December 2025 Content Release Notes Copied
Clinical Profile Documentation
Updates
The Problems > Add Details area is updated with applicable documentation points for the following diagnoses.
Classification has been updated for Myelodysplastic syndrome with the following documentation points:
- MDS with low blasts (MDS-LB)
- MDS with mutated SF3B1 (MDS-SF3B1)
- MDS with increased blasts-1 (MDS-IB1)
- MDS with increased blasts-2 (MDS-IB2)
- MDS with isolated del(5q) (MDS-5q(d))
- MDS with biallelic TP53 (MDS-biTP53)
- MDS-hypoplastic (hMDS)
- MDS with fibrosis (MDS-f)
- Acute myeloid leukemia (AML)
Lab Analytes & Panels
Additions
- 17-OH Progesterone LCMS
- log10 BKV DNA, Urine, log10 IU/mL
- AChR Blocking Abs, serum
- AChR Blocking Abs, Serum panel
- D-Dimer, ng/mL FEU
- Decadienoylcarnitine, C10:2, nmol/mL
- Guardant Hereditary Cancer
- Guardant360 tissue IHC
- Hexadecanoylcarn, C16:1, nmol/mL
- Hexadecanoylcarnitine, C16, nmol/mL
- Invitae NF1 panel
- Methamphetamine Conf, MS, UR
- NeoType CLL Profile with IgVH panel
- OH-Hexadecenoyl, C16:1-OH, nmol/mL
- OH-Hexadecanoylcarn, C16OH, nmol/mL
- T3 reverse, LC/MS/MS, ng/dL
- TNF alpha, Highly sensitive panel
- TNF alpha, Highly sensitive, pg/mL
Medications
Additions
- BBO-8520 invest Oral
- BGB-A317 invest Subcutaneous
- JNJ-79635322 invest Subcutaneous
- Lu-177 rosopatamab tetraxetan (177Lu-TLX591) invest IV
- LY4064809 invest Oral
- PF-08046054 (SGN-PDL1V) invest IV
- PF-08634404 invest IV
- PF-08634404 or Bevacizumab invest IV
Updates
| Medications | Updates |
| Brukinsa (Zanubrutinib Oral) | Default Form removed:
New default Form available:
|
| docetaxel-albumin, human IV | New Rounding Rule:
New default SIG:
New Instructions:
|
| INCB123667 invest Oral | New default Form available:
|
| Mirvetuximab soravtansine invest IV (IMGN853 invest IV) | New Flat Dose Unit available:
New default SIG:
|
| Olaparib invest Oral | Research Option available:
New SIG available:
|
| ORIC-944 invest Oral | New default Form available:
|
Regimen Library
Additions
| Regimen Name | Diagnosis |
| Belantamab mafodotin-blmf (Blenrep) + Bortezomib D1,4,8,11 + Dexamethasone fb Belantamab mafodotin-blmf (Blenrep) Q21D | Multiple Myeloma (MM) |
| Cemiplimab-rwlc C1-2 D1,22 fb C3+ D1 Q42D | Cutaneous Carcinoma, Squamous Cell |
| Durvalumab + Gemcitabine D1,8 + Cisplatin D1,8 Q21D (Neoadjuvant Bladder) | Bladder Cancer; Renal Pelvis and Ureter Cancer; Urethral Cancer |
| Gemcitabine Implant Intravesical (Inlexzo) Maintenance Q84D | Bladder Cancer; Renal Pelvis and Ureter Cancer; Urethral Cancer |
| Osimertinib + Pemetrexed + Carboplatin Q21D (Neoadjuvant) | Lung Cancer, Non-small Cell (NSCLC) |
| Osimertinib + Pemetrexed + Cisplatin Q21D (Neoadjuvant) | Lung Cancer, Non-small Cell (NSCLC) |
| Pembrolizumab SQ Q21D (Neoadjuvant Head and Neck) | Head and Neck Cancer (Parent) |
| Pembrolizumab SQ Q21D SQ (Perioperative NSCLC) | Lung Cancer, Non-small Cell (NSCLC) |
| Pembrolizumab SQ + Lenvatinib Q21D Dose Optimization | Uterine Cancer (Parent) |
| Pembrolizumab SQ + Lenvatinib Q42D Dose Optimization | Uterine Cancer (Parent) |
| Pembrolizumab SQ Q42D (Part 2 of 2: Head and Neck Cancer Maintenance) | Head and Neck Cancer (Parent) |
| Romiplostim Q7D (Chemotherapy-Induced Thrombocytopenia) | All Problems |
| Tisotumab vedotin-tftv (Tivdak) + Pembrolizumab SQ Q21D | Cervical Cancer |
Updates
Regimens for the following diagnoses have been updated based on the Collaborative Care Committee voting. Changes include but are not limited to reference update, drug infusion instruction updates, renaming of regimens, premedication template updates and number of cycles.
- All Problems
- Anal Cancer (Parent)
- Bladder Cancer
- Breast Cancer
- Cervical Cancer
- Colon Cancer
- Cutaneous Carcinoma, Basal Cell
- Cutaneous Carcinoma, Squamous Cell
- Esophageal Cancer (Parent)
- Fallopian Tube Cancer
- Gastric Cancer
- Hepatocellular Carcinoma (HCC)
- Immune Thrombocytopenia Purpura (ITP)
- Lung Cancer, Non-small Cell (NSCLC)
- Lung Cancer, Small Cell (SCLC)
- Lymphoma, Non-Hodgkin (NHL) (Parent)
- Melanoma, Skin
- Melanoma, Uvea, Ciliary Body/Choroid
- Neuroendocrine Tumor, Carcinoid (Parent)
- Ovarian and Primary Peritoneal Cancer
- Pancreatic Cancer, Carcinoid/Neuroendocrine
- Rectal Cancer
- Renal Cell Carcinoma (RCC)
- Renal Pelvis and Ureter Cancer
- Sarcoma, Soft Tissue (Parent)
- Solid Tumors (Parent) (including HL/NHL)
- Testicular Cancer (Parent)
- Thymoma, Malignant
- Urethral Cancer
- Uterine Cancer (Parent)
Renames
| Previous Name | New Name |
| Nivolumab (3 mg/kg) + Ipilimumab (1 mg/kg) C1 D1,22,43,64 (Q21D) followed by Nivolumab C2+ D1,29,57 (Q28D) Maintenance Q84D | Nivolumab (3 mg/kg) + Ipilimumab (1 mg/kg) C1 D1,22,43,64 (Q21D) fb Nivolumab IV C2+ D1,29,57 (Q28D) Maintenance Q84D |
| Nivolumab (3 mg/kg) + Ipilimumab (1 mg/kg) C1 D1,22, C2 D15, C3 D8 (Q21D) fb 6 wk break fb Nivolumab C4+ D22 Maintenance Q28D | Nivolumab (3 mg/kg) + Ipilimumab (1 mg/kg) C1 D1,22, C2 D15, C3 D8 (Q21D) fb 6 wk break fb Nivolumab IV C4+ D22 Maintenance Q28D |
Billing & HCPCS Codes
Updates
The December 2025 updates include new HCPCS Level II codes to separately identify products approved under the 505(b)(2) New Drug Application (NDA) or the Biologics License Applications (BLA) pathways after October 2003 and not rated as therapeutically equivalent to a reference listed product in an existing code. A complete application summary and coding link can be found here.
Please visit CMS’s website for a complete list of January 2026 HCPCS Quarterly update.
The following products have not been released per First Databank (FDB):
- J1736 Injection, meloxicam (delova), 1 mg
- J3291 Injection, tranexamic acid in sodium chloride, 5 mg
- J7528 Mycophenolate mofetil, for suspension, oral, 100 mg
Additions
| Medication | HCPCS Codes |
| bevacizumab-nwgd IV | J9999 per 700 mg |
| bevacizumab-nwgd IV | Q5160 per 10 mg |
| Copper Intrauterine | J7299 per 1 dose |
| denileukin diftitox-cxdl IV | J9161 per 1 mcg |
The following HCPCS codes will be effective January 1, 2026.
| Medication | HCPCS Codes |
| Elivaldogene Autotemcel IV 4x to 30x10exp6 cell/mL | J3387 per:
|
| Epinephrine Continuous Intraosseous Infusion | J0162 per 0.1 mg |
| Epinephrine Endotracheal | J0162 per 0.1 mg |
| Epinephrine IM | J0162 per 0.1 mg |
| Epinephrine Intra-Arterial | J0162 per 0.1 mg |
| Epinephrine Intracardiac | J0162 per 0.1 mg |
| Epinephrine Intraosseous | J0162 per 0.1 mg |
| Epinephrine IV | J0162 per 0.1 mg |
| Epinephrine Nebulized | J0162 per 0.1 mg |
| epinephrine Perineural | J0162 per 0.1 mg |
| Epinephrine Subcutaneous | J0162 per 0.1 mg |
| Epinephrine Submucosal | J0162 per 0.1 mg |
| Esketamine Nasal Spray | J0013 per 1 mg |
| furosemide Subcutaneous (Furoscix) | J1941 per 20 mg |
| Gemcitabine Intravesical | J9184 per 200 mg |
| Gemcitabine IV | J9184 per 200 mg |
| glycopyrrolate-neostigmine IV | J2711 per:
|
| hyaluronate sod, mod., non-crosslink Intra-Articular (Hymovis ONE) | J7322 per 1 mg |
| hyaluronate sod, mod., non-crosslink Intra-Articular (Hymovis) | J7322 per 1 mg |
| Liothyronine IV | J0654 per 1 mcg |
| Liothyronine IV | J3490 per 10 mcg |
| Meloxicam IV | J1737 per 1 mg |
| Midazolam IM Auto-Injector | J3490 per 10 mg |
| Mitomycin Intravesical | J9282 per 1 mg |
| mitomycin Intravesical (Zusduri) | J9282 per 1 mg |
| nipocalimab-aahu IV | J9256 per 3 mg |
| Pentamidine IM | J2516 per 1 mg |
| Pentamidine IV | J2516 per 1 mg |
| plozasiran Subcutaneous | J3490 per 25 mg |
| Posaconazole IV | J1837 per 1 mg |
| prademagene zamikeracel Topical Sheet 5.5 cm X 7.5 cm | J3389 per 1 dose |
| telisotuzumab vedotin-tllv IV | J9326 per 1 mg |
| Testosterone Subcutaneous Implant | J1073 per 75 mg |
| Valproic Acid IV | J3379 per 5 mg |
| Vancomycin Intra-Articular | J3376 per 10 mg |
| Vancomycin Intraperitoneal | J3376 per 10 mg |
| Vancomycin Intrathecal | J3376 per 10 mg |
| Vancomycin Intravitreal | J3376 per 10 mg |
| Vancomycin IV | J3376 per 10 mg |
| Vancomycin Liquid via feeding tube | J3376 per 10 mg |
| Vancomycin Nebulized | J3376 per 10 mg |
| Vancomycin Oral Liquid | J3376 per 10 mg |
| Vancomycin Rectal | J3376 per 10 mg |
| Vancomycin Subconjunctival | J3376 per 10 mg |
| Vasopressin Continuous Intra-Arterial Infusion | J2596 per 1 unit |
| Vasopressin IV | J2596 per 1 unit |
Removals
The following HCPCS codes will be discontinued on December 31, 2025.
| Medication | HCPCS Codes |
| Aducanumab-avwa IV | J0172 per 2 mg |
| Alefacept IM | J0215 per 0.5 mg |
| Alefacept IV | J0215 per 0.5 mg |
| Alglucerase IV | J0205 per 10 unit |
| Amphotericin B Cholesteryl Sulfate Complex IV | J0288 per 10 mg |
| Asparaginase IM | J9020 per 1000 unit |
| Asparaginase IV | J9020 per 1000 unit |
| Asparaginase Intradermal | J9020 per 1000 unit |
| Asparaginase Subcutaneous | J9020 per 1000 unit |
| Corticorelin Ovine Triflutate IV | J0795 per 1 mcg |
| Cytarabine Liposome (PF) Intrathecal | J9098 per 10 mg |
| Daclizumab Subcutaneous | J7513 per 25 mg |
| daprodustat Oral | J0889 per 1 mg |
| Daunorubicin Liposome IV | J9151 per 10 mg |
| Doripenem IV | J1267 per 10 mg |
| Ferric Pyrophosphate Citrate Hemodialysis 27.2 mg iron/5 mL | J1443 per 0.1 mg |
| Gallium Nitrate IV | J1457 per 1 mg |
| Ganciclovir Intravitreal Implant | J7310 per 4.5 mg |
| Imm glob G (IgG)-Sorb-IgA 0-50 (PF) IV | J1572 per 100 mg |
| Immun glob G(IgG)-Sorb-IgA 50+ (PF) IV | J1572 per 100 mg |
| Immune Globulin (IGG)(PF) IV | J1572 per 100 mg |
| Immune Globulin (IGG)(PF) IV (Bivigam) Original | J1572 per 100 mg |
| Immune Globulin (IGG)(PF) IV (Flebogamma DIF) Original | J1572 per 100 mg |
| Immune Globulin (IGG)(PF) IV (Gammagard Liquid) Original | J1572 per 100 mg |
| Immune Globulin (IGG)(PF) IV (Gammaplex) Original | J1572 per 100 mg |
| Immune Globulin (IGG)(PF) IV (Privigen) Original | J1572 per 100 mg |
| Immune Globulin (IGG)(PF) Subcutaneous (Gammagard Liquid) Original | J1572 per 100 mg |
| Immune Globulin (IGG)(PF) Subcutaneous 10 % | J1572 per 100 mg |
| Immune Globulin (IGG)(PF) Subcutaneous 16 % | J1572 per 100 mg |
| Interferon alfacon-1 Subcutaneous | J9212 per 1 mcg |
| kit for Tc 99m-sod thiosulfate IV | Q9969 per 1 dose |
| kit for Tc 99m-sod thiosulfate Oral | Q9969 per 1 dose |
| kit for Tc 99m-sod thiosulfate Subcutaneous | Q9969 per 1 dose |
| kit for Tc 99m-sod thiosulfate via feeding tube | Q9969 per 1 dose |
| kit for of prep Tc-99m-albumin IV | Q9969 per 1 dose |
| kit prep of Tc-99m-sod pyroph IV | Q9969 per 1 dose |
| Kit Prep Tc 99m-Sod Oxidronate IV | Q9969 per 1 dose |
| Kit Prep of Tc-99m-Tetrofosmin IV | Q9969 per 1 dose |
| Kit for Prep Tc-99m-Bicisate IV | Q9969 per 1 dose |
| Kit for Tc 99m—Labeled RBCs IV | Q9969 per 1 dose |
| Kit for Tc 99m—Mertiatide (betiat) IV | Q9969 per 1 dose |
| Kit for Tc 99m-Sestamibi No.1 IV | Q9969 per 1 dose |
| Methyl Aminolevulinate Topical Cream 16.8 % (168 mg/gram) | J7309 per 1 g |
| Muromonab CD3 IV | J7505 per 5 mg |
| Nabilone Oral | J8650 per 1 mg |
| Nabilone via feeding tube | J8650 per 1 mg |
| Pegademase Bovine IM | J2504 per 25 unit |
| Teniposide IV | Q2017 per 50 mg |
| Tinzaparin Subcutaneous | J1655 per 1000 unit |
| Urofollitropin IM | J3355 per 75 unit |
| Urofollitropin Subcutaneous | J3355 per 75 unit |
NDC – HCPCS Crosswalk
Updates
The CMS ASP pricing can be found at https://www.cms.gov/medicare/payment/part-b-drugs/asp-pricing-files.
Additions
| Medication | HCPCS Codes | NDCs |
| Gemcitabine Intravesical | J9184 per 200 mg |
|
| Gemcitabine IV | J9184 per 200 mg |
|
Professional Services
Updates
The following codes and short descriptions will be effective January 1, 2026.
| Code | Description |
| A4295 | Straight tip hydrophilic cath |
| A4296 | Coude tip hydrophilic cath |
| A4297 | Hydrophilic coat insert sup |
| G0568 | Int psych care mng, 1 cal mo |
| G0569 | Subs psych care mng, subs mo |
| G0570 | Care manage serv, pr cal mo |
| G0571 | Intraop nerve cryoablation |
| G0660 | Team remote e/m new pt 10 mn |
| G0661 | Team remote e/m new pt 20 mn |
| G0662 | Team remote e/m new pt 30 mn |
| G0663 | Team remote e/m new pt 45 mn |
| G0664 | Team remote e/m new pt 60 mn |
| G0665 | Team remote e/m est pt 10 mn |
| G0666 | Team remote e/m est pt 15 mn |
| G0667 | Team remote e/m est pt 25 mn |
| G0668 | Team remote e/m est pt 40 mn |
| G9871 | Bhv couns dm prev, onln 60 m |
| M1426 | Telehealth enc |
| M1427 | Doc med rsn bone scn |
| M1428 | Bilateral absence of eyes |
| M1429 | Retinopathy in od, os, ou |
| M1430 | Ret exm ou no retinopthy doc |
| M1431 | Telehealth enc |
| M1432 | Telehealth enc |
| M1433 | Oral chemo wthn 30 days enc |
| M1434 | Orl chemo wthn 30 d post enc |
| M1435 | Oral chemo in perf pd |
| M1436 | Telehealth enc |
| M1437 | Telehealth enc |
| M1438 | Lst knwn well <=210 min |
| M1439 | Sig ocu cond imp surg out |
| M1440 | Telehealth enc |
| M1441 | Init dx slp apn = 1st enc |
| M1442 | Telehealth enc |
| M1443 | Telehealth enc |
| M1444 | Del < 39 weeks gest |
| M1445 | Pp care visit by 12 weeks |
| M1446 | Pt died bef end meas pd |
| M1447 | Pt dx bd bef end meas pd |
| M1448 | Pt dx pd bef end meas pd |
| M1449 | Pt dx scz/pys bef end msr pd |
| M1450 | Pt hos/pal care dur id/pf pd |
| M1451 | Pt dx ppd dur id/pf pd |
| M1452 | Pt dx dementia ever |
| M1453 | Preop vis acu > 20/40 |
| M1454 | New cied |
| M1455 | Rep/rev cied |
| M1456 | Pt had htx |
| M1457 | Dx asth dur crnt/prv perf pd |
| M1458 | Pt died bef end meas pd |
| M1459 | Pt hosp/pal care dur perf pd |
| M1460 | Dx copd, cf, or arf |
| M1461 | Pt dx chron hepc |
| M1462 | Pt clin ind hd image |
| M1463 | 2 f/u wthn 180 day rx atmp |
| M1464 | No record of f/u by 180 days |
| M1465 | F/u > 180 days after rx |
| M1466 | Pt disc/lam proc same day |
| M1467 | Pt dx lynch syn |
| M1468 | Hep b vaccine received |
| M1469 | Hx of hep b, or pos bld test |
| M1470 | Hep b vac not rec’d med rsn |
| M1471 | Ffs hep b not covered |
| M1472 | Hep b vaccine not received |
| M1473 | Pt func cap not allow impr |
| M1474 | Pt dx dementia |
| M1475 | Pt dx huntington |
| M1476 | Pt dx cog imp or ad |
| M1477 | Dx delirium |
| M1478 | Psychoactive sub abuse |
| M1479 | Pt func cap not allow impr |
| M1480 | Pt func cap not allow impr |
| M1481 | Pt in hosp/pal care who died |
| M1482 | Pos quan hep c or qual rna |
| M1483 | Neg quan hep c or qual rna |
| M1484 | No rpt hcv rna perf med rsn |
| M1485 | Neg viro resp hep c/qual rna |
| M1486 | Pt admitted to snf dur eval |
| M1487 | Pt adm to hospice dur eval |
| M1488 | Dx dementia in msr timeframe |
| M1489 | Pt status doc |
| M1490 | Pt status not doc |
| M1491 | Rec’d esrd mcp dur perf pd |
| M1492 | No reported fall |
| M1493 | No fall doc med rsn |
| M1494 | Fall rep since last visit |
| M1495 | Fall w/ poc, no fall |
| M1496 | No doc of fall or poc |
| M1497 | No doc fall med rsn |
| M1498 | Diagnostic radiology mvp |
| M1499 | Interventional radiology mvp |
| M1500 | Neuropsychology mvp |
| M1501 | Pathology mvp |
| M1502 | Podiatry mvp |
| M1503 | Vascular surgery mvp |
| Q4398 | Summit ac per sq cm |
| Q4399 | Summit fx per sq cm |
| Q4400 | Polygon3 per sq cm |
| Q4401 | Absolv3 per sq cm |
| Q4402 | Xwrap 2.0 per sq cm |
| Q4403 | Xwrap dual plus per sq cm |
| Q4404 | Xwrap hydro plus per sq cm |
| Q4405 | Xwrap fenestra plus sq cm |
| Q4406 | Xwrap fenestra per sq cm |
| Q4407 | Xwrap tribus per sq cm |
| Q4408 | Xwrap hydro per sq cm |
| Q4409 | Amniomatrixf3x per sq cm |
| Q4410 | Amchomatrixdl per sq cm |
| Q4411 | Amniomatrixf4x per sq cm |
| Q4412 | Choriofix per sq cm |
| Q4413 | Cygnus solo per sq cm |
| Q4414 | Simplichor per sq cm |
| Q4415 | Alexiguard st-l per sq cm |
| Q4416 | Alexiguard tl-t per sq cm |
| Q4417 | Alexiguard dl-t per sq cm |
| Q4420 | Nuform per sq cm |
| Q4431 | Pma skin substitute, nos |
| Q4432 | 510(k) skin subs, nos |
| Q4433 | 361 hct/p skin subs, nos |
The following codes and short descriptions will be retired on December 31, 2025.
| Code | Description |
| G0071 | Comm svcs by rhc/fqhc 5 min |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo |
| G0512 | Cocm by rhc/fqhc 60 min mo |
| G6001 | Echo guidance radiotherapy |
| G6002 | Stereoscopic x-ray guidance |
| G6003 | Radiation treatment delivery |
| G6004 | Radiation treatment delivery |
| G6005 | Radiation treatment delivery |
| G6006 | Radiation treatment delivery |
| G6007 | Radiation treatment delivery |
| G6008 | Radiation treatment delivery |
| G6009 | Radiation treatment delivery |
| G6010 | Radiation treatment delivery |
| G6011 | Radiation treatment delivery |
| G6012 | Radiation treatment delivery |
| G6013 | Radiation treatment delivery |
| G6014 | Radiation treatment delivery |
| G6015 | Radiation tx delivery imrt |
| G6016 | Delivery comp imrt |
| G6017 | Intrafraction track motion |
| G9604 | Pt surv results not avail |
| Q4100 | Skin substitute, nos |
| Q4106 | Dermagraft |
Current Procedural Terminology (CPT)
Updates
The following codes and short descriptions will be effective January 1, 2026.
| Code | Description |
| 10040 | EXTRACTION |
| 11730 | AVULSION NAIL PLATE SIMPLE 1 |
| 11732 | AVLSN NAIL PLATE SIMPLE EACH |
| 11740 | EVACUATION SUBUNGUAL HMTMA |
| 11750 | EXCISION NAIL&NAIL MATRIX |
| 11765 | WEDGE EXCISION SKN NAIL FOLD |
| 11770 | EXC PILONIDAL CYST SIMPLE |
| 11771 | EXC PILONIDAL CYST XTNSV |
| 11772 | EXC PILONIDAL CYST COMP |
| 11950 | SUBQ NJX FILLING MATRL 1CC/< |
| 11951 | SUBQ NJX FIL MATRL 1.1-5.0CC |
| 11952 | SUBQ NJX FIL MATRL 5.1-10CC |
| 11954 | SUBQ NJX FIL MATRL>10.0 CC |
| 15860 | IV NJX TST VASC FLO FLAP/GRF |
| 16035 | ESCHAROTOMY 1ST INCISION |
| 16036 | ESCHAROTOMY EA ADDL INCISION |
| 17106 | DSTR CUT VSC PRLF LES<10SQCM |
| 17107 | DSTR CUT VSC PRLF LES10-50SQ |
| 17108 | DSTR CUT VSC PRLF LES>50SQCM |
| 17110 | DESTRUCTION B9 LES UP TO 14 |
| 17111 | DESTRUCTION B9 LESIONS 15/> |
| 20500 | NJX SINUS TRACT THERAPEUTIC |
| 20501 | NJX SINUS TRACT DIAGNOSTIC |
| 20520 | RMVL FB MUSC/TDN SIMPLE |
| 20525 | RMVL FB MUSC/TDN DEEP/COMP |
| 20527 | NJX NZM PALMAR FASCIAL CORD |
| 20550 | NJX 1 TENDON SHEATH/LIGAMENT |
| 20551 | NJX 1 TENDON ORIGIN/INSJ |
| 20552 | NJX 1/MLT TRIGGER POINT 1/2 |
| 20553 | NJX 1/MLT TRIGGER POINTS 3/> |
| 20950 | MNTR INTRSTITIAL FLUID PRESS |
| 20974 | ESTIM AID BONE HEALG N-INVAS |
| 20975 | ESTIM AID BONE HEALG INVASIV |
| 20979 | LW NTSTY US STIMJ BONE HEALG |
| 21141 | RCNSTJ MIDFACE LEFORT I 1PC |
| 21142 | RCNSTJ MIDFACE LEFORT I 2PCS |
| 21143 | RCNSTJ MDFACE LEFORT I 3/>PC |
| 21145 | RCNSTJ MDFC LEFORT I 1 W/GRF |
| 21146 | RCNSTJ MDFC LEFORT I 2 W/GRF |
| 21147 | RCNSTJ MDFC LEFORT I 3/>GRF |
| 21150 | RCNSTJ MDFC LEFRTII ANT NTRU |
| 21151 | RCNSTJ MDFC LEFRTII W/B1 GRF |
| 21154 | RCNSTJ MDFC LEFORT III W/O I |
| 21155 | RCNSTJ MDFC LEFORT III W/I |
| 21159 | RCNST MDFC LFRTIII ADVM WO I |
| 21160 | RCNST MDFC LFRTIII ADVM W/I |
| 21172 | RCNST SUPR-LAT ORB RM&LW FHD |
| 21175 | RCNST BFRNT SP ORB RM&LW FHD |
| 21179 | RCNSTJ FOREHEAD WITH GRAFTS |
| 21180 | RCNSTJ FOREHEAD W/AUTOGRAFT |
| 21181 | RCNST CNTRG B9 TUM CRNL XTRC |
| 21610 | COSTOTRANSVERSECTOMY |
| 21615 | EXCISION 1ST &/CERVICAL RIB |
| 21616 | EXC 1ST&/CRV RIB W/SYMPTH |
| 21620 | OSTECTOMY STERNUM PARTIAL |
| 23000 | RMVL SBDLTD CLCREOUS DEP OPN |
| 23020 | CAPSULAR CONTRACTURE RELEASE |
| 23030 | I&D SHOULDER DEEP ABSC/HMTMA |
| 23031 | I&D SHOULDER INFECTED BURSA |
| 23035 | INCISION BONE CORTEX SHO |
| 23040 | ARTHRT GH JT EXPL/DRG/RMV FB |
| 23044 | ARTHRT AC SC JT EXP/RMVL FB |
| 23077 | RAD RESCJ TUM SHOULDER<5 CM |
| 23078 | RAD RESCJ TUM SHOULDER 5CM/> |
| 23100 | ARTHROTOMY GLENHUMRL JT W/BX |
| 23101 | ARTHRT ACRMCLV/STRNCLAV JT |
| 23105 | ARTHROTOMY GLENOHUMERAL JT |
| 23106 | ARTHROTOMY STRNCLAV JOINT |
| 23107 | ARTHRT GLENHUMRL JT W/EXPL |
| 23170 | SEQUESTRECTOMY CLAVICLE |
| 23172 | SEQUESTRECTOMY SCAPULA |
| 23174 | SQSTRCTMY HUMRL HEAD SRG NCK |
| 23180 | PRTL EXCISION BONE CLAVICLE |
| 23182 | PRTL EXCISION BONE SCAPULA |
| 23184 | PRTL EXCISION BONE PROX HUM |
| 23190 | OSTECTOMY SCAPULA PARTIAL |
| 23195 | RESECTION HUMERAL HEAD |
| 23200 | RADICAL RESCJ TUMOR CLAVICLE |
| 23210 | RADICAL RESCJ TUMOR SCAPULA |
| 23220 | RADICAL RESCJ TUMOR PROX HUM |
| 24400 | OSTEOT HUMERUS W/WO INT FIXJ |
| 24410 | MLT OSTEOT RLGNM IMED RD HUM |
| 24420 | OSTEOPLASTY HUMERUS |
| 24430 | RPR NON/MAL HUMERUS WO GRAFT |
| 24435 | RPR NON/MAL HUM WITH AGRFT |
| 24470 | HEMIEPIPHYSEAL ARREST |
| 24495 | DECOMPRESSION FASCT FOREARM |
| 24498 | PROPH TX W/WO MTHYLMTHCRYLT |
| 24500 | CLTX HUMRL SHFT FX W/O MNPJ |
| 24505 | CLTX HUMRL SHFT FX W/MNPJ |
| 24515 | OPTX HUMRL SHFT FX PLATE/SCR |
| 24516 | TX HUMRL SHAFT FX IMED IMPLT |
| 24530 | CLTX SPRCNDYLR HUMERAL FX WO |
| 24535 | CLTX SPRCNDYLR HUMERAL FX W/ |
| 24538 | PRQ SKEL FIX SPRCNDLR HUM FX |
| 24545 | OPTX HUM FX WO NTRCNDYLR XTN |
| 24546 | OPTX HUM FX W/NTRCNDYLR XTN |
| 24560 | CLTX HUM EPCNDYLR FX WO MNPJ |
| 24565 | CLTX HUM EPCNDYLR FX W/MNPJ |
| 24566 | PRQ SKEL FIX EPCNDYLR HUM FX |
| 24575 | OPTX HUMERAL EPCNDYLR FX |
| 24576 | CLTX HUMRL CNDYLR FX WO MNPJ |
| 24577 | CLTX HUMRL CNDYLR FX W/MNPJ |
| 24579 | OPTX HUMRL CNDYLR FRACTURE |
| 24582 | PRQ SKEL FIX HUMRL CNDYLR FX |
| 24586 | OPTX PARTCLR FX&/DISLC ELBOW |
| 24587 | OPTX PARTCLR FX&/DSLC ELBW W |
| 24600 | TX CLSD ELBOW DISLC W/O ANES |
| 24605 | TX CLSD ELBOW DISLC REQ ANES |
| 24615 | OPTX AQT/CHRNC ELBOW DISLC |
| 24620 | CLTX MONTEGGIA FX DISLC ELBW |
| 24635 | OPTX MONTEGGIA FX DISLC ELBW |
| 24640 | CLTX RDL HEAD SUBLXTJ NRSEMD |
| 24650 | CLTX RDL HEAD/NCK FX WO MNPJ |
| 24655 | CLTX RDL HEAD/NCK FX W/MNPJ |
| 24665 | OPTX RADIAL HEAD/NECK FX |
| 24666 | OPTX RADIAL HEAD/NCK FX RPLC |
| 24670 | CLTX ULNAR FX PROX W/O MNPJ |
| 24675 | CLTX ULNAR FX PROX W/MNPJ |
| 24685 | OPTX ULNAR FX PROX END W/FIX |
| 24800 | ARTHRODESIS ELBW JOINT LOCAL |
| 24802 | ARTHRD ELBOW JT AUTOG GRAFT |
| 25028 | I&D F/ARM&/WRST DP ABSC/HMTM |
| 25031 | I&D FOREARM&/WRIST BURSA |
| 25035 | INC DP BONE CRTX F/ARM&/WRST |
| 25040 | ARTHRT RDCRPL/MIDCARPL JT |
| 26499 | CORRECTION CLAW FINGER OTHER |
| 27000 | TENOTOMY ADDUCTOR HIP PERQ |
| 27001 | TENOTOMY ADDUCTOR HIP OPEN |
| 27003 | TNOT ADDUCTR SUBQ OPN NEURCT |
| 27005 | TENOTOMY HIP FLEXOR OPEN |
| 27006 | TENOTOMY ABDUCTOR&/XTNSR HIP |
| 27025 | FASCIOTOMY HIP/THIGH ANY TYP |
| 27027 | DCMPRN FASCT PEL COMPARTMENT |
| 27030 | ARTHROTOMY HIP W/DRAINAGE |
| 27033 | ARTHRT HIP EXPL/RMV LOOSE/FB |
| 27036 | CAPSULECTOMY/CAPSULOTOMY HIP |
| 27278 | ARTHRD SI JT PLMT IARTIC DEV |
| 27279 | ARTHRD SI JT PLMT TARTCLR DV |
| 27458 | OSTEOT FEMUR IMED LNGTH DEV |
| 27713 | OSTEOT TIBIA IMED LNGTH DEV |
| 28400 | CLTX CALCANEAL FX W/O MNPJ |
| 28405 | CLTX CALCANEAL FX W/MNPJ |
| 28406 | PRQ SKEL FIX CLCNL FX W/MNPJ |
| 28415 | OPTX CALCANEAL FRACTURE |
| 28420 | OPTX CALCANEAL FX W/BONE GRF |
| 28430 | CLTX TALUS FRACTURE W/O MNPJ |
| 28435 | CLTX TALUS FRACTURE W/MNPJ |
| 28436 | PRQ SKEL FIX TALUS FX W/MNPJ |
| 28445 | OPTX TALUS FRACTURE |
| 28446 | OPN OSTEOCHONDRL AGRFT TALUS |
| 28450 | TX TARSAL B1 FX W/O MNPJ EA |
| 28455 | TX TARSAL B1 FX W/MNPJ EACH |
| 28456 | PRQ SKEL FIX TARSL FX W/MNPJ |
| 28465 | OPTX TARSAL BONE FX EACH |
| 28470 | CLTX METATARSAL FX WO MNP EA |
| 28475 | CLTX METATARSAL FX W/MNPJ EA |
| 28476 | PRQ SKEL FIX METAR FX W/MNPJ |
| 28485 | OPTX METATARSAL FX EACH |
| 29000 | APPL HALO TYPE BODY CAST |
| 29010 | APPL RISSER JACKET BODY ONLY |
| 29015 | APPL RISSR JACKET BDY W/HEAD |
| 29035 | APPL BODY CAST SHO TO HIPS |
| 29040 | APPL BDY CST SHO TO HIP HEAD |
| 29044 | APPL BDY CST SHO TO HIP 1THI |
| 29046 | APPL BDY CST SHO TO HIP B TH |
| 29049 | APPL CAST FIGURE-OF-EIGHT |
| 29055 | APPL CAST SHOULDER SPICA |
| 29058 | APPL CAST PLASTER VELPEAU |
| 29065 | APPL CST SHO TO HAND LNG ARM |
| 29075 | APPL CST ELBW FNGR SHORT ARM |
| 29085 | APPL CAST HAND&LWR FOREARM |
| 29086 | APPLICATION CAST FINGER |
| 29105 | APPLICATION LONG ARM SPLINT |
| 29125 | APPL SHORT ARM SPLINT STATIC |
| 29126 | APPL SHORT ARM SPLINT DYN |
| 29130 | APPL FINGER SPLINT STATIC |
| 29131 | APPL FINGER SPLINT DYNAMIC |
| 29305 | APPL HIP SPICA CAST 1 LEG |
| 29325 | APPL HIP SPICA CAST1&1/2 |
| 29355 | APPL LONG LEG CAST WALKER |
| 29358 | APPL LONG LEG CAST BRACE |
| 29365 | APPL CYLINDER CAST |
| 29405 | APPL SHORT LEG CAST |
| 29425 | APPL SHORT LEG CAST WALKING |
| 29435 | APPL PATLLR TDN BEARING CAST |
| 29440 | ADDING WALKER TO PREV CAST |
| 29445 | APPL RIGID TOT CNTC LEG CAST |
| 29450 | APPLICATION CLUBFOOT CAST |
| 29515 | APPLICATION SHORT LEG SPLINT |
| 29540 | STRAPPING ANKLE &/FOOT |
| 29581 | APPL MULTLAYER CMPRN SYS LEG |
| 29584 | APPL MLTLAY CMPRN SYS UP ARM |
| 29700 | RMVL/BIVLV GAUNTLET BOOT/CST |
| 29705 | RMVL/BIVLV FULL ARM/LEG CAST |
| 29710 | RMVL/BIVLV SHO/HIP SPICA |
| 29720 | REPAIR SPICA BODY CST/JACKET |
| 29870 | ARTHRS KNEE DX W/WO SYN BX |
| 29871 | ARTHRS KNEE SURG FOR INFCTJ |
| 29873 | ARTHRS KNEE SURG W/LAT RLS |
| 29874 | ARTHRS KNEE SURG RMV LOOS/FB |
| 29875 | ARTHRS KNEE SURG SYNVCT LMTD |
| 29876 | ARTHRS KNEE SURG SYNVCT MAJ |
| 29877 | ARTHRS KNEE SURG DBRDMT/SHVG |
| 29879 | ARTHRS KNE SRG ABRASJ ARTHRP |
| 29880 | ARTHRS KNE SRG MNISECTMY M&L |
| 29881 | ARTHRS KNE SRG MNISECTMY M/L |
| 29882 | ARTHRS KNE SRG MNISC RPR M/L |
| 29883 | ARTHRS KNE SRG MNISC RPR M&L |
| 29884 | ARTHRS KNEE SURG LYSIS ADS |
| 29885 | ARTHRS KNE SRG DRLG OST DISS |
| 29886 | ARTHRS KNEE SURG DRLG OD LES |
| 29887 | ARTHRS KNEE SRG DRLG OD FIXJ |
| 29888 | ARTHRS AID ACL RPR/AGMNTJ |
| 29889 | ARTHRS AID PCL RPR/AGMNTJ |
| 29891 | ARTHR ANK OSTCHN DF TAL&/TIB |
| 29892 | ARTHRS AID RPR OD LES/TIB FX |
| 29893 | ENDOSCOPIC PLANTR FASCIOTOMY |
| 33880 | EVASC RPR TA NDGFT COV LSA |
| 33881 | EVASC RPR TA NDGFT XCOV LSA |
| 33882 | EVASC RPR TA DPLMT MLTPC SYS |
| 33883 | DELAYED PLMT PROX XTN PROSTH |
| 33886 | DELAYED PLMT DSTL XTN PROSTH |
| 35601 | BPG COM CRTD-IPSI INT CRTD |
| 35602 | BPG CRTD-CLAT CRTD |
| 35606 | BPG CAROTID-SUBCLAVIAN |
| 35612 | BPG SUBCLAVIAN-SUBCLAVIAN |
| 35616 | BPG SUBCLAVIAN-AXILLARY |
| 35621 | BPG AXILLARY-FEMORAL |
| 35623 | BPG AXILLARY-POP/-TIBIAL |
| 35626 | BPG AOR-SUBCLA/INNOM/CAROTID |
| 35631 | BPG AOR-CELIAC-MSN-RENAL |
| 35632 | BPG ILIO-CELIAC |
| 35633 | BPG ILIO-MESENTERIC |
| 35634 | BPG ILIORENAL |
| 35636 | BPG SPLENORENAL |
| 35637 | BPG AORTOILIAC |
| 35638 | BPG AORTOBI-ILIAC |
| 35642 | BPG CAROTID-VERTEBRAL |
| 35645 | BPG SUBCLAVIAN-VERTEBRAL |
| 35646 | BPG AORTOBIFEMORAL |
| 35647 | BPG AORTOFEMORAL |
| 35650 | BPG AXILLARY-AXILLARY |
| 35654 | BPG AXILLARY-FEMORAL-FEMORAL |
| 35656 | BPG FEMORAL-POPLITEAL |
| 35661 | BPG FEMORAL-FEMORAL |
| 35663 | BPG ILIOILIAC |
| 35665 | BPG ILIOFEMORAL |
| 35666 | BPG FEM-ANT TIB PST TIB/PRNL |
| 35671 | BPG POP-TIBL/-PRNL ARTERY |
| 37254 | REVSC EVASC IVT ANGIO SF 1ST |
| 37255 | REVSC EVASC IVT ANGIO SF EA |
| 37256 | REVSC EVASC IVT ANGIO CPLX 1 |
| 37257 | REVSC EVSC IVT ANGIO CPLX EA |
| 37258 | REVSC EVASC IVT STENT SF 1ST |
| 37259 | REVSC EVASC IVT STENT SF EA |
| 37260 | REVSC EVASC IVT ST CPLX 1ST |
| 37261 | REVSC EVASC IVT ST CPLX EA |
| 37262 | IV LITHOTRP IVT W/IN SM ART |
| 37263 | REVSC EVASC FPVT ANGIO SF 1 |
| 37264 | REVSC EVASC FPVT ANGIO SF EA |
| 37265 | REVSC EVSC FPVT ANGIO CPLX 1 |
| 37266 | RVSC EVSC FPVT ANGIO CPLX EA |
| 37267 | REVSC EVSC FPVT STENT SF 1ST |
| 37268 | REVSC EVASC FPVT STENT SF EA |
| 37269 | REVSC EVASC FPVT ST CPLX 1ST |
| 37270 | REVSC EVASC FPVT ST CPLX EA |
| 37271 | REVSC EVSC FPVT ATHRC SF 1ST |
| 37272 | REVSC EVSC FPVT ATHRC SF EA |
| 37273 | REVSC EVSC FPVT ATHRC CPLX 1 |
| 37274 | RVSC EVSC FPVT ATHRC CPLX EA |
| 37275 | RVSC EVSC FPVT ST ATHRC SF 1 |
| 37276 | RVSC EVSC FPVT ST ATHR SF EA |
| 37277 | RVSC EVSC FPVT ST ATHR CPX 1 |
| 37278 | RVSC EVSC FPVT ST ATH CPX EA |
| 37279 | IV LITHOTRP FPVT W/IN SM ART |
| 37280 | REVSC EVSC TPVT ANGIO SF 1ST |
| 37281 | REVSC EVSC TPVT ANGIO SF EA |
| 37282 | RVSC EVSC TPVT ANGIO CPLX 1 |
| 37283 | RVSC EVSC TPVT ANGIO CPLX EA |
| 37284 | REVSC EVASC TPVT ST SF 1ST |
| 37285 | REVSC EVASC TPVT ST SF EA |
| 37286 | REVSC EVASC TPVT ST CPLX 1ST |
| 37287 | REVSC EVASC TPVT ST CPLX EA |
| 37288 | REVSC EVSC TPVT ATHRC SF 1ST |
| 37289 | REVSC EVSC TPVT ATHRC SF EA |
| 37290 | REVSC EVSC TPVT ATHRC CPLX 1 |
| 37291 | REVSC EVSC TPVT ATHR CPLX EA |
| 37292 | RVSC EVSC TPVT ST ATHRC SF 1 |
| 37293 | RVSC EVSC TPVT ST ATHR SF EA |
| 37294 | RVSC EVSC TPVT ST ATHR CPX 1 |
| 37295 | RVSC EVSC TPVT ST ATH CPX EA |
| 37296 | REVSC EVASC IMVT ANGIO SF 1 |
| 37297 | REVSC EVASC IMVT ANGIO SF EA |
| 37298 | REVSC EVSC IMVT ANGIO CPLX 1 |
| 37299 | REVSC EVSC IMVT ANGIO CPX EA |
| 42700 | I&D ABSCESS PERITONSILLAR |
| 42720 | I&D ABSC PHRNGL NTRAORL APPR |
| 42725 | I&D ABSC PHRNGL XTRNL APPR |
| 43840 | GSTRRPHY SUTR DUOL/GSTR ULCR |
| 43842 | GSTR RSTCV PX V-BANDED GSTP |
| 43843 | GSTR RSTCV OTH/THN V-BAND |
| 43846 | GSTR RSTCV PX SHRT ROUX-EN-Y |
| 43847 | GSTR RSTCV PX SM INT RCNSTJ |
| 43848 | REVJ OPEN GSTR RSTCV PX |
| 43860 | REVJ GSTR/JJ ANAST W/O VGTMY |
| 43865 | REVJ GSTR/JJ ANAST W/VGTMY |
| 43870 | CLOSURE GASTROSTOMY SURGICAL |
| 43880 | CLOSURE GASTROCOLIC FISTULA |
| 43881 | IMPL/RPLCMT GSTR NSTIM ELTRD |
| 43882 | REV/RMVL GSTR NSTIM ELTRD |
| 43886 | GSTR RSTCV PX OPN REVJ PORT |
| 43887 | GSTR RSTCV PX OPN RMVL PORT |
| 43888 | GSTR RSTCV PX OPN RMVL&RPLC |
| 43889 | GSTR RSTCV PX TRNSORL ESG |
| 44900 | I&D APPENDIX ABSCESS OPEN |
| 46040 | I&D ISCHIORCT&/PERIRCT ABSC |
| 46045 | I&D ABSC TRANAL UNDER ANES |
| 46050 | I&D PERIANAL ABSCESS SUPFC |
| 46060 | I&D ISCHIORECTAL/NTRMRL ABSC |
| 46080 | SPHNCTROTMY ANAL DIV SPHNCTR |
| 46083 | INC THROMBOSED HROID XTRNL |
| 47384 | ABLTJ IRE LIVER 1+ TUM PERQ |
| 52400 | CYSTO CGEN POST URTL VALVES |
| 52402 | CYSTO TRURL RESCJ EJACUL DUX |
| 52441 | CYSTO INSJ TRNSPRSTC 1 IMPLT |
| 52442 | CYSTO INS TRNSPRSTC IMPLT EA |
| 52443 | CYSTO 1ST TRURL PRST8 COMIS |
| 52450 | TRANSURETHRAL INC PROSTATE |
| 52500 | TRURL RESECTION BLADDER NECK |
| 52597 | TRURL RBTC WTRJT RESCJ PRST8 |
| 54015 | I&D PENIS DEEP |
| 54700 | I&D EPDIDYMS TSTIS&/SCROT SP |
| 55705 | BX PRST8 ANY APPROACH NONIMG |
| 55706 | BX PRST8 NDL SAT SAMPLING |
| 55707 | BX PRST8 TRCT US GUIDED |
| 55708 | BX PRST8 TRCT US W/MRI FUS 1 |
| 55709 | BX PRST8 TPRNL US GUIDED |
| 55710 | BX PRST8 TPRN US W/MRI FUS 1 |
| 55711 | BX PRST8 TRCT MRI-US 1ST |
| 55712 | BX PRST8 TPRNL MRI-US 1ST |
| 55713 | BX PRST8 IN-BORE CT/MRI BX 1 |
| 55714 | BX PRST8 IN-BORE CT/MRI 1 |
| 55715 | BX PRST8 EA ADD MRI-US/CT/MR |
| 55868 | LAP SRG PRST8CT LYMPH NOD BX |
| 55869 | LAP SRG PRST8CT BI PL LMPHAD |
| 55877 | ABLTJ IRE PRST8 1+ TUM PERQ |
| 56405 | I&D VULVA/PERINEAL ABSCESS |
| 56420 | I&D BARTHOLINS GLAND ABSCESS |
| 60000 | I&D THYROGLSSL DUX CST INFCT |
| 61623 | EVASC TEMP BALO ARTL OCC H/N |
| 61624 | TCAT PERM OCCLS/EMBOLJ CNS |
| 61626 | TCAT PERM OCCLS/EMBOL NONCNS |
| 61630 | BALO ANGIOPLASTY ICR PERQ |
| 62287 | DCMPRN PQ NUC PUL 1/MLT LMBR |
| 62330 | DCMPRN PRQ RMV LIG FLV 1LMBR |
| 62331 | DCMPRN PRQ RMV LIG FLV ADDL |
| 63020 | LAMOT DCMPRN NRV RT 1 CERV |
| 63030 | LAMOT DCMPRN NRV RT 1 LMBR |
| 63032 | LAMOT RPR ANULR DFCT 1 LMBR |
| 63035 | LAMOT DCMPRN NRV RT EA ADDL |
| 64567 | PERQ ELEC NRV FIELD STIMJ CN |
| 64654 | 1ST OPN IMPLT BAT MODULJ SYS |
| 64655 | REVJ/RPLCMT BAT MOD SYS LEAD |
| 64656 | REVJ/RPLCMT BAT MOD SYS PG |
| 64657 | RMVL BAT MODULJ SYS TOT SYS |
| 64658 | RMVL BAT MODUL SYS LEAD ONLY |
| 64659 | RMVL BAT MODULJ SYS PG ONLY |
| 64722 | DECOMPRESSION UNSPEC NERVE |
| 64726 | DCMPRN PLANTAR DIGITAL NERVE |
| 64727 | INTERNAL NEUROLYSIS |
| 64728 | DCMPRN MEDIAN NRV CARPL TUNL |
| 70471 | CTA H&N C+ W/NONCONTRAST IMG |
| 70472 | CT CERE PRFU ALYS C+W/CT/CTA |
| 70473 | CT CERE PRFU ALY C+WO CT/CTA |
| 75577 | QUAN&CHAR C ATHROSCLRTC PLAQ |
| 76805 | OB US >/= 14 WKS SNGL FETUS |
| 76810 | OB US >/= 14 WKS ADDL FETUS |
| 77402 | RADIATION TX DELIVERY LVL 1 |
| 77407 | RADIATION TX DELIVERY LVL 2 |
| 77412 | RADIATION TX DELIVERY LVL 3 |
| 77436 | SURF RADJ THER TX PLANNING |
| 77437 | SURF RADJ THER SUPFC<=150KV |
| 77438 | SURF RAD THR ORTHVLT>150-500 |
| 77439 | SURF RAD THR IMG GDN US PLMT |
| 78264 | GASTRIC EMPTYING IMG STUDY |
| 78265 | GSTR EMPTG IMG SM BWL TRNST |
| 78266 | GSTR EMPT IMG SM BWL&COLON |
| 78267 | UREA BREATH TST C-14 ACQUISJ |
| 78268 | UREA BREATH TEST C-14 ALYS |
| 78282 | GI PROTEIN LOSS |
| 78290 | INTESTINE IMAGING |
| 78291 | PERTL-VEN SHUNT PATENCY TEST |
| 80047 | BASIC METABLC PNL IONIZED CA |
| 80048 | BASIC METABOLIC PNL TOTAL CA |
| 81354 | CYTOG ALYS CHRML ABNOR OGM |
| 81524 | ONC CNS TUM DNA MTHYL 10,000 |
| 83015 | HEAVY METAL QUAL ANY NUMBER |
| 83018 | HEAVY METAL QUAN EACH NES |
| 87181 | SC STD AGAR DILUTION PER AGT |
| 87182 | SC STD CARBAPENEMASE NZM DET |
| 87183 | SC STD CARBAPENEM RESIST GEN |
| 87184 | SC STD DISK METHOD PER PLATE |
| 87185 | SC STD ENZYME DETCJ PER NZM |
| 87186 | SC STD MICRODIL/AGAR DIL |
| 87187 | SC STD MICRODIL/AGAR MLC |
| 87188 | SC STD MACROBROTH DIL METH |
| 87190 | SC STD MYOBACTERIA PROP METH |
| 87197 | SERUM BACTERICIDAL TITER |
| 87230 | TOXIN/ANTITOXIN ASY TISS CUL |
| 87494 | CHLMY TRCH&NEISRA GONOR MULT |
| 87627 | JT SPC PTHGN&RX RSIST GEN26+ |
| 87812 | SARSCOV2&INF TYP A&B W/OPTIC |
| 87905 | IA NZMTC ACTV OTH/THN VIRUS |
| 90480 | ADMN SARSCOV2 VAC 1/ONLY CMP |
| 90481 | ADMN SARSCOV2 VAC EA ADD CMP |
| 90482 | IMM CNSL NOT ADMN SM 3<10 |
| 90483 | IMM CNSL NOT ADMN SM>10<20 |
| 90484 | IMM CNSL NOT ADMN SM>20 |
| 90882 | ENVRN IVNTJ MED MGMT PSYC PT |
| 90887 | INTERPJ/EXPLNAJ RSLT PSYC XM |
| 91124 | RCT SNSATN TONE&CMPLIANC STD |
| 91125 | ANRCT MANO RCT SNSATN&BALO |
| 92288 | SCR DARK ADAPTATION MEAS I&R |
| 92628 | EVAL HEARING AID CAND 1ST 30 |
| 92629 | EVAL HEARING AID CAND EA ADD |
| 92631 | HEARING AID SLCTN SVC 1ST 30 |
| 92632 | HEARING AID SLCTN SVC EA ADD |
| 92634 | HEARING AID FITG SVC 1ST 60 |
| 92635 | HEARING AID FITG SVC EA ADDL |
| 92636 | HEARING AID POST-FITG F-UP 1 |
| 92637 | HEARING AID PST-FITG F-UP EA |
| 92638 | BHVL VERIF OF AMPLIFICATION |
| 92639 | HEARING AID MEAS VERIF |
| 92641 | HEARING DEV VERIF EACOUS ALY |
| 92642 | HEARING ASSTV DEV FITG SVC |
| 92920 | PRQ TRLUML C ANGIOP 1ART&/BR |
| 92924 | PRQ TRLUML C ATHRC 1 ART&/BR |
| 92928 | PRQ TCAT PLMT NTRAC ST 1 LES |
| 92930 | PRQ TCAT PLMT NTRAC ST 2+LES |
| 92933 | PRQ TRLML C ATHRC ST ANGIOP1 |
| 92937 | PRQ TRLUML REVSC CAB GRF 1 |
| 92941 | PRQ TRLML REVSC TOT OCCL AMI |
| 92943 | PRQ TRLUML REVSC CH OCC ANT |
| 92945 | PRQ TRL RVS CH OCC ANT&RTRGR |
| 92973 | PRQ TRLUML C MCHN ASP THRMBC |
| 93015 | CV STRESS TEST SUPVJ I&R |
| 93016 | CV STRESS TEST SUPVJ ONLY |
| 93017 | CV STRESS TEST TRACING ONLY |
| 93018 | CV STRESS TEST I&R ONLY |
| 93145 | INTERROG CRTD SINS BAT IP WO |
| 93146 | INTERROG CRTD SINS BAT IP W/ |
| 93571 | IV DOP VEL&/PRESS C FLO 1ST |
| 93572 | IV DOP VEL&/PRESS C FLO EA |
| 94450 | BREATHING RESPONSE HYPOXIA |
| 94452 | HAST W/I&R PHYS/QHP |
| 94453 | HAST W/SUPPL OXYGEN TITRJ |
| 94610 | INTRAPULM SURFACTANT ADMN |
| 94644 | CONT INHLJ TX 1ST HOUR |
| 94645 | CONT INHLJ TX EACH ADDL HOUR |
| 94660 | CPAP INITIATION&MGMT |
| 94664 | DEMO&/EVAL PT USE INHALER |
| 94667 | MNPJ CHEST WALL 1ST |
| 94668 | MNPJ CHEST WALL SBSQ |
| 94680 | O2 UPTK RST&XERS DIR SIMPLE |
| 94681 | O2 UPTK CO2 OUTP % O2 XTRC |
| 94690 | O2 UPTK REST INDIRECT |
| 94726 | PLETHYSMOGRAPHY LUNG VOLUMES |
| 94727 | GAS DIL/WSHOT DETER LNG VOL |
| 94729 | DIFFUSING CAPACITY |
| 94760 | N-INVAS EAR/PLS OXIMETRY 1 |
| 94761 | N-INVAS EAR/PLS OXIMETRY MLT |
| 94762 | N-INVAS EAR/PLS OXIMTRY CONT |
| 94772 | CIRCADIAN RESPIR PATTERN REC |
| 94774 | PED HOME APNEA MNTR EVNT REC |
| 94775 | PED HOME APNEA MNTR ATT ONLY |
| 94776 | PED HOME APNEA MNTR DL&ALYS |
| 94777 | PED HOME APNEA MNTR RVW I&R |
| 96931 | RCM IMG ACQUISJ&I&R 1ST LES |
| 96932 | RCM IMG ACQUISJ ONLY 1ST LES |
| 96933 | RCM I&R ONLY 1ST LESION |
| 96934 | RCM IMG ACQUISJ&I&R EA ADDL |
| 96935 | RCM IMG ACQUISJ ONLY EA ADDL |
| 96936 | RCM I&R ONLY EA ADDL LESION |
| 97007 | MCHNL SCLP COOL MEAS FITG |
| 97008 | MCHNL SCLP COOL PREP PLMT |
| 97009 | MCHNL SCLP COOL AFTER CHEMO |
| 98975 | RTM 1ST SET-UP&PT EDUCAJ EQP |
| 98976 | RTM DEV SPLY RESP SYS 16-30D |
| 98977 | RTM DEV SPLY MSCSKL 16-30 D |
| 98978 | RTM DEV SPLY CBT 16-30 D |
| 98979 | RTM TX MGMT 1ST 10 MIN |
| 98980 | RTM TX MGMT 1ST 20 MIN |
| 98981 | RTM TX MGMT EA ADDL 20 MIN |
| 98984 | RTM DEV SPLY RESP SYS 2-15 D |
| 98985 | RTM DEV SPLY MSCSK SYS 2-15D |
| 98986 | RTM DEV SPLY CBT 2-15 D |
| 99445 | REM MNTR PHYSIOL PARAM 2-15 |
| 99454 | REM MNTR PHYSIOL PARAM 16-30 |
| 99457 | RPM TX MGMT 1ST 20 MIN |
| 99458 | RPM TX MGMT EA ADDL 20 MIN |
| 99470 | RPM TX MGMT 1ST 10 MIN |
| 99478 | SBSQ IC VLBW INF<1,500 GM |
| 99479 | SBSQ IC LBW INF 1,500-2,500 |
| 99480 | SBSQ IC INF PBW 2,501-5,000 |
| 00100 | ANES PX SALIVARY GLAND W/BX |
| 00102 | ANES PX PLSTC RPR CLEFT LIP |
| 00103 | ANES RCNSTV PX EYELID |
| 00104 | ANES ELECTROCONVULSIVE THER |
| 00120 | ANES PX EAR W/BX NOS |
| 00124 | ANES PX EAR OTOSCOPY |
| 00126 | ANES PX EAR TYMPANOTOMY |
| 00140 | ANES PROCEDURES ON EYE NOS |
| 00142 | ANES PX ON EYE LENS SURGERY |
| 00144 | ANES PX EYE CORNEAL TRNSPL |
| 00145 | ANES PX EYE VITREORTNL SURG |
| 00147 | ANES PX ON EYE IRIDECTOMY |
| 00148 | ANES PX EYE OPHTHALMOSCOPY |
| 00160 | ANES PX NOSE&SINUS NOS |
| 00162 | ANES PX NOSE&SINUS RAD SURG |
| 00164 | ANES PX NOSE&SINS BX SFT TIS |
| 00170 | ANES INTRAORAL PX NOS |
| 00172 | ANES NTRORAL PX RPR CLFT PAL |
| 00174 | ANES NTRORL EXC RTRPHRNG TUM |
| 00176 | ANES INTRAORAL PX RAD SURG |
| 00190 | ANES PX FACIAL B1/SKULL NOS |
| 00192 | ANES PX FCL B1/SKL RAD SURG |
| 00210 | ANES INTRACRANIAL PX NOS |
| 00211 | ANES ICR PX CRNEC/CRNOT HMTM |
| 00212 | ANES ICR PX SUBDURAL TAPS |
| 00214 | ANES ICR PX BURR HOLES |
| 00215 | ANES ICR PX CRNOP/ELVTN FX |
| 00216 | ANES ICR PX VASCULAR PX |
| 00218 | ANES ICR PX IN SITTING POS |
| 00220 | ANES ICR PX CSF SHUNTING PX |
| 00222 | ANES ICR PX ECOAG ICR NRV |
| 00300 | ANES ALL PX INTEG H/N/PTRUNK |
| 00320 | ANES ALL PX NECK NOS 1YR/> |
| 00322 | ANES ALL PX NCK NDL BX THYR |
| 00326 | ANES ALL PX LARYNX&TRACH<1YR |
| 00350 | ANES PX MAJOR VSL NECK NOS |
| 00352 | ANES PX MAJ VSL NCK SMPL LIG |
| 00400 | ANES INTEGUMENTARY SYS NOS |
| 00402 | ANES INTEG SYS RCNSTV BREAST |
| 00404 | ANES INTEG SYS RAD/MODF BRST |
| 00406 | ANES INTEG SYS RAD BRST DSJ |
| 00410 | ANES INTEG SYS CONV ARRHYT |
| 00450 | ANES PX CLAV&SCAPULA NOS |
| 00454 | ANES PX CLAV&SCAPULA BX CLAV |
| 00470 | ANES PARTIAL RIB RESCJ NOS |
| 00472 | ANES PRTL RIB RESCJ THORACOP |
| 00474 | ANES PRTL RIB RESCJ RAD PX |
| 00500 | ANES ALL PX ON ESOPHAGUS |
| 00520 | ANES CLOSED CHEST PX NOS |
| 00522 | ANES CLSD CH PX NDL BX PLEUR |
| 00524 | ANES CLSD CH PX PNEUMOCENTS |
| 00528 | ANES CLSD CH MEDIAST&THRC WO |
| 00529 | ANES CLSD CH MEDIAST&THRC W/ |
| 00530 | ANES PERM TRANSVNS PM INSJ |
| 00532 | ANES ACCESS CTR VENOUS CRCJ |
| 00534 | ANES INSERTION/RPLCMT CVDFB |
| 00537 | ANES CARDIAC EP PROCEDURES |
| 00539 | ANES TRACHEOBRONCHIAL RCNSTJ |
| 00540 | ANES THORACOTOMY PX NOS |
| 00541 | ANES THRCM PX 1 LUNG VNTJ |
| 00542 | ANES THRCM PX DECORTICATION |
| 00546 | ANES THRCM PX PULM RESCJ |
| 00548 | ANES THRCM PX TRACH&BRONCHI |
| 00550 | ANES FOR STERNAL DEBRIDEMENT |
| 00560 | ANES PX HEART W/O PUMP OXTJ |
| 00561 | ANES PX HEART W/PUMP<1 YR |
| 00562 | ANES PX HRT W/PUMP AGE 1YR+ |
| 00563 | ANES PX HEART W/PMP CRC ARST |
| 00566 | ANES DIRECT CABG W/O PUMP |
| 00567 | ANES DIRECT CABG W/PUMP |
| 00580 | ANES HEART/LUNG TRANSPLANT |
| 00600 | ANES PX CRV SPINE&CORD NOS |
| 00604 | ANES PX CRV SPN&CORD SITTING |
| 00620 | ANES PX THRC SPINE&CORD NOS |
| 00625 | ANES THRC SPINE WO 1LNG VENT |
| 00626 | ANES THRC SPINE W/1 LNG VENT |
| 00630 | ANES PX LUMBAR REGION NOS |
| 00632 | ANES PX LUMBAR SYMPATHECTOMY |
| 00635 | ANES DX/THER LUMBAR PNXR |
| 00640 | ANES SPINE MANIPULATION |
| 00670 | ANES XTNSV SP&SPI CORD PX |
| 00700 | ANES PX UPR ANT ABD WALL NOS |
| 00702 | ANES UPR ANT ABD WALL LVR BX |
| 00730 | ANES PX UPPER PST ABDL WALL |
| 00800 | ANES PX LWR ANT ABDL WAL NOS |
| 00802 | ANES PX LWR ABDL WAL PANNIC |
| 00820 | ANES PX LWR POST ABDL WALL |
| 00830 | ANES HERNIA RPR LWR ABD NOS |
| 00832 | ANES HERNIA REPAIR VNT&INCAL |
| 00834 | ANES HERNIA REPAIR<1 YR AGE |
| 00836 | ANES HRNA RPR<37WK BRTH<50 |
| 00840 | ANES IPER PX LOWER ABD NOS |
| 00842 | ANES IPER PX AMNIOCENTESIS |
| 00844 | ANES IPER PX ABDMNPRNL RESCJ |
| 00846 | ANES IPER PX RAD HYSTRECTOMY |
| 00848 | ANES IPER PX PEL EXENTRATION |
| 00851 | ANES IPER PX TUBAL LIGATION |
| 00860 | ANES XTRPRTL PX LWR ABD NOS |
| 00862 | ANES XTRPRTL LWR ABD RNL PX |
| 00864 | ANES XTRPRT LWR ABD TOT CSTC |
| 00865 | ANES XTRPRT LWR ABD PRST8ECT |
| 00866 | ANES XTRPRT LW ABD ADRNLCTMY |
| 00868 | ANES XTRPRTL PX RNL TRANSPL |
| 00870 | ANES XTRPRTL CYSTOLITHOTOMY |
| 00872 | ANES LITHOTRP ESW WATER BATH |
| 00873 | ANES LITHOTRP ESW WO WTR BTH |
| 00880 | ANES MAJ LWR ABD VESSEL NOS |
| 00882 | ANES MAJ LWR ADB VSL IVC LIG |
| 00902 | ANES ANORECTAL PX |
| 00904 | ANES RADICAL PERINEAL PX |
| 00908 | ANES PERINEAL PROSTATECTOMY |
| 00910 | ANES TRANSURETHRAL PX NOS |
| 00912 | ANES TRURL PX RESCJ BLDR TUM |
| 00914 | ANES TRURL PX RESCJ PRST8 |
| 00916 | ANES TRURL PX RESCJ BLEEDING |
| 00918 | ANES TRURL PX URTRL CAL RMVL |
| 00920 | ANES PX MALE GENITALIA NOS |
| 00921 | ANES PX MALE GENITALIA VASEC |
| 00922 | ANES PX MALE GENT SEM VES |
| 00924 | ANES MALE GENT UNDSCND TSTIS |
| 00926 | ANES MALE GENT RAD ORCH ING |
| 00928 | ANES MALE GENT RAD ORCH ABD |
| 00930 | ANES PX MALE GENT ORCHIOPEXY |
| 00932 | ANES MALE GENT COMPL AMP PNS |
| 00934 | ANES RAD AMP PENIS INGUN LYM |
| 00936 | ANES RAD AMP PNS INGUN&ILAC |
| 00938 | ANES INSJ PENILE PROSTHESIS |
| 00940 | ANES VAGINAL PX NOS |
| 00942 | ANES VAG PX CLPTMY VGNC CLPR |
| 00944 | ANES VAG PX VAG HYSTERECTOMY |
| 00948 | ANES VAG PX CRV CERCLAGE |
| 00950 | ANES VAG PX CULDOSCOPY |
| 00952 | ANES VAG PX HYSTSC&/HSG |
| 01112 | ANES BONE MARROW ASPIR&/BX |
| 01120 | ANES PX ON BONY PELVIS |
| 01130 | ANES BODY CAST APPL/REVJ |
| 01140 | ANES NTRPLVABDMNL AMPUTATION |
| 01150 | ANES RAD PX TUMOR OF PELVIS |
| 01160 | ANES CLSD PX SYMPH PUB/SI JT |
| 01170 | ANES OPN PX SYMPH PUB/SI JT |
| 01173 | ANES OPN RPR FX DISRPJ PLVS |
| 01200 | ANES ALL CLOSED PX HIP JOINT |
| 01202 | ANES ARTHROSCOPIC PX HIP JT |
| 01210 | ANES OPEN PX HIP JOINT NOS |
| 01212 | ANES OPEN PX HIP JT DISRTCJ |
| 01214 | ANES OPEN PX TOT HIP ARTHRP |
| 01215 | ANES OPN REVJ TOT HIP ARTHRP |
| 01220 | ANES CLSD PX UPPER 2/3 FEMUR |
| 01230 | ANES OPN UPPER 2/3 FEMUR NOS |
| 01232 | ANES OPN PX UPR 2/3 FEM AMP |
| 01234 | ANES OPN UPR 2/3 FEM RAD RES |
| 01250 | ANES ALL PX NRV MUSC UPR LEG |
| 01260 | ANES ALL PX VEINS UPPER LEG |
| 01270 | ANES PX ARTERIES UPR LEG NOS |
| 01272 | ANES PX ART FEMORAL ART LIG |
| 01274 | ANES PX ART FEM ART EMBLC |
| 01320 | ANES ALL PX NRV MSC KNE&/POP |
| 01340 | ANES CLSD PX LOWER 1/3 FEMUR |
| 01360 | ANES OPEN PX LOWER 1/3 FEMUR |
| 01380 | ANES ALL CLSD PX KNEE JOINT |
| 01382 | ANES DX ARTHRS PX KNEE JT |
| 01390 | ANES CLS PX UPR TIB FIB&/PAT |
| 01392 | ANES OPN PX UPR TIB FIB&/PAT |
| 01400 | ANES OPN/ARTHRS KNEE JT NOS |
| 01402 | ANES OPN/ARTH TOT KNE ARTHRP |
| 01404 | ANES OPN/ARTHRS DISRTCJ KNEE |
| 01420 | ANES CST APPL RMV/RPR KNE JT |
| 01430 | ANES PX VEINS KNEE&POP NOS |
| 01432 | ANES PX VN KNEE&POP AV FSTL |
| 01440 | ANES PX ART KNEE&POP NOS |
| 01442 | ANES PX ART KNEE&POP TEAEC |
| 01444 | ANES PX ART KNEE&POP EXC&GRF |
| 01462 | ANES CLSD PX LOWER L/A/F |
| 01464 | ANES ARTHRS PX ANKLE&/FOOT |
| 01470 | ANES PX NRV MSC LW L/A/F NOS |
| 01472 | ANES RPR RPT ACHILLES TENDON |
| 01474 | ANES GASTROCNEMIUS RECESSION |
| 01480 | ANES OPEN PX LOWER L/A/F NOS |
| 01482 | ANES OPN LWR L/A/F RAD RESCJ |
| 01484 | ANES OPN LW L/A/F OSTE/OSTPL |
| 01486 | ANES OPEN TOTAL ANKLE RPLCMT |
| 01490 | ANES LWR LEG CST APP RMV/RPR |
| 01500 | ANES PX ART LOWER LEG NOS |
| 01502 | ANES PX ART LOWER LEG EMBLC |
| 01520 | ANES PX VEINS LOWER LEG NOS |
| 01522 | ANES PX VN LWR LEG VEN THRMB |
| 01610 | ANES ALL PX NRV MUSC SHO&AX |
| 01620 | ANES CLSD PX SHOULDER JOINT |
| 01622 | ANES DX ARTHR PX SHOULDER JT |
| 01630 | ANES OPN/ARTHR PX SHO JT NOS |
| 01634 | ANES OPEN/ARTHRS SHO DISRTCJ |
| 01636 | ANES OPEN/ARTHR NTRTHRC AMP |
| 01638 | ANES OPN/ARTHR TOT SHO RPLCM |
| 01650 | ANES ART SHO&AX NOS |
| 01652 | ANES ART SHO&AX AX-BRCH ARSM |
| 01654 | ANES ART SHO&AX BYPASS GRF |
| 01656 | ANES ART SHO&AX AX-FEM BPG |
| 01670 | ANES ALL PX VN SHOULDER&AX |
| 01680 | ANES SHO CAST APPL RMVL/RPR |
| 01710 | ANES PX NRV MUSC UPR A&E NOS |
| 01712 | ANES PX NRV MSC UPR A&E TNOT |
| 01714 | ANES NRV MSC UPR A&E TNPLSTY |
| 01716 | ANES NRV MSC UPR A&E TNDSIS |
| 01730 | ANES CLSD PX HUMERUS&ELBOW |
| 01732 | ANES DX ARTHRS PX ELBOW JT |
| 01740 | ANES OPN/ARTHRS PX ELBW NOS |
| 01742 | ANES OPN/ARTHRS ELBW OSTEOT |
| 01744 | ANES OPN/ARTHRS ELBW RPR HUM |
| 01756 | ANES OPN/ARTHRS ELBW RAD PX |
| 01758 | ANES OPN/ARTHRS ELBW EXC CST |
| 01760 | ANES OPN/ARTHR ELB TOT RPLCT |
| 01770 | ANES PX ART UPR ARM&ELBW NOS |
| 01772 | ANES ART UPR ARM&ELBW EMBLC |
| 01780 | ANES PX VN UPR ARM&ELBW NOS |
| 01782 | ANES VN UPR ARM&ELBW PHLBRPY |
| 01810 | ANES PX NRV MUSC F/ARM WRST |
| 01820 | ANES CLSD PX RDS U/W/H BONES |
| 01829 | ANES DX ARTHROSCOPIC PX WRST |
| 01830 | ANES ARTHR/NDSC WRST/HND NOS |
| 01832 | ANES ARTHR/NDSC TOT WRST RPL |
| 01840 | ANES ART F/ARM WRST&HND NOS |
| 01842 | ANES ART FARM WRST&HND EMBLC |
| 01844 | ANES VASC SHUNT/SHUNT REVJ |
| 01850 | ANES VEIN F/ARM WRST&HND NOS |
| 01852 | ANES PX VN F/ARM PHLBRRHAPHY |
| 01860 | ANES FOREARM WRIST/HAND CAST |
| 01916 | ANES DX ARTERIOGRAPHY/VNGRPH |
| 01920 | ANES CARDIAC CATHETERIZATION |
| 01922 | ANES N-INVAS IMG/RADJ THER |
| 01924 | ANES THER IVNTL RAD ARTL NOS |
| 01925 | ANES IVNTL RAD ARTL CRTD/C |
| 01926 | ANES IVNTL RAD ICR ICAR/AORT |
| 01930 | ANES THER IVNTL RAD VEN NOS |
| 01931 | ANES IVNT RAD NTRHPT/PRT CRC |
| 01932 | ANES TH IVNT RAD NTRTHRC/JUG |
| 01933 | ANES THER IVNTL RAD PX ICR |
| 01990 | PHYSIOL SUPPORT HRVG ORGANS |
| 01991 | ANES DX/THER NRV BLK&INJ OTH |
| 01992 | ANES DX/THER NRV BLK&INJ PRN |
| 01996 | DLY HOSP MGMT EDRL RX ADMIN |
| 0274T | PRQ LAMOT/LAM DCMPR CRV/THRC |
| 0568U | NEUROL DEMENTIA BAMYL PTAU |
| 0598T | R-T FLUOR WOUND IMG 1ST SITE |
| 0599T | R-T FLUOR WOUND IMG EA ADDL |
| 0600T | ABLT IRE 1+ O/T LV/PRST8 PRQ |
| 0600U | NFCT DS WND INFCTJ 65ORGS&30 |
| 0601T | ABLTJ IRE 1+TUMORS OPEN |
| 0601U | NFCT DS PJI ALYS 11 BMRKS IA |
| 0602U | ENDOCRIN DM INS GEN MTHYLTN |
| 0603U | RX ASY PRSMV 77RX/METABLT UR |
| 0604U | ALL&IMMUNOLOGY CRAE 4BK PEP |
| 0605U | ALL&IMMUNOLOGY HAT TPSAB1 |
| 0606U | HEM RED CLL MEMB DO RBC OGE |
| 0607U | REPRDTVE MED EMA RTPCR 31BCT |
| 0608U | REPRDTVE MED EMA RTPCR 10BCT |
| 0609U | ONC PROSTATE IA TOT&FREE PSA |
| 0610U | NFCT DS ANTMCR SC PHENOTYPIC |
| 0611U | ONC LVR ALYS >1000 MR CFDNA |
| 0612U | ONC LVR ALYS >1000 MR CFDNA |
| 0613U | ONC UC DNA MTHYLTN&MUT 6BMRK |
| 0988T | OPN INS/RPLC INS PTN SBQ&SBF |
| 0989T | REVJ/RMVL INS PTN SUBQ&SUBF |
| 0990T | TRNCRV INST BIOD HYDRGL MTRL |
| 0991T | CYSTO LO-NRG LITHTRP&MCRSPHR |
| 0992T | N-INVAS ASSMT CAR RSK W/O CT |
| 0993T | N-INVAS ASSMT CAR RSK W/CT |
| 0994T | EVASC DLVR A-WAL STBL RX PRQ |
| 0995T | EVASC DLVR A-WAL STBL RX OPN |
| 0996T | INS&SCLR FIX CAPS BAG PROSTH |
| 0997T | PRECUNEUS MAG STIMJ TX PLNG |
| 0998T | PRECUNEUS MAG STIMJ TX DLVR |
| 0999T | AUTOL MUSC CELL THERAPY HRVG |
| 1000T | AUTOL MUSC CELL THERAPY ADMN |
| 1001T | AUTOL MUSC CELL THERAPY NJX |
| 1002T | AIR DISPLACMNT PLETHYSMOGRAP |
| 1003T | ARTHRP 1ST CRP/MTCRPL PROSTC |
| 1004T | ELEC ALYS S-SCL EEG WO PRGRM |
| 1005T | ELEC ALYS S-SCL EEG PRGR 1ST |
| 1006T | ELEC ALYS S-SCL EEG PRGRM EA |
| 1007T | EEG IMPL S-SCLP EEG W/O VID |
| 1008T | REM MNTR S-SCL EEG SYS SETUP |
| 1009T | REM MNTR S-SCLP CONT EEG SYS |
| 1010T | CPTR OPH ALYS MONOC EYE MVMT |
| 1011T | PBM THERAPY OF ORAL CAVITY |
| 1012T | MTRZ AB NTRNO TRPH SCL/TR MW |
| 1013T | LAP SRG IMP/RPL ESO NEA&PG/R |
| 1014T | LAP RV/RMV ESO SPH NSTM ELTR |
| 1015T | REV/RMV LW ESOPH SPHNC NPG/R |
| 1016T | ELEC ALYS NPGS ESOPH INTRAOP |
| 1017T | ELEC ALY NPGS ESOPH SBSQ W/O |
| 1018T | ELEC ALYS NPGS ESOPH SBSQ W/ |
| 1019T | LYMPHOVENOUS BYPASS PER XTR |
| 1020T | RAMAN SPECTROSCOPY 1+SKN LES |
| 1021T | ACTIVE THRC IRRIGATION SPX |
| 1022T | PRQ TIS DSPLMT NTRA-ABDL/PEL |
| 1023T | PRQ TIS DSPLMT INTRATHORACIC |
| 1024T | PERQ TISS DSPLMT SOFT TISSUE |
| 1025T | ALT ELEC FLD DOS&DLV SIM MDL |
The following CPT codes and descriptions will be retired on December 31, 2025.
| Code | Description |
| 10040 | ACNE SURGERY |
| 11730 | REMOVAL OF NAIL PLATE |
| 11732 | REMOVE NAIL PLATE ADD-ON |
| 11740 | DRAIN BLOOD FROM UNDER NAIL |
| 11750 | REMOVAL OF NAIL BED |
| 11765 | EXCISION OF NAIL FOLD TOE |
| 11770 | REMOVE PILONIDAL CYST SIMPLE |
| 11771 | REMOVE PILONIDAL CYST EXTEN |
| 11772 | REMOVE PILONIDAL CYST COMPL |
| 11950 | TX CONTOUR DEFECTS 1 CC/< |
| 11951 | TX CONTOUR DEFECTS 1.1-5.0CC |
| 11952 | TX CONTOUR DEFECTS 5.1-10CC |
| 11954 | TX CONTOUR DEFECTS >10.0 CC |
| 15860 | TEST FOR BLOOD FLOW IN GRAFT |
| 16035 | INCISION OF BURN SCAB INITI |
| 16036 | ESCHAROTOMY ADDL INCISION |
| 17106 | DESTRUCTION OF SKIN LESIONS |
| 17107 | DESTRUCTION OF SKIN LESIONS |
| 17108 | DESTRUCTION OF SKIN LESIONS |
| 17110 | DESTRUCT B9 LESION 1-14 |
| 17111 | DESTRUCT LESION 15 OR MORE |
| 20500 | INJECTION OF SINUS TRACT |
| 20501 | INJECT SINUS TRACT FOR X-RAY |
| 20520 | REMOVAL OF FOREIGN BODY |
| 20525 | REMOVAL OF FOREIGN BODY |
| 20527 | INJ DUPUYTREN CORD W/ENZYME |
| 20550 | INJ TENDON SHEATH/LIGAMENT |
| 20551 | INJ TENDON ORIGIN/INSERTION |
| 20552 | INJ TRIGGER POINT 1/2 MUSCL |
| 20553 | INJECT TRIGGER POINTS 3/> |
| 20950 | FLUID PRESSURE MUSCLE |
| 20974 | ELECTRICAL BONE STIMULATION |
| 20975 | ELECTRICAL BONE STIMULATION |
| 20979 | US BONE STIMULATION |
| 21141 | LEFORT I-1 PIECE W/O GRAFT |
| 21142 | LEFORT I-2 PIECE W/O GRAFT |
| 21143 | LEFORT I-3/> PIECE W/O GRAFT |
| 21145 | LEFORT I-1 PIECE W/ GRAFT |
| 21146 | LEFORT I-2 PIECE W/ GRAFT |
| 21147 | LEFORT I-3/> PIECE W/ GRAFT |
| 21150 | LEFORT II ANTERIOR INTRUSION |
| 21151 | LEFORT II W/BONE GRAFTS |
| 21154 | LEFORT III W/O LEFORT I |
| 21155 | LEFORT III W/ LEFORT I |
| 21159 | LEFORT III W/FHDW/O LEFORT I |
| 21160 | LEFORT III W/FHD W/ LEFORT I |
| 21172 | RECONSTRUCT ORBIT/FOREHEAD |
| 21175 | RECONSTRUCT ORBIT/FOREHEAD |
| 21179 | RECONSTRUCT ENTIRE FOREHEAD |
| 21180 | RECONSTRUCT ENTIRE FOREHEAD |
| 21181 | CONTOUR CRANIAL BONE LESION |
| 21610 | PARTIAL REMOVAL OF RIB |
| 21615 | REMOVAL OF RIB |
| 21616 | REMOVAL OF RIB AND NERVES |
| 21620 | PARTIAL REMOVAL OF STERNUM |
| 23000 | REMOVAL OF CALCIUM DEPOSITS |
| 23020 | RELEASE SHOULDER JOINT |
| 23030 | DRAIN SHOULDER LESION |
| 23031 | DRAIN SHOULDER BURSA |
| 23035 | DRAIN SHOULDER BONE LESION |
| 23040 | EXPLORATORY SHOULDER SURGERY |
| 23044 | EXPLORATORY SHOULDER SURGERY |
| 23077 | RESECT SHOULDER TUMOR < 5 CM |
| 23078 | RESECT SHOULDER TUMOR 5 CM/> |
| 23100 | BIOPSY OF SHOULDER JOINT |
| 23101 | SHOULDER JOINT SURGERY |
| 23105 | REMOVE SHOULDER JOINT LINING |
| 23106 | INCISION OF COLLARBONE JOINT |
| 23107 | EXPLORE TREAT SHOULDER JOINT |
| 23170 | REMOVE COLLAR BONE LESION |
| 23172 | REMOVE SHOULDER BLADE LESION |
| 23174 | REMOVE HUMERUS LESION |
| 23180 | REMOVE COLLAR BONE LESION |
| 23182 | REMOVE SHOULDER BLADE LESION |
| 23184 | REMOVE HUMERUS LESION |
| 23190 | PARTIAL REMOVAL OF SCAPULA |
| 23195 | REMOVAL OF HEAD OF HUMERUS |
| 23200 | RESECT CLAVICLE TUMOR |
| 23210 | RESECT SCAPULA TUMOR |
| 23220 | RESECT PROX HUMERUS TUMOR |
| 24400 | REVISION OF HUMERUS |
| 24410 | REVISION OF HUMERUS |
| 24420 | REVISION OF HUMERUS |
| 24430 | REPAIR OF HUMERUS |
| 24435 | REPAIR HUMERUS WITH GRAFT |
| 24470 | REVISION OF ELBOW JOINT |
| 24495 | DECOMPRESSION OF FOREARM |
| 24498 | REINFORCE HUMERUS |
| 24500 | TREAT HUMERUS FRACTURE |
| 24505 | TREAT HUMERUS FRACTURE |
| 24515 | TREAT HUMERUS FRACTURE |
| 24516 | TREAT HUMERUS FRACTURE |
| 24530 | TREAT HUMERUS FRACTURE |
| 24535 | TREAT HUMERUS FRACTURE |
| 24538 | TREAT HUMERUS FRACTURE |
| 24545 | TREAT HUMERUS FRACTURE |
| 24546 | TREAT HUMERUS FRACTURE |
| 24560 | TREAT HUMERUS FRACTURE |
| 24565 | TREAT HUMERUS FRACTURE |
| 24566 | TREAT HUMERUS FRACTURE |
| 24575 | TREAT HUMERUS FRACTURE |
| 24576 | TREAT HUMERUS FRACTURE |
| 24577 | TREAT HUMERUS FRACTURE |
| 24579 | TREAT HUMERUS FRACTURE |
| 24582 | TREAT HUMERUS FRACTURE |
| 24586 | TREAT ELBOW FRACTURE |
| 24587 | TREAT ELBOW FRACTURE |
| 24600 | TREAT ELBOW DISLOCATION |
| 24605 | TREAT ELBOW DISLOCATION |
| 24615 | TREAT ELBOW DISLOCATION |
| 24620 | TREAT ELBOW FRACTURE |
| 24635 | TREAT ELBOW FRACTURE |
| 24640 | TREAT ELBOW DISLOCATION |
| 24650 | TREAT RADIUS FRACTURE |
| 24655 | TREAT RADIUS FRACTURE |
| 24665 | TREAT RADIUS FRACTURE |
| 24666 | TREAT RADIUS FRACTURE |
| 24670 | TREAT ULNAR FRACTURE |
| 24675 | TREAT ULNAR FRACTURE |
| 24685 | TREAT ULNAR FRACTURE |
| 24800 | FUSION OF ELBOW JOINT |
| 24802 | FUSION/GRAFT OF ELBOW JOINT |
| 25028 | DRAINAGE OF FOREARM LESION |
| 25031 | DRAINAGE OF FOREARM BURSA |
| 25035 | TREAT FOREARM BONE LESION |
| 25040 | EXPLORE/TREAT WRIST JOINT |
| 26499 | REVISION OF FINGER |
| 27000 | INCISION OF HIP TENDON |
| 27001 | INCISION OF HIP TENDON |
| 27003 | INCISION OF HIP TENDON |
| 27005 | INCISION OF HIP TENDON |
| 27006 | INCISION OF HIP TENDONS |
| 27025 | INCISION OF HIP/THIGH FASCIA |
| 27027 | BUTTOCK FASCIOTOMY |
| 27030 | DRAINAGE OF HIP JOINT |
| 27033 | EXPLORATION OF HIP JOINT |
| 27036 | EXCISION OF HIP JOINT/MUSCLE |
| 27278 | ARTHRD SI JT PRQ WO TFXJ DEV |
| 27279 | ARTHRD SI JT PERQ/MIN NVAS |
| 27445 | REVISION OF KNEE JOINT |
| 27468 | SHORTEN/LENGTHEN THIGHS |
| 28400 | TREATMENT OF HEEL FRACTURE |
| 28405 | TREATMENT OF HEEL FRACTURE |
| 28406 | TREATMENT OF HEEL FRACTURE |
| 28415 | TREAT HEEL FRACTURE |
| 28420 | TREAT/GRAFT HEEL FRACTURE |
| 28430 | TREATMENT OF ANKLE FRACTURE |
| 28435 | TREATMENT OF ANKLE FRACTURE |
| 28436 | TREATMENT OF ANKLE FRACTURE |
| 28445 | TREAT ANKLE FRACTURE |
| 28446 | OSTEOCHONDRAL TALUS AUTOGRFT |
| 28450 | TREAT MIDFOOT FRACTURE EACH |
| 28455 | TREAT MIDFOOT FRACTURE EACH |
| 28456 | TREAT MIDFOOT FRACTURE |
| 28465 | TREAT MIDFOOT FRACTURE EACH |
| 28470 | TREAT METATARSAL FRACTURE |
| 28475 | TREAT METATARSAL FRACTURE |
| 28476 | TREAT METATARSAL FRACTURE |
| 28485 | TREAT METATARSAL FRACTURE |
| 29000 | APPLICATION OF BODY CAST |
| 29010 | APPLICATION OF BODY CAST |
| 29015 | APPLICATION OF BODY CAST |
| 29035 | APPLICATION OF BODY CAST |
| 29040 | APPLICATION OF BODY CAST |
| 29044 | APPLICATION OF BODY CAST |
| 29046 | APPLICATION OF BODY CAST |
| 29049 | APPLICATION OF FIGURE EIGHT |
| 29055 | APPLICATION OF SHOULDER CAST |
| 29058 | APPLICATION OF SHOULDER CAST |
| 29065 | APPLICATION OF LONG ARM CAST |
| 29075 | APPLICATION OF FOREARM CAST |
| 29085 | APPLY HAND/WRIST CAST |
| 29086 | APPLY FINGER CAST |
| 29105 | APPLY LONG ARM SPLINT |
| 29125 | APPLY FOREARM SPLINT |
| 29126 | APPLY FOREARM SPLINT |
| 29130 | APPLICATION OF FINGER SPLINT |
| 29131 | APPLICATION OF FINGER SPLINT |
| 29305 | APPLICATION OF HIP CAST |
| 29325 | APPLICATION OF HIP CASTS |
| 29355 | APPLICATION OF LONG LEG CAST |
| 29358 | APPLY LONG LEG CAST BRACE |
| 29365 | APPLICATION OF LONG LEG CAST |
| 29405 | APPLY SHORT LEG CAST |
| 29425 | APPLY SHORT LEG CAST |
| 29435 | APPLY SHORT LEG CAST |
| 29440 | ADDITION OF WALKER TO CAST |
| 29445 | APPLY RIGID LEG CAST |
| 29450 | APPLICATION OF LEG CAST |
| 29515 | APPLICATION LOWER LEG SPLINT |
| 29540 | STRAPPING OF ANKLE AND/OR FT |
| 29581 | APPLY MULTLAY COMPRS LWR LEG |
| 29584 | APPL MULTLAY COMPRS ARM/HAND |
| 29700 | REMOVAL/REVISION OF CAST |
| 29705 | REMOVAL/REVISION OF CAST |
| 29710 | REMOVAL/REVISION OF CAST |
| 29720 | REPAIR OF BODY CAST |
| 29870 | KNEE ARTHROSCOPY DX |
| 29871 | KNEE ARTHROSCOPY/DRAINAGE |
| 29873 | KNEE ARTHROSCOPY/SURGERY |
| 29874 | KNEE ARTHROSCOPY/SURGERY |
| 29875 | KNEE ARTHROSCOPY/SURGERY |
| 29876 | KNEE ARTHROSCOPY/SURGERY |
| 29877 | KNEE ARTHROSCOPY/SURGERY |
| 29879 | KNEE ARTHROSCOPY/SURGERY |
| 29880 | KNEE ARTHROSCOPY/SURGERY |
| 29881 | KNEE ARTHROSCOPY/SURGERY |
| 29882 | KNEE ARTHROSCOPY/SURGERY |
| 29883 | KNEE ARTHROSCOPY/SURGERY |
| 29884 | KNEE ARTHROSCOPY/SURGERY |
| 29885 | KNEE ARTHROSCOPY/SURGERY |
| 29886 | KNEE ARTHROSCOPY/SURGERY |
| 29887 | KNEE ARTHROSCOPY/SURGERY |
| 29888 | KNEE ARTHROSCOPY/SURGERY |
| 29889 | KNEE ARTHROSCOPY/SURGERY |
| 29891 | ANKLE ARTHROSCOPY/SURGERY |
| 29892 | ANKLE ARTHROSCOPY/SURGERY |
| 29893 | SCOPE PLANTAR FASCIOTOMY |
| 33880 | ENDOVASC TAA REPR INCL SUBCL |
| 33881 | ENDOVASC TAA REPR W/O SUBCL |
| 33883 | INSERT ENDOVASC PROSTH TAA |
| 33884 | ENDOVASC PROSTH TAA ADD-ON |
| 33886 | ENDOVASC PROSTH DELAYED |
| 33889 | ARTERY TRANSPOSE/ENDOVAS TAA |
| 33891 | CAR-CAR BP GRFT/ENDOVAS TAA |
| 35601 | ART BYP COMMON IPSI CAROTID |
| 35606 | ART BYP CAROTID-SUBCLAVIAN |
| 35612 | ART BYP SUBCLAV-SUBCLAVIAN |
| 35616 | ART BYP SUBCLAV-AXILLARY |
| 35621 | ART BYP AXILLARY-FEMORAL |
| 35623 | ART BYP AXILLARY-POP-TIBIAL |
| 35626 | ART BYP AORSUBCL/CAROT/INNOM |
| 35631 | ART BYP AOR-CELIAC-MSN-RENAL |
| 35632 | ART BYP ILIO-CELIAC |
| 35633 | ART BYP ILIO-MESENTERIC |
| 35634 | ART BYP ILIORENAL |
| 35636 | ART BYP SPENORENAL |
| 35637 | ART BYP AORTOILIAC |
| 35638 | ART BYP AORTOBI-ILIAC |
| 35642 | ART BYP CAROTID-VERTEBRAL |
| 35645 | ART BYP SUBCLAV-VERTEBRL |
| 35646 | ART BYP AORTOBIFEMORAL |
| 35647 | ART BYP AORTOFEMORAL |
| 35650 | ART BYP AXILLARY-AXILLARY |
| 35654 | ART BYP AXILL-FEM-FEMORAL |
| 35656 | ART BYP FEMORAL-POPLITEAL |
| 35661 | ART BYP FEMORAL-FEMORAL |
| 35663 | ART BYP ILIOILIAC |
| 35665 | ART BYP ILIOFEMORAL |
| 35666 | ART BYP FEM-ANT-POST TIB/PRL |
| 35671 | ART BYP POP-TIBL-PRL-OTHER |
| 37220 | ILIAC REVASC |
| 37221 | ILIAC REVASC W/STENT |
| 37222 | ILIAC REVASC ADD-ON |
| 37223 | ILIAC REVASC W/STENT ADD-ON |
| 37224 | FEM/POPL REVAS W/TLA |
| 37225 | FEM/POPL REVAS W/ATHER |
| 37226 | FEM/POPL REVASC W/STENT |
| 37227 | FEM/POPL REVASC STNT & ATHER |
| 37228 | TIB/PER REVASC W/TLA |
| 37229 | TIB/PER REVASC W/ATHER |
| 37230 | TIB/PER REVASC W/STENT |
| 37231 | TIB/PER REVASC STENT & ATHER |
| 37232 | TIB/PER REVASC ADD-ON |
| 37233 | TIBPER REVASC W/ATHER ADD-ON |
| 37234 | REVSC OPN/PRQ TIB/PERO STENT |
| 37235 | TIB/PER REVASC STNT & ATHER |
| 37500 | ENDOSCOPY LIGATE PERF VEINS |
| 42700 | DRAINAGE OF TONSIL ABSCESS |
| 42720 | DRAINAGE OF THROAT ABSCESS |
| 42725 | DRAINAGE OF THROAT ABSCESS |
| 43840 | REPAIR OF STOMACH LESION |
| 43842 | V-BAND GASTROPLASTY |
| 43843 | GASTROPLASTY W/O V-BAND |
| 43846 | GASTRIC BYPASS FOR OBESITY |
| 43847 | GASTRIC BYPASS INCL SMALL I |
| 43848 | REVISION GASTROPLASTY |
| 43860 | REVISE STOMACH-BOWEL FUSION |
| 43865 | REVISE STOMACH-BOWEL FUSION |
| 43870 | REPAIR STOMACH OPENING |
| 43880 | REPAIR STOMACH-BOWEL FISTULA |
| 43881 | IMPL/REDO ELECTRD ANTRUM |
| 43882 | REVISE/REMOVE ELECTRD ANTRUM |
| 43886 | REVISE GASTRIC PORT OPEN |
| 43887 | REMOVE GASTRIC PORT OPEN |
| 43888 | CHANGE GASTRIC PORT OPEN |
| 44900 | DRAIN APPENDIX ABSCESS OPEN |
| 46040 | INCISION OF RECTAL ABSCESS |
| 46045 | INCISION OF RECTAL ABSCESS |
| 46050 | INCISION OF ANAL ABSCESS |
| 46060 | INCISION OF RECTAL ABSCESS |
| 46080 | INCISION OF ANAL SPHINCTER |
| 46083 | INCISE EXTERNAL HEMORRHOID |
| 52400 | CYSTOURETERO W/CONGEN REPR |
| 52402 | CYSTOURETHRO CUT EJACUL DUCT |
| 52441 | CYSTOURETHRO W/IMPLANT |
| 52442 | CYSTOURETHRO W/ADDL IMPLANT |
| 52450 | INCISION OF PROSTATE |
| 52500 | REVISION OF BLADDER NECK |
| 52647 | LASER SURGERY OF PROSTATE |
| 54015 | DRAIN PENIS LESION |
| 54700 | DRAINAGE OF SCROTUM |
| 55700 | BIOPSY OF PROSTATE |
| 55705 | BIOPSY OF PROSTATE |
| 55706 | PROSTATE SATURATION SAMPLING |
| 56405 | I & D OF VULVA/PERINEUM |
| 56420 | DRAINAGE OF GLAND ABSCESS |
| 60000 | DRAIN THYROID/TONGUE CYST |
| 61623 | ENDOVASC TEMPORY VESSEL OCCL |
| 61624 | TRANSCATH OCCLUSION CNS |
| 61626 | TRANSCATH OCCLUSION NON-CNS |
| 61630 | INTRACRANIAL ANGIOPLASTY |
| 62287 | DCMPRN PX PERQ 1/MLT LUMBAR |
| 63020 | NECK SPINE DISK SURGERY |
| 63030 | LOW BACK DISK SURGERY |
| 63035 | SPINAL DISK SURGERY ADD-ON |
| 64722 | RELIEVE PRESSURE ON NERVE(S) |
| 64726 | RELEASE FOOT/TOE NERVE |
| 64727 | INTERNAL NERVE REVISION |
| 75842 | VEIN X-RAY ADRENAL GLANDS |
| 75956 | XRAY ENDOVASC THOR AO REPR |
| 75957 | XRAY ENDOVASC THOR AO REPR |
| 75958 | XRAY PLACE PROX EXT THOR AO |
| 75959 | XRAY PLACE DIST EXT THOR AO |
| 76805 | OB US >= 14 WKS SNGL FETUS |
| 76810 | OB US >= 14 WKS ADDL FETUS |
| 77014 | CT SCAN FOR THERAPY GUIDE |
| 77385 | NTSTY MODUL RAD TX DLVR SMPL |
| 77386 | NTSTY MODUL RAD TX DLVR CPLX |
| 77401 | RADIATION TX DELIVERY SUPFC |
| 77402 | RADIATION TX DELIVERY SIMPLE |
| 77407 | RADIATION TX DELIVERY INTRM |
| 77412 | RADIATION TX DELIVERY COMPLX |
| 78264 | GASTRIC EMPTYING IMAG STUDY |
| 78265 | GASTRIC EMPTYING IMAG STUDY |
| 78266 | GASTRIC EMPTYING IMAG STUDY |
| 78267 | BREATH TST ATTAIN/ANAL C-14 |
| 78268 | BREATH TEST ANALYSIS C-14 |
| 78282 | GI PROTEIN LOSS EXAM |
| 78290 | MECKELS DIVERT EXAM |
| 78291 | LEVEEN/SHUNT PATENCY EXAM |
| 80047 | METABOLIC PANEL IONIZED CA |
| 80048 | METABOLIC PANEL TOTAL CA |
| 83015 | HEAVY METAL QUAL ANY ANAL |
| 83018 | HEAVY METAL QUANT EACH NES |
| 87181 | MICROBE SUSCEPTIBLE DIFFUSE |
| 87184 | MICROBE SUSCEPTIBLE DISK |
| 87185 | MICROBE SUSCEPTIBLE ENZYME |
| 87186 | MICROBE SUSCEPTIBLE MIC |
| 87187 | MICROBE SUSCEPTIBLE MLC |
| 87188 | MICROBE SUSCEPT MACROBROTH |
| 87190 | MICROBE SUSCEPT MYCOBACTERI |
| 87197 | BACTERICIDAL LEVEL SERUM |
| 87230 | ASSAY TOXIN OR ANTITOXIN |
| 87905 | SIALIDASE ENZYME ASSAY |
| 90480 | ADMN SARSCOV2 VACC 1 DOSE |
| 90882 | ENVIRONMENTAL MANIPULATION |
| 90887 | CONSULTATION WITH FAMILY |
| 91120 | RECTAL SENSATION TEST |
| 91122 | ANORECTAL MANOMETRY |
| 92590 | HEARING AID XM&SLCTN MONAURL |
| 92591 | HEARING AID XM&SLCTN BINAURL |
| 92592 | HEARING AID CHECK MONAURAL |
| 92593 | HEARING AID CHECK BINAURAL |
| 92594 | ELECTRO HEARNG AID TEST ONE |
| 92595 | ELECTRO HEARNG AID TST BOTH |
| 92920 | PRQ CARDIAC ANGIOPLAST 1 ART |
| 92921 | PRQ CARDIAC ANGIO ADDL ART |
| 92924 | PRQ CARD ANGIO/ATHRECT 1 ART |
| 92925 | PRQ CARD ANGIO/ATHRECT ADDL |
| 92928 | PRQ CARD STENT W/ANGIO 1 VSL |
| 92929 | PRQ CARD STENT W/ANGIO ADDL |
| 92933 | PRQ CARD STENT/ATH/ANGIO |
| 92934 | PRQ CARD STENT/ATH/ANGIO |
| 92937 | PRQ REVASC BYP GRAFT 1 VSL |
| 92938 | PRQ REVASC BYP GRAFT ADDL |
| 92941 | PRQ CARD REVASC MI 1 VSL |
| 92943 | PRQ CARD REVASC CHRONIC 1VSL |
| 92944 | PRQ CARD REVASC CHRONIC ADDL |
| 92973 | PRQ CORONARY MECH THROMBECT |
| 92975 | DISSOLVE CLOT HEART VESSEL |
| 92977 | DISSOLVE CLOT HEART VESSEL |
| 93015 | CARDIOVASCULAR STRESS TEST |
| 93016 | CARDIOVASCULAR STRESS TEST |
| 93017 | CARDIOVASCULAR STRESS TEST |
| 93018 | CARDIOVASCULAR STRESS TEST |
| 93571 | HEART FLOW RESERVE MEASURE |
| 93572 | HEART FLOW RESERVE MEASURE |
| 94450 | HYPOXIA RESPONSE CURVE |
| 94452 | HAST W/REPORT |
| 94453 | HAST W/OXYGEN TITRATE |
| 94610 | SURFACTANT ADMIN THRU TUBE |
| 94644 | CBT 1ST HOUR |
| 94645 | CBT EACH ADDL HOUR |
| 94660 | POS AIRWAY PRESSURE CPAP |
| 94662 | NEG PRESS VENTILATION CNP |
| 94664 | EVALUATE PT USE OF INHALER |
| 94667 | CHEST WALL MANIPULATION |
| 94668 | CHEST WALL MANIPULATION |
| 94680 | EXHALED AIR ANALYSIS O2 |
| 94681 | O2 UPTK EXP GAS ALYS W/CO2 |
| 94690 | O2 UPTK EXP GAS ALYS REST |
| 94726 | PULM FUNCT TST PLETHYSMOGRAP |
| 94727 | PULM FUNCTION TEST BY GAS |
| 94729 | CO/MEMBANE DIFFUSE CAPACITY |
| 94760 | MEASURE BLOOD OXYGEN LEVEL |
| 94761 | MEASURE BLOOD OXYGEN LEVEL |
| 94762 | MEASURE BLOOD OXYGEN LEVEL |
| 94772 | BREATH RECORDING INFANT |
| 94774 | PED HOME APNEA REC COMPL |
| 94775 | PED HOME APNEA REC HK-UP |
| 94776 | PED HOME APNEA REC DOWNLD |
| 94777 | PED HOME APNEA REC REPORT |
| 96931 | RCM CELULR SUBCELULR IMG SKN |
| 96932 | RCM CELULR SUBCELULR IMG SKN |
| 96933 | RCM CELULR SUBCELULR IMG SKN |
| 96934 | RCM CELULR SUBCELULR IMG SKN |
| 96935 | RCM CELULR SUBCELULR IMG SKN |
| 96936 | RCM CELULR SUBCELULR IMG SKN |
| 98975 | REM THER MNTR 1ST SET-UP&EDU |
| 98976 | REM THER MNTR DEV SPLY RESP |
| 98977 | REM THER MNTR DV SPLY MSCSKL |
| 98978 | REM THER MNTR DEV SPLY CBT |
| 98980 | REM THER MNTR 1ST 20 MIN |
| 98981 | REM THER MNTR EA ADDL 20 MIN |
| 99454 | REM MNTR PHYSIOL PARAM DEV |
| 99457 | REM PHYSIOL MNTR 1ST 20 MIN |
| 99458 | REM PHYSIOL MNTR EA ADDL 20 |
| 99478 | IC LBW INF < 1500 GM SUBSQ |
| 99479 | IC LBW INF 1500-2500 G SUBSQ |
| 99480 | IC INF PBW 2501-5000 G SUBSQ |
| 00100 | ANESTH SALIVARY GLAND |
| 00102 | ANESTH REPAIR OF CLEFT LIP |
| 00103 | ANESTH BLEPHAROPLASTY |
| 00104 | ANESTH ELECTROSHOCK |
| 00120 | ANESTH EAR SURGERY |
| 00124 | ANESTH EAR EXAM |
| 00126 | ANESTH TYMPANOTOMY |
| 00140 | ANESTH PROCEDURES ON EYE |
| 00142 | ANESTH LENS SURGERY |
| 00144 | ANESTH CORNEAL TRANSPLANT |
| 00145 | ANESTH VITREORETINAL SURG |
| 00147 | ANESTH IRIDECTOMY |
| 00148 | ANESTH EYE EXAM |
| 00160 | ANESTH NOSE/SINUS SURGERY |
| 00162 | ANESTH NOSE/SINUS SURGERY |
| 00164 | ANESTH BIOPSY OF NOSE |
| 00170 | ANESTH PROCEDURE ON MOUTH |
| 00172 | ANESTH CLEFT PALATE REPAIR |
| 00174 | ANESTH PHARYNGEAL SURGERY |
| 00176 | ANESTH PHARYNGEAL SURGERY |
| 00190 | ANESTH FACE/SKULL BONE SURG |
| 00192 | ANESTH FACIAL BONE SURGERY |
| 00210 | ANESTH CRANIAL SURG NOS |
| 00211 | ANESTH CRAN SURG HEMOTOMA |
| 00212 | ANESTH SKULL DRAINAGE |
| 00214 | ANESTH SKULL DRAINAGE |
| 00215 | ANESTH SKULL REPAIR/FRACT |
| 00216 | ANESTH HEAD VESSEL SURGERY |
| 00218 | ANESTH SPECIAL HEAD SURGERY |
| 00220 | ANESTH INTRCRN NERVE |
| 00222 | ANESTH HEAD NERVE SURGERY |
| 00300 | ANESTH HEAD/NECK/PTRUNK |
| 00320 | ANESTH NECK ORGAN 1YR/> |
| 00322 | ANESTH BIOPSY OF THYROID |
| 00326 | ANESTH LARYNX/TRACH < 1 YR |
| 0033U | HTR2A HTR2C GENES |
| 00350 | ANESTH NECK VESSEL SURGERY |
| 00352 | ANESTH NECK VESSEL SURGERY |
| 00400 | ANESTH SKIN EXT/PER/ATRUNK |
| 00402 | ANESTH SURGERY OF BREAST |
| 00404 | ANESTH SURGERY OF BREAST |
| 00406 | ANESTH SURGERY OF BREAST |
| 00410 | ANESTH CORRECT HEART RHYTHM |
| 0042T | CT PERFUSION W/CONTRAST CBF |
| 00450 | ANESTH SURGERY OF SHOULDER |
| 00454 | ANESTH COLLAR BONE BIOPSY |
| 00470 | ANESTH REMOVAL OF RIB |
| 00472 | ANESTH CHEST WALL REPAIR |
| 00474 | ANESTH SURGERY OF RIB |
| 00500 | ANESTH ESOPHAGEAL SURGERY |
| 00520 | ANESTH CHEST PROCEDURE |
| 00522 | ANESTH CHEST LINING BIOPSY |
| 00524 | ANESTH CHEST DRAINAGE |
| 00528 | ANES MEDIASCPY & DX THORSCPY |
| 00529 | ANES MEDSCPY&THORSCPY 1 LUNG |
| 00530 | ANESTH PACEMAKER INSERTION |
| 00532 | ANESTH VASCULAR ACCESS |
| 00534 | ANESTH CARDIOVERTER/DEFIB |
| 00537 | ANESTH CARDIAC ELECTROPHYS |
| 00539 | ANESTH TRACH-BRONCH RECONST |
| 00540 | ANESTH CHEST SURGERY |
| 00541 | ANESTH ONE LUNG VENTILATION |
| 00542 | ANESTHESIA REMOVAL PLEURA |
| 00546 | ANESTH LUNG CHEST WALL SURG |
| 00548 | ANESTH TRACHEA BRONCHI SURG |
| 00550 | ANESTH STERNAL DEBRIDEMENT |
| 00560 | ANESTH HEART SURG W/O PUMP |
| 00561 | ANESTH HEART SURG <1 YR |
| 00562 | ANESTH HRT SURG W/PMP AGE 1+ |
| 00563 | ANESTH HEART SURG W/ARREST |
| 00566 | ANESTH CABG W/O PUMP |
| 00567 | ANESTH CABG W/PUMP |
| 00580 | ANESTH HEART/LUNG TRANSPLNT |
| 00600 | ANESTH SPINE CORD SURGERY |
| 00604 | ANESTH SITTING PROCEDURE |
| 00620 | ANESTH SPINE CORD SURGERY |
| 00625 | ANES SPINE TRANTHOR W/O VENT |
| 00626 | ANES SPINE TRANSTHOR W/VENT |
| 00630 | ANESTH SPINE CORD SURGERY |
| 00632 | ANESTH REMOVAL OF NERVES |
| 00635 | ANESTH LUMBAR PUNCTURE |
| 00640 | ANESTH SPINE MANIPULATION |
| 00670 | ANESTH SPINE CORD SURGERY |
| 00700 | ANESTH ABDOMINAL WALL SURG |
| 00702 | ANESTH FOR LIVER BIOPSY |
| 00730 | ANESTH ABDOMINAL WALL SURG |
| 00800 | ANESTH ABDOMINAL WALL SURG |
| 00802 | ANESTH FAT LAYER REMOVAL |
| 00820 | ANESTH ABDOMINAL WALL SURG |
| 00830 | ANESTH REPAIR OF HERNIA |
| 00832 | ANESTH REPAIR OF HERNIA |
| 00834 | ANESTH HERNIA REPAIR < 1 YR |
| 00836 | ANESTH HERNIA REPAIR PREEMIE |
| 00840 | ANESTH SURG LOWER ABDOMEN |
| 00842 | ANESTH AMNIOCENTESIS |
| 00844 | ANESTH PELVIS SURGERY |
| 00846 | ANESTH HYSTERECTOMY |
| 00848 | ANESTH PELVIC ORGAN SURG |
| 00851 | ANESTH TUBAL LIGATION |
| 00860 | ANESTH SURGERY OF ABDOMEN |
| 00862 | ANESTH KIDNEY/URETER SURG |
| 00864 | ANESTH REMOVAL OF BLADDER |
| 00865 | ANESTH REMOVAL OF PROSTATE |
| 00866 | ANESTH REMOVAL OF ADRENAL |
| 00868 | ANESTH KIDNEY TRANSPLANT |
| 00870 | ANESTH BLADDER STONE SURG |
| 00872 | ANESTH KIDNEY STONE DESTRUCT |
| 00873 | ANESTH KIDNEY STONE DESTRUCT |
| 00880 | ANESTH ABDOMEN VESSEL SURG |
| 00882 | ANESTH MAJOR VEIN LIGATION |
| 00902 | ANESTH ANORECTAL SURGERY |
| 00904 | ANESTH PERINEAL SURGERY |
| 00908 | ANESTH REMOVAL OF PROSTATE |
| 00910 | ANESTH BLADDER SURGERY |
| 00912 | ANESTH BLADDER TUMOR SURG |
| 00914 | ANESTH REMOVAL OF PROSTATE |
| 00916 | ANESTH BLEEDING CONTROL |
| 00918 | ANESTH STONE REMOVAL |
| 00920 | ANESTH GENITALIA SURGERY |
| 00921 | ANESTH VASECTOMY |
| 00922 | ANESTH SPERM DUCT SURGERY |
| 00924 | ANESTH TESTIS EXPLORATION |
| 00926 | ANESTH REMOVAL OF TESTIS |
| 00928 | ANESTH REMOVAL OF TESTIS |
| 00930 | ANESTH TESTIS SUSPENSION |
| 00932 | ANESTH AMPUTATION OF PENIS |
| 00934 | ANESTH PENIS NODES REMOVAL |
| 00936 | ANESTH PENIS NODES REMOVAL |
| 00938 | ANESTH INSERT PENIS DEVICE |
| 00940 | ANESTH VAGINAL PROCEDURES |
| 00942 | ANESTH SURG ON VAG/URETHRAL |
| 00944 | ANESTH VAGINAL HYSTERECTOMY |
| 00948 | ANESTH REPAIR OF CERVIX |
| 00950 | ANESTH VAGINAL ENDOSCOPY |
| 00952 | ANESTH HYSTEROSCOPE/GRAPH |
| 01112 | ANESTH BONE ASPIRATE/BX |
| 01120 | ANESTH PELVIS SURGERY |
| 01130 | ANESTH BODY CAST PROCEDURE |
| 01140 | ANESTH AMPUTATION AT PELVIS |
| 01150 | ANESTH PELVIC TUMOR SURGERY |
| 01160 | ANESTH PELVIS PROCEDURE |
| 01170 | ANESTH PELVIS SURGERY |
| 01173 | ANESTH FX REPAIR PELVIS |
| 01200 | ANESTH HIP JOINT PROCEDURE |
| 01202 | ANESTH ARTHROSCOPY OF HIP |
| 01210 | ANESTH HIP JOINT SURGERY |
| 01212 | ANESTH HIP DISARTICULATION |
| 01214 | ANESTH HIP ARTHROPLASTY |
| 01215 | ANESTH REVISE HIP REPAIR |
| 01220 | ANESTH PROCEDURE ON FEMUR |
| 01230 | ANESTH SURGERY OF FEMUR |
| 01232 | ANESTH AMPUTATION OF FEMUR |
| 01234 | ANESTH RADICAL FEMUR SURG |
| 01250 | ANESTH UPPER LEG SURGERY |
| 01260 | ANESTH UPPER LEG VEINS SURG |
| 01270 | ANESTH THIGH ARTERIES SURG |
| 01272 | ANESTH FEMORAL ARTERY SURG |
| 01274 | ANESTH FEMORAL EMBOLECTOMY |
| 0131U | HERED BRST CA RLTD DO PNL 13 |
| 01320 | ANESTH KNEE AREA SURGERY |
| 0132U | HERED OVA CA RLTD DO PNL 17 |
| 01340 | ANESTH KNEE AREA PROCEDURE |
| 0135U | HERED GYN CA MRNA PNL 12 GEN |
| 01360 | ANESTH KNEE AREA SURGERY |
| 01380 | ANESTH KNEE JOINT PROCEDURE |
| 01382 | ANESTH DX KNEE ARTHROSCOPY |
| 01390 | ANESTH KNEE AREA PROCEDURE |
| 01392 | ANESTH KNEE AREA SURGERY |
| 01400 | ANESTH KNEE JOINT SURGERY |
| 01402 | ANESTH KNEE ARTHROPLASTY |
| 01404 | ANESTH AMPUTATION AT KNEE |
| 01420 | ANESTH KNEE JOINT CASTING |
| 01430 | ANESTH KNEE VEINS SURGERY |
| 01432 | ANESTH KNEE VESSEL SURG |
| 01440 | ANESTH KNEE ARTERIES SURG |
| 01442 | ANESTH KNEE ARTERY SURG |
| 01444 | ANESTH KNEE ARTERY REPAIR |
| 01462 | ANESTH LOWER LEG PROCEDURE |
| 01464 | ANESTH ANKLE/FT ARTHROSCOPY |
| 01470 | ANESTH LOWER LEG SURGERY |
| 01472 | ANESTH ACHILLES TENDON SURG |
| 01474 | ANESTH LOWER LEG SURGERY |
| 01480 | ANESTH LOWER LEG BONE SURG |
| 01482 | ANESTH RADICAL LEG SURGERY |
| 01484 | ANESTH LOWER LEG REVISION |
| 01486 | ANESTH ANKLE REPLACEMENT |
| 01490 | ANESTH LOWER LEG CASTING |
| 01500 | ANESTH LEG ARTERIES SURG |
| 01502 | ANESTH LWR LEG EMBOLECTOMY |
| 01520 | ANESTH LOWER LEG VEIN SURG |
| 01522 | ANESTH LOWER LEG VEIN SURG |
| 01610 | ANESTH SURGERY OF SHOULDER |
| 01620 | ANESTH SHOULDER PROCEDURE |
| 01622 | ANES DX SHOULDER ARTHROSCOPY |
| 01630 | ANESTH SURGERY OF SHOULDER |
| 01634 | ANESTH SHOULDER JOINT AMPUT |
| 01636 | ANESTH FOREQUARTER AMPUT |
| 01638 | ANESTH SHOULDER REPLACEMENT |
| 01650 | ANESTH SHOULDER ARTERY SURG |
| 01652 | ANESTH SHOULDER VESSEL SURG |
| 01654 | ANESTH SHOULDER VESSEL SURG |
| 01656 | ANESTH ARM-LEG VESSEL SURG |
| 01670 | ANESTH SHOULDER VEIN SURG |
| 01680 | ANESTH SHOULDER CASTING |
| 01710 | ANESTH ELBOW AREA SURGERY |
| 01712 | ANESTH UPPR ARM TENDON SURG |
| 01714 | ANESTH UPPR ARM TENDON SURG |
| 01716 | ANESTH BICEPS TENDON REPAIR |
| 01730 | ANESTH UPPR ARM PROCEDURE |
| 01732 | ANESTH DX ELBOW ARTHROSCOPY |
| 01740 | ANESTH UPPER ARM SURGERY |
| 01742 | ANESTH HUMERUS SURGERY |
| 01744 | ANESTH HUMERUS REPAIR |
| 01756 | ANESTH RADICAL HUMERUS SURG |
| 01758 | ANESTH HUMERAL LESION SURG |
| 01760 | ANESTH ELBOW REPLACEMENT |
| 01770 | ANESTH UPPR ARM ARTERY SURG |
| 01772 | ANESTH UPPR ARM EMBOLECTOMY |
| 01780 | ANESTH UPPER ARM VEIN SURG |
| 01782 | ANESTH UPPR ARM VEIN REPAIR |
| 01810 | ANESTH LOWER ARM SURGERY |
| 01820 | ANESTH LOWER ARM PROCEDURE |
| 01829 | ANESTH DX WRIST ARTHROSCOPY |
| 01830 | ANESTH LOWER ARM SURGERY |
| 01832 | ANESTH WRIST REPLACEMENT |
| 01840 | ANESTH LWR ARM ARTERY SURG |
| 01842 | ANESTH LWR ARM EMBOLECTOMY |
| 01844 | ANESTH VASCULAR SHUNT SURG |
| 01850 | ANESTH LOWER ARM VEIN SURG |
| 01852 | ANESTH LWR ARM VEIN REPAIR |
| 01860 | ANESTH LOWER ARM CASTING |
| 01916 | ANESTH DX ARTERIOGRAPHY |
| 01920 | ANESTH CATHETERIZE HEART |
| 01922 | ANESTH CAT OR MRI SCAN |
| 01924 | ANES THER INTERVEN RAD ARTRL |
| 01925 | ANES THER INTERVEN RAD CARD |
| 01926 | ANES TX INTERV RAD HRT/CRAN |
| 01930 | ANES THER INTERVEN RAD VEIN |
| 01931 | ANES THER INTERVEN RAD TIPS |
| 01932 | ANES TX INTERV RAD TH VEIN |
| 01933 | ANES TX INTERV RAD CRAN VEIN |
| 01990 | SUPPORT FOR ORGAN DONOR |
| 01991 | ANESTH NERVE BLOCK/INJ |
| 01992 | ANESTH N BLOCK/INJ PRONE |
| 01996 | HOSP MANAGE CONT DRUG ADMIN |
| 0266T | IMPLT/RPL CRTD SNS DEV TOTAL |
| 0267T | IMPLT/RPL CRTD SNS DEV LEAD |
| 0268T | IMPLT/RPL CRTD SNS DEV GEN |
| 0269T | REV/REMVL CRTD SNS DEV TOTAL |
| 0270T | REV/REMVL CRTD SNS DEV LEAD |
| 0271T | REV/REMVL CRTD SNS DEV GEN |
| 0272T | INTERROGATE CRTD SNS DEV |
| 0273T | INTERROGATE CRTD SNS W/PGRMG |
| 0274T | PERQ LAMOT/LAM CRV/THRC |
| 0275T | PERQ LAMOT/LAM LUMBAR |
| 0361U | NEURFLMNT LT CHN DIG IA QUAN |
| 0394T | HDR ELCTRNC SKN SURF BRCHYTX |
| 0421T | WATERJET PROSTATE ABLTJ CMPL |
| 0508U | TRNSPLJ MED DD-CFDNA 40 SNPS |
| 0509U | TRNSPLJ MED DD-CFDNA<12 SNPS |
| 0544U | NEFRO TRNSP MNTR 48VRNT DPCR |
| 0550U | ONC PRST8 ELISA TOT&FREE PSA |
| 0551U | TP PTAU217 ULT DGT PRTN DETJ |
| 0568U | NEUROL DEMENTIA ßAMYL PTAU |
| 0598T | NCNTC R-T FLUOR WND IMG 1ST |
| 0599T | NCNTC R-T FLUOR WND IMG EA |
| 0600T | IRE ABLTJ 1+TUM ORGAN PERQ |
| 0601T | IRE ABLTJ 1+TUMORS OPEN |
| 0619T | CYSTO W/PRST8 COMMISSUROTOMY |
| 0623T | AUTO QUANTIFICATION C PLAQUE |
| 0624T | AUTO QUAN C PLAQ DATA PREP |
| 0625T | AUTO QUAN C PLAQ CPTR ALYS |
| 0626T | AUTO QUAN C PLAQ I&R |
| 0631T | TC VIS LIT HYPERSPECTRAL IMG |
| 0662T | SCALP COOL 1ST MEAS&CALBRJ |
| 0663T | SCALP COOL PLMT MNTR RMVL |
| 0720T | PRQ ELC NRV STIM CN WO IMPLT |
