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

Code,Category,Description
A0021,Ambulance and Other Transport Services and Supplies,"Ambulance service, outside state per mile, transport (Medicaid only)"
A0080,Ambulance and Other Transport Services and Supplies,"Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest"
A0090,Ambulance and Other Transport Services and Supplies,"Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest"
A0100,Ambulance and Other Transport Services and Supplies,Non-emergency transportation; taxi
A0110,Ambulance and Other Transport Services and Supplies,"Non-emergency transportation and bus, intra or inter state carrier"
A0120,Ambulance and Other Transport Services and Supplies,"Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems"
A0130,Ambulance and Other Transport Services and Supplies,Non-emergency transportation: wheel-chair van
A0140,Ambulance and Other Transport Services and Supplies,Non-emergency transportation and air travel (private or commercial) intra or inter state
A0160,Ambulance and Other Transport Services and Supplies,Non-emergency transportation: per mile - case worker or social worker
A0170,Ambulance and Other Transport Services and Supplies,"Transportation ancillary: parking fees, tolls, other"
A0180,Ambulance and Other Transport Services and Supplies,Non-emergency transportation: ancillary: lodging-recipient
A0190,Ambulance and Other Transport Services and Supplies,Non-emergency transportation: ancillary: meals-recipient
A0200,Ambulance and Other Transport Services and Supplies,Non-emergency transportation: ancillary: lodging escort
A0210,Ambulance and Other Transport Services and Supplies,Non-emergency transportation: ancillary: meals-escort
A0225,Ambulance and Other Transport Services and Supplies,"Ambulance service, neonatal transport, base rate, emergency transport, one way"
A0380,Ambulance and Other Transport Services and Supplies,BLS mileage (per mile)
A0382,Ambulance and Other Transport Services and Supplies,BLS routine disposable supplies
A0384,Ambulance and Other Transport Services and Supplies,BLS specialized service disposable supplies; defibrillation (used by ALS ambulances and BLS ambulances in jurisdictions where defibrillation is permitted in BLS ambulances)
A0390,Ambulance and Other Transport Services and Supplies,ALS mileage (per mile)
A0392,Ambulance and Other Transport Services and Supplies,ALS specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in BLS ambulances)
A0394,Ambulance and Other Transport Services and Supplies,ALS specialized service disposable supplies; IV drug therapy
A0396,Ambulance and Other Transport Services and Supplies,ALS specialized service disposable supplies; esophageal intubation
A0398,Ambulance and Other Transport Services and Supplies,ALS routine disposable supplies
A0420,Ambulance and Other Transport Services and Supplies,"Ambulance waiting time (ALS or BLS), one half (1/2) hour increments"
A0422,Ambulance and Other Transport Services and Supplies,"Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation"
A0424,Ambulance and Other Transport Services and Supplies,"Extra ambulance attendant, ground (ALS or BLS) or air (fixed or rotary winged); (requires medical review)"
A0425,Ambulance and Other Transport Services and Supplies,"Ground mileage, per statute mile"
A0426,Ambulance and Other Transport Services and Supplies,"Ambulance service, advanced life support, non-emergency transport, level 1 (ALS 1)"
A0427,Ambulance and Other Transport Services and Supplies,"Ambulance service, advanced life support, emergency transport, level 1 (ALS 1-emergency)"
A0428,Ambulance and Other Transport Services and Supplies,"Ambulance service, basic life support, non-emergency transport, (BLS)"
A0429,Ambulance and Other Transport Services and Supplies,"Ambulance service, basic life support, emergency transport (BLS-emergency)"
A0430,Ambulance and Other Transport Services and Supplies,"Ambulance service, conventional air services, transport, one way (fixed wing)"
A0431,Ambulance and Other Transport Services and Supplies,"Ambulance service, conventional air services, transport, one way (rotary wing)"
A0432,Ambulance and Other Transport Services and Supplies,"Paramedic intercept (PI), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers"
A0433,Ambulance and Other Transport Services and Supplies,"Advanced life support, level 2 (ALS 2)"
A0434,Ambulance and Other Transport Services and Supplies,Specialty care transport (SCT)
A0435,Ambulance and Other Transport Services and Supplies,"Fixed wing air mileage, per statute mile"
A0436,Ambulance and Other Transport Services and Supplies,"Rotary wing air mileage, per statute mile"
A0888,Ambulance and Other Transport Services and Supplies,"Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)"
A0998,Ambulance and Other Transport Services and Supplies,"Ambulance response and treatment, no transport"
A0999,Ambulance and Other Transport Services and Supplies,Unlisted ambulance service
A2001,"Matrix for Wound Management (Placental, Equine, Synthetic)","Innovamatrix ac, per square centimeter"
A2002,"Matrix for Wound Management (Placental, Equine, Synthetic)","Mirragen advanced wound matrix, per square centimeter"
A2004,"Matrix for Wound Management (Placental, Equine, Synthetic)","Xcellistem, 1 mg"
A2005,"Matrix for Wound Management (Placental, Equine, Synthetic)","Microlyte matrix, per square centimeter"
A2006,"Matrix for Wound Management (Placental, Equine, Synthetic)","Novosorb synpath dermal matrix, per square centimeter"
A2007,"Matrix for Wound Management (Placental, Equine, Synthetic)","Restrata, per square centimeter"
A2008,"Matrix for Wound Management (Placental, Equine, Synthetic)","Theragenesis, per square centimeter"
A2009,"Matrix for Wound Management (Placental, Equine, Synthetic)","Symphony, per square centimeter"
A2010,"Matrix for Wound Management (Placental, Equine, Synthetic)","Apis, per square centimeter"
A2011,"Matrix for Wound Management (Placental, Equine, Synthetic)","Supra sdrm, per square centimeter"
A2012,"Matrix for Wound Management (Placental, Equine, Synthetic)","Suprathel, per square centimeter"
A2013,"Matrix for Wound Management (Placental, Equine, Synthetic)","Innovamatrix fs, per square centimeter"
A2014,"Matrix for Wound Management (Placental, Equine, Synthetic)","Omeza collagen matrix, per 100 mg"
A2015,"Matrix for Wound Management (Placental, Equine, Synthetic)","Phoenix wound matrix, per square centimeter"
A2016,"Matrix for Wound Management (Placental, Equine, Synthetic)","Permeaderm b, per square centimeter"
A2017,"Matrix for Wound Management (Placental, Equine, Synthetic)","Permeaderm glove, each"
A2018,"Matrix for Wound Management (Placental, Equine, Synthetic)","Permeaderm c, per square centimeter"
A2019,"Matrix for Wound Management (Placental, Equine, Synthetic)","Kerecis omega3 marigen shield, per square centimeter"
A2020,"Matrix for Wound Management (Placental, Equine, Synthetic)",Ac5 advanced wound system (ac5)
A2021,"Matrix for Wound Management (Placental, Equine, Synthetic)","Neomatrix, per square centimeter"
A2022,"Matrix for Wound Management (Placental, Equine, Synthetic)","Innovaburn or innovamatrix xl, per square centimeter"
A2023,"Matrix for Wound Management (Placental, Equine, Synthetic)","Innovamatrix pd, 1 mg"
A2024,"Matrix for Wound Management (Placental, Equine, Synthetic)","Resolve matrix or xenopatch, per square centimeter"
A2025,"Matrix for Wound Management (Placental, Equine, Synthetic)","Miro3d, per cubic centimeter"
A2026,"Matrix for Wound Management (Placental, Equine, Synthetic)","Restrata minimatrix, 5 mg"
A2027,"Matrix for Wound Management (Placental, Equine, Synthetic)","Matriderm, per square centimeter"
A2028,"Matrix for Wound Management (Placental, Equine, Synthetic)","Micromatrix flex, per mg"
A2029,"Matrix for Wound Management (Placental, Equine, Synthetic)","Mirotract wound matrix sheet, per cubic centimeter"
A4100,Skin Substitute Device,"Skin substitute, fda cleared as a device, not otherwise specified"
C1052,Other Therapeutic Procedures,"Hemostatic agent, gastrointestinal, topical"
C1062,Other Therapeutic Procedures,"Intravertebral body fracture augmentation with implant (e.g., metal, polymer)"
C1600,"Surgical, Imaging Devices and Grafts","Catheter, transluminal intravascular lesion preparation device, bladed, sheathed (insertable)"
C1601,"Surgical, Imaging Devices and Grafts","Endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable)"
C1602,"Surgical, Imaging Devices and Grafts","Orthopedic/device/drug matrix/absorbable bone void filler, antimicrobial-eluting (implantable)"
C1603,"Surgical, Imaging Devices and Grafts","Retrieval device, insertable, laser (used to retrieve intravascular inferior vena cava filter)"
C1604,"Surgical, Imaging Devices and Grafts","Graft, transmural transvenous arterial bypass (implantable), with all delivery system components"
C1605,"Surgical, Imaging Devices and Grafts","Pacemaker, leadless, dual chamber (right atrial and right ventricular implantable components), rate-responsive, including all necessary components for implantation"
C1606,"Surgical, Imaging Devices and Grafts","Adapter, single-use (i.e. disposable), for attaching ultrasound system to upper gastrointestinal endoscope"
J9000,Chemotherapy Drugs,"Injection, doxorubicin hydrochloride, 10 mg"
J9015,Chemotherapy Drugs,"Injection, aldesleukin, per single use vial"
J9017,Chemotherapy Drugs,"Injection, arsenic trioxide, 1 mg"
J9019,Chemotherapy Drugs,"Injection, asparaginase (Erwinaze), 1, 000 IU"
J9020,Chemotherapy Drugs,"Injection, asparaginase, not otherwise specified, 10, 000 units"
J9021,Chemotherapy Drugs,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg"
J9022,Chemotherapy Drugs,"Injection, atezolizumab, 10 mg"
J9023,Chemotherapy Drugs,"Injection, avelumab, 10 mg"
J9025,Chemotherapy Drugs,"Injection, azacitidine, 1 mg"
J9026,Chemotherapy Drugs,"Injection, tarlatamab-dlle, 1 mg"
J9027,Chemotherapy Drugs,"Injection, clofarabine, 1 mg"
J9028,Chemotherapy Drugs,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram"
J9029,Chemotherapy Drugs,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose"
J9030,Chemotherapy Drugs,"BCG live intravesical instillation, 1 mg"
J9032,Chemotherapy Drugs,"Injection, belinostat, 10 mg"
J9033,Chemotherapy Drugs,"Injection, bendamustine hydrochloride, 1 mg"
J9034,Chemotherapy Drugs,"Injection, bendamustine HCL (bendeka), 1 mg"
J9035,Chemotherapy Drugs,"Injection, bevacizumab, 10 mg"
J9036,Chemotherapy Drugs,"Injection, bendamustine hydrochloride, (Belrapzo), 1 mg"
J9037,Chemotherapy Drugs,"Injection, belantamab mafodontin-blmf, 0.5 mg"
J9039,Chemotherapy Drugs,"Injection, blinatumomab, 1 microgram"
J9040,Chemotherapy Drugs,"Injection, bleomycin sulfate, 15 units"
J9041,Chemotherapy Drugs,"Injection, bortezomib, 0.1 mg"
J9042,Chemotherapy Drugs,"Injection, brentuximab vedotin, 1 mg"
J9043,Chemotherapy Drugs,"Injection, cabazitaxel, 1 mg"
J9045,Chemotherapy Drugs,"Injection, carboplatin, 50 mg"
J9046,Chemotherapy Drugs,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg"
J9047,Chemotherapy Drugs,"Injection, carfilzomib, 1 mg"
J9048,Chemotherapy Drugs,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg"
J9049,Chemotherapy Drugs,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg"
J9050,Chemotherapy Drugs,"Injection, carmustine, 100 mg"
J9051,Chemotherapy Drugs,"Injection, bortezomib (maia), not therapeutically equivalent to j9041, 0.1 mg"
J9052,Chemotherapy Drugs,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg"
J9055,Chemotherapy Drugs,"Injection, cetuximab, 10 mg"
J9056,Chemotherapy Drugs,"Injection, bendamustine hydrochloride (vivimusta), 1 mg"
J9057,Chemotherapy Drugs,"Injection, copanlisib, 1 mg"
J9060,Chemotherapy Drugs,"Injection, cisplatin, powder or solution, 10 mg"
J9061,Chemotherapy Drugs,"Injection, amivantamab-vmjw, 2 mg"
J9063,Chemotherapy Drugs,"Injection, mirvetuximab soravtansine-gynx, 1 mg"
J9064,Chemotherapy Drugs,"Injection, cabazitaxel (sandoz), not therapeutically equivalent to j9043, 1 mg"
J9065,Chemotherapy Drugs,"Injection, cladribine, per 1 mg"
J9071,Chemotherapy Drugs,"Injection, cyclophosphamide (auromedics), 5 mg"
J9072,Chemotherapy Drugs,"Injection, cyclophosphamide (avyxa), 5 mg"
J9073,Chemotherapy Drugs,"Injection, cyclophosphamide (ingenus), 5 mg"
J9074,Chemotherapy Drugs,"Injection, cyclophosphamide (sandoz), 5 mg"
J9075,Chemotherapy Drugs,"Injection, cyclophosphamide, not otherwise specified, 5 mg"
J9076,Chemotherapy Drugs,"Injection, cyclophosphamide (baxter), 5 mg"
J9098,Chemotherapy Drugs,"Injection, cytarabine liposome, 10 mg"
J9100,Chemotherapy Drugs,"Injection, cytarabine, 100 mg"
J9118,Chemotherapy Drugs,"Injection, calaspargase pegol-mknl, 10 units"
J9119,Chemotherapy Drugs,"Injection, cemiplimab-rwlc, 1 mg"
J9120,Chemotherapy Drugs,"Injection, dactinomycin, 0.5 mg"
J9130,Chemotherapy Drugs,"Dacarbazine, 100 mg"
J9144,Chemotherapy Drugs,"Injection, daratumumab, 10 mg and hyaluronidase-fihj"
J9145,Chemotherapy Drugs,"Injection, daratumumab, 10 mg"
J9150,Chemotherapy Drugs,"Injection, daunorubicin, 10 mg"
J9151,Chemotherapy Drugs,"Injection, daunorubicin Citrate, liposomal formulation, 10 mg"
J9153,Chemotherapy Drugs,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine"
J9155,Chemotherapy Drugs,"Injection, degarelix, 1 mg"
J9165,Chemotherapy Drugs,"Injection, diethylstilbestrol diphosphate, 250 mg"
J9171,Chemotherapy Drugs,"Injection, docetaxel, 1 mg"
J9172,Chemotherapy Drugs,"Injection, docetaxel (docivyx), 1 mg"
J9173,Chemotherapy Drugs,"Injection, durvalumab, 10 mg"
J9175,Chemotherapy Drugs,"Injection, Elliotts' B solution, 1 ml"
J9176,Chemotherapy Drugs,"Injection, elotuzumab, 1 mg"
J9177,Chemotherapy Drugs,"Injection, enfortumab vedotin-ejfv, 0.25 mg"
J9178,Chemotherapy Drugs,"Injection, epirubicin HCl, 2 mg"
J9179,Chemotherapy Drugs,"Injection, eribulin mesylate, 0.1 mg"
J9181,Chemotherapy Drugs,"Injection, etoposide, 10 mg"
J9185,Chemotherapy Drugs,"Injection, fludarabine phosphate, 50 mg"
J9190,Chemotherapy Drugs,"Injection, fluorouracil, 500 mg"
J9196,Chemotherapy Drugs,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg"
J9198,Chemotherapy Drugs,"Injection, gemcitabine hydrochloride, (infugem), 100 mg"
J9200,Chemotherapy Drugs,"Injection, floxuridine, 500 mg"
J9201,Chemotherapy Drugs,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg"
J9202,Chemotherapy Drugs,"Goserelin acetate implant, per 3.6 mg"
J9203,Chemotherapy Drugs,"Injection, gemtuzumab ozogamicin, 0.1 mg"
J9204,Chemotherapy Drugs,"Injection, mogamulizumab-kpkc, 1 mg"
J9205,Chemotherapy Drugs,"Injection, irinotecan liposome, 1 mg"
J9206,Chemotherapy Drugs,"Injection, irinotecan, 20 mg"
J9207,Chemotherapy Drugs,"Injection, ixabepilone, 1 mg"
J9208,Chemotherapy Drugs,"Injection, ifosfamide, 1 gram"
J9209,Chemotherapy Drugs,"Injection, mesna, 200 mg"
J9210,Chemotherapy Drugs,"Injection, emapalumab-lzsg, 1 mg"
J9211,Chemotherapy Drugs,"Injection, idarubicin hydrochloride, 5 mg"
J9212,Chemotherapy Drugs,"Injection, interferon alfacon-1, recombinant, 1 microgram"
J9213,Chemotherapy Drugs,"Injection, interferon, alfa-2a, recombinant, 3 million units"
J9214,Chemotherapy Drugs,"Injection, interferon, alfa-2b, recombinant, 1 million units"
J9215,Chemotherapy Drugs,"Injection, interferon, alfa-N3, (human leukocyte derived), 250, 000 IU"
J9216,Chemotherapy Drugs,"Injection, interferon, gamma 1-b, 3 million units"
J9217,Chemotherapy Drugs,"Leuprolide acetate (for depot suspension), 7.5 mg"
J9218,Chemotherapy Drugs,"Leuprolide acetate, per 1 mg"
J9219,Chemotherapy Drugs,"Leuprolide acetate implant, 65 mg"
J9223,Chemotherapy Drugs,"Injection, lurbinectedin, 0.1 mg"
J9225,Chemotherapy Drugs,"Histrelin implant (Vantas), 50 mg"
J9226,Chemotherapy Drugs,"Histrelin implant (Supprelin LA), 50 mg"
J9227,Chemotherapy Drugs,"Injection, isatuximab-irfc, 10 mg"
J9228,Chemotherapy Drugs,"Injection, ipilimumab, 1 mg"
J9229,Chemotherapy Drugs,"Injection, inotuzumab ozogamicin, 0.1 mg"
J9230,Chemotherapy Drugs,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg"
J9245,Chemotherapy Drugs,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg"
J9246,Chemotherapy Drugs,"Injection, melphalan (evomela), 1 mg"
J9247,Chemotherapy Drugs,"Injection, melphalan flufenamide, 1mg"
J9248,Chemotherapy Drugs,"Injection, melphalan (hepzato), 1 mg"
J9249,Chemotherapy Drugs,"Injection, melphalan (apotex), 1 mg"
J9255,Chemotherapy Drugs,"Injection, methotrexate (accord), not therapeutically equivalent to j9260, 50 mg"
J9260,Chemotherapy Drugs,"Injection, methotrexate sodium, 50 mg"
J9261,Chemotherapy Drugs,"Injection, nelarabine, 50 mg"
J9262,Chemotherapy Drugs,"Injection, omacetaxine mepesuccinate, 0.01 mg"
J9263,Chemotherapy Drugs,"Injection, oxaliplatin, 0.5 mg"
J9264,Chemotherapy Drugs,"Injection, paclitaxel protein-bound particles, 1 mg"
J9266,Chemotherapy Drugs,"Injection, pegaspargase, per single dose vial"
J9267,Chemotherapy Drugs,"Injection, paclitaxel, 1 mg"
J9268,Chemotherapy Drugs,"Injection, pentostatin, 10 mg"
J9269,Chemotherapy Drugs,"Injection, tagraxofusp-erzs, 10 micrograms"
J9270,Chemotherapy Drugs,"Injection, plicamycin, 2.5 mg"
J9271,Chemotherapy Drugs,"Injection, pembrolizumab, 1 mg"
J9272,Chemotherapy Drugs,"Injection, dostarlimab-gxly, 10 mg"
J9273,Chemotherapy Drugs,"Injection, tisotumab vedotin-tftv, 1 mg"
J9274,Chemotherapy Drugs,"Injection, tebentafusp-tebn, 1 microgram"
J9280,Chemotherapy Drugs,"Injection, mitomycin, 5 mg"
J9281,Chemotherapy Drugs,"Mitomycin pyelocalyceal instillation, 1 mg"
J9285,Chemotherapy Drugs,"Injection, olaratumab, 10 mg"
J9286,Chemotherapy Drugs,"Injection, glofitamab-gxbm, 2.5 mg"
J9292,Chemotherapy Drugs,"Injection, pemetrexed (avyxa), not therapeutically equivalent to j9305, 10 mg"
J9293,Chemotherapy Drugs,"Injection, mitoxantrone hydrochloride, per 5 mg"
J9294,Chemotherapy Drugs,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg"
J9295,Chemotherapy Drugs,"Injection, necitumumab, 1 mg"
J9296,Chemotherapy Drugs,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg"
J9297,Chemotherapy Drugs,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg"
J9298,Chemotherapy Drugs,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg"
J9299,Chemotherapy Drugs,"Injection, nivolumab, 1 mg"
J9301,Chemotherapy Drugs,"Injection, obinutuzumab, 10 mg"
J9302,Chemotherapy Drugs,"Injection, ofatumumab, 10 mg"
J9303,Chemotherapy Drugs,"Injection, panitumumab, 10 mg"
J9304,Chemotherapy Drugs,"Injection, pemetrexed (pemfexy), 10 mg"
J9305,Chemotherapy Drugs,"Injection, pemetrexed, not otherwise specified, 10 mg"
J9306,Chemotherapy Drugs,"Injection, pertuzumab, 1 mg"
J9307,Chemotherapy Drugs,"Injection, pralatrexate, 1 mg"
J9308,Chemotherapy Drugs,"Injection, ramucirumab, 5 mg"
J9309,Chemotherapy Drugs,"Injection, polatuzumab vedotin-piiq, 1 mg"
J9311,Chemotherapy Drugs,"Injection, rituximab 10 mg and hyaluronidase"
J9312,Chemotherapy Drugs,"Injection, rituximab, 10 mg"
J9313,Chemotherapy Drugs,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg"
J9314,Chemotherapy Drugs,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg"
J9316,Chemotherapy Drugs,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg"
J9317,Chemotherapy Drugs,"Injection, sacituzumab govitecan-hziy, 2.5 mg"
J9318,Chemotherapy Drugs,"Injection, romidepsin, non-lyophilized, 0.1 mg"
J9319,Chemotherapy Drugs,"Injection, romidepsin, lyophilized, 0.1 mg"
J9320,Chemotherapy Drugs,"Injection, streptozocin, 1 gram"
J9321,Chemotherapy Drugs,"Injection, epcoritamab-bysp, 0.16 mg"
J9322,Chemotherapy Drugs,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg"
J9323,Chemotherapy Drugs,"Injection, pemetrexed ditromethamine, 10 mg"
J9324,Chemotherapy Drugs,"Injection, pemetrexed (pemrydi rtu), 10 mg"
J9325,Chemotherapy Drugs,"Injection, talimogene laherparepvec, per 1 million plaque forming units"
J9328,Chemotherapy Drugs,"Injection, temozolomide, 1 mg"
J9329,Chemotherapy Drugs,"Injection, tislelizumab-jsgr, 1mg"
J9330,Chemotherapy Drugs,"Injection, temsirolimus, 1 mg"
J9331,Chemotherapy Drugs,"Injection, sirolimus protein-bound particles, 1 mg"
J9332,Chemotherapy Drugs,"Injection, efgartigimod alfa-fcab, 2mg"
J9333,Chemotherapy Drugs,"Injection, rozanolixizumab-noli, 1 mg"
J9334,Chemotherapy Drugs,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc"
J9340,Chemotherapy Drugs,"Injection, thiotepa, 15 mg"
J9345,Chemotherapy Drugs,"Injection, retifanlimab-dlwr, 1 mg"
J9347,Chemotherapy Drugs,"Injection, tremelimumab-actl, 1 mg"
J9348,Chemotherapy Drugs,"Injection, naxitamab-gqgk, 1 mg"
J9349,Chemotherapy Drugs,"Injection, tafasitamab-cxix, 2 mg"
J9350,Chemotherapy Drugs,"Injection, mosunetuzumab-axgb, 1 mg"
J9351,Chemotherapy Drugs,"Injection, topotecan, 0.1 mg"
J9352,Chemotherapy Drugs,"Injection, trabectedin, 0.1 mg"
J9353,Chemotherapy Drugs,"Injection, margetuximab-cmkb, 5 mg"
J9354,Chemotherapy Drugs,"Injection, ado-trastuzumab emtansine, 1 mg"
J9355,Chemotherapy Drugs,"Injection, trastuzumab, excludes biosimilar, 10 mg"
J9356,Chemotherapy Drugs,"Injection, trastuzumab, 10 mg and Hyaluronidase-oysk"
J9357,Chemotherapy Drugs,"Injection, valrubicin, intravesical, 200 mg"
J9358,Chemotherapy Drugs,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg"
J9359,Chemotherapy Drugs,"Injection, loncastuximab tesirine-lpyl, 0.075 mg"
J9360,Chemotherapy Drugs,"Injection, vinblastine sulfate, 1 mg"
J9361,Chemotherapy Drugs,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg"
J9370,Chemotherapy Drugs,"Vincristine sulfate, 1 mg"
J9376,Chemotherapy Drugs,"Injection, pozelimab-bbfg, 1 mg"
J9380,Chemotherapy Drugs,"Injection, teclistamab-cqyv, 0.5 mg"
J9381,Chemotherapy Drugs,"Injection, teplizumab-mzwv, 5 mcg"
J9390,Chemotherapy Drugs,"Injection, vinorelbine tartrate, 10 mg"
J9393,Chemotherapy Drugs,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg"
J9394,Chemotherapy Drugs,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg"
J9395,Chemotherapy Drugs,"Injection, fulvestrant, 25 mg"
J9400,Chemotherapy Drugs,"Injection, ziv-aflibercept, 1 mg"
J9600,Chemotherapy Drugs,"Injection, porfimer sodium, 75 mg"
J9999,Chemotherapy Drugs,"Not otherwise classified, antineoplastic drugs"
K1004,"Components, Accessories and Supplies",Low frequency ultrasonic diathermy treatment device for home use
K1007,"Components, Accessories and Supplies","Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and accessories, motors, microprocessors, sensors"
K1027,"Components, Accessories and Supplies","Oral device/appliance used to reduce upper airway collapsibility, without fixed mechanical hinge, custom fabricated, includes fitting and adjustment"
K1030,"Components, Accessories and Supplies","External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator, replacement only"
K1034,"Components, Accessories and Supplies","Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count"
K1035,"Components, Accessories and Supplies","Molecular diagnostic test reader, nonprescription self-administered and self-collected use, fda approved, authorized or cleared"
K1036,"Components, Accessories and Supplies","Supplies and accessories (e.g., transducer) for low frequency ultrasonic diathermy treatment device, per month"
K1037,"Components, Accessories and Supplies",Docking station for use with oral device/appliance used to reduce upper airway collapsibility
M0001,MIPS Value Pathways,Advancing cancer care mips value pathways
M0002,MIPS Value Pathways,Optimal care for kidney health mips value pathways
M0004,MIPS Value Pathways,Quality care for patients with neurological conditions mips value pathway
M0005,MIPS Value Pathways,Value in primary care mips value pathway
M0010,EOM (Enhancing Oncology Model) Enhanced Services,Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services
M0075,Miscellaneous Medical Services,Cellular therapy
M0076,Miscellaneous Medical Services,Prolotherapy
M0100,Miscellaneous Medical Services,Intragastric hypothermia using gastric freezing
M0201,Miscellaneous Medical Services,"Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home"
M0220,Miscellaneous Medical Services,"Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring"
M0221,Miscellaneous Medical Services,"Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring in the home or residence; this includes a beneficiary’s home that has been made provider-based to the hospital during the covid-19 public health emergency"
M0222,Miscellaneous Medical Services,"Intravenous injection, bebtelovimab, includes injection and post administration monitoring"
M0223,Miscellaneous Medical Services,"Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary’s home that has been made provider-based to the hospital during the covid-19 public health emergency"
M0224,Miscellaneous Medical Services,"Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, includes infusion and post administration monitoring"
M0240,Miscellaneous Medical Services,"Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat doses"
M0241,Miscellaneous Medical Services,"Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency, subsequent repeat doses"
M0243,Miscellaneous Medical Services,"Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring"
M0244,Miscellaneous Medical Services,"Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary’s home that has been made provider-based to the hospital during the COVID-19 public health emergency"
M0245,Miscellaneous Medical Services,"Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring"
M0246,Miscellaneous Medical Services,"Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider based to the hospital during the covid 19 public health emergency"
M0247,Miscellaneous Medical Services,"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring"
M0248,Miscellaneous Medical Services,"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency"
M0249,Miscellaneous Medical Services,"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) only, includes infusion and post administration monitoring, first dose"
M0250,Miscellaneous Medical Services,"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) only, includes infusion and post administration monitoring, second dose"
M0300,Miscellaneous Medical Services,IV chelation therapy (chemical endarterectomy)
M0301,Miscellaneous Medical Services,Fabric wrapping of abdominal aneurysm
M1106,Episode of Care,The start of an episode of care documented in the medical record
M1107,Episode of Care,"Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care"
M1108,Episode of Care,"Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record"
M1109,Episode of Care,"Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery"
M1110,Episode of Care,"Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)"
M1111,Episode of Care,The start of an episode of care documented in the medical record
M1112,Episode of Care,"Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care"
M1113,Episode of Care,"Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record"
M1114,Episode of Care,"Ongoing care not medically possible because the patient was  discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery"
M1115,Episode of Care,"Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)"
M1116,Episode of Care,The start of an episode of care documented in the medical record
M1117,Episode of Care,"Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care"
M1118,Episode of Care,"Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record"
M1119,Episode of Care,"Ongoing care not medically possible because the patient was  discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery"
M1120,Episode of Care,"Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)"
M1121,Episode of Care,The start of an episode of care documented in the medical record
M1122,Episode of Care,"Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care"
M1123,Episode of Care,"Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record"
M1124,Episode of Care,"Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery"
M1125,Episode of Care,"Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)"
M1126,Episode of Care,The start of an episode of care documented in the medical record
M1127,Episode of Care,"Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care"
M1128,Episode of Care,"Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record"
M1129,Episode of Care,"Ongoing care not medically possible because the patient was  discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery"
M1130,Episode of Care,"Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)"
M1131,Episode of Care,"Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care"
M1132,Episode of Care,"Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record"
M1133,Episode of Care,"Ongoing care not medically possible because the patient was  discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery"
M1134,Episode of Care,"Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)"
M1135,Episode of Care,The start of an episode of care documented in the medical record
M1141,Episode of Care,"Functional status was not measured by the oxford knee score (oks) or the knee injury and osteoarthritis outcome score joint replacement (koos, jr.) at one year (9 to 15 months) postoperatively"
M1142,Episode of Care,Emergent cases
M1143,Episode of Care,"Initiated episode of rehabilitation therapy, medical, or chiropractic care for neck impairment"
M1146,Other Services,"Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record"
M1147,Other Services,"Ongoing care not medically possible because the patient was  discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery"
M1148,Other Services,"Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)"
M1149,Other Services,"Patient unable to complete the neck fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility, and an adequate proxy is not available"
M1150,Other Services,Current or prior left ventricular ejection fraction (lvef) less than or equal to 40% or documentation of moderately or severely depressed left ventricular systolic function
M1151,Other Services,Patients with a history of heart transplant or with a left ventricular assist device (lvad)
M1152,Other Services,Patients with a history of heart transplant or with a left ventricular assist device (lvad)
M1153,Other Services,Patient with diagnosis of osteoporosis on date of encounter
M1159,Other Services,Hospice services provided to patient any time during the measurement period
M1160,Other Services,Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient's 13th birthday
M1161,Other Services,"Patient had anaphylaxis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday"
M1162,Other Services,"Patient had encephalitis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday"
M1163,Other Services,Patient had anaphylaxis due to the hpv vaccine any time on or before the patient's 13th birthday
M1164,Other Services,Patients with dementia any time during the patient's history through the end of the measurement period
M1165,Other Services,Patients who use hospice services any time during the measurement period
M1166,Other Services,Pathology report for tissue specimens produced from wide local excisions or re-excisions
M1167,Other Services,In hospice or using hospice services during the measurement period
M1168,Other Services,Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period
M1169,Other Services,"Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine)"
M1170,Other Services,Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period
M1171,Other Services,Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period
M1172,Other Services,"Documentation of medical reason(s) for not administering td or tdap vaccine (e.g., prior anaphylaxis due to the td or tdap vaccine or history of encephalopathy within seven days after a previous dose of a td-containing vaccine)"
M1173,Other Services,Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period
M1174,Other Services,Patient received at least two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period
M1175,Other Services,"Documentation of medical reason(s) for not administering zoster vaccine (e.g., prior anaphylaxis due to the zoster vaccine)"
M1176,Other Services,Patient did not receive two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period
M1177,Other Services,Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period
M1178,Other Services,"Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., prior anaphylaxis due to the pneumococcal vaccine)"
M1179,Other Services,"Patient did not receive any pneumococcal conjugate or polysaccharide vaccine, on or after their 19th birthday and before or during measurement period"
M1180,Other Services,Patients on immune checkpoint inhibitor therapy
M1181,Other Services,Grade 2 or above diarrhea and/or grade 2 or above colitis
M1182,Other Services,"Patients not eligible due to pre-existing inflammatory bowel disease (ibd) (e.g., ulcerative colitis, crohn's disease)"
M1183,Other Services,Documentation of immune checkpoint inhibitor therapy held and corticosteroids or immunosuppressants prescribed or administered
M1184,Other Services,"Documentation of medical reason(s) for not prescribing or administering corticosteroid or immunosuppressant treatment (e.g., allergy, intolerance, infectious etiology, pancreatic insufficiency, hyperthyroidism, prior bowel surgical interventions, celiac disease, receiving other medication, awaiting diagnostic workup results for alternative etiologies, other medical reasons/contraindication)"
M1185,Other Services,"Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed, reason not given"
M1186,Other Services,Patients who have an order for or are receiving hospice or palliative care
M1187,Other Services,Patients with a diagnosis of end stage renal disease (esrd)
M1188,Other Services,Patients with a diagnosis of chronic kidney disease (ckd) stage 5
M1189,Other Services,Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed
M1190,Other Services,Documentation of a kidney health evaluation was not performed or defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr)
M1191,Other Services,Hospice services provided to patient any time during the measurement period
M1192,Other Services,Patients with an existing diagnosis of squamous cell carcinoma of the esophagus
M1193,Other Services,"Surgical pathology reports that contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both"
M1194,Other Services,"Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both tests were not included (e.g., patient will not be treated with checkpoint inhibitor therapy, no residual carcinoma is present in the sample [tissue exhausted or status post neoadjuvant treatment], insufficient tumor for testing)"
M1195,Other Services,"Surgical pathology reports that do not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both, reason not given"
M1196,Other Services,"Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or itchyquant assessment score of greater than or equal to 4"
M1197,Other Services,Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score
M1198,Other Services,Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter
M1199,Other Services,Patients receiving rrt
M1200,Other Services,Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period
M1201,Other Services,"Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or arb therapy during the measurement period (e.g., pregnancy, history of angioedema to ace-i, other allergy to ace-i and arb, hyperkalemia or history of hyperkalemia while on ace-i or arb therapy, acute kidney injury due to ace-i or arb therapy), other medical reasons)"
M1202,Other Services,"Documentation of patient reason(s) for not prescribing ace inhibitor or arb therapy during the measurement period, (e.g., patient declined, other patient reasons)"
M1203,Other Services,"Ace inhibitor or arb therapy not prescribed during the measurement period, reason not given"
M1204,Other Services,"Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or itchyquant assessment score of greater than or equal to 4"
M1205,Other Services,Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score
M1206,Other Services,Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter
M1207,Other Services,"Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety"
M1208,Other Services,"Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety"
M1209,Other Services,"At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses"
M1210,Other Services,"At least two orders for high-risk medications from the same drug class, (table 4), not ordered"
M1211,Other Services,Most recent glycemic status assessment (hba1c or gmi) level > 9.0%
M1212,Other Services,"Glycemic status assessment (hba1c or gmi) level is missing, or was not performed during the measurement period"
M1213,Other Services,No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%
M1214,Other Services,Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed
M1215,Other Services,"Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)"
M1216,Other Services,No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter
M1217,Other Services,"Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g., spirometry equipment not available at the time of the encounter)"
M1218,Other Services,"Patient has copd symptoms (e.g., dyspnea, cough/sputum, wheezing)"
M1220,Other Services,Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of retinopathy
M1221,Other Services,Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy
M1222,Other Services,"Glaucoma plan of care not documented, reason not otherwise specified"
M1223,Other Services,Glaucoma plan of care documented
M1224,Other Services,Intraocular pressure (iop) reduced by a value less than 20% from the pre-intervention level
M1225,Other Services,Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level
M1226,Other Services,"Iop measurement not documented, reason not otherwise specified"
M1227,Other Services,Evidence-based therapy was prescribed
M1228,Other Services,"Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, has hcv treatment initiated within 3 months of the reactive hcv antibody test"
M1229,Other Services,"Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, is referred within 1 month of the reactive hcv antibody test to a clinician who treats hcv infection"
M1230,Other Services,"Patient has a reactive hcv antibody test and does not have a follow up hcv viral test, or patient has a reactive hcv antibody test and has a follow up hcv viral test that detects hcv viremia and is not referred to a clinician who treats hcv infection within 1 month and does not have hcv treatment initiated within 3 months of the reactive hcv antibody test, reason not given"
M1231,Other Services,Patient receives hcv antibody test with nonreactive result
M1232,Other Services,Patient receives hcv antibody test with reactive result
M1233,Other Services,"Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented, reason not given"
M1234,Other Services,"Patient has a reactive hcv antibody test, and has a follow up hcv viral test that does not detect hcv viremia"
M1235,Other Services,Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period
M1236,Other Services,Baseline mrs > 2
M1237,Other Services,"Patient reason for not screening for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety (e.g., patient declined or other patient reasons)"
M1238,Other Services,"Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i.e, first dose received after october 31)"
M1239,Other Services,Patient did not respond to the question of patient felt heard and understood by this provider and team
M1240,Other Services,Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care
M1241,Other Services,"Patient did not respond to the question of patient felt this provider and team saw me as a person, not just someone with a medical problem"
M1242,Other Services,Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life
M1243,Other Services,"Patient provided a response other than ""completely true"" for the question of patient felt heard and understood by this provider and team"
M1244,Other Services,"Patient provided a response other than ""completely true"" for the question of patient felt this provider and team put my best interests first when making recommendations about my care"
M1245,Other Services,"Patient provided a response other than ""completely true"" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem"
M1246,Other Services,"Patient provided a response other than ""completely true"" for the question of patient felt this provider and team understood what is important to me in my life"
M1247,Other Services,"Patient responded ""completely true"" for the question of patient felt this provider and team put my best interests first when making recommendations about my care"
M1248,Other Services,"Patient responded ""completely true"" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem"
M1249,Other Services,"Patient responded ""completely true"" for the question of patient felt this provider and team understood what is important to me in my life"
M1250,Other Services,"Patient responded as ""completely true"" for the question of patient felt heard and understood by this provider and team"
M1251,Other Services,Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)
M1252,Other Services,Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit
M1253,Other Services,Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal)
M1254,Other Services,Patients who were deceased when the hu survey reached them
M1255,Other Services,"Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)"
M1256,Other Services,Prior history of known cvd
M1257,Other Services,"Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specified"
M1258,Other Services,"Cvd risk assessment performed, have a documented calculated risk score"
M1259,Other Services,Patient status documented within the first year of initiating dialysis
M1260,Other Services,Patient status not documented within the first year of initiating dialysis
M1261,Other Services,Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis
M1262,Other Services,Patients who had a transplant prior to initiation of dialysis
M1263,Other Services,Patients in hospice on their initiation of dialysis date or during the month of evaluation
M1265,Other Services,Cms medical evidence form 2728 for dialysis patients: initial form completed
M1266,Other Services,Patients admitted to a skilled nursing facility (snf)
M1267,Other Services,Patients not observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
M1268,Other Services,Patients observed in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
M1269,Other Services,Receiving esrd mcp dialysis services by the provider on the last day of the reporting month
M1270,Other Services,Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
M1271,Other Services,Patients with dementia at any time prior to or during the month
M1272,Other Services,Patients observed on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period
M1273,Other Services,Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form
M1274,Other Services,Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month
M1275,Other Services,Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period
M1276,Other Services,"Bmi documented outside normal parameters, no follow-up plan documented, no reason given"
M1277,Other Services,Colorectal cancer screening results documented and reviewed
M1278,Other Services,"Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented"
M1279,Other Services,"Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given"
M1280,Other Services,Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy
M1281,Other Services,"Blood pressure reading not documented, reason not given"
M1282,Other Services,Patient screened for tobacco use and identified as a tobacco non-user
M1283,Other Services,Patient screened for tobacco use and identified as a tobacco user
M1284,Other Services,"Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period"
M1285,Other Services,"Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified"
M1286,Other Services,"Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason"
M1287,Other Services,Bmi is documented below normal parameters and a follow-up plan is documented
M1288,Other Services,Documented reason for not screening or recommending a follow-up for high blood pressure
M1289,Other Services,Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
M1290,Other Services,Patient not eligible due to active diagnosis of hypertension
M1291,Other Services,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
M1292,Other Services,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period
M1293,Other Services,Bmi is documented above normal parameters and a follow-up plan is documented
M1294,Other Services,"Normal blood pressure reading documented, follow-up not required"
M1295,Other Services,Patients with a diagnosis or past history of total colectomy or colorectal cancer
M1296,Other Services,Bmi is documented within normal parameters and no follow-up plan is required
M1297,Other Services,Bmi not documented due to medical reason or patient refusal of height or weight measurement
M1298,Other Services,Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter
M1299,Other Services,Influenza immunization administered or previously received
M1300,Other Services,"Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)"
M1301,Other Services,Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
M1302,Other Services,"Screening, diagnostic, film digital or digital breast tomosynthesis (3d) mammography results documented and reviewed"
M1303,Other Services,Hospice services provided to patient any time during the measurement period
M1304,Other Services,Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period
M1305,Other Services,Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period
M1306,Other Services,Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period
M1307,Other Services,Documentation stating the patient has received or is currently receiving palliative or hospice care
M1308,Other Services,"Influenza immunization was not administered, reason not given"
M1309,Other Services,Palliative care services provided to patient any time during the measurement period
M1310,Other Services,"Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user"
M1311,Other Services,Anaphylaxis due to the vaccine on or before the date of the encounter
M1312,Other Services,Patient not screened for tobacco use
M1313,Other Services,Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period
M1314,Other Services,Bmi not documented and no reason is given
M1315,Other Services,Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified
M1316,Other Services,Current tobacco non-user
M1317,Other Services,Patients who are counseled on connection with a csp and explicitly opt out
M1318,Other Services,Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no contact with a csp
M1319,Other Services,Patients who had documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening
M1320,Other Services,Patients who screened positive for at least 1 of the 5 hrsns
M1321,Other Services,Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 mm hg
M1322,Other Services,Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop =<25 mm hg for injected eye
M1323,Other Services,Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan of care was documented
M1324,Other Services,"Patients who had an intravitreal or periocular corticosteroid injection (e.g., triamcinolone, preservative-free triamcinolone, dexamethasone, dexamethasone intravitreal implant, or fluocinolone intravitreal implant)"
M1325,Other Services,"Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g., inadequate time for follow-up, patients who received a prior intravitreal or periocular steroid injection within the last six (6) months and had a subsequent iop evaluation with iop <25mm hg within seven (7) weeks of treatment)"
M1326,Other Services,Patients with a diagnosis of hypotony
M1327,Other Services,Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks
M1328,Other Services,Patients with a diagnosis of acute vitreous hemorrhage
M1329,Other Services,Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter
M1330,Other Services,"Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)"
M1331,Other Services,Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial exam
M1332,Other Services,Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks
M1333,Other Services,Acute vitreous hemorrhage
M1334,Other Services,Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 2 weeks after initial acute pvd encounter
M1335,Other Services,"Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)"
M1336,Other Services,Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks
M1337,Other Services,Acute pvd
M1338,Other Services,Patients who had follow-up assessment 30 to 180 days after the index assessment who did not demonstrate positive improvement or maintenance of functioning scores during the performance period
M1339,Other Services,Patients who had follow-up assessment 30 to 180 days after the index assessment who demonstrated positive improvement or maintenance of functioning scores during the performance period
M1340,Other Services,Index assessment completed using the 12-item whodas 2.0 or sds during the denominator identification period
M1341,Other Services,Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period
M1342,Other Services,Patients who died during the performance period
M1343,Other Services,Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam or with excessive missing responses
M1344,Other Services,Patients who did not have a baseline pam score and/or a second score within 4 to 12 months of baseline pam score
M1345,Other Services,Patients who had a baseline pam score and a second score within 4 to 12 month of baseline pam score
M1346,Other Services,Patients who did not have a net increase in pam score of at least 6 points within a 4 to 12 month period
M1347,Other Services,Patients who achieved a net increase in pam score of at least 3 points in a 4 to 12 month period (passing)
M1348,Other Services,Patients who achieved a net increase in pam score of at least 6-points in a 4 to 12 month period (excellent)
M1349,Other Services,Patients who did not have a net increase in pam score of at least 3 points within a 4 to 12 month period
M1350,Other Services,"Patients who had a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter"
M1351,Other Services,"Patients who had a suicide safety plan initiated, reviewed, or updated and reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation"
M1352,Other Services,Suicidal ideation and/or behavior symptoms based on the c-ssrs or equivalent assessment
M1353,Other Services,"Patients who did not have a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter"
M1354,Other Services,"Patients who did not have a suicide safety plan initiated, reviewed, or updated or reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation"
M1355,Other Services,Suicide risk based on their clinician's evaluation or a clinician-rated tool
M1356,Other Services,Patients who died during the measurement period
M1357,Other Services,Patients who had a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment
M1358,Other Services,Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment
M1359,Other Services,Index assessment during the denominator period when the suicidal ideation and/or behavior symptoms or increased suicide risk by clinician determination occurs and a non-zero c-ssrs score is obtained
M1360,Other Services,Suicidal ideation and/or behavior symptoms based on the c-ssrs
M1361,Other Services,Suicide risk based on their clinician's evaluation or a clinician-rated tool
M1362,Other Services,Patients who died during the measurement period
M1363,Other Services,Patients who did not have a follow-up assessment within 120 days of the index assessment
M1364,Other Services,Calculated 10-year ascvd risk score of  >= 20 percent during the performance period
M1365,Other Services,Patient encounter during the performance period with hospice and palliative care specialty code 17
M1366,Other Services,Focusing on women's health mips value pathway
M1367,Other Services,"Quality care for the treatment of ear, nose, and throat disorders mips value pathway"
M1368,Other Services,Prevention and treatment of infectious disorders including hepatitis c and hiv mips value pathway
M1369,Other Services,Quality care in mental health and substance use disorders mips value pathway
M1370,Other Services,Rehabilitative support for musculoskeletal care mips value pathway
M1371,Other Services,Most recent glycemic status assessment (hba1c or gmi) level < 7.0%
M1372,Other Services,Most recent glycemic status assessment (hba1c or gmi) level >= 7.0% and < 8.0%
M1373,Other Services,Most recent glycemic status assessment (hba1c or gmi) level >= 8.0% and <= 9.0%
M1374,Other Services,An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period
M1375,Other Services,An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period
M1376,Other Services,An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period
M1377,Other Services,Recommended follow-up interval for repeat colonoscopy of 10 years documented  in colonoscopy report and communicated with patient
M1378,Other Services,"Documentation of medical reason(s) for not recommending a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is >= 66 years old, or life expectancy < 10 years, other medical reasons)"
M1379,Other Services,"A 10 year follow-up interval for colonoscopy not recommended, reason not otherwise specified"
M1380,Other Services,"Filled at least two prescriptions during the performance period for any combination of the qualifying oral antipsychotic medications listed under ""denominator note"" or the long-acting injectable antipsychotic medications listed under ""denominator note"""
M1381,Other Services,"Patients with secondary stroke (e.g., a subsequent stroke that may occur with vasospasm in the setting of subarachnoid hemorrhage) within 5 days of the initial procedure"
M1382,Other Services,Patient encounter during the performance period with place of service code 11
M1383,Other Services,Acute pvd
M1384,Other Services,Patients who died during the performance period
M1385,Other Services,"Documentation of patient reasons for patients who were not seen for the second pam survey (e.g., less than four months between baseline pam assessment and follow-up"
M1386,Other Services,"Patients with an excisional surgery for melanoma or melanoma in situ in the past 5 years with an initial ajcc staging of 0, i, or ii at the start of the performance period"
M1387,Other Services,Patients who died during the performance period
M1388,Other Services,Patients with documentation of an exam performed for recurrence of melanoma
M1390,Other Services,Patients who do not have a documented exam performed for recurrence of melanoma or no documentation within the performance period
M1391,Other Services,All patients who were diagnosed with recurrent melanoma during the current performance period
M1392,Other Services,"Documentation of patient reasons for no examination, i.e., refusal of examination or lost to follow-up (documentation must include information that the clinician was unable to reach the patient by phone, mail or secure electronic mail - at least one method must be documented)"
M1393,Other Services,Patients who were not diagnosed with recurrent melanoma during the current performance period
M1394,Other Services,Stages i-iii breast cancer
M1395,Other Services,Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or group
M1396,Other Services,Patients on a therapeutic clinical trial
M1397,Other Services,Patients with recurrence/disease progression
M1398,Other Services,Patients with baseline and follow-up promis surveys documented in the medical record
M1399,Other Services,Patients who leave the practice during the follow-up period
M1400,Other Services,Patients who died during the follow-up period
M1401,Other Services,Stages i-iii breast cancer
M1402,Other Services,Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or group
M1403,Other Services,Patients with baseline and follow-up promis surveys documented in the medical record
M1404,Other Services,Patients on a therapeutic clinical trial
M1405,Other Services,Patients with recurrence/disease progression
M1406,Other Services,Patients who leave the practice during the follow-up period
M1407,Other Services,Patients who died during the follow-up period
M1408,Other Services,"Patients who have germline brca testing completed before diagnosis of epithelial ovarian, fallopian tube, or primary peritoneal cancer"
M1409,Other Services,Patients who received germline testing for brca1 and brca2 or genetic counseling completed within 6 months of diagnosis
M1410,Other Services,Patients who did not have germline testing for brca1 and brca2 or genetic counseling completed within 6 months of diagnosis
M1411,Other Services,Currently on first-line immune checkpoint inhibitors without chemotherapy
M1412,Other Services,"Patients with metastatic nsclc with epidermal growth factor receptor (egfr) mutations, alk genomic tumor aberrations, or other targetable genomic abnormalities with approved first-line targeted therapy, such as nsclc with ros1 rearrangement, braf v600e mutation, ntrk 1/2/3 gene fusion, met ex14 skipping mutation, and ret rearrangement"
M1413,Other Services,Patients who had a positive pd-l1 biomarker expression test result prior to the initiation of first-line immune checkpoint inhibitor therapy
M1414,Other Services,"Documentation of medical reason(s) for not performing the pd-l1 biomarker expression test prior to initiation of first-line immune checkpoint inhibitor therapy (e.g., patient is in an urgent or emergent situation where delay of treatment would jeopardize the patient's health status; other medical reasons/contraindication)"
M1415,Other Services,Patients who did not have a positive pd-l1 biomarker expression test result prior to the initiation of first-line immune checkpoint inhibitor therapy
M1416,Other Services,Patient received hospice services any time during the performance period
M1417,Other Services,Patients who are up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination
M1418,Other Services,Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination because of a medical contraindication documented by clinician
M1419,Other Services,Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination
M1420,Other Services,Complete ophthalmologic care mips value pathway
M1421,Other Services,Dermatological care mips value pathway
M1422,Other Services,Gastroenterology care mips value pathway
M1423,Other Services,Optimal care for patients with urologic conditions mips value pathway
M1424,Other Services,Pulmonology care mips value pathway
M1425,Other Services,Surgical care mips value pathway
R0070,Diagnostic Radiology Services,"Transportation of portable X-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen"
R0075,Diagnostic Radiology Services,"Transportation of portable X-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen"
R0076,Diagnostic Radiology Services,"Transportation of portable EKG to facility or location, per patient"
U0001,Coronavirus Diagnostic Panel,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel
U0002,Coronavirus Diagnostic Panel,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc"
A1,Modifiers for HCPCS codes,Dressing for one wound
A2,Modifiers for HCPCS codes,Dressing for two wounds
A3,Modifiers for HCPCS codes,Dressing for three wounds
A4,Modifiers for HCPCS codes,Dressing for four wounds
A5,Modifiers for HCPCS codes,Dressing for five wounds
A6,Modifiers for HCPCS codes,Dressing for six wounds
A7,Modifiers for HCPCS codes,Dressing for seven wounds
A8,Modifiers for HCPCS codes,Dressing for eight wounds
A9,Modifiers for HCPCS codes,Dressing for nine or more wounds
AA,Modifiers for HCPCS codes,Anesthesia services performed personally by anesthesiologist
AB,Modifiers for HCPCS codes,"Audiology service furnished personally by an audiologist without a physician/npp order for non-acute hearing assessment unrelated to disequilibrium, or hearing aids, or examinations for the purpose of prescribing, fitting, or changing hearing aids; service may be performed once every 12 months, per beneficiary"
AD,Modifiers for HCPCS codes,Medical supervision by a physician: more than four concurrent anesthesia procedures
AE,Modifiers for HCPCS codes,Registered dietician
AF,Modifiers for HCPCS codes,Specialty physician
AG,Modifiers for HCPCS codes,Primary physician
AH,Modifiers for HCPCS codes,Clinical psychologist
AI,Modifiers for HCPCS codes,Principal physician of record
AJ,Modifiers for HCPCS codes,Clinical social worker
AK,Modifiers for HCPCS codes,Non participating physician
AM,Modifiers for HCPCS codes,"Physician, team member service"
AO,Modifiers for HCPCS codes,Alternate payment method declined by provider of service
AP,Modifiers for HCPCS codes,Determination of refractive state was not performed in the course of diagnostic ophthalmological examination
AQ,Modifiers for HCPCS codes,Physician providing a service in an unlisted health professional shortage area (hpsa)
AR,Modifiers for HCPCS codes,Physician provider services in a physician scarcity area
AS,Modifiers for HCPCS codes,"Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery"
AT,Modifiers for HCPCS codes,"Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)"
AU,Modifiers for HCPCS codes,"Item furnished in conjunction with a urological, ostomy, or tracheostomy supply"
AV,Modifiers for HCPCS codes,"Item furnished in conjunction with a prosthetic device, prosthetic or orthotic"
AW,Modifiers for HCPCS codes,Item furnished in conjunction with a surgical dressing
AX,Modifiers for HCPCS codes,Item furnished in conjunction with dialysis services
AY,Modifiers for HCPCS codes,Item or service furnished to an esrd patient that is not for the treatment of esrd
AZ,Modifiers for HCPCS codes,Physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment
BA,Modifiers for HCPCS codes,Item furnished in conjunction with parenteral enteral nutrition (pen) services
BL,Modifiers for HCPCS codes,Special acquisition of blood and blood products
BO,Modifiers for HCPCS codes,"Orally administered nutrition, not by feeding tube"
BP,Modifiers for HCPCS codes,The beneficiary has been informed of the purchase and rental options and has elected to purchase the item
BR,Modifiers for HCPCS codes,The beneficiary has been informed of the purchase and rental options and has elected to rent the item
BU,Modifiers for HCPCS codes,The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision
CA,Modifiers for HCPCS codes,Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission
CB,Modifiers for HCPCS codes,"Service ordered by a renal dialysis facility (rdf) physician as part of the esrd beneficiary's dialysis benefit, is not part of the composite rate, and is separately reimbursable"
CC,Modifiers for HCPCS codes,Procedure code change (use 'CC' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
CD,Modifiers for HCPCS codes,Amcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable
CE,Modifiers for HCPCS codes,Amcc test has been ordered by an esrd facility or mcp physician that is a composite rate test but is beyond the normal frequency covered under the rate and is separately reimbursable based on medical necessity
CF,Modifiers for HCPCS codes,Amcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable
CG,Modifiers for HCPCS codes,Policy criteria applied
CH,Modifiers for HCPCS codes,"0 percent impaired, limited or restricted"
CI,Modifiers for HCPCS codes,"At least 1 percent but less than 20 percent impaired, limited or restricted"
CJ,Modifiers for HCPCS codes,"At least 20 percent but less than 40 percent impaired, limited or restricted"
CK,Modifiers for HCPCS codes,"At least 40 percent but less than 60 percent impaired, limited or restricted"
CL,Modifiers for HCPCS codes,"At least 60 percent but less than 80 percent impaired, limited or restricted"
CM,Modifiers for HCPCS codes,"At least 80 percent but less than 100 percent impaired, limited or restricted"
CN,Modifiers for HCPCS codes,"100 percent impaired, limited or restricted"
CO,Modifiers for HCPCS codes,Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant
CQ,Modifiers for HCPCS codes,Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant
CR,Modifiers for HCPCS codes,Catastrophe/disaster related
CS,Modifiers for HCPCS codes,Cost-sharing waived for specified covid-19 testing-related services that result in and order for or administration of a covid-19 test and/or used for cost-sharing waived preventive services furnished via telehealth in rural health clinics and federally qualified health centers during the covid-19 public health emergency
CT,Modifiers for HCPCS codes,Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (nema) xr-29-2013 standard
DA,Modifiers for HCPCS codes,Oral health assessment by a licensed health professional other than a dentist
E1,Modifiers for HCPCS codes,"Upper left, eyelid"
E2,Modifiers for HCPCS codes,"Lower left, eyelid"
E3,Modifiers for HCPCS codes,"Upper right, eyelid"
E4,Modifiers for HCPCS codes,"Lower right, eyelid"
EA,Modifiers for HCPCS codes,Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy
EB,Modifiers for HCPCS codes,Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy
EC,Modifiers for HCPCS codes,Erythropoetic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy
ED,Modifiers for HCPCS codes,Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle
EE,Modifiers for HCPCS codes,Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle
EJ,Modifiers for HCPCS codes,"Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab"
EM,Modifiers for HCPCS codes,Emergency reserve supply (for esrd benefit only)
EP,Modifiers for HCPCS codes,Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program
ER,Modifiers for HCPCS codes,"Items and services furnished by a provider-based, off-campus emergency department"
ET,Modifiers for HCPCS codes,Emergency services
EX,Modifiers for HCPCS codes,Expatriate Beneficiary
EY,Modifiers for HCPCS codes,No physician or other licensed health care provider order for this item or service
F1,Modifiers for HCPCS codes,"Left hand, second digit"
F2,Modifiers for HCPCS codes,"Left hand, third digit"
F3,Modifiers for HCPCS codes,"Left hand, fourth digit"
F4,Modifiers for HCPCS codes,"Left hand, fifth digit"
F5,Modifiers for HCPCS codes,"Right hand, thumb"
F6,Modifiers for HCPCS codes,"Right hand, second digit"
F7,Modifiers for HCPCS codes,"Right hand, third digit"
F8,Modifiers for HCPCS codes,"Right hand, fourth digit"
F9,Modifiers for HCPCS codes,"Right hand, fifth digit"
FA,Modifiers for HCPCS codes,"Left hand, thumb"
FB,Modifiers for HCPCS codes,"Item provided without cost to provider, supplier or practitioner, or full credit received for replaced device (examples, but not limited to, covered under warranty, replaced due to defect, free samples)"
FC,Modifiers for HCPCS codes,Partial credit received for replaced device
FP,Modifiers for HCPCS codes,Service provided as part of family planning program
FQ,Modifiers for HCPCS codes,The service was furnished using audio-only communication technology
FR,Modifiers for HCPCS codes,"The supervising practitioner was present through two-way, audio/video communication technology"
FS,Modifiers for HCPCS codes,Split (or shared) evaluation and management visit
FT,Modifiers for HCPCS codes,"Unrelated evaluation and management (e/m) visit on the same day as another e/m visit or during a global procedure (preoperative, postoperative period, or on the same day as the procedure, as applicable). (report when an e/m visit is furnished within the global period but is unrelated, or when one or more additional e/m visits furnished on the same day are unrelated)"
FX,Modifiers for HCPCS codes,X-ray taken using film
FY,Modifiers for HCPCS codes,X-ray taken using computed radiography technology/cassette-based imaging
G0,Modifiers for HCPCS codes,"Telehealth Services For Diagnosis, Evaluation, Or Treatment, Of Symptoms Of An Acute Stroke"
G1,Modifiers for HCPCS codes,Most recent urr reading of less than 60
G2,Modifiers for HCPCS codes,Most recent urr reading of 60 to 64.9
G3,Modifiers for HCPCS codes,Most recent urr reading of 65 to 69.9
G4,Modifiers for HCPCS codes,Most recent urr reading of 70 to 74.9
G5,Modifiers for HCPCS codes,Most recent urr reading of 75 or greater
G6,Modifiers for HCPCS codes,Esrd patient for whom less than six dialysis sessions have been provided in a month
G7,Modifiers for HCPCS codes,Pregnancy resulted from rape or incest or pregnancy certified by physician as life threatening
G8,Modifiers for HCPCS codes,"Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure"
G9,Modifiers for HCPCS codes,Monitored anesthesia care for patient who has history of severe cardio-pulmonary condition
GA,Modifiers for HCPCS codes,"Waiver of liability statement issued as required by payer policy, individual case"
GB,Modifiers for HCPCS codes,Claim being re-submitted for payment because it is no longer covered under a global payment demonstration
GC,Modifiers for HCPCS codes,This service has been performed in part by a resident under the direction of a teaching physician
GE,Modifiers for HCPCS codes,This service has been performed by a resident without the presence of a teaching physician under the primary care exception
GF,Modifiers for HCPCS codes,"Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital"
GG,Modifiers for HCPCS codes,"Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day"
GH,Modifiers for HCPCS codes,Diagnostic mammogram converted from screening mammogram on same day
GJ,Modifiers for HCPCS codes,"""opt out"" physician or practitioner emergency or urgent service"
GK,Modifiers for HCPCS codes,Reasonable and necessary item/service associated with a ga or gz modifier
GL,Modifiers for HCPCS codes,"Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)"
GM,Modifiers for HCPCS codes,Multiple patients on one ambulance trip
GN,Modifiers for HCPCS codes,Services delivered under an outpatient speech language pathology plan of care
GO,Modifiers for HCPCS codes,Services delivered under an outpatient occupational therapy plan of care
GP,Modifiers for HCPCS codes,Services delivered under an outpatient physical therapy plan of care
GQ,Modifiers for HCPCS codes,Via asynchronous telecommunications system
GR,Modifiers for HCPCS codes,"This service was performed in whole or in part by a resident in a department of veterans affairs medical center or clinic, supervised in accordance with va policy"
GS,Modifiers for HCPCS codes,Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level
GT,Modifiers for HCPCS codes,Via interactive audio and video telecommunication systems
GU,Modifiers for HCPCS codes,"Waiver of liability statement issued as required by payer policy, routine notice"
GV,Modifiers for HCPCS codes,Attending physician not employed or paid under arrangement by the patient's hospice provider
GW,Modifiers for HCPCS codes,Service not related to the hospice patient's terminal condition
GX,Modifiers for HCPCS codes,"Notice of liability issued, voluntary under payer policy"
GY,Modifiers for HCPCS codes,"Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit"
GZ,Modifiers for HCPCS codes,Item or service expected to be denied as not reasonable and necessary
H9,Modifiers for HCPCS codes,Court-ordered
HA,Modifiers for HCPCS codes,Child/adolescent program
HB,Modifiers for HCPCS codes,"Adult program, non geriatric"
HC,Modifiers for HCPCS codes,"Adult program, geriatric"
HD,Modifiers for HCPCS codes,Pregnant/parenting women's program
HE,Modifiers for HCPCS codes,Mental health program
HF,Modifiers for HCPCS codes,Substance abuse program
HG,Modifiers for HCPCS codes,Opioid addiction treatment program
HH,Modifiers for HCPCS codes,Integrated mental health/substance abuse program
HI,Modifiers for HCPCS codes,Integrated mental health and intellectual disability/developmental disabilities program
HJ,Modifiers for HCPCS codes,Employee assistance program
HK,Modifiers for HCPCS codes,Specialized mental health programs for high-risk populations
HL,Modifiers for HCPCS codes,Intern
HM,Modifiers for HCPCS codes,Less than bachelor degree level
HN,Modifiers for HCPCS codes,Bachelors degree level
HO,Modifiers for HCPCS codes,Masters degree level
HP,Modifiers for HCPCS codes,Doctoral level
HQ,Modifiers for HCPCS codes,Group setting
HR,Modifiers for HCPCS codes,Family/couple with client present
HS,Modifiers for HCPCS codes,Family/couple without client present
HT,Modifiers for HCPCS codes,Multi-disciplinary team
HU,Modifiers for HCPCS codes,Funded by child welfare agency
HV,Modifiers for HCPCS codes,Funded state addictions agency
HW,Modifiers for HCPCS codes,Funded by state mental health agency
HX,Modifiers for HCPCS codes,Funded by county/local agency
HY,Modifiers for HCPCS codes,Funded by juvenile justice agency
HZ,Modifiers for HCPCS codes,Funded by criminal justice agency
J1,Modifiers for HCPCS codes,Competitive acquisition program no-pay submission for a prescription number
J2,Modifiers for HCPCS codes,"Competitive acquisition program, restocking of emergency drugs after emergency administration"
J3,Modifiers for HCPCS codes,"Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology"
J4,Modifiers for HCPCS codes,Dmepos item subject to dmepos competitive bidding program that is furnished by a hospital upon discharge
J5,Modifiers for HCPCS codes,Off-the-shelf orthotic subject to dmepos competitive bidding program that is furnished as part of a physical therapist or occupational therapist professional service
JA,Modifiers for HCPCS codes,Administered intravenously
JB,Modifiers for HCPCS codes,Administered subcutaneously
JC,Modifiers for HCPCS codes,Skin substitute used as a graft
JD,Modifiers for HCPCS codes,Skin substitute not used as a graft
JE,Modifiers for HCPCS codes,Administered via dialysate
JK,Modifiers for HCPCS codes,One month supply or less of drug or biological
JL,Modifiers for HCPCS codes,Three month supply of drug or biological
JW,Modifiers for HCPCS codes,Drug amount discarded/not administered to any patient
JZ,Modifiers for HCPCS codes,Zero drug amount discarded/not administered to any patient
K0,Modifiers for HCPCS codes,Lower extremity prosthesis functional level 0 - does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility.
K1,Modifiers for HCPCS codes,Lower extremity prosthesis functional level 1 - has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. typical of the limited and unlimited household ambulator.
K2,Modifiers for HCPCS codes,"Lower extremity prosthesis functional level 2 - has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces. typical of the limited community ambulator."
K3,Modifiers for HCPCS codes,"Lower extremity prosthesis functional level 3 - has the ability or potential for ambulation with variable cadence. typical of the community ambulator who has the ability to transverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion."
K4,Modifiers for HCPCS codes,"Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete."
KA,Modifiers for HCPCS codes,Add on option/accessory for wheelchair
KB,Modifiers for HCPCS codes,"Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim"
KC,Modifiers for HCPCS codes,Replacement of special power wheelchair interface
KD,Modifiers for HCPCS codes,Drug or biological infused through dme
KE,Modifiers for HCPCS codes,Bid under round one of the dmepos competitive bidding program for use with non-competitive bid base equipment
KF,Modifiers for HCPCS codes,Item designated by fda as class iii device
KG,Modifiers for HCPCS codes,Dmepos item subject to dmepos competitive bidding program number 1
KH,Modifiers for HCPCS codes,"Dmepos item, initial claim, purchase or first month rental"
KI,Modifiers for HCPCS codes,"Dmepos item, second or third month rental"
KJ,Modifiers for HCPCS codes,"Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen"
KK,Modifiers for HCPCS codes,Dmepos item subject to dmepos competitive bidding program number 2
KL,Modifiers for HCPCS codes,Dmepos item delivered via mail
KM,Modifiers for HCPCS codes,Replacement of facial prosthesis including new impression/moulage
KN,Modifiers for HCPCS codes,Replacement of facial prosthesis using previous master model
KO,Modifiers for HCPCS codes,Single drug unit dose formulation
KP,Modifiers for HCPCS codes,First drug of a multiple drug unit dose formulation
KQ,Modifiers for HCPCS codes,Second or subsequent drug of a multiple drug unit dose formulation
KR,Modifiers for HCPCS codes,"Rental item, billing for partial month"
KS,Modifiers for HCPCS codes,Glucose monitor supply for diabetic beneficiary not treated with insulin
KT,Modifiers for HCPCS codes,Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item
KU,Modifiers for HCPCS codes,Dmepos item subject to dmepos competitive bidding program number 3
KV,Modifiers for HCPCS codes,Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service
KW,Modifiers for HCPCS codes,Dmepos item subject to dmepos competitive bidding program number 4
KX,Modifiers for HCPCS codes,Requirements specified in the medical policy have been met
KY,Modifiers for HCPCS codes,Dmepos item subject to dmepos competitive bidding program number 5
KZ,Modifiers for HCPCS codes,New coverage not implemented by managed care
LC,Modifiers for HCPCS codes,Left circumflex coronary artery
LD,Modifiers for HCPCS codes,Left anterior descending coronary artery
LL,Modifiers for HCPCS codes,Lease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price)
LM,Modifiers for HCPCS codes,Left main coronary artery
LR,Modifiers for HCPCS codes,Laboratory round trip
LS,Modifiers for HCPCS codes,Fda-monitored intraocular lens implant
LT,Modifiers for HCPCS codes,Left side (used to identify procedures performed on the left side of the body)
LU,Modifiers for HCPCS codes,Fractionated payment
M2,Modifiers for HCPCS codes,Medicare secondary payer (msp)
MS,Modifiers for HCPCS codes,Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty
N1,Modifiers for HCPCS codes,Group 1 oxygen coverage criteria met
N2,Modifiers for HCPCS codes,Group 2 oxygen coverage criteria met
N3,Modifiers for HCPCS codes,Group 3 oxygen coverage criteria met
NB,Modifiers for HCPCS codes,"Nebulizer system, any type, fda-cleared for use with specific drug"
NR,Modifiers for HCPCS codes,New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased)
NU,Modifiers for HCPCS codes,New equipment
P1,Modifiers for HCPCS codes,A normal healthy patient
P2,Modifiers for HCPCS codes,A patient with mild systemic disease
P3,Modifiers for HCPCS codes,A patient with severe systemic disease
P4,Modifiers for HCPCS codes,A patient with severe systemic disease that is a constant threat to life
P5,Modifiers for HCPCS codes,A moribund patient who is not expected to survive without the operation
P6,Modifiers for HCPCS codes,A declared brain-dead patient whose organs are being removed for donor purposes
PA,Modifiers for HCPCS codes,Surgical or other invasive procedure on wrong body part
PB,Modifiers for HCPCS codes,Surgical or other invasive procedure on wrong patient
PC,Modifiers for HCPCS codes,Wrong surgery or other invasive procedure on patient
PD,Modifiers for HCPCS codes,Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days
PI,Modifiers for HCPCS codes,Positron emission tomography (pet) or pet/computed tomography (ct) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other diagnostic testing
PL,Modifiers for HCPCS codes,Progressive addition lenses
PM,Modifiers for HCPCS codes,Post mortem
PN,Modifiers for HCPCS codes,"Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital"
PO,Modifiers for HCPCS codes,"Excepted service provided at an off-campus, outpatient, provider-based department of a hospital"
PS,Modifiers for HCPCS codes,Positron emission tomography (pet) or pet/computed tomography (ct) to inform the subsequent treatment strategy of cancerous tumors when the beneficiary's treating physician determines that the pet study is needed to inform subsequent anti-tumor strategy
PT,Modifiers for HCPCS codes,Colorectal cancer screening test; converted to diagnostic test or other procedure
Q0,Modifiers for HCPCS codes,Investigational clinical service provided in a clinical research study that is in an approved clinical research study
Q1,Modifiers for HCPCS codes,Routine clinical service provided in a clinical research study that is in an approved clinical research study
Q2,Modifiers for HCPCS codes,Demonstration procedure/service
Q3,Modifiers for HCPCS codes,Live kidney donor surgery and related services
Q4,Modifiers for HCPCS codes,Service for ordering/referring physician qualifies as a service exemption
Q5,Modifiers for HCPCS codes,"Service furnished under a reciprocal billing arrangement by a substitute physician; or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area"
Q6,Modifiers for HCPCS codes,"Service furnished under a fee-for-time compensation arrangement by a substitute physician; or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area"
Q7,Modifiers for HCPCS codes,One class a finding
Q8,Modifiers for HCPCS codes,Two class b findings
Q9,Modifiers for HCPCS codes,One class b and two class c findings
QA,Modifiers for HCPCS codes,Prescribed Amounts Of Stationary Oxygen For Daytime Use While At Rest And Nighttime Use Differ And The Average Of The Two Amounts Is Less Than 1 Liter Per Minute (LPM)
QB,Modifiers for HCPCS codes,Prescribed Amounts Of Stationary Oxygen For Daytime Use While At Rest And Nighttime Use Differ And The Average Of The Two Amounts Exceeds 4 Liters Per Minute (LPM) And Portable Oxygen Is Prescribed
QC,Modifiers for HCPCS codes,Single channel monitoring
QD,Modifiers for HCPCS codes,Recording and storage in solid state memory by a digital recorder
QE,Modifiers for HCPCS codes,Prescribed Amount Of Stationary Oxygen While At Rest Is Less Than 1 Liter Per Minute (lpm)
QF,Modifiers for HCPCS codes,Prescribed Amount Of Stationary Oxygen While At Rest Exceeds 4 Liters Per Minute (lpm) And Portable Oxygen Is Prescribed
QG,Modifiers for HCPCS codes,Prescribed Amount Of Stationary Oxygen While At Rest Is Greater Than 4 Liters Per Minute (lpm)
QH,Modifiers for HCPCS codes,Oxygen conserving device is being used with an oxygen delivery system
QJ,Modifiers for HCPCS codes,"Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b)"
QK,Modifiers for HCPCS codes,"Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals"
QL,Modifiers for HCPCS codes,Patient pronounced dead after ambulance called
QM,Modifiers for HCPCS codes,Ambulance service provided under arrangement by a provider of services
QN,Modifiers for HCPCS codes,Ambulance service furnished directly by a provider of services
QP,Modifiers for HCPCS codes,"Documentation is on file showing that the laboratory test(s) was ordered individually or ordered as a cpt-recognized panel other than automated profile codes 80002-80019, G0058, G0059, and G0060."
QR,Modifiers for HCPCS codes,Prescribed Amounts Of Stationary Oxygen For Daytime Use While At Rest And Nighttime Use Differ And The Average Of The Two Amounts Is Greater Than 4 Liters Per Minute (LPM)
QS,Modifiers for HCPCS codes,Monitored anesthesia care service
QT,Modifiers for HCPCS codes,Recording and storage on tape by an analog tape recorder
QW,Modifiers for HCPCS codes,CLIA waived test
QX,Modifiers for HCPCS codes,Crna service: with medical direction by a physician
QY,Modifiers for HCPCS codes,Medical direction of one certified registered nurse anesthetist (crna) by an anesthesiologist
QZ,Modifiers for HCPCS codes,Crna service: without medical direction by a physician
RA,Modifiers for HCPCS codes,"Replacement of a dme, orthotic or prosthetic item"
RB,Modifiers for HCPCS codes,"Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair"
RC,Modifiers for HCPCS codes,Right coronary artery
RD,Modifiers for HCPCS codes,"Drug provided to beneficiary, but not administered ""incident-to"""
RE,Modifiers for HCPCS codes,Furnished in full compliance with fda-mandated risk evaluation and mitigation strategy (rems)
RI,Modifiers for HCPCS codes,Ramus intermedius coronary artery
RR,Modifiers for HCPCS codes,Rental (use the 'rr' modifier when dme is to be rented)
RT,Modifiers for HCPCS codes,Right side (used to identify procedures performed on the right side of the body)
SA,Modifiers for HCPCS codes,Nurse practitioner rendering service in collaboration with a physician
SB,Modifiers for HCPCS codes,Nurse midwife
SC,Modifiers for HCPCS codes,Medically necessary service or supply
SD,Modifiers for HCPCS codes,"Services provided by registered nurse with specialized, highly technical home infusion training"
SE,Modifiers for HCPCS codes,State and/or federally-funded programs/services
SF,Modifiers for HCPCS codes,"Second opinion ordered by a professional review organization (pro) per section 9401, p.l. 99-272 (100% reimbursement - no medicare deductible or coinsurance)"
SG,Modifiers for HCPCS codes,Ambulatory surgical center (asc) facility service
SH,Modifiers for HCPCS codes,Second concurrently administered infusion therapy
SJ,Modifiers for HCPCS codes,Third or more concurrently administered infusion therapy
SK,Modifiers for HCPCS codes,Member of high risk population (use only with codes for immunization)
SL,Modifiers for HCPCS codes,State supplied vaccine
SM,Modifiers for HCPCS codes,Second surgical opinion
SN,Modifiers for HCPCS codes,Third surgical opinion
SQ,Modifiers for HCPCS codes,Item ordered by home health
SS,Modifiers for HCPCS codes,Home infusion services provided in the infusion suite of the iv therapy provider
ST,Modifiers for HCPCS codes,Related to trauma or injury
SU,Modifiers for HCPCS codes,Procedure performed in physician's office (to denote use of facility and equipment)
SV,Modifiers for HCPCS codes,Pharmaceuticals delivered to patient's home but not utilized
SW,Modifiers for HCPCS codes,Services provided by a certified diabetic educator
SY,Modifiers for HCPCS codes,Persons who are in close contact with member of high-risk population (use only with codes for immunization)
T1,Modifiers for HCPCS codes,"Left foot, second digit"
T2,Modifiers for HCPCS codes,"Left foot, third digit"
T3,Modifiers for HCPCS codes,"Left foot, fourth digit"
T4,Modifiers for HCPCS codes,"Left foot, fifth digit"
T5,Modifiers for HCPCS codes,"Right foot, great toe"
T6,Modifiers for HCPCS codes,"Right foot, second digit"
T7,Modifiers for HCPCS codes,"Right foot, third digit"
T8,Modifiers for HCPCS codes,"Right foot, fourth digit"
T9,Modifiers for HCPCS codes,"Right foot, fifth digit"
TA,Modifiers for HCPCS codes,"Left foot, great toe"
TB,Modifiers for HCPCS codes,"Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes"
TC,Modifiers for HCPCS codes,"Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles"
TD,Modifiers for HCPCS codes,RN
TE,Modifiers for HCPCS codes,Lpn/lvn
TF,Modifiers for HCPCS codes,Intermediate level of care
TG,Modifiers for HCPCS codes,Complex/high tech level of care
TH,Modifiers for HCPCS codes,"Obstetrical treatment/services, prenatal or postpartum"
TJ,Modifiers for HCPCS codes,"Program group, child and/or adolescent"
TK,Modifiers for HCPCS codes,"Extra patient or passenger, non-ambulance"
TL,Modifiers for HCPCS codes,Early intervention/individualized family service plan (ifsp)
TM,Modifiers for HCPCS codes,Individualized education program (iep)
TN,Modifiers for HCPCS codes,Rural/outside providers' customary service area
TP,Modifiers for HCPCS codes,"Medical transport, unloaded vehicle"
TQ,Modifiers for HCPCS codes,Basic life support transport by a volunteer ambulance provider
TR,Modifiers for HCPCS codes,School-based individualized education program (iep) services provided outside the public school district responsible for the student
TS,Modifiers for HCPCS codes,Follow-up service
TT,Modifiers for HCPCS codes,Individualized service provided to more than one patient in same setting
TU,Modifiers for HCPCS codes,"Special payment rate, overtime"
TV,Modifiers for HCPCS codes,"Special payment rates, holidays/weekends"
TW,Modifiers for HCPCS codes,Back-up equipment
U1,Modifiers for HCPCS codes,"Medicaid level of care 1, as defined by each state"
U2,Modifiers for HCPCS codes,"Medicaid level of care 2, as defined by each state"
U3,Modifiers for HCPCS codes,"Medicaid level of care 3, as defined by each state"
U4,Modifiers for HCPCS codes,"Medicaid level of care 4, as defined by each state"
U5,Modifiers for HCPCS codes,"Medicaid level of care 5, as defined by each state"
U6,Modifiers for HCPCS codes,"Medicaid level of care 6, as defined by each state"
U7,Modifiers for HCPCS codes,"Medicaid level of care 7, as defined by each state"
U8,Modifiers for HCPCS codes,"Medicaid level of care 8, as defined by each state"
U9,Modifiers for HCPCS codes,"Medicaid level of care 9, as defined by each state"
UA,Modifiers for HCPCS codes,"Medicaid level of care 10, as defined by each state"
UB,Modifiers for HCPCS codes,"Medicaid level of care 11, as defined by each state"
UC,Modifiers for HCPCS codes,"Medicaid level of care 12, as defined by each state"
UD,Modifiers for HCPCS codes,"Medicaid level of care 13, as defined by each state"
UE,Modifiers for HCPCS codes,Used durable medical equipment
UF,Modifiers for HCPCS codes,Services provided in the morning
UG,Modifiers for HCPCS codes,Services provided in the afternoon
UH,Modifiers for HCPCS codes,Services provided in the evening
UJ,Modifiers for HCPCS codes,Services provided at night
UK,Modifiers for HCPCS codes,Services provided on behalf of the client to someone other than the client (collateral relationship)
UN,Modifiers for HCPCS codes,Two patients served
UP,Modifiers for HCPCS codes,Three patients served
UQ,Modifiers for HCPCS codes,Four patients served
UR,Modifiers for HCPCS codes,Five patients served
US,Modifiers for HCPCS codes,Six or more patients served
V1,Modifiers for HCPCS codes,Demonstration modifier 1
V2,Modifiers for HCPCS codes,Demonstration modifier 2
V3,Modifiers for HCPCS codes,Demonstration modifier 3
V4,Modifiers for HCPCS codes,Demonstration modifier 4
V5,Modifiers for HCPCS codes,Vascular catheter (alone or with any other vascular access)
V6,Modifiers for HCPCS codes,Arteriovenous graft (or other vascular access not including a vascular catheter)
V7,Modifiers for HCPCS codes,Arteriovenous fistula only (in use with two needles)
VM,Modifiers for HCPCS codes,Medicare diabetes prevention program (mdpp) virtual make-up session
VP,Modifiers for HCPCS codes,Aphakic patient
X1,Modifiers for HCPCS codes,"Continuous/broad services: for reporting services by clinicians, who provide the principal care for a patient, with no planned endpoint of the relationship; services in this category represent comprehensive care, dealing with the entire scope of patient problems, either directly or in a care coordination role; reporting clinician service examples include, but are not limited to: primary care, and clinicians providing comprehensive care to patients in addition to specialty care"
X2,Modifiers for HCPCS codes,Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services
X3,Modifiers for HCPCS codes,Episodic/broad services: for reporting services by clinicians who have broad responsibility for the comprehensive needs of the patient that is limited to a defined period and circumstance such as a hospitalization; reporting clinician service examples include but are not limited to the hospitalist's services rendered providing comprehensive and general care to a patient while admitted to the hospital
X4,Modifiers for HCPCS codes,"Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period"
X5,Modifiers for HCPCS codes,"Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician"
XE,Modifiers for HCPCS codes,"Separate encounter, a service that is distinct because it occurred during a separate encounter"
XP,Modifiers for HCPCS codes,"Separate practitioner, a service that is distinct because it was performed by a different practitioner"
XS,Modifiers for HCPCS codes,"Separate structure, a service that is distinct because it was performed on a separate organ/structure"
XU,Modifiers for HCPCS codes,"Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service"
A4206,Injection and Infusion Supplies,"Syringe with needle, sterile, 1 cc or less, each"
A4207,Injection and Infusion Supplies,"Syringe with needle, sterile 2 cc, each"
A4208,Injection and Infusion Supplies,"Syringe with needle, sterile 3 cc, each"
A4209,Injection and Infusion Supplies,"Syringe with needle, sterile 5 cc or greater, each"
A4210,Injection and Infusion Supplies,"Needle-free injection device, each"
A4211,Injection and Infusion Supplies,Supplies for self-administered injections
A4212,Injection and Infusion Supplies,Non-coring needle or stylet with or without catheter
A4213,Injection and Infusion Supplies,"Syringe, sterile, 20 cc or greater, each"
A4215,Injection and Infusion Supplies,"Needle, sterile, any size, each"
A4216,Injection and Infusion Supplies,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml"
A4217,Injection and Infusion Supplies,"Sterile water/saline, 500 ml"
A4218,Injection and Infusion Supplies,"Sterile saline or water, metered dose dispenser, 10 ml"
A4220,Injection and Infusion Supplies,Refill kit for implantable infusion pump
A4221,Injection and Infusion Supplies,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)"
A4222,Injection and Infusion Supplies,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)"
A4223,Injection and Infusion Supplies,"Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)"
A4224,Injection and Infusion Supplies,"Supplies for maintenance of insulin infusion catheter, per week"
A4225,Injection and Infusion Supplies,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each"
A4226,Injection and Infusion Supplies,"Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week"
A4230,Injection and Infusion Supplies,"Infusion set for external insulin pump, non needle cannula type"
A4231,Injection and Infusion Supplies,"Infusion set for external insulin pump, needle type"
A4232,Injection and Infusion Supplies,"Syringe with needle for external insulin pump, sterile, 3 cc"
A4233,Replacement Batteries,"Replacement battery, alkaline (other than J cell), for use with medically necessary home blood glucose monitor owned by patient, each"
A4234,Replacement Batteries,"Replacement battery, alkaline, J cell, for use with medically necessary home blood glucose monitor owned by patient, each"
A4235,Replacement Batteries,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each"
A4236,Replacement Batteries,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each"
A4238,Replacement Batteries,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service"
A4239,Replacement Batteries,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service"
A4244,Other Supplies Including Diabetes Supplies and Contraceptives,"Alcohol or peroxide, per pint"
A4245,Other Supplies Including Diabetes Supplies and Contraceptives,"Alcohol wipes, per box"
A4246,Other Supplies Including Diabetes Supplies and Contraceptives,"Betadine or pHisoHex solution, per pint"
A4247,Other Supplies Including Diabetes Supplies and Contraceptives,"Betadine or iodine swabs/wipes, per box"
A4248,Other Supplies Including Diabetes Supplies and Contraceptives,"Chlorhexidine containing antiseptic, 1 ml"
A4250,Other Supplies Including Diabetes Supplies and Contraceptives,Urine test or reagent strips or tablets (100 tablets or strips)
A4252,Other Supplies Including Diabetes Supplies and Contraceptives,"Blood ketone test or reagent strip, each"
A4253,Other Supplies Including Diabetes Supplies and Contraceptives,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips"
A4255,Other Supplies Including Diabetes Supplies and Contraceptives,"Platforms for home blood glucose monitor, 50 per box"
A4256,Other Supplies Including Diabetes Supplies and Contraceptives,"Normal, low and high calibrator solution / chips"
A4257,Other Supplies Including Diabetes Supplies and Contraceptives,"Replacement lens shield cartridge for use with laser skin piercing device, each"
A4258,Other Supplies Including Diabetes Supplies and Contraceptives,"Spring-powered device for lancet, each"
A4259,Other Supplies Including Diabetes Supplies and Contraceptives,"Lancets, per box of 100"
A4261,Other Supplies Including Diabetes Supplies and Contraceptives,Cervical cap for contraceptive use
A4262,Other Supplies Including Diabetes Supplies and Contraceptives,"Temporary, absorbable lacrimal duct implant, each"
A4263,Other Supplies Including Diabetes Supplies and Contraceptives,"Permanent, long term, non-dissolvable lacrimal duct implant, each"
A4264,Other Supplies Including Diabetes Supplies and Contraceptives,Permanent implantable contraceptive intratubal occlusion device(s) and delivery system
A4265,Other Supplies Including Diabetes Supplies and Contraceptives,"Paraffin, per pound"
A4266,Other Supplies Including Diabetes Supplies and Contraceptives,Diaphragm for contraceptive use
A4267,Other Supplies Including Diabetes Supplies and Contraceptives,"Contraceptive supply, condom, male, each"
A4268,Other Supplies Including Diabetes Supplies and Contraceptives,"Contraceptive supply, condom, female, each"
A4269,Other Supplies Including Diabetes Supplies and Contraceptives,"Contraceptive supply, spermicide (e.g., foam, gel), each"
A4270,Other Supplies Including Diabetes Supplies and Contraceptives,"Disposable endoscope sheath, each"
A4271,Other Supplies Including Diabetes Supplies and Contraceptives,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests"
A4280,Other Supplies Including Diabetes Supplies and Contraceptives,"Adhesive skin support attachment for use with external breast prosthesis, each"
A4281,Other Supplies Including Diabetes Supplies and Contraceptives,"Tubing for breast pump, replacement"
A4282,Other Supplies Including Diabetes Supplies and Contraceptives,"Adapter for breast pump, replacement"
A4283,Other Supplies Including Diabetes Supplies and Contraceptives,"Cap for breast pump bottle, replacement"
A4284,Other Supplies Including Diabetes Supplies and Contraceptives,"Breast shield and splash protector for use with breast pump, replacement"
A4285,Other Supplies Including Diabetes Supplies and Contraceptives,"Polycarbonate bottle for use with breast pump, replacement"
A4286,Other Supplies Including Diabetes Supplies and Contraceptives,"Locking ring for breast pump, replacement"
A4287,Other Supplies Including Diabetes Supplies and Contraceptives,"Disposable collection and storage bag for breast milk, any size, any type, each"
A4290,Other Supplies Including Diabetes Supplies and Contraceptives,"Sacral nerve stimulation test lead, each"
A4300,Access Catheters and Drug Delivery Systems,"Implantable access catheter, (e, g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access"
A4301,Access Catheters and Drug Delivery Systems,"Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)"
A4305,Access Catheters and Drug Delivery Systems,"Disposable drug delivery system, flow rate of 50 ml or greater per hour"
A4306,Access Catheters and Drug Delivery Systems,"Disposable drug delivery system, flow rate of less than 50 ml per hour"
A4310,Incontinence Devices and Supplies,Insertion tray without drainage bag and without catheter (accessories only)
A4311,Incontinence Devices and Supplies,"Insertion tray without drainage bag with indwelling catheter, Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)"
A4312,Incontinence Devices and Supplies,"Insertion tray without drainage bag with indwelling catheter, Foley type, 2-way, all silicone"
A4313,Incontinence Devices and Supplies,"Insertion tray without drainage bag with indwelling catheter, Foley type, 3-way, for continuous irrigation"
A4314,Incontinence Devices and Supplies,"Insertion tray with drainage bag with indwelling catheter, Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)"
A4315,Incontinence Devices and Supplies,"Insertion tray with drainage bag with indwelling catheter, Foley type, 2-way, all silicone"
A4316,Incontinence Devices and Supplies,"Insertion tray with drainage bag with indwelling catheter, Foley type, 3-way, for continuous irrigation"
A4320,Incontinence Devices and Supplies,"Irrigation tray with bulb or piston syringe, any purpose"
A4321,Incontinence Devices and Supplies,Therapeutic agent for urinary catheter irrigation
A4322,Incontinence Devices and Supplies,"Irrigation syringe, bulb or piston, each"
A4326,Incontinence Devices and Supplies,"Male external catheter with integral collection chamber, any type, each"
A4327,Incontinence Devices and Supplies,"Female external urinary collection device; meatal cup, each"
A4328,Incontinence Devices and Supplies,"Female external urinary collection device; pouch, each"
A4330,Incontinence Devices and Supplies,"Perianal fecal collection pouch with adhesive, each"
A4331,Incontinence Devices and Supplies,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each"
A4332,Incontinence Devices and Supplies,"Lubricant, individual sterile packet, each"
A4333,Incontinence Devices and Supplies,"Urinary catheter anchoring device, adhesive skin attachment, each"
A4334,Incontinence Devices and Supplies,"Urinary catheter anchoring device, leg strap, each"
A4335,Incontinence Devices and Supplies,Incontinence supply; miscellaneous
A4336,Incontinence Devices and Supplies,"Incontinence supply, urethral insert, any type, each"
A4337,Incontinence Devices and Supplies,"Incontinence supply, rectal insert, any type, each"
A4338,Incontinence Devices and Supplies,"Indwelling catheter; Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each"
A4340,Incontinence Devices and Supplies,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each"
A4341,Incontinence Devices and Supplies,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each"
A4342,Incontinence Devices and Supplies,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each"
A4344,Incontinence Devices and Supplies,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each"
A4346,Incontinence Devices and Supplies,"Indwelling catheter; Foley type, three way for continuous irrigation, each"
A4349,Incontinence Devices and Supplies,"Male external catheter, with or without adhesive, disposable, each"
A4351,Incontinence Devices and Supplies,"Intermittent urinary catheter; straight tip, with or without coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each"
A4352,Incontinence Devices and Supplies,"Intermittent urinary catheter; Coude (curved) tip, with or without coating (Teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each"
A4353,Incontinence Devices and Supplies,"Intermittent urinary catheter, with insertion supplies"
A4354,Incontinence Devices and Supplies,Insertion tray with drainage bag but without catheter
A4355,Incontinence Devices and Supplies,"Irrigation tubing set for continuous bladder irrigation through a 3-way indwelling Foley catheter, each"
A4356,Incontinence Devices and Supplies,"External urethral clamp or compression device (not to be used for catheter clamp), each"
A4357,Incontinence Devices and Supplies,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each"
A4358,Incontinence Devices and Supplies,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each"
A4360,Incontinence Devices and Supplies,"Disposable external urethral clamp or compression device, with pad and/or pouch, each"
A4361,Ostomy Pouches and Supplies,"Ostomy faceplate, each"
A4362,Ostomy Pouches and Supplies,"Skin barrier; solid, 4 x 4 or equivalent; each"
A4363,Ostomy Pouches and Supplies,"Ostomy clamp, any type, replacement only, each"
A4364,Ostomy Pouches and Supplies,"Adhesive, liquid or equal, any type, per oz"
A4366,Ostomy Pouches and Supplies,"Ostomy vent, any type, each"
A4367,Ostomy Pouches and Supplies,"Ostomy belt, each"
A4368,Ostomy Pouches and Supplies,"Ostomy filter, any type, each"
A4369,Ostomy Pouches and Supplies,"Ostomy skin barrier, liquid (spray, brush, etc), per oz"
A4371,Ostomy Pouches and Supplies,"Ostomy skin barrier, powder, per oz"
A4372,Ostomy Pouches and Supplies,"Ostomy skin barrier, solid 4x4 or equivalent, standard wear, with built-in convexity, each"
A4373,Ostomy Pouches and Supplies,"Ostomy skin barrier, with flange (solid, flexible or accordian), with built-in convexity, any size, each"
A4375,Ostomy Pouches and Supplies,"Ostomy pouch, drainable, with faceplate attached, plastic, each"
A4376,Ostomy Pouches and Supplies,"Ostomy pouch, drainable, with faceplate attached, rubber, each"
A4377,Ostomy Pouches and Supplies,"Ostomy pouch, drainable, for use on faceplate, plastic, each"
A4378,Ostomy Pouches and Supplies,"Ostomy pouch, drainable, for use on faceplate, rubber, each"
A4379,Ostomy Pouches and Supplies,"Ostomy pouch, urinary, with faceplate attached, plastic, each"
A4380,Ostomy Pouches and Supplies,"Ostomy pouch, urinary, with faceplate attached, rubber, each"
A4381,Ostomy Pouches and Supplies,"Ostomy pouch, urinary, for use on faceplate, plastic, each"
A4382,Ostomy Pouches and Supplies,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each"
A4383,Ostomy Pouches and Supplies,"Ostomy pouch, urinary, for use on faceplate, rubber, each"
A4384,Ostomy Pouches and Supplies,"Ostomy faceplate equivalent, silicone ring, each"
A4385,Ostomy Pouches and Supplies,"Ostomy skin barrier, solid 4x4 or equivalent, extended wear, without built-in convexity, each"
A4387,Ostomy Pouches and Supplies,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1-piece), each"
A4388,Ostomy Pouches and Supplies,"Ostomy pouch, drainable, with extended wear barrier attached, (1-piece), each"
A4389,Ostomy Pouches and Supplies,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1-piece), each"
A4390,Ostomy Pouches and Supplies,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1-piece), each"
A4391,Ostomy Pouches and Supplies,"Ostomy pouch, urinary, with extended wear barrier attached (1-piece), each"
A4392,Ostomy Pouches and Supplies,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1-piece), each"
A4393,Ostomy Pouches and Supplies,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1-piece), each"
A4394,Ostomy Pouches and Supplies,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce"
A4395,Ostomy Pouches and Supplies,"Ostomy deodorant for use in ostomy pouch, solid, per tablet"
A4396,Ostomy Pouches and Supplies,Ostomy belt with peristomal hernia support
A4398,Ostomy Pouches and Supplies,"Ostomy irrigation supply; bag, each"
A4399,Ostomy Pouches and Supplies,"Ostomy irrigation supply; cone/catheter, with or without brush"
A4400,Ostomy Pouches and Supplies,Ostomy irrigation set
A4402,Ostomy Pouches and Supplies,"Lubricant, per ounce"
A4404,Ostomy Pouches and Supplies,"Ostomy ring, each"
A4405,Ostomy Pouches and Supplies,"Ostomy skin barrier, non-pectin based, paste, per ounce"
A4406,Ostomy Pouches and Supplies,"Ostomy skin barrier, pectin-based, paste, per ounce"
A4407,Ostomy Pouches and Supplies,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each"
A4408,Ostomy Pouches and Supplies,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each"
A4409,Ostomy Pouches and Supplies,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each"
A4410,Ostomy Pouches and Supplies,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each"
A4411,Ostomy Pouches and Supplies,"Ostomy skin barrier, solid 4x4 or equivalent, extended wear, with built-in convexity, each"
A4412,Ostomy Pouches and Supplies,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2-piece system), without filter, each"
A4413,Ostomy Pouches and Supplies,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2-piece system), with filter, each"
A4414,Ostomy Pouches and Supplies,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each"
A4415,Ostomy Pouches and Supplies,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4x4 inches, each"
A4416,Ostomy Pouches and Supplies,"Ostomy pouch, closed, with barrier attached, with filter (1-piece), each"
A4417,Ostomy Pouches and Supplies,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1-piece), each"
A4418,Ostomy Pouches and Supplies,"Ostomy pouch, closed; without barrier attached, with filter (1-piece), each"
A4419,Ostomy Pouches and Supplies,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2-piece), each"
A4420,Ostomy Pouches and Supplies,"Ostomy pouch, closed; for use on barrier with locking flange (2-piece), each"
A4421,Ostomy Pouches and Supplies,Ostomy supply; miscellaneous
A4422,Ostomy Pouches and Supplies,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each"
A4423,Ostomy Pouches and Supplies,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2-piece), each"
A4424,Ostomy Pouches and Supplies,"Ostomy pouch, drainable, with barrier attached, with filter (1-piece), each"
A4425,Ostomy Pouches and Supplies,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2-piece system), each"
A4426,Ostomy Pouches and Supplies,"Ostomy pouch, drainable; for use on barrier with locking flange (2-piece system), each"
A4427,Ostomy Pouches and Supplies,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2-piece system), each"
A4428,Ostomy Pouches and Supplies,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1-piece), each"
A4429,Ostomy Pouches and Supplies,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1-piece), each"
A4430,Ostomy Pouches and Supplies,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1-piece), each"
A4431,Ostomy Pouches and Supplies,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1-piece), each"
A4432,Ostomy Pouches and Supplies,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2-piece), each"
A4433,Ostomy Pouches and Supplies,"Ostomy pouch, urinary; for use on barrier with locking flange (2-piece), each"
A4434,Ostomy Pouches and Supplies,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2-piece), each"
A4435,Ostomy Pouches and Supplies,"Ostomy pouch, drainable, high output, with extended wear barrier (1-piece system), with or without filter, each"
A4436,Ostomy Pouches and Supplies,"Irrigation supply; sleeve, reusable, per month"
A4437,Ostomy Pouches and Supplies,"Irrigation supply; sleeve, disposable, per month"
A4438,Ostomy Pouches and Supplies,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each"
A4450,Various Medical Supplies Including Tapes and Surgical Dressings,"Tape, non-waterproof, per 18 square inches"
A4452,Various Medical Supplies Including Tapes and Surgical Dressings,"Tape, waterproof, per 18 square inches"
A4453,Various Medical Supplies Including Tapes and Surgical Dressings,"Rectal catheter for use with the manual pump-operated enema system, replacement only"
A4455,Various Medical Supplies Including Tapes and Surgical Dressings,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce"
A4456,Various Medical Supplies Including Tapes and Surgical Dressings,"Adhesive remover, wipes, any type, each"
A4457,Various Medical Supplies Including Tapes and Surgical Dressings,"Enema tube, with or without adapter, any type, replacement only, each"
A4458,Various Medical Supplies Including Tapes and Surgical Dressings,"Enema bag with tubing, reusable"
A4459,Various Medical Supplies Including Tapes and Surgical Dressings,"Manual pump-operated enema system, includes balloon, catheter and all accessories, reusable, any type"
A4461,Various Medical Supplies Including Tapes and Surgical Dressings,"Surgical dressing holder, non-reusable, each"
A4463,Various Medical Supplies Including Tapes and Surgical Dressings,"Surgical dressing holder, reusable, each"
A4465,Various Medical Supplies Including Tapes and Surgical Dressings,Non-elastic binder for extremity
A4467,Various Medical Supplies Including Tapes and Surgical Dressings,"Belt, strap, sleeve, garment, or covering, any type"
A4468,Various Medical Supplies Including Tapes and Surgical Dressings,"Exsufflation belt, includes all supplies and accessories"
A4470,Various Medical Supplies Including Tapes and Surgical Dressings,Gravlee jet washer
A4480,Various Medical Supplies Including Tapes and Surgical Dressings,Vabra aspirator
A4481,Various Medical Supplies Including Tapes and Surgical Dressings,"Tracheostoma filter, any type, any size, each"
A4483,Various Medical Supplies Including Tapes and Surgical Dressings,"Moisture exchanger, disposable, for use with invasive mechanical ventilation"
A4490,Various Medical Supplies Including Tapes and Surgical Dressings,"Surgical stockings above knee length, each"
A4495,Various Medical Supplies Including Tapes and Surgical Dressings,"Surgical stockings thigh length, each"
A4500,Various Medical Supplies Including Tapes and Surgical Dressings,"Surgical stockings below knee length, each"
A4510,Various Medical Supplies Including Tapes and Surgical Dressings,"Surgical stockings full length, each"
A4520,Various Medical Supplies Including Tapes and Surgical Dressings,"Incontinence garment, any type, (e.g., brief, diaper), each"
A4540,Various Medical Supplies Including Tapes and Surgical Dressings,"Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm"
A4541,Various Medical Supplies Including Tapes and Surgical Dressings,Monthly supplies for use of device coded at e0733
A4542,Various Medical Supplies Including Tapes and Surgical Dressings,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist
A4543,Various Medical Supplies Including Tapes and Surgical Dressings,"Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month"
A4544,Various Medical Supplies Including Tapes and Surgical Dressings,Electrode for external lower extremity nerve stimulator for restless legs syndrome
A4545,Various Medical Supplies Including Tapes and Surgical Dressings,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month"
A4550,Various Medical Supplies Including Tapes and Surgical Dressings,Surgical trays
A4553,Various Medical Supplies Including Tapes and Surgical Dressings,"Non-disposable underpads, all sizes"
A4554,Various Medical Supplies Including Tapes and Surgical Dressings,"Disposable underpads, all sizes"
A4555,Various Medical Supplies Including Tapes and Surgical Dressings,"Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only"
A4556,Various Medical Supplies Including Tapes and Surgical Dressings,"Electrodes, (e.g., apnea monitor), per pair"
A4557,Various Medical Supplies Including Tapes and Surgical Dressings,"Lead wires, (e.g., apnea monitor), per pair"
A4558,Various Medical Supplies Including Tapes and Surgical Dressings,"Conductive gel or paste, for use with electrical device (e.g., TENS, NMES), per oz"
A4559,Various Medical Supplies Including Tapes and Surgical Dressings,"Coupling gel or paste, for use with ultrasound device, per oz"
A4560,Various Medical Supplies Including Tapes and Surgical Dressings,"Neuromuscular electrical stimulator (nmes), disposable, replacement only"
A4561,Various Medical Supplies Including Tapes and Surgical Dressings,"Pessary, reusable, rubber, any type"
A4562,Various Medical Supplies Including Tapes and Surgical Dressings,"Pessary, reusable, non rubber, any type"
A4563,Various Medical Supplies Including Tapes and Surgical Dressings,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each"
A4564,Various Medical Supplies Including Tapes and Surgical Dressings,"Pessary, disposable, any type"
A4565,Various Medical Supplies Including Tapes and Surgical Dressings,Slings
A4566,Various Medical Supplies Including Tapes and Surgical Dressings,"Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment"
A4570,Various Medical Supplies Including Tapes and Surgical Dressings,Splint
A4575,Various Medical Supplies Including Tapes and Surgical Dressings,"Topical hyperbaric oxygen chamber, disposable"
A4580,Various Medical Supplies Including Tapes and Surgical Dressings,"Cast supplies (e.g., plaster)"
A4590,Various Medical Supplies Including Tapes and Surgical Dressings,"Special casting material (e.g., fiberglass)"
A4593,Various Medical Supplies Including Tapes and Surgical Dressings,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller"
A4594,Various Medical Supplies Including Tapes and Surgical Dressings,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each"
A4595,Various Medical Supplies Including Tapes and Surgical Dressings,"Electrical stimulator supplies, 2 lead, per month, (e.g., TENS, NMES)"
A4596,Various Medical Supplies Including Tapes and Surgical Dressings,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month"
A4600,Various Medical Supplies Including Tapes and Surgical Dressings,"Sleeve for intermittent limb compression device, replacement only, each"
A4601,Various Medical Supplies Including Tapes and Surgical Dressings,"Lithium ion battery, rechargeable, for non-prosthetic use, replacement"
A4602,Various Medical Supplies Including Tapes and Surgical Dressings,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each"
A4604,Various Medical Supplies Including Tapes and Surgical Dressings,Tubing with integrated heating element for use with positive airway pressure device
A4605,Various Medical Supplies Including Tapes and Surgical Dressings,"Tracheal suction catheter, closed system, each"
A4606,Various Medical Supplies Including Tapes and Surgical Dressings,"Oxygen probe for use with oximeter device, replacement"
A4608,Various Medical Supplies Including Tapes and Surgical Dressings,"Transtracheal oxygen catheter, each"
A4611,Respiratory Supplies and Equipment,"Battery, heavy duty; replacement for patient owned ventilator"
A4612,Respiratory Supplies and Equipment,Battery cables; replacement for patient-owned ventilator
A4613,Respiratory Supplies and Equipment,Battery charger; replacement for patient-owned ventilator
A4614,Respiratory Supplies and Equipment,"Peak expiratory flow rate meter, hand held"
A4615,Respiratory Supplies and Equipment,"Cannula, nasal"
A4616,Respiratory Supplies and Equipment,"Tubing (oxygen), per foot"
A4617,Respiratory Supplies and Equipment,Mouth piece
A4618,Respiratory Supplies and Equipment,Breathing circuits
A4619,Respiratory Supplies and Equipment,Face tent
A4620,Respiratory Supplies and Equipment,Variable concentration mask
A4623,Respiratory Supplies and Equipment,"Tracheostomy, inner cannula"
A4624,Respiratory Supplies and Equipment,"Tracheal suction catheter, any type other than closed system, each"
A4625,Respiratory Supplies and Equipment,Tracheostomy care kit for new tracheostomy
A4626,Respiratory Supplies and Equipment,"Tracheostomy cleaning brush, each"
A4627,Respiratory Supplies and Equipment,"Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler"
A4628,Respiratory Supplies and Equipment,"Oral and/or oropharyngeal suction catheter, each"
A4629,Respiratory Supplies and Equipment,Tracheostomy care kit for established tracheostomy
A4630,Replacement Parts,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient"
A4633,Replacement Parts,"Replacement bulb/lamp for ultraviolet light therapy system, each"
A4634,Replacement Parts,"Replacement bulb for therapeutic light box, tabletop model"
A4635,Replacement Parts,"Underarm pad, crutch, replacement, each"
A4636,Replacement Parts,"Replacement, handgrip, cane, crutch, or walker, each"
A4637,Replacement Parts,"Replacement, tip, cane, crutch, walker, each."
A4638,Replacement Parts,"Replacement battery for patient-owned ear pulse generator, each"
A4639,Replacement Parts,"Replacement pad for infrared heating pad system, each"
A4640,Replacement Parts,Replacement pad for use with medically necessary alternating pressure pad owned by patient
A4641,Diagnostic Radiopharmaceuticals,"Radiopharmaceutical, diagnostic, not otherwise classified"
A4642,Diagnostic Radiopharmaceuticals,"Indium In-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries"
A4648,Other Supplies,"Tissue marker, implantable, any type, each"
A4649,Other Supplies,Surgical supply; miscellaneous
A4650,Other Supplies,"Implantable radiation dosimeter, each"
A4651,Other Supplies,"Calibrated microcapillary tube, each"
A4652,Other Supplies,Microcapillary tube sealant
A4653,Dialysis Equipment and Supplies,"Peritoneal dialysis catheter anchoring device, belt, each"
A4657,Dialysis Equipment and Supplies,"Syringe, with or without needle, each"
A4660,Dialysis Equipment and Supplies,Sphygmomanometer/blood pressure apparatus with cuff and stethoscope
A4663,Dialysis Equipment and Supplies,Blood pressure cuff only
A4670,Dialysis Equipment and Supplies,Automatic blood pressure monitor
A4671,Dialysis Equipment and Supplies,"Disposable cycler set used with cycler dialysis machine, each"
A4672,Dialysis Equipment and Supplies,"Drainage extension line, sterile, for dialysis, each"
A4673,Dialysis Equipment and Supplies,"Extension line with easy lock connectors, used with dialysis"
A4674,Dialysis Equipment and Supplies,"Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz"
A4680,Dialysis Equipment and Supplies,"Activated carbon filter for hemodialysis, each"
A4690,Dialysis Equipment and Supplies,"Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each"
A4706,Dialysis Equipment and Supplies,"Bicarbonate concentrate, solution, for hemodialysis, per gallon"
A4707,Dialysis Equipment and Supplies,"Bicarbonate concentrate, powder, for hemodialysis, per packet"
A4708,Dialysis Equipment and Supplies,"Acetate concentrate solution, for hemodialysis, per gallon"
A4709,Dialysis Equipment and Supplies,"Acid concentrate, solution, for hemodialysis, per gallon"
A4714,Dialysis Equipment and Supplies,"Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon"
A4719,Dialysis Equipment and Supplies,"""Y set"" tubing for peritoneal dialysis"
A4720,Dialysis Equipment and Supplies,"Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis"
A4721,Dialysis Equipment and Supplies,"Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis"
A4722,Dialysis Equipment and Supplies,"Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis"
A4723,Dialysis Equipment and Supplies,"Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis"
A4724,Dialysis Equipment and Supplies,"Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis"
A4725,Dialysis Equipment and Supplies,"Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis"
A4726,Dialysis Equipment and Supplies,"Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis"
A4728,Dialysis Equipment and Supplies,"Dialysate solution, non-dextrose containing, 500 ml"
A4730,Dialysis Equipment and Supplies,"Fistula cannulation set for hemodialysis, each"
A4736,Dialysis Equipment and Supplies,"Topical anesthetic, for dialysis, per gram"
A4737,Dialysis Equipment and Supplies,"Injectable anesthetic, for dialysis, per 10 ml"
A4740,Dialysis Equipment and Supplies,"Shunt accessory, for hemodialysis, any type, each"
A4750,Dialysis Equipment and Supplies,"Blood tubing, arterial or venous, for hemodialysis, each"
A4755,Dialysis Equipment and Supplies,"Blood tubing, arterial and venous combined, for hemodialysis, each"
A4760,Dialysis Equipment and Supplies,"Dialysate solution test kit, for peritoneal dialysis, any type, each"
A4765,Dialysis Equipment and Supplies,"Dialysate concentrate, powder, additive for peritoneal dialysis, per packet"
A4766,Dialysis Equipment and Supplies,"Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml"
A4770,Dialysis Equipment and Supplies,"Blood collection tube, vacuum, for dialysis, per 50"
A4771,Dialysis Equipment and Supplies,"Serum clotting time tube, for dialysis, per 50"
A4772,Dialysis Equipment and Supplies,"Blood glucose test strips, for dialysis, per 50"
A4773,Dialysis Equipment and Supplies,"Occult blood test strips, for dialysis, per 50"
A4774,Dialysis Equipment and Supplies,"Ammonia test strips, for dialysis, per 50"
A4802,Dialysis Equipment and Supplies,"Protamine sulfate, for hemodialysis, per 50 mg"
A4860,Dialysis Equipment and Supplies,"Disposable catheter tips for peritoneal dialysis, per 10"
A4870,Dialysis Equipment and Supplies,Plumbing and/or electrical work for home hemodialysis equipment
A4890,Dialysis Equipment and Supplies,"Contracts, repair and maintenance, for hemodialysis equipment"
A4911,Dialysis Equipment and Supplies,"Drain bag/bottle, for dialysis, each"
A4913,Dialysis Equipment and Supplies,"Miscellaneous dialysis supplies, not otherwise specified"
A4918,Dialysis Equipment and Supplies,"Venous pressure clamp, for hemodialysis, each"
A4927,Dialysis Equipment and Supplies,"Gloves, non-sterile, per 100"
A4928,Dialysis Equipment and Supplies,"Surgical mask, per 20"
A4929,Dialysis Equipment and Supplies,"Tourniquet for dialysis, each"
A4930,Dialysis Equipment and Supplies,"Gloves, sterile, per pair"
A4931,Dialysis Equipment and Supplies,"Oral thermometer, reusable, any type, each"
A4932,Dialysis Equipment and Supplies,"Rectal thermometer, reusable, any type, each"
A5051,Ostomy Pouches and Supplies,"Ostomy pouch, closed; with barrier attached (1-piece), each"
A5052,Ostomy Pouches and Supplies,"Ostomy pouch, closed; without barrier attached (1-piece), each"
A5053,Ostomy Pouches and Supplies,"Ostomy pouch, closed; for use on faceplate, each"
A5054,Ostomy Pouches and Supplies,"Ostomy pouch, closed; for use on barrier with flange (2-piece), each"
A5055,Ostomy Pouches and Supplies,Stoma cap
A5056,Ostomy Pouches and Supplies,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1-piece), each"
A5057,Ostomy Pouches and Supplies,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1-piece), each"
A5061,Ostomy Pouches and Supplies,"Ostomy pouch, drainable; with barrier attached, (1-piece), each"
A5062,Ostomy Pouches and Supplies,"Ostomy pouch, drainable; without barrier attached (1-piece), each"
A5063,Ostomy Pouches and Supplies,"Ostomy pouch, drainable; for use on barrier with flange (2-piece system), each"
A5071,Ostomy Pouches and Supplies,"Ostomy pouch, urinary; with barrier attached (1-piece), each"
A5072,Ostomy Pouches and Supplies,"Ostomy pouch, urinary; without barrier attached (1-piece), each"
A5073,Ostomy Pouches and Supplies,"Ostomy pouch, urinary; for use on barrier with flange (2-piece), each"
A5081,Ostomy Pouches and Supplies,"Stoma plug or seal, any type"
A5082,Ostomy Pouches and Supplies,Continent device; catheter for continent stoma
A5083,Ostomy Pouches and Supplies,"Continent device, stoma absorptive cover for continent stoma"
A5093,Ostomy Pouches and Supplies,Ostomy accessory; convex insert
A5102,Incontinence Devices and Supplies,"Bedside drainage bottle with or without tubing, rigid or expandable, each"
A5105,Incontinence Devices and Supplies,"Urinary suspensory with leg bag, with or without tube, each"
A5112,Incontinence Devices and Supplies,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each"
A5113,Incontinence Devices and Supplies,"Leg strap; latex, replacement only, per set"
A5114,Incontinence Devices and Supplies,"Leg strap; foam or fabric, replacement only, per set"
A5120,Incontinence Devices and Supplies,"Skin barrier, wipes or swabs, each"
A5121,Incontinence Devices and Supplies,"Skin barrier; solid, 6 x 6 or equivalent, each"
A5122,Incontinence Devices and Supplies,"Skin barrier; solid, 8 x 8 or equivalent, each"
A5126,Incontinence Devices and Supplies,Adhesive or non-adhesive; disk or foam pad
A5131,Incontinence Devices and Supplies,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz."
A5200,Incontinence Devices and Supplies,"Percutaneous catheter/tube anchoring device, adhesive skin attachment"
A5500,Diabetic Footwear,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi- density insert(s), per shoe"
A5501,Diabetic Footwear,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe"
A5503,Diabetic Footwear,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe"
A5504,Diabetic Footwear,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe"
A5505,Diabetic Footwear,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe"
A5506,Diabetic Footwear,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe"
A5507,Diabetic Footwear,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe"
A5508,Diabetic Footwear,"For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe"
A5510,Diabetic Footwear,"For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe"
A5512,Diabetic Footwear,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees Fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each"
A5513,Diabetic Footwear,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each"
A5514,Diabetic Footwear,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each"
A6000,Miscellaneous Dressing and Wound Supplies,Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card
A6010,Miscellaneous Dressing and Wound Supplies,"Collagen based wound filler, dry form, sterile, per gram of collagen"
A6011,Miscellaneous Dressing and Wound Supplies,"Collagen based wound filler, gel/paste, per gram of collagen"
A6021,Miscellaneous Dressing and Wound Supplies,"Collagen dressing, sterile, size 16 sq. in. or less, each"
A6022,Miscellaneous Dressing and Wound Supplies,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each"
A6023,Miscellaneous Dressing and Wound Supplies,"Collagen dressing, sterile, size more than 48 sq. in., each"
A6024,Miscellaneous Dressing and Wound Supplies,"Collagen dressing wound filler, sterile, per 6 inches"
A6025,Miscellaneous Dressing and Wound Supplies,"Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each"
A6154,Miscellaneous Dressing and Wound Supplies,"Wound pouch, each"
A6196,Miscellaneous Dressing and Wound Supplies,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing"
A6197,Miscellaneous Dressing and Wound Supplies,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing"
A6198,Miscellaneous Dressing and Wound Supplies,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing"
A6199,Miscellaneous Dressing and Wound Supplies,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches"
A6203,Miscellaneous Dressing and Wound Supplies,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing"
A6204,Miscellaneous Dressing and Wound Supplies,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing"
A6205,Miscellaneous Dressing and Wound Supplies,"Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing"
A6206,Miscellaneous Dressing and Wound Supplies,"Contact layer, sterile, 16 sq. in. or less, each dressing"
A6207,Miscellaneous Dressing and Wound Supplies,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing"
A6208,Miscellaneous Dressing and Wound Supplies,"Contact layer, sterile, more than 48 sq. in., each dressing"
A6209,Foam Dressings,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
A6210,Foam Dressings,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
A6211,Foam Dressings,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
A6212,Foam Dressings,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing"
A6213,Foam Dressings,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing"
A6214,Foam Dressings,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing"
A6215,Foam Dressings,"Foam dressing, wound filler, sterile, per gram"
A6216,Gauze Dressings,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
A6217,Gauze Dressings,"Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
A6218,Gauze Dressings,"Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
A6219,Gauze Dressings,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing"
A6220,Gauze Dressings,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing"
A6221,Gauze Dressings,"Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing"
A6222,Gauze Dressings,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
A6223,Gauze Dressings,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing"
A6224,Gauze Dressings,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
A6228,Gauze Dressings,"Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
A6229,Gauze Dressings,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
A6230,Gauze Dressings,"Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
A6231,Gauze Dressings,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing"
A6232,Gauze Dressings,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing"
A6233,Gauze Dressings,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing"
A6234,Hydrocolloid Dressings,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
A6235,Hydrocolloid Dressings,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
A6236,Hydrocolloid Dressings,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
A6237,Hydrocolloid Dressings,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing"
A6238,Hydrocolloid Dressings,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing"
A6239,Hydrocolloid Dressings,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing"
A6240,Hydrocolloid Dressings,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce"
A6241,Hydrocolloid Dressings,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram"
A6242,Hydrogel Dressings,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
A6243,Hydrogel Dressings,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
A6244,Hydrogel Dressings,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
A6245,Hydrogel Dressings,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing"
A6246,Hydrogel Dressings,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing"
A6247,Hydrogel Dressings,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing"
A6248,Hydrogel Dressings,"Hydrogel dressing, wound filler, gel, per fluid ounce"
A6250,"Other Dressings, Coverings, and Wound Treatment Supplies","Skin sealants, protectants, moisturizers, ointments, any type, any size"
A6251,"Other Dressings, Coverings, and Wound Treatment Supplies","Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
A6252,"Other Dressings, Coverings, and Wound Treatment Supplies","Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
A6253,"Other Dressings, Coverings, and Wound Treatment Supplies","Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
A6254,"Other Dressings, Coverings, and Wound Treatment Supplies","Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing"
A6255,"Other Dressings, Coverings, and Wound Treatment Supplies","Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing"
A6256,"Other Dressings, Coverings, and Wound Treatment Supplies","Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing"
A6257,"Other Dressings, Coverings, and Wound Treatment Supplies","Transparent film, sterile, 16 sq. in. or less, each dressing"
A6258,"Other Dressings, Coverings, and Wound Treatment Supplies","Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing"
A6259,"Other Dressings, Coverings, and Wound Treatment Supplies","Transparent film, sterile, more than 48 sq. in., each dressing"
A6260,"Other Dressings, Coverings, and Wound Treatment Supplies","Wound cleansers, any type, any size"
A6261,"Other Dressings, Coverings, and Wound Treatment Supplies","Wound filler, gel/paste, per fluid ounce, not otherwise specified"
A6262,"Other Dressings, Coverings, and Wound Treatment Supplies","Wound filler, dry form, per gram, not otherwise specified"
A6266,"Other Dressings, Coverings, and Wound Treatment Supplies","Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard"
A6402,"Other Dressings, Coverings, and Wound Treatment Supplies","Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
A6403,"Other Dressings, Coverings, and Wound Treatment Supplies","Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing"
A6404,"Other Dressings, Coverings, and Wound Treatment Supplies","Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing"
A6407,"Other Dressings, Coverings, and Wound Treatment Supplies","Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard"
A6410,"Other Dressings, Coverings, and Wound Treatment Supplies","Eye pad, sterile, each"
A6411,"Other Dressings, Coverings, and Wound Treatment Supplies","Eye pad, non-sterile, each"
A6412,"Other Dressings, Coverings, and Wound Treatment Supplies","Eye patch, occlusive, each"
A6413,Bandages,"Adhesive bandage, first-aid type, any size, each"
A6441,Bandages,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to 3 inches and less than 5 inches, per yard"
A6442,Bandages,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than 3 inches, per yard"
A6443,Bandages,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 3 inches and less than 5 inches, per yard"
A6444,Bandages,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard"
A6445,Bandages,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than 3 inches, per yard"
A6446,Bandages,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to 3 inches and less than 5 inches, per yard"
A6447,Bandages,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to 5 inches, per yard"
A6448,Bandages,"Light compression bandage, elastic, knitted/woven, width less than 3 inches, per yard"
A6449,Bandages,"Light compression bandage, elastic, knitted/woven, width greater than or equal to 3 inches and less than 5 inches, per yard"
A6450,Bandages,"Light compression bandage, elastic, knitted/woven, width greater than or equal to 5 inches, per yard"
A6451,Bandages,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to 3 inches and less than 5 inches, per yard"
A6452,Bandages,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to 3 inches and less than 5 inches, per yard"
A6453,Bandages,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than 3 inches, per yard"
A6454,Bandages,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to 3 inches and less than 5 inches, per yard"
A6455,Bandages,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to 5 inches, per yard"
A6456,Bandages,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to 3 inches and less than 5 inches, per yard"
A6457,Bandages,"Tubular dressing with or without elastic, any width, per linear yard"
A6460,Bandages,"Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"
A6461,Bandages,"Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
A6501,Compression Garments and Stockings,"Compression burn garment, bodysuit (head to foot), custom fabricated"
A6502,Compression Garments and Stockings,"Compression burn garment, chin strap, custom fabricated"
A6503,Compression Garments and Stockings,"Compression burn garment, facial hood, custom fabricated"
A6504,Compression Garments and Stockings,"Compression burn garment, glove to wrist, custom fabricated"
A6505,Compression Garments and Stockings,"Compression burn garment, glove to elbow, custom fabricated"
A6506,Compression Garments and Stockings,"Compression burn garment, glove to axilla, custom fabricated"
A6507,Compression Garments and Stockings,"Compression burn garment, foot to knee length, custom fabricated"
A6508,Compression Garments and Stockings,"Compression burn garment, foot to thigh length, custom fabricated"
A6509,Compression Garments and Stockings,"Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated"
A6510,Compression Garments and Stockings,"Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated"
A6511,Compression Garments and Stockings,"Compression burn garment, lower trunk including leg openings (panty), custom fabricated"
A6512,Compression Garments and Stockings,"Compression burn garment, not otherwise classified"
A6513,Compression Garments and Stockings,"Compression burn mask, face and/or neck, plastic or equal, custom fabricated"
A6520,Compression Garments and Stockings,"Gradient compression garment, glove, padded, for nighttime use, each"
A6521,Compression Garments and Stockings,"Gradient compression garment, glove, padded, for nighttime use, custom, each"
A6522,Compression Garments and Stockings,"Gradient compression garment, arm, padded, for nighttime use, each"
A6523,Compression Garments and Stockings,"Gradient compression garment, arm, padded, for nighttime use, custom, each"
A6524,Compression Garments and Stockings,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each"
A6525,Compression Garments and Stockings,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each"
A6526,Compression Garments and Stockings,"Gradient compression garment, full leg and foot, padded, for nighttime use, each"
A6527,Compression Garments and Stockings,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each"
A6528,Compression Garments and Stockings,"Gradient compression garment, bra, for nighttime use, each"
A6529,Compression Garments and Stockings,"Gradient compression garment, bra, for nighttime use, custom, each"
A6530,Compression Garments and Stockings,"Gradient compression stocking, below knee, 18-30 mmHg, each"
A6531,Compression Garments and Stockings,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each"
A6532,Compression Garments and Stockings,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each"
A6533,Compression Garments and Stockings,"Gradient compression stocking, thigh length, 18-30 mmHg, each"
A6534,Compression Garments and Stockings,"Gradient compression stocking, thigh length, 30-40 mmHg, each"
A6535,Compression Garments and Stockings,"Gradient compression stocking, thigh length, 40 mmhg or greater, each"
A6536,Compression Garments and Stockings,"Gradient compression stocking, full length/chap style, 18-30 mmHg, each"
A6537,Compression Garments and Stockings,"Gradient compression stocking, full length/chap style, 30-40 mmHg, each"
A6538,Compression Garments and Stockings,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each"
A6539,Compression Garments and Stockings,"Gradient compression stocking, waist length, 18-30 mmHg, each"
A6540,Compression Garments and Stockings,"Gradient compression stocking, waist length, 30-40 mmHg, each"
A6541,Compression Garments and Stockings,"Gradient compression stocking, waist length, 40 mmhg or greater, each"
A6544,Compression Garments and Stockings,"Gradient compression stocking, garter belt"
A6545,Compression Garments and Stockings,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each"
A6549,Compression Garments and Stockings,"Gradient compression garment, not otherwise specified"
A6550,Compression Garments and Stockings,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories"
A6552,Compression Garments and Stockings,"Gradient compression stocking, below knee, 30-40 mmhg, each"
A6553,Compression Garments and Stockings,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each"
A6554,Compression Garments and Stockings,"Gradient compression stocking, below knee, 40 mmhg or greater, each"
A6555,Compression Garments and Stockings,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each"
A6556,Compression Garments and Stockings,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each"
A6557,Compression Garments and Stockings,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each"
A6558,Compression Garments and Stockings,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each"
A6559,Compression Garments and Stockings,"Gradient compression stocking, full length/chap style, 18-30 mmhg, custom, each"
A6560,Compression Garments and Stockings,"Gradient compression stocking, full length/chap style, 30-40 mmhg, custom, each"
A6561,Compression Garments and Stockings,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, custom, each"
A6562,Compression Garments and Stockings,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each"
A6563,Compression Garments and Stockings,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each"
A6564,Compression Garments and Stockings,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each"
A6565,Compression Garments and Stockings,"Gradient compression gauntlet, custom, each"
A6566,Compression Garments and Stockings,"Gradient compression garment, neck/head, each"
A6567,Compression Garments and Stockings,"Gradient compression garment, neck/head, custom, each"
A6568,Compression Garments and Stockings,"Gradient compression garment, torso and shoulder, each"
A6569,Compression Garments and Stockings,"Gradient compression garment, torso/shoulder, custom, each"
A6570,Compression Garments and Stockings,"Gradient compression garment, genital region, each"
A6571,Compression Garments and Stockings,"Gradient compression garment, genital region, custom, each"
A6572,Compression Garments and Stockings,"Gradient compression garment, toe caps, each"
A6573,Compression Garments and Stockings,"Gradient compression garment, toe caps, custom, each"
A6574,Compression Garments and Stockings,"Gradient compression arm sleeve and glove combination, custom, each"
A6575,Compression Garments and Stockings,"Gradient  compression arm sleeve and glove combination, each"
A6576,Compression Garments and Stockings,"Gradient  compression arm sleeve, custom, medium weight, each"
A6577,Compression Garments and Stockings,"Gradient  compression arm sleeve, custom, heavy weight, each"
A6578,Compression Garments and Stockings,"Gradient  compression arm sleeve, each"
A6579,Compression Garments and Stockings,"Gradient compression glove, custom, medium weight, each"
A6580,Compression Garments and Stockings,"Gradient  compression glove, custom, heavy weight, each"
A6581,Compression Garments and Stockings,"Gradient compression glove, each"
A6582,Compression Garments and Stockings,"Gradient compression gauntlet, each"
A6583,Compression Garments and Stockings,"Gradient compression wrap with adjustable straps, below knee, 30-50 mmhg, each"
A6584,Compression Garments and Stockings,"Gradient compression wrap with adjustable straps, not otherwise specified"
A6585,Compression Garments and Stockings,"Gradient pressure wrap with adjustable straps, above knee, each"
A6586,Compression Garments and Stockings,"Gradient pressure wrap with adjustable straps, full leg, each"
A6587,Compression Garments and Stockings,"Gradient pressure wrap with adjustable straps, foot, each"
A6588,Compression Garments and Stockings,"Gradient pressure wrap with adjustable straps, arm, each"
A6589,Compression Garments and Stockings,"Gradient pressure wrap with adjustable straps, bra, each"
A6590,Compression Garments and Stockings,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month"
A6591,Compression Garments and Stockings,"External urinary catheter; non-disposable, for use with suction pump, per month"
A6593,Compression Garments and Stockings,"Accessory for gradient compression garment or wrap with adjustable straps, non-otherwise specified"
A6594,Compression Garments and Stockings,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each"
A6595,Compression Garments and Stockings,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each"
A6596,Compression Garments and Stockings,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each"
A6597,Compression Garments and Stockings,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each"
A6598,Compression Garments and Stockings,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each"
A6599,Compression Garments and Stockings,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each"
A6600,Compression Garments and Stockings,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each"
A6601,Compression Garments and Stockings,"Gradient compression bandaging supply, high density foam pad, any size or shape, each"
A6602,Compression Garments and Stockings,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each"
A6603,Compression Garments and Stockings,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each"
A6604,Compression Garments and Stockings,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each"
A6605,Compression Garments and Stockings,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each"
A6606,Compression Garments and Stockings,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each"
A6607,Compression Garments and Stockings,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each"
A6608,Compression Garments and Stockings,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each"
A6609,Compression Garments and Stockings,"Gradient compression bandaging supply, not otherwise specified"
A6610,Compression Garments and Stockings,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each"
A7000,Breathing Aids,"Canister, disposable, used with suction pump, each"
A7001,Breathing Aids,"Canister, non-disposable, used with suction pump, each"
A7002,Breathing Aids,"Tubing, used with suction pump, each"
A7003,Breathing Aids,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable"
A7004,Breathing Aids,"Small volume nonfiltered pneumatic nebulizer, disposable"
A7005,Breathing Aids,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable"
A7006,Breathing Aids,"Administration set, with small volume filtered pneumatic nebulizer"
A7007,Breathing Aids,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor"
A7008,Breathing Aids,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor"
A7009,Breathing Aids,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer"
A7010,Breathing Aids,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet"
A7012,Breathing Aids,"Water collection device, used with large volume nebulizer"
A7013,Breathing Aids,"Filter, disposable, used with aerosol compressor or ultrasonic generator"
A7014,Breathing Aids,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator"
A7015,Breathing Aids,"Aerosol mask, used with DME nebulizer"
A7016,Breathing Aids,"Dome and mouthpiece, used with small volume ultrasonic nebulizer"
A7017,Breathing Aids,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen"
A7018,Breathing Aids,"Water, distilled, used with large volume nebulizer, 1000 ml"
A7020,Breathing Aids,"Interface for cough stimulating device, includes all components, replacement only"
A7021,Breathing Aids,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter)"
A7023,Breathing Aids,"Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical"
A7025,Breathing Aids,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each"
A7026,Breathing Aids,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each"
A7027,Breathing Aids,"Combination oral/nasal mask, used with continuous positive airway pressure device, each"
A7028,Breathing Aids,"Oral cushion for combination oral/nasal mask, replacement only, each"
A7029,Breathing Aids,"Nasal pillows for combination oral/nasal mask, replacement only, pair"
A7030,Breathing Aids,"Full face mask used with positive airway pressure device, each"
A7031,Breathing Aids,"Face mask interface, replacement for full face mask, each"
A7032,Breathing Aids,"Cushion for use on nasal mask interface, replacement only, each"
A7033,Breathing Aids,"Pillow for use on nasal cannula type interface, replacement only, pair"
A7034,Breathing Aids,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap"
A7035,Breathing Aids,Headgear used with positive airway pressure device
A7036,Breathing Aids,Chinstrap used with positive airway pressure device
A7037,Breathing Aids,Tubing used with positive airway pressure device
A7038,Breathing Aids,"Filter, disposable, used with positive airway pressure device"
A7039,Breathing Aids,"Filter, non disposable, used with positive airway pressure device"
A7040,Breathing Aids,One way chest drain valve
A7041,Breathing Aids,Water seal drainage container and tubing for use with implanted chest tube
A7044,Breathing Aids,"Oral interface used with positive airway pressure device, each"
A7045,Breathing Aids,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only"
A7046,Breathing Aids,"Water chamber for humidifier, used with positive airway pressure device, replacement, each"
A7047,Breathing Aids,"Oral interface used with respiratory suction pump, each"
A7048,Breathing Aids,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each"
A7049,Breathing Aids,Expiratory positive airway pressure intranasal resistance valve
A7501,Tracheostoma Supplies,"Tracheostoma valve, including diaphragm, each"
A7502,Tracheostoma Supplies,"Replacement diaphragm/faceplate for tracheostoma valve, each"
A7503,Tracheostoma Supplies,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each"
A7504,Tracheostoma Supplies,"Filter for use in a tracheostoma heat and moisture exchange system, each"
A7505,Tracheostoma Supplies,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each"
A7506,Tracheostoma Supplies,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each"
A7507,Tracheostoma Supplies,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each"
A7508,Tracheostoma Supplies,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each"
A7509,Tracheostoma Supplies,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each"
A7520,Tracheostoma Supplies,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (PVC), silicone or equal, each"
A7521,Tracheostoma Supplies,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (PVC), silicone or equal,each"
A7522,Tracheostoma Supplies,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each"
A7523,Tracheostoma Supplies,"Tracheostomy shower protector, each"
A7524,Tracheostoma Supplies,"Tracheostoma stent/stud/button, each"
A7525,Tracheostoma Supplies,"Tracheostomy mask, each"
A7526,Tracheostoma Supplies,"Tracheostomy tube collar/holder, each"
A7527,Tracheostoma Supplies,"Tracheostomy/laryngectomy tube plug/stop, each"
A8000,Helmets,"Helmet, protective, soft, prefabricated, includes all components and accessories"
A8001,Helmets,"Helmet, protective, hard, prefabricated, includes all components and accessories"
A8002,Helmets,"Helmet, protective, soft, custom fabricated, includes all components and accessories"
A8003,Helmets,"Helmet, protective, hard, custom fabricated, includes all components and accessories"
A8004,Helmets,"Soft interface for helmet, replacement only"
A9150,Miscellaneous Supplies and Equipment,Non-prescription drugs
A9152,Miscellaneous Supplies and Equipment,"Single vitamin/mineral/trace element, oral, per dose, not otherwise specified"
A9153,Miscellaneous Supplies and Equipment,"Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified"
A9155,Miscellaneous Supplies and Equipment,"Artificial saliva, 30 ml"
A9156,Miscellaneous Supplies and Equipment,"Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml"
A9180,Miscellaneous Supplies and Equipment,"Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker"
A9268,Miscellaneous Supplies and Equipment,"Programmer for transient, orally ingested capsule"
A9269,Miscellaneous Supplies and Equipment,"Programable, transient, orally ingested capsule, for use with external programmer, per month"
A9270,Miscellaneous Supplies and Equipment,Non-covered item or service
A9272,Miscellaneous Supplies and Equipment,"Wound suction, disposable, includes dressing, all accessories and components, any type, each"
A9273,Miscellaneous Supplies and Equipment,"Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type"
A9274,Miscellaneous Supplies and Equipment,"External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories"
A9275,Miscellaneous Supplies and Equipment,"Home glucose disposable monitor, includes test strips"
A9276,Miscellaneous Supplies and Equipment,"Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply"
A9277,Miscellaneous Supplies and Equipment,"Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system"
A9278,Miscellaneous Supplies and Equipment,"Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system"
A9279,Miscellaneous Supplies and Equipment,"Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified"
A9280,Miscellaneous Supplies and Equipment,"Alert or alarm device, not otherwise classified"
A9281,Miscellaneous Supplies and Equipment,"Reaching/grabbing device, any type, any length, each"
A9282,Miscellaneous Supplies and Equipment,"Wig, any type, each"
A9283,Miscellaneous Supplies and Equipment,"Foot pressure off loading/supportive device, any type, each"
A9284,Miscellaneous Supplies and Equipment,"Spirometer, non-electronic, includes all accessories"
A9285,Miscellaneous Supplies and Equipment,Inversion/eversion correction device
A9286,Miscellaneous Supplies and Equipment,"Hygienic item or device, disposable or non-disposable, any type, each"
A9291,Miscellaneous Supplies and Equipment,"Prescription digital cognitive and/or behavioral therapy, fda cleared, per course of treatment"
A9292,Miscellaneous Supplies and Equipment,"Prescription digital visual therapy, software-only, fda cleared, per course of treatment"
A9293,Miscellaneous Supplies and Equipment,"Fertility cycle (contraception & conception) tracking software application, fda cleared, per month, includes accessories (e.g., thermometer)"
A9300,Miscellaneous Supplies and Equipment,Exercise equipment
A9500,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m sestamibi, diagnostic, per study dose"
A9501,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m teboroxime, diagnostic, per study dose"
A9502,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m tetrofosmin, diagnostic, per study dose"
A9503,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries"
A9504,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries"
A9505,Diagnostic and Therapeutic Radiopharmaceuticals,"Thallium Tl-201 thallous chloride, diagnostic, per millicurie"
A9506,Diagnostic and Therapeutic Radiopharmaceuticals,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible"
A9507,Diagnostic and Therapeutic Radiopharmaceuticals,"Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries"
A9508,Diagnostic and Therapeutic Radiopharmaceuticals,"Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 millicurie"
A9509,Diagnostic and Therapeutic Radiopharmaceuticals,"Iodine I-123 sodium iodide, diagnostic, per millicurie"
A9510,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries"
A9512,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m pertechnetate, diagnostic, per millicurie"
A9513,Diagnostic and Therapeutic Radiopharmaceuticals,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie"
A9515,Diagnostic and Therapeutic Radiopharmaceuticals,"Choline c-11, diagnostic, per study dose up to 20 millicuries"
A9516,Diagnostic and Therapeutic Radiopharmaceuticals,"Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries"
A9517,Diagnostic and Therapeutic Radiopharmaceuticals,"Iodine I-131 sodium iodide capsule(s), therapeutic, per millicurie"
A9520,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m, tilmanocept, diagnostic, up to 0.5 millicuries"
A9521,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries"
A9524,Diagnostic and Therapeutic Radiopharmaceuticals,"Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries"
A9526,Diagnostic and Therapeutic Radiopharmaceuticals,"Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 millicuries"
A9527,Diagnostic and Therapeutic Radiopharmaceuticals,"Iodine I-125, sodium iodide solution, therapeutic, per millicurie"
A9528,Diagnostic and Therapeutic Radiopharmaceuticals,"Iodine I-131 sodium iodide capsule(s), diagnostic, per millicurie"
A9529,Diagnostic and Therapeutic Radiopharmaceuticals,"Iodine I-131 sodium iodide solution, diagnostic, per millicurie"
A9530,Diagnostic and Therapeutic Radiopharmaceuticals,"Iodine I-131 sodium iodide solution, therapeutic, per millicurie"
A9531,Diagnostic and Therapeutic Radiopharmaceuticals,"Iodine I-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)"
A9532,Diagnostic and Therapeutic Radiopharmaceuticals,"Iodine I-125 serum albumin, diagnostic, per 5 microcuries"
A9536,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries"
A9537,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries"
A9538,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries"
A9539,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries"
A9540,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries"
A9541,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries"
A9542,Diagnostic and Therapeutic Radiopharmaceuticals,"Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries"
A9543,Diagnostic and Therapeutic Radiopharmaceuticals,"Yttrium Y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries"
A9546,Diagnostic and Therapeutic Radiopharmaceuticals,"Cobalt Co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie"
A9547,Diagnostic and Therapeutic Radiopharmaceuticals,"Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurie"
A9548,Diagnostic and Therapeutic Radiopharmaceuticals,"Indium In-111 pentetate, diagnostic, per 0.5 millicurie"
A9550,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie"
A9551,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 millicuries"
A9552,Diagnostic and Therapeutic Radiopharmaceuticals,"Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries"
A9553,Diagnostic and Therapeutic Radiopharmaceuticals,"Chromium Cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries"
A9554,Diagnostic and Therapeutic Radiopharmaceuticals,"Iodine I-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries"
A9555,Diagnostic and Therapeutic Radiopharmaceuticals,"Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuries"
A9556,Diagnostic and Therapeutic Radiopharmaceuticals,"Gallium Ga-67 citrate, diagnostic, per millicurie"
A9557,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries"
A9558,Diagnostic and Therapeutic Radiopharmaceuticals,"Xenon Xe-133 gas, diagnostic, per 10 millicuries"
A9559,Diagnostic and Therapeutic Radiopharmaceuticals,"Cobalt Co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie"
A9560,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries"
A9561,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries"
A9562,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries"
A9563,Diagnostic and Therapeutic Radiopharmaceuticals,"Sodium phosphate P-32, therapeutic, per millicurie"
A9564,Diagnostic and Therapeutic Radiopharmaceuticals,"Chromic phosphate P-32 suspension, therapeutic, per millicurie"
A9566,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries"
A9567,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries"
A9568,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries"
A9569,Diagnostic and Therapeutic Radiopharmaceuticals,"Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose"
A9570,Diagnostic and Therapeutic Radiopharmaceuticals,"Indium In-111 labeled autologous white blood cells, diagnostic, per study dose"
A9571,Diagnostic and Therapeutic Radiopharmaceuticals,"Indium In-111 labeled autologous platelets, diagnostic, per study dose"
A9572,Diagnostic and Therapeutic Radiopharmaceuticals,"Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries"
A9573,Diagnostic and Therapeutic Radiopharmaceuticals,"Injection, gadopiclenol, 1 ml"
A9575,Diagnostic and Therapeutic Radiopharmaceuticals,"Injection, gadoterate meglumine, 0.1 ml"
A9576,Diagnostic and Therapeutic Radiopharmaceuticals,"Injection, gadoteridol, (ProHance multipack), per ml"
A9577,Diagnostic and Therapeutic Radiopharmaceuticals,"Injection, gadobenate dimeglumine (MultiHance), per ml"
A9578,Diagnostic and Therapeutic Radiopharmaceuticals,"Injection, gadobenate dimeglumine (MultiHance multipack), per ml"
A9579,Diagnostic and Therapeutic Radiopharmaceuticals,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml"
A9580,Diagnostic and Therapeutic Radiopharmaceuticals,"Sodium fluoride F-18, diagnostic, per study dose, up to 30 millicuries"
A9581,Diagnostic and Therapeutic Radiopharmaceuticals,"Injection, gadoxetate disodium, 1 ml"
A9582,Diagnostic and Therapeutic Radiopharmaceuticals,"Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 millicuries"
A9583,Diagnostic and Therapeutic Radiopharmaceuticals,"Injection, gadofosveset trisodium, 1 ml"
A9584,Diagnostic and Therapeutic Radiopharmaceuticals,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries"
A9585,Diagnostic and Therapeutic Radiopharmaceuticals,"Injection, gadobutrol, 0.1 ml"
A9586,Diagnostic and Therapeutic Radiopharmaceuticals,"Florbetapir F18, diagnostic, per study dose, up to 10 millicuries"
A9587,Diagnostic and Therapeutic Radiopharmaceuticals,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie"
A9588,Diagnostic and Therapeutic Radiopharmaceuticals,"Fluciclovine f-18, diagnostic, 1 millicurie"
A9589,Diagnostic and Therapeutic Radiopharmaceuticals,"Instillation, hexaminolevulinate hydrochloride, 100 mg"
A9590,Diagnostic and Therapeutic Radiopharmaceuticals,"Iodine i-131, iobenguane, 1 millicurie"
A9591,Diagnostic and Therapeutic Radiopharmaceuticals,"Fluoroestradiol f 18, diagnostic, 1 millicurie"
A9592,Diagnostic and Therapeutic Radiopharmaceuticals,"Copper cu-64, dotatate, diagnostic, 1 millicurie"
A9593,Diagnostic and Therapeutic Radiopharmaceuticals,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie"
A9594,Diagnostic and Therapeutic Radiopharmaceuticals,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie"
A9595,Diagnostic and Therapeutic Radiopharmaceuticals,"Piflufolastat f-18, diagnostic, 1 millicurie"
A9596,Diagnostic and Therapeutic Radiopharmaceuticals,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie"
A9597,Diagnostic and Therapeutic Radiopharmaceuticals,"Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified"
A9598,Diagnostic and Therapeutic Radiopharmaceuticals,"Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified"
A9600,Diagnostic and Therapeutic Radiopharmaceuticals,"Strontium Sr-89 chloride, therapeutic, per millicurie"
A9601,Diagnostic and Therapeutic Radiopharmaceuticals,"Flortaucipir f 18 injection, diagnostic, 1 millicurie"
A9602,Diagnostic and Therapeutic Radiopharmaceuticals,"Fluorodopa f-18, diagnostic, per millicurie"
A9603,Diagnostic and Therapeutic Radiopharmaceuticals,"Injection, pafolacianine, 0.1 mg"
A9604,Diagnostic and Therapeutic Radiopharmaceuticals,"Samarium Sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries"
A9606,Diagnostic and Therapeutic Radiopharmaceuticals,"Radium Ra-223 dichloride, therapeutic, per microcurie"
A9607,Diagnostic and Therapeutic Radiopharmaceuticals,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie"
A9608,Diagnostic and Therapeutic Radiopharmaceuticals,"Flotufolastat f 18, diagnostic, 1 millicurie"
A9609,Diagnostic and Therapeutic Radiopharmaceuticals,Fludeoxyglucose f18 up to 15 millicuries
A9610,Diagnostic and Therapeutic Radiopharmaceuticals,"Xenon xe-129 hyperpolarized gas, diagnostic, per study dose"
A9615,Diagnostic and Therapeutic Radiopharmaceuticals,"Injection, pegulicianine, 1 mg"
A9697,Diagnostic and Therapeutic Radiopharmaceuticals,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose"
A9698,Diagnostic and Therapeutic Radiopharmaceuticals,"Non-radioactive contrast imaging material, not otherwise classified, per study"
A9699,Diagnostic and Therapeutic Radiopharmaceuticals,"Radiopharmaceutical, therapeutic, not otherwise classified"
A9700,Diagnostic and Therapeutic Radiopharmaceuticals,"Supply of injectable contrast material for use in echocardiography, per study"
A9800,Diagnostic and Therapeutic Radiopharmaceuticals,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie"
A9900,Miscellaneous DME Supplies and Services,"Miscellaneous DME supply, accessory, and/or service component of another HCPCS code"
A9901,Miscellaneous DME Supplies and Services,"DME delivery, set up, and/or dispensing service component of another HCPCS code"
A9999,Miscellaneous DME Supplies and Services,"Miscellaneous DME supply or accessory, not otherwise specified"
B4034,Enteral Feeding Supplies and Equipment,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape"
B4035,Enteral Feeding Supplies and Equipment,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape"
B4036,Enteral Feeding Supplies and Equipment,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape"
B4081,Enteral Feeding Supplies and Equipment,Nasogastric tubing with stylet
B4082,Enteral Feeding Supplies and Equipment,Nasogastric tubing without stylet
B4083,Enteral Feeding Supplies and Equipment,Stomach tube - Levine type
B4087,Enteral Feeding Supplies and Equipment,"Gastrostomy/jejunostomy tube, standard, any material, any type, each"
B4088,Enteral Feeding Supplies and Equipment,"Gastrostomy/jejunostomy tube, low-profile, any material, any type, each"
B4100,Enteral Formulas and Additives,"Food thickener, administered orally, per ounce"
B4102,Enteral Formulas and Additives,"Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit"
B4103,Enteral Formulas and Additives,"Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit"
B4104,Enteral Formulas and Additives,"Additive for enteral formula (e.g., fiber)"
B4105,Enteral Formulas and Additives,"In-line cartridge containing digestive enzyme(s) for enteral feeding, each"
B4148,Enteral Formulas and Additives,"Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape"
B4149,Enteral Formulas and Additives,"Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
B4150,Enteral Formulas and Additives,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
B4152,Enteral Formulas and Additives,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
B4153,Enteral Formulas and Additives,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
B4154,Enteral Formulas and Additives,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
B4155,Enteral Formulas and Additives,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit"
B4157,Enteral Formulas and Additives,"Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
B4158,Enteral Formulas and Additives,"Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit"
B4159,Enteral Formulas and Additives,"Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit"
B4160,Enteral Formulas and Additives,"Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
B4161,Enteral Formulas and Additives,"Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
B4162,Enteral Formulas and Additives,"Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
B4164,Parenteral Solutions and Supplies,"Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit) - homemix"
B4168,Parenteral Solutions and Supplies,"Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - homemix"
B4172,Parenteral Solutions and Supplies,"Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - homemix"
B4176,Parenteral Solutions and Supplies,"Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - homemix"
B4178,Parenteral Solutions and Supplies,"Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - homemix"
B4180,Parenteral Solutions and Supplies,"Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500 ml=1 unit) - homemix"
B4185,Parenteral Solutions and Supplies,"Parenteral nutrition solution, not otherwise specified, 10 grams lipids"
B4187,Parenteral Solutions and Supplies,"Omegaven, 10 grams lipids"
B4189,Parenteral Solutions and Supplies,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix"
B4193,Parenteral Solutions and Supplies,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix"
B4197,Parenteral Solutions and Supplies,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix"
B4199,Parenteral Solutions and Supplies,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix"
B4216,Parenteral Solutions and Supplies,"Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes) homemix per day"
B4220,Parenteral Solutions and Supplies,"Parenteral nutrition supply kit; premix, per day"
B4222,Parenteral Solutions and Supplies,"Parenteral nutrition supply kit; home mix, per day"
B4224,Parenteral Solutions and Supplies,"Parenteral nutrition administration kit, per day"
B5000,Parenteral Solutions and Supplies,"Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal-Amirosyn RF, NephrAmine, RenAmine-premix"
B5100,Parenteral Solutions and Supplies,"Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic, HepAtamine-premix"
B5200,Parenteral Solutions and Supplies,"Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress-branch chain amino acids-freamine-hbc-premix"
B9002,"Nutrition Infusion Pumps and Supplies Not Otherwise Classified, NOC","Enteral nutrition infusion pump, any type"
B9004,"Nutrition Infusion Pumps and Supplies Not Otherwise Classified, NOC","Parenteral nutrition infusion pump, portable"
B9006,"Nutrition Infusion Pumps and Supplies Not Otherwise Classified, NOC","Parenteral nutrition infusion pump, stationary"
B9998,"Nutrition Infusion Pumps and Supplies Not Otherwise Classified, NOC",NOC for enteral supplies
B9999,"Nutrition Infusion Pumps and Supplies Not Otherwise Classified, NOC",NOC for parenteral supplies
C1713,Assorted Devices and Supplies,Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)
C1714,Assorted Devices and Supplies,"Catheter, transluminal atherectomy, directional"
C1715,Assorted Devices and Supplies,Brachytherapy needle
C1716,Brachytherapy Sources,"Brachytherapy source, non-stranded, gold-198, per source"
C1717,Brachytherapy Sources,"Brachytherapy source, non-stranded, high dose rate iridium-192, per source"
C1719,Brachytherapy Sources,"Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source"
C1721,Cardioverter-defibrillators,"Cardioverter-defibrillator, dual chamber (implantable)"
C1722,Cardioverter-defibrillators,"Cardioverter-defibrillator, single chamber (implantable)"
C1724,Catheters for Multiple Applications,"Catheter, transluminal atherectomy, rotational"
C1725,Catheters for Multiple Applications,"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)"
C1726,Catheters for Multiple Applications,"Catheter, balloon dilatation, non-vascular"
C1727,Catheters for Multiple Applications,"Catheter, balloon tissue dissector, non-vascular (insertable)"
C1728,Catheters for Multiple Applications,"Catheter, brachytherapy seed administration"
C1729,Catheters for Multiple Applications,"Catheter, drainage"
C1730,Catheters for Multiple Applications,"Catheter, electrophysiology, diagnostic, other than 3D mapping (19 or fewer electrodes)"
C1731,Catheters for Multiple Applications,"Catheter, electrophysiology, diagnostic, other than 3D mapping (20 or more electrodes)"
C1732,Catheters for Multiple Applications,"Catheter, electrophysiology, diagnostic/ablation, 3D or vector mapping"
C1733,Catheters for Multiple Applications,"Catheter, electrophysiology, diagnostic/ablation, other than 3D or vector mapping, other than cool-tip"
C1734,Catheters for Multiple Applications,Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)
C1735,Catheters for Multiple Applications,"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components"
C1736,Catheters for Multiple Applications,"Catheter(s), intravascular for renal denervation, ultrasound, including all single use system components"
C1737,Joint Fixation Device,"Joint fusion and fixation device(s), sacroiliac and pelvis, including all system components (implantable)"
C1738,Imaging Supplies,"Powered, single-use (i.e. disposable) endoscopic ultrasound-guided biopsy device"
C1739,Imaging Supplies,"Tissue marker, imaging and non-imaging device (implantable)"
C1747,Imaging Supplies,"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)"
C1748,Imaging Supplies,"Endoscope, single-use (i.e. disposable), upper gi, imaging/illumination device (insertable)"
C1749,Imaging Supplies,"Endoscope, retrograde imaging/illumination colonoscope device (implantable)"
C1750,Catheters for Multiple Applications,"Catheter, hemodialysis/peritoneal, long-term"
C1751,Catheters for Multiple Applications,"Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)"
C1752,Catheters for Multiple Applications,"Catheter, hemodialysis/peritoneal, short-term"
C1753,Catheters for Multiple Applications,"Catheter, intravascular ultrasound"
C1754,Catheters for Multiple Applications,"Catheter, intradiscal"
C1755,Catheters for Multiple Applications,"Catheter, intraspinal"
C1756,Catheters for Multiple Applications,"Catheter, pacing, transesophageal"
C1757,Catheters for Multiple Applications,"Catheter, thrombectomy/embolectomy"
C1758,Catheters for Multiple Applications,"Catheter, ureteral"
C1759,Catheters for Multiple Applications,"Catheter, intracardiac echocardiography"
C1760,"Assorted Devices, Implants, and Systems","Closure device, vascular (implantable/insertable)"
C1761,"Assorted Devices, Implants, and Systems","Catheter, transluminal intravascular lithotripsy, coronary"
C1762,"Assorted Devices, Implants, and Systems","Connective tissue, human (includes fascia lata)"
C1763,"Assorted Devices, Implants, and Systems","Connective tissue, non-human (includes synthetic)"
C1764,"Assorted Devices, Implants, and Systems","Event recorder, cardiac (implantable)"
C1765,"Assorted Devices, Implants, and Systems",Adhesion barrier
C1766,"Assorted Devices, Implants, and Systems","Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away"
C1767,"Assorted Devices, Implants, and Systems","Generator, neurostimulator (implantable), non-rechargeable"
C1768,"Assorted Devices, Implants, and Systems","Graft, vascular"
C1769,"Assorted Devices, Implants, and Systems",Guide wire
C1770,"Assorted Devices, Implants, and Systems","Imaging coil, magnetic resonance (insertable)"
C1771,"Assorted Devices, Implants, and Systems","Repair device, urinary, incontinence, with sling graft"
C1772,"Assorted Devices, Implants, and Systems","Infusion pump, programmable (implantable)"
C1773,"Assorted Devices, Implants, and Systems","Retrieval device, insertable (used to retrieve fractured medical devices)"
C1776,"Assorted Devices, Implants, and Systems",Joint device (implantable)
C1777,"Assorted Devices, Implants, and Systems","Lead, cardioverter-defibrillator, endocardial single coil (implantable)"
C1778,"Assorted Devices, Implants, and Systems","Lead, neurostimulator (implantable)"
C1779,"Assorted Devices, Implants, and Systems","Lead, pacemaker, transvenous VDD single pass"
C1780,"Assorted Devices, Implants, and Systems","Lens, intraocular (new technology)"
C1781,"Assorted Devices, Implants, and Systems",Mesh (implantable)
C1782,"Assorted Devices, Implants, and Systems",Morcellator
C1783,"Assorted Devices, Implants, and Systems","Ocular implant, aqueous drainage assist device"
C1784,"Assorted Devices, Implants, and Systems","Ocular device, intraoperative, detached retina"
C1785,"Assorted Devices, Implants, and Systems","Pacemaker, dual chamber, rate-responsive (implantable)"
C1786,"Assorted Devices, Implants, and Systems","Pacemaker, single chamber, rate-responsive (implantable)"
C1787,"Assorted Devices, Implants, and Systems","Patient programmer, neurostimulator"
C1788,"Assorted Devices, Implants, and Systems","Port, indwelling (implantable)"
C1789,"Assorted Devices, Implants, and Systems","Prosthesis, breast (implantable)"
C1813,"Assorted Devices, Implants, and Systems","Prosthesis, penile, inflatable"
C1814,"Assorted Devices, Implants, and Systems","Retinal tamponade device, silicone oil"
C1815,"Assorted Devices, Implants, and Systems","Prosthesis, urinary sphincter (implantable)"
C1816,"Assorted Devices, Implants, and Systems","Receiver and/or transmitter, neurostimulator (implantable)"
C1817,"Assorted Devices, Implants, and Systems","Septal defect implant system, intracardiac"
C1818,"Assorted Devices, Implants, and Systems",Integrated keratoprosthesis
C1819,"Assorted Devices, Implants, and Systems",Surgical tissue localization and excision device (implantable)
C1820,"Assorted Devices, Implants, and Systems","Generator, neurostimulator (implantable), with rechargeable battery and charging system."
C1821,"Assorted Devices, Implants, and Systems",Interspinous process distraction device (implantable)
C1822,"Assorted Devices, Implants, and Systems","Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system"
C1823,"Assorted Devices, Implants, and Systems","Generator, neurostimulator (implantable), non-rechargeable, with transvenous sensing and stimulation leads"
C1824,"Assorted Devices, Implants, and Systems","Generator, cardiac contractility modulation (implantable)"
C1825,"Assorted Devices, Implants, and Systems","Generator, neurostimulator (implantable), non-rechargeable with carotid sinus baroreceptor stimulation lead(s)"
C1826,"Assorted Devices, Implants, and Systems","Generator, neurostimulator (implantable), includes closed feedback loop leads and all implantable components, with rechargeable battery and charging system"
C1827,"Assorted Devices, Implants, and Systems","Generator, neurostimulator (implantable), non-rechargeable, with implantable stimulation lead and external paired stimulation controller"
C1830,"Assorted Devices, Implants, and Systems",Powered bone marrow biopsy needle
C1831,"Assorted Devices, Implants, and Systems","Interbody cage, anterior, lateral or posterior, personalized (implantable)"
C1832,"Assorted Devices, Implants, and Systems","Autograft suspension, including cell processing and application, and all system components"
C1833,"Assorted Devices, Implants, and Systems","Monitor, cardiac, including intracardiac lead and all system components (implantable)"
C1839,"Assorted Devices, Implants, and Systems",Iris prosthesis
C1840,"Assorted Devices, Implants, and Systems","Lens, intraocular (telescopic)"
C1874,"Assorted Devices, Implants, and Systems","Stent, coated/covered, with delivery system"
C1875,"Assorted Devices, Implants, and Systems","Stent, coated/covered, without delivery system"
C1876,"Assorted Devices, Implants, and Systems","Stent, non-coated/non-covered, with delivery system"
C1877,"Assorted Devices, Implants, and Systems","Stent, non-coated/non-covered, without delivery system"
C1878,"Assorted Devices, Implants, and Systems","Material for vocal cord medialization, synthetic (implantable)"
C1880,"Assorted Devices, Implants, and Systems",Vena cava filter
C1881,"Assorted Devices, Implants, and Systems",Dialysis access system (implantable)
C1882,"Assorted Devices, Implants, and Systems","Cardioverter-defibrillator, other than single or dual chamber (implantable)"
C1883,"Assorted Devices, Implants, and Systems","Adaptor/extension, pacing lead or neurostimulator lead (implantable)"
C1884,"Assorted Devices, Implants, and Systems",Embolization protective system
C1885,"Assorted Devices, Implants, and Systems","Catheter, transluminal angioplasty, laser"
C1886,"Assorted Devices, Implants, and Systems","Catheter, extravascular tissue ablation, any modality (insertable)"
C1887,"Assorted Devices, Implants, and Systems","Catheter, guiding (may include infusion/perfusion capability)"
C1888,"Assorted Devices, Implants, and Systems","Catheter, ablation, non-cardiac, endovascular (implantable)"
C1889,"Assorted Devices, Implants, and Systems","Implantable/insertable device, not otherwise classified"
C1890,"Assorted Devices, Implants, and Systems",No implantable/insertable device used with device-intensive procedures
C1891,"Assorted Devices, Implants, and Systems","Infusion pump, non-programmable, permanent (implantable)"
C1892,"Assorted Devices, Implants, and Systems","Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away"
C1893,"Assorted Devices, Implants, and Systems","Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away"
C1894,"Assorted Devices, Implants, and Systems","Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser"
C1895,"Assorted Devices, Implants, and Systems","Lead, cardioverter-defibrillator, endocardial dual coil (implantable)"
C1896,"Assorted Devices, Implants, and Systems","Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)"
C1897,"Assorted Devices, Implants, and Systems","Lead, neurostimulator test kit (implantable)"
C1898,"Assorted Devices, Implants, and Systems","Lead, pacemaker, other than transvenous VDD single pass"
C1899,"Assorted Devices, Implants, and Systems","Lead, pacemaker/cardioverter-defibrillator combination (implantable)"
C1900,"Assorted Devices, Implants, and Systems","Lead, left ventricular coronary venous system"
C1982,"Assorted Devices, Implants, and Systems","Catheter, pressure-generating, one-way valve, intermittently occlusive"
C2596,"Assorted Devices, Implants, and Systems","Probe, image-guided, robotic, waterjet ablation"
C2613,"Assorted Devices, Implants, and Systems",Lung biopsy plug with delivery system
C2614,"Assorted Devices, Implants, and Systems","Probe, percutaneous lumbar discectomy"
C2615,"Assorted Devices, Implants, and Systems","Sealant, pulmonary, liquid"
C2616,Brachytherapy Sources,"Brachytherapy source, non-stranded, yttrium-90, per source"
C2617,Assorted Cardiovascular and Genitourinary Devices,"Stent, non-coronary, temporary, without delivery system"
C2618,Assorted Cardiovascular and Genitourinary Devices,"Probe/needle, cryoablation"
C2619,Assorted Cardiovascular and Genitourinary Devices,"Pacemaker, dual chamber, non rate-responsive (implantable)"
C2620,Assorted Cardiovascular and Genitourinary Devices,"Pacemaker, single chamber, non rate-responsive (implantable)"
C2621,Assorted Cardiovascular and Genitourinary Devices,"Pacemaker, other than single or dual chamber (implantable)"
C2622,Assorted Cardiovascular and Genitourinary Devices,"Prosthesis, penile, non-inflatable"
C2623,Assorted Cardiovascular and Genitourinary Devices,"Catheter, transluminal angioplasty, drug-coated, non-laser"
C2624,Assorted Cardiovascular and Genitourinary Devices,"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components"
C2625,Assorted Cardiovascular and Genitourinary Devices,"Stent, non-coronary, temporary, with delivery system"
C2626,Assorted Cardiovascular and Genitourinary Devices,"Infusion pump, non-programmable, temporary (implantable)"
C2627,Assorted Cardiovascular and Genitourinary Devices,"Catheter, suprapubic/cystoscopic"
C2628,Assorted Cardiovascular and Genitourinary Devices,"Catheter, occlusion"
C2629,Assorted Cardiovascular and Genitourinary Devices,"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, laser"
C2630,Assorted Cardiovascular and Genitourinary Devices,"Catheter, electrophysiology, diagnostic/ablation, other than 3D or vector mapping, cool-tip"
C2631,Assorted Cardiovascular and Genitourinary Devices,"Repair device, urinary, incontinence, without sling graft"
C2634,Brachytherapy Sources,"Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mCi (NIST), per source"
C2635,Brachytherapy Sources,"Brachytherapy source, non-stranded, high activity, paladium-103, greater than 2.2 mCi (NIST), per source"
C2636,Brachytherapy Sources,"Brachytherapy linear source, non-stranded, paladium-103, per 1 mm"
C2637,Brachytherapy Sources,"Brachytherapy source, non-stranded, ytterbium-169, per source"
C2638,Brachytherapy Sources,"Brachytherapy source, stranded, iodine-125, per source"
C2639,Brachytherapy Sources,"Brachytherapy source, non-stranded, iodine-125, per source"
C2640,Brachytherapy Sources,"Brachytherapy source, stranded, palladium-103, per source"
C2641,Brachytherapy Sources,"Brachytherapy source, non-stranded, palladium-103, per source"
C2642,Brachytherapy Sources,"Brachytherapy source, stranded, cesium-131, per source"
C2643,Brachytherapy Sources,"Brachytherapy source, non-stranded, cesium-131, per source"
C2644,Brachytherapy Sources,"Brachytherapy source, cesium-131 chloride solution, per millicurie"
C2645,Brachytherapy Sources,"Brachytherapy planar source, Palladium-103, per square millimeter"
C2698,Brachytherapy Sources,"Brachytherapy source, stranded, not otherwise specified, per source"
C2699,Brachytherapy Sources,"Brachytherapy source, non-stranded, not otherwise specified, per source"
C5271,Skin Substitute Graft Application,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area"
C5272,Skin Substitute Graft Application,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)"
C5273,Skin Substitute Graft Application,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children"
C5274,Skin Substitute Graft Application,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)"
C5275,Skin Substitute Graft Application,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area"
C5276,Skin Substitute Graft Application,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)"
C5277,Skin Substitute Graft Application,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children"
C5278,Skin Substitute Graft Application,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)"
C7500,Miscellaneous Surgical Procedures,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (eg, subfacial) drug-delivery device(s)"
C7501,Miscellaneous Surgical Procedures,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, all lesions unilateral and bilateral (for single lesion biopsy, use appropriate code)"
C7502,Miscellaneous Surgical Procedures,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, all lesions unilateral or bilateral (for single lesion biopsy, use appropriate code)"
C7503,Miscellaneous Surgical Procedures,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (eg, mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed"
C7504,Miscellaneous Surgical Procedures,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance"
C7505,Miscellaneous Surgical Procedures,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance"
C7506,Miscellaneous Surgical Procedures,"Arthrodesis, interphalangeal joints, with or without internal fixation"
C7507,Miscellaneous Surgical Procedures,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (eg, kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging guidance"
C7508,Miscellaneous Surgical Procedures,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (eg, kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging guidance"
C7509,Miscellaneous Surgical Procedures,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed"
C7510,Miscellaneous Surgical Procedures,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed"
C7511,Miscellaneous Surgical Procedures,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed"
C7512,Miscellaneous Surgical Procedures,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance when performed"
C7513,Miscellaneous Surgical Procedures,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with transluminal balloon angioplasty of central dialysis segment, performed through dialysis circuit, including all required imaging, radiological supervision and interpretation, image documentation and report"
C7514,Miscellaneous Surgical Procedures,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with all angioplasty in the central dialysis segment, and transcatheter placement of  intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all required imaging, radiological supervision and interpretation, image documentation and report"
C7515,Miscellaneous Surgical Procedures,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with dialysis circuit permanent endovascular embolization or occlusion of main circuit or any accessory veins, including all required imaging, radiological supervision and interpretation, image documentation and report"
C7516,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report"
C7517,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation"
C7518,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation,  with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging, supervision, interpretation and report"
C7519,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress"
C7520,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) includes intraprocedural injection(s) for bypass graft angiography with iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation"
C7521,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report"
C7522,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheterization, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during  coronary angiography including pharmacologically induced stress"
C7523,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report"
C7524,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress"
C7525,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report"
C7526,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress"
C7527,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation,  with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report"
C7528,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress"
C7529,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress"
C7530,Miscellaneous Surgical Procedures,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty and all angioplasty in the central dialysis segment, with transcatheter placement of  intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging, radiological supervision and interpretation, documentation and report"
C7531,Miscellaneous Surgical Procedures,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation"
C7532,Miscellaneous Surgical Procedures,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation"
C7533,Miscellaneous Surgical Procedures,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy"
C7534,Miscellaneous Surgical Procedures,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation"
C7535,Miscellaneous Surgical Procedures,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation"
C7537,Miscellaneous Surgical Procedures,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (e.g., for upgrade to dual chamber system)"
C7538,Miscellaneous Surgical Procedures,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (e.g., for upgrade to dual chamber system)"
C7539,Miscellaneous Surgical Procedures,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system)"
C7540,Miscellaneous Surgical Procedures,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system)"
C7541,Miscellaneous Surgical Procedures,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)"
C7542,Miscellaneous Surgical Procedures,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)"
C7543,Miscellaneous Surgical Procedures,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)"
C7544,Miscellaneous Surgical Procedures,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)"
C7545,Miscellaneous Surgical Procedures,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or gallbladder, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, including diagnostic cholangiography(ies) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"
C7546,Miscellaneous Surgical Procedures,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guidance and all associated radiological supervision and interpretation"
C7547,Miscellaneous Surgical Procedures,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dialation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"
C7548,Miscellaneous Surgical Procedures,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"
C7549,Miscellaneous Surgical Procedures,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"
C7550,Miscellaneous Surgical Procedures,"Cystourethroscopy, with biopsy(ies) with adjuctive blue light cystoscopy with fluorescent imaging agent"
C7551,Miscellaneous Surgical Procedures,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle"
C7552,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography and right heart catheterization with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, initial vessel"
C7553,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed"
C7554,Miscellaneous Surgical Procedures,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent
C7555,Miscellaneous Surgical Procedures,"Thyroidectomy, total or complete with parathyroid autotransplantation"
C7556,Miscellaneous Surgical Procedures,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance, when performed"
C7557,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed and intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention"
C7560,Miscellaneous Surgical Procedures,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s)
C7562,Miscellaneous Surgical Procedures,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed with intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention"
C7563,Miscellaneous Surgical Procedures,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the  angioplasty within the same artery, initial artery and all additional arteries"
C7564,Miscellaneous Surgical Procedures,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vessel(s)) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation"
C7565,Miscellaneous Surgical Procedures,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s) less than 3 cm, reducible with removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair"
C7900,Mental Health Evaluation and Management Services,"Service for diagnosis, evaluation, or treatment of a mental health  or substance use disorder, 15-29 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service"
C7901,Mental Health Evaluation and Management Services,"Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service"
C7902,Mental Health Evaluation and Management Services,"Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, each additional 15 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service (list separately in addition to code for primary service)"
C7903,Mental Health Evaluation and Management Services,"Group psychotherapy service for diagnosis, evaluation, or treatment of a mental health or substance use disorder provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service"
C8000,Implantable Support Device for AV Fistula,"Support device, extravascular, for arteriovenous fistula (implantable)"
C8001,3D Imaging for Preoperative Planning,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same anatomy"
C8002,Preparation of Skin Cell Autograft,"Preparation of skin cell suspension autograft, automated, including all enzymatic processing and device components (do not report with manual suspension preparation)"
C8003,Extraarticular Knee Implants,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imaging guidance (eg, fluoroscopy)"
C8900,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance angiography with contrast, abdomen"
C8901,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance angiography without contrast, abdomen"
C8902,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance angiography without contrast followed by with contrast, abdomen"
C8903,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance imaging with contrast, breast; unilateral"
C8905,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral"
C8906,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance imaging with contrast, breast; bilateral"
C8908,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral"
C8909,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance angiography with contrast, chest (excluding myocardium)"
C8910,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance angiography without contrast, chest (excluding myocardium)"
C8911,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)"
C8912,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance angiography with contrast, lower extremity"
C8913,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance angiography without contrast, lower extremity"
C8914,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance angiography without contrast followed by with contrast, lower extremity"
C8918,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance angiography with contrast, pelvis"
C8919,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance angiography without contrast, pelvis"
C8920,"Magnetic Resonance Angiography, Trunk and Lower Extremities","Magnetic resonance angiography without contrast followed by with contrast, pelvis"
C8921,Transesophageal/Transthoracic Echocardiography,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; complete"
C8922,Transesophageal/Transthoracic Echocardiography,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; follow-up or limited study"
C8923,Transesophageal/Transthoracic Echocardiography,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color doppler echocardiography"
C8924,Transesophageal/Transthoracic Echocardiography,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study"
C8925,Transesophageal/Transthoracic Echocardiography,"Transesophageal echocardiography (TEE) with contrast, or without contrast followed by with contrast, real time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report"
C8926,Transesophageal/Transthoracic Echocardiography,"Transesophageal echocardiography (TEE) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report"
C8927,Transesophageal/Transthoracic Echocardiography,"Transesophageal echocardiography (TEE) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis"
C8928,Transesophageal/Transthoracic Echocardiography,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report"
C8929,Transesophageal/Transthoracic Echocardiography,"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography"
C8930,Transesophageal/Transthoracic Echocardiography,"Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision"
C8931,"Magnetic Resonance Angiography, Spine and Upper Extremities","Magnetic resonance angiography with contrast, spinal canal and contents"
C8932,"Magnetic Resonance Angiography, Spine and Upper Extremities","Magnetic resonance angiography without contrast, spinal canal and contents"
C8933,"Magnetic Resonance Angiography, Spine and Upper Extremities","Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents"
C8934,"Magnetic Resonance Angiography, Spine and Upper Extremities","Magnetic resonance angiography with contrast, upper extremity"
C8935,"Magnetic Resonance Angiography, Spine and Upper Extremities","Magnetic resonance angiography without contrast, upper extremity"
C8936,"Magnetic Resonance Angiography, Spine and Upper Extremities","Magnetic resonance angiography without contrast followed by with contrast, upper extremity"
C8937,Breast MRI - Computer Aided Detection,"Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure)"
C8957,"Miscellaneous Drugs, Biologicals, and Supplies","Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump"
C9046,"Miscellaneous Drugs, Biologicals, and Supplies","Cocaine hydrochloride nasal solution for topical administration, 1 mg"
C9047,"Miscellaneous Drugs, Biologicals, and Supplies","Injection, caplacizumab-yhdp, 1 mg"
C9067,"Miscellaneous Drugs, Biologicals, and Supplies","Gallium ga-68, dotatoc, diagnostic, 0.01 mci"
C9088,"Miscellaneous Drugs, Biologicals, and Supplies","Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg"
C9089,"Miscellaneous Drugs, Biologicals, and Supplies","Bupivacaine, collagen-matrix implant, 1 mg"
C9101,"Miscellaneous Drugs, Biologicals, and Supplies","Injection, oliceridine, 0.1 mg"
C9143,"Miscellaneous Drugs, Biologicals, and Supplies","Cocaine hydrochloride nasal solution (numbrino), 1 mg"
C9144,"Miscellaneous Drugs, Biologicals, and Supplies","Injection, bupivacaine (posimir), 1 mg"
C9145,"Miscellaneous Drugs, Biologicals, and Supplies","Injection, aprepitant, (aponvie), 1 mg"
C9173,"Miscellaneous Drugs, Biologicals, and Supplies","Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram"
C9248,"Miscellaneous Drugs, Biologicals, and Supplies","Injection, clevidipine butyrate, 1 mg"
C9250,"Miscellaneous Drugs, Biologicals, and Supplies","Human plasma fibrin sealant, vapor-heated, solvent-detergent (Artiss), 2ml"
C9254,"Miscellaneous Drugs, Biologicals, and Supplies","Injection, lacosamide, 1 mg"
C9257,"Miscellaneous Drugs, Biologicals, and Supplies","Injection, bevacizumab, 0.25 mg"
C9285,"Miscellaneous Drugs, Biologicals, and Supplies","Lidocaine 70 mg/tetracaine 70 mg, per patch"
C9293,"Miscellaneous Drugs, Biologicals, and Supplies","Injection, glucarpidase, 10 units"
C9352,"Miscellaneous Drugs, Biologicals, and Supplies","Microporous collagen implantable tube (NeuraGen Nerve Guide), per centimeter length"
C9353,"Miscellaneous Drugs, Biologicals, and Supplies","Microporous collagen implantable slit tube (NeuraWrap Nerve Protector), per centimeter length"
C9354,"Miscellaneous Drugs, Biologicals, and Supplies","Acellular pericardial tissue matrix of non-human origin (Veritas), per square centimeter"
C9355,"Miscellaneous Drugs, Biologicals, and Supplies","Collagen nerve cuff (NeuroMatrix), per 0.5 centimeter length"
C9356,"Miscellaneous Drugs, Biologicals, and Supplies","Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (TenoGlide Tendon Protector Sheet), per square centimeter"
C9358,"Miscellaneous Drugs, Biologicals, and Supplies","Dermal substitute, native, non-denatured collagen, fetal bovine origin (SurgiMend Collagen Matrix), per 0.5 square centimeters"
C9359,"Miscellaneous Drugs, Biologicals, and Supplies","Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra Os Osteoconductive Scaffold Putty), per 0.5 cc"
C9360,"Miscellaneous Drugs, Biologicals, and Supplies","Dermal substitute, native, non-denatured collagen, neonatal bovine origin (SurgiMend Collagen Matrix), per 0.5 square centimeters"
C9361,"Miscellaneous Drugs, Biologicals, and Supplies","Collagen matrix nerve wrap (NeuroMend Collagen Nerve Wrap), per 0.5 centimeter length"
C9362,"Miscellaneous Drugs, Biologicals, and Supplies","Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Strip), per 0.5 cc"
C9363,"Miscellaneous Drugs, Biologicals, and Supplies","Skin substitute, Integra Meshed Bilayer Wound Matrix, per square centimeter"
C9364,"Miscellaneous Drugs, Biologicals, and Supplies","Porcine implant, Permacol, per square centimeter"
C9399,"Miscellaneous Drugs, Biologicals, and Supplies",Unclassified drugs or biologicals
C9460,"Miscellaneous Drugs, Biologicals, and Supplies","Injection, cangrelor, 1 mg"
C9462,"Miscellaneous Drugs, Biologicals, and Supplies","Injection, delafloxacin, 1 mg"
C9482,"Miscellaneous Drugs, Biologicals, and Supplies","Injection, sotalol hydrochloride, 1 mg"
C9488,"Miscellaneous Drugs, Biologicals, and Supplies","Injection, conivaptan hydrochloride, 1 mg"
C9507,Fresh Frozen Plasma-Covid-19,"Fresh frozen plasma, high titer COVID-19 convalescent, frozen within 8 hours of collection, each unit"
C9600,Percutaneous Transcatheter/Transluminal Coronary Procedures,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch"
C9601,Percutaneous Transcatheter/Transluminal Coronary Procedures,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)"
C9602,Percutaneous Transcatheter/Transluminal Coronary Procedures,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch"
C9603,Percutaneous Transcatheter/Transluminal Coronary Procedures,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)"
C9604,Percutaneous Transcatheter/Transluminal Coronary Procedures,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel"
C9605,Percutaneous Transcatheter/Transluminal Coronary Procedures,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure)"
C9606,Percutaneous Transcatheter/Transluminal Coronary Procedures,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel"
C9607,Percutaneous Transcatheter/Transluminal Coronary Procedures,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel"
C9608,Percutaneous Transcatheter/Transluminal Coronary Procedures,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (list separately in addition to code for primary procedure)"
C9610,Percutaneous Transcatheter/Transluminal Coronary Procedures,"Catheter, transluminal drug delivery with or without angioplasty, coronary, non-laser (insertable)"
C9725,Other Therapeutic Services and Supplies,Placement of endorectal intracavitary applicator for high intensity brachytherapy
C9726,Other Therapeutic Services and Supplies,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure"
C9727,Other Therapeutic Services and Supplies,Insertion of implants into the soft palate; minimum of three implants
C9728,Other Therapeutic Services and Supplies,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperitoneum, thorax, single or multiple"
C9733,Other Therapeutic Services and Supplies,Non-ophthalmic fluorescent vascular angiography
C9734,Other Therapeutic Services and Supplies,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (MR) guidance"
C9738,Other Therapeutic Services and Supplies,Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure)
C9739,Other Therapeutic Services and Supplies,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants"
C9740,Other Therapeutic Services and Supplies,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants"
C9751,Other Therapeutic Services and Supplies,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, computer-assisted, image-guided navigation, and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]) and all mediastinal and/or hilar lymph node stations or structures and therapeutic intervention(s)"
C9756,Other Therapeutic Services and Supplies,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (ICG) (List separately in addition to code for primary procedure)
C9757,Other Therapeutic Services and Supplies,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implantation of bone anchored annular closure device, including annular defect measurement, alignment and sizing assessment, and image guidance; 1 interspace, lumbar"
C9758,Other Therapeutic Services and Supplies,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study"
C9759,Other Therapeutic Services and Supplies,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when performed"
C9760,Other Therapeutic Services and Supplies,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study"
C9761,Other Therapeutic Services and Supplies,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter)"
C9762,Other Therapeutic Services and Supplies,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging"
C9763,Other Therapeutic Services and Supplies,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging"
C9764,Other Therapeutic Services and Supplies,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed"
C9765,Other Therapeutic Services and Supplies,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed"
C9766,Other Therapeutic Services and Supplies,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed"
C9767,Other Therapeutic Services and Supplies,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed"
C9768,Other Therapeutic Services and Supplies,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure)
C9772,Other Therapeutic Services and Supplies,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed"
C9773,Other Therapeutic Services and Supplies,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s), when performed"
C9774,Other Therapeutic Services and Supplies,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed"
C9775,Other Therapeutic Services and Supplies,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel (s), when performed"
C9776,Other Therapeutic Services and Supplies,"Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct(s) (e.g., cystic duct, common bile duct and common hepatic duct) with intravenous administration of indocyanine green (icg) (list separately in addition to code for primary procedure)"
C9777,Other Therapeutic Services and Supplies,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy"
C9778,Other Therapeutic Services and Supplies,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous)"
C9779,Other Therapeutic Services and Supplies,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed"
C9780,Other Therapeutic Services and Supplies,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance"
C9781,Other Therapeutic Services and Supplies,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed"
C9782,Other Therapeutic Services and Supplies,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial transplantation of autologous bone marrow cells (e.g., mononuclear) or placebo control, autologous bone marrow harvesting and preparation for transplantation, left heart catheterization including ventriculography, all laboratory services, and all imaging with or without guidance (e.g., transthoracic echocardiography, ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study"
C9783,Other Therapeutic Services and Supplies,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catherization, venous and coronary sinus angiography, imaging guidance and supervision and interpretation when performed in an approved investigational device exemption (ide) study"
C9784,Other Therapeutic Services and Supplies,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components"
C9785,Other Therapeutic Services and Supplies,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components"
C9789,Other Therapeutic Services and Supplies,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed"
C9791,Other Therapeutic Services and Supplies,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent"
C9792,Other Therapeutic Services and Supplies,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein access, including all imaging necessary to intra procedurally map the coronary sinus for optimal shunt placement (e.g., tee or ice ultrasound, fluoroscopy), performed under general anesthesia in an approved investigational device exemption (ide) study)"
C9793,Other Therapeutic Services and Supplies,"3d predictive model generation for pre-planning of a cardiac procedure, using data from cardiac computed tomographic angiography with report"
C9796,Other Therapeutic Services and Supplies,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])"
C9797,Other Therapeutic Services and Supplies,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction"
C9804,Other Therapeutic Services and Supplies,"Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)"
C9806,Other Therapeutic Services and Supplies,"Rotary peristaltic infusion pump (e.g., ambit pump), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)"
C9807,Other Therapeutic Services and Supplies,"Nerve stimulator, percutaneous, peripheral (e.g., sprint peripheral nerve stimulation system), including electrode and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)"
C9808,Other Therapeutic Services and Supplies,"Nerve cryoablation probe (e.g., cryoice, cryosphere, cryosphere max, cryoice cryosphere, cryoice cryo2), including probe and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)"
C9809,Other Therapeutic Services and Supplies,"Cryoablation needle (e.g., iovera system), including needle/tip and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)"
C9898,Other Therapeutic Services and Supplies,Radiolabeled product provided during a hospital inpatient stay
C9899,Other Therapeutic Services and Supplies,"Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage"
C9901,Other Therapeutic Services and Supplies,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system and tissue anchoring components"
E0100,Walking Aids and Attachments,"Cane, includes canes of all materials, adjustable or fixed, with tip"
E0105,Walking Aids and Attachments,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips"
E0110,Walking Aids and Attachments,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips"
E0111,Walking Aids and Attachments,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips"
E0112,Walking Aids and Attachments,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips"
E0113,Walking Aids and Attachments,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip"
E0114,Walking Aids and Attachments,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips"
E0116,Walking Aids and Attachments,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each"
E0117,Walking Aids and Attachments,"Crutch, underarm, articulating, spring assisted, each"
E0118,Walking Aids and Attachments,"Crutch substitute, lower leg platform, with or without wheels, each"
E0130,Walking Aids and Attachments,"Walker, rigid (pickup), adjustable or fixed height"
E0135,Walking Aids and Attachments,"Walker, folding (pickup), adjustable or fixed height"
E0140,Walking Aids and Attachments,"Walker, with trunk support, adjustable or fixed height, any type"
E0141,Walking Aids and Attachments,"Walker, rigid, wheeled, adjustable or fixed height"
E0143,Walking Aids and Attachments,"Walker, folding, wheeled, adjustable or fixed height"
E0144,Walking Aids and Attachments,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat"
E0147,Walking Aids and Attachments,"Walker, heavy duty, multiple braking system, variable wheel resistance"
E0148,Walking Aids and Attachments,"Walker, heavy duty, without wheels, rigid or folding, any type, each"
E0149,Walking Aids and Attachments,"Walker, heavy duty, wheeled, rigid or folding, any type"
E0152,Walking Aids and Attachments,"Walker, battery powered, wheeled, folding, adjustable or fixed height"
E0153,Walking Aids and Attachments,"Platform attachment, forearm crutch, each"
E0154,Walking Aids and Attachments,"Platform attachment, walker, each"
E0155,Walking Aids and Attachments,"Wheel attachment, rigid pick-up walker, per pair"
E0156,Walking Aids and Attachments,"Seat attachment, walker"
E0157,Walking Aids and Attachments,"Crutch attachment, walker, each"
E0158,Walking Aids and Attachments,"Leg extensions for walker, per set of four (4)"
E0159,Walking Aids and Attachments,"Brake attachment for wheeled walker, replacement, each"
E0160,Sitz Bath/Equipment,"Sitz type bath or equipment, portable, used with or without commode"
E0161,Sitz Bath/Equipment,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s"
E0162,Sitz Bath/Equipment,Sitz bath chair
E0163,Commode Chair and Supplies,"Commode chair, mobile or stationary, with fixed arms"
E0165,Commode Chair and Supplies,"Commode chair, mobile or stationary, with detachable arms"
E0167,Commode Chair and Supplies,"Pail or pan for use with commode chair, replacement only"
E0168,Commode Chair and Supplies,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each"
E0170,Commode Chair and Supplies,"Commode chair with integrated seat lift mechanism, electric, any type"
E0171,Commode Chair and Supplies,"Commode chair with integrated seat lift mechanism, non-electric, any type"
E0172,Commode Chair and Supplies,"Seat lift mechanism placed over or on top of toilet, any type"
E0175,Commode Chair and Supplies,"Foot rest, for use with commode chair, each"
E0181,"Pressure Mattresses, Pads, and Other Supplies","Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty"
E0182,"Pressure Mattresses, Pads, and Other Supplies","Pump for alternating pressure pad, for replacement only"
E0183,"Pressure Mattresses, Pads, and Other Supplies","Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty"
E0184,"Pressure Mattresses, Pads, and Other Supplies",Dry pressure mattress
E0185,"Pressure Mattresses, Pads, and Other Supplies","Gel or gel-like pressure pad for mattress, standard mattress length and width"
E0186,"Pressure Mattresses, Pads, and Other Supplies",Air pressure mattress
E0187,"Pressure Mattresses, Pads, and Other Supplies",Water pressure mattress
E0188,"Pressure Mattresses, Pads, and Other Supplies",Synthetic sheepskin pad
E0189,"Pressure Mattresses, Pads, and Other Supplies","Lambswool sheepskin pad, any size"
E0190,"Pressure Mattresses, Pads, and Other Supplies","Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories"
E0191,"Pressure Mattresses, Pads, and Other Supplies","Heel or elbow protector, each"
E0193,"Pressure Mattresses, Pads, and Other Supplies",Powered air flotation bed (low air loss therapy)
E0194,"Pressure Mattresses, Pads, and Other Supplies",Air fluidized bed
E0196,"Pressure Mattresses, Pads, and Other Supplies",Gel pressure mattress
E0197,"Pressure Mattresses, Pads, and Other Supplies","Air pressure pad for mattress, standard mattress length and width"
E0198,"Pressure Mattresses, Pads, and Other Supplies","Water pressure pad for mattress, standard mattress length and width"
E0199,"Pressure Mattresses, Pads, and Other Supplies","Dry pressure pad for mattress, standard mattress length and width"
E0200,"Heat, Cold, and Light Therapies","Heat lamp, without stand (table model), includes bulb, or infrared element"
E0202,"Heat, Cold, and Light Therapies",Phototherapy (bilirubin) light with photometer
E0203,"Heat, Cold, and Light Therapies","Therapeutic lightbox, minimum 10, 000 lux, table top model"
E0205,"Heat, Cold, and Light Therapies","Heat lamp, with stand, includes bulb, or infrared element"
E0210,"Heat, Cold, and Light Therapies","Electric heat pad, standard"
E0215,"Heat, Cold, and Light Therapies","Electric heat pad, moist"
E0217,"Heat, Cold, and Light Therapies",Water circulating heat pad with pump
E0218,"Heat, Cold, and Light Therapies","Fluid circulating cold pad with pump, any type"
E0221,"Heat, Cold, and Light Therapies",Infrared heating pad system
E0225,"Heat, Cold, and Light Therapies","Hydrocollator unit, includes pads"
E0231,"Heat, Cold, and Light Therapies","Non-contact wound warming device (temperature control unit, AC adapter and power cord) for use with warming card and wound cover"
E0232,"Heat, Cold, and Light Therapies",Warming card for use with the non contact wound warming device and non contact wound warming wound cover
E0235,"Heat, Cold, and Light Therapies","Paraffin bath unit, portable (see medical supply code A4265 for paraffin)"
E0236,"Heat, Cold, and Light Therapies",Pump for water circulating pad
E0239,"Heat, Cold, and Light Therapies","Hydrocollator unit, portable"
E0240,Bathing Supplies,"Bath/shower chair, with or without wheels, any size"
E0241,Bathing Supplies,"Bath tub wall rail, each"
E0242,Bathing Supplies,"Bath tub rail, floor base"
E0243,Bathing Supplies,"Toilet rail, each"
E0244,Bathing Supplies,Raised toilet seat
E0245,Bathing Supplies,Tub stool or bench
E0246,Bathing Supplies,Transfer tub rail attachment
E0247,Bathing Supplies,Transfer bench for tub or toilet with or without commode opening
E0248,Bathing Supplies,"Transfer bench, heavy duty, for tub or toilet with or without commode opening"
E0249,Bathing Supplies,"Pad for water circulating heat unit, for replacement only"
E0250,Hospital Beds and Associated Supplies,"Hospital bed, fixed height, with any type side rails, with mattress"
E0251,Hospital Beds and Associated Supplies,"Hospital bed, fixed height, with any type side rails, without mattress"
E0255,Hospital Beds and Associated Supplies,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress"
E0256,Hospital Beds and Associated Supplies,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress"
E0260,Hospital Beds and Associated Supplies,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress"
E0261,Hospital Beds and Associated Supplies,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress"
E0265,Hospital Beds and Associated Supplies,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress"
E0266,Hospital Beds and Associated Supplies,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress"
E0270,Hospital Beds and Associated Supplies,"Hospital bed, institutional type includes: oscillating, circulating and stryker frame, with mattress"
E0271,Hospital Beds and Associated Supplies,"Mattress, innerspring"
E0272,Hospital Beds and Associated Supplies,"Mattress, foam rubber"
E0273,Hospital Beds and Associated Supplies,Bed board
E0274,Hospital Beds and Associated Supplies,Over-bed table
E0275,Hospital Beds and Associated Supplies,"Bed pan, standard, metal or plastic"
E0276,Hospital Beds and Associated Supplies,"Bed pan, fracture, metal or plastic"
E0277,Hospital Beds and Associated Supplies,Powered pressure-reducing air mattress
E0280,Hospital Beds and Associated Supplies,"Bed cradle, any type"
E0290,Hospital Beds and Associated Supplies,"Hospital bed, fixed height, without side rails, with mattress"
E0291,Hospital Beds and Associated Supplies,"Hospital bed, fixed height, without side rails, without mattress"
E0292,Hospital Beds and Associated Supplies,"Hospital bed, variable height, hi-lo, without side rails, with mattress"
E0293,Hospital Beds and Associated Supplies,"Hospital bed, variable height, hi-lo, without side rails, without mattress"
E0294,Hospital Beds and Associated Supplies,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress"
E0295,Hospital Beds and Associated Supplies,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress"
E0296,Hospital Beds and Associated Supplies,"Hospital bed, total electric (head, foot and height adjustments). without side rails, with mattress"
E0297,Hospital Beds and Associated Supplies,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress"
E0300,Hospital Beds and Associated Supplies,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure"
E0301,Hospital Beds and Associated Supplies,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress"
E0302,Hospital Beds and Associated Supplies,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress"
E0303,Hospital Beds and Associated Supplies,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress"
E0304,Hospital Beds and Associated Supplies,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress"
E0305,Hospital Beds and Associated Supplies,"Bed side rails, half length"
E0310,Hospital Beds and Associated Supplies,"Bed side rails, full length"
E0315,Hospital Beds and Associated Supplies,"Bed accessory: board, table, or support device, any type"
E0316,Hospital Beds and Associated Supplies,"Safety enclosure frame/canopy for use with hospital bed, any type"
E0325,Hospital Beds and Associated Supplies,"Urinal; male, jug-type, any material"
E0326,Hospital Beds and Associated Supplies,"Urinal; female, jug-type, any material"
E0328,Hospital Beds and Associated Supplies,"Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress"
E0329,Hospital Beds and Associated Supplies,"Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress"
E0350,Hospital Beds and Associated Supplies,Control unit for electronic bowel irrigation/evacuation system
E0352,Hospital Beds and Associated Supplies,"Disposable pack (water reservoir bag, speculum, valving mechanism and collection bag/box) for use with the electronic bowel irrigation/evacuation system"
E0370,Hospital Beds and Associated Supplies,Air pressure elevator for heel
E0371,Hospital Beds and Associated Supplies,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width"
E0372,Hospital Beds and Associated Supplies,"Powered air overlay for mattress, standard mattress length and width"
E0373,Hospital Beds and Associated Supplies,Nonpowered advanced pressure reducing mattress
E0424,Oxygen Delivery Systems and Related Supplies,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing"
E0425,Oxygen Delivery Systems and Related Supplies,"Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing"
E0430,Oxygen Delivery Systems and Related Supplies,"Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing"
E0431,Oxygen Delivery Systems and Related Supplies,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing"
E0433,Oxygen Delivery Systems and Related Supplies,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge"
E0434,Oxygen Delivery Systems and Related Supplies,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing"
E0435,Oxygen Delivery Systems and Related Supplies,"Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor"
E0439,Oxygen Delivery Systems and Related Supplies,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing"
E0440,Oxygen Delivery Systems and Related Supplies,"Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing"
E0441,Oxygen Delivery Systems and Related Supplies,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit"
E0442,Oxygen Delivery Systems and Related Supplies,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit"
E0443,Oxygen Delivery Systems and Related Supplies,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit"
E0444,Oxygen Delivery Systems and Related Supplies,"Portable oxygen contents, liquid, 1 month's supply = 1 unit"
E0445,Oxygen Delivery Systems and Related Supplies,Oximeter device for measuring blood oxygen levels noninvasively
E0446,Oxygen Delivery Systems and Related Supplies,"Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories"
E0447,Oxygen Delivery Systems and Related Supplies,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm)"
E0455,Oxygen Delivery Systems and Related Supplies,"Oxygen tent, excluding croup or pediatric tents"
E0457,Oxygen Delivery Systems and Related Supplies,Chest shell (cuirass)
E0459,Oxygen Delivery Systems and Related Supplies,Chest wrap
E0462,Oxygen Delivery Systems and Related Supplies,Rocking bed with or without side rails
E0465,Oxygen Delivery Systems and Related Supplies,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)"
E0466,Oxygen Delivery Systems and Related Supplies,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)"
E0467,Oxygen Delivery Systems and Related Supplies,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions"
E0468,Oxygen Delivery Systems and Related Supplies,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions"
E0469,Oxygen Delivery Systems and Related Supplies,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device"
E0470,Oxygen Delivery Systems and Related Supplies,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)"
E0471,Oxygen Delivery Systems and Related Supplies,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)"
E0472,Oxygen Delivery Systems and Related Supplies,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device)"
E0480,Oxygen Delivery Systems and Related Supplies,"Percussor, electric or pneumatic, home model"
E0481,Oxygen Delivery Systems and Related Supplies,Intrapulmonary percussive ventilation system and related accessories
E0482,Oxygen Delivery Systems and Related Supplies,"Cough stimulating device, alternating positive and negative airway pressure"
E0483,Oxygen Delivery Systems and Related Supplies,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each"
E0484,Oxygen Delivery Systems and Related Supplies,"Oscillatory positive expiratory pressure device, non-electric, any type, each"
E0485,Oxygen Delivery Systems and Related Supplies,"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment"
E0486,Oxygen Delivery Systems and Related Supplies,"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment"
E0487,Oxygen Delivery Systems and Related Supplies,"Spirometer, electronic, includes all accessories"
E0490,Oxygen Delivery Systems and Related Supplies,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote"
E0491,Oxygen Delivery Systems and Related Supplies,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day supply"
E0492,Oxygen Delivery Systems and Related Supplies,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application"
E0493,Oxygen Delivery Systems and Related Supplies,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply"
E0500,Intermittent Positive Pressure Breathing Devices,"IPPB machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source"
E0530,Electronic Positional Obstructive Sleep Apnea Treatment,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type"
E0550,Humidifiers and Nebulizers with Related Equipment,"Humidifier, durable for extensive supplemental humidification during IPPB treatments or oxygen delivery"
E0555,Humidifiers and Nebulizers with Related Equipment,"Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter"
E0560,Humidifiers and Nebulizers with Related Equipment,"Humidifier, durable for supplemental humidification during IPPB treatment or oxygen delivery"
E0561,Humidifiers and Nebulizers with Related Equipment,"Humidifier, non-heated, used with positive airway pressure device"
E0562,Humidifiers and Nebulizers with Related Equipment,"Humidifier, heated, used with positive airway pressure device"
E0565,Humidifiers and Nebulizers with Related Equipment,"Compressor, air power source for equipment which is not self- contained or cylinder driven"
E0570,Humidifiers and Nebulizers with Related Equipment,"Nebulizer, with compressor"
E0572,Humidifiers and Nebulizers with Related Equipment,"Aerosol compressor, adjustable pressure, light duty for intermittent use"
E0574,Humidifiers and Nebulizers with Related Equipment,Ultrasonic/electronic aerosol generator with small volume nebulizer
E0575,Humidifiers and Nebulizers with Related Equipment,"Nebulizer, ultrasonic, large volume"
E0580,Humidifiers and Nebulizers with Related Equipment,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter"
E0585,Humidifiers and Nebulizers with Related Equipment,"Nebulizer, with compressor and heater"
E0600,Humidifiers and Nebulizers with Related Equipment,"Respiratory suction pump, home model, portable or stationary, electric"
E0601,Humidifiers and Nebulizers with Related Equipment,Continuous positive airway pressure (CPAP) device
E0602,Breast Pumps,"Breast pump, manual, any type"
E0603,Breast Pumps,"Breast pump, electric (AC and/or DC), any type"
E0604,Breast Pumps,"Breast pump, hospital grade, electric (AC and / or DC), any type"
E0605,Other Breathing Aids,"Vaporizer, room type"
E0606,Other Breathing Aids,Postural drainage board
E0607,Monitoring Equipment,Home blood glucose monitor
E0610,Monitoring Equipment,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)"
E0615,Monitoring Equipment,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems"
E0616,Monitoring Equipment,"Implantable cardiac event recorder with memory, activator and programmer"
E0617,Monitoring Equipment,External defibrillator with integrated electrocardiogram analysis
E0618,Monitoring Equipment,"Apnea monitor, without recording feature"
E0619,Monitoring Equipment,"Apnea monitor, with recording feature"
E0620,Monitoring Equipment,"Skin piercing device for collection of capillary blood, laser, each"
E0621,Patient Lifts and Support Systems,"Sling or seat, patient lift, canvas or nylon"
E0625,Patient Lifts and Support Systems,"Patient lift, bathroom or toilet, not otherwise classified"
E0627,Patient Lifts and Support Systems,"Seat lift mechanism, electric, any type"
E0629,Patient Lifts and Support Systems,"Seat lift mechanism, non-electric, any type"
E0630,Patient Lifts and Support Systems,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)"
E0635,Patient Lifts and Support Systems,"Patient lift, electric with seat or sling"
E0636,Patient Lifts and Support Systems,"Multipositional patient support system, with integrated lift, patient accessible controls"
E0637,Patient Lifts and Support Systems,"Combination sit to stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels"
E0638,Patient Lifts and Support Systems,"Standing frame/table system, one position (e.g., upright, supine or prone stander), any size including pediatric, with or without wheels"
E0639,Patient Lifts and Support Systems,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories"
E0640,Patient Lifts and Support Systems,"Patient lift, fixed system, includes all components/accessories"
E0641,Patient Lifts and Support Systems,"Standing frame/table system, multi-position (e.g., 3-way stander), any size including pediatric, with or without wheels"
E0642,Patient Lifts and Support Systems,"Standing frame/table system, mobile (dynamic stander), any size including pediatric"
E0650,Pneumatic Compressors and Appliances,"Pneumatic compressor, non-segmental home model"
E0651,Pneumatic Compressors and Appliances,"Pneumatic compressor, segmental home model without calibrated gradient pressure"
E0652,Pneumatic Compressors and Appliances,"Pneumatic compressor, segmental home model with calibrated gradient pressure"
E0655,Pneumatic Compressors and Appliances,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm"
E0656,Pneumatic Compressors and Appliances,"Segmental pneumatic appliance for use with pneumatic compressor, trunk"
E0657,Pneumatic Compressors and Appliances,"Segmental pneumatic appliance for use with pneumatic compressor, chest"
E0660,Pneumatic Compressors and Appliances,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg"
E0665,Pneumatic Compressors and Appliances,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm"
E0666,Pneumatic Compressors and Appliances,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg"
E0667,Pneumatic Compressors and Appliances,"Segmental pneumatic appliance for use with pneumatic compressor, full leg"
E0668,Pneumatic Compressors and Appliances,"Segmental pneumatic appliance for use with pneumatic compressor, full arm"
E0669,Pneumatic Compressors and Appliances,"Segmental pneumatic appliance for use with pneumatic compressor, half leg"
E0670,Pneumatic Compressors and Appliances,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk"
E0671,Pneumatic Compressors and Appliances,"Segmental gradient pressure pneumatic appliance, full leg"
E0672,Pneumatic Compressors and Appliances,"Segmental gradient pressure pneumatic appliance, full arm"
E0673,Pneumatic Compressors and Appliances,"Segmental gradient pressure pneumatic appliance, half leg"
E0675,Pneumatic Compressors and Appliances,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system)"
E0676,Pneumatic Compressors and Appliances,"Intermittent limb compression device (includes all accessories), not otherwise specified"
E0677,Pneumatic Compressors and Appliances,"Non-pneumatic sequential compression garment, trunk"
E0678,Non Pneumatic Compressors and Appliances,"Non-pneumatic sequential compression garment, full leg"
E0679,Non Pneumatic Compressors and Appliances,"Non-pneumatic sequential compression garment, half leg"
E0680,Non Pneumatic Compressors and Appliances,Non-pneumatic compression controller with sequential calibrated gradient pressure
E0681,Non Pneumatic Compressors and Appliances,Non-pneumatic compression controller without calibrated gradient pressure
E0682,Non Pneumatic Compressors and Appliances,"Non-pneumatic sequential compression garment, full arm"
E0683,Non Pneumatic Compressors and Appliances,"Non-pneumatic, non-sequential, peristaltic wave compression pump"
E0691,ULTRAVIOLET LIGHT THERAPY SYSTEMS,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less"
E0692,ULTRAVIOLET LIGHT THERAPY SYSTEMS,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel"
E0693,ULTRAVIOLET LIGHT THERAPY SYSTEMS,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel"
E0694,ULTRAVIOLET LIGHT THERAPY SYSTEMS,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection"
E0700,Safety Devices,"Safety equipment, device or accessory, any type"
E0705,Safety Devices,"Transfer device, any type, each"
E0710,Safety Devices,"Restraints, any type (body, chest, wrist or ankle)"
E0711,Safety Devices,"Upper extremity medical tubing/lines enclosure or covering device, restricts elbow range of motion"
E0715,Intravaginal Device and Supplies for  Pelvic Floor Muscles Strengthening,Intravaginal device intended to strengthen pelvic floor muscles during kegel exercises
E0716,Intravaginal Device and Supplies for  Pelvic Floor Muscles Strengthening,Supplies and accessories for intravaginal device intended to strengthen pelvic floor muscles during kegel exercises
E0720,Stimulation Devices,"Transcutaneous electrical nerve stimulation (TENS) device, two lead, localized stimulation"
E0721,Stimulation Devices,Transcutaneous electrical nerve stimulator for nerves in the auricular region
E0730,Stimulation Devices,"Transcutaneous electrical nerve stimulation (TENS) device, four or more leads, for multiple nerve stimulation"
E0731,Stimulation Devices,Form fitting conductive garment for delivery of TENS or NMES (with conductive fibers separated from the patient's skin by layers of fabric)
E0732,Stimulation Devices,"Cranial electrotherapy stimulation (ces) system, any type"
E0733,Stimulation Devices,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve
E0734,Stimulation Devices,External upper limb tremor stimulator of the peripheral nerves of the wrist
E0735,Stimulation Devices,Non-invasive vagus nerve stimulator
E0736,Stimulation Devices,Transcutaneous tibial nerve stimulator
E0737,Stimulation Devices,"Transcutaneous tibial nerve stimulator, controlled by phone application"
E0738,Stimulation Devices,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories"
E0739,Stimulation Devices,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors"
E0740,Stimulation Devices,"Non-implanted pelvic floor electrical stimulator, complete system"
E0743,Stimulation Devices,"External lower extremity nerve stimulator for restless legs syndrome, each"
E0744,Stimulation Devices,Neuromuscular stimulator for scoliosis
E0745,Stimulation Devices,"Neuromuscular stimulator, electronic shock unit"
E0746,Stimulation Devices,"Electromyography (EMG), biofeedback device"
E0747,Stimulation Devices,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications"
E0748,Stimulation Devices,"Osteogenesis stimulator, electrical, non-invasive, spinal applications"
E0749,Stimulation Devices,"Osteogenesis stimulator, electrical, surgically implanted"
E0755,Stimulation Devices,Electronic salivary reflex stimulator (intra-oral/non-invasive)
E0760,Stimulation Devices,"Osteogenesis stimulator, low intensity ultrasound, non-invasive"
E0761,Stimulation Devices,"Non-thermal pulsed high frequency radiowaves, high peak power electromagnetic energy treatment device"
E0762,Stimulation Devices,"Transcutaneous electrical joint stimulation device system, includes all accessories"
E0764,Stimulation Devices,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program"
E0765,Stimulation Devices,"FDA approved nerve stimulator, with replaceable batteries, for treatment of nausea and vomiting"
E0766,Stimulation Devices,"Electrical stimulation device used for cancer treatment, includes all accessories, any type"
E0767,Stimulation Devices,"Intrabuccal, systemic delivery of amplitude-modulated, radiofrequency electromagnetic field device, for cancer treatment, includes all accessories"
E0769,Stimulation Devices,"Electrical stimulation or electromagnetic wound treatment device, not otherwise classified"
E0770,Stimulation Devices,"Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified"
E0776,Infusion Pumps and Supplies,IV pole
E0779,Infusion Pumps and Supplies,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater"
E0780,Infusion Pumps and Supplies,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours"
E0781,Infusion Pumps and Supplies,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient"
E0782,Infusion Pumps and Supplies,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.)"
E0783,Infusion Pumps and Supplies,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.)"
E0784,Infusion Pumps and Supplies,"External ambulatory infusion pump, insulin"
E0785,Infusion Pumps and Supplies,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement"
E0786,Infusion Pumps and Supplies,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)"
E0787,Infusion Pumps and Supplies,"External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing"
E0791,Infusion Pumps and Supplies,"Parenteral infusion pump, stationary, single or multi-channel"
E0830,Traction and Other Orthopedic Devices,"Ambulatory traction device, all types, each"
E0840,Traction and Other Orthopedic Devices,"Traction frame, attached to headboard, cervical traction"
E0849,Traction and Other Orthopedic Devices,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible"
E0850,Traction and Other Orthopedic Devices,"Traction stand, free standing, cervical traction"
E0855,Traction and Other Orthopedic Devices,Cervical traction equipment not requiring additional stand or frame
E0856,Traction and Other Orthopedic Devices,"Cervical traction device, with inflatable air bladder(s)"
E0860,Traction and Other Orthopedic Devices,"Traction equipment, overdoor, cervical"
E0870,Traction and Other Orthopedic Devices,"Traction frame, attached to footboard, extremity traction, (e.g., Buck's)"
E0880,Traction and Other Orthopedic Devices,"Traction stand, free standing, extremity traction"
E0890,Traction and Other Orthopedic Devices,"Traction frame, attached to footboard, pelvic traction"
E0900,Traction and Other Orthopedic Devices,"Traction stand, free standing, pelvic traction, (e.g., Buck's)"
E0910,Traction and Other Orthopedic Devices,"Trapeze bars, also known as Patient Helper, attached to bed, with grab bar"
E0911,Traction and Other Orthopedic Devices,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar"
E0912,Traction and Other Orthopedic Devices,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar"
E0920,Traction and Other Orthopedic Devices,"Fracture frame, attached to bed, includes weights"
E0930,Traction and Other Orthopedic Devices,"Fracture frame, free standing, includes weights"
E0935,Traction and Other Orthopedic Devices,Continuous passive motion exercise device for use on knee only
E0936,Traction and Other Orthopedic Devices,Continuous passive motion exercise device for use other than knee
E0940,Traction and Other Orthopedic Devices,"Trapeze bar, free standing, complete with grab bar"
E0941,Traction and Other Orthopedic Devices,"Gravity assisted traction device, any type"
E0942,Traction and Other Orthopedic Devices,Cervical head harness/halter
E0944,Traction and Other Orthopedic Devices,Pelvic belt/harness/boot
E0945,Traction and Other Orthopedic Devices,Extremity belt/harness
E0946,Traction and Other Orthopedic Devices,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster)"
E0947,Traction and Other Orthopedic Devices,"Fracture frame, attachments for complex pelvic traction"
E0948,Traction and Other Orthopedic Devices,"Fracture frame, attachments for complex cervical traction"
E0950,Wheelchair Accessories,"Wheelchair accessory, tray, each"
E0951,Wheelchair Accessories,"Heel loop/holder, any type, with or without ankle strap, each"
E0952,Wheelchair Accessories,"Toe loop/holder, any type, each"
E0953,Wheelchair Accessories,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each"
E0954,Wheelchair Accessories,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot"
E0955,Wheelchair Accessories,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each"
E0956,Wheelchair Accessories,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each"
E0957,Wheelchair Accessories,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each"
E0958,Wheelchair Accessories,"Manual wheelchair accessory, one-arm drive attachment, each"
E0959,Wheelchair Accessories,"Manual wheelchair accessory, adapter for amputee, each"
E0960,Wheelchair Accessories,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware"
E0961,Wheelchair Accessories,"Manual wheelchair accessory, wheel lock brake extension (handle), each"
E0966,Wheelchair Accessories,"Manual wheelchair accessory, headrest extension, each"
E0967,Wheelchair Accessories,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each"
E0968,Wheelchair Accessories,"Commode seat, wheelchair"
E0969,Wheelchair Accessories,"Narrowing device, wheelchair"
E0970,Wheelchair Accessories,"No.2 footplates, except for elevating leg rest"
E0971,Wheelchair Accessories,"Manual wheelchair accessory, anti-tipping device, each"
E0973,Wheelchair Accessories,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each"
E0974,Wheelchair Accessories,"Manual wheelchair accessory, anti-rollback device, each"
E0978,Wheelchair Accessories,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each"
E0980,Wheelchair Accessories,"Safety vest, wheelchair"
E0981,Wheelchair Accessories,"Wheelchair accessory, seat upholstery, replacement only, each"
E0982,Wheelchair Accessories,"Wheelchair accessory, back upholstery, replacement only, each"
E0983,Wheelchair Accessories,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control"
E0984,Wheelchair Accessories,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control"
E0985,Wheelchair Accessories,"Wheelchair accessory, seat lift mechanism"
E0986,Wheelchair Accessories,"Manual wheelchair accessory, push-rim activated power assist system"
E0988,Wheelchair Accessories,"Manual wheelchair accessory, lever-activated, wheel drive, pair"
E0990,Wheelchair Accessories,"Wheelchair accessory, elevating leg rest, complete assembly, each"
E0992,Wheelchair Accessories,"Manual wheelchair accessory, solid seat insert"
E0994,Wheelchair Accessories,"Arm rest, each"
E0995,Wheelchair Accessories,"Wheelchair accessory, calf rest/pad, replacement only, each"
E1002,Wheelchair Accessories,"Wheelchair accessory, power seating system, tilt only"
E1003,Wheelchair Accessories,"Wheelchair accessory, power seating system, recline only, without shear reduction"
E1004,Wheelchair Accessories,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction"
E1005,Wheelchair Accessories,"Wheelchair accessory, power seatng system, recline only, with power shear reduction"
E1006,Wheelchair Accessories,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction"
E1007,Wheelchair Accessories,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction"
E1008,Wheelchair Accessories,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction"
E1009,Wheelchair Accessories,"Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each"
E1010,Wheelchair Accessories,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair"
E1011,Wheelchair Accessories,"Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)"
E1012,Wheelchair Accessories,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each"
E1014,Wheelchair Accessories,"Reclining back, addition to pediatric size wheelchair"
E1015,Wheelchair Accessories,"Shock absorber for manual wheelchair, each"
E1016,Wheelchair Accessories,"Shock absorber for power wheelchair, each"
E1017,Wheelchair Accessories,"Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each"
E1018,Wheelchair Accessories,"Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each"
E1020,Wheelchair Accessories,"Residual limb support system for wheelchair, any type"
E1028,Wheelchair Accessories,"Wheelchair accessory, manual swing away, retractable or removable mounting hardware for joystick, other control interface or positioning accessory"
E1029,Wheelchair Accessories,"Wheelchair accessory, ventilator tray, fixed"
E1030,Wheelchair Accessories,"Wheelchair accessory, ventilator tray, gimbaled"
E1031,Wheelchair Accessories,"Rollabout chair, any and all types with castors 5 inch or greater"
E1035,Wheelchair Accessories,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs"
E1036,Wheelchair Accessories,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs"
E1037,Transport Chairs,"Transport chair, pediatric size"
E1038,Transport Chairs,"Transport chair, adult size, patient weight capacity up to and including 300 pounds"
E1039,Transport Chairs,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds"
E1050,Fully Reclining Wheelchairs,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating legrests"
E1060,Fully Reclining Wheelchairs,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests"
E1070,Fully Reclining Wheelchairs,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest"
E1083,Hemi-Wheelchairs,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating legrest"
E1084,Hemi-Wheelchairs,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating legrests"
E1085,Hemi-Wheelchairs,"Hemi-wheelchair, fixed full length arms, swing away detachable footrests"
E1086,Hemi-Wheelchairs,"Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests"
E1087,"Lightweight, High-strength Wheelchairs","High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests"
E1088,"Lightweight, High-strength Wheelchairs","High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating legrests"
E1089,"Lightweight, High-strength Wheelchairs","High strength lightweight wheelchair, fixed length arms, swing away detachable footrest"
E1090,"Lightweight, High-strength Wheelchairs","High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable footrests"
E1092,"Heavy Duty, Wide Wheelchairs","Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating legrests"
E1093,"Heavy Duty, Wide Wheelchairs","Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests"
E1100,Semi-reclining Wheelchairs,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating legrests"
E1110,Semi-reclining Wheelchairs,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating legrest"
E1130,Standard Wheelchairs,"Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests"
E1140,Standard Wheelchairs,"Wheelchair, detachable arms, desk or full length, swing away detachable footrests"
E1150,Standard Wheelchairs,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests"
E1160,Standard Wheelchairs,"Wheelchair, fixed full length arms, swing away detachable elevating legrests"
E1161,Standard Wheelchairs,"Manual adult size wheelchair, includes tilt in space"
E1170,Amputee Wheelchairs,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests"
E1171,Amputee Wheelchairs,"Amputee wheelchair, fixed full length arms, without footrests or legrest"
E1172,Amputee Wheelchairs,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest"
E1180,Amputee Wheelchairs,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests"
E1190,Amputee Wheelchairs,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests"
E1195,Amputee Wheelchairs,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests"
E1200,Amputee Wheelchairs,"Amputee wheelchair, fixed full length arms, swing away detachable footrest"
E1220,Other Wheelchairs and Accessories,"Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification"
E1221,Other Wheelchairs and Accessories,"Wheelchair with fixed arm, footrests"
E1222,Other Wheelchairs and Accessories,"Wheelchair with fixed arm, elevating legrests"
E1223,Other Wheelchairs and Accessories,"Wheelchair with detachable arms, footrests"
E1224,Other Wheelchairs and Accessories,"Wheelchair with detachable arms, elevating legrests"
E1225,Other Wheelchairs and Accessories,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each"
E1226,Other Wheelchairs and Accessories,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each"
E1227,Other Wheelchairs and Accessories,Special height arms for wheelchair
E1228,Other Wheelchairs and Accessories,Special back height for wheelchair
E1229,Pediatric Wheelchairs,"Wheelchair, pediatric size, not otherwise specified"
E1230,Pediatric Wheelchairs,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number
E1231,Pediatric Wheelchairs,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system"
E1232,Pediatric Wheelchairs,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system"
E1233,Pediatric Wheelchairs,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system"
E1234,Pediatric Wheelchairs,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system"
E1235,Pediatric Wheelchairs,"Wheelchair, pediatric size, rigid, adjustable, with seating system"
E1236,Pediatric Wheelchairs,"Wheelchair, pediatric size, folding, adjustable, with seating system"
E1237,Pediatric Wheelchairs,"Wheelchair, pediatric size, rigid, adjustable, without seating system"
E1238,Pediatric Wheelchairs,"Wheelchair, pediatric size, folding, adjustable, without seating system"
E1239,Pediatric Wheelchairs,"Power wheelchair, pediatric size, not otherwise specified"
E1240,Lightweight Wheelchairs,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest"
E1250,Lightweight Wheelchairs,"Lightweight wheelchair, fixed full length arms, swing away detachable footrest"
E1260,Lightweight Wheelchairs,"Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest"
E1270,Lightweight Wheelchairs,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests"
E1280,Heavy Duty and Special Wheelchairs,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests"
E1285,Heavy Duty and Special Wheelchairs,"Heavy duty wheelchair, fixed full length arms, swing away detachable footrest"
E1290,Heavy Duty and Special Wheelchairs,"Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest"
E1295,Heavy Duty and Special Wheelchairs,"Heavy duty wheelchair, fixed full length arms, elevating legrest"
E1296,Heavy Duty and Special Wheelchairs,Special wheelchair seat height from floor
E1297,Heavy Duty and Special Wheelchairs,"Special wheelchair seat depth, by upholstery"
E1298,Heavy Duty and Special Wheelchairs,"Special wheelchair seat depth and/or width, by construction"
E1300,Whirlpool Baths,"Whirlpool, portable (overtub type)"
E1301,Whirlpool Baths,"Whirlpool tub, walk-in, portable"
E1310,Whirlpool Baths,"Whirlpool, non-portable (built-in type)"
E1352,Accessories for Oxygen Delivery Devices,"Oxygen accessory, flow regulator capable of positive inspiratory pressure"
E1353,Accessories for Oxygen Delivery Devices,Regulator
E1354,Accessories for Oxygen Delivery Devices,"Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each"
E1355,Accessories for Oxygen Delivery Devices,Stand/rack
E1356,Accessories for Oxygen Delivery Devices,"Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each"
E1357,Accessories for Oxygen Delivery Devices,"Oxygen accessory, battery charger for portable concentrator, any type, replacement only, each"
E1358,Accessories for Oxygen Delivery Devices,"Oxygen accessory, DC power adapter for portable concentrator, any type, replacement only, each"
E1372,Accessories for Oxygen Delivery Devices,Immersion external heater for nebulizer
E1390,Accessories for Oxygen Delivery Devices,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate"
E1391,Accessories for Oxygen Delivery Devices,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each"
E1392,Accessories for Oxygen Delivery Devices,"Portable oxygen concentrator, rental"
E1399,Accessories for Oxygen Delivery Devices,"Durable medical equipment, miscellaneous"
E1405,Accessories for Oxygen Delivery Devices,Oxygen and water vapor enriching system with heated delivery
E1406,Accessories for Oxygen Delivery Devices,Oxygen and water vapor enriching system without heated delivery
E1500,Dialysis Systems and Accessories,"Centrifuge, for dialysis"
E1510,Dialysis Systems and Accessories,"Kidney, dialysate delivery system, kidney machine, pump recirculating, air removal system, flowrate meter, power off, heater and temperature control with alarm, IV poles, pressure gauge, concentrate container"
E1520,Dialysis Systems and Accessories,Heparin infusion pump for hemodialysis
E1530,Dialysis Systems and Accessories,"Air bubble detector for hemodialysis, each, replacement"
E1540,Dialysis Systems and Accessories,"Pressure alarm for hemodialysis, each, replacement"
E1550,Dialysis Systems and Accessories,"Bath conductivity meter for hemodialysis, each"
E1560,Dialysis Systems and Accessories,"Blood leak detector for hemodialysis, each, replacement"
E1570,Dialysis Systems and Accessories,"Adjustable chair, for ESRD patients"
E1575,Dialysis Systems and Accessories,"Transducer protectors/fluid barriers, for hemodialysis, any size, per 10"
E1580,Dialysis Systems and Accessories,Unipuncture control system for hemodialysis
E1590,Dialysis Systems and Accessories,Hemodialysis machine
E1592,Dialysis Systems and Accessories,Automatic intermittent peritoneal dialysis system
E1594,Dialysis Systems and Accessories,Cycler dialysis machine for peritoneal dialysis
E1600,Dialysis Systems and Accessories,Delivery and/or installation charges for hemodialysis equipment
E1610,Dialysis Systems and Accessories,"Reverse osmosis water purification system, for hemodialysis"
E1615,Dialysis Systems and Accessories,"Deionizer water purification system, for hemodialysis"
E1620,Dialysis Systems and Accessories,"Blood pump for hemodialysis, replacement"
E1625,Dialysis Systems and Accessories,"Water softening system, for hemodialysis"
E1629,Dialysis Systems and Accessories,Tablo hemodialysis system for the billable dialysis service
E1630,Dialysis Systems and Accessories,Reciprocating peritoneal dialysis system
E1632,Dialysis Systems and Accessories,"Wearable artificial kidney, each"
E1634,Dialysis Systems and Accessories,"Peritoneal dialysis clamps, each"
E1635,Dialysis Systems and Accessories,Compact (portable) travel hemodialyzer system
E1636,Dialysis Systems and Accessories,"Sorbent cartridges, for hemodialysis, per 10"
E1637,Dialysis Systems and Accessories,"Hemostats, each"
E1639,Dialysis Systems and Accessories,"Scale, each"
E1699,Dialysis Systems and Accessories,"Dialysis equipment, not otherwise specified"
E1700,Jaw Motion Rehabilitation Systems,Jaw motion rehabilitation system
E1701,Jaw Motion Rehabilitation Systems,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6"
E1702,Jaw Motion Rehabilitation Systems,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200"
E1800,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable elbow extension and flexion device, includes soft interface material"
E1801,Extension/Flexion Rehabilitation Devices,"Static progressive stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories"
E1802,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable forearm pronation/supination device, includes soft interface material"
E1803,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable elbow extension only device, includes soft interface material"
E1804,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable elbow flexion only device, includes soft interface material"
E1805,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable wrist extension and flexion device, includes soft interface material"
E1806,Extension/Flexion Rehabilitation Devices,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories"
E1807,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable wrist extension only device, includes soft interface material"
E1808,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable wrist flexion only device, includes soft interface material"
E1810,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable knee extension and flexion device, includes soft interface material"
E1811,Extension/Flexion Rehabilitation Devices,"Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories"
E1812,Extension/Flexion Rehabilitation Devices,"Dynamic knee, extension/flexion device with active resistance control"
E1813,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable knee extension only device, includes soft interface material"
E1814,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable knee flexion only device, includes soft interface material"
E1815,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable ankle extension and flexion device, includes soft interface material"
E1816,Extension/Flexion Rehabilitation Devices,"Static progressive stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories"
E1818,Extension/Flexion Rehabilitation Devices,"Static progressive stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories"
E1820,Extension/Flexion Rehabilitation Devices,"Replacement soft interface material, dynamic adjustable extension/flexion device"
E1821,Extension/Flexion Rehabilitation Devices,Replacement soft interface material/cuffs for bi-directional static progressive stretch device
E1822,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable ankle extension only device, includes soft interface material"
E1823,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable ankle flexion only device, includes soft interface material"
E1825,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable finger extension and flexion device, includes soft interface material"
E1826,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable finger extension only device, includes soft interface material"
E1827,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable finger flexion only device, includes soft interface material"
E1828,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable toe extension only device, includes soft interface material"
E1829,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable toe flexion only device, includes soft interface material"
E1830,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable toe extension and flexion device, includes soft interface material"
E1831,Extension/Flexion Rehabilitation Devices,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories"
E1840,Extension/Flexion Rehabilitation Devices,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material"
E1841,Extension/Flexion Rehabilitation Devices,"Static progressive stretch shoulder device, with or without range of motion adjustment, includes all components and accessories"
E1902,Communication Boards,"Communication board, non-electronic augmentative or alternative communication device"
E2000,Miscellaneous Pumps and Monitors,"Gastric suction pump, home model, portable or stationary, electric"
E2001,Miscellaneous Pumps and Monitors,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system"
E2100,Miscellaneous Pumps and Monitors,Blood glucose monitor with integrated voice synthesizer
E2101,Miscellaneous Pumps and Monitors,Blood glucose monitor with integrated lancing/blood sample
E2102,Miscellaneous Pumps and Monitors,"Adjunctive, non-implanted continuous glucose monitor or receiver"
E2103,Miscellaneous Pumps and Monitors,"Non-adjunctive, non-implanted continuous glucose monitor or receiver"
E2104,Miscellaneous Pumps and Monitors,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge
E2120,Miscellaneous Pumps and Monitors,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid
E1905,Virtual Reality Cognitive Behavioral Therapy Device (CBT),"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software"
E2201,Manual Wheelchair Accessories,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches"
E2202,Manual Wheelchair Accessories,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches"
E2203,Manual Wheelchair Accessories,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches"
E2204,Manual Wheelchair Accessories,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches"
E2205,Manual Wheelchair Accessories,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each"
E2206,Manual Wheelchair Accessories,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each"
E2207,Manual Wheelchair Accessories,"Wheelchair accessory, crutch and cane holder, each"
E2208,Manual Wheelchair Accessories,"Wheelchair accessory, cylinder tank carrier, each"
E2209,Manual Wheelchair Accessories,"Accessory, arm trough, with or without hand support, each"
E2210,Manual Wheelchair Accessories,"Wheelchair accessory, bearings, any type, replacement only, each"
E2211,Manual Wheelchair Accessories,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each"
E2212,Manual Wheelchair Accessories,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each"
E2213,Manual Wheelchair Accessories,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each"
E2214,Manual Wheelchair Accessories,"Manual wheelchair accessory, pneumatic caster tire, any size, each"
E2215,Manual Wheelchair Accessories,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each"
E2216,Manual Wheelchair Accessories,"Manual wheelchair accessory, foam filled propulsion tire, any size, each"
E2217,Manual Wheelchair Accessories,"Manual wheelchair accessory, foam filled caster tire, any size, each"
E2218,Manual Wheelchair Accessories,"Manual wheelchair accessory, foam propulsion tire, any size, each"
E2219,Manual Wheelchair Accessories,"Manual wheelchair accessory, foam caster tire, any size, each"
E2220,Manual Wheelchair Accessories,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each"
E2221,Manual Wheelchair Accessories,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each"
E2222,Manual Wheelchair Accessories,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each"
E2224,Manual Wheelchair Accessories,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each"
E2225,Manual Wheelchair Accessories,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each"
E2226,Manual Wheelchair Accessories,"Manual wheelchair accessory, caster fork, any size, replacement only, each"
E2227,Manual Wheelchair Accessories,"Manual wheelchair accessory, gear reduction drive wheel, each"
E2228,Manual Wheelchair Accessories,"Manual wheelchair accessory, wheel braking system and lock, complete, each"
E2230,Manual Wheelchair Accessories,"Manual wheelchair accessory, manual standing system"
E2231,Manual Wheelchair Accessories,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware"
E2291,Manual Wheelchair Accessories,"Back, planar, for pediatric size wheelchair including fixed attaching hardware"
E2292,Manual Wheelchair Accessories,"Seat, planar, for pediatric size wheelchair including fixed attaching hardware"
E2293,Manual Wheelchair Accessories,"Back, contoured, for pediatric size wheelchair including fixed attaching hardware"
E2294,Manual Wheelchair Accessories,"Seat, contoured, for pediatric size wheelchair including fixed attaching hardware"
E2295,Manual Wheelchair Accessories,"Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features"
E2298,Power Wheelchair Accessories,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type"
E2301,Power Wheelchair Accessories,"Wheelchair accessory, power standing system, any type"
E2310,Power Wheelchair Accessories,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware"
E2311,Power Wheelchair Accessories,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware"
E2312,Power Wheelchair Accessories,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware"
E2313,Power Wheelchair Accessories,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each"
E2321,Power Wheelchair Accessories,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware"
E2322,Power Wheelchair Accessories,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware"
E2323,Power Wheelchair Accessories,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated"
E2324,Power Wheelchair Accessories,"Power wheelchair accessory, chin cup for chin control interface"
E2325,Power Wheelchair Accessories,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware"
E2326,Power Wheelchair Accessories,"Power wheelchair accessory, breath tube kit for sip and puff interface"
E2327,Power Wheelchair Accessories,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware"
E2328,Power Wheelchair Accessories,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware"
E2329,Power Wheelchair Accessories,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware"
E2330,Power Wheelchair Accessories,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware"
E2331,Power Wheelchair Accessories,"Power wheelchair accessory, attendant control, proportional, including all related electronics and fixed mounting hardware"
E2340,Power Wheelchair Accessories,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches"
E2341,Power Wheelchair Accessories,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches"
E2342,Power Wheelchair Accessories,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches"
E2343,Power Wheelchair Accessories,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches"
E2351,Power Wheelchair Accessories,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface"
E2358,Power Wheelchair Accessories,"Power wheelchair accessory, group 34 non-sealed lead acid battery, each"
E2359,Power Wheelchair Accessories,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)"
E2360,Power Wheelchair Accessories,"Power wheelchair accessory, 22 NF non-sealed lead acid battery, each"
E2361,Power Wheelchair Accessories,"Power wheelchair accessory, 22 NF sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat)"
E2362,Power Wheelchair Accessories,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each"
E2363,Power Wheelchair Accessories,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)"
E2364,Power Wheelchair Accessories,"Power wheelchair accessory, U-1 non-sealed lead acid battery, each"
E2365,Power Wheelchair Accessories,"Power wheelchair accessory, U-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)"
E2366,Power Wheelchair Accessories,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each"
E2367,Power Wheelchair Accessories,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each"
E2368,Power Wheelchair Accessories,"Power wheelchair component, drive wheel motor, replacement only"
E2369,Power Wheelchair Accessories,"Power wheelchair component, drive wheel gear box, replacement only"
E2370,Power Wheelchair Accessories,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only"
E2371,Power Wheelchair Accessories,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each"
E2372,Power Wheelchair Accessories,"Power wheelchair accessory, group 27 non-sealed lead acid battery, each"
E2373,Power Wheelchair Accessories,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware"
E2374,Power Wheelchair Accessories,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only"
E2375,Power Wheelchair Accessories,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only"
E2376,Power Wheelchair Accessories,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only"
E2377,Power Wheelchair Accessories,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue"
E2378,Power Wheelchair Accessories,"Power wheelchair component, actuator, replacement only"
E2381,Power Wheelchair Accessories,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each"
E2382,Power Wheelchair Accessories,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each"
E2383,Power Wheelchair Accessories,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each"
E2384,Power Wheelchair Accessories,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each"
E2385,Power Wheelchair Accessories,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each"
E2386,Power Wheelchair Accessories,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each"
E2387,Power Wheelchair Accessories,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each"
E2388,Power Wheelchair Accessories,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each"
E2389,Power Wheelchair Accessories,"Power wheelchair accessory, foam caster tire, any size, replacement only, each"
E2390,Power Wheelchair Accessories,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each"
E2391,Power Wheelchair Accessories,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each"
E2392,Power Wheelchair Accessories,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each"
E2394,Power Wheelchair Accessories,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each"
E2395,Power Wheelchair Accessories,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each"
E2396,Power Wheelchair Accessories,"Power wheelchair accessory, caster fork, any size, replacement only, each"
E2397,Power Wheelchair Accessories,"Power wheelchair accessory, lithium-based battery, each"
E2398,Power Wheelchair Accessories,"Wheelchair accessory, dynamic positioning hardware for back"
E2402,Wound Therapy Pumps,"Negative pressure wound therapy electrical pump, stationary or portable"
E2500,"Speech Generating Devices, Software, and Accessories","Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time"
E2502,"Speech Generating Devices, Software, and Accessories","Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time"
E2504,"Speech Generating Devices, Software, and Accessories","Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time"
E2506,"Speech Generating Devices, Software, and Accessories","Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time"
E2508,"Speech Generating Devices, Software, and Accessories","Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device"
E2510,"Speech Generating Devices, Software, and Accessories","Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access"
E2511,"Speech Generating Devices, Software, and Accessories","Speech generating software program, for personal computer or personal digital assistant"
E2512,"Speech Generating Devices, Software, and Accessories","Accessory for speech generating device, mounting system"
E2513,"Speech Generating Devices, Software, and Accessories","Accessory for speech generating device, electromyographic sensor"
E2599,"Speech Generating Devices, Software, and Accessories","Accessory for speech generating device, not otherwise classified"
E2601,Wheelchair Seat and Back Cushions,"General use wheelchair seat cushion, width less than 22 inches, any depth"
E2602,Wheelchair Seat and Back Cushions,"General use wheelchair seat cushion, width 22 inches or greater, any depth"
E2603,Wheelchair Seat and Back Cushions,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth"
E2604,Wheelchair Seat and Back Cushions,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth"
E2605,Wheelchair Seat and Back Cushions,"Positioning wheelchair seat cushion, width less than 22 inches, any depth"
E2606,Wheelchair Seat and Back Cushions,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth"
E2607,Wheelchair Seat and Back Cushions,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth"
E2608,Wheelchair Seat and Back Cushions,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth"
E2609,Wheelchair Seat and Back Cushions,"Custom fabricated wheelchair seat cushion, any size"
E2610,Wheelchair Seat and Back Cushions,"Wheelchair seat cushion, powered"
E2611,Wheelchair Seat and Back Cushions,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware"
E2612,Wheelchair Seat and Back Cushions,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware"
E2613,Wheelchair Seat and Back Cushions,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware"
E2614,Wheelchair Seat and Back Cushions,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware"
E2615,Wheelchair Seat and Back Cushions,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware"
E2616,Wheelchair Seat and Back Cushions,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware"
E2617,Wheelchair Seat and Back Cushions,"Custom fabricated wheelchair back cushion, any size, including any type mounting hardware"
E2619,Wheelchair Seat and Back Cushions,"Replacement cover for wheelchair seat cushion or back cushion, each"
E2620,Wheelchair Seat and Back Cushions,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware"
E2621,Wheelchair Seat and Back Cushions,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware"
E2622,Wheelchair Seat and Back Cushions,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth"
E2623,Wheelchair Seat and Back Cushions,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth"
E2624,Wheelchair Seat and Back Cushions,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth"
E2625,Wheelchair Seat and Back Cushions,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth"
E2626,Wheelchair Mobile Arm Supports,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable"
E2627,Wheelchair Mobile Arm Supports,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type"
E2628,Wheelchair Mobile Arm Supports,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining"
E2629,Wheelchair Mobile Arm Supports,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)"
E2630,Wheelchair Mobile Arm Supports,"Wheelchair accessory, shoulder elbow, mobile arm support, mono suspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support"
E2631,Wheelchair Mobile Arm Supports,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm"
E2632,Wheelchair Mobile Arm Supports,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control"
E2633,Wheelchair Mobile Arm Supports,"Wheelchair accessory, addition to mobile arm support, supinator"
E3000,Speech Volume Modulation System,"Speech volume modulation system, any type, including all components and accessories"
E3200,Gait Modulation System,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only"
E8000,Pediatric Gait Trainers,"Gait trainer, pediatric size, posterior support, includes all accessories and components"
E8001,Pediatric Gait Trainers,"Gait trainer, pediatric size, upright support, includes all accessories and components"
E8002,Pediatric Gait Trainers,"Gait trainer, pediatric size, anterior support, includes all accessories and components"
G0008,Vaccine Administration,Administration of influenza virus vaccine
G0009,Vaccine Administration,Administration of pneumococcal vaccine
G0010,Vaccine Administration,Administration of hepatitis B vaccine
G0011,"Psychotherapy, Pre-Exposure Prophylaxis Counseling and Community Health Integration Services","Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp )to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence, 15-30 minutes"
G0012,"Psychotherapy, Pre-Exposure Prophylaxis Counseling and Community Health Integration Services","Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle"
G0013,"Psychotherapy, Pre-Exposure Prophylaxis Counseling and Community Health Integration Services","Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv), includes: hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence"
G0017,"Psychotherapy, Pre-Exposure Prophylaxis Counseling and Community Health Integration Services","Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); first 60 minutes"
G0018,"Psychotherapy, Pre-Exposure Prophylaxis Counseling and Community Health Integration Services","Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); each additional 30 minutes (list separately in addition to code for primary service)"
G0019,"Psychotherapy, Pre-Exposure Prophylaxis Counseling and Community Health Integration Services","Community health integration services performed by certified or trained auxiliary personnel, including a community health worker, under the direction of a physician or other practitioner; 60 minutes per calendar month, in the following activities to address social determinants of health (sdoh) need(s) that are significantly limiting the ability to diagnose or treat problem(s) addressed in an initiating visit: person-centered assessment, performed to better understand the individualized context of the intersection between the sdoh need(s) and the problem(s) addressed in the initiating visit. ++ conducting a person-centered assessment to understand patient's life story, strengths, needs, goals, preferences and desired outcomes, including understanding cultural and linguistic factors and including unmet sdoh needs (that are not separately billed). ++ facilitating patient-driven goal-setting and establishing an action plan. ++ providing tailored support to the patient as needed to accomplish the practitioner's tr"
G0022,"Psychotherapy, Pre-Exposure Prophylaxis Counseling and Community Health Integration Services","Community health integration services, each additional 30 minutes per calendar month (list separately in addition to g0019)"
G0023,"Psychotherapy, Pre-Exposure Prophylaxis Counseling and Community Health Integration Services","Principal illness navigation services by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a patient navigator; 60 minutes per calendar month, in the following activities:  person-centered assessment, performed to better understand the individual context of the serious, high-risk condition. ++ conducting a person-centered assessment to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes, including understanding cultural and linguistic factors and including unmet sdoh needs (that are not separately billed). ++ facilitating patient-driven goal setting and establishing an action plan. ++ providing tailored support as needed to accomplish the practitioner's treatment plan.  identifying or referring patient (and caregiver or family, if applicable) to appropriate supportive services.  practitioner, home, and community-based care coordination. ++ coordinating receipt of needed services from healthcare practitioners"
G0024,"Psychotherapy, Pre-Exposure Prophylaxis Counseling and Community Health Integration Services","Principal illness navigation services, additional 30 minutes per calendar month (list separately in addition to g0023)"
G0027,Analysis of Semen Specimen,Semen analysis; presence and/or motility of sperm excluding huhner
G0029,MIPS Measures,Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period
G0030,MIPS Measures,"Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user"
G0031,MIPS Measures,Palliative care services given to patient any time during the measurement period
G0032,MIPS Measures,"Two or more antipsychotic prescriptions ordered for patients who had a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder on or between january 1 of the year prior to the measurement period and the index prescription start date (ipsd) for antipsychotics"
G0033,MIPS Measures,"Two or more benzodiazepine prescriptions ordered for patients who had a diagnosis of seizure disorders, rapid eye movement sleep behavior disorder, benzodiazepine withdrawal, ethanol withdrawal, or severe generalized anxiety disorder on or between january 1 of the year prior to the measurement period and the ipsd for benzodiazepines"
G0034,MIPS Measures,Patients receiving palliative care during the measurement period
G0035,MIPS Measures,Patient has any emergency department encounter during the performance period with place of service indicator 23
G0036,MIPS Measures,Patient or care partner decline assessment
G0037,MIPS Measures,"On date of encounter, patient is not able to participate in assessment or screening, including non-verbal patients, delirious, severely aphasic, severely developmentally delayed, severe visual or hearing impairment and for those patients, no knowledgeable informant available"
G0038,MIPS Measures,Clinician determines patient does not require referral
G0039,MIPS Measures,"Patient not referred, reason not otherwise specified"
G0040,MIPS Measures,Patient already receiving physical/occupational/speech/recreational therapy during the measurement period
G0041,MIPS Measures,Patient and/or care partner decline referral
G0042,MIPS Measures,"Referral to physical, occupational, speech, or recreational therapy"
G0043,MIPS Measures,Patients with mechanical prosthetic heart valve
G0044,MIPS Measures,Patients with moderate or severe mitral stenosis
G0045,MIPS Measures,Clinical follow-up and mrs score assessed at 90 days following endovascular stroke intervention
G0046,MIPS Measures,Clinical follow-up and mrs score not assessed at 90 days following endovascular stroke intervention
G0047,MIPS Measures,Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed
G0048,MIPS Measures,Patients who receive palliative care services any time during the intake period through the end of the measurement year
G0049,MIPS Measures,With maintenance hemodialysis (in-center and home hd) for the complete reporting month
G0050,MIPS Measures,Patients with a catheter that have limited life expectancy
G0051,MIPS Measures,Patients under hospice care in the current reporting month
G0052,MIPS Measures,Patients on peritoneal dialysis for any portion of the reporting month
G0053,MIPS Measures,Advancing rheumatology patient care mips value pathways
G0054,MIPS Measures,Coordinating stroke care to promote prevention and cultivate positive outcomes mips value pathways
G0055,MIPS Measures,Advancing care for heart disease mips value pathways
G0057,MIPS Measures,Proposed adopting best practices and promoting patient safety within emergency medicine mips value pathways
G0058,MIPS Measures,Improving care for lower extremity joint repair mips value pathways
G0059,MIPS Measures,Patient safety and support of positive experiences with anesthesia mips value pathways
G0060,MIPS Measures,Allergy/immunology mips specialty set
G0061,MIPS Measures,Anesthesiology mips specialty set
G0062,MIPS Measures,Audiology mips specialty set
G0063,MIPS Measures,Cardiology mips specialty set
G0064,MIPS Measures,Certified nurse midwife mips specialty set
G0065,MIPS Measures,Chiropractic medicine mips specialty set
G0066,MIPS Measures,Clinical social work mips specialty set
G0067,MIPS Measures,Dentistry mips specialty set
G0068,Professional Services for Drug Infusion,"Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes"
G0069,Professional Services for Drug Infusion,"Professional services for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes"
G0070,Professional Services for Drug Infusion,"Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological infusion for each infusion drug administration calendar day in the individual's home, each 15 minutes"
G0071,Telemed Services,"Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only"
G0076,Home Care Management Services,"Brief (20 minutes) care management home visit for a new patient. 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)"
G0077,Home Care Management Services,"Limited (30 minutes) care management home visit for a new patient. 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)"
G0078,Home Care Management Services,"Moderate (45 minutes) care management home visit for a new patient. 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)"
G0079,Home Care Management Services,"Comprehensive (60 minutes) care management home visit for a new patient. 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)"
G0080,Home Care Management Services,"Extensive (75 minutes) care management home visit for a new patient. 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)"
G0081,Home Care Management Services,"Brief (20 minutes) care management home visit for an existing patient. 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)"
G0082,Home Care Management Services,"Limited (30 minutes) care management home visit for an existing patient. 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)"
G0083,Home Care Management Services,"Moderate (45 minutes) care management home visit for an existing patient. 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)"
G0084,Home Care Management Services,"Comprehensive (60 minutes) care management home visit for an existing patient. 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)"
G0085,Home Care Management Services,"Extensive (75 minutes) care management home visit for an existing patient. 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)"
G0086,Home Care Management Services,"Limited (30 minutes) care management home care plan oversight. 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)"
G0087,Home Care Management Services,"Comprehensive (60 minutes) care management home care plan oversight. 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)"
G0088,Initial Visit for Professional Services,"Professional services, initial visit, for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes"
G0089,Initial Visit for Professional Services,"Professional services, initial visit, for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes"
G0090,Initial Visit for Professional Services,"Professional services, initial visit, for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes"
G0101,Screening Examinations and Disease Management Training,Cervical or vaginal cancer screening; pelvic and clinical breast examination
G0102,Screening Examinations and Disease Management Training,Prostate cancer screening; digital rectal examination
G0103,Screening Examinations and Disease Management Training,Prostate cancer screening; prostate specific antigen test (PSA)
G0104,Screening Examinations and Disease Management Training,Colorectal cancer screening; flexible sigmoidoscopy
G0105,Screening Examinations and Disease Management Training,Colorectal cancer screening; colonoscopy on individual at high risk
G0108,Screening Examinations and Disease Management Training,"Diabetes outpatient self-management training services, individual, per 30 minutes"
G0109,Screening Examinations and Disease Management Training,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes"
G0117,Screening Examinations and Disease Management Training,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist
G0118,Screening Examinations and Disease Management Training,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist
G0121,Screening Examinations and Disease Management Training,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
G0123,Screening Examinations and Disease Management Training,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision"
G0124,Screening Examinations and Disease Management Training,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician"
G0127,Miscellaneous Diagnostic and Therapeutic Services,"Trimming of dystrophic nails, any number"
G0128,Miscellaneous Diagnostic and Therapeutic Services,"Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes"
G0129,Miscellaneous Diagnostic and Therapeutic Services,"Occupational therapy services requiring the skills of a qualified occupational therapist, furnished as a component of a partial hospitalization or intensive outpatient treatment program, per session (45 minutes or more)"
G0130,Miscellaneous Diagnostic and Therapeutic Services,"Single energy X-ray absorptiometry (SEXA) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel)"
G0136,Miscellaneous Diagnostic and Therapeutic Services,"Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes"
G0137,Miscellaneous Diagnostic and Therapeutic Services,"Intensive outpatient services; weekly bundle, minimum of 9 services over a 7 contiguous day period, which can include individual and group therapy with physicians or psychologists (or other mental health professionals to the extent authorized under state law); occupational therapy requiring the skills of a qualified occupational therapist; services of social workers, trained psychiatric nurses, and other staff trained to work with psychiatric patients; individualized activity therapies that are not primarily recreational or diversionary; family counseling (the primary purpose of which is treatment of the individual's condition); patient training and education (to the extent that training and educational activities are closely and clearly related to individual's care and treatment); diagnostic services; and such other items and services (excluding meals and transportation) that are reasonable and necessary for the diagnosis or active treatment of the individual's condition, reasonably expected to improve or ma"
G0138,Miscellaneous Diagnostic and Therapeutic Services,"Intravenous infusion of cipaglucosidase alfa-atga, including provider/supplier acquisition and clinical supervision of oral administration of miglustat in preparation of receipt of cipaglucosidase alfa-atga"
G0140,Miscellaneous Diagnostic and Therapeutic Services,"Principal illness navigation - peer support by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a certified peer specialist; 60 minutes per calendar month, in the following activities:  person-centered interview, performed to better understand the individual context of the serious, high-risk condition. ++ conducting a person-centered interview to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes, including understanding cultural and linguistic factors, and including unmet sdoh needs (that are not billed separately). ++ facilitating patient-driven goal setting and establishing an action plan. ++ providing tailored support as needed to accomplish the person-centered goals in the practitioner's treatment plan. identifying or referring patient (and caregiver or family, if applicable) to appropriate supportive services. practitioner, home, and community-based care communication. ++ assist the patient in commun"
G0141,Miscellaneous Diagnostic and Therapeutic Services,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician"
G0143,Miscellaneous Diagnostic and Therapeutic Services,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under physician supervision"
G0144,Miscellaneous Diagnostic and Therapeutic Services,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision"
G0145,Miscellaneous Diagnostic and Therapeutic Services,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision"
G0146,Miscellaneous Diagnostic and Therapeutic Services,"Principal illness navigation - peer support, additional 30 minutes per calendar month (list separately in addition to g0140)"
G0147,Miscellaneous Diagnostic and Therapeutic Services,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision"
G0148,Miscellaneous Diagnostic and Therapeutic Services,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening"
G0151,Miscellaneous Diagnostic and Therapeutic Services,"Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes"
G0152,Miscellaneous Diagnostic and Therapeutic Services,"Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes"
G0153,Miscellaneous Diagnostic and Therapeutic Services,"Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes"
G0155,Miscellaneous Diagnostic and Therapeutic Services,"Services of clinical social worker in home health or hospice settings, each 15 minutes"
G0156,Miscellaneous Diagnostic and Therapeutic Services,"Services of home health/hospice aide in home health or hospice settings, each 15 minutes"
G0157,Miscellaneous Diagnostic and Therapeutic Services,"Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes"
G0158,Miscellaneous Diagnostic and Therapeutic Services,"Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes"
G0159,Miscellaneous Diagnostic and Therapeutic Services,"Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes"
G0160,Miscellaneous Diagnostic and Therapeutic Services,"Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes"
G0161,Miscellaneous Diagnostic and Therapeutic Services,"Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, each 15 minutes"
G0162,Miscellaneous Diagnostic and Therapeutic Services,Skilled services by a registered nurse (RN) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an RN to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting)
G0166,Miscellaneous Diagnostic and Therapeutic Services,"External counterpulsation, per treatment session"
G0168,Miscellaneous Diagnostic and Therapeutic Services,Wound closure utilizing tissue adhesive(s) only
G0175,Miscellaneous Diagnostic and Therapeutic Services,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present
G0176,Miscellaneous Diagnostic and Therapeutic Services,"Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)"
G0177,Miscellaneous Diagnostic and Therapeutic Services,Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)
G0179,Miscellaneous Diagnostic and Therapeutic Services,"Physician or allowed practitioner re-certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care"
G0180,Miscellaneous Diagnostic and Therapeutic Services,"Physician or allowed practitioner certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care"
G0181,Miscellaneous Diagnostic and Therapeutic Services,Physician or allowed practitioner supervision of a patient receiving Medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans
G0182,Miscellaneous Diagnostic and Therapeutic Services,"Physician supervision of a patient under a Medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more"
G0186,Miscellaneous Diagnostic and Therapeutic Services,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)"
G0219,Miscellaneous Diagnostic and Therapeutic Services,PET imaging whole body; melanoma for non-covered indications
G0235,Miscellaneous Diagnostic and Therapeutic Services,"PET imaging, any site, not otherwise specified"
G0237,Miscellaneous Diagnostic and Therapeutic Services,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)"
G0238,Miscellaneous Diagnostic and Therapeutic Services,"Therapeutic procedures to improve respiratory function, other than described by G0237, one on one, face to face, per 15 minutes (includes monitoring)"
G0239,Miscellaneous Diagnostic and Therapeutic Services,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring)"
G0245,Miscellaneous Diagnostic and Therapeutic Services,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) which must include: (1) the diagnosis of LOPS, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education"
G0246,Miscellaneous Diagnostic and Therapeutic Services,"Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education"
G0247,Miscellaneous Diagnostic and Therapeutic Services,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails"
G0248,Miscellaneous Diagnostic and Therapeutic Services,"Demonstration, prior to initiation of home INR monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the INR monitor, obtaining at least one blood sample, provision of instructions for reporting home INR test results, and documentation of patient's ability to perform testing and report results"
G0249,Miscellaneous Diagnostic and Therapeutic Services,"Provision of test materials and equipment for home INR monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests"
G0250,Miscellaneous Diagnostic and Therapeutic Services,"Physician review, interpretation, and patient management of home INR testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests"
G0252,Miscellaneous Diagnostic and Therapeutic Services,"PET 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)"
G0255,Miscellaneous Diagnostic and Therapeutic Services,"Current perception threshold/sensory nerve conduction test, (SNCT) per limb, any nerve"
G0257,Miscellaneous Diagnostic and Therapeutic Services,Unscheduled or emergency dialysis treatment for an ESRD patient in a hospital outpatient department that is not certified as an ESRD facility
G0259,Miscellaneous Diagnostic and Therapeutic Services,Injection procedure for sacroiliac joint; arthrograpy
G0260,Miscellaneous Diagnostic and Therapeutic Services,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography"
G0268,Miscellaneous Diagnostic and Therapeutic Services,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing
G0269,Miscellaneous Diagnostic and Therapeutic Services,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)"
G0270,Miscellaneous Diagnostic and Therapeutic Services,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes"
G0271,Miscellaneous Diagnostic and Therapeutic Services,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes"
G0276,Miscellaneous Diagnostic and Therapeutic Services,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (PILD) or placebo-control, performed in an approved coverage with evidence development (CED) clinical trial"
G0277,Miscellaneous Diagnostic and Therapeutic Services,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"
G0278,Miscellaneous Diagnostic and Therapeutic Services,"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)"
G0279,Miscellaneous Diagnostic and Therapeutic Services,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)"
G0281,Miscellaneous Diagnostic and Therapeutic Services,"Electrical stimulation, (unattended), to one or more areas, for chronic Stage III and Stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous statsis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care"
G0282,Miscellaneous Diagnostic and Therapeutic Services,"Electrical stimulation, (unattended), to one or more areas, for wound care other than described in G0281"
G0283,Miscellaneous Diagnostic and Therapeutic Services,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care"
G0288,Miscellaneous Diagnostic and Therapeutic Services,"Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery"
G0289,Miscellaneous Diagnostic and Therapeutic Services,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee"
G0293,Miscellaneous Diagnostic and Therapeutic Services,"Noncovered surgical procedure(s) using conscious sedation, regional, general or spinal anesthesia in a Medicare qualifying clinical trial, per day"
G0294,Miscellaneous Diagnostic and Therapeutic Services,"Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a Medicare qualifying clinical trial, per day"
G0295,Miscellaneous Diagnostic and Therapeutic Services,"Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses"
G0296,Miscellaneous Diagnostic and Therapeutic Services,Counseling visit to discuss need for lung cancer screening (ldct) using low dose ct scan (service is for eligibility determination and shared decision making)
G0299,Miscellaneous Diagnostic and Therapeutic Services,"Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes"
G0300,Miscellaneous Diagnostic and Therapeutic Services,"Direct skilled nursing services of a license practical nurse (LPN) in the home health or hospice setting, each 15 minutes"
G0302,Miscellaneous Diagnostic and Therapeutic Services,"Pre-operative pulmonary surgery services for preparation for LVRS, complete course of services, to include a minimum of 16 days of services"
G0303,Miscellaneous Diagnostic and Therapeutic Services,"Pre-operative pulmonary surgery services for preparation for LVRS, 10 to 15 days of services"
G0304,Miscellaneous Diagnostic and Therapeutic Services,"Pre-operative pulmonary surgery services for preparation for LVRS, 1 to 9 days of services"
G0305,Miscellaneous Diagnostic and Therapeutic Services,"Post-discharge pulmonary surgery services after LVRS, minimum of 6 days of services"
G0306,Miscellaneous Diagnostic and Therapeutic Services,"Complete CBC, automated (HgB, HCT, RBC, WBC, without platelet count) and automated WBC differential count"
G0307,Miscellaneous Diagnostic and Therapeutic Services,"Complete (CBC), automated (HgB, HCT, RBC, WBC; without platelet count)"
G0310,Miscellaneous Diagnostic and Therapeutic Services,"Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes)"
G0311,Miscellaneous Diagnostic and Therapeutic Services,"Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service,  16-30 mins time (this code is used for medicaid billing purposes)"
G0312,Miscellaneous Diagnostic and Therapeutic Services,"Immunization counseling by a physician or other qualify  ed health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes)"
G0313,Miscellaneous Diagnostic and Therapeutic Services,"Immunization counseling by a physician or other qualified health care professional when  the vaccine(s) is not administered on the same date of service for ages under 21, 16-30 mins time (this code is used for medicaid billing purposes)"
G0314,Miscellaneous Diagnostic and Therapeutic Services,"Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 16-30 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)"
G0315,Miscellaneous Diagnostic and Therapeutic Services,"Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)"
G0316,Miscellaneous Diagnostic and Therapeutic Services,"Prolonged hospital inpatient or observation care 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 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes)"
G0317,Miscellaneous Diagnostic and Therapeutic Services,"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 for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes)"
G0318,Miscellaneous Diagnostic and Therapeutic Services,"Prolonged home or residence 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 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes)"
G0320,Miscellaneous Diagnostic and Therapeutic Services,Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system
G0321,Miscellaneous Diagnostic and Therapeutic Services,Home health services furnished using synchronous telemedicine rendered via telephone or other real-time interactive audio-only telecommunications system
G0322,Miscellaneous Diagnostic and Therapeutic Services,"The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e., remote patient monitoring)"
G0323,Miscellaneous Diagnostic and Therapeutic Services,"Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month. (These services include 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, coordination with and/or referral to physicians and practitioners who are authorized by medicare to prescribe medications and furnish e/m services, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team)"
G0327,Miscellaneous Diagnostic and Therapeutic Services,Colorectal cancer screening; blood-based biomarker
G0328,Miscellaneous Diagnostic and Therapeutic Services,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous"
G0329,Miscellaneous Diagnostic and Therapeutic Services,"Electromagnetic therapy, to one or more areas for chronic Stage III and Stage IV pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care"
G0330,Miscellaneous Diagnostic and Therapeutic Services,"Facility 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"
G0333,Miscellaneous Diagnostic and Therapeutic Services,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary
G0337,Miscellaneous Diagnostic and Therapeutic Services,"Hospice evaluation and counseling services, pre-election"
G0339,Miscellaneous Diagnostic and Therapeutic Services,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment"
G0340,Miscellaneous Diagnostic and Therapeutic Services,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatment"
G0341,Miscellaneous Diagnostic and Therapeutic Services,"Percutaneous islet cell transplant, includes portal vein catheterization and infusion"
G0342,Miscellaneous Diagnostic and Therapeutic Services,"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion"
G0343,Miscellaneous Diagnostic and Therapeutic Services,"Laparotomy for islet cell transplant, includes portal vein catheterization and infusion"
G0372,Miscellaneous Diagnostic and Therapeutic Services,Physician service required to establish and document the need for a power mobility device
G0378,Hospital Observation and Emergency Services,"Hospital observation service, per hour"
G0379,Hospital Observation and Emergency Services,Direct admission of patient for hospital observation care
G0380,Hospital Observation and Emergency Services,"Level 1 hospital emergency department visit provided in a type B emergency department; (the ED must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 CFR 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)"
G0381,Hospital Observation and Emergency Services,"Level 2 hospital emergency department visit provided in a type B emergency department; (the ED must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 CFR 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)"
G0382,Hospital Observation and Emergency Services,"Level 3 hospital emergency department visit provided in a type B emergency department; (the ED must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 CFR 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)"
G0383,Hospital Observation and Emergency Services,"Level 4 hospital emergency department visit provided in a type B emergency department; (the ED must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 CFR 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)"
G0384,Hospital Observation and Emergency Services,"Level 5 hospital emergency department visit provided in a type B emergency department; (the ED must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 CFR 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)"
G0390,Other Emergency Services,Trauma response team associated with hospital critical care service
G0396,Alcohol and Substance Abuse Assessments,"Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes"
G0397,Alcohol and Substance Abuse Assessments,"Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes"
G0398,"Sleep Studies, In Home","Home sleep study test (HST) with type II portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation"
G0399,"Sleep Studies, In Home","Home sleep test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation"
G0400,"Sleep Studies, In Home","Home sleep test (HST) with type IV portable monitor, unattended; minimum of 3 channels"
G0402,Initial Services for Medicare Enrollment,"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment"
G0403,Initial Services for Medicare Enrollment,"Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report"
G0404,Initial Services for Medicare Enrollment,"Electrocardiogram, routine ECG with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination"
G0405,Initial Services for Medicare Enrollment,"Electrocardiogram, routine ECG with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination"
G0406,Followup Telehealth Consultations,"Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth"
G0407,Followup Telehealth Consultations,"Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth"
G0408,Followup Telehealth Consultations,"Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth"
G0409,Psychological Services,"Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a CORF-qualified social worker or psychologist in a CORF)"
G0410,Psychological Services,"Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes"
G0411,Psychological Services,"Interactive group psychotherapy, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes"
G0412,Fracture Treatment,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed"
G0413,Fracture Treatment,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)"
G0414,Fracture Treatment,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)"
G0415,Fracture Treatment,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)"
G0416,"Gross and Microscopic Examinations, Prostate Biopsy","Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method"
G0420,Face-to-Face Educational Services,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour"
G0421,Face-to-Face Educational Services,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour"
G0422,Cardiac and Pulmonary Rehabilitation Services,"Intensive cardiac rehabilitation; with or without continuous ECG monitoring with exercise, per session"
G0423,Cardiac and Pulmonary Rehabilitation Services,"Intensive cardiac rehabilitation; with or without continuous ECG monitoring; without exercise, per session"
G0425,Initial Telehealth Consultations,"Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth"
G0426,Initial Telehealth Consultations,"Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth"
G0427,Initial Telehealth Consultations,"Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth"
G0428,Filler Procedures,"Collagen meniscus implant procedure for filling meniscal defects (e.g., CMI, collagen scaffold, Menaflex)"
G0429,Filler Procedures,"Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)"
G0432,Laboratory Screening Tests,"Infectious agent antibody detection by enzyme immunoassay (EIA) technique, HIV-1 and/or HIV-2, screening"
G0433,Laboratory Screening Tests,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (ELISA) technique, HIV-1 and/or HIV-2, screening"
G0435,Laboratory Screening Tests,"Infectious agent antibody detection by rapid antibody test, HIV-1 and/or HIV-2, screening"
G0438,"Counseling, Screening, and Prevention Services","Annual wellness visit; includes a personalized prevention plan of service (PPPS), initial visit"
G0439,"Counseling, Screening, and Prevention Services","Annual wellness visit, includes a personalized prevention plan of service (PPPS), subsequent visit"
G0442,"Counseling, Screening, and Prevention Services","Annual alcohol misuse screening, 5 to 15 minutes"
G0443,"Counseling, Screening, and Prevention Services","Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes"
G0444,"Counseling, Screening, and Prevention Services","Annual depression screening, 5 to 15 minutes"
G0445,"Counseling, Screening, and Prevention Services","High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes"
G0446,"Counseling, Screening, and Prevention Services","Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes"
G0447,"Counseling, Screening, and Prevention Services","Face-to-face behavioral counseling for obesity, 15 minutes"
G0448,"Counseling, Screening, and Prevention Services","Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ventricular pacing"
G0451,"Counseling, Screening, and Prevention Services","Development testing, with interpretation and report, per standardized instrument form"
G0452,Miscellaneous Services,Molecular pathology procedure; physician interpretation and report
G0453,Miscellaneous Services,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)"
G0454,Miscellaneous Services,"Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist"
G0455,Miscellaneous Services,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen"
G0458,Miscellaneous Services,"Low dose rate (LDR) prostate brachytherapy services, composite rate"
G0459,Miscellaneous Services,"Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy"
G0460,Miscellaneous Services,"Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedures, administration and dressings, per treatment"
G0463,Miscellaneous Services,Hospital outpatient clinic visit for assessment and management of a patient
G0465,Miscellaneous Services,"Autologous platelet rich plasma (PRP) or other blood-derived product for diabetic chronic wounds/ulcers, using an FDA-cleared device for this indication, (includes as applicable administration, dressings, phlebotomy, centrifugation or mixing, and all other preparatory procedures, per treatment)"
G0466,Federally Qualified Health Center (FQHC) Visits,"Federally qualified health center (FQHC) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a FQHC visit"
G0467,Federally Qualified Health Center (FQHC) Visits,"Federally qualified health center (FQHC) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a FQHC visit"
G0468,Federally Qualified Health Center (FQHC) Visits,"Federally qualified health center (FQHC) visit, ippe or awv; a FQHC visit that includes an initial preventive physical examination (IPPE) or annual wellness visit (AWV) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an IPPE or AWV"
G0469,Federally Qualified Health Center (FQHC) Visits,"Federally qualified health center (FQHC) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit"
G0470,Federally Qualified Health Center (FQHC) Visits,"Federally qualified health center (FQHC) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit"
G0471,Other Services,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (SNF) or by a laboratory on behalf of a home health agency (HHA)
G0472,Other Services,"Hepatitis C antibody screening, for individual at high risk and other covered indication(s)"
G0473,Other Services,"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes"
G0475,Other Services,"Hiv antigen/antibody, combination assay, screening"
G0476,Other Services,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test"
G0480,Other Services,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed"
G0481,Other Services,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed"
G0482,Other Services,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed"
G0483,Other Services,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed"
G0490,Other Services,Face-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)
G0491,Other Services,Dialysis procedure at a medicare certified ESRD facility for acute kidney injury without ESRD
G0492,Other Services,Dialysis procedure with single evaluation by a physician or other qualified health care professional  for acute kidney injury without ESRD
G0493,Other Services,"Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting)"
G0494,Other Services,"Skilled services of a licensed practical nurse (LPN) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting)"
G0495,Other Services,"Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes"
G0496,Other Services,"Skilled services of a licensed practical nurse (LPN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes"
G0498,Other Services,"Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using  a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion"
G0499,Other Services,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result"
G0500,Other Services,"Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)"
G0501,Other Services,"Resource-intensive services for patients for whom the use of specialized mobility-assistive technology (such as adjustable height chairs or tables, patient lift, and adjustable padded leg supports) is medically necessary and used during the provision of an office/outpatient, evaluation and management  visit (list separately in addition to primary service)"
G0506,Other Services,Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)
G0508,Other Services,"Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth"
G0509,Other Services,"Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth"
G0511,Other Services,"Rural health clinic or federally qualified health center (RHC or FQHC) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an RHC or FQHC practitioner (physician, NP, PA, or CNM), per calendar month"
G0512,Other Services,"Rural health clinic or federally qualified health center (RHC or FQHC) only, psychiatric collaborative care model (psychiatric COCM), 60 minutes or more of clinical staff time for psychiatric cocm services directed by an RHC or FQHC practitioner (physician, NP, PA, or CNM) and including services furnished by a behavioral health care manager and consultation with a psychiatric consultant, per calendar month"
G0513,Other Services,"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service)"
G0514,Other Services,"Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code G0513 for additional 30 minutes of preventive service)"
G0516,Other Services,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)"
G0517,Other Services,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"
G0518,Other Services,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)"
G0519,Other Services,"Management of new patient-caregiver dyad with dementia, low complexity, for use in cmmi model"
G0520,Other Services,"Management of new patient-caregiver dyad with dementia, moderate complexity, for use in cmmi model"
G0521,Other Services,"Management of new patient-caregiver dyad with dementia, high complexity, for use in cmmi model"
G0522,Other Services,"Management of a new patient with dementia, low complexity, for use in cmmi model"
G0523,Other Services,"Management of a new patient with dementia, moderate to high complexity, for use in cmmi model"
G0524,Other Services,"Management of established patient-caregiver dyad with dementia, low complexity, for use in cmmi model"
G0525,Other Services,"Management of established patient-caregiver dyad with dementia, moderate complexity, for use in cmmi model"
G0526,Other Services,"Management of established patient-caregiver dyad with dementia, high complexity, for use in cmmi model"
G0527,Other Services,"Management of established patient with dementia, low complexity, for use in cmmi model"
G0528,Other Services,"Management of established patient with dementia, moderate to high complexity, for use in cmmi model"
G0529,Other Services,"In-home respite care, 4-hour unit, for use in cmmi model"
G0530,Other Services,"Adult day center, 8-hour unit, for use in cmmi model"
G0531,Other Services,"Facility-based respite, 24-hour unit, for use in cmmi model"
G0532,Other Services,"Take-home supply of nasal nalmefene hydrochloride; one carton of two, 2.7 mg per 0.1 ml nasal sprays (provision of the services by a medicare-enrolled opioid treatment program);( list separately in addition to each primary code)"
G0533,Other Services,"Medication assisted treatment, buprenorphine (injectable) administered on a weekly basis; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)"
G0534,Other Services,"Coordinated care and/or referral services, such as to adequate and accessible community resources to address unmet health-related social needs, including harm reduction interventions and recovery support services a patient needs and wishes to pursue, which significantly limit the ability to diagnose or treat an opioid use disorder; each additional 30 minutes of services (provision of the services by a medicare-enrolled opioid treatment program); (list separately in addition to each primary code)"
G0535,Other Services,"Patient navigational services, provided directly or by referral; including helping the patient to navigate health systems and identify care providers and supportive services, to build patient self-advocacy and communication skills with care providers, and to promote patient-driven action plans and goals; each additional 30 minutes of services (provision of the services by a medicare-enrolled opioid treatment program); (list separately in addition to each primary code)"
G0536,Other Services,"Peer recovery support services, provided directly or by referral; including leveraging knowledge of the condition or lived experience to provide support, mentorship, or inspiration to meet oud treatment and recovery goals; conducting a person-centered interview to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes; developing and proposing strategies to help meet person-centered treatment goals; assisting the patient in locating or navigating recovery support services; each additional 30 minutes of services (provision of the services by a medicare-enrolled opioid treatment program); (list separately in addition to each primary code)"
G0537,Other Services,"Administration of a standardized, evidence-based atherosclerotic cardiovascular disease (ascvd) risk assessment, 5-15 minutes, not more often than every 12 months"
G0538,Other Services,Atherosclerotic cardiovascular disease (ascvd) risk management services; clinical staff time; per calendar month
G0539,Other Services,"Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes"
G0540,Other Services,"Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes"
G0541,Other Services,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes"
G0542,Other Services,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes (list separately in addition to code for primary service) (use g0542 in conjunction with g0541)"
G0543,Other Services,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers"
G0544,Other Services,"Post discharge telephonic follow-up contacts performed in conjunction with a discharge from the emergency department for behavioral health or other crisis encounter, 4 calls per calendar month"
G0545,Other Services,"Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission risk assessment and mitigation, public health investigation, analysis, and testing, and complex antimicrobial therapy counseling and treatment (add-on code, list separately in addition to hospital inpatient or observation evaluation and management visit, initial, same day discharge, subsequent or discharge)"
G0546,Other Services,"Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty   whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner; 5-10 minutes of medical consultative discussion and review"
G0547,Other Services,"Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner; 11-20 minutes of medical consultative discussion and review"
G0548,Other Services,"Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner; 21-30 minutes of medical consultative discussion and review"
G0549,Other Services,"Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner; 31 or more minutes of medical consultative discussion and review"
G0550,Other Services,"Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a written report to the patient's treating/requesting practitioner, 5 minutes or more of medical consultative time"
G0551,Other Services,"Interprofessional telephone/internet/electronic health record referral service(s) provided by a treating/requesting practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, 30 minutes"
G0552,Other Services,"Supply of digital mental health treatment device and initial education and onboarding, per course of treatment that augments a behavioral therapy plan"
G0553,Other Services,"First 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing information related to the use of the dmht device, including patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month"
G0554,Other Services,"Each additional 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing data generated from the dmht device from patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month"
G0555,Other Services,"Provision of replacement patient electronics system (e.g., system pillow, handheld reader) for home pulmonary artery pressure monitoring"
G0556,Other Services,"Advanced primary care management services for a patient with one chronic condition [expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline], or fewer, provided by clinical staff and directed by a physician or other qualified health care professional who is responsible for all primary care and serves as the continuing focal point for all needed health care services, per calendar month, with the following elements, as appropriate:    consent; ++  inform the patient of the availability of the service; that only one practitioner can furnish and be paid for the service during a calendar month; of the right to stop the services at any time (effective at the end of the calendar month); and that cost sharing may apply. ++  document in patient's medical record that consent was obtained.    initiation during a qualifying visit for new patients or patients not seen within 3 years;    provide 24"
G0557,Other Services,"Advanced primary care management services for a patient with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, provided by clinical staff and directed by a physician or other qualified health care professional who is responsible for all primary care and serves as the continuing focal point for all needed health care services, per calendar month, with the following elements, as appropriate:    consent; ++  inform the patient of the availability of the service; that only one practitioner can furnish and be paid for the service during a calendar month; of the right to stop the services at any time (effective at the end of the calendar month); and that cost sharing may apply. ++  document in patient's medical record that consent was obtained.    initiation during a qualifying visit for new patients or patients not seen within 3 years;    pr"
G0558,Other Services,"Advanced primary care management services for a patient that is a qualified medicare beneficiary with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, provided by clinical staff and directed by a physician or other qualified health care professional who is responsible for all primary care and serves as the continuing focal point for all needed health care services, per calendar month, with the following elements, as appropriate:      consent; ++  inform the patient of the availability of the service; that only one practitioner can furnish and be paid for the service during a calendar month; of the right to stop the services at any time (effective at the end of the calendar month); and that cost sharing may apply. ++  document in patient's medical record that consent was obtained.    initiation during a qualifying visit for new patients"
G0559,Other Services,"Post-operative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the practitioner who performed the procedure (or in the same group practice) and is of the same or of a different specialty than the practitioner who performed the procedure, within the 90-day global period of the procedure(s), once per 90-day global period, when there has not been a formal transfer of care and requires the following required elements, when possible and applicable:    reading available surgical note to understand the relative success of the procedure, the anatomy that was affected, and potential complications that could have arisen due to the unique circumstances of the patient's operation.    research the procedure to determine expected post-operative course and potential complications (in the case of doing a post-op for a procedure outside the specialty).    evaluate and physically examine the pati"
G0560,Other Services,"Safety planning interventions, each 20 minutes personally performed by the billing practitioner, including assisting the patient in the identification of the following personalized elements of a safety plan: recognizing warning signs of an impending suicidal or substance use-related crisis; employing internal coping strategies; utilizing social contacts and social settings as a means of distraction from suicidal thoughts or risky substance use; utilizing family members, significant others, caregivers, and/or friends to help resolve the crisis; contacting mental health or substance use disorder professionals or agencies; and making the environment safe"
G0561,Other Services,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use in conjunction with 0583t)"
G0562,Other Services,"Therapeutic radiology simulation-aided field setting; complex, including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., modeling)"
G0563,Other Services,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions"
G0564,Other Services,"Creation of subcutaneous pocket with insertion of 365 day implantable interstitial glucose sensor, including system activation and patient training"
G0565,Other Services,"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 365 day implantable sensor, including system activation"
G0659,Other Services,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem), excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes"
G0913,Quality Measures for Cataract Surgery,Improvement in visual function achieved within 90 days following cataract surgery
G0914,Quality Measures for Cataract Surgery,Patient care survey was not completed by patient
G0915,Quality Measures for Cataract Surgery,Improvement in visual function not achieved within 90 days following cataract surgery
G0916,Quality Measures for Cataract Surgery,Satisfaction with care achieved within 90 days following cataract surgery
G0917,Quality Measures for Cataract Surgery,Patient care survey was not completed by patient
G0918,Quality Measures for Cataract Surgery,Satisfaction with care not achieved within 90 days following cataract surgery
G1025,Other Professional Services,Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month
G1026,Other Professional Services,The number of adult patient-months in the denominator who were on maintenance hemodialysis using a catheter continuously for three months or longer under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month
G1027,Other Professional Services,The number of adult patient-months in the denominator who were on maintenance hemodialysis under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month using a catheter continuously for less than three months
G1028,Other Professional Services,Take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure
G2000,Convulsive Therapy Procedure,"Blinded administration of convulsive therapy procedure, either electroconvulsive therapy (ect, current covered gold standard) or magnetic seizure therapy (mst, non-covered experimental therapy), performed in an approved ide-based clinical trial, per treatment session"
G2001,Other Evaluation and Management Services,"Brief (20 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.)"
G2002,Other Evaluation and Management Services,"Limited (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.)"
G2003,Other Evaluation and Management Services,"Moderate (45 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.)"
G2004,Other Evaluation and Management Services,"Comprehensive (60 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.)"
G2005,Other Evaluation and Management Services,"Extensive (75 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.)"
G2006,Other Evaluation and Management Services,"Brief (20 minutes) in-home visit for an existing 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.)"
G2007,Other Evaluation and Management Services,"Limited (30 minutes) in-home visit for an existing 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.)"
G2008,Other Evaluation and Management Services,"Moderate (45 minutes) in-home visit for an existing 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.)"
G2009,Other Evaluation and Management Services,"Comprehensive (60 minutes) in-home visit for an existing 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.)"
G2010,Other Evaluation and Management Services,"Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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"
G2011,Other Evaluation and Management Services,"Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes"
G2013,Other Evaluation and Management Services,"Extensive (75 minutes) in-home visit for an existing 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.)"
G2014,Other Evaluation and Management Services,"Limited (30 minutes) care plan oversight. 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.)"
G2015,Other Evaluation and Management Services,"Comprehensive (60 mins) home care plan oversight. 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.)"
G2020,Other Evaluation and Management Services,Services for high intensity clinical services associated with the initial engagement and outreach of beneficiaries assigned to the sip component of the pcf model (do not bill with chronic care management codes)
G2021,Care Management Services,Health care practitioners rendering treatment in place (tip)
G2022,Care Management Services,"A model participant (ambulance supplier/provider), the beneficiary refuses services covered under the model (transport to an alternate destination/treatment in place)"
G2025,Care Management Services,Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only
G2067,Medication Assisted Treatment Programme,"Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program)"
G2068,Medication Assisted Treatment Programme,"Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)"
G2069,Medication Assisted Treatment Programme,"Medication assisted treatment, buprenorphine (injectable) administered on a monthly basis; bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)"
G2073,Medication Assisted Treatment Programme,"Medication assisted treatment, naltrexone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)"
G2074,Medication Assisted Treatment Programme,"Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)"
G2075,Medication Assisted Treatment Programme,"Medication assisted treatment, medication not otherwise specified; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program)"
G2076,Opioid Use Disorder - Evaluation and Treatment,"Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based social determinants of health risk assessment to identify unmet health-related social needs, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code"
G2077,Opioid Use Disorder - Evaluation and Treatment,"Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical and psychiatric treatment needs and goals; assessment may be informed by administration of a standardized, evidence-based social determinants of health risk assessment to identify unmet health-related social needs, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code"
G2078,Opioid Use Disorder - Evaluation and Treatment,Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure
G2079,Opioid Use Disorder - Evaluation and Treatment,Take-home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure
G2080,Opioid Use Disorder - Evaluation and Treatment,"Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure"
G2081,Opioid Use Disorder - Evaluation and Treatment,"Patients age 66 and older in institutional special needs plans (snp) or residing in long-term care with a pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period"
G2082,Evaluation and Management Services,"Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of up to 56 mg of esketamine nasal self-administration, includes 2 hours post-administration observation"
G2083,Evaluation and Management Services,"Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration, includes 2 hours post-administration observation"
G2086,Opioid Use Disorder - Treatment (Office Based),"Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month"
G2087,Opioid Use Disorder - Treatment (Office Based),"Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month"
G2088,Opioid Use Disorder - Treatment (Office Based),"Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (list separately in addition to code for primary procedure)"
G2090,Functional Status,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
G2091,Functional Status,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period
G2092,Functional Status,Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy prescribed or currently being taken
G2093,Functional Status,"Documentation of medical reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., hypotensive patients who are at immediate risk of cardiogenic shock, hospitalized patients who have experienced marked azotemia, allergy, intolerance, other medical reasons)"
G2094,Functional Status,"Documentation of patient reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., patient declined, other patient reasons)"
G2096,Functional Status,"Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy was not prescribed, reason not given"
G2097,Functional Status,"Episodes 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)"
G2098,Functional Status,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
G2099,Functional Status,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period
G2100,Functional Status,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
G2101,Functional Status,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period
G2105,Functional Status,"Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period"
G2106,Functional Status,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
G2107,Functional Status,Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period
G2112,Functional Status,"Patient receiving <=5 mg daily prednisone (or equivalent), or ra activity is worsening, or glucocorticoid use is for less than 6 months"
G2113,Functional Status,"Patient receiving >5 mg daily prednisone (or equivalent) for longer than 6 months, and improvement or no change in disease activity"
G2115,Functional Status,Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
G2116,Functional Status,Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period
G2118,Functional Status,Patients 81 years of age and older with at least one claim/encounter for frailty during the measurement period
G2121,Functional Status,"Depression, anxiety, apathy, and psychosis assessed"
G2122,Functional Status,"Depression, anxiety, apathy, and psychosis not assessed"
G2125,Functional Status,Patients 81 years of age and older with at least one claim/encounter for frailty during the six months prior to the measurement period through  december 31 of the measurement period
G2126,Functional Status,Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period
G2127,Functional Status,Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
G2128,Functional Status,"Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g. history of gastrointestinal bleed, intra-cranial bleed, blood disorders, idiopathic thrombocytopenic purpura (itp), gastric bypass or documentation of active anticoagulant use during the measurement period)"
G2129,Functional Status,"Procedure-related bp's not taken during an outpatient visit. examples include same day surgery, ambulatory service center, g.i. lab, dialysis, infusion center, chemotherapy"
G2136,Functional Status,Back pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was less than or equal to 3.0 or back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of 5.0 points or greater
G2137,Functional Status,Back pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was greater than 3.0 and back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated improvement of less than 5.0 points
G2138,Functional Status,Back pain as measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was less than or equal to 3.0 or back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 5.0 points or greater
G2139,Functional Status,Back pain measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was greater than 3.0 and back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated improvement of less than 5.0 points
G2140,Functional Status,Leg pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was less than or equal to 3.0 or leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of 5.0 points or greater
G2141,Functional Status,Leg pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was greater than 3.0 and leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated improvement of less than 5.0 points
G2142,Functional Status,Functional 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 greater
G2143,Functional Status,Functional status measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively was greater than 22 and 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 less than 30 points
G2144,Functional Status,Functional status measured by the oswestry disability index (odi version 2.1a) at three months (6 ? 20 weeks) postoperatively was less than or equal to 22 or functional status measured by the odi version 2.1a within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of 30 points or greater
G2145,Functional Status,Functional status measured by the oswestry disability index (odi version 2.1a) at three months (6 - 20 weeks) postoperatively was greater than 22 and functional status measured by the odi version 2.1a within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of less than 30 points
G2146,Functional Status,Leg pain as measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was less than or equal to 3.0 or leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 5.0 points or greater
G2147,Functional Status,Leg pain measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was greater than 3.0 and leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated improvement of less than 5.0 points
G2148,Functional Status,Multimodal pain management was used
G2149,Functional Status,"Documentation of medical reason(s) for not using multimodal pain management (e.g., allergy to multiple classes of analgesics, intubated patient, hepatic failure, patient reports no pain during pacu stay, other medical reason(s))"
G2150,Functional Status,Multimodal pain management was not used
G2151,Functional Status,"Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care"
G2152,Functional Status,Residual score for the neck impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)
G2167,Performance Measures,Residual score for the neck impairment successfully calculated and the score was less than zero (< 0)
G2168,Therapy Maintenance Program in Home Health Setting,"Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program, each 15 minutes"
G2169,Therapy Maintenance Program in Home Health Setting,"Services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program, each 15 minutes"
G2172,Opioid Use Disorder (OUD) Treatment Services,All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project
G2173,Clinician Documentation and Management Services,"Uri 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)"
G2174,Clinician Documentation and Management Services,Uri episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date
G2175,Clinician Documentation and Management Services,"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)"
G2176,Clinician Documentation and Management Services,"Outpatient, ed, or observation visits that result in an inpatient admission"
G2177,Clinician Documentation and Management Services,Acute bronchitis/bronchiolitis episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to the episode date
G2178,Clinician Documentation and Management Services,"Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure, for example patient bilateral amputee; patient has condition that would not allow them to accurately respond to a neurological exam (dementia, alzheimer's, etc.); patient has previously documented diabetic peripheral neuropathy with loss of protective sensation"
G2179,Clinician Documentation and Management Services,Clinician documented that patient had medical reason for not performing lower extremity neurological exam
G2180,Clinician Documentation and Management Services,Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee
G2181,Clinician Documentation and Management Services,Bmi not documented due to medical reason or patient refusal of height or weight measurement
G2182,Clinician Documentation and Management Services,Patient receiving first-time biologic and/or immune response modifier therapy
G2183,Clinician Documentation and Management Services,Documentation patient unable to communicate and informant not available
G2184,Clinician Documentation and Management Services,Patient does not have a caregiver
G2185,Clinician Documentation and Management Services,Documentation caregiver is trained and certified in dementia care
G2186,Clinician Documentation and Management Services,Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed
G2187,Clinician Documentation and Management Services,Patients with clinical indications for imaging of the head: head trauma
G2188,Clinician Documentation and Management Services,Patients with clinical indications for imaging of the head: new or change in headache above 50 years of age
G2189,Clinician Documentation and Management Services,Patients with clinical indications for imaging of the head: abnormal neurologic exam
G2190,Clinician Documentation and Management Services,Patients with clinical indications for imaging of the head: headache radiating to the neck
G2191,Clinician Documentation and Management Services,Patients with clinical indications for imaging of the head: positional headaches
G2192,Clinician Documentation and Management Services,Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age
G2193,Clinician Documentation and Management Services,Patients with clinical indications for imaging of the head: new onset headache in pre-school children or younger (<6 years of age)
G2194,Clinician Documentation and Management Services,Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavior
G2195,Clinician Documentation and Management Services,Patients with clinical indications for imaging of the head: occipital headache in children
G2196,Clinician Documentation and Management Services,Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method
G2197,Clinician Documentation and Management Services,Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user
G2199,Clinician Documentation and Management Services,Patient not screened for unhealthy alcohol use using a systematic screening method
G2200,Clinician Documentation and Management Services,Patient identified as an unhealthy alcohol user received brief counseling
G2202,Clinician Documentation and Management Services,Patient did not receive brief counseling if identified as an unhealthy alcohol user
G2204,Clinician Documentation and Management Services,Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period
G2205,Clinician Documentation and Management Services,Patients with pregnancy during adjuvant treatment course
G2206,Clinician Documentation and Management Services,Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy
G2207,Clinician Documentation and Management Services,"Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky <=50), cardiac contraindications, insufficient renal function, insufficient hepatic function, other active or secondary cancer diagnoses, other medical contraindications, patients who died during initial treatment course or transferred during or after initial treatment course)"
G2208,Clinician Documentation and Management Services,Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy
G2209,Clinician Documentation and Management Services,Patient refused to participate
G2210,Clinician Documentation and Management Services,"Residual score for the neck impairment not measured because the patient did not complete the neck fs prom at initial evaluation and/or near discharge, reason not given"
G2211,Evaluation and Care Management Services,"Visit 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)"
G2212,Evaluation and Care Management Services,"Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total 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 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes)"
G2213,Evaluation and Care Management Services,"Initiation 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)"
G2214,Evaluation and Care Management Services,"Initial 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 professional"
G2215,Take Home Supplies,Take-home supply of nasal naloxone; 2-pack of 4mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure
G2216,Take Home Supplies,Take-home supply of injectable naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure
G2250,Documentation assessment (Remote),"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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"
G2251,Brief Communication Technology-Based Services,"Brief 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 discussion"
G2252,Brief Communication Technology-Based Services,"Brief 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 discussion"
G3002,Chronic Pain Management And Treatment Services,"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 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 m"
G3003,Chronic Pain Management And Treatment Services,"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 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; Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calend"
G4000,MIPS Specialty Set,Dermatology mips specialty set
G4001,MIPS Specialty Set,Diagnostic radiology mips specialty set
G4002,MIPS Specialty Set,Electrophysiology cardiac specialist mips specialty set
G4003,MIPS Specialty Set,Emergency medicine mips specialty set
G4004,MIPS Specialty Set,Endocrinology mips specialty set
G4005,MIPS Specialty Set,Family medicine mips specialty set
G4006,MIPS Specialty Set,Gastro-enterology mips specialty set
G4007,MIPS Specialty Set,General surgery mips specialty set
G4008,MIPS Specialty Set,Geriatrics mips specialty set
G4009,MIPS Specialty Set,Hospitalists mips specialty set
G4010,MIPS Specialty Set,Infectious disease mips specialty set
G4011,MIPS Specialty Set,Internal medicine mips specialty set
G4012,MIPS Specialty Set,Interventional radiology mips specialty set
G4013,MIPS Specialty Set,Mental/behavioral and psychiatry mips specialty set
G4014,MIPS Specialty Set,Nephrology mips specialty set
G4015,MIPS Specialty Set,Neurology mips specialty set
G4016,MIPS Specialty Set,Neurosurgical mips specialty set
G4017,MIPS Specialty Set,Nutrition/dietician mips specialty set
G4018,MIPS Specialty Set,Obstetrics/gynecology mips specialty set
G4019,MIPS Specialty Set,Oncology/hematology mips specialty set
G4020,MIPS Specialty Set,Ophthalmology/optometry mips specialty set
G4021,MIPS Specialty Set,Orthopedic surgery mips specialty set
G4022,MIPS Specialty Set,Otolaryngology mips specialty set
G4023,MIPS Specialty Set,Pathology mips specialty set
G4024,MIPS Specialty Set,Pediatrics mips specialty set
G4025,MIPS Specialty Set,Physical medicine mips specialty set
G4026,MIPS Specialty Set,Physical therapy/occupational therapy mips specialty set
G4027,MIPS Specialty Set,Plastic surgery mips specialty set
G4028,MIPS Specialty Set,Podiatry mips specialty set
G4029,MIPS Specialty Set,Preventive medicine mips specialty set
G4030,MIPS Specialty Set,Pulmonology mips specialty set
G4031,MIPS Specialty Set,Radiation oncology mips specialty set
G4032,MIPS Specialty Set,Rheumatology mips specialty set
G4033,MIPS Specialty Set,Skilled nursing facility mips specialty set
G4034,MIPS Specialty Set,Speech language pathology mips specialty set
G4035,MIPS Specialty Set,Thoracic surgery mips specialty set
G4036,MIPS Specialty Set,Urgent care mips specialty set
G4037,MIPS Specialty Set,Urology mips specialty set
G4038,MIPS Specialty Set,Vascular surgery mips specialty set
G6001,Radiation Therapy Services,Ultrasonic guidance for placement of radiation therapy fields
G6002,Radiation Therapy Services,Stereoscopic X-ray guidance for localization of target volume for the delivery of radiation therapy
G6003,Radiation Therapy Services,"Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: up to 5 MeV"
G6004,Radiation Therapy Services,"Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 6-10 MeV"
G6005,Radiation Therapy Services,"Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 11-19 MeV"
G6006,Radiation Therapy Services,"Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 20 MeV or greater"
G6007,Radiation Therapy Services,"Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: up to 5 MeV"
G6008,Radiation Therapy Services,"Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 6-10 MeV"
G6009,Radiation Therapy Services,"Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 11-19 MeV"
G6010,Radiation Therapy Services,"Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 20 MeV or greater"
G6011,Radiation Therapy Services,"Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 MeV"
G6012,Radiation Therapy Services,"Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 MeV"
G6013,Radiation Therapy Services,"Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 MeV"
G6014,Radiation Therapy Services,"Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 MeV or greater"
G6015,Radiation Therapy Services,"Intensity modulated treatment delivery, single or multiple fields/arcs, via narrow spatially and temporally modulated beams, binary, dynamic MLC, per treatment session"
G6016,Radiation Therapy Services,"Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session"
G6017,Radiation Therapy Services,"Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (e.g., 3D positional tracking, gating, 3D surface tracking), each fraction of treatment"
G8395,Additional Quality Measures,Left ventricular ejection fraction (LVEF) >= 40% or documentation as normal or mildly depressed left ventricular systolic function
G8396,Additional Quality Measures,Left ventricular ejection fraction (LVEF) not performed or documented
G8397,Additional Quality Measures,"Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy"
G8399,Additional Quality Measures,Patient with documented results of a central dual-energy X-ray absorptiometry (DXA) ever being performed
G8400,Additional Quality Measures,"Patient with central dual-energy X-ray absorptiometry (DXA) results not documented, reason not given"
G8404,Additional Quality Measures,Lower extremity neurological exam performed and documented
G8405,Additional Quality Measures,Lower extremity neurological exam not performed
G8410,Additional Quality Measures,Footwear evaluation performed and documented
G8415,Additional Quality Measures,Footwear evaluation was not performed
G8416,Additional Quality Measures,Clinician documented that patient was not an eligible candidate for footwear evaluation measure
G8417,Additional Quality Measures,BMI is documented above normal parameters and a follow-up plan is documented
G8418,Additional Quality Measures,BMI is documented below normal parameters and a follow-up plan is documented
G8419,Additional Quality Measures,"BMI documented outside normal parameters, no follow-up plan documented, no reason given"
G8420,Additional Quality Measures,BMI is documented within normal parameters and no follow-up plan is required
G8421,Additional Quality Measures,BMI not documented and no reason is given
G8427,Additional Quality Measures,"Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications"
G8428,Additional Quality Measures,"Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given"
G8430,Additional Quality Measures,"Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an urgent or emergent medical situation)"
G8431,Additional Quality Measures,Screening for depression is documented as being positive and a follow-up plan is documented
G8432,Additional Quality Measures,"Depression screening not documented, reason not given"
G8433,Additional Quality Measures,"Screening for depression not completed, documented patient or medical reason"
G8450,Additional Quality Measures,Beta-blocker therapy prescribed
G8451,Additional Quality Measures,"Beta-blocker therapy for lvef <=40% not prescribed for reasons documented by the clinician (e.g., low blood pressure, fluid overload, asthma, patients recently treated with an intravenous positive inotropic agent, allergy, intolerance, other medical reasons, patient declined, other patient reasons)"
G8452,Additional Quality Measures,Beta-blocker therapy not prescribed
G8465,Additional Quality Measures,High or very high risk of recurrence of prostate cancer
G8473,Additional Quality Measures,Angiotensin converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy prescribed
G8474,Additional Quality Measures,"Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed for reasons documented by the clinician (e.g., allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (e.g., patient declined, other patient reasons)"
G8475,Additional Quality Measures,"Angiotensin converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy not prescribed, reason not given"
G8476,Additional Quality Measures,Most recent blood pressure has a systolic measurement of < 140 mmHg and a diastolic measurement of < 90 mmHg
G8477,Additional Quality Measures,Most recent blood pressure has a systolic measurement of >=140 mmHg and/or a diastolic measurement of >=90 mmHg
G8478,Additional Quality Measures,"Blood pressure measurement not performed or documented, reason not given"
G8510,Additional Quality Measures,"Screening for depression is documented as negative, a follow-up plan is not required"
G8511,Additional Quality Measures,"Screening for depression documented as positive, follow-up plan not documented, reason not given"
G8535,Additional Quality Measures,"Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status"
G8536,Additional Quality Measures,"No documentation of an elder maltreatment screen, reason not given"
G8539,Additional Quality Measures,Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment
G8540,Additional Quality Measures,"Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter"
G8541,Additional Quality Measures,"Functional outcome assessment using a standardized tool not documented, reason not given"
G8542,Additional Quality Measures,"Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required"
G8543,Additional Quality Measures,"Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given"
G8559,Additional Quality Measures,Patient referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation
G8560,Additional Quality Measures,Patient has a history of active drainage from the ear within the previous 90 days
G8561,Additional Quality Measures,Patient is not eligible for the referral for otologic evaluation for patients with a history of active drainage measure
G8562,Additional Quality Measures,Patient does not have a history of active drainage from the ear within the previous 90 days
G8563,Additional Quality Measures,"Patient not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given"
G8564,Additional Quality Measures,"Patient was referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not specified)"
G8565,Additional Quality Measures,Verification and documentation of sudden or rapidly progressive hearing loss
G8566,Additional Quality Measures,"Patient is not eligible for the ""referral for otologic evaluation for sudden or rapidly progressive hearing loss"" measure"
G8567,Additional Quality Measures,Patient does not have verification and documentation of sudden or rapidly progressive hearing loss
G8568,Additional Quality Measures,"Patient was not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given"
G8569,Additional Quality Measures,Prolonged postoperative intubation (> 24 hrs) required
G8570,Additional Quality Measures,Prolonged postoperative intubation (> 24 hrs) not required
G8575,Additional Quality Measures,Developed postoperative renal failure or required dialysis
G8576,Additional Quality Measures,No postoperative renal failure/dialysis not required
G8577,Additional Quality Measures,"Re-exploration required due to mediastinal bleeding with or without tamponade, unplanned coronary artery intervention (native, vessel, graft, or both), valve dysfunction, aortic reintervention, or other cardiac reason"
G8578,Additional Quality Measures,"Re-exploration not required due to mediastinal bleeding with or without tamponade, unplanned coronary artery intervention (native, vessel, graft, or both), valve dysfunction, aortic reintervention, or other cardiac reason"
G8598,Additional Quality Measures,Aspirin or another antiplatelet therapy used
G8599,Additional Quality Measures,"Aspirin or another antiplatelet therapy not used, reason not given"
G8600,Additional Quality Measures,Iv thrombolytic therapy initiated within 4.5 hours (<= 270 minutes) of time last known well
G8601,Additional Quality Measures,"Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well for reasons documented by clinician (e.g. patient enrolled in clinical trial for stroke, patient admitted for elective carotid intervention)"
G8602,Additional Quality Measures,"Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well, reason not given"
G8633,Additional Quality Measures,Pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed
G8635,Additional Quality Measures,"Pharmacologic therapy for osteoporosis was not prescribed, reason not given"
G8647,Quality Measures Related for Risk-adjusted Functional Status Scoring,Residual score for the knee impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)
G8648,Quality Measures Related for Risk-adjusted Functional Status Scoring,Residual score for the knee impairment successfully calculated and the score was less than zero (< 0)
G8650,Quality Measures Related for Risk-adjusted Functional Status Scoring,"Residual score for the knee impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given"
G8651,Quality Measures Related for Risk-adjusted Functional Status Scoring,Residual score for the hip impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)
G8652,Quality Measures Related for Risk-adjusted Functional Status Scoring,Residual score for the hip impairment successfully calculated and the score was less than zero (< 0)
G8654,Quality Measures Related for Risk-adjusted Functional Status Scoring,"Residual score for the hip impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given"
G8655,Quality Measures Related for Risk-adjusted Functional Status Scoring,"Residual score for the lower leg, foot or ankle impairment successfully calculated and the score was equal to zero (0) or greater than zero ( > 0)"
G8656,Quality Measures Related for Risk-adjusted Functional Status Scoring,"Residual score for the lower leg, foot or ankle impairment successfully calculated and the score was less than zero (< 0)"
G8658,Quality Measures Related for Risk-adjusted Functional Status Scoring,"Residual score for the lower leg, foot or ankle impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given"
G8659,Quality Measures Related for Risk-adjusted Functional Status Scoring,Residual score for the low back impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)
G8660,Quality Measures Related for Risk-adjusted Functional Status Scoring,Residual score for the low back impairment successfully calculated and the score was less than zero (< 0)
G8661,Quality Measures Related for Risk-adjusted Functional Status Scoring,"Risk-adjusted functional status change residual score for the low back impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate"
G8662,Quality Measures Related for Risk-adjusted Functional Status Scoring,"Residual score for the low back impairment not measured because the patient did not complete the low back fs prom at initial evaluation and/or near discharge, reason not given"
G8663,Quality Measures Related for Risk-adjusted Functional Status Scoring,Residual score for the shoulder impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)
G8664,Quality Measures Related for Risk-adjusted Functional Status Scoring,Residual score for the shoulder impairment successfully calculated and the score was less than zero (< 0)
G8666,Quality Measures Related for Risk-adjusted Functional Status Scoring,"Residual score for the shoulder impairment not measured because the patient did not complete the shoulder fs prom at initial evaluation and/or near discharge, reason not given"
G8667,Quality Measures Related for Risk-adjusted Functional Status Scoring,"Residual score for the elbow, wrist or hand impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)"
G8668,Quality Measures Related for Risk-adjusted Functional Status Scoring,"Residual score for the elbow, wrist or hand impairment successfully calculated and the score was less than zero (< 0)"
G8670,Quality Measures Related for Risk-adjusted Functional Status Scoring,"Residual score for the elbow, wrist or hand impairment not measured because the patient did not complete the elbow/wrist/hand fs prom at initial evaluation and/or near discharge, reason not given"
G8694,More Quality Measures,Current or prior left ventricular ejection fraction (lvef) < = 40% or documentation of moderate or severe lvsd
G8708,More Quality Measures,Patient not prescribed antibiotic
G8709,More Quality Measures,"Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/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, and acne)"
G8710,More Quality Measures,Patient prescribed antibiotic
G8711,More Quality Measures,Prescribed antibiotic on or within 3 days after the episode date
G8712,More Quality Measures,Antibiotic not prescribed or dispensed
G8721,More Quality Measures,"pT category (primary tumor), pN category (regional lymph nodes), and histologic grade were documented in pathology report"
G8722,More Quality Measures,"Documentation of medical reason(s) for not including the pT category, the pN category or the histologic grade in the pathology report (e.g., re-excision without residual tumor; non-carcinomasanal canal)"
G8723,More Quality Measures,Specimen site is other than anatomic location of primary tumor
G8724,More Quality Measures,"pT category, pN category and histologic grade were not documented in the pathology report, reason not given"
G8733,More Quality Measures,Elder maltreatment screen documented as positive and a follow-up plan is documented
G8734,More Quality Measures,"Elder maltreatment screen documented as negative, follow-up is not required"
G8735,More Quality Measures,"Elder maltreatment screen documented as positive, follow-up plan not documented, reason not given"
G8749,More Quality Measures,"Absence of signs of melanoma (tenderness, jaundice, localized neurologic signs such as weakness, or any other sign suggesting systemic spread) or absence of symptoms of melanoma (cough, dyspnea, pain, paresthesia, or any other symptom suggesting the possibility of systemic spread of melanoma)"
G8752,More Quality Measures,Most recent systolic blood pressure < 140 mmHg
G8753,More Quality Measures,Most recent systolic blood pressure >= 140 mmHg
G8754,More Quality Measures,Most recent diastolic blood pressure < 90 mmHg
G8755,More Quality Measures,Most recent diastolic blood pressure >= 90 mmHg
G8756,More Quality Measures,"No documentation of blood pressure measurement, reason not given"
G8783,More Quality Measures,"Normal blood pressure reading documented, follow-up not required"
G8785,More Quality Measures,"Blood pressure reading not documented, reason not given"
G8797,More Quality Measures,Specimen site other than anatomic location of esophagus
G8798,More Quality Measures,Specimen site other than anatomic location of prostate
G8806,More Quality Measures,Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented
G8807,More Quality Measures,"Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup])"
G8808,More Quality Measures,"Trans-abdominal or trans-vaginal ultrasound not performed, reason not given"
G8815,More Quality Measures,"Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease)"
G8816,More Quality Measures,Statin medication prescribed at discharge
G8817,More Quality Measures,"Statin therapy not prescribed at discharge, reason not given"
G8826,More Quality Measures,Patient discharged to home no later than post-operative day #2 following evar
G8833,More Quality Measures,Patient not discharged to home by post-operative day #2 following evar
G8834,More Quality Measures,Patient discharged to home no later than post-operative day #2 following CEA
G8838,More Quality Measures,Patient not discharged to home by post-operative day #2 following CEA
G8839,More Quality Measures,"Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepiness"
G8840,More Quality Measures,"Documentation of reason(s) for not documenting an assessment of sleep symptoms (e.g., patient didn't have initial daytime sleepiness, patient visited between initial testing and initiation of therapy)"
G8841,More Quality Measures,"Sleep apnea symptoms not assessed, reason not given"
G8842,More Quality Measures,"Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea"
G8843,More Quality Measures,"Documentation of reason(s) for not measuring an apnea hypopnea index (ahi), a respiratory disturbance index (rdi), or a respiratory event index (rei) within 2 months after initial evaluation for suspected obstructive sleep apnea (e.g., medical, neurological, or psychiatric disease that prohibits successful completion of a sleep study, patients for whom a sleep study would present a bigger risk than benefit or would pose an undue burden, dementia, patients previously diagnosed with osa and severity assessed by another provider, patients who decline ahi/rdi/rei measurement, patients who had a financial reason for not completing testing, test was ordered but not completed, patients decline because their insurance (payer) does not cover the expense)"
G8844,More Quality Measures,"Apnea hypopnea index (ahi), respiratory disturbance index (rdi), or respiratory event index (rei) not documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea, reason not given"
G8845,More Quality Measures,Positive airway pressure therapy prescribed
G8846,More Quality Measures,Moderate or severe obstructive sleep apnea (apnea hypopnea index (AHI) or respiratory disturbance index (RDI) of 15 or greater)
G8849,More Quality Measures,"Documentation of reason(s) for not prescribing positive airway pressure therapy (e.g., patient unable to tolerate, alternative therapies use, patient declined, financial, insurance coverage)"
G8850,More Quality Measures,"Positive airway pressure therapy not prescribed, reason not given"
G8851,More Quality Measures,"Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented)"
G8854,More Quality Measures,"Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy)"
G8855,More Quality Measures,"Adherence to therapy was not assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available), reason not given"
G8856,More Quality Measures,Referral to a physician for an otologic evaluation performed
G8857,More Quality Measures,"Patient is not eligible for the referral for otologic evaluation measure (e.g., patients who are already under the care of a physician for acute or chronic dizziness)"
G8858,More Quality Measures,"Referral to a physician for an otologic evaluation not performed, reason not given"
G8863,More Quality Measures,"Patients not assessed for risk of bone loss, reason not given"
G8864,More Quality Measures,Pneumococcal vaccine administered or previously received
G8865,More Quality Measures,"Documentation of medical reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient allergic reaction, potential adverse drug reaction)"
G8866,More Quality Measures,"Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal)"
G8867,More Quality Measures,"Pneumococcal vaccine not administered or previously received, reason not given"
G8869,More Quality Measures,Patient has documented immunity to hepatitis B and initiating anti-TNF therapy
G8875,More Quality Measures,Clinician diagnosed breast cancer preoperatively by a minimally invasive biopsy method
G8876,More Quality Measures,"Documentation of reason(s) for not performing minimally invasive biopsy to diagnose breast cancer preoperatively (e.g., lesion too close to skin, implant, chest wall, etc., lesion could not be adequately visualized for needle biopsy, patient condition prevents needle biopsy [weight, breast thickness, etc.], duct excision without imaging abnormality, prophylactic mastectomy, reduction mammoplasty, excisional biopsy performed by another physician)"
G8877,More Quality Measures,"Clinician did not attempt to achieve the diagnosis of breast cancer preoperatively by a minimally invasive biopsy method, reason not given"
G8878,More Quality Measures,Sentinel lymph node biopsy procedure performed
G8880,More Quality Measures,"Documentation 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)"
G8881,More Quality Measures,Stage of breast cancer is greater than T1N0M0 or T3N0M0
G8882,More Quality Measures,"Sentinel lymph node biopsy procedure not performed, reason not given"
G8907,More Quality Measures,Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility
G8908,More Quality Measures,Patient documented to have received a burn prior to discharge
G8909,More Quality Measures,Patient documented not to have received a burn prior to discharge
G8910,More Quality Measures,Patient documented to have experienced a fall within ASC
G8911,More Quality Measures,Patient documented not to have experienced a fall within ambulatory surgical center
G8912,More Quality Measures,"Patient documented to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event"
G8913,More Quality Measures,"Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event"
G8914,More Quality Measures,Patient documented to have experienced a hospital transfer or hospital admission upon discharge from ASC
G8915,More Quality Measures,Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from ASC
G8916,More Quality Measures,"Patient with preoperative order for IV antibiotic surgical site infection (SSI) prophylaxis, antibiotic initiated on time"
G8917,More Quality Measures,"Patient with preoperative order for IV antibiotic surgical site infection (SSI) prophylaxis, antibiotic not initiated on time"
G8918,More Quality Measures,Patient without preoperative order for IV antibiotic surgical site infection (SSI) prophylaxis
G8923,More Quality Measures,Current or prior left ventricular ejection fraction (lvef) <= 40% or documentation of moderately or severely depressed left ventricular systolic function
G8924,More Quality Measures,Spirometry results documented (fev1/fvc < 70%)
G8934,More Quality Measures,Current or prior left ventricular ejection fraction (lvef) <=40% or documentation of moderately or severely depressed left ventricular systolic function
G8935,More Quality Measures,Clinician prescribed angiotensin converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy
G8936,More Quality Measures,"Clinician documented that patient was not an eligible candidate for angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy (eg, allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (eg, patient declined, other patient reasons)"
G8937,More Quality Measures,"Clinician did not prescribe angiotensin converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy, reason not given"
G8942,More Quality Measures,"Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment"
G8944,More Quality Measures,AJCC melanoma cancer Stage 0 through IIC melanoma
G8946,More Quality Measures,"Minimally invasive biopsy method attempted but not diagnostic of breast cancer (e.g., high risk lesion of breast such as atypical ductal hyperplasia, lobular neoplasia, atypical lobular hyperplasia, lobular carcinoma in situ, atypical columnar hyperplasia, flat epithelial atypia, radial scar, complex sclerosing lesion, papillary lesion, or any lesion with spindle cells)"
G8950,More Quality Measures,"Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented"
G8952,More Quality Measures,"Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given"
G8955,More Quality Measures,Most recent assessment of adequacy of volume management documented
G8956,More Quality Measures,Patient receiving maintenance hemodialysis in an outpatient dialysis facility
G8958,More Quality Measures,"Assessment of adequacy of volume management not documented, reason not given"
G8961,More Quality Measures,Cardiac stress imaging test primarily performed on low-risk surgery patient for preoperative evaluation within 30 days preceding this surgery
G8962,More Quality Measures,Cardiac stress imaging test performed on patient for any reason including those who did not have low risk surgery or test that was performed more than 30 days preceding low risk surgery
G8967,More Quality Measures,Fda approved oral anticoagulant is prescribed
G8968,More Quality Measures,"Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical trial related to af/atrial flutter treatment)"
G8969,More Quality Measures,"Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation)"
G8970,More Quality Measures,No risk factors or one moderate risk factor for thromboembolism
G9001,MCCD (Medicare Coordinated Care Demonstration),"Coordinated care fee, initial rate"
G9002,MCCD (Medicare Coordinated Care Demonstration),"Coordinated care fee, maintenance rate"
G9003,MCCD (Medicare Coordinated Care Demonstration),"Coordinated care fee, risk adjusted high, initial"
G9004,MCCD (Medicare Coordinated Care Demonstration),"Coordinated care fee, risk adjusted low, initial"
G9005,MCCD (Medicare Coordinated Care Demonstration),"Coordinated care fee, risk adjusted maintenance"
G9006,MCCD (Medicare Coordinated Care Demonstration),"Coordinated care fee, home monitoring"
G9007,MCCD (Medicare Coordinated Care Demonstration),"Coordinated care fee, scheduled team conference"
G9008,MCCD (Medicare Coordinated Care Demonstration),"Coordinated care fee, physician coordinated care oversight services"
G9009,MCCD (Medicare Coordinated Care Demonstration),"Coordinated care fee, risk adjusted maintenance, level 3"
G9010,MCCD (Medicare Coordinated Care Demonstration),"Coordinated care fee, risk adjusted maintenance, level 4"
G9011,MCCD (Medicare Coordinated Care Demonstration),"Coordinated care fee, risk adjusted maintenance, level 5"
G9012,MCCD (Medicare Coordinated Care Demonstration),Other specified case management service not elsewhere classified
G9013,Medicare Demonstration Projects,ESRD demo basic bundle level I
G9014,Medicare Demonstration Projects,ESRD demo expanded bundle including venous access and related services
G9016,Medicare Demonstration Projects,"Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only]"
G9037,Medicare Demonstration Projects,Interprofessional 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 minutes
G9038,Medicare Demonstration Projects,"Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care planning; condition for which specialist is taking a co-management role; condition expected to last at least 3 months; comprehensive care plan established, implemented, revised or monitored in partnership with co-managing clinicians; ongoing communication and care coordination between co-managing clinicians furnishing care"
G9050,Medicare Demonstration Projects,"Oncology; primary focus of visit; work-up, evaluation, or staging at the time of cancer diagnosis or recurrence (for use in a Medicare-approved demonstration project)"
G9051,Medicare Demonstration Projects,"Oncology; 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)"
G9052,Medicare Demonstration Projects,Oncology; 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)
G9053,Medicare Demonstration Projects,Oncology; primary focus of visit; expectant management of patient with evidence of cancer for whom no cancer directed therapy is being administered or arranged at present; cancer directed therapy might be considered in the future (for use in a Medicare-approved demonstration project)
G9054,Medicare Demonstration Projects,"Oncology; primary focus of visit; supervising, coordinating or managing care of patient with terminal cancer or for whom other medical illness prevents further cancer treatment; includes symptom management, end-of-life care planning, management of palliative therapies (for use in a Medicare-approved demonstration project)"
G9055,Medicare Demonstration Projects,"Oncology; primary focus of visit; other, unspecified service not otherwise listed (for use in a Medicare-approved demonstration project)"
G9056,Medicare Demonstration Projects,Oncology; practice guidelines; management adheres to guidelines (for use in a Medicare-approved demonstration project)
G9057,Medicare Demonstration Projects,Oncology; practice guidelines; management differs from guidelines as a result of patient enrollment in an institutional review board approved clinical trial (for use in a Medicare-approved demonstration project)
G9058,Medicare Demonstration Projects,Oncology; practice guidelines; management differs from guidelines because the treating physician disagrees with guideline recommendations (for use in a Medicare-approved demonstration project)
G9059,Medicare Demonstration Projects,"Oncology; practice guidelines; management differs from guidelines because the patient, after being offered treatment consistent with guidelines, has opted for alternative treatment or management, including no treatment (for use in a Medicare-approved demonstration project)"
G9060,Medicare Demonstration Projects,Oncology; practice guidelines; management differs from guidelines for reason(s) associated with patient comorbid illness or performance status not factored into guidelines (for use in a Medicare-approved demonstration project)
G9061,Medicare Demonstration Projects,Oncology; practice guidelines; patient's condition not addressed by available guidelines (for use in a Medicare-approved demonstration project)
G9062,Medicare Demonstration Projects,Oncology; practice guidelines; management differs from guidelines for other reason(s) not listed (for use in a Medicare-approved demonstration project)
G9063,Medicare Demonstration Projects,"Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as Stage I (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project)"
G9064,Medicare Demonstration Projects,"Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as Stage II (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project)"
G9065,Medicare Demonstration Projects,"Oncology; 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)"
G9066,Medicare Demonstration Projects,"Oncology; disease status; limited to non-small cell lung cancer; Stage III B- IV at diagnosis, metastatic, locally recurrent, or progressive (for use in a Medicare-approved demonstration project)"
G9067,Medicare Demonstration Projects,"Oncology; disease status; limited to non-small cell lung cancer; extent of disease unknown, staging in progress, or not listed (for use in a Medicare-approved demonstration project)"
G9068,Medicare Demonstration Projects,"Oncology; 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)"
G9069,Medicare Demonstration Projects,"Oncology; disease status; small cell lung cancer, limited to small cell and combined small cell/non-small cell; extensive Stage at diagnosis, metastatic, locally recurrent, or progressive (for use in a Medicare-approved demonstration project)"
G9070,Medicare Demonstration Projects,"Oncology; disease status; small cell lung cancer, limited to small cell and combined small cell/non-small; extent of disease unknown, staging in progress, or not listed (for use in a Medicare-approved demonstration project)"
G9071,Medicare Demonstration Projects,"Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; Stage I or Stage IIA-IIB; or T3, N1, M0; and ER and/or pr positive; with no evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project)"
G9072,Medicare Demonstration Projects,"Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; Stage I, or Stage IIA-IIB; or T3, N1, M0; and ER and PR negative; with no evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project)"
G9073,Medicare Demonstration Projects,"Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; Stage IIIA-IIIB; and not T3, N1, M0; and ER and/or PR positive; with no evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project)"
G9074,Medicare Demonstration Projects,"Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; Stage IIIA-IIIB; and not T3, N1, M0; and ER and PR negative; with no evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project)"
G9075,Medicare Demonstration Projects,"Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; M1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a Medicare-approved demonstration project)"
G9077,Medicare Demonstration Projects,"Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell type; T1-T3C and gleason 2-7 and PSA < or equal to 20 at diagnosis with no evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project)"
G9078,Medicare Demonstration Projects,"Oncology; 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)"
G9079,Medicare Demonstration Projects,"Oncology; 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)"
G9080,Medicare Demonstration Projects,"Oncology; disease status; prostate cancer, limited to adenocarcinoma; after initial treatment with rising PSA or failure of PSA decline (for use in a Medicare-approved demonstration project)"
G9083,Medicare Demonstration Projects,"Oncology; disease status; prostate cancer, limited to adenocarcinoma; extent of disease unknown, staging in progress, or not listed (for use in a Medicare-approved demonstration project)"
G9084,Medicare Demonstration Projects,"Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as T1-3, N0, M0 with no evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project)"
G9085,Medicare Demonstration Projects,"Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as T4, N0, M0 with no evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project)"
G9086,Medicare Demonstration Projects,"Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as T1-4, N1-2, M0 with no evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project)"
G9087,Medicare Demonstration Projects,"Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; M1 at diagnosis, metastatic, locally recurrent, or progressive with current clinical, radiologic, or biochemical evidence of disease (for use in a Medicare-approved demonstration project)"
G9088,Medicare Demonstration Projects,"Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; M1 at diagnosis, metastatic, locally recurrent, or progressive without current clinical, radiologic, or biochemical evidence of disease (for use in a Medicare-approved demonstration project)"
G9089,Medicare Demonstration Projects,"Oncology; 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)"
G9090,Medicare Demonstration Projects,"Oncology; 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)"
G9091,Medicare Demonstration Projects,"Oncology; 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)"
G9092,Medicare Demonstration Projects,"Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as T1-3, N1-2, 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)"
G9093,Medicare Demonstration Projects,"Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma 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)"
G9094,Medicare Demonstration Projects,"Oncology; 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)"
G9095,Medicare Demonstration Projects,"Oncology; disease status; rectal 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)"
G9096,Medicare Demonstration Projects,"Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease initially established as T1-T3, N0-N1 or NX (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project)"
G9097,Medicare Demonstration Projects,"Oncology; 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)"
G9098,Medicare Demonstration Projects,"Oncology; 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)"
G9099,Medicare Demonstration Projects,"Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a Medicare-approved demonstration project)"
G9100,Medicare Demonstration Projects,"Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; post R0 resection (with or without neoadjuvant therapy) with no evidence of disease recurrence, progression, or metastases (for use in a Medicare-approved demonstration project)"
G9101,Medicare Demonstration Projects,"Oncology; 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)"
G9102,Medicare Demonstration Projects,"Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; clinical or pathologic M0, unresectable with no evidence of disease progression, or metastases (for use in a Medicare-approved demonstration project)"
G9103,Medicare Demonstration Projects,"Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; clinical or pathologic M1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a Medicare-approved demonstration project)"
G9104,Medicare Demonstration Projects,"Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a Medicare-approved demonstration project)"
G9105,Medicare Demonstration Projects,"Oncology; disease status; pancreatic cancer, limited to adenocarcinoma as predominant cell type; post R0 resection without evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project)"
G9106,Medicare Demonstration Projects,"Oncology; 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)"
G9107,Medicare Demonstration Projects,"Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; unresectable at diagnosis, M1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a Medicare-approved demonstration project)"
G9108,Medicare Demonstration Projects,"Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; extent of disease unknown, staging in progress, or not listed (for use in a Medicare-approved demonstration project)"
G9109,Medicare Demonstration Projects,"Oncology; 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)"
G9110,Medicare Demonstration Projects,"Oncology; 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 T3-4 and/or N1-3, 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)"
G9111,Medicare Demonstration Projects,"Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; M1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a Medicare-approved demonstration project)"
G9112,Medicare Demonstration Projects,"Oncology; 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 unknown, staging in progress, or not listed (for use in a Medicare-approved demonstration project)"
G9113,Medicare Demonstration Projects,"Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic Stage IA-B (Grade 1) without evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project)"
G9114,Medicare Demonstration Projects,"Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic Stage IA-B (Grade 2-3); or Stage IC (all grades); or Stage II; without evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project)"
G9115,Medicare Demonstration Projects,"Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic Stage III-IV; without evidence of progression, recurrence, or metastases (for use in a Medicare-approved demonstration project)"
G9116,Medicare Demonstration Projects,"Oncology; 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)"
G9117,Medicare Demonstration Projects,"Oncology; disease status; ovarian cancer, limited to epithelial cancer; extent of disease unknown, staging in progress, or not listed (for use in a Medicare-approved demonstration project)"
G9123,Medicare Demonstration Projects,"Oncology; 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)"
G9124,Medicare Demonstration Projects,"Oncology; disease status; chronic myelogenous leukemia, limited to Philadelphia chromosome positive and/or BCR-ABL positive; accelerated phase not in hematologic cytogenetic, or molecular remission (for use in a Medicare-approved demonstration project)"
G9125,Medicare Demonstration Projects,"Oncology; disease status; chronic myelogenous leukemia, limited to Philadelphia chromosome positive and/or BCR-ABL positive; blast phase not in hematologic, cytogenetic, or molecular remission (for use in a Medicare-approved demonstration project)"
G9126,Medicare Demonstration Projects,"Oncology; 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)"
G9128,Medicare Demonstration Projects,"Oncology; disease status; limited to multiple myeloma, systemic disease; smoldering, Stage I (for use in a Medicare-approved demonstration project)"
G9129,Medicare Demonstration Projects,"Oncology; disease status; limited to multiple myeloma, systemic disease; Stage II or higher (for use in a Medicare-approved demonstration project)"
G9130,Medicare Demonstration Projects,"Oncology; disease status; limited to multiple myeloma, systemic disease; extent of disease unknown, staging in progress, or not listed (for use in a Medicare-approved demonstration project)"
G9131,Medicare Demonstration Projects,"Oncology; 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)"
G9132,Medicare Demonstration Projects,"Oncology; disease status; prostate cancer, limited to adenocarcinoma; hormone-refractory/androgen-independent (e.g., rising PSA on anti-androgen therapy or post-orchiectomy); clinical metastases (for use in a Medicare-approved demonstration project)"
G9133,Medicare Demonstration Projects,"Oncology; disease status; prostate cancer, limited to adenocarcinoma; hormone-responsive; clinical metastases or M1 at diagnosis (for use in a Medicare-approved demonstration project)"
G9134,Medicare Demonstration Projects,"Oncology; disease status; non-Hodgkin's lymphoma, any cellular classification; Stage i, II at diagnosis, not relapsed, not refractory (for use in a Medicare-approved demonstration project)"
G9135,Medicare Demonstration Projects,"Oncology; disease status; non-Hodgkin's lymphoma, any cellular classification; Stage III, IV, not relapsed, not refractory (for use in a Medicare-approved demonstration project)"
G9136,Medicare Demonstration Projects,"Oncology; disease status; non-Hodgkin's lymphoma, transformed from original cellular diagnosis to a second cellular classification (for use in a Medicare-approved demonstration project)"
G9137,Medicare Demonstration Projects,"Oncology; disease status; non-Hodgkin's lymphoma, any cellular classification; relapsed/refractory (for use in a Medicare-approved demonstration project)"
G9138,Medicare Demonstration Projects,"Oncology; 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)"
G9139,Medicare Demonstration Projects,"Oncology; disease status; chronic myelogenous leukemia, limited to Philadelphia chromosome positive and/or BCR-ABL positive; extent of disease unknown, staging in progress, not listed (for use in a Medicare-approved demonstration project)"
G9140,Medicare Demonstration Projects,"Frontier 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 hours"
G9143,Warfarin Responsiveness Testing,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s)"
G9147,Outpatient Intravenous Insulin Treatment,"Outpatient intravenous insulin treatment (OIVIT) either pulsatile or continuous, by any means, guided by the results of measurements for: respiratory quotient; and/or, urine urea nitrogen (UUN); and/or, arterial, venous or capillary glucose; and/or potassium concentration"
G9148,Primary Care Quality Measures,National Committee for Quality Assurance - Level 1 medical home
G9149,Primary Care Quality Measures,National Committee for Quality Assurance - Level 2 medical home
G9150,Primary Care Quality Measures,National Committee for Quality Assurance - Level 3 medical home
G9151,Primary Care Quality Measures,MAPCP Demonstration - state provided services
G9152,Primary Care Quality Measures,MAPCP Demonstration - Community Health Teams
G9153,Primary Care Quality Measures,MAPCP Demonstration - Physician Incentive Pool
G9156,Provider Assessment for Wheelchair,Evaluation for wheelchair requiring face to face visit with physician
G9157,Diagnostic Cardiac Doppler Ultrasound,"Transesophageal Doppler Measurement Of Cardiac Output (Including Probe Placement, Image Acquisition, And Interpretation Per Course Of Treatment) For Monitoring Purposes"
G9187,Bundled Payment Care,"Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the Medicare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code"
G9188,Additional Assorted Quality Measures,"Beta-blocker therapy not prescribed, reason not given"
G9189,Additional Assorted Quality Measures,Beta-blocker therapy prescribed or currently being taken
G9190,Additional Assorted Quality Measures,"Documentation of medical reason(s) for not prescribing beta-blocker therapy (e.g., allergy, intolerance, other medical reasons)"
G9191,Additional Assorted Quality Measures,"Documentation of patient reason(s) for not prescribing beta-blocker therapy (e.g., patient declined, other patient reasons)"
G9212,Additional Assorted Quality Measures,DSM-IVTM criteria for major depressive disorder documented at the initial evaluation
G9213,Additional Assorted Quality Measures,"DSM-IV-TR criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified"
G9223,Additional Assorted Quality Measures,Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low CD4+ cell count below 500 cells/mm3 or a CD4 percentage below 15%
G9225,Additional Assorted Quality Measures,"Foot exam was not performed, reason not given"
G9226,Additional Assorted Quality Measures,"Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-Hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)"
G9227,Additional Assorted Quality Measures,"Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter"
G9228,Additional Assorted Quality Measures,"Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings)"
G9230,Additional Assorted Quality Measures,"Chlamydia, gonorrhea, and syphilis not screened, reason not given"
G9231,Additional Assorted Quality Measures,"Documentation of end stage renal disease (ESRD), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period"
G9242,Additional Assorted Quality Measures,Documentation of viral load equal to or greater than 200 copies/ml or viral load not performed
G9243,Additional Assorted Quality Measures,Documentation of viral load less than 200 copies/ml
G9246,Additional Assorted Quality Measures,Patient did not have two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart
G9247,Additional Assorted Quality Measures,Patient had two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart
G9254,Additional Assorted Quality Measures,Documentation of patient discharged to home later than post-operative day 2 following cea or cas
G9255,Additional Assorted Quality Measures,Documentation of patient discharged to home no later than post operative day 2 following cea or cas
G9273,Additional Assorted Quality Measures,Blood pressure has a systolic value of < 140 and a diastolic value of < 90
G9274,Additional Assorted Quality Measures,Blood pressure has a systolic value of =140 and a diastolic value of = 90 or systolic value < 140 and diastolic value = 90 or systolic value = 140 and diastolic value < 90
G9275,Additional Assorted Quality Measures,Documentation that patient is a current non-tobacco user
G9276,Additional Assorted Quality Measures,Documentation that patient is a current tobacco user
G9277,Additional Assorted Quality Measures,"Documentation 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)"
G9278,Additional Assorted Quality Measures,Documentation that the patient is not on daily aspirin or anti-platelet regimen
G9279,Additional Assorted Quality Measures,Pneumococcal screening performed and documentation of vaccination received prior to discharge
G9280,Additional Assorted Quality Measures,"Pneumococcal vaccination not administered prior to discharge, reason not specified"
G9281,Additional Assorted Quality Measures,Screening performed and documentation that vaccination not indicated/patient refusal
G9282,Additional Assorted Quality Measures,"Documentation of medical reason(s) for not reporting the histological type or NSCLC-NOS classification with an explanation (e.g., biopsy taken for other purposes in a patient with a history of non-small cell lung cancer or other documented medical reasons)"
G9283,Additional Assorted Quality Measures,Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as NSCLC-NOS with an explanation
G9284,Additional Assorted Quality Measures,Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as NSCLC-NOS with an explanation
G9285,Additional Assorted Quality Measures,Specimen site other than anatomic location of lung or is not classified as non small cell lung cancer
G9286,Additional Assorted Quality Measures,Antibiotic regimen prescribed within10 days after onset of symptoms
G9287,Additional Assorted Quality Measures,Antibiotic regimen not prescribed within 10 days after onset of symptoms
G9288,Additional Assorted Quality Measures,"Documentation 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 )"
G9289,Additional Assorted Quality Measures,Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as NSCLC-NOS with an explanation
G9290,Additional Assorted Quality Measures,Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as NSCLC-NOS with an explanation
G9291,Additional Assorted Quality Measures,"Specimen site other than anatomic location of lung, is not classified as non small cell lung cancer or classified as NSCLC-NOS"
G9292,Additional Assorted Quality Measures,"Documentation of medical reason(s) for not reporting pt category and a statement on thickness and ulceration and for PT1, mitotic rate (e.g., negative skin biopsies in a patient with a history of melanoma or other documented medical reasons)"
G9293,Additional Assorted Quality Measures,"Pathology report does not include the pt category and a statement on thickness and ulceration and for PT1, mitotic rate"
G9294,Additional Assorted Quality Measures,"Pathology report includes the pt category and a statement on thickness and ulceration and for PT1, mitotic rate"
G9295,Additional Assorted Quality Measures,Specimen site other than anatomic cutaneous location
G9296,Additional Assorted Quality Measures,"Patients with documented shared decision-making including discussion of conservative (non-surgical) therapy (e.g., nsaids, analgesics, weight loss, exercise, injections) prior to the procedure"
G9297,Additional Assorted Quality Measures,"Shared decision-making including discussion of conservative (non-surgical) therapy (e.g., nsaids, analgesics, weight loss, exercise, injections) prior to the procedure, not documented, reason not given"
G9298,Additional Assorted Quality Measures,"Patients who are evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g. history of DVT, PE, MI, arrhythmia and stroke)"
G9299,Additional Assorted Quality Measures,"Patients who are not evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke, reason not given)"
G9305,Additional Assorted Quality Measures,Intervention for presence of leak of endoluminal contents through an anastomosis not required
G9306,Additional Assorted Quality Measures,Intervention for presence of leak of endoluminal contents through an anastomosis required
G9307,Additional Assorted Quality Measures,"No return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure"
G9308,Additional Assorted Quality Measures,"Unplanned return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure"
G9309,Additional Assorted Quality Measures,No unplanned hospital readmission within 30 days of principal procedure
G9310,Additional Assorted Quality Measures,Unplanned hospital readmission within 30 days of principal procedure
G9311,Additional Assorted Quality Measures,No surgical site infection
G9312,Additional Assorted Quality Measures,Surgical site infection
G9313,Additional Assorted Quality Measures,"Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis for documented reason"
G9314,Additional Assorted Quality Measures,"Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis, reason not given"
G9315,Additional Assorted Quality Measures,"Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis"
G9316,Additional Assorted Quality Measures,"Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family"
G9317,Additional Assorted Quality Measures,"Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family not completed"
G9318,Additional Assorted Quality Measures,Imaging study named according to standardized nomenclature
G9319,Additional Assorted Quality Measures,"Imaging study not named according to standardized nomenclature, reason not given"
G9321,Additional Assorted Quality Measures,Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study
G9322,Additional Assorted Quality Measures,"Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given"
G9341,Additional Assorted Quality Measures,"Search conducted 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 prior to an imaging study being performed"
G9342,Additional Assorted Quality Measures,"Search 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 given"
G9344,Additional Assorted Quality Measures,"Due to system reasons search not conducted 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., non-affiliated external healthcare facilities or entities does not have archival abilities through a shared archival system)"
G9345,Additional Assorted Quality Measures,"Follow-up recommendations documented according to recommended guidelines for incidentally detected pulmonary nodules (e.g., follow-up CT imaging studies needed or that no follow-up is needed) based at a minimum on nodule size and patient risk factors"
G9347,Additional Assorted Quality Measures,"Follow-up recommendations not documented according to recommended guidelines for incidentally detected pulmonary nodules, reason not given"
G9351,Additional Assorted Quality Measures,More than one CT scan of the paranasal sinuses ordered or received within 90 days after diagnosis
G9352,Additional Assorted Quality Measures,"More than one CT scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis, reason not given"
G9353,Additional Assorted Quality Measures,"More than one CT scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (e.g., patients with complications, second CT obtained prior to surgery, other medical reasons)"
G9354,Additional Assorted Quality Measures,One CT scan or no CT scan of the paranasal sinuses ordered within 90 days after the date of diagnosis
G9355,Additional Assorted Quality Measures,Elective delivery (without medical indication) by cesarean birth or induction of labor not performed (<39 weeks of gestation)
G9356,Additional Assorted Quality Measures,Elective delivery (without medical indication) by cesarean birth or induction of labor performed (<39 weeks of gestation)
G9357,Additional Assorted Quality Measures,"Post-partum screenings, evaluations and education performed"
G9358,Additional Assorted Quality Measures,"Post-partum screenings, evaluations and education not performed"
G9361,Additional Assorted Quality Measures,"Medical indication for delivery by cesarean birth or induction of labor (<39 weeks of gestation) [documentation of reason(s) for elective delivery (e.g., hemorrhage and placental complications, hypertension, preeclampsia and eclampsia, rupture of membranes (premature or prolonged), maternal conditions complicating pregnancy/delivery, fetal conditions complicating pregnancy/delivery, late pregnancy, prior uterine surgery, or participation in clinical trial)]"
G9364,Additional Assorted Quality Measures,"Sinusitis caused by, or presumed to be caused by, bacterial infection"
G9367,Additional Assorted Quality Measures,At least two orders for high-risk medications from the same drug class
G9368,Additional Assorted Quality Measures,At least two orders for high-risk medications from the same drug class not ordered
G9380,Additional Assorted Quality Measures,Patient offered assistance with end of life issues or existing end of life plan was reviewed or updated during the measurement period
G9382,Additional Assorted Quality Measures,Patient not offered assistance with end of life issues or existing end of life plan was not reviewed or updated during the measurement period
G9383,Additional Assorted Quality Measures,Patient received screening for HCV infection within the 12 month reporting period
G9384,Additional Assorted Quality Measures,"Documentation of medical reason(s) for not receiving annual screening for HCV infection (e.g., decompensated cirrhosis indicating advanced disease [i.e., ascites, esophageal variceal bleeding, hepatic encephalopathy], hepatocellular carcinoma, waitlist for organ transplant, limited life expectancy, other medical reasons)"
G9385,Additional Assorted Quality Measures,"Documentation of patient reason(s) for not receiving annual screening for HCV infection (e.g., patient declined, other patient reasons)"
G9386,Additional Assorted Quality Measures,"Screening for HCV infection not received within the 12 month reporting period, reason not given"
G9393,Additional Assorted Quality Measures,Patient with an initial PHQ-9 score greater than nine who achieves remission at twelve months as demonstrated by a twelve month (+/- 30 days) PHQ-9 score of less than five
G9394,Additional Assorted Quality Measures,"Patient who had a diagnosis of bipolar disorder or personality disorder, death, permanent nursing home resident or receiving hospice or palliative care any time during the measurement or assessment period"
G9395,Additional Assorted Quality Measures,Patient with an initial PHQ-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) PHQ-9 score greater than or equal to five
G9396,Additional Assorted Quality Measures,Patient with an initial PHQ-9 score greater than nine who was not assessed for remission at twelve months (+/- 30 days)
G9408,Additional Assorted Quality Measures,Patients with cardiac tamponade and/or pericardiocentesis occurring within 30 days
G9409,Additional Assorted Quality Measures,Patients without cardiac tamponade and/or pericardiocentesis occurring within 30 days
G9410,Additional Assorted Quality Measures,"Patient admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision"
G9411,Additional Assorted Quality Measures,"Patient not admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision"
G9412,Additional Assorted Quality Measures,"Patient admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision"
G9413,Additional Assorted Quality Measures,"Patient not admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision"
G9414,Additional Assorted Quality Measures,"Patient had one dose of meningococcal vaccine (serogroups a, c, w, y) on or between the patient's 11th and 13th birthdays"
G9415,Additional Assorted Quality Measures,"Patient did not have one dose of meningococcal vaccine (serogroups a, c, w, y) on or between the patient's 11th and 13th birthdays"
G9416,Additional Assorted Quality Measures,"Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (TDAP) on or between the patient's 10th and 13th birthdays"
G9417,Additional Assorted Quality Measures,"Patient did not have one tetanus, diphtheria toxoids and acellular pertussis vaccine (TDAP) on or between the patient's 10th and 13th birthdays"
G9418,Additional Assorted Quality Measures,Primary non-small cell lung cancer lung biopsy and cytology specimen report documents classification into specific histologic type following iaslc guidance or classified as nsclc-nos with an explanation
G9419,Additional Assorted Quality Measures,"Documentation 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)"
G9420,Additional Assorted Quality Measures,Specimen site other than anatomic location of lung or is not classified as primary non-small cell lung cancer
G9421,Additional Assorted Quality Measures,Primary non-small cell lung cancer lung biopsy and cytology specimen report does not document classification into specific histologic type or histologic type does not follow iaslc guidance or is classified as nsclc-nos but without an explanation
G9422,Additional Assorted Quality Measures,"Primary lung carcinoma resection report documents pt category, pn category and for non-small cell lung cancer, histologic type (e.g., squamous cell carcinoma, adenocarcinoma and not nsclc-nos)"
G9423,Additional Assorted Quality Measures,"Documentation of medical reason for not including pt category, pn category and histologic type [for patient with appropriate exclusion criteria (e.g., metastatic disease, benign tumors, malignant tumors other than carcinomas, inadequate surgical specimens)]"
G9424,Additional Assorted Quality Measures,"Specimen site other than anatomic location of lung, is not classified as non-small cell lung cancer or classified as NSCLC-NOS"
G9425,Additional Assorted Quality Measures,"Primary lung carcinoma resection report does not document pt category, pn category and for non-small cell lung cancer, histologic type (e.g., squamous cell carcinoma, adenocarcinoma)"
G9426,Additional Assorted Quality Measures,Improvement in median time from ED arrival to initial ED oral or parenteral pain medication administration performed for ED admitted patients
G9427,Additional Assorted Quality Measures,Improvement in median time from ED arrival to initial ED oral or parenteral pain medication administration not performed for ED admitted patients
G9428,Additional Assorted Quality Measures,"Pathology report includes the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors"
G9429,Additional Assorted Quality Measures,"Documentation of medical reason(s) for not including pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors (e.g., negative skin biopsies, insufficient tissue, or other documented medical reasons)"
G9430,Additional Assorted Quality Measures,Specimen site other than anatomic cutaneous location
G9431,Additional Assorted Quality Measures,"Pathology report does not include the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors"
G9432,Additional Assorted Quality Measures,"Asthma well-controlled based on the ACT, C-ACT, ACQ, or ATAQ score and results documented"
G9434,Additional Assorted Quality Measures,"Asthma not well-controlled based on the ACT, C-ACT, ACQ, or ATAQ score, or specified asthma control tool not used, reason not given"
G9452,Additional Assorted Quality Measures,Documentation of medical reason(s) for not receiving hcv antibody test due to limited life expectancy
G9455,Additional Assorted Quality Measures,"Patient underwent abdominal imaging with ultrasound, contrast enhanced CT or contrast MRI for HCC"
G9456,Additional Assorted Quality Measures,"Documentation of medical or patient reason(s) for not ordering or performing screening for HCC. medical reason: comorbid medical conditions with expected survival < 5 years, hepatic decompensation and not a candidate for liver transplantation, or other medical reasons; patient reasons: patient declined or other patient reasons (e.g., cost of tests, time related to accessing testing equipment)"
G9457,Additional Assorted Quality Measures,Patient did not undergo abdominal imaging and did not have a documented reason for not undergoing abdominal imaging in the submission period
G9468,Additional Assorted Quality Measures,Patient 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 600 mg prednisone or greater for all fills
G9470,Additional Assorted Quality Measures,Patients 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 fills
G9471,Additional Assorted Quality Measures,"Within the past 2 years, central dual-energy X-ray absorptiometry (DXA) not ordered or documented"
G9473,Additional Assorted Quality Measures,"Services performed by chaplain in the hospice setting, each 15 minutes"
G9474,Additional Assorted Quality Measures,"Services performed by dietary counselor in the hospice setting, each 15 minutes"
G9475,Additional Assorted Quality Measures,"Services performed by other counselor in the hospice setting, each 15 minutes"
G9476,Additional Assorted Quality Measures,"Services performed by volunteer in the hospice setting, each 15 minutes"
G9477,Additional Assorted Quality Measures,"Services performed by care coordinator in the hospice setting, each 15 minutes"
G9478,Additional Assorted Quality Measures,"Services performed by other qualified therapist in the hospice setting, each 15 minutes"
G9479,Additional Assorted Quality Measures,"Services performed by qualified pharmacist in the hospice setting, each 15 minutes"
G9480,Additional Assorted Quality Measures,Admission to medicare care choice model program (MCCM)
G9481,Additional Assorted Quality Measures,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, 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"
G9482,Additional Assorted Quality Measures,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; 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 of low to moderate severity. typically, 20 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
G9483,Additional Assorted Quality Measures,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low 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 severity. typically, 30 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
G9484,Additional Assorted Quality Measures,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a comprehensive history; a comprehensive 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, 45 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
G9485,Additional Assorted Quality Measures,"Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, 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"
G9486,Additional Assorted Quality Measures,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a problem focused history; a problem focused examination; 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"
G9487,Additional Assorted Quality Measures,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low 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 low to moderate severity. typically, 15 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
G9488,Additional Assorted Quality Measures,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, 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"
G9489,Additional Assorted Quality Measures,"Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 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, 40 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology"
G9490,Additional Assorted Quality Measures,"CMS innovation center models, home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services. (for use only in medicare-approved cms innovation center models); may not be billed for a 30 day period covered by a transitional care management code"
G9497,Additional Assorted Quality Measures,Received instruction from the anesthesiologist or proxy prior to the day of surgery to abstain from smoking on the day of surgery
G9498,Additional Assorted Quality Measures,Antibiotic regimen prescribed
G9500,Additional Assorted Quality Measures,Radiation exposure indices documented in final report for procedure using fluoroscopy
G9501,Additional Assorted Quality Measures,"Radiation exposure indices not documented in final report for procedure using fluoroscopy, reason not given"
G9502,Additional Assorted Quality Measures,"Documentation 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)"
G9504,Additional Assorted Quality Measures,"Documented reason for not assessing hepatitis B virus (HBV) status (e.g., patient not initiating anti-TNF therapy, patient declined) prior to initiating anti-TNF therapy"
G9505,Additional Assorted Quality Measures,Antibiotic regimen prescribed within 10 days after onset of symptoms for documented medical reason
G9507,Additional Assorted Quality Measures,"Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (HIV protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs)"
G9508,Additional Assorted Quality Measures,Documentation that the patient is not on a statin medication
G9509,Additional Assorted Quality Measures,Adult patients 18 years of age or older with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5
G9510,Additional Assorted Quality Measures,Adult patients 18 years of age or older 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 5
G9511,Additional Assorted Quality Measures,Index event date phq-9 or phq-9m score greater than 9 documented during the twelve month denominator identification period
G9512,Additional Assorted Quality Measures,Individual had a PDC of 0.8 or greater
G9513,Additional Assorted Quality Measures,Individual did not have a PDC of 0.8 or greater
G9514,Additional Assorted Quality Measures,Patient required a return to the operating room within 90 days of surgery
G9515,Additional Assorted Quality Measures,Patient did not require a return to the operating room within 90 days of surgery
G9516,Additional Assorted Quality Measures,"Patient achieved an improvement in visual acuity, from their preoperative level, within 90 days of surgery"
G9517,Additional Assorted Quality Measures,"Patient did not achieve an improvement in visual acuity, from their preoperative level, within 90 days of surgery, reason not given"
G9518,Additional Assorted Quality Measures,Documentation of active injection drug use
G9519,Additional Assorted Quality Measures,Patient achieves final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery
G9520,Additional Assorted Quality Measures,Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery
G9521,Additional Assorted Quality Measures,Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months
G9522,Additional Assorted Quality Measures,"Total number of emergency department visits and inpatient hospitalizations equal to or greater than two in the past 12 months or patient not screened, reason not given"
G9529,Additional Assorted Quality Measures,Patient with minor blunt head trauma had an appropriate indication(s) for a head CT
G9530,Additional Assorted Quality Measures,Patient presented with a minor blunt head trauma  and had a head ct ordered for trauma by an emergency care provider
G9531,Additional Assorted Quality Measures,"Patient has documentation of ventricular shunt, brain tumor, multisystem trauma, or is currently taking an antiplatelet medication including: abciximab, anagrelide, cangrelor, cilostazol, clopidogrel, dipyridamole, eptifibatide, prasugrel, ticlopidine, ticagrelor, tirofiban, or vorapaxar"
G9533,Additional Assorted Quality Measures,Patient with minor blunt head trauma did not have an appropriate indication(s) for a head CT
G9537,Additional Assorted Quality Measures,Imaging needed as part of a clinical trial; or other clinician ordered the study
G9539,Additional Assorted Quality Measures,Intent for potential removal at time of placement
G9540,Additional Assorted Quality Measures,Patient alive 3 months post procedure
G9541,Additional Assorted Quality Measures,Filter removed within 3 months of placement
G9542,Additional Assorted Quality Measures,Documented re-assessment for the appropriateness of filter removal within 3 months of placement
G9543,Additional Assorted Quality Measures,Documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement
G9544,Additional Assorted Quality Measures,"Patients that do not have the filter removed, documented re-assessment for the appropriateness of filter removal, or documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement"
G9547,Additional Assorted Quality Measures,"Cystic renal lesion that is simple appearing (bosniak i or ii) , or adrenal lesion less than or equal to 1.0 cm or adrenal lesion greater than 1.0 cm but less than or equal to 4.0 cm classified as likely benign by unenhanced ct or washout protocol ct, or mri with in- and opposed-phase sequences or other equivalent institutional imaging protocols"
G9548,Additional Assorted Quality Measures,Final reports for imaging studies stating no follow-up imaging is recommended
G9549,Additional Assorted Quality Measures,"Documentation of medical reason(s) that follow-up imaging is indicated (e.g., patient has lymphadenopathy, signs of metastasis or an active diagnosis or history of cancer, and other medical reason(s))"
G9550,Additional Assorted Quality Measures,"Final reports for imaging studies with follow-up imaging recommended, or final reports that do not include a specific recommendation of no follow-up"
G9551,Additional Assorted Quality Measures,Final reports for imaging studies without an incidentally found lesion noted
G9552,Additional Assorted Quality Measures,Incidental thyroid nodule < 1.0 cm noted in report
G9553,Additional Assorted Quality Measures,Prior thyroid disease diagnosis
G9554,Additional Assorted Quality Measures,"Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging recommended"
G9555,Additional Assorted Quality Measures,"Documentation of medical reason(s) for recommending follow up imaging (e.g., patient has multiple endocrine neoplasia, patient has cervical lymphadenopathy, other medical reason(s))"
G9556,Additional Assorted Quality Measures,"Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging not recommended"
G9557,Additional Assorted Quality Measures,"Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found"
G9580,Additional Assorted Quality Measures,Door to puncture time of 90 minutes or less
G9582,Additional Assorted Quality Measures,"Door to puncture time of greater than 90 minutes, no reason given"
G9593,Additional Assorted Quality Measures,Pediatric patient with minor blunt head trauma classified as low risk according to the pecarn prediction rules
G9594,Additional Assorted Quality Measures,Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider
G9595,Additional Assorted Quality Measures,"Patient has documentation of ventricular shunt, brain tumor, or coagulopathy"
G9597,Additional Assorted Quality Measures,Pediatric patient with minor blunt head trauma not classified as low risk according to the pecarn prediction rules
G9598,Additional Assorted Quality Measures,Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted CT or minor diameter on axial formatted CT
G9599,Additional Assorted Quality Measures,Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted CT or minor diameter on axial formatted CT
G9603,Additional Assorted Quality Measures,Patient survey score improved from baseline following treatment
G9604,Additional Assorted Quality Measures,Patient survey results not available
G9605,Additional Assorted Quality Measures,Patient survey score did not improve from baseline following treatment
G9606,Additional Assorted Quality Measures,Intraoperative cystoscopy performed to evaluate for lower tract injury
G9607,Additional Assorted Quality Measures,"Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in the case of patient death"
G9608,Additional Assorted Quality Measures,Intraoperative cystoscopy not performed to evaluate for lower tract injury
G9609,Additional Assorted Quality Measures,Documentation of an order for anti-platelet agents
G9610,Additional Assorted Quality Measures,Documentation of medical reason(s) in the patient's record for not ordering anti-platelet agents
G9611,Additional Assorted Quality Measures,"Order for anti-platelet agents was not documented in the patient's record, reason not given"
G9621,Additional Assorted Quality Measures,Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling
G9622,Additional Assorted Quality Measures,Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method
G9624,Additional Assorted Quality Measures,Patient not screened for unhealthy alcohol use using a systematic screening method or patient did not receive brief counseling if identified as an unhealthy alcohol user
G9625,Additional Assorted Quality Measures,Patient sustained bladder injury at the time of surgery or discovered subsequently up to 30 days post-surgery
G9626,Additional Assorted Quality Measures,"Documented medical reason for not reporting bladder injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bladder injury)"
G9627,Additional Assorted Quality Measures,Patient did not sustain bladder injury at the time of surgery nor discovered  subsequently up to 30 days post-surgery
G9628,Additional Assorted Quality Measures,Patient sustained bowel injury at the time of surgery or discovered subsequently up to 30 days  post-surgery
G9629,Additional Assorted Quality Measures,"Documented medical reasons for not reporting bowel injury (e.g., gynecologic or other pelvic malignancy documented, planned (e.g., not due to an unexpected bowel injury) resection and/or re-anastomosis of bowel, or patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bowel injury)"
G9630,Additional Assorted Quality Measures,Patient did not sustain a bowel injury at the time of surgery nor discovered subsequently up to 30 days post-surgery
G9637,Additional Assorted Quality Measures,"Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)"
G9638,Additional Assorted Quality Measures,"Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)"
G9642,Additional Assorted Quality Measures,"Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana)"
G9643,Additional Assorted Quality Measures,Elective surgery
G9644,Additional Assorted Quality Measures,Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure
G9645,Additional Assorted Quality Measures,Patients who did not abstain from smoking prior to anesthesia on the day of surgery or procedure
G9646,Additional Assorted Quality Measures,Patients with 90 day MRS score of 0 to 2
G9648,Additional Assorted Quality Measures,Patients with 90 day MRS score greater than 2
G9649,Additional Assorted Quality Measures,"Psoriasis assessment tool documented meeting any one of the specified benchmarks (e.g., (pga; 5-point or 6-point scale), body surface area (bsa), psoriasis area and severity index (pasi) and/or dermatology life quality index) (dlqi))"
G9651,Additional Assorted Quality Measures,"Psoriasis assessment tool documented not meeting any one of the specified benchmarks (e.g., (pga; 5-point or 6-point scale), body surface area (bsa), psoriasis area and severity index (pasi) and/or dermatology life quality index) (dlqi)) or psoriasis assessment tool not documented"
G9654,Additional Assorted Quality Measures,Monitored anesthesia care (MAC)
G9655,Additional Assorted Quality Measures,A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used
G9656,Additional Assorted Quality Measures,Patient transferred directly from anesthetizing location to PASU or other non-ICU location
G9658,Additional Assorted Quality Measures,A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not used
G9659,Additional Assorted Quality Measures,"Patients greater than or equal to 86 years of age who underwent a screening colonoscopy and did not have a history of colorectal cancer or other valid medical reason for the colonoscopy, including: iron deficiency anemia, lower gastrointestinal bleeding, familial adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits"
G9660,Additional Assorted Quality Measures,"Documentation of medical reason(s) for a colonoscopy performed on a patient greater than or equal to 86 years of age (e.g., iron deficiency anemia, lower gastrointestinal bleeding, familial history of adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits)"
G9661,Additional Assorted Quality Measures,"Patients greater than or equal to 86 years of age who received a  colonoscopy for an assessment of signs/symptoms of gi tract illness, and/or because the patient meets high risk criteria, and/or to follow-up on previously diagnosed advanced lesions"
G9662,Additional Assorted Quality Measures,"Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure"
G9663,Additional Assorted Quality Measures,Any ldl-c laboratory result >= 190 mg/dl
G9664,Additional Assorted Quality Measures,Patients who are currently statin therapy users or received an order (prescription) for statin therapy
G9665,Additional Assorted Quality Measures,Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy
G9674,Additional Assorted Quality Measures,Patients with clinical ASCVD diagnosis
G9675,Additional Assorted Quality Measures,Patients who have ever had a fasting or direct laboratory result of LDL-C = 190 mg/dl
G9676,Additional Assorted Quality Measures,Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an LDL-C result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period
G9679,Additional Assorted Quality Measures,This code is for onsite acute care treatment of a nursing facility resident with pneumonia; may only be billed once per day per beneficiary
G9680,Additional Assorted Quality Measures,This code is for onsite acute care treatment of a nursing facility resident with CHF; may only be billed once per day per beneficiary
G9681,Additional Assorted Quality Measures,This code is for onsite acute care treatment of a resident with COPD or asthma; may only be billed once per day per beneficiary
G9682,Additional Assorted Quality Measures,This code is for the onsite acute care treatment a nursing facility resident with a skin infection; may only be billed once per day per beneficiary
G9683,Additional Assorted Quality Measures,Facility service(s) for the onsite acute care treatment of a nursing facility resident with fluid or electrolyte disorder. (may only be billed once per day per beneficiary). this service is for a demonstration project
G9684,Additional Assorted Quality Measures,This code is for the onsite acute care treatment of a nursing facility resident for a UTI; may only be billed once per day per beneficiary
G9685,Additional Assorted Quality Measures,Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. this service is for a demonstration project
G9687,Additional Assorted Quality Measures,Hospice services provided to patient any time during the measurement period
G9688,Additional Assorted Quality Measures,Patients using hospice services any time during the measurement period
G9689,Additional Assorted Quality Measures,Patient admitted for performance of elective carotid intervention
G9690,Additional Assorted Quality Measures,Patient receiving hospice services any time during the measurement period
G9691,Additional Assorted Quality Measures,Patient had hospice services any time during the measurement period
G9692,Additional Assorted Quality Measures,Hospice services received by patient any time during the measurement period
G9693,Additional Assorted Quality Measures,Patient use of hospice services any time during the measurement period
G9694,Additional Assorted Quality Measures,Hospice services UTIlized by patient any time during the measurement period
G9695,Additional Assorted Quality Measures,Long-acting inhaled bronchodilator prescribed
G9696,Additional Assorted Quality Measures,"Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects)"
G9698,Additional Assorted Quality Measures,"Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., cost of treatment or lack of insurance)"
G9699,Additional Assorted Quality Measures,"Long-acting inhaled bronchodilator not prescribed, reason not otherwise specified"
G9700,Additional Assorted Quality Measures,Patients who use hospice services any time during the measurement period
G9702,Additional Assorted Quality Measures,Patients who use hospice services any time during the measurement period
G9703,Additional Assorted Quality Measures,Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date
G9704,Additional Assorted Quality Measures,AJCC breast cancer stage i: t1 mic or t1a documented
G9705,Additional Assorted Quality Measures,AJCC breast cancer stage i: t1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented
G9706,Additional Assorted Quality Measures,"Low (or very low) risk of recurrence, prostate cancer"
G9708,Additional Assorted Quality Measures,Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy
G9709,Additional Assorted Quality Measures,Hospice services used by patient any time during the measurement period
G9710,Additional Assorted Quality Measures,Patient was provided hospice services any time during the measurement period
G9711,Additional Assorted Quality Measures,Patients with a diagnosis or past history of total colectomy or colorectal cancer
G9712,Additional Assorted Quality Measures,"Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g., intestinal   infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis/ mastoiditis/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/UTI, acne, HIV disease/asymptomatic HIV, cystic fibrosis, disorders of the immune system, malignancy neoplasms, chronic bronchitis, emphysema, bronchiectasis, extrinsic allergic alveolitis, chronic airway obstruction, chronic obstructive asthma, pneumoconiosis and other lung disease due to external agents, other diseases of the respiratory system, and tuberculosis"
G9713,Additional Assorted Quality Measures,Patients who use hospice services any time during the measurement period
G9714,Additional Assorted Quality Measures,Patient is using hospice services any time during the measurement period
G9716,Additional Assorted Quality Measures,"Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason"
G9717,Additional Assorted Quality Measures,Documentation stating the patient has had a diagnosis of bipolar disorder
G9719,Additional Assorted Quality Measures,"Patient is not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair"
G9720,Additional Assorted Quality Measures,Hospice services for patient occurred any time during the measurement period
G9721,Additional Assorted Quality Measures,"Patient not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair"
G9722,Additional Assorted Quality Measures,"Documented history of renal failure or baseline serum creatinine >= 4.0 mg/dl; renal transplant recipients are not considered to have preoperative renal failure, unless, since transplantation the cr has been or is 4.0 or higher"
G9723,Additional Assorted Quality Measures,Hospice services for patient received any time during the measurement period
G9724,Additional Assorted Quality Measures,Patients who had documentation of use of anticoagulant medications overlapping the measurement year
G9726,Additional Assorted Quality Measures,Patient refused to participate
G9727,Additional Assorted Quality Measures,"Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available"
G9728,Additional Assorted Quality Measures,Patient refused to participate
G9729,Additional Assorted Quality Measures,"Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available"
G9730,Additional Assorted Quality Measures,Patient refused to participate
G9731,Additional Assorted Quality Measures,"Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available"
G9732,Additional Assorted Quality Measures,Patient refused to participate
G9733,Additional Assorted Quality Measures,"Patient unable to complete the low back fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available"
G9734,Additional Assorted Quality Measures,Patient refused to participate
G9735,Additional Assorted Quality Measures,"Patient unable to complete the shoulder fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available"
G9736,Additional Assorted Quality Measures,Patient refused to participate
G9737,Additional Assorted Quality Measures,"Patient unable to complete the elbow/wrist/hand fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available"
G9740,Additional Assorted Quality Measures,Hospice services given to patient any time during the measurement period
G9741,Additional Assorted Quality Measures,Patients who use hospice services any time during the measurement period
G9744,Additional Assorted Quality Measures,Patient not eligible due to active diagnosis of hypertension
G9745,Additional Assorted Quality Measures,Documented reason for not screening or recommending a follow-up for high blood pressure
G9746,Additional Assorted Quality Measures,"Patient has mitral stenosis or prosthetic heart valves or patient has transient or reversible cause of AF (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac surgery)"
G9752,Additional Assorted Quality Measures,Emergency surgery
G9753,Additional Assorted Quality Measures,"Documentation 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)"
G9754,Additional Assorted Quality Measures,A finding of an incidental pulmonary nodule
G9755,Additional Assorted Quality Measures,"Documentation of medical reason(s) for not including a recommended interval and modality for follow-up or for no follow-up, and source of recommendations (e.g., patients with unexplained fever, immunocompromised patients who are at risk for infection)"
G9756,Additional Assorted Quality Measures,Surgical procedures that included the use of silicone oil
G9757,Additional Assorted Quality Measures,Surgical procedures that included the use of silicone oil
G9758,Additional Assorted Quality Measures,Patient in hospice at any time during the measurement period
G9761,Additional Assorted Quality Measures,Patients who use hospice services any time during the measurement period
G9762,Additional Assorted Quality Measures,Patient had at least two HPV vaccines (with at least 146 days between the two) or three HPV vaccines on or between the patient's 9th and 13th birthdays
G9763,Additional Assorted Quality Measures,Patient did not have at least two HPV vaccines (with at least 146 days between the two) or three HPV vaccines on or between the patient's 9th and 13th birthdays
G9764,Additional Assorted Quality Measures,Patient has been treated with a systemic medication for psoriasis vulgaris
G9765,Additional Assorted Quality Measures,"Documentation that the patient declined change in medication or alternative therapies were unavailable, has documented contraindications, or has not been treated with a systemic medication for at least six consecutive months (e.g., experienced adverse effects or lack of efficacy with all other therapy options) in order to achieve better disease control as measured by pga, bsa, pasi, or dlqi"
G9766,Additional Assorted Quality Measures,Patients who are transferred from one institUTIon to another with a known diagnosis of CVA for endovascular stroke treatment
G9767,Additional Assorted Quality Measures,Hospitalized patients with newly diagnosed CVA considered for endovascular stroke treatment
G9768,Additional Assorted Quality Measures,Patients who UTIlize hospice services any time during the measurement period
G9769,Additional Assorted Quality Measures,Patient had a bone mineral density test in the past two years or received osteoporosis medication or therapy in the past 12 months
G9770,Additional Assorted Quality Measures,Peripheral nerve block (PNB)
G9771,Additional Assorted Quality Measures,At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time
G9772,Additional Assorted Quality Measures,"Documentation of medical reason(s) for not achieving at least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time (e.g., emergency cases, intentional hypothermia, etc.)"
G9773,Additional Assorted Quality Measures,"At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) not achieved within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time, reason not given"
G9775,Additional Assorted Quality Measures,Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively
G9776,Additional Assorted Quality Measures,"Documentation 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)"
G9777,Additional Assorted Quality Measures,Patient did not receive at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively
G9779,Additional Assorted Quality Measures,Patients who are breastfeeding at any time during the performance period
G9780,Additional Assorted Quality Measures,Patients who have a diagnosis of rhabdomyolysis at any time during the performance period
G9781,Additional Assorted Quality Measures,"Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons)"
G9782,Additional Assorted Quality Measures,History of or active diagnosis of familial hypercholesterolemia
G9784,Additional Assorted Quality Measures,Pathologists/dermatopathologists providing a second opinion on a biopsy
G9785,Additional Assorted Quality Measures,"Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or melanoma (to include in situ disease) sent from the pathologist/ dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist"
G9786,Additional Assorted Quality Measures,"Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or melanoma (to include in situ disease) was not sent from the pathologist/ dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist"
G9787,Additional Assorted Quality Measures,Patient alive as of the last day of the measurement year
G9788,Additional Assorted Quality Measures,Most recent bp is less than or equal to 140/90 mm hg
G9789,Additional Assorted Quality Measures,"Blood pressure recorded during inpatient stays, emergency room visits, or urgent care visits"
G9790,Additional Assorted Quality Measures,"Most recent bp is greater than 140/90 mm hg, or blood pressure not documented"
G9791,Additional Assorted Quality Measures,Most recent tobacco status is tobacco free
G9792,Additional Assorted Quality Measures,Most recent tobacco status is not tobacco free
G9793,Additional Assorted Quality Measures,Patient is currently on a daily aspirin or other antiplatelet
G9794,Additional Assorted Quality Measures,"Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g., history of gastrointestinal bleed, intra-cranial bleed, idiopathic thrombocytopenic purpura (ITP), gastric bypass or documentation of active anticoagulant use during the measurement period)"
G9795,Additional Assorted Quality Measures,Patient is not currently on a daily aspirin or other antiplatelet
G9796,Additional Assorted Quality Measures,Patient is currently on a statin therapy
G9797,Additional Assorted Quality Measures,Patient is not on a statin therapy
G9805,Additional Assorted Quality Measures,Patients who use hospice services any time during the measurement period
G9806,Additional Assorted Quality Measures,Patients who received cervical cytology or an HPV test
G9807,Additional Assorted Quality Measures,Patients who did not receive cervical cytology or an HPV test
G9812,Additional Assorted Quality Measures,"Patient died including all deaths occurring during the hospitalization in which the operation was performed, even if after 30 days, and those deaths occurring after discharge from the hospital, but within 30 days of the procedure"
G9813,Additional Assorted Quality Measures,Patient did not die within 30 days of the procedure or during the index hospitalization
G9818,Additional Assorted Quality Measures,Documentation of sexual activity
G9819,Additional Assorted Quality Measures,Patients who use hospice services any time during the measurement period
G9820,Additional Assorted Quality Measures,Documentation of a chlamydia screening test with proper follow-up
G9821,Additional Assorted Quality Measures,No documentation of a chlamydia screening test with proper follow-up
G9822,Additional Assorted Quality Measures,Patients who had an endometrial ablation procedure during the 12 months prior to the index date (exclusive of the index date)
G9823,Additional Assorted Quality Measures,Endometrial 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 ablation
G9824,Additional Assorted Quality Measures,Endometrial sampling or hysteroscopy with biopsy and results not documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation
G9830,Additional Assorted Quality Measures,HER-2/neu positive
G9831,Additional Assorted Quality Measures,AJCC Stage at breast cancer diagnosis = II Or III
G9832,Additional Assorted Quality Measures,"AJCC Stage at breast cancer diagnosis = I (Ia Or Ib) And t-Stage At breast cancer diagnosis does not equal = T1, T1A, T1B"
G9838,Additional Assorted Quality Measures,Patient has metastatic disease at diagnosis
G9839,Additional Assorted Quality Measures,Anti-EGFR monoclonal antibody therapy
G9840,Additional Assorted Quality Measures,RAS (KRAS and NRAS) gene mutation testing performed before initiation of anti-EGFR moab
G9841,Additional Assorted Quality Measures,RAS (KRAS and NRAS) gene mutation testing not performed before initiation of anti-EGFR moab
G9842,Additional Assorted Quality Measures,Patient has metastatic disease at diagnosis
G9843,Additional Assorted Quality Measures,RAS (KRAS and NRAS) gene mutation
G9844,Additional Assorted Quality Measures,Patient did not receive Anti-EGFR monoclonal antibody therapy
G9845,Additional Assorted Quality Measures,Patient received Anti-EGFR monoclonal antibody therapy
G9846,Additional Assorted Quality Measures,Patients who died from cancer
G9847,Additional Assorted Quality Measures,Patient received systemic cancer-directed therapy in the last 14 days of life
G9848,Additional Assorted Quality Measures,Patient did not receive systemic cancer-directed therapy in the last 14 days of life
G9858,Additional Assorted Quality Measures,Patient enrolled in hospice
G9859,Additional Assorted Quality Measures,Patients who died from cancer
G9860,Additional Assorted Quality Measures,Patient spent less than three days in hospice care
G9861,Additional Assorted Quality Measures,Patient spent greater than or equal to three days in hospice care
G9862,Additional Assorted Quality Measures,"Documentation of medical reason(s) for not recommending at least a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is = 66 years old, or life expectancy < 10 years old, other medical reasons)"
G9868,Additional Assorted Quality Measures,"Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, less than 10 minutes"
G9869,Additional Assorted Quality Measures,"Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, 10-20 minutes"
G9870,Additional Assorted Quality Measures,"Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, more than 20 minutes"
G9873,Additional Assorted Quality Measures,First Medicare Diabetes Prevention Program (MDPP) core session was attended by an MDPP beneficiary under the MDPP Expanded Model (EM).  A core session is an MDPP service that: (1)  is furnished by an MDPP supplier during months 1 through 6 of the MDPP services period; (2)  is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for core sessions
G9874,Additional Assorted Quality Measures,Four total Medicare Diabetes Prevention Program (MDPP) core sessions were attended by an MDPP beneficiary under the MDPP Expanded Model (EM).  A core session is an MDPP service that: (1)  is furnished by an MDPP supplier during months 1 through 6 of the MDPP services period; (2)  is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for core sessions.
G9875,Additional Assorted Quality Measures,Nine total Medicare Diabetes Prevention Program (MDPP) core sessions were attended by an MDPP beneficiary under the MDPP Expanded Model (EM).  A core session is an MDPP service that: (1)  is furnished by an MDPP supplier during months 1 through 6 of the MDPP services period; (2)  is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for core sessions
G9876,Additional Assorted Quality Measures,"Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP Expanded Model (EM).  A core maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 7 through 12 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions.  The beneficiary did not achieve at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 7-9."
G9877,Additional Assorted Quality Measures,"Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 10-12 under the MDPP Expanded Model (EM).  A core maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 7 through 12 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions.

The beneficiary did not achieve at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 10-12."
G9878,Additional Assorted Quality Measures,"Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP Expanded Model (EM).  A core maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 7 through 12 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions.The beneficiary achieved at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 7-9."
G9879,Additional Assorted Quality Measures,"Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 10-12 under the MDPP Expanded Model (EM).  A core maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 7 through 12 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions.The beneficiary achieved at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 10-12"
G9880,Additional Assorted Quality Measures,The MDPP beneficiary achieved at least 5% weight loss (WL) from his/her baseline weight in months 1-12 of the MDPP services period under the MDPP Expanded Model (EM).  This is a one-time payment available when a beneficiary first achieves at least 5% weight loss from baseline as measured by an in-person weight measurement at a core session or core maintenance session.
G9881,Additional Assorted Quality Measures,"The MDPP beneficiary achieved at least 9% weight loss (WL) from his/her baseline weight in months 1-24 under the MDPP Expanded Model (EM).  This is a one-time payment available when a beneficiary first achieves at least 9% weight loss from baseline as measured by an in-person weight measurement at a core session, core maintenance session, or ongoing maintenance session."
G9882,Additional Assorted Quality Measures,"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 13-15 under the MDPP Expanded Model (EM).  An ongoing maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 13 through 24 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions.The beneficiary maintained at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 13-15."
G9883,Additional Assorted Quality Measures,"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 16-18 under the MDPP Expanded Model (EM).  An ongoing maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 13 through 24 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions.

The beneficiary maintained at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 16-18."
G9884,Additional Assorted Quality Measures,"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 19-21 under the MDPP Expanded Model (EM).  An ongoing maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 13 through 24 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions. The beneficiary maintained at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 19-21."
G9885,Additional Assorted Quality Measures,"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 22-24 under the MDPP Expanded Model (EM).  An ongoing maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 13 through 24 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions.

The beneficiary maintained at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 22-24."
G9886,Additional Assorted Quality Measures,"Behavioral counseling for diabetes prevention, in-person, group, 60 minutes"
G9887,Additional Assorted Quality Measures,"Behavioral counseling for diabetes prevention, distance learning, 60 minutes"
G9888,Additional Assorted Quality Measures,Maintenance 5% wl from baseline weight in months 7-12
G9890,Additional Assorted Quality Measures,"Bridge Payment: A one-time payment for the first Medicare Diabetes Prevention Program (MDPP) core session, core maintenance session, or ongoing maintenance session furnished by an MDPP supplier to an MDPP beneficiary during months 1-24 of the MDPP Expanded Model (EM) who has previously received MDPP services from a different MDPP supplier under the MDPP Expanded Model.  A supplier may only receive one bridge payment per MDPP beneficiary."
G9891,Additional Assorted Quality Measures,MDPP session reported as a line-item on a claim for a payable MDPP Expanded Model (EM)  HCPCS code for a session furnished by the billing supplier under the MDPP Expanded Model and counting toward achievement of the attendance performance goal for the payable MDPP Expanded Model HCPCS code.(This code is for reporting purposes only).
G9894,Radiology services Prostate,Androgen deprivation therapy prescribed/administered in combination with external beam radiotherapy to the prostate
G9895,Radiology services Prostate,"Documentation of medical reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate (e.g., salvage therapy)"
G9896,Radiology services Prostate,Documentation of patient reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate
G9897,Radiology services Prostate,"Patients who were not prescribed/administered androgen deprivation therapy in combination with external beam radiotherapy to the prostate, reason not given"
G9898,Geriatric care Management,"Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period"
G9899,Breast screening/diagnostics/Therapeutics,"Screening, diagnostic, film, digital or digital breast tomosynthesis (3D) mammography results documented and reviewed"
G9900,Breast screening/diagnostics/Therapeutics,"Screening, diagnostic, film, digital or digital breast tomosynthesis (3D) mammography results were not documented and reviewed, reason not otherwise specified"
G9901,Additional Geriatric care Management,"Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period"
G9902,Tobacco Screening,Patient screened for tobacco use and identified as a tobacco user
G9903,Tobacco Screening,Patient screened for tobacco use and identified as a tobacco non-user
G9905,Tobacco Screening,Patient not screened for tobacco use
G9906,Tobacco Screening,Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
G9908,Tobacco Screening,Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
G9910,Other Geriatric care Management,"Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period"
G9911,Breast screening (Therapeutics),Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer before or after neoadjuvant systemic therapy
G9912,Anti TNF Diagnostics for HBV status,Hepatitis B virus (HBV) status assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy
G9913,Anti TNF Diagnostics for HBV status,"Hepatitis b virus (hbv) status not assessed and results interpreted prior to initiating anti-tnf (tumor necrosis factor) therapy, reason not otherwise specified"
G9914,Anti TNF Diagnostics for HBV status,Patient initiated an anti-tnf agent
G9915,Anti TNF Diagnostics for HBV status,No record of HBV results documented
G9916,Functional Status codes,Functional status performed once in the last 12 months
G9917,Functional Status codes,Documentation of advanced stage dementia and caregiver knowledge is limited
G9918,Functional Status codes,"Functional status not performed, reason not otherwise specified"
G9919,Screening,Screening performed and positive and provision of recommendations
G9920,Screening,Screening performed and negative
G9922,Screening,Safety concerns screen provided and if positive then documented mitigation recommendations
G9923,Screening,Safety concerns screen provided and negative
G9925,Screening,"Safety concerns screening not provided, reason not otherwise specified"
G9926,Screening,"Safety concerns screening positive screen is without provision of mitigation recommendations, including but not limited to referral to other resources"
G9928,Screening,"Fda-approved anticoagulant not prescribed, reason not given"
G9929,Screening,"Patient with transient or reversible cause of AF (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac surgery)"
G9930,Screening,Patients who are receiving comfort care only
G9931,Screening,"Documentation of cha2ds2-vasc risk score of 0 or 1 for men; or 0, 1, or 2 for women"
G9938,Geriatric Care Management and Other Services,"Patients aged 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the six months prior to the measurement period through december 31 of the measurement period"
G9939,Geriatric Care Management and Other Services,Pathologists/dermatopathologists is the same clinician who performed the biopsy
G9940,Geriatric Care Management and Other Services,"Documentation of medical reason(s) for not on a statin (e.g., pregnancy, in vitro fertilization, clomiphene Rx, ESRD, cirrhosis, muscular pain and disease during the measurement period or prior year)"
G9943,Pain assessment,Back pain was not measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively
G9945,Pain assessment,"Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular,  idiopathic or congenital lumbar scoliosis"
G9946,Pain assessment,Back pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively
G9949,Pain assessment,Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively
G9954,Medications (Antiemetics and Antimicrobials),Patient exhibits 2 or more risk factors for post-operative vomiting
G9955,Medications (Antiemetics and Antimicrobials),Cases in which an inhalational anesthetic is used only for induction
G9956,Medications (Antiemetics and Antimicrobials),Patient received combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively
G9957,Medications (Antiemetics and Antimicrobials),"Documentation of medical reason for not receiving combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g., intolerance or other medical reason)"
G9958,Medications (Antiemetics and Antimicrobials),Patient did not receive combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively
G9959,Medications (Antiemetics and Antimicrobials),Systemic antimicrobials not prescribed
G9960,Medications (Antiemetics and Antimicrobials),Documentation of medical reason(s) for prescribing systemic antimicrobials
G9961,Medications (Antiemetics and Antimicrobials),Systemic antimicrobials prescribed
G9962,Embolization,Embolization endpoints are documented separately for each embolized vessel and ovarian artery angiography or embolization performed in the presence of variant uterine artery anatomy
G9963,Embolization,Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine artery anatomy
G9964,"Screening, Wellness and Physician visits",Patient received at least one well-child visit with a PCP during the performance period
G9965,"Screening, Wellness and Physician visits",Patient did not receive at least one well-child visit with a PCP during the performance period
G9968,"Screening, Wellness and Physician visits",Patient was referred to another clinician or specialist during the measurement period
G9969,"Screening, Wellness and Physician visits",Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred
G9970,"Screening, Wellness and Physician visits",Clinician who referred the patient to another clinician did not receive a report from the clinician to whom the patient was referred
G9978,Remote In-House Evaluation And Management Assessment,"Remote 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 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."
G9979,Remote In-House Evaluation And Management Assessment,"Remote 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:
 An expanded problem focused history;
 An expanded problem focused examination;
 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 of low to moderate severity. Typically, 20 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology."
G9980,Remote In-House Evaluation And Management Assessment,"Remote 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 detailed history;
 A detailed examination;
 Medical decision making of low 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 severity. Typically, 30 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology."
G9981,Remote In-House Evaluation And Management Assessment,"Remote 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 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, 45 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology."
G9982,Remote In-House Evaluation And Management Assessment,"Remote 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."
G9983,Remote In-House Evaluation And Management Assessment,"Remote 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 problem focused history;
 A problem focused examination;
 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."
G9984,Remote In-House Evaluation And Management Assessment,"Remote 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:
 An expanded problem focused history;
 An expanded problem focused examination;
 Medical decision making of low 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 low to moderate severity. Typically, 15 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology."
G9985,Remote In-House Evaluation And Management Assessment,"Remote 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."
G9986,Remote In-House Evaluation And Management Assessment,"Remote 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 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, 40 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology."
G9987,Remote In-House Evaluation And Management Assessment,"Bundled Payments for Care Improvement Advanced (BPCI Advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary
connections to community and other services; for use only for a BPCI Advanced model episode of care; may not be billed for a 30-day period covered by a transitional care management code."
G9988,Palliative Care Services,Palliative care services provided to patient any time during the measurement period
G9992,Palliative Care Services,Palliative care services used by patient any time during the measurement period
G9993,Palliative Care Services,Patient was provided palliative care services any time during the measurement period
G9994,Palliative Care Services,Patient is using palliative care services any time during the measurement period
G9996,Palliative Care Services,Documentation stating the patient has received or is currently receiving palliative or hospice care
G9997,Palliative Care Services,Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter
G9998,Palliative Care Services,"Documentation of medical reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., last colonoscopy incomplete, last colonoscopy had inadequate prep, piecemeal removal of adenomas, or sessile serrated polyps >= 20 mm in size, last colonoscopy found greater than 10 adenomas, lower gastrointestinal bleeding, or patient at high risk for colon cancer due to underlying medical history ([i.e. crohn's disease, ulcerative colitis, personal or family history of colon cancer, hereditary colorectal cancer syndromes])"
G9999,Palliative Care Services,"Documentation of system reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., unable to locate previous colonoscopy report, patient cannot provide precise date or details from previous colonoscopy, previous colonoscopy report was incomplete)"
H0001,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug assessment
H0002,"Drug, Alcohol, and Behavioral Health Services",Behavioral health screening to determine eligibility for admission to treatment program
H0003,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs
H0004,"Drug, Alcohol, and Behavioral Health Services","Behavioral health counseling and therapy, per 15 minutes"
H0005,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug services; group counseling by a clinician
H0006,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug services; case management
H0007,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug services; crisis intervention (outpatient)
H0008,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug services; sub-acute detoxification (hospital inpatient)
H0009,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug services; acute detoxification (hospital inpatient)
H0010,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient)
H0011,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug services; acute detoxification (residential addiction program inpatient)
H0012,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient)
H0013,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug services; acute detoxification (residential addiction program outpatient)
H0014,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug services; ambulatory detoxification
H0015,"Drug, Alcohol, and Behavioral Health Services","Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education"
H0016,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)
H0017,"Drug, Alcohol, and Behavioral Health Services","Behavioral health; residential (hospital residential treatment program), without room and board, per diem"
H0018,"Drug, Alcohol, and Behavioral Health Services","Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem"
H0019,"Drug, Alcohol, and Behavioral Health Services","Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem"
H0020,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)
H0021,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug training service (for staff and personnel not employed by providers)
H0022,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug intervention service (planned facilitation)
H0023,"Drug, Alcohol, and Behavioral Health Services",Behavioral health outreach service (planned approach to reach a targeted population)
H0024,"Drug, Alcohol, and Behavioral Health Services",Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude)
H0025,"Drug, Alcohol, and Behavioral Health Services","Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)"
H0026,"Drug, Alcohol, and Behavioral Health Services","Alcohol and/or drug prevention process service, community-based (delivery of services to develop skills of impactors)"
H0027,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug prevention environmental service (broad range of external activities geared toward modifying systems in order to mainstream prevention through policy and law)
H0028,"Drug, Alcohol, and Behavioral Health Services","Alcohol and/or drug prevention problem identification and referral service (e.g., student assistance and employee assistance programs), does not include assessment"
H0029,"Drug, Alcohol, and Behavioral Health Services",Alcohol and/or drug prevention alternatives service (services for populations that exclude alcohol and other drug use e.g. alcohol free social events)
H0030,"Drug, Alcohol, and Behavioral Health Services",Behavioral health hotline service
H0031,Mental Health Programs and Medication Administration Training,"Mental health assessment, by non-physician"
H0032,Mental Health Programs and Medication Administration Training,Mental health service plan development by non-physician
H0033,Mental Health Programs and Medication Administration Training,"Oral medication administration, direct observation"
H0034,Mental Health Programs and Medication Administration Training,"Medication training and support, per 15 minutes"
H0035,Mental Health Programs and Medication Administration Training,"Mental health partial hospitalization, treatment, less than 24 hours"
H0036,Mental Health Programs and Medication Administration Training,"Community psychiatric supportive treatment, face-to-face, per 15 minutes"
H0037,Mental Health Programs and Medication Administration Training,"Community psychiatric supportive treatment program, per diem"
H0038,Mental Health Programs and Medication Administration Training,"Self-help/peer services, per 15 minutes"
H0039,Mental Health Programs and Medication Administration Training,"Assertive community treatment, face-to-face, per 15 minutes"
H0040,Mental Health Programs and Medication Administration Training,"Assertive community treatment program, per diem"
H0041,Foster Care,"Foster care, child, non-therapeutic, per diem"
H0042,Foster Care,"Foster care, child, non-therapeutic, per month"
H0043,Supported Housing,"Supported housing, per diem"
H0044,Supported Housing,"Supported housing, per month"
H0045,Miscellaneous Drug and Alcohol Services,"Respite care services, not in the home, per diem"
H0046,Miscellaneous Drug and Alcohol Services,"Mental health services, not otherwise specified"
H0047,Miscellaneous Drug and Alcohol Services,"Alcohol and/or other drug abuse services, not otherwise specified"
H0048,Miscellaneous Drug and Alcohol Services,"Alcohol and/or other drug testing: collection and handling only, specimens other than blood"
H0049,Miscellaneous Drug and Alcohol Services,Alcohol and/or drug screening
H0050,Miscellaneous Drug and Alcohol Services,"Alcohol and/or drug services, brief intervention, per 15 minutes"
H0051,Miscellaneous Drug and Alcohol Services,Traditional healing service
H0052,Mental Health programs for Indigenous People,Missing and murdered indigenous persons (mmip) mental health and clinical care
H0053,Mental Health programs for Indigenous People,Historical trauma (ht) mental health and clinical care for indigenous persons
H1000,Prenatal Care and Family Planning Assessment,"Prenatal care, at-risk assessment"
H1001,Prenatal Care and Family Planning Assessment,"Prenatal care, at-risk enhanced service; antepartum management"
H1002,Prenatal Care and Family Planning Assessment,"Prenatal care, at risk enhanced service; care coordination"
H1003,Prenatal Care and Family Planning Assessment,"Prenatal care, at-risk enhanced service; education"
H1004,Prenatal Care and Family Planning Assessment,"Prenatal care, at-risk enhanced service; follow-up home visit"
H1005,Prenatal Care and Family Planning Assessment,"Prenatal care, at-risk enhanced service package (includes H1001-H1004)"
H1010,Prenatal Care and Family Planning Assessment,"Non-medical family planning education, per session"
H1011,Prenatal Care and Family Planning Assessment,Family assessment by licensed behavioral health professional for state defined purposes
H2000,Other Mental Health and Community Support Services,Comprehensive multidisciplinary evaluation
H2001,Other Mental Health and Community Support Services,"Rehabilitation program, per 1/2 day"
H2010,Other Mental Health and Community Support Services,"Comprehensive medication services, per 15 minutes"
H2011,Other Mental Health and Community Support Services,"Crisis intervention service, per 15 minutes"
H2012,Other Mental Health and Community Support Services,"Behavioral health day treatment, per hour"
H2013,Other Mental Health and Community Support Services,"Psychiatric health facility service, per diem"
H2014,Other Mental Health and Community Support Services,"Skills training and development, per 15 minutes"
H2015,Other Mental Health and Community Support Services,"Comprehensive community support services, per 15 minutes"
H2016,Other Mental Health and Community Support Services,"Comprehensive community support services, per diem"
H2017,Other Mental Health and Community Support Services,"Psychosocial rehabilitation services, per 15 minutes"
H2018,Other Mental Health and Community Support Services,"Psychosocial rehabilitation services, per diem"
H2019,Other Mental Health and Community Support Services,"Therapeutic behavioral services, per 15 minutes"
H2020,Other Mental Health and Community Support Services,"Therapeutic behavioral services, per diem"
H2021,Other Mental Health and Community Support Services,"Community-based wrap-around services, per 15 minutes"
H2022,Other Mental Health and Community Support Services,"Community-based wrap-around services, per diem"
H2023,Other Mental Health and Community Support Services,"Supported employment, per 15 minutes"
H2024,Other Mental Health and Community Support Services,"Supported employment, per diem"
H2025,Other Mental Health and Community Support Services,"Ongoing support to maintain employment, per 15 minutes"
H2026,Other Mental Health and Community Support Services,"Ongoing support to maintain employment, per diem"
H2027,Other Mental Health and Community Support Services,"Psychoeducational service, per 15 minutes"
H2028,Other Mental Health and Community Support Services,"Sexual offender treatment service, per 15 minutes"
H2029,Other Mental Health and Community Support Services,"Sexual offender treatment service, per diem"
H2030,Other Mental Health and Community Support Services,"Mental health clubhouse services, per 15 minutes"
H2031,Other Mental Health and Community Support Services,"Mental health clubhouse services, per diem"
H2032,Other Mental Health and Community Support Services,"Activity therapy, per 15 minutes"
H2033,Other Mental Health and Community Support Services,"Multisystemic therapy for juveniles, per 15 minutes"
H2034,Other Mental Health and Community Support Services,"Alcohol and/or drug abuse halfway house services, per diem"
H2035,Other Mental Health and Community Support Services,"Alcohol and/or other drug treatment program, per hour"
H2036,Other Mental Health and Community Support Services,"Alcohol and/or other drug treatment program, per diem"
H2037,Other Mental Health and Community Support Services,"Developmental delay prevention activities, dependent child of client, per 15 minutes"
H2038,Other Mental Health and Community Support Services,"Skills training and development, per diem"
H2040,Other Mental Health and Community Support Services,"Coordinated specialty care, team-based, for first episode psychosis, per month"
H2041,Other Mental Health and Community Support Services,"Coordinated specialty care, team-based, for first episode psychosis, per encounter"
J0120,"Drugs, Administered by Injection","Injection, tetracycline, up to 250 mg"
J0121,"Drugs, Administered by Injection","Injection, omadacycline, 1 mg"
J0122,"Drugs, Administered by Injection","Injection, eravacycline, 1 mg"
J0129,"Drugs, Administered by Injection","Injection, abatacept, 10 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)"
J0130,"Drugs, Administered by Injection","Injection abciximab, 10 mg"
J0131,"Drugs, Administered by Injection","Injection, acetaminophen, not otherwise specified,10 mg"
J0132,"Drugs, Administered by Injection","Injection, acetylcysteine, 100 mg"
J0133,"Drugs, Administered by Injection","Injection, acyclovir, 5 mg"
J0134,"Drugs, Administered by Injection","Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg"
J0136,"Drugs, Administered by Injection","Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg"
J0137,"Drugs, Administered by Injection","Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg"
J0138,"Drugs, Administered by Injection","Injection, acetaminophen 10 mg and ibuprofen 3 mg"
J0139,"Drugs, Administered by Injection","Injection, adalimumab, 1 mg"
J0153,"Drugs, Administered by Injection","Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)"
J0171,"Drugs, Administered by Injection","Injection, Adrenalin, epinephrine, 0.1 mg"
J0172,"Drugs, Administered by Injection","Injection, aducanumab-avwa, 2 mg"
J0173,"Drugs, Administered by Injection","Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg"
J0174,"Drugs, Administered by Injection","Injection, lecanemab-irmb, 1 mg"
J0175,"Drugs, Administered by Injection","Injection, donanemab-azbt, 2 mg"
J0177,"Drugs, Administered by Injection","Injection, aflibercept hd, 1 mg"
J0178,"Drugs, Administered by Injection","Injection, aflibercept, 1 mg"
J0179,"Drugs, Administered by Injection","Injection, brolucizumab-dbll, 1 mg"
J0180,"Drugs, Administered by Injection","Injection, agalsidase beta, 1 mg"
J0184,"Drugs, Administered by Injection","Injection, amisulpride, 1 mg"
J0185,"Drugs, Administered by Injection","Injection, aprepitant, 1 mg"
J0190,"Drugs, Administered by Injection","Injection, biperiden lactate, per 5 mg"
J0200,"Drugs, Administered by Injection","Injection, alatrofloxacin mesylate, 100 mg"
J0202,"Drugs, Administered by Injection","Injection, alemtuzumab, 1 mg"
J0205,"Drugs, Administered by Injection","Injection, alglucerase, per 10 units"
J0206,"Drugs, Administered by Injection","Injection, allopurinol sodium, 1 mg"
J0207,"Drugs, Administered by Injection","Injection, amifostine, 500 mg"
J0208,"Drugs, Administered by Injection","Injection, sodium thiosulfate (pedmark), 100 mg"
J0209,"Drugs, Administered by Injection","Injection, sodium thiosulfate (hope), 100 mg"
J0210,"Drugs, Administered by Injection","Injection, methyldopate HCl, up to 250 mg"
J0211,"Drugs, Administered by Injection","Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote)"
J0215,"Drugs, Administered by Injection","Injection, alefacept, 0.5 mg"
J0216,"Drugs, Administered by Injection","Injection, alfentanil hydrochloride, 500 micrograms"
J0217,"Drugs, Administered by Injection","Injection, velmanase alfa-tycv, 1 mg"
J0218,"Drugs, Administered by Injection","Injection, olipudase alfa-rpcp, 1 mg"
J0219,"Drugs, Administered by Injection","Injection, avalglucosidase alfa-ngpt, 4 mg"
J0220,"Drugs, Administered by Injection","Injection, alglucosidase alfa, 10 mg, not otherwise specified"
J0221,"Drugs, Administered by Injection","Injection, alglucosidase alfa, (Lumizyme), 10 mg"
J0222,"Drugs, Administered by Injection","Injection, Patisiran, 0.1 mg"
J0223,"Drugs, Administered by Injection","Injection, givosiran, 0.5 mg"
J0224,"Drugs, Administered by Injection","Injection, lumasiran, 0.5 mg"
J0225,"Drugs, Administered by Injection","Injection, vutrisiran, 1 mg"
J0248,"Drugs, Administered by Injection","Injection, remdesivir, 1 mg"
J0256,"Drugs, Administered by Injection","Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg"
J0257,"Drugs, Administered by Injection","Injection, alpha 1 proteinase inhibitor (human), (GLASSIA), 10 mg"
J0270,"Drugs, Administered by Injection","Injection, alprostadil, 1.25 mcg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)"
J0275,"Drugs, Administered by Injection","Alprostadil 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)"
J0278,"Drugs, Administered by Injection","Injection, amikacin sulfate, 100 mg"
J0280,"Drugs, Administered by Injection","Injection, aminophyllin, up to 250 mg"
J0282,"Drugs, Administered by Injection","Injection, amiodarone hydrochloride, 30 mg"
J0283,"Drugs, Administered by Injection","Injection, amiodarone hydrochloride (nexterone), 30 mg"
J0285,"Drugs, Administered by Injection","Injection, amphotericin B, 50 mg"
J0287,"Drugs, Administered by Injection","Injection, amphotericin B lipid complex, 10 mg"
J0288,"Drugs, Administered by Injection","Injection, amphotericin B cholesteryl sulfate complex, 10 mg"
J0289,"Drugs, Administered by Injection","Injection, amphotericin B liposome, 10 mg"
J0290,"Drugs, Administered by Injection","Injection, ampicillin sodium, 500 mg"
J0291,"Drugs, Administered by Injection","Injection, plazomicin, 5 mg"
J0295,"Drugs, Administered by Injection","Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm"
J0300,"Drugs, Administered by Injection","Injection, amobarbital, up to 125 mg"
J0330,"Drugs, Administered by Injection","Injection, succinylcholine chloride, up to 20 mg"
J0348,"Drugs, Administered by Injection","Injection, anidulafungin, 1 mg"
J0349,"Drugs, Administered by Injection","Injection, rezafungin, 1 mg"
J0350,"Drugs, Administered by Injection","Injection, anistreplase, per 30 units"
J0360,"Drugs, Administered by Injection","Injection, hydralazine HCl, up to 20 mg"
J0364,"Drugs, Administered by Injection","Injection, apomorphine hydrochloride, 1 mg"
J0365,"Drugs, Administered by Injection","Injection, aprotinin, 10, 000 kiu"
J0380,"Drugs, Administered by Injection","Injection, metaraminol bitartrate, per 10 mg"
J0390,"Drugs, Administered by Injection","Injection, chloroquine hydrochloride, up to 250 mg"
J0391,"Drugs, Administered by Injection","Injection, artesunate, 1 mg"
J0395,"Drugs, Administered by Injection","Injection, arbutamine HCl, 1 mg"
J0400,"Drugs, Administered by Injection","Injection, aripiprazole, intramuscular, 0.25 mg"
J0401,"Drugs, Administered by Injection","Injection, aripiprazole (abilify maintena), 1 mg"
J0402,"Drugs, Administered by Injection","Injection, aripiprazole (abilify asimtufii), 1 mg"
J0456,"Drugs, Administered by Injection","Injection, azithromycin, 500 mg"
J0457,"Drugs, Administered by Injection","Injection, aztreonam, 100 mg"
J0461,"Drugs, Administered by Injection","Injection, atropine sulfate, 0.01 mg"
J0470,"Drugs, Administered by Injection","Injection, dimercaprol, per 100 mg"
J0475,"Drugs, Administered by Injection","Injection, baclofen, 10 mg"
J0476,"Drugs, Administered by Injection","Injection, baclofen, 50 mcg for intrathecal trial"
J0480,"Drugs, Administered by Injection","Injection, basiliximab, 20 mg"
J0485,"Drugs, Administered by Injection","Injection, belatacept, 1 mg"
J0490,"Drugs, Administered by Injection","Injection, belimumab, 10 mg"
J0491,"Drugs, Administered by Injection","Injection, anifrolumab-fnia, 1 mg"
J0500,"Drugs, Administered by Injection","Injection, dicyclomine HCl, up to 20 mg"
J0515,"Drugs, Administered by Injection","Injection, benztropine mesylate, per 1 mg"
J0517,"Drugs, Administered by Injection","Injection, benralizumab, 1 mg"
J0520,"Drugs, Administered by Injection","Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg"
J0558,"Drugs, Administered by Injection","Injection, penicillin G benzathine and penicillin G procaine, 100, 000 units"
J0561,"Drugs, Administered by Injection","Injection, penicillin G benzathine, 100, 000 units"
J0565,"Drugs, Administered by Injection","Injection, bezlotoxumab, 10 mg"
J0567,"Drugs, Administered by Injection","Injection, cerliponase alfa, 1 mg"
J0571,"Drugs, Administered by Injection","Buprenorphine, oral, 1 mg"
J0572,"Drugs, Administered by Injection","Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine"
J0573,"Drugs, Administered by Injection","Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine"
J0574,"Drugs, Administered by Injection","Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine"
J0575,"Drugs, Administered by Injection","Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine"
J0577,"Drugs, Administered by Injection","Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy"
J0578,"Drugs, Administered by Injection","Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy"
J0583,"Drugs, Administered by Injection","Injection, bivalirudin, 1 mg"
J0584,"Drugs, Administered by Injection","Injection, burosumab-twza 1 mg"
J0585,"Drugs, Administered by Injection","Injection, onabotulinumtoxinA, 1 unit"
J0586,"Drugs, Administered by Injection","Injection, abobotulinumtoxinA, 5 Units"
J0587,"Drugs, Administered by Injection","Injection, rimabotulinumtoxinB, 100 units"
J0588,"Drugs, Administered by Injection","Injection, incobotulinumtoxinA, 1 unit"
J0589,"Drugs, Administered by Injection","Injection, daxibotulinumtoxina-lanm, 1 unit"
J0591,"Drugs, Administered by Injection","Injection, deoxycholic acid, 1 mg"
J0592,"Drugs, Administered by Injection","Injection, buprenorphine hydrochloride, 0.1 mg"
J0593,"Drugs, Administered by Injection","Injection, lanadelumab-flyo, 1 mg (code may be used for Medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered)"
J0594,"Drugs, Administered by Injection","Injection, Busulfan, 1 mg"
J0595,"Drugs, Administered by Injection","Injection, butorphanol tartrate, 1 mg"
J0596,"Drugs, Administered by Injection","Injection, C1 esterase inhibitor (recombinant), ruconest, 10 units"
J0597,"Drugs, Administered by Injection","Injection, C-1 esterase inhibitor (human), Berinert, 10 units"
J0598,"Drugs, Administered by Injection","Injection, C-1 esterase inhibitor (human), Cinryze, 10 units"
J0599,"Drugs, Administered by Injection","Injection, c-1 esterase inhibitor (human), (haegarda), 10 units"
J0600,"Drugs, Administered by Injection","Injection, edetate calcium disodium, up to 1000 mg"
J0601,"Drugs, Administered by Injection","Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)"
J0602,"Drugs, Administered by Injection","Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis)"
J0603,"Drugs, Administered by Injection","Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)"
J0604,"Drugs, Administered by Injection","Cinacalcet, oral, 1 mg, (for ESRD on dialysis)"
J0605,"Drugs, Administered by Injection","Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis)"
J0606,"Drugs, Administered by Injection","Injection, etelcalcetide, 0.1 mg"
J0607,"Drugs, Administered by Injection","Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)"
J0608,"Drugs, Administered by Injection","Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis)"
J0609,"Drugs, Administered by Injection","Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis)"
J0612,"Drugs, Administered by Injection","Injection, calcium gluconate, not otherwise specified, 10 mg"
J0613,"Drugs, Administered by Injection","Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg"
J0615,"Drugs, Administered by Injection","Calcium acetate, oral, 23 mg (for esrd on dialysis)"
J0620,"Drugs, Administered by Injection","Injection, calcium glycerophosphate and calcium lactate, per 10 ml"
J0630,"Drugs, Administered by Injection","Injection, calcitonin salmon, up to 400 units"
J0636,"Drugs, Administered by Injection","Injection, calcitriol, 0.1 mcg"
J0637,"Drugs, Administered by Injection","Injection, caspofungin acetate, 5 mg"
J0638,"Drugs, Administered by Injection","Injection, canakinumab, 1 mg"
J0640,"Drugs, Administered by Injection","Injection, leucovorin calcium, per 50 mg"
J0641,"Drugs, Administered by Injection","Injection, levoleucovorin, not otherwise specified, 0.5 mg"
J0642,"Drugs, Administered by Injection","Injection, levoleucovorin (khapzory), 0.5 mg"
J0650,"Drugs, Administered by Injection","Injection, levothyroxine sodium, not otherwise specified, 10 mcg"
J0651,"Drugs, Administered by Injection","Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg"
J0652,"Drugs, Administered by Injection","Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg"
J0665,"Drugs, Administered by Injection","Injection, bupivicaine, not otherwise specified, 0.5 mg"
J0666,"Drugs, Administered by Injection","Injection, bupivacaine liposome, 1 mg"
J0670,"Drugs, Administered by Injection","Injection, mepivacaine hydrochloride, per 10 ml"
J0687,"Drugs, Administered by Injection","Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg"
J0688,"Drugs, Administered by Injection","Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg"
J0689,"Drugs, Administered by Injection","Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg"
J0690,"Drugs, Administered by Injection","Injection, cefazolin sodium, 500 mg"
J0691,"Drugs, Administered by Injection","Injection, lefamulin, 1 mg"
J0692,"Drugs, Administered by Injection","Injection, cefepime hydrochloride, 500 mg"
J0694,"Drugs, Administered by Injection","Injection, cefoxitin sodium, 1 gm"
J0695,"Drugs, Administered by Injection","Injection, ceftolozane 50 mg and tazobactam 25 mg"
J0696,"Drugs, Administered by Injection","Injection, ceftriaxone sodium, per 250 mg"
J0697,"Drugs, Administered by Injection","Injection, sterile cefuroxime sodium, per 750 mg"
J0698,"Drugs, Administered by Injection","Injection, cefotaxime sodium, per gm"
J0699,"Drugs, Administered by Injection","Injection, cefiderocol, 10 mg"
J0701,"Drugs, Administered by Injection","Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg"
J0702,"Drugs, Administered by Injection","Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg"
J0703,"Drugs, Administered by Injection","Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg"
J0706,"Drugs, Administered by Injection","Injection, Caffeine Citrate, 5 mg"
J0710,"Drugs, Administered by Injection","Injection, cephapirin sodium, up to 1 gm"
J0712,"Drugs, Administered by Injection","Injection, ceftaroline fosamil, 10 mg"
J0713,"Drugs, Administered by Injection","Injection, ceftazidime, per 500 mg"
J0714,"Drugs, Administered by Injection","Injection, ceftazidime and avibactam, 0.5 g/0.125 g"
J0715,"Drugs, Administered by Injection","Injection, ceftizoxime sodium, per 500 mg"
J0716,"Drugs, Administered by Injection","Injection, centruroides immune f(ab)2, up to 120 milligrams"
J0717,"Drugs, Administered by Injection","Injection, 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)"
J0720,"Drugs, Administered by Injection","Injection, chloramphenicol sodium succinate, up to 1 gm"
J0725,"Drugs, Administered by Injection","Injection, chorionic gonadotropin, per 1, 000 USP units"
J0735,"Drugs, Administered by Injection","Injection, clonidine hydrochloride, 1 mg"
J0736,"Drugs, Administered by Injection","Injection, clindamycin phosphate, 300 mg"
J0737,"Drugs, Administered by Injection","Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg"
J0739,"Drugs, Administered by Injection","Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)"
J0740,"Drugs, Administered by Injection","Injection, cidofovir, 375 mg"
J0741,"Drugs, Administered by Injection","Injection, cabotegravir and rilpivirine, 2mg/3mg"
J0742,"Drugs, Administered by Injection","Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg"
J0743,"Drugs, Administered by Injection","Injection, cilastatin sodium; imipenem, per 250 mg"
J0744,"Drugs, Administered by Injection","Injection, ciprofloxacin for intravenous infusion, 200 mg"
J0745,"Drugs, Administered by Injection","Injection, codeine phosphate, per 30 mg"
J0750,"Drugs, Administered by Injection","Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)"
J0751,"Drugs, Administered by Injection","Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)"
J0770,"Drugs, Administered by Injection","Injection, colistimethate sodium, up to 150 mg"
J0775,"Drugs, Administered by Injection","Injection, collagenase, clostridium histolyticum, 0.01 mg"
J0780,"Drugs, Administered by Injection","Injection, prochlorperazine, up to 10 mg"
J0791,"Drugs, Administered by Injection","Injection, crizanlizumab-tmca, 5 mg"
J0795,"Drugs, Administered by Injection","Injection, corticorelin ovine triflutate, 1 microgram"
J0799,"Drugs, Administered by Injection","Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified"
J0801,"Drugs, Administered by Injection","Injection, corticotropin (acthar gel), up to 40 units"
J0802,"Drugs, Administered by Injection","Injection, corticotropin (ani), up to 40 units"
J0834,"Drugs, Administered by Injection","Injection, cosyntropin, 0.25 mg"
J0840,"Drugs, Administered by Injection","Injection, crotalidae polyvalent immune FAB(Ovine), up to 1 gram"
J0841,"Drugs, Administered by Injection","Injection, crotalidae immune f(ab')2 (equine), 120 mg"
J0850,"Drugs, Administered by Injection","Injection, cytomegalovirus immune globulin intravenous (human), per vial"
J0870,"Drugs, Administered by Injection","Injection, imetelstat, 1 mg"
J0872,"Drugs, Administered by Injection","Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg"
J0873,"Drugs, Administered by Injection","Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg"
J0874,"Drugs, Administered by Injection","Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg"
J0875,"Drugs, Administered by Injection","Injection, dalbavancin, 5mg"
J0877,"Drugs, Administered by Injection","Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg"
J0878,"Drugs, Administered by Injection","Injection, daptomycin, 1 mg"
J0879,"Drugs, Administered by Injection","Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis)"
J0881,"Drugs, Administered by Injection","Injection, darbepoetin alfa, 1 microgram (non-ESRD use)"
J0882,"Drugs, Administered by Injection","Injection, darbepoetin alfa, 1 microgram (for ESRD on dialysis)"
J0883,"Drugs, Administered by Injection","Injection, argatroban, 1 mg (for non-ESRD use)"
J0884,"Drugs, Administered by Injection","Injection, argatroban, 1 mg (for ESRD on dialysis)"
J0885,"Drugs, Administered by Injection","Injection, epoetin alfa, (for non-ESRD use), 1000 units"
J0887,"Drugs, Administered by Injection","Injection, epoetin beta, 1 microgram, (for ESRD on dialysis)"
J0888,"Drugs, Administered by Injection","Injection, epoetin beta, 1 microgram, (for Non ESRD use)"
J0889,"Drugs, Administered by Injection","Daprodustat, oral, 1 mg, (for esrd on dialysis)"
J0890,"Drugs, Administered by Injection","Injection, peginesatide, 0.1 mg (for ESRD on dialysis)"
J0891,"Drugs, Administered by Injection","Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)"
J0892,"Drugs, Administered by Injection","Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)"
J0893,"Drugs, Administered by Injection","Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg"
J0894,"Drugs, Administered by Injection","Injection, decitabine, 1 mg"
J0895,"Drugs, Administered by Injection","Injection, deferoxamine mesylate, 500 mg"
J0896,"Drugs, Administered by Injection","Injection, luspatercept-aamt, 0.25 mg"
J0897,"Drugs, Administered by Injection","Injection, denosumab, 1 mg"
J0898,"Drugs, Administered by Injection","Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)"
J0899,"Drugs, Administered by Injection","Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)"
J0901,"Drugs, Administered by Injection","Vadadustat, oral, 1 mg (for esrd on dialysis)"
J0911,"Drugs, Administered by Injection","Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)"
J0945,"Drugs, Administered by Injection","Injection, brompheniramine maleate, per 10 mg"
J1000,"Drugs, Administered by Injection","Injection, depo-estradiol cypionate, up to 5 mg"
J1010,"Drugs, Administered by Injection","Injection, methylprednisolone acetate, 1 mg"
J1050,"Drugs, Administered by Injection","Injection, medroxyprogesterone acetate, 1 mg"
J1071,"Drugs, Administered by Injection","Injection, testosterone cypionate, 1 mg"
J1094,"Drugs, Administered by Injection","Injection, dexamethasone acetate, 1 mg"
J1095,"Drugs, Administered by Injection","Injection, dexamethasone 9 percent, intraocular, 1 microgram"
J1096,"Drugs, Administered by Injection","Dexamethasone, lacrimal ophthalmic insert, 0.1 mg"
J1097,"Drugs, Administered by Injection","phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml"
J1100,"Drugs, Administered by Injection","Injection, dexamethasone sodium phosphate, 1 mg"
J1105,"Drugs, Administered by Injection","Dexmedetomidine, oral, 1 mcg"
J1110,"Drugs, Administered by Injection","Injection, dihydroergotamine mesylate, per 1 mg"
J1120,"Drugs, Administered by Injection","Injection, acetazolamide sodium, up to 500 mg"
J1130,"Drugs, Administered by Injection","Injection, diclofenac sodium, 0.5 mg"
J1160,"Drugs, Administered by Injection","Injection, digoxin, up to 0.5 mg"
J1162,"Drugs, Administered by Injection","Injection, digoxin immune FAB(Ovine), per vial"
J1165,"Drugs, Administered by Injection","Injection, phenytoin sodium, per 50 mg"
J1171,"Drugs, Administered by Injection","Injection, hydromorphone, 0.1 mg"
J1180,"Drugs, Administered by Injection","Injection, dyphylline, up to 500 mg"
J1190,"Drugs, Administered by Injection","Injection, dexrazoxane hydrochloride, per 250 mg"
J1200,"Drugs, Administered by Injection","Injection, diphenhydramine HCl, up to 50 mg"
J1201,"Drugs, Administered by Injection","Injection, cetirizine hydrochloride, 0.5 mg"
J1202,"Drugs, Administered by Injection","Miglustat, oral, 65 mg"
J1203,"Drugs, Administered by Injection","Injection, cipaglucosidase alfa-atga, 5 mg"
J1205,"Drugs, Administered by Injection","Injection, chlorothiazide sodium, per 500 mg"
J1212,"Drugs, Administered by Injection","Injection, DMSO, dimethyl sulfoxide, 50%, 50 ml"
J1230,"Drugs, Administered by Injection","Injection, methadone HCl, up to 10 mg"
J1240,"Drugs, Administered by Injection","Injection, dimenhydrinate, up to 50 mg"
J1245,"Drugs, Administered by Injection","Injection, dipyridamole, per 10 mg"
J1250,"Drugs, Administered by Injection","Injection, Dobutamine hydrochloride, per 250 mg"
J1260,"Drugs, Administered by Injection","Injection, dolasetron mesylate, 10 mg"
J1265,"Drugs, Administered by Injection","Injection, dopamine HCl, 40 mg"
J1267,"Drugs, Administered by Injection","Injection, doripenem, 10 mg"
J1270,"Drugs, Administered by Injection","Injection, doxercalciferol, 1 mcg"
J1290,"Drugs, Administered by Injection","Injection, ecallantide, 1 mg"
J1300,"Drugs, Administered by Injection","Injection, eculizumab, 10 mg"
J1301,"Drugs, Administered by Injection","Injection, edaravone, 1 mg"
J1302,"Drugs, Administered by Injection","Injection, sutimlimab-jome, 10 mg"
J1303,"Drugs, Administered by Injection","Injection, ravulizumab-cwvz, 10 mg"
J1304,"Drugs, Administered by Injection","Injection, tofersen, 1 mg"
J1305,"Drugs, Administered by Injection","Injection, evinacumab-dgnb, 5mg"
J1306,"Drugs, Administered by Injection","Injection, inclisiran, 1 mg"
J1307,"Drugs, Administered by Injection","Injection, crovalimab-akkz, 10 mg"
J1320,"Drugs, Administered by Injection","Injection, amitriptyline HCl, up to 20 mg"
J1322,"Drugs, Administered by Injection","Injection, elosulfase alfa, 1 mg"
J1323,"Drugs, Administered by Injection","Injection, elranatamab-bcmm, 1 mg"
J1324,"Drugs, Administered by Injection","Injection, enfuvirtide, 1 mg"
J1325,"Drugs, Administered by Injection","Injection, epoprostenol, 0.5 mg"
J1327,"Drugs, Administered by Injection","Injection, eptifibatide, 5 mg"
J1330,"Drugs, Administered by Injection","Injection, ergonovine maleate, up to 0.2 mg"
J1335,"Drugs, Administered by Injection","Injection, ertapenem sodium, 500 mg"
J1364,"Drugs, Administered by Injection","Injection, erythromycin lactobionate, per 500 mg"
J1380,"Drugs, Administered by Injection","Injection, estradiol valerate, up to 10 mg"
J1410,"Drugs, Administered by Injection","Injection, estrogen conjugated, per 25 mg"
J1411,"Drugs, Administered by Injection","Injection, etranacogene dezaparvovec-drlb, per therapeutic dose"
J1412,"Drugs, Administered by Injection","Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10^13 vector genomes"
J1413,"Drugs, Administered by Injection","Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose"
J1414,"Drugs, Administered by Injection","Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose"
J1426,"Drugs, Administered by Injection","Injection, casimersen, 10 mg"
J1427,"Drugs, Administered by Injection","Injection, viltolarsen, 10 mg"
J1428,"Drugs, Administered by Injection","Injection, eteplirsen, 10 mg"
J1429,"Drugs, Administered by Injection","Injection, golodirsen, 10 mg"
J1430,"Drugs, Administered by Injection","Injection, ethanolamine oleate, 100 mg"
J1434,"Drugs, Administered by Injection","Injection, fosaprepitant (focinvez), 1 mg"
J1435,"Drugs, Administered by Injection","Injection, estrone, per 1 mg"
J1436,"Drugs, Administered by Injection","Injection, etidronate disodium, per 300 mg"
J1437,"Drugs, Administered by Injection","Injection, ferric derisomaltose, 10 mg"
J1438,"Drugs, Administered by Injection","Injection, etanercept, 25 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)"
J1439,"Drugs, Administered by Injection","Injection, ferric carboxymaltose, 1 mg"
J1440,"Drugs, Administered by Injection","Fecal microbiota, live - jslm, 1 ml"
J1442,"Drugs, Administered by Injection","Injection, filgrastim (G-CSF), excludes biosimilars, 1 microgram"
J1443,"Drugs, Administered by Injection","Injection, ferric pyrophosphate citrate solution (triferic), 0.1 mg of iron"
J1444,"Drugs, Administered by Injection","Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron"
J1445,"Drugs, Administered by Injection","Injection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of iron"
J1447,"Drugs, Administered by Injection","Injection, tbo-filgrastim, 1 microgram"
J1448,"Drugs, Administered by Injection","Injection, trilaciclib, 1mg"
J1449,"Drugs, Administered by Injection","Injection, eflapegrastim-xnst, 0.1 mg"
J1450,"Drugs, Administered by Injection","Injection fluconazole, 200 mg"
J1451,"Drugs, Administered by Injection","Injection, fomepizole, 15 mg"
J1452,"Drugs, Administered by Injection","Injection, fomivirsen sodium, intraocular, 1.65 mg"
J1453,"Drugs, Administered by Injection","Injection, fosaprepitant, 1 mg"
J1454,"Drugs, Administered by Injection","Injection, fosnetupitant 235 mg and palonosetron 0.25 mg"
J1455,"Drugs, Administered by Injection","Injection, foscarnet sodium, per 1000 mg"
J1456,"Drugs, Administered by Injection","Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg"
J1457,"Drugs, Administered by Injection","Injection, gallium nitrate, 1 mg"
J1458,"Drugs, Administered by Injection","Injection, galsulfase, 1 mg"
J1459,"Drugs, Administered by Injection","Injection, immune globulin (Privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg"
J1460,"Drugs, Administered by Injection","Injection, gamma globulin, intramuscular, 1 cc"
J1551,"Drugs, Administered by Injection","Injection, immune globulin (cutaquig), 100 mg"
J1552,"Drugs, Administered by Injection","Injection, immune globulin (alyglo), 500 mg"
J1554,"Drugs, Administered by Injection","Injection, immune globulin (asceniv), 500 mg"
J1555,"Drugs, Administered by Injection","Injection, immune globulin (cuvitru), 100 mg"
J1556,"Drugs, Administered by Injection","Injection, immune globulin (bivigam), 500 mg"
J1557,"Drugs, Administered by Injection","Injection, immune globulin, (Gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg"
J1558,"Drugs, Administered by Injection","Injection, immune globulin (xembify), 100 mg"
J1559,"Drugs, Administered by Injection","Injection, immune globulin (Hizentra), 100 mg"
J1560,"Drugs, Administered by Injection","Injection, gamma globulin, intramuscular, over 10 cc"
J1561,"Drugs, Administered by Injection","Injection, immune globulin, (Gamunex-C/Gammaked), non-lyophilized (e.g., liquid), 500 mg"
J1562,"Drugs, Administered by Injection","Injection, immune globulin (Vivaglobin), 100 mg"
J1566,"Drugs, Administered by Injection","Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg"
J1568,"Drugs, Administered by Injection","Injection, immune globulin, (Octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg"
J1569,"Drugs, Administered by Injection","Injection, immune globulin, (Gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg"
J1570,"Drugs, Administered by Injection","Injection, ganciclovir sodium, 500 mg"
J1571,"Drugs, Administered by Injection","Injection, hepatitis B immune globulin (HepaGam B), intramuscular, 0.5 ml"
J1572,"Drugs, Administered by Injection","Injection, immune globulin, (Flebogamma/Flebogamma Dif), intravenous, non-lyophilized (e.g., liquid), 500 mg"
J1573,"Drugs, Administered by Injection","Injection, hepatitis B immune globulin (HepaGam B), intravenous, 0.5 ml"
J1574,"Drugs, Administered by Injection","Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg"
J1575,"Drugs, Administered by Injection","Injection, immune globulin/hyaluronidase, (HYQVIA), 100 mg immuneglobulin"
J1576,"Drugs, Administered by Injection","Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg"
J1580,"Drugs, Administered by Injection","Injection, garamycin, gentamicin, up to 80 mg"
J1595,"Drugs, Administered by Injection","Injection, glatiramer acetate, 20 mg"
J1596,"Drugs, Administered by Injection","Injection, glycopyrrolate, 0.1 mg"
J1597,"Drugs, Administered by Injection","Injection, glycopyrrolate (glyrx-pf), 0.1 mg"
J1598,"Drugs, Administered by Injection","Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg"
J1599,"Drugs, Administered by Injection","Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg"
J1600,"Drugs, Administered by Injection","Injection, gold sodium thiomalate, up to 50 mg"
J1602,"Drugs, Administered by Injection","Injection, golimumab, 1 mg, for intravenous use"
J1610,"Drugs, Administered by Injection","Injection, glucagon hydrochloride, per 1 mg"
J1611,"Drugs, Administered by Injection","Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg"
J1620,"Drugs, Administered by Injection","Injection, gonadorelin hydrochloride, per 100 mcg"
J1626,"Drugs, Administered by Injection","Injection, granisetron hydrochloride, 100 mcg"
J1627,"Drugs, Administered by Injection","Injection, granisetron, extended-release, 0.1 mg"
J1628,"Drugs, Administered by Injection","Injection, guselkumab, 1 mg"
J1630,"Drugs, Administered by Injection","Injection, haloperidol, up to 5 mg"
J1631,"Drugs, Administered by Injection","Injection, haloperidol decanoate, per 50 mg"
J1632,"Drugs, Administered by Injection","Injection, brexanolone, 1 mg"
J1640,"Drugs, Administered by Injection","Injection, hemin, 1 mg"
J1642,"Drugs, Administered by Injection","Injection, heparin sodium, (heparin lock flush), per 10 units"
J1643,"Drugs, Administered by Injection","Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units"
J1644,"Drugs, Administered by Injection","Injection, heparin sodium, per 1000 units"
J1645,"Drugs, Administered by Injection","Injection, dalteparin sodium, per 2500 IU"
J1650,"Drugs, Administered by Injection","Injection, enoxaparin sodium, 10 mg"
J1652,"Drugs, Administered by Injection","Injection, fondaparinux sodium, 0.5 mg"
J1655,"Drugs, Administered by Injection","Injection, tinzaparin sodium, 1000 IU"
J1670,"Drugs, Administered by Injection","Injection, tetanus immune globulin, human, up to 250 units"
J1675,"Drugs, Administered by Injection","Injection, histrelin acetate, 10 micrograms"
J1700,"Drugs, Administered by Injection","Injection, hydrocortisone acetate, up to 25 mg"
J1710,"Drugs, Administered by Injection","Injection, hydrocortisone sodium phosphate, up to 50 mg"
J1720,"Drugs, Administered by Injection","Injection, hydrocortisone sodium succinate, up to 100 mg"
J1726,"Drugs, Administered by Injection","Injection, hydroxyprogesterone caproate, (makena), 10 mg"
J1729,"Drugs, Administered by Injection","Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg"
J1730,"Drugs, Administered by Injection","Injection, diazoxide, up to 300 mg"
J1738,"Drugs, Administered by Injection","Injection, meloxicam, 1 mg"
J1740,"Drugs, Administered by Injection","Injection, ibandronate sodium, 1 mg"
J1741,"Drugs, Administered by Injection","Injection, ibuprofen, 100 mg"
J1742,"Drugs, Administered by Injection","Injection, ibutilide fumarate, 1 mg"
J1743,"Drugs, Administered by Injection","Injection, idursulfase, 1 mg"
J1744,"Drugs, Administered by Injection","Injection, icatibant, 1 mg"
J1745,"Drugs, Administered by Injection","Injection, infliximab, excludes biosimilar, 10 mg"
J1746,"Drugs, Administered by Injection","Injection, ibalizumab-uiyk, 10 mg"
J1747,"Drugs, Administered by Injection","Injection, spesolimab-sbzo, 1 mg"
J1748,"Drugs, Administered by Injection","Injection, infliximab-dyyb (zymfentra), 10 mg"
J1749,"Drugs, Administered by Injection","Injection, iloprost, 0.1 mcg"
J1750,"Drugs, Administered by Injection","Injection, iron dextran, 50 mg"
J1756,"Drugs, Administered by Injection","Injection, iron sucrose, 1 mg"
J1786,"Drugs, Administered by Injection","Injection, imiglucerase, 10 units"
J1790,"Drugs, Administered by Injection","Injection, droperidol, up to 5 mg"
J1800,"Drugs, Administered by Injection","Injection, propranolol HCl, up to 1 mg"
J1805,"Drugs, Administered by Injection","Injection, esmolol hydrochloride, 10 mg"
J1806,"Drugs, Administered by Injection","Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg"
J1810,"Drugs, Administered by Injection","Injection, droperidol and fentanyl Citrate, up to 2 ml ampule"
J1811,"Drugs, Administered by Injection","Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units"
J1812,"Drugs, Administered by Injection","Insulin (fiasp), per 5 units"
J1813,"Drugs, Administered by Injection","Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units"
J1814,"Drugs, Administered by Injection","Insulin (lyumjev), per 5 units"
J1815,"Drugs, Administered by Injection","Injection, insulin, per 5 units"
J1817,"Drugs, Administered by Injection","Insulin for administration through DME (i.e., insulin pump) per 50 units"
J1823,"Drugs, Administered by Injection","Injection, inebilizumab-cdon, 1 mg"
J1826,"Drugs, Administered by Injection","Injection, interferon beta-1a, 30 mcg"
J1830,"Drugs, Administered by Injection","Injection interferon beta-1b, 0.25 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)"
J1833,"Drugs, Administered by Injection","Injection, isavuconazonium, 1 mg"
J1835,"Drugs, Administered by Injection","Injection, itraconazole, 50 mg"
J1836,"Drugs, Administered by Injection","Injection, metronidazole, 10 mg"
J1885,"Drugs, Administered by Injection","Injection, ketorolac tromethamine, per 15 mg"
J1890,"Drugs, Administered by Injection","Injection, cephalothin sodium, up to 1 gram"
J1920,"Drugs, Administered by Injection","Injection, labetalol hydrochloride, 5 mg"
J1921,"Drugs, Administered by Injection","Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg"
J1930,"Drugs, Administered by Injection","Injection, lanreotide, 1 mg"
J1931,"Drugs, Administered by Injection","Injection, laronidase, 0.1 mg"
J1932,"Drugs, Administered by Injection","Injection, lanreotide, (cipla), 1 mg"
J1939,"Drugs, Administered by Injection","Injection, bumetanide, 0.5 mg"
J1940,"Drugs, Administered by Injection","Injection, furosemide, up to 20 mg"
J1941,"Drugs, Administered by Injection","Injection, furosemide (furoscix), 20 mg"
J1943,"Drugs, Administered by Injection","Injection, aripiprazole lauroxil, (aristada initio), 1 mg"
J1944,"Drugs, Administered by Injection","Injection, aripiprazole lauroxil, (aristada), 1 mg"
J1945,"Drugs, Administered by Injection","Injection, lepirudin, 50 mg"
J1950,"Drugs, Administered by Injection","Injection, leuprolide acetate (for depot suspension), per 3.75 mg"
J1951,"Drugs, Administered by Injection","Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg"
J1952,"Drugs, Administered by Injection","Leuprolide injectable, camcevi, 1 mg"
J1953,"Drugs, Administered by Injection","Injection, levetiracetam, 10 mg"
J1954,"Drugs, Administered by Injection","Injection, leuprolide acetate for depot suspension (cipla), 7.5 mg"
J1955,"Drugs, Administered by Injection","Injection, levocarnitine, per 1 gm"
J1956,"Drugs, Administered by Injection","Injection, levofloxacin, 250 mg"
J1960,"Drugs, Administered by Injection","Injection, levorphanol tartrate, up to 2 mg"
J1961,"Drugs, Administered by Injection","Injection, lenacapavir, 1 mg"
J1980,"Drugs, Administered by Injection","Injection, hyoscyamine sulfate, up to 0.25 mg"
J1990,"Drugs, Administered by Injection","Injection, chlordiazepoxide HCl, up to 100 mg"
J2002,"Drugs, Administered by Injection","Injection, lidocaine hcl in 5% dextrose, 1 mg"
J2003,"Drugs, Administered by Injection","Injection, lidocaine hydrochloride, 1 mg"
J2004,"Drugs, Administered by Injection","Injection, lidocaine hcl with epinephrine, 1 mg"
J2010,"Drugs, Administered by Injection","Injection, lincomycin HCl, up to 300 mg"
J2020,"Drugs, Administered by Injection","Injection, linezolid, 200 mg"
J2021,"Drugs, Administered by Injection","Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg"
J2060,"Drugs, Administered by Injection","Injection, lorazepam, 2 mg"
J2062,"Drugs, Administered by Injection","Loxapine for inhalation, 1 mg"
J2150,"Drugs, Administered by Injection","Injection, mannitol, 25% in 50 ml"
J2170,"Drugs, Administered by Injection","Injection, mecasermin, 1 mg"
J2175,"Drugs, Administered by Injection","Injection, meperidine hydrochloride, per 100 mg"
J2180,"Drugs, Administered by Injection","Injection, meperidine and promethazine HCl, up to 50 mg"
J2182,"Drugs, Administered by Injection","Injection, mepolizumab, 1 mg"
J2183,"Drugs, Administered by Injection","Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg"
J2184,"Drugs, Administered by Injection","Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg"
J2185,"Drugs, Administered by Injection","Injection, meropenem, 100 mg"
J2186,"Drugs, Administered by Injection","Injection, meropenem and vaborbactam, 10mg/10mg (20mg)"
J2210,"Drugs, Administered by Injection","Injection, methylergonovine maleate, up to 0.2 mg"
J2212,"Drugs, Administered by Injection","Injection, methylnaltrexone, 0.1 mg"
J2246,"Drugs, Administered by Injection","Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg"
J2247,"Drugs, Administered by Injection","Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg"
J2248,"Drugs, Administered by Injection","Injection, micafungin sodium, 1 mg"
J2249,"Drugs, Administered by Injection","Injection, remimazolam, 1 mg"
J2250,"Drugs, Administered by Injection","Injection, midazolam hydrochloride, per 1 mg"
J2251,"Drugs, Administered by Injection","Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg"
J2252,"Drugs, Administered by Injection","Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg"
J2253,"Drugs, Administered by Injection","Injection, midazolam (seizalam), 1 mg"
J2260,"Drugs, Administered by Injection","Injection, milrinone lactate, 5 mg"
J2265,"Drugs, Administered by Injection","Injection, minocycline hydrochloride, 1 mg"
J2267,"Drugs, Administered by Injection","Injection, mirikizumab-mrkz, 1 mg"
J2270,"Drugs, Administered by Injection","Injection, morphine sulfate, up to 10 mg"
J2272,"Drugs, Administered by Injection","Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg"
J2274,"Drugs, Administered by Injection","Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg"
J2277,"Drugs, Administered by Injection","Injection, motixafortide, 0.25 mg"
J2278,"Drugs, Administered by Injection","Injection, ziconotide, 1 microgram"
J2280,"Drugs, Administered by Injection","Injection, moxifloxacin, 100 mg"
J2281,"Drugs, Administered by Injection","Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg"
J2290,"Drugs, Administered by Injection","Injection, nafcillin sodium, 20 mg"
J2300,"Drugs, Administered by Injection","Injection, nalbuphine hydrochloride, per 10 mg"
J2305,"Drugs, Administered by Injection","Injection, nitroglycerin, 5 mg"
J2310,"Drugs, Administered by Injection","Injection, naloxone hydrochloride, per 1 mg"
J2311,"Drugs, Administered by Injection","Injection, naloxone hydrochloride (zimhi), 1 mg"
J2315,"Drugs, Administered by Injection","Injection, naltrexone, depot form, 1 mg"
J2320,"Drugs, Administered by Injection","Injection, nandrolone decanoate, up to 50 mg"
J2323,"Drugs, Administered by Injection","Injection, natalizumab, 1 mg"
J2325,"Drugs, Administered by Injection","Injection, nesiritide, 0.1 mg"
J2326,"Drugs, Administered by Injection","Injection, nusinersen, 0.1 mg"
J2327,"Drugs, Administered by Injection","Injection, risankizumab-rzaa, intravenous, 1 mg"
J2329,"Drugs, Administered by Injection","Injection, ublituximab-xiiy, 1mg"
J2350,"Drugs, Administered by Injection","Injection, ocrelizumab, 1 mg"
J2353,"Drugs, Administered by Injection","Injection, octreotide, depot form for intramuscular injection, 1 mg"
J2354,"Drugs, Administered by Injection","Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg"
J2355,"Drugs, Administered by Injection","Injection, oprelvekin, 5 mg"
J2356,"Drugs, Administered by Injection","Injection, tezepelumab-ekko, 1 mg"
J2357,"Drugs, Administered by Injection","Injection, omalizumab, 5 mg"
J2358,"Drugs, Administered by Injection","Injection, olanzapine, long-acting, 1 mg"
J2359,"Drugs, Administered by Injection","Injection, olanzapine, 0.5 mg"
J2360,"Drugs, Administered by Injection","Injection, orphenadrine citrate, up to 60 mg"
J2371,"Drugs, Administered by Injection","Injection, phenylephrine hydrochloride, 20 micrograms"
J2372,"Drugs, Administered by Injection","Injection, phenylephrine hydrochloride (biorphen), 20 micrograms"
J2373,"Drugs, Administered by Injection","Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms"
J2401,"Drugs, Administered by Injection","Injection, chloroprocaine hydrochloride,  per 1 mg"
J2402,"Drugs, Administered by Injection","Injection, chloroprocaine hydrochloride (clorotekal), per 1 mg"
J2403,"Drugs, Administered by Injection","Chloroprocaine hcl ophthalmic, 3% gel, 1 mg"
J2404,"Drugs, Administered by Injection","Injection, nicardipine, 0.1 mg"
J2405,"Drugs, Administered by Injection","Injection, ondansetron hydrochloride, per 1 mg"
J2406,"Drugs, Administered by Injection","Injection, oritavancin (kimyrsa), 10 mg"
J2407,"Drugs, Administered by Injection","Injection, oritavancin (orbactiv), 10 mg"
J2410,"Drugs, Administered by Injection","Injection, oxymorphone HCl, up to 1 mg"
J2425,"Drugs, Administered by Injection","Injection, palifermin, 50 micrograms"
J2426,"Drugs, Administered by Injection","Injection, paliperidone palmitate extended release (invega sustenna), 1 mg"
J2427,"Drugs, Administered by Injection","Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg"
J2430,"Drugs, Administered by Injection","Injection, pamidronate disodium, per 30 mg"
J2440,"Drugs, Administered by Injection","Injection, papaverine HCl, up to 60 mg"
J2460,"Drugs, Administered by Injection","Injection, oxytetracycline HCl, up to 50 mg"
J2468,"Drugs, Administered by Injection","Injection, palonosetron hydrochloride (posfrea), 25 micrograms"
J2469,"Drugs, Administered by Injection","Injection, palonosetron HCl, 25 mcg"
J2470,"Drugs, Administered by Injection","Injection, pantoprazole sodium, 40 mg"
J2471,"Drugs, Administered by Injection","Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg"
J2472,"Drugs, Administered by Injection","Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg"
J2501,"Drugs, Administered by Injection","Injection, paricalcitol, 1 mcg"
J2502,"Drugs, Administered by Injection","Injection, pasireotide long acting, 1 mg"
J2503,"Drugs, Administered by Injection","Injection, pegaptanib sodium, 0.3 mg"
J2504,"Drugs, Administered by Injection","Injection, pegademase bovine, 25 IU"
J2506,"Drugs, Administered by Injection","Injection, pegfilgrastim, excludes biosimilar, 0.5 mg"
J2507,"Drugs, Administered by Injection","Injection, pegloticase, 1 mg"
J2508,"Drugs, Administered by Injection","Injection, pegunigalsidase alfa-iwxj, 1 mg"
J2510,"Drugs, Administered by Injection","Injection, penicillin G procaine, aqueous, up to 600, 000 units"
J2513,"Drugs, Administered by Injection","Injection, pentastarch, 10% solution, 100 ml"
J2515,"Drugs, Administered by Injection","Injection, pentobarbital sodium, per 50 mg"
J2540,"Drugs, Administered by Injection","Injection, penicillin G potassium, up to 600, 000 units"
J2543,"Drugs, Administered by Injection","Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)"
J2545,"Drugs, Administered by Injection","Pentamidine isethionate, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, per 300 mg"
J2547,"Drugs, Administered by Injection","Injection, peramivir, 1 mg"
J2550,"Drugs, Administered by Injection","Injection, promethazine HCl, up to 50 mg"
J2560,"Drugs, Administered by Injection","Injection, phenobarbital sodium, up to 120 mg"
J2561,"Drugs, Administered by Injection","Injection, phenobarbital sodium (sezaby), 1 mg"
J2562,"Drugs, Administered by Injection","Injection, plerixafor, 1 mg"
J2590,"Drugs, Administered by Injection","Injection, oxytocin, up to 10 units"
J2597,"Drugs, Administered by Injection","Injection, desmopressin acetate, per 1 mcg"
J2598,"Drugs, Administered by Injection","Injection, vasopressin, 1 unit"
J2599,"Drugs, Administered by Injection","Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit"
J2601,"Drugs, Administered by Injection","Injection, vasopressin (baxter), 1 unit"
J2650,"Drugs, Administered by Injection","Injection, prednisolone acetate, up to 1 ml"
J2670,"Drugs, Administered by Injection","Injection, tolazoline HCl, up to 25 mg"
J2675,"Drugs, Administered by Injection","Injection, progesterone, per 50 mg"
J2679,"Drugs, Administered by Injection","Injection, fluphenazine hcl, 1.25 mg"
J2680,"Drugs, Administered by Injection","Injection, fluphenazine decanoate, up to 25 mg"
J2690,"Drugs, Administered by Injection","Injection, procainamide HCl, up to 1 gm"
J2700,"Drugs, Administered by Injection","Injection, oxacillin sodium, up to 250 mg"
J2704,"Drugs, Administered by Injection","Injection, propofol, 10 mg"
J2710,"Drugs, Administered by Injection","Injection, neostigmine methylsulfate, up to 0.5 mg"
J2720,"Drugs, Administered by Injection","Injection, protamine sulfate, per 10 mg"
J2724,"Drugs, Administered by Injection","Injection, protein C concentrate, intravenous, human, 10 IU"
J2725,"Drugs, Administered by Injection","Injection, protirelin, per 250 mcg"
J2730,"Drugs, Administered by Injection","Injection, pralidoxime chloride, up to 1 gm"
J2760,"Drugs, Administered by Injection","Injection, phentolamine mesylate, up to 5 mg"
J2765,"Drugs, Administered by Injection","Injection, metoclopramide HCl, up to 10 mg"
J2770,"Drugs, Administered by Injection","Injection, quinupristin/dalfopristin, 500 mg (150/350)"
J2777,"Drugs, Administered by Injection","Injection, faricimab-svoa, 0.1 mg"
J2778,"Drugs, Administered by Injection","Injection, ranibizumab, 0.1 mg"
J2779,"Drugs, Administered by Injection","Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg"
J2781,"Drugs, Administered by Injection","Injection, pegcetacoplan, intravitreal, 1 mg"
J2782,"Drugs, Administered by Injection","Injection, avacincaptad pegol, 0.1 mg"
J2783,"Drugs, Administered by Injection","Injection, rasburicase, 0.5 mg"
J2785,"Drugs, Administered by Injection","Injection, regadenoson, 0.1 mg"
J2786,"Drugs, Administered by Injection","Injection, reslizumab, 1 mg"
J2787,"Drugs, Administered by Injection","Riboflavin 5’-phosphate, ophthalmic solution, up to 3 ml"
J2788,"Drugs, Administered by Injection","Injection, Rho D immune globulin, human, minidose, 50 micrograms (250 IU)"
J2790,"Drugs, Administered by Injection","Injection, Rho D immune globulin, human, full dose, 300 micrograms (1500 IU)"
J2791,"Drugs, Administered by Injection","Injection, Rho D immune globulin (human), (Rhophylac), intramuscular or intravenous, 100 IU"
J2792,"Drugs, Administered by Injection","Injection, Rho D immune globulin, intravenous, human, solvent detergent, 100 IU"
J2793,"Drugs, Administered by Injection","Injection, rilonacept, 1 mg"
J2794,"Drugs, Administered by Injection","Injection, risperidone (risperdal consta), 0.5 mg"
J2795,"Drugs, Administered by Injection","Injection, ropivacaine hydrochloride, 1 mg"
J2797,"Drugs, Administered by Injection","Injection, rolapitant, 0.5 mg"
J2798,"Drugs, Administered by Injection","Injection, risperidone, (perseris), 0.5 mg"
J2799,"Drugs, Administered by Injection","Injection, risperidone (uzedy), 1 mg"
J2800,"Drugs, Administered by Injection","Injection, methocarbamol, up to 10 ml"
J2801,"Drugs, Administered by Injection","Injection, risperidone (rykindo), 0.5 mg"
J2802,"Drugs, Administered by Injection","Injection, romiplostim, 1 microgram"
J2805,"Drugs, Administered by Injection","Injection, sincalide, 5 micrograms"
J2810,"Drugs, Administered by Injection","Injection, theophylline, per 40 mg"
J2820,"Drugs, Administered by Injection","Injection, sargramostim (GM-CSF), 50 mcg"
J2840,"Drugs, Administered by Injection","Injection, sebelipase alfa, 1 mg"
J2850,"Drugs, Administered by Injection","Injection, secretin, synthetic, human, 1 microgram"
J2860,"Drugs, Administered by Injection","Injection, siltuximab, 10 mg"
J2910,"Drugs, Administered by Injection","Injection, aurothioglucose, up to 50 mg"
J2916,"Drugs, Administered by Injection","Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg"
J2919,"Drugs, Administered by Injection","Injection, methylprednisolone sodium succinate, 5 mg"
J2940,"Drugs, Administered by Injection","Injection, somatrem, 1 mg"
J2941,"Drugs, Administered by Injection","Injection, somatropin, 1 mg"
J2950,"Drugs, Administered by Injection","Injection, promazine HCl, up to 25 mg"
J2993,"Drugs, Administered by Injection","Injection, reteplase, 18.1 mg"
J2995,"Drugs, Administered by Injection","Injection, streptokinase, per 250, 000 IU"
J2997,"Drugs, Administered by Injection","Injection, alteplase recombinant, 1 mg"
J2998,"Drugs, Administered by Injection","Injection, plasminogen, human-tvmh, 1 mg"
J3000,"Drugs, Administered by Injection","Injection, streptomycin, up to 1 gm"
J3010,"Drugs, Administered by Injection","Injection, fentanyl Citrate, 0.1 mg"
J3030,"Drugs, Administered by Injection","Injection, sumatriptan succinate, 6 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)"
J3031,"Drugs, Administered by Injection","Injection, fremanezumab-vfrm, 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)"
J3032,"Drugs, Administered by Injection","Injection, eptinezumab-jjmr, 1 mg"
J3055,"Drugs, Administered by Injection","Injection, talquetamab-tgvs, 0.25 mg"
J3060,"Drugs, Administered by Injection","Injection, taliglucerase alfa, 10 units"
J3070,"Drugs, Administered by Injection","Injection, pentazocine, 30 mg"
J3090,"Drugs, Administered by Injection","Injection, tedizolid phosphate, 1 mg"
J3095,"Drugs, Administered by Injection","Injection, telavancin, 10 mg"
J3101,"Drugs, Administered by Injection","Injection, tenecteplase, 1 mg"
J3105,"Drugs, Administered by Injection","Injection, terbutaline sulfate, up to 1 mg"
J3110,"Drugs, Administered by Injection","Injection, teriparatide, 10 mcg"
J3111,"Drugs, Administered by Injection","Injection, romosozumab-aqqg, 1 mg"
J3121,"Drugs, Administered by Injection","Injection, testosterone enanthate, 1 mg"
J3145,"Drugs, Administered by Injection","Injection, testosterone undecanoate, 1 mg"
J3230,"Drugs, Administered by Injection","Injection, chlorpromazine HCl, up to 50 mg"
J3240,"Drugs, Administered by Injection","Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial"
J3241,"Drugs, Administered by Injection","Injection, teprotumumab-trbw, 10 mg"
J3243,"Drugs, Administered by Injection","Injection, tigecycline, 1 mg"
J3244,"Drugs, Administered by Injection","Injection, tigecycline (accord), not therapeutically equivalent to j3243, 1 mg"
J3245,"Drugs, Administered by Injection","Injection, tildrakizumab, 1 mg"
J3246,"Drugs, Administered by Injection","Injection, tirofiban HCl, 0.25mg"
J3247,"Drugs, Administered by Injection","Injection, secukinumab, intravenous, 1 mg"
J3250,"Drugs, Administered by Injection","Injection, trimethobenzamide HCl, up to 200 mg"
J3260,"Drugs, Administered by Injection","Injection, tobramycin sulfate, up to 80 mg"
J3262,"Drugs, Administered by Injection","Injection, tocilizumab, 1 mg"
J3263,"Drugs, Administered by Injection","Injection, toripalimab-tpzi, 1 mg"
J3265,"Drugs, Administered by Injection","Injection, torsemide, 10 mg/ml"
J3280,"Drugs, Administered by Injection","Injection, thiethylperazine maleate, up to 10 mg"
J3285,"Drugs, Administered by Injection","Injection, treprostinil, 1 mg"
J3299,"Drugs, Administered by Injection","Injection, triamcinolone acetonide (xipere), 1 mg"
J3300,"Drugs, Administered by Injection","Injection, triamcinolone acetonide, preservative free, 1 mg"
J3301,"Drugs, Administered by Injection","Injection, triamcinolone acetonide, not otherwise specified, 10 mg"
J3302,"Drugs, Administered by Injection","Injection, triamcinolone diacetate, per 5 mg"
J3303,"Drugs, Administered by Injection","Injection, triamcinolone hexacetonide, per 5 mg"
J3304,"Drugs, Administered by Injection","Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg"
J3305,"Drugs, Administered by Injection","Injection, trimetrexate glucuronate, per 25 mg"
J3310,"Drugs, Administered by Injection","Injection, perphenazine, up to 5 mg"
J3315,"Drugs, Administered by Injection","Injection, triptorelin pamoate, 3.75 mg"
J3316,"Drugs, Administered by Injection","Injection, triptorelin, extended-release, 3.75 mg"
J3320,"Drugs, Administered by Injection","Injection, spectinomycin dihydrochloride, up to 2 gm"
J3350,"Drugs, Administered by Injection","Injection, urea, up to 40 gm"
J3355,"Drugs, Administered by Injection","Injection, urofollitropin, 75 IU"
J3357,"Drugs, Administered by Injection","Ustekinumab, for subcutaneous injection, 1 mg"
J3358,"Drugs, Administered by Injection","Ustekinumab, for intravenous injection, 1 mg"
J3360,"Drugs, Administered by Injection","Injection, diazepam, up to 5 mg"
J3364,"Drugs, Administered by Injection","Injection, urokinase, 5000 IU vial"
J3365,"Drugs, Administered by Injection","Injection, IV, urokinase, 250, 000 IU vial"
J3370,"Drugs, Administered by Injection","Injection, vancomycin HCl, 500 mg"
J3371,"Drugs, Administered by Injection","Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg"
J3372,"Drugs, Administered by Injection","Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg"
J3380,"Drugs, Administered by Injection","Injection, vedolizumab, intravenous, 1 mg"
J3385,"Drugs, Administered by Injection","Injection, velaglucerase alfa, 100 units"
J3392,"Drugs, Administered by Injection","Injection, exagamglogene autotemcel, per treatment"
J3393,"Drugs, Administered by Injection","Injection, betibeglogene autotemcel, per treatment"
J3394,"Drugs, Administered by Injection","Injection, lovotibeglogene autotemcel, per treatment"
J3396,"Drugs, Administered by Injection","Injection, verteporfin, 0.1 mg"
J3397,"Drugs, Administered by Injection","Injection, vestronidase alfa-vjbk, 1 mg"
J3398,"Drugs, Administered by Injection","Injection, voretigene neparvovec-rzyl, 1 billion vector genomes"
J3399,"Drugs, Administered by Injection","Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10^15 vector genomes"
J3400,"Drugs, Administered by Injection","Injection, triflupromazine HCl, up to 20 mg"
J3401,"Drugs, Administered by Injection","Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10^9 pfu/ml vector genomes, per 0.1 ml"
J3410,"Drugs, Administered by Injection","Injection, hydroxyzine HCl, up to 25 mg"
J3411,"Drugs, Administered by Injection","Injection, thiamine HCl, 100 mg"
J3415,"Drugs, Administered by Injection","Injection, pyridoxine HCl, 100 mg"
J3420,"Drugs, Administered by Injection","Injection, vitamin B-12 cyanocobalamin, up to 1000 mcg"
J3424,"Drugs, Administered by Injection","Injection, hydroxocobalamin, intravenous, 25 mg"
J3425,"Drugs, Administered by Injection","Injection, hydroxocobalamin, intramuscular, 10 mcg"
J3430,"Drugs, Administered by Injection","Injection, phytonadione (vitamin K), per 1 mg"
J3465,"Drugs, Administered by Injection","Injection, voriconazole, 10 mg"
J3470,"Drugs, Administered by Injection","Injection, hyaluronidase, up to 150 units"
J3471,"Drugs, Administered by Injection","Injection, hyaluronidase, ovine, preservative free, per 1 USP unit (up to 999 USP units)"
J3472,"Drugs, Administered by Injection","Injection, hyaluronidase, ovine, preservative free, per 1000 USP units"
J3473,"Drugs, Administered by Injection","Injection, hyaluronidase, recombinant, 1 USP unit"
J3475,"Drugs, Administered by Injection","Injection, magnesium sulfate, per 500 mg"
J3480,"Drugs, Administered by Injection","Injection, potassium chloride, per 2 mEq"
J3485,"Drugs, Administered by Injection","Injection, zidovudine, 10 mg"
J3486,"Drugs, Administered by Injection","Injection, ziprasidone mesylate, 10 mg"
J3489,"Drugs, Administered by Injection","Injection, zoledronic acid, 1 mg"
J3490,"Drugs, Administered by Injection",Unclassified drugs
J3520,"Drugs, Administered by Injection","Edetate disodium, per 150 mg"
J3530,"Drugs, Administered by Injection",Nasal vaccine inhalation
J3535,"Drugs, Administered by Injection",Drug administered through a metered dose inhaler
J3570,"Drugs, Administered by Injection","Laetrile, amygdalin, vitamin B17"
J3590,"Drugs, Administered by Injection",Unclassified biologics
J3591,"Drugs, Administered by Injection",Unclassified drug or biological used for esrd on dialysis
J7030,"Drugs, Administered by Injection","Infusion, normal saline solution , 1000 cc"
J7040,"Drugs, Administered by Injection","Infusion, normal saline solution, sterile (500 ml=1 unit)"
J7042,"Drugs, Administered by Injection",5% dextrose/normal saline (500 ml = 1 unit)
J7050,"Drugs, Administered by Injection","Infusion, normal saline solution , 250 cc"
J7060,"Drugs, Administered by Injection",5% dextrose/water (500 ml = 1 unit)
J7070,"Drugs, Administered by Injection","Infusion, D5W, 1000 cc"
J7100,"Drugs, Administered by Injection","Infusion, dextran 40, 500 ml"
J7110,"Drugs, Administered by Injection","Infusion, dextran 75, 500 ml"
J7120,"Drugs, Administered by Injection","Ringers lactate infusion, up to 1000 cc"
J7121,"Drugs, Administered by Injection","5% dextrose in lactated ringers infusion, up to 1000 cc"
J7131,"Drugs, Administered by Injection","Hypertonic saline solution, 1 ml"
J7165,"Drugs, Administered by Injection","Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity"
J7168,"Drugs, Administered by Injection","Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity"
J7169,"Drugs, Administered by Injection","Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg"
J7170,"Drugs, Administered by Injection","Injection, emicizumab-kxwh, 0.5 mg"
J7171,"Drugs, Administered by Injection","Injection, adamts13, recombinant-krhn, 10 iu"
J7175,"Drugs, Administered by Injection","Injection, factor x, (human), 1 i.u."
J7177,Clotting Factors,"Injection, human fibrinogen concentrate (fibryga), 1 mg"
J7178,Clotting Factors,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg"
J7179,Clotting Factors,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco"
J7180,Clotting Factors,"Injection, factor XIII (antihemophilic factor, human), 1 IU"
J7181,Clotting Factors,"Injection, factor XIII a-subunit, (recombinant), per IU"
J7182,Clotting Factors,"Injection, factor VIII, (antihemophilic factor, recombinant), (Novoeight), per IU"
J7183,Clotting Factors,"Injection, von Willebrand factor complex (human), wilate, 1 IU VWF:RCo"
J7185,Clotting Factors,"Injection, factor VIII (antihemophilic factor, recombinant) (XYNTHA), per IU"
J7186,Clotting Factors,"Injection, antihemophilic factor VIII/von Willebrand factor complex (human), per factor VIII IU"
J7187,Clotting Factors,"Injection, von Willebrand factor complex (Humate-P), per IU VWF:RCo"
J7188,Clotting Factors,"Injection, factor VIII (antihemophilic factor, recombinant), (OBIZUR), per i.u."
J7189,Clotting Factors,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram"
J7190,Clotting Factors,"Factor VIII (antihemophilic factor, human) per IU"
J7191,Clotting Factors,"Factor VIII (antihemophilic factor (porcine)), per IU"
J7192,Clotting Factors,"Factor VIII (antihemophilic factor, recombinant) per IU, not otherwise specified"
J7193,Clotting Factors,"Factor IX (antihemophilic factor, purified, non-recombinant) per IU"
J7194,Clotting Factors,"Factor IX, complex, per IU"
J7195,Clotting Factors,"Injection, factor IX (antihemophilic factor, recombinant) per IU, not otherwise specified"
J7196,Clotting Factors,"Injection, antithrombin recombinant, 50 IU"
J7197,Clotting Factors,"Antithrombin III (human), per IU"
J7198,Clotting Factors,"Anti-inhibitor, per IU"
J7199,Clotting Factors,"Hemophilia clotting factor, not otherwise classified"
J7200,Clotting Factors,"Injection, factor IX, (antihemophilic factor, recombinant), Rixubis, per IU"
J7201,Clotting Factors,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u."
J7202,Clotting Factors,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u."
J7203,Clotting Factors,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu"
J7204,Clotting Factors,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu"
J7205,Clotting Factors,"Injection, factor VIII Fc fusion protein (recombinant), per IU"
J7207,Clotting Factors,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u."
J7208,Clotting Factors,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u."
J7209,Clotting Factors,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u."
J7210,Clotting Factors,"Injection, factor VIII, (antihemophilic factor, recombinant), (afstyla), 1 I.U."
J7211,Clotting Factors,"Injection, factor VIII, (antihemophilic factor, recombinant), (kovaltry), 1 I.U."
J7212,Clotting Factors,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram"
J7213,Clotting Factors,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u."
J7214,Clotting Factors,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u."
J7294,Contraceptive Systems,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each"
J7295,Contraceptive Systems,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each"
J7296,Contraceptive Systems,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg"
J7297,Contraceptive Systems,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg"
J7298,Contraceptive Systems,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg"
J7300,Contraceptive Systems,Intrauterine copper contraceptive
J7301,Contraceptive Systems,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg"
J7304,Contraceptive Systems,"Contraceptive supply, hormone containing patch, each"
J7306,Contraceptive Systems,"Levonorgestrel (contraceptive) implant system, including implants and supplies"
J7307,Contraceptive Systems,"Etonogestrel (contraceptive) implant system, including implant and supplies"
J7308,Miscellaneous Drugs,"Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)"
J7309,Miscellaneous Drugs,"Methyl aminolevulinate (MAL) for topical administration, 16.8%, 1 gram"
J7310,Miscellaneous Drugs,"Ganciclovir, 4.5 mg, long-acting implant"
J7311,Miscellaneous Drugs,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg"
J7312,Miscellaneous Drugs,"Injection, dexamethasone, intravitreal implant, 0.1 mg"
J7313,Miscellaneous Drugs,"Injection, fluocinolone acetonide, intravitreal implant (Iluvien), 0.01 mg"
J7314,Miscellaneous Drugs,"Injection, fluocinolone acetonide, intravitreal implant (Yutiq), 0.01 mg"
J7315,Miscellaneous Drugs,"Mitomycin, ophthalmic, 0.2 mg"
J7316,Miscellaneous Drugs,"Injection, ocriplasmin, 0.125 mg"
J7318,Miscellaneous Drugs,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg"
J7320,Miscellaneous Drugs,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg"
J7321,Miscellaneous Drugs,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose"
J7322,Miscellaneous Drugs,"Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg"
J7323,Miscellaneous Drugs,"Hyaluronan or derivative, Euflexxa, for intra-articular injection, per dose"
J7324,Miscellaneous Drugs,"Hyaluronan or derivative, Orthovisc, for intra-articular injection, per dose"
J7325,Miscellaneous Drugs,"Hyaluronan or derivative, Synvisc or Synvisc-One, for intra-articular injection, 1 mg"
J7326,Miscellaneous Drugs,"Hyaluronan or derivative, Gel-One, for intra-articular injection, per dose"
J7327,Miscellaneous Drugs,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose"
J7328,Miscellaneous Drugs,"Hyaluronan or derivative, Gel-Syn, for intra-articular injection, 0.1 mg"
J7329,Miscellaneous Drugs,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg"
J7330,Miscellaneous Drugs,"Autologous cultured chondrocytes, implant"
J7331,Miscellaneous Drugs,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg"
J7332,Miscellaneous Drugs,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg"
J7336,Miscellaneous Drugs,"Capsaicin 8% patch, per square centimeter"
J7340,Miscellaneous Drugs,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml"
J7342,Miscellaneous Drugs,"Instillation, ciprofloxacin otic suspension, 6 mg"
J7345,Miscellaneous Drugs,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg"
J7351,Miscellaneous Drugs,"Injection, bimatoprost, intracameral implant, 1 microgram"
J7352,Miscellaneous Drugs,"Afamelanotide implant, 1 mg"
J7353,Miscellaneous Drugs,"Anacaulase-bcdb, 8.8% gel, 1 gram"
J7354,Miscellaneous Drugs,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg)"
J7355,Miscellaneous Drugs,"Injection, travoprost, intracameral implant, 1 microgram"
J7402,Miscellaneous Drugs,"Mometasone furoate sinus implant, (sinuva), 10 micrograms"
J7500,Immunosuppressive Drugs,"Azathioprine, oral, 50 mg"
J7501,Immunosuppressive Drugs,"Azathioprine, parenteral, 100 mg"
J7502,Immunosuppressive Drugs,"Cyclosporine, oral, 100 mg"
J7503,Immunosuppressive Drugs,"Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg"
J7504,Immunosuppressive Drugs,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg"
J7505,Immunosuppressive Drugs,"Muromonab-CD3, parenteral, 5 mg"
J7507,Immunosuppressive Drugs,"Tacrolimus, immediate release, oral, 1 mg"
J7508,Immunosuppressive Drugs,"Tacrolimus, extended release, (Astagraf XL), oral, 0.1 mg"
J7509,Immunosuppressive Drugs,"Methylprednisolone oral, per 4 mg"
J7510,Immunosuppressive Drugs,"Prednisolone oral, per 5 mg"
J7511,Immunosuppressive Drugs,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg"
J7512,Immunosuppressive Drugs,"Prednisone, immediate release or delayed release, oral, 1 mg"
J7513,Immunosuppressive Drugs,"Daclizumab, parenteral, 25 mg"
J7514,Immunosuppressive Drugs,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg"
J7515,Immunosuppressive Drugs,"Cyclosporine, oral, 25 mg"
J7516,Immunosuppressive Drugs,"Injection, cyclosporine, 250 mg"
J7517,Immunosuppressive Drugs,"Mycophenolate mofetil, oral, 250 mg"
J7518,Immunosuppressive Drugs,"Mycophenolic acid, oral, 180 mg"
J7519,Immunosuppressive Drugs,"Injection, mycophenolate mofetil, 10 mg"
J7520,Immunosuppressive Drugs,"Sirolimus, oral, 1 mg"
J7525,Immunosuppressive Drugs,"Tacrolimus, parenteral, 5 mg"
J7527,Immunosuppressive Drugs,"Everolimus, oral, 0.25 mg"
J7599,Immunosuppressive Drugs,"Immunosuppressive drug, not otherwise classified"
J7601,Inhalation Solutions,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg"
J7604,Inhalation Solutions,"Acetylcysteine, inhalation solution, compounded product, administered through DME, unit dose form, per gram"
J7605,Inhalation Solutions,"Arformoterol, inhalation solution, FDA approved final product, non-compounded, administered through DME, unit dose form, 15 micrograms"
J7606,Inhalation Solutions,"Formoterol fumarate, inhalation solution, FDA approved final product, non-compounded, administered through DME, unit dose form, 20 micrograms"
J7607,Inhalation Solutions,"Levalbuterol, inhalation solution, compounded product, administered through DME, concentrated form, 0.5 mg"
J7608,Inhalation Solutions,"Acetylcysteine, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, per gram"
J7609,Inhalation Solutions,"Albuterol, inhalation solution, compounded product, administered through DME, unit dose, 1 mg"
J7610,Inhalation Solutions,"Albuterol, inhalation solution, compounded product, administered through DME, concentrated form, 1 mg"
J7611,Inhalation Solutions,"Albuterol, inhalation solution, FDA-approved final product, non-compounded, administered through DME, concentrated form, 1 mg"
J7612,Inhalation Solutions,"Levalbuterol, inhalation solution, FDA-approved final product, non-compounded, administered through DME, concentrated form, 0.5 mg"
J7613,Inhalation Solutions,"Albuterol, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose, 1 mg"
J7614,Inhalation Solutions,"Levalbuterol, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose, 0.5 mg"
J7615,Inhalation Solutions,"Levalbuterol, inhalation solution, compounded product, administered through DME, unit dose, 0.5 mg"
J7620,Inhalation Solutions,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, FDA-approved final product, non-compounded, administered through DME"
J7622,Inhalation Solutions,"Beclomethasone, inhalation solution, compounded product, administered through DME, unit dose form, per milligram"
J7624,Inhalation Solutions,"Betamethasone, inhalation solution, compounded product, administered through DME, unit dose form, per milligram"
J7626,Inhalation Solutions,"Budesonide, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, up to 0.5 mg"
J7627,Inhalation Solutions,"Budesonide, inhalation solution, compounded product, administered through DME, unit dose form, up to 0.5 mg"
J7628,Inhalation Solutions,"Bitolterol mesylate, inhalation solution, compounded product, administered through DME, concentrated form, per milligram"
J7629,Inhalation Solutions,"Bitolterol mesylate, inhalation solution, compounded product, administered through DME, unit dose form, per milligram"
J7631,Inhalation Solutions,"Cromolyn sodium, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, per 10 milligrams"
J7632,Inhalation Solutions,"Cromolyn sodium, inhalation solution, compounded product, administered through DME, unit dose form, per 10 milligrams"
J7633,Inhalation Solutions,"Budesonide, inhalation solution, FDA-approved final product, non-compounded, administered through DME, concentrated form, per 0.25 milligram"
J7634,Inhalation Solutions,"Budesonide, inhalation solution, compounded product, administered through DME, concentrated form, per 0.25 milligram"
J7635,Inhalation Solutions,"Atropine, inhalation solution, compounded product, administered through DME, concentrated form, per milligram"
J7636,Inhalation Solutions,"Atropine, inhalation solution, compounded product, administered through DME, unit dose form, per milligram"
J7637,Inhalation Solutions,"Dexamethasone, inhalation solution, compounded product, administered through DME, concentrated form, per milligram"
J7638,Inhalation Solutions,"Dexamethasone, inhalation solution, compounded product, administered through DME, unit dose form, per milligram"
J7639,Inhalation Solutions,"Dornase alfa, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, per milligram"
J7640,Inhalation Solutions,"Formoterol, inhalation solution, compounded product, administered through DME, unit dose form, 12 micrograms"
J7641,Inhalation Solutions,"Flunisolide, inhalation solution, compounded product, administered through DME, unit dose, per milligram"
J7642,Inhalation Solutions,"Glycopyrrolate, inhalation solution, compounded product, administered through DME, concentrated form, per milligram"
J7643,Inhalation Solutions,"Glycopyrrolate, inhalation solution, compounded product, administered through DME, unit dose form, per milligram"
J7644,Inhalation Solutions,"Ipratropium bromide, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, per milligram"
J7645,Inhalation Solutions,"Ipratropium bromide, inhalation solution, compounded product, administered through DME, unit dose form, per milligram"
J7647,Inhalation Solutions,"Isoetharine HCl, inhalation solution, compounded product, administered through DME, concentrated form, per milligram"
J7648,Inhalation Solutions,"Isoetharine HCl, inhalation solution, FDA-approved final product, non-compounded, administered through DME, concentrated form, per milligram"
J7649,Inhalation Solutions,"Isoetharine HCl, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, per milligram"
J7650,Inhalation Solutions,"Isoetharine HCl, inhalation solution, compounded product, administered through DME, unit dose form, per milligram"
J7657,Inhalation Solutions,"Isoproterenol HCl, inhalation solution, compounded product, administered through DME, concentrated form, per milligram"
J7658,Inhalation Solutions,"Isoproterenol HCl, inhalation solution, FDA-approved final product, non-compounded, administered through DME, concentrated form, per milligram"
J7659,Inhalation Solutions,"Isoproterenol HCl, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, per milligram"
J7660,Inhalation Solutions,"Isoproterenol HCl, inhalation solution, compounded product, administered through DME, unit dose form, per milligram"
J7665,Inhalation Solutions,"Mannitol, administered through an inhaler, 5 mg"
J7667,Inhalation Solutions,"Metaproterenol sulfate, inhalation solution, compounded product, concentrated form, per 10 milligrams"
J7668,Inhalation Solutions,"Metaproterenol sulfate, inhalation solution, FDA-approved final product, non-compounded, administered through DME, concentrated form, per 10 milligrams"
J7669,Inhalation Solutions,"Metaproterenol sulfate, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, per 10 milligrams"
J7670,Inhalation Solutions,"Metaproterenol sulfate, inhalation solution, compounded product, administered through DME, unit dose form, per 10 milligrams"
J7674,Inhalation Solutions,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg"
J7676,Inhalation Solutions,"Pentamidine isethionate, inhalation solution, compounded product, administered through DME, unit dose form, per 300 mg"
J7677,Inhalation Solutions,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through DME, 1 microgram"
J7680,Inhalation Solutions,"Terbutaline sulfate, inhalation solution, compounded product, administered through DME, concentrated form, per milligram"
J7681,Inhalation Solutions,"Terbutaline sulfate, inhalation solution, compounded product, administered through DME, unit dose form, per milligram"
J7682,Inhalation Solutions,"Tobramycin, inhalation solution, FDA-approved final product, non-compounded, unit dose form, administered through DME, per 300 milligrams"
J7683,Inhalation Solutions,"Triamcinolone, inhalation solution, compounded product, administered through DME, concentrated form, per milligram"
J7684,Inhalation Solutions,"Triamcinolone, inhalation solution, compounded product, administered through DME, unit dose form, per milligram"
J7685,Inhalation Solutions,"Tobramycin, inhalation solution, compounded product, administered through DME, unit dose form, per 300 milligrams"
J7686,Inhalation Solutions,"Treprostinil, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, 1.74 mg"
J7699,"Drugs, Not Otherwise Classified","Noc drugs, inhalation solution administered through DME"
J7799,"Drugs, Not Otherwise Classified","Noc drugs, other than inhalation drugs, administered through DME"
J7999,"Drugs, Not Otherwise Classified","Compounded drug, not otherwise classified"
J8498,"Drugs, Not Otherwise Classified","Antiemetic drug, rectal/suppository, not otherwise specified"
J8499,"Drugs, Not Otherwise Classified","Prescription drug, oral, non chemotherapeutic, NOS"
J8501,"Chemotherapy Drugs, Oral Administration","Aprepitant, oral, 5 mg"
J8510,"Chemotherapy Drugs, Oral Administration","Busulfan; oral, 2 mg"
J8515,"Chemotherapy Drugs, Oral Administration","Cabergoline, oral, 0.25 mg"
J8522,"Chemotherapy Drugs, Oral Administration","Capecitabine, oral, 50 mg"
J8530,"Chemotherapy Drugs, Oral Administration","Cyclophosphamide; oral, 25 mg"
J8540,"Chemotherapy Drugs, Oral Administration","Dexamethasone, oral, 0.25 mg"
J8541,"Chemotherapy Drugs, Oral Administration","Dexamethasone (hemady), oral, 0.25 mg"
J8560,"Chemotherapy Drugs, Oral Administration","Etoposide; oral, 50 mg"
J8562,"Chemotherapy Drugs, Oral Administration","Fludarabine phosphate, oral, 10 mg"
J8565,"Chemotherapy Drugs, Oral Administration","Gefitinib, oral, 250 mg"
J8597,"Chemotherapy Drugs, Oral Administration","Antiemetic drug, oral, not otherwise specified"
J8600,"Chemotherapy Drugs, Oral Administration","Melphalan; oral, 2 mg"
J8610,"Chemotherapy Drugs, Oral Administration","Methotrexate; oral, 2.5 mg"
J8611,"Chemotherapy Drugs, Oral Administration","Methotrexate (jylamvo), oral, 2.5 mg"
J8612,"Chemotherapy Drugs, Oral Administration","Methotrexate (xatmep), oral, 2.5 mg"
J8650,"Chemotherapy Drugs, Oral Administration","Nabilone, oral, 1 mg"
J8655,"Chemotherapy Drugs, Oral Administration","Netupitant 300 mg and palonosetron 0.5 mg, oral"
J8670,"Chemotherapy Drugs, Oral Administration","Rolapitant, oral, 1 mg"
J8700,"Chemotherapy Drugs, Oral Administration","Temozolomide, oral, 5 mg"
J8705,"Chemotherapy Drugs, Oral Administration","Topotecan, oral, 0.25 mg"
J8999,"Chemotherapy Drugs, Oral Administration","Prescription drug, oral, chemotherapeutic, NOS"
K0001,"Wheelchairs, Components, and Accessories",Standard wheelchair
K0002,"Wheelchairs, Components, and Accessories",Standard hemi (low seat) wheelchair
K0003,"Wheelchairs, Components, and Accessories",Lightweight wheelchair
K0004,"Wheelchairs, Components, and Accessories","High strength, lightweight wheelchair"
K0005,"Wheelchairs, Components, and Accessories",Ultralightweight wheelchair
K0006,"Wheelchairs, Components, and Accessories",Heavy duty wheelchair
K0007,"Wheelchairs, Components, and Accessories",Extra heavy duty wheelchair
K0008,"Wheelchairs, Components, and Accessories",Custom manual wheelchair/base
K0009,"Wheelchairs, Components, and Accessories",Other manual wheelchair/base
K0010,"Wheelchairs, Components, and Accessories",Standard - weight frame motorized/power wheelchair
K0011,"Wheelchairs, Components, and Accessories","Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking"
K0012,"Wheelchairs, Components, and Accessories",Lightweight portable motorized/power wheelchair
K0013,"Wheelchairs, Components, and Accessories",Custom motorized/power wheelchair base
K0014,"Wheelchairs, Components, and Accessories",Other motorized/power wheelchair base
K0015,"Wheelchairs, Components, and Accessories","Detachable, non-adjustable height armrest, each"
K0017,"Wheelchairs, Components, and Accessories","Detachable, adjustable height armrest, base, replacement only, each"
K0018,"Wheelchairs, Components, and Accessories","Detachable, adjustable height armrest, upper portion, replacement only, each"
K0019,"Wheelchairs, Components, and Accessories","Arm pad, replacement only, each"
K0020,"Wheelchairs, Components, and Accessories","Fixed, adjustable height armrest, pair"
K0037,"Wheelchairs, Components, and Accessories","High mount flip-up footrest, each"
K0038,"Wheelchairs, Components, and Accessories","Leg strap, each"
K0039,"Wheelchairs, Components, and Accessories","Leg strap, H style, each"
K0040,"Wheelchairs, Components, and Accessories","Adjustable angle footplate, each"
K0041,"Wheelchairs, Components, and Accessories","Large size footplate, each"
K0042,"Wheelchairs, Components, and Accessories","Standard size footplate, replacement only, each"
K0043,"Wheelchairs, Components, and Accessories","Footrest, lower extension tube, replacement only, each"
K0044,"Wheelchairs, Components, and Accessories","Footrest, upper hanger bracket, replacement only, each"
K0045,"Wheelchairs, Components, and Accessories","Footrest, complete assembly, replacement only, each"
K0046,"Wheelchairs, Components, and Accessories","Elevating legrest, lower extension tube, replacement only, each"
K0047,"Wheelchairs, Components, and Accessories","Elevating legrest, upper hanger bracket, replacement only, each"
K0050,"Wheelchairs, Components, and Accessories","Ratchet assembly, replacement only"
K0051,"Wheelchairs, Components, and Accessories","Cam release assembly, footrest or legrest, replacement only, each"
K0052,"Wheelchairs, Components, and Accessories","Swingaway, detachable footrests, replacement only, each"
K0053,"Wheelchairs, Components, and Accessories","Elevating footrests, articulating (telescoping), each"
K0056,"Wheelchairs, Components, and Accessories","Seat height less than 17 inch or equal to or greater than 21 inch for a high strength, lightweight, or ultralightweight wheelchair"
K0065,"Wheelchairs, Components, and Accessories","Spoke protectors, each"
K0069,"Wheelchairs, Components, and Accessories","Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each"
K0070,"Wheelchairs, Components, and Accessories","Rear wheel assembly, complete, with pneumatic tire, spokes or molded, each"
K0071,"Wheelchairs, Components, and Accessories","Front caster assembly, complete, with pneumatic tire, replacement only, each"
K0072,"Wheelchairs, Components, and Accessories","Front caster assembly, complete, with semi-pneumatic tire, replacement only, each"
K0073,"Wheelchairs, Components, and Accessories","Caster pin lock, each"
K0077,"Wheelchairs, Components, and Accessories","Front caster assembly, complete, with solid tire, replacement only, each"
K0098,"Wheelchairs, Components, and Accessories","Drive belt for power wheelchair, replacement only"
K0105,"Wheelchairs, Components, and Accessories","IV hanger, each"
K0108,"Wheelchairs, Components, and Accessories","Wheelchair component or accessory, not otherwise specified"
K0195,"Wheelchairs, Components, and Accessories","Elevating leg rests, pair (for use with capped rental wheelchair base)"
K0455,INFUSION PUMPS AND SUPPLIES,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)"
K0462,INFUSION PUMPS AND SUPPLIES,"Temporary replacement for patient owned equipment being repaired, any type"
K0552,INFUSION PUMPS AND SUPPLIES,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each"
K0601,INFUSION PUMPS AND SUPPLIES,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each"
K0602,INFUSION PUMPS AND SUPPLIES,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each"
K0603,INFUSION PUMPS AND SUPPLIES,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each"
K0604,INFUSION PUMPS AND SUPPLIES,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each"
K0605,INFUSION PUMPS AND SUPPLIES,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each"
K0606,Automated External Defibrillator and Supplies,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type"
K0607,Automated External Defibrillator and Supplies,"Replacement battery for automated external defibrillator, garment type only, each"
K0608,Automated External Defibrillator and Supplies,"Replacement garment for use with automated external defibrillator, each"
K0609,Automated External Defibrillator and Supplies,"Replacement electrodes for use with automated external defibrillator, garment type only, each"
K0669,Miscellaneous DME and Accessories,"Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from DME PDAC"
K0672,Miscellaneous DME and Accessories,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each"
K0730,Miscellaneous DME and Accessories,Controlled dose inhalation drug delivery system
K0733,Miscellaneous DME and Accessories,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)"
K0738,Miscellaneous DME and Accessories,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing"
K0739,Miscellaneous DME and Accessories,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes"
K0740,Miscellaneous DME and Accessories,"Repair or nonroutine service for oxygen equipment requiring the skill of a technician, labor component, per 15 minutes"
K0743,Miscellaneous DME and Accessories,"Suction pump, home model, portable, for use on wounds"
K0744,Miscellaneous DME and Accessories,"Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or less"
K0745,Miscellaneous DME and Accessories,"Absorptive 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 inches"
K0746,Miscellaneous DME and Accessories,"Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches"
K0800,Power Operated Vehicles,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds"
K0801,Power Operated Vehicles,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds"
K0802,Power Operated Vehicles,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds"
K0806,Power Operated Vehicles,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds"
K0807,Power Operated Vehicles,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds"
K0808,Power Operated Vehicles,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds"
K0812,Power Operated Vehicles,"Power operated vehicle, not otherwise classified"
K0813,"Wheelchairs, Power Operated","Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds"
K0814,"Wheelchairs, Power Operated","Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds"
K0815,"Wheelchairs, Power Operated","Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds"
K0816,"Wheelchairs, Power Operated","Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds"
K0820,"Wheelchairs, Power Operated","Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
K0821,"Wheelchairs, Power Operated","Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds"
K0822,"Wheelchairs, Power Operated","Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
K0823,"Wheelchairs, Power Operated","Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds"
K0824,"Wheelchairs, Power Operated","Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
K0825,"Wheelchairs, Power Operated","Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds"
K0826,"Wheelchairs, Power Operated","Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds"
K0827,"Wheelchairs, Power Operated","Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds"
K0828,"Wheelchairs, Power Operated","Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more"
K0829,"Wheelchairs, Power Operated","Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more"
K0830,"Wheelchairs, Power Operated","Power wheelchair, group 2 standard, seat elevator, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
K0831,"Wheelchairs, Power Operated","Power wheelchair, group 2 standard, seat elevator, captains chair, patient weight capacity up to and including 300 pounds"
K0835,"Wheelchairs, Power Operated","Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
K0836,"Wheelchairs, Power Operated","Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds"
K0837,"Wheelchairs, Power Operated","Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
K0838,"Wheelchairs, Power Operated","Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds"
K0839,"Wheelchairs, Power Operated","Power wheelchair, group 2 very heavy duty, single power option sling/solid seat/back, patient weight capacity 451 to 600 pounds"
K0840,"Wheelchairs, Power Operated","Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more"
K0841,"Wheelchairs, Power Operated","Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
K0842,"Wheelchairs, Power Operated","Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds"
K0843,"Wheelchairs, Power Operated","Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
K0848,"Wheelchairs, Power Operated","Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
K0849,"Wheelchairs, Power Operated","Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds"
K0850,"Wheelchairs, Power Operated","Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
K0851,"Wheelchairs, Power Operated","Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds"
K0852,"Wheelchairs, Power Operated","Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds"
K0853,"Wheelchairs, Power Operated","Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds"
K0854,"Wheelchairs, Power Operated","Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more"
K0855,"Wheelchairs, Power Operated","Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more"
K0856,"Wheelchairs, Power Operated","Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
K0857,"Wheelchairs, Power Operated","Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds"
K0858,"Wheelchairs, Power Operated","Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds"
K0859,"Wheelchairs, Power Operated","Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds"
K0860,"Wheelchairs, Power Operated","Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds"
K0861,"Wheelchairs, Power Operated","Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
K0862,"Wheelchairs, Power Operated","Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
K0863,"Wheelchairs, Power Operated","Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds"
K0864,"Wheelchairs, Power Operated","Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more"
K0868,"Wheelchairs, Power Operated","Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
K0869,"Wheelchairs, Power Operated","Power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 pounds"
K0870,"Wheelchairs, Power Operated","Power wheelchair, group 4 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
K0871,"Wheelchairs, Power Operated","Power wheelchair, group 4 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds"
K0877,"Wheelchairs, Power Operated","Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
K0878,"Wheelchairs, Power Operated","Power wheelchair, group 4 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds"
K0879,"Wheelchairs, Power Operated","Power wheelchair, group 4 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
K0880,"Wheelchairs, Power Operated","Power wheelchair, group 4 very heavy duty, single power option, sling/solid seat/back, patient weight 451 to 600 pounds"
K0884,"Wheelchairs, Power Operated","Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds"
K0885,"Wheelchairs, Power Operated","Power wheelchair, group 4 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds"
K0886,"Wheelchairs, Power Operated","Power wheelchair, group 4 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds"
K0890,"Wheelchairs, Power Operated","Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds"
K0891,"Wheelchairs, Power Operated","Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds"
K0898,"Wheelchairs, Power Operated","Power wheelchair, not otherwise classified"
K0899,"Wheelchairs, Power Operated","Power mobility device, not coded by DME PDAC or does not meet criteria"
K0900,"Customized DME, Other Than Wheelchair","Customized durable medical equipment, other than wheelchair"
L0112,Cervical Orthotics,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated"
L0113,Cervical Orthotics,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment"
L0120,Cervical Orthotics,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)"
L0130,Cervical Orthotics,"Cervical, flexible, thermoplastic collar, molded to patient"
L0140,Cervical Orthotics,"Cervical, semi-rigid, adjustable (plastic collar)"
L0150,Cervical Orthotics,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)"
L0160,Cervical Orthotics,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf"
L0170,Cervical Orthotics,"Cervical, collar, molded to patient model"
L0172,Cervical Orthotics,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf"
L0174,Cervical Orthotics,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf"
L0180,Cervical Orthotics Multi-post Collar,"Cervical, multiple post collar, occipital/mandibular supports, adjustable"
L0190,Cervical Orthotics Multi-post Collar,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (SOMI, Guilford, Taylor types)"
L0200,Cervical Orthotics Multi-post Collar,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension"
L0220,Thoracic Rib Belts,"Thoracic, rib belt, custom fabricated"
L0450,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf"
L0452,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, custom fabricated"
L0454,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO) flexible, provides trunk support, extends from sacrococcygeal junction to above T-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L0455,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support, extends from sacrococcygeal junction to above T-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf"
L0456,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L0457,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf"
L0458,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, modular segmented spinal system, two 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, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment"
L0460,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, modular segmented spinal system, two 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 sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L0462,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), triplanar 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 sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment"
L0464,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), 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 adjustment"
L0466,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L0467,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf"
L0468,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal, and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L0469,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf"
L0470,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic, thoracic, and lateral frame pieces, rotational strength provided by subclavicular extensions, restricts gross trunk motion in sagittal, coronal, and transverse planes, provides intracavitary pressure to reduce load on the intervertebral disks, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment"
L0472,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral pads with straps and closures, limits spinal flexion, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment"
L0480,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or CAD-CAM model, custom fabricated"
L0482,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or CAD-CAM model, custom fabricated"
L0484,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or CAD-CAM model, custom fabricated"
L0486,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or CAD-CAM model, custom fabricated"
L0488,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, prefabricated, includes fitting and adjustment"
L0490,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at or before the T-9 vertebra, anterior extends from symphysis pubis to xiphoid, anterior opening, restricts gross trunk motion in sagittal and coronal planes, prefabricated, includes fitting and adjustment"
L0491,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), sagittal-coronal control, modular segmented spinal system, two 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 adjustment"
L0492,Thoracic-lumbar-sacral (TLSO) Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), 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 adjustment"
L0621,Sacral Orthotics,"Sacroiliac orthosis (SO), flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf"
L0622,Sacral Orthotics,"Sacroiliac orthosis (SO), flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated"
L0623,Sacral Orthotics,"Sacroiliac orthosis (SO), provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf"
L0624,Sacral Orthotics,"Sacroiliac orthosis (SO), provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated"
L0625,Lumbar Orthotics,"Lumbar orthosis (LO), flexible, provides lumbar support, 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 pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf"
L0626,Lumbar Orthotics,"Lumbar orthosis (LO), sagittal control, with rigid posterior panel(s), 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, stays, 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"
L0627,Lumbar Orthotics,"Lumbar orthosis (LO), 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 expertise"
L0628,Lumbar-sacral Orthotics,"Lumbar-sacral orthosis (LSO), flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to T-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf"
L0629,Lumbar-sacral Orthotics,"Lumbar-sacral orthosis (LSO), flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to T-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, custom fabricated"
L0630,Lumbar-sacral Orthotics,"Lumbar-sacral orthosis (LSO), sagittal control, with rigid posterior panel(s), 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, stays, 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"
L0631,Lumbar-sacral Orthotics,"Lumbar-sacral orthosis (LSO), 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"
L0632,Lumbar-sacral Orthotics,"Lumbar-sacral orthosis (LSO), 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, custom fabricated"
L0633,Lumbar-sacral Orthotics,"Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid posterior frame/panel(s), 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, stays, 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"
L0634,Lumbar-sacral Orthotics,"Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, custom fabricated"
L0635,Lumbar-sacral Orthotics,"Lumbar-sacral orthosis (LSO), sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, prefabricated, includes fitting and adjustment"
L0636,Lumbar-sacral Orthotics,"Lumbar-sacral orthosis (LSO), sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, 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, anterior panel, pendulous abdomen design, custom fabricated"
L0637,Lumbar-sacral Orthotics,"Lumbar-sacral orthosis (LSO), 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, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L0638,Lumbar-sacral Orthotics,"Lumbar-sacral orthosis (LSO), 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 fabricated"
L0639,Lumbar-sacral Orthotics,"Lumbar-sacral orthosis (LSO), sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, 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"
L0640,Lumbar-sacral Orthotics,"Lumbar-sacral orthosis (LSO), sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, anterior extends from symphysis pubis to xiphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, custom fabricated"
L0641,Lumbar Orthotics Sagittal Control,"Lumbar orthosis (LO), sagittal control, with rigid posterior panel(s), 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, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf"
L0642,Lumbar Orthotics Sagittal Control,"Lumbar orthosis (LO), 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, off-the-shelf"
L0643,Lumbar-sacral Orthotics Sagittal Control,"Lumbar-sacral orthosis (LSO), sagittal control, with rigid posterior panel(s), 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, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf"
L0648,Lumbar-sacral Orthotics Sagittal Control,"Lumbar-sacral orthosis (LSO), 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, off-the-shelf"
L0649,Lumbar-sacral Orthotics Sagittal Control,"Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid posterior frame/panel(s), 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, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf"
L0650,Lumbar-sacral Orthotics Sagittal Control,"Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf"
L0651,Lumbar-sacral Orthotics Sagittal Control,"Lumbar-sacral orthosis (LSO), sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf"
L0700,Cervical-thoracic-lumbar-sacral Orthotics,"Cervical-thoracic-lumbar-sacral-orthoses (CTLSO), anterior-posterior-lateral control, molded to patient model (Minerva type)"
L0710,Cervical-thoracic-lumbar-sacral Orthotics,"Cervical-thoracic-lumbar-sacral-orthoses (CTLSO), anterior-posterior-lateral-control, molded to patient model, with interface material (Minerva type)"
L0810,Cervical Halo Procedures,"Halo procedure, cervical halo incorporated into jacket vest"
L0820,Cervical Halo Procedures,"Halo procedure, cervical halo incorporated into plaster body jacket"
L0830,Cervical Halo Procedures,"Halo procedure, cervical halo incorporated into Milwaukee type orthosis"
L0859,Cervical Halo Procedures,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material"
L0861,Cervical Halo Procedures,"Addition to halo procedure, replacement liner/interface material"
L0970,Accessories for Spinal Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), corset front"
L0972,Accessories for Spinal Orthotics,"Lumbar-sacral orthosis (LSO), corset front"
L0974,Accessories for Spinal Orthotics,"Thoracic-lumbar-sacral orthosis (TLSO), full corset"
L0976,Accessories for Spinal Orthotics,"Lumbar-sacral orthotic (LSO), full corset"
L0978,Accessories for Spinal Orthotics,Axillary crutch extension
L0980,Accessories for Spinal Orthotics,"Peroneal straps, prefabricated, off-the-shelf, pair"
L0982,Accessories for Spinal Orthotics,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)"
L0984,Accessories for Spinal Orthotics,"Protective body sock, prefabricated, off-the-shelf, each"
L0999,Accessories for Spinal Orthotics,"Addition to spinal orthosis, not otherwise specified"
L1000,Scoliosis Orthotic Devices,"Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthosis, including model"
L1001,Scoliosis Orthotic Devices,"Cervical-thoracic-lumbar-sacral orthosis (CTLSO), immobilizer, infant size, prefabricated, includes fitting and adjustment"
L1005,Scoliosis Orthotic Devices,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment"
L1006,Scoliosis Orthotic Devices,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L1010,Scoliosis Orthotic Devices,"Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, axilla sling"
L1020,Scoliosis Orthotic Devices,"Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad"
L1025,Scoliosis Orthotic Devices,"Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad, floating"
L1030,Scoliosis Orthotic Devices,"Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar bolster pad"
L1040,Scoliosis Orthotic Devices,"Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar or lumbar rib pad"
L1050,Scoliosis Orthotic Devices,"Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, sternal pad"
L1060,Scoliosis Orthotic Devices,"Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, thoracic pad"
L1070,Scoliosis Orthotic Devices,"Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, trapezius sling"
L1080,Scoliosis Orthotic Devices,"Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger"
L1085,Scoliosis Orthotic Devices,"Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger, bilateral with vertical extensions"
L1090,Scoliosis Orthotic Devices,"Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar sling"
L1100,Scoliosis Orthotic Devices,"Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather"
L1110,Scoliosis Orthotic Devices,"Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather, molded to patient model"
L1120,Scoliosis Orthotic Devices,"Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each"
L1200,"Low-profile Additions, Thoracic-lumbar-sacral Orthotics","Thoracic-lumbar-sacral-orthosis (TLSO), inclusive of furnishing initial orthosis only"
L1210,"Low-profile Additions, Thoracic-lumbar-sacral Orthotics","Addition to Thoracic-lumbar-sacral-orthosis (TLSO), (low profile), lateral thoracic extension"
L1220,"Low-profile Additions, Thoracic-lumbar-sacral Orthotics","Addition to Thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior thoracic extension"
L1230,"Low-profile Additions, Thoracic-lumbar-sacral Orthotics","Addition to Thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure"
L1240,"Low-profile Additions, Thoracic-lumbar-sacral Orthotics","Addition to Thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad"
L1250,"Low-profile Additions, Thoracic-lumbar-sacral Orthotics","Addition to Thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior asis pad"
L1260,"Low-profile Additions, Thoracic-lumbar-sacral Orthotics","Addition to Thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior thoracic derotation pad"
L1270,"Low-profile Additions, Thoracic-lumbar-sacral Orthotics","Addition to Thoracic-lumbar-sacral orthosis (TLSO), (low profile), abdominal pad"
L1280,"Low-profile Additions, Thoracic-lumbar-sacral Orthotics","Addition to Thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each"
L1290,"Low-profile Additions, Thoracic-lumbar-sacral Orthotics","Addition to Thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral trochanteric pad"
L1300,Other Scoliosis and Spinal Orthotics and Procedures,"Other scoliosis procedure, body jacket molded to patient model"
L1310,Other Scoliosis and Spinal Orthotics and Procedures,"Other scoliosis procedure, post-operative body jacket"
L1320,Other Scoliosis and Spinal Orthotics and Procedures,"Thoracic, pectus carinatum orthosis, sternal compression, rigid circumferential frame with anterior and posterior rigid pads, custom fabricated"
L1499,Other Scoliosis and Spinal Orthotics and Procedures,"Spinal orthosis, not otherwise specified"
L1600,Hip Orthotics,"Hip orthosis, abduction control of hip joints, flexible, Frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L1610,Hip Orthotics,"Hip orthosis, abduction control of hip joints, flexible, (Frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L1620,Hip Orthotics,"Hip orthosis, abduction control of hip joints, flexible, (Pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L1630,Hip Orthotics,"Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom-fabricated"
L1640,Hip Orthotics,"Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom-fabricated"
L1650,Hip Orthotics,"Hip orthosis (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment"
L1652,Hip Orthotics,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L1653,Hip Orthotics,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf"
L1660,Hip Orthotics,"Hip orthosis (HO), abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment"
L1680,Hip Orthotics,"Hip orthosis (HO), abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (Rancho hip action type), custom fabricated"
L1681,Hip Orthotics,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L1685,Hip Orthotics,"Hip orthosis (HO), abduction control of hip joint, postoperative hip abduction type, custom fabricated"
L1686,Hip Orthotics,"Hip orthosis (HO), abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment"
L1690,Hip Orthotics,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment"
L1700,Legg Perthes Orthotics,"Legg perthes orthosis, (Toronto type), custom-fabricated"
L1710,Legg Perthes Orthotics,"Legg perthes orthosis, (Newington type), custom fabricated"
L1720,Legg Perthes Orthotics,"Legg perthes orthosis, trilateral, (Tachdijan type), custom-fabricated"
L1730,Legg Perthes Orthotics,"Legg perthes orthosis, (Scottish Rite type), custom-fabricated"
L1755,Legg Perthes Orthotics,"Legg perthes orthosis, (Patten bottom type), custom-fabricated"
L1810,Knee Orthotics,"Knee orthosis (KO), elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L1812,Knee Orthotics,"Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf"
L1820,Knee Orthotics,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L1821,Knee Orthotics,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf"
L1830,Knee Orthotics,"Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf"
L1831,Knee Orthotics,"Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment"
L1832,Knee Orthotics,"Knee orthosis (KO), adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L1833,Knee Orthotics,"Knee orthosis (KO), adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf"
L1834,Knee Orthotics,"Knee orthosis (KO), without knee joint, rigid, custom-fabricated"
L1836,Knee Orthotics,"Knee orthosis (KO), rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf"
L1840,Knee Orthotics,"Knee orthosis (KO), derotation, medial-lateral, anterior cruciate ligament, custom fabricated"
L1843,Knee Orthotics,"Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L1844,Knee Orthotics,"Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated"
L1845,Knee Orthotics,"Knee orthosis (KO), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L1846,Knee Orthotics,"Knee orthosis (KO), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated"
L1847,Knee Orthotics,"Knee orthosis (KO), double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L1848,Knee Orthotics,"Knee orthosis (KO), double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf"
L1850,Knee Orthotics,"Knee orthosis (KO), swedish type, prefabricated, off-the-shelf"
L1851,Knee Orthotics,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf"
L1852,Knee Orthotics,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf"
L1860,Knee Orthotics,"Knee orthosis (KO), modification of supracondylar prosthetic socket, custom-fabricated (SK)"
L1900,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), spring wire, dorsiflexion assist calf band, custom-fabricated"
L1902,Ankle-foot Orthotics,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf"
L1904,Ankle-foot Orthotics,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated"
L1906,Ankle-foot Orthotics,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf"
L1907,Ankle-foot Orthotics,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated"
L1910,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment"
L1920,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), single upright with static or adjustable stop (phelps or perlstein type), custom-fabricated"
L1930,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment"
L1932,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), rigid anterior tibial section, total carbon fiber or equal material, prefabricated, includes fitting and adjustment"
L1940,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), plastic or other material, custom-fabricated"
L1945,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom-fabricated"
L1950,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), spiral, (institute of rehabilitative medicine type), plastic, custom-fabricated"
L1951,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, includes fitting and adjustment"
L1960,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), posterior solid ankle, plastic, custom-fabricated"
L1970,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), plastic with ankle joint, custom-fabricated"
L1971,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), plastic or other material with ankle joint, prefabricated, includes fitting and adjustment"
L1980,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthosis), custom-fabricated"
L1990,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'BK' orthosis), custom-fabricated"
L2000,Knee-ankle-foot Orthotics,"Knee ankle foot orthosis (KAFO), single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthosis), custom-fabricated"
L2005,Knee-ankle-foot Orthotics,"Knee ankle foot orthosis (KAFO), any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated"
L2006,Knee-ankle-foot Orthotics,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type activation, with or without ankle joint(s), custom fabricated"
L2010,Knee-ankle-foot Orthotics,"Knee ankle foot orthosis (KAFO), single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthosis), without knee joint, custom-fabricated"
L2020,Knee-ankle-foot Orthotics,"Knee ankle foot orthosis (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'AK' orthosis), custom-fabricated"
L2030,Knee-ankle-foot Orthotics,"Knee ankle foot orthosis (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'AK' orthosis), without knee joint, custom fabricated"
L2034,Knee-ankle-foot Orthotics,"Knee ankle foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated"
L2035,Knee-ankle-foot Orthotics,"Knee ankle foot orthosis (KAFO), full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment"
L2036,Knee-ankle-foot Orthotics,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated"
L2037,Knee-ankle-foot Orthotics,"Knee ankle foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated"
L2038,Knee-ankle-foot Orthotics,"Knee ankle foot orthosis (KAFO), full plastic, with or without free motion knee, multi-axis ankle, custom fabricated"
L2040,Hip-knee-ankle-foot Orthotics,"Hip knee ankle foot orthosis (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated"
L2050,Hip-knee-ankle-foot Orthotics,"Hip knee ankle foot orthosis (HKAFO), torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom-fabricated"
L2060,Hip-knee-ankle-foot Orthotics,"Hip knee ankle foot orthosis (HKAFO), torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom-fabricated"
L2070,Hip-knee-ankle-foot Orthotics,"Hip knee ankle foot orthosis (HKAFO), torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated"
L2080,Hip-knee-ankle-foot Orthotics,"Hip knee ankle foot orthosis (HKAFO), torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom-fabricated"
L2090,Hip-knee-ankle-foot Orthotics,"Hip knee ankle foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom-fabricated"
L2106,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom-fabricated"
L2108,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, custom-fabricated"
L2112,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment"
L2114,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment"
L2116,Ankle-foot Orthotics,"Ankle foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment"
L2126,Knee-ankle-foot Orthotics,"Knee ankle foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom-fabricated"
L2128,Knee-ankle-foot Orthotics,"Knee ankle foot orthosis(KAFO), fracture orthosis, femoral fracture cast orthosis, custom-fabricated"
L2132,Knee-ankle-foot Orthotics,"Knee ankle foot orthosis(KAFO), fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment"
L2134,Knee-ankle-foot Orthotics,"Knee ankle foot orthosis(KAFO), fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment"
L2136,Knee-ankle-foot Orthotics,"Knee ankle foot orthosis(KAFO), fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment"
L2180,"Additions, Lower Extremity, Fracture Orthotics","Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints"
L2182,"Additions, Lower Extremity, Fracture Orthotics","Addition to lower extremity fracture orthosis, drop lock knee joint"
L2184,"Additions, Lower Extremity, Fracture Orthotics","Addition to lower extremity fracture orthosis, limited motion knee joint"
L2186,"Additions, Lower Extremity, Fracture Orthotics","Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type"
L2188,"Additions, Lower Extremity, Fracture Orthotics","Addition to lower extremity fracture orthosis, quadrilateral brim"
L2190,"Additions, Lower Extremity, Fracture Orthotics","Addition to lower extremity fracture orthosis, waist belt"
L2192,"Additions, Lower Extremity, Fracture Orthotics","Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt"
L2200,"Additions, Lower Extremity Orthotics","Addition to lower extremity, limited ankle motion, each joint"
L2210,"Additions, Lower Extremity Orthotics","Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint"
L2220,"Additions, Lower Extremity Orthotics","Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint"
L2230,"Additions, Lower Extremity Orthotics","Addition to lower extremity, split flat caliper stirrups and plate attachment"
L2232,"Additions, Lower Extremity Orthotics","Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis (AFO), for custom fabricated orthosis only"
L2240,"Additions, Lower Extremity Orthotics","Addition to lower extremity, round caliper and plate attachment"
L2250,"Additions, Lower Extremity Orthotics","Addition to lower extremity, foot plate, molded to patient model, stirrup attachment"
L2260,"Additions, Lower Extremity Orthotics","Addition to lower extremity, reinforced solid stirrup (Scott-Craig type)"
L2265,"Additions, Lower Extremity Orthotics","Addition to lower extremity, long tongue stirrup"
L2270,"Additions, Lower Extremity Orthotics","Addition to lower extremity, varus/valgus correction ('T') strap, padded/lined or malleolus pad"
L2275,"Additions, Lower Extremity Orthotics","Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined"
L2280,"Additions, Lower Extremity Orthotics","Addition to lower extremity, molded inner boot"
L2300,"Additions, Lower Extremity Orthotics","Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable"
L2310,"Additions, Lower Extremity Orthotics","Addition to lower extremity, abduction bar-straight"
L2320,"Additions, Lower Extremity Orthotics","Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only"
L2330,"Additions, Lower Extremity Orthotics","Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only"
L2335,"Additions, Lower Extremity Orthotics","Addition to lower extremity, anterior swing band"
L2340,"Additions, Lower Extremity Orthotics","Addition to lower extremity, pre-tibial shell, molded to patient model"
L2350,"Additions, Lower Extremity Orthotics","Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for 'PTB' 'AFO' orthoses)"
L2360,"Additions, Lower Extremity Orthotics","Addition to lower extremity, extended steel shank"
L2370,"Additions, Lower Extremity Orthotics","Addition to lower extremity, Patten bottom"
L2375,"Additions, Lower Extremity Orthotics","Addition to lower extremity, torsion control, ankle joint and half solid stirrup"
L2380,"Additions, Lower Extremity Orthotics","Addition to lower extremity, torsion control, straight knee joint, each joint"
L2385,"Additions, Lower Extremity Orthotics","Addition to lower extremity, straight knee joint, heavy duty, each joint"
L2387,"Additions, Lower Extremity Orthotics","Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis (KAFO), each joint"
L2390,"Additions, Lower Extremity Orthotics","Addition to lower extremity, offset knee joint, each joint"
L2395,"Additions, Lower Extremity Orthotics","Addition to lower extremity, offset knee joint, heavy duty, each joint"
L2397,"Additions, Lower Extremity Orthotics","Addition to lower extremity orthosis, suspension sleeve"
L2405,Orthotic Additions to Knee Joints,"Addition to knee joint, drop lock, each"
L2415,Orthotic Additions to Knee Joints,"Addition to knee lock with integrated release mechanism ( bail, cable, or equal), any material, each joint"
L2425,Orthotic Additions to Knee Joints,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint"
L2430,Orthotic Additions to Knee Joints,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint"
L2492,Orthotic Additions to Knee Joints,"Addition to knee joint, lift loop for drop lock ring"
L2500,"Additions, Weight-bearing, Lower Extremities","Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring"
L2510,"Additions, Weight-bearing, Lower Extremities","Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model"
L2520,"Additions, Weight-bearing, Lower Extremities","Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted"
L2525,"Additions, Weight-bearing, Lower Extremities","Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim molded to patient model"
L2526,"Additions, Weight-bearing, Lower Extremities","Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim, custom fitted"
L2530,"Additions, Weight-bearing, Lower Extremities","Addition to lower extremity, thigh-weight bearing, lacer, non-molded"
L2540,"Additions, Weight-bearing, Lower Extremities","Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model"
L2550,"Additions, Weight-bearing, Lower Extremities","Addition to lower extremity, thigh/weight bearing, high roll cuff"
L2570,"Additions, Pelvic and/or Thoracic Control, Lower Extremities","Addition to lower extremity, pelvic control, hip joint, Clevis type two position joint, each"
L2580,"Additions, Pelvic and/or Thoracic Control, Lower Extremities","Addition to lower extremity, pelvic control, pelvic sling"
L2600,"Additions, Pelvic and/or Thoracic Control, Lower Extremities","Addition to lower extremity, pelvic control, hip joint, Clevis type, or thrust bearing, free, each"
L2610,"Additions, Pelvic and/or Thoracic Control, Lower Extremities","Addition to lower extremity, pelvic control,hip joint, Clevis type or thrust bearing, lock, each"
L2620,"Additions, Pelvic and/or Thoracic Control, Lower Extremities","Addition to lower extremity, pelvic control, hip joint, heavy duty, each"
L2622,"Additions, Pelvic and/or Thoracic Control, Lower Extremities","Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each"
L2624,"Additions, Pelvic and/or Thoracic Control, Lower Extremities","Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each"
L2627,"Additions, Pelvic and/or Thoracic Control, Lower Extremities","Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables"
L2628,"Additions, Pelvic and/or Thoracic Control, Lower Extremities","Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables"
L2630,"Additions, Pelvic and/or Thoracic Control, Lower Extremities","Addition to lower extremity, pelvic control, band and belt, unilateral"
L2640,"Additions, Pelvic and/or Thoracic Control, Lower Extremities","Addition to lower extremity, pelvic control, band and belt, bilateral"
L2650,"Additions, Pelvic and/or Thoracic Control, Lower Extremities","Addition to lower extremity, pelvic and thoracic control, gluteal pad, each"
L2660,"Additions, Pelvic and/or Thoracic Control, Lower Extremities","Addition to lower extremity, thoracic control, thoracic band"
L2670,"Additions, Pelvic and/or Thoracic Control, Lower Extremities","Addition to lower extremity, thoracic control, paraspinal uprights"
L2680,"Additions, Pelvic and/or Thoracic Control, Lower Extremities","Addition to lower extremity, thoracic control, lateral support uprights"
L2750,Other Lower Extremity Additions,"Addition to lower extremity orthosis, plating chrome or nickel, per bar"
L2755,Other Lower Extremity Additions,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only"
L2760,Other Lower Extremity Additions,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)"
L2768,Other Lower Extremity Additions,"Orthotic side bar disconnect device, per bar"
L2780,Other Lower Extremity Additions,"Addition to lower extremity orthosis, non-corrosive finish, per bar"
L2785,Other Lower Extremity Additions,"Addition to lower extremity orthosis, drop lock retainer, each"
L2795,Other Lower Extremity Additions,"Addition to lower extremity orthosis, knee control, full kneecap"
L2800,Other Lower Extremity Additions,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only"
L2810,Other Lower Extremity Additions,"Addition to lower extremity orthosis, knee control, condylar pad"
L2820,Other Lower Extremity Additions,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section"
L2830,Other Lower Extremity Additions,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section"
L2840,Other Lower Extremity Additions,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each"
L2850,Other Lower Extremity Additions,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each"
L2861,Other Lower Extremity Additions,"Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each"
L2999,Other Lower Extremity Additions,"Lower extremity orthoses, not otherwise specified"
L3000,"Foot Inserts, Removable","Foot, insert, removable, molded to patient model, 'UCB' type, Berkeley Shell, each"
L3001,"Foot Inserts, Removable","Foot, insert, removable, molded to patient model, Spenco, each"
L3002,"Foot Inserts, Removable","Foot, insert, removable, molded to patient model, Plastazote or equal, each"
L3003,"Foot Inserts, Removable","Foot, insert, removable, molded to patient model, silicone gel, each"
L3010,"Foot Inserts, Removable","Foot, insert, removable, molded to patient model, longitudinal arch support, each"
L3020,"Foot Inserts, Removable","Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each"
L3030,"Foot Inserts, Removable","Foot, insert, removable, formed to patient foot, each"
L3031,"Foot Inserts, Removable","Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each"
L3040,Foot Arch Supports,"Foot, arch support, removable, premolded, longitudinal, each"
L3050,Foot Arch Supports,"Foot, arch support, removable, premolded, metatarsal, each"
L3060,Foot Arch Supports,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each"
L3070,Foot Arch Supports,"Foot, arch support, non-removable attached to shoe, longitudinal, each"
L3080,Foot Arch Supports,"Foot, arch support, non-removable attached to shoe, metatarsal, each"
L3090,Foot Arch Supports,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each"
L3100,Repositioning Foot Orthotics,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf"
L3140,Repositioning Foot Orthotics,"Foot, abduction rotation bar, including shoes"
L3150,Repositioning Foot Orthotics,"Foot, abduction rotatation bar, without shoes"
L3160,Repositioning Foot Orthotics,"Foot, adjustable shoe-styled positioning device"
L3161,Repositioning Foot Orthotics,"Foot, adductus positioning device, adjustable"
L3170,Repositioning Foot Orthotics,"Foot, plastic, silicone or equal, heel stabilizer, prafabricated, off-the-shelf, each"
L3201,Orthopedic Shoes,"Orthopedic shoe, Oxford with supinator or pronator, infant"
L3202,Orthopedic Shoes,"Orthopedic shoe, Oxford with supinator or pronator, child"
L3203,Orthopedic Shoes,"Orthopedic shoe, Oxford with supinator or pronator, junior"
L3204,Orthopedic Shoes,"Orthopedic shoe, hightop with supinator or pronator, infant"
L3206,Orthopedic Shoes,"Orthopedic shoe, hightop with supinator or pronator, child"
L3207,Orthopedic Shoes,"Orthopedic shoe, hightop with supinator or pronator, junior"
L3208,Surgical Boots,"Surgical boot, each, infant"
L3209,Surgical Boots,"Surgical boot, each, child"
L3211,Surgical Boots,"Surgical boot, each, junior"
L3212,Benesch Boots,"Benesch boot, pair, infant"
L3213,Benesch Boots,"Benesch boot, pair, child"
L3214,Benesch Boots,"Benesch boot, pair, junior"
L3215,Other Orthopedic Footwear,"Orthopedic footwear, ladies shoe, Oxford, each"
L3216,Other Orthopedic Footwear,"Orthopedic footwear, ladies shoe, depth inlay, each"
L3217,Other Orthopedic Footwear,"Orthopedic footwear, ladies shoe, hightop, depth inlay, each"
L3219,Other Orthopedic Footwear,"Orthopedic footwear, mens shoe, Oxford, each"
L3221,Other Orthopedic Footwear,"Orthopedic footwear, mens shoe, depth inlay, each"
L3222,Other Orthopedic Footwear,"Orthopedic footwear, mens shoe, hightop, depth inlay, each"
L3224,Other Orthopedic Footwear,"Orthopedic footwear, woman's shoe, Oxford, used as an integral part of a brace (orthosis)"
L3225,Other Orthopedic Footwear,"Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)"
L3230,Other Orthopedic Footwear,"Orthopedic footwear, custom shoe, depth inlay, each"
L3250,Other Orthopedic Footwear,"Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each"
L3251,Other Orthopedic Footwear,"Foot, shoe molded to patient model, silicone shoe, each"
L3252,Other Orthopedic Footwear,"Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each"
L3253,Other Orthopedic Footwear,"Foot, molded shoe Plastazote (or similar) custom fitted, each"
L3254,Other Orthopedic Footwear,Non-standard size or width
L3255,Other Orthopedic Footwear,Non-standard size or length
L3257,Other Orthopedic Footwear,"Orthopedic footwear, additional charge for split size"
L3260,Other Orthopedic Footwear,"Surgical boot/shoe, each"
L3265,Other Orthopedic Footwear,"Plastazote sandal, each"
L3300,Shoe Lifts,"Lift, elevation, heel, tapered to metatarsals, per inch"
L3310,Shoe Lifts,"Lift, elevation, heel and sole, neoprene, per inch"
L3320,Shoe Lifts,"Lift, elevation, heel and sole, cork, per inch"
L3330,Shoe Lifts,"Lift, elevation, metal extension (skate)"
L3332,Shoe Lifts,"Lift, elevation, inside shoe, tapered, up to one-half inch"
L3334,Shoe Lifts,"Lift, elevation, heel, per inch"
L3340,Shoe Wedges,"Heel wedge, SACH"
L3350,Shoe Wedges,Heel wedge
L3360,Shoe Wedges,"Sole wedge, outside sole"
L3370,Shoe Wedges,"Sole wedge, between sole"
L3380,Shoe Wedges,Clubfoot wedge
L3390,Shoe Wedges,Outflare wedge
L3400,Shoe Wedges,"Metatarsal bar wedge, rocker"
L3410,Shoe Wedges,"Metatarsal bar wedge, between sole"
L3420,Shoe Wedges,"Full sole and heel wedge, between sole"
L3430,Shoe Heels,"Heel, counter, plastic reinforced"
L3440,Shoe Heels,"Heel, counter, leather reinforced"
L3450,Shoe Heels,"Heel, SACH cushion type"
L3455,Shoe Heels,"Heel, new leather, standard"
L3460,Shoe Heels,"Heel, new rubber, standard"
L3465,Shoe Heels,"Heel, Thomas with wedge"
L3470,Shoe Heels,"Heel, Thomas extended to ball"
L3480,Shoe Heels,"Heel, pad and depression for spur"
L3485,Shoe Heels,"Heel, pad, removable for spur"
L3500,Other Orthopedic Shoe Additions,"Orthopedic shoe addition, insole, leather"
L3510,Other Orthopedic Shoe Additions,"Orthopedic shoe addition, insole, rubber"
L3520,Other Orthopedic Shoe Additions,"Orthopedic shoe addition, insole, felt covered with leather"
L3530,Other Orthopedic Shoe Additions,"Orthopedic shoe addition, sole, half"
L3540,Other Orthopedic Shoe Additions,"Orthopedic shoe addition, sole, full"
L3550,Other Orthopedic Shoe Additions,"Orthopedic shoe addition, toe tap standard"
L3560,Other Orthopedic Shoe Additions,"Orthopedic shoe addition, toe tap, horseshoe"
L3570,Other Orthopedic Shoe Additions,"Orthopedic shoe addition, special extension to instep (leather with eyelets)"
L3580,Other Orthopedic Shoe Additions,"Orthopedic shoe addition, convert instep to velcro closure"
L3590,Other Orthopedic Shoe Additions,"Orthopedic shoe addition, convert firm shoe counter to soft counter"
L3595,Other Orthopedic Shoe Additions,"Orthopedic shoe addition, March bar"
L3600,Orthosis Transfers,"Transfer of an orthosis from one shoe to another, caliper plate, existing"
L3610,Orthosis Transfers,"Transfer of an orthosis from one shoe to another, caliper plate, new"
L3620,Orthosis Transfers,"Transfer of an orthosis from one shoe to another, solid stirrup, existing"
L3630,Orthosis Transfers,"Transfer of an orthosis from one shoe to another, solid stirrup, new"
L3640,Orthosis Transfers,"Transfer of an orthosis from one shoe to another, dennis browne splint (Riveton), both shoes"
L3649,Orthosis Transfers,"Orthopedic shoe, modification, addition or transfer, not otherwise specified"
L3650,Shoulder Orthotics,"Shoulder orthosis (SO), figure of eight design abduction restrainer, prefabricated, off-the-shelf"
L3660,Shoulder Orthotics,"Shoulder orthosis (SO), figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf"
L3670,Shoulder Orthotics,"Shoulder orthosis (SO), acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf"
L3671,Shoulder Orthotics,"Shoulder orthosis (SO), shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3674,Shoulder Orthotics,"Shoulder orthosis (SO), abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3675,Shoulder Orthotics,"Shoulder orthosis (SO), vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf"
L3677,Shoulder Orthotics,"Shoulder orthosis (SO), shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L3678,Shoulder Orthotics,"Shoulder orthosis (SO), shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf"
L3702,Elbow Orthotics,"Elbow orthosis (EO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3710,Elbow Orthotics,"Elbow orthosis (EO), elastic with metal joints, prefabricated, off-the-shelf"
L3720,Elbow Orthotics,"Elbow orthosis (EO), double upright with forearm/arm cuffs, free motion, custom-fabricated"
L3730,Elbow Orthotics,"Elbow orthosis (EO), double upright with forearm/arm cuffs, extension/ flexion assist, custom-fabricated"
L3740,Elbow Orthotics,"Elbow orthosis (EO), double upright with forearm/arm cuffs, adjustable position lock with active control, custom-fabricated"
L3760,Elbow Orthotics,"Elbow 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 expertise"
L3761,Elbow Orthotics,"Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, off-the-shelf"
L3762,Elbow Orthotics,"Elbow orthosis (EO), rigid, without joints, includes soft interface material, prefabricated, off-the-shelf"
L3763,Elbow-wrist-hand Orthotics,"Elbow wrist hand orthosis (EWHO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3764,Elbow-wrist-hand Orthotics,"Elbow wrist hand orthosis (EWHO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3765,Elbow-wrist-hand Orthotics,"Elbow wrist hand finger orthosis (EWHFO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3766,Elbow-wrist-hand Orthotics,"Elbow wrist hand finger orthosis (EWHFO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3806,Wrist-hand-finger Orthotics,"Wrist hand finger orthosis (WHFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment"
L3807,Wrist-hand-finger Orthotics,"Wrist hand finger orthosis (WHFO), without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L3808,Wrist-hand-finger Orthotics,"Wrist hand finger orthosis (WHFO), rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment"
L3809,Wrist-hand-finger Orthotics,"Wrist hand finger orthosis (WHFO), without joint(s), prefabricated, off-the-shelf, any type"
L3891,Wrist-hand-finger Orthotics,"Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each"
L3900,Wrist-hand-finger Orthotics,"Wrist hand finger orthosis (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom-fabricated"
L3901,Wrist-hand-finger Orthotics,"Wrist hand finger orthosis (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom-fabricated"
L3904,Wrist-hand-finger Orthotics,"Wrist hand finger orthosis (WHFO), external powered, electric, custom-fabricated"
L3905,Wrist-hand Orthotics,"Wrist hand orthosis (WHO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3906,Wrist-hand Orthotics,"Wrist hand orthosis (WHO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3908,Wrist-hand Orthotics,"Wrist hand orthosis (WHO), wrist extension control cock-up, non molded, prefabricated, off-the-shelf"
L3912,"Additional Miscellaneous Orthotics, Upper Extremities","Hand finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf"
L3913,"Additional Miscellaneous Orthotics, Upper Extremities","Hand finger orthosis (HFO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3915,"Additional Miscellaneous Orthotics, Upper Extremities","Wrist hand orthosis (WHO), includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L3916,"Additional Miscellaneous Orthotics, Upper Extremities","Wrist hand orthosis (WHO), includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf"
L3917,"Additional Miscellaneous Orthotics, Upper Extremities","Hand orthosis (HO), metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L3918,"Additional Miscellaneous Orthotics, Upper Extremities","Hand orthosis (HO), metacarpal fracture orthosis, prefabricated, off-the-shelf"
L3919,"Additional Miscellaneous Orthotics, Upper Extremities","Hand orthosis (HO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3921,"Additional Miscellaneous Orthotics, Upper Extremities","Hand finger orthosis (HFO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3923,"Additional Miscellaneous Orthotics, Upper Extremities","Hand finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L3924,"Additional Miscellaneous Orthotics, Upper Extremities","Hand finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated, off-the-shelf"
L3925,"Additional Miscellaneous Orthotics, Upper Extremities","Finger orthosis (FO), proximal interphalangeal (PIP)/distal interphalangeal (DIP), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf"
L3927,"Additional Miscellaneous Orthotics, Upper Extremities","Finger orthosis (FO), proximal interphalangeal (PIP)/distal interphalangeal (DIP), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf"
L3929,"Additional Miscellaneous Orthotics, Upper Extremities","Hand finger orthosis (HFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L3930,"Additional Miscellaneous Orthotics, Upper Extremities","Hand finger orthosis (HFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf"
L3931,"Additional Miscellaneous Orthotics, Upper Extremities","Wrist hand finger orthosis (WHFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment"
L3933,"Additional Miscellaneous Orthotics, Upper Extremities","Finger orthosis (FO), without joints, may include soft interface, custom fabricated, includes fitting and adjustment"
L3935,"Additional Miscellaneous Orthotics, Upper Extremities","Finger orthosis (FO), nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment"
L3956,"Additional Miscellaneous Orthotics, Upper Extremities","Addition of joint to upper extremity orthosis, any material; per joint"
L3960,Shoulder-elbow-wrist-hand Orthotics,"Shoulder elbow wrist hand orthosis (SEWHO), abduction positioning, airplane design, prefabricated, includes fitting and adjustment"
L3961,Shoulder-elbow-wrist-hand Orthotics,"Shoulder elbow wrist hand orthosis (SEWHO), shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3962,Shoulder-elbow-wrist-hand Orthotics,"Shoulder elbow wrist hand orthosis (SEWHO), abduction positioning, erbs palsey design, prefabricated, includes fitting and adjustment"
L3967,Shoulder-elbow-wrist-hand Orthotics,"Shoulder elbow wrist hand orthosis (SEWHO), abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3971,Shoulder-elbow-wrist-hand Orthotics,"Shoulder elbow wrist hand orthosis (SEWHO), shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3973,Shoulder-elbow-wrist-hand Orthotics,"Shoulder elbow wrist hand orthosis (SEWHO), abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3975,Shoulder-elbow-wrist-hand-finger Orthotics,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3976,Shoulder-elbow-wrist-hand-finger Orthotics,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3977,Shoulder-elbow-wrist-hand-finger Orthotics,"Shoulder 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 adjustment"
L3978,Shoulder-elbow-wrist-hand-finger Orthotics,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment"
L3980,"Fracture, Addition, and Unspecified Orthotics, Upper Extremities","Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment"
L3981,"Fracture, Addition, and Unspecified Orthotics, Upper Extremities","Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments"
L3982,"Fracture, Addition, and Unspecified Orthotics, Upper Extremities","Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment"
L3984,"Fracture, Addition, and Unspecified Orthotics, Upper Extremities","Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment"
L3995,"Fracture, Addition, and Unspecified Orthotics, Upper Extremities","Addition to upper extremity orthosis, sock, fracture or equal, each"
L3999,"Fracture, Addition, and Unspecified Orthotics, Upper Extremities","Upper limb orthosis, not otherwise specified"
L4000,Orthotic Replacement Parts or Repair,Replace girdle for spinal orthosis (Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or Shoulder orthosis (SO))
L4002,Orthotic Replacement Parts or Repair,"Replacement strap, any orthosis, includes all components, any length, any type"
L4010,Orthotic Replacement Parts or Repair,Replace trilateral socket brim
L4020,Orthotic Replacement Parts or Repair,"Replace quadrilateral socket brim, molded to patient model"
L4030,Orthotic Replacement Parts or Repair,"Replace quadrilateral socket brim, custom fitted"
L4040,Orthotic Replacement Parts or Repair,"Replace molded thigh lacer, for custom fabricated orthosis only"
L4045,Orthotic Replacement Parts or Repair,"Replace non-molded thigh lacer, for custom fabricated orthosis only"
L4050,Orthotic Replacement Parts or Repair,"Replace molded calf lacer, for custom fabricated orthosis only"
L4055,Orthotic Replacement Parts or Repair,"Replace non-molded calf lacer, for custom fabricated orthosis only"
L4060,Orthotic Replacement Parts or Repair,Replace high roll cuff
L4070,Orthotic Replacement Parts or Repair,Replace proximal and distal upright for KAFO
L4080,Orthotic Replacement Parts or Repair,"Replace metal bands KAFO, proximal thigh"
L4090,Orthotic Replacement Parts or Repair,"Replace metal bands KAFO-AFO, calf or distal thigh"
L4100,Orthotic Replacement Parts or Repair,"Replace leather cuff KAFO, proximal thigh"
L4110,Orthotic Replacement Parts or Repair,"Replace leather cuff KAFO-AFO, calf or distal thigh"
L4130,Orthotic Replacement Parts or Repair,Replace pretibial shell
L4205,Orthotic Replacement Parts or Repair,"Repair of orthotic device, labor component, per 15 minutes"
L4210,Orthotic Replacement Parts or Repair,"Repair of orthotic device, repair or replace minor parts"
L4350,Other Lower Extremity Orthotics,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf"
L4360,Other Lower Extremity Orthotics,"Walking 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 expertise"
L4361,Other Lower Extremity Orthotics,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf"
L4370,Other Lower Extremity Orthotics,"Pneumatic full leg splint, prefabricated, off-the-shelf"
L4386,Other Lower Extremity Orthotics,"Walking boot, non-pneumatic, 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 expertise"
L4387,Other Lower Extremity Orthotics,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf"
L4392,Other Lower Extremity Orthotics,"Replacement, soft interface material, static AFO"
L4394,Other Lower Extremity Orthotics,"Replace soft interface material, foot drop splint"
L4396,Other Lower Extremity Orthotics,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"
L4397,Other Lower Extremity Orthotics,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf"
L4398,Other Lower Extremity Orthotics,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf"
L4631,Other Lower Extremity Orthotics,"Ankle foot orthosis (AFO), walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated"
L5000,Partial Foot Prosthetics,"Partial foot, shoe insert with longitudinal arch, toe filler"
L5010,Partial Foot Prosthetics,"Partial foot, molded socket, ankle height, with toe filler"
L5020,Partial Foot Prosthetics,"Partial foot, molded socket, tibial tubercle height, with toe filler"
L5050,Ankle Prosthetics,"Ankle, Symes, molded socket, SACH foot"
L5060,Ankle Prosthetics,"Ankle, Symes, metal frame, molded leather socket, articulated ankle/foot"
L5100,Below the Knee Prosthetics,"Below knee, molded socket, shin, SACH foot"
L5105,Below the Knee Prosthetics,"Below knee, plastic socket, joints and thigh lacer, SACH foot"
L5150,Knee Disarticulation Prosthetics,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot"
L5160,Knee Disarticulation Prosthetics,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot"
L5200,Above the Knee Prosthetics,"Above knee, molded socket, single axis constant friction knee, shin, SACH foot"
L5210,Above the Knee Prosthetics,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each"
L5220,Above the Knee Prosthetics,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each"
L5230,Above the Knee Prosthetics,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, SACH foot"
L5250,Hip Disarticulation Prosthetics,"Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot"
L5270,Hip Disarticulation Prosthetics,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot"
L5280,"Endoskeletal Prosthetics, Lower Limbs","Hemipelvectomy, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot"
L5301,"Endoskeletal Prosthetics, Lower Limbs","Below knee, molded socket, shin, SACH foot, endoskeletal system"
L5312,"Endoskeletal Prosthetics, Lower Limbs","Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system"
L5321,"Endoskeletal Prosthetics, Lower Limbs","Above knee, molded socket, open end, SACH foot, endoskeletal system, single axis knee"
L5331,"Endoskeletal Prosthetics, Lower Limbs","Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot"
L5341,"Endoskeletal Prosthetics, Lower Limbs","Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot"
L5400,"Prosthetic Fitting, Immediate Postsurgical or Early, Lower Limbs","Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee"
L5410,"Prosthetic Fitting, Immediate Postsurgical or Early, Lower Limbs","Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment"
L5420,"Prosthetic Fitting, Immediate Postsurgical or Early, Lower Limbs","Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'AK' or knee disarticulation"
L5430,"Prosthetic Fitting, Immediate Postsurgical or Early, Lower Limbs","Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and suspension, 'AK' or knee disarticulation, each additional cast change and realignment"
L5450,"Prosthetic Fitting, Immediate Postsurgical or Early, Lower Limbs","Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee"
L5460,"Prosthetic Fitting, Immediate Postsurgical or Early, Lower Limbs","Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee"
L5500,"Supply, Initial Prosthesis","Initial, below knee 'PTB' type socket, non-alignable system, pylon, no cover, SACH foot, plaster socket, direct formed"
L5505,"Supply, Initial Prosthesis","Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, SACH foot, plaster socket, direct formed"
L5510,"Supply, Preparatory Prosthesis","Preparatory, below knee 'PTB' type socket, non-alignable system, pylon, no cover, SACH foot, plaster socket, molded to model"
L5520,"Supply, Preparatory Prosthesis","Preparatory, below knee 'PTB' type socket, non-alignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed"
L5530,"Supply, Preparatory Prosthesis","Preparatory, below knee 'PTB' type socket, non-alignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model"
L5535,"Supply, Preparatory Prosthesis","Preparatory, below knee 'PTB' type socket, non-alignable system, no cover, SACH foot, prefabricated, adjustable open end socket"
L5540,"Supply, Preparatory Prosthesis","Preparatory, below knee 'PTB' type socket, non-alignable system, pylon, no cover, SACH foot, laminated socket, molded to model"
L5560,"Supply, Preparatory Prosthesis","Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, SACH foot, plaster socket, molded to model"
L5570,"Supply, Preparatory Prosthesis","Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed"
L5580,"Supply, Preparatory Prosthesis","Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model"
L5585,"Supply, Preparatory Prosthesis","Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, SACH foot, prefabricated adjustable open end socket"
L5590,"Supply, Preparatory Prosthesis","Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, SACH foot, laminated socket, molded to model"
L5595,"Supply, Preparatory Prosthesis","Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model"
L5600,"Supply, Preparatory Prosthesis","Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, SACH foot, laminated socket, molded to patient model"
L5610,"Endoskeletal Prosthetic Additions, Lower Extremities","Addition to lower extremity, endoskeletal system, above knee, hydracadence system"
L5611,"Endoskeletal Prosthetic Additions, Lower Extremities","Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with friction swing phase control"
L5613,"Endoskeletal Prosthetic Additions, Lower Extremities","Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control"
L5614,"Endoskeletal Prosthetic Additions, Lower Extremities","Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control"
L5615,"Endoskeletal Prosthetic Additions, Lower Extremities","Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control"
L5616,"Endoskeletal Prosthetic Additions, Lower Extremities","Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control"
L5617,"Endoskeletal Prosthetic Additions, Lower Extremities","Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each"
L5618,"Test Socket Prosthetic Additions, Lower Extremities","Addition to lower extremity, test socket, Symes"
L5620,"Test Socket Prosthetic Additions, Lower Extremities","Addition to lower extremity, test socket, below knee"
L5622,"Test Socket Prosthetic Additions, Lower Extremities","Addition to lower extremity, test socket, knee disarticulation"
L5624,"Test Socket Prosthetic Additions, Lower Extremities","Addition to lower extremity, test socket, above knee"
L5626,"Test Socket Prosthetic Additions, Lower Extremities","Addition to lower extremity, test socket, hip disarticulation"
L5628,"Test Socket Prosthetic Additions, Lower Extremities","Addition to lower extremity, test socket, hemipelvectomy"
L5629,Various Prosthetic Sockets,"Addition to lower extremity, below knee, acrylic socket"
L5630,Various Prosthetic Sockets,"Addition to lower extremity, Symes type, expandable wall socket"
L5631,Various Prosthetic Sockets,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket"
L5632,Various Prosthetic Sockets,"Addition to lower extremity, Symes type, 'PTB' brim design socket"
L5634,Various Prosthetic Sockets,"Addition to lower extremity, Symes type, posterior opening (Canadian) socket"
L5636,Various Prosthetic Sockets,"Addition to lower extremity, Symes type, medial opening socket"
L5637,Various Prosthetic Sockets,"Addition to lower extremity, below knee, total contact"
L5638,Various Prosthetic Sockets,"Addition to lower extremity, below knee, leather socket"
L5639,Various Prosthetic Sockets,"Addition to lower extremity, below knee, wood socket"
L5640,Various Prosthetic Sockets,"Addition to lower extremity, knee disarticulation, leather socket"
L5642,Various Prosthetic Sockets,"Addition to lower extremity, above knee, leather socket"
L5643,Various Prosthetic Sockets,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame"
L5644,Various Prosthetic Sockets,"Addition to lower extremity, above knee, wood socket"
L5645,Various Prosthetic Sockets,"Addition to lower extremity, below knee, flexible inner socket, external frame"
L5646,Various Prosthetic Sockets,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket"
L5647,Various Prosthetic Sockets,"Addition to lower extremity, below knee suction socket"
L5648,Various Prosthetic Sockets,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket"
L5649,Various Prosthetic Sockets,"Addition to lower extremity, ischial containment/narrow M-L socket"
L5650,Various Prosthetic Sockets,"Additions to lower extremity, total contact, above knee or knee disarticulation socket"
L5651,Various Prosthetic Sockets,"Addition to lower extremity, above knee, flexible inner socket, external frame"
L5652,Various Prosthetic Sockets,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket"
L5653,Various Prosthetic Sockets,"Addition to lower extremity, knee disarticulation, expandable wall socket"
L5654,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, socket insert, Symes, (Kemblo, Pelite, Aliplast, Plastazote or equal)"
L5655,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, socket insert, below knee (Kemblo, Pelite, Aliplast, Plastazote or equal)"
L5656,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, socket insert, knee disarticulation (Kemblo, Pelite, Aliplast, Plastazote or equal)"
L5658,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, socket insert, above knee (Kemblo, Pelite, Aliplast, Plastazote or equal)"
L5661,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, socket insert, multi-durometer Symes"
L5665,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, socket insert, multi-durometer, below knee"
L5666,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, below knee, cuff suspension"
L5668,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, below knee, molded distal cushion"
L5670,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, below knee, molded supracondylar suspension ('PTS' or similar)"
L5671,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert"
L5672,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, below knee, removable medial brim suspension"
L5673,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism"
L5676,"Socket Insert, Suspensions, and Other Prosthetic Additions","Additions to lower extremity, below knee, knee joints, single axis, pair"
L5677,"Socket Insert, Suspensions, and Other Prosthetic Additions","Additions to lower extremity, below knee, knee joints, polycentric, pair"
L5678,"Socket Insert, Suspensions, and Other Prosthetic Additions","Additions to lower extremity, below knee, joint covers, pair"
L5679,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism"
L5680,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, below knee, thigh lacer, nonmolded"
L5681,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code L5673 or L5679)"
L5682,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded"
L5683,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code L5673 or L5679)"
L5684,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, below knee, fork strap"
L5685,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each"
L5686,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, below knee, back check (extension control)"
L5688,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, below knee, waist belt, webbing"
L5690,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, below knee, waist belt, padded and lined"
L5692,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, above knee, pelvic control belt, light"
L5694,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, above knee, pelvic control belt, padded and lined"
L5695,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each"
L5696,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, above knee or knee disarticulation, pelvic joint"
L5697,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, above knee or knee disarticulation, pelvic band"
L5698,"Socket Insert, Suspensions, and Other Prosthetic Additions","Addition to lower extremity, above knee or knee disarticulation, Silesian bandage"
L5699,"Socket Insert, Suspensions, and Other Prosthetic Additions","All lower extremity prostheses, shoulder harness"
L5700,Replacement Sockets,"Replacement, socket, below knee, molded to patient model"
L5701,Replacement Sockets,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model"
L5702,Replacement Sockets,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model"
L5703,Replacement Sockets,"Ankle, Symes, molded to patient model, socket without solid ankle cushion heel (SACH) foot, replacement only"
L5704,Custom-shaped Protective Covers,"Custom shaped protective cover, below knee"
L5705,Custom-shaped Protective Covers,"Custom shaped protective cover, above knee"
L5706,Custom-shaped Protective Covers,"Custom shaped protective cover, knee disarticulation"
L5707,Custom-shaped Protective Covers,"Custom shaped protective cover, hip disarticulation"
L5710,Exoskeletal Knee-shin System Additions,"Addition, exoskeletal knee-shin system, single axis, manual lock"
L5711,Exoskeletal Knee-shin System Additions,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material"
L5712,Exoskeletal Knee-shin System Additions,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)"
L5714,Exoskeletal Knee-shin System Additions,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control"
L5716,Exoskeletal Knee-shin System Additions,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phaselock"
L5718,Exoskeletal Knee-shin System Additions,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control"
L5722,Exoskeletal Knee-shin System Additions,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control"
L5724,Exoskeletal Knee-shin System Additions,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control"
L5726,Exoskeletal Knee-shin System Additions,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control"
L5728,Exoskeletal Knee-shin System Additions,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control"
L5780,Exoskeletal Knee-shin System Additions,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control"
L5781,"Vacuum Pumps, Lower Limb Prosthetic Additions","Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system"
L5782,"Vacuum Pumps, Lower Limb Prosthetic Additions","Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty"
L5783,"Vacuum Pumps, Lower Limb Prosthetic Additions","Addition to lower extremity, user adjustable, mechanical, residual limb volume management system"
L5785,Other Exoskeletal Additions,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)"
L5790,Other Exoskeletal Additions,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)"
L5795,Other Exoskeletal Additions,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)"
L5810,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal knee-shin system, single axis, manual lock"
L5811,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material"
L5812,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)"
L5814,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock"
L5816,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock"
L5818,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control"
L5822,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control"
L5824,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control"
L5826,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame"
L5828,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control"
L5830,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control"
L5840,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control"
L5841,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control"
L5845,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable"
L5848,Endoskeletal Knee or Hip System Additions,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability"
L5850,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist"
L5855,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist"
L5856,Endoskeletal Knee or Hip System Additions,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type"
L5857,Endoskeletal Knee or Hip System Additions,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type"
L5858,Endoskeletal Knee or Hip System Additions,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type"
L5859,Endoskeletal Knee or Hip System Additions,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)"
L5910,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal system, below knee, alignable system"
L5920,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system"
L5925,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock"
L5926,Endoskeletal Knee or Hip System Additions,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type"
L5930,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal system, high activity knee control frame"
L5940,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)"
L5950,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)"
L5960,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)"
L5961,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control"
L5962,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal system, belowknee, flexible protective outer surface covering system"
L5964,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system"
L5966,Endoskeletal Knee or Hip System Additions,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system"
L5968,Ankle and/or Foot Prosthetics and Additions,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature"
L5969,Ankle and/or Foot Prosthetics and Additions,"Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s)"
L5970,Ankle and/or Foot Prosthetics and Additions,"All lower extremity prostheses, foot, external keel, solid ankle cushion heel (SACH) foot"
L5971,Ankle and/or Foot Prosthetics and Additions,"All lower extremity prosthesis, solid ankle cushion heel (SACH) foot, replacement only"
L5972,Ankle and/or Foot Prosthetics and Additions,"All lower extremity prostheses, foot, flexible keel"
L5973,Ankle and/or Foot Prosthetics and Additions,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source"
L5974,Ankle and/or Foot Prosthetics and Additions,"All lower extremity prostheses, foot, single axis ankle/foot"
L5975,Ankle and/or Foot Prosthetics and Additions,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot"
L5976,Ankle and/or Foot Prosthetics and Additions,"All lower extremity prostheses, energy storing foot (seattle carbon copy II or equal)"
L5978,Ankle and/or Foot Prosthetics and Additions,"All lower extremity prostheses, foot, multiaxial ankle/foot"
L5979,Ankle and/or Foot Prosthetics and Additions,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system"
L5980,Ankle and/or Foot Prosthetics and Additions,"All lower extremity prostheses, flex foot system"
L5981,Ankle and/or Foot Prosthetics and Additions,"All lower extremity prostheses, flex-walk system or equal"
L5982,Ankle and/or Foot Prosthetics and Additions,"All exoskeletal lower extremity prostheses, axial rotation unit"
L5984,Ankle and/or Foot Prosthetics and Additions,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability"
L5985,Ankle and/or Foot Prosthetics and Additions,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon"
L5986,Ankle and/or Foot Prosthetics and Additions,"All lower extremity prostheses, multi-axial rotation unit ('MCP' or equal)"
L5987,Ankle and/or Foot Prosthetics and Additions,"All lower extremity prosthesis, shank foot system with vertical loading pylon"
L5988,Ankle and/or Foot Prosthetics and Additions,"Addition to lower limb prosthesis, vertical shock reducing pylon feature"
L5990,Ankle and/or Foot Prosthetics and Additions,"Addition to lower extremity prosthesis, user adjustable heel height"
L5991,Ankle and/or Foot Prosthetics and Additions,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector"
L5999,Ankle and/or Foot Prosthetics and Additions,"Lower extremity prosthesis, not otherwise specified"
L6000,Partial Hand Prosthetics,"Partial hand, thumb remaining"
L6010,Partial Hand Prosthetics,"Partial hand, little and/or ring finger remaining"
L6020,Partial Hand Prosthetics,"Partial hand, no finger remaining"
L6026,Partial Hand Prosthetics,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)"
L6050,"Wrist Disarticulation, Hand Prosthetics","Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad"
L6055,"Wrist Disarticulation, Hand Prosthetics","Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad"
L6100,"Below Elbow, Forearm and Hand Prosthetics","Below elbow, molded socket, flexible elbow hinge, triceps pad"
L6110,"Below Elbow, Forearm and Hand Prosthetics","Below elbow, molded socket, (Muenster or Northwestern suspension types)"
L6120,"Below Elbow, Forearm and Hand Prosthetics","Below elbow, molded double wall split socket, step-up hinges, half cuff"
L6130,"Below Elbow, Forearm and Hand Prosthetics","Below elbow, molded double wall split socket, stump activated locking hinge, half cuff"
L6200,"Elbow Disarticulation, Forearm and Hand Prosthetics","Elbow disarticulation, molded socket, outside locking hinge, forearm"
L6205,"Elbow Disarticulation, Forearm and Hand Prosthetics","Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm"
L6250,"Above Elbow, Forearm and Hand Prosthetics","Above elbow, molded double wall socket, internal locking elbow, forearm"
L6300,"Shoulder Disarticulation, Arm and Hand Prosthetics","Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm"
L6310,"Shoulder Disarticulation, Arm and Hand Prosthetics","Shoulder disarticulation, passive restoration (complete prosthesis)"
L6320,"Shoulder Disarticulation, Arm and Hand Prosthetics","Shoulder disarticulation, passive restoration (shoulder cap only)"
L6350,"Interscapular Thoracic, Arm, and Hand Prosthetics","Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm"
L6360,"Interscapular Thoracic, Arm, and Hand Prosthetics","Interscapular thoracic, passive restoration (complete prosthesis)"
L6370,"Interscapular Thoracic, Arm, and Hand Prosthetics","Interscapular thoracic, passive restoration (shoulder cap only)"
L6380,"Prosthetic Fitting, Immediate Postsurgical or Early, Upper Limbs","Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow"
L6382,"Prosthetic Fitting, Immediate Postsurgical or Early, Upper Limbs","Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow"
L6384,"Prosthetic Fitting, Immediate Postsurgical or Early, Upper Limbs","Immediate 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 thoracic"
L6386,"Prosthetic Fitting, Immediate Postsurgical or Early, Upper Limbs","Immediate post surgical or early fitting, each additional cast change and realignment"
L6388,"Prosthetic Fitting, Immediate Postsurgical or Early, Upper Limbs","Immediate post surgical or early fitting, application of rigid dressing only"
L6400,"Molded Socket Endoskeletal Prosthetic System, Upper Limbs","Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping"
L6450,"Molded Socket Endoskeletal Prosthetic System, Upper Limbs","Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping"
L6500,"Molded Socket Endoskeletal Prosthetic System, Upper Limbs","Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping"
L6550,"Molded Socket Endoskeletal Prosthetic System, Upper Limbs","Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping"
L6570,"Molded Socket Endoskeletal Prosthetic System, Upper Limbs","Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping"
L6580,"Preparatory Prosthetic, Upper Limbs","Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, Bowden cable control, USMC or equal pylon, no cover, molded to patient model"
L6582,"Preparatory Prosthetic, Upper Limbs","Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, Bowden cable control, USMC or equal pylon, no cover, direct formed"
L6584,"Preparatory Prosthetic, Upper Limbs","Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, USMC or equal pylon, no cover, molded to patient model"
L6586,"Preparatory Prosthetic, Upper Limbs","Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, USMC or equal pylon, no cover, direct formed"
L6588,"Preparatory Prosthetic, Upper Limbs","Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, USMC or equal pylon, no cover, molded to patient model"
L6590,"Preparatory Prosthetic, Upper Limbs","Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, USMC or equal pylon, no cover, direct formed"
L6600,Upper Extremity Prosthetic Additions,"Upper extremity additions, polycentric hinge, pair"
L6605,Upper Extremity Prosthetic Additions,"Upper extremity additions, single pivot hinge, pair"
L6610,Upper Extremity Prosthetic Additions,"Upper extremity additions, flexible metal hinge, pair"
L6611,Upper Extremity Prosthetic Additions,"Addition to upper extremity prosthesis, external powered, additional switch, any type"
L6615,Upper Extremity Prosthetic Additions,"Upper extremity addition, disconnect locking wrist unit"
L6616,Upper Extremity Prosthetic Additions,"Upper extremity addition, additional disconnect insert for locking wrist unit, each"
L6620,Upper Extremity Prosthetic Additions,"Upper extremity addition, flexion/extension wrist unit, with or without friction"
L6621,Upper Extremity Prosthetic Additions,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device"
L6623,Upper Extremity Prosthetic Additions,"Upper extremity addition, spring assisted rotational wrist unit with latch release"
L6624,Upper Extremity Prosthetic Additions,"Upper extremity addition, flexion/extension and rotation wrist unit"
L6625,Upper Extremity Prosthetic Additions,"Upper extremity addition, rotation wrist unit with cable lock"
L6628,Upper Extremity Prosthetic Additions,"Upper extremity addition, quick disconnect hook adapter, Otto Bock or equal"
L6629,Upper Extremity Prosthetic Additions,"Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal"
L6630,Upper Extremity Prosthetic Additions,"Upper extremity addition, stainless steel, any wrist"
L6632,Upper Extremity Prosthetic Additions,"Upper extremity addition, latex suspension sleeve, each"
L6635,Upper Extremity Prosthetic Additions,"Upper extremity addition, lift assist for elbow"
L6637,Upper Extremity Prosthetic Additions,"Upper extremity addition, nudge control elbow lock"
L6638,Upper Extremity Prosthetic Additions,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow"
L6640,Upper Extremity Prosthetic Additions,"Upper extremity additions, shoulder abduction joint, pair"
L6641,Upper Extremity Prosthetic Additions,"Upper extremity addition, excursion amplifier, pulley type"
L6642,Upper Extremity Prosthetic Additions,"Upper extremity addition, excursion amplifier, lever type"
L6645,Upper Extremity Prosthetic Additions,"Upper extremity addition, shoulder flexion-abduction joint, each"
L6646,Upper Extremity Prosthetic Additions,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system"
L6647,Upper Extremity Prosthetic Additions,"Upper extremity addition, shoulder lock mechanism, body powered actuator"
L6648,Upper Extremity Prosthetic Additions,"Upper extremity addition, shoulder lock mechanism, external powered actuator"
L6650,Upper Extremity Prosthetic Additions,"Upper extremity addition, shoulder universal joint, each"
L6655,Upper Extremity Prosthetic Additions,"Upper extremity addition, standard control cable, extra"
L6660,Upper Extremity Prosthetic Additions,"Upper extremity addition, heavy duty control cable"
L6665,Upper Extremity Prosthetic Additions,"Upper extremity addition, Teflon, or equal, cable lining"
L6670,Upper Extremity Prosthetic Additions,"Upper extremity addition, hook to hand, cable adapter"
L6672,Upper Extremity Prosthetic Additions,"Upper extremity addition, harness, chest or shoulder, saddle type"
L6675,Upper Extremity Prosthetic Additions,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design"
L6676,Upper Extremity Prosthetic Additions,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design"
L6677,Upper Extremity Prosthetic Additions,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow"
L6680,Upper Extremity Prosthetic Additions,"Upper extremity addition, test socket, wrist disarticulation or below elbow"
L6682,Upper Extremity Prosthetic Additions,"Upper extremity addition, test socket, elbow disarticulation or above elbow"
L6684,Upper Extremity Prosthetic Additions,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic"
L6686,Upper Extremity Prosthetic Additions,"Upper extremity addition, suction socket"
L6687,Upper Extremity Prosthetic Additions,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation"
L6688,Upper Extremity Prosthetic Additions,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation"
L6689,Upper Extremity Prosthetic Additions,"Upper extremity addition, frame type socket, shoulder disarticulation"
L6690,Upper Extremity Prosthetic Additions,"Upper extremity addition, frame type socket, interscapular-thoracic"
L6691,Upper Extremity Prosthetic Additions,"Upper extremity addition, removable insert, each"
L6692,Upper Extremity Prosthetic Additions,"Upper extremity addition, silicone gel insert or equal, each"
L6693,Upper Extremity Prosthetic Additions,"Upper extremity addition, locking elbow, forearm counterbalance"
L6694,Upper Extremity Prosthetic Additions,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism"
L6695,Upper Extremity Prosthetic Additions,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism"
L6696,Upper Extremity Prosthetic Additions,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code L6694 or L6695)"
L6697,Upper Extremity Prosthetic Additions,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code L6694 or L6695)"
L6698,Upper Extremity Prosthetic Additions,"Addition to upper extremity prosthesis, below elbow/above elbow, lock mechanism, excludes socket insert"
L6703,Terminal Devices and Additions,"Terminal device, passive hand/mitt, any material, any size"
L6704,Terminal Devices and Additions,"Terminal device, sport/recreational/work attachment, any material, any size"
L6706,Terminal Devices and Additions,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined"
L6707,Terminal Devices and Additions,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined"
L6708,Terminal Devices and Additions,"Terminal device, hand, mechanical, voluntary opening, any material, any size"
L6709,Terminal Devices and Additions,"Terminal device, hand, mechanical, voluntary closing, any material, any size"
L6711,Terminal Devices and Additions,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric"
L6712,Terminal Devices and Additions,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric"
L6713,Terminal Devices and Additions,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric"
L6714,Terminal Devices and Additions,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric"
L6715,Terminal Devices and Additions,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement"
L6721,Terminal Devices and Additions,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined"
L6722,Terminal Devices and Additions,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined"
L6805,Terminal Devices and Additions,"Addition to terminal device, modifier wrist unit"
L6810,Terminal Devices and Additions,"Addition to terminal device, precision pinch device"
L6880,Terminal Devices and Additions,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)"
L6881,Terminal Devices and Additions,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device"
L6882,Terminal Devices and Additions,"Microprocessor control feature, addition to upper limb prosthetic terminal device"
L6883,"Replacement Sockets, Upper Limbs","Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power"
L6884,"Replacement Sockets, Upper Limbs","Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power"
L6885,"Replacement Sockets, Upper Limbs","Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power"
L6890,Hand Restoration Prosthetics and Additions,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment"
L6895,Hand Restoration Prosthetics and Additions,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated"
L6900,Hand Restoration Prosthetics and Additions,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining"
L6905,Hand Restoration Prosthetics and Additions,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining"
L6910,Hand Restoration Prosthetics and Additions,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining"
L6915,Hand Restoration Prosthetics and Additions,"Hand restoration (shading, and measurements included), replacement glove for above"
L6920,External Power Upper Limb Prosthetics,"Wrist 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 device"
L6925,External Power Upper Limb Prosthetics,"Wrist 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 device"
L6930,External Power Upper Limb Prosthetics,"Below elbow, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device"
L6935,External Power Upper Limb Prosthetics,"Below 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 device"
L6940,External Power Upper Limb Prosthetics,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device"
L6945,External Power Upper Limb Prosthetics,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device"
L6950,External Power Upper Limb Prosthetics,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device"
L6955,External Power Upper Limb Prosthetics,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device"
L6960,External Power Upper Limb Prosthetics,"Shoulder disarticulation, 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 device"
L6965,External Power Upper Limb Prosthetics,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device"
L6970,External Power Upper Limb Prosthetics,"Interscapular-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 device"
L6975,External Power Upper Limb Prosthetics,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device"
L7007,Electric Hand or Hook and Additions,"Electric hand, switch or myoelectric controlled, adult"
L7008,Electric Hand or Hook and Additions,"Electric hand, switch or myoelectric, controlled, pediatric"
L7009,Electric Hand or Hook and Additions,"Electric hook, switch or myoelectric controlled, adult"
L7040,Electric Hand or Hook and Additions,"Prehensile actuator, switch controlled"
L7045,Electric Hand or Hook and Additions,"Electric hook, switch or myoelectric controlled, pediatric"
L7170,Electronic Elbow and Additions,"Electronic elbow, Hosmer or equal, switch controlled"
L7180,Electronic Elbow and Additions,"Electronic elbow, microprocessor sequential control of elbow and terminal device"
L7181,Electronic Elbow and Additions,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device"
L7185,Electronic Elbow and Additions,"Electronic elbow, adolescent, Variety Village or equal, switch controlled"
L7186,Electronic Elbow and Additions,"Electronic elbow, child, Variety Village or equal, switch controlled"
L7190,Electronic Elbow and Additions,"Electronic elbow, adolescent, Variety Village or equal, myoelectronically controlled"
L7191,Electronic Elbow and Additions,"Electronic elbow, child, Variety Village or equal, myoelectronically controlled"
L7259,Electronic Elbow and Additions,"Electronic wrist rotator, any type"
L7360,Batteries and Accessories,"Six volt battery, each"
L7362,Batteries and Accessories,"Battery charger, six volt, each"
L7364,Batteries and Accessories,"Twelve volt battery, each"
L7366,Batteries and Accessories,"Battery charger, twelve volt, each"
L7367,Batteries and Accessories,"Lithium ion battery, rechargeable, replacement"
L7368,Batteries and Accessories,"Lithium ion battery charger, replacement only"
L7400,Additions for Upper Extremity Prosthetics,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal)"
L7401,Additions for Upper Extremity Prosthetics,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)"
L7402,Additions for Upper Extremity Prosthetics,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal)"
L7403,Additions for Upper Extremity Prosthetics,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material"
L7404,Additions for Upper Extremity Prosthetics,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material"
L7405,Additions for Upper Extremity Prosthetics,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material"
L7499,"Upper Extremity Prosthetics, Not Otherwise Specified (NOS)","Upper extremity prosthesis, not otherwise specified"
L7510,Prosthetic Repair,"Repair of prosthetic device, repair or replace minor parts"
L7520,Prosthetic Repair,"Repair prosthetic device, labor component, per 15 minutes"
L7600,Prosthetic Donning Sleeve,"Prosthetic donning sleeve, any material, each"
L7700,Gasket or Seal with Prosthetic,"Gasket or seal, for use with prosthetic socket insert, any type, each"
L7900,Penile Prosthetics,Male vacuum erection system
L7902,Penile Prosthetics,"Tension ring, for vacuum erection device, any type, replacement only, each"
L8000,Breast Prosthetics and Accessories,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type"
L8001,Breast Prosthetics and Accessories,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type"
L8002,Breast Prosthetics and Accessories,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type"
L8010,Breast Prosthetics and Accessories,"Breast prosthesis, mastectomy sleeve"
L8015,Breast Prosthetics and Accessories,"External breast prosthesis garment, with mastectomy form, post mastectomy"
L8020,Breast Prosthetics and Accessories,"Breast prosthesis, mastectomy form"
L8030,Breast Prosthetics and Accessories,"Breast prosthesis, silicone or equal, without integral adhesive"
L8031,Breast Prosthetics and Accessories,"Breast prosthesis, silicone or equal, with integral adhesive"
L8032,Breast Prosthetics and Accessories,"Nipple prosthesis, prefabricated, reusable, any type, each"
L8033,Breast Prosthetics and Accessories,"Nipple prosthesis, custom fabricated, reusable, any material, any type, each"
L8035,Breast Prosthetics and Accessories,"Custom breast prosthesis, post mastectomy, molded to patient model"
L8039,Breast Prosthetics and Accessories,"Breast prosthesis, not otherwise specified"
L8040,Facial and External Ear Prosthetics,"Nasal prosthesis, provided by a non-physician"
L8041,Facial and External Ear Prosthetics,"Midfacial prosthesis, provided by a non-physician"
L8042,Facial and External Ear Prosthetics,"Orbital prosthesis, provided by a non-physician"
L8043,Facial and External Ear Prosthetics,"Upper facial prosthesis, provided by a non-physician"
L8044,Facial and External Ear Prosthetics,"Hemi-facial prosthesis, provided by a non-physician"
L8045,Facial and External Ear Prosthetics,"Auricular prosthesis, provided by a non-physician"
L8046,Facial and External Ear Prosthetics,"Partial facial prosthesis, provided by a non-physician"
L8047,Facial and External Ear Prosthetics,"Nasal septal prosthesis, provided by a non-physician"
L8048,Facial and External Ear Prosthetics,"Unspecified maxillofacial prosthesis, by report, provided by a non-physician"
L8049,Facial and External Ear Prosthetics,"Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician"
L8300,Hernia Trusses,"Truss, single with standard pad"
L8310,Hernia Trusses,"Truss, double with standard pads"
L8320,Hernia Trusses,"Truss, addition to standard pad, water pad"
L8330,Hernia Trusses,"Truss, addition to standard pad, scrotal pad"
L8400,"Prosthetic Sheaths, Socks, and Shrinkers","Prosthetic sheath, below knee, each"
L8410,"Prosthetic Sheaths, Socks, and Shrinkers","Prosthetic sheath, above knee, each"
L8415,"Prosthetic Sheaths, Socks, and Shrinkers","Prosthetic sheath, upper limb, each"
L8417,"Prosthetic Sheaths, Socks, and Shrinkers","Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each"
L8420,"Prosthetic Sheaths, Socks, and Shrinkers","Prosthetic sock, multiple ply, below knee, each"
L8430,"Prosthetic Sheaths, Socks, and Shrinkers","Prosthetic sock, multiple ply, above knee, each"
L8435,"Prosthetic Sheaths, Socks, and Shrinkers","Prosthetic sock, multiple ply, upper limb, each"
L8440,"Prosthetic Sheaths, Socks, and Shrinkers","Prosthetic shrinker, below knee, each"
L8460,"Prosthetic Sheaths, Socks, and Shrinkers","Prosthetic shrinker, above knee, each"
L8465,"Prosthetic Sheaths, Socks, and Shrinkers","Prosthetic shrinker, upper limb, each"
L8470,"Prosthetic Sheaths, Socks, and Shrinkers","Prosthetic sock, single ply, fitting, below knee, each"
L8480,"Prosthetic Sheaths, Socks, and Shrinkers","Prosthetic sock, single ply, fitting, above knee, each"
L8485,"Prosthetic Sheaths, Socks, and Shrinkers","Prosthetic sock, single ply, fitting, upper limb, each"
L8499,Unlisted Prosthetic Procedures,Unlisted procedure for miscellaneous prosthetic services
L8500,Voice Prosthetics and Accessories,"Artificial larynx, any type"
L8501,Voice Prosthetics and Accessories,Tracheostomy speaking valve
L8505,Voice Prosthetics and Accessories,"Artificial larynx replacement battery / accessory, any type"
L8507,Voice Prosthetics and Accessories,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each"
L8509,Voice Prosthetics and Accessories,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type"
L8510,Voice Prosthetics and Accessories,Voice amplifier
L8511,Voice Prosthetics and Accessories,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each"
L8512,Voice Prosthetics and Accessories,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10"
L8513,Voice Prosthetics and Accessories,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each"
L8514,Voice Prosthetics and Accessories,"Tracheoesophageal puncture dilator, replacement only, each"
L8515,Voice Prosthetics and Accessories,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each"
L8600,Prosthetic Breast Implant,"Implantable breast prosthesis, silicone or equal"
L8603,Bulking Agents,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies"
L8604,Bulking Agents,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies"
L8605,Bulking Agents,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies"
L8606,Bulking Agents,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies"
L8607,Bulking Agents,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies"
L8608,Implantable Eye and Ear Prosthetics and Accessories,"Miscellaneous external component, supply or accessory for use with the argus ii retinal prosthesis system"
L8609,Implantable Eye and Ear Prosthetics and Accessories,Artificial cornea
L8610,Implantable Eye and Ear Prosthetics and Accessories,Ocular implant
L8612,Implantable Eye and Ear Prosthetics and Accessories,Aqueous shunt
L8613,Implantable Eye and Ear Prosthetics and Accessories,Ossicula implant
L8614,Implantable Eye and Ear Prosthetics and Accessories,"Cochlear device, includes all internal and external components"
L8615,Implantable Eye and Ear Prosthetics and Accessories,"Headset/headpiece for use with cochlear implant device, replacement"
L8616,Implantable Eye and Ear Prosthetics and Accessories,"Microphone for use with cochlear implant device, replacement"
L8617,Implantable Eye and Ear Prosthetics and Accessories,"Transmitting coil for use with cochlear implant device, replacement"
L8618,Implantable Eye and Ear Prosthetics and Accessories,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement"
L8619,Implantable Eye and Ear Prosthetics and Accessories,"Cochlear implant, external speech processor and controller, integrated system, replacement"
L8621,Implantable Eye and Ear Prosthetics and Accessories,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each"
L8622,Implantable Eye and Ear Prosthetics and Accessories,"Alkaline battery for use with cochlear implant device, any size, replacement, each"
L8623,Implantable Eye and Ear Prosthetics and Accessories,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each"
L8624,Implantable Eye and Ear Prosthetics and Accessories,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each"
L8625,Implantable Eye and Ear Prosthetics and Accessories,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each"
L8627,Implantable Eye and Ear Prosthetics and Accessories,"Cochlear implant, external speech processor, component, replacement"
L8628,Implantable Eye and Ear Prosthetics and Accessories,"Cochlear implant, external controller component, replacement"
L8629,Implantable Eye and Ear Prosthetics and Accessories,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement"
L8630,Implantable Hand and Feet Prosthetics,Metacarpophalangeal joint implant
L8631,Implantable Hand and Feet Prosthetics,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)"
L8641,Implantable Hand and Feet Prosthetics,Metatarsal joint implant
L8642,Implantable Hand and Feet Prosthetics,Hallux implant
L8658,Implantable Hand and Feet Prosthetics,"Interphalangeal joint spacer, silicone or equal, each"
L8659,Implantable Hand and Feet Prosthetics,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size"
L8670,Vascular Implants,"Vascular graft material, synthetic, implant"
L8678,Implantable Neurostimulators and Components,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month"
L8679,Implantable Neurostimulators and Components,"Implantable neurostimulator, pulse generator, any type"
L8680,Implantable Neurostimulators and Components,"Implantable neurostimulator electrode, each"
L8681,Implantable Neurostimulators and Components,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only"
L8682,Implantable Neurostimulators and Components,Implantable neurostimulator radiofrequency receiver
L8683,Implantable Neurostimulators and Components,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver
L8684,Implantable Neurostimulators and Components,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement"
L8685,Implantable Neurostimulators and Components,"Implantable neurostimulator pulse generator, single array, rechargeable, includes extension"
L8686,Implantable Neurostimulators and Components,"Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension"
L8687,Implantable Neurostimulators and Components,"Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension"
L8688,Implantable Neurostimulators and Components,"Implantable neurostimulator pulse generator, dual array, non-rechargeable, includes extension"
L8689,Implantable Neurostimulators and Components,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only"
L8690,Miscellaneous Orthotic and Prosthetic Services and Supplies,"Auditory osseointegrated device, includes all internal and external components"
L8691,Miscellaneous Orthotic and Prosthetic Services and Supplies,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each"
L8692,Miscellaneous Orthotic and Prosthetic Services and Supplies,"Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment"
L8693,Miscellaneous Orthotic and Prosthetic Services and Supplies,"Auditory osseointegrated device abutment, any length, replacement only"
L8694,Miscellaneous Orthotic and Prosthetic Services and Supplies,"Auditory osseointegrated device, transducer/actuator, replacement only, each"
L8695,Miscellaneous Orthotic and Prosthetic Services and Supplies,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only"
L8696,Miscellaneous Orthotic and Prosthetic Services and Supplies,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each"
L8698,Miscellaneous Orthotic and Prosthetic Services and Supplies,"Miscellaneous component, supply or accessory for use with total artificial heart system"
L8699,Miscellaneous Orthotic and Prosthetic Services and Supplies,"Prosthetic implant, not otherwise specified"
L8701,Miscellaneous Orthotic and Prosthetic Services and Supplies,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated"
L8702,Miscellaneous Orthotic and Prosthetic Services and Supplies,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated"
L8720,Miscellaneous Orthotic and Prosthetic Services and Supplies,"External lower extremity sensory prosthetic device, cutaneous stimulation of mechanoreceptors proximal to the ankle, per leg"
L8721,Miscellaneous Orthotic and Prosthetic Services and Supplies,"Receptor sole for use with l8720, replacement, each"
L9900,Miscellaneous Orthotic and Prosthetic Services and Supplies,"Orthotic and prosthetic supply, accessory, and/or service component of another HCPCS ""L"" code"
M1003,TB Screening,Tb screening performed and results interpreted within twelve months prior to initiation of first-time biologic and/or immune response modifier therapy
M1004,TB Screening,"Documentation 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)"
M1005,TB Screening,"Tb screening not performed or results not interpreted, reason not given"
M1006,Evaluation AND Assessment,"Disease activity not assessed, reason not given"
M1007,Evaluation AND Assessment,>=50% of total number of a patient's outpatient ra encounters assessed
M1008,Evaluation AND Assessment,<50% of total number of a patient's outpatient ra encounters assessed
M1009,Evaluation AND Assessment,Discharge/discontinuation of the episode of care documented in the medical record
M1010,Evaluation AND Assessment,Discharge/discontinuation of the episode of care documented in the medical record
M1011,Evaluation AND Assessment,Discharge/discontinuation of the episode of care documented in the medical record
M1012,Evaluation AND Assessment,Discharge/discontinuation of the episode of care documented in the medical record
M1013,Evaluation AND Assessment,Discharge/discontinuation of the episode of care documented in the medical record
M1014,Evaluation AND Assessment,Discharge/discontinuation of the episode of care documented in the medical record
M1016,Patient Status,Female patients unable to bear children
M1018,Patient Status,"Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patients"
M1019,"Adolescent Depression, Remission AND Management",Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5
M1020,"Adolescent Depression, Remission AND Management",Adolescent 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 5
M1021,"Adolescent Depression, Remission AND Management",Patient had only urgent care visits during the performance period
M1027,Head Imaging,Imaging of the head (ct or mri) was obtained
M1028,Head Imaging,Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained
M1029,Head Imaging,"Imaging of the head (ct or mri) was not obtained, reason not given"
M1032,Pharmacotherapy for OUD,Adults currently taking pharmacotherapy for oud
M1034,Pharmacotherapy for OUD,Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days
M1035,Pharmacotherapy for OUD,Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment
M1036,Pharmacotherapy for OUD,Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days
M1037,Lumbar Spine Associated Conditions,Patients with a diagnosis of lumbar spine region cancer at the time of the procedure
M1038,Lumbar Spine Associated Conditions,Patients with a diagnosis of lumbar spine region fracture at the time of the procedure
M1039,Lumbar Spine Associated Conditions,Patients with a diagnosis of lumbar spine region infection at the time of the procedure
M1040,Lumbar Spine Associated Conditions,Patients with a diagnosis of lumbar idiopathic or congenital scoliosis
M1041,Lumbar Spine Associated Conditions,"Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis"
M1043,Functional STATUS Measurement,Functional status was not measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively
M1045,Functional STATUS Measurement,"Functional status measured by the oxford knee score (oks) at one year (9 to 15 months) postoperatively was greater than or equal to 37 or knee injury and osteoarthritis outcome score joint replacement (koos, jr.) was greater than or equal to 71"
M1046,Functional STATUS Measurement,"Functional status measured by the oxford knee score (oks) at one year (9 to 15 months) postoperatively was less than 37 or the knee injury and osteoarthritis outcome score joint replacement (koos, jr.) was less than 71 postoperatively"
M1049,Functional STATUS Measurement,Functional status was not measured by the oswestry disability index (odi version 2.1a) at three months (6 - 20 weeks) postoperatively
M1051,Lumbar Spine Conditions,"Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis"
M1052,Limb Pain Assessment,Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively
M1054,Urgent Care Visit,Patient had only urgent care visits during the performance period
M1055,Anticoagulation Management,Aspirin or another antiplatelet therapy used
M1056,Anticoagulation Management,"Prescribed anticoagulant medication during the performance period, history of gi bleeding, history of intracranial bleeding, bleeding disorder and specific provider documented reasons: allergy to aspirin or anti-platelets, use of non-steroidal anti-inflammatory agents, drug-drug interaction, uncontrolled hypertension > 180/110 mmhg or gastroesophageal reflux disease"
M1057,Anticoagulation Management,"Aspirin or another antiplatelet therapy not used, reason not given"
M1058,Performance Assessment,Patient was a permanent nursing home resident at any time during the performance period
M1059,Performance Assessment,Patient was in hospice or receiving palliative care at any time during the performance period
M1060,Performance Assessment,Patient died prior to the end of the performance period
M1067,Hospice Services,Hospice services for patient provided any time during the measurement period
M1068,Mobility Status,Adults who are not ambulatory
M1069,Fall Risk Assessment,Patient screened for future fall risk
M1070,Fall Risk Assessment,"Patient not screened for future fall risk, reason not given"
P2028,Laboratory Tests of Blood and Hair,"Cephalin flocculation, blood"
P2029,Laboratory Tests of Blood and Hair,"Congo red, blood"
P2031,Laboratory Tests of Blood and Hair,Hair analysis (excluding arsenic)
P2033,Laboratory Tests of Blood and Hair,"Thymol turbidity, blood"
P2038,Laboratory Tests of Blood and Hair,"Mucoprotein, blood (seromucoid) (medical necessity procedure)"
P3000,Pap Smears,"Screening Papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision"
P3001,Pap Smears,"Screening Papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician"
P7001,Urine Bacterial Culture and Sensitivity Studies,"Culture, bacterial, urine; quantitative, sensitivity study"
P9010,"Blood and Blood Products, with Associated Procedures","Blood (whole), for transfusion, per unit"
P9011,"Blood and Blood Products, with Associated Procedures","Blood, split unit"
P9012,"Blood and Blood Products, with Associated Procedures","Cryoprecipitate, each unit"
P9016,"Blood and Blood Products, with Associated Procedures","Red blood cells, leukocytes reduced, each unit"
P9017,"Blood and Blood Products, with Associated Procedures","Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit"
P9019,"Blood and Blood Products, with Associated Procedures","Platelets, each unit"
P9020,"Blood and Blood Products, with Associated Procedures","Platelet rich plasma, each unit"
P9021,"Blood and Blood Products, with Associated Procedures","Red blood cells, each unit"
P9022,"Blood and Blood Products, with Associated Procedures","Red blood cells, washed, each unit"
P9023,"Blood and Blood Products, with Associated Procedures","Plasma, pooled multiple donor, solvent/detergent treated, frozen, each unit"
P9025,"Blood and Blood Products, with Associated Procedures","Plasma, cryoprecipitate reduced, pathogen reduced, each unit"
P9026,"Blood and Blood Products, with Associated Procedures","Cryoprecipitated fibrinogen complex, pathogen reduced, each unit"
P9027,"Blood and Blood Products, with Associated Procedures","Red blood cells, leukocytes reduced, oxygen/ carbon dioxide reduced, each unit"
P9031,"Blood and Blood Products, with Associated Procedures","Platelets, leukocytes reduced, each unit"
P9032,"Blood and Blood Products, with Associated Procedures","Platelets, irradiated, each unit"
P9033,"Blood and Blood Products, with Associated Procedures","Platelets, leukocytes reduced, irradiated, each unit"
P9034,"Blood and Blood Products, with Associated Procedures","Platelets, pheresis, each unit"
P9035,"Blood and Blood Products, with Associated Procedures","Platelets, pheresis, leukocytes reduced, each unit"
P9036,"Blood and Blood Products, with Associated Procedures","Platelets, pheresis, irradiated, each unit"
P9037,"Blood and Blood Products, with Associated Procedures","Platelets, pheresis, leukocytes reduced, irradiated, each unit"
P9038,"Blood and Blood Products, with Associated Procedures","Red blood cells, irradiated, each unit"
P9039,"Blood and Blood Products, with Associated Procedures","Red blood cells, deglycerolized, each unit"
P9040,"Blood and Blood Products, with Associated Procedures","Red blood cells, leukocytes reduced, irradiated, each unit"
P9041,"Blood and Blood Products, with Associated Procedures","Infusion, albumin (human), 5%,50 ml"
P9043,"Blood and Blood Products, with Associated Procedures","Infusion, plasma protein fraction (human), 5%, 50 ml"
P9044,"Blood and Blood Products, with Associated Procedures","Plasma, cryoprecipitate reduced, each unit"
P9045,"Blood and Blood Products, with Associated Procedures","Infusion, albumin (human), 5%, 250 ml"
P9046,"Blood and Blood Products, with Associated Procedures","Infusion, albumin (human), 25%, 20 ml"
P9047,"Blood and Blood Products, with Associated Procedures","Infusion, albumin (human), 25%, 50 ml"
P9048,"Blood and Blood Products, with Associated Procedures","Infusion, plasma protein fraction (human), 5%, 250ml"
P9050,"Blood and Blood Products, with Associated Procedures","Granulocytes, pheresis, each unit"
P9051,"Blood and Blood Products, with Associated Procedures","Whole blood or red blood cells, leukocytes reduced, CMV-negative, each unit"
P9052,"Blood and Blood Products, with Associated Procedures","Platelets, HLA-matched leukocytes reduced, apheresis/pheresis, each unit"
P9053,"Blood and Blood Products, with Associated Procedures","Platelets, pheresis, leukocytes reduced, CMV-negative, irradiated, each unit"
P9054,"Blood and Blood Products, with Associated Procedures","Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit"
P9055,"Blood and Blood Products, with Associated Procedures","Platelets, leukocytes reduced, CMV-negative, apheresis/pheresis, each unit"
P9056,"Blood and Blood Products, with Associated Procedures","Whole blood, leukocytes reduced, irradiated, each unit"
P9057,"Blood and Blood Products, with Associated Procedures","Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irradiated, each unit"
P9058,"Blood and Blood Products, with Associated Procedures","Red blood cells, leukocytes reduced, CMV-negative, irradiated, each unit"
P9059,"Blood and Blood Products, with Associated Procedures","Fresh frozen plasma between 8-24 hours of collection, each unit"
P9060,"Blood and Blood Products, with Associated Procedures","Fresh frozen plasma, donor retested, each unit"
P9070,"Blood and Blood Products, with Associated Procedures","Plasma, pooled multiple donor, pathogen reduced, frozen, each unit"
P9071,"Blood and Blood Products, with Associated Procedures","Plasma (single donor), pathogen reduced, frozen, each unit"
P9073,"Blood and Blood Products, with Associated Procedures","Platelets, pheresis, pathogen-reduced, each unit"
P9099,"Blood and Blood Products, with Associated Procedures",Blood component or product not otherwise classified
P9100,"Blood and Blood Products, with Associated Procedures",Pathogen(s) test for platelets
P9603,"Specimen Collection, Travel Allowance",Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled
P9604,"Specimen Collection, Travel Allowance",Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge.
P9612,"Specimen Collection, Catheterization","Catheterization for collection of specimen, single patient, all places of service"
P9615,"Specimen Collection, Catheterization",Catheterization for collection of specimen (s) (multiple patients)
Q0035,Miscellaneous Drugs and Tests,Cardiokymography
Q0081,Miscellaneous Drugs and Tests,"Infusion therapy, using other than chemotherapeutic drugs, per visit"
Q0083,Miscellaneous Drugs and Tests,"Chemotherapy administration by other than infusion technique only e.g., subcutaneous, intramuscular, push), per visit"
Q0084,Miscellaneous Drugs and Tests,"Chemotherapy administration by infusion technique only, per visit"
Q0085,Miscellaneous Drugs and Tests,"Chemotherapy administration by both infusion technique and other technique(s) e.g., subcutaneous, intramuscular, push), per visit"
Q0091,Miscellaneous Drugs and Tests,"Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory"
Q0092,Miscellaneous Drugs and Tests,Set-up portable X-ray equipment
Q0111,Miscellaneous Drugs and Tests,"Wet mounts, including preparations of vaginal, cervical or skin specimens"
Q0112,Miscellaneous Drugs and Tests,All potassium hydroxide (KOH) preparations
Q0113,Miscellaneous Drugs and Tests,Pinworm examinations
Q0114,Miscellaneous Drugs and Tests,Fern test
Q0115,Miscellaneous Drugs and Tests,"Post-coital direct, qualitative examinations of vaginal or cervical mucous"
Q0138,Miscellaneous Drugs and Tests,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-ESRD use)"
Q0139,Miscellaneous Drugs and Tests,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for ESRD on dialysis)"
Q0144,Miscellaneous Drugs and Tests,"Azithromycin dihydrate, oral, capsules/powder, 1 gram"
Q0155,Chemotherapy Anti-emetic Medications,"Dronabinol (syndros), 0.1 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 regimen"
Q0161,Chemotherapy Anti-emetic Medications,"Chlorpromazine hydrochloride, 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 regimen"
Q0162,Chemotherapy Anti-emetic Medications,"Ondansetron 1 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 regimen"
Q0163,Chemotherapy Anti-emetic Medications,"Diphenhydramine hydrochloride, 50 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen"
Q0164,Chemotherapy Anti-emetic Medications,"Prochlorperazine maleate, 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 regimen"
Q0166,Chemotherapy Anti-emetic Medications,"Granisetron hydrochloride, 1 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 24 hour dosage regimen"
Q0167,Chemotherapy Anti-emetic Medications,"Dronabinol, 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 regimen"
Q0169,Chemotherapy Anti-emetic Medications,"Promethazine 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 regimen"
Q0173,Chemotherapy Anti-emetic Medications,"Trimethobenzamide hydrochloride, 250 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 regimen"
Q0174,Chemotherapy Anti-emetic Medications,"Thiethylperazine maleate, 10 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 regimen"
Q0175,Chemotherapy Anti-emetic Medications,"Perphenazine, 4 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 regimen"
Q0177,Chemotherapy Anti-emetic Medications,"Hydroxyzine pamoate, 25 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 regimen"
Q0180,Chemotherapy Anti-emetic Medications,"Dolasetron mesylate, 100 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 24 hour dosage regimen"
Q0181,Chemotherapy Anti-emetic Medications,"Unspecified oral dosage form, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for a IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
Q0220,COVID-19 Infusion Therapy,"Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg"
Q0221,COVID-19 Infusion Therapy,"Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 600 mg"
Q0222,COVID-19 Infusion Therapy,"Injection, bebtelovimab, 175 mg"
Q0224,COVID-19 Infusion Therapy,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, and are unlikely to mount an adequate immune response to covid-19 vaccination, 4500 mg"
Q0240,COVID-19 Infusion Therapy,"Injection, casirivimab and imdevimab, 600 mg"
Q0243,COVID-19 Infusion Therapy,"Injection, casirivimab and imdevimab, 2400 mg"
Q0244,COVID-19 Infusion Therapy,"Injection, casirivimab and imdevimab, 1200 mg"
Q0245,COVID-19 Infusion Therapy,"Injection, bamlanivimab and etesevimab, 2100 mg"
Q0247,COVID-19 Infusion Therapy,"Injection, sotrovimab, 500 mg"
Q0249,COVID-19 Infusion Therapy,"Injection, 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, 1 mg"
Q0477,Ventricular Assist Devices,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only"
Q0478,Ventricular Assist Devices,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type"
Q0479,Ventricular Assist Devices,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only"
Q0480,Ventricular Assist Devices,"Driver for use with pneumatic ventricular assist device, replacement only"
Q0481,Ventricular Assist Devices,"Microprocessor control unit for use with electric ventricular assist device, replacement only"
Q0482,Ventricular Assist Devices,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only"
Q0483,Ventricular Assist Devices,"Monitor/display module for use with electric ventricular assist device, replacement only"
Q0484,Ventricular Assist Devices,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only"
Q0485,Ventricular Assist Devices,"Monitor control cable for use with electric ventricular assist device, replacement only"
Q0486,Ventricular Assist Devices,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only"
Q0487,Ventricular Assist Devices,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only"
Q0488,Ventricular Assist Devices,"Power pack base for use with electric ventricular assist device, replacement only"
Q0489,Ventricular Assist Devices,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only"
Q0490,Ventricular Assist Devices,"Emergency power source for use with electric ventricular assist device, replacement only"
Q0491,Ventricular Assist Devices,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only"
Q0492,Ventricular Assist Devices,"Emergency power supply cable for use with electric ventricular assist device, replacement only"
Q0493,Ventricular Assist Devices,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only"
Q0494,Ventricular Assist Devices,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only"
Q0495,Ventricular Assist Devices,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only"
Q0496,Ventricular Assist Devices,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only"
Q0497,Ventricular Assist Devices,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only"
Q0498,Ventricular Assist Devices,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only"
Q0499,Ventricular Assist Devices,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only"
Q0500,Ventricular Assist Devices,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only"
Q0501,Ventricular Assist Devices,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only"
Q0502,Ventricular Assist Devices,"Mobility cart for pneumatic ventricular assist device, replacement only"
Q0503,Ventricular Assist Devices,"Battery for pneumatic ventricular assist device, replacement only, each"
Q0504,Ventricular Assist Devices,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type"
Q0506,Ventricular Assist Devices,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only"
Q0507,Ventricular Assist Devices,Miscellaneous supply or accessory for use with an external ventricular assist device
Q0508,Ventricular Assist Devices,Miscellaneous supply or accessory for use with an implanted ventricular assist device
Q0509,Ventricular Assist Devices,Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under Medicare Part A
Q0510,Pharmacy Supply and Dispensing Fees,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant"
Q0511,Pharmacy Supply and Dispensing Fees,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period"
Q0512,Pharmacy Supply and Dispensing Fees,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period"
Q0513,Pharmacy Supply and Dispensing Fees,Pharmacy dispensing fee for inhalation drug(s); per 30 days
Q0514,Pharmacy Supply and Dispensing Fees,Pharmacy dispensing fee for inhalation drug(s); per 90 days
Q0521,Pharmacy Supply and Dispensing Fees,Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription
Q0515,Miscellaneous Drug and New Technology Codes,"Injection, sermorelin acetate, 1 microgram"
Q1004,Miscellaneous Drug and New Technology Codes,New technology intraocular lens category 4 as defined in Federal Register notice
Q1005,Miscellaneous Drug and New Technology Codes,New technology intraocular lens category 5 as defined in Federal Register notice
Q2004,Miscellaneous Drug and New Technology Codes,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml"
Q2009,Miscellaneous Drug and New Technology Codes,"Injection, fosphenytoin, 50 mg phenytoin equivalent"
Q2017,Miscellaneous Drug and New Technology Codes,"Injection, teniposide, 50 mg"
Q2026,Miscellaneous Drug and New Technology Codes,"Injection, Radiesse, 0.1 ml"
Q2028,Miscellaneous Drug and New Technology Codes,"Injection, sculptra, 0.5 mg"
Q2034,Influenza Virus Vaccines,"Influenza virus vaccine, split virus, for intramuscular use (Agriflu)"
Q2035,Influenza Virus Vaccines,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Afluria)"
Q2036,Influenza Virus Vaccines,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Flulaval)"
Q2037,Influenza Virus Vaccines,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Fluvirin)"
Q2038,Influenza Virus Vaccines,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Fluzone)"
Q2039,Influenza Virus Vaccines,"Influenza virus vaccine, not otherwise specified"
Q2041,Other Drugs and Service Fees,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
Q2042,Other Drugs and Service Fees,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
Q2043,Other Drugs and Service Fees,"Sipuleucel-T, minimum of 50 million autologous CD54+ cells activated with PAP-GM-CSF, including leukapheresis and all other preparatory procedures, per infusion"
Q2049,Other Drugs and Service Fees,"Injection, doxorubicin hydrochloride, liposomal, imported Lipodox, 10 mg"
Q2050,Other Drugs and Service Fees,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg"
Q2052,Other Drugs and Service Fees,"Services, supplies, and accessories used in the home for the administration of intravenous immune globulin (ivig)"
Q2053,Other Drugs and Service Fees,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
Q2054,Other Drugs and Service Fees,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
Q2055,Other Drugs and Service Fees,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
Q2056,Other Drugs and Service Fees,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose"
Q3001,Other Drugs and Service Fees,"Radioelements for brachytherapy, any type, each"
Q3014,Other Drugs and Service Fees,Telehealth originating site facility fee
Q3027,Other Drugs and Service Fees,"Injection, interferon beta-1a, 1 mcg for intramuscular use"
Q3028,Other Drugs and Service Fees,"Injection, interferon beta-1a, 1 mcg for subcutaneous use"
Q3031,Other Drugs and Service Fees,Collagen skin test
Q4001,Cast and Splint Supplies,"Casting supplies, body cast adult, with or without head, plaster"
Q4002,Cast and Splint Supplies,"Cast supplies, body cast adult, with or without head, fiberglass"
Q4003,Cast and Splint Supplies,"Cast supplies, shoulder cast, adult (11 years +), plaster"
Q4004,Cast and Splint Supplies,"Cast supplies, shoulder cast, adult (11 years +), fiberglass"
Q4005,Cast and Splint Supplies,"Cast supplies, long arm cast, adult (11 years +), plaster"
Q4006,Cast and Splint Supplies,"Cast supplies, long arm cast, adult (11 years +), fiberglass"
Q4007,Cast and Splint Supplies,"Cast supplies, long arm cast, pediatric (0-10 years), plaster"
Q4008,Cast and Splint Supplies,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass"
Q4009,Cast and Splint Supplies,"Cast supplies, short arm cast, adult (11 years +), plaster"
Q4010,Cast and Splint Supplies,"Cast supplies, short arm cast, adult (11 years +), fiberglass"
Q4011,Cast and Splint Supplies,"Cast supplies, short arm cast, pediatric (0-10 years), plaster"
Q4012,Cast and Splint Supplies,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass"
Q4013,Cast and Splint Supplies,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster"
Q4014,Cast and Splint Supplies,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass"
Q4015,Cast and Splint Supplies,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster"
Q4016,Cast and Splint Supplies,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass"
Q4017,Cast and Splint Supplies,"Cast supplies, long arm splint, adult (11 years +), plaster"
Q4018,Cast and Splint Supplies,"Cast supplies, long arm splint, adult (11 years +), fiberglass"
Q4019,Cast and Splint Supplies,"Cast supplies, long arm splint, pediatric (0-10 years), plaster"
Q4020,Cast and Splint Supplies,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass"
Q4021,Cast and Splint Supplies,"Cast supplies, short arm splint, adult (11 years +), plaster"
Q4022,Cast and Splint Supplies,"Cast supplies, short arm splint, adult (11 years +), fiberglass"
Q4023,Cast and Splint Supplies,"Cast supplies, short arm splint, pediatric (0-10 years), plaster"
Q4024,Cast and Splint Supplies,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass"
Q4025,Cast and Splint Supplies,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster"
Q4026,Cast and Splint Supplies,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass"
Q4027,Cast and Splint Supplies,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster"
Q4028,Cast and Splint Supplies,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass"
Q4029,Cast and Splint Supplies,"Cast supplies, long leg cast, adult (11 years +), plaster"
Q4030,Cast and Splint Supplies,"Cast supplies, long leg cast, adult (11 years +), fiberglass"
Q4031,Cast and Splint Supplies,"Cast supplies, long leg cast, pediatric (0-10 years), plaster"
Q4032,Cast and Splint Supplies,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass"
Q4033,Cast and Splint Supplies,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster"
Q4034,Cast and Splint Supplies,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass"
Q4035,Cast and Splint Supplies,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster"
Q4036,Cast and Splint Supplies,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass"
Q4037,Cast and Splint Supplies,"Cast supplies, short leg cast, adult (11 years +), plaster"
Q4038,Cast and Splint Supplies,"Cast supplies, short leg cast, adult (11 years +), fiberglass"
Q4039,Cast and Splint Supplies,"Cast supplies, short leg cast, pediatric (0-10 years), plaster"
Q4040,Cast and Splint Supplies,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass"
Q4041,Cast and Splint Supplies,"Cast supplies, long leg splint, adult (11 years +), plaster"
Q4042,Cast and Splint Supplies,"Cast supplies, long leg splint, adult (11 years +), fiberglass"
Q4043,Cast and Splint Supplies,"Cast supplies, long leg splint, pediatric (0-10 years), plaster"
Q4044,Cast and Splint Supplies,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass"
Q4045,Cast and Splint Supplies,"Cast supplies, short leg splint, adult (11 years +), plaster"
Q4046,Cast and Splint Supplies,"Cast supplies, short leg splint, adult (11 years +), fiberglass"
Q4047,Cast and Splint Supplies,"Cast supplies, short leg splint, pediatric (0-10 years), plaster"
Q4048,Cast and Splint Supplies,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass"
Q4049,Cast and Splint Supplies,"Finger splint, static"
Q4050,Cast and Splint Supplies,"Cast supplies, for unlisted types and materials of casts"
Q4051,Cast and Splint Supplies,"Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)"
Q4074,Miscellaneous Drugs,"Iloprost, inhalation solution, Food and Drug Administration (FDA)-approved final product, non-compounded, administered through DME, unit dose form, up to 20 micrograms"
Q4081,Miscellaneous Drugs,"Injection, epoetin alfa, 100 units (for ESRD on dialysis)"
Q4082,Miscellaneous Drugs,"Drug or biological, not otherwise classified, Part B drug competitive acquisition program (CAP)"
Q4100,Skin Substitutes and Biologicals,"Skin substitute, not otherwise specified"
Q4101,Skin Substitutes and Biologicals,"Apligraf, per square centimeter"
Q4102,Skin Substitutes and Biologicals,"Oasis wound matrix, per square centimeter"
Q4103,Skin Substitutes and Biologicals,"Oasis burn matrix, per square centimeter"
Q4104,Skin Substitutes and Biologicals,"Integra bilayer matrix wound dressing (BMWD), per square centimeter"
Q4105,Skin Substitutes and Biologicals,"Integra dermal regeneration template (DRT) or integra omnigraft dermal regeneration matrix, per square centimeter"
Q4106,Skin Substitutes and Biologicals,"Dermagraft, per square centimeter"
Q4107,Skin Substitutes and Biologicals,"GRAFTJACKET, per square centimeter"
Q4108,Skin Substitutes and Biologicals,"Integra matrix, per square centimeter"
Q4110,Skin Substitutes and Biologicals,"PriMatrix, per square centimeter"
Q4111,Skin Substitutes and Biologicals,"GammaGraft, per square centimeter"
Q4112,Skin Substitutes and Biologicals,"Cymetra, injectable, 1cc"
Q4113,Skin Substitutes and Biologicals,"GRAFTJACKET XPRESS, injectable, 1cc"
Q4114,Skin Substitutes and Biologicals,"Integra flowable wound matrix, injectable, 1cc"
Q4115,Skin Substitutes and Biologicals,"AlloSkin, per square centimeter"
Q4116,Skin Substitutes and Biologicals,"AlloDerm, per square centimeter"
Q4117,Skin Substitutes and Biologicals,"HYALOMATRIX, per square centimeter"
Q4118,Skin Substitutes and Biologicals,"MatriStem micromatrix, 1 mg"
Q4121,Skin Substitutes and Biologicals,"TheraSkin, per square centimeter"
Q4122,Skin Substitutes and Biologicals,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter"
Q4123,Skin Substitutes and Biologicals,"AlloSkin RT, per square centimeter"
Q4124,Skin Substitutes and Biologicals,"OASIS ultra tri-layer wound matrix, per square centimeter"
Q4125,Skin Substitutes and Biologicals,"Arthroflex, per square centimeter"
Q4126,Skin Substitutes and Biologicals,"MemoDerm, DermaSpan, TranZgraft or InteguPly, per square centimeter"
Q4127,Skin Substitutes and Biologicals,"Talymed, per square centimeter"
Q4128,Skin Substitutes and Biologicals,"Flex hd, or allopatch hd, per square centimeter"
Q4130,Skin Substitutes and Biologicals,"Strattice TM, per square centimeter"
Q4132,Skin Substitutes and Biologicals,"""Grafix CORE and GrafixPL CORE, per square centimeter"
Q4133,Skin Substitutes and Biologicals,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter"
Q4134,Skin Substitutes and Biologicals,"Hmatrix, per square centimeter"
Q4135,Skin Substitutes and Biologicals,"Mediskin, per square centimeter"
Q4136,Skin Substitutes and Biologicals,"E-Z Derm, per square centimeter"
Q4137,Skin Substitutes and Biologicals,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter"
Q4138,Skin Substitutes and Biologicals,"BioDFence dryflex, per square centimeter"
Q4139,Skin Substitutes and Biologicals,"AmnioMatrix or biodmatrix, injectable, 1 cc"
Q4140,Skin Substitutes and Biologicals,"Biodfence, per square centimeter"
Q4141,Skin Substitutes and Biologicals,"AlloSkin AC, per square centimeter"
Q4142,Skin Substitutes and Biologicals,"XCM BIOLOGIC tissue matrix, per square centimeter"
Q4143,Skin Substitutes and Biologicals,"Repriza, per square centimeter"
Q4145,Skin Substitutes and Biologicals,"EpiFix, injectable, 1 mg"
Q4146,Skin Substitutes and Biologicals,"Tensix, per square centimeter"
Q4147,Skin Substitutes and Biologicals,"Architect, Architect PX, or Architect FX, extracellular matrix, per square centimeter"
Q4148,Skin Substitutes and Biologicals,"NEOX CORD 1K, NEOX CORD RT, or CLARIX
CORD 1K, per square centimeter"
Q4149,Skin Substitutes and Biologicals,"Excellagen, 0.1 cc"
Q4150,Skin Substitutes and Biologicals,"Allowrap DS or Dry, per square centimeter"
Q4151,Skin Substitutes and Biologicals,"AmnioBand or Guardian, per square centimeter"
Q4152,Skin Substitutes and Biologicals,"DermaPure, per square centimeter"
Q4153,Skin Substitutes and Biologicals,"Dermavest and plurivest, per square centimeter"
Q4154,Skin Substitutes and Biologicals,"Biovance, per square centimeter"
Q4155,Skin Substitutes and Biologicals,"NeoxFlo or clarixFlo, 1 mg"
Q4156,Skin Substitutes and Biologicals,"NEOX 100 or CLARIX 100, per
square centimeter"
Q4157,Skin Substitutes and Biologicals,"Revitalon, per square centimeter"
Q4158,Skin Substitutes and Biologicals,"Kerecis Omega3, per square centimeter"
Q4159,Skin Substitutes and Biologicals,"Affinity, per square centimeter"
Q4160,Skin Substitutes and Biologicals,"NuShield, per square centimeter"
Q4161,Skin Substitutes and Biologicals,"Bio-ConneKt wound matrix, per square centimeter"
Q4162,Skin Substitutes and Biologicals,"WoundEx Flow, BioSkin Flow, 0.5 cc"
Q4163,Skin Substitutes and Biologicals,"WoundEx, BioSkin, per
square centimeter"
Q4164,Skin Substitutes and Biologicals,"Helicoll, per square centimeter"
Q4165,Skin Substitutes and Biologicals,"Keramatrix or kerasorb, per square centimeter"
Q4166,Skin Substitutes and Biologicals,"Cytal, per square centimeter"
Q4167,Skin Substitutes and Biologicals,"Truskin, per square centimeter"
Q4168,Skin Substitutes and Biologicals,"Amnioband, 1 mg"
Q4169,Skin Substitutes and Biologicals,"Artacent wound, per square centimeter"
Q4170,Skin Substitutes and Biologicals,"Cygnus, per square centimeter"
Q4171,Skin Substitutes and Biologicals,"Interfyl, 1 mg"
Q4173,Skin Substitutes and Biologicals,"Palingen or palingen xplus, per square centimeter"
Q4174,Skin Substitutes and Biologicals,"Palingen or promatrx, 0.36 mg per 0.25 cc"
Q4175,Skin Substitutes and Biologicals,"Miroderm, per square centimeter"
Q4176,Skin Substitutes and Biologicals,"Neopatch or therion, per square centimeter"
Q4177,Skin Substitutes and Biologicals,"Floweramnioflo, 0.1 cc"
Q4178,Skin Substitutes and Biologicals,"Floweramniopatch, per square centimeter"
Q4179,Skin Substitutes and Biologicals,"Flowerderm, per square centimeter"
Q4180,Skin Substitutes and Biologicals,"Revita, per square centimeter"
Q4181,Skin Substitutes and Biologicals,"Amnio wound, per square centimeter"
Q4182,Skin Substitutes and Biologicals,"Transcyte, per square centimeter"
Q4183,Skin Substitutes and Biologicals,"Surgigraft, per square centimeter"
Q4184,Skin Substitutes and Biologicals,"Cellesta or cellesta duo, per square centimeter"
Q4185,Skin Substitutes and Biologicals,Cellesta flowable amnion (25 mg per cc); per 0.5 cc
Q4186,Skin Substitutes and Biologicals,"Epifix, per square centimeter"
Q4187,Skin Substitutes and Biologicals,"Epicord, per square centimeter"
Q4188,Skin Substitutes and Biologicals,"Amnioarmor, per square centimeter"
Q4189,Skin Substitutes and Biologicals,"Artacent ac, 1 mg"
Q4190,Skin Substitutes and Biologicals,"Artacent ac, per square centimeter"
Q4191,Skin Substitutes and Biologicals,"Restorigin, per square centimeter"
Q4192,Skin Substitutes and Biologicals,"Restorigin, 1 cc"
Q4193,Skin Substitutes and Biologicals,"Coll-e-derm, per square centimeter"
Q4194,Skin Substitutes and Biologicals,"Novachor, per square centimeter"
Q4195,Skin Substitutes and Biologicals,"Puraply, per square centimeter"
Q4196,Skin Substitutes and Biologicals,"Puraply am, per square centimeter"
Q4197,Skin Substitutes and Biologicals,"Puraply xt, per square centimeter"
Q4198,Skin Substitutes and Biologicals,"Genesis amniotic membrane, per square centimeter"
Q4199,Skin Substitutes and Biologicals,"Cygnus matrix, per square centimeter"
Q4200,Skin Substitutes and Biologicals,"Skin te, per square centimeter"
Q4201,Skin Substitutes and Biologicals,"Matrion, per square centimeter"
Q4202,Skin Substitutes and Biologicals,"Keroxx (2.5g/cc), 1cc"
Q4203,Skin Substitutes and Biologicals,"Derma-gide, per square centimeter"
Q4204,Skin Substitutes and Biologicals,"Xwrap, per square centimeter"
Q4205,Skin Substitutes and Biologicals,"Membrane graft or membrane wrap, per square centimeter"
Q4206,Skin Substitutes and Biologicals,"Fluid flow or fluid GF, 1 cc"
Q4208,Skin Substitutes and Biologicals,"Novafix, per square cenitmeter"
Q4209,Skin Substitutes and Biologicals,"Surgraft, per square centimeter"
Q4211,Skin Substitutes and Biologicals,"Amnion bio or Axobiomembrane, per square centimeter"
Q4212,Skin Substitutes and Biologicals,"Allogen, per cc"
Q4213,Skin Substitutes and Biologicals,"Ascent, 0.5 mg"
Q4214,Skin Substitutes and Biologicals,"Cellesta cord, per square centimeter"
Q4215,Skin Substitutes and Biologicals,"Axolotl ambient or axolotl cryo, 0.1 mg"
Q4216,Skin Substitutes and Biologicals,"Artacent cord, per square centimeter"
Q4217,Skin Substitutes and Biologicals,"Woundfix, BioWound, Woundfix Plus, BioWound Plus, Woundfix Xplus or BioWound Xplus, per square centimeter"
Q4218,Skin Substitutes and Biologicals,"Surgicord, per square centimeter"
Q4219,Skin Substitutes and Biologicals,"Surgigraft-dual, per square centimeter"
Q4220,Skin Substitutes and Biologicals,"BellaCell HD or Surederm, per square centimeter"
Q4221,Skin Substitutes and Biologicals,"Amniowrap2, per square centimeter"
Q4222,Skin Substitutes and Biologicals,"Progenamatrix, per square centimeter"
Q4224,Skin Substitutes and Biologicals,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter"
Q4225,Skin Substitutes and Biologicals,"Amniobind or dermabind tl, per square centimeter"
Q4226,Skin Substitutes and Biologicals,"MyOwn skin, includes harvesting and preparation procedures, per square centimeter"
Q4227,Skin Substitutes and Biologicals,"Amniocore, per square centimeter"
Q4229,Skin Substitutes and Biologicals,"Cogenex amniotic membrane, per square centimeter"
Q4230,Skin Substitutes and Biologicals,"Cogenex flowable amnion, per 0.5 cc"
Q4231,Skin Substitutes and Biologicals,"Corplex p, per cc"
Q4232,Skin Substitutes and Biologicals,"Corplex, per square centimeter"
Q4233,Skin Substitutes and Biologicals,"Surfactor or nudyn, per 0.5 cc"
Q4234,Skin Substitutes and Biologicals,"Xcellerate, per square centimeter"
Q4235,Skin Substitutes and Biologicals,"Amniorepair or altiply, per square centimeter"
Q4236,Skin Substitutes and Biologicals,"Carepatch, per square centimeter"
Q4237,Skin Substitutes and Biologicals,"Cryo-cord, per square centimeter"
Q4238,Skin Substitutes and Biologicals,"Derm-maxx, per square centimeter"
Q4239,Skin Substitutes and Biologicals,"Amnio-maxx or amnio-maxx lite, per square centimeter"
Q4240,Skin Substitutes and Biologicals,"Corecyte, for topical use only, per 0.5 cc"
Q4241,Skin Substitutes and Biologicals,"Polycyte, for topical use only, per 0.5 cc"
Q4242,Skin Substitutes and Biologicals,"Amniocyte plus, per 0.5 cc"
Q4245,Skin Substitutes and Biologicals,"Amniotext, per cc"
Q4246,Skin Substitutes and Biologicals,"Coretext or protext, per cc"
Q4247,Skin Substitutes and Biologicals,"Amniotext patch, per square centimeter"
Q4248,Skin Substitutes and Biologicals,"Dermacyte amniotic membrane allograft, per square centimeter"
Q4249,Skin Substitutes and Biologicals,"Amniply, for topical use only, per square centimeter"
Q4250,Skin Substitutes and Biologicals,"Amnioamp-mp, per square centimeter"
Q4251,Skin Substitutes and Biologicals,"Vim, per square centimeter"
Q4252,Skin Substitutes and Biologicals,"Vendaje, per square centimeter"
Q4253,Skin Substitutes and Biologicals,"Zenith amniotic membrane, per square centimeter"
Q4254,Skin Substitutes and Biologicals,"Novafix dl, per square centimeter"
Q4255,Skin Substitutes and Biologicals,"Reguard, for topical use only, per square centimeter"
Q4256,Skin Substitutes and Biologicals,"Mlg-complete, per square centimeter"
Q4257,Skin Substitutes and Biologicals,"Relese, per square centimeter"
Q4258,Skin Substitutes and Biologicals,"Enverse, per square centimeter"
Q4259,Skin Substitutes and Biologicals,"Celera dual layer or celera dual membrane, per square centimeter"
Q4260,Skin Substitutes and Biologicals,"Signature apatch, per square centimeter"
Q4261,Skin Substitutes and Biologicals,"Tag, per square centimeter"
Q4262,Skin Substitutes and Biologicals,"Dual layer impax membrane, per square centimeter"
Q4263,Skin Substitutes and Biologicals,"Surgraft tl, per square centimeter"
Q4264,Skin Substitutes and Biologicals,"Cocoon membrane, per square centimeter"
Q4265,Skin Substitutes and Biologicals,"Neostim tl, per square centimeter"
Q4266,Skin Substitutes and Biologicals,"Neostim membrane, per square centimeter"
Q4267,Skin Substitutes and Biologicals,"Neostim dl, per square centimeter"
Q4268,Skin Substitutes and Biologicals,"Surgraft ft, per square centimeter"
Q4269,Skin Substitutes and Biologicals,"Surgraft xt, per square centimeter"
Q4270,Skin Substitutes and Biologicals,"Complete sl, per square centimeter"
Q4271,Skin Substitutes and Biologicals,"Complete ft, per square centimeter"
Q4272,Skin Substitutes and Biologicals,"Esano a, per square centimeter"
Q4273,Skin Substitutes and Biologicals,"Esano aaa, per square centimeter"
Q4274,Skin Substitutes and Biologicals,"Esano ac, per square centimeter"
Q4275,Skin Substitutes and Biologicals,"Esano aca, per square centimeter"
Q4276,Skin Substitutes and Biologicals,"Orion, per square centimeter"
Q4278,Skin Substitutes and Biologicals,"Epieffect, per square centimeter"
Q4279,Skin Substitutes and Biologicals,"Vendaje ac, per square centimeter"
Q4280,Skin Substitutes and Biologicals,"Xcell amnio matrix, per square centimeter"
Q4281,Skin Substitutes and Biologicals,"Barrera sl or barrera dl, per square centimeter"
Q4282,Skin Substitutes and Biologicals,"Cygnus dual, per square centimeter"
Q4283,Skin Substitutes and Biologicals,"Biovance tri-layer or biovance 3l, per square centimeter"
Q4284,Skin Substitutes and Biologicals,"Dermabind sl, per square centimeter"
Q4285,Skin Substitutes and Biologicals,"Nudyn dl or nudyn dl mesh, per square centimeter"
Q4286,Skin Substitutes and Biologicals,"Nudyn sl or nudyn slw, per square centimeter"
Q4287,Skin Substitutes and Biologicals,"Dermabind dl, per square centimeter"
Q4288,Skin Substitutes and Biologicals,"Dermabind ch, per square centimeter"
Q4289,Skin Substitutes and Biologicals,"Revoshield + amniotic barrier, per square centimeter"
Q4290,Skin Substitutes and Biologicals,"Membrane wrap-hydro, per square centimeter"
Q4291,Skin Substitutes and Biologicals,"Lamellas xt, per square centimeter"
Q4292,Skin Substitutes and Biologicals,"Lamellas, per square centimeter"
Q4293,Skin Substitutes and Biologicals,"Acesso dl, per square centimeter"
Q4294,Skin Substitutes and Biologicals,"Amnio quad-core, per square centimeter"
Q4295,Skin Substitutes and Biologicals,"Amnio tri-core amniotic, per square centimeter"
Q4296,Skin Substitutes and Biologicals,"Rebound matrix, per square centimeter"
Q4297,Skin Substitutes and Biologicals,"Emerge matrix, per square centimeter"
Q4298,Skin Substitutes and Biologicals,"Amniocore pro, per square centimeter"
Q4299,Skin Substitutes and Biologicals,"Amniocore pro+, per square centimeter"
Q4300,Skin Substitutes and Biologicals,"Acesso tl, per square centimeter"
Q4301,Skin Substitutes and Biologicals,"Activate matrix, per square centimeter"
Q4302,Skin Substitutes and Biologicals,"Complete aca, per square centimeter"
Q4303,Skin Substitutes and Biologicals,"Complete aa, per square centimeter"
Q4304,Skin Substitutes and Biologicals,"Grafix plus, per square centimeter"
Q4305,Skin Substitutes and Biologicals,"American amnion ac tri-layer, per square centimeter"
Q4306,Skin Substitutes and Biologicals,"American amnion ac, per square centimeter"
Q4307,Skin Substitutes and Biologicals,"American amnion, per square centimeter"
Q4308,Skin Substitutes and Biologicals,"Sanopellis, per square centimeter"
Q4309,Skin Substitutes and Biologicals,"Via matrix, per square centimeter"
Q4310,Skin Substitutes and Biologicals,"Procenta, per 100 mg"
Q4311,Skin Substitutes and Biologicals,"Acesso, per square centimeter"
Q4312,Skin Substitutes and Biologicals,"Acesso ac, per square centimeter"
Q4313,Skin Substitutes and Biologicals,"Dermabind fm, per square centimeter"
Q4314,Skin Substitutes and Biologicals,"Reeva ft, per square cenitmeter"
Q4315,Skin Substitutes and Biologicals,"Regenelink amniotic membrane allograft, per square centimeter"
Q4316,Skin Substitutes and Biologicals,"Amchoplast, per square centimeter"
Q4317,Skin Substitutes and Biologicals,"Vitograft, per square centimeter"
Q4318,Skin Substitutes and Biologicals,"E-graft, per square centimeter"
Q4319,Skin Substitutes and Biologicals,"Sanograft, per square centimeter"
Q4320,Skin Substitutes and Biologicals,"Pellograft, per square centimeter"
Q4321,Skin Substitutes and Biologicals,"Renograft, per square centimeter"
Q4322,Skin Substitutes and Biologicals,"Caregraft, per square centimeter"
Q4323,Skin Substitutes and Biologicals,"Alloply, per square centimeter"
Q4324,Skin Substitutes and Biologicals,"Amniotx, per square centimeter"
Q4325,Skin Substitutes and Biologicals,"Acapatch, per square centimeter"
Q4326,Skin Substitutes and Biologicals,"Woundplus, per square centimeter"
Q4327,Skin Substitutes and Biologicals,"Duoamnion, per square centimeter"
Q4328,Skin Substitutes and Biologicals,"Most, per square centimeter"
Q4329,Skin Substitutes and Biologicals,"Singlay, per square centimeter"
Q4330,Skin Substitutes and Biologicals,"Total, per square centimeter"
Q4331,Skin Substitutes and Biologicals,"Axolotl graft, per square centimeter"
Q4332,Skin Substitutes and Biologicals,"Axolotl dualgraft, per square centimeter"
Q4333,Skin Substitutes and Biologicals,"Ardeograft, per square centimeter"
Q4334,Skin Substitutes and Biologicals,"Amnioplast 1, per square centimeter"
Q4335,Skin Substitutes and Biologicals,"Amnioplast 2, per square centimeter"
Q4336,Skin Substitutes and Biologicals,"Artacent c, per square centimeter"
Q4337,Skin Substitutes and Biologicals,"Artacent trident, per square centimeter"
Q4338,Skin Substitutes and Biologicals,"Artacent velos, per square centimeter"
Q4339,Skin Substitutes and Biologicals,"Artacent vericlen, per square centimeter"
Q4340,Skin Substitutes and Biologicals,"Simpligraft, per square centimeter"
Q4341,Skin Substitutes and Biologicals,"Simplimax, per square centimeter"
Q4342,Skin Substitutes and Biologicals,"Theramend, per square centimeter"
Q4343,Skin Substitutes and Biologicals,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter"
Q4344,Skin Substitutes and Biologicals,"Tri-membrane wrap, per square centimeter"
Q4345,Skin Substitutes and Biologicals,"Matrix hd allograft dermis, per square centimeter"
Q4346,Skin Substitutes and Biologicals,"Shelter dm matrix, per square centimeter"
Q4347,Skin Substitutes and Biologicals,"Rampart dl matrix, per square centimeter"
Q4348,Skin Substitutes and Biologicals,"Sentry sl matrix, per square centimeter"
Q4349,Skin Substitutes and Biologicals,"Mantle dl matrix, per square centimeter"
Q4350,Skin Substitutes and Biologicals,"Palisade dm matrix, per square centimeter"
Q4351,Skin Substitutes and Biologicals,"Enclose tl matrix, per square centimeter"
Q4352,Skin Substitutes and Biologicals,"Overlay sl matrix, per square centimeter"
Q4353,Skin Substitutes and Biologicals,"Xceed tl matrix, per square centimeter"
Q5001,Hospice and Home Health Care,Hospice or home health care provided in patient's home/residence
Q5002,Hospice and Home Health Care,Hospice or home health care provided in assisted living facility
Q5003,Hospice and Home Health Care,Hospice care provided in nursing long term care facility (LTC) or non-skilled nursing facility (NF)
Q5004,Hospice and Home Health Care,Hospice care provided in skilled nursing facility (SNF)
Q5005,Hospice and Home Health Care,Hospice care provided in inpatient hospital
Q5006,Hospice and Home Health Care,Hospice care provided in inpatient hospice facility
Q5007,Hospice and Home Health Care,Hospice care provided in long term care facility
Q5008,Hospice and Home Health Care,Hospice care provided in inpatient psychiatric facility
Q5009,Hospice and Home Health Care,Hospice or home health care provided in place not otherwise specified (NOS)
Q5010,Hospice and Home Health Care,Hospice home care provided in a hospice facility
Q5101,Additional Miscellaneous Drugs,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram"
Q5103,Anti-Inflammatory Medication and Chemotherapy Medication,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg"
Q5104,Anti-Inflammatory Medication and Chemotherapy Medication,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg"
Q5105,Anti-Inflammatory Medication and Chemotherapy Medication,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units"
Q5106,Anti-Inflammatory Medication and Chemotherapy Medication,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units"
Q5107,Anti-Inflammatory Medication and Chemotherapy Medication,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg"
Q5108,Anti-Inflammatory Medication and Chemotherapy Medication,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg"
Q5109,Anti-Inflammatory Medication and Chemotherapy Medication,"Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg"
Q5110,Anti-Inflammatory Medication and Chemotherapy Medication,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram"
Q5111,Anti-Inflammatory Medication and Chemotherapy Medication,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg"
Q5112,"Cancer, Vision and Other Associated Drugs","Injection, trastuzumab-dttb, biosimilar, (Ontruzant), 10 mg"
Q5113,"Cancer, Vision and Other Associated Drugs","Injection, trastuzumab-pkrb, biosimilar, (Herzuma), 10 mg"
Q5114,"Cancer, Vision and Other Associated Drugs","Injection, Trastuzumab-dkst, biosimilar, (Ogivri), 10 mg"
Q5115,"Cancer, Vision and Other Associated Drugs","Injection, rituximab-abbs, biosimilar, (Truxima), 10 mg"
Q5116,"Cancer, Vision and Other Associated Drugs","Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg"
Q5117,"Cancer, Vision and Other Associated Drugs","Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg"
Q5118,"Cancer, Vision and Other Associated Drugs","Injection, bevacizumab-bvzr, biosimilar, (Zirabev), 10 mg"
Q5119,"Cancer, Vision and Other Associated Drugs","Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg"
Q5120,"Cancer, Vision and Other Associated Drugs","Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg"
Q5121,"Cancer, Vision and Other Associated Drugs","Injection, infliximab-axxq, biosimilar, (avsola), 10 mg"
Q5122,"Cancer, Vision and Other Associated Drugs","Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg"
Q5123,"Cancer, Vision and Other Associated Drugs","Injection, rituximab-arrx, biosimilar, (riabni), 10 mg"
Q5124,"Cancer, Vision and Other Associated Drugs","Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg"
Q5125,"Cancer, Vision and Other Associated Drugs","Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram"
Q5126,"Cancer, Vision and Other Associated Drugs","Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg"
Q5127,"Cancer, Vision and Other Associated Drugs","Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg"
Q5128,"Cancer, Vision and Other Associated Drugs","Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg"
Q5129,"Cancer, Vision and Other Associated Drugs","Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg"
Q5130,"Cancer, Vision and Other Associated Drugs","Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg"
Q5133,"Cancer, Vision and Other Associated Drugs","Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg"
Q5134,"Cancer, Vision and Other Associated Drugs","Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg"
Q5135,"Cancer, Vision and Other Associated Drugs","Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg"
Q5136,"Cancer, Vision and Other Associated Drugs","Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg"
Q5137,"Cancer, Vision and Other Associated Drugs","Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg"
Q5138,"Cancer, Vision and Other Associated Drugs","Inj, wezlana, iv, 1 mg"
Q5139,"Cancer, Vision and Other Associated Drugs","Injection, eculizumab-aeeb (bkemv), biosimilar, 10 mg"
Q5140,"Cancer, Vision and Other Associated Drugs","Injection, adalimumab-fkjp, biosimilar, 1 mg"
Q5141,"Cancer, Vision and Other Associated Drugs","Injection, adalimumab-aaty, biosimilar, 1 mg"
Q5142,"Cancer, Vision and Other Associated Drugs","Injection, adalimumab-ryvk biosimilar, 1 mg"
Q5143,"Cancer, Vision and Other Associated Drugs","Injection, adalimumab-adbm, biosimilar, 1 mg"
Q5144,"Cancer, Vision and Other Associated Drugs","Injection, adalimumab-aacf (idacio), biosimilar, 1 mg"
Q5145,"Cancer, Vision and Other Associated Drugs","Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg"
Q5146,"Cancer, Vision and Other Associated Drugs","Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg"
Q9001,Assessment and Couseling-Department of Veterans Affairs Chaplain Services,Assessment by chaplain services
Q9002,Assessment and Couseling-Department of Veterans Affairs Chaplain Services,"Counseling, individual, by chaplain services"
Q9003,Assessment and Couseling-Department of Veterans Affairs Chaplain Services,"Counseling, group, by chaplain services"
Q9004,Assessment and Couseling-Department of Veterans Affairs Chaplain Services,Department of veterans affairs whole health partner services
Q9950,Contrast Agents/Diagnostic Imaging,"Injection, sulfur hexafluoride lipid microspheres, per ml"
Q9951,Contrast Agents/Diagnostic Imaging,"Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml"
Q9953,Contrast Agents/Diagnostic Imaging,"Injection, iron-based magnetic resonance contrast agent, per ml"
Q9954,Contrast Agents/Diagnostic Imaging,"Oral magnetic resonance contrast agent, per 100 ml"
Q9955,Contrast Agents/Diagnostic Imaging,"Injection, perflexane lipid microspheres, per ml"
Q9956,Contrast Agents/Diagnostic Imaging,"Injection, octafluoropropane microspheres, per ml"
Q9957,Contrast Agents/Diagnostic Imaging,"Injection, perflutren lipid microspheres, per ml"
Q9958,Contrast Agents/Diagnostic Imaging,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml"
Q9959,Contrast Agents/Diagnostic Imaging,"High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml"
Q9960,Contrast Agents/Diagnostic Imaging,"High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml"
Q9961,Contrast Agents/Diagnostic Imaging,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml"
Q9962,Contrast Agents/Diagnostic Imaging,"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml"
Q9963,Contrast Agents/Diagnostic Imaging,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml"
Q9964,Contrast Agents/Diagnostic Imaging,"High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml"
Q9965,Contrast Agents/Diagnostic Imaging,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml"
Q9966,Contrast Agents/Diagnostic Imaging,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml"
Q9967,Contrast Agents/Diagnostic Imaging,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml"
Q9968,Contrast Agents/Diagnostic Imaging,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg"
Q9969,Contrast Agents/Diagnostic Imaging,"Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose"
Q9982,Contrast Agents/Diagnostic Imaging,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries"
Q9983,Contrast Agents/Diagnostic Imaging,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries"
Q9991,Other Drugs and Test,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg"
Q9992,Other Drugs and Test,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg"
Q9996,Other Drugs and Test,"Injection, ustekinumab-ttwe (pyzchiva), subcutaneous, 1 mg"
Q9997,Other Drugs and Test,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg"
Q9998,Other Drugs and Test,"Injection, ustekinumab-aekn (selarsdi), 1 mg"
S0012,Non-Medicare Drug Codes,"Butorphanol tartrate, nasal spray, 25 mg"
S0013,Non-Medicare Drug Codes,"Esketamine, nasal spray, 1 mg"
S0014,Non-Medicare Drug Codes,"Tacrine hydrochloride, 10 mg"
S0017,Non-Medicare Drug Codes,"Injection, aminocaproic acid, 5 grams"
S0021,Non-Medicare Drug Codes,"Injection, cefoperazone sodium, 1 gram"
S0023,Non-Medicare Drug Codes,"Injection, cimetidine hydrochloride, 300 mg"
S0028,Non-Medicare Drug Codes,"Injection, famotidine, 20 mg"
S0032,Non-Medicare Drug Codes,"Injection, nafcillin sodium, 2 grams"
S0034,Non-Medicare Drug Codes,"Injection, ofloxacin, 400 mg"
S0039,Non-Medicare Drug Codes,"Injection, sulfamethoxazole and trimethoprim, 10 ml"
S0040,Non-Medicare Drug Codes,"Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams"
S0074,Non-Medicare Drug Codes,"Injection, cefotetan disodium, 500 mg"
S0078,Non-Medicare Drug Codes,"Injection, fosphenytoin sodium, 750 mg"
S0080,Non-Medicare Drug Codes,"Injection, pentamidine isethionate, 300 mg"
S0081,Non-Medicare Drug Codes,"Injection, piperacillin sodium, 500 mg"
S0088,Non-Medicare Drug Codes,"Imatinib, 100 mg"
S0090,Non-Medicare Drug Codes,"Sildenafil citrate, 25 mg"
S0091,Non-Medicare Drug Codes,"Granisetron hydrochloride, 1 mg (for circumstances falling under the Medicare statute, use Q0166)"
S0092,Non-Medicare Drug Codes,"Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump)"
S0093,Non-Medicare Drug Codes,"Injection, morphine sulfate, 500 mg (loading dose for infusion pump)"
S0104,Non-Medicare Drug Codes,"Zidovudine, oral, 100 mg"
S0106,Non-Medicare Drug Codes,"Bupropion HCL sustained release tablet, 150 mg, per bottle of 60 tablets"
S0108,Non-Medicare Drug Codes,"Mercaptopurine, oral, 50 mg"
S0109,Non-Medicare Drug Codes,"Methadone, oral, 5 mg"
S0117,Non-Medicare Drug Codes,"Tretinoin, topical, 5 grams"
S0119,Non-Medicare Drug Codes,"Ondansetron, oral, 4 mg (for circumstances falling under the Medicare statute, use HCPCS Q code)"
S0122,Non-Medicare Drug Codes,"Injection, menotropins, 75 IU"
S0126,Non-Medicare Drug Codes,"Injection, follitropin alfa, 75 IU"
S0128,Non-Medicare Drug Codes,"Injection, follitropin beta, 75 IU"
S0132,Non-Medicare Drug Codes,"Injection, ganirelix acetate, 250 mcg"
S0136,Non-Medicare Drug Codes,"Clozapine, 25 mg"
S0137,Non-Medicare Drug Codes,"Didanosine (ddi), 25 mg"
S0138,Non-Medicare Drug Codes,"Finasteride, 5 mg"
S0139,Non-Medicare Drug Codes,"Minoxidil, 10 mg"
S0140,Non-Medicare Drug Codes,"Saquinavir, 200 mg"
S0142,Non-Medicare Drug Codes,"Colistimethate sodium, inhalation solution administered through DME, concentrated form, per mg"
S0145,Non-Medicare Drug Codes,"Injection, pegylated interferon alfa-2a, 180 mcg per ml"
S0148,Non-Medicare Drug Codes,"Injection, pegylated interferon alfa-2b, 10 mcg"
S0155,Non-Medicare Drug Codes,"Sterile dilutant for epoprostenol, 50ml"
S0156,Non-Medicare Drug Codes,"Exemestane, 25 mg"
S0157,Non-Medicare Drug Codes,"Becaplermin gel 0.01%, 0.5 gm"
S0160,Non-Medicare Drug Codes,"Dextroamphetamine sulfate, 5 mg"
S0169,Non-Medicare Drug Codes,"Calcitrol, 0.25 microgram"
S0170,Non-Medicare Drug Codes,"Anastrozole, oral, 1 mg"
S0172,Non-Medicare Drug Codes,"Chlorambucil, oral, 2 mg"
S0174,Non-Medicare Drug Codes,"Dolasetron mesylate, oral 50 mg (for circumstances falling under the Medicare statute, use Q0180)"
S0175,Non-Medicare Drug Codes,"Flutamide, oral, 125 mg"
S0176,Non-Medicare Drug Codes,"Hydroxyurea, oral, 500 mg"
S0177,Non-Medicare Drug Codes,"Levamisole hydrochloride, oral, 50 mg"
S0178,Non-Medicare Drug Codes,"Lomustine, oral, 10 mg"
S0179,Non-Medicare Drug Codes,"Megestrol acetate, oral, 20 mg"
S0182,Non-Medicare Drug Codes,"Procarbazine hydrochloride, oral, 50 mg"
S0183,Non-Medicare Drug Codes,"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use Q0164)"
S0187,Non-Medicare Drug Codes,"Tamoxifen citrate, oral, 10 mg"
S0189,Non-Medicare Drug Codes,"Testosterone pellet, 75 mg"
S0190,Non-Medicare Drug Codes,"Mifepristone, oral, 200 mg"
S0191,Non-Medicare Drug Codes,"Misoprostol, oral, 200 mcg"
S0194,Non-Medicare Drug Codes,"Dialysis/stress vitamin supplement, oral, 100 capsules"
S0197,Non-Medicare Drug Codes,"Prenatal vitamins, 30-day supply"
S0199,Miscellaneous Provider Services,"Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by HCG, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs"
S0201,Miscellaneous Provider Services,"Partial hospitalization services, less than 24 hours, per diem"
S0207,Miscellaneous Provider Services,"Paramedic intercept, non-hospital-based ALS service (non-voluntary), non-transport"
S0208,Miscellaneous Provider Services,"Paramedic intercept, hospital-based ALS service (non-voluntary), non-transport"
S0209,Miscellaneous Provider Services,"Wheelchair van, mileage, per mile"
S0215,Miscellaneous Provider Services,"Non-emergency transportation; mileage, per mile"
S0220,Miscellaneous Provider Services,Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes
S0221,Miscellaneous Provider Services,Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes
S0250,Miscellaneous Provider Services,Comprehensive geriatric assessment and treatment planning performed by assessment team
S0255,Miscellaneous Provider Services,"Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staff"
S0257,Miscellaneous Provider Services,"Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service)"
S0260,Miscellaneous Provider Services,History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)
S0265,Miscellaneous Provider Services,"Genetic counseling, under physician supervision, each 15 minutes"
S0270,Miscellaneous Provider Services,"Physician management of patient home care, standard monthly case rate (per 30 days)"
S0271,Miscellaneous Provider Services,"Physician management of patient home care, hospice monthly case rate (per 30 days)"
S0272,Miscellaneous Provider Services,"Physician management of patient home care, episodic care monthly case rate (per 30 days)"
S0273,Miscellaneous Provider Services,"Physician visit at member's home, outside of a capitation arrangement"
S0274,Miscellaneous Provider Services,"Nurse practitioner visit at member's home, outside of a capitation arrangement"
S0280,Miscellaneous Provider Services,"Medical home program, comprehensive care coordination and planning, initial plan"
S0281,Miscellaneous Provider Services,"Medical home program, comprehensive care coordination and planning, maintenance of plan"
S0285,Miscellaneous Provider Services,Colonoscopy consultation performed prior to a screening colonoscopy procedure
S0302,Miscellaneous Provider Services,Completed early periodic screening diagnosis and treatment (EPSDT) service (list in addition to code for appropriate evaluation and management service)
S0310,Miscellaneous Provider Services,Hospitalist services (list separately in addition to code for appropriate evaluation and management service)
S0311,Miscellaneous Provider Services,"Comprehensive management and care coordination for advanced illness, per calendar month"
S0315,Miscellaneous Provider Services,Disease management program; initial assessment and initiation of the program
S0316,Miscellaneous Provider Services,"Disease management program, follow-up/reassessment"
S0317,Miscellaneous Provider Services,Disease management program; per diem
S0320,Miscellaneous Provider Services,Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month
S0340,Miscellaneous Provider Services,"Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage"
S0341,Miscellaneous Provider Services,"Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage"
S0342,Miscellaneous Provider Services,"Lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage"
S0353,Miscellaneous Provider Services,"Treatment planning and care coordination management for cancer, initial treatment"
S0354,Miscellaneous Provider Services,"Treatment planning and care coordination management for cancer, established patient with a change of regimen"
S0390,Miscellaneous Provider Services,"Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit"
S0395,Miscellaneous Provider Services,Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic
S0400,Miscellaneous Provider Services,Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s)
S0500,Vision Supplies,"Disposable contact lens, per lens"
S0504,Vision Supplies,"Single vision prescription lens (safety, athletic, or sunglass), per lens"
S0506,Vision Supplies,"Bifocal vision prescription lens (safety, athletic, or sunglass), per lens"
S0508,Vision Supplies,"Trifocal vision prescription lens (safety, athletic, or sunglass), per lens"
S0510,Vision Supplies,"Non-prescription lens (safety, athletic, or sunglass), per lens"
S0512,Vision Supplies,"Daily wear specialty contact lens, per lens"
S0514,Vision Supplies,"Color contact lens, per lens"
S0515,Vision Supplies,"Scleral lens, liquid bandage device, per lens"
S0516,Vision Supplies,Safety eyeglass frames
S0518,Vision Supplies,Sunglasses frames
S0580,Vision Supplies,Polycarbonate lens (list this code in addition to the basic code for the lens)
S0581,Vision Supplies,Nonstandard lens (list this code in addition to the basic code for the lens)
S0590,Vision Supplies,"Integral lens service, miscellaneous services reported separately"
S0592,Vision Supplies,Comprehensive contact lens evaluation
S0595,Vision Supplies,Dispensing new spectacle lenses for patient supplied frame
S0596,Vision Supplies,Phakic intraocular lens for correction of refractive error
S0601,Screenings and Examinations,Screening proctoscopy
S0610,Screenings and Examinations,"Annual gynecological examination, new patient"
S0612,Screenings and Examinations,"Annual gynecological examination, established patient"
S0613,Screenings and Examinations,Annual gynecological examination; clinical breast examination without pelvic evaluation
S0618,Screenings and Examinations,Audiometry for hearing aid evaluation to determine the level and degree of hearing loss
S0620,Screenings and Examinations,Routine ophthalmological examination including refraction; new patient
S0621,Screenings and Examinations,Routine ophthalmological examination including refraction; established patient
S0622,Screenings and Examinations,"Physical exam for college, new or established patient (list separately in addition to appropriate evaluation and management code)"
S0630,Miscellaneous Provider Services and Supplies,Removal of sutures; by a physician other than the physician who originally closed the wound
S0800,Miscellaneous Provider Services and Supplies,Laser in situ keratomileusis (LASIK)
S0810,Miscellaneous Provider Services and Supplies,Photorefractive keratectomy (PRK)
S0812,Miscellaneous Provider Services and Supplies,Phototherapeutic keratectomy (PTK)
S1001,Miscellaneous Provider Services and Supplies,"Deluxe item, patient aware (list in addition to code for basic item)"
S1002,Miscellaneous Provider Services and Supplies,Customized item (list in addition to code for basic item)
S1015,Miscellaneous Provider Services and Supplies,IV tubing extension set
S1016,Miscellaneous Provider Services and Supplies,"Non-PVC (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in PVC e.g. paclitaxel"
S1030,Miscellaneous Provider Services and Supplies,"Continuous noninvasive glucose monitoring device, purchase (for physician interpretation of data, use CPT® code)"
S1031,Miscellaneous Provider Services and Supplies,"Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use CPT® code)"
S1034,Miscellaneous Provider Services and Supplies,"Artificial pancreas device system (e.g., low glucose suspend (LGS) feature) including continuous glucose monitor, blood glucose device, insulin pump and computer algorithm that communicates with all of the devices"
S1035,Miscellaneous Provider Services and Supplies,"Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system"
S1036,Miscellaneous Provider Services and Supplies,"Transmitter; external, for use with artificial pancreas device system"
S1037,Miscellaneous Provider Services and Supplies,"Receiver (monitor); external, for use with artificial pancreas device system"
S1040,Miscellaneous Provider Services and Supplies,"Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)"
S1091,Miscellaneous Provider Services and Supplies,"Stent, non-coronary, temporary, with delivery system (propel)"
S2053,Miscellaneous Provider Services and Supplies,Transplantation of small intestine and liver allografts
S2054,Miscellaneous Provider Services and Supplies,Transplantation of multivisceral organs
S2055,Miscellaneous Provider Services and Supplies,"Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor"
S2060,Miscellaneous Provider Services and Supplies,Lobar lung transplantation
S2061,Miscellaneous Provider Services and Supplies,"Donor lobectomy (lung) for transplantation, living donor"
S2065,Miscellaneous Provider Services and Supplies,Simultaneous pancreas kidney transplantation
S2066,Miscellaneous Provider Services and Supplies,"Breast reconstruction with gluteal artery perforator (GAP) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral"
S2067,Miscellaneous Provider Services and Supplies,"Breast reconstruction of a single breast with ""stacked"" deep inferior epigastric perforator (DIEP) flap(s) and/or gluteal artery perforator (GAP) flap(s), including harvesting of the flap(s), microvascular transfer, closure of donor site(s) and shaping the flap into a breast, unilateral"
S2068,Miscellaneous Provider Services and Supplies,"Breast reconstruction with deep inferior epigastric perforator (DIEP) flap or superficial inferior epigastric artery (SIEA) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral"
S2070,Miscellaneous Provider Services and Supplies,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization)"
S2079,Miscellaneous Provider Services and Supplies,Laparoscopic esophagomyotomy (Heller type)
S2080,Miscellaneous Provider Services and Supplies,Laser-assisted uvulopalatoplasty (LAUP)
S2083,Miscellaneous Provider Services and Supplies,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline
S2095,Miscellaneous Provider Services and Supplies,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres"
S2102,Miscellaneous Provider Services and Supplies,Islet cell tissue transplant from pancreas; allogeneic
S2103,Miscellaneous Provider Services and Supplies,Adrenal tissue transplant to brain
S2107,Miscellaneous Provider Services and Supplies,"Adoptive immunotherapy i.e. development of specific anti-tumor reactivity (e.g., tumor-infiltrating lymphocyte therapy) per course of treatment"
S2112,Miscellaneous Provider Services and Supplies,"Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells)"
S2115,Miscellaneous Provider Services and Supplies,"Osteotomy, periacetabular, with internal fixation"
S2117,Miscellaneous Provider Services and Supplies,"Arthroereisis, subtalar"
S2118,Miscellaneous Provider Services and Supplies,"Metal-on-metal total hip resurfacing, including acetabular and femoral components"
S2120,Miscellaneous Provider Services and Supplies,Low density lipoprotein (LDL) apheresis using heparin-induced extracorporeal LDL precipitation
S2140,Miscellaneous Provider Services and Supplies,"Cord blood harvesting for transplantation, allogeneic"
S2142,Miscellaneous Provider Services and Supplies,"Cord blood-derived stem-cell transplantation, allogeneic"
S2150,Miscellaneous Provider Services and Supplies,"Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; marrow ablative therapy; drugs, supplies, hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services; and the number of days of pre-and post-transplant care in the global definition"
S2152,Miscellaneous Provider Services and Supplies,"Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor (s), procurement, transplantation, and related complications; including: drugs; supplies; hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services, and the number of days of pre- and post-transplant care in the global definition"
S2202,Miscellaneous Provider Services and Supplies,Echosclerotherapy
S2205,Miscellaneous Provider Services and Supplies,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft"
S2206,Miscellaneous Provider Services and Supplies,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts"
S2207,Miscellaneous Provider Services and Supplies,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft"
S2208,Miscellaneous Provider Services and Supplies,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous graft"
S2209,Miscellaneous Provider Services and Supplies,"Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft"
S2225,Miscellaneous Provider Services and Supplies,"Myringotomy, laser-assisted"
S2230,Miscellaneous Provider Services and Supplies,Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear
S2235,Miscellaneous Provider Services and Supplies,Implantation of auditory brain stem implant
S2260,Miscellaneous Provider Services and Supplies,"Induced abortion, 17 to 24 weeks"
S2265,Miscellaneous Provider Services and Supplies,"Induced abortion, 25 to 28 weeks"
S2266,Miscellaneous Provider Services and Supplies,"Induced abortion, 29 to 31 weeks"
S2267,Miscellaneous Provider Services and Supplies,"Induced abortion, 32 weeks or greater"
S2300,Miscellaneous Provider Services and Supplies,"Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy"
S2325,Miscellaneous Provider Services and Supplies,Hip core decompression
S2340,Miscellaneous Provider Services and Supplies,Chemodenervation of abductor muscle(s) of vocal cord
S2341,Miscellaneous Provider Services and Supplies,Chemodenervation of adductor muscle(s) of vocal cord
S2342,Miscellaneous Provider Services and Supplies,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral"
S2348,Miscellaneous Provider Services and Supplies,"Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar"
S2350,Miscellaneous Provider Services and Supplies,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace"
S2351,Miscellaneous Provider Services and Supplies,"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure)"
S2400,Miscellaneous Provider Services and Supplies,"Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero"
S2401,Miscellaneous Provider Services and Supplies,"Repair, urinary tract obstruction in the fetus, procedure performed in utero"
S2402,Miscellaneous Provider Services and Supplies,"Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero"
S2403,Miscellaneous Provider Services and Supplies,"Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero"
S2404,Miscellaneous Provider Services and Supplies,"Repair, myelomeningocele in the fetus, procedure performed in utero"
S2405,Miscellaneous Provider Services and Supplies,"Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero"
S2409,Miscellaneous Provider Services and Supplies,"Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified"
S2411,Miscellaneous Provider Services and Supplies,Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome
S2900,Miscellaneous Provider Services and Supplies,Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)
S3000,Miscellaneous Provider Services and Supplies,"Diabetic indicator; retinal eye exam, dilated, bilateral"
S3005,Miscellaneous Provider Services and Supplies,"Performance measurement, evaluation of patient self assessment, depression"
S3600,Miscellaneous Provider Services and Supplies,STAT laboratory request (situations other than S3601)
S3601,Miscellaneous Provider Services and Supplies,Emergency STAT laboratory charge for patient who is homebound or residing in a nursing facility
S3620,Miscellaneous Provider Services and Supplies,"Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-D; phenylanine (PKU); and thyroxine, total)"
S3630,Miscellaneous Provider Services and Supplies,"Eosinophil count, blood, direct"
S3645,Miscellaneous Provider Services and Supplies,HIV-1 antibody testing of oral mucosal transudate
S3650,Miscellaneous Provider Services and Supplies,"Saliva test, hormone level; during menopause"
S3652,Miscellaneous Provider Services and Supplies,"Saliva test, hormone level; to assess preterm labor risk"
S3655,Miscellaneous Provider Services and Supplies,Antisperm antibodies test (immunobead)
S3708,Miscellaneous Provider Services and Supplies,Gastrointestinal fat absorption study
S3722,Miscellaneous Provider Services and Supplies,"Dose optimization by area under the curve (AUC) analysis, for infusional 5-fluorouracil"
S3800,Genetic Testing,Genetic testing for amyotrophic lateral sclerosis (ALS)
S3840,Genetic Testing,DNA analysis for germline mutations of the RET proto-oncogene for susceptibility to multiple endocrine neoplasia type 2
S3841,Genetic Testing,Genetic testing for retinoblastoma
S3842,Genetic Testing,Genetic testing for Von Hippel-Lindau disease
S3844,Genetic Testing,"DNA analysis of the connexin 26 gene (GJB2) for susceptibility to congenital, profound deafness"
S3845,Genetic Testing,Genetic testing for alpha-thalassemia
S3846,Genetic Testing,Genetic testing for hemoglobin E beta-thalassemia
S3849,Genetic Testing,Genetic testing for niemann-pick disease
S3850,Genetic Testing,Genetic testing for sickle cell anemia
S3852,Genetic Testing,DNA analysis for APOE epsilon 4 allele for susceptibility to alzheimer's disease
S3853,Genetic Testing,Genetic testing for myotonic muscular dystrophy
S3854,Genetic Testing,Gene expression profiling panel for use in the management of breast cancer treatment
S3861,Genetic Testing,"Genetic testing, sodium channel, voltage-gated, type V, alpha subunit (SCN5A) and variants for suspected brugada syndrome"
S3865,Genetic Testing,Comprehensive gene sequence analysis for hypertrophic cardiomyopathy
S3866,Genetic Testing,Genetic analysis for a specific gene mutation for hypertrophic cardiomyopathy (HCM) in an individual with a known HCM mutation in the family
S3870,Genetic Testing,"Comparative genomic hybridization (CGH) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability"
S3900,Miscellaneous Tests,Surface electromyography (EMG)
S3902,Miscellaneous Tests,Ballistocardiogram
S3904,Miscellaneous Tests,Masters two step
S4005,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,Interim labor facility global (labor occurring but not resulting in delivery)
S4011,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development"
S4013,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"Complete cycle, gamete intrafallopian transfer (GIFT), case rate"
S4014,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"Complete cycle, zygote intrafallopian transfer (ZIFT), case rate"
S4015,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"Complete in vitro fertilization cycle, not otherwise specified, case rate"
S4016,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"Frozen in vitro fertilization cycle, case rate"
S4017,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"Incomplete cycle, treatment cancelled prior to stimulation, case rate"
S4018,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"Frozen embryo transfer procedure cancelled before transfer, case rate"
S4020,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"In vitro fertilization procedure cancelled before aspiration, case rate"
S4021,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"In vitro fertilization procedure cancelled after aspiration, case rate"
S4022,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"Assisted oocyte fertilization, case rate"
S4023,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"Donor egg cycle, incomplete, case rate"
S4025,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"Donor services for in vitro fertilization (sperm or embryo), case rate"
S4026,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,Procurement of donor sperm from sperm bank
S4027,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,Storage of previously frozen embryos
S4028,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,Microsurgical epididymal sperm aspiration (MESA)
S4030,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,Sperm procurement and cryopreservation services; initial visit
S4031,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,Sperm procurement and cryopreservation services; subsequent visit
S4035,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"Stimulated intrauterine insemination (IUI), case rate"
S4037,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"Cryopreserved embryo transfer, case rate"
S4040,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"Monitoring and storage of cryopreserved embryos, per 30 days"
S4042,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle"
S4981,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,Insertion of levonorgestrel-releasing intrauterine system
S4988,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"Penile contracture device, manual, greater than 3 lbs traction force"
S4989,ASSORTED OBSTETRICAL AND FERTILITY SERVICES,"Contraceptive intrauterine device (e.g., Progestacert IUD), including implants and supplies"
S4990,Miscellaneous Medications and Therapeutic Substances,"Nicotine patches, legend"
S4991,Miscellaneous Medications and Therapeutic Substances,"Nicotine patches, non-legend"
S4993,Miscellaneous Medications and Therapeutic Substances,Contraceptive pills for birth control
S4995,Miscellaneous Medications and Therapeutic Substances,Smoking cessation gum
S5000,Miscellaneous Medications and Therapeutic Substances,"Prescription drug, generic"
S5001,Miscellaneous Medications and Therapeutic Substances,"Prescription drug, brand name"
S5010,Miscellaneous Medications and Therapeutic Substances,"5% dextrose and 0.45% normal saline, 1000 ml"
S5012,Miscellaneous Medications and Therapeutic Substances,"5% dextrose with potassium chloride, 1000 ml"
S5013,Miscellaneous Medications and Therapeutic Substances,"5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml"
S5014,Miscellaneous Medications and Therapeutic Substances,"5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml"
S5035,Various Home Care Services,"Home infusion therapy, routine service of infusion device (e.g., pump maintenance)"
S5036,Various Home Care Services,"Home infusion therapy, repair of infusion device (e.g., pump repair)"
S5100,Various Home Care Services,"Day care services, adult; per 15 minutes"
S5101,Various Home Care Services,"Day care services, adult; per half day"
S5102,Various Home Care Services,"Day care services, adult; per diem"
S5105,Various Home Care Services,"Day care services, center-based; services not included in program fee, per diem"
S5108,Various Home Care Services,"Home care training to home care client, per 15 minutes"
S5109,Various Home Care Services,"Home care training to home care client, per session"
S5110,Various Home Care Services,"Home care training, family; per 15 minutes"
S5111,Various Home Care Services,"Home care training, family; per session"
S5115,Various Home Care Services,"Home care training, non-family; per 15 minutes"
S5116,Various Home Care Services,"Home care training, non-family; per session"
S5120,Various Home Care Services,Chore services; per 15 minutes
S5121,Various Home Care Services,Chore services; per diem
S5125,Various Home Care Services,Attendant care services; per 15 minutes
S5126,Various Home Care Services,Attendant care services; per diem
S5130,Various Home Care Services,"Homemaker service, NOS; per 15 minutes"
S5131,Various Home Care Services,"Homemaker service, NOS; per diem"
S5135,Various Home Care Services,"Companion care, adult (e.g., IADL/ADL); per 15 minutes"
S5136,Various Home Care Services,"Companion care, adult (e.g., IADL/ADL); per diem"
S5140,Various Home Care Services,"Foster care, adult; per diem"
S5141,Various Home Care Services,"Foster care, adult; per month"
S5145,Various Home Care Services,"Foster care, therapeutic, child; per diem"
S5146,Various Home Care Services,"Foster care, therapeutic, child; per month"
S5150,Various Home Care Services,"Unskilled respite care, not hospice; per 15 minutes"
S5151,Various Home Care Services,"Unskilled respite care, not hospice; per diem"
S5160,Various Home Care Services,Emergency response system; installation and testing
S5161,Various Home Care Services,"Emergency response system; service fee, per month (excludes installation and testing)"
S5162,Various Home Care Services,Emergency response system; purchase only
S5165,Various Home Care Services,Home modifications; per service
S5170,Various Home Care Services,"Home delivered meals, including preparation; per meal"
S5175,Various Home Care Services,"Laundry service, external, professional; per order"
S5180,Various Home Care Services,"Home health respiratory therapy, initial evaluation"
S5181,Various Home Care Services,"Home health respiratory therapy, NOS, per diem"
S5185,Various Home Care Services,"Medication reminder service, non-face-to-face; per month"
S5190,Various Home Care Services,"Wellness assessment, performed by non-physician"
S5199,Various Home Care Services,"Personal care item, NOS, each"
S5497,Home Infusion Therapy,"Home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S5498,Home Infusion Therapy,"Home infusion therapy, catheter care / maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem"
S5501,Home Infusion Therapy,"Home 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 diem"
S5502,Home Infusion Therapy,"Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use)"
S5517,Home Infusion Therapy,"Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting"
S5518,Home Infusion Therapy,"Home infusion therapy, all supplies necessary for catheter repair"
S5520,Home Infusion Therapy,"Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (PICC) line insertion"
S5521,Home Infusion Therapy,"Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion"
S5522,Home Infusion Therapy,"Home infusion therapy, insertion of peripherally inserted central venous catheter (PICC), nursing services only (no supplies or catheter included)"
S5523,Home Infusion Therapy,"Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included)"
S5550,Insulin and Delivery Devices,"Insulin, rapid onset, 5 units"
S5551,Insulin and Delivery Devices,"Insulin, most rapid onset (Lispro or Aspart); 5 units"
S5552,Insulin and Delivery Devices,"Insulin, intermediate acting (NPH or LENTE); 5 units"
S5553,Insulin and Delivery Devices,"Insulin, long acting; 5 units"
S5560,Insulin and Delivery Devices,"Insulin delivery device, reusable pen; 1.5 ml size"
S5561,Insulin and Delivery Devices,"Insulin delivery device, reusable pen; 3 ml size"
S5565,Insulin and Delivery Devices,Insulin cartridge for use in insulin delivery device other than pump; 150 units
S5566,Insulin and Delivery Devices,Insulin cartridge for use in insulin delivery device other than pump; 300 units
S5570,Insulin and Delivery Devices,"Insulin delivery device, disposable pen (including insulin); 1.5 ml size"
S5571,Insulin and Delivery Devices,"Insulin delivery device, disposable pen (including insulin); 3 ml size"
S8030,Imaging Studies,Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy
S8035,Imaging Studies,Magnetic source imaging
S8037,Imaging Studies,Magnetic resonance cholangiopancreatography (MRCP)
S8040,Imaging Studies,Topographic brain mapping
S8042,Imaging Studies,"Magnetic resonance imaging (MRI), low-field"
S8055,Imaging Studies,"Ultrasound guidance for multifetal pregnancy reduction(s), technical component (only to be used when the physician doing the reduction procedure does not perform the ultrasound, guidance is included in the CPT® code for multifetal pregnancy reduction)"
S8080,Imaging Studies,"Scintimammography (radioimmunoscintigraphy of the breast), unilateral, including supply of radiopharmaceutical"
S8085,Imaging Studies,Fluorine-18 fluorodeoxyglucose (F-18 FDG) imaging using dual-head coincidence detection system (non-dedicated PET scan)
S8092,Imaging Studies,"Electron beam computed tomography (also known as ultrafast CT, cine CT)"
S8096,Assisted Breathing Supplies,Portable peak flow meter
S8097,Assisted Breathing Supplies,"Asthma kit (including but not limited to portable peak expiratory flow meter, instructional video, brochure, and/or spacer)"
S8100,Assisted Breathing Supplies,Holding chamber or spacer for use with an inhaler or nebulizer; without mask
S8101,Assisted Breathing Supplies,Holding chamber or spacer for use with an inhaler or nebulizer; with mask
S8110,Assisted Breathing Supplies,Peak expiratory flow rate (physician services)
S8120,Assisted Breathing Supplies,"Oxygen contents, gaseous, 1 unit equals 1 cubic foot"
S8121,Assisted Breathing Supplies,"Oxygen contents, liquid, 1 unit equals 1 pound"
S8130,Assisted Breathing Supplies,"Interferential current stimulator, 2 channel"
S8131,Assisted Breathing Supplies,"Interferential current stimulator, 4 channel"
S8185,Assisted Breathing Supplies,Flutter device
S8186,Assisted Breathing Supplies,Swivel adaptor
S8189,Assisted Breathing Supplies,"Tracheostomy supply, not otherwise classified"
S8210,Assisted Breathing Supplies,Mucus trap
S8265,Miscellaneous Supplies and Services,Haberman feeder for cleft lip/palate
S8270,Miscellaneous Supplies and Services,"Enuresis alarm, using auditory buzzer and/or vibration device"
S8301,Miscellaneous Supplies and Services,"Infection control supplies, not otherwise specified"
S8415,Miscellaneous Supplies and Services,Supplies for home delivery of infant
S8420,Miscellaneous Supplies and Services,"Gradient pressure aid (sleeve and glove combination), custom made"
S8421,Miscellaneous Supplies and Services,"Gradient pressure aid (sleeve and glove combination), ready made"
S8422,Miscellaneous Supplies and Services,"Gradient pressure aid (sleeve), custom made, medium weight"
S8423,Miscellaneous Supplies and Services,"Gradient pressure aid (sleeve), custom made, heavy weight"
S8424,Miscellaneous Supplies and Services,"Gradient pressure aid (sleeve), ready made"
S8425,Miscellaneous Supplies and Services,"Gradient pressure aid (glove), custom made, medium weight"
S8426,Miscellaneous Supplies and Services,"Gradient pressure aid (glove), custom made, heavy weight"
S8427,Miscellaneous Supplies and Services,"Gradient pressure aid (glove), ready made"
S8428,Miscellaneous Supplies and Services,"Gradient pressure aid (gauntlet), ready made"
S8429,Miscellaneous Supplies and Services,Gradient pressure exterior wrap
S8430,Miscellaneous Supplies and Services,"Padding for compression bandage, roll"
S8431,Miscellaneous Supplies and Services,"Compression bandage, roll"
S8450,Miscellaneous Supplies and Services,"Splint, prefabricated, digit (specify digit by use of modifier)"
S8451,Miscellaneous Supplies and Services,"Splint, prefabricated, wrist or ankle"
S8452,Miscellaneous Supplies and Services,"Splint, prefabricated, elbow"
S8460,Miscellaneous Supplies and Services,"Camisole, post-mastectomy"
S8490,Miscellaneous Supplies and Services,"Insulin syringes (100 syringes, any size)"
S8930,Miscellaneous Supplies and Services,Electrical stimulation of auricular acupuncture points; each 15 minutes of personal one-on-one contact with the patient
S8940,Miscellaneous Supplies and Services,"Equestrian/hippotherapy, per session"
S8948,Miscellaneous Supplies and Services,Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes
S8950,Miscellaneous Supplies and Services,"Complex lymphedema therapy, each 15 minutes"
S8990,Miscellaneous Supplies and Services,Physical or manipulative therapy performed for maintenance rather than restoration
S8999,Miscellaneous Supplies and Services,Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event)
S9001,Miscellaneous Supplies and Services,Home uterine monitor with or without associated nursing services
S9002,Miscellaneous Supplies and Services,"Intra-vaginal motion sensor system, provides biofeedback for pelvic floor muscle rehabilitation device"
S9007,Miscellaneous Supplies and Services,Ultrafiltration monitor
S9024,Miscellaneous Supplies and Services,Paranasal sinus ultrasound
S9025,Miscellaneous Supplies and Services,Omnicardiogram/cardiointegram
S9034,Miscellaneous Supplies and Services,Extracorporeal shockwave lithotripsy for gall stones
S9055,Miscellaneous Supplies and Services,Procuren or other growth factor preparation to promote wound healing
S9056,Miscellaneous Supplies and Services,Coma stimulation per diem
S9061,Miscellaneous Supplies and Services,"Home administration of aerosolized drug therapy (e.g., pentamidine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9083,Miscellaneous Supplies and Services,Global fee urgent care centers
S9088,Miscellaneous Supplies and Services,Services provided in an urgent care center (list in addition to code for service)
S9090,Miscellaneous Supplies and Services,"Vertebral axial decompression, per session"
S9097,Miscellaneous Supplies and Services,Home visit for wound care
S9098,Miscellaneous Supplies and Services,"Home visit, phototherapy services (e.g., Bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem"
S9110,Miscellaneous Supplies and Services,"Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month"
S9117,Miscellaneous Supplies and Services,"Back school, per visit"
S9122,Miscellaneous Supplies and Services,"Home health aide or certified nurse assistant, providing care in the home; per hour"
S9123,Miscellaneous Supplies and Services,"Nursing care, in the home; by registered nurse, per hour"
S9124,Miscellaneous Supplies and Services,"Nursing care, in the home; by licensed practical nurse, per hour"
S9125,Miscellaneous Supplies and Services,"Respite care, in the home, per diem"
S9126,Miscellaneous Supplies and Services,"Hospice care, in the home, per diem"
S9127,Miscellaneous Supplies and Services,"Social work visit, in the home, per diem"
S9128,Miscellaneous Supplies and Services,"Speech therapy, in the home, per diem"
S9129,Miscellaneous Supplies and Services,"Occupational therapy, in the home, per diem"
S9131,Miscellaneous Supplies and Services,"Physical therapy; in the home, per diem"
S9140,Miscellaneous Supplies and Services,"Diabetic management program, follow-up visit to non-MD provider"
S9141,Miscellaneous Supplies and Services,"Diabetic management program, follow-up visit to MD provider"
S9145,Miscellaneous Supplies and Services,"Insulin pump initiation, instruction in initial use of pump (pump not included)"
S9150,Miscellaneous Supplies and Services,Evaluation by ocularist
S9152,Miscellaneous Supplies and Services,"Speech therapy, re-evaluation"
S9208,Home Management of Pregnancy,"Home management of preterm labor, including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)"
S9209,Home Management of Pregnancy,"Home management of preterm premature rupture of membranes (PPROM), including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)"
S9211,Home Management of Pregnancy,"Home management of gestational 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)"
S9212,Home Management of Pregnancy,"Home 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)"
S9213,Home Management of Pregnancy,"Home management of preeclampsia, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately); per diem (do not use this code with any home infusion per diem code)"
S9214,Home Management of Pregnancy,"Home management of gestational diabetes, 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)"
S9325,Home Infusion Therapy,"Home infusion therapy, pain management infusion; 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 S9326, S9327 or S9328)"
S9326,Home Infusion Therapy,"Home 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 diem"
S9327,Home Infusion Therapy,"Home 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 diem"
S9328,Home Infusion Therapy,"Home infusion therapy, implanted pump pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9329,Home Infusion Therapy,"Home infusion therapy, chemotherapy infusion; 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 S9330 or S9331)"
S9330,Home Infusion Therapy,"Home infusion therapy, continuous (twenty-four hours or more) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9331,Home Infusion Therapy,"Home infusion therapy, intermittent (less than twenty-four hours) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9335,Home Infusion Therapy,"Home therapy, hemodialysis; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately), per diem"
S9336,Home Infusion Therapy,"Home 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 diem"
S9338,Home Infusion Therapy,"Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9339,Home Infusion Therapy,"Home therapy; peritoneal dialysis, administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9340,Home Infusion Therapy,"Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem"
S9341,Home Infusion Therapy,"Home 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 diem"
S9342,Home Infusion Therapy,"Home 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 diem"
S9343,Home Infusion Therapy,"Home 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 diem"
S9345,Home Infusion Therapy,"Home infusion therapy, anti-hemophilic agent infusion therapy (e.g., factor VIII); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9346,Home Infusion Therapy,"Home 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 diem"
S9347,Home Infusion Therapy,"Home infusion therapy, uninterrupted, long-term, controlled rate intravenous or subcutaneous infusion therapy (e.g., epoprostenol); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9348,Home Infusion Therapy,"Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e.g., Dobutamine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9349,Home Infusion Therapy,"Home 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 diem"
S9351,Home Infusion Therapy,"Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and visits coded separately), per diem"
S9353,Home Infusion Therapy,"Home infusion therapy, continuous insulin infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9355,Home Infusion Therapy,"Home infusion therapy, chelation therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9357,Home Infusion Therapy,"Home 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 diem"
S9359,Home Infusion Therapy,"Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., Infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9361,Home Infusion Therapy,"Home 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 diem"
S9363,Home Infusion Therapy,"Home infusion therapy, anti-spasmotic therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9364,Home Infusion Therapy,"Home infusion therapy, total parenteral nutrition (TPN); 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 diem (do not use with home infusion codes S9365-S9368 using daily volume scales)"
S9365,Home Infusion Therapy,"Home infusion therapy, total parenteral nutrition (TPN); one liter 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 diem"
S9366,Home Infusion Therapy,"Home infusion therapy, total parenteral nutrition (TPN); more than one liter but no more than two 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 diem"
S9367,Home Infusion Therapy,"Home infusion therapy, total parenteral nutrition (TPN); more than two liters but no 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 diem"
S9368,Home Infusion Therapy,"Home 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 diem"
S9370,Home Infusion Therapy,"Home therapy, intermittent anti-emetic injection therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9372,Home Infusion Therapy,"Home 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)"
S9373,Home Infusion Therapy,"Home infusion therapy, hydration therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use with hydration therapy codes S9374-S9377 using daily volume scales)"
S9374,Home Infusion Therapy,"Home 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 diem"
S9375,Home Infusion Therapy,"Home infusion therapy, hydration therapy; more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9376,Home Infusion Therapy,"Home infusion therapy, hydration therapy; more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9377,Home Infusion Therapy,"Home infusion therapy, hydration therapy; more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies (drugs and nursing visits coded separately), per diem"
S9379,Home Infusion Therapy,"Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9381,Miscellaneous Supplies and Services,"Delivery or service to high risk areas requiring escort or extra protection, per visit"
S9401,Miscellaneous Supplies and Services,"Anticoagulation clinic, inclusive of all services except laboratory tests, per session"
S9430,Miscellaneous Supplies and Services,Pharmacy compounding and dispensing services
S9432,Miscellaneous Supplies and Services,Medical foods for non-inborn errors of metabolism
S9433,Miscellaneous Supplies and Services,"Medical food nutritionally complete, administered orally, providing 100% of nutritional intake"
S9434,Miscellaneous Supplies and Services,Modified solid food supplements for inborn errors of metabolism
S9435,Miscellaneous Supplies and Services,Medical foods for inborn errors of metabolism
S9436,Miscellaneous Supplies and Services,"Childbirth preparation/lamaze classes, non-physician provider, per session"
S9437,Miscellaneous Supplies and Services,"Childbirth refresher classes, non-physician provider, per session"
S9438,Miscellaneous Supplies and Services,"Cesarean birth classes, non-physician provider, per session"
S9439,Miscellaneous Supplies and Services,"VBAC (vaginal birth after cesarean) classes, non-physician provider, per session"
S9441,Miscellaneous Supplies and Services,"Asthma education, non-physician provider, per session"
S9442,Miscellaneous Supplies and Services,"Birthing classes, non-physician provider, per session"
S9443,Miscellaneous Supplies and Services,"Lactation classes, non-physician provider, per session"
S9444,Miscellaneous Supplies and Services,"Parenting classes, non-physician provider, per session"
S9445,Miscellaneous Supplies and Services,"Patient education, not otherwise classified, non-physician provider, individual, per session"
S9446,Miscellaneous Supplies and Services,"Patient education, not otherwise classified, non-physician provider, group, per session"
S9447,Miscellaneous Supplies and Services,"Infant safety (including CPR) classes, non-physician provider, per session"
S9449,Miscellaneous Supplies and Services,"Weight management classes, non-physician provider, per session"
S9451,Miscellaneous Supplies and Services,"Exercise classes, non-physician provider, per session"
S9452,Miscellaneous Supplies and Services,"Nutrition classes, non-physician provider, per session"
S9453,Miscellaneous Supplies and Services,"Smoking cessation classes, non-physician provider, per session"
S9454,Miscellaneous Supplies and Services,"Stress management classes, non-physician provider, per session"
S9455,Miscellaneous Supplies and Services,"Diabetic management program, group session"
S9460,Miscellaneous Supplies and Services,"Diabetic management program, nurse visit"
S9465,Miscellaneous Supplies and Services,"Diabetic management program, dietitian visit"
S9470,Miscellaneous Supplies and Services,"Nutritional counseling, dietitian visit"
S9472,Miscellaneous Supplies and Services,"Cardiac rehabilitation program, non-physician provider, per diem"
S9473,Miscellaneous Supplies and Services,"Pulmonary rehabilitation program, non-physician provider, per diem"
S9474,Miscellaneous Supplies and Services,"Enterostomal therapy by a registered nurse certified in enterostomal therapy, per diem"
S9475,Miscellaneous Supplies and Services,"Ambulatory setting substance abuse treatment or detoxification services, per diem"
S9476,Miscellaneous Supplies and Services,"Vestibular rehabilitation program, non-physician provider, per diem"
S9480,Miscellaneous Supplies and Services,"Intensive outpatient psychiatric services, per diem"
S9482,Miscellaneous Supplies and Services,"Family stabilization services, per 15 minutes"
S9484,Miscellaneous Supplies and Services,"Crisis intervention mental health services, per hour"
S9485,Miscellaneous Supplies and Services,"Crisis intervention mental health services, per diem"
S9490,Home Therapy Services,"Home infusion therapy, corticosteroid infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9494,Home Therapy Services,"Home infusion therapy, antibiotic, antiviral, or antifungal therapy; 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 home infusion codes for hourly dosing schedules S9497-S9504)"
S9497,Home Therapy Services,"Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 3 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9500,Home Therapy Services,"Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9501,Home Therapy Services,"Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9502,Home Therapy Services,"Home 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 diem"
S9503,Home Therapy Services,"Home infusion therapy, antibiotic, antiviral, or antifungal; once every 6 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9504,Home Therapy Services,"Home infusion therapy, antibiotic, antiviral, or antifungal; once every 4 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9529,Home Therapy Services,"Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient"
S9537,Home Therapy Services,"Home 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 diem"
S9538,Home Therapy Services,"Home transfusion of blood product(s); administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (blood products, drugs, and nursing visits coded separately), per diem"
S9542,Home Therapy Services,"Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9558,Home Therapy Services,"Home 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 diem"
S9559,Home Therapy Services,"Home injectable therapy, interferon, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9560,Home Therapy Services,"Home 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 diem"
S9562,Home Therapy Services,"Home injectable therapy, palivizumab or other monoclonal antibody for rsv, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9563,Home Therapy Services,"Home injectable therapy, immunotherapy, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9590,Home Therapy Services,"Home therapy, irrigation therapy (e.g., sterile irrigation of an organ or anatomical cavity); including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem"
S9810,Home Therapy Services,"Home therapy; professional pharmacy services for provision of infusion, specialty drug administration, and/or disease state management, not otherwise classified, per hour (do not use this code with any per diem code)"
S9900,"Various Services, Fees, and Costs","Services by a Journal-listed Christian science practitioner for the purpose of healing, per diem"
S9901,"Various Services, Fees, and Costs","Services by a journal-listed christian science nurse, per hour"
S9960,"Various Services, Fees, and Costs","Ambulance service, conventional air services, nonemergency transport, one way (fixed wing)"
S9961,"Various Services, Fees, and Costs","Ambulance service, conventional air service, nonemergency transport, one way (rotary wing)"
S9970,"Various Services, Fees, and Costs","Health club membership, annual"
S9975,"Various Services, Fees, and Costs","Transplant related lodging, meals and transportation, per diem"
S9976,"Various Services, Fees, and Costs","Lodging, per diem, not otherwise classified"
S9977,"Various Services, Fees, and Costs","Meals, per diem, not otherwise specified"
S9981,"Various Services, Fees, and Costs","Medical records copying fee, administrative"
S9982,"Various Services, Fees, and Costs","Medical records copying fee, per page"
S9986,"Various Services, Fees, and Costs",Not medically necessary service (patient is aware that service not medically necessary)
S9988,"Various Services, Fees, and Costs",Services provided as part of a Phase I clinical trial
S9989,"Various Services, Fees, and Costs",Services provided outside of the United States of America (list in addition to code(s) for services(s))
S9990,"Various Services, Fees, and Costs",Services provided as part of a Phase II clinical trial
S9991,"Various Services, Fees, and Costs",Services provided as part of a Phase III clinical trial
S9992,"Various Services, Fees, and Costs","Transportation costs to and from trial location and local transportation costs (e.g., fares for taxicab or bus) for clinical trial participant and one caregiver/companion"
S9994,"Various Services, Fees, and Costs","Lodging costs (e.g., hotel charges) for clinical trial participant and one caregiver/companion"
S9996,"Various Services, Fees, and Costs",Meals for clinical trial participant and one caregiver/companion
S9999,"Various Services, Fees, and Costs",Sales tax
T1000,Nursing Services,"Private duty / independent nursing service(s) - licensed, up to 15 minutes"
T1001,Nursing Services,Nursing assessment / evaluation
T1002,Nursing Services,"RN services, up to 15 minutes"
T1003,Nursing Services,"LPN/LVN services, up to 15 minutes"
T1004,Nursing Services,"Services of a qualified nursing aide, up to 15 minutes"
T1005,Nursing Services,"Respite care services, up to 15 minutes"
T1006,Alcohol and Substance Abuse Services,"Alcohol and/or substance abuse services, family/couple counseling"
T1007,Alcohol and Substance Abuse Services,"Alcohol and/or substance abuse services, treatment plan development and/or modification"
T1009,Alcohol and Substance Abuse Services,Child sitting services for children of the individual receiving alcohol and/or substance abuse services
T1010,Alcohol and Substance Abuse Services,Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program)
T1012,Alcohol and Substance Abuse Services,"Alcohol and/or substance abuse services, skills development"
T1013,Other Services,"Sign language or oral interpretive services, per 15 minutes"
T1014,Other Services,"Telehealth transmission, per minute, professional services bill separately"
T1015,Other Services,"Clinic visit/encounter, all-inclusive"
T1016,Other Services,"Case management, each 15 minutes"
T1017,Other Services,"Targeted case management, each 15 minutes"
T1018,Other Services,"School-based individualized education program (IEP) services, bundled"
T1019,Home Health Services,"Personal care services, per 15 minutes, 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)"
T1020,Home Health Services,"Personal 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)"
T1021,Home Health Services,"Home health aide or certified nurse assistant, per visit"
T1022,Home Health Services,"Contracted home health agency services, all services provided under contract, per day"
T1023,"Screenings, Assessments, and Treatments, Individual and Family","Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter"
T1024,"Screenings, Assessments, and Treatments, Individual and Family","Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter"
T1025,"Screenings, Assessments, and Treatments, Individual and Family","Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem"
T1026,"Screenings, Assessments, and Treatments, Individual and Family","Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour"
T1027,"Screenings, Assessments, and Treatments, Individual and Family","Family training and counseling for child development, per 15 minutes"
T1028,"Screenings, Assessments, and Treatments, Individual and Family","Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs"
T1029,"Screenings, Assessments, and Treatments, Individual and Family","Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling"
T1030,Additional Nursing Services,"Nursing care, in the home, by registered nurse, per diem"
T1031,Additional Nursing Services,"Nursing care, in the home, by licensed practical nurse, per diem"
T1032,Doula Birth Worker Services,"Services performed by a doula birth worker, per 15 minutes"
T1033,Doula Birth Worker Services,"Services performed by a doula birth worker, per diem"
T1040,Behavioral Health Services,"Medicaid certified community behavioral health clinic services, per diem"
T1041,Behavioral Health Services,"Medicaid certified community behavioral health clinic services, per month"
T1502,Miscellaneous Services and Supplies,"Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit"
T1503,Miscellaneous Services and Supplies,"Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit"
T1505,Miscellaneous Services and Supplies,"Electronic medication compliance management device, includes all components and accessories, not otherwise classified"
T1999,Miscellaneous Services and Supplies,"Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in ""remarks"""
T2001,Transportation Services,Non-emergency transportation; patient attendant/escort
T2002,Transportation Services,Non-emergency transportation; per diem
T2003,Transportation Services,Non-emergency transportation; encounter/trip
T2004,Transportation Services,"Non-emergency transport; commercial carrier, multi-pass"
T2005,Transportation Services,Non-emergency transportation; stretcher van
T2007,Transportation Services,"Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments"
T2010,Preadmission Screening,"Preadmission screening and resident review (PASRR) level I identification screening, per screen"
T2011,Preadmission Screening,"Preadmission screening and resident review (PASRR) level II evaluation, per evaluation"
T2012,Waiver Services,"Habilitation, educational; waiver, per diem"
T2013,Waiver Services,"Habilitation, educational, waiver; per hour"
T2014,Waiver Services,"Habilitation, prevocational, waiver; per diem"
T2015,Waiver Services,"Habilitation, prevocational, waiver; per hour"
T2016,Waiver Services,"Habilitation, residential, waiver; per diem"
T2017,Waiver Services,"Habilitation, residential, waiver; 15 minutes"
T2018,Waiver Services,"Habilitation, supported employment, waiver; per diem"
T2019,Waiver Services,"Habilitation, supported employment, waiver; per 15 minutes"
T2020,Waiver Services,"Day habilitation, waiver; per diem"
T2021,Waiver Services,"Day habilitation, waiver; per 15 minutes"
T2022,Waiver Services,"Case management, per month"
T2023,Waiver Services,Targeted case management; per month
T2024,Waiver Services,"Service assessment/plan of care development, waiver"
T2025,Waiver Services,Waiver services; not otherwise specified (NOS)
T2026,Waiver Services,"Specialized childcare, waiver; per diem"
T2027,Waiver Services,"Specialized childcare, waiver; per 15 minutes"
T2028,Waiver Services,"Specialized supply, not otherwise specified, waiver"
T2029,Waiver Services,"Specialized medical equipment, not otherwise specified, waiver"
T2030,Waiver Services,"Assisted living, waiver; per month"
T2031,Waiver Services,"Assisted living; waiver, per diem"
T2032,Waiver Services,"Residential care, not otherwise specified (NOS), waiver; per month"
T2033,Waiver Services,"Residential care, not otherwise specified (NOS), waiver; per diem"
T2034,Waiver Services,"Crisis intervention, waiver; per diem"
T2035,Waiver Services,"Utility services to support medical equipment and assistive technology/devices, waiver"
T2036,Waiver Services,"Therapeutic camping, overnight, waiver; each session"
T2037,Waiver Services,"Therapeutic camping, day, waiver; each session"
T2038,Waiver Services,"Community transition, waiver; per service"
T2039,Waiver Services,"Vehicle modifications, waiver; per service"
T2040,Waiver Services,"Financial management, self-directed, waiver; per 15 minutes"
T2041,Waiver Services,"Supports brokerage, self-directed, waiver; per 15 minutes"
T2042,Hospice Care,Hospice routine home care; per diem
T2043,Hospice Care,Hospice continuous home care; per hour
T2044,Hospice Care,Hospice inpatient respite care; per diem
T2045,Hospice Care,Hospice general inpatient care; per diem
T2046,Hospice Care,"Hospice long term care, room and board only; per diem"
T2047,Prevocational Habilitation Waiver Services,"Habilitation, prevocational, waiver; per 15 minutes"
T2048,Long-term Residential Care,"Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem"
T2049,Non-emergency Transportation Fees,"Non-emergency transportation; stretcher van, mileage; per mile"
T2050,"Financial Management and Supports Brokerage Services, Per Diem","Financial management, self-directed, waiver; per diem"
T2051,"Financial Management and Supports Brokerage Services, Per Diem","Supports brokerage, self-directed, waiver; per diem"
T2101,Services Related to Breast Milk,"Human breast milk processing, storage and distribution only"
T4521,Incontinence Supplies,"Adult sized disposable incontinence product, brief/diaper, small, each"
T4522,Incontinence Supplies,"Adult sized disposable incontinence product, brief/diaper, medium, each"
T4523,Incontinence Supplies,"Adult sized disposable incontinence product, brief/diaper, large, each"
T4524,Incontinence Supplies,"Adult sized disposable incontinence product, brief/diaper, extra large, each"
T4525,Incontinence Supplies,"Adult sized disposable incontinence product, protective underwear/pull-on, small size, each"
T4526,Incontinence Supplies,"Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each"
T4527,Incontinence Supplies,"Adult sized disposable incontinence product, protective underwear/pull-on, large size, each"
T4528,Incontinence Supplies,"Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each"
T4529,Incontinence Supplies,"Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each"
T4530,Incontinence Supplies,"Pediatric sized disposable incontinence product, brief/diaper, large size, each"
T4531,Incontinence Supplies,"Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each"
T4532,Incontinence Supplies,"Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each"
T4533,Incontinence Supplies,"Youth sized disposable incontinence product, brief/diaper, each"
T4534,Incontinence Supplies,"Youth sized disposable incontinence product, protective underwear/pull-on, each"
T4535,Incontinence Supplies,"Disposable liner/shield/guard/pad/undergarment, for incontinence, each"
T4536,Incontinence Supplies,"Incontinence product, protective underwear/pull-on, reusable, any size, each"
T4537,Incontinence Supplies,"Incontinence product, protective underpad, reusable, bed size, each"
T4538,Incontinence Supplies,"Diaper service, reusable diaper, each diaper"
T4539,Incontinence Supplies,"Incontinence product, diaper/brief, reusable, any size, each"
T4540,Incontinence Supplies,"Incontinence product, protective underpad, reusable, chair size, each"
T4541,Incontinence Supplies,"Incontinence product, disposable underpad, large, each"
T4542,Incontinence Supplies,"Incontinence product, disposable underpad, small size, each"
T4543,Incontinence Supplies,"Adult sized disposable incontinence product, protective brief/diaper, above extra large, each"
T4544,Incontinence Supplies,"Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each"
T4545,Incontinence Supplies,"Incontinence product, disposable, penile wrap, each"
T5001,Other and Unspecified Supplies,Positioning seat for persons with special orthopedic needs
T5999,Other and Unspecified Supplies,"Supply, not otherwise specified"
V2020,Spectacle Frames,"Frames, purchases"
V2025,Spectacle Frames,Deluxe frame
V2100,"Lenses, Single Vision","Sphere, single vision, plano to plus or minus 4.00, per lens"
V2101,"Lenses, Single Vision","Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens"
V2102,"Lenses, Single Vision","Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens"
V2103,"Lenses, Single Vision","Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens"
V2104,"Lenses, Single Vision","Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens"
V2105,"Lenses, Single Vision","Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens"
V2106,"Lenses, Single Vision","Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens"
V2107,"Lenses, Single Vision","Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens"
V2108,"Lenses, Single Vision","Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens"
V2109,"Lenses, Single Vision","Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens"
V2110,"Lenses, Single Vision","Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens"
V2111,"Lenses, Single Vision","Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens"
V2112,"Lenses, Single Vision","Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens"
V2113,"Lenses, Single Vision","Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens"
V2114,"Lenses, Single Vision","Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens"
V2115,"Lenses, Single Vision","Lenticular, (myodisc), per lens, single vision"
V2118,"Lenses, Single Vision","Aniseikonic lens, single vision"
V2121,"Lenses, Single Vision","Lenticular lens, per lens, single"
V2199,"Lenses, Single Vision","Not otherwise classified, single vision lens"
V2200,"Lenses, Bifocals","Sphere, bifocal, plano to plus or minus 4.00d, per lens"
V2201,"Lenses, Bifocals","Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens"
V2202,"Lenses, Bifocals","Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens"
V2203,"Lenses, Bifocals","Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens"
V2204,"Lenses, Bifocals","Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens"
V2205,"Lenses, Bifocals","Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens"
V2206,"Lenses, Bifocals","Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens"
V2207,"Lenses, Bifocals","Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens"
V2208,"Lenses, Bifocals","Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens"
V2209,"Lenses, Bifocals","Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens"
V2210,"Lenses, Bifocals","Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens"
V2211,"Lenses, Bifocals","Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens"
V2212,"Lenses, Bifocals","Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens"
V2213,"Lenses, Bifocals","Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens"
V2214,"Lenses, Bifocals","Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens"
V2215,"Lenses, Bifocals","Lenticular (myodisc), per lens, bifocal"
V2218,"Lenses, Bifocals","Aniseikonic, per lens, bifocal"
V2219,"Lenses, Bifocals",Bifocal seg width over 28mm
V2220,"Lenses, Bifocals",Bifocal add over 3.25d
V2221,"Lenses, Bifocals","Lenticular lens, per lens, bifocal"
V2299,"Lenses, Bifocals",Specialty bifocal (by report)
V2300,"Lenses, Trifocal","Sphere, trifocal, plano to plus or minus 4.00d, per lens"
V2301,"Lenses, Trifocal","Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens"
V2302,"Lenses, Trifocal","Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens"
V2303,"Lenses, Trifocal","Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens"
V2304,"Lenses, Trifocal","Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens"
V2305,"Lenses, Trifocal","Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens"
V2306,"Lenses, Trifocal","Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens"
V2307,"Lenses, Trifocal","Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens"
V2308,"Lenses, Trifocal","Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens"
V2309,"Lenses, Trifocal","Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens"
V2310,"Lenses, Trifocal","Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens"
V2311,"Lenses, Trifocal","Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens"
V2312,"Lenses, Trifocal","Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens"
V2313,"Lenses, Trifocal","Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens"
V2314,"Lenses, Trifocal","Spherocylinder, trifocal, sphere over plus or minus 12 .00d, per lens"
V2315,"Lenses, Trifocal","Lenticular, (myodisc), per lens, trifocal"
V2318,"Lenses, Trifocal","Aniseikonic lens, trifocal"
V2319,"Lenses, Trifocal",Trifocal seg width over 28 mm
V2320,"Lenses, Trifocal",Trifocal add over 3.25d
V2321,"Lenses, Trifocal","Lenticular lens, per lens, trifocal"
V2399,"Lenses, Trifocal",Specialty trifocal (by report)
V2410,"Lenses, Aspherical and Variable Sphericity","Variable asphericity lens, single vision, full field, glass or plastic, per lens"
V2430,"Lenses, Aspherical and Variable Sphericity","Variable asphericity lens, bifocal, full field, glass or plastic, per lens"
V2499,"Lenses, Aspherical and Variable Sphericity","Variable sphericity lens, other type"
V2500,Assorted Contact Lenses,"Contact lens, PMMA, spherical, per lens"
V2501,Assorted Contact Lenses,"Contact lens, PMMA, toric or prism ballast, per lens"
V2502,Assorted Contact Lenses,"Contact lens, PMMA, bifocal, per lens"
V2503,Assorted Contact Lenses,"Contact lens, PMMA, color vision deficiency, per lens"
V2510,Assorted Contact Lenses,"Contact lens, gas permeable, spherical, per lens"
V2511,Assorted Contact Lenses,"Contact lens, gas permeable, toric, prism ballast, per lens"
V2512,Assorted Contact Lenses,"Contact lens, gas permeable, bifocal, per lens"
V2513,Assorted Contact Lenses,"Contact lens, gas permeable, extended wear, per lens"
V2520,Assorted Contact Lenses,"Contact lens, hydrophilic, spherical, per lens"
V2521,Assorted Contact Lenses,"Contact lens, hydrophilic, toric, or prism ballast, per lens"
V2522,Assorted Contact Lenses,"Contact lens, hydrophillic, bifocal, per lens"
V2523,Assorted Contact Lenses,"Contact lens, hydrophilic, extended wear, per lens"
V2524,Assorted Contact Lenses,"Contact lens, hydrophilic, spherical, photochromic additive, per lens"
V2525,Assorted Contact Lenses,"Contact lens, hydrophilic, dual focus, per lens"
V2526,Assorted Contact Lenses,"Contact lens, hydrophilic, with blue-violet filter, per lens"
V2530,Assorted Contact Lenses,"Contact lens, scleral, gas impermeable, per lens"
V2531,Assorted Contact Lenses,"Contact lens, scleral, gas permeable, per lens"
V2599,Assorted Contact Lenses,"Contact lens, other type"
V2600,Low and Near Vision Aids,Hand held low vision aids and other nonspectacle mounted aids
V2610,Low and Near Vision Aids,Single lens spectacle mounted low vision aids
V2615,Low and Near Vision Aids,"Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound microscopic lens system"
V2623,Eye Prosthetics and Services,"Prosthetic eye, plastic, custom"
V2624,Eye Prosthetics and Services,Polishing/resurfacing of ocular prosthesis
V2625,Eye Prosthetics and Services,Enlargement of ocular prosthesis
V2626,Eye Prosthetics and Services,Reduction of ocular prosthesis
V2627,Eye Prosthetics and Services,Scleral cover shell
V2628,Eye Prosthetics and Services,Fabrication and fitting of ocular conformer
V2629,Eye Prosthetics and Services,"Prosthetic eye, other type"
V2630,"Lenses, Intraocular",Anterior chamber intraocular lens
V2631,"Lenses, Intraocular",Iris supported intraocular lens
V2632,"Lenses, Intraocular",Posterior chamber intraocular lens
V2700,Vision Services,"Balance lens, per lens"
V2702,Vision Services,Deluxe lens feature
V2710,Vision Services,"Slab off prism, glass or plastic, per lens"
V2715,Vision Services,"Prism, per lens"
V2718,Vision Services,"Press-on lens, Fresnell prism, per lens"
V2730,Vision Services,"Special base curve, glass or plastic, per lens"
V2744,Vision Services,"Tint, photochromatic, per lens"
V2745,Vision Services,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens"
V2750,Vision Services,"Anti-reflective coating, per lens"
V2755,Vision Services,"U-V lens, per lens"
V2756,Vision Services,Eye glass case
V2760,Vision Services,"Scratch resistant coating, per lens"
V2761,Vision Services,"Mirror coating, any type, solid, gradient or equal, any lens material, per lens"
V2762,Vision Services,"Polarization, any lens material, per lens"
V2770,Vision Services,"Occluder lens, per lens"
V2780,Vision Services,"Oversize lens, per lens"
V2781,Vision Services,"Progressive lens, per lens"
V2782,Vision Services,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens"
V2783,Vision Services,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens"
V2784,Vision Services,"Lens, polycarbonate or equal, any index, per lens"
V2785,Vision Services,"Processing, preserving and transporting corneal tissue"
V2786,Vision Services,"Specialty occupational multifocal lens, per lens"
V2787,Vision Services,Astigmatism correcting function of intraocular lens
V2788,Vision Services,Presbyopia correcting function of intraocular lens
V2790,Vision Services,"Amniotic membrane for surgical reconstruction, per procedure"
V2797,Vision Services,"Vision supply, accessory and/or service component of another HCPCS vision code"
V2799,Vision Services,"Vision item or service, miscellaneous"
V5008,Hearing Assessments and Evaluations,Hearing screening
V5010,Hearing Assessments and Evaluations,Assessment for hearing aid
V5011,Hearing Assessments and Evaluations,Fitting/orientation/checking of hearing aid
V5014,Hearing Assessments and Evaluations,Repair/modification of a hearing aid
V5020,Hearing Assessments and Evaluations,Conformity evaluation
V5030,"Hearing Aid, Monaural","Hearing aid, monaural, body worn, air conduction"
V5040,"Hearing Aid, Monaural","Hearing aid, monaural, body worn, bone conduction"
V5050,"Hearing Aid, Monaural","Hearing aid, monaural, in the ear"
V5060,"Hearing Aid, Monaural","Hearing aid, monaural, behind the ear"
V5070,Miscellaneous Hearing Services and Supplies,"Glasses, air conduction"
V5080,Miscellaneous Hearing Services and Supplies,"Glasses, bone conduction"
V5090,Miscellaneous Hearing Services and Supplies,"Dispensing fee, unspecified hearing aid"
V5095,Miscellaneous Hearing Services and Supplies,Semi-implantable middle ear hearing prosthesis
V5100,Miscellaneous Hearing Services and Supplies,"Hearing aid, bilateral, body worn"
V5110,Miscellaneous Hearing Services and Supplies,"Dispensing fee, bilateral"
V5120,Hearing Aids,"Binaural, body"
V5130,Hearing Aids,"Binaural, in the ear"
V5140,Hearing Aids,"Binaural, behind the ear"
V5150,Hearing Aids,"Binaural, glasses"
V5160,Hearing Aids,"Dispensing fee, binaural"
V5171,Hearing Aids,"Hearing aid, contralateral routing device, monaural, in the ear (ite)"
V5172,Hearing Aids,"Hearing aid, contralateral routing device, monaural, in the canal (itc)"
V5181,Hearing Aids,"Hearing aid, contralateral routing device, monaural, behind the ear (bte)"
V5190,Hearing Aids,"Hearing aid, contralateral routing, monaural, glasses"
V5200,Hearing Aids,"Dispensing fee, contralateral, monaural"
V5211,Hearing Aids,"Hearing aid, contralateral routing system, binaural, ite/ite"
V5212,Hearing Aids,"Hearing aid, contralateral routing system, binaural, ite/itc"
V5213,Hearing Aids,"Hearing aid, contralateral routing system, binaural, ite/bte"
V5214,Hearing Aids,"Hearing aid, contralateral routing system, binaural, itc/itc"
V5215,Hearing Aids,"Hearing aid, contralateral routing system, binaural, itc/bte"
V5221,Hearing Aids,"Hearing aid, contralateral routing system, binaural, bte/bte"
V5230,Hearing Aids,"Hearing aid, contralateral routing system, binaural, glasses"
V5240,Hearing Aids,"Dispensing fee, contralateral routing system, binaural"
V5241,Hearing Aids,"Dispensing fee, monaural hearing aid, any type"
V5242,Hearing Aids,"Hearing aid, analog, monaural, CIC (completely in the ear canal)"
V5243,Hearing Aids,"Hearing aid, analog, monaural, ITC (in the canal)"
V5244,Hearing Aids,"Hearing aid, digitally programmable analog, monaural, CIC"
V5245,Hearing Aids,"Hearing aid, digitally programmable, analog, monaural, ITC"
V5246,Hearing Aids,"Hearing aid, digitally programmable analog, monaural, ITE (in the ear)"
V5247,Hearing Aids,"Hearing aid, digitally programmable analog, monaural, BTE (behind the ear)"
V5248,Hearing Aids,"Hearing aid, analog, binaural, CIC"
V5249,Hearing Aids,"Hearing aid, analog, binaural, ITC"
V5250,Hearing Aids,"Hearing aid, digitally programmable analog, binaural, CIC"
V5251,Hearing Aids,"Hearing aid, digitally programmable analog, binaural, ITC"
V5252,Hearing Aids,"Hearing aid, digitally programmable, binaural, ITE"
V5253,Hearing Aids,"Hearing aid, digitally programmable, binaural, BTE"
V5254,Hearing Aids,"Hearing aid, digital, monaural, CIC"
V5255,Hearing Aids,"Hearing aid, digital, monaural, ITC"
V5256,Hearing Aids,"Hearing aid, digital, monaural, ITE"
V5257,Hearing Aids,"Hearing aid, digital, monaural, BTE"
V5258,Hearing Aids,"Hearing aid, digital, binaural, CIC"
V5259,Hearing Aids,"Hearing aid, digital, binaural, ITC"
V5260,Hearing Aids,"Hearing aid, digital, binaural, ITE"
V5261,Hearing Aids,"Hearing aid, digital, binaural, BTE"
V5262,Hearing Aids,"Hearing aid, disposable, any type, monaural"
V5263,Hearing Aids,"Hearing aid, disposable, any type, binaural"
V5264,Hearing Aids,"Ear mold/insert, not disposable, any type"
V5265,Hearing Aids,"Ear mold/insert, disposable, any type"
V5266,Hearing Aids,Battery for use in hearing device
V5267,Hearing Aids,"Hearing aid or assistive listening device/supplies/accessories, not otherwise specified"
V5268,Assistive Hearing Devices,"Assistive listening device, telephone amplifier, any type"
V5269,Assistive Hearing Devices,"Assistive listening device, alerting, any type"
V5270,Assistive Hearing Devices,"Assistive listening device, television amplifier, any type"
V5271,Assistive Hearing Devices,"Assistive listening device, television caption decoder"
V5272,Assistive Hearing Devices,"Assistive listening device, TDD"
V5273,Assistive Hearing Devices,"Assistive listening device, for use with cochlear implant"
V5274,Assistive Hearing Devices,"Assistive listening device, not otherwise specified"
V5275,Assistive Hearing Devices,"Ear impression, each"
V5281,Assistive Hearing Devices,"Assistive listening device, personal FM/DM system, monaural, (1 receiver, transmitter, microphone), any type"
V5282,Assistive Hearing Devices,"Assistive listening device, personal FM/DM system, binaural, (2 receivers, transmitter, microphone), any type"
V5283,Assistive Hearing Devices,"Assistive listening device, personal FM/DM neck, loop induction receiver"
V5284,Assistive Hearing Devices,"Assistive listening device, personal FM/DM, ear level receiver"
V5285,Assistive Hearing Devices,"Assistive listening device, personal FM/DM, direct audio input receiver"
V5286,Assistive Hearing Devices,"Assistive listening device, personal blue tooth FM/DM receiver"
V5287,Assistive Hearing Devices,"Assistive listening device, personal FM/DM receiver, not otherwise specified"
V5288,Assistive Hearing Devices,"Assistive listening device, personal FM/DM transmitter assistive listening device"
V5289,Assistive Hearing Devices,"Assistive listening device, personal FM/DM adapter/boot coupling device for receiver, any type"
V5290,Assistive Hearing Devices,"Assistive listening device, transmitter microphone, any type"
V5298,Other and Miscellaneous Hearing Services and Supplies,"Hearing aid, not otherwise classified"
V5299,Other and Miscellaneous Hearing Services and Supplies,"Hearing service, miscellaneous"
V5336,Speech-related Screenings and Communication Device Repair,Repair/modification of augmentative communicative system or device (excludes adaptive hearing aid)
V5362,Speech-related Screenings and Communication Device Repair,Speech screening
V5363,Speech-related Screenings and Communication Device Repair,Language screening
V5364,Speech-related Screenings and Communication Device Repair,Dysphagia screening