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doczyai-pipelines/fieldExtraction/crosswalk/mapping_csvs/proc_cd/cpt.csv
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Katon Minhas 664397d713 Merged in feature/proc-desc (pull request #400)
feature/proc desc

* Update crosswalks - individual code level

* add embeddings

* Update embeddings

* Proc mappings

* code description mapping for PROC codes

* Code map bug fixes

* docstrings

* Initialize Rev and Diag descriptions

* Add 0 to front for rev codes

* Comments

* Merged main into feature/proc-desc

* Comments

* Separate grouper and diag codes

* add grouper version

* Bugfix"

* Add admit type code

* add proc mod description

* Add bill type pos mapping

* Merged main into feature/proc-desc

* Uncomment test code

* Bugfix

* Remove test.py

* list bugfix

* Merged main into feature/proc-desc

* concurrency


Approved-by: Alex Galarce
2025-02-20 04:10:33 +00:00

2.6 MiB

1CodeDescriptionShort_Description
2G0525Management of established patient-caregiver dyad with dementia, moderate complexity, for use in cmmi modelEst pt-cg dyad dem mod cmplx
3G0519Management of new patient-caregiver dyad with dementia, low complexity, for use in cmmi modelNew pt-cg dyad dem low cmplx
4J3247Injection, secukinumab, intravenous, 1 mgInj secukinumab intrav 1mg
5C1605Pacemaker, leadless, dual chamber (right atrial and right ventricular implantable components), rate-responsive, including all necessary components for implantationPmkr, dual, leadless
6J3393Injection, betibeglogene autotemcel, per treatmentInj, betibeglogene autotemce
7J7171Injection, adamts13, recombinant-krhn, 10 iuInj, adzynma, 10 iu
8J2468Injection, palonosetron hydrochloride (avyxa), not therapeutically equivalent to j2469, 25 microgramsInj, palonosetron (avyxa)
9Q4318E-graft, per square centimeterE-graft, per sq cm
10G0522Management of a new patient with dementia, low complexity, for use in cmmi modelMgt nw pt dementia low cmplx
11J2246Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mgInj, micafungin (baxter)
12J9361Injection, efbemalenograstim alfa-vuxw, 0.5 mgInj, efbemalenograstim alfa-
13Q4324Amniotx, per square centimeterAmniotx, per sq cm
14Q4331Axolotl graft, per square centimeterAxolotl graft, per sq cm
15G0528Management of established patient with dementia, moderate to high complexity, for use in cmmi modelMgt est pt dem mod-hi cmplx
16J0687Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mgInj cefazolin (wg crit care)
17Q4316Amchoplast, per square centimeterAmchoplast, per sq cm
18G0520Management of new patient-caregiver dyad with dementia, moderate complexity, for use in cmmi modelNew pt-cg dyad dem mod cmplx
19Q4322Caregraft, per square centimeterCaregraft, per sq cm
20G9037Interprofessional telephone/internet/electronic health record clinical question/request for specialty recommendations by a treating/requesting physician or other qualified health care professional for the care of the patient (i.e. not for professional education or scheduling) and may include subsequent follow up on the specialist's recommendations; 30 minutesIntrpro req fr rec phys/qhcp
21G0531Facility-based respite, 24-hour unit, for use in cmmi modelFclty-based respite, 24 hr u
22Q4319Sanograft, per square centimeterSanograft, per sq cm
23J7355Injection, travoprost, intracameral implant, 1 microgramInj travoprost intra impl
24Q4325Acapatch, per square centimeterAcapatch, per sq cm
25J2267Injection, mirikizumab-mrkz, 1 mgInj, mirikizumab-mrkz, 1 mg
26J3263Injection, toripalimab-tpzi, 1 mgInj, toripalimab-tpzi, 1 mg
27Q4329Singlay, per square centimeterSinglay, per sq cm
28Q5138Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mgInj, wezlana, iv, 1 mg
29Q4330Total, per square centimeterTotal, per sq cm
30G0521Management of new patient-caregiver dyad with dementia, high complexity, for use in cmmi modelNew pt-cg dyad dem hig cmplx
31Q4323Alloply, per square centimeterAlloply, per sq cm
32J2183Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mgInj meropenem (wg crit care)
33J0211Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote)Inj, nithiodote, 3mg / 125mg
34Q4333Ardeograft, per square centimeterArdeograft, per sq cm
35J2470Injection, pantoprazole sodium, 40 mgInj pantoprazole sodium 40mg
36Q4315Regenelink amniotic membrane allograft, per square centimeterRegenelink amniotic mem allo
37J8611Methotrexate (jylamvo), oral, 2.5 mgOral methotrexate (jylamvo)
38Q2055Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic doseIdecabtagene vicleucel car
39J9046Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mgInj, bortezomib, dr. reddy's
40J0893Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mgInj, decitabine (sun pharma)
41J1806Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mgInj esmolol hcl wg crit care
42J0401Injection, aripiprazole (abilify maintena), 1 mgInj, abilify maintena, 1 mg
43J2806Injection, sincalide (maia), not therapeutically equivalent to j2805, 5 microgramsInj sincalide, maia, 5 mcg
44J9258Injection, paclitaxel protein-bound particles (teva), not therapeutically equivalent to j9264, 1 mgPaclitaxel (teva)
45J0873Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mgInj daptomycin (xellia)
46J2021Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mgInj, linezolid (hospira)
47J0137Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mgInj, acetaminophen (hikma)
48J9294Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mgInj pemetrexed, hospira 10mg
49J9322Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mgInj pemetrexed (bluepoint)
50J9172Injection, docetaxel (ingenus), not therapeutically equivalent to j9171, 1 mgDocetaxel (ingenus), 1 mg
51J0652Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcgInj, levothyroxine, hikma
52C9113Injection, pantoprazole sodium, per vialInj pantoprazole sodium, via
53C9166Injection, secukinumab, intravenous, 1 mgInjection, secukinumab
54J9371Injection, vincristine sulfate liposome, 1 mgInj, vincristine sul lip 1mg
55Q4277Woundplus membrane or e-graft, per square centimeterWoundplus e-grat, per sq cm
56S0164Injection, pantoprazole sodium, 40 mgInjection pantroprazole
57C9167Injection, adamts13, recombinant-krhn, 10 iuInj, adzynma, 10 iu
58G0238THERAPEUTIC PROCEDURES TO IMPROVE RESPIRATORY FUNCTION, OTHER THAN DESCRIBED BY G0237, ONE ON ONE, FACE TO FACE, PER 15 MINUTES (INCLUDES MONITORING)Oth resp proc, indiv
59G0252PET IMAGING, FULL AND PARTIAL-RING PET SCANNERS ONLY, FOR INITIAL DIAGNOSIS OF BREAST CANCER AND/OR SURGICAL PLANNING FOR BREAST CANCER (E.G. INITIAL STAGING OF AXILLARY LYMPH NODES)PET imaging initial dx
6061596Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid arteryTRANSCOCHLEAR APPROACH/SKUL
6161641Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure)DILAT IC VSPSM EA VSL SM TE
6261750Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion;INCISE SKULL/BRAIN BIOPSY
6361790Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglionTREAT TRIGEMINAL NERVE
6461797Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure)SRS CRAN LES SIMPLE ADDL
6561850Twist drill or burr hole(s) for implantation of neurostimulator electrodes, corticalIMPLANT NEUROELECTRODES
6662220Creation of shunt; ventriculo-atrial, -jugular, -auricularESTABLISH BRAIN CAVITY SHUN
6762281Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracicTREAT SPINAL CORD LESION
6862291Injection procedure for discography, each level; cervical or thoracicNJX PX DISCOGRAPHY CRV/THRC
6962321Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT)NJX INTERLAMINAR CRV/THRC
70J9070Cyclophosphamide, 100 mgCyclophosphamide 100 mg inj
71C9162Injection, avacincaptad pegol, 0.1 mgInj, avacincaptad peg 0.1 mg
72J1850Injection, kanamycin sulfate, up to 75 mgKanamycin sulfate 75 mg inj
73J2930Injection, methylprednisolone sodium succinate, up to 125 mgMethylprednisolone injection
74FRThe supervising practitioner was present through two-way, audio/video communication technologyTwo-way a/v dir supervision
75J7294Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, eachSeg acet and eth estr yearly
76J1445Injection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of ironInj triferic avnu 0.1mg iron
77Q0240Injection, casirivimab and imdevimab, 600 mgCasirivi and imdevi 600 mg
78J2406Injection, oritavancin (kimyrsa), 10 mgInjection, oritavancin 10 mg
79Q0244Injection, casirivimab and imdevimab, 1200 mgCasirivi and imdevi 1200 mg
80J1448Injection, trilaciclib, 1mgInjection, trilaciclib, 1mg
81S9432Medical foods for non-inborn errors of metabolismMed food non inborn err meta
82C9780Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidanceInsert cv cath inf & sup app
83J1426Injection, casimersen, 10 mgInjection, casimersen, 10 mg
84K1027Oral device/appliance used to reduce upper airway collapsibility, without fixed mechanical hinge, custom fabricated, includes fitting and adjustmentOral dev without fix mech
85J0741Injection, cabotegravir and rilpivirine, 2mg/3mgInj, cabote rilpivir 2mg 3mg
86J1305Injection, evinacumab-dgnb, 5mgInj, evinacumab-dgnb, 5mg
87Q2054Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic doseLisocabtagene mara car pos t
88M0248Intravenous 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 emergencySotrovimab inf, home admin
89M0247Intravenous infusion, sotrovimab, includes infusion and post administration monitoringSotrovimab infusion
90J9349Injection, tafasitamab-cxix, 2 mgInj., tafasitamab-cxix
91Q0245Injection, bamlanivimab and etesevimab, 2100 mgBamlanivimab and etesevima
92C9776Intraoperative 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)Fluo bile duct imaging w/icg
93S1091Stent, non-coronary, temporary, with delivery system (propel)Stent non-coronary propel
94Q2053Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic doseBrexucabtagene car pos t
95J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per doseHyalgan supartz visco-3 dose
96G9868Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, less than 10 minutesCmmi asyntelehealth <10min
97Q0247Injection, sotrovimab, 500 mgSotrovimab
98J9353Injection, margetuximab-cmkb, 5 mgInj. margetuximab-cmkb, 5 mg
99Q0239Injection, bamlanivimab-xxxx, 700 mgBamlanivimab-xxxx
100J7295Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, eachEth estr and eton monthly
101A4453Rectal catheter for use with the manual pump-operated enema system, replacement onlyRec cath man pump enema repl
102M0241Intravenous 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 dosesCasiri and imdev repeat hm
103M0249Intravenous 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 doseAdm tocilizu covid-19 1st
104C9779Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performedEsd endoscopy or colonoscopy
105J9318Injection, romidepsin, non-lyophilized, 0.1 mgInj romidepsin non-lyo 0.1mg
106M0240Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat dosesCasiri and imdev repeat
107J2407Injection, oritavancin (orbactiv), 10 mgInjection, oritavancin
108C9078Injection, trilaciclib, 1 mgInj, trilaciclib, 1 mg
109C9075Injection, casimersen, 10 mgInjection, casimersen, 10 mg
110J9315Injection, romidepsin, 1 mgRomidepsin injection
111G2150Multimodal pain management was not usedNo mpm
112G9582Door to puncture time of greater than 90 minutes, no reason givenDoor to punc time >2hr, nrg
113G9368At least two orders for high-risk medications from the same drug class not ordered>= 2 same hi-rsk med not ord
114G9823Endometrial sampling or hysteroscopy with biopsy and results documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablationEndo smpl/hyst bx res doc
115G9419Documentation of medical reason(s) for not including the histological type or nsclc-nos classification with an explanation (e.g. specimen insufficient or non-diagnostic, specimen does not contain cancer, or other documented medical reasons)Med reas not incl histo type
116G9367At least two orders for high-risk medications from the same drug class>= 2 same hi-rsk med ord
117G9627Patient did not sustain bladder injury at the time of surgery nor discovered subsequently up to 30 days post-surgeryPt no bl srg 30 day pst srg
118G2148Multimodal pain management was usedMpm used
119G9580Door to puncture time of 90 minutes or lessDoor to punc time <2hrs
120G2142Functional status measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively was less than or equal to 22 or functional status measured by the odi version 2.1a within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 30 points or greaterFs odi 9-15mo postop<= 22
121G2173Uri episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid lung disease)Uri w comorb 12m oth dx
122G8433Screening for depression not completed, documented patient or medical reasonScr for dep not cpt doc rsn
123G9928Fda-approved anticoagulant not prescribed, reason not givenNo warf or fda drug presc
124G9554Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging recommendedCt/cta/mri/a chst foll rec
125G1013Clinical decision support mechanism evidencecare imagingcare, as defined by the medicare appropriate use criteria programCdsm evidencecare
126G2175Episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid lung disease)Pt comorb dx 12m of epi
127G2122Depression, anxiety, apathy, and psychosis not assessedPsy/dep/anx/apandicd noasse
128G8950Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documentedPre-htn or htn doc, f/u indc
129G9428Pathology report includes the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumorsPatho rpt incl pt ctg
130G2097Episodes where the patient had a competing diagnosis on or within three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, chronic sinusitis, infection of the adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti)Dx uri 3d after other dx
131G9716Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reasonBmi doc onl fup not cmpltd
132J5Off-the-shelf orthotic subject to dmepos competitive bidding program that is furnished as part of a physical therapist or occupational therapist professional serviceDmepos comp bid fur by pt/ot
133J9305Injection, pemetrexed, not otherwise specified, 10 mgInj. pemetrexed nos 10mg
134G0396Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutesAlcohol/subs interv 15-30mn
135L8702Elbow, wrist, hand, finger device, powered, with single or double upright(s), any type joint(s), includes microprocessor, sensors, all components and accessoriesEwhf s/d uprt micro sensor
136M0244Intravenous 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 emergencyCasirivi and imdevi inj hm
13762328Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidanceDX LMBR SPI PNXR W/FLUOR/CT
13863077Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspaceSPINE DISK SURGERY THORAX
13963270Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervicalEXCISE INTRSPINL LESION CRV
14063662Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performedREMOVE SPINE ELTRD PLATE
14164480Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional level (List separately in addition to code for primary procedure)INJ FORAMEN EPIDURAL ADD-ON
14264530Injection, anesthetic agent; celiac plexus, with or without radiologic monitoringN BLOCK INJ CELIAC PELUS
14364605Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovaleINJECTION TREATMENT OF NERV
14464624Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performedDSTRJ NULYT AGT GNCLR NRV
14564635Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet jointDESTROY LUMB/SAC FACET JNT
14664726Decompression; plantar digital nerveRELEASE FOOT/TOE NERVE
14764771Transection or avulsion of other cranial nerve, extraduralSEVER CRANIAL NERVE
14864821Sympathectomy; radial arteryREMOVE SYMPATHETIC NERVES
14964865Suture of facial nerve; infratemporal, with or without graftingREPAIR OF FACIAL NERVE
15065765KeratophakiaREVISION OF CORNEA
15165778Placement of amniotic membrane on the ocular surface; without suturesCOVER EYE W/MEMBRANE
15266172Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents)INCISION OF EYE
15366920Removal of lens material; intracapsularEXTRACTION OF LENS
15466930Removal of lens material; intracapsular, for dislocated lensEXTRACTION OF LENS
15566999Unlisted procedure, anterior segment of eyeEYE SURGERY PROCEDURE
15667210Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulationTREATMENT OF RETINAL LESION
15767255Scleral reinforcement (separate procedure); with graftREINFORCE/GRAFT EYE WALL
15867312Strabismus surgery, recession or resection procedure; 2 horizontal musclesREVISE TWO EYE MUSCLES
15967825Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery)REVISE EYELASHES
16067961Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid marginREVISION OF EYELID
16167974Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stageRECONSTRUCTION OF EYELID
16268020Incision of conjunctiva, drainage of cystINCISE/DRAIN EYELID LINING
16368371Harvesting conjunctival allograft, living donorHARVEST EYE TISSUE ALOGRAFT
16469150Radical excision external auditory canal lesion; without neck dissectionEXTENSIVE EAR CANAL SURGERY
16567908Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type)REPAIR EYELID DEFECT
16667973Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stageRECONSTRUCTION OF EYELID
16768801Dilation of lacrimal punctum, with or without irrigationDILATE TEAR DUCT OPENING
16869020Drainage external auditory canal, abscessDRAIN OUTER EAR CANAL LESIO
16969210Removal impacted cerumen requiring instrumentation, unilateralREMOVE IMPACTED EAR WAX UNI
17069501Transmastoid antrotomy (simple mastoidectomy)MASTOIDECTOMY
17169662Revision of stapedectomy or stapedotomyREVISE MIDDLE EAR BONE
17269720Decompression facial nerve, intratemporal; lateral to geniculate ganglionRELEASE FACIAL NERVE
17369955Total facial nerve decompression and/or repair (may include graft)RELEASE FACIAL NERVE
17470150Radiologic examination, facial bones; complete, minimum of 3 viewsX-RAY EXAM OF FACIAL BONES
17570488Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sectionsCT MAXILLOFACIAL W/O & W/DY
17670490Computed tomography, soft tissue neck; without contrast materialCT SOFT TISSUE NECK W/O DYE
17770547Magnetic resonance angiography, neck; without contrast material(s)MR ANGIOGRAPHY NECK W/O DYE
17870549Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequencesMR ANGIOGRAPH NECK W/O&W/DY
17970555Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testingFMRI BRAIN BY PHYS/PSYCH
18071045Radiologic examination, chest; single viewX-RAY EXAM CHEST 1 VIEW
18171555Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)MRI ANGIO CHEST W OR W/O DY
18272050Radiologic examination, spine, cervical; 4 or 5 viewsX-RAY EXAM NECK SPINE 4/5VW
18372114Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 viewsX-RAY EXAM L-S SPINE BENDIN
18472130Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sectionsCT CHEST SPINE W/O & W/DYE
18572156Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervicalMRI NECK SPINE W/O & W/DYE
18672197Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequencesMRI PELVIS W/O & W/DYE
18773110Radiologic examination, wrist; complete, minimum of 3 viewsX-RAY EXAM OF WRIST
18873525Radiologic examination, hip, arthrography, radiological supervision and interpretationCONTRAST X-RAY OF HIP
18973551Radiologic examination, femur; 1 viewX-RAY EXAM OF FEMUR 1
19073630Radiologic examination, foot; complete, minimum of 3 viewsX-RAY EXAM OF FOOT
19174190Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretationX-RAY EXAM OF PERITONEUM
19274300Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretationX-RAY BILE DUCTS/PANCREAS
19374340Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretationX-RAY GUIDE FOR GI TUBE
19474470Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretationX-RAY EXAM OF KIDNEY LESION
19575605Aortography, thoracic, by serialography, radiological supervision and interpretationCONTRAST EXAM THORACIC AORT
19675705Angiography, spinal, selective, radiological supervision and interpretationARTERY X-RAYS SPINE
19775710Angiography, extremity, unilateral, radiological supervision and interpretationARTERY X-RAYS ARM/LEG
19875736Angiography, pelvic, selective or supraselective, radiological supervision and interpretationARTERY X-RAYS PELVIS
19975901Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretationREMOVE CVA DEVICE OBSTRUCT
20075957Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin, radiological supervision and interpretationXRAY ENDOVASC THOR AO REPR
201L5628ADDITION TO LOWER EXTREMITY, TEST SOCKET, HEMIPELVECTOMYTest socket hemipelvectomy
202L5678ADDITIONS TO LOWER EXTREMITY, BELOW KNEE, JOINT COVERS, PAIRBk joint covers pair
203L5686ADDITION TO LOWER EXTREMITY, BELOW KNEE, BACK CHECK (EXTENSION CONTROL)Bk back check
204L5695ADDITION TO LOWER EXTREMITY, ABOVE KNEE, PELVIC CONTROL, SLEEVE SUSPENSION, NEOPRENE OR EQUAL, EACHAk sleeve susp neoprene/equa
205L5785ADDITION, EXOSKELETAL SYSTEM, BELOW KNEE, ULTRA-LIGHT MATERIAL (TITANIUM, CARBON FIBER OR EQUAL)Exoskeletal bk ultralt mater
206L5840ADDITION, ENDOSKELETAL KNEE/SHIN SYSTEM, 4-BAR LINKAGE OR MULTIAXIAL, PNEUMATIC SWING PHASE CONTROLMulti-axial knee/shin system
207L5845ADDITION, ENDOSKELETAL, KNEE-SHIN SYSTEM, STANCE FLEXION FEATURE, ADJUSTABLEKnee-shin sys stance flexion
208L6616UPPER EXTREMITY ADDITION, ADDITIONAL DISCONNECT INSERT FOR LOCKING WRIST UNIT, EACHDisconnect insert locking wr
209L6641UPPER EXTREMITY ADDITION, EXCURSION AMPLIFIER, PULLEY TYPEExcursion amplifier pulley t
210L6895ADDITION TO UPPER EXTREMITY PROSTHESIS, GLOVE FOR TERMINAL DEVICE, ANY MATERIAL, CUSTOM FABRICATEDCustom glove for term device
211L6920WRIST DISARTICULATION, EXTERNAL POWER, SELF-SUSPENDED INNER SOCKET, REMOVABLE FOREARM SHELL, OTTO BOCK OR EQUAL, SWITCH, CABLES, TWO BATTERIES AND ONE CHARGER, SWITCH CONTROL OF TERMINAL DEVICEWrist disarticul switch ctrl
212L7259ELECTRONIC WRIST ROTATOR, ANY TYPEElectronic wrist rotator any
213L7405ADDITION TO UPPER EXTREMITY PROSTHESIS, SHOULDER DISARTICULATION/INTERSCAPULAR THORACIC, ACRYLIC MATERIALAdd UE prost s/d acrylic
214L8310TRUSS, DOUBLE WITH STANDARD PADSTruss double w/ standard pad
215L8320TRUSS, ADDITION TO STANDARD PAD, WATER PADTruss addition to std pad wa
216L8417PROSTHETIC SHEATH/SOCK, INCLUDING A GEL CUSHION LAYER, BELOW KNEE OR ABOVE KNEE, EACHPros sheath/sock w gel cushn
217L8420PROSTHETIC SOCK, MULTIPLE PLY, BELOW KNEE, EACHProsthetic sock multi ply BK
218L8465PROSTHETIC SHRINKER, UPPER LIMB, EACHShrinker upper limb
219L8514TRACHEOESOPHAGEAL PUNCTURE DILATOR, REPLACEMENT ONLY, EACHRepl trach puncture dilator
220L8621ZINC AIR BATTERY FOR USE WITH COCHLEAR IMPLANT DEVICE AND AUDITORY OSSEOINTEGRATED SOUND PROCESSORS, REPLACEMENT, EACHRepl zinc air battery
221L8690AUDITORY OSSEOINTEGRATED DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTSAud osseo dev, int/ext comp
222L8692AUDITORY OSSEOINTEGRATED DEVICE, EXTERNAL SOUND PROCESSOR, USED WITHOUT OSSEOINTEGRATION, BODY WORN, INCLUDES HEADBAND OR OTHER MEANS OF EXTERNAL ATTACHMENTNon-osseointegrated snd proc
223L8699PROSTHETIC IMPLANT, NOT OTHERWISE SPECIFIEDProsthetic implant NOS
224M0100INTRAGASTRIC HYPOTHERMIA USING GASTRIC FREEZINGIntragastric hypothermia
225M1004Documentation of medical reason for not screening for tb or interpreting results (i.e., patient positive for tb and documentation of past treatment; patient who has recently completed a course of anti-tb therapy)Doc med rsn no srn tb
226M1014Patient treatment and final evaluation completePt tx and final eval comp
227M1016Female patients unable to bear childrenPt dx meop or sur steri
228M1037Patients with a diagnosis of lumbar spine region cancer at the time of the procedurePt dx lum sp reg cacr
229P9034PLATELETS, PHERESIS, EACH UNITPlatelets, pheresis
230P9036PLATELETS, PHERESIS, IRRADIATED, EACH UNITPlatelet pheresis irradiated
231P9060FRESH FROZEN PLASMA, DONOR RETESTED, EACH UNITFr frz plasma donor retested
232P9603TRAVEL ALLOWANCE ONE WAY IN CONNECTION WITH MEDICALLY NECESSARY LABORATORY SPECIMEN COLLECTION DRAWN FROM HOME BOUND OR NURSING HOME BOUND PATIENT; PRORATED MILES ACTUALLY TRAVELLED.One-way allow prorated miles
233Q0167DRONABINOL, 2.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMENDronabinol 2.5mg oral
234Q0490EMERGENCY POWER SOURCE FOR USE WITH ELECTRIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLYEmr pwr source elec vad, rep
235Q0508Miscellaneous Supply or Accessory For Use With An Implanted Ventricular Assist DeviceMisc sup/acc imp vad
23694662Continuous negative pressure ventilation (CNP), initiation and managementNEG PRESS VENTILATION CNP
23794726Plethysmography for determination of lung volumes and, when performed, airway resistancePULM FUNCT TST PLETHYSMOGRA
23894770Carbon dioxide, expired gas determination by infrared analyzerEXHALED CARBON DIOXIDE TEST
23994799Unlisted pulmonary service or procedurePULMONARY SERVICE/PROCEDURE
24095117Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injectionsIMMUNOTHERAPY INJECTIONS
24195873Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)GUIDE NERV DESTR ELEC STIM
24295912Nerve conduction studies; 11-12 studiesNRV CNDJ TEST 11-12 STUDIES
243L2580ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, PELVIC SLINGPelvic control pelvic sling
244L2680ADDITION TO LOWER EXTREMITY, THORACIC CONTROL, LATERAL SUPPORT UPRIGHTSThorac cont lat support upri
245L2755ADDITION TO LOWER EXTREMITY ORTHOSIS, HIGH STRENGTH, LIGHTWEIGHT MATERIAL, ALL HYBRID LAMINATION/PREPREG COMPOSITE, PER SEGMENT, FOR CUSTOM FABRICATED ORTHOSIS ONLYCarbon graphite lamination
246L3224ORTHOPEDIC FOOTWEAR, WOMAN'S SHOE, OXFORD, USED AS AN INTEGRAL PART OF A BRACE (ORTHOSIS)Woman's shoe oxford brace
247L3630TRANSFER OF AN ORTHOSIS FROM ONE SHOE TO ANOTHER, SOLID STIRRUP, NEWTrans shoe solid stirrup new
248L3660SHOULDER ORTHOSIS, FIGURE OF EIGHT DESIGN ABDUCTION RESTRAINER, CANVAS AND WEBBING, PREFABRICATED, OFF-THE-SHELFSo 8 ab rstr can/web pre ots
249L3933FINGER ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERFACE, CUSTOM FABRICATED, INCLUDES FITTING AND ADJUSTMENTFO w/o joints CF
250L3935FINGER ORTHOSIS, NONTORSION JOINT, MAY INCLUDE SOFT INTERFACE, CUSTOM FABRICATED, INCLUDES FITTING AND ADJUSTMENTFO nontorsion joint CF
251L3977SHOULDER ELBOW WRIST HAND FINGER ORTHOSIS, SHOULDER CAP DESIGN, INCLUDES ONE OR MORE NONTORSION JOINTS, ELASTIC BANDS, TURNBUCKLES, MAY INCLUDE SOFT INTERFACE, STRAPS, CUSTOM FABRICATED, INCLUDES FITTING AND ADJUSTMENTSEWHFO cap desgn w/jnt(s) CF
252L4361WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED, OFF-THE-SHELFPneuma/vac walk boot pre ots
253L4392REPLACEMENT, SOFT INTERFACE MATERIAL, STATIC AFOReplace AFO soft interface
254L5420IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF INITIAL RIGID DRESSING, INCLUDING FITTING, ALIGNMENT AND SUSPENSION AND ONE CAST CHANGE 'AK' OR KNEE DISARTICULATIONPostop dsg & 1 cast chg ak/d
255L5652ADDITION TO LOWER EXTREMITY, SUCTION SUSPENSION, ABOVE KNEE OR KNEE DISARTICULATION SOCKETSuction susp ak/knee disart
256L5676ADDITIONS TO LOWER EXTREMITY, BELOW KNEE, KNEE JOINTS, SINGLE AXIS, PAIRBk knee joints single axis p
257L5781ADDITION TO LOWER LIMB PROSTHESIS, VACUUM PUMP, RESIDUAL LIMB VOLUME MANAGEMENT AND MOISTURE EVACUATION SYSTEMLower limb pros vacuum pump
258L5810ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, MANUAL LOCKEndoskel knee-shin mnl lock
259L5812ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, FRICTION SWING AND STANCE PHASE CONTROL (SAFETY KNEE)Endo knee-shin frct swg & st
260L5859ADDITION TO LOWER EXTREMITY PROSTHESIS, ENDOSKELETAL KNEE-SHIN SYSTEM, POWERED AND PROGRAMMABLE FLEXION/EXTENSION ASSIST CONTROL, INCLUDES ANY TYPE MOTOR(S)Knee-shin pro flex/ext cont
261L5966ADDITION, ENDOSKELETAL SYSTEM, HIP DISARTICULATION, FLEXIBLE PROTECTIVE OUTER SURFACE COVERING SYSTEMHip flexible cover system
262L5990ADDITION TO LOWER EXTREMITY PROSTHESIS, USER ADJUSTABLE HEEL HEIGHTUser adjustable heel height
263L6100BELOW ELBOW, MOLDED SOCKET, FLEXIBLE ELBOW HINGE, TRICEPS PADElb mold sock flex hinge pad
264L6250ABOVE ELBOW, MOLDED DOUBLE WALL SOCKET, INTERNAL LOCKING ELBOW, FOREARMElbow inter loc elbow forarm
265L6655UPPER EXTREMITY ADDITION, STANDARD CONTROL CABLE, EXTRAStandard control cable extra
266L6706TERMINAL DEVICE, HOOK, MECHANICAL, VOLUNTARY OPENING, ANY MATERIAL, ANY SIZE, LINED OR UNLINEDTerm dev mech hook vol open
267L6970INTERSCAPULAR-THORACIC, EXTERNAL POWER, MOLDED INNER SOCKET, REMOVABLE SHOULDER SHELL, SHOULDER BULKHEAD, HUMERAL SECTION, MECHANICAL ELBOW, FOREARM, OTTO BOCK OR EQUAL SWITCH, CABLES, TWO BATTERIES AND ONE CHARGER, SWITCH CONTROL OF TERMINAL DEVICEInterscapular-thor switch ct
268L7191ELECTRONIC ELBOW, CHILD, VARIETY VILLAGE OR EQUAL, MYOELECTRONICALLY CONTROLLEDElbow child myoelectronic ct
269L8002BREAST PROSTHESIS, MASTECTOMY BRA, WITH INTEGRATED BREAST PROSTHESIS FORM, BILATERAL, ANY SIZE, ANY TYPEBrst prsth bra & bilat form
270L8010BREAST PROSTHESIS, MASTECTOMY SLEEVEMastectomy sleeve
271L8045AURICULAR PROSTHESIS, PROVIDED BY A NON-PHYSICIANAuricular prosthesis
272L8047NASAL SEPTAL PROSTHESIS, PROVIDED BY A NON-PHYSICIANNasal septal prosthesis
273J7211Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u.Inj, kovaltry, 1 i.u.
274J7304CONTRACEPTIVE SUPPLY, HORMONE CONTAINING PATCH, EACHContraceptive hormone patch
275J7322HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSESynvisc inj per dose
276J7324HYALURONAN OR DERIVATIVE, ORTHOVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSEOrthovisc inj per dose
277J7345DERMAL (SUBSTITUTE) TISSUE OF NON-HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETERNon-human, non-metab tissue
278J7503TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG Tacrol envarsus ex rel oral
279J7505MUROMONAB-CD3, PARENTERAL, 5 MGMonoclonal antibodies
280J7506PREDNISONE, ORAL, PER 5MGPrednisone oral
281J7614LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MGLevalbuterol non-comp unit
282J7627BUDESONIDE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MGBudesonide comp unit
283J7633BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 0.25 MILLIGRAMBudesonide non-comp con
284J7644IPRATROPIUM BROMIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAMIpratropium bromide non-comp
285J8562FLUDARABINE PHOSPHATE, ORAL, 10 MGOral fludarabine phosphate
286J8600MELPHALAN; ORAL, 2 MGMelphalan oral 2 MG
287J8655NETUPITANT 300 MG AND PALONOSETRON 0.5 MG, ORALOral netupitant, palonosetro
288J9000INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MGDoxorubicin hcl injection
289J9119Injection, cemiplimab-rwlc, 1 mgINJ., CEMIPLIMAB-RWLC, 1 MG
290J9120INJECTION, DACTINOMYCIN, 0.5 MGDactinomycin injection
291J9219LEUPROLIDE ACETATE IMPLANT, 65 MGLeuprolide acetate implant
292J9225HISTRELIN IMPLANT (VANTAS), 50 MGVantas implant
293J9295INJECTION, NECITUMUMAB, 1 MGInjection, necitumumab, 1 mg
294J9325INJECTION, TALIMOGENE LAHERPAREPVEC, PER 1 MILLION PLAQUE FORMING UNITSInj talimogene laherparepvec
295K0001STANDARD WHEELCHAIRStandard wheelchair
296K0040ADJUSTABLE ANGLE FOOTPLATE, EACHAdjustable angle footplate
297K0065SPOKE PROTECTORS, EACHSpoke protectors
298K0070REAR WHEEL ASSEMBLY, COMPLETE, WITH PNEUMATIC TIRE, SPOKES OR MOLDED, EACHRear whl compl pneum tire
299K0744ABSORPTIVE WOUND DRESSING FOR USE WITH SUCTION PUMP, HOME MODEL, PORTABLE, PAD SIZE 16 SQUARE INCHES OR LESSAbsorp drg <= 16 suc pump
300K0746ABSORPTIVE WOUND DRESSING FOR USE WITH SUCTION PUMP, HOME MODEL, PORTABLE, PAD SIZE GREATER THAN 48 SQUARE INCHESAbsorp drg >48 suc pump
301K0806POWER OPERATED VEHICLE, GROUP 2 STANDARD, PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDSPOV group 2 std up to 300lbs
302K0857POWER WHEELCHAIR, GROUP 3 STANDARD, SINGLE POWER OPTION, CAPTAINS CHAIR, PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDSPWC gp3 std sing pow opt cap
303K0863POWER WHEELCHAIR, GROUP 3 VERY HEAVY DUTY, MULTIPLE POWER OPTION, SLING/SOLID SEAT/BACK, PATIENT WEIGHT CAPACITY 451 TO 600 POUNDSPWC gp3 vhd mult pow opt s/b
304K0891POWER WHEELCHAIR, GROUP 5 PEDIATRIC, MULTIPLE POWER OPTION, SLING/SOLID SEAT/BACK, PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 125 POUNDSPWC gp5 ped mult pow opt s/b
305L0170CERVICAL, COLLAR, MOLDED TO PATIENT MODELCervical collar molded to pt
306L0180CERVICAL, MULTIPLE POST COLLAR, OCCIPITAL/MANDIBULAR SUPPORTS, ADJUSTABLECer post col occ/man sup adj
307L0810HALO PROCEDURE, CERVICAL HALO INCORPORATED INTO JACKET VESTHalo cervical into jckt vest
308L1000CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) (MILWAUKEE), INCLUSIVE OF FURNISHING INITIAL ORTHOSIS, INCLUDING MODELCtlso milwauke initial model
309L1010ADDITION TO CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) OR SCOLIOSIS ORTHOSIS, AXILLA SLINGCtlso axilla sling
310L1200THORACIC-LUMBAR-SACRAL-ORTHOSIS (TLSO), INCLUSIVE OF FURNISHING INITIAL ORTHOSIS ONLYFurnsh initial orthosis only
311L1660HIP ORTHOSIS, ABDUCTION CONTROL OF HIP JOINTS, STATIC, PLASTIC, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENTHO abduction static plastic
312L1700LEGG PERTHES ORTHOSIS, (TORONTO TYPE), CUSTOM-FABRICATEDLeg perthes orth toronto typ
313L1833KNEE ORTHOSIS, ADJUSTABLE KNEE JOINTS (UNICENTRIC OR POLYCENTRIC), POSITIONAL ORTHOSIS, RIGID SUPPORT, PREFABRICATED, OFF-THE SHELFKo adj jnt pos r sup pre ots
314L1900ANKLE FOOT ORTHOSIS, SPRING WIRE, DORSIFLEXION ASSIST CALF BAND, CUSTOM-FABRICATEDAfo sprng wir drsflx calf bd
315L2038KNEE ANKLE FOOT ORTHOSIS, FULL PLASTIC, WITH OR WITHOUT FREE MOTION KNEE, MULTI-AXIS ANKLE, CUSTOM FABRICATEDKafo w/o joint multi-axis an
316L2128KNEE ANKLE FOOT ORTHOSIS, FRACTURE ORTHOSIS, FEMORAL FRACTURE CAST ORTHOSIS, CUSTOM-FABRICATEDKafo fem fx cast molded to p
317L2184ADDITION TO LOWER EXTREMITY FRACTURE ORTHOSIS, LIMITED MOTION KNEE JOINTLimited motion knee joint
318L2300ADDITION TO LOWER EXTREMITY, ABDUCTION BAR (BILATERAL HIP INVOLVEMENT), JOINTED, ADJUSTABLEAbduction bar jointed adjust
319L2335ADDITION TO LOWER EXTREMITY, ANTERIOR SWING BANDAnterior swing band
320L2350ADDITION TO LOWER EXTREMITY, PROSTHETIC TYPE, (BK) SOCKET, MOLDED TO PATIENT MODEL, (USED FOR 'PTB' 'AFO' ORTHOSES)Prosthetic type socket molde
321L2425ADDITION TO KNEE JOINT, DISC OR DIAL LOCK FOR ADJUSTABLE KNEE FLEXION, EACH JOINTKnee disc/dial lock/adj flex
322L2628ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, METAL FRAME, RECIPROCATING HIP JOINT AND CABLESMetal frame recipro hip & ca
323L2760ADDITION TO LOWER EXTREMITY ORTHOSIS, EXTENSION, PER EXTENSION, PER BAR (FOR LINEAL ADJUSTMENT FOR GROWTH)Extension per extension per
324L3225ORTHOPEDIC FOOTWEAR, MAN'S SHOE, OXFORD, USED AS AN INTEGRAL PART OF A BRACE (ORTHOSIS)Man's shoe oxford brace
325L3320LIFT, ELEVATION, HEEL AND SOLE, CORK, PER INCHShoe lift elev heel/sole cor
326L3530ORTHOPEDIC SHOE ADDITION, SOLE, HALFOrtho shoe add half sole
327L3595ORTHOPEDIC SHOE ADDITION, MARCH BAROrtho shoe add march bar
328L3760ELBOW ORTHOSIS (EO), WITH ADJUSTABLE POSITION LOCKING JOINT(S), PREFABRICATED, ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISEEO withjoint, Prefabricated
329L3916WRIST HAND FINGER ORTHOSIS, WRIST EXTENSION COCK-UP WITH OUTRIGGER, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENTWhfo wrist extens w/ outrigg
330L3917HAND ORTHOSIS, METACARPAL FRACTURE ORTHOSIS, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISEMetacarp fx orthosis pre cst
331L3981UPPER EXTREMITY FRACTURE ORTHOSIS, HUMERAL, PREFABRICATED, INCLUDES SHOULDER CAP DESIGN, WITH OR WITHOUT JOINTS, FOREARM SECTION, MAY INCLUDE SOFT INTERFACE, STRAPS, INCLUDES FITTING AND ADJUSTMENTSUe fx orth shoul cap forearm
332L8612AQUEOUS SHUNTAqueous shunt prosthesis
333L8614COCHLEAR DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTSCochlear device
334L8623LITHIUM ION BATTERY FOR USE WITH COCHLEAR IMPLANT DEVICE SPEECH PROCESSOR, OTHER THAN EAR LEVEL, REPLACEMENT, EACHLith ion batt CID,non-earlvl
335L8670VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANTVascular graft, synthetic
336L8683RADIOFREQUENCY TRANSMITTER (EXTERNAL) FOR USE WITH IMPLANTABLE NEUROSTIMULATOR RADIOFREQUENCY RECEIVERRadiofq trsmtr for implt neu
337M1008<50% of total number of a patient's outpatient ra encounters assessed<50% total pt outpt ra encts
338M1143Initiated episode of rehabilitation therapy, medical, or chiropractic care for neck impairmentNI REHAB MED CHIRO
339Q0084CHEMOTHERAPY ADMINISTRATION BY INFUSION TECHNIQUE ONLY, PER VISITChemotherapy by infusion
340Q0169PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMENPromethazine HCl 12.5mg oral
341Q0512PHARMACY SUPPLY FEE FOR ORAL ANTI-CANCER, ORAL ANTI-EMETIC OR IMMUNOSUPPRESSIVE DRUG(S); FOR A SUBSEQUENT PRESCRIPTION IN A 30-DAY PERIODPx sup fee anti-can sub pres
342Q2035INFLUENZA VIRUS VACCINE, SPLIT VIRUS, WHEN ADMINISTERED TO INDIVIDUALS 3 YEARS OF AGE AND OLDER, FOR INTRAMUSCULAR USE (AFLURIA)Afluria vacc, 3 yrs & >, im
343Q2037INFLUENZA VIRUS VACCINE, SPLIT VIRUS, WHEN ADMINISTERED TO INDIVIDUALS 3 YEARS OF AGE AND OLDER, FOR INTRAMUSCULAR USE (FLUVIRIN)Fluvirin vacc, 3 yrs & >, im
344Q2041AXICABTAGENE CILOLEUCEL, UP TO 200 MILLION AUTOLOGOUS ANTI-CD19 CAR POSITIVE VIABLE T CELLS, INCLUDING LEUKAPHERESIS AND DOSE PREPARATION PROCEDURES, PER THERAPEUTIC DOSEAxicabtagene ciloleucel car+
345Q3014TELEHEALTH ORIGINATING SITE FACILITY FEETelehealth facility fee
346Q3031COLLAGEN SKIN TESTCollagen skin test
347Q4024CAST SUPPLIES, SHORT ARM SPLINT, PEDIATRIC (0-10 YEARS), FIBERGLASSCast sup sht arm splnt ped f
348Q4039CAST SUPPLIES, SHORT LEG CAST, PEDIATRIC (0-10 YEARS), PLASTERCast sup shrt leg ped plster
349Q5114Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mgINJ OGIVRI 10 MG
350Q5116Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mgINJ., TRAZIMERA, 10 MG
351Q9951LOW OSMOLAR CONTRAST MATERIAL, 400 OR GREATER MG/ML IODINE CONCENTRATION, PER MLLOCM >= 400 mg/ml iodine,1ml
352Q9953INJECTION, IRON-BASED MAGNETIC RESONANCE CONTRAST AGENT, PER MLInj Fe-based MR contrast,1ml
353Q9959HIGH OSMOLAR CONTRAST MATERIAL, 150-199 MG/ML IODINE CONCENTRATION, PER MLHOCM 150-199mg/ml iodine,1ml
354Q9963HIGH OSMOLAR CONTRAST MATERIAL, 350-399 MG/ML IODINE CONCENTRATION, PER MLHOCM 350-399 mg/ml iodine,1ml
355Q9989USTEKINUMAB, FOR INTRAVENOUS INJECTION, 1 MGUstekinumab IV Inj, 1 mg
356Q9994In-line cartridge containing digestive enzyme(s) for enteral feeding, each
357R0070TRANSPORTATION OF PORTABLE X-RAY EQUIPMENT AND PERSONNEL TO HOME OR NURSING HOME, PER TRIP TO FACILITY OR LOCATION, ONE PATIENT SEENTransport portable x-ray
358S0088IMATINIB, 100 MGImatinib 100 mg
359S0091GRANISETRON HYDROCHLORIDE, 1MG (FOR CIRCUMSTANCES FALLING UNDER THE MEDICARE STATUTE, USE Q0166)Granisetron 1mg
360S0122INJECTION, MENOTROPINS, 75 IUInj menotropins 75 iu
361S0272PHYSICIAN MANAGEMENT OF PATIENT HOME CARE, EPISODIC CARE MONTHLY CASE RATE (PER 30 DAYS)Home episodic case 30 days
362S0320TELEPHONE CALLS BY A REGISTERED NURSE TO A DISEASE MANAGEMENT PROGRAM MEMBER FOR MONITORING PURPOSES; PER MONTHRN telephone calls to DMP
363S2055HARVESTING OF DONOR MULTIVISCERAL ORGANS, WITH PREPARATION AND MAINTENANCE OF ALLOGRAFTS; FROM CADAVER DONORHarvesting of donor multivis
364S2202ECHOSCLEROTHERAPYEchosclerotherapy
365S2230IMPLANTATION OF MAGNETIC COMPONENT OF SEMI-IMPLANTABLE HEARING DEVICE ON OSSICLES IN MIDDLE EARImplant semi-imp hear
366S2325HIP CORE DECOMPRESSIONHip core decompression
367S2342NASAL ENDOSCOPY FOR POST-OPERATIVE DEBRIDEMENT FOLLOWING FUNCTIONAL ENDOSCOPIC SINUS SURGERY, NASAL AND/OR SINUS CAVITY(S), UNILATERAL OR BILATERALNasal endoscop po debrid
368S2401REPAIR, URINARY TRACT OBSTRUCTION IN THE FETUS, PROCEDURE PERFORMED IN UTEROFetal surg urin trac obstr
369S3005PERFORMANCE MEASUREMENT, EVALUATION OF PATIENT SELF ASSESSMENT, DEPRESSIONEval self-assess depression
370S3870COMPARATIVE GENOMIC HYBRIDIZATION (CGH) MICROARRAY TESTING FOR DEVELOPMENTAL DELAY, AUTISM SPECTRUM DISORDER AND/OR INTELLECTUAL DISABILITYCgh test developmental delay
371S4014COMPLETE CYCLE, ZYGOTE INTRAFALLOPIAN TRANSFER (ZIFT), CASE RATECompl ZIFT case rate
372S4981INSERTION OF LEVONORGESTREL-RELEASING INTRAUTERINE SYSTEMInsert levonorgestrel ius
373S5102DAY CARE SERVICES, ADULT; PER DIEMAdult day care per diem
374S5121CHORE SERVICES; PER DIEMChore services per diem
375S5151UNSKILLED RESPITE CARE, NOT HOSPICE; PER DIEMUnskilled respitecare /diem
376S5165HOME MODIFICATIONS; PER SERVICEHome modifications per serv
377S5501HOME INFUSION THERAPY, CATHETER CARE / MAINTENANCE, COMPLEX (MORE THAN ONE LUMEN), INCLUDES ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT complex cath care
378S5553INSULIN, LONG ACTING; 5 UNITSInsulin long acting 5 u
379S8035MAGNETIC SOURCE IMAGINGMagnetic source imaging
380S8097ASTHMA KIT (INCLUDING BUT NOT LIMITED TO PORTABLE PEAK EXPIRATORY FLOW METER, INSTRUCTIONAL VIDEO, BROCHURE, AND/OR SPACER)Asthma kit
381S8100HOLDING CHAMBER OR SPACER FOR USE WITH AN INHALER OR NEBULIZER; WITHOUT MASKSpacer without mask
382S8185FLUTTER DEVICEFlutter device
383S8262MANDIBULAR ORTHOPEDIC REPOSITIONING DEVICE, EACHMandib ortho repos device
384S8427GRADIENT PRESSURE AID (GLOVE), READY MADEReady gradient glove
385S9098HOME VISIT, PHOTOTHERAPY SERVICES (E.G. BILI-LITE), INCLUDING EQUIPMENT RENTAL, NURSING SERVICES, BLOOD DRAW, SUPPLIES, AND OTHER SERVICES, PER DIEMHome phototherapy visit
386S9125RESPITE CARE, IN THE HOME, PER DIEMRespite care, in the home, p
387S9127SOCIAL WORK VISIT, IN THE HOME, PER DIEMSocial work visit, in the ho
388S9326HOME INFUSION THERAPY, CONTINUOUS (TWENTY-FOUR HOURS OR MORE) PAIN MANAGEMENT INFUSION; ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT cont pain per diem
389S9336HOME INFUSION THERAPY, CONTINUOUS ANTICOAGULANT INFUSION THERAPY (E.G. HEPARIN), ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT cont anticoag diem
390L4350ANKLE CONTROL ORTHOSIS, STIRRUP STYLE, RIGID, INCLUDES ANY TYPE INTERFACE (E.G., PNEUMATIC, GEL), PREFABRICATED, OFF-THE-SHELFAnkle control ortho pre ots
391L4360WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISEPneumat walking boot pre cst
392L4370PNEUMATIC FULL LEG SPLINT, PREFABRICATED, OFF-THE-SHELFPneum full leg splnt pre ots
393L5460IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF NON-WEIGHT BEARING RIGID DRESSING, ABOVE KNEEPostop app non-wgt bear dsg
394L5530PREPARATORY, BELOW KNEE 'PTB' TYPE SOCKET, NON-ALIGNABLE SYSTEM, PYLON, NO COVER, SACH FOOT, THERMOPLASTIC OR EQUAL, MOLDED TO MODELPrep BK ptb thermopls molded
395L5616ADDITION TO LOWER EXTREMITY, ENDOSKELETAL SYSTEM, ABOVE KNEE, UNIVERSAL MULTIPLEX SYSTEM, FRICTION SWING PHASE CONTROLAk univ multiplex sys frict
396L5646ADDITION TO LOWER EXTREMITY, BELOW KNEE, AIR, FLUID, GEL OR EQUAL, CUSHION SOCKETBelow knee cushion socket
397L5648ADDITION TO LOWER EXTREMITY, ABOVE KNEE, AIR, FLUID, GEL OR EQUAL, CUSHION SOCKETAbove knee cushion socket
398L5658ADDITION TO LOWER EXTREMITY, SOCKET INSERT, ABOVE KNEE (KEMBLO, PELITE, ALIPLAST, PLASTAZOTE OR EQUAL)Socket insert above knee
399L5661ADDITION TO LOWER EXTREMITY, SOCKET INSERT, MULTI-DUROMETER SYMESMulti-durometer symes
400L5666ADDITION TO LOWER EXTREMITY, BELOW KNEE, CUFF SUSPENSIONBelow knee cuff suspension
401L5671ADDITION TO LOWER EXTREMITY, BELOW KNEE / ABOVE KNEE SUSPENSION LOCKING MECHANISM (SHUTTLE, LANYARD OR EQUAL), EXCLUDES SOCKET INSERTBK/AK locking mechanism
402L5682ADDITION TO LOWER EXTREMITY, BELOW KNEE, THIGH LACER, GLUTEAL/ISCHIAL, MOLDEDBk thigh lacer glut/ischia m
403L5930ADDITION, ENDOSKELETAL SYSTEM, HIGH ACTIVITY KNEE CONTROL FRAMEHigh activity knee frame
404L5979ALL LOWER EXTREMITY PROSTHESIS, MULTI-AXIAL ANKLE, DYNAMIC RESPONSE FOOT, ONE PIECE SYSTEMMulti-axial ankle/ft prosth
405L5988ADDITION TO LOWER LIMB PROSTHESIS, VERTICAL SHOCK REDUCING PYLON FEATUREVertical shock reducing pylo
406L6384IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF INITIAL RIGID DRESSING INCLUDING FITTING ALIGNMENT AND SUSPENSION OF COMPONENTS, AND ONE CAST CHANGE, SHOULDER DISARTICULATION OR INTERSCAPULAR THORACICPostop dsg cast chg shlder/t
407L6635UPPER EXTREMITY ADDITION, LIFT ASSIST FOR ELBOWLift assist for elbow
408L6637UPPER EXTREMITY ADDITION, NUDGE CONTROL ELBOW LOCKNudge control elbow lock
409L6648UPPER EXTREMITY ADDITION, SHOULDER LOCK MECHANISM, EXTERNAL POWERED ACTUATORExt pwrd shlder lock/unlock
410L6672UPPER EXTREMITY ADDITION, HARNESS, CHEST OR SHOULDER, SADDLE TYPEHarness chest/shlder saddle
411L6675UPPER EXTREMITY ADDITION, HARNESS, (E.G. FIGURE OF EIGHT TYPE), SINGLE CABLE DESIGNHarness figure of 8 sing con
412L6690UPPER EXTREMITY ADDITION, FRAME TYPE SOCKET, INTERSCAPULAR-THORACICFrame typ sock interscap-tho
413L6703TERMINAL DEVICE, PASSIVE HAND/MITT, ANY MATERIAL, ANY SIZETerm dev, passive hand mitt
414L6712TERMINAL DEVICE, HOOK, MECHANICAL, VOLUNTARY CLOSING, ANY MATERIAL, ANY SIZE, LINED OR UNLINED, PEDIATRICPed term dev, hook, vol clos
415L6915HAND RESTORATION (SHADING, AND MEASUREMENTS INCLUDED), REPLACEMENT GLOVE FOR ABOVEHand restoration replacmnt g
416L6925WRIST DISARTICULATION, EXTERNAL POWER, SELF-SUSPENDED INNER SOCKET, REMOVABLE FOREARM SHELL, OTTO BOCK OR EQUAL ELECTRODES, CABLES, TWO BATTERIES AND ONE CHARGER, MYOELECTRONIC CONTROL OF TERMINAL DEVICEWrist disart myoelectronic c
417L6935BELOW ELBOW, EXTERNAL POWER, SELF-SUSPENDED INNER SOCKET, REMOVABLE FOREARM SHELL, OTTO BOCK OR EQUAL ELECTRODES, CABLES, TWO BATTERIES AND ONE CHARGER, MYOELECTRONIC CONTROL OF TERMINAL DEVICEBelow elbow myoelectronic ct
418L7040PREHENSILE ACTUATOR, SWITCH CONTROLLEDPrehensile actuator
419L7185ELECTRONIC ELBOW, ADOLESCENT, VARIETY VILLAGE OR EQUAL, SWITCH CONTROLLEDElectron elbow adolescent sw
420L7260ELECTRONIC WRIST ROTATOR, OTTO BOCK OR EQUALElectron wrist rotator otto
421L8042ORBITAL PROSTHESIS, PROVIDED BY A NON-PHYSICIANOrbital prosthesis
422L8044HEMI-FACIAL PROSTHESIS, PROVIDED BY A NON-PHYSICIANHemi-facial prosthesis
423L8300TRUSS, SINGLE WITH STANDARD PADTruss single w/ standard pad
424L8410PROSTHETIC SHEATH, ABOVE KNEE, EACHSheath above knee
425L8603INJECTABLE BULKING AGENT, COLLAGEN IMPLANT, URINARY TRACT, 2.5 ML SYRINGE, INCLUDES SHIPPING AND NECESSARY SUPPLIESCollagen imp urinary 2.5 ml
426L8613OSSICULA IMPLANTOssicular implant
427L8684RADIOFREQUENCY TRANSMITTER (EXTERNAL) FOR USE WITH IMPLANTABLE SACRAL ROOT NEUROSTIMULATOR RECEIVER FOR BOWEL AND BLADDER MANAGEMENT, REPLACEMENTRadiof trsmtr implt scrl neu
428L8687IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR, DUAL ARRAY, RECHARGEABLE, INCLUDES EXTENSIONImplt nrostm pls gen dua rec
429M1020Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq-9 or phq-9m score was not assessed or is greater than or equal to 5Adl pt mj dep ds no rs 12 mo
430M1111The start of an episode of care documented in the medical recordSTART EOC DOC MED REC
431M1127Documentation 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 careDOCU DX DEGEN NEURO
432M1142Emergent casesEMERGE CASES
433P9050GRANULOCYTES, PHERESIS, EACH UNITGranulocytes, pheresis unit
434P9056WHOLE BLOOD, LEUKOCYTES REDUCED, IRRADIATED, EACH UNITBlood, l/r, irradiated
435P9615CATHETERIZATION FOR COLLECTION OF SPECIMEN (S) (MULTIPLE PATIENTS)Urine specimen collect mult
436Q0083CHEMOTHERAPY ADMINISTRATION BY OTHER THAN INFUSION TECHNIQUE ONLY (EG SUBCUTANEOUS, INTRAMUSCULAR, PUSH), PER VISITChemo by other than infusion
437Q0085CHEMOTHERAPY ADMINISTRATION BY BOTH INFUSION TECHNIQUE AND OTHER TECHIQUE(S) (EG SUBCUTANEOUS, INTRAMUSCULAR, PUSH), PER VISITChemo by both infusion and o
438Q2026INJECTION, RADIESSE, 0.1 MLRadiesse injection
439Q2036INFLUENZA VIRUS VACCINE, SPLIT VIRUS, WHEN ADMINISTERED TO INDIVIDUALS 3 YEARS OF AGE AND OLDER, FOR INTRAMUSCULAR USE (FLULAVAL)Flulaval vacc, 3 yrs & >, im
440Q2038INFLUENZA VIRUS VACCINE, SPLIT VIRUS, WHEN ADMINISTERED TO INDIVIDUALS 3 YEARS OF AGE AND OLDER, FOR INTRAMUSCULAR USE (FLUZONE)Fluzone vacc, 3 yrs & >, im
441Q4005CAST SUPPLIES, LONG ARM CAST, ADULT (11 YEARS +), PLASTERCast sup long arm adult plst
442Q4081INJECTION, EPOETIN ALFA, 100 UNITS (FOR ESRD ON DIALYSIS)Epoetin alfa, 100 units ESRD
443Q4119MATRISTEM WOUND MATRIX, PER SQUARE CENTIMETER Matristem wound matrix
444Q5005HOSPICE CARE PROVIDED IN INPATIENT HOSPITALHospice, inpatient hospital
445Q5007HOSPICE CARE PROVIDED IN LONG TERM CARE FACILITYHospice in LTCH
446Q5117Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mgINJ., KANJINTI, 10 MG
447S9346HOME INFUSION THERAPY, ALPHA-1-PROTEINASE INHIBITOR (E.G., PROLASTIN); ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT alpha-1-proteinas diem
448S9381DELIVERY OR SERVICE TO HIGH RISK AREAS REQUIRING ESCORT OR EXTRA PROTECTION, PER VISITHIT high risk/escort
449S9434MODIFIED SOLID FOOD SUPPLEMENTS FOR INBORN ERRORS OF METABOLISMMod solid food suppl
450S9470NUTRITIONAL COUNSELING, DIETITIAN VISITNutritional counseling, diet
451S9485CRISIS INTERVENTION MENTAL HEALTH SERVICES, PER DIEMCrisis intervention mental h
452S9558HOME INJECTABLE THERAPY; GROWTH HORMONE, INCLUDING ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEMHT inj growth horm diem
453S9560HOME INJECTABLE THERAPY; HORMONAL THERAPY (E.G.; LEUPROLIDE, GOSERELIN), INCLUDING ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEMHT inj hormone diem
454T1001NURSING ASSESSMENT / EVALUATIONNursing assessment/evaluatn
455T1007ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, TREATMENT PLAN DEVELOPMENT AND/OR MODIFICATIONTreatment Plan Development
456T1018SCHOOL-BASED INDIVIDUALIZED EDUCATION PROGRAM (IEP) SERVICES, BUNDLEDSchool-based IEP ser bundled
457T1020PERSONAL CARE SERVICES, PER DIEM, NOT FOR AN INPATIENT OR RESIDENT OF A HOSPITAL, NURSING FACILITY, ICF/MR OR IMD, PART OF THE INDIVIDUALIZED PLAN OF TREATMENT (CODE MAY NOT BE USED TO IDENTIFY SERVICES PROVIDED BY HOME HEALTH AIDE OR CERTIFIED NURSE ASSISTANT)Personal care ser per diem
458T2025WAIVER SERVICES; NOT OTHERWISE SPECIFIED (NOS)Waiver service, nos
459T2027SPECIALIZED CHILDCARE, WAIVER; PER 15 MINUTESSpec childcare waiver 15 min
460T4536INCONTINENCE PRODUCT, PROTECTIVE UNDERWEAR/PULL-ON, REUSABLE, ANY SIZE, EACHReusable pull-on any size
461V2111SPHEROCYLINDER, SINGLE VISION, PLUS OR MINUS 7.25 TO PLUS OR MINUS 12.00D SPHERE, .25 TO 2.25D CYLINDER, PER LENSSpherocylindr 7.25d/.25-2.25
462V2113SPHEROCYLINDER, SINGLE VISION, PLUS OR MINUS 7.25 TO PLUS OR MINUS 12.00D SPHERE, 4.25 TO 6.00D CYLINDER, PER LENSSpherocylindr 7.25d/4.25-6d
463V2314SPHEROCYLINDER, TRIFOCAL, SPHERE OVER PLUS OR MINUS 12 .00D, PER LENSLens sphcyl trifocal over 12
464V2503CONTACT LENS, PMMA, COLOR VISION DEFICIENCY, PER LENSCntct lens pmma color vision
465V2623PROSTHETIC EYE, PLASTIC, CUSTOMPlastic eye prosth custom
466V2750ANTI-REFLECTIVE COATING, PER LENSAnti-reflective coating
467V5100HEARING AID, BILATERAL, BODY WORNBody-worn bilat hearing aid
468V5243HEARING AID, ANALOG, MONAURAL, ITC (IN THE CANAL)Hearing aid, monaural, itc
469V5245HEARING AID, DIGITALLY PROGRAMMABLE, ANALOG, MONAURAL, ITCHearing aid, prog, mon, itc
470V5260HEARING AID, DIGITAL, BINAURAL, ITEHearing aid, digit, bin, ite
471V5270ASSISTIVE LISTENING DEVICE, TELEVISION AMPLIFIER, ANY TYPEALD, TV amplifier, any type
472V5283ASSISTIVE LISTENING DEVICE, PERSONAL FM/DM NECK, LOOP INDUCTION RECEIVERAld neck, loop ind receiver
473V5298HEARING AID, NOT OTHERWISE CLASSIFIEDHearing aid noc
474Q9950LOW OSMOLAR CONTRAST MATERIAL, 350-399 MG/ML IODINE CONCENTRATION, PER MLLOCM 350-399mg/ml iodine, 1ml
475Q9968INJECTION, NON-RADIOACTIVE, NON-CONTRAST, VISUALIZATION ADJUNCT (E.G., METHYLENE BLUE, ISOSULFAN BLUE), 1 MGVisualization adjunct
476Q9969TC-99M FROM NON-HIGHLY ENRICHED URANIUM SOURCE, FULL COST RECOVERY ADD-ON, PER STUDY DOSENon-HEU TC-99M add-on/dose
4770124AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
4780134AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
4790115UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4800116UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4810117UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4820122UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4830123UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4840130UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4850131UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4860135UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4870138UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4880140UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4890141UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4900143UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4910145UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4920174UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4930176UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4940179UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4950180UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4960181UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4970182UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4980186UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
4990188UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5000191UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5010196UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5020197UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5030199UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5040200UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5050201UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5060202UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5070203UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5080256UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5090259UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5100260UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5110261UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5120262UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5130263UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5140266UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
5150297TExternal electrocardiographic recording for more than 48 hours up to 21 days by continuous rhythm recording and storage; scanning analysis with reportEXT ECG SCAN W/REPORT
5160405TOversight of the care of an extracorporeal liver assist system patient requiring review of status, review of laboratories and other studies, and revision of orders and liver assist care plan (as appropriate), within a calendar month, 30 minutes or more of non-face-to-face timeOVRSGHT XTRCORP LIV ASST PA
5170184TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
5180198TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
5190200TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
5200201TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
5210202TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
5220267TUnder Carotid Sinus Baroreflex Activation Device ProceduresUnder Carotid Sinus Baroreflex Activation Device Procedures
5230500FInitial prenatal care visit (report at first prenatal encounter with health care professional providing obstetrical care. Report also date of visit and, in a separate field, the date of the last menstrual period [LMP]) (Prenatal)INITIAL PRENATAL CARE VISIT
5240517FGlaucoma plan of care documented (EC)GLAUCOMA PLAN OF CARE DOCD
5250575FHIV RNA control plan of care, documented (HIV)HIV RNA PLAN CARE DOCD
5267010FPatient information entered into a recall system that includes: target date for the next exam specified and a process to follow up with patients regarding missed or unscheduled appointments (ML)PT INFO INTO RECALL SYSTEM
527Q9975INJECTION, FACTOR VIII FC FUSION PROTEIN (RECOMBINANT), PER IUFactor VIII FC Fusion Recomb
528S0182PROCARBAZINE HYDROCHLORIDE, ORAL, 50MGProcarbazine 5 mg
529S0342LIFESTYLE MODIFICATION PROGRAM FOR MANAGEMENT OF CORONARY ARTERY DISEASE, INCLUDING ALL SUPPORTIVE SERVICES; FOURTH QUARTER / STAGELifestyle mod 4th stage
530S0395IMPRESSION CASTING OF A FOOT PERFORMED BY A PRACTITIONER OTHER THAN THE MANUFACTURER OF THE ORTHOTICImpression casting ft
531S0512DAILY WEAR SPECIALTY CONTACT LENS, PER LENSDaily cont lens
532S0514COLOR CONTACT LENS, PER LENSColor cont lens
533S1031CONTINUOUS NONINVASIVE GLUCOSE MONITORING DEVICE, RENTAL, INCLUDING SENSOR, SENSOR REPLACEMENT, AND DOWNLOAD TO MONITOR (FOR PHYSICIAN INTERPRETATION OF DATA, USE CPT CODE)Gluc monitor rental
534S2402REPAIR, CONGENITAL CYSTIC ADENOMATOID MALFORMATION IN THE FETUS, PROCEDURE PERFORMED IN UTEROFetal surg cong cyst malf
535S2404REPAIR, MYELOMENINGOCELE IN THE FETUS, PROCEDURE PERFORMED IN UTEROFetal surg myelomeningo
536S3890DNA ANALYSIS, FECAL, FOR COLORECTAL CANCER SCREENINGFecal DNA analysis
537S4025DONOR SERVICES FOR IN VITRO FERTILIZATION (SPERM OR EMBRYO), CASE RATEDonor serv IVF case rate
538S50125% DEXTROSE WITH POTASSIUM CHLORIDE, 1000 ML5% dextrose with potassium
539S50135% DEXTROSE/0.45% NORMAL SALINE WITH POTASSIUM CHLORIDE AND MAGNESIUM SULFATE, 1000 ML5%dextrose/0.45%saline1000ml
540S5101DAY CARE SERVICES, ADULT; PER HALF DAYAdult day care per half day
541S5126ATTENDANT CARE SERVICES; PER DIEMAttendant care service /diem
542S5150UNSKILLED RESPITE CARE, NOT HOSPICE; PER 15 MINUTESUnskilled respite care /15m
543S5199PERSONAL CARE ITEM, NOS, EACHPersonal care item nos each
544S5566INSULIN CARTRIDGE FOR USE IN INSULIN DELIVERY DEVICE OTHER THAN PUMP; 300 UNITSInsulin cartridge 300 u
545S8101HOLDING CHAMBER OR SPACER FOR USE WITH AN INHALER OR NEBULIZER; WITH MASKSpacer with mask
546S8120OXYGEN CONTENTS, GASEOUS, 1 UNIT EQUALS 1 CUBIC FOOTO2 contents gas cubic ft
547S8186SWIVEL ADAPTERSwivel adaptor
548S8210MUCUS TRAPMucus trap
549S8948APPLICATION OF A MODALITY (REQUIRING CONSTANT PROVIDER ATTENDANCE) TO ONE OR MORE AREAS; LOW-LEVEL LASER; EACH 15 MINUTESLow-level laser trmt 15 min
550S8999RESUSCITATION BAG (FOR USE BY PATIENT ON ARTIFICIAL RESPIRATION DURING POWER FAILURE OR OTHER CATASTROPHIC EVENT)Resuscitation bag
551S9128SPEECH THERAPY, IN THE HOME, PER DIEMSpeech therapy, in the home,
552S9212HOME MANAGEMENT OF POSTPARTUM HYPERTENSION, INCLUDES ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEM (DO NOT USE THIS CODE WITH ANY HOME INFUSION PER DIEM CODE)Hm postpar hyper per diem
553S9327HOME INFUSION THERAPY, INTERMITTENT (LESS THAN TWENTY-FOUR HOURS) PAIN MANAGEMENT INFUSION; ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT int pain per diem
554S9349HOME INFUSION THERAPY, TOCOLYTIC INFUSION THERAPY; ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT tocolysis diem
555S9435MEDICAL FOODS FOR INBORN ERRORS OF METABOLISMMedical foods for inborn err
556S9436CHILDBIRTH PREPARATION/LAMAZE CLASSES, NON-PHYSICIAN PROVIDER, PER SESSIONLamaze class
557S9438CESAREAN BIRTH CLASSES, NON-PHYSICIAN PROVIDER, PER SESSIONCesarean birth class
558S9449WEIGHT MANAGEMENT CLASSES, NON-PHYSICIAN PROVIDER, PER SESSIONWeight mgmt class
559S9529ROUTINE VENIPUNCTURE FOR COLLECTION OF SPECIMEN(S), SINGLE HOME BOUND, NURSING HOME, OR SKILLED NURSING FACILITY PATIENTVenipuncture home/snf
560S9537HOME THERAPY; HEMATOPOIETIC HORMONE INJECTION THERAPY (E.G.ERYTHROPOIETIN, G-CSF, GM-CSF); ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEMHT hem horm inj diem
561T1006ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, FAMILY/COUPLE COUNSELINGFamily/Couple Counseling
562T1022CONTRACTED HOME HEALTH AGENCY SERVICES, ALL SERVICES PROVIDED UNDER CONTRACT, PER DAYContracted services per day
563T1041MEDICAID CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC SERVICES, PER MONTHComm bh clinic svc per month
564T2010PREADMISSION SCREENING AND RESIDENT REVIEW (PASRR) LEVEL I IDENTIFICATION SCREENING, PER SCREENPASRR Level I
565T2012HABILITATION, EDUCATIONAL; WAIVER, PER DIEMHabil ed waiver, per diem
566T2026SPECIALIZED CHILDCARE, WAIVER; PER DIEMSpecial childcare waiver/d
567T4540INCONTINENCE PRODUCT, PROTECTIVE UNDERPAD, REUSABLE, CHAIR SIZE, EACHReusable underpad chair size
568V2199NOT OTHERWISE CLASSIFIED, SINGLE VISION LENSLens single vision not oth c
569V2301SPHERE, TRIFOCAL, PLUS OR MINUS 4.12 TO PLUS OR MINUS 7.00D, PER LENSLens sphere trifocal 4.12-7.
570V2499VARIABLE SPHERICITY LENS, OTHER TYPEVariable asphericity lens
571V2790AMNIOTIC MEMBRANE FOR SURGICAL RECONSTRUCTION, PER PROCEDUREAmniotic membrane
572V5244HEARING AID, DIGITALLY PROGRAMMABLE ANALOG, MONAURAL, CICHearing aid, prog, mon, cic
573V5263HEARING AID, DISPOSABLE, ANY TYPE, BINAURALHearing aid, disp, binaural
574G0439ANNUAL WELLNESS VISIT, INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), SUBSEQUENT VISITPPPS, subseq visit
575J7632CROMOLYN SODIUM, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRAMSCromolyn sodium comp unit
576J7683TRIAMCINOLONE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER MILLIGRAMTriamcinolone comp con
577J7699NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DMEInhalation solution for DME
578J8610METHOTREXATE; ORAL, 2.5 MGMethotrexate oral 2.5 MG
579J9175INJECTION, ELLIOTTS' B SOLUTION, 1 MLElliotts b solution per ml
580J9207INJECTION, IXABEPILONE, 1 MGIxabepilone injection
581J9210Injection, emapalumab-lzsg, 1 mgINJ., EMAPALUMAB-LZSG, 1 MG
582J9263INJECTION, OXALIPLATIN, 0.5 MGOxaliplatin
583J9285Injection, olaratumab, 10 mgInj, olaratumab, 10 mg
584J9309Injection, polatuzumab vedotin-piiq, 1 mgINJ, POLATUZUMAB VEDOTIN 1M
585J9340INJECTION, THIOTEPA, 15 MGThiotepa injection
586J9354INJECTION, ADO-TRASTUZUMAB EMTANSINE, 1 MGInj, ado-trastuzumab emt 1mg
587K0015DETACHABLE, NON-ADJUSTABLE HEIGHT ARMREST, EACHDetach non-adjus hght armrst
588K0105IV HANGER, EACHIv hanger
589K0822POWER WHEELCHAIR, GROUP 2 STANDARD, SLING/SOLID SEAT/BACK, PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDSPWC gp 2 std seat/back
590K0870POWER WHEELCHAIR, GROUP 4 HEAVY DUTY, SLING/SOLID SEAT/BACK, PATIENT WEIGHT CAPACITY 301 TO 450 POUNDSPWC gp 4 hd seat/back
591L0130CERVICAL, FLEXIBLE, THERMOPLASTIC COLLAR, MOLDED TO PATIENTFlex thermoplastic collar mo
592L0190CERVICAL, MULTIPLE POST COLLAR, OCCIPITAL/MANDIBULAR SUPPORTS, ADJUSTABLE CERVICAL BARS (SOMI, GUILFORD, TAYLOR TYPES)Cerv collar supp adj cerv ba
593L0464TLSO, TRIPLANAR CONTROL, MODULAR SEGMENTED SPINAL SYSTEM, FOUR RIGID PLASTIC SHELLS, POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION AND TERMINATES JUST INFERIOR TO SCAPULAR SPINE, ANTERIOR EXTENDS FROM SYMPHYSIS PUBIS TO THE STERNAL NOTCH, SOFT LINER, RESTRICTS GROSS TRUNK MOTION IN SAGITTAL, CORONAL, AND TRANSVERSE PLANES, LATERAL STRENGTH IS PROVIDED BY OVERLAPPING PLASTIC AND STABILIZING CLOSURES, INCLUDES STRAPS AND CLOSURES, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENTTLSO 4Mod sacro-scap pre
594L0492TLSO, SAGITTAL-CORONAL CONTROL, MODULAR SEGMENTED SPINAL SYSTEM, THREE RIGID PLASTIC SHELLS, POSTERIOR EXTENDS FROM THE SACROCOCCYGEAL JUNCTION AND TERMINATES JUST INFERIOR TO THE SCAPULAR SPINE, ANTERIOR EXTENDS FROM THE SYMPHYSIS PUBIS TO THE XIPHOID, SOFT LINER, RESTRICTS GROSS TRUNK MOTION IN THE SAGITTAL AND CORONAL PLANES, LATERAL STRENGTH IS PROVIDED BY OVERLAPPING PLASTIC AND STABILIZING CLOSURES, INCLUDES STRAPS AND CLOSURES, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENTTLSO 3 piece rigid shell
59590832Psychotherapy, 30 minutes with patientPSYTX W PT 30 MINUTES
59690833Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)PSYTX W PT W E/M 30 MIN
59790839Psychotherapy for crisis; first 60 minutesPSYTX CRISIS INITIAL 60 MIN
59890845PsychoanalysisPSYCHOANALYSIS
59990868Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent delivery and management, per sessionTCRANIAL MAGN STIM TX DELI
60090952End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per monthESRD SERV 2-3 VSTS P MO <2Y
60190958End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per monthESRD SRV 2-3 VSTS P MO 12-1
60290963End-stage renal disease (ESRD) related services for home dialysis per full month, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parentsESRD HOME PT SERV P MO <2YR
60390965End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parentsESRD HOME PT SERV P MO 12-1
60492072Fitting of contact lens for management of keratoconus, initial fittingFIT CONTAC LENS FOR MANAGMN
60592134Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retinaCPTR OPHTH DX IMG POST SEGM
60692136Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculationOPHTHALMIC BIOMETRY
60792230Fluorescein angioscopy with interpretation and reportEYE EXAM WITH PHOTOS
60892354Fitting of spectacle mounted low vision aid; single element systemFIT SPECTACLES SINGLE SYSTE
60992370Repair and refitting spectacles; except for aphakiaREPAIR & ADJUST SPECTACLES
61092507Treatment of speech, language, voice, communication, and/or auditory processing disorder; individualSPEECH/HEARING THERAPY
61192512Nasal function studies (eg, rhinomanometry)NASAL FUNCTION STUDIES
61292562Loudness balance test, alternate binaural or monauralLOUDNESS BALANCE TEST
61392568Acoustic reflex testing, thresholdACOUSTIC REFL THRESHOLD TST
61492614Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording;LARYNGOSCOPIC SENSORY VID
61592700Unlisted otorhinolaryngological service or procedureENT PROCEDURE/SERVICE
61693229External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with query) with ECG triggered and patient selected events transmitted to a remote attended surveillance center for up to 30 days; technical support for connection and patient instructions for use, attended surveillance, analysis and transmission of daily and emergent data reports as prescribed by a physician or other qualified health care professionalREMOTE 30 DAY ECG TECH SUPP
61793272External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; review and interpretation by a physician or other qualified health care professionalECG/REVIEW INTERPRET ONLY
61893289Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead transvenous implantable defibrillator system, including analysis of heart rhythm derived data elementsINTERROG DEVICE EVAL HEART
61993315Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and reportECHO TRANSESOPHAGEAL
62093351Echocardiography, transthoracic, 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 supervision by a physician or other qualified health care professionalSTRESS TTE COMPLETE
62193619Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmiaELECTROPHYSIOLOGY EVALUATIO
62293620Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recordingELECTROPHYSIOLOGY EVALUATIO
62319126Excision of breast lesion identified by preoperative placement of radiological marker, open; each additional lesion separately identified by a preoperative radiological marker (List separately in addition to code for primary procedure)EXCISION ADDL BREAST LESION
62419297Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; concurrent with partial mastectomy (List separately in addition to code for primary procedure)PLACE BREAST CATH FOR RAD
625A6213FOAM 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 DRESSINGFoam drg >16<=48 sq in w/bdr
626A6215FOAM DRESSING, WOUND FILLER, STERILE, PER GRAMFoam dressing wound filler
627A6228GAUZE, IMPREGNATED, WATER OR NORMAL SALINE, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSINGGauze <= 16 sq in water/sal
628A6447CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, STERILE, WIDTH GREATER THAN OR EQUAL TO FIVE INCHES, PER YARDConform band s w >=5”/yd
629A6536GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 18-30 MMHG, EACHGc stocking full lngth 18-30
630A7001CANISTER, NON-DISPOSABLE, USED WITH SUCTION PUMP, EACHNondisposable pump canister
631G8895ORAL ASPIRIN OR OTHER ANTITHROMBOTIC THERAPY PRESCRIBEDAntrom prescribe
632G8908PATIENT DOCUMENTED TO HAVE RECEIVED A BURN PRIOR TO DISCHARGEPt doc w burn prior to D/C
633G8913PATIENT DOCUMENTED NOT TO HAVE EXPERIENCED A WRONG SITE, WRONG SIDE, WRONG PATIENT, WRONG PROCEDURE OR WRONG IMPLANT EVENTPt doc no wrong event
634Q0500FILTERS FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLYFilters elec/combo vad, rep
635Q4022CAST SUPPLIES, SHORT ARM SPLINT, ADULT (11 YEARS +), FIBERGLASSCast sup sht arm splint fbrg
636Q4043CAST SUPPLIES, LONG LEG SPLINT, PEDIATRIC (0-10 YEARS), PLASTERCast sup lng leg splnt ped p
63799392Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)PREV VISIT EST AGE 1-4
63899447Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 11-20 minutes of medical consultative discussion and reviewNTRPROF PH1/NTRNET/EHR 11-2
639A0080NON-EMERGENCY TRANSPORTATION, PER MILE - VEHICLE PROVIDED BY VOLUNTEER (INDIVIDUAL OR ORGANIZATION), WITH NO VESTED INTERESTNoninterest escort in non er
64099463Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and discharged on the same dateSAME DAY NB DISCHARGE
64199476Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of agePED CRIT CARE AGE 2-5 SUBSQ
64299478Subsequent intensive care, per day, for the evaluation and management of the recovering very low birth weight infant (present body weight less than 1500 grams)IC LBW INF < 1500 GM SUBSQ
64399511Home visit for fecal impaction management and enema administrationHOME VISIT FECAL/ENEMA MGMT
644A4225SUPPLIES FOR EXTERNAL INSULIN INFUSION PUMP, SYRINGE TYPE CARTRIDGE, STERILE, EACHSup/ext insulin inf pump syr
645A4316INSERTION TRAY WITH DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, THREE-WAY, FOR CONTINUOUS IRRIGATIONCath w/drainage 3-way
646A4352INTERMITTENT URINARY CATHETER; COUDE (CURVED) TIP, WITH OR WITHOUT COATING (TEFLON, SILICONE, SILICONE ELASTOMERIC, OR HYDROPHILIC, ETC.), EACHCoude tip urinary catheter
647A4393OSTOMY POUCH, URINARY, WITH EXTENDED WEAR BARRIER ATTACHED, WITH BUILT-IN CONVEXITY (1 PIECE), EACHUrine pch w ex wear bar conv
648A4395OSTOMY DEODORANT FOR USE IN OSTOMY POUCH, SOLID, PER TABLETOstomy pouch solid deodorant
649A6512COMPRESSION BURN GARMENT, NOT OTHERWISE CLASSIFIEDCompres burn garment, noc
650A7034NASAL INTERFACE (MASK OR CANNULA TYPE) USED WITH POSITIVE AIRWAY PRESSURE DEVICE, WITH OR WITHOUT HEAD STRAPNasal application device
651A8001HELMET, PROTECTIVE, HARD, PREFABRICATED, INCLUDES ALL COMPONENTS AND ACCESSORIESHard protect helmet prefab
652A8003HELMET, PROTECTIVE, HARD, CUSTOM FABRICATED, INCLUDES ALL COMPONENTS AND ACCESSORIESHard protect helmet custom
653A9272WOUND SUCTION, DISPOSABLE, INCLUDES DRESSING, ALL ACCESSORIES AND COMPONENTS, ANY TYPE, EACHDisp wound suct, drsg/access
654A9274EXTERNAL AMBULATORY INSULIN DELIVERY SYSTEM, DISPOSABLE, EACH, INCLUDES ALL SUPPLIES AND ACCESSORIESExt amb insulin delivery sys
655A9280ALERT OR ALARM DEVICE, NOT OTHERWISE CLASSIFIEDAlert device, noc
656B4149ENTERAL 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 UNITEF blenderized foods
657B4161ENTERAL 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 UNITEF ped hydrolyzed/amino acid
658C1714CATHETER, TRANSLUMINAL ATHERECTOMY, DIRECTIONALCath, trans atherectomy, dir
659C1721CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE)AICD, dual chamber
660C1767GENERATOR, NEUROSTIMULATOR (IMPLANTABLE), NON-RECHARGEABLEGenerator, neuro non-recharg
661C1777LEAD, CARDIOVERTER-DEFIBRILLATOR, ENDOCARDIAL SINGLE COIL (IMPLANTABLE)Lead, AICD, endo single coil
662C1780LENS, INTRAOCULAR (NEW TECHNOLOGY)Lens, intraocular (new tech)
663C2619PACEMAKER, DUAL CHAMBER, NON RATE-RESPONSIVE (IMPLANTABLE)Pmkr, dual, non rate-resp
664C2624IMPLANTABLE WIRELESS PULMONARY ARTERY PRESSURE SENSOR WITH DELIVERY CATHETER, INCLUDING ALL SYSTEM COMPONENTSWireless pressure sensor
665C8901MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST, ABDOMENMRA w/o cont, abd
666C8912MAGNETIC RESONANCE ANGIOGRAPHY WITH CONTRAST, LOWER EXTREMITYMRA w/cont, lwr ext
667C8914MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, LOWER EXTREMITYMRA w/o fol w/cont, lwr ext
668C8928TRANSTHORACIC 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 REPORTTTE w or w/o fol w/con,stres
669C9408Iodine i-131 iobenguane, therapeutic, 1 millicurieIodine i-131 iobenguane, tx
670C9452INJECTION, CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MGInj, ceftolozane/tazobactam
671C9459FLUTEMETAMOL F18, DIAGNOSTIC, PER STUDY DOSE, UP TO 5 MILLICURIESFlutemetamol f18
672C9481INJECTION, RESLIZUMAB, 1 MGInjection, reslizumab
673C9497LOXAPINE, INHALATION POWDER, 10 MGLoxapine, inhalation powder
674C9743INJECTION/IMPLANTATION OF BULKING OR SPACER MATERIAL (ANY TYPE) WITH OR WITHOUT IMAGE GUIDANCE (NOT TO BE USED IF A MORE SPECIFIC CODE APPLIES)Bulking/spacer material impl
675C9750Insertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation and peri-operative interrogation and programming; complete system (includes device and electrode)Ins/rem-replace compl iims
676E0199DRY PRESSURE PAD FOR MATTRESS, STANDARD MATTRESS LENGTH AND WIDTHDry pressure pad for mattres
677E0241BATH TUB WALL RAIL, EACHBath tub wall rail
678E0243TOILET RAIL, EACHToilet rail
679E0256HOSPITAL BED, VARIABLE HEIGHT, HI-LO, WITH ANY TYPE SIDE RAILS, WITHOUT MATTRESSHospital bed var ht w/o matt
680E0430PORTABLE GASEOUS OXYGEN SYSTEM, PURCHASE; INCLUDES REGULATOR, FLOWMETER, HUMIDIFIER, CANNULA OR MASK, AND TUBINGOxygen system gas portable
681E0463PRESSURE SUPPORT VENTILATOR WITH VOLUME CONTROL MODE, MAY INCLUDE PRESSURE CONTROL MODE, USED WITH INVASIVE INTERFACE (E.G. TRACHEOSTOMY TUBE)Press supp vent invasive int
682E0465HOME VENTILATOR, ANY TYPE, USED WITH INVASIVE INTERFACE, (E.G., TRACHEOSTOMY TUBE)Home vent invasive interface
683E0484OSCILLATORY POSITIVE EXPIRATORY PRESSURE DEVICE, NON-ELECTRIC, ANY TYPE, EACHNon-elec oscillatory pep dvc
684E0562HUMIDIFIER, HEATED, USED WITH POSITIVE AIRWAY PRESSURE DEVICEHumidifier heated used w PAP
685E0607HOME BLOOD GLUCOSE MONITORBlood glucose monitor home
686E0619APNEA MONITOR, WITH RECORDING FEATUREApnea monitor w recorder
687E0641STANDING FRAME/TABLE SYSTEM, MULTI-POSITION (E.G. THREE-WAY STANDER), ANY SIZE INCLUDING PEDIATRIC, WITH OR WITHOUT WHEELSMulti-position stnd fram sys
688E0666NON-SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, HALF LEGPneumatic appliance half leg
689E0668SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, FULL ARMSeg pneumatic appl full arm
690E0730TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) DEVICE, FOUR OR MORE LEADS, FOR MULTIPLE NERVE STIMULATIONTens four lead
691E0762TRANSCUTANEOUS ELECTRICAL JOINT STIMULATION DEVICE SYSTEM, INCLUDES ALL ACCESSORIESTrans elec jt stim dev sys
692E0764FUNCTIONAL 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 PROGRAMFunctional neuromuscularstim
693E0840TRACTION FRAME, ATTACHED TO HEADBOARD, CERVICAL TRACTIONTract frame attach headboard
694J0222Injection, patisiran, 0.1 mgINJ., PATISIRAN, 0.1 MG
695J0275ALPROSTADIL URETHRAL SUPPOSITORY (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)Alprostadil urethral suppos
696J0295INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GMAmpicillin sulbactam 1.5 gm
697J0480INJECTION, BASILIXIMAB, 20 MGBasiliximab
698J0588INJECTION, INCOBOTULINUMTOXIN A, 1 UNITIncobotulinumtoxin a
699J0882INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (FOR ESRD ON DIALYSIS)Darbepoetin alfa, esrd use
700J0900INJECTION, TESTOSTERONE ENANTHATE AND ESTRADIOL VALERATE, UP TO 1 CCTestosterone enanthate inj
701J1320INJECTION, AMITRIPTYLINE HCL, UP TO 20 MGAmitriptyline injection
702J1324INJECTION, ENFUVIRTIDE, 1 MGEnfuvirtide injection
703J1410INJECTION, ESTROGEN CONJUGATED, PER 25 MGInj estrogen conjugate 25 MG
704J1451INJECTION, FOMEPIZOLE, 15 MGFomepizole, 15 mg
705J1452INJECTION, FOMIVIRSEN SODIUM, INTRAOCULAR, 1.65 MGIntraocular Fomivirsen na
706J1590INJECTION, GATIFLOXACIN, 10MGGatifloxacin injection
707J1595INJECTION, GLATIRAMER ACETATE, 20 MGInjection glatiramer acetate
708J1740INJECTION, IBANDRONATE SODIUM, 1 MGIbandronate sodium injection
709J1833INJECTION, ISAVUCONAZONIUM, 1 MG Injection, isavuconazonium
710J2704INJECTION, PROPOFOL, 10 MGInj, propofol, 10 mg
711J2724INJECTION, PROTEIN C CONCENTRATE, INTRAVENOUS, HUMAN, 10 IUProtein c concentrate
712J2730INJECTION, PRALIDOXIME CHLORIDE, UP TO 1 GMPralidoxime chloride inj
713J2760INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MGPhentolaine mesylate inj
714J2788INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, MINIDOSE, 50 MICROGRAMS (250 I.U.)Rho d immune globulin 50 mcg
715J2795INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MGRopivacaine HCl injection
716J2941INJECTION, SOMATROPIN, 1 MGSomatropin injection
717J2997INJECTION, ALTEPLASE RECOMBINANT, 1 MGAlteplase recombinant
718J3260INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MGTobramycin sulfate injection
719J3303INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MGTriamcinolone hexacetonl inj
720J3420INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCGVitamin b12 injection
721J3490UNCLASSIFIED DRUGSDrugs unclassified injection
722J7209INJECTION, FACTOR VIII, (ANTIHEMOPHILIC FACTOR, RECOMBINANT), (NUWIQ), 1 I.U.Factor viii nuwiq recomb 1iu
723J7307ETONOGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM, INCLUDING IMPLANT AND SUPPLIESEtonogestrel implant system
724J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mgInj, trivisc 1 mg
725J7504LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, EQUINE, PARENTERAL, 250 MGLymphocyte immune globulin
726J7511LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, RABBIT, PARENTERAL, 25MGAntithymocyte globuln rabbit
727J7608ACETYLCYSTEINE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAMAcetylcysteine non-comp unit
728J7682TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMSTobramycin non-comp unit
729J8501APREPITANT, ORAL, 5 MGOral aprepitant
730J8515CABERGOLINE, ORAL, 0.25 MGCabergoline, oral 0.25mg
731J9015INJECTION, ALDESLEUKIN, PER SINGLE USE VIALAldesleukin injection
732J9019INJECTION, ASPARAGINASE (ERWINAZE), 1,000 IUErwinaze injection
733J9025INJECTION, AZACITIDINE, 1 MGAzacitidine injection
734J9034INJECTION, BENDAMUSTINE HCL (BENDEKA), 1 MGInj., bendeka 1 mg
735J9098INJECTION, CYTARABINE LIPOSOME, 10 MGCytarabine liposome inj
736J9130DACARBAZINE, 100 MGDacarbazine 100 mg inj
737J9208INJECTION, IFOSFAMIDE, 1 GRAMIfosfamide injection
738J9302INJECTION, OFATUMUMAB, 10 MGOfatumumab injection
739J9320INJECTION, STREPTOZOCIN, 1 GRAMStreptozocin injection
740J9999NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGSChemotherapy drug
741K0056SEAT HEIGHT LESS THAN 17" OR EQUAL TO OR GREATER THAN 21" FOR A HIGH STRENGTH, LIGHTWEIGHT, OR ULTRALIGHTWEIGHT WHEELCHAIRSeat ht <17 or >=21 ltwt wc
742K0077FRONT CASTER ASSEMBLY, COMPLETE, WITH SOLID TIRE, REPLACEMENT ONLY, EACHFr cstr asmb sol tire rep ea
743K0745ABSORPTIVE WOUND DRESSING FOR USE WITH SUCTION PUMP, HOME MODEL, PORTABLE, PAD SIZE MORE THAN 16 SQUARE INCHES BUT LESS THAN OR EQUAL TO 48 SQUARE INCHESAbsorp drg >16 <=48 suc pump
744K0828POWER WHEELCHAIR, GROUP 2 EXTRA HEAVY DUTY, SLING/SOLID SEAT/BACK, PATIENT WEIGHT CAPACITY 601 POUNDS OR MOREPWC gp 2 xtra hd seat/back
745K0856POWER WHEELCHAIR, GROUP 3 STANDARD, SINGLE POWER OPTION, SLING/SOLID SEAT/BACK, PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDSPWC gp3 std sing pow opt s/b
746K0860POWER WHEELCHAIR, GROUP 3 VERY HEAVY DUTY, SINGLE POWER OPTION, SLING/SOLID SEAT/BACK, PATIENT WEIGHT CAPACITY 451 TO 600 POUNDSPWC gp3 vhd sing pow opt s/b
747K0880POWER WHEELCHAIR, GROUP 4 VERY HEAVY DUTY, SINGLE POWER OPTION, SLING/SOLID SEAT/BACK, PATIENT WEIGHT 451 TO 600 POUNDSPWC gp4 vhd sing pow opt s/b
748V2615TELESCOPIC AND OTHER COMPOUND LENS SYSTEM, INCLUDING DISTANCE VISION TELESCOPIC, NEAR VISION TELESCOPES AND COMPOUND MICROSCOPIC LENS SYSTEMTelescop/othr compound lens
749V2715PRISM, PER LENSPrism lens/es
750V2797VISION SUPPLY, ACCESSORY AND/OR SERVICE COMPONENT OF ANOTHER HCPCS VISION CODEVis item/svc in other code
751V5030HEARING AID, MONAURAL, BODY WORN, AIR CONDUCTIONBody-worn hearing aid air
752V5140BINAURAL, BEHIND THE EARBehind ear binaur hearing ai
753V5150BINAURAL, GLASSESGlasses binaural hearing aid
754V5172Hearing aid, contralateral routing device, monaural, in the canal (itc)Hearing aid monaural itc
755V5215Hearing aid, contralateral routing system, binaural, itc/bteHearing aid binaural itc/bte
756V5240DISPENSING FEE, CONTRALATERAL ROUTING SYSTEM, BINAURALDisp fee contralateral binau
757V5254HEARING AID, DIGITAL, MONAURAL, CICHearing id, digit, mon, cic
758A4706BICARBONATE CONCENTRATE, SOLUTION, FOR HEMODIALYSIS, PER GALLONBicarbonate conc sol per gal
759A4740SHUNT ACCESSORY, FOR HEMODIALYSIS, ANY TYPE, EACHShunt accessory
760A4766DIALYSATE CONCENTRATE, SOLUTION, ADDITIVE FOR PERITONEAL DIALYSIS, PER 10 MLDialysate conc sol add 10 ml
761A6207CONTACT LAYER, STERILE, MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH DRESSINGContact layer >16<= 48 sq in
762A6234HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSINGHydrocolld drg <=16 w/o bdr
763A6236HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSINGHydrocolld drg > 48 in w/o b
764A6253SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSINGAbsorpt drg > 48 sq in w/o b
765A6260WOUND CLEANSERS, ANY TYPE, ANY SIZEWound cleanser any type/size
766A6410EYE PAD, STERILE, EACHSterile eye pad
767A7012WATER COLLECTION DEVICE, USED WITH LARGE VOLUME NEBULIZERNebulizer water collec devic
768A7030FULL FACE MASK USED WITH POSITIVE AIRWAY PRESSURE DEVICE, EACHCPAP full face mask
769A8000HELMET, PROTECTIVE, SOFT, PREFABRICATED, INCLUDES ALL COMPONENTS AND ACCESSORIESSoft protect helmet prefab
770A9281REACHING/GRABBING DEVICE, ANY TYPE, ANY LENGTH, EACHReaching/grabbing device
771A9999MISCELLANEOUS DME SUPPLY OR ACCESSORY, NOT OTHERWISE SPECIFIEDDME supply or accessory, nos
772B4152ENTERAL 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 UNITEF calorie dense>/=1.5Kcal
773B4157ENTERAL 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 UNITEF special metabolic inherit
774B4164PARENTERAL NUTRITION SOLUTION: CARBOHYDRATES (DEXTROSE), 50% OR LESS (500 ML = 1 UNIT) - HOMEMIXParenteral 50% dextrose solu
775B4189PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 10 TO 51 GRAMS OF PROTEIN - PREMIXParenteral sol amino acid &
776B4220PARENTERAL NUTRITION SUPPLY KIT; PREMIX, PER DAYParenteral supply kit premix
777B4222PARENTERAL NUTRITION SUPPLY KIT; HOME MIX, PER DAYParenteral supply kit homemi
778B5100PARENTERAL NUTRITION SOLUTION COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, HEPATIC, HEPATAMINE-PREMIXParenteral solution hepatic
779C1300HYPERBARIC OXYGEN UNDER PRESSURE, FULL BODY CHAMBER, PER 30 MINUTE INTERVALHYPERBARIC Oxygen
780C1724CATHETER, TRANSLUMINAL ATHERECTOMY, ROTATIONALCath, trans atherec,rotation
781C1749ENDOSCOPE, RETROGRADE IMAGING/ILLUMINATION COLONOSCOPE DEVICE (IMPLANTABLE)Endo, colon, retro imaging
782C1776JOINT DEVICE (IMPLANTABLE)Joint device (implantable)
783C1888CATHETER, ABLATION, NON-CARDIAC, ENDOVASCULAR (IMPLANTABLE)Endovas non-cardiac abl cath
784C1893INTRODUCER/SHEATH, GUIDING, INTRACARDIAC ELECTROPHYSIOLOGICAL, FIXED-CURVE, OTHER THAN PEEL-AWAYIntro/sheath, fixed,non-peel
785C2616BRACHYTHERAPY SOURCE, NON-STRANDED, YTTRIUM-90, PER SOURCEBrachytx, non-str,Yttrium-90
786C2627CATHETER, SUPRAPUBIC/CYSTOSCOPICCath, suprapubic/cystoscopic
787C5274APPLICATION 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, ORLow cost skin substitute app
788C5276APPLICATION 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 (LISTLow cost skin substitute app
789C8957INTRAVENOUS INFUSION FOR THERAPY/DIAGNOSIS; INITIATION OF PROLONGED INFUSION (MORE THAN 8 HOURS), REQUIRING USE OF PORTABLE OR IMPLANTABLE PUMPProlonged IV inf, req pump
790C9030Injection, copanlisib, 1 mgInj copanlisib
791C9135FACTOR IX (ANTIHEMOPHILIC FACTOR, RECOMBINANT), ALPROLIX, PER 10 I.U.Factor ix (Alprolix)
792C9460INJECTION, CANGRELOR, 1 MGInjection, cangrelor
793C9734FOCUSED ULTRASOUND ABLATION/THERAPEUTIC INTERVENTION, OTHER THAN UTERINE LEIOMYOMATA, WITH MAGNETIC RESONANCE (MR) GUIDANCEU/S trtmt, not leiomyomata
794E0959MANUAL WHEELCHAIR ACCESSORY, ADAPTER FOR AMPUTEE, EACHAmputee adapter
795E0981WHEELCHAIR ACCESSORY, SEAT UPHOLSTERY, REPLACEMENT ONLY, EACHSeat upholstery, replacement
796E1005WHEELCHAIR ACCESSORY, POWER SEATNG SYSTEM, RECLINE ONLY, WITH POWER SHEAR REDUCTIONPwr seat recline pwr
797E1089HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR, FIXED LENGTH ARMS, SWING AWAY DETACHABLE FOOTRESTWheelchair lightwt fixed arm
798E1161MANUAL ADULT SIZE WHEELCHAIR, INCLUDES TILT IN SPACEManual adult wc w tiltinspac
799E1310WHIRLPOOL, NON-PORTABLE (BUILT-IN TYPE)Whirlpool non-portable
800E1399DURABLE MEDICAL EQUIPMENT, MISCELLANEOUSDurable medical equipment mi
801E1610REVERSE OSMOSIS WATER PURIFICATION SYSTEM, FOR HEMODIALYSISReverse osmosis h2o puri sys
802E2225MANUAL WHEELCHAIR ACCESSORY, CASTER WHEEL EXCLUDES TIRE, ANY SIZE, REPLACEMENT ONLY, EACHCaster wheel excludes tire
803E2323POWER WHEELCHAIR ACCESSORY, SPECIALTY JOYSTICK HANDLE FOR HAND CONTROL INTERFACE, PREFABRICATEDSpecial joystick handle
80469661Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill outREVISE MIDDLE EAR BONE
80569949Unlisted procedure, inner earINNER EAR SURGERY PROCEDURE
80670120Radiologic examination, mastoids; less than 3 views per sideX-RAY EXAM OF MASTOIDS
80770330Radiologic examination, temporomandibular joint, open and closed mouth; bilateralX-RAY EXAM OF JAW JOINTS
80870336Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)MAGNETIC IMAGE JAW JOINT
80970380Radiologic examination, salivary gland for calculusX-RAY EXAM OF SALIVARY GLAN
81071250Computed tomography, thorax; without contrast materialCT THORAX W/O DYE
81172020Radiologic examination, spine, single view, specify levelX-RAY EXAM OF SPINE 1 VIEW
81272192Computed tomography, pelvis; without contrast materialCT PELVIS W/O DYE
81372220Radiologic examination, sacrum and coccyx, minimum of 2 viewsX-RAY EXAM SACRUM TAILBONE
81472270Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretationMYELOGPHY 2/> SPINE REGIONS
81572285Discography, cervical or thoracic, radiological supervision and interpretationDISCOGRAPHY CERV/THOR SPINE
81673522Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 viewsX-RAY EXAM HIPS BI 3-4 VIEW
81773564Radiologic examination, knee; complete, 4 or more viewsX-RAY EXAM KNEE 4 OR MORE
81873590Radiologic examination; tibia and fibula, 2 viewsX-RAY EXAM OF LOWER LEG
81998968Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussionHC PRO PHONE CALL 21-30 MIN
82099195Phlebotomy, therapeutic (separate procedure)PHLEBOTOMY
821G8450BETA-BLOCKER THERAPY PRESCRIBED FOR PATIENTS WITH LEFT VENTRICULAR EJECTION FRACTION (LVEF) <40% OR DOCUMENTATION AS MODERATELY OR SEVERELY DEPRESSED LEFT VENTRICULAR SYSTOLIC FUNCTIONBeta-bloc rx pt w/abn lvef
82299282Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity.EMERGENCY DEPT VISIT
823G8487I INTEND TO REPORT THE CHRONIC KIDNEY DISEASE (CKD) MEASURES GROUPReport CKD Measures
824N1Group 1 oxygen coverage criteria metGroup 1 oxygen coverage criteria met
825N3Group 3 oxygen coverage criteria metGroup 3 oxygen coverage criteria met
826JZZero drug amount discarded/not administered to any patientZero drug amount discarded/not administered to any patient
827ABAudiology 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 beneficiaryAudiology 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
828G8461PATIENT RECEIVING ANTIVIRAL TREATMENT FOR HEPATITIS C DURING THE MEASUREMENT PERIOD Pt rec antivir treat hep c
829G8492I INTEND TO REPORT THE PERIOPERATIVE CARE MEASURES GROUPPeriop Care measures grp
830G8531CLINICIAN DOCUMENTED THAT PATIENT WAS NOT AN ELIGIBLE CANDIDATE FOR AUTOGENOUS AV FISTULAPt inelig; auto AV fistula
831G8541FUNCTIONAL OUTCOME ASSESSMENT USING A STANDARDIZED TOOL NOT DOCUMENTED, REASON NOT GIVENNo doc cur funct assess
832G8575DEVELOPED POSTOPERATIVE RENAL FAILURE OR REQUIRED DIALYSISPostop ren fail
833G8582BETA-BLOCKER AT DISCHARGEBblock disch
834G8631CLINICIAN DOCUMENTED THAT PATIENT WAS NOT AN ELIGIBLE CANDIDATE FOR ORDERING PROPHYLACTIC PARENTERAL ANTIBIOTICS TO BE GIVEN WITHIN ONE HOUR (IF FLUOROQUINOLONE OR VANCOMYCIN, TWO HOURS) PRIOR TO SURGICAL INCISION (OR START OF PROCEDURE WHEN NO INCISION IS REQUIRED)Pt no elg 4 order antbi give
835G8752MOST RECENT SYSTOLIC BLOOD PRESSURE < 140MMHGSys BP less 140
836G8762ALL QUALITY ACTIONS FOR THE APPLICABLE MEASURES IN THE PARKINSON'S DISEASE MEASURES GROUP HAVE BEEN PERFORMED FOR THIS PATIENTPD MG qual act perform
837G8779DIABETES SCREENING TEST NOT PERFORMED, REASON NOT GIVENNo diabetes screen
838G8785BLOOD PRESSURE READING NOT DOCUMENTED, REASON NOT GIVENBP scrn no perf at interval
839G8834PATIENT DISCHARGED TO HOME NO LATER THAN POST-OPERATIVE DAY #2 FOLLOWING CEAPt disch home day #2 CEA
840G8860PATIENTS WHO HAVE RECEIVED DOSE OF CORTICOSTEROIDS GREATER THAN OR EQUAL TO 10MG/DAY FOR 60 OR GREATER CONSECUTIVE DAYSCorticosteroid 10 mg 60 days
841G8906I INTEND TO REPORT THE CATARACT MEASURES GROUPCataract Measures Group
842G8880DOCUMENTATION OF REASON(S) SENTINEL LYMPH NODE BIOPSY NOT PERFORMED (E.G., REASONS COULD INCLUDE BUT NOT LIMITED TO; NON-INVASIVE CANCER, INCIDENTAL DISCOVERY OF BREAST CANCER ON PROPHYLACTIC MASTECTOMY, INCIDENTAL DISCOVERY OF BREAST CANCER ON REDUCTION MAMMOPLASTY, PRE-OPERATIVE BIOPSY PROVEN LYMPH NODE (LN) METASTASES, INFLAMMATORY CARCINOMA, STAGE 3 LOCALLY ADVANCED CANCER, RECURRENT INVASIVE BREAST CANCER, CLINICALLY NODE POSITIVE AFTER NEOADJUVANT SYSTEMIC THERAPY, PATIENT REFUSAL AFTER INFORMED CONSENT, PATIENT WITH SIGNIFICANT AGE, COMORBIDITIES, OR LIMITED LIFE EXPECTANCY AND FAVORABLE TUMOR; ADJUVANT SYSTEMIC THERAPY UNLIKELY TO CHANGE)Sen lym p node biop not perf
843G8956PATIENT RECEIVING MAINTENANCE HEMODIALYSIS IN AN OUTPATIENT DIALYSIS FACILITYPt rcv HeDia outpt dyls fac
844G8977I INTEND TO REPORT THE ONCOLOGY MEASURES GROUPOncology measures grp
845G9003COORDINATED CARE FEE, RISK ADJUSTED HIGH, INITIALMCCD, risk adj hi, initial
846G9035OSELTAMIVIR PHOSPHATE, ORAL, BRAND, PER 75 MG (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Oseltamivir phosp, brand
847G9051ONCOLOGY; PRIMARY FOCUS OF VISIT; TREATMENT DECISION-MAKING AFTER DISEASE IS STAGED OR RESTAGED, DISCUSSION OF TREATMENT OPTIONS, SUPERVISING/COORDINATING ACTIVE CANCER DIRECTED THERAPY OR MANAGING CONSEQUENCES OF CANCER DIRECTED THERAPY (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Oncology tx decision-mgmt
848G9065ONCOLOGY; DISEASE STATUS; LIMITED TO NON-SMALL CELL LUNG CANCER; EXTENT OF DISEASE INITIALLY ESTABLISHED AS STAGE III A (PRIOR TO NEO-ADJUVANT THERAPY, IF ANY) WITH NO EVIDENCE OF DISEASE PROGRESSION, RECURRENCE, OR METASTASES (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx nsclc stg3A no progre
849G9089ONCOLOGY; DISEASE STATUS; COLON CANCER, LIMITED TO INVASIVE CANCER, ADENOCARCINOMA AS PREDOMINANT CELL TYPE; EXTENT OF DISEASE UNKNOWN, STAGING IN PROGRESS, OR NOT LISTED (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx colon extent unknown
850G9090ONCOLOGY; DISEASE STATUS; RECTAL CANCER, LIMITED TO INVASIVE CANCER, ADENOCARCINOMA AS PREDOMINANT CELL TYPE; EXTENT OF DISEASE INITIALLY ESTABLISHED AS T1-2, N0, M0 (PRIOR TO NEO-ADJUVANT THERAPY, IF ANY) WITH NO EVIDENCE OF DISEASE PROGRESSION, RECURRENCE, OR METASTASES (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx rectal T1-2 no progr
851L0980PERONEAL STRAPS, PREFABRICATED, OFF-THE-SHELF, PAIRPeroneal straps pair pre ots
852L0627LUMBAR ORTHOSIS, SAGITTAL CONTROL, WITH RIGID ANTERIOR AND POSTERIOR PANELS, POSTERIOR EXTENDS FROM L-1 TO BELOW L-5 VERTEBRA, PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DISCS, INCLUDES STRAPS, CLOSURES, MAY INCLUDE PADDING, SHOULDER STRAPS, PENDULOUS ABDOMEN DESIGN, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISELo sag ri an/pos pnl pre cst
853L0631LUMBAR-SACRAL ORTHOSIS, SAGITTAL CONTROL, WITH RIGID ANTERIOR AND POSTERIOR PANELS, POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA, PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DISCS, INCLUDES STRAPS, CLOSURES, MAY INCLUDE PADDING, SHOULDER STRAPS, PENDULOUS ABDOMEN DESIGN, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE Lso sag r an/pos pnl pre cst
854L0638LUMBAR-SACRAL ORTHOSIS, SAGITTAL-CORONAL CONTROL, WITH RIGID ANTERIOR AND POSTERIOR FRAME/PANELS, POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA, LATERAL STRENGTH PROVIDED BY RIGID LATERAL FRAME/PANELS, PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON INTERVERTEBRAL DISCS, INCLUDES STRAPS, CLOSURES, MAY INCLUDE PADDING, SHOULDER STRAPS, PENDULOUS ABDOMEN DESIGN, CUSTOM FABRICATEDLSO sag-coronal panel custom
855L1685HIP ORTHOSIS, ABDUCTION CONTROL OF HIP JOINT, POSTOPERATIVE HIP ABDUCTION TYPE, CUSTOM FABRICATEDPost-op hip abduct custom fa
856L1850KNEE ORTHOSIS, SWEDISH TYPE, PREFABRICATED, OFF-THE-SHELFKo swedish type pre ots
857L1940ANKLE FOOT ORTHOSIS, PLASTIC OR OTHER MATERIAL, CUSTOM-FABRICATEDAfo molded to patient plasti
858L2240ADDITION TO LOWER EXTREMITY, ROUND CALIPER AND PLATE ATTACHMENTRound caliper and plate atta
859L2270ADDITION TO LOWER EXTREMITY, VARUS/VALGUS CORRECTION ('T') STRAP, PADDED/LINED OR MALLEOLUS PADVarus/valgus strap padded/li
860L2330ADDITION TO LOWER EXTREMITY, LACER MOLDED TO PATIENT MODEL, FOR CUSTOM FABRICATED ORTHOSIS ONLYLacer molded to patient mode
861L2520ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, QUADRI- LATERAL BRIM, CUSTOM FITTEDTh/wght bear quad-lat brim c
862L2780ADDITION TO LOWER EXTREMITY ORTHOSIS, NON-CORROSIVE FINISH, PER BARNon-corrosive finish
863L3010FOOT, INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, LONGITUDINAL ARCH SUPPORT, EACHFoot longitudinal arch suppo
864L3140FOOT, ABDUCTION ROTATION BAR, INCLUDING SHOESAbduction rotation bar shoe
865L3209SURGICAL BOOT, EACH, CHILDSurgical boot each child
866L3219ORTHOPEDIC FOOTWEAR, MENS SHOE, OXFORD, EACHOrthopedic mens shoes oxford
867L3252FOOT, SHOE MOLDED TO PATIENT MODEL, PLASTAZOTE (OR SIMILAR), CUSTOM FABRICATED, EACHShoe molded plastazote cust
868L3254NON-STANDARD SIZE OR WIDTHOrth foot non-stndard size/w
869L3265PLASTAZOTE SANDAL, EACHPlastazote sandal each
870L3332LIFT, ELEVATION, INSIDE SHOE, TAPERED, UP TO ONE-HALF INCHShoe lifts tapered to one-ha
87193793Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dosage adjustment (as needed), and scheduling of additional test(s), when performedANTICOAG MGMT PT WARFARIN
87293880Duplex scan of extracranial arteries; complete bilateral studyEXTRACRANIAL BILAT STUDY
87393990Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)DOPPLER FLOW TESTING
87494004Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; nursing facility, per dayVENT MGMT NF PER DAY
87594011Measurement of spirometric forced expiratory flows in an infant or child through 2 years of ageSPIROMETRY UP TO 2 YRS OLD
87694013Measurement of lung volumes (ie, functional residual capacity [FRC], forced vital capacity [FVC], and expiratory reserve volume [ERV]) in an infant or child through 2 years of ageMEAS LUNG VOL THRU 2 YRS
87794621Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordingsCARDIOPULM EXERCISE TESTING
87894644Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hourCBT 1ST HOUR
87996902Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormalityTRICHOGRAM
88096933Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; interpretation and report only, first lesionRCM CELULR SUBCELULR IMG SK
88196935Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only, each additional lesion (List separately in addition to code for primary procedure)RCM CELULR SUBCELULR IMG SK
88297014Application of a modality to 1 or more areas; electrical stimulation (unattended)ELECTRIC STIMULATION THERAP
88397016Application of a modality to 1 or more areas; vasopneumatic devicesVASOPNEUMATIC DEVICE THERAP
88478414Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinationsNON-IMAGING HEART FUNCTION
88578430Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic), with concurrently acquired computed tomography transmission scanMYOCRD IMG PET RST/STRS W/C
88678801Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more daysRP LOCLZJ TUM 2+AREA 1+D IM
88778806Radiopharmaceutical localization of inflammatory process; whole body
88880069Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)RENAL FUNCTION PANEL
88981015Urinalysis; microscopic onlyMICROSCOPIC EXAM OF URINE
89081025Urine pregnancy test, by visual color comparison methodsURINE PREGNANCY TEST
89191309Under Vaccines, ToxoidsUnder Vaccines, Toxoids
89291310Under Vaccines, ToxoidsUnder Vaccines, Toxoids
89391312Under Vaccines, ToxoidsUnder Vaccines, Toxoids
89491313Under Vaccines, ToxoidsUnder Vaccines, Toxoids
89591314Under Vaccines, ToxoidsUnder Vaccines, Toxoids
89696202Under Behavior Management ServicesUnder Behavior Management Services
8970347UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
8980349UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
8990351UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9000353UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9010354UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9020357UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9030359UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9040360UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9050361UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9060334UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9070335UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9080336UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9090337UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9100341UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9110343UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9120346UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9130642TUnder Cellular Regeneration, Evaluation Study and Ablation ProceduresUnder Cellular Regeneration, Evaluation Study and Ablation Procedures
9140644TUnder Transcatheter Implantation and Removal ProceduresUnder Transcatheter Implantation and Removal Procedures
9150646TUnder Cardiac Procedures with Evaluation on Valves and ICD SystemUnder Cardiac Procedures with Evaluation on Valves and ICD System
9160652TUnder Transnasal EGD and Capsule Endoscopy ProceduresUnder Transnasal EGD and Capsule Endoscopy Procedures
9170654TUnder Transnasal EGD and Capsule Endoscopy ProceduresUnder Transnasal EGD and Capsule Endoscopy Procedures
9180655TUnder Transperineal Prostate Ablation Through LaserUnder Transperineal Prostate Ablation Through Laser
9190656TUnder Vertebral Body Tethering ProceduresUnder Vertebral Body Tethering Procedures
9200657TUnder Vertebral Body Tethering ProceduresUnder Vertebral Body Tethering Procedures
9210658TUnder Impedance Spectroscopy and Intracoronary Infusion ProceduresUnder Impedance Spectroscopy and Intracoronary Infusion Procedures
9220659TUnder Impedance Spectroscopy and Intracoronary Infusion ProceduresUnder Impedance Spectroscopy and Intracoronary Infusion Procedures
9230660TUnder Drug-Eluting Implant Procedures in EyeUnder Drug-Eluting Implant Procedures in Eye
9240661TUnder Drug-Eluting Implant Procedures in EyeUnder Drug-Eluting Implant Procedures in Eye
9250662TUnder Scalp Cooling ProceduresUnder Scalp Cooling Procedures
9260663TUnder Scalp Cooling ProceduresUnder Scalp Cooling Procedures
9270668TUnder Uterine Allograft Preparation and Reconstruction Procedures Prior to TransplantationUnder Uterine Allograft Preparation and Reconstruction Procedures Prior to Transplantation
9280670TUnder Uterine Allograft Preparation and Reconstruction Procedures Prior to TransplantationUnder Uterine Allograft Preparation and Reconstruction Procedures Prior to Transplantation
9290711TUnder Noninvasive Arterial Plaque AnalysisUnder Noninvasive Arterial Plaque Analysis
9300714TUnder Prostate Ablation ProcedureUnder Prostate Ablation Procedure
9310751TUnder Digitization of Glass Microscope Slides for Surgical PathologyUnder Digitization of Glass Microscope Slides for Surgical Pathology
9320753TUnder Digitization of Glass Microscope Slides for Surgical PathologyUnder Digitization of Glass Microscope Slides for Surgical Pathology
9330756TUnder Digitization of Glass Microscope Slides for Special StainUnder Digitization of Glass Microscope Slides for Special Stain
9340757TUnder Digitization of Glass Microscope Slides for Special StainUnder Digitization of Glass Microscope Slides for Special Stain
9350763TUnder Digitization of Glass Microscope Slides for Immunohistochemistry or ImmunocytochemistryUnder Digitization of Glass Microscope Slides for Immunohistochemistry or Immunocytochemistry
9360765TUnder Risk-Based Assessment for Cardiac DysfunctionUnder Risk-Based Assessment for Cardiac Dysfunction
9370766TUnder Transcutaneous Magnetic Stimulation of Peripheral NerveUnder Transcutaneous Magnetic Stimulation of Peripheral Nerve
9380770TUnder Virtual Reality Technology ServicesUnder Virtual Reality Technology Services
9390771TUnder Virtual Reality Technology ServicesUnder Virtual Reality Technology Services
9400772TUnder Virtual Reality Technology ServicesUnder Virtual Reality Technology Services
9410773TUnder Virtual Reality Technology ServicesUnder Virtual Reality Technology Services
9420775TUnder Sacroiliac Joint Arthrodesis ProcedureUnder Sacroiliac Joint Arthrodesis Procedure
9430777TUnder Pressure-Sensing Epidural Guidance SystemUnder Pressure-Sensing Epidural Guidance System
9440780TUnder Fecal Microbiota Transplantation ProcedureUnder Fecal Microbiota Transplantation Procedure
9450671TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
9460674TUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and LeadsUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and Leads
9470675TUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and LeadsUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and Leads
9480676TUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and LeadsUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and Leads
9490679TUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and LeadsUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and Leads
9500680TUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and LeadsUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and Leads
9510682TUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and LeadsUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and Leads
9520684TUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and LeadsUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and Leads
9530685TUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and LeadsUnder Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and Leads
9540686TUnder Malignant Hepatocellular Histotripsy ProcedureUnder Malignant Hepatocellular Histotripsy Procedure
9550687TUnder Treatment of Amblyopia using Online Digital ProgramUnder Treatment of Amblyopia using Online Digital Program
9560688TUnder Treatment of Amblyopia using Online Digital ProgramUnder Treatment of Amblyopia using Online Digital Program
9570689TUnder Quantitative Ultrasound Tissue CharacterizationUnder Quantitative Ultrasound Tissue Characterization
9580690TUnder Quantitative Ultrasound Tissue CharacterizationUnder Quantitative Ultrasound Tissue Characterization
9590691TUnder Automated Analysis of Vertebral FractureUnder Automated Analysis of Vertebral Fracture
9600694TUnder 3-dimensional Imaging and Reconstruction of Breast or Axillary Lymph Node TissueUnder 3-dimensional Imaging and Reconstruction of Breast or Axillary Lymph Node Tissue
9610695TUnder Mapping of Pacemaker or Pacing Cardioverter-Defibrillator LeadsUnder Mapping of Pacemaker or Pacing Cardioverter-Defibrillator Leads
9620696TUnder Mapping of Pacemaker or Pacing Cardioverter-Defibrillator LeadsUnder Mapping of Pacemaker or Pacing Cardioverter-Defibrillator Leads
9630701TUnder Molecular Fluorescent Imaging of Suspicious NevusUnder Molecular Fluorescent Imaging of Suspicious Nevus
9640717TUnder ARPC Therapy For Partial Thickness Rotator Cuff TearUnder ARPC Therapy For Partial Thickness Rotator Cuff Tear
9650718TUnder ARPC Therapy For Partial Thickness Rotator Cuff TearUnder ARPC Therapy For Partial Thickness Rotator Cuff Tear
9660721TUnder Tissue Characterization by Quantitative CTUnder Tissue Characterization by Quantitative CT
9670722TUnder Tissue Characterization by Quantitative CTUnder Tissue Characterization by Quantitative CT
9680725TUnder Vestibular Device Procedures with Analysis and ProgrammingUnder Vestibular Device Procedures with Analysis and Programming
9690726TUnder Vestibular Device Procedures with Analysis and ProgrammingUnder Vestibular Device Procedures with Analysis and Programming
9700729TUnder Vestibular Device Procedures with Analysis and ProgrammingUnder Vestibular Device Procedures with Analysis and Programming
9710731TUnder AI-Based Facial Phenotype AnalysisUnder AI-Based Facial Phenotype Analysis
9720733TUnder Remote Body And Limb Kinematic Measurement-Based TherapyUnder Remote Body And Limb Kinematic Measurement-Based Therapy
9730734TUnder Remote Body And Limb Kinematic Measurement-Based TherapyUnder Remote Body And Limb Kinematic Measurement-Based Therapy
9740736TUnder Colonic Lavage with Insertion Of Rectal Catheter ProcedureUnder Colonic Lavage with Insertion Of Rectal Catheter Procedure
9750739TUnder Prostate Ablation Procedures including PlanningUnder Prostate Ablation Procedures including Planning
9760740TUnder Remote Insulin Dose Calculation and Monitoring SystemUnder Remote Insulin Dose Calculation and Monitoring System
9770741TUnder Remote Insulin Dose Calculation and Monitoring SystemUnder Remote Insulin Dose Calculation and Monitoring System
9780742TUnder Myocardial Perfusion Imaging ProcedureUnder Myocardial Perfusion Imaging Procedure
9790745TUnder Cardiac Radioablation Procedure for ArrhythmiaUnder Cardiac Radioablation Procedure for Arrhythmia
9800746TUnder Cardiac Radioablation Procedure for ArrhythmiaUnder Cardiac Radioablation Procedure for Arrhythmia
9810748TUnder Stem Cell Injection Procedures for Perianal Fistula TreatmentUnder Stem Cell Injection Procedures for Perianal Fistula Treatment
9820267UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9830207UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9840209UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9850210UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9860212UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9870217UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9880218UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9890219UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9900221UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9910223UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9920226UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9930230UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9940231UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9950232UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9960235UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9970310UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9980312UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
9990314UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10000315UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10010317UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10020318UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10030320UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10040324UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10050327UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10060238UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10070240UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10080241UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10090242UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10100245UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10110249UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
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10130252UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10140272UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10150273UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10160278UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10170280UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10180282UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10190283UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10200286UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
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10220291UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10230293UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
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10250297UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10260298UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10270303UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10280306UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10290308UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10300309UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10310329UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10320330UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10330048UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10340050UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10350051UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10360052AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
10370052UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10380053UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10390054UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10400058UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10410059UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10420062UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10430063UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10440064AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
10450064UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10460065UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10470066UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10480067UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10490068UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10500069UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10510070UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10520071AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
10530071UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10540072AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
10550082AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
10560082UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10570083AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
10580083UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10590086UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10600092UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10610093AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
10620096UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10630102UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10640103UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10650104AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
10660105UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10670106UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10680107UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10690111UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10700112UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10710113UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10720148UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10730150UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10740152UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10750158UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10760160UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10770162UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10780163UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10790004AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
10800005UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10810007UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10820008UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10830009UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10840012AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
10850018UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10860021AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
10870021UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10880023UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10890025UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10900026UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10910027UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10920029UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10930031UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10940032UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10950036UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10960037UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10970040UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
10980041AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
10990041UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
11000042UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
11010043UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
11020047UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
11030072UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
11040073UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
11050075UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
11060077UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
11070078UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
11080079UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
11090080UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
11100081AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
11110001AUnder Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
11120001UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
11130002UUnder Proprietary Laboratory AnalysesUnder Proprietary Laboratory Analyses
11140205TIntravascular catheter-based coronary vessel or graft spectroscopy (eg, infrared) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation, and report, each vessel (List separately in addition to code for primary procedure)
11150268TUnder Carotid Sinus Baroreflex Activation Device ProceduresUnder Carotid Sinus Baroreflex Activation Device Procedures
11160212TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
11170213TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
11180214TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
11190215TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
11200219TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
11210220TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
11220221TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
11230222TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
11240232TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
11250235TUnder Atherectomy (Open or Percutaneous) for Supra-Inguinal ArteriesUnder Atherectomy (Open or Percutaneous) for Supra-Inguinal Arteries
11260631TUnder Hyperspectral Imaging Measurement of HemoglobinUnder Hyperspectral Imaging Measurement of Hemoglobin
11270633TUnder CT Breast (with/without Contrast)Under CT Breast (with/without Contrast)
11280635TUnder CT Breast (with/without Contrast)Under CT Breast (with/without Contrast)
11290636TUnder CT Breast (with/without Contrast)Under CT Breast (with/without Contrast)
11300637TUnder CT Breast (with/without Contrast)Under CT Breast (with/without Contrast)
11310638TUnder CT Breast (with/without Contrast)Under CT Breast (with/without Contrast)
11320639TUnder CSF Shunt AnalysisUnder CSF Shunt Analysis
11330582TUnder Ablation ProceduresUnder Ablation Procedures
11340587TUnder Neurostimulation ProceduresUnder Neurostimulation Procedures
11350588TUnder Neurostimulation ProceduresUnder Neurostimulation Procedures
11360593TUnder Health And Well-Being CoachingUnder Health And Well-Being Coaching
11370596TUnder Female Voiding Prosthesis ProceduresUnder Female Voiding Prosthesis Procedures
11380602TUnder Transdermal GFR Measurement and MonitoringUnder Transdermal GFR Measurement and Monitoring
11390603TUnder Transdermal GFR Measurement and MonitoringUnder Transdermal GFR Measurement and Monitoring
11400608TUnder Remote Monitoring of Pulmonary SystemUnder Remote Monitoring of Pulmonary System
11410609TUnder Magnetic Resonance Spectroscopy ImagingUnder Magnetic Resonance Spectroscopy Imaging
11420611TUnder Magnetic Resonance Spectroscopy ImagingUnder Magnetic Resonance Spectroscopy Imaging
11430613TUnder Cardiac Implantation and Replacement ProceduresUnder Cardiac Implantation and Replacement Procedures
11440617TUnder Procedures Performed on EyesUnder Procedures Performed on Eyes
11450618TUnder Procedures Performed on EyesUnder Procedures Performed on Eyes
11460416TUnder Permanent Cardiac Contractility Modulation System ProceduresUnder Permanent Cardiac Contractility Modulation System Procedures
11470417TUnder Permanent Cardiac Contractility Modulation System ProceduresUnder Permanent Cardiac Contractility Modulation System Procedures
11480418TUnder Permanent Cardiac Contractility Modulation System ProceduresUnder Permanent Cardiac Contractility Modulation System Procedures
11490419TUnder Neurofibroma Destruction ProcedureUnder Neurofibroma Destruction Procedure
11500486TUnder Diagnostic ProceduresUnder Diagnostic Procedures
11510490TUnder Cellular Regeneration, Evaluation Study and Ablation ProceduresUnder Cellular Regeneration, Evaluation Study and Ablation Procedures
11520496TUnder Organ Transplantation ProceduresUnder Organ Transplantation Procedures
11530500TUnder Human Papillomavirus (HPV) AnalysisUnder Human Papillomavirus (HPV) Analysis
11540501TUnder Coronary Artery Disease (CAD) AnalysisUnder Coronary Artery Disease (CAD) Analysis
11550502TUnder Coronary Artery Disease (CAD) AnalysisUnder Coronary Artery Disease (CAD) Analysis
11560503TUnder Coronary Artery Disease (CAD) AnalysisUnder Coronary Artery Disease (CAD) Analysis
11570506TUnder Other Diagnostic and Therapeutic ProceduresUnder Other Diagnostic and Therapeutic Procedures
11580508TUnder Other Diagnostic and Therapeutic ProceduresUnder Other Diagnostic and Therapeutic Procedures
11590512TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
11600513TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
11610517TUnder Cardiac Device Implantation, Analysis and Removal ProceduresUnder Cardiac Device Implantation, Analysis and Removal Procedures
11620518TUnder Cardiac Device Implantation, Analysis and Removal ProceduresUnder Cardiac Device Implantation, Analysis and Removal Procedures
11630519TUnder Cardiac Device Implantation, Analysis and Removal ProceduresUnder Cardiac Device Implantation, Analysis and Removal Procedures
11640522TUnder Cardiac Device Implantation, Analysis and Removal ProceduresUnder Cardiac Device Implantation, Analysis and Removal Procedures
11650524TUnder Ablation ProceduresUnder Ablation Procedures
11660525TUnder Intracardiac Ischemia Monitoring ProceduresUnder Intracardiac Ischemia Monitoring Procedures
11670527TUnder Intracardiac Ischemia Monitoring ProceduresUnder Intracardiac Ischemia Monitoring Procedures
11680528TUnder Intracardiac Ischemia Monitoring ProceduresUnder Intracardiac Ischemia Monitoring Procedures
11690529TUnder Intracardiac Ischemia Monitoring ProceduresUnder Intracardiac Ischemia Monitoring Procedures
11700530TUnder Intracardiac Ischemia Monitoring ProceduresUnder Intracardiac Ischemia Monitoring Procedures
11710531TUnder Intracardiac Ischemia Monitoring ProceduresUnder Intracardiac Ischemia Monitoring Procedures
11720536TUnder Movement Disorder AnalysisUnder Movement Disorder Analysis
11730537TUnder Cellular Therapy ProceduresUnder Cellular Therapy Procedures
11740539TUnder Cellular Therapy ProceduresUnder Cellular Therapy Procedures
11750540TUnder Cellular Therapy ProceduresUnder Cellular Therapy Procedures
11760541TUnder Cardiac Muscle ImagingUnder Cardiac Muscle Imaging
11770543TUnder Cardiac Valve Repair ProceduresUnder Cardiac Valve Repair Procedures
11780544TUnder Cardiac Valve Repair ProceduresUnder Cardiac Valve Repair Procedures
11790545TUnder Cardiac Valve Repair ProceduresUnder Cardiac Valve Repair Procedures
11800547TUnder Radiofrequency Spectrometry Assessment and Bone Quality Testing ProceduresUnder Radiofrequency Spectrometry Assessment and Bone Quality Testing Procedures
11810552TUnder Laser Therapy and Implant ProceduresUnder Laser Therapy and Implant Procedures
11820553TUnder Laser Therapy and Implant ProceduresUnder Laser Therapy and Implant Procedures
11830554TUnder Bone Strength And Fracture Risk AssessmentUnder Bone Strength And Fracture Risk Assessment
11840555TUnder Bone Strength And Fracture Risk AssessmentUnder Bone Strength And Fracture Risk Assessment
11850557TUnder Bone Strength And Fracture Risk AssessmentUnder Bone Strength And Fracture Risk Assessment
11860558TUnder Computed Tomography AnalysisUnder Computed Tomography Analysis
11870559TUnder Anatomic Model And Guide CreationUnder Anatomic Model And Guide Creation
11880561TUnder Anatomic Model And Guide CreationUnder Anatomic Model And Guide Creation
11890564TUnder Chemo Drug Essay, Implant and Other ProceduresUnder Chemo Drug Essay, Implant and Other Procedures
11900565TUnder Chemo Drug Essay, Implant and Other ProceduresUnder Chemo Drug Essay, Implant and Other Procedures
11910567TUnder Chemo Drug Essay, Implant and Other ProceduresUnder Chemo Drug Essay, Implant and Other Procedures
11920568TUnder Chemo Drug Essay, Implant and Other ProceduresUnder Chemo Drug Essay, Implant and Other Procedures
11930569TUnder Cardiac Procedures with Evaluation on Valves and ICD SystemUnder Cardiac Procedures with Evaluation on Valves and ICD System
11940572TUnder Cardiac Procedures with Evaluation on Valves and ICD SystemUnder Cardiac Procedures with Evaluation on Valves and ICD System
11950573TUnder Cardiac Procedures with Evaluation on Valves and ICD SystemUnder Cardiac Procedures with Evaluation on Valves and ICD System
11960577TUnder Cardiac Procedures with Evaluation on Valves and ICD SystemUnder Cardiac Procedures with Evaluation on Valves and ICD System
11970579TUnder Cardiac Procedures with Evaluation on Valves and ICD SystemUnder Cardiac Procedures with Evaluation on Valves and ICD System
11980581TUnder Ablation ProceduresUnder Ablation Procedures
11990620TUnder Other Diagnostic and Therapeutic ProceduresUnder Other Diagnostic and Therapeutic Procedures
12000621TUnder Trabeculostomy Procedure by Laser (Ab Interno)Under Trabeculostomy Procedure by Laser (Ab Interno)
12010625TUnder Coronary Artery Disease (CAD) AnalysisUnder Coronary Artery Disease (CAD) Analysis
12020627TUnder Percutaneous Lumbar Intravertebral Disc Injection ProcedureUnder Percutaneous Lumbar Intravertebral Disc Injection Procedure
12030629TUnder Percutaneous Lumbar Intravertebral Disc Injection ProcedureUnder Percutaneous Lumbar Intravertebral Disc Injection Procedure
12040348TUnder Imaging, Testing, Implantation and Other ServicesUnder Imaging, Testing, Implantation and Other Services
12050351TUnder Imaging, Testing, Implantation and Other ServicesUnder Imaging, Testing, Implantation and Other Services
12060352TUnder Imaging, Testing, Implantation and Other ServicesUnder Imaging, Testing, Implantation and Other Services
12070353TUnder Imaging, Testing, Implantation and Other ServicesUnder Imaging, Testing, Implantation and Other Services
12080358TUnder Imaging, Testing, Implantation and Other ServicesUnder Imaging, Testing, Implantation and Other Services
12090394TUnder High Dose Rate Electronic Brachytherapy ProceduresUnder High Dose Rate Electronic Brachytherapy Procedures
12100395TUnder High Dose Rate Electronic Brachytherapy ProceduresUnder High Dose Rate Electronic Brachytherapy Procedures
12110397TUnder ERCP with Endomicroscopy ProcedureUnder ERCP with Endomicroscopy Procedure
12120398TUnder Stereotactic Intracranial Lesion Ablation ProcedureUnder Stereotactic Intracranial Lesion Ablation Procedure
12130402TUnder Procedures performed on CorneaUnder Procedures performed on Cornea
12140408TUnder Permanent Cardiac Contractility Modulation System ProceduresUnder Permanent Cardiac Contractility Modulation System Procedures
12150409TUnder Permanent Cardiac Contractility Modulation System ProceduresUnder Permanent Cardiac Contractility Modulation System Procedures
12160410TUnder Permanent Cardiac Contractility Modulation System ProceduresUnder Permanent Cardiac Contractility Modulation System Procedures
12170420TUnder Neurofibroma Destruction ProcedureUnder Neurofibroma Destruction Procedure
12180421TUnder Prostate Ablation ProcedureUnder Prostate Ablation Procedure
12190424TUnder Phrenic Nerve Stimulation System ProceduresUnder Phrenic Nerve Stimulation System Procedures
12200427TUnder Phrenic Nerve Stimulation System ProceduresUnder Phrenic Nerve Stimulation System Procedures
12210428TUnder Phrenic Nerve Stimulation System ProceduresUnder Phrenic Nerve Stimulation System Procedures
12220433TUnder Phrenic Nerve Stimulation System ProceduresUnder Phrenic Nerve Stimulation System Procedures
12230434TUnder Phrenic Nerve Stimulation System ProceduresUnder Phrenic Nerve Stimulation System Procedures
12240440TUnder Phrenic Nerve Stimulation System ProceduresUnder Phrenic Nerve Stimulation System Procedures
12250441TUnder Phrenic Nerve Stimulation System ProceduresUnder Phrenic Nerve Stimulation System Procedures
12260443TUnder Phrenic Nerve Stimulation System ProceduresUnder Phrenic Nerve Stimulation System Procedures
12270445TUnder Phrenic Nerve Stimulation System ProceduresUnder Phrenic Nerve Stimulation System Procedures
12280472TUnder Imaging, Evaluation, Programming and Recording ProceduresUnder Imaging, Evaluation, Programming and Recording Procedures
12290479TUnder Laser Ablation ProceduresUnder Laser Ablation Procedures
12300483TUnder Cardiac Diagnostic Imaging and Surgical ProceduresUnder Cardiac Diagnostic Imaging and Surgical Procedures
12310236TUnder Atherectomy (Open or Percutaneous) for Supra-Inguinal ArteriesUnder Atherectomy (Open or Percutaneous) for Supra-Inguinal Arteries
12320237TUnder Atherectomy (Open or Percutaneous) for Supra-Inguinal ArteriesUnder Atherectomy (Open or Percutaneous) for Supra-Inguinal Arteries
12330238TUnder Atherectomy (Open or Percutaneous) for Supra-Inguinal ArteriesUnder Atherectomy (Open or Percutaneous) for Supra-Inguinal Arteries
12340271TUnder Carotid Sinus Baroreflex Activation Device ProceduresUnder Carotid Sinus Baroreflex Activation Device Procedures
12350272TUnder Carotid Sinus Baroreflex Activation Device ProceduresUnder Carotid Sinus Baroreflex Activation Device Procedures
12360273TUnder Carotid Sinus Baroreflex Activation Device ProceduresUnder Carotid Sinus Baroreflex Activation Device Procedures
12370274TUnder Percutaneous Decompressive Laminotomy/Laminectomy Procedures through Interlaminar ApproachUnder Percutaneous Decompressive Laminotomy/Laminectomy Procedures through Interlaminar Approach
12380275TUnder Percutaneous Decompressive Laminotomy/Laminectomy Procedures through Interlaminar ApproachUnder Percutaneous Decompressive Laminotomy/Laminectomy Procedures through Interlaminar Approach
12390278TUnder Transcutaneous Electrical Modulation Pain Reprocessing TreatmentUnder Transcutaneous Electrical Modulation Pain Reprocessing Treatment
12400331TUnder Imaging, Testing, Implantation and Other ServicesUnder Imaging, Testing, Implantation and Other Services
12410332TUnder Imaging, Testing, Implantation and Other ServicesUnder Imaging, Testing, Implantation and Other Services
12420335TUnder Imaging, Testing, Implantation and Other ServicesUnder Imaging, Testing, Implantation and Other Services
12430338TUnder Imaging, Testing, Implantation and Other ServicesUnder Imaging, Testing, Implantation and Other Services
12440339TUnder Imaging, Testing, Implantation and Other ServicesUnder Imaging, Testing, Implantation and Other Services
12450345TUnder Imaging, Testing, Implantation and Other ServicesUnder Imaging, Testing, Implantation and Other Services
12460347TUnder Imaging, Testing, Implantation and Other ServicesUnder Imaging, Testing, Implantation and Other Services
12470054TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
12480055TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
12490095TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
12500098TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
12510101TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
12520107TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
12530109TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
12540072TUnder Various Services - Category III CodesUnder Various Services - Category III Codes
12553551FIntermediate risk for thromboembolism (AFIB)INTRMED RSK THROMBOEMBOLISM
125681107Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex], antigen CD41 [GPIIb]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-3a/b (I843S)HPA-3 GENOTYPING
125781170ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domainABL1 GENE
1258J1165INJECTION, PHENYTOIN SODIUM, PER 50 MGPhenytoin sodium injection
1259J1200INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MGDiphenhydramine hcl injectio
1260J1444Injection, ferric pyrophosphate citrate powder, 0.1 mg of ironFE PYRO CIT POW 0.1 MG IRON
1261J1457INJECTION, GALLIUM NITRATE, 1 MGGallium nitrate injection
1262J1562INJECTION, IMMUNE GLOBULIN (VIVAGLOBIN), 100 MGVivaglobin, inj
1263J1620INJECTION, GONADORELIN HYDROCHLORIDE, PER 100 MCGGonadorelin hydroch/ 100 mcg
1264J1729Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mgInj hydroxyprogst capoat nos
1265J1817INSULIN FOR ADMINISTRATION THROUGH DME (I.E., INSULIN PUMP) PER 50 UNITSInsulin for insulin pump use
1266J1890INJECTION, CEPHALOTHIN SODIUM, UP TO 1 GRAMCephalothin sodium injection
1267J2250INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MGInj midazolam hydrochloride
1268J2355INJECTION, OPRELVEKIN, 5 MGOprelvekin injection
1269J2357INJECTION, OMALIZUMAB, 5 MGOmalizumab injection
1270J2460INJECTION, OXYTETRACYCLINE HCL, UP TO 50 MGOxytetracycline injection
1271J2562INJECTION, PLERIXAFOR, 1 MGPlerixafor injection
1272J2597INJECTION, DESMOPRESSIN ACETATE, PER 1 MCGInj desmopressin acetate
1273J2792INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IURho(D) immune globulin h, sd
1274J2794INJECTION, RISPERIDONE, LONG ACTING, 0.5 MGRisperidone, long acting
1275J2840INJECTION, SEBELIPASE ALFA, 1 MGInj sebelipase alfa 1 mg
1276G9094ONCOLOGY; DISEASE STATUS; RECTAL CANCER, LIMITED TO INVASIVE CANCER, ADENOCARCINOMA AS PREDOMINANT CELL TYPE; M1 AT DIAGNOSIS, METASTATIC, LOCALLY RECURRENT, OR PROGRESSIVE (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx rectal M1 w/mets prog
1277G9097ONCOLOGY; DISEASE STATUS; ESOPHAGEAL CANCER, LIMITED TO ADENOCARCINOMA OR SQUAMOUS CELL CARCINOMA AS PREDOMINANT CELL TYPE; EXTENT OF DISEASE INITIALLY ESTABLISHED AS T4, ANY N, M0 (PRIOR TO NEO-ADJUVANT THERAPY, IF ANY) WITH NO EVIDENCE OF DISEASE PROGRESSION, RECURRENCE, OR METASTASES (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx esophageal t4 no prog
1278G9106ONCOLOGY; DISEASE STATUS; PANCREATIC CANCER, LIMITED TO ADENOCARCINOMA; POST R1 OR R2 RESECTION WITH NO EVIDENCE OF DISEASE PROGRESSION, OR METASTASES (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx pancreatc p R1/R2 no
1279G9109ONCOLOGY; DISEASE STATUS; HEAD AND NECK CANCER, LIMITED TO CANCERS OF ORAL CAVITY, PHARYNX AND LARYNX WITH SQUAMOUS CELL AS PREDOMINANT CELL TYPE; EXTENT OF DISEASE INITIALLY ESTABLISHED AS T1-T2 AND N0, M0 (PRIOR TO NEO-ADJUVANT THERAPY, IF ANY) WITH NO EVIDENCE OF DISEASE PROGRESSION, RECURRENCE, OR METASTASES (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx head/neck T1-T2no prg
1280G9126ONCOLOGY; DISEASE STATUS; CHRONIC MYELOGENOUS LEUKEMIA, LIMITED TO PHILADELPHIA CHROMOSOME POSITIVE AND/OR BCR-ABL POSITIVE; IN HEMATOLOGIC, CYTOGENETIC, OR MOLECULAR REMISSION (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx CML remission
1281G9131ONCOLOGY; DISEASE STATUS; INVASIVE FEMALE BREAST CANCER (DOES NOT INCLUDE DUCTAL CARCINOMA IN SITU); ADENOCARCINOMA AS PREDOMINANT CELL TYPE; EXTENT OF DISEASE UNKNOWN, STAGING IN PROGRESS, OR NOT LISTED (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx brst unknown NOS
1282G9148NATIONAL COMMITTEE FOR QUALITY ASSURANCE – LEVEL 1 MEDICAL HOMEMedical Home Level I
1283G9149NATIONAL COMMITTEE FOR QUALITY ASSURANCE – LEVEL 2 MEDICAL HOMEMedical Home Level II
128476519Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculationECHO EXAM OF EYE
128576812Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)OB US DETAILED ADDL FETUS
128676828Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat studyECHO EXAM OF FETAL HEART
128776999Unlisted ultrasound procedure (eg, diagnostic, interventional)ECHO EXAMINATION PROCEDURE
128877299Unlisted procedure, therapeutic radiology clinical treatment planningRADIATION THERAPY PLANNING
128977767Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channelHDR RDNCL SKN SURF BRACHYTX
129077772Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channelsHDR RDNCL NTRSTL/ICAV BRCHT
129178018Thyroid carcinoma metastases imaging; whole bodyTHYROID MET IMAGING BODY
129278104Bone marrow imaging; whole bodyBONE MARROW IMAGING BODY
129378122Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique)BLOOD VOLUME
129478226Hepatobiliary system imaging, including gallbladder when present;HEPATOBILIARY SYSTEM IMAGIN
129599285Emergency department visit for the evaluation and management of a patient, which requires these 3 key components within the constraints imposed by the urgency of the patient's clinical condition and/or mental status: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity and pose an immediate significant threat to life or physiologic function.EMERGENCY DEPT VISIT
1296G0343LAPAROTOMY FOR ISLET CELL TRANSPLANT, INCLUDES PORTAL VEIN CATHETERIZATION AND INFUSIONLaparotomy islet cell transp
129784238Receptor assay; non-endocrine (specify receptor)ASSAY NONENDOCRINE RECEPTOR
129884449Transcortin (cortisol binding globulin)ASSAY OF TRANSCORTIN
129984577Urobilinogen, feces, quantitativeASSAY OF FECES/UROBILINOGEN
130085032Blood count; manual cell count (erythrocyte, leukocyte, or platelet) eachMANUAL CELL COUNT EACH
130185303Clotting inhibitors or anticoagulants; protein C, activityCLOT INHIBIT PROT C ACTIVIT
130285362Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitativeFIBRIN DEGRADATION PRODUCTS
130395813Electroencephalogram (EEG) extended monitoring; 61-119 minutesEEG EXTND MNTR 61-119 MIN
130495867Needle electromyography; cranial nerve supplied muscle(s), unilateralMUSCLE TEST CRAN NERV UNILA
130595874Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)GUIDE NERV DESTR NEEDLE EMG
130695991Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requiring skill of a physician or other qualified health care professionalSPIN/BRAIN PUMP REFIL & MAI
130795972Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with complex spinal cord or peripheral nerve (eg, sacral nerve) neurostimulator pulse generator/transmitter programming by physician or other qualified health care professionalALYS CPLX SP/PN NPGT W/PRGR
130895983Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with brain neurostimulator pulse generator/transmitter programming, first 15 minutes face-to-face time with physician or other qualified health care professionalALYS BRN NPGT PRGRMG 15 MIN
130996130Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed; first hourPSYCL TST EVAL PHYS/QHP 1ST
131096165Health behavior intervention, group (2 or more patients), face-to-face; each additional 15 minutes (List separately in addition to code for primary service)HLTH BHV IVNTJ GRP EA ADDL
131196167Health behavior intervention, family (with the patient present), face-to-face; initial 30 minutesHLTH BHV IVNTJ FAM 1ST 30
131296360Intravenous infusion, hydration; initial, 31 minutes to 1 hourHYDRATION IV INFUSION INIT
131396411Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)CHEMO IV PUSH ADDL DRUG
131496420Chemotherapy administration, intra-arterial; push techniqueCHEMO IA PUSH TECNIQUE
131596422Chemotherapy administration, intra-arterial; infusion technique, up to 1 hourCHEMO IA INFUSION UP TO 1 H
131696574Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per dayDBRDMT PRMLG LES W/PDT
131796922Laser treatment for inflammatory skin disease (psoriasis); over 500 sq cmLASER TX SKIN >500 SQ CM
131897537Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive technology device/adaptive equipment), direct one-on-one contact, each 15 minutesCOMMUNITY/WORK REINTEGRATIO
131997602Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per sessionWOUND(S) CARE NON-SELECTIVE
132097750Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutesPHYSICAL PERFORMANCE TEST
132197813Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patientACUPUNCT W/STIMUL 15 MIN
132280360Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
132380362Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
132480365Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
132580367Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
132680368Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
132780370Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
132880372Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
132980374Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
133080376Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
133181418Under Genomic Sequencing Procedures and Other Molecular Multianalyte AssaysUnder Genomic Sequencing Procedures and Other Molecular Multianalyte Assays
133281441Under Genomic Sequencing Procedures and Other Molecular Multianalyte AssaysUnder Genomic Sequencing Procedures and Other Molecular Multianalyte Assays
133381456Under Genomic Sequencing Procedures and Other Molecular Multianalyte AssaysUnder Genomic Sequencing Procedures and Other Molecular Multianalyte Assays
133481479Under Tier 2 Molecular Pathology ProceduresUnder Tier 2 Molecular Pathology Procedures
133587467Under Infectious Agent Antigen DetectionUnder Infectious Agent Antigen Detection
133687468Under Infectious Agent Antigen DetectionUnder Infectious Agent Antigen Detection
133787469Under Infectious Agent Antigen DetectionUnder Infectious Agent Antigen Detection
133890460Under Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
133990472Under Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
134090473Under Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
134190474Under Immunization Administration for Vaccines/ToxoidsUnder Immunization Administration for Vaccines/Toxoids
134291300Under Vaccines, ToxoidsUnder Vaccines, Toxoids
134391301Under Vaccines, ToxoidsUnder Vaccines, Toxoids
134491302Under Vaccines, ToxoidsUnder Vaccines, Toxoids
134591303Under Vaccines, ToxoidsUnder Vaccines, Toxoids
1346C1826Generator, neurostimulator (implantable), includes closed feedback loop leads and all implantable components, with rechargeable battery and charging systemGenerator, neurostimulator (implantable), includes closed feedback loop leads and all implantable components, with rechargeable battery and charging system
1347C7502Percutaneous 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)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)
1348C7503Open 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 performedOpen 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
1349C7505Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidancePercutaneous 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
1350C7507Percutaneous 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 guidancePercutaneous 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
1351C7509Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performedBronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed
1352Q4137Amnioexcel, amnioexcel plus or biodexcel, per square centimeterAmnioexcel, amnioexcel plus or biodexcel, per square centimeter
1353Q4140Biodfence, per square centimeterBiodfence, per square centimeter
1354Q4141AlloSkin AC, per square centimeterAlloSkin AC, per square centimeter
1355Q4143Repriza, per square centimeterRepriza, per square centimeter
1356Q4145EpiFix, injectable, 1 mgEpiFix, injectable, 1 mg
1357Q4149Excellagen, 0.1 ccExcellagen, 0.1 cc
1358Q4150Allowrap DS or Dry, per square centimeterAllowrap DS or Dry, per square centimeter
1359Q4151AmnioBand or Guardian, per square centimeterAmnioBand or Guardian, per square centimeter
1360Q4152DermaPure, per square centimeterDermaPure, per square centimeter
1361Q4153Dermavest and plurivest, per square centimeterDermavest and plurivest, per square centimeter
1362Q4154Biovance, per square centimeterBiovance, per square centimeter
1363Q4156NEOX 100 or CLARIX 100, per square centimeterNEOX 100 or CLARIX 100, per square centimeter
1364Q4157Revitalon, per square centimeterRevitalon, per square centimeter
1365Q4158Kerecis Omega3, per square centimeterKerecis Omega3, per square centimeter
1366Q4159Affinity, per square centimeterAffinity, per square centimeter
1367Q4161Bio-ConneKt wound matrix, per square centimeterBio-ConneKt wound matrix, per square centimeter
1368Q4163WoundEx, BioSkin, per square centimeterWoundEx, BioSkin, per square centimeter
1369Q4166Cytal, per square centimeterCytal, per square centimeter
1370Q4169Artacent wound, per square centimeterArtacent wound, per square centimeter
1371Q4171Interfyl, 1 mgInterfyl, 1 mg
1372Q4173Palingen or palingen xplus, per square centimeterPalingen or palingen xplus, per square centimeter
1373Q4174Palingen or promatrx, 0.36 mg per 0.25 ccPalingen or promatrx, 0.36 mg per 0.25 cc
1374Q4175Miroderm, per square centimeterMiroderm, per square centimeter
1375Q4177Floweramnioflo, 0.1 ccFloweramnioflo, 0.1 cc
1376Q4178Floweramniopatch, per square centimeterFloweramniopatch, per square centimeter
1377Q4180Revita, per square centimeterRevita, per square centimeter
1378Q4181Amnio wound, per square centimeterAmnio wound, per square centimeter
1379Q4182Transcyte, per square centimeterTranscyte, per square centimeter
1380Q4183Surgigraft, per square centimeterSurgigraft, per square centimeter
1381Q4184Cellesta or cellesta duo, per square centimeterCellesta or cellesta duo, per square centimeter
1382Q4185Cellesta flowable amnion (25 mg per cc); per 0.5 ccCellesta flowable amnion (25 mg per cc); per 0.5 cc
1383Q4187Epicord, per square centimeterEpicord, per square centimeter
1384Q4189Artacent ac, 1 mgArtacent ac, 1 mg
138595807Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologistSLEEP STUDY ATTENDED
138695810Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologistPOLYSOM 6/> YRS 4/> PARAM
138795822Electroencephalogram (EEG); recording in coma or sleep onlyEEG COMA OR SLEEP ONLY
138895872Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studiedMUSCLE TEST ONE FIBER
138995926Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbsSOMATOSENSORY TESTING
139095941Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby) or for monitoring of more than one case while in the operating room, per hour (List separately in addition to code for primary procedure)IONM REMOTE/>1 PT OR PER HR
139196156Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)HLTH BHV ASSMT/REASSESSMENT
139296373Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterialTHER/PROPH/DIAG INJ IA
139396522Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial)REFILL/MAINT PUMP/RESVR SYS
139498927Osteopathic manipulative treatment (OMT); 5-6 body regions involvedOSTEOPATH MANJ 5-6 REGIONS
139598940Chiropractic manipulative treatment (CMT); spinal, 1-2 regionsCHIROPRACT MANJ 1-2 REGIONS
139699002Handling, conveyance, and/or any other service in connection with the implementation of an order involving devices (eg, designing, fitting, packaging, handling, delivery or mailing) when devices such as orthotics, protectives, prosthetics are fabricated by an outside laboratory or shop but which items have been designed, and are to be fitted and adjusted by the attending physician or other qualified health care professionalDEVICE HANDLING PHYS/QHP
139799026Hospital mandated on call service; in-hospital, each hourIN-HOSPITAL ON CALL SERVICE
1398C9489INJECTION, NUSINERSEN, 0.1 MGInjection, nusinersen
1399C9479INSTILLATION, CIPROFLOXACIN OTIC SUSPENSION, 6 MGInstill, ciprofloxacin otic
1400C9487USTEKINUMAB, FOR INTRAVENOUS INJECTION, 1 MGUstekinumab IV inj, 1 mg
140199235Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually the presenting problem(s) requiring admission are of moderate severity. Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit.OBSERV/HOSP SAME DATE
1402C9726PLACEMENT AND REMOVAL (IF PERFORMED) OF APPLICATOR INTO BREAST FOR INTRAOPERATIVE RADIATION THERAPY, ADD-ON TO PRIMARY BREAST PROCEDURERxt breast appl place/remov
1403C9737LAPAROSCOPY, SURGICAL, ESOPHAGEAL SPHINCTER AUGMENTATION WITH DEVICE (EG, MAGNETIC BAND)Lap esoph augmentation
1404C9604PERCUTANEOUS 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 VESSELPerc d-e cor revasc t cabg s
1405C9608PERCUTANEOUS 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)Perc d-e cor revasc chro add
1406E0165COMMODE CHAIR, STATIONARY, WITH DETACHABLE ARMSCommode chair stationry det
1407E0168COMMODE CHAIR, EXTRA WIDE AND/OR HEAVY DUTY, STATIONARY OR MOBILE, WITH OR WITHOUT ARMS, ANY TYPE, EACHHeavyduty/wide commode chair
1408E0175FOOT REST, FOR USE WITH COMMODE CHAIR, EACHCommode chair foot rest
1409E0194AIR FLUIDIZED BEDAir fluidized bed
1410E0203THERAPEUTIC LIGHTBOX, MINIMUM 10,000 LUX, TABLE TOP MODELTherapeutic lightbox tabletp
1411E0217WATER CIRCULATING HEAT PAD WITH PUMPWater circ heat pad w pump
1412E0245TUB STOOL OR BENCHTub stool or bench
1413E0247TRANSFER BENCH FOR TUB OR TOILET WITH OR WITHOUT COMMODE OPENINGTrans bench w/wo comm open
1414E0261HOSPITAL BED, SEMI-ELECTRIC (HEAD AND FOOT ADJUSTMENT), WITH ANY TYPE SIDE RAILS, WITHOUT MATTRESSHosp bed semi-electr w/o mat
1415E0277POWERED PRESSURE-REDUCING AIR MATTRESSPowered pres-redu air mattrs
1416E0480PERCUSSOR, ELECTRIC OR PNEUMATIC, HOME MODELPercussor elect/pneum home m
1417E0487SPIROMETER, ELECTRONIC, INCLUDES ALL ACCESSORIESElectronic spirometer
1418E0603BREAST PUMP, ELECTRIC (AC AND/OR DC), ANY TYPEElectric breast pump
1419E0605VAPORIZER, ROOM TYPEVaporizer room type
1420E0629SEAT LIFT MECHANISM, NON-ELECTRIC, ANY TYPESeat lift mech, non-electric
1421E0639PATIENT LIFT, MOVEABLE FROM ROOM TO ROOM WITH DISASSEMBLY AND REASSEMBLY, INCLUDES ALL COMPONENTS/ACCESSORIESMoveable patient lift system
1422E0651PNEUMATIC COMPRESSOR, SEGMENTAL HOME MODEL WITHOUT CALIBRATED GRADIENT PRESSUREPneum compressor segmental
1423E0747OSTEOGENESIS STIMULATOR, ELECTRICAL, NON-INVASIVE, OTHER THAN SPINAL APPLICATIONSElec osteogen stim not spine
1424E0760OSTEOGENESIS STIMULATOR, LOW INTENSITY ULTRASOUND, NON-INVASIVEOsteogen ultrasound stimltor
1425E0786IMPLANTABLE PROGRAMMABLE INFUSION PUMP, REPLACEMENT (EXCLUDES IMPLANTABLE INTRASPINAL CATHETER)Implantable pump replacement
1426E0855CERVICAL TRACTION EQUIPMENT NOT REQUIRING ADDITIONAL STAND OR FRAMECervical traction equipment
1427E0954SEMI-PNEUMATIC CASTER, EACHWheelchair semi-pneumatic ca
1428E0967MANUAL WHEELCHAIR ACCESSORY, HAND RIM WITH PROJECTIONS, ANY TYPE, REPLACEMENT ONLY, EACHMan wc rim/projection rep ea
1429E0969NARROWING DEVICE, WHEELCHAIRWheelchair narrowing device
1430E1036MULTI-POSITIONAL PATIENT TRANSFER SYSTEM, EXTRA-WIDE, WITH INTEGRATED SEAT, OPERATED BY CAREGIVER, PATIENT WEIGHT CAPACITY GREATER THAN 300 LBSPatient transfer system >300
1431E1140WHEELCHAIR, DETACHABLE ARMS, DESK OR FULL LENGTH, SWING AWAY DETACHABLE FOOTRESTSWheelchair standard detach a
1432E1180AMPUTEE WHEELCHAIR, DETACHABLE ARMS (DESK OR FULL LENGTH) SWING AWAY DETACHABLE FOOTRESTSWheelchair amputee w/ foot r
1433E1232WHEELCHAIR, PEDIATRIC SIZE, TILT-IN-SPACE, FOLDING, ADJUSTABLE, WITH SEATING SYSTEMFolding ped wc tilt-in-space
1434E1250LIGHTWEIGHT WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE FOOTRESTWheelchair lightwt fixed arm
1435E1632WEARABLE ARTIFICIAL KIDNEY, EACHWearable artificial kidney
1436E1806STATIC PROGRESSIVE STRETCH WRIST DEVICE, FLEXION AND/OR EXTENSION, WITH OR WITHOUT RANGE OF MOTION ADJUSTMENT, INCLUDES ALL COMPONENTS AND ACCESSORIESSPS wrist device
1437E1840DYNAMIC ADJUSTABLE SHOULDER FLEXION / ABDUCTION / ROTATION DEVICE, INCLUDES SOFT INTERFACE MATERIALAdj shoulder ext/flex device
1438E2227MANUAL WHEELCHAIR ACCESSORY, GEAR REDUCTION DRIVE WHEEL, EACHGear reduction drive wheel
1439E2322POWER WHEELCHAIR ACCESSORY, HAND CONTROL INTERFACE, MULTIPLE MECHANICAL SWITCHES, NONPROPORTIONAL, INCLUDING ALL RELATED ELECTRONICS, MECHANICAL STOP SWITCH, AND FIXED MOUNTING HARDWAREMult mech switches
1440E2377POWER WHEELCHAIR ACCESSORY, EXPANDABLE CONTROLLER, INCLUDING ALL RELATED ELECTRONICS AND MOUNTING HARDWARE, UPGRADE PROVIDED AT INITIAL ISSUEExpandable controller, initl
1441E2607SKIN PROTECTION AND POSITIONING WHEELCHAIR SEAT CUSHION, WIDTH LESS THAN 22 INCHES, ANY DEPTHSkin pro/pos wc cus wd <22in
1442E2609CUSTOM FABRICATED WHEELCHAIR SEAT CUSHION, ANY SIZECustom fabricate w/c cushion
1443E2610WHEELCHAIR SEAT CUSHION, POWEREDPowered w/c cushion
1444E2613POSITIONING WHEELCHAIR BACK CUSHION, POSTERIOR, WIDTH LESS THAN 22 INCHES, ANY HEIGHT, INCLUDING ANY TYPE MOUNTING HARDWAREPosition back cush wd <22in
1445E2615POSITIONING WHEELCHAIR BACK CUSHION, POSTERIOR-LATERAL, WIDTH LESS THAN 22 INCHES, ANY HEIGHT, INCLUDING ANY TYPE MOUNTING HARDWAREPos back post/lat wdth <22in
1446C7529Catheter 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 stressCatheter 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
1447C7531Revascularization, 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 interpretationRevascularization, 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
1448C7532Transluminal 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 interpretationTransluminal 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
1449C7534Revascularization, 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 interpretationRevascularization, 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
1450C7537Insertion 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 debribrillator or pacemake pulse generator (eg, for upgrade to dual chamber system)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 debribrillator or pacemake pulse generator (eg, for upgrade to dual chamber system)
1451C7539Insertion 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)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)
1452A9512Technetium Tc-99m pertechnetate, diagnostic, per millicurieTechnetium Tc-99m pertechnetate, diagnostic, per millicurie
145395132Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 3 stinging insect venomsIMMNTX 3 STING INSECTS
145495165Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses)ANTIGEN THERAPY SERVICES
145531576Laryngoscopy, flexible; with biopsy(ies)LARYNGOSCOPY WITH BIOPSY
1456Q4172PURAPLY OR PURAPLY AM, PER SQUARE CENTIMETERPuraply or puraply am
1457Q5112Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mgINJ ONTRUZANT 10 MG
1458S0144INJECTION, PROPOFOL, 10MG Inj, Propofol, 10mg
1459S0178LOMUSTINE, ORAL, 10MGLomustine 10 mg
1460S0207PARAMEDIC INTERCEPT, NON-HOSPITAL-BASED ALS SERVICE (NON-VOLUNTARY), NON-TRANSPORTParamedicintercep nonhospals
1461S0341LIFESTYLE MODIFICATION PROGRAM FOR MANAGEMENT OF CORONARY ARTERY DISEASE, INCLUDING ALL SUPPORTIVE SERVICES; SECOND OR THIRD QUARTER / STAGELifestyle mod 2 or 3 stage
1462S0506BIFOCAL VISION PRESCRIPTION LENS (SAFETY, ATHLETIC, OR SUNGLASS), PER LENSBifoc prscp lens
1463S1002CUSTOMIZED ITEM (LIST IN ADDITION TO CODE FOR BASIC ITEM)Custom item
1464S1090MOMETASONE FUROATE SINUS IMPLANT, 370 MICROGRAMS Mometasone sinus implant
1465S2061DONOR LOBECTOMY (LUNG) FOR TRANSPLANTATION, LIVING DONORDonor lobectomy (lung)
146697172Under Athletic Training EvaluationsUnder Athletic Training Evaluations
146799310Under Subsequent Nursing Facility CareUnder Subsequent Nursing Facility Care
1468A9515Choline c-11, diagnostic, per study dose up to 20 millicuriesCholine c-11, diagnostic, per study dose up to 20 millicuries
1469A9563Sodium phosphate P-32, therapeutic, per millicurieSodium phosphate P-32, therapeutic, per millicurie
1470Q4190Artacent ac, per square centimeterArtacent ac, per square centimeter
1471Q4191Restorigin, per square centimeterRestorigin, per square centimeter
1472Q4195Puraply, per square centimeterPuraply, per square centimeter
1473Q4196Puraply am, per square centimeterPuraply am, per square centimeter
1474Q4197Puraply xt, per square centimeterPuraply xt, per square centimeter
1475Q4198Genesis amniotic membrane, per square centimeterGenesis amniotic membrane, per square centimeter
1476Q4199Cygnus matrix, per square centimeterCygnus matrix, per square centimeter
1477Q4200Skin te, per square centimeterSkin te, per square centimeter
1478Q4201Matrion, per square centimeterMatrion, per square centimeter
1479Q4203Derma-gide, per square centimeterDerma-gide, per square centimeter
1480Q4204Xwrap, per square centimeterXwrap, per square centimeter
1481Q4208Novafix, per square cenitmeterNovafix, per square cenitmeter
1482Q4212Allogen, per ccAllogen, per cc
1483Q4215Axolotl ambient or axolotl cryo, 0.1 mgAxolotl ambient or axolotl cryo, 0.1 mg
1484Q4216Artacent cord, per square centimeterArtacent cord, per square centimeter
1485Q4217Woundfix, BioWound, Woundfix Plus, BioWound Plus, Woundfix Xplus or BioWound Xplus, per square centimeterWoundfix, BioWound, Woundfix Plus, BioWound Plus, Woundfix Xplus or BioWound Xplus, per square centimeter
1486Q4218Surgicord, per square centimeterSurgicord, per square centimeter
1487Q4221Amniowrap2, per square centimeterAmniowrap2, per square centimeter
1488Q4229Cogenex amniotic membrane, per square centimeterCogenex amniotic membrane, per square centimeter
1489Q4230Cogenex flowable amnion, per 0.5 ccCogenex flowable amnion, per 0.5 cc
1490Q4231Corplex p, per ccCorplex p, per cc
1491Q4235Amniorepair or altiply, per square centimeterAmniorepair or altiply, per square centimeter
1492Q4237Cryo-cord, per square centimeterCryo-cord, per square centimeter
1493Q4238Derm-maxx, per square centimeterDerm-maxx, per square centimeter
1494Q4239Amnio-maxx or amnio-maxx lite, per square centimeterAmnio-maxx or amnio-maxx lite, per square centimeter
1495Q4246Coretext or protext, per ccCoretext or protext, per cc
1496Q4247Amniotext patch, per square centimeterAmniotext patch, per square centimeter
1497Q4248Dermacyte amniotic membrane allograft, per square centimeterDermacyte amniotic membrane allograft, per square centimeter
1498Q4250Amnioamp-mp, per square centimeterAmnioamp-mp, per square centimeter
1499Q4255Reguard, for topical use only, per square centimeterReguard, for topical use only, per square centimeter
1500Q4259Celera dual layer or celera dual membrane, per square centimeterCelera dual layer or celera dual membrane, per square centimeter
1501Q4262Dual layer impax membrane, per square centimeterDual layer impax membrane, per square centimeter
1502Q4263Surgraft tl, per square centimeterSurgraft tl, per square centimeter
1503Q4264Cocoon membrane, per square centimeterCocoon membrane, per square centimeter
1504Q5125Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgramInjection, filgrastim-ayow, biosimilar, (releuko), 1 microgram
1505T1033Services performed by a doula birth worker, per diemServices performed by a doula birth worker, per diem
1506M1153Patient with diagnosis of osteoporosis on date of encounterPatient with diagnosis of osteoporosis on date of encounter
1507M1154Hospice services provided to patient any time during the measurement periodHospice services provided to patient any time during the measurement period
1508M1159Hospice services provided to patient any time during the measurement periodHospice services provided to patient any time during the measurement period
1509M1162Patient had encephalitis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthdayPatient had encephalitis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday
1510M1165Patients who use hospice services any time during the measurement periodPatients who use hospice services any time during the measurement period
1511M1168Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement periodPatient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period
1512M1169Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine)Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine)
1513M1170Patient 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 periodPatient 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
1514M1172Documentation 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)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)
1515M1175Documentation of medical reason(s) for not administering zoster vaccine (e.g., prior anaphylaxis due to the zoster vaccine)Documentation of medical reason(s) for not administering zoster vaccine (e.g., prior anaphylaxis due to the zoster vaccine)
1516M1182Patients not eligible due to pre-existing inflammatory bowel disease (ibd) (e.g., ulcerative colitis, crohn's disease)Patients not eligible due to pre-existing inflammatory bowel disease (ibd) (e.g., ulcerative colitis, crohn's disease)
1517M1185Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed, reason not givenDocumentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed, reason not given
1518M1188Patients with a diagnosis of chronic kidney disease (ckd) stage 5Patients with a diagnosis of chronic kidney disease (ckd) stage 5
1519M1192Patients with an existing diagnosis of squamous cell carcinoma of the esophagusPatients with an existing diagnosis of squamous cell carcinoma of the esophagus
1520M1193Surgical pathology reports that contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or bothSurgical pathology reports that contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both
1521M1195Surgical 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 givenSurgical 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
1522M1196Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or itchyquant assessment score of greater than or equal to 4Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or itchyquant assessment score of greater than or equal to 4
1523M1199Patients receiving rrtPatients receiving rrt
1524M1200Ace inhibitor (ace-i) or arb therapy prescribed during the measurement periodAce inhibitor (ace-i) or arb therapy prescribed during the measurement period
1525M1201Documentation 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)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)
1526M1203Ace inhibitor or arb therapy not prescribed during the measurement period, reason not givenAce inhibitor or arb therapy not prescribed during the measurement period, reason not given
1527M1209At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnosesAt least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses
1528Q4101Apligraf, per square centimeterApligraf, per square centimeter
1529Q4103Oasis burn matrix, per square centimeterOasis burn matrix, per square centimeter
1530Q4104Integra bilayer matrix wound dressing (BMWD), per square centimeterIntegra bilayer matrix wound dressing (BMWD), per square centimeter
1531Q4106Dermagraft, per square centimeterDermagraft, per square centimeter
1532Q4107GRAFTJACKET, per square centimeterGRAFTJACKET, per square centimeter
1533Q4110PriMatrix, per square centimeterPriMatrix, per square centimeter
1534Q4115AlloSkin, per square centimeterAlloSkin, per square centimeter
1535Q4116AlloDerm, per square centimeterAlloDerm, per square centimeter
1536Q4118MatriStem micromatrix, 1 mgMatriStem micromatrix, 1 mg
1537Q4123AlloSkin RT, per square centimeterAlloSkin RT, per square centimeter
1538Q4130Strattice TM, per square centimeterStrattice TM, per square centimeter
1539Q4132Grafix CORE and GrafixPL CORE, per square centimeterGrafix CORE and GrafixPL CORE, per square centimeter
1540Q4133Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeterGrafix prime, grafixpl prime, stravix and stravixpl, per square centimeter
1541Q4134Hmatrix, per square centimeterHmatrix, per square centimeter
1542Q4136E-Z Derm, per square centimeterE-Z Derm, per square centimeter
1543J0689Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mgInjection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg
1544J0701Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mgInjection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg
1545J0703Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mgInjection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg
1546J0891Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)
1547J0892Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)
1548J0898Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)
1549J0899Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)
1550J1302Injection, sutimlimab-jome, 10 mgInjection, sutimlimab-jome, 10 mg
1551J1643Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 unitsInjection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units
1552J2247Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mgInjection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg
1553J2311Injection, naloxone hydrochloride (zimhi), 1 mgInjection, naloxone hydrochloride (zimhi), 1 mg
1554J2401Injection, chloroprocaine hydrochloride, per 1 mgInjection, chloroprocaine hydrochloride, per 1 mg
1555J9298Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mgInjection, nivolumab and relatlimab-rmbw, 3 mg/1 mg
1556J9394Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mgInjection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg
1557M0001Advancing cancer care mips value pathwaysAdvancing cancer care mips value pathways
1558M0002Optimal care for kidney health mips value pathwaysOptimal care for kidney health mips value pathways
1559M0003Optimal care for patients with episodic neurological conditions mips value pathwaysOptimal care for patients with episodic neurological conditions mips value pathways
1560A4235Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, eachReplacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each
1561A9502Technetium Tc-99m tetrofosmin, diagnostic, per study doseTechnetium Tc-99m tetrofosmin, diagnostic, per study dose
1562C7521Catheter 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 reportCatheter 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
1563C7523Catheter 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 reportCatheter 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 supervis
1564C7524Catheter 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 stressCatheter 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
1565C7525Catheter 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 reportCatheter 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 op
1566C7526Catheter 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 stressCatheter 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 c
1567A9507Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuriesIndium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
1568A9508Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 millicurieIodine I-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
1569A9509Iodine I-123 sodium iodide, diagnostic, per millicurieIodine I-123 sodium iodide, diagnostic, per millicurie
1570A9510Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 millicuriesTechnetium Tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
1571C7541Diagnostic 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)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)
1572C7542Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)
1573C7543Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)
1574C7544Endoscopic 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)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)
1575C7546Removal 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 interpretationRemoval 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
1576C7548Exchange 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 interpretationExchange 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
1577C7549Change 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 interpretationChange 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
1578C7550Cystourethroscopy, with biopsy(ies) with adjuctive blue light cystoscopy with fluorescent imaging agentCystourethroscopy, with biopsy(ies) with adjuctive blue light cystoscopy with fluorescent imaging agent
1579C7551Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscleExcision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle
1580A9531Iodine I-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)Iodine I-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)
1581C7553Catheter 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 performedCatheter 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 nitro
1582C7555Thyroidectomy, total or complete with parathyroid autotransplantationThyroidectomy, total or complete with parathyroid autotransplantation
1583G0321Home health services furnished using synchronous telemedicine rendered via telephone or other real-time interactive audio-only telecommunications systemHome health services furnished using synchronous telemedicine rendered via telephone or other real-time interactive audio-only telecommunications system
1584C7902Service 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)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)
1585C9101Injection, oliceridine, 0.1 mgInjection, oliceridine, 0.1 mg
1586C9143Cocaine hydrochloride nasal solution (numbrino), 1 mgCocaine hydrochloride nasal solution (numbrino), 1 mg
1587G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes)Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services
1588G0322The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e., remote patient monitoring)The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e., remote patient monitoring)
1589G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating roomFacility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room
1590G3002Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.)Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic p
1591A9538Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuriesTechnetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries
1592A9539Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuriesTechnetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries
1593A9542Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuriesIndium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries
1594A9546Cobalt Co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurieCobalt Co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie
1595A9552Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuriesFluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries
1596A9553Chromium Cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuriesChromium Cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries
1597A9554Iodine I-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuriesIodine I-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries
1598A9555Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuriesRubidium Rb-82, diagnostic, per study dose, up to 60 millicuries
1599A9556Gallium Ga-67 citrate, diagnostic, per millicurieGallium Ga-67 citrate, diagnostic, per millicurie
1600A9558Xenon Xe-133 gas, diagnostic, per 10 millicuriesXenon Xe-133 gas, diagnostic, per 10 millicuries
1601A9559Cobalt Co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurieCobalt Co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie
1602A9560Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuriesTechnetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries
1603A9561Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuriesTechnetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries
1604A9564Chromic phosphate P-32 suspension, therapeutic, per millicurieChromic phosphate P-32 suspension, therapeutic, per millicurie
1605A9567Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuriesTechnetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries
1606A9570Indium In-111 labeled autologous white blood cells, diagnostic, per study doseIndium In-111 labeled autologous white blood cells, diagnostic, per study dose
1607A9571Indium In-111 labeled autologous platelets, diagnostic, per study doseIndium In-111 labeled autologous platelets, diagnostic, per study dose
1608A9575Injection, gadoterate meglumine, 0.1 mlInjection, gadoterate meglumine, 0.1 ml
1609A9576Injection, gadoteridol, (ProHance multipack), per mlInjection, gadoteridol, (ProHance multipack), per ml
1610A9578Injection, gadobenate dimeglumine (MultiHance multipack), per mlInjection, gadobenate dimeglumine (MultiHance multipack), per ml
1611A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per mlInjection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml
1612A9580Sodium fluoride F-18, diagnostic, per study dose, up to 30 millicuriesSodium fluoride F-18, diagnostic, per study dose, up to 30 millicuries
1613A9581Injection, gadoxetate disodium, 1 mlInjection, gadoxetate disodium, 1 ml
1614A9585Injection, gadobutrol, 0.1 mlInjection, gadobutrol, 0.1 ml
1615A9586Florbetapir F18, diagnostic, per study dose, up to 10 millicuriesFlorbetapir F18, diagnostic, per study dose, up to 10 millicuries
1616A9588Fluciclovine f-18, diagnostic, 1 millicurieFluciclovine f-18, diagnostic, 1 millicurie
1617A9589Instillation, hexaminolevulinate hydrochloride, 100 mgInstillation, hexaminolevulinate hydrochloride, 100 mg
1618A9591Fluoroestradiol f 18, diagnostic, 1 millicurieFluoroestradiol f 18, diagnostic, 1 millicurie
1619A9595Piflufolastat f-18, diagnostic, 1 millicuriePiflufolastat f-18, diagnostic, 1 millicurie
1620A9596Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurieGallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie
1621A9597Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classifiedPositron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified
1622A9600Strontium Sr-89 chloride, therapeutic, per millicurieStrontium Sr-89 chloride, therapeutic, per millicurie
1623A9601Flortaucipir f 18 injection, diagnostic, 1 millicurieFlortaucipir f 18 injection, diagnostic, 1 millicurie
1624A9604Samarium Sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuriesSamarium Sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
1625A9606Radium Ra-223 dichloride, therapeutic, per microcurieRadium Ra-223 dichloride, therapeutic, per microcurie
1626A9699Radiopharmaceutical, therapeutic, not otherwise classifiedRadiopharmaceutical, therapeutic, not otherwise classified
1627A9700Supply of injectable contrast material for use in echocardiography, per studySupply of injectable contrast material for use in echocardiography, per study
1628A9800Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurieGallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie
1629C7513Dialysis 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 reportDialysis 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, rad
1630C7516Catheter 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 reportCatheter 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
1631C7517Catheter 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 interpretationCatheter 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 a
163295919Under Autonomic Function Testing ProceduresUnder Autonomic Function Testing Procedures
163395922Under Autonomic Function Testing ProceduresUnder Autonomic Function Testing Procedures
163495924Under Autonomic Function Testing ProceduresUnder Autonomic Function Testing Procedures
163595938Under Evoked Potentials and Reflex Testing ProceduresUnder Evoked Potentials and Reflex Testing Procedures
1636C7518Catheter 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 reportCatheter 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 t
1637G0320Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications systemHome health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system
163895955Under Other EEG Testing ProceduresUnder Other EEG Testing Procedures
163995957Under Other EEG Testing ProceduresUnder Other EEG Testing Procedures
164095961Under Other EEG Testing ProceduresUnder Other EEG Testing Procedures
164195966Under MEG Testing ProceduresUnder MEG Testing Procedures
164299223Under New or Established Patient Initial Hospital Inpatient Care ServicesUnder New or Established Patient Initial Hospital Inpatient Care Services
164399245Under New or Established Patient Office or Other Outpatient Consultation ServicesUnder New or Established Patient Office or Other Outpatient Consultation Services
164499252Under New or Established Patient Initial Inpatient Consultation ServicesUnder New or Established Patient Initial Inpatient Consultation Services
164599253Under New or Established Patient Initial Inpatient Consultation ServicesUnder New or Established Patient Initial Inpatient Consultation Services
164699254Under New or Established Patient Initial Inpatient Consultation ServicesUnder New or Established Patient Initial Inpatient Consultation Services
164799304Under New or Established Patient Comprehensive Nursing Facility AssessmentsUnder New or Established Patient Comprehensive Nursing Facility Assessments
164899305Under New or Established Patient Comprehensive Nursing Facility AssessmentsUnder New or Established Patient Comprehensive Nursing Facility Assessments
164999306Under New or Established Patient Comprehensive Nursing Facility AssessmentsUnder New or Established Patient Comprehensive Nursing Facility Assessments
165099307Under Subsequent Nursing Facility CareUnder Subsequent Nursing Facility Care
165199308Under Subsequent Nursing Facility CareUnder Subsequent Nursing Facility Care
165299315Under Nursing Facility Discharge ServicesUnder Nursing Facility Discharge Services
165399359Under Prolonged Service Without Direct Patient ContactUnder Prolonged Service Without Direct Patient Contact
165499360Under Prolonged Standby ServicesUnder Prolonged Standby Services
165599401Under Preventive Medicine, Individual Counseling ServicesUnder Preventive Medicine, Individual Counseling Services
165699403Under Preventive Medicine, Individual Counseling ServicesUnder Preventive Medicine, Individual Counseling Services
165799406Under Behavior Change Interventions, Individual ServicesUnder Behavior Change Interventions, Individual Services
165899412Under Preventive Medicine, Group Counseling ServicesUnder Preventive Medicine, Group Counseling Services
165999415Under Prolonged Clinical Staff Services With Physician or Other Qualified Health Care Professional SupervisionUnder Prolonged Clinical Staff Services With Physician or Other Qualified Health Care Professional Supervision
166099416Under Prolonged Clinical Staff Services With Physician or Other Qualified Health Care Professional SupervisionUnder Prolonged Clinical Staff Services With Physician or Other Qualified Health Care Professional Supervision
166199417Under Prolonged Service With or Without Direct Patient Contact on the Date of an Office or Other Outpatient ServiceUnder Prolonged Service With or Without Direct Patient Contact on the Date of an Office or Other Outpatient Service
166299418Under Prolonged Service With or Without Direct Patient Contact on the Date of an Office or Other Outpatient ServiceUnder Prolonged Service With or Without Direct Patient Contact on the Date of an Office or Other Outpatient Service
166399421Under Non-Face-to-Face On-Line Digital Evaluation and Management ServiceUnder Non-Face-to-Face On-Line Digital Evaluation and Management Service
166499422Under Non-Face-to-Face On-Line Digital Evaluation and Management ServiceUnder Non-Face-to-Face On-Line Digital Evaluation and Management Service
166599423Under Non-Face-to-Face On-Line Digital Evaluation and Management ServiceUnder Non-Face-to-Face On-Line Digital Evaluation and Management Service
166699427Under Principal Care Management ServicesUnder Principal Care Management Services
166799439Under Chronic Care Evaluation and Management ServicesUnder Chronic Care Evaluation and Management Services
166899451Under Interprofessional Telephone/Internet/Electronic Health Record ConsultationsUnder Interprofessional Telephone/Internet/Electronic Health Record Consultations
166999452Under Interprofessional Telephone/Internet/Electronic Health Record ConsultationsUnder Interprofessional Telephone/Internet/Electronic Health Record Consultations
167099457Under Remote Physiologic Monitoring Treatment Management ServicesUnder Remote Physiologic Monitoring Treatment Management Services
167199458Under Remote Physiologic Monitoring Treatment Management ServicesUnder Remote Physiologic Monitoring Treatment Management Services
167299473Under Digitally Stored Data and Remote Physiologic Monitoring ServicesUnder Digitally Stored Data and Remote Physiologic Monitoring Services
167399486Under Pediatric Critical Care Patient Transport ServicesUnder Pediatric Critical Care Patient Transport Services
167499487Under Complex Chronic Care Evaluation and Management ServicesUnder Complex Chronic Care Evaluation and Management Services
167599489Under Complex Chronic Care Evaluation and Management ServicesUnder Complex Chronic Care Evaluation and Management Services
167699490Under Chronic Care Evaluation and Management ServicesUnder Chronic Care Evaluation and Management Services
1677A2001Innovamatrix ac, per square centimeterInnovamatrix ac, per square centimeter
1678A2005Microlyte matrix, per square centimeterMicrolyte matrix, per square centimeter
1679A2008Theragenesis, per square centimeterTheragenesis, per square centimeter
1680A2010Apis, per square centimeterApis, per square centimeter
1681A2011Supra sdrm, per square centimeterSupra sdrm, per square centimeter
1682A2012Suprathel, per square centimeterSuprathel, per square centimeter
1683A2014Omeza collagen matrix, per 100 mgOmeza collagen matrix, per 100 mg
1684A2017Permeaderm glove, eachPermeaderm glove, each
1685A9520Technetium Tc-99m, tilmanocept, diagnostic, up to 0.5 millicuriesTechnetium Tc-99m, tilmanocept, diagnostic, up to 0.5 millicuries
1686A9524Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuriesIodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries
1687A9527Iodine I-125, sodium iodide solution, therapeutic, per millicurieIodine I-125, sodium iodide solution, therapeutic, per millicurie
1688A9528Iodine I-131 sodium iodide capsule(s), diagnostic, per millicurieIodine I-131 sodium iodide capsule(s), diagnostic, per millicurie
1689A9529Iodine I-131 sodium iodide solution, diagnostic, per millicurieIodine I-131 sodium iodide solution, diagnostic, per millicurie
1690A9530Iodine I-131 sodium iodide solution, therapeutic, per millicurieIodine I-131 sodium iodide solution, therapeutic, per millicurie
169192518Under Vestibular Function Tests, With Recording (eg, ENG)Under Vestibular Function Tests, With Recording (eg, ENG)
169292519Under Vestibular Function Tests, With Recording (eg, ENG)Under Vestibular Function Tests, With Recording (eg, ENG)
169392651Under Audiologic Function TestsUnder Audiologic Function Tests
169492990Under Other Therapeutic Cardiovascular Services and ProceduresUnder Other Therapeutic Cardiovascular Services and Procedures
169592997Under Other Therapeutic Cardiovascular Services and ProceduresUnder Other Therapeutic Cardiovascular Services and Procedures
169693260Under Implantable, Insertable, and Wearable Cardiac Device EvaluationsUnder Implantable, Insertable, and Wearable Cardiac Device Evaluations
169793261Under Implantable, Insertable, and Wearable Cardiac Device EvaluationsUnder Implantable, Insertable, and Wearable Cardiac Device Evaluations
169893264Under Implantable, Insertable, and Wearable Cardiac Device EvaluationsUnder Implantable, Insertable, and Wearable Cardiac Device Evaluations
169993565Under Injection Procedures During Cardiac CatheterizationsUnder Injection Procedures During Cardiac Catheterizations
170093566Under Injection Procedures During Cardiac CatheterizationsUnder Injection Procedures During Cardiac Catheterizations
170193567Under Injection Procedures During Cardiac CatheterizationsUnder Injection Procedures During Cardiac Catheterizations
170293568Under Injection Procedures During Cardiac CatheterizationsUnder Injection Procedures During Cardiac Catheterizations
170393569Under Injection Procedures During Cardiac CatheterizationsUnder Injection Procedures During Cardiac Catheterizations
170493571Under Injection Procedures During Cardiac CatheterizationsUnder Injection Procedures During Cardiac Catheterizations
170593573Under Injection Procedures During Cardiac CatheterizationsUnder Injection Procedures During Cardiac Catheterizations
170693575Under Injection Procedures During Cardiac CatheterizationsUnder Injection Procedures During Cardiac Catheterizations
170795700Under Long-term EEG SetupUnder Long-term EEG Setup
170895706Under Long-term EEG MonitoringUnder Long-term EEG Monitoring
170995708Under Long-term EEG MonitoringUnder Long-term EEG Monitoring
171095709Under Long-term EEG MonitoringUnder Long-term EEG Monitoring
171195710Under Long-term EEG MonitoringUnder Long-term EEG Monitoring
171295712Under Long-term EEG MonitoringUnder Long-term EEG Monitoring
171395714Under Long-term EEG MonitoringUnder Long-term EEG Monitoring
171495715Under Long-term EEG MonitoringUnder Long-term EEG Monitoring
171595717Under Long-term EEG MonitoringUnder Long-term EEG Monitoring
171695724Under Long-term EEG MonitoringUnder Long-term EEG Monitoring
171795725Under Long-term EEG MonitoringUnder Long-term EEG Monitoring
171895886Under Electromyography ProceduresUnder Electromyography Procedures
171995887Under Electromyography ProceduresUnder Electromyography Procedures
172096125Under Assessment of Aphasia and Cognitive Performance TestingUnder Assessment of Aphasia and Cognitive Performance Testing
172197153Under Adaptive Behavior Treatment ProceduresUnder Adaptive Behavior Treatment Procedures
172297154Under Adaptive Behavior Treatment ProceduresUnder Adaptive Behavior Treatment Procedures
172397164Under Physical Therapy EvaluationsUnder Physical Therapy Evaluations
172497166Under Occupational Therapy EvaluationsUnder Occupational Therapy Evaluations
172597167Under Occupational Therapy EvaluationsUnder Occupational Therapy Evaluations
172697168Under Occupational Therapy EvaluationsUnder Occupational Therapy Evaluations
172797170Under Athletic Training EvaluationsUnder Athletic Training Evaluations
172897171Under Athletic Training EvaluationsUnder Athletic Training Evaluations
172998976Under Remote Therapeutic Monitoring ServicesUnder Remote Therapeutic Monitoring Services
173098977Under Remote Therapeutic Monitoring ServicesUnder Remote Therapeutic Monitoring Services
173198978Under Remote Therapeutic Monitoring ServicesUnder Remote Therapeutic Monitoring Services
173299091Under Digitally Stored Data and Remote Physiologic Monitoring ServicesUnder Digitally Stored Data and Remote Physiologic Monitoring Services
173399221Under New or Established Patient Initial Hospital Inpatient Care ServicesUnder New or Established Patient Initial Hospital Inpatient Care Services
173499222Under New or Established Patient Initial Hospital Inpatient Care ServicesUnder New or Established Patient Initial Hospital Inpatient Care Services
173577385Under Radiation Treatment DeliveryUnder Radiation Treatment Delivery
173677386Under Radiation Treatment DeliveryUnder Radiation Treatment Delivery
173777424Under Radiation Treatment DeliveryUnder Radiation Treatment Delivery
173877425Under Radiation Treatment DeliveryUnder Radiation Treatment Delivery
173980143Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
174080145Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
174180150Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
174280151Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
174380158Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
174480163Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
174580168Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
174680171Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
174780173Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
174880175Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
174980204Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
175080220Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
175180235Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
175280306Under Presumptive Drug Class Screening ProceduresUnder Presumptive Drug Class Screening Procedures
175380307Under Presumptive Drug Class Screening ProceduresUnder Presumptive Drug Class Screening Procedures
175480321Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
175580322Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
175680324Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
175780325Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
175880326Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
175980328Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
176080332Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
176180339Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
176280341Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
176380342Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
176480343Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
176580346Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
176680347Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
176780348Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
176880349Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
176980350Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
177080351Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
177180352Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
177280354Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
177380355Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
177480357Under Definitive Drug Testing ProceduresUnder Definitive Drug Testing Procedures
177592928Under Coronary Therapeutic Services and ProceduresUnder Coronary Therapeutic Services and Procedures
177692929Under Coronary Therapeutic Services and ProceduresUnder Coronary Therapeutic Services and Procedures
177792933Under Coronary Therapeutic Services and ProceduresUnder Coronary Therapeutic Services and Procedures
177892934Under Coronary Therapeutic Services and ProceduresUnder Coronary Therapeutic Services and Procedures
177992960Under Other Therapeutic Cardiovascular Services and ProceduresUnder Other Therapeutic Cardiovascular Services and Procedures
178092961Under Other Therapeutic Cardiovascular Services and ProceduresUnder Other Therapeutic Cardiovascular Services and Procedures
178192975Under Coronary Therapeutic Services and ProceduresUnder Coronary Therapeutic Services and Procedures
178292977Under Coronary Therapeutic Services and ProceduresUnder Coronary Therapeutic Services and Procedures
178333984Under Extracorporeal Membrane Oxygenation or Extracorporeal Life Support Services and ProceduresUnder Extracorporeal Membrane Oxygenation or Extracorporeal Life Support Services and Procedures
178433986Under Extracorporeal Membrane Oxygenation or Extracorporeal Life Support Services and ProceduresUnder Extracorporeal Membrane Oxygenation or Extracorporeal Life Support Services and Procedures
178533988Under Extracorporeal Membrane Oxygenation or Extracorporeal Life Support Services and ProceduresUnder Extracorporeal Membrane Oxygenation or Extracorporeal Life Support Services and Procedures
178637247Under Endovascular RevascularizationUnder Endovascular Revascularization
178737248Under Endovascular RevascularizationUnder Endovascular Revascularization
178843279Under Laparoscopic Procedures on the EsophagusUnder Laparoscopic Procedures on the Esophagus
178943280Under Laparoscopic Procedures on the EsophagusUnder Laparoscopic Procedures on the Esophagus
179043281Under Laparoscopic Procedures on the EsophagusUnder Laparoscopic Procedures on the Esophagus
179143282Under Laparoscopic Procedures on the EsophagusUnder Laparoscopic Procedures on the Esophagus
179243286Under Laparoscopic Procedures on the EsophagusUnder Laparoscopic Procedures on the Esophagus
179349492Under Hernia Open ProceduresUnder Hernia Open Procedures
179449505Under Hernia Open ProceduresUnder Hernia Open Procedures
179549520Under Hernia Open ProceduresUnder Hernia Open Procedures
179649525Under Hernia Open ProceduresUnder Hernia Open Procedures
179749550Under Hernia Open ProceduresUnder Hernia Open Procedures
179849555Under Hernia Open ProceduresUnder Hernia Open Procedures
179949591Under Hernia Open ProceduresUnder Hernia Open Procedures
180049605Under Hernia Open ProceduresUnder Hernia Open Procedures
180149606Under Hernia Open ProceduresUnder Hernia Open Procedures
180249611Under Hernia Open ProceduresUnder Hernia Open Procedures
180349617Under Hernia Open ProceduresUnder Hernia Open Procedures
180450430Under Other Renal Introduction (Injection/Change/Removal) ProceduresUnder Other Renal Introduction (Injection/Change/Removal) Procedures
180550431Under Other Renal Introduction (Injection/Change/Removal) ProceduresUnder Other Renal Introduction (Injection/Change/Removal) Procedures
180655866Under Laparoscopic Procedures on the ProstateUnder Laparoscopic Procedures on the Prostate
180758674Under Laparoscopic/Hysteroscopic Procedures on the Corpus UteriUnder Laparoscopic/Hysteroscopic Procedures on the Corpus Uteri
180880184Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
180980187Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
181080188Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
181180189Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
181280192Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
181380193Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
181480194Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
181580198Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
181680200Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
181780201Under Therapeutic Drug AssaysUnder Therapeutic Drug Assays
181815740Under Other Flaps and Grafts ProceduresUnder Other Flaps and Grafts Procedures
181915750Under Other Flaps and Grafts ProceduresUnder Other Flaps and Grafts Procedures
182015756Under Other Flaps and Grafts ProceduresUnder Other Flaps and Grafts Procedures
182115758Under Other Flaps and Grafts ProceduresUnder Other Flaps and Grafts Procedures
182215760Under Other Flaps and Grafts ProceduresUnder Other Flaps and Grafts Procedures
182315771Under Other Flaps and Grafts ProceduresUnder Other Flaps and Grafts Procedures
182415773Under Other Flaps and Grafts ProceduresUnder Other Flaps and Grafts Procedures
182515774Under Other Flaps and Grafts ProceduresUnder Other Flaps and Grafts Procedures
182622860Under Spinal Instrumentation Procedures on the Spine (Vertebral Column)Under Spinal Instrumentation Procedures on the Spine (Vertebral Column)
182730469Under Repair Procedures on the NoseUnder Repair Procedures on the Nose
182831551Under Repair Procedures on the LarynxUnder Repair Procedures on the Larynx
182931553Under Repair Procedures on the LarynxUnder Repair Procedures on the Larynx
183033263Under Pacemaker or Implantable Defibrillator ProceduresUnder Pacemaker or Implantable Defibrillator Procedures
183133264Under Pacemaker or Implantable Defibrillator ProceduresUnder Pacemaker or Implantable Defibrillator Procedures
183233270Under Pacemaker or Implantable Defibrillator ProceduresUnder Pacemaker or Implantable Defibrillator Procedures
183333271Under Pacemaker or Implantable Defibrillator ProceduresUnder Pacemaker or Implantable Defibrillator Procedures
183433895Under Endovascular Repair of Congenital Heart and Vascular DefectsUnder Endovascular Repair of Congenital Heart and Vascular Defects
183533900Under Endovascular Repair of Congenital Heart and Vascular DefectsUnder Endovascular Repair of Congenital Heart and Vascular Defects
183633901Under Endovascular Repair of Congenital Heart and Vascular DefectsUnder Endovascular Repair of Congenital Heart and Vascular Defects
183733902Under Endovascular Repair of Congenital Heart and Vascular DefectsUnder Endovascular Repair of Congenital Heart and Vascular Defects
183833962Under Extracorporeal Membrane Oxygenation or Extracorporeal Life Support Services and ProceduresUnder Extracorporeal Membrane Oxygenation or Extracorporeal Life Support Services and Procedures
183933963Under Extracorporeal Membrane Oxygenation or Extracorporeal Life Support Services and ProceduresUnder Extracorporeal Membrane Oxygenation or Extracorporeal Life Support Services and Procedures
184033965Under Extracorporeal Membrane Oxygenation or Extracorporeal Life Support Services and ProceduresUnder Extracorporeal Membrane Oxygenation or Extracorporeal Life Support Services and Procedures
184143288Under Laparoscopic Procedures on the EsophagusUnder Laparoscopic Procedures on the Esophagus
184243289Under Laparoscopic Procedures on the EsophagusUnder Laparoscopic Procedures on the Esophagus
184343290Under Esophagogastroduodenoscopy ProceduresUnder Esophagogastroduodenoscopy Procedures
184445399Under Other Procedures on the Colon and RectumUnder Other Procedures on the Colon and Rectum
184546948Under Excision Procedures on the AnusUnder Excision Procedures on the Anus
1846S8425GRADIENT PRESSURE AID (GLOVE), CUSTOM MADE, MEDIUM WEIGHTCustom grad glove med
1847S8460CAMISOLE, POST-MASTECTOMYCamisole post-mast
1848S9056COMA STIMULATION PER DIEMComa stimulation per diem
1849S9083GLOBAL FEE URGENT CARE CENTERSUrgent care center global
1850S9341HOME THERAPY; ENTERAL NUTRITION VIA GRAVITY; ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (ENTERAL FORMULA AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT enteral grav diem
1851S9342HOME THERAPY; ENTERAL NUTRITION VIA PUMP; ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (ENTERAL FORMULA AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT enteral pump diem
1852S9361HOME INFUSION THERAPY, DIURETIC INTRAVENOUS THERAPY; ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT diuretic infus diem
1853S9368HOME INFUSION THERAPY, TOTAL PARENTERAL NUTRITION (TPN); MORE THAN THREE LITERS PER DAY, ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT INCLUDING STANDARD TPN FORMULA (LIPIDS, SPECIALTY AMINO ACID FORMULAS, DRUGS OTHER THAN IN STANDARD FORMULA AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT tpn over 3l diem
1854S9372HOME THERAPY; INTERMITTENT ANTICOAGULANT INJECTION THERAPY (E.G. HEPARIN); ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEM (DO NOT USE THIS CODE FOR FLUSHING OF INFUSION DEVICES WITH HEPARIN TO MAINTAIN PATENCY)HT inj anticoag diem
1855S9374HOME INFUSION THERAPY, HYDRATION THERAPY; ONE LITER PER DAY, ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT hydra 1 liter diem
1856S9430PHARMACY COMPOUNDING AND DISPENSING SERVICESPharmacy comp/disp serv
1857S9441ASTHMA EDUCATION, NON-PHYSICIAN PROVIDER, PER SESSIONAsthma education
1858S9446PATIENT EDUCATION, NOT OTHERWISE CLASSIFIED, NON-PHYSICIAN PROVIDER, GROUP, PER SESSIONPT education noc group
1859S9460DIABETIC MANAGEMENT PROGRAM, NURSE VISITDiabetic Management Program,
1860S9986NOT MEDICALLY NECESSARY SERVICE (PATIENT IS AWARE THAT SERVICE NOT MEDICALLY NECESSARY)Not medically necessary svc
1861T1005RESPITE CARE SERVICES, UP TO 15 MINUTESRespite care service 15 min
1862T1502ADMINISTRATION OF ORAL, INTRAMUSCULAR AND/OR SUBCUTANEOUS MEDICATION BY HEALTH CARE AGENCY/PROFESSIONAL, PER VISITMedication admin visit
1863T2011PREADMISSION SCREENING AND RESIDENT REVIEW (PASRR) LEVEL II EVALUATION, PER EVALUATIONPASRR Level II
1864G0427TELEHEALTH CONSULTATION, EMERGENCY DEPARTMENT OR INITIAL INPATIENT, TYPICALLY 70 MINUTES OR MORE COMMUNICATING WITH THE PATIENT VIA TELEHEALTHInpt/ED teleconsult70
1865G0429DERMAL FILLER INJECTION(S) FOR THE TREATMENT OF FACIAL LIPODYSTROPHY SYNDROME (LDS) (E.G., AS A RESULT OF HIGHLY ACTIVE ANTIRETROVIRAL THERAPY)Dermal filler injection(s)
1866G0434DRUG SCREEN, OTHER THAN CHROMATOGRAPHIC; ANY NUMBER OF DRUG CLASSES, BY CLIA WAIVED TEST OR MODERATE COMPLEXITY TEST, PER PATIENT ENCOUNTERDrug screen multi drug class
1867G0459Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapyTelehealth inpt pharm mgmt
1868G0490FACE-TO-FACE HOME HEALTH NURSING VISIT BY A RURAL HEALTH CLINIC (RHC) OR FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN AN AREA WITH A SHORTAGE OF HOME HEALTH AGENCIES. (SERVICES LIMITED TO RN OR LPN ONLY) Home visit RN, LPN by RHC/FQ
1869G0492DIALYSIS PROCEDURE WITH SINGLE EVALUATION BY A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL FOR ACUTE KIDNEY INJURY WITHOUT ESRDMd/oth eval acut kid no esrd
1870G0509TELEHEALTH CONSULTATION, CRITICAL CARE, SUBSEQUENT, PHYSICIANS TYPICALLY SPEND 50 MINUTES COMMUNICATING WITH THE PATIENT AND PROVIDERS VIA TELEHEALTHCrit care telehea consult 50
1871G0516Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)insert drug implant,>=4
1872G0916SATISFACTION WITH CARE ACHIEVED WITHIN 90 DAYS FOLLOWING CATARACT SURGERYSatisfy with care
1873G2002Limited (30 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)POST-D/C H VST NEW PT 30 M
1874G2090Patients 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 periodPT 66+ FRAILTY AND MED DEM
1875G2096Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy was not prescribed, reason not givenNO RSN ACE ARB ARNI
1876G2099Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement periodPT 66+ FRAILTY AND ADV ILL
1877G2112Patient receiving <=5 mg daily prednisone (or equivalent), or ra activity is worsening, or glucocorticoid use is for less than 6 monthsPRED<=5 MG RA GLU <6M
1878G6031ASSAY OF BENZODIAZEPINESAssay of benzodiazepines
1879G6037ASSAY OF NORTRIPTYLINEAssay of nortiptyline
1880G6050ASSAY OF ETHCHLORVYNOLAssay of ethchlorvynol
1881G8395LEFT VENTRICULAR EJECTION FRACTION (LVEF) >= 40% OR DOCUMENTATION AS NORMAL OR MILDLY DEPRESSED LEFT VENTRICULAR SYSTOLIC FUNCTIONLVEF>=40% doc normal or mild
1882G8415FOOTWEAR EVALUATION WAS NOT PERFORMEDEval on foot not performed
1883G8491I INTEND TO REPORT THE HIV/AIDS MEASURES GROUPHIV/AIDS measures grp
1884G8497ALL QUALITY ACTIONS FOR THE APPLICABLE MEASURES IN THE CORONARY ARTERY BYPASS GRAFT (CABG) MEASURES GROUP HAVE BEEN PERFORMED FOR THIS PATIENTCABG meas qual act perform
1885G8549ALL QUALITY ACTIONS FOR THE APPLICABLE MEASURES IN THE HEPATITIS C MEASURES GROUP HAVE BEEN PERFORMED FOR THIS PATIENTHepC MG qual act perform
1886G8560PATIENT HAS A HISTORY OF ACTIVE DRAINAGE FROM THE EAR WITHIN THE PREVIOUS 90 DAYSPt hx act drain prev 90 days
1887G8597MOST RECENT LDL-C >= 100 MG/DLLdl >= 100
1888G8630DOCUMENTATION THAT ADMINISTRATION OF PROPHYLACTIC PARENTERAL ANTIBIOTICS WAS INITIATED WITHIN ONE HOUR (IF FLUOROQUINOLONE OR VANCOMYCIN, TWO HOURS) PRIOR TO SURGICAL INCISION (OR START OF PROCEDURE WHEN NO INCISION IS REQUIRED), AS ORDEREDDoc antibio given b/4 surg
1889G8653RISK-ADJUSTED FUNCTIONAL STATUS CHANGE RESIDUAL SCORES FOR THE HIP IMPAIRMENT NOT MEASURED BECAUSE THE PATIENT DID NOT COMPLETE THE FS STATUS SURVEY NEAR DISCHARGE, PATIENT NOT APPROPRIATERafscrs hi no scor
1890G8669RISK-ADJUSTED FUNCTIONAL STATUS CHANGE RESIDUAL SCORE FOR THE ELBOW, WRIST OR HAND IMPAIRMENT NOT MEASURED BECAUSE THE PATIENT DID NOT COMPLETE THE FS STATUS SURVEY NEAR DISCHARGE, PATIENT NOT APPROPRIATERafscrs
1891G8979MOBILITY: WALKING & MOVING AROUND FUNCTIONAL LIMITATION, PROJECTED GOAL STATUS, AT THERAPY EPISODE OUTSET, AT REPORTING INTERVALS, AND AT DISCHARGE OR TO END REPORTINGMobility goal status
1892G8984CARRYING, MOVING & HANDLING OBJECTS FUNCTIONAL LIMITATION, CURRENT STATUS, AT THERAPY EPISODE OUTSET AND AT REPORTING INTERVALSCarry current status
1893G8986CARRYING, MOVING & HANDLING OBJECTS FUNCTIONAL LIMITATION, DISCHARGE STATUS, AT DISCHARGE FROM THERAPY OR TO END REPORTINGCarry D/C status
1894G9001COORDINATED CARE FEE, INITIAL RATEMCCD, initial rate
1895G9061ONCOLOGY; PRACTICE GUIDELINES; PATIENT'S CONDITION NOT ADDRESSED BY AVAILABLE GUIDELINES (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc prac cond noadd by guide
1896G9078ONCOLOGY; DISEASE STATUS; PROSTATE CANCER, LIMITED TO ADENOCARCINOMA AS PREDOMINANT CELL TYPE; T2 OR T3A GLEASON 8-10 OR PSA > 20 AT DIAGNOSIS WITH NO EVIDENCE OF DISEASE PROGRESSION, RECURRENCE, OR METASTASES (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx prostate T2no progres
1897G9101ONCOLOGY; DISEASE STATUS; GASTRIC CANCER, LIMITED TO ADENOCARCINOMA AS PREDOMINANT CELL TYPE; POST R1 OR R2 RESECTION (WITH OR WITHOUT NEOADJUVANT THERAPY) WITH NO EVIDENCE OF DISEASE PROGRESSION, OR METASTASES (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx gastric p R1-R2noprog
1898G9116ONCOLOGY; DISEASE STATUS; OVARIAN CANCER, LIMITED TO EPITHELIAL CANCER; EVIDENCE OF DISEASE PROGRESSION, OR RECURRENCE, AND/OR PLATINUM RESISTANCE (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx ovarian recurrence
1899G9140FRONTIER EXTENDED STAY CLINIC DEMONSTRATION; FOR A PATIENT STAY IN A CLINIC APPROVED FOR THE CMS DEMONSTRATION PROJECT; THE FOLLOWING MEASURES SHOULD BE PRESENT: THE STAY MUST BE EQUAL TO OR GREATER THAN 4 HOURS; WEATHER OR OTHER CONDITIONS MUST PREVENT TRANSFER OR THE CASE FALLS INTO A CATEGORY OF MONITORING AND OBSERVATION CASES THAT ARE PERMITTED BY THE RULES OF THE DEMONSTRATION; THERE IS A MAXIMUM FRONTIER EXTENDED STAY CLINIC (FESC) VISIT OF 48 HOURS, EXCEPT IN THE CASE WHEN WEATHER OR OTHER CONDITIONS PREVENT TRANSFER; PAYMENT IS MADE ON EACH PERIOD UP TO 4 HOURS, AFTER THE FIRST 4 HOURSFrontier extended stay demo
1900G9159SPOKEN LANGUAGE COMPREHENSION FUNCTIONAL LIMITATION, CURRENT STATUS AT THERAPY EPISODE OUTSET AND AT REPORTING INTERVALSLang comp current status
1901G9163SPOKEN LANGUAGE EXPRESSION FUNCTIONAL LIMITATION, PROJECTED GOAL STATUS AT THERAPY EPISODE OUTSET, AT REPORTING INTERVALS, AND AT DISCHARGE OR TO END REPORTING Lang express goal status
1902G9176OTHER SPEECH LANGUAGE PATHOLOGY FUNCTIONAL LIMITATION, DISCHARGE STATUS AT DISCHARGE FROM THERAPY OR TO END REPORTINGSpeech lang d/c status
1903G9214CD4+ CELL COUNT OR CD4+ CELL PERCENTAGE RESULTS DOCUMENTEDCd4 count documented
1904G9275DOCUMENTATION THAT PATIENT IS A CURRENT NON-TOBACCO USERDoc of non tobacco user
1905G9277DOCUMENTATION THAT THE PATIENT IS ON DAILY ASPIRIN OR ANTI-PLATELET OR HAS DOCUMENTATION OF A VALID CONTRAINDICATION OR EXCEPTION TO ASPIRIN/ANTI-PLATELET; CONTRAINDICATIONS/EXCEPTIONS INCLUDE ANTI-COAGULANT USE, ALLERGY TO ASPIRIN OR ANTI-PLATELETS, HISTORY OF GASTROINTESTINAL BLEED AND BLEEDING DISORDER; ADDITIONALLY, THE FOLLOWING EXCEPTIONS DOCUMENTED BY THE PHYSICIAN AS A REASON FOR NOT TAKING DAILY ASPIRIN OR ANTI-PLATELET ARE ACCEPTABLE (USE OF NON-STEROIDAL ANTI-INFLAMMATORY AGENTS, DOCUMENTED RISK FOR DRUG INTERACTION, UNCONTROLLED HYPERTENSION DEFINED AS >180 SYSTOLIC OR >110 DIASTOLIC OR GASTROESOPHAGEAL REFLUX)Doc daily aspirin or contra
1906G9286ANTIBIOTIC REGIMEN PRESCRIBED WITHIN10 DAYS AFTER ONSET OF SYMPTOMSAntibio rx w in 10d of sympt
1907G9288DOCUMENTATION OF MEDICAL REASON(S) FOR NOT REPORTING THE HISTOLOGICAL TYPE OR NSCLC-NOS CLASSIFICATION WITH AN EXPLANATION (E.G., A SOLITARY FIBROUS TUMOR IN A PERSON WITH A HISTORY OF NON-SMALL CELL CARCINOMA OR OTHER DOCUMENTED MEDICAL REASONS )Doc medrsn no hist type rpt
1908G9312SURGICAL SITE INFECTIONSurgical site infection
1909G9314AMOXICILLIN, WITH OR WITHOUT CLAVULANATE, NOT PRESCRIBED AS FIRST LINE ANTIBIOTIC AT THE TIME OF DIAGNOSIS, REASON NOT GIVENNorsn not first line amox
1910G9358POST-PARTUM SCREENINGS, EVALUATIONS AND EDUCATION NOT PERFORMEDPp eval/edu not perf
1911G9377PATIENT DID NOT HAVE THE RETINA ATTACHED AFTER 6 MONTHS FOLLOWING ONLY ONE SURGERYNo ret attach after 6mt
1912G9478SERVICES PERFORMED BY OTHER QUALIFIED THERAPIST IN THE HOSPICE SETTING, EACH 15 MINUTES Othe therapist at hospice
1913G9502DOCUMENTATION OF MEDICAL REASON FOR NOT PERFORMING FOOT EXAM (I.E., PATIENTS WHO HAVE HAD EITHER A BILATERAL AMPUTATION ABOVE OR BELOW THE KNEE, OR BOTH A LEFT AND RIGHT AMPUTATION ABOVE OR BELOW THE KNEE BEFORE OR DURING THE MEASUREMENT PERIOD) Med reas no perf foot exam
1914G9547INCIDENTAL FINDING: LIVER LESION <= 0.5 CM, CYSTIC KIDNEY LESION < 1.0 CM OR ADRENAL LESION <= 1.0 CMIncid finding liver/kid/adre
1915G9553PRIOR THYROID DISEASE DIAGNOSIS Prior thyroid dise dx
1916G9555DOCUMENTATION OF MEDICAL REASON(S) FOR RECOMMENDING FOLLOW UP IMAGING (E.G., PATIENT HAS MULTIPLE ENDOCRINE NEOPLASIA, PATIENT HAS CERVICAL LYMPHADENOPATHY, OTHER MEDICAL REASON(S))Doc med rsn for follup image
1917G9745DOCUMENTED REASON FOR NOT SCREENING OR RECOMMENDING A FOLLOW-UP FOR HIGH BLOOD PRESSUREDoc rsn no hbp scrn or f/u
1918V2218ANISEIKONIC, PER LENS, BIFOCALLens aniseikonic bifocal
1919V2219BIFOCAL SEG WIDTH OVER 28MMLens bifocal seg width over
1920V2221LENTICULAR LENS, PER LENS, BIFOCALLenticular lens, bifocal
1921V2306SPHEROCYLINDER, TRIFOCAL, PLANO TO PLUS OR MINUS 4.00D SPHERE, OVER 6.00D CYLINDER, PER LENSLens sphcyl trifocal 4.00/>6
1922G9622PATIENT NOT IDENTIFIED AS AN UNHEALTHY ALCOHOL USER WHEN SCREENED FOR UNHEALTHY ALCOHOL USE USING A SYSTEMATIC SCREENING METHOD No unheal etoh user
1923G9681ONSITE ACUTE CARE TREATMENT OF A RESIDENT WITH COPD OR ASTHMA. MAY ONLY BE BILLED ONCE PER DAY PER BENEFICIARY. Acute care chronic obstructive pulmonary disease (COPD) /asthma
1924G9686ONSITE NURSING FACILITY CONFERENCE, THAT IS SEPARATE AND DISTINCT FROM AN EVALUATION AND MANAGEMENT VISIT, INCLUDING QUALIFIED PRACTITIONER AND AT LEAST ONE MEMBER OF THE NURSING FACILITY INTERDISCIPLINARY CARE TEAMNursing Facility Conference
1925G9693PATIENT USE OF HOSPICE SERVICES ANY TIME DURING THE MEASUREMENT PERIODPt use hosp during msmt per
1926G9695LONG-ACTING INHALED BRONCHODILATOR PRESCRIBEDLong act inhal bronchdil pre
1927G9723HOSPICE SERVICES FOR PATIENT RECEIVED ANY TIME DURING THE MEASUREMENT PERIODHosp recd by pt dur msmt per
1928G9753DOCUMENTATION OF MEDICAL REASON FOR NOT CONDUCTING A SEARCH FOR DICOM FORMAT IMAGES FOR PRIOR PATIENT CT IMAGING STUDIES COMPLETED AT NON-AFFILIATED EXTERNAL HEALTHCARE FACILITIES OR ENTITIES WITHIN THE PAST 12 MONTHS THAT ARE AVAILABLE THROUGH A SECURE, AUTHORIZED, MEDIA-FREE, SHARED ARCHIVE (E.G., TRAUMA, ACUTE MYOCARDIAL INFARCTION, STROKE, AORTIC ANEURYSM WHERE TIME IS OF THE ESSENCE)Doc no dicom, ct other fac
1929G9769PATIENT HAD A BONE MINERAL DENSITY TEST IN THE PAST TWO YEARS OR RECEIVED OSTEOPOROSIS MEDICATION OR THERAPY IN THE PAST 12 MONTHSBn den 2yr/got ost med/ther
1930T2040FINANCIAL MANAGEMENT, SELF-DIRECTED, WAIVER; PER 15 MINUTESFinancial mgt waiver/15min
1931T4524ADULT SIZED DISPOSABLE INCONTINENCE PRODUCT, BRIEF/DIAPER, EXTRA LARGE, EACHAdult size brief/diaper xl
1932T4532PEDIATRIC SIZED DISPOSABLE INCONTINENCE PRODUCT, PROTECTIVE UNDERWEAR/PULL-ON, LARGE SIZE, EACHPed size pull-on lg
1933T4541INCONTINENCE PRODUCT, DISPOSABLE UNDERPAD, LARGE, EACHLarge disposable underpad
1934V2105SPHEROCYLINDER, SINGLE VISION, PLANO TO PLUS OR MINUS 4.00D SPHERE, 4.25 TO 6.00D CYLINDER, PER LENSSpherocylinder 4.00d/4.25-6d
1935V2110SPHEROCYLINDER, SINGLE VISION, PLUS OR MINUS 4.25 TO 7.00D SPHERE, OVER 6.00D CYLINDER, PER LENSSpherocylinder 4.25d/over 6d
1936V2205SPHEROCYLINDER, BIFOCAL, PLANO TO PLUS OR MINUS 4.00D SPHERE, 4.25 TO 6.00D CYLINDER, PER LENSLens sphcy bifocal 4.00d/4.2
1937V2310SPHEROCYLINDER, TRIFOCAL, PLUS OR MINUS 4.25 TO PLUS OR MINUS 7.00D SPHERE, OVER 6.00D CYLINDER, PER LENSLens sphc trifocal 4.25-7/>6
1938V2320TRIFOCAL ADD OVER 3.25DLens trifocal add over 3.25d
1939V2512CONTACT LENS, GAS PERMEABLE, BIFOCAL, PER LENSCntct lens gas permbl bifocl
1940V2513CONTACT LENS, GAS PERMEABLE, EXTENDED WEAR, PER LENSContact lens extended wear
1941V2700BALANCE LENS, PER LENSBalance lens
1942V2783LENS, INDEX GREATER THAN OR EQUAL TO 1.66 PLASTIC OR GREATER THAN OR EQUAL TO 1.80 GLASS, EXCLUDES POLYCARBONATE, PER LENSLens, >= 1.66 p/>=1.80 g
1943V2788PRESBYOPIA CORRECTING FUNCTION OF INTRAOCULAR LENSPresbyopia-correct function
1944V5040HEARING AID, MONAURAL, BODY WORN, BONE CONDUCTIONBody-worn hearing aid bone
1945V5220HEARING AID, BICROS, BEHIND THE EARBehind ear bicros hearing ai
1946V5273ASSISTIVE LISTENING DEVICE, FOR USE WITH COCHLEAR IMPLANTALD for cochlear implant
1947V5362SPEECH SCREENINGSpeech screening
1948G8724PT CATEGORY, PN CATEGORY AND HISTOLOGIC GRADE WERE NOT DOCUMENTED IN THE PATHOLOGY REPORT, REASON NOT GIVENPt, pn, hist grade not doc
1949G8738LEFT VENTRICULAR EJECTION FRACTION (LVEF) < 40% OR DOCUMENTATION OF SEVERELY OR MODERATELY DEPRESSED LEFT VENTRICULAR SYSTOLIC FUNCTIONLvef < 40%
1950G8753MOST RECENT SYSTOLIC BLOOD PRESSURE >= 140MMHGSys BP > or = 140
1951G8778DOCUMENTATION OF MEDICAL REASON(S) FOR NOT PERFORMING DIABETES SCREENING TEST (E.G., PATIENTS WITH A DIAGNOSIS OF DIABETES, OR WITH PALLIATIVE GOALS OR FOR WHOM TREATMENT OF HYPERTENSION WITH STANDARD TREATMENT GOALS IS NOT CLINICALLY APPROPRIATE)Doc med reas no diabete scrn
1952G8797SPECIMEN SITE OTHER THAN ANATOMIC LOCATION OF ESOPHAGUSSpecimen site not esophagus
1953G8848MILD OBSTRUCTIVE SLEEP APNEA (APNEA HYPOPNEA INDEX (AHI) OR RESPIRATORY DISTURBANCE INDEX (RDI) OF LESS THAN 15)Mild OSA
1954G8856REFERRAL TO A PHYSICIAN FOR AN OTOLOGIC EVALUATION PERFORMEDRef for oto eval
1955G8858REFERRAL TO A PHYSICIAN FOR AN OTOLOGIC EVALUATION NOT PERFORMED, REASON NOT GIVENNot ref for oto eval
1956G8863PATIENTS NOT ASSESSED FOR RISK OF BONE LOSS, REASON NOT GIVENNo assess bone loss
1957G8871PATIENT NOT RECEIVING A FIRST COURSE OF ANTI-TNF THERAPYNo 1st antiTNF
1958G8896DOCUMENTATION OF MEDICAL REASON(S) FOR NOT PRESCRIBING ORAL ASPIRIN OR OTHER ANTTHROMBOTIC THERAPY (E. G. , PATIENT DOCUMENTED TO BE LOW RISK OR PATIENT WITH TERMINAL ILLNESS OR TREATMENT OF HYPERTENSION WITH STANDARD TREATMENT GOALS IS NOT CLINICALLY APPROPRIATE, OR FOR WHOM RISK OF ASPIRIN OR OTHER ANTITHROMBOTIC THERAPY EXCEEDS POTENTIAL BENEFITS SUCH AS FOR INDIVIDUALS WHOSE BLOOD PRESSURE IS POORLY CONTROLLED)Doc med reas no antihtrom
1959G8898I INTEND TO REPORT THE CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) MEASURES GROUPCOPD Measures Group
1960G8905I INTEND TO REPORT THE CARDIOVASCULAR PREVENTION MEASURES GROUPCardiovascular Prevention MG
1961G8912PATIENT DOCUMENTED TO HAVE EXPERIENCED A WRONG SITE, WRONG SIDE, WRONG PATIENT, WRONG PROCEDURE OR WRONG IMPLANT EVENTPt doc with wrong event
1962G8944AJCC MELANOMA CANCER STAGE 0 THROUGH IIC MELANOMAAJCC Mel cnr stg 0 - IIC
1963G9133ONCOLOGY; DISEASE STATUS; PROSTATE CANCER, LIMITED TO ADENOCARCINOMA; HORMONE-RESPONSIVE; CLINICAL METASTASES OR M1 AT DIAGNOSIS (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx prostate clinical met
1964G9135ONCOLOGY; DISEASE STATUS; NON-HODGKIN’S LYMPHOMA, ANY CELLULAR CLASSIFICATION; STAGE III, IV, NOT RELAPSED, NOT REFRACTORY (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx NHL stg 3-4 not relap
1965G8955MOST RECENT ASSESSMENT OF ADEQUACY OF VOLUME MANAGEMENT DOCUMENTEDMost recent assess vol mgmt
1966G9004COORDINATED CARE FEE, RISK ADJUSTED LOW, INITIALMCCD, risk adj lo, initial
1967G9011COORDINATED CARE FEE, RISK ADJUSTED MAINTENANCE, LEVEL 5MCCD, risk adj, level 5
1968G9036RIMANTADINE HYDROCHLORIDE, ORAL, BRAND, PER 100 MG (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Rimantadine HCL, brand
1969G9052ONCOLOGY; PRIMARY FOCUS OF VISIT; SURVEILLANCE FOR DISEASE RECURRENCE FOR PATIENT WHO HAS COMPLETED DEFINITIVE CANCER-DIRECTED THERAPY AND CURRENTLY LACKS EVIDENCE OF RECURRENT DISEASE; CANCER DIRECTED THERAPY MIGHT BE CONSIDERED IN THE FUTURE (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc surveillance for disease
1970G9068ONCOLOGY; DISEASE STATUS; LIMITED TO SMALL CELL AND COMBINED SMALL CELL/NON-SMALL CELL; EXTENT OF DISEASE INITIALLY ESTABLISHED AS LIMITED WITH NO EVIDENCE OF DISEASE PROGRESSION, RECURRENCE, OR METASTASES (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx sclc/nsclc limited
1971G9079ONCOLOGY; DISEASE STATUS; PROSTATE CANCER, LIMITED TO ADENOCARCINOMA AS PREDOMINANT CELL TYPE; T3B-T4, ANY N; ANY T, N1 AT DIAGNOSIS WITH NO EVIDENCE OF DISEASE PROGRESSION, RECURRENCE, OR METASTASES (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx prostate T3b-T4noprog
1972G9091ONCOLOGY; DISEASE STATUS; RECTAL CANCER, LIMITED TO INVASIVE CANCER, ADENOCARCINOMA AS PREDOMINANT CELL TYPE; EXTENT OF DISEASE INITIALLY ESTABLISHED AS T3, N0, M0 (PRIOR TO NEO-ADJUVANT THERAPY, IF ANY) WITH NO EVIDENCE OF DISEASE PROGRESSION, RECURRENCE, OR METASTASES (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx rectal T3 N0 no prog
1973G9098ONCOLOGY; DISEASE STATUS; ESOPHAGEAL CANCER, LIMITED TO ADENOCARCINOMA OR SQUAMOUS CELL CARCINOMA AS PREDOMINANT CELL TYPE; M1 AT DIAGNOSIS, METASTATIC, LOCALLY RECURRENT, OR PROGRESSIVE (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx esophageal mets recur
1974G9123ONCOLOGY; DISEASE STATUS; CHRONIC MYELOGENOUS LEUKEMIA, LIMITED TO PHILADELPHIA CHROMOSOME POSITIVE AND/OR BCR-ABL POSITIVE; CHRONIC PHASE NOT IN HEMATOLOGIC, CYTOGENETIC, OR MOLECULAR REMISSION (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx CML chronic phase
1975G9138ONCOLOGY; DISEASE STATUS; NON-HODGKIN’S LYMPHOMA, ANY CELLULAR CLASSIFICATION; DIAGNOSTIC EVALUATION, STAGE NOT DETERMINED, EVALUATION OF POSSIBLE RELAPSE OR NON-RESPONSE TO THERAPY, OR NOT LISTED (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)Onc dx NHL stg unknown
1976G9143WARFARIN RESPONSIVENESS TESTING BY GENETIC TECHNIQUE USING ANY METHOD, ANY NUMBER OF SPECIMEN(S)Warfarin respon genetic test
1977G9160SPOKEN LANGUAGE COMPREHENSION FUNCTIONAL LIMITATION, PROJECTED GOAL STATUS AT THERAPY EPISODE OUTSET, AT REPORTING INTERVALS, AND AT DISCHARGE OR TO END REPORTING Lang comp goal status
1978G9207HEPATITIS C GENOTYPE TESTING DOCUMENTED AS PERFORMED WITHIN 12 MONTHS PRIOR TO INITIATION OF ANTIVIRAL TREATMENT FOR HEPATITIS CHep c genotype prior to med
1979G9230CHLAMYDIA, GONORRHEA, AND SYPHILIS NOT SCREENED, REASON NOT GIVENNorsn for gc chl syp test
1980G9242DOCUMENTATION OF VIRAL LOAD EQUAL TO OR GREATER THAN 200 COPIES/ML OR VIRAL LOAD NOT PERFORMED Doc viral load >=200
1981G9244ANTIRETROVIRAL THEREAPY NOT PRESCRIBEDAntiviral not ordered
1982G9249PATIENT HAD A MEDICAL VISIT IN THE LAST 6 MONTHSMed visit w in 6mo
1983G9276DOCUMENTATION THAT PATIENT IS A CURRENT TOBACCO USERDoc of tobacco user
1984G9290NON SMALL CELL LUNG CANCER BIOPSY AND CYTOLOGY SPECIMEN REPORT DOES NOT DOCUMENT CLASSIFICATION INTO SPECIFIC HISTOLOGIC TYPE OR CLASSIFIED AS NSCLC-NOS WITH AN EXPLANATIONNo doc type nsm lung ca
1985G9311NO SURGICAL SITE INFECTIONNo surg site infection
1986G9328DICOM FORMAT IMAGE DATA AVAILABILITY NOT DOCUMENTED IN FINAL REPORT DUE TO MEDICAL REASONS (EG, CT STUDIES PERFORMED FOR RADIATION TREATMENT PLANNING OR IMAGE-GUIDED RADIATION TREATMENT DELIVERY)Medrsn no dicom format doc
1987G9342SEARCH NOT CONDUCTED PRIOR TO AN IMAGING STUDY BEING PERFORMED FOR PRIOR PATIENT CT STUDIES COMPLETED AT NON-AFFILIATED EXTERNAL HEALTHCARE FACILITIES OR ENTITIES WITHIN THE PAST 12-MONTHS AND ARE AVAILABLE THROUGH A SECURE, AUTHORIZED, MEDIA-FREE, SHARED ARCHIVE, REASON NOT GIVENNo srch for ct in 12mo norsn
1988G9346FOLLOW-UP RECOMMENDATIONS NOT DOCUMENTED ACCORDING TO RECOMMENDED GUIDELINES FOR INCIDENTALLY DETECTED PULMONARY NODULES DUE TO MEDICAL REASONS (E.G., PATIENTS WITH KNOWN MALIGNANT DISEASE, PATIENTS WITH UNEXPLAINED FEVER, CT STUDIES PERFORMED FOR RADIATION TREATMENT PLANNING OR IMAGE-GUIDED RADIATION TREATMENT DELIVERY) No follow up pulm nod
1989G9351MORE THAN ONE CT SCAN OF THE PARANASAL SINUSES ORDERED OR RECEIVED WITHIN 90 DAYS AFTER DIAGNOSISDoc >1 sinus ct w 90d dx
199015261Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)SKIN FULL GRAFT ADD-ON
199115820Blepharoplasty, lower eyelid;REVISION OF LOWER EYELID
199215830Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomyEXC SKIN ABD
199315832Excision, excessive skin and subcutaneous tissue (includes lipectomy); thighEXCISE EXCESSIVE SKIN THIGH
199415933Excision, sacral pressure ulcer, with primary suture; with ostectomyREMOVE SACRUM PRESSURE SORE
199516020Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)DRESS/DEBRID P-THICK BURN S
199617340Cryotherapy (CO2 slush, liquid N2) for acneCRYOTHERAPY OF SKIN
199727303Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)DRAINAGE OF BONE LESION
199827326Neurectomy, popliteal (gastrocnemius)NEURECTOMY POPLITEAL
199927329Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cmRESECT THIGH/KNEE TUM < 5 C
200027345Excision of synovial cyst of popliteal space (eg, Baker's cyst)REMOVAL OF KNEE CYST
200127356Excision or curettage of bone cyst or benign tumor of femur; with allograftREMOVE FEMUR LESION/GRAFT
200227369Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrographyNJX CNTRST KNE ARTHG/CT/MRI
200327415Osteochondral allograft, knee, openOSTEOCHONDRAL KNEE ALLOGRAF
200427418Anterior tibial tubercleplasty (eg, Maquet type procedure)REPAIR DEGENERATED KNEECAP
200527447Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)TOTAL KNEE ARTHROPLASTY
200627448Osteotomy, femur, shaft or supracondylar; without fixationINCISION OF THIGH
200727497Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerveDECOMPRESSION OF THIGH/KNEE
200827498Decompression fasciotomy, thigh and/or knee, multiple compartments;DECOMPRESSION OF THIGH/KNEE
200927501Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulationTREATMENT OF THIGH FRACTURE
201027535Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performedTREAT KNEE FRACTURE
201145305Proctosigmoidoscopy, rigid; with biopsy, single or multiplePROCTOSIGMOIDOSCOPY W/BX
201245385Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueCOLONOSCOPY W/LESION REMOVA
201345550Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approachREPAIR RECTUM/REMOVE SIGMOI
201427786Closed treatment of distal fibular fracture (lateral malleolus); without manipulationTREATMENT OF ANKLE FRACTURE
201527826Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula onlyTREAT LOWER LEG FRACTURE
201600844Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; abdominoperineal resectionANESTH PELVIS SURGERY
201728485Open treatment of metatarsal fracture, includes internal fixation, when performed, eachTREAT METATARSAL FRACTURE
201828495Closed treatment of fracture great toe, phalanx or phalanges; with manipulationTREAT BIG TOE FRACTURE
201928525Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, eachTREAT TOE FRACTURE
202028660Closed treatment of interphalangeal joint dislocation; without anesthesiaTREAT TOE DISLOCATION
202128755Arthrodesis, great toe; interphalangeal jointFUSION OF BIG TOE JOINT
202229581Application of multi-layer compression system; leg (below knee), including ankle and footAPPLY MULTLAY COMPRS LWR LE
202301714Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenoplasty, elbow to shoulderANESTH UPPR ARM TENDON SURG
202401732Anesthesia for diagnostic arthroscopic procedures of elbow jointANESTH DX ELBOW ARTHROSCOPY
202515842Graft for facial nerve paralysis; free muscle flap by microsurgical techniqueNERVE PALSY MICROSURG GRAFT
202615860Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graftTEST FOR BLOOD FLOW IN GRAF
202715945Excision, ischial pressure ulcer, with skin flap closure; with ostectomyREMOVE HIP PRESSURE SORE
202817004Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesionsDESTROY PREMAL LESIONS 15/>
202923120Claviculectomy; partialPARTIAL REMOVAL COLLAR BONE
203023195Resection, humeral headREMOVAL OF HEAD OF HUMERUS
203123334Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid componentSHOULDER PROSTHESIS REMOVAL
203223335Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)SHOULDER PROSTHESIS REMOVAL
203323350Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrographyINJECTION FOR SHOULDER X-RA
203423406Tenotomy, shoulder area; multiple tendons through same incisionINCISE TENDON(S) & MUSCLE(S
203523450Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operationREPAIR SHOULDER CAPSULE
203626210Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger;REMOVAL OF FINGER LESION
203726418Repair, extensor tendon, finger, primary or secondary; without free graft, each tendonREPAIR FINGER TENDON
203826455Tenotomy, flexor, finger, open, each tendonINCISION OF FINGER TENDON
203927570Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)FIXATION OF KNEE JOINT
204027599Unlisted procedure, femur or kneeLEG SURGERY PROCEDURE
204127607Incision (eg, osteomyelitis or bone abscess), leg or ankleTREAT LOWER LEG BONE LESION
204227638Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograftREMOVE/GRAFT LEG BONE LESIO
204327704Removal of ankle implantREMOVAL OF ANKLE IMPLANT
204429902Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener lesion)MCP JOINT ARTHROSCOPY SURG
204529914Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)HIP ARTHRO W/FEMOROPLASTY
204629915Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)HIP ARTHRO ACETABULOPLASTY
204730000Drainage abscess or hematoma, nasal, internal approachDRAINAGE OF NOSE LESION
204830200Injection into turbinate(s), therapeuticINJECTION TREATMENT OF NOSE
204933010Pericardiocentesis; initial
205033141Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure)HEART TMR W/OTHER PROCEDURE
205133207Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricularINSERT HEART PM VENTRICULAR
205233215Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrodeREPOSITION PACING-DEFIB LEA
205335221Repair blood vessel, direct; intra-abdominalREPAIR BLOOD VESSEL LESION
205435241Repair blood vessel with vein graft; intrathoracic, with bypassREPAIR BLOOD VESSEL LESION
205535311Thromboendarterectomy, including patch graft, if performed; subclavian, innominate, by thoracic incisionRECHANNELING OF ARTERY
205635351Thromboendarterectomy, including patch graft, if performed; iliacRECHANNELING OF ARTERY
205700404Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breastANESTH SURGERY OF BREAST
205800520Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specifiedANESTH CHEST PROCEDURE
205900560Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; without pump oxygenatorANESTH HEART SURG W/O PUMP
206040804Removal of embedded foreign body, vestibule of mouth; simpleREMOVAL FOREIGN BODY MOUTH
206140810Excision of lesion of mucosa and submucosa, vestibule of mouth; without repairEXCISION OF MOUTH LESION
206240831Closure of laceration, vestibule of mouth; over 2.5 cm or complexREPAIR MOUTH LACERATION
206319101Biopsy of breast; open, incisionalBIOPSY OF BREAST OPEN
206419120Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesionsREMOVAL OF BREAST LESION
206519271Excision of chest wall tumor involving ribs, with plastic reconstruction; without mediastinal lymphadenectomy
206619286Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)PERQ DEV BREAST ADD US IMAG
206719288Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)PERQ DEV BREAST ADD MR GUID
206819306Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)MAST RAD URBAN TYPE
206919342Delayed insertion of breast prosthesis following mastopexy, mastectomy or in reconstructionDELAYED BREAST PROSTHESIS
207020527Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture)INJ DUPUYTREN CORD W/ENZYME
207120604Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reportingDRAIN/INJ JOINT/BURSA W/US
207220606Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reportingDRAIN/INJ JOINT/BURSA W/US
207320650Insertion of wire or pin with application of skeletal traction, including removal (separate procedure)INSERT AND REMOVE BONE PIN
207420661Application of halo, including removal; cranialAPPLICATION OF HEAD BRACE
207520680Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)REMOVAL OF SUPPORT IMPLANT
207620692Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)APPLY BONE FIXATION DEVICE
207720694Removal, under anesthesia, of external fixation systemREMOVE BONE FIXATION DEVICE
207820701Removal of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)RMVL DEEP RX DELIVERY DEVIC
207920703Removal of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure)RMVL IMED RX DELIVERY DEVIC
208020934Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for primary procedure)INTERCALARY ALGRFT COMPL
208120979Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative)US BONE STIMULATION
208286328Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])
208386409Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID19]); titer
208486769Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])
2085Q0243Injection, casirivimab and imdevimab, 2400 mg
2086C1890NO IMPLANTABLE/INSERTABLE DEVICE USED WITH DEVICE-INTENSIVE PROCEDURES
2087C9756INTRAOPERATIVE 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)
2088D0419THIS PROCEDURE IS FOR IDENTIFICATION OF LOW SALIVARY FLOW IN PATIENTS AT RISK FOR HYPOSALIVATION AND XEROSTOMIA, AS WELL AS EFFECTIVENESS OF PHARMACOLOGICAL AGENTS USED TO STIMULATE SALIVA PRODUCTION.
2089D0605ANTIBODY TESTING FOR A PUBLIC HEALTH RELATED PATHOGEN, INCLUDING CORONAVIRUS
2090D07043-D PHOTOGRAPHIC IMAGE – IMAGE CAPTURE ONLY
2091D0707INTRAORAL – PERIAPICAL RADIOGRAPHIC IMAGE – IMAGE CAPTURE ONLY
2092D0708IMAGE AXIS MAY BE HORIZONTAL OR VERTICAL.
2093D0709A RADIOGRAPHIC SURVEY OF THE WHOLE MOUTH, USUALLY CONSISTING OF 14-22 IMAGES (PERIAPICAL AND POSTERIOR BITEWING AS INDICATED) INTENDED TO DISPLAY THE CROWNS AND ROOTS OF ALL TEETH, PERIAPICAL AREAS AND ALVEOLAR BONE.
2094D1321COUNSELING SERVICES MAY INCLUDE PATIENT EDUCATION ABOUT ADVERSE ORAL, BEHAVIORAL, AND SYSTEMIC EFFECTS ASSOCIATED WITH HIGH-RISK SUBSTANCE USE AND ADMINISTRATION ROUTES. THIS INCLUDES INGESTING, INJECTING, INHALING AND VAPING. SUBSTANCES USED IN A HIGH-RISK MANNER MAY INCLUDE BUT ARE NOT LIMITED TO ALCOHOL, OPIOIDS, NICOTINE, CANNABIS, METHAMPHETAMINE AND OTHER PHARMACEUTICALS OR CHEMICALS.
2095D1516SPACE MAINTAINER - FIXED - BILATERAL, MAXILLARY
2096D1517SPACE MAINTAINER - FIXED - BILATERAL, MANDIBULAR
2097D1551RE-CEMENT OR RE-BOND BILATERAL SPACE MAINTAINER - MAXILLARY
2098D1552RE-CEMENT OR RE-BOND BILATERAL SPACE MAINTAINER - MANDIBULAR
2099D1556REMOVAL OF FIXED UNILATERAL SPACE MAINTAINER - PER QUADRANT
2100D1558REMOVAL OF FIXED BILATERAL SPACE MAINTAINER - MANDIBULAR
2101D2753CROWN - PORCELAIN FUSED TO TITANIUM AND TITANIUM ALLOYS
2102D2928PREFABRICATED PORCELAIN/CERAMIC CROWN – PERMANENT TOOTH
2103D3472FOR SURGERY ON ROOT OF PREMOLAR TOOTH. DOES NOT INCLUDE PLACEMENT OF RESTORATION.
2104D3473FOR SURGERY ON ROOT OF MOLAR TOOTH. DOES NOT INCLUDE PLACEMENT OF RESTORATION.
2105D5282REMOVABLE UNILATERAL PARTIAL DENTURE – ONE PIECE CAST METAL (INCLUDING RETENTIVE/CLASPING MATERIALS, RESTS, AND TEETH), MAXILLARY
2106D5283REMOVABLE UNILATERAL PARTIAL DENTURE – ONE PIECE CAST METAL (INCLUDING RENTENTIVE/CLASPING MATERIAS, RESTS, AND TEETH), MANDIBULAR
2107D5995A CUSTOM FABRICATED, LABORATORY PROCESSED CARRIER FOR THE MAXILLARY ARCH THAT COVERS THE TEETH AND ALVEOLAR MUCOSA. USED AS A VEHICLE TO DELIVER PRESCRIBED MEDICAMENTS FOR SUSTAINED CONTACT WITH THE GINGIVA, ALVEOLAR MUCOSA, AND INTO THE PERIODONTAL SULCUS OR POCKET.
2108D5996A CUSTOM FABRICATED, LABORATORY PROCESSED CARRIER FOR THE MANDIBULAR ARCH THAT COVERS THE TEETH AND ALVEOLAR MUCOSA. USED AS A VEHICLE TO DELIVER PRESCRIBED MEDICAMENTS FOR SUSTAINED CONTACT WITH THE GINGIVA, ALVEOLAR MUCOSA, AND INTO THE PERIODONTAL SULCUS OR POCKET.
2109D6098A METAL-CERAMIC RETAINER FOR A FIXED PARTIAL DENTURE THAT GAINS RETENTION, SUPPORT, AND STABILITY FROM AN IMPLANT.
2110D6099A METAL-CERAMIC RETAINER FOR A FIXED PARTIAL DENTURE THAT GAINS RETENTION, SUPPORT, AND STABILITY FROM AN IMPLANT.
2111D6120A METAL-CERAMIC RETAINER FOR A FIXED PARTIAL DENTURE THAT GAINS RETENTION, SUPPORT, AND STABILITY FROM AN IMPLANT.
2112D6121A METAL RETAINER FOR A FIXED PARTIAL DENTURE THAT GAINS RETENTION, SUPPORT, AND STABILITY FROM AN IMPLANT.
2113D6122A METAL RETAINER FOR A FIXED PARTIAL DENTURE THAT GAINS RETENTION, SUPPORT, AND STABILITY FROM AN IMPLANT.
2114D6123A METAL RETAINER FOR A FIXED PARTIAL DENTURE THAT GAINS RETENTION, SUPPORT, AND STABILITY FROM AN IMPLANT.
2115D6195A METAL-CERAMIC RETAINER FOR A FIXED PARTIAL DENTURE THAT GAINS RETENTION, SUPPORT, AND STABILITY FROM AN ABUTMENT ON AN IMPLANT.
2116D6243PONTIC - PORCELAIN FUSED TO TITANIUM AND TITANIUM ALLOYS
2117D6784RETAINER CROWN ¾ - TITANIUM AND TITANIUM ALLOYS
2118D7922THIS PROCEDURE CAN BE PERFORMED AT TIME AND/OR AFTER EXTRACTION TO AID IN HEMOSTASIS. THE SOCKET IS PACKED WITH A HEMOSTATIC AGENT TO AID IN HEMOSTASIS AND OR CLOT STABILIZATION.
2119D8696DOES NOT INCLUDE BRACKET AND STANDARD FIXED ORTHODONTIC APPLIANCES. IT DOES INCLUDE FUNCTIONAL APPLIANCES AND PALATAL EXPANDERS.
2120D8698RE-CEMENT OR RE-BOND FIXED RETAINER – MAXILLARY
2121D8699RE-CEMENT OR RE-BOND FIXED RETAINER – MANDIBULAR
2122D8701REPAIR OF FIXED RETAINER, INCLUDES REATTACHMENT – MAXILLARY
2123D8703REPLACEMENT OF LOST OR BROKEN RETAINER – MAXILLARY
2124D8704REPLACEMENT OF LOST OR BROKEN RETAINER – MANDIBULAR
2125D9613INFILTRATION OF A SUSTAINED RELEASE PHARMACOLOGIC AGENT FOR LONG ACTING SURGICAL SITE PAIN CONTROL. NOT FOR LOCAL ANESTHESIA PURPOSES.
2126D9946REMOVABLE DENTAL APPLIANCE DESIGNED TO MINIMIZE THE EFFECTS OF BRUXISM OR OTHER OCCLUSAL FACTORS. PROVIDES ONLY PARTIAL OCCLUSAL COVERAGE SUCH AS ANTERIOR DEPROGRAMMER. NOT TO BE REPORTED FOR ANY TYPE OF SLEEP APNEA, SNORING OR TMD APPLIANCES.
2127D9990CERTIFIED TRANSLATION OR SIGN-LANGUAGE SERVICES – PER VISIT
2128D9997SPECIAL TREATMENT CONSIDERATIONS FOR PATIENTS/INDIVIDUALS WITH PHYSICAL, MEDICAL, DEVELOPMENTAL OR COGNITIVE CONDITIONS RESULTING IN SUBSTANTIAL FUNCTIONAL LIMITATIONS, WHICH REQUIRE THAT MODIFICATIONS BE MADE TO DELIVERY OF TREATMENT TO PROVIDE COMPREHENSIVE ORAL HEALTH CARE SERVICES.
212985445Heinz bodies; induced, acetyl phenylhydrazineHEINZ BODIES INDUCED
213085611Prothrombin time; substitution, plasma fractions, eachPROTHROMBIN TEST
213186147Cardiolipin (phospholipid) antibody, each Ig classCARDIOLIPIN ANTIBODY EA IG
213286157Cold agglutinin; titerCOLD AGGLUTININ TITER
213386171Complement fixation tests, each antigenCOMPLEMENT FIXATION EACH
213486277Growth hormone, human (HGH), antibodyGROWTH HORMONE ANTIBODY
213586305Human epididymis protein 4 (HE4)HUMAN EPIDIDYMIS PROTEIN 4
213686320Immunoelectrophoresis; serumSERUM IMMUNOELECTROPHORESIS
213786654Antibody; encephalitis, Western equineENCEPHALTIS WEST EQNE ANTBD
2138Q4129UNITE BIOMATRIX, PER SQUARE CENTIMETERUnite biomatrix
2139Q4131EPIFIX OR EPICORD, PER SQUARE CENTIMETEREpifix or epicord
2140Q5103INJECTION, INFLIXIMAB-DYYB, BIOSIMILAR, (INFLECTRA), 10 MGInjection, inflectra
2141Q9972INJECTION, EPOETIN BETA, 1 MICROGRAM, (FOR ESRD ON DIALYSIS)Epoetin Beta, ESRD Use
2142Q9974INJECTION, MORPHINE SULFATE, PRESERVATION-FREE FOR EPIDURAL OR INTRATHECAL USE, 10 MG Morphine epidural/intratheca
2143Q9992INJECTION, BUPRENORPHINE EXTENDED-RELEASE (SUBLOCADE), GREATER THAN 100 MGBuprenorphine xr over 100 mg
2144S0093INJECTION, MORPHINE SULFATE, 500 MG (LOADING DOSE FOR INFUSION PUMP)Morphine 500 mg
2145S0104ZIDOVUDINE, ORAL, 100 MGZidovudine, oral, 100 mg
2146S0109METHADONE, ORAL, 5 MGMethadone oral 5mg
2147S0137DIDANOSINE (DDI), 25 MGDidanosine, 25 mg
2148S0156EXEMESTANE, 25 MGExemestane, 25 mg
2149S0285COLONOSCOPY CONSULTATION PERFORMED PRIOR TO A SCREENING COLONOSCOPY PROCEDURE cnslt before screen colonoscopy
2150S0508TRIFOCAL VISION PRESCRIPTION LENS (SAFETY, ATHLETIC, OR SUNGLASS), PER LENSTrifoc prscrp lens
2151S0618AUDIOMETRY FOR HEARING AID EVALUATION TO DETERMINE THE LEVEL AND DEGREE OF HEARING LOSSAudiometry for hearing aid
2152S1040CRANIAL REMOLDING ORTHOSIS, PEDIATRIC, RIGID, WITH SOFT INTERFACE MATERIAL, CUSTOM FABRICATED, INCLUDES FITTING AND ADJUSTMENT(S)Cranial remolding orthosis
2153S2103ADRENAL TISSUE TRANSPLANT TO BRAINAdrenal tissue transplant
2154S2117ARTHROEREISIS, SUBTALARArthroereisis, subtalar
2155S2140CORD BLOOD HARVESTING FOR TRANSPLANTATION, ALLOGENEICCord blood harvesting
2156S2361EACH ADDITIONAL CERVICAL VERTEBRAL BODY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)Vertebroplast cerv addl
2157S2411FETOSCOPIC LASER THERAPY FOR TREATMENT OF TWIN-TO-TWIN TRANSFUSION SYNDROMEFetoscop laser ther TTTS
2158S3721PROSTATE CANCER ANTIGEN 3 (PCA3) TESTINGPca3 testing
2159S3850GENETIC TESTING FOR SICKLE CELL ANEMIAGene test sickle cell
2160S3900SURFACE ELECTROMYOGRAPHY (EMG)Surface EMG
2161S4991NICOTINE PATCHES, NON-LEGENDNicotine patch nonlegend
2162S5036HOME INFUSION THERAPY, REPAIR OF INFUSION DEVICE (E.G. PUMP REPAIR)HIT device repair
2163S5161EMERGENCY RESPONSE SYSTEM; SERVICE FEE, PER MONTH (EXCLUDES INSTALLATION AND TESTING)Emer rspns sys serv permonth
2164S8121OXYGEN CONTENTS, LIQUID, 1 UNIT EQUALS 1 POUNDO2 contents liquid lb
2165S8189TRACHEOSTOMY SUPPLY, NOT OTHERWISE CLASSIFIEDTrach supply noc
2166S8422GRADIENT PRESSURE AID (SLEEVE), CUSTOM MADE, MEDIUM WEIGHTCustom grad sleeve med
2167S8429GRADIENT PRESSURE EXTERIOR WRAPGradient pressure wrap
2168S9024PARANASAL SINUS ULTRASOUNDParanasal sinus ultrasound
2169S9055PROCUREN OR OTHER GROWTH FACTOR PREPARATION TO PROMOTE WOUND HEALINGProcuren or other growth fac
2170S9122HOME HEALTH AIDE OR CERTIFIED NURSE ASSISTANT, PROVIDING CARE IN THE HOME; PER HOURHome health aide or certifie
2171S9152SPEECH THERAPY, RE-EVALUATIONSpeech therapy, re-eval
2172S9340HOME THERAPY; ENTERAL NUTRITION; ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (ENTERAL FORMULA AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT enteral per diem
2173S9343HOME THERAPY; ENTERAL NUTRITION VIA BOLUS; ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (ENTERAL FORMULA AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT enteral bolus nurs
2174S9357HOME INFUSION THERAPY, ENZYME REPLACEMENT INTRAVENOUS THERAPY; (E.G. IMIGLUCERASE); ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT enzyme replace diem
2175S9443LACTATION CLASSES, NON-PHYSICIAN PROVIDER, PER SESSIONLactation class
2176S9472CARDIAC REHABILITATION PROGRAM, NON-PHYSICIAN PROVIDER, PER DIEMCardiac rehabilitation progr
2177S9482FAMILY STABILIZATION SERVICES, PER 15 MINUTESFamily stabilization 15 min
2178S9490HOME INFUSION THERAPY, CORTICOSTEROID INFUSION; ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT corticosteroid/diem
2179S9502HOME INFUSION THERAPY, ANTIBIOTIC, ANTIVIRAL, OR ANTIFUNGAL THERAPY; ONCE EVERY 8 HOURS, ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE COORDINATION, AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND NURSING VISITS CODED SEPARATELY), PER DIEMHIT antibiotic q8h diem
2180G9767HOSPITALIZED PATIENTS WITH NEWLY DIAGNOSED CVA CONSIDERED FOR ENDOVASCULAR STROKE TREATMENTHosp new dx cva consid evst
2181G9776DOCUMENTATION OF MEDICAL REASON FOR NOT RECEIVING AT LEAST 2 PROPHYLACTIC PHARMACOLOGIC ANTI-EMETIC AGENTS OF DIFFERENT CLASSES PREOPERATIVELY AND/OR INTRAOPERATIVELY (E.G., INTOLERANCE OR OTHER MEDICAL REASON)Doc med rsn no proph antiem
218200147Anesthesia for procedures on eye; iridectomyANESTH IRIDECTOMY
218381192NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysisNTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis
218481193NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysisNTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis
218593243External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with reportExternal electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report
218693248External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; review and interpretationExternal electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; review and interpretation
218744388Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)COLONOSCOPY THRU STOMA SPX
218845114Proctectomy, partial, with anastomosis; abdominal and transsacral approachPARTIAL REMOVAL OF RECTUM
218945172Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)EXC RECT TUM TRANSANAL FULL
219026445Tenolysis, extensor tendon, hand OR finger, each tendonRELEASE HAND/FINGER TENDON
219126480Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendonTRANSPLANT HAND TENDON
219226485Transfer or transplant of tendon, palmar; without free tendon graft, each tendonTRANSPLANT PALM TENDON
219326498Transfer of tendon to restore intrinsic function; all 4 fingersFINGER TENDON TRANSFER
219449425Insertion of peritoneal-venous shuntINSERT ABDOMEN-VENOUS DRAIN
219550135Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)EXPLORATION OF KIDNEY
219661885Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode arrayINSRT/REDO NEUROSTIM 1 ARRA
219762140Cranioplasty for skull defect; up to 5 cm diameterREPAIR OF SKULL DEFECT
219862160Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure)NEUROENDOSCOPY ADD-ON
219962225Replacement or irrigation, ventricular catheterREPLACE/IRRIGATE CATHETER
220062230Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt systemREPLACE/REVISE BRAIN SHUNT
220164874Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture)REPAIR & REVISE NERVE ADD-O
220264886Nerve graft (includes obtaining graft), head or neck; more than 4 cm lengthNERVE GRAFT HEAD/NECK >4 CM
220364907Nerve pedicle transfer; second stageNERVE PEDICLE TRANSFER
220465125Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure)REVISE OCULAR IMPLANT
220565135Insertion of ocular implant secondary; after enucleation, muscles not attached to implantINSERT OCULAR IMPLANT
220665285Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissueREPAIR OF EYE WOUND
220765426Excision or transposition of pterygium; with graftREMOVAL OF EYE LESION
220870491Computed tomography, soft tissue neck; with contrast material(s)CT SOFT TISSUE NECK W/DYE
220971100Radiologic examination, ribs, unilateral; 2 viewsX-RAY EXAM RIBS UNI 2 VIEWS
221072070Radiologic examination, spine; thoracic, 2 viewsX-RAY EXAM THORAC SPINE 2VW
221172191Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessingCT ANGIOGRAPH PELV W/O&W/DY
221273040Radiologic examination, shoulder, arthrography, radiological supervision and interpretationCONTRAST X-RAY OF SHOULDER
221373219Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)MRI UPPER EXTREMITY W/DYE
221477333Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)RADIATION TREATMENT AID(S)
221577412Radiation treatment delivery, >=1 MeV; complexRADIATION TREATMENT DELIVER
221677610Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicatorsHYPERTHERMIA TREATMENT
221700797Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; gastric restrictive procedure for morbid obesityANESTH SURGERY FOR OBESITY
2218E0787External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensingCGS DOSE ADJ INSULIN INF PMP
221900813Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenumANES UPR LWR GI NDSC PX
222000820Anesthesia for procedures on lower posterior abdominal wallANESTH ABDOMINAL WALL SURG
222100922Anesthesia for procedures on male genitalia (including open urethral procedures); seminal vesiclesANESTH SPERM DUCT SURGERY
222210008Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure)FNA BX W/FLUOR GDN EA ADDL
222327392Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateralINCISION OF THIGH TENDONS
222427400Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)REVISE THIGH MUSCLES/TENDON
222527488Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, kneeREMOVAL OF KNEE PROSTHESIS
222627516Closed treatment of distal femoral epiphyseal separation; without manipulationTREAT THIGH FX GROWTH PLATE
222727532Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal tractionTREAT KNEE FRACTURE
222827594Amputation, thigh, through femur, any level; secondary closure or scar revisionAMPUTATION FOLLOW-UP SURGER
222927604Incision and drainage, leg or ankle; infected bursaDRAIN LOWER LEG BURSA
223081536Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug combination (List separately in addition to code for primary procedure)ONCOLOGY GYNECOLOGIC
223182163Angiotensin IIASSAY OF ANGIOTENSIN II
223282247Bilirubin; totalBILIRUBIN TOTAL
223384620Xylose absorption test, blood and/or urineXYLOSE TOLERANCE TEST
223485041Blood count; red blood cell (RBC), automatedAUTOMATED RBC COUNT
223585097Bone marrow, smear interpretationBONE MARROW INTERPRETATION
223685302Clotting inhibitors or anticoagulants; protein C, antigenCLOT INHIBIT PROT C ANTIGEN
223785305Clotting inhibitors or anticoagulants; protein S, totalCLOT INHIBIT PROT S TOTAL
223885380Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitativeFIBRIN DEGRADJ D-DIMER
223985730Thromboplastin time, partial (PTT); plasma or whole bloodTHROMBOPLASTIN TIME PARTIAL
224086060Antistreptolysin 0; titerANTISTREPTOLYSIN O TITER
224187341Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; hepatitis B surface antigen (HBsAg) neutralizationHEPATITIS B SURFACE AG IA
224287391Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; HIV-2HIV-2 AG IA
224390386Rho(D) immune globulin (RhIgIV), human, for intravenous useRH IG IV
224490389Tetanus immune globulin (TIg), human, for intramuscular useTETANUS IG IM
2245M1157Patient received bone marrow transplant any time during the measurement periodPatient received bone marrow transplant any time during the measurement period
2246G8599ASPIRIN OR ANOTHER ANTIPLATELET THERAPY NOT USED, REASON NOT GIVENNo asa/antiplat ther use rng
2247G0507CARE MANAGEMENT SERVICES FOR BEHAVIORAL HEALTH CONDITIONS, AT LEAST 20 MINUTES OF CLINICAL STAFF TIME, DIRECTED BY A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL, PER CALENDAR MONTH, WITH THE FOLLOWING REQUIRED ELEMENTS: INITIAL ASSESSMENT OR FOLLOW-UP MONITORING, INCLUDING THE USE OF APPLICABLE VALIDATED RATING SCALES; BEHAVIORAL HEALTH CARE PLANNING IN RELATION TO BEHAVIORAL/PSYCHIATRIC HEALTH PROBLEMS, INCLUDING REVISION FOR PATIENTS WHO ARE NOT PROGRESSING OR WHOSE STATUS CHANGES; FACILITATING AND COORDINATING TREATMENT SUCH AS PSYCHOTHERAPY, PHARMACOTHERAPY, COUNSELING AND/OR PSYCHIATRIC CONSULTATION; AND CONTINUITY OF CARE WITH A DESIGNATED MEMBER OF THE CARE TEAMCare manage serv minimum 20
224881221CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variantsCFTR GENE KNOWN FAM VARIANT
224981238F9 (coagulation factor IX) (eg, hemophilia B), full gene sequenceF9 FULL GENE SEQUENCE
225081244FMR1 (fragile X mental retardation 1) (eg, fragile X mental retardation) gene analysis; characterization of alleles (eg, expanded size and promoter methylation status)FMR1 GENE CHARAC ALLELES
225181252GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequenceGJB2 GENE FULL SEQUENCE
225281285FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size)FXN GENE CHARAC ALLELES
225381290MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb)MCOLN1 GENE
225463030Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbarLOW BACK DISK SURGERY
225563048Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; each additional segment, cervical, thoracic, or lumbar (List separately in addition to code for primary procedure)REMOVE SPINAL LAMINA ADD-ON
225681443Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)GENETIC TSTG SEVERE INH CON
225781448Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2, GJB1, MFN2, MPZ, REEP1, SPAST, SPG11, SPTLC1)HRDTRY PERPH NEURPHY PANEL
225881450Targeted genomic sequence analysis panel, hematolymphoid neoplasm or disorder, DNA analysis, and RNA analysis when performed, 5-50 genes (eg, BRAF, CEBPA, DNMT3A, EZH2, FLT3, IDH1, IDH2, JAK2, KRAS, KIT, MLL, NRAS, NPM1, NOTCH1), interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performedTARGETED GENOMIC SEQ ANALYS
225981493Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk scoreCOR ARTERY DISEASE MRNA
226081520Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence risk scoreONC BREAST MRNA 58 GENES
226183950Oncoprotein; HER-2/neuONCOPROTEIN HER-2/NEU
226284305SomatomedinASSAY OF SOMATOMEDIN
226384379Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimenSUGARS MULTIPLE QUANT
22640380TComputer-aided animation and analysis of time series retinal images for the monitoring of disease progression, unilateral or bilateral, with interpretation and report
22650575TUnder Cardiac Procedures with Evaluation on Valves and ICD SystemUnder Cardiac Procedures with Evaluation on Valves and ICD System
22663035FOxygen saturation less than or equal to 88% or a PaO2 less than or equal to 55 mm Hg (COPD)O2 SATURATION<=88%/PAO<=55
22673301FCancer stage documented in medical record as metastatic and reviewed (ONC)CANCER STAGE DOCD METAST
22684005FPharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed (OP) (IBD)PHARM THX FOR OP RXD
22694054FHemodialysis via catheter (ESRD)HEMODIALYSIS VIA CATHETER
22704481FPatient receiving ACE inhibitor/ARB therapy and beta-blocker therapy for less than 3 months or patient not receiving ACE inhibitor/ARB therapy and beta-blocker therapy (HF)PT RCVNG ACE/ARB BLKER <3MO
22710535FDyspnea management plan of care, documented (Pall Cr)DYSPNEA MNGMNT PLAN DOCD
22720550FCytopathology report on routine nongynecologic specimen finalized within two working days of accession date (PATH)CYTOPATH REPORT NONGYN SPCM
22731015FChronic obstructive pulmonary disease (COPD) symptoms assessed (Includes assessment of at least 1 of the following: dyspnea, cough/sputum, wheezing), or respiratory symptom assessment tool completed (COPD)COPD SYMPTOMS ASSESS
22741019FDyspnea assessed, present (COPD)ASSESS DYSPNEA PRESENT
22751031FSmoking status and exposure to second hand smoke in the home assessed (Asthma)SMOKING & 2ND HAND ASSESSED
22765100FPotential risk for fracture communicated to the referring physician or other qualified health care professional within 24 hours of completion of the imaging study (NUC_MED)RSK FX REF W/N 24 HRS XRAY
22773096FCentral dual-energy X-ray absorptiometry (DXA) ordered (OP)(IBD)CENTRAL DEXA ORDERED
22780001FHeart failure assessed (includes assessment of all the following components) (CAD): Blood pressure measured (2000F) Level of activity assessed (1003F) Clinical symptoms of volume overload (excess) assessed (1004F) Weight, recorded (2001F) Clinical signs of volume overload (excess) assessed (2002F)HEART FAILURE COMPOSITE
22793510FDocumentation that tuberculosis (TB) screening test performed and results interpreted (HIV) (IBD)DOC TB SCRNG-RSLTS INTERPD
22800507FPeritoneal dialysis plan of care documented (ESRD)PERITON DIALYSIS PLAN DOCD
22810521FPlan of care to address pain documented (COA) (ONC)PLAN OF CARE 4 PAIN DOCD
22820526FSubsequent visit for episode (BkP)SUBS VISIT FOR EPISODE
22837025FPatient information entered into a reminder system with a target due date for the next mammogram (RAD)PT INFOSYS ALARM 4 NXT MAMM
22843278FSerum levels of calcium, phosphorus, intact Parathyroid Hormone (PTH) and lipid profile ordered (CKD)SERUM LVLS CA/IPTH/LPD ORD
22853471FRheumatoid arthritis (RA) disease activity, moderate (RA)RA DISEASE ACTIVITY MOD
22863514FHepatitis C screening documented as performed (HIV)HEP C SCRNG DOCD AS DONE
22871000FTobacco use assessed (CAD, CAP, COPD, PV) (DM)TOBACCO USE ASSESSED
22881180FAll specified thromboembolic risk factors assessed (AFIB)THROMBOEMB RISK ASSESSED
22891461FNo qualifying cardiac event/diagnosis in previous 12 months (CAD)NO QUAL CARD DIAG PRIOR12MO
22901116FAuricular or periauricular pain assessed (AOE)AURIC/PERI PAIN ASSESSED
22912014FMental status assessed (CAP) (EM)MENTAL STATUS ASSESS
22922016FAsthma risk assessed (Asthma)ASTHMA RISK ASSESSED
22932050FWound characteristics including size and nature of wound base tissue and amount of drainage prior to debridement documented (CWC)WOUND CHAR SIZE ETC DOCD
229484479Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)ASSAY OF THYROID (T3 OR T4)
229584480Triiodothyronine T3; total (TT-3)ASSAY TRIIODOTHYRONINE (T3)
229684681C-peptideASSAY OF C-PEPTIDE
229785049Blood count; platelet, automatedAUTOMATED PLATELET COUNT
229885270Clotting; factor XI (PTA)CLOT FACTOR XI PTA
229985335Factor inhibitor testFACTOR INHIBITOR TEST
230085348Coagulation time; other methodsCOAGULATION TIME OTR METHOD
230185384Fibrinogen; activityFIBRINOGEN ACTIVITY
230285420Fibrinolytic factors and inhibitors; plasminogen, except antigenic assayFIBRINOLYTIC PLASMINOGEN
230385675Thrombin time; titerTHROMBIN TIME TITER
230464580Incision for implantation of neurostimulator electrode array; neuromuscularIMPLANT NEUROELECTRODES
230564681Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexusINJECTION TREATMENT OF NERV
230687541Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe techniqueLEGION PNEUMO DNA AMP PROB
230787640Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe techniqueSTAPH A DNA AMP PROBE
230887902Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virusGENOTYPE DNA/RNA HEP C
230987904Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)PHENOTYPE DNA HIV W/CLT ADD
231088142Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervisionCYTOPATH C/V THIN LAYER
231188162Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stainsCYTOPATH SMEAR OTHER SOURCE
231288172Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each siteCYTP DX EVAL FNA 1ST EA SIT
231386038Antinuclear antibodies (ANA);ANTINUCLEAR ANTIBODIES
231486356Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigenMONONUCLEAR CELL ANTIGEN
231586653Antibody; encephalitis, St. LouisENCEPHALTIS ST LOUIS ANTBOD
231686788Antibody; West Nile virus, IgMWEST NILE VIRUS AB IGM
231786808Serum screening for cytotoxic percent reactive antibody (PRA); quick methodCYTOTOXIC ANTIBODY SCREENIN
231886850Antibody screen, RBC, each serum techniqueRBC ANTIBODY SCREEN
231986923Compatibility test each unit; electronicCOMPATIBILITY TEST ELECTRIC
232050580Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculusKIDNEY ENDOSCOPY & TREATMEN
232150820Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)CONSTRUCT BOWEL BLADDER
232250951Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;ENDOSCOPY OF URETER
232351520Cystotomy; for simple excision of vesical neck (separate procedure)REMOVAL OF BLADDER LESION
232451597Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of rectum and colon and colostomy, or any combination thereofREMOVAL OF PELVIC STRUCTURE
232547785Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tractFUSE BILE DUCTS AND BOWEL
232648100Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy)BIOPSY OF PANCREAS OPEN
232748145Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomyPARTIAL REMOVAL OF PANCREAS
232848160Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cellsPANCREAS REMOVAL/TRANSPLANT
232948552Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, eachPREP DONOR PANCREAS/VENOUS
233048551Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile duct, ligation of mesenteric vessels, and Y-graft arterial anastomoses from iliac artery to superior mesenteric artery and to splenic arteryPREP DONOR PANCREAS
233149205Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diameterEXC ABD TUM OVER 10 CM
233249320Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)DIAG LAPARO SEPARATE PROC
233349321Laparoscopy, surgical; with biopsy (single or multiple)LAPAROSCOPY BIOPSY
233461210Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure)PIERCE SKULL IMPLANT DEVICE
233561315Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellarOPEN SKULL FOR DRAINAGE
233661321Craniectomy or craniotomy, drainage of intracranial abscess; infratentorialOPEN SKULL FOR DRAINAGE
233761516Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorialREMOVAL OF BRAIN LESION
233861522Craniectomy, infratentorial or posterior fossa; for excision of brain abscessREMOVAL OF BRAIN ABSCESS
233961563Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompressionEXCISION OF SKULL TUMOR
234061584Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenterationORBITOCRANIAL APPROACH/SKUL
234161635Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performedINTRACRAN ANGIOPLSTY W/STEN
234261751Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidanceBRAIN BIOPSY W/CT/MR GUIDE
234361770Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation sourceINCISE SKULL FOR TREATMENT
234488304Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosityTISSUE EXAM BY PATHOLOGIST
234521256Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia)RECONSTRUCTION OF ORBIT
234688321Consultation and report on referred slides prepared elsewhereMICROSLIDE CONSULTATION
234762268Percutaneous aspiration, spinal cord cyst or syrinxDRAIN SPINAL CORD CYST
234862322Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidanceNJX INTERLAMINAR LMBR/SAC
234962327Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT)NJX INTERLAMINAR LMBR/SAC
235062350Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without laminectomyIMPLANT SPINAL CANAL CATH
235194619Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s)Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s)
235293246External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)
235393247External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with reportExternal electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report
2354G2179Clinician documented that patient had medical reason for not performing lower extremity neurological examMed doc rsn no low ex
2355G2181Bmi not documented due to medical reason or patient refusal of height or weight measurementBmi not doc medrsn ptref
2356G2183Documentation patient unable to communicate and informant not availableDoc pt unable comm
2357G2184Patient does not have a caregiverNo caregiver
2358G2185Documentation caregiver is trained and certified in dementia careCaregiver dem trained
2359G2189Patients with clinical indications for imaging of the head: abnormal neurologic examImg hd abnml neuro exam
2360G2191Patients with clinical indications for imaging of the head: positional headachesInd img hd pos hd ache
2361G2192Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age>55 yrs temp hd ache
2362G2196Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening methodScreen unhlthy etoh use
2363G2197Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol userScreen hlthy etoh use
2364C9772Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performedRevasc lithotrip tibi/perone
2365C9773Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performedRevasc lithotr-stent tib/per
2366G2209Patient refused to participateRefused to participate
2367G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)Complex e/m visit add on
2368G2213Initiation of medication for the treatment of opioid use disorder in the emergency department setting, including assessment, referral to ongoing care, and arranging access to supportive services (list separately in addition to code for primary procedure)Initiat med assist tx in er
2369G2214Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professionalInit/sub psych care m 1st 30
2370G2251Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5?10 minutes of clinical discussionBrief chkin, 5-10, non-e/m
2371G2252Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussionBrief chkin by md/qhp, 11-20
2372J7212Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgramFactor viia recomb sevenfact
2373J9144Injection, daratumumab, 10 mg and hyaluronidase-fihjDaratumumab, hyaluronidase
237400215Anesthesia for intracranial procedures; cranioplasty or elevation of depressed skull fracture, extradural (simple or compound)ANESTH SKULL REPAIR/FRACT
237522514Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbarPERQ VERTEBRAL AUGMENTATION
237623020Capsular contracture release (eg, Sever type procedure)RELEASE SHOULDER JOINT
237723105Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsyREMOVE SHOULDER JOINT LININ
237823107Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign bodyEXPLORE TREAT SHOULDER JOIN
237923155Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)REMOVAL OF HUMERUS LESION
238026135Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digitREVISE FINGER JOINT EACH
238126180Excision of tendon, finger, flexor or extensor, each tendonREMOVAL OF FINGER TENDON
238226415Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rodEXCISION HAND/FINGER TENDON
238326420Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendonREPAIR/GRAFT FINGER TENDON
238429846Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridementWRIST ARTHROSCOPY/SURGERY
238529873Arthroscopy, knee, surgical; with lateral releaseKNEE ARTHROSCOPY/SURGERY
238629893Endoscopic plantar fasciotomySCOPE PLANTAR FASCIOTOMY
238729898Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensiveANKLE ARTHROSCOPY/SURGERY
238829916Arthroscopy, hip, surgical; with labral repairHIP ARTHRO W/LABRAL REPAIR
238930110Excision, nasal polyp(s), simpleREMOVAL OF NOSE POLYP(S)
239030115Excision, nasal polyp(s), extensiveREMOVAL OF NOSE POLYP(S)
239100120Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specifiedANESTH EAR SURGERY
239201963Anesthesia for cesarean hysterectomy without any labor analgesia/anesthesia careANESTH CS HYSTERECTOMY
239300731Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specifiedANES UPR GI NDSC PX NOS
239400756Anesthesia for hernia repairs in upper abdomen; transabdominal repair of diaphragmatic herniaANESTH REPAIR OF HERNIA
239500830Anesthesia for hernia repairs in lower abdomen; not otherwise specifiedANESTH REPAIR OF HERNIA
239610036Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in addition to code for primary procedure)PERQ DEV SOFT TISS ADD IMAG
239710040Acne surgery (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)ACNE SURGERY
239810060Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or singleDRAINAGE OF SKIN ABSCESS
239915829Rhytidectomy; superficial musculoaponeurotic system (SMAS) flapREMOVAL OF SKIN WRINKLES
240015838Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat padEXCISE EXCESS SKIN FAT PAD
240115839Excision, excessive skin and subcutaneous tissue (includes lipectomy); other areaEXCISE EXCESS SKIN & TISSUE
240243825Gastrojejunostomy; with vagotomy, any typeFUSION OF STOMACH AND BOWEL
240343842Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplastyV-BAND GASTROPLASTY
240444227Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosisLAP CLOSE ENTEROSTOMY
240544310Ileostomy or jejunostomy, non-tubeILEOSTOMY/JEJUNOSTOMY
240623500Closed treatment of clavicular fracture; without manipulationTREAT CLAVICLE FRACTURE
240723570Closed treatment of scapular fracture; without manipulationTREAT SHOULDER BLADE FX
240823802Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)FUSION OF SHOULDER JOINT
240924065Biopsy, soft tissue of upper arm or elbow area; superficialBIOPSY ARM/ELBOW SOFT TISSU
241024077Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cmRESECT ARM/ELBOW TUM < 5 CM
2411G9470PATIENTS NOT RECEIVING CORTICOSTEROIDS GREATER THAN OR EQUAL TO 10 MG/DAY OF PREDNISONE EQUIVALENTS FOR 60 OR GREATER CONSECUTIVE DAYS OR A SINGLE PRESCRIPTION EQUATING TO 600MG PREDNISONE OR GREATER FOR ALL FILLSNo rec cortico>60d 1rx 600mg
2412G9481Remote in-home visit for the evaluation and management of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making, furnished in real time using interactive audio and video technology. Counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology.Remote E/M new pt 10mins
241331201Ethmoidectomy; intranasal, totalREMOVAL OF ETHMOID SINUS
241431231Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)NASAL ENDOSCOPY DX
2415B4187Omegaven, 10 grams lipidsOMEGAVEN, 10 GRAMS LIPIDS
2416G9603PATIENT SURVEY SCORE IMPROVED FROM BASELINE FOLLOWING TREATMENT Pt surv improv bsline tx
2417G9657TRANSFER OF CARE DURING AN ANESTHETIC OR TO THE INTENSIVE CARE UNIT Toc dur aneth to icu
2418G9658A TRANSFER OF CARE PROTOCOL OR HANDOFF TOOL/CHECKLIST THAT INCLUDES THE REQUIRED KEY HANDOFF ELEMENTS IS NOT USED Toc tool incl elem not used
2419G9787PATIENT ALIVE AS OF THE LAST DAY OF THE MEASUREMENT YEARPt alive
2420G9832AJCC STAGE AT BREAST CANCER DIAGNOSIS = I (IA OR IB) AND T-STAGE AT BREAST CANCER DIAGNOSIS DOES NOT EQUAL = T1, T1A, T1BBrt ca dx i, no t1/t1a/t1b
2421H1005PRENATAL CARE, AT-RISK ENHANCED SERVICE PACKAGE (INCLUDES H1001-H1004)Prenatalcare enhanced srv pk
2422H2020THERAPEUTIC BEHAVIORAL SERVICES, PER DIEMTher behav svc, per diem
2423G9922Safety concerns screen provided and if positive then documented mitigation recommendationsSfty cncrns scrn nd mit recs
2424G9954Patient exhibits 2 or more risk factors for post-operative vomitingPt >2 rsk fac post-op vomit
2425G9961Systemic antimicrobials prescribedSystemic antimicro presc
242600700Anesthesia for procedures on upper anterior abdominal wall; not otherwise specifiedANESTH ABDOMINAL WALL SURG
242700730Anesthesia for procedures on upper posterior abdominal wallANESTH ABDOMINAL WALL SURG
2428H0036COMMUNITY PSYCHIATRIC SUPPORTIVE TREATMENT, FACE-TO-FACE, PER 15 MINUTESComm psy face-face per 15min
242900870Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; cystolithotomyANESTH BLADDER STONE SURG
2430J9316Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mgPertuzu, trastuzu, 10 mg
2431G9982Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity, furnished in real time using interactive audio and video technology. Counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology. Remote E/M new pt 60mins
2432G9985Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care, which requires at least 2 of the following 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. Counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology.Remote E/M est. pt 25mins
2433H0027ALCOHOL AND/OR DRUG PREVENTION ENVIRONMENTAL SERVICE (BROAD RANGE OF EXTERNAL ACTIVITIES GEARED TOWARD MODIFYING SYSTEMS IN ORDER TO MAINSTREAM PREVENTION THROUGH POLICY AND LAW)Alcohol and/or drug preventi
2434H0034MEDICATION TRAINING AND SUPPORT, PER 15 MINUTESMed trng & support per 15min
2435J0178INJECTION, AFLIBERCEPT, 1 MGAflibercept injection
2436J0190INJECTION, BIPERIDEN LACTATE, PER 5 MGInj biperiden lactate/5 mg
2437J0200INJECTION, ALATROFLOXACIN MESYLATE, 100 MGAlatrofloxacin mesylate
2438J0490INJECTION, BELIMUMAB, 10 MGBelimumab injection
2439J0561INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITSPenicillin g benzathine inj
2440J0594INJECTION, BUSULFAN, 1 MGBusulfan injection
2441J0598INJECTION, C-1 ESTERASE INHIBITOR (HUMAN), CINRYZE, 10 UNITSC-1 esterase, cinryze
2442J0717INJECTION, CERTOLIZUMAB PEGOL, 1 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)Certolizumab pegol inj 1mg
2443J0770INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MGColistimethate sodium inj
2444J0878INJECTION, DAPTOMYCIN, 1 MGDaptomycin injection
2445J1096Dexamethasone, lacrimal ophthalmic insert, 0.1 mgDEXAMETHA OPTH INSERT 0.1 M
2446J1097Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 mlPHENYLEP KETOROLAC OPTH SOL
2447J1110INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MGInj dihydroergotamine mesylt
2448J1250INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MGInj dobutamine HCL/250 mg
2449J1439INJECTION, FERRIC CARBOXYMALTOSE, 1MGInj ferric carboxymaltos 1mg
2450J1447INJECTION, TBO-FILGRASTIM, 1 MICROGRAM Inj tbo filgrastim 1 microg
2451J1580INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MGGaramycin gentamicin inj
2452J1642INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITSInj heparin sodium per 10 u
2453J1815INJECTION, INSULIN, PER 5 UNITSInsulin injection
2454J2248INJECTION, MICAFUNGIN SODIUM, 1 MGMicafungin sodium injection
2455J2300INJECTION, NALBUPHINE HYDROCHLORIDE, PER 10 MGInj nalbuphine hydrochloride
2456J2326Injection, nusinersen, 0.1 mgInj, nusinersen, 0.1mg
2457J2680INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MGFluphenazine decanoate 25 MG
2458J2995INJECTION, STREPTOKINASE, PER 250,000 IUInj streptokinase /250000 IU
2459J3111Injection, romosozumab-aqqg, 1 mgINJ. ROMOSOZUMAB-AQQG 1 MG
2460J3145INJECTION, TESTOSTERONE UNDECANOATE, 1 MGTestosterone undecanoate 1mg
2461J3485INJECTION, ZIDOVUDINE, 10 MGZidovudine
2462J3530NASAL VACCINE INHALATIONNasal vaccine inhalation
2463J7170Injection, emicizumab-kxwh, 0.5 mgInj., emicizumab-kxwh 0.5 mg
2464J7185INJECTION, FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) (XYNTHA), PER I.U.Xyntha inj
2465J7188INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, IUInj Vonwillebrand factor iu
2466J7190FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.Factor viii
2467J0591Injection, deoxycholic acid, 1 mgINJ DEOXYCHOLIC ACID, 1 MG
2468J7626BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MGBudesonide non-comp unit
2469J8520CAPECITABINE, ORAL, 150 MGCapecitabine, oral, 150 mg
2470J8540DEXAMETHASONE, ORAL, 0.25 MGOral dexamethasone
2471J8560ETOPOSIDE; ORAL, 50 MGEtoposide oral 50 MG
2472J8650NABILONE, ORAL, 1 MGNabilone oral
2473J9027INJECTION, CLOFARABINE, 1 MGClofarabine injection
2474J9155INJECTION, DEGARELIX, 1 MGDegarelix injection
2475J9171INJECTION, DOCETAXEL, 1 MGDocetaxel injection
2476J9229Injection, inotuzumab ozogamicin, 0.1 mgInj inotuzumab ozogam 0.1 mg
2477J9267INJECTION, PACLITAXEL, 1 MGPaclitaxel injection
2478J9351INJECTION, TOPOTECAN, 0.1 MGTopotecan injection
2479K0037High mount flip-up footrest, each Hi mount flip-up footrest ea
2480K0604REPLACEMENT BATTERY FOR EXTERNAL INFUSION PUMP OWNED BY PATIENT, LITHIUM, 3.6 VOLT, EACHRepl batt lithium 3.6 v
248115620Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feetDELAY FLAP F/C/C/N/AX/G/H/F
248215946Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closureREMOVE HIP PRESSURE SORE
248300142Anesthesia for procedures on eye; lens surgeryANESTH LENS SURGERY
248400174Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumorANESTH PHARYNGEAL SURGERY
248500212Anesthesia for intracranial procedures; subdural tapsANESTH SKULL DRAINAGE
248635286Repair blood vessel with graft other than vein; lower extremityREPAIR BLOOD VESSEL LESION
248735303Thromboendarterectomy, including patch graft, if performed; popliteal arteryRECHANNELING OF ARTERY
248863101Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); thoracic, single segmentREMOVE VERT BODY DCMPRN THR
248963197Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage; thoracicINCISE SPINE&CORD 2 TRX THR
249063277Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbarBX/EXC XDRL SPINE LESN LMBR
249163301Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approachREMOVE VERT XDRL BODY THRC
249263304Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervicalREMOVE VERT IDRL BODY CRVCL
249363685Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive couplingINSRT/REDO SPINE N GENERATO
249464595Revision or removal of peripheral or gastric neurostimulator pulse generator or receiverREVISE/RMV PN/GASTR STIMUL
249564612Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm)DESTROY NERVE FACE MUSCLE
249664625Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)RF ABLTJ NRV NRVTG SI JT
249764636Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for primary procedure)DESTROY L/S FACET JNT ADDL
249814041Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cmTIS TRNFR F/C/C/M/N/A/G/H/F
249915040Harvest of skin for tissue cultured skin autograft, 100 sq cm or lessHARVEST CULTURED SKIN GRAFT
250064640Destruction by neurolytic agent; other peripheral nerve or branchINJECTION TREATMENT OF NERV
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