CPT and HCPCS Coding

Baruch College/Mount Sinai
School of Medicine
Program in Health Care
Administration and Policy

Current Procedural
Terminology (CPT) and
Health Care Procedure
Coding System (HCPCS)

Lecture 10CPT
January 17, 2011

Raymond R. Arons, Dr. P.H., M.P.H

Lecture 10 CPT and HCPCS Coding System 2

Baruch College/Mount Sinai School of Medicine
Program In Health Care Administration and Policy
BUS 9100: The Social and Governmental Environment
of the Business of Health Care

Lecture 10CPT January 11, 2011
Current Procedural Terminology
(CPT) and Health Care Procedure
Coding System (HCPCS)
Raymond R. Arons, Dr. P.H, M.P.H

Coding Methods Currently in Use
International Classification of Diseases - ICD-9-CM
– Coding of Inpatient Discharges
International Classification of Diseases - ICD-10-CM
– Not yet adopted
Diagnosis-related Groupings (DRGs) Medicare
– Hospital reimbursement
Physician Current Procedure Terminology (CPT)
– Physicians for procedures performed
Common Procedure Coding System (HCPCS)
– Used by vendors of equipment and services

2

Copyright © 2011 Raymond R. Arons, Teaneck, NJ, USA


Current Procedural Terminology (CPT)

History
Operations
Definitions
Classification of Procedure Groupings
Example codes

3

Current Procedural Terminology (CPT) History
CPT was first developed and published by the AMA in
1966. We are now using the fourth edition, the CPT-4
version of this coding system.

The purpose of the system when first developed had
nothing to do with reimbursement; it was to help
standardize terminology among physicians and to
serve as a type of shorthand that would simplify
medical records for physicians and record clerks.

4 continued...

http://findarticles.com/p/articles/mi_m3230/is_10_32/ai_66498630/ (Visited January 10, 2011)



With the introduction of the second edition in 1970, the
codes changed from 4 digits to 5 and became far more
inclusive.

Sometime during this period, laboratory procedures
were incorporated into the CPT system.

In 1983, HCFA merged CPT with its own Common
Procedure Coding System (HCPCS) and mandated
that CPT be used for all Medicare billing.
.

5 continued...


A similar mandate extended this system to Medicaid
billing in 1986. The AMA owns the copyright for CPT
and collects fees from the users to help defray
maintenance expenses.

CPT tends to be organized around procedures, while
ICD is more focused on diagnosis. Almost all third
party payers use CPT as the codified means of
processing claims for physician billing

6 continued...




(CPT) Updates and Methods
The CPT system, as developed and maintained by the
AMA, is governed by the CPT editorial panel, a group
of 16 individuals (virtually all physicians) who are
empowered to make final decisions with regard to the
content of CPT.
This panel is supported at the AMA by a staff of about
12 and by about 75 CPT advisors representing nearly
all of the medical specialty societies seated in the
AMA House of Delegates).

7 continued...


(CPT) Updates and Methods
The CPT panel also has members from CMS, the
Blue Cross/Blue Shield Association, the American
Hospital Association, and the private insurance
industry.
This panel meets about quarterly to consider
alterations to the code and any other matters related
to the publishing and use of CPT.
The AMA Publications Office is responsible for
publishing the standard yearly edition of CPT-4, as
well as various editions directed at specific specialties.

8 continued...




(CPT) Updates and Method
The process of generating a new code or revising an
existing one usually begins with a query to the AMA
CPT coding office.
Requests for changes may come from physicians,
medical societies, manufacturers, billing services,
hospital coders, or any other interested party.
To request a new code or to suggest revising or
deleting an existing one, the requesting party must
provide information about the frequency of use of the
procedure/test in question, how the test/procedure is
presently being coded, and documentation of the need
for the request

9 continued...

CPT Code Organization
Medical Management
Anesthesia
Surgery
Radiology
Pathology and Laboratory
Medicine

10



American Medical Association, Current Procedure Terminology CPT 2007,Standard Edition, 2006,
Chicago, Illinois

S9100

Medical Evaluation and Management
Examples
Office or Other Outpatient Services
Hospital Observation Services
Hospital Inpatient Services
Consultations
ED Services
Pediatric Critical Care Transport
Critical Care Services
Neonatal Services
Pediatric Critical Care
Inpatient Neonatal Care

11

Chicago, Illinois

anuary 17, 2011



Anesthesia Examples
Head
Neck
Thorax
Intrathoracic
Spine and Spinal Cord
Upper Abdomen
Lower Abdomen
Perineum
Pelvis

12

Chicago, Illinois

ecture 10CPT

Surgery Examples
General
Integumentary
Musculoskeletal
Respiratory
Cardiovascular
Hemic and Lymphatic
Mediastinum
Digestive
Urinary
Male Genital

13



Chicago, Illinois

Radiology Examples
Diagnostic Imaging
Diagnostic Ultrasound
Radiologic Guidance
Breast Mammography
Bone/Joint Studies
Radiology Oncology
Nuclear Medicine

14

Chicago, Illinois



Pathology and Laboratory Examples
Organ or Disease-Oriented Panels
Drug Testing
Therapeutic Drug Assays
Evocation/Suppression Testing
Consultation (Clinical Pathology)
Urinalysis
Hematology and Coagulations
Immunology
Transfusion Medicine
Microbiology

15

Chicago, Illinois

Medicine Examples
Immune Globulins
Immunizations for Vaccines
Vaccines Toxids
Hydration Therapeutics
Psychiatry
Biofeedback
Dialysis
Gastroenterology
Ophthalmology
Cardiovascular

16



Chicago, Illinois

NYS Medicaid Physician Medicine Services Fee
Fee
NON-
FACILITY FACILITY
GLOBAL GLOBAL
CODE DESCRIPTION FEE FEE
81000 URINALYSIS, BY DIP STICK OR TABLET REAGE 4.00 4.00
81015 URINALYSIS; MICROSCOPIC ONLY 2.00 2.00
81025 URINE PREGNANCY TEST, BY VISUAL COLOR CO 2.00 2.00
83655 LEAD 15.00 15.00
85007 BLOOD COUNT; BLOOD SMEAR, MICROSCOPIC EX 1.43 1.43
85013 BLOOD COUNT; SPUN MICROHEMATOCRIT 2.00 2.00
85018 BLOOD COUNT; HEMOGLOBIN (HGB) 2.00 2.00
85025 BLOOD COUNT; COMPLETE (CBC), AUTOMATED ( 3.17 3.17
85041 BLOOD COUNT; RED BLOOD CELL (RBC), AUTOM 3.17 3.17
85048 BLOOD COUNT; LEUKOCYTE (WBC), AUTOMATED 3.17 3.17
85651 SEDIMENTATION RATE, ERYTHROCYTE; NON-AUT 2.00 2.00

17

http://www.emedny.org/ProviderManuals/Physician/index.html (visited January 11, 2011)



NYS Medicaid Physician Medicine Services
Fee Schedule
93603 RIGHT VENTRICULAR RECORDING 143.48 143.48
93609 INTRAVENTRICULAR AND/OR INTRA-ATRIAL MAP 297.03 297.03
93610 INTRA-ATRIAL PACING 169.83 169.83
93612 INTRAVENTRICULAR PACING 178.16 178.16
93613 INTRACARDIAC ELECTROPHYSIOLOGIC 3-DIMENS 243.20 202.67
93615 ESOPHAGEAL RECORDING OF ATRIAL ELECTROGR 47.39 47.39
93616 ESOPHAGEAL RECORDING OF ATRIAL ELECTROGR 61.65 61.65
93618 INDUCTION OF ARRHYTHMIA BY ELECTRICAL PA 306.84 306.84
93619 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUAT 563.12 563.12
93620 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUAT 781.92 781.92
93621 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUAT 1,670.54 1,670.54
93622 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUAT 1,742.22 1,742.22

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NYS Medicaid Physician Medicine Services
Fee Schedule
93455 CATHETER PLACEMENT IN CORONARY ARTERY(S) 487.72 487.72 173.74
93462 LEFT HEART CATHETERIZATION BY TRANSSEPTA 97.78 78.15
93463 PHARMACOLOGIC AGENT ADMINISTRATION (EG, 49.67 41.39
93464 PHYSIOLOGIC EXERCISE STUDY (EG, BICYCLE 119.97 119.97 54.60
93503 INSERTION AND PLACEMENT OF FLOW DIRECTED 140.00 140.00
93505 ENDOMYOCARDIAL BIOPSY 502.53 502.53 180.86
93530 RIGHT HEART CATHETERIZATION, FOR CONGENI 733.61 733.61 174.04
93531 COMBINED RIGHT HEART CATHETERIZATION AND 1,934.96 1,934.96 339.03

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NYS Medicaid Physician Anesthesia
Services Fee Schedule Examples

ANEST
CODE DESCRIPTION BASE
00100 ANESTHESIA FOR PROCEDURES ON SALIVARY 5
00102 ANESTHESIA FOR PROCEDURES INVOLVING PLA 6
00103 ANESTHESIA FOR RECONSTRUCTIVE PROCEDU 5
00104 ANESTHESIA FOR ELECTROCONVULSIVE THERA 4
00120 ANESTHESIA FOR PROCEDURES ON EXTERNAL, 5
00140 ANESTHESIA FOR PROCEDURES ON EYE; NOT 5
00142 ANESTHESIA FOR PROCEDURES ON EYE; LENS 4
00144 ANESTHESIA FOR PROCEDURES ON EYE; COR 6
00145 ANESTHESIA FOR PROCEDURES ON EYE; VITR 6
00147 ANESTHESIA FOR PROCEDURES ON EYE; IRIDE 4

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NYS Medicaid Physician Anesthesia
01634 ANESTHESIA FOR OPEN OR SURGICAL ARTHRO 9
01650 ANESTHESIA FOR PROCEDURES ON ARTERIES 6
01670 ANESTHESIA FOR ALL PROCEDURES ON VEINS 4
01680 ANESTHESIA FOR SHOULDER CAST APPLICATIO 3
01682 ANESTHESIA FOR SHOULDER CAST APPLICATIO 4
01710 ANESTHESIA FOR PROCEDURES ON NERVES, 3

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NYS Medicaid Physician Radiology
NON-
FACILITY FACILITY
GLOBAL GLOBAL
70010 MYELOGRAPHY, POSTERIOR FOSSA, RADIOLOGIC 153.98 153.98
70015 CISTERNOGRAPHY, POSITIVE CONTRAST, RADIO 106.59 106.59
70030 RADIOLOGIC EXAMINATION, EYE, FOR DETECTI 21.80 21.80
70100 RADIOLOGIC EXAMINATION, MANDIBLE; PARTIA 24.24 24.24
70110 RADIOLOGIC EXAMINATION, MANDIBLE; COMPLE 30.85 30.85
70120 RADIOLOGIC EXAMINATION, MASTOIDS; LESS T 27.26 27.26
70130 RADIOLOGIC EXAMINATION, MASTOIDS; COMPLE 42.04 42.04
70134 RADIOLOGIC EXAMINATION, INTERNAL AUDITOR 37.42 37.42
70140 RADIOLOGIC EXAMINATION, FACIAL BONES; LE 25.40 25.40
70150 RADIOLOGIC EXAMINATION, FACIAL BONES; CO 34.50 34.50
70160 RADIOLOGIC EXAMINATION, NASAL BONES, COM 24.88 24.88

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NYS Medicaid Physician Radiology
70488 COMPUTED TOMOGRAPHY, MAXILLOFACIAL AREA; 314.73 314.73 52.66
70490 COMPUTED TOMOGRAPHY, SOFT TISSUE NECK; W 202.11 202.11 47.96
70496 COMPUTED TOMOGRAPHIC ANGIOGRAPHY, HEAD, 329.87 329.87 65.31
70498 COMPUTED TOMOGRAPHIC ANGIOGRAPHY, NECK, 330.18 330.18 65.62
70540 MAGNETIC RESONANCE (EG, PROTON) IMAGING, 326.77 326.77 50.00
70544 MAGNETIC RESONANCE ANGIOGRAPHY, HEAD; WI 321.20 321.20 44.72
70545 MAGNETIC RESONANCE ANGIOGRAPHY, HEAD; WI 364.11 364.11 44.72

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NYS Medicaid Physician Surgery Services
Fee Schedule
NON-
FACILITY FACILITY
GLOBAL GLOBAL
10021 FINE NEEDLE ASPIRATION; WITHOUT IMAGING 81.61 60.00
10022 FINE NEEDLE ASPIRATION; WITH IMAGING GUI 85.59 72.00
10040 ACNE SURGERY (EG, MARSUPIALIZATION, OPEN 54.25 39.26
10060 INCISION AND DRAINAGE OF ABSCESS (EG, CA 60.50 43.24
10061 INCISION AND DRAINAGE OF ABSCESS (EG, CA 103.19 76.76
10080 INCISION AND DRAINAGE OF PILONIDAL CYST; 97.93 45.10
10081 INCISION AND DRAINAGE OF PILONIDAL CYST; 148.94 76.74
10120 INCISION AND REMOVAL OF FOREIGN BODY, SU 78.42 42.79
10121 INCISION AND REMOVAL OF FOREIGN BODY, SU 149.18 87.61
10140 INCISION AND DRAINAGE OF HEMATOMA, SEROM 85.50 56.28
10160 PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA 70.27 45.44
10180 INCISION AND DRAINAGE, COMPLEX, POSTOPER 131.00 83.94
11000 DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR I 29.85 15.44

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NYS Medicaid Physician Surgery Services
Fee Schedule
32665 THORACOSCOPY, SURGICAL; WITH ESOPHAGOMYO 691.75 576.46
32800 REPAIR LUNG HERNIA THROUGH CHEST WALL 539.32 449.44
32810 CLOSURE OF CHEST WALL FOLLOWING OPEN FLA 524.65 437.21
32815 OPEN CLOSURE OF MAJOR BRONCHIAL FISTULA 1,453.79 1,211.49
32820 MAJOR RECONSTRUCTION, CHEST WALL (POSTTR
32851 LUNG TRANSPLANT, SINGLE; WITHOUT CARDIOP 1,549.91 1,291.59
32852 LUNG TRANSPLANT, SINGLE; WITH CARDIOPULM 1,732.54 1,443.78
32853 LUNG TRANSPLANT, DOUBLE (BILATERAL SEQUE 1,853.06 1,544.22
32854 LUNG TRANSPLANT, DOUBLE (BILATERAL SEQUE 2,006.71 1,672.26
32900 RESECTION OF RIBS, EXTRAPLEURAL, ALL STA 788.89 657.41
32905 THORACOPLASTY, SCHEDE TYPE OR EXTRAPLEUR 785.88 654.90
32906 THORACOPLASTY, SCHEDE TYPE OR EXTRAPLEUR 969.20 807.67
32940 PNEUMONOLYSIS, EXTRAPERIOSTEAL, INCLUDIN 719.27 599.39
32960 PNEUMOTHORAX, THERAPEUTIC, INTRAPLEURAL 82.48 47.00

25




NYS Medicaid Physician Drug and Drug
Administration Services Fee Schedule
NON-
FACILITY FACILITY
GLOBAL GLOBAL
90281 IMMUNE GLOBULIN (IG), HUMAN, FOR INTRAMU cost cost
90283 IMMUNE GLOBULIN (IGIV), HUMAN, FOR INTRA cost cost
90284 IMMUNE GLOBULIN (SCIG), HUMAN, FOR USE I cost cost
90291 CYTOMEGALOVIRUS IMMUNE GLOBULIN (CMV-IGI cost cost
90371 HEPATITIS B IMMUNE GLOBULIN (HBIG), HUMA cost cost
90375 RABIES IMMUNE GLOBULIN (RIG), HUMAN, FOR cost cost
90376 RABIES IMMUNE GLOBULIN, HEAT-TREATED (RI cost cost
90378 RESPIRATORY SYNCYTIAL VIRUS, MONOCLONAL cost cost
90384 RHO(D) IMMUNE GLOBULIN (RHIG), HUMAN, FU cost cost
90385 RHO(D) IMMUNE GLOBULIN (RHIG), HUMAN, MI cost cost
90386 RHO(D) IMMUNE GLOBULIN (RHIGIV), HUMAN, cost cost
90389 TETANUS IMMUNE GLOBULIN (TIG), HUMAN, FO cost cost

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NYS Medicaid Physician Drug and Drug
Administration Services Fee Schedule
96361 INTRAVENOUS INFUSION, HYDRATION; EACH AD 10.38 8.65
96365 INTRAVENOUS INFUSION, FOR THERAPY, PROPH 43.84 36.54
96369 SUBCUTANEOUS INFUSION FOR THERAPY OR PRO 96.10 80.09
96372 THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC 13.23 11.03
96405 CHEMOTHERAPY ADMINISTRATION; INTRALESION 86.65 14.37
96406 CHEMOTHERAPY ADMINISTRATION; INTRALESION 98.36 20.44
96409 CHEMOTHERAPY ADMINISTRATION; INTRAVENOUS 76.60 63.84
96413 CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS 103.82 86.52
96415 CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS 22.99 19.16

27




Part 2
Health Care Procedure Coding
System -HCPCS

Health Care Procedure Coding System -
HCPCS
History
Operations
Definitions
Classification of Procedure Groupings
Example codes

31

Practice Management Information Corporation, HCPCS, Health Care Procedure Coding System, National
Level II Medicare Codes, 2006, Los Angeles, Cal. 2005.



HCPCS History
Each year, in the United States, health care insurers
process over 5 billion claims for payment.
The HCPCS Level II Code Set is one of the standard
code sets used for this purpose. The HCPCS is
divided into two principal subsystems, referred to as
level I and level II of the HCPCS.).
Level I of the HCPCS, the CPT codes, does not
include codes needed to separately report medical
items or services that are regularly billed by suppliers
other than physicians.

32

https://www.cms.gov/HCPCSReleaseCodeSets/01_Overview.asp#TopOfPage (Visited Jan 17, 2011)

HCPCS History
Level II standardized coding system that is used
primarily to identify products, supplies, such as
ambulance services and durable medical equipment,
prosthetics, orthotics, and supplies (DMEPOS) when
used outside a physician's office.
Because Medicare and other insurers cover a variety
of services, supplies, and equipment the level II
HCPCS codes were established for submitting claims
for these items.
The development and use of level II of the HCPCS
began in the 1980's. Level II codes are also referred to
as alpha-numeric codes because they consist of a
single alphabetical letter followed by 4 numeric digits,
while CPT codes are identified using 5 numeric digits.

33

https://www.cms.gov/HCPCSReleaseCodeSets/01_Overview.asp#TopOfPage (Visited Jan 17, 2011)



HCPCS Categories
Transportation Services
Medical and Surgical Supplies
Administrative, Miscellaneous and Investigational
Enteral and Parenteral Therapy
Hospital Outpatient PPS Codes
Dental Procedures
Procedures and Professional Services
Rehabilitative Services
Drugs Administered Other Than Oral Method
Chemotherapy Drugs

34 continued...


HCPCS Categories
K Codes for DMERCS’ USE Only
Orthotic Procedures
Prosthetics
Medical Services
Pathology and Laboratory
Diagnostic Radiology Servicers
Private Payer Codes
State Medicaid Agency Codes
Vision Services
Hearing Services

35 continued...




HCPCS For Medical and Surgical Supplies

HCPC Seq Num RIC Long Description
A1 00100 7 DRESSING FOR ONE WOUND
A2 00100 7 DRESSING FOR TWO WOUNDS
A3 00100 7 DRESSING FOR THREE WOUNDS
A4 00100 7 DRESSING FOR FOUR WOUNDS
A5 00100 7 DRESSING FOR FIVE WOUNDS
A6 00100 7 DRESSING FOR SIX WOUNDS
A7 00100 7 DRESSING FOR SEVEN WOUNDS
A8 00100 7 DRESSING FOR EIGHT WOUNDS
A9 00100 7 DRESSING FOR NINE OR MORE WOUNDS
AA 00100 7 ANESTHESIA SERVICES PERFORMED PERSONALLY BY ANESTHESIOLOGIST
AD 00100 7 MEDICAL SUPERVISION BY A PHYSICIAN: MORE THAN FOUR CONCURRENT ANESTHESIA

36

https://www.cms.gov/HCPCSReleaseCodeSets/01_Overview.asp#TopOfPage

HCPCS For Transportation
A0100 00100 3 NON-EMERGENCY TRANSPORTATION; TAXI
A0110 00100 3 NON-EMERGENCY TRANSPORTATION AND BUS, INTRA OR INTER STATE CARRIER
A0120 00100 3 NON-EMERGENCY TRANSPORTATION: MINI-BUS, MOUNTAIN AREA TRANSPORTS, OR OTHER
A0120 00200 4 TRANSPORTATION SYSTEMS
A0130 00100 3 NON-EMERGENCY TRANSPORTATION: WHEEL-CHAIR VAN
A0140 00100 3 NON-EMERGENCY TRANSPORTATION AND AIR TRAVEL (PRIVATE OR COMMERCIAL) INTRA OR
A0140 00200 4 INTER STATE
A0160 00100 3 NON-EMERGENCY TRANSPORTATION: PER MILE - CASE WORKER OR SOCIAL WORKER
A0170 00100 3 TRANSPORTATION ANCILLARY: PARKING FEES, TOLLS, OTHER
A0180 00100 3 NON-EMERGENCY TRANSPORTATION: ANCILLARY: LODGING-RECIPIENT
A0190 00100 3 NON-EMERGENCY TRANSPORTATION: ANCILLARY: MEALS-RECIPIENT
A0200 00100 3 NON-EMERGENCY TRANSPORTATION: ANCILLARY: LODGING ESCORT
A0210 00100 3 NON-EMERGENCY TRANSPORTATION: ANCILLARY: MEALS-ESCORT
A0225 00100 3 AMBULANCE SERVICE, NEONATAL TRANSPORT, BASE RATE, EMERGENCY TRANSPORT, ONE WAY

37




HCPCS For Parenteral Nutrition

B4185 00100 3 PARENTERAL NUTRITION SOLUTION, PER 10 GRAMS LIPIDS
B4189 00100 3 PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH
B4189 00200 4 ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY
B4189 00300 4 STRENGTH, 10 TO 51 GRAMS OF PROTEIN - PREMIX
B4193 00200 4 ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY
B4193 00300 4 STRENGTH, 52 TO 73 GRAMS OF PROTEIN - PREMIX
B4197 00200 4 ELECTROLYTES, TRACE ELEMENTS AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH,
B4197 00300 4 74 TO 100 GRAMS OF PROTEIN - PREMIX
B4199 00200 4 ELECTROLYTES, TRACE ELEMENTS AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH,
B4199 00300 4 OVER 100 GRAMS OF PROTEIN - PREMIX
B4216 00100 3 PARENTERAL NUTRITION; ADDITIVES (VITAMINS, TRACE ELEMENTS, HEPARIN,
B4216 00200 4 ELECTROLYTES) HOMEMIX PER DAY
B4220 00100 3 PARENTERAL NUTRITION SUPPLY KIT; PREMIX, PER DAY
B4222 00100 3 PARENTERAL NUTRITION SUPPLY KIT; HOME MIX, PER DAY

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HCPCS For Cardiac Catheters
C1722 00100 3 CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)
C1724 00100 3 CATHETER, TRANSLUMINAL ATHERECTOMY, ROTATIONAL
C1725 00100 3 CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE,
C1725 00200 4 INFUSION/PERFUSION CAPABILITY)
C1726 00100 3 CATHETER, BALLOON DILATATION, NON-VASCULAR
C1727 00100 3 CATHETER, BALLOON TISSUE DISSECTOR, NON-VASCULAR (INSERTABLE)
C1728 00100 3 CATHETER, BRACHYTHERAPY SEED ADMINISTRATION
C1729 00100 3 CATHETER, DRAINAGE
C1730 00100 3 CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (19 OR FEWER
C1730 00200 4 ELECTRODES)
C1731 00100 3 CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (20 OR MORE
C1731 00200 4 ELECTRODES)
C1732 00100 3 CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, 3D OR VECTOR MAPPING
C1733 00100 3 CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3D OR VECTOR
C1733 00200 4 MAPPING, OTHER THAN COOL-TIP
C1749 00100 3 ENDOSCOPE, RETROGRADE IMAGING/ILLUMINATION COLONOSCOPE DEVICE (IMPLANTABLE)
C1750 00100 3 CATHETER, HEMODIALYSIS/PERITONEAL, LONG-TERM
C1751 00100 3 CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN
C1751 00200 4 HEMODIALYSIS)
C1752 00100 3 CATHETER, HEMODIALYSIS/PERITONEAL, SHORT-TERM
C1753 00100 3 CATHETER, INTRAVASCULAR ULTRASOUND
C1754 00100 3 CATHETER, INTRADISCAL

39




HCPCS For Durable Medical Equipment (DME)

E0100 00100 3 CANE, INCLUDES CANES OF ALL MATERIALS, ADJUSTABLE OR FIXED, WITH TIP
E0105 00100 3 CANE, QUAD OR THREE PRONG, INCLUDES CANES OF ALL MATERIALS, ADJUSTABLE OR
E0105 00200 4 FIXED, WITH TIPS
E0110 00100 3 CRUTCHES, FOREARM, INCLUDES CRUTCHES OF VARIOUS MATERIALS, ADJUSTABLE OR FIXED,
E0110 00200 4 PAIR, COMPLETE WITH TIPS AND HANDGRIPS
E0111 00100 3 CRUTCH FOREARM, INCLUDES CRUTCHES OF VARIOUS MATERIALS, ADJUSTABLE OR FIXED,
E0111 00200 4 EACH, WITH TIP AND HANDGRIPS
E0112 00100 3 CRUTCHES UNDERARM, WOOD, ADJUSTABLE OR FIXED, PAIR, WITH PADS, TIPS AND
E0112 00200 4 HANDGRIPS
E0113 00100 3 CRUTCH UNDERARM, WOOD, ADJUSTABLE OR FIXED, EACH, WITH PAD, TIP AND HANDGRIP
E0114 00100 3 CRUTCHES UNDERARM, OTHER THAN WOOD, ADJUSTABLE OR FIXED, PAIR, WITH PADS, TIPS
E0114 00200 4 AND HANDGRIPS
E0116 00100 3 CRUTCH, UNDERARM, OTHER THAN WOOD, ADJUSTABLE OR FIXED, WITH PAD, TIP,
E0116 00200 4 HANDGRIP, WITH OR WITHOUT SHOCK ABSORBER, EACH
E0117 00100 3 CRUTCH, UNDERARM, ARTICULATING, SPRING ASSISTED, EACH
E0118 00100 3 CRUTCH SUBSTITUTE, LOWER LEG PLATFORM, WITH OR WITHOUT WHEELS, EACH
E0130 00100 3 WALKER, RIGID (PICKUP), ADJUSTABLE OR FIXED HEIGHT
E0135 00100 3 WALKER, FOLDING (PICKUP), ADJUSTABLE OR FIXED HEIGHT

40


HCPCS For Outpatient Procedures

G0106 00200 4 BARIUM ENEMA
G0108 00100 3 DIABETES OUTPATIENT SELF-MANAGEMENT TRAINING SERVICES, INDIVIDUAL, PER 30
G0108 00200 4 MINUTES
G0109 00100 3 DIABETES OUTPATIENT SELF-MANAGEMENT TRAINING SERVICES, GROUP SESSION (2 OR
G0109 00200 4 MORE), PER 30 MINUTES
G0117 00100 3 GLAUCOMA SCREENING FOR HIGH RISK PATIENTS FURNISHED BY AN OPTOMETRIST OR
G0117 00200 4 OPHTHALMOLOGIST
G0118 00100 3 GLAUCOMA SCREENING FOR HIGH RISK PATIENT FURNISHED UNDER THE DIRECT SUPERVISION
G0118 00200 4 OF AN OPTOMETRIST OR OPHTHALOMOLOGIST
G0120 00100 3 COLORECTAL CANCER SCREENING; ALTERNATIVE TO G0105, SCREENING COLONOSCOPY,
G0120 00200 4 BARIUM ENEMA.
G0121 00100 3 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR
G0121 00200 4 HIGH RISK
G0122 00100 3 COLORECTAL CANCER SCREENING; BARIUM ENEMA
G0123 00100 3 SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY REPORTING SYSTEM), COLLECTED
G0123 00200 4 IN PRESERVATIVE FLUID, AUTOMATED THIN LAYER PREPARATION, SCREENING BY
G0123 00300 4 CYTOTECHNOLOGIST UNDER PHYSICIAN SUPERVISION

41




HCPCS For Rehabilitation

H0001 00100 3 ALCOHOL AND/OR DRUG ASSESSMENT
H0002 00100 3 BEHAVIORAL HEALTH SCREENING TO DETERMINE ELIGIBILITY FOR ADMISSION TO TREATMENT
H0002 00200 4 PROGRAM
H0003 00100 3 ALCOHOL AND/OR DRUG SCREENING; LABORATORY ANALYSIS OF SPECIMENS FOR PRESENCE OF
H0003 00200 4 ALCOHOL AND/OR DRUGS
H0004 00100 3 BEHAVIORAL HEALTH COUNSELING AND THERAPY, PER 15 MINUTES
H0005 00100 3 ALCOHOL AND/OR DRUG SERVICES; GROUP COUNSELING BY A CLINICIAN
H0006 00100 3 ALCOHOL AND/OR DRUG SERVICES; CASE MANAGEMENT
H0007 00100 3 ALCOHOL AND/OR DRUG SERVICES; CRISIS INTERVENTION (OUTPATIENT)
H0008 00100 3 ALCOHOL AND/OR DRUG SERVICES; SUB-ACUTE DETOXIFICATION (HOSPITAL INPATIENT)
H0009 00100 3 ALCOHOL AND/OR DRUG SERVICES; ACUTE DETOXIFICATION (HOSPITAL INPATIENT)
H0010 00100 3 ALCOHOL AND/OR DRUG SERVICES; SUB-ACUTE DETOXIFICATION (RESIDENTIAL ADDICTION
H0010 00200 4 PROGRAM INPATIENT)
H0011 00100 3 ALCOHOL AND/OR DRUG SERVICES; ACUTE DETOXIFICATION (RESIDENTIAL ADDICTION
H0011 00200 4 PROGRAM INPATIENT)
H0012 00100 3 ALCOHOL AND/OR DRUG SERVICES; SUB-ACUTE DETOXIFICATION (RESIDENTIAL ADDICTION

42


HCPCS For Injections

J1670 00100 3 INJECTION, TETANUS IMMUNE GLOBULIN, HUMAN, UP TO 250 UNITS
J1675 00100 3 INJECTION, HISTRELIN ACETATE, 10 MICROGRAMS
J1680 00100 3 INJECTION, HUMAN FIBRINOGEN CONCENTRATE, 100 MG
J1700 00100 3 INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG
J1710 00100 3 INJECTION, HYDROCORTISONE SODIUM PHOSPHATE, UP TO 50 MG
J1720 00100 3 INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG
J1730 00100 3 INJECTION, DIAZOXIDE, UP TO 300 MG
J1740 00100 3 INJECTION, IBANDRONATE SODIUM, 1 MG
J1742 00100 3 INJECTION, IBUTILIDE FUMARATE, 1 MG
J1743 00100 3 INJECTION, IDURSULFASE, 1 MG
J1745 00100 3 INJECTION INFLIXIMAB, 10 MG
J1750 00100 3 INJECTION, IRON DEXTRAN, 50 MG
J1751 00100 3 INJECTION, IRON DEXTRAN 165, 50 MG
J1752 00100 3 INJECTION, IRON DEXTRAN 267, 50 MG
J1756 00100 3 INJECTION, IRON SUCROSE, 1 MG
J1785 00100 3 INJECTION, IMIGLUCERASE, PER UNIT
J1786 00100 3 INJECTION, IMIGLUCERASE, 10 UNITS
J1790 00100 3 INJECTION, DROPERIDOL, UP TO 5 MG
J1800 00100 3 INJECTION, PROPRANOLOL HCL, UP TO 1 MG

43




HCPCS For Power Chairs (DME)

K0849 00100 3 POWER WHEELCHAIR, GROUP 3 STANDARD, CAPTAINS CHAIR, PATIENT WEIGHT CAPACITY UP
K0849 00200 4 TO AND INCLUDING 300 POUNDS
K0850 00100 3 POWER WHEELCHAIR, GROUP 3 HEAVY DUTY, SLING/SOLID SEAT/BACK, PATIENT WEIGHT
K0850 00200 4 CAPACITY 301 TO 450 POUNDS
K0851 00100 3 POWER WHEELCHAIR, GROUP 3 HEAVY DUTY, CAPTAINS CHAIR, PATIENT WEIGHT CAPACITY
K0851 00200 4 301 TO 450 POUNDS
K0852 00100 3 POWER WHEELCHAIR, GROUP 3 VERY HEAVY DUTY, SLING/SOLID SEAT/BACK, PATIENT
K0852 00200 4 WEIGHT CAPACITY 451 TO 600 POUNDS
K0853 00100 3 POWER WHEELCHAIR, GROUP 3 VERY HEAVY DUTY, CAPTAINS CHAIR, PATIENT WEIGHT
K0853 00200 4 CAPACITY 451 TO 600 POUNDS
K0854 00100 3 POWER WHEELCHAIR, GROUP 3 EXTRA HEAVY DUTY, SLING/SOLID SEAT/BACK, PATIENT
K0854 00200 4 WEIGHT CAPACITY 601 POUNDS OR MORE
K0855 00100 3 POWER WHEELCHAIR, GROUP 3 EXTRA HEAVY DUTY, CAPTAINS CHAIR, PATIENT WEIGHT
K0855 00200 4 CAPACITY 601 POUNDS OR MORE
K0856 00100 3 POWER WHEELCHAIR, GROUP 3 STANDARD, SINGLE POWER OPTION, SLING/SOLID SEAT/BACK,
K0856 00200 4 PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS
K0857 00100 3 POWER WHEELCHAIR, GROUP 3 STANDARD, SINGLE POWER OPTION, CAPTAINS CHAIR,
K0857 00200 4 PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS
K0858 00100 3 POWER WHEELCHAIR, GROUP 3 HEAVY DUTY, SINGLE POWER OPTION, SLING/SOLID
K0858 00200 4 SEAT/BACK, PATIENT WEIGHT 301 TO 450 POUNDS

44


HCPCS For Prosthetics

L0635 00500 4 PRESSURE TO REDUCE LOAD ON INTERVERTEBRAL DISCS, INCLUDES STRAPS, CLOSURES, MAY
L0635 00600 4 INCLUDE PADDING, ANTERIOR PANEL, PENDULOUS ABDOMEN DESIGN, PREFABRICATED,
L0635 00700 4 INCLUDES FITTING AND ADJUSTMENT
L0636 00100 3 LUMBAR SACRAL ORTHOSIS, SAGITTAL-CORONAL CONTROL, LUMBAR FLEXION, RIGID
L0636 00200 4 POSTERIOR FRAME/PANELS, LATERAL ARTICULATING DESIGN TO FLEX THE LUMBAR SPINE,
L0636 00300 4 POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA, LATERAL
L0636 00400 4 STRENGTH PROVIDED BY RIGID LATERAL FRAME/PANELS, PRODUCES INTRACAVITARY
L0636 00500 4 PRESSURE TO REDUCE LOAD ON INTERVERTEBRAL DISCS, INCLUDES STRAPS, CLOSURES, MAY
L0636 00600 4 INCLUDE PADDING, ANTERIOR PANEL, PENDULOUS ABDOMEN DESIGN, CUSTOM FABRICATED
L0637 00100 3 LUMBAR-SACRAL ORTHOSIS, SAGITTAL-CORONAL CONTROL, WITH RIGID ANTERIOR AND
L0637 00200 4 POSTERIOR FRAME/PANELS, POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9
L0637 00300 4 VERTEBRA, LATERAL STRENGTH PROVIDED BY RIGID LATERAL FRAME/PANELS, PRODUCES
L0637 00400 4 INTRACAVITARY PRESSURE TO REDUCE LOAD ON INTERVERTEBRAL DISCS, INCLUDES STRAPS,
L0637 00500 4 CLOSURES, MAY INCLUDE PADDING, SHOULDER STRAPS, PENDULOUS ABDOMEN DESIGN,
L0637 00600 4 PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT
L0638 00100 3 LUMBAR-SACRAL ORTHOSIS, SAGITTAL-CORONAL CONTROL, WITH RIGID ANTERIOR AND
L0638 00200 4 POSTERIOR FRAME/PANELS, POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9

45




HCPCS For Laboratory Assays

M0064 00100 3 BRIEF OFFICE VISIT FOR THE SOLE PURPOSE OF MONITORING OR CHANGING DRUG
M0064 00200 4 PRESCRIPTIONS USED IN THE TREATMENT OF MENTAL PSYCHONEUROTIC AND PERSONALITY
M0064 00300 4 DISORDERS
M0075 00100 3 CELLULAR THERAPY
M0076 00100 3 PROLOTHERAPY
M0100 00100 3 INTRAGASTRIC HYPOTHERMIA USING GASTRIC FREEZING
M0300 00100 3 IV CHELATION THERAPY (CHEMICAL ENDARTERECTOMY)
M0301 00100 3 FABRIC WRAPPING OF ABDOMINAL ANEURYSM
P2028 00100 3 CEPHALIN FLOCULATION, BLOOD
P2029 00100 3 CONGO RED, BLOOD
P2031 00100 3 HAIR ANALYSIS (EXCLUDING ARSENIC)
P2033 00100 3 THYMOL TURBIDITY, BLOOD
P2038 00100 3 MUCOPROTEIN, BLOOD (SEROMUCOID) (MEDICAL NECESSITY PROCEDURE)
P3000 00100 3 SCREENING PAPANICOLAOU SMEAR, CERVICAL OR VAGINAL, UP TO THREE SMEARS, BY
P3000 00200 4 TECHNICIAN UNDER PHYSICIAN SUPERVISION
P3001 00100 3 SCREENING PAPANICOLAOU SMEAR, CERVICAL OR VAGINAL, UP TO THREE SMEARS,
P3001 00200 4 REQUIRING INTERPRETATION BY PHYSICIAN
P7001 00100 3 CULTURE, BACTERIAL, URINE; QUANTITATIVE, SENSITIVITY STUDY

46


HCPCS For Internal Cardiac LVADS
Q0495 00100 3 BATTERY/POWER PACK CHARGER FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC
Q0495 00200 4 VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY
Q0496 00100 3 BATTERY, OTHER THAN LITHIUM-ION, FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC
Q0497 00100 3 BATTERY CLIPS FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST
Q0497 00200 4 DEVICE, REPLACEMENT ONLY
Q0498 00100 3 HOLSTER FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE,
Q0498 00200 4 REPLACEMENT ONLY
Q0499 00100 3 BELT/VEST/BAG FOR USE TO CARRY EXTERNAL PERIPHERAL COMPONENTS OF ANY TYPE
Q0500 00100 3 FILTERS FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE,
Q0500 00200 4 REPLACEMENT ONLY
Q0501 00100 3 SHOWER COVER FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST
Q0501 00200 4 DEVICE, REPLACEMENT ONLY
Q0502 00100 3 MOBILITY CART FOR PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY
Q0503 00100 3 BATTERY FOR PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY, EACH
Q0504 00100 3 POWER ADAPTER FOR PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY,
Q0504 00200 4 VEHICLE TYPE
Q0505 00100 3 MISCELLANEOUS SUPPLY OR ACCESSORY FOR USE WITH VENTRICULAR ASSIST DEVICE
Q0506 00100 3 BATTERY, LITHIUM-ION, FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR
Q0506 00200 4 ASSIST DEVICE, REPLACEMENT ONLY

47




HCPCS For More Injections
S0017 00100 3 INJECTION, AMINOCAPROIC ACID, 5 GRAMS
S0020 00100 3 INJECTION, BUPIVICAINE HYDROCHLORIDE, 30 ML
S0021 00100 3 INJECTION, CEFOPERAZONE SODIUM, 1 GRAM
S0023 00100 3 INJECTION, CIMETIDINE HYDROCHLORIDE, 300 MG
S0028 00100 3 INJECTION, FAMOTIDINE, 20 MG
S0030 00100 3 INJECTION, METRONIDAZOLE, 500 MG
S0032 00100 3 INJECTION, NAFCILLIN SODIUM, 2 GRAMS
S0034 00100 3 INJECTION, OFLOXACIN, 400 MG
S0039 00100 3 INJECTION, SULFAMETHOXAZOLE AND TRIMETHOPRIM, 10 ML
S0040 00100 3 INJECTION, TICARCILLIN DISODIUM AND CLAVULANATE POTASSIUM, 3.1 GRAMS
S0073 00100 3 INJECTION, AZTREONAM, 500 MG
S0074 00100 3 INJECTION, CEFOTETAN DISODIUM, 500 MG
S0077 00100 3 INJECTION, CLINDAMYCIN PHOSPHATE, 300 MG
S0078 00100 3 INJECTION, FOSPHENYTOIN SODIUM, 750 MG
S0080 00100 3 INJECTION, PENTAMIDINE ISETHIONATE, 300 MG
S0081 00100 3 INJECTION, PIPERACILLIN SODIUM, 500 MG
S0088 00100 3 IMATINIB, 100 MG

48


HCPCS For Encounters with Health
Workers
T1015 00100 3 CLINIC VISIT/ENCOUNTER, ALL-INCLUSIVE
T1016 00100 3 CASE MANAGEMENT, EACH 15 MINUTES
T1017 00100 3 TARGETED CASE MANAGEMENT, EACH 15 MINUTES
T1018 00100 3 SCHOOL-BASED INDIVIDUALIZED EDUCATION PROGRAM (IEP) SERVICES, BUNDLED
T1019 00100 3 PERSONAL CARE SERVICES, PER 15 MINUTES, NOT FOR AN INPATIENT OR RESIDENT OF A
T1019 00200 4 HOSPITAL, NURSING FACILITY, ICF/MR OR IMD, PART OF THE INDIVIDUALIZED PLAN OF
T1019 00300 4 TREATMENT (CODE MAY NOT BE USED TO IDENTIFY SERVICES PROVIDED BY HOME HEALTH
T1019 00400 4 AIDE OR CERTIFIED NURSE ASSISTANT)
T1020 00100 3 PERSONAL CARE SERVICES, PER DIEM, NOT FOR AN INPATIENT OR RESIDENT OF A
T1020 00200 4 HOSPITAL, NURSING FACILITY, ICF/MR OR IMD, PART OF THE INDIVIDUALIZED PLAN OF
T1020 00300 4 TREATMENT (CODE MAY NOT BE USED TO IDENTIFY SERVICES PROVIDED BY HOME HEALTH
T1020 00400 4 AIDE OR CERTIFIED NURSE ASSISTANT)
T1021 00100 3 HOME HEALTH AIDE OR CERTIFIED NURSE ASSISTANT, PER VISIT
T1022 00100 3 CONTRACTED HOME HEALTH AGENCY SERVICES, ALL SERVICES PROVIDED UNDER CONTRACT,
T1022 00200 4 PER DAY
T1023 00100 3 SCREENING TO DETERMINE THE APPROPRIATENESS OF CONSIDERATION OF AN INDIVIDUAL
T1023 00200 4 FOR PARTICIPATION IN A SPECIFIED PROGRAM, PROJECT OR TREATMENT PROTOCOL, PER
T1023 00300 4 ENCOUNTER
T1024 00100 3 EVALUATION AND TREATMENT BY AN INTEGRATED, SPECIALTY TEAM CONTRACTED TO PROVIDE
T1024 00200 4 COORDINATED CARE TO MULTIPLE OR SEVERELY HANDICAPPED CHILDREN, PER ENCOUNTER
T1025 00100 3 INTENSIVE, EXTENDED MULTIDISCIPLINARY SERVICES PROVIDED IN A CLINIC SETTING TO
T1025 00200 4 CHILDREN WITH COMPLEX MEDICAL, PHYSICAL, MENTAL AND PSYCHOSOCIAL IMPAIRMENTS,

49




HCPCS For Ophthalmology Items
V2020 00100 3 FRAMES, PURCHASES
V2025 00100 3 DELUXE FRAME
V2100 00100 3 SPHERE, SINGLE VISION, PLANO TO PLUS OR MINUS 4.00, PER LENS
V2101 00100 3 SPHERE, SINGLE VISION, PLUS OR MINUS 4.12 TO PLUS OR MINUS 7.00D, PER LENS
V2102 00100 3 SPHERE, SINGLE VISION, PLUS OR MINUS 7.12 TO PLUS OR MINUS 20.00D, PER LENS
V2103 00100 3 SPHEROCYLINDER, SINGLE VISION, PLANO TO PLUS OR MINUS 4.00D SPHERE, .12 TO
V2103 00200 4 2.00D CYLINDER, PER LENS
V2104 00100 3 SPHEROCYLINDER, SINGLE VISION, PLANO TO PLUS OR MINUS 4.00D SPHERE, 2.12 TO
V2105 00100 3 SPHEROCYLINDER, SINGLE VISION, PLANO TO PLUS OR MINUS 4.00D SPHERE, 4.25 TO
V2106 00100 3 SPHEROCYLINDER, SINGLE VISION, PLANO TO PLUS OR MINUS 4.00D SPHERE, OVER 6.00D
V2106 00200 4 CYLINDER, PER LENS
V2107 00100 3 SPHEROCYLINDER, SINGLE VISION, PLUS OR MINUS 4.25 TO PLUS OR MINUS 7.00 SPHERE,
V2107 00200 4 .12 TO 2.00D CYLINDER, PER LENS
V2108 00100 3 SPHEROCYLINDER, SINGLE VISION, PLUS OR MINUS 4.25D TO PLUS OR MINUS 7.00D
V2108 00200 4 SPHERE, 2.12 TO 4.00D CYLINDER, PER LENS
V2109 00100 3 SPHEROCYLINDER, SINGLE VISION, PLUS OR MINUS 4.25 TO PLUS OR MINUS 7.00D
V2109 00200 4 SPHERE, 4.25 TO 6.00D CYLINDER, PER LENS
V2110 00100 3 SPHEROCYLINDER, SINGLE VISION, PLUS OR MINUS 4.25 TO 7.00D SPHERE, OVER 6.00D
V2110 00200 4 CYLINDER, PER LENS

50


9,148
HCPCS
Codes
51


CPT and HCPCS Coding

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