Prior Authorization List
Prior Approval Required Code List
| Code | Code Type | Procedure / Description |
|---|---|---|
| 11920 | CPT | Tattooing, Intradermal Introduction of Insoluble Opaque Pigments To Correct Color Defects of Skin, Including Micropigmentation |
| 11921 | CPT | Tattooing, Intradermal Introduction of Insoluble Opaque Pigments To Correct Color Defects of Skin, Including Micropigmentation |
| 11922 | CPT | Tattooing, Intradermal Introduction of Insoluble Opaque Pigments To Correct Color Defects of Skin, Including Micropigmentation |
| 11960 | CPT | Introduction or Removal Procedures on the Integumentary System |
| 11971 | CPT | Removal of Tissue Expander(S) Without Insertion of Prosthesis |
| 15780 | CPT | Dermabrasion; Total Face (E.G., For Acne Scarring, Fine Wrinkling, Rhytids, General Keratosis) |
| 15781 | CPT | Dermabrasion; Segmental, Face |
| 15782 | CPT | Dermabrasion; Regional, Other Than Face |
| 15783 | CPT | Dermabrasion; Superficial, Any Site (E.G., Tattoo Removal) |
| 15786 | CPT | Abrasion; Single Lesion (E.G., Keratosis, Scar) |
| 15787 | CPT | Abrasion; Each Additional 4 Lesions or Less (List Separately In Addition To Code For Primary Procedure) |
| 15788 | CPT | Chemical Peel, Facial |
| 15789 | CPT | Chemical Peel, Facial |
| 15792 | CPT | Chemical Peel, Nonfacial |
| 15793 | CPT | Chemical Peel, Nonfacial |
| 15820 | CPT | Blepharoplasty, Lower Eyelid |
| 15821 | CPT | Blepharoplasty, Lower Eyelid |
| 15822 | CPT | Blepharoplasty, Upper Eyelid |
| 15823 | CPT | Blepharoplasty, Upper Eyelid |
| 15830 | CPT | Excision, Excessive Skin and Subcutaneous Tissue (Includes Lipectomy) |
| 15847 | CPT | Other Repair (Closure) Procedures on the Integumentary System |
| 15876 | CPT | Suction Assisted Lipectomy |
| 15877 | CPT | Suction Assisted Lipectomy |
| 15878 | CPT | Suction Assisted Lipectomy |
| 15879 | CPT | Suction Assisted Lipectomy |
| 17106 | CPT | Destruction of Cutaneous Vascular Proliferative Lesions (Eg, Laser Technique) |
| 17107 | CPT | Destruction of Cutaneous Vascular Proliferative Lesions (Eg, Laser Technique) |
| 17108 | CPT | Destruction of Cutaneous Vascular Proliferative Lesions (Eg, Laser Technique) |
| 17999 | CPT | Unlisted Procedure, Skin, Mucous Membrane and Subcutaneous Tissue |
| 19316 | CPT | Mastopexy |
| 19318 | CPT | Reduction Mammaplasty |
| 19324 | CPT | Mammaplasty, Augmentation; Without Prosthetic Implant |
| 19325 | CPT | Mammaplasty, Augmentation; With Prosthetic Implant |
| 19328 | CPT | Removal of Intact Mammary Implant |
| 19330 | CPT | Removal of Mammary Implant Material |
| 19340 | CPT | Immediate Insertion of Breast Prosthesis Following Mastopexy, Mastectomy or In Reconstruction |
| 19342 | CPT | Delayed Insertion of Breast Prosthesis Following Mastopexy, Mastectomy or In Reconstruction |
| 19350 | CPT | Nipple/Areola Reconstruction |
| 19357 | CPT | Breast Reconstruction, Immediate or Delayed, With Tissue Expander, Including Subsequent Expansion |
| 19361 | CPT | Breast Reconstruction With Latissimus Dorsi Flap, Without Prosthetic Implant |
| 19364 | CPT | Breast Reconstruction With Free Flap |
| 19366 | CPT | Breast Reconstruction With Other Technique |
| 19367 | CPT | Breast Reconstruction With Transverse Rectus Abdominis Myocutaneous Flap (Tram), Single Pedicle, Including Closure of Donor Site; |
| 19368 | CPT | Breast Reconstruction With Transverse Rectus Abdominis Myocutaneous Flap (Tram), Single Pedicle, Including Closure of Donor Site; |
| 19369 | CPT | Breast Reconstruction With Transverse Rectus Abdominis Myocutaneous Flap (Tram), Double Pedicle, Including Closure of Donor Site |
| 19370 | CPT | Open Periprosthetic Capsulotomy, Breast |
| 19371 | CPT | Periprosthetic Capsulectomy, Breast |
| 19380 | CPT | Revision of Reconstructed Breast |
| 19396 | CPT | Repair and/or Reconstruction Procedures on the Breast |
| 20560 | CPT | Services With Needle Insertion(S) Without Injection(S) of 1 or 2 Muscle(S) |
| 20561 | CPT | Services With Needle Insertion(S) Without Injection(S) of 3 or More Muscle(S) |
| 20974 | CPT | Electrical Stimulation To Aid Bone Healing; Noninvasive (Nonoperative) |
| 20975 | CPT | Electrical Stimulation To Aid Bone Healing; Invasive (Operative) |
| 20979 | CPT | Low Intensity Ultrasound Stimulation To Aid Bone Healing, Noninvasive (Nonoperative) |
| 21120 | CPT | Genioplasty; Augmentation (Autograft, Allograft, Prosthetic Material) |
| 21121 | CPT | Genioplasty; Sliding Osteotomy, Single Piece |
| 21122 | CPT | Genioplasty; Sliding Osteotomies, 2 or More Osteotomies (E.G., Wedge Excision or Bone Wedge Reversal For Asymmetrical Chin) |
| 21123 | CPT | Genioplasty; Sliding, Augmentation With Interpositional Bone Grafts (Includes Obtaining Autografts) |
| 21125 | CPT | Augmentation, Mandibular Body or Angle |
| 21127 | CPT | Augmentation, Mandibular Body or Angle |
| 21137 | CPT | Reduction Forehead |
| 21138 | CPT | Reduction Forehead |
| 21139 | CPT | Reduction Forehead |
| 21141 | CPT | Reconstruction Midface, Lefort I |
| 21142 | CPT | Reconstruction Midface, Lefort I; 2 Pieces, Segment Movement In Any Direction,Without Bone Graft |
| 21143 | CPT | Reconstruction Midface, Lefort I; 3 or More Pieces, Segment Movement In Any Direction, Without Bone Graft |
| 21145 | CPT | Reconstruction Midface, Lefort I |
| 21146 | CPT | Reconstruction Midface, Lefort I; 2 Pieces, Segment Movement In Any Direction, Requiring Bone Grafts (Includes Obtaining Autografts) |
| 21147 | CPT | Reconstruction Midface, Lefort I; 3 or More Pieces, Segment Movement In Any Direction, Requiring Bone Grafts (Includes Obtaining |
| 21150 | CPT | Reconstruction Midface, Lefort Ii |
| 21151 | CPT | Reconstruction Midface, Lefort Ii |
| 21154 | CPT | Reconstruction Midface, Lefort III (Extracranial), Any Type, Requiring Bone Grafts (Includes Obtaining Autografts) |
| 21155 | CPT | Reconstruction Midface, Lefort III (Extracranial), Any Type, Requiring Bone Grafts (Includes Obtaining Autografts) |
| 21159 | CPT | Reconstruction Midface, Lefort III (Extra and Intracranial) With Forehead Advancement (Eg, Mono Bloc), Requiring Bone Grafts (Includes |
| 21160 | CPT | Reconstruction Midface, Lefort III (Extra and Intracranial) With Forehead Advancement (Eg, Mono Bloc), Requiring Bone Grafts (Includes |
| 21172 | CPT | Repair, Revision, and/or Reconstruction Procedures on the Head |
| 21175 | CPT | Repair, Revision, and/or Reconstruction Procedures on the Head |
| 21179 | CPT | Reconstruction, Entire or Majority of Forehead and/or Supraorbital Rims |
| 21180 | CPT | Reconstruction, Entire or Majority of Forehead and/or Supraorbital Rims |
| 21181 | CPT | Repair, Revision, and/or Reconstruction Procedures on the Head |
| 21182 | CPT | Reconstruction of Orbital Walls, Rims, Forehead, Nasoethmoid Complex Following Intra- and Extracranial Excision of Benign Tumor of |
| 21183 | CPT | Reconstruction of Orbital Walls, Rims, Forehead, Nasoethmoid Complex Following Intra- and Extracranial Excision of Benign Tumor of |
| 21184 | CPT | Reconstruction of Orbital Walls, Rims, Forehead, Nasoethmoid Complex Following Intra- and Extracranial Excision of Benign Tumor of |
| 21188 | CPT | Repair, Revision, and/or Reconstruction Procedures on the Head |
| 21193 | CPT | Reconstruction of Mandibular Rami, Horizontal, Vertical, C or L Osteotomy, Without Bone Graft |
| 21194 | CPT | Reconstruction of Mandibular Rami, Horizontal, Vertical, C or L Osteotomy, With Bone Grafts (Includes Obtaining Graft) |
| 21195 | CPT | Reconstruction of Mandibular Rami and/or Body, Sagittal Split; Without Internal Rigid Fixation |
| 21196 | CPT | Reconstruction of Mandibular Rami and/or Body, Sagittal Split |
| 21198 | CPT | Osteotomy, Mandible, Segmental |
| 21199 | CPT | Osteotomy, Mandible, Segmental |
| 21206 | CPT | Repair, Revision, and/or Reconstruction Procedures on the Head |
| 21210 | CPT | Graft, Bone |
| 21215 | CPT | Graft, Bone |
| 21230 | CPT | Graft; Rib Cartilage, Autogenous, To Face, Chin, Nose or Ear (Includes Obtaining Graft) |
| 21235 | CPT | Graft; Ear Cartilage, Autogenous, To Nose or Ear (Includes Obtaining Graft) |
| 21240 | CPT | Arthroplasty, Temporomandibular Joint, With or Without Autograft (Includes Obtaining Graft) |
| 21242 | CPT | Arthroplasty, Temporomandibular Joint, With Allograft |
| 21244 | CPT | Repair, Revision, and/or Reconstruction Procedures on the Head |
| 21245 | CPT | Reconstruction of Mandible or Maxilla, Subperiosteal Implant |
| 21246 | CPT | Reconstruction of Mandible or Maxilla, Subperiosteal Implant; Complete |
| 21247 | CPT | Reconstruction of Mandibular Condyle With Bone and Cartilage Autografts (Includes Obtaining Grafts) (E.G., For Hemifacial Microsomia) |
| 21248 | CPT | Reconstruction of Mandible or Maxilla, Endosteal Implant (Eg, Blade, Cylinder) |
| 21249 | CPT | Reconstruction of Mandible or Maxilla, Endosteal Implant (Eg, Blade, Cylinder) |
| 21255 | CPT | Repair, Revision, and/or Reconstruction Procedures on the Head |
| 21256 | CPT | Repair, Revision, and/or Reconstruction Procedures on the Head |
| 21260 | CPT | Periorbital Osteotomies For Orbital Hypertelorism, With Bone Grafts |
| 21261 | CPT | Periorbital Osteotomies For Orbital Hypertelorism, With Bone Grafts |
| 21263 | CPT | Periorbital Osteotomies For Orbital Hypertelorism, With Bone Grafts |
| 21267 | CPT | Orbital Repositioning, Periorbital Osteotomies, Unilateral, With Bone Grafts |
| 21268 | CPT | Orbital Repositioning, Periorbital Osteotomies, Unilateral, With Bone Grafts |
| 21275 | CPT | Repair, Revision, and/or Reconstruction Procedures on the Head |
| 21299 | CPT | Other Craniofacial and Maxillofacial Procedures of the Head |
| 21685 | CPT | Repair, Revision, and/or Reconstruction Procedures on the Neck (Soft Tissues) and Thorax |
| 21740 | CPT | Reconstructive Repair of Pectus Excavatum or Carinatum; Open |
| 21742 | CPT | Reconstructive Repair of Pectus Excavatum or Carinatum; Minimally Invasive Approach (Nuss Procedure), Without Thoracoscopy |
| 21743 | CPT | Reconstructive Repair of Pectus Excavatum or Carinatum; Minimally Invasive Approach (Nuss Procedure), With Thoracoscopy |
| 28344 | CPT | Reconstruction, Toe(S); Polydactyly |
| 30120 | CPT | Excision Procedures on the Nose |
| 30400 | CPT | Rhinoplasty, Primary |
| 30410 | CPT | Rhinoplasty, Primary |
| 30420 | CPT | Rhinoplasty, Primary |
| 30430 | CPT | Rhinoplasty, Secondary |
| 30435 | CPT | Rhinoplasty, Secondary |
| 30450 | CPT | Rhinoplasty, Secondary |
| 30540 | CPT | Repair Choanal Atresia; Intranasal |
| 30545 | CPT | Repair Choanal Atresia; Transpalatine |
| 30560 | CPT | Repair Procedures on the Nose |
| 30620 | CPT | Repair Procedures on the Nose |
| 31295 | CPT | Nasal/Sinus Endoscopy, Surgical |
| 31296 | CPT | Nasal/Sinus Endoscopy, Surgical |
| 31297 | CPT | Nasal/Sinus Endoscopy, Surgical |
| 31298 | CPT | Nasal/Sinus Endoscopy, Surgical, With Dilation (Eg, Balloon Dilation); Frontal and Sphenoid Sinus Ostia |
| 32850 | CPT | Lung Transplantation Procedures |
| 32851 | CPT | Lung Transplant, Single |
| 32852 | CPT | Lung Transplant, Single |
| 32853 | CPT | Lung Transplant, Double (Bilateral Sequential or En Bloc) |
| 32854 | CPT | Lung Transplant, Double (Bilateral Sequential or En Bloc) |
| 32856 | CPT | Backbench Standard Preparation of Cadaver Donor Lung Allograft Prior To Transplantation, Including Dissection of Allograft From |
| 33927 | CPT | Heart/Lung Transplantation Procedures |
| 33928 | CPT | Heart/Lung Transplantation Procedures |
| 33929 | CPT | Heart/Lung Transplantation Procedures |
| 33930 | CPT | Heart/Lung Transplantation Procedures |
| 33933 | CPT | Backbench Standard Preparation of Cadaver Donor Heart/Lung Allograft Prior To Transplantation, Including Dissection of Allograft From |
| 33935 | CPT | Heart-Lung Transplant With Recipient Cardiectomy-Pneumonectomy |
| 33940 | CPT | Heart/Lung Transplantation Procedures |
| 33944 | CPT | Heart/Lung Transplantation Procedures |
| 33945 | CPT | Heart Transplant, With or Without Recipient Cardiectomy |
| 33975 | CPT | Insertion of Ventricular Assist Device |
| 33976 | CPT | Insertion of Ventricular Assist Device |
| 33979 | CPT | Cardiac Assist Procedures |
| 33981 | CPT | Cardiac Assist Procedures |
| 33982 | CPT | Replacement of Ventricular Assist Device Pump(S) |
| 33983 | CPT | Replacement of Ventricular Assist Device Pump(S) |
| 38120 | CPT | Laparoscopic Procedures on the Spleen |
| 38240 | CPT | Transplantation and Post-Transplantation Cellular Infusions |
| 38241 | CPT | Transplantation and Post-Transplantation Cellular Infusions |
| 38242 | CPT | Transplantation and Post-Transplantation Cellular Infusions |
| 41512 | CPT | Other Procedures on the Tongue and Floor of Mouth |
| 41530 | CPT | Other Procedures on the Tongue and Floor of Mouth |
| 41599 | CPT | Other Procedures on the Tongue and Floor of Mouth |
| 42145 | CPT | Excision and Destruction Procedures on the Palate and Uvula |
| 50300 | CPT | Donor Nephrectomy (Including Cold Preservation) |
| 50320 | CPT | Donor Nephrectomy (Including Cold Preservation); Open, From Living Donor |
| 50323 | CPT | Renal Transplantation Procedures |
| 50340 | CPT | Recipient Nephrectomy (Separate Procedure) |
| 50360 | CPT | Renal Allotransplantation, Implantation of Graft; Without Recipient Nephrectomy |
| 50365 | CPT | Renal Allotransplantation, Implantation of Graft; With Recipient Nephrectomy |
| 50370 | CPT | Renal Transplantation Procedures |
| 50380 | CPT | Renal Autotransplantation, Reimplantation of Kidney |
| 50547 | CPT | Laparoscopy, Surgical; Donor Nephrectomy (Including Cold Preservation), From Living Donor |
| 55874 | CPT | Other Procedures on the Prostate |
| 61850 | CPT | Neurostimulators (Intracranial) Procedures on the Skull, Meninges, and Brain |
| 61863 | CPT | Twist Drill, Burr Hole, Craniotomy, or Craniectomy With Stereotactic Implantation of Neurostimulator Electrode Array In Subcortical Site |
| 61864 | CPT | Twist Drill, Burr Hole, Craniotomy, or Craniectomy With Stereotactic Implantation of Neurostimulator Electrode Array In Subcortical Site |
| 61867 | CPT | Twist Drill, Burr Hole, Craniotomy, or Craniectomy With Stereotactic Implantation of Neurostimulator Electrode Array In Subcortical Site |
| 61868 | CPT | Twist Drill, Burr Hole, Craniotomy, or Craniectomy With Stereotactic Implantation of Neurostimulator Electrode Array In Subcortical Site |
| 61885 | CPT | Insertion or Replacement of Cranial Neurostimulator Pulse Generator or Receiver, Direct or Inductive Coupling |
| 61886 | CPT | Insertion or Replacement of Cranial Neurostimulator Pulse Generator or Receiver, Direct or Inductive Coupling |
| 63650 | CPT | Neurostimulators (Spinal) Procedures |
| 63655 | CPT | Neurostimulators (Spinal) Procedures |
| 63685 | CPT | Neurostimulators (Spinal) Procedures |
| 64555 | CPT | Percutaneous Implantation of Neurostimulator Electrode Array |
| 64561 | CPT | Percutaneous Implantation of Neurostimulator Electrode Array |
| 64568 | CPT | Neurostimulator Procedures on the Peripheral Nerves |
| 64581 | CPT | Percutaneous Implantation of Neurostimulator Electrode Array |
| 64585 | CPT | Neurostimulator Procedures on the Peripheral Nerves |
| 64590 | CPT | Neurostimulator Procedures on the Peripheral Nerves |
| 64595 | CPT | Neurostimulator Procedures on the Peripheral Nerves |
| 64702 | CPT | Neuroplasty |
| 64704 | CPT | Neuroplasty |
| 64708 | CPT | Neuroplasty, Major Peripheral Nerve, Arm or Leg |
| 64712 | CPT | Neuroplasty, Major Peripheral Nerve, Arm or Leg |
| 64713 | CPT | Neuroplasty, Major Peripheral Nerve, Arm or Leg |
| 64714 | CPT | Neuroplasty, Major Peripheral Nerve, Arm or Leg |
| 64716 | CPT | Neuroplasty and/or Transposition |
| 64718 | CPT | Neuroplasty and/or Transposition |
| 64719 | CPT | Neuroplasty and/or Transposition |
| 64721 | CPT | Neuroplasty and/or Transposition |
| 64722 | CPT | Decompression; Unspecified Nerve(S) (Specify) |
| 64726 | CPT | Decompression; Plantar Digital Nerve |
| 64999 | CPT | Other Procedures of the Nervous System |
| 67900 | CPT | Repair (Brow Ptosis, Blepharoptosis, Lid Retraction, Ectropion, Entropion) Procedures on the Eyelids |
| 67901 | CPT | Repair of Blepharoptosis |
| 67902 | CPT | Repair of Blepharoptosis |
| 67903 | CPT | Repair of Blepharoptosis |
| 67904 | CPT | Repair of Blepharoptosis |
| 67906 | CPT | Repair of Blepharoptosis |
| 67908 | CPT | Repair of Blepharoptosis |
| 67909 | CPT | Repair (Brow Ptosis, Blepharoptosis, Lid Retraction, Ectropion, Entropion) Procedures on the Eyelids |
| 67911 | CPT | Repair (Brow Ptosis, Blepharoptosis, Lid Retraction, Ectropion, Entropion) Procedures on the Eyelids |
| 67912 | CPT | Correction of Lagophthalmos, With Implantation of Upper Eyelid Lid Load (Eg, Gold Weight) |
| 67914 | CPT | Repair of Ectropion |
| 67915 | CPT | Repair of Ectropion |
| 67916 | CPT | Repair of Ectropion |
| 67917 | CPT | Repair of Ectropion |
| 67921 | CPT | Repair of Ectropion |
| 67922 | CPT | Repair of Ectropion |
| 67923 | CPT | Repair of Ectropion |
| 67924 | CPT | Repair of Ectropion |
| 67950 | CPT | Reconstruction Procedures on the Eyelids |
| 67961 | CPT | Excision and Repair of Eyelid, Involving Lid Margin, Tarsus, Conjunctiva, Canthus, or Full Thickness, May Include Preparation For Skin Graft |
| 67966 | CPT | Excision and Repair of Eyelid, Involving Lid Margin, Tarsus, Conjunctiva, Canthus, or Full Thickness, May Include Preparation For Skin Graft |
| 69714 | CPT | Implantation, Osseointegrated Implant, Temporal Bone, With Percutaneous Attachment To External Speech Processor/Cochlear Stimulator; |
| 69715 | CPT | Implantation, Osseointegrated Implant, Temporal Bone, With Percutaneous Attachment To External Speech Processor/Cochlear Stimulator; |
| 69718 | CPT | Replacement (Including Removal of Existing Device), Osseointegrated Implant, Temporal Bone, With Percutaneous Attachment To External |
| 69930 | CPT | Cochlear Device Implantation, With or Without Mastoidectomy |
| 77262 | CPT | Therapeutic Radiology Treatment Planning |
| 77263 | CPT | Therapeutic Radiology Treatment Planning |
| 77280 | CPT | Therapeutic Radiology Simulation-Aided Field Setting |
| 77285 | CPT | Therapeutic Radiology Simulation-Aided Field Setting |
| 77290 | CPT | Therapeutic Radiology Simulation-Aided Field Setting |
| 77293 | CPT | Therapeutic Radiology Simulation-Aided Field Setting |
| 77295 | CPT | Medical Radiation Physics, Dosimetry, Treatment Devices, and Special Services For Radiation Treatment |
| 77300 | CPT | Medical Radiation Physics, Dosimetry, Treatment Devices, and Special Services For Radiation Treatment |
| 77301 | CPT | Medical Radiation Physics, Dosimetry, Treatment Devices, and Special Services For Radiation Treatment |
| 77321 | CPT | Medical Radiation Physics, Dosimetry, Treatment Devices, and Special Services For Radiation Treatment |
| 77331 | CPT | Medical Radiation Physics, Dosimetry, Treatment Devices, and Special Services For Radiation Treatment |
| 77332 | CPT | Treatment Devices, Design and Construction |
| 77333 | CPT | Treatment Devices, Design and Construction |
| 77334 | CPT | Treatment Devices, Design and Construction |
| 77336 | CPT | Medical Radiation Physics, Dosimetry, Treatment Devices, and Special Services For Radiation Treatment |
| 77338 | CPT | Medical Radiation Physics, Dosimetry, Treatment Devices, and Special Services For Radiation Treatment |
| 77370 | CPT | Medical Radiation Physics, Dosimetry, Treatment Devices, and Special Services For Radiation Treatment |
| 77371 | CPT | Radiation Treatment Delivery, Stereotactic Radiosurgery (Srs), Complete Course of Treatment of Cranial Lesion(S) Consisting of 1 Session |
| 77372 | CPT | Radiation Treatment Delivery, Stereotactic Radiosurgery (Srs), Complete Course of Treatment of Cranial Lesion(S) Consisting of 1 Session |
| 77373 | CPT | Stereotactic Radiation Treatment Delivery |
| 77385 | CPT | Radiation Treatment Delivery |
| 77386 | CPT | Radiation Treatment Delivery |
| 77401 | CPT | Radiation Treatment Delivery |
| 77417 | CPT | Radiation Treatment Delivery |
| 77427 | CPT | Radiation Treatment Management |
| 77431 | CPT | Radiation Treatment Management |
| 77432 | CPT | Radiation Treatment Management |
| 77435 | CPT | Radiation Treatment Management |
| 77470 | CPT | Radiation Treatment Management |
| 77520 | CPT | Proton Treatment Delivery |
| 77522 | CPT | Proton Treatment Delivery |
| 77523 | CPT | Proton Treatment Delivery |
| 77525 | CPT | Proton Treatment Delivery |
| 77750 | CPT | Clinical Brachytherapy Radiation Treatment |
| 77761 | CPT | Intracavitary Radiation Source Application |
| 77762 | CPT | Intracavitary Radiation Source Application |
| 77763 | CPT | Intracavitary Radiation Source Application |
| 77767 | CPT | Remote Afterloading High Dose Rate Radionuclide |
| 77768 | CPT | Remote Afterloading High Dose Rate Radionuclide |
| 77770 | CPT | Remote Afterloading High Dose Rate Radionuclide |
| 77771 | CPT | Remote Afterloading High Dose Rate Radionuclide |
| 77772 | CPT | Remote Afterloading High Dose Rate Radionuclide |
| 77778 | CPT | Interstitial Radiation Source Application |
| 77789 | CPT | Clinical Brachytherapy Radiation Treatment |
| 77790 | CPT | Clinical Brachytherapy Radiation Treatment |
| 77799 | CPT | Clinical Brachytherapy Radiation Treatment |
| 78099 | CPT | Unlisted Endocrine Procedure, Diagnostic Nuclear Medicine |
| 78199 | CPT | Unlisted Hematopoietic, Reticuloendothelial and Lymphatic Procedure, Diagnostic Nuclear Medicine |
| 78399 | CPT | Unlisted Musculoskeletal Procedure, Diagnostic Nuclear Medicine |
| 78429 | CPT | Myocardial Imaging, Positron Emission Tomography (Pet), Metabolic Evaluation Study (Including Ventricular Wall Motion(S), and/or |
| 78430 | CPT | Myocardial Imaging, Pet, Perfusion Study (Including Ventricular Wall Motion(S), and/or Ejection Fraction(S), When Performed); Single |
| 78431 | CPT | Multiple Studies At Rest and Stress (Exercise or Pharmacologic), With Concurrently Acquired Computed Tomography Transmission Scan |
| 78432 | CPT | Myocardial Imaging, Positron Emission Tomography, Combined Perfusion With Metabolic Evaluation Study (Including Ventricular Wall |
| 78433 | CPT | Myocardial Imaging, Positron Emission Tomography (Pet), Combined Perfusion With Metabolic Evaluation Study (Including Ventricular |
| 78434 | CPT | Diagnostic Nuclear Medicine Procedures on the Cardiovascular System |
| 78445 | CPT | Non-Cardiac Vascular Flow Imaging (Ie, Angiography, Venography) |
| 78451 | CPT | Myocardial Perfustion Imaging - Spect - Single Study At Rest or Stress |
| 78452 | CPT | Cardiac Nuclear Stress Testing |
| 78453 | CPT | Myocardial Perfusion Imaging, Planar (Including Qualitative or Quantitative Wall Motion, Ejection Fraction By First Pass or Gated |
| 78454 | CPT | Myocardial Perfusion Imaging, Planar (Including Qualitative or Quantitative Wall Motion, Ejection Fraction By First Pass or Gated |
| 78456 | CPT | Acute Venous Thrombosis Imaging, Peptide |
| 78457 | CPT | Venous Thrombosis Imaging, Venogram; Unilateral |
| 78458 | CPT | Venous Thrombosis Imaging, Venogram; Bilateral |
| 78459 | CPT | Diagnostic Nuclear Medicine Procedures on the Cardiovascular System |
| 78466 | CPT | Myocardial Imaging, Infarct Avid, Planar; Qualitative or Quantitative |
| 78468 | CPT | Myocardial Imaging, Infarct Avid, Planar; With Ejection Fraction By First Pass Technique |
| 78469 | CPT | Myocardial Imaging, Infarct Avid, Planar; Tomographic Spect With or Without Quantification |
| 78472 | CPT | Cardiac Blood Pool Imaging, Gated Equilibrium; Planar, Single Study At Rest or Stress (Exercise and/or Pharmacologic), Wall Motion Study |
| 78473 | CPT | Multiple Studies |
| 78481 | CPT | Cardiac Blood Pool Imaging (Planar), First Pass Technique |
| 78483 | CPT | Cardiac Blood Pool Imaging (Planar), First Pass Technique |
| 78491 | CPT | Myocardial Imaging, Positron Emission Tomography (Pet), Perfusion |
| 78492 | CPT | Myocardial Imaging, Positron Emission Tomography (Pet), Perfusion |
| 78494 | CPT | Diagnostic Nuclear Medicine Procedures on the Cardiovascular System |
| 78496 | CPT | Diagnostic Nuclear Medicine Procedures on the Cardiovascular System |
| 78499 | CPT | Unlisted Cardiovascular Procedure, Diagnostic Nuclear Medicine |
| 78608 | CPT | Brain PET/CT |
| 78609 | CPT | Brain Imaging, Positron Emission Tomography (PET) |
| 78725 | CPT | Kidney Function Study, Non-Imaging Radioisotopic Study |
| 78835 | CPT | Radiopharmaceutical Quantification Measurement(S) Single Area (List Separately In Addition To Code For Primary Procedure) |
| 81162 | CPT | BRCA1, BRCA2 (Breast Cancer 1 and 2) |
| 81170 | CPT | Tier 1 Molecular Pathology Procedures |
| 81206 | CPT | BCR/ABL1 (t(9;22)) |
| 81207 | CPT | BCR/ABL1 (t(9;22)) |
| 81208 | CPT | BCR/ABL1 (t(9;22)) |
| 81210 | CPT | Tier 1 Molecular Pathology Procedures |
| 81212 | CPT | BRCA1, BRCA2 (breast cancer 1 and 2) |
| 81215 | CPT | BRCA1 (breast cancer 1) |
| 81217 | CPT | BRCA2 (breast cancer 2) |
| 81218 | CPT | Tier 1 Molecular Pathology Procedures |
| 81219 | CPT | Gene Analysis Common Variants |
| 81225 | CPT | Cytochrome, Gene Analysis, Common Variants |
| 81226 | CPT | Cytochrome, Gene Analysis, Common Variants |
| 81227 | CPT | Cytochrome, Gene Analysis, Common Variants |
| 81235 | CPT | Tier 1 Molecular Pathology Procedures |
| 81240 | CPT | Tier 1 Molecular Pathology Procedures |
| 81241 | CPT | Tier 1 Molecular Pathology Procedures |
| 81245 | CPT | FLT3 Gene Analysis |
| 81246 | CPT | FLT3 Gene Analysis |
| 81261 | CPT | IGH@ (Immunoglobulin heavy chain locus) |
| 81262 | CPT | IGH@ (Immunoglobulin heavy chain locus) |
| 81263 | CPT | Tier 1 Molecular Pathology Procedures |
| 81264 | CPT | Tier 1 Molecular Pathology Procedures |
| 81270 | CPT | Tier 1 Molecular Pathology Procedures |
| 81272 | CPT | KIT (V-Kit Hardy-Zuckerman 4 Feline Sarcoma Viral Oncogene Homolog) |
| 81273 | CPT | KIT (V-Kit Hardy-Zuckerman 4 Feline Sarcoma Viral Oncogene Homolog) |
| 81275 | CPT | KRAS (Kirsten Rat Sarcoma Viral Oncogene Homolog) |
| 81276 | CPT | KRAS (Kirsten Rat Sarcoma Viral Oncogene Homolog) |
| 81287 | CPT | Tier 1 Molecular Pathology Procedures |
| 81288 | CPT | Mlh1 (Mutl Homolog 1, Colon Cancer, Nonpolyposis Type 2) |
| 81291 | CPT | Tier 1 Molecular Pathology Procedures |
| 81292 | CPT | MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) |
| 81293 | CPT | MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) |
| 81294 | CPT | MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) |
| 81295 | CPT | MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) |
| 81296 | CPT | MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) |
| 81297 | CPT | MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) |
| 81298 | CPT | MSH6 (mutS homolog 6 [E. coli]) |
| 81299 | CPT | MSH6 (mutS homolog 6 [E. coli]) |
| 81300 | CPT | MSH6 (mutS homolog 6 [E. coli]) |
| 81301 | CPT | Tier 1 Molecular Pathology Procedures |
| 81310 | CPT | Tier 1 Molecular Pathology Procedures |
| 81311 | CPT | Tier 1 Molecular Pathology Procedures |
| 81313 | CPT | Tier 1 Molecular Pathology Procedures |
| 81314 | CPT | Tier 1 Molecular Pathology Procedures |
| 81315 | CPT | PML/RARalpha, (t(15;17)) |
| 81316 | CPT | PML/RARalpha, (t(15;17)) |
| 81317 | CPT | PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) |
| 81318 | CPT | PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) |
| 81319 | CPT | PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) |
| 81321 | CPT | PTEN (phosphatase and tensin homolog) |
| 81322 | CPT | PTEN (phosphatase and tensin homolog) |
| 81323 | CPT | PTEN (phosphatase and tensin homolog) |
| 81340 | CPT | TRB@ (T cell antigen receptor, beta) |
| 81341 | CPT | TRB@ (T cell antigen receptor, beta) |
| 81342 | CPT | Tier 1 Molecular Pathology Procedures |
| 81355 | CPT | Tier 1 Molecular Pathology Procedures |
| 81400 | CPT | Tier 2 Molecular Pathology Procedures |
| 81401 | CPT | Tier 2 Molecular Pathology Procedures |
| 81432 | CPT | Genomic Sequencing Procedures and Other Molecular Multianalyte Assays |
| 81433 | CPT | Genomic Sequencing Procedures and Other Molecular Multianalyte Assays |
| 81435 | CPT | Genomic Sequencing Procedures and Other Molecular Multianalyte Assays |
| 81436 | CPT | Genomic Sequencing Procedures and Other Molecular Multianalyte Assays |
| 81437 | CPT | Genomic Sequencing Procedures and Other Molecular Multianalyte Assays |
| 81438 | CPT | Genomic Sequencing Procedures and Other Molecular Multianalyte Assays |
| 81445 | CPT | Genomic Sequencing Procedures and Other Molecular Multianalyte Assays |
| 81450 | CPT | Genomic Sequencing Procedures and Other Molecular Multianalyte Assays |
| 81455 | CPT | Genomic Sequencing Procedures and Other Molecular Multianalyte Assays |
| 81479 | CPT | Tier 2 Molecular Pathology Procedures |
| 81519 | CPT | Oncology (Breast), Mrna |
| 81520 | CPT | Oncology (Breast), Mrna |
| 81525 | CPT | Administrative Codes for Multianalyte Assays with Algorithmic Analyses (MAAA) |
| 81535 | CPT | Oncology (Gynecologic), Live Tumor Cell Culture and Chemotherapeutic Response |
| 81536 | CPT | Oncology (Gynecologic), Live Tumor Cell Culture and Chemotherapeutic Response |
| 81538 | CPT | Administrative Codes for Multianalyte Assays with Algorithmic Analyses (MAAA) |
| 81540 | CPT | Administrative Codes for Multianalyte Assays with Algorithmic Analyses (MAAA) |
| 81545 | CPT | Administrative Codes for Multianalyte Assays with Algorithmic Analyses (MAAA) |
| 86316 | CPT | Immunology Procedures |
| 88264 | CPT | Chromosome Analysis |
| 88271 | CPT | Molecular Cytogenetics |
| 88272 | CPT | Molecular Cytogenetics |
| 88273 | CPT | Molecular Cytogenetics |
| 88274 | CPT | Molecular Cytogenetics |
| 88275 | CPT | Molecular Cytogenetics |
| 88280 | CPT | Chromosome Analysis |
| 88283 | CPT | Chromosome Analysis |
| 88285 | CPT | Chromosome Analysis |
| 88289 | CPT | Chromosome Analysis |
| 91112 | CPT | Gastroenterology Procedures-- Capsule |
| 92145 | CPT | Special Ophthalmological Services and Procedures |
| 92523 | CPT | Evaluation of Speech Sound Production (Eg, Articulation, Phonological Process, Apraxia, Dysarthria); With Evaluation of Language |
| 92524 | CPT | Behavioral and Qualitative Analysis of Voice and Resonance |
| 95970 | CPT | Electronic Analysis of Implanted Neurostimulator Pulse Generator System (Eg, Rate, Pulse Amplitude, Pulse Duration, Configuration of Wave |
| 95971 | CPT | Electronic Analysis of Implanted Neurostimulator Pulse Generator System (Eg, Rate, Pulse Amplitude, Pulse Duration, Configuration of Wave |
| 95972 | CPT | Electronic Analysis of Implanted Neurostimulator Pulse Generator System (Eg, Rate, Pulse Amplitude, Pulse Duration, Configuration of Wave |
| 97010 | CPT | Hot/Cold Packs |
| 97012 | CPT | Mechanical Traction |
| 97033 | CPT | Iontophoresis |
| 97034 | CPT | Application of A Modality To 1 or More Areas |
| 97035 | CPT | Ultrasound/Phonophoresis |
| 97036 | CPT | Application of A Modality To 1 or More Areas |
| 97039 | CPT | Laser/Other |
| 97110 | CPT | Therapeutic Exercise |
| 97112 | CPT | Neuromuscular Re-Education |
| 97113 | CPT | Aquatic Exercise |
| 97116 | CPT | Gait Training |
| 97124 | CPT | Massage |
| 97139 | CPT | Physical Medicine and Rehabilitation Therapeutic Procedures |
| 97140 | CPT | Manual Therapy |
| 97162 | CPT | Physical Therapy Evaluation: Moderate Complexity, Requiring These Components: A History of Present Problem With 1-2 Personal Factors and/ |
| 97163 | CPT | Physical Therapy Evaluation: High Complexity, Requiring These Components: A History of Present Problem With 3 or More Personal Factors and/or |
| 97164 | CPT | PT Re-Evaluation |
| 97165 | CPT | Occupational Therapy Evaluation, Low Complexity, Requiring These Components: An Occupational Profile and Medical and Therapy History, |
| 97166 | CPT | Occupational Therapy Evaluation, Moderate Complexity, Requiring These Components: An Occupational Profile and Medical and |
| 97167 | CPT | Occupational Therapy Evaluation, High Complexity, Requiring These Components: An Occupational Profile and Medical and Therapy History, |
| 97168 | CPT | Occupational Therapy Evaluations |
| 97530 | CPT | Therapeutic Activities |
| 97535 | CPT | Self Care/Home Management Training |
| 97810 | CPT | Acupuncture, One or More Needles, Without Electric Stimulation 15Min |
| 97811 | CPT | Acupuncture Without Stimulation Additional 15Min |
| 97813 | CPT | Acupuncture, One or More Needles, With Electric Stimulation 15Min |
| 97814 | CPT | Acupuncture With Stimulation Additional 15Min |
| 98940 | CPT | Chiropractic Manipulative Treatment (Cmt); Spinal, 1-2 Regions |
| 98941 | CPT | Chiropractic Manipulative Treatment (Cmt); Spinal, 3-4 Regions |
| 98942 | CPT | Chiropractic Manipulative Treatment (Cmt); Spinal, 5 Regions |
| 99503 | CPT | New or Established Patient Comprehensive Nursing Facility Assessments |
| 99504 | CPT | Other Evaluation and Management Services |
| 99505 | CPT | Home Health Procedures and Services |
| 99506 | CPT | Home Health Procedures and Services |
| 99507 | CPT | Home Health Procedures and Services |
| 99511 | CPT | Home Health Procedures and Services |
| G2067 | HCPCS | Medication Assisted Treatment, Methadone; Weekly Bundle Including Dispensing and/or Administration, Substance Use Counseling, |
| G2068 | HCPCS | Medication Assisted Treatment, Buprenorphine (Oral); Weekly Bundle Including Dispensing And/Or Administration, Substance Use |
| G2069 | HCPCS | Medication Assisted Treatment, Buprenorphine (Injectable); Weekly Bundle Including Dispensing and/or Administration, Substance Use |
| G2073 | HCPCS | Medication Assisted Treatment, Naltrexone; Weekly Bundle Including Dispensing and/or Administration, Substance Use Counseling, |
| G2074 | HCPCS | Medication Assisted Treatment, Weekly Bundle Not Including the Drug, Including Substance Use Counseling, Individual and Group Therapy, |
| G2076 | HCPCS | Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation and Initial Assessment |
| G2077 | HCPCS | Periodic Assessment; Assessing Periodically By Qualified Personnel To Determine the Most Appropriate Combination of Services and Treatment |
| 0037U | CPT Category III/PLA | TRGT GEN SEQ DNA 324 GENES |
| 0042T | CPT Category III/PLA | Other Procedures/Services |
| 0047U | CPT Category III/PLA | ONC PRST8 MRNA 17 GENE ALG |
| 0191T | CPT Category III/PLA | Insert Ant Segment Drain Int |
| 1999 | CPT | Anesthesia For Other Procedures |
| 0200T | CPT Category III/PLA | Musculoskeletal System Procedures/Services |
| 0201T | CPT Category III/PLA | Musculoskeletal System Procedures/Services |
| 0202T | CPT Category III/PLA | Posterior Vertebral Joint(S) Arthroplasty (Eg, Facet Joint[S] Replacement), Including Facetectomy, Laminectomy, Foraminotomy, and |
| 0213T | CPT Category III/PLA | Injection(S), Diagnostic or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (Or Nerves |
| 0214T | CPT Category III/PLA | Injection(S), Diagnostic or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (Or Nerves |
| 0215T | CPT Category III/PLA | Injection(S), Diagnostic or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (Or Nerves |
| 0216T | CPT Category III/PLA | Injection(S), Diagnostic or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (Or Nerves |
| 0217T | CPT Category III/PLA | Injection(S), Diagnostic or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (Or Nerves |
| 0218T | CPT Category III/PLA | Injection(S), Diagnostic or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (Or Nerves |
| 0219T | CPT Category III/PLA | Placement of A Posterior Intrafacet Implant(S), Unilateral or Bilateral, Including Imaging and Placement of Bone Graft(S) or Synthetic |
| 0220T | CPT Category III/PLA | Placement of A Posterior Intrafacet Implant(S), Unilateral or Bilateral, Including Imaging and Placement of Bone Graft(S) or Synthetic |
| 0221T | CPT Category III/PLA | Placement of A Posterior Intrafacet Implant(S), Unilateral or Bilateral, Including Imaging and Placement of Bone Graft(S) or Synthetic |
| 0222T | CPT Category III/PLA | Placement of Posterior Intrafacet Implants, Uni/Bilateral, Includes Imaging & Plcmt of Bone Grafts or Synthetic Devices |
| 0230T | CPT Category III/PLA | Injection(S), Anesthetic Agent and/or Steroid, Transforaminal Epidural, With Ultrasound Guidance |
| 0231T | CPT Category III/PLA | Injection(S), Anesthetic Agent and/or Steroid, Transforaminal Epidural, With Ultrasound Guidance |
| 0239U | CPT Category III/PLA | Targeted Genomic Sequence Analysis Panel, Solid Organ Neoplasm, Cell-Free Dna, Analysis of 311 or M |
| 0274T | CPT Category III/PLA | Percutaneous Laminotomy/Laminectomy (Interlaminar Approach) For Decompression of Neural Elements |
| 0275T | CPT Category III/PLA | Percutaneous Laminotomy/Laminectomy (Interlaminar Approach) For Decompression of Neural Elements |
| 0408T | CPT Category III/PLA | Insertion or Replacement of Permanent Cardiac Contractility Modulation System, Including Contractility Evaluation When Performed, and |
| 15824 | CPT | Removal of Forehead Wrinkles |
| 15825 | CPT | Removal of Neck Wrinkles |
| 15826 | CPT | Removal of Brow Wrinkles |
| 15828 | CPT | Removal of Face Wrinkles |
| 15829 | CPT | Removal of Skin Wrinkles |
| 17380 | CPT | Hair Removal By Electrolysis |
| 19105 | CPT | Excision Procedures on the Breast |
| 19120 | CPT | Removal of Breast Lesion |
| 19125 | CPT | Excision Breast Lesion |
| 19300 | CPT | Removal of Breast Tissue |
| 21026 | CPT | Excision of Facial Bone(S) |
| 21209 | CPT | Reduction of Facial Bones |
| 21282 | CPT | Revision of Eyelid |
| 22513 | CPT | Perq Vertebral Augmentation |
| 22514 | CPT | Perq Vertebral Augmentation |
| 22551 | CPT | Neck Spine Fuse&Remov Bel C2 |
| 22554 | CPT | Neck Spine Fusion |
| 22612 | CPT | Lumbar Spine Fusion |
| 22856 | CPT | Cerv Artific Diskectomy |
| 22857 | CPT | Total Disc Arthroplasty (Artificial Disc), Anterior Approach |
| 22858 | CPT | Total Disc Arthroplasty (Artificial Disc), Anterior Approach |
| 22862 | CPT | Revision Including Replacement of Total Disc Arthroplasty (Artificial Disc), Anterior Approach, Single Interspace |
| 22865 | CPT | Removal of Total Disc Arthroplasty (Artificial Disc), Anterior Approach, Single Interspace |
| 22869 | CPT | Insj Stablj Dev W/O Dcmprn |
| 22899 | CPT | Spine Surgery Procedure |
| 23105 | CPT | Remove Shoulder Joint Lining |
| 23395 | CPT | Muscle Transfer Shoulder/Arm |
| 23405 | CPT | Incision of Tendon & Muscle |
| 23410 | CPT | Repair Rotator Cuff Acute |
| 23412 | CPT | Repair Rotator Cuff Chronic |
| 23415 | CPT | Release of Shoulder Ligament |
| 23420 | CPT | Repair of Shoulder |
| 23430 | CPT | Repair Biceps Tendon |
| 23472 | CPT | Reconstruct Shoulder Joint |
| 23474 | CPT | Revis Reconst Shoulder Joint |
| 24105 | CPT | Removal of Elbow Bursa |
| 24301 | CPT | Muscle/Tendon Transfer |
| 24341 | CPT | Repair Arm Tendon/Muscle |
| 24360 | CPT | Reconstruct Elbow Joint |
| 24363 | CPT | Replace Elbow Joint |
| 24365 | CPT | Reconstruct Head of Radius |
| 24366 | CPT | Reconstruct Head of Radius |
| 24435 | CPT | Repair Humerus With Graft |
| 24545 | CPT | Treat Humerus Fracture |
| 25312 | CPT | Transplant Forearm Tendon |
| 25360 | CPT | Revision of Ulna |
| 25400 | CPT | Repair Radius or Ulna |
| 25405 | CPT | Repair/Graft Radius or Ulna |
| 25445 | CPT | Reconstruct Wrist Joint |
| 25447 | CPT | Repair Wrist Joints |
| 25449 | CPT | Remove Wrist Joint Implant |
| 25820 | CPT | Fusion of Hand Bones |
| 25825 | CPT | Fuse Hand Bones With Graft |
| 26055 | CPT | Incise Finger Tendon Sheath |
| 26123 | CPT | Release Palm Contracture |
| 26356 | CPT | Repair Finger/Hand Tendon |
| 26437 | CPT | Realignment of Tendons |
| 26445 | CPT | Release Hand/Finger Tendon |
| 26531 | CPT | Revise Knuckle With Implant |
| 26535 | CPT | Revise Finger Joint |
| 26536 | CPT | Revise/Implant Finger Joint |
| 26615 | CPT | Treat Metacarpal Fracture |
| 26706 | CPT | Pin Knuckle Dislocation |
| 26735 | CPT | Treat Finger Fracture Each |
| 26841 | CPT | Fusion of Thumb |
| 26844 | CPT | Fusion/Graft of Hand Joint |
| 26850 | CPT | Fusion of Knuckle |
| 26860 | CPT | Fusion of Finger Joint |
| 26862 | CPT | Fusion/Graft of Finger Joint |
| 26951 | CPT | Amputation of Finger/Thumb |
| 27062 | CPT | Remove Femur Lesion/Bursa |
| 27096 | CPT | Inject Sacroiliac Joint |
| 27130 | CPT | Total Hip Arthroplasty |
| 27134 | CPT | Revise Hip Joint Replacement |
| 27266 | CPT | Treat Hip Dislocation |
| 27279 | CPT | Arthrodesis Sacroiliac Joint |
| 27280 | CPT | Fusion of Sacroiliac Joint |
| 27337 | CPT | Exc Thigh/Knee Les Sc 3 Cm/> |
| 27380 | CPT | Repair of Kneecap Tendon |
| 27381 | CPT | Repair/Graft Kneecap Tendon |
| 27385 | CPT | Repair of Thigh Muscle |
| 27405 | CPT | Repair of Knee Ligament |
| 27425 | CPT | Lat Retinacular Release Open |
| 27446 | CPT | Revision of Knee Joint |
| 27447 | CPT | Total Knee Arthroplasty |
| 27486 | CPT | Revise/Replace Knee Joint |
| 27487 | CPT | Revise/Replace Knee Joint |
| 27685 | CPT | Revision of Lower Leg Tendon |
| 27687 | CPT | Revision of Calf Tendon |
| 27690 | CPT | Revise Lower Leg Tendon |
| 27691 | CPT | Revise Lower Leg Tendon |
| 27695 | CPT | Repair of Ankle Ligament |
| 27696 | CPT | Repair of Ankle Ligaments |
| 27698 | CPT | Repair of Ankle Ligament |
| 27709 | CPT | Incision of Tibia & Fibula |
| 27720 | CPT | Repair of Tibia |
| 27766 | CPT | Optx Medial Ankle Fx |
| 27829 | CPT | Treat Lower Leg Joint |
| 27870 | CPT | Fusion of Ankle Joint Open |
| 27886 | CPT | Amputation Follow-Up Surgery |
| 28107 | CPT | Remove/Graft Foot Lesion |
| 28112 | CPT | Part Removal of Metatarsal |
| 28118 | CPT | Removal of Heel Bone |
| 28122 | CPT | Partial Removal of Foot Bone |
| 28124 | CPT | Partial Removal of Toe |
| 28238 | CPT | Revision of Foot Tendon |
| 28288 | CPT | Partial Removal of Foot Bone |
| 28291 | CPT | Corrj Halux Rigdus W/Implt |
| 28296 | CPT | Correction Hallux Valgus |
| 28297 | CPT | Correction Hallux Valgus |
| 28298 | CPT | Correction Hallux Valgus |
| 28299 | CPT | Correction Hallux Valgus |
| 28300 | CPT | Incision of Heel Bone |
| 28304 | CPT | Incision of Midfoot Bones |
| 28309 | CPT | Incision of Metatarsals |
| 28320 | CPT | Repair of Foot Bones |
| 28322 | CPT | Repair of Metatarsals |
| 28615 | CPT | Repair Foot Dislocation |
| 28705 | CPT | Fusion of Foot Bones |
| 28715 | CPT | Fusion of Foot Bones |
| 28725 | CPT | Fusion of Foot Bones |
| 28730 | CPT | Fusion of Foot Bones |
| 28740 | CPT | Fusion of Foot Bones |
| 28750 | CPT | Fusion of Big Toe Joint |
| 28755 | CPT | Fusion of Big Toe Joint |
| 28805 | CPT | Amputation Thru Metatarsal |
| 28810 | CPT | Amputation Toe & Metatarsal |
| 28825 | CPT | Partial Amputation of Toe |
| 28890 | CPT | High Energy Eswt, Plantar F |
| 28899 | CPT | Foot/Toes Surgery Procedure |
| 29806 | CPT | Arthroscopy, Shoulder, Surgical; Capsulorrhaphy |
| 29827 | CPT | Arthroscopy, Shoulder, Surgical; With Rotator Cuff Repair |
| 29846 | CPT | Wrist Arthroscopy/Surgery |
| 29855 | CPT | Tibial Arthroscopy/Surgery |
| 29856 | CPT | Tibial Arthroscopy/Surgery |
| 29875 | CPT | Knee Arthroscopy/Surgery |
| 29877 | CPT | Knee Arthroscopy/Surgery |
| 29880 | CPT | Knee Arthroscopy/Surgery |
| 29881 | CPT | Knee Arthroscopy/Surgery |
| 29883 | CPT | Knee Arthroscopy/Surgery |
| 29888 | CPT | Knee Arthroscopy/Surgery |
| 29892 | CPT | Ankle Arthroscopy/Surgery |
| 29999 | CPT | Arthroscopy of Joint |
| 30468 | CPT | Repair of Nasal Valve Collapse With Subcutaneous/Submucosal Lateral Wall Implant(S) |
| 30802 | CPT | Ablate Inf Turbinate Submuc |
| 31237 | CPT | Nasal/Sinus Endoscopy Surg |
| 31238 | CPT | Nasal/Sinus Endoscopy Surg |
| 31239 | CPT | Nasal/Sinus Endoscopy Surg |
| 31253 | CPT | Nsl/Sins Ndsc Total |
| 31254 | CPT | Nsl/Sins Ndsc W/Prtl Ethmdct |
| 31257 | CPT | Nsl/Sins Ndsc Tot W/Sphendt |
| 31288 | CPT | Nasal/Sinus Endoscopy Surg |
| 31299 | CPT | Sinus Surgery Procedure |
| 33207 | CPT | Insert Heart Pm Ventricular |
| 33208 | CPT | Insrt Heart Pm Atrial & Vent |
| 33214 | CPT | Upgrade of Pacemaker System |
| 33215 | CPT | Reposition Pacing-Defib Lead |
| 33216 | CPT | Insert 1 Electrode Pm-Defib |
| 33224 | CPT | Insert Pacing Lead & Connect |
| 33227 | CPT | Remove&Replace Pm Gen Singl |
| 33228 | CPT | Remv&Replc Pm Gen Dual Lead |
| 33229 | CPT | Remv&Replc Pm Gen Mult Leads |
| 33233 | CPT | Removal of Pm Generator |
| 33235 | CPT | Removal Pacemaker Electrode |
| 33249 | CPT | Insj/Rplcmt Defib W/Lead(S) |
| 33262 | CPT | Rmvl& Replc Pulse Gen 1 Lead |
| 33263 | CPT | Rmvl & Rplcmt Dfb Gen 2 Lead |
| 33264 | CPT | Rmvl & Rplcmt Dfb Gen Mlt Ld |
| 33270 | CPT | Ins/Rep Subq Defibrillator |
| 33273 | CPT | Repos Prev Impltbl Subq Dfb |
| 33274 | CPT | Pacemaker or Implantable Defibrillator |
| 33285 | CPT | Insj Subq Car Rhythm Mntr |
| 33286 | CPT | Rmvl Subq Car Rhythm Mntr |
| 33289 | CPT | Tcat Impl Wrls P-Art Prs Snr |
| 33430 | CPT | Replacement of Mitral Valve |
| 33477 | CPT | Surgical Procedures on the Pulmonary Valve |
| 35321 | CPT | Rechanneling of Artery |
| 35820 | CPT | Explore Chest Vessels |
| 36222 | CPT | Place Cath Carotid/Inom Art |
| 36223 | CPT | Place Cath Carotid/Inom Art |
| 36224 | CPT | Place Cath Carotd Art |
| 36226 | CPT | Place Cath Vertebral Art |
| 36246 | CPT | Ins Cath Abd/L-Ext Art 2Nd |
| 36251 | CPT | Ins Cath Ren Art 1St Unilat |
| 36482 | CPT | Endoven Ther Chem Adhes 1St |
| 36838 | CPT | Dist Revas Ligation Hemo |
| 36903 | CPT | Intro Cath Dialysis Circuit |
| 37184 | CPT | Prim Art M-Thrmbc 1St Vsl |
| 37191 | CPT | Ins Endovas Vena Cava Filtr |
| 37193 | CPT | Rem Endovas Vena Cava Filter |
| 37200 | CPT | Transcatheter Biopsy |
| 37220 | CPT | Iliac Revasc |
| 37221 | CPT | Iliac Revasc W/Stent |
| 37224 | CPT | Fem/Popl Revas W/Tla |
| 37225 | CPT | Fem/Popl Revas W/Ather |
| 37226 | CPT | Fem/Popl Revasc W/Stent |
| 37228 | CPT | Tib/Per Revasc W/Tla |
| 37230 | CPT | Tib/Per Revasc W/Stent |
| 37231 | CPT | Tib/Per Revasc Stent & Ather |
| 37236 | CPT | Open/Perq Place Stent 1St |
| 37238 | CPT | Open/Perq Place Stent Same |
| 37241 | CPT | Vasc Embolize/Occlude Venous |
| 37242 | CPT | Vasc Embolize/Occlude Artery |
| 37243 | CPT | Vasc Embolize/Occlude Organ |
| 37244 | CPT | Vasc Embolize/Occlude Bleed |
| 37246 | CPT | Trluml Balo Angiop 1St Art |
| 37248 | CPT | Trluml Balo Angiop 1St Vein |
| 37609 | CPT | Temporal Artery Procedure |
| 37761 | CPT | Ligate Leg Veins Open |
| 37766 | CPT | Phleb Veins - Extrem 20+ |
| 41874 | CPT | Repair Tooth Socket |
| 43212 | CPT | Esophagoscop Stent Placement |
| 43220 | CPT | Esophagoscopy Balloon <30Mm |
| 43229 | CPT | Esophagoscopy Lesion Ablate |
| 43280 | CPT | Laparoscopy Fundoplasty |
| 43281 | CPT | Lap Paraesophag Hern Repair |
| 43282 | CPT | Lap Paraesoph Her Rpr W/Mesh |
| 43659 | CPT | Laparoscope Proc Stom |
| 45338 | CPT | Sigmoidoscopy W/Tumr Remove |
| 45990 | CPT | Surg Dx Exam Anorectal |
| 46255 | CPT | Remove Int/Ext Hem 1 Group |
| 46260 | CPT | Remove In/Ex Hem Groups 2+ |
| 47379 | CPT | Laparoscope Procedure Liver |
| 47382 | CPT | Percut Ablate Liver Rf |
| 47531 | CPT | Injection For Cholangiogram |
| 47539 | CPT | Perq Plmt Bile Duct Stent |
| 48000 | CPT | Drainage of Abdomen |
| 49320 | CPT | Diag Laparo Separate Proc |
| 49321 | CPT | Laparoscopy Biopsy |
| 49324 | CPT | Lap Insert Tunnel Ip Cath |
| 49329 | CPT | Laparo Proc Abdm/Per/Oment |
| 49406 | CPT | Image Cath Fluid Peri/Retro |
| 49505 | CPT | Prp I/Hern Init Reduc >5 Yr |
| 49507 | CPT | Prp I/Hern Init Block >5 Yr |
| 49520 | CPT | Rerepair Ing Hernia Reduce |
| 49521 | CPT | Rerepair Ing Hernia Blocked |
| 49525 | CPT | Repair Ing Hernia Sliding |
| 49560 | CPT | Rpr Ventral Hern Init Reduc |
| 49561 | CPT | Rpr Ventral Hern Init Block |
| 49565 | CPT | Rerepair Ventrl Hern Reduce |
| 49570 | CPT | Rpr Epigastric Hern Reduce |
| 49585 | CPT | Rpr Umbil Hern Reduc > 5 Yr |
| 49650 | CPT | Lap Ing Hernia Repair Init |
| 49651 | CPT | Lap Ing Hernia Repair Recur |
| 49652 | CPT | Lap Vent/Abd Hernia Repair |
| 49653 | CPT | Lap Vent/Abd Hern Proc Comp |
| 49654 | CPT | Lap Inc Hernia Repair |
| 49655 | CPT | Lap Inc Hern Repair Comp |
| 49656 | CPT | Lap Inc Hernia Repair Recur |
| 49657 | CPT | Lap Inc Hern Recur Comp |
| 49659 | CPT | Laparo Proc Hernia Repair |
| 50432 | CPT | Plmt Nephrostomy Catheter |
| 50433 | CPT | Plmt Nephroureteral Catheter |
| 50541 | CPT | Laparo Ablate Renal Cyst |
| 50590 | CPT | Fragmenting of Kidney Stone |
| 50593 | CPT | Perc Cryo Ablate Renal Tum |
| 50693 | CPT | Plmt Ureteral Stent Prq |
| 50695 | CPT | Plmt Ureteral Stent Prq |
| 50961 | CPT | Ureter Endoscopy & Treatment |
| 51715 | CPT | Endoscopic Injection/Implant |
| 51990 | CPT | Laparo Urethral Suspension |
| 51999 | CPT | Laparoscope Proc Bla |
| 52500 | CPT | Revision of Bladder Neck |
| 52640 | CPT | Relieve Bladder Contracture |
| 52648 | CPT | Laser Surgery of Prostate |
| 52649 | CPT | Prostate Laser Enucleation |
| 53410 | CPT | Reconstruction of Urethra |
| 53440 | CPT | Male Sling Procedure |
| 53445 | CPT | Insert Uro/Ves Nck Sphincter |
| 53446 | CPT | Remove Uro Sphincter |
| 53447 | CPT | Remove/Replace Ur Sphincter |
| 54161 | CPT | Circum 28 Days or Older |
| 54400 | CPT | Insert Semi-Rigid Prosthesis |
| 54401 | CPT | Insert Self-Contd Prosthesis |
| 54405 | CPT | Insert Multi-Comp Penis Pros |
| 54410 | CPT | Remove/Replace Penis Prosth |
| 54530 | CPT | Removal of Testis |
| 55866 | CPT | Laparo Radical Prostatectomy |
| 55875 | CPT | Transperi Needle Place Pros |
| 55899 | CPT | Genital Surgery Procedure |
| 55920 | CPT | Place Needles Pelvic For Rt |
| 56620 | CPT | Partial Removal of Vulva |
| 57106 | CPT | Remove Vagina Wall Partial |
| 57120 | CPT | Closure of Vagina |
| 57135 | CPT | Remove Vagina Lesion |
| 57155 | CPT | Insert Uteri Tandem/Ovoids |
| 57240 | CPT | Anterior Colporrhaphy |
| 57250 | CPT | Repair Rectum & Vagina |
| 57260 | CPT | Cmbn Ant Pst Colprhy |
| 57265 | CPT | Cmbn Ap Colprhy W/Ntrcl Rpr |
| 57282 | CPT | Colpopexy Extraperitoneal |
| 57283 | CPT | Colpopexy Intraperitoneal |
| 57287 | CPT | Revise/Remove Sling Repair |
| 57288 | CPT | Repair Bladder Defect |
| 57425 | CPT | Laparoscopy Surg Colpopexy |
| 57522 | CPT | Conization of Cervix |
| 58120 | CPT | Dilation and Curettage |
| 58260 | CPT | Vaginal Hysterectomy |
| 58262 | CPT | Vag Hyst Including T/O |
| 58263 | CPT | Vag Hyst W/T/O & Vag Repair |
| 58270 | CPT | Vag Hyst W/Enterocele Repair |
| 58321 | CPT | Artificial Insemination |
| 58322 | CPT | Artificial Insemination |
| 58323 | CPT | Sperm Washing |
| 58544 | CPT | Lsh W/T/O Uterus Above 250 G |
| 58552 | CPT | Laparo-Vag Hyst Incl T/O |
| 58555 | CPT | Hysteroscopy Dx Sep Proc |
| 58558 | CPT | Hysteroscopy Biopsy |
| 58561 | CPT | Hysteroscopy Remove Myoma |
| 58563 | CPT | Hysteroscopy Ablation |
| 58571 | CPT | TLH W/T/O 250 G or Less |
| 58573 | CPT | TLH W/T/O Uterus Over 250 G |
| 58578 | CPT | Laparo Proc Uterus |
| 58661 | CPT | Laparoscopy Remove Adnexa |
| 58670 | CPT | Laparoscopy, Tubal Cautery |
| 58671 | CPT | Laparoscopy, Tubal Block |
| 58970 | CPT | Retrieval of Oocyte |
| 58974 | CPT | Transfer of Embryo |
| 58976 | CPT | Transfer of Embryo |
| 59012 | CPT | Fetal Cord Puncture,Prenatal |
| 61510 | CPT | Removal of Brain Lesion |
| 61626 | CPT | Transcath Occlusion Non-Cns |
| 61697 | CPT | Brain Aneurysm Repr Complx |
| 62360 | CPT | Insert Spine Infusion Device |
| 62361 | CPT | Implant Spine Infusion Pump |
| 62362 | CPT | Implant Spine Infusion Pump |
| 62365 | CPT | Remove Spine Infusion Device |
| 63020 | CPT | Neck Spine Disk Surgery |
| 63030 | CPT | Low Back Disk Surgery |
| 63042 | CPT | Laminotomy Single Lumbar |
| 63047 | CPT | Remove Spine Lamina 1 Lmbr |
| 63267 | CPT | Excise Intrspinl Lesion Lmbr |
| 63663 | CPT | Revise Spine Eltrd Perq Aray |
| 63664 | CPT | Revise Spine Eltrd Plate |
| 63688 | CPT | Revise/Remove Neuroreceiver |
| 64615 | CPT | Chemodenervation of Muscle(S); Muscle(S) Innervated By Facial, Trigeminal, Cervical Spinal and Accessory Nerves, Bilateral (Eg, For Chronic Migraine) |
| 64635 | CPT | Destroy Lumb/Sac Facet Jnt |
| 65778 | CPT | Placement of Amniotic Membrane on the Ocular Surface, Without Sutures |
| 65785 | CPT | Other Procedures on the Cornea |
| 66170 | CPT | Glaucoma Surgery |
| 66175 | CPT | Trnslum Dil Eye Canal W/Stnt |
| 66180 | CPT | Aqueous Shunt Eye W/Graft |
| 66183 | CPT | Insertion of An Anterior Segment Drainage Device |
| 66852 | CPT | Removal of Lens Material |
| 66999 | CPT | Eye Surgery Procedure |
| 67025 | CPT | Replace Eye Fluid |
| 67036 | CPT | Removal of Inner Eye Fluid |
| 67039 | CPT | Laser Treatment of Retina |
| 67040 | CPT | Laser Treatment of Retina |
| 67041 | CPT | VIT For Macular Pucker |
| 67042 | CPT | VIT For Macular Hole |
| 67043 | CPT | VIT For Membrane Dissect |
| 67113 | CPT | Repair Retinal Detach Cplx |
| 67218 | CPT | Treatment of Retinal Lesion |
| 67312 | CPT | Revise Two Eye Muscles |
| 67414 | CPT | Explr/Decompress Eye Socket |
| 70545 | CPT | Mr Angiography Head W/Dye |
| 81161 | CPT | Tier 1 Molecular Pathology Procedures |
| 81171 | CPT | AFF2 Gene Analysis |
| 81172 | CPT | AFF2 Gene Analysis |
| 81173 | CPT | AR Gene Analysis |
| 81174 | CPT | AR Gene Analysis |
| 81200 | CPT | Tier 1 Molecular Pathology Procedures |
| 81204 | CPT | Tier 1 Molecular Pathology Procedures |
| 81205 | CPT | Tier 1 Molecular Pathology Procedures |
| 81209 | CPT | Tier 1 Molecular Pathology Procedures |
| 81220 | CPT | CFTR (Cystic Fibrosis Transmembrane Conductance Regulator) |
| 81221 | CPT | CFTR (Cystic Fibrosis Transmembrane Conductance Regulator) |
| 81222 | CPT | CFTR (Cystic Fibrosis Transmembrane Conductance Regulator) |
| 81223 | CPT | CFTR (Cystic Fibrosis Transmembrane Conductance Regulator) |
| 81224 | CPT | CFTR (Cystic Fibrosis Transmembrane Conductance Regulator) |
| 81228 | CPT | Cytogenomic Constitutional (Genome-Wide) Microarray Analysis |
| 81229 | CPT | Cytogenomic Constitutional (Genome-Wide) Microarray Analysis |
| 81230 | CPT | Cytochrome, Gene Analysis, Common Variants |
| 81231 | CPT | Cytochrome, Gene Analysis, Common Variants |
| 81232 | CPT | Cytochrome, Gene Analysis, Common Variants |
| 81238 | CPT | Tier 1 Molecular Pathology Procedures |
| 81242 | CPT | Tier 1 Molecular Pathology Procedures |
| 81243 | CPT | FMR1 (Fragile X Mental Retardation 1) |
| 81250 | CPT | Tier 1 Molecular Pathology Procedures |
| 81251 | CPT | Tier 1 Molecular Pathology Procedures |
| 81254 | CPT | Tier 1 Molecular Pathology Procedures |
| 81255 | CPT | Tier 1 Molecular Pathology Procedures |
| 81260 | CPT | Tier 1 Molecular Pathology Procedures |
| 81290 | CPT | Tier 1 Molecular Pathology Procedures |
| 81302 | CPT | MECP2 (Methyl Cpg Binding Protein 2) |
| 81330 | CPT | Tier 1 Molecular Pathology Procedures |
| 81403 | CPT | Tier 2 Molecular Pathology Procedures |
| 81404 | CPT | Tier 2 Molecular Pathology Procedures |
| 81405 | CPT | Tier 2 Molecular Pathology Procedures |
| 81420 | CPT | Genomic Sequencing Procedures and Other Molecular Multianalyte Assays |
| 81503 | CPT | Administrative Codes For Multianalyte Assays With Algorithmic Analyses (MAAA) |
| 81507 | CPT | Administrative Codes For Multianalyte Assays With Algorithmic Analyses (MAAA) |
| 81521 | CPT | Onc Breast MRNA 70 Genes |
| 81529 | CPT | Oncology (Cutaneous Melanoma), MRNA, Gene Expression Profiling By Real-Time RT-PCR of 31 Genes (28 |
| 82541 | CPT | Chromatog/Spectrom-Analyt Nes; Qual |
| 82542 | CPT | Chromatog/Spectrom-Analyt Nes; Quan |
| 83516 | CPT | Immunoas Analyt Not Ab/Infec Ag; Mx |
| 83520 | CPT | Immunoassay Analyte Quan; Nos |
| 83704 | CPT | Lipoprotein, BLD, By NMR |
| 89250 | CPT | Culture Oocyte/Embryo < 4 Days; |
| 89251 | CPT | Culture of Oocyte(S)/Embryo(S), Less Than 4 Days |
| 89253 | CPT | Reproductive Medicine Procedures |
| 89254 | CPT | Reproductive Medicine Procedures |
| 89255 | CPT | Reproductive Medicine Procedures |
| 89257 | CPT | Reproductive Medicine Procedures |
| 89258 | CPT | Cryopreservation |
| 89259 | CPT | Cryopreservation |
| 89260 | CPT | Sperm Isolation |
| 89261 | CPT | Sperm Isolation |
| 89264 | CPT | Reproductive Medicine Procedures |
| 89268 | CPT | Insemination of Oocytes |
| 89272 | CPT | Ext Cult Oocyte/Embryo 4-7 Days |
| 89280 | CPT | Asstd Oocyte Fertiliz;</=10 Oocytes |
| 89281 | CPT | Asstd Oocyte Fertiliz; > 10 Oocytes |
| 89290 | CPT | Bx Oocyte/Emb Blastomere;</=5 Emb |
| 89291 | CPT | Bx Oocyte/Emb Blastomere; >5 Emb |
| 89335 | CPT | Cryopres Reprodive Tiss Testicular |
| 89337 | CPT | Reproductive Medicine Procedures |
| 89342 | CPT | Storage; Embryo |
| 89343 | CPT | Storage; Sperm/Semen |
| 89344 | CPT | Storage; Tiss Testicular/Ovarian |
| 89346 | CPT | Storage Per Year; Oocytes |
| 89352 | CPT | Thawing of Cryopreserved; Embryo |
| 89353 | CPT | Thaw Cryopres; Sperm/Sem Ea Aliquot |
| 89354 | CPT | Thaw Cryopres; Tiss Testiculr/Ovarn |
| 89356 | CPT | Thaw Cryopres; Oocytes Ea Aliquot |
| 90849 | CPT | Multiple Family Group Psytx |
| 92920 | CPT | Prq Cardiac Angioplast 1 Art |
| 92924 | CPT | Prq Card Angio/Athrect 1 Art |
| 92928 | CPT | Prq Card Stent W/Angio 1 Vsl |
| 92933 | CPT | Prq Card Stent/Ath/Angio |
| 92937 | CPT | Prq Revasc Byp Graft 1 Vsl |
| 92943 | CPT | Prq Card Revasc Chronic 1Vsl |
| 92970 | CPT | Cardioassist, Internal |
| 92971 | CPT | Cardioassist, External |
| 92986 | CPT | Revision of Aortic Valve |
| 92997 | CPT | Percutaneous Transluminal Pulmonary Artery Balloon Angioplasty; Single Vessel |
| 92998 | CPT | Percutaneous Transluminal Pulmonary Artery Balloon Angioplasty; Each Additional Vessel |
| 93451 | CPT | Right Heart Cath |
| 93452 | CPT | Left Hrt Cath W/Ventrclgrphy |
| 93453 | CPT | R&L Hrt Cath W/Ventriclgrphy |
| 93454 | CPT | Coronary Artery Angio S&I |
| 93455 | CPT | Coronary Art/Grft Angio S&I |
| 93456 | CPT | R Hrt Coronary Artery Angio |
| 93457 | CPT | R Hrt Art/Grft Angio |
| 93458 | CPT | L Hrt Artery/Ventricle Angio |
| 93459 | CPT | L Hrt Art/Grft Angio |
| 93460 | CPT | R&L Hrt Art/Ventricle Angio |
| 93461 | CPT | R&L Hrt Art/Ventricle Angio |
| 93505 | CPT | Biopsy of Heart Lining |
| 93548 | CPT | Heart Catheter & Angiogram |
| 93580 | CPT | Transcath Closure of Asd |
| 93620 | CPT | Electrophysiology Evaluation |
| 93650 | CPT | Ablate Heart Dysrhythm Focus |
| 93653 | CPT | Ep & Ablate Supravent Arrhyt |
| 93654 | CPT | Ep & Ablate Ventric Tachy |
| 93656 | CPT | TX Atrial Fib Pulm Vein Isol |
| 97161 | CPT | Physical Therapy Evaluation: Low Complexity, Requiring These Components: A History With No Personal Factors and/or Comorbidities That |
| 97545 | CPT | Work Hardening/Conditioning; Initial 2 Hours |
| 97546 | CPT | Work Hardening/Conditioning; Each Additional Hour |
| A0430 | HCPCS | Fixed Wing Air Transport |
| A0431 | HCPCS | Rotary Wing Air Transport |
| A0435 | HCPCS | Fixed Wing Air Mileage |
| A0436 | HCPCS | Rotary Wing Air Mileage |
| A4239 | HCPCS | Supply Allowance For Therapeutic Continuous Glucose Monitor (Cgm), Includes All Supplies and Accessories, 1 Month Supply |
| A4335 | HCPCS | Incont Supplies |
| A4520 | HCPCS | Non-Disposable Underpads, All Sizes |
| A4553 | HCPCS | Non-Disposable Underpads, All Sizes |
| A4554 | HCPCS | Adult Sized Disposable Incontinence Product, Brief/Diaper, Small, Each |
| A4575 | HCPCS | Topical Hyprbr Oxygen Chamb Dispbl |
| A6530 | HCPCS | Gradient Compression Stocking, Below Knee |
| C1300 | HCPCS | Hyperbaric Oxygen Under Pressure, Full Body Chamber, Per 30 Minute Interval |
| C1721 | HCPCS | Aicd, Dual Chamber |
| C1767 | HCPCS | Generator, Neuro Non-Recharg |
| C1776 | HCPCS | Joint Device (Implantable) |
| C1785 | HCPCS | PMKR, Dual, Rate-Resp |
| C1822 | HCPCS | Gen, Neuro, HF, Rechg Bat |
| C1882 | HCPCS | AICD, Other Than Sing/Dual |
| C2616 | HCPCS | Brachytx, Non-Str,Yttrium-90 |
| C2643 | HCPCS | Brachytx, Non-Stranded,C-131 |
| C9600 | HCPCS | Perc Drug-El Cor Stent Sing |
| C9602 | HCPCS | Perc D-E Cor Stent Ather S |
| C9604 | HCPCS | Perc D-E Cor Revasc T Cabg S |
| C9607 | HCPCS | Perc D-E Cor Revasc Chro Sin |
| C9740 | HCPCS | Cysto Impl 4 or More |
| C9747 | HCPCS | Ablation, Hifu, Prostate |
| E0170 | HCPCS | Commode Chair Electric |
| E0193 | HCPCS | Powered Air Flotation Bed |
| E0194 | HCPCS | Air Fluidized Bed |
| E0247 | HCPCS | Trans Bench W/Wo Comm Open |
| E0248 | HCPCS | Transfer Bench, Heavy Duty, For Tub or Toilet With or Without Commode Opening |
| E0277 | HCPCS | Powered Pres-Redu Air Mattrs |
| E0300 | HCPCS | Enclosed Ped Crib Hosp Grade |
| E0302 | HCPCS | Ex Hd Hosp Bed > 600 Lbs |
| E0304 | HCPCS | Hosp Bed Xtra Hvy Dty X Wide |
| E0316 | HCPCS | Bed Safety Enclosure |
| E0328 | HCPCS | Ped Hospital Bed, Manual |
| E0329 | HCPCS | Ped Hospital Bed Semi/Elect |
| E0350 | HCPCS | Control Unit Bowel System |
| E0371 | HCPCS | Roho Mattress Overlay |
| E0372 | HCPCS | Powered Air Overlay Mattress |
| E0373 | HCPCS | Nonpowered Pressure Mattress |
| E0462 | HCPCS | Rocking Bed W/ or W/O Side R |
| E0465 | HCPCS | Home Vent Invasive Interface |
| E0471 | HCPCS | Rad W/Backup Non Inv Intrfc |
| E0483 | HCPCS | Hi Freq Chest Wall Oscil Sys |
| E0486 | HCPCS | Oral Device/Appliance Cusfab |
| E0603 | HCPCS | Electric Breast Pump |
| E0616 | HCPCS | Cardiac Event Recorder |
| E0617 | HCPCS | Automatic Ext Defibrillator |
| E0618 | HCPCS | Apnea Monitor |
| E0635 | HCPCS | Patient Lift Electric |
| E0636 | HCPCS | Pt Support & Positioning Sys |
| E0639 | HCPCS | Moveable Patient Lift System |
| E0652 | HCPCS | Pneum Compres W/Cal Pressure |
| E0692 | HCPCS | Uvl Sys Panel 4 Ft |
| E0693 | HCPCS | Uvl Sys Panel 6 Ft |
| E0694 | HCPCS | Uvl Md Cabinet Sys 6 Ft |
| E0700 | HCPCS | Safety Equipment |
| E0710 | HCPCS | Restraints Any Type |
| E0740 | HCPCS | Non-Implant Pelv Flr E-Stim |
| E0746 | HCPCS | Electromyograph Biofeedback |
| E0747 | HCPCS | Osteogenesis Stimulator, Electrical, Non-Invasive, Other Than Spinal Applications |
| E0748 | HCPCS | Osteogenesis Stimulator, Electrical, Non-Invasive, Spinal Applications |
| E0749 | HCPCS | Osteogenesis Stimulator, Electrical, Surgically Implanted |
| E0760 | HCPCS | Osteogenesis Stimulator, Low Intensity Ultrasound, Non-Invasive |
| E0761 | HCPCS | Nontherm Electromgntc Device |
| E0764 | HCPCS | Functional Neuromuscularstim |
| E0766 | HCPCS | Elec Stim Cancer Treatment |
| E0770 | HCPCS | Functional Electric Stim Nos |
| E0782 | HCPCS | Non-Programble Infusion Pump |
| E0783 | HCPCS | Programmable Infusion Pump |
| E0784 | HCPCS | Ext Amb Infusn Pump Insulin |
| E0785 | HCPCS | Replacement Impl Pump Cathet |
| E0786 | HCPCS | Implantable Pump Replacement |
| E0830 | HCPCS | Ambulatory Traction Device |
| E0970 | HCPCS | Wheelchair No. 2 Footplates |
| E0983 | HCPCS | Add Pwr Joystick |
| E0984 | HCPCS | Add Pwr Tiller |
| E0986 | HCPCS | Man W/C Push-Rim Powr System |
| E0988 | HCPCS | Lever-Activated Wheel Drive |
| E1002 | HCPCS | Pwr Seat Tilt |
| E1003 | HCPCS | Pwr Seat Recline |
| E1004 | HCPCS | Pwr Seat Recline Mech |
| E1005 | HCPCS | Pwr Seat Recline Pwr |
| E1006 | HCPCS | Pwr Seat Combo W/O Shear |
| E1007 | HCPCS | Pwr Seat Combo W/Shear |
| E1008 | HCPCS | Pwr Seat Combo Pwr Shear |
| E1009 | HCPCS | Add Mech Leg Elevation |
| E1010 | HCPCS | Add Pwr Leg Elevation |
| E1011 | HCPCS | Ped Wc Modify Width Adjustm |
| E1017 | HCPCS | Hd Shck Absrbr For Hd Man Wc |
| E1018 | HCPCS | Hd Shck Absrber For Hd Powwc |
| E1020 | HCPCS | Residual Limb Support System |
| E1029 | HCPCS | W/C Vent Tray Fixed |
| E1030 | HCPCS | W/C Vent Tray Gimbaled |
| E1035 | HCPCS | Patient Transfer System <300 |
| E1036 | HCPCS | Patient Transfer System >300 |
| E1037 | HCPCS | Transport Chair, Ped Size |
| E1050 | HCPCS | Whelchr Fxd Full Length Arms |
| E1070 | HCPCS | Wheelchair Detachable Foot R |
| E1084 | HCPCS | Hemi-Wheelchair Detachable A |
| E1085 | HCPCS | Hemi-Wheelchair Fixed Arms |
| E1086 | HCPCS | Hemi-Wheelchair Detachable A |
| E1087 | HCPCS | Wheelchair Lightwt Fixed Arm |
| E1089 | HCPCS | Wheelchair Lightwt Fixed Arm |
| E1100 | HCPCS | Whchr S-Recl Fxd Arm Leg Res |
| E1110 | HCPCS | Wheelchair Semi-Recl Detach |
| E1161 | HCPCS | Manual Adult Wc W Tiltinspac |
| E1170 | HCPCS | Whlchr Ampu Fxd Arm Leg Rest |
| E1171 | HCPCS | Wheelchair Amputee W/O Leg R |
| E1172 | HCPCS | Wheelchair Amputee Detach Ar |
| E1180 | HCPCS | Wheelchair Amputee W/ Foot R |
| E1190 | HCPCS | Wheelchair Amputee W/ Leg Re |
| E1195 | HCPCS | Wheelchair Amputee Heavy Dut |
| E1200 | HCPCS | Wheelchair Amputee Fixed Arm |
| E1222 | HCPCS | Wheelchair Spec Size W/ Leg |
| E1224 | HCPCS | Wheelchair Spec Size W/ Leg |
| E1227 | HCPCS | Wheelchair Spec Sz Spec Ht A |
| E1228 | HCPCS | Wheelchair Spec Sz Spec Ht B |
| E1229 | HCPCS | Pediatric Wheelchair Nos |
| E1230 | HCPCS | Power Operated Vehicle |
| E1231 | HCPCS | Rigid Ped W/C Tilt-In-Space |
| E1232 | HCPCS | Folding Ped Wc Tilt-In-Space |
| E1233 | HCPCS | Rig Ped Wc Tltnspc W/O Seat |
| E1234 | HCPCS | Fld Ped Wc Tltnspc W/O Seat |
| E1235 | HCPCS | Rigid Ped Wc Adjustable |
| E1236 | HCPCS | Folding Ped Wc Adjustable |
| E1237 | HCPCS | Rgd Ped Wc Adjstabl W/O Seat |
| E1238 | HCPCS | Fld Ped Wc Adjstabl W/O Seat |
| E1239 | HCPCS | Ped Power Wheelchair Nos |
| E1270 | HCPCS | Wheelchair Lightweight Leg R |
| E1280 | HCPCS | Whchr H-Duty Det Arm Leg Res |
| E1295 | HCPCS | Wheelchair Heavy Duty Fixed |
| E1296 | HCPCS | Wheelchair Special Seat Heig |
| E1297 | HCPCS | Wheelchair Special Seat Dept |
| E1298 | HCPCS | Wheelchair Spec Seat Depth/W |
| E1310 | HCPCS | Whirlpool Non-Portable |
| E1390 | HCPCS | Oxygen Concentrator |
| E1399 | HCPCS | Durable Medical Equipment Mi |
| E1500 | HCPCS | Centrifuge |
| E1510 | HCPCS | Kidney Dialysate Delivry Sys |
| E1520 | HCPCS | Heparin Infusion Pump |
| E1530 | HCPCS | Replacement Air Bubble Detec |
| E1540 | HCPCS | Replacement Pressure Alarm |
| E1550 | HCPCS | Bath Conductivity Meter |
| E1560 | HCPCS | Replace Blood Leak Detector |
| E1575 | HCPCS | Transducer Protect/Fld Bar |
| E1580 | HCPCS | Unipuncture Control System |
| E1590 | HCPCS | Hemodialysis Machine |
| E1592 | HCPCS | Auto Interm Peritoneal Dialy |
| E1594 | HCPCS | Cycler Dialysis Machine |
| E1600 | HCPCS | Deli/Install Chrg Hemo Equip |
| E1615 | HCPCS | Deionizer H2O Puri System |
| E1620 | HCPCS | Replacement Blood Pump |
| E1625 | HCPCS | Water Softening System |
| E1630 | HCPCS | Reciprocating Peritoneal Dia |
| E1632 | HCPCS | Wearable Artificial Kidney |
| E1634 | HCPCS | Peritoneal Dialysis Clamp |
| E1635 | HCPCS | Compact Travel Hemodialyzer |
| E1636 | HCPCS | Sorbent Cartridges Per 10 |
| E1699 | HCPCS | Dialysis Equipment Noc |
| E1812 | HCPCS | Knee Ext/Flex W Act Res Ctrl |
| E2103 | HCPCS | Ther Cgm Receiver/Monitor |
| E2301 | HCPCS | Pwr Standing |
| E2310 | HCPCS | Electro Connect Btw Control |
| E2311 | HCPCS | Electro Connect Btw 2 Sys |
| E2321 | HCPCS | Hand Interface Joystick |
| E2510 | HCPCS | Sgd W Multi Methods Msg/Accs |
| G0151 | HCPCS | Home Health Procedures and Services |
| G0152 | HCPCS | Home Health Procedures and Services |
| G0153 | HCPCS | Home Health Procedures and Services |
| G0155 | HCPCS | Home Health Procedures and Services |
| G0156 | HCPCS | Home Health Procedures and Services |
| G0157 | HCPCS | Scr Phyther In Hh Setting, Ea 15 Min |
| G0158 | HCPCS | Scr Occup Ther Hh Setting, Ea 15 Min |
| G0159 | HCPCS | Scr Speech Pathol Hh Setting , Ea 15 Min |
| G0160 | HCPCS | Scr Clinical Social Wk Hh Setting, Ea 15 Min |
| G0161 | HCPCS | Scr Hh Aide Hh Setting, Ea 15 Min |
| G0162 | HCPCS | Services Performed By A Qualified Physical Therapist Assistant In the Home |
| G0166 | HCPCS | Services Performed By A Qualified Occupational Therapist Assistant In the Home |
| G0173 | HCPCS | Linear Acc Stereo Radsur Com |
| G0219 | HCPCS | PET Img Wholbod Melano Nonco |
| G0235 | HCPCS | PET Not Otherwise Specified |
| G0251 | HCPCS | Linear Accelerator Based Stereotactic Radiosurgery, Delivery Including |
| G0252 | HCPCS | PET Imaging Initial Dx |
| G0277 | HCPCS | Hyperbaric Oxygen Under Pressure, Full Body Chamber, Per 30 Minute Interval |
| G0299 | HCPCS | Direct Skilled Nursing Services of A Registered Nurse (Rn) In the Home Health or Hospice Setting, Each 15 Minutes |
| G0300 | HCPCS | Direct Skilled Nursing Services of A Licensed Practical Nurse (Lpn) In the Home Health or Hospice Setting, Each 15 Minutes |
| G0339 | HCPCS | Image Guided Robotic Linear Acc Base |
| G0340 | HCPCS | Robt Lin-Radsurg Fractx 2-5 |
| G0458 | HCPCS | Low Dose Rate (Ldr) Prostate Brachytherapy Services, Composite Rate |
| G0490 | HCPCS | Face-To-Face Home Health Nursing Visit By A Rural Health Clinic (Rhc) or Federally Qualified Health Center (Fqhc) In An Area With A |
| G0493 | HCPCS | Services Performed By A Qualified Physical Therapist, In the Home Health |
| G0494 | HCPCS | Services Performed By A Qualified Occupational Therapist, In the Home Health |
| G0495 | HCPCS | Services Performed By A Qualified Speech-Language Pathologist, In the Home |
| G0496 | HCPCS | Skilled Services By A Registered Nurse (Rn) In the Delivery of Management & |
| G0498 | HCPCS | Chemotherapy Administration, Intravenous Infusion Technique; Initiation of Infusion In the Office/Clinic Setting Using Office/Clinic Pump/ |
| G2070 | HCPCS | Medication Assisted Treatment, Buprenorphine (Implant Insertion); Weekly Bundle Including Dispensing and/or Administration, Substance |
| G2071 | HCPCS | Medication Assisted Treatment, Buprenorphine (Implant Removal); Weekly Bundle Including Dispensing and/or Administration, Substance |
| G2072 | HCPCS | Medication Assisted Treatment, Buprenorphine (Implant Insertion and Removal); Weekly Bundle Including Dispensing and/or |
| G2075 | HCPCS | Medication Assisted Treatment, Medication Not Otherwise Specified; Weekly Bundle Including Dispensing and/or Administration, |
| G2078 | HCPCS | Take-Home Supply of Methadone; Up To 7 Additional Day Supply |
| G2079 | HCPCS | Take-Home Supply of Buprenorphine (Oral); Up To 7 Additional Day Supply |
| G2080 | HCPCS | Each Additional 30 Minutes of Counseling In A Week of Medication Assisted Treatment, |
| G6002 | HCPCS | Stereoscopic X-Ray Guidance For Localization of Target Volume For the Delivery of Radiation Therapy |
| G6003 | HCPCS | Radiation Treatment Delivery, Single Treatment Area,Single Port or Parallel Opposed Ports, Simple Blocks or No Blocks: Up To 5 Mev |
| G6004 | HCPCS | Radiation Treatment Delivery, Single Treatment Area,Single Port or Parallel Opposed Ports, Simple Blocks or No Blocks: 6-10 Mev |
| G6005 | HCPCS | Radiation Treatment Delivery, Single Treatment Area,Single Port or Parallel Opposed Ports, Simple Blocks or No Blocks: 11-19 Mev |
| G6006 | HCPCS | Radiation Treatment Delivery, Single Treatment Area,Single Port or Parallel Opposed Ports, Simple Blocks or No Blocks: 20 Mev or Greater |
| G6007 | HCPCS | Radiation Treatment Delivery, 2 Separate Treatment Areas, 3 or More Ports on A Single Treatment Area, Use of Multiple Blocks: Up To 5 Mev |
| G6008 | HCPCS | Radiation Treatment Delivery, 2 Separate Treatment Areas, 3 or More Ports on A Single Treatment Area, Use of Multiple Blocks: 6-10 Mev |
| G6009 | HCPCS | Radiation Treatment Delivery, 2 Separate Treatment Areas, 3 or More Ports on A Single Treatment Area, Use of Multiple Blocks: 11-19 Mev |
| G6010 | HCPCS | Radiation Treatment Delivery, 2 Separate Treatment Areas, 3 or More Ports on A Single Treatment Area, Use of Multiple Blocks: 20 Mev or Greater |
| G6011 | HCPCS | Radiation Treatment Delivery,3 or More Separate Treatment Areas, Custom Blocking, Tangential Ports, Wedges, Rotational Beam, |
| G6012 | HCPCS | Radiation Treatment Delivery,3 or More Separate Treatment Areas, Custom Blocking, Tangential Ports, Wedges, Rotational Beam, |
| G6013 | HCPCS | Radiation Treatment Delivery,3 or More Separate Treatment Areas, Custom Blocking, Tangential Ports, Wedges, Rotational Beam, |
| G6014 | HCPCS | Radiation Treatment Delivery,3 or More Separate Treatment Areas, Custom Blocking, Tangential Ports, Wedges, Rotational Beam, |
| G6015 | HCPCS | Intensity Modulated Treatment Delivery, Single or Multiple Fields/Arcs,Via Narrow Spatially and Temporally Modulated Beams, Binary, |
| G6016 | HCPCS | Compensator-Based Beam Modulation Treatment Delivery of Inverse Planned Treatment Using 3 or More High Resolution (Milled or Cast) |
| G6017 | HCPCS | Intra-Fraction Localization and Tracking of Target or Patient Motion During Delivery of Radiation Therapy (Eg,3D Positional Tracking, Gating, |
| K0020 | HCPCS | Fixed Adjust Armrest Pair |
| K0037 | HCPCS | Hi Mount Flip-Up Footrest Ea |
| K0039 | HCPCS | Leg Strap H Style Each |
| K0044 | HCPCS | Ftrst Upr Hanger Brac Rep Ea |
| K0046 | HCPCS | Elev Lgrst Lwr Exten Repl Ea |
| K0047 | HCPCS | Elev Legrst Upr Hangr Rep Ea |
| K0050 | HCPCS | Ratchet Assembly Replacement |
| K0051 | HCPCS | Cam Rel Asm Ft/Legrst Rep Ea |
| K0056 | HCPCS | Seat Ht <17 or >=21 Ltwt Wc |
| K0065 | HCPCS | Spoke Protectors |
| K0072 | HCPCS | Fr Cstr Semi-Pne Tire Rep Ea |
| K0073 | HCPCS | Caster Pin Lock Each |
| K0098 | HCPCS | Drive Belt For Pwc, Repl |
| K0105 | HCPCS | Iv Hanger |
| K0108 | HCPCS | W/C Component-Accessory Nos |
| K0455 | HCPCS | Pump Uninterrupted Infusion |
| K0553 | HCPCS | Supply Allowance For Therapeutic Continuous Glucose Monitor (Cgm), Includes All Supplies and Accessories, 1 Month Supply |
| K0554 | HCPCS | Ther Cgm Receiver/Monitor |
| K0609 | HCPCS | Repl Electrode For Aed |
| K0730 | HCPCS | Ctrl Dose Inh Drug Deliv Sys |
| K0743 | HCPCS | Portable Home Suction Pump |
| K0744 | HCPCS | Absorp Drg <= 16 Suc Pump |
| K0745 | HCPCS | Absorp Drg >16<=48 Suc Pump |
| K0746 | HCPCS | Absorp Drg >48 Suc Pump |
| K0800 | HCPCS | Power Operated Vehicle, Group 1 Standard, Patient Weight Capacity Up To and Including 300 Pounds |
| K0801 | HCPCS | Pov Group 1 Hd 301-450 Lbs |
| K0802 | HCPCS | Pov Group 1 Vhd 451-600 Lbs |
| K0806 | HCPCS | Pov Group 2 Std Up To 300Lbs |
| K0807 | HCPCS | Powered Wheelchair |
| K0808 | HCPCS | Pov Group 2 Vhd 451-600 Lbs |
| K0812 | HCPCS | Power Operated Vehicle Noc |
| K0813 | HCPCS | Pwc Gp 1 Std Port Seat/Back |
| K0814 | HCPCS | Pwc Gp 1 Std Port Cap Chair |
| K0815 | HCPCS | Pwc Gp 1 Std Seat/Back |
| K0816 | HCPCS | Pwc Gp 1 Std Cap Chair |
| K0820 | HCPCS | Pwc Gp 2 Std Port Seat/Back |
| K0821 | HCPCS | Pwc Gp 2 Std Port Cap Chair |
| K0822 | HCPCS | Pwc Gp 2 Std Seat/Back |
| K0823 | HCPCS | Pwc Gp 2 Std Cap Chair |
| K0824 | HCPCS | Pwc Gp 2 Hd Seat/Back |
| K0825 | HCPCS | Pwc Gp 2 Hd Cap Chair |
| K0826 | HCPCS | Pwc Gp 2 Vhd Seat/Back |
| K0827 | HCPCS | Pwc Gp Vhd Cap Chair |
| K0828 | HCPCS | Pwc Gp 2 Xtra Hd Seat/Back |
| K0829 | HCPCS | Pwc Gp 2 Xtra Hd Cap Chair |
| K0830 | HCPCS | Pwc Gp2 Std Seat Elevate S/B |
| K0831 | HCPCS | Pwc Gp2 Std Seat Elevate Cap |
| K0835 | HCPCS | Pwc Gp2 Std Sing Pow Opt S/B |
| K0836 | HCPCS | Pwc Gp2 Std Sing Pow Opt Cap |
| K0837 | HCPCS | Pwc Gp 2 Hd Sing Pow Opt S/B |
| K0838 | HCPCS | Pwc Gp 2 Hd Sing Pow Opt Cap |
| K0839 | HCPCS | Pwc Gp2 Vhd Sing Pow Opt S/B |
| K0840 | HCPCS | Pwc Gp2 Xhd Sing Pow Opt S/B |
| K0841 | HCPCS | Pwc Gp2 Std Mult Pow Opt S/B |
| K0842 | HCPCS | Pwc Gp2 Std Mult Pow Opt Cap |
| K0843 | HCPCS | Pwc Gp2 Hd Mult Pow Opt S/B |
| K0848 | HCPCS | Pwc Gp 3 Std Seat/Back |
| K0849 | HCPCS | Pwc Gp 3 Std Cap Chair |
| K0850 | HCPCS | Pwc Gp 3 Hd Seat/Back |
| K0851 | HCPCS | Pwc Gp 3 Hd Cap Chair |
| K0852 | HCPCS | Pwc Gp 3 Vhd Seat/Back |
| K0853 | HCPCS | Pwc Gp 3 Vhd Cap Chair |
| K0854 | HCPCS | Pwc Gp 3 Xhd Seat/Back |
| K0855 | HCPCS | Pwc Gp 3 Xhd Cap Chair |
| K0856 | HCPCS | Pwc Gp3 Std Sing Pow Opt S/B |
| K0857 | HCPCS | Pwc Gp3 Std Sing Pow Opt Cap |
| K0858 | HCPCS | Pwc Gp3 Hd Sing Pow Opt S/B |
| K0859 | HCPCS | Pwc Gp3 Hd Sing Pow Opt Cap |
| K0860 | HCPCS | Pwc Gp3 Vhd Sing Pow Opt S/B |
| K0861 | HCPCS | Pwc Gp3 Std Mult Pow Opt S/B |
| K0862 | HCPCS | Pwc Gp3 Hd Mult Pow Opt S/B |
| K0863 | HCPCS | Pwc Gp3 Vhd Mult Pow Opt S/B |
| K0864 | HCPCS | Pwc Gp3 Xhd Mult Pow Opt S/B |
| K0869 | HCPCS | Pwc Gp 4 Std Cap Chair |
| K0870 | HCPCS | Pwc Gp 4 Hd Seat/Back |
| K0871 | HCPCS | Pwc Gp 4 Vhd Seat/Back |
| K0877 | HCPCS | Pwc Gp4 Std Sing Pow Opt S/B |
| K0878 | HCPCS | Pwc Gp4 Std Sing Pow Opt Cap |
| K0879 | HCPCS | Pwc Gp4 Hd Sing Pow Opt S/B |
| K0880 | HCPCS | Pwc Gp4 Vhd Sing Pow Opt S/B |
| K0884 | HCPCS | Pwc Gp4 Std Mult Pow Opt S/B |
| K0885 | HCPCS | Pwc Gp4 Std Mult Pow Opt Cap |
| K0886 | HCPCS | Pwc Gp4 Hd Mult Pow S/B |
| K0890 | HCPCS | Pwc Gp5 Ped Sing Pow Opt S/B |
| K0891 | HCPCS | Pwc Gp5 Ped Mult Pow Opt S/B |
| K0898 | HCPCS | Power Wheelchair Noc |
| K0899 | HCPCS | Pow Mobil Dev No Dmepdac |
| L0622 | HCPCS | Sio Flex Pelvisacral Custom |
| L0623 | HCPCS | Sio Rig Pnl Pelv/Sac Pre Ots |
| L0624 | HCPCS | Sio Panel Custom |
| L0629 | HCPCS | Lso Flex W/Rigid Stays Cust |
| L0631 | HCPCS | Lso Sag R An/Pos Pnl Pre Cst |
| L0632 | HCPCS | Lso Sag Rigid Frame Cust |
| L0634 | HCPCS | Lso Flexion Control Custom |
| L0636 | HCPCS | Lso Sagittal Rigid Panel Cus |
| L0638 | HCPCS | Lso Sag-Coronal Panel Custom |
| L0700 | HCPCS | Ctlso A-P-L Control Molded |
| L0710 | HCPCS | Ctlso A-P-L Control W/ Inter |
| L0810 | HCPCS | Halo Cervical Into Jckt Vest |
| L0820 | HCPCS | Halo Cervical Into Body Jack |
| L0830 | HCPCS | Halo Cerv Into Milwaukee Typ |
| L0859 | HCPCS | MRI Compatible System |
| L0999 | HCPCS | Add To Spinal Orthosis Nos |
| L1000 | HCPCS | CTLSO Milwauke Initial Model |
| L1001 | HCPCS | CTLSO Infant Immobilizer |
| L1005 | HCPCS | Tension Based Scoliosis Orth |
| L1200 | HCPCS | Furnsh Initial Orthosis Only |
| L1300 | HCPCS | Body Jacket Mold To Patient |
| L1310 | HCPCS | Post-Operative Body Jacket |
| L1499 | HCPCS | Spinal Orthosis Nos |
| L1630 | HCPCS | Abduct Control Hip Semi-Flex |
| L1640 | HCPCS | Pelv Band/Spread Bar Thigh C |
| L1680 | HCPCS | Pelvic & Hip Control Thigh C |
| L1685 | HCPCS | Post-Op Hip Abduct Custom Fa |
| L1700 | HCPCS | Leg Perthes Orth Toronto Typ |
| L1710 | HCPCS | Legg Perthes Orth Newington |
| L1720 | HCPCS | Legg Perthes Orthosis Trilat |
| L1730 | HCPCS | Legg Perthes Orth Scottish R |
| L1755 | HCPCS | Legg Perthes Patten Bottom T |
| L1834 | HCPCS | Ko W/0 Joint Rigid Molded To |
| L1844 | HCPCS | Ko W/Adj Jt Rot Cntrl Molded |
| L1904 | HCPCS | Afo Molded Ankle Gauntlet |
| L1920 | HCPCS | Afo Sing Upright W/ Adjust S |
| L2000 | HCPCS | Kafo Sing Fre Stirr Thi/Calf |
| L2005 | HCPCS | Kafo Sng/Dbl Mechanical Act |
| L2010 | HCPCS | Kafo Sng Solid Stirrup W/O J |
| L2020 | HCPCS | Kafo Dbl Solid Stirrup Band/ |
| L2030 | HCPCS | Kafo Dbl Solid Stirrup W/O J |
| L2034 | HCPCS | Kafo Pla Sin Up W/Wo K/A Cus |
| L2036 | HCPCS | Kafo Plas Doub Free Knee Mol |
| L2037 | HCPCS | Kafo Plas Sing Free Knee Mol |
| L2038 | HCPCS | Kafo W/O Joint Multi-Axis An |
| L2040 | HCPCS | Hkafo Torsion Bil Rot Straps |
| L2050 | HCPCS | Hkafo Torsion Cable Hip Pelv |
| L2060 | HCPCS | Hkafo Torsion Ball Bearing J |
| L2070 | HCPCS | Hkafo Torsion Unilat Rot Str |
| L2080 | HCPCS | Hkafo Unilat Torsion Cable |
| L2090 | HCPCS | Hkafo Unilat Torsion Ball Br |
| L2126 | HCPCS | Kafo Fem Fx Cast Thermoplas |
| L2136 | HCPCS | Kafo Femoral Fx Cast Rigid |
| L2232 | HCPCS | Rocker Bottom, Contact Afo |
| L2320 | HCPCS | Non-Molded Lacer |
| L2387 | HCPCS | Add Le Poly Knee Custom Kafo |
| L2520 | HCPCS | Th/Wght Bear Quad-Lat Brim C |
| L2525 | HCPCS | Th/Wght Bear Nar M-L Brim Mo |
| L2526 | HCPCS | Th/Wght Bear Nar M-L Brim Cu |
| L2627 | HCPCS | Plastic Mold Recipro Hip & C |
| L2628 | HCPCS | Metal Frame Recipro Hip & Ca |
| L2800 | HCPCS | Knee Cap Medial or Lateral P |
| L2861 | HCPCS | Torsion Mechanism Knee/Ankle |
| L3160 | HCPCS | Shoe Styled Positioning Dev |
| L3720 | HCPCS | Forearm/Arm Cuffs Free Motio |
| L3764 | HCPCS | Ewho W/Joint(S) Cf |
| L3765 | HCPCS | Ewhfo Rigid W/O Jnts Cf |
| L3766 | HCPCS | Ewhfo W/Joint(S) Cf |
| L3891 | HCPCS | Torsion Mechanism Wrist/Elbo |
| L3900 | HCPCS | Hinge Extension/Flex Wrist/F |
| L3901 | HCPCS | Hinge Ext/Flex Wrist Finger |
| L3904 | HCPCS | Whfo Electric Custom Fitted |
| L3921 | HCPCS | Hfo W/Joint(S) Cf |
| L3956 | HCPCS | Add Joint Upper Ext Orthosis |
| L3961 | HCPCS | Sewho Cap Design W/O Jnts Cf |
| L3967 | HCPCS | Sewho Airplane W/O Jnts Cf |
| L3971 | HCPCS | Sewho Cap Design W/Jnt(S) Cf |
| L3973 | HCPCS | Sewho Airplane W/Jnt(S) Cf |
| L3975 | HCPCS | Sewhfo Cap Design W/O Jnt Cf |
| L3976 | HCPCS | Sewhfo Airplane W/O Jnts Cf |
| L3977 | HCPCS | Sewhfo Cap Desgn W/Jnt(S) Cf |
| L3978 | HCPCS | Sewhfo Airplane W/Jnt(S) Cf |
| L4000 | HCPCS | Repl Girdle Milwaukee Orth |
| L4030 | HCPCS | Replace Socket Brim Cust Fit |
| L4040 | HCPCS | Replace Molded Thigh Lacer |
| L4045 | HCPCS | Replace Non-Molded Thigh Lac |
| L4050 | HCPCS | Replace Molded Calf Lacer |
| L4055 | HCPCS | Replace Non-Molded Calf Lace |
| L4631 | HCPCS | Afo, Walk Boot Type, Cus Fab |
| L5230 | HCPCS | Fem Focal Defic Constant Fri |
| L5250 | HCPCS | Hip Canad Sing Axi Cons Fric |
| L5270 | HCPCS | Tilt Table Locking Hip Sing |
| L5280 | HCPCS | Hemipelvect Canad Sing Axis |
| L5301 | HCPCS | Bk Mold Socket Sach Ft Endo |
| L5312 | HCPCS | Knee Disart, Sach Ft, Endo |
| L5321 | HCPCS | Ak Open End Sach |
| L5331 | HCPCS | Hip Disart Canadian Sach Ft |
| L5341 | HCPCS | Hemipelvectomy Canadian Sach |
| L5590 | HCPCS | Prep Ak Ischial Laminated |
| L5595 | HCPCS | Hip Disartic Sach Thermopls |
| L5600 | HCPCS | Hip Disart Sach Laminat Mold |
| L5700 | HCPCS | Replace Socket Below Knee |
| L5701 | HCPCS | Replace Socket Above Knee |
| L5702 | HCPCS | Replace Socket Hip |
| L5781 | HCPCS | Lower Limb Pros Vacuum Pump |
| L5782 | HCPCS | Hd Low Limb Pros Vacuum Pump |
| L5814 | HCPCS | Endo Knee-Shin Hydral Swg Ph |
| L5840 | HCPCS | Multi-Axial Knee/Shin System |
| L5856 | HCPCS | Elec Knee-Shin Swing/Stance |
| L5857 | HCPCS | Elec Knee-Shin Swing Only |
| L5961 | HCPCS | Endo Poly Hip, Pneu/Hyd/Rot |
| L5968 | HCPCS | Multiaxial Ankle W Dorsiflex |
| L5973 | HCPCS | Ank-Foot Sys Dors-Plant Flex |
| L5979 | HCPCS | Multi-Axial Ankle/Ft Prosth |
| L5980 | HCPCS | Flex Foot System |
| L5981 | HCPCS | Flex-Walk Sys Low Ext Prosth |
| L5987 | HCPCS | Shank Ft W Vert Load Pylon |
| L6026 | HCPCS | Part Hand Myo Exclu Term Dev |
| L6050 | HCPCS | Wrst Mld Sck Flx Hng Tri Pad |
| L6055 | HCPCS | Wrst Mold Sock W/Exp Interfa |
| L6110 | HCPCS | Elbow Mold Sock Suspension T |
| L6205 | HCPCS | Elbow Molded W/ Expand Inter |
| L6350 | HCPCS | Thoracic Intern Lock Elbow |
| L6360 | HCPCS | Thoracic Passive Restor Comp |
| L6450 | HCPCS | Elb Disart Prosth Tiss Shap |
| L6500 | HCPCS | Above Elbow Prosth Tiss Shap |
| L6550 | HCPCS | Shldr Disar Prosth Tiss Shap |
| L6570 | HCPCS | Scap Thorac Prosth Tiss Shap |
| L6624 | HCPCS | Flex/Ext/Rotation Wrist Unit |
| L6648 | HCPCS | Ext Pwrd Shlder Lock/Unlock |
| L6715 | HCPCS | Term Device, Multi Art Digit |
| L6880 | HCPCS | Elec Hand Ind Art Digits |
| L6881 | HCPCS | Term Dev Auto Grasp Feature |
| L6882 | HCPCS | Microprocessor Control Uplmb |
| L6883 | HCPCS | Replc Sockt Below E/W Disa |
| L6885 | HCPCS | Replc Sockt Shldr Dis/Interc |
| L6920 | HCPCS | Wrist Disarticul Switch Ctrl |
| L6925 | HCPCS | Wrist Disart Myoelectronic C |
| L6930 | HCPCS | Below Elbow Switch Control |
| L6935 | HCPCS | Below Elbow Myoelectronic Ct |
| L6940 | HCPCS | Elbow Disarticulation Switch |
| L6945 | HCPCS | Elbow Disart Myoelectronic C |
| L6950 | HCPCS | Above Elbow Switch Control |
| L6955 | HCPCS | Above Elbow Myoelectronic Ct |
| L6960 | HCPCS | Shldr Disartic Switch Contro |
| L6965 | HCPCS | Shldr Disartic Myoelectronic |
| L6970 | HCPCS | Interscapular-Thor Switch Ct |
| L6975 | HCPCS | Interscap-Thor Myoelectronic |
| L7007 | HCPCS | Adult Electric Hand |
| L7008 | HCPCS | Pediatric Electric Hand |
| L7009 | HCPCS | Adult Electric Hook |
| L7170 | HCPCS | Electronic Elbow Hosmer Swit |
| L7180 | HCPCS | Electronic Elbow Sequential |
| L7181 | HCPCS | Electronic Elbo Simultaneous |
| L7185 | HCPCS | Electron Elbow Adolescent Sw |
| L7186 | HCPCS | Electron Elbow Child Switch |
| L7190 | HCPCS | Elbow Adolescent Myoelectron |
| L7191 | HCPCS | Elbow Child Myoelectronic Ct |
| L8035 | HCPCS | Custom Breast Prosthesis |
| L8041 | HCPCS | Midfacial Prosthesis |
| L8042 | HCPCS | Orbital Prosthesis |
| L8043 | HCPCS | Upper Facial Prosthesis |
| L8044 | HCPCS | Hemi-Facial Prosthesis |
| L8600 | HCPCS | Implantable Breast Prosthesis, Silicone or Equal |
| L8609 | HCPCS | Artificial Cornea |
| L8614 | HCPCS | Cochlear Device, Includes All Internal and External Components |
| L8619 | HCPCS | Cochlear Implant, External Speech Processor and Controller, Integrated System, Replacement |
| L8680 | HCPCS | Implt Neurostim Elctr Each |
| L8687 | HCPCS | Implt Nrostm Pls Gen Dua Rec |
| L8690 | HCPCS | Auditory Osseointegrated Device, Includes All Internal and External Components |
| L8691 | HCPCS | Auditory Osseointegrated Device, External Sound Processor, Excludes Transducer/Actuator, Replacement Only, Each |
| L8692 | HCPCS | Auditory Osseointegrated Device, External Sound Processor, Used Without Osseointegration, Body Worn, Includes Headband or Other |
| S2060 | HCPCS | Lobar Lung Transplantation |
| S2061 | HCPCS | Donor Lobectomy For Transplantation Living Donor |
| T1001 | HCPCS | Nursing Assessment / Evaluation |
| T1002 | HCPCS | Rn Services, Up To 15 Minutes |
| T1003 | HCPCS | Lpn/Lvn Services, Up To 15 Minutes |
| T1004 | HCPCS | Services of A Qualified Nursing Aide, Up To 15 Minutes |
| T1021 | HCPCS | Home Health Aide or Certified Nurse Assistant, Per Visit |
| T1022 | HCPCS | Contracted Home Health Agency Services, All Services Provided Under Contract, |
| T1028 | HCPCS | Assessment of Home, Physical and Family Environment, To Determine Suitability |
| T1030 | HCPCS | Nursing Care, In the Home, By Registered Nurse, Per Diem |
| T1031 | HCPCS | Nursing Care, In the Home, By Licensed Practical Nurse, Per Diem |
| T1502 | HCPCS | Administration of Oral, Intramuscular and/or Subcutaneous Medication By Health |
| T4521 | HCPCS | Adult Sized Disposable Incontinence Product, Brief/Diaper, Small, Each |
| T4522 | HCPCS | Adult Sized Disposable Incontinence Product, Brief/Diaper, Medium, Each |
| T4523 | HCPCS | Adult Sized Disposable Incontinence Product, Brief/Diaper, Large, Each |
| T4524 | HCPCS | Adult Sized Disposable Incontinence Product, Brief/Diaper, Extra Large, Each |
| T4525 | HCPCS | Adult Sized Disposable Incontinence Product, Protective Underwear/Pull-On, Small Size, Each |
| T4526 | HCPCS | Adult Sized Disposable Incontinence Product, Protective Underwear/Pull-On, Medium Size, Each |
| T4527 | HCPCS | Adult Sized Disposable Incontinence Product, Protective Underwear/Pull-On, Large Size, Each |
| T4528 | HCPCS | Adult Sized Disposable Incontinence Product, Protective Underwear/Pull-On, Extra Large Size, Each |
| T4529 | HCPCS | Pediatric Sized Disposable Incontinence Product, Brief/Diaper, Small/Medium Size, Each |
| T4530 | HCPCS | Pediatric Sized Disposable Incontinence Product, Brief/Diaper, Large Size, Each |
| T4531 | HCPCS | Pediatric Sized Disposable Incontinence Product, Protective Underwear/Pull-On, Small/Medium Size, Each |
| T4532 | HCPCS | Pediatric Sized Disposable Incontinence Product, Protective Underwear/Pull-On, Large Size, Each |
| T4533 | HCPCS | Youth Sized Disposable Incontinence Product, Brief/Diaper, Each |
| T4534 | HCPCS | Youth Sized Disposable Incontinence Product, Protective Underwear/Pull-On, Each |
| T4535 | HCPCS | Disposable Liner/Shield/Guard/Pad/Undergarment, For Incontinence, Each |
| T4536 | HCPCS | Incontinence Product, Protective Underwear/Pull-On, Reusable, Any Size, Each |
| T4537 | HCPCS | Incontinence Product, Protective Underpad, Reusable, Bed Size, Each |
| T4538 | HCPCS | Diaper Service, Reusable Diaper, Each Diaper |
| T4539 | HCPCS | Incontinence Product, Diaper/Brief, Reusable, Any Size, Each |
| T4540 | HCPCS | Incontinence Product, Protective Underpad, Reusable, Chair Size, Each |
| T4541 | HCPCS | Incontinence Product, Disposable Underpad, Large, Each |
| T4542 | HCPCS | Incontinence Product, Disposable Underpad, Small Size, Each |
| T4543 | HCPCS | Adult Sized Disposable Incontinence Product, Protective Brief/Diaper, Above Extra Large, Each |
| T4544 | HCPCS | Adult Sized Disposable Incontinence Product, Protective Underwear/Pull-On, Above Extra Large, Each |
| T4545 | HCPCS | Incontinence Product, Disposable, Penile Wrap, Each |
| 48551 | CPT | Pancreas Transplantation Procedures |
| 48552 | CPT | Pancreas Transplantation Procedures |
| 48554 | CPT | Pancreas Transplantation Procedures |
| G0341 | HCPCS | Percutaneous Islet Celltrans |
| G0342 | HCPCS | Laparoscopy Islet Cell Trans |
| G0343 | HCPCS | Laparotomy Islet Cell Transp |
| 47135 | CPT | Liver Allotransplantation; Orthotopic, Partial or Whole, From Cadaver or Living Donor, Any Age |
| 47143 | CPT | Backbench Standard Preparation of Cadaver Donor Whole Liver Graft Prior To Allotransplantation, Including Cholecystectomy, If Necessary, and |
| 47147 | CPT | Backbench Reconstruction of Cadaver or Living Donor Liver Graft Prior To Allotransplantation |
| 44132 | CPT | Donor Enterectomy (Including Cold Preservation), Open |
| 44133 | CPT | Donor Enterectomy (Including Cold Preservation), Open |
| 44135 | CPT | Intestinal Allotransplantation |
| 44136 | CPT | Intestinal Allotransplantation |
| 32855 | CPT | Backbench Standard Preparation of Cadaver Donor Lung Allograft Prior To Transplantation, Including Dissection of Allograft From |
| 38208 | CPT | Transplant Preparation of Hematopoietic Progenitor Cells |
| 38209 | CPT | Transplant Preparation of Hematopoietic Progenitor Cells |
| 38210 | CPT | Transplant Preparation of Hematopoietic Progenitor Cells |
| 38211 | CPT | Transplant Preparation of Hematopoietic Progenitor Cells |
| 38212 | CPT | Transplant Preparation of Hematopoietic Progenitor Cells |
| 38213 | CPT | Transplant Preparation of Hematopoietic Progenitor Cells |
| 38214 | CPT | Transplant Preparation of Hematopoietic Progenitor Cells |
| 38215 | CPT | Transplant Preparation of Hematopoietic Progenitor Cells |
| 38232 | CPT | Bone Marrow or Stem Cell Services/Procedures |
| 44137 | CPT | Removal of Transplanted Intestinal Allograft, Complete |
| 44715 | CPT | Other Procedures on the Intestines (Except Rectum) |
| 44720 | CPT | Backbench Reconstruction of Cadaver or Living Donor Intestine Allograft Prior To Transplantation |
| 44721 | CPT | Backbench Reconstruction of Cadaver or Living Donor Intestine Allograft Prior To Transplantation |
| 47133 | CPT | Liver Transplantation Procedures |
| 47140 | CPT | Donor Hepatectomy (Including Cold Preservation), From Living Donor; Left Lateral Segment Only (Segments II and Iii) |
| 47141 | CPT | Donor Hepatectomy (Including Cold Preservation), From Living Donor; Total Left Lobectomy (Segments Ii, III and Iv) |
| 47142 | CPT | Donor Hepatectomy (Including Cold Preservation), From Living Donor; Total Right Lobectomy (Segments V, Vi, Vii and Viii) |
| 47144 | CPT | Backbench Standard Preparation of Cadaver Donor Whole Liver Graft Prior To Allotransplantation, Including Cholecystectomy, If Necessary, and |
| 47145 | CPT | Backbench Standard Preparation of Cadaver Donor Whole Liver Graft Prior To Allotransplantation, Including Cholecystectomy, If Necessary, and |
| 47146 | CPT | Backbench Reconstruction of Cadaver or Living Donor Liver Graft Prior To Allotransplantation |
| 50325 | CPT | Renal Transplantation Procedures |
| S2152 | HCPCS | Solid Organ; Transplantation & Related Comp |
| 1990 | CPT | Support For Organ Donor |
| V2785 | HCPCS | Prc Pres&Transporting Cornl Tiss |
| 29868 | CPT | Meniscal Trnspl, Knee W/Scpe |
| 0537T | CPT Category III/PLA | Cellular and Gene Therapy |
| 0538T | CPT Category III/PLA | Cellular and Gene Therapy |
| 0539T | CPT Category III/PLA | Cellular and Gene Therapy |
| 0540T | CPT Category III/PLA | Cellular and Gene Therapy |
| 65730 | CPT | Corneal Transplant |
| 65755 | CPT | Corneal Transplant |
| 65756 | CPT | Corneal Trnspl Endothelial |
| 65780 | CPT | Ocular Reconst Transplant |
| 36473 | CPT | Endovenous Ablation Therapy of Incompetent Vein |
| 36475 | CPT | Endovenous Ablation Therapy of Incompetent Vein, Extremity, Inclusive of All Imaging Guidance and Monitoring, Percutaneous, |
| 36478 | CPT | Endovenous Ablation Therapy of Incompetent Vein, Extremity, Inclusive of All Imaging Guidance and Monitoring, Percutaneous, Laser; First Vein Treated |
| 37700 | CPT | Ligation Procedures on Arteries and Veins |
| 37718 | CPT | Ligation, Division and Stripping, Small Saphenous Vein |
| 37722 | CPT | Ligation, Division, and Stripping, Long Saphenous Veins From Saphenofemoral Junction To Knee or Below |
| 37780 | CPT | Ligation Procedures on Arteries and Veins |
| 37227 | CPT | Revascularization, Endovascular, Open or Percutaneous, Femoral, Popliteal Artery(S), Unilateral |
| 37229 | CPT | Revascularization, Endovascular, Open or Percutaneous, Tibial/Peroneal Artery, Unilateral |
| 37233 | CPT | Revascularization, Endovascular, Open or Percutaneous, Tibial/Peroneal Artery, Unilateral |
| C9084 | HCPCS | Loncastuximab-Lpyl, 0.1 Mg |
| C9085 | HCPCS | Inj Avalglucosid Alfa-Ngpt |
| C9086 | HCPCS | Inj, Anifrolumab-Fnia |
| C9087 | HCPCS | Inj Cyclophosphamd Auromedic |
| J0121 | HCPCS | Injection, Omadacycline, 1 Mg |
| J0122 | HCPCS | Injection, Eravacycline, 1 Mg |
| J0129 | HCPCS | Injection, Abatacept, 10 Mg (Code May Be Used For Medicare When Drug Administered Under the Direct Supervision of A Physician, Not |
| J0130 | HCPCS | Injection Abciximab, 10 Mg |
| J0132 | HCPCS | Injection, Acetylcysteine, 100 Mg |
| J0135 | HCPCS | Injection, Adalimumab, 20 Mg |
| J0178 | HCPCS | Injection, Aflibercept, 1 Mg |
| J0179 | HCPCS | Inj, Brolucizumab-Dbll, 1 Mg |
| J0180 | HCPCS | Injection, Agalsidase Beta, 1 Mg |
| J0185 | HCPCS | Injection, Aprepitant, 1 Mg |
| J0190 | HCPCS | Injection, Biperiden Lactate, Per 5 Mg |
| J0200 | HCPCS | Injection, Alatrofloxacin Mesylate, 100 Mg |
| J0202 | HCPCS | Injection, Alemtuzumab, 1 Mg |
| J0205 | HCPCS | Injection, Alglucerase, Per 10 Units |
| J0207 | HCPCS | Injection Amifostine 500 Mg |
| J0210 | HCPCS | Injection, Methyldopate Hcl, Up To 250 Mg |
| J0215 | HCPCS | Injection, Alefacept, 0.5 Mg |
| J0220 | HCPCS | Injection, Alglucosidase Alfa, 10 Mg, Not Otherwise Specified |
| J0221 | HCPCS | Injection, Alglucosidase Alfa, (Lumizyme), 10 Mg |
| J0222 | HCPCS | Injection, Patisiran, 0.1 Mg |
| J0224 | HCPCS | Inj. Lumasiran, 0.5 Mg |
| J0256 | HCPCS | Injection, Alpha 1-Proteinase Inhibitor (Human), Not Otherwise Specified, 10 Mg |
| J0257 | HCPCS | Injection, Alpha 1 Proteinase Inhibitor (Human), (Glassia), 10 Mg |
| J0270 | HCPCS | Injection, Alprostadil, 1.25 Mcg (Code May Be Used For Medicare When Drug Administered Under the Direct Supervision of A Physician, |
| J0275 | HCPCS | Alprostadil Urethral Suppository (Code May Be Used For Medicare When Drug Administered Under the Direct Supervision of A Physician, |
| J0278 | HCPCS | Injection, Amikacin Sulfate, 100 Mg |
| J0280 | HCPCS | Injection, Aminophyllin, Up To 250 Mg |
| J0282 | HCPCS | Injection, Amiodarone Hcl, 30 Mg |
| J0285 | HCPCS | Injection, Amphotericin B, 50 Mg |
| J0287 | HCPCS | Injection, Amphotericin B Lipid Complex, 10 Mg |
| J0288 | HCPCS | Injection, Amphotericin B Cholesteryl Sulfate Complex, 10 Mg |
| J0289 | HCPCS | Injection, Amphotericin B Liposome, 10 Mg |
| J0291 | HCPCS | Injection, Plazomicin, 5 Mg |
| J0295 | HCPCS | Injection, Ampicillin Sodium/Sulbactam Sodium, Per 1.5 G |
| J0300 | HCPCS | Injection, Amobarbital, Up To 125 Mg |
| J0330 | HCPCS | Injection, Succinylcholine Chloride, Up To 20 Mg |
| J0348 | HCPCS | Injection, Anidulafungin, 1 Mg |
| J0350 | HCPCS | Injection, Anistreplase, Per 30 Units |
| J0364 | HCPCS | Injection, Apomorphine Hcl, 1 Mg |
| J0365 | HCPCS | Injection, Aprotinin, 10,000 Kiu |
| J0380 | HCPCS | Injection, Metaraminol Bitartrate, Per 10 Mg |
| J0390 | HCPCS | Injection, Chloroquine Hcl, Up To 250 Mg |
| J0395 | HCPCS | Injection, Arbutamine Hcl, 1 Mg |
| J0400 | HCPCS | Injection, Aripiprazole, Intramuscular, 0.25 Mg |
| J0401 | HCPCS | Injection, Aripiprazole, Extended Release, 1 Mg |
| J0470 | HCPCS | Injection, Dimercaprol, Per 100 Mg |
| J0480 | HCPCS | Injection, Basiliximab, 20 Mg |
| J0485 | HCPCS | Injection, Belatacept, 1 Mg |
| J0490 | HCPCS | Injection, Belimumab, 10 Mg |
| J0500 | HCPCS | Injection, Dicyclomine Hcl, Up To 20 Mg |
| J0515 | HCPCS | Injection, Benztropine Mesylate, Per 1 Mg |
| J0517 | HCPCS | Injection, Benralizumab, 1 Mg |
| J0520 | HCPCS | Injection, Bethanechol Chloride, Myotonachol or Urecholine, Up To 5 Mg |
| J0565 | HCPCS | Injection, Bezlotoxumab, 10 Mg |
| J0567 | HCPCS | Injection, Cerliponase Alfa, 1 Mg |
| J0570 | HCPCS | Buprenorphine Implant, 74.2 Mg |
| J0571 | HCPCS | Buprenorphine, Oral, 1 Mg |
| J0572 | HCPCS | Buprenorphine/Naloxone, Oral, Less Than or Equal To 3 Mg Buprenorphine |
| J0573 | HCPCS | Buprenorphine/Naloxone, Oral, Greater Than 3 Mg, But Less Than or Equal To 6 Mg Buprenorphine |
| J0574 | HCPCS | Buprenorphine/Naloxone, Oral, Greater Than 6 Mg, But Less Than or Equal To 10 Mg Buprenorphine |
| J0575 | HCPCS | Buprenorphine/Naloxone, Oral, Greater Than 10 Mg Buprenorphine |
| J0583 | HCPCS | Injection, Bivalirudin, 1 Mg |
| J0584 | HCPCS | Injection, Burosumab-Twza, 1 Mg |
| J0585 | HCPCS | Botulinum Toxin Type A Per Unit |
| J0586 | HCPCS | Injection, Abobotulinumtoxina, 5 Units |
| J0587 | HCPCS | Injection, Rimabotulinumtoxinb, 100 Units |
| J0588 | HCPCS | Injection, Incobotulinumtoxina, 1 Unit |
| J0593 | HCPCS | Injection, Lanadelumab-Flyo, 1 Mg (Code May Be Used For Medicare When Drug Administered Under Direct Supervision of A Physician, |
| J0594 | HCPCS | Injection, Busulfan, 1 Mg |
| J0595 | HCPCS | Injection, Butorphanol Tartrate, 1 Mg |
| J0596 | HCPCS | Injection, C1 Esterase Inhibitor (Recombinant), Ruconest, 10 Units |
| J0597 | HCPCS | Injection, C1 Esterase Inhibitor (Human), Berinert, 10 Units |
| J0598 | HCPCS | Injection, C1 Esterase Inhibitor (Human), Cinryze, 10 Units |
| J0599 | HCPCS | Injection, C1 Esterase Inhibitor (Human), (Haegarda), 10 Units |
| J0600 | HCPCS | Injection, Edetate Calcium Disodium, Up To 1,000 Mg |
| J0604 | HCPCS | Cinacalcet, Oral, 1 Mg, (For Esrd on Dialysis) |
| J0606 | HCPCS | Injection, Etelcalcetide, 0.1 Mg |
| J0620 | HCPCS | Injection, Calcium Glycerophosphate and Calcium Lactate, Per 10 Ml |
| J0630 | HCPCS | Injection, Calcitonin Salmon, Up To 400 Units |
| J0636 | HCPCS | Injection, Calcitriol, 0.1 Mcg |
| J0638 | HCPCS | Injection, Canakinumab, 1 Mg |
| J0640 | HCPCS | Injection Leucovorin Calcm-50 Mg |
| J0641 | HCPCS | Injection, Levoleucovorin Calcium, 0.5 Mg |
| J0642 | HCPCS | Injection, Levoleucovorin (Khapzory), 0.5 Mg |
| J0695 | HCPCS | Injection, Ceftolozane 50 Mg and Tazobactam 25 Mg |
| J0706 | HCPCS | Injection, Caffeine Citrate, 5 Mg |
| J0710 | HCPCS | Injection, Cephapirin Sodium, Up To 1 G |
| J0712 | HCPCS | Injection, Ceftaroline Fosamil, 10 Mg |
| J0714 | HCPCS | Injection, Ceftazidime and Avibactam, 0.5 G/0.125 G |
| J0716 | HCPCS | Injection, Centruroides Immune F(Ab)2, Up To 120 Mg |
| J0717 | HCPCS | Injection, Certolizumab Pegol, 1 Mg (Code May Be Used For Medicare When Drug Administered Under the Direct Supervision of A |
| J0720 | HCPCS | Injection, Chloramphenicol Sodium Succinate, Up To 1 G |
| J0725 | HCPCS | Injection, Chorionic Gonadotropin, Per 1,000 Usp Units |
| J0740 | HCPCS | Injection, Cidofovir, 375 Mg |
| J0743 | HCPCS | Injection, Cilastatin Sodium; Imipenem, Per 250 Mg |
| J0745 | HCPCS | Injection, Codeine Phosphate, Per 30 Mg |
| J0770 | HCPCS | Injection, Colistimethate Sodium, Up To 150 Mg |
| J0775 | HCPCS | Injection, Collagenase, Clostridium Histolyticum, 0.01 Mg |
| J0780 | HCPCS | Injection, Prochlorperazine, Up To 10 Mg |
| J0795 | HCPCS | Injection, Corticorelin Ovine Triflutate, 1 Mcg |
| J0834 | HCPCS | Injection, Cosyntropin, 0.25 Mg |
| J0840 | HCPCS | Injection, Crotalidae Polyvalent Immune Fab (Ovine), Up To 1 G |
| J0841 | HCPCS | Injection, Crotalidae Immune F(Ab')2 (Equine), 120 Mg |
| J0850 | HCPCS | Injection, Cytomegalovirus Immune Globulin Intravenous (Human), Per Vial |
| J0875 | HCPCS | Injection, Dalbavancin, 5 Mg |
| J0883 | HCPCS | Injection, Argatroban, 1 Mg (For Non-Esrd Use) |
| J0884 | HCPCS | Injection, Argatroban, 1 Mg (For Esrd on Dialysis) |
| J0890 | HCPCS | Injection, Peginesatide, 0.1 Mg (For Esrd on Dialysis) |
| J0894 | HCPCS | Injection, Decitabine, 1 Mg |
| J0895 | HCPCS | Injection, Deferoxamine Mesylate, 500 Mg |
| J0897 | HCPCS | Injection, Denosumab, 1 Mg |
| J0945 | HCPCS | Injection, Brompheniramine Maleate, Per 10 Mg |
| J1000 | HCPCS | Injection, Depo-Estradiol Cypionate, Up To 5 Mg |
| J1095 | HCPCS | Injection, Dexamethasone 9%, Intraocular, 1 Mcg |
| J1096 | HCPCS | Dexamethasone, Lacrimal Ophthalmic Insert, 0.1 Mg |
| J1097 | HCPCS | Phenylephrine 10.16 Mg/Ml and Ketorolac 2.88 Mg/Ml Ophthalmic Irrigation Solution, 1 Ml |
| J1110 | HCPCS | Injection, Dihydroergotamine Mesylate, Per 1 Mg |
| J1120 | HCPCS | Injection, Acetazolamide Sodium, Up To 500 Mg |
| J1130 | HCPCS | Injection, Diclofenac Sodium, 0.5 Mg |
| J1165 | HCPCS | Injection, Phenytoin Sodium, Per 50 Mg |
| J1180 | HCPCS | Injection, Dyphylline, Up To 500 Mg |
| J1190 | HCPCS | Inj Dexrazoxane Hydrochlorid-250 Mg |
| J1205 | HCPCS | Injection, Chlorothiazide Sodium, Per 500 Mg |
| J1212 | HCPCS | Injection, Dmso, Dimethyl Sulfoxide, 50%, 50 Ml |
| J1230 | HCPCS | Injection, Methadone Hcl, Up To 10 Mg |
| J1240 | HCPCS | Injection, Dimenhydrinate, Up To 50 Mg |
| J1245 | HCPCS | Injection, Dipyridamole, Per 10 Mg |
| J1260 | HCPCS | Injection, Dolasetron Mesylate, 10 Mg |
| J1265 | HCPCS | Injection, Dopamine Hcl, 40 Mg |
| J1290 | HCPCS | Injection, Ecallantide, 1 Mg |
| J1300 | HCPCS | Injection, Eculizumab, 10 Mg |
| J1301 | HCPCS | Injection, Edaravone, 1 Mg |
| J1303 | HCPCS | Injection, Ravulizumab-Cwvz, 10 Mg |
| J1305 | HCPCS | Inj, Evinacumab-Dgnb, 5Mg |
| J1320 | HCPCS | Injection, Amitriptyline Hcl, Up To 20 Mg |
| J1322 | HCPCS | Injection, Elosulfase Alfa, 1 Mg |
| J1324 | HCPCS | Injection, Enfuvirtide, 1 Mg |
| J1325 | HCPCS | Injection, Epoprostenol, 0.5 Mg |
| J1327 | HCPCS | Injection, Eptifibatide, 5 Mg |
| J1330 | HCPCS | Injection, Ergonovine Maleate, Up To 0.2 Mg |
| J1364 | HCPCS | Injection, Erythromycin Lactobionate, Per 500 Mg |
| J1380 | HCPCS | Injection, Estradiol Valerate, Up To 10 Mg |
| J1426 | HCPCS | Injection, Casimersen, 10 Mg |
| J1427 | HCPCS | Inj. Viltolarsen |
| J1428 | HCPCS | Injection, Eteplirsen, 10 Mg |
| J1429 | HCPCS | Inj Golodirsen 10 Mg |
| J1430 | HCPCS | Injection, Ethanolamine Oleate, 100 Mg |
| J1435 | HCPCS | Injection, Estrone, Per 1 Mg |
| J1436 | HCPCS | Injection, Etidronate Disodium, Per 300 Mg |
| J1437 | HCPCS | Injection, Ferric Derisomaltose, 10 Mg |
| J1438 | HCPCS | Injection, Etanercept, 25 Mg (Code May Be Used For Medicare When Drug Administered Under the Direct Supervision of A Physician, |
| J1439 | HCPCS | Injection, Ferric Carboxymaltose, 1 Mg |
| J1442 | HCPCS | Injection, Filgrastim (G-Csf), Excludes Biosimilars, 1 Microgram |
| J1443 | HCPCS | Injection, Ferric Pyrophosphate Citrate Solution, 0.1 Mg of Iron |
| J1444 | HCPCS | Injection, Ferric Pyrophosphate Citrate Powder, 0.1 Mg of Iron |
| J1451 | HCPCS | Injection, Fomepizole, 15 Mg |
| J1452 | HCPCS | Injection, Fomivirsen Sodium, Intraocular, 1.65 Mg |
| J1453 | HCPCS | Injection, Fosaprepitant, 1 Mg |
| J1454 | HCPCS | Injection, Fosnetupitant 235 Mg and Palonosetron 0.25 Mg |
| J1455 | HCPCS | Injection, Foscarnet Sodium, Per 1,000 Mg |
| J1457 | HCPCS | Injection, Gallium Nitrate, 1 Mg |
| J1458 | HCPCS | Injection, Galsulfase, 1 Mg |
| J1459 | HCPCS | Injection, Immune Globulin (Privigen), Intravenous, Non-Lyophilized |
| J1460 | HCPCS | Injection, Gamma Globulin, Intramuscular, 1 Cc |
| J1555 | HCPCS | Injection, Immune Globulin (Cuvitru), 100 Mg |
| J1556 | HCPCS | Injection, Immune Globulin (Bivigam), 500 Mg |
| J1557 | HCPCS | Injection, Immune Globulin, (Gammaplex), Intravenous, Non-Lyophilized (E.G., Liquid), 500 Mg |
| J1559 | HCPCS | Injection, Immune Globulin (Hizentra), 100 Mg |
| J1560 | HCPCS | Injection, Gamma Globulin, Intramuscular, Over 10 Cc |
| J1561 | HCPCS | Injection, Immune Globulin, Intravenous, 500 Mg |
| J1562 | HCPCS | Injection, Immune Globulin (Vivaglobin), 100 Mg |
| J1566 | HCPCS | Immune Globulin, Powder |
| J1568 | HCPCS | Injection, Immune Globulin, (Octagam), Intravenous, Non-Lyophilized |
| J1569 | HCPCS | Injection, Immune Globulin, (Gammagard Liquid), Intravenous, Non-Lyophilized, |
| J1571 | HCPCS | Injection, Hepatitis B Immune Globulin (Hepagam B), Intramuscular, 0.5 Ml |
| J1572 | HCPCS | Injection, Immune Globulin, (Flebogamma/Flebogamma Dif), Intravenous, |
| J1573 | HCPCS | Injection, Hepatitis B Immune Globulin (Hepagam B), Intravenous, 0.5 Ml |
| J1575 | HCPCS | Injection, Immune Globulin/Hyaluronidase, (Hyqvia), 100 Mg Immuneglobulin |
| J2406 | HCPCS | Injection, Oritavancin 10 Mg |
| J7352 | HCPCS | Afamelanotide Implant, 1 Mg |
| J9021 | HCPCS | Inj, Aspara, Rylaze, 0.1 Mg |
| J9198 | HCPCS | Inj. Infugem, 100 Mg |
| J9223 | HCPCS | Inj. Lurbinectedin, 0.1 Mg |
| J9227 | HCPCS | Inj. Isatuximab-Irfc 10 Mg |
| J9246 | HCPCS | Inj., Evomela, 1 Mg |
| J9247 | HCPCS | Inj, Melphalan Flufenami 1Mg |
| J9272 | HCPCS | Inj, Dostarlimab-Gxly, 10 Mg |
| J9281 | HCPCS | Mitomycin Instillation |
| J9316 | HCPCS | Pertuzu, Trastuzu, 10 Mg |
| J9317 | HCPCS | Sacituzumab Govitecan-Hziy |
| J9318 | HCPCS | Inj Romidepsin Non-Lyo 0.1Mg |
| J9319 | HCPCS | Inj Romidepsin Lyophil 0.1Mg |
| J9348 | HCPCS | Inj. Naxitamab-Gqgk, 1 Mg |
| J9349 | HCPCS | Inj., Tafasitamab-Cxix |
| J9353 | HCPCS | Inj. Margetuximab-Cmkb, 5 Mg |
| J9358 | HCPCS | Inj Fam-Trastu Deru-Nxki 1Mg |
| Q2053 | HCPCS | Brexucabtagene Car Pos T |
| Q2054 | HCPCS | Lisocabtagene Car Pos T |
| Q2055 | HCPCS | Idecabtagene Car Pos T |
| Q5119 | HCPCS | Inj Ruxience, 10 Mg |
| Q5120 | HCPCS | Inj Pegfilgrastim-Bmez 0.5Mg |
| Q5121 | HCPCS | Inj. Avsola, 10 Mg |
| Q5122 | HCPCS | Inj, Nyvepria |
| Q5123 | HCPCS | Inj. Riabni, 10 Mg |
| J1595 | HCPCS | Injection, Glatiramer Acetate, 20 Mg |
| J1599 | HCPCS | Injection, Immune Globulin, Intravenous, Non-Lyophilized (E.G. Liquid) |
| J1600 | HCPCS | Injection, Gold Sodium Thiomalate, Up To 50 Mg |
| J1602 | HCPCS | Injection, Golimumab, 1 Mg, For Intravenous Use |
| J1610 | HCPCS | Injection, Glucagon Hcl, Per 1 Mg |
| J1620 | HCPCS | Injection, Gonadorelin Hcl, Per 100 Mcg |
| J1627 | HCPCS | Injection, Granisetron, Extended-Release, 0.1 Mg |
| J1628 | HCPCS | Injection, Guselkumab, 1 Mg |
| J1640 | HCPCS | Injection, Hemin, 1 Mg |
| J1655 | HCPCS | Injection, Tinzaparin Sodium, 1000 Iu |
| J1675 | HCPCS | Injection, Histrelin Acetate, 10 Mcg |
| J1726 | HCPCS | Injection, Hydroxyprogesterone Caproate, (Makena), 10 Mg |
| J1729 | HCPCS | Injection, Hydroxyprogesterone Caproate, Not Otherwise Specified, 10 Mg |
| J1730 | HCPCS | Injection, Diazoxide, Up To 300 Mg |
| J1740 | HCPCS | Injection, Ibandronate Sodium, 1 Mg |
| J1742 | HCPCS | Injection, Ibutilide Fumarate, 1 Mg |
| J1743 | HCPCS | Injection, Idursulfase, 1 Mg |
| J1744 | HCPCS | Injection, Icatibant, 1 Mg |
| J1745 | HCPCS | Injection, Infliximab, Excludes Biosimilar, 10 Mg |
| J1746 | HCPCS | Injection, Ibalizumab-Uiyk, 10 Mg |
| J1786 | HCPCS | Imuglucerase Injection |
| J1790 | HCPCS | Injection, Droperidol, Up To 5 Mg |
| J1800 | HCPCS | Propranolol Injection |
| J1810 | HCPCS | Injection, Droperidol and Fentanyl Citrate, Up To 2 Ml Ampule |
| J1817 | HCPCS | Insulin For Insulin Pump Use |
| J1826 | HCPCS | Injection, Interferon Beta-1A, 30 Mcg |
| J1830 | HCPCS | Injection Interferon Beta-1B, 0.25 Mg (Code May Be Used For Medicare When Drug Administered Under the Direct Supervision of A |
| J1833 | HCPCS | Injection, Isavuconazonium, 1 Mg |
| J1835 | HCPCS | Injection, Itraconazole, 50 Mg |
| J1890 | HCPCS | Injection, Cephalothin Sodium, Up To 1 G |
| J1930 | HCPCS | Lanreotide Injection |
| J1931 | HCPCS | Laronidase Injection |
| J1943 | HCPCS | Inj., Aristada Initio, 1 Mg |
| J1944 | HCPCS | Aripiprazole Lauroxil 1Mg |
| J1945 | HCPCS | Injection, Lepirudin, 50 Mg |
| J1953 | HCPCS | Levetiracetam Injection |
| J1955 | HCPCS | Inj Levocarnitine Per 1 Gm |
| J1960 | HCPCS | Injection, Levorphanol Tartrate, Up To 2 Mg |
| J1980 | HCPCS | Hyoscyamine Sulfate Inj |
| J1990 | HCPCS | Injection, Chlordiazepoxide Hcl, Up To 100 Mg |
| J2010 | HCPCS | Lincomycin Injection |
| J2062 | HCPCS | Loxapine For Inhalation, 1 Mg |
| J2150 | HCPCS | Mannitol Injection |
| J2170 | HCPCS | Injection, Mecasermin, 1 Mg |
| J2180 | HCPCS | Injection, Meperidine and Promethazine Hcl, Up To 50 Mg |
| J2182 | HCPCS | Injection, Mepolizumab, 1Mg |
| J2186 | HCPCS | Injection, Meropenem, Vaborbactam, 10 Mg/10 Mg, (20 Mg) |
| J2210 | HCPCS | Methylergonovin Maleate Inj |
| J2212 | HCPCS | Injection, Methylnaltrexone, 0.1 Mg |
| J2260 | HCPCS | Inj Milrinone Lactate / 5 Mg |
| J2265 | HCPCS | Injection, Minocycline Hcl, 1 Mg |
| J2274 | HCPCS | Inj Morphine Pf Epid Ithc |
| J2278 | HCPCS | Ziconotide Injection |
| J2300 | HCPCS | Inj Nalbuphine Hydrochloride |
| J2320 | HCPCS | Injection, Nandrolone Decanoate, Up To 50 Mg |
| J2323 | HCPCS | Natalizumab Injection |
| J2325 | HCPCS | Injection, Nesiritide, 0.1 Mg |
| J2326 | HCPCS | Injection, Nusinersen, 0.1 Mg |
| J2350 | HCPCS | Injection, Ocrelizumab, 1 Mg |
| J2353 | HCPCS | Octreotide Injection, Depot |
| J2354 | HCPCS | Octreotide Inj, Non-Depot |
| J2355 | HCPCS | Injection Oprelvekin 5 Mg |
| J2357 | HCPCS | Omalizumab Injection |
| J2358 | HCPCS | Olanzapine Long-Acting Inj |
| J2360 | HCPCS | Orphenadrine Injection |
| J2370 | HCPCS | Injection, Phenylephrine Hcl, Up To 1 Ml |
| J2400 | HCPCS | Chloroprocaine Hcl Injection |
| J2407 | HCPCS | Injection, Oritavancin |
| J2425 | HCPCS | Palifermin Injection |
| J2426 | HCPCS | Paliperidone Palmitate Inj |
| J2430 | HCPCS | Pamidronate Disodium /30 Mg |
| J2440 | HCPCS | Injection, Papaverine Hcl, Up To 60 Mg |
| J2460 | HCPCS | Injection, Oxytetracycline Hcl, Up To 50 Mg |
| J2502 | HCPCS | Injection, Pasireotide Long Acting, 1 Mg |
| J2503 | HCPCS | Pegaptanib Sodium Injection |
| J2504 | HCPCS | Pegademase Bovine, 25 Iu |
| J2505 | HCPCS | Injection, Pegfilgrastim 6Mg |
| J2507 | HCPCS | Pegloticase Injection |
| J2513 | HCPCS | Injection, Pentastarch, 10% Solution, 100 Ml |
| J2515 | HCPCS | Pentobarbital Sodium Inj |
| J2545 | HCPCS | Pentamidine Non-Comp Unit |
| J2547 | HCPCS | Injection, Peramivir, 1 Mg |
| J2560 | HCPCS | Phenobarbital Sodium Inj |
| J2562 | HCPCS | Plerixafor Injection |
| J2590 | HCPCS | Injection, Oxytocin, Up To 10 Units |
| J2597 | HCPCS | Inj Desmopressin Acetate |
| J2650 | HCPCS | Injection, Prednisolone Acetate, Up To 1 Ml |
| J2670 | HCPCS | Injection, Tolazoline Hcl, Up To 25 Mg |
| J2680 | HCPCS | Fluphenazine Decanoate 25 Mg |
| J2690 | HCPCS | Procainamide Hcl Injection |
| J2700 | HCPCS | Oxacillin Sodium Injeciton |
| J2704 | HCPCS | Inj, Propofol, 10 Mg |
| J2710 | HCPCS | Injection, Neostigmine Methylsulfate, Up To 0.5 Mg |
| J2720 | HCPCS | Inj Protamine Sulfate/10 Mg |
| J2724 | HCPCS | Protein C Concentrate |
| J2725 | HCPCS | Injection, Protirelin, Per 250 Mcg |
| J2730 | HCPCS | Injection, Pralidoxime Chloride, Up To 1 G |
| J2760 | HCPCS | Phentolaine Mesylate Inj |
| J2778 | HCPCS | Ranibizumab Injection |
| J2783 | HCPCS | Rasburicase |
| J2785 | HCPCS | Regadenoson Injection |
| J2786 | HCPCS | Injection, Reslizumab, 1Mg |
| J2787 | HCPCS | Riboflavin 5'-Phosphate, Ophthalmic Solution, Up To 3 Ml |
| J2788 | HCPCS | Rho D Immune Globulin 50 Mcg |
| J2790 | HCPCS | Rho D Immune Globulin Inj |
| J2791 | HCPCS | Rhophylac Injection |
| J2792 | HCPCS | Rho(D) Immune Globulin H, Sd |
| J2793 | HCPCS | Injection, Rilonacept, 1 Mg |
| J2796 | HCPCS | Romiplostim Injection |
| J2797 | HCPCS | Injection, Rolapitant, 0.5 Mg |
| J2798 | HCPCS | Inj., Perseris, 0.5 Mg |
| J2810 | HCPCS | Inj Theophylline Per 40 Mg |
| J2820 | HCPCS | Sargramostim Injection |
| J2840 | HCPCS | Injection, Sebelipase Alfa, 1 Mg |
| J2850 | HCPCS | Injection, Secretin, Synthetic, Human, 1 Mcg |
| J2860 | HCPCS | Injection, Siltuximab |
| J2910 | HCPCS | Injection, Aurothioglucose, Up To 50 Mg |
| J2940 | HCPCS | Injection, Somatrem, 1 Mg |
| J2941 | HCPCS | Injection, Somatropin, 1 Mg |
| J2993 | HCPCS | Injection, Reteplase, 18.1 Mg |
| J2995 | HCPCS | Injection, Streptokinase, Per 250,000 Iu |
| J3000 | HCPCS | Streptomycin Injection |
| J3031 | HCPCS | Injection, Fremanezumab-Vfrm, 1 Mg (Code May Be Used For Medicare When Drug Administered Under the Direct Supervision of A |
| J3060 | HCPCS | Inj, Taliglucerase Alfa 10 U |
| J3070 | HCPCS | Pentazocine Injection |
| J3090 | HCPCS | Inj Tedizolid Phosphate |
| J3095 | HCPCS | Telavancin Injection |
| J3101 | HCPCS | Tenecteplase Injection |
| J3110 | HCPCS | Injection, Teriparatide, 10 Mcg |
| J3111 | HCPCS | Inj. Romosozumab-Aqqg 1 Mg |
| J3230 | HCPCS | Chlorpromazine Hcl Injection |
| J3240 | HCPCS | Thyrotropin Injection |
| J3241 | HCPCS | Injection, Teprotumumab-Trbw, 10 Mg |
| J3245 | HCPCS | Inj., Tildrakizumab, 1 Mg |
| J3246 | HCPCS | Injection, Tirofiban Hcl, 0.25 Mg |
| J3250 | HCPCS | Trimethobenzamide Hcl Inj |
| J3262 | HCPCS | Tocilizumab Injection |
| J3265 | HCPCS | Injection, Torsemide, 10 Mg/Ml |
| J3280 | HCPCS | Injection, Thiethylperazine Maleate, Up To 10 Mg |
| J3285 | HCPCS | Treprostinil Injection |
| J3305 | HCPCS | Injection, Trimetrexate Glucuronate, Per 25 Mg |
| J3310 | HCPCS | Injection, Perphenazine, Up To 5 Mg |
| J3315 | HCPCS | Triptorelin Pamoate |
| J3316 | HCPCS | Injection, Triptorelin, Extended-Release, 3.75 Mg |
| J3320 | HCPCS | Injection, Spectinomycin Dihydrochloride, Up To 2 G |
| J3350 | HCPCS | Injection, Urea, Up To 40 G |
| J3355 | HCPCS | Injection, Urofollitropin, 75 Iu |
| J3357 | HCPCS | Ustekinumab Sub Cu Inj, 1 Mg |
| J3358 | HCPCS | Ustekinumab, Iv Inject, 1 Mg |
| J3360 | HCPCS | Diazepam Injection |
| J3364 | HCPCS | Injection, Urokinase, 5,000 Iu Vial |
| J3365 | HCPCS | Injection, Iv, Urokinase, 250,000 Iu Vial |
| J3380 | HCPCS | Injection, Vedolizumab |
| J3385 | HCPCS | Velaglucerase Alfa |
| J3396 | HCPCS | Verteporfin Injection |
| J3397 | HCPCS | Injection, Vestronidase Alfa-Vjbk, 1 Mg |
| J3398 | HCPCS | Injection, Voretigene Neparvovec-Rzyl, 1 Billion Vector Genomes |
| J3400 | HCPCS | Injection, Triflupromazine Hcl, Up To 20 Mg |
| J3411 | HCPCS | Thiamine Hcl 100 Mg |
| J3415 | HCPCS | Pyridoxine Hcl 100 Mg |
| J3430 | HCPCS | Vitamin K Phytonadione Inj |
| J3470 | HCPCS | Injection, Hyaluronidase, Up To 150 Units |
| J3471 | HCPCS | Ovine, Up To 999 Usp Units |
| J3472 | HCPCS | Injection, Hyaluronidase, Ovine, Preservative Free, Per 1,000 Usp Units |
| J3473 | HCPCS | Hyaluronidase Recombinant |
| J3485 | HCPCS | Zidovudine |
| J3486 | HCPCS | Ziprasidone Mesylate |
| J3490 | HCPCS | Unclassified Drugs |
| J3520 | HCPCS | Edetate Disodium, Per 150 Mg |
| J3530 | HCPCS | Nasal Vaccine Inhalation |
| J3570 | HCPCS | Laetrile, Amygdalin, Vitamin B-17 |
| J3590 | HCPCS | Unclassified Biologics |
| J3591 | HCPCS | Unclassified Drug or Biological Used For Esrd on Dialysis |
| J7100 | HCPCS | Infusion, Dextran 40, 500 Ml |
| J7110 | HCPCS | Infusion, Dextran 75, 500 Ml |
| J7121 | HCPCS | 5% Dextrose In Lactated Ringers Infusion, Up To 1000 Cc |
| J7170 | HCPCS | Inj., Emicizumab-Kxwh 0.5 Mg |
| J7175 | HCPCS | Inj, Factor X, (Human), 1Iu |
| J7177 | HCPCS | Injection, Human Fibrinogen Concentrate (Fibryga), 1 Mg |
| J7178 | HCPCS | Inj Human Fibrinogen Con Nos |
| J7179 | HCPCS | Vonvendi Inj 1 Iu Vwf:Rco |
| J7180 | HCPCS | Factor XIII Anti-Hem Factor |
| J7181 | HCPCS | Factor XIII Recomb A-Subunit |
| J7182 | HCPCS | Factor VIII Recomb Novoeight |
| J7183 | HCPCS | Wilate Injection |
| J7185 | HCPCS | Xyntha Inj |
| J7186 | HCPCS | Antihemophilic Viii/Vwf Comp |
| J7187 | HCPCS | Humate-P, Inj |
| J7188 | HCPCS | Factor VIII Recomb Obizur |
| J7189 | HCPCS | Factor VIIA |
| J7190 | HCPCS | Factor VIII |
| J7191 | HCPCS | Factor VIII (Antihemophilic Factor (Porcine)), Per Iu |
| J7192 | HCPCS | Factor VIII Recombinant Nos |
| J7193 | HCPCS | Factor IX Non-Recombinant |
| J7194 | HCPCS | Factor IX Complex |
| J7195 | HCPCS | Factor IX Recombinant Nos |
| J7196 | HCPCS | Injection, Antithrombin Recombinant, 50 Iu |
| J7197 | HCPCS | Antithrombin III Injection |
| J7198 | HCPCS | Anti-Inhibitor |
| J7199 | HCPCS | Hemophilia Clotting Factor, Not Otherwise Classified |
| J7200 | HCPCS | Factor IX Recombinan Rixubis |
| J7201 | HCPCS | Factor IX Alprolix Recomb |
| J7202 | HCPCS | Factor IX Idelvion Inj |
| J7203 | HCPCS | Injection Factor IX, (Antihemophilic Factor, Recombinant), Glycopegylated, (Rebinyn), 1 Iu |
| J7205 | HCPCS | Factor VIII Fc Fusion Recomb |
| J7207 | HCPCS | Factor VIII Pegylated Recomb |
| J7208 | HCPCS | Inj. Jivi 1 Iu |
| J7209 | HCPCS | Factor VIII Nuwiq Recomb 1Iu |
| J7210 | HCPCS | Inj, Afstyla, 1 I.U. |
| J7211 | HCPCS | Inj, Kovaltry, 1 I.U. |
| J7296 | HCPCS | Levonorgestrel-Releasing Intrauterine Contraceptive System, (Kyleena), 19.5 Mg |
| J7297 | HCPCS | Levonorgestrel-Releasing Intrauterine Contraceptive System (Liletta), 52 Mg |
| J7298 | HCPCS | Levonorgestrel-Releasing Intrauterine Contraceptive System (Mirena), 52 Mg |
| J7300 | HCPCS | Intrauterine Copper Contraceptive |
| J7301 | HCPCS | Levonorgestrel-Releasing Intrauterine Contraceptive System (Skyla), 13.5 Mg |
| J7303 | HCPCS | Contraceptive Supply, Hormone Containing Vaginal Ring, Each |
| J7304 | HCPCS | Contraceptive Supply, Hormone Containing Patch, Each |
| J7306 | HCPCS | Levonorgestrel (Contraceptive) Implant System, Including Implants and Supplies |
| J7309 | HCPCS | Methyl Aminolevulinate (Mal) For Topical Administration, 16.8%, 1 G |
| J7310 | HCPCS | Ganciclovir, 4.5 Mg, Long-Acting Implant |
| J7311 | HCPCS | Fluocinolone Acetonide Implt |
| J7313 | HCPCS | Fluocinol Acet Intravit Imp |
| J7314 | HCPCS | Injection, Fluocinolone Acetonide, Intravitreal Implant (Yutiq), 0.01 Mg |
| J7315 | HCPCS | Mitomycin, Opthalmic, 0.2 Mg |
| J7316 | HCPCS | Inj, Ocriplasmin, 0.125 Mg |
| J7318 | HCPCS | Hyaluronan or Derivative, Durolane, For Intra-Articular Injection, 1 Mg |
| J7320 | HCPCS | Hyaluronan or Derivative, Genvisc 850, For Intra-Articular Injection, 1 Mg |
| J7322 | HCPCS | Hyaluronan or Derivative, Hymovis, For Intra-Articular Injection, 1 Mg |
| J7324 | HCPCS | Orthovisc Inj Per Dose |
| J7326 | HCPCS | Hyaluronan or Derivative, Gel-One, For Intra-Articular Injection, Per Dose |
| J7327 | HCPCS | Monovisc Inj Per Dose |
| J7328 | HCPCS | Hyaluronan or Derivative, Gelsyn-3, For Intra-Articular Injection, 0.1 Mg |
| J7329 | HCPCS | Hyaluronan or Derivative, Trivisc, For Intra-Articular Injection, 1 Mg |
| J7330 | HCPCS | Autologous Cultured Chondrocytes, Implant |
| J7331 | HCPCS | Hyaluronan or Derivative, Synojoynt, For Intra-Articular Injection, 1 Mg |
| J7332 | HCPCS | Hyaluronan or Derivative, Triluron, For Intra-Articular Injection, 1 Mg |
| J7336 | HCPCS | Capsaicin 8% Patch |
| J7340 | HCPCS | Carbidopa Levodopa Ent 100Ml |
| J7342 | HCPCS | Instillation, Ciprofloxacin Otic Suspension, 6 Mg |
| J7401 | HCPCS | Mometasone Furoate Sinus Implant, 10 Mcg |
| J7500 | HCPCS | Azathioprine Oral 50Mg |
| J7502 | HCPCS | Cyclosporine Oral 100 Mg |
| J7503 | HCPCS | Tacrol Envarsus Ex Rel Oral |
| J7504 | HCPCS | Lymphocyte Immune Globulin |
| J7505 | HCPCS | Muromonab-Cd3, Parenteral, 5 Mg |
| J7507 | HCPCS | Tacrolimus Imme Rel Oral 1Mg |
| J7508 | HCPCS | Tacrol Astagraf Ex Rel Oral |
| J7509 | HCPCS | Methylprednisolone Oral |
| J7510 | HCPCS | Prednisolone Oral Per 5 Mg |
| J7511 | HCPCS | Antithymocyte Globuln Rabbit |
| J7512 | HCPCS | Prednisone Ir or Dr Oral 1Mg |
| J7513 | HCPCS | Daclizumab, Parenteral, 25 Mg |
| J7515 | HCPCS | Cyclosporine Oral 25 Mg |
| J7517 | HCPCS | Mycophenolate Mofetil Oral |
| J7518 | HCPCS | Mycophenolic Acid |
| J7520 | HCPCS | Sirolimus, Oral |
| J7525 | HCPCS | Tacrolimus Injection |
| J7527 | HCPCS | Oral Everolimus |
| J7599 | HCPCS | Immunosuppressive Drug, Not Otherwise Classified |
| J7604 | HCPCS | Acetylcysteine, Inhalation Solution, Compounded Product, Administered Through Dme, Unit Dose Form, Per G |
| J7605 | HCPCS | Arformoterol Non-Comp Unit |
| J7607 | HCPCS | Levalbuterol, Inhalation Solution, Compounded Product, Administered Through Dme, Concentrated Form, 0.5 Mg |
| J7608 | HCPCS | Acetylcysteine Non-Comp Unit |
| J7628 | HCPCS | Bitolterol Mesylate, Inhalation Solution, Compounded Product, Administered Through Dme, Concentrated Form, Per Mg |
| J7629 | HCPCS | Bitolterol Mesylate, Inhalation Solution, Compounded Product, Administered Through Dme, Unit Dose Form, Per Mg |
| J7637 | HCPCS | Dexamethasone, Inhalation Solution, Compounded Product, Administered Through Dme, Concentrated Form, Per Mg |
| J7638 | HCPCS | Dexamethasone, Inhalation Solution, Compounded Product, Administered Through Dme, Unit Dose Form, Per Mg |
| J7639 | HCPCS | Dornase Alfa Non-Comp Unit |
| J7640 | HCPCS | Formoterol, Inhalation Solution, Compounded Product, Administered Through Dme, Unit Dose Form, 12 Mcg |
| J7641 | HCPCS | Flunisolide, Inhalation Solution, Compounded Product, Administered Through Dme, Unit Dose, Per Mg |
| J7642 | HCPCS | Glycopyrrolate, Inhalation Solution, Compounded Product, Administered Through Dme, Concentrated Form, Per Mg |
| J7643 | HCPCS | Glycopyrrolate, Inhalation Solution, Compounded Product, Administered Through Dme, Unit Dose Form, Per Mg |
| J7647 | HCPCS | Isoetharine Hcl, Inhalation Solution, Compounded Product, Administered Through Dme, Concentrated Form, Per Mg |
| J7648 | HCPCS | Isoetharine Hcl, Inhalation Solution, Fda-Approved Final Product, Noncompounded, Administered Through Dme, Concentrated Form, Per Mg |
| J7649 | HCPCS | Isoetharine Hcl, Inhalation Solution, Fda-Approved Final Product, Noncompounded, Administered Through Dme, Unit Dose Form, Per Mg |
| J7650 | HCPCS | Isoetharine Hcl, Inhalation Solution, Compounded Product, Administered Through Dme, Unit Dose Form, Per Mg |
| J7657 | HCPCS | Isoproterenol Hcl, Inhalation Solution, Compounded Product, Administered Through Dme, Concentrated Form, Per Mg |
| J7658 | HCPCS | Isoproterenol Hcl, Inhalation Solution, Fda-Approved Final Product, Noncompounded, Administered Through Dme, Concentrated Form, Per Mg |
| J7659 | HCPCS | Isoproterenol Hcl, Inhalation Solution, Fda-Approved Final Product, Noncompounded, Administered Through Dme, Unit Dose Form, Per Mg |
| J7660 | HCPCS | Isoproterenol Hcl, Inhalation Solution, Compounded Product, Administered Through Dme, Unit Dose Form, Per Mg |
| J7665 | HCPCS | Mannitol, Administered Through An Inhaler, 5 Mg |
| J7667 | HCPCS | Metaproterenol Sulfate, Inhalation Solution, Compounded Product, Concentrated Form, Per 10 Mg |
| J7668 | HCPCS | Metaproterenol Sulfate, Inhalation Solution, Fda-Approved Final Product, Noncompounded, Administered Through Dme, Concentrated |
| J7669 | HCPCS | Metaproterenol Sulfate, Inhalation Solution, Fda-Approved Final Product, Noncompounded, Administered Through Dme, Unit Dose Form, Per 10 Mg |
| J7670 | HCPCS | Metaproterenol Sulfate, Inhalation Solution, Compounded Product, Administered Through Dme, Unit Dose Form, Per 10 Mg |
| J7674 | HCPCS | Methacholine Chloride, Neb |
| J7676 | HCPCS | Pentamidine Isethionate, Inhalation Solution, Compounded Product, Administered Through Dme, Unit Dose Form, Per 300 Mg |
| J7677 | HCPCS | Revefenacin Inhalation Solution, Fda-Approved Final Product, Noncompounded, Administered Through Dme, 1 Mcg |
| J7680 | HCPCS | Terbutaline Sulfate, Inhalation Solution, Compounded Product, Administered Through Dme, Concentrated Form, Per Mg |
| J7681 | HCPCS | Terbutaline Sulfate, Inhalation Solution, Compounded Product, Administered Through Dme, Unit Dose Form, Per Mg |
| J7682 | HCPCS | Tobramycin Non-Comp Unit |
| J7683 | HCPCS | Triamcinolone, Inhalation Solution, Compounded Product, Administered Through Dme, Concentrated Form, Per Mg |
| J7684 | HCPCS | Triamcinolone, Inhalation Solution, Compounded Product, Administered Through Dme, Unit Dose Form, Per Mg |
| J7685 | HCPCS | Tobramycin, Inhalation Solution, Compounded Product, Administered Through Dme, Unit Dose Form, Per 300 Mg |
| J7686 | HCPCS | Treprostinil, Non-Comp Unit |
| J7699 | HCPCS | Noc Drugs, Inhalation Solution Administered Through Dme |
| J7799 | HCPCS | Noc Drugs, Other Than Inhalation Drugs, Administered Through Dme |
| J7999 | HCPCS | Compounded Drug, Not Otherwise Classified |
| J8498 | HCPCS | Antiemetic Drug, Rectal/Suppository, Not Otherwise Specified |
| J8499 | HCPCS | Prescription Drug, Oral, Nonchemotherapeutic, Not Otherwise Specified |
| J8501 | HCPCS | Oral Aprepitant |
| J8510 | HCPCS | Oral Busulfan |
| J8515 | HCPCS | Cabergoline, Oral, 0.25 Mg |
| J8520 | HCPCS | Capecitabine, Oral, 150 Mg |
| J8521 | HCPCS | Capecitabine, Oral, 500 Mg |
| J8530 | HCPCS | Cyclophosphamide Oral 25 Mg |
| J8540 | HCPCS | Oral Dexamethasone |
| J8560 | HCPCS | Etoposide Oral 50 Mg |
| J8562 | HCPCS | Fludarabine Phosphate, Oral, 10 Mg |
| J8565 | HCPCS | Gefitinib Oral 250 Mg |
| J8597 | HCPCS | Antiemetic Drug, Oral, Not Otherwise Specified |
| J8600 | HCPCS | Melphalan Oral 2 Mg |
| J8610 | HCPCS | Methotrexate Oral 2.5 Mg |
| J8650 | HCPCS | Nabilone, Oral, 1 Mg |
| J8655 | HCPCS | Oral Netupitant, Palonosetro |
| J8670 | HCPCS | Rolapitant, Oral, 1Mg |
| J8700 | HCPCS | Temozolomide |
| J8705 | HCPCS | Topotecan Oral |
| J8999 | HCPCS | Prescription Drug, Oral, Chemotherapeutic, Nos |
| J9000 | HCPCS | Doxorubicin Hcl Injection |
| J9015 | HCPCS | Aldesleukin Per Single Use Vial |
| J9017 | HCPCS | Arsenic Trioxide Injection |
| J9019 | HCPCS | Erwinaze Injection |
| J9020 | HCPCS | Asparaginase 10000 Units |
| J9022 | HCPCS | Inj, Atezolizumab,10 Mg |
| J9023 | HCPCS | Injection, Avelumab, 10 Mg |
| J9025 | HCPCS | Azacitidine Injection |
| J9027 | HCPCS | Clofarabine Injection |
| J9030 | HCPCS | Bcg Live Intravesical 1Mg |
| J9032 | HCPCS | Injection, Belinostat, 10Mg |
| J9033 | HCPCS | Inj., Treanda 1 Mg |
| J9034 | HCPCS | Inj., Bendeka 1 Mg |
| J9035 | HCPCS | Bevacizumab Injection |
| J9039 | HCPCS | Injection, Blinatumomab |
| J9040 | HCPCS | Bleomycin Sulfate Injection |
| J9041 | HCPCS | Inj., Velcade 0.1 Mg |
| J9042 | HCPCS | Brentuximab Vedotin Inj |
| J9043 | HCPCS | Cabazitaxel Injection |
| J9044 | HCPCS | Inj, Bortezomib, Nos, 0.1 Mg |
| J9045 | HCPCS | Carboplatin Injection |
| J9047 | HCPCS | Injection, Carfilzomib, 1 Mg |
| J9050 | HCPCS | Carmustine Injection |
| J9055 | HCPCS | Cetuximab Injection |
| J9057 | HCPCS | Injection, Copanlisib, 1 Mg |
| J9060 | HCPCS | Cisplatin 10 Mg Injection |
| J9065 | HCPCS | Inj Cladribine Per 1 Mg |
| J9098 | HCPCS | Cytarabine Liposome 10 Mg |
| J9100 | HCPCS | Cytarabine Hcl 100 Mg Inj |
| J9118 | HCPCS | Injection, Calaspargase Pegol-Mknl, 10 Units |
| J9119 | HCPCS | Inj., Cemiplimab-Rwlc, 1 Mg |
| J9120 | HCPCS | Dactinomycin Injection |
| J9130 | HCPCS | Dacarbazine 100 Mg Inj |
| J9144 | HCPCS | Injection, Daratumumab, 10 Mg and Hyaluronidase-Fihj |
| J9145 | HCPCS | Injection, Daratumumab 10 Mg |
| J9150 | HCPCS | Daunorubicin Injection |
| J9151 | HCPCS | Daunorubicin Citrate Liposoml 10 Mg |
| J9153 | HCPCS | Inj Daunorubicin, Cytarabine |
| J9155 | HCPCS | Degarelix Injection |
| J9165 | HCPCS | Injection, Diethylstilbestrol Diphosphate, 250 Mg |
| J9171 | HCPCS | Docetaxel Injection |
| J9173 | HCPCS | Inj., Durvalumab, 10 Mg |
| J9175 | HCPCS | Injection, Elliotts' B Solution, 1 Ml |
| J9176 | HCPCS | Injection, Elotuzumab, 1Mg |
| J9177 | HCPCS | Inj Enfort Vedo-Ejfv 0.25Mg |
| J9178 | HCPCS | Inj, Epirubicin Hcl, 2 Mg |
| J9179 | HCPCS | Eribulin Mesylate Injection |
| J9181 | HCPCS | Etoposide Injection |
| J9185 | HCPCS | Fludarabine Phosphate Inj |
| J9190 | HCPCS | Fluorouracil Injection |
| J9200 | HCPCS | Floxuridine Injection |
| J9201 | HCPCS | Gemcitabine Hcl Injection |
| J9202 | HCPCS | Goserelin Acetate Implant |
| J9203 | HCPCS | Gemtuzumab Ozogamicin 0.1 Mg |
| J9204 | HCPCS | Inj Mogamulizumab-Kpkc, 1 Mg |
| J9205 | HCPCS | Inj Irinotecan Liposome 1 Mg |
| J9206 | HCPCS | Irinotecan Injection |
| J9207 | HCPCS | Ixabepilone Injection |
| J9208 | HCPCS | Ifosfamide Injection |
| J9209 | HCPCS | Mesna Injection |
| J9210 | HCPCS | Injection, Emapalumab-Lzsg, 1 Mg |
| J9211 | HCPCS | Idarubicin Hcl Injection |
| J9212 | HCPCS | Injection, Interferon Alfacon-1, Recombinant, 1 Mcg |
| J9213 | HCPCS | Injection, Interferon, Alfa-2A, Recombinant, 3 Million Units |
| J9214 | HCPCS | Interferon Alfa-2B Inj |
| J9215 | HCPCS | Injection, Interferon, Alfa-N3, (Human Leukocyte Derived), 250,000 Iu |
| J9216 | HCPCS | Injection, Interferon, Gamma 1-B, 3 Million Units |
| J9225 | HCPCS | Vantas Implant |
| J9226 | HCPCS | Supprelin La Implant |
| J9228 | HCPCS | Ipilimumab Injection |
| J9229 | HCPCS | Inj Inotuzumab Ozogam 0.1 Mg |
| J9230 | HCPCS | Mechlorethamine Hcl 10 Mg |
| J9245 | HCPCS | Inj Melphalan Hydrochl 50 Mg |
| J9261 | HCPCS | Nelarabine Injection |
| J9262 | HCPCS | Inj, Omacetaxine Mep, 0.01Mg |
| J9263 | HCPCS | Oxaliplatin |
| J9264 | HCPCS | Paclitaxel Protein Bound |
| J9266 | HCPCS | Pegaspargase Injection |
| J9267 | HCPCS | Paclitaxel Injection |
| J9268 | HCPCS | Pentostatin Injection |
| J9269 | HCPCS | Injection, Tagraxofusp-Erzs, 10 Mcg |
| J9270 | HCPCS | Injection, Plicamycin, 2.5 Mg |
| J9271 | HCPCS | Inj Pembrolizumab |
| J9280 | HCPCS | Mitomycin Injection |
| J9285 | HCPCS | Inj, Olaratumab, 10 Mg |
| J9293 | HCPCS | Mitoxantrone Hydrochl / 5 Mg |
| J9295 | HCPCS | Injection, Necitumumab, 1 Mg |
| J9299 | HCPCS | Injection, Nivolumab |
| J9301 | HCPCS | Obinutuzumab Inj |
| J9302 | HCPCS | Ofatumumab Injection |
| J9303 | HCPCS | Panitumumab Injection |
| J9305 | HCPCS | Pemetrexed Injection |
| J9306 | HCPCS | Injection, Pertuzumab, 1 Mg |
| J9307 | HCPCS | Pralatrexate Injection |
| J9308 | HCPCS | Injection, Ramucirumab |
| J9309 | HCPCS | Inj, Polatuzumab Vedotin 1Mg |
| J9311 | HCPCS | Inj Rituximab, Hyaluronidase |
| J9312 | HCPCS | Inj., Rituximab, 10 Mg |
| J9313 | HCPCS | Injection, Moxetumomab Pasudotox-Tdfk, 0.01 Mg |
| J9315 | HCPCS | Romidepsin Injection |
| J9320 | HCPCS | Streptozocin Injection |
| J9325 | HCPCS | Inj Talimogene Laherparepvec |
| J9328 | HCPCS | Temozolomide Injection |
| J9330 | HCPCS | Temsirolimus Injection |
| J9340 | HCPCS | Thiotepa Injection |
| J9351 | HCPCS | Topotecan Injection |
| J9352 | HCPCS | Injection Trabectedin 0.1Mg |
| J9354 | HCPCS | Inj, Ado-Trastuzumab Emt 1Mg |
| J9355 | HCPCS | Inj Trastuzumab Excl Biosimi |
| J9356 | HCPCS | Inj. Herceptin Hylecta, 10Mg |
| J9357 | HCPCS | Valrubicin Injection |
| J9360 | HCPCS | Vinblastine Sulfate Inj |
| J9370 | HCPCS | Vincristine Sulfate 1 Mg Inj |
| J9390 | HCPCS | Vinorelbine Tartrate Inj |
| J9395 | HCPCS | Injection, Fulvestrant |
| C9399 | HCPCS | Unclassified Drugs or Biologicals |
| J9400 | HCPCS | Inj, Ziv-Aflibercept, 1Mg |
| J9600 | HCPCS | Injection, Porfimer Sodium, 75 Mg |
| J9999 | HCPCS | Noc, Antineoplastic Drug |
| Q0081 | HCPCS | Infusion Therapy, Using Other Than Chemotherapeutic Drugs, Per Visit |
| Q0083 | HCPCS | Chemotherapy Administration By Other Than Infusion Technique Only (E.G., Subcutaneous, Intramuscular, Push), Per Visit |
| Q0084 | HCPCS | Chemotherapy Administration By Infusion Technique Only, Per Visit |
| Q0085 | HCPCS | Chemotherapy Administration By Both Infusion Technique and Other Technique(S) (E.G. Subcutaneous, Intramuscular, Push), Per Visit |
| Q0138 | HCPCS | Injection, Ferumoxytol, For Treatment of Iron Deficiency Anemia, 1 Mg (Non-Esrd Use) |
| Q0139 | HCPCS | Injection, Ferumoxytol, For Treatment of Iron Deficiency Anemia, 1 Mg (For Esrd on Dialysis) |
| Q0515 | HCPCS | Injection, Sermorelin Acetate, 1 Mcg |
| Q2017 | HCPCS | Injection, Teniposide, 50 Mg |
| Q2026 | HCPCS | Injection, Radiesse, 0.1 Ml |
| Q2028 | HCPCS | Injection, Sculptra, 0.5 Mg |
| Q2041 | HCPCS | Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-Cd19 Car Positive T Cells, Including Leukapheresis and Dose Preparation |
| Q2042 | HCPCS | Tisagenlecleucel, Up To 600 Million Car-Positive Viable T Cells, Including Leukapheresis and Dose Preparation Procedures, Per Therapeutic Dose |
| Q2043 | HCPCS | Sipuleucel-T, Minimum of 50 Million Autologous Cd54+ Cells Activated With Pap-Gm-Csf, Including Leukapheresis and All Other Preparatory |
| Q2049 | HCPCS | Injection, Doxorubicin Hcl, Liposomal, Imported Lipodox, 10 Mg |
| Q2050 | HCPCS | Injection, Doxorubicin Hcl, Liposomal, Not Otherwise Specified, 10 Mg |
| Q3027 | HCPCS | Injection, Interferon Beta-1A, 1 Mcg For Intramuscular Use |
| Q3028 | HCPCS | Injection, Interferon Beta-1A, 1 Mcg For Subcutaneous Use |
| Q4082 | HCPCS | Drug or Biological, Not Otherwise Classified, Part B Drug Competitive Acquisition Program (Cap) |
| Q4100 | HCPCS | Skin Substitute, Not Otherwise Specified |
| Q4101 | HCPCS | Apligraf, Per Sq Cm |
| Q4102 | HCPCS | Oasis Wound Matrix, Per Sq Cm |
| Q4103 | HCPCS | Oasis Burn Matrix, Per Sq Cm |
| Q4104 | HCPCS | Integra Bilayer Matrix Wound Dressing (Bmwd), Per Sq Cm |
| Q4105 | HCPCS | Integra Dermal Regeneration Template (Drt) or Integra Omnigraft Dermal Regeneration Matrix, Per Sq Cm |
| Q4106 | HCPCS | Dermagraft, Per Sq Cm |
| Q4107 | HCPCS | Graftjacket, Per Sq Cm |
| Q4108 | HCPCS | Integra Matrix, Per Sq Cm |
| Q4110 | HCPCS | Primatrix, Per Sq Cm |
| Q4111 | HCPCS | Gammagraft, Per Sq Cm |
| Q4112 | HCPCS | Cymetra, Injectable, 1 Cc |
| Q4113 | HCPCS | Graftjacket Xpress, Injectable, 1 Cc |
| Q4114 | HCPCS | Integra Flowable Wound Matrix, Injectable, 1 Cc |
| Q4115 | HCPCS | Alloskin, Per Sq Cm |
| Q4116 | HCPCS | Alloderm, Per Sq Cm |
| Q4117 | HCPCS | Hyalomatrix, Per Sq Cm |
| Q4118 | HCPCS | Matristem Micromatrix, 1 Mg |
| Q4121 | HCPCS | Theraskin, Per Sq Cm |
| Q4122 | HCPCS | Dermacell, Dermacell Awm or Dermacell Awm Porous, Per Sq Cm |
| Q4123 | HCPCS | Alloskin Rt, Per Sq Cm |
| Q4124 | HCPCS | Oasis Ultra Tri-Layer Wound Matrix, Per Sq Cm |
| Q4125 | HCPCS | Arthroflex, Per Sq Cm |
| Q4126 | HCPCS | Memoderm, Dermaspan, Tranzgraft or Integuply, Per Sq Cm |
| Q4127 | HCPCS | Talymed, Per Sq Cm |
| Q4128 | HCPCS | Flexhd, Allopatchhd, or Matrix Hd, Per Sq Cm |
| Q4130 | HCPCS | Strattice Tm, Per Sq Cm |
| Q4131 | HCPCS | Epifix or Epicord, Per Square Cm |
| Q4132 | HCPCS | Grafix Core, Grafixpl Core |
| Q4133 | HCPCS | Grafix Stravix Prime Pl Sqcm |
| Q4134 | HCPCS | Hmatrix, Per Sq Cm |
| Q4135 | HCPCS | Mediskin, Per Sq Cm |
| Q4136 | HCPCS | E-Z Derm, Per Sq Cm |
| Q4137 | HCPCS | Amnioexcel, Amnioexcel Plus or Biodexcel, Per Sq Cm |
| Q4138 | HCPCS | Biodfence Dryflex, Per Sq Cm |
| Q4139 | HCPCS | Amniomatrix or Biodmatrix, Injectable, 1 Cc |
| Q4140 | HCPCS | Biodfence, Per Sq Cm |
| Q4141 | HCPCS | Alloskin Ac, Per Sq Cm |
| Q4142 | HCPCS | Xcm Biologic Tissue Matrix, Per Sq Cm |
| Q4143 | HCPCS | Repriza, Per Sq Cm |
| Q4145 | HCPCS | Epifix, Injectable, 1 Mg |
| Q4146 | HCPCS | Tensix, Per Sq Cm |
| Q4147 | HCPCS | Architect, Architect Px, or Architect Fx, Extracellular Matrix, Per Sq Cm |
| Q4148 | HCPCS | Neox Cord 1K, Neox Cord Rt, or Clarix Cord 1K, Per Sq Cm |
| Q4149 | HCPCS | Excellagen, 0.1 Cc |
| Q4150 | HCPCS | Allowrap Ds or Dry, Per Sq Cm |
| Q4151 | HCPCS | Amnioband, Guardian 1 Sq Cm |
| Q4152 | HCPCS | Dermapure, Per Sq Cm |
| Q4153 | HCPCS | Dermavest and Plurivest, Per Sq Cm |
| Q4154 | HCPCS | Biovance, Per Sq Cm |
| Q4155 | HCPCS | Neox Flo or Clarix Flo 1 Mg |
| Q4156 | HCPCS | Neox 100 or Clarix 100, Per Sq Cm |
| Q4157 | HCPCS | Revitalon, Per Sq Cm |
| Q4158 | HCPCS | Kerecis Omega3, Per Sq Cm |
| Q4159 | HCPCS | Affinity1 Square Cm |
| Q4160 | HCPCS | Nushield, Per Sq Cm |
| Q4161 | HCPCS | Bio-Connekt Wound Matrix, Per Sq Cm |
| Q4162 | HCPCS | Woundex Flow, Bioskin Flow, 0.5 Cc |
| Q4163 | HCPCS | Woundex, Bioskin, Per Sq Cm |
| Q4164 | HCPCS | Helicoll, Per Sq Cm |
| Q4165 | HCPCS | Keramatrix or Kerasorb, Per Sq Cm |
| Q4166 | HCPCS | Cytal, Per Sq Cm |
| Q4167 | HCPCS | Truskin, Per Sq Cm |
| Q4168 | HCPCS | Amnioband, 1 Mg |
| Q4169 | HCPCS | Artacent Wound, Per Sq Cm |
| Q4170 | HCPCS | Cygnus, Per Sq Cm |
| Q4171 | HCPCS | Interfyl, 1 Mg |
| Q4173 | HCPCS | Palingen or Palingen Xplus, Per Sq Cm |
| Q4174 | HCPCS | Palingen or Promatrx, 0.36 Mg Per 0.25 Cc |
| Q4175 | HCPCS | Miroderm, Per Sq Cm |
| Q4176 | HCPCS | Neopatch, Per Sq Cm |
| Q4177 | HCPCS | Floweramnioflo, 0.1 Cc |
| Q4178 | HCPCS | Floweramniopatch, Per Sq Cm |
| Q4179 | HCPCS | Flowerderm, Per Sq Cm |
| Q4180 | HCPCS | Revita, Per Sq Cm |
| Q4181 | HCPCS | Amnio Wound, Per Sq Cm |
| Q4182 | HCPCS | Transcyte, Per Sq Cm |
| Q4183 | HCPCS | Surgigraft, Per Sq Cm |
| Q4184 | HCPCS | Cellesta or Cellesta Duo, Per Sq Cm |
| Q4185 | HCPCS | Cellesta Flowable Amnion (25 Mg Per Cc); Per 0.5 Cc |
| Q4186 | HCPCS | Epifix, Per Sq Cm |
| Q4187 | HCPCS | Epicord, Per Sq Cm |
| Q4188 | HCPCS | Amnioarmor, Per Sq Cm |
| Q4189 | HCPCS | Artacent Ac, 1 Mg |
| Q4190 | HCPCS | Artacent Ac, Per Sq Cm |
| Q4191 | HCPCS | Restorigin, Per Sq Cm |
| Q4192 | HCPCS | Restorigin, 1 Cc |
| Q4193 | HCPCS | Coll-E-Derm, Per Sq Cm |
| Q4194 | HCPCS | Novachor, Per Sq Cm |
| Q4195 | HCPCS | Puraply, Per Sq Cm |
| Q4196 | HCPCS | Puraply Am, Per Sq Cm |
| Q4197 | HCPCS | Puraply Xt, Per Sq Cm |
| Q4198 | HCPCS | Genesis Amniotic Membrane, Per Sq Cm |
| Q4200 | HCPCS | Skinte, Per Sq Cm |
| Q4201 | HCPCS | Matrion, Per Sq Cm |
| Q4202 | HCPCS | Keroxx (2.5 G/Cc), 1 Cc |
| Q4203 | HCPCS | Derma-Gide, Per Sq Cm |
| Q4204 | HCPCS | Xwrap, Per Sq Cm |
| Q4205 | HCPCS | Membrane Graft or Membrane Wrap, Per Sq Cm |
| Q4206 | HCPCS | Fluid Flow or Fluid Gf, 1 Cc |
| Q4208 | HCPCS | Novafix, Per Sq Cm |
| Q4209 | HCPCS | Surgraft, Per Sq Cm |
| Q4211 | HCPCS | Amnion Bio or Axobiomembrane, Per Sq Cm |
| Q4212 | HCPCS | Allogen, Per Cc |
| Q4213 | HCPCS | Ascent, 0.5 Mg |
| Q4214 | HCPCS | Cellesta Cord, Per Sq Cm |
| Q4215 | HCPCS | Axolotl Ambient or Axolotl Cryo, 0.1 Mg |
| Q4216 | HCPCS | Artacent Cord, Per Sq Cm |
| Q4232 | HCPCS | Corplex, Per Sq Cm |
| Q4217 | HCPCS | Woundfix, Biowound, Woundfix Plus, Biowound Plus, Woundfix Xplus or Biowound Xplus, Per Sq Cm |
| Q4218 | HCPCS | Surgicord, Per Sq Cm |
| Q4219 | HCPCS | Surgigraft-Dual, Per Sq Cm |
| Q4220 | HCPCS | Bellacell Hd or Surederm, Per Sq Cm |
| Q4221 | HCPCS | Amnio Wrap2, Per Sq Cm |
| Q4222 | HCPCS | Progenamatrix, Per Sq Cm |
| Q4226 | HCPCS | Myown Skin, Includes Harvesting and Preparation Procedures, Per Sq Cm |
| Q4227 | HCPCS | Amniocore Per Sq Cm |
| Q5103 | HCPCS | Injection, Infliximab-Dyyb, Biosimilar, (Inflectra), 10 Mg |
| Q5104 | HCPCS | Injection, Renflexis |
| Q5107 | HCPCS | Injection, Bevacizumab-Awwb, Biosimilar, (Mvasi), 10 Mg |
| Q5109 | HCPCS | Injection, Infliximab-Qbtx, Biosimilar, (Ixifi), 10 Mg |
| Q5110 | HCPCS | Nivestym |
| Q5111 | HCPCS | Injection, Udenyca 0.5 Mg |
| Q5112 | HCPCS | Injection, Trastuzumab-Dttb, Biosimilar, (Ontruzant), 10 Mg |
| Q5113 | HCPCS | Injection, Trastuzumab-Pkrb, Biosimilar, (Herzuma), 10 Mg |
| Q5114 | HCPCS | Injection, Trastuzumab-Dkst, Biosimilar, (Ogivri), 10 Mg |
| Q5115 | HCPCS | Injection, Rituximab-Abbs, Biosimilar, (Truxima), 10 Mg |
| Q5116 | HCPCS | Injection, Trastuzumab-Qyyp, Biosimilar, (Trazimera), 10 Mg |
| Q5117 | HCPCS | Injection, Trastuzumab-Anns, Biosimilar, (Kanjinti), 10 Mg |
| Q5118 | HCPCS | Injection, Bevacizumab-Bvcr, Biosimilar, (Zirabev), 10 Mg |
| A9513 | HCPCS | Lutetium Lu 177 Dotatat Ther |
| A9543 | HCPCS | Y90 Ibritumomab, Rx |
| C9041 | HCPCS | Inj, Coagulation Faxtor Xa |
| C9043 | HCPCS | Injection, Levoleucovorin |
| C9046 | HCPCS | Cocaine Hcl Nasal Solution |
| C9047 | HCPCS | Injection, Caplacizumab-Yhdp |
| C9053 | HCPCS | Injection, Crizanlizumab-Tmca, 1 Mg |
| C9056 | HCPCS | Injection, Givosiran, 0.5 Mg |
| C9058 | HCPCS | Injection, Pegfilgrastim-Bmez, Biosimilar, (Ziextenzo) 0.5 Mg |
| C9132 | HCPCS | Kcentra, Per I.U. |
| C9250 | HCPCS | Artiss Fibrin Sealant |
| Q4234 | HCPCS | Xcellerate, Per Sq Cm |
| Q4237 | HCPCS | Cryo-Cord, Per Sq Cm |
| Q4238 | HCPCS | Derm-Maxx, Per Sq Cm |
| Q4239 | HCPCS | Amnio-Maxx or Lite Per Sq Cm |
| Q4249 | HCPCS | Amniply, Per Sq Cm |
| A9607 | HCPCS | Lutetium Lu 177 Vipivotide |
| C9101 | HCPCS | Inj, Oliceridine 0.1 Mg |
| J0225 | HCPCS | Inj, Vutrisiran, 1 Mg |
| J0879 | HCPCS | Difelikefalin, Esrd on Dialy |
| J1302 | HCPCS | Inj, Sutimlimab-Jome, 10 Mg |
| J2998 | HCPCS | Inj Plasminogen Tvmh 1Mg |
| J9314 | HCPCS | Inj Pemetrexed (Teva) 10Mg |
| Q2056 | HCPCS | Ciltacabtagene Car-Pos T |
| Q5125 | HCPCS | Inj, Releuko 1 Mcg |
| J0172 | HCPCS | Inj, Aducanumab-Avwa, 2 Mg |
| J0219 | HCPCS | Inj Aval Alfa-Nqpt 4Mg |
| J0223 | HCPCS | Inj Givosiran 0.5 Mg |
| J0491 | HCPCS | Inj Anifrolumab-Fnia 1Mg |
| J0791 | HCPCS | Inj Crizanlizumab-Tmca 5Mg |
| J0893 | HCPCS | Inj, Decitabine (Sun Pharma) |
| J0896 | HCPCS | Inj Luspatercept-Aamt 0.25Mg |
| J1306 | HCPCS | Injection, Inclisiran, 1 Mg |
| J1448 | HCPCS | Injection, Trilaciclib, 1Mg |
| J1551 | HCPCS | Inj Cutaquig 100 Mg |
| J1554 | HCPCS | Inj. Asceniv |
| J1558 | HCPCS | Inj. Xembify, 100 Mg |
| J1823 | HCPCS | Inj. Inebilizumab-Cdon, 1 Mg |
| J1932 | HCPCS | Inj, Lanreotide, (Cipla) 1Mg |
| J1951 | HCPCS | Inj Fensolvi 0.25 Mg |
| J1952 | HCPCS | Leuprolide Inj, Camcevi, 1Mg |
| J2327 | HCPCS | Inj Risankizumab-Rzaa 1 Mg |
| J2356 | HCPCS | Inj Tezepelumab-Ekko, 1Mg |
| J2506 | HCPCS | Inj Pegfilgrast Ex Bio 0.5Mg |
| J2777 | HCPCS | Inj, Faricimab-Svoa, 0.1Mg |
| J2779 | HCPCS | Inj, Susvimo 0.1 Mg |
| J3032 | HCPCS | Inj. Eptinezumab-Jjmr 1 Mg |
| J7351 | HCPCS | Inj Bimatoprost Itc Imp1Mcg |
| J7402 | HCPCS | Mometasone Sinus Sinuva |
| J9037 | HCPCS | Inj Belantamab Mafodot Blmf |
| J9046 | HCPCS | Inj, Bortezomib, Dr. Reddy'S |
| J9048 | HCPCS | Inj, Bortezomib Freseniuskab |
| J9049 | HCPCS | Inj, Bortezomib, Hospira |
| J9061 | HCPCS | Inj, Amivantamab-Vmjw |
| J9071 | HCPCS | Inj Cyclophosphamd Auromedic |
| J9273 | HCPCS | Inj Tisotu Vedotin-Tftv, 1Mg |
| J9274 | HCPCS | Inj, Tebentafusp-Tebn, 1 Mcg |
| J9298 | HCPCS | Inj Nivol Relatlimab 3Mg/1Mg |
| J9304 | HCPCS | Inj. Pemetrexed, 10 Mg |
| J9332 | HCPCS | Inj Efgartigimod 2Mg |
| J9359 | HCPCS | Inj Lon Tesirin-Lpyl 0.075Mg |
| J9393 | HCPCS | Inj, Fulvestrant (Teva) |
| J9394 | HCPCS | Inj, Fulvestrant (Fresenius) |
| Q4199 | HCPCS | Cygnus Matrix, Per Sq Cm |
| Q4229 | HCPCS | Cogenex Amnio Memb Per Sq Cm |
| Q4231 | HCPCS | Corplex P, Per Cc |
| Q4235 | HCPCS | Amniorepair or Altiply Sq Cm |
| Q4246 | HCPCS | Coretext or Protext, Per Cc |
| Q4247 | HCPCS | Amniotext Patch, Per Sq Cm |
| Q4248 | HCPCS | Dermacyte Amn Mem Allo Sq Cm |
| Q4252 | HCPCS | Vendaje, Per Square Centimet |
| Q4258 | HCPCS | Enverse, Per Sq Cm |
| Q5124 | HCPCS | Inj. Byooviz, 0.1 Mg |
| 0001U | CPT Category III/PLA | Rbc Dna Hea 35 Ag 11 Bld Grp |
| 0002M | CPT Category III/PLA | Liver Dis 10 Assays W/Ash |
| 0002U | CPT Category III/PLA | Onc Clrct 3 Ur Metab Alg Plp |
| 0003M | CPT Category III/PLA | Liver Dis 10 Assays W/Nash |
| 0003U | CPT Category III/PLA | Onc Ovar 5 Prtn Ser Alg Scor |
| 0004M | CPT Category III/PLA | Scoliosis 53 Snp Saliva Scor |
| 0005U | CPT Category III/PLA | Onco Prst8 3 Gene Ur Alg |
| 0006M | CPT Category III/PLA | Hep Ca Tum Tiss Mopath Assay |
| 0007M | CPT Category III/PLA | Onc Gastro 51 Gene Nomogram |
| 0007U | CPT Category III/PLA | Rx Test Prsmv Ur W/Def Conf |
| 0008U | CPT Category III/PLA | Hpylori Detcj Abx Rstnc Dna |
| 0009U | CPT Category III/PLA | Onc Brst Ca Erbb2 Amp/Nonamp |
| 0010U | CPT Category III/PLA | Nfct Ds Strn Typ Whl Gen Seq |
| 0011M | CPT Category III/PLA | Onc Prst8 Ca Mrna 12 Gen Alg |
| 0011U | CPT Category III/PLA | Rx Mntr Lc-Ms/Ms Oral Fluid |
| 0012M | CPT Category III/PLA | Onc Mrna 5 Gen Rsk Urthl Ca |
| 0013M | CPT Category III/PLA | Onc Mrna 5 Gen Recr Urthl Ca |
| 0015M | CPT Category III/PLA | Adrenal Cortical Tumor, Biochemical Assay of 25 Steroid Markers, Utilizing 24-Hour Urine Specimen An |
| 0016M | CPT Category III/PLA | Oncology (Bladder), Mrna, Microarray Gene Expression Profiling of 219 Genes, Utilizing Formalin-Fixe |
| 0016U | CPT Category III/PLA | Onc Hmtlmf Neo Rna Bcr/Abl1 |
| 0017M | CPT Category III/PLA | Oncology (Diffuse Large B-Cell Lymphoma [Dlbcl]), Mrna, Gene Expression Profiling By Fluorescent Pro |
| 0017U | CPT Category III/PLA | Onc Hmtlmf Neo Jak2 Mut Dna |
| 0018M | CPT Category III/PLA | Transplantation Medicine (Allograft Rejection, Renal), Measurement of Donor and Third-Party-Induced |
| 0018U | CPT Category III/PLA | Onc Thyr 10 Microrna Seq Alg |
| 0019M | CPT Category III/PLA | Cardiovascular Disease, Plasma, Analysis of Protein Biomarkers By Aptamer-Based Microarray and Algor |
| 0019U | CPT Category III/PLA | Onc Rna Tiss Predict Alg |
| 0020M | CPT Category III/PLA | Oncology (Central Nervous System), Analysis of 30000 Dna Methylation Loci By Methylation Array, Util |
| 0021U | CPT Category III/PLA | Onc Prst8 Detcj 8 Autoantb |
| 0022U | CPT Category III/PLA | Targeted Genomic Sequence Analysis Panel, Non-Small Cell Lung Neoplasia, Dna and Rna Analysis, 23 Ge |
| 0023U | CPT Category III/PLA | Onc Aml Dna Detcj/Nondetcj |
| 0024U | CPT Category III/PLA | Glyca Nuc Mr Spectrsc Quan |
| 0025U | CPT Category III/PLA | Tenofovir Liq Chrom Ur Quan |
| 0026U | CPT Category III/PLA | Onc Thyr Dna&Mrna 112 Genes |
| 0027U | CPT Category III/PLA | Jak2 Gene Trgt Seq Alys |
| 0029U | CPT Category III/PLA | Rx Metab Advrs Trgt Seq Alys |
| 0030U | CPT Category III/PLA | Rx Metab Warf Trgt Seq Alys |
| 0031U | CPT Category III/PLA | Cyp1A2 Gene |
| 0032U | CPT Category III/PLA | Comt Gene |
| 0033U | CPT Category III/PLA | Htr2A Htr2C Genes |
| 0034U | CPT Category III/PLA | Tpmt Nudt15 Genes |
| 0035U | CPT Category III/PLA | Neuro Csf Prion Prtn Qual |
| 0036U | CPT Category III/PLA | Xome Tum & Nml Spec Seq Alys |
| 0038U | CPT Category III/PLA | Vitamin D Srm Microsamp Quan |
| 0039U | CPT Category III/PLA | Dna Antb 2Strand Hi Avidity |
| 0040U | CPT Category III/PLA | Bcr/Abl1 Gene Major Bp Quan |
| 0041U | CPT Category III/PLA | B Brgdrferi Antb 5 Prtn Igm |
| 0042U | CPT Category III/PLA | B Brgdrferi Antb 12 Prtn Igg |
| 0043U | CPT Category III/PLA | Tbrf B Grp Antb 4 Prtn Igm |
| 0044U | CPT Category III/PLA | Tbrf B Grp Antb 4 Prtn Igg |
| 0045U | CPT Category III/PLA | Onc Brst Dux Carc Is 12 Gene |
| 0046U | CPT Category III/PLA | Flt3 Gene Itd Variants Quan |
| 0048U | CPT Category III/PLA | Onc Sld Org Neo Dna 468 Gene |
| 0049U | CPT Category III/PLA | Npm1 Gene Analysis Quan |
| 0050U | CPT Category III/PLA | Trgt Gen Seq Dna 194 Genes |
| 0051U | CPT Category III/PLA | Prescription Drug Monitoring, Evaluation of Drugs Present By Liquid Chromatography Tandem Mass Spect |
| 0052U | CPT Category III/PLA | Lpoprtn Bld W/5 Maj Classes |
| 0054T | CPT Category III/PLA | Bone Srgry Cmptr Fluor Image |
| 0054U | CPT Category III/PLA | Rx Mntr 14+ Drugs & Sbsts |
| 0055T | CPT Category III/PLA | Bone Srgry Cmptr Ct/MRI Imag |
| 0055U | CPT Category III/PLA | Card Hrt Trnspl96 Dna Seq |
| 0058U | CPT Category III/PLA | Onc Merkel Cll Carc Srm Quan |
| 0059U | CPT Category III/PLA | Onc Merkel Cll Carc Srm +/- |
| 0060U | CPT Category III/PLA | Twn Zyg Gen Seq Alys Chrms2 |
| 0061U | CPT Category III/PLA | Tc Meas 5 Bmrk Sfdi M-S Alys |
| 0062U | CPT Category III/PLA | Ai Sle Igg & Igm Alys 80 Bmrk |
| 0063U | CPT Category III/PLA | Neuro Autism 32 Amines Alg |
| 0064U | CPT Category III/PLA | Antb Tp Total&Rpr Ia Qual |
| 0065U | CPT Category III/PLA | Syfls Tst Nontreponemal Antb |
| 0067U | CPT Category III/PLA | Onc Brst Imhchem Prfl 4 Bmrk |
| 0068U | CPT Category III/PLA | Candida Species Pnl Amp Prb |
| 0069U | CPT Category III/PLA | Onc Clrct Microrna Mir-31-3P |
| 0070U | CPT Category III/PLA | Cyp2D6 Gen Com&Slct Rar Vrnt |
| 0071U | CPT Category III/PLA | Cyp2D6 Full Gene Sequence |
| 0072U | CPT Category III/PLA | Cyp2D6 Gen Cyp2D6-2D7 Hybrid |
| 0073U | CPT Category III/PLA | Cyp2D6 Gen Cyp2D7-2D6 Hybrid |
| 0074U | CPT Category III/PLA | Cyp2D6 Nonduplicated Gene |
| 0075T | CPT Category III/PLA | Perq Stent/Chest Vert Art |
| 0075U | CPT Category III/PLA | Cyp2D6 5' Gene Dup/Mlt |
| 0076T | CPT Category III/PLA | S&I Stent/Chest Vert Art |
| 0076U | CPT Category III/PLA | Cyp2D6 3' Gene Dup/Mlt |
| 0077U | CPT Category III/PLA | Ig Paraprotein Qual Bld/Ur |
| 0078U | CPT Category III/PLA | Pain Mgt Opi Use Gnotyp Pnl |
| 0079U | CPT Category III/PLA | Cmprtv Dna Alys Mlt Snps |
| 0080U | CPT Category III/PLA | Onc Lng 5 Clin Rsk Factr Alg |
| 0082U | CPT Category III/PLA | Rx Test Def 90+ Rx/Sbsts Ur |
| 0083U | CPT Category III/PLA | Onc Rspse Chemo Cntrst Tomog |
| 0084U | CPT Category III/PLA | Rbc Dna Gnotyp 10 Bld Groups |
| 0086U | CPT Category III/PLA | Nfct Ds Bact&Fng Org Id 6+ |
| 0087U | CPT Category III/PLA | Crd Hrt Trnspl Mrna 1283 Gen |
| 0088U | CPT Category III/PLA | Trnsplj Kdn Algrft Rej 1494 |
| 0089U | CPT Category III/PLA | Onc Mlnma Prame & Linc00518 |
| 0090U | CPT Category III/PLA | Oncology (Cutaneous Melanoma), Mrna Gene Expression Profiling By Rt-Pcr of 23 Genes (14 Content And |
| 0091U | CPT Category III/PLA | Onc Clrct Scr Whl Bld Alg |
| 0092U | CPT Category III/PLA | Onc Lng 3 Prtn Bmrk Plsm Alg |
| 0093U | CPT Category III/PLA | Rx Mntr 65 Com Drugs Urine |
| 0094U | CPT Category III/PLA | Genome Rapid Sequence Alys |
| 0095U | CPT Category III/PLA | Eosinophilic Esophagitis, 2 Protein Biomarkers (Eotaxin-3 [Ccl26 {C-C Motif Chemokine Ligand 26}] An |
| 0096U | CPT Category III/PLA | Hpv Hi Risk Types Male Urine |
| 0098T | CPT Category III/PLA | Rev Artific Disc Addl |
| 0100T | CPT Category III/PLA | Prosth Retina Receive&Gen |
| 0101U | CPT Category III/PLA | Hered Colon Ca Do 15 Genes |
| 0102U | CPT Category III/PLA | Hered Brst Ca Rltd Do 17 Gen |
| 0103U | CPT Category III/PLA | Hered Ova Ca Pnl 24 Genes |
| 0105U | CPT Category III/PLA | Neph Ckd Mult Eclia Tum Nec |
| 0106U | CPT Category III/PLA | Gstr Emptg 7 Timed Brth Spec |
| 0107U | CPT Category III/PLA | C Diff Tox Ag Detcj Ia Stool |
| 0108U | CPT Category III/PLA | Gi Barrett Esoph 9 Prtn Bmrk |
| 0109U | CPT Category III/PLA | Id Aspergillus Dna 4 Species |
| 0110U | CPT Category III/PLA | Rx Mntr 1+Oral Onc Rx&Sbsts |
| 0111U | CPT Category III/PLA | Onc Colon Ca Kras&Nras Alys |
| 0112U | CPT Category III/PLA | Iadi 16S&18S Rrna Genes |
| 0113U | CPT Category III/PLA | Onc Prst8 Pca3&Tmprss2-Erg |
| 0114U | CPT Category III/PLA | Gi Barretts Esoph Vim&Ccna1 |
| 0115U | CPT Category III/PLA | Respir Iadna 18 Viral&2 Bact |
| 0116U | CPT Category III/PLA | Rx Mntr Nzm Ia 35+Oral Flu |
| 0117U | CPT Category III/PLA | Pain Mgmt 11 Endogenous Anal |
| 0118U | CPT Category III/PLA | Trnsplj Don-Drv Cll-Fr Dna |
| 0119U | CPT Category III/PLA | Crd Ceramides Liq Chrom Plsm |
| 0120U | CPT Category III/PLA | Onc B Cll Lymphm Mrna 58 Gen |
| 0121U | CPT Category III/PLA | Sc Dis Vcam-1 Whole Blood |
| 0122U | CPT Category III/PLA | Sc Dis P-Selectin Whl Blood |
| 0123U | CPT Category III/PLA | Mchnl Fragility Rbc Prflg |
| 0129U | CPT Category III/PLA | Hered Brst Ca Rltd Do Panel |
| 0130U | CPT Category III/PLA | Hered Colon Ca Do Mrna Pnl |
| 0131U | CPT Category III/PLA | Hered Brst Ca Rltd Do Pnl 13 |
| 0132U | CPT Category III/PLA | Hered Ova Ca Rltd Do Pnl 17 |
| 0133U | CPT Category III/PLA | Hered Prst8 Ca Rltd Do 11 |
| 0134U | CPT Category III/PLA | Hered Pan Ca Mrna Pnl 18 Gen |
| 0135U | CPT Category III/PLA | Hered Gyn Ca Mrna Pnl 12 Gen |
| 0136U | CPT Category III/PLA | Atm Mrna Seq Alys |
| 0137U | CPT Category III/PLA | Palb2 Mrna Seq Alys |
| 0138U | CPT Category III/PLA | Brca1 Brca2 Mrna Seq Alys |
| 0140U | CPT Category III/PLA | Nfct Ds Fungi Dna 15 Trgt |
| 0141U | CPT Category III/PLA | Nfct Ds Bact&Fng Gram Pos |
| 0142U | CPT Category III/PLA | Nfct Ds Bact&Fng Gram Neg |
| 0152U | CPT Category III/PLA | Infectious Disease (Bacteria, Fungi, Parasites, and Dna Viruses), Microbial Cell-Free Dna, Plasma, U |
| 0153U | CPT Category III/PLA | Onc Breast Mrna 101 Genes |
| 0154U | CPT Category III/PLA | Onc Urthl Ca Rna Fgfr3 Gene |
| 0155U | CPT Category III/PLA | Onc Brst Ca Dna Pik3Ca Gene |
| 0156U | CPT Category III/PLA | Copy Number Sequence Alys |
| 0157U | CPT Category III/PLA | Apc Mrna Seq Alys |
| 0158U | CPT Category III/PLA | Mlh1 Mrna Seq Alys |
| 0159U | CPT Category III/PLA | Msh2 Mrna Seq Alys |
| 0160U | CPT Category III/PLA | Msh6 Mrna Seq Alys |
| 0161U | CPT Category III/PLA | Pms2 Mrna Seq Alys |
| 0162U | CPT Category III/PLA | Hered Colon Ca Trgt Mrna Pnl |
| 0163U | CPT Category III/PLA | Onc Clrct Scr 3 Prtn Alg |
| 0164T | CPT Category III/PLA | Remove Lumb Artif Disc Addl |
| 0164U | CPT Category III/PLA | Gi Ibs Ia Anti- Cdtb&Vinculin |
| 0165T | CPT Category III/PLA | Revise Lumb Artif Disc Addl |
| 0165U | CPT Category III/PLA | Peanut Allg Spec Asmt Mult Epi |
| 0166U | CPT Category III/PLA | Liver Ds 10 Biochem Asy Srm |
| 0167U | CPT Category III/PLA | Chornc Gonadotropin Hcg Ia |
| 0169U | CPT Category III/PLA | Nudt15&Tpmt Gene Com Vrnt |
| 0170U | CPT Category III/PLA | Neuro Asd Rna Next Gen Seq |
| 0171U | CPT Category III/PLA | Trgt Gen Seq Alys Pnl Dna 23 |
| 0172U | CPT Category III/PLA | Oncology Brca1, Brca2 & Analysis of Homologous Recombination Deficiency Pathways |
| 0173U | CPT Category III/PLA | Psychiatry (Ie, Depression, Anxiety), Genomic Analysis Panel, Includes Variant Analysis of 14 Genes |
| 0174U | CPT Category III/PLA | Oncology 30 Protein Targets, Formalin-Fixed Paraffin-Embedded Tissue |
| 0175U | CPT Category III/PLA | Psychiatry Genomic Analysis Panel, Variant Analysis of 15 Genes |
| 0176U | CPT Category III/PLA | Cytolethal Distending Toxin B (Cdtb) and Vinculin Igg Antibodies By Immunoassay (Ie, Elisa) |
| 0177U | CPT Category III/PLA | Oncology (Breast Cancer), Dna, Pik3Ca |
| 0178U | CPT Category III/PLA | Peanut Allergen-Specific Quantitative Assessment of Mult Epitopes Using Enzyme-Linked Immuno Assay |
| 0179U | CPT Category III/PLA | Oncology Cell-Free Dna, Targeted Sequence Analysis of 23 Genes |
| 0180U | CPT Category III/PLA | Red Cell Antigen (Abo Blood Group) |
| 0181U | CPT Category III/PLA | Red Cell Antigen (Colton Blood Group) |
| 0182U | CPT Category III/PLA | Red Cell Antigen (Cromer Blood Group) |
| 0183U | CPT Category III/PLA | Red Cell Antigen (Diego Blood Group |
| 0184U | CPT Category III/PLA | Red Cell Antigen (Dombrock Blood Group) |
| 0185U | CPT Category III/PLA | Red Cell Antigen (H Blood Group) Genotyping (FUT1) |
| 0186U | CPT Category III/PLA | Red Cell Antigen (H Blood Group) Genotyping (FUT2) |
| 0187U | CPT Category III/PLA | Red Cell Antigen (Duffy Blood Group) |
| 0188U | CPT Category III/PLA | Red Cell Antigen (Gerbich Blood Group) |
| 0189U | CPT Category III/PLA | Red Cell Antigen (Mns Blood Group) Genotyping (GYPA) |
| 0190U | CPT Category III/PLA | Red Cell Antigen (Mns Blood Group) Genotyping (GYPB) |
| 0191U | CPT Category III/PLA | Red Cell Antigen (Indian Blood Group) |
| 0192U | CPT Category III/PLA | Red Cell Antigen (Kidd Blood Group) |
| 0193U | CPT Category III/PLA | Red Cell Antigen (Jr Blood Group) |
| 0194U | CPT Category III/PLA | Red Cell Antigen (Kell Blood Group) |
| 0195U | CPT Category III/PLA | Klf1 (Kruppel-Like Factor 1) |
| 0196U | CPT Category III/PLA | Red Cell Antigen (Lutheran Blood Group) |
| 0197U | CPT Category III/PLA | Red Cell Antigen (Landsteiner-Wiener Blood Group) |
| 0198U | CPT Category III/PLA | Red Cell Antigen (Rh Blood Group) |
| 0199U | CPT Category III/PLA | Red Cell Antigen (Scianna Blood Group) |
| 0200U | CPT Category III/PLA | Red Cell Antigen (Kx Blood Group) Genotyping (Xk), Gene Analysis, Xk (X-Linked Kx Bld Grp) Exons 1-3 |
| 0201U | CPT Category III/PLA | Red Cell Antigen (Yt Blood Group) Genotyping (Yt), Gene Analysis |
| 0202U | CPT Category III/PLA | Infectious Disease (Bacterial or Viral Respiratory Tract Infection) |
| 0203U | CPT Category III/PLA | Autoimmune (Inflammatory Bowel Disease), Mrna, Gene Expression Profiling By Quantitative Rt-Pcr, 17 |
| 0205U | CPT Category III/PLA | Ophthalmology (Age-Related Macular Degeneration), Analysis of 3 Gene Variants (2 Cfh Gene, 1 Arms2 G |
| 0206U | CPT Category III/PLA | Neurology (Alzheimer Disease); Cell Aggregation Using Morphometric Imaging and Protein Kinase C-Epsi |
| 0207U | CPT Category III/PLA | Neurology (Alzheimer Disease); Quantitative Imaging of Phosphorylated Erk1 and Erk2 In Response To B |
| 0209U | CPT Category III/PLA | Cytogenomic Constitutional (Genome-Wide) Analysis, Interrogation of Genomic Regions For Copy Number, |
| 0210U | CPT Category III/PLA | Syphilis Test, Non-Treponemal Antibody, Immunoassay, Quantitative (Rpr) |
| 0211U | CPT Category III/PLA | Oncology (Pan-Tumor), Dna and Rna By Next-Generation Sequencing, Utilizing Formalin-Fixed Paraffin-E |
| 0212U | CPT Category III/PLA | Rare Diseases (Constitutional/Heritable Disorders), Whole Genome and Mitochondrial DNA Sequence Anal |
| 0213U | CPT Category III/PLA | Rare Diseases (Constitutional/Heritable Disorders), Whole Genome and Mitochondrial DNA Sequence Anal |
| 0214U | CPT Category III/PLA | Rare Diseases (Constitutional/Heritable Disorders), Whole Exome and Mitochondrial DNA Sequence Analy |
| 0215U | CPT Category III/PLA | Rare Diseases (Constitutional/Heritable Disorders), Whole Exome and Mitochondrial DNA Sequence Analy |
| 0216U | CPT Category III/PLA | Neurology (Inherited Ataxias), Genomic Dna Sequence Analysis of 12 Common Genes Including Small Sequ |
| 0217U | CPT Category III/PLA | Neurology (Inherited Ataxias), Genomic Dna Sequence Analysis of 51 Genes Including Small Sequence Ch |
| 0218U | CPT Category III/PLA | Neurology (Muscular Dystrophy), Dmd Gene Sequence Analysis, Including Small Sequence Changes, Deleti |
| 0219U | CPT Category III/PLA | Infectious Agent (Human Immunodeficiency Virus), Targeted Viral Next-Generation Sequence Analysis (I |
| 0220U | CPT Category III/PLA | Oncology (Breast Cancer), Image Analysis With Artificial Intelligence Assessment of 12 Histologic An |
| 0221U | CPT Category III/PLA | Red Cell Antigen (Abo Blood Group) Genotyping (Abo), Gene Analysis, Next-Generation Sequencing, Abo |
| 0222U | CPT Category III/PLA | Red Cell Antigen (Rh Blood Group) Genotyping (Rhd and Rhce), Gene Analysis, Next-Generation Sequenci |
| 0223U | CPT Category III/PLA | Infectious Disease (Bacterial or Viral Respiratory Tract Infection) |
| 0224U | CPT Category III/PLA | Antibody, Severe Acute Respiratory Syndrome Coronavirus 2 (Sars-Cov-2) (Coronavirus Disease [Covid-1 |
| 0225U | CPT Category III/PLA | Infectious Disease (Bacterial or Viral Respiratory Tract Infection) Pathogen-Specific DNA and RNA, 2 |
| 0226U | CPT Category III/PLA | Surrogate Viral Neutralization Test (Svnt), Severe Acute Respiratory Syndrome Coronavirus 2 (Sars-Co |
| 0227U | CPT Category III/PLA | Drug Assay, Presumptive, 30 or More Drugs or Metabolites, Urine, Liquid Chromatography With Tandem M |
| 0228U | CPT Category III/PLA | Oncology (Prostate), Multianalyte Molecular Profile By Photometric Detection of Macromolecules Adsor |
| 0229U | CPT Category III/PLA | Bcat1 (Branched Chain Amino Acid Transaminase 1) and Ikzf1 (Ikaros Family Zinc Finger 1) (Eg, Colore |
| 0230U | CPT Category III/PLA | Ar (Androgen Receptor) (Eg, Spinal and Bulbar Muscular Atrophy, Kennedy Disease, X Chromosome Inacti |
| 0231U | CPT Category III/PLA | Cacna1A (Calcium Voltage-Gated Channel Subunit Alpha 1A) (Eg, Spinocerebellar Ataxia), Full Gene Ana |
| 0232U | CPT Category III/PLA | Cstb (Cystatin B) (Eg, Progressive Myoclonic Epilepsy Type 1A, Unverricht-Lundborg Disease), Full Ge |
| 0233U | CPT Category III/PLA | Fxn (Frataxin) (Eg, Friedreich Ataxia), Gene Analysis, Including Small Sequence Changes In Exonic An |
| 0234U | CPT Category III/PLA | Mecp2 (Methyl Cpg Binding Protein 2) (Eg, Rett Syndrome), Full Gene Analysis, Including Small Sequen |
| 0235U | CPT Category III/PLA | Pten (Phosphatase and Tensin Homolog) (Eg, Cowden Syndrome, Pten Hamartoma Tumor Syndrome), Full Gen |
| 0236U | CPT Category III/PLA | Smn1 (Survival of Motor Neuron 1, Telomeric) and Smn2 (Survival of Motor Neuron 2, Centromeric) (Eg, |
| 0237U | CPT Category III/PLA | Cardiac Ion Channelopathies (Eg, Brugada Syndrome, Long Qt Syndrome, Short Qt Syndrome, Catecholamin |
| 0238U | CPT Category III/PLA | Oncology (Lynch Syndrome), Genomic Dna Sequence Analysis of Mlh1, Msh2, Msh6, Pms2, and Epcam, Inclu |
| 0240U | CPT Category III/PLA | Infectious Disease (Viral Respiratory Tract Infection), Pathogen-Specific Rna, 3 Targets (Severe Acu |
| 0241U | CPT Category III/PLA | Infectious Disease (Viral Respiratory Tract Infection), Pathogen-Specific Rna, 4 Targets (Severe Acu |
| 0242U | CPT Category III/PLA | Targeted Genomic Sequence Analysis Panel, Solid Organ Neoplasm, Cell-Free Circulating Dna Analysis O |
| 0243U | CPT Category III/PLA | Obstetrics (Preeclampsia), Biochemical Assay of Placental-Growth Factor, Time-Resolved Fluorescence |
| 0244U | CPT Category III/PLA | Oncology (Solid Organ), Dna, Comprehensive Genomic Profiling, 257 Genes, Interrogation For Single-Nu |
| 0245U | CPT Category III/PLA | Oncology (Thyroid), Mutation Analysis of 10 Genes and 37 Rna Fusions and Expression of 4 Mrna Marker |
| 0246U | CPT Category III/PLA | Red Blood Cell Antigen Typing, Dna, Genotyping of At Least 16 Blood Groups With Phenotype Prediction |
| 0247U | CPT Category III/PLA | Obstetrics (Preterm Birth), Insulin-Like Growth Factor-Binding Protein 4 (Ibp4), Sex Hormone-Binding |
| 0248U | CPT Category III/PLA | Oncology, Spheroid Cell Culture In 3D Microenvironment, 12-Drug Panel, Brain- or Brain Metastasis-Re |
| 0249U | CPT Category III/PLA | Oncology (Breast), Semiquantitative Analysis of 32 Phosphoproteins and Protein Analytes, Includes La |
| 0250U | CPT Category III/PLA | Oncology (Solid Organ Neoplasm), Targeted Genomic Sequence Dna Analysis of 505 Genes, Interrogation |
| 0251U | CPT Category III/PLA | Hepcidin-25, Enzyme-Linked Immunosorbent Assay (Elisa), Serum or Plasma |
| 0252U | CPT Category III/PLA | Fetal Aneuploidy Short Tandem-Repeat Comparative Analysis, Fetal Dna From Products of Conception, Re |
| 0253U | CPT Category III/PLA | Reproductive Medicine (Endometrial Receptivity Analysis), Rna Gene Expression Profile, 238 Genes By |
| 0254U | CPT Category III/PLA | Reproductive Medicine (Preimplantation Genetic Assessment), Analysis of 24 Chromosomes Using Embryon |
| 0255U | CPT Category III/PLA | Andrology (Infertility), Sperm-Capacitation Assessment of Ganglioside Gm1 Distribution Patterns, Flu |
| 0256U | CPT Category III/PLA | Trimethylamine/Trimethylamine N-Oxide (Tma/Tmao) Profile, Tandem Mass Spectrometry (Ms/Ms), Urine |
| 0257U | CPT Category III/PLA | Very Long Chain Acyl-Coenzyme A (Coa) Dehydrogenase (Vlcad), Leukocyte Enzyme Activity, Whole Blood |
| 0258U | CPT Category III/PLA | Autoimmune (Psoriasis), Mrna, Next-Generation Sequencing, Gene Expression Profiling of 50-100 Genes, |
| 0259U | CPT Category III/PLA | Nephrology (Chronic Kidney Disease), Nuclear Magnetic Resonance Spectroscopy Measurement of Myo-Inos |
| 0260U | CPT Category III/PLA | Rare Diseases (Constitutional/Heritable Disorders), Identification of Copy Number Variations, Invers |
| 0261U | CPT Category III/PLA | Oncology (Colorectal Cancer), Image Analysis With Artificial Intelligence Assessment of 4 Histologic |
| 0262U | CPT Category III/PLA | Oncology (Solid Tumor), Gene Expression Profiling By Real-Time Rt-Pcr of 7 Gene Pathways (Er, Ar, Pi |
| 0263U | CPT Category III/PLA | Neurology (Autism Spectrum Disorder [Asd]), Quantitative Measurements of 16 Central Carbon Metabolit |
| 0264U | CPT Category III/PLA | Rare Diseases (Constitutional/Heritable Disorders), Identification of Copy Number Variations, Invers |
| 0265U | CPT Category III/PLA | Rare Constitutional and Other Heritable Disorders, Whole Genome and Mitochondrial Dna Sequence Analy |
| 0266U | CPT Category III/PLA | Unexplained Constitutional or Other Heritable Disorders or Syndromes, Tissue-Specific Gene Expressio |
| 0267U | CPT Category III/PLA | Rare Constitutional and Other Heritable Disorders, Identification of Copy Number Variations, Inversi |
| 0268U | CPT Category III/PLA | Hematology (Atypical Hemolytic Uremic Syndrome [Ahus]), Genomic Sequence Analysis of 15 Genes, Blood |
| 0269U | CPT Category III/PLA | Hematology (Autosomal Dominant Congenital Thrombocytopenia), Genomic Sequence Analysis of 22 Genes |
| 0270U | CPT Category III/PLA | Hematology (Congenital Coagulation Disorders), Genomic Sequence Analysis of 20 Genes, Blood, Buccal |
| 0271U | CPT Category III/PLA | Hematology (Congenital Neutropenia), Genomic Sequence Analysis of 24 Genes, Blood, Buccal Swab, or A |
| 0272U | CPT Category III/PLA | Hematology (Genetic Bleeding Disorders), Genomic Sequence Analysis of 60 Genes and Duplication/Delet |
| 0273U | CPT Category III/PLA | Hematology (Genetic Hyperfibrinolysis, Delayed Bleeding), Genomic Sequence Analysis of 8 Genes (F13A |
| 0274U | CPT Category III/PLA | Hematology (Genetic Platelet Disorders), Genomic Sequence Analysis of 62 Genes and Duplication/Delet |
| 0275U | CPT Category III/PLA | Hematology (Heparin-Induced Thrombocytopenia), Platelet Antibody Reactivity By Flow Cytometry, Serum |
| 0276U | CPT Category III/PLA | Hematology (Inherited Thrombocytopenia), Genomic Sequence Analysis of 42 Genes, Blood, Buccal Swab, |
| 0277U | CPT Category III/PLA | Hematology (Genetic Platelet Function Disorder), Genomic Sequence Analysis of 40 Genes and Duplicati |
| 0278U | CPT Category III/PLA | Hematology (Genetic Thrombosis), Genomic Sequence Analysis of 14 Genes, Blood, Buccal Swab, or Amnio |
| 0279U | CPT Category III/PLA | Hematology (Von Willebrand Disease [Vwd]), Von Willebrand Factor (Vwf) and Collagen III Binding By E |
| 0280U | CPT Category III/PLA | Hematology (Von Willebrand Disease [Vwd]), Von Willebrand Factor (Vwf) and Collagen Iv Binding By En |
| 0281U | CPT Category III/PLA | Hematology (Von Willebrand Disease [Vwd]), Von Willebrand Propeptide, Enzyme-Linked Immunosorbent |
| 0282U | CPT Category III/PLA | Red Blood Cell Antigen Typing, Dna, Genotyping of 12 Blood Group System Genes To Predict 44 Red Bloo |
| 0283U | CPT Category III/PLA | Von Willebrand Factor (Vwf), Type 2B, Platelet-Binding Evaluation, Radioimmunoassay, Plasma |
| 0284U | CPT Category III/PLA | Von Willebrand Factor (Vwf), Type 2N, Factor Viii and Vwf Binding Evaluation, Enzyme-Linked Immunoso |
| 0285U | CPT Category III/PLA | Oncology, Response To Radiation, Cell-Free Dna, Quantitative Branched Chain Dna Amplification, Plasm |
| 0286U | CPT Category III/PLA | Cep72 (Centrosomal Protein, 72-Kda), Nudt15 (Nudix Hydrolase 15) and Tpmt (Thiopurine S-Methyltransf |
| 0287U | CPT Category III/PLA | Oncology (Thyroid), Dna and Mrna, Next-Generation Sequencing Analysis of 112 Genes, Fine Needle Aspi |
| 0288U | CPT Category III/PLA | Oncology (Lung), Mrna, Quantitative Pcr Analysis of 11 Genes (Bag1, Brca1, Cdc6, Cdk2Ap1, Erbb3, Fut |
| 0289U | CPT Category III/PLA | Neurology (Alzheimer Disease), Mrna, Gene Expression Profiling By Rna Sequencing of 24 Genes, Whole |
| 0290U | CPT Category III/PLA | Pain Management, Mrna, Gene Expression Profiling By Rna Sequencing of 36 Genes, Whole Blood, Algorit |
| 0291U | CPT Category III/PLA | Psychiatry (Mood Disorders), Mrna, Gene Expression Profiling By Rna Sequencing of 144 Genes, Whole B |
| 0292U | CPT Category III/PLA | Psychiatry (Stress Disorders), Mrna, Gene Expression Profiling By Rna Sequencing of 72 Genes, Whole |
| 0293U | CPT Category III/PLA | Psychiatry (Suicidal Ideation), Mrna, Gene Expression Profiling By Rna Sequencing of 54 Genes, Whole |
| 0294U | CPT Category III/PLA | Longevity and Mortality Risk, Mrna, Gene Expression Profiling By Rna Sequencing of 18 Genes, Whole B |
| 0295U | CPT Category III/PLA | Oncology (Breast Ductal Carcinoma In Situ), Protein Expression Profiling By Immunohistochemistry Of |
| 0296U | CPT Category III/PLA | Oncology (Oral and/or Oropharyngeal Cancer), Gene Expression Profiling By Rna Sequencing At Least 20 |
| 0297U | CPT Category III/PLA | Oncology (Pan Tumor), Whole Genome Sequencing of Paired Malignant and Normal Dna Specimens, Fresh Or |
| 0298U | CPT Category III/PLA | Oncology (Pan Tumor), Whole Transcriptome Sequencing of Paired Malignant and Normal Rna Specimens, F |
| 0299U | CPT Category III/PLA | Oncology (Pan Tumor), Whole Genome Optical Genome Mapping of Paired Malignant and Normal Dna Specime |
| 0300U | CPT Category III/PLA | Oncology (Pan Tumor), Whole Genome Sequencing and Optical Genome Mapping of Paired Malignant and Nor |
| 0301U | CPT Category III/PLA | Infectious Agent Detection By Nucleic Acid (Dna or Rna), Bartonella Henselae and Bartonella Quintana |
| 0302U | CPT Category III/PLA | Infectious Agent Detection By Nucleic Acid (Dna or Rna), Bartonella Henselae and Bartonella Quintana |
| 0303U | CPT Category III/PLA | Hematology, Red Blood Cell (Rbc) Adhesion To Endothelial/Subendothelial Adhesion Molecules, Function |
| 0304U | CPT Category III/PLA | Hematology, Red Blood Cell (Rbc) Adhesion To Endothelial/Subendothelial Adhesion Molecules, Function |
| 0305U | CPT Category III/PLA | Hematology, Red Blood Cell (Rbc) Functionality and Deformity As A Function of Shear Stress, Whole Bl |
| 0306U | CPT Category III/PLA | Oncology (Minimal Residual Disease [Mrd]), Next-Generation Targeted Sequencing Analysis, Cell-Free D |
| 0307U | CPT Category III/PLA | Oncology (Minimal Residual Disease [Mrd]), Next-Generation Targeted Sequencing Analysis of A Patient |
| 0308T | CPT Category III/PLA | Insj Ocular Telescope Prosth |
| 0308U | CPT Category III/PLA | Cardiology (Coronary Artery Disease [Cad]), Analysis of 3 Proteins (High Sensitivity [Hs] Troponin, |
| 0309U | CPT Category III/PLA | Cardiology (Cardiovascular Disease), Analysis of 4 Proteins (Nt-Probnp, Osteopontin, Tissue Inhibito |
| 0310U | CPT Category III/PLA | Pediatrics (Vasculitis, Kawasaki Disease [Kd]), Analysis of 3 Biomarkers (Nt-Probnp, C-Reactive Prot |
| 0311U | CPT Category III/PLA | Infectious Disease (Bacterial), Quantitative Antimicrobial Susceptibility Reported As Phenotypic Min |
| 0312U | CPT Category III/PLA | Autoimmune Diseases (Eg, Systemic Lupus Erythematosus [Sle]), Analysis of 8 Igg Autoantibodies and 2 |
| 0313U | CPT Category III/PLA | Oncology (Pancreas), Dna and Mrna Next-Generation Sequencing Analysis of 74 Genes and Analysis of Ce |
| 0314U | CPT Category III/PLA | Oncology (Cutaneous Melanoma), Mrna Gene Expression Profiling By Rt-Pcr of 35 Genes (32 Content And |
| 0315U | CPT Category III/PLA | Oncology (Cutaneous Squamous Cell Carcinoma), Mrna Gene Expression Profiling By Rt-Pcr of 40 Genes ( |
| 0316U | CPT Category III/PLA | Borrelia Burgdorferi (Lyme Disease), Ospa Protein Evaluation, Urine |
| 0317U | CPT Category III/PLA | Oncology (Lung Cancer), Four-Probe Fish (3Q29, 3P22.1, 10Q22.3, 10Cen) Assay, Whole Blood, Predictiv |
| 0318U | CPT Category III/PLA | Pediatrics (Congenital Epigenetic Disorders), Whole Genome Methylation Analysis By Microarray For 50 |
| 0319U | CPT Category III/PLA | Nephrology (Renal Transplant), Rna Expression By Select Transcriptome Sequencing, Using Pretransplan |
| 0320U | CPT Category III/PLA | Nephrology (Renal Transplant), Rna Expression By Select Transcriptome Sequencing, Using Posttranspla |
| 0321U | CPT Category III/PLA | Infectious Agent Detection By Nucleic Acid (Dna or Rna), Genitourinary Pathogens, Identification Of |
| 0322U | CPT Category III/PLA | Neurology (Autism Spectrum Disorder [Asd]), Quantitative Measurements of 14 Acyl Carnitines and Micr |
| 0323U | CPT Category III/PLA | Infectious Agent Detection By Nucleic Acid (Dna and Rna), Central Nervous System Pathogen, Metagenom |
| 0326U | CPT Category III/PLA | Targeted Genomic Sequence Analysis Panel, Solid Organ Neoplasm, Cell-Free Circulating Dna Analysis O |
| 0327U | CPT Category III/PLA | Fetal Aneuploidy (Trisomy 13, 18, and 21), Dna Sequence Analysis of Selected Regions Using Maternal |
| 0328U | CPT Category III/PLA | Drug Assay, Definitive, 120 or More Drugs and Metabolites, Urine, Quantitative Liquid Chromatography |
| 0329U | CPT Category III/PLA | Oncology (Neoplasia), Exome and Transcriptome Sequence Analysis For Sequence Variants, Gene Copy Num |
| 0330U | CPT Category III/PLA | Infectious Agent Detection By Nucleic Acid (Dna or Rna), Vaginal Pathogen Panel, Identification of 2 |
| 0331U | CPT Category III/PLA | Oncology (Hematolymphoid Neoplasia), Optical Genome Mapping For Copy Number Alterations and Gene Rea |
| 0332U | CPT Category III/PLA | Oncology (Pan-Tumor), Genetic Profiling of 8 Dna-Regulatory (Epigenetic) Markers By Quantitative Pol |
| 0333U | CPT Category III/PLA | Oncology (Liver), Surveillance For Hepatocellular Carcinoma (Hcc) In High-Risk Patients, Analysis Of |
| 0334U | CPT Category III/PLA | Oncology (Solid Organ), Targeted Genomic Sequence Analysis, Formalin-Fixed Paraffin-Embedded (Ffpe) |
| 0335U | CPT Category III/PLA | Rare Diseases (Constitutional/Heritable Disorders), Whole Genome Sequence Analysis, Including Small |
| 0336U | CPT Category III/PLA | Rare Diseases (Constitutional/Heritable Disorders), Whole Genome Sequence Analysis, Including Small |
| 0337U | CPT Category III/PLA | Oncology (Plasma Cell Disorders and Myeloma), Circulating Plasma Cell Immunologic Selection, Identif |
| 0338U | CPT Category III/PLA | Oncology (Solid Tumor), Circulating Tumor Cell Selection, Identification, Morphological Characteriza |
| 0339U | CPT Category III/PLA | Oncology (Prostate), Mrna Expression Profiling of Hoxc6 and Dlx1, Reverse Transcription Polymerase C |
| 0340U | CPT Category III/PLA | Oncology (Pan-Cancer), Analysis of Minimal Residual Disease (Mrd) From Plasma, With Assays Personali |
| 0341U | CPT Category III/PLA | Fetal Aneuploidy Dna Sequencing Comparative Analysis, Fetal Dna From Products of Conception, Reporte |
| 0342U | CPT Category III/PLA | Oncology (Pancreatic Cancer), Multiplex Immunoassay of C5, C4, Cystatin C, Factor B, Osteoprotegerin |
| 0343U | CPT Category III/PLA | Oncology (Prostate), Exosome-Based Analysis of 442 Small Noncoding Rnas (Sncrnas) By Quantitative Re |
| 0344U | CPT Category III/PLA | Hepatology (Nonalcoholic Fatty Liver Disease [Nafld]), Semiquantitative Evaluation of 28 Lipid Marke |
| 0345T | CPT Category III/PLA | Transcath Mtral Vlve Repair |
| 0345U | CPT Category III/PLA | Psychiatry (Eg, Depression, Anxiety, Attention Deficit Hyperactivity Disorder [Adhd]), Genomic Analy |
| 0346U | CPT Category III/PLA | Beta Amyloid, Ab40 and Ab42 By Liquid Chromatography With Tandem Mass Spectrometry (Lc-Ms/Ms), Ratio |
| 0347U | CPT Category III/PLA | Drug Metabolism or Processing (Multiple Conditions), Whole Blood or Buccal Specimen, Dna Analysis, 1 |
| 0348U | CPT Category III/PLA | Drug Metabolism or Processing (Multiple Conditions), Whole Blood or Buccal Specimen, Dna Analysis, 2 |
| 0349U | CPT Category III/PLA | Drug Metabolism or Processing (Multiple Conditions), Whole Blood or Buccal Specimen, Dna Analysis, 2 |
| 0350U | CPT Category III/PLA | Drug Metabolism or Processing (Multiple Conditions), Whole Blood or Buccal Specimen, Dna Analysis, 2 |
| 0351U | CPT Category III/PLA | Infectious Disease (Bacterial or Viral), Biochemical Assays, Tumor Necrosis Factor-Related Apoptosis |
| 0352U | CPT Category III/PLA | Infectious Disease (Bacterial Vaginosis and Vaginitis), Multiplex Amplified Probe Technique, For Det |
| 0355U | CPT Category III/PLA | Apol1 (Apolipoprotein L1) (Eg, Chronic Kidney Disease), Risk Variants (G1, G2) |
| 0356U | CPT Category III/PLA | Oncology (Oropharyngeal or Anal), Evaluation of 17 Dna Biomarkers Using Droplet Digital Pcr (Ddpcr), |
| 0358U | CPT Category III/PLA | Neurology (Mild Cognitive Impairment), Analysis of B-Amyloid 1-42 and 1-40, Chemiluminescence Enzyme |
| 0359U | CPT Category III/PLA | Oncology (Prostate Cancer), Analysis of All Prostate-Specific Antigen (Psa) Structural Isoforms By P |
| 0360U | CPT Category III/PLA | Oncology (Lung), Enzyme-Linked Immunosorbent Assay (Elisa) of 7 Autoantibodies (P53, Ny-Eso-1, Cage, |
| 0361U | CPT Category III/PLA | Neurofilament Light Chain, Digital Immunoassay, Plasma, Quantitative |
| 0362U | CPT Category III/PLA | Oncology (Papillary Thyroid Cancer), Gene-Expression Profiling Via Targeted Hybrid Capture-Enrichmen |
| 0363U | CPT Category III/PLA | Oncology (Urothelial), Mrna, Gene-Expression Profiling By Real-Time Quantitative Pcr of 5 Genes (Mdk |
| 0364U | CPT Category III/PLA | Oncology (Hematolymphoid Neoplasm), Genomic Sequence Analysis Using Multiplex (Pcr) and Next-Generat |
| 0365U | CPT Category III/PLA | Oncology (Bladder), 10 Protein Biomarkers (A1At, Ang, Apoe, Ca9, Il8, Mmp9, Mmp10, Pai1, Sdc1 and Ve |
| 0366U | CPT Category III/PLA | Oncology (Bladder), Analysis of 10 Protein Biomarkers (A1At, Ang, Apoe, Ca9, Il8, Mmp9, Mmp10, Pai1, |
| 0367U | CPT Category III/PLA | Oncology (Bladder), Analysis of 10 Protein Biomarkers (A1At, Ang, Apoe, Ca9, Il8, Mmp9, Mmp10, Pai1, |
| 0368U | CPT Category III/PLA | Oncology (Colorectal Cancer), Evaluation For Mutations of Apc, Braf, Ctnnb1, Kras, Nras, Pik3Ca, Sma |
| 0369U | CPT Category III/PLA | Infectious Agent Detection By Nucleic Acid (Dna and Rna), Gastrointestinal Pathogens, 31 Bacterial, |
| 0370U | CPT Category III/PLA | Infectious Agent Detection By Nucleic Acid (Dna and Rna), Surgical Wound Pathogens, 34 Microorganism |
| 0371U | CPT Category III/PLA | Infectious Agent Detection By Nucleic Acid (Dna or Rna), Genitourinary Pathogen, Semiquantitative Id |
| 0372U | CPT Category III/PLA | Infectious Disease (Genitourinary Pathogens), Antibiotic-Resistance Gene Detection, Multiplex Amplif |
| 0373U | CPT Category III/PLA | Infectious Agent Detection By Nucleic Acid (Dna and Rna), Respiratory Tract Infection, 17 Bacteria, |
| 0374U | CPT Category III/PLA | Infectious Agent Detection By Nucleic Acid (Dna or Rna), Genitourinary Pathogens, Identification Of |
| 0375U | CPT Category III/PLA | Oncology (Ovarian), Biochemical Assays of 7 Proteins (Follicle Stimulating Hormone, Human Epididymis |
| 0376U | CPT Category III/PLA | Oncology (Prostate Cancer), Image Analysis of At Least 128 Histologic Features and Clinical Factors, |
| 0377U | CPT Category III/PLA | Cardiovascular Disease, Quantification of Advanced Serum or Plasma Lipoprotein Profile, By Nuclear M |
| 0378T | CPT Category III/PLA | Visual Field Assmnt Rev/Rprt |
| 0378U | CPT Category III/PLA | Rfc1 (Replication Factor C Subunit 1), Repeat Expansion Variant Analysis By Traditional and Repeat-P |
| 0379T | CPT Category III/PLA | Vis Field Assmnt Tech Suppt |
| 0379U | CPT Category III/PLA | Targeted Genomic Sequence Analysis Panel, Solid Organ Neoplasm, Dna (523 Genes) and Rna (55 Genes) B |
| 0380U | CPT Category III/PLA | Drug Metabolism (Adverse Drug Reactions and Drug Response), Targeted Sequence Analysis, 20 Gene Vari |
| 0381U | CPT Category III/PLA | Maple Syrup Urine Disease Monitoring By Patient-Collected Blood Card Sample, Quantitative Measuremen |
| 0382U | CPT Category III/PLA | Hyperphenylalaninemia Monitoring By Patient-Collected Blood Card Sample, Quantitative Measurement Of |
| 0383U | CPT Category III/PLA | Tyrosinemia Type I Monitoring By Patient-Collected Blood Card Sample, Quantitative Measurement of Ty |
| 0384U | CPT Category III/PLA | Nephrology (Chronic Kidney Disease), Carboxymethyllysine, Methylglyoxal Hydroimidazolone, and Carbox |
| 0385U | CPT Category III/PLA | Nephrology (Chronic Kidney Disease), Apolipoprotein A4 (Apoa4), Cd5 Antigen-Like (Cd5L), and Insulin |
| 0387U | CPT Category III/PLA | Oncology (Melanoma), Autophagy and Beclin 1 Regulator 1 (Ambra1) and Loricrin (Amlo) By Immunohistoc |
| 0388U | CPT Category III/PLA | Oncology (Non-Small Cell Lung Cancer), Next-Generation Sequencing With Identification of Single Nucl |
| 0389U | CPT Category III/PLA | Pediatric Febrile Illness (Kawasaki Disease [Kd]), Interferon Alpha-Inducible Protein 27 (Ifi27) And |
| 0390U | CPT Category III/PLA | Obstetrics (Preeclampsia), Kinase Insert Domain Receptor (Kdr), Endoglin (Eng), and Retinol-Binding |
| 0391U | CPT Category III/PLA | Oncology (Solid Tumor), Dna and Rna By Next-Generation Sequencing, Utilizing Formalin-Fixed Paraffin |
| 0392U | CPT Category III/PLA | Drug Metabolism (Depression, Anxiety, Attention Deficit Hyperactivity Disorder [Adhd]), Gene-Drug In |
| 0393U | CPT Category III/PLA | Neurology (Eg, Parkinson Disease, Dementia With Lewy Bodies), Cerebrospinal Fluid (Csf), Detection O |
| 0394U | CPT Category III/PLA | Perfluoroalkyl Substances (Pfas) (Eg, Perfluorooctanoic Acid, Perfluorooctane Sulfonic Acid), 16 Pfa |
| 0395U | CPT Category III/PLA | Oncology (Lung), Multi-Omics (Microbial Dna By Shotgun Next-Generation Sequencing and Carcinoembryon |
| 0396U | CPT Category III/PLA | Obstetrics (Pre-Implantation Genetic Testing), Evaluation of 300000 Dna Single-Nucleotide Polymorphi |
| 0398T | CPT Category III/PLA | Mrgfus Strtctc Les Abltj |
| 0398U | CPT Category III/PLA | Gastroenterology (Barrett Esophagus), P16, Runx3, Hpp1, and Fbn1 Dna Methylation Analysis Using Pcr, |
| 0399U | CPT Category III/PLA | Neurology (Cerebral Folate Deficiency), Serum, Detection of Anti-Human Folate Receptor Igg-Binding A |
| 0400U | CPT Category III/PLA | Obstetrics (Expanded Carrier Screening), 145 Genes By Nextgeneration Sequencing, Fragment Analysis A |
| 0401U | CPT Category III/PLA | Cardiology (Coronary Heart Disease [Chd]), 9 Genes (12 Variants), Targeted Variant Genotyping, Blood |
| 0402T | CPT Category III/PLA | Collagen Cross-Linking of Cornea, Including Removal of the Corneal Epithelium, When Performed, and I |
| 0402U | CPT Category III/PLA | Infectious Agent (Sexually Transmitted Infection), Chlamydia Trachomatis, Neisseria Gonorrhoeae, Tri |
| 0403U | CPT Category III/PLA | Oncology (Prostate), Mrna, Gene Expression Profiling of 18 Genes, First-Catch Urine, Algorithm Repor |
| 0404U | CPT Category III/PLA | Oncology (Breast), Semiquantitative Measurement of Thymidine Kinase Activity By Immunoassay, Serum, |
| 0405U | CPT Category III/PLA | Oncology (Pancreatic), 59 Methylation Haplotype Block Markers, Next-Generation Sequencing, Plasma, R |
| 0406U | CPT Category III/PLA | Oncology (Lung), Flow Cytometry, Sputum, 5 Markers (Meso-Tetra [4-Carboxyphenyl] Porphyrin [Tcpp], C |
| 0407U | CPT Category III/PLA | Nephrology (Diabetic Chronic Kidney Disease [Ckd]), Multiplex Electrochemiluminescent Immunoassay (E |
| 0408U | CPT Category III/PLA | Infectious Agent Antigen Detection By Bulk Acoustic Wave Biosensor Immunoassay, Severe Acute Respira |
| 0409U | CPT Category III/PLA | Oncology (Solid Tumor), Dna (80 Genes) and Rna (36 Genes), By Next-Generation Sequencing From Plasma |
| 0410U | CPT Category III/PLA | Oncology (Pancreatic), Dna, Whole Genome Sequencing With 5-Hydroxymethylcytosine Enrichment, Whole B |
| 0411U | CPT Category III/PLA | Psychiatry (Eg, Depression, Anxiety, Attention Deficit Hyperactivity Disorder [Adhd]), Genomic Analy |
| 0412U | CPT Category III/PLA | Beta Amyloid, Ab42/40 Ratio, Immunoprecipitation With Quantitation By Liquid Chromatography With Tan |
| 0413U | CPT Category III/PLA | Oncology (Hematolymphoid Neoplasm), Optical Genome Mapping For Copy Number Alterations, Aneuploidy, |
| 0414U | CPT Category III/PLA | Oncology (Lung), Augmentative Algorithmic Analysis of Digitized Whole Slide Imaging For 8 Genes (Alk |
| 0415U | CPT Category III/PLA | Cardiovascular Disease (Acute Coronary Syndrome [Acs]), Il-16, Fas, Fasligand, Hgf, Ctack, Eotaxin, |
| 0417U | CPT Category III/PLA | Rare Diseases (Constitutional/Heritable Disorders), Whole Mitochondrial Genome Sequence With Heterop |
| 0418U | CPT Category III/PLA | Oncology (Breast), Augmentative Algorithmic Analysis of Digitized Whole Slide Imaging of 8 Histologi |
| 0419U | CPT Category III/PLA | Neuropsychiatry (Eg, Depression, Anxiety), Genomic Sequence Analysis Panel, Variant Analysis of 13 G |
| 0420U | CPT Category III/PLA | Oncology (Urothelial), Mrna Expression Profiling By Real-Time Quantitative Pcr of Mdk, Hoxa13, Cdc2, |
| 0421T | CPT Category III/PLA | Waterjet Prostate Abltj Cmpl |
| 0421U | CPT Category III/PLA | Oncology (Colorectal) Screening, Quantitative Real-Time Target and Signal Amplification of 8 Rna Mar |
| 0422U | CPT Category III/PLA | Oncology (Pan-Solid Tumor), Analysis of Dna Biomarker Response To Anti-Cancer Therapy Using Cell-Fre |
| 0423U | CPT Category III/PLA | Psychiatry (Eg, Depression, Anxiety), Genomic Analysis Panel, Including Variant Analysis of 26 Genes |
| 0424U | CPT Category III/PLA | Oncology (Prostate), Exosome-Based Analysis of 53 Small Noncoding Rnas (Sncrnas) By Quantitative Rev |
| 0425U | CPT Category III/PLA | Genome (Eg, Unexplained Constitutional or Heritable Disorder or Syndrome), Rapid Sequence Analysis, |
| 0426U | CPT Category III/PLA | Genome (Eg, Unexplained Constitutional or Heritable Disorder or Syndrome), Ultra-Rapid Sequence Anal |
| 0427U | CPT Category III/PLA | Monocyte Distribution Width, Whole Blood (List Separately In Addition To Code For Primary Procedure) |
| 0428U | CPT Category III/PLA | Oncology (Breast), Targeted Hybrid-Capture Genomic Sequence Analysis Panel, Circulating Tumor Dna (C |
| 0429U | CPT Category III/PLA | Human Papillomavirus (Hpv), Oropharyngeal Swab, 14 High-Risk Types (Ie, 16, 18, 31, 33, 35, 39, 45, |
| 0430U | CPT Category III/PLA | Gastroenterology, Malabsorption Evaluation of Alpha-1-Antitrypsin, Calprotectin, Pancreatic Elastase |
| 0431U | CPT Category III/PLA | Glycine Receptor Alpha1 Igg, Serum or Cerebrospinal Fluid (Csf), Live Cell-Binding Assay (Lcba), Qua |
| 0432U | CPT Category III/PLA | Kelch-Like Protein 11 (Klhl11) Antibody, Serum or Cerebrospinal Fluid (Csf), Cell-Binding Assay, Qua |
| 0433U | CPT Category III/PLA | Oncology (Prostate), 5 Dna Regulatory Markers By Quantitative Pcr, Whole Blood, Algorithm, Including |
| 0434U | CPT Category III/PLA | Drug Metabolism (Adverse Drug Reactions and Drug Response), Genomic Analysis Panel, Variant Analysis |
| 0435U | CPT Category III/PLA | Oncology, Chemotherapeutic Drug Cytotoxicity Assay of Cancer Stem Cells (Cscs), From Cultured Cscs A |
| 0436U | CPT Category III/PLA | Oncology (Lung), Plasma Analysis of 388 Proteins, Using Aptamer-Based Proteomics Technology, Predict |
| 0437U | CPT Category III/PLA | Psychiatry (Anxiety Disorders), Mrna, Gene Expression Profiling By Rna Sequencing of 15 Biomarkers, |
| 0438U | CPT Category III/PLA | Drug Metabolism (Adverse Drug Reactions and Drug Response), Buccal Specimen, Gene-Drug Interactions, |
| 0439U | CPT Category III/PLA | Cardiology (Coronary Heart Disease [Chd]), Dna, Analysis of 5 Single-Nucleotide Polymorphisms (Snps) |
| 0440U | CPT Category III/PLA | Cardiology (Coronary Heart Disease [Chd]), Dna, Analysis of 10 Single-Nucleotide Polymorphisms (Snps |
| 0441U | CPT Category III/PLA | Infectious Disease (Bacterial, Fungal, or Viral Infection), Semiquantitative Biomechanical Assessmen |
| 0442U | CPT Category III/PLA | Infectious Disease (Respiratory Infection), Myxovirus Resistance Protein A (Mxa) and C-Reactive Prot |
| 0443U | CPT Category III/PLA | Neurofilament Light Chain (Nfl), Ultra-Sensitive Immunoassay, Serum or Cerebrospinal Fluid |
| 0444U | CPT Category III/PLA | Oncology (Solid Organ Neoplasia), Targeted Genomic Sequence Analysis Panel of 361 Genes, Interrogati |
| 0445U | CPT Category III/PLA | B-Amyloid (Abeta42) and Phospho Tau (181P) (Ptau181), Electrochemiluminescent Immunoassay (Eclia), C |
| 0446U | CPT Category III/PLA | Autoimmune Diseases (Systemic Lupus Erythematosus [Sle]), Analysis of 10 Cytokine Soluble Mediator B |
| 0447U | CPT Category III/PLA | Autoimmune Diseases (Systemic Lupus Erythematosus [Sle]), Analysis of 11 Cytokine Soluble Mediator B |
| 0448U | CPT Category III/PLA | Oncology (Lung and Colon Cancer), Dna, Qualitative, Next-Generation Sequencing Detection of Single-N |
| 0449T | CPT Category III/PLA | Insj Aqueous Drain Dev 1St |
| 0449U | CPT Category III/PLA | Carrier Screening For Severe Inherited Conditions (Eg, Cystic Fibrosis, Spinal Muscular Atrophy, Bet |
| 0450U | CPT Category III/PLA | Oncology (Multiple Myeloma), Liquid Chromatography With Tandem Mass Spectrometry (Lc-Ms/Ms), Monoclo |
| 0451U | CPT Category III/PLA | Oncology (Multiple Myeloma), Lc-Ms/Ms, Peptide Ion Quantification, Serum, Results Compared With Base |
| 0452U | CPT Category III/PLA | Oncology (Bladder), Methylated Penk Dna Detection By Linear Target Enrichment-Quantitative Methylati |
| 0453U | CPT Category III/PLA | Oncology (Colorectal Cancer), Cell-Free Dna (Cfdna), Methylation-Based Quantitative Pcr Assay (Septi |
| 0454U | CPT Category III/PLA | Rare Diseases (Constitutional/Heritable Disorders), Identification of Copy Number Variations, Invers |
| 0455U | CPT Category III/PLA | Infectious Agents (Sexually Transmitted Infection), Chlamydia Trachomatis, Neisseria Gonorrhoeae, An |
| 0456U | CPT Category III/PLA | Autoimmune (Rheumatoid Arthritis), Next-Generation Sequencing (Ngs), Gene Expression Testing of 19 G |
| 0457U | CPT Category III/PLA | Perfluoroalkyl Substances (Pfas) (Eg, Perfluorooctanoic Acid, Perfluorooctane Sulfonic Acid), 9 Pfas |
| 0458U | CPT Category III/PLA | Oncology (Breast Cancer), S100A8 and S100A9, By Enzyme-Linked Immunosorbent Assay (Elisa), Tear Flui |
| 0459U | CPT Category III/PLA | B-Amyloid (Abeta42) and Total Tau (Ttau), Electrochemiluminescent Immunoassay (Eclia), Cerebral Spin |
| 0460U | CPT Category III/PLA | Oncology, Whole Blood or Buccal, Dna Single-Nucleotide Polymorphism (Snp) Genotyping By Real-Time Pc |
| 0461U | CPT Category III/PLA | Oncology, Pharmacogenomic Analysis of Single-Nucleotide Polymorphism (Snp) Genotyping By Real-Time P |
| 0462U | CPT Category III/PLA | Melatonin Levels Test, Sleep Study, 7 or 9 Sample Melatonin Profile (Cortisol Optional), Enzyme-Link |
| 0463U | CPT Category III/PLA | Oncology (Cervix), Mrna Gene Expression Profiling of 14 Biomarkers (E6 and E7 of the Highest-Risk Hu |
| 0464U | CPT Category III/PLA | Oncology (Colorectal) Screening, Quantitative Real-Time Target and Signal Amplification, Methylated |
| 0465U | CPT Category III/PLA | Oncology (Urothelial Carcinoma), Dna, Quantitative Methylation-Specific Pcr of 2 Genes (Onecut2, Vim |
| 0466U | CPT Category III/PLA | Cardiology (Coronary Artery Disease [Cad]), Dna, Genome-Wide Association Studies (564856 Single-Nucl |
| 0467U | CPT Category III/PLA | Oncology (Bladder), Dna, Next-Generation Sequencing (Ngs) of 60 Genes and Whole Genome Aneuploidy, U |
| 0468U | CPT Category III/PLA | Hepatology (Nonalcoholic Steatohepatitis [Nash]), Mir-34A-5P, Alpha 2-Macroglobulin, Ykl40, Hba1C, S |
| 0469U | CPT Category III/PLA | Rare Diseases (Constitutional/Heritable Disorders), Whole Genome Sequence Analysis For Chromosomal A |
| 0470U | CPT Category III/PLA | Oncology (Oropharyngeal), Detection of Minimal Residual Disease By Next-Generation Sequencing (Ngs) |
| 0471U | CPT Category III/PLA | Oncology (Colorectal Cancer), Qualitative Real-Time Pcr of 35 Variants of Kras and Nras Genes (Exons |
| 0472U | CPT Category III/PLA | Carbonic Anhydrase Vi (Ca Vi), Parotid Specific/Secretory Protein (Psp) and Salivary Protein (Sp1) I |
| 0473U | CPT Category III/PLA | Oncology (Solid Tumor), Next-Generation Sequencing (Ngs) of Dna From Formalin-Fixed Paraffin-Embedde |
| 0474U | CPT Category III/PLA | Hereditary Pan-Cancer (Eg, Hereditary Sarcomas, Hereditary Endocrine Tumors, Hereditary Neuroendocri |
| 0475U | CPT Category III/PLA | Hereditary Prostate Cancer-Related Disorders, Genomic Sequence Analysis Panel Using Next-Generation |
| 0479T | CPT Category III/PLA | Fxjl Abl Lsr 1St 100 Sq Cm |
| 0480T | CPT Category III/PLA | Fxjl Abl Lsr Ea Addl 100Sqcm |
| 0481T | CPT Category III/PLA | Njx Autol Wbc Concentrate |
| 0483T | CPT Category III/PLA | Tmvi Percutaneous Approach |
| 0484T | CPT Category III/PLA | Tmvi Transthoracic Exposure |
| 0485T | CPT Category III/PLA | Oct Mid Ear I&R Unilateral |
| 0486T | CPT Category III/PLA | Oct Mid Ear I&R Bilateral |
| 0488T | CPT Category III/PLA | Diabetes Prev Online/Elec |
| 0489T | CPT Category III/PLA | Regn Cell Tx Scldr Hands |
| 0490T | CPT Category III/PLA | Regn Cell Tx Scldr H Mlt Inj |
| 0494T | CPT Category III/PLA | Prep & Cannulj Cdvr Don Lung |
| 0495T | CPT Category III/PLA | Mntr Cdvr Don Lng 1St 2 Hrs |
| 0496T | CPT Category III/PLA | Mntr Cdvr Don Lng Ea Addl Hr |
| 0500F | CPT Category III/PLA | Initial Prenatal Care Visit |
| 0500T | CPT Category III/PLA | Hpv 5+ Hi Risk Hpv Types |
| 0505T | CPT Category III/PLA | Ev Fempop Artl Revsc |
| 0506T | CPT Category III/PLA | Mac Pgmt Opt Dns Meas Hfp |
| 0507T | CPT Category III/PLA | Near Ifr 2Img Mibmn Glnd I&R |
| 0509T | CPT Category III/PLA | Pattern Erg W/I&R |
| 0510T | CPT Category III/PLA | Rmvl Sinus Tarsi Implant |
| 0511T | CPT Category III/PLA | Rmvl&Rinsj Sinus Tarsi Implt |
| 0512T | CPT Category III/PLA | Extracorporeal Shock Wave For Integumentary Wound Healing, Including Topical Application and Dressin |
| 0513T | CPT Category III/PLA | Extracorporeal Shock Wave For Integumentary Wound Healing, Including Topical Application and Dressin |
| 0515T | CPT Category III/PLA | Insj Wcs Lv Compl Sys |
| 0516T | CPT Category III/PLA | Insj Wcs Lv Eltrd Only |
| 0517T | CPT Category III/PLA | Insertion of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including Device Interrogation |
| 0518T | CPT Category III/PLA | Removal of Pulse Generator For Wireless Cardiac Stimulator For Left Ventricular Pacing; Battery Comp |
| 0519T | CPT Category III/PLA | Removal and Replacement of Pulse Generator For Wireless Cardiac Stimulator For Left Ventricular Paci |
| 0520T | CPT Category III/PLA | Removal and Replacement of Pulse Generator For Wireless Cardiac Stimulator For Left Ventricular Paci |
| 0521T | CPT Category III/PLA | Interrog Dev Eval Wcs Ip |
| 0522T | CPT Category III/PLA | Prgrmg Dev Eval Wcs Ip |
| 0523T | CPT Category III/PLA | Ntrapx C Ffr W/3D Funcjl Map |
| 0524T | CPT Category III/PLA | Ev Cath Dir Chem Abltj W/Img |
| 0525T | CPT Category III/PLA | Insj/Rplcmt Compl Iims |
| 0526T | CPT Category III/PLA | Insj/Rplcmt Iims Eltrd Only |
| 0527T | CPT Category III/PLA | Insj/Rplcmt Iims Implt Mntr |
| 0528T | CPT Category III/PLA | Prgrmg Dev Eval Iims Ip |
| 0529T | CPT Category III/PLA | Interrog Dev Eval Iims Ip |
| 0530T | CPT Category III/PLA | Removal Complete Iims |
| 0531T | CPT Category III/PLA | Removal Iims Electrode Only |
| 0532T | CPT Category III/PLA | Removal Iims Implt Mntr Only |
| 0541T | CPT Category III/PLA | Myocardial Imaging Mcg |
| 0542T | CPT Category III/PLA | Myocardial Imaging Mcg I&R |
| 0543T | CPT Category III/PLA | Ta Mv Rpr W/Artif Chord Tend |
| 0544T | CPT Category III/PLA | Tcat Mv Annulus Rcnstj |
| 0545T | CPT Category III/PLA | Tcat Tv Annulus Rcnstj |
| 0546T | CPT Category III/PLA | Rf Spectrsc Ntraop Mrgn Asmt |
| 0547T | CPT Category III/PLA | B1 Matrl Qual Tst Mcrind Tib |
| 0552T | CPT Category III/PLA | Low-Level Laser Therapy |
| 0553T | CPT Category III/PLA | Perq Tcat Iliac Anast Implt |
| 0554T | CPT Category III/PLA | B1 Str & Fx Rsk Analysis |
| 0555T | CPT Category III/PLA | B1 Str&Fx Rsk Transmis Data |
| 0556T | CPT Category III/PLA | B1 Str & Fx Rsk Assessment |
| 0557T | CPT Category III/PLA | B1 Str & Fx Rsk I&R |
| 0558T | CPT Category III/PLA | CT Scan F/Biomchn Ct Alys |
| 0559T | CPT Category III/PLA | Antmc Mdl 3D Print 1St Cmpnt |
| 0560T | CPT Category III/PLA | Antmc Mdl 3D Print Ea Addl |
| 0561T | CPT Category III/PLA | Antmc Guide 3D Print 1St Gd |
| 0562T | CPT Category III/PLA | Antmc Guide 3D Print Ea Addl |
| 0563T | CPT Category III/PLA | Evac Meibomian Glnd Heat Bi |
| 0564T | CPT Category III/PLA | Onc Chemo Rx Cytotox Csc 14 |
| 0565T | CPT Category III/PLA | Autol Cell Implt Adps Hrvg |
| 0566T | CPT Category III/PLA | Autol Cell Implt Adps Njx |
| 0567T | CPT Category III/PLA | Perm Flp Tube Occls W/Implt |
| 0568T | CPT Category III/PLA | Intro Mix Saline&Air F/Ssg |
| 0569T | CPT Category III/PLA | Ttvr Perq Appr 1St Prosth |
| 0570T | CPT Category III/PLA | Ttvr Perq Ea Addl Prosth |
| 0571T | CPT Category III/PLA | Insj/Rplcmt Icds Ss Eltrd |
| 0572T | CPT Category III/PLA | Insertion Ss Dfb Electrode |
| 0573T | CPT Category III/PLA | Removal Ss Dfb Electrode |
| 0574T | CPT Category III/PLA | Repos Prev Ss Impl Dfb Eltrd |
| 0575T | CPT Category III/PLA | Prgrmg Dev Eval Icds Ss Ip |
| 0576T | CPT Category III/PLA | Interrog Dev Eval Icds Ss Ip |
| 0577T | CPT Category III/PLA | Ephys Eval Icds Ss |
| 0578T | CPT Category III/PLA | Rem Interrog Dev Icds Phys |
| 0579T | CPT Category III/PLA | Rem Interrog Dev Icds Tech |
| 0580T | CPT Category III/PLA | Rmvl Ss Impl Dfb Pg Only |
| 0581T | CPT Category III/PLA | Abltj Mal Brst Tum Perq Crtx |
| 0582T | CPT Category III/PLA | Trurl Abltj Mal Prst8 Tiss |
| 0583T | CPT Category III/PLA | Tmpst Auto Tube Dlvr Sys |
| 0584T | CPT Category III/PLA | Perq Islet Cell Transplant |
| 0585T | CPT Category III/PLA | Laps Islet Cell Transplant |
| 0586T | CPT Category III/PLA | Open Islet Cell Transplant |
| 0587T | CPT Category III/PLA | Percutaneous Implantation or Replacement of Integrated Single Device Neurostimulation System For Bla |
| 0588T | CPT Category III/PLA | Revision or Removal of Percutaneously Placed Integrated Single Device Neurostimulation System For Bl |
| 0589T | CPT Category III/PLA | Electronic Analysis With Simple Programming of Implanted Integrated Neurostimulation System For Blad |
| 0590T | CPT Category III/PLA | Electronic Analysis With Complex Programming of Implanted Integrated Neurostimulation System For Bla |
| 0591T | CPT Category III/PLA | Hlth&Wb Coaching Indiv 1St |
| 0592T | CPT Category III/PLA | Hlth&Wb Coaching Indiv F-Up |
| 0593T | CPT Category III/PLA | Hlth&Wb Coaching Group |
| 0594T | CPT Category III/PLA | Osteotomy, Humerus, W Insertion of An Externally Controlled Intramedullary Lengthening Device |
| 0596T | CPT Category III/PLA | Temp Female Intraurethral Valve-Pump Initial Insertion, Including Urethral Measurement |
| 0597T | CPT Category III/PLA | Temporary Female Intraurethral Valve-Pump Replacement |
| 0598T | CPT Category III/PLA | Noncontact Real-Time Fluorescence Wound Imaging First Anatomic Site (Eg, Lower Extremity) |
| 0599T | CPT Category III/PLA | Noncontact Real-Time Fluorescence Wound Imaging Per Session; Each Additional Anatomic Site |
| 0600T | CPT Category III/PLA | Ablation, Irreversible Electroporation; 1 or More Tumors Per Organ |
| 0601T | CPT Category III/PLA | Ablation, Irreversible Electroporation; 1 or More Tumors, Including Fluoroscopic & Ultrasound Guid |
| 0602T | CPT Category III/PLA | Glomerular Filtration Rate (Gfr) Measurement(S), Transdermal |
| 0603T | CPT Category III/PLA | Glomerular Filtration Rate (Gfr) Monitoring, Transdermal, |
| 0604T | CPT Category III/PLA | Optical Coherence Tomography (Oct) of Retina, Initial Device Provision, Set-Up & Pt Ed Use of Equip |
| 0605T | CPT Category III/PLA | Optical Coherence Tomography (Oct) of Retina, Minimum of 8 Daily Recordings, Each 30 Days |
| 0606T | CPT Category III/PLA | Optical Coherence Tomography (Oct) of Retina, Each 30 Days |
| 0607T | CPT Category III/PLA | Remote Monitoring of An Ext Cont Pulmonary Fluid Monitoring System; Set-Up & Pt Ed Use of Equip |
| 0608T | CPT Category III/PLA | Remote Monitoring of Ext Cont Pulm Fluid Monitoring Sys Analysis of Data Recd & Trans of Rep To Phys |
| 0609T | CPT Category III/PLA | Magnetic Resonance Spectroscopy, Acq of Single Voxel Data, Per Disc, Biomarkers In At Least 3 Discs |
| 0610T | CPT Category III/PLA | Magnetic Resonance Spectroscopy, Transmission of Biomarker Data For Software Analysis |
| 0611T | CPT Category III/PLA | Magnetic Resonance Spectroscopy, For Determination of Relative Chemical Differences Between Discs |
| 0612T | CPT Category III/PLA | Magnetic Resonance Spectroscopy, Interpretation and Report |
| 0613T | CPT Category III/PLA | Percutaneous Transcatheter Implantation of Interatrial Septal Shunt Device |
| 0614T | CPT Category III/PLA | Removal and Replacement of Substernal Implantable Defibrillator Pulse Generator |
| 0615T | CPT Category III/PLA | Automated Analysis of Binocular Eye Movements Without Spatial Calibration, Including Disconjugacy, S |
| 0616T | CPT Category III/PLA | Insertion of Iris Pros, W/O Removal of Crystalline Lens or Intraoc Lens, W/O Insert of Intraoc Lens |
| 0617T | CPT Category III/PLA | Insertion of Iris Pros, With Removal of Crystalline Lens and Insertion of Intraocular Lens |
| 0618T | CPT Category III/PLA | Insertion of Iris Prosthesis With Secondary Intraocular Lens Placement or Intraocular Lens Exchange |
| 0619T | CPT Category III/PLA | Cystourethroscopy With Transurethral Anterior Prostate Commissurotomy & Drug Deliver |
| 0620T | CPT Category III/PLA | Endovascular Venous Arterialization, Tibial or Peroneal Vein, With Transcatheter Placement of Intrav |
| 0621T | CPT Category III/PLA | Trabeculostomy Ab Interno By Laser |
| 0622T | CPT Category III/PLA | Trabeculostomy Ab Interno By Laser; With Use of Ophthalmic Endoscope |
| 0623T | CPT Category III/PLA | Automated Quantification and Characterization of Coronary Atherosclerotic Plaque To Assess Severity |
| 0624T | CPT Category III/PLA | Automated Quantification and Characterization of Coronary Atherosclerotic Plaque To Assess Severity |
| 0625T | CPT Category III/PLA | Automated Quantification and Characterization of Coronary Atherosclerotic Plaque To Assess Severity |
| 0626T | CPT Category III/PLA | Automated Quantification and Characterization of Coronary Atherosclerotic Plaque To Assess Severity |
| 0627T | CPT Category III/PLA | Percutaneous Injection of Allogeneic Cellular and/or Tissue-Based Product, Intervertebral Disc, Unil |
| 0628T | CPT Category III/PLA | Percutaneous Injection of Allogeneic Cellular and/or Tissue-Based Product, Intervertebral Disc, Unil |
| 0629T | CPT Category III/PLA | Percutaneous Injection of Allogeneic Cellular and/or Tissue-Based Product, Intervertebral Disc, Unil |
| 0630T | CPT Category III/PLA | Percutaneous Injection of Allogeneic Cellular and/or Tissue-Based Product, Intervertebral Disc, Unil |
| 0631T | CPT Category III/PLA | Transcutaneous Visible Light Hyperspectral Imaging Measurement of Oxyhemoglobin, Deoxyhemoglobin, An |
| 0632T | CPT Category III/PLA | Percutaneous Transcatheter Ultrasound Ablation of Nerves Innervating the Pulmonary Arteries, Includi |
| 0633T | CPT Category III/PLA | Computed Tomography, Breast, Including 3D Rendering, When Performed, Unilateral; Without Contrast Ma |
| 0634T | CPT Category III/PLA | Computed Tomography, Breast, Including 3D Rendering, When Performed, Unilateral; With Contrast Mater |
| 0635T | CPT Category III/PLA | Computed Tomography, Breast, Including 3D Rendering, When Performed, Unilateral; Without Contrast |
| 0636T | CPT Category III/PLA | Computed Tomography, Breast, Including 3D Rendering, When Performed, Bilateral; Without Contrast Mat |
| 0637T | CPT Category III/PLA | Computed Tomography, Breast, Including 3D Rendering, When Performed, Bilateral; With Contrast Materi |
| 0638T | CPT Category III/PLA | Computed Tomography, Breast, Including 3D Rendering, When Performed, Bilateral; Without Contrast, Fo |
| 0639T | CPT Category III/PLA | Wireless Skin Sensor Thermal Anisotropy Measurement(S) and Assessment of Flow In Cerebrospinal Fluid |
| 0640T | CPT Category III/PLA | Noncontact Near-Infrared Spectroscopy (Eg, For Measurement of Deoxyhemoglobin, Oxyhemoglobin, and Ra |
| 0643T | CPT Category III/PLA | Transcatheter Left Ventricular Restoration Device Implantation Including Right and Left Heart Cathet |
| 0644T | CPT Category III/PLA | Transcatheter Removal or Debulking of Intracardiac Mass (Eg, Vegetations, Thrombus) Via Suction (Eg, |
| 0645T | CPT Category III/PLA | Transcatheter Implantation of Coronary Sinus Reduction Device Including Vascular Access and Closure, |
| 0646T | CPT Category III/PLA | Transcatheter Tricuspid Valve Implantation/Replacement (Ttvi) With Prosthetic Valve, Percutaneous Ap |
| 0647T | CPT Category III/PLA | Insertion of Gastrostomy Tube, Percutaneous, With Magnetic Gastropexy, Under Ultrasound Guidance, Im |
| 0648T | CPT Category III/PLA | Quantitative Magnetic Resonance For Analysis of Tissue Composition (Eg, Fat, Iron, Water Content), I |
| 0649T | CPT Category III/PLA | Quantitative Magnetic Resonance For Analysis of Tissue Composition (Eg, Fat, Iron, Water Content), I |
| 0650T | CPT Category III/PLA | Programming Device Evaluation (Remote) of Subcutaneous Cardiac Rhythm Monitor System, With Iterative |
| 0651T | CPT Category III/PLA | Magnetically Controlled Capsule Endoscopy, Esophagus Through Stomach, Including Intraprocedural Posi |
| 0652T | CPT Category III/PLA | Esophagogastroduodenoscopy, Flexible, Transnasal; Diagnostic, Including Collection of Specimen(S) By |
| 0653T | CPT Category III/PLA | Esophagogastroduodenoscopy, Flexible, Transnasal; With Biopsy, Single or Multiple |
| 0654T | CPT Category III/PLA | Esophagogastroduodenoscopy, Flexible, Transnasal; With Insertion of Intraluminal Tube or Catheter |
| 0655T | CPT Category III/PLA | Transperineal Focal Laser Ablation of Malignant Prostate Tissue, Including Transrectal Imaging Guida |
| 0656T | CPT Category III/PLA | Anterior Lumbar or Thoracolumbar Vertebral Body Tethering; Up To 7 Vertebral Segments |
| 0657T | CPT Category III/PLA | Anterior Lumbar or Thoracolumbar Vertebral Body Tethering; 8 or More Vertebral Segments |
| 0658T | CPT Category III/PLA | Electrical Impedance Spectroscopy of 1 or More Skin Lesions For Automated Melanoma Risk Score |
| 0659T | CPT Category III/PLA | Transcatheter Intracoronary Infusion of Supersaturated Oxygen In Conjunction With Percutaneous Coron |
| 0660T | CPT Category III/PLA | Implantation of Anterior Segment Intraocular Nonbiodegradable Drug-Eluting System, Internal Approach |
| 0661T | CPT Category III/PLA | Removal and Reimplantation of Anterior Segment Intraocular Nonbiodegradable Drug-Eluting Implant |
| 0662T | CPT Category III/PLA | Scalp Cooling, Mechanical; Initial Measurement and Calibration of Cap |
| 0663T | CPT Category III/PLA | Scalp Cooling, Mechanical; Placement of Device, Monitoring, and Removal of Device (List Separately I |
| 0664T | CPT Category III/PLA | Donor Hysterectomy (Including Cold Preservation); Open, From Cadaver Donor |
| 0665T | CPT Category III/PLA | Donor Hysterectomy (Including Cold Preservation); Open, From Living Donor |
| 0666T | CPT Category III/PLA | Donor Hysterectomy (Including Cold Preservation); Laparoscopic or Robotic, From Living Donor |
| 0667T | CPT Category III/PLA | Donor Hysterectomy (Including Cold Preservation); Recipient Uterus Allograft Transplantation From Ca |
| 0668T | CPT Category III/PLA | Backbench Standard Preparation of Cadaver or Living Donor Uterine Allograft Prior To Transplantation |
| 0669T | CPT Category III/PLA | Backbench Reconstruction of Cadaver or Living Donor Uterus Allograft Prior To Transplantation; Venou |
| 0670T | CPT Category III/PLA | Backbench Reconstruction of Cadaver or Living Donor Uterus Allograft Prior To Transplantation; Arter |
| 0671T | CPT Category III/PLA | Insertion of Anterior Segment Aqueous Drainage Device Into the Trabecular Meshwork, Without External |
| 0672T | CPT Category III/PLA | Endovaginal Cryogen-Cooled, Monopolar Radiofrequency Remodeling of the Tissues Surrounding the Femal |
| 0673T | CPT Category III/PLA | Ablation, Benign Thyroid Nodule(S), Percutaneous, Laser, Including Imaging Guidance |
| 0674T | CPT Category III/PLA | Laparoscopic Insertion of New or Replacement of Permanent Implantable Synchronized Diaphragmatic Sti |
| 0675T | CPT Category III/PLA | Laparoscopic Insertion of New or Replacement of Diaphragmatic Lead(S), Permanent Implantable Synchro |
| 0676T | CPT Category III/PLA | Laparoscopic Insertion of New or Replacement of Diaphragmatic Lead(S), Permanent Implantable Synchro |
| 0677T | CPT Category III/PLA | Laparoscopic Repositioning of Diaphragmatic Lead(S), Permanent Implantable Synchronized Diaphragmati |
| 0678T | CPT Category III/PLA | Laparoscopic Repositioning of Diaphragmatic Lead(S), Permanent Implantable Synchronized Diaphragmati |
| 0679T | CPT Category III/PLA | Laparoscopic Removal of Diaphragmatic Lead(S), Permanent Implantable Synchronized Diaphragmatic Stim |
| 0680T | CPT Category III/PLA | Insertion or Replacement of Pulse Generator Only, Permanent Implantable Synchronized Diaphragmatic S |
| 0681T | CPT Category III/PLA | Relocation of Pulse Generator Only, Permanent Implantable Synchronized Diaphragmatic Stimulation Sys |
| 0682T | CPT Category III/PLA | Removal of Pulse Generator Only, Permanent Implantable Synchronized Diaphragmatic Stimulation System |
| 0683T | CPT Category III/PLA | Programming Device Evaluation (In-Person) With Iterative Adjustment of the Implantable Device To Tes |
| 0684T | CPT Category III/PLA | Peri-Procedural Device Evaluation (In-Person) and Programming of Device System Parameters Before Or |
| 0685T | CPT Category III/PLA | Interrogation Device Evaluation (In-Person) With Analysis, Review and Report By A Physician or Other |
| 0686T | CPT Category III/PLA | Histotripsy (Ie, Non-Thermal Ablation Via Acoustic Energy Delivery) of Malignant Hepatocellular Tiss |
| 0687T | CPT Category III/PLA | Treatment of Amblyopia Using An Online Digital Program; Device Supply, Educational Set-Up, and Initi |
| 0688T | CPT Category III/PLA | Treatment of Amblyopia Using An Online Digital Program; Assessment of Patient Performance and Progra |
| 0689T | CPT Category III/PLA | Quantitative Ultrasound Tissue Characterization (Non-Elastographic), Including Interpretation and Re |
| 0690T | CPT Category III/PLA | Quantitative Ultrasound Tissue Characterization (Non-Elastographic), Including Interpretation and Re |
| 0691T | CPT Category III/PLA | Automated Analysis of An Existing Computed Tomography Study For Vertebral Fracture(S), Including Ass |
| 0692T | CPT Category III/PLA | Therapeutic Ultrafiltration |
| 0693T | CPT Category III/PLA | Comprehensive Full Body Computer-Based Markerless 3D Kinematic and Kinetic Motion Analysis and Repor |
| 0694T | CPT Category III/PLA | 3-Dimensional Volumetric Imaging and Reconstruction of Breast or Axillary Lymph Node Tissue, Each Ex |
| 0695T | CPT Category III/PLA | Body Surface-Activation Mapping of Pacemaker or Pacing Cardioverter-Defibrillator Lead(S) To Optimiz |
| 0696T | CPT Category III/PLA | Body Surface-Activation Mapping of Pacemaker or Pacing Cardioverter-Defibrillator Lead(S) To Optimiz |
| 0697T | CPT Category III/PLA | Quantitative Magnetic Resonance For Analysis of Tissue Composition (Eg, Fat, Iron, Water Content), I |
| 0698T | CPT Category III/PLA | Quantitative Magnetic Resonance For Analysis of Tissue Composition (Eg, Fat, Iron, Water Content), I |
| 0699T | CPT Category III/PLA | Injection, Posterior Chamber of Eye, Medication |
| 0700T | CPT Category III/PLA | Molecular Fluorescent Imaging of Suspicious Nevus; First Lesion |
| 0701T | CPT Category III/PLA | Molecular Fluorescent Imaging of Suspicious Nevus; Each Additional Lesion (List Separately In Additi |
| 0704T | CPT Category III/PLA | Remote Treatment of Amblyopia Using An Eye Tracking Device; Device Supply With Initial Set-Up and Pa |
| 0705T | CPT Category III/PLA | Remote Treatment of Amblyopia Using An Eye Tracking Device; Surveillance Center Technical Support In |
| 0706T | CPT Category III/PLA | Remote Treatment of Amblyopia Using An Eye Tracking Device; Interpretation and Report By Physician O |
| 0707T | CPT Category III/PLA | Injection(S), Bone-Substitute Material (Eg, Calcium Phosphate) Into Subchondral Bone Defect (Ie, Bon |
| 0708T | CPT Category III/PLA | Intradermal Cancer Immunotherapy; Preparation and Initial Injection |
| 0709T | CPT Category III/PLA | Intradermal Cancer Immunotherapy; Each Additional Injection (List Separately In Addition To Code For |
| 0710T | CPT Category III/PLA | Noninvasive Arterial Plaque Analysis Using Software Processing of Data From Non-Coronary Computerize |
| 0711T | CPT Category III/PLA | Noninvasive Arterial Plaque Analysis Using Software Processing of Data From Non-Coronary Computerize |
| 0712T | CPT Category III/PLA | Noninvasive Arterial Plaque Analysis Using Software Processing of Data From Non-Coronary Computerize |
| 0713T | CPT Category III/PLA | Noninvasive Arterial Plaque Analysis Using Software Processing of Data From Non-Coronary Computerize |
| 0714T | CPT Category III/PLA | Transperineal Laser Ablation of Benign Prostatic Hyperplasia, Including Imaging Guidance; Prostate V |
| 0716T | CPT Category III/PLA | Cardiac Acoustic Waveform Recording With Automated Analysis and Generation of Coronary Artery Diseas |
| 0717T | CPT Category III/PLA | Autologous Adipose-Derived Regenerative Cell (Adrc) Therapy For Partial Thickness Rotator Cuff Tear; |
| 0718T | CPT Category III/PLA | Autologous Adipose-Derived Regenerative Cell (Adrc) Therapy For Partial Thickness Rotator Cuff Tear; |
| 0719T | CPT Category III/PLA | Posterior Vertebral Joint Replacement, Including Bilateral Facetectomy, Laminectomy, and Radical Dis |
| 0720T | CPT Category III/PLA | Percutaneous Electrical Nerve Field Stimulation, Cranial Nerves, Without Implantation |
| 0721T | CPT Category III/PLA | Quantitative Computed Tomography (Ct) Tissue Characterization, Including Interpretation and Report, |
| 0722T | CPT Category III/PLA | Quantitative Computed Tomography (Ct) Tissue Characterization, Including Interpretation and Report, |
| 0723T | CPT Category III/PLA | Quantitative Magnetic Resonance Cholangiopancreatography (Qmrcp) Including Data Preparation and Tran |
| 0724T | CPT Category III/PLA | Quantitative Magnetic Resonance Cholangiopancreatography (Qmrcp) Including Data Preparation and Tran |
| 0725T | CPT Category III/PLA | Vestibular Device Implantation, Unilateral |
| 0726T | CPT Category III/PLA | Removal of Implanted Vestibular Device, Unilateral |
| 0727T | CPT Category III/PLA | Removal and Replacement of Implanted Vestibular Device, Unilateral |
| 0728T | CPT Category III/PLA | Diagnostic Analysis of Vestibular Implant, Unilateral; With Initial Programming |
| 0729T | CPT Category III/PLA | Diagnostic Analysis of Vestibular Implant, Unilateral; With Subsequent Programming |
| 0730T | CPT Category III/PLA | Trabeculotomy By Laser, Including Optical Coherence Tomography (Oct) Guidance |
| 0731T | CPT Category III/PLA | Augmentative Ai-Based Facial Phenotype Analysis With Report |
| 0732T | CPT Category III/PLA | Immunotherapy Administration With Electroporation, Intramuscular |
| 0733T | CPT Category III/PLA | Remote Real-Time, Motion Capture-Based Neurorehabilitative Therapy Ordered By A Physician or Other Q |
| 0734T | CPT Category III/PLA | Remote Real-Time, Motion Capture-Based Neurorehabilitative Therapy Ordered By A Physician or Other Q |
| 0735T | CPT Category III/PLA | Preparation of Tumor Cavity, With Placement of A Radiation Therapy Applicator For Intraoperative Rad |
| 0736T | CPT Category III/PLA | Colonic Lavage, 35 or More Liters of Water, Gravity-Fed, With Induced Defecation, Including Insertio |
| 0737T | CPT Category III/PLA | Xenograft Implantation Into the Articular Surface |
| 0738T | CPT Category III/PLA | Treatment Planning For Magnetic Field Induction Ablation of Malignant Prostate Tissue, Using Data Fr |
| 0739T | CPT Category III/PLA | Ablation of Malignant Prostate Tissue By Magnetic Field Induction, Including All Intraprocedural, Tr |
| 0740T | CPT Category III/PLA | Remote Autonomous Algorithm-Based Recommendation System For Insulin Dose Calculation and Titration; |
| 0741T | CPT Category III/PLA | Remote Autonomous Algorithm-Based Recommendation System For Insulin Dose Calculation and Titration; |
| 0742T | CPT Category III/PLA | Absolute Quantitation of Myocardial Blood Flow (Aqmbf), Single-Photon Emission Computed Tomography ( |
| 0743T | CPT Category III/PLA | Bone Strength and Fracture Risk Using Finite Element Analysis of Functional Data and Bone Mineral De |
| 0744T | CPT Category III/PLA | Insertion of Bioprosthetic Valve, Open, Femoral Vein, Including Duplex Ultrasound Imaging Guidance, |
| 0745T | CPT Category III/PLA | Cardiac Focal Ablation Utilizing Radiation Therapy For Arrhythmia; Noninvasive Arrhythmia Localizati |
| 0746T | CPT Category III/PLA | Cardiac Focal Ablation Utilizing Radiation Therapy For Arrhythmia; Conversion of Arrhythmia Localiza |
| 0747T | CPT Category III/PLA | Cardiac Focal Ablation Utilizing Radiation Therapy For Arrhythmia; Delivery of Radiation Therapy, Ar |
| 0748T | CPT Category III/PLA | Injections of Stem Cell Product Into Perianal Perifistular Soft Tissue, Including Fistula Preparatio |
| 0749T | CPT Category III/PLA | Bone Strength and Fracture-Risk Assessment Using Digital X-Ray Radiogrammetry-Bone Mineral Density ( |
| 0750T | CPT Category III/PLA | Bone Strength and Fracture-Risk Assessment Using Digital X-Ray Radiogrammetry-Bone Mineral Density ( |
| 0751T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Level Ii, Surgical Pathology, Gross and Microscopic Exam |
| 0752T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Level Iii, Surgical Pathology, Gross and Microscopic Exa |
| 0753T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Level Iv, Surgical Pathology, Gross and Microscopic Exam |
| 0754T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Level V, Surgical Pathology, Gross and Microscopic Exami |
| 0755T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Level Vi, Surgical Pathology, Gross and Microscopic Exam |
| 0756T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Special Stain, Including Interpretation and Report, Grou |
| 0757T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Special Stain, Including Interpretation and Report, Grou |
| 0758T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Special Stain, Including Interpretation and Report, Hist |
| 0759T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Special Stain, Including Interpretation and Report, Grou |
| 0760T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Immunohistochemistry or Immunocytochemistry, Per Specime |
| 0761T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Immunohistochemistry or Immunocytochemistry, Per Specime |
| 0762T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Immunohistochemistry or Immunocytochemistry, Per Specime |
| 0763T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Morphometric Analysis, Tumor Immunohistochemistry (Eg, H |
| 0764T | CPT Category III/PLA | Assistive Algorithmic Electrocardiogram Risk-Based Assessment For Cardiac Dysfunction (Eg, Low-Eject |
| 0765T | CPT Category III/PLA | Assistive Algorithmic Electrocardiogram Risk-Based Assessment For Cardiac Dysfunction (Eg, Low-Eject |
| 0766T | CPT Category III/PLA | Transcutaneous Magnetic Stimulation By Focused Low-Frequency Electromagnetic Pulse, Peripheral Nerve |
| 0767T | CPT Category III/PLA | Transcutaneous Magnetic Stimulation By Focused Low-Frequency Electromagnetic Pulse, Peripheral Nerve |
| 0770T | CPT Category III/PLA | Virtual Reality Technology To Assist Therapy (List Separately In Addition To Code For Primary Proced |
| 0771T | CPT Category III/PLA | Virtual Reality (Vr) Procedural Dissociation Services Provided By the Same Physician or Other Qualif |
| 0772T | CPT Category III/PLA | Virtual Reality (Vr) Procedural Dissociation Services Provided By the Same Physician or Other Qualif |
| 0773T | CPT Category III/PLA | Virtual Reality (Vr) Procedural Dissociation Services Provided By A Physician or Other Qualified Hea |
| 0774T | CPT Category III/PLA | Virtual Reality (Vr) Procedural Dissociation Services Provided By A Physician or Other Qualified Hea |
| 0776T | CPT Category III/PLA | Therapeutic Induction of Intra-Brain Hypothermia, Including Placement of A Mechanical Temperature-Co |
| 0777T | CPT Category III/PLA | Real-Time Pressure-Sensing Epidural Guidance System (List Separately In Addition To Code For Primary |
| 0778T | CPT Category III/PLA | Surface Mechanomyography (Smmg) With Concurrent Application of Inertial Measurement Unit (Imu) Senso |
| 0779T | CPT Category III/PLA | Gastrointestinal Myoelectrical Activity Study, Stomach Through Colon, With Interpretation and Report |
| 0780T | CPT Category III/PLA | Instillation of Fecal Microbiota Suspension Via Rectal Enema Into Lower Gastrointestinal Tract |
| 0781T | CPT Category III/PLA | Bronchoscopy, Rigid or Flexible, With Insertion of Esophageal Protection Device and Circumferential |
| 0782T | CPT Category III/PLA | Bronchoscopy, Rigid or Flexible, With Insertion of Esophageal Protection Device and Circumferential |
| 0783T | CPT Category III/PLA | Transcutaneous Auricular Neurostimulation, Set-Up, Calibration, and Patient Education on Use of Equi |
| 0784T | CPT Category III/PLA | Insertion or Replacement of Percutaneous Electrode Array, Spinal, With Integrated Neurostimulator, I |
| 0785T | CPT Category III/PLA | Revision or Removal of Neurostimulator Electrode Array, Spinal, With Integrated Neurostimulator |
| 0786T | CPT Category III/PLA | Insertion or Replacement of Percutaneous Electrode Array, Sacral, With Integrated Neurostimulator, I |
| 0787T | CPT Category III/PLA | Revision or Removal of Neurostimulator Electrode Array, Sacral, With Integrated Neurostimulator |
| 0788T | CPT Category III/PLA | Electronic Analysis With Simple Programming of Implanted Integrated Neurostimulation System |
| 0789T | CPT Category III/PLA | Electronic Analysis With Complex Programming of Implanted Integrated Neurostimulation System |
| 0790T | CPT Category III/PLA | Revision (Eg, Augmentation, Division of Tether), Replacement, or Removal of Thoracolumbar or Lumbar |
| 0791T | CPT Category III/PLA | Motor-Cognitive, Semi-Immersive Virtual Reality-Facilitated Gait Training, Each 15 Minutes (List Sep |
| 0792T | CPT Category III/PLA | Application of Silver Diamine Fluoride 38%, By A Physician or Other Qualified Health Care Profession |
| 0793T | CPT Category III/PLA | Percutaneous Transcatheter Thermal Ablation of Nerves Innervating the Pulmonary Arteries |
| 0794T | CPT Category III/PLA | Patient-Specific, Assistive, Rules-Based Algorithm For Ranking Pharmaco-Oncologic Treatment Options |
| 0795T | CPT Category III/PLA | Transcatheter Insertion of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance |
| 0796T | CPT Category III/PLA | Transcatheter Insertion of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance |
| 0797T | CPT Category III/PLA | Transcatheter Insertion of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance |
| 0798T | CPT Category III/PLA | Transcatheter Removal of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance |
| 0799T | CPT Category III/PLA | Transcatheter Removal of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance |
| 0800T | CPT Category III/PLA | Transcatheter Removal of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance |
| 0801T | CPT Category III/PLA | Transcatheter Removal and Replacement of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging |
| 0802T | CPT Category III/PLA | Transcatheter Removal and Replacement of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging |
| 0803T | CPT Category III/PLA | Transcatheter Removal and Replacement of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging |
| 0804T | CPT Category III/PLA | Programming Device Evaluation (In Person) With Iterative Adjustment of Implantable Device To Test Th |
| 0805T | CPT Category III/PLA | Transcatheter Superior and Inferior Vena Cava Prosthetic Valve Implantation (Ie, Caval Valve Implant |
| 0806T | CPT Category III/PLA | Transcatheter Superior and Inferior Vena Cava Prosthetic Valve Implantation (Ie, Caval Valve Implant |
| 0807T | CPT Category III/PLA | Pulmonary Tissue Ventilation Analysis Using Software-Based Processing of Data From Separately Captur |
| 0808T | CPT Category III/PLA | Pulmonary Tissue Ventilation Analysis Using Software-Based Processing of Data From Separately Captur |
| 0810T | CPT Category III/PLA | Subretinal Injection of A Pharmacologic Agent, Including Vitrectomy and 1 or More Retinotomies |
| 0811T | CPT Category III/PLA | Remote Multi-Day Complex Uroflowmetry (Eg, Calibrated Electronic Equipment); Set-Up and Patient Educ |
| 0812T | CPT Category III/PLA | Remote Multi-Day Complex Uroflowmetry (Eg, Calibrated Electronic Equipment); Device Supply With Auto |
| 0813T | CPT Category III/PLA | Esophagogastroduodenoscopy, Flexible, Transoral, With Volume Adjustment of Intragastric Bariatric Ba |
| 0814T | CPT Category III/PLA | Percutaneous Injection of Calcium-Based Biodegradable Osteoconductive Material, Proximal Femur, Incl |
| 0815T | CPT Category III/PLA | Ultrasound-Based Radiofrequency Echographic Multi-Spectrometry (Rems), Bone-Density Study and Fractu |
| 0816T | CPT Category III/PLA | Open Insertion or Replacement of Integrated Neurostimulation System For Bladder Dysfunction Includin |
| 0817T | CPT Category III/PLA | Open Insertion or Replacement of Integrated Neurostimulation System For Bladder Dysfunction Includin |
| 0818T | CPT Category III/PLA | Revision or Removal of Integrated Neurostimulation System For Bladder Dysfunction, Including Analysis |
| 0819T | CPT Category III/PLA | Revision or Removal of Integrated Neurostimulation System For Bladder Dysfunction, Including Analysis |
| 0820T | CPT Category III/PLA | Continuous In-Person Monitoring and Intervention (Eg, Psychotherapy, Crisis Intervention), As Needed |
| 0821T | CPT Category III/PLA | Continuous In-Person Monitoring and Intervention (Eg, Psychotherapy, Crisis Intervention), As Needed |
| 0822T | CPT Category III/PLA | Continuous In-Person Monitoring and Intervention (Eg, Psychotherapy, Crisis Intervention), As Needed |
| 0823T | CPT Category III/PLA | Transcatheter Insertion of Permanent Single-Chamber Leadless Pacemaker, Right Atrial, Including Imag |
| 0824T | CPT Category III/PLA | Transcatheter Removal of Permanent Single-Chamber Leadless Pacemaker, Right Atrial, Including Imagin |
| 0825T | CPT Category III/PLA | Transcatheter Removal and Replacement of Permanent Single-Chamber Leadless Pacemaker, Right Atrial |
| 0826T | CPT Category III/PLA | Programming Device Evaluation (In Person) With Iterative Adjustment of the Implantable Device To Tes |
| 0827T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Cytopathology, Fluids, Washings, or Brushings, Except Ce |
| 0828T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Cytopathology, Fluids, Washings, or Brushings, Except Ce |
| 0829T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Cytopathology, Concentration Technique, Smears, and Inte |
| 0830T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Cytopathology, Selective-Cellular Enhancement Technique |
| 0831T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Cytopathology, Cervical or Vaginal (Any Reporting System |
| 0832T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Cytopathology, Smears, Any Other Source; Screening and I |
| 0833T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Cytopathology, Smears, Any Other Source; Preparation, Sc |
| 0834T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Cytopathology, Smears, Any Other Source; Extended Study |
| 0835T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Cytopathology, Evaluation of Fine Needle Aspirate; Immed |
| 0836T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Cytopathology, Evaluation of Fine Needle Aspirate; Immed |
| 0837T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Cytopathology, Evaluation of Fine Needle Aspirate; Inter |
| 0838T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Consultation and Report on Referred Slides Prepared Else |
| 0839T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Consultation and Report on Referred Material Requiring P |
| 0840T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Consultation, Comprehensive, With Review of Records And |
| 0841T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Pathology Consultation During Surgery; First Tissue Bloc |
| 0842T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Pathology Consultation During Surgery; Each Additional T |
| 0843T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Pathology Consultation During Surgery; Cytologic Examina |
| 0844T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Pathology Consultation During Surgery; Cytologic Examina |
| 0845T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Immunofluorescence, Per Specimen; Initial Single Antibod |
| 0846T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Immunofluorescence, Per Specimen; Each Additional Single |
| 0847T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Examination and Selection of Retrieved Archival (Ie, Pre |
| 0848T | CPT Category III/PLA | Digitization of Glass Microscope Slides For In Situ Hybridization (Eg, Fish), Per Specimen; Initial |
| 0849T | CPT Category III/PLA | Digitization of Glass Microscope Slides For In Situ Hybridization (Eg, Fish), Per Specimen; Each Add |
| 0850T | CPT Category III/PLA | Digitization of Glass Microscope Slides For In Situ Hybridization (Eg, Fish), Per Specimen; Each Mul |
| 0851T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Morphometric Analysis, In Situ Hybridization (Quantitati |
| 0852T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Morphometric Analysis, In Situ Hybridization (Quantitati |
| 0853T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Morphometric Analysis, In Situ Hybridization (Quantitati |
| 0854T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Blood Smear, Peripheral, Interpretation By Physician Wit |
| 0855T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Bone Marrow, Smear Interpretation (List Separately In Ad |
| 0856T | CPT Category III/PLA | Digitization of Glass Microscope Slides For Electron Microscopy, Diagnostic (List Separately In Addi |
| 0857T | CPT Category III/PLA | Opto-Acoustic Imaging, Breast, Unilateral, Including Axilla When Performed, Real-Time With Image Doc |
| 0858T | CPT Category III/PLA | Externally Applied Transcranial Magnetic Stimulation With Concomitant Measurement of Evoked Cortical |
| 0859T | CPT Category III/PLA | Noncontact Near-Infrared Spectroscopy (Eg, For Measurement of Deoxyhemoglobin, Oxyhemoglobin, and Ra |
| 0860T | CPT Category III/PLA | Noncontact Near-Infrared Spectroscopy (Eg, For Measurement of Deoxyhemoglobin, Oxyhemoglobin, and Ra |
| 0861T | CPT Category III/PLA | Removal of Pulse Generator For Wireless Cardiac Stimulator For Left Ventricular Pacing; Both Compone |
| 0862T | CPT Category III/PLA | Relocation of Pulse Generator For Wireless Cardiac Stimulator For Left Ventricular Pacing, Including |
| 0863T | CPT Category III/PLA | Relocation of Pulse Generator For Wireless Cardiac Stimulator For Left Ventricular Pacing, Including |
| 0864T | CPT Category III/PLA | Low-Intensity Extracorporeal Shock Wave Therapy Involving Corpus Cavernosum, Low Energy |
| 0865T | CPT Category III/PLA | Quantitative Magnetic Resonance Image (MRI) Analysis of the Brain With Comparison To Prior Magnetic |
| 0866T | CPT Category III/PLA | Quantitative Magnetic Resonance Image (MRI) Analysis of the Brain With Comparison To Prior Magnetic |
| 0867T | CPT Category III/PLA | Transperineal Laser Ablation of Benign Prostatic Hyperplasia, Including Imaging Guidance; Prostate V |
| 0868T | CPT Category III/PLA | High-Resolution Gastric Electrophysiology Mapping With Simultaneous Patient-Symptom Profiling |
| 0869T | CPT Category III/PLA | Injection(S), Bone-Substitute Material For Bone and/or Soft Tissue Hardware Fixation Augmentation |
| 0870T | CPT Category III/PLA | Implantation of Subcutaneous Peritoneal Ascites Pump System, Percutaneous, Including Pump-Pocket Cre |
| 0871T | CPT Category III/PLA | Replacement of A Subcutaneous Peritoneal Ascites Pump, Including Reconnection Between Pump and Indwe |
| 0872T | CPT Category III/PLA | Replacement of Indwelling Bladder and Peritoneal Catheters, Including Tunneling of Catheter(S) and C |
| 0873T | CPT Category III/PLA | Revision of A Subcutaneously Implanted Peritoneal Ascites Pump System, Any Component |
| 0874T | CPT Category III/PLA | Removal of A Peritoneal Ascites Pump System, Including Implanted Peritoneal Ascites Pump and Indwell |
| 0875T | CPT Category III/PLA | Programming of Subcutaneously Implanted Peritoneal Ascites Pump System By Physician or Other Qualifi |
| 0876T | CPT Category III/PLA | Duplex Scan of Hemodialysis Fistula, Computer-Aided, Limited (Volume Flow, Diameter, and Depth, Incl |
| 0877T | CPT Category III/PLA | Augmentative Analysis of Chest Computed Tomography (CT) Imaging Data To Provide Categorical Diagnost |
| 0878T | CPT Category III/PLA | Augmentative Analysis of Chest Computed Tomography (CT) Imaging Data To Provide Categorical Diagnost |
| 0879T | CPT Category III/PLA | Augmentative Analysis of Chest Computed Tomography (CT) Imaging Data To Provide Categorical Diagnost |
| 0880T | CPT Category III/PLA | Augmentative Analysis of Chest Computed Tomography (CT) Imaging Data To Provide Categorical Diagnost |
| 0881T | CPT Category III/PLA | Cryotherapy of the Oral Cavity Using Temperature Regulated Fluid Cooling System, Including Placement |
| 0882T | CPT Category III/PLA | Intraoperative Therapeutic Electrical Stimulation of Peripheral Nerve To Promote Nerve Regeneration |
| 0883T | CPT Category III/PLA | Intraoperative Therapeutic Electrical Stimulation of Peripheral Nerve To Promote Nerve Regeneration, |
| 0884T | CPT Category III/PLA | Esophagoscopy, Flexible, Transoral, With Initial Transendoscopic Mechanical Dilation (Eg, Nondrug-Co |
| 0885T | CPT Category III/PLA | Colonoscopy, Flexible, With Initial Transendoscopic Mechanical Dilation (Eg, Nondrug-Coated Balloon) |
| 0886T | CPT Category III/PLA | Sigmoidoscopy, Flexible, With Initial Transendoscopic Mechanical Dilation (Eg, Nondrug-Coated Balloo |
| 0887T | CPT Category III/PLA | End-Tidal Control of Inhaled Anesthetic Agents and Oxygen To Assist Anesthesia Care Delivery (List S |
| 0888T | CPT Category III/PLA | Histotripsy (Ie, Non-Thermal Ablation Via Acoustic Energy Delivery) of Malignant Renal Tissue, Inclu |
| 0889T | CPT Category III/PLA | Personalized Target Development For Accelerated, Repetitive High-Dose Functional Connectivity MRI-Gu |
| 0890T | CPT Category III/PLA | Accelerated, Repetitive High-Dose Functional Connectivity MRI-Guided Theta-Burst Stimulation, Includ |
| 0891T | CPT Category III/PLA | Accelerated, Repetitive High-Dose Functional Connectivity MRI-Guided Theta-Burst Stimulation, Includ |
| 0892T | CPT Category III/PLA | Accelerated, Repetitive High-Dose Functional Connectivity MRI-Guided Theta-Burst Stimulation, Includ |
| 0893T | CPT Category III/PLA | Noninvasive Assessment of Blood Oxygenation, Gas Exchange Efficiency, and Cardiorespiratory Status, |
| 0894T | CPT Category III/PLA | Cannulation of the Liver Allograft In Preparation For Connection To the Normothermic Perfusion Devic |
| 0895T | CPT Category III/PLA | Connection of Liver Allograft To Normothermic Machine Perfusion Device, Hemostasis Control; Initial |
| 0896T | CPT Category III/PLA | Connection of Liver Allograft To Normothermic Machine Perfusion Device, Hemostasis Control; Each Add |
| 0897T | CPT Category III/PLA | Noninvasive Augmentative Arrhythmia Analysis Derived From Quantitative Computational Cardiac Arrhyth |
| 0898T | CPT Category III/PLA | Noninvasive Prostate Cancer Estimation Map, Derived From Augmentative Analysis of Image-Guided Fusio |
| 0899T | CPT Category III/PLA | Noninvasive Determination of Absolute Quantitation of Myocardial Blood Flow (Aqmbf), Derived From Au |
| 0900T | CPT Category III/PLA | Noninvasive Estimate of Absolute Quantitation of Myocardial Blood Flow (Aqmbf), Derived From Assisti |
| 11950 | CPT | Subcutaneous Injection of Filling Material (E.G., Collagen); 1 Cc or Less |
| 11951 | CPT | Subcutaneous Injection of Filling Material (E.G., Collagen); 1.1 To 5.0 Cc |
| 11952 | CPT | Subcutaneous Injection of Filling Material (E.G., Collagen); 5.1 To 10.0 Cc |
| 11970 | CPT | Replacement of Tissue Expander With Permanent Implant |
| 14000 | CPT | Adjacent Tissue Transfer or Rearrangement, Trunk; Defect 10 Sq Cm or Less |
| 14001 | CPT | Adjacent Tissue Transfer or Rearrangement, Trunk; Defect 10.1 Sq Cm To 30.0 Sq Cm |
| 14020 | CPT | Adjacent Tissue Transfer or Rearrangement, Scalp, Arms and/or Legs; Defect 10 Sq Cm or Less |
| 14021 | CPT | Adjacent Tissue Transfer or Rearrangement, Scalp, Arms and/or Legs; Defect 10.1 Sq Cm To 30.0 Sq Cm |
| 14040 | CPT | Adjacent Tissue Transfer or Rearrangement, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hands and/or Feet; Defect 10 Sq Cm or Less |
| 14041 | CPT | Adjacent Tissue Transfer or Rearrangement, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hands and/or Feet; Defect 10.1 Sq |
| 14060 | CPT | Adjacent Tissue Transfer or Rearrangement, Eyelids, Nose, Ears and/or Lips; Defect 10 Sq Cm or Less |
| 14061 | CPT | Adjacent Tissue Transfer or Rearrangement, Eyelids, Nose, Ears and/or Lips; Defect 10.1 Sq Cm To 30.0 Sq Cm |
| 14301 | CPT | Adjacent Tissue Transfer or Rearrangement, Any Area; Defect 30.1 Sq Cm To 60.0 Sq Cm |
| 14302 | CPT | Adjacent Tissue Transfer or Rearrangement, Any Area; Each Additional 30.0 Sq Cm, or Part Thereof |
| 15271 | CPT | Application of A Skin Substitute Graft To the Trunk, Arms, or Legs To Treat A Wound or Damaged Area of the Skin That Is 25 Square |
| 15272 | CPT | Application of An Additional Skin Substitute Graft To A Wound on the Trunk, Arms, or Legs |
| 15273 | CPT | Skin Substitute Graft To A Patient'S Trunk, Arms, or Legs |
| 15274 | CPT | Skin Substitute Graft To A Patient'S Trunk, Arms, or Legs, When the Total Wound Surface Area Is Greater Than or Equal To 100 Square Centimeters |
| 15275 | CPT | Skin Substitute Graft To the Face, Neck, Hands, or Feet, For the First 25 Square Centimeters or Less |
| 15276 | CPT | Skin Substitute Graft To the Face, Neck, Hands, Feet, or Genitalia For Each Additional 25 Square Centimeters of Wound Surface Area |
| 15277 | CPT | Skin Substitute Graft To A Patient'S Face, Neck, Hands, Feet, or Genitalia |
| 15278 | CPT | Application of A Skin Substitute Graft To Areas Like the Face, Neck, Hands, Feet, or Genitalia |
| 15570 | CPT | Formation of Direct or Tubed Pedicle, With or Without Transfer; Trunk |
| 15572 | CPT | Formation of Direct or Tubed Pedicle, With or Without Transfer; Scalp, Arms, or Legs |
| 15574 | CPT | Formation of Direct or Tubed Pedicle, With or Without Transfer; Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hands or Feet |
| 15576 | CPT | Transfer of A Pedicle Flap In the Ear, Nose, Eyelid, or Intraoral (Inside the Mouth) Regions |
| 15630 | CPT | Delay of Flap or Sectioning of Flap (Division and Inset) |
| 15650 | CPT | Transfer, Intermediate, of Any Pedicle Flap |
| 15730 | CPT | Midface Flap (I.E., Zygomaticofacial Flap) With Preservation of Vascular Pedicle(S) |
| 15731 | CPT | Forehead Flap With Preservation of Vascular Pedicle (E.G., Axial Pattern Flap, Paramedian Forehead Flap) |
| 15733 | CPT | Muscle, Myocutaneous, or Fasciocutaneous Flap; Head and Neck With Named Vascular Pedicle (I.E., Buccinators, Genioglossus, |
| 15734 | CPT | Muscle, Myocutaneous, or Fasciocutaneous Flap; Trunk |
| 15736 | CPT | Muscle, Myocutaneous, or Fasciocutaneous Flap; Upper Extremity |
| 15738 | CPT | Muscle, Myocutaneous, or Fasciocutaneous Flap; Lower Extremity |
| 15740 | CPT | Flap; Island Pedicle Requiring Identification and Dissection of An Anatomically Named Axial Vessel |
| 15750 | CPT | Flap; Neurovascular Pedicle |
| 15756 | CPT | Free Muscle or Myocutaneous Flap With Microvascular Anastomosis |
| 15757 | CPT | Free Skin Flap With Microvascular Anastomosis |
| 15758 | CPT | Free Fascial Flap With Microvascular Anastomosis |
| 15760 | CPT | Composite Graft Including the Skin, Subcutaneous Fat and Cartilage |
| 15769 | CPT | Grafting of Autologous Soft Tissue, Other, Harvested By Direct Excision (E.G., Fat, Dermis, Fascia) |
| 15770 | CPT | Graft; Derma-Fat-Fascia |
| 15771 | CPT | Grafting of Autologous Fat Harvested By Liposuction Technique To Trunk, Breasts, Scalp, Arms, and/or Legs; 50 Cc or Less Injectate |
| 15772 | CPT | Grafting of Autologous Fat Harvested By Liposuction Technique To Trunk, Breasts, Scalp, Arms, and/or Legs; Each Additional 50 Cc |
| 15773 | CPT | Grafting of Autologous Fat Harvested By Liposuction Technique To Face, Eyelids, Mouth, Neck, Ears, Orbits, Genitalia, Hands, and/or Feet; |
| 15774 | CPT | Grafting of Autologous Fat Harvested By Liposuction Technique To Face, Eyelids, Mouth, Neck, Ears, Orbits, Genitalia, Hands, and/or Feet; |
| 15775 | CPT | Hair Transplant Using Punch Grafts |
| 15776 | CPT | Hair Transplant Procedure That Involves More Than 15 Punch Grafts |
| 15819 | CPT | Cervicoplasty |
| 15832 | CPT | Excision, Excessive Skin and Subcutaneous Tissue (Includes Lipectomy); Thigh |
| 15833 | CPT | Excision, Excessive Skin and Subcutaneous Tissue (Includes Lipectomy); Leg |
| 15834 | CPT | Excision, Excessive Skin and Subcutaneous Tissue (Includes Lipectomy); Hip |
| 15835 | CPT | Excision, Excessive Skin and Subcutaneous Tissue (Includes Lipectomy); Buttock |
| 15836 | CPT | Excision, Excessive Skin and Subcutaneous Tissue (Includes Lipectomy); Arm |
| 15837 | CPT | Excision, Excessive Skin and Subcutaneous Tissue (Includes Lipectomy); Forearm or Hand |
| 15838 | CPT | Excision, Excessive Skin and Subcutaneous Tissue (Includes Lipectomy); Submental Fat Pad |
| 15839 | CPT | Excision, Excessive Skin and Subcutaneous Tissue (Includes Lipectomy); Other Area |
| 15840 | CPT | Fascial Graft To Repair Facial Nerve Paralysis |
| 15841 | CPT | Muscle Graft To Treat Nerve Palsy |
| 15842 | CPT | Microsurgical Free Muscle Flap Repair |
| 15845 | CPT | Graft For Facial Nerve Paralysis |
| 17340 | CPT | Cryotherapy of Skin |
| 17360 | CPT | Skin Peel Therapy |
| 19296 | CPT | Placement of Radiotherapy Afterloading Expandable Catheter (Single or Multichannel) |
| 19297 | CPT | Place Breast Cath For Rad |
| 19298 | CPT | Place Breast Rad Tube/Caths |
| 19355 | CPT | Correction of Inverted Nipples |
| 19499 | CPT | Unlisted Procedure, Breast |
| 20150 | CPT | Excise Epiphyseal Bar |
| 20802 | CPT | Replantation, Arm, Complete |
| 20805 | CPT | Replantation of A Forearm |
| 20808 | CPT | Replantation of A Hand |
| 20816 | CPT | Replantation of A Digit (Finger) Excluding the Thumb |
| 20822 | CPT | Replantation of A Digit (Finger or Toe) Excluding the Thumb |
| 20824 | CPT | Replantation of A Thumb |
| 20827 | CPT | Replantation of A Completely Amputated Thumb |
| 20838 | CPT | Replantation Surgery |
| 20910 | CPT | Cartilage Graft; Costochondral |
| 20912 | CPT | Harvesting Cartilage From the Nasal Septum For Use As A Graft |
| 20955 | CPT | Microvascular Fibula Graft |
| 20956 | CPT | Microvascular Iliac Bone Graft Procedure |
| 20957 | CPT | Microvascular Bone Graft, Metatarsal |
| 20962 | CPT | Bone Graft With Microvascular Anastomosis |
| 20969 | CPT | Microvascular Bone and Skin Graft |
| 20970 | CPT | Harvesting Bone and Skin Tissue With Its Attached Blood Supply From the Iliac Crest |
| 20972 | CPT | Harvesting A Bone and Skin Graft From the Metatarsal Bone With Microvascular Anastomosis |
| 20973 | CPT | Harvesting A Bone and Skin Graft From the Great Toe With Its Attached Blood Vessels |
| 20982 | CPT | Ablation Therapy For Reduction or Eradication of 1 or More Bone Tumors |
| 20983 | CPT | Ablation Therapy For Reduction or Eradication of 1 or More Bone Tumors |
| 20999 | CPT | Musculoskeletal Surgery |
| 21010 | CPT | Incision of Jaw Joint |
| 21034 | CPT | Removal of Face Bone Lesion |
| 21040 | CPT | Removal of Jaw Bone Lesion |
| 21044 | CPT | Removal of Jaw Bone Lesion |
| 21045 | CPT | Extensive Jaw Surgery |
| 21046 | CPT | Remove Mandible Cyst Complex |
| 21047 | CPT | Excise Lwr Jaw Cyst W/Repair |
| 21048 | CPT | Remove Maxilla Cyst Complex |
| 21049 | CPT | Excis Uppr Jaw Cyst W/Repair |
| 21050 | CPT | Removal of Jaw Joint |
| 21060 | CPT | Remove Jaw Joint Cartilage |
| 21070 | CPT | Remove Coronoid Process |
| 21076 | CPT | Surgical Obturator Prosthesis |
| 21077 | CPT | Orbital Prosthesis |
| 21079 | CPT | Interim Obturator Prosthesis |
| 21080 | CPT | Definitive Obturator Prosthesis |
| 21081 | CPT | Mandibular Resection Prosthesis |
| 21082 | CPT | Palatal Augmentation Prosthesis |
| 21083 | CPT | Palatal Left Prosthesis |
| 21084 | CPT | Speech Aid Prosthesis |
| 21085 | CPT | Oral Surgical Splint |
| 21086 | CPT | Auricular Prosthesis |
| 21087 | CPT | Nasal Prosthesis |
| 21088 | CPT | Facial Prosthesis |
| 21089 | CPT | Unlisted Maxillofacial Prosthesis |
| 21100 | CPT | Maxillofacial Fixation |
| 21110 | CPT | Interdental Fixation |
| 21208 | CPT | Osteoplasty, Facial Bones; Augmentation (Autograft, Allograft, or Prosthetic Implant) |
| 21243 | CPT | Arthroplasty, of the Tmj |
| 21270 | CPT | Malar Augmentation, Prosthetic Material |
| 21280 | CPT | Medial Canthopexy |
| 21295 | CPT | Reduction of Masseter Muscle and Bone (E.G., For Treatment of Benign Masseteric Hypertrophy); Extraoral Approach |
| 21296 | CPT | Reduction of Masseter Muscle and Bone (E.G., For Treatment of Benign Masseteric Hypertrophy); Intraoral Approach |
| 21440 | CPT | Closed Treatment of A Fractured Alveolar Ridge In the Jaw |
| 21445 | CPT | Open Treatment of Mandibular or Maxillary Alveolar Ridge Fracture |
| 21499 | CPT | Head Surgery Procedure |
| 21610 | CPT | Costotransversectomy |
| 21615 | CPT | Excision of the First Rib |
| 21616 | CPT | Cervical Sympathectomy |
| 21630 | CPT | Extensive Sternum Surgery |
| 21632 | CPT | Extensive Sternum Surgery |
| 21700 | CPT | Revision of Neck Muscle |
| 21705 | CPT | Revision of Neck Muscle |
| 21720 | CPT | Revision of Neck Muscle |
| 21725 | CPT | Revision of Neck Muscle |
| 21750 | CPT | Repair of Sternum Separation |
| 21899 | CPT | Neck/Chest Surgery Procedure |
| 22100 | CPT | Remove Part of Neck Vertebra |
| 22101 | CPT | Remove Part, Thorax Vertebra |
| 22102 | CPT | Remove Part, Lumbar Vertebra |
| 22103 | CPT | Remove Extra Spine Segment |
| 22110 | CPT | Remove Part of Neck Vertebra |
| 22112 | CPT | Remove Part, Thorax Vertebra |
| 22114 | CPT | Remove Part, Lumbar Vertebra |
| 22116 | CPT | Remove Extra Spine Segment |
| 22206 | CPT | Osteotomy of the Spine, 3 Columns, 1 Vertebral Segment |
| 22207 | CPT | Osteotomy of the Spine, 3 Columns, 1 Vertebral Segment |
| 22208 | CPT | Cut Spine 3 Col, Addl Seg |
| 22210 | CPT | Revision of Neck Spine |
| 22212 | CPT | Revision of Thorax Spine |
| 22214 | CPT | Revision of Lumbar Spine |
| 22216 | CPT | Revision of Extra Spine Segment |
| 22220 | CPT | Revision of Neck Spine |
| 22222 | CPT | Revision of Thorax Spine |
| 22224 | CPT | Revision of Lumbar Spine |
| 22226 | CPT | Revision of Extra Spine Segment |
| 22510 | CPT | Percutaneous Vertebroplasty (Bone Biopsy Included When Performed), 1 Vertebral Body, Unilateral or Bilateral Injection |
| 22511 | CPT | Percutaneous Vertebroplasty (Bone Biopsy Included When Performed), 1 Vertebral Body, Unilateral or Bilateral Injection |
| 22512 | CPT | Percutaneous Vertebroplasty (Bone Biopsy Included When Performed), 1 Vertebral Body, Unilateral or Bilateral Injection |
| 22515 | CPT | Percutaneous Vertebral Augmentation, Including Cavity Creation (Fracture Reduction and Bone Biopsy Included When Performed) Using |
| 22526 | CPT | Single-Level Percutaneous Intradiscal Electrothermal Annuloplasty (Idet) Procedure |
| 22527 | CPT | Percutaneous Intradiscal Electrothermal Annuloplasty (Idet) Procedure At One or More Levels of the Spine |
| 22532 | CPT | Arthrodesis, Lateral Extracavitary Technique, Including Minimal Discectomy To Prepare Interspace (Other Than For Decompression); Thoracic |
| 22533 | CPT | Arthrodesis, Lateral Extracavitary Technique, Including Minimal Discectomy To Prepare Interspace (Other Than For Decompression); Lumbar |
| 22534 | CPT | Arthrodesis, Lateral Extracavitary Technique, Including Minimal Discectomy To Prepare Interspace (Other Than For Decompression); |
| 22548 | CPT | Arthrodesis, Anterior Transoral or Extraoral Technique, Clivus-C1-C2 (Atlas-Axis), With or Without Excision of Odontoid Process |
| 22552 | CPT | Arthrodesis, Anterior Interbody, Including Disc Space Preparation, Discectomy, Osteophytectomy and Decompression of Spinal Cord And/ |
| 22556 | CPT | Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepare Interspace (Other Than For Decompression); Thoracic |
| 22558 | CPT | Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepare Interspace (Other Than For Decompression); Lumbar |
| 22586 | CPT | Arthrodesis, Pre-Sacral Interbody Technique, Including Disc Space Preparation, Discectomy, With Posterior Instrumentation, With Image |
| 22590 | CPT | Arthrodesis, Posterior Technique, Craniocervical (Occiput-C2) |
| 22595 | CPT | Arthrodesis, Posterior Technique, Atlas-Axis (C1-C2) |
| 22600 | CPT | Posterior or Posterolateral Technique Arthrodesis Procedure on A Single Interspace In the Cervical Spine |
| 22610 | CPT | Posterolateral or Lateral Transverse Process Technique Arthrodesis Procedures on the Spine |
| 22630 | CPT | Posterior Lumbar Interbody Arthrodesis |
| 22632 | CPT | Arthrodesis, Posterior Interbody Technique, Including Laminectomy and/or Discectomy, Each Additional Interspace |
| 22633 | CPT | Combined Posterior or Posterolateral Arthrodesis With Posterior Interbody Technique |
| 22800 | CPT | Arthrodesis, Posterior, For Spinal Deformity, With or Without Cast; Up To 6 Vertebral Segments |
| 22802 | CPT | Posterior Arthrodesis For Spinal Deformity Which Involves Fusing 7 To 12 Vertebral Segments In the Spine |
| 22804 | CPT | Arthrodesis, or Spinal Fusion, of 13 or More Vertebral Segments |
| 22808 | CPT | Arthrodesis, Anterior, For Spinal Deformity, With or Without Cast; 2 To 3 Vertebral Segments |
| 22810 | CPT | Arthrodesis, Anterior, For Spinal Deformity, With or Without Cast; 4 To 7 Vertebral Segments |
| 22812 | CPT | Arthrodesis (Spinal Fusion) Performed on Eight or More Vertebral Segments |
| 22818 | CPT | Kyphectomy |
| 22819 | CPT | Kyphectomy, 3 or 4 Vertebral Segments |
| 22836 | CPT | Anterior Thoracic Vertebral Body Tethering, Including Thoracoscopy, When Performed; Up To 7 Vertebral Segments |
| 22837 | CPT | Anterior Thoracic Vertebral Body Tethering, Including Thoracoscopy, When Performed; 8 or More Vertebral Segments |
| 22838 | CPT | Revision, Replacement, or Removal of A Thoracic Vertebral Body Tether |
| 22840 | CPT | Insertion of A Spine Fixation Device, Such As Rods, Screws, or Plates, During Spinal Surgery |
| 22841 | CPT | Internal Spinal Fixation By Wiring of Spinous Processes |
| 22842 | CPT | Insertion of A Spine Fixation Device |
| 22843 | CPT | Inserting A Spine Fixation Device During A Surgical Procedure To Stabilize the Spine |
| 22844 | CPT | A Spine Fixation Device Is Inserted Across 13 or More Vertebral Segments |
| 22845 | CPT | Anterior Spinal Instrumentation |
| 22846 | CPT | Spine Fixation Device, 4 To 7 Vertebral Segments |
| 22847 | CPT | Spinal Instrumentation on the Anterior (Front) of the Spine, 8 or More Vertebral Segments |
| 22848 | CPT | Pelvic Fixation |
| 22849 | CPT | Reinsert Spinal Fixation |
| 22850 | CPT | Remove Spine Fixation Device |
| 22852 | CPT | Remove Spine Fixation Device |
| 22853 | CPT | Insertion of Interbody Biomechanical Device(S) (Eg, Synthetic Cage, Mesh) With Integral Anterior Instrumentation For Device Anchoring |
| 22854 | CPT | Insertion of Intervertebral Biomechanical Device(S) (Eg, Synthetic Cage, Mesh) With Integral Anterior Instrumentation For Device |
| 22855 | CPT | Removal of Anterior Instrumentation |
| 22859 | CPT | Insertion of Intervertebral Biomechanical Device(S) (Eg, Synthetic Cage, Mesh, Methylmethacrylate) To Intervertebral Disc Space or |
| 22860 | CPT | Total Disc Arthroplasty (Artificial Disc) Procedure |
| 22861 | CPT | Revision of A Total Disc Arthroplasty |
| 22864 | CPT | Removal of A Previously Implanted Artificial Cervical Disc |
| 22867 | CPT | Spinal Stabilization Device Insertion With Decompression |
| 22868 | CPT | Spinal Stabilization Device Insertion With Decompression, Additional Level |
| 22999 | CPT | Abdomen Surgery Procedure |
| 23397 | CPT | Muscle Transfers |
| 23460 | CPT | Repair Shoulder Capsule |
| 23462 | CPT | Repair Shoulder Capsule |
| 23465 | CPT | Repair Shoulder Capsule |
| 23466 | CPT | Repair Shoulder Capsule |
| 23470 | CPT | Reconstruct Shoulder Joint |
| 23473 | CPT | Revis Reconst Shoulder Joint |
| 23480 | CPT | Revision of Collar Bone |
| 23485 | CPT | Revision of Collar Bone |
| 23490 | CPT | Reinforce Clavicle |
| 23491 | CPT | Reinforce Shoulder Bones |
| 23800 | CPT | Fusion of Shoulder Joint |
| 23802 | CPT | Fusion of Shoulder Joint |
| 23900 | CPT | Amputation of Arm & Girdle |
| 23920 | CPT | Amputation At Shoulder Joint |
| 23921 | CPT | Amputation Follow-Up Surgery |
| 23929 | CPT | Shoulder Surgery Procedure |
| 24344 | CPT | Reconstruct Elbow Lat Ligmnt |
| 24345 | CPT | Repr Elbw Med Ligmnt W/Tissu |
| 24346 | CPT | Reconstruct Elbow Med Ligmnt |
| 24361 | CPT | Reconstruct Elbow Joint |
| 24362 | CPT | Reconstruct Elbow Joint |
| 24370 | CPT | Revise Reconst Elbow Joint |
| 24371 | CPT | Revise Reconst Elbow Joint |
| 24400 | CPT | Revision of Humerus |
| 24410 | CPT | Revision of Humerus |
| 24420 | CPT | Revision of Humerus |
| 24430 | CPT | Repair of Humerus |
| 24800 | CPT | Fusion of Elbow Joint |
| 24802 | CPT | Fusion/Graft of Elbow Joint |
| 24931 | CPT | Amputate Upper Arm & Implant |
| 24935 | CPT | Revision of Amputation |
| 24940 | CPT | Revision of Upper Arm |
| 24999 | CPT | Upper Arm/Elbow Surgery |
| 25999 | CPT | Forearm or Wrist Surgery |
| 26550 | CPT | Construct Thumb Replacement |
| 26551 | CPT | Great Toe-Hand Transfer |
| 26553 | CPT | Single Transfer Toe-Hand |
| 26554 | CPT | Double Transfer Toe-Hand |
| 26555 | CPT | Positional Change of Finger |
| 26556 | CPT | Toe Joint Transfer |
| 26560 | CPT | Repair of Web Finger |
| 26561 | CPT | Repair of Web Finger |
| 26562 | CPT | Repair of Web Finger |
| 26565 | CPT | Correct Metacarpal Flaw |
| 26567 | CPT | Correct Finger Deformity |
| 26568 | CPT | Lengthen Metacarpal/Finger |
| 26580 | CPT | Repair Hand Deformity |
| 26587 | CPT | Reconstruct Extra Finger |
| 26590 | CPT | Repair Finger Deformity |
| 26989 | CPT | Hand/Finger Surgery |
| 27033 | CPT | Hip Joint Denervation |
| 27035 | CPT | Denervation, Hip Joint, Intrapelvic or Extrapelvic Intrarticular Branches of Sciatic, Femoral, or Obturator Nerves |
| 27036 | CPT | Release Hip Flexion Contracture |
| 27067 | CPT | Removal or Grafting of A Lesion In the Hip Bone |
| 27070 | CPT | Excision of Bone Cysts or Benign Tumor |
| 27071 | CPT | Partial Excision of A Portion of the Wing of the Ilium, Symphysis Pubis, or Greater Trochanter of the Femur |
| 27075 | CPT | Radical Resection of A Tumor In the Wing of the Ilium, One Pubic or Ischial Ramus, or Symphysis Pubis |
| 27076 | CPT | Radical Resection of A Tumor In the Ilium, Including the Acetabulum, Both Pubic Rami, or Ischium and Acetabulum |
| 27077 | CPT | Radical Resection of A Tumor In the Innominate Bone, Total |
| 27078 | CPT | Radical Resection of A Tumor In the Ischial Tuberosity and Greater Trochanter of the Femur |
| 27110 | CPT | Transfer of Iliopsoas Muscle |
| 27111 | CPT | Transfer of Iliopsoas Muscle |
| 27120 | CPT | Acetabuloplasty |
| 27122 | CPT | Acetabuloplasty; Resection, Femoral Head |
| 27125 | CPT | Partial Hip Replacement |
| 27132 | CPT | Conversion of Previous Hip Surgery To Total Hip Arthroplasty, With or Without Autograft or Allograft |
| 27137 | CPT | Revision of Total Hip Arthroplasty; Acetabular Component Only, With or Without Autograft or Allograft |
| 27138 | CPT | Revision of Total Hip Arthroplasty; Femoral Component Only, With or Without Allograft |
| 27140 | CPT | Osteotomy and Transfer of the Greater Trochanter of the Femur, or A Surgical Procedure To Transplant A Femur Ridge |
| 27146 | CPT | Osteotomy of the Iliac, Acetabular, or Innominate Bone |
| 27147 | CPT | Osteotomy, Iliac, Acetabular or Innominate Bone; With Open Reduction of Hip |
| 27151 | CPT | Repair, Revision, and/or Reconstruction Procedures on the Hip Joint and Pelvis |
| 27156 | CPT | Osteotomy, Iliac, Acetabular, or Innominate Bone; With Femoral Osteotomy and With Open Reduction of Hip |
| 27158 | CPT | Osteotomy, Pelvis, Bilateral |
| 27161 | CPT | Osteotomy of the Femoral Neck |
| 27165 | CPT | Osteotomy, Intertrochanteric or Subtrochanteric (Including Internal or External Fixation and/or Cast) |
| 27170 | CPT | Bone Graft Surgery For Femur Fractures, Femoral Bone Grafting |
| 27175 | CPT | Treatment of Slipped Femoral Epiphysis |
| 27176 | CPT | Surgical Procedure To Treat A Slipped Femoral Epiphysis |
| 27177 | CPT | Open Surgery To Treat A Slipped Femoral Epiphysis In the Hip |
| 27178 | CPT | Open Treatment of Slipped Femoral Epiphysis; Closed Manipulation With Single or Multiple Pinning |
| 27179 | CPT | Open, Arthroscopic, and Combined Hip Surgery |
| 27181 | CPT | Open Treatment of Slipped Femoral Epiphysis; Osteotomy and Internal Fixation |
| 27185 | CPT | Epiphyseal Arrest By Epiphysiodesis or Stapling, Greater Trochanter of Femur |
| 27187 | CPT | Prophylactic Treatment (Nailing, Pinning, Plating, or Wiring) With or Without Methylmethacrylate For Femoral Neck and Proximal Femur |
| 27258 | CPT | Open Treatment of Spontaneous Hip Dislocation (Developmental, Including Congenital or Pathological), Replacement of Femoral Head In Acetabulum |
| 27259 | CPT | Open Treatment of Spontaneous Hip Dislocation (Developmental, Including Congenital or Pathological), Replacement of Femoral Head In Acetabulum |
| 27278 | CPT | Arthrodesis, Sacroiliac Joint, Percutaneous, With Image Guidance, Including Placement of Intra-Hyphenarticular Implant(S) (Eg, Bone |
| 27282 | CPT | Arthrodesis of the Symphysis Pubis |
| 27284 | CPT | Arthrodesis Procedure on the Hip Joint, Which Includes Obtaining A Graft |
| 27286 | CPT | Arthrodesis of the Hip Joint, Including Obtaining A Graft, and Subtrochanteric Osteotomy |
| 27290 | CPT | Amputation of A Leg At the Hip |
| 27295 | CPT | Disarticulation of the Hip |
| 27299 | CPT | Pelvis/Hip Joint Surgery |
| 27397 | CPT | Transplants of Thigh Tendons |
| 27400 | CPT | Revise Thigh Muscles/Tendons |
| 27403 | CPT | Repair of Knee Cartilage |
| 27407 | CPT | Repair of Knee Ligament |
| 27409 | CPT | Repair of Knee Ligament |
| 27412 | CPT | Autochondrocyte Implant Knee |
| 27415 | CPT | Osteochondral Knee Allograf |
| 27416 | CPT | Osteochondral Knee Autograf |
| 27418 | CPT | Repair Degenerated Kneecap |
| 27420 | CPT | Revision of Unstable Kneecap |
| 27422 | CPT | Revision of Unstable Kneecap |
| 27424 | CPT | Revision/Removal of Kneecap |
| 27427 | CPT | Reconstruction, Knee |
| 27428 | CPT | Reconstruction, Knee |
| 27429 | CPT | Reconstruction, Knee |
| 27430 | CPT | Revision of Thigh Muscles |
| 27435 | CPT | Incision of Knee Joint |
| 27437 | CPT | Arthroplasty, Patella; Without Prosthesis |
| 27438 | CPT | Arthroplasty, Patella; With Prosthesis |
| 27440 | CPT | Revision of Knee Joint |
| 27441 | CPT | Revision of Knee Joint |
| 27442 | CPT | Revision of Knee Joint |
| 27443 | CPT | Revision of Knee Joint |
| 27445 | CPT | Revision of Knee Joint |
| 27448 | CPT | Incision of Thigh |
| 27450 | CPT | Incision of Thigh |
| 27454 | CPT | Realignment of Thigh Bone |
| 27455 | CPT | Realignment of Knee |
| 27457 | CPT | Realignment of Knee |
| 27465 | CPT | Shortening of Thigh Bone |
| 27466 | CPT | Lengthening of Thigh Bone |
| 27468 | CPT | Shorten/Lengthen Thighs |
| 27470 | CPT | Repair of Thigh |
| 27472 | CPT | Repair/Graft of Thigh |
| 27475 | CPT | Surgery To Stop Leg Growth |
| 27477 | CPT | Surgery To Stop Leg Growth |
| 27479 | CPT | Surgery To Stop Leg Growth |
| 27485 | CPT | Surgery To Stop Leg Growth |
| 27488 | CPT | Removal of Knee Prosthesis |
| 27495 | CPT | Reinforce Thigh |
| 27580 | CPT | Fusion of Knee |
| 27599 | CPT | Leg Surgery Procedure |
| 27700 | CPT | Revision of Ankle Joint |
| 27702 | CPT | Reconstruct Ankle Joint |
| 27703 | CPT | Reconstruction, Ankle Joint |
| 27704 | CPT | Osteotomy; Tibia |
| 27705 | CPT | Incision of Fibula |
| 27707 | CPT | Incision of Tibia & Fibula |
| 27712 | CPT | Realignment of Lower Leg |
| 27715 | CPT | Revision of Lower Leg |
| 27722 | CPT | Repair/Graft of Tibia |
| 27724 | CPT | Repair of Nonunion or Malunion of the Tibia With A Graft |
| 27725 | CPT | Repair of Nonunion Tibia Synostosis With Fibula |
| 27726 | CPT | Repair of Nonunion Fibula |
| 27727 | CPT | Repair of Lower Leg |
| 27730 | CPT | Repair of Tibia Epiphysis |
| 27732 | CPT | Repair of Fibula Epiphysis |
| 27734 | CPT | Repair Lower Leg Epiphyses |
| 27740 | CPT | Repair of Leg Epiphyses |
| 27742 | CPT | Repair of Leg Epiphyses |
| 27745 | CPT | Reinforce Tibia |
| 27899 | CPT | Leg/Ankle Surgery Procedure |
| 28261 | CPT | Revision of Foot Tendon |
| 28262 | CPT | Revision of Foot and Ankle |
| 28264 | CPT | Release of Midfoot Joint |
| 28270 | CPT | Release of Foot Contracture |
| 28272 | CPT | Release of Toe Joint, Each |
| 28280 | CPT | Fusion of Toes |
| 28285 | CPT | Repair of Hammertoe |
| 28286 | CPT | Repair of Hammertoe |
| 28289 | CPT | Hallux Rigidus Correctio |
| 28292 | CPT | Correction of Bunion |
| 28295 | CPT | Correction of Bunion |
| 28313 | CPT | Repair Deformity of Toe |
| 28315 | CPT | Removal of Sesamoid Bone |
| 28340 | CPT | Resect Enlarged Toe Tissue |
| 28341 | CPT | Resect Enlarged Toe |
| 28345 | CPT | Repair Webbed Toe(S) |
| 28360 | CPT | Reconstruct Cleft Foot |
| 28735 | CPT | Fusion of Foot Bones |
| 28737 | CPT | Revision of Foot Bones |
| 28760 | CPT | Fusion of Big Toe Joint |
| 29800 | CPT | Arthroscopy of the Jaw |
| 29804 | CPT | Arthroscopy of the Jaw |
| 29805 | CPT | Arthroscopy, Shoulder, Surgical |
| 29807 | CPT | Arthroscopy, Shoulder, Surgical |
| 29819 | CPT | Arthroscopy, Shoulder, Surgical |
| 29820 | CPT | Partial Synovectomy of the Shoulder Joint |
| 29821 | CPT | Arthroscopy, Shoulder, Surgical; Synovectomy |
| 29822 | CPT | Surgical Shoulder Arthroscopy |
| 29823 | CPT | Surgical Shoulder Arthroscopy |
| 29824 | CPT | Arthroscopy, Shoulder, Surgical |
| 29825 | CPT | Arthroscopic Lysis of Adhesions |
| 29826 | CPT | Arthroscopy, Shoulder, Surgical |
| 29828 | CPT | Arthroscopy, Shoulder, Surgical |
| 29830 | CPT | Arthroscopy, Elbow |
| 29834 | CPT | Arthroscopy, Elbow |
| 29835 | CPT | Synovectomy, Partial |
| 29836 | CPT | Arthroscopy, Elbow, Surgical |
| 29837 | CPT | Elbow Arthroscopy/Surgery |
| 29838 | CPT | Elbow Arthroscopy/Surgery |
| 29840 | CPT | Wrist Arthroscopy |
| 29843 | CPT | Wrist Arthroscopy/Surgery |
| 29844 | CPT | Wrist Arthroscopy/Surgery |
| 29845 | CPT | Wrist Arthroscopy/Surgery |
| 29847 | CPT | Wrist Arthroscopy/Surgery |
| 29848 | CPT | Wrist Arthroscopy/Surgery |
| 29850 | CPT | Knee Arthroscopy/Surgery |
| 29851 | CPT | Knee Arthroscopy/Surgery |
| 29860 | CPT | Hip Arthroscopy, Diagnostic |
| 29861 | CPT | Hip Arthroscopy/Surgery |
| 29862 | CPT | Hip Arthroscopy/Surgery |
| 29863 | CPT | Hip Arthroscopy/Surgery |
| 29866 | CPT | Autgrft Implnt, Knee W/Scope |
| 29867 | CPT | Allgrft Implnt, Knee W/Scope |
| 29870 | CPT | Knee Arthroscopy, Diagnostic |
| 29871 | CPT | Knee Arthroscopy/Drainage |
| 29873 | CPT | Knee Arthroscopy/Surgery |
| 29874 | CPT | Knee Arthroscopy/Surgery |
| 29876 | CPT | Knee Arthroscopy/Surgery |
| 29879 | CPT | Knee Arthroscopy/Surgery |
| 29882 | CPT | Knee Arthroscopy/Surgery |
| 29884 | CPT | Knee Arthroscopy/Surgery |
| 29885 | CPT | Knee Arthroscopy/Surgery |
| 29886 | CPT | Knee Arthroscopy/Surgery |
| 29887 | CPT | Knee Arthroscopy/Surgery |
| 29889 | CPT | Knee Arthroscopy/Surgery |
| 29891 | CPT | Ankle Arthroscopy/Surgery |
| 29893 | CPT | Endoscopic Plantar Fasciotomy |
| 29894 | CPT | Ankle Arthroscopy/Surgery |
| 29895 | CPT | Ankle Arthroscopy/Surgery |
| 29897 | CPT | Ankle Arthroscopy/Surgery |
| 29898 | CPT | Ankle Arthroscopy/Surgery |
| 29899 | CPT | Ankle Arthroscopy/Surgery |
| 29900 | CPT | Metacarp Jt Arthroscopy,W Synov Biop |
| 29901 | CPT | Metacarp Joint Arthroscopy W Debride |
| 29902 | CPT | Metacarp Jt Arthroscopy, W Reduc Ligam |
| 29904 | CPT | Subtalar Arthro W/Fb Rmvl |
| 29905 | CPT | Subtalar Arthro W/Exc |
| 29906 | CPT | Subtalar Arthro W/Deb |
| 29907 | CPT | Subtalar Arthro W/Fusion |
| 29914 | CPT | Arthroscopy Hip W/Femoroplasty |
| 29915 | CPT | Arthroscopy Hip W/Acetabuloplasty |
| 29916 | CPT | Arthroscopy Hip W/Labral Repair |
| 30150 | CPT | Rhinectomy; Partial |
| 30160 | CPT | Total Rhinectomy |
| 30460 | CPT | Revision of Nose |
| 30462 | CPT | Revision of Nose |
| 30465 | CPT | Repair Nasal Stenosis |
| 30469 | CPT | Repair of Nasal Valve Collapse |
| 30520 | CPT | Septoplasty |
| 30580 | CPT | Repair Upper Jaw Fistula |
| 30600 | CPT | Repair Mouth/Nose Fistula |
| 30630 | CPT | Repair Nasal Septum Defect |
| 30915 | CPT | Ligation Nasal Sinus Artery |
| 30920 | CPT | Ligation Upper Jaw Artery |
| 31040 | CPT | Pterygomaxillary Fossa Surgery |
| 31080 | CPT | Removal of Frontal Sinus |
| 31081 | CPT | Removal of Frontal Sinus |
| 31084 | CPT | Removal of Frontal Sinus |
| 31085 | CPT | Removal of Frontal Sinus |
| 31086 | CPT | Removal of Frontal Sinus |
| 31087 | CPT | Removal of Frontal Sinus |
| 31090 | CPT | Exploration of Sinuses |
| 31200 | CPT | Removal of Ethmoid Sinus |
| 31201 | CPT | Removal of Ethmoid Sinus |
| 31205 | CPT | Removal of Ethmoid Sinus |
| 31225 | CPT | Removal of Upper Jaw |
| 31230 | CPT | Removal of Upper Jaw |
| 31242 | CPT | Endoscopic Destruction of the Posterior Nasal Nerve Using Radiofrequency Ablation |
| 31243 | CPT | Nasal Cryoablation |
| 31290 | CPT | Nasal/Sinus Endoscopy, Surgical, With Repair of Cerebrospinal Fluid Leak; Ethmoid Region |
| 31291 | CPT | Nasal/Sinus Endoscopy, Surgical, With Repair of Cerebrospinal Fluid Leak; Ethmoid Region |
| 31292 | CPT | Nasal/Sinus Endoscopy, Surgical, With Orbital Decompression |
| 31293 | CPT | Nasal/Sinus Endoscopy, Surgical, With Orbital Decompression |
| 31294 | CPT | Nasal/Sinus Endoscopy, Surgical, With Orbital Decompression |
| 31360 | CPT | Removal of Larynx |
| 31365 | CPT | Removal of Larynx |
| 31367 | CPT | Partial Removal of Larynx |
| 31368 | CPT | Partial Removal of Larynx |
| 31370 | CPT | Partial Removal of Larynx |
| 31375 | CPT | Partial Removal of Larynx |
| 31380 | CPT | Partial Removal of Larynx |
| 31382 | CPT | Partial Removal of Larynx |
| 31390 | CPT | Removal of Larynx & Pharynx |
| 31395 | CPT | Reconstruct Larynx & Pharyn |
| 31400 | CPT | Revision of Larynx |
| 31420 | CPT | Removal of Epiglottis |
| 31551 | CPT | Laryngoplasty |
| 31552 | CPT | Laryngoplasty |
| 31553 | CPT | Laryngoplasty |
| 31580 | CPT | Revision of Larynx |
| 31584 | CPT | Repair of Larynx Fracture |
| 31587 | CPT | Revision of Larynx |
| 31590 | CPT | Reinnervate Larynx |
| 31591 | CPT | Laryngoplasty, Medialization, Unilateral |
| 31592 | CPT | Cricotracheal Resection |
| 31599 | CPT | Larynx Surgery Procedur |
| 31600 | CPT | Incision of Windpipe |
| 31601 | CPT | Incision of Windpipe |
| 31605 | CPT | Incision of Windpipe |
| 31610 | CPT | Incision of Windpipe |
| 31611 | CPT | Surgery/Speech Prosthesis |
| 31613 | CPT | Repair Windpipe Opening |
| 31614 | CPT | Repair Windpipe Opening |
| 31660 | CPT | Bronchial Thermoplasty |
| 31661 | CPT | Bronchial Thermoplasty |
| 31750 | CPT | Repair of Windpipe |
| 31755 | CPT | Repair of Windpipe |
| 31760 | CPT | Repair of Windpipe |
| 31766 | CPT | Reconstruction of Windpipe |
| 31770 | CPT | Repair/Graft of Bronchus |
| 31775 | CPT | Reconstruct Bronchus |
| 31780 | CPT | Reconstruct Windpipe |
| 31781 | CPT | Reconstruct Windpipe |
| 31785 | CPT | Remove Windpipe Lesion |
| 31786 | CPT | Remove Windpipe Lesion |
| 31800 | CPT | Repair of Windpipe Injury |
| 31805 | CPT | Repair of Windpipe Injury |
| 31820 | CPT | Closure of Windpipe Lesion |
| 31825 | CPT | Repair of Windpipe Defect |
| 31899 | CPT | Airways Surgical Procedure |
| 32035 | CPT | Exploration of Chest |
| 32036 | CPT | Exploration of Chest |
| 32096 | CPT | Thoracotomy |
| 32097 | CPT | Thoracotomy |
| 32098 | CPT | Thoracotomy |
| 32100 | CPT | Thoracotomy |
| 32110 | CPT | Thoracotomy With Control/Repair |
| 32120 | CPT | Re-Exploration of Chest |
| 32124 | CPT | Explore Chest,Free Adhesions |
| 32140 | CPT | Removal of Lung Lesion(S) |
| 32141 | CPT | Remove/Treat Lung Lesion |
| 32150 | CPT | Remove/Treat Lung Lesion |
| 32151 | CPT | Remove Lung Foreign Bod |
| 3218F | CPT Category III/PLA | Rna Tstng Hep C Docd Done |
| 32200 | CPT | Drainage of Lung Lesion |
| 32215 | CPT | Treat Chest Lining |
| 32220 | CPT | Release of Lung |
| 32310 | CPT | Removal of Chest Lining |
| 32320 | CPT | Removal of Chest Lining |
| 32440 | CPT | Removal of Lung |
| 32442 | CPT | Sleeve Pneumonectomy |
| 32445 | CPT | Removal of Lung |
| 32480 | CPT | Partial Removal of Lung |
| 32482 | CPT | Bilobectomy |
| 32484 | CPT | Segmentectomy |
| 32486 | CPT | Sleeve Lobectomy |
| 32488 | CPT | Completion Pneumonectomy |
| 32491 | CPT | Removal of Lung, Other Than Pneumonectomy |
| 32503 | CPT | Resect Apical Lung Tumor |
| 32504 | CPT | Resect Apical Lung Tum/Chest |
| 32505 | CPT | Thoracotomy; With Therapeutic Wedge Resection |
| 32506 | CPT | Thoracotomy; With Therapeutic Wedge Resection |
| 32507 | CPT | Thoracotomy; With Therapeutic Wedge Resection |
| 32540 | CPT | Removal of Lung Lesion |
| 32650 | CPT | Thoracoscopy, Surgical |
| 32651 | CPT | Thoracoscopy, Surgical |
| 32652 | CPT | Thoracoscopy, Surgical |
| 32653 | CPT | Thoracoscopy, Surgical |
| 32654 | CPT | Thoracoscopy, Surgical |
| 32655 | CPT | Thoracoscopy, Surgical |
| 32656 | CPT | Thoracoscopy, Surgical |
| 32658 | CPT | Thoracoscopy, Surgical |
| 32659 | CPT | Thoracoscopy, Surgical |
| 32661 | CPT | Thoracoscopy, Surgical |
| 32662 | CPT | Thoracoscopy, Surgical |
| 32663 | CPT | Thoracoscopy, Surgical |
| 32664 | CPT | Thoracoscopy, Surgical |
| 32665 | CPT | Thoracoscopy, Surgical |
| 32666 | CPT | Thoracoscopy, Surgical |
| 32667 | CPT | Thoracoscopy, Surgical |
| 32668 | CPT | Thoracoscopy, Surgical |
| 32669 | CPT | Thoracoscopy, Surgical |
| 32670 | CPT | Thoracoscopy, Surgical |
| 32671 | CPT | Thoracoscopy, Surgical |
| 32672 | CPT | Thoracoscopy, Surgical |
| 32673 | CPT | Thoracoscopy, Surgical |
| 32674 | CPT | Thoracoscopy, Surgical |
| 32800 | CPT | Repair Lung Hernia |
| 32810 | CPT | Close Chest After Drainage |
| 32815 | CPT | Close Bronchial Fistula |
| 32820 | CPT | Reconstruct Injured Chest |
| 32900 | CPT | Removal of Rib(S) |
| 32905 | CPT | Revise & Repair Chest Wal |
| 32906 | CPT | Revise & Repair Chest Wal |
| 32940 | CPT | Revision of Lung |
| 32994 | CPT | Ablation Therapy For Reduction or Eradication of 1 or More Pulmonary Tumor |
| 32998 | CPT | Perq Rf Ablate Tx, Pul Tumor |
| 33030 | CPT | Incision of Heart Sac |
| 33031 | CPT | Partial Removal of Heart Sac |
| 33050 | CPT | Resection of Heart Sac Lesion |
| 33120 | CPT | Removal of Heart Lesion |
| 33130 | CPT | Removal of Heart Lesion |
| 33140 | CPT | Transmyocardial Laser Revasculatization |
| 33141 | CPT | Heart Tmr W/Other Procedure |
| 33202 | CPT | Insertion of Epicardial Electrode(S); Open Incision |
| 33203 | CPT | Insertion of Epicardial Electrode(S); Endo |
| 33206 | CPT | Insertion of Heart Pacemaker |
| 33210 | CPT | Insertion of Heart Electrode |
| 33211 | CPT | Insertion of Heart Electrode |
| 33212 | CPT | Insertion of Pulse Generator |
| 33213 | CPT | Insertion of Pulse Generator |
| 33217 | CPT | Insert 2 Electrode Pm-Defib |
| 3321F | CPT Category III/PLA | Ajcc Cncr 0/Ia Melan Docd |
| 33220 | CPT | Repair Pacemaker Electrode |
| 33221 | CPT | Insertion of Pacemaker Pulse Generator |
| 33222 | CPT | Pacemaker Aicd Pocket |
| 33223 | CPT | Revise Pocket For Defib |
| 33225 | CPT | L Ventric Pacing Lead Add-On |
| 33226 | CPT | Reposition L Ventric Lead |
| 33230 | CPT | Insertion of Pacing Cardioverter-Defibrillator Pulse GeneraTor Only |
| 33231 | CPT | Insertion of Pacing Cardioverter-Defibrillator Pulse GeneraTor Only |
| 33234 | CPT | Removal of Pacemaker System |
| 33236 | CPT | Remove Electrode/Thoracotomy |
| 33237 | CPT | Remove Electrode/Thoracotomy |
| 33238 | CPT | Remove Electrode/Thoracotomy |
| 33240 | CPT | Remove Electrode/Thoracotomy |
| 33241 | CPT | Remove Pulse Generator Only |
| 33243 | CPT | Remove Pulse Generator Only |
| 33244 | CPT | Remove Pulse Generator Only |
| 33250 | CPT | Ablate Heart Dysrhythm Focus |
| 33251 | CPT | Ablate Heart Dysrhythm Focus |
| 33254 | CPT | Operative Tissue Ablation and Reconstruction of Atria, Limited |
| 33255 | CPT | Ablate Atria W/O Bypass, Ext |
| 33256 | CPT | Ablate Atria W/O Bypass, Ext |
| 33257 | CPT | Ablate Atria W/O Bypass, Ext |
| 33258 | CPT | Ablate Atria W/O Bypass, Ext |
| 33259 | CPT | Ablate Atria W/O Bypass, Ext |
| 33261 | CPT | Ablate Heart Dysrhythm Focus |
| 33265 | CPT | Ablate Atria W/Bypass, Endo |
| 33266 | CPT | Ablate Atria W/Bypass, Endo |
| 33267 | CPT | Removal of Permanent Epicardial Pacemaker and Electrodes By Thoracotomy |
| 33268 | CPT | Exclusion of Left Atrial Appendage |
| 33269 | CPT | Exclusion of Left Atrial Appendage, |
| 33271 | CPT | Insertion of Subcutaneous Implantable Defibrillator Electrode |
| 33272 | CPT | Removal of Subcutaneous Implantable Defibrillator Electrode |
| 33275 | CPT | Transcatheter Removal of Permanent Leadless Pacemaker, Right Ventricular |
| 33276 | CPT | Insertion of Phrenic Nerve Stimulator System |
| 33277 | CPT | Nsertion of Phrenic Nerve Stimulator System |
| 33278 | CPT | Removal of Phrenic Nerve Stimulator, |
| 33279 | CPT | Removal of Phrenic Nerve Stimulator, |
| 33280 | CPT | Removal of Phrenic Nerve Stimulator, |
| 33281 | CPT | Phrenic Nerve Stimulation System |
| 33287 | CPT | Removal and Replacement of Phrenic Nerve Stimulator |
| 33288 | CPT | Removal and Replacement of Phrenic Nerve Stimulator |
| 33300 | CPT | Repair of Heart Wound |
| 33305 | CPT | Repair of Heart Wound |
| 33310 | CPT | Exploratory Heart Surgery |
| 33315 | CPT | Exploratory Heart Surgery |
| 33320 | CPT | Repair Major Blood Vessel(S) |
| 33321 | CPT | Repair of Major Vessel |
| 33322 | CPT | Repair Major Blood Vessel(S) |
| 33330 | CPT | Insert Major Vessel Graf |
| 33335 | CPT | Insert Major Vessel Graf |
| 33340 | CPT | Percutaneous Transcatheter Closure of the Left Atrial Appendage With Endocardial Implant |
| 33361 | CPT | Transcatheter Aortic Valve Replacement |
| 33362 | CPT | Transcatheter Aortic Valve Replacement |
| 33363 | CPT | Replace Aortic Valve Open |
| 33364 | CPT | Replace Aortic Valve Open |
| 33365 | CPT | Replace Aortic Valve Open |
| 33366 | CPT | Transcatheter Aortic Valve Replacement |
| 33367 | CPT | Replace Aortic Valve W/Byp |
| 33368 | CPT | Replace Aortic Valve W/Byp |
| 33369 | CPT | Replace Aortic Valve W/Byp |
| 33370 | CPT | Transcatheter Placement and Subsequent Removal of Cerebral Embolic Protection |
| 33390 | CPT | Valvuloplasty, Aortic Valve, Open, With Cardiopulmonary Bypass |
| 33391 | CPT | Valvuloplasty, Aortic Valve, Open, With Cardiopulmonary Bypass |
| 33404 | CPT | Prepare Heart-Aorta Condui |
| 33405 | CPT | Replacement of Aortic Valve |
| 33406 | CPT | Replacement of Aortic Valve |
| 33410 | CPT | Replacement of Aortic Valve |
| 33411 | CPT | Replacement of Aortic Valve |
| 33412 | CPT | Replacement of Aortic Valve |
| 33413 | CPT | Replacement of Aortic Valve |
| 33414 | CPT | Replacement of Aortic Valve |
| 33415 | CPT | Revision, Subvalvular Tissue |
| 33416 | CPT | Revise Ventricle Muscle |
| 33417 | CPT | Repair of Aortic Valve |
| 33418 | CPT | Transcatheter Mitral Valve Repair |
| 33419 | CPT | Transcatheter Mitral Valve Repair |
| 33420 | CPT | Revision of Mitral Valve |
| 33422 | CPT | Revision of Mitral Valve |
| 33425 | CPT | Revision of Mitral Valve |
| 33426 | CPT | Revision of Mitral Valve |
| 33427 | CPT | Revision of Mitral Valve |
| 33440 | CPT | Aortic Valve Replacement |
| 33460 | CPT | Valvectomy, Tricuspid Valve, With Cardiopulmonary Bypass |
| 33463 | CPT | Valvuloplasty, Tricuspid |
| 33464 | CPT | Valvuloplasty, Tricuspid |
| 33465 | CPT | Replace Tricuspid Valve |
| 33468 | CPT | Revision of Tricuspid Valve |
| 33471 | CPT | Valvotomy, Pulmonary Valve |
| 33474 | CPT | Revision of Pulmonary Valve |
| 33475 | CPT | Replacement, Pulmonary Valve |
| 33476 | CPT | Revision of Heart Chamber |
| 33478 | CPT | Revision of Heart Chamber |
| 33496 | CPT | Repair of Non-Structural Prosthetic Valve Dysfunction |
| 33500 | CPT | Repair Heart Vessel Fistula |
| 33501 | CPT | Repair Heart Vessel Fistula |
| 33502 | CPT | Coronary Artery Correction |
| 33503 | CPT | Coronary Artery Correction |
| 33504 | CPT | Coronary Artery Graft |
| 33505 | CPT | Repair Artery W/Tunnel |
| 33506 | CPT | Repair Artery W/Tunnel |
| 33507 | CPT | Repair Art, Intramural |
| 33510 | CPT | Coronary Artery Bypass Graft |
| 33511 | CPT | Coronary Artery Bypass Graft |
| 33512 | CPT | Coronary Artery Bypass Graft |
| 33513 | CPT | Coronary Artery Bypass Graft |
| 33514 | CPT | Coronary Artery Bypass Graft |
| 33516 | CPT | Coronary Artery Bypass Graft |
| 33517 | CPT | Coronary Artery Bypass Graft |
| 33518 | CPT | Coronary Artery Bypass Graft |
| 33519 | CPT | Coronary Artery Bypass Graft |
| 33521 | CPT | Coronary Artery Bypass Graft |
| 33522 | CPT | Coronary Artery Bypass Graft |
| 33523 | CPT | Coronary Artery Bypass Graft |
| 33530 | CPT | Coronary Artery Bypass Graft |
| 33533 | CPT | Coronary Artery Bypass Graft |
| 33534 | CPT | Coronary Artery Bypass Graft |
| 33535 | CPT | Coronary Artery Bypass Graft |
| 33536 | CPT | Coronary Artery Bypass Graft |
| 33542 | CPT | Removal of Heart Lesion |
| 33545 | CPT | Removal of Heart |
| 33548 | CPT | Restore/Remodel, Ventricle |
| 33572 | CPT | Open Coranary Endarterectomy |
| 33600 | CPT | Closure of Valve |
| 33602 | CPT | Closure of Valve |
| 33606 | CPT | Anastomosis/Artery-Aorta |
| 33608 | CPT | Repair Anomaly W/Conduit |
| 33610 | CPT | Repair By Enlargement |
| 33611 | CPT | Repair Double Ventricle |
| 33612 | CPT | Repair Double Ventricle |
| 33615 | CPT | Repair (Simple Fontan |
| 33617 | CPT | Repair By Modified Fontan |
| 33619 | CPT | Repair Single Ventricle |
| 33620 | CPT | Application Right & Left Pulmonary Artery Bands |
| 33621 | CPT | Tthrc Catheter Insert For Stent Placement |
| 33622 | CPT | Reconstruction Complex Cardiac Anomaly |
| 33641 | CPT | Repair Heart Septum Defect |
| 33645 | CPT | Revision of Heart Veins |
| 33647 | CPT | Repair Heart Septum Defects |
| 33660 | CPT | Repair of Heart Defects |
| 33665 | CPT | Repair of Heart Defects |
| 33670 | CPT | Repair of Heart Chambers |
| 33675 | CPT | Close Mult Vsd |
| 33676 | CPT | Close Mult Vsd |
| 33677 | CPT | Close Mult Vsd |
| 33681 | CPT | Repair Heart Septum Defect |
| 33684 | CPT | Repair Heart Septum Defect |
| 33688 | CPT | Repair Heart Septum Defect |
| 33690 | CPT | Repair Heart Septum Defect |
| 33692 | CPT | Repair of Heart Defects |
| 33694 | CPT | Repair of Heart Defects |
| 33697 | CPT | Repair of Heart Defects |
| 33702 | CPT | Repair of Heart Defects |
| 33710 | CPT | Repair of Heart Defects |
| 33720 | CPT | Repair of Heart Defects |
| 33724 | CPT | Repair Venous Anomaly |
| 33726 | CPT | Repair Pul Venous Stenosis |
| 33730 | CPT | Repair Heart-Vein Defect |
| 33732 | CPT | Repair Heart-Vein Defect |
| 33735 | CPT | Revision of Heart Chamber |
| 33736 | CPT | Revision of Heart Chamber |
| 33737 | CPT | Revision of Heart Chamber |
| 33741 | CPT | Transcatheter Arterial Septostomy |
| 33745 | CPT | Transcatheter Intracardiac Shunt |
| 33746 | CPT | Transcatheter Intracardiac Shunt |
| 33750 | CPT | Major Vessel Shunt |
| 33755 | CPT | Major Vessel Shunt |
| 33762 | CPT | Major Vessel Shunt |
| 33764 | CPT | Major Vessel Shunt |
| 33766 | CPT | Major Vessel Shunt |
| 33767 | CPT | Atrial Septectomy/Septostomy |
| 33768 | CPT | Cavopulmonary Shunting |
| 33770 | CPT | Repair Great Vessels Defect |
| 33771 | CPT | Repair Great Vessels Defect |
| 33774 | CPT | Repair Great Vessels Defect |
| 33775 | CPT | Repair Great Vessels Defect |
| 33776 | CPT | Repair Great Vessels Defect |
| 33777 | CPT | Repair Great Vessels Defect |
| 33778 | CPT | Repair Great Vessels Defect |
| 33779 | CPT | Repair Great Vessels Defect |
| 33780 | CPT | Repair Great Vessels Defect |
| 33781 | CPT | Repair Great Vessels Defect |
| 33782 | CPT | Nikaidoh Proc |
| 33783 | CPT | Nikaidoh Proc |
| 33786 | CPT | Repair Arterial Trunk |
| 33788 | CPT | Revision of Pulmonary Artery |
| 33800 | CPT | Aortic Suspension |
| 33802 | CPT | Repair Vessel Defect |
| 33803 | CPT | Repair Vessel Defect |
| 33813 | CPT | Repair Vessel Defect |
| 33814 | CPT | Repair Vessel Defect |
| 33820 | CPT | Revise Major Vesse |
| 33822 | CPT | Revise Major Vesse |
| 33824 | CPT | Revise Major Vesse |
| 33840 | CPT | Excise Coarctat Aorta W/Anastomosis |
| 33845 | CPT | Excision Aorta Coarctation W/ Graf |
| 33851 | CPT | Remove Aorta Constriction |
| 33852 | CPT | Repair Septal Defect |
| 33853 | CPT | Repair Septal Defect |
| 33858 | CPT | Ascending Aorta Graft, With Cardiopulmonary Bypass |
| 33859 | CPT | Ascending Aorta Graft, With Cardiopulmonary Bypass |
| 33863 | CPT | Ascending Aorta Graf |
| 33864 | CPT | Ascending Aorta Graft |
| 33866 | CPT | Aortic Hemiarch Graft |
| 33871 | CPT | Transverse Aortic Arch Graft, |
| 33875 | CPT | Thoracic Aorta Graft |
| 33877 | CPT | Thoracoabdominal Graf |
| 33880 | CPT | Endovasc Taa Repr Incl Subcl |
| 33881 | CPT | Endovasc Taa Repr Incl Subcl |
| 33883 | CPT | Insert Endovasc Prosth, Taa |
| 33884 | CPT | Placement of Proximal Extension Prosthesis For Endovascular Repair |
| 33886 | CPT | Endovasc Prosth, Delayed |
| 33889 | CPT | Artery Transpose/Endovas Taa |
| 33891 | CPT | Car-Car Bp Grft/Endovas Taa |
| 33894 | CPT | Endovascular Stent Repair of the Aorta |
| 33895 | CPT | Endovascular Stent Repair of the Aorta |
| 33897 | CPT | Percutaneous Transluminal Angioplasty |
| 33900 | CPT | Endovascular Repair of Pulmonary Artery |
| 33901 | CPT | Endovascular Repair of Pulmonary Artery |
| 33902 | CPT | Endovascular Repair of Pulmonary Artery |
| 33903 | CPT | Endovascular Repair of Pulmonary Artery |
| 33910 | CPT | Remove Lung Artery Emboli |
| 33915 | CPT | Remove Lung Artery Emboli |
| 33916 | CPT | Surgery of Great Vessel |
| 33917 | CPT | Repair Pulmonary Artery |
| 33920 | CPT | Repair Pulmonary Atresia |
| 33922 | CPT | Transect Pulmonary Artery |
| 33925 | CPT | Rpr Pul Art Unifocal |
| 33926 | CPT | Rpr Pul Art Unifocal |
| 33977 | CPT | Remove Ventricular Device |
| 33978 | CPT | Remove Ventricular Device |
| 33980 | CPT | Remove Intracorp Ventr Assist Device |
| 33999 | CPT | Cardiac Surgery Procedure |
| 34001 | CPT | Removal of Artery Clot |
| 34051 | CPT | Removal of Artery Clot |
| 34101 | CPT | Removal of Artery Clot |
| 34111 | CPT | Removal of Artery Clot |
| 34151 | CPT | Removal of Artery Clot |
| 34201 | CPT | Removal of Artery Clot |
| 34203 | CPT | Removal of Artery Clot |
| 34401 | CPT | Removal of Vein Clot |
| 34421 | CPT | Removal of Vein Clot |
| 34451 | CPT | Removal of Vein Clot |
| 34471 | CPT | Removal of Vein Clot |
| 34490 | CPT | Removal of Vein Clot |
| 34501 | CPT | Repair Valve, Femoral Vein |
| 34502 | CPT | Reconstruct, Vena Cava |
| 34510 | CPT | Transposition of Vein Valve |
| 34520 | CPT | Cross-Over Vein Graft |
| 34530 | CPT | Leg Vein Fusion |
| 34701 | CPT | Repair of An Abdominal Aortic/Iliac Artery Aneurysm |
| 34702 | CPT | Repair of An Abdominal Aortic/Iliac Artery Aneurysm |
| 34703 | CPT | Repair of An Abdominal Aortic/Iliac Artery Aneurysm |
| 34704 | CPT | Repair of An Abdominal Aortic/Iliac Artery Aneurysm |
| 34705 | CPT | Repair of An Abdominal Aortic/Iliac Artery Aneurysm |
| 34706 | CPT | Repair of An Abdominal Aortic/Iliac Artery Aneurysm |
| 34707 | CPT | Repair of An Abdominal Aortic/Iliac Artery Aneurysm |
| 34708 | CPT | Repair of An Abdominal Aortic/Iliac Artery Aneurysm |
| 34718 | CPT | Endovascular Repair of Iliac Artery |
| 34830 | CPT | Open Surgical Repair of An Abdominal Aortic Aneurysm |
| 34831 | CPT | Open Aortoiliac Prosth Repr |
| 34832 | CPT | Open Repair of Infrarenal Aortic Aneurysm or Dissection |
| 34839 | CPT | Plnning Pt Spec Fenest Graft |
| 34841 | CPT | Endovascular Repair of Visceral Aorta |
| 34842 | CPT | Endovascular Repair of Visceral Aorta |
| 34843 | CPT | Endovascular Repair of Visceral Aorta |
| 34844 | CPT | Endovascular Repair of Visceral Aorta |
| 34845 | CPT | Endovascular Repair of Visceral Aorta |
| 34846 | CPT | Endovascular Repair of Visceral Aorta |
| 34847 | CPT | Endovascular Repair of Visceral Aorta |
| 34848 | CPT | Endovascular Repair of Visceral Aorta |
| 35001 | CPT | Repair Defect of Artery |
| 35002 | CPT | Repair Artery Rupture, Neck |
| 35005 | CPT | Repair Defect of Artery |
| 35011 | CPT | Repair Defect of Artery |
| 35013 | CPT | Repair Artery Rupture |
| 35021 | CPT | Repair Defect of Artery |
| 35022 | CPT | Repair Artery Rupture |
| 35045 | CPT | Repair Defect of Artery |
| 35081 | CPT | Repair Defect of Artery |
| 35082 | CPT | Repair Artery Rupture |
| 35091 | CPT | Repair Defect of Artery |
| 35092 | CPT | Repair Artery Rupture |
| 35102 | CPT | Repair Defect of Artery |
| 35103 | CPT | Repair Artery Rupture Aorta |
| 3510F | CPT Category III/PLA | Doc Tb Scrng-Rslts Interpd |
| 35111 | CPT | Repair Defect of Artery |
| 35112 | CPT | Repair Artery Rupture |
| 35121 | CPT | Repair Defect of Artery |
| 35122 | CPT | Repair Artery Rupture |
| 35131 | CPT | Repair Defect of Artery |
| 35132 | CPT | Repair Artery Rupture |
| 35141 | CPT | Repair Defect of Artery |
| 35142 | CPT | Repair Artery Rupture |
| 35151 | CPT | Repair Defect of Artery |
| 35152 | CPT | Repair Artery Rupture |
| 35180 | CPT | Repair, Congenital Arteriovenous Fistula; Head and Neck |
| 35182 | CPT | Repair, Congenital Arteriovenous Fistula |
| 35184 | CPT | Repair, Congenital Arteriovenous Fistula |
| 35188 | CPT | Repair, Acquired or Traumatic Arteriovenous Fistula |
| 35189 | CPT | Repair, Acquired or Traumatic Arteriovenous Fistula |
| 35190 | CPT | Repair, Acquired or Traumatic Arteriovenous Fistula |
| 35201 | CPT | Repair Blood Vessel Lesion |
| 35206 | CPT | Repair Blood Vessel Lesion |
| 35207 | CPT | Repair Blood Vessel Lesion |
| 35211 | CPT | Repair Blood Vessel Lesion |
| 35216 | CPT | Repair Blood Vessel Lesion |
| 35221 | CPT | Repair Blood Vessel Lesion |
| 35226 | CPT | Repair Blood Vessel Lesion |
| 35231 | CPT | Repair Blood Vessel Lesion |
| 35236 | CPT | Repair Blood Vessel With Vein Graft |
| 35241 | CPT | Repair Blood Vessel Lesion |
| 35246 | CPT | Repair Blood Vessel Lesion |
| 35251 | CPT | Repair Blood Vessel Lesion |
| 35256 | CPT | Repair Blood Vessel Lesion |
| 35261 | CPT | Repair Blood Vessel Lesion |
| 35266 | CPT | Repair Blood Vessel Lesion |
| 35271 | CPT | Repair Blood Vessel Lesion |
| 35276 | CPT | Repair Blood Vessel Lesion |
| 35281 | CPT | Repair Blood Vessel Lesion |
| 35286 | CPT | Repair Blood Vessel Lesion |
| 35301 | CPT | Rechanneling of Artery |
| 35302 | CPT | Rechanneling of Artery |
| 35303 | CPT | Rechanneling of Artery |
| 35304 | CPT | Rechanneling of Artery |
| 35305 | CPT | Rechanneling of Artery |
| 35306 | CPT | Rechanneling of Artery |
| 35311 | CPT | Rechanneling of Artery |
| 35331 | CPT | Rechanneling of Artery |
| 35341 | CPT | Rechanneling of Artery |
| 35351 | CPT | Rechanneling of Artery |
| 35355 | CPT | Rechanneling of Artery |
| 35361 | CPT | Rechanneling of Artery |
| 35363 | CPT | Rechanneling of Artery |
| 35371 | CPT | Rechanneling of Artery |
| 35372 | CPT | Rechanneling of Artery |
| 35390 | CPT | Reoperation, Carotid |
| 35400 | CPT | Angioscopy |
| 35500 | CPT | Vein Harvest |
| 35501 | CPT | Artery Bypass Graft |
| 35506 | CPT | Artery Bypass Graft |
| 35508 | CPT | Artery Bypass Graft |
| 35509 | CPT | Artery Bypass Graft |
| 35510 | CPT | Artery Bypass Graft |
| 35511 | CPT | Artery Bypass Graft |
| 35512 | CPT | Artery Bypass Graft |
| 35515 | CPT | Artery Bypass Graft |
| 35516 | CPT | Artery Bypass Graft |
| 35518 | CPT | Artery Bypass Graft |
| 35521 | CPT | Artery Bypass Graft |
| 35522 | CPT | Artery Bypass Graft |
| 35523 | CPT | Artery Bypass Graft |
| 35525 | CPT | Artery Bypass Graft |
| 35526 | CPT | Artery Bypass Graft |
| 35531 | CPT | Artery Bypass Graft |
| 35533 | CPT | Artery Bypass Graft |
| 35535 | CPT | Artery Bypass Graft |
| 35536 | CPT | Artery Bypass Graft |
| 35537 | CPT | Artery Bypass Graft |
| 35538 | CPT | Artery Bypass Graft |
| 35539 | CPT | Artery Bypass Graft |
| 35540 | CPT | Artery Bypass Graft |
| 35556 | CPT | Artery Bypass Graft |
| 35558 | CPT | Artery Bypass Graft |
| 35560 | CPT | Artery Bypass Graft |
| 35563 | CPT | Artery Bypass Graft |
| 35565 | CPT | Artery Bypass Graft |
| 35566 | CPT | Artery Bypass Graft |
| 35570 | CPT | Artery Bypass Graft |
| 35571 | CPT | Artery Bypass Graft |
| 35572 | CPT | Harvest Femoropopliteal Vein |
| 35583 | CPT | Vein Bypass Graf |
| 35585 | CPT | Vein Bypass Graf |
| 35587 | CPT | Vein Bypass Graf |
| 35600 | CPT | Harvest Artery For Cabg |
| 35601 | CPT | Artery Bypass Graft |
| 35606 | CPT | Artery Bypass Graft |
| 35612 | CPT | Artery Bypass Graft |
| 35616 | CPT | Artery Bypass Graft |
| 35621 | CPT | Artery Bypass Graft |
| 35623 | CPT | Bypass Graft, Not Vein |
| 35626 | CPT | Artery Bypass Graft |
| 35631 | CPT | Artery Bypass Graft |
| 35632 | CPT | Artery Bypass Graft |
| 35633 | CPT | Artery Bypass Graft |
| 35634 | CPT | Artery Bypass Graft |
| 35636 | CPT | Artery Bypass Graft |
| 35637 | CPT | Artery Bypass Graft |
| 35638 | CPT | Artery Bypass Graft |
| 35642 | CPT | Artery Bypass Graft |
| 35645 | CPT | Artery Bypass Graft |
| 35646 | CPT | Artery Bypass Graft |
| 35647 | CPT | Aorotofemoral Bypass Graft |
| 35650 | CPT | Artery Bypass Graft |
| 35654 | CPT | Artery Bypass Graft |
| 35656 | CPT | Artery Bypass Graft |
| 35661 | CPT | Artery Bypass Graft |
| 35663 | CPT | Artery Bypass Graft |
| 35665 | CPT | Artery Bypass Graft |
| 35666 | CPT | Artery Bypass Graft |
| 35671 | CPT | Artery Bypass Graft |
| 35681 | CPT | Artery Bypass Graft |
| 35682 | CPT | Composite Bypass Graft |
| 35683 | CPT | Composite Bypass Graft |
| 35691 | CPT | Arterial Transposition |
| 35693 | CPT | Arterial Transposition |
| 35694 | CPT | Arterial Transposition |
| 35695 | CPT | Arterial Transposition |
| 35697 | CPT | Reimplant Artery Each |
| 35700 | CPT | Reoperation, Bypass Graf |
| 35701 | CPT | Exploration, Carotid Artery |
| 35870 | CPT | Repair Vessel Graft Defect |
| 35875 | CPT | Thrombectomy of Arterial or Venous Graft |
| 35876 | CPT | Thrombectomy of Arterial or Venous Graft |
| 35879 | CPT | Revision, Lower Extremity Arterial Bypass |
| 35881 | CPT | Revision, Lower Extremity Arterial Bypass |
| 35883 | CPT | Revise Graft W/Nonauto Graf |
| 35884 | CPT | Revise Graft W/Vein |
| 35901 | CPT | Excision, Graft, Neck |
| 35903 | CPT | Excision, Graft, Extremity |
| 35905 | CPT | Excision, Graft, Thorax |
| 35907 | CPT | Excision, Graft, Abdomen |
| 36252 | CPT | Ins Cath Ren Art 1St Bilat |
| 36253 | CPT | Ins Cath Ren Art 2Nd+ Unilat |
| 36254 | CPT | Ins Cath Ren Art 2Nd+ Bilat |
| 36299 | CPT | Vessel Injection Procedure |
| 36465 | CPT | Sclerotherapy of Telangiectasia and Incompetent Veins |
| 36466 | CPT | Injection of Non-Compounded Foam Sclerosant |
| 36468 | CPT | Sclerotherapy of Telangiectasia and Incompetent Veins |
| 36470 | CPT | Sclerotherapy of Telangiectasia and Incompetent Veins |
| 36471 | CPT | Sclerotherapy of Telangiectasia and Incompetent Veins |
| 36474 | CPT | Subsequent Vein(S) Treated In A Single Extremity |
| 36476 | CPT | Endovenous Rf, Vein Add-On |
| 36479 | CPT | Endovenous Laser Vein Addon |
| 36481 | CPT | Insertion of Catheter, Vein |
| 36516 | CPT | Therapeutic Apheresis; With Extracorporeal Immunoadsorption |
| 36522 | CPT | Extracorporeal Photopheresis |
| 36600 | CPT | Insertion Catheter, Artery |
| 36819 | CPT | Arteriovenous Anastomosis, Open |
| 36820 | CPT | Anastomosis Forearm Vein Transpos |
| 36821 | CPT | Artery-Vein Fusion |
| 36836 | CPT | Percutaneous Arteriovenous Fistula (Pavf) Creation In the Upper Extremity |
| 36837 | CPT | Percutaneous Arteriovenous Fistula Creation, Upper Extremity |
| 36904 | CPT | Percutaneous Transluminal Mechanical Thrombectomy |
| 36905 | CPT | Percutaneous Transluminal Mechanical Thrombectomy |
| 36906 | CPT | Percutaneous Transluminal Mechanical Thrombectomy |
| 36907 | CPT | Transluminal Balloon Angioplasty, |
| 36908 | CPT | Transcatheter Placement of Intravascular Stent |
| 36909 | CPT | Embolization of the Circuit or Side Branches |
| 37140 | CPT | Revision of Circulation |
| 37145 | CPT | Revision of Circulation |
| 37160 | CPT | Revision of Circulation |
| 37180 | CPT | Revision of Circulation |
| 37181 | CPT | Splice Spleen/Kidney Veins |
| 37182 | CPT | Insert Hepatic Shunt (Tips) |
| 37183 | CPT | Remove Hepatic Shunt (Tips) |
| 37186 | CPT | Arterial Mechanical Thrombectomy |
| 37187 | CPT | Percutaneous Transluminal Mechanical Thrombectomy, Vein |
| 37215 | CPT | Transcatheter Placement of Intravascular Stent |
| 37216 | CPT | Transcatheter Placement of Intravascular Stent |
| 37217 | CPT | Transcatheter Placement of Intravascular Stent |
| 37218 | CPT | Transcatheter Placement of Intravascular Stent |
| 37222 | CPT | Revascularization Iliac Art Angiop Ea Ipsi Vsl |
| 37223 | CPT | Revsc Opn/Prq Iliac Art W/Stnt & Angiop Ipsi Vs |
| 37232 | CPT | Revsc Opn/Prq Tib/Pero W/Angioplasty Uni Ea Vsl |
| 37234 | CPT | Revsc Opn/Prq Tib/Pero W/Stnt/Angiop Uni Ea Vs |
| 37235 | CPT | Revsc Opn/Prq Tib/Pero W/Stnt/Athr/Angiop Ea Vsl |
| 37237 | CPT | Arterial Stent Placement, Each Additional Vessel |
| 37239 | CPT | Transcatheter Placement of An Intravascular Stent |
| 37247 | CPT | Transluminal Balloon Angioplasty |
| 37249 | CPT | Transluminal Balloon Angioplasty |
| 37500 | CPT | Endoscopy Ligate Perf Veins |
| 37501 | CPT | Vascular Endoscopy Procedure |
| 37765 | CPT | Stab Phlebectomy of Varicose Veins, 1 Extremity |
| 37785 | CPT | Revise Secondary Varicosity |
| 37788 | CPT | Penile Revascularization, Artery |
| 37790 | CPT | Penile Venous Occlusio |
| 37799 | CPT | Vascular Surgery Procedure |
| 38100 | CPT | Removal of Spleen, Total |
| 38101 | CPT | Removal of Spleen, Partial |
| 38102 | CPT | Removal of Spleen, Total |
| 38115 | CPT | Repair of Ruptured Spleen |
| 38129 | CPT | Unlisted Laparoscopy, Procedure, Spleen |
| 38380 | CPT | Thoracic Duct Procedure |
| 38381 | CPT | Thoracic Duct Procedure |
| 38382 | CPT | Thoracic Duct Procedure |
| 38589 | CPT | Unlisted Laparoscopy, Procedure, Lymphatic System |
| 38700 | CPT | Removal of Lymph Nodes, Neck |
| 38720 | CPT | Removal of Lymph Nodes, Neck |
| 38724 | CPT | Removal of Lymph Nodes, Neck |
| 38999 | CPT | Blood/Lymph System Procedure |
| 39000 | CPT | Exploration of Chest |
| 39010 | CPT | Exploration of Chest |
| 39200 | CPT | Resection Chest Lesion |
| 39220 | CPT | Resection Chest Lesion |
| 39499 | CPT | Chest Procedure |
| 39501 | CPT | Repair Diaphragm Laceration |
| 39503 | CPT | Repair of Diaphragm Hernia |
| 39540 | CPT | Repair of Diaphragm Hernia |
| 39541 | CPT | Repair of Diaphragm Hernia |
| 39545 | CPT | Revision of Diaphragm |
| 39560 | CPT | Resection, Diaphragm; With Simple Repair |
| 39561 | CPT | Resection, Diaphragm, With Complex Repair |
| 39599 | CPT | Diaphragm Surgery Procedure |
| 40525 | CPT | Reconstruct Lip With Flap |
| 40527 | CPT | Reconstruct Lip With Flap |
| 40530 | CPT | Partial Removal of Lip |
| 40700 | CPT | Repair Cleft Lip/Nasal |
| 40701 | CPT | Repair Cleft Lip/Nasal |
| 40702 | CPT | Repair Cleft Lip/Nasal |
| 40720 | CPT | Repair Cleft Lip/Nasal |
| 40761 | CPT | Repair Cleft Lip/Nasal |
| 40840 | CPT | Reconstruction of Mouth |
| 40842 | CPT | Reconstruction of Mouth |
| 40843 | CPT | Reconstruction of Mouth |
| 40844 | CPT | Reconstruction of Mouth |
| 40845 | CPT | Reconstruction of Mouth |
| 41120 | CPT | Partial Removal of Tongue |
| 41130 | CPT | Partial Removal of Tongue |
| 41135 | CPT | Tongue and Neck Surgery |
| 41140 | CPT | Removal of Tongue |
| 41145 | CPT | Tongue Removal; Neck Surgery |
| 41150 | CPT | Tongue, Mouth, Jaw Surgery |
| 41153 | CPT | Tongue, Mouth, Neck Surgery |
| 41155 | CPT | Tongue, Jaw, & Neck Surgery |
| 4182F | CPT Category III/PLA | Therapeutic, Preventive or Other Interventions |
| 4185F | CPT Category III/PLA | Therapeutic, Preventive or Other Interventions |
| 4186F | CPT Category III/PLA | Therapeutic, Preventive, or Other Interventions |
| 41870 | CPT | Periodontal Mucosal Graft |
| 4188F | CPT Category III/PLA | Therapeutic, Preventive or Other Interventions |
| 41899 | CPT | Unlisted Procedure Code For Dental Procedures |
| 4189F | CPT Category III/PLA | Therapeutic, Preventive or Other Interventions |
| 4192F | CPT Category III/PLA | Therapeutic, Preventive, or Other Interventions |
| 42299 | CPT | Unlisted Procedure on the Palate or Uvula |
| 42699 | CPT | Unlisted Procedures on the Salivary Glands or Ducts |
| 42844 | CPT | Radical Resection of Tonsil, Tonsillar Pillars, and/or Retromolar Trigone; Closure With Local Flap |
| 42845 | CPT | Radical Resection of Tonsil, Tonsillar Pillars, and/or Retromolar Trigone |
| 42890 | CPT | Partial Removal of the Pharynx |
| 42892 | CPT | Revision of Pharyngeal Walls |
| 42894 | CPT | Excision and Destruction Procedures on the Pharynx, Adenoids, and Tonsils |
| 42999 | CPT | Unlisted Procedure Code For Pharynx and Tonsil Surgeries |
| 43107 | CPT | Surgical Removal of the Esophagus |
| 43108 | CPT | Total or Near Total Esophagectomy, Without Thoracotomy |
| 43112 | CPT | Mckeown Esophagectomy or Tri–Incisional Esophagectomy |
| 43113 | CPT | Esophagectomy |
| 43116 | CPT | Removal of A Diseased Portion of the Esophagus In the Neck |
| 43117 | CPT | Partial Esophagectomy, Distal Two-Thirds, With Thoracotomy and Separate Abdominal Incision |
| 43118 | CPT | Partial Esophagectomy, Distal Two-Thirds, With Thoracotomy and Separate Abdominal Incision |
| 43121 | CPT | Partial Esophagectomy, Thoracoabdominal or Abdominal Approach |
| 43122 | CPT | Partial Esophagectomy, Thoracoabdominal or Abdominal Approach, With or Without Proximal Gastrectomy |
| 43123 | CPT | Partial Removal of the Esophagus |
| 43124 | CPT | Excision Procedures on the Esophagus |
| 43135 | CPT | Diverticulectomy of Hypopharynx or Esophagus, With or Without Myotomy |
| 43286 | CPT | Esophagogastroduodenoscopy With Balloon Dilation of Strictures In the Esophagus |
| 43287 | CPT | Esophagectomy, Distal Two-Thirds, With Laparoscopic Mobilization |
| 43288 | CPT | Esophagectomy, Total or Near Total |
| 43289 | CPT | Unlisted Laparoscopic Procedure For the Esophagus |
| 43290 | CPT | Flexible Endoscopic Transoral Balloon Dilation of the Esophagus |
| 43360 | CPT | Gastrointestinal Reconstruction For Previous Esophagectomy, For Obstructing Esophageal Lesion or Fistula |
| 43361 | CPT | Gastrointestinal Reconstruction For Previous Esophagectomy, For Obstructing Esophageal Lesion or Fistula |
| 43415 | CPT | Suture of Esophageal Wound or Injury |
| 43496 | CPT | Free Jejunum Flap Microvascular Procedure |
| 43497 | CPT | Poem |
| 43499 | CPT | New or Unusual Procedures on the Esophagus |
| 43500 | CPT | Gastrostomy |
| 43502 | CPT | Gastrotomy; With Suture Repair of Pre-Existing Esophagogastric Laceration |
| 43620 | CPT | Gastrectomy, Total |
| 43621 | CPT | Gastrectomy, Total; With Roux-En-Y Reconstruction |
| 43622 | CPT | Gastrectomy, Total; With Formation of Intestinal Pouch, Any Type |
| 43631 | CPT | Partial Gastrectomy |
| 43632 | CPT | Gastrectomy, Partial, Distal |
| 43633 | CPT | Gastrectomy, Partial, Distal; With Roux- En-Y Reconstruction |
| 43634 | CPT | Gastrectomy, Partial, Distal; With Formation of Intestinal Pouch |
| 43644 | CPT | Laparoscopic Gastric Bypass Surgery |
| 43645 | CPT | Laparoscopic Gastric Bypass Surgery, Including Small Intestine Procedures |
| 43647 | CPT | Laparoscopic Implantation of An Electrode In the Antrum of the Stomach |
| 43648 | CPT | Laparoscopy, Surgical; Revision or Removal of Gastric Neurostimulator Electrodes, Antrum |
| 43652 | CPT | Laparoscopic Surgery on the Vagus Nerve, |
| 43653 | CPT | Laparoscopic Gastrostomy |
| 43770 | CPT | Laparoscopy, Surgical, Gastric Restrictive Procedure: Placement of Adjustable Gastric Band |
| 43771 | CPT | Gastric Band Revision Surgery Under Laparoscopic Guidance |
| 43773 | CPT | Replacement of A Gastric Adjustable Device |
| 43775 | CPT | Lap Sleeve Gastrectomy |
| 43800 | CPT | Surgical Repair of Pylorus |
| 43810 | CPT | Gastroduodenostomy |
| 43820 | CPT | Gastrojejunostomy |
| 43825 | CPT | Gastrojejunostomy+Vagotomy |
| 43831 | CPT | Gastrostomy, Open; Neonatal, For Feeding |
| 43832 | CPT | Gastrostomy, Open; With Construction of Gastric Tube |
| 43840 | CPT | Gastrorrhaphy, Suture of Perforated Duodenal or Gastric Ulcer, Wound, or Injury |
| 43842 | CPT | Gastric Restrictive Procedure, Without Gastric Bypass, For Morbid Obesity |
| 43843 | CPT | Gastroplasty Without A Vertical Band |
| 43845 | CPT | Gastroplasty Duodenal Switch Procedure |
| 43846 | CPT | Roux–En–Y Gastric Bypass Surgery |
| 43847 | CPT | Gastric Restrictive Procedure With Gastric Bypass |
| 43848 | CPT | Revision, Open, of Gastric Restrictive Procedure For Morbid Obesity |
| 43860 | CPT | Revision of Gastrojejunal Anastomosis (Gastrojejunostomy) |
| 43865 | CPT | Revision of Gastrojejunal Anastomosis (Gastrojejunostomy) With Reconstruction |
| 43881 | CPT | Implantation or Replacement of Gastric Neurostimulator Electrodes, Antrum, Open |
| 43882 | CPT | Gastric Neurostimulator |
| 43999 | CPT | New or Unusual Procedures on the Stomach |
| 44126 | CPT | Enterectomy, Resection of Small Intestine For Congenital Atresia, |
| 44127 | CPT | Enterectomy With Tapering of the Congenital Intestine |
| 44141 | CPT | Colectomy, Partial; With Skin Level Cecostomy or Colostomy |
| 44143 | CPT | Colectomy, Partial; With End Colostomy and Closure of Distal Segment |
| 44144 | CPT | Colectomy, Partial; With Resection, With Colostomy or Ileostomy |
| 44145 | CPT | Colectomy, Partial; With Coloproctostomy |
| 44146 | CPT | Partial Colectomy With Anastomosis and Colostomy |
| 44147 | CPT | Colectomy, Partial; Abdominal and Transanal Approach |
| 44150 | CPT | Colectomy, Total, Abdominal, Without Proctectomy |
| 44151 | CPT | Colectomy, Total, Abdominal, Without Proctectomy; With Ileostomy |
| 44155 | CPT | Colectomy, Total; Abdominal, With Proctectomy; With Ileostomy |
| 44156 | CPT | Colectomy, Total, Abdominal, With Proctectomy; With Continent Ileostomy |
| 44157 | CPT | Colectomy, Total, Abdominal, With Proctectomy; With Ileoanal Anastomosis |
| 44158 | CPT | Total Proctocolectomy With Ileal Pouch Anal Anastomosis |
| 44204 | CPT | Colectomy, Partial, With Anastomosis |
| 44206 | CPT | Laparoscopic Partial Colectomy With Stoma Creation |
| 44207 | CPT | Left Colectomy or Coloproctostomy, |
| 44208 | CPT | Laparoscopy, Surgical; Colectomy, Partial, With Anastomosis, With Coloproctostomy |
| 44210 | CPT | Laparoscopic Total Proctocolectomy |
| 44211 | CPT | Laparoscopic Colectomy With Proctectomy |
| 44227 | CPT | Laparoscopy, Surgical, Closure of Enterostomy, Large or Small Intestine |
| 44238 | CPT | Unlisted Procedure Code For Laparoscopic Surgery on the Intestine |
| 44401 | CPT | Colonoscopy Procedure That Includes Ablation To Treat Certain Conditions |
| 4450F | CPT Category III/PLA | Therapeutic, Preventive or Other Interventions |
| 44603 | CPT | Suture of Small Intestine (Enterorrhaphy) |
| 4470F | CPT Category III/PLA | Therapeutic, Preventive or Other Interventions |
| 44799 | CPT | Unlisted Procedure on the Small Intestine |
| 4480F | CPT Category III/PLA | Therapeutic, Preventive or Other Interventions |
| 4481F | CPT Category III/PLA | Therapeutic, Preventive, or Other Intervention |
| 4500F | CPT Category III/PLA | Therapeutic, Preventive or Other Interventions |
| 4510F | CPT Category III/PLA | Therapeutic, Preventive or Other Interventions |
| 45110 | CPT | Proctectomy |
| 45111 | CPT | Proctectomy; Partial Resection of Rectum, Transabdominal Approach |
| 45112 | CPT | Proctectomy, Combined Abdominoperineal, Pull-Through Procedure |
| 45113 | CPT | Proctectomy, Partial, With Rectal Mucosectomy, Ileoanal Anastomosis |
| 45114 | CPT | Proctectomy, Partial, With Anastomosis |
| 45116 | CPT | Proctectomy, Partial, With Anastomosis |
| 45119 | CPT | Total Proctocolectomy With Ileal Pouch |
| 45120 | CPT | Proctectomy, Complete (For Congenital Megacolon) |
| 45121 | CPT | Proctectomy, Complete (For Congenital Megacolon), Abdominal and Perineal Approach |
| 45126 | CPT | Pelvic Exenteration Procedure |
| 45136 | CPT | Excision of Ileoanal Reservoir With Ileostomy |
| 4526F | CPT Category III/PLA | Therapeutic, Preventive or Other Intervention |
| 45346 | CPT | Sigmoidoscopy Procedure That Includes Ablation |
| 45388 | CPT | Colonoscopy, Flexible; With Ablation of Tumor(S), Polyp(S), or Other Lesion(S) |
| 45395 | CPT | Laparoscopic Excision of the Rectum |
| 45397 | CPT | Laparoscopy, Surgical; Proctectomy, Combined Abdominoperineal Pull-Through Procedure |
| 45399 | CPT | Other Procedures on the Colon and Rectum |
| 45400 | CPT | Laparoscopic Rectopexy, For Prolapse |
| 45402 | CPT | Laparoscopic Proctopexy With Sigmoid Resection |
| 45499 | CPT | Laparoscopic Procedures on the Rectum |
| 45550 | CPT | Surgical Repair of the Rectum or the Removal of the Sigmoid Colon |
| 45563 | CPT | Exploration, Repair, and Presacral Drainage For Rectal Injury; With Colostomy |
| 45999 | CPT | Unlisted Procedure For the Rectum |
| 46712 | CPT | Repair of Ileoanal Pouch Fistula/Sinus (Eg, Perineal or Vaginal), Pouch Advancement |
| 46715 | CPT | Rep Perf Anoper Fistu |
| 46716 | CPT | Rep Perf Anoper/Vestib Fistu |
| 46730 | CPT | Repair of High Imperforate Anus Without Fistula |
| 46735 | CPT | Repair of High Imperforate Anus Without Fistula; Combined Transabdominal and Sacroperineal Approaches |
| 46740 | CPT | Repair of High Imperforate Anus With Rectourethral or Rectovaginal Fistula |
| 46742 | CPT | Repair of High Imperforate Anus With Rectourethral or Rectovaginal Fistula; Combined Transabdominal and Sacroperineal Approaches |
| 46744 | CPT | Surgical Repair of A Cloacal Anomaly |
| 46746 | CPT | Repair of Cloacal Anomaly By Anorectovaginoplasty and Urethroplasty |
| 46748 | CPT | Repair of Cloacal Anomaly By Anorectovaginoplasty and Urethroplasty, Combined Abdominal and Sacroperineal Approach |
| 46760 | CPT | Sphincteroplasty, Anal, For Incontinence, Adult |
| 47120 | CPT | Hepatectomy |
| 47122 | CPT | Extensive Removal of Liver Tissue |
| 47125 | CPT | Left Hepatectomy |
| 47130 | CPT | Total Right Lobectomy |
| 47360 | CPT | Complex Suture of Liver Wound or Injury |
| 47361 | CPT | Management of Liver Hemorrhage |
| 47362 | CPT | Re-Exploration of Hepatic Wound For Removal of Packing |
| 47370 | CPT | Radiofrequency Ablation Via Laparoscope |
| 47371 | CPT | Laparoscopic Ablation of Liver Tumors Using Cryosurgery |
| 47380 | CPT | Open Rf Liver Tumor Ablation Procedures |
| 47381 | CPT | Open Cryosurgical Ablation of Liver Tumors |
| 47383 | CPT | Percutaneous Ablative Liver Cryoablation Procedures |
| 47399 | CPT | Unlisted Liver Procedures |
| 47400 | CPT | Hepaticotomy or Hepaticostomy With Exploration, Drainage, or Removal of Calculus |
| 47538 | CPT | Placement of Stent(S) Into A Bile Duct, Percutaneous |
| 47540 | CPT | Placement of Stent(S) Into A Bile Duct, Percutaneous, Including Diagnostic Cholangiograph |
| 47579 | CPT | Unlisted Laparoscopic Procedure on the Biliary Tract |
| 47701 | CPT | Excision Procedures on the Biliary Tract |
| 47760 | CPT | Anastomosis of Extrahepatic Biliary Ducts and Gastrointestinal Tract |
| 47765 | CPT | Anastomosis of Intrahepatic Ducts and Gastrointestinal Tract |
| 47780 | CPT | Anastomosis, Roux En Y, of Extrahepatic Duct |
| 47785 | CPT | Roux-En-Y Biliary Anastomosis |
| 47800 | CPT | Reconstruction of the Extrahepatic Biliary Ducts |
| 47802 | CPT | Fuse Liver Duct and Intestine (Choledochoduodenostomy) |
| 47999 | CPT | Unlisted Procedures on the Biliary Tract |
| 48105 | CPT | Debridement of Pancreatic and Peripancreatic Necrosis |
| 48120 | CPT | Surgical Removal of A Lesion From the Pancreas |
| 48140 | CPT | Pancreatectomy, Distal Subtotal, With or Without Splenectomy |
| 48145 | CPT | Distal Subtotal Pancreatectomy |
| 48146 | CPT | Near-Total Pancreatectomy |
| 48148 | CPT | Removal of the Ampulla of Vater |
| 48150 | CPT | Pancreatectomy, Proximal Subtotal With Total Duodenectomy, Partial Gastrectomy, Choledochoenterostomy and Gastrojejunostomy |
| 48152 | CPT | Pancreatectomy, Proximal Subtotal With Total Duodenectomy, Partial Gastrectomy, Choledochoenterostomy and Gastrojejunostomy |
| 48153 | CPT | Pancreatectomy, Proximal Subtotal With Near-Total Duodenectomy, Choledochoenterostomy and Duodenojejunostomy |
| 48154 | CPT | Proximal Subtotal Pancreatectomy With A Near-Total Duodenectomy |
| 48155 | CPT | Surgical Removal of the Pancreas |
| 48160 | CPT | Surgical Removal or Transplant of the Pancreas |
| 48547 | CPT | Duodenal Exclusion With Gastrojejunostomy For Pancreatic Injury |
| 48548 | CPT | Pancreaticojejunostomy |
| 48999 | CPT | Unlisted Procedure For the Pancreas |
| 49204 | CPT | Excising An Abdominal Tumor Larger Than 5 Cm |
| 49205 | CPT | Excising An Abdominal Tumor Larger Than 10 Cm |
| 49215 | CPT | Excision of A Tumor Located In the Sacral Spine |
| 49605 | CPT | Surgical Procedure To Repair A Large Omphalocele or Gastroschisis |
| 49606 | CPT | Surgical Repair of A Large Omphalocele or Gastroschisis |
| 49999 | CPT | Unlisted Surgical Procedures on the Abdomen, Omentum, and Peritoneum |
| 50220 | CPT | Nephrectomy, Including Partial Ureterectomy |
| 50225 | CPT | Complex Nephrectomy With Partial Ureter Removal |
| 50230 | CPT | Radical Nephrectomy |
| 50234 | CPT | Nephrectomy With Total Ureterectomy and Bladder Cuff Removal |
| 50236 | CPT | Nephrectomy With Total Ureterectomy and Bladder Cuff; Through Separate Incision |
| 50240 | CPT | Partial Nephrectomy |
| 50405 | CPT | Pyeloplasty |
| 50543 | CPT | Laparoscopic Partial Nephrectomy |
| 50545 | CPT | Laparoscopic Radical Nephrectomy |
| 50546 | CPT | Laparoscopic Nephrectomy |
| 50548 | CPT | Laparoscopic Nephrectomy With Total Ureterectomy |
| 50549 | CPT | Unlisted Laparoscopic Procedure on the Kidney |
| 50592 | CPT | Percutaneous Radiofrequency Ablation of Renal Tumors |
| 50705 | CPT | Ureteral Embolization or Occlusion, Including Imaging Guidance |
| 50825 | CPT | Continent Diversion, Including Intestine Anastomosis Using Any Segment of Small and/or Large Intestine |
| 50830 | CPT | Urinary Undiversion Procedure |
| 50947 | CPT | Ureteroneocystostomy With Cystoscopy and Ureteral Stent Placement |
| 50949 | CPT | Unlisted Laparoscopic Procedure on the Ureter |
| 51555 | CPT | Cystectomy, Partial, Complicated |
| 51565 | CPT | Cystectomy, Partial, With Ureteral Reimplantation |
| 51570 | CPT | Complete Cystectomy |
| 51575 | CPT | Complete Cystectomy With Bilateral Pelvic Lymphadenectomy |
| 51580 | CPT | Complete Cystectomy With A Ureterocutaneous Diversion or Ureterosigmoidostomy |
| 51585 | CPT | Cystectomy, Complete, With Ureterosigmoidostomy or Ureterocutaneous Transplantations |
| 51590 | CPT | Cystectomy, With Ileal Conduit or Sigmoid Bladder |
| 51595 | CPT | Cystectomy, Complete, With Ureteroileal Conduit or Sigmoid Bladder, Including Intestine Anastomosis |
| 51596 | CPT | Cystectomy, Complete, With Continent Diversion |
| 51597 | CPT | Complete Pelvic Exenteration |
| 51800 | CPT | Revision of Bladder/Urethra |
| 51820 | CPT | Revision of Urinary Tract |
| 51925 | CPT | Surgical Procedure Involving the Closure of A Vesicouterine Fistula |
| 51940 | CPT | Correction of Bladder Defect |
| 51960 | CPT | Enterocystoplasty |
| 51992 | CPT | Laparoscopy, Surgical; Sling Operation For Stress Incontinence |
| 52284 | CPT | Cystourethroscopy With Urethral Dilation and Drug Delivery |
| 52647 | CPT | Laser Coagulation of Prostate |
| 53850 | CPT | Microwave Thermotherapy |
| 53852 | CPT | Rezum Procedure |
| 53854 | CPT | Transurethral Destruction of Prostate Tissue By Radiofrequency Generated Water Vapor |
| 53860 | CPT | Transurethral Radiofrequency Micro-Remodeling of the Female Bladder Neck |
| 53899 | CPT | Unlisted Procedures In the Urinary System |
| 54135 | CPT | Amputation of Penis, Radical; In Continuity With Bilateral Pelvic Lymphadenectomy |
| 54440 | CPT | Plastic Surgery Procedure To Repair An Injury To the Penis |
| 54699 | CPT | Unlisted Laparoscopy Procedure, Testis |
| 55559 | CPT | Unlisted Laparoscopy Procedure For the Spermatic Cord |
| 55812 | CPT | Perineal Radical Prostatectomy With Limited Pelvic Lymph Node Biopsy |
| 55815 | CPT | Perineal Radical Prostatectomy, With Bilateral Pelvic Lymphadenectomy |
| 55873 | CPT | Cryosurgical Ablation of the Prostate |
| 55970 | CPT | Intersex Surgery That Is Performed To Change Male Genitalia Into Female Genitalia |
| 55980 | CPT | Intersex Surgery |
| 56637 | CPT | Radical Vulvectomy With Bilateral Inguinofemoral Lymphadenectomy |
| 56640 | CPT | Excision Procedures on the Vulva, Perineum and Introitus |
| 57109 | CPT | Vaginectomy, Partial Removal of Vaginal Wall |
| 57111 | CPT | Vaginectomy, Complete Removal of Vaginal Wall |
| 57291 | CPT | Colovaginoplasty, A Surgical Procedure For Transwomen |
| 57335 | CPT | Vaginoplasty Procedure For Intersex People |
| 58210 | CPT | Radical Abdominal Hysterectomy |
| 58240 | CPT | Total Pelvic Exenteration For Gynecologic Malignancy |
| 58285 | CPT | Radical Vaginal Hysterectomy |
| 58356 | CPT | Endometrial Cryoablation With Ultrasonic Guidance |
| 58548 | CPT | Laparoscopic Radical Hysterectomy With Pelvic Lymphadenectomy Code |
| 58565 | CPT | Surgical Hysteroscopy That Involves Placing Permanent Implants In the Fallopian Tubes To Induce Occlusion |
| 58575 | CPT | Laparoscopic Hysterectomy With Tumor Removal |
| 58579 | CPT | Unlisted Hysteroscopy Procedure of the Uterus |
| 58580 | CPT | Transcervical Ablation of Uterine Fibroid(S) |
| 58679 | CPT | Laparoscopy Procedures of the Oviduct or Ovary |
| 58952 | CPT | Resection (Initial) of Ovarian, Tubal or Primary Peritoneal Malignancy |
| 58953 | CPT | Bilateral Salpingo-Oophorectomy With Omentectomy, Total Abdominal Hysterectomy and Radical Dissection For Debulking |
| 58954 | CPT | Bilateral Salpingo-Oophorectomy With Omentectomy, Total Abdominal Hysterectomy and Radical Dissection For Debulking; With Pelvic |
| 58956 | CPT | Bilateral Salpingo- Oophorectomy With Total Omentectomy, Total Abdominal Hysterectomy For Malignancy |
| 58957 | CPT | Resection of Recurrent Ovarian, Tubal, Primary Peritoneal, Uterine Malignancy, With Omentectomy |
| 58958 | CPT | Excision Procedures on the Ovary |
| 58999 | CPT | Unlisted Procedure on the Female Genital System That Is Not Obstetrical |
| 59898 | CPT | Unlisted Laparoscopy Procedure, Maternity Care and Delivery |
| 59899 | CPT | Unlisted Procedure In Maternity Care and Delivery |
| 60254 | CPT | Thyroidectomy, Total or Subtotal For Malignancy; With Radical Neck Dissection |
| 60260 | CPT | Thyroidectomy, Removal of All Remaining Thyroid Tissue Following Previous Removal of A Portion of Thyroid |
| 60270 | CPT | Thyroidectomy, Including Substernal Thyroid; Sternal Split or Transthoracic Approach |
| 60271 | CPT | Thyroidectomy, Including Substernal Thyroid; Cervical Approach |
| 60500 | CPT | Parathyroidectomy Is A Surgical Procedure To Remove One or More of the Parathyroid Glands |
| 60502 | CPT | Parathyroidectomy or Exploration of Parathyroid(S); Re-Exploration |
| 60505 | CPT | Parathyroidectomy or Exploration of Parathyroid(S); With Mediastinal Exploration, Sternal Split or Transthoracic Approach |
| 60520 | CPT | Thymectomy, Partial or Total; Transcervical Approach |
| 60521 | CPT | Thymectomy, Partial or Total; Sternal Split or Transthoracic Approach, Without Radical Mediastinal Dissection |
| 60522 | CPT | Thymectomy, Partial or Total; Sternal Split or Transthoracic Approach, With Radical Mediastinal Dissection |
| 60540 | CPT | Partial or Complete Adrenalectomy, or An Exploration of the Adrenal Gland With or Without A Biopsy |
| 60545 | CPT | Adrenalectomy, Partial or Complete, or Exploration of Adrenal Gland With or Without Biopsy, Transabdominal, Lumbar or Dorsal |
| 60600 | CPT | Excision of Carotid Body Tumor; Without Excision of Carotid Artery |
| 60605 | CPT | Excision of Carotid Body Tumor; With Excision of Carotid Artery |
| 60650 | CPT | Laparoscopy, Surgical, With Adrenalectomy, Partial or Complete, or Exploration of Adrenal Gland With or Without Biopsy, Transabdominal, |
| 60659 | CPT | Unlisted Laparoscopy Procedure, Endocrine System |
| 60699 | CPT | Unlisted Procedure, Endocrine System |
| 61140 | CPT | Surgical Procedures on the Skull, Meninges, and Brain, Twist Drill, Burr Hole(S), or Trephine Procedures on the Skull, Meninges |
| 61150 | CPT | Burr Hole(S) or Trephine; With Drainage of Brain Abscess or Cyst |
| 61151 | CPT | Burr Hole(S) or Trephine; With Subsequent Tapping (Aspiration) of Intracranial Abscess or Cyst |
| 61154 | CPT | Burr Hole(S) With Evacuation and/or Drainage of Hematoma, Extradural or Subdural |
| 61156 | CPT | Burr Hole(S); With Aspiration of Hematoma or Cyst, Intracerebral |
| 61250 | CPT | Burr Hole(S) or Trephine, Supratentorial, Exploratory, Not Followed By Other Surgery |
| 61253 | CPT | Burr Hole(S) or Trephine, Infratentorial, Unilateral or Bilateral |
| 61304 | CPT | Craniectomy or Craniotomy, Exploratory; Supratentorial |
| 61305 | CPT | Craniectomy or Craniotomy, Exploratory; Infratentorial (Posterior Fossa) |
| 61312 | CPT | Craniectomy or Craniotomy For Evacuation of Hematoma, Supratentorial; Extradural or Subdural |
| 61313 | CPT | Craniectomy or Craniotomy For Evacuation of Hematoma, Supratentorial |
| 61314 | CPT | Craniectomy or Craniotomy For Evacuation of Hematoma, Infratentorial |
| 61315 | CPT | Craniectomy or Craniotomy For Evacuation of Hematoma, Infratentorial |
| 61320 | CPT | Craniectomy or Craniotomy, Drainage of Intracranial Abscess; Supratentorial |
| 61321 | CPT | Craniectomy or Craniotomy, Drainage of Intracranial Abscess; Infratentorial |
| 61322 | CPT | Craniectomy or Craniotomy, Decompressive, With or Without Duraplasty, For Treatment of Intracranial Hypertension, Without Evacuation of |
| 61323 | CPT | Craniectomy or Craniotomy, Decompressive, With or Without Duraplasty, For Treatment of Intracranial Hypertension, Without Evacuation of |
| 61330 | CPT | Decompression of Orbit Only, Transcranial Approach |
| 61333 | CPT | Exploration of Orbit (Transcranial Approach); With Removal of Lesion |
| 61340 | CPT | Subtemporal Cranial Decompression (Pseudotumor Cerebri, Slit Ventricle Syndrome) |
| 61343 | CPT | Craniectomy, Suboccipital With Cervical Laminectomy For Decompression of Medulla and Spinal Cord, With or Without Dural Graft |
| 61345 | CPT | Other Cranial Decompression, Posterior Fossa |
| 61450 | CPT | Craniectomy, Subtemporal, For Section, Compression, or Decompression of Sensory Root of Gasserian Ganglion |
| 61458 | CPT | Craniectomy, Suboccipital; For Exploration or Decompression of Cranial Nerves |
| 61460 | CPT | Craniectomy, Suboccipital; For Section of 1 or More Cranial Nerves |
| 61500 | CPT | Craniectomy; With Excision of Tumor or Other Bone Lesion of Skull |
| 61501 | CPT | Craniectomy; For Osteomyelitis |
| 61512 | CPT | Craniectomy, Trephination, Bone Flap Craniotomy; For Excision of Meningioma, Supratentorial |
| 61514 | CPT | Craniectomy, Trephination, Bone Flap Craniotomy; For Excision of Brain Abscess, Supratentorial |
| 61516 | CPT | Craniectomy, Trephination, Bone Flap Craniotomy; For Excision or Fenestration of Cyst, Supratentorial |
| 61518 | CPT | Craniectomy For Excision of Brain Tumor, Infratentorial or Posterior Fossa; Except Meningioma, Cerebellopontine Angle Tumor, or Midline |
| 61519 | CPT | Craniectomy For Excision of Brain Tumor, Infratentorial or Posterior Fossa; Meningioma |
| 61520 | CPT | Craniectomy For Excision of Brain Tumor, Infratentorial or Posterior Fossa; Cerebellopontine Angle Tumor |
| 61521 | CPT | Craniectomy For Excision of Brain Tumor, Infratentorial or Posterior Fossa; Midline Tumor At Base of Skull |
| 61522 | CPT | Craniectomy, Infratentorial or Posterior Fossa; For Excision of Brain Abscess |
| 61524 | CPT | Craniectomy, Infratentorial or Posterior Fossa; For Excision or Fenestration of Cyst |
| 61526 | CPT | Craniectomy, Bone Flap Craniotomy, Transtemporal (Mastoid) For Excision of Cerebellopontine Angle Tumor |
| 61530 | CPT | Craniectomy, Bone Flap Craniotomy, Transtemporal (Mastoid) For Excision of Cerebellopontine Angle Tumor; Combined With Middle/ |
| 61531 | CPT | Implant Brain Electrodes |
| 61533 | CPT | Craniotomy With Elevation of Bone Flap; For Subdural Implantation of An Electrode Array, For Long-Term Seizure Monitoring |
| 61534 | CPT | Craniotomy With Elevation of Bone Flap; For Excision of Epileptogenic Focus Without Electrocorticography During Surgery |
| 61535 | CPT | Craniotomy With Elevation of Bone Flap; For Removal of Epidural or Subdural Electrode Array, Without Excision of Cerebral Tissue |
| 61536 | CPT | Craniotomy With Elevation of Bone Flap; For Excision of Cerebral Epileptogenic Focus, With Electrocorticography During Surgery |
| 61537 | CPT | Craniotomy With Elevation of Bone Flap; For Lobectomy, Temporal Lobe, Without Electrocorticography During Surgery |
| 61538 | CPT | Craniotomy With Elevation of Bone Flap; For Lobectomy, Temporal Lobe, With Electrocorticography During Surgery |
| 61539 | CPT | Craniotomy With Elevation of Bone Flap; For Lobectomy, Other Than Temporal Lobe, Partial or Total, With Electrocorticography During Surgery |
| 61540 | CPT | Craniotomy With Elevation of Bone Flap; For Lobectomy, Other Than Temporal Lobe, Partial or Total, Without Electrocorticography During Surgery |
| 61541 | CPT | Craniotomy With Elevation of Bone Flap; For Transection of Corpus Callosum |
| 61543 | CPT | Craniotomy With Elevation of Bone Flap; For Partial or Subtotal (Functional) Hemispherectomy |
| 61544 | CPT | Craniotomy With Elevation of Bone Flap; For Excision or Coagulation of Choroid Plexus |
| 61545 | CPT | Craniotomy With Elevation of Bone Flap; For Excision of Craniopharyngioma |
| 61546 | CPT | Craniotomy For Hypophysectomy or Excision of Pituitary Tumor, Intracranial Approach |
| 61548 | CPT | Hypophysectomy or Excision of Pituitary Tumor, Transnasal or Transseptal Approach, Nonstereotactic |
| 61550 | CPT | Craniectomy For Craniosynostosis; Single Cranial Suture |
| 61552 | CPT | Craniectomy For Craniosynostosis; Multiple Cranial Sutures |
| 61556 | CPT | Craniotomy For Craniosynostosis; Frontal or Parietal Bone Flap |
| 61557 | CPT | Craniotomy For Craniosynostosis; Bifrontal Bone Flap |
| 61558 | CPT | Extensive Craniectomy For Multiple Cranial Suture Craniosynostosis (E.G., Cloverleaf Skull); Not Requiring Bone Grafts |
| 61559 | CPT | Extensive Craniectomy For Multiple Cranial Suture Craniosynostosis (E.G., Cloverleaf Skull); Recontouring With Multiple Osteotomies and |
| 61563 | CPT | Excision, Intra and Extracranial, Benign Tumor of Cranial Bon |
| 61564 | CPT | Excision of Skull Tumor |
| 61566 | CPT | Craniotomy With Elevation of Bone Flap; For Selective Amygdalohippocampectomy |
| 61567 | CPT | Incision of Brain Tissue |
| 61570 | CPT | Craniectomy or Craniotomy; With Excision of Foreign Body From Brain |
| 61571 | CPT | Craniectomy or Craniotomy; With Treatment of Penetrating Wound of Brain |
| 61575 | CPT | Transoral Approach To Skull Base, Brain Stem or Upper Spinal Cord For Biopsy, Decompression or Excision of Lesion |
| 61576 | CPT | Transoral Approach To Skull Base, Brain Stem or Upper Spinal Cord For Biopsy, Decompression or Excision of Lesion; Requiring Splitting of |
| 61580 | CPT | Craniofacial Approach To Anterior Cranial Fossa; Extradural, Including Lateral Rhinotomy, Ethmoidectomy, Sphenoidectomy, Without Maxillectomy |
| 61581 | CPT | Craniofacial Approach To Anterior Cranial Fossa; Extradural, Including Lateral Rhinotomy, Orbital Exenteration, Ethmoidectomy, |
| 61582 | CPT | Craniofacial Approach To Anterior Cranial Fossa; Extradural, Including Unilateral or Bifrontal Craniotomy, Elevation of Frontal Lobe(S), |
| 61583 | CPT | Craniofacial Approach To Anterior Cranial Fossa; Intradural, Including Unilateral or Bifrontal Craniotomy, Elevation or Resection of Frontal |
| 61584 | CPT | Orbitocranial Approach To Anterior Cranial Fossa, Extradural, Including Supraorbital Ridge Osteotomy and Elevation of Frontal and/or |
| 61585 | CPT | Orbitocranial Approach To Anterior Cranial Fossa, Extradural, Including Supraorbital Ridge Osteotomy and Elevation of Frontal and/or |
| 61586 | CPT | Bicoronal, Transzygomatic and/or Lefort I Osteotomy Approach To Anterior Cranial Fossa With or Without Internal Fixation, Without Bone Graft |
| 61590 | CPT | Infratemporal Pre-Auricular Approach To Middle Cranial Fossa (Parapharyngeal Space, Infratemporal and Midline Skull Base, |
| 61591 | CPT | Nfratemporal Post-Auricular Approach To Middle Cranial Fossa (Internal Auditory Meatus, Petrous Apex, Tentorium, Cavernous Sinus, |
| 61592 | CPT | Orbitocranial Zygomatic Approach To Middle Cranial Fossa (Cavernous Sinus and Carotid Artery, Clivus, Basilar Artery or Petrous Apex) |
| 61595 | CPT | Transtemporal Approach To Posterior Cranial Fossa, Jugular Foramen or Midline Skull Base, Including Mastoidectomy, Decompression of |
| 61596 | CPT | Transcochlear Approach/Skull |
| 61597 | CPT | Transcondylar (Far Lateral) Approach To Posterior Cranial |
| 61598 | CPT | Transpetrosal Approach To the Posterior Cranial Fossa, Clivus, or Foramen |
| 61600 | CPT | Resection or Excision of Neoplastic, Vascular or Infectious Lesion of Base of Anterior Cranial Fossa; Extradural |
| 61601 | CPT | Resection or Excision of Neoplastic, Vascular or Infectious Lesion of Base of Anterior Cranial Fossa; Intradural, Including Dural Repair, With |
| 61605 | CPT | Resection or Excision of Neoplastic, Vascular or Infectious Lesion of Infratemporal Fossa, Parapharyngeal Space, Petrous Apex; Extradural |
| 61606 | CPT | Resection or Excision of Neoplastic, Vascular or Infectious Lesion of Infratemporal Fossa, Parapharyngeal Space, Petrous Apex; Intradural, |
| 61607 | CPT | Resection or Excision of Neoplastic, Vascular or Infectious Lesion of Parasellar Area, Cavernous Sinus, Clivus or Midline Skull Base; Extradural |
| 61608 | CPT | Resection or Excision of Neoplastic, Vascular or Infectious Lesion of Parasellar Area, Cavernous Sinus, Clivus or Midline Skull Base; |
| 61611 | CPT | Transection or Ligation, Carotid Artery In Petrous Canal; Without Repair |
| 61613 | CPT | Obliteration of Carotid Aneurysm, Arteriovenous Malformation, or Carotid-Cavernous Fistula By Dissection Within Cavernous Sinus |
| 61615 | CPT | Resection or Excision of Neoplastic, Vascular or Infectious Lesion of Base of Posterior Cranial Fossa, Jugular Foramen, Foramen Magnum, |
| 61616 | CPT | Resection or Excision of Neoplastic, Vascular or Infectious Lesion of Base of Posterior Cranial Fossa, Jugular Foramen, Foramen Magnum, |
| 61618 | CPT | Secondary Repair of Dura For Cerebrospinal Fluid Leak, Anterior, Middle or Posterior Cranial Fossa Following Surgery of the Skull Base; By |
| 61619 | CPT | Secondary Repair of Dura For Cerebrospinal Fluid Leak, Anterior, Middle or Posterior Cranial Fossa Following Surgery of the Skull Base; By |
| 61624 | CPT | Transcatheter Permanent Occlusion or Embolization |
| 61630 | CPT | Balloon Angioplasty, Intracranial |
| 61635 | CPT | Transcatheter Placement of Intravascular Stent(S), Intracranial (Eg, Atherosclerotic Stenosis), Including Balloon Angioplasty, If Performed |
| 61640 | CPT | Balloon Dilatation of Intracranial Vasospasm, Percutaneous; Initial Vessel |
| 61641 | CPT | Balloon Dilatation of Intracranial Vasospasm, Percutaneous; Each Additional Vessel In Same Vascular Family |
| 61642 | CPT | Balloon Dilatation of Intracranial Vasospasm, Percutaneous; Each Additional Vessel In Each Additional Vessel In Different Vascular Family |
| 61680 | CPT | Surgery of Intracranial Arteriovenous Malformation; Supratentorial, Simple |
| 61682 | CPT | Surgery of Intracranial Arteriovenous Malformation; Supratentorial, Complex |
| 61684 | CPT | Surgery of Intracranial Arteriovenous Malformation; Infratentorial, Simple |
| 61686 | CPT | Surgery of Intracranial Arteriovenous Malformation; Infratentorial, Complex |
| 61690 | CPT | Surgery of Intracranial Arteriovenous Malformation; Dural, Simple |
| 61692 | CPT | Surgery of Intracranial Arteriovenous Malformation; Dural, Complex |
| 61698 | CPT | Surgery of Complex Intracranial Aneurysm, Intracranial Approach; Vertebrobasilar Circulation |
| 61700 | CPT | Surgery of Simple Intracranial Aneurysm, Intracranial Approach; Carotid Circulation |
| 61702 | CPT | Surgery of Simple Intracranial Aneurysm, Intracranial Approach; Vertebrobasilar Circulation |
| 61703 | CPT | Surgery of Intracranial Aneurysm, Cervical Approach By Application of Occluding Clamp To Cervical Carotid Artery |
| 61705 | CPT | Surgery of Aneurysm, Vascular Malformation or Carotid-Cavernous Fistula; By Intracranial and Cervical Occlusion of Carotid Artery |
| 61708 | CPT | Surgery of Aneurysm, Vascular Malformation or Carotid-Cavernous Fistula; By Intracranial Electrothrombosis |
| 61710 | CPT | Surgery of Aneurysm, Vascular Malformation or Carotid-Cavernous Fistula; By Intra-Arterial Embolization, Injection Procedure, or Balloon Catheter |
| 61711 | CPT | Anastomosis, Arterial, Extracranial-Intracranial (Eg, Middle Cerebral/Cortical) Arteries |
| 61720 | CPT | Creation of Lesion By Stereotactic Method, Including Burr Hole(S) and Localizing and Recording Techniques, Single or Multiple Stages; |
| 61735 | CPT | Creation of Lesion By Stereotactic Method, Including Burr Hole(S) and Localizing and Recording Techniques, Single or Multiple Stages; |
| 61736 | CPT | Laser Interstitial Thermal Therapy (Litt) of Lesion, Intracranial, Including Burr Hole(S), With Magnetic Resonance Imaging Guidance, When Performed |
| 61737 | CPT | Laser Interstitial Thermal Therapy (Litt) of Multiple or Complex Intracranial Lesions |
| 61750 | CPT | Stereotactic Biopsy, Aspiration, or Excision of An Intracranial Lesion |
| 61751 | CPT | Stereotactic Biopsy, Aspiration, or Excision, Including Burr Hole(S), For Intracranial Lesion; With Computed Tomography and/or Magnetic |
| 61760 | CPT | Stereotactic Implantation of Depth Electrodes Into the Cerebrum For Long-Term Seizure Monitoring |
| 61770 | CPT | Stereotactic Localization, Including Burr Hole(S), With Insertion of Catheter(S) or Probe(S) For Placement of Radiation Source |
| 61790 | CPT | Creation of Lesion By Stereotactic Method, Percutaneous, By Neurolytic Agent |
| 61791 | CPT | Creation of Lesion By Stereotactic Method, Percutaneous, By Neurolytic Agent (Eg, Alcohol, Thermal, Electrical, Radiofrequency); Trigeminal |
| 61796 | CPT | Stereotactic Radiosurgery (Cranial) Procedures on the Skull, Meninges, and Brain |
| 61798 | CPT | Stereotactic Radiosurgery (Particle Beam, Gamma Ray, or Linear Accelerator); 1 Complex Cranial Lesion |
| 61799 | CPT | Stereotactic Radiosurgery of the Brain, Skull, or Meninges |
| 61860 | CPT | Implantation By Craniectomy or Craniotomy |
| 61880 | CPT | Revision or Removal of Intracranial Neurostimulator Electrodes |
| 61888 | CPT | Revision or Removal of Cranial Neurostimulator Pulse Generator or Receiver |
| 61889 | CPT | Skull-Mounted Cranial Neurostimulator Pulse Generator or Receiver |
| 61891 | CPT | Skull-Mounted Cranial Neurostimulator Pulse Generator or Receiver |
| 61892 | CPT | Removal of A Skull-Mounted Cranial Neurostimulator Pulse Generator, Which May Include Cranioplasty |
| 62000 | CPT | Elevation of Depressed Skull Fracture |
| 62005 | CPT | Elevation of Depressed Skull Fracture; Compound or Comminuted, Extradural |
| 62010 | CPT | Elevation of Depressed Skull Fracture; With Repair of Dura and/or Debridement of Brain |
| 62100 | CPT | Craniotomy For Repair of Dural/Cerebrospinal Fluid Leak, Including Surgery For Rhinorrhea/Otorrhea |
| 62115 | CPT | Reduction of Craniomegalic Skull |
| 62117 | CPT | Reduction of Skull Defect |
| 62120 | CPT | Repair of Encephalocele, Skull Vault, Including Cranioplasty |
| 62121 | CPT | Craniotomy For Repair of Encephalocele, Skull Base |
| 62140 | CPT | Cranioplasty For Skull Defect; Up To 5 Cm Diameter |
| 62141 | CPT | Cranioplasty For Skull Defect; Larger Than 5 Cm |
| 62142 | CPT | Removal of Bone Flap or Prosthetic Plate of Skull |
| 62143 | CPT | Replacement of Bone Flap or Prosthetic Plate of Skull |
| 62145 | CPT | Cranioplasty For Skull Defect With Reparative Brain Surgery |
| 62146 | CPT | Cranioplasty With Autograft |
| 62147 | CPT | Incision and Subcutaneous Placement of Cranial Bone Graft |
| 62161 | CPT | Neuroendoscopy, Intracranial; With Dissection of Adhesions, Fenestration of Septum Pellucidum or Intraventricular Cysts |
| 62162 | CPT | Neuroendoscopy, Intracranial; With Fenestration or Excision of Colloid Cyst, Including Placement of External Ventricular Catheter For Drainage |
| 62164 | CPT | Neuroendoscopy, Intracranial; With Excision of Brain Tumor, Including Placement of External Ventricular Catheter For Drainage |
| 62165 | CPT | Neuroendoscopy, Intracranial; With Excision of A Pituitary Tumor, Transnasal or Trans-Sphenoidal Approach |
| 62180 | CPT | Ventriculocisternostomy |
| 62190 | CPT | Creation of Shunt; Subarachnoid/Subdural-Atrial, -Jugular, -Auricular, |
| 62192 | CPT | Creation of Shunt; Subarachnoid/Subdural-Peritoneal, -Pleural, Other Terminus |
| 62200 | CPT | Ventriculocisternostomy, Third Ventricle |
| 62201 | CPT | Ventriculocisternostomy, Third Ventricle |
| 62220 | CPT | Creation of Shunt; Ventriculo-Atrial, -Jugular, -Auricular |
| 62223 | CPT | Creation of Shunt; Ventriculo-Peritoneal, -Pleural, Other Terminus |
| 62258 | CPT | Removal of Complete Cerebrospinal Fluid Shunt System |
| 62287 | CPT | Decompression Procedure, Percutaneous, of Nucleus Pulposus of Intervertebral Disc, Any Method Utilizing Needle Based Technique To |
| 62292 | CPT | Injection Procedure For Chemonucleolysis, Including Discography, Intervertebral Disk, Single or Multiple Levels, Lumbar |
| 62294 | CPT | Injection Into Spinal Artery |
| 62380 | CPT | Surgical Procedures on the Spine and Spinal Cord, Endoscopic Decompression of Neural Elements and/or Excision of Herniated Interverteb |
| 63001 | CPT | Posterior Extradural Laminotomy or Laminectomy For Exploration/ Decompression of Neural Elements or Excision of Herniated |
| 63003 | CPT | Laminectomy With Exploration and/or Decompression of Spinal Cord and/or Cauda Equina, Without Facetectomy, Foraminotomy or Discectomy |
| 63005 | CPT | Laminectomy With Exploration and/or Decompression of Spinal Cord and/or Cauda Equina, Without Facetectomy, Foraminotomy or Discectomy |
| 63011 | CPT | Laminectomy With Exploration and/or Decompression of Spinal Cord and/or Cauda Equina, Without. Facetectomy, Foraminotomy or Discectomy |
| 63012 | CPT | Laminectomy With Removal of Abnormal Facets and/or Pars Inter-Articularis With Decompression of Cauda Equina and Nerve Roots For |
| 63015 | CPT | Laminectomy With Exploration and/or Decompression of Spinal Cord and/or Cauda Equina, Without Facetectomy, Foraminotomy or Discectomy |
| 63016 | CPT | Laminectomy With Exploration and/or Decompression of Spinal Cord and/or Cauda Equina, Without Facetectomy, Foraminotomy or Discectomy |
| 63017 | CPT | Laminectomy With Exploration and/or Decompression of Spinal Cord and/or Cauda Equina, Without Facetectomy, Foraminotomy or |
| 63040 | CPT | Laminotomy (Hemilaminectomy), With Decompression of Nerve Root(S), Including Partial Facetectomy, Foraminotomy and/or Excision of |
| 63043 | CPT | Laminotomy (Hemilaminectomy), With Decompression of Nerve Root(S) |
| 63044 | CPT | Laminotomy (Hemilaminectomy), With Decompression of Nerve Root(S) |
| 63045 | CPT | Laminectomy, Facetectomy and Foraminotomy |
| 63046 | CPT | Laminectomy, Facetectomy and Foraminotomy |
| 63050 | CPT | Cervical Laminoplasty With Decompression of the Spinal Cord |
| 63051 | CPT | Laminoplasty, Cervical, With Decompression of the Spinal Cord, 2 or More Vertebral Segments |
| 63055 | CPT | Transpedicular Approach To Decompress the Spinal Cord, Equina, or Nerve Roots In A Single Thoracic Segment |
| 63056 | CPT | Transpedicular Approach With Decompression of Spinal Cord, Equina and/or Nerve Root(S) |
| 63057 | CPT | Decompress Spinal Cord |
| 63064 | CPT | Decompress Spinal Cord |
| 63066 | CPT | Decompress Spinal Cord |
| 63075 | CPT | Neck Spine Disk Surgery |
| 63076 | CPT | Neck Spine Disk Surgery |
| 63077 | CPT | Discectomy, Anterior, With Decompression of Spinal Cord and/or Nerve Root |
| 63081 | CPT | Vertebral Corpectomy (Vertebral Body Resection), Partial or Complete, Anterior Approach With Decompression of Spinal Cord and/or Nerve |
| 63082 | CPT | Vertebral Corpectomy (Vertebral Body Resection), Partial or Complete, Anterior Approach With Decompression of Spinal Cord and/or Nerve |
| 63085 | CPT | Vertebral Corpectomy (Vertebral Body Resection), Partial or Complete, Transthoracic Approach With Decompression of Spinal Cord and/or |
| 63086 | CPT | Vertebral Corpectomy (Vertebral Body Resection), Partial or Complete, Transthoracic Approach With Decompression of Spinal Cord and/or |
| 63087 | CPT | Vertebral Corpectomy (Vertebral Body Resection), Partial or Complete, Combined Thoracolumbar Approach With Decompression of Spinal Cord |
| 63088 | CPT | Vertebral Corpectomy (Vertebral Body Resection), Partial or Complete, Combined Thoracolumbar Approach With Decompression of Spinal Cord |
| 63090 | CPT | Vertebral Corpectomy (Vertebral Body Resection), Partial or Complete, Transperitoneal or Retroperitoneal Approach |
| 63091 | CPT | Vertebral Corpectomy (Vertebral Body Resection), Partial or Complete, Transperitoneal or Retroperitoneal Approach |
| 63101 | CPT | Vertebral Corpectomy (Vertebral Body Resection), Partial or Complete, Lateral Extracavitary Approach With Decompression of Spinal Cord |
| 63102 | CPT | Vertebral Corpectomy (Vertebral Body Resection), Partial or Complete, Lateral Extracavitary Approach With Decompression of Spinal Cord |
| 63103 | CPT | Vertebral Corpectomy (Vertebral Body Resection), Partial or Complete, Lateral Extracavitary Approach With Decompression of Spinal Cord |
| 63170 | CPT | Incise Spinal Cord Tract(S) |
| 63172 | CPT | Drainage of Spinal Cyst |
| 63173 | CPT | Drainage of Spinal Cyst |
| 63185 | CPT | Incise Spinal Column/Nerves |
| 63190 | CPT | Incise Spinal Column/Nerves |
| 63191 | CPT | Incise Spinal Column/Nerves |
| 63197 | CPT | Incise Spinal Column/Nerves |
| 63200 | CPT | Release of Spinal Cord |
| 63250 | CPT | Revise Spinal Cord Vessels |
| 63251 | CPT | Revise Spinal Cord Vessels |
| 63252 | CPT | Revise Spinal Cord Vessels |
| 63265 | CPT | Excise Intraspinal Lesion |
| 63266 | CPT | Excise Intraspinal Lesion |
| 63268 | CPT | Excise Intraspinal Lesion |
| 63270 | CPT | Excise Intraspinal Lesion |
| 63271 | CPT | Excise Intraspinal Lesion |
| 63272 | CPT | Excise Intraspinal Lesion |
| 63273 | CPT | Excise Intraspinal Lesion |
| 63275 | CPT | Biopsy/Excise Spinal Tumor |
| 63276 | CPT | Biopsy/Excise Spinal Tumor |
| 63277 | CPT | Biopsy/Excise Spinal Tumor |
| 63278 | CPT | Biopsy/Excise Spinal Tumor |
| 63280 | CPT | Biopsy/Excise Spinal Tumor |
| 63281 | CPT | Biopsy/Excise Spinal Tumor |
| 63282 | CPT | Biopsy/Excise Spinal Tumor |
| 63283 | CPT | Biopsy/Excise Spinal Tumor |
| 63285 | CPT | Biopsy/Excise Spinal Tumor |
| 63286 | CPT | Biopsy/Excise Spinal Tumor |
| 63287 | CPT | Biopsy/Excise Spinal Tumor |
| 63290 | CPT | Biopsy/Excise Spinal Tumor |
| 63295 | CPT | Repair of Laminectomy Defect |
| 63300 | CPT | Removal of Vertebral Body |
| 63301 | CPT | Removal of Vertebral Body |
| 63302 | CPT | Removal of Vertebral Body |
| 63303 | CPT | Removal of Vertebral Body |
| 63304 | CPT | Removal of Vertebral Body |
| 63305 | CPT | Removal of Vertebral Body |
| 63306 | CPT | Removal of Vertebral Body |
| 63307 | CPT | Removal of Vertebral Body |
| 63308 | CPT | Removal of Vertebral Body |
| 63600 | CPT | Remove Spinal Cord Lesion |
| 63610 | CPT | Stimulation of Spinal Cord |
| 63620 | CPT | Stereotactic Radiosurgery (Particle Beam, Gamma Ray, or Linear Accelerator); 1 Spinal Lesion |
| 63621 | CPT | Stereotactic Radiosurgery (Particle Beam, Gamma Ray, or Linear Accelerator) |
| 63661 | CPT | Removal of Spinal Neurostimulator Electrode Percutaneous Array(S) |
| 63662 | CPT | Removal of Spinal Neurostimulator Electrode Plate/Paddle(S) Placed Via Laminotomy or Laminectomy |
| 63700 | CPT | Repair of Spinal Herniation |
| 63702 | CPT | Repair of Spinal Herniation |
| 63704 | CPT | Repair of Spinal Herniation |
| 63706 | CPT | Repair of Spinal Herniation |
| 63707 | CPT | Repair Spinal Fluid Leakage |
| 63709 | CPT | Repair Spinal Fluid Leakage |
| 63710 | CPT | Graft Repair of Spine Defect |
| 63740 | CPT | Install Spinal Shunt |
| 63741 | CPT | Creation of Shunt, Lumbar, Subarachnoid-Peritoneal, -Pleural, or Other |
| 63744 | CPT | Replacement, Irrigation or Revision of Lumbosubarachnoid Shunt |
| 63746 | CPT | Removal of Entire Lumbosubarachnoid Shunt System Without Replacement |
| 64405 | CPT | Injection, Anesthetic Agent; Greater Occipital Nerve |
| 64417 | CPT | Injection(S), Anesthetic Agent(S) and/or Steroid; Axillary Nerve, Including |
| 64418 | CPT | Injection, Anesthetic Agent; Suprascapular Nerve For Cervical Spondylosis |
| 64420 | CPT | Intercostal Nerve Blocks |
| 64421 | CPT | Intercostal Nerve Blocks |
| 64425 | CPT | Injection, Anesthetic Agent; Ilioinguinal, Iliohypogastric Nerves |
| 64430 | CPT | Injection(S), Anesthetic Agent(S) and/or Steroid; Pudendal Nerve |
| 64445 | CPT | Injection(S), Anesthetic Agent(S) and/or Steroid; Sciatic Nerve |
| 64446 | CPT | Sciatic Nerve, Continuous Infusion By Catheter |
| 64450 | CPT | Injection, Anesthetic Agent; Other Peripheral Nerve or Branch [Coccygeal Ganglion (Ganglion Impar) Block] |
| 64451 | CPT | Injection(S), Anesthetic Agent(S) and/or Steroid; Nerves Innervating the Sacroiliac Joint, With Image Guidance |
| 64454 | CPT | Injection(S), Anesthetic Agent(S) and/or Steroid; Genicular Nerve Branches |
| 64461 | CPT | Paravertebral Block (Pvb) (Paraspinous Block), Thoracic |
| 64462 | CPT | Paravertebral Block (Pvb) (Paraspinous Block), Thoracic |
| 64463 | CPT | Paravertebral Block (Pvb) (Paraspinous Block), Thoracic |
| 64479 | CPT | N Block Inj, Lumbar Plexus |
| 64480 | CPT | Injection, Cervical or Thoracic, Each Added Level |
| 64483 | CPT | Injection, Lumbar Orsacral, Single Level |
| 64484 | CPT | Injection,Lumbar or Sacral, Each Added Level |
| 64490 | CPT | Injection(S), Diagnostic or Therapeutic Agent, Paravertebral Facet |
| 64491 | CPT | Injection(S), Diagnostic or Therapeutic Agent, Paravertebral Facet |
| 64492 | CPT | Injection(S), Diagnostic or Therapeutic Agent, Paravertebral Facet |
| 64493 | CPT | Injection(S), Diagnostic or Therapeutic Agent, Paravertebral Facet |
| 64494 | CPT | Injection(S), Diagnostic or Therapeutic Agent, Paravertebral Facet |
| 64495 | CPT | Injection(S), Diagnostic or Therapeutic Agent, Paravertebral Facet |
| 64505 | CPT | Injection of the Sphenopalatine Ganglion |
| 64510 | CPT | Injection, Anesthetic Agent; Stellate Ganglion (Cervical Sympathetic |
| 64517 | CPT | N Block Inj, Hypogas Plxs |
| 64520 | CPT | Injection, Anesthetic Agent; Lumbar or Thoracic (Paravertebral Sympathetic) |
| 64530 | CPT | Injection, Anesthetic Agent; Celiac Plexus, With or Without Radiologic Monitoring |
| 64553 | CPT | Percutaneous Implantation of Neurostimulator Electrodes, |
| 64566 | CPT | Posterior Tibial Neurostimulation, Percutaneous Needle Electrode |
| 64569 | CPT | Revision or Replacement of Cranial Nerve |
| 64570 | CPT | Open Implantation Neurostimulator Electrodes, Cranial Nerve |
| 64575 | CPT | Implant Neuroelectrodes |
| 64580 | CPT | Implant Neuroelectrodes |
| 64582 | CPT | Open Implantation of Hypoglossal Nerve Neurostimulator Array, Pulse Generator, and Distal Respirator |
| 64583 | CPT | Revision or Replacement of Hypoglossal Nerve Stimulator Electrode and Breathing Sensor Electrode With Connection To Existing Generator |
| 64584 | CPT | Insertion of Hypoglossal Nerve Neurostimulator Electrode, Generator and Breathing Sensor Electrode |
| 64596 | CPT | Insertion or Replacement of Percutaneous Electrode Array, Peripheral Nerve |
| 64597 | CPT | Insertion, Replacement, Revision, or Removal of Electrode Array, Peripheral Nerve |
| 64598 | CPT | Insertion, Replacement, Revision, or Removal of Electrode Array, Peripheral Nerve |
| 64600 | CPT | Destruction By Neurolytic Agent, Trigeminal Nerve; Supraorbital, Infraorbital, Mental, or Inferior Alveolar Branch |
| 64605 | CPT | Destruction By Neurolytic Agent, Trigeminal Nerve |
| 64610 | CPT | Destruction By Neurolytic Agent, Trigeminal Nerve; Second and Third Division Branches At Foramen Ovale Under Radiologic Monitoring |
| 64611 | CPT | Chemodenervation of Parotid and Submandibular Salivary Glands |
| 64612 | CPT | Chemodenervation of Muscle(S); Muscle(S) Innervated By Facial Nerve |
| 64616 | CPT | Destruction By Neurolytic Agent |
| 64617 | CPT | Chemodenervation of Larynx, Unilateral, Percutaneous |
| 64620 | CPT | Destruction By Neurolytic Agent, Intercostal Nerve |
| 64624 | CPT | Destruction By Neurolytic Agent, Genicular Nerve Branches |
| 64625 | CPT | Radiofrequency Ablation, Nerves Innervating the Sacroiliac Joint |
| 64628 | CPT | Thermal Destruction of Intraosseous Basivertebral Nerve |
| 64629 | CPT | Thermal Destruction of Intraosseous Basivertebral Nerve |
| 64630 | CPT | Destruction By Neurolytic Agent; Pudendal Nerve |
| 64632 | CPT | Destruction By Neurolytic Agent; Plantar Common Digital Nerve |
| 64633 | CPT | Destroy Cerv/Thor Facet Jnt |
| 64634 | CPT | Destroy C/Th Facet Jnt Addl |
| 64636 | CPT | Destroy L/S Facet Jnt Addl |
| 64640 | CPT | Destruction By Neurolytic Agent; Other Peripheral Nerve or Branch |
| 64642 | CPT | Chemodenervation of One Extremity; 1-4 Muscle |
| 64650 | CPT | Chemodenerv Eccrine Glands |
| 64653 | CPT | Chemodenerv Eccrine Glands |
| 64680 | CPT | Injection Treatment of Nerve |
| 64681 | CPT | Destruction By Neurolytic Agent, With or Without Radiologic Monitoring |
| 64790 | CPT | Excision of Neurofibroma or Neurolemmoma; Major Peripheral Nerv |
| 64792 | CPT | Excision of Neurofibroma or Neurolemmoma; Extensive |
| 64802 | CPT | Remove Sympathetic Nerves |
| 64804 | CPT | Remove Sympathetic Nerves |
| 64809 | CPT | Remove Sympathetic Nerves |
| 64818 | CPT | Remove Sympathetic Nerves |
| 64820 | CPT | Remove Sympathetic Nerves |
| 64821 | CPT | Sympathectomy,,Radial Artery |
| 64822 | CPT | Sympathectomy,Ulnar Artery |
| 64823 | CPT | Sympathectomy, Superf Palmar Arch |
| 64831 | CPT | Repair of Digit Nerve |
| 64832 | CPT | Repair Additional Nerve |
| 64834 | CPT | Repair of Hand or Foot Nerve |
| 64835 | CPT | Repair of Hand or Foot Nerve |
| 64836 | CPT | Repair of Hand or Foot Nerve |
| 64837 | CPT | Repair Additional Nerve |
| 64840 | CPT | Repair of Leg Nerve |
| 64856 | CPT | Repair/Transpose Nerve |
| 64857 | CPT | Repair Arm/Leg Nerve |
| 64858 | CPT | Repair Sciatic Nerve |
| 64859 | CPT | Additional Nerve Surgery |
| 64861 | CPT | Repair of Arm Nerves |
| 64862 | CPT | Suture of Each Additional Major Peripheral Nerve- Lumbar Plexus |
| 64864 | CPT | Repair of Facial Nerve |
| 64865 | CPT | Repair of Facial Nerve |
| 64866 | CPT | Fusion of Facial/Other Nerve |
| 64868 | CPT | Fusion of Facial/Other Nerve |
| 64872 | CPT | Subsequent Repair of Nerve |
| 64874 | CPT | Repair & Revise Nerve |
| 64876 | CPT | Suture of Nerve |
| 64885 | CPT | Nerve Graft, Head or Neck |
| 64886 | CPT | Nerve Graft, Head or Neck |
| 64890 | CPT | Nerve Graft, Head or Neck |
| 64891 | CPT | Nerve Graft, Head or Neck |
| 64892 | CPT | Nerve Graft, Arm or Leg |
| 64893 | CPT | Nerve Graft, Arm or Leg |
| 64895 | CPT | Nerve Graft, Arm or Leg |
| 64896 | CPT | Nerve Graft, Arm or Leg |
| 64897 | CPT | Nerve Graft, Arm or Leg |
| 64898 | CPT | Nerve Graft, Arm or Leg |
| 64901 | CPT | Additional Nerve Graft |
| 64902 | CPT | Additional Nerve Graft |
| 64905 | CPT | Nerve Pedicle Transfer |
| 64907 | CPT | Nerve Pedicle Transfer |
| 64910 | CPT | Nerve Repair W/Allograf |
| 64911 | CPT | Neurorraphy W/Vein Autograf |
| 64912 | CPT | Nerve Repair; With Nerve Allograft, Each Nerve, First Strand |
| 64913 | CPT | Each Additional Strand |
| 65091 | CPT | Evisceration of Ocular Contents; Without Implant |
| 65093 | CPT | Revise Eye With Implant |
| 65101 | CPT | Removal of Eye |
| 65103 | CPT | Remove Eye/Insert Implant |
| 65105 | CPT | Remove Eye/Attach Implant |
| 65110 | CPT | Removal of Eye |
| 65112 | CPT | Remove Eye, Revise Socket |
| 65114 | CPT | Remove Eye, Revise Socket |
| 65125 | CPT | Revise Ocular Implant |
| 65130 | CPT | Insert Ocular Implant |
| 65135 | CPT | Insert Ocular Implant |
| 65140 | CPT | Attach Ocular Implant |
| 65150 | CPT | Revise Ocular Implant |
| 65155 | CPT | Reinsert Ocular Implant |
| 65175 | CPT | Removal of Ocular Implant |
| 65710 | CPT | Keratoplasty (Corneal Transplant); Anterior Lamellar |
| 65750 | CPT | Keratoplasty (Corneal Transplant); Anterior Lamellar |
| 65757 | CPT | Preparation of A Corneal Endothelial Allograft Before Transplantation |
| 65760 | CPT | Revision of the Cornea |
| 65765 | CPT | Revision of the Cornea |
| 65767 | CPT | Epikeratoplasty |
| 65770 | CPT | Keratoprosthesis |
| 65771 | CPT | Radial Keratotomy |
| 65772 | CPT | Correction of Astigmatism |
| 65775 | CPT | Correction of Astigmatism |
| 65779 | CPT | Place Amniotic Membrane Ocular Surface Sutured |
| 65781 | CPT | Limbal Stem Cell Allograft |
| 65782 | CPT | Ocular Surface Reconstruction; Limbal Conjunctival Autograft |
| 65820 | CPT | Goniotomy |
| 65850 | CPT | Trabeculotomy Ab Externo |
| 65865 | CPT | Goniosynechiolysis |
| 65870 | CPT | Severing Adhesions or Anterior Segment, Incisional Technique |
| 65875 | CPT | Severing Adhesions of Anterior Segment of Eye, Incisional Technique |
| 65880 | CPT | Severing Adhesions of Anterior Segment of Eye, Incisional Technique |
| 65900 | CPT | Removal Procedures on the Anterior Chamber of the Eye |
| 65920 | CPT | Removal of Implanted Material, Anterior Segment of Eye |
| 66150 | CPT | Fistulization of Sclera For Glaucoma; Trepination With Iridectom |
| 66155 | CPT | Thermocauterization With Iridectomy |
| 66160 | CPT | Fistulization of Sclera For Glaucoma |
| 66172 | CPT | Fistulization of Sclera For Glaucoma |
| 66174 | CPT | Transluminal Dilation of Aqueous Outflow Canal |
| 66179 | CPT | Aqueous Shunt To Extraocular Reservoir, Without Patch Graft |
| 66184 | CPT | Revision of Aqueous Shunt To Extraocular Equatorial Plate Reservoir |
| 66185 | CPT | Revise Eye Shunt |
| 66225 | CPT | Repair/Graft Eye Lesion |
| 66250 | CPT | Follow-Up Surgery of Eye |
| 66500 | CPT | Incision of Iris |
| 66505 | CPT | Incision of Iris |
| 66600 | CPT | Remove Iris and Lesion |
| 66605 | CPT | Removal of Iris |
| 66625 | CPT | Iridectomy, With Corneoscleral or Corneal Section |
| 66630 | CPT | Iridectomy, With Corneoscleral or Corneal Section |
| 66635 | CPT | Removal of Iris |
| 66680 | CPT | Repair Iris & Ciliary Body |
| 66682 | CPT | Repair Iris and Ciliary Body |
| 66700 | CPT | Destruction, Ciliary Body |
| 66710 | CPT | Destruction, Ciliary Body |
| 66711 | CPT | Ciliary Endoscopic Ablation |
| 66720 | CPT | Destruction, Ciliary Body |
| 66740 | CPT | Destruction, Ciliary Body |
| 66761 | CPT | Revision of Iris |
| 66762 | CPT | Revision of Iris |
| 66770 | CPT | Removal of Inner Eye Lesion |
| 66820 | CPT | Discission of Secondary Membranous Cataract |
| 66821 | CPT | Yag Laser Capsulotomy |
| 66825 | CPT | Reposition of Intraocular Lens Prosthesis, Requiring An Incision |
| 66830 | CPT | Removal of A Secondary Membranous Cataract, With or Without Iridectomy, Using A Corneo-Scleral Section |
| 66840 | CPT | Removal of Lens Material |
| 66850 | CPT | Removal of Lens Material |
| 66920 | CPT | Removal of Lens Material; Intracapsular |
| 66930 | CPT | Removal of Lens Material; Intracapsular, For Dislocated Lens |
| 66940 | CPT | Removal of Lens Material; Extracapsular |
| 66982 | CPT | Xtracapsular Cataract Extraction Removal With Insertion of Intraocular Lens Prosthesis |
| 66983 | CPT | Intracapsular Cataract Extraction With Insertion of Intraocular Lens Prosthesis |
| 66984 | CPT | Cataract Extraction With Intraocular Lens Insertion |
| 66985 | CPT | Insertion of Intraocular Lens Prosthesis |
| 66986 | CPT | Exchange of Intraocular Lens |
| 66987 | CPT | Complex Cataract Extraction |
| 66988 | CPT | Extracapsular Cataract Removal With Insertion of Intraocular Lens Prosthesis |
| 66989 | CPT | Extracapsular Cataract Removal With Insertion of Intraocular Lens Prosthesis |
| 66991 | CPT | Removal of An Intraocular Lens During Cataract Surgery |
| 67010 | CPT | Removal of Vitreous, Anterior Approach |
| 67015 | CPT | Vitreous Procedures on the Posterior Segment of the Eye |
| 67027 | CPT | Vitreous Procedures on the Posterior Segment of the Eye |
| 67030 | CPT | Vitreous Procedures on the Posterior Segment of the Eye |
| 67031 | CPT | Severing of Vitreous Strands, Vitreous Face Adhesions |
| 67107 | CPT | Repair of Retinal Detachment; Scleral Buckling |
| 67108 | CPT | Repair of Retinal Detachment; With Vitrectomy |
| 67110 | CPT | Repair of Retinal Detachment; By Injection of Air or Other Gas |
| 67115 | CPT | Release, Encircling Material |
| 67120 | CPT | Remove Eye Implant Material |
| 67121 | CPT | Remove Eye Implant Material |
| 67208 | CPT | Destruction of Localized Lesion of Retina |
| 67210 | CPT | Destruction of Localized Lesion of Retina |
| 67220 | CPT | Treatment of Choroid Lesion |
| 67221 | CPT | Destruction of Lesion of Choriod |
| 67225 | CPT | Ocular Photodynamic Therapy |
| 67227 | CPT | Treatment of Retinal Lesion |
| 67228 | CPT | Treatment of Retinal Lesion |
| 67229 | CPT | Treatment of Extensive or Progressive Retinopathy |
| 67250 | CPT | Scleral Reinforcement |
| 67255 | CPT | Reinforce/Graft Eye Wall |
| 67299 | CPT | Unlisted Procedure, Posterior Segment |
| 67311 | CPT | Revise Eye Muscle |
| 67314 | CPT | Revise Eye Muscle |
| 67316 | CPT | Revise Two Eye Muscles |
| 67318 | CPT | Revise Eye Muscle(S) |
| 67320 | CPT | Revise Eye Muscle(S) |
| 67331 | CPT | Revise Eye Muscle |
| 67332 | CPT | Rerevise Eye Muscles |
| 67334 | CPT | Revise Eye Muscle W/Suture |
| 67335 | CPT | Placement of Adjustable Suture(S) During Strabismus Surgery |
| 67340 | CPT | Strabismus Surgery Involving Exploration and/or Repair of Detached Extraocular Muscle |
| 67343 | CPT | Release of Extensive Scar Tissue |
| 67345 | CPT | Chemodenervation of Extraocular Muscle |
| 67399 | CPT | Eye Muscle Surgery Procedure |
| 67400 | CPT | Explore/Biopsy Eye Socket |
| 67405 | CPT | Explore/Drain Eye Socket |
| 67412 | CPT | Explore/Treat Eye Socket |
| 67413 | CPT | Explore/Treat Eye Socket |
| 67420 | CPT | Explore/Treat Eye Socket |
| 67430 | CPT | Explore/Treat Eye Socket |
| 67440 | CPT | Explore/Drain Eye Socket |
| 67445 | CPT | Explore/Decompress Eye Socket |
| 67450 | CPT | Explore/Biopsy Eye Socke |
| 67550 | CPT | Insert Eye Socket Implant |
| 67560 | CPT | Revise Eye Socket Implant |
| 67570 | CPT | Decompress Optic Nerve |
| 67599 | CPT | Orbit Surgery Procedure |
| 67971 | CPT | Reconstruction of Eyelid |
| 67973 | CPT | Reconstruction of Eyelid |
| 67974 | CPT | Reconstruction of Eyelid |
| 67975 | CPT | Reconstruction of Eyelid |
| 67999 | CPT | Eyelid Surgery Procedur |
| 68320 | CPT | Revise/Graft Eyelid Lining |
| 68325 | CPT | Revise/Graft Eyelid Lining |
| 68326 | CPT | Revise/Graft Eyelid Lining |
| 68328 | CPT | Revise/Graft Eyelid Lining |
| 68330 | CPT | Revise Eyelid Lining |
| 68335 | CPT | Revise/Graft Eyelid Lining |
| 68340 | CPT | Separate Eyelid Adhesions |
| 68360 | CPT | Revise Eyelid Lining |
| 68362 | CPT | Revise Eyelid Lining |
| 68371 | CPT | Harvest Eye Tissue, Alograft |
| 68399 | CPT | Eyelid Lining Surgery |
| 68500 | CPT | Excision of Lacrimal Gland |
| 68505 | CPT | Excision of Lacrimal Gland |
| 68520 | CPT | Excision of Lacrimal Sac |
| 68540 | CPT | Excision of Lacrimal Gland Tumor; Frontal Approach |
| 68550 | CPT | Excision of Lacrimal Gland Tumor |
| 68750 | CPT | Closure of the Lacrimal Punctum |
| 68760 | CPT | Close Tear Duct Opening |
| 68761 | CPT | Close Tear Duct Opening |
| 68770 | CPT | Close Tear System Fistula |
| 68801 | CPT | Dilation of Lacrimal Punctum |
| 68810 | CPT | Probing of Nasolacrimal Duct |
| 68811 | CPT | Probing of Nasolacrimal Duct |
| 68815 | CPT | Probing of Nasolacrimal Duct |
| 68816 | CPT | Probing of Nasolacrimal Duct |
| 68840 | CPT | Probing of Nasolacrimal Duct |
| 68899 | CPT | Tear Duct System Surgery |
| 69090 | CPT | Ear Piercing |
| 69110 | CPT | Partial Removal External Ear |
| 69120 | CPT | Removal of External Ear |
| 69140 | CPT | Remove Ear Canal Lesion(S) |
| 69145 | CPT | Remove Ear Canal Lesion(S) |
| 69150 | CPT | Extensive Ear Canal Surgery |
| 69155 | CPT | Extensive Ear/Neck Surgery |
| 69300 | CPT | Otoplasty, Protruding Ear, With or Without Size Reduction |
| 69310 | CPT | Rebuild Outer Ear Canal |
| 69320 | CPT | Rebuild Outer Ear Canal |
| 69399 | CPT | Unlisted Procedure, External Ear |
| 69440 | CPT | Middle Ear Exploration Through Postauricular or Ear Canal Incision |
| 69501 | CPT | Mastoidectomy |
| 69502 | CPT | Mastoidectomy |
| 69505 | CPT | Remove Mastoid Structures |
| 69511 | CPT | Extensive Mastoid Surgery |
| 69530 | CPT | Extensive Mastoid Surgery |
| 69535 | CPT | Remove Part of Temporal Bone |
| 69550 | CPT | Remove Ear Lesion |
| 69552 | CPT | Remove Ear Lesion |
| 69554 | CPT | Remove Ear Lesion |
| 69601 | CPT | Mastoid Surgery Revision |
| 69602 | CPT | Mastoid Surgery Revision |
| 69603 | CPT | Mastoid Surgery Revision |
| 69604 | CPT | Mastoid Surgery Revision |
| 69631 | CPT | Tympanoplasty Without Mastoidectomy |
| 69632 | CPT | Tympanoplasty Without Mastoidectomy |
| 69633 | CPT | Tympanoplasty Without Mastoidectomy |
| 69635 | CPT | Tympanoplasty With Antrotomy or Mastoidotomy |
| 69636 | CPT | Tympanoplasty With Antrotomy or Mastoidotomy |
| 69637 | CPT | Tympanoplasty With Antrotomy or Mastoidotomy |
| 69641 | CPT | Tympanoplasty With Mastoidectomy |
| 69642 | CPT | Tympanoplasty With Mastoidectomy |
| 69643 | CPT | Tympanoplasty With Mastoidectomy |
| 69644 | CPT | Tympanoplasty With Mastoidectomy |
| 69645 | CPT | Tympanoplasty With Mastoidectomy |
| 69646 | CPT | Tympanoplasty With Mastoidectomy |
| 69650 | CPT | Release Middle Ear Bone |
| 69660 | CPT | Revise Middle Ear Bone |
| 69661 | CPT | Revise Middle Ear Bone |
| 69662 | CPT | Revise Middle Ear Bone |
| 69666 | CPT | Repair Middle Ear Structures |
| 69667 | CPT | Repair Middle Ear Structures |
| 69670 | CPT | Remove Mastoid Air Cells |
| 69676 | CPT | Remove Middle Ear Nerve |
| 69700 | CPT | Close Mastoid Fistula |
| 69705 | CPT | Nasopharyngoscopy, Surgical, With Dilation of Eustachian Tube |
| 69706 | CPT | Nasopharyngoscopy, Surgical, With Dilation of Eustachian Tube |
| 69710 | CPT | Implantation or Replacement of Electromagnetic Bone-Conduction Hearing Device In Temporal Bone |
| 69711 | CPT | Removal or Repair of Electromagnetic Bone-Conduction Hearing Device In Temporal Bone |
| 69716 | CPT | Implantation, Osseointegrated Implant, Skull; With Magnetic Transcutaneous Attachment To External Speech Processor |
| 69717 | CPT | Replacement (Including Removal of Existing Device), Osseointegrated Implant, Skull; With Percutaneous Attachment To External Speech Processor |
| 69719 | CPT | Revision or Replacement (Including Removal of Existing Device), Osseointegrated Implant, Skull; With Magnetic Transcutaneous |
| 69720 | CPT | Release Facial Nerve |
| 69725 | CPT | Release Facial Nerve |
| 69726 | CPT | Removal, Entire Osseointegrated Implant, Skull; With Percutaneous Attachment To External Speech Processor |
| 69727 | CPT | Removal, Osseointegrated Implant, Skull; With Magnetic Transcutaneous Attachment To External Speech Processor |
| 69728 | CPT | Removal, Osseointegrated Implant, Skull; With Attachment To External Speech Processor, Outside the Mastoid |
| 69729 | CPT | Implantation, Osseointegrated Implant, Skull; With Attachment To External Speech Processor, Outside of the Mastoid |
| 69730 | CPT | Replacement Osseointegrated Implant, Skull; With Attachment To External Speech Processor, Outside the Mastoid |
| 69740 | CPT | Repair Facial Nerve |
| 69745 | CPT | Repair Facial Nerve |
| 69799 | CPT | Middle Ear Surgery Procedure |
| 69805 | CPT | Explore Inner Ear |
| 69806 | CPT | Explore Inner Ear |
| 69905 | CPT | Remove Inner Ear |
| 69910 | CPT | Remove Inner Ear & Mastoid |
| 69915 | CPT | Incise Inner Ear Nerve |
| 69949 | CPT | Inner Ear Surgery Procedure |
| 69950 | CPT | Incise Inner Ear Nerve |
| 69955 | CPT | Total Facial Nerve Decompression and/or Repair |
| 69960 | CPT | Release Inner Ear Canal |
| 69970 | CPT | Remove Inner Ear Lesion |
| 69979 | CPT | Unlisted Procedure, Temporal Bone, Middle Fossa Approach |
| 70540 | CPT | Magnetic Image, Face, Neck W/O Dye |
| 70542 | CPT | MRI Orbit/Face/Neck W/Dye |
| 70543 | CPT | MRI Orbt/Fac/Nck W/O & W/Dye |
| 70544 | CPT | MR Angiography Head W/O Dye |
| 70546 | CPT | MR Angiograph Head W/O & W/Dye |
| 70547 | CPT | MR Angiography Neck W/O Dye |
| 70548 | CPT | MR Angiography Neck W/Dye |
| 70549 | CPT | MR Angiograph Neck W/O & W/Dye |
| 70554 | CPT | Magnetic Resonance Imaging, Brain, Functional MRI |
| 70555 | CPT | Functional Magnetic Resonance Imaging (FMRI) of the Brain, Which Is Performed By A Physician or Psychologist |
| 70557 | CPT | MRI Brain W/O Dye |
| 70558 | CPT | MRI Brain W/O Dye |
| 70559 | CPT | MRI Brain W/O & W/Dye |
| 71550 | CPT | Magnetic Image, Chest W/O Dye |
| 71551 | CPT | MRI Chest W/Dye |
| 71552 | CPT | MRI Chest W/O & W/Dye |
| 71555 | CPT | Magnetic Imaging/Chest (Mra) W/Or W/O Dye |
| 72126 | CPT | Computed Tomography, Cervical Spine; With Contrast Material |
| 72127 | CPT | Computed Tomography, Cervical Spine; Without Contrast Material, Followed By Contrast Material(S) and Further Sections |
| 72129 | CPT | Computed Tomography, Thoracic Spine; With Contrast Materia |
| 72130 | CPT | Computed Tomography, Thoracic Spine; Without Contrast Material, Followed By Contrast Material(S) and Further Sections |
| 72131 | CPT | CT Lumbar Spine W/O Dye |
| 72132 | CPT | Computed Tomography, Lumbar Spine; With Contrast Material |
| 72133 | CPT | Computed Tomography, Lumbar Spine; Without Contrast Material, Followed By Contrast Material(S) and Further Sections |
| 72141 | CPT | Magnetic Image, Neck Spine W/O Dye |
| 72142 | CPT | Magnetic Image, Neck Spine W/Dye |
| 72146 | CPT | Magnetic Image, Chest Spine W/O Dye |
| 72147 | CPT | Magnetic Image, Chest Spine W/Dye |
| 72148 | CPT | Magnetic Image, Lumbar Spine W/O Dye |
| 72149 | CPT | Magnetic Image, Lumbar Spine W/Dye |
| 72156 | CPT | Magnetic Image, Neck Spine W/O & W/Dye |
| 72157 | CPT | Magnetic Image, Chest Spine W/O & W/Dye |
| 72158 | CPT | Magnetic Image, Lumbar Spine W/O & W/Dye |
| 72159 | CPT | Magnetic Imaging/Spine (Mra) W/O & W/Dye |
| 72191 | CPT | CT Angiograph Pelv W/O & W Dye |
| 72193 | CPT | Computed Tomography, Pelvis; With Contrast Material(S) |
| 72194 | CPT | Computed Tomography, Pelvis; Without Contrast Material, Followed By Contrast Material(S) and Further Sections |
| 72195 | CPT | MRI Pelvis W/O Dye |
| 72196 | CPT | Magnetic Image, Pelvis W/Dye |
| 72197 | CPT | MRI Pelvis W/O & W/Dye |
| 72240 | CPT | Cervical Myelogram |
| 72255 | CPT | Myelogram Thoracic |
| 72265 | CPT | Myelogram Lumbrosacral |
| 72270 | CPT | Myelography, Entire Spinal |
| 72285 | CPT | Discography, Cervical or Thoracic |
| 72295 | CPT | Discography, Lumbar, Radiological Supervision and Interpretation |
| 73085 | CPT | Elbow, Arthrography |
| 73201 | CPT | CT Scan of the Upper Extremity With Contrast Dye |
| 73202 | CPT | Computed Tomography, Upper Extremity; Without Contrast Material, Followed By Contrast Material(S) and Further Sections |
| 73206 | CPT | CT Angio Upr Extrm W/O & W/Dye |
| 73218 | CPT | MRI Upper Extremity W/O Dye |
| 73219 | CPT | MRI Upper Extremity W/Dye |
| 73220 | CPT | Magnetic Image, Arm, Hand W/O & W/Dye |
| 73221 | CPT | Magnetic Image, Joint of Arm W/O Dye |
| 73222 | CPT | MRI Joint Upr Extrem W/Dye |
| 73223 | CPT | MRI Joint Upr Extr W/O & W/Dye |
| 73225 | CPT | Magnetic Imaging/Upper (Mra) W/O & W/Dye |
| 73580 | CPT | Non-MR Arthrogram Knee |
| 73615 | CPT | Contrast X-Ray of the Ankle |
| 73706 | CPT | CT Angio Lwr Extr 2/O & W Dye |
| 73718 | CPT | MRI Lower Extremity W/O Dye |
| 73719 | CPT | MRI Lower Extremity W/Dye |
| 73720 | CPT | Magnetic Image, Leg, Foot W/O & W/Dye |
| 73721 | CPT | Magnetic Image, Joint of Leg W/O Dye |
| 73722 | CPT | MRI Joint of Lwr Extr W/Dye |
| 73723 | CPT | MRI Joint Lwr Extr W/O & W/Dye |
| 73725 | CPT | Magnetic Imaging/Lower (Mra) W/Or W/O Dye |
| 74174 | CPT | CT Angio Abd&Pelv W/O&W/Dye |
| 74175 | CPT | CT Angio Abdom W/O & W Dye |
| 74181 | CPT | Magnetic Image, Abdomen (MRI W/O Dye |
| 74182 | CPT | MRI Abdomen W/Dye |
| 74183 | CPT | MRI Abdomen W/O & W/Dye |
| 74185 | CPT | Magnetic Image/Abdomen (Mra) W/Or W/O Dye |
| 74261 | CPT | CT Colonography |
| 74262 | CPT | CT Colonography |
| 74263 | CPT | CT Colonography |
| 74485 | CPT | Dilation of Ureter(S) or Urethra, Radiological Supervision and Interpretation |
| 74712 | CPT | MRI Fetal |
| 74713 | CPT | MRI Fetal |
| 75557 | CPT | Cardiac MRI For Morph |
| 75559 | CPT | Cardiac MRI W/Stress Img |
| 75561 | CPT | Cardiac MRI For Morph W/Dye |
| 75563 | CPT | Card MRI W/Stress Img & Dye |
| 75565 | CPT | Card MRI Vel Flw Map Add-On |
| 75571 | CPT | CT Hrt W/O Dye W/Ca Test |
| 75572 | CPT | CT Hrt W/3D Image |
| 75573 | CPT | CT Hrt W/3D Image, Congen |
| 75574 | CPT | CT Hrt Angio Hrt W/3D Image |
| 75580 | CPT | Fractional Flow Reserve With CT |
| 75600 | CPT | Aortography |
| 75605 | CPT | Aortography |
| 75635 | CPT | Computed Tomographic Angiography, Abdominal Aorta |
| 75705 | CPT | Angiography, Spinal, Selective, Radiological Supervision and Interpretation |
| 75731 | CPT | Angiography, Adrenal |
| 75733 | CPT | Angiography, Adrenal |
| 75736 | CPT | Pelvic Angiography |
| 75741 | CPT | Angiography, Pulmonary, |
| 75743 | CPT | Angiography, Pulmonary, Bilateral |
| 75756 | CPT | Angiography, Internal Mammary, |
| 75801 | CPT | Lymphangiography, Extremity Only, Unilateral, |
| 75803 | CPT | Lymphangiography |
| 75805 | CPT | Lymphangiography, Pelvic/Abdominal, Unilateral |
| 75807 | CPT | Lymphangiography, Pelvic/Abdominal, Bilateral |
| 75810 | CPT | Splenoportography |
| 75831 | CPT | Diagnostic Venography |
| 75833 | CPT | Diagnostic Venography |
| 75840 | CPT | Diagnostic Venography |
| 75842 | CPT | Diagnostic Venography |
| 75860 | CPT | Diagnostic Venography |
| 75870 | CPT | Diagnostic Venography |
| 75872 | CPT | Venography, Epidural |
| 75880 | CPT | Venography, Orbital |
| 75885 | CPT | Percutaneous Transhepatic Portography |
| 75887 | CPT | Percutaneous Transhepatic Portography |
| 75889 | CPT | Hepatic Venography |
| 75891 | CPT | Hepatic Venography |
| 75893 | CPT | Venous Sampling Through Catheter, With or Without Angiography |
| 75894 | CPT | Transcatheter Therapy, Embolization |
| 75898 | CPT | Angiography |
| 76390 | CPT | Magnetic Resonance Spectroscopy |
| 76391 | CPT | Mr Elastography |
| 76496 | CPT | Unlisted Fluoroscopic Procedure |
| 76497 | CPT | Unlisted Ct Procedure |
| 76498 | CPT | Unlisted Magnetic Resonance (MR) Procedure |
| 76499 | CPT | Unlisted Diagnostic Radiographic Procedure |
| 76885 | CPT | Ultrasound, Infant Hips |
| 76886 | CPT | Ultrasound, Infant Hips |
| 76999 | CPT | Other Diagnostic Ultrasound Procedures |
| 77078 | CPT | CT Bone Density, Axial |
| 78070 | CPT | Parathyrd Planar Imaging |
| 78071 | CPT | Parathyrd Planar Imaging |
| 78261 | CPT | Meckel'S Scan |
| 78299 | CPT | Unlisted Gastrointestinal Procedure, Diagnostic Nuclear Medicine |
| 78428 | CPT | Cardiac Shunt Imaging |
| 78599 | CPT | Respiratory Nuclear Exam |
| 78600 | CPT | Thallium Scintigraphy |
| 78601 | CPT | Thallium Scintigraphy |
| 78605 | CPT | Thallium Scintigraphy |
| 78606 | CPT | Thallium Scintigraphy |
| 78610 | CPT | Thallium Scintigraphy |
| 78630 | CPT | Cerebrospinal Fluid Flow, Imaging |
| 78635 | CPT | Cerebrospinal Fluid Flow, Imaging |
| 78645 | CPT | Cerebrospinal Fluid Flow, Imaging |
| 78650 | CPT | Cerebrospinal Fluid Flow, Imaging |
| 78660 | CPT | Dacryoscintigraphy |
| 78699 | CPT | Unlisted Nervous System Procedure, Diagnostic Nuclear Medicine |
| 78700 | CPT | Renal Scintigraphy |
| 78701 | CPT | Renal Scintigraphy |
| 78707 | CPT | Renal Scintigraphy |
| 78708 | CPT | Renal Scintigraphy |
| 78709 | CPT | Renal Scintigraphy |
| 78740 | CPT | Radionuclide Cystography |
| 78799 | CPT | Unlisted Genitourinary Procedure, Diagnostic Nuclear Medicine |
| 78802 | CPT | Octreoscan Tumor. Whole Body |
| 78803 | CPT | Tomographic (Spect) |
| 78804 | CPT | Radiopharmaceutical Localization of Tumor, Whole Body, Requiring 2 or More Days Imaging |
| 78808 | CPT | Positron Emission Tomography (Pet) Imaging; Limited Area |
| 78811 | CPT | Positron Emission Tomography (Pet) Imaging; Limited Area |
| 78812 | CPT | Tumor Image (Pet)/Skul-Thigh |
| 78813 | CPT | Tumor Image (Pet) Full Body |
| 78814 | CPT | Tumor Image Pet/Ct, Limited |
| 78815 | CPT | Tumorimage Pet/Ct Skul-Thigh |
| 78816 | CPT | Tumor Image Pet/Ct Full Body |
| 78830 | CPT | Spect/Ct Single Area/Single Day |
| 78831 | CPT | Spect Minimum of 2 Areas In 1 D or Single Are Over 2 or More Day |
| 78832 | CPT | Spect/Ct Minimum of 2 Areas In 1 D or Single Are Over 2 or More Days |
| 78999 | CPT | Miscellaneous Diagnostic Nuclear Medicine Procedure That Does Not Have A Specific Code |
| 79999 | CPT | Unlisted Procedure In Radiopharmaceutical Therapy |
| 81105 | CPT | Genetic Analysis |
| 81106 | CPT | Genetic Analysis |
| 81107 | CPT | Genetic Analysis |
| 81108 | CPT | Genetic Analysis |
| 81109 | CPT | Genetic Analysis |
| 81110 | CPT | Human Platelet Antigen Genotyping |
| 81111 | CPT | Human Platelet Antigen Genotyping |
| 81112 | CPT | Human Platelet Antigen Genotyping |
| 81120 | CPT | Idh1 (Isocitrate Dehydrogenase 1 [Nadp+], Soluble) |
| 81121 | CPT | Idh2 (Isocitrate Dehydrogenase 2 |
| 81163 | CPT | Brca1,Brca2 |
| 81164 | CPT | Brca1,Brca2 |
| 81165 | CPT | Brca1 |
| 81166 | CPT | Brca1 |
| 81167 | CPT | Brca2 |
| 81168 | CPT | Ccnd1/Igh |
| 81175 | CPT | Asxl1 |
| 81176 | CPT | Asxl1 |
| 81177 | CPT | Atn1 (Atrophin 1) |
| 81178 | CPT | Atn1 (Atrophin 1) |
| 81179 | CPT | Atxn2 (Ataxin 2) |
| 81180 | CPT | Atxn3 (Ataxin 3) |
| 81181 | CPT | Atxn7 (Ataxin 7) |
| 81182 | CPT | Atxn8Os |
| 81183 | CPT | Atxn10 (Ataxin 10) |
| 81184 | CPT | Cacna1A |
| 81185 | CPT | Cacna1A |
| 81186 | CPT | Cacna1A |
| 81187 | CPT | Cnbp |
| 81188 | CPT | Cstb (Cystatin B) |
| 81189 | CPT | Cstb (Cystatin B) |
| 81190 | CPT | Cstb (Cystatin B) |
| 81191 | CPT | Ntrk1 |
| 81192 | CPT | Ntrk2 |
| 81193 | CPT | Ntrk |
| 81194 | CPT | Ntrk |
| 81201 | CPT | Apc Gene Full Sequence |
| 81202 | CPT | Apc Gene Known Fam Variants |
| 81203 | CPT | Apc Gene Dup/Delet Variants |
| 81216 | CPT | Brca2 Gene Analysis Full Sequence Analysis |
| 81233 | CPT | Btk |
| 81234 | CPT | Dmpk |
| 81236 | CPT | Ezh |
| 81237 | CPT | Ezh2 |
| 81239 | CPT | Dmpk |
| 81244 | CPT | Fmr1 Gene Analysis Characterization of Alleles |
| 81247 | CPT | G6Pd Gene Analysis Common Variants |
| 81248 | CPT | G6Pd Gene Analysis Known Familial Variants |
| 81249 | CPT | G6Pd Gene Analysis Full Gene Sequence |
| 81252 | CPT | Gjb2 Gene Full Sequence |
| 81253 | CPT | Gjb2 Gene Known Fam Variants |
| 81256 | CPT | Hfe Hemochromatosis Gene Anal Common Variants |
| 81257 | CPT | Hba1/Hba2 Analysis For Common Deletions/Variant |
| 81258 | CPT | Hba1/Hba2 Gene Analysis Known Familial Variant |
| 81259 | CPT | Hba1/Hba2 Gene Analysis Known Familial Variant |
| 81265 | CPT | Comparative Anal Str Markers Patient&Comp Spec |
| 81266 | CPT | Comparative Anal Str Markers Ea Addl Specimen |
| 81267 | CPT | Chimerism W/Comp To Baseline W/O Cell Selection |
| 81268 | CPT | Chimerism W/Comp To Baseline W/Cell Selection Ea |
| 81269 | CPT | Hba1/Hba2 Gene Analysis Dup/Del Variants |
| 81271 | CPT | Htt (Huntingtin |
| 81274 | CPT | Htt |
| 81277 | CPT | Cytogenomic Neo Microra Alys |
| 81278 | CPT | Gh@/Bcl2 (T(14;18)) |
| 81279 | CPT | Jak2 (Janus Kinase 2) |
| 81283 | CPT | Ifnl3 Gene Analysis Rs12979860 Variant |
| 81284 | CPT | Fxn |
| 81285 | CPT | Fxn |
| 81286 | CPT | Fxn |
| 81289 | CPT | Fxn |
| 81303 | CPT | Mecp2 Gene Analysis Known Familial Variant |
| 81304 | CPT | Mecp2 Gene Analysis Known Familial Variant |
| 81305 | CPT | Myd88 |
| 81306 | CPT | Nudt15 (Nudix Hydrolase 15 |
| 81307 | CPT | Palb2 Gene Full Gene Seq |
| 81308 | CPT | Palb2 Gene Known Famil Vrnt |
| 81309 | CPT | Pik3Ca Gene Trgt Seq Alys |
| 81312 | CPT | Pabpn1 (Poly[A] Binding Protein Nuclear 1) |
| 81320 | CPT | Plcg2 (Phospholipase C Gamma 2) |
| 81324 | CPT | Pmp22 Gene Dup/Delet |
| 81325 | CPT | Pmp22 Gene Full Sequence |
| 81326 | CPT | Pmp22 Gene Known Fam Variant |
| 81327 | CPT | Sept9 (Septin9) |
| 81328 | CPT | Slco1B1 Gene Analysis Common Variants |
| 81329 | CPT | Smn1 (Survival of Motor Neuron 1, Telomeric) |
| 81331 | CPT | Snrpn/Ube3A Methylation Analysis |
| 81332 | CPT | Serpina1 Gene Analysis Common Variants |
| 81333 | CPT | Tgfbi (Transforming Growth Factor Beta-Induced) |
| 81334 | CPT | Runx1 Gene Analysis Targeted Sequence Analysis |
| 81335 | CPT | Tpmt Gene Analaysis Common Variants |
| 81336 | CPT | Smn1 (Survival of Motor Neuron 1, Telomeric) |
| 81337 | CPT | Smn1 (Survival of Motor Neuron 1, Telomeric) |
| 81338 | CPT | Mpl (Mpl Proto-Oncogene, Thrombopoietin Receptor) |
| 81339 | CPT | Mpl (Mpl Proto-Oncogene, Thrombopoietin Receptor) |
| 81343 | CPT | Ppp2R2B |
| 81344 | CPT | Tbp (Tata Box Binding Protein) |
| 81345 | CPT | Tert (Telomerase Reverse Transcriptase) |
| 81346 | CPT | Tyms Gene Analysis Common Variants |
| 81347 | CPT | Sf3B1 (Splicing Factor [3B] Subunit B1) |
| 81348 | CPT | Srsf2 (Serine and Arginine-Rich Splicing Factor 2) |
| 81349 | CPT | Cytog Alys Chrml Abnr Lw-Ps |
| 81350 | CPT | Ugt1A1 Gene Analysis Common Variants |
| 81351 | CPT | Tp53 (Tumor Protein 53) |
| 81352 | CPT | Tp53 (Tumor Protein 53) |
| 81353 | CPT | Tp53 (Tumor Protein 53) |
| 81357 | CPT | U2Af1 (U2 Small Nuclear Rna Auxiliary Factor 1) |
| 81360 | CPT | Zrsr2 |
| 81361 | CPT | Hbb Common Variants |
| 81362 | CPT | Hbb Known Familial Variants |
| 81363 | CPT | Hbb Duplication/Deletion Variants |
| 81364 | CPT | Hbb Full Gene Sequence |
| 81370 | CPT | HLA Class I&Ii L |
| 81371 | CPT | HLA Class I and II Typing |
| 81372 | CPT | HLA Class I |
| 81373 | CPT | HLA Typing |
| 81374 | CPT | HLA Typing |
| 81375 | CPT | HLA Class II Typing, Low Resolution |
| 81376 | CPT | HLA Class II Typing, Low Resolution |
| 81377 | CPT | HLA Class II Typing, Low Resolution |
| 81378 | CPT | HLA Class Typing |
| 81379 | CPT | HLA Class I Typing, High Resolution |
| 81380 | CPT | HLA Class I Typing, High Resolution |
| 81381 | CPT | HLA Class I Typing, High Resolution |
| 81382 | CPT | HLA Class II Typing, High Resolution |
| 81383 | CPT | HLA Class II Typing, High Resolution |
| 81402 | CPT | Mopath Procedure Level 3 |
| 81406 | CPT | Tier 2 Molecular Pathology Procedures |
| 81407 | CPT | Molecular Pathology Procedure, Level 8 |
| 81408 | CPT | Tier 2 Molecular Pathology Procedures |
| 81410 | CPT | Aortic Dysfunction or Dilation; Genomic Sequence Analysis Panel |
| 81411 | CPT | Aortic Dysfunction or Dilation; Duplication/Deletion Analysis Panel |
| 81412 | CPT | Ashkenazi Jewish Associated Disorders |
| 81413 | CPT | Cardiac Ion Channelopathies |
| 81414 | CPT | Cardiac Ion Channelopathies |
| 81415 | CPT | Exome; Sequence Analysis |
| 81416 | CPT | Exome; Sequence Analysis |
| 81417 | CPT | Exome; Reevaluation of Previously Obtained Exome Sequence |
| 81418 | CPT | Drug Metabolism (E.G., Pharmacogenomics) Genomic Sequence Analysis Panel |
| 81419 | CPT | Epilepsy Genomic Sequence Analysis Panel, |
| 81422 | CPT | Fetal Chromosomal Microdeletion(S) Genomic Sequence Analysis |
| 81425 | CPT | Genome; Sequence Analysis |
| 81426 | CPT | Genome; Sequence Analysis, Each Comparator Genome |
| 81427 | CPT | Genome; Re-Evaluation of Previously Obtained Genome Sequence |
| 81430 | CPT | Hearing Loss, Genomic Sequence Analysis Panel, M |
| 81431 | CPT | Hearing Loss; Duplication/Deletion Analysis Panel |
| 81434 | CPT | Hereditary Retinal Disorders, Genomic Sequence Analysis Panel |
| 81439 | CPT | Hereditary Cardiomyopathy Genomic Sequence |
| 81440 | CPT | Nuclear Encoded Mitochondrial Genes |
| 81441 | CPT | Inherited Bone Marrow Failure Syndromes (Ibmfs) |
| 81442 | CPT | Noonan Spectrum Disorders, Genomic Sequence Analysis Panel |
| 81443 | CPT | Genetic Testing For Severe Inherited Conditions |
| 81448 | CPT | Hereditary Peripheral Neuropathies |
| 81449 | CPT | Targeted Genomic Sequence Analysis Panel, Solid Organ Neoplasm, |
| 81451 | CPT | Targeted Genomic Sequence Analysis Panel, |
| 81456 | CPT | Targeted Genomic Sequence Analysis Panel, Solid Organ or Hematolymphoid Neoplasm or Disorder |
| 81457 | CPT | Solid Organ Neoplasm, Genomic Sequence Analysis Panel |
| 81458 | CPT | Solid Organ Neoplasm, Genomic Sequence Analysis Panel |
| 81459 | CPT | Solid Organ Neoplasm, Genomic Sequence Analysis Panel |
| 81460 | CPT | Whole Mitochondrial Genome, Genomic Sequence |
| 81462 | CPT | Solid Organ Neoplasm, Genomic Sequence Analysis Panel, Cell-Free Nucleic Acid |
| 81463 | CPT | Solid Organ Neoplasm, Genomic Sequence Analysis Panel, Cell-Free Nucleic Acid |
| 81464 | CPT | Solid Organ Neoplasm, Genomic Sequence Analysis Panel, Cell-Free Nucleic Acid |
| 81465 | CPT | Whole Mitochondrial Genome Large Deletion Analysis Panel |
| 81470 | CPT | X-Linked Intellectual Disability (Xlid); Genomic Sequence Analysis Panel |
| 81471 | CPT | X-Linked Intellectual Disability (Xlid); Genomic Sequence Analysis Panel |
| 81490 | CPT | Autoimmune, Analysis of 12 Biomarkers Using Immunoassays |
| 81493 | CPT | Coronary Artery Disease, Mrna, Gene Expression Profiling By Real-Time Rt-Pcr of 23 Genes |
| 81500 | CPT | Oncology (Ovarian), Biochemical Assays |
| 81504 | CPT | Oncology, Microarray Gene Expression Profiling of 2,000 Genes or More |
| 81506 | CPT | Endocrinology, Biochemical Assays of Seven Analytes; |
| 81508 | CPT | Fetal Congenital Abnormalities, Biochemical Assays of Two Proteins |
| 81509 | CPT | Fetal Congenital Abnormalities, Biochemical Assays of Three Proteins |
| 81510 | CPT | Fetal Congenital Abnormalities, Biochemical Assays of Three Analytes |
| 81511 | CPT | Fetal Congenital Abnormalities, Biochemical Assays of Four Analytes |
| 81512 | CPT | Fetal Congenital Abnormalities, Biochemical Assays of Five Analytes |
| 81518 | CPT | Oncology (Breast), Mrna, Gene Expression |
| 81522 | CPT | Oncology (Breast), Mrna, Gene Expression |
| 81523 | CPT | Oncology (Breast), Mrna, Gene Expression |
| 81539 | CPT | Oncology (High-Hyphengrade Prostate Cancer), Biochemical Assay of Four Proteins |
| 81541 | CPT | Oncology (Prostate), Mrna Gene Expression Profiling |
| 81542 | CPT | Oncology (Prostate), Mrna, Microarray Gene Expression Profiling |
| 81546 | CPT | Oncology (Thyroid), Mrna, Gene Expression Analysis |
| 81551 | CPT | Oncology (Prostate), Promoter Methylation Profiling |
| 81552 | CPT | Oncology (Uveal Melanoma), Mrna, Gene Expression |
| 81554 | CPT | Pulmonary Disease (Idiopathic Pulmonary Fibrosis [Ipf]), Mrna, Gene Expression Analysis |
| 81599 | CPT | Unlisted Multianalyte Assay With Algorithmic Analysis |
| 84999 | CPT | Unlisted Chemistry Procedures |
| 85999 | CPT | Unlisted Hematology and Coagulation Procedures |
| 86999 | CPT | Unlisted Transfusion Medicine Procedure |
| 87999 | CPT | Unlisted Microbiology Procedure |
| 88005 | CPT | Necropsy (Autopsy), Gross Examination Only; With Brain |
| 88007 | CPT | Necropsy (Autopsy), Gross Examination Only; With Brain and Spinal Cord |
| 88012 | CPT | Necropsy (Autopsy), Gross Examination Only; Infant With Brain |
| 88014 | CPT | Necropsy (Autopsy), Gross Examination Only; Stillborn or Newborn With Brain |
| 88016 | CPT | Necropsy (Autopsy), Gross Examination Only; Macerated Stillborn |
| 88020 | CPT | Necropsy (Autopsy), Gross and Microscopic; Without Cns |
| 88025 | CPT | Necropsy (Autopsy), Gross and Microscopic; With Brain |
| 88027 | CPT | Necropsy (Autopsy), Gross and Microscopic; With Brain and Spinal Cord |
| 88028 | CPT | Necropsy (Autopsy), Gross and Microscopic; Infant With Brain |
| 88029 | CPT | Necropsy (Autopsy), Gross and Microscopic; Stillborn or Newborn With Brain |
| 88036 | CPT | Necropsy (Autopsy), Limited, Gross and/or Microscopic; Regional |
| 88037 | CPT | Necropsy (Autopsy), Limited, Gross and/or Microscopic; Single Organ |
| 88040 | CPT | Necropsy (Autopsy); Forensic Examination |
| 88045 | CPT | Necropsy (Autopsy); Forensic Examination |
| 88099 | CPT | Unlisted Necropsy (Autopsy) Procedure |
| 88199 | CPT | Unlisted Cytopathology Procedure |
| 88299 | CPT | Unlisted Cytogenetic Study |
| 90283 | CPT | Immune Globulin (Igiv), Human, For Intravenous Use |
| 90284 | CPT | Immune Globulin (Scig), Human, For Use In Subcutaneous Infusions |
| 91110 | CPT | Wireless Capsule Endoscopy of the Small Bowel |
| 91111 | CPT | Wireless Capsule Endoscopy of the Small Bowel |
| 91113 | CPT | Wireless Capsule Endoscopy of the Small Bowel |
| 91132 | CPT | Electrogastrography, Diagnostic, Transcutaneous |
| 91133 | CPT | Electrogastrography, Diagnostic, Transcutaneous; With Provocative Testing |
| 91299 | CPT | Unlisted Diagnostic Gastroenterology Procedure |
| 92975 | CPT | Thrombolysis, Coronary; By Intracoronary Infusion, Including Selective Coronary Angiography |
| 92977 | CPT | Thrombolysis, Coronary; By Intracoronary Infusion, Including Selective Coronary Angiography |
| 92978 | CPT | Thrombolysis, Coronary; By Intracoronary Infusion, Including Selective Coronary Angiography |
| 92987 | CPT | Percutaneous Balloon Valvuloplasty of the Mitral Valve |
| 92990 | CPT | Percutaneous Balloon Valvuloplasty of the Pulmonary Valve |
| 93229 | CPT | External Mobile Cardiovascular Telemetry |
| 93581 | CPT | Percutaneous Transcatheter Closure of A Congenital Ventricular Septal Defect With Implant |
| 93582 | CPT | Percutaneous Transcatheter Closure of Patent Ductus Arteriosus |
| 93583 | CPT | Percutaneous Transcatheter Septal Reduction Therapy |
| 93590 | CPT | Percutaneous Transcatheter Closure of A Mitral Valve |
| 93591 | CPT | Percutaneous Transcatheter Closure of Paravalvular Leak |
| 93592 | CPT | Percutaneous Transcatheter Closure of Paravalvular Leak |
| 95965 | CPT | Magnetoencephalography |
| 97610 | CPT | Low Frequency, Non-Contact, Non-Thermal Ultrasound |
| A0225 | HCPCS | Ambulance Service, Neonatal Transport, Base Rate |
| A0434 | HCPCS | Specialty Care Transport |
| A0999 | HCPCS | Unlisted Ambulance Service |
| A2001 | HCPCS | Innovamatrix Ac, Per Sq Cm |
| A2002 | HCPCS | Mirragen Advanced Wound Matrix, Per Sq Cm |
| A2004 | HCPCS | Xcellistem, 1Mg |
| A2005 | HCPCS | Microlyte Matrix, Per Sq Cm |
| A2006 | HCPCS | Novosorb Synpath Dermal Matrix, Per Sq Cm |
| A2007 | HCPCS | Restrata, Per Sq Cm |
| A2008 | HCPCS | Theragenesis, Per Sq Cm |
| A2009 | HCPCS | Symphony, Per Sq Cm |
| A2010 | HCPCS | Apis, Per Sq Cm |
| A2011 | HCPCS | Supra Sdrm, Per Sq Cm |
| A2012 | HCPCS | Suprathel, Per Sq Cm |
| A2013 | HCPCS | Innovamatrix Fs, Per Sq Cm |
| A2014 | HCPCS | Omeza Collagen Matrix, Per 100 Mg |
| A2015 | HCPCS | Phoenix Wound Matrix, Per Sq Cm |
| A2016 | HCPCS | Permeaderm B, Per Sq Cm |
| A2017 | HCPCS | Permeaderm Glove, Each |
| A2018 | HCPCS | Permeaderm C, Per Sq Cm |
| A2019 | HCPCS | Kerecis Omega3 Marigen Shield, Per Sq C |
| A2020 | HCPCS | Ac5 Advanced Wound System (Ac5 |
| A2021 | HCPCS | Neomatrix, Per Sq Cm |
| A2022 | HCPCS | Innovaburn or Innovamatrix Xl |
| A2023 | HCPCS | Innovamatrix Pd |
| A2024 | HCPCS | Resolve Matrix or Xenopatch, Per Square Centimeter |
| A2025 | HCPCS | Miro3D, A Three-Dimensional Wound Care |
| A2026 | HCPCS | Restrata Minimatrix, 5 Mg |
| A4100 | HCPCS | Skin Substitute, Fda-Cleared As A Device, Not Otherwise Specified |
| A4238 | HCPCS | Non-Implanted, Adjunctive Continuous Glucose Monitor (Cgm) |
| A4337 | HCPCS | Incontinence Supply, Rectal Insert, Any Type, Each |
| A4400 | HCPCS | Ostomy Irrigation Set) |
| A4459 | HCPCS | Manual Pump-Hyphenoperating Enema System, Including Balloon, Catheter and All Accessories |
| A4542 | HCPCS | Upplies and Accessories For External Upper Limb Tremor Stimulator |
| A4555 | HCPCS | Electrode/Transducer For Use With Electrical Stimulation Device |
| A4560 | HCPCS | Neuromuscular Electrical Stimulator |
| A4563 | HCPCS | Rectal Control System For Vaginal Insertion |
| A4595 | HCPCS | Electrical Stimulator Supplies, |
| A4596 | HCPCS | Cranial Electrotherapy Stimulation |
| A4633 | HCPCS | Replacement Bulb/Lamp For Ultraviolet Light Therapy System |
| A4634 | HCPCS | Replacement Bulb For Therapeutic Light Box |
| A4648 | HCPCS | Tissue Marker, Implantable |
| A4649 | HCPCS | Surgical Supply; Miscellaneous |
| A4650 | HCPCS | Implantable Radiation Dosimeter |
| A4890 | HCPCS | Contracts, Repair, and Maintenance For Hd Equipment |
| A5501 | HCPCS | Custom Molded Shoe For Dm |
| A6023 | HCPCS | Sterile Collagen Dressing >48 Sq Inches |
| A6501 | HCPCS | Custom-Made Compression Burn Bodysuit |
| A6502 | HCPCS | Custom-Made Compression Burn Bodysuit With Chin Strap |
| A6504 | HCPCS | Compression Burn Garment - Glove/Wrist |
| A6505 | HCPCS | Compression Burn Garment - Glove/Elbow |
| A6506 | HCPCS | Compression Burn Garment - Glove/Axilla |
| A6507 | HCPCS | Compression Burn Garment - Foot To Knee |
| A6508 | HCPCS | Compression Burn Garment - Foot To Thigh |
| A6509 | HCPCS | Compression Burn Garment - Upper Trunk |
| A6550 | HCPCS | Negative Pressure Wound Therapy Pump |
| A6552 | HCPCS | Gradient Compression Stocking |
| A6553 | HCPCS | Gradient Compression Stocking, Custom |
| A6554 | HCPCS | Gradient Compression Stocking, Custom Below Knee |
| A6555 | HCPCS | Gradient Compression Stocking Below Knee, 40 Mmhg or Greater |
| A6556 | HCPCS | Gradient Compression Stocking, Thigh Length |
| A6557 | HCPCS | Gradient Compression Stocking, Thigh Length, Custom |
| A6558 | HCPCS | Gradient Compression Stocking, Thigh Length 40 Mm Hd or Greater |
| A6559 | HCPCS | Gradient Compression Stocking, Full Length |
| A6579 | HCPCS | Gradient Compression Glove, Custom, Medium Weight |
| A6580 | HCPCS | Gradient Compression Glove, Custom, Heavy Weight |
| A6591 | HCPCS | External Urinary Catheter, Non-Disposable |
| A7030 | HCPCS | Full Face Mask Used With Positive Airway Pressure Device |
| A9268 | HCPCS | Programmer For Transient, Orally Ingested Capsule |
| A9269 | HCPCS | Programmer For Transient, Orally Ingested Capsule |
| A9270 | HCPCS | Non-Covered Items or Services |
| A9276 | HCPCS | Sensor For Use With Cgm |
| A9277 | HCPCS | Transmitter, External, For Use With Cgm |
| A9278 | HCPCS | External Receiver For Use With Cgm |
| A9279 | HCPCS | Monitoring Feature/Device |
| A9280 | HCPCS | Alarm Device Not Otherwise Classified |
| A9282 | HCPCS | Wig |
| A9291 | HCPCS | Prescription Digital Cbt |
| A9292 | HCPCS | Prescription Digital Visual Therapy |
| A9293 | HCPCS | Fertility Cycle Tracking Software |
| A9500 | HCPCS | Radiopharmaceuticals For Nuclear Stress Test |
| A9501 | HCPCS | Technetium Tc-99M |
| A9502 | HCPCS | Technetium Tc-99M |
| A9503 | HCPCS | Bone Scan |
| A9504 | HCPCS | Technetium Tc-99M Apcitide |
| A9505 | HCPCS | Thallium Ti-201 Thallous Chloride |
| A9506 | HCPCS | Graphite Crucible For Preparation of Technetium Tc 99M-Labeled Carbon Aerosol |
| A9507 | HCPCS | Indium In-111 |
| A9508 | HCPCS | Iodine I-131 |
| A9509 | HCPCS | Iodine I-123 |
| A9510 | HCPCS | Technetium Tc-99M |
| A9512 | HCPCS | Technetium Tc-99M Pertechnetate |
| A9515 | HCPCS | Choline C-11 |
| A9516 | HCPCS | Iodine I-123 |
| A9517 | HCPCS | Iodine I-131 Capsules |
| A9520 | HCPCS | Technetium Tilmanocept |
| A9521 | HCPCS | Technetium Exametazime |
| A9524 | HCPCS | Iodine I-131 |
| A9526 | HCPCS | Nitrogen N-13 Ammonia |
| A9527 | HCPCS | Iodone I-125 |
| A9528 | HCPCS | Iodone I-131 |
| A9529 | HCPCS | Iodoine I-131 |
| A9530 | HCPCS | Iodine I-131 |
| A9531 | HCPCS | Iodone I-131 |
| A9532 | HCPCS | Iodine I-125 |
| A9536 | HCPCS | Technetium Tc-99M |
| A9537 | HCPCS | Technetium Tc-99M Mebrofenin |
| A9538 | HCPCS | Technetium Tc-99M Pyrophosphate |
| A9539 | HCPCS | Technetium Tc-99M Pentetate |
| A9540 | HCPCS | Technetium Tc-99M Macroaggregated Albumin |
| A9541 | HCPCS | Technetium Tc-99M Sulfur Colloid |
| A9542 | HCPCS | Indium In-111 Ibritumomab Tiuxetan |
| A9546 | HCPCS | Cobalt Co-57/58, Cyanocobalamin, Diagnostic |
| A9547 | HCPCS | Indium In-111 Oxyquinoline, Diagnostic |
| A9548 | HCPCS | Indium In-111 Pentetate |
| A9550 | HCPCS | Technetium Tc-99M Sodium Gluceptate |
| A9551 | HCPCS | Technetium Tc-99M Succimer |
| A9552 | HCPCS | Fluorodeoxyglucose F-18 Fdg, Diagnostic |
| A9553 | HCPCS | Chromium Cr-51 Sodium Chromate, Diagnostic |
| A9554 | HCPCS | Iodine I-125 Sodium Iothalamate |
| A9555 | HCPCS | Rubidium Rb-82, Diagnostic |
| A9556 | HCPCS | Gallium Ga-67 Citrate |
| A9557 | HCPCS | Technetium Tc-99M Bicisate |
| A9558 | HCPCS | Xenon-133 Gas |
| A9559 | HCPCS | Cobalt Co-57 Cyanocobalamin, Oral, Diagnostic |
| A9560 | HCPCS | Technetium Tc-99M Labeled Red Blood Cells, Diagnostic |
| A9561 | HCPCS | Technetium Tc-99M Oxidronate, Diagnostic |
| A9562 | HCPCS | Technetium Tc-99M Mertiatide, Diagnostic |
| A9563 | HCPCS | Sodium Phosphate P-32, Therapeutic |
| A9564 | HCPCS | Chromic Phosphate P-32 Suspension, Therapeutic |
| A9566 | HCPCS | Technetium Tc-99M Fanolesomab, Diagnostic |
| A9567 | HCPCS | Technetium Tc-99M Pentetate, Diagnostic, Aerosol |
| A9568 | HCPCS | Technetium Tc-99M Arcitumomab, Diagnostic |
| A9569 | HCPCS | Technetium Tc-99M Exametazime Labeled Autologous White Blood Cells, Diagnostic |
| A9570 | HCPCS | Indium In-111 Labeled Autologous White Blood Cells, Diagnostic |
| A9571 | HCPCS | Indium In-111 Labeled Autologous Platelets, Diagnostic |
| A9572 | HCPCS | Indium In-111 Pentetreotide, Diagnostic |
| A9573 | HCPCS | Injection, Gadopiclenol |
| A9580 | HCPCS | Sodium Fluoride F-18, Diagnostic |
| A9582 | HCPCS | Iodine I-123 Iobenguane, Diagnostic |
| A9583 | HCPCS | Injection, Gadofosveset Trisodium |
| A9584 | HCPCS | Iodine 1-123 Ioflupane, Diagnostic |
| A9586 | HCPCS | Florbetapir F18, Diagnostic |
| A9587 | HCPCS | Gallium Ga-68, Dotatate, Diagnostic |
| A9588 | HCPCS | Fluciclovine F-18, Diagnostic |
| A9591 | HCPCS | Fluoroestradiol F 18, Diagnostic |
| A9592 | HCPCS | Copper Cu-64, Dotatate, Diagnostic |
| A9596 | HCPCS | Gallium Ga-68 Gozetotide, Diagnostic |
| A9597 | HCPCS | Temporary Code For Pet Scans |
| A9598 | HCPCS | Pet Scan, Not Otherwise Classified |
| A9601 | HCPCS | Flortaucipir F 18 Injection |
| A9602 | HCPCS | Fluorodopa F-18 |
| A9603 | HCPCS | Pafolacianine, 0.1 Mg |
| A9609 | HCPCS | Fludeoxyglucose F18 |
| A9697 | HCPCS | Carboxydextran-Coated Superparamagnetic Iron Oxide |
| A9698 | HCPCS | Non-Radioactive Contrast Imaging Material, Not Otherwise Classified |
| A9699 | HCPCS | Radiopharmaceutical, Therapeutic, Not Otherwise Classified |
| A9800 | HCPCS | Gallium Ga-68 Gozetotide |
| A9900 | HCPCS | Misc Supplies |
| A9999 | HCPCS | Miscellaneous Durable Medical Equipment (Dme) Supplies or Accessories That Are Not Otherwise Specified |
| B4168 | HCPCS | Ppn |
| B4172 | HCPCS | Ppn |
| B4176 | HCPCS | Ppn |
| B4193 | HCPCS | Compunded Ppn |
| B5100 | HCPCS | Ppn |
| B9004 | HCPCS | Portable Parenteral Infusion Pump |
| B9006 | HCPCS | Stationary Parenteral Infusion Pump |
| B9998 | HCPCS | Enteral Supplies Noc |
| B9999 | HCPCS | Parenteral Supplies Noc |
| C1605 | HCPCS | Pacemaker, Leadless, Dual Chamber |
| C1722 | HCPCS | Single Chamber Icd |
| C1764 | HCPCS | Implantable Loop Recorder |
| C1786 | HCPCS | Pacemaker, Single Chamber |
| C1789 | HCPCS | Breast Prosthesis |
| C1813 | HCPCS | Penile Prosthesis |
| C1818 | HCPCS | Integrated Keratoprosthesis |
| C1821 | HCPCS | Implantable Interspinous Process Distraction Device |
| C1823 | HCPCS | Implantable Neurostimulator Generator |
| C1824 | HCPCS | Implantable Cardiac Contractility Modulation Generator |
| C1825 | HCPCS | Generator, Neurostimulator (Implantable), Non-Rechargeable With Carotid Sinus Baroreceptor Stimulation Lead(S) |
| C1826 | HCPCS | Generator, Neurostimulator (Implantable) |
| C1827 | HCPCS | Generator, Neurostimulator (Implantable), Non-Rechargeable, With Implantable Stimulation Lead and External Paired Stimulation Controller |
| C1832 | HCPCS | Autograft Suspension |
| C1889 | HCPCS | Implantable/Insertable Device, Not Otherwise Classified |
| C1891 | HCPCS | Implantable Infusion Pump |
| C2596 | HCPCS | Probe, Image-Guided, Robotic Waterjet Ablation |
| C2619 | HCPCS | Dual Chamber Pacemaker |
| C2620 | HCPCS | Single Chamber Pacemaker |
| C2621 | HCPCS | Biventricular Pacemaker |
| C2622 | HCPCS | Non-Inflatable Penile Prosthesis |
| C2626 | HCPCS | Infusion Pump, Non-Programmable |
| C7509 | HCPCS | Bronchoscopy |
| C7510 | HCPCS | Bronchoscopy With Bal |
| C7511 | HCPCS | Bronchoscopy With Biopsy |
| C7512 | HCPCS | Bronchoscopy, Rigid or Flexible, With Single or Multiple Bronchial or Endobronchial Biopsy(Ies), Single or Multiple Sites |
| C7531 | HCPCS | Revascularization, Endovascular, Open or Percutaneous, Femoral, Popliteal Artery(Ies), Unilateral, With Transluminal Angioplasty |
| C7532 | HCPCS | Transluminal Balloon Angioplasty |
| C7533 | HCPCS | Percutaneous Transluminal Coronary Angioplasty, |
| C7534 | HCPCS | Revascularization, Endovascular, Open or Percutaneous, Femoral, Popliteal Artery(Ies), Unilateral, With Atherectomy |
| C7535 | HCPCS | Revascularization, Endovascular, Open or Percutaneous, Femoral, Popliteal Artery(Ies), Unilateral, With Transluminal Stent Placem |
| C7537 | HCPCS | Insertion or Replacement of A Permanent Pacemaker With Atrial Transvenous Electrodes |
| C7538 | HCPCS | Insertion of New or Replacement of Permanent Pacemaker With Ventricular Transvenous Electrode(S), With Insertion of Pacing Electrod |
| C7539 | HCPCS | Insertion of New or Replacement of Permanent Pacemaker With Atrial and Ventricular Transvenous Electrode(S) |
| C7540 | HCPCS | Emoval of Permanent Pacemaker Pulse Generator With Replacement of Pacemaker Pulse Generator |
| C7541 | HCPCS | Diagnostic ERCP |
| C7542 | HCPCS | ERCP With Biopsy |
| C7543 | HCPCS | Endoscopic Retrograde Cholangiopancreatography (ERCP) With Sphincterotomy/Papillotomy |
| C7544 | HCPCS | Endoscopic Retrograde Cholangiopancreatography (ERCP) With Removal of Calculi/Debris From Biliary/Pancreatic Duct(S) |
| C7545 | HCPCS | Percutaneous Exchange of Biliary Drainage Catheter |
| C7546 | HCPCS | Removal and Replacement of Externally Accessible Nephroureteral Catheter |
| C7547 | HCPCS | Convert Nephrostomy Catheter To Nephroureteral Catheter |
| C7548 | HCPCS | Exchange Nephrostomy Catheter, Percutaneous, With Ureteral Stricture Balloon Dilation, Including Diagnostic Nephrostogram |
| C7549 | HCPCS | Change of Ureterostomy Tube or Externally Accessible Ureteral Stent Via Ileal Conduit With Ureteral Stricture Balloon Dilation |
| C7550 | HCPCS | Cystourethroscopy With Biopsies |
| C7551 | HCPCS | Excision of Major Peripheral Nerve Neuroma, Except Sciatic, With Implantation of Nerve End Into Bone or Muscle |
| C7554 | HCPCS | Cystourethroscopy With Adjunctive Blue Light Cystoscopy With Fluorescent Imaging Agent |
| C7555 | HCPCS | Thyroidectomy |
| C7556 | HCPCS | Bronchoscopy With Bal and Endobronchial Us |
| C7560 | HCPCS | ERCP With Removal of Foregin Body or Stent |
| C8926 | HCPCS | TEE With Contrast |
| C8928 | HCPCS | TEE With 2D Documentation |
| C8929 | HCPCS | Transthoracic Echocardiography With Contrast, or Without Contrast Followed By With Contrast, Real-Time With Image Documentation (2D) |
| C8930 | HCPCS | Transthoracic Echocardiography, With Contrast, or Without Contrast Followed By With Contrast, Real-Time With Image Documentation |
| C9067 | HCPCS | Gallium Ga-68, Dotatoc, Diagnostic |
| C9143 | HCPCS | Cocaine Hydrochloride Nasal Solution (Numbrino) |
| C9145 | HCPCS | Arepitant |
| C9150 | HCPCS | Xenon Xe-129 Hyperpolarized Gas |
| C9248 | HCPCS | Clevidipine Butyrate, |
| C9254 | HCPCS | Lacosamide, 1 Mg |
| C9293 | HCPCS | Injection, Glucarpidase, 10 Units |
| C9352 | HCPCS | Microporous Collagen Implantable Tube |
| C9353 | HCPCS | Microporous Collagen Implantable Slit Tube (Neurawrap Nerve Protector), Per Centimeter Length |
| C9354 | HCPCS | Acellular Pericardial Tissue Matrix of Non-Human Origin (Veritas) |
| C9355 | HCPCS | 0.5 Centimeter Length of A Collagen Nerve Cuff, Also Known As Neuromatrix |
| C9356 | HCPCS | Tenoglide Tendon Protector Sheet |
| C9358 | HCPCS | Dermal Substitute, Native, Non-Denatured Collagen, Fetal Bovine Origin (Surgimend Collagen Matrix) |
| C9359 | HCPCS | Porous Purified Collagen Matrix Bone Void Filler |
| C9360 | HCPCS | Dermal Substitute Made of Non-Denatured Collagen From Neonatal Bovine |
| C9361 | HCPCS | Collagen Matrix Nerve Wrap (Neuromend Collagen Nerve Wrap) |
| C9362 | HCPCS | Porous Purified Collagen Matrix Bone Void Filler |
| C9363 | HCPCS | Skin Substitute, Integra Meshed Bilayer Wound Matrix |
| C9364 | HCPCS | Porcine Implant, Permacol, Per Square Centimeter |
| C9462 | HCPCS | Injection, Delafloxacin, 1 Mg A |
| C9507 | HCPCS | Covid-19 Convalescent Plasma |
| C9725 | HCPCS | Placement of Endorectal Intracavitary Applicator For High Intensity Brachytherapy |
| C9733 | HCPCS | Non-Ophthalmic Fluorescent Vascular Angiography |
| C9739 | HCPCS | Cystourethroscopy, With Insertion of Transprostatic Implant |
| C9751 | HCPCS | Bronchoscopy, Rigid or Flexible, Transbronchial Ablation of Lesion(S) By Microwave Energy, Including Fluoroscopic Guidance |
| C9758 | HCPCS | Blinded Procedure For Nyha Class Iii/Iv Heart Failure; Transcatheter Implantation of Interatrial Shunt or Placebo Control |
| C9759 | HCPCS | Transcatheter Intraoperative Blood Vessel Microinfusion(S) (E.G., Intraluminal, Vascular Wall and/or Perivascular) Therapy |
| C9760 | HCPCS | Non-Randomized, Non-Blinded Procedure For Nyha Class Ii, Iii, Iv Heart Failure; Transcatheter Implantation of Interatrial Shun |
| C9761 | HCPCS | Cystourethroscopy, With Ureteroscopy and/or Pyeloscopy, With Lithotripsy, and Ureteral Catheterization For Steerable Vacuum Aspiration |
| C9764 | HCPCS | Revascularization, Endovascular, Open or Percutaneous, Lower Extremity Artery(Ies), Except Tibial/Peroneal; With Intravascular Lithotripsy |
| C9765 | HCPCS | Revascularization, Endovascular, Open or Percutaneous, Lower Extremity Artery(Ies), Except Tibial/Peroneal; With Intravascular Lithotrips |
| C9766 | HCPCS | Revascularization, Endovascular, Open or Percutaneous, Lower Extremity Artery(Ies), Except Tibial/Peroneal; With Intravascular Lithotripsy |
| C9767 | HCPCS | Revascularization, Endovascular, Open or Percutaneous, Lower Extremity Artery(Ies), Except Tibial/Peroneal; With Intravascular Lithotripsy |
| C9769 | HCPCS | Cystourethroscopy With the Insertion of A Temporary Prostatic Implant or Stent With Anchor |
| C9772 | HCPCS | Revascularization, Endovascular, Open or Percutaneous, Tibial/Peroneal Artery(Ies), With Intravascular Lithotripsy, Includes Angioplasty |
| C9773 | HCPCS | Revascularization, Endovascular, Open or Percutaneous, Tibial/Peroneal Artery(Ies); With Intravascular Lithotripsy |
| C9774 | HCPCS | Endovascular Revascularization of the Tibial or Peroneal Arteries |
| C9775 | HCPCS | Endovascular Revascularization of the Tibial or Peroneal Arteries |
| C9782 | HCPCS | Linded Procedure For New York Heart Association (Nyha) Class II or III Heart Failure |
| C9783 | HCPCS | Blinded Procedure For Transcatheter Implantation of Coronary Sinus Reduction Device Or Placebo Control, Including Vascular Access |
| C9784 | HCPCS | Gastric Restrictive Procedure, Endoscopic Sleeve Gastroplasty, With Esophagogastroduodenoscopy and Intraluminal Tube Insertion |
| C9785 | HCPCS | Endoscopic Outlet Reduction, Gastric Pouch Application, With Endoscopy and Intraluminal Tube Insertion |
| C9792 | HCPCS | Transcatheter Implantation of A Left Atrial To Coronary Sinus Shunt |
| C9796 | HCPCS | Repair of Enterocutaneous Fistula Small Intestine or Colon |
| C9899 | HCPCS | Implanted Prosthetic Device, Payable Only For Inpatients Who Do Not Have Inpatient Coverage As Maintained By Cms |
| E0181 | HCPCS | Powered, Alternating Pressure Mattress Overlay With A Pump |
| E0183 | HCPCS | Low Air Loss Mattress |
| E0185 | HCPCS | Gel Pressure Pad |
| E0186 | HCPCS | Air Pressure Mattress |
| E0187 | HCPCS | Water Pressure Mattress |
| E0197 | HCPCS | Air Pressure Pad Mattress |
| E0198 | HCPCS | Water Pressure Pad For Mattress |
| E0200 | HCPCS | Heat Lamp |
| E0203 | HCPCS | Therapeutic Lightbox |
| E0205 | HCPCS | Heat Lamp |
| E0217 | HCPCS | Water Circulating Heat Pad With Pump |
| E0218 | HCPCS | Fluid Circulating Cold Pad With Pump |
| E0221 | HCPCS | Infrared Heating Pad |
| E0225 | HCPCS | Hydrocollator Unit |
| E0235 | HCPCS | Paraffin Bath Unit |
| E0236 | HCPCS | Pump For Water Circulating Pad |
| E0239 | HCPCS | Hydrocollator Unit, Portable |
| E0250 | HCPCS | Fixed Height Hospital Bed |
| E0251 | HCPCS | Fixed-Height Hospital Bed Without A Mattress |
| E0255 | HCPCS | Hospital Bed, Variable Height |
| E0256 | HCPCS | Hospital Bed, Variable Height, Hi-Lo, With Any Type Side Rails, Without Mattress |
| E0260 | HCPCS | Hospital Bed, Semi-Electric (Head and Foot Adjustment), With Any Type Side Rails, With Mattress |
| E0261 | HCPCS | Or Hospital Bed, Semi-Electric (Head and Foot Adjustment), With Any Type Side Rails, Without Mattress |
| E0265 | HCPCS | Hospital Bed, Total Electric (Head, Foot and Height Adjustments), With Any Type Side Rails, With Mattress |
| E0266 | HCPCS | Hospital Bed, Total Electric (Head, Foot and Height Adjustments), With Any Type Side Rails, Without Mattress |
| E0270 | HCPCS | Hospital Bed |
| E0290 | HCPCS | Hospital Bed, Fixed Height, Without Side Rails, With Mattress |
| E0291 | HCPCS | Fixed-Height Hospital Bed Without Side Rails and Without A Mattress |
| E0292 | HCPCS | Hospital Bed, Variable Height, Hi-Lo, Without Side Rails, With Mattress |
| E0293 | HCPCS | Hospital Bed, Variable Height, Hi-Lo, Without Side Rails, Without Mattress |
| E0294 | HCPCS | Hospital Bed, Semi-Electric (Head and Foot Adjustment), Without Side Rails, With Mattress |
| E0295 | HCPCS | Hospital Bed, Semi-Electric (Head and Foot Adjustment), Without Side Rails, Without Mattress |
| E0296 | HCPCS | Hospital Bed, Total Electric (Head, Foot and Height Adjustments). Without Side Rails, With Mattress |
| E0297 | HCPCS | Hospital Bed, Total Electric (Head, Foot and Height Adjustments). Without Side Rails, With Mattress |
| E0301 | HCPCS | Hospital Bed, Heavy Duty, Extra Wide, With Weight Capacity Greater Than 350 Pounds |
| E0303 | HCPCS | Hospital Bed, Heavy Duty, Extra Wide, With Weight Capacity Greater Than 350 Pounds |
| E0430 | HCPCS | Purchasing A Portable Gaseous Oxygen System |
| E0431 | HCPCS | Portable Gaseous Oxygen System, Rental |
| E0433 | HCPCS | Portable Liquid Oxygen System, Rental; Home Liquefier |
| E0434 | HCPCS | Portable Liquid Oxygen System, Rental |
| E0435 | HCPCS | Portable Liquid Oxygen System, Purchase |
| E0439 | HCPCS | Stationary Liquid Oxygen System, Rental |
| E0440 | HCPCS | Stationary Liquid Oxygen System, Purchase |
| E0441 | HCPCS | Stationary Oxygen Contents, Gaseous |
| E0442 | HCPCS | Stationary Oxygen Contents, Liquid, 1 Month'S Supply |
| E0443 | HCPCS | Portable Oxygen Contents, Gaseous, 1 Month'S Supply |
| E0444 | HCPCS | Portable Oxygen Contents, Liquid, 1 Month'S Supply |
| E0446 | HCPCS | Topical Oxygen Delivery System |
| E0447 | HCPCS | Portable Oxygen Contents, Liquid, 1 Month'S Supply |
| E0466 | HCPCS | Home Ventilator |
| E0467 | HCPCS | Smallest Portable Ventilator With Integrated Oxygen Concentrator, Cough Assist, Suction Machine, and Nebulizer |
| E0468 | HCPCS | Home Ventilator, Dual-Function Respiratory Device, Also Performs Additional Function of Cough Stimulation |
| E0470 | HCPCS | Respiratory Assist Device, Bi-Level Pressure Capability, Without Backup Rate Feature, Used With Noninvasive Interface |
| E0472 | HCPCS | Respiratory Assist Device, Bi-Level Pressure Capability, With Backup Rate Feature, Used With Invasive Interface |
| E0480 | HCPCS | Percussor, Electric or Pneumatic, Home Model |
| E0481 | HCPCS | Intrapulmonary Percussive Ventilation System |
| E0482 | HCPCS | Cough Stimulating Device |
| E0500 | HCPCS | Intermittent Positive Pressure Breathing (Ippb) Machine |
| E0530 | HCPCS | Electronic Positional Obstructive Sleep Apnea Treatment |
| E0550 | HCPCS | Humidifier, Durable For Extensive Supplemental Humidification During Ippb Treatments or Oxygen Delivery |
| E0565 | HCPCS | Compressor, Air Power Source For Equipment |
| E0574 | HCPCS | Ultrasonic/Electronic Aerosol Generator With Small Volume Nebulizer |
| E0575 | HCPCS | Large Volume Ultrasonic Nebulizer System |
| E0585 | HCPCS | Heavy-Duty Aerosol Compressor (E0565), Durable Bottle Type Large Volume Nebulizer (A7017), and Immersion Heater (E1372) |
| E0601 | HCPCS | CPAP |
| E0620 | HCPCS | Skin Piercing Device For Collection of Capillary Blood, Laser |
| E0630 | HCPCS | Patient Lift, Hydraulic or Mechanical, Includes Any Seat, Sling, Strap(S) or Pad(S) |
| E0637 | HCPCS | Combination Sit To Stand Frame/Table System |
| E0638 | HCPCS | Standing Frame/Table System, One Position (E.G., Upright, Supine or Prone Stander), Any Size |
| E0641 | HCPCS | Standing Frame/Table System, Multi-Position (E.G., 3-Way Stander), Any Size Including Pediatric, With or Without Wheels |
| E0642 | HCPCS | Standing Frame/Table System, Mobile (Dynamic Stander), Any Size |
| E0650 | HCPCS | Non-Segmented Pneumatic Compressor |
| E0651 | HCPCS | Segmented Pneumatic Compressor |
| E0656 | HCPCS | Segmental Pneumatic Appliance For Use With Pneumatic Compressor, Trunk |
| E0657 | HCPCS | Segmental Pneumatic Appliance For Use With Pneumatic Compressor, Chest |
| E0660 | HCPCS | Non-Segmental Pneumatic Appliance That'S Used With A Pneumatic Compressor For the Full Leg |
| E0665 | HCPCS | Non-Segmental Pneumatic Appliance For Use With Pneumatic Compressor, Full Arm |
| E0666 | HCPCS | Non-Segmental Pneumatic Appliance For Use With Pneumatic Compressor, Half Leg |
| E0667 | HCPCS | Segmental Pneumatic Appliance For Use With Pneumatic Compressor, Full Leg |
| E0668 | HCPCS | Segmental Pneumatic Appliance For Use With Pneumatic Compressor |
| E0669 | HCPCS | Segmental Pneumatic Appliance For Use With Pneumatic Compressor, Half Leg |
| E0670 | HCPCS | Segmental Pneumatic Appliance For Use With Pneumatic Compressor, Integrated, 2 Full Legs and Trunk |
| E0671 | HCPCS | Segmental Gradient Pressure Pneumatic Appliance, Full Leg |
| E0672 | HCPCS | Segmental Gradient Pressure Pneumatic Appliance, Full Arm |
| E0673 | HCPCS | Segmental Gradient Pressure Pneumatic Appliance, Half Leg |
| E0675 | HCPCS | PCD That Delivers High Pressure and Rapid Inflation/Deflation Cycles For the Treatment of Arterial Insufficiency |
| E0676 | HCPCS | Intermittent Limb Compression Device (Includes All Accessories) |
| E0677 | HCPCS | Non-Pneumatic Sequential Compression Garment, Trunk |
| E0678 | HCPCS | Non-Pneumatic Sequential Compression Garment, Full Leg |
| E0679 | HCPCS | Non-Pneumatic Sequential Compression Garment, Half Leg |
| E0680 | HCPCS | Non-Pneumatic Compression Controller With Sequential Calibrated Gradient Pressure |
| E0681 | HCPCS | Non-Pneumatic Compression Controller Without Calibrated Gradient Pressure |
| E0682 | HCPCS | Non-Pneumatic Sequential Compression Garment, Full Arm |
| E0691 | HCPCS | Ultraviolet Light Therapy System |
| E0720 | HCPCS | TENS |
| E0730 | HCPCS | TENS |
| E0731 | HCPCS | TENS Garment |
| E0744 | HCPCS | Neuromuscular Stimulator For Scoliosis |
| E0745 | HCPCS | Neuromuscular Stimulator, Electronic Shock Unit |
| E0762 | HCPCS | Transcutaneous Electrical Joint Stimulation Device (Tejsd) |
| E0791 | HCPCS | Stationary, Single or Multi-Channel Parenteral Infusion Pump |
| E1038 | HCPCS | Transport Chair |
| E1039 | HCPCS | Transport Chair, Adult Size, Heavy Duty |
| E1060 | HCPCS | Fully-Reclining Wheelchair, Detachable Arms, Desk or Full Length, Swing Away Detachable Elevating Legrests |
| E1088 | HCPCS | High-Strength, Lightweight Wheelchair With Detachable Arms and Swing-Away Legrests |
| E1090 | HCPCS | Lightweight, High-Strength Wheelchair With Detachable Arms and Footrests |
| E1092 | HCPCS | Wide Heavy Duty Wheel Chair, Detachable Arms (Desk or Full Length), Swing Away Detachable Elevating Legrests |
| E1093 | HCPCS | Wide Heavy Duty Wheelchair, Detachable Arms Desk or Full Length Arms, Swing Away Detachable Footrests |
| E1130 | HCPCS | Standard Wheelchair, Fixed Full Length Arms, Fixed or Swing Away Detachable Footrests |
| E1150 | HCPCS | Wheelchair, Detachable Arms, Desk or Full Length Swing Away Detachable Elevating Legrests |
| E1160 | HCPCS | Standard Wheelchair With Fixed Full-Length Arms and Swing-Away Detachable Elevating Legrests |
| E1220 | HCPCS | Wheelchair; Specially Sized or Constructed |
| E1226 | HCPCS | Wheelchair Accessory, Manual Fully Reclining Back |
| E1240 | HCPCS | Lightweight Wheelchair, Detachable Arms, (Desk or Full Length) Swing Away Detachable, Elevating Legrest |
| E1250 | HCPCS | Lightweight Wheelchair With Fixed Full-Length Arms and A Detachable Footrest That Swings Away |
| E1260 | HCPCS | Lightweight Wheelchair, Detachable Arms (Desk or Full Length) Swing Away Detachable Footrest |
| E1285 | HCPCS | Heavy Duty Wheelchair, Fixed Full Length Arms, Swing Away Detachable Footrest |
| E1290 | HCPCS | Heavy Duty Wheelchair, Detachable Arms (Desk or Full Length) Swing Away Detachable Footrest |
| E1391 | HCPCS | Oxygen Concentrator |
| E1392 | HCPCS | Portable Oxygen Concentrator |
| E1406 | HCPCS | Oxygen and Water Vapor Enriching Systems With or Without Heated Delivery |
| E1610 | HCPCS | Reverse Osmosis Water Purification System, For Hemodialysis |
| E1629 | HCPCS | Tablo Hemodialysis System |
| E1840 | HCPCS | Dynamic Adjustable Shoulder Flexion / Abduction / Rotation Device |
| E1841 | HCPCS | Static Progressive Stretch Shoulder Device |
| E1902 | HCPCS | Communication Board, Non-Electronic Augmentative or Alternative Communication Device |
| E1905 | HCPCS | Virtual Reality Cognitive Behavioral Therapy (Cbt) Device That Includes Pre-Programmed Therapy Software |
| E2100 | HCPCS | Blood Glucose Monitor With Integrated Voice Synthesizer |
| E2101 | HCPCS | Blood Glucose Monitor With Integrated Lancing/Blood Sample |
| E2102 | HCPCS | Adjunctive, Non-Implanted Continuous Glucose Monitor or Receiver |
| E2203 | HCPCS | Manual Wheelchair Accessory, Nonstandard Seat Frame Depth, 20 To Less Than 22 Inches |
| E2204 | HCPCS | Manual Wheelchair Accessory, Nonstandard Seat Frame Depth, 22 To 25 Inches |
| E2227 | HCPCS | Manual Wheelchair Accessory, Gear Reduction Drive Wheel |
| E2228 | HCPCS | Manual Wheelchair Accessory, Wheel Braking System and Lock |
| E2230 | HCPCS | Manual Standing System |
| E2231 | HCPCS | Solid Seat Support Base |
| E2291 | HCPCS | Planar Back For Ped Size Wc |
| E2292 | HCPCS | Planar Seat For Ped Size Wc |
| E2293 | HCPCS | Contour Seat For Ped Size Wc |
| E2294 | HCPCS | Contour Seat For Ped Size Wc |
| E2295 | HCPCS | Ped Dynamic Seating Frame |
| E2298 | HCPCS | Complex Rehabilitative Power Wheelchair Accessory, Power Seat Elevation System, Any Type |
| E2312 | HCPCS | Power Wheelchair Accessory, Hand or Chin Control Interface, Mini-Proportional Remote Joystick |
| E2322 | HCPCS | Power Wheelchair Accessory, Hand Control Interface, Multiple Mechanical Switches, Nonproportional |
| E2325 | HCPCS | Power Wheelchair Accessory, Sip and Puff Interface, Nonproportional, Including All Related Electronics, Mechanical Stop Switch |
| E2327 | HCPCS | Power Wheelchair Accessory, Head Control Interface, Mechanical, Proportional, Including All Related Electronics |
| E2328 | HCPCS | Power Wheelchair Accessory, Head Control or Extremity Control Interface, Electronic, Proportional |
| E2329 | HCPCS | Power Wheelchair Accessory, Head Control Interface, Contact Switch Mechanism, Nonproportional |
| E2330 | HCPCS | Power Wheelchair Accessory, Head Control Interface, Proximity Switch Mechanism, Nonproportional |
| E2331 | HCPCS | Power Wheelchair Accessory, Attendant Control, Proportional, Including All Related Electronics |
| E2351 | HCPCS | Electronic Interface To Operate Speech Generating Device Using Power Wheelchair |
| E2373 | HCPCS | Power Wheelchair Accessory, Hand or Chin Control Interface, Compact Remote Joystick, Proportional |
| E2374 | HCPCS | Power Wheelchair Accessory, Hand or Chin Control Interface, Standard Remote Joystick (Not Including Controller), Proportional |
| E2375 | HCPCS | Non-Expandable Controller For A Power Wheelchair. This Code Is For Replacement Parts Only |
| E2376 | HCPCS | Power Wheelchair Accessory, Expandable Controller |
| E2377 | HCPCS | Power Wheelchair Accessory, Expandable Controller, Including All Related Electronics and Mounting Hardware |
| E2378 | HCPCS | Power Wheelchair Component, Actuator, Replacement Only |
| E2402 | HCPCS | Negative Pressure Wound Therapy (Npwt) Electrical Pump |
| E2502 | HCPCS | Speech Generating Device That Uses Pre-Recorded Messages To Create Digitized Speech |
| E2504 | HCPCS | Speech Generating Device, Digitized Speech |
| E2506 | HCPCS | Speech Generating Device That Uses Pre-Recorded Messages and Has A Recording Time of More Than 40 Minutes |
| E2508 | HCPCS | Speech Generating Device That Uses Synthesized Speech |
| E2512 | HCPCS | Accessory For Speech Generating Device, Mounting System |
| E2599 | HCPCS | Accessory For Speech Generating Device, Not Otherwise Classified |
| E2609 | HCPCS | Custom Fabricated Wheelchair Seat Cushion, Any Size |
| E2617 | HCPCS | Custom Fabricated Wheelchair Back Cushion, Any Size |
| E2625 | HCPCS | Skin Protection and Positioning Wheelchair Seat Cushion, Adjustable, Width 22 Inches or Greater |
| E8000 | HCPCS | Ait Trainer, Pediatric Size, Posterior Support |
| E8001 | HCPCS | Pediatric-Sized Upright Gait Trainer |
| E8002 | HCPCS | Pediatric-Sized Gait Trainer With Anterior Support |
| G0138 | HCPCS | Intravenous Administration of Cipaglucosidase Alfa-Atga (Pombiliti) |
| G0182 | HCPCS | Physician Supervision of A Patient Under A Medicare-Approved Hospice |
| G0186 | HCPCS | Destruction of Localized Lesion of Choroid |
| G0260 | HCPCS | Injection Procedure For Sacroiliac Joint; Provision of Anesthetic, Steroid and/or Other Therapeutic Agent, With or Without Arthrography |
| G0276 | HCPCS | Blinded Procedure For Lumbar Stenosis, Percutaneous Image-Guided Lumbar Decompression (Pild) |
| G0288 | HCPCS | Computed Tomographic Angiography of Aorta For Surgical Planning For Vascular Surgery |
| G0289 | HCPCS | Arthroscopy, Knee, Surgical, For Removal of Loose Body, Foreign Body, Debridement/Shaving of Articular Cartilage |
| G0293 | HCPCS | Noncovered Surgical Procedure(S) Using Conscious Sedation, Regional, General or Spinal Anesthesia |
| G0294 | HCPCS | Noncovered Procedure(S) Using Either No Anesthesia or Local Anesthesia Only, In A Medicare Qualifying Clinical Trial |
| G0330 | HCPCS | Facility Services For Covered Dental Rehabilitation Procedures |
| G0398 | HCPCS | Home Sleep Study Test (Hst) With Type II Portable Monitor, Unattended |
| G0399 | HCPCS | Home Sleep Test (Hst) With Type III Portable Monitor, Unattended; Minimum of 4 Channels |
| G0400 | HCPCS | Home Sleep Test (Hst) With Type Iv Portable Monitor, Unattended; Minimum of 3 Channels |
| G0402 | HCPCS | Initial Preventive Physical Examination; Face-To-Face Visit |
| G0412 | HCPCS | Open Treatment of Iliac Spine(S), Tuberosity Avulsion, or Iliac Wing Fracture(S), Unilateral or Bilateral For Pelvic Bone Fracture |
| G0413 | HCPCS | Percutaneous Skeletal Fixation of Posterior Pelvic Bone Fracture and/or Dislocation |
| G0414 | HCPCS | Open Treatment of Anterior Pelvic Bone Fracture and/or Dislocation For Fracture Patterns |
| G0415 | HCPCS | Open Treatment of Posterior Pelvic Bone Fracture and/or Dislocation, For Fracture Patterns Which Disrupt the Pelvic Ring |
| G0416 | HCPCS | Surgical Pathology, Gross and Microscopic Examinations, For Prostate Needle Biopsy |
| G0428 | HCPCS | Collagen Meniscus Implant Procedure For Filling Meniscal Defects |
| G0429 | HCPCS | Dermal Filler Injection(S) For the Treatment of Facial Lipodystrophy Syndrome (Lds) |
| G0448 | HCPCS | Insertion or Replacement of A Permanent Pacing Cardioverter-Defibrillator System With Transvenous Lead(S), Single or Dual Chamber |
| G0453 | HCPCS | Continuous Intraoperative Neurophysiology Monitoring, From Outside the Operating Room (Remote or Nearby), Per Patient |
| G0460 | HCPCS | Autologous Platelet Rich Plasma or Other Blood-Derived Product For Non-Diabetic Chronic Wounds/Ulcers |
| G0465 | HCPCS | Autologous Platelet Rich Plasma (Prp) or Other Blood-Derived Product For Diabetic Chronic Wounds/Ulcers |
| G2082 | HCPCS | Outpatient Visit For Esketamine |
| G2083 | HCPCS | Outpatient Visit For Estketamine >56 G |
| G2168 | HCPCS | Services Performed By A Physical Therapist Assistant In the Home Health Setting |
| G9143 | HCPCS | Warfarin Responsiveness Testing By Genetic Technique Using Any Method |
| G9147 | HCPCS | Outpatient Intravenous Insulin Treatment (Oivit) Either Pulsatile or Continuous |
| G9474 | HCPCS | Services Performed By Dietary Counselor In the Hospice Setting |
| G9475 | HCPCS | Services Performed By Other Counselor In the Hospice Setting |
| G9476 | HCPCS | Services Performed By Volunteer In the Hospice Setting |
| G9477 | HCPCS | Services Performed By Care Coordinator In the Hospice Setting |
| G9478 | HCPCS | Services Performed By Other Qualified Therapist In the Hospice Setting |
| G9479 | HCPCS | Services Performed By Qualified Pharmacist In the Hospice Setting |
| G9687 | HCPCS | Hospice Services Provided To Patient |
| G9688 | HCPCS | Patients Using Hospice Services Any Time During the Measurement Period |
| G9690 | HCPCS | Patient Receiving Hospice Services Any Time During the Measurement Period |
| G9691 | HCPCS | Patient Had Hospice Services Any Time During the Measurement Period |
| G9692 | HCPCS | Hospice Services Received By Patient Any Time During the Measurement Period |
| G9693 | HCPCS | Patient Use of Hospice Services Any Time During the Measurement Period |
| G9694 | HCPCS | Hospice Services Utilized By Patient Any Time During the Measurement Period |
| G9700 | HCPCS | Patients Who Use Hospice Services Any Time During the Measurement Period |
| G9702 | HCPCS | Patients Who Use Hospice Services Any Time During the Measurement Period |
| G9707 | HCPCS | Patient Received Hospice Services Any Time During the Measurement Period |
| G9709 | HCPCS | Hospice Services Used By Patient Any Time During the Measurement Period |
| G9710 | HCPCS | Patient Was Provided Hospice Services Any Time During the Measurement Period |
| G9713 | HCPCS | Patients Who Use Hospice Services Any Time During the Measurement Period |
| G9714 | HCPCS | Patient Is Using Hospice Services Any Time During the Measurement Period |
| G9720 | HCPCS | Hospice Services That Occurred During A Measurement Period |
| G9723 | HCPCS | Hospice Services For Patient Received Any Time During the Measurement Period |
| G9740 | HCPCS | Hospice Services Given To Patient Any Time During the Measurement Period |
| G9741 | HCPCS | Patient Used Hospice Services During A Measurement Period |
| G9758 | HCPCS | Patient In Hospice At Any Time During the Measurement Period |
| G9760 | HCPCS | Patient Who Was In Hospice At Any Time During A Measurement Period |
| G9761 | HCPCS | Patients Who Use Hospice Services Any Time During the Measurement Period |
| G9768 | HCPCS | Patients Who Utilize Hospice Services Any Time During the Measurement Period |
| G9805 | HCPCS | Patients Who Use Hospice Services Any Time During the Measurement Period |
| G9819 | HCPCS | Patients Who Use Hospice Services Any Time During the Measurement Period |
| G9858 | HCPCS | Patient Enrolled In Hospice As Maintained By Cms |
| G9860 | HCPCS | Patient Spent Less Than Three Days In Hospice Care |
| G9861 | HCPCS | Patient Spent Greater Than or Equal To Three Days In Hospice Care |
| H0008 | HCPCS | Sub-Acute Detoxification Services For Alcohol and/or Drug Addiction In A Hospital Inpatient Setting |
| H0009 | HCPCS | Acute Detoxification Services For Alcohol and/or Drug Abuse In A Hospital Inpatient Setting |
| H0010 | HCPCS | Alcohol and/or Drug Services; Sub-Acute Detoxification (Residential Addiction Program Inpatient) |
| H0011 | HCPCS | Alcohol and/or Drug Services; Acute Detoxification (Residential Addiction Program Inpatient) |
| H0012 | HCPCS | Alcohol and/or Drug Services; Sub-Acute Detoxification (Residential Addiction Program Outpatient) |
| H0013 | HCPCS | Alcohol and/or Drug Services; Acute Detoxification (Residential Addiction Program Outpatient) |
| H0014 | HCPCS | Alcohol and/or Drug Services; Ambulatory Detoxification |
| H0015 | HCPCS | Intensive Outpatient Treatment (Iop) For Substance Use Disorders |
| H0016 | HCPCS | Alcohol and/or Drug Services; Medical/Somatic (Medical Intervention In Ambulatory Setting |
| H0017 | HCPCS | Single Day of Clinical Services In A Residential Behavioral Health or Addiction Treatment Facility |
| H0018 | HCPCS | Behavioral Health; Short-Term Residential (Non-Hospital Residential Treatment Program), Without Room and Board, Per Diem |
| H0019 | HCPCS | Long-Term Residential Behavioral Health Care |
| H0044 | HCPCS | Supported Housing, Per Month As Maintained By Cms |
| H2013 | HCPCS | Psychiatric Health Facility Service, Per Diem |
| H2016 | HCPCS | Comprehensive Community Support Services, Per Diem |
| H2031 | HCPCS | Mental Health Clubhouse Services For Every 15 Minutes |
| J0177 | HCPCS | Injection, Aflibercept |
| J0216 | HCPCS | Injection, Alfentanil Hydrochloride |
| J0218 | HCPCS | Injection, Olipudase Alfa-Rpcp |
| J0591 | HCPCS | Injection, Deoxycholic Acid, 1 Mg |
| J0691 | HCPCS | Injection, Lefamulin, 1 Mg |
| J0799 | HCPCS | FDA Approved Prescription Drug, Only For Use As Hiv Pre-Exposure Prophylaxis (Not For Use As Treatment of Hiv), Not Otherwise Classified |
| J0801 | HCPCS | Injection, Corticotropin (Acthar Gel), Up To 40 Units |
| J0802 | HCPCS | Injection of Up To 40 Units of Corticotropin |
| J0889 | HCPCS | Daprodustat, Oral, 1 Mg, (For Esrd on Dialysis) |
| J1202 | HCPCS | Miglustat, Oral, 65 Mg |
| J1203 | HCPCS | Injection, Cipaglucosidase Alfa-Atga, 5 Mg |
| J1323 | HCPCS | Injection, Elranatamab-Bcmm, 1 Mg |
| J1411 | HCPCS | Injection, Etranacogene Dezaparvovec-Drlb |
| J1440 | HCPCS | Rebyota Fecal Microbiota |
| J1748 | HCPCS | Injection, Infliximab-Dyyb (Zymfentra), 10 Mg |
| J1954 | HCPCS | Injection, Leuprolide Acetate For Depot Suspension |
| J2267 | HCPCS | 1 Mg Injection of Mirikizumab-Mrkz |
| J2468 | HCPCS | Injection, Palonosetron Hydrochloride (Posfrea), 25 Micrograms |
| J2806 | HCPCS | Injection, Sincalide |
| J3055 | HCPCS | Injection, Talquetamab-Tgvs, 0.25 Mg |
| J3247 | HCPCS | Injection, Secukinumab, Intravenous, 1 Mg |
| J3263 | HCPCS | Injection, Toripalimab-Tpzi, 1 Mg |
| J3393 | HCPCS | Injection, Betibeglogene Autotemcel |
| J3394 | HCPCS | Injection, Lovotibeglogene Autotemcel |
| J3399 | HCPCS | Injection, Onasemnogene Abeparvovec-Xioi |
| J7165 | HCPCS | Injection, Prothrombin Complex Concentrate, Human-Lans |
| J7171 | HCPCS | Injection, Adamts13, Recombinant-Krhn, 10 Iu |
| J7212 | HCPCS | Factor Viia (Antihemophilic Factor, Recombinant)-Jncw (Sevenfact), 1 Microgram |
| J7213 | HCPCS | Injection, Coagulation Factor Ix (Recombinant), Ixinity, 1 Iu |
| J7294 | HCPCS | Segesterone Acetate and Ethinyl Estradiol 0.15 Mg, 0.013 Mg Per 24 Hours |
| J7307 | HCPCS | Etonogestrel Contraceptive Implant System, Which Includes the Implant and Supplies |
| J7354 | HCPCS | Cantharidin For Topical Administration, 0.7% |
| J7355 | HCPCS | Injection, Travoprost, Intracameral Implant, 1 Microgram |
| J9029 | HCPCS | Injection, Nadofaragene Firadenovec-Vncg |
| J9051 | HCPCS | Injection, Bortezomib (Maia) |
| J9063 | HCPCS | Injection, Mirvetuximab Soravtansine-Gynx, 1 Mg |
| J9064 | HCPCS | Injection, Cabazitaxel (Sandoz) |
| J9219 | HCPCS | Leuprolide Acetate Implant, 65 Mg |
| J9258 | HCPCS | Injection, Paclitaxel Protein-Bound Particles (Teva) |
| J9324 | HCPCS | Injection, Pemetrexed (Pemrydi Rtu), 10 Mg |
| J9350 | HCPCS | Injection, Mosunetuzumab-Axgb, 1 Mg |
| J9361 | HCPCS | Injection, Efbemalenograstim Alfa-Vuxw, 0.5 Mg |
| J9376 | HCPCS | Injection, Pozelimab-Bbfg, 1 Mg |
| K0001 | HCPCS | Standard Wheelchair |
| K0002 | HCPCS | Standard Hemi (Low Seat) Wheelchair |
| K0003 | HCPCS | Lightweight Wheelchair |
| K0004 | HCPCS | High Strength, Lightweight Wheelchair |
| K0005 | HCPCS | Ultralightweight Wheelchair |
| K0006 | HCPCS | Heavy Duty Wheelchair |
| K0007 | HCPCS | Extra Heavy Duty Wheelchair (Bariatric) |
| K0008 | HCPCS | Custom Manual Wheelchair Base |
| K0009 | HCPCS | Other Manual Wheelchair/Base |
| K0010 | HCPCS | Standard Weight Frame Motorized Wheelchair |
| K0011 | HCPCS | Standard - Weight Frame Motorized/Power Wheelchair With Programmable Control Parameters |
| K0012 | HCPCS | Lightweight, Portable, Motorized, or Power Wheelchair |
| K0013 | HCPCS | Custom Motorized/Power Wheelchair Base |
| K0014 | HCPCS | Other Motorized/Power Wheelchair Base |
| K0606 | HCPCS | Wearable Cardioverter Defibrillator (Wcd) |
| K0669 | HCPCS | Wheelchair Accessories, Seats, or Back Cushions That Don'T Meet Specific Code Criteria |
| K0738 | HCPCS | Portable Gaseous Oxygen System Rental That Includes A Home Compressor For Filling Portable Oxygen Cylinders |
| K0868 | HCPCS | Power Wheelchair, Group 4 Standard |
| K0900 | HCPCS | Customized Durable Medical Equipment (Dme) That Is Not A Wheelchair |
| K1004 | HCPCS | Low Frequency Ultrasonic Diathermy Treatment Device |
| K1007 | HCPCS | Powered Lower Extremity Exoskeleton That Affects the Hips, Knees, Ankles, and Feet |
| K1027 | HCPCS | Oral Device/Appliance Used To Reduce Upper Airway Collapsibility |
| K1035 | HCPCS | Molecular Diagnostic Test Reader, Nonprescription Self-Administered |
| K1036 | HCPCS | Supplies and Accessories (E.G., Transducer) For Low Frequency Ultrasonic Diathermy Treatment Device, Per Month |
| K1037 | HCPCS | Docking Station Used With An Oral Device That Reduces Upper Airway Collapsibility |
| L0627 | HCPCS | Lumbar Orthosis (Lo), Sagittal Control, With Rigid Anterior and Posterior Panels, Posterior Extends From L-1 To Below L-5 Vertebra |
| L0635 | HCPCS | Lumbar-Sacral Orthosis (Lso), Sagittal-Coronal Control, Lumbar Flexion, Rigid Posterior Frame/Panel(S), Lateral Articulating Design |
| L0637 | HCPCS | Lumbar-Sacral Orthosis (Lso), Sagittal-Coronal Control, With Rigid Anterior and Posterior Frame/Panels |
| L0639 | HCPCS | Lumbar-Sacral Orthosis (Lso), Sagittal-Coronal Control, Rigid Shell(S)/Panel(S), Posterior Extends From Sacrococcygeal Junction |
| L0640 | HCPCS | Lumbar-Sacral Orthosis (Lso), Sagittal-Coronal Control, Rigid Shell(S)/Panel(S), Posterior Extends From Sacrococcygeal Junction |
| L0642 | HCPCS | Lumbar Orthosis With Rigid Anterior and Posterior Panels |
| L0648 | HCPCS | Lumbar-Sacral Orthosis (Lso), Sagittal Control, With Rigid Anterior and Posterior Panels, Posterior Extends From Sacrococcygeal Junction |
| L0650 | HCPCS | Lumbar-Sacral Orthosis (Lso), Sagittal-Coronal Control, With Rigid Anterior and Posterior Frame/Panel(S), Posterior |
| L0651 | HCPCS | Lumbar-Sacral Orthosis (Lso), Sagittal-Coronal Control, Rigid Shell(S)/Panel(S), Posterior Extends From Sacrococcygeal Junction |
| L1686 | HCPCS | Prefabricated Orthosis With A Semirigid or Rigid Waist Band |
| L1690 | HCPCS | Combination, Bilateral, Lumbo-Sacral, Hip, Femur Orthosis |
| L1831 | HCPCS | Knee Orthosis (Ko), Locking Knee Joint(S), Positional Orthosis, Prefabricated, Includes Fitting and Adjustment |
| L1832 | HCPCS | Knee Orthosis (Ko), Adjustable Knee Joints (Unicentric or Polycentric), Positional Orthosis, Rigid Support, Prefabricated Item |
| L1833 | HCPCS | Knee Orthosis (Ko), Adjustable Knee Joints (Unicentric or Polycentric), Positional Orthosis, Rigid Support, Prefabricated |
| L1840 | HCPCS | Knee Orthosis (Ko), Derotation, Medial-Lateral, Anterior Cruciate Ligament, Custom Fabricated |
| L1843 | HCPCS | Knee Orthosis, Single Upright, Thigh and Calf, With Adjustable Flexion and Extension Joint |
| L1845 | HCPCS | Knee Orthosis (Ko), Double Upright, Thigh and Calf, With Adjustable Flexion and Extension Joint (Unicentric or Polycentric) |
| L1846 | HCPCS | Knee Orthosis (Ko), Double Upright, Thigh and Calf, With Adjustable Flexion and Extension Joint (Unicentric or Polycentric) |
| L1847 | HCPCS | Knee Orthosis (Ko), Double Upright With Adjustable Joint, With Inflatable Air Support Chamber(S), Prefabricated Item |
| L1848 | HCPCS | Knee Orthosis (Ko), Double Upright With Adjustable Joint, With Inflatable Air Support Chamber(S), Prefabricated |
| L1851 | HCPCS | Knee Orthosis (Ko), Single Upright, Thigh and Calf, With Adjustable Flexion and Extension Joint (Unicentric or Polycentric) |
| L1852 | HCPCS | Knee Orthosis (Ko), Double Upright, Thigh and Calf, With Adjustable Flexion and Extension Joint (Unicentric or Polycentric) |
| L1860 | HCPCS | Knee Orthosis (Ko), Modification of Supracondylar Prosthetic Socket, Custom-Fabricated (Sk) |
| L1900 | HCPCS | Ankle Foot Orthosis (Afo), Spring Wire, Dorsiflexion Assist Calf Band, Custom-Fabricated |
| L1907 | HCPCS | Ankle Orthosis, Supramalleolar With Straps, With or Without Interface/Pads, Custom Fabricated |
| L1932 | HCPCS | Ankle Foot Orthosis (Afo), Rigid Anterior Tibial Section, Total Carbon Fiber or Equal Material, Prefabricated |
| L1940 | HCPCS | Ankle Foot Orthosis (Afo), Plastic or Other Material, Custom-Fabricated |
| L1945 | HCPCS | Ankle Foot Orthosis (Afo), Plastic, Rigid Anterior Tibial Section (Floor Reaction), Custom-Fabricated |
| L1950 | HCPCS | Ankle Foot Orthosis (Afo), Spiral, (Institute of Rehabilitative Medicine Type), Plastic, Custom-Fabricated |
| L1951 | HCPCS | Ankle Foot Orthosis (Afo), Spiral, (Institute of Rehabilitative Medicine Type), Plastic or Other Material, Prefabricated |
| L1960 | HCPCS | Ankle Foot Orthosis (Afo), Posterior Solid Ankle, Plastic, Custom-Fabricated |
| L1970 | HCPCS | Ankle Foot Orthosis (Afo), Plastic With Ankle Joint, Custom-Fabricated |
| L1971 | HCPCS | Ankle Foot Orthosis (Afo), Plastic or Other Material With Ankle Joint, Prefabricated |
| L1980 | HCPCS | Ankle Foot Orthosis (Afo), Single Upright Free Plantar Dorsiflexion, Solid Stirrup |
| L1990 | HCPCS | Ankle Foot Orthosis (Afo), Double Upright Free Plantar Dorsiflexion, Solid Stirrup, Calf Band/Cuff |
| L2006 | HCPCS | Knee Ankle Foot Device, Any Material, Single or Double Upright, Swing and Stance Phase Microprocessor Control With Adjustability |
| L2350 | HCPCS | Addition To Lower Extremity, Prosthetic Type, (Bk) Socket, Molded To Patient Model |
| L2510 | HCPCS | Addition To Lower Extremity, Thigh/Weight Bearing, Quadri- Lateral Brim, Molded To Patient Model |
| L2999 | HCPCS | Lower Extremity Orthosis That Is Not Otherwise Specified |
| L3000 | HCPCS | Foot, Insert, Removable, Molded To Patient Model |
| L3230 | HCPCS | Orthopedic Footwear, Custom Shoe, Depth Inlay |
| L3250 | HCPCS | Orthopedic Footwear, Custom Molded Shoe, Removable Inner Mold, Prosthetic Shoe, Each |
| L3251 | HCPCS | Foot, Shoe Molded To Patient Model, Silicone Shoe |
| L3252 | HCPCS | Foot, Shoe Molded To Patient Model, Plastazote |
| L3253 | HCPCS | Foot, Molded Shoe Plastazote (Or Similar) Custom Fitted |
| L3455 | HCPCS | Heel, New Leather, Standard |
| L3671 | HCPCS | Shoulder Orthosis (So) Without Joints |
| L3674 | HCPCS | Shoulder Orthosis (So), Abduction Positioning (Airplane Design), Thoracic Component and Support Bar |
| L3702 | HCPCS | Elbow Orthosis (Eo), Without Joints |
| L3730 | HCPCS | Custom-Fabricated Elbow Orthosis (Eo) With Forearm and Arm Cuffs That Helps With Extension and Flexion |
| L3740 | HCPCS | Elbow Orthosis (Eo), Double Upright With Forearm/Arm Cuffs, Adjustable Position Lock With Active Control, Custom-Fabricated |
| L3760 | HCPCS | Elbow Orthosis (Eo), With Adjustable Position Locking Joint(S), Prefabricated |
| L3761 | HCPCS | Elbow Orthosis (Eo), With Adjustable Position Locking Joint(S), Prefabricated |
| L3763 | HCPCS | Elbow Wrist Hand Orthosis (Ewho), Rigid, Without Joints, May Include Soft Interface, Straps, Custom Fabricated |
| L3806 | HCPCS | Wrist Hand Finger Orthosis (Whfo), Includes One or More Nontorsion Joint(S) |
| L3808 | HCPCS | Wrist Hand Finger Orthosis (Whfo), Rigid Without Joints, May Include Soft Interface Material; Straps, Custom Fabricated |
| L3905 | HCPCS | Wrist Hand Orthosis (Who), Includes One or More Nontorsion Joints, Elastic Bands, Turnbuckles |
| L3906 | HCPCS | Wrist Hand Orthosis (Who), Without Joints, May Include Soft Interface, Straps, Custom Fabricated |
| L3913 | HCPCS | Hand Finger Orthosis (Hfo), Without Joints, May Include Soft Interface, Straps, Custom Fabricated |
| L3915 | HCPCS | Wrist Hand Orthosis (Who), Includes One or More Nontorsion Joint(S), Elastic Bands, Turnbuckles, May Include Soft Interface |
| L3916 | HCPCS | Wrist Hand Orthosis (Who), Includes One or More Nontorsion Joint(S), Elastic Bands, Turnbuckles, May Include Soft Interface |
| L3960 | HCPCS | Shoulder Elbow Wrist Hand Orthosis (Sewho), Abduction Positioning, Airplane Design, Prefabricated |
| L3962 | HCPCS | Shoulder Elbow Wrist Hand Orthosis (Sewho) |
| L3999 | HCPCS | Unspecified Upper Limb Orthosis |
| L5000 | HCPCS | Partial Foot, Shoe Insert With Longitudinal Arch, Toe Filler |
| L5010 | HCPCS | Partial Foot, Molded Socket, Ankle Height, With Toe Filler |
| L5020 | HCPCS | Partial Foot, Molded Socket, Tibial Tubercle Height, With Toe Filler |
| L5050 | HCPCS | Symes Ankle Prosthesis With A Molded Socket and Sach Foot |
| L5060 | HCPCS | Ankle, Symes, Metal Frame, Molded Leather Socket, Articulated Ankle/Foot |
| L5100 | HCPCS | Below Knee, Molded Socket, Shin, Sach Foot |
| L5105 | HCPCS | Below Knee, Plastic Socket, Joints and Thigh Lacer, Sach Foot |
| L5150 | HCPCS | Knee Disarticulation (Or Through Knee), Molded Socket, External Knee Joints, Shin, Sach Foot |
| L5160 | HCPCS | Knee Disarticulation (Or Through Knee), Molded Socket, Bent Knee Configuration, External Knee Joints, Shin, Sach Foot |
| L5200 | HCPCS | Above Knee, Molded Socket, Single Axis Constant Friction Knee, Shin, Sach Foot |
| L5210 | HCPCS | Above Knee, Short Prosthesis, No Knee Joint ('Stubbies'), With Foot Blocks, No Ankle Joints |
| L5220 | HCPCS | Above Knee, Short Prosthesis, No Knee Joint ('Stubbies'), With Articulated Ankle/Foot |
| L5510 | HCPCS | Preparatory, Below Knee 'Ptb' Type Socket, Non-Alignable System, Pylon |
| L5520 | HCPCS | Preparatory, Below Knee 'Ptb' Type Socket |
| L5530 | HCPCS | Preparatory, Below Knee 'Ptb' Type Socket, Non-Alignable System, Pylon, No Cover, Sach Foot, Thermoplastic or Equal, Molded To Model |
| L5535 | HCPCS | Preparatory, Below Knee 'Ptb' Type Socket, Non-Alignable System, No Cover, Sach Foot, Prefabricated, Adjustable Open End Socket |
| L5540 | HCPCS | Preparatory, Below Knee 'Ptb' Type Socket, Non-Alignable System, Pylon, No Cover, Sach Foot, Laminated Socket |
| L5560 | HCPCS | Preparatory, Above Knee- Knee Disarticulation, Ischial Level Socket, Non-Alignable System, Pylon, No Cover, Sach Foot |
| L5570 | HCPCS | Preparatory, Above Knee - Knee Disarticulation, Ischial Level Socket |
| L5580 | HCPCS | Preparatory, Above Knee - Knee Disarticulation Ischial Level Socket, Non-Alignable System |
| L5585 | HCPCS | Preparatory, Above Knee - Knee Disarticulation, Ischial Level Socket, Non-Alignable System |
| L5610 | HCPCS | Addition To Lower Extremity, Endoskeletal System, Above Knee, Hydracadence System |
| L5611 | HCPCS | Addition To Lower Extremity, Endoskeletal System, Above Knee-Knee Disarticulation, 4 Bar Linkage, With Friction Swing Phase Control |
| L5613 | HCPCS | Addition To Lower Extremity, Endoskeletal System, Above Knee-Knee Disarticulation |
| L5614 | HCPCS | Addition To Lower Extremity, Exoskeletal System, Above Knee-Knee Disarticulation |
| L5615 | HCPCS | Addition, Endoskeletal Knee-Shin System |
| L5616 | HCPCS | Addition To Lower Extremity, Endoskeletal System, Above Knee |
| L5617 | HCPCS | Addition To Lower Extremity, Quick Change Self-Aligning Unit, Above Knee or Below |
| L5618 | HCPCS | Addition To Lower Extremity, Test Socket, Symes |
| L5630 | HCPCS | Addition To Lower Extremity, Symes Type, Expandable Wall Socket |
| L5631 | HCPCS | Addition To Lower Extremity, Above Knee or Knee Disarticulation, Acrylic Socket |
| L5632 | HCPCS | Addition To Lower Extremity, Symes Type, 'Ptb' Brim Design Socket |
| L5634 | HCPCS | Addition To Lower Extremity, Symes Type, Posterior Opening (Canadian) Socket |
| L5636 | HCPCS | Addition To Lower Extremity, Symes Type, Medial Opening Socket |
| L5637 | HCPCS | Total Contact Prosthetic Extension Added Below the Knee of A Lower Extremity |
| L5643 | HCPCS | Addition To Lower Extremity, Hip Disarticulation, Flexible Inner Socket, External Frame |
| L5645 | HCPCS | Addition To Lower Extremity, Below Knee, Flexible Inner Socket, External Frame |
| L5646 | HCPCS | Addition To Lower Extremity, Below Knee, Air, Fluid, Gel or Equal, Cushion Socket |
| L5647 | HCPCS | Modification To A Prosthetic Socket That Includes A Suction Valve Below the Knee |
| L5649 | HCPCS | Ischial Containment/Narrow M-L Socket That Is Added To A Lower Extremity |
| L5650 | HCPCS | Additions To Lower Extremity, Total Contact, Above Knee or Knee Disarticulation Socket |
| L5651 | HCPCS | Addition To Lower Extremity, Above Knee, Flexible Inner Socket, External Frame |
| L5652 | HCPCS | Suction Suspension Modification To A Lower Extremity Prosthetic Socket |
| L5653 | HCPCS | Addition To Lower Extremity, Knee Disarticulation, Expandable Wall Socket |
| L5654 | HCPCS | Addition To Lower Extremity, Socket Insert |
| L5655 | HCPCS | Addition To Lower Extremity, Socket Insert, Below Knee |
| L5656 | HCPCS | Addition To Lower Extremity, Socket Insert, Knee Disarticulation |
| L5658 | HCPCS | Addition To Lower Extremity, Socket Insert, Above Knee |
| L5661 | HCPCS | Addition To Lower Extremity, Socket Insert, Multi-Durometer Symes |
| L5665 | HCPCS | Addition To Lower Extremity, Socket Insert, Multi-Durometer, Below Knee |
| L5671 | HCPCS | Addition To Lower Extremity, Below Knee / Above Knee Suspension Locking Mechanism |
| L5672 | HCPCS | Addition To Lower Extremity, Below Knee, Removable Medial Brim Suspension |
| L5673 | HCPCS | Prosthetic Locking Liner |
| L5676 | HCPCS | Additions To Lower Extremity, Below Knee, Knee Joints, Single Axis, Pair |
| L5677 | HCPCS | Additions To Lower Extremity, Below Knee, Knee Joints, Polycentric, Pair |
| L5679 | HCPCS | Addition To Lower Extremity, Below Knee/Above Knee, Custom Fabricated |
| L5680 | HCPCS | Addition To Lower Extremity, Below Knee, Thigh Lacer, Nonmolded |
| L5681 | HCPCS | Addition To Lower Extremity, Below Knee/Above Knee, Custom Fabricated |
| L5682 | HCPCS | Addition To Lower Extremity, Below Knee, Thigh Lacer, Gluteal/Ischial, Molded |
| L5683 | HCPCS | Addition To Lower Extremity, Below Knee/Above Knee, Custom Fabricated Socket Insert |
| L5699 | HCPCS | All Lower Extremity Prostheses, Shoulder Harness |
| L5704 | HCPCS | Custom-Shaped Protective Cover For the Lower Leg |
| L5705 | HCPCS | Custom Shaped Protective Cover, Above Knee |
| L5706 | HCPCS | Custom Shaped Protective Cover, Knee Disarticulation |
| L5707 | HCPCS | Custom Shaped Protective Cover, Hip Disarticulation |
| L5710 | HCPCS | Exoskeletal Knee-Shin System, Single Axis, Manual Lock |
| L5711 | HCPCS | Additions Exoskeletal Knee-Shin System, Single Axis, Manual Lock, Ultra-Light Material |
| L5712 | HCPCS | Addition, Exoskeletal Knee-Shin System, Single Axis, Friction Swing and Stance Phase Control (Safety Knee) |
| L5714 | HCPCS | Addition, Exoskeletal Knee-Shin System, Single Axis, Variable Friction Swing Phase |
| L5716 | HCPCS | Addition, Exoskeletal Knee-Shin System, Polycentric, Mechanical Stance Phaselock |
| L5718 | HCPCS | Addition, Exoskeletal Knee-Shin System, Polycentric, Friction Swing and Stance |
| L5722 | HCPCS | Addition, Exoskeletal Knee-Shin System, Single Axis, Pneumatic Swing, Friction Stance Phase Control |
| L5724 | HCPCS | Addition, Exoskeletal Knee-Shin System, Single Axis, Fluid Swing Phase Control |
| L5726 | HCPCS | Addition, Exoskeletal Knee-Shin System, Single Axis, External Joints |
| L5728 | HCPCS | Addition, Exoskeletal Knee-Shin System, Single Axis, Fluid Swing and Stance Phase Control |
| L5780 | HCPCS | Addition, Exoskeletal Knee-Shin System, Single Axis, Pneumatic/Hydra Pneumatic Swing Phase Control |
| L5783 | HCPCS | Addition To Lower Extremity, User Adjustable, Mechanical, Residual Limb Volume Management System |
| L5785 | HCPCS | Addition, Exoskeletal System, Below Knee, Ultra-Light Material (Titanium, Carbon Fiber or Equal) |
| L5790 | HCPCS | Addition, Exoskeletal System, Above Knee, Ultra-Light Material |
| L5795 | HCPCS | Addition, Exoskeletal System, Hip Disarticulation, Ultra-Light Material (Titanium, Carbon Fiber or Equal) |
| L5810 | HCPCS | Addition, Endoskeletal Knee-Shin System, Single Axis, Manual Lock |
| L5811 | HCPCS | Addition, Endoskeletal Knee-Shin System, Single Axis, Manual Lock, Ultra-Light Material |
| L5812 | HCPCS | Addition, Endoskeletal Knee-Shin System, Single Axis, Friction Swing and Stance Phase Control |
| L5816 | HCPCS | Addition, Endoskeletal Knee-Shin System, Polycentric, Mechanical Stance |
| L5818 | HCPCS | Addition, Endoskeletal Knee-Shin System, Polycentric, Friction Swing, and Stance Phase Control |
| L5822 | HCPCS | Addition, Endoskeletal Knee-Shin System, Single Axis, Pneumatic Swing, Friction Stance Phase Control |
| L5824 | HCPCS | Addition, Endoskeletal Knee-Shin System, Single Axis, Fluid Swing Phase Control |
| L5826 | HCPCS | Addition, Endoskeletal Knee-Shin System, Single Axis, Hydraulic Swing Phase Control |
| L5828 | HCPCS | Addition, Endoskeletal Knee-Shin System, Single Axis, Fluid Swing and Stance Phase Control |
| L5830 | HCPCS | Addition, Endoskeletal Knee-Shin System, Single Axis, Pneumatic/ Swing Phase Control |
| L5841 | HCPCS | Addition, Endoskeletal Knee-Shin System, Polycentric, Pneumatic Swing, and Stance Phase Control |
| L5845 | HCPCS | Addition, Endoskeletal, Knee-Shin System, Stance Flexion Feature, Adjustable |
| L5848 | HCPCS | Addition To Endoskeletal Knee-Shin System, Fluid Stance Extension, Dampening Feature, With or Without Adjustability |
| L5858 | HCPCS | Addition To Lower Extremity Prosthesis, Endoskeletal Knee Shin System, Microprocessor Control Feature, Stance Phase Only |
| L5859 | HCPCS | Addition To Lower Extremity Prosthesis, Endoskeletal Knee-Shin System, Powered and Programmable Flexion/Extension Assist Control |
| L5910 | HCPCS | Addition, Endoskeletal System, Below Knee, Alignable System |
| L5920 | HCPCS | Addition, Endoskeletal System, Above Knee or Hip Disarticulation, Alignable System |
| L5925 | HCPCS | Addition, Endoskeletal System, Above Knee, Knee Disarticulation or Hip Disarticulation, Manual Lock |
| L5926 | HCPCS | Addition To Lower Extremity Prosthesis, Endoskeletal, Knee Disarticulation, Above Knee, Hip Disarticulation, Positional Rotation |
| L5930 | HCPCS | Addition, Endoskeletal System, High Activity Knee Control Frame |
| L5940 | HCPCS | Addition, Endoskeletal System, Below Knee, Ultra-Light Material |
| L5950 | HCPCS | Addition, Endoskeletal System, Above Knee, Ultra-Light Material (Titanium, Carbon Fiber or Equal) |
| L5960 | HCPCS | Addition, Endoskeletal System, Hip Disarticulation, Ultra-Light Material |
| L5962 | HCPCS | Addition, Endoskeletal System, Belowknee, Flexible Protective Outer Surface Covering System |
| L5964 | HCPCS | Addition, Endoskeletal System, Above Knee, Flexible Protective Outer Surface Covering System |
| L5966 | HCPCS | Addition, Endoskeletal System, Hip Disarticulation, Flexible Protective Outer Surface Covering System |
| L5969 | HCPCS | Addition, Endoskeletal Ankle-Foot or Ankle System, Power Assist |
| L5970 | HCPCS | All Lower Extremity Prostheses, Foot, External Keel, Solid Ankle Cushion Heel (Sach) Foot |
| L5971 | HCPCS | All Lower Extremity Prosthesis, Solid Ankle Cushion Heel (Sach) Foot, Replacement Only |
| L5972 | HCPCS | All Lower Extremity Prostheses, Foot, Flexible Keel |
| L5976 | HCPCS | All Lower Extremity Prostheses, Energy Storing Foot |
| L5978 | HCPCS | All Lower Extremity Prostheses, Foot, Multiaxial Ankle/Foot |
| L5982 | HCPCS | All Exoskeletal Lower Extremity Prostheses, Axial Rotation Unit |
| L5984 | HCPCS | All Endoskeletal Lower Extremity Prosthesis, Axial Rotation Unit |
| L5985 | HCPCS | All Endoskeletal Lower Extremity Prostheses, Dynamic Prosthetic Pylon |
| L5986 | HCPCS | All Lower Extremity Prostheses, Multi-Axial Rotation Unit |
| L5988 | HCPCS | Addition To Lower Limb Prosthesis, Vertical Shock Reducing Pylon Feature |
| L5990 | HCPCS | Addition To Lower Extremity Prosthesis, User Adjustable Heel Height |
| L5991 | HCPCS | Addition To Lower Extremity Prostheses, Osseointegrated External Prosthetic Connector |
| L5999 | HCPCS | Lower Extremity Prosthesis, Not Otherwise Specified |
| L6000 | HCPCS | Partial Hand Prosthesis With the Thumb Remaining |
| L6100 | HCPCS | Below Elbow, Molded Socket, Flexible Elbow Hinge, Triceps Pad |
| L6120 | HCPCS | Below Elbow, Molded Double Wall Split Socket, Step-Up Hinges, Half Cuff |
| L6130 | HCPCS | Below Elbow, Molded Double Wall Split Socket, Stump Activated Locking Hinge, Half Cuff |
| L6200 | HCPCS | Elbow Disarticulation, Molded Socket, Outside Locking Hinge, Forearm |
| L6250 | HCPCS | Above Elbow, Molded Double Wall Socket, Internal Locking Elbow, Forearm |
| L6300 | HCPCS | Shoulder Disarticulation, Molded Socket, Shoulder Bulkhead, Humeral Section, Internal Locking Elbow, Forearm |
| L6310 | HCPCS | Shoulder Disarticulation, Passive Restoration (Complete Prosthesis) |
| L6320 | HCPCS | Shoulder Disarticulation, Passive Restoration (Shoulder Cap Only) |
| L6370 | HCPCS | Interscapular Thoracic, Passive Restoration (Shoulder Cap Only) |
| L6400 | HCPCS | Below Elbow, Molded Socket, Endoskeletal System |
| L6580 | HCPCS | Preparatory, Wrist Disarticulation or Below Elbow, Single Wall Plastic Socket |
| L6582 | HCPCS | Preparatory, Wrist Disarticulation or Below Elbow, Single Wall Socket, Friction Wrist, Flexible Elbow Hinges |
| L6584 | HCPCS | Preparatory, Elbow Disarticulation or Above Elbow, Single Wall Plastic Socket, Friction Wrist, Locking Elbow |
| L6586 | HCPCS | Preparatory, Elbow Disarticulation or Above Elbow, Single Wall Socket, Friction Wrist, Locking Elbow |
| L6588 | HCPCS | Preparatory, Shoulder Disarticulation or Interscapular Thoracic, Single Wall Plastic Socket, Shoulder Joint, Locking Elbow |
| L6590 | HCPCS | Preparatory, Shoulder Disarticulation or Interscapular Thoracic, Single Wall Socket, Shoulder Joint, Locking Elbow |
| L6600 | HCPCS | Upper Extremity Additions, Polycentric Hinge |
| L6605 | HCPCS | Upper Extremity Additions, Single Pivot Hinge, Pair |
| L6610 | HCPCS | Upper Extremity Additions, Flexible Metal Hinge, Pair |
| L6611 | HCPCS | Addition To Upper Extremity Prosthesis, External Powered, Additional Switch |
| L6621 | HCPCS | Upper Extremity Prosthesis Addition, Flexion/Extension Wrist With or Without Friction |
| L6623 | HCPCS | Upper Extremity Addition, Spring Assisted Rotational Wrist Unit With Latch Release |
| L6625 | HCPCS | Upper Extremity Addition, Rotation Wrist Unit With Cable Lock |
| L6628 | HCPCS | Upper Extremity Addition, Quick Disconnect Hook Adapter, Otto Bock |
| L6629 | HCPCS | Upper Extremity Addition, Quick Disconnect Lamination Collar With Coupling Piece |
| L6630 | HCPCS | Upper Extremity Addition, Stainless Steel, Any Wrist |
| L6680 | HCPCS | Upper Extremity Addition, Test Socket, Wrist Disarticulation or Below Elbow |
| L6682 | HCPCS | Test Sock Elbw Disart/Above |
| L6684 | HCPCS | Upper Extremity Addition, Test Socket, Shoulder Disarticulation or Interscapular Thoracic |
| L6686 | HCPCS | Upper Extremity Addition, Suction Socket |
| L6687 | HCPCS | Upper Extremity Addition, Frame Type Socket, Below Elbow or Wrist Disarticulation |
| L6688 | HCPCS | Upper Extremity Addition, Frame Type Socket, Above the Elbow or At the Elbow Disarticulation |
| L6689 | HCPCS | Upper Extremity Addition, Frame Type Socket, Shoulder Disarticulation |
| L6690 | HCPCS | Interscapular-Thoracic Frame Type Socket Upper Extremity Addition |
| L6691 | HCPCS | Upper Extremity Addition, Removable Insert |
| L6692 | HCPCS | Upper Extremity Addition, Silicone Gel Insert or Equal |
| L6693 | HCPCS | Upper Extremity Addition, Locking Elbow, Forearm Counterbalance |
| L6694 | HCPCS | Addition To Upper Extremity Prosthesis, Below Elbow/Above Elbow |
| L6695 | HCPCS | Addition To Upper Extremity Prosthesis, Below Elbow/Above Elbow, Custom Fabricated |
| L6696 | HCPCS | Addition To Upper Extremity Prosthesis, Below Elbow/Above Elbow, Custom Fabricated Socket Insert |
| L6697 | HCPCS | Addition To Upper Extremity Prosthesis, Below Elbow/Above Elbow, Custom Fabricated Socket Insert |
| L6698 | HCPCS | Addition To Upper Extremity Prosthesis, Below Elbow/Above Elbow, Lock Mechanism |
| L6703 | HCPCS | Terminal Device, Passive Hand/Mitt, Any Material |
| L6706 | HCPCS | Terminal Device, Hook, Mechanical, Voluntary Opening |
| L6721 | HCPCS | Terminal Device, Hook or Hand, Heavy Duty, Mechanical, Voluntary Opening, Any Material, Any Size, Lined or Unlined |
| L6722 | HCPCS | Terminal Device, Hook or Hand, Heavy Duty, Mechanical, Voluntary Closing, Any Material, Any Size, Lined or Unlined |
| L6805 | HCPCS | Addition To Terminal Device, Modifier Wrist Unit |
| L6810 | HCPCS | Precision Pinch Device That Is Added To A Terminal Device |
| L6884 | HCPCS | Replacement Socket, Above Elbow/Elbow Disarticulation, Molded To Patient Model |
| L6890 | HCPCS | Addition To Upper Extremity Prosthesis, Glove For Terminal Device, Any Material, Prefabricated |
| L6895 | HCPCS | Addition To Upper Extremity Prosthesis, Glove For Terminal Device, Any Material |
| L6900 | HCPCS | Hand Restoration (Casts, Shading and Measurements Included), Partial Hand |
| L6905 | HCPCS | Hand Restoration (Casts, Shading and Measurements Included), Partial Hand, Multiple Fingers |
| L6910 | HCPCS | Hand Restoration (Casts, Shading and Measurements Included), Partial Hand, With Glove, No Fingers |
| L7040 | HCPCS | Prehensile Actuator, Switch Controlled |
| L7045 | HCPCS | Electric Hook, Switch or Myoelectric Controlled, Pediatric |
| L7259 | HCPCS | Electronic Wrist Rotator, Any Type |
| L7404 | HCPCS | Addition To Upper Extremity Prosthesis, Above Elbow Disarticulation, Acrylic Material |
| L7499 | HCPCS | Upper Extremity Prosthetics, Not Otherwise Specified (Nos) |
| L7900 | HCPCS | Penile Prosthetic Device |
| L8039 | HCPCS | Breast Prosthesis, Not Otherwise Specified |
| L8046 | HCPCS | Partial Facial Prosthesis, Provided By A Non-Physician |
| L8499 | HCPCS | Unlisted Procedure For Miscellaneous Prosthetic Services |
| L8500 | HCPCS | Artificial Larynx, Any Type |
| L8605 | HCPCS | Injectable Bulking Agent, Dextranomer/Hyaluronic Acid Copolymer Implant, Anal Canal |
| L8606 | HCPCS | Injectable Bulking Agent, Synthetic Implant, Urinary Tract, 1 Ml Syringe |
| L8607 | HCPCS | Injectable Bulking Agent For Vocal Cord Medialization, 0.1 Ml, Includes Shipping and Necessary Supplies |
| L8608 | HCPCS | Miscellaneous External Component, Supply or Accessory For Use With the Argus II Retinal Prosthesis System |
| L8610 | HCPCS | Ocular Implant |
| L8612 | HCPCS | Aqueous Shunt |
| L8613 | HCPCS | Ossicular Implant |
| L8679 | HCPCS | Implantable Neurostimulator, Pulse Generator, Any Type |
| L8681 | HCPCS | Patient Programmer (External) For Use With Implantable Programmable Neurostimulator Pulse Generator, Replacement Only |
| L8682 | HCPCS | Implantable Neurostimulator Radiofrequency Receiver |
| L8683 | HCPCS | External Radiofrequency Transmitter Used With An Implantable Neurostimulator Radiofrequency Receiver |
| L8684 | HCPCS | Radiofrequency Transmitter (External) For Use With Implantable Sacral Root Neurostimulator Receiver |
| L8685 | HCPCS | Implantable Neurostimulator Pulse Generator, Single Array |
| L8686 | HCPCS | Implantable Neurostimulator Pulse Generator, Single Array |
| L8688 | HCPCS | Implantable Neurostimulator Pulse Generator, Dual Array |
| L8689 | HCPCS | External Recharging System For Battery (Internal) For Use With Implantable Neurostimulator, Replacement Only |
| L8693 | HCPCS | Auditory Osseointegrated Device Abutment, Any Length, Replacement Only |
| L8694 | HCPCS | Auditory Osseointegrated Device, Transducer/Actuator, Replacement Only |
| L8698 | HCPCS | Miscellaneous Component, Supply or Accessory For Use With Total Artificial Heart System |
| L8699 | HCPCS | Prosthetic Implant That Is Not Otherwise Specified |
| L8701 | HCPCS | Powered Upper Extremity Range of Motion Assist Device |
| L8702 | HCPCS | Powered Upper Extremity Range of Motion Assist Device, Includes Micropro |
| L9900 | HCPCS | Orthotic and Prosthetic Supply, Accessory, and/or Service Component |
| M0075 | HCPCS | Cellular Therapy |
| M0076 | HCPCS | Prolotherapy |
| M0100 | HCPCS | Intragastric Hypothermia |
| M0220 | HCPCS | Injection, Tixagevimab and Cilgavimab |
| M0221 | HCPCS | Injection, Tixagevimab and Cilgavimab, For the Pre-Exposure Prophylaxis Only |
| M0222 | HCPCS | Intravenous Injection, Bebtelovimab |
| M0223 | HCPCS | Intravenous Injection, Bebtelovimab |
| M0224 | HCPCS | Intravenous Infusion, Pemivibart |
| M0240 | HCPCS | Intravenous Infusion or Subcutaneous Injection, Casirivimab and Imdevimab |
| M0241 | HCPCS | Intravenous Infusion or Subcutaneous Injection, Casirivimab and Imdevimab |
| M0243 | HCPCS | Intravenous Infusion or Subcutaneous Injection, Casirivimab and Imdevimab |
| M0244 | HCPCS | Intravenous Infusion or Subcutaneous Injection, Casirivimab and Imdevimab |
| M0245 | HCPCS | Intravenous Infusion, Bamlanivimab and Etesevimab |
| M0246 | HCPCS | Intravenous Infusion, Bamlanivimab and Etesevimab |
| M0247 | HCPCS | Intravenous Infusion, Sotrovimab |
| M0248 | HCPCS | Intravenous Infusion, Sotrovimab |
| M0249 | HCPCS | Intravenous Infusion, Tocilizumab |
| M0250 | HCPCS | Intravenous Infusion, Tocilizumab, For Hospitalized Adults and Pediatric Patients |
| M0300 | HCPCS | IV Chelation Therapy |
| M0301 | HCPCS | Fabric Wrapping of Abdominal Aneurysm |
| M1059 | HCPCS | Patient Was In Hospice or Receiving Palliative Care At Any Time |
| M1067 | HCPCS | Hospice Services For Patient Provided Any Time During the Measurement Period |
| M1154 | HCPCS | Hospice Services Provided To A Patient During A Measurement Period |
| M1159 | HCPCS | Hospice Services Provided To Patient Any Time During the Measurement Period |
| M1167 | HCPCS | In Hospice or Using Hospice Services During the Measurement Period |
| M1186 | HCPCS | Patients Who Have An Order For or Are Receiving Hospice or Palliative Care |
| M1191 | HCPCS | Hospice Services Provided To Patient Any Time During the Measurement Period |
| M1275 | HCPCS | Patients Determined To Be In Hospice Were Excluded From Month of Evaluation |
| P9020 | HCPCS | Platelet Rich Plasma |
| P9099 | HCPCS | Blood Component or Product Not Otherwise Classified |
| Q0222 | HCPCS | Bebtelovimab Injection |
| Q0224 | HCPCS | Injection, Pemivibart, For the Pre-Exposure Prophylaxis Only (Prep) |
| Q0240 | HCPCS | Injection, Casirivimab and Imdevimab |
| Q0243 | HCPCS | Injection, Casirivimab and Imdevimab, 2400 Mg (Covid Infusion Therapy) |
| Q0244 | HCPCS | Injection, Casirivimab and Imdevimab, 1200 Mg |
| Q0245 | HCPCS | Injection, Bamlanivimab and Etesevimab, 2100 Mg |
| Q0247 | HCPCS | Injection, Sotrovimab, 500 Mg |
| Q0477 | HCPCS | Injection, Pemivibart |
| Q0481 | HCPCS | Replacement Microprocessor Control Unit For An Electric Ventricular Assist Device (Vad) |
| Q0482 | HCPCS | Microprocessor Control Unit For Use With Electric/Pneumatic Combination Ventricular Assist Device, Replacement Only |
| Q0483 | HCPCS | Monitor/Display Module For Use With Electric Ventricular Assist Device, Replacement Only |
| Q0484 | HCPCS | Monitor/Display Module For Use With Electric or Electric/Pneumatic Ventricular Assist Device, Replacement Only |
| Q0488 | HCPCS | Power Pack Base For Use With Electric Ventricular Assist Device, Replacement Only |
| Q0489 | HCPCS | Power Pack Base For Use With Electric/Pneumatic Ventricular Assist Device, Replacement Only |
| Q0490 | HCPCS | Emergency Power Source For Use With Electric Ventricular Assist Device, Replacement Only |
| Q0491 | HCPCS | Emergency Power Source For Use With Electric/Pneumatic Ventricular Assist Device, Replacement Only |
| Q0495 | HCPCS | Battery/Power Pack Charger For Use With Electric or Electric/Pneumatic Ventricular Assist Device, Replacement Only |
| Q0496 | HCPCS | Battery, Other Than Lithium-Ion, For Use With Electric or Electric/Pneumatic Ventricular Assist Device, Replacement Only |
| Q0506 | HCPCS | Lithium-Ion Battery That Is Used As A Replacement For An Electric or Electric/Pneumatic Ventricular Assist Device |
| Q0507 | HCPCS | Miscellaneous Supply or Accessory For Use With An External Ventricular Assist Device |
| Q0508 | HCPCS | Miscellaneous Supply or Accessory For Use With An Implanted Ventricular Assist Device |
| Q0509 | HCPCS | Miscellaneous Supplies or Accessories Used With An Implanted Ventricular Assist Device (Vad) |
| Q1004 | HCPCS | New Technology Intraocular Lens In Category 4 |
| Q1005 | HCPCS | New Technology Intraocular Lens In Category 5 |
| Q2052 | HCPCS | Supplies, Services, and Accessories Used To Administer Intravenous Immune Globulin (Ivig) In A Home Setting |
| Q3031 | HCPCS | Collagen Skin Test |
| Q4050 | HCPCS | Cast Supplies That Are Unlisted In Terms of Type or Material |
| Q4224 | HCPCS | Human Health Factor 10 Amniotic Patch (Hhf10-P), Per Square Centimeter |
| Q4225 | HCPCS | Amniobind or Dermabind Tl, Per Square Centimeter |
| Q4230 | HCPCS | Cogenex Flowable Amnion, Per 0.5 Cc |
| Q4233 | HCPCS | Surfactor or Nudyn, Per 0.5 Cc |
| Q4236 | HCPCS | Carepatch, Per Square Centimeter |
| Q4240 | HCPCS | Corecyte, For Topical Use Only, Per 0.5 Cc |
| Q4241 | HCPCS | Polycyte, For Topical Use Only, Per 0.5 Cc |
| Q4242 | HCPCS | Amniocyte Plus, Per 0.5 Cc |
| Q4245 | HCPCS | Amniotext, Per Cc |
| Q4250 | HCPCS | Amnioamp-Mp, Per Square Centimeter |
| Q4251 | HCPCS | Vim, Per Square Centimeter |
| Q4253 | HCPCS | Zenith Amniotic Membrane, Per Square Centimete |
| Q4254 | HCPCS | Novafix Dl, Per Square Centimeter |
| Q4255 | HCPCS | Reguard, For Topical Use Only, Per Square Centimeter |
| Q4256 | HCPCS | Mlg-Complete, A Perinatal Tissue Allograft |
| Q4257 | HCPCS | Relese, A Skin Substitute and Biological Product, Per Square Centimeter |
| Q4259 | HCPCS | Celera Dual Layer or Celera Dual Membrane, Per Square Centimeter |
| Q4260 | HCPCS | Signature Apatch, Per Square Centimeter |
| Q4261 | HCPCS | Tag, Per Square Centimeter (Amniotic Allograft) |
| Q4262 | HCPCS | Dual Layer Impax Membrane, Per Square Centimeter |
| Q4263 | HCPCS | Surgraft Tl, A Skin Substitute |
| Q4264 | HCPCS | Cocoon Membrane, Per Square Centimeter |
| Q4265 | HCPCS | Neostim Tl, Per Square Centimeter |
| Q4266 | HCPCS | Neostim Membrane, Per Square Centimeter |
| Q4267 | HCPCS | Neostim Dl, Per Square Centimeter |
| Q4268 | HCPCS | Surgraft Ft, Per Square Centimeter |
| Q4269 | HCPCS | Surgraft Xt, Per Square Centimeter |
| Q4270 | HCPCS | Complete Sl, Per Square Centimeter |
| Q4271 | HCPCS | Complete Ft, Per Square Centimeter (Skin Substitute) |
| Q4272 | HCPCS | Esano A, Per Square Centimeter |
| Q4273 | HCPCS | Esano Aaa, Per Square Centimeter |
| Q4274 | HCPCS | Esano Ac, Per Square Centimeter |
| Q4275 | HCPCS | Esano Aca, Per Square Centimeter |
| Q4276 | HCPCS | Orion, Per Square Centimeter |
| Q4278 | HCPCS | Epieffect, Per Square Centimeter |
| Q4279 | HCPCS | Vendaje Ac, Per Square Centimeter |
| Q4280 | HCPCS | Xcell Amnio Matrix, Per Square Centimeter |
| Q4281 | HCPCS | Barrera Sl or Barrera Dl, Per Square Centimeter |
| Q4282 | HCPCS | Cygnus Dual, Per Square Centimeter |
| Q4283 | HCPCS | Biovance Tri-Layer or Biovance 3L, Per Square Centimeter |
| Q4284 | HCPCS | Dermabind Sl, Per Square Centimeter |
| Q4285 | HCPCS | Nudyn Dl or Nudyn Dl Mesh, Per Square Centimeter |
| Q4286 | HCPCS | Nudyn Sl or Nudyn Slw, Per Square Centimeter |
| Q4287 | HCPCS | Dermabind Dl, Per Square Centimeter |
| Q4288 | HCPCS | Dermabind Ch, Per Square Centimeter |
| Q4289 | HCPCS | Revoshield + Amniotic Barrier, Per Square Centimeter |
| Q4290 | HCPCS | Membrane Wrap-Hydro, Per Square Centimeter |
| Q4291 | HCPCS | Lamellas Xt, Per Square Centimeter |
| Q4292 | HCPCS | Lamellas, Per Square Centimeter |
| Q4293 | HCPCS | Acesso Dl, Per Square Centimeter |
| Q4294 | HCPCS | Amnio Quad-Core, Per Square Centimeter |
| Q4295 | HCPCS | Amnio Tri-Core Amniotic, Per Square Centimeter |
| Q4296 | HCPCS | Rebound Matrix, Per Square Centimeter |
| Q4297 | HCPCS | Emerge Matrix, Per Square Centimeter |
| Q4298 | HCPCS | Amniocore Pro, Per Square Centimeter |
| Q4299 | HCPCS | Amniocore Pro+, Per Square Centimeter |
| Q4300 | HCPCS | Acesso Tl, Per Square Centimeter |
| Q4301 | HCPCS | Activate Matrix, Per Square Centimeter |
| Q4302 | HCPCS | Complete Aca, Per Square Centimeter |
| Q4303 | HCPCS | Complete Aa, Per Square Centimeter |
| Q4304 | HCPCS | Grafix Plus, Per Square Centimeter |
| Q4305 | HCPCS | American Amnion Ac Tri-Layer, Per Square Centimeter |
| Q4306 | HCPCS | American Amnion Ac, Per Square Centimeter |
| Q4307 | HCPCS | American Amnion, Per Square Centimeter |
| Q4308 | HCPCS | Sanopellis, Per Square Centimeter |
| Q4309 | HCPCS | Via Matrix, Per Square Centimeter |
| Q4310 | HCPCS | Procenta, Per 100 Mg |
| Q4311 | HCPCS | Acesso, Per Square Centimeter |
| Q4312 | HCPCS | Acesso Ac, Per Square Centimeter |
| Q4313 | HCPCS | Dermabind Fm, Per Square Centimeter |
| Q4314 | HCPCS | Reeva Ft, Per Square Cenitmeter |
| Q4315 | HCPCS | Regenelink Amniotic Membrane Allograft, Per Square Centimeter |
| Q4316 | HCPCS | Amchoplast, Per Square Centimeter |
| Q4317 | HCPCS | Vitograft, Per Square Centimeter |
| Q4318 | HCPCS | E-Graft, Per Square Centimeter |
| Q4319 | HCPCS | Sanograft, Per Square Centimeter |
| Q4320 | HCPCS | Total, Per Square Centimeter |
| Q4321 | HCPCS | Renograft, Per Square Centimeter |
| Q4322 | HCPCS | Caregraft, Per Square Centimeter |
| Q4323 | HCPCS | Alloply, Per Square Centimeter |
| Q4324 | HCPCS | Amniotx, Per Square Centimeter |
| Q4325 | HCPCS | Acapatch, Per Square Centimeter |
| Q4326 | HCPCS | Woundplus, Per Square Centimeter |
| Q4327 | HCPCS | Duoamnion, Per Square Centimeter |
| Q4328 | HCPCS | Most, Per Square Centimeter |
| Q4329 | HCPCS | Singlay, Per Square Centimeter |
| Q4330 | HCPCS | Total, Per Square Centimeter |
| Q4331 | HCPCS | Axolotl Graft, Per Square Centimeter |
| Q4332 | HCPCS | Axolotl Dualgraft, Per Square Centimeter |
| Q4333 | HCPCS | Ardeograft, Per Square Centimeter |
| Q5001 | HCPCS | Hospice or Home Health Care Provided In Patient'S Home/Residence |
| Q5002 | HCPCS | Hospice or Home Health Care Provided In Assisted Living Facility |
| Q5003 | HCPCS | Hospice Care Provided In Nursing Long Term Care Facility (Ltc) or Non-Skilled Nursing Facility (Nf) |
| Q5004 | HCPCS | Hospice Care Provided In Skilled Nursing Facility (Snf) |
| Q5005 | HCPCS | Hospice Care Provided In Inpatient Hospital |
| Q5006 | HCPCS | Hospice Care Provided In Inpatient Hospice Facility |
| Q5007 | HCPCS | Hospice Care Provided In Long Term Care Facility |
| Q5008 | HCPCS | Hospice Care Provided In Inpatient Psychiatric Facility |
| Q5009 | HCPCS | Hospice or Home Health Care Provided In Place Not Otherwise Specified (Nos) |
| Q5010 | HCPCS | Hospice Home Care Provided In A Hospice Facility |
| Q5127 | HCPCS | Injection, Pegfilgrastim-Fpgk (Stimufend), Biosimilar, 0.5 Mg |
| Q5128 | HCPCS | Injection, Ranibizumab-Eqrn (Cimerli), Biosimilar, 0.1 Mg |
| Q5130 | HCPCS | Injection, Pegfilgrastim-Pbbk (Fylnetra), Biosimilar, 0.5 Mg |
| Q5131 | HCPCS | Injection, Adalimumab-Aacf (Idacio), Biosimilar, 20 Mg |
| Q5132 | HCPCS | Injection, Adalimumab-Afzb (Abrilada) |
| Q5133 | HCPCS | Injection, Tocilizumab-Bavi (Tofidence) |
| Q5134 | HCPCS | Injection, Natalizumab-Sztn (Tyruko) |
| Q5137 | HCPCS | Injection, Ustekinumab-Auub (Wezlana), Biosimilar, Subcutaneous, 1 Mg |
| Q5138 | HCPCS | Inj, Wezlana, Iv, 1 Mg |
| Q9004 | HCPCS | Department of Veterans Affairs Whole Health Partner Services |
| Q9982 | HCPCS | Flutemetamol F18, Diagnostic, Per Study Dose |
| Q9983 | HCPCS | Florbetaben F18, Diagnostic, Per Study Dose |
| R0070 | HCPCS | Transportation of Portable X-Ray Equipment and Personnel To Home or Nursing Home |
| T1015 | HCPCS | Clinic Visit/Encounter, All-Inclusive |
| T1020 | HCPCS | Personal Care Services, Per Diem |
| T1025 | HCPCS | Intensive, Extended Multidisciplinary Services Provided In A Clinic Setting To Children |
| T1029 | HCPCS | Comprehensive Environmental Lead Investigation |
| T1040 | HCPCS | Medicaid Certified Community Behavioral Health Clinic Services |
| T1041 | HCPCS | Medicaid Certified Community Behavioral Health Clinic Services |
| T1999 | HCPCS | Miscellaneous Therapeutic Items and Supplies, Retail Purchases, Not Otherwise Classified |
| T2001 | HCPCS | Non-Emergency Transportation; Patient Attendant/Escort |
| T2025 | HCPCS | Waiver Services; Not Otherwise Specified (Nos) |
| T2026 | HCPCS | Specialized Childcare, Waiver; Per Diem |
| T2027 | HCPCS | Specialized Childcare, Waiver; Per 15 Minutes |
| T2028 | HCPCS | Specialized Supply, Not Otherwise Specified, Waiver |
| T2029 | HCPCS | Pecialized Medical Equipment, Not Otherwise Specified, Waiver |
| T2032 | HCPCS | Residential Care, Not Otherwise Specified (Nos), Waiver; Per Month |
| T2033 | HCPCS | Residential Care, Not Otherwise Specified (Nos), Waiver; Per Diem |
| T2034 | HCPCS | Crisis Intervention, Waiver; Per Diem |
| T2035 | HCPCS | Utility Services To Support Medical Equipment and Assistive Technology/Devices, Waiver |
| T2039 | HCPCS | Vehicle Modifications, Waiver; Per Service |
| T2042 | HCPCS | Hospice Routine Home Care; Per Diem |
| T2043 | HCPCS | Hospice Continuous Home Care; Per Hour |
| T2044 | HCPCS | Hospice Inpatient Respite Care; Per Diem |
| T2045 | HCPCS | Hospice General Inpatient Care; Per Diem |
| T2046 | HCPCS | Hospice Long Term Care, Room and Board Only; Per Diem |
| T2048 | HCPCS | Behavioral Health; Long-Term Care Residential (Non-Acute Care In A Residential Treatment Program |
| T5001 | HCPCS | Positioning Seat For Persons With Special Orthopedic Needs |
| T5999 | HCPCS | Supply, Not Otherwise Specified |
| V2531 | HCPCS | Contact Lens, Scleral, Gas Permeable, Per Lens |
| V2599 | HCPCS | Contact Lens, Other Type |
| V2623 | HCPCS | Prosthetic Eye, Plastic, Custom |
| V2625 | HCPCS | Enlargement of Ocular Prosthesis |
| V2627 | HCPCS | Scleral Cover Shell |
| V2629 | HCPCS | Prosthetic Eye, Other Type |
| V2630 | HCPCS | Intraocular Lenses |
| V2631 | HCPCS | Intraocular Lenses |
| V2632 | HCPCS | Posterior Chamber Intraocular Lens |
| V2787 | HCPCS | Astigmatism-Correcting Intraocular Lens |
| V2788 | HCPCS | Presbyopia Correcting Function of Intraocular Lens |
| V2790 | HCPCS | Amniotic Membrane For Surgical Reconstruction, Per Procedure |
| V2799 | HCPCS | Vision Item or Service, Miscellaneous |
| V5030 | HCPCS | Hearing Aid, Monaural, Body Worn, Air Conduction |
| V5040 | HCPCS | Hearing Aid, Monaural, Body Worn, Bone Conduction |
| V5050 | HCPCS | Hearing Aid, Monaural, In the Ear |
| V5060 | HCPCS | Hearing Aid, Monaural, Behind the Ear |
| V5070 | HCPCS | Glasses, Air Conduction |
| V5080 | HCPCS | Glasses, Bone Conduction |
| V5095 | HCPCS | Semi-Implantable Middle Ear Hearing Prosthesis |
| V5100 | HCPCS | Hearing Aid, Bilateral, Body Worn |
| V5120 | HCPCS | Binaural, Body |
| V5130 | HCPCS | Binaural, In the Ear |
| V5140 | HCPCS | Binaural, Behind the Ear |
| V5171 | HCPCS | Hearing Aid, Contralateral Routing Device, Monaural, In the Ear |
| V5172 | HCPCS | Hearing Aid, Contralateral Routing Device, Monaural, In the Canal |
| V5181 | HCPCS | Hearing Aid, Contralateral Routing Device, Monaural, Behind the Ear |
| V5190 | HCPCS | Hearing Aid, Contralateral Routing, Monaural, Glasses |
| V5211 | HCPCS | Hearing Aid, Contralateral Routing System, Binaural |
| V5212 | HCPCS | Hearing Aid, Contralateral Routing System, Binaural, Ite/Itc |
| V5213 | HCPCS | Hearing Aid, Contralateral Routing System, Binaural, Ite/Bte |
| V5214 | HCPCS | Hearing Aid, Contralateral Routing System, Binaural, Itc/Itc |
| V5215 | HCPCS | Hearing Aid, Contralateral Routing System, Binaural, Itc/Bte |
| V5221 | HCPCS | Hearing Aid, Contralateral Routing System, Binaural, Bte/Bte |
| V5230 | HCPCS | Hearing Aid, Contralateral Routing System, Binaural, Glasses |
| V5242 | HCPCS | Hearing Aid, Analog, Monaural, Cic |
| V5243 | HCPCS | Hearing Aid, Analog, Monaural, Itc (In the Canal) |
| V5244 | HCPCS | Hearing Aid, Digitally Programmable Analog, Monaural, Cic |
| V5245 | HCPCS | Hearing Aid, Digitally Programmable, Analog, Monaural, Itc |
| V5246 | HCPCS | Hearing Aid, Digitally Programmable Analog, Monaural, Ite |
| V5247 | HCPCS | Hearing Aid, Digitally Programmable Analog, Monaural, Bte |
| V5248 | HCPCS | Hearing Aid, Analog, Binaural, Cic |
| V5249 | HCPCS | Hearing Aid, Analog, Binaural, Itc |
| V5250 | HCPCS | Hearing Aid, Digitally Programmable Analog, Binaural, Cic |
| V5251 | HCPCS | Hearing Aid, Digitally Programmable Analog, Binaural, Itc |
| V5252 | HCPCS | Hearing Aid, Digitally Programmable, Binaural, Ite |
| V5253 | HCPCS | Hearing Aid, Digitally Programmable, Binaural, Bte |
| V5254 | HCPCS | Hearing Aid, Digital, Monaural, Cic |
| V5255 | HCPCS | Hearing Aid, Digital, Monaural, Itc |
| V5256 | HCPCS | Hearing Aid, Digital, Monaural, Ite |
| V5257 | HCPCS | Hearing Aid, Digital, Monaural, Bte |
| V5258 | HCPCS | Hearing Aid, Digital, Binaural, Cic |
| V5259 | HCPCS | Hearing Aid, Digital, Binaural, Itc |
| V5260 | HCPCS | Hearing Aid, Digital, Binaural, Ite |
| V5261 | HCPCS | Hearing Aid, Digital, Binaural, Bte |
| V5262 | HCPCS | Hearing Aid, Disposable, Any Type, Monaural |
| V5263 | HCPCS | Hearing Aid, Disposable, Any Type, Binaural |
| V5267 | HCPCS | Hearing Aid or Assistive Listening Device/Supplies/Accessories, Not Otherwise Specified |
| V5270 | HCPCS | Assistive Listening Device, Television Amplifier, Any Type |
| V5273 | HCPCS | Assistive Listening Device, Tdd |
| V5274 | HCPCS | Assistive Listening Device, For Use With Cochlear Implant |
| V5298 | HCPCS | Hearing Aid, Not Otherwise Classified |
| V5299 | HCPCS | Hearing Service, Miscellaneous |
| V5362 | HCPCS | Hearing Aid, Disposable, Any Type, Monaural |
| V5363 | HCPCS | Hearing Aid, Disposable, Any Type, Binaural |
| 0532U | CPT Category III/PLA | Rare Ds Rapid Whl Gen&Mitochdrl Dna Seq Snv Slv |
| 0533U | CPT Category III/PLA | Rx Metab Advrs Rx Rxn&Rspse Gnotyp 16 Genes |
| 0534U | CPT Category III/PLA | Onc Prst8 Mirna Snp Alys Rt-Pcr 32vrnt Bucc Swab |
| 0535U | CPT Category III/PLA | Pfas Lc-Ms/Ms Plasma/Serum Quantitative |
| 0536U | CPT Category III/PLA | Rbc Ag Fetal Rhd Pcr Alys Exon 4 Rhd Gene&Gapdh |
| 0537U | CPT Category III/PLA | Onc Clrct Ca Alys Cfdna Epig Ptrn Ngs >2500 Dmr |
| 0538U | CPT Category III/PLA | Onc Solid Tum Ngts Alys Ffpe Dna Alys 600 Genes |
| 0539U | CPT Category III/PLA | Onc Solid Tumor Cfctdna 152 Gen Ngs Interrog Snv |
| 0540U | CPT Category III/PLA | Trnsplj Medicine Quan Dd-Cfdna Ngs Alys Plasma |
| 0541U | CPT Category III/PLA | Cv Ds Hdl Rct Cec Lc-Ms/Ms 5hdl-Bd Apo Serum Alg |
| 0542U | CPT Category III/PLA | Nefro Renal Trnspl Urine Nmr 84 Ur Metabolites |
| 0543U | CPT Category III/PLA | Onc Sol Tum Ngs Dna Ffpe Tiss 517gen Interog Snv |
| 0544U | CPT Category III/PLA | Nefro Transplant Mntr 48 Vrnts Dpcr Cfdna Plasma |
| 0545U | CPT Category III/PLA | Achr Antibody Id Immunofluorescence Live Cells |
| 0546U | CPT Category III/PLA | Low Dns Lrp4 Antb Id Immunofluorescence Live Cll |
| 0547U | CPT Category III/PLA | Neurflmnt Light Chain Cleia Plasma Quantitative |
| 0548U | CPT Category III/PLA | Glial Fibrillary Acidic Protein Cleia Plasma |
| 0549U | CPT Category III/PLA | Onc Urthl Dna Quan Mthyltd Rt Pcr Trna-Cys Sim2 |
| 0550U | CPT Category III/PLA | Oncology Prostate Elisa Total&Free Psa Serum |
| 0551U | CPT Category III/PLA | Tau Phosphoryl Ptau217 Ultrsens Dgtl Prtn Detcj |
| 0552U | CPT Category III/PLA | Reprdtve Med Pga Alys Gdo Te Bx Lnkge Alys Locus |
| 0553U | CPT Category III/PLA | Reprdtve Med Pga 24chrmsm Embry Te Strux Reargmt |
| 0554U | CPT Category III/PLA | Reprdtve Med Pga 24chrmsm Dna Te Bx Quality Ctrl |
| 0555U | CPT Category III/PLA | Reprdtve Med Pga 24chrmsms Embry Te Quality Ctrl |
| 0558U | CPT Category III/PLA | Onc Colorectal Quantitative Elisa Bf7 Ag Serum |
| 0559U | CPT Category III/PLA | Onc Breast Quantitative Elisa Bf9 Antigen Serum |
| 0560U | CPT Category III/PLA | Onc Mrd Gen Seq Alys Cfdna Tumor Tiss Bl Assmt |
| 0561U | CPT Category III/PLA | Onc Mrd Gen Seq Alys Cfdna Whl Bld Sbsq Assmt |
| 0562U | CPT Category III/PLA | Onc Sol Tum Tgsa 33 Genes Detc Snvs Cfdna Plasma |
| 0565U | CPT Category III/PLA | Onc Hcc Ngs Mthyltn Ptrn Assay Detc 6626 Epigalt |
| 0566U | CPT Category III/PLA | Onc Lng Qpcr-Based Alys 13dmrs Pleural Fluid Alg |
| 0567U | CPT Category III/PLA | Rare Ds Whl Genome Seq Alys Srs&Lrs Snvs Indels |
| 0568U | CPT Category III/PLA | Neurol Dementia Bamyl Ptau Nfl&Gfap Ultr-Hi Smad |
| 0569U | CPT Category III/PLA | Onc Solid Tumor Ngs Alys Tmm >20000 Dmrs Cfctdna |
| 0570U | CPT Category III/PLA | Neurology Tbi Alys Gfap&Uch-L1 Ia Whl Blood/Plsm |
| 0571U | CPT Category III/PLA | Onc Sol Tum Dna80&Rna10 Gens Ngs Plsm Snv Indels |
| 0572U | CPT Category III/PLA | Onc Prst8 Ht Telomere Lngth Qfish Whl Bld Dx Alg |
| 0573U | CPT Category III/PLA | Onc Pancreas 3bmrk Gluc Cea&Gastricsin Pclf Alg |
| 0948T | CPT Category III/PLA | Remote Interrog Dev Eval <90d Ccm Sys Phys/Qhp |
| 0949T | CPT Category III/PLA | Remote Interrog Dev Eval <90d Ccm Sys Tech |
| 0950T | CPT Category III/PLA | Abltj B9 Prst8 Tissue Transrectal Hifu W/Us Gdn |
| 0951T | CPT Category III/PLA | Totally Impl Amei Initial Placement |
| 0952T | CPT Category III/PLA | Totally Impl Amei Revision/Rplcmt W/Mstdc |
| 0953T | CPT Category III/PLA | Totally Impl Amei Revision/Rplcmt W/O Mstdc |
| 0954T | CPT Category III/PLA | Totally Impl Amei Rplcmt Sound Processor Only |
| 0955T | CPT Category III/PLA | Totally Impl Amei Removal |
| 0956T | CPT Category III/PLA | Prtl Crnec Ch Crtj&Tun Eltrd Sub-Scalp Impl Ceeg |
| 0957T | CPT Category III/PLA | Revj Sub-Scalp Impl Eltrd Ra Rcvr&Tlmtr F/Eltrd |
| 0958T | CPT Category III/PLA | Rmvl Sub-Scalp Impl Eltrd Ra Rcvr&Tlmtr Ceeg Sys |
| 0959T | CPT Category III/PLA | Rmvl/Rplcmt Magnet Coil Assem Conn Ceeg Sys |
| 0960T | CPT Category III/PLA | Rplcmt Sub-Scalp Impl Eltrd Ra Rcvr&Tlmtr Ceeg |
| 0961T | CPT Category III/PLA | Shortwave Ifr Radiation Img Surg Path Specimen |
| 0962T | CPT Category III/PLA | Asstv Alg Alys Acous&Ecg Rec Detcj Car Dysf |
| 0963T | CPT Category III/PLA | Anoscopy Dir Sbmcsl Njx Bulking Agt Anal Canal |
| 0964T | CPT Category III/PLA | I&Cust Prep Jaw Xpnsj Oral Prosth 1 Arch |
| 0965T | CPT Category III/PLA | I&Cust Prep Jaw Xpnsj Oral Prosth Dual Arch N-Fx |
| 0966T | CPT Category III/PLA | I&Cust Prep Jaw Xpnsj Oral Prosth Dual Arch Fxd |
| 0967T | CPT Category III/PLA | Tranal Insj Ndolumnl Temp Clrct Anast Protec Dev |
| 0968T | CPT Category III/PLA | Insertion/Rplcmt Epicranial Neurostimulator Sys |
| 0969T | CPT Category III/PLA | Removal Epicranial Neurostimulator System |
| 0970T | CPT Category III/PLA | Ablation B9 Brst Tum Perq Laser W/Img Gdn Ea Tum |
| 0971T | CPT Category III/PLA | Ablation Mal Brst Tum Perq Laser W/Img Gdn Uni |
| 0972T | CPT Category III/PLA | Asstv Alg Classification Brn Hlg N-Invas M-S Img |
| 0973T | CPT Category III/PLA | Slctv Nzmtc Dbrdmt Brn Eschar Req Anes T/A/L 1st |
| 0974T | CPT Category III/PLA | Slctv Nzmtc Dbrdmt Brn Eschar Req Anes T/A/L Ea |
| 0975T | CPT Category III/PLA | Slctv Nzmtc Dbrdmt Brn Eschar Anes S/N/Hf&/Md 1 |
| 0976T | CPT Category III/PLA | Slctv Nzmtc Dbrdmt Brn Eschar Anes S/N/Hf&/Md Ea |
| 0977T | CPT Category III/PLA | Upper Gi Blood Detection Sensor Capsule I&R |
| 0978T | CPT Category III/PLA | Sbmcsl Cryolysis Ther Soft Palt Base Tongue&Tnsl |
| 0979T | CPT Category III/PLA | Sbmcsl Cryolysis Therapy Soft Palate Only |
| 0980T | CPT Category III/PLA | Sbmcsl Cryolysis Ther Base Tongue&Lingual Tonsil |
| 0981T | CPT Category III/PLA | Tcat Impl Wrls Ivc Snr L-T Hemodyn Mntr |
| 0982T | CPT Category III/PLA | Rem Mntr Impl Ivc Snr Initial Set-Up&Pt Educaj |
| 0983T | CPT Category III/PLA | Remote Mntr Implanted Ivc Sensor<30 D Phys/Qhp |
| 0984T | CPT Category III/PLA | Intravascular Img Xtrc Cerebral Vsl Oct 1st Vsl |
| 0985T | CPT Category III/PLA | Intravascular Img Xtrc Cerebral Vsl Oct Ea Addl |
| 0986T | CPT Category III/PLA | Intravascular Img Icr Cerebral Vsl Oct 1st Vsl |
| 0987T | CPT Category III/PLA | Intravascular Img Icr Cerebral Vsl Oct Ea Addl |
| A2030 | HCPCS | Miro3d Fibers Per Milligram |
| A2031 | HCPCS | Mirodry Wound Matrix Per Square Centimeter |
| A2032 | HCPCS | Myriad Matrix Per Square Centimeter |
| A2033 | HCPCS | Myriad Morcells 4 Milligrams |
| A2034 | HCPCS | Foundation Drs Solo Per Square Centimeter |
| A2035 | HCPCS | Corplex P Or Theracor P Or Allacor P Per Mg |
| C8004 | HCPCS | Simulation Angiogram Use Of Pressure Gen Cath |
| C8005 | HCPCS | Bronch Rgd/Flex Non Thrm Transbron Abl Les Pef E |
| C9174 | HCPCS | Injection Datopotamab Deruxtecan 1 Mg |
| C9175 | HCPCS | Injection Treosulfan 50 Mg |
| C9301 | HCPCS | Obecabtagene Autoleucel Pos T Cells Q Ther D |
| C9302 | HCPCS | Injection Zanidatamab Hrii 2 Mg |
| C9303 | HCPCS | Injection Zolbetuximab Clzb 1 Mg |
| C9304 | HCPCS | Injection Marstacimab Hncq 0.5 Mg |
| E0201 | HCPCS | Penile Contracture Dev Manual >3 Lbs Trxn Force |
| E1022 | HCPCS | Wheelchair Transportation Securement Sys Any Typ |
| E1023 | HCPCS | Wheelchair Transit Secur Sys Incl All Comp & Acc |
| E1032 | HCPCS | W/C Acc M Swawy Ret/Rem Mtg Hw Js/Oth Drv Ctrl |
| E1033 | HCPCS | W/C Acc Man Swawy Ret/Rem Mtg Hw Headrest Cush |
| E1034 | HCPCS | W/C Acc Man Swawy Ret/Rem Mtg Hw Trnk/Hip Sup |
| E1832 | HCPCS | Static Progressive Stretch Finger Dvc Extension |
| G0183 | HCPCS | Quantitative Software Measurements Cardiac Vol |
| G0566 | HCPCS | 3d Radioden Val Bn Img Algo Deriv From Prev Mri |
| J0175 | HCPCS | Inj, Donanemab-Azbt, 2 Mg |
| J0217 | HCPCS | Inj Velmanase Alfa-Tycv 1 Mg |
| J0666 | HCPCS | Inj, Bupivacaine Liposome |
| J0870 | HCPCS | Injection, Imetelstat, 1 Mg |
| J1299 | HCPCS | Inj, Eculizumab, 2 Mg |
| J1304 | HCPCS | Inj Tofersen Intrathec 1 Mg |
| J1326 | HCPCS | Injection Zolbetuximab Clzb 2 Mg |
| J1552 | HCPCS | Inj, Alyglo, 500 Mg |
| J2351 | HCPCS | Inj Ocrelizumab 1mg Hya-Ocsq |
| J2508 | HCPCS | Pegunigalsidase Alfa-Iwxj |
| J2802 | HCPCS | Inj, Romiplostim 1 Microgram |
| J3391 | HCPCS | Injection Atidarsagene Autotemcel Per Trtmnt |
| J3401 | HCPCS | Vyjuvek 5x10^9pfu/Ml, 0.1 Ml |
| J7172 | HCPCS | Injection Marstacim Hncq 0.5 Mg |
| J7356 | HCPCS | Injection, Foscarbidopa 0.25 Mg Foslevodopa 5 Mg |
| J7601 | HCPCS | Ensifentrine Inh 3 Mg |
| J8522 | HCPCS | Capecitabine, Oral, 50 Mg |
| J9024 | HCPCS | Inj Atezolizumb 5mg Hya-Tqjs |
| J9026 | HCPCS | Inj, Tarlatamab-Dlle, 1 Mg |
| J9028 | HCPCS | Inj, Nogapendekin Pmln, 1mcg |
| J9038 | HCPCS | Injection Axatilimab Csfr 0.1 Mg |
| J9054 | HCPCS | Injection Bortezomib Boruzu 0.1 Mg |
| J9072 | HCPCS | Inj Cyclophos Avyxa 5mg |
| J9161 | HCPCS | Injection Denileukin Diftitox Cxdl 1 Mcg |
| J9174 | HCPCS | Injection Docetaxel Beizray 1mg |
| J9275 | HCPCS | Injection Cosibelimab Ipdl 2 Mg |
| J9276 | HCPCS | Injection Zanidatamab Hrii 2 Mg |
| J9286 | HCPCS | Inj Glofitamab Gxbm, 2.5 Mg |
| J9289 | HCPCS | Injection Nivolumab 2 Mg & Hyaluronidase Nvhy |
| J9321 | HCPCS | Inj Epcoritamab-Bysp 0.16 Mg |
| J9333 | HCPCS | Inj Ronzanolixizum-Noli 1 Mg |
| J9334 | HCPCS | Inj Efgart-Alfa 2mg Hya-Qvfc |
| J9341 | HCPCS | Injection Thiotepa Tepylute 1 Mg |
| J9342 | HCPCS | Injection Thiotepa Nos 1 Mg |
| J9382 | HCPCS | Injection Zenocutuzumab Zbco 1 Mg |
| L5827 | HCPCS | Endoskel Kn Shin Sgl Ax Elmch Sw & St Phs Cntrl |
| L6028 | HCPCS | Prtl Hnd Fngr Flex/Nonflex I/F Endoskel Sys Mold |
| L6029 | HCPCS | Upper Ext Add Test Sckt/Interface Prtl Hnd Fngr |
| L6030 | HCPCS | Upper Extremity Addition Ext Frame Prtl Hnd Fngr |
| L6031 | HCPCS | Replacement Sckt/Interface Prtl Hnd Fngr Molded |
| L6032 | HCPCS | Add Upr Ext Pros Part Hnd F Ul Matl Ti Co Fib/= |
| L6033 | HCPCS | Addition Upper Ext Pros Partial Hnd Acrylic Matl |
| L6037 | HCPCS | Im Post Sur/Ea Ftg App Rgd Drsg&1 C Chg Par Hnd |
| L6700 | HCPCS | Upper Ext Add Extrnl Pwr Ftr Myoelec Ctrl Mod |
| L7406 | HCPCS | Addition To Upper Extremity User Adj Mechanical |
| Q2058 | HCPCS | Obecabtagene Autoleucel 10 Up To 400 Mil Cd19 |
| Q4343 | HCPCS | Dermacyte Ac Matrx Per Sq Cm |
| Q4354 | HCPCS | Palingen Dual Layer Membrane Per Sq Centimeter |
| Q4355 | HCPCS | Abiomend Xplus Mem&Abmd Xplus Hydromem Per Sq Cm |
| Q4356 | HCPCS | Abiomend Membrane & Abiomend Hydromem Per Sq Cm |
| Q4358 | HCPCS | Xwrap Dual Per Square Centimeter |
| Q4359 | HCPCS | Choriply Per Square Centimeter |
| Q4360 | HCPCS | Amchoplast Fd Per Square Centimeter |
| Q4362 | HCPCS | Cygnus Disk Per Square Centimeter |
| Q4363 | HCPCS | Amnio Burgeon Membrane & Hydromem Per Sq Cm |
| Q4364 | HCPCS | Amnio Burgeon Xplus Mem&Xplus Hydromem Per Sq Cm |
| Q4365 | HCPCS | Amnio Burgeon Dual Layer Membrane Per Sq Cm |
| Q4366 | HCPCS | Dual Layer Amnio Burgeon X Membrane Per Sq Cm |
| Q4368 | HCPCS | Amchothick Per Sq Cm |
| Q4369 | HCPCS | Amnioplast 3 Per Sq Cm |
| Q4370 | HCPCS | Aeroguard Per Sq Cm |
| Q4371 | HCPCS | Neoguard Per Sq Cm |
| Q4372 | HCPCS | Amchoplast Excl Per Sq Cm |
| Q4373 | HCPCS | Membrane Wrp Lt Per Sq Cm |
| Q4375 | HCPCS | Duograft Ac Per Sq Cm |
| Q4376 | HCPCS | Duograft Aa Per Sq Cm |
| Q4377 | HCPCS | Trigraft Ft Per Sq Cm |
| Q4378 | HCPCS | Renew Ft Matrix Per Sq Cm |
| Q4379 | HCPCS | Amniodefend Ft Matrix Per Sq Cm |
| Q4380 | HCPCS | Advograft One Per Sq Cm |
| Q4381 | HCPCS | Matrix Hd Allogft Dermis Per Sq Cm |
| Q4382 | HCPCS | Advograft Dual Per Sq Cm |
| Q5098 | HCPCS | Inject Ustekinumab Srlf Imuldosa Biosimilar 1 Mg |
| Q5099 | HCPCS | Inj Ustekinumab Stba Steqeyma Biosimilar 1 Mg |
| Q5100 | HCPCS | Inj Ustekinumab Kfce Yesintek Biosimilar 1 Mg |
| Q5135 | HCPCS | Inj, Tyenne, 1 Mg |
| Q5147 | HCPCS | Inj, Aflibercept-Ayyh, 1 Mg |
| Q5149 | HCPCS | Injection Aflibercept Abzv Enzeevu Bs 1 Mg |
| Q5150 | HCPCS | Injection Aflibercept Mrbb Ahzantive Bs 1 Mg |
| Q5151 | HCPCS | Injection Eculizumab Aagh Epysqli Bs 2 Mg |
| Q5152 | HCPCS | Injection Eculizumab Aeeb Bkemv Biosimilar 2 Mg |
| Q5153 | HCPCS | Inj Aflibercept Yszy Opuviz Biosimilar 1 Mg |
| Q9999 | HCPCS | Injection Ustekinumab Aauz Otulfi Bs 1 Mg |
| S4024 | HCPCS | Air Polymer Type A Intrauterine Foam Per St Dose |
| 0575U | CPT Category III/PLA | TRNSPLJ MED LIVER ALGRFT REJ MIRNA RTPCR 4 GENES |
| 0576U | CPT Category III/PLA | TRNSPLJ MED LVR ALGRFT REJ QUAN DDCFDNA WHLGENOM |
| 0577U | CPT Category III/PLA | ONC OVARIAN SERUM ALYS 39 GPS LC-MS/MS MRM MODE |
| 0578U | CPT Category III/PLA | ONC CUTAN MLNMA RNA GEN XPRSN RTQPCR 10GENS FFPE |
| 0579U | CPT Category III/PLA | NFRO DBTC CKD ELISA APOA4 CD5L EGFR AGE PLSM ALG |
| 0580U | CPT Category III/PLA | B BRGDRFERI ANTIBODY DETECTION 24 RPRTN GRPS IA |
| 0581U | CPT Category III/PLA | TRNSPLJ MED ANTB NONHLA BLD SPEC FCM SABT 39TRGT |
| 0582U | CPT Category III/PLA | RARE DS RPD WHL GEN DNA SEQ SNVS INDELS VARIANTS |
| 0583U | CPT Category III/PLA | RARE DS RPD WHL GEN CMPTR DNA SEQ VRNTS PROBAND |
| 0584U | CPT Category III/PLA | NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL |
| 0585U | CPT Category III/PLA | TGSAP SO NEO CFDNA ALYS PLSM 521 GENES INTERROG |
| 0586U | CPT Category III/PLA | ONC MRNA GENE XPRSN PRFLG 216GENS RNA XPRSN ALYS |
| 0587U | CPT Category III/PLA | THER RX MNTR 60-150 RX&METABLTS UR SLV LC-MS/MS |
| 0588U | CPT Category III/PLA | NFCT DS BCT/VIRAL 32 GENES IMMUNE RESPONSE MRNA |
| 0589U | CPT Category III/PLA | PFAS 24 COMPOUNDS HI-PERF LC-MS/MS PLSM/SRM QUAN |
| 0590U | CPT Category III/PLA | NFCT DISEASE BCT&FUNGAL DNA 44 ORGS URINE NGS |
| 0591U | CPT Category III/PLA | ONC PRST8 CA BIOCHEM ALYS 3 PROTEIN PLASMA SERUM |
| 0592U | CPT Category III/PLA | ONC HL NEOPLASM DNA TGS 417GENS INTERROG GEN FUS |
| 0593U | CPT Category III/PLA | NFCT DS GU PTHGNS DNA 46 TRGTS RT-PCR AMP PRB TQ |
| 0594U | CPT Category III/PLA | NFCT DS SEPSIS SEMIQ MEAS PNCRTC STN PRTN CONCTR |
| 0595U | CPT Category III/PLA | NFCT DS TFP VCTRBRNE&ZOONOTIC PTHGN 2VIR 1BCTRUM |
| 0596U | CPT Category III/PLA | NEURO ALZ DS PLSM 3DSTNCT ISOFRM PEPTID LC-MS/MS |
| 0597U | CPT Category III/PLA | ONC BRST RNA XPRSN PRFLG 329GENS TRGT NGS 20PRTN |
| 0598U | CPT Category III/PLA | GI IBS IGG ANTBS 18 FOOD ITEMS MBIA WHL BLD/SRM |
| 0599U | CPT Category III/PLA | ONC PANCREATIC CANCER MULTI IMMUNOASSAY SERUM |
| A2036 | HCPCS | COHEALYX COLLAGEN DERMAL MATRIX PER SQ CM |
| A2037 | HCPCS | G4DERM PLUS PER ML |
| A2038 | HCPCS | MARIGEN PACTO PER SQ CM |
| A2039 | HCPCS | INNOVAMATRIX FD PER SQ CM |
| A4288 | HCPCS | VALVE FOR BREAST PUMP REPLACEMENT |
| C1740 | HCPCS | LEADLESS ELECTRODE TX BATTERY SEQ LT VAT PACING |
| C1741 | HCPCS | ANCHOR/SCREW FOR BONE FIX ABSORBABLE IMPLANTABLE |
| C1742 | HCPCS | PRESSURE MONITORING SYSTEM IMPLANTABLE CNTNUS |
| C8006 | HCPCS | INSERTION PLEURAL-PERITONEAL SHUNT W/INTCL PUMP |
| C9305 | HCPCS | INJECTION NIPOCALIMAB-AAHU 3 MG |
| C9306 | HCPCS | INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG |
| E0150 | HCPCS | COMBINATION WHL WALKER W/SEAT & TRANSPORT CHAIR |
| E0658 | HCPCS | SEGMENTAL PNEUMATIC COMP 2 FULL ARMS & CHEST |
| E0659 | HCPCS | SEG PNEU APPL USE W/PNEU COMP INTG HEAD NCK & CT |
| J1809 | HCPCS | INJECTION FOSDENOPTERIN 0.1 MG |
| J2428 | HCPCS | INJECTION, ERZOFRI, 1 MG |
| J3402 | HCPCS | INJECTION REMESTEMCEL-L-RKND PER THER DOSE |
| J3403 | HCPCS | REVAKINAGENE TARORETCEL-LWEY PER IMPLANT |
| J7173 | HCPCS | INJECTION CONCIZUMAB-MTCI 0.5 MG |
| J7174 | HCPCS | INJECTION FITUSIRAN 0.04 MG |
| J9011 | HCPCS | INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG |
| L1007 | HCPCS | SCOLIOSIS ORTHOSIS SAGITTAL-CORONAL CTRL CUSTOM |
| L5657 | HCPCS | ADD LW EXT PROS MAN/AUTO LIMB VOL MGMT ANY MTRLS |
| L6034 | HCPCS | PAR HND FNGR&THMB PROS NOT INCL INSR DESCR L6692 |
| L6035 | HCPCS | SINGLE PROSTHETIC DIGIT MECH INITIAL ISSUE/REPLC |
| L6036 | HCPCS | PROSTHETIC THUMB MECH INITIAL ISSUE/REPLACEMENT |
| L6038 | HCPCS | ADD SINGLE PROS DIGIT/THUMB MECH ATT MULTIAXIAL |
| L6039 | HCPCS | PASSIVE PROSTHETIC DIGIT/THUMB PROS DIGIT/THUMB |
| M0235 | HCPCS | IV INFUSION MONOCLONAL ANTIBODY PROD NOC 1ST DOS |
| M0236 | HCPCS | IV INFUSION MONOCLONAL ANTIBODY NOC 2ND DOS |
| M0237 | HCPCS | INTRAVENOUS INFUSION TOCILIZUMAB-ANOH FIRST DOSE |
| M0238 | HCPCS | INTRAVENOUS INFUSION TOCILIZUMAB-ANOH SECOND DOS |
| Q0235 | HCPCS | INJECTION MONOCLONAL ANTIBODY NOC 1 MG |
| Q0237 | HCPCS | INJECTION TOCILIZUMAB-ANOH FOR HOSP ADLT PT 1 MG |
| Q4340 | HCPCS | SIMPLIGRAFT, PER SQ CM |
| Q4345 | HCPCS | MATRIX HD ALLOGRFT PER SQ CM |
| Q4346 | HCPCS | SHELTER DM MATRIX PER SQ CM |
| Q4347 | HCPCS | RAMPART DL MATRIX PER SQ CM |
| Q4348 | HCPCS | SENTRY SL MATRIX PER SQ CM |
| Q4350 | HCPCS | PALISADE DM MATRIX PER SQ CM |
| Q4353 | HCPCS | XCEED TL MATRIX PER SQ CM |
| Q4383 | HCPCS | AXOLOTL GRAFT ULTRA PER SQ CM |
| Q4384 | HCPCS | AXOLOTL DUALGRAFT ULTRA PER SQ CM |
| Q4385 | HCPCS | APOLLO FT PER SQ CM |
| Q4386 | HCPCS | ACESSO TRIFACA PER SQ CM |
| Q4387 | HCPCS | NEOTHELIUM FT PER SQ CM |
| Q4388 | HCPCS | NEOTHELIUM 4L PER SQ CM |
| Q4389 | HCPCS | NEOTHELIUM 4L PLUS PER SQ CM |
| Q4390 | HCPCS | ASCENDION PER SQ CM |
| Q4391 | HCPCS | AMNIOPLAST DOUBLE PER SQ CM |
| Q4392 | HCPCS | GRAFIX DUO PER SQ CM |
| Q4393 | HCPCS | SURGRAFT AC PER SQ CM |
| Q4394 | HCPCS | SURGRAFT ACA PER SQ CM |
| Q4395 | HCPCS | ACELAGRAFT PER SQ CM |
| Q4396 | HCPCS | NATALIN PER SQ CM |
| Q4397 | HCPCS | SUMMIT AAA PER SQ CM |
| Q5154 | HCPCS | INJECTN OMALIZUMAB-IGEC OMLYCLO BIOSIMILAR 5 MG |
| Q5155 | HCPCS | INJECT AFLIBERCEPT-JBVF YESAFILI BIOSIMILAR 1 MG |
| Q5156 | HCPCS | INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG |
| Q5157 | HCPCS | INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG |
| Q5158 | HCPCS | INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG |
| Q5159 | HCPCS | INJECTION DENOSUMAB-DSSB OSPOMYV/XBRYK BS 1 MG |
| Q9997 | HCPCS | USTEKINUMAB-TTWE IV INJECTION 1 MG |
| Q9998 | HCPCS | INJECTION USTEKINUMAB-AEKN, 1 MG |
| 99242 | CPT | Office or other outpatient consultation for a new or established patient. |
| 99243 | CPT | Office or other outpatient consultation for a new or established patient. |
| 99244 | CPT | Office or other outpatient consultation for a new or established patient. |
| 99245 | CPT | Office or other outpatient consultation for a new or established patient. |
| A5500 | HCPCS | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to |
| A5503 | HCPCS | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with roller or rigid rocker |
| A5504 | HCPCS | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with wedge(s), per shoe |
| A5505 | HCPCS | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with metatarsal bar, per shoe |
| A5506 | HCPCS | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with off-set heel(s), per shoe |
| A5507 | HCPCS | For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe, per shoe |
| A5508 | HCPCS | For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom molded shoe, per shoe |
| A5510 | HCPCS | For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) |
| A5512 | HCPCS | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees Fahrenheit or higher, |
| A5513 | HCPCS | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, |
| A5514 | HCPCS | For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a |
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