Default Fee Schedules Part 3

Default Fee Schedules Part 3

CodePriceTypeDescription
E23940HCPCS / CPT®DRIVE WHEEL EXCLUDES TIRE
E23950HCPCS / CPT®CASTER WHEEL EXCLUDES TIRE
E23960HCPCS / CPT®CASTER FORK
E23970HCPCS / CPT®PWC ACC, LITH-BASED BATTERY
E24020HCPCS / CPT®NEG PRESS WOUND THERAPY PUMP
E25000HCPCS / CPT®SGD DIGITIZED PRE-REC <=8MIN
E25020HCPCS / CPT®SGD PREREC MSG >8MIN <=20MIN
E25040HCPCS / CPT®SGD PREREC MSG>20MIN <=40MIN
E25060HCPCS / CPT®SGD PREREC MSG > 40 MIN
E25080HCPCS / CPT®SGD SPELLING PHYS CONTACT
E25100HCPCS / CPT®SGD W MULTI METHODS MSG/ACCS
E25110HCPCS / CPT®SGD SFTWRE PRGRM FOR PC/PDA
E25120HCPCS / CPT®SGD ACCESSORY, MOUNTING SYS
E25990HCPCS / CPT®SGD ACCESSORY NOC
E26010HCPCS / CPT®GEN W/C CUSHION WDTH < 22 IN
E26020HCPCS / CPT®GEN W/C CUSHION WDTH >=22 IN
E26030HCPCS / CPT®SKIN PROTECT WC CUS WD <22IN
E26040HCPCS / CPT®SKIN PROTECT WC CUS WD>=22IN
E26050HCPCS / CPT®POSITION WC CUSH WDTH <22 IN
E26060HCPCS / CPT®POSITION WC CUSH WDTH>=22 IN
E26070HCPCS / CPT®SKIN PRO/POS WC CUS WD <22IN
E26080HCPCS / CPT®SKIN PRO/POS WC CUS WD>=22IN
E26090HCPCS / CPT®CUSTOM FABRICATE W/C CUSHION
E26100HCPCS / CPT®POWERED W/C CUSHION
E26110HCPCS / CPT®GEN USE BACK CUSH WDTH <22IN
E26120HCPCS / CPT®GEN USE BACK CUSH WDTH>=22IN
E26130HCPCS / CPT®POSITION BACK CUSH WD <22IN
E26140HCPCS / CPT®POSITION BACK CUSH WD>=22IN
E26150HCPCS / CPT®POS BACK POST/LAT WDTH <22IN
E26160HCPCS / CPT®POS BACK POST/LAT WDTH>=22IN
E26170HCPCS / CPT®CUSTOM FAB W/C BACK CUSHION
E26190HCPCS / CPT®REPLACE COVER W/C SEAT CUSH
E26200HCPCS / CPT®WC PLANAR BACK CUSH WD <22IN
E26210HCPCS / CPT®WC PLANAR BACK CUSH WD>=22IN
E26220HCPCS / CPT®ADJ SKIN PRO W/C CUS WD<22IN
E26230HCPCS / CPT®ADJ SKIN PRO WC CUS WD>=22IN
E26240HCPCS / CPT®ADJ SKIN PRO/POS CUS<22IN
E26250HCPCS / CPT®ADJ SKIN PRO/POS WC CUS>=22
E26260HCPCS / CPT®SEO MOBILE ARM SUP ATT TO WC
E26270HCPCS / CPT®ARM SUPP ATT TO WC RANCHO TY
E26280HCPCS / CPT®MOBILE ARM SUPPORTS RECLININ
E26290HCPCS / CPT®FRICTION DAMPENING ARM SUPP
E26300HCPCS / CPT®MONOSUSPENSION ARM/HAND SUPP
E26310HCPCS / CPT®ELEVAT PROXIMAL ARM SUPPORT
E26320HCPCS / CPT®OFFSET/LAT ROCKER ARM W/ELA
E26330HCPCS / CPT®MOBILE ARM SUPPORT SUPINATOR
E80000HCPCS / CPT®POSTERIOR GAIT TRAINER
E80010HCPCS / CPT®UPRIGHT GAIT TRAINER
E80020HCPCS / CPT®ANTERIOR GAIT TRAINER
G00080HCPCS / CPT®ADMIN INFLUENZA VIRUS VAC
G000982HCPCS / CPT®ADMIN PNEUMOCOCCAL VACCINE
G00100HCPCS / CPT®ADMIN HEPATITIS B VACCINE
G00270HCPCS / CPT®SEMEN ANALYSIS
G01010HCPCS / CPT®CA SCREEN;PELVIC/BREAST EXAM
G01020HCPCS / CPT®PROSTATE CA SCREENING; DRE
G01030HCPCS / CPT®PSA SCREENING
G01040HCPCS / CPT®CA SCREEN;FLEXI SIGMOIDSCOPE
G01050HCPCS / CPT®COLORECTAL SCRN; HI RISK IND
G01060HCPCS / CPT®COLON CA SCREEN;BARIUM ENEMA
G01080HCPCS / CPT®DIAB MANAGE TRN PER INDIV
G01090HCPCS / CPT®DIAB MANAGE TRN IND/GROUP
G01170HCPCS / CPT®GLAUCOMA SCRN HGH RISK DIREC
G01180HCPCS / CPT®GLAUCOMA SCRN HGH RISK DIREC
G01200HCPCS / CPT®COLON CA SCRN; BARIUM ENEMA
G01210HCPCS / CPT®COLON CA SCRN NOT HI RSK IND
G01220HCPCS / CPT®COLON CA SCRN; BARIUM ENEMA
G01230HCPCS / CPT®SCREEN CERV/VAG THIN LAYER
G01240HCPCS / CPT®SCREEN C/V THIN LAYER BY MD
G01270HCPCS / CPT®TRIM NAIL(S)
G01280HCPCS / CPT®CORF SKILLED NURSING SERVICE
G01290HCPCS / CPT®PARTIAL HOSP PROG SERVICE
G01300HCPCS / CPT®SINGLE ENERGY X-RAY STUDY
G01410HCPCS / CPT®SCR C/V CYTO,AUTOSYS AND MD
G01430HCPCS / CPT®SCR C/V CYTO,THINLAYER,RESCR
G01440HCPCS / CPT®SCR C/V CYTO,THINLAYER,RESCR
G01450HCPCS / CPT®SCR C/V CYTO,THINLAYER,RESCR
G01470HCPCS / CPT®SCR C/V CYTO, AUTOMATED SYS
G01480HCPCS / CPT®SCR C/V CYTO, AUTOSYS, RESCR
G01510HCPCS / CPT®HHCP-SERV OF PT,EA 15 MIN
G01520HCPCS / CPT®HHCP-SERV OF OT,EA 15 MIN
G01530HCPCS / CPT®HHCP-SVS OF S/L PATH,EA 15MN
G01550HCPCS / CPT®HHCP-SVS OF CSW,EA 15 MIN
G01560HCPCS / CPT®HHCP-SVS OF AIDE,EA 15 MIN
G01570HCPCS / CPT®HHC PT ASSISTANT EA 15
G01580HCPCS / CPT®HHC OT ASSISTANT EA 15
G01590HCPCS / CPT®HHC PT MAINT EA 15 MIN
G01600HCPCS / CPT®HHC OCCUP THERAPY EA 15
G01610HCPCS / CPT®HHC SLP EA 15 MIN
G01620HCPCS / CPT®HHC RN E&M PLAN SVS, 15 MIN
G01660HCPCS / CPT®EXTRNL COUNTERPULSE, PER TX
G016828HCPCS / CPT®Dermabond
G01750HCPCS / CPT®OPPS SERVICE,SCHED TEAM CONF
G01760HCPCS / CPT®OPPS/PHP;ACTIVITY THERAPY
G01770HCPCS / CPT®OPPS/PHP; TRAIN & EDUC SERV
G01790HCPCS / CPT®MD RECERTIFICATION HHA PT
G01800HCPCS / CPT®MD CERTIFICATION HHA PATIENT
G01810HCPCS / CPT®HOME HEALTH CARE SUPERVISION
G01820HCPCS / CPT®HOSPICE CARE SUPERVISION
G01860HCPCS / CPT®DSTRY EYE LESN,FDR VSSL TECH
G02020HCPCS / CPT®SCR MAMMO BI INCL CAD
G02040HCPCS / CPT®DX MAMMO INCL CAD BI
G02060HCPCS / CPT®DX MAMMO INCL CAD UNI
G02190HCPCS / CPT®PET IMG WHOLBOD MELANO NONCO
G02350HCPCS / CPT®PET NOT OTHERWISE SPECIFIED
G02370HCPCS / CPT®THERAPEUTIC PROCD STRG ENDUR
G02380HCPCS / CPT®OTH RESP PROC, INDIV
G02390HCPCS / CPT®OTH RESP PROC, GROUP
G02450HCPCS / CPT®INITIAL FOOT EXAM PT LOPS
G02460HCPCS / CPT®FOLLOWUP EVAL OF FOOT PT LOP
G02470HCPCS / CPT®ROUTINE FOOTCARE PT W LOPS
G02480HCPCS / CPT®DEMONSTRATE USE HOME INR MON
G02490HCPCS / CPT®PROVIDE INR TEST MATER/EQUIP
G02500HCPCS / CPT®MD INR TEST REVIE INTER MGMT
G02520HCPCS / CPT®PET IMAGING INITIAL DX
G02550HCPCS / CPT®CURRENT PERCEP THRESHOLD TST
G02570HCPCS / CPT®UNSCHED DIALYSIS ESRD PT HOS
G02590HCPCS / CPT®INJECT FOR SACROILIAC JOINT
G02600HCPCS / CPT®INJ FOR SACROILIAC JT ANESTH
G02680HCPCS / CPT®REMOVAL OF IMPACTED WAX MD
G02690HCPCS / CPT®OCCLUSIVE DEVICE IN VEIN ART
G02700HCPCS / CPT®MNT SUBS TX FOR CHANGE DX
G02710HCPCS / CPT®GROUP MNT 2 OR MORE 30 MINS
G02760HCPCS / CPT®PILD/PLACEBO CONTROL CLIN TR
G02770HCPCS / CPT®HBOT, FULL BODY CHAMBER, 30M
G02780HCPCS / CPT®ILIAC ART ANGIO,CARDIAC CATH
G02790HCPCS / CPT®TOMOSYNTHESIS, MAMMO
G02810HCPCS / CPT®ELEC STIM UNATTEND FOR PRESS
G02820HCPCS / CPT®ELECT STIM WOUND CARE NOT PD
G02830HCPCS / CPT®ELEC STIM OTHER THAN WOUND
G02880HCPCS / CPT®RECON, CTA FOR SURG PLAN
G02890HCPCS / CPT®ARTHRO, LOOSE BODY + CHONDRO
G02930HCPCS / CPT®NON-COV SURG PROC,CLIN TRIAL
G02940HCPCS / CPT®NON-COV PROC, CLINICAL TRIAL
G02950HCPCS / CPT®ELECTROMAGNETIC THERAPY ONC
G02960HCPCS / CPT®VISIT TO DETERM LDCT ELIG
G02970HCPCS / CPT®LDCT FOR LUNG CA SCREEN
G02990HCPCS / CPT®HHS/HOSPICE OF RN EA 15 MIN
G03000HCPCS / CPT®HHS/HOSPICE OF LPN EA 15 MIN
G03020HCPCS / CPT®PRE-OP SERVICE LVRS COMPLETE
G03030HCPCS / CPT®PRE-OP SERVICE LVRS 10-15DOS
G03040HCPCS / CPT®PRE-OP SERVICE LVRS 1-9 DOS
G03050HCPCS / CPT®POST OP SERVICE LVRS MIN 6
G03060HCPCS / CPT®CBC/DIFFWBC W/O PLATELET
G03070HCPCS / CPT®CBC WITHOUT PLATELET
G03280HCPCS / CPT®FECAL BLOOD SCRN IMMUNOASSAY
G03290HCPCS / CPT®ELECTROMAGNTIC TX FOR ULCERS
G03330HCPCS / CPT®DISPENSE FEE INITIAL 30 DAY
G03370HCPCS / CPT®HOSPICE EVALUATION PREELECTI
G03390HCPCS / CPT®ROBOT LIN-RADSURG COM, FIRST
G03400HCPCS / CPT®ROBT LIN-RADSURG FRACTX 2-5
G03410HCPCS / CPT®PERCUTANEOUS ISLET CELLTRANS
G03420HCPCS / CPT®LAPAROSCOPY ISLET CELL TRANS
G03430HCPCS / CPT®LAPAROTOMY ISLET CELL TRANSP
G03640HCPCS / CPT®BONE MARROW ASPIRATE &BIOPSY
G03650HCPCS / CPT®VESSEL MAPPING HEMO ACCESS
G03720HCPCS / CPT®MD SERVICE REQUIRED FOR PMD
G03781678HCPCS / CPT®HOSPITAL OBSERVATION PER HR >8 hours
G03790HCPCS / CPT®DIRECT REFER HOSPITAL OBSERV
G03800HCPCS / CPT®LEV 1 HOSP TYPE B ED VISIT
G03810HCPCS / CPT®LEV 2 HOSP TYPE B ED VISIT
G03820HCPCS / CPT®LEV 3 HOSP TYPE B ED VISIT
G03830HCPCS / CPT®LEV 4 HOSP TYPE B ED VISIT
G03840HCPCS / CPT®LEV 5 HOSP TYPE B ED VISIT
G03900HCPCS / CPT®TRAUMA RESPONS W/HOSP CRITI
G03960HCPCS / CPT®ALCOHOL/SUBS INTERV 15-30MN
G03970HCPCS / CPT®ALCOHOL/SUBS INTERV >30 MIN
G03980HCPCS / CPT®HOME SLEEP TEST/TYPE 2 PORTA
G03990HCPCS / CPT®HOME SLEEP TEST/TYPE 3 PORTA
G04000HCPCS / CPT®HOME SLEEP TEST/TYPE 4 PORTA
G04020HCPCS / CPT®INITIAL PREVENTIVE EXAM
G04030HCPCS / CPT®EKG FOR INITIAL PREVENT EXAM
G04040HCPCS / CPT®EKG TRACING FOR INITIAL PREV
G04050HCPCS / CPT®EKG INTERPRET & REPORT PREVE
G04060HCPCS / CPT®INPT/TELE FOLLOW UP 15
G04070HCPCS / CPT®INPT/TELE FOLLOW UP 25
G04080HCPCS / CPT®INPT/TELE FOLLOW UP 35
G04090HCPCS / CPT®CORF RELATED SERV 15 MINS EA
G04100HCPCS / CPT®GRP PSYCH PARTIAL HOSP 45-50
G04110HCPCS / CPT®INTER ACTIVE GRP PSYCH PARTI
G04120HCPCS / CPT®OPEN TX ILIAC SPINE UNI/BIL
G04130HCPCS / CPT®PELVIC RING FRACTURE UNI/BIL
G04140HCPCS / CPT®PELVIC RING FX TREAT INT FIX
G04150HCPCS / CPT®OPEN TX POST PELVIC FXCTURE
G04160HCPCS / CPT®PROSTATE BIOPSY, ANY MTHD
G04200HCPCS / CPT®ED SVC CKD IND PER SESSION
G04210HCPCS / CPT®ED SVC CKD GRP PER SESSION
G04220HCPCS / CPT®INTENS CARDIAC REHAB W/EXERC
G04230HCPCS / CPT®INTENS CARDIAC REHAB NO EXER
G04240HCPCS / CPT®PULMONARY REHAB W EXER
G04250HCPCS / CPT®INPT/ED TELECONSULT30
G04260HCPCS / CPT®INPT/ED TELECONSULT50
G04270HCPCS / CPT®INPT/ED TELECONSULT70
G04280HCPCS / CPT®COLLAGEN MENISCUS IMPLANT
G04290HCPCS / CPT®DERMAL FILLER INJECTION(S)
G04320HCPCS / CPT®EIA HIV-1/HIV-2 SCREEN
G04330HCPCS / CPT®ELISA HIV-1/HIV-2 SCREEN
G04350HCPCS / CPT®ORAL HIV-1/HIV-2 SCREEN
G04380HCPCS / CPT®PPPS, INITIAL VISIT
G04390HCPCS / CPT®PPPS, SUBSEQ VISIT
G04420HCPCS / CPT®ANNUAL ALCOHOL SCREEN 15 MIN
G04430HCPCS / CPT®BRIEF ALCOHOL MISUSE COUNSEL
G04440HCPCS / CPT®DEPRESSION SCREEN ANNUAL
G04450HCPCS / CPT®HIGH INTEN BEH COUNS STD 30M
G04460HCPCS / CPT®INTENS BEHAVE THER CARDIO DX
G04470HCPCS / CPT®BEHAVIOR COUNSEL OBESITY 15M
G04480HCPCS / CPT®PLACE PERM PACING CARDIOVERT
G04510HCPCS / CPT®DEVLOPMENT TEST INTERPT&REP
G04520HCPCS / CPT®MOLECULAR PATHOLOGY INTERPR
G04530HCPCS / CPT®CONT INTRAOP NEURO MONITOR
G04540HCPCS / CPT®MD DOCUMENT VISIT BY NPP
G04550HCPCS / CPT®FECAL MICROBIOTA PREP INSTIL
G04580HCPCS / CPT®LDR PROSTATE BRACHY COMP RAT
G04590HCPCS / CPT®TELEHEALTH INPT PHARM MGMT
G04600HCPCS / CPT®AUTOLOGOUS PRP FOR ULCERS
G04630HCPCS / CPT®HOSPITAL OUTPT CLINIC VISIT
G04660HCPCS / CPT®FQHC VISIT NEW PATIENT
G04670HCPCS / CPT®FQHC VISIT, ESTAB PT
G04680HCPCS / CPT®FQHC VISIT, IPPE OR AWV
G04690HCPCS / CPT®FQHC VISIT, MH NEW PT
G04700HCPCS / CPT®FQHC VISIT, MH ESTAB PT
G04710HCPCS / CPT®VEN BLOOD COLL SNF/HHA
G04720HCPCS / CPT®HEP C SCREEN HIGH RISK/OTHER
G04730HCPCS / CPT®GROUP BEHAVE COUNS 2-10
G04750HCPCS / CPT®HIV COMBINATION ASSAY
G04760HCPCS / CPT®HPV COMBO ASSAY CA SCREEN
G04770HCPCS / CPT®DRUG TEST PRESUMP OPTICAL
G04780HCPCS / CPT®DRUG TEST PRESUMP OPT INST
G04790HCPCS / CPT®DRUG TEST PRESUMP NOT OPT
G04800HCPCS / CPT®DRUG TEST DEF 1-7 CLASSES
G04810HCPCS / CPT®DRUG TEST DEF 8-14 CLASSES
G04820HCPCS / CPT®DRUG TEST DEF 15-21 CLASSES
G04830HCPCS / CPT®DRUG TEST DEF 22+ CLASSES
G04900HCPCS / CPT®HOME VISIT RN, LPN BY RHC/FQ
G04910HCPCS / CPT®DIALYSIS ACU KIDNEY NO ESRD
G04920HCPCS / CPT®MD/OTH EVAL ACUT KID NO ESRD
G04930HCPCS / CPT®RN CARE EA 15 MIN HH/HOSPICE
G04940HCPCS / CPT®LPN CARE EA 15MIN HH/HOSPICE
G04950HCPCS / CPT®RN CARE TRAIN/EDU IN HH
G04960HCPCS / CPT®LPN CARE TRAIN/EDU IN HH
G04980HCPCS / CPT®CHEMO EXTEND IV INFUS W/PUMP
G04990HCPCS / CPT®HEPB SCREEN HIGH RISK INDIV
G05000HCPCS / CPT®MOD SEDAT ENDO SERVICE >5YRS
G05010HCPCS / CPT®RESOURCE-INTEN SVC DURING OV
G05020HCPCS / CPT®INIT PSYCH CARE MANAG, 70MIN
G05030HCPCS / CPT®SUBSEQ PSYCH CARE MAN,60MI
G05040HCPCS / CPT®INIT/SUB PSYCH CARE ADD 30 M
G05050HCPCS / CPT®COG/FUNC ASSESSMENT OUTPT
G05060HCPCS / CPT®COMP ASSES CARE PLAN CCM SVC
G05070HCPCS / CPT®CARE MANAGE SERV MINIMUM 20
G05080HCPCS / CPT®CRIT CARE TELEHEA CONSULT 60
G05090HCPCS / CPT®CRIT CARE TELEHEA CONSULT 50
G09130HCPCS / CPT®IMPROVE VISUAL FUNCT
G09140HCPCS / CPT®SURVEY NOT COMPLETE
G09150HCPCS / CPT®NO IMPROVE VISUAL FUNCT
G09160HCPCS / CPT®SATISFY WITH CARE
G09170HCPCS / CPT®SATISFY SURVEY NOT COMPLETE
G09180HCPCS / CPT®NO SATISFY WITH CARE
G60010HCPCS / CPT®ECHO GUIDANCE RADIOTHERAPY
G60020HCPCS / CPT®STEREOSCOPIC X-RAY GUIDANCE
G60030HCPCS / CPT®RADIATION TREATMENT DELIVERY
G60040HCPCS / CPT®RADIATION TREATMENT DELIVERY
G60050HCPCS / CPT®RADIATION TREATMENT DELIVERY
G60060HCPCS / CPT®RADIATION TREATMENT DELIVERY
G60070HCPCS / CPT®RADIATION TREATMENT DELIVERY
G60080HCPCS / CPT®RADIATION TREATMENT DELIVERY
G60090HCPCS / CPT®RADIATION TREATMENT DELIVERY
G60100HCPCS / CPT®RADIATION TREATMENT DELIVERY
G60110HCPCS / CPT®RADIATION TREATMENT DELIVERY
G60120HCPCS / CPT®RADIATION TREATMENT DELIVERY
G60130HCPCS / CPT®RADIATION TREATMENT DELIVERY
G60140HCPCS / CPT®RADIATION TREATMENT DELIVERY
G60150HCPCS / CPT®RADIATION TX DELIVERY IMRT
G60160HCPCS / CPT®DELIVERY COMP IMRT
G60170HCPCS / CPT®INTRAFRACTION TRACK MOTION
G83950HCPCS / CPT®LVEF>=40% DOC NORMAL OR MILD
G83960HCPCS / CPT®LVEF NOT PERFORMED
G83970HCPCS / CPT®DIL MACULA/FUNDUS EXAM/W DOC
G83980HCPCS / CPT®DIL MACULAR/FUNDUS NOT PERFO
G83990HCPCS / CPT®PT W/DXA RESULTS DOCUMENT
G84000HCPCS / CPT®PT W/DXA NO RESULTS DOC
G84040HCPCS / CPT®LOW EXTEMITY NEUR EXAM DOCUM
G84050HCPCS / CPT®LOW EXTEMITY NEUR NOT PERFOR
G84100HCPCS / CPT®EVAL ON FOOT DOCUMENTED
G84150HCPCS / CPT®EVAL ON FOOT NOT PERFORMED
G84160HCPCS / CPT®PT INELIG FOOTWEAR EVALUATIO
G84170HCPCS / CPT®CALC BMI ABV UP PARAM F/U
G84180HCPCS / CPT®CALC BMI BLW LOW PARAM F/U
G84190HCPCS / CPT®CALC BMI OUT NRM PARAM NOF/U
G84200HCPCS / CPT®CALC BMI NORM PARAMETERS
G84210HCPCS / CPT®BMI NOT CALCULATED
G84220HCPCS / CPT®PT INELIG BMI CALCULATION
G84270HCPCS / CPT®DOCREV CUR MEDS BY ELIG CLIN
G84280HCPCS / CPT®CUR MEDS NOT DOCUMENT
G84300HCPCS / CPT®PT INELIG MED CHECK
G84310HCPCS / CPT®POS CLIN DEPRES SCRN F/U DOC
G84320HCPCS / CPT®DEP SCR NOT DOC, RNG
G84330HCPCS / CPT®SCR DEP NOT DONE, DOC RSN
G84420HCPCS / CPT®PT INELIG PAIN ASSESSMENT
G84500HCPCS / CPT®BETA-BLOC RX PT W/ABN LVEF
G84510HCPCS / CPT®PT W/ABN LVEF INELIG B-BLOC
G84520HCPCS / CPT®PT W/ABN LVEF B-BLOC NO RX
G84650HCPCS / CPT®HIGH RISK RECURRENCE PRO CA
G84730HCPCS / CPT®ACE/ARB THXPY RX’D
G84740HCPCS / CPT®ACE/ARB NOT RX’D; DOC REAS
G84750HCPCS / CPT®ACE/ARB THXPY NOT RX’D
G84760HCPCS / CPT®BP SYS <140 AND DIAS <90
G84770HCPCS / CPT®BP SYS>=140 AND/OR DIAS >=90
G84780HCPCS / CPT®BP NOT PERFORMED/DOC
G84820HCPCS / CPT®FLU IMMUNIZE ORDER/ADMIN
G84830HCPCS / CPT®FLU IMM NO ADMIN DOC REA
G84840HCPCS / CPT®FLU IMMUNIZE NO ADMIN
G85060HCPCS / CPT®PT REC ACE/ARB
G85090HCPCS / CPT®POS PAIN ASSESS NO F/U DOC
G85100HCPCS / CPT®SCR DEP NEG, NO PLAN REQD
G85110HCPCS / CPT®SCR DEP POS, NO PLAN DOC RNG
G85350HCPCS / CPT®PT INELIG NO ELD MAL SCRN
G85360HCPCS / CPT®NO DOC ELDER MAL SCRN
G85390HCPCS / CPT®DOC FUNCT AND CARE PLAN
G85400HCPCS / CPT®PT INELIG FUNCT ASSESS
G85410HCPCS / CPT®NO DOC CUR FUNCT ASSESS
G85420HCPCS / CPT®DOC FUNCT NO DEFICIENCIES
G85430HCPCS / CPT®CUR FUNCT ASSES; NO CARE PLN
G85590HCPCS / CPT®PT REF DOC OTO EVAL
G85600HCPCS / CPT®PT HX ACT DRAIN PREV 90 DAYS
G85610HCPCS / CPT®PT INELIG FOR REF OTO EVAL
G85620HCPCS / CPT®PT NO HX ACT DRAIN 90 D
G85630HCPCS / CPT®PT NO REF OTO REAS NO SPEC
G85640HCPCS / CPT®PT REF OTO EVAL
G85650HCPCS / CPT®VER DOC HEAR LOSS
G85660HCPCS / CPT®PT INELIG REF OTO EVAL
G85670HCPCS / CPT®PT NO DOC HEAR LOSS
G85680HCPCS / CPT®PT NO REF OTOLO NO SPEC
G85690HCPCS / CPT®PROL INTUBATION REQ
G85700HCPCS / CPT®NO PROL INTUB REQ
G85710HCPCS / CPT®STER WD IFX 30 D POSTOP
G85720HCPCS / CPT®NO STER WD IFX
G85730HCPCS / CPT®STK CABG
G85740HCPCS / CPT®NO STRK CABG
G85750HCPCS / CPT®POSTOP REN FAIL
G85760HCPCS / CPT®NO POSTOP REN FAIL
G85770HCPCS / CPT®REOP REQ BLD GRFT OTH
G85780HCPCS / CPT®NO REOP REQ BLD GRFT OTH
G85980HCPCS / CPT®ASA/ANTIPLAT THER USED
G85990HCPCS / CPT®NO ASA/ANTIPLAT THER USE RNG
G86000HCPCS / CPT®TPA INITI W/IN 3 HRS
G86010HCPCS / CPT®NO ELIG TPA INIT W/IN 3 HRS
G86020HCPCS / CPT®NO TPA INIT W/IN 3 HRS
G86270HCPCS / CPT®SURG PROC W/IN 30 DAYS
G86280HCPCS / CPT®NO SURG PROC W/IN 30 DAYS
G86330HCPCS / CPT®PHARM THER OSTEO RX
G86350HCPCS / CPT®NO PHARM THER OSTEO RX
G86470HCPCS / CPT®FUN STAT SCORE KNEE >= 0
G86480HCPCS / CPT®FUN STAT SCORE KNEE < 0
G86490HCPCS / CPT®RAFSCRS KNEE NO MSR, NO FOTO
G86500HCPCS / CPT®FUN STAT SCORE KNEE NOT DONE
G86510HCPCS / CPT®FUN STAT SCORE HIP >= 0
G86520HCPCS / CPT®FUN STAT SCORE HIP < 0
G86530HCPCS / CPT®RAFSCRS HIP, NO MSR, NO SURV
G86540HCPCS / CPT®FUN STAT SCORE HIP NOT DONE
G86550HCPCS / CPT®RAFSCRS FT ANK SCORE >=0
G86560HCPCS / CPT®RAFSCRS FT ANK SCORE < 0
G86570HCPCS / CPT®RAFSCRS FOOT, NO MSR/NO FOTO
G86580HCPCS / CPT®RAFSCRS FOOT, NO MSR/NO SURV
G86590HCPCS / CPT®RAFSCRS LUMB SCORE >= 0
G86600HCPCS / CPT®RAFSCRS LUMB SCORE < 0
G86610HCPCS / CPT®RAFSCRS LUM, NO MSR/NO FOTO
G86620HCPCS / CPT®RAFSCRS LUM, NO MSR/NO SURV
G86630HCPCS / CPT®FUN STAT SCORE SHDL >=0
G86640HCPCS / CPT®FUN STAT SCORE SHDL < 0
G86650HCPCS / CPT®RAFSCRS SHLDR, NO MSR/FOTO
G86660HCPCS / CPT®FUN STAT SCORE SHDL NOT DONE
G86670HCPCS / CPT®FUN STAT SCORE UE >=0
G86680HCPCS / CPT®FUN STAT SCORE UE < 0
G86690HCPCS / CPT®RAFSCRS HAND, NO MSR/SURV
G86700HCPCS / CPT®FUN STAT SCORE UE NOT DONE
G86710HCPCS / CPT®RAFSCRS NECK, SCORE >/=0
G86720HCPCS / CPT®RAFSCRS NECK, SCORE <0
G86730HCPCS / CPT®RAFSCRS NECK, NO MSR/NO FOTO
G86740HCPCS / CPT®RAFSCRS NECK, NO MSR/NO FOTO
G86940HCPCS / CPT®LVEF <40%
G86960HCPCS / CPT®ANTITHROMB THX PRESC
G86970HCPCS / CPT®ANTITHROMB NO PRESC DOC REAS
G86980HCPCS / CPT®ANTITHROMB NO PRESC NO REAS
G87080HCPCS / CPT®ANTIBIOTIC NOT PRES
G87090HCPCS / CPT®MED REAS ANTIBIOTIC PRES
G87100HCPCS / CPT®PT PRES ANTIBIOTIC
G87110HCPCS / CPT®PRES ANTIBIOTIC
G87120HCPCS / CPT®NOT PRES ANTIBIOTIC
G87210HCPCS / CPT®PT, PN, HIST GRADE DOC
G87220HCPCS / CPT®MED REAS PT, PN, NOT DOC
G87230HCPCS / CPT®SPEC SIT NOT PRIM TUMOR
G87240HCPCS / CPT®PT, PN, HIST GRADE NOT DOC
G87300HCPCS / CPT®PAIN DOC POS AND PLAN
G87310HCPCS / CPT®PAIN NEG NO PLAN
G87320HCPCS / CPT®NO DOC OF PAIN
G87330HCPCS / CPT®DOC POS ELDER MAL SCRN PLAN
G87340HCPCS / CPT®DOC NEG ELDER MAL NO PLAN
G87350HCPCS / CPT®ELD MAL SCRN POS NO PLAN
G87490HCPCS / CPT®SIGNS OF MELANOMA ABSENT
G87520HCPCS / CPT®SYS BP LESS 140
G87530HCPCS / CPT®SYS BP > OR = 140
G87540HCPCS / CPT®DIAS BP LESS 90
G87550HCPCS / CPT®DIAS BP > OR = 90
G87560HCPCS / CPT®NO BP MEASURE DOC
G87830HCPCS / CPT®BP SCRN PERF REC INTERVAL
G87850HCPCS / CPT®BP SCRN NO PERF AT INTERVAL
G87970HCPCS / CPT®SPECIMEN SITE NOT ESOPHAGUS
G87980HCPCS / CPT®SPECIMEN SITE NOT PROSTATE
G88060HCPCS / CPT®TRANSAB OR TRANSVAG US
G88070HCPCS / CPT®DOC REAS NO US
G88080HCPCS / CPT®NO TRANSAB OR TRANSVAG US
G88090HCPCS / CPT®RH-IMMUNOGLOBULIN ORDER
G88100HCPCS / CPT®DOC REAS NO RH-IMMUNO
G88110HCPCS / CPT®NO RH-IMMUNOGLOBULIN ORDER
G88150HCPCS / CPT®DOC REAS NO STATIN THERAPY
G88160HCPCS / CPT®STATIN MED PRES AT DISCH
G88170HCPCS / CPT®DOC REAS NO STATIN MED DISCH
G88180HCPCS / CPT®PT DISCH TO HOME BY DAY#7
G88250HCPCS / CPT®PT NOT DISCH TO HOME DAY#7
G88260HCPCS / CPT®PT DISCH HOME DAY #2 EVAR
G88330HCPCS / CPT®PT NOT DISCH HOME DAY#2 EVAR
G88340HCPCS / CPT®PT DISCH HOME DAY #2 CEA
G88380HCPCS / CPT®NOT DISCH HOME BY DAY #2
G88390HCPCS / CPT®SLEEP APNEA ASSESS
G88400HCPCS / CPT®DOC REAS NO SLEEP APNEA
G88410HCPCS / CPT®NO SLEEP APNEA ASSESS
G88420HCPCS / CPT®AHI OR RDI INITIAL DX
G88430HCPCS / CPT®DOC REAS NO AHI OR RDI
G88440HCPCS / CPT®NO AHI OR RDI INITIAL DX
G88450HCPCS / CPT®POS AIRWAY PRESS PRESCRIBED
G88460HCPCS / CPT®MOD OR SEVERE OSA
G88490HCPCS / CPT®DOC REAS NO POS AIR PRESS
G88500HCPCS / CPT®NO PAP PRESCRIBED
G88510HCPCS / CPT®ADHERE POS AIR PRESS THERAPY
G88520HCPCS / CPT®POS AIR PRESS PRESCRIBE
G88540HCPCS / CPT®REAS NO ADHERE POS AIR PRES
G88550HCPCS / CPT®POS AIR PRESS ADHERE NO PERF
G88560HCPCS / CPT®REF FOR OTO EVAL
G88570HCPCS / CPT®NO ELIG REF FOR OTO EVAL
G88580HCPCS / CPT®NOT REF FOR OTO EVAL
G88610HCPCS / CPT®DXA ORDERED FOR OSTEO
G88630HCPCS / CPT®NO ASSESS BONE LOSS
G88640HCPCS / CPT®PNEUMOCOCCAL VACCINE ADMIN
G88650HCPCS / CPT®DOC MED REAS NO PNEUMOCOCCAL
G88660HCPCS / CPT®DOC PT REAS NO PNEUMOCOCCAL
G88670HCPCS / CPT®NO PNEUMOCOCCAL ADMIN
G88690HCPCS / CPT®DOC IMMUN HEP B 1ST ANTITNF
G88720HCPCS / CPT®INTRAOP IMAGE CONFIRM EXCISE
G88730HCPCS / CPT®SPECIMEN NOT INTRAOP IMAGE
G88740HCPCS / CPT®TISSUE NOT IMAGE INTRAOP
G88750HCPCS / CPT®BREAST CANCER DX MIN INVSIVE
G88760HCPCS / CPT®DOC REAS NO MIN INV DX
G88770HCPCS / CPT®NO BRST CNCR DX MIN INVASIVE
G88780HCPCS / CPT®SENT LYMPH NODE BIOPSY
G88790HCPCS / CPT®NODE NEG INV BRST CNCR
G88800HCPCS / CPT®DOC REAS NO LYMPH NODE BIOP
G88810HCPCS / CPT®BRST CNCR STAGE > T1N0M0
G88820HCPCS / CPT®NO SENT LYMPH NODE BIOPSY
G88830HCPCS / CPT®REV, COMM, TRACK, DOC BIOPSY
G88840HCPCS / CPT®DOC REAS BIOPSY NOT REVIEW
G88850HCPCS / CPT®NO REV, COMM, TRACK BIOPSY
G89070HCPCS / CPT®PT DOC NO EVENTS ON DISCHARG
G89080HCPCS / CPT®PT DOC W BURN PRIOR TO D/C
G89090HCPCS / CPT®PT DOC NO BURN PRIOR TO D/C
G89100HCPCS / CPT®PT DOC TO HAVE FALL IN ASC
G89110HCPCS / CPT®PT DOC NO FALL IN ASC
G89120HCPCS / CPT®PT DOC WITH WRONG EVENT
G89130HCPCS / CPT®PT DOC NO WRONG EVENT
G89140HCPCS / CPT®PT TRANS TO HOSP POST D/C
G89150HCPCS / CPT®PT NOT TRANS TO HOSP AT D/C
G89160HCPCS / CPT®PT W IV AB GIVEN ON TIME
G89170HCPCS / CPT®PT W IV AB NOT GIVEN ON TIME
G89180HCPCS / CPT®PT W/O PREOP ORDER IV AB PRO
G89230HCPCS / CPT®LVEF < 40% OR LVSD
G89240HCPCS / CPT®SPIR FEV1/FVC<70%,FEV<60%
G89250HCPCS / CPT®SPIR FEV1/FVC>=60% & NO COPD
G89260HCPCS / CPT®SPIRO NO PERF OR DOC
G89340HCPCS / CPT®LVEF <40% OR DEP LV SYS FCN
G89350HCPCS / CPT®RX ACE OR ARB THERAPY
G89360HCPCS / CPT®PT NOT ELIGIBLE ACE/ARB
G89370HCPCS / CPT®NO RX ACE/ARB THERAPY
G89380HCPCS / CPT®BMI CALC, PT NO F/U PLAN ELG
G89390HCPCS / CPT®PAIN ASSESS DOC, F/U NO DOC
G89410HCPCS / CPT®NO DOC ELDER SCRN, PT NO EL
G89420HCPCS / CPT®DOC FCN/CARE PLAN W/30 DAYS
G89440HCPCS / CPT®AJCC MEL CNR STG 0 – IIC
G89460HCPCS / CPT®MIBM BUT NO DX OF BREAST CA
G89470HCPCS / CPT®1 OR MORE NEUROPSYCH
G89500HCPCS / CPT®PRE-HTN OR HTN DOC, F/U INDC
G89520HCPCS / CPT®PRE-HTN/HTN, NO F/U, NOT GVN
G89550HCPCS / CPT®MOST RECENT ASSESS VOL MGMT
G89560HCPCS / CPT®PT RCV HEDIA OUTPT DYLS FAC
G89580HCPCS / CPT®ASSESS VOL MGMT NOT DOC
G89590HCPCS / CPT®CLIN TX MDD COMM TO TX CLIN
G89600HCPCS / CPT®CLIN TX MDD NOT COMM
G89610HCPCS / CPT®CSIT LOWRISK SURG PTS PREOP
G89620HCPCS / CPT®CSIT ON PT ANY REAS 30 DAYS
G89630HCPCS / CPT®CSI PER ASX PT W/PCI 2 YRS
G89640HCPCS / CPT®CSI ANY OTHER THAN PCI 2 YR
G89650HCPCS / CPT®CSIT PERF ON LOW CHD RSK
G89660HCPCS / CPT®CSIT PERF SX OR HIGH CHD RSK
G89670HCPCS / CPT®WRFRN OR ORAL ANTIGOAG PRES
G89680HCPCS / CPT®DOC RSN NO WARF/ANTICOG PRES
G89690HCPCS / CPT®PT RSN NO PRES WRFRN OR OTHR
G89700HCPCS / CPT®NO RSK FAC OR 1 MOD RISK TE
G89710HCPCS / CPT®WARFRN OR OTHR ANTCOG NO RX
G89720HCPCS / CPT®1>=RISK OR>= MOD RISK FOR TE
G89730HCPCS / CPT®MST RCNT HBB < 10G/DL
G89740HCPCS / CPT®HGB NOT DOC RNS NOT GVN
G89750HCPCS / CPT®HGB <10G/DL, MED RSN
G89760HCPCS / CPT®HGB >= 10 G/DL
G89780HCPCS / CPT®MOBILITY CURRENT STATUS
G89790HCPCS / CPT®MOBILITY GOAL STATUS
G89800HCPCS / CPT®MOBILITY D/C STATUS
G89810HCPCS / CPT®BODY POS CURRENT STATUS
G89820HCPCS / CPT®BODY POS GOAL STATUS
G89830HCPCS / CPT®BODY POS D/C STATUS
G89840HCPCS / CPT®CARRY CURRENT STATUS
G89850HCPCS / CPT®CARRY GOAL STATUS
G89860HCPCS / CPT®CARRY D/C STATUS
G89870HCPCS / CPT®SELF CARE CURRENT STATUS
G89880HCPCS / CPT®SELF CARE GOAL STATUS
G89890HCPCS / CPT®SELF CARE D/C STATUS
G89900HCPCS / CPT®OTHER PT/OT CURRENT STATUS
G89910HCPCS / CPT®OTHER PT/OT GOAL STATUS
G89920HCPCS / CPT®OTHER PT/OT D/C STATUS
G89930HCPCS / CPT®SUB PT/OT CURRENT STATUS
G89940HCPCS / CPT®SUB PT/OT GOAL STATUS
G89950HCPCS / CPT®SUB PT/OT D/C STATUS
G89960HCPCS / CPT®SWALLOW CURRENT STATUS
G89970HCPCS / CPT®SWALLOW GOAL STATUS
G89980HCPCS / CPT®SWALLOW D/C STATUS
G89990HCPCS / CPT®MOTOR SPEECH CURRENT STATUS
G90010HCPCS / CPT®MCCD, INITIAL RATE
G90020HCPCS / CPT®MCCD,MAINTENANCE RATE
G90030HCPCS / CPT®MCCD, RISK ADJ HI, INITIAL
G90040HCPCS / CPT®MCCD, RISK ADJ LO, INITIAL
G90050HCPCS / CPT®MCCD, RISK ADJ, MAINTENANCE
G90060HCPCS / CPT®MCCD, HOME MONITORING
G90070HCPCS / CPT®MCCD, SCH TEAM CONF
G90080HCPCS / CPT®MCCD,PHYS COOR-CARE OVRSGHT
G90090HCPCS / CPT®MCCD, RISK ADJ, LEVEL 3
G90100HCPCS / CPT®MCCD, RISK ADJ, LEVEL 4
G90110HCPCS / CPT®MCCD, RISK ADJ, LEVEL 5
G90120HCPCS / CPT®OTHER SPECIFIED CASE MGMT
G90130HCPCS / CPT®ESRD DEMO BUNDLE LEVEL I
G90140HCPCS / CPT®ESRD DEMO BUNDLE-LEVEL II
G90160HCPCS / CPT®DEMO-SMOKING CESSATION COUN
G90170HCPCS / CPT®AMANTADINE HCL 100MG ORAL
G90180HCPCS / CPT®ZANAMIVIR,INHALATION PWD 10M
G90190HCPCS / CPT®OSELTAMIVIR PHOSPHATE 75MG
G90200HCPCS / CPT®RIMANTADINE HCL 100MG ORAL
G90330HCPCS / CPT®AMANTADINE HCL ORAL BRAND
G90340HCPCS / CPT®ZANAMIVIR, INH PWDR, BRAND
G90350HCPCS / CPT®OSELTAMIVIR PHOSP, BRAND
G90360HCPCS / CPT®RIMANTADINE HCL, BRAND
G90500HCPCS / CPT®ONCOLOGY WORK-UP EVALUATION
G90510HCPCS / CPT®ONCOLOGY TX DECISION-MGMT
G90520HCPCS / CPT®ONC SURVEILLANCE FOR DISEASE
G90530HCPCS / CPT®ONC EXPECTANT MANAGEMENT PT
G90540HCPCS / CPT®ONC SUPERVISION PALLIATIVE
G90550HCPCS / CPT®ONC VISIT UNSPECIFIED NOS
G90560HCPCS / CPT®ONC PRAC MGMT ADHERES GUIDE
G90570HCPCS / CPT®ONC PRACT MGMT DIFFERS TRIAL
G90580HCPCS / CPT®ONC PRAC MGMT DISAGREE W/GUI
G90590HCPCS / CPT®ONC PRAC MGMT PT OPT ALTERNA
G90600HCPCS / CPT®ONC PRAC MGMT DIF PT COMORB
G90610HCPCS / CPT®ONC PRAC COND NOADD BY GUIDE
G90620HCPCS / CPT®ONC PRAC GUIDE DIFFERS NOS
G90630HCPCS / CPT®ONC DX NSCLC STGI NO PROGRES
G90640HCPCS / CPT®ONC DX NSCLC STG2 NO PROGRES
G90650HCPCS / CPT®ONC DX NSCLC STG3A NO PROGRE
G90660HCPCS / CPT®ONC DX NSCLC STG3B-4 METASTA
G90670HCPCS / CPT®ONC DX NSCLC DX UNKNOWN NOS
G90680HCPCS / CPT®ONC DX SCLC/NSCLC LIMITED
G90690HCPCS / CPT®ONC DX SCLC/NSCLC EXT AT DX
G90700HCPCS / CPT®ONC DX SCLC/NSCLC EXT UNKNWN
G90710HCPCS / CPT®ONC DX BRST STG1-2B HR,NOPRO
G90720HCPCS / CPT®ONC DX BRST STG1-2 NOPROGRES
G90730HCPCS / CPT®ONC DX BRST STG3-HR, NO PRO
G90740HCPCS / CPT®ONC DX BRST STG3-NOPROGRESS
G90750HCPCS / CPT®ONC DX BRST METASTIC/ RECUR
G90770HCPCS / CPT®ONC DX PROSTATE T1NO PROGRES
G90780HCPCS / CPT®ONC DX PROSTATE T2NO PROGRES
G90790HCPCS / CPT®ONC DX PROSTATE T3B-T4NOPROG
G90800HCPCS / CPT®ONC DX PROSTATE W/RISE PSA
G90830HCPCS / CPT®ONC DX PROSTATE UNKNWN NOS
G90840HCPCS / CPT®ONC DX COLON T1-3,N1-2,NO PR
G90850HCPCS / CPT®ONC DX COLON T4, N0 W/O PROG
G90860HCPCS / CPT®ONC DX COLON T1-4 NO DX PROG
G90870HCPCS / CPT®ONC DX COLON METAS EVID DX
G90880HCPCS / CPT®ONC DX COLON METAS NOEVID DX
G90890HCPCS / CPT®ONC DX COLON EXTENT UNKNOWN
G90900HCPCS / CPT®ONC DX RECTAL T1-2 NO PROGR
G90910HCPCS / CPT®ONC DX RECTAL T3 N0 NO PROG
G90920HCPCS / CPT®ONC DX RECTAL T1-3,N1-2NOPRG
G90930HCPCS / CPT®ONC DX RECTAL T4,N,M0 NO PRG
G90940HCPCS / CPT®ONC DX RECTAL M1 W/METS PROG
G90950HCPCS / CPT®ONC DX RECTAL EXTENT UNKNWN
G90960HCPCS / CPT®ONC DX ESOPHAG T1-T3 NOPROG
G90970HCPCS / CPT®ONC DX ESOPHAGEAL T4 NO PROG
G90980HCPCS / CPT®ONC DX ESOPHAGEAL METS RECUR
G90990HCPCS / CPT®ONC DX ESOPHAGEAL UNKNOWN
G91000HCPCS / CPT®ONC DX GASTRIC NO RECURRENCE
G91010HCPCS / CPT®ONC DX GASTRIC P R1-R2NOPROG
G91020HCPCS / CPT®ONC DX GASTRIC UNRESECTABLE
G91030HCPCS / CPT®ONC DX GASTRIC RECURRENT
G91040HCPCS / CPT®ONC DX GASTRIC UNKNOWN NOS
G91050HCPCS / CPT®ONC DX PANCREATC P R0 RES NO
G91060HCPCS / CPT®ONC DX PANCREATC P R1/R2 NO
G91070HCPCS / CPT®ONC DX PANCREATIC UNRESECTAB
G91080HCPCS / CPT®ONC DX PANCREATIC UNKNWN NOS
G91090HCPCS / CPT®ONC DX HEAD/NECK T1-T2NO PRG
G91100HCPCS / CPT®ONC DX HEAD/NECK T3-4 NOPROG
G91110HCPCS / CPT®ONC DX HEAD/NECK M1 METS REC
G91120HCPCS / CPT®ONC DX HEAD/NECK EXT UNKNOWN
G91130HCPCS / CPT®ONC DX OVARIAN STG1A-B NO PR
G91140HCPCS / CPT®ONC DX OVARIAN STG1A-B OR 2
G91150HCPCS / CPT®ONC DX OVARIAN STG3/4 NOPROG
G91160HCPCS / CPT®ONC DX OVARIAN RECURRENCE
G91170HCPCS / CPT®ONC DX OVARIAN UNKNOWN NOS
G91230HCPCS / CPT®ONC DX CML CHRONIC PHASE
G91240HCPCS / CPT®ONC DX CML ACCELER PHASE
G91250HCPCS / CPT®ONC DX CML BLAST PHASE
G91260HCPCS / CPT®ONC DX CML REMISSION
G91280HCPCS / CPT®ONC DX MULTI MYELOMA STAGE I
G91290HCPCS / CPT®ONC DX MULT MYELOMA STG2 HIG
G91300HCPCS / CPT®ONC DX MULTI MYELOMA UNKNOWN
G91310HCPCS / CPT®ONC DX BRST UNKNOWN NOS
G91320HCPCS / CPT®ONC DX PROSTATE METS NO CAST
G91330HCPCS / CPT®ONC DX PROSTATE CLINICAL MET
G91340HCPCS / CPT®ONC NHLSTG 1-2 NO RELAP NO
G91350HCPCS / CPT®ONC DX NHL STG 3-4 NOT RELAP
G91360HCPCS / CPT®ONC DX NHL TRANS TO LG BCELL
G91370HCPCS / CPT®ONC DX NHL RELAPSE/REFRACTOR
G91380HCPCS / CPT®ONC DX NHL STG UNKNOWN
G91390HCPCS / CPT®ONC DX CML DX STATUS UNKNOWN
G91400HCPCS / CPT®FRONTIER EXTENDED STAY DEMO
G91430HCPCS / CPT®WARFARIN RESPON GENETIC TEST
G91470HCPCS / CPT®OUTPT IV INSULIN TX ANY MEA
G91480HCPCS / CPT®MEDICAL HOME LEVEL 1
G91490HCPCS / CPT®MEDICAL HOME LEVEL II
G91500HCPCS / CPT®MEDICAL HOME LEVEL III
G91510HCPCS / CPT®MAPCP DEMO STATE
G91520HCPCS / CPT®MAPCP DEMO COMMUNITY
G91530HCPCS / CPT®MAPCP DEMO PHYSICIAN
G91560HCPCS / CPT®EVALUATION FOR WHEELCHAIR
G91570HCPCS / CPT®TRANSESOPH DOPPL CARDIAC MON
G91580HCPCS / CPT®MOTOR SPEECH D/C STATUS
G91590HCPCS / CPT®LANG COMP CURRENT STATUS
G91600HCPCS / CPT®LANG COMP GOAL STATUS
G91610HCPCS / CPT®LANG COMP D/C STATUS
G91620HCPCS / CPT®LANG EXPRESS CURRENT STATUS
G91630HCPCS / CPT®LANG EXPRESS GOAL STATUS
G91640HCPCS / CPT®LANG EXPRESS D/C STATUS
G91650HCPCS / CPT®ATTEN CURRENT STATUS
G91660HCPCS / CPT®ATTEN GOAL STATUS
G91670HCPCS / CPT®ATTEN D/C STATUS
G91680HCPCS / CPT®MEMORY CURRENT STATUS
G91690HCPCS / CPT®MEMORY GOAL STATUS
G91700HCPCS / CPT®MEMORY D/C STATUS
G91710HCPCS / CPT®VOICE CURRENT STATUS
G91720HCPCS / CPT®VOICE GOAL STATUS
G91730HCPCS / CPT®VOICE D/C STATUS
G91740HCPCS / CPT®SPEECH LANG CURRENT STATUS
G91750HCPCS / CPT®SPEECH LANG GOAL STATUS
G91760HCPCS / CPT®SPEECH LANG D/C STATUS
G91860HCPCS / CPT®MOTOR SPEECH GOAL STATUS
G91870HCPCS / CPT®BPCI HOME VISIT
G91880HCPCS / CPT®BETA NOT GIVEN NO REASON
G91890HCPCS / CPT®BETA PRES OR ALREADY TAKING
G91900HCPCS / CPT®MEDICAL REASON FOR NO BETA
G91910HCPCS / CPT®PT REASON FOR NO BETA
G91920HCPCS / CPT®SYSTEM REASON FOR NO BETA
G91960HCPCS / CPT®MED REASON FOR NO CEPH
G91970HCPCS / CPT®ORDER FOR CEPH
G91980HCPCS / CPT®NO ORDER FOR CEPH NO REASON
G92120HCPCS / CPT®DOC OF DSM-IV INIT EVAL
G92130HCPCS / CPT®NO DOC OF DSM-IV
G92230HCPCS / CPT®PJP PROPH ORDERED CD4 LOW
G92250HCPCS / CPT®NORSN NO FOOT EXAM
G92260HCPCS / CPT®3 COMP FOOT EXAM COMPLETED
G92270HCPCS / CPT®DOCRSN NO CARE PLAN
G92280HCPCS / CPT®GC CHL SYP DOCUMENTED
G92290HCPCS / CPT®PTRSN NO GC CHL SYP TEST
G92300HCPCS / CPT®NORSN FOR GC CHL SYP TEST
G92310HCPCS / CPT®DOC ESRD DIA TRANS PREG
G92320HCPCS / CPT®PTRSN NO COMM COMORBID
G92390HCPCS / CPT®DOC RSN HEMOD & CATH ACC
G92400HCPCS / CPT®DOC PT W CATH MAINT DIA
G92410HCPCS / CPT®DOC PT W OUT CATH MAINT DIA
G92420HCPCS / CPT®DOC VIRAL LOAD >=200
G92430HCPCS / CPT®DOC VIRAL LOAD <200
G92460HCPCS / CPT®NO MED VISIT IN 24MO
G92470HCPCS / CPT®1 MED VISIT IN 24MO
G92500HCPCS / CPT®DOC OF PAIN COMFORT 48HR
G92510HCPCS / CPT®DOC NO PAIN COMFORT 48HR
G92540HCPCS / CPT®DOC PT DISCHG >2D
G92550HCPCS / CPT®DOC PT DISCHG <=2D
G92560HCPCS / CPT®DOC DEATH AFTER CAS
G92570HCPCS / CPT®DOC STROKE AFTER CAS
G92580HCPCS / CPT®DOC STROKE AFTER CEA
G92590HCPCS / CPT®DOC SURV NO STROKE AFTER CAS
G92600HCPCS / CPT®DOC DEATH AFTER CEA
G92610HCPCS / CPT®DOC SURV NO STROKE AFTER CEA
G92620HCPCS / CPT®DOC DEATH IN HOSP AAA REPAIR
G92630HCPCS / CPT®DOC SURV IN HOSP AAA REPAIR
G92640HCPCS / CPT®DOC RSN HEMOD W/CATH >=90D
G92650HCPCS / CPT®DOC CATH >90D FOR MAINT DIA
G92660HCPCS / CPT®NORSN PT CATH >=90D
G92670HCPCS / CPT®DOC COMP OR MORT W IN 30D
G92680HCPCS / CPT®DOC COMP OR MORT W IN 90D
G92690HCPCS / CPT®DOC NO COMP OR MORT W IN 30D
G92700HCPCS / CPT®DOC NO COMP OR MORT W IN 90D
G92730HCPCS / CPT®SYS<140 AND DIA<90
G92740HCPCS / CPT®BP OUT OF NRML LIMITS
G92750HCPCS / CPT®DOC OF NON TOBACCO USER
G92760HCPCS / CPT®DOC OF TOBACCO USER
G92770HCPCS / CPT®DOC DAILY ASPIRIN OR CONTRA
G92780HCPCS / CPT®DOC NO DAILY ASPIRIN
G92790HCPCS / CPT®PNE SCRN DONE DOC VAC DONE
G92800HCPCS / CPT®PNE NOT GIVEN NORSN
G92810HCPCS / CPT®PNE SCRN DONE DOC NOT IND
G92820HCPCS / CPT®DOC MEDRSN NO HISTO TYPE
G92830HCPCS / CPT®HIST TYPE DOC ON REPORT
G92840HCPCS / CPT®NO HIST TYPE DOC ON REPORT
G92850HCPCS / CPT®SITE NOT SMALL CELL LUNG CA
G92860HCPCS / CPT®ANTIBIO RX W IN 10D OF SYMPT
G92870HCPCS / CPT®NO ANTIBIO W IN 10D OF SYMPT
G92880HCPCS / CPT®DOC MEDRSN NO HIST TYPE RPT
G92890HCPCS / CPT®DOC TYPE NSM LUNG CA
G92900HCPCS / CPT®NO DOC TYPE NSM LUNG CA
G92910HCPCS / CPT®NOT NSM LUNG CA
G92920HCPCS / CPT®MEDRSN NO PT CATEGORY
G92930HCPCS / CPT®NO PT CATEGORY ON REPORT
G92940HCPCS / CPT®PT CAT AND THCK ON REPORT
G92950HCPCS / CPT®NON CUTANEOUS LOC
G92960HCPCS / CPT®DOC SHARE DEC PRIOR PROC
G92970HCPCS / CPT®NO DOC SHARE DEC PRIOR PROC
G92980HCPCS / CPT®EVAL RISK VTE CARD 30D PRIOR
G92990HCPCS / CPT®NO EVAL RISKK VTE CARD PRIOR
G93000HCPCS / CPT®DOC MEDRSN NO COMPL ANTIBIO
G93010HCPCS / CPT®DOC COMPL INF ANTIBIO
G93020HCPCS / CPT®NORSN INCOMP INF ANTIBIO
G93030HCPCS / CPT®NORSN NO PROS INFO OP RPT
G93040HCPCS / CPT®PROS INFO OP RPT
G93050HCPCS / CPT®NO INTERV REQ FOR LEAK
G93060HCPCS / CPT®INTERV REQ FOR LEAK
G93070HCPCS / CPT®NO RET FOR SURG W IN 30D
G93080HCPCS / CPT®UNPL RET OR W/COMPL W/IN 30D
G93090HCPCS / CPT®NO UNPLND HOSP READM IN 30D
G93100HCPCS / CPT®UNPLND HOSP READM IN 30D
G93110HCPCS / CPT®NO SURG SITE INFECTION
G93120HCPCS / CPT®SURGICAL SITE INFECTION
G93130HCPCS / CPT®DOCRSN NOT FIRST LINE AMOX
G93140HCPCS / CPT®NORSN NOT FIRST LINE AMOX
G93150HCPCS / CPT®DOC FIRST LINE AMOX
G93160HCPCS / CPT®DOC COMM RISK CALC
G93170HCPCS / CPT®NO DOC COMM RISK CALC
G93180HCPCS / CPT®IMAGE STD NOMENCLATURE
G93190HCPCS / CPT®IMAGE NOT STD NOMENCLATURE
G93210HCPCS / CPT®DOC COUNT OF CT IN 12MO
G93220HCPCS / CPT®NO DOC COUNT OF CT IN 12MO
G93260HCPCS / CPT®CT DONE NO RAD DS INDEX, NRG
G93270HCPCS / CPT®CT DONE RAD DS INDEX
G93290HCPCS / CPT®NORSN NO DICOM FORMAT DOC
G93400HCPCS / CPT®DICOM FORMAT DOC ON RPT
G93410HCPCS / CPT®SRCH FOR CT W IN 12 MOS
G93420HCPCS / CPT®NO SRCH FOR CT IN 12MO NORSN
G93440HCPCS / CPT®SYSRSN NO DICOM SRCH
G93450HCPCS / CPT®FOLLOW UP PULM NOD
G93470HCPCS / CPT®NO FOLLOW UP PULM NOD NORSN
G93480HCPCS / CPT®DOCRSN NO SINUS CT DX
G93490HCPCS / CPT®DOC SINUS CT 28D
G93500HCPCS / CPT®NO DOC SINUS CT 28D OR DX
G93510HCPCS / CPT®DOC >1 SINUS CT W 90D DX
G93520HCPCS / CPT®NOT >1 SINUS CT W 90D DX
G93530HCPCS / CPT®MEDRSN >1 SINUS CT W 90D DX
G93540HCPCS / CPT®1 OR NO CT SINUS W/IN 90D DX
G93550HCPCS / CPT®NO EARLY IND/DELIVERY
G93560HCPCS / CPT®EARLY IND/DELIVERY
G93570HCPCS / CPT®PP EVAL/EDU PERF
G93580HCPCS / CPT®PP EVAL/EDU NOT PERF
G93590HCPCS / CPT®DOC OF NEG OR MAN POS TB SCN
G93600HCPCS / CPT®NO DOC OF NEG OR MAN POS TB
G93610HCPCS / CPT®DOC RSN ELECT C-SEC/INDUCT
G93640HCPCS / CPT®SINUS CAUS BAC INX
G93650HCPCS / CPT®1HIGH RISK MED ORD
G93660HCPCS / CPT®1HIGH RISK NO ORD
G93670HCPCS / CPT®2HIGH RISK MED ORD
G93680HCPCS / CPT®2HIGH RISK NO ORD
G93800HCPCS / CPT®OFF ASSIS EOL ISS
G93810HCPCS / CPT®DOC MED REAS NO OFFER EOL
G93820HCPCS / CPT®NO OFF ASSIS EOL
G93830HCPCS / CPT®RECD SCRN HCV INFEC
G93840HCPCS / CPT®DOC MED REAS NO ANN SRN HCV
G93850HCPCS / CPT®DOC PT REAS NOT REC HCV SRN
G93860HCPCS / CPT®SCRN HCV INFEC NOT RECD
G93890HCPCS / CPT®UNPLN RUP POST CAP
G93900HCPCS / CPT®NO UNPLN RUP POST CAP
G93930HCPCS / CPT®INI PHQ9 >9 REMISS <5
G93940HCPCS / CPT®DX BIPOL, DEATH, NHRES, HOSP
G93950HCPCS / CPT®INI PHQ9 >9 NO REMISS >=5
G93960HCPCS / CPT®INI PHQ9 >9 NOT ASSESS
G93990HCPCS / CPT®DOC DISC TX CHOICES
G94000HCPCS / CPT®DOC REAS NO DISC TX OPT
G94010HCPCS / CPT®NO DISC TX CHOICES
G94020HCPCS / CPT®RECD F/U W/IN 30D DISCH
G94030HCPCS / CPT®DOC REAS NO 30 DAY F/U
G94040HCPCS / CPT®NO 30 DAY F/U
G94050HCPCS / CPT®RECD F/U W/IN 7D DISCH
G94060HCPCS / CPT®DOC REAS NO 7D F/U
G94070HCPCS / CPT®NO 7D F/U
G94080HCPCS / CPT®CARD TAMP W/IN 30D
G94090HCPCS / CPT®NO CARD TAMP E/IN 30D
G94100HCPCS / CPT®ADMIT W/IN 180D REQ REMOV
G94110HCPCS / CPT®NO ADMIT W/IN 180D REQ REMOV
G94120HCPCS / CPT®ADMIT W/IN 180D REQ SURG REV
G94130HCPCS / CPT®NO ADMIT REQ SURG REV
G94140HCPCS / CPT®1DOSE MENIG VAC BTWN 11 & 13
G94150HCPCS / CPT®NO 1DOSE MENI VAC BTWN 11&13
G94160HCPCS / CPT®PT 1 TDAP BETW 10-13 YRS
G94170HCPCS / CPT®PT NOT 1 TDAP BETW 10-13 YRS
G94180HCPCS / CPT®LUNGCX BX RPT DOCS CLASS
G94190HCPCS / CPT®MED REAS NOT INCL HISTO TYPE
G94200HCPCS / CPT®SPEC SITE NO LUNG
G94210HCPCS / CPT®LUNG CX BX RPT NO DOC CLASS
G94220HCPCS / CPT®RPT DOC CLASS HISTO TYPE
G94230HCPCS / CPT®MED REAS RPT NO HISTO TYPE
G94240HCPCS / CPT®SITE NO LUNG OR LUNG CX
G94250HCPCS / CPT®SPEC RPT NO DOC CLASS HISTO
G94260HCPCS / CPT®IMPR MED TIME EDARR PAIN MED
G94270HCPCS / CPT®NO IMPRO MED TIME PAIN MED
G94280HCPCS / CPT®RPT PT CAT AND PT1
G94290HCPCS / CPT®DOC MED REAS NO PT CAT
G94300HCPCS / CPT®SPEC SITE NO CUTANEOUS
G94310HCPCS / CPT®NO PT CAT AND PT1
G94320HCPCS / CPT®ASTH CONTROLLED
G94340HCPCS / CPT®ASTH NOT CONTROLLED
G94480HCPCS / CPT®BORN 1945-1965
G94490HCPCS / CPT®HX BLD TRANSF B/F 1992
G94500HCPCS / CPT®HX INJEC DRUG USE
G94510HCPCS / CPT®1X SCRN HCV INFECT
G94520HCPCS / CPT®DOC MED REAS NO SCRN HCV
G94530HCPCS / CPT®PT REAS NO HCV INFECT
G94540HCPCS / CPT®NO HCV INFECT SRN
G94550HCPCS / CPT®ABD IMAG W/US, CT OR MRI
G94560HCPCS / CPT®DOC MED PT REAS NO HCC SCRN
G94570HCPCS / CPT®NO ABD IMAG W/O REASON
G94580HCPCS / CPT®TOB USER RECD CESS INTERV
G94590HCPCS / CPT®TOB NON-USER
G94600HCPCS / CPT®NO TOB ASSESS OR CESS INTER
G94680HCPCS / CPT®NO RECD CORTICO>=10MG/D >60D
G94690HCPCS / CPT®REC CORTICO>60D OR 1RX 600MG
G94700HCPCS / CPT®NO REC CORTICO>60D 1RX 600MG
G94710HCPCS / CPT®W/IN 2YR DXA NOT ORDER
G94720HCPCS / CPT®NO DXA NO MED HX NO RV SX
G94730HCPCS / CPT®CHAP SERVICES AT HOSPICE
G94740HCPCS / CPT®DIET COUNSEL AT HOSPICE
G94750HCPCS / CPT®OTHER COUNSELOR AT HOSPICE
G94760HCPCS / CPT®VOLUN SERVICE AT HOSPICE
G94770HCPCS / CPT®CARE COORD AT HOSPICE
G94780HCPCS / CPT®OTHE THERAPIST AT HOSPICE
G94790HCPCS / CPT®PHARMACIST AT HOSPICE
G94800HCPCS / CPT®ADMISSION TO MCCM
G94810HCPCS / CPT®REMOTE E/M NEW PT 10MINS
G94820HCPCS / CPT®REMOTE E/M NEW PT 20MINS
G94830HCPCS / CPT®REMOTE E/M NEW PT 30MINS
G94840HCPCS / CPT®REMOTE E/M NEW PT 45MINS
G94850HCPCS / CPT®REMOTE E/M NEW PT 60MINS
G94860HCPCS / CPT®REMOTE E/M EST. PT 10MINS
G94870HCPCS / CPT®REMOTE E/M EST. PT 15MINS
G94880HCPCS / CPT®REMOTE E/M EST. PT 25MINS
G94890HCPCS / CPT®REMOTE E/M EST. PT 40MINS
G94900HCPCS / CPT®JOINT REPLAC MOD HOME VISIT
G94960HCPCS / CPT®DOC RSN NO ADENO/NEOPL DETEC
G94970HCPCS / CPT®REC INST NO SMOKE DAY SURG
G94980HCPCS / CPT®ABX REG PRESCRIBED
G95000HCPCS / CPT®RAD EXPOS IND/EXP TM DOC
G95010HCPCS / CPT®RAD EXPOS IND/EXP TM NO DOC
G95020HCPCS / CPT®MED REAS NO PERF FOOT EXAM
G95030HCPCS / CPT®PT TK TAMS HCL
G95040HCPCS / CPT®DOC REAS NO HBV STATUS
G95050HCPCS / CPT®ABX PRES W/IN 10 DYS OF SYMP
G95060HCPCS / CPT®BIO IMM RESP MOD PRESC
G95070HCPCS / CPT®DOC REAS ON STATIN OR CONTRA
G95080HCPCS / CPT®DOC PT NOT ON STATIN
G95090HCPCS / CPT®REMIS 12M PHQ-9 SCORE <5
G95100HCPCS / CPT®REMIS 12M NOT PHQ-9 SCORE <5
G95110HCPCS / CPT®PHQ-9 >9 DURING 12M TIME
G95120HCPCS / CPT®INDIV PDC > 0.8
G95130HCPCS / CPT®INDIV PDC NOT > 0.8
G95140HCPCS / CPT®REQ RET OR W/IN 90D OF SURG
G95150HCPCS / CPT®NO REAS, NO RET OR W/IN 90D
G95160HCPCS / CPT®IMPR VIS ACUIT W/IN 90D
G95170HCPCS / CPT®NO IMPR VIS ACUIT W/IN 90D
G95180HCPCS / CPT®DOC ACTIVE INJ DRUG USE
G95190HCPCS / CPT®FINAL REF +/- 0.5 W/IN 90D
G95200HCPCS / CPT®REFRACT NOT +/- 0.5 W/IN 90D
G95210HCPCS / CPT®ER AND IP HOSP <2 IN 12 MOS
G95220HCPCS / CPT®ER/IP HOSP =/>2 IN 12 MOS
G95230HCPCS / CPT®D/C HEMO OR PERIT DIALYSIS
G95240HCPCS / CPT®REFER TO HOSPICE
G95250HCPCS / CPT®DOC PT REAS NO HOSPICE REFER
G95260HCPCS / CPT®NO REASON, NO REFER HOSPICE
G95290HCPCS / CPT®MINOR BLUNT TRAUMA W/HEAD CT
G95300HCPCS / CPT®MIN HD TRAUM GCS=15 W/CT ED
G95310HCPCS / CPT®DOC SHNT/BR TUM/ON ANTIPL RX
G95320HCPCS / CPT®INJ >24 HR IN ED GCS <15
G95330HCPCS / CPT®INDIC FOR HEAD CT NOT VALID
G95340HCPCS / CPT®ADV BRAIN IMAGE NOT ORDERED
G95350HCPCS / CPT®NORMAL NEURO EXAM
G95360HCPCS / CPT®DOC MED REAS ADV BRAIN IMAGE
G95370HCPCS / CPT®DOC SYSTEM REAS ADV IMAGING
G95380HCPCS / CPT®ADV BRAIN IMAGE ORDERED
G95390HCPCS / CPT®INTENT POT REMV TIME PLACEMT
G95400HCPCS / CPT®PT ALIVE 3 MOS POST PROC
G95410HCPCS / CPT®FILTER GONE AFT 3MOS PLACMT
G95420HCPCS / CPT®DOC REASS APPR REMO FILT 3MS
G95430HCPCS / CPT®DOC 2X RE-ASSESS FILT REMOV
G95440HCPCS / CPT®NO FILT REMOV W/IN 3MOS PLCM
G95470HCPCS / CPT®INCID FINDING LIVER/KID/ADRE
G95480HCPCS / CPT®ABD IMAG AND FOLLOWUP REC
G95490HCPCS / CPT®DOC MED RSN FOR FOLLOW IMAG
G95500HCPCS / CPT®ABD IMAG AND FOLLOWUP NO REC
G95510HCPCS / CPT®ABD IMAG NO LES,KID/LIVR/ADR
G95520HCPCS / CPT®INC THYR NODE <1.0 IN RPT
G95530HCPCS / CPT®PRIOR THYROID DISE DX
G95540HCPCS / CPT®CT/CTA/MRI/A CHST FOLL REC
G95550HCPCS / CPT®DOC MED RSN FOR FOLLUP IMAGE
G95560HCPCS / CPT®CT/CTA/MRI/A NO FOLLUP IMAG
G95570HCPCS / CPT®CT/CTA/MRI/A NO THYR <1.0CM
G95580HCPCS / CPT®TX BETA-LACTAM ABX THERAPY
G95590HCPCS / CPT®DOC MED REAS NO ABX THERAPY
G95600HCPCS / CPT®NO BETA-LACTAM ABX THER, RNG
G95610HCPCS / CPT®PRESC OPIATES >6 WKS
G95620HCPCS / CPT®FOLL-UP EVAL Q3MO OPIOD TX
G95630HCPCS / CPT®NO F/U EVAL Q3MO OPIOD TX
G95730HCPCS / CPT®REMIS 6M W/6MOS PHQ-9 <5
G95740HCPCS / CPT®REMIS 6M W/O 6MOS PHQ-9 <5
G95770HCPCS / CPT®PRESC OPIATES >6 WKS
G95780HCPCS / CPT®DOC OPIOID TX 1X DURING THER
G95790HCPCS / CPT®NO DOC OPIOID TX 1X AT THER
G95800HCPCS / CPT®DOOR TO PUNC TIME <2HRS
G95820HCPCS / CPT®DOOR TO PUNC TIME >2HR, NRG
G95830HCPCS / CPT®PRESC OPIATES >6 WKS
G95840HCPCS / CPT®EVAL OPIOID USE INSTR/PT INT
G95850HCPCS / CPT®NO EVAL OPI USE INSTR/INTV
G95930HCPCS / CPT®LOW PECARN PED HEAD TRAUMA
G95940HCPCS / CPT®GSC >15 & HD CT BY ED MD
G95950HCPCS / CPT®DOC SHNT/TUM/COAG/THROMBOCYT
G95960HCPCS / CPT®HD INJ >24H/GCS >15/NO RES
G95970HCPCS / CPT®NO LOW PECARN PED HEAD TRAUM
G95980HCPCS / CPT®AOR ANE 5.5-5.9 CM MAX DIAM
G95990HCPCS / CPT®AOR ANE >=6.0 CM MAX DIAM
G96000HCPCS / CPT®SYMP AAA URGENT REPAIR
G96010HCPCS / CPT®PT DCHG HOME POST OP DAY 7
G96020HCPCS / CPT®PT NO DCHG HOME POSTOP DAY 7
G96030HCPCS / CPT®PT SURV IMPROV BSLINE TX
G96040HCPCS / CPT®PT SURV RESULTS NOT AVAIL
G96050HCPCS / CPT®SURV SCORE NO IMPROV W/TX
G96060HCPCS / CPT®INTRAOP CYST EVAL TRAC INJ
G96070HCPCS / CPT®DOC RSN NO INTEROP CYSTO
G96080HCPCS / CPT®INTRAOP CYST EVAL NOT DONE
G96090HCPCS / CPT®DOC ORDER ANTI-PLAT
G96100HCPCS / CPT®DOC MD RSN NO ANTIPLA
G96110HCPCS / CPT®NO DOC ORDER ANTI-PLAT RNG
G96120HCPCS / CPT®PHO DOC >1 CECAL LDMK COM EX
G96130HCPCS / CPT®DOC POST SURG ANATOMY
G96140HCPCS / CPT®NO PHOTODOC CECAL LDMK EXAM
G96150HCPCS / CPT®PRE-OP ASST DOC
G96160HCPCS / CPT®DOC RSN NO PREOP ASSMT
G96170HCPCS / CPT®PRE-OP ASST NOT DOC, RNG
G96180HCPCS / CPT®DOC SCR UTER MAL OR US/SAMP
G96200HCPCS / CPT®NO SCR UTR MALIG/US/SAMP RNG
G96210HCPCS / CPT®SCR UNHEAL ETOH W/COUNSEL
G96220HCPCS / CPT®NO UNHEAL ETOH USER
G96230HCPCS / CPT®DOC MED RSN NO SCR ETOH USE
G96240HCPCS / CPT®NO ETOH SCR/NO COUNC/NRG
G96250HCPCS / CPT®PTBLAD INJ AT SURG/1MO POST
G96260HCPCS / CPT®MED RSN NO RPT BALDDER INJ
G96270HCPCS / CPT®NO BLD INJ AT SURG/1 MO POS
G96280HCPCS / CPT®BOWEL INJ AT SURG/1MOS POST
G96290HCPCS / CPT®MED RSN NO RPT BOWEL INJ
G96300HCPCS / CPT®NO BOW INJ AT SURG/1MOS POST
G96310HCPCS / CPT®URTR INJ AT SURG/1MOS POST
G96320HCPCS / CPT®MED RSN FOR NO RPT URET INJ
G96330HCPCS / CPT®NO URET INJ AT SURG/1MO POST
G96340HCPCS / CPT®QUAL LIFE TOOL 2X SAME/IMPR
G96350HCPCS / CPT®NO DOC RSN DO QUAL LIFE ASSM
G96360HCPCS / CPT®NO LIFE ASST 2X SAME/DECR
G96370HCPCS / CPT®DOC >1 DOSE REDUC TECH
G96380HCPCS / CPT®NO DOC >1 DOSE REDUC TECH
G96390HCPCS / CPT®AMP NO REQD IN48H IELER PROC
G96400HCPCS / CPT®DOC PLAN HYBRID/STAGE PROC
G96410HCPCS / CPT®AMP REQD W/IN 48H IELER PROC
G96420HCPCS / CPT®CURRENT SMOKER
G96430HCPCS / CPT®ELECTIVE SURGERY
G96440HCPCS / CPT®NO SMOK B/4 ANES DAY OF SURG
G96450HCPCS / CPT®HAD SMOKE B/4 ANES DAY SURG
G96460HCPCS / CPT®PT W/90D MRS 0-2
G96470HCPCS / CPT®NO MRS SCORE IN 90D FOLLOWUP
G96480HCPCS / CPT®PT W/90D MRS >2
G96490HCPCS / CPT®PSORI TOOL DOC W/BENCHMK
G96510HCPCS / CPT®PSORI TOOL DOC/NO BNCHMK MET
G96540HCPCS / CPT®MON ANESTH CARE
G96550HCPCS / CPT®TOC TOOL INCL KEY ELEM
G96560HCPCS / CPT®PT DIRECT ANESTH LOC TO PACU
G96580HCPCS / CPT®TOC TOOL INCL ELEM NOT USED