OFFICE OF WORKERS' COMPENSATION PROGRAMS
Effective Date: 07/18/2010
Last Update: 03/31/2011
File: fs10_mod_table.xls
Sort by CPT/HCPCS
| CPT/HCPCS | MOD | MOD LEV | DESCRIPTION |
|---|---|---|---|
| 00100 | 291 | Anest for proced on integ sys - head/or saliv glands | |
| 00102 | 291 | Anesthesia for plastic repair of cleft lip | |
| 00103 | 291 | Anesthesia for bepharoplasty | |
| 00104 | 291 | Anesthesia for electroconvulsive therapy | |
| 00120 | 291 | Anest; proc-esternal/middle/inner ear, inc biopsy nos | |
| 00124 | 291 | Anesthesia for otoscopy | |
| 00126 | 291 | Anesthesia for tympanotomy | |
| 00140 | 291 | Anesthesia for procedures on eye; nos | |
| 00142 | 291 | Anesthesia for procedures on eye; lens surgery | |
| 00144 | 291 | Anest; procedures on eye; corneal transplant | |
| 00145 | 291 | Anesthesia for procedures on eye; vitrectomy | |
| 00147 | 291 | Anesthesia for iridectomy | |
| 00148 | 291 | Anesthesia for procedures on eye; opthalmoscopy | |
| 00160 | 291 | Anest; proc-nose and accessory sinuses; nos | |
| 00162 | 291 | Anest; proced-nose/accesory sinuses; rad surg | |
| 00164 | 291 | Anesth-proced on nose & access sinuses; biop/soft tis | |
| 00170 | 291 | Anesthesia for intraoral procedures, incl biopsy; nos | |
| 00172 | 291 | Anesth-intraoral proced, w/biop; repair-cleft palate | |
| 00174 | 291 | Anest; intraoral pro-w/biop-ex/retropharyngeal tumor | |
| 00176 | 291 | Anesth-intraoral proced, w/biopsy; rad surg | |
| 00190 | 291 | Anesthesia for procedures on facial bones; nos | |
| 00192 | 291 | Anest - proced on facial bones; rad surg | |
| 00210 | 291 | Anesthesia for intracranial proacedures nos | |
| 00211 | 291 | Anesth, cran surg, hemotoma | |
| 00212 | 291 | Anest; intracranial procedures; subdural taps | |
| 00214 | 291 | Anesthesia for intracranial procedures; burr holes | |
| 00215 | 291 | Anesthesia for skull fracture | |
| 00216 | 291 | Anesthesia-intracranial proced; vascular | |
| 00218 | 291 | Anesth-intracranial proced, in sitting position | |
| 00220 | 291 | Anest - intracranial proced; spinal fluid shunting proc | |
| 00222 | 291 | Anest - intracranial proc; electrocoag-cranial nerve | |
| 00300 | 291 | Anest; proc-integ sys of neck, incl subcu tissue | |
| 00320 | 291 | Anest-proced: esoph/thy/lar/trac/lymph nos | |
| 00322 | 291 | Anest proced on neck: needle biopsy of thyroid | |
| 00350 | 291 | Anesth; proc-on major vessels of neck; nos | |
| 00352 | 291 | Anesth-proc on maj vessels of neck; simple ligation | |
| 00400 | 291 | Anesth; proc on ant integ sys-chest a/subcu tise | |
| 00402 | 291 | Anest; proc-ant integ sys of chest; reconstr on breast | |
| 00404 | 291 | Anest; proc-ant integ sys of chest; radical/mod rad; breast | |
| 00406 | 291 | Anest; ant integ sys chest; rad/mod rad proc; breast w/node disse | |
| 00410 | 291 | Anest; proc ant integ chest; elec convers of arrhythmias | |
| 00450 | 291 | Anest; proc-on clavicle and scapula; nos | |
| 00452 | 291 | Anest; proc-clavicle & scapula; rad surg | |
| 00454 | 291 | Anesthesia for procedures on clavicle, biopsy | |
| 00470 | 291 | Anesthesia for partial rib resection nos | |
| 00472 | 291 | Anest; partial rib resection, thoracoplasty (any type) | |
| 00474 | 291 | Anesthesia for partial rib resection, radical proced | |
| 00500 | 291 | Anesthesia for all procedures on esophagus | |
| 00520 | 291 | Anest for closed chest proc nos | |
| 00522 | 291 | Anest - closed chest proced; needle biopsy-pleura | |
| 00524 | 291 | Anest for closed chest procedure; pneumocentesis | |
| 00528 | 291 | Anest for closed chest procedure; mediastinoscopy | |
| 00529 | 291 | Anest, closed chest procedure; medi | |
| 00530 | 291 | Anesthesia for permanent transvenous pacemaker insertion | |
| 00532 | 291 | Anesthesia for accesss to central venous circula | |
| 00534 | 291 | Anest-transven insert/replace-cardioverter/debfib | |
| 00537 | 291 | Anest for cardiac electrophysiologic procedures | |
| 00539 | 291 | Anest; tracheobronchial reconstruction | |
| 00540 | 291 | Anest; thoracot proced-lungs/pleura/dia/media nos | |
| 00541 | 291 | Anest; thoracot proced; one lung ventilation | |
| 00542 | 291 | Anest; thoracotomy procedure - decortication | |
| 00546 | 291 | Anesth-thoracot; pul resection w/thoracoplasty | |
| 00548 | 291 | Anesth-thoracotomy; repair-trauma to trachea/bronchi | |
| 00550 | 291 | Anesthesia for sternal debridement | |
| 00560 | 291 | Anest-heart/pericard/great ves-chest; w/o pump oxygenator, ped | |
| 00562 | 291 | Anest-heart/pericard/great ves-chest; w/pump oxygenator | |
| 00563 | 291 | Anest-heart/pericard/great ves-chest; w/pump oxyg w/hypotherm | |
| 00566 | 291 | Anest for direct coronary artery bypass graft w/out pump oxyg | |
| 00567 | 291 | Anesth, cabg w/pump | |
| 00580 | 291 | Anesthesia for heart transplant-heart/lung | |
| 00600 | 291 | Anesth for proced on cerv spine/cord; nos | |
| 00604 | 291 | Anesth-post cerv laminect-sitting position | |
| 00620 | 291 | Anesthesia-proced on thoracic spine/cord; nos | |
| 00622 | 291 | Anesthesia for thoracolumbar sympathectomy | |
| 00625 | 291 | Anes spine tranthor w/o vent | |
| 00626 | 291 | Anes, spine transthor w/vent | |
| 00630 | 291 | Anesthesia for procedures in lumbar region (nos) | |
| 00632 | 291 | Anesthesia for lumbar sympathectomy | |
| 00634 | 291 | Anesth-procedures in lum region; chemonucleolysis | |
| 00635 | 291 | Anesth-procedures in lum region; diag/therapeutic lum puncture | |
| 00640 | 291 | Anesth-manip of spine; closed proced on spine | |
| 00670 | 291 | Anesth-ext spine/spinal cord proced | |
| 00700 | 291 | Anesth-proced on upper ant abdom wall; (nos) | |
| 00702 | 291 | Anesthesia for percutaneous liver biopsy | |
| 00730 | 291 | Anesth-procedures on upper post abdominal wall | |
| 00740 | 291 | Anesth-upper gastrointestinal endoscopic proced | |
| 00750 | 291 | Anesthesia for hernia repairs in upper abdomen; (nos) | |
| 00752 | 291 | Anesth-repair lum/ventral hernias/wound dehiscence | |
| 00754 | 291 | Anesth-hernia repairs-up abdomen; omphalocele | |
| 00756 | 291 | Anesth-transabdominal repair-diaphragmatic hernia | |
| 00770 | 291 | Anesth-all procedures-major abdominal blood ves | |
| 00790 | 291 | Anesth-intraperitoneal proced-up abdo, w/laparos nos | |
| 00792 | 291 | Anesth-intraperitoneal proced up abdo-partial hepatectomy | |
| 00794 | 291 | Anesth-intraperitoneal pro/up abdo; pancreatect/part/tot | |
| 00796 | 291 | Anesth-intraperitoneal pro up abdo, shunts/liver transplant | |
| 00797 | 291 | Anesth-intraperitoneal pro up abdo, gastric restrict procedure | |
| 00800 | 291 | Anesth-pro low ant abdom wall nos | |
| 00802 | 291 | Anesth-pro low ant abdom wall; panniculectomy | |
| 00810 | 291 | Anesthesia for intestinal endoscopic procedures | |
| 00820 | 291 | Anesth-pro on low post abdominal wall | |
| 00830 | 291 | Anesthesia for hernia repairs in lower abdomen; (nos) | |
| 00832 | 291 | Anesth-hernia repair, ventral & incisional hernias | |
| 00840 | 291 | Anesth-intraperitoneal proced low abdo w/laparos; nos | |
| 00842 | 291 | Anesthesia for amniocentesis | |
| 00844 | 291 | Anesthesia for abdominoperitoneal resection | |
| 00846 | 291 | Anesthesia for radical hysterectomy | |
| 00848 | 291 | Anesthesia for pelvic exentration | |
| 00851 | 291 | Anesthesia for tubal ligation | |
| 00860 | 291 | Anesth-extraperitoneal low abdo, w/urinary tract-nos | |
| 00862 | 291 | Anesth-renal proced w/upper 1/3 ureter/donor nephrect | |
| 00864 | 291 | Aanesthesia for total cystectomy | |
| 00865 | 291 | Anest - extraperitoneal proced-lower abd; rad prostatectomy | |
| 00866 | 291 | Anesthesia for adrenalectomy | |
| 00868 | 291 | Anesthesia for renal transplant (recipient) | |
| 00870 | 291 | Anesthesia for cystolithiotomy | |
| 00872 | 291 | Anesth-lithotripsy/extracorp shock wave-w/h20 bath | |
| 00873 | 291 | Anesth-lithotripsy/extracorp shock wave-w/o h20 bath | |
| 00880 | 291 | Anesth-proced on maj low abdom ves; nos | |
| 00882 | 291 | Anesth-proced on maj low abdom ves; infer vena cava liga | |
| 00902 | 291 | Anesthesia for anorectal procedures | |
| 00904 | 291 | Anesthesia for radical perineal procedure | |
| 00906 | 291 | Anesthesia for vulvectomy | |
| 00908 | 291 | Anesthesia for perineal prostatectomy | |
| 00910 | 291 | Anesthesia for transurethral procedures | |
| 00912 | 291 | Anesthesia for transurethral resection of bladder | |
| 00914 | 291 | Anesthesia for transurethral resection of prostate | |
| 00916 | 291 | Anesthesia for post-transurethral resection bleeding | |
| 00918 | 291 | Anesthesia for transurethral procedures,w/fragmenta | |
| 00920 | 291 | Anesthesia-proced on male genital ext genitalia, nos | |
| 00921 | 291 | Anesthesia-vasectomy, unilat/bilateral | |
| 00922 | 291 | Anesthesia for procedures on seminal vesicles | |
| 00924 | 291 | Anesth-proced on undescended testis, unilat/bilat | |
| 00926 | 291 | Anesthesia for radical orchiectomy, inguinal | |
| 00928 | 291 | Anesthesia for radical orchiectomy, abdominal | |
| 00930 | 291 | Anesthesia for orchiopexy, unilateral or bilateral | |
| 00932 | 291 | Anesthesia for complete amputation of penis | |
| 00934 | 291 | Anesth-radical amputat-penis w/bilat ing lymphaden | |
| 00936 | 291 | Anesth-rad amputa-penis w/bilat inguinal/iliac lymphaden | |
| 00938 | 291 | Anesth-insertion of penile prosthesis-perineal ap | |
| 00940 | 291 | Anesth-vaginal procedures, nos | |
| 00942 | 291 | Anesth-for colpotomy, colpectomy, colporrhaphy | |
| 00944 | 291 | Anesthesia for vaginal hysterectomy | |
| 00948 | 291 | Anesthesia for cervical cerclage | |
| 00950 | 291 | Anesthesia culdoscopy | |
| 00952 | 291 | Anesthesia for hysteroscopy | |
| 01112 | 291 | Anesthesia-bone marrow aspiration/biopsy, iliac crest | |
| 01120 | 291 | Anesthesia for procedures on bony pelvis | |
| 01130 | 291 | Anesthesia for body cast application or revision | |
| 01140 | 291 | Anesth for interpelviabdom amputation (hindquarter) | |
| 01150 | 291 | Anesth-rad proced tumor of pelvis, ex hindqtr amputation | |
| 01160 | 291 | Anesth-closed pro, involv symphysis pubis/sacroiliac jnt | |
| 01170 | 291 | Anesth-open pro involv symphysis pubis/sacroiliac jnt | |
| 01173 | 291 | Anesth-open repair, FX disrupt | |
| 01180 | 291 | Anesthesia for obturator neurectomy, extrapelvic | |
| 01190 | 291 | Anesthesia for obturator neurectomy, intrapelvic | |
| 01200 | 291 | Anesthesia for all closed procedures involving hip joint | |
| 01202 | 291 | Anesthesia for arthroscopic procedures of hip joint | |
| 01210 | 291 | Anesthesia for open procedures involving hip joint; (nos) | |
| 01212 | 291 | Anesthesia for hip disarticulation | |
| 01214 | 291 | Anesthesia for total hip replacement or revision | |
| 01215 | 291 | Anesthesia for revision of total hip arthroplasty | |
| 01220 | 291 | Anesth-all closed proced involv up 2/3 of femur-nos | |
| 01230 | 291 | Anesth-all open proced involv up 2/3 of femur nos | |
| 01232 | 291 | Anesth-open proced involv up 2/3 of femur; amputation | |
| 01234 | 291 | Anesth-open proced involv up 2/3 of femur; rad resect | |
| 01250 | 291 | Anesth-all proced nerves/mus/ten/fasc/bur-up leg | |
| 01260 | 291 | Anesth-all proced involv veins of up leg incl exploration | |
| 01270 | 291 | Anesth-all pro involv art-up leg, w/bypass graft; nos | |
| 01272 | 291 | Anesthesia for femoral artery ligation | |
| 01274 | 291 | Anesthesia for femoral artery embolectomy | |
| 01320 | 291 | Anest-all proc-nerves/mus/ten/fasc/bur-knee/popliteal area | |
| 01340 | 291 | Anesth-for all closed proced on lower 1/3 of femur | |
| 01360 | 291 | Anesth-for all open proced on lower 1/3 of femur | |
| 01380 | 291 | Anesth-for all closed proced on knee joint | |
| 01382 | 291 | Anesth-for diag. arthroscopic proced of knee joint | |
| 01390 | 291 | Anesth-all closed proced on up ends of tibia/fibula/patella | |
| 01392 | 291 | Anesth-all open proced on up ends of tibia/fibula/patella | |
| 01400 | 291 | Anesth-for open or surg arthro proced on knee joint nos | |
| 01402 | 291 | Anesthesia for total knee replacement | |
| 01404 | 291 | Anesthesia for disarticulation at knee | |
| 01420 | 291 | Anesth-all cast applica, removal/repair involv knee jnt | |
| 01430 | 291 | Anesth-proced on veins of knee/popliteal area nos | |
| 01432 | 291 | Anesth-proced - veins-knee/popli area; arterioven fistula | |
| 01440 | 291 | Anesth-for proced-arteries of knee/popli area nos | |
| 01442 | 291 | Anesth-popliteal thromboendarterectomy, w/wo pinch graft | |
| 01444 | 291 | Anesth-for popliteal excis/graft/repair for occlu/aneurysm | |
| 01462 | 291 | Anesthe-all closed proced on low leg/ankle/ft | |
| 01464 | 291 | Anesthesia for arthroscopic procedures on ankle/foot | |
| 01470 | 291 | Anest open proc-nerves/mus/tens/fascia, low leg/ank/ft | |
| 01472 | 291 | Anesth-repair of rupt achilles tendon, w/wo graft | |
| 01474 | 291 | Anest-pro-nerves/mus/ten/fascia-low leg/ank/ft; gastro recess | |
| 01480 | 291 | Anesth for open proced on bones-low leg/ank/ft nos | |
| 01482 | 291 | Anesth for open proced on bones-low leg/ank/ft; rad resect | |
| 01484 | 291 | Anesth-open proced; osteotomy/osteoplasty-tibia/fib | |
| 01486 | 291 | Anesthesia for open procedures; total ankle replacement | |
| 01490 | 291 | Anesthesia for lower leg cast application, removal or repair | |
| 01500 | 291 | Anesth-proced on arteries-low leg incl bypass graft nos | |
| 01502 | 291 | Anesth; proced-arteries-low leg; embolectomy-direct/cath | |
| 01520 | 291 | Anesth for proced on veins of lower leg; nos | |
| 01522 | 291 | Anesth; proc veins-low leg; venous thrombect, direct-w/cath | |
| 01610 | 291 | Anest; proc-nerves/mus/tend, fascia/bursae-shoulder/axilla | |
| 01620 | 291 | Anesth; closed proc-hum head/neck/sternoclavic jnt/shoulder | |
| 01622 | 291 | Anesth; diag/arthroscopic procedures of shoulder joint | |
| 01630 | 291 | Anest; open/surg proc-hum head-neck/sternoclav/acromi/should jnts | |
| 01634 | 291 | Anesthesia for shoulder disarticulation | |
| 01636 | 291 | Anesthesia for interthoracoscapular (forquarter) amputation | |
| 01638 | 291 | Anesthesia for total shoulder replacment | |
| 01650 | 291 | Anesth-proced on arteries-shoulder/axilla nos | |
| 01652 | 291 | Anesth-proced on art-should-axilla; axil-brachial aneurysm | |
| 01654 | 291 | Anesth-proced-arteries of shoulder/axilla; bypass graft | |
| 01656 | 291 | Anesth-proced/art-shoulder/axilla; axillary-fem bypass graft | |
| 01670 | 291 | Anesthesia for all procedures on veins of shoulder/axilla | |
| 01680 | 291 | Anesthesia for shoulder cast application, repair or removal | |
| 01682 | 291 | Anesthesia for shoulder spica | |
| 01710 | 291 | Anest; proc-nerves/musc/tend/fascia/bursae-up arm/elbow nos | |
| 01712 | 291 | Anesthesia for tenotomy, elbow to shoulder, open | |
| 01714 | 291 | Anesthesia for tenoplasty, elbow to shoulder | |
| 01716 | 291 | Anesthesia for tenodesis, rupture of long tendon of biceps | |
| 01730 | 291 | Anesthesia for all closed procedures on humerus and elbow | |
| 01732 | 291 | Anesthesia for diagnostic arth proced, elbow jt | |
| 01740 | 291 | Anesthesia, open or surg arth proced on humerus/elbow (nos) | |
| 01742 | 291 | Anesthesia for osteotomy of humerus | |
| 01744 | 291 | Anesthesia for repair of nonunion or malunion of humerus | |
| 01756 | 291 | Anest for radical procedures (closed) on humerus or elbow | |
| 01758 | 291 | Anesthesia for excision of cyst or tumor of humerus | |
| 01760 | 291 | Anesthesia for total elbow replacement | |
| 01770 | 291 | Anesthesia-proced on arteries-upper arm/elbow; nos | |
| 01772 | 291 | Anesth-proced on arteries-up arm/elbow; embolectomy | |
| 01780 | 291 | Anesthesia for proced on veins of upper arm/elbow; nos | |
| 01782 | 291 | Anesth-proced on veins of upper arm/elbow; phleborrhaphy | |
| 01810 | 291 | Anest; proc-nerves/musc/tend/fascia/bursae/f-arm/wrist/hand | |
| 01820 | 291 | Anesth-all closed proced-radius/ulna/wrist/hand bones | |
| 01829 | 291 | Anesth, diag procedures on wrist | |
| 01830 | 291 | Anesth-open,surg arth/endosc proced-radius/ulna/wrist/hand jt, nos | |
| 01832 | 291 | Anesthesia for total wrist replacement | |
| 01840 | 291 | Anesth-proced on arteries of forearm, wrist/hand; nos | |
| 01842 | 291 | Anesthesia for embolectomy; forearm, wrist or hand | |
| 01844 | 291 | Anesth-for vascular shunt/shunt revision, any type | |
| 01850 | 291 | Anesth-proced-on veins of forearm, wrist/hand nos | |
| 01852 | 291 | Anesthesia for phleborrhaphy; forearm, wrist or hand | |
| 01860 | 291 | Anesth-forearm, wrist/hand cast applica, removal/repair | |
| 01916 | 291 | Anesth for arteriograms, needle; carotid/vertebral | |
| 01920 | 291 | Anest-cardiac cath w/coronary arterio/ventriculography | |
| 01922 | 291 | Anesthesia for cat scanning/mri | |
| 01924 | 291 | Anesthesia for ther interv radiol arterial procedure | |
| 01925 | 291 | Anesthesia for ther interv radiol arterial procedure | |
| 01926 | 291 | Anesthesia for ther interv radiol arterial procedure | |
| 01930 | 291 | Anesthesia for ther interv radiol venous procedure | |
| 01931 | 291 | Anesthesia for ther interv radiol venous procedure | |
| 01932 | 291 | Anesthesia for ther interv radiol venous procedure | |
| 01933 | 291 | Anesthesia for ther interv radiol venous procedure | |
| 01935 | 291 | Anesthesia for percutaneous img Dx Spinal proc | |
| 01936 | 291 | Anesthesia for percutaneous img Tx Spinal proc | |
| 01951 | 291 | Anesthesia for 2nd-3rd degree burn excis/debrid <1% body | |
| 01952 | 291 | Anesthesia for 2nd-3rd degree burn excis/debrid 1-9% body | |
| 01953 | 291 | Anesthesia for 2nd-3rd degree burn; each add'l 9% body | |
| 01958 | 291 | Anesthesia, external cephalic vesio | |
| 01960 | 291 | Anesthesia for vaginal delivery | |
| 01961 | 291 | Anesthesia for cesarean delivery | |
| 01962 | 291 | Anesthesia for urgent hysterectomy following delivery | |
| 01963 | 291 | Anesthesia for cesarean hysterectomy | |
| 01965 | 291 | Anesth incompl/missed abortion | |
| 01967 | 291 | Neuroaxial labor analgesia/anesthesia | |
| 01968 | 291 | Neuroaxial labor analgesia/anesthesia add-on code | |
| 01969 | 291 | Neuroaxial labor analgesia/anesthesia add-on code | |
| 01990 | 291 | Physio sup-harvesting-organ(s) brain-dead patient | |
| 01991 | 291 | Anesth diag/therapeutic nerve block, inject, not prone | |
| 01992 | 291 | Anesth diag/therapeutic nerve block, inject, prone | |
| 01996 | 291 | Daily hospital mgmt of epidural/subarachoid drug adm | |
| 01999 | 291 | Unlisted anesthesia procedure(s) | |
| 10021 | 142 | Fine needle aspiration w/o image | |
| 10022 | 142 | Fine needle aspiration with image | |
| 10040 | 22 | Acne surgery | |
| 10060 | 22 | Drainage of skin abscess | |
| 10061 | 24 | Drainage of skin abscess | |
| 10080 | 22 | Drainage of pilonidal cyst | |
| 10081 | 24 | Drainage of pilonidal cyst | |
| 10120 | 22 | Remove foreign body, simple | |
| 10121 | 24 | Remove foreign body | |
| 10140 | 22 | Drainage of hematoma/fluid | |
| 10160 | 22 | Puncture drainage of lesion | |
| 10180 | 24 | Complex drainage, wound | |
| 11000 | 92 | Debride infected skin | |
| 11001 | 244 | Debride infected skin add-on | |
| 11004 | 113 | Debride genitalia & perineum | |
| 11005 | 108 | Debride abdom wall | |
| 11006 | 113 | Debride genit/per/abdom wall | |
| 11008 | 246 | Remove mesh from abd wall add-on | |
| 11010 | 23 | Debride skin, fx | |
| 11011 | 103 | Debride skin/muscle, fx | |
| 11012 | 103 | Debride skin/muscle/bone, fx | |
| 11040 | 104 | Debride skin, partial | |
| 11041 | 104 | Debride skin, full | |
| 11042 | 104 | Debride skin/tissue | |
| 11043 | 24 | Debride tissue/muscle | |
| 11044 | 24 | Debride tissue/muscle/bone | |
| 11055 | 100 | Trim skin lesion | |
| 11056 | 100 | Trim skin lesions, 2 to 4 | |
| 11057 | 100 | Trim skin lesions, over 4 | |
| 11100 | 100 | Biopsy of skin lesion | |
| 11101 | 243 | Biopsy, skin add-on | |
| 11200 | 53 | Removal of skin tags | |
| 11201 | 243 | Remove skin tags add-on | |
| 11300 | 254 | Shave skin lesion | |
| 11301 | 254 | Shave skin lesion | |
| 11302 | 254 | Shave skin lesion | |
| 11303 | 254 | Shave skin lesion | |
| 11305 | 254 | Shave skin lesion | |
| 11306 | 254 | Shave skin lesion | |
| 11307 | 254 | Shave skin lesion | |
| 11308 | 254 | Shave skin lesion | |
| 11310 | 254 | Shave skin lesion | |
| 11311 | 254 | Shave skin lesion | |
| 11312 | 254 | Shave skin lesion | |
| 11313 | 254 | Shave skin lesion | |
| 11400 | 22 | Removal of skin lesion, 0.5 cm or less | |
| 11401 | 22 | Removal of skin lesion, 0.6 - 1.0 cm | |
| 11402 | 22 | Removal of skin lesion, 1.1 - 2.0 cm | |
| 11403 | 24 | Removal of skin lesion, 2.1 - 3.0 cm | |
| 11404 | 24 | Removal of skin lesion, 3.1 - 4.0 cm | |
| 11406 | 24 | Removal of skin lesion, over 4.0 cm | |
| 11420 | 22 | Removal of skin lesion, 0.5 cm or less | |
| 11421 | 22 | Removal of skin lesion, 0.6 - 1.0 cm | |
| 11422 | 22 | Removal of skin lesion, 1.1 - 2.0 cm | |
| 11423 | 24 | Removal of skin lesion, 2.1 - 3.0 cm | |
| 11424 | 24 | Removal of skin lesion, 3.1 - 4.0 cm | |
| 11426 | 24 | Removal of skin lesion, over 4.0 cm | |
| 11440 | 22 | Removal of skin lesion, 0.5 cm or less | |
| 11441 | 22 | Removal of skin lesion, 0.6 - 1.0 cm | |
| 11442 | 22 | Removal of skin lesion, 1.1 - 2.0 cm | |
| 11443 | 24 | Removal of skin lesion, 2.1 - 3.0 cm | |
| 11444 | 24 | Removal of skin lesion, 3.1 - 4.0 cm | |
| 11446 | 24 | Removal of skin lesion, over 4.0 cm | |
| 11450 | 24 | Removal, sweat gland lesion | |
| 11451 | 20 | Removal, sweat gland lesion | |
| 11462 | 20 | Removal, sweat gland lesion | |
| 11463 | 20 | Removal, sweat gland lesion | |
| 11470 | 24 | Removal, sweat gland lesion | |
| 11471 | 20 | Removal, sweat gland lesion | |
| 11600 | 24 | Removal, malignant skin lesion, 0.5 cm or less | |
| 11601 | 24 | Removal, malignant skin lesion, 0.6 - 1.0 cm | |
| 11602 | 24 | Removal, malignant skin lesion, 1.1 - 2.0 cm | |
| 11603 | 24 | Removal, malignant skin lesion, 2.1 - 3.0 cm | |
| 11604 | 24 | Removal, malignant skin lesion, 3.1 - 4.0 cm | |
| 11606 | 24 | Removal, malignant skin lesion, over 4.0 cm | |
| 11620 | 24 | Removal, malignant skin lesion, 0.5 cm or less | |
| 11621 | 24 | Removal, malignant skin lesion, 0.6 - 1.0 cm | |
| 11622 | 24 | Removal, malignant skin lesion, 1.1 - 2.0 cm | |
| 11623 | 24 | Removal, malignant skin lesion, 2.1 - 3.0 cm | |
| 11624 | 24 | Removal, malignant skin lesion, 3.1 - 4.0 cm | |
| 11626 | 24 | Removal, malignant skin lesion, over 4.0 cm | |
| 11640 | 24 | Removal, malignant skin lesion, 0.5 cm or less | |
| 11641 | 24 | Removal, malignant skin lesion, 0.6 - 1.0 cm | |
| 11642 | 24 | Removal, malignant skin lesion, 1.1 - 2.0 cm | |
| 11643 | 24 | Removal, malignant skin lesion, 2.1 - 3.0 cm | |
| 11644 | 24 | Removal, malignant skin lesion, 3.1 - 4.0 cm | |
| 11646 | 24 | Removal, malignant skin lesion, over 4.0 cm | |
| 11719 | 100 | Trim nail(s) | |
| 11720 | 127 | Debride nail, 1-5 | |
| 11721 | 127 | Debride nail, 6 or more | |
| 11730 | 100 | Removal of nail plate | |
| 11732 | 243 | Remove nail plate, add-on | |
| 11740 | 126 | Drain blood from under nail | |
| 11750 | 22 | Removal of nail bed | |
| 11752 | 22 | Remove nail bed/finger tip | |
| 11755 | 93 | Biopsy, nail unit | |
| 11760 | 22 | Repair of nail bed | |
| 11762 | 22 | Reconstruction of nail bed | |
| 11765 | 22 | Excision of nail fold, toe | |
| 11770 | 53 | Removal of pilonidal lesion | |
| 11771 | 55 | Removal of pilonidal lesion | |
| 11772 | 55 | Removal of pilonidal lesion | |
| 11900 | 104 | Injection into skin lesions | |
| 11901 | 104 | Added skin lesions injection | |
| 11920 | 96 | Correct skin color defects | |
| 11921 | 96 | Correct skin color defects | |
| 11922 | 241 | Correct skin color defects add-on | |
| 11950 | 124 | Therapy for contour defects | |
| 11951 | 124 | Therapy for contour defects | |
| 11952 | 124 | Therapy for contour defects | |
| 11954 | 124 | Therapy for contour defects | |
| 11960 | 55 | Insert tissue expander(s) | |
| 11970 | 55 | Replace tissue expander | |
| 11971 | 50 | Remove tissue expander(s) | |
| 11981 | 205 | Insert drug implant device | |
| 11982 | 205 | Remove drug implant device | |
| 11983 | 205 | Remove/reinsert drug implant | |
| 12001 | 22 | Repair superficial wound(s) | |
| 12002 | 22 | Repair superficial wound(s) | |
| 12004 | 22 | Repair superficial wound(s) | |
| 12005 | 24 | Repair superficial wound(s) | |
| 12006 | 24 | Repair superficial wound(s) | |
| 12007 | 10 | Repair superficial wound(s) | |
| 12011 | 22 | Repair superficial wound(s) | |
| 12013 | 22 | Repair superficial wound(s) | |
| 12014 | 22 | Repair superficial wound(s) | |
| 12015 | 22 | Repair superficial wound(s) | |
| 12016 | 22 | Repair superficial wound(s) | |
| 12017 | 18 | Repair superficial wound(s) | |
| 12018 | 6 | Repair superficial wound(s) | |
| 12020 | 22 | Closure of split wound | |
| 12021 | 22 | Closure of split wound | |
| 12031 | 24 | Layer closure of wound(s) | |
| 12032 | 24 | Layer closure of wound(s) | |
| 12034 | 24 | Layer closure of wound(s) | |
| 12035 | 24 | Layer closure of wound(s) | |
| 12036 | 24 | Layer closure of wound(s) | |
| 12037 | 8 | Layer closure of wound(s) | |
| 12041 | 24 | Layer closure of wound(s) | |
| 12042 | 24 | Layer closure of wound(s) | |
| 12044 | 24 | Layer closure of wound(s) | |
| 12045 | 24 | Layer closure of wound(s) | |
| 12046 | 20 | Layer closure of wound(s) | |
| 12047 | 8 | Layer closure of wound(s) | |
| 12051 | 24 | Layer closure of wound(s) | |
| 12052 | 24 | Layer closure of wound(s) | |
| 12053 | 24 | Layer closure of wound(s) | |
| 12054 | 24 | Layer closure of wound(s) | |
| 12055 | 24 | Layer closure of wound(s) | |
| 12056 | 20 | Layer closure of wound(s) | |
| 12057 | 8 | Layer closure of wound(s) | |
| 13100 | 24 | Repair of wound or lesion | |
| 13101 | 24 | Repair of wound or lesion | |
| 13102 | 228 | Repair wound/lesion add-on | |
| 13120 | 24 | Repair of wound or lesion | |
| 13121 | 24 | Repair of wound or lesion | |
| 13122 | 228 | Repair wound/lesion add-on | |
| 13131 | 24 | Repair of wound or lesion | |
| 13132 | 24 | Repair of wound or lesion | |
| 13133 | 228 | Repair wound/lesion add-on | |
| 13150 | 24 | Repair of wound or lesion | |
| 13151 | 24 | Repair of wound or lesion | |
| 13152 | 24 | Repair of wound or lesion | |
| 13153 | 228 | Repair wound/lesion add-on | |
| 13160 | 24 | Late closure of wound | |
| 14000 | 24 | Skin tissue rearrangement | |
| 14001 | 24 | Skin tissue rearrangement | |
| 14020 | 24 | Skin tissue rearrangement | |
| 14021 | 24 | Skin tissue rearrangement | |
| 14040 | 24 | Skin tissue rearrangement | |
| 14041 | 24 | Skin tissue rearrangement | |
| 14060 | 24 | Skin tissue rearrangement | |
| 14061 | 24 | Skin tissue rearrangement | |
| 14301 | 20 | Skin tissue rearrangement, 30.1-60 sq cm | |
| 14302 | 241 | Skin tissue rearrangement, add-on | |
| 14350 | 20 | Skin tissue rearrangement | |
| 15002 | 97 | Wnd prep, ch/inf, trk/arm/lg | |
| 15003 | 241 | Wnd prep, ch/inf addl 100 cm add-on | |
| 15004 | 97 | Wnd prep ch/inf, f/n/hf/g | |
| 15005 | 241 | Wnd prep, f/n/hf/g, addl cm | |
| 15040 | 105 | Harvest cultured skin graft | |
| 15050 | 24 | Skin pinch graft | |
| 15100 | 24 | Skin split graft | |
| 15101 | 244 | Skin split graft add-on | |
| 15110 | 24 | Epidrm autogrft trnk/arm/leg | |
| 15111 | 244 | Epidrm autogrft t/a/l add-on | |
| 15115 | 24 | Epidrm a-grft face/nck/hf/g | |
| 15116 | 236 | Epidrm a-grft f/n/hf/g addl | |
| 15120 | 24 | Skin split graft | |
| 15121 | 236 | Skin split graft add-on | |
| 15130 | 24 | Derm autograft, trnk/arm/leg | |
| 15131 | 236 | Derm autograft t/a/l add-on | |
| 15135 | 24 | Derm autograft face/nck/hf/g | |
| 15136 | 236 | Derm autograft, f/n/hf/g add | |
| 15150 | 24 | Cult epiderm grft t/arm/leg | |
| 15151 | 244 | Cult epiderm grft t/a/l addl | |
| 15152 | 244 | Cult epiderm graft t/a/l +% | |
| 15155 | 24 | Cult epiderm graft, f/n/hf/g | |
| 15156 | 236 | Cult epidrm grft f/n/hfg add | |
| 15157 | 236 | Cult epiderm grft f/n/hfg +% | |
| 15170 | 24 | Acell graft trunk/arms/legs | |
| 15171 | 244 | Acell graft t/arm/leg add-on | |
| 15175 | 24 | Acellular graft, f/n/hf/g | |
| 15176 | 236 | Acell graft, f/n/hf/g add-on | |
| 15200 | 24 | Skin full graft | |
| 15201 | 241 | Skin full graft add-on | |
| 15220 | 24 | Skin full graft | |
| 15221 | 244 | Skin full graft add-on | |
| 15240 | 24 | Skin full graft | |
| 15241 | 244 | Skin full graft add-on | |
| 15260 | 24 | Skin full graft | |
| 15261 | 244 | Skin full graft add-on | |
| 15300 | 24 | Apply skinallogrft, t/arm/lg | |
| 15301 | 244 | Apply sknallogrft t/a/l addl | |
| 15320 | 24 | Apply skin allogrft f/n/hf/g | |
| 15321 | 236 | Aply sknallogrft f/n/hfg add | |
| 15330 | 24 | Aply acell alogrft t/arm/leg | |
| 15331 | 244 | Aply acell grft t/a/l add-on | |
| 15335 | 24 | Apply acell graft, f/n/hf/g | |
| 15336 | 236 | Aply acell grft f/n/hf/g add | |
| 15340 | 24 | Apply cult skin substitute | |
| 15341 | 244 | Apply cult skin sub add-on | |
| 15360 | 24 | Apply cult derm sub, t/a/l | |
| 15361 | 244 | Aply cult derm sub t/a/l add | |
| 15365 | 24 | Apply cult derm sub f/n/hf/g | |
| 15366 | 244 | Apply cult derm f/hf/g add | |
| 15400 | 24 | Skin heterograft | |
| 15401 | 244 | Skin heterograft add-on | |
| 15420 | 24 | Apply skin xgraft, f/n/hf/g | |
| 15421 | 244 | Apply skn xgrft f/n/hf/g add | |
| 15430 | 24 | Apply acellular xenograft | |
| 15431 | 241 | Apply acellular xgraft add | |
| 15570 | 24 | Form skin pedicle flap | |
| 15572 | 24 | Form skin pedicle flap | |
| 15574 | 24 | Form skin pedicle flap | |
| 15576 | 24 | Form skin pedicle flap | |
| 15600 | 20 | Skin graft | |
| 15610 | 20 | Skin graft | |
| 15620 | 24 | Skin graft | |
| 15630 | 24 | Skin graft | |
| 15650 | 20 | Transfer skin pedicle flap | |
| 15731 | 50 | Forehead flap w/vasc pedicle | |
| 15732 | 42 | Muscle-skin graft, head/neck | |
| 15734 | 8 | Muscle-skin graft, trunk | |
| 15736 | 10 | Muscle-skin graft, arm | |
| 15738 | 8 | Muscle-skin graft, leg | |
| 15740 | 24 | Island pedicle flap graft | |
| 15750 | 20 | Neurovascular pedicle graft | |
| 15756 | 12 | Free muscle/myocutaneous flap, microvasc | |
| 15757 | 12 | Free skin flap, microvasc | |
| 15758 | 12 | Free fascial flap, microvasc | |
| 15760 | 24 | Composite skin graft | |
| 15770 | 8 | Derma-fat-fascia graft | |
| 15775 | 96 | Hair transplant punch grafts | |
| 15776 | 96 | Hair transplant punch grafts | |
| 15780 | 50 | Abrasion treatment of skin | |
| 15781 | 55 | Abrasion treatment of skin | |
| 15782 | 50 | Abrasion treatment of skin | |
| 15783 | 50 | Abrasion treatment of skin | |
| 15786 | 55 | Abrasion, lesion, single | |
| 15787 | 244 | Abrasion, lesions, add-on | |
| 15788 | 55 | Chemical peel, face, epiderm | |
| 15789 | 55 | Chemical peel, face, dermal | |
| 15792 | 50 | Chemical peel, nonfacial | |
| 15793 | 50 | Chemical peel, nonfacial | |
| 15823 | 57 | Revision of upper eyelid | |
| 15830 | 8 | Exc skin abd | |
| 15840 | 55 | Graft for face nerve palsy | |
| 15841 | 39 | Graft for face nerve palsy | |
| 15842 | 39 | Graft for face nerve palsy | |
| 15845 | 50 | Skin and muscle repair, face | |
| 15847 | 234 | Exc skin abd add-on | |
| 15850 | 267 | Removal of sutures, same surgeon | |
| 15851 | 104 | Removal of sutures | |
| 15852 | 104 | Dressing change,not for burn | |
| 15860 | 96 | Test for blood flow in graft | |
| 15920 | 50 | Removal of tail bone ulcer | |
| 15922 | 39 | Removal of tail bone ulcer | |
| 15931 | 55 | Remove sacrum pressure sore | |
| 15933 | 50 | Remove sacrum pressure sore | |
| 15934 | 55 | Remove sacrum pressure sore | |
| 15935 | 39 | Remove sacrum pressure sore | |
| 15936 | 42 | Remove sacrum pressure sore | |
| 15937 | 42 | Remove sacrum pressure sore | |
| 15940 | 55 | Remove hip pressure sore | |
| 15941 | 50 | Remove hip pressure sore | |
| 15944 | 50 | Remove hip pressure sore | |
| 15945 | 50 | Remove hip pressure sore | |
| 15946 | 10 | Remove hip pressure sore | |
| 15950 | 55 | Remove thigh pressure sore | |
| 15951 | 39 | Remove thigh pressure sore | |
| 15952 | 39 | Remove thigh pressure sore | |
| 15953 | 42 | Remove thigh pressure sore | |
| 15956 | 42 | Remove thigh pressure sore | |
| 15958 | 42 | Remove thigh pressure sore | |
| 15999 | 198 | Removal of pressure sore, unlisted | |
| 16000 | 104 | Initial treatment of burn(s) | |
| 16020 | 104 | Treatment of burn(s) | |
| 16025 | 104 | Treatment of burn(s) | |
| 16030 | 104 | Treatment of burn(s) | |
| 16035 | 129 | Incision of burn scab | |
| 16036 | 249 | Incise burn scab, ea addl incis | |
| 17000 | 55 | Destroy benign/premal lesion | |
| 17003 | 244 | Destroy lesions, 2-14 | |
| 17004 | 56 | Destroy lesions, 15 or more | |
| 17106 | 55 | Destruction of skin lesions | |
| 17107 | 55 | Destruction of skin lesions | |
| 17108 | 50 | Destruction of skin lesions | |
| 17110 | 55 | Destruct lesion, 1-14 | |
| 17111 | 55 | Destruct lesion, 15 or more | |
| 17250 | 129 | Chemical cautery, tissue | |
| 17260 | 55 | Destruction of skin lesions | |
| 17261 | 55 | Destruction of skin lesions | |
| 17262 | 55 | Destruction of skin lesions | |
| 17263 | 55 | Destruction of skin lesions | |
| 17264 | 55 | Destruction of skin lesions | |
| 17266 | 55 | Destruction of skin lesions | |
| 17270 | 55 | Destruction of skin lesions | |
| 17271 | 55 | Destruction of skin lesions | |
| 17272 | 55 | Destruction of skin lesions | |
| 17273 | 55 | Destruction of skin lesions | |
| 17274 | 55 | Destruction of skin lesions | |
| 17276 | 55 | Destruction of skin lesions | |
| 17280 | 55 | Destruction of skin lesions | |
| 17281 | 55 | Destruction of skin lesions | |
| 17282 | 55 | Destruction of skin lesions | |
| 17283 | 55 | Destruction of skin lesions | |
| 17284 | 55 | Destruction of skin lesions | |
| 17286 | 55 | Destruction of skin lesions | |
| 17311 | 129 | Mohs, 1 stage, h/n/hf/g | |
| 17312 | 244 | Mohs addl stage | |
| 17313 | 129 | Mohs, 1 stage, t/a/l | |
| 17314 | 244 | Mohs, addl stage, t/a/l | |
| 17315 | 244 | Mohs surg, addl block | |
| 17340 | 55 | Cryotherapy of skin | |
| 17360 | 55 | Skin peel therapy | |
| 17999 | 198 | Skin tissue procedure, unlisted | |
| 19000 | 129 | Drainage of breast lesion | |
| 19001 | 244 | Drain breast lesion add-on | |
| 19020 | 57 | Incision of breast lesion | |
| 19030 | 140 | Injection for breast x-ray | |
| 19100 | 131 | Biopsy of breast | |
| 19101 | 57 | Biopsy of breast | |
| 19102 | 131 | Bx breast percut w/image | |
| 19103 | 131 | Bx breast percut w/device | |
| 19105 | 131 | Cryosurg ablate fa, each | |
| 19110 | 57 | Nipple exploration | |
| 19112 | 52 | Excise breast duct fistula | |
| 19120 | 57 | Removal of breast lesion | |
| 19125 | 43 | Excision, breast lesion | |
| 19126 | 236 | Excision, addl breast lesion | |
| 19260 | 14 | Removal of chest wall lesion | |
| 19271 | 14 | Revision of chest wall | |
| 19272 | 14 | Extensive chest wall surgery | |
| 19290 | 140 | Place needle wire, breast | |
| 19291 | 246 | Place needle wire, breast @ add'l | |
| 19295 | 246 | Place breast clip, percut add-on | |
| 19296 | 125 | Place po breast cath for rad | |
| 19297 | 241 | Place breast cath for rad add-on | |
| 19298 | 125 | Place breast rad tube/caths | |
| 19300 | 57 | Removal of breast tissue | |
| 19301 | 52 | Partial mastectomy | |
| 19302 | 40 | P-mastectomy w/ln removal | |
| 19303 | 40 | Mast, simple, complete | |
| 19304 | 40 | Mast, subq | |
| 19305 | 46 | Mast, radical | |
| 19306 | 46 | Mast, rad, urban type | |
| 19307 | 46 | Mast, mod rad | |
| 19316 | 40 | Suspension of breast | |
| 19318 | 40 | Reduction of large breast | |
| 19324 | 52 | Enlarge breast | |
| 19325 | 52 | Enlarge breast with implant | |
| 19328 | 57 | Removal of breast implant | |
| 19330 | 57 | Removal of implant material | |
| 19340 | 237 | Immediate breast prosthesis | |
| 19342 | 40 | Delayed breast prosthesis | |
| 19350 | 57 | Breast reconstruction | |
| 19355 | 52 | Correct inverted nipple(s) | |
| 19357 | 40 | Breast reconstruction | |
| 19361 | 46 | Breast reconstruction | |
| 19364 | 46 | Breast reconstruction | |
| 19366 | 40 | Breast reconstruction | |
| 19367 | 46 | Breast reconstruction | |
| 19368 | 46 | Breast reconstruction | |
| 19369 | 46 | Breast reconstruction | |
| 19370 | 57 | Surgery of breast capsule | |
| 19371 | 57 | Removal of breast capsule | |
| 19380 | 57 | Revise breast reconstruction | |
| 19396 | 125 | Design custom breast implant | |
| 19499 | 199 | Breast surgery procedure, unlisted | |
| 20000 | 24 | Incision of abscess | |
| 20005 | 24 | Incision of deep abscess | |
| 20100 | 29 | Explore wound, neck | |
| 20101 | 30 | Explore wound, chest | |
| 20102 | 30 | Explore wound, abdomen | |
| 20103 | 20 | Explore wound, extremity | |
| 20150 | 40 | Excise epiphyseal bar | |
| 20200 | 104 | Muscle biopsy | |
| 20205 | 104 | Deep muscle biopsy | |
| 20206 | 104 | Needle biopsy, muscle | |
| 20220 | 104 | Bone biopsy, trocar/needle | |
| 20225 | 104 | Bone biopsy, trocar/needle | |
| 20240 | 24 | Bone biopsy, excisional | |
| 20245 | 24 | Bone biopsy, excisional | |
| 20250 | 24 | Open bone biopsy | |
| 20251 | 20 | Open bone biopsy | |
| 20500 | 24 | Injection of sinus tract | |
| 20501 | 113 | Inject sinus tract for x-ray | |
| 20520 | 24 | Removal of foreign body | |
| 20525 | 24 | Removal of foreign body | |
| 20526 | 106 | Ther injection carpal tunnel | |
| 20550 | 104 | Injection(s), tendon sheath/ligament | |
| 20551 | 104 | Inject tendon origin/insert | |
| 20552 | 104 | Inject trigger points, 1 or 2 muscle groups | |
| 20553 | 104 | Inject trigger points, 3 or more muscle groups | |
| 20555 | 124 | Place needle musc/tiss for interstitial rad tx | |
| 20600 | 106 | Drain/inject, joint/bursa | |
| 20605 | 106 | Drain/inject, joint/bursa | |
| 20610 | 106 | Drain/inject, joint/bursa | |
| 20612 | 129 | Aspirate/inj. ganglion cyst | |
| 20615 | 24 | Treatment of bone cyst | |
| 20650 | 10 | Insert and remove bone pin | |
| 20660 | 113 | Apply,remove fixation device | |
| 20661 | 30 | Application of head brace | |
| 20662 | 50 | Application of pelvis brace | |
| 20663 | 50 | Application of thigh brace | |
| 20665 | 20 | Removal of fixation device | |
| 20670 | 24 | Removal of support implant | |
| 20680 | 20 | Removal of support implant | |
| 20690 | 24 | Apply bone fixation device | |
| 20692 | 8 | Apply bone fixation device | |
| 20693 | 24 | Adjust bone fixation device | |
| 20694 | 24 | Remove bone fixation device | |
| 20696 | 8 | Comp multiplane ext fixation | |
| 20697 | 87 | Comp ext fixate strut change | |
| 20802 | 46 | Replantation, arm, complete | |
| 20805 | 46 | Replant, forearm, complete | |
| 20808 | 46 | Replantation hand, complete | |
| 20816 | 45 | Replantation digit, complete | |
| 20822 | 39 | Replantation digit, complete | |
| 20824 | 46 | Replantation thumb, complete | |
| 20827 | 46 | Replantation thumb, complete | |
| 20838 | 46 | Replantation foot, complete | |
| 20900 | 87 | Removal of bone for graft | |
| 20902 | 87 | Removal of bone for graft | |
| 20910 | 20 | Remove cartilage for graft | |
| 20912 | 20 | Remove cartilage for graft | |
| 20920 | 10 | Removal of fascia for graft | |
| 20922 | 8 | Removal of fascia for graft | |
| 20924 | 8 | Removal of tendon for graft | |
| 20926 | 24 | Removal of tissue for graft | |
| 20931 | 226 | Spinal bone allograft | |
| 20937 | 225 | Spinal bone autograft | |
| 20938 | 225 | Spinal bone autograft | |
| 20950 | 124 | Fluid pressure, muscle | |
| 20955 | 45 | Fibula bone graft, microvasc | |
| 20956 | 45 | Iliac bone graft, microvasc | |
| 20957 | 45 | Mt bone graft, microvasc | |
| 20962 | 14 | Other bone graft, microvasc | |
| 20969 | 45 | Bone/skin graft, microvasc | |
| 20970 | 45 | Bone/skin graft, iliac crest | |
| 20972 | 50 | Bone/skin graft, metatarsal | |
| 20973 | 39 | Bone/skin graft, great toe | |
| 20974 | 114 | Electrical bone stimulation | |
| 20975 | 121 | Electrical bone stimulation | |
| 20979 | 130 | Us bone stimulation | |
| 20982 | 131 | Ablation, bone tumor(s) (osteoid os) | |
| 20985 | 230 | Cptr asst dir ms px | |
| 20999 | 198 | Musculoskeletal surgery, unlisted | |
| 21010 | 52 | Incision of jaw joint | |
| 21011 | 20 | Excise facial lesion sc < 2 cm | |
| 21012 | 20 | Excise facial lesion sc => 2 cm | |
| 21013 | 20 | Excise facial tumor deep < 2 cm | |
| 21014 | 20 | Excise facial tumor deep => 2 cm | |
| 21015 | 24 | Resection of facial tumor | |
| 21016 | 50 | Resection, facial tumor => 2 cm | |
| 21025 | 24 | Excision of bone, lower jaw | |
| 21026 | 24 | Excision of facial bone(s) | |
| 21029 | 50 | Contour of face bone lesion | |
| 21030 | 55 | Excise max/zygoma benign tumor | |
| 21031 | 55 | Remove exostosis, mandible | |
| 21032 | 55 | Remove exostosis, maxilla | |
| 21034 | 39 | Excise max/zygoma mlg tumor | |
| 21040 | 55 | Excise mandible lesion, simple | |
| 21044 | 8 | Removal of jaw bone lesion | |
| 21045 | 45 | Extensive jaw surgery | |
| 21046 | 39 | Remove mandible cyst, complex | |
| 21047 | 39 | Excise lwr jaw cyst w/repair | |
| 21048 | 39 | Remove maxilla cyst, complex | |
| 21049 | 45 | Excise uppr jaw cyst w/repair | |
| 21050 | 21 | Removal of jaw joint | |
| 21060 | 9 | Remove jaw joint cartilage | |
| 21070 | 21 | Remove coronoid process | |
| 21073 | 21 | Manipulation of TMJ, w/ anesth | |
| 21076 | 50 | Prepare face/oral prosthesis | |
| 21077 | 52 | Prepare face/oral prosthesis | |
| 21079 | 55 | Prepare face/oral prosthesis | |
| 21080 | 55 | Prepare face/oral prosthesis | |
| 21081 | 50 | Prepare face/oral prosthesis | |
| 21082 | 50 | Prepare face/oral prosthesis | |
| 21083 | 50 | Prepare face/oral prosthesis | |
| 21084 | 50 | Prepare face/oral prosthesis | |
| 21085 | 50 | Prepare face/oral prosthesis | |
| 21086 | 52 | Prepare face/oral prosthesis | |
| 21087 | 50 | Prepare face/oral prosthesis | |
| 21088 | 51 | Prepare face/oral prosthesis | |
| 21089 | 219 | Prepare face/oral prosthesis, unlisted | |
| 21100 | 50 | Maxillofacial fixation | |
| 21110 | 55 | Interdental fixation | |
| 21116 | 137 | Injection, jaw joint x-ray | |
| 21120 | 42 | Reconstruction of chin | |
| 21121 | 20 | Reconstruction of chin | |
| 21122 | 50 | Reconstruction of chin | |
| 21123 | 8 | Reconstruction of chin | |
| 21125 | 50 | Augmentation, lower jaw bone | |
| 21127 | 39 | Augmentation, lower jaw bone | |
| 21137 | 50 | Reduction of forehead | |
| 21138 | 39 | Reduction of forehead | |
| 21139 | 39 | Reduction of forehead | |
| 21141 | 14 | Reconstruct midface, lefort | |
| 21142 | 14 | Reconstruct midface, lefort | |
| 21143 | 14 | Reconstruct midface, lefort | |
| 21145 | 59 | Reconstruct midface, lefort | |
| 21146 | 45 | Reconstruct midface, lefort | |
| 21147 | 59 | Reconstruct midface, lefort | |
| 21150 | 50 | Reconstruct midface, lefort | |
| 21151 | 59 | Reconstruct midface, lefort | |
| 21154 | 14 | Reconstruct midface, lefort | |
| 21155 | 27 | Reconstruct midface, lefort | |
| 21159 | 14 | Reconstruct midface, lefort | |
| 21160 | 27 | Reconstruct midface, lefort | |
| 21172 | 45 | Reconstruct orbit/forehead | |
| 21175 | 59 | Reconstruct orbit/forehead | |
| 21179 | 59 | Reconstruct entire forehead | |
| 21180 | 45 | Reconstruct entire forehead | |
| 21181 | 50 | Contour cranial bone lesion | |
| 21182 | 45 | Reconstruct cranial bone | |
| 21183 | 45 | Reconstruct cranial bone | |
| 21184 | 59 | Reconstruct cranial bone | |
| 21188 | 27 | Reconstruction of midface | |
| 21193 | 13 | Reconst lwr jaw w/o graft | |
| 21194 | 58 | Reconst lwr jaw w/graft | |
| 21195 | 26 | Reconst lwr jaw w/o fixation | |
| 21196 | 44 | Reconst lwr jaw w/fixation | |
| 21198 | 8 | Reconstr lwr jaw segment | |
| 21199 | 8 | Reconstr lwr jaw w/advance | |
| 21206 | 8 | Reconstruct upper jaw bone | |
| 21208 | 20 | Augmentation of facial bones | |
| 21209 | 50 | Reduction of facial bones | |
| 21210 | 55 | Face bone graft | |
| 21215 | 42 | Lower jaw bone graft | |
| 21230 | 50 | Rib cartilage graft | |
| 21235 | 55 | Ear cartilage graft | |
| 21240 | 40 | Reconstruction of jaw joint | |
| 21242 | 40 | Reconstruction of jaw joint | |
| 21243 | 40 | Reconstruction of jaw joint | |
| 21244 | 39 | Reconstruction of lower jaw | |
| 21245 | 20 | Reconstruction of jaw | |
| 21246 | 50 | Reconstruction of jaw | |
| 21247 | 45 | Reconstruct lower jaw bone | |
| 21248 | 24 | Reconstruction of jaw | |
| 21249 | 50 | Reconstruction of jaw | |
| 21255 | 45 | Reconstruct lower jaw bone | |
| 21256 | 45 | Reconstruction of orbit | |
| 21260 | 8 | Revise eye sockets | |
| 21261 | 45 | Revise eye sockets | |
| 21263 | 45 | Revise eye sockets | |
| 21267 | 8 | Revise eye sockets | |
| 21268 | 45 | Revise eye sockets | |
| 21270 | 39 | Augmentation, cheek bone | |
| 21275 | 39 | Revision, orbitofacial bones | |
| 21280 | 21 | Revision of eyelid | |
| 21282 | 25 | Revision of eyelid | |
| 21295 | 50 | Revision of jaw muscle/bone | |
| 21296 | 50 | Revision of jaw muscle/bone | |
| 21299 | 198 | Cranio/maxillofacial surgery, unlisted | |
| 21310 | 104 | Treatment of nose fracture | |
| 21315 | 24 | Treatment of nose fracture | |
| 21320 | 24 | Treatment of nose fracture | |
| 21325 | 20 | Treatment of nose fracture | |
| 21330 | 20 | Treatment of nose fracture | |
| 21335 | 24 | Treatment of nose fracture | |
| 21336 | 20 | Treat nasal septal fracture | |
| 21337 | 20 | Treat nasal septal fracture | |
| 21338 | 20 | Treat nasoethmoid fracture | |
| 21339 | 8 | Treat nasoethmoid fracture | |
| 21340 | 50 | Treatment of nose fracture | |
| 21343 | 14 | Treatment of sinus fracture | |
| 21344 | 45 | Treatment of sinus fracture | |
| 21345 | 20 | Treat nose/jaw fracture | |
| 21346 | 47 | Treat nose/jaw fracture | |
| 21347 | 45 | Treat nose/jaw fracture | |
| 21348 | 45 | Treat nose/jaw fracture | |
| 21355 | 20 | Treat cheek bone fracture | |
| 21356 | 20 | Treat cheek bone fracture | |
| 21360 | 20 | Treat cheek bone fracture | |
| 21365 | 14 | Treat cheek bone fracture | |
| 21366 | 45 | Treat cheek bone fracture | |
| 21385 | 45 | Treat eye socket fracture | |
| 21386 | 59 | Treat eye socket fracture | |
| 21387 | 59 | Treat eye socket fracture | |
| 21390 | 8 | Treat eye socket fracture | |
| 21395 | 14 | Treat eye socket fracture | |
| 21400 | 20 | Treat eye socket fracture | |
| 21401 | 20 | Treat eye socket fracture | |
| 21406 | 8 | Treat eye socket fracture | |
| 21407 | 39 | Treat eye socket fracture | |
| 21408 | 45 | Treat eye socket fracture | |
| 21421 | 20 | Treat mouth roof fracture | |
| 21422 | 14 | Treat mouth roof fracture | |
| 21423 | 45 | Treat mouth roof fracture | |
| 21431 | 27 | Treat craniofacial fracture | |
| 21432 | 59 | Treat craniofacial fracture | |
| 21433 | 45 | Treat craniofacial fracture | |
| 21435 | 59 | Treat craniofacial fracture | |
| 21436 | 45 | Treat craniofacial fracture | |
| 21440 | 20 | Treat dental ridge fracture | |
| 21445 | 20 | Treat dental ridge fracture | |
| 21450 | 20 | Treat lower jaw fracture | |
| 21451 | 20 | Treat lower jaw fracture | |
| 21452 | 50 | Treat lower jaw fracture | |
| 21453 | 20 | Treat lower jaw fracture | |
| 21454 | 8 | Treat lower jaw fracture | |
| 21461 | 10 | Treat lower jaw fracture | |
| 21462 | 8 | Treat lower jaw fracture | |
| 21465 | 8 | Treat lower jaw fracture | |
| 21470 | 45 | Treat lower jaw fracture | |
| 21480 | 106 | Reset dislocated jaw | |
| 21485 | 21 | Reset dislocated jaw | |
| 21490 | 40 | Repair dislocated jaw | |
| 21495 | 50 | Treat hyoid bone fracture | |
| 21497 | 50 | Interdental wiring | |
| 21499 | 198 | Head surgery procedure, unlisted | |
| 21501 | 24 | Drain neck/chest lesion | |
| 21502 | 50 | Drain chest lesion | |
| 21510 | 59 | Drainage of bone lesion | |
| 21550 | 24 | Biopsy of neck/chest | |
| 21552 | 20 | Excise neck lesion sc => 3 cm | |
| 21554 | 20 | Excise neck tumor deep => 5 cm | |
| 21555 | 24 | Remove lesion, neck/chest | |
| 21556 | 24 | Remove lesion, neck/chest | |
| 21557 | 8 | Remove tumor, neck/chest | |
| 21558 | 39 | Resect neck tumor => 5 cm | |
| 21600 | 8 | Partial removal of rib | |
| 21610 | 20 | Partial removal of rib | |
| 21615 | 15 | Removal of rib | |
| 21616 | 60 | Removal of rib and nerves | |
| 21620 | 14 | Partial removal of sternum | |
| 21627 | 27 | Sternal debridement | |
| 21630 | 14 | Extensive sternum surgery | |
| 21632 | 45 | Extensive sternum surgery | |
| 21685 | 39 | Hyoid myotemy & suspension | |
| 21700 | 20 | Revision of neck muscle | |
| 21705 | 59 | Revision of neck muscle/rib | |
| 21720 | 20 | Revision of neck muscle | |
| 21725 | 39 | Revision of neck muscle | |
| 21740 | 45 | Reconstruction of sternum | |
| 21742 | 14 | Repair stern/nuss w/o scope | |
| 21743 | 14 | Repair sternum/nuss w/ scope | |
| 21750 | 14 | Repair of sternum separation | |
| 21800 | 24 | Treatment of rib fracture | |
| 21805 | 20 | Treatment of rib fracture | |
| 21810 | 59 | Treatment of rib fracture(s) | |
| 21820 | 55 | Treat sternum fracture | |
| 21825 | 45 | Treat sternum fracture | |
| 21899 | 198 | Neck/chest surgery procedure, unlisted | |
| 21920 | 24 | Biopsy soft tissue of back | |
| 21925 | 24 | Biopsy soft tissue of back | |
| 21930 | 24 | Remove lesion, back or flank | |
| 21931 | 20 | Excise back lesion sc => 3 cm | |
| 21932 | 20 | Ecise back tumor deep < 5 cm | |
| 21933 | 20 | Excise back tumor deep => 5 cm | |
| 21935 | 10 | Remove tumor, back | |
| 21936 | 39 | Resect back tumor => 5 cm | |
| 22010 | 27 | I&d, p-spine, c/t/cerv-thor | |
| 22015 | 30 | I&d, p-spine, l/s/ls | |
| 22100 | 14 | Remove part of neck vertebra | |
| 22101 | 14 | Remove part, thorax vertebra | |
| 22102 | 8 | Remove part, lumbar vertebra | |
| 22103 | 234 | Remove extra spine segment | |
| 22110 | 14 | Remove part of neck vertebra | |
| 22112 | 14 | Remove part, thorax vertebra | |
| 22114 | 14 | Remove part, lumbar vertebra | |
| 22116 | 238 | Remove extra spine segment | |
| 22206 | 45 | Cut spine 3 col, thor | |
| 22207 | 14 | Cut spine 3 col, lumb | |
| 22208 | 238 | Revision of spine, 3 column, addl seg | |
| 22210 | 14 | Revision of neck spine | |
| 22212 | 27 | Revision of thorax spine | |
| 22214 | 14 | Revision of lumbar spine | |
| 22216 | 238 | Revise, extra spine segment | |
| 22220 | 14 | Revision of neck spine | |
| 22222 | 27 | Revision of thorax spine | |
| 22224 | 14 | Revision of lumbar spine | |
| 22226 | 238 | Revise, extra spine segment | |
| 22305 | 24 | Treat spine process fracture | |
| 22310 | 24 | Treat spine fracture | |
| 22315 | 24 | Treat spine fracture | |
| 22318 | 45 | Treat odontoid fx w/o graft | |
| 22319 | 45 | Treat odontoid fx w/graft | |
| 22325 | 14 | Treat spine fracture | |
| 22326 | 45 | Treat neck spine fracture | |
| 22327 | 14 | Treat thorax spine fracture | |
| 22328 | 238 | Treat each add spine fx | |
| 22505 | 24 | Manipulation of spine | |
| 22520 | 55 | Percut vertebroplasty thor | |
| 22521 | 55 | Percut vertebroplasty lumb | |
| 22522 | 244 | Percut vertebroplasty, ea addl | |
| 22523 | 55 | Percut kyphoplasty, thor | |
| 22524 | 55 | Percut kyphoplasty, lumbar | |
| 22525 | 244 | Percut kyphoplasty, add-on | |
| 22526 | 61 | Idet, single level | |
| 22527 | 249 | Idet, 1 or more levels | |
| 22532 | 45 | Arthrodesis, lateral extracavitary, thoracic | |
| 22533 | 45 | Arthrodesis, lateral extracavitary, lumbar | |
| 22534 | 238 | Arthrodesis, lateral extracavitary, thoracic or lumbar | |
| 22548 | 45 | Neck spine fusion | |
| 22554 | 14 | Neck spine fusion | |
| 22556 | 45 | Thorax spine fusion | |
| 22558 | 14 | Lumbar spine fusion | |
| 22585 | 238 | Additional spinal fusion | |
| 22590 | 45 | Spine & skull spinal fusion | |
| 22595 | 45 | Neck spinal fusion | |
| 22600 | 14 | Neck spine fusion | |
| 22610 | 14 | Thorax spine fusion | |
| 22612 | 45 | Lumbar spine fusion | |
| 22614 | 225 | Spine fusion, extra segment | |
| 22630 | 14 | Lumbar spine fusion | |
| 22632 | 238 | Spine fusion, extra segment | |
| 22800 | 14 | Fusion of spine | |
| 22802 | 14 | Fusion of spine | |
| 22804 | 45 | Fusion of spine | |
| 22808 | 14 | Fusion of spine | |
| 22810 | 45 | Fusion of spine | |
| 22812 | 45 | Fusion of spine | |
| 22818 | 3 | Kyphectomy, 1-2 segments | |
| 22819 | 34 | Kyphectomy, 3 or more | |
| 22830 | 14 | Exploration of spinal fusion | |
| 22840 | 225 | Insert spine fixation device | |
| 22842 | 225 | Insert spine fixation device | |
| 22843 | 238 | Insert spine fixation device | |
| 22844 | 238 | Insert spine fixation device | |
| 22845 | 225 | Insert spine fixation device | |
| 22846 | 225 | Insert spine fixation device | |
| 22847 | 225 | Insert spine fixation device | |
| 22848 | 225 | Insert pelv fixation device | |
| 22849 | 45 | Reinsert spinal fixation | |
| 22850 | 14 | Remove spine fixation device | |
| 22851 | 225 | Apply spine prosth device | |
| 22852 | 14 | Remove spine fixation device | |
| 22855 | 14 | Remove spine fixation device | |
| 22856 | 45 | Cerv artific diskectomy | |
| 22857 | 45 | Lumbar artif diskectomy | |
| 22861 | 45 | Revise cerv artific disc | |
| 22862 | 34 | Revise lumbar artif disc | |
| 22864 | 14 | Remove cerv artif disc | |
| 22865 | 3 | Remove lumb artif disc | |
| 22899 | 198 | Spine surgery procedure, unlisted | |
| 22900 | 8 | Remove abdominal wall lesion | |
| 22901 | 8 | Excise back tumor deep => 5 cm | |
| 22902 | 8 | Excise abd lesion sc < 3 cm | |
| 22903 | 8 | Escise abd les sc => 3 cm | |
| 22904 | 1 | Resect abd tum < 5 cm | |
| 22905 | 32 | Resect abd tum => 5 cm | |
| 22999 | 198 | Abdomen surgery procedure, unlisted | |
| 23000 | 8 | Removal of calcium deposits | |
| 23020 | 52 | Release shoulder joint | |
| 23030 | 24 | Drain shoulder lesion | |
| 23031 | 25 | Drain shoulder bursa | |
| 23035 | 21 | Drain shoulder bone lesion | |
| 23040 | 9 | Exploratory shoulder surgery | |
| 23044 | 11 | Exploratory shoulder surgery | |
| 23065 | 25 | Biopsy shoulder tissues | |
| 23066 | 25 | Biopsy shoulder tissues | |
| 23071 | 21 | Excise shoulder les sc > 3 cm | |
| 23073 | 21 | Excise shoulder tumor deep => 5 cm | |
| 23075 | 25 | Removal of shoulder lesion | |
| 23076 | 25 | Removal of shoulder lesion | |
| 23077 | 9 | Remove tumor of shoulder | |
| 23078 | 9 | Resect shoulder tum => 5 cm | |
| 23100 | 9 | Biopsy of shoulder joint | |
| 23101 | 11 | Shoulder joint surgery | |
| 23105 | 9 | Remove shoulder joint lining | |
| 23106 | 11 | Incision of collarbone joint | |
| 23107 | 9 | Explore treat shoulder joint | |
| 23120 | 8 | Partial removal, collar bone | |
| 23125 | 9 | Removal of collar bone | |
| 23130 | 11 | Remove shoulder bone, part | |
| 23140 | 25 | Removal of bone lesion | |
| 23145 | 9 | Removal of bone lesion | |
| 23146 | 21 | Removal of bone lesion | |
| 23150 | 9 | Removal of humerus lesion | |
| 23155 | 9 | Removal of humerus lesion | |
| 23156 | 21 | Removal of humerus lesion | |
| 23170 | 25 | Remove collar bone lesion | |
| 23172 | 21 | Remove shoulder blade lesion | |
| 23174 | 9 | Remove humerus lesion | |
| 23180 | 11 | Remove collar bone lesion | |
| 23182 | 21 | Remove shoulder blade lesion | |
| 23184 | 9 | Remove humerus lesion | |
| 23190 | 9 | Partial removal of scapula | |
| 23195 | 9 | Removal of head of humerus | |
| 23200 | 46 | Removal of collar bone | |
| 23210 | 46 | Removal of shoulder blade | |
| 23220 | 46 | Partial removal of humerus | |
| 23330 | 21 | Remove shoulder foreign body | |
| 23331 | 21 | Remove shoulder foreign body | |
| 23332 | 46 | Remove shoulder foreign body | |
| 23350 | 140 | Injection for shoulder x-ray | |
| 23395 | 8 | Muscle transfer,shoulder/arm | |
| 23397 | 39 | Muscle transfers | |
| 23400 | 40 | Fixation of shoulder blade | |
| 23405 | 8 | Incision of tendon & muscle | |
| 23406 | 50 | Incise tendon(s) & muscle(s) | |
| 23410 | 9 | Repair of tendon(s) | |
| 23412 | 9 | Repair of tendon(s) | |
| 23415 | 11 | Release of shoulder ligament | |
| 23420 | 9 | Repair of shoulder | |
| 23430 | 9 | Repair biceps tendon | |
| 23440 | 9 | Remove/transplant tendon | |
| 23450 | 9 | Repair shoulder capsule | |
| 23455 | 40 | Repair shoulder capsule | |
| 23460 | 40 | Repair shoulder capsule | |
| 23462 | 40 | Repair shoulder capsule | |
| 23465 | 40 | Repair shoulder capsule | |
| 23466 | 40 | Repair shoulder capsule | |
| 23470 | 15 | Reconstruct shoulder joint | |
| 23472 | 46 | Reconstruct shoulder joint | |
| 23480 | 11 | Revision of collar bone | |
| 23485 | 9 | Revision of collar bone | |
| 23490 | 52 | Reinforce clavicle | |
| 23491 | 40 | Reinforce shoulder bones | |
| 23500 | 25 | Treat clavicle fracture | |
| 23505 | 25 | Treat clavicle fracture | |
| 23515 | 40 | Treat clavicle fracture | |
| 23520 | 21 | Treat clavicle dislocation | |
| 23525 | 21 | Treat clavicle dislocation | |
| 23530 | 21 | Treat clavicle dislocation | |
| 23532 | 52 | Treat clavicle dislocation | |
| 23540 | 25 | Treat clavicle dislocation | |
| 23545 | 21 | Treat clavicle dislocation | |
| 23550 | 9 | Treat clavicle dislocation | |
| 23552 | 40 | Treat clavicle dislocation | |
| 23570 | 25 | Treat shoulder blade fx | |
| 23575 | 21 | Treat shoulder blade fx | |
| 23585 | 40 | Treat scapula fracture | |
| 23600 | 25 | Treat humerus fracture | |
| 23605 | 25 | Treat humerus fracture | |
| 23615 | 9 | Treat humerus fracture | |
| 23616 | 40 | Treat humerus fracture | |
| 23620 | 25 | Treat humerus fracture | |
| 23625 | 25 | Treat humerus fracture | |
| 23630 | 9 | Treat humerus fracture | |
| 23650 | 25 | Treat shoulder dislocation | |
| 23655 | 25 | Treat shoulder dislocation | |
| 23660 | 9 | Treat shoulder dislocation | |
| 23665 | 25 | Treat dislocation/fracture | |
| 23670 | 40 | Treat dislocation/fracture | |
| 23675 | 25 | Treat dislocation/fracture | |
| 23680 | 40 | Treat dislocation/fracture | |
| 23700 | 24 | Fixation of shoulder | |
| 23800 | 40 | Fusion of shoulder joint | |
| 23802 | 39 | Fusion of shoulder joint | |
| 23900 | 59 | Amputation of arm & girdle | |
| 23920 | 14 | Amputation at shoulder joint | |
| 23921 | 55 | Amputation follow-up surgery | |
| 23929 | 198 | Shoulder surgery procedure | |
| 23930 | 25 | Drainage of arm lesion | |
| 23931 | 25 | Drainage of arm bursa | |
| 23935 | 21 | Drain arm/elbow bone lesion | |
| 24000 | 9 | Exploratory elbow surgery | |
| 24006 | 9 | Release elbow joint | |
| 24065 | 25 | Biopsy arm/elbow soft tissue | |
| 24066 | 25 | Biopsy arm/elbow soft tissue | |
| 24071 | 21 | Excise arm/elbow les sc => 3 cm | |
| 24073 | 21 | Excise shoulder tumor deep => 5 cm | |
| 24075 | 25 | Remove arm/elbow lesion | |
| 24076 | 25 | Remove arm/elbow lesion | |
| 24077 | 11 | Remove tumor of arm/elbow | |
| 24079 | 9 | Resect arm/elbow tum => 5 cm | |
| 24100 | 9 | Biopsy elbow joint lining | |
| 24101 | 21 | Explore/treat elbow joint | |
| 24102 | 9 | Remove elbow joint lining | |
| 24105 | 25 | Removal of elbow bursa | |
| 24110 | 11 | Remove humerus lesion | |
| 24115 | 9 | Remove/graft bone lesion | |
| 24116 | 21 | Remove/graft bone lesion | |
| 24120 | 21 | Remove elbow lesion | |
| 24125 | 9 | Remove/graft bone lesion | |
| 24126 | 21 | Remove/graft bone lesion | |
| 24130 | 11 | Removal of head of radius | |
| 24134 | 21 | Removal of arm bone lesion | |
| 24136 | 25 | Remove radius bone lesion | |
| 24138 | 21 | Remove elbow bone lesion | |
| 24140 | 21 | Partial removal of arm bone | |
| 24145 | 11 | Partial removal of radius | |
| 24147 | 11 | Partial removal of elbow | |
| 24149 | 9 | Radical resection of elbow | |
| 24150 | 46 | Extensive humerus surgery | |
| 24152 | 9 | Extensive radius surgery | |
| 24155 | 9 | Removal of elbow joint | |
| 24160 | 43 | Remove elbow joint implant | |
| 24164 | 43 | Remove radius head implant | |
| 24200 | 21 | Removal of arm foreign body | |
| 24201 | 25 | Removal of arm foreign body | |
| 24220 | 135 | Injection for elbow x-ray | |
| 24300 | 25 | Manipulate elbow w/anesth | |
| 24301 | 8 | Muscle/tendon transfer | |
| 24305 | 20 | Arm tendon lengthening | |
| 24310 | 20 | Revision of arm tendon | |
| 24320 | 8 | Repair of arm tendon | |
| 24330 | 21 | Revision of arm muscles | |
| 24331 | 52 | Revision of arm muscles | |
| 24332 | 25 | Tenolysis, triceps | |
| 24340 | 9 | Repair of biceps tendon | |
| 24341 | 9 | Repair arm tendon/muscle | |
| 24342 | 40 | Repair of ruptured tendon | |
| 24343 | 9 | Repr elbow lat ligmnt w/tiss | |
| 24344 | 9 | Reconstruct elbow lat ligmnt | |
| 24345 | 9 | Repr elbw med ligmnt w/tiss | |
| 24346 | 9 | Reconstruct elbow med ligmnt | |
| 24357 | 21 | Repair elbow, perc | |
| 24358 | 21 | Repair elbow w/deb. open | |
| 24359 | 21 | Repair elbow deb/attch open | |
| 24360 | 40 | Reconstruct elbow joint | |
| 24361 | 40 | Reconstruct elbow joint | |
| 24362 | 52 | Reconstruct elbow joint | |
| 24363 | 52 | Replace elbow joint | |
| 24365 | 9 | Reconstruct head of radius | |
| 24366 | 40 | Reconstruct head of radius | |
| 24400 | 9 | Revision of humerus | |
| 24410 | 9 | Revision of humerus | |
| 24420 | 40 | Revision of humerus | |
| 24430 | 9 | Repair of humerus | |
| 24435 | 40 | Repair humerus with graft | |
| 24470 | 52 | Revision of elbow joint | |
| 24495 | 21 | Decompression of forearm | |
| 24498 | 40 | Reinforce humerus | |
| 24500 | 25 | Treat humerus fracture | |
| 24505 | 25 | Treat humerus fracture | |
| 24515 | 9 | Treat humerus fracture | |
| 24516 | 40 | Treat humerus fracture | |
| 24530 | 25 | Treat humerus fracture | |
| 24535 | 25 | Treat humerus fracture | |
| 24538 | 57 | Treat humerus fracture | |
| 24545 | 9 | Treat humerus fracture | |
| 24546 | 40 | Treat humerus fracture | |
| 24560 | 25 | Treat humerus fracture | |
| 24565 | 25 | Treat humerus fracture | |
| 24566 | 57 | Treat humerus fracture | |
| 24575 | 40 | Treat humerus fracture | |
| 24576 | 25 | Treat humerus fracture | |
| 24577 | 25 | Treat humerus fracture | |
| 24579 | 40 | Treat humerus fracture | |
| 24582 | 57 | Treat humerus fracture | |
| 24586 | 9 | Treat elbow fracture | |
| 24587 | 40 | Treat elbow fracture | |
| 24600 | 25 | Treat elbow dislocation | |
| 24605 | 25 | Treat elbow dislocation | |
| 24615 | 40 | Treat elbow dislocation | |
| 24620 | 21 | Treat elbow fracture | |
| 24635 | 40 | Treat elbow fracture | |
| 24640 | 21 | Treat elbow dislocation | |
| 24650 | 25 | Treat radius fracture | |
| 24655 | 25 | Treat radius fracture | |
| 24665 | 9 | Treat radius fracture | |
| 24666 | 40 | Treat radius fracture | |
| 24670 | 25 | Treat ulnar fracture | |
| 24675 | 25 | Treat ulnar fracture | |
| 24685 | 40 | Treat ulnar fracture | |
| 24800 | 40 | Fusion of elbow joint | |
| 24802 | 52 | Fusion/graft of elbow joint | |
| 24900 | 46 | Amputation of upper arm | |
| 24920 | 46 | Amputation of upper arm | |
| 24925 | 52 | Amputation follow-up surgery | |
| 24930 | 60 | Amputation follow-up surgery | |
| 24931 | 60 | Amputate upper arm & implant | |
| 24935 | 60 | Revision of amputation | |
| 24940 | 60 | Revision of upper arm | |
| 24999 | 199 | Upper arm/elbow surgery, unlisted | |
| 25000 | 25 | Incision of tendon sheath | |
| 25001 | 25 | Incise flexor carpi radialis | |
| 25020 | 25 | Decompress forearm 1 space | |
| 25023 | 21 | Decompress forearm 1 space | |
| 25024 | 25 | Decompress forearm 2 spaces | |
| 25025 | 21 | Decompress forarm 2 spaces | |
| 25028 | 25 | Drainage of forearm lesion | |
| 25031 | 21 | Drainage of forearm bursa | |
| 25035 | 21 | Treat forearm bone lesion | |
| 25040 | 21 | Explore/treat wrist joint | |
| 25065 | 25 | Biopsy forearm soft tissues | |
| 25066 | 25 | Biopsy forearm soft tissues | |
| 25071 | 21 | Excise forearm les sc => 3 cm | |
| 25073 | 21 | Excise forearm deep => 3 cm | |
| 25075 | 25 | Remove forearm lesion subcut | |
| 25076 | 25 | Remove forearm lesion deep | |
| 25077 | 25 | Remove tumor, forearm/wrist | |
| 25078 | 21 | Resect forearm/wrist tumor => 3 cm | |
| 25085 | 21 | Incision of wrist capsule | |
| 25100 | 21 | Biopsy of wrist joint | |
| 25101 | 21 | Explore/treat wrist joint | |
| 25105 | 9 | Remove wrist joint lining | |
| 25107 | 9 | Remove wrist joint cartilage | |
| 25109 | 25 | Excise tendon forearm/wrist | |
| 25110 | 25 | Remove wrist tendon lesion | |
| 25111 | 25 | Remove wrist tendon lesion | |
| 25112 | 25 | Reremove wrist tendon lesion | |
| 25115 | 25 | Remove wrist/forearm lesion | |
| 25116 | 9 | Remove wrist/forearm lesion | |
| 25118 | 25 | Excise wrist tendon sheath | |
| 25119 | 9 | Partial removal of ulna | |
| 25120 | 9 | Removal of forearm lesion | |
| 25125 | 21 | Remove/graft forearm lesion | |
| 25126 | 21 | Remove/graft forearm lesion | |
| 25130 | 21 | Removal of wrist lesion | |
| 25135 | 9 | Remove & graft wrist lesion | |
| 25136 | 9 | Remove & graft wrist lesion | |
| 25145 | 21 | Remove forearm bone lesion | |
| 25150 | 11 | Partial removal of ulna | |
| 25151 | 9 | Partial removal of radius | |
| 25170 | 46 | Extensive forearm surgery | |
| 25210 | 8 | Removal of wrist bone | |
| 25215 | 8 | Removal of wrist bones | |
| 25230 | 11 | Partial removal of radius | |
| 25240 | 9 | Partial removal of ulna | |
| 25246 | 140 | Injection for wrist x-ray | |
| 25248 | 25 | Remove forearm foreign body | |
| 25250 | 21 | Removal of wrist prosthesis | |
| 25251 | 50 | Removal of wrist prosthesis | |
| 25259 | 25 | Manipulate wrist w/anesthes | |
| 25260 | 24 | Repair forearm tendon/muscle | |
| 25263 | 20 | Repair forearm tendon/muscle | |
| 25265 | 20 | Repair forearm tendon/muscle | |
| 25270 | 20 | Repair forearm tendon/muscle | |
| 25272 | 20 | Repair forearm tendon/muscle | |
| 25274 | 8 | Repair forearm tendon/muscle | |
| 25275 | 9 | Repair forearm tendon sheath | |
| 25280 | 8 | Revise wrist/forearm tendon | |
| 25290 | 24 | Incise wrist/forearm tendon | |
| 25295 | 24 | Release wrist/forearm tendon | |
| 25300 | 21 | Fusion of tendons at wrist | |
| 25301 | 21 | Fusion of tendons at wrist | |
| 25310 | 8 | Transplant forearm tendon | |
| 25312 | 8 | Transplant forearm tendon | |
| 25315 | 21 | Revise palsy hand tendon(s) | |
| 25316 | 21 | Revise palsy hand tendon(s) | |
| 25320 | 21 | Repair/revise wrist joint | |
| 25332 | 52 | Revise wrist joint | |
| 25335 | 52 | Realignment of hand | |
| 25337 | 57 | Reconstruct ulna/radioulnar | |
| 25350 | 21 | Revision of radius | |
| 25355 | 21 | Revision of radius | |
| 25360 | 9 | Revision of ulna | |
| 25365 | 21 | Revise radius & ulna | |
| 25370 | 21 | Revise radius or ulna | |
| 25375 | 9 | Revise radius & ulna | |
| 25390 | 9 | Shorten radius or ulna | |
| 25391 | 40 | Lengthen radius or ulna | |
| 25392 | 52 | Shorten radius & ulna | |
| 25393 | 52 | Lengthen radius & ulna | |
| 25394 | 9 | Repair carpal bone, shorten | |
| 25400 | 9 | Repair radius or ulna | |
| 25405 | 40 | Repair/graft radius or ulna | |
| 25415 | 9 | Repair radius & ulna | |
| 25420 | 40 | Repair/graft radius & ulna | |
| 25425 | 9 | Repair/graft radius or ulna | |
| 25426 | 40 | Repair/graft radius & ulna | |
| 25430 | 25 | Vasc graft into carpal bone | |
| 25431 | 40 | Repair nonunion carpal bone | |
| 25440 | 40 | Repair/graft wrist bone | |
| 25441 | 40 | Reconstruct wrist joint | |
| 25442 | 40 | Reconstruct wrist joint | |
| 25443 | 40 | Reconstruct wrist joint | |
| 25444 | 52 | Reconstruct wrist joint | |
| 25445 | 43 | Reconstruct wrist joint | |
| 25446 | 40 | Wrist replacement | |
| 25447 | 40 | Repair wrist joint(s) | |
| 25449 | 40 | Remove wrist joint implant | |
| 25450 | 57 | Revision of wrist joint | |
| 25455 | 57 | Revision of wrist joint | |
| 25490 | 52 | Reinforce radius | |
| 25491 | 52 | Reinforce ulna | |
| 25492 | 52 | Reinforce radius and ulna | |
| 25500 | 25 | Treat fracture of radius | |
| 25505 | 25 | Treat fracture of radius | |
| 25515 | 40 | Treat fracture of radius | |
| 25520 | 25 | Treat fracture of radius | |
| 25525 | 40 | Treat fracture of radius | |
| 25526 | 40 | Treat fracture of radius | |
| 25530 | 25 | Treat fracture of ulna | |
| 25535 | 25 | Treat fracture of ulna | |
| 25545 | 40 | Treat fracture of ulna | |
| 25560 | 25 | Treat fracture radius & ulna | |
| 25565 | 25 | Treat fracture radius & ulna | |
| 25574 | 9 | Treat fracture radius & ulna | |
| 25575 | 40 | Treat fracture radius/ulna | |
| 25600 | 25 | Treat fracture radius/ulna | |
| 25605 | 25 | Treat fracture radius/ulna | |
| 25606 | 25 | Treat fx distal radial | |
| 25607 | 21 | Treat fx rad extra-articul | |
| 25608 | 21 | Treat fx rad intra-articul | |
| 25609 | 21 | Treat fx radial 3+ frag | |
| 25622 | 25 | Treat wrist bone fracture | |
| 25624 | 21 | Treat wrist bone fracture | |
| 25628 | 21 | Treat wrist bone fracture | |
| 25630 | 25 | Treat wrist bone fracture | |
| 25635 | 21 | Treat wrist bone fracture | |
| 25645 | 21 | Treat wrist bone fracture | |
| 25650 | 25 | Treat wrist bone fracture | |
| 25651 | 21 | Pin ulnar styloid fracture | |
| 25652 | 11 | Treat fracture ulnar styloid | |
| 25660 | 21 | Treat wrist dislocation | |
| 25670 | 9 | Treat wrist dislocation | |
| 25671 | 25 | Pin radioulnar dislocation | |
| 25675 | 21 | Treat wrist dislocation | |
| 25676 | 52 | Treat wrist dislocation | |
| 25680 | 21 | Treat wrist fracture | |
| 25685 | 21 | Treat wrist fracture | |
| 25690 | 21 | Treat wrist dislocation | |
| 25695 | 9 | Treat wrist dislocation | |
| 25800 | 9 | Fusion of wrist joint | |
| 25805 | 9 | Fusion/graft of wrist joint | |
| 25810 | 9 | Fusion/graft of wrist joint | |
| 25820 | 9 | Fusion of hand bones | |
| 25825 | 40 | Fuse hand bones with graft | |
| 25830 | 40 | Fusion, radioulnar jnt/ulna | |
| 25900 | 29 | Amputation of forearm | |
| 25905 | 60 | Amputation of forearm | |
| 25907 | 52 | Amputation follow-up surgery | |
| 25909 | 60 | Amputation follow-up surgery | |
| 25915 | 60 | Amputation of forearm | |
| 25920 | 29 | Amputate hand at wrist | |
| 25922 | 52 | Amputate hand at wrist | |
| 25924 | 60 | Amputation follow-up surgery | |
| 25927 | 29 | Amputation of hand | |
| 25929 | 52 | Amputation follow-up surgery | |
| 25931 | 57 | Amputation follow-up surgery | |
| 25999 | 199 | Forearm or wrist surgery, unlisted | |
| 26010 | 24 | Drainage of finger abscess | |
| 26011 | 24 | Drainage of finger abscess | |
| 26020 | 24 | Drain hand tendon sheath | |
| 26025 | 20 | Drainage of palm bursa | |
| 26030 | 20 | Drainage of palm bursa(s) | |
| 26034 | 24 | Treat hand bone lesion | |
| 26035 | 50 | Decompress fingers/hand | |
| 26037 | 50 | Decompress fingers/hand | |
| 26040 | 25 | Release palm contracture | |
| 26045 | 57 | Release palm contracture | |
| 26055 | 24 | Incise finger tendon sheath | |
| 26060 | 20 | Incision of finger tendon | |
| 26070 | 25 | Explore/treat hand joint | |
| 26075 | 25 | Explore/treat finger joint | |
| 26080 | 24 | Explore/treat finger joint | |
| 26100 | 21 | Biopsy hand joint lining | |
| 26105 | 21 | Biopsy finger joint lining | |
| 26110 | 24 | Biopsy finger joint lining | |
| 26111 | 20 | Excise hand les sc => 1.5 cm | |
| 26113 | 20 | Exc hand tumor deep => 1.5 cm | |
| 26115 | 24 | Remove hand lesion subcut | |
| 26116 | 24 | Remove hand lesion, deep | |
| 26117 | 24 | Remove tumor, hand/finger | |
| 26118 | 20 | Excise hand tumor ra => 3 cm | |
| 26121 | 25 | Release palm contracture | |
| 26123 | 57 | Release palm contracture | |
| 26125 | 244 | Release palm contracture | |
| 26130 | 25 | Remove wrist joint lining | |
| 26135 | 20 | Revise finger joint, each | |
| 26140 | 24 | Revise finger joint, each | |
| 26145 | 24 | Tendon excision, palm/finger | |
| 26160 | 24 | Remove tendon sheath lesion | |
| 26170 | 20 | Removal of palm tendon, each | |
| 26180 | 20 | Removal of finger tendon | |
| 26185 | 9 | Remove finger bone | |
| 26200 | 20 | Remove hand bone lesion | |
| 26205 | 24 | Remove/graft bone lesion | |
| 26210 | 24 | Removal of finger lesion | |
| 26215 | 24 | Remove/graft finger lesion | |
| 26230 | 20 | Partial removal of hand bone | |
| 26235 | 20 | Partial removal, finger bone | |
| 26236 | 24 | Partial removal, finger bone | |
| 26250 | 50 | Extensive hand surgery | |
| 26260 | 20 | Extensive finger surgery | |
| 26262 | 20 | Partial removal of finger | |
| 26320 | 24 | Removal of implant from hand | |
| 26340 | 25 | Manipulate finger w/anesth | |
| 26350 | 24 | Repair finger/hand tendon | |
| 26352 | 8 | Repair/graft hand tendon | |
| 26356 | 24 | Repair finger/hand tendon | |
| 26357 | 20 | Repair finger/hand tendon | |
| 26358 | 20 | Repair/graft hand tendon | |
| 26370 | 20 | Repair finger/hand tendon | |
| 26372 | 50 | Repair/graft hand tendon | |
| 26373 | 20 | Repair finger/hand tendon | |
| 26390 | 39 | Revise hand/finger tendon | |
| 26392 | 39 | Repair/graft hand tendon | |
| 26410 | 24 | Repair hand tendon | |
| 26412 | 20 | Repair/graft hand tendon | |
| 26415 | 50 | Excision, hand/finger tendon | |
| 26416 | 55 | Graft hand or finger tendon | |
| 26418 | 24 | Repair finger tendon | |
| 26420 | 20 | Repair/graft finger tendon | |
| 26426 | 24 | Repair finger/hand tendon | |
| 26428 | 20 | Repair/graft finger tendon | |
| 26432 | 24 | Repair finger tendon | |
| 26433 | 24 | Repair finger tendon | |
| 26434 | 20 | Repair/graft finger tendon | |
| 26437 | 24 | Realignment of tendons | |
| 26440 | 24 | Release palm/finger tendon | |
| 26442 | 24 | Release palm & finger tendon | |
| 26445 | 24 | Release hand/finger tendon | |
| 26449 | 20 | Release forearm/hand tendon | |
| 26450 | 20 | Incision of palm tendon | |
| 26455 | 20 | Incision of finger tendon | |
| 26460 | 24 | Incise hand/finger tendon | |
| 26471 | 50 | Fusion of finger tendons | |
| 26474 | 50 | Fusion of finger tendons | |
| 26476 | 24 | Tendon lengthening | |
| 26477 | 10 | Tendon shortening | |
| 26478 | 20 | Lengthening of hand tendon | |
| 26479 | 20 | Shortening of hand tendon | |
| 26480 | 20 | Transplant hand tendon | |
| 26483 | 39 | Transplant/graft hand tendon | |
| 26485 | 8 | Transplant palm tendon | |
| 26489 | 50 | Transplant/graft palm tendon | |
| 26490 | 50 | Revise thumb tendon | |
| 26492 | 39 | Tendon transfer with graft | |
| 26494 | 39 | Hand tendon/muscle transfer | |
| 26496 | 50 | Revise thumb tendon | |
| 26497 | 50 | Finger tendon transfer | |
| 26498 | 8 | Finger tendon transfer | |
| 26499 | 39 | Revision of finger | |
| 26500 | 20 | Hand tendon reconstruction | |
| 26502 | 20 | Hand tendon reconstruction | |
| 26508 | 50 | Release thumb contracture | |
| 26510 | 50 | Thumb tendon transfer | |
| 26516 | 20 | Fusion of knuckle joint | |
| 26517 | 20 | Fusion of knuckle joints | |
| 26518 | 8 | Fusion of knuckle joints | |
| 26520 | 24 | Release knuckle contracture | |
| 26525 | 10 | Release finger contracture | |
| 26530 | 20 | Revise knuckle joint | |
| 26531 | 8 | Revise knuckle with implant | |
| 26535 | 24 | Revise finger joint | |
| 26536 | 50 | Revise/implant finger joint | |
| 26540 | 8 | Repair hand joint | |
| 26541 | 39 | Repair hand joint with graft | |
| 26542 | 20 | Repair hand joint with graft | |
| 26545 | 20 | Reconstruct finger joint | |
| 26546 | 21 | Repair nonunion hand | |
| 26548 | 20 | Reconstruct finger joint | |
| 26550 | 50 | Construct thumb replacement | |
| 26551 | 59 | Great toe-hand transfer | |
| 26553 | 45 | Single transfer, toe-hand | |
| 26554 | 45 | Double transfer, toe-hand | |
| 26555 | 50 | Positional change of finger | |
| 26556 | 45 | Toe joint transfer | |
| 26560 | 20 | Repair of web finger | |
| 26561 | 39 | Repair of web finger | |
| 26562 | 50 | Repair of web finger | |
| 26565 | 20 | Correct metacarpal flaw | |
| 26567 | 20 | Correct finger deformity | |
| 26568 | 50 | Lengthen metacarpal/finger | |
| 26580 | 50 | Repair hand deformity | |
| 26587 | 50 | Reconstruct poly digit, tissue, bone | |
| 26590 | 50 | Repair finger deformity | |
| 26591 | 50 | Repair muscles of hand | |
| 26593 | 24 | Release muscles of hand | |
| 26596 | 50 | Excision constricting tissue | |
| 26600 | 24 | Treat metacarpal fracture | |
| 26605 | 24 | Treat metacarpal fracture | |
| 26607 | 20 | Treat metacarpal fracture | |
| 26608 | 20 | Treat metacarpal fracture | |
| 26615 | 24 | Treat metacarpal fracture | |
| 26641 | 20 | Treat thumb dislocation | |
| 26645 | 20 | Treat thumb fracture | |
| 26650 | 24 | Treat thumb fracture | |
| 26665 | 10 | Treat thumb fracture | |
| 26670 | 20 | Treat hand dislocation | |
| 26675 | 20 | Treat hand dislocation | |
| 26676 | 24 | Pin hand dislocation | |
| 26685 | 10 | Treat hand dislocation | |
| 26686 | 20 | Treat hand dislocation | |
| 26700 | 24 | Treat knuckle dislocation | |
| 26705 | 20 | Treat knuckle dislocation | |
| 26706 | 24 | Pin knuckle dislocation | |
| 26715 | 20 | Treat knuckle dislocation | |
| 26720 | 24 | Treat finger fracture, each | |
| 26725 | 24 | Treat finger fracture, each | |
| 26727 | 24 | Treat finger fracture, each | |
| 26735 | 24 | Treat finger fracture, each | |
| 26740 | 24 | Treat finger fracture, each | |
| 26742 | 24 | Treat finger fracture, each | |
| 26746 | 24 | Treat finger fracture, each | |
| 26750 | 24 | Treat finger fracture, each | |
| 26755 | 24 | Treat finger fracture, each | |
| 26756 | 20 | Pin finger fracture, each | |
| 26765 | 24 | Treat finger fracture, each | |
| 26770 | 24 | Treat finger dislocation | |
| 26775 | 24 | Treat finger dislocation | |
| 26776 | 24 | Pin finger dislocation | |
| 26785 | 24 | Treat finger dislocation | |
| 26820 | 39 | Thumb fusion with graft | |
| 26841 | 8 | Fusion of thumb | |
| 26842 | 39 | Thumb fusion with graft | |
| 26843 | 8 | Fusion of hand joint | |
| 26844 | 39 | Fusion/graft of hand joint | |
| 26850 | 20 | Fusion of knuckle | |
| 26852 | 39 | Fusion of knuckle with graft | |
| 26860 | 24 | Fusion of finger joint | |
| 26861 | 244 | Fusion of finger jnt, add-on | |
| 26862 | 39 | Fusion/graft of finger joint | |
| 26863 | 241 | Fuse/graft added joint | |
| 26910 | 24 | Amputate metacarpal bone | |
| 26951 | 24 | Amputation of finger/thumb | |
| 26952 | 24 | Amputation of finger/thumb | |
| 26989 | 204 | Hand/finger surgery, unlisted | |
| 26990 | 24 | Drainage of pelvis lesion | |
| 26991 | 20 | Drainage of pelvis bursa | |
| 26992 | 27 | Drainage of bone lesion | |
| 27000 | 11 | Incision of hip tendon | |
| 27001 | 9 | Incision of hip tendon | |
| 27003 | 40 | Incision of hip tendon | |
| 27005 | 15 | Incision of hip tendon | |
| 27006 | 15 | Incision of hip tendons | |
| 27025 | 15 | Incision of hip/thigh fascia | |
| 27027 | 29 | Buttock fasciotomy | |
| 27030 | 15 | Drainage of hip joint | |
| 27033 | 9 | Exploration of hip joint | |
| 27035 | 40 | Denervation of hip joint | |
| 27036 | 15 | Excision of hip joint/muscle | |
| 27040 | 25 | Biopsy of soft tissues | |
| 27041 | 25 | Biopsy of soft tissues | |
| 27043 | 25 | Exc hip pelvis les sc => 3 cm | |
| 27045 | 9 | Exc hip/pelv tum deep => 5 cm | |
| 27047 | 25 | Remove hip/pelvis lesion | |
| 27048 | 9 | Remove hip/pelvis lesion | |
| 27049 | 9 | Remove tumor, hip/pelvis | |
| 27050 | 9 | Biopsy of sacroiliac joint | |
| 27052 | 9 | Biopsy of hip joint | |
| 27054 | 15 | Removal of hip joint lining | |
| 27057 | 29 | Buttock fasciotomy w/dbrdmt | |
| 27059 | 9 | Resect hip/pelv tum => 5 cm | |
| 27060 | 25 | Removal of ischial bursa | |
| 27062 | 11 | Remove femur lesion/bursa | |
| 27065 | 9 | Removal of hip bone lesion | |
| 27066 | 9 | Removal of hip bone lesion | |
| 27067 | 21 | Remove/graft hip bone lesion | |
| 27070 | 15 | Partial removal of hip bone | |
| 27071 | 15 | Partial removal of hip bone | |
| 27075 | 45 | Extensive hip surgery | |
| 27076 | 45 | Extensive hip surgery | |
| 27077 | 45 | Extensive hip surgery | |
| 27078 | 14 | Extensive hip surgery | |
| 27080 | 39 | Removal of tail bone | |
| 27086 | 21 | Remove hip foreign body | |
| 27087 | 9 | Remove hip foreign body | |
| 27090 | 15 | Removal of hip prosthesis | |
| 27091 | 15 | Removal of hip prosthesis | |
| 27093 | 140 | Injection for hip x-ray | |
| 27095 | 140 | Injection for hip x-ray | |
| 27096 | 140 | Inject sacroiliac joint | |
| 27097 | 52 | Revision of hip tendon | |
| 27098 | 52 | Transfer tendon to pelvis | |
| 27100 | 40 | Transfer of abdominal muscle | |
| 27105 | 52 | Transfer of spinal muscle | |
| 27110 | 40 | Transfer of iliopsoas muscle | |
| 27111 | 40 | Transfer of iliopsoas muscle | |
| 27120 | 15 | Reconstruction of hip socket | |
| 27122 | 15 | Reconstruction of hip socket | |
| 27125 | 15 | Partial hip replacement | |
| 27130 | 15 | Total hip arthroplasty | |
| 27132 | 15 | Total hip arthroplasty | |
| 27134 | 15 | Revise hip joint replacement | |
| 27137 | 15 | Revise hip joint replacement | |
| 27138 | 15 | Revise hip joint replacement | |
| 27140 | 15 | Transplant femur ridge | |
| 27146 | 15 | Incision of hip bone | |
| 27147 | 15 | Revision of hip bone | |
| 27151 | 15 | Incision of hip bones | |
| 27156 | 15 | Revision of hip bones | |
| 27158 | 26 | Revision of pelvis | |
| 27161 | 15 | Incision of neck of femur | |
| 27165 | 15 | Incision/fixation of femur | |
| 27170 | 15 | Repair/graft femur head/neck | |
| 27175 | 60 | Treat slipped epiphysis | |
| 27176 | 46 | Treat slipped epiphysis | |
| 27177 | 46 | Treat slipped epiphysis | |
| 27178 | 46 | Treat slipped epiphysis | |
| 27179 | 29 | Revise head/neck of femur | |
| 27181 | 60 | Treat slipped epiphysis | |
| 27185 | 48 | Revision of femur epiphysis | |
| 27187 | 15 | Reinforce hip bones | |
| 27193 | 24 | Treat pelvic ring fracture | |
| 27194 | 8 | Treat pelvic ring fracture | |
| 27200 | 24 | Treat tail bone fracture | |
| 27202 | 50 | Treat tail bone fracture | |
| 27215 | 70 | Treat pelvic fracture(s) | |
| 27216 | 70 | Treat pelvic ring fracture | |
| 27217 | 70 | Treat pelvic ring fracture | |
| 27218 | 70 | Treat pelvic ring fracture | |
| 27220 | 25 | Treat hip socket fracture | |
| 27222 | 31 | Treat hip socket fracture | |
| 27226 | 15 | Treat hip wall fracture | |
| 27227 | 15 | Treat hip fracture(s) | |
| 27228 | 15 | Treat hip fracture(s) | |
| 27230 | 25 | Treat thigh fracture | |
| 27232 | 31 | Treat thigh fracture | |
| 27235 | 17 | Treat thigh fracture | |
| 27236 | 15 | Treat thigh fracture | |
| 27238 | 25 | Treat thigh fracture | |
| 27240 | 31 | Treat thigh fracture | |
| 27244 | 15 | Treat thigh fracture | |
| 27245 | 15 | Treat thigh fracture | |
| 27246 | 25 | Treat thigh fracture | |
| 27248 | 15 | Treat thigh fracture | |
| 27250 | 106 | Treat hip dislocation | |
| 27252 | 25 | Treat hip dislocation | |
| 27253 | 15 | Treat hip dislocation | |
| 27254 | 15 | Treat hip dislocation | |
| 27256 | 21 | Treat hip dislocation | |
| 27257 | 21 | Treat hip dislocation | |
| 27258 | 15 | Treat hip dislocation | |
| 27259 | 29 | Treat hip dislocation | |
| 27265 | 25 | Treat hip dislocation | |
| 27266 | 25 | Treat hip dislocation | |
| 27267 | 9 | Close tx, femor fx, prox end, head | |
| 27268 | 15 | Close tx, femor fx, w/mnpg | |
| 27269 | 46 | Open tx, femor fx, w/internal fixation | |
| 27275 | 24 | Manipulation of hip joint | |
| 27280 | 46 | Fusion of sacroiliac joint | |
| 27282 | 45 | Fusion of pubic bones | |
| 27284 | 15 | Fusion of hip joint | |
| 27286 | 46 | Fusion of hip joint | |
| 27290 | 14 | Amputation of leg at hip | |
| 27295 | 14 | Amputation of leg at hip | |
| 27299 | 199 | Pelvis/hip joint surgery, unlisted | |
| 27301 | 25 | Drain thigh/knee lesion | |
| 27303 | 15 | Drainage of bone lesion | |
| 27305 | 40 | Incise thigh tendon & fascia | |
| 27306 | 21 | Incision of thigh tendon | |
| 27307 | 9 | Incision of thigh tendons | |
| 27310 | 9 | Exploration of knee joint | |
| 27323 | 25 | Biopsy, thigh soft tissues | |
| 27324 | 25 | Biopsy, thigh soft tissues | |
| 27325 | 21 | Neurectomy, hamstring | |
| 27326 | 9 | Neurectomy, popliteal | |
| 27327 | 25 | Removal of thigh lesion | |
| 27328 | 25 | Removal of thigh lesion | |
| 27329 | 9 | Remove tumor, thigh/knee | |
| 27330 | 11 | Biopsy, knee joint lining | |
| 27331 | 9 | Explore/treat knee joint | |
| 27332 | 9 | Removal of knee cartilage | |
| 27333 | 9 | Removal of knee cartilage | |
| 27334 | 9 | Remove knee joint lining | |
| 27335 | 9 | Remove knee joint lining | |
| 27337 | 21 | Exc thigh/knee les sc => 3 cm | |
| 27339 | 21 | Exc thjigh/knee tum deep => 5 cm | |
| 27340 | 25 | Removal of kneecap bursa | |
| 27345 | 9 | Removal of knee cyst | |
| 27347 | 9 | Remove knee cyst | |
| 27350 | 9 | Removal of kneecap | |
| 27355 | 9 | Remove femur lesion | |
| 27356 | 9 | Remove femur lesion/graft | |
| 27357 | 9 | Remove femur lesion/graft | |
| 27358 | 227 | Remove femur lesion/fixation | |
| 27360 | 9 | Partial removal, leg bone(s) | |
| 27364 | 9 | Resect thigh/knee tum =>5 cm | |
| 27365 | 15 | Extensive leg surgery | |
| 27370 | 140 | Injection for knee x-ray | |
| 27372 | 21 | Removal of foreign body | |
| 27380 | 9 | Repair of kneecap tendon | |
| 27381 | 40 | Repair/graft kneecap tendon | |
| 27385 | 9 | Repair of thigh muscle | |
| 27386 | 9 | Repair/graft of thigh muscle | |
| 27390 | 20 | Incision of thigh tendon | |
| 27391 | 8 | Incision of thigh tendons | |
| 27392 | 38 | Incision of thigh tendons | |
| 27393 | 8 | Lengthening of thigh tendon | |
| 27394 | 20 | Lengthening of thigh tendons | |
| 27395 | 38 | Lengthening of thigh tendons | |
| 27396 | 8 | Transplant of thigh tendon | |
| 27397 | 50 | Transplants of thigh tendons | |
| 27400 | 40 | Revise thigh muscles/tendons | |
| 27403 | 9 | Repair of knee cartilage | |
| 27405 | 9 | Repair of knee ligament | |
| 27407 | 9 | Repair of knee ligament | |
| 27409 | 9 | Repair of knee ligaments | |
| 27412 | 46 | Autochondrocyte implant knee | |
| 27415 | 46 | Osteochondral knee allograft | |
| 27416 | 21 | Osteochondral knee autograft | |
| 27418 | 9 | Repair degenerated kneecap | |
| 27420 | 9 | Revision of unstable kneecap | |
| 27422 | 9 | Revision of unstable kneecap | |
| 27424 | 9 | Revision/removal of kneecap | |
| 27425 | 11 | Lateral retinacular release | |
| 27427 | 9 | Reconstruction, knee | |
| 27428 | 9 | Reconstruction, knee | |
| 27429 | 9 | Reconstruction, knee | |
| 27430 | 9 | Revision of thigh muscles | |
| 27435 | 9 | Incision of knee joint | |
| 27437 | 11 | Revise kneecap | |
| 27438 | 9 | Revise kneecap with implant | |
| 27440 | 9 | Revision of knee joint | |
| 27441 | 9 | Revision of knee joint | |
| 27442 | 9 | Revision of knee joint | |
| 27443 | 9 | Revision of knee joint | |
| 27445 | 15 | Revision of knee joint | |
| 27446 | 9 | Revision of knee joint | |
| 27447 | 15 | Total knee arthroplasty | |
| 27448 | 15 | Incision of thigh | |
| 27450 | 15 | Incision of thigh | |
| 27454 | 15 | Realignment of thigh bone | |
| 27455 | 15 | Realignment of knee | |
| 27457 | 15 | Realignment of knee | |
| 27465 | 15 | Shortening of thigh bone | |
| 27466 | 15 | Lengthening of thigh bone | |
| 27468 | 15 | Shorten/lengthen thighs | |
| 27470 | 15 | Repair of thigh | |
| 27472 | 46 | Repair/graft of thigh | |
| 27475 | 11 | Surgery to stop leg growth | |
| 27477 | 17 | Surgery to stop leg growth | |
| 27479 | 52 | Surgery to stop leg growth | |
| 27485 | 62 | Surgery to stop leg growth | |
| 27486 | 15 | Revise/replace knee joint | |
| 27487 | 15 | Revise/replace knee joint | |
| 27488 | 15 | Removal of knee prosthesis | |
| 27495 | 15 | Reinforce thigh | |
| 27496 | 25 | Decompression of thigh/knee | |
| 27497 | 9 | Decompression of thigh/knee | |
| 27498 | 9 | Decompression of thigh/knee | |
| 27499 | 40 | Decompression of thigh/knee | |
| 27500 | 25 | Treatment of thigh fracture | |
| 27501 | 21 | Treatment of thigh fracture | |
| 27502 | 25 | Treatment of thigh fracture | |
| 27503 | 21 | Treatment of thigh fracture | |
| 27506 | 15 | Treatment of thigh fracture | |
| 27507 | 15 | Treatment of thigh fracture | |
| 27508 | 25 | Treatment of thigh fracture | |
| 27509 | 21 | Treatment of thigh fracture | |
| 27510 | 25 | Treatment of thigh fracture | |
| 27511 | 15 | Treatment of thigh fracture | |
| 27513 | 15 | Treatment of thigh fracture | |
| 27514 | 15 | Treatment of thigh fracture | |
| 27516 | 25 | Treat thigh fx growth plate | |
| 27517 | 21 | Treat thigh fx growth plate | |
| 27519 | 46 | Treat thigh fx growth plate | |
| 27520 | 25 | Treat kneecap fracture | |
| 27524 | 15 | Treat kneecap fracture | |
| 27530 | 25 | Treat knee fracture | |
| 27532 | 25 | Treat knee fracture | |
| 27535 | 15 | Treat knee fracture | |
| 27536 | 15 | Treat knee fracture | |
| 27538 | 21 | Treat knee fracture(s) | |
| 27540 | 15 | Treat knee fracture | |
| 27550 | 21 | Treat knee dislocation | |
| 27552 | 21 | Treat knee dislocation | |
| 27556 | 15 | Treat knee dislocation | |
| 27557 | 15 | Treat knee dislocation | |
| 27558 | 15 | Treat knee dislocation | |
| 27560 | 25 | Treat kneecap dislocation | |
| 27562 | 21 | Treat kneecap dislocation | |
| 27566 | 9 | Treat kneecap dislocation | |
| 27570 | 24 | Fixation of knee joint | |
| 27580 | 15 | Fusion of knee | |
| 27590 | 15 | Amputate leg at thigh | |
| 27591 | 46 | Amputate leg at thigh | |
| 27592 | 46 | Amputate leg at thigh | |
| 27594 | 57 | Amputation follow-up surgery | |
| 27596 | 48 | Amputation follow-up surgery | |
| 27598 | 46 | Amputate lower leg at knee | |
| 27599 | 199 | Leg surgery procedure, unlisted | |
| 27600 | 11 | Decompression of lower leg | |
| 27601 | 25 | Decompression of lower leg | |
| 27602 | 9 | Decompression of lower leg | |
| 27603 | 25 | Drain lower leg lesion | |
| 27604 | 21 | Drain lower leg bursa | |
| 27605 | 21 | Incision of achilles tendon | |
| 27606 | 11 | Incision of achilles tendon | |
| 27607 | 25 | Treat lower leg bone lesion | |
| 27610 | 25 | Explore/treat ankle joint | |
| 27612 | 9 | Exploration of ankle joint | |
| 27613 | 25 | Biopsy lower leg soft tissue | |
| 27614 | 25 | Biopsy lower leg soft tissue | |
| 27615 | 9 | Remove tumor, lower leg | |
| 27616 | 9 | Resect leg/ankle tum => 5 cm | |
| 27618 | 25 | Remove lower leg lesion | |
| 27619 | 25 | Remove lower leg lesion | |
| 27620 | 9 | Explore/treat ankle joint | |
| 27625 | 9 | Remove ankle joint lining | |
| 27626 | 21 | Remove ankle joint lining | |
| 27630 | 25 | Removal of tendon lesion | |
| 27632 | 21 | Ecise leg/ankle les sc => 3 cm | |
| 27634 | 21 | Exc leg/ankle tum deep =>5 cm | |
| 27635 | 11 | Remove lower leg bone lesion | |
| 27637 | 9 | Remove/graft leg bone lesion | |
| 27638 | 9 | Remove/graft leg bone lesion | |
| 27640 | 11 | Partial removal of tibia | |
| 27641 | 11 | Partial removal of fibula | |
| 27645 | 15 | Extensive lower leg surgery | |
| 27646 | 15 | Extensive lower leg surgery | |
| 27647 | 21 | Extensive ankle/heel surgery | |
| 27648 | 135 | Injection for ankle x-ray | |
| 27650 | 9 | Repair achilles tendon | |
| 27652 | 11 | Repair/graft achilles tendon | |
| 27654 | 9 | Repair of achilles tendon | |
| 27656 | 52 | Repair leg fascia defect | |
| 27658 | 39 | Repair of leg tendon, each | |
| 27659 | 39 | Repair of leg tendon, each | |
| 27664 | 50 | Repair of leg tendon, each | |
| 27665 | 39 | Repair of leg tendon, each | |
| 27675 | 9 | Repair lower leg tendons | |
| 27676 | 21 | Repair lower leg tendons | |
| 27680 | 10 | Release of lower leg tendon | |
| 27681 | 10 | Release of lower leg tendons | |
| 27685 | 8 | Revision of lower leg tendon | |
| 27686 | 10 | Revise lower leg tendons | |
| 27687 | 9 | Revision of calf tendon | |
| 27690 | 9 | Revise lower leg tendon | |
| 27691 | 9 | Revise lower leg tendon | |
| 27692 | 234 | Revise additional leg tendon | |
| 27695 | 11 | Repair of ankle ligament | |
| 27696 | 11 | Repair of ankle ligaments | |
| 27698 | 9 | Repair of ankle ligament | |
| 27700 | 9 | Revision of ankle joint | |
| 27702 | 15 | Reconstruct ankle joint | |
| 27703 | 29 | Reconstruction, ankle joint | |
| 27704 | 11 | Removal of ankle implant | |
| 27705 | 9 | Incision of tibia | |
| 27707 | 11 | Incision of fibula | |
| 27709 | 9 | Incision of tibia & fibula | |
| 27712 | 15 | Realignment of lower leg | |
| 27715 | 15 | Revision of lower leg | |
| 27720 | 9 | Repair of tibia | |
| 27722 | 15 | Repair/graft of tibia | |
| 27724 | 15 | Repair/graft of tibia | |
| 27725 | 15 | Repair of lower leg | |
| 27726 | 11 | Repair fibula nonunion | |
| 27727 | 15 | Repair of lower leg | |
| 27730 | 11 | Repair of tibia epiphysis | |
| 27732 | 25 | Repair of fibula epiphysis | |
| 27734 | 25 | Repair lower leg epiphyses | |
| 27740 | 21 | Repair of leg epiphyses | |
| 27742 | 9 | Repair of leg epiphyses | |
| 27745 | 9 | Reinforce tibia | |
| 27750 | 25 | Treatment of tibia fracture | |
| 27752 | 25 | Treatment of tibia fracture | |
| 27756 | 9 | Treatment of tibia fracture | |
| 27758 | 9 | Treatment of tibia fracture | |
| 27759 | 9 | Treatment of tibia fracture | |
| 27760 | 25 | Treatment of ankle fracture | |
| 27762 | 25 | Treatment of ankle fracture | |
| 27766 | 11 | Treatment of ankle fracture | |
| 27767 | 25 | Closed tx posterior ankle fx | |
| 27768 | 25 | Closed tx posterior ankle vs w/ mnpj | |
| 27769 | 25 | Open tx posterior ankle fx | |
| 27780 | 25 | Treatment of fibula fracture | |
| 27781 | 25 | Treatment of fibula fracture | |
| 27784 | 11 | Treatment of fibula fracture | |
| 27786 | 25 | Treatment of ankle fracture | |
| 27788 | 25 | Treatment of ankle fracture | |
| 27792 | 11 | Treatment of ankle fracture | |
| 27808 | 25 | Treatment of ankle fracture | |
| 27810 | 25 | Treatment of ankle fracture | |
| 27814 | 9 | Treatment of ankle fracture | |
| 27816 | 25 | Treatment of ankle fracture | |
| 27818 | 25 | Treatment of ankle fracture | |
| 27822 | 9 | Treatment of ankle fracture | |
| 27823 | 9 | Treatment of ankle fracture | |
| 27824 | 25 | Treat lower leg fracture | |
| 27825 | 21 | Treat lower leg fracture | |
| 27826 | 9 | Treat lower leg fracture | |
| 27827 | 9 | Treat lower leg fracture | |
| 27828 | 9 | Treat lower leg fracture | |
| 27829 | 9 | Treat lower leg joint | |
| 27830 | 21 | Treat lower leg dislocation | |
| 27831 | 21 | Treat lower leg dislocation | |
| 27832 | 9 | Treat lower leg dislocation | |
| 27840 | 25 | Treat ankle dislocation | |
| 27842 | 25 | Treat ankle dislocation | |
| 27846 | 9 | Treat ankle dislocation | |
| 27848 | 9 | Treat ankle dislocation | |
| 27860 | 20 | Fixation of ankle joint | |
| 27870 | 9 | Fusion of ankle joint | |
| 27871 | 9 | Fusion of tibiofibular joint | |
| 27880 | 15 | Amputation of lower leg | |
| 27881 | 15 | Amputation of lower leg | |
| 27882 | 15 | Amputation of lower leg | |
| 27884 | 25 | Amputation follow-up surgery | |
| 27886 | 17 | Amputation follow-up surgery | |
| 27888 | 46 | Amputation of foot at ankle | |
| 27889 | 43 | Amputation of foot at ankle | |
| 27892 | 52 | Decompression of leg | |
| 27893 | 52 | Decompression of leg | |
| 27894 | 52 | Decompression of leg | |
| 27899 | 199 | Leg/ankle surgery procedure, unlisted | |
| 28001 | 24 | Drainage of bursa of foot | |
| 28002 | 24 | Treatment of foot infection | |
| 28003 | 24 | Treatment of foot infection | |
| 28005 | 24 | Treat foot bone lesion | |
| 28008 | 25 | Incision of foot fascia | |
| 28010 | 24 | Incision of toe tendon | |
| 28011 | 24 | Incision of toe tendons | |
| 28020 | 10 | Exploration of foot joint | |
| 28022 | 24 | Exploration of foot joint | |
| 28024 | 24 | Exploration of toe joint | |
| 28035 | 10 | Decompression of tibia nerve | |
| 28039 | 21 | Excise foot/toe tum sc =>1.5 cm | |
| 28041 | 21 | Excise foot/toe tum deep =>1.5CM | |
| 28043 | 25 | Excision of foot lesion | |
| 28045 | 21 | Excision of foot lesion | |
| 28046 | 11 | Resection of tumor, foot | |
| 28047 | 9 | Resect foot/toe tumor => 3 cm | |
| 28050 | 11 | Biopsy of foot joint lining | |
| 28052 | 11 | Biopsy of foot joint lining | |
| 28054 | 21 | Biopsy of toe joint lining | |
| 28055 | 20 | Neurectomy, foot | |
| 28060 | 25 | Partial removal, foot fascia | |
| 28062 | 10 | Removal of foot fascia | |
| 28070 | 24 | Removal of foot joint lining | |
| 28072 | 24 | Removal of foot joint lining | |
| 28080 | 20 | Removal of foot lesion | |
| 28086 | 9 | Excise foot tendon sheath | |
| 28088 | 21 | Excise foot tendon sheath | |
| 28090 | 25 | Removal of foot lesion | |
| 28092 | 24 | Removal of toe lesions | |
| 28100 | 9 | Removal of ankle/heel lesion | |
| 28102 | 21 | Remove/graft foot lesion | |
| 28103 | 21 | Remove/graft foot lesion | |
| 28104 | 8 | Removal of foot lesion | |
| 28106 | 8 | Remove/graft foot lesion | |
| 28107 | 20 | Remove/graft foot lesion | |
| 28108 | 24 | Removal of toe lesions | |
| 28110 | 11 | Part removal of metatarsal | |
| 28111 | 11 | Part removal of metatarsal | |
| 28112 | 11 | Part removal of metatarsal | |
| 28113 | 21 | Part removal of metatarsal | |
| 28114 | 9 | Removal of metatarsal heads | |
| 28116 | 25 | Revision of foot | |
| 28118 | 9 | Removal of heel bone | |
| 28119 | 11 | Removal of heel spur | |
| 28120 | 11 | Part removal of ankle/heel | |
| 28122 | 9 | Partial removal of foot bone | |
| 28124 | 25 | Partial removal of toe | |
| 28126 | 24 | Partial removal of toe | |
| 28130 | 9 | Removal of ankle bone | |
| 28140 | 10 | Removal of metatarsal | |
| 28150 | 24 | Removal of toe | |
| 28153 | 24 | Partial removal of toe | |
| 28160 | 24 | Partial removal of toe | |
| 28171 | 20 | Extensive foot surgery | |
| 28173 | 10 | Extensive foot surgery | |
| 28175 | 10 | Extensive foot surgery | |
| 28190 | 25 | Removal of foot foreign body | |
| 28192 | 25 | Removal of foot foreign body | |
| 28193 | 25 | Removal of foot foreign body | |
| 28200 | 10 | Repair of foot tendon | |
| 28202 | 39 | Repair/graft of foot tendon | |
| 28208 | 10 | Repair of foot tendon | |
| 28210 | 50 | Repair/graft of foot tendon | |
| 28220 | 24 | Release of foot tendon | |
| 28222 | 24 | Release of foot tendons | |
| 28225 | 10 | Release of foot tendon | |
| 28226 | 24 | Release of foot tendons | |
| 28230 | 24 | Incision of foot tendon(s) | |
| 28232 | 24 | Incision of toe tendon | |
| 28234 | 24 | Incision of foot tendon | |
| 28238 | 9 | Revision of foot tendon | |
| 28240 | 25 | Release of big toe | |
| 28250 | 9 | Revision of foot fascia | |
| 28260 | 9 | Release of midfoot joint | |
| 28261 | 21 | Revision of foot tendon | |
| 28262 | 9 | Revision of foot and ankle | |
| 28264 | 21 | Release of midfoot joint | |
| 28270 | 25 | Release of foot contracture | |
| 28272 | 25 | Release of toe joint, each | |
| 28280 | 21 | Fusion of toes | |
| 28285 | 11 | Repair of hammertoe | |
| 28286 | 24 | Repair of hammertoe | |
| 28288 | 24 | Partial removal of foot bone | |
| 28289 | 40 | Repair hallux rigidus | |
| 28290 | 25 | Correction of bunion | |
| 28292 | 9 | Correction of bunion | |
| 28293 | 9 | Correction of bunion | |
| 28294 | 9 | Correction of bunion | |
| 28296 | 9 | Correction of bunion | |
| 28297 | 40 | Correction of bunion | |
| 28298 | 9 | Correction of bunion | |
| 28299 | 9 | Correction of bunion | |
| 28300 | 9 | Incision of heel bone | |
| 28302 | 9 | Incision of ankle bone | |
| 28304 | 9 | Incision of midfoot bones | |
| 28305 | 9 | Incise/graft midfoot bones | |
| 28306 | 9 | Incision of metatarsal | |
| 28307 | 21 | Incision of metatarsal | |
| 28308 | 9 | Incision of metatarsal | |
| 28309 | 21 | Incision of metatarsals | |
| 28310 | 10 | Revision of big toe | |
| 28312 | 10 | Revision of toe | |
| 28313 | 24 | Repair deformity of toe | |
| 28315 | 11 | Removal of sesamoid bone | |
| 28320 | 8 | Repair of foot bones | |
| 28322 | 8 | Repair of metatarsals | |
| 28340 | 55 | Resect enlarged toe tissue | |
| 28341 | 55 | Resect enlarged toe | |
| 28344 | 42 | Repair extra toe(s) | |
| 28345 | 50 | Repair webbed toe(s) | |
| 28360 | 59 | Reconstruct cleft foot | |
| 28400 | 25 | Treatment of heel fracture | |
| 28405 | 21 | Treatment of heel fracture | |
| 28406 | 21 | Treatment of heel fracture | |
| 28415 | 9 | Treat heel fracture | |
| 28420 | 40 | Treat/graft heel fracture | |
| 28430 | 25 | Treatment of ankle fracture | |
| 28435 | 21 | Treatment of ankle fracture | |
| 28436 | 57 | Treatment of ankle fracture | |
| 28445 | 40 | Treat ankle fracture | |
| 28446 | 9 | Osteochondral talus autograft | |
| 28450 | 24 | Treat midfoot fracture, each | |
| 28455 | 20 | Treat midfoot fracture, each | |
| 28456 | 24 | Treat midfoot fracture | |
| 28465 | 55 | Treat midfoot fracture, each | |
| 28470 | 24 | Treat metatarsal fracture | |
| 28475 | 24 | Treat metatarsal fracture | |
| 28476 | 20 | Treat metatarsal fracture | |
| 28485 | 10 | Treat metatarsal fracture | |
| 28490 | 24 | Treat big toe fracture | |
| 28495 | 24 | Treat big toe fracture | |
| 28496 | 24 | Treat big toe fracture | |
| 28505 | 55 | Treat big toe fracture | |
| 28510 | 24 | Treatment of toe fracture | |
| 28515 | 24 | Treatment of toe fracture | |
| 28525 | 50 | Treat toe fracture | |
| 28530 | 20 | Treat sesamoid bone fracture | |
| 28531 | 42 | Treat sesamoid bone fracture | |
| 28540 | 20 | Treat foot dislocation | |
| 28545 | 20 | Treat foot dislocation | |
| 28546 | 20 | Treat foot dislocation | |
| 28555 | 39 | Repair foot dislocation | |
| 28570 | 20 | Treat foot dislocation | |
| 28575 | 20 | Treat foot dislocation | |
| 28576 | 20 | Treat foot dislocation | |
| 28585 | 39 | Repair foot dislocation | |
| 28600 | 20 | Treat foot dislocation | |
| 28605 | 20 | Treat foot dislocation | |
| 28606 | 24 | Treat foot dislocation | |
| 28615 | 39 | Repair foot dislocation | |
| 28630 | 20 | Treat toe dislocation | |
| 28635 | 20 | Treat toe dislocation | |
| 28636 | 10 | Treat toe dislocation | |
| 28645 | 10 | Repair toe dislocation | |
| 28660 | 24 | Treat toe dislocation | |
| 28665 | 20 | Treat toe dislocation | |
| 28666 | 10 | Treat toe dislocation | |
| 28675 | 55 | Repair of toe dislocation | |
| 28705 | 39 | Fusion of foot bones | |
| 28715 | 8 | Fusion of foot bones | |
| 28725 | 8 | Fusion of foot bones | |
| 28730 | 8 | Fusion of foot bones | |
| 28735 | 39 | Fusion of foot bones | |
| 28737 | 39 | Revision of foot bones | |
| 28740 | 8 | Fusion of foot bones | |
| 28750 | 52 | Fusion of big toe joint | |
| 28755 | 11 | Fusion of big toe joint | |
| 28760 | 40 | Fusion of big toe joint | |
| 28800 | 15 | Amputation of midfoot | |
| 28805 | 29 | Amputation thru metatarsal | |
| 28810 | 20 | Amputation toe & metatarsal | |
| 28820 | 24 | Amputation of toe | |
| 28825 | 24 | Partial amputation of toe | |
| 28890 | 43 | High energy eswt, plantar f | |
| 28899 | 198 | Foot/toes surgery procedure, unlisted | |
| 29000 | 81 | Application of body cast | |
| 29010 | 81 | Application of body cast | |
| 29015 | 81 | Application of body cast | |
| 29020 | 81 | Application of body cast | |
| 29025 | 81 | Application of body cast | |
| 29035 | 81 | Application of body cast | |
| 29040 | 81 | Application of body cast | |
| 29044 | 81 | Application of body cast | |
| 29046 | 81 | Application of body cast | |
| 29049 | 80 | Application of figure eight | |
| 29055 | 80 | Application of shoulder cast | |
| 29058 | 80 | Application of shoulder cast | |
| 29065 | 84 | Application of long arm cast | |
| 29075 | 84 | Application of forearm cast | |
| 29085 | 84 | Apply hand/wrist cast | |
| 29086 | 84 | Apply finger cast | |
| 29105 | 84 | Apply long arm splint | |
| 29125 | 84 | Apply forearm splint | |
| 29126 | 84 | Apply forearm splint | |
| 29130 | 84 | Application of finger splint | |
| 29131 | 84 | Application of finger splint | |
| 29200 | 83 | Strapping of chest | |
| 29240 | 83 | Strapping of shoulder | |
| 29260 | 84 | Strapping of elbow or wrist | |
| 29280 | 84 | Strapping of hand or finger | |
| 29305 | 80 | Application of hip cast | |
| 29325 | 80 | Application of hip casts | |
| 29345 | 84 | Application of long leg cast | |
| 29355 | 84 | Application of long leg cast | |
| 29358 | 84 | Apply long leg cast brace | |
| 29365 | 84 | Application of long leg cast | |
| 29405 | 84 | Apply short leg cast | |
| 29425 | 84 | Apply short leg cast | |
| 29435 | 84 | Apply short leg cast | |
| 29440 | 84 | Addition of walker to cast | |
| 29445 | 84 | Apply rigid leg cast | |
| 29450 | 84 | Application of leg cast | |
| 29505 | 84 | Application, long leg splint | |
| 29515 | 84 | Application lower leg splint | |
| 29520 | 80 | Strapping of hip | |
| 29530 | 83 | Strapping of knee | |
| 29540 | 83 | Strapping of ankle | |
| 29550 | 83 | Strapping of toes | |
| 29580 | 84 | Application of paste boot | |
| 29581 | 82 | Application of multlay comprs lwr leg | |
| 29590 | 83 | Application of foot splint | |
| 29700 | 100 | Removal/revision of cast | |
| 29705 | 102 | Removal/revision of cast | |
| 29710 | 94 | Removal/revision of cast | |
| 29715 | 93 | Removal/revision of cast | |
| 29720 | 100 | Repair of body cast | |
| 29730 | 100 | Windowing of cast | |
| 29740 | 100 | Wedging of cast | |
| 29750 | 94 | Wedging of clubfoot cast | |
| 29799 | 198 | Casting/strapping procedure, unlisted | |
| 29800 | 21 | Jaw arthroscopy/surgery | |
| 29804 | 9 | Jaw arthroscopy/surgery | |
| 29805 | 11 | Shoulder arthroscopy, dx | |
| 29806 | 11 | Shoulder arthroscopy/surgery | |
| 29807 | 11 | Shoulder arthroscopy/surgery | |
| 29819 | 11 | Shoulder arthroscopy/surgery | |
| 29820 | 9 | Shoulder arthroscopy/surgery | |
| 29821 | 9 | Shoulder arthroscopy/surgery | |
| 29822 | 21 | Shoulder arthroscopy/surgery | |
| 29823 | 9 | Shoulder arthroscopy/surgery | |
| 29824 | 9 | Shoulder arthroscopy/surgery | |
| 29825 | 9 | Shoulder arthroscopy/surgery | |
| 29826 | 9 | Shoulder arthroscopy/surgery | |
| 29827 | 9 | Arthroscopy rotator cuff repair | |
| 29828 | 9 | Arthroscopy biceps tenodesis | |
| 29830 | 25 | Elbow arthroscopy | |
| 29834 | 9 | Elbow arthroscopy/surgery | |
| 29835 | 9 | Elbow arthroscopy/surgery | |
| 29836 | 9 | Elbow arthroscopy/surgery | |
| 29837 | 9 | Elbow arthroscopy/surgery | |
| 29838 | 21 | Elbow arthroscopy/surgery | |
| 29840 | 21 | Wrist arthroscopy | |
| 29843 | 9 | Wrist arthroscopy/surgery | |
| 29844 | 21 | Wrist arthroscopy/surgery | |
| 29845 | 9 | Wrist arthroscopy/surgery | |
| 29846 | 21 | Wrist arthroscopy/surgery | |
| 29847 | 21 | Wrist arthroscopy/surgery | |
| 29848 | 25 | Wrist endoscopy/surgery | |
| 29850 | 9 | Knee arthroscopy/surgery | |
| 29851 | 40 | Knee arthroscopy/surgery | |
| 29855 | 9 | Tibial arthroscopy/surgery | |
| 29856 | 40 | Tibial arthroscopy/surgery | |
| 29860 | 9 | Hip arthroscopy, dx | |
| 29861 | 40 | Hip arthroscopy/surgery | |
| 29862 | 40 | Hip arthroscopy/surgery | |
| 29863 | 9 | Hip arthroscopy/surgery | |
| 29866 | 21 | Autgrft implnt, knee w/scope | |
| 29867 | 29 | Allgrft implnt, knee w/scope | |
| 29868 | 60 | Meniscal trnspl, knee w/scpe | |
| 29870 | 11 | Knee arthroscopy, dx | |
| 29871 | 25 | Knee arthroscopy/drainage | |
| 29873 | 11 | Knee arthroscopy/surgery | |
| 29874 | 21 | Knee arthroscopy/surgery | |
| 29875 | 21 | Knee arthroscopy/surgery | |
| 29876 | 25 | Knee arthroscopy/surgery | |
| 29877 | 21 | Knee arthroscopy/surgery | |
| 29879 | 21 | Knee arthroscopy/surgery | |
| 29880 | 9 | Knee arthroscopy/surgery | |
| 29881 | 21 | Knee arthroscopy/surgery | |
| 29882 | 25 | Knee arthroscopy/surgery | |
| 29883 | 21 | Knee arthroscopy/surgery | |
| 29884 | 9 | Knee arthroscopy/surgery | |
| 29885 | 9 | Knee arthroscopy/surgery | |
| 29886 | 25 | Knee arthroscopy/surgery | |
| 29887 | 9 | Knee arthroscopy/surgery | |
| 29888 | 9 | Knee arthroscopy/surgery | |
| 29889 | 9 | Knee arthroscopy/surgery | |
| 29891 | 52 | Ankle arthroscopy/surgery | |
| 29892 | 52 | Ankle arthroscopy/surgery | |
| 29893 | 11 | Scope, plantar fasciotomy | |
| 29894 | 9 | Ankle arthroscopy/surgery | |
| 29895 | 9 | Ankle arthroscopy/surgery | |
| 29897 | 21 | Ankle arthroscopy/surgery | |
| 29898 | 40 | Ankle arthroscopy/surgery | |
| 29899 | 9 | Ankle arthroscopy/surgery | |
| 29900 | 21 | Mcp joint arthroscopy, dx | |
| 29901 | 21 | Mcp joint arthroscopy, surg | |
| 29902 | 21 | Mcp joint arthroscopy, surg | |
| 29904 | 21 | Subtalar arthro w/ fb removal | |
| 29905 | 21 | Subtalar arthro w/ exc | |
| 29906 | 21 | Subtalar arthro w/ deb | |
| 29907 | 21 | Subtalar arthro w/ fusion | |
| 29999 | 202 | Arthroscopy of joint, unlisted | |
| 30000 | 20 | Drainage of nose lesion | |
| 30020 | 24 | Drainage of nose lesion | |
| 30100 | 104 | Intranasal biopsy | |
| 30110 | 25 | Removal of nose polyp(s) | |
| 30115 | 25 | Removal of nose polyp(s) | |
| 30117 | 24 | Removal of intranasal lesion | |
| 30118 | 10 | Removal of intranasal lesion | |
| 30120 | 24 | Revision of nose | |
| 30124 | 24 | Removal of nose lesion | |
| 30125 | 20 | Removal of nose lesion | |
| 30130 | 25 | Removal of turbinate bones | |
| 30140 | 25 | Removal of turbinate bones | |
| 30150 | 10 | Partial removal of nose | |
| 30160 | 39 | Removal of nose | |
| 30200 | 104 | Injection treatment of nose | |
| 30210 | 55 | Nasal sinus therapy | |
| 30220 | 24 | Insert nasal septal button | |
| 30300 | 22 | Remove nasal foreign body | |
| 30310 | 20 | Remove nasal foreign body | |
| 30320 | 50 | Remove nasal foreign body | |
| 30400 | 50 | Reconstruction of nose | |
| 30410 | 50 | Reconstruction of nose | |
| 30420 | 55 | Reconstruction of nose | |
| 30430 | 50 | Revision of nose | |
| 30435 | 50 | Revision of nose | |
| 30450 | 50 | Revision of nose | |
| 30460 | 39 | Revision of nose | |
| 30462 | 39 | Revision of nose | |
| 30465 | 20 | Repair nasal stenosis | |
| 30520 | 55 | Repair of nasal septum | |
| 30540 | 50 | Repair nasal defect | |
| 30545 | 50 | Repair nasal defect | |
| 30560 | 24 | Release of nasal adhesions | |
| 30580 | 55 | Repair upper jaw fistula | |
| 30600 | 50 | Repair mouth/nose fistula | |
| 30620 | 55 | Intranasal reconstruction | |
| 30630 | 50 | Repair nasal septum defect | |
| 30801 | 23 | Cauterization, inner nose | |
| 30802 | 23 | Cauterization, inner nose | |
| 30901 | 102 | Control of nosebleed | |
| 30903 | 102 | Control of nosebleed | |
| 30905 | 99 | Control of nosebleed | |
| 30906 | 99 | Repeat control of nosebleed | |
| 30915 | 55 | Ligation, nasal sinus artery | |
| 30920 | 24 | Ligation, upper jaw artery | |
| 30930 | 25 | Therapy, fracture of nose | |
| 30999 | 198 | Nasal surgery procedure, unlisted | |
| 31000 | 25 | Irrigation, maxillary sinus | |
| 31002 | 21 | Irrigation, sphenoid sinus | |
| 31020 | 25 | Exploration, maxillary sinus | |
| 31030 | 25 | Exploration, maxillary sinus | |
| 31032 | 25 | Explore sinus,remove polyps | |
| 31040 | 42 | Exploration behind upper jaw | |
| 31050 | 25 | Exploration, sphenoid sinus | |
| 31051 | 57 | Sphenoid sinus surgery | |
| 31070 | 25 | Exploration of frontal sinus | |
| 31075 | 9 | Exploration of frontal sinus | |
| 31080 | 21 | Removal of frontal sinus | |
| 31081 | 9 | Removal of frontal sinus | |
| 31084 | 9 | Removal of frontal sinus | |
| 31085 | 9 | Removal of frontal sinus | |
| 31086 | 21 | Removal of frontal sinus | |
| 31087 | 9 | Removal of frontal sinus | |
| 31090 | 25 | Exploration of sinuses | |
| 31200 | 25 | Removal of ethmoid sinus | |
| 31201 | 25 | Removal of ethmoid sinus | |
| 31205 | 9 | Removal of ethmoid sinus | |
| 31225 | 15 | Removal of upper jaw | |
| 31230 | 15 | Removal of upper jaw | |
| 31231 | 103 | Nasal endoscopy, dx | |
| 31233 | 106 | Nasal/sinus endoscopy, dx | |
| 31235 | 106 | Nasal/sinus endoscopy, dx | |
| 31237 | 106 | Nasal/sinus endoscopy, surg | |
| 31238 | 98 | Nasal/sinus endoscopy, surg | |
| 31239 | 52 | Nasal/sinus endoscopy, surg | |
| 31240 | 125 | Nasal/sinus endoscopy, surg | |
| 31254 | 106 | Revision of ethmoid sinus | |
| 31255 | 106 | Removal of ethmoid sinus | |
| 31256 | 106 | Exploration maxillary sinus | |
| 31267 | 106 | Endoscopy, maxillary sinus | |
| 31276 | 131 | Sinus endoscopy, surgical | |
| 31287 | 98 | Nasal/sinus endoscopy, surg | |
| 31288 | 125 | Nasal/sinus endoscopy, surg | |
| 31290 | 60 | Nasal/sinus endoscopy, surg | |
| 31291 | 60 | Nasal/sinus endoscopy, surg | |
| 31292 | 29 | Nasal/sinus endoscopy, surg | |
| 31293 | 60 | Nasal/sinus endoscopy, surg | |
| 31294 | 60 | Nasal/sinus endoscopy, surg | |
| 31299 | 198 | Sinus surgery procedure, unlisted | |
| 31300 | 8 | Removal of larynx lesion | |
| 31320 | 20 | Diagnostic incision, larynx | |
| 31360 | 14 | Removal of larynx | |
| 31365 | 45 | Removal of larynx | |
| 31367 | 14 | Partial removal of larynx | |
| 31368 | 14 | Partial removal of larynx | |
| 31370 | 14 | Partial removal of larynx | |
| 31375 | 14 | Partial removal of larynx | |
| 31380 | 14 | Partial removal of larynx | |
| 31382 | 14 | Partial removal of larynx | |
| 31390 | 14 | Removal of larynx & pharynx | |
| 31395 | 45 | Reconstruct larynx & pharynx | |
| 31400 | 20 | Revision of larynx | |
| 31420 | 8 | Removal of epiglottis | |
| 31500 | 101 | Insert emergency airway | |
| 31502 | 129 | Change of windpipe airway | |
| 31505 | 104 | Diagnostic laryngoscopy | |
| 31510 | 96 | Laryngoscopy with biopsy | |
| 31511 | 104 | Remove foreign body, larynx | |
| 31512 | 96 | Removal of larynx lesion | |
| 31513 | 96 | Injection into vocal cord | |
| 31515 | 104 | Laryngoscopy for aspiration | |
| 31520 | 107 | Diagnostic laryngoscopy | |
| 31525 | 104 | Diagnostic laryngoscopy | |
| 31526 | 104 | Diagnostic laryngoscopy | |
| 31527 | 96 | Laryngoscopy for treatment | |
| 31528 | 96 | Laryngoscopy and dilation | |
| 31529 | 96 | Laryngoscopy and dilation | |
| 31530 | 104 | Operative laryngoscopy | |
| 31531 | 96 | Operative laryngoscopy | |
| 31535 | 104 | Operative laryngoscopy | |
| 31536 | 104 | Operative laryngoscopy | |
| 31540 | 104 | Operative laryngoscopy | |
| 31541 | 104 | Operative laryngoscopy | |
| 31545 | 131 | Remove vc lesion w/scope | |
| 31546 | 131 | Remove vc lesion scope/graft | |
| 31560 | 96 | Operative laryngoscopy | |
| 31561 | 96 | Operative laryngoscopy | |
| 31570 | 104 | Laryngoscopy with injection | |
| 31571 | 104 | Laryngoscopy with injection | |
| 31575 | 104 | Diagnostic laryngoscopy | |
| 31576 | 104 | Laryngoscopy with biopsy | |
| 31577 | 96 | Remove foreign body, larynx | |
| 31578 | 96 | Removal of larynx lesion | |
| 31579 | 104 | Diagnostic laryngoscopy | |
| 31580 | 39 | Revision of larynx | |
| 31582 | 10 | Revision of larynx | |
| 31584 | 45 | Treat larynx fracture | |
| 31587 | 45 | Revision of larynx | |
| 31588 | 50 | Revision of larynx | |
| 31590 | 39 | Reinnervate larynx | |
| 31595 | 8 | Larynx nerve surgery | |
| 31599 | 198 | Larynx surgery procedure, unlisted | |
| 31600 | 113 | Incision of windpipe | |
| 31601 | 90 | Incision of windpipe | |
| 31603 | 104 | Incision of windpipe | |
| 31605 | 104 | Incision of windpipe | |
| 31610 | 30 | Incision of windpipe | |
| 31611 | 8 | Surgery/speech prosthesis | |
| 31612 | 96 | Puncture/clear windpipe | |
| 31613 | 24 | Repair windpipe opening | |
| 31614 | 55 | Repair windpipe opening | |
| 31615 | 129 | Visualization of windpipe | |
| 31620 | 249 | Endobronchial us add-on | |
| 31622 | 104 | Dx bronchoscope/wash | |
| 31623 | 104 | Dx bronchoscope/brush | |
| 31624 | 104 | Dx bronchoscope/lavage | |
| 31625 | 104 | Bronchoscopy with biopsy | |
| 31626 | 96 | Bronchoscopy w/markers | |
| 31627 | 246 | Navigational bronchoscopy | |
| 31628 | 104 | Bronchoscopy with biopsy | |
| 31629 | 104 | Bronchoscopy with biopsy | |
| 31630 | 104 | Bronchoscopy w/ trach/bronch dilation | |
| 31631 | 104 | Bronchoscopy w/ placement of trach stent | |
| 31632 | 244 | Bronchoscopy/lung bx, add’l | |
| 31633 | 244 | Bronchoscopy/needle bx add’l | |
| 31635 | 104 | Bronchoscopy w/fb removal | |
| 31636 | 129 | Bronchoscopy, bronch stents | |
| 31637 | 244 | Bronchoscopy, stent add-on | |
| 31638 | 129 | Bronchoscopy, revise stent | |
| 31640 | 104 | Bronchoscopy w/tumor excise | |
| 31641 | 129 | Bronchoscopy, treat blockage | |
| 31643 | 104 | Diag bronchoscope/catheter | |
| 31645 | 104 | Bronchoscopy, clear airways | |
| 31646 | 104 | Bronchoscopy, reclear airway | |
| 31656 | 96 | Bronchoscopy, inj for xray | |
| 31715 | 135 | Injection for bronchus x-ray | |
| 31717 | 104 | Bronchial brush biopsy | |
| 31720 | 104 | Clearance of airways | |
| 31725 | 113 | Clearance of airways | |
| 31730 | 129 | Intro, windpipe wire/tube | |
| 31750 | 39 | Repair of windpipe | |
| 31755 | 39 | Repair of windpipe | |
| 31760 | 45 | Repair of windpipe | |
| 31766 | 45 | Reconstruction of windpipe | |
| 31770 | 45 | Repair/graft of bronchus | |
| 31775 | 59 | Reconstruct bronchus | |
| 31780 | 45 | Reconstruct windpipe | |
| 31781 | 45 | Reconstruct windpipe | |
| 31785 | 45 | Remove windpipe lesion | |
| 31786 | 45 | Remove windpipe lesion | |
| 31800 | 27 | Repair of windpipe injury | |
| 31805 | 14 | Repair of windpipe injury | |
| 31820 | 20 | Closure of windpipe lesion | |
| 31825 | 20 | Repair of windpipe defect | |
| 31830 | 20 | Revise windpipe scar | |
| 31899 | 198 | Airways surgical procedure, unlisted | |
| 32035 | 14 | Exploration of chest | |
| 32036 | 14 | Exploration of chest | |
| 32095 | 14 | Biopsy through chest wall | |
| 32100 | 14 | Exploration/biopsy of chest | |
| 32110 | 14 | Explore/repair chest | |
| 32120 | 14 | Re-exploration of chest | |
| 32124 | 14 | Explore chest free adhesions | |
| 32140 | 14 | Removal of lung lesion(s) | |
| 32141 | 45 | Remove/treat lung lesions | |
| 32150 | 45 | Removal of lung lesion(s) | |
| 32151 | 45 | Remove lung foreign body | |
| 32160 | 45 | Open chest heart massage | |
| 32200 | 14 | Drain, open, lung lesion | |
| 32201 | 137 | Drain, percut, lung lesion | |
| 32215 | 14 | Treat chest lining | |
| 32220 | 14 | Release of lung | |
| 32225 | 14 | Partial release of lung | |
| 32310 | 14 | Removal of chest lining | |
| 32320 | 14 | Free/remove chest lining | |
| 32400 | 104 | Needle biopsy chest lining | |
| 32402 | 14 | Open biopsy chest lining | |
| 32405 | 129 | Biopsy, lung or mediastinum | |
| 32420 | 104 | Puncture/clear lung | |
| 32421 | 106 | Thoracentesis for aspiration | |
| 32422 | 89 | Thoracentesis w/ tube insert | |
| 32440 | 14 | Removal of lung | |
| 32442 | 45 | Sleeve pneumonectomy | |
| 32445 | 45 | Removal of lung | |
| 32480 | 14 | Partial removal of lung | |
| 32482 | 14 | Bilobectomy | |
| 32484 | 14 | Segmentectomy | |
| 32486 | 45 | Sleeve lobectomy | |
| 32488 | 45 | Completion pneumonectomy | |
| 32491 | 15 | Lung volume reduction | |
| 32500 | 14 | Partial removal of lung | |
| 32501 | 238 | Repair bronchus add-on | |
| 32503 | 45 | Resect apical lung tumor | |
| 32504 | 45 | Resect apical lung tum/chest | |
| 32540 | 45 | Removal of lung lesion | |
| 32550 | 130 | Insert pleural catheter | |
| 32551 | 116 | Insertion of chest tube | |
| 32552 | 50 | Remove lung catheter | |
| 32553 | 124 | Ins mark thor for rad tx perq, single/mult | |
| 32560 | 113 | Treat lung lining chemically | |
| 32561 | 107 | Lyse chest fibrin initial day | |
| 32562 | 107 | Lyse chest fibrin subsequent day | |
| 32601 | 107 | Thoracoscopy, diagnostic | |
| 32602 | 107 | Thoracoscopy, diagnostic | |
| 32603 | 107 | Thoracoscopy, diagnostic | |
| 32604 | 107 | Thoracoscopy, diagnostic | |
| 32605 | 107 | Thoracoscopy, diagnostic | |
| 32606 | 107 | Thoracoscopy, diagnostic | |
| 32650 | 14 | Thoracoscopy, surgical | |
| 32651 | 14 | Thoracoscopy, surgical | |
| 32652 | 14 | Thoracoscopy, surgical | |
| 32653 | 14 | Thoracoscopy, surgical | |
| 32654 | 14 | Thoracoscopy, surgical | |
| 32655 | 14 | Thoracoscopy, surgical | |
| 32656 | 14 | Thoracoscopy, surgical | |
| 32657 | 14 | Thoracoscopy, surgical | |
| 32658 | 45 | Thoracoscopy, surgical | |
| 32659 | 14 | Thoracoscopy, surgical | |
| 32660 | 45 | Thoracoscopy, surgical | |
| 32661 | 45 | Thoracoscopy, surgical | |
| 32662 | 45 | Thoracoscopy, surgical | |
| 32663 | 45 | Thoracoscopy, surgical | |
| 32664 | 46 | Thoracoscopy, surgical | |
| 32665 | 45 | Thoracoscopy, surgical | |
| 32800 | 45 | Repair lung hernia | |
| 32810 | 27 | Close chest after drainage | |
| 32815 | 14 | Close bronchial fistula | |
| 32820 | 14 | Reconstruct injured chest | |
| 32850 | 270 | Donor pneumonectomy fr cadaver donor | |
| 32851 | 3 | Lung transplant, single | |
| 32852 | 3 | Lung transplant with bypass | |
| 32853 | 2 | Lung transplant, double | |
| 32854 | 33 | Lung transplant with bypass | |
| 32855 | 175 | Prepare donor lung, single | |
| 32856 | 175 | Prepare donor lung, double | |
| 32900 | 14 | Removal of rib(s) | |
| 32905 | 14 | Revise & repair chest wall | |
| 32906 | 45 | Revise & repair chest wall | |
| 32940 | 14 | Revision of lung | |
| 32960 | 104 | Therapeutic pneumothorax | |
| 32997 | 113 | Total lung lavage | |
| 32998 | 96 | Perq rf ablate tx, pul tumor | |
| 32999 | 200 | Chest surgery procedure, unlisted | |
| 33010 | 104 | Drainage of heart sac | |
| 33011 | 96 | Repeat drainage of heart sac | |
| 33015 | 30 | Incision of heart sac | |
| 33020 | 14 | Incision of heart sac | |
| 33025 | 14 | Incision of heart sac | |
| 33030 | 14 | Partial removal of heart sac | |
| 33031 | 45 | Partial removal of heart sac | |
| 33050 | 45 | Removal of heart sac lesion | |
| 33120 | 45 | Removal of heart lesion | |
| 33130 | 45 | Removal of heart lesion | |
| 33140 | 27 | Heart revascularize (tmr) | |
| 33141 | 225 | Heart tmr w/other procedure | |
| 33202 | 61 | Insert epicard eltrd, open | |
| 33203 | 61 | Insert epicard eltrd, endo | |
| 33206 | 10 | Insertion of heart pacemaker | |
| 33207 | 42 | Insertion of heart pacemaker | |
| 33208 | 42 | Insertion of heart pacemaker | |
| 33210 | 104 | Insertion of heart electrode | |
| 33211 | 104 | Insertion of heart electrode | |
| 33212 | 24 | Insertion of pulse generator | |
| 33213 | 24 | Insertion of pulse generator | |
| 33214 | 39 | Upgrade of pacemaker system | |
| 33215 | 24 | Reposition pacing-defib lead | |
| 33216 | 55 | Revise eltrd pacing-defib | |
| 33217 | 24 | Revise eltrd pacing-defib | |
| 33218 | 55 | Revise eltrd pacing-defib | |
| 33220 | 55 | Revise eltrd pacing-defib | |
| 33222 | 24 | Revise pocket, pacemaker | |
| 33223 | 20 | Revise pocket, pacing-defib | |
| 33224 | 129 | Insert pacing lead & connect | |
| 33225 | 228 | L ventric pacing lead add-on | |
| 33226 | 129 | Reposition L ventric lead | |
| 33233 | 24 | Removal of pacemaker system | |
| 33234 | 55 | Removal of pacemaker system | |
| 33235 | 55 | Removal pacemaker electrode | |
| 33236 | 45 | Remove electrode/thoracotomy | |
| 33237 | 45 | Remove electrode/thoracotomy | |
| 33238 | 45 | Remove electrode/thoracotomy | |
| 33240 | 24 | Insert pulse generator | |
| 33241 | 8 | Remove pulse generator | |
| 33243 | 45 | Remove eltrd/thoracotomy | |
| 33244 | 47 | Remove eltrd, transven | |
| 33249 | 42 | Eltrd/insert pace-defib | |
| 33250 | 14 | Ablate heart dysrhythm focus | |
| 33251 | 45 | Ablate heart dysrhythm focus | |
| 33254 | 14 | Ablate atria, lmtd | |
| 33255 | 14 | Ablate atria w/o bypass, ext | |
| 33256 | 14 | Ablate atria w/bypass, exten | |
| 33257 | 230 | Ablate atria, lmtd, add-on | |
| 33258 | 230 | Ablate atria, x10sv, add-on | |
| 33259 | 230 | Ablate atria w/ bypass, add-on | |
| 33261 | 45 | Ablate heart dysrhythm focus | |
| 33265 | 45 | Ablate atria w/bypass, endo | |
| 33266 | 45 | Ablate atria w/o bypass endo | |
| 33282 | 55 | Implant pat-active ht record | |
| 33284 | 55 | Remove pat-active ht record | |
| 33300 | 14 | Repair of heart wound | |
| 33305 | 45 | Repair of heart wound | |
| 33310 | 14 | Exploratory heart surgery | |
| 33315 | 14 | Exploratory heart surgery | |
| 33320 | 14 | Repair major blood vessel(s) | |
| 33321 | 14 | Repair major vessel | |
| 33322 | 14 | Repair major blood vessel(s) | |
| 33330 | 14 | Insert major vessel graft | |
| 33332 | 14 | Insert major vessel graft | |
| 33335 | 14 | Insert major vessel graft | |
| 33400 | 14 | Repair of aortic valve | |
| 33401 | 14 | Valvuloplasty, open | |
| 33403 | 14 | Valvuloplasty, w/cp bypass | |
| 33404 | 45 | Prepare heart-aorta conduit | |
| 33405 | 45 | Replacement of aortic valve | |
| 33406 | 14 | Replacement of aortic valve | |
| 33410 | 14 | Replacement of aortic valve | |
| 33411 | 59 | Replacement of aortic valve | |
| 33412 | 14 | Replacement of aortic valve | |
| 33413 | 14 | Replacement of aortic valve | |
| 33414 | 45 | Repair of aortic valve | |
| 33415 | 45 | Revision, subvalvular tissue | |
| 33416 | 14 | Revise ventricle muscle | |
| 33417 | 45 | Repair of aortic valve | |
| 33420 | 47 | Revision of mitral valve | |
| 33422 | 45 | Revision of mitral valve | |
| 33425 | 14 | Repair of mitral valve | |
| 33426 | 45 | Repair of mitral valve | |
| 33427 | 45 | Repair of mitral valve | |
| 33430 | 45 | Replacement of mitral valve | |
| 33460 | 14 | Revision of tricuspid valve | |
| 33463 | 14 | Valvuloplasty, tricuspid | |
| 33464 | 45 | Valvuloplasty, tricuspid | |
| 33465 | 45 | Replace tricuspid valve | |
| 33468 | 45 | Revision of tricuspid valve | |
| 33470 | 59 | Revision of pulmonary valve | |
| 33471 | 14 | Valvotomy, pulmonary valve | |
| 33472 | 27 | Revision of pulmonary valve | |
| 33474 | 14 | Revision of pulmonary valve | |
| 33475 | 45 | Replacement, pulmonary valve | |
| 33476 | 45 | Revision of heart chamber | |
| 33478 | 45 | Revision of heart chamber | |
| 33496 | 45 | Repair, prosth valve clot | |
| 33500 | 45 | Repair heart vessel fistula | |
| 33501 | 14 | Repair heart vessel fistula | |
| 33502 | 45 | Coronary artery correction | |
| 33503 | 14 | Coronary artery graft | |
| 33504 | 45 | Coronary artery graft | |
| 33505 | 45 | Repair artery w/tunnel | |
| 33506 | 45 | Repair artery, translocation | |
| 33507 | 45 | Repair art, intramural | |
| 33508 | 238 | Endoscopic vein harvest | |
| 33510 | 27 | CABG, vein, single | |
| 33511 | 27 | CABG, vein, two | |
| 33512 | 27 | CABG, vein, three | |
| 33513 | 27 | CABG, vein, four | |
| 33514 | 27 | CABG, vein, five | |
| 33516 | 59 | Cabg, vein, six or more | |
| 33517 | 230 | CABG, artery-vein, single | |
| 33518 | 230 | CABG, artery-vein, two | |
| 33519 | 230 | CABG, artery-vein, three | |
| 33521 | 230 | CABG, artery-vein, four | |
| 33522 | 230 | CABG, artery-vein, five | |
| 33523 | 246 | Cabg, art-vein, six or more | |
| 33530 | 230 | Coronary artery, bypass/reop | |
| 33533 | 27 | CABG, arterial, single | |
| 33534 | 27 | CABG, arterial, two | |
| 33535 | 27 | CABG, arterial, three | |
| 33536 | 59 | Cabg, arterial, four or more | |
| 33542 | 14 | Removal of heart lesion | |
| 33545 | 14 | Repair of heart damage | |
| 33548 | 45 | Restore/remodel, ventricle | |
| 33572 | 246 | Open coronary endarterectomy | |
| 33600 | 45 | Closure of valve | |
| 33602 | 45 | Closure of valve | |
| 33606 | 45 | Anastomosis/artery-aorta | |
| 33608 | 14 | Repair anomaly w/conduit | |
| 33610 | 45 | Repair by enlargement | |
| 33611 | 14 | Repair double ventricle | |
| 33612 | 45 | Repair double ventricle | |
| 33615 | 45 | Repair, modified fontan | |
| 33617 | 45 | Repair single ventricle | |
| 33619 | 45 | Repair single ventricle | |
| 33641 | 45 | Repair heart septum defect | |
| 33645 | 14 | Revision of heart veins | |
| 33647 | 45 | Repair heart septum defects | |
| 33660 | 45 | Repair of heart defects | |
| 33665 | 45 | Repair of heart defects | |
| 33670 | 45 | Repair of heart chambers | |
| 33675 | 14 | Close mult vsd | |
| 33676 | 45 | Close mult vsd w/resection | |
| 33677 | 45 | Cl mult vsd w/rem pul band | |
| 33681 | 14 | Repair heart septum defect | |
| 33684 | 14 | Repair heart septum defect | |
| 33688 | 14 | Repair heart septum defect | |
| 33690 | 45 | Reinforce pulmonary artery | |
| 33692 | 14 | Repair of heart defects | |
| 33694 | 45 | Repair of heart defects | |
| 33697 | 45 | Repair of heart defects | |
| 33702 | 14 | Repair of heart defects | |
| 33710 | 59 | Repair of heart defects | |
| 33720 | 45 | Repair of heart defect | |
| 33722 | 45 | Repair of heart defect | |
| 33724 | 14 | Repair venous anomaly | |
| 33726 | 14 | Repair pul venous stenosis | |
| 33730 | 45 | Repair heart-vein defect(s) | |
| 33732 | 45 | Repair heart-vein defect | |
| 33735 | 27 | Revision of heart chamber | |
| 33736 | 14 | Revision of heart chamber | |
| 33737 | 45 | Revision of heart chamber | |
| 33750 | 45 | Major vessel shunt | |
| 33755 | 45 | Major vessel shunt | |
| 33762 | 45 | Major vessel shunt | |
| 33764 | 45 | Major vessel shunt & graft | |
| 33766 | 14 | Major vessel shunt | |
| 33767 | 45 | Major vessel shunt | |
| 33768 | 238 | Cavopulmonary shunting | |
| 33770 | 14 | Repair great vessels defect | |
| 33771 | 14 | Repair great vessels defect | |
| 33774 | 14 | Repair great vessels defect | |
| 33775 | 59 | Repair great vessels defect | |
| 33776 | 45 | Repair great vessels defect | |
| 33777 | 59 | Repair great vessels defect | |
| 33778 | 14 | Repair great vessels defect | |
| 33779 | 45 | Repair great vessels defect | |
| 33780 | 14 | Repair great vessels defect | |
| 33781 | 59 | Repair great vessels defect | |
| 33782 | 45 | Nikaidoh proc, w/o ostia implt | |
| 33783 | 45 | Nikaidoh proc, w/ ostia implt(s) | |
| 33786 | 45 | Repair arterial trunk | |
| 33788 | 45 | Revision of pulmonary artery | |
| 33800 | 45 | Aortic suspension | |
| 33802 | 14 | Repair vessel defect | |
| 33803 | 45 | Repair vessel defect | |
| 33813 | 14 | Repair septal defect | |
| 33814 | 45 | Repair septal defect | |
| 33820 | 59 | Revise major vessel | |
| 33822 | 45 | Revise major vessel, <18yr | |
| 33824 | 45 | Revise major vessel | |
| 33840 | 45 | Remove aorta constriction | |
| 33845 | 45 | Remove aorta constriction | |
| 33851 | 45 | Remove aorta constriction | |
| 33852 | 27 | Repair septal defect | |
| 33853 | 45 | Repair septal defect | |
| 33860 | 45 | Ascending aortic graft | |
| 33861 | 45 | Ascending aortic graft | |
| 33863 | 45 | Ascending aortic graft | |
| 33864 | 14 | Ascending aortic graft | |
| 33870 | 45 | Transverse aortic arch graft | |
| 33875 | 45 | Thoracic aortic graft | |
| 33877 | 14 | Thoracoabdominal graft | |
| 33880 | 44 | Endovasc taa repr incl subcl | |
| 33881 | 44 | Endovasc taa repr w/o subcl | |
| 33883 | 45 | Insert endovasc prosth, taa | |
| 33884 | 238 | Endovasc prosth, taa, add-on | |
| 33886 | 45 | Endovasc prosth, delayed | |
| 33889 | 91 | Artery transpose/endovas taa | |
| 33891 | 122 | Car-car bp grft/endovas taa | |
| 33910 | 45 | Remove lung artery emboli | |
| 33915 | 14 | Remove lung artery emboli | |
| 33916 | 45 | Surgery of great vessel | |
| 33917 | 45 | Repair pulmonary artery | |
| 33920 | 14 | Repair pulmonary atresia | |
| 33922 | 45 | Transect pulmonary artery | |
| 33924 | 238 | Remove pulmonary shunt | |
| 33925 | 14 | Rpr pul art unifocal w/o cpb | |
| 33926 | 45 | Repr pul art, unifocal w/cpb | |
| 33930 | 270 | Removal of donor heart/lung | |
| 33933 | 201 | Prepare donor heart/lung | |
| 33935 | 34 | Transplantation, heart/lung | |
| 33940 | 270 | Removal of donor heart | |
| 33944 | 201 | Prepare donor heart | |
| 33945 | 34 | Transplantation of heart | |
| 33960 | 121 | External circulation assist | |
| 33961 | 240 | External circulation assist | |
| 33967 | 107 | Insert ia percut device | |
| 33968 | 138 | Remove aortic assist device | |
| 33970 | 90 | Aortic circulation assist | |
| 33971 | 61 | Aortic circulation assist | |
| 33973 | 120 | Insert balloon device | |
| 33974 | 61 | Remove intra-aortic balloon | |
| 33975 | 183 | Implant ventricular device | |
| 33976 | 182 | Implant ventricular device | |
| 33977 | 27 | Remove ventricular device | |
| 33978 | 26 | Remove ventricular device | |
| 33979 | 211 | Insert intracorporeal device | |
| 33980 | 59 | Remove intracorporeal device | |
| 33981 | 211 | Replace VAD pump, single or bivent, ea. | |
| 33982 | 211 | Replace VAD intra W/O cardio bypass | |
| 33983 | 211 | Replace VAD intra w/ cardio bypass | |
| 33999 | 198 | Cardiac surgery procedure, unlisted | |
| 34001 | 15 | Removal of artery clot | |
| 34051 | 15 | Removal of artery clot | |
| 34101 | 15 | Removal of artery clot | |
| 34111 | 15 | Removal of arm artery clot | |
| 34151 | 15 | Removal of artery clot | |
| 34201 | 15 | Removal of artery clot | |
| 34203 | 15 | Removal of leg artery clot | |
| 34401 | 15 | Removal of vein clot | |
| 34421 | 15 | Removal of vein clot | |
| 34451 | 15 | Removal of vein clot | |
| 34471 | 48 | Removal of vein clot | |
| 34490 | 25 | Removal of vein clot | |
| 34501 | 46 | Repair valve, femoral vein | |
| 34502 | 59 | Reconstruct vena cava | |
| 34510 | 46 | Transposition of vein valve | |
| 34520 | 46 | Cross-over vein graft | |
| 34530 | 46 | Leg vein fusion | |
| 34800 | 14 | Endovasc abdo repair w/tube | |
| 34802 | 14 | Endovasc abdo repr w/device | |
| 34803 | 13 | Endovas aaa repr w/3-p part | |
| 34804 | 14 | Endovasc abdo repr w/device | |
| 34805 | 14 | Endovasc abdo repair w/pros | |
| 34806 | 238 | Aneurysm press sensor, add-on | |
| 34808 | 238 | Endovasc abdo occlud device | |
| 34812 | 91 | Xpose for endoprosth, aortic | |
| 34813 | 225 | Xpose for endoprosth, femorl | |
| 34820 | 91 | Xpose for endoprosth, iliac | |
| 34825 | 45 | Endovasc extend prosth, init | |
| 34826 | 238 | Endovasc exten prosth, addl | |
| 34830 | 45 | Open aortic tube prosth repr | |
| 34831 | 45 | Open aortoiliac prosth repr | |
| 34832 | 45 | Open aortofemor prosth repr | |
| 34833 | 91 | Xpose for endoprosth, iliac | |
| 34834 | 91 | Xpose, endoposth, brachial | |
| 34900 | 46 | Endovasc iliac repr w/graft | |
| 35001 | 46 | Repair defect of artery | |
| 35002 | 46 | Repair artery rupture, neck | |
| 35005 | 46 | Repair defect of artery | |
| 35011 | 46 | Repair defect of artery | |
| 35013 | 46 | Repair artery rupture, arm | |
| 35021 | 46 | Repair defect of artery | |
| 35022 | 46 | Repair artery rupture, chest | |
| 35045 | 46 | Repair defect of arm artery | |
| 35081 | 14 | Repair defect of artery | |
| 35082 | 14 | Repair artery rupture, aorta | |
| 35091 | 46 | Repair defect of artery | |
| 35092 | 46 | Repair artery rupture, aorta | |
| 35102 | 46 | Repair defect of artery | |
| 35103 | 46 | Repair artery rupture, groin | |
| 35111 | 46 | Repair defect of artery | |
| 35112 | 46 | Repair artery rupture,spleen | |
| 35121 | 60 | Repair defect of artery | |
| 35122 | 46 | Repair artery rupture, belly | |
| 35131 | 46 | Repair defect of artery | |
| 35132 | 15 | Repair artery rupture, groin | |
| 35141 | 46 | Repair defect of artery | |
| 35142 | 46 | Repair artery rupture, thigh | |
| 35151 | 46 | Repair defect of artery | |
| 35152 | 46 | Repair artery rupture, knee | |
| 35180 | 45 | Repair blood vessel lesion | |
| 35182 | 45 | Repair blood vessel lesion | |
| 35184 | 45 | Repair blood vessel lesion | |
| 35188 | 39 | Repair blood vessel lesion | |
| 35189 | 45 | Repair blood vessel lesion | |
| 35190 | 45 | Repair blood vessel lesion | |
| 35201 | 15 | Repair blood vessel lesion | |
| 35206 | 15 | Repair blood vessel lesion | |
| 35207 | 11 | Repair blood vessel lesion | |
| 35211 | 15 | Repair blood vessel lesion | |
| 35216 | 15 | Repair blood vessel lesion | |
| 35221 | 15 | Repair blood vessel lesion | |
| 35226 | 15 | Repair blood vessel lesion | |
| 35231 | 15 | Repair blood vessel lesion | |
| 35236 | 15 | Repair blood vessel lesion | |
| 35241 | 15 | Repair blood vessel lesion | |
| 35246 | 15 | Repair blood vessel lesion | |
| 35251 | 15 | Repair blood vessel lesion | |
| 35256 | 15 | Repair blood vessel lesion | |
| 35261 | 15 | Repair blood vessel lesion | |
| 35266 | 15 | Repair blood vessel lesion | |
| 35271 | 15 | Repair blood vessel lesion | |
| 35276 | 15 | Repair blood vessel lesion | |
| 35281 | 15 | Repair blood vessel lesion | |
| 35286 | 15 | Repair blood vessel lesion | |
| 35301 | 15 | Rechanneling of artery | |
| 35302 | 15 | Rechanneling of artery | |
| 35303 | 15 | Rechanneling of artery | |
| 35304 | 15 | Rechanneling of artery | |
| 35305 | 15 | Rechanneling of artery | |
| 35306 | 238 | Rechanneling of artery | |
| 35311 | 15 | Rechanneling of artery | |
| 35321 | 15 | Rechanneling of artery | |
| 35331 | 15 | Rechanneling of artery | |
| 35341 | 15 | Rechanneling of artery | |
| 35351 | 15 | Rechanneling of artery | |
| 35355 | 15 | Rechanneling of artery | |
| 35361 | 15 | Rechanneling of artery | |
| 35363 | 15 | Rechanneling of artery | |
| 35371 | 15 | Rechanneling of artery | |
| 35372 | 15 | Rechanneling of artery | |
| 35390 | 238 | Reoperation, carotid add-on | |
| 35400 | 238 | Angioscopy | |
| 35450 | 91 | Repair arterial blockage | |
| 35452 | 91 | Repair arterial blockage | |
| 35454 | 91 | Repair arterial blockage | |
| 35456 | 91 | Repair arterial blockage | |
| 35458 | 91 | Repair arterial blockage | |
| 35459 | 91 | Repair arterial blockage | |
| 35460 | 119 | Repair venous blockage | |
| 35470 | 116 | Repair arterial blockage | |
| 35471 | 116 | Repair arterial blockage | |
| 35472 | 91 | Repair arterial blockage | |
| 35473 | 106 | Repair arterial blockage | |
| 35474 | 116 | Repair arterial blockage | |
| 35475 | 106 | Repair arterial blockage | |
| 35476 | 131 | Repair venous blockage | |
| 35480 | 90 | Atherectomy, open | |
| 35481 | 120 | Atherectomy, open | |
| 35482 | 90 | Atherectomy, open | |
| 35483 | 90 | Atherectomy, open | |
| 35484 | 90 | Atherectomy, open | |
| 35485 | 90 | Atherectomy, open | |
| 35490 | 137 | Atherectomy, percutaneous | |
| 35491 | 133 | Atherectomy, percutaneous | |
| 35492 | 129 | Atherectomy, percutaneous | |
| 35493 | 137 | Atherectomy, percutaneous | |
| 35494 | 137 | Atherectomy, percutaneous | |
| 35495 | 133 | Atherectomy, percutaneous | |
| 35500 | 225 | Harvest vein for bypass | |
| 35501 | 46 | Artery bypass graft | |
| 35506 | 15 | Artery bypass graft | |
| 35508 | 15 | Artery bypass graft | |
| 35509 | 15 | Artery bypass graft | |
| 35510 | 15 | Artery bypass graft | |
| 35511 | 15 | Artery bypass graft | |
| 35512 | 15 | Artery bypass graft | |
| 35515 | 15 | Artery bypass graft | |
| 35516 | 15 | Artery bypass graft | |
| 35518 | 15 | Artery bypass graft | |
| 35521 | 15 | Artery bypass graft | |
| 35522 | 15 | Artery bypass graft | |
| 35523 | 46 | Artery bypass graft | |
| 35525 | 15 | Artery bypass graft | |
| 35526 | 15 | Artery bypass graft | |
| 35531 | 15 | Artery bypass graft | |
| 35533 | 46 | Artery bypass graft | |
| 35535 | 46 | Artery bypass graft | |
| 35536 | 15 | Artery bypass graft | |
| 35537 | 14 | Artery bypass graft | |
| 35538 | 14 | Artery bypass graft | |
| 35539 | 15 | Artery bypass graft | |
| 35540 | 17 | Artery bypass graft | |
| 35548 | 14 | Artery bypass graft | |
| 35549 | 13 | Artery bypass graft | |
| 35551 | 15 | Artery bypass graft | |
| 35556 | 15 | Artery bypass graft | |
| 35558 | 15 | Artery bypass graft | |
| 35560 | 15 | Artery bypass graft | |
| 35563 | 15 | Artery bypass graft | |
| 35565 | 15 | Artery bypass graft | |
| 35566 | 46 | Artery bypass graft | |
| 35570 | 46 | Artery bypass graft | |
| 35571 | 46 | Artery bypass graft | |
| 35572 | 246 | Harvest femoropopliteal vein | |
| 35583 | 46 | Vein bypass graft | |
| 35585 | 46 | Vein bypass graft | |
| 35587 | 46 | Vein bypass graft | |
| 35600 | 238 | Harvest artery for cabg | |
| 35601 | 15 | Artery bypass graft | |
| 35606 | 15 | Artery bypass graft | |
| 35612 | 15 | Artery bypass graft | |
| 35616 | 15 | Artery bypass graft | |
| 35621 | 46 | Artery bypass graft | |
| 35623 | 46 | Bypass graft, not vein | |
| 35626 | 15 | Artery bypass graft | |
| 35631 | 15 | Artery bypass graft | |
| 35632 | 15 | Artery bypass graft | |
| 35633 | 46 | Artery bypass graft | |
| 35634 | 46 | Artery bypass graft | |
| 35636 | 15 | Artery bypass graft | |
| 35637 | 45 | Artery bypass graft | |
| 35638 | 45 | Artery bypass graft | |
| 35642 | 46 | Artery bypass graft | |
| 35645 | 15 | Artery bypass graft | |
| 35646 | 14 | Artery bypass graft | |
| 35647 | 15 | Aortofemoral bypass graft | |
| 35650 | 15 | Artery bypass graft | |
| 35651 | 15 | Artery bypass graft | |
| 35654 | 45 | Artery bypass graft | |
| 35656 | 15 | Artery bypass graft | |
| 35661 | 15 | Artery bypass graft | |
| 35663 | 15 | Artery bypass graft | |
| 35665 | 15 | Artery bypass graft | |
| 35666 | 46 | Artery bypass graft | |
| 35671 | 15 | Artery bypass graft | |
| 35681 | 225 | Composite bypass graft | |
| 35682 | 225 | Composite bypass graft | |
| 35683 | 225 | Composite bypass graft | |
| 35685 | 225 | Bypass graft patency/patch | |
| 35686 | 238 | Bypass graft/av fist patency | |
| 35691 | 46 | Arterial transposition | |
| 35693 | 46 | Arterial transposition | |
| 35694 | 15 | Arterial transposition | |
| 35695 | 46 | Arterial transposition | |
| 35697 | 238 | Reimplant artery each | |
| 35700 | 225 | Reoperation, bypass graft | |
| 35701 | 15 | Exploration, carotid artery | |
| 35721 | 15 | Exploration, femoral artery | |
| 35741 | 15 | Exploration popliteal artery | |
| 35761 | 9 | Exploration of artery/vein | |
| 35800 | 14 | Explore neck vessels | |
| 35820 | 14 | Explore chest vessels | |
| 35840 | 14 | Explore abdominal vessels | |
| 35860 | 14 | Explore limb vessels | |
| 35870 | 45 | Repair vessel graft defect | |
| 35875 | 10 | Removal of clot in graft | |
| 35876 | 8 | Removal of clot in graft | |
| 35879 | 46 | Revise graft w/vein | |
| 35881 | 46 | Revise graft w/vein | |
| 35883 | 15 | Revise graft w/nonauto graft | |
| 35884 | 46 | Revise graft w/vein | |
| 35901 | 45 | Excision, graft, neck | |
| 35903 | 45 | Excision, graft, extremity | |
| 35905 | 45 | Excision, graft, thorax | |
| 35907 | 45 | Excision, graft, abdomen | |
| 36000 | 191 | Place needle in vein | |
| 36002 | 106 | Pseudoaneurysm injection trt | |
| 36005 | 110 | Injection ext venography | |
| 36010 | 196 | Place catheter in vein | |
| 36011 | 196 | Place catheter in vein | |
| 36012 | 196 | Place catheter in vein | |
| 36013 | 192 | Place catheter in artery | |
| 36014 | 196 | Place catheter in artery | |
| 36015 | 196 | Place catheter in artery | |
| 36100 | 196 | Establish access to artery | |
| 36120 | 192 | Establish access to artery | |
| 36140 | 192 | Establish access to artery | |
| 36147 | 176 | Access av dial grft for eval | |
| 36148 | 246 | Access av dial grft for proc | |
| 36160 | 192 | Establish access to aorta | |
| 36200 | 196 | Place catheter in aorta | |
| 36215 | 192 | Place catheter in artery | |
| 36216 | 192 | Place catheter in artery | |
| 36217 | 192 | Place catheter in artery | |
| 36218 | 232 | Place catheter in artery | |
| 36245 | 196 | Place catheter in artery | |
| 36246 | 196 | Place catheter in artery | |
| 36247 | 196 | Place catheter in artery | |
| 36248 | 232 | Place catheter in artery | |
| 36260 | 55 | Insertion of infusion pump | |
| 36261 | 20 | Revision of infusion pump | |
| 36262 | 55 | Removal of infusion pump | |
| 36299 | 198 | Vessel injection procedure, unlisted | |
| 36410 | 192 | Non-routine bl draw, > 3 yrs | |
| 36415 | 266 | Routine venipuncture | |
| 36425 | 179 | Establish access to vein | |
| 36430 | 180 | Blood transfusion service | |
| 36455 | 208 | Exchange transfusion service | |
| 36468 | 124 | Injection(s), spider veins | |
| 36469 | 124 | Injection(s), spider veins | |
| 36470 | 25 | Injection therapy of vein | |
| 36471 | 57 | Injection therapy of veins | |
| 36475 | 131 | Endovenous rf, 1st vein | |
| 36476 | 245 | Endovenous rf, vein add-on | |
| 36478 | 131 | Endovenous laser, 1st vein | |
| 36479 | 245 | Endovenous laser vein addon | |
| 36481 | 113 | Insertion of catheter, vein | |
| 36500 | 113 | Insertion of catheter, vein | |
| 36511 | 129 | Apheresis wbc | |
| 36512 | 129 | Apheresis rbc | |
| 36513 | 129 | Apheresis platelets | |
| 36514 | 129 | Apheresis plasma | |
| 36515 | 129 | Apheresis, adsorp/reinfuse | |
| 36516 | 129 | Apheresis, selective | |
| 36522 | 129 | Photopheresis | |
| 36556 | 105 | Insert non-tunnel cv cath | |
| 36558 | 21 | Insert tunneled cv cath | |
| 36561 | 21 | Insert tunneled cv cath | |
| 36563 | 20 | Insert tunneled cv cath | |
| 36565 | 21 | Insert tunneled cv cath | |
| 36566 | 21 | Insert tunneled cv cath | |
| 36569 | 105 | Insert tunneled cv cath | |
| 36571 | 21 | Insert tunneled cv cath | |
| 36575 | 96 | Repair tunneled cv cath | |
| 36576 | 20 | Repair tunneled cv cath | |
| 36578 | 20 | Replace tunneled cv cath | |
| 36580 | 130 | Replace tunneled cv cath | |
| 36581 | 50 | Replace tunneled cv cath | |
| 36582 | 50 | Replace tunneled cv cath | |
| 36583 | 50 | Replace tunneled cv cath | |
| 36584 | 130 | Replace tunneled cv cath | |
| 36585 | 50 | Replace tunneled cv cath | |
| 36589 | 52 | Removal tunneled cv cath | |
| 36590 | 50 | Removal tunneled cv cath | |
| 36591 | 213 | Draw blood off venous device | |
| 36592 | 213 | Collect blood from PICC | |
| 36593 | 177 | Declot vascular device | |
| 36595 | 129 | Mech remov tunneled cv cath | |
| 36596 | 104 | Mech remov tunneled cv cath | |
| 36597 | 104 | Reposition venous catheter | |
| 36598 | 125 | Inj w/fluor, eval cv device | |
| 36600 | 192 | Withdrawal of arterial blood | |
| 36620 | 114 | Insertion catheter, artery | |
| 36625 | 114 | Insertion catheter, artery | |
| 36640 | 104 | Insertion catheter, artery | |
| 36680 | 124 | Insert needle, bone cavity | |
| 36800 | 104 | Insertion of cannula | |
| 36810 | 104 | Insertion of cannula | |
| 36815 | 104 | Insertion of cannula | |
| 36818 | 8 | Av fuse, uppr arm, cephalic | |
| 36819 | 8 | Av fusion/uppr arm vein | |
| 36820 | 40 | Av fusion/forearm vein | |
| 36821 | 8 | Av fusion direct any site | |
| 36822 | 30 | Insertion of cannula(s) | |
| 36823 | 61 | Insertion of cannula(s) | |
| 36825 | 8 | Artery-vein graft | |
| 36830 | 8 | Artery-vein graft | |
| 36831 | 8 | Open thrombect av fistula | |
| 36832 | 8 | Av fistula revision, open | |
| 36833 | 8 | Av fistula revision | |
| 36835 | 24 | Artery to vein shunt | |
| 36838 | 15 | Dist revas ligation, hemo | |
| 36860 | 104 | External cannula declotting | |
| 36861 | 104 | Cannula declotting | |
| 36870 | 43 | Percut thrombect av fistula | |
| 37140 | 47 | Revision of circulation | |
| 37145 | 59 | Revision of circulation | |
| 37160 | 45 | Revision of circulation | |
| 37180 | 45 | Revision of circulation | |
| 37181 | 45 | Splice spleen/kidney veins | |
| 37182 | 133 | Insert hepatic shunt (tips) | |
| 37183 | 133 | Remove hepatic shunt (tips) | |
| 37184 | 89 | Prim art mech thrombectomy | |
| 37185 | 235 | Prim art m-thrombect add-on | |
| 37186 | 235 | Sec art m-thrombect add-on | |
| 37187 | 119 | Venous mech thrombectomy | |
| 37188 | 119 | Venous m-thrombectomy add-on | |
| 37195 | 213 | Thrombolytic therapy, stroke | |
| 37200 | 104 | Transcatheter biopsy | |
| 37201 | 113 | Transcatheter therapy infuse | |
| 37202 | 113 | Transcatheter therapy infuse | |
| 37203 | 104 | Transcatheter retrieval | |
| 37204 | 113 | Transcatheter occlusion | |
| 37205 | 107 | Transcatheter stent | |
| 37206 | 246 | Transcatheter stent add-on | |
| 37207 | 91 | Transcatheter stent | |
| 37208 | 238 | Transcatheter stent add-on | |
| 37209 | 113 | Exchange arterial catheter | |
| 37210 | 137 | Embolization uterine fibroid | |
| 37215 | 27 | Transcath stent, cca w/eps | |
| 37216 | 70 | Transcath stent, cca w/o eps | |
| 37250 | 238 | Iv us first vessel add-on | |
| 37251 | 238 | Iv us each add vessel add-on | |
| 37500 | 11 | Endoscopy ligate perf veins | |
| 37501 | 203 | Vascular endoscopy procedure | |
| 37565 | 45 | Ligation of neck vein | |
| 37600 | 45 | Ligation of neck artery | |
| 37605 | 45 | Ligation of neck artery | |
| 37606 | 59 | Ligation of neck artery | |
| 37607 | 10 | Ligation of a-v fistula | |
| 37609 | 57 | Temporal artery procedure | |
| 37615 | 14 | Ligation of neck artery | |
| 37616 | 14 | Ligation of chest artery | |
| 37617 | 14 | Ligation of abdomen artery | |
| 37618 | 14 | Ligation of extremity artery | |
| 37620 | 47 | Revision of major vein | |
| 37650 | 43 | Revision of major vein | |
| 37660 | 45 | Revision of major vein | |
| 37700 | 25 | Revise leg vein | |
| 37718 | 11 | Ligate/strip short leg vein | |
| 37722 | 11 | Ligate/strip long leg vein | |
| 37735 | 11 | Removal of leg veins/lesion | |
| 37760 | 42 | Revision of leg veins | |
| 37761 | 40 | Ligation leg vein(s), open w/ ultrasound, 1 leg | |
| 37765 | 11 | Phleb veins - extrem - to 20 | |
| 37766 | 11 | Phleb veins - extrem 20+ | |
| 37780 | 11 | Revision of leg vein | |
| 37785 | 25 | Revise secondary varicosity | |
| 37788 | 45 | Revascularization, penis | |
| 37790 | 50 | Penile venous occlusion | |
| 37799 | 198 | Vascular surgery procedure, unlisted | |
| 38100 | 14 | Removal of spleen, total | |
| 38101 | 14 | Removal of spleen, partial | |
| 38102 | 225 | Removal of spleen, total | |
| 38115 | 45 | Repair of ruptured spleen | |
| 38120 | 14 | Laparoscopy, splenectomy | |
| 38129 | 211 | Laparoscope proc, spleen | |
| 38200 | 133 | Injection for spleen x-ray | |
| 38204 | 270 | Bl donor search management | |
| 38205 | 133 | Harvest allogenic stem cells | |
| 38206 | 124 | Harvest auto stem cells | |
| 38207 | 270 | Cryopreserve stem cells | |
| 38208 | 270 | Thaw preserved stem cells | |
| 38209 | 270 | Wash harvest stem cells | |
| 38210 | 270 | T-cell depletion of harvest | |
| 38211 | 270 | Tumor cell deplete of harvst | |
| 38212 | 270 | Rbc depletion of harvest | |
| 38213 | 270 | Platelet deplete of harvest | |
| 38214 | 270 | Volume deplete of harvest | |
| 38215 | 270 | Harvest stem cell concentrte | |
| 38220 | 178 | Bone marrow aspiration | |
| 38221 | 178 | Biopsy, needle/trocar | |
| 38230 | 50 | Bone marrow collection | |
| 38240 | 211 | Bone marrow/stem transplant | |
| 38241 | 205 | Bone marrow/stem transplant | |
| 38242 | 133 | Lymphocyte infuse transplant | |
| 38300 | 24 | Drainage, lymph node lesion | |
| 38305 | 55 | Drainage, lymph node lesion | |
| 38308 | 8 | Incision of lymph channels | |
| 38380 | 45 | Thoracic duct procedure | |
| 38381 | 45 | Thoracic duct procedure | |
| 38382 | 45 | Thoracic duct procedure | |
| 38500 | 25 | Biopsy/removal, lymph nodes | |
| 38505 | 106 | Needle biopsy, lymph nodes | |
| 38510 | 25 | Biopsy/removal, lymph nodes | |
| 38520 | 25 | Biopsy/removal, lymph nodes | |
| 38525 | 25 | Biopsy/removal, lymph nodes | |
| 38530 | 9 | Biopsy/removal, lymph nodes | |
| 38542 | 9 | Explore deep node(s), neck | |
| 38550 | 20 | Removal, neck/armpit lesion | |
| 38555 | 39 | Removal, neck/armpit lesion | |
| 38562 | 13 | Removal, pelvic lymph nodes | |
| 38564 | 14 | Removal, abdomen lymph nodes | |
| 38570 | 8 | Laparoscopy, lymph node biop | |
| 38571 | 7 | Laparoscopy, lymphadenectomy | |
| 38572 | 7 | Laparoscopy, lymphadenectomy | |
| 38589 | 214 | Laparoscope proc, lymphatic, unlisted | |
| 38700 | 9 | Removal of lymph nodes, neck | |
| 38720 | 15 | Removal of lymph nodes, neck | |
| 38724 | 15 | Removal of lymph nodes, neck | |
| 38740 | 9 | Remove armpit lymph nodes | |
| 38745 | 40 | Remove armpit lymph nodes | |
| 38746 | 238 | Remove thoracic lymph nodes | |
| 38747 | 225 | Remove abdominal lymph nodes | |
| 38760 | 9 | Remove groin lymph nodes | |
| 38765 | 15 | Remove groin lymph nodes | |
| 38770 | 15 | Remove pelvis lymph nodes | |
| 38780 | 14 | Remove abdomen lymph nodes | |
| 38790 | 140 | Inject for lymphatic x-ray | |
| 38792 | 140 | Identify sentinel node | |
| 38794 | 59 | Access thoracic lymph duct | |
| 38999 | 200 | Blood/lymph system procedure, unlisted | |
| 39000 | 14 | Exploration of chest | |
| 39010 | 14 | Exploration of chest | |
| 39200 | 45 | Removal chest lesion | |
| 39220 | 14 | Removal chest lesion | |
| 39400 | 61 | Visualization of chest | |
| 39499 | 198 | Chest procedure, unlisted | |
| 39501 | 14 | Repair diaphragm laceration | |
| 39502 | 14 | Repair paraesophageal hernia | |
| 39503 | 45 | Repair of diaphragm hernia | |
| 39520 | 14 | Repair of diaphragm hernia | |
| 39530 | 14 | Repair of diaphragm hernia | |
| 39531 | 14 | Repair of diaphragm hernia | |
| 39540 | 14 | Repair of diaphragm hernia | |
| 39541 | 14 | Repair of diaphragm hernia | |
| 39545 | 14 | Revision of diaphragm | |
| 39560 | 14 | Resect diaphragm, simple | |
| 39561 | 14 | Resect diaphragm, complex | |
| 39599 | 198 | Diaphragm surgery procedure, unlisted | |
| 40490 | 129 | Biopsy of lip | |
| 40500 | 24 | Partial excision of lip | |
| 40510 | 24 | Partial excision of lip | |
| 40520 | 24 | Partial excision of lip | |
| 40525 | 55 | Reconstruct lip with flap | |
| 40527 | 50 | Reconstruct lip with flap | |
| 40530 | 55 | Partial removal of lip | |
| 40650 | 50 | Repair lip | |
| 40652 | 50 | Repair lip | |
| 40654 | 55 | Repair lip | |
| 40700 | 20 | Repair cleft lip/nasal | |
| 40701 | 49 | Repair cleft lip/nasal | |
| 40702 | 49 | Repair cleft lip/nasal | |
| 40720 | 52 | Repair cleft lip/nasal | |
| 40761 | 55 | Repair cleft lip/nasal | |
| 40799 | 198 | Lip surgery procedure, unlisted | |
| 40800 | 24 | Drainage of mouth lesion | |
| 40801 | 55 | Drainage of mouth lesion | |
| 40804 | 20 | Removal, foreign body, mouth | |
| 40805 | 50 | Removal, foreign body, mouth | |
| 40806 | 96 | Incision of lip fold | |
| 40808 | 24 | Biopsy of mouth lesion | |
| 40810 | 24 | Excision of mouth lesion | |
| 40812 | 24 | Excise/repair mouth lesion | |
| 40814 | 55 | Excise/repair mouth lesion | |
| 40816 | 55 | Excision of mouth lesion | |
| 40818 | 50 | Excise oral mucosa for graft | |
| 40819 | 50 | Excise lip or cheek fold | |
| 40820 | 55 | Treatment of mouth lesion | |
| 40830 | 50 | Repair mouth laceration | |
| 40831 | 50 | Repair mouth laceration | |
| 40840 | 20 | Reconstruction of mouth | |
| 40842 | 20 | Reconstruction of mouth | |
| 40843 | 19 | Reconstruction of mouth | |
| 40844 | 20 | Reconstruction of mouth | |
| 40845 | 50 | Reconstruction of mouth | |
| 40899 | 198 | Mouth surgery procedure, unlisted | |
| 41000 | 24 | Drainage of mouth lesion | |
| 41005 | 20 | Drainage of mouth lesion | |
| 41006 | 50 | Drainage of mouth lesion | |
| 41007 | 50 | Drainage of mouth lesion | |
| 41008 | 50 | Drainage of mouth lesion | |
| 41009 | 50 | Drainage of mouth lesion | |
| 41010 | 20 | Incision of tongue fold | |
| 41015 | 50 | Drainage of mouth lesion | |
| 41016 | 50 | Drainage of mouth lesion | |
| 41017 | 50 | Drainage of mouth lesion | |
| 41018 | 50 | Drainage of mouth lesion | |
| 41019 | 117 | Place needles, head/neck for rt | |
| 41100 | 24 | Biopsy of tongue | |
| 41105 | 24 | Biopsy of tongue | |
| 41108 | 24 | Biopsy of floor of mouth | |
| 41110 | 24 | Excision of tongue lesion | |
| 41112 | 24 | Excision of tongue lesion | |
| 41113 | 24 | Excision of tongue lesion | |
| 41114 | 20 | Excision of tongue lesion | |
| 41115 | 20 | Excision of tongue fold | |
| 41116 | 24 | Excision of mouth lesion | |
| 41120 | 8 | Partial removal of tongue | |
| 41130 | 14 | Partial removal of tongue | |
| 41135 | 14 | Tongue and neck surgery | |
| 41140 | 14 | Removal of tongue | |
| 41145 | 14 | Tongue removal, neck surgery | |
| 41150 | 14 | Tongue, mouth, jaw surgery | |
| 41153 | 14 | Tongue, mouth, neck surgery | |
| 41155 | 45 | Tongue, jaw, & neck surgery | |
| 41250 | 20 | Repair tongue laceration | |
| 41251 | 20 | Repair tongue laceration | |
| 41252 | 50 | Repair tongue laceration | |
| 41500 | 20 | Fixation of tongue | |
| 41510 | 20 | Tongue to lip surgery | |
| 41512 | 50 | Tongue suspension | |
| 41520 | 20 | Reconstruction, tongue fold | |
| 41530 | 50 | Tongue base vol reduction | |
| 41599 | 198 | Tongue and mouth surgery, unlisted | |
| 41800 | 24 | Drainage of gum lesion | |
| 41805 | 20 | Removal foreign body, gum | |
| 41806 | 50 | Removal foreign body,jawbone | |
| 41820 | 124 | Excision, gum, each quadrant | |
| 41821 | 124 | Excision of gum flap | |
| 41822 | 50 | Excision of gum lesion | |
| 41823 | 50 | Excision of gum lesion | |
| 41825 | 24 | Excision of gum lesion | |
| 41826 | 24 | Excision of gum lesion | |
| 41827 | 55 | Excision of gum lesion | |
| 41828 | 50 | Excision of gum lesion | |
| 41830 | 50 | Removal of gum tissue | |
| 41850 | 124 | Treatment of gum lesion | |
| 41870 | 124 | Gum graft | |
| 41872 | 50 | Repair gum | |
| 41874 | 50 | Repair tooth socket | |
| 41899 | 198 | Dental surgery procedure, unlisted | |
| 42000 | 20 | Drainage mouth roof lesion | |
| 42100 | 24 | Biopsy roof of mouth | |
| 42104 | 24 | Excision lesion, mouth roof | |
| 42106 | 24 | Excision lesion, mouth roof | |
| 42107 | 55 | Excision lesion, mouth roof | |
| 42120 | 39 | Remove palate/lesion | |
| 42140 | 24 | Excision of uvula | |
| 42145 | 55 | Repair palate, pharynx/uvula | |
| 42160 | 20 | Treatment mouth roof lesion | |
| 42180 | 50 | Repair palate | |
| 42182 | 50 | Repair palate | |
| 42200 | 50 | Reconstruct cleft palate | |
| 42205 | 20 | Reconstruct cleft palate | |
| 42210 | 50 | Reconstruct cleft palate | |
| 42215 | 20 | Reconstruct cleft palate | |
| 42220 | 20 | Reconstruct cleft palate | |
| 42225 | 20 | Reconstruct cleft palate | |
| 42226 | 50 | Lengthening of palate | |
| 42227 | 50 | Lengthening of palate | |
| 42235 | 50 | Repair palate | |
| 42260 | 50 | Repair nose to lip fistula | |
| 42280 | 50 | Preparation, palate mold | |
| 42281 | 50 | Insertion, palate prosthesis | |
| 42299 | 198 | Palate/uvula surgery, unlisted | |
| 42300 | 24 | Drainage of salivary gland | |
| 42305 | 20 | Drainage of salivary gland | |
| 42310 | 20 | Drainage of salivary gland | |
| 42320 | 20 | Drainage of salivary gland | |
| 42330 | 24 | Removal of salivary stone | |
| 42335 | 24 | Removal of salivary stone | |
| 42340 | 50 | Removal of salivary stone | |
| 42400 | 104 | Biopsy of salivary gland | |
| 42405 | 55 | Biopsy of salivary gland | |
| 42408 | 50 | Excision of salivary cyst | |
| 42409 | 50 | Drainage of salivary cyst | |
| 42410 | 8 | Excise parotid gland/lesion | |
| 42415 | 8 | Excise parotid gland/lesion | |
| 42420 | 8 | Excise parotid gland/lesion | |
| 42425 | 8 | Excise parotid gland/lesion | |
| 42426 | 45 | Excise parotid gland/lesion | |
| 42440 | 8 | Excise submaxillary gland | |
| 42450 | 50 | Excise sublingual gland | |
| 42500 | 50 | Repair salivary duct | |
| 42505 | 55 | Repair salivary duct | |
| 42507 | 19 | Parotid duct diversion | |
| 42508 | 19 | Parotid duct diversion | |
| 42509 | 49 | Parotid duct diversion | |
| 42510 | 38 | Parotid duct diversion | |
| 42550 | 137 | Injection for salivary x-ray | |
| 42600 | 50 | Closure of salivary fistula | |
| 42650 | 104 | Dilation of salivary duct | |
| 42660 | 124 | Dilation of salivary duct | |
| 42665 | 20 | Ligation of salivary duct | |
| 42699 | 198 | Salivary surgery procedure, unlisted | |
| 42700 | 55 | Drainage of tonsil abscess | |
| 42720 | 50 | Drainage of throat abscess | |
| 42725 | 39 | Drainage of throat abscess | |
| 42800 | 24 | Biopsy of throat | |
| 42802 | 24 | Biopsy of throat | |
| 42804 | 24 | Biopsy of upper nose/throat | |
| 42806 | 24 | Biopsy of upper nose/throat | |
| 42808 | 24 | Excise pharynx lesion | |
| 42809 | 55 | Remove pharynx foreign body | |
| 42810 | 20 | Excision of neck cyst | |
| 42815 | 39 | Excision of neck cyst | |
| 42821 | 20 | Remove tonsils and adenoids | |
| 42826 | 24 | Removal of tonsils | |
| 42831 | 20 | Removal of adenoids | |
| 42836 | 20 | Removal of adenoids | |
| 42842 | 27 | Extensive surgery of throat | |
| 42844 | 45 | Extensive surgery of throat | |
| 42845 | 45 | Extensive surgery of throat | |
| 42860 | 20 | Excision of tonsil tags | |
| 42870 | 50 | Excision of lingual tonsil | |
| 42890 | 39 | Partial removal of pharynx | |
| 42892 | 39 | Revision of pharyngeal walls | |
| 42894 | 45 | Revision of pharyngeal walls | |
| 42900 | 20 | Repair throat wound | |
| 42950 | 39 | Reconstruction of throat | |
| 42953 | 59 | Repair throat, esophagus | |
| 42955 | 50 | Surgical opening of throat | |
| 42960 | 20 | Control throat bleeding | |
| 42961 | 27 | Control throat bleeding | |
| 42962 | 24 | Control throat bleeding | |
| 42970 | 24 | Control nose/throat bleeding | |
| 42971 | 27 | Control nose/throat bleeding | |
| 42972 | 20 | Control nose/throat bleeding | |
| 42999 | 198 | Throat surgery procedure, unlisted | |
| 43020 | 45 | Incision of esophagus | |
| 43030 | 8 | Throat muscle surgery | |
| 43045 | 45 | Incision of esophagus | |
| 43100 | 14 | Excision of esophagus lesion | |
| 43101 | 14 | Excision of esophagus lesion | |
| 43107 | 14 | Removal of esophagus | |
| 43108 | 45 | Removal of esophagus | |
| 43112 | 14 | Removal of esophagus | |
| 43113 | 45 | Removal of esophagus | |
| 43116 | 14 | Partial removal of esophagus | |
| 43117 | 14 | Partial removal of esophagus | |
| 43118 | 14 | Partial removal of esophagus | |
| 43121 | 14 | Partial removal of esophagus | |
| 43122 | 14 | Partial removal of esophagus | |
| 43123 | 14 | Partial removal of esophagus | |
| 43124 | 45 | Removal of esophagus | |
| 43130 | 8 | Removal of esophagus pouch | |
| 43135 | 14 | Removal of esophagus pouch | |
| 43200 | 104 | Esophagus endoscopy | |
| 43201 | 104 | Esoph scope w/submucous inj | |
| 43202 | 104 | Esophagus endoscopy, biopsy | |
| 43204 | 104 | Esophagus endoscopy & inject | |
| 43205 | 96 | Esophagus endoscopy/ligation | |
| 43215 | 104 | Esophagus endoscopy | |
| 43216 | 96 | Esophagus endoscopy/lesion | |
| 43217 | 104 | Esophagus endoscopy | |
| 43219 | 104 | Esophagus endoscopy | |
| 43220 | 104 | Esoph endoscopy, dilation | |
| 43226 | 104 | Esoph endoscopy, dilation | |
| 43227 | 104 | Esoph endoscopy, repair | |
| 43228 | 104 | Esoph endoscopy, ablation | |
| 43231 | 87 | Esoph endoscopy w/us exam | |
| 43232 | 87 | Esoph endoscopy w/us fn bx | |
| 43234 | 104 | Upper GI endoscopy, exam | |
| 43235 | 104 | Uppr gi endoscopy, diagnosis | |
| 43236 | 104 | Uppr gi scope w/submuc inj | |
| 43237 | 96 | Endoscopic us exam, esoph | |
| 43238 | 96 | Uppr gi endoscopy w/us fn bx | |
| 43239 | 104 | Upper GI endoscopy, biopsy | |
| 43240 | 104 | Esoph endoscope w/drain cyst | |
| 43241 | 104 | Upper GI endoscopy with tube | |
| 43242 | 96 | Uppr gi endoscopy w/us fn bx | |
| 43243 | 104 | Upper gi endoscopy & inject | |
| 43244 | 96 | Upper GI endoscopy/ligation | |
| 43245 | 104 | Operative upper GI endoscopy | |
| 43246 | 87 | Place gastrostomy tube | |
| 43247 | 104 | Operative upper GI endoscopy | |
| 43248 | 104 | Uppr gi endoscopy/guide wire | |
| 43249 | 104 | Esoph endoscopy, dilation | |
| 43250 | 104 | Upper GI endoscopy/tumor | |
| 43251 | 104 | Operative upper GI endoscopy | |
| 43255 | 104 | Operative upper GI endoscopy | |
| 43256 | 104 | Uppr gi endoscopy w stent | |
| 43257 | 104 | Uppr gi scope w/thrml txmnt | |
| 43258 | 104 | Operative upper GI endoscopy | |
| 43259 | 96 | Endoscopic ultrasound exam | |
| 43260 | 104 | Endo cholangiopancreatograph | |
| 43261 | 129 | Endo cholangiopancreatograph | |
| 43262 | 129 | Endo cholangiopancreatograph | |
| 43263 | 129 | Endo cholangiopancreatograph | |
| 43264 | 104 | Endo cholangiopancreatograph | |
| 43265 | 104 | Endo cholangiopancreatograph | |
| 43267 | 129 | Endo cholangiopancreatograph | |
| 43268 | 129 | Endo cholangiopancreatograph | |
| 43269 | 129 | Endo cholangiopancreatograph | |
| 43271 | 129 | Endo cholangiopancreatograph | |
| 43272 | 124 | Endo cholangiopancreatograph | |
| 43273 | 241 | Endoscopic pancreatoscopy | |
| 43279 | 45 | Lap myotomy, heller | |
| 43280 | 14 | Laparoscopy, fundoplasty | |
| 43281 | 14 | Lap paraesophag hern repair | |
| 43282 | 45 | Lap paraesoph hern repairr w/mesh | |
| 43289 | 214 | Laparoscope proc, esoph | |
| 43300 | 14 | Repair of esophagus | |
| 43305 | 45 | Repair esophagus and fistula | |
| 43310 | 14 | Repair of esophagus | |
| 43312 | 45 | Repair esophagus and fistula | |
| 43313 | 14 | Esophagoplasty congential | |
| 43314 | 45 | Tracheo-esophagoplasty cong | |
| 43320 | 45 | Fuse esophagus & stomach | |
| 43324 | 45 | Revise esophagus & stomach | |
| 43325 | 45 | Revise esophagus & stomach | |
| 43326 | 45 | Revise esophagus & stomach | |
| 43330 | 45 | Repair of esophagus | |
| 43331 | 45 | Repair of esophagus | |
| 43340 | 45 | Fuse esophagus & intestine | |
| 43341 | 45 | Fuse esophagus & intestine | |
| 43350 | 45 | Surgical opening, esophagus | |
| 43351 | 45 | Surgical opening, esophagus | |
| 43352 | 45 | Surgical opening, esophagus | |
| 43360 | 45 | Gastrointestinal repair | |
| 43361 | 45 | Gastrointestinal repair | |
| 43400 | 14 | Ligate esophagus veins | |
| 43401 | 45 | Esophagus surgery for veins | |
| 43405 | 45 | Ligate/staple esophagus | |
| 43410 | 45 | Repair esophagus wound | |
| 43415 | 14 | Repair esophagus wound | |
| 43420 | 45 | Repair esophagus opening | |
| 43425 | 45 | Repair esophagus opening | |
| 43450 | 104 | Dilate esophagus | |
| 43453 | 104 | Dilate esophagus | |
| 43456 | 104 | Dilate esophagus | |
| 43458 | 104 | Dilate esophagus | |
| 43460 | 137 | Pressure treatment esophagus | |
| 43496 | 14 | Free jejunum flap, microvasc | |
| 43499 | 200 | Esophagus surgery procedure, unlisted | |
| 43500 | 14 | Surgical opening of stomach | |
| 43501 | 14 | Surgical repair of stomach | |
| 43502 | 14 | Surgical repair of stomach | |
| 43510 | 45 | Surgical opening of stomach | |
| 43520 | 14 | Incision of pyloric muscle | |
| 43600 | 104 | Biopsy of stomach | |
| 43605 | 14 | Biopsy of stomach | |
| 43610 | 14 | Excision of stomach lesion | |
| 43611 | 14 | Excision of stomach lesion | |
| 43620 | 45 | Removal of stomach | |
| 43621 | 45 | Removal of stomach | |
| 43622 | 45 | Removal of stomach | |
| 43631 | 45 | Removal of stomach, partial | |
| 43632 | 45 | Removal of stomach, partial | |
| 43633 | 14 | Removal of stomach, partial | |
| 43634 | 45 | Removal of stomach, partial | |
| 43635 | 238 | Removal of stomach, partial | |
| 43640 | 14 | Vagotomy & pylorus repair | |
| 43641 | 45 | Vagotomy & pylorus repair | |
| 43644 | 14 | Lap gastric bypass/roux-en-y | |
| 43645 | 14 | Lap gastr bypass incl smll i | |
| 43647 | 175 | Lap impl electrode, antrum | |
| 43648 | 175 | Lap revise/remv eltrd antrum | |
| 43651 | 45 | Laparoscopy, vagus nerve | |
| 43652 | 45 | Laparoscopy, vagus nerve | |
| 43653 | 8 | Laparoscopy, gastrostomy | |
| 43659 | 214 | Laparoscope proc, stom | |
| 43752 | 105 | Nasal/orogastric w/stent | |
| 43760 | 104 | Change gastrostomy tube | |
| 43761 | 104 | Reposition gastrostomy tube | |
| 43770 | 8 | Lap, place gastr adjust band | |
| 43771 | 14 | Lap, revise adjust gast band | |
| 43772 | 14 | Lap, remove adjust gast band | |
| 43773 | 14 | Lap, change adjust gast band | |
| 43774 | 14 | Lap remov adj gast band/port | |
| 43775 | 45 | Lap sleeve gastrectomy | |
| 43800 | 14 | Reconstruction of pylorus | |
| 43810 | 14 | Fusion of stomach and bowel | |
| 43820 | 14 | Fusion of stomach and bowel | |
| 43825 | 14 | Fusion of stomach and bowel | |
| 43830 | 14 | Place gastrostomy tube | |
| 43831 | 14 | Place gastrostomy tube | |
| 43832 | 14 | Place gastrostomy tube | |
| 43840 | 14 | Repair of stomach lesion | |
| 43842 | 70 | Gastroplasty for obesity | |
| 43843 | 45 | Gastroplasty for obesity | |
| 43845 | 14 | Gastroplasty duodenal switch | |
| 43846 | 14 | Gastric bypass for obesity | |
| 43847 | 45 | Gastric bypass for obesity | |
| 43848 | 14 | Revision gastroplasty | |
| 43850 | 14 | Revise stomach-bowel fusion | |
| 43855 | 45 | Revise stomach-bowel fusion | |
| 43860 | 14 | Revise stomach-bowel fusion | |
| 43865 | 14 | Revise stomach-bowel fusion | |
| 43870 | 45 | Repair stomach opening | |
| 43880 | 45 | Repair stomach-bowel fistula | |
| 43881 | 201 | Impl/redo electrd, antrum | |
| 43882 | 175 | Revise/remove electrd antrum | |
| 43886 | 8 | Revise gastric port, open | |
| 43887 | 8 | Remove gastric port, open | |
| 43888 | 8 | Change gastric port, open | |
| 43999 | 198 | Stomach surgery procedure, unlisted | |
| 44005 | 14 | Freeing of bowel adhesion | |
| 44010 | 14 | Incision of small bowel | |
| 44015 | 225 | Insert needle cath bowel | |
| 44020 | 14 | Explore small intestine | |
| 44021 | 14 | Decompress small bowel | |
| 44025 | 14 | Incision of large bowel | |
| 44050 | 14 | Reduce bowel obstruction | |
| 44055 | 45 | Correct malrotation of bowel | |
| 44100 | 104 | Biopsy of bowel | |
| 44110 | 14 | Excise intestine lesion(s) | |
| 44111 | 45 | Excision of bowel lesion(s) | |
| 44120 | 14 | Removal of small intestine | |
| 44121 | 238 | Removal of small intestine | |
| 44125 | 45 | Removal of small intestine | |
| 44126 | 14 | Enterectomy w/taper, cong | |
| 44127 | 14 | Enterectomy w/o taper, cong | |
| 44128 | 238 | Enterectomy cong, add-on | |
| 44130 | 14 | Bowel to bowel fusion | |
| 44132 | 185 | Enterectomy, cadaver donor | |
| 44133 | 185 | Enterectomy, live donor | |
| 44135 | 185 | Intestine transplnt, cadaver | |
| 44136 | 185 | Intestine transplant, live | |
| 44137 | 201 | Remove intestinal allograft | |
| 44139 | 238 | Mobilization of colon | |
| 44140 | 14 | Partial removal of colon | |
| 44141 | 14 | Partial removal of colon | |
| 44143 | 14 | Partial removal of colon | |
| 44144 | 14 | Partial removal of colon | |
| 44145 | 14 | Partial removal of colon | |
| 44146 | 14 | Partial removal of colon | |
| 44147 | 14 | Partial removal of colon | |
| 44150 | 14 | Removal of colon | |
| 44151 | 14 | Removal of colon/ileostomy | |
| 44155 | 14 | Removal of colon/ileostomy | |
| 44156 | 14 | Removal of colon/ileostomy | |
| 44157 | 14 | Colectomy w/ileoanal anast | |
| 44158 | 14 | Colectomy w/neo-rectum pouch | |
| 44160 | 14 | Removal of colon | |
| 44180 | 14 | Lap, enterolysis | |
| 44186 | 14 | Lap, jejunostomy | |
| 44187 | 14 | Lap, ileo/jejuno-stomy | |
| 44188 | 14 | Lap, colostomy | |
| 44202 | 14 | Lap resect s/intestine singl | |
| 44203 | 238 | Lap resect s/intestine, addl | |
| 44204 | 14 | Laparo partial colectomy | |
| 44205 | 14 | Lap colectomy part w/ileum | |
| 44206 | 14 | Lap part colectomy w/stoma | |
| 44207 | 14 | L colectomy/coloproctostomy | |
| 44208 | 14 | L colectomy/coloproctostomy | |
| 44210 | 14 | Laparo total proctocolectomy | |
| 44211 | 14 | Laparo total proctocolectomy | |
| 44212 | 14 | Laparo total proctocolectomy | |
| 44213 | 238 | Lap, mobil splenic fl add-on | |
| 44227 | 14 | Lap, close enterostomy | |
| 44238 | 214 | Laparoscope proc, intestine | |
| 44300 | 14 | Open bowel to skin | |
| 44310 | 14 | Ileostomy/jejunostomy | |
| 44312 | 20 | Revision of ileostomy | |
| 44314 | 14 | Revision of ileostomy | |
| 44316 | 14 | Devise bowel pouch | |
| 44320 | 14 | Colostomy | |
| 44322 | 14 | Colostomy with biopsies | |
| 44340 | 10 | Revision of colostomy | |
| 44345 | 14 | Revision of colostomy | |
| 44346 | 14 | Revision of colostomy | |
| 44360 | 104 | Small bowel endoscopy | |
| 44361 | 104 | Small bowel endoscopy/biopsy | |
| 44363 | 124 | Small bowel endoscopy | |
| 44364 | 96 | Small bowel endoscopy | |
| 44365 | 96 | Small bowel endoscopy | |
| 44366 | 104 | Small bowel endoscopy | |
| 44369 | 96 | Small bowel endoscopy | |
| 44370 | 96 | Small bowel endoscopy/stent | |
| 44372 | 129 | Small bowel endoscopy | |
| 44373 | 129 | Small bowel endoscopy | |
| 44376 | 96 | Small bowel endoscopy | |
| 44377 | 124 | Small bowel endoscopy/biopsy | |
| 44378 | 96 | Small bowel endoscopy | |
| 44379 | 124 | S bowel endoscope w/stent | |
| 44380 | 104 | Small bowel endoscopy | |
| 44382 | 129 | Small bowel endoscopy | |
| 44383 | 129 | Ileoscopy w/stent | |
| 44385 | 129 | Endoscopy of bowel pouch | |
| 44386 | 124 | Endoscopy, bowel pouch/biop | |
| 44388 | 104 | Colon endoscopy | |
| 44389 | 104 | Colonoscopy with biopsy | |
| 44390 | 124 | Colonoscopy for foreign body | |
| 44391 | 96 | Colonoscopy for bleeding | |
| 44392 | 129 | Colonoscopy & polypectomy | |
| 44393 | 129 | Colonoscopy, lesion removal | |
| 44394 | 129 | Colonoscopy w/snare | |
| 44397 | 129 | Colonoscopy w stent | |
| 44500 | 97 | Intro, gastrointestinal tube | |
| 44602 | 14 | Suture, small intestine | |
| 44603 | 14 | Suture, small intestine | |
| 44604 | 14 | Suture, large intestine | |
| 44605 | 45 | Repair of bowel lesion | |
| 44615 | 45 | Intestinal stricturoplasty | |
| 44620 | 14 | Repair bowel opening | |
| 44625 | 14 | Repair bowel opening | |
| 44626 | 14 | Repair bowel opening | |
| 44640 | 45 | Repair bowel-skin fistula | |
| 44650 | 45 | Repair bowel fistula | |
| 44660 | 45 | Repair bowel-bladder fistula | |
| 44661 | 14 | Repair bowel-bladder fistula | |
| 44680 | 45 | Surgical revision, intestine | |
| 44700 | 45 | Suspend bowel w/prosthesis | |
| 44701 | 225 | Intraop colon lavage add-on | |
| 44715 | 201 | Prepare donor intestine | |
| 44720 | 201 | Prep donor intestine/venous | |
| 44721 | 201 | Prep donor intestine/artery | |
| 44799 | 200 | Intestine surgery procedure, unlisted | |
| 44800 | 45 | Excision of bowel pouch | |
| 44820 | 14 | Excision of mesentery lesion | |
| 44850 | 14 | Repair of mesentery | |
| 44899 | 198 | Bowel surgery procedure, unlisted | |
| 44900 | 14 | Drain app abscess, open | |
| 44901 | 137 | Drain app abscess, percut | |
| 44950 | 14 | Appendectomy | |
| 44955 | 238 | Appendectomy add-on | |
| 44960 | 14 | Appendectomy | |
| 44970 | 14 | Laparoscopy, appendectomy | |
| 44979 | 214 | Laparoscope proc, app | |
| 45000 | 55 | Drainage of pelvic abscess | |
| 45005 | 24 | Drainage of rectal abscess | |
| 45020 | 55 | Drainage of rectal abscess | |
| 45100 | 24 | Biopsy of rectum | |
| 45108 | 10 | Removal of anorectal lesion | |
| 45110 | 14 | Removal of rectum | |
| 45111 | 14 | Partial removal of rectum | |
| 45112 | 14 | Removal of rectum | |
| 45113 | 14 | Partial proctectomy | |
| 45114 | 14 | Partial removal of rectum | |
| 45116 | 14 | Partial removal of rectum | |
| 45119 | 14 | Remove rectum w/reservoir | |
| 45120 | 14 | Removal of rectum | |
| 45121 | 14 | Removal of rectum and colon | |
| 45123 | 14 | Partial proctectomy | |
| 45126 | 45 | Pelvic exenteration | |
| 45130 | 14 | Excision of rectal prolapse | |
| 45135 | 14 | Excision of rectal prolapse | |
| 45136 | 45 | Excise ileoanal reservoir | |
| 45150 | 20 | Excision of rectal stricture | |
| 45160 | 8 | Excision of rectal lesion | |
| 45171 | 8 | Excise rect tumor, transanal, part | |
| 45172 | 8 | Excise rect tumor, transanal, full | |
| 45190 | 10 | Destruction, rectal tumor | |
| 45300 | 104 | Proctosigmoidoscopy dx | |
| 45303 | 104 | Proctosigmoidoscopy dilate | |
| 45305 | 104 | Protosigmoidoscopy w/bx | |
| 45307 | 96 | Protosigmoidoscopy fb | |
| 45308 | 104 | Protosigmoidoscopy removal | |
| 45309 | 104 | Protosigmoidoscopy removal | |
| 45315 | 104 | Protosigmoidoscopy removal | |
| 45317 | 104 | Protosigmoidoscopy bleed | |
| 45320 | 104 | Protosigmoidoscopy ablate | |
| 45321 | 104 | Protosigmoidoscopy volvul | |
| 45327 | 104 | Proctosigmoidoscopy w/stent | |
| 45330 | 104 | Diagnostic sigmoidoscopy | |
| 45331 | 104 | Sigmoidoscopy and biopsy | |
| 45332 | 104 | Sigmoidoscopy w/fb removal | |
| 45333 | 104 | Sigmoidoscopy & polypectomy | |
| 45334 | 104 | Sigmoidoscopy for bleeding | |
| 45335 | 104 | Sigmoidoscope w/submuc inj | |
| 45337 | 104 | Sigmoidoscopy & decompress | |
| 45338 | 104 | Sigmoidoscpy w/tumr remove | |
| 45339 | 104 | Sigmoidoscopy w/ablate tumr | |
| 45340 | 104 | Sig w/balloon dilation | |
| 45341 | 104 | Sigmoidoscopy w/ultrasound | |
| 45342 | 104 | Sigmoidoscopy w/us guide bx | |
| 45345 | 104 | Sigmodoscopy w/stent | |
| 45355 | 104 | Surgical colonoscopy | |
| 45378 | 104 | Diagnostic colonoscopy | |
| 45378 | 53 | 113 | Diagnostic colonoscopy |
| 45379 | 129 | Colonoscopy w/fb removal | |
| 45380 | 104 | Colonoscopy and biopsy | |
| 45381 | 104 | Colonoscope, submucous inj | |
| 45382 | 104 | Colonoscopy/control bleeding | |
| 45383 | 129 | Lesion removal colonoscopy | |
| 45384 | 129 | Lesion remove colonoscopy | |
| 45385 | 104 | Lesion removal colonoscopy | |
| 45386 | 129 | Colonoscope dilate stricture | |
| 45387 | 129 | Colonoscopy w/stent | |
| 45391 | 129 | Colonoscopy w/endoscope us | |
| 45392 | 129 | Colonoscopy w/endoscopic fnb | |
| 45395 | 45 | Lap, removal of rectum | |
| 45397 | 14 | Lap, remove rectum w/pouch | |
| 45400 | 14 | Laparoscopic proctopexy | |
| 45402 | 14 | Lap proctopexy w/sig resect | |
| 45499 | 211 | Laparoscope proc, rectum | |
| 45500 | 20 | Repair of rectum | |
| 45505 | 24 | Repair of rectum | |
| 45520 | 104 | Treatment of rectal prolapse | |
| 45540 | 14 | Correct rectal prolapse | |
| 45541 | 8 | Correct rectal prolapse | |
| 45550 | 14 | Repair rectum/remove sigmoid | |
| 45560 | 8 | Repair of rectocele | |
| 45562 | 14 | Exploration/repair of rectum | |
| 45563 | 45 | Exploration/repair of rectum | |
| 45800 | 14 | Repair rect/bladder fistula | |
| 45805 | 14 | Repair fistula w/colostomy | |
| 45820 | 14 | Repair rectourethral fistula | |
| 45825 | 14 | Repair fistula w/colostomy | |
| 45900 | 20 | Reduction of rectal prolapse | |
| 45905 | 24 | Dilation of anal sphincter | |
| 45910 | 24 | Dilation of rectal narrowing | |
| 45915 | 24 | Remove rectal obstruction | |
| 45990 | 85 | Surg dx exam, anorectal | |
| 45999 | 198 | Rectum surgery procedure, unlisted | |
| 46020 | 24 | Placement of seton | |
| 46030 | 50 | Removal of rectal marker | |
| 46040 | 55 | Incision of rectal abscess | |
| 46045 | 24 | Incision of rectal abscess | |
| 46050 | 24 | Incision of anal abscess | |
| 46060 | 24 | Incision of rectal abscess | |
| 46070 | 50 | Incision of anal septum | |
| 46080 | 24 | Incision of anal sphincter | |
| 46083 | 24 | Incise external hemorrhoid | |
| 46200 | 24 | Removal of anal fissure | |
| 46220 | 24 | Removal of anal tab | |
| 46221 | 24 | Ligation of hemorrhoid(s) | |
| 46230 | 24 | Removal of anal tabs | |
| 46250 | 24 | Hemorrhoidectomy | |
| 46255 | 24 | Hemorrhoidectomy | |
| 46257 | 24 | Remove hemorrhoids & fissure | |
| 46258 | 20 | Remove hemorrhoids & fistula | |
| 46260 | 24 | Hemorrhoidectomy | |
| 46261 | 24 | Remove hemorrhoids & fissure | |
| 46262 | 24 | Remove hemorrhoids & fistula | |
| 46270 | 24 | Removal of anal fistula | |
| 46275 | 24 | Removal of anal fistula | |
| 46280 | 24 | Removal of anal fistula | |
| 46285 | 24 | Removal of anal fistula | |
| 46288 | 24 | Repair anal fistula | |
| 46320 | 55 | Removal of hemorrhoid clot | |
| 46500 | 24 | Injection into hemorrhoid(s) | |
| 46505 | 57 | Chemodenervation anal musc | |
| 46600 | 104 | Diagnostic anoscopy | |
| 46604 | 104 | Anoscopy and dilation | |
| 46606 | 104 | Anoscopy and biopsy | |
| 46608 | 124 | Anoscopy/ remove for body | |
| 46610 | 129 | Anoscopy/remove lesion | |
| 46611 | 124 | Anoscopy | |
| 46612 | 124 | Anoscopy/ remove lesions | |
| 46614 | 104 | Anoscopy/control bleeding | |
| 46615 | 124 | Anoscopy | |
| 46700 | 24 | Repair of anal stricture | |
| 46705 | 45 | Repair of anal stricture | |
| 46706 | 24 | Repr of anal fistula w/glue | |
| 46707 | 20 | Repair anorectal fist w/plug | |
| 46710 | 45 | Repr per/vag pouch sngl proc | |
| 46712 | 45 | Repr per/vag pouch dbl proc | |
| 46715 | 59 | Repair of anovaginal fistula | |
| 46716 | 45 | Repair of anovaginal fistula | |
| 46730 | 45 | Construction of absent anus | |
| 46735 | 45 | Construction of absent anus | |
| 46740 | 45 | Construction of absent anus | |
| 46742 | 45 | Repair of imperforated anus | |
| 46744 | 45 | Repair of cloacal anomaly | |
| 46746 | 14 | Repair of cloacal anomaly | |
| 46748 | 45 | Repair of cloacal anomaly | |
| 46750 | 39 | Repair of anal sphincter | |
| 46751 | 45 | Repair of anal sphincter | |
| 46753 | 55 | Reconstruction of anus | |
| 46754 | 50 | Removal of suture from anus | |
| 46760 | 39 | Repair of anal sphincter | |
| 46761 | 8 | Repair of anal sphincter | |
| 46762 | 39 | Implant artificial sphincter | |
| 46900 | 55 | Destruction, anal lesion(s) | |
| 46910 | 55 | Destruction, anal lesion(s) | |
| 46916 | 55 | Cryosurgery, anal lesion(s) | |
| 46917 | 55 | Laser surgery, anal lesions | |
| 46922 | 55 | Excision of anal lesion(s) | |
| 46924 | 55 | Destruction, anal lesion(s) | |
| 46930 | 20 | Destroy internal hemorrhoids | |
| 46940 | 24 | Treatment of anal fissure | |
| 46942 | 20 | Treatment of anal fissure | |
| 46945 | 24 | Ligation of hemorrhoids | |
| 46946 | 55 | Ligation of hemorrhoids | |
| 46947 | 24 | Hemorrhoidopexy by stapling | |
| 46999 | 198 | Anus surgery procedure, unlisted | |
| 47000 | 104 | Needle biopsy of liver | |
| 47001 | 226 | Needle biopsy, liver add-on | |
| 47010 | 14 | Open drainage, liver lesion | |
| 47011 | 113 | Percut drain, liver lesion | |
| 47015 | 14 | Inject/aspirate liver cyst | |
| 47100 | 14 | Wedge biopsy of liver | |
| 47120 | 14 | Partial removal of liver | |
| 47122 | 14 | Extensive removal of liver | |
| 47125 | 14 | Partial removal of liver | |
| 47130 | 45 | Partial removal of liver | |
| 47133 | 270 | Removal of donor liver | |
| 47135 | 34 | Transplantation of liver | |
| 47136 | 34 | Transplantation of liver | |
| 47140 | 34 | Partial removal, donor liver | |
| 47141 | 34 | Partial removal, donor liver | |
| 47142 | 45 | Partial removal, donor liver | |
| 47143 | 175 | Prep donor liver, whole | |
| 47144 | 45 | Prep donor liver, 3-segment | |
| 47145 | 201 | Prep donor liver, lobe split | |
| 47146 | 201 | Prep donor liver/venous | |
| 47147 | 201 | Prep donor liver/arterial | |
| 47300 | 14 | Surgery for liver lesion | |
| 47350 | 14 | Repair liver wound | |
| 47360 | 14 | Repair liver wound | |
| 47361 | 14 | Repair liver wound | |
| 47362 | 14 | Repair liver wound | |
| 47370 | 14 | Laparo ablate liver tumor rf | |
| 47371 | 14 | Laparo ablate liver cryosug | |
| 47379 | 211 | Laparoscope procedure, liver | |
| 47380 | 14 | Open ablate liver tumor rf | |
| 47381 | 14 | Open ablate liver tumor cryo | |
| 47382 | 24 | Percut ablate liver rf | |
| 47399 | 200 | Liver surgery procedure, unlisted | |
| 47400 | 45 | Incision of liver duct | |
| 47420 | 14 | Incision of bile duct | |
| 47425 | 45 | Incision of bile duct | |
| 47460 | 14 | Incise bile duct sphincter | |
| 47480 | 14 | Incision of gallbladder | |
| 47490 | 30 | Incision of gallbladder | |
| 47500 | 113 | Injection for liver x-rays | |
| 47505 | 107 | Injection for liver x-rays | |
| 47510 | 24 | Insert catheter, bile duct | |
| 47511 | 25 | Insert bile duct drain | |
| 47525 | 25 | Change bile duct catheter | |
| 47530 | 24 | Revise/reinsert bile tube | |
| 47550 | 225 | Bile duct endoscopy add-on | |
| 47552 | 88 | Biliary endoscopy thru skin | |
| 47553 | 104 | Biliary endoscopy thru skin | |
| 47554 | 88 | Biliary endoscopy thru skin | |
| 47555 | 104 | Biliary endoscopy thru skin | |
| 47556 | 104 | Biliary endoscopy thru skin | |
| 47560 | 96 | Laparoscopy w/cholangio | |
| 47561 | 96 | Laparo w/cholangio/biopsy | |
| 47562 | 39 | Laparoscopic cholecystectomy | |
| 47563 | 39 | Laparo cholecystectomy/graph | |
| 47564 | 39 | Laparo cholecystectomy/explr | |
| 47570 | 45 | Laparo cholecystoenterostomy | |
| 47579 | 214 | Laparoscope proc, biliary | |
| 47600 | 14 | Removal of gallbladder | |
| 47605 | 14 | Removal of gallbladder | |
| 47610 | 14 | Removal of gallbladder | |
| 47612 | 14 | Removal of gallbladder | |
| 47620 | 14 | Removal of gallbladder | |
| 47630 | 10 | Remove bile duct stone | |
| 47700 | 45 | Exploration of bile ducts | |
| 47701 | 59 | Bile duct revision | |
| 47711 | 45 | Excision of bile duct tumor | |
| 47712 | 14 | Excision of bile duct tumor | |
| 47715 | 14 | Excision of bile duct cyst | |
| 47720 | 14 | Fuse gallbladder & bowel | |
| 47721 | 14 | Fuse upper gi structures | |
| 47740 | 14 | Fuse gallbladder & bowel | |
| 47741 | 45 | Fuse gallbladder & bowel | |
| 47760 | 14 | Fuse bile ducts and bowel | |
| 47765 | 14 | Fuse liver ducts & bowel | |
| 47780 | 14 | Fuse bile ducts and bowel | |
| 47785 | 45 | Fuse bile ducts and bowel | |
| 47800 | 45 | Reconstruction of bile ducts | |
| 47801 | 14 | Placement, bile duct support | |
| 47802 | 39 | Fuse liver duct & intestine | |
| 47900 | 14 | Suture bile duct injury | |
| 47999 | 200 | Bile tract surgery procedure, unlisted | |
| 48000 | 14 | Drainage of abdomen | |
| 48001 | 45 | Placement of drain, pancreas | |
| 48020 | 14 | Removal of pancreatic stone | |
| 48100 | 14 | Biopsy of pancreas, open | |
| 48102 | 30 | Needle biopsy, pancreas | |
| 48105 | 45 | Resect/debride pancreas | |
| 48120 | 14 | Removal of pancreas lesion | |
| 48140 | 45 | Partial removal of pancreas | |
| 48145 | 45 | Partial removal of pancreas | |
| 48146 | 45 | Pancreatectomy | |
| 48148 | 14 | Removal of pancreatic duct | |
| 48150 | 45 | Partial removal of pancreas | |
| 48152 | 45 | Pancreatectomy | |
| 48153 | 45 | Pancreatectomy | |
| 48154 | 45 | Pancreatectomy | |
| 48155 | 45 | Removal of pancreas | |
| 48160 | 270 | Pancreas removal/transplant | |
| 48400 | 246 | Injection, intraop add-on | |
| 48500 | 45 | Surgery of pancreatic cyst | |
| 48510 | 45 | Drain pancreatic pseudocyst | |
| 48511 | 137 | Drain pancreatic pseudocyst | |
| 48520 | 45 | Fuse pancreas cyst and bowel | |
| 48540 | 45 | Fuse pancreas cyst and bowel | |
| 48545 | 14 | Pancreatorrhaphy | |
| 48547 | 45 | Duodenal exclusion | |
| 48548 | 14 | Fuse pancreas and bowel | |
| 48550 | 270 | Donor pancreatectomy | |
| 48551 | 201 | Prep donor pancreas | |
| 48552 | 201 | Prep donor pancreas/venous | |
| 48554 | 34 | Transpl allograft pancreas | |
| 48556 | 34 | Removal, allograft pancreas | |
| 48999 | 198 | Pancreas surgery procedure, unlisted | |
| 49000 | 14 | Exploration of abdomen | |
| 49002 | 14 | Reopening of abdomen | |
| 49010 | 14 | Exploration behind abdomen | |
| 49020 | 27 | Drain abdominal abscess | |
| 49021 | 113 | Drain abdominal abscess | |
| 49040 | 14 | Drain, open, abdom abscess | |
| 49041 | 137 | Drain, percut, abdom abscess | |
| 49060 | 16 | Drain, open, retrop abscess | |
| 49061 | 137 | Drain, percut, retroper absc | |
| 49062 | 45 | Drain to peritoneal cavity | |
| 49080 | 104 | Puncture, peritoneal cavity | |
| 49081 | 104 | Removal of abdominal fluid | |
| 49180 | 104 | Biopsy, abdominal mass | |
| 49203 | 14 | Exc abd tumor 5 cm or less | |
| 49204 | 14 | Exc abd tumor over 5 cm | |
| 49205 | 14 | Exc abd tumor over 10 cm | |
| 49215 | 14 | Excise sacral spine tumor | |
| 49220 | 45 | Multiple surgery, abdomen | |
| 49250 | 42 | Excision of umbilicus | |
| 49255 | 14 | Removal of omentum | |
| 49320 | 20 | Diag laparo separate proc | |
| 49321 | 39 | Laparoscopy, biopsy | |
| 49322 | 8 | Laparoscopy, aspiration | |
| 49323 | 14 | Laparo drain lymphocele | |
| 49324 | 39 | Lap insertion perm ip cath | |
| 49325 | 39 | Lap revision perm ip cath | |
| 49326 | 234 | Lap w/omentopexy add-on | |
| 49329 | 214 | Laparo proc, abdm/per/oment, unlisted | |
| 49400 | 113 | Air injection into abdomen | |
| 49402 | 10 | Remove foreign body, adbomen | |
| 49411 | 124 | Ins mark abd/pel for rt perq, ea or mult | |
| 49419 | 55 | Insrt abdom cath for chemotx | |
| 49420 | 104 | Insert abdominal drain | |
| 49421 | 24 | Insert abdominal drain | |
| 49422 | 55 | Remove perm cannula/catheter | |
| 49423 | 96 | Exchange drainage catheter | |
| 49424 | 107 | Assess cyst, contrast inject | |
| 49425 | 45 | Insert abdomen-venous drain | |
| 49426 | 55 | Revise abdomen-venous shunt | |
| 49427 | 133 | Injection, abdominal shunt | |
| 49428 | 61 | Ligation of shunt | |
| 49429 | 24 | Removal of shunt | |
| 49435 | 234 | Insert subq exten to ip cath | |
| 49436 | 8 | Embedded ip cath exit-site | |
| 49440 | 50 | Place gastrostomy tube perc | |
| 49441 | 50 | Place duod/jej tube perc | |
| 49442 | 50 | Place cecostomy tube perc | |
| 49446 | 96 | Change g-tube to g-j perc | |
| 49450 | 96 | Replace g/c tube perc | |
| 49451 | 96 | Replace duod/jej tube perc | |
| 49452 | 96 | Replace g-j tube perc | |
| 49460 | 96 | Fix g/colon tube w/ device | |
| 49465 | 107 | Fluoro exam of g/colon tube | |
| 49505 | 40 | Rpr i/hern init reduc>5 yr | |
| 49507 | 9 | Rpr i/hern init block>5 yr | |
| 49520 | 40 | Rerepair ing hernia, reduce | |
| 49521 | 40 | Rerepair ing hernia, blocked | |
| 49525 | 40 | Repair ing hernia, sliding | |
| 49540 | 40 | Repair lumbar hernia | |
| 49550 | 9 | Rpr fem hernia, init, reduce | |
| 49553 | 40 | Rpr fem hernia, init blocked | |
| 49555 | 40 | Rerepair fem hernia, reduce | |
| 49557 | 40 | Rerepair fem hernia, blocked | |
| 49560 | 9 | Rpr ventral hern init, reduc | |
| 49561 | 9 | Rpr ventral hern init, block | |
| 49565 | 9 | Rerepair ventrl hern, reduce | |
| 49566 | 9 | Rerepair ventrl hern, block | |
| 49568 | 222 | Hernia repair w/mesh | |
| 49570 | 9 | Rpr epigastric hern, reduce | |
| 49572 | 9 | Rpr epigastric hern, blocked | |
| 49585 | 8 | Rpr umbil hern, reduc > 5 yr | |
| 49587 | 8 | Rpr umbil hern, block > 5 yr | |
| 49590 | 40 | Repair spigelian hernia | |
| 49600 | 39 | Repair umbilical lesion | |
| 49605 | 45 | Repair umbilical lesion | |
| 49606 | 45 | Repair umbilical lesion | |
| 49610 | 45 | Repair umbilical lesion | |
| 49611 | 45 | Repair umbilical lesion | |
| 49650 | 9 | Laparo hernia repair initial | |
| 49651 | 9 | Laparo hernia repair recur | |
| 49652 | 40 | Lap vent/abd hernia repair | |
| 49653 | 40 | Lap vent/abd hern proc comp | |
| 49654 | 40 | Lap inc hernia repair | |
| 49655 | 40 | Lap inc hern repair comp | |
| 49656 | 40 | Lap inc hernia repair recur | |
| 49657 | 40 | Lap inc hern recur comp | |
| 49659 | 214 | Laparo proc, hernia repair | |
| 49900 | 45 | Repair of abdominal wall | |
| 49904 | 36 | Omental flap, extra-abdom | |
| 49905 | 225 | Omental flap, intra-abdom | |
| 49906 | 47 | Free omental flap, microvasc | |
| 49999 | 200 | Abdomen surgery procedure, unlisted | |
| 50010 | 14 | Exploration of kidney | |
| 50020 | 16 | Renal abscess, open drain | |
| 50021 | 113 | Renal abscess, percut drain | |
| 50040 | 16 | Drainage of kidney | |
| 50045 | 14 | Exploration of kidney | |
| 50060 | 14 | Removal of kidney stone | |
| 50065 | 27 | Incision of kidney | |
| 50070 | 14 | Incision of kidney | |
| 50075 | 14 | Removal of kidney stone | |
| 50080 | 25 | Removal of kidney stone | |
| 50081 | 9 | Removal of kidney stone | |
| 50100 | 14 | Revise kidney blood vessels | |
| 50120 | 15 | Exploration of kidney | |
| 50125 | 15 | Explore and drain kidney | |
| 50130 | 15 | Removal of kidney stone | |
| 50135 | 46 | Exploration of kidney | |
| 50200 | 106 | Biopsy of kidney | |
| 50205 | 15 | Biopsy of kidney | |
| 50220 | 15 | Remove kidney, open | |
| 50225 | 15 | Removal kidney open, complex | |
| 50230 | 15 | Removal kidney open, radical | |
| 50234 | 14 | Removal of kidney & ureter | |
| 50236 | 14 | Removal of kidney & ureter | |
| 50240 | 14 | Partial removal of kidney | |
| 50250 | 14 | Cryoablate renal mass open | |
| 50280 | 14 | Removal of kidney lesion | |
| 50290 | 14 | Removal of kidney lesion | |
| 50300 | 270 | Removal of donor kidney | |
| 50320 | 46 | Removal of donor kidney | |
| 50323 | 201 | Prep cadaver renal allograft | |
| 50325 | 201 | Prep donor renal graft | |
| 50327 | 201 | Prep renal graft/venous | |
| 50328 | 201 | Prep renal graft/arterial | |
| 50329 | 201 | Prep renal graft/ureteral | |
| 50340 | 15 | Removal of kidney | |
| 50360 | 34 | Transplantation of kidney | |
| 50365 | 35 | Transplantation of kidney | |
| 50370 | 45 | Remove transplanted kidney | |
| 50380 | 45 | Reimplantation of kidney | |
| 50382 | 106 | Change ureter stent, percut | |
| 50384 | 106 | Remove ureter stent, percut | |
| 50385 | 125 | Change stent via transureth | |
| 50386 | 98 | Remove stent via transureth | |
| 50387 | 98 | Change ext/int ureter stent | |
| 50389 | 131 | Remove renal tube w/fluoro | |
| 50390 | 106 | Drainage of kidney lesion | |
| 50391 | 104 | Instll rx agnt into rnal tub | |
| 50392 | 106 | Insert kidney drain | |
| 50393 | 106 | Insert ureteral tube | |
| 50394 | 116 | Injection for kidney x-ray | |
| 50395 | 106 | Create passage to kidney | |
| 50396 | 125 | Measure kidney pressure | |
| 50398 | 106 | Change kidney tube | |
| 50400 | 14 | Revision of kidney/ureter | |
| 50405 | 14 | Revision of kidney/ureter | |
| 50500 | 14 | Repair of kidney wound | |
| 50520 | 14 | Close kidney-skin fistula | |
| 50525 | 45 | Repair renal-abdomen fistula | |
| 50526 | 27 | Repair renal-abdomen fistula | |
| 50540 | 44 | Revision of horseshoe kidney | |
| 50541 | 14 | Laparo ablate renal cyst | |
| 50542 | 14 | Laparo ablate renal mass | |
| 50543 | 14 | Laparo partial nephrectomy | |
| 50544 | 14 | Laparoscopy, pyeloplasty | |
| 50545 | 15 | Laparo radical nephrectomy | |
| 50546 | 15 | Laparoscopic nephrectomy | |
| 50547 | 15 | Laparo removal donor kidney | |
| 50548 | 14 | Laparo remove k/ureter | |
| 50549 | 214 | Laparoscope proc, renal | |
| 50551 | 98 | Kidney endoscopy | |
| 50553 | 131 | Kidney endoscopy | |
| 50555 | 98 | Kidney endoscopy & biopsy | |
| 50557 | 98 | Kidney endoscopy & treatment | |
| 50561 | 125 | Kidney endoscopy & treatment | |
| 50562 | 39 | Renal scope w/tumor resect | |
| 50570 | 98 | Kidney endoscopy | |
| 50572 | 125 | Kidney endoscopy | |
| 50574 | 98 | Kidney endoscopy & biopsy | |
| 50575 | 131 | Kidney endoscopy | |
| 50576 | 125 | Kidney endoscopy & treatment | |
| 50580 | 125 | Kidney endoscopy & treatment | |
| 50590 | 57 | Fragmenting of kidney stone | |
| 50592 | 25 | Perc rf ablate renal tumor | |
| 50593 | 27 | Perc cryo ablate renal tumor | |
| 50600 | 15 | Exploration of ureter | |
| 50605 | 15 | Insert ureteral support | |
| 50610 | 46 | Removal of ureter stone | |
| 50620 | 46 | Removal of ureter stone | |
| 50630 | 46 | Removal of ureter stone | |
| 50650 | 14 | Removal of ureter | |
| 50660 | 14 | Removal of ureter | |
| 50684 | 116 | Injection for ureter x-ray | |
| 50686 | 124 | Measure ureter pressure | |
| 50688 | 24 | Change of ureter tube | |
| 50690 | 137 | Injection for ureter x-ray | |
| 50700 | 45 | Revision of ureter | |
| 50715 | 15 | Release of ureter | |
| 50722 | 14 | Release of ureter | |
| 50725 | 45 | Release/revise ureter | |
| 50727 | 8 | Revise ureter | |
| 50728 | 45 | Revise ureter | |
| 50740 | 45 | Fusion of ureter & kidney | |
| 50750 | 59 | Fusion of ureter & kidney | |
| 50760 | 45 | Fusion of ureters | |
| 50770 | 45 | Splicing of ureters | |
| 50780 | 46 | Reimplant ureter in bladder | |
| 50782 | 46 | Reimplant ureter in bladder | |
| 50783 | 46 | Reimplant ureter in bladder | |
| 50785 | 46 | Reimplant ureter in bladder | |
| 50800 | 15 | Implant ureter in bowel | |
| 50810 | 14 | Fusion of ureter & bowel | |
| 50815 | 15 | Urine shunt to intestine | |
| 50820 | 46 | Construct bowel bladder | |
| 50825 | 14 | Construct bowel bladder | |
| 50830 | 45 | Revise urine flow | |
| 50840 | 46 | Replace ureter by bowel | |
| 50845 | 45 | Appendico-vesicostomy | |
| 50860 | 46 | Transplant ureter to skin | |
| 50900 | 14 | Repair of ureter | |
| 50920 | 45 | Closure ureter/skin fistula | |
| 50930 | 45 | Closure ureter/bowel fistula | |
| 50940 | 46 | Release of ureter | |
| 50945 | 15 | Laparoscopy ureterolithotomy | |
| 50947 | 9 | Laparo new ureter/bladder | |
| 50948 | 9 | Laparo new ureter/bladder | |
| 50949 | 202 | Laparoscope proc, ureter | |
| 50951 | 98 | Endoscopy of ureter | |
| 50953 | 125 | Endoscopy of ureter | |
| 50955 | 98 | Ureter endoscopy & biopsy | |
| 50957 | 125 | Ureter endoscopy & treatment | |
| 50961 | 125 | Ureter endoscopy & treatment | |
| 50970 | 98 | Ureter endoscopy | |
| 50972 | 125 | Ureter endoscopy & catheter | |
| 50974 | 98 | Ureter endoscopy & biopsy | |
| 50976 | 125 | Ureter endoscopy & treatment | |
| 50980 | 125 | Ureter endoscopy & treatment | |
| 51020 | 39 | Incise & treat bladder | |
| 51030 | 50 | Incise & treat bladder | |
| 51040 | 8 | Incise & drain bladder | |
| 51045 | 20 | Incise bladder/drain ureter | |
| 51050 | 8 | Removal of bladder stone | |
| 51060 | 45 | Removal of ureter stone | |
| 51065 | 50 | Remove ureter calculus | |
| 51080 | 39 | Drainage of bladder abscess | |
| 51100 | 104 | Drain bladder by needle | |
| 51101 | 104 | Drain bladder by trocar/cath | |
| 51102 | 104 | Drain bladder w/ cath insertion | |
| 51500 | 39 | Removal of bladder cyst | |
| 51520 | 8 | Removal of bladder lesion | |
| 51525 | 8 | Removal of bladder lesion | |
| 51530 | 45 | Removal of bladder lesion | |
| 51535 | 46 | Repair of ureter lesion | |
| 51550 | 14 | Partial removal of bladder | |
| 51555 | 14 | Partial removal of bladder | |
| 51565 | 14 | Revise bladder & ureter(s) | |
| 51570 | 14 | Removal of bladder | |
| 51575 | 13 | Removal of bladder & nodes | |
| 51580 | 14 | Remove bladder/revise tract | |
| 51585 | 13 | Removal of bladder & nodes | |
| 51590 | 14 | Remove bladder/revise tract | |
| 51595 | 13 | Remove bladder/revise tract | |
| 51596 | 14 | Remove bladder/create pouch | |
| 51597 | 45 | Removal of pelvic structures | |
| 51600 | 113 | Injection for bladder x-ray | |
| 51605 | 113 | Preparation for bladder xray | |
| 51610 | 113 | Injection for bladder x-ray | |
| 51700 | 104 | Irrigation of bladder | |
| 51701 | 104 | Insert bladder catheter | |
| 51702 | 104 | Insert temp bladder cath | |
| 51703 | 104 | Insert bladder cath, complex | |
| 51705 | 24 | Change of bladder tube | |
| 51710 | 55 | Change of bladder tube | |
| 51715 | 96 | Endoscopic injection/implant | |
| 51720 | 104 | Treatment of bladder lesion | |
| 51725 | 124 | Simple cystometrogram | |
| 51725 | TC | 134 | Simple cystometrogram |
| 51725 | 26 | 133 | Simple cystometrogram |
| 51726 | 129 | Complex cystometrogram | |
| 51726 | TC | 139 | Complex cystometrogram |
| 51726 | 26 | 137 | Complex cystometrogram |
| 51727 | 133 | Cystometrogram w/up | |
| 51727 | TC | 134 | Cystometrogram w/up |
| 51727 | 26 | 133 | Cystometrogram w/up |
| 51728 | 107 | Cystometrogram w/vp | |
| 51728 | TC | 109 | Cystometrogram w/vp |
| 51728 | 26 | 107 | Cystometrogram w/vp |
| 51729 | 107 | Cystometrogram w/vp&up | |
| 51729 | TC | 109 | Cystometrogram w/vp&up |
| 51729 | 26 | 107 | Cystometrogram w/vp&up |
| 51736 | 124 | Urine flow measurement | |
| 51736 | TC | 134 | Urine flow measurement |
| 51736 | 26 | 133 | Urine flow measurement |
| 51741 | 129 | Electro-uroflowmetry, first | |
| 51741 | TC | 139 | Electro-uroflowmetry, first |
| 51741 | 26 | 137 | Electro-uroflowmetry, first |
| 51784 | 104 | Anal/urinary muscle study | |
| 51784 | TC | 115 | Anal/urinary muscle study |
| 51784 | 26 | 113 | Anal/urinary muscle study |
| 51785 | 96 | Anal/urinary muscle study | |
| 51785 | TC | 109 | Anal/urinary muscle study |
| 51785 | 26 | 107 | Anal/urinary muscle study |
| 51792 | 124 | Urinary reflex study | |
| 51792 | TC | 134 | Urinary reflex study |
| 51792 | 26 | 133 | Urinary reflex study |
| 51797 | 241 | Intraabdominal pressure test | |
| 51797 | TC | 246 | Intraabdominal pressure test |
| 51797 | 26 | 246 | Intraabdominal pressure test |
| 51798 | 177 | Us urine capacity measure | |
| 51800 | 14 | Revision of bladder/urethra | |
| 51820 | 44 | Revision of urinary tract | |
| 51840 | 14 | Attach bladder/urethra | |
| 51841 | 14 | Attach bladder/urethra | |
| 51845 | 14 | Repair bladder neck | |
| 51860 | 14 | Repair of bladder wound | |
| 51865 | 14 | Repair of bladder wound | |
| 51880 | 39 | Repair of bladder opening | |
| 51900 | 45 | Repair bladder/vagina lesion | |
| 51920 | 14 | Close bladder-uterus fistula | |
| 51925 | 45 | Hysterectomy/bladder repair | |
| 51940 | 14 | Correction of bladder defect | |
| 51960 | 45 | Revision of bladder & bowel | |
| 51980 | 45 | Construct bladder opening | |
| 51990 | 14 | Laparo urethral suspension | |
| 51992 | 8 | Laparo sling operation | |
| 51999 | 213 | Laparoscope proc, bladder | |
| 52000 | 104 | Cystourethroscopy | |
| 52001 | 104 | Cystourethroscopy, removal of clots | |
| 52005 | 104 | Cystourethroscopy & ureter catheter | |
| 52007 | 106 | Cystourethroscopy and biopsy | |
| 52010 | 104 | Cystourethroscopy & duct catheter | |
| 52204 | 104 | Cystourethroscopy | |
| 52214 | 104 | Cystourethroscopy and treatment | |
| 52224 | 104 | Cystourethroscopy and treatment | |
| 52234 | 104 | Cystourethroscopy and treatment | |
| 52235 | 104 | Cystourethroscopy and treatment | |
| 52240 | 104 | Cystourethroscopy and treatment | |
| 52250 | 129 | Cystourethroscopy and radiotracer | |
| 52260 | 104 | Cystourethroscopy and treatment | |
| 52265 | 104 | Cystourethroscopy and treatment | |
| 52270 | 104 | Cystourethroscopy & revise urethra | |
| 52275 | 104 | Cystourethroscopy & revise urethra | |
| 52276 | 104 | Cystourethroscopy and treatment | |
| 52277 | 124 | Cystourethroscopy and treatment | |
| 52281 | 104 | Cystourethroscopy and treatment | |
| 52282 | 129 | Cystourethroscopy, implant stent | |
| 52283 | 104 | Cystourethroscopy and treatment | |
| 52285 | 104 | Cystourethroscopy and treatment | |
| 52290 | 103 | Cystourethroscopy and treatment | |
| 52300 | 95 | Cystourethroscopy and treatment | |
| 52301 | 95 | Cystourethroscopy and treatment | |
| 52305 | 104 | Cystourethroscopy and treatment | |
| 52310 | 104 | Cystourethroscopy and treatment | |
| 52315 | 104 | Cystourethroscopy and treatment | |
| 52317 | 104 | Remove bladder stone | |
| 52318 | 104 | Remove bladder stone | |
| 52320 | 106 | Cystourethroscopy and treatment | |
| 52325 | 106 | Cystourethroscopy, stone removal | |
| 52327 | 131 | Cystourethroscopy, inject material | |
| 52330 | 106 | Cystourethroscopy and treatment | |
| 52332 | 106 | Cystourethroscopy and treatment | |
| 52334 | 131 | Create passage to kidney | |
| 52341 | 106 | Cysto w/ureter stricture tx | |
| 52342 | 106 | Cysto w/up stricture tx | |
| 52343 | 106 | Cysto w/renal stricture tx | |
| 52344 | 106 | Cysto/uretero, stone remove | |
| 52345 | 96 | Cysto/uretero w/up stricture | |
| 52346 | 124 | Cystouretero w/renal strict | |
| 52351 | 104 | Cystouretro & or pyeloscope | |
| 52352 | 106 | Cystouretro w/stone remove | |
| 52353 | 131 | Cystouretero w/lithotripsy | |
| 52354 | 106 | Cystouretero w/biopsy | |
| 52355 | 131 | Cystouretero w/excise tumor | |
| 52400 | 55 | Cystouretero w/congen repr | |
| 52402 | 124 | Cystourethro cut ejacul duct | |
| 52450 | 24 | Incision of prostate | |
| 52500 | 24 | Revision of bladder neck | |
| 52601 | 55 | Prostatectomy (TURP) | |
| 52630 | 55 | Remove prostate regrowth | |
| 52640 | 24 | Relieve bladder contracture | |
| 52647 | 55 | Laser surgery of prostate | |
| 52648 | 55 | Laser surgery of prostate | |
| 52649 | 59 | Prostate laser enucleation | |
| 52700 | 20 | Drainage of prostate abscess | |
| 53000 | 24 | Incision of urethra | |
| 53010 | 24 | Incision of urethra | |
| 53020 | 104 | Incision of urethra | |
| 53025 | 96 | Incision of urethra | |
| 53040 | 20 | Drainage of urethra abscess | |
| 53060 | 24 | Drainage of urethra abscess | |
| 53080 | 24 | Drainage of urinary leakage | |
| 53085 | 39 | Drainage of urinary leakage | |
| 53200 | 104 | Biopsy of urethra | |
| 53210 | 8 | Removal of urethra | |
| 53215 | 39 | Removal of urethra | |
| 53220 | 20 | Treatment of urethra lesion | |
| 53230 | 39 | Removal of urethra lesion | |
| 53235 | 8 | Removal of urethra lesion | |
| 53240 | 55 | Surgery for urethra pouch | |
| 53250 | 24 | Removal of urethra gland | |
| 53260 | 24 | Treatment of urethra lesion | |
| 53265 | 24 | Treatment of urethra lesion | |
| 53270 | 24 | Removal of urethra gland | |
| 53275 | 24 | Repair of urethra defect | |
| 53400 | 39 | Revise urethra, stage 1 | |
| 53405 | 39 | Revise urethra, stage 2 | |
| 53410 | 39 | Reconstruction of urethra | |
| 53415 | 45 | Reconstruction of urethra | |
| 53420 | 42 | Reconstruct urethra, stage 1 | |
| 53425 | 39 | Reconstruct urethra, stage 2 | |
| 53430 | 39 | Reconstruction of urethra | |
| 53431 | 39 | Reconstruct urethra/bladder | |
| 53440 | 39 | Correct bladder function | |
| 53442 | 50 | Remove perineal prosthesis | |
| 53444 | 39 | Insert tandem cuff | |
| 53445 | 39 | Insert uro/ves nck sphincter | |
| 53446 | 39 | Remove uro sphincter | |
| 53447 | 39 | Remove/replace ur sphincter | |
| 53448 | 45 | Remov/replc ur sphinctr comp | |
| 53449 | 39 | Repair uro sphincter | |
| 53450 | 24 | Revision of urethra | |
| 53460 | 20 | Revision of urethra | |
| 53500 | 45 | Urethrlys, transvag w/ scope | |
| 53502 | 24 | Repair of urethra injury | |
| 53505 | 20 | Repair of urethra injury | |
| 53510 | 8 | Repair of urethra injury | |
| 53515 | 8 | Repair of urethra injury | |
| 53520 | 24 | Repair of urethra defect | |
| 53600 | 104 | Dilate urethra stricture | |
| 53601 | 104 | Dilate urethra stricture | |
| 53605 | 104 | Dilate urethra stricture | |
| 53620 | 104 | Dilate urethra stricture | |
| 53621 | 104 | Dilate urethra stricture | |
| 53660 | 104 | Dilation of urethra | |
| 53661 | 104 | Dilation of urethra | |
| 53665 | 104 | Dilation of urethra | |
| 53850 | 55 | Prostatic microwave thermotx | |
| 53852 | 55 | Prostatic rf thermotx | |
| 53855 | 96 | Insert prost urethral stent | |
| 53899 | 198 | Urology surgery procedure, unlisted | |
| 54001 | 24 | Slitting of prepuce | |
| 54015 | 50 | Drain penis lesion | |
| 54050 | 24 | Destruction, penis lesion(s) | |
| 54055 | 24 | Destruction, penis lesion(s) | |
| 54056 | 24 | Cryosurgery, penis lesion(s) | |
| 54057 | 24 | Laser surg, penis lesion(s) | |
| 54060 | 24 | Excision of penis lesion(s) | |
| 54065 | 55 | Destruction, penis lesion(s) | |
| 54100 | 104 | Biopsy of penis | |
| 54105 | 24 | Biopsy of penis | |
| 54110 | 20 | Treatment of penis lesion | |
| 54111 | 8 | Treat penis lesion, graft | |
| 54112 | 8 | Treat penis lesion, graft | |
| 54115 | 20 | Treatment of penis lesion | |
| 54120 | 8 | Partial removal of penis | |
| 54125 | 45 | Removal of penis | |
| 54130 | 44 | Remove penis & nodes | |
| 54135 | 58 | Remove penis & nodes | |
| 54164 | 24 | Frenulotomy of penis | |
| 54200 | 24 | Treatment of penis lesion | |
| 54205 | 20 | Treatment of penis lesion | |
| 54220 | 129 | Treatment of penis lesion | |
| 54230 | 137 | Prepare penis study | |
| 54231 | 129 | Dynamic cavernosometry | |
| 54235 | 104 | Penile injection | |
| 54240 | 96 | Penis study | |
| 54240 | TC | 109 | Penis study |
| 54240 | 26 | 107 | Penis study |
| 54250 | 96 | Penis study | |
| 54250 | TC | 109 | Penis study |
| 54250 | 26 | 107 | Penis study |
| 54300 | 8 | Revision of penis | |
| 54304 | 50 | Revision of penis | |
| 54308 | 39 | Reconstruction of urethra | |
| 54312 | 39 | Reconstruction of urethra | |
| 54316 | 39 | Reconstruction of urethra | |
| 54318 | 39 | Reconstruction of urethra | |
| 54322 | 50 | Reconstruction of urethra | |
| 54324 | 8 | Reconstruction of urethra | |
| 54326 | 39 | Reconstruction of urethra | |
| 54328 | 39 | Revise penis/urethra | |
| 54332 | 45 | Revise penis/urethra | |
| 54336 | 45 | Revise penis/urethra | |
| 54340 | 39 | Secondary urethral surgery | |
| 54344 | 39 | Secondary urethral surgery | |
| 54348 | 39 | Secondary urethral surgery | |
| 54352 | 39 | Reconstruct urethra/penis | |
| 54360 | 39 | Penis plastic surgery | |
| 54380 | 8 | Repair penis | |
| 54385 | 39 | Repair penis | |
| 54390 | 45 | Repair penis and bladder | |
| 54400 | 42 | Insert semi-rigid prosthesis | |
| 54401 | 42 | Insert self-contd prosthesis | |
| 54405 | 39 | Insert multi-comp penis pros | |
| 54406 | 39 | Remove multi-comp penis pros | |
| 54408 | 39 | Repair multi-comp penis pros | |
| 54410 | 39 | Remove/replace penis prosth | |
| 54411 | 45 | Remv/replc penis pros, comp | |
| 54415 | 39 | Remove self-contd penis pros | |
| 54416 | 39 | Remv/repl penis contain pros | |
| 54417 | 45 | Remv/replc penis pros, compl | |
| 54420 | 50 | Revision of penis | |
| 54430 | 58 | Revision of penis | |
| 54435 | 55 | Revision of penis | |
| 54440 | 39 | Repair of penis | |
| 54450 | 104 | Preputial stretching | |
| 54500 | 98 | Biopsy of testis | |
| 54505 | 21 | Biopsy of testis | |
| 54512 | 11 | Excise lesion testis | |
| 54520 | 25 | Removal of testis | |
| 54522 | 9 | Orchiectomy, partial | |
| 54530 | 40 | Removal of testis | |
| 54535 | 60 | Extensive testis surgery | |
| 54550 | 21 | Exploration for testis | |
| 54560 | 9 | Exploration for testis | |
| 54600 | 57 | Reduce testis torsion | |
| 54620 | 25 | Suspension of testis | |
| 54640 | 52 | Suspension of testis | |
| 54650 | 60 | Orchiopexy (Fowler-Stephens) | |
| 54660 | 21 | Revision of testis | |
| 54670 | 21 | Repair testis injury | |
| 54680 | 40 | Relocation of testis(es) | |
| 54690 | 9 | Laparoscopy, orchiectomy | |
| 54692 | 25 | Laparoscopy, orchiopexy | |
| 54699 | 214 | Laparoscope proc, testis, unlisted | |
| 54700 | 24 | Drainage of scrotum | |
| 54800 | 124 | Biopsy of epididymis | |
| 54830 | 50 | Remove epididymis lesion | |
| 54840 | 24 | Remove epididymis lesion | |
| 54860 | 24 | Removal of epididymis | |
| 54861 | 50 | Removal of epididymis | |
| 54865 | 50 | Explore epididymis | |
| 54900 | 20 | Fusion of spermatic ducts | |
| 54901 | 49 | Fusion of spermatic ducts | |
| 55000 | 104 | Drainage of hydrocele | |
| 55040 | 24 | Removal of hydrocele | |
| 55041 | 23 | Removal of hydroceles | |
| 55060 | 52 | Repair of hydrocele | |
| 55100 | 24 | Drainage of scrotum abscess | |
| 55110 | 24 | Explore scrotum | |
| 55120 | 50 | Removal of scrotum lesion | |
| 55150 | 39 | Removal of scrotum | |
| 55175 | 20 | Revision of scrotum | |
| 55180 | 50 | Revision of scrotum | |
| 55200 | 19 | Incision of sperm duct | |
| 55250 | 23 | Removal of sperm duct(s) | |
| 55300 | 132 | Prepare, sperm duct x-ray | |
| 55400 | 40 | Repair of sperm duct | |
| 55450 | 49 | Ligation of sperm duct | |
| 55500 | 20 | Removal of hydrocele | |
| 55520 | 8 | Removal of sperm cord lesion | |
| 55530 | 11 | Revise spermatic cord veins | |
| 55535 | 40 | Revise spermatic cord veins | |
| 55540 | 43 | Revise hernia & sperm veins | |
| 55550 | 9 | Laparo ligate spermatic vein | |
| 55559 | 214 | Laparo proc, spermatic cord | |
| 55600 | 21 | Incise sperm duct pouch | |
| 55605 | 29 | Incise sperm duct pouch | |
| 55650 | 15 | Remove sperm duct pouch | |
| 55680 | 50 | Remove sperm pouch lesion | |
| 55700 | 104 | Biopsy of prostate | |
| 55705 | 10 | Biopsy of prostate | |
| 55706 | 39 | Prostate saturation sampling | |
| 55720 | 39 | Drainage of prostate abscess | |
| 55725 | 39 | Drainage of prostate abscess | |
| 55801 | 45 | Removal of prostate | |
| 55810 | 45 | Extensive prostate surgery | |
| 55812 | 45 | Extensive prostate surgery | |
| 55815 | 44 | Extensive prostate surgery | |
| 55821 | 45 | Removal of prostate | |
| 55831 | 45 | Removal of prostate | |
| 55840 | 45 | Extensive prostate surgery | |
| 55842 | 45 | Extensive prostate surgery | |
| 55845 | 44 | Extensive prostate surgery | |
| 55860 | 10 | Surgical exposure, prostate | |
| 55862 | 14 | Extensive prostate surgery | |
| 55865 | 44 | Extensive prostate surgery | |
| 55866 | 45 | Laparo radical prostatectomy | |
| 55870 | 118 | Electroejaculation | |
| 55873 | 24 | Cryoablate prostate | |
| 55875 | 20 | Transperi needle place, pros | |
| 55876 | 86 | Place rt device/marker, pros | |
| 55899 | 200 | Genital surgery procedure, unlisted | |
| 55920 | 124 | Place needles pelvic for rt | |
| 56405 | 10 | I & D of vulva/perineum | |
| 56420 | 24 | Drainage of gland abscess | |
| 56440 | 24 | Surgery for vulva lesion | |
| 56441 | 20 | Lysis of labial lesion(s) | |
| 56501 | 24 | Destroy, vulva lesions, simp | |
| 56515 | 55 | Destroy vulva lesion/s compl | |
| 56605 | 88 | Biopsy of vulva/perineum | |
| 56606 | 223 | Biopsy of vulva/perineum | |
| 56620 | 8 | Partial removal of vulva | |
| 56625 | 39 | Complete removal of vulva | |
| 56630 | 14 | Extensive vulva surgery | |
| 56631 | 45 | Extensive vulva surgery | |
| 56632 | 44 | Extensive vulva surgery | |
| 56633 | 14 | Extensive vulva surgery | |
| 56634 | 45 | Extensive vulva surgery | |
| 56637 | 45 | Extensive vulva surgery | |
| 56640 | 46 | Extensive vulva surgery | |
| 56740 | 24 | Remove vagina gland lesion | |
| 56800 | 8 | Repair of vagina | |
| 56810 | 39 | Repair of perineum | |
| 56820 | 104 | Exam of vulva w/scope | |
| 56821 | 104 | Exam/biopsy of vulva w/scope | |
| 57000 | 20 | Exploration of vagina | |
| 57010 | 50 | Drainage of pelvic abscess | |
| 57020 | 96 | Drainage of pelvic fluid | |
| 57022 | 20 | I & d vaginal hematoma, pp | |
| 57023 | 50 | I & d vag hematoma, non-ob | |
| 57061 | 24 | Destroy vag lesions, simple | |
| 57065 | 24 | Destroy vag lesions, complex | |
| 57100 | 104 | Biopsy of vagina | |
| 57105 | 24 | Biopsy of vagina | |
| 57106 | 14 | Remove vagina wall, partial | |
| 57107 | 14 | Remove vagina tissue, part | |
| 57109 | 13 | Vaginectomy partial w/nodes | |
| 57110 | 14 | Remove vagina wall, complete | |
| 57111 | 13 | Remove vagina tissue, compl | |
| 57112 | 13 | Vaginectomy w/nodes, compl | |
| 57120 | 14 | Closure of vagina | |
| 57130 | 8 | Remove vagina lesion | |
| 57135 | 24 | Remove vagina lesion | |
| 57150 | 100 | Treat vagina infection | |
| 57155 | 24 | Insert uteri tandems/ovoids | |
| 57160 | 126 | Insert pessary/other device | |
| 57170 | 123 | Fitting of diaphragm/cap | |
| 57180 | 24 | Treat vaginal bleeding | |
| 57200 | 8 | Repair of vagina | |
| 57210 | 8 | Repair vagina/perineum | |
| 57220 | 8 | Revision of urethra | |
| 57230 | 8 | Repair of urethral lesion | |
| 57240 | 8 | Repair bladder & vagina | |
| 57250 | 8 | Repair rectum & vagina | |
| 57260 | 8 | Repair of vagina | |
| 57265 | 8 | Extensive repair of vagina | |
| 57267 | 234 | Insert mesh/pelvic flr addon | |
| 57268 | 8 | Repair of bowel bulge | |
| 57270 | 14 | Repair of bowel pouch | |
| 57280 | 45 | Suspension of vagina | |
| 57282 | 45 | Repair of vaginal prolapse | |
| 57283 | 14 | Colpopexy, intraperitoneal | |
| 57284 | 45 | Repair paravaginal defect | |
| 57285 | 14 | Repair paravag defect, vag | |
| 57287 | 39 | Revise/remove sling repair | |
| 57288 | 39 | Repair bladder defect | |
| 57289 | 8 | Repair bladder & vagina | |
| 57291 | 20 | Construction of vagina | |
| 57292 | 45 | Construct vagina with graft | |
| 57295 | 8 | Change vaginal graft | |
| 57296 | 45 | Revise vag graft, open abd | |
| 57300 | 39 | Repair rectum-vagina fistula | |
| 57305 | 14 | Repair rectum-vagina fistula | |
| 57307 | 45 | Fistula repair & colostomy | |
| 57308 | 45 | Fistula repair, transperine | |
| 57310 | 14 | Repair urethrovaginal lesion | |
| 57311 | 45 | Repair urethrovaginal lesion | |
| 57320 | 8 | Repair bladder-vagina lesion | |
| 57330 | 14 | Repair bladder-vagina lesion | |
| 57400 | 96 | Dilation of vagina | |
| 57410 | 104 | Pelvic examination | |
| 57415 | 20 | Remove vaginal foreign body | |
| 57420 | 104 | Exam of vagina w/scope | |
| 57421 | 104 | Exam/biopsy of vag w/scope | |
| 57423 | 14 | Repair paravag defect, laparoscopic | |
| 57425 | 45 | Laparoscopy, surg, colpopexy | |
| 57426 | 8 | Revise prosth vag graft, lap | |
| 57452 | 104 | Examination of vagina | |
| 57454 | 104 | Vagina examination & biopsy | |
| 57455 | 104 | Biopsy of cervix w/scope | |
| 57456 | 104 | Endocerv curettage w/scope | |
| 57460 | 104 | Cervix excision | |
| 57461 | 104 | Conz of cervix w/scope, leep | |
| 57500 | 104 | Biopsy of cervix | |
| 57505 | 55 | Endocervical curettage | |
| 57510 | 24 | Cauterization of cervix | |
| 57511 | 24 | Cryocautery of cervix | |
| 57513 | 24 | Laser surgery of cervix | |
| 57520 | 55 | Conization of cervix | |
| 57522 | 24 | Conization of cervix | |
| 57530 | 8 | Removal of cervix | |
| 57531 | 13 | Removal of cervix, radical | |
| 57540 | 14 | Removal of residual cervix | |
| 57545 | 14 | Remove cervix/repair pelvis | |
| 57550 | 8 | Removal of residual cervix | |
| 57555 | 14 | Remove cervix/repair vagina | |
| 57556 | 8 | Remove cervix, repair bowel | |
| 57558 | 24 | D&c of cervical stump | |
| 57700 | 50 | Revision of cervix | |
| 57720 | 20 | Revision of cervix | |
| 57800 | 104 | Dilation of cervical canal | |
| 58100 | 104 | Biopsy of uterus lining | |
| 58110 | 246 | Bx done w/colposcopy add-on | |
| 58120 | 24 | Dilation and curettage | |
| 58140 | 14 | Removal of uterus lesion | |
| 58145 | 8 | Removal of uterus lesion | |
| 58146 | 14 | Myomectomy abdom complex | |
| 58150 | 14 | Total hysterectomy | |
| 58152 | 14 | Total hysterectomy | |
| 58180 | 14 | Partial hysterectomy | |
| 58200 | 14 | Extensive hysterectomy | |
| 58210 | 13 | Extensive hysterectomy | |
| 58240 | 45 | Removal of pelvis contents | |
| 58260 | 14 | Vaginal hysterectomy | |
| 58262 | 14 | Vaginal hysterectomy | |
| 58263 | 14 | Vaginal hysterectomy | |
| 58267 | 14 | Hysterectomy & vagina repair | |
| 58270 | 14 | Hysterectomy & vagina repair | |
| 58275 | 14 | Hysterectomy/revise vagina | |
| 58280 | 14 | Hysterectomy/revise vagina | |
| 58285 | 14 | Extensive hysterectomy | |
| 58290 | 14 | Vag hyst complex | |
| 58291 | 14 | Vag hyst incl t/o, complex | |
| 58292 | 14 | Vag hyst t/o & repair, compl | |
| 58293 | 14 | Vag hyst w/uro repair, compl | |
| 58294 | 14 | Vag hyst w/enterocele, compl | |
| 58340 | 113 | Catheter for hysterography | |
| 58346 | 24 | Insert heyman uteri capsule | |
| 58353 | 10 | Endometr ablate, thermal | |
| 58356 | 39 | Endometrial cryoablation | |
| 58400 | 45 | Suspension of uterus | |
| 58410 | 45 | Suspension of uterus | |
| 58520 | 14 | Repair of ruptured uterus | |
| 58540 | 59 | Revision of uterus | |
| 58541 | 14 | Lsh, uterus 250 g or less | |
| 58542 | 14 | Lsh w/t/o ut 250 g or less | |
| 58543 | 14 | Lsh uterus above 250 g | |
| 58544 | 14 | Lsh w/t/o uterus above 250 g | |
| 58545 | 8 | Laparoscopic myomectomy | |
| 58546 | 8 | Laparo-myomectomy, complex | |
| 58548 | 13 | Lap radical hyst | |
| 58550 | 8 | Laparo-asst vag hysterectomy | |
| 58552 | 8 | Laparo-vag hyst incl t/o | |
| 58553 | 14 | Laparo-vag hyst, complex | |
| 58554 | 14 | Laparo-vag hyst w/t/o, compl | |
| 58555 | 87 | Hysteroscopy, dx, sep proc | |
| 58558 | 88 | Hysteroscopy, biopsy | |
| 58559 | 88 | Hysteroscopy, lysis | |
| 58560 | 87 | Hysteroscopy, resect septum | |
| 58561 | 87 | Hysteroscopy, remove myoma | |
| 58562 | 88 | Hysteroscopy, remove fb | |
| 58563 | 87 | Hysteroscopy, ablation | |
| 58565 | 41 | Hysteroscopy, sterilization | |
| 58570 | 14 | TLH, Uterus 250 g or less | |
| 58571 | 14 | TLH w/t/o 250 g or less | |
| 58572 | 14 | TLH, uterus over 250 g | |
| 58573 | 14 | TLH w/t/o uterus over 250 g | |
| 58578 | 214 | Laparo proc, uterus | |
| 58579 | 214 | Hysteroscope procedure | |
| 58600 | 38 | Division of fallopian tube | |
| 58605 | 26 | Division of fallopian tube | |
| 58611 | 246 | Ligate oviduct(s) add-on | |
| 58615 | 50 | Occlude fallopian tube(s) | |
| 58660 | 8 | Laparoscopy, lysis | |
| 58661 | 8 | Laparoscopy, remove adnexa | |
| 58662 | 8 | Laparoscopy, excise lesions | |
| 58670 | 10 | Laparoscopy, tubal cautery | |
| 58671 | 10 | Laparoscopy, tubal block | |
| 58672 | 21 | Laparoscopy, fimbrioplasty | |
| 58673 | 21 | Laparoscopy, salpingostomy | |
| 58679 | 214 | Laparo proc, oviduct-ovary | |
| 58700 | 13 | Removal of fallopian tube | |
| 58720 | 13 | Removal of ovary/tube(s) | |
| 58740 | 14 | Revise fallopian tube(s) | |
| 58750 | 45 | Repair oviduct | |
| 58752 | 59 | Revise ovarian tube(s) | |
| 58760 | 46 | Remove tubal obstruction | |
| 58770 | 60 | Create new tubal opening | |
| 58800 | 23 | Drainage of ovarian cyst(s) | |
| 58805 | 7 | Drainage of ovarian cyst(s) | |
| 58820 | 20 | Drain ovary abscess, open | |
| 58822 | 14 | Drain ovary abscess, percut | |
| 58823 | 137 | Drain pelvic abscess, percut | |
| 58825 | 45 | Transposition, ovary(s) | |
| 58900 | 7 | Biopsy of ovary(s) | |
| 58920 | 13 | Partial removal of ovary(s) | |
| 58925 | 13 | Removal of ovarian cyst(s) | |
| 58940 | 13 | Removal of ovary(s) | |
| 58943 | 14 | Removal of ovary(s) | |
| 58950 | 13 | Resect ovarian malignancy | |
| 58951 | 13 | Resect ovarian malignancy | |
| 58952 | 13 | Resect ovarian malignancy | |
| 58953 | 13 | Tah, rad dissect for debulk | |
| 58954 | 13 | Tah rad debulk/lymph remove | |
| 58956 | 13 | Bso, omentectomy w/tah | |
| 58957 | 13 | Resect recurrent gyn mal | |
| 58958 | 13 | Resect recur gyn mal w/lym | |
| 58960 | 14 | Exploration of abdomen | |
| 58999 | 200 | Genital surgery procedure, unlisted | |
| 59000 | 104 | Amniocentesis, diagnostic | |
| 59001 | 129 | Amniocentesis, therapeutic | |
| 59012 | 124 | Fetal cord puncture,prenatal | |
| 59015 | 124 | Chorion biopsy | |
| 59020 | 96 | Fetal contract stress test | |
| 59020 | TC | 109 | Fetal contract stress test |
| 59020 | 26 | 107 | Fetal contract stress test |
| 59025 | 96 | Fetal non-stress test | |
| 59025 | TC | 109 | Fetal non-stress test |
| 59025 | 26 | 107 | Fetal non-stress test |
| 59030 | 133 | Fetal scalp blood sample | |
| 59050 | 213 | Fetal monitor w/report | |
| 59051 | 185 | Fetal monitor/interpret only | |
| 59070 | 124 | Transabdom amnioinfus w/ us | |
| 59072 | 129 | Umbilical cord occlud w/ us | |
| 59074 | 133 | Fetal fluid drainage w/ us | |
| 59076 | 124 | Fetal shunt placement, w/ us | |
| 59100 | 65 | Remove uterus lesion | |
| 59120 | 66 | Treat ectopic pregnancy | |
| 59121 | 66 | Treat ectopic pregnancy | |
| 59130 | 69 | Treat ectopic pregnancy | |
| 59135 | 69 | Treat ectopic pregnancy | |
| 59136 | 69 | Treat ectopic pregnancy | |
| 59140 | 69 | Treat ectopic pregnancy | |
| 59150 | 63 | Treat ectopic pregnancy | |
| 59151 | 67 | Treat ectopic pregnancy | |
| 59160 | 50 | D & c after delivery | |
| 59200 | 129 | Insert cervical dilator | |
| 59300 | 93 | Episiotomy or vaginal repair | |
| 59320 | 124 | Revision of cervix | |
| 59325 | 133 | Revision of cervix | |
| 59350 | 133 | Repair of uterus | |
| 59400 | 192 | Obstetrical care | |
| 59409 | 183 | Obstetrical care | |
| 59410 | 192 | Obstetrical care | |
| 59412 | 210 | Antepartum manipulation | |
| 59414 | 209 | Deliver placenta | |
| 59425 | 185 | Antepartum care only | |
| 59426 | 185 | Antepartum care only | |
| 59430 | 192 | Care after delivery | |
| 59510 | 192 | Cesarean delivery | |
| 59514 | 175 | Cesarean delivery only | |
| 59515 | 192 | Cesarean delivery | |
| 59525 | 225 | Remove uterus after cesarean | |
| 59610 | 211 | Vbac delivery | |
| 59612 | 183 | Vbac delivery only | |
| 59614 | 183 | Vbac care after delivery | |
| 59618 | 211 | Attempted vbac delivery | |
| 59620 | 183 | Attempted vbac delivery only | |
| 59622 | 183 | Attempted vbac after care | |
| 59812 | 68 | Treatment of miscarriage | |
| 59820 | 68 | Care of miscarriage | |
| 59821 | 67 | Treatment of miscarriage | |
| 59830 | 69 | Treat uterus infection | |
| 59840 | 67 | Abortion | |
| 59841 | 67 | Abortion | |
| 59850 | 64 | Abortion | |
| 59851 | 64 | Abortion | |
| 59852 | 69 | Abortion | |
| 59855 | 64 | Abortion | |
| 59856 | 69 | Abortion | |
| 59857 | 69 | Abortion | |
| 59870 | 67 | Evacuate mole of uterus | |
| 59871 | 124 | Remove cerclage suture | |
| 59897 | 217 | Fetal invas px w/ us | |
| 59898 | 214 | Laparo proc, ob care/deliver | |
| 59899 | 198 | Maternity care procedure, unlisted | |
| 60000 | 20 | Drain thyroid/tongue cyst | |
| 60100 | 104 | Biopsy of thyroid | |
| 60200 | 8 | Remove thyroid lesion | |
| 60210 | 8 | Partial thyroid excision | |
| 60212 | 8 | Parital thyroid excision | |
| 60220 | 8 | Partial removal of thyroid | |
| 60225 | 8 | Partial removal of thyroid | |
| 60240 | 14 | Removal of thyroid | |
| 60252 | 14 | Removal of thyroid | |
| 60254 | 45 | Extensive thyroid surgery | |
| 60260 | 15 | Repeat thyroid surgery | |
| 60270 | 45 | Removal of thyroid | |
| 60271 | 45 | Removal of thyroid | |
| 60280 | 8 | Remove thyroid duct lesion | |
| 60281 | 8 | Remove thyroid duct lesion | |
| 60300 | 104 | Aspir/inj thyroid cyst | |
| 60500 | 14 | Explore parathyroid glands | |
| 60502 | 14 | Re-explore parathyroids | |
| 60505 | 14 | Explore parathyroid glands | |
| 60512 | 238 | Autotransplant parathyroid | |
| 60520 | 45 | Removal of thymus gland | |
| 60521 | 14 | Removal of thymus gland | |
| 60522 | 14 | Removal of thymus gland | |
| 60540 | 15 | Explore adrenal gland | |
| 60545 | 14 | Explore adrenal gland | |
| 60600 | 14 | Remove carotid body lesion | |
| 60605 | 45 | Remove carotid body lesion | |
| 60650 | 15 | Laparoscopy adrenalectomy | |
| 60659 | 214 | Laparo proc, endocrine | |
| 60699 | 198 | Endocrine surgery procedure, unlisted | |
| 61020 | 104 | Remove brain cavity fluid | |
| 61026 | 104 | Injection into brain canal | |
| 61050 | 96 | Remove brain canal fluid | |
| 61055 | 105 | Injection into brain canal | |
| 61070 | 104 | Brain canal shunt procedure | |
| 61105 | 27 | Twist drill hole | |
| 61107 | 114 | Drill skull for implantation | |
| 61108 | 30 | Drill skull for drainage | |
| 61120 | 27 | Burr hole for puncture | |
| 61140 | 27 | Pierce skull for biopsy | |
| 61150 | 16 | Pierce skull for drainage | |
| 61151 | 30 | Pierce skull for drainage | |
| 61154 | 15 | Pierce skull & remove clot | |
| 61156 | 14 | Pierce skull for drainage | |
| 61210 | 113 | Pierce skull, implant device | |
| 61215 | 10 | Insert brain-fluid device | |
| 61250 | 15 | Pierce skull & explore | |
| 61253 | 26 | Pierce skull & explore | |
| 61304 | 14 | Open skull for exploration | |
| 61305 | 14 | Open skull for exploration | |
| 61312 | 14 | Open skull for drainage | |
| 61313 | 14 | Open skull for drainage | |
| 61314 | 14 | Open skull for drainage | |
| 61315 | 14 | Open skull for drainage | |
| 61316 | 249 | Implant cran bone flap to abdo | |
| 61320 | 14 | Open skull for drainage | |
| 61321 | 14 | Open skull for drainage | |
| 61322 | 14 | Decompressive craniotomy | |
| 61323 | 47 | Decompressive lobectomy | |
| 61330 | 9 | Decompress eye socket | |
| 61332 | 14 | Explore/biopsy eye socket | |
| 61333 | 45 | Explore orbit/remove lesion | |
| 61334 | 39 | Explore orbit/remove object | |
| 61340 | 15 | Relieve cranial pressure | |
| 61343 | 45 | Incise skull (press relief) | |
| 61345 | 14 | Relieve cranial pressure | |
| 61440 | 45 | Incise skull for surgery | |
| 61450 | 45 | Incise skull for surgery | |
| 61458 | 14 | Incise skull for brain wound | |
| 61460 | 45 | Incise skull for surgery | |
| 61470 | 45 | Incise skull for surgery | |
| 61480 | 45 | Incise skull for surgery | |
| 61490 | 15 | Incise skull for surgery | |
| 61500 | 45 | Removal of skull lesion | |
| 61501 | 45 | Remove infected skull bone | |
| 61510 | 45 | Removal of brain lesion | |
| 61512 | 45 | Remove brain lining lesion | |
| 61514 | 45 | Removal of brain abscess | |
| 61516 | 45 | Removal of brain lesion | |
| 61517 | 249 | Implant brain chemotx add-on | |
| 61518 | 45 | Removal of brain lesion | |
| 61519 | 45 | Remove brain lining lesion | |
| 61520 | 45 | Removal of brain lesion | |
| 61521 | 45 | Removal of brain lesion | |
| 61522 | 14 | Removal of brain abscess | |
| 61524 | 45 | Removal of brain lesion | |
| 61526 | 16 | Removal of brain lesion | |
| 61530 | 47 | Removal of brain lesion | |
| 61531 | 14 | Implant brain electrodes | |
| 61533 | 14 | Implant brain electrodes | |
| 61534 | 14 | Removal of brain lesion | |
| 61535 | 14 | Remove brain electrodes | |
| 61536 | 14 | Removal of brain lesion | |
| 61537 | 14 | Removal of brain tissue | |
| 61538 | 14 | Removal of brain tissue | |
| 61539 | 14 | Removal of brain tissue | |
| 61540 | 14 | Removal of brain tissue | |
| 61541 | 14 | Incision of brain tissue | |
| 61542 | 14 | Removal of brain tissue | |
| 61543 | 14 | Removal of brain tissue | |
| 61544 | 27 | Remove & treat brain lesion | |
| 61545 | 14 | Excision of brain tumor | |
| 61546 | 45 | Removal of pituitary gland | |
| 61548 | 45 | Removal of pituitary gland | |
| 61550 | 14 | Release of skull seams | |
| 61552 | 45 | Release of skull seams | |
| 61556 | 27 | Incise skull/sutures | |
| 61557 | 59 | Incise skull/sutures | |
| 61558 | 27 | Excision of skull/sutures | |
| 61559 | 45 | Excision of skull/sutures | |
| 61563 | 14 | Excision of skull tumor | |
| 61564 | 45 | Excision of skull tumor | |
| 61566 | 14 | Removal of brain tissue | |
| 61567 | 14 | Incision of brain tissue | |
| 61570 | 14 | Remove foreign body, brain | |
| 61571 | 45 | Incise skull for brain wound | |
| 61575 | 14 | Skull base/brainstem surgery | |
| 61576 | 45 | Skull base/brainstem surgery | |
| 61580 | 5 | Craniofacial approach, skull | |
| 61581 | 37 | Craniofacial approach, skull | |
| 61582 | 34 | Craniofacial approach, skull | |
| 61583 | 34 | Craniofacial approach, skull | |
| 61584 | 4 | Orbitocranial approach/skull | |
| 61585 | 35 | Orbitocranial approach/skull | |
| 61586 | 34 | Resect nasopharynx, skull | |
| 61590 | 35 | Infratemporal approach/skull | |
| 61591 | 35 | Infratemporal approach/skull | |
| 61592 | 35 | Orbitocranial approach/skull | |
| 61595 | 37 | Transtemporal approach/skull | |
| 61596 | 35 | Transcochlear approach/skull | |
| 61597 | 35 | Transcondylar approach/skull | |
| 61598 | 34 | Transpetrosal approach/skull | |
| 61600 | 34 | Resect/excise cranial lesion | |
| 61601 | 34 | Resect/excise cranial lesion | |
| 61605 | 34 | Resect/excise cranial lesion | |
| 61606 | 34 | Resect/excise cranial lesion | |
| 61607 | 3 | Resect/excise cranial lesion | |
| 61608 | 3 | Resect/excise cranial lesion | |
| 61609 | 233 | Transect artery, sinus | |
| 61610 | 233 | Transect artery, sinus | |
| 61611 | 233 | Transect artery, sinus | |
| 61612 | 233 | Transect artery, sinus | |
| 61613 | 35 | Remove aneurysm, sinus | |
| 61615 | 34 | Resect/excise lesion, skull | |
| 61616 | 34 | Resect/excise lesion, skull | |
| 61618 | 34 | Repair dura | |
| 61619 | 34 | Repair dura | |
| 61623 | 137 | Endovasc tempory vessel occl | |
| 61624 | 137 | Occlusion/embolization cath | |
| 61626 | 137 | Occlusion/embolization cath | |
| 61630 | 201 | Intracranial angioplasty | |
| 61635 | 201 | Intracran angioplsty w/stent | |
| 61640 | 257 | Dilate ic vasospasm, init | |
| 61641 | 290 | Dilate ic vasospasm add-on | |
| 61642 | 290 | Dilate ic vasospasm add-on | |
| 61680 | 14 | Intracranial vessel surgery | |
| 61682 | 45 | Intracranial vessel surgery | |
| 61684 | 14 | Intracranial vessel surgery | |
| 61686 | 45 | Intracranial vessel surgery | |
| 61690 | 14 | Intracranial vessel surgery | |
| 61692 | 45 | Intracranial vessel surgery | |
| 61697 | 45 | Brain aneurysm repr, complx | |
| 61698 | 45 | Brain aneurysm repr, complx | |
| 61700 | 45 | Brain aneurysm repr , simple | |
| 61702 | 45 | Inner skull vessel surgery | |
| 61703 | 45 | Clamp neck artery | |
| 61705 | 45 | Revise circulation to head | |
| 61708 | 59 | Revise circulation to head | |
| 61710 | 59 | Revise circulation to head | |
| 61711 | 45 | Fusion of skull arteries | |
| 61720 | 61 | Incise skull/brain surgery | |
| 61735 | 47 | Incise skull/brain surgery | |
| 61750 | 16 | Incise skull/brain biopsy | |
| 61751 | 16 | Brain biopsy w/ ct/mr guide | |
| 61760 | 16 | Implant brain electrodes | |
| 61770 | 42 | Incise skull for treatment | |
| 61790 | 55 | Treat trigeminal nerve | |
| 61791 | 50 | Treat trigeminal tract | |
| 61795 | 232 | Brain surgery using computer | |
| 61796 | 28 | Srs, cranial lesion simple | |
| 61797 | 246 | Srs, cran les simple, addl | |
| 61798 | 28 | Srs, cranial lesion complex | |
| 61799 | 246 | Srs, cran les complex, addl | |
| 61800 | 246 | Apply srs headframe add-on | |
| 61850 | 59 | Implant neuroelectrodes | |
| 61860 | 59 | Implant neuroelectrodes | |
| 61863 | 46 | Implant neuroelectrode | |
| 61864 | 238 | Implant neuroelectrde, add’l | |
| 61867 | 46 | Implant neuroelectrode | |
| 61868 | 238 | Implant neuroelectrde, add’l | |
| 61870 | 45 | Implant neuroelectrodes | |
| 61875 | 59 | Implant neuroelectrodes | |
| 61880 | 40 | Revise/remove neuroelectrode | |
| 61885 | 52 | Implant neurostim one array | |
| 61886 | 20 | Implant neurostim arrays | |
| 61888 | 25 | Revise/remove neuroreceiver | |
| 62000 | 30 | Treat skull fracture | |
| 62005 | 14 | Treat skull fracture | |
| 62010 | 45 | Treatment of head injury | |
| 62100 | 14 | Repair brain fluid leakage | |
| 62115 | 14 | Reduction of skull defect | |
| 62116 | 27 | Reduction of skull defect | |
| 62117 | 14 | Reduction of skull defect | |
| 62120 | 45 | Repair skull cavity lesion | |
| 62121 | 14 | Incise skull repair | |
| 62140 | 14 | Repair of skull defect | |
| 62141 | 14 | Repair of skull defect | |
| 62142 | 59 | Remove skull plate/flap | |
| 62143 | 45 | Replace skull plate/flap | |
| 62145 | 45 | Repair of skull & brain | |
| 62146 | 14 | Repair of skull with graft | |
| 62147 | 45 | Repair of skull with graft | |
| 62148 | 249 | Retr bone flap to fix skull | |
| 62160 | 232 | Neuroendoscopy add-on | |
| 62161 | 45 | Dissect brain w/scope | |
| 62162 | 45 | Remove colloid cyst w/scope | |
| 62163 | 45 | Neuroendoscopy w/fb removal | |
| 62164 | 45 | Remove brain tumor w/scope | |
| 62165 | 45 | Remove pituit tumor w/scope | |
| 62180 | 59 | Establish brain cavity shunt | |
| 62190 | 47 | Establish brain cavity shunt | |
| 62192 | 45 | Establish brain cavity shunt | |
| 62194 | 50 | Replace/irrigate catheter | |
| 62200 | 14 | Establish brain cavity shunt | |
| 62201 | 30 | Establish brain cavity shunt | |
| 62220 | 14 | Establish brain cavity shunt | |
| 62223 | 14 | Establish brain cavity shunt | |
| 62225 | 24 | Replace/irrigate catheter | |
| 62230 | 8 | Replace/revise brain shunt | |
| 62252 | 177 | Csf shunt reprogram | |
| 62252 | TC | 185 | Csf shunt reprogram |
| 62252 | 26 | 185 | Csf shunt reprogram |
| 62256 | 27 | Remove brain cavity shunt | |
| 62258 | 14 | Replace brain cavity shunt | |
| 62263 | 55 | Lysis epidural adhesions | |
| 62264 | 55 | Epidural lysis on single day | |
| 62267 | 96 | Interdiscal perq aspir, dx | |
| 62268 | 104 | Drain spinal cord cyst | |
| 62269 | 124 | Needle biopsy, spinal cord | |
| 62270 | 104 | Spinal fluid tap, diagnostic | |
| 62272 | 104 | Drain cerebro spinal fluid | |
| 62273 | 104 | Treat epidural spine lesion | |
| 62280 | 24 | Treat spinal cord lesion | |
| 62281 | 24 | Treat spinal cord lesion | |
| 62282 | 24 | Treat spinal canal lesion | |
| 62284 | 113 | Injection for myelogram | |
| 62287 | 24 | Percutaneous diskectomy | |
| 62290 | 113 | Inject for spine disk x-ray | |
| 62291 | 113 | Inject for spine disk x-ray | |
| 62292 | 20 | Injection into disk lesion | |
| 62294 | 55 | Injection into spinal artery | |
| 62310 | 104 | Inject spine c/t | |
| 62311 | 104 | Inject spine l/s (cd) | |
| 62318 | 104 | Inject spine w/cath, c/t | |
| 62319 | 104 | Inject spine w/cath l/s (cd) | |
| 62350 | 10 | Implant spinal canal cath | |
| 62351 | 45 | Implant spinal canal cath | |
| 62355 | 50 | Remove spinal canal catheter | |
| 62360 | 39 | Insert spine infusion device | |
| 62361 | 8 | Implant spine infusion pump | |
| 62362 | 39 | Implant spine infusion pump | |
| 62365 | 50 | Remove spine infusion device | |
| 62367 | 177 | Analyze spine infusion pump | |
| 62367 | TC | 185 | Analyze spine infusion pump |
| 62367 | 26 | 185 | Analyze spine infusion pump |
| 62368 | 177 | Analyze spine infusion pump | |
| 62368 | TC | 185 | Analyze spine infusion pump |
| 62368 | 26 | 185 | Analyze spine infusion pump |
| 63001 | 14 | Removal of spinal lamina | |
| 63003 | 14 | Removal of spinal lamina | |
| 63005 | 14 | Removal of spinal lamina | |
| 63011 | 14 | Removal of spinal lamina | |
| 63012 | 14 | Removal of spinal lamina | |
| 63015 | 14 | Removal of spinal lamina | |
| 63016 | 14 | Removal of spinal lamina | |
| 63017 | 14 | Removal of spinal lamina | |
| 63020 | 15 | Neck spine disk surgery | |
| 63030 | 15 | Low back disk surgery | |
| 63035 | 239 | Spinal disk surgery add-on | |
| 63040 | 15 | Laminotomy, single cervical | |
| 63042 | 15 | Laminotomy, single lumbar | |
| 63043 | 239 | Laminotomy, addl cervical | |
| 63044 | 239 | Laminotomy, addl lumbar | |
| 63045 | 13 | Removal of spinal lamina | |
| 63046 | 13 | Removal of spinal lamina | |
| 63047 | 13 | Removal of spinal lamina | |
| 63048 | 225 | Remove spinal lamina add-on | |
| 63050 | 14 | Cervical laminoplasty | |
| 63051 | 45 | C-laminoplasty w/graft/plate | |
| 63055 | 14 | Decompress spinal cord | |
| 63056 | 14 | Decompress spinal cord | |
| 63057 | 238 | Decompress spine cord add-on | |
| 63064 | 14 | Decompress spinal cord | |
| 63066 | 238 | Decompress spine cord add-on | |
| 63075 | 14 | Neck spine disk surgery | |
| 63076 | 238 | Neck spine disk surgery | |
| 63077 | 14 | Spine disk surgery, thorax | |
| 63078 | 238 | Spine disk surgery, thorax | |
| 63081 | 3 | Removal of vertebral body | |
| 63082 | 233 | Remove vertebral body add-on | |
| 63085 | 3 | Removal of vertebral body | |
| 63086 | 233 | Remove vertebral body add-on | |
| 63087 | 3 | Removal of vertebral body | |
| 63088 | 233 | Remove vertebral body add-on | |
| 63090 | 3 | Removal of vertebral body | |
| 63091 | 233 | Remove vertebral body add-on | |
| 63101 | 14 | Removal of vertebral body | |
| 63102 | 14 | Removal of vertebral body | |
| 63103 | 238 | Remove vertebral body add-on | |
| 63170 | 14 | Incise spinal cord tract(s) | |
| 63172 | 45 | Drainage of spinal cyst | |
| 63173 | 45 | Drainage of spinal cyst | |
| 63180 | 45 | Revise spinal cord ligaments | |
| 63182 | 45 | Revise spinal cord ligaments | |
| 63185 | 14 | Incise spinal column/nerves | |
| 63190 | 14 | Incise spinal column/nerves | |
| 63191 | 15 | Incise spinal column/nerves | |
| 63194 | 14 | Incise spinal column & cord | |
| 63195 | 14 | Incise spinal column & cord | |
| 63196 | 14 | Incise spinal column & cord | |
| 63197 | 14 | Incise spinal column & cord | |
| 63198 | 45 | Incise spinal column & cord, cerv. | |
| 63199 | 45 | Incise spinal column & cord, thor. | |
| 63200 | 27 | Release of spinal cord, lumbar | |
| 63250 | 45 | Revise spinal cord vessels | |
| 63251 | 45 | Revise spinal cord vessels | |
| 63252 | 45 | Revise spinal cord vessels | |
| 63265 | 14 | Excise intraspinal lesion | |
| 63266 | 14 | Excise intraspinal lesion | |
| 63267 | 14 | Excise intraspinal lesion | |
| 63268 | 14 | Excise intraspinal lesion | |
| 63270 | 45 | Excise intraspinal lesion | |
| 63271 | 45 | Excise intraspinal lesion | |
| 63272 | 45 | Excise intraspinal lesion | |
| 63273 | 59 | Excise intraspinal lesion | |
| 63275 | 14 | Biopsy/excise spinal tumor | |
| 63276 | 14 | Biopsy/excise spinal tumor | |
| 63277 | 14 | Biopsy/excise spinal tumor | |
| 63278 | 14 | Biopsy/excise spinal tumor | |
| 63280 | 14 | Biopsy/excise spinal tumor | |
| 63281 | 14 | Biopsy/excise spinal tumor | |
| 63282 | 14 | Biopsy/excise spinal tumor | |
| 63283 | 14 | Biopsy/excise spinal tumor | |
| 63285 | 14 | Biopsy/excise spinal tumor | |
| 63286 | 14 | Biopsy/excise spinal tumor | |
| 63287 | 14 | Biopsy/excise spinal tumor | |
| 63290 | 45 | Biopsy/excise spinal tumor | |
| 63295 | 224 | Repair of laminectomy defect | |
| 63300 | 14 | Removal of vertebral body | |
| 63301 | 14 | Removal of vertebral body | |
| 63302 | 14 | Removal of vertebral body | |
| 63303 | 14 | Removal of vertebral body | |
| 63304 | 45 | Removal of vertebral body | |
| 63305 | 45 | Removal of vertebral body | |
| 63306 | 45 | Removal of vertebral body | |
| 63307 | 45 | Removal of vertebral body | |
| 63308 | 238 | Remove vertebral body add-on | |
| 63600 | 50 | Remove spinal cord lesion | |
| 63610 | 124 | Stimulation of spinal cord | |
| 63615 | 42 | Remove lesion of spinal cord | |
| 63620 | 28 | Srs, spinal lesion | |
| 63621 | 246 | Srs, spinal lesion, addl | |
| 63650 | 24 | Implant neuroelectrodes | |
| 63655 | 39 | Implant neuroelectrodes | |
| 63661 | 8 | Remove spine eltrd perq array, inc flourscpy | |
| 63662 | 8 | Remove spine eltrd plate, inc flourscpy | |
| 63663 | 8 | Revisespine eltrd perq array,inc flourscpy | |
| 63664 | 8 | Revise spine eltrd plate, inc flourscpy | |
| 63685 | 39 | Implant neuroreceiver | |
| 63688 | 24 | Revise/remove neuroreceiver | |
| 63700 | 14 | Repair of spinal herniation | |
| 63702 | 14 | Repair of spinal herniation | |
| 63704 | 14 | Repair of spinal herniation | |
| 63706 | 14 | Repair of spinal herniation | |
| 63707 | 14 | Repair spinal fluid leakage | |
| 63709 | 14 | Repair spinal fluid leakage | |
| 63710 | 14 | Graft repair of spine defect | |
| 63740 | 45 | Install spinal shunt | |
| 63741 | 14 | Install spinal shunt | |
| 63744 | 39 | Revision of spinal shunt | |
| 63746 | 50 | Removal of spinal shunt | |
| 64400 | 106 | Injection for nerve block | |
| 64402 | 106 | Injection for nerve block | |
| 64405 | 106 | Injection for nerve block | |
| 64408 | 98 | Injection for nerve block | |
| 64410 | 98 | Injection for nerve block | |
| 64412 | 106 | Injection for nerve block | |
| 64413 | 106 | Injection for nerve block | |
| 64415 | 106 | Injection for nerve block | |
| 64416 | 106 | N block cont infuse, b plex | |
| 64417 | 106 | Injection for nerve block | |
| 64418 | 106 | Injection for nerve block | |
| 64420 | 104 | Injection for nerve block | |
| 64421 | 106 | Injection for nerve block | |
| 64425 | 106 | Injection for nerve block | |
| 64430 | 106 | Injection for nerve block | |
| 64435 | 106 | Injection for nerve block | |
| 64445 | 106 | Injection for nerve block | |
| 64446 | 106 | N blk inj, sciatic, cont inf | |
| 64447 | 106 | N block inj fem, single | |
| 64448 | 106 | N block inj fem, cont inf | |
| 64449 | 106 | N block inj, lumbar plexus | |
| 64450 | 106 | N block, other peripheral | |
| 64455 | 98 | N block inj, plantar digit | |
| 64479 | 106 | Inj foramen epidural c/t | |
| 64480 | 229 | Inj foramen epidural add-on | |
| 64483 | 106 | Inj foramen epidural l/s | |
| 64484 | 229 | Inj foramen epidural add-on | |
| 64490 | 98 | Inj paravert f jnt c/t 1 lev, w/image guid | |
| 64491 | 242 | Inj paravert f jnt c/t 2nd lev, w/image guid | |
| 64492 | 242 | Inj paravert f jnt c/t 3rd+ lev, w/image guid | |
| 64493 | 98 | Inj paravert f fnt l/s 1 lev | |
| 64494 | 242 | Inj paravert f jnt l/s 2nd lev | |
| 64495 | 242 | Inj paravert f jnt l/s 3rd+ lev | |
| 64505 | 104 | Injection for nerve block | |
| 64508 | 96 | Injection for nerve block | |
| 64510 | 104 | Injection for nerve block | |
| 64517 | 104 | N block inj, hypogas plxs | |
| 64520 | 104 | Injection for nerve block | |
| 64530 | 104 | Injection for nerve block | |
| 64550 | 114 | Apply neurostimulator | |
| 64553 | 20 | Implant neuroelectrodes | |
| 64555 | 24 | Implant neuroelectrodes | |
| 64560 | 20 | Implant neuroelectrodes | |
| 64561 | 55 | Implant neuroelectrodes | |
| 64565 | 24 | Implant neuroelectrodes | |
| 64573 | 20 | Implant neuroelectrodes | |
| 64575 | 24 | Implant neuroelectrodes | |
| 64577 | 24 | Implant neuroelectrodes | |
| 64580 | 20 | Implant neuroelectrodes | |
| 64581 | 55 | Implant neuroelectrodes | |
| 64585 | 24 | Revise/remove neuroelectrode | |
| 64590 | 10 | Implant neuroreceiver | |
| 64595 | 24 | Revise/remove neuroreceiver | |
| 64600 | 54 | Injection treatment of nerve | |
| 64605 | 20 | Injection treatment of nerve | |
| 64610 | 55 | Injection treatment of nerve | |
| 64612 | 57 | Destroy nerve, face muscle | |
| 64613 | 57 | Destroy nerve, spine muscle | |
| 64614 | 57 | Destroy nerve, extrem musc | |
| 64620 | 24 | Injection treatment of nerve | |
| 64622 | 57 | Destr paravertebrl nerve l/s | |
| 64623 | 245 | Destr paravertebral n add-on | |
| 64626 | 57 | Destr paravertebrl nerve c/t | |
| 64627 | 245 | Destr paravertebral n add-on | |
| 64630 | 50 | Injection treatment of nerve | |
| 64632 | 52 | N block inj, common digit | |
| 64640 | 57 | Injection treatment of nerve | |
| 64650 | 124 | Chemodenerv eccrine glands | |
| 64653 | 124 | Chemodenerv eccrine glands | |
| 64680 | 55 | Injection treatment of nerve | |
| 64681 | 55 | Injection treatment of nerve | |
| 64702 | 24 | Revise finger/toe nerve | |
| 64704 | 8 | Revise hand/foot nerve | |
| 64708 | 8 | Revise arm/leg nerve | |
| 64712 | 8 | Revision of sciatic nerve | |
| 64713 | 8 | Revision of arm nerve(s) | |
| 64714 | 8 | Revise low back nerve(s) | |
| 64716 | 8 | Revision of cranial nerve | |
| 64718 | 20 | Revise ulnar nerve at elbow | |
| 64719 | 24 | Revise ulnar nerve at wrist | |
| 64721 | 25 | Carpal tunnel surgery | |
| 64722 | 8 | Relieve pressure on nerve(s) | |
| 64726 | 24 | Release foot/toe nerve | |
| 64727 | 244 | Internal nerve revision | |
| 64732 | 50 | Incision of brow nerve | |
| 64734 | 50 | Incision of cheek nerve | |
| 64736 | 50 | Incision of chin nerve | |
| 64738 | 50 | Incision of jaw nerve | |
| 64740 | 50 | Incision of tongue nerve | |
| 64742 | 50 | Incision of facial nerve | |
| 64744 | 52 | Incise nerve, back of head | |
| 64746 | 39 | Incise diaphragm nerve | |
| 64752 | 45 | Incision of vagus nerve | |
| 64755 | 45 | Incision of stomach nerves | |
| 64760 | 45 | Incision of vagus nerve | |
| 64761 | 52 | Incision of pelvis nerve | |
| 64763 | 40 | Incise hip/thigh nerve | |
| 64766 | 52 | Incise hip/thigh nerve | |
| 64771 | 50 | Sever cranial nerve | |
| 64772 | 39 | Incision of spinal nerve | |
| 64774 | 24 | Remove skin nerve lesion | |
| 64776 | 20 | Remove digit nerve lesion | |
| 64778 | 244 | Digit nerve surgery add-on | |
| 64782 | 10 | Remove limb nerve lesion | |
| 64783 | 244 | Limb nerve surgery add-on | |
| 64784 | 20 | Remove nerve lesion | |
| 64786 | 20 | Remove sciatic nerve lesion | |
| 64787 | 241 | Implant nerve end | |
| 64788 | 55 | Remove skin nerve lesion | |
| 64790 | 39 | Removal of nerve lesion | |
| 64792 | 39 | Removal of nerve lesion | |
| 64795 | 104 | Biopsy of nerve | |
| 64802 | 40 | Remove sympathetic nerves | |
| 64804 | 46 | Remove sympathetic nerves | |
| 64809 | 46 | Remove sympathetic nerves | |
| 64818 | 46 | Remove sympathetic nerves | |
| 64820 | 55 | Remove sympathetic nerves | |
| 64821 | 57 | Remove sympathetic nerves | |
| 64822 | 57 | Remove sympathetic nerves | |
| 64823 | 57 | Remove sympathetic nerves | |
| 64831 | 24 | Repair of digit nerve | |
| 64832 | 241 | Repair nerve add-on | |
| 64834 | 20 | Repair of hand or foot nerve | |
| 64835 | 20 | Repair of hand or foot nerve | |
| 64836 | 20 | Repair of hand or foot nerve | |
| 64837 | 241 | Repair nerve add-on | |
| 64840 | 20 | Repair of leg nerve | |
| 64856 | 10 | Repair/transpose nerve | |
| 64857 | 8 | Repair arm/leg nerve | |
| 64858 | 8 | Repair sciatic nerve | |
| 64859 | 234 | Nerve surgery | |
| 64861 | 8 | Repair of arm nerves | |
| 64862 | 20 | Repair of low back nerves | |
| 64864 | 8 | Repair of facial nerve | |
| 64865 | 8 | Repair of facial nerve | |
| 64866 | 14 | Fusion of facial/other nerve | |
| 64868 | 14 | Fusion of facial/other nerve | |
| 64870 | 8 | Fusion of facial/other nerve | |
| 64872 | 234 | Subsequent repair of nerve | |
| 64874 | 222 | Repair & revise nerve add-on | |
| 64876 | 222 | Repair nerve/shorten bone | |
| 64885 | 8 | Nerve graft, head or neck | |
| 64886 | 8 | Nerve graft, head or neck | |
| 64890 | 20 | Nerve graft, hand or foot | |
| 64891 | 20 | Nerve graft, hand or foot | |
| 64892 | 8 | Nerve graft, arm or leg | |
| 64893 | 20 | Nerve graft, arm or leg | |
| 64895 | 8 | Nerve graft, hand or foot | |
| 64896 | 8 | Nerve graft, hand or foot | |
| 64897 | 20 | Nerve graft, arm or leg | |
| 64898 | 8 | Nerve graft, arm or leg | |
| 64901 | 234 | Nerve graft add-on | |
| 64902 | 241 | Nerve graft add-on | |
| 64905 | 8 | Nerve pedicle transfer | |
| 64907 | 8 | Nerve pedicle transfer | |
| 64910 | 39 | Nerve repair w/allograft | |
| 64911 | 45 | Neurorraphy w/vein autograft | |
| 64999 | 198 | Nervous system surgery, unlisted | |
| 65091 | 9 | Revise eye | |
| 65093 | 11 | Revise eye with implant | |
| 65101 | 25 | Removal of eye | |
| 65103 | 11 | Remove eye/insert implant | |
| 65105 | 9 | Remove eye/attach implant | |
| 65110 | 9 | Removal of eye | |
| 65112 | 9 | Remove eye/revise socket | |
| 65114 | 9 | Remove eye/revise socket | |
| 65125 | 11 | Revise ocular implant | |
| 65130 | 11 | Insert ocular implant | |
| 65135 | 25 | Insert ocular implant | |
| 65140 | 25 | Attach ocular implant | |
| 65150 | 52 | Revise ocular implant | |
| 65155 | 57 | Reinsert ocular implant | |
| 65175 | 11 | Removal of ocular implant | |
| 65205 | 102 | Remove foreign body from eye | |
| 65210 | 128 | Remove foreign body from eye | |
| 65220 | 106 | Remove foreign body from eye | |
| 65222 | 131 | Remove foreign body from eye | |
| 65235 | 21 | Remove foreign body from eye | |
| 65260 | 21 | Remove foreign body from eye | |
| 65265 | 9 | Remove foreign body from eye | |
| 65270 | 21 | Repair of eye wound | |
| 65272 | 25 | Repair of eye wound | |
| 65273 | 17 | Repair of eye wound | |
| 65275 | 21 | Repair of eye wound | |
| 65280 | 21 | Repair of eye wound | |
| 65285 | 57 | Repair of eye wound | |
| 65286 | 57 | Repair of eye wound | |
| 65290 | 43 | Repair of eye socket wound | |
| 65400 | 25 | Removal of eye lesion | |
| 65410 | 98 | Biopsy of cornea | |
| 65420 | 25 | Removal of eye lesion | |
| 65426 | 25 | Removal of eye lesion | |
| 65430 | 106 | Corneal smear | |
| 65435 | 106 | Curette/treat cornea | |
| 65436 | 57 | Curette/treat cornea | |
| 65450 | 57 | Treatment of corneal lesion | |
| 65600 | 57 | Revision of cornea | |
| 65710 | 40 | Corneal transplant | |
| 65730 | 40 | Corneal transplant | |
| 65750 | 9 | Corneal transplant | |
| 65755 | 9 | Corneal transplant | |
| 65756 | 40 | Corneal trnspl, endothelial | |
| 65757 | 246 | Prep corneal endo allograft | |
| 65760 | 270 | Revision of cornea | |
| 65765 | 270 | Revision of cornea | |
| 65767 | 270 | Corneal tissue transplant | |
| 65770 | 52 | Revise cornea with implant | |
| 65771 | 270 | Radial keratotomy | |
| 65772 | 25 | Correction of astigmatism | |
| 65775 | 25 | Correction of astigmatism | |
| 65780 | 11 | Ocular reconst, transplant | |
| 65781 | 9 | Ocular reconst, transplant | |
| 65782 | 11 | Ocular reconst, transplant | |
| 65800 | 106 | Drainage of eye | |
| 65805 | 106 | Drainage of eye | |
| 65810 | 25 | Drainage of eye | |
| 65815 | 25 | Drainage of eye | |
| 65820 | 21 | Relieve inner eye pressure | |
| 65850 | 11 | Incision of eye | |
| 65855 | 25 | Laser surgery of eye | |
| 65860 | 21 | Incise inner eye adhesions | |
| 65865 | 11 | Incise inner eye adhesions | |
| 65870 | 11 | Incise inner eye adhesions | |
| 65875 | 11 | Incise inner eye adhesions | |
| 65880 | 25 | Incise inner eye adhesions | |
| 65900 | 52 | Remove eye lesion | |
| 65920 | 11 | Remove implant of eye | |
| 65930 | 11 | Remove blood clot from eye | |
| 66020 | 25 | Injection treatment of eye | |
| 66030 | 25 | Injection treatment of eye | |
| 66130 | 21 | Remove eye lesion | |
| 66150 | 43 | Glaucoma surgery | |
| 66155 | 57 | Glaucoma surgery | |
| 66160 | 43 | Glaucoma surgery | |
| 66165 | 52 | Glaucoma surgery | |
| 66170 | 40 | Glaucoma surgery | |
| 66172 | 40 | Incision of eye | |
| 66180 | 40 | Implant eye shunt | |
| 66185 | 52 | Revise eye shunt | |
| 66220 | 9 | Repair eye lesion | |
| 66225 | 43 | Repair/graft eye lesion | |
| 66250 | 25 | Follow-up surgery of eye | |
| 66500 | 11 | Incision of iris | |
| 66505 | 25 | Incision of iris | |
| 66600 | 25 | Remove iris and lesion | |
| 66605 | 25 | Removal of iris | |
| 66625 | 25 | Removal of iris | |
| 66630 | 25 | Removal of iris | |
| 66635 | 25 | Removal of iris | |
| 66680 | 11 | Repair iris & ciliary body | |
| 66682 | 25 | Repair iris & ciliary body | |
| 66700 | 21 | Destruction, ciliary body | |
| 66710 | 57 | Destruction, ciliary body | |
| 66711 | 57 | Ciliary endoscopic ablation | |
| 66720 | 25 | Destruction, ciliary body | |
| 66740 | 25 | Destruction, ciliary body | |
| 66761 | 25 | Revision of iris | |
| 66762 | 25 | Revision of iris | |
| 66770 | 25 | Removal of inner eye lesion | |
| 66820 | 25 | Incision, secondary cataract | |
| 66821 | 25 | After cataract laser surgery | |
| 66825 | 21 | Reposition intraocular lens | |
| 66830 | 25 | Removal of lens lesion | |
| 66840 | 25 | Removal of lens material | |
| 66850 | 25 | Removal of lens material | |
| 66852 | 9 | Removal of lens material | |
| 66920 | 9 | Extraction of lens | |
| 66930 | 21 | Extraction of lens | |
| 66940 | 9 | Extraction of lens | |
| 66982 | 25 | Cataract surgery, complex | |
| 66983 | 25 | Cataract surg w/iol, 1 stage | |
| 66984 | 25 | Cataract surg w/iol, i stage | |
| 66985 | 11 | Insert lens prosthesis | |
| 66986 | 11 | Exchange lens prosthesis | |
| 66990 | 232 | Ophthalmic endoscope add-on | |
| 66999 | 199 | Eye surgery procedure, unlisted | |
| 67005 | 11 | Partial removal of eye fluid | |
| 67010 | 11 | Partial removal of eye fluid | |
| 67015 | 11 | Release of eye fluid | |
| 67025 | 11 | Replace eye fluid | |
| 67027 | 9 | Implant eye drug system | |
| 67028 | 106 | Injection eye drug | |
| 67030 | 11 | Incise inner eye strands | |
| 67031 | 25 | Laser surgery, eye strands | |
| 67036 | 9 | Removal of inner eye fluid | |
| 67039 | 9 | Laser treatment of retina | |
| 67040 | 9 | Laser treatment of retina | |
| 67041 | 9 | Vit for macular pucker | |
| 67042 | 9 | Vit for macular hole | |
| 67043 | 9 | Vit for membrane dissect | |
| 67101 | 25 | Repair detached retina | |
| 67105 | 25 | Repair detached retina | |
| 67107 | 9 | Repair detached retina | |
| 67108 | 9 | Repair detached retina | |
| 67110 | 25 | Repair detached retina | |
| 67112 | 9 | Rerepair detached retina | |
| 67113 | 40 | Repair retinal detach, clpx | |
| 67115 | 57 | Release encircling material | |
| 67120 | 11 | Remove eye implant material | |
| 67121 | 9 | Remove eye implant material | |
| 67141 | 25 | Treatment of retina | |
| 67145 | 25 | Treatment of retina | |
| 67208 | 25 | Treatment of retinal lesion | |
| 67210 | 25 | Treatment of retinal lesion | |
| 67218 | 25 | Treatment of retinal lesion | |
| 67220 | 25 | Treatment of choroid lesion | |
| 67221 | 104 | Ocular photodynamic ther | |
| 67225 | 228 | Eye photodynamic ther add-on | |
| 67227 | 25 | Treatment of retinal lesion | |
| 67228 | 25 | Treatment of retinal lesion | |
| 67250 | 11 | Reinforce eye wall | |
| 67255 | 9 | Reinforce/graft eye wall | |
| 67299 | 199 | Eye surgery procedure, unlisted | |
| 67311 | 25 | Revise eye muscle | |
| 67312 | 11 | Revise two eye muscles | |
| 67314 | 25 | Revise eye muscle | |
| 67316 | 52 | Revise two eye muscles | |
| 67318 | 43 | Revise eye muscle(s) | |
| 67320 | 244 | Revise eye muscle(s) add-on | |
| 67331 | 236 | Eye surgery follow-up add-on | |
| 67332 | 236 | Rerevise eye muscles add-on | |
| 67334 | 236 | Revise eye muscle w/suture | |
| 67335 | 236 | Eye suture during surgery | |
| 67340 | 241 | Revise eye muscle add-on | |
| 67343 | 11 | Release eye tissue | |
| 67345 | 57 | Destroy nerve of eye muscle | |
| 67346 | 125 | Biopsy, eye muscle | |
| 67399 | 199 | Eye muscle surgery procedure, unlisted | |
| 67400 | 11 | Explore/biopsy eye socket | |
| 67405 | 25 | Explore/drain eye socket | |
| 67412 | 11 | Explore/treat eye socket | |
| 67413 | 21 | Explore/treat eye socket | |
| 67414 | 9 | Explr/decompress eye socket | |
| 67415 | 98 | Aspiration, orbital contents | |
| 67420 | 40 | Explore/treat eye socket | |
| 67430 | 21 | Explore/treat eye socket | |
| 67440 | 9 | Explore/drain eye socket | |
| 67445 | 9 | Explr/decompress eye socket | |
| 67450 | 9 | Explore/biopsy eye socket | |
| 67500 | 106 | Inject/treat eye socket | |
| 67505 | 106 | Inject/treat eye socket | |
| 67515 | 106 | Inject/treat eye socket | |
| 67550 | 43 | Insert eye socket implant | |
| 67560 | 52 | Revise eye socket implant | |
| 67570 | 40 | Decompress optic nerve | |
| 67599 | 199 | Orbit surgery procedure, unlisted | |
| 67700 | 25 | Drainage of eyelid abscess | |
| 67710 | 25 | Incision of eyelid | |
| 67715 | 25 | Incision of eyelid fold | |
| 67800 | 24 | Remove eyelid lesion | |
| 67801 | 24 | Remove eyelid lesions | |
| 67805 | 24 | Remove eyelid lesions | |
| 67808 | 55 | Remove eyelid lesion(s) | |
| 67810 | 106 | Biopsy of eyelid | |
| 67820 | 106 | Revise eyelashes | |
| 67825 | 25 | Revise eyelashes | |
| 67830 | 25 | Revise eyelashes | |
| 67835 | 52 | Revise eyelashes | |
| 67840 | 25 | Remove eyelid lesion | |
| 67850 | 25 | Treat eyelid lesion | |
| 67875 | 106 | Closure of eyelid by suture | |
| 67880 | 25 | Revision of eyelid | |
| 67882 | 25 | Revision of eyelid | |
| 67900 | 57 | Repair brow defect | |
| 67901 | 57 | Repair eyelid defect | |
| 67902 | 43 | Repair eyelid defect | |
| 67903 | 43 | Repair eyelid defect | |
| 67904 | 11 | Repair eyelid defect | |
| 67906 | 57 | Repair eyelid defect | |
| 67908 | 25 | Repair eyelid defect | |
| 67909 | 57 | Revise eyelid defect | |
| 67911 | 25 | Revise eyelid defect | |
| 67912 | 57 | Correction eyelid w/ implant | |
| 67914 | 25 | Repair eyelid defect | |
| 67915 | 25 | Repair eyelid defect | |
| 67916 | 25 | Repair eyelid defect | |
| 67917 | 57 | Repair eyelid defect | |
| 67921 | 25 | Repair eyelid defect | |
| 67922 | 25 | Repair eyelid defect | |
| 67923 | 25 | Repair eyelid defect | |
| 67924 | 57 | Repair eyelid defect | |
| 67930 | 25 | Repair eyelid wound | |
| 67935 | 25 | Repair eyelid wound | |
| 67938 | 25 | Remove eyelid foreign body | |
| 67950 | 11 | Revision of eyelid | |
| 67961 | 52 | Revision of eyelid | |
| 67966 | 57 | Revision of eyelid | |
| 67971 | 11 | Reconstruction of eyelid | |
| 67973 | 40 | Reconstruction of eyelid | |
| 67974 | 40 | Reconstruction of eyelid | |
| 67975 | 57 | Reconstruction of eyelid | |
| 67999 | 199 | Revision of eyelid, unlisted | |
| 68020 | 25 | Incise/drain eyelid lining | |
| 68040 | 106 | Treatment of eyelid lesions | |
| 68100 | 106 | Biopsy of eyelid lining | |
| 68110 | 25 | Remove eyelid lining lesion | |
| 68115 | 25 | Remove eyelid lining lesion | |
| 68130 | 25 | Remove eyelid lining lesion | |
| 68135 | 25 | Remove eyelid lining lesion | |
| 68200 | 106 | Treat eyelid by injection | |
| 68320 | 11 | Revise/graft eyelid lining | |
| 68325 | 43 | Revise/graft eyelid lining | |
| 68326 | 25 | Revise/graft eyelid lining | |
| 68328 | 52 | Revise/graft eyelid lining | |
| 68330 | 21 | Revise eyelid lining | |
| 68335 | 43 | Revise/graft eyelid lining | |
| 68340 | 52 | Separate eyelid adhesions | |
| 68360 | 25 | Revise eyelid lining | |
| 68362 | 11 | Revise eyelid lining | |
| 68371 | 25 | Harvest eye tissue, alograft | |
| 68399 | 199 | Eyelid lining surgery, unlisted | |
| 68400 | 25 | Incise/drain tear gland | |
| 68420 | 25 | Incise/drain tear sac | |
| 68440 | 25 | Incise tear duct opening | |
| 68500 | 57 | Removal of tear gland | |
| 68505 | 25 | Partial removal, tear gland | |
| 68510 | 98 | Biopsy of tear gland | |
| 68520 | 52 | Removal of tear sac | |
| 68525 | 89 | Biopsy of tear sac | |
| 68530 | 25 | Clearance of tear duct | |
| 68540 | 43 | Remove tear gland lesion | |
| 68550 | 57 | Remove tear gland lesion | |
| 68700 | 57 | Repair tear ducts | |
| 68705 | 25 | Revise tear duct opening | |
| 68720 | 40 | Create tear sac drain | |
| 68745 | 40 | Create tear duct drain | |
| 68750 | 40 | Create tear duct drain | |
| 68760 | 57 | Close tear duct opening | |
| 68761 | 52 | Close tear duct opening | |
| 68770 | 21 | Close tear system fistula | |
| 68801 | 25 | Dilate tear duct opening | |
| 68810 | 25 | Probe nasolacrimal duct | |
| 68811 | 25 | Probe nasolacrimal duct | |
| 68815 | 57 | Probe nasolacrimal duct | |
| 68816 | 25 | Probe nasolacrimal duct w/ balloon | |
| 68840 | 25 | Explore/irrigate tear ducts | |
| 68850 | 140 | Injection for tear sac x-ray | |
| 68899 | 199 | Tear duct system surgery, unlisted | |
| 69000 | 24 | Drain external ear lesion | |
| 69005 | 24 | Drain external ear lesion | |
| 69020 | 24 | Drain outer ear canal lesion | |
| 69100 | 129 | Biopsy of external ear | |
| 69105 | 129 | Biopsy of external ear canal | |
| 69110 | 24 | Remove external ear, partial | |
| 69120 | 55 | Removal of external ear | |
| 69140 | 20 | Remove ear canal lesion(s) | |
| 69145 | 24 | Remove ear canal lesion(s) | |
| 69150 | 10 | Extensive ear canal surgery | |
| 69155 | 45 | Extensive ear/neck surgery | |
| 69200 | 100 | Clear outer ear canal | |
| 69205 | 55 | Clear outer ear canal | |
| 69210 | 99 | Remove impacted ear wax | |
| 69220 | 106 | Clean out mastoid cavity | |
| 69222 | 57 | Clean out mastoid cavity | |
| 69300 | 207 | Revise external ear | |
| 69310 | 24 | Rebuild outer ear canal | |
| 69320 | 50 | Rebuild outer ear canal | |
| 69399 | 198 | Outer ear surgery procedure, unlisted | |
| 69400 | 104 | Inflate middle ear canal | |
| 69401 | 104 | Inflate middle ear canal | |
| 69405 | 20 | Catheterize middle ear canal | |
| 69420 | 25 | Incision of eardrum | |
| 69421 | 25 | Incision of eardrum | |
| 69424 | 131 | Remove ventilating tube | |
| 69433 | 25 | Create eardrum opening | |
| 69436 | 25 | Create eardrum opening | |
| 69440 | 25 | Exploration of middle ear | |
| 69450 | 52 | Eardrum revision | |
| 69501 | 25 | Mastoidectomy | |
| 69502 | 21 | Mastoidectomy | |
| 69505 | 21 | Remove mastoid structures | |
| 69511 | 21 | Extensive mastoid surgery | |
| 69530 | 21 | Extensive mastoid surgery | |
| 69535 | 17 | Remove part of temporal bone | |
| 69540 | 25 | Remove ear lesion | |
| 69550 | 52 | Remove ear lesion | |
| 69552 | 52 | Remove ear lesion | |
| 69554 | 46 | Remove ear lesion | |
| 69601 | 21 | Mastoid surgery revision | |
| 69602 | 21 | Mastoid surgery revision | |
| 69603 | 21 | Mastoid surgery revision | |
| 69604 | 25 | Mastoid surgery revision | |
| 69605 | 21 | Mastoid surgery revision | |
| 69610 | 25 | Repair of eardrum | |
| 69620 | 25 | Repair of eardrum | |
| 69631 | 25 | Repair eardrum structures | |
| 69632 | 57 | Rebuild eardrum structures | |
| 69633 | 57 | Rebuild eardrum structures | |
| 69635 | 25 | Repair eardrum structures | |
| 69636 | 52 | Rebuild eardrum structures | |
| 69637 | 52 | Rebuild eardrum structures | |
| 69641 | 25 | Revise middle ear & mastoid | |
| 69642 | 25 | Revise middle ear & mastoid | |
| 69643 | 25 | Revise middle ear & mastoid | |
| 69644 | 25 | Revise middle ear & mastoid | |
| 69645 | 25 | Revise middle ear & mastoid | |
| 69646 | 52 | Revise middle ear & mastoid | |
| 69650 | 25 | Release middle ear bone | |
| 69660 | 25 | Revise middle ear bone | |
| 69661 | 52 | Revise middle ear bone | |
| 69662 | 57 | Revise middle ear bone | |
| 69666 | 52 | Repair middle ear structures | |
| 69667 | 52 | Repair middle ear structures | |
| 69670 | 21 | Remove mastoid air cells | |
| 69676 | 57 | Remove middle ear nerve | |
| 69700 | 25 | Close mastoid fistula | |
| 69710 | 270 | Implant/replace hearing aid | |
| 69711 | 21 | Remove/repair hearing aid | |
| 69714 | 25 | Implant temple bone w/stimul | |
| 69715 | 57 | Temple bne implnt w/stimulat | |
| 69717 | 25 | Temple bone implant revision | |
| 69718 | 57 | Revise temple bone implant | |
| 69720 | 9 | Release facial nerve | |
| 69725 | 29 | Release facial nerve | |
| 69740 | 52 | Repair facial nerve | |
| 69745 | 52 | Repair facial nerve | |
| 69799 | 199 | Middle ear surgery procedure, unlisted | |
| 69801 | 21 | Incise inner ear | |
| 69802 | 52 | Incise inner ear | |
| 69805 | 21 | Explore inner ear | |
| 69806 | 57 | Explore inner ear | |
| 69820 | 52 | Establish inner ear window | |
| 69840 | 52 | Revise inner ear window | |
| 69905 | 25 | Remove inner ear | |
| 69910 | 52 | Remove inner ear & mastoid | |
| 69915 | 40 | Incise inner ear nerve | |
| 69930 | 52 | Implant cochlear device | |
| 69949 | 199 | Inner ear surgery procedure, unlisted | |
| 69950 | 46 | Incise inner ear nerve | |
| 69955 | 46 | Release facial nerve | |
| 69960 | 15 | Release inner ear canal | |
| 69970 | 46 | Remove inner ear lesion | |
| 69979 | 199 | Temporal bone surgery, unlisted | |
| 69990 | 230 | Microsurgery add-on | |
| 70010 | 219 | Contrast x-ray of brain | |
| 70010 | TC | 219 | Contrast x-ray of brain |
| 70010 | 26 | 219 | Contrast x-ray of brain |
| 70015 | 219 | Contrast x-ray of brain | |
| 70015 | TC | 219 | Contrast x-ray of brain |
| 70015 | 26 | 219 | Contrast x-ray of brain |
| 70030 | 220 | X-ray eye for foreign body | |
| 70030 | TC | 220 | X-ray eye for foreign body |
| 70030 | 26 | 220 | X-ray eye for foreign body |
| 70100 | 219 | X-ray exam of jaw | |
| 70100 | TC | 219 | X-ray exam of jaw |
| 70100 | 26 | 219 | X-ray exam of jaw |
| 70110 | 219 | X-ray exam of jaw | |
| 70110 | TC | 219 | X-ray exam of jaw |
| 70110 | 26 | 219 | X-ray exam of jaw |
| 70120 | 197 | X-ray exam of mastoids | |
| 70120 | TC | 197 | X-ray exam of mastoids |
| 70120 | 26 | 197 | X-ray exam of mastoids |
| 70130 | 220 | X-ray exam of mastoids | |
| 70130 | TC | 220 | X-ray exam of mastoids |
| 70130 | 26 | 220 | X-ray exam of mastoids |
| 70134 | 219 | X-ray exam of middle ear | |
| 70134 | TC | 219 | X-ray exam of middle ear |
| 70134 | 26 | 219 | X-ray exam of middle ear |
| 70140 | 219 | X-ray exam of facial bones | |
| 70140 | TC | 219 | X-ray exam of facial bones |
| 70140 | 26 | 219 | X-ray exam of facial bones |
| 70150 | 219 | X-ray exam of facial bones | |
| 70150 | TC | 219 | X-ray exam of facial bones |
| 70150 | 26 | 219 | X-ray exam of facial bones |
| 70160 | 219 | X-ray exam of nasal bones | |
| 70160 | TC | 219 | X-ray exam of nasal bones |
| 70160 | 26 | 219 | X-ray exam of nasal bones |
| 70170 | 219 | X-ray exam of tear duct | |
| 70170 | TC | 219 | X-ray exam of tear duct |
| 70170 | 26 | 219 | X-ray exam of tear duct |
| 70190 | 220 | X-ray exam of eye sockets | |
| 70190 | TC | 220 | X-ray exam of eye sockets |
| 70190 | 26 | 220 | X-ray exam of eye sockets |
| 70200 | 219 | X-ray exam of eye sockets | |
| 70200 | TC | 219 | X-ray exam of eye sockets |
| 70200 | 26 | 219 | X-ray exam of eye sockets |
| 70210 | 219 | X-ray exam of sinuses | |
| 70210 | TC | 219 | X-ray exam of sinuses |
| 70210 | 26 | 219 | X-ray exam of sinuses |
| 70220 | 219 | X-ray exam of sinuses | |
| 70220 | TC | 219 | X-ray exam of sinuses |
| 70220 | 26 | 219 | X-ray exam of sinuses |
| 70240 | 219 | X-ray exam, pituitary saddle | |
| 70240 | TC | 219 | X-ray exam, pituitary saddle |
| 70240 | 26 | 219 | X-ray exam, pituitary saddle |
| 70250 | 219 | X-ray exam of skull | |
| 70250 | TC | 219 | X-ray exam of skull |
| 70250 | 26 | 219 | X-ray exam of skull |
| 70260 | 195 | X-ray exam of skull | |
| 70260 | TC | 195 | X-ray exam of skull |
| 70260 | 26 | 195 | X-ray exam of skull |
| 70300 | 195 | X-ray exam of teeth | |
| 70300 | TC | 195 | X-ray exam of teeth |
| 70300 | 26 | 195 | X-ray exam of teeth |
| 70310 | 195 | X-ray exam of teeth | |
| 70310 | TC | 195 | X-ray exam of teeth |
| 70310 | 26 | 195 | X-ray exam of teeth |
| 70320 | 219 | Full mouth x-ray of teeth | |
| 70320 | TC | 219 | Full mouth x-ray of teeth |
| 70320 | 26 | 219 | Full mouth x-ray of teeth |
| 70328 | 195 | X-ray exam of jaw joint | |
| 70328 | TC | 195 | X-ray exam of jaw joint |
| 70328 | 26 | 195 | X-ray exam of jaw joint |
| 70330 | 218 | X-ray exam of jaw joints | |
| 70330 | TC | 218 | X-ray exam of jaw joints |
| 70330 | 26 | 218 | X-ray exam of jaw joints |
| 70332 | 220 | X-ray exam of jaw joint | |
| 70332 | TC | 220 | X-ray exam of jaw joint |
| 70332 | 26 | 220 | X-ray exam of jaw joint |
| 70336 | 172 | Magnetic image, jaw joint | |
| 70336 | TC | 171 | Magnetic image, jaw joint |
| 70336 | 26 | 172 | Magnetic image, jaw joint |
| 70350 | 219 | X-ray head for orthodontia | |
| 70350 | TC | 219 | X-ray head for orthodontia |
| 70350 | 26 | 219 | X-ray head for orthodontia |
| 70355 | 195 | Panoramic x-ray of jaws | |
| 70355 | TC | 195 | Panoramic x-ray of jaws |
| 70355 | 26 | 195 | Panoramic x-ray of jaws |
| 70360 | 219 | X-ray exam of neck | |
| 70360 | TC | 219 | X-ray exam of neck |
| 70360 | 26 | 219 | X-ray exam of neck |
| 70370 | 219 | Throat x-ray & fluoroscopy | |
| 70370 | TC | 219 | Throat x-ray & fluoroscopy |
| 70370 | 26 | 219 | Throat x-ray & fluoroscopy |
| 70371 | 151 | Speech evaluation, complex | |
| 70371 | TC | 153 | Speech evaluation, complex |
| 70371 | 26 | 151 | Speech evaluation, complex |
| 70373 | 219 | Contrast x-ray of larynx | |
| 70373 | TC | 219 | Contrast x-ray of larynx |
| 70373 | 26 | 219 | Contrast x-ray of larynx |
| 70380 | 219 | X-ray exam of salivary gland | |
| 70380 | TC | 219 | X-ray exam of salivary gland |
| 70380 | 26 | 219 | X-ray exam of salivary gland |
| 70390 | 219 | X-ray exam of salivary duct | |
| 70390 | TC | 219 | X-ray exam of salivary duct |
| 70390 | 26 | 219 | X-ray exam of salivary duct |
| 70450 | 151 | Ct head/brain w/o dye | |
| 70450 | TC | 149 | Ct head/brain w/o dye |
| 70450 | 26 | 151 | Ct head/brain w/o dye |
| 70460 | 151 | Ct head/brain w/dye | |
| 70460 | TC | 149 | Ct head/brain w/dye |
| 70460 | 26 | 151 | Ct head/brain w/dye |
| 70470 | 151 | Ct head/brain w/o&w dye | |
| 70470 | TC | 149 | Ct head/brain w/o&w dye |
| 70470 | 26 | 151 | Ct head/brain w/o&w dye |
| 70480 | 151 | Ct orbit/ear/fossa w/o dye | |
| 70480 | TC | 149 | Ct orbit/ear/fossa w/o dye |
| 70480 | 26 | 151 | Ct orbit/ear/fossa w/o dye |
| 70481 | 151 | Ct orbit/ear/fossa w/dye | |
| 70481 | TC | 149 | Ct orbit/ear/fossa w/dye |
| 70481 | 26 | 151 | Ct orbit/ear/fossa w/dye |
| 70482 | 151 | Ct orbit/ear/fossa w/o&w dye | |
| 70482 | TC | 149 | Ct orbit/ear/fossa w/o&w dye |
| 70482 | 26 | 151 | Ct orbit/ear/fossa w/o&w dye |
| 70486 | 151 | Ct maxillofacial w/o dye | |
| 70486 | TC | 149 | Ct maxillofacial w/o dye |
| 70486 | 26 | 151 | Ct maxillofacial w/o dye |
| 70487 | 151 | Ct maxillofacial w/dye | |
| 70487 | TC | 149 | Ct maxillofacial w/dye |
| 70487 | 26 | 151 | Ct maxillofacial w/dye |
| 70488 | 151 | Ct maxillofacial w/o&w dye | |
| 70488 | TC | 149 | Ct maxillofacial w/o&w dye |
| 70488 | 26 | 151 | Ct maxillofacial w/o&w dye |
| 70490 | 151 | Ct soft tissue neck w/o dye | |
| 70490 | TC | 149 | Ct soft tissue neck w/o dye |
| 70490 | 26 | 151 | Ct soft tissue neck w/o dye |
| 70491 | 151 | Ct soft tissue neck w/dye | |
| 70491 | TC | 149 | Ct soft tissue neck w/dye |
| 70491 | 26 | 151 | Ct soft tissue neck w/dye |
| 70492 | 151 | Ct sft tsue nck w/o & w/dye | |
| 70492 | TC | 149 | Ct sft tsue nck w/o & w/dye |
| 70492 | 26 | 151 | Ct sft tsue nck w/o & w/dye |
| 70496 | 151 | Ct angiography, head | |
| 70496 | TC | 149 | Ct angiography, head |
| 70496 | 26 | 151 | Ct angiography, head |
| 70498 | 151 | Ct angiography, neck | |
| 70498 | TC | 149 | Ct angiography, neck |
| 70498 | 26 | 151 | Ct angiography, neck |
| 70540 | 151 | Mri orbit/face/neck w/o dye | |
| 70540 | TC | 149 | Mri orbit/face/neck w/o dye |
| 70540 | 26 | 151 | Mri orbit/face/neck w/o dye |
| 70542 | 151 | Mri orbit/face/neck w/dye | |
| 70542 | TC | 149 | Mri orbit/face/neck w/dye |
| 70542 | 26 | 151 | Mri orbit/face/neck w/dye |
| 70543 | 168 | Mri orbt/fac/nck w/o&w dye | |
| 70543 | TC | 166 | Mri orbt/fac/nck w/o&w dye |
| 70543 | 26 | 168 | Mri orbt/fac/nck w/o&w dye |
| 70544 | 151 | Mr angiography head w/o dye | |
| 70544 | TC | 149 | Mr angiography head w/o dye |
| 70544 | 26 | 151 | Mr angiography head w/o dye |
| 70545 | 151 | Mr angiography head w/dye | |
| 70545 | TC | 149 | Mr angiography head w/dye |
| 70545 | 26 | 151 | Mr angiography head w/dye |
| 70546 | 151 | Mr angiograph head w/o&w dye | |
| 70546 | TC | 149 | Mr angiograph head w/o&w dye |
| 70546 | 26 | 151 | Mr angiograph head w/o&w dye |
| 70547 | 151 | Mr angiography neck w/o dye | |
| 70547 | TC | 149 | Mr angiography neck w/o dye |
| 70547 | 26 | 151 | Mr angiography neck w/o dye |
| 70548 | 151 | Mr angiography neck w/dye | |
| 70548 | TC | 149 | Mr angiography neck w/dye |
| 70548 | 26 | 151 | Mr angiography neck w/dye |
| 70549 | 168 | Mr angiograph neck w/o&w dye | |
| 70549 | TC | 166 | Mr angiograph neck w/o&w dye |
| 70549 | 26 | 168 | Mr angiograph neck w/o&w dye |
| 70551 | 151 | Mri brain w/o dye | |
| 70551 | TC | 149 | Mri brain w/o dye |
| 70551 | 26 | 151 | Mri brain w/o dye |
| 70552 | 151 | Mri brain w/dye | |
| 70552 | TC | 149 | Mri brain w/dye |
| 70552 | 26 | 151 | Mri brain w/dye |
| 70553 | 168 | Mri brain w/o&w dye | |
| 70553 | TC | 166 | Mri brain w/o&w dye |
| 70553 | 26 | 168 | Mri brain w/o&w dye |
| 70554 | 157 | Fmri brain by tech | |
| 70554 | TC | 156 | Fmri brain by tech |
| 70554 | 26 | 157 | Fmri brain by tech |
| 70555 | 157 | Fmri brain by phys/psych | |
| 70555 | TC | 158 | Fmri brain by phys/psych |
| 70555 | 26 | 157 | Fmri brain by phys/psych |
| 70557 | 151 | Mri brain w/o dye | |
| 70557 | TC | 153 | Mri brain w/o dye |
| 70557 | 26 | 151 | Mri brain w/o dye |
| 70558 | 151 | Mri brain w/ dye | |
| 70558 | TC | 153 | Mri brain w/ dye |
| 70558 | 26 | 151 | Mri brain w/ dye |
| 70559 | 151 | Mri brain w/o & w/ dye | |
| 70559 | TC | 153 | Mri brain w/o & w/ dye |
| 70559 | 26 | 151 | Mri brain w/o & w/ dye |
| 71010 | 195 | Chest x-ray | |
| 71010 | TC | 195 | Chest x-ray |
| 71010 | 26 | 195 | Chest x-ray |
| 71015 | 195 | Chest x-ray | |
| 71015 | TC | 195 | Chest x-ray |
| 71015 | 26 | 195 | Chest x-ray |
| 71020 | 195 | Chest x-ray | |
| 71020 | TC | 195 | Chest x-ray |
| 71020 | 26 | 195 | Chest x-ray |
| 71021 | 195 | Chest x-ray | |
| 71021 | TC | 195 | Chest x-ray |
| 71021 | 26 | 195 | Chest x-ray |
| 71022 | 195 | Chest x-ray | |
| 71022 | TC | 195 | Chest x-ray |
| 71022 | 26 | 195 | Chest x-ray |
| 71023 | 195 | Chest x-ray and fluoroscopy | |
| 71023 | TC | 195 | Chest x-ray and fluoroscopy |
| 71023 | 26 | 195 | Chest x-ray and fluoroscopy |
| 71030 | 195 | Chest x-ray | |
| 71030 | TC | 195 | Chest x-ray |
| 71030 | 26 | 195 | Chest x-ray |
| 71034 | 195 | Chest x-ray and fluoroscopy | |
| 71034 | TC | 195 | Chest x-ray and fluoroscopy |
| 71034 | 26 | 195 | Chest x-ray and fluoroscopy |
| 71035 | 195 | Chest x-ray | |
| 71035 | TC | 195 | Chest x-ray |
| 71035 | 26 | 195 | Chest x-ray |
| 71040 | 195 | Contrast x-ray of bronchi | |
| 71040 | TC | 195 | Contrast x-ray of bronchi |
| 71040 | 26 | 195 | Contrast x-ray of bronchi |
| 71060 | 218 | Contrast x-ray of bronchi | |
| 71060 | TC | 218 | Contrast x-ray of bronchi |
| 71060 | 26 | 218 | Contrast x-ray of bronchi |
| 71090 | 195 | X-ray & pacemaker insertion | |
| 71090 | TC | 195 | X-ray & pacemaker insertion |
| 71090 | 26 | 195 | X-ray & pacemaker insertion |
| 71100 | 195 | X-ray exam of ribs | |
| 71100 | TC | 195 | X-ray exam of ribs |
| 71100 | 26 | 195 | X-ray exam of ribs |
| 71101 | 219 | X-ray exam of ribs/chest | |
| 71101 | TC | 219 | X-ray exam of ribs/chest |
| 71101 | 26 | 219 | X-ray exam of ribs/chest |
| 71110 | 194 | X-ray exam of ribs | |
| 71110 | TC | 194 | X-ray exam of ribs |
| 71110 | 26 | 194 | X-ray exam of ribs |
| 71111 | 218 | X-ray exam of ribs/ chest | |
| 71111 | TC | 218 | X-ray exam of ribs/ chest |
| 71111 | 26 | 218 | X-ray exam of ribs/ chest |
| 71120 | 219 | X-ray exam of breastbone | |
| 71120 | TC | 219 | X-ray exam of breastbone |
| 71120 | 26 | 219 | X-ray exam of breastbone |
| 71130 | 219 | X-ray exam of breastbone | |
| 71130 | TC | 219 | X-ray exam of breastbone |
| 71130 | 26 | 219 | X-ray exam of breastbone |
| 71250 | 151 | Ct thorax w/o dye | |
| 71250 | TC | 149 | Ct thorax w/o dye |
| 71250 | 26 | 151 | Ct thorax w/o dye |
| 71260 | 151 | Ct thorax w/dye | |
| 71260 | TC | 149 | Ct thorax w/dye |
| 71260 | 26 | 151 | Ct thorax w/dye |
| 71270 | 151 | Ct thorax w/o&w dye | |
| 71270 | TC | 149 | Ct thorax w/o&w dye |
| 71270 | 26 | 151 | Ct thorax w/o&w dye |
| 71275 | 151 | Ct angiography, chest | |
| 71275 | TC | 149 | Ct angiography, chest |
| 71275 | 26 | 151 | Ct angiography, chest |
| 71550 | 151 | Mri chest w/o dye | |
| 71550 | TC | 149 | Mri chest w/o dye |
| 71550 | 26 | 151 | Mri chest w/o dye |
| 71551 | 151 | Mri chest w/dye | |
| 71551 | TC | 149 | Mri chest w/dye |
| 71551 | 26 | 151 | Mri chest w/dye |
| 71552 | 168 | Mri chest w/o&w dye | |
| 71552 | TC | 166 | Mri chest w/o&w dye |
| 71552 | 26 | 168 | Mri chest w/o&w dye |
| 71555 | 151 | Mra, chest w or w/o dye | |
| 71555 | TC | 149 | Mra, chest w or w/o dye |
| 71555 | 26 | 151 | Mra, chest w or w/o dye |
| 72010 | 219 | X-ray exam of spine | |
| 72010 | TC | 219 | X-ray exam of spine |
| 72010 | 26 | 219 | X-ray exam of spine |
| 72020 | 195 | X-ray exam of spine | |
| 72020 | TC | 195 | X-ray exam of spine |
| 72020 | 26 | 195 | X-ray exam of spine |
| 72040 | 195 | X-ray exam of neck spine | |
| 72040 | TC | 195 | X-ray exam of neck spine |
| 72040 | 26 | 195 | X-ray exam of neck spine |
| 72050 | 195 | X-ray exam of neck spine | |
| 72050 | TC | 195 | X-ray exam of neck spine |
| 72050 | 26 | 195 | X-ray exam of neck spine |
| 72052 | 195 | X-ray exam of neck spine | |
| 72052 | TC | 195 | X-ray exam of neck spine |
| 72052 | 26 | 195 | X-ray exam of neck spine |
| 72069 | 195 | X-ray exam of trunk spine | |
| 72069 | TC | 195 | X-ray exam of trunk spine |
| 72069 | 26 | 195 | X-ray exam of trunk spine |
| 72070 | 195 | X-ray exam of thoracic spine | |
| 72070 | TC | 195 | X-ray exam of thoracic spine |
| 72070 | 26 | 195 | X-ray exam of thoracic spine |
| 72072 | 195 | X-ray exam of thoracic spine | |
| 72072 | TC | 195 | X-ray exam of thoracic spine |
| 72072 | 26 | 195 | X-ray exam of thoracic spine |
| 72074 | 195 | X-ray exam of thoracic spine | |
| 72074 | TC | 195 | X-ray exam of thoracic spine |
| 72074 | 26 | 195 | X-ray exam of thoracic spine |
| 72080 | 195 | X-ray exam of trunk spine | |
| 72080 | TC | 195 | X-ray exam of trunk spine |
| 72080 | 26 | 195 | X-ray exam of trunk spine |
| 72090 | 195 | X-ray exam of trunk spine | |
| 72090 | TC | 195 | X-ray exam of trunk spine |
| 72090 | 26 | 195 | X-ray exam of trunk spine |
| 72100 | 195 | X-ray exam of lower spine | |
| 72100 | TC | 195 | X-ray exam of lower spine |
| 72100 | 26 | 195 | X-ray exam of lower spine |
| 72110 | 195 | X-ray exam of lower spine | |
| 72110 | TC | 195 | X-ray exam of lower spine |
| 72110 | 26 | 195 | X-ray exam of lower spine |
| 72114 | 195 | X-ray exam of lower spine | |
| 72114 | TC | 195 | X-ray exam of lower spine |
| 72114 | 26 | 195 | X-ray exam of lower spine |
| 72120 | 195 | X-ray exam of lower spine | |
| 72120 | TC | 195 | X-ray exam of lower spine |
| 72120 | 26 | 195 | X-ray exam of lower spine |
| 72125 | 151 | Ct neck spine w/o dye | |
| 72125 | TC | 149 | Ct neck spine w/o dye |
| 72125 | 26 | 151 | Ct neck spine w/o dye |
| 72126 | 151 | Ct neck spine w/dye | |
| 72126 | TC | 149 | Ct neck spine w/dye |
| 72126 | 26 | 151 | Ct neck spine w/dye |
| 72127 | 151 | Ct neck spine w/o&w dye | |
| 72127 | TC | 149 | Ct neck spine w/o&w dye |
| 72127 | 26 | 151 | Ct neck spine w/o&w dye |
| 72128 | 151 | Ct chest spine w/o dye | |
| 72128 | TC | 149 | Ct chest spine w/o dye |
| 72128 | 26 | 151 | Ct chest spine w/o dye |
| 72129 | 151 | Ct chest spine w/dye | |
| 72129 | TC | 149 | Ct chest spine w/dye |
| 72129 | 26 | 151 | Ct chest spine w/dye |
| 72130 | 151 | Ct chest spine w/o&w dye | |
| 72130 | TC | 149 | Ct chest spine w/o&w dye |
| 72130 | 26 | 151 | Ct chest spine w/o&w dye |
| 72131 | 151 | Ct lumbar spine w/o dye | |
| 72131 | TC | 149 | Ct lumbar spine w/o dye |
| 72131 | 26 | 151 | Ct lumbar spine w/o dye |
| 72132 | 151 | Ct lumbar spine w/dye | |
| 72132 | TC | 149 | Ct lumbar spine w/dye |
| 72132 | 26 | 151 | Ct lumbar spine w/dye |
| 72133 | 151 | Ct lumbar spine w/o&w dye | |
| 72133 | TC | 149 | Ct lumbar spine w/o&w dye |
| 72133 | 26 | 151 | Ct lumbar spine w/o&w dye |
| 72141 | 168 | Mri neck spine w/o dye | |
| 72141 | TC | 166 | Mri neck spine w/o dye |
| 72141 | 26 | 168 | Mri neck spine w/o dye |
| 72142 | 151 | Mri neck spine w/dye | |
| 72142 | TC | 149 | Mri neck spine w/dye |
| 72142 | 26 | 151 | Mri neck spine w/dye |
| 72146 | 168 | Mri chest spine w/o dye | |
| 72146 | TC | 166 | Mri chest spine w/o dye |
| 72146 | 26 | 168 | Mri chest spine w/o dye |
| 72147 | 151 | Mri chest spine w/dye | |
| 72147 | TC | 149 | Mri chest spine w/dye |
| 72147 | 26 | 151 | Mri chest spine w/dye |
| 72148 | 168 | Mri lumbar spine w/o dye | |
| 72148 | TC | 166 | Mri lumbar spine w/o dye |
| 72148 | 26 | 168 | Mri lumbar spine w/o dye |
| 72149 | 168 | Mri lumbar spine w/dye | |
| 72149 | TC | 166 | Mri lumbar spine w/dye |
| 72149 | 26 | 168 | Mri lumbar spine w/dye |
| 72156 | 168 | Mri neck spine w/o&w dye | |
| 72156 | TC | 166 | Mri neck spine w/o&w dye |
| 72156 | 26 | 168 | Mri neck spine w/o&w dye |
| 72157 | 168 | Mri chest spine w/o&w dye | |
| 72157 | TC | 166 | Mri chest spine w/o&w dye |
| 72157 | 26 | 168 | Mri chest spine w/o&w dye |
| 72158 | 168 | Mri lumbar spine w/o&w dye | |
| 72158 | TC | 166 | Mri lumbar spine w/o&w dye |
| 72158 | 26 | 168 | Mri lumbar spine w/o&w dye |
| 72159 | 277 | Mr angio spine w/o&w dye | |
| 72159 | TC | 278 | Mr angio spine w/o&w dye |
| 72159 | 26 | 277 | Mr angio spine w/o&w dye |
| 72170 | 195 | X-ray exam of pelvis | |
| 72170 | TC | 195 | X-ray exam of pelvis |
| 72170 | 26 | 195 | X-ray exam of pelvis |
| 72190 | 219 | X-ray exam of pelvis | |
| 72190 | TC | 219 | X-ray exam of pelvis |
| 72190 | 26 | 219 | X-ray exam of pelvis |
| 72191 | 151 | Ct angiograph pelv w/o&w dye | |
| 72191 | TC | 149 | Ct angiograph pelv w/o&w dye |
| 72191 | 26 | 151 | Ct angiograph pelv w/o&w dye |
| 72192 | 151 | Ct pelvis w/o dye | |
| 72192 | TC | 149 | Ct pelvis w/o dye |
| 72192 | 26 | 151 | Ct pelvis w/o dye |
| 72193 | 151 | Ct pelvis w/dye | |
| 72193 | TC | 149 | Ct pelvis w/dye |
| 72193 | 26 | 151 | Ct pelvis w/dye |
| 72194 | 151 | Ct pelvis w/o&w dye | |
| 72194 | TC | 149 | Ct pelvis w/o&w dye |
| 72194 | 26 | 151 | Ct pelvis w/o&w dye |
| 72195 | 151 | Mri pelvis w/o dye | |
| 72195 | TC | 149 | Mri pelvis w/o dye |
| 72195 | 26 | 151 | Mri pelvis w/o dye |
| 72196 | 151 | Mri pelvis w/dye | |
| 72196 | TC | 149 | Mri pelvis w/dye |
| 72196 | 26 | 151 | Mri pelvis w/dye |
| 72197 | 168 | Mri pelvis w/o & w dye | |
| 72197 | TC | 166 | Mri pelvis w/o & w dye |
| 72197 | 26 | 168 | Mri pelvis w/o & w dye |
| 72198 | 151 | Mra, pelvis w/o&w dye | |
| 72198 | TC | 149 | Mra, pelvis w/o&w dye |
| 72198 | 26 | 151 | Mra, pelvis w/o&w dye |
| 72200 | 195 | X-ray exam sacroiliac joints | |
| 72200 | TC | 195 | X-ray exam sacroiliac joints |
| 72200 | 26 | 195 | X-ray exam sacroiliac joints |
| 72202 | 195 | X-ray exam sacroiliac joints | |
| 72202 | TC | 195 | X-ray exam sacroiliac joints |
| 72202 | 26 | 195 | X-ray exam sacroiliac joints |
| 72220 | 195 | X-ray exam of tailbone | |
| 72220 | TC | 195 | X-ray exam of tailbone |
| 72220 | 26 | 195 | X-ray exam of tailbone |
| 72240 | 195 | Contrast x-ray of neck spine | |
| 72240 | TC | 195 | Contrast x-ray of neck spine |
| 72240 | 26 | 195 | Contrast x-ray of neck spine |
| 72255 | 195 | Contrast x-ray, thorax spine | |
| 72255 | TC | 195 | Contrast x-ray, thorax spine |
| 72255 | 26 | 195 | Contrast x-ray, thorax spine |
| 72265 | 195 | Contrast x-ray, lower spine | |
| 72265 | TC | 195 | Contrast x-ray, lower spine |
| 72265 | 26 | 195 | Contrast x-ray, lower spine |
| 72270 | 219 | Contrast x-ray of spine | |
| 72270 | TC | 219 | Contrast x-ray of spine |
| 72270 | 26 | 219 | Contrast x-ray of spine |
| 72275 | 282 | Epidurography | |
| 72275 | TC | 282 | Epidurography |
| 72275 | 26 | 282 | Epidurography |
| 72285 | 195 | X-ray c/t spine disk | |
| 72285 | TC | 195 | X-ray c/t spine disk |
| 72285 | 26 | 195 | X-ray c/t spine disk |
| 72291 | 168 | Perq vertebroplasty, fluor | |
| 72291 | TC | 170 | Perq vertebroplasty, fluor |
| 72291 | 26 | 168 | Perq vertebroplasty, fluor |
| 72292 | 168 | Perq vertebroplasty, ct | |
| 72292 | TC | 170 | Perq vertebroplasty, ct |
| 72292 | 26 | 168 | Perq vertebroplasty, ct |
| 72295 | 195 | X-ray of lower spine disk | |
| 72295 | TC | 195 | X-ray of lower spine disk |
| 72295 | 26 | 195 | X-ray of lower spine disk |
| 73000 | 197 | X-ray exam of collar bone | |
| 73000 | TC | 197 | X-ray exam of collar bone |
| 73000 | 26 | 197 | X-ray exam of collar bone |
| 73010 | 197 | X-ray exam of shoulder blade | |
| 73010 | TC | 197 | X-ray exam of shoulder blade |
| 73010 | 26 | 197 | X-ray exam of shoulder blade |
| 73020 | 197 | X-ray exam of shoulder | |
| 73020 | TC | 197 | X-ray exam of shoulder |
| 73020 | 26 | 197 | X-ray exam of shoulder |
| 73030 | 197 | X-ray exam of shoulder | |
| 73030 | TC | 197 | X-ray exam of shoulder |
| 73030 | 26 | 197 | X-ray exam of shoulder |
| 73040 | 197 | Contrast x-ray of shoulder | |
| 73040 | TC | 197 | Contrast x-ray of shoulder |
| 73040 | 26 | 197 | Contrast x-ray of shoulder |
| 73050 | 194 | X-ray exam of shoulders | |
| 73050 | TC | 194 | X-ray exam of shoulders |
| 73050 | 26 | 194 | X-ray exam of shoulders |
| 73060 | 197 | X-ray exam of humerus | |
| 73060 | TC | 197 | X-ray exam of humerus |
| 73060 | 26 | 197 | X-ray exam of humerus |
| 73070 | 197 | X-ray exam of elbow | |
| 73070 | TC | 197 | X-ray exam of elbow |
| 73070 | 26 | 197 | X-ray exam of elbow |
| 73080 | 197 | X-ray exam of elbow | |
| 73080 | TC | 197 | X-ray exam of elbow |
| 73080 | 26 | 197 | X-ray exam of elbow |
| 73085 | 197 | Contrast x-ray of elbow | |
| 73085 | TC | 197 | Contrast x-ray of elbow |
| 73085 | 26 | 197 | Contrast x-ray of elbow |
| 73090 | 197 | X-ray exam of forearm | |
| 73090 | TC | 197 | X-ray exam of forearm |
| 73090 | 26 | 197 | X-ray exam of forearm |
| 73100 | 197 | X-ray exam of wrist | |
| 73100 | TC | 197 | X-ray exam of wrist |
| 73100 | 26 | 197 | X-ray exam of wrist |
| 73110 | 197 | X-ray exam of wrist | |
| 73110 | TC | 197 | X-ray exam of wrist |
| 73110 | 26 | 197 | X-ray exam of wrist |
| 73115 | 197 | Contrast x-ray of wrist | |
| 73115 | TC | 197 | Contrast x-ray of wrist |
| 73115 | 26 | 197 | Contrast x-ray of wrist |
| 73120 | 197 | X-ray exam of hand | |
| 73120 | TC | 197 | X-ray exam of hand |
| 73120 | 26 | 197 | X-ray exam of hand |
| 73130 | 197 | X-ray exam of hand | |
| 73130 | TC | 197 | X-ray exam of hand |
| 73130 | 26 | 197 | X-ray exam of hand |
| 73140 | 197 | X-ray exam of finger(s) | |
| 73140 | TC | 197 | X-ray exam of finger(s) |
| 73140 | 26 | 197 | X-ray exam of finger(s) |
| 73200 | 157 | Ct upper extremity w/o dye | |
| 73200 | TC | 156 | Ct upper extremity w/o dye |
| 73200 | 26 | 157 | Ct upper extremity w/o dye |
| 73201 | 157 | Ct upper extremity w/dye | |
| 73201 | TC | 156 | Ct upper extremity w/dye |
| 73201 | 26 | 157 | Ct upper extremity w/dye |
| 73202 | 157 | Ct uppr extremity w/o&w dye | |
| 73202 | TC | 156 | Ct uppr extremity w/o&w dye |
| 73202 | 26 | 157 | Ct uppr extremity w/o&w dye |
| 73206 | 151 | Ct angio upr extrm w/o&w dye | |
| 73206 | TC | 149 | Ct angio upr extrm w/o&w dye |
| 73206 | 26 | 151 | Ct angio upr extrm w/o&w dye |
| 73218 | 157 | Mri upper extremity w/o dye | |
| 73218 | TC | 156 | Mri upper extremity w/o dye |
| 73218 | 26 | 157 | Mri upper extremity w/o dye |
| 73219 | 157 | Mri upper extremity w/dye | |
| 73219 | TC | 156 | Mri upper extremity w/dye |
| 73219 | 26 | 157 | Mri upper extremity w/dye |
| 73220 | 157 | Mri uppr extremity w/o&w dye | |
| 73220 | TC | 156 | Mri uppr extremity w/o&w dye |
| 73220 | 26 | 157 | Mri uppr extremity w/o&w dye |
| 73221 | 157 | Mri joint upr extrem w/o dye | |
| 73221 | TC | 156 | Mri joint upr extrem w/o dye |
| 73221 | 26 | 157 | Mri joint upr extrem w/o dye |
| 73222 | 157 | Mri joint upr extrem w/ dye | |
| 73222 | TC | 156 | Mri joint upr extrem w/ dye |
| 73222 | 26 | 157 | Mri joint upr extrem w/ dye |
| 73223 | 157 | Mri joint upr extr w/o&w dye | |
| 73223 | TC | 156 | Mri joint upr extr w/o&w dye |
| 73223 | 26 | 157 | Mri joint upr extr w/o&w dye |
| 73225 | 277 | Mr angio upr extr w/o&w dye | |
| 73225 | TC | 278 | Mr angio upr extr w/o&w dye |
| 73225 | 26 | 277 | Mr angio upr extr w/o&w dye |
| 73500 | 195 | X-ray exam of hip | |
| 73500 | TC | 195 | X-ray exam of hip |
| 73500 | 26 | 195 | X-ray exam of hip |
| 73510 | 195 | X-ray exam of hip | |
| 73510 | TC | 195 | X-ray exam of hip |
| 73510 | 26 | 195 | X-ray exam of hip |
| 73520 | 194 | X-ray exam of hips | |
| 73520 | TC | 194 | X-ray exam of hips |
| 73520 | 26 | 194 | X-ray exam of hips |
| 73525 | 197 | Contrast x-ray of hip | |
| 73525 | TC | 197 | Contrast x-ray of hip |
| 73525 | 26 | 197 | Contrast x-ray of hip |
| 73530 | 197 | X-ray exam of hip | |
| 73530 | TC | 197 | X-ray exam of hip |
| 73530 | 26 | 197 | X-ray exam of hip |
| 73540 | 195 | X-ray exam of pelvis & hips | |
| 73540 | TC | 195 | X-ray exam of pelvis & hips |
| 73540 | 26 | 195 | X-ray exam of pelvis & hips |
| 73542 | 282 | X-ray exam, sacroiliac joint | |
| 73542 | TC | 282 | X-ray exam, sacroiliac joint |
| 73542 | 26 | 282 | X-ray exam, sacroiliac joint |
| 73550 | 197 | X-ray exam of thigh | |
| 73550 | TC | 197 | X-ray exam of thigh |
| 73550 | 26 | 197 | X-ray exam of thigh |
| 73560 | 197 | X-ray exam of knee, 1 or 2 | |
| 73560 | TC | 197 | X-ray exam of knee, 1 or 2 |
| 73560 | 26 | 197 | X-ray exam of knee, 1 or 2 |
| 73562 | 197 | X-ray exam of knee, 3 | |
| 73562 | TC | 197 | X-ray exam of knee, 3 |
| 73562 | 26 | 197 | X-ray exam of knee, 3 |
| 73564 | 197 | X-ray exam, knee, 4 or more | |
| 73564 | TC | 197 | X-ray exam, knee, 4 or more |
| 73564 | 26 | 197 | X-ray exam, knee, 4 or more |
| 73565 | 194 | X-ray exam of knees | |
| 73565 | TC | 194 | X-ray exam of knees |
| 73565 | 26 | 194 | X-ray exam of knees |
| 73580 | 197 | Contrast x-ray of knee joint | |
| 73580 | TC | 197 | Contrast x-ray of knee joint |
| 73580 | 26 | 197 | Contrast x-ray of knee joint |
| 73590 | 197 | X-ray exam of lower leg | |
| 73590 | TC | 197 | X-ray exam of lower leg |
| 73590 | 26 | 197 | X-ray exam of lower leg |
| 73600 | 197 | X-ray exam of ankle | |
| 73600 | TC | 197 | X-ray exam of ankle |
| 73600 | 26 | 197 | X-ray exam of ankle |
| 73610 | 197 | X-ray exam of ankle | |
| 73610 | TC | 197 | X-ray exam of ankle |
| 73610 | 26 | 197 | X-ray exam of ankle |
| 73615 | 197 | Contrast x-ray of ankle | |
| 73615 | TC | 197 | Contrast x-ray of ankle |
| 73615 | 26 | 197 | Contrast x-ray of ankle |
| 73620 | 197 | X-ray exam of foot | |
| 73620 | TC | 197 | X-ray exam of foot |
| 73620 | 26 | 197 | X-ray exam of foot |
| 73630 | 197 | X-ray exam of foot | |
| 73630 | TC | 197 | X-ray exam of foot |
| 73630 | 26 | 197 | X-ray exam of foot |
| 73650 | 197 | X-ray exam of heel | |
| 73650 | TC | 197 | X-ray exam of heel |
| 73650 | 26 | 197 | X-ray exam of heel |
| 73660 | 197 | X-ray exam of toe(s) | |
| 73660 | TC | 197 | X-ray exam of toe(s) |
| 73660 | 26 | 197 | X-ray exam of toe(s) |
| 73700 | 157 | Ct lower extremity w/o dye | |
| 73700 | TC | 156 | Ct lower extremity w/o dye |
| 73700 | 26 | 157 | Ct lower extremity w/o dye |
| 73701 | 157 | Ct lower extremity w/dye | |
| 73701 | TC | 156 | Ct lower extremity w/dye |
| 73701 | 26 | 157 | Ct lower extremity w/dye |
| 73702 | 157 | Ct lwr extremity w/o&w dye | |
| 73702 | TC | 156 | Ct lwr extremity w/o&w dye |
| 73702 | 26 | 157 | Ct lwr extremity w/o&w dye |
| 73706 | 157 | Ct angio lwr extr w/o&w dye | |
| 73706 | TC | 156 | Ct angio lwr extr w/o&w dye |
| 73706 | 26 | 157 | Ct angio lwr extr w/o&w dye |
| 73718 | 157 | Mri lower extremity w/o dye | |
| 73718 | TC | 156 | Mri lower extremity w/o dye |
| 73718 | 26 | 157 | Mri lower extremity w/o dye |
| 73719 | 157 | Mri lower extremity w/dye | |
| 73719 | TC | 156 | Mri lower extremity w/dye |
| 73719 | 26 | 157 | Mri lower extremity w/dye |
| 73720 | 157 | Mri lwr extremity w/o&w dye | |
| 73720 | TC | 156 | Mri lwr extremity w/o&w dye |
| 73720 | 26 | 157 | Mri lwr extremity w/o&w dye |
| 73721 | 157 | Mri joint of lwr extre w/o d | |
| 73721 | TC | 156 | Mri joint of lwr extre w/o d |
| 73721 | 26 | 157 | Mri joint of lwr extre w/o d |
| 73722 | 157 | Mri joint of lwr extr w/dye | |
| 73722 | TC | 156 | Mri joint of lwr extr w/dye |
| 73722 | 26 | 157 | Mri joint of lwr extr w/dye |
| 73723 | 157 | Mri joint lwr extr w/o&w dye | |
| 73723 | TC | 156 | Mri joint lwr extr w/o&w dye |
| 73723 | 26 | 157 | Mri joint lwr extr w/o&w dye |
| 73725 | 157 | Mra, lwr ext w or w/o dye | |
| 73725 | TC | 156 | Mra, lwr ext w or w/o dye |
| 73725 | 26 | 157 | Mra, lwr ext w or w/o dye |
| 74000 | 195 | X-ray exam of abdomen | |
| 74000 | TC | 195 | X-ray exam of abdomen |
| 74000 | 26 | 195 | X-ray exam of abdomen |
| 74010 | 195 | X-ray exam of abdomen | |
| 74010 | TC | 195 | X-ray exam of abdomen |
| 74010 | 26 | 195 | X-ray exam of abdomen |
| 74020 | 195 | X-ray exam of abdomen | |
| 74020 | TC | 195 | X-ray exam of abdomen |
| 74020 | 26 | 195 | X-ray exam of abdomen |
| 74022 | 195 | X-ray exam series, abdomen | |
| 74022 | TC | 195 | X-ray exam series, abdomen |
| 74022 | 26 | 195 | X-ray exam series, abdomen |
| 74150 | 151 | Ct abdomen w/o dye | |
| 74150 | TC | 149 | Ct abdomen w/o dye |
| 74150 | 26 | 151 | Ct abdomen w/o dye |
| 74160 | 151 | Ct abdomen w/dye | |
| 74160 | TC | 149 | Ct abdomen w/dye |
| 74160 | 26 | 151 | Ct abdomen w/dye |
| 74170 | 151 | Ct abdomen w/o&w dye | |
| 74170 | TC | 149 | Ct abdomen w/o&w dye |
| 74170 | 26 | 151 | Ct abdomen w/o&w dye |
| 74175 | 151 | Ct angio abdom w/o&w dye | |
| 74175 | TC | 149 | Ct angio abdom w/o&w dye |
| 74175 | 26 | 151 | Ct angio abdom w/o&w dye |
| 74181 | 151 | Mri abdomen w/o dye | |
| 74181 | TC | 149 | Mri abdomen w/o dye |
| 74181 | 26 | 151 | Mri abdomen w/o dye |
| 74182 | 151 | Mri abdomen w/dye | |
| 74182 | TC | 149 | Mri abdomen w/dye |
| 74182 | 26 | 151 | Mri abdomen w/dye |
| 74183 | 168 | Mri abdomen w/o&w dye | |
| 74183 | TC | 166 | Mri abdomen w/o&w dye |
| 74183 | 26 | 168 | Mri abdomen w/o&w dye |
| 74185 | 151 | Mra, abdom w or w/o dy | |
| 74185 | TC | 149 | Mra, abdom w or w/o dy |
| 74185 | 26 | 151 | Mra, abdom w or w/o dy |
| 74190 | 219 | X-ray exam of peritoneum | |
| 74190 | TC | 219 | X-ray exam of peritoneum |
| 74190 | 26 | 219 | X-ray exam of peritoneum |
| 74210 | 195 | Contrst x-ray exam of throat | |
| 74210 | TC | 195 | Contrst x-ray exam of throat |
| 74210 | 26 | 195 | Contrst x-ray exam of throat |
| 74220 | 219 | Contrast x-ray, esophagus | |
| 74220 | TC | 219 | Contrast x-ray, esophagus |
| 74220 | 26 | 219 | Contrast x-ray, esophagus |
| 74230 | 219 | Cine/video x-ray, throat/eso | |
| 74230 | TC | 219 | Cine/video x-ray, throat/eso |
| 74230 | 26 | 219 | Cine/video x-ray, throat/eso |
| 74235 | 219 | Remove esophagus obstruction | |
| 74235 | TC | 219 | Remove esophagus obstruction |
| 74235 | 26 | 219 | Remove esophagus obstruction |
| 74240 | 195 | X-ray exam, upper gi tract | |
| 74240 | TC | 195 | X-ray exam, upper gi tract |
| 74240 | 26 | 195 | X-ray exam, upper gi tract |
| 74241 | 219 | X-ray exam, upper gi tract | |
| 74241 | TC | 219 | X-ray exam, upper gi tract |
| 74241 | 26 | 219 | X-ray exam, upper gi tract |
| 74245 | 195 | X-ray exam, upper gi tract | |
| 74245 | TC | 195 | X-ray exam, upper gi tract |
| 74245 | 26 | 195 | X-ray exam, upper gi tract |
| 74246 | 195 | Contrst x-ray uppr gi tract | |
| 74246 | TC | 195 | Contrst x-ray uppr gi tract |
| 74246 | 26 | 195 | Contrst x-ray uppr gi tract |
| 74247 | 219 | Contrst x-ray uppr gi tract | |
| 74247 | TC | 219 | Contrst x-ray uppr gi tract |
| 74247 | 26 | 219 | Contrst x-ray uppr gi tract |
| 74249 | 219 | Contrst x-ray uppr gi tract | |
| 74249 | TC | 219 | Contrst x-ray uppr gi tract |
| 74249 | 26 | 219 | Contrst x-ray uppr gi tract |
| 74250 | 195 | X-ray exam of small bowel | |
| 74250 | TC | 195 | X-ray exam of small bowel |
| 74250 | 26 | 195 | X-ray exam of small bowel |
| 74251 | 219 | X-ray exam of small bowel | |
| 74251 | TC | 219 | X-ray exam of small bowel |
| 74251 | 26 | 219 | X-ray exam of small bowel |
| 74260 | 219 | X-ray exam of small bowel | |
| 74260 | TC | 219 | X-ray exam of small bowel |
| 74260 | 26 | 219 | X-ray exam of small bowel |
| 74261 | 168 | CT colonography, w/o dye | |
| 74261 | TC | 170 | CT colonography, w/o dye |
| 74261 | 26 | 168 | CT colonography, w/o dye |
| 74262 | 168 | CT colonography, w/ dye | |
| 74262 | TC | 170 | CT colonography, w/ dye |
| 74262 | 26 | 168 | CT colonography, w/ dye |
| 74263 | 277 | CT colonography, screening | |
| 74263 | TC | 278 | CT colonography, screening |
| 74263 | 26 | 277 | CT colonography, screening |
| 74270 | 219 | Contrast x-ray exam of colon | |
| 74270 | TC | 219 | Contrast x-ray exam of colon |
| 74270 | 26 | 219 | Contrast x-ray exam of colon |
| 74280 | 219 | Contrast x-ray exam of colon | |
| 74280 | TC | 219 | Contrast x-ray exam of colon |
| 74280 | 26 | 219 | Contrast x-ray exam of colon |
| 74283 | 195 | Contrast x-ray exam of colon | |
| 74283 | TC | 195 | Contrast x-ray exam of colon |
| 74283 | 26 | 195 | Contrast x-ray exam of colon |
| 74290 | 195 | Contrast x-ray, gallbladder | |
| 74290 | TC | 195 | Contrast x-ray, gallbladder |
| 74290 | 26 | 195 | Contrast x-ray, gallbladder |
| 74291 | 195 | Contrast x-rays, gallbladder | |
| 74291 | TC | 195 | Contrast x-rays, gallbladder |
| 74291 | 26 | 195 | Contrast x-rays, gallbladder |
| 74300 | 195 | X-ray bile ducts/pancreas | |
| 74300 | TC | 195 | X-ray bile ducts/pancreas |
| 74300 | 26 | 195 | X-ray bile ducts/pancreas |
| 74301 | 232 | X-rays at surgery add-on | |
| 74301 | TC | 232 | X-rays at surgery add-on |
| 74301 | 26 | 232 | X-rays at surgery add-on |
| 74305 | 195 | X-ray bile ducts/pancreas | |
| 74305 | TC | 195 | X-ray bile ducts/pancreas |
| 74305 | 26 | 195 | X-ray bile ducts/pancreas |
| 74320 | 195 | Contrast x-ray of bile ducts | |
| 74320 | TC | 195 | Contrast x-ray of bile ducts |
| 74320 | 26 | 195 | Contrast x-ray of bile ducts |
| 74327 | 219 | X-ray bile stone removal | |
| 74327 | TC | 219 | X-ray bile stone removal |
| 74327 | 26 | 219 | X-ray bile stone removal |
| 74328 | 219 | Xray bile duct endoscopy | |
| 74328 | TC | 219 | Xray bile duct endoscopy |
| 74328 | 26 | 219 | Xray bile duct endoscopy |
| 74329 | 195 | X-ray for pancreas endoscopy | |
| 74329 | TC | 195 | X-ray for pancreas endoscopy |
| 74329 | 26 | 195 | X-ray for pancreas endoscopy |
| 74330 | 219 | X-ray bile/panc endoscopy | |
| 74330 | TC | 219 | X-ray bile/panc endoscopy |
| 74330 | 26 | 219 | X-ray bile/panc endoscopy |
| 74340 | 219 | X-ray guide for GI tube | |
| 74340 | TC | 219 | X-ray guide for GI tube |
| 74340 | 26 | 219 | X-ray guide for GI tube |
| 74355 | 219 | X-ray guide, intestinal tube | |
| 74355 | TC | 219 | X-ray guide, intestinal tube |
| 74355 | 26 | 219 | X-ray guide, intestinal tube |
| 74360 | 219 | X-ray guide, GI dilation | |
| 74360 | TC | 219 | X-ray guide, GI dilation |
| 74360 | 26 | 219 | X-ray guide, GI dilation |
| 74363 | 219 | X-ray, bile duct dilation | |
| 74363 | TC | 219 | X-ray, bile duct dilation |
| 74363 | 26 | 219 | X-ray, bile duct dilation |
| 74400 | 195 | Contrst x-ray, urinary tract | |
| 74400 | TC | 195 | Contrst x-ray, urinary tract |
| 74400 | 26 | 195 | Contrst x-ray, urinary tract |
| 74410 | 195 | Contrst x-ray, urinary tract | |
| 74410 | TC | 195 | Contrst x-ray, urinary tract |
| 74410 | 26 | 195 | Contrst x-ray, urinary tract |
| 74415 | 195 | Contrst x-ray, urinary tract | |
| 74415 | TC | 195 | Contrst x-ray, urinary tract |
| 74415 | 26 | 195 | Contrst x-ray, urinary tract |
| 74420 | 195 | Contrst x-ray, urinary tract | |
| 74420 | TC | 195 | Contrst x-ray, urinary tract |
| 74420 | 26 | 195 | Contrst x-ray, urinary tract |
| 74425 | 195 | Contrst x-ray, urinary tract | |
| 74425 | TC | 195 | Contrst x-ray, urinary tract |
| 74425 | 26 | 195 | Contrst x-ray, urinary tract |
| 74430 | 219 | Contrast x-ray, bladder | |
| 74430 | TC | 219 | Contrast x-ray, bladder |
| 74430 | 26 | 219 | Contrast x-ray, bladder |
| 74440 | 219 | X-ray, male genital tract | |
| 74440 | TC | 219 | X-ray, male genital tract |
| 74440 | 26 | 219 | X-ray, male genital tract |
| 74445 | 219 | X-ray exam of penis | |
| 74445 | TC | 219 | X-ray exam of penis |
| 74445 | 26 | 219 | X-ray exam of penis |
| 74450 | 195 | X-ray, urethra/bladder | |
| 74450 | TC | 195 | X-ray, urethra/bladder |
| 74450 | 26 | 195 | X-ray, urethra/bladder |
| 74455 | 195 | X-ray, urethra/bladder | |
| 74455 | TC | 195 | X-ray, urethra/bladder |
| 74455 | 26 | 195 | X-ray, urethra/bladder |
| 74470 | 219 | X-ray exam of kidney lesion | |
| 74470 | TC | 219 | X-ray exam of kidney lesion |
| 74470 | 26 | 219 | X-ray exam of kidney lesion |
| 74475 | 195 | X-ray control, cath insert | |
| 74475 | TC | 195 | X-ray control, cath insert |
| 74475 | 26 | 195 | X-ray control, cath insert |
| 74480 | 195 | X-ray control, cath insert | |
| 74480 | TC | 195 | X-ray control, cath insert |
| 74480 | 26 | 195 | X-ray control, cath insert |
| 74485 | 195 | X-ray guide, GU dilation | |
| 74485 | TC | 195 | X-ray guide, GU dilation |
| 74485 | 26 | 195 | X-ray guide, GU dilation |
| 74710 | 219 | X-ray measurement of pelvis | |
| 74710 | TC | 219 | X-ray measurement of pelvis |
| 74710 | 26 | 219 | X-ray measurement of pelvis |
| 74740 | 195 | X-ray, female genital tract | |
| 74740 | TC | 195 | X-ray, female genital tract |
| 74740 | 26 | 195 | X-ray, female genital tract |
| 74742 | 219 | X-ray, fallopian tube | |
| 74742 | TC | 219 | X-ray, fallopian tube |
| 74742 | 26 | 219 | X-ray, fallopian tube |
| 74775 | 219 | X-ray exam of perineum | |
| 74775 | TC | 219 | X-ray exam of perineum |
| 74775 | 26 | 219 | X-ray exam of perineum |
| 75557 | 172 | Cardiac MRI for morph | |
| 75557 | TC | 166 | Cardiac MRI for morph |
| 75557 | 26 | 168 | Cardiac MRI for morph |
| 75559 | 168 | Cardiac MRI w/ stress img | |
| 75559 | TC | 166 | Cardiac MRI w/ stress img |
| 75559 | 26 | 168 | Cardiac MRI w/ stress img |
| 75561 | 168 | Cardiac MRI for morph w/ dye | |
| 75561 | TC | 166 | Cardiac MRI for morph w/ dye |
| 75561 | 26 | 168 | Cardiac MRI for morph w/ dye |
| 75563 | 168 | Card MRI w/stress img & dye | |
| 75563 | TC | 166 | Card MRI w/stress img & dye |
| 75563 | 26 | 168 | Card MRI w/stress img & dye |
| 75565 | 249 | Card MRI vel flw map, add-on | |
| 75565 | TC | 249 | Card MRI vel flw map, add-on |
| 75565 | 26 | 249 | Card MRI vel flw map, add-on |
| 75571 | 151 | CT HRT w/o dye w/CA test | |
| 75571 | TC | 153 | CT HRT w/o dye w/CA test |
| 75571 | 26 | 151 | CT HRT w/o dye w/CA test |
| 75572 | 151 | CT HRT w/3D image | |
| 75572 | TC | 153 | CT HRT w/3D image |
| 75572 | 26 | 151 | CT HRT w/3D image |
| 75573 | 168 | CT HRT W/3D image, congenital | |
| 75573 | TC | 170 | CT HRT W/3D image, congenital |
| 75573 | 26 | 168 | CT HRT W/3D image, congenital |
| 75574 | 151 | CT angio HRT w/3D image | |
| 75574 | TC | 153 | CT angio HRT w/3D image |
| 75574 | 26 | 151 | CT angio HRT w/3D image |
| 75600 | 195 | Contrast x-ray exam of aorta | |
| 75600 | TC | 195 | Contrast x-ray exam of aorta |
| 75600 | 26 | 195 | Contrast x-ray exam of aorta |
| 75605 | 195 | Contrast x-ray exam of aorta | |
| 75605 | TC | 195 | Contrast x-ray exam of aorta |
| 75605 | 26 | 195 | Contrast x-ray exam of aorta |
| 75625 | 195 | Contrast x-ray exam of aorta | |
| 75625 | TC | 195 | Contrast x-ray exam of aorta |
| 75625 | 26 | 195 | Contrast x-ray exam of aorta |
| 75630 | 195 | X-ray aorta, leg arteries | |
| 75630 | TC | 195 | X-ray aorta, leg arteries |
| 75630 | 26 | 195 | X-ray aorta, leg arteries |
| 75635 | 151 | Ct angio abdominal arteries | |
| 75635 | TC | 149 | Ct angio abdominal arteries |
| 75635 | 26 | 151 | Ct angio abdominal arteries |
| 75650 | 195 | Artery x-rays, head & neck | |
| 75650 | TC | 195 | Artery x-rays, head & neck |
| 75650 | 26 | 195 | Artery x-rays, head & neck |
| 75658 | 195 | Artery x-rays, arm | |
| 75658 | TC | 195 | Artery x-rays, arm |
| 75658 | 26 | 195 | Artery x-rays, arm |
| 75660 | 195 | Artery x-rays, head & neck | |
| 75660 | TC | 195 | Artery x-rays, head & neck |
| 75660 | 26 | 195 | Artery x-rays, head & neck |
| 75662 | 194 | Artery x-rays, head & neck | |
| 75662 | TC | 194 | Artery x-rays, head & neck |
| 75662 | 26 | 194 | Artery x-rays, head & neck |
| 75665 | 195 | Artery x-rays, head & neck | |
| 75665 | TC | 195 | Artery x-rays, head & neck |
| 75665 | 26 | 195 | Artery x-rays, head & neck |
| 75671 | 194 | Artery x-rays, head & neck | |
| 75671 | TC | 194 | Artery x-rays, head & neck |
| 75671 | 26 | 194 | Artery x-rays, head & neck |
| 75676 | 195 | Artery x-rays, neck | |
| 75676 | TC | 195 | Artery x-rays, neck |
| 75676 | 26 | 195 | Artery x-rays, neck |
| 75680 | 194 | Artery x-rays, neck | |
| 75680 | TC | 194 | Artery x-rays, neck |
| 75680 | 26 | 194 | Artery x-rays, neck |
| 75685 | 197 | Artery x-rays, spine | |
| 75685 | TC | 197 | Artery x-rays, spine |
| 75685 | 26 | 197 | Artery x-rays, spine |
| 75705 | 195 | Artery x-rays, spine | |
| 75705 | TC | 195 | Artery x-rays, spine |
| 75705 | 26 | 195 | Artery x-rays, spine |
| 75710 | 195 | Artery x-rays, arm/leg | |
| 75710 | TC | 195 | Artery x-rays, arm/leg |
| 75710 | 26 | 195 | Artery x-rays, arm/leg |
| 75716 | 194 | Artery x-rays, arms/legs | |
| 75716 | TC | 194 | Artery x-rays, arms/legs |
| 75716 | 26 | 194 | Artery x-rays, arms/legs |
| 75722 | 195 | Artery x-rays, kidney | |
| 75722 | TC | 195 | Artery x-rays, kidney |
| 75722 | 26 | 195 | Artery x-rays, kidney |
| 75724 | 194 | Artery x-rays, kidneys | |
| 75724 | TC | 194 | Artery x-rays, kidneys |
| 75724 | 26 | 194 | Artery x-rays, kidneys |
| 75726 | 195 | Artery x-rays, abdomen | |
| 75726 | TC | 195 | Artery x-rays, abdomen |
| 75726 | 26 | 195 | Artery x-rays, abdomen |
| 75731 | 195 | Artery x-rays, adrenal gland | |
| 75731 | TC | 195 | Artery x-rays, adrenal gland |
| 75731 | 26 | 195 | Artery x-rays, adrenal gland |
| 75733 | 194 | Artery x-rays, adrenals | |
| 75733 | TC | 194 | Artery x-rays, adrenals |
| 75733 | 26 | 194 | Artery x-rays, adrenals |
| 75736 | 195 | Artery x-rays, pelvis | |
| 75736 | TC | 195 | Artery x-rays, pelvis |
| 75736 | 26 | 195 | Artery x-rays, pelvis |
| 75741 | 195 | Artery x-rays, lung | |
| 75741 | TC | 195 | Artery x-rays, lung |
| 75741 | 26 | 195 | Artery x-rays, lung |
| 75743 | 194 | Artery x-rays, lungs | |
| 75743 | TC | 194 | Artery x-rays, lungs |
| 75743 | 26 | 194 | Artery x-rays, lungs |
| 75746 | 195 | Artery x-rays, lung | |
| 75746 | TC | 195 | Artery x-rays, lung |
| 75746 | 26 | 195 | Artery x-rays, lung |
| 75756 | 195 | Artery x-rays, chest | |
| 75756 | TC | 195 | Artery x-rays, chest |
| 75756 | 26 | 195 | Artery x-rays, chest |
| 75774 | 232 | Artery x-ray, each vessel | |
| 75774 | TC | 232 | Artery x-ray, each vessel |
| 75774 | 26 | 232 | Artery x-ray, each vessel |
| 75791 | 195 | AV dialysis shunt imaging | |
| 75791 | TC | 153 | AV dialysis shunt imaging |
| 75791 | 26 | 151 | AV dialysis shunt imaging |
| 75801 | 195 | Lymph vessel x-ray, arm/leg | |
| 75801 | TC | 195 | Lymph vessel x-ray, arm/leg |
| 75801 | 26 | 195 | Lymph vessel x-ray, arm/leg |
| 75803 | 218 | Lymph vessel x-ray,arms/legs | |
| 75803 | TC | 218 | Lymph vessel x-ray,arms/legs |
| 75803 | 26 | 218 | Lymph vessel x-ray,arms/legs |
| 75805 | 195 | Lymph vessel x-ray, trunk | |
| 75805 | TC | 195 | Lymph vessel x-ray, trunk |
| 75805 | 26 | 195 | Lymph vessel x-ray, trunk |
| 75807 | 218 | Lymph vessel x-ray, trunk | |
| 75807 | TC | 218 | Lymph vessel x-ray, trunk |
| 75807 | 26 | 218 | Lymph vessel x-ray, trunk |
| 75809 | 219 | Nonvascular shunt, x-ray | |
| 75809 | TC | 219 | Nonvascular shunt, x-ray |
| 75809 | 26 | 219 | Nonvascular shunt, x-ray |
| 75810 | 195 | Vein x-ray, spleen/liver | |
| 75810 | TC | 195 | Vein x-ray, spleen/liver |
| 75810 | 26 | 195 | Vein x-ray, spleen/liver |
| 75820 | 195 | Vein x-ray, arm/leg | |
| 75820 | TC | 195 | Vein x-ray, arm/leg |
| 75820 | 26 | 195 | Vein x-ray, arm/leg |
| 75822 | 194 | Vein x-ray, arms/legs | |
| 75822 | TC | 194 | Vein x-ray, arms/legs |
| 75822 | 26 | 194 | Vein x-ray, arms/legs |
| 75825 | 195 | Vein x-ray, trunk | |
| 75825 | TC | 195 | Vein x-ray, trunk |
| 75825 | 26 | 195 | Vein x-ray, trunk |
| 75827 | 195 | Vein x-ray, chest | |
| 75827 | TC | 195 | Vein x-ray, chest |
| 75827 | 26 | 195 | Vein x-ray, chest |
| 75831 | 195 | Vein x-ray, kidney | |
| 75831 | TC | 195 | Vein x-ray, kidney |
| 75831 | 26 | 195 | Vein x-ray, kidney |
| 75833 | 194 | Vein x-ray, kidneys | |
| 75833 | TC | 194 | Vein x-ray, kidneys |
| 75833 | 26 | 194 | Vein x-ray, kidneys |
| 75840 | 195 | Vein x-ray, adrenal gland | |
| 75840 | TC | 195 | Vein x-ray, adrenal gland |
| 75840 | 26 | 195 | Vein x-ray, adrenal gland |
| 75842 | 194 | Vein x-ray, adrenal glands | |
| 75842 | TC | 194 | Vein x-ray, adrenal glands |
| 75842 | 26 | 194 | Vein x-ray, adrenal glands |
| 75860 | 195 | Vein x-ray, neck | |
| 75860 | TC | 195 | Vein x-ray, neck |
| 75860 | 26 | 195 | Vein x-ray, neck |
| 75870 | 195 | Vein x-ray, skull | |
| 75870 | TC | 195 | Vein x-ray, skull |
| 75870 | 26 | 195 | Vein x-ray, skull |
| 75872 | 195 | Vein x-ray, skull | |
| 75872 | TC | 195 | Vein x-ray, skull |
| 75872 | 26 | 195 | Vein x-ray, skull |
| 75880 | 195 | Vein x-ray, eye socket | |
| 75880 | TC | 195 | Vein x-ray, eye socket |
| 75880 | 26 | 195 | Vein x-ray, eye socket |
| 75885 | 195 | Vein x-ray, liver | |
| 75885 | TC | 195 | Vein x-ray, liver |
| 75885 | 26 | 195 | Vein x-ray, liver |
| 75887 | 195 | Vein x-ray, liver | |
| 75887 | TC | 195 | Vein x-ray, liver |
| 75887 | 26 | 195 | Vein x-ray, liver |
| 75889 | 195 | Vein x-ray, liver | |
| 75889 | TC | 195 | Vein x-ray, liver |
| 75889 | 26 | 195 | Vein x-ray, liver |
| 75891 | 195 | Vein x-ray, liver | |
| 75891 | TC | 195 | Vein x-ray, liver |
| 75891 | 26 | 195 | Vein x-ray, liver |
| 75893 | 195 | Venous sampling by catheter | |
| 75893 | TC | 195 | Venous sampling by catheter |
| 75893 | 26 | 195 | Venous sampling by catheter |
| 75894 | 195 | X-rays, transcath therapy | |
| 75894 | TC | 195 | X-rays, transcath therapy |
| 75894 | 26 | 195 | X-rays, transcath therapy |
| 75896 | 195 | X-rays, transcath therapy | |
| 75896 | TC | 195 | X-rays, transcath therapy |
| 75896 | 26 | 195 | X-rays, transcath therapy |
| 75898 | 195 | Follow-up angiography | |
| 75898 | TC | 195 | Follow-up angiography |
| 75898 | 26 | 195 | Follow-up angiography |
| 75900 | 219 | Arterial catheter exchange | |
| 75900 | TC | 219 | Arterial catheter exchange |
| 75900 | 26 | 219 | Arterial catheter exchange |
| 75901 | 168 | Remove cva device obstruct | |
| 75901 | TC | 170 | Remove cva device obstruct |
| 75901 | 26 | 168 | Remove cva device obstruct |
| 75902 | 168 | Remove cva lumen obstruct | |
| 75902 | TC | 170 | Remove cva lumen obstruct |
| 75902 | 26 | 168 | Remove cva lumen obstruct |
| 75940 | 219 | X-ray placement, vein filter | |
| 75940 | TC | 219 | X-ray placement, vein filter |
| 75940 | 26 | 219 | X-ray placement, vein filter |
| 75945 | 168 | Intravascular us | |
| 75945 | TC | 170 | Intravascular us |
| 75945 | 26 | 168 | Intravascular us |
| 75946 | 249 | Intravascular us add-on | |
| 75946 | TC | 249 | Intravascular us add-on |
| 75946 | 26 | 249 | Intravascular us add-on |
| 75952 | 151 | Endovasc repair abdom aorta | |
| 75952 | TC | 153 | Endovasc repair abdom aorta |
| 75952 | 26 | 151 | Endovasc repair abdom aorta |
| 75953 | 168 | Abdom aneurysm endovas rpr | |
| 75953 | TC | 170 | Abdom aneurysm endovas rpr |
| 75953 | 26 | 168 | Abdom aneurysm endovas rpr |
| 75954 | 168 | Iliac aneurysm endovas rpr | |
| 75954 | TC | 170 | Iliac aneurysm endovas rpr |
| 75954 | 26 | 168 | Iliac aneurysm endovas rpr |
| 75956 | 195 | Xray, endovasc thor ao repr | |
| 75956 | TC | 195 | Xray, endovasc thor ao repr |
| 75956 | 26 | 195 | Xray, endovasc thor ao repr |
| 75957 | 195 | Xray, endovasc thor ao repr | |
| 75957 | TC | 195 | Xray, endovasc thor ao repr |
| 75957 | 26 | 195 | Xray, endovasc thor ao repr |
| 75958 | 219 | Xray, place prox ext thor ao | |
| 75958 | TC | 219 | Xray, place prox ext thor ao |
| 75958 | 26 | 219 | Xray, place prox ext thor ao |
| 75959 | 195 | Xray, place dist ext thor ao | |
| 75959 | TC | 195 | Xray, place dist ext thor ao |
| 75959 | 26 | 195 | Xray, place dist ext thor ao |
| 75960 | 195 | Transcatheter iv stent, rs&i | |
| 75960 | TC | 195 | Transcatheter iv stent, rs&i |
| 75960 | 26 | 195 | Transcatheter iv stent, rs&i |
| 75961 | 219 | Retrieval, broken catheter | |
| 75961 | TC | 219 | Retrieval, broken catheter |
| 75961 | 26 | 219 | Retrieval, broken catheter |
| 75962 | 151 | Repair arterial blockage | |
| 75962 | TC | 153 | Repair arterial blockage |
| 75962 | 26 | 151 | Repair arterial blockage |
| 75964 | 249 | Repair artery blockage, each | |
| 75964 | TC | 249 | Repair artery blockage, each |
| 75964 | 26 | 249 | Repair artery blockage, each |
| 75966 | 151 | Repair arterial blockage | |
| 75966 | TC | 153 | Repair arterial blockage |
| 75966 | 26 | 151 | Repair arterial blockage |
| 75968 | 249 | Repair artery blockage, each | |
| 75968 | TC | 249 | Repair artery blockage, each |
| 75968 | 26 | 249 | Repair artery blockage, each |
| 75970 | 168 | Vascular biopsy | |
| 75970 | TC | 170 | Vascular biopsy |
| 75970 | 26 | 168 | Vascular biopsy |
| 75978 | 168 | Repair venous blockage | |
| 75978 | TC | 170 | Repair venous blockage |
| 75978 | 26 | 168 | Repair venous blockage |
| 75980 | 195 | Contrast xray exam bile duct | |
| 75980 | TC | 195 | Contrast xray exam bile duct |
| 75980 | 26 | 195 | Contrast xray exam bile duct |
| 75982 | 195 | Contrast xray exam bile duct | |
| 75982 | TC | 195 | Contrast xray exam bile duct |
| 75982 | 26 | 195 | Contrast xray exam bile duct |
| 75984 | 195 | Xray control catheter change | |
| 75984 | TC | 195 | Xray control catheter change |
| 75984 | 26 | 195 | Xray control catheter change |
| 75989 | 195 | Abscess drainage under x-ray | |
| 75989 | TC | 195 | Abscess drainage under x-ray |
| 75989 | 26 | 195 | Abscess drainage under x-ray |
| 75992 | 219 | Atherectomy, x-ray exam | |
| 75992 | TC | 219 | Atherectomy, x-ray exam |
| 75992 | 26 | 219 | Atherectomy, x-ray exam |
| 75993 | 249 | Atherectomy, x-ray exam | |
| 75993 | TC | 249 | Atherectomy, x-ray exam |
| 75993 | 26 | 249 | Atherectomy, x-ray exam |
| 75994 | 219 | Atherectomy, x-ray exam | |
| 75994 | TC | 219 | Atherectomy, x-ray exam |
| 75994 | 26 | 219 | Atherectomy, x-ray exam |
| 75995 | 219 | Atherectomy, x-ray exam | |
| 75995 | TC | 219 | Atherectomy, x-ray exam |
| 75995 | 26 | 219 | Atherectomy, x-ray exam |
| 75996 | 249 | Atherectomy, x-ray exam | |
| 75996 | TC | 249 | Atherectomy, x-ray exam |
| 75996 | 26 | 249 | Atherectomy, x-ray exam |
| 76000 | 151 | Fluoroscope examination | |
| 76000 | TC | 153 | Fluoroscope examination |
| 76000 | 26 | 151 | Fluoroscope examination |
| 76001 | 151 | Fluoroscope exam, extensive | |
| 76001 | TC | 153 | Fluoroscope exam, extensive |
| 76001 | 26 | 151 | Fluoroscope exam, extensive |
| 76080 | 195 | X-ray exam of fistula | |
| 76080 | TC | 195 | X-ray exam of fistula |
| 76080 | 26 | 195 | X-ray exam of fistula |
| 76098 | 219 | X-ray exam, breast specimen | |
| 76098 | TC | 219 | X-ray exam, breast specimen |
| 76098 | 26 | 219 | X-ray exam, breast specimen |
| 76100 | 195 | X-ray exam of body section | |
| 76100 | TC | 195 | X-ray exam of body section |
| 76100 | 26 | 195 | X-ray exam of body section |
| 76101 | 195 | Complex body section x-ray | |
| 76101 | TC | 195 | Complex body section x-ray |
| 76101 | 26 | 195 | Complex body section x-ray |
| 76102 | 218 | Complex body section x-rays | |
| 76102 | TC | 218 | Complex body section x-rays |
| 76102 | 26 | 218 | Complex body section x-rays |
| 76120 | 195 | Cine/video x-rays | |
| 76120 | TC | 195 | Cine/video x-rays |
| 76120 | 26 | 195 | Cine/video x-rays |
| 76125 | 232 | Cine/ video x-rays add-on | |
| 76125 | TC | 232 | Cine/ video x-rays add-on |
| 76125 | 26 | 232 | Cine/ video x-rays add-on |
| 76140 | 290 | X-ray consultation | |
| 76150 | 219 | X-ray exam, dry process | |
| 76350 | 195 | Special x-ray contrast study | |
| 76376 | 195 | 3d render w/o postprocess | |
| 76376 | TC | 195 | 3d render w/o postprocess |
| 76376 | 26 | 195 | 3d render w/o postprocess |
| 76377 | 195 | 3d rendering w/postprocess | |
| 76377 | TC | 195 | 3d rendering w/postprocess |
| 76377 | 26 | 195 | 3d rendering w/postprocess |
| 76380 | 195 | CAT scan follow-up study | |
| 76380 | TC | 195 | CAT scan follow-up study |
| 76380 | 26 | 195 | CAT scan follow-up study |
| 76390 | 277 | Mr spectroscopy | |
| 76390 | TC | 278 | Mr spectroscopy |
| 76390 | 26 | 277 | Mr spectroscopy |
| 76506 | 151 | Echo exam of head | |
| 76506 | TC | 153 | Echo exam of head |
| 76506 | 26 | 151 | Echo exam of head |
| 76510 | 172 | Ophth us, b scan & quant a | |
| 76510 | TC | 173 | Ophth us, b scan & quant a |
| 76510 | 26 | 172 | Ophth us, b scan & quant a |
| 76511 | 157 | Ophth us, quant a only | |
| 76511 | TC | 158 | Ophth us, quant a only |
| 76511 | 26 | 157 | Ophth us, quant a only |
| 76512 | 157 | Ophth us, b scan w/ or w/out quant a | |
| 76512 | TC | 158 | Ophth us, b scan w/ or w/out quant a |
| 76512 | 26 | 157 | Ophth us, b scan w/ or w/out quant a |
| 76513 | 157 | Echo exam of eye, water bath | |
| 76513 | TC | 158 | Echo exam of eye, water bath |
| 76513 | 26 | 157 | Echo exam of eye, water bath |
| 76514 | 167 | Echo exam of eye, thickness | |
| 76514 | TC | 169 | Echo exam of eye, thickness |
| 76514 | 26 | 167 | Echo exam of eye, thickness |
| 76516 | 150 | Echo exam of eye | |
| 76516 | TC | 152 | Echo exam of eye |
| 76516 | 26 | 150 | Echo exam of eye |
| 76519 | 150 | Echo exam of eye | |
| 76519 | TC | 152 | Echo exam of eye |
| 76519 | 26 | 157 | Echo exam of eye |
| 76529 | 157 | Echo exam of eye | |
| 76529 | TC | 158 | Echo exam of eye |
| 76529 | 26 | 157 | Echo exam of eye |
| 76536 | 151 | Us exam of head and neck | |
| 76536 | TC | 153 | Us exam of head and neck |
| 76536 | 26 | 151 | Us exam of head and neck |
| 76604 | 151 | Us exam, chest, b-scan | |
| 76604 | TC | 149 | Us exam, chest, b-scan |
| 76604 | 26 | 151 | Us exam, chest, b-scan |
| 76645 | 150 | Us exam, breast(s) | |
| 76645 | TC | 152 | Us exam, breast(s) |
| 76645 | 26 | 150 | Us exam, breast(s) |
| 76700 | 151 | Us exam, abdom, complete | |
| 76700 | TC | 149 | Us exam, abdom, complete |
| 76700 | 26 | 151 | Us exam, abdom, complete |
| 76705 | 151 | Us exam, abdom, limited | |
| 76705 | TC | 149 | Us exam, abdom, limited |
| 76705 | 26 | 151 | Us exam, abdom, limited |
| 76770 | 151 | Us exam abdo back wall, comp | |
| 76770 | TC | 149 | Us exam abdo back wall, comp |
| 76770 | 26 | 151 | Us exam abdo back wall, comp |
| 76775 | 151 | Us exam abdo back wall, lim | |
| 76775 | TC | 149 | Us exam abdo back wall, lim |
| 76775 | 26 | 151 | Us exam abdo back wall, lim |
| 76776 | 168 | Us exam k transpl w/doppler | |
| 76776 | TC | 166 | Us exam k transpl w/doppler |
| 76776 | 26 | 168 | Us exam k transpl w/doppler |
| 76800 | 151 | Us exam, spinal canal | |
| 76800 | TC | 153 | Us exam, spinal canal |
| 76800 | 26 | 151 | Us exam, spinal canal |
| 76801 | 151 | Ob us < 14 wks, single fetus | |
| 76801 | TC | 153 | Ob us < 14 wks, single fetus |
| 76801 | 26 | 151 | Ob us < 14 wks, single fetus |
| 76802 | 249 | Ob us < 14 wks, addl fetus | |
| 76802 | TC | 249 | Ob us < 14 wks, addl fetus |
| 76802 | 26 | 249 | Ob us < 14 wks, addl fetus |
| 76805 | 151 | Us exam, pg uterus, compl | |
| 76805 | TC | 153 | Us exam, pg uterus, compl |
| 76805 | 26 | 151 | Us exam, pg uterus, compl |
| 76810 | 232 | Us exam, pg uterus, mult | |
| 76810 | TC | 232 | Us exam, pg uterus, mult |
| 76810 | 26 | 232 | Us exam, pg uterus, mult |
| 76811 | 168 | Ob us, detailed, sngl fetus | |
| 76811 | TC | 170 | Ob us, detailed, sngl fetus |
| 76811 | 26 | 168 | Ob us, detailed, sngl fetus |
| 76812 | 249 | Ob us, detailed, addl fetus | |
| 76812 | TC | 249 | Ob us, detailed, addl fetus |
| 76812 | 26 | 249 | Ob us, detailed, addl fetus |
| 76813 | 168 | Ob us nuchal meas, 1 gest | |
| 76813 | TC | 170 | Ob us nuchal meas, 1 gest |
| 76813 | 26 | 168 | Ob us nuchal meas, 1 gest |
| 76814 | 249 | Ob us nuchal meas, add-on | |
| 76814 | TC | 249 | Ob us nuchal meas, add-on |
| 76814 | 26 | 249 | Ob us nuchal meas, add-on |
| 76815 | 151 | Us exam, pg uterus limit | |
| 76815 | TC | 153 | Us exam, pg uterus limit |
| 76815 | 26 | 151 | Us exam, pg uterus limit |
| 76816 | 151 | Us exam pg uterus repeat | |
| 76816 | TC | 153 | Us exam pg uterus repeat |
| 76816 | 26 | 151 | Us exam pg uterus repeat |
| 76817 | 168 | Transvaginal us, obstetric | |
| 76817 | TC | 170 | Transvaginal us, obstetric |
| 76817 | 26 | 168 | Transvaginal us, obstetric |
| 76818 | 151 | Fetal biophy profile w/nst | |
| 76818 | TC | 153 | Fetal biophy profile w/nst |
| 76818 | 26 | 151 | Fetal biophy profile w/nst |
| 76819 | 151 | Fetal biophys profil w/o nst | |
| 76819 | TC | 153 | Fetal biophys profil w/o nst |
| 76819 | 26 | 151 | Fetal biophys profil w/o nst |
| 76820 | 168 | Umbilical artery echo | |
| 76820 | TC | 170 | Umbilical artery echo |
| 76820 | 26 | 168 | Umbilical artery echo |
| 76821 | 168 | Middle cerebral artery echo | |
| 76821 | TC | 170 | Middle cerebral artery echo |
| 76821 | 26 | 168 | Middle cerebral artery echo |
| 76825 | 151 | Echo exam of fetal heart | |
| 76825 | TC | 153 | Echo exam of fetal heart |
| 76825 | 26 | 151 | Echo exam of fetal heart |
| 76826 | 151 | Echo exam of fetal heart | |
| 76826 | TC | 153 | Echo exam of fetal heart |
| 76826 | 26 | 151 | Echo exam of fetal heart |
| 76827 | 151 | Echo exam of fetal heart | |
| 76827 | TC | 153 | Echo exam of fetal heart |
| 76827 | 26 | 151 | Echo exam of fetal heart |
| 76828 | 151 | Echo exam of fetal heart | |
| 76828 | TC | 153 | Echo exam of fetal heart |
| 76828 | 26 | 151 | Echo exam of fetal heart |
| 76830 | 151 | Us exam, transvaginal | |
| 76830 | TC | 153 | Us exam, transvaginal |
| 76830 | 26 | 151 | Us exam, transvaginal |
| 76831 | 151 | Echo exam, uterus | |
| 76831 | TC | 149 | Echo exam, uterus |
| 76831 | 26 | 151 | Echo exam, uterus |
| 76856 | 151 | Us exam, pelvic, complete | |
| 76856 | TC | 149 | Us exam, pelvic, complete |
| 76856 | 26 | 151 | Us exam, pelvic, complete |
| 76857 | 195 | Us exam, pelvic, limited | |
| 76857 | TC | 193 | Us exam, pelvic, limited |
| 76857 | 26 | 195 | Us exam, pelvic, limited |
| 76870 | 151 | Us exam, scrotum | |
| 76870 | TC | 149 | Us exam, scrotum |
| 76870 | 26 | 151 | Us exam, scrotum |
| 76872 | 151 | Echo exam, transrectal | |
| 76872 | TC | 153 | Echo exam, transrectal |
| 76872 | 26 | 151 | Echo exam, transrectal |
| 76873 | 273 | Echograp trans r, pros study | |
| 76873 | TC | 274 | Echograp trans r, pros study |
| 76873 | 26 | 273 | Echograp trans r, pros study |
| 76880 | 151 | Us exam, extremity | |
| 76880 | TC | 153 | Us exam, extremity |
| 76880 | 26 | 151 | Us exam, extremity |
| 76930 | 151 | Echo guide, cardiocentesis | |
| 76930 | TC | 153 | Echo guide, cardiocentesis |
| 76930 | 26 | 151 | Echo guide, cardiocentesis |
| 76932 | 151 | Echo guide for heart biopsy | |
| 76932 | TC | 153 | Echo guide for heart biopsy |
| 76932 | 26 | 151 | Echo guide for heart biopsy |
| 76936 | 151 | Echo guide for artery repair | |
| 76936 | TC | 153 | Echo guide for artery repair |
| 76936 | 26 | 151 | Echo guide for artery repair |
| 76937 | 232 | Us guide, vascular access | |
| 76937 | TC | 232 | Us guide, vascular access |
| 76937 | 26 | 232 | Us guide, vascular access |
| 76940 | 151 | Us guide, tissue ablation | |
| 76940 | TC | 153 | Us guide, tissue ablation |
| 76940 | 26 | 151 | Us guide, tissue ablation |
| 76941 | 151 | Echo guide for transfusion | |
| 76941 | TC | 153 | Echo guide for transfusion |
| 76941 | 26 | 151 | Echo guide for transfusion |
| 76942 | 195 | Echo guide for biopsy | |
| 76942 | TC | 195 | Echo guide for biopsy |
| 76942 | 26 | 195 | Echo guide for biopsy |
| 76945 | 151 | Echo guide, villus sampling | |
| 76945 | TC | 153 | Echo guide, villus sampling |
| 76945 | 26 | 151 | Echo guide, villus sampling |
| 76946 | 151 | Echo guide for amniocentesis | |
| 76946 | TC | 153 | Echo guide for amniocentesis |
| 76946 | 26 | 151 | Echo guide for amniocentesis |
| 76950 | 151 | Echo guidance radiotherapy | |
| 76950 | TC | 153 | Echo guidance radiotherapy |
| 76950 | 26 | 151 | Echo guidance radiotherapy |
| 76965 | 151 | Echo guidance radiotherapy | |
| 76965 | TC | 153 | Echo guidance radiotherapy |
| 76965 | 26 | 151 | Echo guidance radiotherapy |
| 76970 | 195 | Ultrasound exam follow-up | |
| 76970 | TC | 195 | Ultrasound exam follow-up |
| 76970 | 26 | 195 | Ultrasound exam follow-up |
| 76975 | 151 | GI endoscopic ultrasound | |
| 76975 | TC | 153 | GI endoscopic ultrasound |
| 76975 | 26 | 151 | GI endoscopic ultrasound |
| 76977 | 151 | Us bone density measure | |
| 76977 | TC | 153 | Us bone density measure |
| 76977 | 26 | 151 | Us bone density measure |
| 76998 | 195 | Us guide, intraop | |
| 76998 | TC | 195 | Us guide, intraop |
| 76998 | 26 | 195 | Us guide, intraop |
| 77001 | 232 | Fluoroguide for vein device | |
| 77001 | TC | 232 | Fluoroguide for vein device |
| 77001 | 26 | 232 | Fluoroguide for vein device |
| 77002 | 195 | Needle localization by xray | |
| 77002 | TC | 195 | Needle localization by xray |
| 77002 | 26 | 195 | Needle localization by xray |
| 77003 | 282 | Fluoroguide for spine inject | |
| 77003 | TC | 282 | Fluoroguide for spine inject |
| 77003 | 26 | 282 | Fluoroguide for spine inject |
| 77011 | 151 | Ct scan for localization | |
| 77011 | TC | 153 | Ct scan for localization |
| 77011 | 26 | 151 | Ct scan for localization |
| 77012 | 151 | Ct scan for needle biopsy | |
| 77012 | TC | 153 | Ct scan for needle biopsy |
| 77012 | 26 | 151 | Ct scan for needle biopsy |
| 77013 | 151 | Ct guide for tissue ablation | |
| 77013 | TC | 153 | Ct guide for tissue ablation |
| 77013 | 26 | 151 | Ct guide for tissue ablation |
| 77014 | 151 | Ct scan for therapy guide | |
| 77014 | TC | 153 | Ct scan for therapy guide |
| 77014 | 26 | 151 | Ct scan for therapy guide |
| 77021 | 151 | Mr guidance for needle place | |
| 77021 | TC | 153 | Mr guidance for needle place |
| 77021 | 26 | 151 | Mr guidance for needle place |
| 77022 | 151 | Mri for tissue ablation | |
| 77022 | TC | 153 | Mri for tissue ablation |
| 77022 | 26 | 151 | Mri for tissue ablation |
| 77031 | 168 | Stereotact guide for brst bx | |
| 77031 | TC | 170 | Stereotact guide for brst bx |
| 77031 | 26 | 168 | Stereotact guide for brst bx |
| 77032 | 168 | Guidance for needle, breast | |
| 77032 | TC | 170 | Guidance for needle, breast |
| 77032 | 26 | 168 | Guidance for needle, breast |
| 77051 | 249 | Computer dx mammogram add-on | |
| 77051 | TC | 249 | Computer dx mammogram add-on |
| 77051 | 26 | 249 | Computer dx mammogram add-on |
| 77052 | 249 | Comp screen mammogram add-on | |
| 77052 | TC | 249 | Comp screen mammogram add-on |
| 77052 | 26 | 249 | Comp screen mammogram add-on |
| 77053 | 195 | X-ray of mammary duct | |
| 77053 | TC | 195 | X-ray of mammary duct |
| 77053 | 26 | 195 | X-ray of mammary duct |
| 77054 | 219 | X-ray of mammary ducts | |
| 77054 | TC | 219 | X-ray of mammary ducts |
| 77054 | 26 | 219 | X-ray of mammary ducts |
| 77055 | 168 | Mammogram, one breast | |
| 77055 | TC | 170 | Mammogram, one breast |
| 77055 | 26 | 168 | Mammogram, one breast |
| 77056 | 168 | Mammogram, both breasts | |
| 77056 | TC | 170 | Mammogram, both breasts |
| 77056 | 26 | 168 | Mammogram, both breasts |
| 77057 | 167 | Mammogram, screening | |
| 77057 | TC | 169 | Mammogram, screening |
| 77057 | 26 | 167 | Mammogram, screening |
| 77058 | 151 | Mri, one breast | |
| 77058 | TC | 149 | Mri, one breast |
| 77058 | 26 | 151 | Mri, one breast |
| 77059 | 168 | Mri, both breasts | |
| 77059 | TC | 166 | Mri, both breasts |
| 77059 | 26 | 167 | Mri, both breasts |
| 77071 | 220 | X-ray stress view | |
| 77072 | 219 | X-rays for bone age | |
| 77072 | TC | 219 | X-rays for bone age |
| 77072 | 26 | 219 | X-rays for bone age |
| 77073 | 219 | X-rays, bone length studies | |
| 77073 | TC | 219 | X-rays, bone length studies |
| 77073 | 26 | 219 | X-rays, bone length studies |
| 77074 | 219 | X-rays, bone survey, limited | |
| 77074 | TC | 219 | X-rays, bone survey, limited |
| 77074 | 26 | 219 | X-rays, bone survey, limited |
| 77075 | 219 | X-rays, bone survey complete | |
| 77075 | TC | 219 | X-rays, bone survey complete |
| 77075 | 26 | 219 | X-rays, bone survey complete |
| 77077 | 168 | Joint survey, single view | |
| 77077 | TC | 170 | Joint survey, single view |
| 77077 | 26 | 168 | Joint survey, single view |
| 77078 | 168 | Ct bone density, axial | |
| 77078 | TC | 170 | Ct bone density, axial |
| 77078 | 26 | 168 | Ct bone density, axial |
| 77079 | 168 | Ct bone density, peripheral | |
| 77079 | TC | 170 | Ct bone density, peripheral |
| 77079 | 26 | 168 | Ct bone density, peripheral |
| 77080 | 168 | Dxa bone density, axial | |
| 77080 | TC | 170 | Dxa bone density, axial |
| 77080 | 26 | 168 | Dxa bone density, axial |
| 77081 | 168 | Dxa bone density/peripheral | |
| 77081 | TC | 170 | Dxa bone density/peripheral |
| 77081 | 26 | 168 | Dxa bone density/peripheral |
| 77082 | 168 | Dxa bone density, vert fx | |
| 77082 | TC | 170 | Dxa bone density, vert fx |
| 77082 | 26 | 168 | Dxa bone density, vert fx |
| 77083 | 168 | Radiographic absorptiometry | |
| 77083 | TC | 170 | Radiographic absorptiometry |
| 77083 | 26 | 168 | Radiographic absorptiometry |
| 77084 | 168 | Magnetic image, bone marrow | |
| 77084 | TC | 170 | Magnetic image, bone marrow |
| 77084 | 26 | 168 | Magnetic image, bone marrow |
| 77261 | 195 | Radiation therapy planning | |
| 77262 | 195 | Radiation therapy planning | |
| 77263 | 195 | Radiation therapy planning | |
| 77280 | 168 | Set radiation therapy field | |
| 77280 | TC | 170 | Set radiation therapy field |
| 77280 | 26 | 168 | Set radiation therapy field |
| 77285 | 168 | Set radiation therapy field | |
| 77285 | TC | 170 | Set radiation therapy field |
| 77285 | 26 | 168 | Set radiation therapy field |
| 77290 | 168 | Set radiation therapy field | |
| 77290 | TC | 170 | Set radiation therapy field |
| 77290 | 26 | 168 | Set radiation therapy field |
| 77295 | 168 | Set radiation therapy field | |
| 77295 | TC | 170 | Set radiation therapy field |
| 77295 | 26 | 168 | Set radiation therapy field |
| 77300 | 151 | Radiation therapy dose plan | |
| 77300 | TC | 153 | Radiation therapy dose plan |
| 77300 | 26 | 151 | Radiation therapy dose plan |
| 77301 | 168 | Radioltherapy dos plan, imrt | |
| 77301 | TC | 170 | Radioltherapy dos plan, imrt |
| 77301 | 26 | 168 | Radioltherapy dos plan, imrt |
| 77305 | 151 | Radiation therapy dose plan | |
| 77305 | TC | 153 | Radiation therapy dose plan |
| 77305 | 26 | 151 | Radiation therapy dose plan |
| 77310 | 151 | Radiation therapy dose plan | |
| 77310 | TC | 153 | Radiation therapy dose plan |
| 77310 | 26 | 151 | Radiation therapy dose plan |
| 77315 | 151 | Radiation therapy dose plan | |
| 77315 | TC | 153 | Radiation therapy dose plan |
| 77315 | 26 | 151 | Radiation therapy dose plan |
| 77321 | 151 | Radiation therapy port plan | |
| 77321 | TC | 153 | Radiation therapy port plan |
| 77321 | 26 | 151 | Radiation therapy port plan |
| 77326 | 151 | Radiation therapy dose plan | |
| 77326 | TC | 153 | Radiation therapy dose plan |
| 77326 | 26 | 151 | Radiation therapy dose plan |
| 77327 | 151 | Radiation therapy dose plan | |
| 77327 | TC | 153 | Radiation therapy dose plan |
| 77327 | 26 | 151 | Radiation therapy dose plan |
| 77328 | 151 | Radiation therapy dose plan | |
| 77328 | TC | 153 | Radiation therapy dose plan |
| 77328 | 26 | 151 | Radiation therapy dose plan |
| 77331 | 151 | Special radiation dosimetry | |
| 77331 | TC | 153 | Special radiation dosimetry |
| 77331 | 26 | 151 | Special radiation dosimetry |
| 77332 | 151 | Radiation treatment aid(s) | |
| 77332 | TC | 153 | Radiation treatment aid(s) |
| 77332 | 26 | 151 | Radiation treatment aid(s) |
| 77333 | 151 | Radiation treatment aid(s) | |
| 77333 | TC | 153 | Radiation treatment aid(s) |
| 77333 | 26 | 151 | Radiation treatment aid(s) |
| 77334 | 151 | Radiation treatment aid(s) | |
| 77334 | TC | 153 | Radiation treatment aid(s) |
| 77334 | 26 | 151 | Radiation treatment aid(s) |
| 77336 | 195 | Radiation physics consult | |
| 77338 | 168 | Design MLC device for IMRT | |
| 77338 | TC | 170 | Design MLC device for IMRT |
| 77338 | 26 | 168 | Design MLC device for IMRT |
| 77370 | 195 | Radiation physics consult | |
| 77371 | 151 | Srs, multisource | |
| 77372 | 151 | Srs, linear based | |
| 77373 | 151 | Sbrt delivery | |
| 77401 | 151 | Radiation treatment delivery | |
| 77402 | 151 | Radiation treatment delivery | |
| 77403 | 151 | Radiation treatment delivery | |
| 77404 | 151 | Radiation treatment delivery | |
| 77406 | 151 | Radiation treatment delivery | |
| 77407 | 151 | Radiation treatment delivery | |
| 77408 | 151 | Radiation treatment delivery | |
| 77409 | 151 | Radiation treatment delivery | |
| 77411 | 151 | Radiation treatment delivery | |
| 77412 | 151 | Radiation treatment delivery | |
| 77413 | 151 | Radiation treatment delivery | |
| 77414 | 151 | Radiation treatment delivery | |
| 77416 | 151 | Radiation treatment delivery | |
| 77417 | 219 | Radiology port film(s) | |
| 77418 | 151 | Radiation tx delivery, imrt | |
| 77421 | 168 | Stereoscopic x-ray guidance | |
| 77421 | TC | 170 | Stereoscopic x-ray guidance |
| 77421 | 26 | 168 | Stereoscopic x-ray guidance |
| 77422 | 151 | Neutron beam tx, simple | |
| 77423 | 151 | Neutron beam tx, complex | |
| 77427 | 273 | Radiation tx management, x5 | |
| 77431 | 151 | Radiation therapy management | |
| 77432 | 151 | Stereotactic radiation trmt | |
| 77435 | 151 | Sbrt management | |
| 77470 | 151 | Special radiation treatment | |
| 77470 | TC | 153 | Special radiation treatment |
| 77470 | 26 | 151 | Special radiation treatment |
| 77520 | 195 | Proton trmt, simple w/o comp | |
| 77522 | 195 | Proton trmt, simple w/comp | |
| 77523 | 195 | Proton trmt, intermediate | |
| 77525 | 219 | Proton treatment, complex | |
| 77600 | 151 | Hyperthermia treatment | |
| 77600 | TC | 153 | Hyperthermia treatment |
| 77600 | 26 | 151 | Hyperthermia treatment |
| 77605 | 151 | Hyperthermia treatment | |
| 77605 | TC | 153 | Hyperthermia treatment |
| 77605 | 26 | 151 | Hyperthermia treatment |
| 77610 | 151 | Hyperthermia treatment | |
| 77610 | TC | 153 | Hyperthermia treatment |
| 77610 | 26 | 151 | Hyperthermia treatment |
| 77615 | 151 | Hyperthermia treatment | |
| 77615 | TC | 153 | Hyperthermia treatment |
| 77615 | 26 | 151 | Hyperthermia treatment |
| 77620 | 151 | Hyperthermia treatment | |
| 77620 | TC | 153 | Hyperthermia treatment |
| 77620 | 26 | 151 | Hyperthermia treatment |
| 77750 | 151 | Infuse radioactive materials | |
| 77750 | TC | 153 | Infuse radioactive materials |
| 77750 | 26 | 151 | Infuse radioactive materials |
| 77761 | 151 | Apply intrcav radiat simple | |
| 77761 | TC | 153 | Apply intrcav radiat simple |
| 77761 | 26 | 151 | Apply intrcav radiat simple |
| 77762 | 151 | Apply intrcav radiat interm | |
| 77762 | TC | 153 | Apply intrcav radiat interm |
| 77762 | 26 | 151 | Apply intrcav radiat interm |
| 77763 | 151 | Apply intrcav radiat compl | |
| 77763 | TC | 153 | Apply intrcav radiat compl |
| 77763 | 26 | 151 | Apply intrcav radiat compl |
| 77776 | 151 | Apply interstit radiat simpl | |
| 77776 | TC | 153 | Apply interstit radiat simpl |
| 77776 | 26 | 141 | Apply interstit radiat simpl |
| 77777 | 151 | Apply interstit radiat inter | |
| 77777 | TC | 153 | Apply interstit radiat inter |
| 77777 | 26 | 141 | Apply interstit radiat inter |
| 77778 | 168 | Apply iterstit radiat compl | |
| 77778 | TC | 170 | Apply iterstit radiat compl |
| 77778 | 26 | 159 | Apply iterstit radiat compl |
| 77785 | 195 | Hdr brachytx, 1 channel | |
| 77785 | TC | 195 | Hdr brachytx, 1 channel |
| 77785 | 26 | 195 | Hdr brachytx, 1 channel |
| 77786 | 195 | Hdr brachytx, 2-12 channel | |
| 77786 | TC | 195 | Hdr brachytx, 2-12 channel |
| 77786 | 26 | 195 | Hdr brachytx, 2-12 channel |
| 77787 | 195 | Hdr brachytx over 12 chan | |
| 77787 | TC | 195 | Hdr brachytx over 12 chan |
| 77787 | 26 | 195 | Hdr brachytx over 12 chan |
| 77789 | 114 | Apply surface radiation | |
| 77789 | TC | 115 | Apply surface radiation |
| 77789 | 26 | 114 | Apply surface radiation |
| 77790 | 195 | Radiation handling | |
| 77790 | TC | 195 | Radiation handling |
| 77790 | 26 | 195 | Radiation handling |
| 78000 | 195 | Thyroid, single uptake | |
| 78000 | TC | 195 | Thyroid, single uptake |
| 78000 | 26 | 195 | Thyroid, single uptake |
| 78001 | 219 | Thyroid, multiple uptakes | |
| 78001 | TC | 219 | Thyroid, multiple uptakes |
| 78001 | 26 | 219 | Thyroid, multiple uptakes |
| 78003 | 168 | Thyroid suppress/stimul | |
| 78003 | TC | 170 | Thyroid suppress/stimul |
| 78003 | 26 | 168 | Thyroid suppress/stimul |
| 78006 | 151 | Thyroid imaging with uptake | |
| 78006 | TC | 153 | Thyroid imaging with uptake |
| 78006 | 26 | 151 | Thyroid imaging with uptake |
| 78007 | 168 | Thyroid image, mult uptakes | |
| 78007 | TC | 170 | Thyroid image, mult uptakes |
| 78007 | 26 | 168 | Thyroid image, mult uptakes |
| 78010 | 168 | Thyroid imaging | |
| 78010 | TC | 170 | Thyroid imaging |
| 78010 | 26 | 168 | Thyroid imaging |
| 78011 | 168 | Thyroid imaging with flow | |
| 78011 | TC | 170 | Thyroid imaging with flow |
| 78011 | 26 | 168 | Thyroid imaging with flow |
| 78015 | 151 | Thyroid met imaging | |
| 78015 | TC | 153 | Thyroid met imaging |
| 78015 | 26 | 151 | Thyroid met imaging |
| 78016 | 168 | Thyroid met imaging/studies | |
| 78016 | TC | 170 | Thyroid met imaging/studies |
| 78016 | 26 | 168 | Thyroid met imaging/studies |
| 78018 | 168 | Thyroid met imaging, body | |
| 78018 | TC | 170 | Thyroid met imaging, body |
| 78018 | 26 | 168 | Thyroid met imaging, body |
| 78020 | 249 | Thyroid met uptake | |
| 78020 | TC | 249 | Thyroid met uptake |
| 78020 | 26 | 249 | Thyroid met uptake |
| 78070 | 168 | Parathyroid nuclear imaging | |
| 78070 | TC | 170 | Parathyroid nuclear imaging |
| 78070 | 26 | 168 | Parathyroid nuclear imaging |
| 78075 | 168 | Adrenal nuclear imaging | |
| 78075 | TC | 170 | Adrenal nuclear imaging |
| 78075 | 26 | 168 | Adrenal nuclear imaging |
| 78102 | 151 | Bone marrow imaging, ltd | |
| 78102 | TC | 153 | Bone marrow imaging, ltd |
| 78102 | 26 | 151 | Bone marrow imaging, ltd |
| 78103 | 151 | Bone marrow imaging, mult | |
| 78103 | TC | 153 | Bone marrow imaging, mult |
| 78103 | 26 | 151 | Bone marrow imaging, mult |
| 78104 | 168 | Bone marrow imaging, body | |
| 78104 | TC | 170 | Bone marrow imaging, body |
| 78104 | 26 | 168 | Bone marrow imaging, body |
| 78110 | 195 | Plasma volume, single | |
| 78110 | TC | 195 | Plasma volume, single |
| 78110 | 26 | 195 | Plasma volume, single |
| 78111 | 219 | Plasma volume, multiple | |
| 78111 | TC | 219 | Plasma volume, multiple |
| 78111 | 26 | 219 | Plasma volume, multiple |
| 78120 | 195 | Red cell mass, single | |
| 78120 | TC | 195 | Red cell mass, single |
| 78120 | 26 | 195 | Red cell mass, single |
| 78121 | 219 | Red cell mass, multiple | |
| 78121 | TC | 219 | Red cell mass, multiple |
| 78121 | 26 | 219 | Red cell mass, multiple |
| 78122 | 219 | Blood volume | |
| 78122 | TC | 219 | Blood volume |
| 78122 | 26 | 219 | Blood volume |
| 78130 | 195 | Red cell survival study | |
| 78130 | TC | 195 | Red cell survival study |
| 78130 | 26 | 195 | Red cell survival study |
| 78135 | 219 | Red cell survival kinetics | |
| 78135 | TC | 219 | Red cell survival kinetics |
| 78135 | 26 | 219 | Red cell survival kinetics |
| 78140 | 195 | Red cell sequestration | |
| 78140 | TC | 195 | Red cell sequestration |
| 78140 | 26 | 195 | Red cell sequestration |
| 78185 | 151 | Spleen imaging | |
| 78185 | TC | 153 | Spleen imaging |
| 78185 | 26 | 151 | Spleen imaging |
| 78190 | 219 | Platelet survival, kinetics | |
| 78190 | TC | 219 | Platelet survival, kinetics |
| 78190 | 26 | 219 | Platelet survival, kinetics |
| 78191 | 195 | Platelet survival | |
| 78191 | TC | 195 | Platelet survival |
| 78191 | 26 | 195 | Platelet survival |
| 78195 | 151 | Lymph system imaging | |
| 78195 | TC | 153 | Lymph system imaging |
| 78195 | 26 | 151 | Lymph system imaging |
| 78201 | 151 | Liver imaging | |
| 78201 | TC | 153 | Liver imaging |
| 78201 | 26 | 151 | Liver imaging |
| 78202 | 151 | Liver imaging with flow | |
| 78202 | TC | 153 | Liver imaging with flow |
| 78202 | 26 | 151 | Liver imaging with flow |
| 78205 | 151 | Liver imaging (3D) | |
| 78205 | TC | 153 | Liver imaging (3D) |
| 78205 | 26 | 151 | Liver imaging (3D) |
| 78206 | 168 | Liver image (3d) w/flow | |
| 78206 | TC | 170 | Liver image (3d) w/flow |
| 78206 | 26 | 168 | Liver image (3d) w/flow |
| 78215 | 151 | Liver and spleen imaging | |
| 78215 | TC | 153 | Liver and spleen imaging |
| 78215 | 26 | 151 | Liver and spleen imaging |
| 78216 | 168 | Liver & spleen image/flow | |
| 78216 | TC | 170 | Liver & spleen image/flow |
| 78216 | 26 | 168 | Liver & spleen image/flow |
| 78220 | 151 | Liver function study | |
| 78220 | TC | 153 | Liver function study |
| 78220 | 26 | 151 | Liver function study |
| 78223 | 168 | Hepatobiliary imaging | |
| 78223 | TC | 170 | Hepatobiliary imaging |
| 78223 | 26 | 168 | Hepatobiliary imaging |
| 78230 | 151 | Salivary gland imaging | |
| 78230 | TC | 153 | Salivary gland imaging |
| 78230 | 26 | 151 | Salivary gland imaging |
| 78231 | 168 | Serial salivary imaging | |
| 78231 | TC | 170 | Serial salivary imaging |
| 78231 | 26 | 168 | Serial salivary imaging |
| 78232 | 168 | Salivary gland function exam | |
| 78232 | TC | 170 | Salivary gland function exam |
| 78232 | 26 | 168 | Salivary gland function exam |
| 78258 | 168 | Esophageal motility study | |
| 78258 | TC | 170 | Esophageal motility study |
| 78258 | 26 | 168 | Esophageal motility study |
| 78261 | 168 | Gastric mucosa imaging | |
| 78261 | TC | 170 | Gastric mucosa imaging |
| 78261 | 26 | 168 | Gastric mucosa imaging |
| 78262 | 168 | Gastroesophageal reflux exam | |
| 78262 | TC | 170 | Gastroesophageal reflux exam |
| 78262 | 26 | 168 | Gastroesophageal reflux exam |
| 78264 | 168 | Gastric emptying study | |
| 78264 | TC | 170 | Gastric emptying study |
| 78264 | 26 | 168 | Gastric emptying study |
| 78267 | 282 | Breath tst attain/anal c-14 | |
| 78268 | 290 | Breath test analysis, c-14 | |
| 78270 | 151 | Vit B-12 absorption exam | |
| 78270 | TC | 153 | Vit B-12 absorption exam |
| 78270 | 26 | 151 | Vit B-12 absorption exam |
| 78271 | 151 | Vit B-12 absorp exam, IF | |
| 78271 | TC | 153 | Vit B-12 absorp exam, IF |
| 78271 | 26 | 151 | Vit B-12 absorp exam, IF |
| 78272 | 168 | Vit B-12 absorp, combined | |
| 78272 | TC | 170 | Vit B-12 absorp, combined |
| 78272 | 26 | 168 | Vit B-12 absorp, combined |
| 78278 | 168 | Acute GI blood loss imaging | |
| 78278 | TC | 170 | Acute GI blood loss imaging |
| 78278 | 26 | 168 | Acute GI blood loss imaging |
| 78282 | 168 | GI protein loss exam | |
| 78282 | TC | 170 | GI protein loss exam |
| 78282 | 26 | 168 | GI protein loss exam |
| 78290 | 168 | Meckel’s divert exam | |
| 78290 | TC | 170 | Meckel’s divert exam |
| 78290 | 26 | 168 | Meckel’s divert exam |
| 78291 | 168 | Leveen/shunt patency exam | |
| 78291 | TC | 170 | Leveen/shunt patency exam |
| 78291 | 26 | 168 | Leveen/shunt patency exam |
| 78300 | 151 | Bone imaging, limited area | |
| 78300 | TC | 153 | Bone imaging, limited area |
| 78300 | 26 | 151 | Bone imaging, limited area |
| 78305 | 151 | Bone imaging, multiple areas | |
| 78305 | TC | 153 | Bone imaging, multiple areas |
| 78305 | 26 | 151 | Bone imaging, multiple areas |
| 78306 | 151 | Bone imaging, whole body | |
| 78306 | TC | 153 | Bone imaging, whole body |
| 78306 | 26 | 151 | Bone imaging, whole body |
| 78315 | 151 | Bone imaging, 3 phase | |
| 78315 | TC | 153 | Bone imaging, 3 phase |
| 78315 | 26 | 151 | Bone imaging, 3 phase |
| 78320 | 168 | Bone imaging (3D) | |
| 78320 | TC | 170 | Bone imaging (3D) |
| 78320 | 26 | 168 | Bone imaging (3D) |
| 78350 | 277 | Bone mineral, single photon | |
| 78350 | TC | 278 | Bone mineral, single photon |
| 78350 | 26 | 277 | Bone mineral, single photon |
| 78351 | 277 | Bone mineral, dual photon | |
| 78414 | 168 | Non-imaging heart function | |
| 78414 | TC | 170 | Non-imaging heart function |
| 78414 | 26 | 168 | Non-imaging heart function |
| 78428 | 168 | Cardiac shunt imaging | |
| 78428 | TC | 170 | Cardiac shunt imaging |
| 78428 | 26 | 168 | Cardiac shunt imaging |
| 78445 | 151 | Vascular flow imaging | |
| 78445 | TC | 153 | Vascular flow imaging |
| 78445 | 26 | 151 | Vascular flow imaging |
| 78451 | 168 | HT muscle image spect, single | |
| 78451 | TC | 170 | HT muscle image spect, single |
| 78451 | 26 | 168 | HT muscle image spect, single |
| 78452 | 168 | HT muscle image spect, mult | |
| 78452 | TC | 170 | HT muscle image spect, mult |
| 78452 | 26 | 168 | HT muscle image spect, mult |
| 78453 | 168 | HT muscle image, planar, single | |
| 78453 | TC | 170 | HT muscle image, planar, single |
| 78453 | 26 | 168 | HT muscle image, planar, single |
| 78454 | 168 | HT muscle image, planar, mult | |
| 78454 | TC | 170 | HT muscle image, planar, mult |
| 78454 | 26 | 168 | HT muscle image, planar, mult |
| 78456 | 277 | Acute venous thrombus image | |
| 78456 | TC | 278 | Acute venous thrombus image |
| 78456 | 26 | 277 | Acute venous thrombus image |
| 78457 | 151 | Venous thrombosis imaging | |
| 78457 | TC | 153 | Venous thrombosis imaging |
| 78457 | 26 | 151 | Venous thrombosis imaging |
| 78458 | 167 | Ven thrombosis images, bilat | |
| 78458 | TC | 169 | Ven thrombosis images, bilat |
| 78458 | 26 | 167 | Ven thrombosis images, bilat |
| 78459 | 168 | Heart muscle imaging (PET) | |
| 78459 | TC | 170 | Heart muscle imaging (PET) |
| 78459 | 26 | 168 | Heart muscle imaging (PET) |
| 78466 | 168 | Heart infarct image | |
| 78466 | TC | 170 | Heart infarct image |
| 78466 | 26 | 168 | Heart infarct image |
| 78468 | 151 | Heart infarct image (ef) | |
| 78468 | TC | 153 | Heart infarct image (ef) |
| 78468 | 26 | 151 | Heart infarct image (ef) |
| 78469 | 168 | Heart infarct image (3D) | |
| 78469 | TC | 170 | Heart infarct image (3D) |
| 78469 | 26 | 168 | Heart infarct image (3D) |
| 78472 | 168 | Gated heart, planar, single | |
| 78472 | TC | 170 | Gated heart, planar, single |
| 78472 | 26 | 168 | Gated heart, planar, single |
| 78473 | 168 | Gated heart, multiple | |
| 78473 | TC | 170 | Gated heart, multiple |
| 78473 | 26 | 168 | Gated heart, multiple |
| 78481 | 168 | Heart first pass, single | |
| 78481 | TC | 170 | Heart first pass, single |
| 78481 | 26 | 168 | Heart first pass, single |
| 78483 | 168 | Heart first pass, multiple | |
| 78483 | TC | 170 | Heart first pass, multiple |
| 78483 | 26 | 168 | Heart first pass, multiple |
| 78491 | 168 | Heart image (pet), single | |
| 78491 | TC | 170 | Heart image (pet), single |
| 78491 | 26 | 168 | Heart image (pet), single |
| 78492 | 168 | Heart image (pet), multiple | |
| 78492 | TC | 170 | Heart image (pet), multiple |
| 78492 | 26 | 168 | Heart image (pet), multiple |
| 78494 | 168 | Heart image, spect | |
| 78494 | TC | 170 | Heart image, spect |
| 78494 | 26 | 168 | Heart image, spect |
| 78496 | 249 | Heart first pass add-on | |
| 78496 | TC | 249 | Heart first pass add-on |
| 78496 | 26 | 249 | Heart first pass add-on |
| 78580 | 151 | Lung perfusion imaging | |
| 78580 | TC | 153 | Lung perfusion imaging |
| 78580 | 26 | 151 | Lung perfusion imaging |
| 78584 | 151 | Lung V/Q image single breath | |
| 78584 | TC | 153 | Lung V/Q image single breath |
| 78584 | 26 | 151 | Lung V/Q image single breath |
| 78585 | 151 | Lung V/Q imaging | |
| 78585 | TC | 153 | Lung V/Q imaging |
| 78585 | 26 | 151 | Lung V/Q imaging |
| 78586 | 151 | Aerosol lung image, single | |
| 78586 | TC | 153 | Aerosol lung image, single |
| 78586 | 26 | 151 | Aerosol lung image, single |
| 78587 | 151 | Aerosol lung image, multiple | |
| 78587 | TC | 153 | Aerosol lung image, multiple |
| 78587 | 26 | 151 | Aerosol lung image, multiple |
| 78588 | 168 | Perfusion lung image | |
| 78588 | TC | 170 | Perfusion lung image |
| 78588 | 26 | 168 | Perfusion lung image |
| 78591 | 151 | Vent image, 1 breath, 1 proj | |
| 78591 | TC | 153 | Vent image, 1 breath, 1 proj |
| 78591 | 26 | 151 | Vent image, 1 breath, 1 proj |
| 78593 | 151 | Vent image, 1 proj, gas | |
| 78593 | TC | 153 | Vent image, 1 proj, gas |
| 78593 | 26 | 151 | Vent image, 1 proj, gas |
| 78594 | 151 | Vent image, mult proj, gas | |
| 78594 | TC | 153 | Vent image, mult proj, gas |
| 78594 | 26 | 151 | Vent image, mult proj, gas |
| 78596 | 168 | Lung differential function | |
| 78596 | TC | 170 | Lung differential function |
| 78596 | 26 | 168 | Lung differential function |
| 78600 | 151 | Brain imaging, ltd static | |
| 78600 | TC | 153 | Brain imaging, ltd static |
| 78600 | 26 | 151 | Brain imaging, ltd static |
| 78601 | 151 | Brain imaging, ltd w/ flow | |
| 78601 | TC | 153 | Brain imaging, ltd w/ flow |
| 78601 | 26 | 151 | Brain imaging, ltd w/ flow |
| 78605 | 151 | Brain imaging, complete | |
| 78605 | TC | 153 | Brain imaging, complete |
| 78605 | 26 | 151 | Brain imaging, complete |
| 78606 | 151 | Brain imaging, compl w/flow | |
| 78606 | TC | 153 | Brain imaging, compl w/flow |
| 78606 | 26 | 151 | Brain imaging, compl w/flow |
| 78607 | 168 | Brain imaging (3D) | |
| 78607 | TC | 170 | Brain imaging (3D) |
| 78607 | 26 | 168 | Brain imaging (3D) |
| 78608 | 168 | Brain imaging (PET) | |
| 78608 | TC | 170 | Brain imaging (PET) |
| 78608 | 26 | 168 | Brain imaging (PET) |
| 78609 | 277 | Brain imaging (PET) | |
| 78609 | TC | 278 | Brain imaging (PET) |
| 78609 | 26 | 277 | Brain imaging (PET) |
| 78610 | 151 | Brain flow imaging only | |
| 78610 | TC | 153 | Brain flow imaging only |
| 78610 | 26 | 151 | Brain flow imaging only |
| 78630 | 168 | Cerebrospinal fluid scan | |
| 78630 | TC | 170 | Cerebrospinal fluid scan |
| 78630 | 26 | 168 | Cerebrospinal fluid scan |
| 78635 | 168 | CSF ventriculography | |
| 78635 | TC | 170 | CSF ventriculography |
| 78635 | 26 | 168 | CSF ventriculography |
| 78645 | 168 | CSF shunt evaluation | |
| 78645 | TC | 170 | CSF shunt evaluation |
| 78645 | 26 | 168 | CSF shunt evaluation |
| 78647 | 168 | Cerebrospinal fluid scan | |
| 78647 | TC | 170 | Cerebrospinal fluid scan |
| 78647 | 26 | 168 | Cerebrospinal fluid scan |
| 78650 | 168 | CSF leakage imaging | |
| 78650 | TC | 170 | CSF leakage imaging |
| 78650 | 26 | 168 | CSF leakage imaging |
| 78660 | 168 | Nuclear exam of tear flow | |
| 78660 | TC | 170 | Nuclear exam of tear flow |
| 78660 | 26 | 168 | Nuclear exam of tear flow |
| 78700 | 151 | Kidney imaging, static | |
| 78700 | TC | 153 | Kidney imaging, static |
| 78700 | 26 | 151 | Kidney imaging, static |
| 78701 | 151 | Kidney imaging with flow | |
| 78701 | TC | 153 | Kidney imaging with flow |
| 78701 | 26 | 151 | Kidney imaging with flow |
| 78707 | 151 | Kidney flow/function image | |
| 78707 | TC | 153 | Kidney flow/function image |
| 78707 | 26 | 151 | Kidney flow/function image |
| 78708 | 151 | Kidney flow/function image | |
| 78708 | TC | 153 | Kidney flow/function image |
| 78708 | 26 | 151 | Kidney flow/function image |
| 78709 | 168 | Kidney flow/function image | |
| 78709 | TC | 170 | Kidney flow/function image |
| 78709 | 26 | 168 | Kidney flow/function image |
| 78710 | 168 | Kidney imaging (3D) | |
| 78710 | TC | 170 | Kidney imaging (3D) |
| 78710 | 26 | 168 | Kidney imaging (3D) |
| 78725 | 151 | Kidney function study | |
| 78725 | TC | 153 | Kidney function study |
| 78725 | 26 | 151 | Kidney function study |
| 78730 | 249 | Urinary bladder retention | |
| 78730 | TC | 249 | Urinary bladder retention |
| 78730 | 26 | 249 | Urinary bladder retention |
| 78740 | 168 | Ureteral reflux study | |
| 78740 | TC | 170 | Ureteral reflux study |
| 78740 | 26 | 168 | Ureteral reflux study |
| 78761 | 168 | Testicular imaging/flow | |
| 78761 | TC | 170 | Testicular imaging/flow |
| 78761 | 26 | 168 | Testicular imaging/flow |
| 78800 | 151 | Tumor imaging, limited area | |
| 78800 | TC | 153 | Tumor imaging, limited area |
| 78800 | 26 | 151 | Tumor imaging, limited area |
| 78801 | 151 | Tumor imaging, mult areas | |
| 78801 | TC | 153 | Tumor imaging, mult areas |
| 78801 | 26 | 151 | Tumor imaging, mult areas |
| 78802 | 147 | Tumor imaging, whole body | |
| 78802 | TC | 148 | Tumor imaging, whole body |
| 78802 | 26 | 147 | Tumor imaging, whole body |
| 78803 | 164 | Tumor imaging (3D) | |
| 78803 | TC | 165 | Tumor imaging (3D) |
| 78803 | 26 | 164 | Tumor imaging (3D) |
| 78804 | 168 | Tumor imaging, whole body | |
| 78804 | TC | 170 | Tumor imaging, whole body |
| 78804 | 26 | 168 | Tumor imaging, whole body |
| 78805 | 151 | Abscess imaging, ltd area | |
| 78805 | TC | 153 | Abscess imaging, ltd area |
| 78805 | 26 | 151 | Abscess imaging, ltd area |
| 78806 | 164 | Abscess imaging, whole body | |
| 78806 | TC | 165 | Abscess imaging, whole body |
| 78806 | 26 | 164 | Abscess imaging, whole body |
| 78807 | 164 | Nuclear localization/abscess | |
| 78807 | TC | 165 | Nuclear localization/abscess |
| 78807 | 26 | 164 | Nuclear localization/abscess |
| 78808 | 219 | Iv inj ra drug dx study | |
| 78811 | 168 | Tumor imaging (pet), limited | |
| 78811 | TC | 170 | Tumor imaging (pet), limited |
| 78811 | 26 | 168 | Tumor imaging (pet), limited |
| 78812 | 168 | Tumor image (pet)/skul-thigh | |
| 78812 | TC | 170 | Tumor image (pet)/skul-thigh |
| 78812 | 26 | 168 | Tumor image (pet)/skul-thigh |
| 78813 | 168 | Tumor image (pet) full body | |
| 78813 | TC | 170 | Tumor image (pet) full body |
| 78813 | 26 | 168 | Tumor image (pet) full body |
| 78814 | 168 | Tumor image pet/ct, limited | |
| 78814 | TC | 170 | Tumor image pet/ct, limited |
| 78814 | 26 | 168 | Tumor image pet/ct, limited |
| 78815 | 168 | Tumorimage pet/ct skul-thigh | |
| 78815 | TC | 170 | Tumorimage pet/ct skul-thigh |
| 78815 | 26 | 168 | Tumorimage pet/ct skul-thigh |
| 78816 | 168 | Tumor image pet/ct full body | |
| 78816 | TC | 170 | Tumor image pet/ct full body |
| 78816 | 26 | 168 | Tumor image pet/ct full body |
| 79005 | 219 | Nuclear rx, oral admin | |
| 79005 | TC | 219 | Nuclear rx, oral admin |
| 79005 | 26 | 219 | Nuclear rx, oral admin |
| 79101 | 195 | Nuclear rx, iv admin | |
| 79101 | TC | 195 | Nuclear rx, iv admin |
| 79101 | 26 | 195 | Nuclear rx, iv admin |
| 79200 | 219 | Intracavitary nuclear trmt | |
| 79200 | TC | 219 | Intracavitary nuclear trmt |
| 79200 | 26 | 219 | Intracavitary nuclear trmt |
| 79300 | 219 | Interstitial nuclear therapy | |
| 79300 | TC | 219 | Interstitial nuclear therapy |
| 79300 | 26 | 219 | Interstitial nuclear therapy |
| 79403 | 219 | Hematopoetic nuclear therapy | |
| 79403 | TC | 219 | Hematopoetic nuclear therapy |
| 79403 | 26 | 219 | Hematopoetic nuclear therapy |
| 79440 | 219 | Nuclear joint therapy | |
| 79440 | TC | 219 | Nuclear joint therapy |
| 79440 | 26 | 219 | Nuclear joint therapy |
| 79445 | 219 | Nuclear rx, intra-arterial | |
| 79445 | TC | 219 | Nuclear rx, intra-arterial |
| 79445 | 26 | 219 | Nuclear rx, intra-arterial |
| 80047 | 282 | Metabolic panel ionized ca | |
| 80047 | QW | 282 | Metabolic panel ionized ca |
| 80048 | 290 | Basic metabolic panel | |
| 80048 | QW | 290 | Basic metabolic panel |
| 80050 | 290 | General health panel | |
| 80051 | 282 | Electrolyte panel | |
| 80051 | QW | 282 | Electrolyte panel |
| 80053 | 290 | Comprehen metabolic panel | |
| 80053 | QW | 290 | Comprehen metabolic panel |
| 80055 | 290 | Obstetric panel | |
| 80061 | 290 | Lipid panel | |
| 80061 | QW | 290 | Lipid panel |
| 80069 | 290 | Renal function panel | |
| 80069 | QW | 290 | Renal function panel |
| 80074 | 290 | Acute hepatitis panel | |
| 80076 | 282 | Hepatic function panel | |
| 80100 | 290 | Drug screen, qualitate/multi | |
| 80101 | 282 | Drug screen, single | |
| 80101 | QW | 282 | Drug screen, single |
| 80102 | 290 | Drug confirmation | |
| 80103 | 290 | Drug analysis, tissue prep | |
| 80150 | 290 | Assay of amikacin | |
| 80152 | 290 | Assay of amitriptyline | |
| 80154 | 290 | Assay of benzodiazepines | |
| 80156 | 290 | Assay, carbamazepine, total | |
| 80157 | 290 | Assay, carbamazepine, free | |
| 80158 | 290 | Assay of cyclosporine | |
| 80160 | 290 | Assay of desipramine | |
| 80162 | 290 | Assay of digoxin | |
| 80164 | 290 | Assay, dipropylacetic acid | |
| 80166 | 290 | Assay of doxepin | |
| 80168 | 290 | Assay of ethosuximide | |
| 80170 | 290 | Assay of gentamicin | |
| 80172 | 290 | Assay of gold | |
| 80173 | 290 | Assay of haloperidol | |
| 80174 | 290 | Assay of imipramine | |
| 80176 | 290 | Assay of lidocaine | |
| 80178 | 290 | Assay of lithium | |
| 80178 | QW | 290 | Assay of lithium |
| 80182 | 290 | Assay of nortriptyline | |
| 80184 | 290 | Assay of phenobarbital | |
| 80185 | 290 | Assay of phenytoin, total | |
| 80186 | 290 | Assay of phenytoin, free | |
| 80188 | 290 | Assay of primidone | |
| 80190 | 282 | Assay of procainamide | |
| 80192 | 290 | Assay of procainamide | |
| 80194 | 290 | Assay of quinidine | |
| 80195 | 290 | Assay of sirolimus | |
| 80196 | 290 | Assay of salicylate | |
| 80197 | 290 | Assay of tacrolimus | |
| 80198 | 290 | Assay of theophylline | |
| 80200 | 290 | Assay of tobramycin | |
| 80201 | 290 | Assay of topiramate | |
| 80202 | 290 | Assay of vancomycin | |
| 80299 | 290 | Quantitative assay, drug | |
| 80400 | 290 | Acth stimulation panel | |
| 80402 | 290 | Acth stimulation panel | |
| 80406 | 290 | Acth stimulation panel | |
| 80408 | 290 | Aldosterone suppression eval | |
| 80410 | 290 | Calcitonin stimul panel | |
| 80412 | 290 | CRH stimulation panel | |
| 80414 | 290 | Testosterone response | |
| 80415 | 290 | Estradiol response panel | |
| 80416 | 290 | Renin stimulation panel | |
| 80417 | 290 | Renin stimulation panel | |
| 80418 | 290 | Pituitary evaluation panel | |
| 80420 | 290 | Dexamethasone panel | |
| 80422 | 290 | Glucagon tolerance panel | |
| 80424 | 290 | Glucagon tolerance panel | |
| 80426 | 290 | Gonadotropin hormone panel | |
| 80428 | 290 | Growth hormone panel | |
| 80430 | 290 | Growth hormone panel | |
| 80432 | 290 | Insulin suppression panel | |
| 80434 | 290 | Insulin tolerance panel | |
| 80435 | 290 | Insulin tolerance panel | |
| 80436 | 290 | Metyrapone panel | |
| 80438 | 290 | TRH stimulation panel | |
| 80439 | 290 | TRH stimulation panel | |
| 80440 | 290 | TRH stimulation panel | |
| 80500 | 266 | Lab pathology consultation | |
| 80502 | 266 | Lab pathology consultation | |
| 81000 | 281 | Urinalysis, nonauto w/scope | |
| 81001 | 286 | Urinalysis, auto w/scope | |
| 81002 | 281 | Urinalysis nonauto w/o scope | |
| 81003 | 281 | Urinalysis, auto, w/o scope | |
| 81003 | QW | 281 | Urinalysis, auto, w/o scope |
| 81005 | 281 | Urinalysis | |
| 81007 | 290 | Urine screen for bacteria | |
| 81007 | QW | 290 | Urine screen for bacteria |
| 81015 | 282 | Microscopic exam of urine | |
| 81020 | 290 | Urinalysis, glass test | |
| 81025 | 286 | Urine pregnancy test | |
| 81050 | 281 | Urinalysis, volume measure | |
| 81099 | 290 | Urinalysis test procedure, unlisted | |
| 82000 | 290 | Assay of blood acetaldehyde | |
| 82003 | 290 | Assay of acetaminophen | |
| 82009 | 290 | Test for acetone/ketones | |
| 82010 | 290 | Acetone assay | |
| 82010 | QW | 290 | Acetone assay |
| 82013 | 282 | Acetylcholinesterase assay | |
| 82016 | 282 | Acylcarnitines, qual | |
| 82017 | 290 | Acylcarnitines, quant | |
| 82024 | 282 | Assay of acth | |
| 82030 | 290 | Assay of adp & amp | |
| 82040 | 282 | Assay of serum albumin | |
| 82040 | QW | 282 | Assay of serum albumin |
| 82042 | 290 | Assay of urine albumin | |
| 82042 | QW | 290 | Assay of urine albumin |
| 82043 | 290 | Microalbumin, quantitative | |
| 82043 | QW | 290 | Microalbumin, quantitative |
| 82044 | 290 | Microalbumin, semiquant | |
| 82044 | QW | 290 | Microalbumin, semiquant |
| 82045 | 290 | Albumin, ischemia modified | |
| 82055 | 290 | Assay of ethanol | |
| 82055 | QW | 290 | Assay of ethanol |
| 82075 | 290 | Assay of breath ethanol | |
| 82085 | 290 | Assay of aldolase | |
| 82088 | 282 | Assay of aldosterone | |
| 82101 | 290 | Assay of urine alkaloids | |
| 82103 | 290 | Alpha-1-antitrypsin, total | |
| 82104 | 290 | Alpha-1-antitrypsin, pheno | |
| 82105 | 290 | Alpha-fetoprotein, serum | |
| 82106 | 290 | Alpha-fetoprotein, amniotic | |
| 82107 | 290 | Alpha-fetoprotein l3 | |
| 82108 | 290 | Assay of aluminum | |
| 82120 | 290 | Amines, vaginal fluid qual | |
| 82120 | QW | 290 | Amines, vaginal fluid qual |
| 82127 | 282 | Amino acid, single qual | |
| 82128 | 282 | Amino acids, mult qual | |
| 82131 | 282 | Amino acids, single quant | |
| 82135 | 290 | Assay, aminolevulinic acid | |
| 82136 | 290 | Amino acids, quant, 2-5 | |
| 82139 | 290 | Amino acids, quan, 6 or more | |
| 82140 | 290 | Assay of ammonia | |
| 82143 | 290 | Amniotic fluid scan | |
| 82145 | 290 | Assay of amphetamines | |
| 82150 | 290 | Assay of amylase | |
| 82150 | QW | 290 | Assay of amylase |
| 82154 | 290 | Androstanediol glucuronide | |
| 82157 | 290 | Assay of androstenedione | |
| 82160 | 290 | Assay of androsterone | |
| 82163 | 290 | Assay of angiotensin II | |
| 82164 | 290 | Angiotensin I enzyme test | |
| 82172 | 290 | Assay of apolipoprotein | |
| 82175 | 290 | Assay of arsenic | |
| 82180 | 290 | Assay of ascorbic acid | |
| 82190 | 290 | Atomic absorption | |
| 82205 | 282 | Assay of barbiturates | |
| 82232 | 290 | Assay of beta-2 protein | |
| 82239 | 290 | Bile acids, total | |
| 82240 | 290 | Bile acids, cholylglycine | |
| 82247 | 282 | Bilirubin, total | |
| 82247 | QW | 282 | Bilirubin, total |
| 82248 | 282 | Bilirubin, direct | |
| 82252 | 290 | Fecal bilirubin test | |
| 82261 | 290 | Assay of biotinidase | |
| 82270 | 290 | Test for blood, feces | |
| 82271 | 290 | Occult blood, feces, single | |
| 82271 | QW | 290 | Occult blood, feces, single |
| 82272 | 282 | Blood occult peroxidase | |
| 82272 | QW | 282 | Blood occult peroxidase |
| 82274 | 290 | Assay test for blood, fecal | |
| 82274 | QW | 290 | Assay test for blood, fecal |
| 82286 | 290 | Assay of bradykinin | |
| 82300 | 290 | Assay of cadmium | |
| 82306 | 290 | Assay of vitamin D | |
| 82308 | 282 | Assay of calcitonin | |
| 82310 | 282 | Assay of calcium | |
| 82310 | QW | 282 | Assay of calcium |
| 82330 | 282 | Assay of calcium | |
| 82330 | QW | 282 | Assay of calcium |
| 82331 | 290 | Calcium infusion test | |
| 82340 | 290 | Assay of calcium in urine | |
| 82355 | 290 | Calculus analysis, qual | |
| 82360 | 290 | Calculus assay, quant | |
| 82365 | 290 | Calculus spectroscopy | |
| 82370 | 290 | X-ray assay, calculus | |
| 82373 | 290 | Assay, c-d transfer measure | |
| 82374 | 282 | Assay, blood carbon dioxide | |
| 82374 | QW | 282 | Assay, blood carbon dioxide |
| 82375 | 290 | Assay, blood carbon monoxide | |
| 82376 | 290 | Test for carbon monoxide | |
| 82378 | 290 | Carcinoembryonic antigen | |
| 82379 | 290 | Assay of carnitine | |
| 82380 | 290 | Assay of carotene | |
| 82382 | 290 | Assay, urine catecholamines | |
| 82383 | 290 | Assay, blood catecholamines | |
| 82384 | 282 | Assay, three catecholamines | |
| 82387 | 290 | Assay of cathepsin-d | |
| 82390 | 290 | Assay of ceruloplasmin | |
| 82397 | 290 | Chemiluminescent assay | |
| 82415 | 290 | Assay of chloramphenicol | |
| 82435 | 282 | Assay of blood chloride | |
| 82435 | QW | 282 | Assay of blood chloride |
| 82436 | 290 | Assay of urine chloride | |
| 82438 | 290 | Assay, other fluid chlorides | |
| 82441 | 290 | Test for chlorohydrocarbons | |
| 82465 | 290 | Assay, bld/serum cholesterol | |
| 82465 | QW | 290 | Assay, bld/serum cholesterol |
| 82480 | 290 | Assay, serum cholinesterase | |
| 82482 | 290 | Assay, rbc cholinesterase | |
| 82485 | 290 | Assay, chondroitin sulfate | |
| 82486 | 282 | Gas/liquid chromatography | |
| 82487 | 282 | Paper chromatography | |
| 82488 | 282 | Paper chromatography | |
| 82489 | 282 | Thin layer chromatography | |
| 82491 | 282 | Chromotography, quant, sing | |
| 82492 | 282 | Chromotography, quant, mult | |
| 82495 | 290 | Assay of chromium | |
| 82507 | 290 | Assay of citrate | |
| 82520 | 290 | Assay of cocaine | |
| 82523 | 290 | Collagen crosslinks | |
| 82523 | QW | 290 | Collagen crosslinks |
| 82525 | 290 | Assay of copper | |
| 82528 | 290 | Assay of corticosterone | |
| 82530 | 282 | Cortisol, free | |
| 82533 | 282 | Total cortisol | |
| 82540 | 290 | Assay of creatine | |
| 82541 | 290 | Column chromotography, qual | |
| 82542 | 290 | Column chromotography, quant | |
| 82543 | 290 | Column chromotograph/isotope | |
| 82544 | 290 | Column chromotograph/isotope | |
| 82550 | 290 | Assay of ck (cpk) | |
| 82550 | QW | 290 | Assay of ck (cpk) |
| 82552 | 290 | Assay of cpk in blood | |
| 82553 | 282 | Creatine, MB fraction | |
| 82554 | 290 | Creatine, isoforms | |
| 82565 | 282 | Assay of creatinine | |
| 82565 | QW | 282 | Assay of creatinine |
| 82570 | 282 | Assay of urine creatinine | |
| 82570 | QW | 282 | Assay of urine creatinine |
| 82575 | 290 | Creatinine clearance test | |
| 82585 | 290 | Assay of cryofibrinogen | |
| 82595 | 290 | Assay of cryoglobulin | |
| 82600 | 290 | Assay of cyanide | |
| 82607 | 290 | Vitamin B-12 | |
| 82608 | 290 | B-12 binding capacity | |
| 82610 | 290 | Cystatin C | |
| 82615 | 290 | Test for urine cystines | |
| 82626 | 290 | Dehydroepiandrosterone | |
| 82627 | 290 | Dehydroepiandrosterone | |
| 82633 | 290 | Desoxycorticosterone | |
| 82634 | 282 | Deoxycortisol | |
| 82638 | 290 | Assay of dibucaine number | |
| 82646 | 290 | Assay of dihydrocodeinone | |
| 82649 | 290 | Assay of dihydromorphinone | |
| 82651 | 290 | Assay of dihydrotestosterone | |
| 82652 | 290 | Assay of dihydroxyvitamin d | |
| 82654 | 290 | Assay of dimethadione | |
| 82656 | 290 | Pancreatic elastase, fecal | |
| 82657 | 290 | Enzyme cell activity | |
| 82658 | 290 | Enzyme cell activity, ra | |
| 82664 | 290 | Electrophoretic test | |
| 82666 | 290 | Assay of epiandrosterone | |
| 82668 | 290 | Assay of erythropoietin | |
| 82670 | 282 | Assay of estradiol | |
| 82671 | 290 | Assay of estrogens | |
| 82672 | 290 | Assay of estrogen | |
| 82677 | 290 | Assay of estriol | |
| 82679 | 290 | Assay of estrone | |
| 82679 | QW | 290 | Assay of estrone |
| 82690 | 290 | Assay of ethchlorvynol | |
| 82693 | 290 | Assay of ethylene glycol | |
| 82696 | 290 | Assay of etiocholanolone | |
| 82705 | 290 | Fats/lipids, feces, qual | |
| 82710 | 290 | Fats/lipids, feces, quant | |
| 82715 | 290 | Assay of fecal fat | |
| 82725 | 290 | Assay of blood fatty acids | |
| 82726 | 290 | Long chain fatty acids | |
| 82728 | 290 | Assay of ferritin | |
| 82731 | 290 | Assay of fetal fibronectin | |
| 82735 | 290 | Assay of fluoride | |
| 82742 | 290 | Assay of flurazepam | |
| 82746 | 290 | Blood folic acid serum | |
| 82747 | 290 | Assay of folic acid, rbc | |
| 82757 | 290 | Assay of semen fructose | |
| 82759 | 290 | Assay of rbc galactokinase | |
| 82760 | 290 | Assay of galactose | |
| 82775 | 290 | Assay galactose transferase | |
| 82776 | 290 | Galactose transferase test | |
| 82784 | 290 | Assay of gammaglobulin igm | |
| 82785 | 290 | Assay of gammaglobulin ige | |
| 82787 | 290 | Igg 1, 2, 3 or 4, each | |
| 82800 | 282 | Blood pH | |
| 82803 | 282 | Blood gases: pH, pO2 & pCO2 | |
| 82805 | 290 | Blood gases W/02 saturation | |
| 82810 | 290 | Blood gases, O2 sat only | |
| 82820 | 290 | Hemoglobin-oxygen affinity | |
| 82926 | 290 | Assay of gastric acid | |
| 82928 | 282 | Assay of gastric acid | |
| 82938 | 290 | Gastrin test | |
| 82941 | 290 | Assay of gastrin | |
| 82943 | 290 | Assay of glucagon | |
| 82945 | 282 | Glucose other fluid | |
| 82946 | 290 | Glucagon tolerance test | |
| 82947 | 282 | Assay, glucose, blood quant | |
| 82947 | QW | 282 | Assay, glucose, blood quant |
| 82948 | 282 | Reagent strip/blood glucose | |
| 82950 | 290 | Glucose test | |
| 82950 | QW | 290 | Glucose test |
| 82951 | 290 | Glucose tolerance test (GTT) | |
| 82951 | QW | 290 | Glucose tolerance test (GTT) |
| 82952 | 290 | GTT-added samples | |
| 82952 | QW | 290 | GTT-added samples |
| 82953 | 290 | Glucose-tolbutamide test | |
| 82955 | 290 | Assay of g6pd enzyme | |
| 82960 | 290 | Test for G6PD enzyme | |
| 82962 | 290 | Glucose blood test | |
| 82963 | 290 | Assay of glucosidase | |
| 82965 | 290 | Assay of gdh enzyme | |
| 82975 | 290 | Assay of glutamine | |
| 82977 | 290 | Assay of GGT | |
| 82977 | QW | 290 | Assay of GGT |
| 82978 | 290 | Assay of glutathione | |
| 82979 | 290 | Assay, rbc glutathione | |
| 82980 | 290 | Assay of glutethimide | |
| 82985 | 290 | Glycated protein | |
| 82985 | QW | 290 | Glycated protein |
| 83001 | 282 | Gonadotropin (FSH) | |
| 83001 | QW | 282 | Gonadotropin (FSH) |
| 83002 | 282 | Gonadotropin (LH) | |
| 83002 | QW | 282 | Gonadotropin (LH) |
| 83003 | 282 | Assay, growth hormone (hgh) | |
| 83008 | 290 | Assay of guanosine | |
| 83009 | 290 | H pylori (c-13), blood | |
| 83010 | 290 | Assay of haptoglobin, quant | |
| 83012 | 290 | Assay of haptoglobins | |
| 83013 | 282 | H pylori analysis | |
| 83014 | 282 | H pylori drug admin/collect | |
| 83015 | 290 | Heavy metal screen | |
| 83018 | 290 | Quantitative screen, metals | |
| 83020 | 290 | Hemoglobin electrophoresis | |
| 83020 | 26 | 290 | Hemoglobin electrophoresis |
| 83021 | 290 | Hemoglobin chromotography | |
| 83026 | 282 | Hemoglobin, copper sulfate | |
| 83030 | 290 | Fetal hemoglobin, chemical | |
| 83033 | 282 | Fetal hemoglobin assay, qual | |
| 83036 | 282 | Glycated hemoglobin test | |
| 83036 | QW | 282 | Glycated hemoglobin test |
| 83037 | 282 | Glycosylated hb, home device | |
| 83037 | QW | 282 | Glycosylated hb, home device |
| 83045 | 290 | Blood methemoglobin test | |
| 83050 | 290 | Blood methemoglobin assay | |
| 83051 | 290 | Assay of plasma hemoglobin | |
| 83055 | 290 | Blood sulfhemoglobin test | |
| 83060 | 290 | Blood sulfhemoglobin assay | |
| 83065 | 290 | Assay of hemoglobin heat | |
| 83068 | 290 | Hemoglobin stability screen | |
| 83069 | 290 | Assay of urine hemoglobin | |
| 83070 | 290 | Assay of hemosiderin, qual | |
| 83071 | 290 | Assay of hemosiderin, quant | |
| 83080 | 290 | Assay of b hexosaminidase | |
| 83088 | 290 | Assay of histamine | |
| 83090 | 282 | Assay of homocystine | |
| 83150 | 290 | Assay of for hva | |
| 83491 | 290 | Assay of corticosteroids | |
| 83497 | 290 | Assay of 5-hiaa | |
| 83498 | 282 | Assay of progesterone | |
| 83499 | 290 | Assay of progesterone | |
| 83500 | 290 | Assay, free hydroxyproline | |
| 83505 | 290 | Assay, total hydroxyproline | |
| 83516 | 282 | Immunoassay, nonantibody | |
| 83518 | 282 | Immunoassay, dipstick | |
| 83518 | QW | 282 | Immunoassay, dipstick |
| 83519 | 282 | Immunoassay, nonantibody | |
| 83520 | 282 | Immunoassay, RIA | |
| 83520 | QW | 282 | Immunoassay, RIA |
| 83525 | 282 | Assay of insulin | |
| 83527 | 290 | Assay of insulin | |
| 83528 | 290 | Assay of intrinsic factor | |
| 83540 | 290 | Assay of iron | |
| 83550 | 290 | Iron binding test | |
| 83570 | 290 | Assay of idh enzyme | |
| 83582 | 290 | Assay of ketogenic steroids | |
| 83586 | 290 | Assay 17- ketosteroids | |
| 83593 | 290 | Fractionation, ketosteroids | |
| 83605 | 290 | Assay of lactic acid | |
| 83605 | QW | 290 | Assay of lactic acid |
| 83615 | 290 | Lactate (LD) (LDH) enzyme | |
| 83625 | 290 | Assay of ldh enzymes | |
| 83630 | 282 | Lactoferrin, fecal (qual) | |
| 83631 | 290 | Lactoferrin, fecal (quant) | |
| 83632 | 290 | Placental lactogen | |
| 83633 | 290 | Test urine for lactose | |
| 83634 | 290 | Assay of urine for lactose | |
| 83655 | 290 | Assay of lead | |
| 83655 | QW | 290 | Assay of lead |
| 83661 | 290 | L/s ratio, fetal lung | |
| 83662 | 290 | Foam stability, fetal lung | |
| 83663 | 290 | Fluoro polarize, fetal lung | |
| 83664 | 290 | Lamellar bdy, fetal lung | |
| 83670 | 290 | Assay of lap enzyme | |
| 83690 | 290 | Assay of lipase | |
| 83695 | 290 | Assay of lipoprotein(a) | |
| 83698 | 290 | Assay lipoprotein pla2 | |
| 83700 | 290 | Lipopro bld, electrophoretic | |
| 83701 | 290 | Lipoprotein bld, hr fraction | |
| 83704 | 290 | Lipoprotein, bld, by nmr | |
| 83718 | 290 | Assay of lipoprotein | |
| 83718 | QW | 290 | Assay of lipoprotein |
| 83719 | 290 | Assay of blood lipoprotein | |
| 83721 | 282 | Assay of blood lipoprotein | |
| 83721 | QW | 282 | Assay of blood lipoprotein |
| 83727 | 290 | Assay of lrh hormone | |
| 83735 | 290 | Assay of magnesium | |
| 83775 | 290 | Assay of md enzyme | |
| 83785 | 290 | Assay of manganese | |
| 83788 | 282 | Mass spectrometry qual | |
| 83789 | 282 | Mass spectrometry quant | |
| 83805 | 290 | Assay of meprobamate | |
| 83825 | 290 | Assay of mercury | |
| 83835 | 290 | Assay of metanephrines | |
| 83840 | 290 | Assay of methadone | |
| 83857 | 290 | Assay of methemalbumin | |
| 83858 | 290 | Assay of methsuximide | |
| 83864 | 290 | Mucopolysaccharides | |
| 83866 | 290 | Mucopolysaccharides screen | |
| 83872 | 290 | Assay synovial fluid mucin | |
| 83873 | 290 | Assay of csf protein | |
| 83874 | 290 | Assay of myoglobin | |
| 83876 | 290 | Assay, myeloperoxidase | |
| 83880 | 290 | Natriuretic peptide | |
| 83880 | QW | 290 | Natriuretic peptide |
| 83883 | 290 | Assay, nephelometry not spec | |
| 83885 | 290 | Assay of nickel | |
| 83887 | 290 | Assay of nicotine | |
| 83890 | 282 | Molecule isolate | |
| 83891 | 282 | Molecule isolate nucleic | |
| 83892 | 282 | Molecular diagnostics | |
| 83893 | 282 | Molecule dot/slot/blot | |
| 83894 | 282 | Molecule gel electrophor | |
| 83896 | 282 | Molecular diagnostics | |
| 83897 | 282 | Molecule nucleic transfer | |
| 83898 | 282 | Molecule nucleic ampli | |
| 83900 | 282 | Molecule nucleic ampli 2 seq | |
| 83901 | 282 | Molecule nucleic ampli | |
| 83902 | 282 | Molecular diagnostics | |
| 83903 | 282 | Molecule mutation scan | |
| 83904 | 282 | Molecule mutation identify | |
| 83905 | 282 | Molecule mutation identify | |
| 83906 | 282 | Molecule mutation identify | |
| 83907 | 282 | Lyse cells for nucleic ext | |
| 83908 | 282 | Nucleic acid, signal ampli | |
| 83909 | 282 | Nucleic acid, high resolute | |
| 83912 | 282 | Genetic examination | |
| 83912 | 26 | 282 | Genetic examination |
| 83913 | 282 | Molecular, rna stabilization | |
| 83914 | 282 | Mutation ident ola/sbce/aspe | |
| 83915 | 290 | Assay of nucleotidase | |
| 83916 | 290 | Oligoclonal bands | |
| 83918 | 290 | Organic acids, total, quant | |
| 83919 | 282 | Organic acids, qual, each | |
| 83921 | 290 | Organic acid, single, quant | |
| 83925 | 290 | Assay of opiates | |
| 83930 | 290 | Assay of blood osmolality | |
| 83935 | 290 | Assay of urine osmolality | |
| 83937 | 290 | Assay of osteocalcin | |
| 83945 | 290 | Assay of oxalate | |
| 83950 | 290 | Oncorprotein, her-2/neu | |
| 83951 | 290 | Oncoprotein, dcp | |
| 83970 | 290 | Assay of parathormone | |
| 83986 | 282 | Assay of body fluid acidity | |
| 83986 | QW | 282 | Assay of body fluid acidity |
| 83987 | 290 | Exhaled breath condensate | |
| 83992 | 290 | Assay for phencyclidine | |
| 83993 | 290 | Assay for calprotectin fecal | |
| 84022 | 290 | Assay of phenothiazine | |
| 84030 | 290 | Assay of blood pku | |
| 84035 | 290 | Assay of phenylketones | |
| 84060 | 290 | Assay acid phosphatase | |
| 84061 | 290 | Phosphatase, forensic exam | |
| 84066 | 290 | Assay prostate phosphatase | |
| 84075 | 282 | Assay alkaline phosphatase | |
| 84075 | QW | 282 | Assay alkaline phosphatase |
| 84078 | 290 | Assay alkaline phosphatase | |
| 84080 | 290 | Assay alkaline phosphatases | |
| 84081 | 290 | Amniotic fluid enzyme test | |
| 84085 | 290 | Assay of rbc pg6d enzyme | |
| 84087 | 290 | Assay phosphohexose enzymes | |
| 84100 | 282 | Assay of phosphorus | |
| 84105 | 290 | Assay of urine phosphorus | |
| 84106 | 290 | Test for porphobilinogen | |
| 84110 | 290 | Assay of porphobilinogen | |
| 84119 | 290 | Test urine for porphyrins | |
| 84120 | 290 | Assay of urine porphyrins | |
| 84126 | 290 | Assay of feces porphyrins | |
| 84127 | 290 | Assay of feces porphyrins | |
| 84132 | 282 | Assay of serum potassium | |
| 84132 | QW | 282 | Assay of serum potassium |
| 84133 | 290 | Assay of urine potassium | |
| 84134 | 290 | Assay of prealbumin | |
| 84135 | 290 | Assay of pregnanediol | |
| 84138 | 290 | Assay of pregnanetriol | |
| 84140 | 290 | Assay of pregnenolone | |
| 84143 | 282 | Assay of 17-hydroxypregneno | |
| 84144 | 290 | Assay of progesterone | |
| 84145 | 290 | Procalcitonin (PCT) | |
| 84146 | 282 | Assay of prolactin | |
| 84150 | 290 | Assay of prostaglandin | |
| 84152 | 290 | Assay of psa, complexed | |
| 84153 | 290 | Assay of psa, total | |
| 84154 | 290 | Assay of psa, free | |
| 84155 | 282 | Assay of protein | |
| 84156 | 290 | Assay of protein, urine | |
| 84157 | 290 | Assay of protein, other | |
| 84157 | QW | 290 | Assay of protein, other |
| 84160 | 290 | Assay of serum protein | |
| 84163 | 290 | Pappa, serum | |
| 84165 | 290 | Assay of serum proteins | |
| 84165 | 26 | 290 | Assay of serum proteins |
| 84166 | 290 | Protein e-phoresis/urine/csf | |
| 84166 | 26 | 290 | Protein e-phoresis/urine/csf |
| 84181 | 282 | Western blot test | |
| 84181 | 26 | 282 | Western blot test |
| 84182 | 290 | Protein, western blot test | |
| 84182 | 26 | 290 | Protein, western blot test |
| 84202 | 290 | Assay RBC protoporphyrin | |
| 84203 | 290 | Test RBC protoporphyrin | |
| 84206 | 290 | Assay of proinsulin | |
| 84207 | 290 | Assay of vitamin b-6 | |
| 84210 | 290 | Assay of pyruvate | |
| 84220 | 290 | Assay of pyruvate kinase | |
| 84228 | 290 | Assay of quinine | |
| 84233 | 290 | Assay of estrogen | |
| 84234 | 290 | Assay of progesterone | |
| 84235 | 290 | Assay of endocrine hormone | |
| 84238 | 290 | Assay, nonendocrine receptor | |
| 84244 | 282 | Assay of renin | |
| 84252 | 290 | Assay of vitamin b-2 | |
| 84255 | 290 | Assay of selenium | |
| 84260 | 290 | Assay of serotonin | |
| 84270 | 290 | Assay of sex hormone globul | |
| 84275 | 290 | Assay of sialic acid | |
| 84285 | 290 | Assay of silica | |
| 84295 | 282 | Assay of serum sodium | |
| 84295 | QW | 282 | Assay of serum sodium |
| 84300 | 290 | Assay of urine sodium | |
| 84302 | 290 | Assay of sweat sodium | |
| 84305 | 290 | Assay of somatomedin | |
| 84307 | 290 | Assay of somatostatin | |
| 84311 | 290 | Spectrophotometry | |
| 84315 | 290 | Body fluid specific gravity | |
| 84375 | 290 | Chromatogram assay, sugars | |
| 84376 | 282 | Sugars, single, qual | |
| 84377 | 282 | Sugars, multiple, qual | |
| 84378 | 282 | Sugars single quant | |
| 84379 | 290 | Sugars multiple quant | |
| 84392 | 290 | Assay of urine sulfate | |
| 84402 | 290 | Assay of testosterone | |
| 84403 | 282 | Assay of total testosterone | |
| 84425 | 290 | Assay of vitamin b-1 | |
| 84430 | 290 | Assay of thiocyanate | |
| 84431 | 290 | Thromboxane, urine | |
| 84432 | 290 | Assay of thyroglobulin | |
| 84436 | 290 | Assay of total thyroxine | |
| 84437 | 290 | Assay of neonatal thyroxine | |
| 84439 | 290 | Assay of free thyroxine | |
| 84442 | 290 | Assay of thyroid activity | |
| 84443 | 282 | Assay thyroid stim hormone | |
| 84443 | QW | 282 | Assay thyroid stim hormone |
| 84445 | 290 | Assay of tsi | |
| 84446 | 290 | Assay of vitamin e | |
| 84449 | 290 | Assay of transcortin | |
| 84450 | 282 | Transferase (AST) (SGOT) | |
| 84450 | QW | 282 | Transferase (AST) (SGOT) |
| 84460 | 282 | Alanine amino (ALT) (SGPT) | |
| 84460 | QW | 282 | Alanine amino (ALT) (SGPT) |
| 84466 | 290 | Assay of transferrin | |
| 84478 | 290 | Assay of triglycerides | |
| 84478 | QW | 290 | Assay of triglycerides |
| 84479 | 290 | Assay of thyroid (t3 or t4) | |
| 84480 | 290 | Assay, triiodothyronine (t3) | |
| 84481 | 290 | Free assay (FT-3) | |
| 84482 | 290 | Reverse assay (t3) | |
| 84484 | 290 | Assay of troponin, quant | |
| 84485 | 290 | Assay duodenal fluid trypsin | |
| 84488 | 290 | Test feces for trypsin | |
| 84490 | 290 | Assay of feces for trypsin | |
| 84510 | 290 | Assay of tyrosine | |
| 84512 | 290 | Assay of troponin, qual | |
| 84520 | 282 | Assay of urea nitrogen | |
| 84520 | QW | 282 | Assay of urea nitrogen |
| 84525 | 290 | Urea nitrogen semi-quant | |
| 84540 | 290 | Assay of urine/urea-n | |
| 84545 | 290 | Urea-N clearance test | |
| 84550 | 290 | Assay of blood/uric acid | |
| 84550 | QW | 290 | Assay of blood/uric acid |
| 84560 | 290 | Assay of urine/uric acid | |
| 84577 | 290 | Assay of feces/urobilinogen | |
| 84578 | 290 | Test urine urobilinogen | |
| 84580 | 290 | Assay of urine urobilinogen | |
| 84583 | 282 | Assay of urine urobilinogen | |
| 84585 | 290 | Assay of urine vma | |
| 84586 | 290 | Assay of vip | |
| 84588 | 290 | Assay of vasopressin | |
| 84590 | 290 | Assay of vitamin a | |
| 84591 | 282 | Assay of nos vitamin | |
| 84597 | 290 | Assay of vitamin k | |
| 84600 | 290 | Assay of volatiles | |
| 84620 | 290 | Xylose tolerance test | |
| 84630 | 290 | Assay of zinc | |
| 84681 | 282 | Assay of c-peptide | |
| 84702 | 290 | Chorionic gonadotropin test | |
| 84703 | 290 | Chorionic gonadotropin assay | |
| 84703 | QW | 290 | Chorionic gonadotropin assay |
| 84704 | 290 | HCG, free betachain test | |
| 84830 | 290 | Ovulation tests | |
| 84999 | 290 | Clinical chemistry test, unlisted | |
| 85002 | 290 | Bleeding time test | |
| 85004 | 282 | Automated diff wbc count | |
| 85007 | 290 | Differential WBC count | |
| 85008 | 290 | Nondifferential WBC count | |
| 85009 | 290 | Differential WBC count | |
| 85013 | 282 | Hematocrit | |
| 85014 | 282 | Hematocrit | |
| 85014 | QW | 282 | Hematocrit |
| 85018 | 282 | Hemoglobin | |
| 85018 | QW | 282 | Hemoglobin |
| 85025 | 290 | Automated hemogram | |
| 85027 | 282 | Automated hemogram | |
| 85032 | 290 | Manual cell count, each | |
| 85041 | 282 | Red blood cell (RBC) count | |
| 85044 | 290 | Reticulocyte count | |
| 85045 | 290 | Reticulocyte count | |
| 85046 | 290 | Reticyte/hgb concentrate | |
| 85048 | 282 | White blood cell (WBC) count | |
| 85049 | 282 | Automated platelet count | |
| 85055 | 290 | Reticulated platelet assay | |
| 85060 | 270 | Blood smear interpretation | |
| 85097 | 266 | Bone marrow interpretation | |
| 85130 | 290 | Chromogenic substrate assay | |
| 85170 | 290 | Blood clot retraction | |
| 85175 | 290 | Blood clot lysis time | |
| 85210 | 290 | Blood clot factor II test | |
| 85220 | 290 | Blood clot factor V test | |
| 85230 | 290 | Blood clot factor VII test | |
| 85240 | 290 | Blood clot factor VIII test | |
| 85244 | 290 | Blood clot factor VIII test | |
| 85245 | 290 | Blood clot factor VIII test | |
| 85246 | 290 | Blood clot factor VIII test | |
| 85247 | 290 | Blood clot factor VIII test | |
| 85250 | 290 | Blood clot factor IX test | |
| 85260 | 290 | Blood clot factor X test | |
| 85270 | 290 | Blood clot factor XI test | |
| 85280 | 290 | Blood clot factor XII test | |
| 85290 | 290 | Blood clot factor XIII test | |
| 85291 | 290 | Blood clot factor XIII test | |
| 85292 | 290 | Blood clot factor assay | |
| 85293 | 290 | Blood clot factor assay | |
| 85300 | 290 | Antithrombin III test | |
| 85301 | 290 | Antithrombin III test | |
| 85302 | 290 | Blood clot inhibitor antigen | |
| 85303 | 290 | Blood clot inhibitor test | |
| 85305 | 290 | Blood clot inhibitor assay | |
| 85306 | 290 | Blood clot inhibitor test | |
| 85307 | 290 | Assay activated protein c | |
| 85335 | 290 | Factor inhibitor test | |
| 85337 | 290 | Thrombomodulin | |
| 85345 | 290 | Coagulation time | |
| 85347 | 290 | Coagulation time | |
| 85348 | 290 | Coagulation time | |
| 85360 | 290 | Euglobulin lysis | |
| 85362 | 290 | Fibrin degradation products | |
| 85366 | 290 | Fibrinogen test | |
| 85370 | 290 | Fibrinogen test | |
| 85378 | 282 | Fibrin degradation, semiquant | |
| 85379 | 282 | Fibrin degradation, quant | |
| 85380 | 290 | Fibrin degradation, vte | |
| 85384 | 290 | Fibrinogen | |
| 85385 | 290 | Fibrinogen | |
| 85390 | 290 | Fibrinolysins screen | |
| 85390 | 26 | 290 | Fibrinolysins screen |
| 85396 | 290 | Clotting assay, whole blood | |
| 85397 | 290 | Clotting funct activity | |
| 85400 | 290 | Fibrinolytic plasmin | |
| 85410 | 290 | Fibrinolytic antiplasmin | |
| 85415 | 290 | Fibrinolytic plasminogen | |
| 85420 | 290 | Fibrinolytic plasminogen | |
| 85421 | 290 | Fibrinolytic plasminogen | |
| 85441 | 290 | Heinz bodies, direct | |
| 85445 | 290 | Heinz bodies, induced | |
| 85460 | 290 | Hemoglobin, fetal | |
| 85461 | 290 | Hemoglobin, fetal | |
| 85475 | 290 | Hemolysin | |
| 85520 | 290 | Heparin assay | |
| 85525 | 290 | Heparin | |
| 85530 | 290 | Heparin-protamine tolerance | |
| 85536 | 282 | Iron stain peripheral blood | |
| 85540 | 290 | Wbc alkaline phosphatase | |
| 85547 | 290 | RBC mechanical fragility | |
| 85549 | 290 | Muramidase | |
| 85555 | 282 | RBC osmotic fragility | |
| 85557 | 290 | RBC osmotic fragility | |
| 85576 | 290 | Blood platelet aggregation | |
| 85576 | 26 | 290 | Blood platelet aggregation |
| 85576 | QW | 290 | Blood platelet aggregation |
| 85597 | 290 | Platelet neutralization | |
| 85610 | 290 | Prothrombin time | |
| 85610 | QW | 290 | Prothrombin time |
| 85611 | 290 | Prothrombin test | |
| 85612 | 290 | Viper venom prothrombin time | |
| 85613 | 290 | Russell viper venom, diluted | |
| 85635 | 290 | Reptilase test | |
| 85651 | 282 | Rbc sed rate, nonautomated | |
| 85652 | 290 | Rbc sed rate, automated | |
| 85660 | 290 | RBC sickle cell test | |
| 85670 | 290 | Thrombin time, plasma | |
| 85675 | 290 | Thrombin time, titer | |
| 85705 | 290 | Thromboplastin inhibition | |
| 85730 | 290 | Thromboplastin time, partial | |
| 85732 | 290 | Thromboplastin time, partial | |
| 85810 | 290 | Blood viscosity examination | |
| 85999 | 290 | Hematology procedure, unlisted | |
| 86000 | 290 | Agglutinins, febrile | |
| 86001 | 290 | Allergen specific igg | |
| 86003 | 290 | Allergen specific IgE | |
| 86005 | 282 | Allergen specific IgE | |
| 86021 | 290 | WBC antibody identification | |
| 86022 | 290 | Platelet antibodies | |
| 86023 | 290 | Immunoglobulin assay | |
| 86038 | 290 | Antinuclear antibodies | |
| 86039 | 290 | Antinuclear antibodies (ANA) | |
| 86060 | 290 | Antistreptolysin o, titer | |
| 86063 | 282 | Antistreptolysin o, screen | |
| 86077 | 219 | Physician blood bank service | |
| 86078 | 219 | Physician blood bank service | |
| 86079 | 219 | Physician blood bank service | |
| 86140 | 290 | C-reactive protein | |
| 86141 | 290 | C-reactive protein, hs | |
| 86146 | 290 | Glycoprotein antibody | |
| 86147 | 290 | Cardiolipin antibody | |
| 86148 | 290 | Phospholipid antibody | |
| 86155 | 290 | Chemotaxis assay | |
| 86156 | 282 | Cold agglutinin, screen | |
| 86157 | 290 | Cold agglutinin, titer | |
| 86160 | 290 | Complement, antigen | |
| 86161 | 290 | Complement/function activity | |
| 86162 | 290 | Complement, total (CH50) | |
| 86171 | 290 | Complement fixation, each | |
| 86185 | 290 | Counterimmunoelectrophoresis | |
| 86200 | 290 | Ccp antibody | |
| 86215 | 290 | Deoxyribonuclease, antibody | |
| 86225 | 290 | DNA antibody | |
| 86226 | 290 | DNA antibody, single strand | |
| 86235 | 290 | Nuclear antigen antibody | |
| 86243 | 290 | Fc receptor | |
| 86255 | 290 | Fluorescent antibody, screen | |
| 86255 | 26 | 290 | Fluorescent antibody, screen |
| 86256 | 290 | Fluorescent antibody, titer | |
| 86256 | 26 | 290 | Fluorescent antibody, titer |
| 86277 | 290 | Growth hormone antibody | |
| 86280 | 290 | Hemagglutination inhibition | |
| 86294 | 282 | Immunoassay, tumor qual | |
| 86294 | QW | 282 | Immunoassay, tumor qual |
| 86300 | 290 | Immunoassay, tumor ca 15-3 | |
| 86301 | 290 | Immunoassay, tumor ca 19-9 | |
| 86304 | 290 | Immunoassay, tumor, ca 125 | |
| 86305 | 290 | Human epididymis protein 4 | |
| 86308 | 290 | Heterophile antibodies | |
| 86308 | QW | 290 | Heterophile antibodies |
| 86309 | 290 | Heterophile antibodies | |
| 86310 | 290 | Heterophile antibodies | |
| 86316 | 282 | Immunoassay, tumor other | |
| 86317 | 290 | Immunoassay,infectious agent | |
| 86318 | 282 | Immunoassay,infectious agent | |
| 86318 | QW | 282 | Immunoassay,infectious agent |
| 86320 | 290 | Serum immunoelectrophoresis | |
| 86320 | 26 | 290 | Serum immunoelectrophoresis |
| 86325 | 290 | Other immunoelectrophoresis | |
| 86325 | 26 | 290 | Other immunoelectrophoresis |
| 86327 | 290 | Immunoelectrophoresis assay | |
| 86327 | 26 | 290 | Immunoelectrophoresis assay |
| 86329 | 282 | Immunodiffusion | |
| 86331 | 282 | Immunodiffusion ouchterlony | |
| 86332 | 290 | Immune complex assay | |
| 86334 | 290 | Immunofixation procedure | |
| 86334 | 26 | 290 | Immunofixation procedure |
| 86335 | 290 | Immunfix e-phorsis/urine/csf | |
| 86335 | 26 | 290 | Immunfix e-phorsis/urine/csf |
| 86336 | 290 | Inhibin A | |
| 86337 | 290 | Insulin antibodies | |
| 86340 | 290 | Intrinsic factor antibody | |
| 86341 | 290 | Islet cell antibody | |
| 86343 | 290 | Leukocyte histamine release | |
| 86344 | 290 | Leukocyte phagocytosis | |
| 86352 | 290 | Cell function assay w/stim | |
| 86353 | 290 | Lymphocyte transformation | |
| 86355 | 282 | B cells, total count | |
| 86356 | 282 | Mononuclear cell antigen | |
| 86357 | 282 | Nk cells, total count | |
| 86359 | 282 | T cells, total count | |
| 86360 | 282 | T cell, absolute count/ratio | |
| 86361 | 282 | T cell, absolute count | |
| 86367 | 282 | Stem cells, total count | |
| 86376 | 290 | Microsomal antibody | |
| 86378 | 290 | Migration inhibitory factor | |
| 86382 | 290 | Neutralization test, viral | |
| 86384 | 290 | Nitroblue tetrazolium dye | |
| 86403 | 290 | Particle agglutination test | |
| 86406 | 290 | Particle agglutination test | |
| 86430 | 290 | Rheumatoid factor test | |
| 86431 | 290 | Rheumatoid factor, quant | |
| 86480 | 290 | Tb test, cell immun measure | |
| 86485 | 270 | Skin test, candida | |
| 86486 | 270 | Skin test, nos antigen | |
| 86490 | 270 | Coccidioidomycosis skin test | |
| 86510 | 270 | Histoplasmosis skin test | |
| 86580 | 270 | TB intradermal test | |
| 86590 | 290 | Streptokinase, antibody | |
| 86592 | 290 | Blood serology, qualitative | |
| 86593 | 290 | Blood serology, quantitative | |
| 86602 | 290 | Antinomyces antibody | |
| 86603 | 290 | Adenovirus antibody | |
| 86606 | 290 | Aspergillus antibody | |
| 86609 | 290 | Bacterium antibody | |
| 86611 | 290 | Bartonella antibody | |
| 86612 | 290 | Blastomyces antibody | |
| 86615 | 290 | Bordetella antibody | |
| 86617 | 290 | Lyme disease antibody | |
| 86618 | 290 | Lyme disease antibody | |
| 86618 | QW | 290 | Lyme disease antibody |
| 86619 | 290 | Borrelia antibody | |
| 86622 | 290 | Brucella antibody | |
| 86625 | 290 | Campylobacter antibody | |
| 86628 | 290 | Candida antibody | |
| 86631 | 290 | Chlamydia antibody | |
| 86632 | 290 | Chlamydia igm antibody | |
| 86635 | 290 | Coccidioides antibody | |
| 86638 | 290 | Q fever antibody | |
| 86641 | 290 | Cryptococcus antibody | |
| 86644 | 290 | CMV antibody | |
| 86645 | 290 | CMV antibody, IgM | |
| 86648 | 290 | Diphtheria antibody | |
| 86651 | 290 | Encephalitis antibody | |
| 86652 | 290 | Encephalitis antibody | |
| 86653 | 290 | Encephalitis antibody | |
| 86654 | 290 | Encephalitis antibody | |
| 86658 | 290 | Enterovirus antibody | |
| 86663 | 290 | Epstein-barr antibody | |
| 86664 | 290 | Epstein-barr antibody | |
| 86665 | 290 | Epstein-barr antibody | |
| 86666 | 290 | Ehrlichia antibody | |
| 86668 | 290 | Francisella tularensis | |
| 86671 | 290 | Fungus antibody | |
| 86674 | 290 | Giardia lamblia antibody | |
| 86677 | 290 | Helicobacter pylori | |
| 86682 | 290 | Helminth antibody | |
| 86684 | 290 | Hemophilus influenza | |
| 86687 | 290 | Htlv-i antibody | |
| 86688 | 290 | Htlv-ii antibody | |
| 86689 | 290 | HTLV/HIV confirmatory test | |
| 86692 | 290 | Hepatitis, delta agent | |
| 86694 | 290 | Herpes simplex test | |
| 86695 | 290 | Herpes simplex test | |
| 86696 | 290 | Herpes simplex type 2 | |
| 86698 | 290 | Histoplasma | |
| 86701 | 290 | HIV-1 | |
| 86701 | QW | 290 | HIV-1 |
| 86702 | 290 | HIV-2 | |
| 86703 | 290 | HIV-1/HIV-2, single assay | |
| 86703 | QW | 290 | HIV-1/HIV-2, single assay |
| 86704 | 290 | Hep b core antibody, total | |
| 86705 | 290 | Hep b core antibody, igm | |
| 86706 | 290 | Hep b surface antibody | |
| 86707 | 290 | Hep be antibody | |
| 86708 | 290 | Hep a antibody, total | |
| 86709 | 290 | Hep a antibody, igm | |
| 86710 | 290 | Influenza virus antibody | |
| 86713 | 290 | Legionella antibody | |
| 86717 | 290 | Leishmania antibody | |
| 86720 | 290 | Leptospira antibody | |
| 86723 | 290 | Listeria monocytogenes ab | |
| 86727 | 290 | Lymph choriomeningitis ab | |
| 86729 | 290 | Lympho venereum antibody | |
| 86732 | 290 | Mucormycosis antibody | |
| 86735 | 290 | Mumps antibody | |
| 86738 | 290 | Mycoplasma antibody | |
| 86741 | 290 | Neisseria meningitidis | |
| 86744 | 290 | Nocardia antibody | |
| 86747 | 290 | Parvovirus antibody | |
| 86750 | 290 | Malaria antibody | |
| 86753 | 290 | Protozoa antibody nos | |
| 86756 | 290 | Respiratory virus antibody | |
| 86757 | 290 | Rickettsia antibody | |
| 86759 | 290 | Rotavirus antibody | |
| 86762 | 290 | Rubella antibody | |
| 86765 | 290 | Rubeola antibody | |
| 86768 | 290 | Salmonella antibody | |
| 86771 | 290 | Shigella antibody | |
| 86774 | 290 | Tetanus antibody | |
| 86777 | 290 | Toxoplasma antibody | |
| 86778 | 290 | Toxoplasma antibody, igm | |
| 86780 | 290 | Treponema pallidum | |
| 86784 | 290 | Trichinella antibody | |
| 86787 | 290 | Varicella-zoster antibody | |
| 86788 | 290 | West nile virus ab, igm | |
| 86789 | 290 | West nile virus antibody | |
| 86790 | 290 | Virus antibody nos | |
| 86793 | 290 | Yersinia antibody | |
| 86800 | 290 | Thyroglobulin antibody | |
| 86803 | 290 | Hepatitis c ab test | |
| 86804 | 290 | Hep c ab test, confirm | |
| 86805 | 290 | Lymphocytotoxicity assay | |
| 86806 | 282 | Lymphocytotoxicity assay | |
| 86807 | 290 | Cytotoxic antibody screening | |
| 86808 | 290 | Cytotoxic antibody screening | |
| 86812 | 282 | HLA typing, A, B, or C | |
| 86813 | 290 | HLA typing, A, B, or C | |
| 86816 | 282 | HLA typing, DR/DQ | |
| 86817 | 290 | HLA typing, DR/DQ | |
| 86821 | 290 | Lymphocyte culture, mixed | |
| 86822 | 290 | Lymphocyte culture, primed | |
| 86825 | 290 | HLA x-match, non-cytotoxic | |
| 86826 | 290 | HLA x-match, non-cyt, add-on | |
| 86849 | 290 | Immunology procedure | |
| 86850 | 290 | RBC antibody screen | |
| 86860 | 290 | RBC antibody elution | |
| 86870 | 290 | RBC antibody identification | |
| 86880 | 290 | Coombs test | |
| 86885 | 290 | Coombs test | |
| 86886 | 290 | Coombs test | |
| 86890 | 290 | Autologous blood process | |
| 86891 | 290 | Autologous blood, op salvage | |
| 86900 | 290 | Blood typing, ABO | |
| 86901 | 290 | Blood typing, Rh (D) | |
| 86903 | 290 | Blood typing, antigen screen | |
| 86904 | 290 | Blood typing, patient serum | |
| 86905 | 290 | Blood typing, RBC antigens | |
| 86906 | 290 | Blood typing, Rh phenotype | |
| 86920 | 290 | Compatibility test | |
| 86921 | 290 | Compatibility test | |
| 86922 | 290 | Compatibility test | |
| 86923 | 282 | Compatibility test, electric | |
| 86927 | 290 | Plasma, fresh frozen | |
| 86930 | 282 | Frozen blood prep | |
| 86931 | 282 | Frozen blood thaw | |
| 86932 | 290 | Frozen blood freeze/thaw | |
| 86940 | 290 | Hemolysins/agglutinins, auto | |
| 86941 | 290 | Hemolysins/agglutinins | |
| 86945 | 290 | Blood product/irradiation | |
| 86950 | 282 | Leukacyte transfusion | |
| 86960 | 290 | Vol reduction of blood/prod | |
| 86965 | 290 | Pooling blood platelets | |
| 86970 | 290 | RBC pretreatment | |
| 86971 | 290 | RBC pretreatment | |
| 86972 | 290 | RBC pretreatment | |
| 86975 | 290 | RBC pretreatment, serum | |
| 86976 | 290 | RBC pretreatment, serum | |
| 86977 | 290 | RBC pretreatment, serum | |
| 86978 | 290 | RBC pretreatment, serum | |
| 86985 | 282 | Split blood or products | |
| 86999 | 290 | Transfusion procedure, unlisted | |
| 87001 | 290 | Small animal inoculation | |
| 87003 | 290 | Small animal inoculation | |
| 87015 | 282 | Specimen concentration | |
| 87040 | 290 | Blood culture for bacteria | |
| 87045 | 290 | Feces culture, bacteria | |
| 87046 | 290 | Stool cultr, bacteria, each | |
| 87070 | 282 | Culture, bacteria, other | |
| 87071 | 282 | Culture bacteri aerobic othr | |
| 87073 | 282 | Culture bacteria anaerobic | |
| 87075 | 282 | Culture bacteria anaerobic | |
| 87076 | 282 | Culture anaerobe ident, each | |
| 87077 | 282 | Culture aerobic identify | |
| 87077 | QW | 282 | Culture aerobic identify |
| 87081 | 282 | Culture screen only | |
| 87084 | 290 | Culture of specimen by kit | |
| 87086 | 282 | Urine culture/colony count | |
| 87088 | 282 | Urine bacteria culture | |
| 87101 | 290 | Skin fungi culture | |
| 87102 | 282 | Fungus isolation culture | |
| 87103 | 290 | Blood fungus culture | |
| 87106 | 290 | Fungi identification, yeast | |
| 87107 | 290 | Fungi identification, mold | |
| 87109 | 290 | Mycoplasma | |
| 87110 | 290 | Chlamydia culture | |
| 87116 | 290 | Mycobacteria culture | |
| 87118 | 290 | Mycobacteric identification | |
| 87140 | 290 | Cultur type immunofluoresc | |
| 87143 | 290 | Culture typing, glc/hplc | |
| 87147 | 290 | Culture type, immunologic | |
| 87149 | 282 | Culture type, nucleic acid | |
| 87150 | 282 | DNA/RNA, amplified probe | |
| 87152 | 290 | Culture type pulse field gel | |
| 87153 | 282 | DNA/RNA sequencing | |
| 87158 | 290 | Culture typing, added method | |
| 87164 | 290 | Dark field examination | |
| 87164 | 26 | 290 | Dark field examination |
| 87166 | 282 | Dark field examination | |
| 87168 | 290 | Macroscopic exam arthropod | |
| 87169 | 290 | Macacroscopic exam parasite | |
| 87172 | 290 | Pinworm exam | |
| 87176 | 290 | Tissue homogenization, cultr | |
| 87177 | 290 | Ova and parasites smears | |
| 87181 | 290 | Microbe susceptible, diffuse | |
| 87184 | 290 | Microbe susceptible, disk | |
| 87185 | 290 | Microbe susceptible, enzyme | |
| 87186 | 290 | Microbe susceptible, mic | |
| 87187 | 290 | Microbe susceptible, mlc | |
| 87188 | 290 | Microbe suscept, macrobroth | |
| 87190 | 290 | Microbe suscept, mycobacteri | |
| 87197 | 290 | Bactericidal level, serum | |
| 87205 | 290 | Smear, gram stain | |
| 87206 | 282 | Smear, fluorescent/acid stai | |
| 87207 | 290 | Smear, special stain | |
| 87207 | 26 | 290 | Smear, special stain |
| 87209 | 282 | Smear, complex stain | |
| 87210 | 290 | Smear, wet mount, saline/ink | |
| 87210 | QW | 290 | Smear, wet mount, saline/ink |
| 87220 | 290 | Tissue exam for fungi | |
| 87230 | 290 | Assay, toxin or antitoxin | |
| 87250 | 290 | Virus inoculate, eggs/animal | |
| 87252 | 290 | Virus inoculation, tissue | |
| 87253 | 282 | Virus inoculate tissue, addl | |
| 87254 | 290 | Virus inoculation, shell via | |
| 87255 | 290 | Genet virus isolate, hsv | |
| 87260 | 282 | Adenovirus ag, if | |
| 87265 | 282 | Pertussis ag, if | |
| 87267 | 282 | Enterovirus anitbody, dfa | |
| 87269 | 282 | Giardia ag, if | |
| 87270 | 282 | Chlamydia trachomatis ag, if | |
| 87271 | 282 | Cytomegalovirus, (DFA) | |
| 87272 | 282 | Cryptosporidum/gardia ag, if | |
| 87273 | 290 | Herpes simplex 2, ag, if | |
| 87274 | 282 | Herpes simplex 1, ag, if | |
| 87275 | 290 | Influenza b, ag, if | |
| 87276 | 282 | Influenza a, ag, if | |
| 87277 | 290 | Legionella micdadei, ag, if | |
| 87278 | 282 | Legion pneumophilia ag, if | |
| 87279 | 290 | Parainfluenza, ag, if | |
| 87280 | 282 | Respiratory syncytial ag, if | |
| 87281 | 290 | Pneumocystis carinii, ag, if | |
| 87283 | 290 | Rubeola, ag, if | |
| 87285 | 282 | Treponema pallidum, ag, if | |
| 87290 | 282 | Varicella zoster, ag, if | |
| 87299 | 282 | Antibody detection, nos, if | |
| 87300 | 290 | Ag detection, polyval, if | |
| 87301 | 282 | Adenovirus ag, eia | |
| 87305 | 282 | Aspergillus ag, eia | |
| 87320 | 282 | Chylmd trach ag, eia | |
| 87324 | 282 | Clostridium ag, eia | |
| 87327 | 290 | Cryptococcus neoform ag, eia | |
| 87328 | 282 | Cryptospor ag, eia | |
| 87329 | 282 | Giardia ag, eia | |
| 87332 | 282 | Cytomegalovirus ag, eia | |
| 87335 | 282 | E coli 0157 ag, eia | |
| 87336 | 290 | Entamoeb hist dispr, ag, eia | |
| 87337 | 290 | Entamoeb hist group, ag, eia | |
| 87338 | 282 | Hpylori, stool, eia | |
| 87339 | 290 | H pylori ag, eia | |
| 87340 | 282 | Hepatitis b surface ag, eia | |
| 87341 | 290 | Hepatitis b surface, ag, eia | |
| 87350 | 282 | Hepatitis be ag, eia | |
| 87380 | 282 | Hepatitis delta ag, eia | |
| 87385 | 282 | Histoplasma capsul ag, eia | |
| 87390 | 282 | Hiv-1 ag, eia | |
| 87391 | 282 | Hiv-2 ag, eia | |
| 87400 | 290 | Influenza a/b, ag, eia | |
| 87420 | 282 | Resp syncytial ag, eia | |
| 87425 | 282 | Rotavirus ag, eia | |
| 87427 | 290 | Shiga-like toxin ag, eia | |
| 87430 | 282 | Strep a ag, eia | |
| 87449 | 282 | Ag detect nos, eia, mult | |
| 87449 | QW | 282 | Ag detect nos, eia, mult |
| 87450 | 282 | Ag detect nos, eia, single | |
| 87451 | 290 | Ag detect polyval, eia, mult | |
| 87470 | 282 | Bartonella, dna, dir probe | |
| 87471 | 282 | Bartonella, dna, amp probe | |
| 87472 | 290 | Bartonella, dna, quant | |
| 87475 | 282 | Lyme dis, dna, dir probe | |
| 87476 | 282 | Lyme dis, dna, amp probe | |
| 87477 | 290 | Lyme dis, dna, quant | |
| 87480 | 282 | Candida, dna, dir probe | |
| 87481 | 282 | Candida, dna, amp probe | |
| 87482 | 290 | Candida, dna, quant | |
| 87485 | 282 | Chylmd pneum, dna, dir probe | |
| 87486 | 282 | Chylmd pneum, dna, amp probe | |
| 87487 | 290 | Chylmd pneum, dna, quant | |
| 87490 | 282 | Chylmd trach, dna, dir probe | |
| 87491 | 282 | Chylmd trach, dna, amp probe | |
| 87492 | 290 | Chylmd trach, dna, quant | |
| 87493 | 290 | C. difficile, amplified probe | |
| 87495 | 282 | Cytomeg, dna, dir probe | |
| 87496 | 282 | Cytomeg, dna, amp probe | |
| 87497 | 282 | Cytomeg, dna, quant | |
| 87498 | 282 | Enterovirus, dna, amp probe | |
| 87500 | 290 | Vanomycin, DNA, amp probe | |
| 87510 | 282 | Gardner vag, dna, dir probe | |
| 87511 | 282 | Gardner vag, dna, amp probe | |
| 87512 | 290 | Gardner vag, dna, quant | |
| 87515 | 282 | Hepatitis b, dna, dir probe | |
| 87516 | 282 | Hepatitis b, dna, amp probe | |
| 87517 | 282 | Hepatitis b, dna, quant | |
| 87520 | 282 | Hepatitis c, rna, dir probe | |
| 87521 | 282 | Hepatitis c, rna, amp probe | |
| 87522 | 282 | Hepatitis c, rna, quant | |
| 87525 | 282 | Hepatitis g, dna, dir probe | |
| 87526 | 282 | Hepatitis g, dna, amp probe | |
| 87527 | 282 | Hepatitis g, dna, quant | |
| 87528 | 282 | Hsv, dna, dir probe | |
| 87529 | 282 | Hsv, dna, amp probe | |
| 87530 | 282 | Hsv, dna, quant | |
| 87531 | 282 | Hhv-6, dna, dir probe | |
| 87532 | 282 | Hhv-6, dna, amp probe | |
| 87533 | 282 | Hhv-6, dna, quant | |
| 87534 | 282 | Hiv-1, dna, dir probe | |
| 87535 | 282 | Hiv-1, dna, amp probe | |
| 87536 | 282 | Hiv-1, dna, quant | |
| 87537 | 282 | Hiv-2, dna, dir probe | |
| 87538 | 282 | Hiv-2, dna, amp probe | |
| 87539 | 282 | Hiv-2, dna, quant | |
| 87540 | 282 | Legion pneumo, dna, dir prob | |
| 87541 | 282 | Legion pneumo, dna, amp prob | |
| 87542 | 290 | Legion pneumo, dna, quant | |
| 87550 | 282 | Mycobacteria, dna, dir probe | |
| 87551 | 282 | Mycobacteria, dna, amp probe | |
| 87552 | 290 | Mycobacteria, dna, quant | |
| 87555 | 282 | M.tuberculo, dna, dir probe | |
| 87556 | 282 | M.tuberculo, dna, amp probe | |
| 87557 | 290 | M.tuberculo, dna, quant | |
| 87560 | 282 | M.avium-intra, dna, dir prob | |
| 87561 | 282 | M.avium-intra, dna, amp prob | |
| 87562 | 290 | M.avium-intra, dna, quant | |
| 87580 | 282 | M.pneumon, dna, dir probe | |
| 87581 | 282 | M.pneumon, dna, amp probe | |
| 87582 | 290 | M.pneumon, dna, quant | |
| 87590 | 282 | N.gonorrhoeae, dna, dir prob | |
| 87591 | 282 | N.gonorrhoeae, dna, amp prob | |
| 87592 | 290 | N.gonorrhoeae, dna, quant | |
| 87620 | 282 | Hpv, dna, dir probe | |
| 87621 | 282 | Hpv, dna, amp probe | |
| 87622 | 282 | Hpv, dna, quant | |
| 87640 | 282 | Staph a, dna, amp probe | |
| 87641 | 290 | Mr-staph, dna, amp probe | |
| 87650 | 282 | Strep a, dna, dir probe | |
| 87651 | 282 | Strep a, dna, amp probe | |
| 87652 | 290 | Strep a, dna, quant | |
| 87653 | 282 | Strep b, dna, amp probe | |
| 87660 | 282 | Trichomonas vagin, dir probe | |
| 87797 | 282 | Detect agent nos, dna, dir | |
| 87798 | 282 | Detect agent nos, dna, amp | |
| 87799 | 290 | Detect agent nos, dna, quant | |
| 87800 | 290 | Detect agnt mult, dna, direc | |
| 87801 | 290 | Detect agnt mult, dna, ampli | |
| 87802 | 290 | Strep b assay w/optic | |
| 87803 | 290 | Clostridium toxin a w/optic | |
| 87804 | 290 | Influenza assay w/optic | |
| 87804 | QW | 290 | Influenza assay w/optic |
| 87807 | 282 | Rsv assay w/optic | |
| 87807 | QW | 282 | Rsv assay w/optic |
| 87808 | 290 | Trichomonas assay w/optic | |
| 87808 | QW | 290 | Trichomonas assay w/optic |
| 87809 | 290 | Adenovirus assay w/optic | |
| 87810 | 282 | Chylmd trach assay w/optic | |
| 87850 | 282 | N. gonorrhoeae assay w/optic | |
| 87880 | 282 | Strep a assay w/optic | |
| 87880 | QW | 282 | Strep a assay w/optic |
| 87899 | 282 | Agent nos assay w/optic | |
| 87899 | QW | 282 | Agent nos assay w/optic |
| 87900 | 282 | Phenotype, infect agent drug | |
| 87901 | 290 | Genotype, dna, hiv reverse t | |
| 87902 | 290 | Genotype, dna, hepatitis C | |
| 87903 | 290 | Phenotype, dna hiv w/culture | |
| 87904 | 290 | Phenotype, dna hiv w/clt add | |
| 87905 | 290 | Sialidase enzyme assay | |
| 87905 | QW | 290 | Sialidase enzyme assay |
| 87999 | 290 | Microbiology procedure, unlisted | |
| 88000 | 290 | Autopsy (necropsy), gross | |
| 88005 | 290 | Autopsy (necropsy), gross | |
| 88007 | 290 | Autopsy (necropsy), gross | |
| 88020 | 290 | Autopsy (necropsy), complete | |
| 88025 | 290 | Autopsy (necropsy), complete | |
| 88027 | 290 | Autopsy (necropsy), complete | |
| 88036 | 290 | Limited autopsy | |
| 88037 | 290 | Limited autopsy | |
| 88040 | 290 | Forensic autopsy (necropsy) | |
| 88045 | 290 | Coroner’s autopsy (necropsy) | |
| 88099 | 290 | Necropsy (autopsy) procedure, unlisted | |
| 88104 | 260 | Cytopathology, fluids | |
| 88104 | TC | 261 | Cytopathology, fluids |
| 88104 | 26 | 260 | Cytopathology, fluids |
| 88106 | 260 | Cytopathology, fluids | |
| 88106 | TC | 261 | Cytopathology, fluids |
| 88106 | 26 | 260 | Cytopathology, fluids |
| 88107 | 260 | Cytopathology, fluids | |
| 88107 | TC | 261 | Cytopathology, fluids |
| 88107 | 26 | 260 | Cytopathology, fluids |
| 88108 | 260 | Cytopath, concentrate tech | |
| 88108 | TC | 261 | Cytopath, concentrate tech |
| 88108 | 26 | 260 | Cytopath, concentrate tech |
| 88112 | 260 | Cytopath, cell enhance tech | |
| 88112 | TC | 261 | Cytopath, cell enhance tech |
| 88112 | 26 | 260 | Cytopath, cell enhance tech |
| 88125 | 260 | Forensic cytopathology | |
| 88125 | TC | 261 | Forensic cytopathology |
| 88125 | 26 | 260 | Forensic cytopathology |
| 88130 | 282 | Sex chromatin identification | |
| 88140 | 282 | Sex chromatin identification | |
| 88141 | 282 | Cytopath, c/v, interpret | |
| 88142 | 290 | Cytopath, c/v, thin layer | |
| 88143 | 290 | Cytopath, c/v, thin lyr redo | |
| 88147 | 290 | Cytopath, c/v, automated | |
| 88148 | 290 | Cytopath, c/v, auto rescreen | |
| 88150 | 290 | Cytopath, c/v, manual | |
| 88152 | 290 | Cytopath, c/v, auto redo | |
| 88153 | 290 | Cytopath, c/v, redo | |
| 88154 | 290 | Cytopath, c/v, select | |
| 88155 | 290 | Cytopath, c/v, index add-on | |
| 88160 | 260 | Cytopath smear, other source | |
| 88160 | TC | 261 | Cytopath smear, other source |
| 88160 | 26 | 260 | Cytopath smear, other source |
| 88161 | 260 | Cytopath smear, other source | |
| 88161 | TC | 261 | Cytopath smear, other source |
| 88161 | 26 | 260 | Cytopath smear, other source |
| 88162 | 260 | Cytopath smear, other source | |
| 88162 | TC | 261 | Cytopath smear, other source |
| 88162 | 26 | 260 | Cytopath smear, other source |
| 88164 | 290 | Cytopath tbs, c/v, manual | |
| 88165 | 290 | Cytopath tbs, c/v, redo | |
| 88166 | 290 | Cytopath tbs, c/v, auto redo | |
| 88167 | 290 | Cytopath tbs, c/v, select | |
| 88172 | 260 | Cytopathology eval of fna | |
| 88172 | TC | 261 | Cytopathology eval of fna |
| 88172 | 26 | 260 | Cytopathology eval of fna |
| 88173 | 260 | Cytopath eval, fna, report | |
| 88173 | TC | 261 | Cytopath eval, fna, report |
| 88173 | 26 | 260 | Cytopath eval, fna, report |
| 88174 | 290 | Cytopath, c/v auto, in fluid | |
| 88175 | 290 | Cytopath, c/v auto fluid redo | |
| 88182 | 260 | Cell marker study | |
| 88182 | TC | 261 | Cell marker study |
| 88182 | 26 | 260 | Cell marker study |
| 88184 | 266 | Flowcytometry/ tc, 1 marker | |
| 88185 | 282 | Flowcytometry/tc, add-on | |
| 88187 | 266 | Flowcytometry/read, 2-8 | |
| 88188 | 266 | Flowcytometry/read, 9-15 | |
| 88189 | 266 | Flowcytometry/read, 16 & > | |
| 88199 | 270 | Cytopathology procedure, unlisted | |
| 88199 | TC | 270 | Cytopathology procedure, unlisted |
| 88199 | 26 | 270 | Cytopathology procedure, unlisted |
| 88230 | 290 | Tissue culture, lymphocyte | |
| 88233 | 290 | Tissue culture, skin/biopsy | |
| 88235 | 290 | Tissue culture, placenta | |
| 88237 | 290 | Tissue culture, bone marrow | |
| 88239 | 290 | Tissue culture, tumor | |
| 88240 | 290 | Cell cryopreserve/storage | |
| 88241 | 290 | Frozen cell preparation | |
| 88245 | 282 | Chromosome analysis, 20-25 | |
| 88248 | 290 | Chromosome analysis, 50-100 | |
| 88249 | 290 | Chromosome analysis, 100 | |
| 88261 | 282 | Chromosome analysis, 5 | |
| 88262 | 282 | Chromosome analysis, 15-20 | |
| 88263 | 290 | Chromosome analysis, 45 | |
| 88264 | 290 | Chromosome analysis, 20-25 | |
| 88267 | 290 | Chromosome analys, placenta | |
| 88269 | 290 | Chromosome analys, amniotic | |
| 88271 | 282 | Cytogenetics, dna probe | |
| 88272 | 282 | Cytogenetics, 3-5 | |
| 88273 | 282 | Cytogenetics, 10-30 | |
| 88274 | 282 | Cytogenetics, 25-99 | |
| 88275 | 282 | Cytogenetics, 100-300 | |
| 88280 | 290 | Chromosome karyotype study | |
| 88283 | 290 | Chromosome banding study | |
| 88285 | 290 | Chromosome count, additional | |
| 88289 | 290 | Chromosome study, additional | |
| 88291 | 270 | Cyto/molecular report | |
| 88299 | 270 | Cytogenetic study, unlisted | |
| 88300 | 168 | Surgical path, gross | |
| 88300 | TC | 170 | Surgical path, gross |
| 88300 | 26 | 168 | Surgical path, gross |
| 88302 | 151 | Tissue exam by pathologist | |
| 88302 | TC | 153 | Tissue exam by pathologist |
| 88302 | 26 | 151 | Tissue exam by pathologist |
| 88304 | 151 | Tissue exam by pathologist | |
| 88304 | TC | 153 | Tissue exam by pathologist |
| 88304 | 26 | 151 | Tissue exam by pathologist |
| 88305 | 151 | Tissue exam by pathologist | |
| 88305 | TC | 153 | Tissue exam by pathologist |
| 88305 | 26 | 151 | Tissue exam by pathologist |
| 88307 | 151 | Tissue exam by pathologist | |
| 88307 | TC | 153 | Tissue exam by pathologist |
| 88307 | 26 | 151 | Tissue exam by pathologist |
| 88309 | 151 | Tissue exam by pathologist | |
| 88309 | TC | 153 | Tissue exam by pathologist |
| 88309 | 26 | 151 | Tissue exam by pathologist |
| 88311 | 249 | Decalcify tissue | |
| 88311 | TC | 249 | Decalcify tissue |
| 88311 | 26 | 249 | Decalcify tissue |
| 88312 | 195 | Special stains | |
| 88312 | TC | 195 | Special stains |
| 88312 | 26 | 195 | Special stains |
| 88313 | 195 | Special stains | |
| 88313 | TC | 195 | Special stains |
| 88313 | 26 | 195 | Special stains |
| 88314 | 232 | Histochemical stain | |
| 88314 | TC | 232 | Histochemical stain |
| 88314 | 26 | 232 | Histochemical stain |
| 88318 | 151 | Chemical histochemistry | |
| 88318 | TC | 153 | Chemical histochemistry |
| 88318 | 26 | 151 | Chemical histochemistry |
| 88319 | 151 | Enzyme histochemistry | |
| 88319 | TC | 153 | Enzyme histochemistry |
| 88319 | 26 | 151 | Enzyme histochemistry |
| 88321 | 195 | Microslide consultation | |
| 88323 | 195 | Microslide consultation | |
| 88323 | TC | 195 | Microslide consultation |
| 88323 | 26 | 195 | Microslide consultation |
| 88325 | 195 | Comprehensive review of data | |
| 88329 | 195 | Path consult introp | |
| 88331 | 219 | Path consult intraop, 1 bloc | |
| 88331 | TC | 219 | Path consult intraop, 1 bloc |
| 88331 | 26 | 219 | Path consult intraop, 1 bloc |
| 88332 | 219 | Path consult intraop, addl | |
| 88332 | TC | 219 | Path consult intraop, addl |
| 88332 | 26 | 219 | Path consult intraop, addl |
| 88333 | 195 | Intraop cyto path consult, 1 | |
| 88333 | TC | 195 | Intraop cyto path consult, 1 |
| 88333 | 26 | 195 | Intraop cyto path consult, 1 |
| 88334 | 195 | Intraop cyto path consult, 2 | |
| 88334 | TC | 195 | Intraop cyto path consult, 2 |
| 88334 | 26 | 195 | Intraop cyto path consult, 2 |
| 88342 | 151 | Immunocytochemistry | |
| 88342 | TC | 153 | Immunocytochemistry |
| 88342 | 26 | 151 | Immunocytochemistry |
| 88346 | 151 | Immunofluorescent study | |
| 88346 | TC | 153 | Immunofluorescent study |
| 88346 | 26 | 151 | Immunofluorescent study |
| 88347 | 151 | Immunofluorescent study | |
| 88347 | TC | 153 | Immunofluorescent study |
| 88347 | 26 | 151 | Immunofluorescent study |
| 88348 | 151 | Electron microscopy | |
| 88348 | TC | 153 | Electron microscopy |
| 88348 | 26 | 151 | Electron microscopy |
| 88349 | 151 | Scanning electron microscopy | |
| 88349 | TC | 153 | Scanning electron microscopy |
| 88349 | 26 | 151 | Scanning electron microscopy |
| 88355 | 151 | Analysis, skeletal muscle | |
| 88355 | TC | 153 | Analysis, skeletal muscle |
| 88355 | 26 | 151 | Analysis, skeletal muscle |
| 88356 | 151 | Analysis, nerve | |
| 88356 | TC | 153 | Analysis, nerve |
| 88356 | 26 | 151 | Analysis, nerve |
| 88358 | 151 | Analysis, tumor | |
| 88358 | TC | 153 | Analysis, tumor |
| 88358 | 26 | 151 | Analysis, tumor |
| 88360 | 151 | Tumor immunohistochem/manual | |
| 88360 | TC | 153 | Tumor immunohistochem/manual |
| 88360 | 26 | 151 | Tumor immunohistochem/manual |
| 88361 | 151 | Immunohistochemistry, tumor | |
| 88361 | TC | 153 | Immunohistochemistry, tumor |
| 88361 | 26 | 151 | Immunohistochemistry, tumor |
| 88362 | 168 | Nerve teasing preparations | |
| 88362 | TC | 170 | Nerve teasing preparations |
| 88362 | 26 | 168 | Nerve teasing preparations |
| 88365 | 151 | Tissue hybridization | |
| 88365 | TC | 153 | Tissue hybridization |
| 88365 | 26 | 151 | Tissue hybridization |
| 88367 | 151 | Insitu hybridization, auto | |
| 88367 | TC | 153 | Insitu hybridization, auto |
| 88367 | 26 | 151 | Insitu hybridization, auto |
| 88368 | 151 | Insitu hybridization, manual | |
| 88368 | TC | 153 | Insitu hybridization, manual |
| 88368 | 26 | 151 | Insitu hybridization, manual |
| 88371 | 273 | Protein, western blot tissue | |
| 88371 | 26 | 151 | Protein, western blot tissue |
| 88372 | 273 | Protein analysis w/probe | |
| 88372 | 26 | 151 | Protein analysis w/probe |
| 88380 | 151 | Microdissection | |
| 88380 | TC | 153 | Microdissection |
| 88380 | 26 | 151 | Microdissection |
| 88381 | 151 | Microdissection, manual | |
| 88381 | TC | 153 | Microdissection, manual |
| 88381 | 26 | 151 | Microdissection, manual |
| 88384 | 195 | Eval molecular probes, 11-50 | |
| 88384 | TC | 195 | Eval molecular probes, 11-50 |
| 88384 | 26 | 195 | Eval molecular probes, 11-50 |
| 88385 | 195 | Eval molecul probes, 51-250 | |
| 88385 | TC | 195 | Eval molecul probes, 51-250 |
| 88385 | 26 | 195 | Eval molecul probes, 51-250 |
| 88386 | 195 | Eval molecul probes, 251-500 | |
| 88386 | TC | 195 | Eval molecul probes, 251-500 |
| 88386 | 26 | 195 | Eval molecul probes, 251-500 |
| 88387 | 168 | Tiss exam molecular study | |
| 88387 | TC | 170 | Tiss exam molecular study |
| 88387 | 26 | 168 | Tiss exam molecular study |
| 88388 | 232 | Tiss exam molecular study, add-on | |
| 88388 | TC | 232 | Tiss exam molecular study, add-on |
| 88388 | 26 | 232 | Tiss exam molecular study, add-on |
| 88399 | 219 | Surgical pathology procedure, unlisted | |
| 88399 | TC | 219 | Surgical pathology procedure, unlisted |
| 88399 | 26 | 219 | Surgical pathology procedure, unlisted |
| 88720 | 290 | Bilirubin total transcut | |
| 88738 | 290 | HGB, wuant transcutaneous | |
| 88740 | 290 | Transcutaneous carboxyhb | |
| 88741 | 290 | Transcutaneous methb | |
| 89049 | 219 | Chct for mal hyperthermia | |
| 89050 | 282 | Body fluid cell count | |
| 89051 | 290 | Body fluid cell count | |
| 89055 | 290 | Leukocyte count, fecal | |
| 89060 | 282 | Exam synovial fluid crystals | |
| 89060 | 26 | 195 | Exam synovial fluid crystals |
| 89100 | 195 | Sample intestinal contents | |
| 89105 | 219 | Sample intestinal contents | |
| 89125 | 290 | Specimen fat stain | |
| 89130 | 195 | Sample stomach contents | |
| 89132 | 219 | Sample stomach contents | |
| 89135 | 195 | Sample stomach contents | |
| 89136 | 195 | Sample stomach contents | |
| 89140 | 195 | Sample stomach contents | |
| 89141 | 219 | Sample stomach contents | |
| 89160 | 290 | Exam feces for meat fibers | |
| 89190 | 290 | Nasal smear for eosinophils | |
| 89220 | 219 | Sputum specimen collection | |
| 89225 | 290 | Starch granules, feces | |
| 89230 | 219 | Collect sweat for test | |
| 89235 | 290 | Water load test | |
| 89240 | 219 | Pathology lab procedure | |
| 89257 | 282 | Sperm identification | |
| 89260 | 290 | Sperm isolation, simple | |
| 89261 | 290 | Sperm isolation, complex | |
| 89264 | 290 | Identify sperm tissue | |
| 89300 | 290 | Semen analysis | |
| 89300 | QW | 290 | Semen analysis |
| 89310 | 290 | Semen analysis | |
| 89320 | 290 | Semen analysis | |
| 89321 | 282 | Semen analysis | |
| 89321 | QW | 282 | Semen analysis |
| 89322 | 290 | Semen analysis, strict criteria | |
| 89325 | 290 | Sperm antibody test | |
| 89330 | 290 | Evaluation, cervical mucus | |
| 89331 | 290 | Retrograde ejeculation analysis | |
| 90281 | 290 | Human ig, im | |
| 90283 | 290 | Human ig, iv | |
| 90284 | 290 | Human ig, sc | |
| 90287 | 290 | Botulinum antitoxin | |
| 90288 | 290 | Botulism ig, iv | |
| 90291 | 290 | Cmv ig, iv | |
| 90296 | 290 | Diphtheria antitoxin | |
| 90371 | 290 | Hep b ig, im, 1ml | |
| 90375 | 290 | Rabies ig, im/sc, 150IU | |
| 90376 | 290 | Rabies ig, heat treated, 150IU | |
| 90378 | 290 | Rsv ig, im, 50mg | |
| 90384 | 290 | Rh ig, full-dose, im | |
| 90385 | 282 | Rh ig, minidose, im, 50mcg | |
| 90386 | 290 | Rh ig, iv | |
| 90389 | 290 | Tetanus ig, im | |
| 90393 | 290 | Vaccina ig, im | |
| 90396 | 290 | Varicella-zoster ig, im, 125 units | |
| 90399 | 290 | Immune globulin, unlisted | |
| 90470 | 290 | Immune admin H1N1 im or nasal | |
| 90471 | 269 | Immunization admin | |
| 90472 | 286 | Immunization admin, each add | |
| 90473 | 269 | Immune admin oral/nasal | |
| 90474 | 286 | Immune admin oral/nasal addl | |
| 90476 | 290 | Adenovirus vaccine, type 4 | |
| 90477 | 290 | Adenovirus vaccine, type 7 | |
| 90581 | 290 | Anthrax vaccine, sc | |
| 90585 | 290 | Bcg vaccine, percut, 50mg | |
| 90586 | 290 | Bcg vaccine, intravesical, 1ea | |
| 90632 | 290 | Hep a vaccine, adult im, 1ml | |
| 90636 | 290 | Hep a/hep b vacc, adult im | |
| 90645 | 290 | Hib vaccine, hboc, im, 1ea | |
| 90646 | 290 | Hib vaccine, prp-d, im | |
| 90647 | 290 | Hib vaccine, prp-omp, im, 0.5ml | |
| 90648 | 290 | Hib vaccine, prp-t, im,0.5ml | |
| 90656 | 290 | Flu vaccine no preserv 3 & >, 0.5ml | |
| 90658 | 290 | Flu vaccine, >3 yrs, im, 0.50ml | |
| 90660 | 290 | Flu vaccine, nasal | |
| 90661 | 290 | Flu vaccine, cell culture, prsv free, im | |
| 90662 | 290 | Flu vaccine, prsv free, inc antig, im | |
| 90663 | 290 | Flu vaccine, pandemic formula | |
| 90665 | 290 | Lyme disease vaccine, im | |
| 90670 | 290 | Pneumo conj vacc, 13 val, im | |
| 90675 | 290 | Rabies vaccine, im, 1ml | |
| 90676 | 290 | Rabies vaccine, id | |
| 90680 | 290 | Rotovirus vaccine, 3dose oral | |
| 90681 | 290 | Rotovirus vaccine, 2dose oral | |
| 90690 | 290 | Typhoid vaccine, oral | |
| 90691 | 290 | Typhoid vaccine, im, 0.5ml | |
| 90692 | 290 | Typhoid vaccine, h-p, sc/id | |
| 90693 | 290 | Typhoid vaccine, akd, sc | |
| 90698 | 290 | Dtap-hib-ip vaccine, im | |
| 90700 | 290 | Dtap vaccine, im, 0.5ml | |
| 90701 | 290 | Dtp vaccine, im | |
| 90703 | 290 | Tetanus vaccine, im, 0.5ml | |
| 90704 | 290 | Mumps vaccine, sc, 0.5ml | |
| 90705 | 290 | Measles vaccine, sc, 0.5ml | |
| 90706 | 290 | Rubella vaccine, sc, 0.5ml | |
| 90707 | 290 | Mmr vaccine, sc, 0.5ml | |
| 90708 | 290 | Measles-rubella vaccine, sc | |
| 90710 | 290 | Mmrv vaccine, sc | |
| 90712 | 290 | Oral poliovirus vaccine | |
| 90713 | 290 | Poliovirus, ipv, sc/im, 0.5ml | |
| 90714 | 290 | Td vaccine no prsrv > 7, im | |
| 90715 | 290 | Tdap vaccine >7 im | |
| 90716 | 290 | Chicken pox vaccine, sc, 0.5ml | |
| 90717 | 290 | Yellow fever vaccine, sc, 0.5ml | |
| 90718 | 290 | Td vaccine > 7, im, 0.5ml | |
| 90719 | 290 | Diphtheria vaccine, im | |
| 90720 | 290 | Dtp/hib vaccine, im, 0.5ml | |
| 90721 | 290 | Dtap/hib vaccine, im, 1ea | |
| 90723 | 290 | Dtap-hep b-ipv vaccine, im | |
| 90725 | 290 | Cholera vaccine, injectable | |
| 90727 | 290 | Plague vaccine, im | |
| 90732 | 290 | Pneumococcal vaccine, 0.5ml | |
| 90733 | 290 | Meningococcal vaccine, sc, 0.5ml | |
| 90734 | 290 | Meningococcal vaccine, im | |
| 90735 | 290 | Encephalitis vaccine, sc, 1ml | |
| 90736 | 290 | Zoster vaccine, sc | |
| 90738 | 290 | Inactivated je vacc im | |
| 90740 | 290 | Hep b vacc, ill pat 3 dose im, 40mcg | |
| 90746 | 290 | Hep b vaccine, adult, im, 1ea | |
| 90747 | 290 | Hep b vacc, ill pat 4 dose im, 40mcg | |
| 90748 | 290 | Hep b/hib vaccine, im | |
| 90749 | 290 | Vaccine toxoid | |
| 90801 | 279 | Psy dx interview | |
| 90802 | 279 | Intac psy dx interview | |
| 90804 | 279 | Psytx, office, 20-30 min | |
| 90805 | 282 | Psytx, off, 20-30 min w/e&m | |
| 90806 | 279 | Psytx, off, 45-50 min | |
| 90807 | 282 | Psytx, off, 45-50 min w/e&m | |
| 90808 | 279 | Psytx, office, 75-80 min | |
| 90809 | 282 | Psytx, off, 75-80, w/e&m | |
| 90810 | 279 | Intac psytx, off, 20-30 min | |
| 90811 | 282 | Intac psytx, 20-30, w/e&m | |
| 90812 | 279 | Intac psytx, off, 45-50 min | |
| 90813 | 282 | Intac psytx, 45-50 min w/e&m | |
| 90814 | 279 | Intac psytx, off, 75-80 min | |
| 90815 | 282 | Intac psytx, 75-80 w/e&m | |
| 90816 | 279 | Psytx, hosp, 20-30 min | |
| 90817 | 282 | Psytx, hosp, 20-30 min w/e&m | |
| 90818 | 279 | Psytx, hosp, 45-50 min | |
| 90819 | 282 | Psytx, hosp, 45-50 min w/e&m | |
| 90821 | 279 | Psytx, hosp, 75-80 min | |
| 90822 | 282 | Psytx, hosp, 75-80 min w/e&m | |
| 90823 | 279 | Intac psytx, hosp, 20-30 min | |
| 90824 | 282 | Intac psytx, hsp 20-30 w/e&m | |
| 90826 | 279 | Intac psytx, hosp, 45-50 min | |
| 90827 | 282 | Intac psytx, hsp 45-50 w/e&m | |
| 90828 | 279 | Intac psytx, hosp, 75-80 min | |
| 90829 | 282 | Intac psytx, hsp 75-80 w/e&m | |
| 90845 | 279 | Psychoanalysis | |
| 90846 | 279 | Family psytx w/o patient | |
| 90847 | 279 | Family psytx w/patient | |
| 90849 | 279 | Multiple family group psytx | |
| 90853 | 279 | Group psychotherapy | |
| 90857 | 279 | Intac group psytx | |
| 90862 | 282 | Medication management | |
| 90865 | 282 | Narcosynthesis | |
| 90870 | 271 | Electroconvulsive therapy | |
| 90875 | 290 | Psychophysiological therapy | |
| 90876 | 290 | Psychophysiological therapy | |
| 90880 | 282 | Hypnotherapy | |
| 90882 | 286 | Environmental manipulation | |
| 90885 | 290 | Psy evaluation of records | |
| 90887 | 286 | Consultation with family | |
| 90889 | 290 | Preparation of report, psych, ins | |
| 90901 | 271 | Biofeedback train, any meth | |
| 90911 | 272 | Biofeedback peri/uro/rectal | |
| 90935 | 114 | Hemodialysis, one evaluation | |
| 90937 | 114 | Hemodialysis, repeated eval | |
| 90940 | 282 | Hemodialysis access study | |
| 90945 | 114 | Dialysis, one evaluation | |
| 90947 | 114 | Dialysis, repeated eval | |
| 90957 | 219 | Esrd srv, 4 visits p mo, 12-19 | |
| 90958 | 219 | Esrd srv, 2-3 vsts p mo, 12-19 | |
| 90959 | 219 | Esrd serv, 1 visit p mo, 12-19 | |
| 90960 | 219 | Esrd srv, 4 visits p mo, 20+ | |
| 90961 | 219 | Esrd srv, 2-3 vsts p mo, 20+ | |
| 90962 | 219 | Esrd serv, 1 visit p mo, 20+ | |
| 90965 | 219 | Esrd home pt, serv p mo, 12-19 | |
| 90966 | 219 | Esrd home pt, serv p mo, 20+ | |
| 90969 | 219 | Esrd home pt serv p day, 12-19 | |
| 90970 | 219 | Esrd home pt serv p day, 20+ | |
| 90989 | 290 | Dialysis training, complete | |
| 90993 | 290 | Dialysis training, incomplete | |
| 90997 | 114 | Hemoperfusion | |
| 90999 | 219 | Dialysis procedure, unlisted | |
| 91000 | 114 | Esophageal intubation | |
| 91000 | TC | 115 | Esophageal intubation |
| 91000 | 26 | 114 | Esophageal intubation |
| 91010 | 138 | Esophagus motility study | |
| 91010 | TC | 139 | Esophagus motility study |
| 91010 | 26 | 138 | Esophagus motility study |
| 91011 | 138 | Esophagus motility study | |
| 91011 | TC | 139 | Esophagus motility study |
| 91011 | 26 | 138 | Esophagus motility study |
| 91012 | 138 | Esophagus motility study | |
| 91012 | TC | 139 | Esophagus motility study |
| 91012 | 26 | 138 | Esophagus motility study |
| 91020 | 138 | Gastric motility | |
| 91020 | TC | 139 | Gastric motility |
| 91020 | 26 | 138 | Gastric motility |
| 91022 | 138 | Duodenal motility study | |
| 91022 | TC | 139 | Duodenal motility study |
| 91022 | 26 | 138 | Duodenal motility study |
| 91030 | 138 | Acid perfusion of esophagus | |
| 91030 | TC | 139 | Acid perfusion of esophagus |
| 91030 | 26 | 138 | Acid perfusion of esophagus |
| 91034 | 138 | Gastroesophageal reflux test | |
| 91034 | TC | 139 | Gastroesophageal reflux test |
| 91034 | 26 | 138 | Gastroesophageal reflux test |
| 91035 | 138 | G-esoph reflx tst w/electrod | |
| 91035 | TC | 139 | G-esoph reflx tst w/electrod |
| 91035 | 26 | 138 | G-esoph reflx tst w/electrod |
| 91037 | 138 | Esoph imped function test | |
| 91037 | TC | 139 | Esoph imped function test |
| 91037 | 26 | 138 | Esoph imped function test |
| 91038 | 138 | Esoph imped funct test > 1h | |
| 91038 | TC | 139 | Esoph imped funct test > 1h |
| 91038 | 26 | 138 | Esoph imped funct test > 1h |
| 91040 | 138 | Esoph balloon distension tst | |
| 91040 | TC | 139 | Esoph balloon distension tst |
| 91040 | 26 | 138 | Esoph balloon distension tst |
| 91052 | 138 | Gastric analysis test | |
| 91052 | TC | 139 | Gastric analysis test |
| 91052 | 26 | 138 | Gastric analysis test |
| 91055 | 114 | Gastric intubation for smear | |
| 91055 | TC | 115 | Gastric intubation for smear |
| 91055 | 26 | 114 | Gastric intubation for smear |
| 91065 | 138 | Breath hydrogen test | |
| 91065 | TC | 139 | Breath hydrogen test |
| 91065 | 26 | 138 | Breath hydrogen test |
| 91105 | 112 | Gastric intubation treatment | |
| 91110 | 168 | Gi tract capsule endoscopy | |
| 91110 | TC | 170 | Gi tract capsule endoscopy |
| 91110 | 26 | 168 | Gi tract capsule endoscopy |
| 91111 | 168 | Esophageal capsule endoscopy | |
| 91111 | TC | 170 | Esophageal capsule endoscopy |
| 91111 | 26 | 168 | Esophageal capsule endoscopy |
| 91120 | 168 | Rectal sensation test | |
| 91120 | TC | 170 | Rectal sensation test |
| 91120 | 26 | 168 | Rectal sensation test |
| 91122 | 114 | Anal pressure record | |
| 91122 | TC | 115 | Anal pressure record |
| 91122 | 26 | 114 | Anal pressure record |
| 91132 | 151 | Electrogastrography | |
| 91132 | TC | 153 | Electrogastrography |
| 91132 | 26 | 151 | Electrogastrography |
| 91133 | 168 | Electrogastrography w/test | |
| 91133 | TC | 170 | Electrogastrography w/test |
| 91133 | 26 | 168 | Electrogastrography w/test |
| 91299 | 219 | Gastroenterology procedure, unlisted | |
| 91299 | TC | 219 | Gastroenterology procedure, unlisted |
| 91299 | 26 | 219 | Gastroenterology procedure, unlisted |
| 92002 | 78 | Eye exam, new patient | |
| 92004 | 78 | Eye exam, new patient | |
| 92012 | 78 | Eye exam established pat | |
| 92014 | 78 | Eye exam & treatment | |
| 92015 | 290 | Refraction | |
| 92018 | 195 | New eye exam & treatment | |
| 92019 | 195 | Eye exam & treatment | |
| 92020 | 194 | Special eye evaluation | |
| 92025 | 151 | Corneal topography | |
| 92025 | TC | 153 | Corneal topography |
| 92025 | 26 | 151 | Corneal topography |
| 92060 | 167 | Special eye evaluation | |
| 92060 | TC | 169 | Special eye evaluation |
| 92060 | 26 | 167 | Special eye evaluation |
| 92065 | 167 | Orthoptic/pleoptic training | |
| 92065 | TC | 169 | Orthoptic/pleoptic training |
| 92065 | 26 | 167 | Orthoptic/pleoptic training |
| 92070 | 197 | Fitting of contact lens | |
| 92081 | 167 | Visual field examination(s) | |
| 92081 | TC | 169 | Visual field examination(s) |
| 92081 | 26 | 167 | Visual field examination(s) |
| 92082 | 167 | Visual field examination(s) | |
| 92082 | TC | 169 | Visual field examination(s) |
| 92082 | 26 | 167 | Visual field examination(s) |
| 92083 | 167 | Visual field examination(s) | |
| 92083 | TC | 169 | Visual field examination(s) |
| 92083 | 26 | 167 | Visual field examination(s) |
| 92100 | 194 | Serial tonometry exam(s) | |
| 92120 | 218 | Tonography & eye evaluation | |
| 92130 | 194 | Water provocation tonography | |
| 92135 | 172 | Opthalmic dx imaging | |
| 92135 | TC | 173 | Opthalmic dx imaging |
| 92135 | 26 | 172 | Opthalmic dx imaging |
| 92136 | 167 | Ophthalmic biometry | |
| 92136 | TC | 169 | Ophthalmic biometry |
| 92136 | 26 | 172 | Ophthalmic biometry |
| 92140 | 194 | Glaucoma provocative tests | |
| 92225 | 220 | Special eye exam, initial | |
| 92226 | 220 | Special eye exam, subsequent | |
| 92230 | 197 | Eye exam with photos | |
| 92235 | 172 | Eye exam with photos | |
| 92235 | TC | 173 | Eye exam with photos |
| 92235 | 26 | 172 | Eye exam with photos |
| 92240 | 172 | Icg angiography | |
| 92240 | TC | 173 | Icg angiography |
| 92240 | 26 | 172 | Icg angiography |
| 92250 | 150 | Eye exam with photos | |
| 92250 | TC | 152 | Eye exam with photos |
| 92250 | 26 | 150 | Eye exam with photos |
| 92260 | 194 | Ophthalmoscopy/dynamometry | |
| 92265 | 150 | Eye muscle evaluation | |
| 92265 | TC | 152 | Eye muscle evaluation |
| 92265 | 26 | 150 | Eye muscle evaluation |
| 92270 | 150 | Electro-oculography | |
| 92270 | TC | 152 | Electro-oculography |
| 92270 | 26 | 150 | Electro-oculography |
| 92275 | 167 | Electroretinography | |
| 92275 | TC | 169 | Electroretinography |
| 92275 | 26 | 167 | Electroretinography |
| 92283 | 167 | Color vision examination | |
| 92283 | TC | 169 | Color vision examination |
| 92283 | 26 | 167 | Color vision examination |
| 92284 | 167 | Dark adaptation eye exam | |
| 92284 | TC | 169 | Dark adaptation eye exam |
| 92284 | 26 | 167 | Dark adaptation eye exam |
| 92285 | 167 | Eye photography | |
| 92285 | TC | 169 | Eye photography |
| 92285 | 26 | 167 | Eye photography |
| 92286 | 167 | Internal eye photography | |
| 92286 | TC | 169 | Internal eye photography |
| 92286 | 26 | 167 | Internal eye photography |
| 92287 | 167 | Internal eye photography | |
| 92310 | 290 | Contact lens fitting | |
| 92311 | 219 | Contact lens fitting | |
| 92312 | 218 | Contact lens fitting | |
| 92313 | 219 | Contact lens fitting | |
| 92314 | 290 | Prescription of contact lens | |
| 92315 | 219 | Prescription of contact lens | |
| 92316 | 218 | Prescription of contact lens | |
| 92317 | 219 | Prescription of contact lens | |
| 92325 | 195 | Modification of contact lens | |
| 92326 | 219 | Replacement of contact lens | |
| 92340 | 290 | Fitting of spectacles | |
| 92341 | 290 | Fitting of spectacles | |
| 92342 | 290 | Fitting of spectacles | |
| 92352 | 290 | Special spectacles fitting | |
| 92353 | 290 | Special spectacles fitting | |
| 92354 | 290 | Special spectacles fitting | |
| 92355 | 290 | Special spectacles fitting | |
| 92358 | 290 | Eye prosthesis service | |
| 92370 | 290 | Repair & adjust spectacles | |
| 92371 | 290 | Repair & adjust spectacles | |
| 92499 | 219 | Eye service or procedure, unlisted | |
| 92499 | TC | 219 | Eye service or procedure, unlisted |
| 92499 | 26 | 219 | Eye service or procedure, unlisted |
| 92502 | 114 | Ear and throat examination | |
| 92504 | 195 | Ear microscopy examination | |
| 92506 | 195 | Speech/hearing evaluation | |
| 92507 | 195 | Speech/hearing therapy | |
| 92508 | 195 | Speech/hearing therapy | |
| 92511 | 114 | Nasopharyngoscopy | |
| 92512 | 195 | Nasal function studies | |
| 92516 | 195 | Facial nerve function test | |
| 92520 | 195 | Laryngeal function studies | |
| 92526 | 195 | Oral function therapy | |
| 92540 | 151 | Basic vestibular evaluation | |
| 92540 | TC | 153 | Basic vestibular evaluation |
| 92540 | 26 | 151 | Basic vestibular evaluation |
| 92541 | 151 | Spontaneous nystagmus test | |
| 92541 | TC | 153 | Spontaneous nystagmus test |
| 92541 | 26 | 151 | Spontaneous nystagmus test |
| 92542 | 151 | Positional nystagmus test | |
| 92542 | TC | 153 | Positional nystagmus test |
| 92542 | 26 | 151 | Positional nystagmus test |
| 92543 | 151 | Caloric vestibular test | |
| 92543 | TC | 153 | Caloric vestibular test |
| 92543 | 26 | 151 | Caloric vestibular test |
| 92544 | 151 | Optokinetic nystagmus test | |
| 92544 | TC | 153 | Optokinetic nystagmus test |
| 92544 | 26 | 151 | Optokinetic nystagmus test |
| 92545 | 151 | Oscillating tracking test | |
| 92545 | TC | 153 | Oscillating tracking test |
| 92545 | 26 | 151 | Oscillating tracking test |
| 92546 | 151 | Sinusoidal rotational test | |
| 92546 | TC | 153 | Sinusoidal rotational test |
| 92546 | 26 | 151 | Sinusoidal rotational test |
| 92547 | 249 | Use of vertical electrodes | |
| 92548 | 168 | Posturography | |
| 92548 | TC | 170 | Posturography |
| 92548 | 26 | 168 | Posturography |
| 92550 | 194 | Tympanometry & refles thresh | |
| 92551 | 286 | Pure tone hearing test, air | |
| 92552 | 189 | Pure tone audiometry, air | |
| 92553 | 194 | Audiometry, air & bone | |
| 92555 | 194 | Speech threshold audiometry | |
| 92556 | 194 | Speech audiometry, complete | |
| 92557 | 194 | Comprehensive hearing test | |
| 92561 | 194 | Bekesy audiometry, diagnosis | |
| 92562 | 194 | Loudness balance test | |
| 92563 | 194 | Tone decay hearing test | |
| 92564 | 194 | Sisi hearing test | |
| 92565 | 194 | Stenger test, pure tone | |
| 92567 | 194 | Tympanometry | |
| 92568 | 194 | Acoustic reflex testing | |
| 92570 | 194 | Acoustic immittance testing | |
| 92571 | 194 | Filtered speech hearing test | |
| 92572 | 194 | Staggered spondaic word test | |
| 92575 | 194 | Sensorineural acuity test | |
| 92576 | 194 | Synthetic sentence test | |
| 92577 | 194 | Stenger test, speech | |
| 92579 | 194 | Visual audiometry (vra) | |
| 92582 | 194 | Conditioning play audiometry | |
| 92583 | 194 | Select picture audiometry | |
| 92584 | 194 | Electrocochleography | |
| 92585 | 150 | Auditor evoke potent, compre | |
| 92585 | TC | 152 | Auditor evoke potent, compre |
| 92585 | 26 | 150 | Auditor evoke potent, compre |
| 92586 | 194 | Auditor evoke potent, limit | |
| 92587 | 150 | Evoked auditory test | |
| 92587 | TC | 152 | Evoked auditory test |
| 92587 | 26 | 150 | Evoked auditory test |
| 92588 | 150 | Evoked auditory test | |
| 92588 | TC | 152 | Evoked auditory test |
| 92588 | 26 | 150 | Evoked auditory test |
| 92590 | 290 | Hearing aid exam, one ear | |
| 92591 | 290 | Hearing aid exam, both ears | |
| 92592 | 290 | Hearing aid check, one ear | |
| 92593 | 290 | Hearing aid check, both ears | |
| 92594 | 290 | Electro hearng aid test, one | |
| 92595 | 290 | Electro hearng aid tst, both | |
| 92596 | 194 | Ear protector evaluation | |
| 92597 | 219 | Oral speech device eval | |
| 92603 | 219 | Cochlear implant f/up exam, >7yr | |
| 92604 | 195 | Reprogram cochlear implant 7 > | |
| 92607 | 219 | Ex for speech device rx, 1hr | |
| 92608 | 249 | Ex for speech device rx addl | |
| 92609 | 195 | Use of speech device service | |
| 92610 | 195 | Evaluate swallowing function | |
| 92611 | 195 | Motion fluoroscopy/swallow | |
| 92612 | 219 | Endoscopy swallow tst (fees) | |
| 92613 | 219 | Endoscopy swallow tst (fees) | |
| 92614 | 219 | Laryngoscopic sensory test | |
| 92615 | 219 | Eval laryngoscopy sense tst | |
| 92616 | 219 | Fees w/laryngeal sense test | |
| 92617 | 219 | Interprt fees/laryngeal test | |
| 92620 | 194 | Auditory function, 60 min | |
| 92621 | 232 | Auditory function, + 15 min | |
| 92625 | 218 | Tinnitus assessment | |
| 92626 | 194 | Eval aud rehab status | |
| 92627 | 249 | Eval aud status rehab add-on | |
| 92630 | 290 | Aud rehab pre-ling hear loss | |
| 92633 | 290 | Aud rehab postling hear loss | |
| 92640 | 218 | Aud brainstem implant programg | |
| 92700 | 219 | Ent procedure/service | |
| 92950 | 190 | Heart/lung resuscitation cpr | |
| 92953 | 114 | Temporary external pacing | |
| 92960 | 114 | Cardioversion electric, ext | |
| 92961 | 271 | Cardioversion, electric, int | |
| 92970 | 114 | Cardioassist, internal | |
| 92971 | 114 | Cardioassist, external | |
| 92973 | 249 | Percut coronary thrombectomy | |
| 92974 | 249 | Cath place, cardio brachytx | |
| 92975 | 113 | Dissolve clot, heart vessel | |
| 92977 | 219 | Dissolve clot, heart vessel | |
| 92978 | 249 | Intravasc us, heart add-on | |
| 92978 | TC | 249 | Intravasc us, heart add-on |
| 92978 | 26 | 249 | Intravasc us, heart add-on |
| 92979 | 249 | Intravasc us, heart add-on | |
| 92979 | TC | 249 | Intravasc us, heart add-on |
| 92979 | 26 | 249 | Intravasc us, heart add-on |
| 92980 | 137 | Insert intracoronary stent | |
| 92981 | 232 | Insert intracoronary stent | |
| 92982 | 113 | Coronary artery dilation | |
| 92984 | 232 | Coronary artery dilation | |
| 92986 | 30 | Revision of aortic valve | |
| 92987 | 30 | Revision of mitral valve | |
| 92990 | 61 | Revision of pulmonary valve | |
| 92992 | 61 | Revision of heart chamber | |
| 92993 | 61 | Revision of heart chamber | |
| 92995 | 113 | Coronary atherectomy | |
| 92996 | 232 | Coronary atherectomy add-on | |
| 92997 | 137 | Pul art balloon repr, percut | |
| 92998 | 249 | Pul art balloon repr, percut | |
| 93000 | 195 | Electrocardiogram, complete | |
| 93005 | 190 | Electrocardiogram, tracing | |
| 93010 | 195 | Electrocardiogram report | |
| 93012 | 195 | Transmission of ecg | |
| 93014 | 195 | Report on transmitted ecg | |
| 93015 | 195 | Cardiovascular stress test | |
| 93016 | 195 | Cardiovascular stress test | |
| 93017 | 195 | Cardiovascular stress test | |
| 93018 | 195 | Cardiovascular stress test | |
| 93024 | 168 | Cardiac drug stress test | |
| 93024 | TC | 170 | Cardiac drug stress test |
| 93024 | 26 | 168 | Cardiac drug stress test |
| 93025 | 168 | Microvolt t-wave assess | |
| 93025 | TC | 170 | Microvolt t-wave assess |
| 93025 | 26 | 168 | Microvolt t-wave assess |
| 93040 | 195 | Rhythm ECG with report | |
| 93041 | 195 | Rhythm ECG, tracing | |
| 93042 | 195 | Rhythm ECG, report | |
| 93224 | 195 | ECG monitor/report, 24 hrs | |
| 93225 | 195 | ECG monitor/record, 24 hrs | |
| 93226 | 195 | ECG monitor/report, 24 hrs | |
| 93227 | 195 | ECG monitor/review, 24 hrs | |
| 93228 | 195 | Remote 30 day ecg rev/report | |
| 93229 | 195 | Remote 30 day ecg tech supp | |
| 93230 | 195 | ECG monitor/report, 24 hrs | |
| 93231 | 195 | Ecg monitor/record, 24 hrs | |
| 93232 | 195 | ECG monitor/report, 24 hrs | |
| 93233 | 195 | ECG monitor/review, 24 hrs | |
| 93235 | 195 | ECG monitor/report, 24 hrs | |
| 93236 | 195 | ECG monitor/report, 24 hrs | |
| 93237 | 195 | ECG monitor/review, 24 hrs | |
| 93268 | 195 | ECG record/review | |
| 93270 | 195 | ECG recording | |
| 93271 | 195 | Ecg/monitoring and analysis | |
| 93272 | 195 | Ecg/review, interpret only | |
| 93278 | 151 | ECG/signal-averaged | |
| 93278 | TC | 153 | ECG/signal-averaged |
| 93278 | 26 | 151 | ECG/signal-averaged |
| 93279 | 151 | Pm device progr eval, sngl | |
| 93279 | TC | 153 | Pm device progr eval, sngl |
| 93279 | 26 | 151 | Pm device progr eval, sngl |
| 93280 | 151 | Pm device progr eval, dual | |
| 93280 | TC | 153 | Pm device progr eval, dual |
| 93280 | 26 | 151 | Pm device progr eval, dual |
| 93281 | 151 | Pm device progr eval, multi | |
| 93281 | TC | 153 | Pm device progr eval, multi |
| 93281 | 26 | 151 | Pm device progr eval, multi |
| 93282 | 151 | Icd device prog eval, 1 sngl | |
| 93282 | TC | 153 | Icd device prog eval, 1 sngl |
| 93282 | 26 | 151 | Icd device prog eval, 1 sngl |
| 93283 | 151 | Icd device progr eval, dual | |
| 93283 | TC | 153 | Icd device progr eval, dual |
| 93283 | 26 | 151 | Icd device progr eval, dual |
| 93284 | 151 | Icd device progr eval, mult | |
| 93284 | TC | 153 | Icd device progr eval, mult |
| 93284 | 26 | 151 | Icd device progr eval, mult |
| 93285 | 151 | Ilr device eval progr | |
| 93285 | TC | 153 | Ilr device eval progr |
| 93285 | 26 | 151 | Ilr device eval progr |
| 93286 | 151 | Pre-op pm device eval | |
| 93286 | TC | 153 | Pre-op pm device eval |
| 93286 | 26 | 151 | Pre-op pm device eval |
| 93287 | 151 | Pre-op icd device eval | |
| 93287 | TC | 153 | Pre-op icd device eval |
| 93287 | 26 | 151 | Pre-op icd device eval |
| 93288 | 151 | Pm device eval in person | |
| 93288 | TC | 153 | Pm device eval in person |
| 93288 | 26 | 151 | Pm device eval in person |
| 93289 | 151 | Icd device interrogate | |
| 93289 | TC | 153 | Icd device interrogate |
| 93289 | 26 | 151 | Icd device interrogate |
| 93290 | 151 | Icm device eval | |
| 93290 | TC | 153 | Icm device eval |
| 93290 | 26 | 151 | Icm device eval |
| 93291 | 151 | Ilr device interrogate | |
| 93291 | TC | 153 | Ilr device interrogate |
| 93291 | 26 | 151 | Ilr device interrogate |
| 93292 | 151 | Wcd device interrogate | |
| 93292 | TC | 153 | Wcd device interrogate |
| 93292 | 26 | 151 | Wcd device interrogate |
| 93293 | 151 | Pm phone r-strip device eval | |
| 93293 | TC | 153 | Pm phone r-strip device eval |
| 93293 | 26 | 151 | Pm phone r-strip device eval |
| 93294 | 195 | Pm device interrogate remote | |
| 93295 | 195 | Icd device interrogat remote | |
| 93296 | 195 | Pm/icd remote tech serv | |
| 93297 | 195 | Icm device interrogat remote | |
| 93298 | 195 | Ilr device interrogat remote | |
| 93299 | 195 | Icm/ilr remote tech serv | |
| 93303 | 151 | Echo transthoracic | |
| 93303 | TC | 153 | Echo transthoracic |
| 93303 | 26 | 151 | Echo transthoracic |
| 93304 | 151 | Echo transthoracic | |
| 93304 | TC | 153 | Echo transthoracic |
| 93304 | 26 | 151 | Echo transthoracic |
| 93306 | 151 | Tte w/doppler, complete | |
| 93306 | TC | 153 | Tte w/doppler, complete |
| 93306 | 26 | 151 | Tte w/doppler, complete |
| 93307 | 151 | Echo exam of heart | |
| 93307 | TC | 153 | Echo exam of heart |
| 93307 | 26 | 151 | Echo exam of heart |
| 93308 | 151 | Echo exam of heart | |
| 93308 | TC | 153 | Echo exam of heart |
| 93308 | 26 | 151 | Echo exam of heart |
| 93312 | 151 | Echo transesophageal | |
| 93312 | TC | 153 | Echo transesophageal |
| 93312 | 26 | 151 | Echo transesophageal |
| 93313 | 195 | Echo transesophageal | |
| 93314 | 151 | Echo transesophageal | |
| 93314 | TC | 153 | Echo transesophageal |
| 93314 | 26 | 151 | Echo transesophageal |
| 93315 | 151 | Echo transesophageal | |
| 93315 | TC | 153 | Echo transesophageal |
| 93315 | 26 | 151 | Echo transesophageal |
| 93316 | 195 | Echo transesophageal | |
| 93317 | 151 | Echo transesophageal | |
| 93317 | TC | 153 | Echo transesophageal |
| 93317 | 26 | 151 | Echo transesophageal |
| 93318 | 151 | Echo transesophageal intraop | |
| 93318 | TC | 153 | Echo transesophageal intraop |
| 93318 | 26 | 151 | Echo transesophageal intraop |
| 93320 | 232 | Doppler echo exam, heart | |
| 93320 | TC | 232 | Doppler echo exam, heart |
| 93320 | 26 | 232 | Doppler echo exam, heart |
| 93321 | 232 | Doppler echo exam, heart | |
| 93321 | TC | 232 | Doppler echo exam, heart |
| 93321 | 26 | 232 | Doppler echo exam, heart |
| 93325 | 232 | Doppler color flow add-on | |
| 93325 | TC | 232 | Doppler color flow add-on |
| 93325 | 26 | 232 | Doppler color flow add-on |
| 93350 | 168 | Echo transthoracic | |
| 93350 | TC | 170 | Echo transthoracic |
| 93350 | 26 | 168 | Echo transthoracic |
| 93351 | 195 | Stress tte complete | |
| 93351 | TC | 195 | Stress tte complete |
| 93351 | 26 | 195 | Stress tte complete |
| 93352 | 249 | Admin ecg contrast agent | |
| 93501 | 113 | Right heart catheterization | |
| 93501 | TC | 115 | Right heart catheterization |
| 93501 | 26 | 113 | Right heart catheterization |
| 93503 | 114 | Insert/place heart catheter | |
| 93505 | 113 | Biopsy of heart lining | |
| 93505 | TC | 115 | Biopsy of heart lining |
| 93505 | 26 | 113 | Biopsy of heart lining |
| 93508 | 113 | Cath placement, angiography | |
| 93508 | TC | 115 | Cath placement, angiography |
| 93508 | 26 | 113 | Cath placement, angiography |
| 93510 | 113 | Left heart catheterization | |
| 93510 | TC | 115 | Left heart catheterization |
| 93510 | 26 | 113 | Left heart catheterization |
| 93511 | 113 | Left heart catheterization | |
| 93511 | TC | 115 | Left heart catheterization |
| 93511 | 26 | 113 | Left heart catheterization |
| 93514 | 113 | Left heart catheterization | |
| 93514 | TC | 115 | Left heart catheterization |
| 93514 | 26 | 113 | Left heart catheterization |
| 93524 | 113 | Left heart catheterization | |
| 93524 | TC | 115 | Left heart catheterization |
| 93524 | 26 | 113 | Left heart catheterization |
| 93526 | 113 | Rt & Lt heart catheters | |
| 93526 | TC | 115 | Rt & Lt heart catheters |
| 93526 | 26 | 113 | Rt & Lt heart catheters |
| 93527 | 113 | Rt & Lt heart catheters | |
| 93527 | TC | 115 | Rt & Lt heart catheters |
| 93527 | 26 | 113 | Rt & Lt heart catheters |
| 93528 | 113 | Rt & Lt heart catheters | |
| 93528 | TC | 115 | Rt & Lt heart catheters |
| 93528 | 26 | 113 | Rt & Lt heart catheters |
| 93529 | 113 | Rt< heart catheterization | |
| 93529 | TC | 115 | Rt< heart catheterization |
| 93529 | 26 | 113 | Rt< heart catheterization |
| 93530 | 113 | Rt heart cath, congenital | |
| 93530 | TC | 115 | Rt heart cath, congenital |
| 93530 | 26 | 113 | Rt heart cath, congenital |
| 93531 | 113 | R & l heart cath, congenital | |
| 93531 | TC | 115 | R & l heart cath, congenital |
| 93531 | 26 | 113 | R & l heart cath, congenital |
| 93532 | 113 | R & l heart cath, congenital | |
| 93532 | TC | 115 | R & l heart cath, congenital |
| 93532 | 26 | 113 | R & l heart cath, congenital |
| 93533 | 113 | R & l heart cath, congenital | |
| 93533 | TC | 115 | R & l heart cath, congenital |
| 93533 | 26 | 113 | R & l heart cath, congenital |
| 93539 | 138 | Injection, cardiac cath | |
| 93540 | 114 | Injection, cardiac cath | |
| 93541 | 113 | Injection for lung angiogram | |
| 93542 | 113 | Injection for heart x-rays | |
| 93543 | 113 | Injection for heart x-rays | |
| 93544 | 114 | Injection for aortography | |
| 93545 | 114 | Inject for coronary x-rays | |
| 93555 | 151 | Imaging, cardiac cath | |
| 93555 | TC | 153 | Imaging, cardiac cath |
| 93555 | 26 | 151 | Imaging, cardiac cath |
| 93556 | 151 | Imaging, cardiac cath | |
| 93556 | TC | 153 | Imaging, cardiac cath |
| 93556 | 26 | 151 | Imaging, cardiac cath |
| 93561 | 114 | Cardiac output measurement | |
| 93561 | TC | 115 | Cardiac output measurement |
| 93561 | 26 | 114 | Cardiac output measurement |
| 93562 | 114 | Cardiac output measurement | |
| 93562 | TC | 115 | Cardiac output measurement |
| 93562 | 26 | 114 | Cardiac output measurement |
| 93571 | 249 | Heart flow reserve measure | |
| 93571 | TC | 249 | Heart flow reserve measure |
| 93571 | 26 | 249 | Heart flow reserve measure |
| 93572 | 249 | Heart flow reserve measure | |
| 93572 | TC | 249 | Heart flow reserve measure |
| 93572 | 26 | 249 | Heart flow reserve measure |
| 93580 | 113 | Transcath closure of asd | |
| 93581 | 113 | Transcath closure of vsd | |
| 93600 | 114 | Bundle of His recording | |
| 93600 | TC | 115 | Bundle of His recording |
| 93600 | 26 | 114 | Bundle of His recording |
| 93602 | 114 | Intra-atrial recording | |
| 93602 | TC | 115 | Intra-atrial recording |
| 93602 | 26 | 114 | Intra-atrial recording |
| 93603 | 114 | Right ventricular recording | |
| 93603 | TC | 115 | Right ventricular recording |
| 93603 | 26 | 114 | Right ventricular recording |
| 93609 | 249 | Map tachycardia, add-on | |
| 93609 | TC | 249 | Map tachycardia, add-on |
| 93609 | 26 | 249 | Map tachycardia, add-on |
| 93610 | 114 | Intra-atrial pacing | |
| 93610 | TC | 115 | Intra-atrial pacing |
| 93610 | 26 | 114 | Intra-atrial pacing |
| 93612 | 114 | Intraventricular pacing | |
| 93612 | TC | 115 | Intraventricular pacing |
| 93612 | 26 | 114 | Intraventricular pacing |
| 93613 | 249 | Electrophys map, 3d, add-on | |
| 93615 | 138 | Esophageal recording | |
| 93615 | TC | 139 | Esophageal recording |
| 93615 | 26 | 138 | Esophageal recording |
| 93616 | 138 | Esophageal recording | |
| 93616 | TC | 139 | Esophageal recording |
| 93616 | 26 | 138 | Esophageal recording |
| 93618 | 114 | Heart rhythm pacing | |
| 93618 | TC | 115 | Heart rhythm pacing |
| 93618 | 26 | 114 | Heart rhythm pacing |
| 93619 | 137 | Electrophysiology evaluation | |
| 93619 | TC | 139 | Electrophysiology evaluation |
| 93619 | 26 | 137 | Electrophysiology evaluation |
| 93620 | 137 | Electrophysiology evaluation | |
| 93620 | TC | 139 | Electrophysiology evaluation |
| 93620 | 26 | 137 | Electrophysiology evaluation |
| 93621 | 249 | Electrophysiology evaluation | |
| 93621 | TC | 249 | Electrophysiology evaluation |
| 93621 | 26 | 249 | Electrophysiology evaluation |
| 93622 | 249 | Electrophysiology evaluation | |
| 93622 | TC | 249 | Electrophysiology evaluation |
| 93622 | 26 | 249 | Electrophysiology evaluation |
| 93623 | 249 | Stimulation, pacing heart | |
| 93623 | TC | 249 | Stimulation, pacing heart |
| 93623 | 26 | 249 | Stimulation, pacing heart |
| 93624 | 113 | Electrophysiologic study | |
| 93624 | TC | 115 | Electrophysiologic study |
| 93624 | 26 | 113 | Electrophysiologic study |
| 93631 | 138 | Heart pacing, mapping | |
| 93631 | TC | 139 | Heart pacing, mapping |
| 93631 | 26 | 138 | Heart pacing, mapping |
| 93640 | 137 | Evaluation heart device | |
| 93640 | TC | 139 | Evaluation heart device |
| 93640 | 26 | 137 | Evaluation heart device |
| 93641 | 137 | Electrophysiology evaluation | |
| 93641 | TC | 139 | Electrophysiology evaluation |
| 93641 | 26 | 137 | Electrophysiology evaluation |
| 93642 | 137 | Electrophysiology evaluation | |
| 93642 | TC | 139 | Electrophysiology evaluation |
| 93642 | 26 | 137 | Electrophysiology evaluation |
| 93650 | 137 | Ablate heart dysrhythm focus | |
| 93651 | 137 | Ablate heart dysrhythm focus | |
| 93652 | 137 | Ablate heart dysrhythm focus | |
| 93660 | 137 | Tilt table evaluation | |
| 93660 | TC | 139 | Tilt table evaluation |
| 93660 | 26 | 137 | Tilt table evaluation |
| 93662 | 232 | Intracardiac ecg (ice) | |
| 93662 | TC | 232 | Intracardiac ecg (ice) |
| 93662 | 26 | 232 | Intracardiac ecg (ice) |
| 93668 | 290 | Peripheral vascular rehab, per session | |
| 93701 | 168 | Bioimpedance, thoracic | |
| 93701 | TC | 170 | Bioimpedance, thoracic |
| 93701 | 26 | 168 | Bioimpedance, thoracic |
| 93720 | 219 | Total body plethysmography | |
| 93721 | 195 | Plethysmography tracing | |
| 93722 | 195 | Plethysmography report | |
| 93724 | 138 | Analyze pacemaker system | |
| 93724 | TC | 139 | Analyze pacemaker system |
| 93724 | 26 | 138 | Analyze pacemaker system |
| 93740 | 277 | Temperature gradient studies | |
| 93740 | TC | 278 | Temperature gradient studies |
| 93740 | 26 | 277 | Temperature gradient studies |
| 93745 | 151 | Set-up cardiovert-defibrill | |
| 93745 | TC | 153 | Set-up cardiovert-defibrill |
| 93745 | 26 | 151 | Set-up cardiovert-defibrill |
| 93750 | 195 | Interrogation vad, in person | |
| 93770 | 277 | Measure venous pressure | |
| 93770 | TC | 278 | Measure venous pressure |
| 93770 | 26 | 277 | Measure venous pressure |
| 93784 | 219 | Ambulatory BP monitoring | |
| 93786 | 219 | Ambulatory BP recording | |
| 93788 | 219 | Ambulatory BP analysis | |
| 93790 | 219 | Review/report BP recording | |
| 93797 | 114 | Cardiac rehab | |
| 93798 | 138 | Cardiac rehab/monitor | |
| 93799 | 219 | Cardiovascular procedure, unlisted | |
| 93799 | TC | 219 | Cardiovascular procedure, unlisted |
| 93799 | 26 | 219 | Cardiovascular procedure, unlisted |
| 93875 | 167 | Extracranial study | |
| 93875 | TC | 169 | Extracranial study |
| 93875 | 26 | 167 | Extracranial study |
| 93880 | 167 | Extracranial study | |
| 93880 | TC | 169 | Extracranial study |
| 93880 | 26 | 167 | Extracranial study |
| 93882 | 168 | Extracranial study | |
| 93882 | TC | 170 | Extracranial study |
| 93882 | 26 | 168 | Extracranial study |
| 93886 | 168 | Intracranial study | |
| 93886 | TC | 170 | Intracranial study |
| 93886 | 26 | 168 | Intracranial study |
| 93888 | 151 | Intracranial study | |
| 93888 | TC | 153 | Intracranial study |
| 93888 | 26 | 151 | Intracranial study |
| 93890 | 168 | Tcd, vasoreactivity study | |
| 93890 | TC | 170 | Tcd, vasoreactivity study |
| 93890 | 26 | 168 | Tcd, vasoreactivity study |
| 93892 | 151 | Tcd, emboli detect w/o inj | |
| 93892 | TC | 153 | Tcd, emboli detect w/o inj |
| 93892 | 26 | 151 | Tcd, emboli detect w/o inj |
| 93893 | 168 | Tcd, emboli detect w/inj | |
| 93893 | TC | 170 | Tcd, emboli detect w/inj |
| 93893 | 26 | 168 | Tcd, emboli detect w/inj |
| 93922 | 150 | Extremity study | |
| 93922 | TC | 152 | Extremity study |
| 93922 | 26 | 150 | Extremity study |
| 93923 | 150 | Extremity study | |
| 93923 | TC | 152 | Extremity study |
| 93923 | 26 | 150 | Extremity study |
| 93924 | 150 | Extremity study | |
| 93924 | TC | 152 | Extremity study |
| 93924 | 26 | 150 | Extremity study |
| 93925 | 150 | Lower extremity study | |
| 93925 | TC | 152 | Lower extremity study |
| 93925 | 26 | 150 | Lower extremity study |
| 93926 | 151 | Lower extremity study | |
| 93926 | TC | 153 | Lower extremity study |
| 93926 | 26 | 151 | Lower extremity study |
| 93930 | 150 | Upper extremity study | |
| 93930 | TC | 152 | Upper extremity study |
| 93930 | 26 | 150 | Upper extremity study |
| 93931 | 151 | Upper extremity study | |
| 93931 | TC | 153 | Upper extremity study |
| 93931 | 26 | 151 | Upper extremity study |
| 93965 | 150 | Extremity study | |
| 93965 | TC | 152 | Extremity study |
| 93965 | 26 | 150 | Extremity study |
| 93970 | 150 | Extremity study | |
| 93970 | TC | 152 | Extremity study |
| 93970 | 26 | 150 | Extremity study |
| 93971 | 151 | Extremity study | |
| 93971 | TC | 153 | Extremity study |
| 93971 | 26 | 151 | Extremity study |
| 93975 | 151 | Vascular study | |
| 93975 | TC | 153 | Vascular study |
| 93975 | 26 | 151 | Vascular study |
| 93976 | 151 | Vascular study | |
| 93976 | TC | 153 | Vascular study |
| 93976 | 26 | 151 | Vascular study |
| 93978 | 151 | Vascular study | |
| 93978 | TC | 153 | Vascular study |
| 93978 | 26 | 151 | Vascular study |
| 93979 | 151 | Vascular study | |
| 93979 | TC | 153 | Vascular study |
| 93979 | 26 | 151 | Vascular study |
| 93980 | 151 | Penile vascular study | |
| 93980 | TC | 153 | Penile vascular study |
| 93980 | 26 | 151 | Penile vascular study |
| 93981 | 151 | Penile vascular study | |
| 93981 | TC | 153 | Penile vascular study |
| 93981 | 26 | 151 | Penile vascular study |
| 93982 | 195 | Aneurysm pressure sens study | |
| 93990 | 151 | Doppler flow testing | |
| 93990 | TC | 153 | Doppler flow testing |
| 93990 | 26 | 151 | Doppler flow testing |
| 94002 | 195 | Vent mgmt inpat, init day | |
| 94003 | 195 | Vent mgmt inpat, subq day | |
| 94004 | 195 | Vent mgmt nf per day | |
| 94005 | 290 | Home vent mgmt supervision | |
| 94010 | 151 | Breathing capacity test | |
| 94010 | TC | 153 | Breathing capacity test |
| 94010 | 26 | 151 | Breathing capacity test |
| 94014 | 219 | Patient recorded spirometry | |
| 94015 | 195 | Patient recorded spirometry | |
| 94016 | 195 | Review patient spirometry | |
| 94060 | 151 | Evaluation of wheezing | |
| 94060 | TC | 153 | Evaluation of wheezing |
| 94060 | 26 | 151 | Evaluation of wheezing |
| 94070 | 168 | Evaluation of wheezing | |
| 94070 | TC | 170 | Evaluation of wheezing |
| 94070 | 26 | 168 | Evaluation of wheezing |
| 94150 | 277 | Vital capacity test | |
| 94150 | TC | 278 | Vital capacity test |
| 94150 | 26 | 277 | Vital capacity test |
| 94200 | 151 | Lung function test (MBC/MVV) | |
| 94200 | TC | 153 | Lung function test (MBC/MVV) |
| 94200 | 26 | 151 | Lung function test (MBC/MVV) |
| 94240 | 168 | Residual lung capacity | |
| 94240 | TC | 170 | Residual lung capacity |
| 94240 | 26 | 168 | Residual lung capacity |
| 94250 | 151 | Expired gas collection | |
| 94250 | TC | 153 | Expired gas collection |
| 94250 | 26 | 151 | Expired gas collection |
| 94260 | 151 | Thoracic gas volume | |
| 94260 | TC | 153 | Thoracic gas volume |
| 94260 | 26 | 151 | Thoracic gas volume |
| 94350 | 168 | Lung nitrogen washout curve | |
| 94350 | TC | 170 | Lung nitrogen washout curve |
| 94350 | 26 | 168 | Lung nitrogen washout curve |
| 94360 | 151 | Measure airflow resistance | |
| 94360 | TC | 153 | Measure airflow resistance |
| 94360 | 26 | 151 | Measure airflow resistance |
| 94370 | 168 | Breath airway closing volume | |
| 94370 | TC | 170 | Breath airway closing volume |
| 94370 | 26 | 168 | Breath airway closing volume |
| 94375 | 151 | Respiratory flow volume loop | |
| 94375 | TC | 153 | Respiratory flow volume loop |
| 94375 | 26 | 151 | Respiratory flow volume loop |
| 94400 | 168 | CO2 breathing response curve | |
| 94400 | TC | 170 | CO2 breathing response curve |
| 94400 | 26 | 168 | CO2 breathing response curve |
| 94450 | 168 | Hypoxia response curve | |
| 94450 | TC | 170 | Hypoxia response curve |
| 94450 | 26 | 168 | Hypoxia response curve |
| 94452 | 151 | Hast w/report | |
| 94452 | TC | 153 | Hast w/report |
| 94452 | 26 | 151 | Hast w/report |
| 94453 | 168 | Hast w/oxygen titrate | |
| 94453 | TC | 170 | Hast w/oxygen titrate |
| 94453 | 26 | 168 | Hast w/oxygen titrate |
| 94610 | 195 | Surfactant admin thru tube | |
| 94620 | 151 | Pulmonary stress test/simple | |
| 94620 | TC | 153 | Pulmonary stress test/simple |
| 94620 | 26 | 151 | Pulmonary stress test/simple |
| 94621 | 168 | Pulm stress test/complex | |
| 94621 | TC | 170 | Pulm stress test/complex |
| 94621 | 26 | 168 | Pulm stress test/complex |
| 94640 | 195 | Airway inhalation treatment | |
| 94642 | 219 | Aerosol inhalation treatment | |
| 94644 | 190 | Cbt, 1st hour | |
| 94645 | 249 | Cbt, each addl hour | |
| 94660 | 195 | Pos airway pressure, CPAP | |
| 94662 | 195 | Neg press ventilation, cnp | |
| 94664 | 195 | Aerosol or vapor inhalations | |
| 94667 | 216 | Chest wall manipulation | |
| 94668 | 216 | Chest wall manipulation | |
| 94680 | 151 | Exhaled air analysis, o2 | |
| 94680 | TC | 153 | Exhaled air analysis, o2 |
| 94680 | 26 | 151 | Exhaled air analysis, o2 |
| 94681 | 151 | Exhaled air analysis, o2/co2 | |
| 94681 | TC | 153 | Exhaled air analysis, o2/co2 |
| 94681 | 26 | 151 | Exhaled air analysis, o2/co2 |
| 94690 | 151 | Exhaled air analysis | |
| 94690 | TC | 153 | Exhaled air analysis |
| 94690 | 26 | 151 | Exhaled air analysis |
| 94720 | 168 | Monoxide diffusing capacity | |
| 94720 | TC | 170 | Monoxide diffusing capacity |
| 94720 | 26 | 168 | Monoxide diffusing capacity |
| 94725 | 168 | Membrane diffusion capacity | |
| 94725 | TC | 170 | Membrane diffusion capacity |
| 94725 | 26 | 168 | Membrane diffusion capacity |
| 94750 | 151 | Pulmonary compliance study | |
| 94750 | TC | 153 | Pulmonary compliance study |
| 94750 | 26 | 151 | Pulmonary compliance study |
| 94760 | 219 | Measure blood oxygen level | |
| 94761 | 219 | Measure blood oxygen level | |
| 94762 | 195 | Measure blood oxygen level | |
| 94770 | 151 | Exhaled carbon dioxide test | |
| 94770 | TC | 153 | Exhaled carbon dioxide test |
| 94770 | 26 | 151 | Exhaled carbon dioxide test |
| 94799 | 219 | Pulmonary service/procedure, unlisted | |
| 94799 | TC | 219 | Pulmonary service/procedure, unlisted |
| 94799 | 26 | 219 | Pulmonary service/procedure, unlisted |
| 95004 | 216 | Allergy skin tests | |
| 95010 | 190 | Sensitivity skin tests | |
| 95012 | 219 | Exhaled nitric oxide meas | |
| 95015 | 190 | Sensitivity skin tests | |
| 95024 | 190 | Allergy skin tests | |
| 95027 | 190 | Skin end point titration | |
| 95028 | 190 | Allergy skin tests | |
| 95044 | 216 | Allergy patch tests | |
| 95052 | 216 | Photo patch test | |
| 95056 | 216 | Photosensitivity tests | |
| 95060 | 190 | Eye allergy tests | |
| 95065 | 216 | Nose allergy test | |
| 95070 | 190 | Bronchial allergy tests | |
| 95071 | 216 | Bronchial allergy tests | |
| 95075 | 216 | Ingestion challenge test | |
| 95115 | 216 | Immunotherapy, one injection | |
| 95117 | 216 | Immunotherapy injections | |
| 95120 | 286 | Immunotherapy, one injection | |
| 95125 | 286 | Immunotherapy, many antigens | |
| 95130 | 286 | Immunotherapy, insect venom | |
| 95131 | 286 | Immunotherapy, insect venoms | |
| 95132 | 286 | Immunotherapy, insect venoms | |
| 95133 | 286 | Immunotherapy, insect venoms | |
| 95134 | 286 | Immunotherapy, insect venoms | |
| 95144 | 195 | Antigen therapy services | |
| 95145 | 195 | Antigen therapy services | |
| 95146 | 195 | Antigen therapy services | |
| 95147 | 195 | Antigen therapy services | |
| 95148 | 195 | Antigen therapy services | |
| 95149 | 219 | Antigen therapy services | |
| 95165 | 219 | Antigen therapy services | |
| 95170 | 219 | Antigen therapy services | |
| 95180 | 219 | Rapid desensitization | |
| 95199 | 219 | Allergy immunology services, unlisted | |
| 95250 | 219 | Glucose monitoring, cont | |
| 95251 | 219 | Gluc monitor, cont, phys i&r | |
| 95803 | 168 | Actigraphy testing | |
| 95803 | TC | 170 | Actigraphy testing |
| 95803 | 26 | 168 | Actigraphy testing |
| 95805 | 145 | Multiple sleep latency test | |
| 95805 | TC | 146 | Multiple sleep latency test |
| 95805 | 26 | 145 | Multiple sleep latency test |
| 95806 | 190 | Sleep study, unattended | |
| 95806 | TC | 190 | Sleep study, unattended |
| 95806 | 26 | 190 | Sleep study, unattended |
| 95807 | 145 | Sleep study, attended | |
| 95807 | TC | 146 | Sleep study, attended |
| 95807 | 26 | 145 | Sleep study, attended |
| 95808 | 162 | Polysomnography, 1-3 | |
| 95808 | TC | 163 | Polysomnography, 1-3 |
| 95808 | 26 | 162 | Polysomnography, 1-3 |
| 95810 | 162 | Polysomnography, 4 or more | |
| 95810 | TC | 163 | Polysomnography, 4 or more |
| 95810 | 26 | 162 | Polysomnography, 4 or more |
| 95811 | 162 | Polysomnography w/cpap | |
| 95811 | TC | 163 | Polysomnography w/cpap |
| 95811 | 26 | 162 | Polysomnography w/cpap |
| 95812 | 145 | Electroencephalogram (EEG) | |
| 95812 | TC | 146 | Electroencephalogram (EEG) |
| 95812 | 26 | 145 | Electroencephalogram (EEG) |
| 95813 | 145 | Electroencephalogram (EEG) | |
| 95813 | TC | 146 | Electroencephalogram (EEG) |
| 95813 | 26 | 145 | Electroencephalogram (EEG) |
| 95816 | 145 | Electroencephalogram (EEG) | |
| 95816 | TC | 146 | Electroencephalogram (EEG) |
| 95816 | 26 | 145 | Electroencephalogram (EEG) |
| 95819 | 145 | Electroencephalogram (EEG) | |
| 95819 | TC | 146 | Electroencephalogram (EEG) |
| 95819 | 26 | 145 | Electroencephalogram (EEG) |
| 95822 | 145 | Sleep electroencephalogram | |
| 95822 | TC | 146 | Sleep electroencephalogram |
| 95822 | 26 | 145 | Sleep electroencephalogram |
| 95824 | 151 | Electroencephalography | |
| 95824 | TC | 153 | Electroencephalography |
| 95824 | 26 | 151 | Electroencephalography |
| 95827 | 145 | Night electroencephalogram | |
| 95827 | TC | 146 | Night electroencephalogram |
| 95827 | 26 | 145 | Night electroencephalogram |
| 95829 | 151 | Surgery electrocorticogram | |
| 95829 | TC | 153 | Surgery electrocorticogram |
| 95829 | 26 | 151 | Surgery electrocorticogram |
| 95830 | 219 | Insert electrodes for EEG | |
| 95831 | 190 | Limb muscle testing, manual | |
| 95832 | 190 | Hand muscle testing, manual | |
| 95833 | 190 | Body muscle testing, manual | |
| 95834 | 190 | Body muscle testing, manual | |
| 95851 | 190 | Range of motion measurements | |
| 95852 | 190 | Range of motion measurements | |
| 95857 | 216 | Tensilon test | |
| 95860 | 151 | Muscle test, one limb | |
| 95860 | TC | 153 | Muscle test, one limb |
| 95860 | 26 | 151 | Muscle test, one limb |
| 95861 | 151 | Muscle test, two limbs | |
| 95861 | TC | 153 | Muscle test, two limbs |
| 95861 | 26 | 151 | Muscle test, two limbs |
| 95863 | 151 | Muscle test, 3 limbs | |
| 95863 | TC | 153 | Muscle test, 3 limbs |
| 95863 | 26 | 151 | Muscle test, 3 limbs |
| 95864 | 151 | Muscle test, 4 limbs | |
| 95864 | TC | 153 | Muscle test, 4 limbs |
| 95864 | 26 | 151 | Muscle test, 4 limbs |
| 95865 | 150 | Muscle test, larynx | |
| 95865 | TC | 152 | Muscle test, larynx |
| 95865 | 26 | 150 | Muscle test, larynx |
| 95866 | 154 | Muscle test, hemidiaphragm | |
| 95866 | TC | 155 | Muscle test, hemidiaphragm |
| 95866 | 26 | 154 | Muscle test, hemidiaphragm |
| 95867 | 151 | Muscle test, head or neck | |
| 95867 | TC | 153 | Muscle test, head or neck |
| 95867 | 26 | 151 | Muscle test, head or neck |
| 95868 | 150 | Muscle test, head or neck | |
| 95868 | TC | 152 | Muscle test, head or neck |
| 95868 | 26 | 150 | Muscle test, head or neck |
| 95869 | 151 | Muscle test, thor paraspinal | |
| 95869 | TC | 153 | Muscle test, thor paraspinal |
| 95869 | 26 | 151 | Muscle test, thor paraspinal |
| 95870 | 151 | Muscle test, nonparaspinal | |
| 95870 | TC | 153 | Muscle test, nonparaspinal |
| 95870 | 26 | 151 | Muscle test, nonparaspinal |
| 95872 | 151 | Muscle test, one fiber | |
| 95872 | TC | 153 | Muscle test, one fiber |
| 95872 | 26 | 151 | Muscle test, one fiber |
| 95873 | 232 | Guide nerv destr, elec stim | |
| 95873 | TC | 232 | Guide nerv destr, elec stim |
| 95873 | 26 | 232 | Guide nerv destr, elec stim |
| 95874 | 232 | Guide nerv destr, needle emg | |
| 95874 | TC | 232 | Guide nerv destr, needle emg |
| 95874 | 26 | 232 | Guide nerv destr, needle emg |
| 95875 | 151 | Limb exercise test | |
| 95875 | TC | 153 | Limb exercise test |
| 95875 | 26 | 151 | Limb exercise test |
| 95900 | 151 | Motor nerve conduction test | |
| 95900 | TC | 153 | Motor nerve conduction test |
| 95900 | 26 | 151 | Motor nerve conduction test |
| 95903 | 151 | Motor nerve conduction test | |
| 95903 | TC | 153 | Motor nerve conduction test |
| 95903 | 26 | 151 | Motor nerve conduction test |
| 95904 | 151 | Sense nerve conduction test | |
| 95904 | TC | 153 | Sense nerve conduction test |
| 95904 | 26 | 151 | Sense nerve conduction test |
| 95905 | 151 | Motor/sens nrve conduct test | |
| 95905 | TC | 153 | Motor/sens nrve conduct test |
| 95905 | 26 | 151 | Motor/sens nrve conduct test |
| 95920 | 232 | Intraop nerve test add-on | |
| 95920 | TC | 232 | Intraop nerve test add-on |
| 95920 | 26 | 232 | Intraop nerve test add-on |
| 95921 | 168 | Autonomic nerv function test | |
| 95921 | TC | 170 | Autonomic nerv function test |
| 95921 | 26 | 168 | Autonomic nerv function test |
| 95922 | 151 | Autonomic nerv function test | |
| 95922 | TC | 153 | Autonomic nerv function test |
| 95922 | 26 | 151 | Autonomic nerv function test |
| 95923 | 168 | Autonomic nerv function test | |
| 95923 | TC | 170 | Autonomic nerv function test |
| 95923 | 26 | 168 | Autonomic nerv function test |
| 95925 | 150 | Somatosensory testing | |
| 95925 | TC | 152 | Somatosensory testing |
| 95925 | 26 | 150 | Somatosensory testing |
| 95926 | 150 | Somatosensory testing | |
| 95926 | TC | 152 | Somatosensory testing |
| 95926 | 26 | 150 | Somatosensory testing |
| 95927 | 151 | Somatosensory testing | |
| 95927 | TC | 153 | Somatosensory testing |
| 95927 | 26 | 151 | Somatosensory testing |
| 95928 | 151 | C motor evoked, uppr limbs | |
| 95928 | TC | 153 | C motor evoked, uppr limbs |
| 95928 | 26 | 151 | C motor evoked, uppr limbs |
| 95929 | 151 | C motor evoked, lwr limbs | |
| 95929 | TC | 153 | C motor evoked, lwr limbs |
| 95929 | 26 | 151 | C motor evoked, lwr limbs |
| 95930 | 150 | Visual evoked potential test | |
| 95930 | TC | 152 | Visual evoked potential test |
| 95930 | 26 | 150 | Visual evoked potential test |
| 95933 | 151 | Blink reflex test | |
| 95933 | TC | 153 | Blink reflex test |
| 95933 | 26 | 151 | Blink reflex test |
| 95934 | 154 | H-reflex test | |
| 95934 | TC | 155 | H-reflex test |
| 95934 | 26 | 154 | H-reflex test |
| 95936 | 154 | H-reflex test | |
| 95936 | TC | 155 | H-reflex test |
| 95936 | 26 | 154 | H-reflex test |
| 95937 | 151 | Neuromuscular junction test | |
| 95937 | TC | 153 | Neuromuscular junction test |
| 95937 | 26 | 151 | Neuromuscular junction test |
| 95950 | 151 | Ambulatory eeg monitoring | |
| 95950 | TC | 153 | Ambulatory eeg monitoring |
| 95950 | 26 | 151 | Ambulatory eeg monitoring |
| 95951 | 151 | EEG monitoring/videorecord | |
| 95951 | TC | 153 | EEG monitoring/videorecord |
| 95951 | 26 | 151 | EEG monitoring/videorecord |
| 95953 | 151 | EEG monitoring/computer | |
| 95953 | TC | 153 | EEG monitoring/computer |
| 95953 | 26 | 151 | EEG monitoring/computer |
| 95954 | 151 | EEG monitoring/giving drugs | |
| 95954 | TC | 153 | EEG monitoring/giving drugs |
| 95954 | 26 | 151 | EEG monitoring/giving drugs |
| 95955 | 151 | EEG during surgery | |
| 95955 | TC | 153 | EEG during surgery |
| 95955 | 26 | 151 | EEG during surgery |
| 95956 | 151 | Eeg monitoring, cable/radio | |
| 95956 | TC | 153 | Eeg monitoring, cable/radio |
| 95956 | 26 | 151 | Eeg monitoring, cable/radio |
| 95957 | 151 | EEG digital analysis | |
| 95957 | TC | 153 | EEG digital analysis |
| 95957 | 26 | 151 | EEG digital analysis |
| 95958 | 151 | EEG monitoring/function test | |
| 95958 | TC | 153 | EEG monitoring/function test |
| 95958 | 26 | 151 | EEG monitoring/function test |
| 95961 | 151 | Electrode stimulation, brain | |
| 95961 | TC | 153 | Electrode stimulation, brain |
| 95961 | 26 | 151 | Electrode stimulation, brain |
| 95962 | 232 | Electrode stim, brain add-on | |
| 95962 | TC | 232 | Electrode stim, brain add-on |
| 95962 | 26 | 232 | Electrode stim, brain add-on |
| 95965 | 168 | Meg, spontaneous | |
| 95965 | TC | 170 | Meg, spontaneous |
| 95965 | 26 | 168 | Meg, spontaneous |
| 95966 | 168 | Meg, evoked, single | |
| 95966 | TC | 170 | Meg, evoked, single |
| 95966 | 26 | 168 | Meg, evoked, single |
| 95967 | 249 | Meg, evoked, each addl | |
| 95967 | TC | 249 | Meg, evoked, each addl |
| 95967 | 26 | 249 | Meg, evoked, each addl |
| 95970 | 195 | Analyze neurostim, no prog | |
| 95971 | 219 | Analyze neurostim, simple | |
| 95972 | 219 | Analyze neurostim, complex | |
| 95973 | 249 | Analyze neurostim, complex | |
| 95974 | 195 | Cranial neurostim, complex | |
| 95975 | 249 | Cranial neurostim, complex | |
| 95978 | 219 | Analyze neurostim brain/1h | |
| 95979 | 249 | Analyz neurostim brain addon | |
| 95980 | 219 | IO analysis, gast, n-stim init | |
| 95981 | 195 | IO analysis, gast, n-stim subsq | |
| 95982 | 195 | IO ga n-stim subsq w/ reprog | |
| 95990 | 195 | Spin/brain pump refil & main | |
| 95991 | 195 | Spin/brain pump refil & main | |
| 95992 | 290 | Canalith repositioning proc | |
| 95999 | 219 | Neurological procedure, unlisted | |
| 96000 | 218 | Motion analysis, video/3d | |
| 96001 | 218 | Motion test w/ft press meas | |
| 96002 | 218 | Dynamic surface emg | |
| 96003 | 218 | Dynamic fine wire emg | |
| 96004 | 218 | Phys review of motion tests | |
| 96020 | 151 | Functional brain mapping | |
| 96020 | TC | 153 | Functional brain mapping |
| 96020 | 26 | 151 | Functional brain mapping |
| 96101 | 195 | Psycho testing by psych/phys | |
| 96102 | 188 | Psycho testing by technician | |
| 96103 | 188 | Psycho testing admin by comp | |
| 96105 | 187 | Assessment of aphasia | |
| 96110 | 195 | Developmental test, lim | |
| 96111 | 195 | Developmental test, extend | |
| 96116 | 195 | Neurobehavioral status exam | |
| 96118 | 195 | Neuropsych tst by psych/phys | |
| 96119 | 188 | Neuropsych testing by tech | |
| 96120 | 188 | Neuropsych tst admin w/comp | |
| 96125 | 188 | Cognitive test by hc professional | |
| 96150 | 186 | Assess hlth/behave, init | |
| 96151 | 186 | Assess hlth/behave, subseq | |
| 96152 | 186 | Intervene hlth/behave, indiv | |
| 96153 | 186 | Intervene hlth/behave, group | |
| 96154 | 186 | Interv hlth/behav, fam w/pt | |
| 96155 | 284 | Interv hlth/behav fam no pt | |
| 96360 | 195 | Hydration iv infusion, init | |
| 96361 | 249 | Hydrate iv infusion, add-on | |
| 96365 | 195 | Ther/proph/diag iv inf, init | |
| 96366 | 249 | Ther/proph/diag iv inf add-on | |
| 96367 | 249 | Tx/proph/dg addl seq iv inf | |
| 96368 | 249 | Ther/diag concurrent inf | |
| 96369 | 195 | Sc ther infusion, up to 1 hr | |
| 96370 | 249 | Sc ther infusion, addl hr | |
| 96371 | 249 | Sc ther infusion, reset pump | |
| 96372 | 195 | Ther/proph/diag inj, sc/im | |
| 96373 | 195 | Ther/proph/diag inj, ia | |
| 96374 | 195 | Ther/proph/diag inj, iv push | |
| 96375 | 232 | Tx/pro/dx inj new drug add-on | |
| 96376 | 282 | Tx/pro/dx inj new drug add-on | |
| 96379 | 219 | Ther/prop/diag inj/inf proc | |
| 96401 | 190 | Chemo, anti-neopl, sq/im | |
| 96402 | 190 | Chemo hormon antineopl sq/im | |
| 96405 | 111 | Intralesional chemo admin | |
| 96406 | 111 | Intralesional chemo admin | |
| 96409 | 190 | Chemo, iv push, sngl drug | |
| 96411 | 248 | Chemo, iv push, addl drug | |
| 96413 | 190 | Chemo, iv infusion, 1 hr | |
| 96415 | 248 | Chemo, iv infusion, addl hr | |
| 96416 | 190 | Chemo prolong infuse w/pump | |
| 96417 | 248 | Chemo iv infus each addl seq | |
| 96420 | 190 | Chemotherapy, push technique | |
| 96422 | 190 | Chemotherapy infusion method | |
| 96423 | 231 | Chemo, infuse method add-on | |
| 96425 | 190 | Chemotherapy infusion method | |
| 96440 | 114 | Chemotherapy, intracavitary | |
| 96445 | 114 | Chemotherapy, intracavitary | |
| 96450 | 112 | Chemotherapy, into CNS | |
| 96521 | 190 | Refil/maint, portable pump | |
| 96522 | 195 | Refil/main pump/resvr syst | |
| 96523 | 195 | Irrig drug delivery device | |
| 96542 | 219 | Chemotherapy injection | |
| 96549 | 219 | Chemotherapy, unspecified | |
| 96567 | 219 | Photodynamic tx, skin | |
| 96570 | 232 | Photodynamic tx, 30 min | |
| 96571 | 232 | Photodynamic tx, addl 15 min | |
| 96900 | 219 | Ultraviolet light therapy | |
| 96904 | 219 | Whole body photography | |
| 96910 | 219 | Photochemotherapy with UV-B | |
| 96912 | 219 | Photochemotherapy with UV-A | |
| 96913 | 219 | Photochemotherapy, UV-A or B | |
| 96920 | 113 | Laser tx, skin < 250 sq cm | |
| 96921 | 113 | Laser tx, skin 250-500 sq cm | |
| 96922 | 137 | Laser tx, skin > 500 sq cm | |
| 96999 | 219 | Dermatological procedure, unlisted | |
| 97001 | 190 | Pt evaluation | |
| 97002 | 190 | Pt re-evaluation | |
| 97003 | 190 | Ot evaluation | |
| 97004 | 190 | Ot re-evaluation | |
| 97012 | 190 | Mechanical traction therapy | |
| 97014 | 286 | Electric stimulation therapy | |
| 97016 | 190 | Vasopneumatic device therapy | |
| 97018 | 190 | Paraffin bath therapy | |
| 97022 | 190 | Whirlpool therapy | |
| 97024 | 190 | Diathermy treatment | |
| 97026 | 190 | Infrared therapy | |
| 97028 | 190 | Ultraviolet therapy | |
| 97032 | 190 | Electrical stimulation | |
| 97033 | 190 | Electric current therapy | |
| 97034 | 190 | Contrast bath therapy | |
| 97035 | 190 | Ultrasound therapy | |
| 97036 | 190 | Hydrotherapy | |
| 97110 | 190 | Therapeutic exercises | |
| 97112 | 190 | Neuromuscular reeducation | |
| 97113 | 190 | Aquatic therapy/exercises | |
| 97116 | 190 | Gait training therapy | |
| 97124 | 190 | Massage therapy | |
| 97140 | 190 | Manual therapy | |
| 97150 | 190 | Group therapeutic procedures | |
| 97530 | 190 | Therapeutic activities | |
| 97532 | 190 | Cognitive skills development | |
| 97533 | 190 | Sensory integration | |
| 97535 | 190 | Self care mngment training | |
| 97537 | 190 | Community/work reintegration | |
| 97542 | 190 | Wheelchair mngment training | |
| 97545 | 190 | Work hardening, initial 2 hrs | |
| 97546 | 231 | Work hardening add-on, each add'l hr | |
| 97597 | 190 | Active wound care/20 cm or < | |
| 97598 | 190 | Active wound care > 20 cm | |
| 97605 | 190 | Neg press wound tx, < 50 cm | |
| 97606 | 190 | Neg press wound tx, > 50 cm | |
| 97750 | 190 | Physical performance test | |
| 97755 | 190 | Assistive technology assess | |
| 97760 | 190 | Orthotic mgmt and training | |
| 97761 | 190 | Prosthetic training | |
| 97762 | 190 | C/o for orthotic/prosth use | |
| 97802 | 190 | Medical nutrition, indiv, in | |
| 97803 | 190 | Med nutrition, indiv, subseq | |
| 97804 | 190 | Medical nutrition, group | |
| 97810 | 290 | Acupunct w/o stimul 15 min | |
| 97811 | 290 | Acupunct w/o stimul addl 15m | |
| 97813 | 290 | Acupunct w/stimul 15 min | |
| 97814 | 290 | Acupunct w/stimul addl 15m | |
| 98925 | 114 | Osteopathic manipulation | |
| 98926 | 114 | Osteopathic manipulation | |
| 98927 | 114 | Osteopathic manipulation | |
| 98928 | 114 | Osteopathic manipulation | |
| 98929 | 114 | Osteopathic manipulation | |
| 98940 | 138 | Chiropractic manipulation, spinal, 1-2 reg | |
| 98941 | 138 | Chiropractic manipulation, spinal, 3-4 reg | |
| 98942 | 138 | Chiropractic manipulation, spinal, 5 reg | |
| 98960 | 290 | Self-mgmt educ & train, 1 pt | |
| 98961 | 290 | Self-mgmt educ/train, 2-4 pt | |
| 98962 | 290 | Self-mgmt educ/train, 5-8 pt | |
| 98966 | 290 | HC prof phone call, 5-10 min | |
| 98967 | 290 | HC prof phone call, 11-20 min | |
| 98968 | 290 | HC prof phone call, 21-30 min | |
| 98969 | 290 | Online service by HC prof | |
| 99070 | 290 | Special supplies | |
| 99071 | 290 | Patient education materials | |
| 99080 | 290 | Special reports or forms | |
| 99082 | 219 | Unusual physician travel | |
| 99091 | 290 | Collect/review data from pt | |
| 99144 | 195 | Mod cs by same phys, 5 yrs + | |
| 99145 | 232 | Mod cs by same phys add-on | |
| 99149 | 195 | Mod cs diff phys 5 yrs + | |
| 99150 | 232 | Mod cs diff phys add-on | |
| 99175 | 219 | Induction of vomiting | |
| 99183 | 219 | Hyperbaric oxygen therapy | |
| 99190 | 290 | Special pump services, ea hr | |
| 99191 | 290 | Special pump services, 3/4 hr | |
| 99192 | 290 | Special pump services, 1/2 hr | |
| 99195 | 195 | Phlebotomy | |
| 99199 | 219 | Special service/proc/report, unlisted | |
| 99201 | 79 | Office/outpatient visit, new | |
| 99202 | 79 | Office/outpatient visit, new | |
| 99203 | 79 | Office/outpatient visit, new | |
| 99204 | 79 | Office/outpatient visit, new | |
| 99205 | 79 | Office/outpatient visit, new | |
| 99211 | 71 | Office/outpatient visit, est | |
| 99212 | 71 | Office/outpatient visit, est | |
| 99213 | 71 | Office/outpatient visit, est | |
| 99214 | 71 | Office/outpatient visit, est | |
| 99215 | 71 | Office/outpatient visit, est | |
| 99217 | 75 | Observation care discharge | |
| 99218 | 72 | Observation care | |
| 99219 | 72 | Observation care | |
| 99220 | 72 | Observation care | |
| 99221 | 72 | Initial hospital care | |
| 99222 | 72 | Initial hospital care | |
| 99223 | 72 | Initial hospital care | |
| 99231 | 72 | Subsequent hospital care | |
| 99232 | 72 | Subsequent hospital care | |
| 99233 | 72 | Subsequent hospital care | |
| 99234 | 75 | Observ/hosp same date | |
| 99235 | 75 | Observ/hosp same date | |
| 99236 | 75 | Observ/hosp same date | |
| 99238 | 75 | Hospital discharge day | |
| 99239 | 75 | Hospital discharge day | |
| 99281 | 72 | Emergency dept visit | |
| 99282 | 72 | Emergency dept visit | |
| 99283 | 72 | Emergency dept visit | |
| 99284 | 72 | Emergency dept visit | |
| 99285 | 72 | Emergency dept visit | |
| 99288 | 73 | Direct advanced life support | |
| 99291 | 72 | Critical care, first hour | |
| 99292 | 74 | Critical care, addl 30 min | |
| 99304 | 266 | Nursing facility care, init | |
| 99305 | 266 | Nursing facility care, init | |
| 99306 | 266 | Nursing facility care, init | |
| 99307 | 266 | Nursing fac care, subseq | |
| 99308 | 266 | Nursing fac care, subseq | |
| 99309 | 266 | Nursing fac care, subseq | |
| 99310 | 266 | Nursing fac care, subseq | |
| 99315 | 266 | Nursing fac discharge day | |
| 99316 | 266 | Nursing fac discharge day | |
| 99318 | 266 | Annual nursing fac assessmnt | |
| 99324 | 265 | Domicil/r-home visit new pat | |
| 99325 | 265 | Domicil/r-home visit new pat | |
| 99326 | 265 | Domicil/r-home visit new pat | |
| 99327 | 265 | Domicil/r-home visit new pat | |
| 99328 | 265 | Domicil/r-home visit new pat | |
| 99334 | 265 | Domicil/r-home visit est pat | |
| 99335 | 265 | Domicil/r-home visit est pat | |
| 99336 | 265 | Domicil/r-home visit est pat | |
| 99337 | 265 | Domicil/r-home visit est pat | |
| 99339 | 290 | Domicil/r-home care supervis | |
| 99340 | 290 | Domicil/r-home care supervis | |
| 99341 | 79 | Home visit, new patient | |
| 99342 | 79 | Home visit, new patient | |
| 99343 | 79 | Home visit, new patient | |
| 99344 | 79 | Home visit, new patient | |
| 99345 | 79 | Home visit, new patient | |
| 99347 | 79 | Home visit, est patient | |
| 99348 | 79 | Home visit, est patient | |
| 99349 | 79 | Home visit, est patient | |
| 99350 | 79 | Home visit, est patient | |
| 99354 | 76 | Prolonged service, office | |
| 99355 | 76 | Prolonged service, office | |
| 99356 | 76 | Prolonged service, inpatient | |
| 99357 | 76 | Prolonged service, inpatient | |
| 99358 | 290 | Prolonged serv, w/o contact | |
| 99359 | 290 | Prolonged serv, w/o contact | |
| 99360 | 282 | Physician standby services | |
| 99363 | 290 | Anticoag mgmt, init | |
| 99364 | 290 | Anticoag mgmt, subseq | |
| 99366 | 290 | Team conf w/ pat by HC prof | |
| 99367 | 290 | Team conf w/o pat by phys | |
| 99368 | 290 | Team conf w/o pat by HC prof | |
| 99374 | 290 | Home health care supervision, 15-29 min | |
| 99375 | 290 | Home health care supervision, 30+ min | |
| 99377 | 290 | Hospice care supervision | |
| 99378 | 290 | Hospice care supervision | |
| 99379 | 290 | Nursing fac care supervision | |
| 99380 | 290 | Nursing fac care supervision | |
| 99406 | 266 | Behav chng smoking, 3-10 min | |
| 99407 | 266 | Behav chng smoking, gt 10 min | |
| 99408 | 290 | Audit/dast, 15-30 min | |
| 99409 | 290 | Audit/dast, over 30 min | |
| 99441 | 77 | Phone E/M by phys, 5-10 min | |
| 99442 | 77 | Phone E/M by phys, 11-20 min | |
| 99443 | 77 | Phone E/M by phys, 21-30 min | |
| 99444 | 77 | Online E/M by phys | |
| 99455 | 75 | Disability examination, treating phys | |
| 99456 | 266 | Disability examination, not treating phys; MAX 1/yr | |
| 99500 | 290 | Home visit, prenatal | |
| 99501 | 290 | Home visit, postnatal | |
| 99503 | 290 | Home visit, resp therapy | |
| 99504 | 290 | Home visit mech ventilator | |
| 99505 | 290 | Home visit, stoma care | |
| 99506 | 290 | Home visit, im injection | |
| 99507 | 290 | Home visit, cath maintain | |
| 99509 | 290 | Home visit day life activity | |
| 99510 | 290 | Home visit, sing/m/fam couns | |
| 99511 | 290 | Home visit, fecal/enema mgmt | |
| 99512 | 290 | Home visit, hemodialysis | |
| 99601 | 290 | Home infusion/visit, 2 hrs | |
| 99602 | 290 | Home infusion, each addtl hr | |
| 99605 | 282 | Mtms by pharm, new pat, 15 min | |
| 99606 | 282 | Mtms by pharm, est pat, 15 min | |
| 99607 | 290 | Mtms by pharm, addl 15 min | |
| 0016T | 207 | Thermotx choroid vasc lesion | |
| 0017T | 207 | Photocoagulat macular drusen | |
| 0019T | 213 | Extracorp shock wave tx, ms nos | |
| 0030T | 219 | Antiprothrombin antibody | |
| 0042T | 219 | Ct perfusion w/contrast, cbf | |
| 0048T | 185 | Implant ventricular device | |
| 0050T | 185 | Removal circulation assist | |
| 0051T | 185 | Implant total heart system | |
| 0052T | 213 | Replace component heart syst, thx unit | |
| 0053T | 213 | Replace component heart syst, exc thx unit | |
| 0054T | 230 | Bone surgery using computer | |
| 0055T | 230 | Bone surgery using computer | |
| 0071T | 213 | U/s leiomyomata ablate <200 | |
| 0072T | 213 | U/s leiomyomata ablate >200 | |
| 0073T | 185 | Delivery, comp imrt | |
| 0075T | 143 | Perq stent/chest vert art | |
| 0075T | TC | 144 | Perq stent/chest vert art |
| 0075T | 26 | 143 | Perq stent/chest vert art |
| 0076T | 246 | S&i stent/chest vert art | |
| 0076T | TC | 246 | S&i stent/chest vert art |
| 0076T | 26 | 246 | S&i stent/chest vert art |
| 0078T | 185 | Endovasc aort repr w/device | |
| 0079T | 230 | Endovasc visc extnsn repr | |
| 0080T | 185 | Endovasc aort repr rad s&i | |
| 0081T | 230 | Endovasc visc extnsn s&i | |
| 0085T | 219 | Breath test heart reject | |
| 0092T | 246 | Cervical artificial disc, ea add'l intersp | |
| 0095T | 230 | Cervical artificial diskectomy, ea add'l intersp | |
| 0098T | 246 | Revise, cervical artif disc, ea add'l intersp | |
| 0099T | 177 | Implant corneal ring | |
| 0100T | 206 | Prosth retina receive & gen | |
| 0101T | 206 | Extracorp shockwv tx, hi energy | |
| 0102T | 206 | Extracorp shockwv tx, anesth | |
| 0103T | 219 | Holotranscobalamin, quant | |
| 0104T | 219 | At rest cardio gas rebreathe | |
| 0105T | 219 | Exerc cardio gas rebreathe | |
| 0106T | 219 | Touch quant sensory test | |
| 0107T | 219 | Vibrate quant sensory test | |
| 0108T | 219 | Cool quant sensory test | |
| 0109T | 219 | Heat quant sensory test | |
| 0110T | 219 | NOW quant sensory test | |
| 0111T | 219 | RBC membranes fatty acids | |
| 0123T | 177 | Scleral fistulization | |
| 0124T | 177 | Conjunctival drug placement | |
| 0126T | 213 | Chd risk imt study | |
| 0141T | 290 | Perq islet transplant | |
| 0142T | 290 | Open islet transplant | |
| 0143T | 290 | Laparoscopic islet transplnt | |
| 0155T | 185 | Lap ins gastr eltrd for mo | |
| 0156T | 185 | Lap redo gastr eltrd for mo | |
| 0157T | 185 | Opn ins gastr eltrd for mo | |
| 0158T | 185 | Opn redo gastr eltrd for mo | |
| 0159T | 232 | Computer breast MRI add-on | |
| 0159T | TC | 232 | Computer breast MRI add-on |
| 0159T | 26 | 232 | Computer breast MRI add-on |
| 0160T | 213 | Transcran mag stim planning | |
| 0161T | 213 | Transcran mag stim delivery | |
| 0163T | 246 | Lumb artif diskectomy addl | |
| 0164T | 246 | Remove lumb artif disc addl | |
| 0165T | 246 | Revise lumb artif disc addl | |
| 0166T | 213 | Tcath vsd close w/o bypass | |
| 0167T | 213 | Tcath vsd close w bypass | |
| 0168T | 194 | Rhinophototx light app bilat | |
| 0169T | 185 | Place stereo cath brain | |
| 0171T | 213 | Lumbar spine proces distract | |
| 0172T | 246 | Lumbar spine proces addl | |
| 0173T | 246 | Iop monit io pressure | |
| 0174T | 249 | Cad cxr with interp | |
| 0175T | 195 | Cad cxr remote | |
| 0176T | 177 | Aqu canal dilat w/o retent | |
| 0177T | 206 | Aqu canal dilat w retent | |
| 0178T | 195 | 64 Lead ECG w I&R | |
| 0179T | 195 | 64 Lead ECG w tracing only | |
| 0180T | 195 | 64 Lead ECG w I&R only | |
| 0181T | 184 | Corneal hysteresis | |
| 0182T | 151 | HDR elec brachytherapy | |
| 0182T | TC | 153 | HDR elec brachytherapy |
| 0182T | 26 | 151 | HDR elec brachytherapy |
| 0183T | 219 | Low freq ultrasound, per day | |
| 0184T | 213 | Excise rectal tumor, TEMS | |
| 0185T | 219 | Multivariate analysis, w/report | |
| 0186T | 177 | Suprachoroidal deliv pharm agent | |
| 0187T | 195 | Scan computer ophthalmid dx imag | |
| 0188T | 290 | Videoconf crit care 74 min | |
| 0189T | 290 | Videoconf crit care addl 30 | |
| 0190T | 241 | Place intraoc radiation src | |
| 0191T | 206 | Insert ant segment drain int | |
| 0192T | 206 | Insert ant segment drain ext | |
| 0193T | 213 | Rf bladder neck microremodel | |
| 0195T | 185 | Arthrod presac interbody | |
| 0196T | 246 | Arthrod presac interbody eac | |
| 0197T | 185 | Intrafraction track motion | |
| 0198T | 213 | Ocular blood flow measure | |
| 0199T | 270 | Physiologic tremor record w/report | |
| 0200T | 213 | Perq sacral augmt, unilat inject, 1+ needles, uni | |
| 0201T | 212 | Perq sacral augmt, bilat inject, 2+ needles, bilat | |
| 0202T | 185 | Post vert arthrplst, lumbar, 1 level w/ flouroscop | |
| 0203T | 282 | Unattend sleep study w/time | |
| 0203T | TC | 282 | Unattend sleep study w/time |
| 0203T | 26 | 282 | Unattend sleep study w/time |
| 0204T | 282 | Unattended sleep study | |
| 0204T | TC | 282 | Unattended sleep study |
| 0204T | 26 | 282 | Unattended sleep study |
| 0205T | 246 | Inirs each vessel add-on | |
| 0206T | 290 | Remote algorithm analys ecg | |
| 0207T | 185 | Clear eyelid gland w/heat, unilateral | |
| 0208T | 219 | Automated audiometry air | |
| 0209T | 219 | Auto audiometry air/bone | |
| 0210T | 219 | Auto audiometry sp thresh | |
| 0211T | 219 | Auto audiometry sp thresh | |
| 0212T | 219 | Comprehen auto audiometry | |
| 0213T | 215 | Us facet jt inj cerv/t 1 lev | |
| 0214T | 247 | Us facet jt inj cerv/t 2 lev | |
| 0215T | 247 | Us facet jt inj cerv/t 3 lev | |
| 0216T | 215 | Us facet jt inj ls 1 level | |
| 0217T | 247 | Us facet jt inj ls 2 level | |
| 0218T | 247 | Us facet jt inj ls 3 level | |
| 0219T | 213 | Fuse spine facet jt cerv, uni or bilateral | |
| 0220T | 213 | Fuse spine facet jt thor, uni or bilateral | |
| 0221T | 213 | Fuse spine facet jt lumbar, uni or bilateral | |
| 0222T | 246 | Fuse spine facet jt add seg | |
| 0223T | 213 | Acoustic ECG W/I&R | |
| 0224T | 213 | Acoustic ECG 1+ Analysis | |
| 0225T | 213 | Acoustic ECG Analy & Reprog | |
| 0226T | 213 | Anocopy HRA W/Spec Collect | |
| 0227T | 213 | Anooscopy HRA W/Biopsy | |
| 0228T | 215 | NJX TFRML EPRL W/US Cer/Thor | |
| 0229T | 247 | NJX TFRML EPRL W/US Cer/Thor | |
| 0230T | 213 | NJX TFRML EPRL W/US Lumb/Sac | |
| 0231T | 247 | NJX TFRML EPRL W/US Lumb/Sac | |
| 0232T | 213 | NJX Platelet Plasma | |
| 0233T | 213 | Skin Glycation Spectroscopy | |
| ATP02 | 290 | Auto.Test Pane Pricing Code, 1-2 Tests | |
| ATP03 | 290 | Auto.Test Pane Pricing Code, 3 Tests | |
| ATP04 | 290 | Auto.Test Pane Pricing Code, 4 Tests | |
| ATP05 | 290 | Auto.Test Pane Pricing Code, 5 Tests | |
| ATP06 | 290 | Auto.Test Pane Pricing Code, 6 Tests | |
| ATP07 | 290 | Auto.Test Pane Pricing Code, 7 Tests | |
| ATP08 | 290 | Auto.Test Pane Pricing Code, 8 Tests | |
| ATP09 | 290 | Auto.Test Pane Pricing Code, 9 Tests | |
| ATP10 | 290 | Auto.Test Pane Pricing Code, 10 Tests | |
| ATP11 | 290 | Auto.Test Pane Pricing Code, 11 Tests | |
| ATP12 | 290 | Auto.Test Pane Pricing Code, 12 Tests | |
| ATP16 | 290 | Auto.Test Pane Pricing Code, 13 -16 Tests | |
| ATP18 | 290 | Auto.Test Pane Pricing Code, 17-18 Tests | |
| ATP19 | 290 | Auto.Test Pane Pricing Code, 19 Tests | |
| ATP20 | 290 | Auto.Test Pane Pricing Code, 20 Tests | |
| ATP21 | 290 | Auto.Test Pane Pricing Code, 21 Tests | |
| ATP22 | 290 | Auto.Test Pane Pricing Code, 22 Tests | |
| ATP23 | 290 | Auto.Test Pane Pricing Code, 23 Tests | |
| A0080 | 290 | Noninterest escort in non er, per mi | |
| A0090 | 290 | Interest escort in non er, per mi | |
| A0100 | 290 | Nonemergency transport taxi | |
| A0110 | 290 | Nonemergency transport bus, etc. | |
| A0120 | 290 | Noner transport mini-bus | |
| A0130 | 290 | Noner transport wheelch van | |
| A0140 | 290 | Nonemergency transport air | |
| A0170 | 290 | Noner transport parking fees | |
| A0180 | 290 | Noner transport lodgng recip | |
| A0190 | 290 | Noner transport meals recip | |
| A0200 | 290 | Noner transport lodgng escrt | |
| A0210 | 290 | Noner transport meals escort | |
| A0380 | 290 | BLS mileage, per mile | |
| A0382 | 290 | Basic support routine suppls | |
| A0384 | 290 | Bls defibrillation supplies | |
| A0390 | 290 | ALS mileage, per mile | |
| A0392 | 290 | Als defibrillation supplies | |
| A0394 | 290 | Als IV drug therapy supplies | |
| A0396 | 290 | Als esophageal intub suppls | |
| A0398 | 290 | Als routine disposble suppls | |
| A0420 | 290 | Ambulance waiting 1/2 hr | |
| A0422 | 290 | Ambulance 02 life sustaining | |
| A0424 | 290 | Extra ambulance attendant | |
| A0425 | 290 | Ground mileage | |
| A0426 | 290 | Als 1 | |
| A0427 | 290 | ALS1-emergency | |
| A0428 | 290 | bls | |
| A0429 | 290 | BLS-emergency | |
| A0430 | 290 | Fixed wing air transport | |
| A0431 | 290 | Rotary wing air transport | |
| A0432 | 290 | PI volunteer ambulance co | |
| A0433 | 290 | ALS 2 | |
| A0434 | 290 | Specialty care transport | |
| A0435 | 290 | Fixed wing air mileage | |
| A0436 | 290 | Rotary wing air mileage | |
| A0998 | 290 | Ambulance response/tx, no transport | |
| A0999 | 290 | Unlisted ambulance service | |
| A4206 | 290 | 1 CC sterile syringe&needle | |
| A4207 | 290 | 2 CC sterile syringe&needle | |
| A4208 | 290 | 3 CC sterile syringe&needle | |
| A4209 | 290 | 5+ CC sterile syringe&needle | |
| A4210 | 290 | Non needle injection device | |
| A4212 | 290 | Non coring needle or stylet | |
| A4213 | 290 | 20+ CC syringe only | |
| A4215 | 290 | Sterile needle | |
| A4216 | 290 | Sterile water/saline, 10 ml | |
| A4217 | 290 | Sterile water/saline, 500 ml | |
| A4217 | AU | 290 | Sterile water/saline, 500 ml |
| A4218 | 290 | Sterile saline or water, metered dose dispenser, 10 ml | |
| A4220 | 290 | Infusion pump refill kit | |
| A4221 | 290 | Maint drug infus cath per wk | |
| A4222 | 290 | Infusion supplies, ext pump, per unit | |
| A4223 | 290 | Infusion supplies w/o pump | |
| A4230 | 290 | Infus insulin pump non needl | |
| A4231 | 290 | Infusion insulin pump needle | |
| A4232 | 290 | Syringe w/needle insulin 3cc | |
| A4233 | 290 | Alkalin batt for glucose mon | |
| A4233 | NU | 290 | Alkalin batt for glucose mon |
| A4234 | 290 | J-cell batt for glucose mon | |
| A4234 | NU | 290 | J-cell batt for glucose mon |
| A4235 | 290 | Lithium batt for glucose mon | |
| A4235 | NU | 290 | Lithium batt for glucose mon |
| A4236 | 290 | Silvr oxide batt glucose mon | |
| A4236 | NU | 290 | Silvr oxide batt glucose mon |
| A4244 | 290 | Alcohol or peroxide per pint | |
| A4245 | 290 | Alcohol wipes per box | |
| A4246 | 290 | Betadine/phisohex solution | |
| A4247 | 290 | Betadine/iodine swabs/wipes | |
| A4248 | 290 | Chlorhexidine antisept | |
| A4250 | 290 | Urine reagent strips/tablets | |
| A4252 | 290 | Blood ketone test or strip | |
| A4253 | 290 | Blood glucose/reagent strips | |
| A4253 | NU | 290 | Blood glucose/reagent strips |
| A4255 | 290 | Glucose monitor platforms | |
| A4256 | 290 | Calibrator solution/chips | |
| A4257 | 290 | Replace Lensshield Cartridge | |
| A4258 | 290 | Lancet device each | |
| A4259 | 290 | Lancets per box | |
| A4265 | 290 | Paraffin | |
| A4280 | 290 | Brst prsths adhsv attchmnt | |
| A4290 | 290 | Sacral nerve stim test lead | |
| A4300 | 290 | Cath impl vasc access portal | |
| A4301 | 290 | Implantable access syst perc | |
| A4305 | 290 | Drug delivery system >=50 ML | |
| A4306 | 290 | Drug delivery system <=5 ML | |
| A4310 | 290 | Insert tray w/o bag/cath | |
| A4311 | 290 | Catheter w/o bag 2-way latex | |
| A4312 | 290 | Cath w/o bag 2-way silicone | |
| A4313 | 290 | Catheter w/bag 3-way | |
| A4314 | 290 | Cath w/drainage 2-way latex | |
| A4315 | 290 | Cath w/drainage 2-way silcne | |
| A4316 | 290 | Cath w/drainage 3-way | |
| A4320 | 290 | Irrigation tray | |
| A4321 | 290 | Cath therapeutic irrig agent | |
| A4322 | 290 | Irrigation syringe | |
| A4326 | 290 | Male external catheter | |
| A4327 | 290 | Fem urinary collect dev cup | |
| A4328 | 290 | Fem urinary collect pouch | |
| A4330 | 290 | Stool collection pouch | |
| A4331 | 290 | Extension drainage tubing | |
| A4332 | 290 | Lubricant, ind sterile pkt, each | |
| A4333 | 290 | Urinary cath anchor device | |
| A4334 | 290 | Urinary cath leg strap | |
| A4335 | 290 | ||
| A4336 | 290 | Urethral insert, incont supply | |
| A4338 | 290 | Indwelling catheter latex | |
| A4340 | 290 | Indwelling catheter special | |
| A4344 | 290 | Cath indw foley 2 way silicn | |
| A4346 | 290 | Cath indw foley 3 way | |
| A4349 | 290 | Male external cat, disposable | |
| A4351 | 290 | Straight tip urine catheter | |
| A4352 | 290 | Coude tip urinary catheter | |
| A4353 | 290 | Intermittent urinary cath | |
| A4354 | 290 | Cath insertion tray w/bag | |
| A4355 | 290 | Bladder irrigation tubing | |
| A4356 | 290 | Ext ureth clmp or compr dvc | |
| A4357 | 290 | Bedside drainage bag | |
| A4358 | 290 | Urinary leg or abdomen bag | |
| A4360 | 290 | Disposable ext urethral device | |
| A4361 | 290 | Ostomy face plate | |
| A4362 | 290 | Solid skin barrier | |
| A4363 | 290 | Ostomy clamp, replacement | |
| A4364 | 290 | Adhesive | |
| A4366 | 290 | Ostomy vent | |
| A4367 | 290 | Ostomy belt | |
| A4368 | 290 | Ostomy filter | |
| A4369 | 290 | Skin barrier liquid per oz | |
| A4371 | 290 | Skin barrier powder per oz | |
| A4372 | 290 | Skin barrier solid 4x4 equiv | |
| A4373 | 290 | Skin barrier with flange | |
| A4375 | 290 | Drainable plastic pch w fcpl | |
| A4376 | 290 | Drainable rubber pch w fcplt | |
| A4377 | 290 | Drainable plstic pch w/o fp | |
| A4378 | 290 | Drainable rubber pch w/o fp | |
| A4379 | 290 | Urinary plastic pouch w fcpl | |
| A4380 | 290 | Urinary rubber pouch w fcplt | |
| A4381 | 290 | Urinary plastic pouch w/o fp | |
| A4382 | 290 | Urinary hvy plstc pch w/o fp | |
| A4383 | 290 | Urinary rubber pouch w/o fp | |
| A4384 | 290 | Ostomy faceplt/silicone ring | |
| A4385 | 290 | Ost skn barrier sld ext wear | |
| A4387 | 290 | Ost clsd pouch w att st barr | |
| A4388 | 290 | Drainable pch w ex wear barr | |
| A4389 | 290 | Drainable pch w st wear barr | |
| A4390 | 290 | Drainable pch ex wear convex | |
| A4391 | 290 | Urinary pouch w ex wear barr | |
| A4392 | 290 | Urinary pouch w st wear barr | |
| A4393 | 290 | Urine pch w ex wear bar conv | |
| A4394 | 290 | Ostomy pouch liq deodorant | |
| A4395 | 290 | Ostomy pouch solid deodorant | |
| A4396 | 290 | Peristomal hernia supprt blt | |
| A4397 | 290 | Irrigation supply sleeve | |
| A4398 | 290 | Ostomy irrigation bag | |
| A4399 | 290 | Ostomy irrig cone/cath w brs | |
| A4400 | 290 | Ostomy irrigation set | |
| A4402 | 290 | Lubricant per ounce | |
| A4404 | 290 | Ostomy ring each | |
| A4405 | 290 | Nonpectin based ostomy paste | |
| A4406 | 290 | Pectin based ostomy paste | |
| A4407 | 290 | Ext wear ost skn barr <=4sq" | |
| A4408 | 290 | Ext wear ost skn barr >4sq" | |
| A4409 | 290 | Ost skn barr w flng <=4 sq" | |
| A4410 | 290 | Ost skn barr w flng >4sq" | |
| A4411 | 290 | Ost skn barr extnd =4sq | |
| A4412 | 290 | Ost pouch drain high output | |
| A4413 | 290 | 2 pc drainable ost pouch | |
| A4414 | 290 | Ostomy sknbarr w flng <=4sq" | |
| A4415 | 290 | Ostomy skn barr w flng >4sq" | |
| A4416 | 290 | Ost pch clsd w barrier/filtr | |
| A4417 | 290 | Ost pch w bar/bltinconv/fltr | |
| A4418 | 290 | Ost pch clsd w/o bar w filtr | |
| A4419 | 290 | Ost pch for bar w flange/flt | |
| A4420 | 290 | Ost pch clsd for bar w lk fl | |
| A4421 | 290 | Ostomy supply misc | |
| A4422 | 290 | Ost pouch absorbent material | |
| A4423 | 290 | Ost pch for bar w lk fl/fltr | |
| A4424 | 290 | Ost pch drain w bar & filter | |
| A4425 | 290 | Ost pch drain for barrier fl | |
| A4426 | 290 | Ost pch drain 2 piece system | |
| A4427 | 290 | Ost pch drain/barr lk flng/f | |
| A4428 | 290 | Urine ost pouch w faucet/tap | |
| A4429 | 290 | Urine ost pouch w bltinconv | |
| A4430 | 290 | Ost urine pch w b/bltin conv | |
| A4431 | 290 | Ost pch urine w barrier/tapv | |
| A4432 | 290 | Os pch urine w bar/fange/tap | |
| A4433 | 290 | Urine ost pch bar w lock fln | |
| A4434 | 290 | Ost pch urine w lock flng/ft | |
| A4450 | 290 | Non-waterproof tape | |
| A4450 | AU | 290 | Non-waterproof tape |
| A4450 | AV | 290 | Non-waterproof tape |
| A4450 | AW | 290 | Non-waterproof tape |
| A4452 | 290 | Waterproof tape | |
| A4452 | AU | 290 | Waterproof tape |
| A4452 | AV | 290 | Waterproof tape |
| A4452 | AW | 290 | Waterproof tape |
| A4455 | 290 | Adhesive remover per ounce | |
| A4456 | 290 | Adhesive remover, wipes | |
| A4458 | 290 | Reusable enema bag | |
| A4461 | 290 | Surgical dressing holder, non-reusable | |
| A4463 | 290 | Surgical dressing holder, reusable | |
| A4465 | 290 | Non-elastic extremity binder | |
| A4466 | 290 | Elastic garment covering | |
| A4470 | 290 | Gravlee jet washer | |
| A4480 | 290 | Vabra aspirator | |
| A4481 | 290 | Tracheostoma filter | |
| A4483 | 290 | Moisture exchanger | |
| A4490 | 290 | Above knee surgical stocking | |
| A4495 | 290 | Thigh length surg stocking | |
| A4500 | 290 | Below knee surgical stocking | |
| A4510 | 290 | Full length surg stocking | |
| A4520 | 290 | Incontinence garment anytype | |
| A4554 | 290 | Disposable underpads | |
| A4556 | 290 | Electrodes | |
| A4557 | 290 | Lead wires | |
| A4558 | 290 | Conductive paste or gel | |
| A4559 | 290 | Coupling gel or paste, per oz | |
| A4561 | 290 | Pessary rubber | |
| A4562 | 290 | Pessary | |
| A4565 | 290 | Slings | |
| A4570 | 290 | Splint | |
| A4575 | 290 | Hyperbaric O2 chamber disps | |
| A4580 | 290 | Cast supplies (plaster) | |
| A4590 | 290 | Special casting material | |
| A4595 | 290 | TENS suppl 2 lead per month | |
| A4600 | 290 | Sleeve, inter limb comp device, repl only, ea. | |
| A4601 | 290 | Lith ion batt, non-pros use, replacement, ea. | |
| A4604 | 290 | Tubing with heating element | |
| A4604 | NU | 290 | Tubing with heating element |
| A4605 | 290 | Trach suction cath close sys | |
| A4605 | NU | 290 | Trach suction cath close sys |
| A4606 | 290 | Oxygen probe used w oximeter | |
| A4608 | 290 | Transtracheal oxygen cath | |
| A4611 | 290 | Heavy duty battery | |
| A4611 | NU | 290 | Heavy duty battery |
| A4611 | RR | 290 | Heavy duty battery |
| A4611 | UE | 290 | Heavy duty battery |
| A4612 | 290 | Battery cables | |
| A4612 | NU | 290 | Battery cables |
| A4612 | RR | 290 | Battery cables |
| A4612 | UE | 290 | Battery cables |
| A4613 | 290 | Battery charger | |
| A4613 | NU | 290 | Battery charger |
| A4613 | RR | 290 | Battery charger |
| A4613 | UE | 290 | Battery charger |
| A4614 | 290 | Hand-held PEFR meter | |
| A4615 | 290 | Cannula nasal | |
| A4616 | 290 | Tubing (oxygen) per foot | |
| A4617 | 290 | Mouth piece | |
| A4618 | 290 | Breathing circuits | |
| A4618 | NU | 290 | Breathing circuits |
| A4618 | RR | 290 | Breathing circuits |
| A4618 | UE | 290 | Breathing circuits |
| A4619 | 290 | Face tent | |
| A4620 | 290 | Variable concentration mask | |
| A4623 | 290 | Tracheostomy inner cannula | |
| A4624 | 290 | Tracheal suction tube | |
| A4624 | NU | 290 | Tracheal suction tube |
| A4625 | 290 | Trach care kit for new trach | |
| A4626 | 290 | Tracheostomy cleaning brush | |
| A4627 | 290 | Spacer bag/reservoir | |
| A4628 | 290 | Oropharyngeal suction cath | |
| A4628 | NU | 290 | Oropharyngeal suction cath |
| A4629 | 290 | Tracheostomy care kit | |
| A4630 | 290 | Repl bat t.e.n.s. own by pt | |
| A4630 | NU | 290 | Repl bat t.e.n.s. own by pt |
| A4633 | 290 | Uvl replacement bulb | |
| A4633 | NU | 290 | Uvl replacement bulb |
| A4634 | 290 | Replacement bulb th lightbox | |
| A4635 | 290 | Underarm crutch pad | |
| A4635 | NU | 290 | Underarm crutch pad |
| A4635 | RR | 290 | Underarm crutch pad |
| A4635 | UE | 290 | Underarm crutch pad |
| A4636 | 290 | Handgrip for cane etc | |
| A4636 | NU | 290 | Handgrip for cane etc |
| A4636 | RR | 290 | Handgrip for cane etc |
| A4636 | UE | 290 | Handgrip for cane etc |
| A4637 | 290 | Repl tip cane/crutch/walker | |
| A4637 | NU | 290 | Repl tip cane/crutch/walker |
| A4637 | RR | 290 | Repl tip cane/crutch/walker |
| A4637 | UE | 290 | Repl tip cane/crutch/walker |
| A4638 | 290 | Repl batt pulse gen sys | |
| A4638 | NU | 290 | Repl batt pulse gen sys |
| A4639 | 290 | Infrared ht sys replcmnt pad | |
| A4639 | NU | 290 | Infrared ht sys replcmnt pad |
| A4640 | 290 | Alternating pressure pad | |
| A4640 | NU | 290 | Alternating pressure pad |
| A4640 | RR | 290 | Alternating pressure pad |
| A4640 | UE | 290 | Alternating pressure pad |
| A4641 | 290 | Diagnostic imaging agent | |
| A4642 | 290 | Satumomab pendetide per dose | |
| A4648 | 290 | Implantable tissue marker | |
| A4650 | 290 | Implant radiation dosimeter | |
| A4651 | 290 | Calibrated microcap tube | |
| A4652 | 290 | Microcapillary tube sealant | |
| A4653 | 290 | PD catheter anchor belt | |
| A4657 | 290 | Dialysis syringe w/wo needle | |
| A4660 | 290 | Esrd blood pressure device | |
| A4663 | 290 | Esrd blood pressure cuff | |
| A4670 | 290 | Auto blood pressure monitor | |
| A4671 | 290 | Disposable cycler set | |
| A4672 | 290 | Drainage ext line, dialysis | |
| A4673 | 290 | Ext line w easy lock connect | |
| A4674 | 290 | Chem/antisept solution, 8oz | |
| A4680 | 290 | Activated carbon filter, ea | |
| A4690 | 290 | Dialyzers, ea | |
| A4706 | 290 | Bicarbonate conc sol per gal | |
| A4707 | 290 | Bicarbonate conc pow per pac | |
| A4708 | 290 | Acetate conc sol per gallon | |
| A4709 | 290 | Acid conc sol per gallon | |
| A4714 | 290 | Treated water for dialysis | |
| A4719 | 290 | ”Y set” tubing | |
| A4720 | 290 | Dialysat sol fld vol > 249cc | |
| A4721 | 290 | Dialysat sol fld vol > 999cc | |
| A4722 | 290 | Dialys sol fld vol > 1999cc | |
| A4723 | 290 | Dialys sol fld vol > 2999cc | |
| A4724 | 290 | Dialys sol fld vol > 3999cc | |
| A4725 | 290 | Dialys sol fld vol > 4999cc | |
| A4726 | 290 | Dialys sol fld vol > 5999cc | |
| A4728 | 290 | Dialysate solution, non-dex | |
| A4730 | 290 | Fistula cannulation set dial | |
| A4736 | 290 | Topical anesthetic, per gram | |
| A4737 | 290 | Inj anesthetic per 10 ml | |
| A4740 | 290 | Esrd shunt accessory | |
| A4750 | 290 | Arterial or venous tubing | |
| A4755 | 290 | Arterial and venous tubing | |
| A4760 | 290 | Standard testing solution | |
| A4765 | 290 | Dialysate concentrate | |
| A4766 | 290 | Dialysate conc sol add 10 ml | |
| A4770 | 290 | Blood testing supplies | |
| A4771 | 290 | Blood clotting time tube | |
| A4772 | 290 | Dextrostick/glucose strips | |
| A4773 | 290 | Hemostix | |
| A4774 | 290 | Ammonia test paper | |
| A4802 | 290 | Protamine sulfate per 50 mg | |
| A4860 | 290 | Disposable catheter caps | |
| A4870 | 290 | Plumbing/electrical work | |
| A4890 | 290 | Contracts/repair/maintenance | |
| A4911 | 290 | Drain bag/bottle | |
| A4913 | 290 | Esrd supply | |
| A4918 | 290 | Venous pressure clamp | |
| A4927 | 290 | Gloves | |
| A4928 | 290 | Surgical mask | |
| A4929 | 290 | Tourniquet for dialysis, ea | |
| A4930 | 290 | Sterile, gloves per pair | |
| A4931 | 290 | Reusable oral thermometer | |
| A4932 | 290 | Reusable rectal thermometer | |
| A5051 | 290 | Pouch clsd w barr attached | |
| A5052 | 290 | Clsd ostomy pouch w/o barr | |
| A5053 | 290 | Clsd ostomy pouch faceplate | |
| A5054 | 290 | Clsd ostomy pouch w/flange | |
| A5055 | 290 | Stoma cap | |
| A5061 | 290 | Pouch drainable w barrier at | |
| A5062 | 290 | Drnble ostomy pouch w/o barr | |
| A5063 | 290 | Drain ostomy pouch w/flange | |
| A5071 | 290 | Urinary pouch w/barrier | |
| A5072 | 290 | Urinary pouch w/o barrier | |
| A5073 | 290 | Urinary pouch on barr w/flng | |
| A5081 | 290 | Continent stoma plug | |
| A5082 | 290 | Continent stoma catheter | |
| A5083 | 290 | Stoma absorptive cover | |
| A5093 | 290 | Ostomy accessory convex inse | |
| A5102 | 290 | Bedside drain btl w/wo tube | |
| A5105 | 290 | Urinary suspensory | |
| A5112 | 290 | Urinary leg bag | |
| A5113 | 290 | Latex leg strap | |
| A5114 | 290 | Foam/fabric leg strap | |
| A5120 | 290 | Skin barrier, wipe or swab | |
| A5120 | AU | 290 | Skin barrier, wipe or swab |
| A5120 | AV | 290 | Skin barrier, wipe or swab |
| A5121 | 290 | Solid skin barrier 6x6 | |
| A5122 | 290 | Solid skin barrier 8x8 | |
| A5126 | 290 | Disk/foam pad +or- adhesive | |
| A5131 | 290 | Appliance cleaner | |
| A5200 | 290 | Percutaneous catheter anchor | |
| A5500 | 290 | Diab shoe for density insert | |
| A5501 | 290 | Diabetic custom molded shoe | |
| A5503 | 290 | Diabetic shoe w/roller/rockr | |
| A5504 | 290 | Diabetic shoe with wedge | |
| A5505 | 290 | Diab shoe w/metatarsal bar | |
| A5506 | 290 | Diabetic shoe w/off set heel | |
| A5507 | 290 | Modification diabetic shoe | |
| A5508 | 290 | Diabetic deluxe shoe | |
| A5510 | 290 | Compression form shoe insert | |
| A5512 | 290 | Multi den insert direct form | |
| A5513 | 290 | Multi den insert custom mold | |
| A6000 | 290 | Wound warming wound cover | |
| A6010 | 290 | Collagen based wound filler | |
| A6011 | 290 | Collagen gel/paste wound fil | |
| A6021 | 290 | Collagen dressing <=16 sq in | |
| A6022 | 290 | Collagen drsg>6<=48 sq in | |
| A6023 | 290 | Collagen dressing >48 sq in | |
| A6024 | 290 | Collagen dsg wound filler | |
| A6025 | 290 | Silicone gel sheet, each | |
| A6154 | 290 | Wound pouch each | |
| A6196 | 290 | Alginate dressing <=16 sq in | |
| A6197 | 290 | Alginate drsg >16 <=48 sq in | |
| A6198 | 290 | Alginate dressing > 48 sq in | |
| A6199 | 290 | Alginate drsg wound filler | |
| A6203 | 290 | Composite drsg <= 16 sq in | |
| A6204 | 290 | Composite drsg >16<=48 sq in | |
| A6205 | 290 | Composite drsg > 48 sq in | |
| A6206 | 290 | Contact layer <= 16 sq in | |
| A6207 | 290 | Contact layer >16<= 48 sq in | |
| A6208 | 290 | Contact layer > 48 sq in | |
| A6209 | 290 | Foam drsg <=16 sq in w/o bdr | |
| A6210 | 290 | Foam drg >16<=48 sq in w/o b | |
| A6211 | 290 | Foam drg > 48 sq in w/o brdr | |
| A6212 | 290 | Foam drg <=16 sq in w/border | |
| A6213 | 290 | Foam drg >16<=48 sq in w/bdr | |
| A6214 | 290 | Foam drg > 48 sq in w/border | |
| A6215 | 290 | Foam dressing wound filler | |
| A6216 | 290 | Non-sterile gauze<=16 sq in | |
| A6217 | 290 | Non-sterile gauze>16<=48 sq | |
| A6218 | 290 | Non-sterile gauze > 48 sq in | |
| A6219 | 290 | Gauze <= 16 sq in w/border | |
| A6220 | 290 | Gauze >16 <=48 sq in w/bordr | |
| A6221 | 290 | Gauze > 48 sq in w/border | |
| A6222 | 290 | Gauze <=16 in no w/sal w/o b | |
| A6223 | 290 | Gauze >16<=48 no w/sal w/o b | |
| A6224 | 290 | Gauze > 48 in no w/sal w/o b | |
| A6228 | 290 | Gauze <= 16 sq in water/sal | |
| A6229 | 290 | Gauze >16<=48 sq in watr/sal | |
| A6230 | 290 | Gauze > 48 sq in water/salne | |
| A6231 | 290 | Hydrogel dsg<=16 sq in | |
| A6232 | 290 | Hydrogel dsg>16<=48 sq in | |
| A6233 | 290 | Hydrogel dressing >48 sq in | |
| A6234 | 290 | Hydrocolld drg <=16 w/o bdr | |
| A6235 | 290 | Hydrocolld drg >16<=48 w/o b | |
| A6236 | 290 | Hydrocolld drg > 48 in w/o b | |
| A6237 | 290 | Hydrocolld drg <=16 in w/bdr | |
| A6238 | 290 | Hydrocolld drg >16<=48 w/bdr | |
| A6239 | 290 | Hydrocolld drg > 48 in w/bdr | |
| A6240 | 290 | Hydrocolld drg filler paste | |
| A6241 | 290 | Hydrocolloid drg filler dry | |
| A6242 | 290 | Hydrogel drg <=16 in w/o bdr | |
| A6243 | 290 | Hydrogel drg >16<=48 w/o bdr | |
| A6244 | 290 | Hydrogel drg >48 in w/o bdr | |
| A6245 | 290 | Hydrogel drg <= 16 in w/bdr | |
| A6246 | 290 | Hydrogel drg >16<=48 in w/b | |
| A6247 | 290 | Hydrogel drg > 48 sq in w/b | |
| A6250 | 290 | Skin seal protect moisturizr | |
| A6248 | 290 | Hydrogel drsg gel filler | |
| A6251 | 290 | Absorpt drg <=16 sq in w/o b | |
| A6252 | 290 | Absorpt drg >16 <=48 w/o bdr | |
| A6253 | 290 | Absorpt drg > 48 sq in w/o b | |
| A6254 | 290 | Absorpt drg <=16 sq in w/bdr | |
| A6255 | 290 | Absorpt drg >16<=48 in w/bdr | |
| A6256 | 290 | Absorpt drg > 48 sq in w/bdr | |
| A6257 | 290 | Transparent film <= 16 sq in | |
| A6258 | 290 | Transparent film >16<=48 in | |
| A6259 | 290 | Transparent film > 48 sq in | |
| A6260 | 290 | Wound cleanser any type/size | |
| A6261 | 290 | Wound filler gel/paste /oz | |
| A6262 | 290 | Wound filler dry form / gram | |
| A6266 | 290 | Impreg gauze no h20/sal/yard | |
| A6402 | 290 | Sterile gauze <= 16 sq in | |
| A6403 | 290 | Sterile gauze>16 <= 48 sq in | |
| A6404 | 290 | Sterile gauze > 48 sq in | |
| A6407 | 290 | Packing strips | |
| A6410 | 290 | Sterile eye pad | |
| A6411 | 290 | Non-sterile eye pad | |
| A6412 | 290 | Occlusive eye patch | |
| A6441 | 290 | Pad band 3"<= w <=5", /yd | |
| A6442 | 290 | Conform band n/s w<3"/yd | |
| A6443 | 290 | Conform band n/s 3" <= w <= 5", /yd | |
| A6444 | 290 | Conform band n/s w>=5", /yd | |
| A6445 | 290 | Conform band s w <3", /yd | |
| A6446 | 290 | Conform band s 3" <= w <=5", /yd | |
| A6447 | 290 | Conform band s w >=5", /yd | |
| A6448 | 290 | Lt compres band <3", /yd | |
| A6449 | 290 | Lt compres band 3" <= w <= 5", /yd | |
| A6450 | 290 | Lt compres band >=5", /yd | |
| A6451 | 290 | Mod compres band 3" <= w <= 5", /yd | |
| A6452 | 290 | High compres band 3" <= w <= 5", /yd | |
| A6453 | 290 | Self-adher band w <3"/yd | |
| A6454 | 290 | Self-adher band 3" <= w <= 5", /yd | |
| A6455 | 290 | Self-adher band >=5", /yd | |
| A6456 | 290 | Zinc paste band 3" <= w <= 5", /yd | |
| A6457 | 290 | Tubular dressing | |
| A6501 | 290 | Compres burngarment bodysuit | |
| A6502 | 290 | Compres burngarment chinstrp | |
| A6503 | 290 | Compres burngarment facehood | |
| A6504 | 290 | Cmprsburngarment glove-wrist | |
| A6505 | 290 | Cmprsburngarment glove-elbow | |
| A6506 | 290 | Cmprsburngrmnt glove-axilla | |
| A6507 | 290 | Cmprs burngarment foot-knee | |
| A6508 | 290 | Cmprs burngarment foot-thigh | |
| A6509 | 290 | Compres burn garment jacket | |
| A6510 | 290 | Compres burn garment leotard | |
| A6511 | 290 | Compres burn garment panty | |
| A6512 | 290 | Compres burn garment, noc | |
| A6513 | 290 | Compress burn mask face/neck | |
| A6530 | 290 | Compression stocking BK18-30 | |
| A6531 | 290 | Compression stocking BK30-40 | |
| A6531 | AW | 290 | Compression stocking BK30-40 |
| A6532 | 290 | Compression stocking BK40-50 | |
| A6532 | AW | 290 | Compression stocking BK40-50 |
| A6533 | 290 | Gc stocking thighlngth 18-30 | |
| A6534 | 290 | Gc stocking thighlngth 30-40 | |
| A6535 | 290 | Gc stocking thighlngth 40-50 | |
| A6536 | 290 | Gc stocking full lngth 18-30 | |
| A6537 | 290 | Gc stocking full lngth 30-40 | |
| A6538 | 290 | Gc stocking full lngth 40-50 | |
| A6539 | 290 | Gc stocking waistlngth 18-30 | |
| A6540 | 290 | Gc stocking waistlngth 30-40 | |
| A6541 | 290 | Gc stocking waistlngth 40-50 | |
| A6544 | 290 | Gc stocking garter belt | |
| A6545 | 290 | Grad comp non-elastic BK | |
| A6545 | AW | 290 | Grad comp non-elastic BK |
| A6549 | 290 | G compression stocking | |
| A6550 | 290 | Neg pres wound ther drsg set | |
| A7000 | 290 | Disposable canister for pump | |
| A7000 | NU | 290 | Disposable canister for pump |
| A7001 | 290 | Nondisposable pump canister | |
| A7001 | NU | 290 | Nondisposable pump canister |
| A7002 | 290 | Tubing used w suction pump | |
| A7002 | NU | 290 | Tubing used w suction pump |
| A7003 | 290 | Nebulizer administration set | |
| A7003 | NU | 290 | Nebulizer administration set |
| A7004 | 290 | Disposable nebulizer sml vol | |
| A7004 | NU | 290 | Disposable nebulizer sml vol |
| A7005 | 290 | Nondisposable nebulizer set | |
| A7005 | NU | 290 | Nondisposable nebulizer set |
| A7006 | 290 | Filtered nebulizer admin set | |
| A7006 | NU | 290 | Filtered nebulizer admin set |
| A7007 | 290 | Lg vol nebulizer disposable | |
| A7007 | NU | 290 | Lg vol nebulizer disposable |
| A7008 | 290 | Disposable nebulizer prefill | |
| A7008 | NU | 290 | Disposable nebulizer prefill |
| A7009 | 290 | Nebulizer reservoir bottle | |
| A7009 | NU | 290 | Nebulizer reservoir bottle |
| A7010 | 290 | Disposable corrugated tubing | |
| A7010 | NU | 290 | Disposable corrugated tubing |
| A7011 | 290 | Nondispos corrugated tubing | |
| A7012 | 290 | Nebulizer water collec devic | |
| A7012 | NU | 290 | Nebulizer water collec devic |
| A7013 | 290 | Disposable compressor filter | |
| A7013 | NU | 290 | Disposable compressor filter |
| A7014 | 290 | Compressor nondispos filter | |
| A7014 | NU | 290 | Compressor nondispos filter |
| A7015 | 290 | Aerosol mask used w nebulize | |
| A7015 | NU | 290 | Aerosol mask used w nebulize |
| A7016 | 290 | Nebulizer dome & mouthpiece | |
| A7016 | NU | 290 | Nebulizer dome & mouthpiece |
| A7017 | 290 | Nebulizer not used w oxygen | |
| A7017 | NU | 290 | Nebulizer not used w oxygen |
| A7017 | RR | 290 | Nebulizer not used w oxygen |
| A7017 | UE | 290 | Nebulizer not used w oxygen |
| A7018 | 290 | Water distilled w/nebulizer | |
| A7025 | 290 | Replace chest compress vest | |
| A7025 | NU | 290 | Replace chest compress vest |
| A7026 | 290 | Replace chst cmprss sys hose | |
| A7026 | NU | 290 | Replace chst cmprss sys hose |
| A7027 | 290 | Combination oral/nasal mask | |
| A7027 | NU | 290 | Combination oral/nasal mask |
| A7028 | 290 | Repl oral cushion combo mask | |
| A7028 | NU | 290 | Repl oral cushion combo mask |
| A7029 | 290 | Repl nasal pillow comb mask | |
| A7029 | NU | 290 | Repl nasal pillow comb mask |
| A7030 | 290 | CPAP full face mask | |
| A7030 | NU | 290 | CPAP full face mask |
| A7031 | 290 | Replacement facemask interfa | |
| A7031 | NU | 290 | Replacement facemask interfa |
| A7032 | 290 | Replacement nasal cushion | |
| A7032 | NU | 290 | Replacement nasal cushion |
| A7033 | 290 | Replacement nasal pillows | |
| A7033 | NU | 290 | Replacement nasal pillows |
| A7034 | 290 | Nasal application device | |
| A7034 | NU | 290 | Nasal application device |
| A7035 | 290 | Pos airway press headgear | |
| A7035 | NU | 290 | Pos airway press headgear |
| A7036 | 290 | Pos airway press chinstrap | |
| A7036 | NU | 290 | Pos airway press chinstrap |
| A7037 | 290 | Pos airway pressure tubing | |
| A7037 | NU | 290 | Pos airway pressure tubing |
| A7038 | 290 | Pos airway pressure filter | |
| A7038 | NU | 290 | Pos airway pressure filter |
| A7039 | 290 | Filter, non disposable w pap | |
| A7039 | NU | 290 | Filter |
| A7040 | 290 | One way chest drain valve | |
| A7041 | 290 | Water seal drain container | |
| A7042 | 290 | Implanted pleural catheter | |
| A7043 | 290 | Vacuum drainagebottle/tubing | |
| A7044 | 290 | PAP oral interface | |
| A7044 | NU | 290 | PAP oral interface |
| A7045 | 290 | Repl exhalation port for PAP | |
| A7045 | NU | 290 | Repl exhalation port for PAP |
| A7045 | RR | 290 | Repl exhalation port for PAP |
| A7045 | UE | 290 | Repl exhalation port for PAP |
| A7046 | 290 | Repl water chamber, PAP dev | |
| A7046 | NU | 290 | Repl water chamber |
| A7501 | 290 | Tracheostoma valve w diaphra | |
| A7502 | 290 | Replacement diaphragm/fplate | |
| A7503 | 290 | HMES filter holder or cap | |
| A7504 | 290 | Tracheostoma HMES filter | |
| A7505 | 290 | HMES or trach valve housing | |
| A7506 | 290 | HMES/trachvalve adhesivedisk | |
| A7507 | 290 | Integrated filter & holder | |
| A7508 | 290 | Housing & Integrated Adhesiv | |
| A7509 | 290 | Heat & moisture exchange sys | |
| A7520 | 290 | Trach/laryn tube non-cuffed | |
| A7521 | 290 | Trach/laryn tube cuffed | |
| A7522 | 290 | Trach/laryn tube stainless | |
| A7523 | 290 | Tracheostomy shower protect | |
| A7524 | 290 | Tracheostoma stent/stud/bttn | |
| A7525 | 290 | Tracheostomy mask | |
| A7526 | 290 | Tracheostomy tube collar | |
| A7527 | 290 | Trach/laryn tube plug/stop | |
| A8000 | 290 | Soft protect helmet prefab | |
| A8000 | NU | 290 | Soft protect helmet prefab |
| A8000 | RR | 290 | Soft protect helmet prefab |
| A8000 | UE | 290 | Soft protect helmet prefab |
| A8001 | 290 | Hard protect helmet prefab | |
| A8001 | NU | 290 | Hard protect helmet prefab |
| A8001 | RR | 290 | Hard protect helmet prefab |
| A8001 | UE | 290 | Hard protect helmet prefab |
| A8002 | 290 | Soft protect helmet custom | |
| A8002 | NU | 290 | Soft protect helmet custom |
| A8002 | RR | 290 | Soft protect helmet custom |
| A8002 | UE | 290 | Soft protect helmet custom |
| A8003 | 290 | Hard protect helmet custom | |
| A8003 | NU | 290 | Hard protect helmet custom |
| A8003 | RR | 290 | Hard protect helmet custom |
| A8003 | UE | 290 | Hard protect helmet custom |
| A8004 | 290 | Repl soft interface, helmet | |
| A8004 | NU | 290 | Repl soft interface, helmet |
| A8004 | RR | 290 | Repl soft interface, helmet |
| A8004 | UE | 290 | Repl soft interface, helmet |
| A9155 | 290 | Artificial saliva | |
| A9180 | 290 | Lice treatment, topical | |
| A9274 | 290 | Ext amb insulin delivery sys | |
| A9275 | 290 | Disp home glucose monitor | |
| A9276 | 290 | Disposable sensor, CGM sys | |
| A9277 | 290 | External transmitter, CGM | |
| A9278 | 290 | External receiver, CGM sys | |
| A9279 | 290 | Monitoring feature/deviceNOC | |
| A9280 | 290 | Alert device, noc | |
| A9281 | 290 | Reaching/grabbing device | |
| A9282 | 290 | Wig any type | |
| A9283 | 290 | Foot press off load supp dev | |
| A9284 | 290 | Non-electronic spirometer | |
| A9300 | 290 | Exercise equipment | |
| A9500 | 290 | Technetium TC 99m sestamibi, per unit | |
| A9501 | 290 | Technetium TC-99m teboroxime | |
| A9502 | 290 | Technetium TC99M tetrofosmin, per unit | |
| A9503 | 290 | Technetium TC 99m medronate, up to 30mci | |
| A9504 | 290 | Technetium tc 99m apcitide | |
| A9505 | 290 | Thallous chloride TL 201/mci | |
| A9507 | 290 | Indium/111 capromab pendetid, per dose | |
| A9508 | 290 | Iobenguane sulfate I-131, 0.5mci | |
| A9509 | 290 | Iodine I-123 sod iodide mil | |
| A9510 | 290 | Technetium TC99m Disofenin, per vial | |
| A9512 | 290 | Technetiumtc99mpertechnetate | |
| A9516 | 290 | I-123 sodium iodide capsule, ea | |
| A9517 | 290 | I-131 sodium iodide capsule, ea | |
| A9521 | 290 | Technetiumtc-99m exametazine | |
| A9524 | 290 | Iodinated I-131 serumalbumin, 5microcuries | |
| A9526 | 290 | Ammonia N-13, per dose | |
| A9527 | 290 | Iodine I-125 sodium iodide, per millicurie | |
| A9528 | 290 | Dx I131 so iodide cap, 1millicurie | |
| A9529 | 290 | Dx I131 so iodide sol millic | |
| A9530 | 290 | Th I131 so iodide sol millic | |
| A9531 | 290 | Dx I131 so iodide microcurie | |
| A9532 | 290 | I-125 serum albumin micro | |
| A9536 | 290 | Tc99m depreotide | |
| A9537 | 290 | Tc99m mebrofenin | |
| A9538 | 290 | Tc99m pyrophosphate | |
| A9539 | 290 | Tc99m pentetate | |
| A9540 | 290 | Tc99m MAA | |
| A9541 | 290 | Tc99m sulfur colloid | |
| A9542 | 290 | In111 ibritumomab, dx | |
| A9543 | 290 | Y90 ibritumomab, rx | |
| A9544 | 290 | I131 tositumomab, dx | |
| A9545 | 290 | I131 tositumomab, rx | |
| A9546 | 290 | Co57/58 | |
| A9547 | 290 | In111 oxyquinoline | |
| A9548 | 290 | In111 pentetate | |
| A9550 | 290 | Tc99m gluceptate | |
| A9551 | 290 | Tc99m succimer | |
| A9552 | 290 | F18 fdg | |
| A9553 | 290 | Cr51 chromate | |
| A9554 | 290 | I125 iothalamate, dx | |
| A9555 | 290 | Rb82 rubidium | |
| A9556 | 290 | Ga67 gallium | |
| A9557 | 290 | Tc99m bicisate | |
| A9558 | 290 | Xe133 xenon 10mci | |
| A9559 | 290 | Co57 cyano | |
| A9560 | 290 | Tc99m labeled rbc | |
| A9561 | 290 | Tc99m oxidronate | |
| A9562 | 290 | Tc99m mertiatide | |
| A9563 | 290 | P32 Na phosphate | |
| A9564 | 290 | P32 chromic phosphate | |
| A9566 | 290 | Tc99m fanolesomab | |
| A9567 | 290 | Technetium TC-99m aerosol | |
| A9568 | 290 | Technetium TC99m arcitumomab, dx, up to 45 millicuries | |
| A9569 | 290 | Technetium TC-99m auto WBC | |
| A9570 | 290 | Indium In-111 auto WBC | |
| A9571 | 290 | Indium IN-111 auto platelet | |
| A9572 | 290 | Indium In-111 pentetreotide | |
| A9576 | 290 | Inj prohance multipack | |
| A9577 | 290 | Inj multihance | |
| A9578 | 290 | Inj multihance multipack | |
| A9579 | 290 | Gad-base MR contrast NOS,1ml | |
| A9580 | 290 | Sodium fluoride F-18, up to 30 mci | |
| A9581 | 290 | Inj. Gadoxetate disodium, 1 ml | |
| A9582 | 290 | I-123 iobenguane, dx, up to 15 mci | |
| A9583 | 290 | Inj. Gadofosveset trisodium, 1 ml | |
| A9600 | 290 | Strontium-89 chloride, 1mci | |
| A9604 | 290 | SM-153 lexidronam, up to 150 mci | |
| A9698 | 290 | Non-rad contrast materialNOC | |
| A9699 | 290 | Noc therapeutic radiopharm | |
| A9700 | 290 | Echocardiography Contrast, per study | |
| A9900 | 290 | Supply/accessory/service | |
| A9901 | 290 | Delivery/set up/dispensing | |
| A9999 | 290 | DME supply or accessory, nos | |
| ANIML | 290 | Animal cost in tx of A.C. | |
| ASSTR | 290 | Assisted Reemployment | |
| ATTMD | 290 | Attending physician medical report request | |
| B4034 | 290 | Enter feed supkit syr by day | |
| B4035 | 290 | Enteral feed supp pump per d | |
| B4036 | 290 | Enteral feed sup kit grav by | |
| B4081 | 290 | Enteral ng tubing w/ stylet | |
| B4082 | 290 | Enteral ng tubing w/o stylet | |
| B4083 | 290 | Enteral stomach tube levine | |
| B4087 | 290 | Gastro/jejuno tube, std | |
| B4088 | 290 | Gastro/jejuno tube, low-pro | |
| B4100 | 290 | Food thickener oral | |
| B4102 | 290 | EF adult fluids and electro | |
| B4104 | 290 | Additive for enteral formula (fiber) | |
| B4149 | 290 | EF blenderized foods | |
| B4150 | 290 | Enteral formulae category i | |
| B4152 | 290 | Enteral formulae category ii | |
| B4153 | 290 | Enteral formulae category ii | |
| B4154 | 290 | Enteral formulae category iv | |
| B4155 | 290 | Enteral formulae category v | |
| B4157 | 290 | EF special metabolic inherit | |
| B4164 | 290 | Parenteral 50% dextrose solu | |
| B4168 | 290 | Parenteral sol amino acid 3. | |
| B4172 | 290 | Parenteral sol amino acid 5. | |
| B4176 | 290 | Parenteral sol amino acid 7- | |
| B4178 | 290 | Parenteral sol amino acid > | |
| B4180 | 290 | Parenteral sol carb > 50% | |
| B4185 | 290 | Parenteral sol 10 gm lipids | |
| B4189 | 290 | Parenteral sol amino acid & | |
| B4193 | 290 | Parenteral sol 52-73 gm prot | |
| B4197 | 290 | Parenteral sol 74-100 gm pro | |
| B4199 | 290 | Parenteral sol > 100gm prote | |
| B4216 | 290 | Parenteral nutrition additiv | |
| B4220 | 290 | Parenteral supply kit premix | |
| B4222 | 290 | Parenteral supply kit homemi | |
| B4224 | 290 | Parenteral administration ki | |
| B5000 | 290 | Parenteral sol renal-amirosy | |
| B5100 | 290 | Parenteral sol hepatic-fream | |
| B5200 | 290 | Parenteral sol stres-brnch c | |
| B9000 | 290 | Enter infusion pump w/o alrm | |
| B9000 | NU | 290 | Enter infusion pump w/o alrm |
| B9000 | RR | 290 | Enter infusion pump w/o alrm |
| B9000 | UE | 290 | Enter infusion pump w/o alrm |
| B9002 | 290 | Enteral infusion pump w/ ala | |
| B9002 | NU | 290 | Enteral infusion pump w/ ala |
| B9002 | RR | 290 | Enteral infusion pump w/ ala |
| B9002 | UE | 290 | Enteral infusion pump w/ ala |
| B9004 | 290 | Parenteral infus pump portab | |
| B9004 | NU | 290 | Parenteral infus pump portab |
| B9004 | RR | 290 | Parenteral infus pump portab |
| B9004 | UE | 290 | Parenteral infus pump portab |
| B9006 | 290 | Parenteral infus pump statio | |
| B9006 | NU | 290 | Parenteral infus pump statio |
| B9006 | RR | 290 | Parenteral infus pump statio |
| B9006 | UE | 290 | Parenteral infus pump statio |
| B9998 | 290 | Enteral supply, n.o.c. | |
| B9999 | 290 | Parenteral supply, n.o.c. | |
| C1300 | 290 | HYPERBARIC O2, full body, 30 min | |
| C1713 | 290 | Anchor screw, implantable | |
| C1714 | 290 | Catheter, transluminal atherectomy, direct'l | |
| C1715 | 290 | Brachytherapy needle | |
| C1716 | 290 | Brachytherapy seed, gold 198 | |
| C1717 | 290 | Brachytherapy seed, hi dose iridium 192 | |
| C1719 | 290 | Brachytherapy seed, non-hi dose iridium 192 | |
| C1721 | 290 | Cardioverter-defrib, dual chamber, implant | |
| C1722 | 290 | Cardioverter-defrib, single chamber, implant | |
| C1724 | 290 | Catheter, transluminal atherectomy, rotat'l | |
| C1725 | 290 | Catheter, transluminal angioplasty, non-laser | |
| C1726 | 290 | Catheter, balloon dilatation, non-vascular | |
| C1727 | 290 | Catheter, balloon tissue dissector, non-vasc | |
| C1728 | 290 | Catheter, brachytherapy seed admin | |
| C1729 | 290 | Catheter, drainage | |
| C1730 | 290 | Catheter, electrophysiology, diag, < 20 elect | |
| C1731 | 290 | Catheter, electrophysiology, diag, > 19 elect | |
| C1732 | 290 | Catheter, electrophysiology, diag/ablation, 3D map | |
| C1733 | 290 | Catheter, electrophysiology, diag/ablation | |
| C1750 | 290 | Catheter, hemodialysis, long-term | |
| C1751 | 290 | Catheter, infusion | |
| C1752 | 290 | Catheter, hemodialysis, short-term | |
| C1753 | 290 | Catheter, intravascular ultrasound | |
| C1754 | 290 | Catheter, intradiscal | |
| C1755 | 290 | Catheter, intraspinal | |
| C1756 | 290 | Catheter, pacing, tranesophageal | |
| C1757 | 290 | Catheter, thrombectomy/embolectomy | |
| C1758 | 290 | Catheter, ureteral | |
| C1759 | 290 | Catheter, intracardiac echocardiography | |
| C1760 | 290 | Closure device, vascular | |
| C1762 | 290 | Connective tissue, human | |
| C1763 | 290 | Connective tissue, non-human | |
| C1764 | 290 | Event recorder, cardiac, implantable | |
| C1765 | 290 | Adhesion barrier | |
| C1766 | 290 | Intro cheath, guiding, intracardiac | |
| C1767 | 290 | Generator, neurostimulator non-recharge | |
| C1768 | 290 | Graft, vascular | |
| C1769 | 290 | Guide wire | |
| C1770 | 290 | Imaging coil, m.r. | |
| C1771 | 290 | Repair device, urinary, incont. | |
| C1772 | 290 | Infusion pump, programmable | |
| C1773 | 290 | Retrieval device, insertable | |
| C1776 | 290 | Joint device | |
| C1777 | 290 | Lead, cardioverter-defibrillator | |
| C1778 | 290 | Lead, neurostimulator | |
| C1779 | 290 | Lead, pacemaker, transvenous VDD | |
| C1780 | 290 | Lens, intraocular | |
| C1781 | 290 | Mesh, implantable | |
| C1782 | 290 | Morcellator | |
| C1783 | 290 | Ocular imp, aqueous drain de | |
| C1784 | 290 | Ocular device, intraoperative, detach retina | |
| C1785 | 290 | Pacemaker, dual chamber, rate respons | |
| C1786 | 290 | Pacemaker, single chamber, rate respons | |
| C1787 | 290 | Patient programmer, neurostimulator | |
| C1788 | 290 | Port, indwelling | |
| C1789 | 290 | Prosthesis, breast, implantable | |
| C1813 | 290 | Prosthesis, penile, inflatable | |
| C1814 | 290 | Retinal temponade device, silicone oil | |
| C1815 | 290 | Prosthesis, urinary sphincter | |
| C1816 | 290 | Receiver/transmitter, neurostimulator | |
| C1817 | 290 | Septal defect implant system, intracardiac | |
| C1818 | 290 | Integrated keratoprosthesis | |
| C1819 | 290 | Tissue localization-excision device | |
| C1820 | 290 | Generator neurostim, implant, rechg bat sy | |
| C1821 | 290 | Interspinous proces distraction device, implant | |
| C1874 | 290 | Stent, coated/covered, w/deliv sys | |
| C1875 | 290 | Stent, coated/covered, w/out deliv sys | |
| C1876 | 290 | Stent, non-coat/cov, w/deliv sys | |
| C1877 | 290 | Stent, non-coat/cov, w/out deliv sys | |
| C1878 | 290 | Material for vocal cord medializ, synth | |
| C1879 | 290 | Tissue marker, implantable | |
| C1880 | 290 | Vena cava filter | |
| C1881 | 290 | Dialysis access system | |
| C1882 | 290 | Cardioverter-defrib, not single/dual chamber | |
| C1883 | 290 | Adaptor/extension, pacing lead | |
| C1884 | 290 | Embolization protective system | |
| C1885 | 290 | Catheter, transluminal angioplasty, laser | |
| C1887 | 290 | Catheter, guiding | |
| C1888 | 290 | Endovas non-cardiac abl cath | |
| C1891 | 290 | Infusion pump, non-program, permanent | |
| C1892 | 290 | Introducer/sheath, guiding, intracardiac elec | |
| C1893 | 290 | Introducer/sheath, guiding, intracardiac elec | |
| C1894 | 290 | Introducer/sheath, not guiding, intracardiac elec | |
| C1895 | 290 | Lead, cardiovert-defibr, endocard dual coil | |
| C1896 | 290 | Lead, cardiovert-defibr, not endocard dual coil | |
| C1897 | 290 | Lead, neurostimulator test kit | |
| C1898 | 290 | Lead, pacemaker, not transvenous VDD | |
| C1899 | 290 | Lead, pacemaker/cardiovert-defibr combi | |
| C1900 | 290 | Lead, coronary venous | |
| C2614 | 290 | Probe, perc lumb disc | |
| C2615 | 290 | Sealant, pulmonary, liquid | |
| C2616 | 290 | Brachytherapy seed, Yttrium-90 | |
| C2617 | 290 | Stent, non-coronary, temp, w/out deliv sys | |
| C2618 | 290 | Probe, cryoablation | |
| C2619 | 290 | Pacemaker, dual chamber, non rate-resp | |
| C2620 | 290 | Pacemaker, single chamber, non rate-resp | |
| C2621 | 290 | Pacemaker, not single/dual chamber | |
| C2622 | 290 | Prosthesis, penile, non-inflatable | |
| C2625 | 290 | Stent, non-coronary, temp, w/deliv sys | |
| C2626 | 290 | Infusion pump, non-program, temp | |
| C2627 | 290 | Catheter, suprapubic/cystoscopic | |
| C2628 | 290 | Catheter, occlusion | |
| C2629 | 290 | Introducer/sheath, not guiding, intracardiac elec | |
| C2630 | 290 | Catheter, elect, diag/ablation not 3D map | |
| C2631 | 290 | Repair device, urinary, incont | |
| C2634 | 290 | Brachytx source, HA, I-125 | |
| C2635 | 290 | Brachytx source, HA, P-103 | |
| C2636 | 290 | Brachytx linear source, P-103 | |
| C2637 | 290 | Brachytx, Ytterbium-169 | |
| C2638 | 290 | Brachytherapy seed, stranded, iodine-125 | |
| C2639 | 290 | Brachytherapy seed, non-stranded, iodine-125 | |
| C2640 | 290 | Brachytherapy seed, stranded, palladium-103 | |
| C2641 | 290 | Brachytherapy seed, non-stranded, palladium-103 | |
| C2642 | 290 | Brachytx source, stranded, Cesium-131 | |
| C2643 | 290 | Brachytx source, non-stranded, Cesium-131 | |
| C2698 | 290 | Brachytx, stranded, NOS | |
| C2699 | 290 | Brachytx, non-stranded, NOS | |
| C8900 | 290 | MRA w/contrast, abdomen | |
| C8901 | 290 | MRA w/out contrast, abdomen | |
| C8902 | 290 | MRA w/out + w/contrast, abdomen | |
| C8903 | 280 | MRI w/contrast, breast, unil | |
| C8904 | 280 | MRI w/out contrast, breast, unil | |
| C8905 | 280 | MRI w/out + w/contrast, breast, unil | |
| C8906 | 250 | MRI w/contrast, breast, bil | |
| C8907 | 250 | MRI w/out contrast, breast, bil | |
| C8908 | 250 | MRI w/out + w/contrast, breast, bil | |
| C8909 | 290 | MRA w/contrast, chest | |
| C8910 | 290 | MRA w/out contrast, chest | |
| C8911 | 290 | MRA w/out + w/contrast, chest | |
| C8912 | 285 | MRA w/contrast, lower ext | |
| C8913 | 285 | MRA w/out contrast, lower ext | |
| C8914 | 285 | MRA w/out + w/contrast, lower ext | |
| C8918 | 290 | MRA w/ contrast, pelvis | |
| C8919 | 290 | MRA w/out contrast, pelvis | |
| C8920 | 290 | MRA w/out & w/contrast, pelvis | |
| C8921 | 282 | Comp transtho echo w/contr | |
| C8922 | 282 | Limit transtho echo w/contr | |
| C8923 | 282 | 2D com transtho echo w/contr | |
| C8924 | 282 | 2D lim transtho echo w/contr | |
| C8925 | 282 | 2D TEE w/contrast, int/rept | |
| C8926 | 282 | Cong TEE w/contr, int/rept | |
| C8927 | 282 | TEE w/contrast; monitor | |
| C8928 | 290 | 2D transtho w/contr; stress | |
| C8957 | 282 | Prolonged IV inf, req pump | |
| C9113 | 290 | Injection, Pantoprazole sodium, per vial | |
| C9121 | 290 | Injection, argatroban | |
| C9248 | 290 | Inj, clevidipine butyrate | |
| C9250 | 290 | Artiss, fibrin sealant, 2ml | |
| C9254 | 290 | Inj. Lacosamide, 1 mg | |
| C9255 | 290 | Inj. Paliperidone palmitate, 1 mg | |
| C9256 | 290 | Inj. Dexamethasone intravitreal impl, 0.1 mg | |
| C9257 | 290 | Inj. Bevacizumab, 0.25 mg | |
| C9258 | 290 | Telavancin injection | |
| C9259 | 290 | Pralatrexate injection | |
| C9261 | 290 | Ustekinumab injection | |
| C9262 | 290 | Fludarabine phosphate, oral | |
| C9264 | 290 | Tocilizumab injection, 1mg | |
| C9265 | 290 | Romidepsin Injection | |
| C9266 | 290 | Collagenase clostridum histo | |
| C9267 | 290 | Injection von willebrand factor complex | |
| C9268 | 290 | Capsaicin patch, 10cm2 | |
| C9352 | 290 | Neuragen nerve guide, per cm | |
| C9353 | 290 | Neurawrap nerve protector,cm | |
| C9354 | 290 | Veritas collagen matrix, cm2 | |
| C9355 | 290 | Neuromatrix nerve cuff, cm | |
| C9356 | 290 | TendoGlideTendon Prot, cm2 | |
| C9358 | 290 | SurgiMend, 0.5cm2 | |
| C9359 | 290 | Implant, bone void filler | |
| C9360 | 290 | SurgiMend, 0.5 sq cm | |
| C9361 | 290 | NeuroMend nerve wrap, 0.5 cm | |
| C9362 | 290 | Implnt, bone void filler-strip, 0.5 cc | |
| C9363 | 290 | Integra Meshed Bil Wound Mat, 1 sq cm | |
| C9364 | 290 | Porcine implant, Permacol, 1 sq cm | |
| C9399 | 290 | Unclassified drugs/biologicals | |
| C9716 | 283 | Creation thermal anal lesions, radiofrequency energy | |
| C9724 | 283 | EPS gast cardia plic | |
| C9725 | 283 | Place endorectal app | |
| C9726 | 283 | Rxt breast appl place/remov | |
| C9727 | 283 | Insert implants, soft palate; min of 3 | |
| C9728 | 283 | Placement interstitial device/marker, non prostrate | |
| C9898 | 290 | Inpnt stay radiolabeled item | |
| C9899 | 290 | Inpt implant pros dev,no cov | |
| CANCL | 290 | OWCP-requested examination; claimant failed to show up | |
| CHILD | 290 | Child care, per day | |
| CLMMT | 290 | Claimant Maintenance | |
| CLMOD | 290 | Clothing Modification | |
| CNSLT | 290 | Case file review by DMO or office consultant | |
| COPAY | 290 | Reimburse claimant copayments | |
| COPTN | 290 | Nurse intervention during COP - telephonic | |
| D0120 | 290 | Periodic oral evaluation | |
| D0140 | 290 | Limit oral eval problm focus | |
| D0150 | 270 | Comprehensve oral evaluation | |
| D0160 | 290 | Extensv oral eval prob focus | |
| D0170 | 290 | Re-eval,est pt,problem focus | |
| D0180 | 290 | Comp periodontal evaluation | |
| D0210 | 290 | Intraor complete film series | |
| D0220 | 290 | Intraoral periapical first f | |
| D0230 | 290 | Intraoral periapical ea add | |
| D0240 | 270 | Intraoral occlusal film | |
| D0250 | 270 | Extraoral first film | |
| D0260 | 270 | Extraoral ea additional film | |
| D0270 | 270 | Dental bitewing single film | |
| D0272 | 270 | Dental bitewings two films | |
| D0273 | 290 | Dental bitewings - three films | |
| D0274 | 270 | Dental bitewings four films | |
| D0277 | 290 | Vert bitewings-sev to eight | |
| D0290 | 290 | Dental film skull/facial bon | |
| D0310 | 290 | Dental saliography | |
| D0320 | 290 | Dental tmj arthrogram incl i | |
| D0321 | 290 | Dental other tmj films | |
| D0322 | 290 | Dental tomographic survey | |
| D0330 | 290 | Dental panoramic film | |
| D0340 | 290 | Dental cephalometric film | |
| D0350 | 290 | Oral/facial images | |
| D0360 | 290 | Cone beam ct | |
| D0362 | 290 | Cone beam, two dimensional | |
| D0363 | 290 | Cone beam, three dimensional | |
| D0415 | 290 | Bacteriologic study | |
| D0416 | 290 | Viral culture | |
| D0417 | 290 | Collect & prep saliva sample | |
| D0418 | 290 | Analysis of saliva sample | |
| D0421 | 290 | Gen tst suscept oral disease | |
| D0425 | 290 | Caries susceptibility test | |
| D0431 | 290 | Diag tst detect mucos abnorm | |
| D0460 | 270 | Pulp vitality test | |
| D0470 | 290 | Diagnostic casts | |
| D0472 | 290 | Gross exam, prep & report | |
| D0473 | 290 | Micro exam, prep & report | |
| D0474 | 290 | Micro w exam of surg margins | |
| D0475 | 290 | Decalcification procedure | |
| D0476 | 290 | Spec stains for microorganis | |
| D0477 | 290 | Spec stains not for microorg | |
| D0478 | 290 | Immunohistochemical stains | |
| D0479 | 290 | Tissue in-situ hybridization | |
| D0480 | 290 | Cytopath smear prep & report | |
| D0481 | 290 | Electron microscopy diagnost | |
| D0482 | 290 | Direct immunofluorescence | |
| D0483 | 290 | Indirect immunofluorescence | |
| D0484 | 290 | Consult slides prep elsewher | |
| D0485 | 290 | Consult inc prep of slides | |
| D0486 | 290 | Accession of brush biopsy | |
| D0502 | 270 | Other oral pathology procedu | |
| D0999 | 270 | Unspecified diagnostic proce | |
| D1110 | 290 | Dental prophylaxis adult | |
| D1204 | 290 | Topical fluor w/o prophy adu | |
| D1206 | 290 | Topical fluoride varnish | |
| D1310 | 290 | Nutri counsel-control caries | |
| D1320 | 290 | Tobacco counseling | |
| D1330 | 290 | Oral hygiene instruction | |
| D1351 | 290 | Dental sealant per tooth | |
| D1510 | 213 | Space maintainer fxd unilat | |
| D1515 | 213 | Fixed bilat space maintainer | |
| D1520 | 213 | Remove unilat space maintain | |
| D1525 | 213 | Remove bilat space maintain | |
| D1550 | 213 | Recement space maintainer | |
| D1555 | 290 | Remove fix space maintainer | |
| D2140 | 290 | Amalgam one surface permanen | |
| D2150 | 290 | Amalgam two surfaces permane | |
| D2160 | 290 | Amalgam three surfaces perma | |
| D2161 | 290 | Amalgam 4 or > surfaces perm | |
| D2330 | 290 | Resin one surface-anterior | |
| D2331 | 290 | Resin two surfaces-anterior | |
| D2332 | 290 | Resin three surfaces-anterio | |
| D2335 | 290 | Resin 4/> surf or w incis an | |
| D2390 | 290 | Ant resin-based cmpst crown | |
| D2391 | 290 | Post 1 srfc resinbased cmpst | |
| D2392 | 290 | Post 2 srfc resinbased cmpst | |
| D2393 | 290 | Post 3 srfc resinbased cmpst | |
| D2394 | 290 | Post >=4srfc resinbase cmpst | |
| D2410 | 290 | Dental gold foil one surface | |
| D2420 | 290 | Dental gold foil two surface | |
| D2430 | 290 | Dental gold foil three surfa | |
| D2510 | 290 | Dental inlay metalic 1 surf | |
| D2520 | 290 | Dental inlay metallic 2 surf | |
| D2530 | 290 | Dental inlay metl 3/more sur | |
| D2542 | 290 | Dental onlay metallic 2 surf | |
| D2543 | 290 | Dental onlay metallic 3 surf | |
| D2544 | 290 | Dental onlay metl 4/more sur | |
| D2610 | 290 | Inlay porcelain/ceramic 1 su | |
| D2620 | 290 | Inlay porcelain/ceramic 2 su | |
| D2630 | 290 | Dental onlay porc 3/more sur | |
| D2642 | 290 | Dental onlay porcelin 2 surf | |
| D2643 | 290 | Dental onlay porcelin 3 surf | |
| D2644 | 290 | Dental onlay porc 4/more sur | |
| D2650 | 290 | Inlay composite/resin one su | |
| D2651 | 290 | Inlay composite/resin two su | |
| D2652 | 290 | Dental inlay resin 3/mre sur | |
| D2662 | 290 | Dental onlay resin 2 surface | |
| D2663 | 290 | Dental onlay resin 3 surface | |
| D2664 | 290 | Dental onlay resin 4/mre sur | |
| D2710 | 290 | Crown resin laboratory | |
| D2712 | 290 | Crown 3/4 resin-based compos | |
| D2720 | 290 | Crown resin w/ high noble me | |
| D2721 | 290 | Crown resin w/ base metal | |
| D2722 | 290 | Crown resin w/ noble metal | |
| D2740 | 290 | Crown porcelain/ceramic subs | |
| D2750 | 290 | Crown porcelain w/ h noble m | |
| D2751 | 290 | Crown porcelain fused base m | |
| D2752 | 290 | Crown porcelain w/ noble met | |
| D2780 | 290 | Crown 3/4 cast hi noble met | |
| D2781 | 290 | Crown 3/4 cast base metal | |
| D2782 | 290 | Crown 3/4 cast noble metal | |
| D2783 | 290 | Crown 3/4 porcelain/ceramic | |
| D2790 | 290 | Crown full cast high noble m | |
| D2791 | 290 | Crown full cast base metal | |
| D2792 | 290 | Crown full cast noble metal | |
| D2794 | 290 | Crown-titanium | |
| D2799 | 290 | Provisional crown | |
| D2910 | 290 | Dental recement inlay | |
| D2915 | 290 | Recement cast or prefab post | |
| D2920 | 290 | Dental recement crown | |
| D2930 | 290 | Prefab stnlss steel crwn pri | |
| D2931 | 290 | Prefab stnlss steel crown pe | |
| D2932 | 290 | Prefabricated resin crown | |
| D2933 | 290 | Prefab stainless steel crown | |
| D2934 | 290 | Prefab steel crown primary | |
| D2940 | 290 | Dental sedative filling | |
| D2950 | 290 | Core build-up incl any pins | |
| D2951 | 290 | Tooth pin retention | |
| D2952 | 290 | Post and core cast + crown | |
| D2953 | 290 | Each addtnl cast post | |
| D2954 | 290 | Prefab post/core + crown | |
| D2955 | 290 | Post removal | |
| D2957 | 290 | Each addtnl prefab post | |
| D2960 | 290 | Laminate labial veneer | |
| D2961 | 290 | Lab labial veneer resin | |
| D2962 | 290 | Lab labial veneer porcelain | |
| D2970 | 290 | Temp crown (fractured tooth) | |
| D2971 | 290 | Add proc construct new crown | |
| D2975 | 290 | Coping | |
| D2980 | 290 | Crown repair | |
| D2999 | 270 | Dental unspec restorative pr | |
| D3110 | 290 | Pulp cap direct | |
| D3120 | 290 | Pulp cap indirect | |
| D3220 | 290 | Therapeutic pulpotomy | |
| D3221 | 290 | Gross pulpal debridement | |
| D3222 | 290 | Part pulp for apexogenesis | |
| D3230 | 290 | Pulpal therapy anterior prim | |
| D3240 | 290 | Pulpal therapy posterior pri | |
| D3310 | 290 | Anterior | |
| D3320 | 290 | Root canal therapy 2 canals | |
| D3330 | 290 | Root canal therapy 3 canals | |
| D3331 | 290 | Non-surg tx root canal obs | |
| D3332 | 290 | Incomplete endodontic tx | |
| D3333 | 290 | Internal root repair | |
| D3346 | 290 | Retreat root canal anterior | |
| D3347 | 290 | Retreat root canal bicuspid | |
| D3348 | 290 | Retreat root canal molar | |
| D3351 | 290 | Apexification/recalc initial | |
| D3352 | 290 | Apexification/recalc interim | |
| D3353 | 290 | Apexification/recalc final | |
| D3410 | 290 | Apicoect/perirad surg anter | |
| D3421 | 290 | Root surgery bicuspid | |
| D3425 | 290 | Root surgery molar | |
| D3426 | 290 | Root surgery ea add root | |
| D3430 | 290 | Retrograde filling | |
| D3450 | 290 | Root amputation | |
| D3460 | 213 | Endodontic endosseous implan | |
| D3470 | 290 | Intentional replantation | |
| D3910 | 290 | Isolation- tooth w rubb dam | |
| D3920 | 290 | Tooth splitting | |
| D3950 | 290 | Canal prep/fitting of dowel | |
| D3999 | 219 | Endodontic procedure, nos | |
| D4210 | 290 | Gingivectomy/plasty per quad | |
| D4211 | 290 | Gingivectomy/plasty per toot | |
| D4230 | 290 | Ana crown exp 4 or> per quad | |
| D4231 | 290 | Ana crown exp 1-3 per quad | |
| D4240 | 290 | Gingival flap proc w/ planin | |
| D4241 | 290 | Gngvl flap w rootplan 1-3 th | |
| D4245 | 290 | Apically positioned flap | |
| D4249 | 290 | Crown lengthen hard tissue | |
| D4260 | 268 | Osseous surgery per quadrant | |
| D4261 | 290 | Osseous surg, l-3 teeth/quad | |
| D4263 | 268 | Bone replce graft first site | |
| D4264 | 268 | Bone replce graft each add | |
| D4265 | 290 | Bio mtrls to aid soft/os reg | |
| D4266 | 290 | Guided tiss regen resorble | |
| D4267 | 290 | Guided tiss regen nonresorb | |
| D4268 | 290 | Surgical revision procedure | |
| D4270 | 213 | Pedicle soft tissue graft pr | |
| D4271 | 213 | Free soft tissue graft proc | |
| D4273 | 213 | Subepithelial tissue graft | |
| D4274 | 290 | Distal/proximal wedge proc | |
| D4275 | 290 | Soft tissue allograft | |
| D4276 | 290 | Con tissue w dble ped graft | |
| D4320 | 290 | Provision splnt intracoronal | |
| D4321 | 290 | Provisional splint extracoro | |
| D4341 | 290 | Periodontal scaling & root | |
| D4342 | 290 | Periodontal scaling 1-3teeth | |
| D4355 | 268 | Full mouth debridement | |
| D4381 | 268 | Localized chemo delivery | |
| D4910 | 290 | Periodontal maint procedures | |
| D4920 | 290 | Unscheduled dressing change | |
| D4999 | 290 | Unspecified periodontal proc | |
| D5110 | 290 | Dentures complete maxillary | |
| D5120 | 290 | Dentures complete mandible | |
| D5130 | 290 | Dentures immediat maxillary | |
| D5140 | 290 | Dentures immediat mandible | |
| D5211 | 290 | Dentures maxill part resin | |
| D5212 | 290 | Dentures mand part resin | |
| D5213 | 290 | Dentures maxill part metal | |
| D5214 | 290 | Dentures mandibl part metal | |
| D5225 | 290 | Maxillary part denture flex | |
| D5226 | 290 | Mandibular part denture flex | |
| D5281 | 290 | Removable partial denture | |
| D5410 | 290 | Dentures adjust cmplt maxil | |
| D5411 | 290 | Dentures adjust cmplt mand | |
| D5421 | 290 | Dentures adjust part maxill | |
| D5422 | 290 | Dentures adjust part mandbl | |
| D5510 | 290 | Dentur repr broken compl bas | |
| D5520 | 290 | Replace denture teeth complt | |
| D5610 | 290 | Dentures repair resin base | |
| D5620 | 290 | Rep part denture cast frame | |
| D5630 | 290 | Rep partial denture clasp | |
| D5640 | 290 | Replace part denture teeth | |
| D5650 | 290 | Add tooth to partial denture | |
| D5660 | 290 | Add clasp to partial denture | |
| D5670 | 290 | Replc tth&acrlc on mtl frmwk | |
| D5671 | 290 | Replc tth&acrlc mandibular | |
| D5710 | 290 | Dentures rebase cmplt maxil | |
| D5711 | 290 | Dentures rebase cmplt mand | |
| D5720 | 290 | Dentures rebase part maxill | |
| D5721 | 290 | Dentures rebase part mandbl | |
| D5730 | 290 | Denture reln cmplt maxil ch | |
| D5731 | 290 | Denture reln cmplt mand chr | |
| D5740 | 290 | Denture reln part maxil chr | |
| D5741 | 290 | Denture reln part mand chr | |
| D5750 | 290 | Denture reln cmplt max lab | |
| D5751 | 290 | Denture reln cmplt mand lab | |
| D5760 | 290 | Denture reln part maxil lab | |
| D5761 | 290 | Denture reln part mand lab | |
| D5810 | 290 | Denture interm cmplt maxill | |
| D5811 | 290 | Denture interm cmplt mandbl | |
| D5820 | 290 | Denture interm part maxill | |
| D5821 | 290 | Denture interm part mandbl | |
| D5850 | 290 | Denture tiss conditn maxill | |
| D5851 | 290 | Denture tiss condtin mandbl | |
| D5860 | 290 | Overdenture complete | |
| D5861 | 290 | Overdenture partial | |
| D5862 | 290 | Precision attachment | |
| D5867 | 290 | Replacement of precision att | |
| D5875 | 290 | Prosthesis modification | |
| D5899 | 290 | Removable prosthodontic proc | |
| D5911 | 268 | Facial moulage sectional | |
| D5912 | 268 | Facial moulage complete | |
| D5913 | 290 | Nasal prosthesis | |
| D5914 | 290 | Auricular prosthesis | |
| D5915 | 290 | Orbital prosthesis | |
| D5916 | 290 | Ocular prosthesis | |
| D5919 | 290 | Facial prosthesis | |
| D5922 | 290 | Nasal septal prosthesis | |
| D5923 | 290 | Ocular prosthesis interim | |
| D5924 | 290 | Cranial prosthesis | |
| D5925 | 290 | Facial augmentation implant | |
| D5926 | 290 | Replacement nasal prosthesis | |
| D5927 | 290 | Auricular replacement | |
| D5928 | 290 | Orbital replacement | |
| D5929 | 290 | Facial replacement | |
| D5931 | 290 | Surgical obturator | |
| D5932 | 290 | Postsurgical obturator | |
| D5933 | 290 | Refitting of obturator | |
| D5934 | 290 | Mandibular flange prosthesis | |
| D5935 | 290 | Mandibular denture prosth | |
| D5936 | 290 | Temp obturator prosthesis | |
| D5937 | 290 | Trismus appliance | |
| D5951 | 268 | Feeding aid | |
| D5953 | 290 | Adult speech aid | |
| D5954 | 290 | Superimposed prosthesis | |
| D5955 | 290 | Palatal lift prosthesis | |
| D5958 | 290 | Intraoral con def inter plt | |
| D5959 | 290 | Intraoral con def mod palat | |
| D5960 | 290 | Modify speech aid prosthesis | |
| D5982 | 290 | Surgical stent | |
| D5983 | 268 | Radiation applicator | |
| D5984 | 268 | Radiation shield | |
| D5985 | 268 | Radiation cone locator | |
| D5986 | 290 | Fluoride applicator | |
| D5987 | 213 | Commissure splint | |
| D5988 | 290 | Surgical splint | |
| D5991 | 290 | Topical medicament carrier | |
| D5999 | 290 | Maxillofacial prosthesis | |
| D6010 | 290 | Odontics endosteal implant | |
| D6012 | 290 | Surg placement, Endosteal implant | |
| D6040 | 290 | Odontics eposteal implant | |
| D6050 | 290 | Odontics transosteal implnt | |
| D6053 | 290 | Implnt/abtmnt spprt remv dnt | |
| D6054 | 290 | Implnt/abtmnt spprt remvprtl | |
| D6055 | 290 | Implant connecting bar | |
| D6056 | 290 | Prefabricated abutment | |
| D6057 | 290 | Custom abutment | |
| D6058 | 290 | Abutment supported crown | |
| D6059 | 290 | Abutment supported mtl crown | |
| D6060 | 290 | Abutment supported mtl crown | |
| D6061 | 290 | Abutment supported mtl crown | |
| D6062 | 290 | Abutment supported mtl crown | |
| D6063 | 290 | Abutment supported mtl crown | |
| D6064 | 290 | Abutment supported mtl crown | |
| D6065 | 290 | Implant supported crown | |
| D6066 | 290 | Implant supported mtl crown | |
| D6067 | 290 | Implant supported mtl crown | |
| D6068 | 290 | Abutment supported retainer | |
| D6069 | 290 | Abutment supported retainer | |
| D6070 | 290 | Abutment supported retainer | |
| D6071 | 290 | Abutment supported retainer | |
| D6072 | 290 | Abutment supported retainer | |
| D6073 | 290 | Abutment supported retainer | |
| D6074 | 290 | Abutment supported retainer | |
| D6075 | 290 | Implant supported retainer | |
| D6076 | 290 | Implant supported retainer | |
| D6077 | 290 | Implant supported retainer | |
| D6078 | 290 | Implnt/abut suprtd fixd dent | |
| D6079 | 290 | Implnt/abut suprtd fixd dent | |
| D6080 | 290 | Implant maintenance | |
| D6090 | 290 | Repair implant | |
| D6091 | 290 | Repl semi/precision attach | |
| D6092 | 290 | Recement supp crown | |
| D6093 | 290 | Recement supp part denture | |
| D6094 | 290 | Abut support crown titanium | |
| D6095 | 290 | Odontics repr abutment | |
| D6100 | 290 | Removal of implant | |
| D6190 | 290 | Radio/surgical implant index | |
| D6194 | 290 | Abut support retainer titani | |
| D6199 | 290 | Implant procedure | |
| D6205 | 290 | Pontic-indirect resin based | |
| D6210 | 290 | Prosthodont high noble metal | |
| D6211 | 290 | Bridge base metal cast | |
| D6212 | 290 | Bridge noble metal cast | |
| D6214 | 290 | Pontic titanium | |
| D6240 | 290 | Bridge porcelain high noble | |
| D6241 | 290 | Bridge porcelain base metal | |
| D6242 | 290 | Bridge porcelain nobel metal | |
| D6245 | 290 | Bridge porcelain/ceramic | |
| D6250 | 290 | Bridge resin w/high noble | |
| D6251 | 290 | Bridge resin base metal | |
| D6252 | 290 | Bridge resin w/noble metal | |
| D6253 | 290 | Provisional pontic | |
| D6545 | 290 | Dental retainr cast metl | |
| D6548 | 290 | Porcelain/ceramic retainer | |
| D6600 | 290 | Porcelain/ceramic inlay 2srf | |
| D6601 | 290 | Porc/ceram inlay >= 3 surfac | |
| D6602 | 290 | Cst hgh nble mtl inlay 2 srf | |
| D6603 | 290 | Cst hgh nble mtl inlay >=3sr | |
| D6604 | 290 | Cst bse mtl inlay 2 surfaces | |
| D6605 | 290 | Cst bse mtl inlay >= 3 surfa | |
| D6606 | 290 | Cast noble metal inlay 2 sur | |
| D6607 | 290 | Cst noble mtl inlay >=3 surf | |
| D6608 | 290 | Onlay porc/crmc 2 surfaces | |
| D6609 | 290 | Onlay porc/crmc >=3 surfaces | |
| D6610 | 290 | Onlay cst hgh nbl mtl 2 srfc | |
| D6611 | 290 | Onlay cst hgh nbl mtl >=3srf | |
| D6612 | 290 | Onlay cst base mtl 2 surface | |
| D6613 | 290 | Onlay cst base mtl >=3 surfa | |
| D6614 | 290 | Onlay cst nbl mtl 2 surfaces | |
| D6615 | 290 | Onlay cst nbl mtl >=3 surfac | |
| D6624 | 290 | Inlay titanium | |
| D6634 | 290 | Onlay titanium | |
| D6710 | 290 | Crown-indirect resin based | |
| D6720 | 290 | Retain crown resin w hi nble | |
| D6721 | 290 | Crown resin w/base metal | |
| D6722 | 290 | Crown resin w/noble metal | |
| D6740 | 290 | Crown porcelain/ceramic | |
| D6750 | 290 | Crown porcelain high noble | |
| D6751 | 290 | Crown porcelain base metal | |
| D6752 | 290 | Crown porcelain noble metal | |
| D6780 | 290 | Crown 3/4 high noble metal | |
| D6781 | 290 | Crown 3/4 cast based metal | |
| D6782 | 290 | Crown 3/4 cast noble metal | |
| D6783 | 290 | Crown 3/4 porcelain/ceramic | |
| D6790 | 290 | Crown full high noble metal | |
| D6791 | 290 | Crown full base metal cast | |
| D6792 | 290 | Crown full noble metal cast | |
| D6793 | 290 | Provisional retainer crown | |
| D6794 | 290 | Crown titanium | |
| D6920 | 213 | Dental connector bar | |
| D6930 | 290 | Dental recement bridge | |
| D6940 | 290 | Stress breaker | |
| D6950 | 290 | Precision attachment | |
| D6970 | 290 | Post & core plus retainer | |
| D6972 | 290 | Prefab post & core plus reta | |
| D6973 | 290 | Core build up for retainer | |
| D6975 | 290 | Coping metal | |
| D6976 | 290 | Each addtnl cast post | |
| D6977 | 290 | Each addtl prefab post | |
| D6980 | 290 | Bridge repair | |
| D6999 | 290 | Fixed prosthodontic proc | |
| D7111 | 290 | Coronal remnants deciduous t | |
| D7140 | 290 | Extraction erupted tooth/exr | |
| D7210 | 213 | Rem imp tooth w mucoper flp | |
| D7220 | 213 | Impact tooth remov soft tiss | |
| D7230 | 213 | Impact tooth remov part bony | |
| D7240 | 213 | Impact tooth remov comp bony | |
| D7241 | 213 | Impact tooth rem bony w/comp | |
| D7250 | 213 | Tooth root removal | |
| D7260 | 213 | Oral antral fistula closure | |
| D7261 | 290 | Primary closure sinus perf | |
| D7270 | 290 | Tooth reimplantation | |
| D7272 | 290 | Tooth transplantation | |
| D7280 | 290 | Exposure impact tooth orthod | |
| D7282 | 290 | Mobilize erupted/malpos toot | |
| D7283 | 290 | Place device impacted tooth | |
| D7285 | 290 | Biopsy of oral tissue hard | |
| D7286 | 290 | Biopsy of oral tissue soft | |
| D7287 | 290 | Cytology sample collection | |
| D7288 | 290 | Brush biopsy | |
| D7290 | 290 | Repositioning of teeth | |
| D7291 | 213 | Transseptal fiberotomy | |
| D7292 | 290 | Screw retained plate w flap | |
| D7293 | 290 | Temp anchorage dev w flap | |
| D7294 | 290 | Temp anchorage dev w/o flap | |
| D7310 | 290 | Alveoplasty w/ extraction | |
| D7311 | 290 | Alveoloplasty w/extract 1-3 | |
| D7320 | 290 | Alveoplasty w/o extraction | |
| D7321 | 290 | Alveoloplasty not w/extracts | |
| D7340 | 290 | Vestibuloplasty ridge extens | |
| D7350 | 290 | Vestibuloplasty exten graft | |
| D7410 | 290 | Rad exc lesion up to 1.25 cm | |
| D7411 | 290 | Excision benign lesion>1.25c | |
| D7412 | 290 | Excision benign lesion compl | |
| D7413 | 290 | Excision malig lesion<=1.25c | |
| D7414 | 290 | Excision malig lesion>1.25cm | |
| D7415 | 290 | Excision malig les complicat | |
| D7440 | 290 | Malig tumor exc to 1.25 cm | |
| D7441 | 290 | Malig tumor > 1.25 cm | |
| D7450 | 290 | Rem odontogen cyst to 1.25cm | |
| D7451 | 290 | Rem odontogen cyst > 1.25 cm | |
| D7460 | 290 | Rem nonodonto cyst to 1.25cm | |
| D7461 | 290 | Rem nonodonto cyst > 1.25 cm | |
| D7465 | 290 | Lesion destruction | |
| D7471 | 290 | Rem exostosis any site | |
| D7472 | 290 | Removal of torus palatinus | |
| D7473 | 290 | Remove torus mandibularis | |
| D7485 | 290 | Surg reduct osseoustuberosit | |
| D7490 | 290 | Mandible resection | |
| D7510 | 290 | I&d absc intraoral soft tiss | |
| D7511 | 290 | Incision/drain abscess intra | |
| D7520 | 290 | I&d abscess extraoral | |
| D7521 | 290 | Incision/drain abscess extra | |
| D7530 | 290 | Removal fb skin/areolar tiss | |
| D7540 | 290 | Removal of fb reaction | |
| D7550 | 290 | Removal of sloughed off bone | |
| D7560 | 290 | Maxillary sinusotomy | |
| D7610 | 290 | Maxilla open reduct simple | |
| D7620 | 290 | Clsd reduct simpl maxilla fx | |
| D7630 | 290 | Open red simpl mandible fx | |
| D7640 | 290 | Clsd red simpl mandible fx | |
| D7650 | 290 | Open red simp malar/zygom fx | |
| D7660 | 290 | Clsd red simp malar/zygom fx | |
| D7670 | 290 | Closd rductn splint alveolus | |
| D7671 | 290 | Alveolus open reduction | |
| D7680 | 290 | Reduct simple facial bone fx | |
| D7710 | 290 | Maxilla open reduct compound | |
| D7720 | 290 | Clsd reduct compd maxilla fx | |
| D7730 | 290 | Open reduct compd mandble fx | |
| D7740 | 290 | Clsd reduct compd mandble fx | |
| D7750 | 290 | Open red comp malar/zygma fx | |
| D7760 | 290 | Clsd red comp malar/zygma fx | |
| D7770 | 290 | Open reduc compd alveolus fx | |
| D7771 | 290 | Alveolus clsd reduc stblz te | |
| D7780 | 290 | Reduct compnd facial bone fx | |
| D7810 | 290 | Tmj open reduct-dislocation | |
| D7820 | 290 | Closed tmp manipulation | |
| D7830 | 290 | Tmj manipulation under anest | |
| D7840 | 290 | Removal of tmj condyle | |
| D7850 | 290 | Tmj meniscectomy | |
| D7852 | 290 | Tmj repair of joint disc | |
| D7854 | 290 | Tmj excisn of joint membrane | |
| D7856 | 290 | Tmj cutting of a muscle | |
| D7858 | 290 | Tmj reconstruction | |
| D7860 | 290 | Tmj cutting into joint | |
| D7865 | 290 | Tmj reshaping components | |
| D7870 | 290 | Tmj aspiration joint fluid | |
| D7871 | 290 | Lysis + lavage w catheters | |
| D7872 | 290 | Tmj diagnostic arthroscopy | |
| D7873 | 290 | Tmj arthroscopy lysis adhesn | |
| D7874 | 290 | Tmj arthroscopy disc reposit | |
| D7875 | 290 | Tmj arthroscopy synovectomy | |
| D7876 | 290 | Tmj arthroscopy discectomy | |
| D7877 | 290 | Tmj arthroscopy debridement | |
| D7880 | 290 | Occlusal orthotic appliance | |
| D7899 | 290 | Tmj unspecified therapy | |
| D7910 | 290 | Dent sutur recent wnd to 5cm | |
| D7911 | 290 | Dental suture wound to 5 cm | |
| D7912 | 290 | Suture complicate wnd > 5 cm | |
| D7920 | 290 | Dental skin graft | |
| D7940 | 213 | Reshaping bone orthognathic | |
| D7941 | 290 | Bone cutting ramus closed | |
| D7943 | 290 | Cutting ramus open w/graft | |
| D7944 | 290 | Bone cutting segmented | |
| D7945 | 290 | Bone cutting body mandible | |
| D7946 | 290 | Reconstruction maxilla total | |
| D7947 | 290 | Reconstruct maxilla segment | |
| D7948 | 290 | Reconstruct midface no graft | |
| D7949 | 290 | Reconstruct midface w/graft | |
| D7950 | 290 | Mandible graft | |
| D7951 | 290 | Sinus aug w bone/bone sup | |
| D7953 | 290 | Bone replacement graft | |
| D7955 | 290 | Repair maxillofacial defects | |
| D7960 | 290 | Frenulectomy/frenulotomy | |
| D7963 | 290 | Frenuloplasty | |
| D7970 | 290 | Excision hyperplastic tissue | |
| D7971 | 290 | Excision pericoronal gingiva | |
| D7972 | 290 | Surg redct fibrous tuberosit | |
| D7980 | 290 | Sialolithotomy | |
| D7981 | 290 | Excision of salivary gland | |
| D7982 | 290 | Sialodochoplasty | |
| D7983 | 290 | Closure of salivary fistula | |
| D7990 | 290 | Emergency tracheotomy | |
| D7991 | 290 | Dental coronoidectomy | |
| D7995 | 290 | Synthetic graft facial bones | |
| D7996 | 290 | Implant mandible for augment | |
| D7997 | 290 | Appliance removal | |
| D7998 | 290 | Intraoral place of fix dev | |
| D7999 | 290 | Oral surgery procedure, nos | |
| D8010 | 290 | Limited dental tx primary | |
| D8020 | 290 | Limited dental tx transition | |
| D8030 | 290 | Limited dental tx adolescent | |
| D8040 | 290 | Limited dental tx adult | |
| D8050 | 290 | Intercep dental tx primary | |
| D8060 | 290 | Intercep dental tx transitn | |
| D8070 | 290 | Compre dental tx transition | |
| D8080 | 290 | Compre dental tx adolescent | |
| D8090 | 290 | Compre dental tx adult | |
| D8210 | 290 | Orthodontic rem appliance tx | |
| D8220 | 290 | Fixed appliance therapy habt | |
| D8660 | 290 | Preorthodontic tx visit | |
| D8670 | 290 | Periodic orthodontc tx visit | |
| D8680 | 290 | Orthodontic retention | |
| D8690 | 290 | Orthodontic treatment | |
| D8691 | 290 | Repair ortho appliance | |
| D8692 | 290 | Replacement retainer | |
| D8693 | 290 | Rebond/cement/repair retain | |
| D8999 | 290 | Orthodontic procedure, nos | |
| D9110 | 213 | Tx dental pain minor proc | |
| D9120 | 290 | Fix partial denture section | |
| D9210 | 290 | Dent anesthesia w/o surgery | |
| D9211 | 290 | Regional block anesthesia | |
| D9212 | 290 | Trigeminal block anesthesia | |
| D9215 | 290 | Local anesthesia | |
| D9220 | 290 | General anesthesia | |
| D9221 | 290 | General anesthesia ea ad 15m | |
| D9230 | 219 | Analgesia | |
| D9241 | 290 | Intravenous sedation | |
| D9242 | 290 | IV sedation ea ad 30 m | |
| D9248 | 290 | Sedation (non-iv) | |
| D9310 | 290 | Dental consultation | |
| D9410 | 290 | Dental house call | |
| D9420 | 290 | Hospital call | |
| D9430 | 290 | Office visit during hours | |
| D9440 | 290 | Office visit after hours | |
| D9450 | 290 | Case presentation tx plan | |
| D9610 | 290 | Dent therapeutic drug inject | |
| D9612 | 290 | Thera par drugs 2 or > admin | |
| D9630 | 219 | Other drugs/medicaments | |
| D9910 | 290 | Dent appl desensitizing med | |
| D9911 | 290 | Appl desensitizing resin | |
| D9920 | 290 | Behavior management | |
| D9930 | 213 | Treatment of complications | |
| D9940 | 213 | Dental occlusal guard | |
| D9941 | 290 | Fabrication athletic guard | |
| D9942 | 290 | Repair/reline occlusal guard | |
| D9950 | 213 | Occlusion analysis | |
| D9951 | 213 | Limited occlusal adjustment | |
| D9952 | 213 | Complete occlusal adjustment | |
| D9970 | 290 | Enamel microabrasion | |
| D9971 | 290 | Odontoplasty 1-2 teeth | |
| D9972 | 290 | Extrnl bleaching per arch | |
| D9973 | 290 | Extrnl bleaching per tooth | |
| D9974 | 290 | Intrnl bleaching per tooth | |
| D9999 | 290 | Adjunctive procedure, nos | |
| E0100 | 290 | Cane adjust/fixed with tip | |
| E0100 | NU | 290 | Cane adjust/fixed with tip |
| E0100 | RR | 290 | Cane adjust/fixed with tip |
| E0100 | UE | 290 | Cane adjust/fixed with tip |
| E0105 | 290 | Cane adjust/fixed quad/3 pro | |
| E0105 | NU | 290 | Cane adjust/fixed quad/3 pro |
| E0105 | RR | 290 | Cane adjust/fixed quad/3 pro |
| E0105 | UE | 290 | Cane adjust/fixed quad/3 pro |
| E0110 | 290 | Crutch forearm pair | |
| E0110 | NU | 290 | Crutch forearm pair |
| E0110 | RR | 290 | Crutch forearm pair |
| E0110 | UE | 290 | Crutch forearm pair |
| E0111 | 290 | Crutch forearm each | |
| E0111 | NU | 290 | Crutch forearm each |
| E0111 | RR | 290 | Crutch forearm each |
| E0111 | UE | 290 | Crutch forearm each |
| E0112 | 290 | Crutch underarm pair wood | |
| E0112 | NU | 290 | Crutch underarm pair wood |
| E0112 | RR | 290 | Crutch underarm pair wood |
| E0112 | UE | 290 | Crutch underarm pair wood |
| E0113 | 290 | Crutch underarm each wood | |
| E0113 | NU | 290 | Crutch underarm each wood |
| E0113 | RR | 290 | Crutch underarm each wood |
| E0113 | UE | 290 | Crutch underarm each wood |
| E0114 | 290 | Crutch underarm pair no wood | |
| E0114 | NU | 290 | Crutch underarm pair no wood |
| E0114 | RR | 290 | Crutch underarm pair no wood |
| E0114 | UE | 290 | Crutch underarm pair no wood |
| E0116 | 290 | Crutch underarm each no wood | |
| E0116 | NU | 290 | Crutch underarm each no wood |
| E0116 | RR | 290 | Crutch underarm each no wood |
| E0116 | UE | 290 | Crutch underarm each no wood |
| E0117 | 290 | Underarm springassist crutch | |
| E0117 | NU | 290 | Underarm springassist crutch |
| E0117 | RR | 290 | Underarm springassist crutch |
| E0117 | UE | 290 | Underarm springassist crutch |
| E0118 | 290 | Cruth substitute, lwr leg platform | |
| E0118 | NU | 290 | Cruth substitute, lwr leg platform |
| E0118 | RR | 290 | Cruth substitute, lwr leg platform |
| E0118 | UE | 290 | Cruth substitute, lwr leg platform |
| E0130 | 290 | Walker rigid adjust/fixed ht | |
| E0130 | NU | 290 | Walker rigid adjust/fixed ht |
| E0130 | RR | 290 | Walker rigid adjust/fixed ht |
| E0130 | UE | 290 | Walker rigid adjust/fixed ht |
| E0135 | 290 | Walker folding adjust/fixed | |
| E0135 | NU | 290 | Walker folding adjust/fixed |
| E0135 | RR | 290 | Walker folding adjust/fixed |
| E0135 | UE | 290 | Walker folding adjust/fixed |
| E0140 | 290 | Walker w trunk support | |
| E0140 | NU | 290 | Walker w trunk support |
| E0140 | RR | 290 | Walker w trunk support |
| E0140 | UE | 290 | Walker w trunk support |
| E0141 | 290 | Rigid walker wheeled wo seat | |
| E0141 | NU | 290 | Rigid wheeled walker adj/fix |
| E0141 | RR | 290 | Rigid wheeled walker adj/fix |
| E0141 | UE | 290 | Rigid wheeled walker adj/fix |
| E0143 | 290 | Walker folding wheeled w/o s | |
| E0143 | NU | 290 | Walker folding wheeled w/o s |
| E0143 | RR | 290 | Walker folding wheeled w/o s |
| E0143 | UE | 290 | Walker folding wheeled w/o s |
| E0144 | 290 | Enclosed walker w rear seat | |
| E0144 | NU | 290 | Enclosed walker w rear seat |
| E0144 | RR | 290 | Enclosed walker w rear seat |
| E0144 | UE | 290 | Enclosed walker w rear seat |
| E0147 | 290 | Walker variable wheel resist | |
| E0147 | NU | 290 | Walker variable wheel resist |
| E0147 | RR | 290 | Walker variable wheel resist |
| E0147 | UE | 290 | Walker variable wheel resist |
| E0148 | 290 | Heavyduty walker no wheels | |
| E0148 | NU | 290 | Heavyduty walker no wheels |
| E0148 | RR | 290 | Heavyduty walker no wheels |
| E0148 | UE | 290 | Heavyduty walker no wheels |
| E0149 | 290 | Heavy duty wheeled walker | |
| E0149 | NU | 290 | Heavy duty wheeled walker |
| E0149 | RR | 290 | Heavy duty wheeled walker |
| E0149 | UE | 290 | Heavy duty wheeled walker |
| E0153 | 290 | Forearm crutch platform atta | |
| E0153 | NU | 290 | Forearm crutch platform atta |
| E0153 | RR | 290 | Forearm crutch platform atta |
| E0153 | UE | 290 | Forearm crutch platform atta |
| E0154 | 290 | Walker platform attachment | |
| E0154 | NU | 290 | Walker platform attachment |
| E0154 | RR | 290 | Walker platform attachment |
| E0154 | UE | 290 | Walker platform attachment |
| E0155 | 290 | Walker wheel attachment | |
| E0155 | NU | 290 | Walker wheel attachment |
| E0155 | RR | 290 | Walker wheel attachment |
| E0155 | UE | 290 | Walker wheel attachment |
| E0156 | 290 | Walker seat attachment | |
| E0156 | NU | 290 | Walker seat attachment |
| E0156 | RR | 290 | Walker seat attachment |
| E0156 | UE | 290 | Walker seat attachment |
| E0157 | 290 | Walker crutch attachment | |
| E0157 | NU | 290 | Walker crutch attachment |
| E0157 | RR | 290 | Walker crutch attachment |
| E0157 | UE | 290 | Walker crutch attachment |
| E0158 | 290 | Walker leg extenders set of4 | |
| E0158 | NU | 290 | Walker leg extenders set of4 |
| E0158 | RR | 290 | Walker leg extenders set of4 |
| E0158 | UE | 290 | Walker leg extenders set of4 |
| E0159 | 290 | Brake for wheeled walker | |
| E0159 | NU | 290 | Brake for wheeled walker |
| E0159 | RR | 290 | Brake for wheeled walker |
| E0159 | UE | 290 | Brake for wheeled walker |
| E0160 | 290 | Sitz type bath or equipment | |
| E0160 | NU | 290 | Sitz type bath or equipment |
| E0160 | RR | 290 | Sitz type bath or equipment |
| E0160 | UE | 290 | Sitz type bath or equipment |
| E0161 | 290 | Sitz bath/equipment w/faucet | |
| E0161 | NU | 290 | Sitz bath/equipment w/faucet |
| E0161 | RR | 290 | Sitz bath/equipment w/faucet |
| E0161 | UE | 290 | Sitz bath/equipment w/faucet |
| E0162 | 290 | Sitz bath chair | |
| E0162 | NU | 290 | Sitz bath chair |
| E0162 | RR | 290 | Sitz bath chair |
| E0162 | UE | 290 | Sitz bath chair |
| E0163 | 290 | Commode chair stationry fxd | |
| E0163 | NU | 290 | Commode chair stationry fxd |
| E0163 | RR | 290 | Commode chair stationry fxd |
| E0163 | UE | 290 | Commode chair stationry fxd |
| E0165 | 290 | Commode chair stationry det | |
| E0165 | NU | 290 | Commode chair stationry det |
| E0165 | RR | 290 | Commode chair stationry det |
| E0165 | UE | 290 | Commode chair stationry det |
| E0167 | 290 | Commode chair pail or pan | |
| E0167 | NU | 290 | Commode chair pail or pan |
| E0167 | RR | 290 | Commode chair pail or pan |
| E0167 | UE | 290 | Commode chair pail or pan |
| E0168 | 290 | Heavyduty/wide commode chair | |
| E0168 | NU | 290 | Heavyduty/wide commode chair |
| E0168 | RR | 290 | Heavyduty/wide commode chair |
| E0168 | UE | 290 | Heavyduty/wide commode chair |
| E0170 | 290 | Commode chair electric | |
| E0170 | NU | 290 | Commode chair electric |
| E0170 | RR | 290 | Commode chair electric |
| E0170 | UE | 290 | Commode chair electric |
| E0171 | 290 | Commode chair non-electric | |
| E0171 | NU | 290 | Commode chair non-electric |
| E0171 | RR | 290 | Commode chair non-electric |
| E0171 | UE | 290 | Commode chair non-electric |
| E0172 | 290 | Seat lift mechanism toilet | |
| E0175 | 290 | Commode chair foot rest | |
| E0175 | NU | 290 | Commode chair foot rest |
| E0175 | RR | 290 | Commode chair foot rest |
| E0175 | UE | 290 | Commode chair foot rest |
| E0181 | 290 | Press pad alternating w/ pum | |
| E0181 | NU | 290 | Press pad alternating w/ pum |
| E0181 | RR | 290 | Press pad alternating w/ pum |
| E0181 | UE | 290 | Press pad alternating w/ pum |
| E0182 | 290 | Pressure pad alternating pum | |
| E0182 | NU | 290 | Pressure pad alternating pum |
| E0182 | RR | 290 | Pressure pad alternating pum |
| E0182 | UE | 290 | Pressure pad alternating pum |
| E0184 | 290 | Dry pressure mattress | |
| E0184 | NU | 290 | Dry pressure mattress |
| E0184 | RR | 290 | Dry pressure mattress |
| E0184 | UE | 290 | Dry pressure mattress |
| E0185 | 290 | Gel pressure mattress pad | |
| E0185 | NU | 290 | Gel pressure mattress pad |
| E0185 | RR | 290 | Gel pressure mattress pad |
| E0185 | UE | 290 | Gel pressure mattress pad |
| E0186 | 290 | Air pressure mattress | |
| E0186 | NU | 290 | Air pressure mattress |
| E0186 | RR | 290 | Air pressure mattress |
| E0186 | UE | 290 | Air pressure mattress |
| E0187 | 290 | Water pressure mattress | |
| E0187 | NU | 290 | Water pressure mattress |
| E0187 | RR | 290 | Water pressure mattress |
| E0187 | UE | 290 | Water pressure mattress |
| E0188 | 290 | Synthetic sheepskin pad | |
| E0188 | NU | 290 | Synthetic sheepskin pad |
| E0188 | RR | 290 | Synthetic sheepskin pad |
| E0188 | UE | 290 | Synthetic sheepskin pad |
| E0189 | 290 | Lambswool sheepskin pad, any size | |
| E0189 | NU | 290 | Lambswool sheepskin pad |
| E0189 | RR | 290 | Lambswool sheepskin pad |
| E0189 | UE | 290 | Lambswool sheepskin pad |
| E0190 | 290 | Positioning cushion | |
| E0190 | NU | 290 | Positioning cushion |
| E0191 | 290 | Protector heel or elbow | |
| E0191 | NU | 290 | Protector heel or elbow |
| E0191 | RR | 290 | Protector heel or elbow |
| E0191 | UE | 290 | Protector heel or elbow |
| E0193 | 290 | Powered air flotation bed | |
| E0193 | NU | 290 | Powered air flotation bed |
| E0193 | RR | 290 | Powered air flotation bed |
| E0193 | UE | 290 | Powered air flotation bed |
| E0194 | 290 | Air fluidized bed | |
| E0194 | NU | 290 | Air fluidized bed |
| E0194 | RR | 290 | Air fluidized bed |
| E0194 | UE | 290 | Air fluidized bed |
| E0196 | 290 | Gel pressure mattress | |
| E0196 | NU | 290 | Gel pressure mattress |
| E0196 | RR | 290 | Gel pressure mattress |
| E0196 | UE | 290 | Gel pressure mattress |
| E0197 | 290 | Air pressure pad for mattres | |
| E0197 | NU | 290 | Air pressure pad for mattres |
| E0197 | RR | 290 | Air pressure pad for mattres |
| E0197 | UE | 290 | Air pressure pad for mattres |
| E0198 | 290 | Water pressure pad for mattr | |
| E0198 | NU | 290 | Water pressure pad for mattr |
| E0198 | RR | 290 | Water pressure pad for mattr |
| E0198 | UE | 290 | Water pressure pad for mattr |
| E0199 | 290 | Dry pressure pad for mattres | |
| E0199 | NU | 290 | Dry pressure pad for mattres |
| E0199 | RR | 290 | Dry pressure pad for mattres |
| E0199 | UE | 290 | Dry pressure pad for mattres |
| E0200 | 290 | Heat lamp without stand | |
| E0200 | NU | 290 | Heat lamp without stand |
| E0200 | RR | 290 | Heat lamp without stand |
| E0200 | UE | 290 | Heat lamp without stand |
| E0202 | 290 | Phototherapy light w/ photom | |
| E0202 | NU | 290 | Phototherapy light w/ photom |
| E0202 | RR | 290 | Phototherapy light w/ photom |
| E0202 | UE | 290 | Phototherapy light w/ photom |
| E0203 | 290 | Therapeutic lightbox tabletp | |
| E0203 | NU | 290 | Therapeutic lightbox tabletp |
| E0203 | RR | 290 | Therapeutic lightbox tabletp |
| E0203 | UE | 290 | Therapeutic lightbox tabletp |
| E0205 | 290 | Heat lamp with stand | |
| E0205 | NU | 290 | Heat lamp with stand |
| E0205 | RR | 290 | Heat lamp with stand |
| E0205 | UE | 290 | Heat lamp with stand |
| E0210 | 290 | Electric heat pad standard | |
| E0210 | NU | 290 | Electric heat pad standard |
| E0210 | RR | 290 | Electric heat pad standard |
| E0210 | UE | 290 | Electric heat pad standard |
| E0215 | 290 | Electric heat pad moist | |
| E0215 | NU | 290 | Electric heat pad moist |
| E0215 | RR | 290 | Electric heat pad moist |
| E0215 | UE | 290 | Electric heat pad moist |
| E0217 | 290 | Water circ heat pad w pump | |
| E0217 | NU | 290 | Water circ heat pad w pump |
| E0217 | RR | 290 | Water circ heat pad w pump |
| E0217 | UE | 290 | Water circ heat pad w pump |
| E0218 | 290 | H20 circulating cold pad w/pump | |
| E0218 | NU | 290 | H20 circulating cold pad w/pump |
| E0220 | 290 | Hot water bottle | |
| E0220 | NU | 290 | Hot water bottle |
| E0220 | RR | 290 | Hot water bottle |
| E0220 | UE | 290 | Hot water bottle |
| E0221 | 290 | Infrared heating pad sys | |
| E0221 | NU | 290 | Infrared heating pad system |
| E0221 | RR | 290 | Infrared heating pad system |
| E0221 | UE | 290 | Infrared heating pad system |
| E0225 | 290 | Hydrocollator unit | |
| E0225 | NU | 290 | Hydrocollator unit |
| E0225 | RR | 290 | Hydrocollator unit |
| E0225 | UE | 290 | Hydrocollator unit |
| E0230 | 290 | Ice cap or collar | |
| E0230 | NU | 290 | Ice cap or collar |
| E0230 | RR | 290 | Ice cap or collar |
| E0230 | UE | 290 | Ice cap or collar |
| E0231 | 290 | Non-contact wound warm device | |
| E0231 | NU | 290 | Non-contact wound warm device |
| E0231 | RR | 290 | Non-contact wound warm device |
| E0231 | UE | 290 | Non-contact wound warm device |
| E0232 | 290 | Warming card for use w/E0231 | |
| E0232 | NU | 290 | Warming card for use w/E0231 |
| E0232 | RR | 290 | Warming card for use w/E0231 |
| E0232 | UE | 290 | Warming card for use w/E0231 |
| E0235 | 290 | Paraffin bath unit portable | |
| E0235 | NU | 290 | Paraffin bath unit portable |
| E0235 | RR | 290 | Paraffin bath unit portable |
| E0235 | UE | 290 | Paraffin bath unit portable |
| E0236 | 290 | Pump for water circulating p | |
| E0236 | NU | 290 | Pump for water circulating p |
| E0236 | RR | 290 | Pump for water circulating p |
| E0236 | UE | 290 | Pump for water circulating p |
| E0238 | 290 | Heat pad non-electric moist | |
| E0238 | NU | 290 | Heat pad non-electric moist |
| E0238 | RR | 290 | Heat pad non-electric moist |
| E0238 | UE | 290 | Heat pad non-electric moist |
| E0239 | 290 | Hydrocollator unit portable | |
| E0239 | NU | 290 | Hydrocollator unit portable |
| E0239 | RR | 290 | Hydrocollator unit portable |
| E0239 | UE | 290 | Hydrocollator unit portable |
| E0240 | 290 | Bath/shower chair | |
| E0240 | NU | 290 | Bath/shower chair |
| E0240 | RR | 290 | Bath/shower chair |
| E0240 | UE | 290 | Bath/shower chair |
| E0241 | 290 | Bathtub wall rail, each | |
| E0241 | NU | 290 | Bathtub wall rail, each |
| E0242 | 290 | Bathtub rail, floor base | |
| E0242 | NU | 290 | Bathtub rail, floor base |
| E0243 | 290 | Toilet rail, each | |
| E0243 | NU | 290 | Toilet rail, each |
| E0244 | 290 | Raised toilet seat | |
| E0244 | NU | 290 | Raised toilet seat |
| E0245 | 290 | Tub stool or bench | |
| E0245 | NU | 290 | Tub stool or bench |
| E0246 | 290 | Transfer tub rail attachment | |
| E0246 | NU | 290 | Transfer tub rail attachment |
| E0247 | 290 | Trans bench w/wo comm open | |
| E0247 | NU | 290 | Trans bench w/wo comm open |
| E0247 | RR | 290 | Trans bench w/wo comm open |
| E0247 | UE | 290 | Trans bench w/wo comm open |
| E0248 | 290 | HDtrans bench w/wo comm open | |
| E0248 | NU | 290 | HDtrans bench w/wo comm open |
| E0248 | RR | 290 | HDtrans bench w/wo comm open |
| E0248 | UE | 290 | HDtrans bench w/wo comm open |
| E0249 | 290 | Pad water circulating heat u | |
| E0249 | NU | 290 | Pad water circulating heat u |
| E0249 | RR | 290 | Pad water circulating heat u |
| E0249 | UE | 290 | Pad water circulating heat u |
| E0250 | 290 | Hosp bed fixed ht w/ mattres | |
| E0250 | NU | 290 | Hosp bed fixed ht w/ mattres |
| E0250 | RR | 290 | Hosp bed fixed ht w/ mattres |
| E0250 | UE | 290 | Hosp bed fixed ht w/ mattres |
| E0251 | 290 | Hosp bed fixd ht w/o mattres | |
| E0251 | NU | 290 | Hosp bed fixd ht w/o mattres |
| E0251 | RR | 290 | Hosp bed fixd ht w/o mattres |
| E0251 | UE | 290 | Hosp bed fixd ht w/o mattres |
| E0255 | 290 | Hospital bed var ht w/ mattr | |
| E0255 | NU | 290 | Hospital bed var ht w/ mattr |
| E0255 | RR | 290 | Hospital bed var ht w/ mattr |
| E0255 | UE | 290 | Hospital bed var ht w/ mattr |
| E0256 | 290 | Hospital bed var ht w/o matt | |
| E0256 | NU | 290 | Hospital bed var ht w/o matt |
| E0256 | RR | 290 | Hospital bed var ht w/o matt |
| E0256 | UE | 290 | Hospital bed var ht w/o matt |
| E0260 | 290 | Hosp bed semi-electr w/ matt | |
| E0260 | NU | 290 | Hosp bed semi-electr w/ matt |
| E0260 | RR | 290 | Hosp bed semi-electr w/ matt |
| E0260 | UE | 290 | Hosp bed semi-electr w/ matt |
| E0261 | 290 | Hosp bed semi-electr w/o mat | |
| E0261 | NU | 290 | Hosp bed semi-electr w/o mat |
| E0261 | RR | 290 | Hosp bed semi-electr w/o mat |
| E0261 | UE | 290 | Hosp bed semi-electr w/o mat |
| E0265 | 290 | Hosp bed total electr w/ mat | |
| E0265 | NU | 290 | Hosp bed total electr w/ mat |
| E0265 | RR | 290 | Hosp bed total electr w/ mat |
| E0265 | UE | 290 | Hosp bed total electr w/ mat |
| E0266 | 290 | Hosp bed total elec w/o matt | |
| E0266 | NU | 290 | Hosp bed total elec w/o matt |
| E0266 | RR | 290 | Hosp bed total elec w/o matt |
| E0266 | UE | 290 | Hosp bed total elec w/o matt |
| E0270 | 290 | Hosp bed institu type w/mat | |
| E0271 | 290 | Mattress innerspring | |
| E0271 | NU | 290 | Mattress innerspring |
| E0271 | RR | 290 | Mattress innerspring |
| E0271 | UE | 290 | Mattress innerspring |
| E0272 | 290 | Mattress foam rubber | |
| E0272 | NU | 290 | Mattress foam rubber |
| E0272 | RR | 290 | Mattress foam rubber |
| E0272 | UE | 290 | Mattress foam rubber |
| E0273 | 290 | Bed board | |
| E0273 | NU | 290 | Bed board |
| E0273 | RR | 290 | Bed board |
| E0273 | UE | 290 | Bed board |
| E0274 | 290 | Over-bed table | |
| E0274 | NU | 290 | Over-bed table |
| E0274 | RR | 290 | Over-bed table |
| E0274 | UE | 290 | Over-bed table |
| E0275 | 290 | Bed pan standard | |
| E0275 | NU | 290 | Bed pan standard |
| E0275 | RR | 290 | Bed pan standard |
| E0275 | UE | 290 | Bed pan standard |
| E0276 | 290 | Bed pan fracture | |
| E0276 | NU | 290 | Bed pan fracture |
| E0276 | RR | 290 | Bed pan fracture |
| E0276 | UE | 290 | Bed pan fracture |
| E0277 | 290 | Powered pres-redu air mattrs | |
| E0277 | NU | 290 | Powered pres-redu air mattrs |
| E0277 | RR | 290 | Powered pres-redu air mattrs |
| E0277 | UE | 290 | Powered pres-redu air mattrs |
| E0280 | 290 | Bed cradle | |
| E0280 | NU | 290 | Bed cradle |
| E0280 | RR | 290 | Bed cradle |
| E0280 | UE | 290 | Bed cradle |
| E0290 | 290 | Hosp bed fx ht w/o rails w/m | |
| E0290 | NU | 290 | Hosp bed fx ht w/o rails w/m |
| E0290 | RR | 290 | Hosp bed fx ht w/o rails w/m |
| E0290 | UE | 290 | Hosp bed fx ht w/o rails w/m |
| E0291 | 290 | Hosp bed fx ht w/o rail w/o | |
| E0291 | NU | 290 | Hosp bed fx ht w/o rail w/o |
| E0291 | RR | 290 | Hosp bed fx ht w/o rail w/o |
| E0291 | UE | 290 | Hosp bed fx ht w/o rail w/o |
| E0292 | 290 | Hosp bed var ht w/o rail w/o | |
| E0292 | NU | 290 | Hosp bed var ht w/o rail w/o |
| E0292 | RR | 290 | Hosp bed var ht w/o rail w/o |
| E0292 | UE | 290 | Hosp bed var ht w/o rail w/o |
| E0293 | 290 | Hosp bed var ht w/o rail w/ | |
| E0293 | NU | 290 | Hosp bed var ht w/o rail w/ |
| E0293 | RR | 290 | Hosp bed var ht w/o rail w/ |
| E0293 | UE | 290 | Hosp bed var ht w/o rail w/ |
| E0294 | 290 | Hosp bed semi-elect w/ mattr | |
| E0294 | NU | 290 | Hosp bed semi-elect w/ mattr |
| E0294 | RR | 290 | Hosp bed semi-elect w/ mattr |
| E0294 | UE | 290 | Hosp bed semi-elect w/ mattr |
| E0295 | 290 | Hosp bed semi-elect w/o matt | |
| E0295 | NU | 290 | Hosp bed semi-elect w/o matt |
| E0295 | RR | 290 | Hosp bed semi-elect w/o matt |
| E0295 | UE | 290 | Hosp bed semi-elect w/o matt |
| E0296 | 290 | Hosp bed total elect w/ matt | |
| E0296 | NU | 290 | Hosp bed total elect w/ matt |
| E0296 | RR | 290 | Hosp bed total elect w/ matt |
| E0296 | UE | 290 | Hosp bed total elect w/ matt |
| E0297 | 290 | Hosp bed total elect w/o mat | |
| E0297 | NU | 290 | Hosp bed total elect w/o mat |
| E0297 | RR | 290 | Hosp bed total elect w/o mat |
| E0297 | UE | 290 | Hosp bed total elect w/o mat |
| E0301 | 290 | HD hosp bed | |
| E0301 | NU | 290 | HD hosp bed |
| E0301 | RR | 290 | HD hosp bed |
| E0301 | UE | 290 | HD hosp bed |
| E0302 | 290 | Ex hd hosp bed > 600 lbs | |
| E0302 | NU | 290 | Ex hd hosp bed > 600 lbs |
| E0302 | RR | 290 | Ex hd hosp bed > 600 lbs |
| E0302 | UE | 290 | Ex hd hosp bed > 600 lbs |
| E0303 | 290 | Hosp bed hvy dty xtra wide | |
| E0303 | NU | 290 | Hosp bed hvy dty xtra wide |
| E0303 | RR | 290 | Hosp bed hvy dty xtra wide |
| E0303 | UE | 290 | Hosp bed hvy dty xtra wide |
| E0304 | 290 | Hosp bed xtra hvy dty x wide | |
| E0304 | NU | 290 | Hosp bed xtra hvy dty x wide |
| E0304 | RR | 290 | Hosp bed xtra hvy dty x wide |
| E0304 | UE | 290 | Hosp bed xtra hvy dty x wide |
| E0305 | 290 | Rails bed side half length | |
| E0305 | NU | 290 | Rails bed side half length |
| E0305 | RR | 290 | Rails bed side half length |
| E0305 | UE | 290 | Rails bed side half length |
| E0310 | 290 | Rails bed side full length | |
| E0310 | NU | 290 | Rails bed side full length |
| E0310 | RR | 290 | Rails bed side full length |
| E0310 | UE | 290 | Rails bed side full length |
| E0315 | 290 | Bed accessory; board/table/support | |
| E0316 | 290 | Safety enclos frame/canopy for hosp bed | |
| E0316 | NU | 290 | Safety enclos frame/canopy for hosp bed |
| E0316 | RR | 290 | Bed safety enclosure |
| E0316 | UE | 290 | Safety enclos frame/canopy for hosp bed |
| E0325 | 290 | Urinal male jug-type | |
| E0325 | NU | 290 | Urinal male jug-type |
| E0325 | RR | 290 | Urinal male jug-type |
| E0325 | UE | 290 | Urinal male jug-type |
| E0326 | 290 | Urinal female jug-type | |
| E0326 | NU | 290 | Urinal female jug-type |
| E0326 | RR | 290 | Urinal female jug-type |
| E0326 | UE | 290 | Urinal female jug-type |
| E0350 | 290 | Cont unit, electronic bowel irriga | |
| E0352 | 290 | Dispos pack, use w/electronic irriga | |
| E0370 | 290 | Air elevator for heel | |
| E0370 | NU | 290 | Air elevator for heel |
| E0370 | RR | 290 | Air elevator for heel |
| E0370 | UE | 290 | Air elevator for heel |
| E0371 | 290 | Nonpower mattress overlay | |
| E0371 | NU | 290 | Nonpower mattress overlay |
| E0371 | RR | 290 | Nonpower mattress overlay |
| E0371 | UE | 290 | Nonpower mattress overlay |
| E0372 | 290 | Powered air mattress overlay | |
| E0372 | NU | 290 | Powered air mattress overlay |
| E0372 | RR | 290 | Powered air mattress overlay |
| E0372 | UE | 290 | Powered air mattress overlay |
| E0373 | 290 | Nonpowered pressure mattress | |
| E0373 | NU | 290 | Nonpowered pressure mattress |
| E0373 | RR | 290 | Nonpowered pressure mattress |
| E0373 | UE | 290 | Nonpowered pressure mattress |
| E0424 | 290 | Stationary compressed gas 02, rental | |
| E0424 | RR | 290 | Stationary compressed gas 02, rental |
| E0425 | 290 | Stationary compressed gas 02, purchase | |
| E0425 | NU | 290 | Stationary compressed gas 02, purchase |
| E0425 | UE | 290 | Stationary compressed gas 02, purchase |
| E0430 | 290 | Portable gaseous 02, purchase | |
| E0430 | NU | 290 | Portable gaseous 02, purchase |
| E0430 | UE | 290 | Portable gaseous 02, purchase |
| E0431 | 290 | Portable gaseous 02, rental | |
| E0431 | RR | 290 | Portable gaseous 02, rental |
| E0433 | 290 | Portable liquid O2 system, rental | |
| E0433 | RR | 290 | Portable liquid O2 system, rental |
| E0434 | 290 | Portable liquid 02, rental | |
| E0434 | RR | 290 | Portable liquid 02, rental |
| E0435 | 290 | Portable liquid 02, purchase | |
| E0435 | NU | 290 | Portable liquid 02, purchase |
| E0435 | UE | 290 | Portable liquid 02, purchase |
| E0439 | 290 | Stationary liquid 02, rental | |
| E0439 | RR | 290 | Stationary liquid 02, rental |
| E0440 | 290 | Stationary liquid 02, purchase | |
| E0440 | NU | 290 | Stationary liquid 02, purchase |
| E0440 | UE | 290 | Stationary liquid 02, purchase |
| E0441 | 290 | Oxygen contents, gaseous | |
| E0442 | 290 | Oxygen contents, liquid | |
| E0443 | 290 | Portable 02 contents | |
| E0444 | 290 | Portable 02 contents | |
| E0445 | 290 | Oximeter non-invasive | |
| E0445 | NU | 290 | Oximeter non-invasive |
| E0445 | RR | 290 | Oximeter non-invasive |
| E0445 | UE | 290 | Oximeter non-invasive |
| E0450 | 290 | Volume vent stationary/porta | |
| E0450 | NU | 290 | Volume vent stationary/porta |
| E0450 | RR | 290 | Volume vent stationary/porta |
| E0450 | UE | 290 | Volume vent stationary/porta |
| E0455 | 290 | O2 tent, excl croup/pediatric tents | |
| E0457 | 290 | Chest shell | |
| E0457 | NU | 290 | Chest shell |
| E0457 | RR | 290 | Chest shell |
| E0457 | UE | 290 | Chest shell |
| E0459 | 290 | Chest wrap | |
| E0459 | NU | 290 | Chest wrap |
| E0459 | RR | 290 | Chest wrap |
| E0459 | UE | 290 | Chest wrap |
| E0460 | 290 | Neg press vent portabl/statn | |
| E0460 | NU | 290 | Neg press vent portabl/statn |
| E0460 | RR | 290 | Neg press vent portabl/statn |
| E0460 | UE | 290 | Neg press vent portabl/statn |
| E0461 | 290 | Vol vent noninvasive interfa | |
| E0461 | NU | 290 | Vol vent noninvasive interfa |
| E0461 | RR | 290 | Vol vent noninvasive interfa |
| E0461 | UE | 290 | Vol vent noninvasive interfa |
| E0462 | 290 | Rocking bed w/ or w/o side r | |
| E0462 | NU | 290 | Rocking bed w/ or w/o side r |
| E0462 | RR | 290 | Rocking bed w/ or w/o side r |
| E0462 | UE | 290 | Rocking bed w/ or w/o side r |
| E0463 | 290 | Press supp vent invasive int | |
| E0463 | RR | 290 | Press supp vent invasive int |
| E0464 | 290 | Press supp vent invasive int | |
| E0464 | RR | 290 | Press supp vent invasive int |
| E0470 | 290 | RAD w/o backup non-inv intfc | |
| E0470 | NU | 290 | RAD w/o backup non-inv intfc |
| E0470 | RR | 290 | RAD w/o backup non-inv intfc |
| E0470 | UE | 290 | RAD w/o backup non-inv intfc |
| E0471 | 290 | RAD w/backup non inv intrfc | |
| E0471 | NU | 290 | RAD w/backup non inv intrfc |
| E0471 | RR | 290 | RAD w/backup non inv intrfc |
| E0471 | UE | 290 | RAD w/backup non inv intrfc |
| E0472 | 290 | RAD w backup invasive intrfc | |
| E0472 | NU | 290 | RAD w backup invasive intrfc |
| E0472 | RR | 290 | RAD w backup invasive intrfc |
| E0472 | UE | 290 | RAD w backup invasive intrfc |
| E0480 | 290 | Percussor elect/pneum home m | |
| E0480 | NU | 290 | Percussor elect/pneum home m |
| E0480 | RR | 290 | Percussor elect/pneum home m |
| E0480 | UE | 290 | Percussor elect/pneum home m |
| E0481 | 290 | Intrapulmonary perc vent sys + access | |
| E0481 | NU | 290 | Intrapulmonary perc vent sys + access |
| E0481 | RR | 290 | Intrapulmonary perc vent sys + access |
| E0481 | UE | 290 | Intrapulmonary perc vent sys + access |
| E0482 | 290 | Cough stimulat device, alt +/- air press | |
| E0482 | NU | 290 | Cough stimulat device, alt +/- air press |
| E0482 | RR | 290 | Cough stimulating device |
| E0482 | UE | 290 | Cough stimulat device, alt +/- air press |
| E0483 | 290 | Chest compression gen system | |
| E0483 | NU | 290 | Chest compression gen system |
| E0483 | RR | 290 | Chest compression gen system |
| E0483 | UE | 290 | Chest compression gen system |
| E0484 | 290 | Non-elec oscillatory pep dvc | |
| E0484 | NU | 290 | Non-elec oscillatory pep dvc |
| E0484 | RR | 290 | Non-elec oscillatory pep dvc |
| E0484 | UE | 290 | Non-elec oscillatory pep dvc |
| E0485 | 290 | Oral device/appliance prefab | |
| E0485 | NU | 290 | Oral device/appliance prefab |
| E0485 | RR | 290 | Oral device/appliance prefab |
| E0485 | UE | 290 | Oral device/appliance prefab |
| E0486 | 290 | Oral device/appliance cusfab | |
| E0486 | NU | 290 | Oral device/appliance cusfab |
| E0487 | 290 | Electronic spirometer | |
| E0500 | 290 | Ippb all types | |
| E0500 | NU | 290 | Ippb all types |
| E0500 | RR | 290 | Ippb all types |
| E0500 | UE | 290 | Ippb all types |
| E0550 | 290 | Humidif extens supple w ippb | |
| E0550 | NU | 290 | Humidif extens supple w ippb |
| E0550 | RR | 290 | Humidif extens supple w ippb |
| E0550 | UE | 290 | Humidif extens supple w ippb |
| E0555 | 290 | Humidifier for use w/ regula | |
| E0555 | NU | 290 | Humidifier for use w/ regula |
| E0560 | 290 | Humidifier supplemental w/ i | |
| E0560 | NU | 290 | Humidifier supplemental w/ i |
| E0560 | RR | 290 | Humidifier supplemental w/ i |
| E0560 | UE | 290 | Humidifier supplemental w/ i |
| E0561 | 290 | Humidifier nonheated w PAP | |
| E0561 | NU | 290 | Humidifier nonheated w PAP |
| E0561 | RR | 290 | Humidifier nonheated w PAP |
| E0561 | UE | 290 | Humidifier nonheated w PAP |
| E0562 | 290 | Humidifier heated used w PAP | |
| E0562 | NU | 290 | Humidifier heated used w PAP |
| E0562 | RR | 290 | Humidifier heated used w PAP |
| E0562 | UE | 290 | Humidifier heated used w PAP |
| E0565 | 290 | Compressor air power source | |
| E0565 | NU | 290 | Compressor air power source |
| E0565 | RR | 290 | Compressor air power source |
| E0565 | UE | 290 | Compressor air power source |
| E0570 | 290 | Nebulizer with compression | |
| E0570 | NU | 290 | Nebulizer with compression |
| E0570 | RR | 290 | Nebulizer with compression |
| E0570 | UE | 290 | Nebulizer with compression |
| E0571 | 290 | Aerosol compressor for svneb | |
| E0571 | NU | 290 | Aerosol compressor for svneb |
| E0571 | RR | 290 | Aerosol compressor for svneb |
| E0571 | UE | 290 | Aerosol compressor for svneb |
| E0572 | 290 | Aerosol compressor adjust pr | |
| E0572 | NU | 290 | Aerosol compressor adjust pr |
| E0572 | RR | 290 | Aerosol compressor adjust pr |
| E0572 | UE | 290 | Aerosol compressor adjust pr |
| E0574 | 290 | Ultrasonic generator w svneb | |
| E0574 | NU | 290 | Ultrasonic generator w svneb |
| E0574 | RR | 290 | Ultrasonic generator w svneb |
| E0574 | UE | 290 | Ultrasonic generator w svneb |
| E0575 | 290 | Nebulizer ultrasonic | |
| E0575 | NU | 290 | Nebulizer ultrasonic |
| E0575 | RR | 290 | Nebulizer ultrasonic |
| E0575 | UE | 290 | Nebulizer ultrasonic |
| E0580 | 290 | Nebulizer for use w/ regulat | |
| E0580 | NU | 290 | Nebulizer for use w/ regulat |
| E0580 | RR | 290 | Nebulizer for use w/ regulat |
| E0580 | UE | 290 | Nebulizer for use w/ regulat |
| E0585 | 290 | Nebulizer w/ compressor & he | |
| E0585 | NU | 290 | Nebulizer w/ compressor & he |
| E0585 | RR | 290 | Nebulizer w/ compressor & he |
| E0585 | UE | 290 | Nebulizer w/ compressor & he |
| E0600 | 290 | Suction pump portab hom modl | |
| E0600 | NU | 290 | Suction pump portab hom modl |
| E0600 | RR | 290 | Suction pump portab hom modl |
| E0600 | UE | 290 | Suction pump portab hom modl |
| E0601 | 290 | Cont airway pressure device | |
| E0601 | NU | 290 | Cont airway pressure device |
| E0601 | RR | 290 | Cont airway pressure device |
| E0601 | UE | 290 | Cont airway pressure device |
| E0602 | 290 | Breast pump, all types | |
| E0602 | NU | 290 | Manual breast pump |
| E0602 | RR | 290 | Manual breast pump |
| E0602 | UE | 290 | Manual breast pump |
| E0605 | 290 | Vaporizer room type | |
| E0605 | NU | 290 | Vaporizer room type |
| E0605 | RR | 290 | Vaporizer room type |
| E0605 | UE | 290 | Vaporizer room type |
| E0606 | 290 | Drainage board postural | |
| E0606 | NU | 290 | Drainage board postural |
| E0606 | RR | 290 | Drainage board postural |
| E0606 | UE | 290 | Drainage board postural |
| E0607 | 290 | Blood glucose monitor home | |
| E0607 | NU | 290 | Blood glucose monitor home |
| E0607 | RR | 290 | Blood glucose monitor home |
| E0607 | UE | 290 | Blood glucose monitor home |
| E0610 | 290 | Pacemaker monitr audible/vis | |
| E0610 | NU | 290 | Pacemaker monitr audible/vis |
| E0610 | RR | 290 | Pacemaker monitr audible/vis |
| E0610 | UE | 290 | Pacemaker monitr audible/vis |
| E0615 | 290 | Pacemaker monitr digital/vis | |
| E0615 | NU | 290 | Pacemaker monitr digital/vis |
| E0615 | RR | 290 | Pacemaker monitr digital/vis |
| E0615 | UE | 290 | Pacemaker monitr digital/vis |
| E0616 | 290 | Cardiac event recorder | |
| E0617 | 290 | Ext defrib w/ integ EKG analysis | |
| E0617 | NU | 290 | Ext defrib w/ integ EKG analysis |
| E0617 | RR | 290 | Automatic ext defibrillator |
| E0617 | UE | 290 | Ext defrib w/ integ EKG analysis |
| E0618 | 290 | Apnea monitor | |
| E0618 | NU | 290 | Apnea monitor |
| E0618 | RR | 290 | Apnea monitor |
| E0618 | UE | 290 | Apnea monitor |
| E0619 | 290 | Apnea monitor w recorder | |
| E0619 | RR | 290 | Apnea monitor w recorder |
| E0620 | 290 | Cap bld skin piercing laser | |
| E0620 | NU | 290 | Cap bld skin piercing laser |
| E0620 | RR | 290 | Cap bld skin piercing laser |
| E0620 | UE | 290 | Cap bld skin piercing laser |
| E0621 | 290 | Patient lift sling or seat | |
| E0621 | NU | 290 | Patient lift sling or seat |
| E0621 | RR | 290 | Patient lift sling or seat |
| E0621 | UE | 290 | Patient lift sling or seat |
| E0625 | 290 | Patient lift; kartop/bath/toilet, NOS | |
| E0627 | 290 | Seat lift incorp lift-chair | |
| E0627 | NU | 290 | Seat lift incorp lift-chair |
| E0627 | RR | 290 | Seat lift incorp lift-chair |
| E0627 | UE | 290 | Seat lift incorp lift-chair |
| E0628 | 290 | Seat lift for pt furn-electr | |
| E0628 | NU | 290 | Seat lift for pt furn-electr |
| E0628 | RR | 290 | Seat lift for pt furn-electr |
| E0628 | UE | 290 | Seat lift for pt furn-electr |
| E0629 | 290 | Seat lift for pt furn-non-el | |
| E0629 | NU | 290 | Seat lift for pt furn-non-el |
| E0629 | RR | 290 | Seat lift for pt furn-non-el |
| E0629 | UE | 290 | Seat lift for pt furn-non-el |
| E0630 | 290 | Patient lift hydraulic | |
| E0630 | NU | 290 | Patient lift hydraulic |
| E0630 | RR | 290 | Patient lift hydraulic |
| E0630 | UE | 290 | Patient lift hydraulic |
| E0635 | 290 | Patient lift electric | |
| E0635 | NU | 290 | Patient lift electric |
| E0635 | RR | 290 | Patient lift electric |
| E0635 | UE | 290 | Patient lift electric |
| E0636 | 290 | PT support & positioning sys | |
| E0636 | NU | 290 | PT support & positioning sys |
| E0636 | RR | 290 | PT support & positioning sys |
| E0636 | UE | 290 | PT support & positioning sys |
| E0637 | 290 | Sit-stand w seatlift | |
| E0637 | NU | 290 | Sit-stand w seatlift |
| E0637 | RR | 290 | Sit-stand w seatlift |
| E0637 | UE | 290 | Sit-stand w seatlift |
| E0638 | 290 | Standing frame sys | |
| E0638 | NU | 290 | Standing frame sys |
| E0638 | RR | 290 | Standing frame sys |
| E0638 | UE | 290 | Standing frame sys |
| E0639 | 290 | Moveable patient lift system | |
| E0640 | 290 | Fixed patient lift system | |
| E0641 | 290 | Multi-position stnd fram sys | |
| E0642 | 290 | Dynamic standing frame | |
| E0650 | 290 | Pneuma compresor non-segment | |
| E0650 | NU | 290 | Pneuma compresor non-segment |
| E0650 | RR | 290 | Pneuma compresor non-segment |
| E0650 | UE | 290 | Pneuma compresor non-segment |
| E0651 | 290 | Pneum compressor segmental | |
| E0651 | NU | 290 | Pneum compressor segmental |
| E0651 | RR | 290 | Pneum compressor segmental |
| E0651 | UE | 290 | Pneum compressor segmental |
| E0652 | 290 | Pneum compres w/cal pressure | |
| E0652 | NU | 290 | Pneum compres w/cal pressure |
| E0652 | RR | 290 | Pneum compres w/cal pressure |
| E0652 | UE | 290 | Pneum compres w/cal pressure |
| E0655 | 290 | Pneumatic appliance half arm | |
| E0655 | NU | 290 | Pneumatic appliance half arm |
| E0655 | RR | 290 | Pneumatic appliance half arm |
| E0655 | UE | 290 | Pneumatic appliance half arm |
| E0656 | 290 | Segmental pneumatic trunk | |
| E0656 | NU | 290 | Segmental pneumatic trunk |
| E0656 | RR | 290 | Segmental pneumatic trunk |
| E0656 | UE | 290 | Segmental pneumatic trunk |
| E0657 | 290 | Segmental pneumatic chest | |
| E0657 | NU | 290 | Segmental pneumatic chest |
| E0657 | RR | 290 | Segmental pneumatic chest |
| E0657 | UE | 290 | Segmental pneumatic chest |
| E0660 | 290 | Pneumatic appliance full leg | |
| E0660 | NU | 290 | Pneumatic appliance full leg |
| E0660 | RR | 290 | Pneumatic appliance full leg |
| E0660 | UE | 290 | Pneumatic appliance full leg |
| E0665 | 290 | Pneumatic appliance full arm | |
| E0665 | NU | 290 | Pneumatic appliance full arm |
| E0665 | RR | 290 | Pneumatic appliance full arm |
| E0665 | UE | 290 | Pneumatic appliance full arm |
| E0666 | 290 | Pneumatic appliance half leg | |
| E0666 | NU | 290 | Pneumatic appliance half leg |
| E0666 | RR | 290 | Pneumatic appliance half leg |
| E0666 | UE | 290 | Pneumatic appliance half leg |
| E0667 | 290 | Seg pneumatic appl full leg | |
| E0667 | NU | 290 | Seg pneumatic appl full leg |
| E0667 | RR | 290 | Seg pneumatic appl full leg |
| E0667 | UE | 290 | Seg pneumatic appl full leg |
| E0668 | 290 | Seg pneumatic appl full arm | |
| E0668 | NU | 290 | Seg pneumatic appl full arm |
| E0668 | RR | 290 | Seg pneumatic appl full arm |
| E0668 | UE | 290 | Seg pneumatic appl full arm |
| E0669 | 290 | Seg pneumatic appli half leg | |
| E0669 | NU | 290 | Seg pneumatic appli half leg |
| E0669 | RR | 290 | Seg pneumatic appli half leg |
| E0669 | UE | 290 | Seg pneumatic appli half leg |
| E0671 | 290 | Pressure pneum appl full leg | |
| E0671 | NU | 290 | Pressure pneum appl full leg |
| E0671 | RR | 290 | Pressure pneum appl full leg |
| E0671 | UE | 290 | Pressure pneum appl full leg |
| E0672 | 290 | Pressure pneum appl full arm | |
| E0672 | NU | 290 | Pressure pneum appl full arm |
| E0672 | RR | 290 | Pressure pneum appl full arm |
| E0672 | UE | 290 | Pressure pneum appl full arm |
| E0673 | 290 | Pressure pneum appl half leg | |
| E0673 | NU | 290 | Pressure pneum appl half leg |
| E0673 | RR | 290 | Pressure pneum appl half leg |
| E0673 | UE | 290 | Pressure pneum appl half leg |
| E0675 | 290 | Pneumatic compression device | |
| E0675 | NU | 290 | Pneumatic compression device |
| E0675 | RR | 290 | Pneumatic compression device |
| E0675 | UE | 290 | Pneumatic compression device |
| E0676 | 290 | Inter limb compress dev NOS | |
| E0691 | 290 | Uvl pnl 2 sq ft or less | |
| E0691 | NU | 290 | Uvl pnl 2 sq ft or less |
| E0691 | RR | 290 | Uvl pnl 2 sq ft or less |
| E0691 | UE | 290 | Uvl pnl 2 sq ft or less |
| E0692 | 290 | Uvl sys panel 4 ft | |
| E0692 | NU | 290 | Uvl sys panel 4 ft |
| E0692 | RR | 290 | Uvl sys panel 4 ft |
| E0692 | UE | 290 | Uvl sys panel 4 ft |
| E0693 | 290 | Uvl sys panel 6 ft | |
| E0693 | NU | 290 | Uvl sys panel 6 ft |
| E0693 | RR | 290 | Uvl sys panel 6 ft |
| E0693 | UE | 290 | Uvl sys panel 6 ft |
| E0694 | 290 | Uvl md cabinet sys 6 ft | |
| E0694 | NU | 290 | Uvl md cabinet sys 6 ft |
| E0694 | RR | 290 | Uvl md cabinet sys 6 ft |
| E0694 | UE | 290 | Uvl md cabinet sys 6 ft |
| E0700 | 290 | Safety eqip.-belt/harness/vest | |
| E0705 | 290 | Transfer board or device | |
| E0705 | NU | 290 | Transfer board or device |
| E0705 | RR | 290 | Transfer board or device |
| E0705 | UE | 290 | Transfer board or device |
| E0710 | 290 | Restraint, any type-body/chest/wrist/ankle | |
| E0720 | 290 | Tens two lead | |
| E0720 | NU | 290 | Tens two lead |
| E0720 | RR | 290 | Tens two lead |
| E0720 | UE | 290 | Tens two lead |
| E0730 | 290 | Tens four lead | |
| E0730 | NU | 290 | Tens four lead |
| E0730 | RR | 290 | Tens four lead |
| E0730 | UE | 290 | Tens four lead |
| E0731 | 290 | Conductive garment for tens/ | |
| E0731 | NU | 290 | Conductive garment for tens/ |
| E0731 | RR | 290 | Conductive garment for tens/ |
| E0731 | UE | 290 | Conductive garment for tens/ |
| E0740 | 290 | Incontinence treatment system | |
| E0740 | NU | 290 | Incontinence treatment systm |
| E0740 | RR | 290 | Incontinence treatment systm |
| E0740 | UE | 290 | Incontinence treatment systm |
| E0744 | 290 | Neuromuscular stim for scoli | |
| E0744 | NU | 290 | Neuromuscular stim for scoli |
| E0744 | RR | 290 | Neuromuscular stim for scoli |
| E0744 | UE | 290 | Neuromuscular stim for scoli |
| E0745 | 290 | Neuromuscular stim for shock | |
| E0745 | NU | 290 | Neuromuscular stim for shock |
| E0745 | RR | 290 | Neuromuscular stim for shock |
| E0745 | UE | 290 | Neuromuscular stim for shock |
| E0746 | 290 | EMG biofeedback device | |
| E0747 | 290 | Elec osteogen stim not spine | |
| E0747 | NU | 290 | Elec osteogen stim not spine |
| E0747 | RR | 290 | Elec osteogen stim not spine |
| E0747 | UE | 290 | Elec osteogen stim not spine |
| E0748 | 290 | Elec osteogen stim spinal | |
| E0748 | NU | 290 | Elec osteogen stim spinal |
| E0748 | RR | 290 | Elec osteogen stim spinal |
| E0748 | UE | 290 | Elec osteogen stim spinal |
| E0749 | 290 | Elec osteogen stim implanted | |
| E0749 | NU | 290 | Elec osteogen stim implanted |
| E0749 | RR | 290 | Elec osteogen stim implanted |
| E0749 | UE | 290 | Elec osteogen stim implanted |
| E0755 | 290 | Electronic salivary reflex stimulator | |
| E0760 | 290 | Osteogen ultrasound stimltor | |
| E0760 | NU | 290 | Osteogen ultrasound stimltor |
| E0760 | RR | 290 | Osteogen ultrasound stimltor |
| E0760 | UE | 290 | Osteogen ultrasound stimltor |
| E0761 | 290 | Nontherm electromgntc device | |
| E0762 | 290 | Trans elec jt stim dev sys | |
| E0762 | NU | 290 | Trans elec jt stim dev sys |
| E0762 | RR | 290 | Trans elec jt stim dev sys |
| E0762 | UE | 290 | Trans elec jt stim dev sys |
| E0764 | 290 | Functional neuromuscularstim | |
| E0764 | NU | 290 | Functional neuromuscularstim |
| E0764 | RR | 290 | Functional neuromuscularstim |
| E0764 | UE | 290 | Functional neuromuscularstim |
| E0765 | 290 | Nerve stimulator for tx n&v | |
| E0765 | NU | 290 | Nerve stimulator for tx n&v |
| E0765 | RR | 290 | Nerve stimulator for tx n&v |
| E0765 | UE | 290 | Nerve stimulator for tx n&v |
| E0769 | 290 | Elect/electromag wound tx device NOS | |
| E0770 | 290 | Functional electric stim NOS | |
| E0776 | 290 | Iv pole | |
| E0776 | NU | 290 | Iv pole |
| E0776 | RR | 290 | Iv pole |
| E0776 | UE | 290 | Iv pole |
| E0779 | 290 | Amb infusion pump mechanical | |
| E0779 | NU | 290 | Amb infusion pump mechanical |
| E0779 | RR | 290 | Amb infusion pump mechanical |
| E0779 | UE | 290 | Amb infusion pump mechanical |
| E0780 | 290 | Mech amb infusion pump <8hrs | |
| E0780 | NU | 290 | Mech amb infusion pump <8hrs |
| E0780 | RR | 290 | Mech amb infusion pump <8hrs |
| E0780 | UE | 290 | Mech amb infusion pump <8hrs |
| E0781 | 290 | External ambulatory infus pu | |
| E0781 | NU | 290 | External ambulatory infus pu |
| E0781 | RR | 290 | External ambulatory infus pu |
| E0781 | UE | 290 | External ambulatory infus pu |
| E0782 | 290 | Non-programble infusion pump | |
| E0782 | NU | 290 | Non-programble infusion pump |
| E0782 | RR | 290 | Non-programble infusion pump |
| E0782 | UE | 290 | Non-programble infusion pump |
| E0783 | 290 | Programmable infusion pump | |
| E0783 | NU | 290 | Programmable infusion pump |
| E0783 | RR | 290 | Programmable infusion pump |
| E0783 | UE | 290 | Programmable infusion pump |
| E0784 | 290 | Ext amb infusn pump insulin | |
| E0784 | NU | 290 | Ext amb infusn pump insulin |
| E0784 | RR | 290 | Ext amb infusn pump insulin |
| E0784 | UE | 290 | Ext amb infusn pump insulin |
| E0785 | 290 | Replacement impl pump cathet | |
| E0785 | KF | 290 | Replacement impl pump cathet |
| E0785 | NU | 290 | Replacement impl pump cathet |
| E0786 | 290 | Implantable pump replacement | |
| E0786 | NU | 290 | Implantable pump replacement |
| E0786 | RR | 290 | Implantable pump replacement |
| E0786 | UE | 290 | Implantable pump replacement |
| E0791 | 290 | Parenteral infusion pump sta | |
| E0791 | NU | 290 | Parenteral infusion pump sta |
| E0791 | RR | 290 | Parenteral infusion pump sta |
| E0791 | UE | 290 | Parenteral infusion pump sta |
| E0830 | 290 | Ambulatory traction device | |
| E0840 | 290 | Tract frame attach headboard | |
| E0840 | NU | 290 | Tract frame attach headboard |
| E0840 | RR | 290 | Tract frame attach headboard |
| E0840 | UE | 290 | Tract frame attach headboard |
| E0849 | 290 | Cervical pneum trac equip | |
| E0849 | NU | 290 | Cervical pneum trac equip |
| E0849 | RR | 290 | Cervical pneum trac equip |
| E0849 | UE | 290 | Cervical pneum trac equip |
| E0850 | 290 | Traction stand free standing | |
| E0850 | NU | 290 | Traction stand free standing |
| E0850 | RR | 290 | Traction stand free standing |
| E0850 | UE | 290 | Traction stand free standing |
| E0855 | 290 | Cervical traction equipment | |
| E0855 | NU | 290 | Cervical traction equipment |
| E0855 | RR | 290 | Cervical traction equipment |
| E0855 | UE | 290 | Cervical traction equipment |
| E0856 | 290 | Cervic collar w air bladder | |
| E0856 | NU | 290 | Cervic collar w air bladder |
| E0856 | RR | 290 | Cervic collar w air bladder |
| E0856 | UE | 290 | Cervic collar w air bladder |
| E0860 | 290 | Tract equip cervical tract | |
| E0860 | NU | 290 | Tract equip cervical tract |
| E0860 | RR | 290 | Tract equip cervical tract |
| E0860 | UE | 290 | Tract equip cervical tract |
| E0870 | 290 | Tract frame attach footboard | |
| E0870 | NU | 290 | Tract frame attach footboard |
| E0870 | RR | 290 | Tract frame attach footboard |
| E0870 | UE | 290 | Tract frame attach footboard |
| E0880 | 290 | Trac stand free stand extrem | |
| E0880 | NU | 290 | Trac stand free stand extrem |
| E0880 | RR | 290 | Trac stand free stand extrem |
| E0880 | UE | 290 | Trac stand free stand extrem |
| E0890 | 290 | Traction frame attach pelvic | |
| E0890 | NU | 290 | Traction frame attach pelvic |
| E0890 | RR | 290 | Traction frame attach pelvic |
| E0890 | UE | 290 | Traction frame attach pelvic |
| E0900 | 290 | Trac stand free stand pelvic | |
| E0900 | NU | 290 | Trac stand free stand pelvic |
| E0900 | RR | 290 | Trac stand free stand pelvic |
| E0900 | UE | 290 | Trac stand free stand pelvic |
| E0910 | 290 | Trapeze bar attached to bed | |
| E0910 | NU | 290 | Trapeze bar attached to bed |
| E0910 | RR | 290 | Trapeze bar attached to bed |
| E0910 | UE | 290 | Trapeze bar attached to bed |
| E0911 | 290 | HD trapeze bar attach to bed | |
| E0911 | NU | 290 | HD trapeze bar attach to bed |
| E0911 | RR | 290 | HD trapeze bar attach to bed |
| E0911 | UE | 290 | HD trapeze bar attach to bed |
| E0912 | 290 | HD trapeze bar free standing | |
| E0912 | NU | 290 | HD trapeze bar free standing |
| E0912 | RR | 290 | HD trapeze bar free standing |
| E0912 | UE | 290 | HD trapeze bar free standing |
| E0920 | 290 | Fracture frame attached to bed | |
| E0920 | NU | 290 | Fracture frame attached to bed |
| E0920 | RR | 290 | Fracture frame attached to b |
| E0920 | UE | 290 | Fracture frame attached to bed |
| E0930 | 290 | Fracture frame free standing | |
| E0930 | NU | 290 | Fracture frame free standing |
| E0930 | RR | 290 | Fracture frame free standing |
| E0930 | UE | 290 | Fracture frame free standing |
| E0935 | 290 | Exercise device passive moti | |
| E0935 | RR | 290 | Exercise device passive moti |
| E0936 | 290 | CPM device, other than knee | |
| E0936 | RR | 290 | CPM device, other than knee |
| E0940 | 290 | Trapeze bar free standing | |
| E0940 | NU | 290 | Trapeze bar free standing |
| E0940 | RR | 290 | Trapeze bar free standing |
| E0940 | UE | 290 | Trapeze bar free standing |
| E0941 | 290 | Gravity assisted traction de | |
| E0941 | NU | 290 | Gravity assisted traction de |
| E0941 | RR | 290 | Gravity assisted traction de |
| E0941 | UE | 290 | Gravity assisted traction de |
| E0942 | 290 | Cervical head harness/halter | |
| E0942 | NU | 290 | Cervical head harness/halter |
| E0942 | RR | 290 | Cervical head harness/halter |
| E0942 | UE | 290 | Cervical head harness/halter |
| E0944 | 290 | Pelvic belt/harness/boot | |
| E0944 | NU | 290 | Pelvic belt/harness/boot |
| E0944 | RR | 290 | Pelvic belt/harness/boot |
| E0944 | UE | 290 | Pelvic belt/harness/boot |
| E0945 | 290 | Belt/harness extremity | |
| E0945 | NU | 290 | Belt/harness extremity |
| E0945 | RR | 290 | Belt/harness extremity |
| E0945 | UE | 290 | Belt/harness extremity |
| E0946 | 290 | Fracture frame dual w cross | |
| E0946 | NU | 290 | Fracture frame dual w cross |
| E0946 | RR | 290 | Fracture frame dual w cross |
| E0946 | UE | 290 | Fracture frame dual w cross |
| E0947 | 290 | Fracture frame attachmnts pe | |
| E0947 | NU | 290 | Fracture frame attachmnts pe |
| E0947 | RR | 290 | Fracture frame attachmnts pe |
| E0947 | UE | 290 | Fracture frame attachmnts pe |
| E0948 | 290 | Fracture frame attachmnts ce | |
| E0948 | NU | 290 | Fracture frame attachmnts ce |
| E0948 | RR | 290 | Fracture frame attachmnts ce |
| E0948 | UE | 290 | Fracture frame attachmnts ce |
| E0950 | 290 | Tray, wheelchair accessory | |
| E0950 | NU | 290 | Tray, wheelchair accessory |
| E0950 | RR | 290 | Tray, wheelchair accessory |
| E0950 | UE | 290 | Tray, wheelchair accessory |
| E0951 | 290 | Loop heel | |
| E0951 | NU | 290 | Loop heel |
| E0951 | RR | 290 | Loop heel |
| E0951 | UE | 290 | Loop heel |
| E0952 | 290 | Toe loop/holder, each | |
| E0952 | NU | 290 | Toe loop/holder, each |
| E0952 | RR | 290 | Toe loop/holder, each |
| E0952 | UE | 290 | Toe loop/holder, each |
| E0955 | 290 | Cushioned headrest | |
| E0955 | NU | 290 | Cushioned headrest |
| E0955 | RR | 290 | Cushioned headrest |
| E0955 | UE | 290 | Cushioned headrest |
| E0956 | 290 | W/c lateral trunk/hip suppor | |
| E0956 | NU | 290 | W/c lateral trunk/hip suppor |
| E0956 | RR | 290 | W/c lateral trunk/hip suppor |
| E0956 | UE | 290 | W/c lateral trunk/hip suppor |
| E0957 | 290 | W/c medial thigh support | |
| E0957 | NU | 290 | W/c medial thigh support |
| E0957 | RR | 290 | W/c medial thigh support |
| E0957 | UE | 290 | W/c medial thigh support |
| E0958 | 290 | Whlchr att- conv 1 arm drive | |
| E0958 | NU | 290 | Whlchr att- conv 1 arm drive |
| E0958 | RR | 290 | Whlchr att- conv 1 arm drive |
| E0958 | UE | 290 | Whlchr att- conv 1 arm drive |
| E0959 | 290 | Amputee adapter | |
| E0959 | NU | 290 | Amputee adapter |
| E0959 | RR | 290 | Amputee adapter |
| E0959 | UE | 290 | Amputee adapter |
| E0960 | 290 | W/c shoulder harness/straps | |
| E0960 | NU | 290 | W/c shoulder harness/straps |
| E0960 | RR | 290 | W/c shoulder harness/straps |
| E0960 | UE | 290 | W/c shoulder harness/straps |
| E0961 | 290 | Wheelchair brake extension | |
| E0961 | NU | 290 | Wheelchair brake extension |
| E0961 | RR | 290 | Wheelchair brake extension |
| E0961 | UE | 290 | Wheelchair brake extension |
| E0966 | 290 | Wheelchair head rest extensi | |
| E0966 | NU | 290 | Wheelchair head rest extensi |
| E0966 | RR | 290 | Wheelchair head rest extensi |
| E0966 | UE | 290 | Wheelchair head rest extensi |
| E0967 | 290 | Wheelchair hand rims | |
| E0967 | NU | 290 | Wheelchair hand rims |
| E0967 | RR | 290 | Wheelchair hand rims |
| E0967 | UE | 290 | Wheelchair hand rims |
| E0968 | 290 | Wheelchair commode seat | |
| E0968 | NU | 290 | Wheelchair commode seat |
| E0968 | RR | 290 | Wheelchair commode seat |
| E0968 | UE | 290 | Wheelchair commode seat |
| E0969 | 290 | Wheelchair narrowing device | |
| E0969 | NU | 290 | Wheelchair narrowing device |
| E0969 | RR | 290 | Wheelchair narrowing device |
| E0969 | UE | 290 | Wheelchair narrowing device |
| E0970 | 290 | Wheelchair no. 2 footplates | |
| E0970 | NU | 290 | Wheelchair no. 2 footplates |
| E0970 | RR | 290 | Wheelchair no. 2 footplates |
| E0970 | UE | 290 | Wheelchair no. 2 footplates |
| E0971 | 290 | Wheelchair anti-tipping devi | |
| E0971 | NU | 290 | Wheelchair anti-tipping devi |
| E0971 | RR | 290 | Wheelchair anti-tipping devi |
| E0971 | UE | 290 | Wheelchair anti-tipping devi |
| E0973 | 290 | Wheelchair adjustabl height | |
| E0973 | NU | 290 | W/Ch access det adj armrest |
| E0973 | RR | 290 | W/Ch access det adj armrest |
| E0973 | UE | 290 | W/Ch access det adj armrest |
| E0974 | 290 | Wheelchair grade-aid | |
| E0974 | NU | 290 | W/Ch access anti-rollback |
| E0974 | RR | 290 | W/Ch access anti-rollback |
| E0974 | UE | 290 | W/Ch access anti-rollback |
| E0978 | 290 | W/C acc,saf belt pelv strap | |
| E0978 | NU | 290 | W/C acc,saf belt pelv strap |
| E0978 | RR | 290 | W/C acc,saf belt pelv strap |
| E0978 | UE | 290 | W/C acc,saf belt pelv strap |
| E0980 | 290 | Wheelchair safety vest | |
| E0980 | NU | 290 | Wheelchair safety vest |
| E0980 | RR | 290 | Wheelchair safety vest |
| E0980 | UE | 290 | Wheelchair safety vest |
| E0981 | 290 | Seat upholstery | |
| E0981 | NU | 290 | Seat upholstery |
| E0981 | RR | 290 | Seat upholstery |
| E0981 | UE | 290 | Seat upholstery |
| E0982 | 290 | Back upholstery | |
| E0982 | NU | 290 | Back upholstery |
| E0982 | RR | 290 | Back upholstery |
| E0982 | UE | 290 | Back upholstery |
| E0983 | 290 | Add pwr joystick | |
| E0983 | NU | 290 | Add pwr joystick |
| E0983 | RR | 290 | Add pwr joystick |
| E0983 | UE | 290 | Add pwr joystick |
| E0984 | 290 | Add pwr tiller | |
| E0984 | NU | 290 | Add pwr tiller |
| E0984 | RR | 290 | Add pwr tiller |
| E0984 | UE | 290 | Add pwr tiller |
| E0985 | 290 | W/c seat lift mechanism | |
| E0985 | NU | 290 | W/c seat lift mechanism |
| E0985 | RR | 290 | W/c seat lift mechanism |
| E0985 | UE | 290 | W/c seat lift mechanism |
| E0986 | 290 | Man w/c push-rim pow assist | |
| E0986 | NU | 290 | Man w/c push-rim pow assist |
| E0986 | RR | 290 | Man w/c push-rim pow assist |
| E0986 | UE | 290 | Man w/c push-rim pow assist |
| E0990 | 290 | Whellchair elevating leg res | |
| E0990 | NU | 290 | Whellchair elevating leg res |
| E0990 | RR | 290 | Whellchair elevating leg res |
| E0990 | UE | 290 | Whellchair elevating leg res |
| E0992 | 290 | Wheelchair solid seat insert | |
| E0992 | NU | 290 | Wheelchair solid seat insert |
| E0992 | RR | 290 | Wheelchair solid seat insert |
| E0992 | UE | 290 | Wheelchair solid seat insert |
| E0994 | 290 | Wheelchair arm rest | |
| E0994 | NU | 290 | Wheelchair arm rest |
| E0994 | RR | 290 | Wheelchair arm rest |
| E0994 | UE | 290 | Wheelchair arm rest |
| E0995 | 290 | Wheelchair calf rest | |
| E0995 | NU | 290 | Wheelchair calf rest |
| E0995 | RR | 290 | Wheelchair calf rest |
| E0995 | UE | 290 | Wheelchair calf rest |
| E1002 | 290 | Pwr seat tilt | |
| E1002 | NU | 290 | Pwr seat tilt |
| E1002 | RR | 290 | Pwr seat tilt |
| E1002 | UE | 290 | Pwr seat tilt |
| E1003 | 290 | Pwr seat recline | |
| E1003 | NU | 290 | Pwr seat recline |
| E1003 | RR | 290 | Pwr seat recline |
| E1003 | UE | 290 | Pwr seat recline |
| E1004 | 290 | Pwr seat recline mech | |
| E1004 | NU | 290 | Pwr seat recline mech |
| E1004 | RR | 290 | Pwr seat recline mech |
| E1004 | UE | 290 | Pwr seat recline mech |
| E1005 | 290 | Pwr seat recline pwr | |
| E1005 | NU | 290 | Pwr seat recline pwr |
| E1005 | RR | 290 | Pwr seat recline pwr |
| E1005 | UE | 290 | Pwr seat recline pwr |
| E1006 | 290 | Pwr seat combo w/o shear | |
| E1006 | NU | 290 | Pwr seat combo w/o shear |
| E1006 | RR | 290 | Pwr seat combo w/o shear |
| E1006 | UE | 290 | Pwr seat combo w/o shear |
| E1007 | 290 | Pwr seat combo w/shear | |
| E1007 | NU | 290 | Pwr seat combo w/shear |
| E1007 | RR | 290 | Pwr seat combo w/shear |
| E1007 | UE | 290 | Pwr seat combo w/shear |
| E1008 | 290 | Pwr seat combo pwr shear | |
| E1008 | NU | 290 | Pwr seat combo pwr shear |
| E1008 | RR | 290 | Pwr seat combo pwr shear |
| E1008 | UE | 290 | Pwr seat combo pwr shear |
| E1009 | 290 | Add mech leg elevation | |
| E1009 | NU | 290 | Add mech leg elevation |
| E1009 | RR | 290 | Add mech leg elevation |
| E1009 | UE | 290 | Add mech leg elevation |
| E1010 | 290 | Add pwr leg elevation | |
| E1010 | NU | 290 | Add pwr leg elevation |
| E1010 | RR | 290 | Add pwr leg elevation |
| E1010 | UE | 290 | Add pwr leg elevation |
| E1015 | 290 | Shock absorber for man w/c | |
| E1015 | NU | 290 | Shock absorber for man w/c |
| E1015 | RR | 290 | Shock absorber for man w/c |
| E1015 | UE | 290 | Shock absorber for man w/c |
| E1016 | 290 | Shock absorber for power w/c | |
| E1016 | NU | 290 | Shock absorber for power w/c |
| E1016 | RR | 290 | Shock absorber for power w/c |
| E1016 | UE | 290 | Shock absorber for power w/c |
| E1017 | 290 | HD shck absrbr for hd man wc | |
| E1017 | NU | 290 | HD shck absrbr for hd man wc |
| E1017 | RR | 290 | HD shck absrbr for hd man wc |
| E1017 | UE | 290 | HD shck absrbr for hd man wc |
| E1018 | 290 | HD shck absrber for hd powwc | |
| E1018 | NU | 290 | HD shck absrber for hd powwc |
| E1018 | RR | 290 | HD shck absrber for hd powwc |
| E1018 | UE | 290 | HD shck absrber for hd powwc |
| E1020 | 290 | Residual limb support system | |
| E1020 | NU | 290 | Residual limb support system |
| E1020 | RR | 290 | Residual limb support system |
| E1020 | UE | 290 | Residual limb support system |
| E1028 | 290 | W/c manual swingaway | |
| E1028 | NU | 290 | W/c manual swingaway |
| E1028 | RR | 290 | W/c manual swingaway |
| E1028 | UE | 290 | W/c manual swingaway |
| E1029 | 290 | W/c vent tray fixed | |
| E1029 | NU | 290 | W/c vent tray fixed |
| E1029 | RR | 290 | W/c vent tray fixed |
| E1029 | UE | 290 | W/c vent tray fixed |
| E1030 | 290 | W/c vent tray gimbaled | |
| E1030 | NU | 290 | W/c vent tray gimbaled |
| E1030 | RR | 290 | W/c vent tray gimbaled |
| E1030 | UE | 290 | W/c vent tray gimbaled |
| E1031 | 290 | Rollabout chair with casters | |
| E1031 | NU | 290 | Rollabout chair with casters |
| E1031 | RR | 290 | Rollabout chair with casters |
| E1031 | UE | 290 | Rollabout chair with casters |
| E1035 | 290 | Patient transfer system | |
| E1035 | NU | 290 | Patient transfer system |
| E1035 | RR | 290 | Patient transfer system |
| E1035 | UE | 290 | Patient transfer system |
| E1036 | 290 | Patient transfer system, >300lb | |
| E1036 | RR | 290 | Patient transfer system, >300lb |
| E1038 | 290 | Transport chair, adult size | |
| E1038 | NU | 290 | Transport chair, adult size |
| E1038 | RR | 290 | Transport chair, adult size |
| E1038 | UE | 290 | Transport chair, adult size |
| E1039 | 290 | Transport chair pt wt>=250lb | |
| E1039 | NU | 290 | Transport chair pt wt>=250lb |
| E1039 | RR | 290 | Transport chair pt wt>=250lb |
| E1039 | UE | 290 | Transport chair pt wt>=250lb |
| E1050 | 290 | Whelchr fxd full length arms | |
| E1050 | NU | 290 | Whelchr fxd full length arms |
| E1050 | RR | 290 | Whelchr fxd full length arms |
| E1050 | UE | 290 | Whelchr fxd full length arms |
| E1060 | 290 | Wheelchair detachable arms | |
| E1060 | NU | 290 | Wheelchair detachable arms |
| E1060 | RR | 290 | Wheelchair detachable arms |
| E1060 | UE | 290 | Wheelchair detachable arms |
| E1070 | 290 | Wheelchair detachable foot r | |
| E1070 | NU | 290 | Wheelchair detachable foot r |
| E1070 | RR | 290 | Wheelchair detachable foot r |
| E1070 | UE | 290 | Wheelchair detachable foot r |
| E1083 | 290 | Hemi-wheelchair fixed arms | |
| E1083 | NU | 290 | Hemi-wheelchair fixed arms |
| E1083 | RR | 290 | Hemi-wheelchair fixed arms |
| E1083 | UE | 290 | Hemi-wheelchair fixed arms |
| E1084 | 290 | Hemi-wheelchair detachable a | |
| E1084 | NU | 290 | Hemi-wheelchair detachable a |
| E1084 | RR | 290 | Hemi-wheelchair detachable a |
| E1084 | UE | 290 | Hemi-wheelchair detachable a |
| E1085 | 290 | Hemi-wheelchair fixed arms | |
| E1085 | NU | 290 | Hemi-wheelchair fixed arms |
| E1085 | RR | 290 | Hemi-wheelchair fixed arms |
| E1085 | UE | 290 | Hemi-wheelchair fixed arms |
| E1086 | 290 | Hemi-wheelchair detachable a | |
| E1086 | NU | 290 | Hemi-wheelchair detachable a |
| E1086 | RR | 290 | Hemi-wheelchair detachable a |
| E1086 | UE | 290 | Hemi-wheelchair detachable a |
| E1087 | 290 | Wheelchair lightwt fixed arm | |
| E1087 | NU | 290 | Wheelchair lightwt fixed arm |
| E1087 | RR | 290 | Wheelchair lightwt fixed arm |
| E1087 | UE | 290 | Wheelchair lightwt fixed arm |
| E1088 | 290 | Wheelchair lightweight det a | |
| E1088 | NU | 290 | Wheelchair lightweight det a |
| E1088 | RR | 290 | Wheelchair lightweight det a |
| E1088 | UE | 290 | Wheelchair lightweight det a |
| E1089 | 290 | Wheelchair lightwt fixed arm | |
| E1089 | NU | 290 | Wheelchair lightwt fixed arm |
| E1089 | RR | 290 | Wheelchair lightwt fixed arm |
| E1089 | UE | 290 | Wheelchair lightwt fixed arm |
| E1090 | 290 | Wheelchair lightweight det a | |
| E1090 | NU | 290 | Wheelchair lightweight det a |
| E1090 | RR | 290 | Wheelchair lightweight det a |
| E1090 | UE | 290 | Wheelchair lightweight det a |
| E1092 | 290 | Wheelchair wide w/ leg rests | |
| E1092 | NU | 290 | Wheelchair wide w/ leg rests |
| E1092 | RR | 290 | Wheelchair wide w/ leg rests |
| E1092 | UE | 290 | Wheelchair wide w/ leg rests |
| E1093 | 290 | Wheelchair wide w/ foot rest | |
| E1093 | NU | 290 | Wheelchair wide w/ foot rest |
| E1093 | RR | 290 | Wheelchair wide w/ foot rest |
| E1093 | UE | 290 | Wheelchair wide w/ foot rest |
| E1100 | 290 | Whchr s-recl fxd arm leg res | |
| E1100 | NU | 290 | Whchr s-recl fxd arm leg res |
| E1100 | RR | 290 | Whchr s-recl fxd arm leg res |
| E1100 | UE | 290 | Whchr s-recl fxd arm leg res |
| E1110 | 290 | Wheelchair semi-recl detach | |
| E1110 | NU | 290 | Wheelchair semi-recl detach |
| E1110 | RR | 290 | Wheelchair semi-recl detach |
| E1110 | UE | 290 | Wheelchair semi-recl detach |
| E1130 | 290 | Whlchr std. fxd arm ft rest | |
| E1130 | NU | 290 | Whlchr std. fxd arm ft rest |
| E1130 | RR | 290 | Whlchr std. fxd arm ft rest |
| E1130 | UE | 290 | Whlchr std. fxd arm ft rest |
| E1140 | 290 | Wheelchair standard detach a | |
| E1140 | NU | 290 | Wheelchair standard detach a |
| E1140 | RR | 290 | Wheelchair standard detach a |
| E1140 | UE | 290 | Wheelchair standard detach a |
| E1150 | 290 | Wheelchair standard w/ leg r | |
| E1150 | NU | 290 | Wheelchair standard w/ leg r |
| E1150 | RR | 290 | Wheelchair standard w/ leg r |
| E1150 | UE | 290 | Wheelchair standard w/ leg r |
| E1160 | 290 | Wheelchair fixed arms | |
| E1160 | NU | 290 | Wheelchair fixed arms |
| E1160 | RR | 290 | Wheelchair fixed arms |
| E1160 | UE | 290 | Wheelchair fixed arms |
| E1161 | 290 | Manual adult wc w tiltinspac | |
| E1161 | NU | 290 | Manual adult wc w tiltinspac |
| E1161 | RR | 290 | Manual adult wc w tiltinspac |
| E1161 | UE | 290 | Manual adult wc w tiltinspac |
| E1170 | 290 | Whlchr ampu fxd arm leg rest | |
| E1170 | NU | 290 | Whlchr ampu fxd arm leg rest |
| E1170 | RR | 290 | Whlchr ampu fxd arm leg rest |
| E1170 | UE | 290 | Whlchr ampu fxd arm leg rest |
| E1171 | 290 | Wheelchair amputee w/o leg r | |
| E1171 | NU | 290 | Wheelchair amputee w/o leg r |
| E1171 | RR | 290 | Wheelchair amputee w/o leg r |
| E1171 | UE | 290 | Wheelchair amputee w/o leg r |
| E1172 | 290 | Wheelchair amputee detach ar | |
| E1172 | NU | 290 | Wheelchair amputee detach ar |
| E1172 | RR | 290 | Wheelchair amputee detach ar |
| E1172 | UE | 290 | Wheelchair amputee detach ar |
| E1180 | 290 | Wheelchair amputee w/ foot r | |
| E1180 | NU | 290 | Wheelchair amputee w/ foot r |
| E1180 | RR | 290 | Wheelchair amputee w/ foot r |
| E1180 | UE | 290 | Wheelchair amputee w/ foot r |
| E1190 | 290 | Wheelchair amputee w/ leg re | |
| E1190 | NU | 290 | Wheelchair amputee w/ leg re |
| E1190 | RR | 290 | Wheelchair amputee w/ leg re |
| E1190 | UE | 290 | Wheelchair amputee w/ leg re |
| E1195 | 290 | Wheelchair amputee heavy dut | |
| E1195 | NU | 290 | Wheelchair amputee heavy dut |
| E1195 | RR | 290 | Wheelchair amputee heavy dut |
| E1195 | UE | 290 | Wheelchair amputee heavy dut |
| E1200 | 290 | Wheelchair amputee fixed arm | |
| E1200 | NU | 290 | Wheelchair amputee fixed arm |
| E1200 | RR | 290 | Wheelchair amputee fixed arm |
| E1200 | UE | 290 | Wheelchair amputee fixed arm |
| E1220 | 290 | Wheelchair; specially sized/constr | |
| E1221 | 290 | Wheelchair spec size w foot | |
| E1221 | NU | 290 | Wheelchair spec size w foot |
| E1221 | RR | 290 | Wheelchair spec size w foot |
| E1221 | UE | 290 | Wheelchair spec size w foot |
| E1222 | 290 | Wheelchair spec size w/ leg | |
| E1222 | NU | 290 | Wheelchair spec size w/ leg |
| E1222 | RR | 290 | Wheelchair spec size w/ leg |
| E1222 | UE | 290 | Wheelchair spec size w/ leg |
| E1223 | 290 | Wheelchair spec size w foot | |
| E1223 | NU | 290 | Wheelchair spec size w foot |
| E1223 | RR | 290 | Wheelchair spec size w foot |
| E1223 | UE | 290 | Wheelchair spec size w foot |
| E1224 | 290 | Wheelchair spec size w/ leg | |
| E1224 | NU | 290 | Wheelchair spec size w/ leg |
| E1224 | RR | 290 | Wheelchair spec size w/ leg |
| E1224 | UE | 290 | Wheelchair spec size w/ leg |
| E1225 | 290 | Wheelchair spec sz semi-recl | |
| E1225 | NU | 290 | Wheelchair spec sz semi-recl |
| E1225 | RR | 290 | Wheelchair spec sz semi-recl |
| E1225 | UE | 290 | Wheelchair spec sz semi-recl |
| E1226 | 290 | Wheelchair spec sz full-recl | |
| E1226 | NU | 290 | W/C access fully reclineback |
| E1226 | RR | 290 | W/C access fully reclineback |
| E1226 | UE | 290 | W/C access fully reclineback |
| E1227 | 290 | Wheelchair spec sz spec ht a | |
| E1227 | NU | 290 | Wheelchair spec sz spec ht a |
| E1227 | RR | 290 | Wheelchair spec sz spec ht a |
| E1227 | UE | 290 | Wheelchair spec sz spec ht a |
| E1228 | 290 | Wheelchair spec sz spec ht b | |
| E1228 | NU | 290 | Wheelchair spec sz spec ht b |
| E1228 | RR | 290 | Wheelchair spec sz spec ht b |
| E1228 | UE | 290 | Wheelchair spec sz spec ht b |
| E1230 | 290 | Power operated vehicle | |
| E1230 | NU | 290 | Power operated vehicle |
| E1230 | RR | 290 | Power operated vehicle |
| E1230 | UE | 290 | Power operated vehicle |
| E1240 | 290 | Whchr litwt det arm leg rest | |
| E1240 | NU | 290 | Whchr litwt det arm leg rest |
| E1240 | RR | 290 | Whchr litwt det arm leg rest |
| E1240 | UE | 290 | Whchr litwt det arm leg rest |
| E1250 | 290 | Wheelchair lightwt fixed arm | |
| E1250 | NU | 290 | Wheelchair lightwt fixed arm |
| E1250 | RR | 290 | Wheelchair lightwt fixed arm |
| E1250 | UE | 290 | Wheelchair lightwt fixed arm |
| E1260 | 290 | Wheelchair lightwt foot rest | |
| E1260 | NU | 290 | Wheelchair lightwt foot rest |
| E1260 | RR | 290 | Wheelchair lightwt foot rest |
| E1260 | UE | 290 | Wheelchair lightwt foot rest |
| E1270 | 290 | Wheelchair lightweight leg r | |
| E1270 | NU | 290 | Wheelchair lightweight leg r |
| E1270 | RR | 290 | Wheelchair lightweight leg r |
| E1270 | UE | 290 | Wheelchair lightweight leg r |
| E1280 | 290 | Whchr h-duty det arm leg res | |
| E1280 | NU | 290 | Whchr h-duty det arm leg res |
| E1280 | RR | 290 | Whchr h-duty det arm leg res |
| E1280 | UE | 290 | Whchr h-duty det arm leg res |
| E1285 | 290 | Wheelchair heavy duty fixed | |
| E1285 | NU | 290 | Wheelchair heavy duty fixed |
| E1285 | RR | 290 | Wheelchair heavy duty fixed |
| E1285 | UE | 290 | Wheelchair heavy duty fixed |
| E1290 | 290 | Wheelchair hvy duty detach a | |
| E1290 | NU | 290 | Wheelchair hvy duty detach a |
| E1290 | RR | 290 | Wheelchair hvy duty detach a |
| E1290 | UE | 290 | Wheelchair hvy duty detach a |
| E1295 | 290 | Wheelchair heavy duty fixed | |
| E1295 | NU | 290 | Wheelchair heavy duty fixed |
| E1295 | RR | 290 | Wheelchair heavy duty fixed |
| E1295 | UE | 290 | Wheelchair heavy duty fixed |
| E1296 | 290 | Wheelchair special seat heig | |
| E1296 | NU | 290 | Wheelchair special seat heig |
| E1296 | RR | 290 | Wheelchair special seat heig |
| E1296 | UE | 290 | Wheelchair special seat heig |
| E1297 | 290 | Wheelchair special seat dept | |
| E1297 | NU | 290 | Wheelchair special seat dept |
| E1297 | RR | 290 | Wheelchair special seat dept |
| E1297 | UE | 290 | Wheelchair special seat dept |
| E1298 | 290 | Wheelchair spec seat depth/w | |
| E1298 | NU | 290 | Wheelchair spec seat depth/w |
| E1298 | RR | 290 | Wheelchair spec seat depth/w |
| E1298 | UE | 290 | Wheelchair spec seat depth/w |
| E1300 | 290 | Whirlpool, portable (overtub) | |
| E1300 | NU | 290 | Whirlpool, portable (overtub) |
| E1300 | RR | 290 | Whirlpool, portable (overtub) |
| E1310 | 290 | Whirlpool non-portable | |
| E1310 | NU | 290 | Whirlpool non-portable |
| E1310 | RR | 290 | Whirlpool non-portable |
| E1310 | UE | 290 | Whirlpool non-portable |
| E1353 | 290 | Regulator | |
| E1353 | RR | 290 | Regulator |
| E1354 | 290 | Wheeled cart, port cyl/conc | |
| E1355 | 290 | Stand/rack | |
| E1355 | RR | 290 | Stand/rack |
| E1356 | 290 | Batt pack/cart, port conc | |
| E1357 | 290 | Battery charger, port conc | |
| E1358 | 290 | DC power adapter, port conc | |
| E1372 | 290 | Oxy suppl heater for nebuliz | |
| E1372 | NU | 290 | Oxy suppl heater for nebuliz |
| E1372 | RR | 290 | Oxy suppl heater for nebuliz |
| E1372 | UE | 290 | Oxy suppl heater for nebuliz |
| E1390 | 290 | Oxygen concentrator | |
| E1390 | NU | 290 | Oxygen concentrator |
| E1390 | RR | 290 | Oxygen concentrator |
| E1390 | UE | 290 | Oxygen concentrator |
| E1391 | 290 | Oxygen concentrator | |
| E1391 | NU | 290 | Oxygen concentrator |
| E1391 | RR | 290 | Oxygen concentrator |
| E1391 | UE | 290 | Oxygen concentrator |
| E1392 | 290 | Portable oxygen concentrator | |
| E1392 | RR | 290 | Portable oxygen concentrator |
| E1399 | 290 | Durable medical equip. misc | |
| E1405 | 290 | O2/water vapor enrich w/heat | |
| E1405 | NU | 290 | O2/water vapor enrich w/heat |
| E1405 | RR | 290 | O2/water vapor enrich w/heat |
| E1405 | UE | 290 | O2/water vapor enrich w/heat |
| E1406 | 290 | O2/water vapor enrich w/o he | |
| E1406 | NU | 290 | O2/water vapor enrich w/o he |
| E1406 | RR | 290 | O2/water vapor enrich w/o he |
| E1406 | UE | 290 | O2/water vapor enrich w/o he |
| E1500 | 290 | Centrifuge, for dialysis | |
| E1510 | 290 | Kidney dialysate del sys kidney machine | |
| E1510 | RR | 290 | Kidney dialysate del sys kidney machine |
| E1520 | 290 | Heparin infus pump-dialysis | |
| E1530 | 290 | Air bubble detector for dialysis | |
| E1540 | 290 | Pressure alarm for dialysis | |
| E1550 | 290 | Bath conductivity meter for dialysis | |
| E1560 | 290 | Blood leak detector for dialysis | |
| E1570 | 290 | Adjust chair for ESRD patients | |
| E1575 | 290 | Transducer protector/fluid barrier any siz | |
| E1580 | 290 | Unipuncture control sys for dialysis | |
| E1590 | 290 | Hemodialysis machine | |
| E1592 | 290 | Automatic intermittent periotneal dialysis | |
| E1594 | 290 | Cycler dialysis mach for peritoneal dialys | |
| E1600 | 290 | Deliv &/or installa chgs-renal dialysis eq | |
| E1610 | 290 | Reverse osmosis H20 purification sys | |
| E1610 | RR | 290 | Reverse osmosis H20 purification sys |
| E1615 | 290 | Deionizer water purification sys | |
| E1620 | 290 | Blood pump for dialysis | |
| E1625 | 290 | Water softening system | |
| E1630 | 290 | Reciprocating peritoneal dialysis sys | |
| E1632 | 290 | Wearable artifical kidney | |
| E1634 | 290 | Peritoneal dialysis clamp, each | |
| E1634 | NU | 290 | Peritoneal dialysis clamp, each |
| E1635 | 290 | Compact travel hemodialyzer sys | |
| E1636 | 290 | Sorbent cartridges, per case | |
| E1637 | 290 | Hemostats for dialysis, each | |
| E1639 | 290 | Scale, for dialysis, each | |
| E1699 | 290 | Dialysis equip, unspecified by rpt | |
| E1700 | 290 | Jaw motion rehab system | |
| E1700 | NU | 290 | Jaw motion rehab system |
| E1700 | RR | 290 | Jaw motion rehab system |
| E1700 | UE | 290 | Jaw motion rehab system |
| E1701 | 290 | Repl cushions for jaw motion | |
| E1702 | 290 | Repl measr scales jaw motion | |
| E1800 | 290 | Adjust elbow ext/flex device | |
| E1800 | NU | 290 | Adjust elbow ext/flex device |
| E1800 | RR | 290 | Adjust elbow ext/flex device |
| E1800 | UE | 290 | Adjust elbow ext/flex device |
| E1801 | 290 | Bi-direct static prog stretch elbow device | |
| E1801 | NU | 290 | Bi-direct static prog stretch elbow device |
| E1801 | RR | 290 | SPS elbow device |
| E1801 | UE | 290 | Bi-direct static prog stretch elbow device |
| E1802 | 290 | Adjst forearm pro/sup device | |
| E1802 | NU | 290 | Adjst forearm pro/sup device |
| E1802 | RR | 290 | Adjst forearm pro/sup device |
| E1802 | UE | 290 | Adjst forearm pro/sup device |
| E1805 | 290 | Adjust wrist ext/flex device | |
| E1805 | NU | 290 | Adjust wrist ext/flex device |
| E1805 | RR | 290 | Adjust wrist ext/flex device |
| E1805 | UE | 290 | Adjust wrist ext/flex device |
| E1806 | 290 | Bi-direct static prog stretch wrist device | |
| E1806 | NU | 290 | Bi-direct static prog stretch wrist device |
| E1806 | RR | 290 | SPS wrist device |
| E1806 | UE | 290 | Bi-direct static prog stretch wrist device |
| E1810 | 290 | Adjust knee ext/flex device | |
| E1810 | NU | 290 | Adjust knee ext/flex device |
| E1810 | RR | 290 | Adjust knee ext/flex device |
| E1810 | UE | 290 | Adjust knee ext/flex device |
| E1811 | 290 | Bi-direct static prog stretch knee device | |
| E1811 | NU | 290 | Bi-direct static prog stretch knee device |
| E1811 | RR | 290 | SPS knee device |
| E1811 | UE | 290 | Bi-direct static prog stretch knee device |
| E1812 | 290 | Knee ext/flex w act res ctrl | |
| E1812 | NU | 290 | Knee ext/flex w act res ctrl |
| E1812 | RR | 290 | Knee ext/flex w act res ctrl |
| E1812 | UE | 290 | Knee ext/flex w act res ctrl |
| E1815 | 290 | Adjust ankle ext/flex device | |
| E1815 | NU | 290 | Adjust ankle ext/flex device |
| E1815 | RR | 290 | Adjust ankle ext/flex device |
| E1815 | UE | 290 | Adjust ankle ext/flex device |
| E1816 | 290 | Bi-direct static prog stretch ankle device | |
| E1816 | NU | 290 | Bi-direct static prog stretch ankle device |
| E1816 | RR | 290 | SPS ankle device |
| E1816 | UE | 290 | Bi-direct static prog stretch ankle device |
| E1818 | 290 | Bi-direct static prog stretch forarm device | |
| E1818 | NU | 290 | Bi-direct static prog stretch forarm device |
| E1818 | RR | 290 | SPS forearm device |
| E1818 | UE | 290 | Bi-direct static prog stretch forarm device |
| E1820 | 290 | Soft interface material | |
| E1820 | NU | 290 | Soft interface material |
| E1820 | RR | 290 | Soft interface material |
| E1820 | UE | 290 | Soft interface material |
| E1821 | 290 | Replacement, soft interface material | |
| E1821 | NU | 290 | Replacement interface SPSD |
| E1821 | RR | 290 | Replacement interface SPSD |
| E1821 | UE | 290 | Replacement interface SPSD |
| E1825 | 290 | Adjust finger ext/flex devc | |
| E1825 | NU | 290 | Adjust finger ext/flex devc |
| E1825 | RR | 290 | Adjust finger ext/flex devc |
| E1825 | UE | 290 | Adjust finger ext/flex devc |
| E1830 | 290 | Adjust toe ext/flex device | |
| E1830 | NU | 290 | Adjust toe ext/flex device |
| E1830 | RR | 290 | Adjust toe ext/flex device |
| E1830 | UE | 290 | Adjust toe ext/flex device |
| E1840 | 290 | Dynamic adj shouldter flex/abduct/rot device | |
| E1840 | NU | 290 | Dynamic adj shouldter flex/abduct/rot device |
| E1840 | RR | 290 | Adj shoulder ext/flex device |
| E1840 | UE | 290 | Dynamic adj shouldter flex/abduct/rot device |
| E1841 | 290 | Static str shldr dev rom adj | |
| E1841 | NU | 290 | Static str shldr dev rom adj |
| E1841 | RR | 290 | Static str shldr dev rom adj |
| E1841 | UE | 290 | Static str shldr dev rom adj |
| E1902 | 290 | Commun board, non-elect | |
| E2000 | 290 | Gastric suction pump, home model | |
| E2000 | NU | 290 | Gastric suction pump, home model |
| E2000 | RR | 290 | Gastric suction pump hme mdl |
| E2000 | UE | 290 | Gastric suction pump, home model |
| E2100 | 290 | Blood glucose monitor w/int voice synth | |
| E2100 | NU | 290 | Bld glucose monitor w voice |
| E2100 | RR | 290 | Bld glucose monitor w voice |
| E2100 | UE | 290 | Bld glucose monitor w voice |
| E2101 | 290 | Blood glucose monitor w/int lancing | |
| E2101 | NU | 290 | Bld glucose monitor w lance |
| E2101 | RR | 290 | Bld glucose monitor w lance |
| E2101 | UE | 290 | Bld glucose monitor w lance |
| E2120 | 290 | Pulse gen sys tx endolymp fl | |
| E2120 | NU | 290 | Pulse gen sys tx endolymp fl |
| E2120 | RR | 290 | Pulse gen sys tx endolymp fl |
| E2120 | UE | 290 | Pulse gen sys tx endolymp fl |
| E2201 | 290 | Man w/ch acc seat w>=20ö<24ö | |
| E2201 | NU | 290 | Man w/ch acc seat w>=20ö<24ö |
| E2201 | RR | 290 | Man w/ch acc seat w>=20ö<24ö |
| E2201 | UE | 290 | Man w/ch acc seat w>=20ö<24ö |
| E2202 | 290 | Seat width 24-27 in | |
| E2202 | NU | 290 | Seat width 24-27 in |
| E2202 | RR | 290 | Seat width 24-27 in |
| E2202 | UE | 290 | Seat width 24-27 in |
| E2203 | 290 | Frame depth less than 22 in | |
| E2203 | NU | 290 | Frame depth less than 22 in |
| E2203 | RR | 290 | Frame depth less than 22 in |
| E2203 | UE | 290 | Frame depth less than 22 in |
| E2204 | 290 | Frame depth 22 to 25 in | |
| E2204 | NU | 290 | Frame depth 22 to 25 in |
| E2204 | RR | 290 | Frame depth 22 to 25 in |
| E2204 | UE | 290 | Frame depth 22 to 25 in |
| E2205 | 290 | Manual wc accessory, handrim | |
| E2205 | NU | 290 | Manual wc accessory, handrim |
| E2205 | RR | 290 | Manual wc accessory, handrim |
| E2205 | UE | 290 | Manual wc accessory, handrim |
| E2206 | 290 | Complete wheel lock assembly | |
| E2206 | NU | 290 | Complete wheel lock assembly |
| E2206 | RR | 290 | Complete wheel lock assembly |
| E2206 | UE | 290 | Complete wheel lock assembly |
| E2207 | 290 | Crutch and cane holder | |
| E2207 | NU | 290 | Crutch and cane holder |
| E2207 | RR | 290 | Crutch and cane holder |
| E2207 | UE | 290 | Crutch and cane holder |
| E2208 | 290 | Cylinder tank carrier | |
| E2208 | NU | 290 | Cylinder tank carrier |
| E2208 | RR | 290 | Cylinder tank carrier |
| E2208 | UE | 290 | Cylinder tank carrier |
| E2209 | 290 | Arm trough each | |
| E2209 | NU | 290 | Arm trough each |
| E2209 | RR | 290 | Arm trough each |
| E2209 | UE | 290 | Arm trough each |
| E2210 | 290 | Wheelchair bearings | |
| E2210 | NU | 290 | Wheelchair bearings |
| E2210 | RR | 290 | Wheelchair bearings |
| E2210 | UE | 290 | Wheelchair bearings |
| E2211 | 290 | Pneumatic propulsion tire | |
| E2211 | NU | 290 | Pneumatic propulsion tire |
| E2211 | RR | 290 | Pneumatic propulsion tire |
| E2211 | UE | 290 | Pneumatic propulsion tire |
| E2212 | 290 | Pneumatic prop tire tube | |
| E2212 | NU | 290 | Pneumatic prop tire tube |
| E2212 | RR | 290 | Pneumatic prop tire tube |
| E2212 | UE | 290 | Pneumatic prop tire tube |
| E2213 | 290 | Pneumatic prop tire insert | |
| E2213 | NU | 290 | Pneumatic prop tire insert |
| E2213 | RR | 290 | Pneumatic prop tire insert |
| E2213 | UE | 290 | Pneumatic prop tire insert |
| E2214 | 290 | Pneumatic caster tire each | |
| E2214 | NU | 290 | Pneumatic caster tire each |
| E2214 | RR | 290 | Pneumatic caster tire each |
| E2214 | UE | 290 | Pneumatic caster tire each |
| E2215 | 290 | Pneumatic caster tire tube | |
| E2215 | NU | 290 | Pneumatic caster tire tube |
| E2215 | RR | 290 | Pneumatic caster tire tube |
| E2215 | UE | 290 | Pneumatic caster tire tube |
| E2216 | 290 | Foam filled propulsion tire | |
| E2216 | NU | 290 | Foam filled propulsion tire |
| E2216 | RR | 290 | Foam filled propulsion tire |
| E2216 | UE | 290 | Foam filled propulsion tire |
| E2217 | 290 | Foam filled caster tire each | |
| E2217 | NU | 290 | Foam filled caster tire each |
| E2217 | RR | 290 | Foam filled caster tire each |
| E2217 | UE | 290 | Foam filled caster tire each |
| E2218 | 290 | Foam propulsion tire each | |
| E2218 | NU | 290 | Foam propulsion tire each |
| E2218 | RR | 290 | Foam propulsion tire each |
| E2218 | UE | 290 | Foam propulsion tire each |
| E2219 | 290 | Foam caster tire any size ea | |
| E2219 | NU | 290 | Foam caster tire any size ea |
| E2219 | RR | 290 | Foam caster tire any size ea |
| E2219 | UE | 290 | Foam caster tire any size ea |
| E2220 | 290 | Solid propulsion tire each | |
| E2220 | NU | 290 | Solid propulsion tire each |
| E2220 | RR | 290 | Solid propulsion tire each |
| E2220 | UE | 290 | Solid propulsion tire each |
| E2221 | 290 | Solid caster tire each | |
| E2221 | NU | 290 | Solid caster tire each |
| E2221 | RR | 290 | Solid caster tire each |
| E2221 | UE | 290 | Solid caster tire each |
| E2222 | 290 | Solid caster integrated whl | |
| E2222 | NU | 290 | Solid caster integrated whl |
| E2222 | RR | 290 | Solid caster integrated whl |
| E2222 | UE | 290 | Solid caster integrated whl |
| E2224 | 290 | Propulsion whl excludes tire | |
| E2224 | NU | 290 | Propulsion whl excludes tire |
| E2224 | RR | 290 | Propulsion whl excludes tire |
| E2224 | UE | 290 | Propulsion whl excludes tire |
| E2225 | 290 | Caster wheel excludes tire | |
| E2225 | NU | 290 | Caster wheel excludes tire |
| E2225 | RR | 290 | Caster wheel excludes tire |
| E2225 | UE | 290 | Caster wheel excludes tire |
| E2226 | 290 | Caster fork replacement only | |
| E2226 | NU | 290 | Caster fork replacement only |
| E2226 | RR | 290 | Caster fork replacement only |
| E2226 | UE | 290 | Caster fork replacement only |
| E2227 | 290 | Gear reduction drive wheel | |
| E2227 | NU | 290 | Gear reduction drive wheel |
| E2227 | RR | 290 | Gear reduction drive wheel |
| E2227 | UE | 290 | Gear reduction drive wheel |
| E2228 | 290 | Mwc acc, wheelchair brake | |
| E2228 | NU | 290 | Mwc acc, wheelchair brake |
| E2228 | RR | 290 | Mwc acc, wheelchair brake |
| E2228 | UE | 290 | Mwc acc, wheelchair brake |
| E2230 | 290 | Manual standing system | |
| E2231 | 290 | Solid seat support base | |
| E2231 | NU | 290 | Solid seat support base |
| E2231 | RR | 290 | Solid seat support base |
| E2231 | UE | 290 | Solid seat support base |
| E2300 | 290 | Pwr whl chr access., pwr seat elev system | |
| E2300 | NU | 290 | Pwr whl chr access., pwr seat elev system |
| E2300 | RR | 290 | Pwr whl chr access., pwr seat elev system |
| E2300 | UE | 290 | Pwr whl chr access., pwr seat elev system |
| E2301 | 290 | Pwr whl chr access., pwr standing system | |
| E2301 | NU | 290 | Pwr whl chr access., pwr standing system |
| E2301 | RR | 290 | Pwr whl chr access., pwr standing system |
| E2301 | UE | 290 | Pwr whl chr access., pwr standing system |
| E2310 | 290 | Electro connect btw control | |
| E2310 | NU | 290 | Electro connect btw control |
| E2310 | RR | 290 | Electro connect btw control |
| E2310 | UE | 290 | Electro connect btw control |
| E2311 | 290 | Electro connect btw 2 sys | |
| E2311 | NU | 290 | Electro connect btw 2 sys |
| E2311 | RR | 290 | Electro connect btw 2 sys |
| E2311 | UE | 290 | Electro connect btw 2 sys |
| E2312 | 290 | Mini-prop remote joystick | |
| E2312 | NU | 290 | Mini-prop remote joystick |
| E2312 | RR | 290 | Mini-prop remote joystick |
| E2312 | UE | 290 | Mini-prop remote joystick |
| E2313 | 290 | PWC harness, expand control | |
| E2313 | NU | 290 | PWC harness, expand control |
| E2313 | RR | 290 | PWC harness, expand control |
| E2313 | UE | 290 | PWC harness, expand control |
| E2321 | 290 | Hand interface joystick | |
| E2321 | NU | 290 | Hand interface joystick |
| E2321 | RR | 290 | Hand interface joystick |
| E2321 | UE | 290 | Hand interface joystick |
| E2322 | 290 | Mult mech switches | |
| E2322 | NU | 290 | Mult mech switches |
| E2322 | RR | 290 | Mult mech switches |
| E2322 | UE | 290 | Mult mech switches |
| E2323 | 290 | Special joystick handle | |
| E2323 | NU | 290 | Special joystick handle |
| E2323 | RR | 290 | Special joystick handle |
| E2323 | UE | 290 | Special joystick handle |
| E2324 | 290 | Chin cup interface | |
| E2324 | NU | 290 | Chin cup interface |
| E2324 | RR | 290 | Chin cup interface |
| E2324 | UE | 290 | Chin cup interface |
| E2325 | 290 | Sip and puff interface | |
| E2325 | NU | 290 | Sip and puff interface |
| E2325 | RR | 290 | Sip and puff interface |
| E2325 | UE | 290 | Sip and puff interface |
| E2326 | 290 | Breath tube kit | |
| E2326 | NU | 290 | Breath tube kit |
| E2326 | RR | 290 | Breath tube kit |
| E2326 | UE | 290 | Breath tube kit |
| E2327 | 290 | Head control interface mech | |
| E2327 | NU | 290 | Head control interface mech |
| E2327 | RR | 290 | Head control interface mech |
| E2327 | UE | 290 | Head control interface mech |
| E2328 | 290 | Head/extremity control inter | |
| E2328 | NU | 290 | Head/extremity control inter |
| E2328 | RR | 290 | Head/extremity control inter |
| E2328 | UE | 290 | Head/extremity control inter |
| E2329 | 290 | Head control nonproportional | |
| E2329 | NU | 290 | Head control nonproportional |
| E2329 | RR | 290 | Head control nonproportional |
| E2329 | UE | 290 | Head control nonproportional |
| E2330 | 290 | Head control proximity switc | |
| E2330 | NU | 290 | Head control proximity switc |
| E2330 | RR | 290 | Head control proximity switc |
| E2330 | UE | 290 | Head control proximity switc |
| E2331 | 290 | Pwr whl chr access, attendant control | |
| E2331 | NU | 290 | Pwr whl chr access, attendant control |
| E2331 | RR | 290 | Pwr whl chr access, attendant control |
| E2331 | UE | 290 | Pwr whl chr access, attendant control |
| E2340 | 290 | W/c wdth 20-23 in seat frame | |
| E2340 | NU | 290 | W/c wdth 20-23 in seat frame |
| E2340 | RR | 290 | W/c wdth 20-23 in seat frame |
| E2340 | UE | 290 | W/c wdth 20-23 in seat frame |
| E2341 | 290 | W/c wdth 24-27 in seat frame | |
| E2341 | NU | 290 | W/c wdth 24-27 in seat frame |
| E2341 | RR | 290 | W/c wdth 24-27 in seat frame |
| E2341 | UE | 290 | W/c wdth 24-27 in seat frame |
| E2342 | 290 | W/c dpth 20-21 in seat frame | |
| E2342 | NU | 290 | W/c dpth 20-21 in seat frame |
| E2342 | RR | 290 | W/c dpth 20-21 in seat frame |
| E2342 | UE | 290 | W/c dpth 20-21 in seat frame |
| E2343 | 290 | W/c dpth 22-25 in seat frame | |
| E2343 | NU | 290 | W/c dpth 22-25 in seat frame |
| E2343 | RR | 290 | W/c dpth 22-25 in seat frame |
| E2343 | UE | 290 | W/c dpth 22-25 in seat frame |
| E2351 | 290 | Electronic SGD interface | |
| E2351 | NU | 290 | Electronic SGD interface |
| E2351 | RR | 290 | Electronic SGD interface |
| E2351 | UE | 290 | Electronic SGD interface |
| E2360 | 290 | 22nf nonsealed leadacid | |
| E2360 | NU | 290 | 22nf nonsealed leadacid |
| E2360 | RR | 290 | 22nf nonsealed leadacid |
| E2360 | UE | 290 | 22nf nonsealed leadacid |
| E2361 | 290 | 22nf sealed leadacid battery | |
| E2361 | NU | 290 | 22nf sealed leadacid battery |
| E2361 | RR | 290 | 22nf sealed leadacid battery |
| E2361 | UE | 290 | 22nf sealed leadacid battery |
| E2362 | 290 | Gr24 nonsealed leadacid | |
| E2362 | NU | 290 | Gr24 nonsealed leadacid |
| E2362 | RR | 290 | Gr24 nonsealed leadacid |
| E2362 | UE | 290 | Gr24 nonsealed leadacid |
| E2363 | 290 | Gr24 sealed leadacid battery | |
| E2363 | NU | 290 | Gr24 sealed leadacid battery |
| E2363 | RR | 290 | Gr24 sealed leadacid battery |
| E2363 | UE | 290 | Gr24 sealed leadacid battery |
| E2364 | 290 | U1nonsealed leadacid battery | |
| E2364 | NU | 290 | U1nonsealed leadacid battery |
| E2364 | RR | 290 | U1nonsealed leadacid battery |
| E2364 | UE | 290 | U1nonsealed leadacid battery |
| E2365 | 290 | U1 sealed leadacid battery | |
| E2365 | NU | 290 | U1 sealed leadacid battery |
| E2365 | RR | 290 | U1 sealed leadacid battery |
| E2365 | UE | 290 | U1 sealed leadacid battery |
| E2366 | 290 | Battery charger | |
| E2366 | NU | 290 | Battery charger |
| E2366 | RR | 290 | Battery charger |
| E2366 | UE | 290 | Battery charger |
| E2367 | 290 | Battery charger | |
| E2367 | NU | 290 | Battery charger |
| E2367 | RR | 290 | Battery charger |
| E2367 | UE | 290 | Battery charger |
| E2368 | 290 | Power wc motor replacement | |
| E2368 | NU | 290 | Power wc motor replacement |
| E2368 | RR | 290 | Power wc motor replacement |
| E2368 | UE | 290 | Power wc motor replacement |
| E2369 | 290 | Pwr wc gear box replacement | |
| E2369 | NU | 290 | Pwr wc gear box replacement |
| E2369 | RR | 290 | Pwr wc gear box replacement |
| E2369 | UE | 290 | Pwr wc gear box replacement |
| E2370 | 290 | Pwr wc motor/gear box combo | |
| E2370 | NU | 290 | Pwr wc motor/gear box combo |
| E2370 | RR | 290 | Pwr wc motor/gear box combo |
| E2370 | UE | 290 | Pwr wc motor/gear box combo |
| E2371 | 290 | Gr27 sealed leadacid battery | |
| E2371 | NU | 290 | Gr27 sealed leadacid battery |
| E2371 | RR | 290 | Gr27 sealed leadacid battery |
| E2371 | UE | 290 | Gr27 sealed leadacid battery |
| E2372 | 290 | Gr27 non-sealed leadacid | |
| E2372 | NU | 290 | Gr27 non-sealed leadacid |
| E2372 | RR | 290 | Gr27 non-sealed leadacid |
| E2372 | UE | 290 | Gr27 non-sealed leadacid |
| E2373 | 290 | Hand/chin ctrl spec joystick | |
| E2373 | NU | 290 | Hand/chin ctrl spec joystick |
| E2373 | RR | 290 | Hand/chin ctrl spec joystick |
| E2373 | UE | 290 | Hand/chin ctrl spec joystick |
| E2374 | 290 | Hand/chin ctrl std joystick | |
| E2374 | NU | 290 | Hand/chin ctrl std joystick |
| E2374 | RR | 290 | Hand/chin ctrl std joystick |
| E2374 | UE | 290 | Hand/chin ctrl std joystick |
| E2375 | 290 | Non-expandable controller | |
| E2375 | NU | 290 | Non-expandable controller |
| E2375 | RR | 290 | Non-expandable controller |
| E2375 | UE | 290 | Non-expandable controller |
| E2376 | 290 | Expandable controller, repl | |
| E2376 | NU | 290 | Expandable controller, repl |
| E2376 | RR | 290 | Expandable controller, repl |
| E2376 | UE | 290 | Expandable controller, repl |
| E2377 | 290 | Expandable controller, initl | |
| E2377 | NU | 290 | Expandable controller, initl |
| E2377 | RR | 290 | Expandable controller, initl |
| E2377 | UE | 290 | Expandable controller, initl |
| E2381 | 290 | Pneum drive wheel tire | |
| E2381 | NU | 290 | Pneum drive wheel tire |
| E2381 | RR | 290 | Pneum drive wheel tire |
| E2381 | UE | 290 | Pneum drive wheel tire |
| E2382 | 290 | Tube, pneum wheel drive tire | |
| E2382 | NU | 290 | Tube, pneum wheel drive tire |
| E2382 | RR | 290 | Tube, pneum wheel drive tire |
| E2382 | UE | 290 | Tube, pneum wheel drive tire |
| E2383 | 290 | Insert, pneum wheel drive | |
| E2383 | NU | 290 | Insert, pneum wheel drive |
| E2383 | RR | 290 | Insert, pneum wheel drive |
| E2383 | UE | 290 | Insert, pneum wheel drive |
| E2384 | 290 | Pneumatic caster tire | |
| E2384 | NU | 290 | Pneumatic caster tire |
| E2384 | RR | 290 | Pneumatic caster tire |
| E2384 | UE | 290 | Pneumatic caster tire |
| E2385 | 290 | Tube, pneumatic caster tire | |
| E2385 | NU | 290 | Tube, pneumatic caster tire |
| E2385 | RR | 290 | Tube, pneumatic caster tire |
| E2385 | UE | 290 | Tube, pneumatic caster tire |
| E2386 | 290 | Foam filled drive wheel tire | |
| E2386 | NU | 290 | Foam filled drive wheel tire |
| E2386 | RR | 290 | Foam filled drive wheel tire |
| E2386 | UE | 290 | Foam filled drive wheel tire |
| E2387 | 290 | Foam filled caster tire | |
| E2387 | NU | 290 | Foam filled caster tire |
| E2387 | RR | 290 | Foam filled caster tire |
| E2387 | UE | 290 | Foam filled caster tire |
| E2388 | 290 | Foam drive wheel tire | |
| E2388 | NU | 290 | Foam drive wheel tire |
| E2388 | RR | 290 | Foam drive wheel tire |
| E2388 | UE | 290 | Foam drive wheel tire |
| E2389 | 290 | Foam caster tire | |
| E2389 | NU | 290 | Foam caster tire |
| E2389 | RR | 290 | Foam caster tire |
| E2389 | UE | 290 | Foam caster tire |
| E2390 | 290 | Solid drive wheel tire | |
| E2390 | NU | 290 | Solid drive wheel tire |
| E2390 | RR | 290 | Solid drive wheel tire |
| E2390 | UE | 290 | Solid drive wheel tire |
| E2391 | 290 | Solid caster tire | |
| E2391 | NU | 290 | Solid caster tire |
| E2391 | RR | 290 | Solid caster tire |
| E2391 | UE | 290 | Solid caster tire |
| E2392 | 290 | Solid caster tire, integrate | |
| E2392 | NU | 290 | Solid caster tire, integrate |
| E2392 | RR | 290 | Solid caster tire, integrate |
| E2392 | UE | 290 | Solid caster tire, integrate |
| E2394 | 290 | Drive wheel excludes tire | |
| E2394 | NU | 290 | Drive wheel excludes tire |
| E2394 | RR | 290 | Drive wheel excludes tire |
| E2394 | UE | 290 | Drive wheel excludes tire |
| E2395 | 290 | Caster wheel excludes tire | |
| E2395 | NU | 290 | Caster wheel excludes tire |
| E2395 | RR | 290 | Caster wheel excludes tire |
| E2395 | UE | 290 | Caster wheel excludes tire |
| E2396 | 290 | Caster fork | |
| E2396 | NU | 290 | Caster fork |
| E2396 | RR | 290 | Caster fork |
| E2396 | UE | 290 | Caster fork |
| E2397 | 290 | Pwc acc, lith-based battery | |
| E2397 | NU | 290 | Pwc acc, lith-based battery |
| E2397 | RR | 290 | Pwc acc, lith-based battery |
| E2397 | UE | 290 | Pwc acc, lith-based battery |
| E2402 | 290 | Neg press wound therapy pump | |
| E2402 | NU | 290 | Neg press wound therapy pump |
| E2402 | RR | 290 | Neg press wound therapy pump |
| E2402 | UE | 290 | Neg press wound therapy pump |
| E2500 | 290 | SGD digitized pre-rec <=8min | |
| E2500 | NU | 290 | SGD digitized pre-rec <=8min |
| E2500 | RR | 290 | SGD digitized pre-rec <=8min |
| E2500 | UE | 290 | SGD digitized pre-rec <=8min |
| E2502 | 290 | SGD prerec msg >8min <=20min | |
| E2502 | NU | 290 | SGD prerec msg >8min <=20min |
| E2502 | RR | 290 | SGD prerec msg >8min <=20min |
| E2502 | UE | 290 | SGD prerec msg >8min <=20min |
| E2504 | 290 | SGD prerec msg>20min <=40min | |
| E2504 | NU | 290 | SGD prerec msg>20min <=40min |
| E2504 | RR | 290 | SGD prerec msg>20min <=40min |
| E2504 | UE | 290 | SGD prerec msg>20min <=40min |
| E2506 | 290 | SGD prerec msg > 40 min | |
| E2506 | NU | 290 | SGD prerec msg > 40 min |
| E2506 | RR | 290 | SGD prerec msg > 40 min |
| E2506 | UE | 290 | SGD prerec msg > 40 min |
| E2508 | 290 | SGD spelling phys contact | |
| E2508 | NU | 290 | SGD spelling phys contact |
| E2508 | RR | 290 | SGD spelling phys contact |
| E2508 | UE | 290 | SGD spelling phys contact |
| E2510 | 290 | SGD w multi methods msg/accs | |
| E2510 | NU | 290 | SGD w multi methods msg/accs |
| E2510 | RR | 290 | SGD w multi methods msg/accs |
| E2510 | UE | 290 | SGD w multi methods msg/accs |
| E2511 | 290 | SGD sftwre prgrm for PC/PDA | |
| E2511 | NU | 290 | SGD sftwre prgrm for PC/PDA |
| E2511 | RR | 290 | SGD sftwre prgrm for PC/PDA |
| E2511 | UE | 290 | SGD sftwre prgrm for PC/PDA |
| E2512 | 290 | SGD accessory | |
| E2512 | NU | 290 | SGD accessory |
| E2512 | RR | 290 | SGD accessory |
| E2512 | UE | 290 | SGD accessory |
| E2599 | 290 | SGD accessory, n.o.c. | |
| E2601 | 290 | Gen w/c cushion wdth < 22 in | |
| E2601 | NU | 290 | Gen w/c cushion wdth < 22 in |
| E2601 | RR | 290 | Gen w/c cushion wdth < 22 in |
| E2601 | UE | 290 | Gen w/c cushion wdth < 22 in |
| E2602 | 290 | Gen w/c cushion wdth >=22 in | |
| E2602 | NU | 290 | Gen w/c cushion wdth >=22 in |
| E2602 | RR | 290 | Gen w/c cushion wdth >=22 in |
| E2602 | UE | 290 | Gen w/c cushion wdth >=22 in |
| E2603 | 290 | Skin protect wc cus wd <22in | |
| E2603 | NU | 290 | Skin protect wc cus wd <22in |
| E2603 | RR | 290 | Skin protect wc cus wd <22in |
| E2603 | UE | 290 | Skin protect wc cus wd <22in |
| E2604 | 290 | Skin protect wc cus wd>=22in | |
| E2604 | NU | 290 | Skin protect wc cus wd>=22in |
| E2604 | RR | 290 | Skin protect wc cus wd>=22in |
| E2604 | UE | 290 | Skin protect wc cus wd>=22in |
| E2605 | 290 | Position wc cush wdth <22 in | |
| E2605 | NU | 290 | Position wc cush wdth <22 in |
| E2605 | RR | 290 | Position wc cush wdth <22 in |
| E2605 | UE | 290 | Position wc cush wdth <22 in |
| E2606 | 290 | Position wc cush wdth>=22 in | |
| E2606 | NU | 290 | Position wc cush wdth>=22 in |
| E2606 | RR | 290 | Position wc cush wdth>=22 in |
| E2606 | UE | 290 | Position wc cush wdth>=22 in |
| E2607 | 290 | Skin pro/pos wc cus wd <22in | |
| E2607 | NU | 290 | Skin pro/pos wc cus wd <22in |
| E2607 | RR | 290 | Skin pro/pos wc cus wd <22in |
| E2607 | UE | 290 | Skin pro/pos wc cus wd <22in |
| E2608 | 290 | Skin pro/pos wc cus wd>=22in | |
| E2608 | NU | 290 | Skin pro/pos wc cus wd>=22in |
| E2608 | RR | 290 | Skin pro/pos wc cus wd>=22in |
| E2608 | UE | 290 | Skin pro/pos wc cus wd>=22in |
| E2609 | 290 | Cus fabricated wc seat cush, any size | |
| E2610 | 290 | Wc seat cush, powered | |
| E2611 | 290 | Gen use back cush wdth <22in | |
| E2611 | NU | 290 | Gen use back cush wdth <22in |
| E2611 | RR | 290 | Gen use back cush wdth <22in |
| E2611 | UE | 290 | Gen use back cush wdth <22in |
| E2612 | 290 | Gen use back cush wdth>=22in | |
| E2612 | NU | 290 | Gen use back cush wdth>=22in |
| E2612 | RR | 290 | Gen use back cush wdth>=22in |
| E2612 | UE | 290 | Gen use back cush wdth>=22in |
| E2613 | 290 | Position back cush wd <22in | |
| E2613 | NU | 290 | Position back cush wd <22in |
| E2613 | RR | 290 | Position back cush wd <22in |
| E2613 | UE | 290 | Position back cush wd <22in |
| E2614 | 290 | Position back cush wd>=22in | |
| E2614 | NU | 290 | Position back cush wd>=22in |
| E2614 | RR | 290 | Position back cush wd>=22in |
| E2614 | UE | 290 | Position back cush wd>=22in |
| E2615 | 290 | Pos back post/lat wdth <22in | |
| E2615 | NU | 290 | Pos back post/lat wdth <22in |
| E2615 | RR | 290 | Pos back post/lat wdth <22in |
| E2615 | UE | 290 | Pos back post/lat wdth <22in |
| E2616 | 290 | Pos back post/lat wdth>=22in | |
| E2616 | NU | 290 | Pos back post/lat wdth>=22in |
| E2616 | RR | 290 | Pos back post/lat wdth>=22in |
| E2616 | UE | 290 | Pos back post/lat wdth>=22in |
| E2617 | 290 | Cus fabricated wc back cush, any size | |
| E2619 | 290 | Replace cover w/c seat cush | |
| E2619 | NU | 290 | Replace cover w/c seat cush |
| E2619 | RR | 290 | Replace cover w/c seat cush |
| E2619 | UE | 290 | Replace cover w/c seat cush |
| E2620 | 290 | WC planar back cush wd <22in | |
| E2620 | NU | 290 | WC planar back cush wd <22in |
| E2620 | RR | 290 | WC planar back cush wd <22in |
| E2620 | UE | 290 | WC planar back cush wd <22in |
| E2621 | 290 | WC planar back cush wd>=22in | |
| E2621 | NU | 290 | WC planar back cush wd>=22in |
| E2621 | RR | 290 | WC planar back cush wd>=22in |
| E2621 | UE | 290 | WC planar back cush wd>=22in |
| EDCAN | 290 | FECA Dep Dir Auth | |
| EXTRA | 290 | Court costs/collection agency fees/etc-payable on delin bills | |
| FOLUP | 290 | OWCP-requested follow-up report with additional med/other evidence | |
| FORGN | 290 | Foreign Dummy Procedure Code | |
| FR001 | 290 | Case file review-15 min; EEOICP only | |
| FR002 | 290 | Supplemental code for file & case review; EEOICP only | |
| FR003 | 290 | Diagnosis Clarification file review only; EEOICP only | |
| FR004 | 290 | Impairment Rating file review only; EEOICP only | |
| FURNI | 290 | Furniture; non-DME | |
| G0008 | 281 | Admin influenza virus vac | |
| G0009 | 281 | Admin pneumococcal vaccine | |
| G0010 | 281 | Admin hepatitis b vaccine | |
| G0027 | 286 | Semen analysis | |
| G0101 | 181 | CA screen;pelvic/breast exam | |
| G0102 | 281 | Prostate ca screening; dre | |
| G0103 | 286 | Psa, total screening | |
| G0104 | 255 | CA screen;flexi sigmoidscope | |
| G0105 | 255 | Colorectal scrn; hi risk ind | |
| G0105 | 53 | 256 | Colorectal scrn; hi risk ind |
| G0106 | 262 | Colon CA screen;barium enema | |
| G0106 | TC | 263 | Colon CA screen;barium enema |
| G0106 | 26 | 262 | Colon CA screen;barium enema |
| G0108 | 269 | Diab manage trn per indiv | |
| G0109 | 269 | Diab manage trn ind/group | |
| G0120 | 262 | Colon ca scrn; barium enema | |
| G0120 | TC | 263 | Colon ca scrn; barium enema |
| G0120 | 26 | 262 | Colon ca scrn; barium enema |
| G0121 | 255 | Colon ca scrn not hi rsk ind | |
| G0121 | 53 | 256 | Colon ca scrn not hi rsk ind |
| G0122 | 275 | Colon ca scrn; barium enema | |
| G0122 | TC | 276 | Colon ca scrn; barium enema |
| G0122 | 26 | 275 | Colon ca scrn; barium enema |
| G0123 | 286 | Screen cerv/vag thin layer | |
| G0124 | 270 | Screen c/v thin layer by MD | |
| G0127 | 251 | Trim nail(s) | |
| G0128 | 270 | CORF skilled nursing service / 10 min. | |
| G0129 | 270 | O.T. component of partial hosp serv/day | |
| G0130 | 270 | Single energy x-ray study | |
| G0130 | TC | 270 | Single energy x-ray study |
| G0130 | 26 | 270 | Single energy x-ray study |
| G0141 | 270 | Scr c/v cyto,autosys and md | |
| G0143 | 290 | Scr c/v cyto,thinlayer,rescr | |
| G0144 | 290 | Scr c/v cyto,thinlayer,rescr | |
| G0145 | 290 | Scr c/v cyto,thinlayer,rescr | |
| G0147 | 290 | Scr c/v cyto, automated sys | |
| G0148 | 290 | Scr c/v cyto, autosys, rescr | |
| G0151 | 290 | HHCP-serv of pt,ea 15 min | |
| G0152 | 290 | HHCP-serv of ot,ea 15 min | |
| G0153 | 282 | HHCP-svs of s/l path,ea 15mn | |
| G0154 | 290 | HHCP-svs of rn,ea 15 min | |
| G0155 | 290 | HHCP-svs of csw,ea 15 min | |
| G0156 | 290 | HHCP-svs of aide,ea 15 min | |
| G0166 | 286 | Extrnl counterpulse, per tx | |
| G0168 | 252 | Wound closure by adhesive | |
| G0173 | 282 | Stereo radoisurgery,complete | |
| G0182 | 266 | Hospice care supervision | |
| G0186 | 174 | Dstry eye lesn,fdr vssl tech | |
| G0202 | 218 | Screening mammography | |
| G0202 | TC | 218 | Screening mammography |
| G0202 | 26 | 218 | Screening mammography |
| G0204 | 167 | Diagnostic mammography, bilateral | |
| G0204 | TC | 169 | Diagnostic mammography, bilateral |
| G0204 | 26 | 167 | Diagnostic mammography, bilateral |
| G0206 | 168 | Diagnostic mammography, unilateral | |
| G0206 | TC | 170 | Diagnostic mammography, unilateral |
| G0206 | 26 | 168 | Diagnostic mammography, unilateral |
| G0219 | 277 | PET img wholbod melano nonco | |
| G0219 | TC | 278 | PET img wholbod melano nonco |
| G0219 | 26 | 277 | PET img wholbod melano nonco |
| G0237 | 265 | Therapeutic procedures, c 15 min | |
| G0238 | 265 | Therapeutic procedures, not G0237, c 15 min | |
| G0239 | 269 | Therapeutic proced, not G0236, 2 or more | |
| G0245 | 195 | Initial foot exam pt lops | |
| G0246 | 195 | Followup eval of foot pt lop | |
| G0247 | 244 | Routine footcare pt w lops | |
| G0248 | 264 | Demonstrate use home inr mon | |
| G0249 | 268 | Provide test material,equipm | |
| G0250 | 264 | MD review interpret of test | |
| G0251 | 290 | Linear acc based stero radio | |
| G0252 | 277 | PET imaging initial dx | |
| G0252 | TC | 278 | PET imaging initial dx |
| G0252 | 26 | 277 | PET imaging initial dx |
| G0257 | 290 | Unsched dialysis ESRD pt hos | |
| G0260 | 283 | Inj for sacroiliac jt anesth | |
| G0268 | 136 | Removal of impacted wax md | |
| G0270 | 266 | MNT subs tx for change dx | |
| G0271 | 266 | Group MNT 2 or more 30 mins | |
| G0275 | 246 | Renal angio, cardiac cath | |
| G0278 | 246 | Iliac art angio,cardiac cath | |
| G0281 | 195 | Elec stim unattend for press | |
| G0283 | 195 | Elec stim other than wound | |
| G0288 | 213 | Recon, CTA for surg plan | |
| G0289 | 247 | Arthro, loose body + chondro | |
| G0306 | 290 | CBC/diffwbc w/o platelet | |
| G0307 | 290 | CBC without platelet | |
| G0328 | 286 | Fecal blood scrn immunoassay | |
| G0328 | QW | 286 | Fecal blood scrn immunoassay |
| G0329 | 181 | Electromagnetic tx for ulcers | |
| G0333 | 290 | Dispense fee initial 30 day | |
| G0337 | 286 | Hospice evaluation preelecti | |
| G0339 | 264 | Robot lin-radsurg com, first session | |
| G0340 | 264 | Robot linear steroradio max5 | |
| G0341 | 253 | Percutaneous islet cell transplant | |
| G0342 | 66 | Laparoscopy islet cell transplant | |
| G0343 | 66 | Laparotomy islet cell transplant | |
| G0364 | 227 | Bone marrow aspirate &biopsy | |
| G0365 | 258 | Vessel mapping hemo access | |
| G0365 | TC | 259 | Vessel mapping hemo access |
| G0365 | 26 | 258 | Vessel mapping hemo access |
| G0372 | 270 | MD service required for PMD | |
| G0378 | 290 | Hospital observation per hr | |
| G0379 | 290 | Direct admit hospital observ | |
| G0389 | 143 | Ultrasound exam AAA screen | |
| G0389 | TC | 144 | Ultrasound exam AAA screen |
| G0389 | 26 | 143 | Ultrasound exam AAA screen |
| G0390 | 140 | Trauma Respons w/hosp criti | |
| G0396 | 270 | Alcohol/subs interv 15-30mn | |
| G0397 | 270 | Alcohol/subs interv >30 min | |
| G0402 | 219 | Initial preventive exam | |
| G0403 | 219 | EKG for initial prevent exam | |
| G0404 | 219 | EKG tracing for initial prev | |
| G0405 | 219 | EKG interpret & report preve | |
| G0406 | 221 | Telhealth inpt consult 15min | |
| G0407 | 221 | Telheath inpt consult 25min | |
| G0408 | 221 | Telhealth inpt consult 35min | |
| G0409 | 221 | CORF related serv 15 mins ea | |
| G0410 | 282 | Grp psych partial hosp 45-50 | |
| G0411 | 282 | Inter active grp psych parti | |
| G0412 | 45 | Open tx iliac spine uni/bil | |
| G0413 | 14 | Pelvic ring fracture uni/bil | |
| G0414 | 45 | Pelvic ring fx treat int fix | |
| G0415 | 45 | Open tx post pelvic fxcture | |
| G0416 | 143 | Sat biopsy prostate 1-20 spc | |
| G0416 | TC | 144 | Sat biopsy prostate 1-20 spc |
| G0416 | 26 | 143 | Sat biopsy prostate 1-20 spc |
| G0417 | 143 | Sat biopsy prostate 21-40 | |
| G0417 | TC | 144 | Sat biopsy prostate 21-40 |
| G0417 | 26 | 143 | Sat biopsy prostate 21-40 |
| G0418 | 143 | Sat biopsy prostate 41-60 | |
| G0418 | TC | 144 | Sat biopsy prostate 41-60 |
| G0418 | 26 | 143 | Sat biopsy prostate 41-60 |
| G0419 | 143 | Sat biopsy prostate: >60 | |
| G0419 | TC | 144 | Sat biopsy prostate: >60 |
| G0419 | 26 | 143 | Sat biopsy prostate: >60 |
| G0420 | 270 | Ed svc CKD ind, per hr | |
| G0421 | 270 | Ed svc CKD grp per hr | |
| G0422 | 270 | Intens cardiac rehab w/exerc | |
| G0423 | 270 | Intens cardiac rehab no exer | |
| G0424 | 270 | Pulmonary rehab w exer | |
| G0425 | 270 | Initial inpat telehealth consult 30min | |
| G0426 | 270 | Initial inpat telehealth consult 50min | |
| G0427 | 270 | Initial inpat telehealth consult 70+min | |
| G0428 | 290 | ||
| G0429 | 270 | ||
| G0432 | 290 | ||
| G0433 | 290 | ||
| G0435 | 290 | ||
| G0430 | 290 | Drug screen multi class | |
| G0431 | 290 | Drug screen single class | |
| G3001 | 290 | Admin + supply, tositumomab, 450mg | |
| G9017 | 290 | Amantadine HCL, oral 100 mg | |
| G9018 | 290 | Zanamivir, inh pwdr 10m | |
| G9019 | 290 | Oseltamivir phosp 75 mg | |
| G9020 | 290 | Rimantadine HCL, oral 100 mg | |
| G9033 | 290 | Amantadine HCL oral brand 100 mg | |
| G9034 | 290 | Zanamivir, inh pwdr, brand 10m | |
| G9035 | 290 | Oseltamivir phosp, brand 75 mg | |
| G9036 | 290 | Rimantadine HCL, brand, oral 100 mg | |
| G9041 | 270 | Lo-vis svc OT, 15 min | |
| G9042 | 270 | Lo-vis svc CO&M, 15 min | |
| G9043 | 270 | Lo-vis svc CLVT, 15 min | |
| G9044 | 270 | Lo-vis svc CRTchr, 15 min | |
| G9141 | 290 | Influenza A H1N1,admin w cou | |
| G9142 | 290 | Influenza A H1N1, vaccine | |
| G9143 | 290 | Warfarin respon genetic test | |
| GYMEQ | 290 | Gym equipt for home use, purchase | |
| GYMME | 290 | Gym membership | |
| H0001 | 290 | Alcohol and/or drug assessment | |
| H0002 | 290 | Alcohol and/or drug screening, eligibility | |
| H0003 | 290 | Alcohol and/or drug screening, lab analysis | |
| H0004 | 290 | Alcohol and/or drug services, ind counsel | |
| H0005 | 290 | Alcohol and/or drug services, group counsel | |
| H0006 | 290 | Alcohol and/or drug services, case mgmt | |
| H0007 | 290 | Alcohol and/or drug services, crisis interv | |
| H0008 | 290 | Alcohol and/or drug serv, sub-acute dtox, ip | |
| H0009 | 290 | Alcohol and/or drug serv, acute dtox, ip | |
| H0010 | 290 | Alcohol and/or drug serv, sub-acute dtox | |
| H0011 | 290 | Alcohol and/or drug serv, acute dtox | |
| H0012 | 290 | Alcohol and/or drug serv, sub-acute dtox, op | |
| H0013 | 290 | Alcohol and/or drug serv, acute dtox, op | |
| H0014 | 290 | Alcohol and/or drug serv, ambulatory dtox | |
| H0015 | 290 | Alcohol and/or drug serv, intensive op | |
| H0016 | 290 | Alcohol and/or drug serv, medical somatic | |
| H0017 | 290 | Alcohol and/or drug serv, residential, hosp | |
| H0018 | 290 | Alcohol and/or drug serv, s/t residential | |
| H0019 | 290 | Alcohol and/or drug serv, l/t residential | |
| H0020 | 290 | Alcohol and/or drug serv, methadone svc | |
| H0022 | 290 | Alcohol and/or drug interven | |
| H0023 | 290 | Alcohol and/or drug outreach | |
| H0024 | 290 | Alcohol and/or drug preventi | |
| H0025 | 290 | Alcohol and/or drug preventi | |
| H0026 | 290 | Alcohol and/or drug preventi | |
| H0027 | 290 | Alcohol and/or drug preventi | |
| H0028 | 290 | Alcohol and/or drug preventi | |
| H0029 | 290 | Alcohol and/or drug preventi | |
| H0035 | 290 | MH partial hosp tx under 24h | |
| H0036 | 290 | Comm psy face-face per 15min | |
| H0043 | 290 | Supported housing, per diem | |
| H0044 | 290 | Supported housing, per month | |
| H0049 | 290 | Alcohol/drug screening | |
| H0050 | 290 | Alcohol/drug service 15 min | |
| HRENT | 290 | Home/apt/garage rental, monthly | |
| HSMDF | 290 | Home modifications per service | |
| HSPUM | 290 | Home purchase and modification | |
| HSPUR | 290 | Home purchase | |
| IMPAR | 290 | OWCP-requested clinical examination to resolve conflict | |
| J0120 | 290 | Tetracyclin inj, 250mg | |
| J0128 | 290 | Abarelix, inj, 10mg | |
| J0129 | 290 | Abatacept injection, 10 mg | |
| J0130 | 290 | Abciximab inj, 10mg | |
| J0132 | 290 | Acetylcysteine injection, 100 mg | |
| J0133 | 290 | Acyclovir injection, 5 mg | |
| J0135 | 290 | Adalimumab inj, 20mg | |
| J0150 | 290 | Injection adenosine tx 6mg | |
| J0152 | 290 | Adenosine inj dx 30mg | |
| J0170 | 290 | Adrenalin epinephrin inj, 1ml | |
| J0180 | 290 | Agalsidase beta inj, 1mg | |
| J0190 | 290 | Inj biperiden lactate/5 mg | |
| J0200 | 290 | Alatrofloxacin mesylate | |
| J0205 | 290 | Alglucerase inj, 10units | |
| J0207 | 290 | Amifostine inj 500mg | |
| J0210 | 290 | Methyldopate hcl inj, 250mg | |
| J0215 | 290 | Alefacept inj 0.5mg | |
| J0220 | 290 | Aglucosidase alfa injection | |
| J0256 | 290 | Alpha 1 proteinase inhibitor, 10mg | |
| J0270 | 290 | Alprostadil for inj, 1.25mcg | |
| J0275 | 290 | Alprostadil urethral suppos, 125mcg | |
| J0278 | 290 | Amikacin sulfate injection, 50mg | |
| J0280 | 290 | Aminophyllin 250 MG inj | |
| J0282 | 290 | Amiodarone HCl, 30mg | |
| J0285 | 290 | Amphotericin B, 50mg | |
| J0287 | 290 | Amphotericin b lipid complex, 10mg | |
| J0288 | 290 | Ampho b cholesteryl sulfate, 10mg | |
| J0289 | 290 | Amphotericin b liposome inj, 10mg | |
| J0290 | 290 | Ampicillin 500 MG inj | |
| J0295 | 290 | Ampicillin sodium per 1.5 gm | |
| J0300 | 290 | Amobarbital 125 MG inj | |
| J0330 | 290 | Succinycholine chloride inj, 20mg | |
| J0348 | 290 | Anadulafungin injection, 1mg | |
| J0350 | 290 | Injection anistreplase 30 u | |
| J0360 | 290 | Hydralazine hcl inj, 20mg | |
| J0364 | 290 | Apomorphine hydrochloride, 1mg | |
| J0365 | 290 | Aprotonin, 10,000 kiu | |
| J0380 | 290 | Inj metaraminol bitartrate, 10mg | |
| J0390 | 290 | Chloroquine inj | |
| J0395 | 290 | Arbutamine HCl inj | |
| J0400 | 290 | Aripiprazole injection | |
| J0456 | 290 | Azithromycin, 500mg | |
| J0461 | 290 | Atropine sulfate inj, 0.1mg | |
| J0470 | 290 | Dimecaprol inj, 100mg | |
| J0475 | 290 | Baclofen 10 MG inj | |
| J0476 | 290 | Baclofen intrathecal trial, 50mcg | |
| J0480 | 290 | Basiliximab, 20mg | |
| J0500 | 290 | Dicyclomine inj, 20mg | |
| J0515 | 290 | Inj benztropine mesylate, 1mg | |
| J0520 | 290 | Bethanechol chloride inject | |
| J0559 | 290 | Penicillin g benzathine inj, 2,500units | |
| J0560 | 290 | Penicillin g benzathine inj, 600000u | |
| J0570 | 290 | Penicillin g benzathine inj, 1200000u | |
| J0580 | 290 | Penicillin g benzathine inj, 2400000u | |
| J0583 | 290 | Bivalirudin, 1mg | |
| J0585 | 290 | Botulinum toxin type A per unit | |
| J0586 | 290 | AbobotulinumtoxinA inj, 5 units | |
| J0587 | 290 | Botulinum toxin type B per 100u | |
| J0592 | 290 | Buprenorphine hydrochloride, 0.1mg | |
| J0594 | 290 | Busulfan injection, 1 mg | |
| J0595 | 290 | Butorphanol tartrate 1 mg | |
| J0598 | 290 | C1 esterase inhibitor inj, 10 units | |
| J0600 | 290 | Edetate calcium disodium inj, 1ml | |
| J0610 | 290 | Calcium gluconate inj, 10ml | |
| J0620 | 290 | Calcium glycer & lact/10 ML | |
| J0630 | 290 | Calcitonin salmon inj, 400u | |
| J0636 | 290 | Inj calcitriol per 0.1 mcg | |
| J0637 | 290 | Caspofungin acetate 5mg | |
| J0640 | 290 | Leucovorin calcium inj/50mg | |
| J0641 | 290 | Levoleucovorin injection | |
| J0670 | 290 | Inj mepivacaine HCL/10 ml | |
| J0690 | 290 | Cefazolin sodium inj 500mg | |
| J0692 | 290 | Cefepime HCl for inj 500mg | |
| J0694 | 290 | Cefoxitin sodium inj, 1gm | |
| J0696 | 290 | Ceftriaxone sodium inj 250mg | |
| J0697 | 290 | Sterile cefuroxime inj, 750mg | |
| J0698 | 290 | Cefotaxime sodium inj, 1gm | |
| J0702 | 290 | Betamethasone acet&sod phosp, 3mg | |
| J0704 | 290 | Betamethasone sod phosp/4mg | |
| J0706 | 290 | Caffeine citrate inj, 5mg | |
| J0710 | 290 | Cephapirin sodium inj, 1gm | |
| J0713 | 290 | Inj ceftazidime per 500mg | |
| J0715 | 290 | Ceftizoxime sodium / 500mg | |
| J0718 | 290 | Certolizumab pegol inj, 1 mg | |
| J0720 | 290 | Chloramphenicol sodium injec, 1gm | |
| J0725 | 290 | Chorionic gonadotropin/1000u | |
| J0735 | 290 | Clonidine hydrochloride, 1mg | |
| J0740 | 290 | Cidofovir inj, 375mg | |
| J0743 | 290 | Cilastatin sodium inj, 250mg | |
| J0744 | 290 | Ciprofloxacin iv,200mg | |
| J0745 | 290 | Inj codeine phosphate /30 MG | |
| J0760 | 290 | Colchicine inj, 1mg | |
| J0770 | 290 | Colistimethate sodium inj, 150mg | |
| J0780 | 290 | Prochlorperazine inj, 10mg | |
| J0795 | 290 | Corticorelin ovine triflutal, 1 ea | |
| J0800 | 290 | Corticotropin inj, 40 units | |
| J0833 | 290 | Cosyntropin NOS inj, 0.25 mg | |
| J0834 | 290 | Cosyntropin cortrosyn inj, 0.25 mg | |
| J0850 | 290 | Cytomegalovirus imm IV /vial, 1ml | |
| J0878 | 290 | Daptomycin inj, 1mg | |
| J0881 | 290 | Darbepoetin alfa, non-esrd, 1mcg | |
| J0882 | 290 | Darbepoetin alfa, esrd use, 1mcg | |
| J0885 | 290 | Epoetin alfa, non-esrd, 1000u | |
| J0886 | 290 | Epoetin alfa, esrd, 1000u | |
| J0894 | 290 | Decitabine injection, 1 mg | |
| J0895 | 290 | Deferoxamine mesylate inj 500mg | |
| J0900 | 290 | Testosterone enanthate inj, 1cc | |
| J0945 | 290 | Brompheniramine maleate inj, 10mg | |
| J0970 | 290 | Estradiol valerate inj, 40mg | |
| J1000 | 290 | Depo-estradiol cypionate inj 5mg | |
| J1020 | 290 | Methylprednisolone 20mg inj | |
| J1030 | 290 | Methylprednisolone 40mg inj | |
| J1040 | 290 | Methylprednisolone 80mg inj | |
| J1051 | 290 | Medroxyprogesterone inj, 50mg | |
| J1055 | 290 | Medrxyprogester acetate inj, 150 mg | |
| J1056 | 290 | MA/EC contraceptive inj, 5mg | |
| J1060 | 290 | Testosterone cypionate 1 ML | |
| J1070 | 290 | Testosterone cypionat 100mg | |
| J1080 | 290 | Testosterone cypionat 200mg | |
| J1094 | 290 | Inj dexamethasone acetate, 1 mg | |
| J1100 | 290 | Dexamethasone sodium phos 1 mg | |
| J1110 | 290 | Inj dihydroergotamine mesylt, 1mg | |
| J1120 | 290 | Acetazolamid sodium inj, 500mg | |
| J1160 | 290 | Digoxin inj, 0.5mg | |
| J1162 | 290 | Digoxin immune fab (ovine), per vial | |
| J1165 | 290 | Phenytoin sodium inj, 50mg | |
| J1170 | 290 | Hydromorphone inj, 4mg | |
| J1180 | 290 | Dyphylline inj, 500mg | |
| J1190 | 290 | Dexrazoxane HCl inj /250mg | |
| J1200 | 290 | Diphenhydramine hcl inj 50mg | |
| J1205 | 290 | Chlorothiazide sodium inj, 500mg | |
| J1212 | 290 | Dimethyl sulfoxide 50%, 50 ML | |
| J1230 | 290 | Methadone inj, 10mg | |
| J1240 | 290 | Dimenhydrinate inj, 50mg | |
| J1245 | 290 | Dipyridamole inj /10mg | |
| J1250 | 290 | Inj dobutamine HCL/250mg | |
| J1260 | 290 | Dolasetron mesylate 10mg | |
| J1265 | 290 | Dopamine inj, 40mg | |
| J1267 | 290 | Doripenem injection | |
| J1270 | 290 | Injection, doxercalciferol, 1mcg | |
| J1300 | 290 | Eculizumab injection | |
| J1320 | 290 | Amitriptyline inj, 20mg | |
| J1324 | 290 | Enfuvirtide injection, 1 mg | |
| J1325 | 290 | Epoprostenol inj, 0.5mg | |
| J1327 | 290 | Eptifibatide inj, 5mg | |
| J1330 | 290 | Ergonovine maleate inj, 0.2mg | |
| J1335 | 290 | Ertapenem inj, 500mg | |
| J1364 | 290 | Erythro lactobionate /500mg | |
| J1380 | 290 | Estradiol valerate 10mg inj | |
| J1390 | 290 | Estradiol valerate 20mg inj | |
| J1410 | 290 | Inj estrogen conjugate 25mg | |
| J1430 | 290 | Ethanolamine oleate 100mg | |
| J1435 | 290 | Injection estrone per 1 mg | |
| J1436 | 290 | Etidronate disodium inj, 300mg | |
| J1438 | 290 | Etanercept inj, 25mg | |
| J1440 | 290 | Filgrastim 300 mcg injeciton | |
| J1441 | 290 | Filgrastim 480 mcg injection | |
| J1450 | 290 | Fluconazole, 200mg | |
| J1451 | 290 | Fomepizole, 15 mg | |
| J1452 | 290 | Intraocular Fomivirsen na, 1.65mg | |
| J1453 | 290 | Fosaprepitant injection | |
| J1455 | 290 | Foscarnet sodium inj, 1000mg | |
| J1457 | 290 | Gallium nitrate inj, 1mg | |
| J1458 | 290 | Galsulfase injection, 1 mg | |
| J1459 | 290 | Inj IVIG privigen 500 mg | |
| J1460 | 290 | Gamma globulin 1CC inj | |
| J1470 | 290 | Gamma globulin 2 CC inj | |
| J1480 | 290 | Gamma globulin 3 CC inj | |
| J1490 | 290 | Gamma globulin 4 CC inj | |
| J1500 | 290 | Gamma globulin 5 CC inj | |
| J1510 | 290 | Gamma globulin 6 CC inj | |
| J1520 | 290 | Gamma globulin 7 CC inj | |
| J1530 | 290 | Gamma globulin 8 CC inj | |
| J1540 | 290 | Gamma globulin 9 CC inj | |
| J1550 | 290 | Gamma globulin 10 CC inj | |
| J1560 | 290 | Gamma globulin > 10 CC inj /10ml | |
| J1561 | 290 | Gamunex injection, 500 mg | |
| J1562 | 290 | Immune globulin subcutaneous, 100 mg | |
| J1566 | 290 | Immune globulin, powder, 500mg | |
| J1568 | 290 | Octagam injection, 500 mg | |
| J1569 | 290 | Gammagard liquid injection, 500 mg | |
| J1570 | 290 | Ganciclovir sodium inj, 500mg | |
| J1571 | 290 | HepaGam B IM injection, 0.5 ml | |
| J1572 | 290 | Flebogamma injection, 500 mg | |
| J1573 | 290 | Hepagam B intravenous, inj | |
| J1580 | 290 | Garamycin gentamicin inj 80mg | |
| J1590 | 290 | Gatifloxacin inj, 10mg | |
| J1595 | 290 | Inj glatiramer acetate, 20mg | |
| J1600 | 290 | Gold sodium thiomaleate inj 50mg | |
| J1610 | 290 | Glucagon hydrochloride/1 MG | |
| J1620 | 290 | Gonadorelin hydroch/ 100 mcg | |
| J1626 | 290 | Granisetron HCl injection 100mcg | |
| J1630 | 290 | Haloperidol inj, 5mg | |
| J1631 | 290 | Haloperidol decanoate inj /50mg | |
| J1640 | 290 | Hemin, 1 mg | |
| J1642 | 290 | Inj heparin sodium per 10 u | |
| J1644 | 290 | Inj heparin sodium per 1000 u | |
| J1645 | 290 | Dalteparin sodium per 2500 iu | |
| J1650 | 290 | Inj enoxaparin sodium, 10mg | |
| J1652 | 290 | Fondaparinux sodium, 0.5mg | |
| J1655 | 290 | Tinzaparin sodium injection 1000 iu | |
| J1670 | 290 | Tetanus immune globulin inj, 250u | |
| J1675 | 290 | Histrelin acetate | |
| J1680 | 290 | Human fibrinogen conc inj, 100mg | |
| J1700 | 290 | Hydrocortisone acetate inj | |
| J1710 | 290 | Hydrocortisone sodium ph inj | |
| J1720 | 290 | Hydrocortisone sodium succ inj 100mg | |
| J1730 | 290 | Diazoxide inj, 300mg | |
| J1740 | 290 | Ibandronate sodium injection, 1 mg | |
| J1742 | 290 | Ibutilide fumarate inj, 1mg | |
| J1743 | 290 | Idursulfase injection | |
| J1745 | 290 | Infliximab inj, 10mg | |
| J1750 | 290 | Inj iron dextran | |
| J1756 | 290 | Iron sucrose inj, 1mg | |
| J1785 | 290 | Inj imiglucerase, 1unit | |
| J1790 | 290 | Droperidol inj, 1mg | |
| J1800 | 290 | Propranolol inj, 1mg | |
| J1810 | 290 | Droperidol/fentanyl inj, 2ml | |
| J1815 | 290 | Insulin injection, / 5 units | |
| J1817 | 290 | Insulin for insulin pump use, 50u | |
| J1825 | 290 | Interferon beta-1a, 33 mcg | |
| J1830 | 290 | Interferon beta-1b, 0.25mg | |
| J1835 | 290 | Intraconazole inj, 50mg | |
| J1840 | 290 | Kanamycin sulfate 500mg inj | |
| J1850 | 290 | Kanamycin sulfate 75mg inj | |
| J1885 | 290 | Ketorolac tromethamine inj 15mg | |
| J1890 | 290 | Cephalothin sodium inj, 1 gram | |
| J1930 | 290 | Lanreotide injection | |
| J1931 | 290 | Laronidase injection, 0.1mg | |
| J1940 | 290 | Furosemide injection 20mg | |
| J1945 | 290 | Lepirudin, 50mg | |
| J1950 | 290 | Leuprolide acetate, 3.75 MG | |
| J1953 | 290 | Levetiracetam injection | |
| J1955 | 290 | Inj levocarnitine per 1 gm | |
| J1956 | 290 | Levofloxacin inj, 250mg | |
| J1960 | 290 | Levorphanol tartrate inj | |
| J1980 | 290 | Hyoscyamine sulfate inj, 0.25mg | |
| J1990 | 290 | Chlordiazepoxide inj, 100mg | |
| J2001 | 290 | Lidocaine inj, 10mg | |
| J2010 | 290 | Lincomycin inj, 300mg | |
| J2020 | 290 | Linezolid inj, 200mg | |
| J2060 | 290 | Lorazepam inj, 2mg | |
| J2150 | 290 | Mannitol injection 25%, 50ml | |
| J2170 | 290 | Mecasermin injection, 1 mg | |
| J2175 | 290 | Meperidine hydrochl, 100mg | |
| J2180 | 290 | Meperidine/promethazine inj, 50mg | |
| J2185 | 290 | Meropenem, 100mg | |
| J2210 | 290 | Methylergonovin maleate inj, 0.2mg | |
| J2248 | 290 | Micafungin sodium injection, 1 mg | |
| J2250 | 290 | Inj midazolam hydrochloride, 1mg | |
| J2260 | 290 | Inj milrinone lactate / 5mg | |
| J2270 | 290 | Morphine sulfate inj, 10mg | |
| J2271 | 290 | Morphine so4 inj, 100mg | |
| J2275 | 290 | Morphine sulfate inj, 10mg | |
| J2278 | 290 | Ziconotide injection, 1mcg | |
| J2280 | 290 | Inj, moxifloxacin 100 mg | |
| J2300 | 290 | Inj nalbuphine hydrochloride, 10mg | |
| J2310 | 290 | Inj naloxone hydrochloride, 1mg | |
| J2315 | 290 | Naltrexone, depot form, 1 mg | |
| J2320 | 290 | Nandrolone decanoate 50mg | |
| J2321 | 290 | Nandrolone decanoate 100mg | |
| J2322 | 290 | Nandrolone decanoate 200mg | |
| J2323 | 290 | Natalizumab injection | |
| J2325 | 290 | Nesiritide injection 0.1 mg | |
| J2353 | 290 | Octreotide injection, depot 1mg | |
| J2354 | 290 | Octreotide inj, non-depot 25mcg | |
| J2355 | 290 | Oprelvekin inj, 5mg | |
| J2357 | 290 | Omalizumab injection, 5mg | |
| J2360 | 290 | Orphenadrine inj, 60mg | |
| J2370 | 290 | Phenylephrine hcl inj, 1ml | |
| J2400 | 290 | Chloroprocaine hcl inj, 30ml | |
| J2405 | 290 | Ondansetron hcl inj, 1 mg | |
| J2410 | 290 | Oxymorphone hcl inj, 1mg | |
| J2425 | 290 | Palifermin injection, 50mcg | |
| J2430 | 290 | Pamidronate disodium, 30mg | |
| J2440 | 290 | Papaverin hcl inj, 60mg | |
| J2460 | 290 | Oxytetracycline inj, 50mg | |
| J2469 | 290 | Palonosetron HCl, 25mcg | |
| J2501 | 290 | Paricalcitol 1mcg | |
| J2503 | 290 | Pegaptanib sodium injection, 0.3mg | |
| J2504 | 290 | Pegademase bovine, 25 iu | |
| J2505 | 290 | Inj, pegfilgrastim, 6mg | |
| J2510 | 290 | Penicillin g procaine inj, 600000u | |
| J2513 | 290 | Pentastarch 10% solution, 100ml | |
| J2515 | 290 | Pentobarbital sodium inj, 50mg | |
| J2540 | 290 | Penicillin g potassium inj, 600000u | |
| J2543 | 290 | Piperacillin/tazobactam, 1.125g | |
| J2545 | 290 | Pentamidine isethionte/300mg | |
| J2550 | 290 | Promethazine hcl inj, 50mg | |
| J2560 | 290 | Phenobarbital sodium inj, 120mg | |
| J2562 | 290 | Plerixafor inj, 1 mg | |
| J2590 | 290 | Oxytocin inj, 10u | |
| J2597 | 290 | Inj desmopressin acetate, 1mcg | |
| J2650 | 290 | Prednisolone acetate inj, 1ml | |
| J2670 | 290 | Totazoline hcl injection | |
| J2675 | 290 | Inj progesterone per 50mg | |
| J2680 | 290 | Fluphenazine decanoate 25mg | |
| J2690 | 290 | Procainamide hcl inj, 1g | |
| J2700 | 290 | Oxacillin sodium inj, 250mg | |
| J2710 | 290 | Neostigmine methylslfte inj, 0.5mg | |
| J2720 | 290 | Inj protamine sulfate/10 MG | |
| J2724 | 290 | Protein C concentrate | |
| J2725 | 290 | Inj protirelin per 250 mcg | |
| J2730 | 290 | Pralidoxime chloride inj, 1g | |
| J2760 | 290 | Phentolaine mesylate inj, 5mg | |
| J2765 | 290 | Metoclopramide hcl inj, 10mg | |
| J2770 | 290 | Quinupristin/dalfopristin, 500mg | |
| J2778 | 290 | Ranibizumab injection | |
| J2780 | 290 | Ranitidine hydrochloride inj 25mg | |
| J2783 | 290 | Rasburicase 0.5mg | |
| J2785 | 290 | Regadenoson injection | |
| J2788 | 290 | Rho d immune globulin 50 mcg | |
| J2790 | 290 | Rho d immune globulin inj, 300mcg | |
| J2791 | 290 | Rhophylac injection | |
| J2792 | 290 | Rho(D) immune globulin h, sd, 100iu | |
| J2793 | 290 | Rilonacept inj, 1 mg | |
| J2794 | 290 | Risperidone, long acting, 0.5mg | |
| J2795 | 290 | Ropivacaine HCl inj, 1mg | |
| J2796 | 290 | Romiplostim inj, 10 mcg | |
| J2800 | 290 | Methocarbamol inj, 10ml | |
| J2805 | 290 | Sincalide injection, 5mcg | |
| J2810 | 290 | Inj theophylline per 40mg | |
| J2820 | 290 | Sargramostim injection 50mcg | |
| J2850 | 290 | Inj secretin synthetic human, 1mcg | |
| J2910 | 290 | Aurothioglucose inj, 50mg | |
| J2916 | 290 | NA Ferric Gluconate Complex 12.5 mg | |
| J2920 | 290 | Methylprednisolone injection 40mg | |
| J2930 | 290 | Methylprednisolone injection 125mg | |
| J2940 | 290 | Somatrem injection | |
| J2941 | 290 | Somatropin inj, 1mg | |
| J2950 | 290 | Promazine hcl inj, 25mg | |
| J2993 | 290 | Reteplase inj, 18.1mg | |
| J2995 | 290 | Inj streptokinase /250000 IU | |
| J2997 | 290 | Alteplase recombinant, 1 mg | |
| J3000 | 290 | Streptomycin inj, 1g | |
| J3010 | 290 | Fentanyl citrate inj, 0.1mg | |
| J3030 | 290 | Sumatriptan succinate / 6 MG | |
| J3070 | 290 | Pentazocine hcl inj, 30mg | |
| J3101 | 290 | Tenecteplase injection | |
| J3105 | 290 | Terbutaline sulfate inj, 1mg | |
| J3110 | 290 | Teriparatide injection, 10mcg | |
| J3120 | 290 | Testosterone enanthate inj, 100mg | |
| J3130 | 290 | Testosterone enanthate inj, 200mg | |
| J3140 | 290 | Testosterone suspension inj, 50mg | |
| J3150 | 290 | Testosteron propionate inj, 100mg | |
| J3230 | 290 | Chlorpromazine hcl inj, 50mg | |
| J3240 | 290 | Thyrotropin inj, 0.9mg | |
| J3243 | 290 | Tigecycline injection, 1 mg | |
| J3246 | 290 | Tirofiban hydrochloride, 0.25mg | |
| J3250 | 290 | Trimethobenzamide hcl inj, 200mg | |
| J3260 | 290 | Tobramycin sulfate injection 80mg | |
| J3265 | 290 | Injection torsemide 10 mg/ml | |
| J3280 | 290 | Thiethylperazine maleate inj, 10mg | |
| J3285 | 290 | Treprostinil injection, 1mg | |
| J3300 | 290 | Triamcinolone A inj PRS-free | |
| J3301 | 290 | Triamcinolone acetonide inj 10mg | |
| J3302 | 290 | Triamcinolone diacetate inj 5mg | |
| J3303 | 290 | Triamcinolone hexacetonl inj 5mg | |
| J3305 | 290 | Inj trimetrexate glucoronate, 25mg | |
| J3310 | 290 | Perphenazine injeciton, 5mg | |
| J3315 | 290 | Triptorelin pamoate 3.75mg | |
| J3320 | 290 | Spectinomycn di-hcl inj, 2g | |
| J3350 | 290 | Urea injection, 40mg | |
| J3355 | 290 | Urofollitropin, 75 iu | |
| J3360 | 290 | Diazepam inj, 5mg | |
| J3364 | 290 | Urokinase 5000 IU injection | |
| J3365 | 290 | Urokinase 250,000 IU inj | |
| J3370 | 290 | Vancomycin hcl injeciton 500mg | |
| J3396 | 290 | Verteporfin injection, 0.1mg | |
| J3400 | 290 | Triflupromazine hcl inj, 20mg | |
| J3410 | 290 | Hydroxyzine hcl injeciton 25mg | |
| J3411 | 290 | Thiamine hcl 100 mg | |
| J3415 | 290 | Pyridoxine hcl 100 mg | |
| J3420 | 290 | Vitamin B-12 inj, 1000mcg | |
| J3430 | 290 | Vitamin K phytonadione inj, 1mg | |
| J3465 | 290 | Injection, voriconazole, 10mg | |
| J3470 | 290 | Hyaluronidase inj, 150u | |
| J3471 | 290 | Ovine, up to 999 USP units, per unit | |
| J3472 | 290 | Ovine, 1000 USP units | |
| J3473 | 290 | Hyaluronidase recombinant, 1 USP unit | |
| J3475 | 290 | Inj magnesium sulfate 500mg | |
| J3480 | 290 | Inj potassium chloride /2meq | |
| J3485 | 290 | Zidovudine, 10mg | |
| J3486 | 290 | Ziprasidone mesylate, 10mg | |
| J3487 | 290 | Zoledronic acid, 1 mg | |
| J3488 | 290 | Reclast injection | |
| J3490 | 290 | Drugs unclassified injection | |
| J3520 | 290 | Edetate disodium per 150 mg | |
| J3530 | 290 | Nasal vaccine inhalation | |
| J3535 | 290 | Metered dose inhaler drug | |
| J3570 | 290 | Laetrile amygdalin vit B17 | |
| J3590 | 290 | Unclassified biologics | |
| J7030 | 290 | Normal saline solution infus 1000cc | |
| J7040 | 290 | Normal saline solution infus 500ml=1unit | |
| J7042 | 290 | 5% dextrose/normal saline, 500ml | |
| J7050 | 290 | Normal saline solution infus, 250cc | |
| J7060 | 290 | 5% dextrose/water, 500ml | |
| J7070 | 290 | D5w infusion, 1000cc | |
| J7100 | 290 | Dextran 40 infusion, 500ml | |
| J7110 | 290 | Dextran 75 infusion, 500ml | |
| J7120 | 290 | Ringers lactate infusion, 1000cc | |
| J7130 | 290 | Hypertonic saline solution, 20cc | |
| J7185 | 290 | Xyntha inj per IU | |
| J7186 | 290 | Antihemophilic viii/vwf comp | |
| J7187 | 290 | Inj Vonwillebrand factor, per IU | |
| J7189 | 290 | Factor viia, 1mcg | |
| J7190 | 290 | Factor VIII, 1iu | |
| J7191 | 290 | Factor VIII (porcine), 1iu | |
| J7192 | 290 | Factor VIII recombinant, 1iu | |
| J7193 | 290 | Factor IX non-recombinant, 1iu | |
| J7194 | 290 | Factor IX complex, 1iu | |
| J7195 | 290 | Factor IX recombinant, 1iu | |
| J7197 | 290 | Antithrombin III injection, 1iu | |
| J7198 | 290 | Anti-inhibitor, 1iu | |
| J7199 | 290 | Hemophilia clot factor noc | |
| J7308 | 290 | Aminolevulinic acid hcl top, 354mg | |
| J7310 | 290 | Ganciclovir long act implant, 4.5mg | |
| J7311 | 290 | Fluocinolone acetonide intravitreal implant | |
| J7321 | 290 | Hyalgan/supartz inj per dose | |
| J7323 | 290 | Euflexxa inj per dose | |
| J7324 | 290 | Orthovisc inj per dose | |
| J7325 | 290 | Synvisc or Synvisc-One inj, 1 mg | |
| J7330 | 290 | Cultured chondrocytes implnt, ea. | |
| J7500 | 290 | Azathioprine oral, 50mg | |
| J7501 | 290 | Azathioprine parenteral, 100mg | |
| J7502 | 290 | Cyclosporine oral, 100 mg | |
| J7504 | 290 | Lymphocyte immune globulin, 250mg | |
| J7505 | 290 | Monoclonal antibodies, 5mg | |
| J7506 | 290 | Prednisone oral, 5mg | |
| J7507 | 290 | Tacrolimus oral per 1 MG | |
| J7509 | 290 | Methylprednisolone oral, 4mg | |
| J7510 | 290 | Prednisolone oral per 5 mg | |
| J7511 | 290 | Antithymocyte globuln rabbit, 25mg | |
| J7513 | 290 | Daclizumab, parenteral, 25mg | |
| J7515 | 290 | Cyclosporine oral 25 mg | |
| J7516 | 290 | Cyclosporin parenteral 250mg | |
| J7517 | 290 | Mycophenolate mofetil oral, 250mg | |
| J7518 | 290 | Mycophenolic acid, oral, 180mg | |
| J7520 | 290 | Sirolimus, oral, 1mg | |
| J7525 | 290 | Tacrolimus injection, 5mg | |
| J7599 | 290 | Immunosuppressive drug noc | |
| J7604 | 290 | Acetylcysteine comp unit | |
| J7605 | 290 | Arformoterol non-comp unit | |
| J7606 | 290 | Formoterol fumarate, inh | |
| J7607 | 290 | Levalbuterol inhal soln, comp, con, via dme, 0.5 mg | |
| J7608 | 290 | Acetylcysteine inh sol u d, 1g | |
| J7609 | 290 | Albuterol comp unit, 1 mg | |
| J7610 | 290 | Albuterol comp con, 1 mg | |
| J7611 | 290 | Albuterol concentrated form, 1mg | |
| J7612 | 290 | Levalbuterol concentrated, 0.5mg | |
| J7613 | 290 | Albuterol unit dose, 1mg | |
| J7614 | 290 | Levalbuterol unit dose, 0.5mg | |
| J7615 | 290 | Levalbuterol comp unit, 0.5 mg | |
| J7620 | 290 | Albuterol non-compounded, 1unit | |
| J7622 | 290 | Beclomethasone inhalatn sol, 1mg | |
| J7624 | 290 | Betamethasone inhalation sol, 1mg | |
| J7626 | 290 | Budesonide inhalation sol, 0.5mg | |
| J7627 | 290 | Budesonide, compounded | |
| J7628 | 290 | Bitolterol mes inhal sol con | |
| J7629 | 290 | Bitolterol mes inh sol u d | |
| J7631 | 290 | Cromolyn sodium inh sol u d, 10mg | |
| J7632 | 290 | Cromolyn sodium comp unit | |
| J7633 | 290 | Budesonide concentrated sol, 0.25mg | |
| J7634 | 290 | Budesonide inhal soln, comp, con, 0.25mg | |
| J7635 | 290 | Atropine inhal sol con, 1mg | |
| J7636 | 290 | Atropine inhal sol unit dose, 1mg | |
| J7637 | 290 | Dexamethasone inhal sol con, 1mg | |
| J7638 | 290 | Dexamethasone inhal sol u d, 1mg | |
| J7639 | 290 | Dornase alpha inhal sol u d, 1mg | |
| J7640 | 290 | Formoterol injection, 12mcg | |
| J7641 | 290 | Flunisolide, inhalation sol, 1mg | |
| J7642 | 290 | Glycopyrrolate inhal sol con, 1mg | |
| J7643 | 290 | Glycopyrrolate inhal sol u d, 1mg | |
| J7644 | 290 | Ipratropium brom inh sol u d, 1mg | |
| J7645 | 290 | Ipratropium bromide comp, via dme, 1mg | |
| J7647 | 290 | Isoetharine HCL, comp, con, via dme 1mg | |
| J7648 | 290 | Isoetharine hcl inh sol con | |
| J7649 | 290 | Isoetharine hcl inh sol u d, 1mg | |
| J7650 | 290 | Isoetharine comp unit dose, 1mg | |
| J7657 | 290 | Isoproterenol HCL, comp, con, 1 mg | |
| J7658 | 290 | Isoproterenolhcl inh sol con | |
| J7659 | 290 | Isoproterenol hcl inh sol ud | |
| J7660 | 290 | Isoproterenol comp unit, 1 mg | |
| J7667 | 290 | Metaproterenol comp con, 10mg | |
| J7668 | 290 | Metaproterenol inh sol con, 10mg | |
| J7669 | 290 | Metaproterenol inh sol u d, 10mg | |
| J7670 | 290 | Metaproterenol, comp, unit, 10mg | |
| J7674 | 290 | Methacholine chloride, neb, 1mg | |
| J7676 | 290 | Pentamidine comp unit dose | |
| J7680 | 290 | Terbutaline so4 inh sol con, 1mg | |
| J7681 | 290 | Terbutaline so4 inh sol u d, 1mg | |
| J7682 | 290 | Tobramycin inhalation sol, 300mg | |
| J7683 | 290 | Triamcinolone inh sol con | |
| J7684 | 290 | Triamcinolone inh sol u d | |
| J7685 | 290 | Tobramycin, comp, unit, 300mg | |
| J7699 | 290 | Inhalation solution for DME | |
| J7799 | 290 | Non-inhalation drug for DME | |
| J8498 | 290 | Antiemetic rectal/supp NOS | |
| J8499 | 290 | Oral prescrip drug non chemo | |
| J8501 | 290 | Aprepitant, oral, 5mg | |
| J8510 | 290 | Oral busulfan, 2mg | |
| J8515 | 290 | Cabergoline, oral 0.25mg | |
| J8520 | 290 | Capecitabine, oral, 150 mg | |
| J8521 | 290 | Capecitabine, oral, 500 mg | |
| J8530 | 290 | Cyclophosphamide oral 25mg | |
| J8540 | 290 | Oral dexamethasone, 0.25mg | |
| J8560 | 290 | Etoposide oral 50 MG | |
| J8565 | 290 | Gefitinib, oral, 250mg | |
| J8597 | 290 | Antiemetic drug oral NOS | |
| J8600 | 290 | Melphalan oral 2 MG | |
| J8610 | 290 | Methotrexate oral 2.5 MG | |
| J8650 | 290 | Nabilone oral, 1mg | |
| J8700 | 290 | Temozolmide, 2.5mg | |
| J8705 | 290 | Topotecan oral | |
| J8999 | 290 | Oral prescription drug chemo | |
| J9000 | 290 | Doxorubic hcl 10 MG vl chemo | |
| J9001 | 290 | Doxorubicin hcl liposome inj 10mg | |
| J9010 | 290 | Alemtuzumab injection 10 mg | |
| J9015 | 290 | Aldesleukin/single use vial, ea | |
| J9017 | 290 | Arsenic trioxide, 1mg | |
| J9020 | 290 | Asparaginase inj, 10000u | |
| J9025 | 290 | Azacitidine injection, 1mg | |
| J9027 | 290 | Clofarabine injection, 1mg | |
| J9031 | 290 | Bcg live intravesical vac, ea | |
| J9033 | 290 | Bendamustine injection | |
| J9035 | 290 | Bevacizumab injection, 10mg | |
| J9040 | 290 | Bleomycin sulfate injection 15u | |
| J9041 | 290 | Bortezomib injection, 0.1mg | |
| J9045 | 290 | Carboplatin injection 50mg | |
| J9050 | 290 | Carmus bischl nitro inj 100mg | |
| J9055 | 290 | Cetuximab injection, 10mg | |
| J9060 | 290 | Cisplatin 10mg injection | |
| J9062 | 290 | Cisplatin 50mg injection | |
| J9065 | 290 | Inj cladribine per 1 MG | |
| J9070 | 290 | Cyclophosphamide 100mg inj | |
| J9080 | 290 | Cyclophosphamide 200mg inj | |
| J9090 | 290 | Cyclophosphamide 500mg inj | |
| J9091 | 290 | Cyclophosphamide 1.0 grm inj | |
| J9092 | 290 | Cyclophosphamide 2.0 grm inj | |
| J9093 | 290 | Cyclophosphamide lyophilized 100mg | |
| J9094 | 290 | Cyclophosphamide lyophilized 200mg | |
| J9095 | 290 | Cyclophosphamide lyophilized 500mg | |
| J9096 | 290 | Cyclophosphamide lyophilized 1 g | |
| J9097 | 290 | Cyclophosphamide lyophilized 2 g | |
| J9098 | 290 | Cytarabine liposome 10mg | |
| J9100 | 290 | Cytarabine hcl 100mg inj | |
| J9110 | 290 | Cytarabine hcl 500mg inj | |
| J9120 | 290 | Dactinomycin actinomycin d, 0.5mg | |
| J9130 | 290 | Dacarbazine 100mg inj | |
| J9140 | 290 | Dacarbazine 200mg inj | |
| J9150 | 290 | Daunorubicin 10mg | |
| J9151 | 290 | Daunorubicin citrate liposom, 10mg | |
| J9155 | 290 | Degarelix inj, 1 mg | |
| J9160 | 290 | Denileukin diftitox, 300 mcg | |
| J9165 | 290 | Diethylstilbestrol injection | |
| J9171 | 290 | Docetaxel inj, 1mg | |
| J9175 | 290 | Elliotts b solution, 1ml | |
| J9178 | 290 | Inj, epirubicin hcl, 2 mg | |
| J9181 | 290 | Etoposide 10mg inj | |
| J9185 | 290 | Fludarabine phosphate inj 50mg | |
| J9190 | 290 | Fluorouracil inj, 500mg | |
| J9200 | 290 | Floxuridine inj, 500mg | |
| J9201 | 290 | Gemcitabine HCl 200mg | |
| J9202 | 290 | Goserelin acetate implant 3.6mg | |
| J9206 | 290 | Irinotecan inj, 20mg | |
| J9207 | 290 | Ixabepilone injection | |
| J9208 | 290 | Ifosfomide inj, 1 gm | |
| J9209 | 290 | Mesna inj, 200mg | |
| J9211 | 290 | Idarubicin hcl inj, 5mg | |
| J9212 | 290 | Interferon alfacon-1, 1mcg | |
| J9213 | 290 | Interferon alfa-2a inj, 3mil u | |
| J9214 | 290 | Interferon alfa-2b inj, 1mil u | |
| J9215 | 290 | Interferon alfa-n3 inj, 250000 IU | |
| J9216 | 290 | Interferon gamma 1-b inj, 3mil u | |
| J9217 | 290 | Leuprolide acetate suspnsion, 7.5mg | |
| J9218 | 290 | Leuprolide acetate inj, 1mg | |
| J9219 | 290 | Leuprolide acetate implant 65mg | |
| J9225 | 290 | Histrelin implant, 50mg | |
| J9226 | 290 | Supprelin LA implant | |
| J9230 | 290 | Mechlorethamine hcl inj, 10mg | |
| J9245 | 290 | Inj melphalan hydrochl, 50mg | |
| J9250 | 290 | Methotrexate sodium inj, 5mg | |
| J9260 | 290 | Methotrexate sodium inj, 50mg | |
| J9261 | 290 | Nelarabine injection, 50mg | |
| J9263 | 290 | Oxaliplatin, 0.5 mg | |
| J9264 | 290 | Paclitaxel injection, 1mg | |
| J9265 | 290 | Paclitaxel inj, 30mg | |
| J9266 | 290 | Pegaspargase/singl dose vial, ea | |
| J9268 | 290 | Pentostatin inj, 10mg | |
| J9270 | 290 | Plicamycin (mithramycin) inj | |
| J9280 | 290 | Mitomycin 5mg inj | |
| J9290 | 290 | Mitomycin 20mg inj | |
| J9291 | 290 | Mitomycin 40mg inj | |
| J9293 | 290 | Mitoxantrone hydrochl / 5mg | |
| J9300 | 290 | Gemtuzumab ozogamicin, 5mg | |
| J9303 | 290 | Panitumumab injection | |
| J9305 | 290 | Pemetrexed inj, 10mg | |
| J9310 | 290 | Rituximab cancer treatment, 100mg | |
| J9320 | 290 | Streptozocin inj, 1 gm | |
| J9328 | 290 | Temozolomide inj, 1mg | |
| J9330 | 290 | Temsirolimus injection | |
| J9340 | 290 | Thiotepa inj, 15mg | |
| J9350 | 290 | Topotecan, 4 mg | |
| J9355 | 290 | Trastuzumab, 10mg | |
| J9357 | 290 | Valrubicin, 200 mg | |
| J9360 | 290 | Vinblastine sulfate inj, 1 mg | |
| J9370 | 290 | Vincristine sulfate 1 mg inj | |
| J9375 | 290 | Vincristine sulfate 2 mg inj | |
| J9380 | 290 | Vincristine sulfate 5 mg inj | |
| J9390 | 290 | Vinorelbine tartrate/10 mg | |
| J9395 | 290 | Injection, Fulvestrant, 25mg | |
| J9600 | 290 | Porfimer sodium, 75mg | |
| J9999 | 290 | Chemotherapy drug | |
| K0001 | 290 | Standard wheelchair | |
| K0001 | NU | 290 | Standard wheelchair |
| K0001 | RR | 290 | Standard wheelchair |
| K0001 | UE | 290 | Standard wheelchair |
| K0002 | 290 | Stnd hemi (low seat) whlchr | |
| K0002 | NU | 290 | Stnd hemi (low seat) whlchr |
| K0002 | RR | 290 | Stnd hemi (low seat) whlchr |
| K0002 | UE | 290 | Stnd hemi (low seat) whlchr |
| K0003 | 290 | Lightweight wheelchair | |
| K0003 | NU | 290 | Lightweight wheelchair |
| K0003 | RR | 290 | Lightweight wheelchair |
| K0003 | UE | 290 | Lightweight wheelchair |
| K0004 | 290 | High strength ltwt whlchr | |
| K0004 | NU | 290 | High strength ltwt whlchr |
| K0004 | RR | 290 | High strength ltwt whlchr |
| K0004 | UE | 290 | High strength ltwt whlchr |
| K0005 | 290 | Ultralightweight wheelchair | |
| K0005 | NU | 290 | Ultralightweight wheelchair |
| K0005 | RR | 290 | Ultralightweight wheelchair |
| K0005 | UE | 290 | Ultralightweight wheelchair |
| K0006 | 290 | Heavy duty wheelchair | |
| K0006 | NU | 290 | Heavy duty wheelchair |
| K0006 | RR | 290 | Heavy duty wheelchair |
| K0006 | UE | 290 | Heavy duty wheelchair |
| K0007 | 290 | Extra heavy duty wheelchair | |
| K0007 | NU | 290 | Extra heavy duty wheelchair |
| K0007 | RR | 290 | Extra heavy duty wheelchair |
| K0007 | UE | 290 | Extra heavy duty wheelchair |
| K0009 | 290 | Other manual wheelchair/base | |
| K0010 | 290 | Stnd wt frame power whlchr | |
| K0010 | NU | 290 | Stnd wt frame power whlchr |
| K0010 | RR | 290 | Stnd wt frame power whlchr |
| K0010 | UE | 290 | Stnd wt frame power whlchr |
| K0011 | 290 | Stnd wt pwr whlchr w control | |
| K0011 | NU | 290 | Stnd wt pwr whlchr w control |
| K0011 | RR | 290 | Stnd wt pwr whlchr w control |
| K0011 | UE | 290 | Stnd wt pwr whlchr w control |
| K0012 | 290 | Ltwt portbl power whlchr | |
| K0012 | NU | 290 | Ltwt portbl power whlchr |
| K0012 | RR | 290 | Ltwt portbl power whlchr |
| K0012 | UE | 290 | Ltwt portbl power whlchr |
| K0014 | 290 | Other power whlchr base | |
| K0015 | 290 | Detach non-adjus hght armrst | |
| K0015 | NU | 290 | Detach non-adjus hght armrst |
| K0015 | RR | 290 | Detach non-adjus hght armrst |
| K0015 | UE | 290 | Detach non-adjus hght armrst |
| K0017 | 290 | Detach adjust armrest base | |
| K0017 | NU | 290 | Detach adjust armrest base |
| K0017 | RR | 290 | Detach adjust armrest base |
| K0017 | UE | 290 | Detach adjust armrest base |
| K0018 | 290 | Detach adjust armrst upper | |
| K0018 | NU | 290 | Detach adjust armrst upper |
| K0018 | RR | 290 | Detach adjust armrst upper |
| K0018 | UE | 290 | Detach adjust armrst upper |
| K0019 | 290 | Arm pad each | |
| K0019 | NU | 290 | Arm pad each |
| K0019 | RR | 290 | Arm pad each |
| K0019 | UE | 290 | Arm pad each |
| K0020 | 290 | Fixed adjust armrest pair | |
| K0020 | NU | 290 | Fixed adjust armrest pair |
| K0020 | RR | 290 | Fixed adjust armrest pair |
| K0020 | UE | 290 | Fixed adjust armrest pair |
| K0037 | 290 | High mount flip-up footrest | |
| K0037 | NU | 290 | High mount flip-up footrest |
| K0037 | RR | 290 | High mount flip-up footrest |
| K0037 | UE | 290 | High mount flip-up footrest |
| K0038 | 290 | Leg strap each | |
| K0038 | NU | 290 | Leg strap each |
| K0038 | RR | 290 | Leg strap each |
| K0038 | UE | 290 | Leg strap each |
| K0039 | 290 | Leg strap h style each | |
| K0039 | NU | 290 | Leg strap h style each |
| K0039 | RR | 290 | Leg strap h style each |
| K0039 | UE | 290 | Leg strap h style each |
| K0040 | 290 | Adjustable angle footplate | |
| K0040 | NU | 290 | Adjustable angle footplate |
| K0040 | RR | 290 | Adjustable angle footplate |
| K0040 | UE | 290 | Adjustable angle footplate |
| K0041 | 290 | Large size footplate each | |
| K0041 | NU | 290 | Large size footplate each |
| K0041 | RR | 290 | Large size footplate each |
| K0041 | UE | 290 | Large size footplate each |
| K0042 | 290 | Standard size footplate each | |
| K0042 | NU | 290 | Standard size footplate each |
| K0042 | RR | 290 | Standard size footplate each |
| K0042 | UE | 290 | Standard size footplate each |
| K0043 | 290 | Ftrst lower extension tube | |
| K0043 | NU | 290 | Ftrst lower extension tube |
| K0043 | RR | 290 | Ftrst lower extension tube |
| K0043 | UE | 290 | Ftrst lower extension tube |
| K0044 | 290 | Ftrst upper hanger bracket | |
| K0044 | NU | 290 | Ftrst upper hanger bracket |
| K0044 | RR | 290 | Ftrst upper hanger bracket |
| K0044 | UE | 290 | Ftrst upper hanger bracket |
| K0045 | 290 | Footrest complete assembly | |
| K0045 | NU | 290 | Footrest complete assembly |
| K0045 | RR | 290 | Footrest complete assembly |
| K0045 | UE | 290 | Footrest complete assembly |
| K0046 | 290 | Elevat legrst low extension | |
| K0046 | NU | 290 | Elevat legrst low extension |
| K0046 | RR | 290 | Elevat legrst low extension |
| K0046 | UE | 290 | Elevat legrst low extension |
| K0047 | 290 | Elevat legrst up hangr brack | |
| K0047 | NU | 290 | Elevat legrst up hangr brack |
| K0047 | RR | 290 | Elevat legrst up hangr brack |
| K0047 | UE | 290 | Elevat legrst up hangr brack |
| K0050 | 290 | Ratchet assembly | |
| K0050 | NU | 290 | Ratchet assembly |
| K0050 | RR | 290 | Ratchet assembly |
| K0050 | UE | 290 | Ratchet assembly |
| K0051 | 290 | Cam relese assem ftrst/lgrst | |
| K0051 | NU | 290 | Cam relese assem ftrst/lgrst |
| K0051 | RR | 290 | Cam relese assem ftrst/lgrst |
| K0051 | UE | 290 | Cam relese assem ftrst/lgrst |
| K0052 | 290 | Swingaway detach footrest | |
| K0052 | NU | 290 | Swingaway detach footrest |
| K0052 | RR | 290 | Swingaway detach footrest |
| K0052 | UE | 290 | Swingaway detach footrest |
| K0053 | 290 | Elevate footrest articulate | |
| K0053 | NU | 290 | Elevate footrest articulate |
| K0053 | RR | 290 | Elevate footrest articulate |
| K0053 | UE | 290 | Elevate footrest articulate |
| K0056 | 290 | Seat ht <17 or >=21 ltwt wc | |
| K0056 | NU | 290 | Seat ht <17 or >=21 ltwt wc |
| K0056 | RR | 290 | Seat ht <17 or >=21 ltwt wc |
| K0056 | UE | 290 | Seat ht <17 or >=21 ltwt wc |
| K0065 | 290 | Spoke protectors | |
| K0065 | NU | 290 | Spoke protectors |
| K0065 | RR | 290 | Spoke protectors |
| K0065 | UE | 290 | Spoke protectors |
| K0069 | 290 | Rear whl complete solid tire | |
| K0069 | NU | 290 | Rear whl complete solid tire |
| K0069 | RR | 290 | Rear whl complete solid tire |
| K0069 | UE | 290 | Rear whl complete solid tire |
| K0070 | 290 | Rear whl compl pneum tire | |
| K0070 | NU | 290 | Rear whl compl pneum tire |
| K0070 | RR | 290 | Rear whl compl pneum tire |
| K0070 | UE | 290 | Rear whl compl pneum tire |
| K0071 | 290 | Front castr compl pneum tire | |
| K0071 | NU | 290 | Front castr compl pneum tire |
| K0071 | RR | 290 | Front castr compl pneum tire |
| K0071 | UE | 290 | Front castr compl pneum tire |
| K0072 | 290 | Frnt cstr cmpl sem-pneum tir | |
| K0072 | NU | 290 | Frnt cstr cmpl sem-pneum tir |
| K0072 | RR | 290 | Frnt cstr cmpl sem-pneum tir |
| K0072 | UE | 290 | Frnt cstr cmpl sem-pneum tir |
| K0073 | 290 | Caster pin lock each | |
| K0073 | NU | 290 | Caster pin lock each |
| K0073 | RR | 290 | Caster pin lock each |
| K0073 | UE | 290 | Caster pin lock each |
| K0077 | 290 | Front caster assem complete | |
| K0077 | NU | 290 | Front caster assem complete |
| K0077 | RR | 290 | Front caster assem complete |
| K0077 | UE | 290 | Front caster assem complete |
| K0098 | 290 | Drive belt power wheelchair | |
| K0098 | NU | 290 | Drive belt power wheelchair |
| K0098 | RR | 290 | Drive belt power wheelchair |
| K0098 | UE | 290 | Drive belt power wheelchair |
| K0105 | 290 | Iv hanger | |
| K0105 | NU | 290 | Iv hanger |
| K0105 | RR | 290 | Iv hanger |
| K0105 | UE | 290 | Iv hanger |
| K0108 | 290 | W/c component-accessory NOS | |
| K0195 | 290 | Elevating whlchair leg rests | |
| K0195 | NU | 290 | Elevating whlchair leg rests |
| K0195 | RR | 290 | Elevating whlchair leg rests |
| K0195 | UE | 290 | Elevating whlchair leg rests |
| K0455 | 290 | Pump uninterrupted infusion | |
| K0455 | NU | 290 | Pump uninterrupted infusion |
| K0455 | RR | 290 | Pump uninterrupted infusion |
| K0455 | UE | 290 | Pump uninterrupted infusion |
| K0462 | 290 | Temporary replacement eqpmnt | |
| K0552 | 290 | Supply/ext inf pump syr type | |
| K0601 | 290 | Repl batt silver oxide 1.5 v | |
| K0601 | NU | 290 | Repl batt silver oxide 1.5 v |
| K0602 | 290 | Repl batt silver oxide 3 v | |
| K0602 | NU | 290 | Repl batt silver oxide 3 v |
| K0603 | 290 | Repl batt alkaline 1.5 v | |
| K0603 | NU | 290 | Repl batt alkaline 1.5 v |
| K0604 | 290 | Repl batt lithium 3.6 v | |
| K0604 | NU | 290 | Repl batt lithium 3.6 v |
| K0605 | 290 | Repl batt lithium 4.5 v | |
| K0605 | NU | 290 | Repl batt lithium 4.5 v |
| K0606 | 290 | AED garment w elec analysis | |
| K0606 | NU | 290 | AED garment w elec analysis |
| K0606 | RR | 290 | AED garment w elec analysis |
| K0606 | UE | 290 | AED garment w elec analysis |
| K0607 | 290 | Repl batt for AED | |
| K0607 | NU | 290 | Repl batt for AED |
| K0607 | RR | 290 | Repl batt for AED |
| K0607 | UE | 290 | Repl batt for AED |
| K0608 | 290 | Repl garment for AED | |
| K0608 | NU | 290 | Repl garment for AED |
| K0608 | RR | 290 | Repl garment for AED |
| K0608 | UE | 290 | Repl garment for AED |
| K0609 | 290 | Repl electrode for AED | |
| K0609 | KF | 290 | Repl electrode for AED |
| K0669 | 290 | Seat/back cus no sadmerc ver | |
| K0672 | 290 | Removable soft interface LE | |
| K0730 | 290 | Ctrl dose inh drug deliv sys | |
| K0730 | NU | 290 | Ctrl dose inh drug deliv sys |
| K0730 | RR | 290 | Ctrl dose inh drug deliv sys |
| K0730 | UE | 290 | Ctrl dose inh drug deliv sys |
| K0733 | 290 | Pwr wc acc, 12-24 hr sealed lead acid battery | |
| K0733 | NU | 290 | Pwr wc acc, 12-24 hr sealed lead acid battery |
| K0733 | RR | 290 | Pwr wc acc, 12-24 hr sealed lead acid battery |
| K0733 | UE | 290 | Pwr wc acc, 12-24 hr sealed lead acid battery |
| K0734 | 290 | Skin protect wc cus adj wd <22in | |
| K0734 | NU | 290 | Skin protect wc cus adj wd <22in |
| K0734 | RR | 290 | Skin protect wc cus adj wd <22in |
| K0734 | UE | 290 | Skin protect wc cus adj wd <22in |
| K0735 | 290 | Skin protect wc cus adj wd>=22in | |
| K0735 | NU | 290 | Skin protect wc cus adj wd>=22in |
| K0735 | RR | 290 | Skin protect wc cus adj wd>=22in |
| K0735 | UE | 290 | Skin protect wc cus adj wd>=22in |
| K0736 | 290 | Skin protect&pos wc cus adj wd <22in | |
| K0736 | NU | 290 | Skin protect&pos wc cus adj wd <22in |
| K0736 | RR | 290 | Skin protect&pos wc cus adj wd <22in |
| K0736 | UE | 290 | Skin protect&pos wc cus adj wd <22in |
| K0737 | 290 | Skin protect&pos wc cus wd>=22in | |
| K0737 | NU | 290 | Skin protect&pos wc cus wd>=22in |
| K0737 | RR | 290 | Skin protect&pos wc cus wd>=22in |
| K0737 | UE | 290 | Skin protect&pos wc cus wd>=22in |
| K0738 | 290 | Portable gas oxygen system | |
| K0738 | NU | 290 | Portable gas oxygen system |
| K0738 | RR | 290 | Portable gas oxygen system |
| K0738 | UE | 290 | Portable gas oxygen system |
| K0739 | 290 | Repair/svc DME non-oxygen equipt per 15 min | |
| K0740 | 290 | Repair/svc oxygen equipt per 15 min | |
| K0800 | 290 | POV group 1 std up to 300 lbs | |
| K0800 | NU | 290 | POV group 1 std up to 300 lbs |
| K0800 | RR | 290 | POV group 1 std up to 300 lbs |
| K0800 | UE | 290 | POV group 1 std up to 300 lbs |
| K0801 | 290 | POV group 1 hd 301-450 lbs | |
| K0801 | NU | 290 | POV group 1 hd 301-450 lbs |
| K0801 | RR | 290 | POV group 1 hd 301-450 lbs |
| K0801 | UE | 290 | POV group 1 hd 301-450 lbs |
| K0802 | 290 | POV group 1 vhd 451-600 lbs | |
| K0802 | NU | 290 | POV group 1 vhd 451-600 lbs |
| K0802 | RR | 290 | POV group 1 vhd 451-600 lbs |
| K0802 | UE | 290 | POV group 1 vhd 451-600 lbs |
| K0806 | 290 | POV group 2 std up to 300lbs | |
| K0806 | NU | 290 | POV group 2 std up to 300lbs |
| K0806 | RR | 290 | POV group 2 std up to 300lbs |
| K0806 | UE | 290 | POV group 2 std up to 300lbs |
| K0807 | 290 | POV group 2 hd 301-450 lbs | |
| K0807 | NU | 290 | POV group 2 hd 301-450 lbs |
| K0807 | RR | 290 | POV group 2 hd 301-450 lbs |
| K0807 | UE | 290 | POV group 2 hd 301-450 lbs |
| K0808 | 290 | POV group 2 vhd 451-600 lbs | |
| K0808 | NU | 290 | POV group 2 vhd 451-600 lbs |
| K0808 | RR | 290 | POV group 2 vhd 451-600 lbs |
| K0808 | UE | 290 | POV group 2 vhd 451-600 lbs |
| K0812 | 290 | Power operated vehicle NOC | |
| K0813 | 290 | PWC gp 1 std port seat/back | |
| K0813 | NU | 290 | PWC gp 1 std port seat/back |
| K0813 | RR | 290 | PWC gp 1 std port seat/back |
| K0813 | UE | 290 | PWC gp 1 std port seat/back |
| K0814 | 290 | PWC gp 1 std port cap chair | |
| K0814 | NU | 290 | PWC gp 1 std port cap chair |
| K0814 | RR | 290 | PWC gp 1 std port cap chair |
| K0814 | UE | 290 | PWC gp 1 std port cap chair |
| K0815 | 290 | PWC gp 1 std seat/back | |
| K0815 | NU | 290 | PWC gp 1 std seat/back |
| K0815 | RR | 290 | PWC gp 1 std seat/back |
| K0815 | UE | 290 | PWC gp 1 std seat/back |
| K0816 | 290 | PWC gp 1 std cap chair | |
| K0816 | NU | 290 | PWC gp 1 std cap chair |
| K0816 | RR | 290 | PWC gp 1 std cap chair |
| K0816 | UE | 290 | PWC gp 1 std cap chair |
| K0820 | 290 | PWC gp 2 std port seat/back | |
| K0820 | NU | 290 | PWC gp 2 std port seat/back |
| K0820 | RR | 290 | PWC gp 2 std port seat/back |
| K0820 | UE | 290 | PWC gp 2 std port seat/back |
| K0821 | 290 | PWC gp 2 std port cap chair | |
| K0821 | NU | 290 | PWC gp 2 std port cap chair |
| K0821 | RR | 290 | PWC gp 2 std port cap chair |
| K0821 | UE | 290 | PWC gp 2 std port cap chair |
| K0822 | 290 | PWC gp 2 std seat/back | |
| K0822 | NU | 290 | PWC gp 2 std seat/back |
| K0822 | RR | 290 | PWC gp 2 std seat/back |
| K0822 | UE | 290 | PWC gp 2 std seat/back |
| K0823 | 290 | PWC gp 2 std cap chair | |
| K0823 | NU | 290 | PWC gp 2 std cap chair |
| K0823 | RR | 290 | PWC gp 2 std cap chair |
| K0823 | UE | 290 | PWC gp 2 std cap chair |
| K0824 | 290 | PWC gp 2 hd seat/back | |
| K0824 | NU | 290 | PWC gp 2 hd seat/back |
| K0824 | RR | 290 | PWC gp 2 hd seat/back |
| K0824 | UE | 290 | PWC gp 2 hd seat/back |
| K0825 | 290 | PWC gp 2 hd cap chair | |
| K0825 | NU | 290 | PWC gp 2 hd cap chair |
| K0825 | RR | 290 | PWC gp 2 hd cap chair |
| K0825 | UE | 290 | PWC gp 2 hd cap chair |
| K0826 | 290 | PWC gp2 vhd seat/back | |
| K0826 | NU | 290 | PWC gp2 vhd seat/back |
| K0826 | RR | 290 | PWC gp2 vhd seat/back |
| K0826 | UE | 290 | PWC gp2 vhd seat/back |
| K0827 | 290 | PWC gp 2 vhd cap chair | |
| K0827 | NU | 290 | PWC gp 2 vhd cap chair |
| K0827 | RR | 290 | PWC gp 2 vhd cap chair |
| K0827 | UE | 290 | PWC gp 2 vhd cap chair |
| K0828 | 290 | PWC gp 2 xtra hd seat/back | |
| K0828 | NU | 290 | PWC gp 2 xtra hd seat/back |
| K0828 | RR | 290 | PWC gp 2 xtra hd seat/back |
| K0828 | UE | 290 | PWC gp 2 xtra hd seat/back |
| K0829 | 290 | PWC gp 2 xtra hd cap chair | |
| K0829 | NU | 290 | PWC gp 2 xtra hd cap chair |
| K0829 | RR | 290 | PWC gp 2 xtra hd cap chair |
| K0829 | UE | 290 | PWC gp 2 xtra hd cap chair |
| K0830 | 290 | PWC gp2 std seat elevate s/b | |
| K0830 | NU | 290 | PWC gp2 std seat elevate s/b |
| K0830 | RR | 290 | PWC gp2 std seat elevate s/b |
| K0830 | UE | 290 | PWC gp2 std seat elevate s/b |
| K0831 | 290 | PWC gp2 std seat elevate cap | |
| K0831 | NU | 290 | PWC gp2 std seat elevate cap |
| K0831 | RR | 290 | PWC gp2 std seat elevate cap |
| K0831 | UE | 290 | PWC gp2 std seat elevate cap |
| K0835 | 290 | PWC gp2 std sing pow opt s/b | |
| K0835 | NU | 290 | PWC gp2 std sing pow opt s/b |
| K0835 | RR | 290 | PWC gp2 std sing pow opt s/b |
| K0835 | UE | 290 | PWC gp2 std sing pow opt s/b |
| K0836 | 290 | PWC gp2 std sing pow opt cap | |
| K0836 | NU | 290 | PWC gp2 std sing pow opt cap |
| K0836 | RR | 290 | PWC gp2 std sing pow opt cap |
| K0836 | UE | 290 | PWC gp2 std sing pow opt cap |
| K0837 | 290 | PWC gp 2 hd sing pow opt s/b | |
| K0837 | NU | 290 | PWC gp 2 hd sing pow opt s/b |
| K0837 | RR | 290 | PWC gp 2 hd sing pow opt s/b |
| K0837 | UE | 290 | PWC gp 2 hd sing pow opt s/b |
| K0838 | 290 | PWC gp 2 hd sing pow opt cap | |
| K0838 | NU | 290 | PWC gp 2 hd sing pow opt cap |
| K0838 | RR | 290 | PWC gp 2 hd sing pow opt cap |
| K0838 | UE | 290 | PWC gp 2 hd sing pow opt cap |
| K0839 | 290 | PWC gp2 vhd sing pow opt s/b | |
| K0839 | NU | 290 | PWC gp2 vhd sing pow opt s/b |
| K0839 | RR | 290 | PWC gp2 vhd sing pow opt s/b |
| K0839 | UE | 290 | PWC gp2 vhd sing pow opt s/b |
| K0840 | 290 | PWC gp2 xhd sing pow opt s/b | |
| K0840 | NU | 290 | PWC gp2 xhd sing pow opt s/b |
| K0840 | RR | 290 | PWC gp2 xhd sing pow opt s/b |
| K0840 | UE | 290 | PWC gp2 xhd sing pow opt s/b |
| K0841 | 290 | PWC gp2 std mult pow opt s/b | |
| K0841 | NU | 290 | PWC gp2 std mult pow opt s/b |
| K0841 | RR | 290 | PWC gp2 std mult pow opt s/b |
| K0841 | UE | 290 | PWC gp2 std mult pow opt s/b |
| K0842 | 290 | PWC gp2 std mult pow opt cap | |
| K0842 | NU | 290 | PWC gp2 std mult pow opt cap |
| K0842 | RR | 290 | PWC gp2 std mult pow opt cap |
| K0842 | UE | 290 | PWC gp2 std mult pow opt cap |
| K0843 | 290 | PWC gp2 hd mult pow opt s/b | |
| K0843 | NU | 290 | PWC gp2 hd mult pow opt s/b |
| K0843 | RR | 290 | PWC gp2 hd mult pow opt s/b |
| K0843 | UE | 290 | PWC gp2 hd mult pow opt s/b |
| K0848 | 290 | PWC gp 3 std seat/back | |
| K0848 | NU | 290 | PWC gp 3 std seat/back |
| K0848 | RR | 290 | PWC gp 3 std seat/back |
| K0848 | UE | 290 | PWC gp 3 std seat/back |
| K0849 | 290 | PWC gp 3 std cap chair | |
| K0849 | NU | 290 | PWC gp 3 std cap chair |
| K0849 | RR | 290 | PWC gp 3 std cap chair |
| K0849 | UE | 290 | PWC gp 3 std cap chair |
| K0850 | 290 | PWC gp 3 hd seat/back | |
| K0850 | NU | 290 | PWC gp 3 hd seat/back |
| K0850 | RR | 290 | PWC gp 3 hd seat/back |
| K0850 | UE | 290 | PWC gp 3 hd seat/back |
| K0851 | 290 | PWC gp 3 hd cap chair | |
| K0851 | NU | 290 | PWC gp 3 hd cap chair |
| K0851 | RR | 290 | PWC gp 3 hd cap chair |
| K0851 | UE | 290 | PWC gp 3 hd cap chair |
| K0852 | 290 | PWC gp 3 vhd seat/back | |
| K0852 | NU | 290 | PWC gp 3 vhd seat/back |
| K0852 | RR | 290 | PWC gp 3 vhd seat/back |
| K0852 | UE | 290 | PWC gp 3 vhd seat/back |
| K0853 | 290 | PWC gp 3 vhd cap chair | |
| K0853 | NU | 290 | PWC gp 3 vhd cap chair |
| K0853 | RR | 290 | PWC gp 3 vhd cap chair |
| K0853 | UE | 290 | PWC gp 3 vhd cap chair |
| K0854 | 290 | PWC gp 3 xhd seat/back | |
| K0854 | NU | 290 | PWC gp 3 xhd seat/back |
| K0854 | RR | 290 | PWC gp 3 xhd seat/back |
| K0854 | UE | 290 | PWC gp 3 xhd seat/back |
| K0855 | 290 | PWC gp 3 xhd cap chair | |
| K0855 | NU | 290 | PWC gp 3 xhd cap chair |
| K0855 | RR | 290 | PWC gp 3 xhd cap chair |
| K0855 | UE | 290 | PWC gp 3 xhd cap chair |
| K0856 | 290 | PWC gp3 std sing pow opt s/b | |
| K0856 | NU | 290 | PWC gp3 std sing pow opt s/b |
| K0856 | RR | 290 | PWC gp3 std sing pow opt s/b |
| K0856 | UE | 290 | PWC gp3 std sing pow opt s/b |
| K0857 | 290 | PWC gp3 std sing pow opt cap | |
| K0857 | NU | 290 | PWC gp3 std sing pow opt cap |
| K0857 | RR | 290 | PWC gp3 std sing pow opt cap |
| K0857 | UE | 290 | PWC gp3 std sing pow opt cap |
| K0858 | 290 | PWC gp3 hd sing pow opt s/b | |
| K0858 | NU | 290 | PWC gp3 hd sing pow opt s/b |
| K0858 | RR | 290 | PWC gp3 hd sing pow opt s/b |
| K0858 | UE | 290 | PWC gp3 hd sing pow opt s/b |
| K0859 | 290 | PWC gp3 hd sing pow opt cap | |
| K0859 | NU | 290 | PWC gp3 hd sing pow opt cap |
| K0859 | RR | 290 | PWC gp3 hd sing pow opt cap |
| K0859 | UE | 290 | PWC gp3 hd sing pow opt cap |
| K0860 | 290 | PWC gp3 vhd sing pow opt s/b | |
| K0860 | NU | 290 | PWC gp3 vhd sing pow opt s/b |
| K0860 | RR | 290 | PWC gp3 vhd sing pow opt s/b |
| K0860 | UE | 290 | PWC gp3 vhd sing pow opt s/b |
| K0861 | 290 | PWC gp3 std mult pow opt s/b | |
| K0861 | NU | 290 | PWC gp3 std mult pow opt s/b |
| K0861 | RR | 290 | PWC gp3 std mult pow opt s/b |
| K0861 | UE | 290 | PWC gp3 std mult pow opt s/b |
| K0862 | 290 | PWC gp3 hd mult pow opt s/b | |
| K0862 | NU | 290 | PWC gp3 hd mult pow opt s/b |
| K0862 | RR | 290 | PWC gp3 hd mult pow opt s/b |
| K0862 | UE | 290 | PWC gp3 hd mult pow opt s/b |
| K0863 | 290 | PWC gp3 vhd mult pow opt s/b | |
| K0863 | NU | 290 | PWC gp3 vhd mult pow opt s/b |
| K0863 | RR | 290 | PWC gp3 vhd mult pow opt s/b |
| K0863 | UE | 290 | PWC gp3 vhd mult pow opt s/b |
| K0864 | 290 | PWC gp3 xhd mult pow opt s/b | |
| K0864 | NU | 290 | PWC gp3 xhd mult pow opt s/b |
| K0864 | RR | 290 | PWC gp3 xhd mult pow opt s/b |
| K0864 | UE | 290 | PWC gp3 xhd mult pow opt s/b |
| K0868 | 290 | PWC gp 4 std seat/back | |
| K0868 | NU | 290 | PWC gp 4 std seat/back |
| K0868 | RR | 290 | PWC gp 4 std seat/back |
| K0868 | UE | 290 | PWC gp 4 std seat/back |
| K0869 | 290 | PWC gp 4 std cap chair | |
| K0869 | NU | 290 | PWC gp 4 std cap chair |
| K0869 | RR | 290 | PWC gp 4 std cap chair |
| K0869 | UE | 290 | PWC gp 4 std cap chair |
| K0870 | 290 | PWC gp 4 hd seat/back | |
| K0871 | 290 | PWC gp 4 vhd seat/back | |
| K0877 | 290 | PWC gp4 std sing pow opt s/b | |
| K0877 | NU | 290 | PWC gp4 std sing pow opt s/b |
| K0877 | RR | 290 | PWC gp4 std sing pow opt s/b |
| K0877 | UE | 290 | PWC gp4 std sing pow opt s/b |
| K0878 | 290 | PWC gp4 std sing pow opt cap | |
| K0879 | 290 | PWC gp4 hd sing pow opt s/b | |
| K0879 | NU | 290 | PWC gp4 hd sing pow opt s/b |
| K0879 | RR | 290 | PWC gp4 hd sing pow opt s/b |
| K0879 | UE | 290 | PWC gp4 hd sing pow opt s/b |
| K0880 | 290 | PWC gp4 vhd sing pow opt s/b | |
| K0880 | NU | 290 | PWC gp4 vhd sing pow opt s/b |
| K0880 | RR | 290 | PWC gp4 vhd sing pow opt s/b |
| K0880 | UE | 290 | PWC gp4 vhd sing pow opt s/b |
| K0884 | 290 | PWc gp4 std mult pow opt s/b | |
| K0884 | NU | 290 | PWc gp4 std mult pow opt s/b |
| K0884 | RR | 290 | PWc gp4 std mult pow opt s/b |
| K0884 | UE | 290 | PWc gp4 std mult pow opt s/b |
| K0885 | 290 | PWC gp4 std mult pow opt cap | |
| K0885 | NU | 290 | PWC gp4 std mult pow opt cap |
| K0885 | RR | 290 | PWC gp4 std mult pow opt cap |
| K0885 | UE | 290 | PWC gp4 std mult pow opt cap |
| K0886 | 290 | PWC gp4 hd mult pow s/b | |
| K0886 | NU | 290 | PWC gp4 hd mult pow s/b |
| K0886 | RR | 290 | PWC gp4 hd mult pow s/b |
| K0886 | UE | 290 | PWC gp4 hd mult pow s/b |
| K0898 | 290 | Power wheelchair NOC | |
| K0899 | 290 | Pow mobility dev no sadmerc | |
| L0112 | 290 | Cranial cervical orthosis | |
| L0113 | 290 | Cranial cervical torticollis | |
| L0120 | 290 | Cerv flexible non-adjustable | |
| L0130 | 290 | Flex thermoplastic collar mo | |
| L0140 | 290 | Cervical semi-rigid adjustab | |
| L0150 | 290 | Cerv semi-rig adj molded chn | |
| L0160 | 290 | Cerv semi-rig wire occ/mand | |
| L0170 | 290 | Cervical collar molded to pt | |
| L0172 | 290 | Cerv col thermplas foam 2 pi | |
| L0174 | 290 | Cerv col foam 2 piece w thor | |
| L0180 | 290 | Cer post col occ/man sup adj | |
| L0190 | 290 | Cerv collar supp adj cerv ba | |
| L0200 | 290 | Cerv col supp adj bar & thor | |
| L0220 | 290 | Thor rib belt custom fabrica | |
| L0430 | 290 | Dewall posture protector | |
| L0450 | 290 | TLSO flex prefab thoracic | |
| L0452 | 290 | TLSO flex custom fab thoraci | |
| L0454 | 290 | TLSO flex prefab sacrococ-T9 | |
| L0456 | 290 | TLSO flex prefab | |
| L0458 | 290 | TLSO 2Mod symphis-xipho pre | |
| L0460 | 290 | TLSO2Mod symphysis-stern pre | |
| L0462 | 290 | TLSO 3Mod sacro-scap pre | |
| L0464 | 290 | TLSO 4Mod sacro-scap pre | |
| L0466 | 290 | TLSO rigid frame pre soft ap | |
| L0468 | 290 | TLSO rigid frame prefab pelv | |
| L0470 | 290 | TLSO rigid frame pre subclav | |
| L0472 | 290 | TLSO rigid frame hyperex pre | |
| L0480 | 290 | TLSO rigid plastic custom fa | |
| L0482 | 290 | TLSO rigid lined custom fab | |
| L0484 | 290 | TLSO rigid plastic cust fab | |
| L0486 | 290 | TLSO rigidlined cust fab two | |
| L0488 | 290 | TLSO rigid lined pre one pie | |
| L0490 | 290 | TLSO rigid plastic pre one | |
| L0491 | 290 | TLSO 2 piece rigid shell | |
| L0492 | 290 | TLSO 3 piece rigid shell | |
| L0621 | 290 | SIO flex pelvisacral prefab | |
| L0622 | 290 | SIO flex pelvisacral custom | |
| L0623 | 290 | SIO panel prefab | |
| L0624 | 290 | SIO panel custom | |
| L0625 | 290 | LO flexibl L1-below L5 pre | |
| L0626 | 290 | LO sag stays/panels pre-fab | |
| L0627 | 290 | LO sagitt rigid panel prefab | |
| L0628 | 290 | LO flex w/o rigid stays pre | |
| L0629 | 290 | LSO flex w/rigid stays cust | |
| L0630 | 290 | LSO post rigid panel pre | |
| L0631 | 290 | LSO sag-coro rigid frame pre | |
| L0632 | 290 | LSO sag rigid frame cust | |
| L0633 | 290 | LSO flexion control prefab | |
| L0634 | 290 | LSO flexion control custom | |
| L0635 | 290 | LSO sagit rigid panel prefab | |
| L0636 | 290 | LSO sagittal rigid panel cus | |
| L0637 | 290 | LSO sag-coronal panel prefab | |
| L0638 | 290 | LSO sag-coronal panel custom | |
| L0639 | 290 | LSO s/c shell/panel prefab | |
| L0640 | 290 | LSO s/c shell/panel custom | |
| L0700 | 290 | Ctlso a-p-l control molded | |
| L0710 | 290 | Ctlso a-p-l control w/ inter | |
| L0810 | 290 | Halo cervical into jckt vest | |
| L0820 | 290 | Halo cervical into body jack | |
| L0830 | 290 | Halo cerv into milwaukee typ | |
| L0859 | 290 | MRI compatible system | |
| L0861 | 290 | Halo repl liner/interface | |
| L0970 | 290 | Tlso corset front | |
| L0972 | 290 | Lso corset front | |
| L0974 | 290 | Tlso full corset | |
| L0976 | 290 | Lso full corset | |
| L0978 | 290 | Axillary crutch extension | |
| L0980 | 290 | Peroneal straps pair | |
| L0982 | 290 | Stocking supp grips set of f | |
| L0984 | 290 | Protective body sock each | |
| L0999 | 290 | Add'n to spinal orthosis, NOS | |
| L1000 | 290 | Ctlso milwauke initial model | |
| L1005 | 290 | Tension based scoliosis orth | |
| L1010 | 290 | Ctlso axilla sling | |
| L1020 | 290 | Kyphosis pad | |
| L1025 | 290 | Kyphosis pad floating | |
| L1030 | 290 | Lumbar bolster pad | |
| L1040 | 290 | Lumbar or lumbar rib pad | |
| L1050 | 290 | Sternal pad | |
| L1060 | 290 | Thoracic pad | |
| L1070 | 290 | Trapezius sling | |
| L1080 | 290 | Outrigger | |
| L1085 | 290 | Outrigger bil w/ vert extens | |
| L1090 | 290 | Lumbar sling | |
| L1100 | 290 | Ring flange plastic/leather | |
| L1110 | 290 | Ring flange plas/leather mol | |
| L1120 | 290 | Covers for upright each | |
| L1200 | 290 | Furnsh initial orthosis only | |
| L1210 | 290 | Lateral thoracic extension | |
| L1220 | 290 | Anterior thoracic extension | |
| L1230 | 290 | Milwaukee type superstructur | |
| L1240 | 290 | Lumbar derotation pad | |
| L1250 | 290 | Anterior asis pad | |
| L1260 | 290 | Anterior thoracic derotation | |
| L1270 | 290 | Abdominal pad | |
| L1280 | 290 | Rib gusset (elastic) each | |
| L1290 | 290 | Lateral trochanteric pad | |
| L1300 | 290 | Body jacket mold to patient | |
| L1310 | 290 | Post-operative body jacket | |
| L1499 | 290 | Spinal orthosis, NOS | |
| L1500 | 290 | Thkao mobility frame | |
| L1510 | 290 | Thkao standing frame | |
| L1520 | 290 | Thkao swivel walker | |
| L1600 | 290 | Abduct hip flex frejka w cvr | |
| L1610 | 290 | Abduct hip flex frejka covr | |
| L1620 | 290 | Abduct hip flex pavlik harne | |
| L1630 | 290 | Abduct control hip semi-flex | |
| L1640 | 290 | Pelv band/spread bar thigh c | |
| L1650 | 290 | HO abduction hip adjustable | |
| L1652 | 290 | HO bi thighcuffs w sprdr bar | |
| L1660 | 290 | HO abduction static plastic | |
| L1680 | 290 | Pelvic & hip control thigh c | |
| L1685 | 290 | Post-op hip abduct custom fa | |
| L1686 | 290 | HO post-op hip abduction | |
| L1690 | 290 | Combination bilateral HO | |
| L1700 | 290 | Leg perthes orth toronto typ | |
| L1710 | 290 | Legg perthes orth newington | |
| L1720 | 290 | Legg perthes orthosis trilat | |
| L1730 | 290 | Legg perthes orth scottish r | |
| L1755 | 290 | Legg perthes patten bottom t | |
| L1810 | 290 | Ko elastic with joints | |
| L1820 | 290 | Ko elas w/ condyle pads & jo | |
| L1830 | 290 | Ko immobilizer canvas longit | |
| L1831 | 290 | Knee orth pos locking joint | |
| L1832 | 290 | KO adj jnt pos rigid support | |
| L1834 | 290 | Ko w/0 joint rigid molded to | |
| L1836 | 290 | Rigid KO wo joints | |
| L1840 | 290 | Ko derot ant cruciate custom | |
| L1843 | 290 | KO single upright custom fit | |
| L1844 | 290 | Ko w/adj jt rot cntrl molded | |
| L1845 | 290 | Ko w/ adj flex/ext rotat cus | |
| L1846 | 290 | Ko w adj flex/ext rotat mold | |
| L1847 | 290 | KO adjustable w air chambers | |
| L1850 | 290 | Ko swedish type | |
| L1860 | 290 | Ko supracondylar socket mold | |
| L1900 | 290 | Afo sprng wir drsflx calf bd | |
| L1902 | 290 | Afo ankle gauntlet | |
| L1904 | 290 | Afo molded ankle gauntlet | |
| L1906 | 290 | Afo multiligamentus ankle su | |
| L1907 | 290 | AFO supramalleolar custom | |
| L1910 | 290 | Afo sing bar clasp attach sh | |
| L1920 | 290 | Afo sing upright w/ adjust s | |
| L1930 | 290 | Afo plastic | |
| L1932 | 290 | Afo rig ant tib prefab TCF/= | |
| L1940 | 290 | Afo molded to patient plasti | |
| L1945 | 290 | Afo molded plas rig ant tib | |
| L1950 | 290 | Afo spiral molded to pt plas | |
| L1951 | 290 | AFO spiral prefabricated | |
| L1960 | 290 | Afo pos solid ank plastic mo | |
| L1970 | 290 | Afo plastic molded w/ankle j | |
| L1971 | 290 | AFO w/ankle joint | |
| L1980 | 290 | Afo sing solid stirrup calf | |
| L1990 | 290 | Afo doub solid stirrup calf | |
| L2000 | 290 | Kafo sing fre stirr thi/calf | |
| L2005 | 290 | KAFO sng/dbl mechanical act | |
| L2010 | 290 | Kafo sng solid stirrup w/o j | |
| L2020 | 290 | Kafo dbl solid stirrup band/ | |
| L2030 | 290 | Kafo dbl solid stirrup w/o j | |
| L2034 | 290 | KAFO pla sin up w/wo k/a cus | |
| L2036 | 290 | Kafo plas doub free knee mol | |
| L2037 | 290 | Kafo plas sing free knee mol | |
| L2038 | 290 | Kafo w/o joint multi-axis an | |
| L2040 | 290 | Hkafo torsion bil rot straps | |
| L2050 | 290 | Hkafo torsion cable hip pelv | |
| L2060 | 290 | Hkafo torsion ball bearing j | |
| L2070 | 290 | Hkafo torsion unilat rot str | |
| L2080 | 290 | Hkafo unilat torsion cable | |
| L2090 | 290 | Hkafo unilat torsion ball br | |
| L2106 | 290 | Afo tib fx cast plaster mold | |
| L2108 | 290 | Afo tib fx cast molded to pt | |
| L2112 | 290 | Afo tibial fracture soft | |
| L2114 | 290 | Afo tib fx semi-rigid | |
| L2116 | 290 | Afo tibial fracture rigid | |
| L2126 | 290 | Kafo fem fx cast thermoplas | |
| L2128 | 290 | Kafo fem fx cast molded to p | |
| L2132 | 290 | Kafo femoral fx cast soft | |
| L2134 | 290 | Kafo fem fx cast semi-rigid | |
| L2136 | 290 | Kafo femoral fx cast rigid | |
| L2180 | 290 | Plas shoe insert w ank joint | |
| L2182 | 290 | Drop lock knee | |
| L2184 | 290 | Limited motion knee joint | |
| L2186 | 290 | Adj motion knee jnt lerman t | |
| L2188 | 290 | Quadrilateral brim | |
| L2190 | 290 | Waist belt | |
| L2192 | 290 | Pelvic band & belt thigh fla | |
| L2200 | 290 | Limited ankle motion ea jnt | |
| L2210 | 290 | Dorsiflexion assist each joi | |
| L2220 | 290 | Dorsi & plantar flex ass/res | |
| L2230 | 290 | Split flat caliper stirr & p | |
| L2232 | 290 | Rocker bottom, contact AFO | |
| L2240 | 290 | Round caliper and plate atta | |
| L2250 | 290 | Foot plate molded stirrup at | |
| L2260 | 290 | Reinforced solid stirrup | |
| L2265 | 290 | Long tongue stirrup | |
| L2270 | 290 | Varus/valgus strap padded/li | |
| L2275 | 290 | Plastic mod low ext pad/line | |
| L2280 | 290 | Molded inner boot | |
| L2300 | 290 | Abduction bar jointed adjust | |
| L2310 | 290 | Abduction bar-straight | |
| L2320 | 290 | Non-molded lacer | |
| L2330 | 290 | Lacer molded to patient mode | |
| L2335 | 290 | Anterior swing band | |
| L2340 | 290 | Pre-tibial shell molded to p | |
| L2350 | 290 | Prosthetic type socket molde | |
| L2360 | 290 | Extended steel shank | |
| L2370 | 290 | Patten bottom | |
| L2375 | 290 | Torsion ank & half solid sti | |
| L2380 | 290 | Torsion straight knee joint | |
| L2385 | 290 | Straight knee joint heavy du | |
| L2387 | 290 | Add LE poly knee custom KAFO | |
| L2390 | 290 | Offset knee joint each | |
| L2395 | 290 | Offset knee joint heavy duty | |
| L2397 | 290 | Suspension sleeve lower ext | |
| L2405 | 290 | Knee joint drop lock ea jnt | |
| L2415 | 290 | Knee joint cam lock each joi | |
| L2425 | 290 | Knee disc/dial lock/adj flex | |
| L2430 | 290 | Knee jnt ratchet lock ea jnt | |
| L2492 | 290 | Knee lift loop drop lock rin | |
| L2500 | 290 | Thi/glut/ischia wgt bearing | |
| L2510 | 290 | Th/wght bear quad-lat brim m | |
| L2520 | 290 | Th/wght bear quad-lat brim c | |
| L2525 | 290 | Th/wght bear nar m-l brim mo | |
| L2526 | 290 | Th/wght bear nar m-l brim cu | |
| L2530 | 290 | Thigh/wght bear lacer non-mo | |
| L2540 | 290 | Thigh/wght bear lacer molded | |
| L2550 | 290 | Thigh/wght bear high roll cu | |
| L2570 | 290 | Hip clevis type 2 posit jnt | |
| L2580 | 290 | Pelvic control pelvic sling | |
| L2600 | 290 | Hip clevis/thrust bearing fr | |
| L2610 | 290 | Hip clevis/thrust bearing lo | |
| L2620 | 290 | Pelvic control hip heavy dut | |
| L2622 | 290 | Hip joint adjustable flexion | |
| L2624 | 290 | Hip adj flex ext abduct cont | |
| L2627 | 290 | Plastic mold recipro hip & c | |
| L2628 | 290 | Metal frame recipro hip & ca | |
| L2630 | 290 | Pelvic control band & belt u | |
| L2640 | 290 | Pelvic control band & belt b | |
| L2650 | 290 | Pelv & thor control gluteal | |
| L2660 | 290 | Thoracic control thoracic ba | |
| L2670 | 290 | Thorac cont paraspinal uprig | |
| L2680 | 290 | Thorac cont lat support upri | |
| L2750 | 290 | Plating chrome/nickel pr bar | |
| L2755 | 290 | Carbon graphite lamination | |
| L2760 | 290 | Extension per extension per | |
| L2768 | 290 | Ortho sidebar disconnect | |
| L2780 | 290 | Non-corrosive finish | |
| L2785 | 290 | Drop lock retainer each | |
| L2795 | 290 | Knee control full kneecap | |
| L2800 | 290 | Knee cap medial or lateral p | |
| L2810 | 290 | Knee control condylar pad | |
| L2820 | 290 | Soft interface below knee se | |
| L2830 | 290 | Soft interface above knee se | |
| L2840 | 290 | Tibial length sock fx or equ | |
| L2850 | 290 | Femoral lgth sock fx or equa | |
| L2861 | 290 | Torsion mechanism knee/ankle | |
| L2999 | 290 | Lower extremity orthosis NOS | |
| L3000 | 290 | Ft insert ucb berkeley shell | |
| L3001 | 290 | Foot insert remov molded spe | |
| L3002 | 290 | Foot insert plastazote or eq | |
| L3003 | 290 | Foot insert silicone gel eac | |
| L3010 | 290 | Foot longitudinal arch suppo | |
| L3020 | 290 | Foot longitud/metatarsal sup | |
| L3030 | 290 | Foot arch support remov prem | |
| L3031 | 290 | Foot, insert/plate, removable | |
| L3040 | 290 | Ft arch suprt premold longit | |
| L3050 | 290 | Foot arch supp premold metat | |
| L3060 | 290 | Foot arch supp longitud/meta | |
| L3070 | 290 | Arch suprt att to sho longit | |
| L3080 | 290 | Arch supp att to shoe metata | |
| L3090 | 290 | Arch supp att to shoe long/m | |
| L3100 | 290 | Hallus-valgus nght dynamic s | |
| L3140 | 290 | Abduction rotation bar shoe | |
| L3150 | 290 | Abduct rotation bar w/o shoe | |
| L3160 | 290 | Shoe styled positioning dev | |
| L3170 | 290 | Foot plastic heel stabilizer | |
| L3215 | 290 | Orthopedic ftwear ladies oxf | |
| L3216 | 290 | Orthoped ladies shoes dpth i | |
| L3217 | 290 | Ladies shoes hightop depth i | |
| L3219 | 290 | Orthopedic mens shoes oxford | |
| L3221 | 290 | Orthopedic mens shoes dpth i | |
| L3222 | 290 | Mens shoes hightop depth inl | |
| L3224 | 290 | Woman's shoe oxford brace | |
| L3225 | 290 | Man's shoe oxford brace | |
| L3230 | 290 | Ortho footwear, custom shoes, depth inlay | |
| L3250 | 290 | Ortho footwear, custom molded shoe | |
| L3251 | 290 | Foot, shoe molded to pat model/silicone ea | |
| L3252 | 290 | Foot, shoe molded to pat model/plastazote | |
| L3253 | 290 | Foot, molded shoe Plasttazote ea | |
| L3254 | 290 | Footwear, nonstandard size or width | |
| L3255 | 290 | Orth foot non-standard size/ | |
| L3257 | 290 | Orth foot add charge split s | |
| L3260 | 290 | Ambulatory surgical boot eac | |
| L3265 | 290 | Plastazote sandal each | |
| L3300 | 290 | Sho lift taper to metatarsal | |
| L3310 | 290 | Shoe lift elev heel/sole neo | |
| L3320 | 290 | Shoe lift elev heel/sole cor | |
| L3330 | 290 | Lifts elevation metal extens | |
| L3332 | 290 | Shoe lifts tapered to one-ha | |
| L3334 | 290 | Shoe lifts elevation heel /i | |
| L3340 | 290 | Shoe wedge sach | |
| L3350 | 290 | Shoe heel wedge | |
| L3360 | 290 | Shoe sole wedge outside sole | |
| L3370 | 290 | Shoe sole wedge between sole | |
| L3380 | 290 | Shoe clubfoot wedge | |
| L3390 | 290 | Shoe outflare wedge | |
| L3400 | 290 | Shoe metatarsal bar wedge ro | |
| L3410 | 290 | Shoe metatarsal bar between | |
| L3420 | 290 | Full sole/heel wedge btween | |
| L3430 | 290 | Sho heel count plast reinfor | |
| L3440 | 290 | Heel leather reinforced | |
| L3450 | 290 | Shoe heel sach cushion type | |
| L3455 | 290 | Shoe heel new leather standa | |
| L3460 | 290 | Shoe heel new rubber standar | |
| L3465 | 290 | Shoe heel thomas with wedge | |
| L3470 | 290 | Shoe heel thomas extend to b | |
| L3480 | 290 | Shoe heel pad & depress for | |
| L3485 | 290 | Shoe heel pad removable for | |
| L3500 | 290 | Ortho shoe add leather insol | |
| L3510 | 290 | Orthopedic shoe add rub insl | |
| L3520 | 290 | O shoe add felt w leath insl | |
| L3530 | 290 | Ortho shoe add half sole | |
| L3540 | 290 | Ortho shoe add full sole | |
| L3550 | 290 | O shoe add standard toe tap | |
| L3560 | 290 | O shoe add horseshoe toe tap | |
| L3570 | 290 | O shoe add instep extension | |
| L3580 | 290 | O shoe add instep velcro clo | |
| L3590 | 290 | O shoe convert to sof counte | |
| L3595 | 290 | Ortho shoe add march bar | |
| L3600 | 290 | Trans shoe calip plate exist | |
| L3610 | 290 | Trans shoe caliper plate new | |
| L3620 | 290 | Trans shoe solid stirrup exi | |
| L3630 | 290 | Trans shoe solid stirrup new | |
| L3640 | 290 | Shoe dennis browne splint bo | |
| L3649 | 290 | Orthopedic shoe modifica NOS | |
| L3650 | 290 | Shlder fig 8 abduct restrain | |
| L3660 | 290 | Abduct restrainer canvas&web | |
| L3670 | 290 | Acromio/clavicular canvas&we | |
| L3671 | 290 | SO cap design w/o jnts CF | |
| L3672 | 290 | SO airplane w/o jnts CF | |
| L3673 | 290 | SO airplane w/joint CF | |
| L3675 | 290 | Canvas vest SO | |
| L3677 | 290 | Shoulder ortho hard plastic | |
| L3702 | 290 | EO w/o joints CF | |
| L3710 | 290 | Elbow elastic with metal joi | |
| L3720 | 290 | Forearm/arm cuffs free motio | |
| L3730 | 290 | Forearm/arm cuffs ext/flex a | |
| L3740 | 290 | Cuffs adj lock w/ active con | |
| L3760 | 290 | EO withjoint | |
| L3762 | 290 | Rigid EO wo joints | |
| L3763 | 290 | EWHO rigid w/o jnts CF | |
| L3764 | 290 | EWHO w/joint(s) CF | |
| L3765 | 290 | EWHFO rigid w/o jnts CF | |
| L3766 | 290 | EWHFO w/joint(s) CF | |
| L3806 | 290 | WHFO w/joint(s) custom fab | |
| L3807 | 290 | WHFO,no joint, prefabricated | |
| L3808 | 290 | WHFO, rigid w/o joints | |
| L3891 | 290 | Torsion mechanism wrist/elbo | |
| L3900 | 290 | Hinge extension/flex wrist/f | |
| L3901 | 290 | Hinge ext/flex wrist finger | |
| L3904 | 290 | Whfo electric custom fitted | |
| L3905 | 290 | WHO w/nontorsion jnt(s) CF | |
| L3906 | 290 | Wrist gauntlet molded to pt | |
| L3908 | 290 | Wrist cock-up non-molded | |
| L3912 | 290 | Flex glove w/elastic finger | |
| L3913 | 290 | HFO w/o joints CF | |
| L3915 | 290 | WHO w nontor jnt(s) prefab | |
| L3917 | 290 | Prefab metacarpl fx orthosis | |
| L3919 | 290 | HO w/o joints CF | |
| L3921 | 290 | HFO w/joint(s) CF | |
| L3923 | 290 | HFO | |
| L3925 | 290 | FO pip/dip with joint/spring | |
| L3927 | 290 | FO pip/dip w/o joint/spring | |
| L3929 | 290 | HFO nontorsion joint, prefab | |
| L3931 | 290 | WHFO nontorsion joint prefab | |
| L3933 | 290 | FO w/o joints CF | |
| L3935 | 290 | FO nontorsion joint CF | |
| L3956 | 290 | Add joint upper ext orthosis | |
| L3960 | 290 | Sewho airplan desig abdu pos | |
| L3961 | 290 | SEWHO cap design w/o jnts CF | |
| L3962 | 290 | Sewho erbs palsey design abd | |
| L3964 | 290 | Seo mobile arm sup att to wc | |
| L3964 | NU | 290 | Seo mobile arm sup att to wc |
| L3964 | RR | 290 | Seo mobile arm sup att to wc |
| L3964 | UE | 290 | Seo mobile arm sup att to wc |
| L3965 | 290 | Arm supp att to wc rancho ty | |
| L3965 | NU | 290 | Arm supp att to wc rancho ty |
| L3965 | RR | 290 | Arm supp att to wc rancho ty |
| L3965 | UE | 290 | Arm supp att to wc rancho ty |
| L3966 | 290 | Mobile arm supports reclinin | |
| L3966 | NU | 290 | Mobile arm supports reclinin |
| L3966 | RR | 290 | Mobile arm supports reclinin |
| L3966 | UE | 290 | Mobile arm supports reclinin |
| L3967 | 290 | SEWHO airplane w/o jnts CF | |
| L3968 | 290 | Friction dampening arm supp | |
| L3968 | NU | 290 | Friction dampening arm supp |
| L3968 | RR | 290 | Friction dampening arm supp |
| L3968 | UE | 290 | Friction dampening arm supp |
| L3969 | 290 | Monosuspension arm/hand supp | |
| L3969 | NU | 290 | Monosuspension arm/hand supp |
| L3969 | RR | 290 | Monosuspension arm/hand supp |
| L3969 | UE | 290 | Monosuspension arm/hand supp |
| L3970 | 290 | Elevat proximal arm support | |
| L3970 | NU | 290 | Elevat proximal arm support |
| L3970 | RR | 290 | Elevat proximal arm support |
| L3970 | UE | 290 | Elevat proximal arm support |
| L3971 | 290 | SEWHO cap design w/jnt(s) CF | |
| L3972 | 290 | Offset/lat rocker arm w/ ela | |
| L3972 | NU | 290 | Offset/lat rocker arm w/ ela |
| L3972 | RR | 290 | Offset/lat rocker arm w/ ela |
| L3972 | UE | 290 | Offset/lat rocker arm w/ ela |
| L3973 | 290 | SEWHO airplane w/jnt(s) CF | |
| L3974 | 290 | Mobile arm support supinator | |
| L3974 | NU | 290 | Mobile arm support supinator |
| L3974 | RR | 290 | Mobile arm support supinator |
| L3974 | UE | 290 | Mobile arm support supinator |
| L3975 | 290 | SEWHFO cap design w/o jnt CF | |
| L3976 | 290 | SEWHFO airplane w/o jnts CF | |
| L3977 | 290 | SEWHFO cap desgn w/jnt(s) CF | |
| L3978 | 290 | SEWHFO airplane w/jnt(s) CF | |
| L3980 | 290 | Upp ext fx orthosis humeral | |
| L3982 | 290 | Upper ext fx orthosis rad/ul | |
| L3984 | 290 | Upper ext fx orthosis wrist | |
| L3995 | 290 | Sock fracture or equal each | |
| L3999 | 290 | Upper limb orthosis, NOS | |
| L4000 | 290 | Repl girdle milwaukee orth | |
| L4002 | 290 | Replace strap, any orthosis | |
| L4010 | 290 | Replace trilateral socket br | |
| L4020 | 290 | Replace quadlat socket brim | |
| L4030 | 290 | Replace socket brim cust fit | |
| L4040 | 290 | Replace molded thigh lacer | |
| L4045 | 290 | Replace non-molded thigh lac | |
| L4050 | 290 | Replace molded calf lacer | |
| L4055 | 290 | Replace non-molded calf lace | |
| L4060 | 290 | Replace high roll cuff | |
| L4070 | 290 | Replace prox & dist upright | |
| L4080 | 290 | Repl met band kafo-afo prox | |
| L4090 | 290 | Repl met band kafo-afo calf/ | |
| L4100 | 290 | Repl leath cuff kafo prox th | |
| L4110 | 290 | Repl leath cuff kafo-afo cal | |
| L4130 | 290 | Replace pretibial shell | |
| L4205 | 290 | Ortho dvc repair, per 15 min | |
| L4210 | 290 | Orth dev, repair/repl minor parts | |
| L4350 | 290 | Ankle control orthosi prefab | |
| L4360 | 290 | Pneumati walking boot prefab | |
| L4370 | 290 | Pneumatic full leg splint | |
| L4380 | 290 | Pneumatic knee splint | |
| L4386 | 290 | Non-pneum walk boot prefab | |
| L4392 | 290 | Replace AFO soft interface | |
| L4394 | 290 | Replace foot drop spint | |
| L4396 | 290 | Static AFO | |
| L4398 | 290 | Foot drop splint recumbent | |
| L5000 | 290 | Sho insert w arch toe filler | |
| L5010 | 290 | Mold socket ank hgt w/ toe f | |
| L5020 | 290 | Tibial tubercle hgt w/ toe f | |
| L5050 | 290 | Ank symes mold sckt sach ft | |
| L5060 | 290 | Symes met fr leath socket ar | |
| L5100 | 290 | Molded socket shin sach foot | |
| L5105 | 290 | Plast socket jts/thgh lacer | |
| L5150 | 290 | Mold sckt ext knee shin sach | |
| L5160 | 290 | Mold socket bent knee shin s | |
| L5200 | 290 | Kne sing axis fric shin sach | |
| L5210 | 290 | No knee/ankle joints w/ ft b | |
| L5220 | 290 | No knee joint with artic ali | |
| L5230 | 290 | Fem focal defic constant fri | |
| L5250 | 290 | Hip canad sing axi cons fric | |
| L5270 | 290 | Tilt table locking hip sing | |
| L5280 | 290 | Hemipelvect canad sing axis | |
| L5301 | 290 | BK mold socket SACH ft endo | |
| L5311 | 290 | Knee disart | |
| L5321 | 290 | AK open end SACH | |
| L5331 | 290 | Hip disart canadian SACH ft | |
| L5341 | 290 | Hemipelvectomy canadian SACH | |
| L5400 | 290 | Postop dress & 1 cast chg bk | |
| L5410 | 290 | Postop dsg bk ea add cast ch | |
| L5420 | 290 | Postop dsg & 1 cast chg ak/d | |
| L5430 | 290 | Postop dsg ak ea add cast ch | |
| L5450 | 290 | Postop app non-wgt bear dsg | |
| L5460 | 290 | Postop app non-wgt bear dsg | |
| L5500 | 290 | Init bk ptb plaster direct | |
| L5505 | 290 | Init ak ischal plstr direct | |
| L5510 | 290 | Prep BK ptb plaster molded | |
| L5520 | 290 | Perp BK ptb thermopls direct | |
| L5530 | 290 | Prep BK ptb thermopls molded | |
| L5535 | 290 | Prep BK ptb open end socket | |
| L5540 | 290 | Prep BK ptb laminated socket | |
| L5560 | 290 | Prep AK ischial plast molded | |
| L5570 | 290 | Prep AK ischial direct form | |
| L5580 | 290 | Prep AK ischial thermo mold | |
| L5585 | 290 | Prep AK ischial open end | |
| L5590 | 290 | Prep AK ischial laminated | |
| L5595 | 290 | Hip disartic sach thermopls | |
| L5600 | 290 | Hip disart sach laminat mold | |
| L5610 | 290 | Above knee hydracadence | |
| L5611 | 290 | Ak 4 bar link w/fric swing | |
| L5613 | 290 | Ak 4 bar ling w/hydraul swig | |
| L5614 | 290 | 4-bar link above knee w/swng | |
| L5616 | 290 | Ak univ multiplex sys frict | |
| L5617 | 290 | AK/BK self-aligning unit ea | |
| L5618 | 290 | Test socket symes | |
| L5620 | 290 | Test socket below knee | |
| L5622 | 290 | Test socket knee disarticula | |
| L5624 | 290 | Test socket above knee | |
| L5626 | 290 | Test socket hip disarticulat | |
| L5628 | 290 | Test socket hemipelvectomy | |
| L5629 | 290 | Below knee acrylic socket | |
| L5630 | 290 | Syme typ expandabl wall sckt | |
| L5631 | 290 | Ak/knee disartic acrylic soc | |
| L5632 | 290 | Symes type ptb brim design s | |
| L5634 | 290 | Symes type poster opening so | |
| L5636 | 290 | Symes type medial opening so | |
| L5637 | 290 | Below knee total contact | |
| L5638 | 290 | Below knee leather socket | |
| L5639 | 290 | Below knee wood socket | |
| L5640 | 290 | Knee disarticulat leather so | |
| L5642 | 290 | Above knee leather socket | |
| L5643 | 290 | Hip flex inner socket ext fr | |
| L5644 | 290 | Above knee wood socket | |
| L5645 | 290 | Bk flex inner socket ext fra | |
| L5646 | 290 | Below knee cushion socket | |
| L5647 | 290 | Below knee suction socket | |
| L5648 | 290 | Above knee cushion socket | |
| L5649 | 290 | Isch containmt/narrow m-l so | |
| L5650 | 290 | Tot contact ak/knee disart s | |
| L5651 | 290 | Ak flex inner socket ext fra | |
| L5652 | 290 | Suction susp ak/knee disart | |
| L5653 | 290 | Knee disart expand wall sock | |
| L5654 | 290 | Socket insert symes | |
| L5655 | 290 | Socket insert below knee | |
| L5656 | 290 | Socket insert knee articulat | |
| L5658 | 290 | Socket insert above knee | |
| L5661 | 290 | Multi-durometer symes | |
| L5665 | 290 | Multi-durometer below knee | |
| L5666 | 290 | Below knee cuff suspension | |
| L5668 | 290 | Socket insert w/o lock lower | |
| L5670 | 290 | Bk molded supracondylar susp | |
| L5671 | 290 | BK/AK locking mechanism | |
| L5672 | 290 | Bk removable medial brim sus | |
| L5673 | 290 | Socket insert w lock mech | |
| L5676 | 290 | Bk knee joints single axis p | |
| L5677 | 290 | Bk knee joints polycentric p | |
| L5678 | 290 | Bk joint covers pair | |
| L5679 | 290 | Socket insert w/o lock mech | |
| L5680 | 290 | Bk thigh lacer non-molded | |
| L5681 | 290 | Intl custm cong/latyp insert | |
| L5682 | 290 | Bk thigh lacer glut/ischia m | |
| L5683 | 290 | Initial custom socket insert | |
| L5684 | 290 | Bk fork strap | |
| L5685 | 290 | Below knee sus/seal sleeve | |
| L5686 | 290 | Bk back check | |
| L5688 | 290 | Bk waist belt webbing | |
| L5690 | 290 | Bk waist belt padded and lin | |
| L5692 | 290 | Ak pelvic control belt light | |
| L5694 | 290 | Ak pelvic control belt pad/l | |
| L5695 | 290 | Ak sleeve susp neoprene/equa | |
| L5696 | 290 | Ak/knee disartic pelvic join | |
| L5697 | 290 | Ak/knee disartic pelvic band | |
| L5698 | 290 | Ak/knee disartic silesian ba | |
| L5699 | 290 | Shoulder harness | |
| L5700 | 290 | Replace socket below knee | |
| L5701 | 290 | Replace socket above knee | |
| L5702 | 290 | Replace socket hip | |
| L5703 | 290 | Symes ankle w/o (SACH) foot | |
| L5704 | 290 | Custom shape cover BK | |
| L5705 | 290 | Custom shape cover AK | |
| L5706 | 290 | Custom shape cvr knee disart | |
| L5707 | 290 | Custom shape cvr hip disart | |
| L5710 | 290 | Kne-shin exo sng axi mnl loc | |
| L5711 | 290 | Knee-shin exo mnl lock ultra | |
| L5712 | 290 | Knee-shin exo frict swg & st | |
| L5714 | 290 | Knee-shin exo variable frict | |
| L5716 | 290 | Knee-shin exo mech stance ph | |
| L5718 | 290 | Knee-shin exo frct swg & sta | |
| L5722 | 290 | Knee-shin pneum swg frct exo | |
| L5724 | 290 | Knee-shin exo fluid swing ph | |
| L5726 | 290 | Knee-shin ext jnts fld swg e | |
| L5728 | 290 | Knee-shin fluid swg & stance | |
| L5780 | 290 | Knee-shin pneum/hydra pneum | |
| L5781 | 290 | Lower limb pros vacuum pump | |
| L5782 | 290 | HD low limb pros vacuum pump | |
| L5785 | 290 | Exoskeletal bk ultralt mater | |
| L5790 | 290 | Exoskeletal ak ultra-light m | |
| L5795 | 290 | Exoskel hip ultra-light mate | |
| L5810 | 290 | Endoskel knee-shin mnl lock | |
| L5811 | 290 | Endo knee-shin mnl lck ultra | |
| L5812 | 290 | Endo knee-shin frct swg & st | |
| L5814 | 290 | Endo knee-shin hydral swg ph | |
| L5816 | 290 | Endo knee-shin polyc mch sta | |
| L5818 | 290 | Endo knee-shin frct swg & st | |
| L5822 | 290 | Endo knee-shin pneum swg frc | |
| L5824 | 290 | Endo knee-shin fluid swing p | |
| L5826 | 290 | Miniature knee joint | |
| L5828 | 290 | Endo knee-shin fluid swg/sta | |
| L5830 | 290 | Endo knee-shin pneum/swg pha | |
| L5840 | 290 | Multi-axial knee/shin system | |
| L5845 | 290 | Knee-shin sys stance flexion | |
| L5848 | 290 | Knee-shin sys hydraul stance | |
| L5850 | 290 | Endo ak/hip knee extens assi | |
| L5855 | 290 | Mech hip extension assist | |
| L5856 | 290 | Elec knee-shin swing/stance | |
| L5857 | 290 | Elec knee-shin swing only | |
| L5858 | 290 | Stance phase only | |
| L5910 | 290 | Endo below knee alignable sy | |
| L5920 | 290 | Endo ak/hip alignable system | |
| L5925 | 290 | Above knee manual lock | |
| L5930 | 290 | High activity knee frame | |
| L5940 | 290 | Endo bk ultra-light material | |
| L5950 | 290 | Endo ak ultra-light material | |
| L5960 | 290 | Endo hip ultra-light materia | |
| L5962 | 290 | Below knee flex cover system | |
| L5964 | 290 | Above knee flex cover system | |
| L5966 | 290 | Hip flexible cover system | |
| L5968 | 290 | Multiaxial ankle w dorsiflex | |
| L5970 | 290 | Foot external keel sach foot | |
| L5971 | 290 | SACH foot, replacement | |
| L5972 | 290 | Flexible keel foot | |
| L5973 | 290 | Ank-foot sys dors-plant flex | |
| L5974 | 290 | Foot single axis ankle/foot | |
| L5975 | 290 | Combo ankle/foot prosthesis | |
| L5976 | 290 | Energy storing foot | |
| L5978 | 290 | Ft prosth multiaxial ankl/ft | |
| L5979 | 290 | Multi-axial ankle/ft prosth | |
| L5980 | 290 | Flex foot system | |
| L5981 | 290 | Flex-walk sys low ext prosth | |
| L5982 | 290 | Exoskeletal axial rotation u | |
| L5984 | 290 | Endoskeletal axial rotation | |
| L5985 | 290 | Lwr ext dynamic prosth pylon | |
| L5986 | 290 | Multi-axial rotation unit | |
| L5987 | 290 | Shank ft w vert load pylon | |
| L5988 | 290 | Vertical shock reducing pylo | |
| L5990 | 290 | User adjustable heel height | |
| L5999 | 290 | Lowr extremity prosthes, NOS | |
| L6000 | 290 | Par hand robin-aids thum rem | |
| L6010 | 290 | Hand robin-aids little/ring | |
| L6020 | 290 | Part hand robin-aids no fing | |
| L6025 | 290 | Part hand disart myoelectric | |
| L6050 | 290 | Wrst MLd sck flx hng tri pad | |
| L6055 | 290 | Wrst mold sock w/exp interfa | |
| L6100 | 290 | Elb mold sock flex hinge pad | |
| L6110 | 290 | Elbow mold sock suspension t | |
| L6120 | 290 | Elbow mold doub splt soc ste | |
| L6130 | 290 | Elbow stump activated lock h | |
| L6200 | 290 | Elbow mold outsid lock hinge | |
| L6205 | 290 | Elbow molded w/ expand inter | |
| L6250 | 290 | Elbow inter loc elbow forarm | |
| L6300 | 290 | Shlder disart int lock elbow | |
| L6310 | 290 | Shoulder passive restor comp | |
| L6320 | 290 | Shoulder passive restor cap | |
| L6350 | 290 | Thoracic intern lock elbow | |
| L6360 | 290 | Thoracic passive restor comp | |
| L6370 | 290 | Thoracic passive restor cap | |
| L6380 | 290 | Postop dsg cast chg wrst/elb | |
| L6382 | 290 | Postop dsg cast chg elb dis/ | |
| L6384 | 290 | Postop dsg cast chg shlder/t | |
| L6386 | 290 | Postop ea cast chg & realign | |
| L6388 | 290 | Postop applicat rigid dsg on | |
| L6400 | 290 | Below elbow prosth tiss shap | |
| L6450 | 290 | Elb disart prosth tiss shap | |
| L6500 | 290 | Above elbow prosth tiss shap | |
| L6550 | 290 | Shldr disar prosth tiss shap | |
| L6570 | 290 | Scap thorac prosth tiss shap | |
| L6580 | 290 | Wrist/elbow bowden cable mol | |
| L6582 | 290 | Wrist/elbow bowden cbl dir f | |
| L6584 | 290 | Elbow fair lead cable molded | |
| L6586 | 290 | Elbow fair lead cable dir fo | |
| L6588 | 290 | Shdr fair lead cable molded | |
| L6590 | 290 | Shdr fair lead cable direct | |
| L6600 | 290 | Polycentric hinge pair | |
| L6605 | 290 | Single pivot hinge pair | |
| L6610 | 290 | Flexible metal hinge pair | |
| L6611 | 290 | Additional switch, ext power | |
| L6615 | 290 | Disconnect locking wrist uni | |
| L6616 | 290 | Disconnect insert locking wr | |
| L6620 | 290 | Flexion/extension wrist unit | |
| L6621 | 290 | Flex/ext wrist w/wo friction | |
| L6623 | 290 | Spring-ass rot wrst w/ latch | |
| L6624 | 290 | Flex/ext/rotation wrist unit | |
| L6625 | 290 | Rotation wrst w/ cable lock | |
| L6628 | 290 | Quick disconn hook adapter o | |
| L6629 | 290 | Lamination collar w/ couplin | |
| L6630 | 290 | Stainless steel any wrist | |
| L6632 | 290 | Latex suspension sleeve each | |
| L6635 | 290 | Lift assist for elbow | |
| L6637 | 290 | Nudge control elbow lock | |
| L6638 | 290 | Elec lock on manual pw elbow | |
| L6640 | 290 | Shoulder abduction joint pai | |
| L6641 | 290 | Excursion amplifier pulley t | |
| L6642 | 290 | Excursion amplifier lever ty | |
| L6645 | 290 | Shoulder flexion-abduction j | |
| L6646 | 290 | Multipo locking shoulder jnt | |
| L6647 | 290 | Shoulder lock actuator | |
| L6648 | 290 | Ext pwrd shlder lock/unlock | |
| L6650 | 290 | Shoulder universal joint | |
| L6655 | 290 | Standard control cable extra | |
| L6660 | 290 | Heavy duty control cable | |
| L6665 | 290 | Teflon or equal cable lining | |
| L6670 | 290 | Hook to hand cable adapter | |
| L6672 | 290 | Harness chest/shlder saddle | |
| L6675 | 290 | Harness figure of 8 sing con | |
| L6676 | 290 | Harness figure of 8 dual con | |
| L6677 | 290 | UE triple control harness | |
| L6680 | 290 | Test sock wrist disart/bel e | |
| L6682 | 290 | Test sock elbw disart/above | |
| L6684 | 290 | Test socket shldr disart/tho | |
| L6686 | 290 | Suction socket | |
| L6687 | 290 | Frame typ socket bel elbow/w | |
| L6688 | 290 | Frame typ sock above elb/dis | |
| L6689 | 290 | Frame typ socket shoulder di | |
| L6690 | 290 | Frame typ sock interscap-tho | |
| L6691 | 290 | Removable insert each | |
| L6692 | 290 | Silicone gel insert or equal | |
| L6693 | 290 | Lockingelbow forearm cntrbal | |
| L6694 | 290 | Elbow socket ins use w/lock | |
| L6695 | 290 | Elbow socket ins use w/o lck | |
| L6696 | 290 | Cus elbo skt in for con/atyp | |
| L6697 | 290 | Cus elbo skt in not con/atyp | |
| L6698 | 290 | Below/above elbow lock mech | |
| L6703 | 290 | Term dev, passive hand mitt | |
| L6704 | 290 | Term dev, sport/rec/work att | |
| L6706 | 290 | Term dev mech hook vol open | |
| L6707 | 290 | Term dev mech hook vol close | |
| L6708 | 290 | Term dev mech hand vol open | |
| L6709 | 290 | Term dev mech hand vol close | |
| L6721 | 290 | Hook/hand, hvy dty, vol open | |
| L6722 | 290 | Hook/hand, hvy dty, vol clos | |
| L6805 | 290 | Modifier wrist flexion unit | |
| L6810 | 290 | Pincher tool otto bock or eq | |
| L6881 | 290 | Autograsp feature ul term dv | |
| L6882 | 290 | Microprocessor control uplmb | |
| L6883 | 290 | Replc sockt below e/w disa | |
| L6884 | 290 | Replc sockt above elbow disa | |
| L6885 | 290 | Replc sockt shldr dis/interc | |
| L6890 | 290 | Production glove | |
| L6895 | 290 | Custom glove | |
| L6900 | 290 | Hand restorat thumb/1 finger | |
| L6905 | 290 | Hand restoration multiple fi | |
| L6910 | 290 | Hand restoration no fingers | |
| L6915 | 290 | Hand restoration replacmnt g | |
| L6920 | 290 | Wrist disarticul switch ctrl | |
| L6925 | 290 | Wrist disart myoelectronic c | |
| L6930 | 290 | Below elbow switch control | |
| L6935 | 290 | Below elbow myoelectronic ct | |
| L6940 | 290 | Elbow disarticulation switch | |
| L6945 | 290 | Elbow disart myoelectronic c | |
| L6950 | 290 | Above elbow switch control | |
| L6955 | 290 | Above elbow myoelectronic ct | |
| L6960 | 290 | Shldr disartic switch contro | |
| L6965 | 290 | Shldr disartic myoelectronic | |
| L6970 | 290 | Interscapular-thor switch ct | |
| L6975 | 290 | Interscap-thor myoelectronic | |
| L7007 | 290 | Adult electric hand | |
| L7009 | 290 | Adult electric hook | |
| L7040 | 290 | Prehensile actuator hosmer s | |
| L7045 | 290 | Electron hook child michigan | |
| L7170 | 290 | Electronic elbow hosmer swit | |
| L7180 | 290 | Electronic elbow utah myoele | |
| L7181 | 290 | Electronic elbo simultaneous | |
| L7185 | 290 | Electron elbow adolescent sw | |
| L7186 | 290 | Electron elbow child switch | |
| L7190 | 290 | Elbow adolescent myoelectron | |
| L7191 | 290 | Elbow child myoelectronic ct | |
| L7260 | 290 | Electron wrist rotator otto | |
| L7261 | 290 | Electron wrist rotator utah | |
| L7266 | 290 | Servo control steeper or equ | |
| L7272 | 290 | Analogue control unb or equa | |
| L7274 | 290 | Proportional ctl 12 volt uta | |
| L7360 | 290 | Six volt bat otto bock/eq ea | |
| L7362 | 290 | Battery chrgr six volt otto | |
| L7364 | 290 | Twelve volt battery utah/equ | |
| L7366 | 290 | Battery chrgr 12 volt utah/e | |
| L7367 | 290 | Replacemnt lithium ionbatter | |
| L7368 | 290 | Lithium ion battery charger | |
| L7400 | 290 | Add UE prost be/wd, ultlite | |
| L7401 | 290 | Add UE prost a/e ultlite mat | |
| L7402 | 290 | Add UE prost s/d ultlite mat | |
| L7403 | 290 | Add UE prost b/e acrylic | |
| L7404 | 290 | Add UE prost a/e acrylic | |
| L7405 | 290 | Add UE prost s/d acrylic | |
| L7499 | 290 | Upper extremity prosthes, NOS | |
| L7500 | 290 | Repair prosthetic dvc, per hour | |
| L7510 | 290 | Repair prosth dvc, rep/repl minor parts | |
| L7520 | 290 | Repair prosthetic dvc, per 15 min | |
| L7600 | 290 | Prosthetic donning sleeve | |
| L7900 | 290 | Male vacuum erection system | |
| L8000 | 290 | Mastectomy bra | |
| L8001 | 290 | Breast prosthesis bra & form | |
| L8002 | 290 | Brst prsth bra & bilat form | |
| L8010 | 290 | Mastectomy sleeve | |
| L8015 | 290 | Ext breastprosthesis garment | |
| L8020 | 290 | Mastectomy form | |
| L8030 | 290 | Breast prosthesis silicone/e | |
| L8031 | 290 | Breast prosthesis w adhesive | |
| L8032 | 290 | Reusable nipple prosthesis | |
| L8035 | 290 | Custom breast prosthesis | |
| L8039 | 290 | Breast prosthesis, NOS | |
| L8040 | 290 | Nasal prosthesis | |
| L8040 | KM | 290 | Nasal prosthesis |
| L8040 | KN | 290 | Nasal prosthesis |
| L8041 | 290 | Midfacial prosthesis | |
| L8041 | KM | 290 | Midfacial prosthesis |
| L8041 | KN | 290 | Midfacial prosthesis |
| L8042 | 290 | Orbital prosthesis | |
| L8042 | KM | 290 | Orbital prosthesis |
| L8042 | KN | 290 | Orbital prosthesis |
| L8043 | 290 | Upper facial prosthesis | |
| L8043 | KM | 290 | Upper facial prosthesis |
| L8043 | KN | 290 | Upper facial prosthesis |
| L8044 | 290 | Hemi-facial prosthesis | |
| L8044 | KM | 290 | Hemi-facial prosthesis |
| L8044 | KN | 290 | Hemi-facial prosthesis |
| L8045 | 290 | Auricular prosthesis | |
| L8045 | KM | 290 | Auricular prosthesis |
| L8045 | KN | 290 | Auricular prosthesis |
| L8046 | 290 | Partial facial prosthesis | |
| L8046 | KM | 290 | Partial facial prosthesis |
| L8046 | KN | 290 | Partial facial prosthesis |
| L8047 | 290 | Nasal septal prosthesis | |
| L8047 | KM | 290 | Nasal septal prosthesis |
| L8047 | KN | 290 | Nasal septal prosthesis |
| L8048 | 290 | Unspec maxillofacial prosth | |
| L8049 | 290 | Repair maxillofacial prosth | |
| L8300 | 290 | Truss single w/ standard pad | |
| L8310 | 290 | Truss double w/ standard pad | |
| L8320 | 290 | Truss addition to std pad wa | |
| L8330 | 290 | Truss add to std pad scrotal | |
| L8400 | 290 | Sheath below knee | |
| L8410 | 290 | Sheath above knee | |
| L8415 | 290 | Sheath upper limb | |
| L8417 | 290 | Pros sheath/sock w gel cushn | |
| L8420 | 290 | Prosthetic sock multi ply BK | |
| L8430 | 290 | Prosthetic sock multi ply AK | |
| L8435 | 290 | Pros sock multi ply upper lm | |
| L8440 | 290 | Shrinker below knee | |
| L8460 | 290 | Shrinker above knee | |
| L8465 | 290 | Shrinker upper limb | |
| L8470 | 290 | Pros sock single ply BK | |
| L8480 | 290 | Pros sock single ply AK | |
| L8485 | 290 | Pros sock single ply upper l | |
| L8499 | 290 | Unlisted misc prosthetic ser | |
| L8500 | 290 | Artificial larynx | |
| L8501 | 290 | Tracheostomy speaking valve | |
| L8505 | 290 | Battery/access, art larynx | |
| L8507 | 290 | Trach-esoph voice pros pt in | |
| L8509 | 290 | Trach-esoph voice pros md in | |
| L8510 | 290 | Voice amplifier | |
| L8511 | 290 | Indwelling trach insert | |
| L8512 | 290 | Gel cap for trach voice pros | |
| L8513 | 290 | Trach pros cleaning device | |
| L8514 | 290 | Repl trach puncture dilator | |
| L8515 | 290 | Gel cap app device for trach | |
| L8600 | 290 | Implant breast silicone/eq | |
| L8603 | 290 | Collagen imp urinary 2.5 ml | |
| L8604 | 290 | Dextranomer/hyaluronic acid copolymer | |
| L8606 | 290 | Synthetic implnt urinary 1ml | |
| L8609 | 290 | Artificial cornea | |
| L8610 | 290 | Ocular implant | |
| L8612 | 290 | Aqueous shunt prosthesis | |
| L8613 | 290 | Ossicular implant | |
| L8614 | 290 | Cochlear device/system | |
| L8615 | 290 | Coch implant headset replace | |
| L8616 | 290 | Coch implant microphone repl | |
| L8617 | 290 | Coch implant trans coil repl | |
| L8618 | 290 | Coch implant tran cable repl | |
| L8619 | 290 | Replace cochlear processor | |
| L8621 | 290 | Repl zinc air battery | |
| L8622 | 290 | Repl alkaline battery | |
| L8623 | 290 | Lith ion batt CID,non-earlvl | |
| L8624 | 290 | Lith ion batt CID, ear level | |
| L8627 | 290 | CID ext speech process repl | |
| L8628 | 290 | CID ext controller repl | |
| L8629 | 290 | CID transmit coil and cable | |
| L8630 | 290 | Metacarpophalangeal implant | |
| L8631 | 290 | MCP joint repl 2 pc or more | |
| L8641 | 290 | Metatarsal joint implant | |
| L8642 | 290 | Hallux implant | |
| L8658 | 290 | Interphalangeal joint spacer | |
| L8659 | 290 | Interphalangeal joint repl | |
| L8670 | 290 | Vascular graft | |
| L8680 | 290 | Implant neurostim elctr each | |
| L8681 | 290 | Pt prgrm for implant neurostim | |
| L8682 | 290 | Implant neurostim radiofq rec | |
| L8683 | 290 | Radiofq trsmtr for implant neu | |
| L8684 | 290 | Radiof trsmtr implant scrl neu | |
| L8685 | 290 | Implant nrostm pls gen sng rec | |
| L8686 | 290 | Implant nrostm pls gen sng non | |
| L8687 | 290 | Implant nrostm pls gen dua rec | |
| L8688 | 290 | Implant nrostm pls gen dua non | |
| L8689 | 290 | External recharging system | |
| L8690 | 290 | Aud osseo dev, int/ext comp | |
| L8691 | 290 | Aud osseo dev ext snd proces | |
| L8692 | 290 | Non-osseointegrated snd proc | |
| L8695 | 290 | External recharg sys extern | |
| L8699 | 290 | Prosthetic implant, NOS | |
| L9900 | 290 | O&P supply/accessory/service, other | |
| M0064 | 270 | Visit for drug monitoring | |
| MR001 | 290 | Medical records | |
| MSAGE | 290 | Massage therapy | |
| MUINS | 290 | Muscle interferential stimulator | |
| MUINS | NU | 290 | Muscle interferential stimulator |
| MUINS | RR | 290 | Muscle interferential stimulator |
| MUINS | UE | 290 | Muscle interferential stimulator |
| NCA00 | 288 | Nurse intervention; telephonic, administrative; 1 min = 1 unit | |
| NCA01 | 288 | Nurse intervention; telephonic, administrative; 1 hr = I unit | |
| NCP00 | 288 | Nurse intervention, telephonic, prof serv; 1 min = 1 unit | |
| NCP01 | 288 | Nurse intervention, telephonic, prof serv; 1 hr = 1 unit | |
| NCPTC | 287 | Nurse intervention, telephonic, long distance call phone charge | |
| NIA00 | 287 | Nurse intervention; admin. services, 1 min = I unit | |
| NIA01 | 287 | Nurse intervention; admin. services; 1 hr = 1 unit | |
| NIP00 | 287 | Nurse intervention, prof services; 1 min = 1 unit | |
| NIP01 | 287 | Nurse intervention, prof services; 1 hr = I unit | |
| NIPTC | 287 | Nurse intervention, long distance phone call; actual cost of call | |
| NITRA | 287 | Nurse intervention; travel, POV mileage rate. | |
| NOSHO | 290 | OWCP-requested examination; claimant failed to show up | |
| NPART | 287 | Nurse intervention; travel, tolls, bridges, parking. | |
| P2028 | 290 | Cephalin floculation test | |
| P2029 | 290 | Congo red blood test | |
| P2031 | 290 | Hair analysis exc arsenic | |
| P2033 | 290 | Blood thymol turbidity | |
| P2038 | 290 | Blood mucoprotein | |
| P3000 | 290 | Screen pap by tech w md supv | |
| P3001 | 270 | Screening pap smear by phys | |
| P7001 | 290 | Culture bacterial urine | |
| P9010 | 290 | Whole blood for transfusion | |
| P9011 | 290 | Blood split unit | |
| P9012 | 290 | Cryoprecipitate each unit | |
| P9016 | 290 | RBC leukocytes reduced | |
| P9017 | 290 | One donor fresh frozn plasma | |
| P9019 | 290 | Platelets, each unit | |
| P9020 | 290 | Platelet rich plasma unit | |
| P9021 | 290 | Red blood cells unit | |
| P9022 | 290 | Washed red blood cells unit | |
| P9023 | 290 | Frozen plasma, pooled, sd | |
| P9031 | 290 | Platelets leukocytes reduced | |
| P9032 | 290 | Platelets, irradiated | |
| P9033 | 290 | Platelets leukoreduced irrad | |
| P9034 | 290 | Platelets, pheresis | |
| P9035 | 290 | Platelet pheres leukoreduced | |
| P9036 | 290 | Platelet pheresis irradiated | |
| P9037 | 290 | Plate pheres leukoredu irrad | |
| P9038 | 290 | RBC irradiated | |
| P9039 | 290 | RBC deglycerolized | |
| P9040 | 290 | RBC leukoreduced irradiated | |
| P9041 | 290 | Albumin(human), 5%, 50ml | |
| P9043 | 290 | Plasma protein fraction, 5%, 50ml | |
| P9044 | 290 | Cryoprecipitatereducedplasma | |
| P9045 | 290 | Albumin (human), 5%, 250 ml | |
| P9046 | 290 | Albumin (human), 25%, 20 ml | |
| P9047 | 290 | Albumin (human), 25%, 50ml | |
| P9048 | 290 | Plasmaprotein fract,5%,250ml | |
| P9050 | 290 | Granulocytes, pheresis unit | |
| P9051 | 290 | Blood, l/r, cmv-neg | |
| P9052 | 290 | Platelets, hla-m, l/r, unit | |
| P9053 | 290 | Plt, pher, l/r cmv-neg, irr | |
| P9054 | 290 | Blood, l/r, froz/degly/wash | |
| P9055 | 290 | Plt, aph/pher, l/r, cmv-neg | |
| P9056 | 290 | Blood, l/r, irradiated | |
| P9057 | 290 | RBC, frz/deg/wsh, l/r, irrad | |
| P9058 | 290 | RBC, l/r, cmv-neg, irrad | |
| P9059 | 290 | Plasma, frz between 8-24hour | |
| P9060 | 290 | Fr frz plasma donor retested | |
| P9603 | 290 | One-way allow prorated miles | |
| P9604 | 290 | One-way allow prorated trip | |
| P9612 | 290 | Catheterize for urine spec | |
| P9615 | 290 | Urine specimen collect mult | |
| PE001 | 290 | Physical exam & other Dx test | |
| Q0035 | 160 | Cardiokymography | |
| Q0035 | TC | 161 | Cardiokymography |
| Q0035 | 26 | 160 | Cardiokymography |
| Q0081 | 290 | Infusion therapy oth than chemo drugs / visit | |
| Q0083 | 290 | Chemo therapy oth than infusion | |
| Q0084 | 290 | Chemo therapy by infusion tech | |
| Q0085 | 290 | Chemo therapy-both infusion & oth | |
| Q0091 | 270 | Obtaining screen pap smear | |
| Q0092 | 270 | Set up port xray equipment | |
| Q0111 | 290 | Wet mounts/ w preparations | |
| Q0112 | 290 | Potassium hydroxide preps | |
| Q0113 | 290 | Pinworm examinations | |
| Q0114 | 290 | Fern test | |
| Q0115 | 290 | Post-coital mucous exam | |
| Q0138 | 290 | Ferumoxytol inj, 1mg non-esrd | |
| Q0139 | 290 | Ferumoxytol inj, 1mg esrd use | |
| Q0144 | 290 | Azithromycin dihydrate, oral | |
| Q0163 | 290 | Diphenhydramine HCl 50mg | |
| Q0164 | 290 | Prochlorperazine maleate 5mg | |
| Q0165 | 290 | Prochlorperazine maleate10mg | |
| Q0166 | 290 | Granisetron HCl 1 mg oral | |
| Q0167 | 290 | Dronabinol 2.5mg oral | |
| Q0168 | 290 | Dronabinol 5mg oral | |
| Q0169 | 290 | Promethazine HCl 12.5mg oral | |
| Q0170 | 290 | Promethazine HCl 25 mg oral | |
| Q0171 | 290 | Chlorpromazine HCl 10mg oral | |
| Q0172 | 290 | Chlorpromazine HCl 25mg oral | |
| Q0173 | 290 | Trimethobenzamide HCl 250mg | |
| Q0174 | 290 | Thiethylperazine maleate10mg | |
| Q0175 | 290 | Perphenazine 4mg oral | |
| Q0176 | 290 | Perphenazine 8mg oral | |
| Q0177 | 290 | Hydroxyzine pamoate 25mg | |
| Q0178 | 290 | Hydroxyzine pamoate 50mg | |
| Q0179 | 290 | Ondansetron HCl 8mg oral | |
| Q0180 | 290 | Dolasetron mesylate oral, 100mg | |
| Q0181 | 290 | Unspecified oral anti-emetic | |
| Q0480 | 290 | Driver pneumatic vad, rep | |
| Q0481 | 290 | Microprcsr cu elec vad, rep | |
| Q0482 | 290 | Microprcsr cu combo vad, rep | |
| Q0483 | 290 | Monitor elec vad, rep | |
| Q0484 | 290 | Monitor elec or comb vad, rep | |
| Q0485 | 290 | Monitor cable elec vad, rep | |
| Q0486 | 290 | Mon cable elec/pneum vad, rep | |
| Q0487 | 290 | Leads any type vad, rep only | |
| Q0488 | 290 | Pwr pack base elec vad, rep | |
| Q0489 | 290 | Pwr pack base combo vad, rep | |
| Q0490 | 290 | Emr pwr source elec vad, rep | |
| Q0491 | 290 | Emr pwr source combo vad, rep | |
| Q0492 | 290 | Emr pwr cbl elec vad, rep | |
| Q0493 | 290 | Emr pwr cbl combo vad, rep | |
| Q0494 | 290 | Emr hd pmp elec/combo, rep | |
| Q0495 | 290 | Charger elec/combo vad, rep | |
| Q0496 | 290 | Battery elec/combo vad, rep | |
| Q0497 | 290 | Bat clps elec/comb vad, rep | |
| Q0498 | 290 | Holster elec/combo vad, rep | |
| Q0499 | 290 | Belt/vest elec/combo vad rep | |
| Q0500 | 290 | Filters elec/combo vad, rep | |
| Q0501 | 290 | Shwr cov elec/combo vad, rep | |
| Q0502 | 290 | Mobility cart pneum vad, rep | |
| Q0503 | 290 | Battery pneum vad, repl | |
| Q0504 | 290 | Pwr adpt pneum vad, rep veh | |
| Q0505 | 290 | Miscl supply/accessory vad | |
| Q0506 | 290 | Lith-ion batt elec/pneum VAD, replacement | |
| Q0510 | 290 | Dispens fee immunosupressive | |
| Q0511 | 290 | Sup fee antiem,antica,immuno | |
| Q0512 | 290 | Px sup fee anti-can sub pres | |
| Q0513 | 290 | Disp fee inhal drugs/30 days | |
| Q0514 | 290 | Disp fee inhal drugs/90 days | |
| Q0515 | 290 | Sermorelin acetate injection | |
| Q1003 | 290 | Ntiol category 3 | |
| Q1004 | 290 | Ntiol category 4 | |
| Q1005 | 290 | Ntiol category 5 | |
| Q2004 | 290 | Bladder calculi irrig sol, 500ml | |
| Q2009 | 290 | Fosphenytoin, 50 mg | |
| Q2017 | 290 | Teniposide, 50 mg | |
| Q2025 | 290 | Oral Fludarabine Phosphate, 10 MG | |
| Q2026 | 290 | Radiness Injection | |
| Q2027 | 290 | Sculptra Injection | |
| Q3001 | 270 | Brachytherapy Radioelements | |
| Q3014 | 290 | Telehealth facility fee | |
| Q3025 | 290 | IM Inj, interferon beta-1A, 11mcg | |
| Q3026 | 290 | Injection, interferon beta-1A, subcutaneous | |
| Q4001 | 290 | Cast sup body cast plaster | |
| Q4002 | 290 | Cast sup body cast fiberglas | |
| Q4003 | 290 | Cast sup shoulder cast plstr | |
| Q4004 | 290 | Cast sup shoulder cast fbrgl | |
| Q4005 | 290 | Cast sup long arm adult plst | |
| Q4006 | 290 | Cast sup long arm adult fbrg | |
| Q4009 | 290 | Cast sup sht arm adult plstr | |
| Q4010 | 290 | Cast sup sht arm adult fbrgl | |
| Q4013 | 290 | Cast sup gauntlet plaster | |
| Q4014 | 290 | Cast sup gauntlet fiberglass | |
| Q4017 | 290 | Cast sup lng arm splint plst | |
| Q4018 | 290 | Cast sup lng arm splint fbrg | |
| Q4021 | 290 | Cast sup sht arm splint plst | |
| Q4022 | 290 | Cast sup sht arm splint fbrg | |
| Q4025 | 290 | Cast sup hip spica plaster | |
| Q4026 | 290 | Cast sup hip spica fiberglas | |
| Q4029 | 290 | Cast sup long leg plaster | |
| Q4030 | 290 | Cast sup long leg fiberglass | |
| Q4033 | 290 | Cast sup lng leg cylinder pl | |
| Q4034 | 290 | Cast sup lng leg cylinder fb | |
| Q4037 | 290 | Cast sup shrt leg plaster | |
| Q4038 | 290 | Cast sup shrt leg fiberglass | |
| Q4041 | 290 | Cast sup lng leg splnt plstr | |
| Q4042 | 290 | Cast sup lng leg splnt fbrgl | |
| Q4045 | 290 | Cast sup sht leg splnt plstr | |
| Q4046 | 290 | Cast sup sht leg splnt fbrgl | |
| Q4049 | 290 | Finger splint, static | |
| Q4050 | 290 | Cast supplies unlisted | |
| Q4051 | 290 | Splint supplies misc | |
| Q4074 | 290 | Iloprost non-comp unit dose <= 20 mcg | |
| Q4081 | 290 | Epo alfa 100 units, ESRD | |
| Q4100 | 290 | Skin substitute, NOS | |
| Q4101 | 290 | Apligraf skin sub | |
| Q4102 | 290 | Oasis wound matrix skin sub | |
| Q4103 | 290 | Oasis burn matrix skin sub | |
| Q4104 | 290 | Integra BMWD skin sub | |
| Q4105 | 290 | Integra DRT skin sub | |
| Q4106 | 290 | Dermagraft skin sub | |
| Q4107 | 290 | Graftjacket skin sub | |
| Q4108 | 290 | Integra matrix skin sub | |
| Q4109 | 290 | Tissuemend skin sub | |
| Q4110 | 290 | Primatrix skin sub | |
| Q4111 | 290 | Gammagraft skin sub | |
| Q4112 | 290 | Cymetra allograft | |
| Q4113 | 290 | Graftjacket express allograf | |
| Q4114 | 290 | Integra flowable wound matri | |
| Q4115 | 290 | Alloskin skin sub, 1 sq cm | |
| Q4116 | 290 | Alloderm skin sub, 1 sq cm | |
| Q5001 | 290 | Hospice in patient home, 15 min | |
| Q5002 | 290 | Hospice in assist living, 15 min | |
| Q5003 | 290 | Hospice in LT/non-skilled NF, 15 min | |
| Q5004 | 290 | Hospice in SNF, 15 min | |
| Q5005 | 290 | Hospice, inpatient hospital, 15 min | |
| Q5006 | 290 | Hospice in hospice facility, 15 min | |
| Q5007 | 290 | Hospice in LTCH, 15 min | |
| Q5008 | 290 | Hospice in inpatient psych, 15 min | |
| Q9951 | 290 | LOCM >= 400 mg/ml iodine,1ml | |
| Q9953 | 290 | Inj Fe-based MR contrast,1ml | |
| Q9954 | 290 | Oral MR contrast, 100 ml | |
| Q9955 | 290 | Inj perflexane lip micros, 1ml | |
| Q9956 | 290 | Inj octafluoropropane mic, 1ml | |
| Q9957 | 290 | Inj perflutren lip micros, 1ml | |
| Q9958 | 290 | HOCM <= 149 mg/ml iodine, 1ml | |
| Q9959 | 290 | HOCM 150-199 mg/ml iodine, 1ml | |
| Q9960 | 290 | HOCM 200-249 mg/ml iodine, 1ml | |
| Q9961 | 290 | HOCM 250-299 mg/ml iodine, 1ml | |
| Q9962 | 290 | HOCM 300-349 mg/ml iodine, 1ml | |
| Q9963 | 290 | HOCM 350-399 mg/ml iodine, 1ml | |
| Q9964 | 290 | HOCM >= 400 mg/ml iodine, 1ml | |
| Q9965 | 290 | LOCM 100-199mg/ml iodine,1ml | |
| Q9966 | 290 | LOCM 200-299mg/ml iodine,1ml | |
| Q9967 | 290 | LOCM 300-399mg/ml iodine,1ml | |
| Q9968 | 290 | Visualization adjunct inj, 1mg | |
| R0070 | 270 | Transport portable x-ray | |
| R0075 | 270 | Transport port x-ray multipl | |
| RE100 | 290 | FCE; OWCP Prior-Approved, General Purpose/PM, Per Hour | |
| RE200 | 290 | FCE for enrollment in an ORP/PM return to work program, per hour | |
| RE300 | 290 | FCE for enrollment in an ORP work readiness/PM program, per hour | |
| REF01 | 290 | Referee Referral file review only; EEOICP only | |
| RP100 | 290 | Pain Management; all inclusive per diem rate | |
| RP120 | 290 | Pain Management; professional psych services NOS, per hour | |
| RP130 | 290 | Pain Management; professional services NOS; one-on-one, per hour | |
| RP200 | 290 | Pain Management; professional services NOS for a group of 2 or more, per hour | |
| RTWMC | 290 | Return to work medical conference | |
| S0012 | 290 | Butorphanol tartrate, nasal | |
| S0014 | 290 | Tacrine hydrochloride, 10 mg | |
| S0017 | 290 | Injection, aminocaproic acid, 250 mg | |
| S0020 | 290 | Injection, bupivicaine hydro | |
| S0021 | 290 | Injection, cefoperazone sod | |
| S0023 | 290 | Injection, cimetidine hydroc, 150mg | |
| S0028 | 290 | Injection, famotidine, 20 mg | |
| S0030 | 290 | Injection, metronidazole, 500mg | |
| S0032 | 290 | Injection, nafcillin sodium, 1gm | |
| S0034 | 290 | Injection, ofloxacin, 400 mg | |
| S0039 | 290 | Injection, sulfamethoxazole | |
| S0040 | 290 | Injection, ticarcillin disod, 0.1-3gm | |
| S0073 | 290 | Injection, aztreonam, 500 mg | |
| S0074 | 290 | Injection, cefotetan disodium, 500 mg | |
| S0077 | 290 | Injection, clindamycin phosp, 150mg | |
| S0078 | 290 | Injection, fosphenytoin sodi | |
| S0080 | 290 | Injection, pentamidine iseth | |
| S0081 | 290 | Injection, piperacillin sodi | |
| S0088 | 290 | Imatinib 100 mg | |
| S0090 | 290 | Sildenafil citrate, 25 mg | |
| S0091 | 290 | Granisetron 1mg | |
| S0092 | 290 | Hydromorphone 250 mg | |
| S0093 | 290 | Morphine 500 mg | |
| S0104 | 290 | Zidovudine, oral, 100 mg | |
| S0106 | 290 | Bupropion HCl, 150 mg, per 60 tablets | |
| S0108 | 290 | Mercaptopurine, oral, 50 mg | |
| S0117 | 290 | Tretinoin topical 5 g | |
| S0122 | 290 | Injection, menotropins, 75 lu | |
| S0126 | 290 | Injection, follitropin alfa, 75 lu | |
| S0128 | 290 | Injection, follitropin beta, 75 lu | |
| S0132 | 290 | Injection, ganirelix acetate, 250 mcg. | |
| S0136 | 290 | Clozapine, 25 mg | |
| S0137 | 290 | Didanosine, 25 mg | |
| S0138 | 290 | Finasteride, 5 mg | |
| S0139 | 290 | Minoxidil, 10 mg | |
| S0140 | 290 | Saquinavir, 200 mg | |
| S0142 | 290 | Colistimethate inh sol mg | |
| S0145 | 290 | Peg interferon alfa-2A/180 | |
| S0146 | 290 | Peg interferon alfa-2b/10 | |
| S0155 | 290 | Epoprostenol dilutant | |
| S0156 | 290 | Exemestane, 25 mg | |
| S0157 | 290 | Becaplermin gel 1%, 0.5 gm | |
| S0160 | 290 | Dextroamphetamine sulfate, 5 mg | |
| S0161 | 290 | Calcitrol, 0.25mg | |
| S0164 | 290 | Injection pantroprazole sodium, 40mg | |
| S0166 | 290 | Inj olanzapine, 2.5mg | |
| S0170 | 290 | Anastrozole 1 mg | |
| S0171 | 290 | Bumetanide 0.5 mg | |
| S0172 | 290 | Chlorambucil 2 mg | |
| S0174 | 290 | Dolasetron 50 mg | |
| S0175 | 290 | Flutamide 125 mg | |
| S0176 | 290 | Hydroxyurea 500 mg | |
| S0177 | 290 | Levamisole 50 mg | |
| S0178 | 290 | Lomustine 10 mg | |
| S0179 | 290 | Megestrol 20 mg | |
| S0181 | 290 | Ondansetron 4 mg | |
| S0182 | 290 | Procarbazine 5 mg | |
| S0183 | 290 | Prochlorperazine 5 mg | |
| S0187 | 290 | Tamoxifen 10 mg | |
| S0189 | 290 | Testosterone pellet 75 mg | |
| S0190 | 290 | Mifepristone, oral, 200 mg | |
| S0191 | 290 | Misoprostol, oral, 200 mcg | |
| S0194 | 290 | Vitamin suppl 100 caps | |
| S0196 | 290 | Poly-l-lactic acid 1ml face | |
| S0197 | 290 | Prenatal vitamins 30 day | |
| S0255 | 290 | Hospice refer visit non-MD | |
| S0265 | 290 | Genetic counsel 15 mins | |
| S0270 | 290 | Home std case rate 30 days | |
| S0271 | 290 | Home hospice case 30 days | |
| S0272 | 290 | Home episodic case 30 days | |
| S0273 | 290 | MD home visit outside cap | |
| S0274 | 290 | Nurse practr visit outs cap | |
| S0595 | 290 | New lenses in pts old frame | |
| S2066 | 290 | Breast GAP flap reconstruct, unilateral | |
| S2067 | 290 | Breast stacked DIEP/GAP, unilateral | |
| S2068 | 290 | Breast DIEP flap reconstruct | |
| S2079 | 290 | Lap esophagomyotomy | |
| S2117 | 290 | Arthroereisis, subtalar | |
| S2344 | 290 | Endosc balloon sinuplasty | |
| S2900 | 290 | Robotic surgical system | |
| S3600 | 290 | Stat lab | |
| S3601 | 290 | Stat lab home/nf | |
| S3713 | 290 | KRAS mutation analysis | |
| S3854 | 290 | Gene profile panel breast | |
| S3855 | 290 | Gene test presenilin-1 gene | |
| S3865 | 290 | Comp genet test hyp cardiomy | |
| S3866 | 290 | Spec gene test hyp cardiomy | |
| S3870 | 290 | CGH test developmental delay | |
| S5010 | 290 | 5% dextrose and 45% saline | |
| S5011 | 290 | 5% dextrose in lactated ring | |
| S5012 | 290 | 5% dextrose with potassium | |
| S5013 | 290 | 5% dextrose/45%saline,1000ml | |
| S5014 | 290 | 5% dextrose/45%saline,1500ml | |
| S5120 | 290 | Chore services per 15 min | |
| S5121 | 290 | Chore services per diem | |
| S5125 | 290 | Attendant care service/15 min | |
| S5126 | 290 | Attendant care service/diem | |
| S5130 | 290 | Homemaker service NOS/15 min | |
| S5131 | 290 | Homemaker service NOS/diem | |
| S8210 | 290 | Mucus trap | |
| S8262 | 290 | Mandib ortho repos device, ea | |
| S8270 | 290 | Enuresis alarm | |
| S8940 | 290 | Hippotherapy per session | |
| S9122 | 290 | Home health aide/cert'd nrs asst; per hr | |
| S9123 | 290 | Nursing care, in the home, RN; per hr | |
| S9124 | 290 | Nursing care, in the home, LPN; per hr | |
| S9125 | 290 | Respite care, in the home; per diem | |
| S9126 | 290 | Hospice care, in the home; per diem | |
| S9127 | 290 | Social work visit, in the home; per diem | |
| S9128 | 290 | Speech therapy, in the home; per diem | |
| S9129 | 290 | Occup. therapy, in the home; per diem | |
| S9131 | 290 | PT in the home per diem | |
| S9152 | 290 | Speech therapy, re-evaluation | |
| S9475 | 290 | Ambulatory setting substance, per diem | |
| S9480 | 290 | Intensive outpatient psychia | |
| S9482 | 290 | Family stabilization 15 min | |
| S9485 | 290 | Crisis intervention mental h | |
| S9999 | 290 | Sales tax | |
| SECOP | 290 | OWCP-requested second opinion medical evaluation | |
| SEP01 | 290 | Second Opinion file review only; EEOICP only | |
| SUPPL | 290 | OWCP-requested supplemental report for clarification; no new med evidence | |
| SURB1 | 290 | Case file review by DMA or office consultation, back surgery | |
| SURB2 | 290 | OWCP-requested second opinion clin exam, back surgery | |
| SURC1 | 290 | Case file review by DMA or office consultation, carpal tunnel surgery | |
| SURC2 | 290 | OWCP requested second opinion clin exam, carpal tunnel surgery | |
| SURG3 | 290 | OWCP requested second opinion clin exam, other surgery | |
| T1000 | 290 | Private duty/independent nsg up to 15 min | |
| T1001 | 290 | Nursing assessment/evaluatn | |
| T1002 | 290 | RN services up to 15 minutes | |
| T1003 | 290 | LPN/LVN services up to 15min | |
| T1004 | 290 | Nsg aide service up to 15min | |
| T1013 | 290 | Sign Lang/Oral Interpreter/15 min | |
| T1017 | 290 | Targeted case mgmt; per 15 min | |
| T1019 | 290 | Personal care serv; per 15 min | |
| T1020 | 290 | Personal care serv; per diem | |
| T1021 | 290 | HH Aide or cn aide per visit | |
| T1030 | 290 | Home nursing care, RN; per diem | |
| T1031 | 290 | Home nursing care, LPN; per diem | |
| T2016 | 290 | Habil res waiver per diem | |
| T2030 | 290 | Assist living waiver/month | |
| T2031 | 290 | Assist living waiver/diem | |
| T2032 | 290 | Res care, nos waiver/month | |
| T2033 | 290 | Res, nos waiver per diem | |
| T2042 | 290 | Hospice routine home care | |
| T2043 | 290 | Hospice continuous home care | |
| T2044 | 290 | Hospice respite care | |
| T2045 | 290 | Hospice general care | |
| T2046 | 290 | Hospice long term care, r&b | |
| T4521 | 290 | Adult size brief/diaper sm | |
| T4522 | 290 | Adult size brief/diaper med | |
| T4523 | 290 | Adult size brief/diaper lg | |
| T4524 | 290 | Adult size brief/diaper xl | |
| T4525 | 290 | Adult size pull-on sm | |
| T4526 | 290 | Adult size pull-on med | |
| T4527 | 290 | Adult size pull-on lg | |
| T4528 | 290 | Adult size pull-on xl | |
| T4543 | 290 | Disp bariatric brief/diaper | |
| T5999 | 290 | Supply, nos | |
| TRANS | 290 | Transportation, other | |
| V2020 | 290 | Vision svcs frames purchases | |
| V2100 | 290 | Lens spher single plano 4.00 | |
| V2101 | 290 | Single visn sphere 4.12-7.00 | |
| V2102 | 290 | Singl visn sphere 7.12-20.00 | |
| V2103 | 290 | Spherocylindr 4.00d/12-2.00d | |
| V2104 | 290 | Spherocylindr 4.00d/2.12-4d | |
| V2105 | 290 | Spherocylinder 4.00d/4.25-6d | |
| V2106 | 290 | Spherocylinder 4.00d/>6.00d | |
| V2107 | 290 | Spherocylinder 4.25d/12-2d | |
| V2108 | 290 | Spherocylinder 4.25d/2.12-4d | |
| V2109 | 290 | Spherocylinder 4.25d/4.25-6d | |
| V2110 | 290 | Spherocylinder 4.25d/over 6d | |
| V2111 | 290 | Spherocylindr 7.25d/.25-2.25 | |
| V2112 | 290 | Spherocylindr 7.25d/2.25-4d | |
| V2113 | 290 | Spherocylindr 7.25d/4.25-6d | |
| V2114 | 290 | Spherocylinder over 12.00d | |
| V2115 | 290 | Lens lenticular bifocal | |
| V2118 | 290 | Lens aniseikonic single | |
| V2121 | 290 | Lenticular lens | |
| V2199 | 290 | Lens single vision not oth c | |
| V2200 | 290 | Lens spher bifoc plano 4.00d | |
| V2201 | 290 | Lens sphere bifocal 4.12-7.0 | |
| V2202 | 290 | Lens sphere bifocal 7.12-20. | |
| V2203 | 290 | Lens sphcyl bifocal 4.00d/.1 | |
| V2204 | 290 | Lens sphcy bifocal 4.00d/2.1 | |
| V2205 | 290 | Lens sphcy bifocal 4.00d/4.2 | |
| V2206 | 290 | Lens sphcy bifocal 4.00d/ove | |
| V2207 | 290 | Lens sphcy bifocal 4.25-7d/. | |
| V2208 | 290 | Lens sphcy bifocal 4.25-7/2. | |
| V2209 | 290 | Lens sphcy bifocal 4.25-7/4. | |
| V2210 | 290 | Lens sphcy bifocal 4.25-7/ov | |
| V2211 | 290 | Lens sphcy bifo 7.25-12/.25- | |
| V2212 | 290 | Lens sphcyl bifo 7.25-12/2.2 | |
| V2213 | 290 | Lens sphcyl bifo 7.25-12/4.2 | |
| V2214 | 290 | Lens sphcyl bifocal over 12. | |
| V2215 | 290 | Lens lenticular bifocal | |
| V2218 | 290 | Lens aniseikonic bifocal | |
| V2219 | 290 | Lens bifocal seg width over | |
| V2220 | 290 | Lens bifocal add over 3.25d | |
| V2221 | 290 | Lenticular lens | |
| V2299 | 290 | Lens bifocal speciality | |
| V2300 | 290 | Lens sphere trifocal 4.00d | |
| V2301 | 290 | Lens sphere trifocal 4.12-7. | |
| V2302 | 290 | Lens sphere trifocal 7.12-20 | |
| V2303 | 290 | Lens sphcy trifocal 4.0/.12- | |
| V2304 | 290 | Lens sphcy trifocal 4.0/2.25 | |
| V2305 | 290 | Lens sphcy trifocal 4.0/4.25 | |
| V2306 | 290 | Lens sphcyl trifocal 4.00/>6 | |
| V2307 | 290 | Lens sphcy trifocal 4.25-7/. | |
| V2308 | 290 | Lens sphc trifocal 4.25-7/2. | |
| V2309 | 290 | Lens sphc trifocal 4.25-7/4. | |
| V2310 | 290 | Lens sphc trifocal 4.25-7/>6 | |
| V2311 | 290 | Lens sphc trifo 7.25-12/.25- | |
| V2312 | 290 | Lens sphc trifo 7.25-12/2.25 | |
| V2313 | 290 | Lens sphc trifo 7.25-12/4.25 | |
| V2314 | 290 | Lens sphcyl trifocal over 12 | |
| V2315 | 290 | Lens lenticular trifocal | |
| V2318 | 290 | Lens aniseikonic trifocal | |
| V2319 | 290 | Lens trifocal seg width > 28 | |
| V2320 | 290 | Lens trifocal add over 3.25d | |
| V2321 | 290 | Lenticular lens | |
| V2399 | 290 | Lens trifocal speciality | |
| V2410 | 290 | Lens variab asphericity sing | |
| V2430 | 290 | Lens variable asphericity bi | |
| V2499 | 290 | Variable asphericity lens | |
| V2500 | 290 | Contact lens pmma spherical | |
| V2501 | 290 | Cntct lens pmma-toric/prism | |
| V2502 | 290 | Contact lens pmma bifocal | |
| V2503 | 290 | Cntct lens pmma color vision | |
| V2510 | 290 | Cntct gas permeable sphericl | |
| V2511 | 290 | Cntct toric prism ballast | |
| V2512 | 290 | Cntct lens gas permbl bifocl | |
| V2513 | 290 | Contact lens extended wear | |
| V2520 | 290 | Contact lens hydrophilic | |
| V2521 | 290 | Cntct lens hydrophilic toric | |
| V2522 | 290 | Cntct lens hydrophil bifocl | |
| V2523 | 290 | Cntct lens hydrophil extend | |
| V2530 | 290 | Contact lens gas impermeable | |
| V2531 | 290 | Contact lens gas permeable | |
| V2599 | 290 | Contact lens/es other type | |
| V2600 | 290 | Hand held low vision aids | |
| V2610 | 290 | Single lens spectacle mount | |
| V2615 | 290 | Telescop/othr compound lens | |
| V2623 | 290 | Plastic eye prosth custom | |
| V2624 | 290 | Polishing artifical eye | |
| V2625 | 290 | Enlargemnt of eye prosthesis | |
| V2626 | 290 | Reduction of eye prosthesis | |
| V2627 | 290 | Scleral cover shell | |
| V2628 | 290 | Fabrication & fitting | |
| V2629 | 290 | Prosthetic eye other type | |
| V2630 | 290 | Anter chamber intraocul lens | |
| V2631 | 290 | Iris support intraoclr lens | |
| V2632 | 290 | Post chmbr intraocular lens | |
| V2700 | 290 | Balance lens | |
| V2710 | 290 | Glass/plastic slab off prism | |
| V2715 | 290 | Prism lens/es | |
| V2718 | 290 | Fresnell prism press-on lens | |
| V2730 | 290 | Special base curve | |
| V2744 | 290 | Tint photochromatic lens/es | |
| V2745 | 290 | Tint | |
| V2750 | 290 | Anti-reflective coating | |
| V2755 | 290 | UV lens/es | |
| V2756 | 290 | Eye glass case | |
| V2760 | 290 | Scratch resistant coating | |
| V2761 | 290 | Mirror coating | |
| V2762 | 290 | Polarization | |
| V2770 | 290 | Occluder lens/es | |
| V2780 | 290 | Oversize lens/es | |
| V2781 | 290 | Progressive lens per lens | |
| V2782 | 290 | Lens | |
| V2783 | 290 | Lens | |
| V2784 | 290 | Lens polycarb or equal | |
| V2785 | 290 | Corneal tissue processing | |
| V2786 | 290 | Occupational multifocal lens | |
| V2790 | 290 | Amniotic membrane | |
| V2797 | 290 | Vis item/svc in other code | |
| V2799 | 290 | Miscellaneous vision service | |
| V5010 | 290 | Assessment for hearing aid | |
| V5011 | 290 | Hearing aid fitting/checking | |
| V5014 | 290 | Hearing aid repair/modifying | |
| V5020 | 290 | Conformity evaluation | |
| V5030 | 290 | Body-worn hearing aid air | |
| V5040 | 290 | Body-worn hearing aid bone | |
| V5050 | 290 | Hearing aid monaural in ear | |
| V5060 | 290 | Behind ear hearing aid | |
| V5070 | 290 | Glasses air conduction | |
| V5080 | 290 | Glasses bone conduction | |
| V5090 | 290 | Hearing aid dispensing fee | |
| V5095 | 290 | Semi-implant mid ear prosthesis | |
| V5100 | 290 | Body-worn bilat hearing aid | |
| V5110 | 290 | Hearing aid dispensing fee | |
| V5120 | 290 | Body-worn binaur hearing aid | |
| V5130 | 290 | In ear binaural hearing aid | |
| V5140 | 290 | Behind ear binaur hearing ai | |
| V5150 | 290 | Glasses binaural hearing aid | |
| V5160 | 290 | Dispensing fee binaural | |
| V5170 | 290 | Within ear cros hearing aid | |
| V5180 | 290 | Behind ear cros hearing aid | |
| V5190 | 290 | Glasses cros hearing aid | |
| V5200 | 290 | Cros hearing aid dispens fee | |
| V5210 | 290 | In ear bicros hearing aid | |
| V5220 | 290 | Behind ear bicros hearing ai | |
| V5230 | 290 | Glasses bicros hearing aid | |
| V5240 | 290 | Dispensing fee bicros | |
| V5241 | 290 | Dispensing fee, monaural | |
| V5242 | 290 | Hearing aid, monaural, cic | |
| V5243 | 290 | Hearing aid, monaural, itc | |
| V5244 | 290 | Hearing aid, prog, mon, cic | |
| V5245 | 290 | Hearing aid, prog, mon, itc | |
| V5246 | 290 | Hearing aid, prog, mon, ite | |
| V5247 | 290 | Hearing aid, prog, mon, bte | |
| V5248 | 290 | Hearing aid, binaural, cic | |
| V5249 | 290 | Hearing aid, binaural, itc | |
| V5250 | 290 | Hearing aid, prog, bin, cic | |
| V5251 | 290 | Hearing aid, prog, bin, itc | |
| V5252 | 290 | Hearing aid, prog, bin, ite | |
| V5253 | 290 | Hearing aid, prog, bin, bte | |
| V5254 | 290 | Hearing id, digit, mon, cic | |
| V5255 | 290 | Hearing aid, digit, mon, itc | |
| V5256 | 290 | Hearing aid, digit, mon, ite | |
| V5257 | 290 | Hearing aid, digit, mon, bte | |
| V5258 | 290 | Hearing aid, digit, bin, cic | |
| V5259 | 290 | Hearing aid, digit, bin, itc | |
| V5260 | 290 | Hearing aid, digit, bin, ite | |
| V5261 | 290 | Hearing aid, digit, bin, bte | |
| V5262 | 290 | Hearing aid, disp, monaural | |
| V5263 | 290 | Hearing aid, disp, binaural | |
| V5264 | 290 | Ear mold/insert | |
| V5265 | 290 | Ear mold/insert, disp | |
| V5266 | 290 | Battery for hearing device | |
| V5267 | 290 | Hearing aid supply/accessory | |
| V5268 | 290 | ALD Telephone Amplifier | |
| V5269 | 290 | Alerting device, any type | |
| V5270 | 290 | ALD, TV amplifier, any type | |
| V5271 | 290 | ALD, TV caption decoder | |
| V5272 | 290 | ALD, Tdd | |
| V5273 | 290 | ALD for cochlear implant | |
| V5275 | 290 | Ear impression | |
| V5299 | 270 | Hearing service | |
| V5336 | 290 | Repair communication device | |
| V5362 | 290 | Speech screening | |
| V5363 | 290 | Language screening | |
| V5364 | 290 | Dysphagia screening | |
| VHMDF | 290 | Vehicle modification | |
| VHPUM | 290 | Vehicle purchase and modification | |
| VHPUR | 290 | Vehicle purchase | |
| VR001 | 287 | Vocational Rehab; Professional Services, per hr | |
| VR002 | 287 | Vocational Rehab; Non-professional Services, per hr | |
| VR003 | 287 | Vocational Rehab; Reimburse RC for outside testing | |
| VR004 | 287 | Vocational Rehab; Counselor Mileage | |
| VR018 | 287 | Vocational Rehab; Counselor Phone, Parking, Tolls, other itemized NOS | |
| VR1SP | 287 | Vocational Rehab; Professional Services, Supplemental Code | |
| VR2SP | 287 | Vocational Rehab; Non-professional Services, Supplemental Code | |
| VRAST | 289 | Vocational Rehab; Assisted Reemployment, NY only | |
| VREDU | 287 | Vocational Rehab; Training | |
| VRLOC | 287 | Vocational Rehab; Relocation Expenses | |
| VRPDV | 289 | Vocational Rehab; Plan Development, NY only | |
| VRPNE | 289 | Vocational Rehab; Placement New Employer, NY only | |
| VRPPE | 289 | Vocational Rehab; Placement Previous Employer, NY only | |
| VRSCR | 287 | Vocational Rehab; Screening | |
| VRSUP | 287 | Vocational Rehab; Books & Supplies | |
| VRTST | 287 | Vocational Rehab; Testing | |
| VUNT1 | 287 | Vocational Rehab; Professional Services, per min | |
| VUNT2 | 287 | Vocational Rehab; Non-professional Services, per min | |
| WL001 | 290 | Wage Loss file review only; EEOICP only | |
| WRKH1 | 290 | Work hardening 1 | |
| WRKH2 | 290 | Work hardening 2 | |
| ****** | ****** | ****** | ****** |