0100	Walking Aids and Attachments	Cane, includes canes of all materials, adjustable or fixed, with tip
2130	E0105	Walking Aids and Attachments	Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips
2131	E0110	Walking Aids and Attachments	Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips
2132	E0111	Walking Aids and Attachments	Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips
2133	E0112	Walking Aids and Attachments	Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips
2134	E0113	Walking Aids and Attachments	Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip
2135	E0114	Walking Aids and Attachments	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips
2136	E0116	Walking Aids and Attachments	Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each
2137	E0117	Walking Aids and Attachments	Crutch, underarm, articulating, spring assisted, each
2138	E0118	Walking Aids and Attachments	Crutch substitute, lower leg platform, with or without wheels, each
2139	E0130	Walking Aids and Attachments	Walker, rigid (pickup), adjustable or fixed height
2140	E0135	Walking Aids and Attachments	Walker, folding (pickup), adjustable or fixed height
2141	E0140	Walking Aids and Attachments	Walker, with trunk support, adjustable or fixed height, any type
2142	E0141	Walking Aids and Attachments	Walker, rigid, wheeled, adjustable or fixed height
2143	E0143	Walking Aids and Attachments	Walker, folding, wheeled, adjustable or fixed height
2144	E0144	Walking Aids and Attachments	Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat
2145	E0147	Walking Aids and Attachments	Walker, heavy duty, multiple braking system, variable wheel resistance
2146	E0148	Walking Aids and Attachments	Walker, heavy duty, without wheels, rigid or folding, any type, each
2147	E0149	Walking Aids and Attachments	Walker, heavy duty, wheeled, rigid or folding, any type
2148	E0152	Walking Aids and Attachments	Walker, battery powered, wheeled, folding, adjustable or fixed height
2149	E0153	Walking Aids and Attachments	Platform attachment, forearm crutch, each
2150	E0154	Walking Aids and Attachments	Platform attachment, walker, each
2151	E0155	Walking Aids and Attachments	Wheel attachment, rigid pick-up walker, per pair
2152	E0156	Walking Aids and Attachments	Seat attachment, walker
2153	E0157	Walking Aids and Attachments	Crutch attachment, walker, each
2154	E0158	Walking Aids and Attachments	Leg extensions for walker, per set of four (4)
2155	E0159	Walking Aids and Attachments	Brake attachment for wheeled walker, replacement, each
2156	E0160	Sitz Bath/Equipment	Sitz type bath or equipment, portable, used with or without commode
2157	E0161	Sitz Bath/Equipment	Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s
2158	E0162	Sitz Bath/Equipment	Sitz bath chair
2159	E0163	Commode Chair and Supplies	Commode chair, mobile or stationary, with fixed arms
2160	E0165	Commode Chair and Supplies	Commode chair, mobile or stationary, with detachable arms
2161	E0167	Commode Chair and Supplies	Pail or pan for use with commode chair, replacement only
2162	E0168	Commode Chair and Supplies	Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each
2163	E0170	Commode Chair and Supplies	Commode chair with integrated seat lift mechanism, electric, any type
2164	E0171	Commode Chair and Supplies	Commode chair with integrated seat lift mechanism, non-electric, any type
2165	E0172	Commode Chair and Supplies	Seat lift mechanism placed over or on top of toilet, any type
2166	E0175	Commode Chair and Supplies	Foot rest, for use with commode chair, each
2167	E0181	Pressure Mattresses, Pads, and Other Supplies	Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty
2168	E0182	Pressure Mattresses, Pads, and Other Supplies	Pump for alternating pressure pad, for replacement only
2169	E0183	Pressure Mattresses, Pads, and Other Supplies	Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty
2170	E0184	Pressure Mattresses, Pads, and Other Supplies	Dry pressure mattress
2171	E0185	Pressure Mattresses, Pads, and Other Supplies	Gel or gel-like pressure pad for mattress, standard mattress length and width
2172	E0186	Pressure Mattresses, Pads, and Other Supplies	Air pressure mattress
2173	E0187	Pressure Mattresses, Pads, and Other Supplies	Water pressure mattress
2174	E0188	Pressure Mattresses, Pads, and Other Supplies	Synthetic sheepskin pad
2175	E0189	Pressure Mattresses, Pads, and Other Supplies	Lambswool sheepskin pad, any size
2176	E0190	Pressure Mattresses, Pads, and Other Supplies	Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories
2177	E0191	Pressure Mattresses, Pads, and Other Supplies	Heel or elbow protector, each
2178	E0193	Pressure Mattresses, Pads, and Other Supplies	Powered air flotation bed (low air loss therapy)
2179	E0194	Pressure Mattresses, Pads, and Other Supplies	Air fluidized bed
2180	E0196	Pressure Mattresses, Pads, and Other Supplies	Gel pressure mattress
2181	E0197	Pressure Mattresses, Pads, and Other Supplies	Air pressure pad for mattress, standard mattress length and width
2182	E0198	Pressure Mattresses, Pads, and Other Supplies	Water pressure pad for mattress, standard mattress length and width
2183	E0199	Pressure Mattresses, Pads, and Other Supplies	Dry pressure pad for mattress, standard mattress length and width
2184	E0200	Heat, Cold, and Light Therapies	Heat lamp, without stand (table model), includes bulb, or infrared element
2185	E0202	Heat, Cold, and Light Therapies	Phototherapy (bilirubin) light with photometer
2186	E0203	Heat, Cold, and Light Therapies	Therapeutic lightbox, minimum 10, 000 lux, table top model
2187	E0205	Heat, Cold, and Light Therapies	Heat lamp, with stand, includes bulb, or infrared element
2188	E0210	Heat, Cold, and Light Therapies	Electric heat pad, standard
2189	E0215	Heat, Cold, and Light Therapies	Electric heat pad, moist
2190	E0217	Heat, Cold, and Light Therapies	Water circulating heat pad with pump
2191	E0218	Heat, Cold, and Light Therapies	Fluid circulating cold pad with pump, any type
2192	E0221	Heat, Cold, and Light Therapies	Infrared heating pad system
2193	E0225	Heat, Cold, and Light Therapies	Hydrocollator unit, includes pads
2194	E0231	Heat, Cold, and Light Therapies	Non-contact wound warming device (temperature control unit, AC adapter and power cord) for use with warming card and wound cover
2195	E0232	Heat, Cold, and Light Therapies	Warming card for use with the non contact wound warming device and non contact wound warming wound cover
2196	E0235	Heat, Cold, and Light Therapies	Paraffin bath unit, portable (see medical supply code A4265 for paraffin)
2197	E0236	Heat, Cold, and Light Therapies	Pump for water circulating pad
2198	E0239	Heat, Cold, and Light Therapies	Hydrocollator unit, portable
2199	E0240	Bathing Supplies	Bath/shower chair, with or without wheels, any size
2200	E0241	Bathing Supplies	Bath tub wall rail, each
2201	E0242	Bathing Supplies	Bath tub rail, floor base
2202	E0243	Bathing Supplies	Toilet rail, each
2203	E0244	Bathing Supplies	Raised toilet seat
2204	E0245	Bathing Supplies	Tub stool or bench
2205	E0246	Bathing Supplies	Transfer tub rail attachment
2206	E0247	Bathing Supplies	Transfer bench for tub or toilet with or without commode opening
2207	E0248	Bathing Supplies	Transfer bench, heavy duty, for tub or toilet with or without commode opening
2208	E0249	Bathing Supplies	Pad for water circulating heat unit, for replacement only
2209	E0250	Hospital Beds and Associated Supplies	Hospital bed, fixed height, with any type side rails, with mattress
2210	E0251	Hospital Beds and Associated Supplies	Hospital bed, fixed height, with any type side rails, without mattress
2211	E0255	Hospital Beds and Associated Supplies	Hospital bed, variable height, hi-lo, with any type side rails, with mattress
2212	E0256	Hospital Beds and Associated Supplies	Hospital bed, variable height, hi-lo, with any type side rails, without mattress
2213	E0260	Hospital Beds and Associated Supplies	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
2214	E0261	Hospital Beds and Associated Supplies	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress
2215	E0265	Hospital Beds and Associated Supplies	Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress
2216	E0266	Hospital Beds and Associated Supplies	Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress
2217	E0270	Hospital Beds and Associated Supplies	Hospital bed, institutional type includes: oscillating, circulating and stryker frame, with mattress
2218	E0271	Hospital Beds and Associated Supplies	Mattress, innerspring
2219	E0272	Hospital Beds and Associated Supplies	Mattress, foam rubber
2220	E0273	Hospital Beds and Associated Supplies	Bed board
2221	E0274	Hospital Beds and Associated Supplies	Over-bed table
2222	E0275	Hospital Beds and Associated Supplies	Bed pan, standard, metal or plastic
2223	E0276	Hospital Beds and Associated Supplies	Bed pan, fracture, metal or plastic
2224	E0277	Hospital Beds and Associated Supplies	Powered pressure-reducing air mattress
2225	E0280	Hospital Beds and Associated Supplies	Bed cradle, any type
2226	E0290	Hospital Beds and Associated Supplies	Hospital bed, fixed height, without side rails, with mattress
2227	E0291	Hospital Beds and Associated Supplies	Hospital bed, fixed height, without side rails, without mattress
2228	E0292	Hospital Beds and Associated Supplies	Hospital bed, variable height, hi-lo, without side rails, with mattress
2229	E0293	Hospital Beds and Associated Supplies	Hospital bed, variable height, hi-lo, without side rails, without mattress
2230	E0294	Hospital Beds and Associated Supplies	Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress
2231	E0295	Hospital Beds and Associated Supplies	Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress
2232	E0296	Hospital Beds and Associated Supplies	Hospital bed, total electric (head, foot and height adjustments). without side rails, with mattress
2233	E0297	Hospital Beds and Associated Supplies	Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress
2234	E0300	Hospital Beds and Associated Supplies	Pediatric crib, hospital grade, fully enclosed, with or without top enclosure
2235	E0301	Hospital Beds and Associated Supplies	Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress
2236	E0302	Hospital Beds and Associated Supplies	Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress
2237	E0303	Hospital Beds and Associated Supplies	Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress
2238	E0304	Hospital Beds and Associated Supplies	Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress
2239	E0305	Hospital Beds and Associated Supplies	Bed side rails, half length
2240	E0310	Hospital Beds and Associated Supplies	Bed side rails, full length
2241	E0315	Hospital Beds and Associated Supplies	Bed accessory: board, table, or support device, any type
2242	E0316	Hospital Beds and Associated Supplies	Safety enclosure frame/canopy for use with hospital bed, any type
2243	E0325	Hospital Beds and Associated Supplies	Urinal; male, jug-type, any material
2244	E0326	Hospital Beds and Associated Supplies	Urinal; female, jug-type, any material
2245	E0328	Hospital Beds and Associated Supplies	Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress
2246	E0329	Hospital Beds and Associated Supplies	Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress
2247	E0350	Hospital Beds and Associated Supplies	Control unit for electronic bowel irrigation/evacuation system
2248	E0352	Hospital Beds and Associated Supplies	Disposable pack (water reservoir bag, speculum, valving mechanism and collection bag/box) for use with the electronic bowel irrigation/evacuation system
2249	E0370	Hospital Beds and Associated Supplies	Air pressure elevator for heel
2250	E0371	Hospital Beds and Associated Supplies	Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width
2251	E0372	Hospital Beds and Associated Supplies	Powered air overlay for mattress, standard mattress length and width
2252	E0373	Hospital Beds and Associated Supplies	Nonpowered advanced pressure reducing mattress
2253	E0424	Oxygen Delivery Systems and Related Supplies	Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
2254	E0425	Oxygen Delivery Systems and Related Supplies	Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
2255	E0430	Oxygen Delivery Systems and Related Supplies	Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing
2256	E0431	Oxygen Delivery Systems and Related Supplies	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing
2257	E0433	Oxygen Delivery Systems and Related Supplies	Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge
2258	E0434	Oxygen Delivery Systems and Related Supplies	Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing
2259	E0435	Oxygen Delivery Systems and Related Supplies	Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor
2260	E0439	Oxygen Delivery Systems and Related Supplies	Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing
2261	E0440	Oxygen Delivery Systems and Related Supplies	Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
2262	E0441	Oxygen Delivery Systems and Related Supplies	Stationary oxygen contents, gaseous, 1 month's supply = 1 unit
2263	E0442	Oxygen Delivery Systems and Related Supplies	Stationary oxygen contents, liquid, 1 month's supply = 1 unit
2264	E0443	Oxygen Delivery Systems and Related Supplies	Portable oxygen contents, gaseous, 1 month's supply = 1 unit
2265	E0444	Oxygen Delivery Systems and Related Supplies	Portable oxygen contents, liquid, 1 month's supply = 1 unit
2266	E0445	Oxygen Delivery Systems and Related Supplies	Oximeter device for measuring blood oxygen levels noninvasively
2267	E0446	Oxygen Delivery Systems and Related Supplies	Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories
2268	E0447	Oxygen Delivery Systems and Related Supplies	Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm)
2269	E0455	Oxygen Delivery Systems and Related Supplies	Oxygen tent, excluding croup or pediatric tents
2270	E0457	Oxygen Delivery Systems and Related Supplies	Chest shell (cuirass)
2271	E0459	Oxygen Delivery Systems and Related Supplies	Chest wrap
2272	E0462	Oxygen Delivery Systems and Related Supplies	Rocking bed with or without side rails
2273	E0465	Oxygen Delivery Systems and Related Supplies	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)
2274	E0466	Oxygen Delivery Systems and Related Supplies	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)
2275	E0467	Oxygen Delivery Systems and Related Supplies	Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions
2276	E0468	Oxygen Delivery Systems and Related Supplies	Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions
2277	E0469	Oxygen Delivery Systems and Related Supplies	Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device
2278	E0470	Oxygen Delivery Systems and Related Supplies	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
2279	E0471	Oxygen Delivery Systems and Related Supplies	Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
2280	E0472	Oxygen Delivery Systems and Related Supplies	Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device)
2281	E0480	Oxygen Delivery Systems and Related Supplies	Percussor, electric or pneumatic, home model
2282	E0481	Oxygen Delivery Systems and Related Supplies	Intrapulmonary percussive ventilation system and related accessories
2283	E0482	Oxygen Delivery Systems and Related Supplies	Cough stimulating device, alternating positive and negative airway pressure
2284	E0483	Oxygen Delivery Systems and Related Supplies	High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each
2285	E0484	Oxygen Delivery Systems and Related Supplies	Oscillatory positive expiratory pressure device, non-electric, any type, each
2286	E0485	Oxygen Delivery Systems and Related Supplies	Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment
2287	E0486	Oxygen Delivery Systems and Related Supplies	Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment
2288	E0487	Oxygen Delivery Systems and Related Supplies	Spirometer, electronic, includes all accessories
2289	E0490	Oxygen Delivery Systems and Related Supplies	Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote
2290	E0491	Oxygen Delivery Systems and Related Supplies	Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day supply
2291	E0492	Oxygen Delivery Systems and Related Supplies	Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application
2292	E0493	Oxygen Delivery Systems and Related Supplies	Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply
2293	E0500	Intermittent Positive Pressure Breathing Devices	IPPB machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source
2294	E0530	Electronic Positional Obstructive Sleep Apnea Treatment	Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type
2295	E0550	Humidifiers and Nebulizers with Related Equipment	Humidifier, durable for extensive supplemental humidification during IPPB treatments or oxygen delivery
2296	E0555	Humidifiers and Nebulizers with Related Equipment	Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter
2297	E0560	Humidifiers and Nebulizers with Related Equipment	Humidifier, durable for supplemental humidification during IPPB treatment or oxygen delivery
2298	E0561	Humidifiers and Nebulizers with Related Equipment	Humidifier, non-heated, used with positive airway pressure device
2299	E0562	Humidifiers and Nebulizers with Related Equipment	Humidifier, heated, used with positive airway pressure device
2300	E0565	Humidifiers and Nebulizers with Related Equipment	Compressor, air power source for equipment which is not self- contained or cylinder driven
2301	E0570	Humidifiers and Nebulizers with Related Equipment	Nebulizer, with compressor
2302	E0572	Humidifiers and Nebulizers with Related Equipment	Aerosol compressor, adjustable pressure, light duty for intermittent use
2303	E0574	Humidifiers and Nebulizers with Related Equipment	Ultrasonic/electronic aerosol generator with small volume nebulizer
2304	E0575	Humidifiers and Nebulizers with Related Equipment	Nebulizer, ultrasonic, large volume
2305	E0580	Humidifiers and Nebulizers with Related Equipment	Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter
2306	E0585	Humidifiers and Nebulizers with Related Equipment	Nebulizer, with compressor and heater
2307	E0600	Humidifiers and Nebulizers with Related Equipment	Respiratory suction pump, home model, portable or stationary, electric
2308	E0601	Humidifiers and Nebulizers with Related Equipment	Continuous positive airway pressure (CPAP) device
2309	E0602	Breast Pumps	Breast pump, manual, any type
2310	E0603	Breast Pumps	Breast pump, electric (AC and/or DC), any type
2311	E0604	Breast Pumps	Breast pump, hospital grade, electric (AC and / or DC), any type
2312	E0605	Other Breathing Aids	Vaporizer, room type
2313	E0606	Other Breathing Aids	Postural drainage board
2314	E0607	Monitoring Equipment	Home blood glucose monitor
2315	E0610	Monitoring Equipment	Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)
2316	E0615	Monitoring Equipment	Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems
2317	E0616	Monitoring Equipment	Implantable cardiac event recorder with memory, activator and programmer
2318	E0617	Monitoring Equipment	External defibrillator with integrated electrocardiogram analysis
2319	E0618	Monitoring Equipment	Apnea monitor, without recording feature
2320	E0619	Monitoring Equipment	Apnea monitor, with recording feature
2321	E0620	Monitoring Equipment	Skin piercing device for collection of capillary blood, laser, each
2322	E0621	Patient Lifts and Support Systems	Sling or seat, patient lift, canvas or nylon
2323	E0625	Patient Lifts and Support Systems	Patient lift, bathroom or toilet, not otherwise classified
2324	E0627	Patient Lifts and Support Systems	Seat lift mechanism, electric, any type
2325	E0629	Patient Lifts and Support Systems	Seat lift mechanism, non-electric, any type
2326	E0630	Patient Lifts and Support Systems	Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)
2327	E0635	Patient Lifts and Support Systems	Patient lift, electric with seat or sling
2328	E0636	Patient Lifts and Support Systems	Multipositional patient support system, with integrated lift, patient accessible controls
2329	E0637	Patient Lifts and Support Systems	Combination sit to stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels
2330	E0638	Patient Lifts and Support Systems	Standing frame/table system, one position (e.g., upright, supine or prone stander), any size including pediatric, with or without wheels
2331	E0639	Patient Lifts and Support Systems	Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories
2332	E0640	Patient Lifts and Support Systems	Patient lift, fixed system, includes all components/accessories
2333	E0641	Patient Lifts and Support Systems	Standing frame/table system, multi-position (e.g., 3-way stander), any size including pediatric, with or without wheels
2334	E0642	Patient Lifts and Support Systems	Standing frame/table system, mobile (dynamic stander), any size including pediatric
2335	E0650	Pneumatic Compressors and Appliances	Pneumatic compressor, non-segmental home model
2336	E0651	Pneumatic Compressors and Appliances	Pneumatic compressor, segmental home model without calibrated gradient pressure
2337	E0652	Pneumatic Compressors and Appliances	Pneumatic compressor, segmental home model with calibrated gradient pressure
2338	E0655	Pneumatic Compressors and Appliances	Non-segmental pneumatic appliance for use with pneumatic compressor, half arm
2339	E0656	Pneumatic Compressors and Appliances	Segmental pneumatic appliance for use with pneumatic compressor, trunk
2340	E0657	Pneumatic Compressors and Appliances	Segmental pneumatic appliance for use with pneumatic compressor, chest
2341	E0660	Pneumatic Compressors and Appliances	Non-segmental pneumatic appliance for use with pneumatic compressor, full leg
2342	E0665	Pneumatic Compressors and Appliances	Non-segmental pneumatic appliance for use with pneumatic compressor, full arm
2343	E0666	Pneumatic Compressors and Appliances	Non-segmental pneumatic appliance for use with pneumatic compressor, half leg
2344	E0667	Pneumatic Compressors and Appliances	Segmental pneumatic appliance for use with pneumatic compressor, full leg
2345	E0668	Pneumatic Compressors and Appliances	Segmental pneumatic appliance for use with pneumatic compressor, full arm
2346	E0669	Pneumatic Compressors and Appliances	Segmental pneumatic appliance for use with pneumatic compressor, half leg
2347	E0670	Pneumatic Compressors and Appliances	Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk
2348	E0671	Pneumatic Compressors and Appliances	Segmental gradient pressure pneumatic appliance, full leg
2349	E0672	Pneumatic Compressors and Appliances	Segmental gradient pressure pneumatic appliance, full arm
2350	E0673	Pneumatic Compressors and Appliances	Segmental gradient pressure pneumatic appliance, half leg
2351	E0675	Pneumatic Compressors and Appliances	Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system)
2352	E0676	Pneumatic Compressors and Appliances	Intermittent limb compression device (includes all accessories), not otherwise specified
2353	E0677	Pneumatic Compressors and Appliances	Non-pneumatic sequential compression garment, trunk
2354	E0678	Non Pneumatic Compressors and Appliances	Non-pneumatic sequential compression garment, full leg
2355	E0679	Non Pneumatic Compressors and Appliances	Non-pneumatic sequential compression garment, half leg
2356	E0680	Non Pneumatic Compressors and Appliances	Non-pneumatic compression controller with sequential calibrated gradient pressure
2357	E0681	Non Pneumatic Compressors and Appliances	Non-pneumatic compression controller without calibrated gradient pressure
2358	E0682	Non Pneumatic Compressors and Appliances	Non-pneumatic sequential compression garment, full arm
2359	E0683	Non Pneumatic Compressors and Appliances	Non-pneumatic, non-sequential, peristaltic wave compression pump
2360	E0691	ULTRAVIOLET LIGHT THERAPY SYSTEMS	Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less
2361	E0692	ULTRAVIOLET LIGHT THERAPY SYSTEMS	Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel
2362	E0693	ULTRAVIOLET LIGHT THERAPY SYSTEMS	Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel
2363	E0694	ULTRAVIOLET LIGHT THERAPY SYSTEMS	Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection
2364	E0700	Safety Devices	Safety equipment, device or accessory, any type
2365	E0705	Safety Devices	Transfer device, any type, each
2366	E0710	Safety Devices	Restraints, any type (body, chest, wrist or ankle)
2367	E0711	Safety Devices	Upper extremity medical tubing/lines enclosure or covering device, restricts elbow range of motion
2368	E0715	Intravaginal Device and Supplies for Pelvic Floor Muscles Strengthening	Intravaginal device intended to strengthen pelvic floor muscles during kegel exercises
2369	E0716	Intravaginal Device and Supplies for Pelvic Floor Muscles Strengthening	Supplies and accessories for intravaginal device intended to strengthen pelvic floor muscles during kegel exercises
2370	E0720	Stimulation Devices	Transcutaneous electrical nerve stimulation (TENS) device, two lead, localized stimulation
2371	E0721	Stimulation Devices	Transcutaneous electrical nerve stimulator for nerves in the auricular region
2372	E0730	Stimulation Devices	Transcutaneous electrical nerve stimulation (TENS) device, four or more leads, for multiple nerve stimulation
2373	E0731	Stimulation Devices	Form fitting conductive garment for delivery of TENS or NMES (with conductive fibers separated from the patient's skin by layers of fabric)
2374	E0732	Stimulation Devices	Cranial electrotherapy stimulation (ces) system, any type
2375	E0733	Stimulation Devices	Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve
2376	E0734	Stimulation Devices	External upper limb tremor stimulator of the peripheral nerves of the wrist
2377	E0735	Stimulation Devices	Non-invasive vagus nerve stimulator
2378	E0736	Stimulation Devices	Transcutaneous tibial nerve stimulator
2379	E0737	Stimulation Devices	Transcutaneous tibial nerve stimulator, controlled by phone application
2380	E0738	Stimulation Devices	Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories
2381	E0739	Stimulation Devices	Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors
2382	E0740	Stimulation Devices	Non-implanted pelvic floor electrical stimulator, complete system
2383	E0743	Stimulation Devices	External lower extremity nerve stimulator for restless legs syndrome, each
2384	E0744	Stimulation Devices	Neuromuscular stimulator for scoliosis
2385	E0745	Stimulation Devices	Neuromuscular stimulator, electronic shock unit
2386	E0746	Stimulation Devices	Electromyography (EMG), biofeedback device
2387	E0747	Stimulation Devices	Osteogenesis stimulator, electrical, non-invasive, other than spinal applications
2388	E0748	Stimulation Devices	Osteogenesis stimulator, electrical, non-invasive, spinal applications
2389	E0749	Stimulation Devices	Osteogenesis stimulator, electrical, surgically implanted
2390	E0755	Stimulation Devices	Electronic salivary reflex stimulator (intra-oral/non-invasive)
2391	E0760	Stimulation Devices	Osteogenesis stimulator, low intensity ultrasound, non-invasive
2392	E0761	Stimulation Devices	Non-thermal pulsed high frequency radiowaves, high peak power electromagnetic energy treatment device
2393	E0762	Stimulation Devices	Transcutaneous electrical joint stimulation device system, includes all accessories
2394	E0764	Stimulation Devices	Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program
2395	E0765	Stimulation Devices	FDA approved nerve stimulator, with replaceable batteries, for treatment of nausea and vomiting
2396	E0766	Stimulation Devices	Electrical stimulation device used for cancer treatment, includes all accessories, any type
2397	E0767	Stimulation Devices	Intrabuccal, systemic delivery of amplitude-modulated, radiofrequency electromagnetic field device, for cancer treatment, includes all accessories
2398	E0769	Stimulation Devices	Electrical stimulation or electromagnetic wound treatment device, not otherwise classified
2399	E0770	Stimulation Devices	Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified
2400	E0776	Infusion Pumps and Supplies	IV pole
2401	E0779	Infusion Pumps and Supplies	Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater
2402	E0780	Infusion Pumps and Supplies	Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours
2403	E0781	Infusion Pumps and Supplies	Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient
2404	E0782	Infusion Pumps and Supplies	Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.)
2405	E0783	Infusion Pumps and Supplies	Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.)
2406	E0784	Infusion Pumps and Supplies	External ambulatory infusion pump, insulin
2407	E0785	Infusion Pumps and Supplies	Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement
2408	E0786	Infusion Pumps and Supplies	Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)
2409	E0787	Infusion Pumps and Supplies	External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing
2410	E0791	Infusion Pumps and Supplies	Parenteral infusion pump, stationary, single or multi-channel
2411	E0830	Traction and Other Orthopedic Devices	Ambulatory traction device, all types, each
2412	E0840	Traction and Other Orthopedic Devices	Traction frame, attached to headboard, cervical traction
2413	E0849	Traction and Other Orthopedic Devices	Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible
2414	E0850	Traction and Other Orthopedic Devices	Traction stand, free standing, cervical traction
2415	E0855	Traction and Other Orthopedic Devices	Cervical traction equipment not requiring additional stand or frame
2416	E0856	Traction and Other Orthopedic Devices	Cervical traction device, with inflatable air bladder(s)
2417	E0860	Traction and Other Orthopedic Devices	Traction equipment, overdoor, cervical
2418	E0870	Traction and Other Orthopedic Devices	Traction frame, attached to footboard, extremity traction, (e.g., Buck's)
2419	E0880	Traction and Other Orthopedic Devices	Traction stand, free standing, extremity traction
2420	E0890	Traction and Other Orthopedic Devices	Traction frame, attached to footboard, pelvic traction
2421	E0900	Traction and Other Orthopedic Devices	Traction stand, free standing, pelvic traction, (e.g., Buck's)
2422	E0910	Traction and Other Orthopedic Devices	Trapeze bars, also known as Patient Helper, attached to bed, with grab bar
2423	E0911	Traction and Other Orthopedic Devices	Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar
2424	E0912	Traction and Other Orthopedic Devices	Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar
2425	E0920	Traction and Other Orthopedic Devices	Fracture frame, attached to bed, includes weights
2426	E0930	Traction and Other Orthopedic Devices	Fracture frame, free standing, includes weights
2427	E0935	Traction and Other Orthopedic Devices	Continuous passive motion exercise device for use on knee only
2428	E0936	Traction and Other Orthopedic Devices	Continuous passive motion exercise device for use other than knee
2429	E0940	Traction and Other Orthopedic Devices	Trapeze bar, free standing, complete with grab bar
2430	E0941	Traction and Other Orthopedic Devices	Gravity assisted traction device, any type
2431	E0942	Traction and Other Orthopedic Devices	Cervical head harness/halter
2432	E0944	Traction and Other Orthopedic Devices	Pelvic belt/harness/boot
2433	E0945	Traction and Other Orthopedic Devices	Extremity belt/harness
2434	E0946	Traction and Other Orthopedic Devices	Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster)
2435	E0947	Traction and Other Orthopedic Devices	Fracture frame, attachments for complex pelvic traction
2436	E0948	Traction and Other Orthopedic Devices	Fracture frame, attachments for complex cervical traction
2437	E0950	Wheelchair Accessories	Wheelchair accessory, tray, each
2438	E0951	Wheelchair Accessories	Heel loop/holder, any type, with or without ankle strap, each
2439	E0952	Wheelchair Accessories	Toe loop/holder, any type, each
2440	E0953	Wheelchair Accessories	Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each
2441	E0954	Wheelchair Accessories	Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot
2442	E0955	Wheelchair Accessories	Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each
2443	E0956	Wheelchair Accessories	Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each
2444	E0957	Wheelchair Accessories	Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each
2445	E0958	Wheelchair Accessories	Manual wheelchair accessory, one-arm drive attachment, each
2446	E0959	Wheelchair Accessories	Manual wheelchair accessory, adapter for amputee, each
2447	E0960	Wheelchair Accessories	Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware
2448	E0961	Wheelchair Accessories	Manual wheelchair accessory, wheel lock brake extension (handle), each
2449	E0966	Wheelchair Accessories	Manual wheelchair accessory, headrest extension, each
2450	E0967	Wheelchair Accessories	Manual wheelchair accessory, hand rim with projections, any type, replacement only, each
2451	E0968	Wheelchair Accessories	Commode seat, wheelchair
2452	E0969	Wheelchair Accessories	Narrowing device, wheelchair
2453	E0970	Wheelchair Accessories	No.2 footplates, except for elevating leg rest
2454	E0971	Wheelchair Accessories	Manual wheelchair accessory, anti-tipping device, each
2455	E0973	Wheelchair Accessories	Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each
2456	E0974	Wheelchair Accessories	Manual wheelchair accessory, anti-rollback device, each
2457	E0978	Wheelchair Accessories	Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
2458	E0980	Wheelchair Accessories	Safety vest, wheelchair
2459	E0981	Wheelchair Accessories	Wheelchair accessory, seat upholstery, replacement only, each
2460	E0982	Wheelchair Accessories	Wheelchair accessory, back upholstery, replacement only, each
2461	E0983	Wheelchair Accessories	Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control
2462	E0984	Wheelchair Accessories	Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control
2463	E0985	Wheelchair Accessories	Wheelchair accessory, seat lift mechanism
2464	E0986	Wheelchair Accessories	Manual wheelchair accessory, push-rim activated power assist system
2465	E0988	Wheelchair Accessories	Manual wheelchair accessory, lever-activated, wheel drive, pair
2466	E0990	Wheelchair Accessories	Wheelchair accessory, elevating leg rest, complete assembly, each
2467	E0992	Wheelchair Accessories	Manual wheelchair accessory, solid seat insert
2468	E0994	Wheelchair Accessories	Arm rest, each
2469	E0995	Wheelchair Accessories	Wheelchair accessory, calf rest/pad, replacement only, each
2470	E1002	Wheelchair Accessories	Wheelchair accessory, power seating system, tilt only
2471	E1003	Wheelchair Accessories	Wheelchair accessory, power seating system, recline only, without shear reduction
2472	E1004	Wheelchair Accessories	Wheelchair accessory, power seating system, recline only, with mechanical shear reduction
2473	E1005	Wheelchair Accessories	Wheelchair accessory, power seatng system, recline only, with power shear reduction
2474	E1006	Wheelchair Accessories	Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction
2475	E1007	Wheelchair Accessories	Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction
2476	E1008	Wheelchair Accessories	Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction
2477	E1009	Wheelchair Accessories	Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each
2478	E1010	Wheelchair Accessories	Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair
2479	E1011	Wheelchair Accessories	Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)
2480	E1012	Wheelchair Accessories	Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each
2481	E1014	Wheelchair Accessories	Reclining back, addition to pediatric size wheelchair
2482	E1015	Wheelchair Accessories	Shock absorber for manual wheelchair, each
2483	E1016	Wheelchair Accessories	Shock absorber for power wheelchair, each
2484	E1017	Wheelchair Accessories	Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each
2485	E1018	Wheelchair Accessories	Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each
2486	E1020	Wheelchair Accessories	Residual limb support system for wheelchair, any type
2487	E1028	Wheelchair Accessories	Wheelchair accessory, manual swing away, retractable or removable mounting hardware for joystick, other control interface or positioning accessory
2488	E1029	Wheelchair Accessories	Wheelchair accessory, ventilator tray, fixed
2489	E1030	Wheelchair Accessories	Wheelchair accessory, ventilator tray, gimbaled
2490	E1031	Wheelchair Accessories	Rollabout chair, any and all types with castors 5 inch or greater
2491	E1035	Wheelchair Accessories	Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs
2492	E1036	Wheelchair Accessories	Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs
2493	E1037	Transport Chairs	Transport chair, pediatric size
2494	E1038	Transport Chairs	Transport chair, adult size, patient weight capacity up to and including 300 pounds
2495	E1039	Transport Chairs	Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds
2496	E1050	Fully Reclining Wheelchairs	Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating legrests
2497	E1060	Fully Reclining Wheelchairs	Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests
2498	E1070	Fully Reclining Wheelchairs	Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest
2499	E1083	Hemi-Wheelchairs	Hemi-wheelchair, fixed full length arms, swing away detachable elevating legrest
2500	E1084	Hemi-Wheelchairs	Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating legrests

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