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![57/58, PER 0.5 MICROCURIE
LINE, PER 0.5 MILLICURIE
E, PER 0.5 MILLICURIE
ARCITUMOMAB, PER VIAL
SODIUM GLUCOHEPTONATE, PER VIAL
SUCCIMER, PER VIAL
TONGUE SOMNOPLASTY COAGULATING ELECTRODE
SYSTEM, AND PAINBUSTER PAIN MANAGEMENT SYSTEM
SE F18 (2-DEOXY-2-[18F]FLUORO-D-GLUCOSE), PER DOSE (4-40 MCI/ML)
AST, ABDOMEN
REAST; UNILATERAL
REAST; BILATERAL
AST, CHEST (EXCLUDING MYOCARDIUM)](https://image.slidesharecdn.com/cptcodes13524/85/cpt_codes-1-653-320.jpg)
![NUT ES) [DEMO PROJECT CODE ONLY]
ENT PROGRAM
NCE OF ALCOHOL AND/OR DRUGS
N PROGRAM INPATIENT)
OGRAM INPATIENT)
N PROGRAM OUTPATIENT)
OGRAM OUTPATIENT)
NSE L;CRISIS INTERVENTN,& ACT THERAPIES/EDUC
LATORY SETTING)
HOUT ROOM AND BOARD, PER DIEM
NT PROGRAM), WITHOUT ROOM AND BOARD, PER DIEM
SIDENTIAL TREATMENT PROGRAM WHERE STAY IS TYPICA
VISION OF THE DRUG BY A LICENSED PROGRAM)
D BY PROVIDERS)
POPULATION)
ECT OR NON-DIRECT CONTACT WITH SERVICE AUDIENCES
ARGET POPULATION TO AFFECT KNOWLEDGE, ATTITUDE AN
OF SERVICES TO DEVELOP SKILLS OF IMPACTORS)
PR EVENTION THROUGH POLICY AND LAW)
TI NCLUDE ASSESSMENT
EV ENTS)
OTHER THAN BLOOD](https://image.slidesharecdn.com/cptcodes13524/85/cpt_codes-1-676-320.jpg)
![La franco belge_1[1]](https://cdn.slidesharecdn.com/ss_thumbnails/lafrancobelge11-110303042035-phpapp01-thumbnail.jpg?width=640&height=640&fit=bounds)
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- 242. CPT_LONG_DESCRIPTION FINE NEEDLE ASPIRATION;WITHOUT IMAGING GUIDANCE FINE NEEDLE ASPIRATION; WITH IMAGING GUIDANCE ACNE SURGERY (EG, MARSUPIALIZATION, OPENING OR REMOVAL OF MULTIPLE MILIA, COMEDONES, CYSTS, PUST INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTA INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTA INCISION AND DRAINAGE OF PILONIDAL CYST; SIMPLE INCISION AND DRAINAGE OF PILONIDAL CYST; COMPLICATED INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; COMPLICATED INCISION AND DRAINAGE OF HEMATOMA, SEROMA OR FLUID COLLECTION PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST INCISION AND DRAINAGE, COMPLEX, POSTOPERATIVE WOUND INFECTION DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN; UP TO 10% OF BODY SURFACE DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN; EACH ADDITIONAL 10% OF THE BODY SURFACE DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL ASSOCIATED WITH OPEN FRACTURE(S) AND/OR DIS DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL ASSOCIATED WITH OPEN FRACTURE(S) AND/OR DIS DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL ASSOCIATED WITH OPEN FRACTURE(S) AND/OR DIS DEBRIDEMENT; SKIN, PARTIAL THICKNESS DEBRIDEMENT; SKIN, FULL THICKNESS DEBRIDEMENT; SKIN, AND SUBCUTANEOUS TISSUE DEBRIDEMENT; SKIN, SUBCUTANEOUS TISSUE, AND MUSCLE DEBRIDEMENT; SKIN, SUBCUTANEOUS TISSUE, MUSCLE, AND BONE PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION (EG, CORN OR CALLUS); SINGLE LESION PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION (EG, CORN OR CALLUS); TWO TO FOUR LESIONS PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION (EG, CORN OR CALLUS); MORE THAN FOUR LESIONS BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/OR MUCOUS MEMBRANE (INCLUDING SIMPLE CLOSURE), UNLESS BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/OR MUCOUS MEMBRANE (INCLUDING SIMPLE CLOSURE),UNLESS O REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS, ANY AREA; UP TO AND INCLUDING 15 LESIONS REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS, ANY AREA; EACH ADDITIONAL TEN LESIONS (LIST S SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, TRUNK, ARMS OR LEGS; LESION DIAMETER 0.5 CM SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, TRUNK, ARMS OR LEGS; LESION DIAMETER 0.6 TO SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, TRUNK, ARMS OR LEGS; LESION DIAMETER 1.1 TO SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, TRUNK, ARMS OR LEGS; LESION DIAMETER OVER 2 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, SCALP, NECK, HANDS, FEET, GENITALIA; LESION D SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, SCALP, NECK, HANDS, FEET, GENITALIA; LESION D SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, SCALP, NECK, HANDS, FEET, GENITALIA; LESION D SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, SCALP, NECK, HANDS, FEET, GENITALIA; LESION D SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMB SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMB SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMB SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMB EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK
- 243. EXCISION, BENIGN LESIONINCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK EXCISION, OTHER BENIGN LESION INCLUDING MARGINS (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NO EXCISION, OTHER BENIGN LESION INCLUDING MARGINS (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NO EXCISION, OTHER BENIGN LESION INCLUDING MARGINS (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NO EXCISION, OTHER BENIGN LESION INCLUDING MARGINS (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NO EXCISION, OTHER BENIGN LESION INCLUDING MARGINS (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NO EXCISION, OTHER BENIGN LESION INCLUDING MARGINS (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NO EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH SIMPLE OR INTERMEDIATE EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH COMPLEX REPAIR EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH SIMPLE OR INTERMEDIATE EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH COMPLEX REPAIR EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, PERIANAL, PERINEAL, OR UMBILICAL; WITH S EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, PERIANAL, PERINEAL, OR UMBILICAL; WITH C EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS;EXCISED DIAMETER 0.5 CM OR LES EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS;EXCISED DIAMETER 0.6 TO 1.0 CM EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS;EXCISED DIAMETER 1.1 TO 2.0 CM EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS;EXCISED DIAMETER 2.1 TO 3.0 CM EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS;EXCISED DIAMETER 3.1 TO 4.0 CM EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS;EXCISED DIAMETER OVER 4.0 CM EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE,LIPS; EXCISED DIAMETER 0.5 C EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE,LIPS; EXCISED DIAMETER 0.6 T EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE,LIPS; EXCISED DIAMETER 1.1 T EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE,LIPS; EXCISED DIAMETER 2.1 T EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE,LIPS; EXCISED DIAMETER 3.1 T EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE,LIPS; EXCISED DIAMETER OVER TRIMMING OF NONDYSTROPHIC NAILS, ANY NUMBER DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S); ONE TO FIVE DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S); SIX OR MORE AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; SINGLE AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; EACH ADDITIONAL NAIL PLATE (LIST SEPARATELY IN EVACUATION OF SUBUNGUAL HEMATOMA EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE, (EG, INGROWN OR DEFORMED NAIL) FOR PERMANE EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE, (EG, INGROWN OR DEFORMED NAIL) FOR PERMANE BIOPSY OF NAIL UNIT (EG, PLATE, BED, MATRIX, HYPONYCHIUM, PROXIMAL AND LATERAL NAIL FOLDS) (SEPARAT REPAIR OF NAIL BED RECONSTRUCTION OF NAIL BED WITH GRAFT WEDGE EXCISION OF SKIN OF NAIL FOLD (EG, FOR INGROWN TOENAIL) EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE EXCISION OF PILONIDAL CYST OR SINUS; EXTENSIVE EXCISION OF PILONIDAL CYST OR SINUS; COMPLICATED INJECTION, INTRALESIONAL; UP TO AND INCLUDING SEVEN LESIONS INJECTION, INTRALESIONAL; MORE THAN SEVEN LESIONS TATTOOING, INTRADERMAL INTRODUCTION OF INSOLUBLE OPAQUE PIGMENTS TO CORRECT COLOR DEFECTS O TATTOOING, INTRADERMAL INTRODUCTION OF INSOLUBLE OPAQUE PIGMENTS TO CORRECT COLOR DEFECTS O TATTOOING, INTRADERMAL INTRODUCTION OF INSOLUBLE OPAQUE PIGMENTS TO CORRECT COLOR DEFECTS O
- 244. TATTOOING, INTRADERMAL INTRODUCTIONOF INSOLUBLE OPAQUE PIGMENTS TO CORRECT COLOR DEFECTS O TATTOOING, INTRADERMAL INTRODUCTION OF INSOLUBLE OPAQUE PIGMENTS TO CORRECT COLOR DEFECTS O TATTOOING, INTRADERMAL INTRODUCTION OF INSOLUBLE OPAQUE PIGMENTS TO CORRECT COLOR DEFECTS O TATTOOING, INTRADERMAL INTRODUCTION OF INSOLUBLE OPAQUE PIGMENTS TO CORRECT COLOR DEFECTS O INSERTION OF TISSUE EXPANDER(S) FOR OTHER THAN BREAST, INCLUDING SUBSEQUENT EXPANSION REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT PROSTHESIS REMOVAL OF TISSUE EXPANDER(S) WITHOUT INSERTION OF PROSTHESIS INSERTION, IMPLANTABLE CONTRACEPTIVE CAPSULES REMOVAL, IMPLANTABLE CONTRACEPTIVE CAPSULES REMOVAL WITH REINSERTION, IMPLANTABLE CONTRACEPTIVE CAPSULES SUBCUTANEOUS HORMONE PELLET IMPLANTATION (IMPLANTATION OF ESTRADIOL AND/OR TESTOSTERONE PEL INSERTION, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT REMOVAL, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT REMOVAL WITH REINSERTION, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXT SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXT SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXT SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXT SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXT SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXT SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; TREATMENT OF SUPERFICIAL WOUND DEHISCENCE; SIMPLE CLOSURE TREATMENT OF SUPERFICIAL WOUND DEHISCENCE; WITH PACKING LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 2.5 CM OR LESS LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 2.6 CM TO 7.5 CM LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 7.6 CM TO 12.5 CM LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 12.6 CM TO 20.0 CM LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 20.1 CM TO 30.0 CM LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; OVER 30.0 CM LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 2.5 CM OR LE LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 2.6 CM TO 5. LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 5.1 CM TO 7. LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 7.6 CM TO 12 LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 12.6 CM TO 2 LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 20.1 CM TO 3 LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; OVER 30.0 C REPAIR, COMPLEX, TRUNK; 1.1 CM TO 2.5 CM REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM REPAIR, COMPLEX, TRUNK; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIM REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 1.1 CM TO 2.5 CM
- 245. REPAIR, COMPLEX, SCALP,ARMS, AND/OR LEGS; 2.6 CM TO 7.5 CM REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN ADDITIO REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; 1.1 CM REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; 2.6 CM REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; EACH A REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.0 CM OR LESS REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.1 CM TO 2.5 CM REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 2.6 CM TO 7.5 CM REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN A SECONDARY CLOSURE OF SURGICAL WOUND OR DEHISCENCE, EXTENSIVE OR COMPLICATED ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10 SQ CM OR LESS ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10.1 SQ CM TO 30.0 SQ CM ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10 SQ CM OR LESS ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10.1 SQ CM TO 30.0 SQ ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITA ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITA ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT 10 SQ CM OR L ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT 10.1 SQ CM TO ADJACENT TISSUE TRANSFER OR REARRANGEMENT, MORE THAN 30 SQ CM, UNUSUAL OR COMPLICATED, ANY AR FILLETED FINGER OR TOE FLAP, INCLUDING PREPARATION OF RECIPIENT SITE SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ESCHAR, OR SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ESCHAR, OR PINCH GRAFT, SINGLE OR MULTIPLE, TO COVER SMALL ULCER, TIP OF DIGIT, OR OTHER MINIMAL OPEN AREA (EX SPLIT GRAFT, TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR ONE PERCENT OF BODY AREA OF INFANTS AN SPLIT GRAFT, TRUNK, ARMS, LEGS; EACH ADDITIONAL 100 SQ CM, OR EACH ADDITIONAL ONE PERCENT OF BODY SPLIT GRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET AND/OR MULTIPLE SPLIT GRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET AND/OR MULTIPLE FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, TRUNK; 20 SQ CM OR LESS FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, TRUNK; EACH ADDITIONAL 20 SQ C FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS, AND/OR LEGS; 20 S FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS, AND/OR LEGS; EAC FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, CHEEKS, CHIN, MOUT FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, CHEEKS, CHIN, MOUT FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, EYELIDS, AND/OR LIP FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, EYELIDS, AND/OR LIP APPLICATION OF BILAMINATE SKIN SUBSTITUTE/NEODERMIS; 25 SQ CM APPLICATION OF BILAMINATE SKIN SUBSTITUTE/NEODERMIS; EACH ADDITIONAL 25 SQ CM (LIST SEPARATELY IN A APPLICATION OF ALLOGRAFT, SKIN; 100 SQ CM OR LESS APPLICATION OF ALLOGRAFT, SKIN; EACH ADDITIONAL 100 SQ CM (LIST SEPARATELY IN ADDITION TO CODE FOR APPLICATION OF XENOGRAFT, SKIN; 100 SQ CM OR LESS APPLICATION OF XENOGRAFT, SKIN; EACH ADDITIONAL 100 SQ CM (LIST SEPARATELY IN ADDITION TO CODE FOR FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITHOUT TRANSFER; TRUNK FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITHOUT TRANSFER; SCALP, ARMS, OR LEGS FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITHOUT TRANSFER; FOREHEAD, CHEEKS, CHIN, MOUTH, FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITHOUT TRANSFER; EYELIDS, NOSE, EARS, LIPS, OR INTR DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT TRUNK DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT SCALP, ARMS, OR LEGS DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT FOREHEAD, CHEEKS, CHIN, NECK, AXILLAE, G DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT EYELIDS, NOSE, EARS, OR LIPS TRANSFER, INTERMEDIATE, OF ANY PEDICLE FLAP (EG, ABDOMEN TO WRIST, "WALKING" TUBE), ANY LOCATION MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; HEAD AND NECK (EG, TEMPORALIS, MASSETER MUSCL MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; TRUNK
- 246. MUSCLE, MYOCUTANEOUS, ORFASCIOCUTANEOUS FLAP; UPPER EXTREMITY MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; LOWER EXTREMITY FLAP; ISLAND PEDICLE FLAP; NEUROVASCULAR PEDICLE FREE MUSCLE OR MYOCUTANEOUS FLAP WITH MICROVASCULAR ANASTOMOSIS FREE SKIN FLAP WITH MICROVASCULAR ANASTOMOSIS FREE FASCIAL FLAP WITH MICROVASCULAR ANASTOMOSIS GRAFT; COMPOSITE (EG, FULL THICKNESS OF EXTERNAL EAR OR NASAL ALA), INCLUDING PRIMARY CLOSURE, DO GRAFT; DERMA-FAT-FASCIA PUNCH GRAFT FOR HAIR TRANSPLANT; 1 TO 15 PUNCH GRAFTS PUNCH GRAFT FOR HAIR TRANSPLANT; MORE THAN 15 PUNCH GRAFTS DERMABRASION; TOTAL FACE (EG, FOR ACNE SCARRING, FINE WRINKLING, RHYTIDS, GENERAL KERATOSIS) DERMABRASION; SEGMENTAL, FACE DERMABRASION; REGIONAL, OTHER THAN FACE DERMABRASION; SUPERFICIAL, ANY SITE, (EG, TATTOO REMOVAL) ABRASION; SINGLE LESION (EG, KERATOSIS, SCAR) ABRASION; EACH ADDITIONAL FOUR LESIONS OR LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY P CHEMICAL PEEL, FACIAL; EPIDERMAL CHEMICAL PEEL, FACIAL; DERMAL CHEMICAL PEEL, NONFACIAL; EPIDERMAL CHEMICAL PEEL, NONFACIAL; DERMAL SALABRASION; 20 SQ CM OR LESS SALABRASION; OVER 20 SQ CM CERVICOPLASTY BLEPHAROPLASTY, LOWER EYELID; BLEPHAROPLASTY, LOWER EYELID; WITH EXTENSIVE HERNIATED FAT PAD BLEPHAROPLASTY, UPPER EYELID; BLEPHAROPLASTY, UPPER EYELID; WITH EXCESSIVE SKIN WEIGHTING DOWN LID RHYTIDECTOMY; FOREHEAD RHYTIDECTOMY; NECK WITH PLATYSMAL TIGHTENING (PLATYSMAL FLAP, "P-FLAP") RHYTIDECTOMY; GLABELLAR FROWN LINES RHYTIDECTOMY; CHEEK, CHIN, AND NECK RHYTIDECTOMY; SUPERFICIAL MUSCULOAPONEUROTIC SYSTEM (SMAS) FLAP EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDING LIPECTOMY); ABDOMEN (ABDOMINOPLAST EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDING LIPECTOMY); THIGH EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDING LIPECTOMY); LEG EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDING LIPECTOMY); HIP EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDING LIPECTOMY); BUTTOCK EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDING LIPECTOMY); ARM EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDING LIPECTOMY); FOREARM OR HAND EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDING LIPECTOMY); SUBMENTAL FAT PAD EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDING LIPECTOMY); OTHER AREA GRAFT FOR FACIAL NERVE PARALYSIS; FREE FASCIA GRAFT (INCLUDING OBTAINING FASCIA) GRAFT FOR FACIAL NERVE PARALYSIS; FREE MUSCLE GRAFT (INCLUDING OBTAINING GRAFT) GRAFT FOR FACIAL NERVE PARALYSIS; FREE MUSCLE FLAP BY MICROSURGICAL TECHNIQUE GRAFT FOR FACIAL NERVE PARALYSIS; REGIONAL MUSCLE TRANSFER REMOVAL OF SUTURES UNDER ANESTHESIA (OTHER THAN LOCAL), SAME SURGEON REMOVAL OF SUTURES UNDER ANESTHESIA (OTHER THAN LOCAL), OTHER SURGEON DRESSING CHANGE (FOR OTHER THAN BURNS) UNDER ANESTHESIA (OTHER THAN LOCAL) INTRAVENOUS INJECTION OF AGENT TO TEST VASCULAR FLOW IN FLAP OR GRAFT SUCTION ASSISTED LIPECTOMY; HEAD AND NECK SUCTION ASSISTED LIPECTOMY; TRUNK
- 247. SUCTION ASSISTED LIPECTOMY;UPPER EXTREMITY SUCTION ASSISTED LIPECTOMY; LOWER EXTREMITY EXCISION, COCCYGEAL PRESSURE ULCER, WITH COCCYGECTOMY; WITH PRIMARY SUTURE EXCISION, COCCYGEAL PRESSURE ULCER, WITH COCCYGECTOMY; WITH FLAP CLOSURE EXCISION, SACRAL PRESSURE ULCER, WITH PRIMARY SUTURE; EXCISION, SACRAL PRESSURE ULCER, WITH PRIMARY SUTURE; WITH OSTECTOMY EXCISION, SACRAL PRESSURE ULCER, WITH SKIN FLAP CLOSURE; EXCISION, SACRAL PRESSURE ULCER, WITH SKIN FLAP CLOSURE; WITH OSTECTOMY EXCISION, SACRAL PRESSURE ULCER, IN PREPARATION FOR MUSCLE OR MYOCUTANEOUS FLAP OR SKIN GRAFT EXCISION, SACRAL PRESSURE ULCER, WITH MUSCLE OR MYOCUTANEOUS FLAP CLOSURE; WITH OSTECTOMY EXCISION, ISCHIAL PRESSURE ULCER, WITH PRIMARY SUTURE; EXCISION, ISCHIAL PRESSURE ULCER, WITH PRIMARY SUTURE; WITH OSTECTOMY (ISCHIECTOMY) EXCISION, ISCHIAL PRESSURE ULCER, WITH SKIN FLAP CLOSURE; EXCISION, ISCHIAL PRESSURE ULCER, WITH SKIN FLAP CLOSURE; WITH OSTECTOMY EXCISION, ISCHIAL PRESSURE ULCER, WITH OSTECTOMY, IN PREPARATION FOR MUSCLE OR MYOCUTANEOUS FL EXCISION, TROCHANTERIC PRESSURE ULCER, WITH PRIMARY SUTURE; EXCISION, TROCHANTERIC PRESSURE ULCER, WITH PRIMARY SUTURE; WITH OSTECTOMY EXCISION, TROCHANTERIC PRESSURE ULCER, WITH SKIN FLAP CLOSURE; EXCISION, TROCHANTERIC PRESSURE ULCER, WITH SKIN FLAP CLOSURE; WITH OSTECTOMY EXCISION, TROCHANTERIC PRESSURE ULCER, IN PREPARATION FOR MUSCLE OR MYOCUTANEOUS FLAP OR SKIN EXCISION, TROCHANTERIC PRESSURE ULCER, IN PREPARATION FOR MUSCLE OR MYOCUTANEOUS FLAP OR SKIN UNLISTED PROCEDURE, EXCISION PRESSURE ULCER INITIAL TREATMENT, FIRST DEGREE BURN, WHEN NO MORE THAN LOCAL TREATMENT IS REQUIRED DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR SUBSEQUENT; UNDER ANESTHESIA, SMALL DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR SUBSEQUENT; UNDER ANESTHESIA, MEDIUM OR LARGE, OR WITH DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR SUBSEQUENT; WITHOUT ANESTHESIA, OFFICE OR HOSPITAL, SMA DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR SUBSEQUENT; WITHOUT ANESTHESIA, MEDIUM (EG, WHOLE FACE DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR SUBSEQUENT; WITHOUT ANESTHESIA, LARGE (EG, MORE THAN O ESCHAROTOMY; INITIAL INCISION ESCHAROTOMY; EACH ADDITIONAL INCISION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDUR DESTRUCTION, ALL BENIGN OR PREMALIGNANT LESIONS OTHER THAN SKIN TAGS OR CUTANEOUS VASCULAR PR DESTRUCTION, ALL BENIGN OR PREMALIGNANT LESIONS OTHER THAN SKIN TAGS OR CUTANEOUS VASCULAR PR DESTRUCTION, ALL BENIGN OR PREMALIGNANT LESIONS OTHER THAN SKIN TAGS OR CUTANEOUS VASCULAR PR DESTRUCTION OF CUTANEOUS VASCULAR PROLIFERATIVE LESIONS (EG, LASER TECHNIQUE); LESS THAN 10 SQ DESTRUCTION OF CUTANEOUS VASCULAR PROLIFERATIVE LESIONS (EG, LASER TECHNIQUE); 10.0 - 50.0 SQ CM DESTRUCTION OF CUTANEOUS VASCULAR PROLIFERATIVE LESIONS (EG, LASER TECHNIQUE); OVER 50.0 SQ CM DESTRUCTION, OF FLAT WARTS, MOLLUSCUM CONTAGIOSUM, OR MILIA; UP TO 14 LESIONS DESTRUCTION, OF FLAT WARTS, MOLLUSCUM CONTAGIOSUM, OR MILIA; UP TO 15 LESIONS CHEMICAL CAUTERIZATION OF GRANULATION TISSUE (PROUD FLESH, SINUS OR FISTULA) DESTRUCTION, MALIGNANT LESION, TRUNK, ARMS OR LEGS; LESION DIAMETER 0.5 CM OR LESS DESTRUCTION, MALIGNANT LESION, TRUNK, ARMS OR LEGS; LESION DIAMETER 0.6 TO 1.0 CM DESTRUCTION, MALIGNANT LESION, TRUNK, ARMS OR LEGS; LESION DIAMETER 1.1 TO 2.0 CM DESTRUCTION, MALIGNANT LESION, TRUNK, ARMS OR LEGS; LESION DIAMETER 2.1 TO 3.0 CM DESTRUCTION, MALIGNANT LESION, TRUNK, ARMS OR LEGS; LESION DIAMETER 3.1 TO 4.0 CM DESTRUCTION, MALIGNANT LESION, TRUNK, ARMS OR LEGS; LESION DIAMETER OVER 4.0 CM DESTRUCTION, MALIGNANT LESION, SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER 0.5 CM OR LESS DESTRUCTION, MALIGNANT LESION, SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER 0.6 TO 1.0 CM DESTRUCTION, MALIGNANT LESION, SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER 1.1 TO 2.0 CM DESTRUCTION, MALIGNANT LESION, SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER 2.1 TO 3.0 CM DESTRUCTION, MALIGNANT LESION, SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER 3.1 TO 4.0 CM DESTRUCTION, MALIGNANT LESION, SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER OVER 4.0 CM DESTRUCTION, MALIGNANT LESION, FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER
- 248. DESTRUCTION, MALIGNANT LESION,FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER DESTRUCTION, MALIGNANT LESION, FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER DESTRUCTION, MALIGNANT LESION, FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER DESTRUCTION, MALIGNANT LESION, FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER DESTRUCTION, MALIGNANT LESION, FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER CHEMOSURGERY,INCLUD REMVAL GROSS TUMOR,SURG EXCIS TISSUE SPEC, MAPPING,MICROSCOPIC EXAM SPE CHEMO, INCLUD REMOVAL GROSS TUMOR,SURG EXCIS TISSUE SPECIMENS, MICROSCOPIC EXAM SPECIMENS SU CHEMO,INCLUD REMOVAL GROS TUMOR,SURG EXCIS TISSUE SPECI,MAPPING, MICROSCOPIC EXAM OF SPECIME CHEMO, INCLUD REMOV GROSS TUMOR, SURG EXCIS TISSUE SPECI,MAPPING, MICROSCO EXAMIN SPECIMENS S CHEMO,INCLUD REMOV ALL GROSS TUMOR,SURG EXCIS TISSUE SPECI,MAPG MICROSCOP EXAM SPECI SURG,& H CRYOTHERAPY (CO2 SLUSH, LIQUID N2) FOR ACNE CHEMICAL EXFOLIATION FOR ACNE (EG, ACNE PASTE, ACID) ELECTROLYSIS EPILATION, EACH 1/2 HOUR UNLISTED PROCEDURE, SKIN, MUCOUS MEMBRANE AND SUBCUTANEOUS TISSUE PUNCTURE ASPIRATION OF CYST OF BREAST; PUNCTURE ASPIRATION OF CYST OF BREAST; EACH ADDITIONAL CYST (LIST SEPARATELY IN ADDITION TO CODE MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, DEEP INJECTION PROCEDURE ONLY FOR MAMMARY DUCTOGRAM OR GALACTOGRAM BIOPSY OF BREAST; PERCUTANEOUS, NEEDLE CORE, NOT USING IMAGING GUIDANCE (SEPARATE PROCEDURE) BIOPSY OF BREAST; OPEN, INCISIONAL BIOPSY OF BREAST; PERCUTANEOUS, NEEDLE CORE, USING IMAGING GUIDANCE BIOPSY OF BREAST; PERCUTANEOUS, AUTOMATED VACUUM ASSISTED OR ROTATING BIOPSY DEVICE, USING IMA NIPPLE EXPLORATION, WITH OR WITHOUT EXCISION OF A SOLITARY LACTIFEROUS DUCT OR A PAPILLOMA LACTI EXCISION OF LACTIFEROUS DUCT FISTULA EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR ABERRANT BREAST TISSUE, DUC EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGICAL MARKER, OPEN; SIN EXCISION OF BREAST LESION IDENTIFIED BY PREOP PLACEMENT OF RADIOLOGICAL MARKER, OPEN; EA ADDTL L MASTECTOMY FOR GYNECOMASTIA MASTECTOMY, PARTIAL; MASTECTOMY, PARTIAL; WITH AXILLARY LYMPHADENECTOMY MASTECTOMY, SIMPLE, COMPLETE MASTECTOMY, SUBCUTANEOUS MASTECTOMY, RADICAL, INCLUDING PECTORAL MUSCLES, AXILLARY LYMPH NODES MASTECTOMY, RADICAL, INCLUDING PECTORAL MUSCLES, AXILLARY AND INTERNAL MAMMARY LYMPH NODES (U MASTECTOMY, MODIFIED RADICAL, INCLUDING AXILLARY LYMPH NODES, WITH OR WITHOUT PECTORALIS MINOR EXCISION OF CHEST WALL TUMOR INCLUDING RIBS EXCISION OF CHEST WALL TUMOR INVOLVING RIBS, WITH PLASTIC RECONSTRUCTION; WITHOUT MEDIASTINAL L EXCISION OF CHEST WALL TUMOR INVOLVING RIBS, WITH PLASTIC RECONSTRUCTION; WITH MEDIASTINAL LYMP PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZATION WIRE, BREAST; PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZATION WIRE, BREAST; EACH ADDITIONAL LESION (LIST SEPARAT IMAGE GUIDED PLACEMENT, METALLIC LOCALIZATION CLIP, PERCUTANEOUS, DURING BREAST BIOPSY (LIST SEP MASTOPEXY REDUCTION MAMMAPLASTY MAMMAPLASTY, AUGMENTATION; WITHOUT PROSTHETIC IMPLANT MAMMAPLASTY, AUGMENTATION; WITH PROSTHETIC IMPLANT REMOVAL OF INTACT MAMMARY IMPLANT REMOVAL OF MAMMARY IMPLANT MATERIAL IMMEDIATE INSERTION OF BREAST PROSTHESIS FOLLOWING MASTOPEXY, MASTECTOMY OR IN RECONSTRUCTIO DELAYED INSERTION OF BREAST PROSTHESIS FOLLOWING MASTOPEXY, MASTECTOMY OR IN RECONSTRUCTION NIPPLE/AREOLA RECONSTRUCTION CORRECTION OF INVERTED NIPPLES BREAST RECONSTRUCTION, IMMEDIATE OR DELAYED, WITH TISSUE EXPANDER, INCLUDING SUBSEQUENT EXPAN
- 249. BREAST RECONSTRUCTION WITHLATISSIMUS DORSI FLAP, WITH OR WITHOUT PROSTHETIC IMPLANT BREAST RECONSTRUCTION WITH FREE FLAP BREAST RECONSTRUCTION WITH OTHER TECHNIQUE BREAST RECONSTRUCTION WITH TRANSVERSE RECTUS ABDOMINIS MYOCUTANEOUS FLAP (TRAM), SINGLE PED BREAST RECONSTRUCTION WITH TRANSVERSE RECTUS ABDOMINIS MYOCUTANEOUS FLAP (TRAM), SINGLE PED BREAST RECONSTRUCTION WITH TRANSVERSE RECTUS ABDOMINIS MYOCUTANEOUS FLAP (TRAM), DOUBLE PED OPEN PERIPROSTHETIC CAPSULOTOMY, BREAST PERIPROSTHETIC CAPSULECTOMY, BREAST REVISION OF RECONSTRUCTED BREAST PREPARATION OF MOULAGE FOR CUSTOM BREAST IMPLANT UNLISTED PROCEDURE, BREAST INCISION OF SOFT TISSUE ABSCESS (EG, SECONDARY TO OSTEOMYELITIS); SUPERFICIAL INCISION OF SOFT TISSUE ABSCESS (EG, SECONDARY TO OSTEOMYELITIS); DEEP OR COMPLICATED EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); NECK EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); CHEST EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); ABDOMEN/FLANK/BACK EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); EXTREMITY EXCISION OF EPIPHYSEAL BAR, WITH OR WITHOUT AUTOGEOUS SOFT TISSUE GRAFT OBTAINED THROUGH SAME BIOPSY, MUSCLE; SUPERFICIAL BIOPSY, MUSCLE; DEEP BIOPSY, MUSCLE, PERCUTANEOUS NEEDLE BIOPSY, BONE, TROCAR, OR NEEDLE; SUPERFICIAL (EG, ILIUM, STERNUM, SPINOUS PROCESS, RIBS) BIOPSY, BONE, TROCAR, OR NEEDLE; DEEP BIOPSY, BONE, EXCISIONAL; SUPERFICIAL (EG, ILIUM, STERNUM, SPINOUS PROCESS, RIBS, TROCHANTER OF FEM BIOPSY, EXCISIONAL; DEEP (EG, HUMERUS, ISCHIUM, FEMUR) BIOPSY, VERTEBRAL BODY, OPEN; THORACIC BIOPSY, VERTEBRAL BODY, OPEN; LUMBAR OR CERVICAL INJECTION OF SINUS TRACT; THERAPEUTIC (SEPARATE PROCEDURE) INJECTION OF SINUS TRACT; DIAGNOSTIC (SINOGRAM) REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH; SIMPLE REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH; DEEP OR COMPLICATED INJECTION, THERAPEUTIC (EG, LOCAL ANESTHETIC, CORTICOSTEROID), CARPAL TUNNEL INJECTION(S); TENDON SHEATH, LIGAMENT INJECTION(S); TENDON ORIGIN/INSERTION INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), ONE OR TWO MUSCLE(S) INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), THREE OR MORE MUSCLE(S) ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; SMALL JOINT OR BURSA (EG,FINGERS, TOES) ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; INTERMEDIATE JOINT OR BURSA (EG, TEMPOROMANDIBULA ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE JOINT, S ASPIRATION AND/OR INJECTION OF GANGLION CYST(S) ANY LOCATION ASPIRATION AND INJECTION FOR TREATMENT OF BONE CYST INSERTION OF WIRE OR PIN WITH APPLICATION OF SKELETAL TRACTION, INCLUDING REMOVAL (SEPARATE PROC APPLICATION OF CRANIAL TONGS, CALIPER, OR STEREOTACTIC FRAME, INCLUDING REMOVAL (SEPARATE PROCE APPLICATION OF HALO, INCLUDING REMOVAL; CRANIAL APPLICATION OF HALO, INCLUDING REMOVAL; PELVIC APPLICATION OF HALO, INCLUDING REMOVAL; FEMORAL APPLICATION OF HALO, INCLUDING REMOVAL, CRANIAL, 6 OR MORE PINS PLACED, FOR THIN SKULL OSTEOLOGY REMOVAL OF TONGS OR HALO APPLIED BY ANOTHER PHYSICIAN REMOVAL OF IMPLANT; SUPERFICIAL, (EG, BURIED WIRE, PIN OR ROD) (SEPARATE PROCEDURE) REMOVAL OF IMPLANT; DEEP (EG, BURIED WIRE, PIN, SCREW, METAL BAND, NAIL, ROD OR PLATE) APPLICATION OF A UNIPLANE (PINS OR WIRES IN ONE PLANE), UNILATERAL, EXTERNAL FIXATION SYSTEM APPLICATION OF A MULTIPLANE (PINS OR WIRES IN MORE THAN ONE PLANE), UNILATERAL, EXTERNAL FIXATION S
- 250. ADJUSTMENT OR REVISIONOF EXTERNAL FIXATION SYSTEM REQUIRING ANESTHESIA (EG, NEW PIN(S) OR WIRE( REMOVAL, UNDER ANESTHESIA, OF EXTERNAL FIXATION SYSTEM REPLANTATION, ARM (INCLUDES SURGICAL NECK OF HUMERUS THROUGH ELBOW JOINT); COMPLETE AMPUTATIO REPLANTATION, FOREARM (INCLUDES RADIUS AND ULNA TO RADIAL CARPAL JOINT); COMPLETE AMPUTATION REPLANTATION, HAND (INCLUDES HAND THROUGH METACARPOPHALANGEAL JOINTS); COMPLETE AMPUTATION REPLANTATION, DIGIT, EXCLUDING THUMB (INCLUDES METACARPOPHALANGEAL JOINT TO INSERTION OF FLEXO REPLANTATION, DIGIT, EXCLUDING THUMB (INCLUDES DISTAL TIP TO SUBLIMIS TENDON INSERTION); COMPLETE REPLANTATION, THUMB (INCLUDES CARPOMETACARPAL JOINT TO MP JOINT); COMPLETE AMPUTATION REPLANTATION, THUMB (INCLUDES DISTAL TIP TO MP JOINT); COMPLETE AMPUTATION REPLANTATION, FOOT; COMPLETE AMPUTATION BONE GRAFT, ANY DONOR AREA; MINOR OR SMALL (EG, DOWEL OR BUTTON) BONE GRAFT, ANY DONOR AREA; MAJOR OR LARGE CARTILAGE GRAFT; COSTOCHONDRAL CARTILAGE GRAFT; NASAL SEPTUM FASCIA LATA GRAFT; BY STRIPPER FASCIA LATA GRAFT; BY INCISION AND AREA EXPOSURE, COMPLEX OR SHEET TENDON GRAFT, FROM A DISTANCE (EG, PALMARIS, TOE EXTENSOR, PLANTARIS) TISSUE GRAFTS, OTHER (EG, PARATENON, FAT, DERMIS) ALLOGRAFT FOR SPINE SURGERY ONLY; MORSELIZED ALLOGRAFT FOR SPINE SURGERY ONLY; STRUCTURAL AUTOGRAFT FOR SPINE SURGERY ONLY (INCLUDES HARVESTING THE GRAFT); LOCAL (EG, RIBS, SPINOUS PROC AUTOGRAFT FOR SPINE SURGERY ONLY (INCLUDES HARVESTING THE GRAFT); MORSELIZED (THROUGH SEPARA AUTOGRAFT FOR SPINE SURGERY ONLY (INCLUDES HARVESTING THE GRAFT); STRUCTURAL, BICORTICAL OR TR MONITORING OF INTERSTITIAL FLUID PRESSURE (INCLUDES INSERTION OF DEVICE, EG, WICK CATHETER TECHN BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; FIBULA BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; ILIAC CREST BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; METATARSAL BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; OTHER THAN FIBULA, ILIAC CREST OR METATARSAL FREE OSTEOCUTANEOUS FLAP WITH MICROVASCULAR ANASTOMOSIS; OTHER THAN THE ILIAC CREST, METATAR FREE OSTEOCUTANEOUS FLAP WITH MICROVASCULAR ANASTOMOSIS; ILIAC CREST FREE OSTEOCUTANEOUS FLAP WITH MICROVASCULAR ANASTOMOSIS; METATARSAL FREE OSTEOCUTANEOUS FLAP WITH MICROVASCULAR ANASTOMOSIS; GREAT TOE WITH WEB SPACE ELECTRICAL STIMULATION TO AID BONE HEALING; NONINVASIVE (NONOPERATIVE) ELECTRICAL STIMULATION TO AID BONE HEALING; INVASIVE (OPERATIVE) LOW INTENSITY ULTRASOUND STIMULATION TO AID BONE HEALING, NONINVASIVE (NONOPERATIVE) UNLISTED PROCEDURE, MUSCULOSKELETAL SYSTEM, GENERAL ARTHROTOMY, TEMPOROMANDIBULAR JOINT RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF FACE OR SCALP EXCISION OF BONE (EG, FOR OSTEOMYELITIS OR BONE ABSCESS); MANDIBLE EXCISION OF BONE (EG, FOR OSTEOMYELITIS OR BONE ABSCESS); FACIAL BONE(S) REMOVAL BY CONTOURING OF BENIGN TUMOR OF FACIAL BONE (EG, FIBROUS DYSPLASIA) EXCISION OF BENIGN TUMOR OR CYST OF MAXILLA OR ZYGOMA BY ENUCLEATION AND CURETTAGE EXCISION OF TORUS MANDIBULARIS EXCISION OF MAXILLARY TORUS PALATINUS EXCISION OF MALIGNANT TUMOR OF MAXILLA OR ZYGOMA EXCISION OF BENIGN TUMOR OR CYST OF MANDIBLE, BY ENUCLEATION AND/OR CURETTAGE EXCISION OF MALIGNANT TUMOR OF MANDIBLE; EXCISION OF MALIGNANT TUMOR OF MANDIBLE; RADICAL RESECTION EXCISION OF BENIGN TUMOR OR CYST OF MANDIBLE; REQUIRING INTRA-ORAL OSTEOTOMY (EG, LOCALLY AGGR EXCISION OF BENIGN TUMOR OR CYST OF MANDIBLE; REQUIRING EXTRA-ORAL OSTEOTOMY&PARTIAL MANDIBUL EXCISION OF BENIGN TUMOR OR CYST OF MAXILLA; REQUIRING INTRA-ORAL OSTEOTOMY (EG, LOCALLY AGGRES EXCISION OF BENIGN TUMOR OR CYST OF MAXILLA; REQUIRING EXTRA-ORAL OSTEOTOMY AND PARTIAL MAXILLE
- 251. CONDYLECTOMY, TEMPOROMANDIBULAR JOINT(SEPARATE PROCEDURE) MENISCECTOMY, PARTIAL OR COMPLETE, TEMPOROMANDIBULAR JOINT (SEPARATE PROCEDURE) CORONOIDECTOMY (SEPARATE PROCEDURE) IMPRESSION AND CUSTOM PREPARATION; SURGICAL OBTURATOR PROSTHESIS IMPRESSION AND CUSTOM PREPARATION; ORBITAL PROSTHESIS IMPRESSION AND CUSTOM PREPARATION; INTERIM OBTURATOR PROSTHESIS IMPRESSION AND CUSTOM PREPARATION; DEFINITIVE OBTURATOR PROSTHESIS IMPRESSION AND CUSTOM PREPARATION; MANDIBULAR RESECTION PROSTHESIS IMPRESSION AND CUSTOM PREPARATION; PALATAL AUGMENTATION PROSTHESIS IMPRESSION AND CUSTOM PREPARATION; PALATAL LIFT PROSTHESIS IMPRESSION AND CUSTOM PREPARATION; SPEECH AID PROSTHESIS IMPRESSION AND CUSTOM PREPARATION; ORAL SURGICAL SPLINT IMPRESSION AND CUSTOM PREPARATION; AURICULAR PROSTHESIS IMPRESSION AND CUSTOM PREPARATION; NASAL PROSTHESIS IMPRESSION AND CUSTOM PREPARATION; FACIAL PROSTHESIS UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE APPLICATION OF HALO TYPE APPLIANCE FOR MAXILLOFACIAL FIXATION, INCLUDES REMOVAL (SEPARATE PROCE APPLICATION OF INTERDENTAL FIXATION DEVICE FOR CONDITIONS OTHER THAN FRACTURE OR DISLOCATION, IN INJECTION PROCEDURE FOR TEMPOROMANDIBULAR JOINT ARTHROGRAPHY GENIOPLASTY; AUGMENTATION (AUTOGRAFT, ALLOGRAFT, PROSTHETIC MATERIAL) GENIOPLASTY; SLIDING OSTEOTOMY, SINGLE PIECE GENIOPLASTY; SLIDING OSTEOTOMIES, TWO OR MORE OSTEOTOMIES (EG, WEDGE EXCISION OR BONE WEDGE R GENIOPLASTY; SLIDING, AUGMENTATION WITH INTERPOSITIONAL BONE GRAFTS (INCLUDES OBTAINING AUTOGR AUGMENTATION, MANDIBULAR BODY OR ANGLE; PROSTHETIC MATERIAL AUGMENTATION, MANDIBULAR BODY OR ANGLE; WITH BONE GRAFT, ONLAY OR INTERPOSITIONAL (INCLUDES OB REDUCTION FOREHEAD; CONTOURING ONLY REDUCTION FOREHEAD; CONTOURING AND APPLICATION OF PROSTHETIC MATERIAL OR BONE GRAFT (INCLUDES REDUCTION FOREHEAD; CONTOURING AND SETBACK OF ANTERIOR FRONTAL SINUS WALL RECONSTRUCTION MIDFACE, LEFORT I; SINGLE PIECE, SEGMENT MOVEMENT IN ANY DIRECTION (EG, FOR LONG RECONSTRUCTION MIDFACE, LEFORT I; TWO PIECES, SEGMENT MOVEMENT IN ANY DIRECTION, WITHOUT BONE RECONSTRUCTION MIDFACE, LEFORT I; THREE OR MORE PIECES, SEGMENT MOVEMENT IN ANY DIRECTION, WITH RECONSTRUCTION MIDFACE, LEFORT I; SINGLE PIECE, SEGMENT MOVEMENT IN ANY DIRECTION, REQUIRING BON RECONSTRUCTION MIDFACE, LEFORT I; TWO PIECES, SEGMENT MOVEMENT IN ANY DIRECTION, REQUIRING BON RECONSTRUCTION MIDFACE, LEFORT I; 3 OR MORE PIECES, SEGMENT MOVEMENT IN ANY DIRECTION, REQUIRIN RECONSTRUCTION MIDFACE, LEFORT II; ANTERIOR INTRUSION (EG, TREACHER-COLLINS SYNDROME) RECONSTRUCTION MIDFACE, LEFORT II; ANY DIRECTION, REQUIRING BONE GRAFTS (INCLUDES OBTAINING AUTO RECONSTRUCTION MIDFACE, LEFORT III (EXTRACRANIAL), ANY TYPE, REQUIRING BONE GRAFTS (INCLUDES OBTA RECONSTRUCTION MIDFACE, LEFORT III (EXTRACRANIAL), ANY TYPE, REQUIRING BONE GRAFTS (INCLUDES OBTA RECONSTRUCTION MIDFACE, LEFORT III (EXTRA AND INTRACRANIAL) WITH FOREHEAD ADVANCEMENT (EG, MON RECONSTRUCTION MIDFACE, LEFORT III (EXTRA AND INTRACRANIAL) WITH FOREHEAD ADVANCEMENT (EG, MON RECONSTRUCTION SUPERIOR-LATERAL ORBITAL RIM AND LOWER FOREHEAD, ADVANCEMENT OR ALTERATION, W RECONSTRUCTION, BIFRONTAL, SUPERIOR-LATERAL ORBITAL RIMS AND LOWER FOREHEAD, ADVANCEMENT OR RECONSTRUCTION, ENTIRE OR MAJORITY OF FOREHEAD AND/OR SUPRAORBITAL RIMS; WITH GRAFTS (ALLOGRA RECONSTRUCTION, ENTIRE OR MAJORITY OF FOREHEAD AND/OR SUPRAORBITAL RIMS; WITH AUTOGRAFT (INCL RECONSTRUCTION BY CONTOURING OF BENIGN TUMOR OF CRANIAL BONES (EG, FIBROUS DYSPLASIA), EXTRAC RECONSTRUCTION, ORBITAL WALLS, RIMS, FOREHEAD, NASOETHMOID COMPLEX FOLLOWING INTRA-&EXTRACR RECONSTRUCTION, ORBITAL WALLS, RIMS, FOREHEAD, NASOETHMOID COMPLEX FOLL INTRA-&EXTRACRANIAL E RECONSTRUCTION, ORBITAL WALLS, RIMS, FOREHEAD, NASOETHMOID COMPLEX FOLLOWING INTRA-&EXTRACR RECONSTRUCTION MIDFACE, OSTEOTOMIES (OTHER THAN LEFORT TYPE) AND BONE GRAFTS (INCLUDES OBTAIN RECONSTRUCTION OF MANDIBULAR RAMI, HORIZONTAL, VERTICAL, "C", OR "L" OSTEOTOMY; WITHOUT BONE GRA RECONSTRUCTION OF MANDIBULAR RAMUS, HORIZONTAL, VERTICAL, "C", OR "L" OSTEOTOMY; WITH BONE GRAF RECONSTRUCTION OF MANDIBULAR RAMI AND/OR BODY, SAGITTAL SPLIT; WITHOUT INTERNAL RIGID FIXATION
- 252. RECONSTRUCTION OF MANDIBULARRAMUS AND/OR BODY, SAGITTAL SPLIT; WITH INTERNAL RIGID FIXATION OSTEOTOMY, MANDIBLE, SEGMENTAL OSTEOTOMY, MANDIBLE, SEGMENTAL; WITH GENIOGLOSSUS ADVANCEMENT OSTEOTOMY, MAXILLA, SEGMENTAL (EG, WASSMUND OR SCHUCHARD) OSTEOPLASTY, FACIAL BONES; AUGMENTATION (AUTOGRAFT, ALLOGRAFT, OR PROSTHETIC IMPLANT) OSTEOPLASTY, FACIAL BONES; REDUCTION GRAFT, BONE; NASAL, MAXILLARY OR MALAR AREAS (INCLUDES OBTAINING GRAFT) GRAFT, BONE; MANDIBLE (INCLUDES OBTAINING GRAFT) GRAFT; RIB CARTILAGE, AUTOGENOUS, TO FACE, CHIN, NOSE OR EAR (INCLUDES OBTAINING GRAFT) GRAFT; EAR CARTILAGE, AUTOGENOUS, TO NOSE OR EAR (INCLUDES OBTAINING GRAFT) ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH OR WITHOUT AUTOGRAFT (INCLUDES OBTAINING GRAFT) ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH ALLOGRAFT ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH PROSTHETIC JOINT REPLACEMENT RECONSTRUCTION OF MANDIBLE, EXTRAORAL, WITH TRANSOSTEAL BONE PLATE (EG, MANDIBULAR STAPLE BON RECONSTRUCTION OF MANDIBLE OR MAXILLA, SUBPERIOSTEAL IMPLANT; PARTIAL RECONSTRUCTION OF MANDIBLE OR MAXILLA, SUBPERIOSTEAL IMPLANT; COMPLETE RECONSTRUCTION OF MANDIBULAR CONDYLE WITH BONE AND CARTILAGE AUTOGRAFTS (INCLUDES OBTAINING RECONSTRUCTION OF MANDIBLE OR MAXILLA, ENDOSTEAL IMPLANT (EG, BLADE, CYLINDER); PARTIAL RECONSTRUCTION OF MANDIBLE OR MAXILLA, ENDOSTEAL IMPLANT (EG, BLADE, CYLINDER); COMPLETE RECONSTRUCTION OF ZYGOMATIC ARCH AND GLENOID FOSSA WITH BONE AND CARTILAGE (INCLUDES OBTAININ RECONSTRUCTION OF ORBIT WITH OSTEOTOMIES (EXTRACRANIAL) AND WITH BONE GRAFTS (INCLUDES OBTAIN PERIORBITAL OSTEOTOMIES FOR ORBITAL HYPERTELORISM, WITH BONE GRAFTS; EXTRACRANIAL APPROACH PERIORBITAL OSTEOTOMIES FOR ORBITAL HYPERTELORISM, WITH BONE GRAFTS; COMBINED INTRA- AND EXTRA PERIORBITAL OSTEOTOMIES FOR ORBITAL HYPERTELORISM, WITH BONE GRAFTS; WITH FOREHEAD ADVANCEME ORBITAL REPOSITIONING, PERIORBITAL OSTEOTOMIES, UNILATERAL, WITH BONE GRAFTS; EXTRACRANIAL APPR ORBITAL REPOSITIONING, PERIORBITAL OSTEOTOMIES, UNILATERAL, WITH BONE GRAFTS; COMBINED INTRA- AN MALAR AUGMENTATION, PROSTHETIC MATERIAL SECONDARY REVISION OF ORBITOCRANIOFACIAL RECONSTRUCTION MEDIAL CANTHOPEXY (SEPARATE PROCEDURE) LATERAL CANTHOPEXY REDUCTION OF MASSETER MUSCLE AND BONE (EG, FOR TREATMENT OF BENIGN MASSETERIC HYPERTROPHY); REDUCTION OF MASSETER MUSCLE AND BONE (EG, FOR TREATMENT OF BENIGN MASSETERIC HYPERTROPHY); UNLISTED CRANIOFACIAL AND MAXILLOFACIAL PROCEDURE CLOSED TREATMENT OF SKULL FRACTURE WITHOUT OPERATION CLOSED TREATMENT OF NASAL BONE FRACTURE WITHOUT MANIPULATION CLOSED TREATMENT OF NASAL BONE FRACTURE; WITHOUT STABILIZATION CLOSED TREATMENT OF NASAL BONE FRACTURE; WITH STABILIZATION OPEN TREATMENT OF NASAL FRACTURE; UNCOMPLICATED OPEN TREATMENT OF NASAL FRACTURE; COMPLICATED, WITH INTERNAL AND/OR EXTERNAL SKELETAL FIXATION OPEN TREATMENT OF NASAL FRACTURE; WITH CONCOMITANT OPEN TREATMENT OF FRACTURED SEPTUM OPEN TREATMENT OF NASAL SEPTAL FRACTURE, WITH OR WITHOUT STABILIZATION CLOSED TREATMENT OF NASAL SEPTAL FRACTURE, WITH OR WITHOUT STABILIZATION OPEN TREATMENT OF NASOETHMOID FRACTURE; WITHOUT EXTERNAL FIXATION OPEN TREATMENT OF NASOETHMOID FRACTURE; WITH EXTERNAL FIXATION PERCUTANEOUS TREATMENT OF NASOETHMOID COMPLEX FRACTURE, WITH SPLINT, WIRE OR HEADCAP FIXATIO OPEN TREATMENT OF DEPRESSED FRONTAL SINUS FRACTURE OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR INVOLVING POSTERIOR WALL) FRONTAL SINUS FRAC CLOSED TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE (LEFORT II TYPE), WITH INTERDENTAL WIRE FIXA OPEN TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE (LEFORT II TYPE); WITH WIRING AND/OR LOCAL FIX OPEN TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE (LEFORT II TYPE); REQUIRING MULTIPLE OPEN APP OPEN TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE (LEFORT II TYPE); WITH BONE GRAFTING (INCLUDE PERCUTANEOUS TREATMENT OF FRACTURE OF MALAR AREA, INCLUDING ZYGOMATIC ARCH AND MALAR TRIPOD
- 253. OPEN TREATMENT OFDEPRESSED ZYGOMATIC ARCH FRACTURE (EG, GILLES APPROACH) OPEN TREATMENT OF DEPRESSED MALAR FRACTURE, INCLUDING ZYGOMATIC ARCH AND MALAR TRIPOD OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR INVOLVING CRANIAL NERVE FORAMINA) FRACTURE(S OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR INVOLVING CRANIAL NERVE FORAMINA) FRACTURE(S OPEN TREATMENT OF ORBITAL FLOOR "BLOWOUT" FRACTURE; TRANSANTRAL APPROACH (CALDWELL-LUC TYPE OPEN TREATMENT OF ORBITAL FLOOR "BLOWOUT" FRACTURE; PERIORBITAL APPROACH OPEN TREATMENT OF ORBITAL FLOOR "BLOWOUT" FRACTURE; COMBINED APPROACH OPEN TREATMENT OF ORBITAL FLOOR "BLOWOUT" FRACTURE; PERIORBITAL APPROACH, WITH ALLOPLASTIC OR OPEN TREATMENT OF ORBITAL FLOOR "BLOWOUT" FRACTURE; PERIORBITAL APPROACH WITH BONE GRAFT (INC CLOSED TREATMENT OF FRACTURE OF ORBIT, EXCEPT "BLOWOUT"; WITHOUT MANIPULATION CLOSED TREATMENT OF FRACTURE OF ORBIT, EXCEPT "BLOWOUT"; WITH MANIPULATION OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT "BLOWOUT"; WITHOUT IMPLANT OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT "BLOWOUT"; WITH IMPLANT OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT "BLOWOUT"; WITH BONE GRAFTING (INCLUDES OBTAINING CLOSED TREATMENT OF PALATAL OR MAXILLARY FRACTURE (LEFORT I TYPE), WITH INTERDENTAL WIRE FIXATIO OPEN TREATMENT OF PALATAL OR MAXILLARY FRACTURE (LEFORT I TYPE); OPEN TREATMENT OF PALATAL OR MAXILLARY FRACTURE (LEFORT I TYPE); COMPLICATED (COMMINUTED OR INV CLOSED TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT III TYPE) USING INTERDENTAL WIRE FIXATION OF OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT III TYPE); WITH WIRING AND/OR INTERNAL FIXATION OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT III TYPE); COMPLICATED (EG, COMMINUTED OR INVO OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT III TYPE); COMPLICATED, UTILIZING INTERNAL AND/O OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT III TYPE); COMPLICATED, MULTIPLE SURGICAL APPR CLOSED TREATMENT OF MANDIBULAR OR MAXILLARY ALVEOLAR RIDGE FRACTURE (SEPARATE PROCEDURE) OPEN TREATMENT OF MANDIBULAR OR MAXILLARY ALVEOLAR RIDGE FRACTURE (SEPARATE PROCEDURE) CLOSED TREATMENT OF MANDIBULAR FRACTURE; WITHOUT MANIPULATION CLOSED TREATMENT OF MANDIBULAR FRACTURE; WITH MANIPULATION PERCUTANEOUS TREATMENT OF MANDIBULAR FRACTURE, WITH EXTERNAL FIXATION CLOSED TREATMENT OF MANDIBULAR FRACTURE WITH INTERDENTAL FIXATION OPEN TREATMENT OF MANDIBULAR FRACTURE WITH EXTERNAL FIXATION OPEN TREATMENT OF MANDIBULAR FRACTURE; WITHOUT INTERDENTAL FIXATION OPEN TREATMENT OF MANDIBULAR FRACTURE; WITH INTERDENTAL FIXATION OPEN TREATMENT OF MANDIBULAR CONDYLAR FRACTURE OPEN TREATMENT OF COMPLICATED MANDIBULAR FRACTURE BY MULTIPLE SURGICAL APPROACHES INCLUDING CLOSED TREATMENT OF TEMPOROMANDIBULAR DISLOCATION; INITIAL OR SUBSEQUENT CLOSED TREATMENT OF TEMPOROMANDIBULAR DISLOCATION; COMPLICATED (EG, RECURRENT REQUIRING INTE OPEN TREATMENT OF TEMPOROMANDIBULAR DISLOCATION CLOSED TREATMENT OF HYOID FRACTURE; WITHOUT MANIPULATION CLOSED TREATMENT OF HYOID FRACTURE; WITH MANIPULATION OPEN TREATMENT OF HYOID FRACTURE INTERDENTAL WIRING, FOR CONDITION OTHER THAN FRACTURE UNLISTED MUSCULOSKELETAL PROCEDURE, HEAD INCISION AND DRAINAGE, DEEP ABSCESS OR HEMATOMA, SOFT TISSUES OF NECK OR THORAX; INCISION AND DRAINAGE, DEEP ABSCESS OR HEMATOMA, SOFT TISSUES OF NECK OR THORAX; WITH PARTIAL R INCISION, DEEP, WITH OPENING OF BONE CORTEX (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), THORAX BIOPSY, SOFT TISSUE OF NECK OR THORAX EXCISION TUMOR, SOFT TISSUE OF NECK OR THORAX; SUBCUTANEOUS EXCISION TUMOR, SOFT TISSUE OF NECK OR THORAX; DEEP, SUBFASCIAL, INTRAMUSCULAR RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF NECK OR THORAX EXCISION OF RIB, PARTIAL COSTOTRANSVERSECTOMY (SEPARATE PROCEDURE) EXCISION FIRST AND/OR CERVICAL RIB; EXCISION FIRST AND/OR CERVICAL RIB; WITH SYMPATHECTOMY
- 254. OSTECTOMY OF STERNUM,PARTIAL STERNAL DEBRIDEMENT RADICAL RESECTION OF STERNUM; RADICAL RESECTION OF STERNUM; WITH MEDIASTINAL LYMPHADENECTOMY DIVISION OF SCALENUS ANTICUS; WITHOUT RESECTION OF CERVICAL RIB DIVISION OF SCALENUS ANTICUS; WITH RESECTION OF CERVICAL RIB DIVISION OF STERNOCLEIDOMASTOID FOR TORTICOLLIS, OPEN OPERATION; WITHOUT CAST APPLICATION DIVISION OF STERNOCLEIDOMASTOID FOR TORTICOLLIS, OPEN OPERATION; WITH CAST APPLICATION RECONSTRUCTIVE REPAIR OF PECTUS EXCAVATUM OR CARINATUM; OPEN RECONSTRUCTIVE REPAIR OF PECTUS EXCAVATUM OR CARINATUM; MINIMALLY INVASIVE APPROACH (NUSS PRO RECONSTRUCTIVE REPAIR OF PECTUS EXCAVATUM OR CARINATUM; MINIMALLY INVASIVE APPROACH (NUSS PRO CLOSURE OF MEDIAN STERNOTOMY SEPARATION WITH OR WITHOUT DEBRIDEMENT CLOSED TREATMENT OF RIB FRACTURE, UNCOMPLICATED, EACH OPEN TREATMENT OF RIB FRACTURE WITHOUT FIXATION, EACH TREATMENT OF RIB FRACTURE REQUIRING EXTERNAL FIXATION ("FLAIL CHEST") CLOSED TREATMENT OF STERNUM FRACTURE OPEN TREATMENT OF STERNUM FRACTURE WITH OR WITHOUT SKELETAL FIXATION UNLISTED PROCEDURE, NECK OR THORAX BIOPSY, SOFT TISSUE OF BACK OR FLANK; SUPERFICIAL BIOPSY, SOFT TISSUE OF BACK OR FLANK; DEEP EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF BACK OR FLANK PARTIAL EXCISION OF POSTERIOR VERTEBRAL COMPONENT (EG, SPINOUS PROCESS, LAMINA OR FACET) FOR IN PARTIAL RESECTION OF VERTEBRAL COMPONENT, SPINOUS PROCESSES; THORACIC PARTIAL RESECTION OF VERTEBRAL COMPONENT, SPINOUS PROCESSES; LUMBAR PARTIAL EXCISION OF POSTERIOR VERTEBRAL COMPONENT (EG, SPINOUS PROCESS, LAMINA OR FACET) FOR IN PARTIAL EXCISION OF VERTEBRAL BODY, FOR INTRINSIC BONY LESION, WITHOUT DECOMPRESSION OF SPINAL C PARTIAL EXCISION OF VERTEBRAE (EG, FOR OSTEOMYELITIS); THORACIC PARTIAL EXCISION OF VERTEBRAE (EG, FOR OSTEOMYELITIS); LUMBAR PARTIAL EXCISION OF VERTEBRAL BODY, FOR INTRINSIC BONY LESION, W/O DECOMPRESSION OF SPINAL CORD OSTEOTOMY OF SPINE, POSTERIOR OR POSTEROLATERAL APPROACH, ONE VERTEBRAL SEGMENT; CERVICAL OSTEOTOMY OF SPINE, POSTERIOR OR POSTEROLATERAL APPROACH, ONE VERTEBRAL SEGMENT; THORACIC OSTEOTOMY OF SPINE, POSTERIOR OR POSTEROLATERAL APPROACH, ONE VERTEBRAL SEGMENT; LUMBAR OSTEOTOMY OF SPINE, POSTERIOR OR POSTEROLATERAL APPROACH, ONE VERTEBRAL SEGMENT; EACH ADDIT OSTEOTOMY OF SPINE, INCLUDING DISKECTOMY, ANTERIOR APPROACH, SINGLE VERTEBRAL SEGMENT; CERVIC OSTEOTOMY OF SPINE, INCLUDING DISKECTOMY, ANTERIOR APPROACH, SINGLE VERTEBRAL SEGMENT; THORAC OSTEOTOMY OF SPINE, INCLUDING DISKECTOMY, ANTERIOR APPROACH, SINGLE VERTEBRAL SEGMENT; LUMBAR OSTEOTOMY OF SPINE, INCLUDING DISKECTOMY, ANTERIOR APPROACH, SINGLE VERTEBRAL SEGMENT; EACH A CLOSED TREATMENT OF VERTEBRAL PROCESS FRACTURE(S) CLOSED TREATMENT OF VERTEBRAL BODY FRACTURE(S), WITHOUT MANIPULATION, REQUIRING AND INCLUDING CLOSED TREATMENT OF VERTEBRAL FRACTURE(S) AND/OR DISLOCATION(S) REQUIRING CASTING OR BRACING, OPEN TREATMENT AND/OR REDUCTION OF ODONTOID FRACTURE(S) AND OR DISLOCATION(S) (INCLUDING OS OD OPEN TREATMENT AND/OR REDUCTION OF ODONTOID FRACTURE(S) AND OR DISLOCATION(S) (INCLUDING OS OD OPEN TREATMENT AND/OR REDUCTION OF VERTEBRAL FRACTURE(S) AND/OR DISLOCATION(S), POSTERIOR APP OPEN TREATMENT AND/OR REDUCTION OF VERTEBRAL FRACTURE(S) AND/OR DISLOCATION(S), POSTERIOR APP OPEN TREATMENT AND/OR REDUCTION OF VERTEBRAL FRACTURE(S) AND/OR DISLOCATION(S), POSTERIOR APP OPEN TX &/OR REDUCTION OF VERTEBRAL FRACTURE(S) &/OR DISLOCATION(S), POSTERIOR APPROACH, ONE FR MANIPULATION OF SPINE REQUIRING ANESTHESIA, ANY REGION PERCUTANEOUS VERTEBROPLASTY, ONE VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION; THORACIC PERCUTANEOUS VERTEBROPLASTY, ONE VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION; LUMBAR PERCUTANEOUS VERTEBROPLASTY, ONE VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION; EACH ADDIT ARTHRODESIS, ANTERIOR TRANSORAL OR EXTRAORAL TECHNIQUE, CLIVUS-C1-C2 (ATLAS-AXIS), WITH OR WITHO
- 255. ARTHRODESIS, ANTERIOR INTERBODYTECHNIQUE, INCLUDING MINIMAL DISKECTOMY TO PREPARE INTERSPACE ARTHRODESIS, ANTERIOR INTERBODY TECHNIQUE, INCLUDING MINIMAL DISKECTOMY TO PREPARE INTERSPACE ARTHRODESIS, ANTERIOR INTERBODY TECHNIQUE, INCLUDING MINIMAL DISKECTOMY TO PREPARE INTERSPACE ARTHRODESIS, ANTERIOR INTERBODY TECHNIQUE, INCLUDING MINIMAL DISKECTOMY TO PREPARE INTERSPACE ARTHRODESIS, POSTERIOR TECHNIQUE, CRANIOCERVICAL (OCCIPUT-C2) ARTHRODESIS, POSTERIOR TECHNIQUE, ATLAS-AXIS (C1-C2) ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE LEVEL; CERVICAL BELOW C2 SEGMENT ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE LEVEL; THORACIC (WITH OR WITHOUT LA ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE LEVEL; LUMBAR (WITH OR WITHOUT LATE ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE LEVEL; EACH ADDITIONAL VERTEBRAL SE ARTHRODESIS, POSTERIOR INTERBODY TECHNIQUE, INCLUDING LAMINECTOMY AND/OR DISKECTOMY TO PREPA ARTHRODESIS, POSTERIOR INTERBODY TECHNIQUE, SINGLE INTERSPACE; EACH ADDITIONAL INTERSPACE (LIST ARTHRODESIS, POSTERIOR, FOR SPINAL DEFORMITY, WITH OR WITHOUT CAST; UP TO 6 VERTEBRAL SEGMENTS ARTHRODESIS, POSTERIOR, FOR SPINAL DEFORMITY, WITH OR WITHOUT CAST; 7 TO 12 VERTEBRAL SEGMENTS ARTHRODESIS, POSTERIOR, FOR SPINAL DEFORMITY, WITH OR WITHOUT CAST; 13 OR MORE VERTEBRAL SEGME ARTHRODESIS, ANTERIOR, FOR SPINAL DEFORMITY, WITH OR WITHOUT CAST; 2 TO 3 VERTEBRAL SEGMENTS ARTHRODESIS, ANTERIOR, FOR SPINAL DEFORMITY, WITH OR WITHOUT CAST; 4 TO 7 VERTEBRAL SEGMENTS ARTHRODESIS, ANTERIOR, FOR SPINAL DEFORMITY, WITH OR WITHOUT CAST; 8 OR MORE VERTEBRAL SEGMENT KYPHECTOMY, CIRCUMFERENTIAL EXPOSURE OF SPINE AND RESECTION OF VERTEBRAL SEGMENT(S) (INCLUDIN KYPHECTOMY, CIRCUMFERENTIAL EXPOSURE OF SPINE AND RESECTION OF VERTEBRAL SEGMENT(S) (INCLUDIN EXPLORATION OF SPINAL FUSION POSTERIOR NON-SEGMENTAL INSTRUMENTATION INTERNAL SPINAL FIXATION BY WIRING OF SPINOUS PROCESSES POSTERIOR SEGMENTAL INSTRUMENTATION (EG, PEDICLE FIXATION, DUAL RODS WITH MULTIPLE HOOKS AND SU POSTERIOR SEGMENTAL INSTRUMENTATION (EG, PEDICLE FIXATION, DUAL RODS WITH MULTIPLE HOOKS AND SU POSTERIOR SEGMENTAL INSTRUMENTATION (EG, PEDICLE FIXATION, DUAL RODS WITH MULTIPLE HOOKS AND SU ANTERIOR INSTRUMENTATION; 2 TO 3 VERTEBRAL SEGMENTS ANTERIOR INSTRUMENTATION; 4 TO 7 VERTEBRAL SEGMENTS ANTERIOR INSTRUMENTATION; 8 OR MORE VERTEBRAL SEGMENTS PELVIC FIXATION (ATTACHMENT OF CAUDAL END OF INSTRUMENTATION TO PELVIC BONY STRUCTURES) OTHER REINSERTION OF SPINAL FIXATION DEVICE REMOVAL OF POSTERIOR NONSEGMENTAL INSTRUMENTATION (EG, HARRINGTON ROD) APPLICATION OF INTERVERTEBRAL BIOMECHANICAL DEVICE(S) (EG, SYNTHETIC CAGE(S), THREADED BONE DOW REMOVAL OF POSTERIOR SEGMENTAL INSTRUMENTATION REMOVAL OF ANTERIOR INSTRUMENTATION UNLISTED PROCEDURE, SPINE EXCISION, ABDOMINAL WALL TUMOR, SUBFASCIAL (EG, DESMOID) UNLISTED PROCEDURE, ABDOMEN, MUSCULOSKELETAL SYSTEM REMOVAL OF SUBDELTOID CALCAREOUS DEPOSITS, OPEN CAPSULAR CONTRACTURE RELEASE (EG, SEVER TYPE PROCEDURE) INCISION AND DRAINAGE, SHOULDER AREA; DEEP ABSCESS OR HEMATOMA INCISION AND DRAINAGE, SHOULDER AREA; INFECTED BURSA INCISION, BONE CORTEX (EG, OSTEOMYELITIS OR BONE ABSCESS), SHOULDER AREA ARTHROTOMY, GLENOHUMERAL JOINT, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY ARTHROTOMY, ACROMIOCLAVICULAR, STERNOCLAVICULAR JOINT, INCLUDING EXPLORATION, DRAINAGE, OR RE BIOPSY, SOFT TISSUE OF SHOULDER AREA; SUPERFICIAL BIOPSY, SOFT TISSUE OF SHOULDER AREA; DEEP EXCISION, SOFT TISSUE TUMOR, SHOULDER AREA; SUBCUTANEOUS EXCISION, TUMOR, SHOULDER AREA; DEEP, SUBFASCIAL OR INTRAMUSCULAR RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF SHOULDER AREA ARTHROTOMY, GLENOHUMERAL JOINT, INCLUDING BIOPSY ARTHROTOMY, ACROMIOCLAVICULAR JOINT OR STERNOCLAVICULAR JOINT, INCLUDING BIOPSY AND/OR EXCISIO
- 256. ARTHROTOMY; GLENOHUMERAL JOINT,WITH SYNOVECTOMY, WITH OR WITHOUT BIOPSY ARTHROTOMY; STERNOCLAVICULAR JOINT, WITH SYNOVECTOMY, WITH OR WITHOUT BIOPSY ARTHROTOMY, GLENOHUMERAL JOINT, WITH JOINT EXPLORATION, WITH OR WITHOUT REMOVAL OF LOOSE OR F CLAVICULECTOMY; PARTIAL CLAVICULECTOMY; TOTAL ACROMIOPLASTY OR ACROMIONECTOMY, PARTIAL, WITH OR WITHOUT CORACOACROMIAL LIGAMENT RELEASE EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CLAVICLE OR SCAPULA; EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CLAVICLE OR SCAPULA; WITH AUTOGRAFT (INC EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CLAVICLE OR SCAPULA; WITH ALLOGRAFT EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL HUMERUS; EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL HUMERUS; WITH AUTOGRAFT (INCLU EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL HUMERUS; WITH ALLOGRAFT SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), CLAVICLE SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), SCAPULA SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), HUMERAL HEAD TO SURGICAL NECK PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), CLAVIC PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), SCAPU PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), PROXIM OSTECTOMY OF SCAPULA, PARTIAL (EG, SUPERIOR MEDIAL ANGLE) RESECTION HUMERAL HEAD RADICAL RESECTION FOR TUMOR; CLAVICLE RADICAL RESECTION FOR TUMOR; SCAPULA RADICAL RESECTION OF BONE TUMOR, PROXIMAL HUMERUS RADICAL RESECTION FOR TUMOR, PROXIMAL HUMERUS; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT) RADICAL RESECTION FOR TUMOR, PROXIMAL HUMERUS; WITH PROSTHETIC REPLACEMENT REMOVAL OF FOREIGN BODY, SHOULDER; SUBCUTANEOUS REMOVAL OF FOREIGN BODY, SHOULDER; DEEP (EG, NEER HEMIARTHROPLASTY REMOVAL) REMOVAL OF FOREIGN BODY, SHOULDER; COMPLICATED (EG, TOTAL SHOULDER) INJECTION PROCEDURE FOR SHOULDER ARTHROGRAPHY OR ENHANCED CT/MRI SHOULDER ARTHROGRAPHY MUSCLE TRANSFER, ANY TYPE, SHOULDER OR UPPER ARM; SINGLE MUSCLE TRANSFER, ANY TYPE, SHOULDER OR UPPER ARM; MULTIPLE SCAPULOPEXY (EG, SPRENGEL'S DEFORMITY OR FOR PARALYSIS) TENOTOMY, SHOULDER AREA; SINGLE TENDON TENOTOMY, SHOULDER AREA; MULTIPLE TENDONS THROUGH SAME INCISION REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; ACUTE REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; CHRONIC CORACOACROMIAL LIGAMENT RELEASE, WITH OR WITHOUT ACROMIOPLASTY RECONSTRUCTION OF COMPLETE SHOULDER (ROTATOR) CUFF AVULSION, CHRONIC (INCLUDES ACROMIOPLAST TENODESIS OF LONG TENDON OF BICEPS RESECTION OR TRANSPLANTATION OF LONG TENDON OF BICEPS CAPSULORRHAPHY, ANTERIOR; PUTTI-PLATT PROCEDURE OR MAGNUSON TYPE OPERATION CAPSULORRHAPHY, ANTERIOR; WITH LABRAL REPAIR (EG, BANKART PROCEDURE) CAPSULORRHAPHY, ANTERIOR, ANY TYPE; WITH BONE BLOCK CAPSULORRHAPHY, ANTERIOR, ANY TYPE; WITH CORACOID PROCESS TRANSFER CAPSULORRHAPHY, GLENOHUMERAL JOINT, POSTERIOR, WITH OR WITHOUT BONE BLOCK CAPSULORRHAPHY, GLENOHUMERAL JOINT, ANY TYPE MULTI-DIRECTIONAL INSTABILITY ARTHROPLASTY, GLENOHUMERAL JOINT; HEMIARTHROPLASTY ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXATION; OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXATION; WITH BONE GRAFT FOR NONUNION OR MALUNI PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLAT PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLAT
- 257. CLOSED TREATMENT OFCLAVICULAR FRACTURE; WITHOUT MANIPULATION CLOSED TREATMENT OF CLAVICULAR FRACTURE; WITH MANIPULATION OPEN TREATMENT OF CLAVICULAR FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION CLOSED TREATMENT OF STERNOCLAVICULAR DISLOCATION; WITHOUT MANIPULATION CLOSED TREATMENT OF STERNOCLAVICULAR DISLOCATION; WITH MANIPULATION OPEN TREATMENT OF STERNOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC; OPEN TREATMENT OF STERNOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC; WITH FASCIAL GRAFT (INCLUDES CLOSED TREATMENT OF ACROMIOCLAVICULAR DISLOCATION; WITHOUT MANIPULATION CLOSED TREATMENT OF ACROMIOCLAVICULAR DISLOCATION; WITH MANIPULATION OPEN TREATMENT OF ACROMIOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC; OPEN TREATMENT OF ACROMIOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC; WITH FASCIAL GRAFT (INCLUDE CLOSED TREATMENT OF SCAPULAR FRACTURE; WITHOUT MANIPULATION CLOSED TREATMENT OF SCAPULAR FRACTURE; WITH MANIPULATION, WITH OR WITHOUT SKELETAL TRACTION ( OPEN TREATMENT OF SCAPULAR FRACTURE (BODY, GLENOID OR ACROMION) WITH OR WITHOUT INTERNAL FIXA CLOSED TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE; WITHOUT MANIPUL CLOSED TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE; WITH MANIPULATIO OPEN TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE, WITH OR WITHOUT IN OPEN TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE, WITH OR W/O INTERN CLOSED TREATMENT OF GREATER HUMERAL TUBEROSITY FRACTURE; WITHOUT MANIPULATION CLOSED TREATMENT OF GREATER TUBEROSITY FRACTURE; WITH MANIPULATION OPEN TREATMENT OF GREATER HUMERAL TUBEROSITY FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH MANIPULATION; WITHOUT ANESTHESIA CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH MANIPULATION; REQUIRING ANESTHESIA OPEN TREATMENT OF ACUTE SHOULDER DISLOCATION CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH FRACTURE OF GREATER HUMERAL TUBEROSITY, WITH OPEN TREATMENT OF SHOULDER DISLOCATION, WITH FRACTURE OF GREATER HUMERAL TUBEROSITY, WITH OR CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH SURGICAL OR ANATOMICAL NECK FRACTURE, WITH MA OPEN TREATMENT OF SHOULDER DISLOCATION, WITH SURGICAL OR ANATOMICAL NECK FRACTURE, WITH OR W MANIPULATION UNDER ANESTHESIA, SHOULDER JOINT, INCLUDING APPLICATION OF FIXATION APPARATUS (DISL ARTHRODESIS, GLENOHUMERAL JOINT ARTHRODESIS, GLENOHUMERAL JOINT; WITH AUTOGENOUS GRAFT (INCLUDES OBTAINING GRAFT) INTERTHORACOSCAPULAR AMPUTATION (FOREQUARTER) DISARTICULATION OF SHOULDER; DISARTICULATION OF SHOULDER; SECONDARY CLOSURE OR SCAR REVISION UNLISTED PROCEDURE, SHOULDER INCISION AND DRAINAGE, UPPER ARM OR ELBOW AREA; DEEP ABSCESS OR HEMATOMA INCISION AND DRAINAGE, UPPER ARM OR ELBOW AREA; BURSA INCISION, DEEP, WITH OPENING OF BONE CORTEX (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), HUMERUS OR ARTHROTOMY, ELBOW, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY ARTHROTOMY OF THE ELBOW, WITH CAPSULAR EXCISION FOR CAPSULAR RELEASE (SEPARATE PROCEDURE) BIOPSY, SOFT TISSUE OF UPPER ARM OR ELBOW AREA; SUPERFICIAL BIOPSY, SOFT TISSUE OF UPPER ARM OR ELBOW AREA; DEEP (SUBFASCIAL OR INTRAMUSCULAR) EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA; SUBCUTANEOUS EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA; DEEP RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF UPPER ARM OR ELBOW AREA ARTHROTOMY, ELBOW; WITH SYNOVIAL BIOPSY ONLY ARTHROTOMY, ELBOW; WITH JOINT EXPLORATION, WITH OR WITHOUT BIOPSY, WITH OR WITHOUT REMOVAL OF ARTHROTOMY, ELBOW; WITH SYNOVECTOMY EXCISION, OLECRANON BURSA EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, HUMERUS; EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, HUMERUS; WITH AUTOGRAFT (INCLUDES OBTAINI EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, HUMERUS; WITH ALLOGRAFT
- 258. EXCISION OR CURETTAGEOF BONE CYST OR BENIGN TUMOR OF HEAD OR NECK OF RADIUS OR OLECRANON PR EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF HEAD OR NECK OF RADIUS OR OLECRANON PR EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF HEAD OR NECK OF RADIUS OR OLECRANON PR EXCISION, RADIAL HEAD SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), SHAFT OR DISTAL HUMERUS SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), RADIAL HEAD OR NECK SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), OLECRANON PROCESS PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), HUMER PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), RADIAL PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), OLECR RADICAL RESECTION OF CAPSULE, SOFT TISSUE, AND HETEROTOPIC BONE, ELBOW, WITH CONTRACTURE RELEA RADICAL RESECTION FOR TUMOR, SHAFT OR DISTAL HUMERUS; RADICAL RESECTION FOR TUMOR, SHAFT OR DISTAL HUMERUS; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT RADICAL RESECTION FOR TUMOR, RADIAL HEAD OR NECK; RADICAL RESECTION FOR TUMOR, RADIAL HEAD OR NECK; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT) RESECTION OF ELBOW JOINT (ARTHRECTOMY) IMPLANT REMOVAL; ELBOW JOINT IMPLANT REMOVAL; RADIAL HEAD REMOVAL OF FOREIGN BODY, UPPER ARM OR ELBOW AREA; SUBCUTANEOUS REMOVAL OF FOREIGN BODY, UPPER ARM OR ELBOW AREA; DEEP (SUBFASCIAL OR INTRAMUSCULAR) INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY MANIPULATION, ELBOW, UNDER ANESTHESIA MUSCLE OR TENDON TRANSFER, ANY TYPE, UPPER ARM OR ELBOW, SINGLE (EXCLUDING 24320-24331) TENDON LENGTHENING, UPPER ARM OR ELBOW, EACH TENDON TENOTOMY, OPEN, ELBOW TO SHOULDER, EACH TENDON TENOPLASTY, WITH MUSCLE TRANSFER, WITH OR WITHOUT FREE GRAFT, ELBOW TO SHOULDER, SINGLE (SEDD FLEXOR-PLASTY, ELBOW (EG, STEINDLER TYPE ADVANCEMENT); FLEXOR-PLASTY, ELBOW (EG, STEINDLER TYPE ADVANCEMENT); WITH EXTENSOR ADVANCEMENT TENOLYSIS, TRICEPS TENODESIS OF BICEPS TENDON AT ELBOW (SEPARATE PROCEDURE) REPAIR, TENDON OR MUSCLE, UPPER ARM OR ELBOW, EACH TENDON OR MUSCLE, PRIMARY OR SECONDARY (EX REINSERTION OF RUPTURED BICEPS OR TRICEPS TENDON, DISTAL, WITH OR WITHOUT TENDON GRAFT REPAIR LATERAL COLLATERAL LIGAMENT, ELBOW, WITH LOCAL TISSUE RECONSTRUCTION LATERAL COLLATERAL LIGAMENT, ELBOW, WITH TENDON GRAFT (INCLUDES HARVESTING OF REPAIR MEDIAL COLLATERAL LIGAMENT, ELBOW, WITH LOCAL TISSUE RECONSTRUCTION MEDIAL COLLATERAL LIGAMENT, ELBOW, WITH TENDON GRAFT (INCLUDES HARVESTING OF G FASCIOTOMY, LATERAL OR MEDIAL (EG, "TENNIS ELBOW" OR EPICONDYLITIS); FASCIOTOMY, LATERAL OR MEDIAL (EG, "TENNIS ELBOW" OR EPICONDYLITIS); WITH EXTENSOR ORIGIN DETACHM FASCIOTOMY, LATERAL OR MEDIAL (EG, "TENNIS ELBOW" OR EPICONDYLITIS); WITH ANNULAR LIGAMENT RESECT FASCIOTOMY, LATERAL OR MEDIAL (EG, "TENNIS ELBOW" OR EPICONDYLITIS); WITH STRIPPING FASCIOTOMY, LATERAL OR MEDIAL (EG, "TENNIS ELBOW" OR EPICONDYLITIS); WITH PARTIAL OSTECTOMY ARTHROPLASTY, ELBOW; WITH MEMBRANE (EG, FASCIAL) ARTHROPLASTY, ELBOW; WITH DISTAL HUMERAL PROSTHETIC REPLACEMENT ARTHROPLASTY, ELBOW; WITH IMPLANT AND FASCIA LATA LIGAMENT RECONSTRUCTION ARTHROPLASTY, ELBOW; WITH DISTAL HUMERUS AND PROXIMAL ULNAR PROSTHETIC REPLACEMENT (EG, TOTA ARTHROPLASTY, RADIAL HEAD; ARTHROPLASTY, RADIAL HEAD; WITH IMPLANT OSTEOTOMY, HUMERUS, WITH OR WITHOUT INTERNAL FIXATION MULTIPLE OSTEOTOMIES WITH REALIGNMENT ON INTRAMEDULLARY ROD, HUMERAL SHAFT (SOFIELD TYPE PRO OSTEOPLASTY, HUMERUS (EG, SHORTENING OR LENGTHENING) (EXCLUDING 64876) REPAIR OF NONUNION OR MALUNION, HUMERUS; WITHOUT GRAFT (EG, COMPRESSION TECHNIQUE) REPAIR OF NONUNION OR MALUNION, HUMERUS; WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES OBTAINING GRA
- 259. HEMIEPIPHYSEAL ARREST (EG,FOR CUBITUS VARUS OR VALGUS, DISTAL HUMERUS) DECOMPRESSION FASCIOTOMY, FOREARM, WITH BRACHIAL ARTERY EXPLORATION PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING), WITH OR WITHOUT METHYLMETHACRYLAT CLOSED TREATMENT OF HUMERAL SHAFT FRACTURE; WITHOUT MANIPULATION CLOSED TREATMENT OF HUMERAL SHAFT FRACTURE; WITH MANIPULATION, WITH OR WITHOUT SKELETAL TRAC OPEN TREATMENT OF HUMERAL SHAFT FRACTURE WITH PLATE/SCREWS, WITH OR WITHOUT CERCLAGE TREATMENT OF HUMERAL SHAFT FRACTURE, WITH INSERTION OF INTRAMEDULLARY IMPLANT, WITH OR WITHOU CLOSED TREATMENT OF SUPRACONDYLAR OR TRANSCONDYLAR HUMERAL FRACTURE, WITH OR WITHOUT INTE CLOSED TREATMENT OF SUPRACONDYLAR OR TRANSCONDYLAR HUMERAL FRACTURE, WITH OR WITHOUT INTE PERCUTANEOUS SKELETAL FIXATION OF SUPRACONDYLAR OR TRANSCONDYLAR HUMERAL FRACTURE, WITH OR OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR TRANSCONDYLAR FRACTURE, WITH OR WITHOUT INTERN OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR TRANSCONDYLAR FRACTURE, WITH OR WITHOUT INTERN CLOSED TREATMENT OF HUMERAL EPICONDYLAR FRACTURE, MEDIAL OR LATERAL; WITHOUT MANIPULATION CLOSED TREATMENT OF HUMERAL EPICONDYLAR FRACTURE, MEDIAL OR LATERAL; WITH MANIPULATION PERCUTANEOUS SKELETAL FIXATION OF HUMERAL EPICONDYLAR FRACTURE, MEDIAL OR LATERAL, WITH MANIP OPEN TREATMENT OF HUMERAL EPICONDYLAR FRACTURE, MEDIAL OR LATERAL, WITH OR WITHOUT INTERNAL O CLOSED TREATMENT OF HUMERAL CONDYLAR FRACTURE, MEDIAL OR LATERAL; WITHOUT MANIPULATION CLOSED TREATMENT OF HUMERAL CONDYLAR FRACTURE, MEDIAL OR LATERAL; WITH MANIPULATION OPEN TREATMENT OF HUMERAL CONDYLAR FRACTURE, MEDIAL OR LATERAL, WITH OR WITHOUT INTERNAL OR E PERCUTANEOUS SKELETAL FIXATION OF HUMERAL CONDYLAR FRACTURE, MEDIAL OR LATERAL, WITH MANIPULA OPEN TREATMENT OF PERIARTICULAR FRACTURE AND/OR DISLOCATION OF THE ELBOW (FRACTURE DISTAL HUM OPEN TREATMENT OF PERIARTICULAR FRACTURE AND/OR DISLOCATION OF THE ELBOW (FRACTURE DISTAL HUM TREATMENT OF CLOSED ELBOW DISLOCATION; WITHOUT ANESTHESIA TREATMENT OF CLOSED ELBOW DISLOCATION; REQUIRING ANESTHESIA OPEN TREATMENT OF ACUTE OR CHRONIC ELBOW DISLOCATION CLOSED TREATMENT OF MONTEGGIA TYPE OF FRACTURE DISLOCATION AT ELBOW (FRACTURE PROXIMAL END O OPEN TREATMENT OF MONTEGGIA TYPE OF FRACTURE DISLOCATION AT ELBOW (FRACTURE PROXIMAL END OF CLOSED TREATMENT OF RADIAL HEAD SUBLUXATION IN CHILD, "NURSEMAID ELBOW", WITH MANIPULATION CLOSED TREATMENT OF RADIAL HEAD OR NECK FRACTURE; WITHOUT MANIPULATION CLOSED TREATMENT OF RADIAL HEAD OR NECK FRACTURE; WITH MANIPULATION OPEN TREATMENT OF RADIAL HEAD OR NECK FRACTURE, WITH OR WITHOUT INTERNAL FIXATION OR RADIAL HE OPEN TREATMENT OF RADIAL HEAD OR NECK FRACTURE, WITH OR WITHOUT INTERNAL FIXATION OR RADIAL HE CLOSED TREATMENT OF ULNAR FRACTURE, PROXIMAL END (OLECRANON PROCESS); WITHOUT MANIPULATION CLOSED TREATMENT OF ULNAR FRACTURE, PROXIMAL END (OLECRANON PROCESS); WITH MANIPULATION OPEN TREATMENT OF ULNAR FRACTURE PROXIMAL END (OLECRANON PROCESS), WITH OR WITHOUT INTERNAL ARTHRODESIS, ELBOW JOINT; LOCAL ARTHRODESIS, ELBOW JOINT; WITH AUTOGENOUS GRAFT (INCLUDES OBTAINING GRAFT) AMPUTATION, ARM THROUGH HUMERUS; WITH PRIMARY CLOSURE AMPUTATION, ARM THROUGH HUMERUS; OPEN, CIRCULAR (GUILLOTINE) AMPUTATION, ARM THROUGH HUMERUS; SECONDARY CLOSURE OR SCAR REVISION AMPUTATION, ARM THROUGH HUMERUS; RE-AMPUTATION AMPUTATION, ARM THROUGH HUMERUS; WITH IMPLANT STUMP ELONGATION, UPPER EXTREMITY CINEPLASTY, UPPER EXTREMITY, COMPLETE PROCEDURE UNLISTED PROCEDURE, HUMERUS OR ELBOW INCISION, EXTENSOR TENDON SHEATH, WRIST (EG, DEQUERVAIN'S DISEASE) INCISION, FLEXOR TENDON SHEATH, WRIST (EG, FLEXOR CARPI RADIALIS) DECOMPRESSION FASCIOTOMY, FOREARM AND/OR WRIST, FLEXOR OR EXTENSOR COMPARTMENT; WITHOUT DE DECOMPRESSION FASCIOTOMY, FOREARM AND/OR WRIST, FLEXOR OR EXTENSOR DECOMPRESSION FASCIOTOMY, FOREARM AND/OR WRIST, FLEXOR AND EXTENSOR COMPARTMENT; WITHOUT D DECOMPRESSION FASCIOTOMY, FOREARM AND/OR WRIST, FLEXOR AND EXTENSOR COMPARTMENT; WITH DEBR INCISION AND DRAINAGE, FOREARM AND/OR WRIST; DEEP ABSCESS OR HEMATOMA
- 260. INCISION AND DRAINAGE,FOREARM AND/OR WRIST; BURSA INCISION, DEEP, BONE CORTEX, FOREARM AND/OR WRIST (EG, OSTEOMYELITIS OR BONE ABSCESS) ARTHROTOMY, RADIOCARPAL OR MIDCARPAL JOINT, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BIOPSY, SOFT TISSUE OF FOREARM AND/OR WRIST; SUPERFICIAL BIOPSY, SOFT TISSUE OF FOREARM AND/OR WRIST; DEEP (SUBFASCIAL OR INTRAMUSCULAR) EXCISION, TUMOR, SOFT TISSUE OF FOREARM AND/OR WRIST AREA; SUBCUTANEOUS EXCISION, TUMOR, SOFT TISSUE OF FOREARM AND/OR WRIST AREA; DEEP RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF FOREARM AND/OR WRIST AREA CAPSULOTOMY, WRIST (EG, CONTRACTURE) ARTHROTOMY, WRIST JOINT; WITH BIOPSY ARTHROTOMY, WRIST JOINT; WITH JOINT EXPLORATION, WITH OR WITHOUT BIOPSY, WITH OR WITHOUT REMOV ARTHROTOMY, WRIST JOINT; WITH SYNOVECTOMY ARTHROTOMY, DISTAL RADIOULNAR JOINT INCLUDING REPAIR OF TRIANGULAR CARTILAGE, COMPLEX EXCISION, LESION OF TENDON SHEATH, FOREARM AND/OR WRIST EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); PRIMARY EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); RECURRENT RADICAL EXCISION OF BURSA, SYNOVIA OF WRIST, OR FOREARM TENDON SHEATHS (EG, TENOSYNOVITIS, FUNG RADICAL EXCISION OF BURSA, SYNOVIA OF WRIST, OR FOREARM TENDON SHEATHS (EG, TENOSYNOVITIS, FUNG SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST, SINGLE COMPARTMENT; SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST, SINGLE COMPARTMENT; WITH RESECTION OF DISTAL ULN EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING HEAD OR NECK O EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING HEAD OR NECK O EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING HEAD OR NECK O EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CARPAL BONES; EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CARPAL BONES; WITH AUTOGRAFT (INCLUDES EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CARPAL BONES; WITH ALLOGRAFT SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), FOREARM AND/OR WRIST PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION OR DIAPHYSECTOMY) OF BONE (EG, FOR OSTEOMYELITIS) PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION OR DIAPHYSECTOMY) OF BONE (EG, FOR OSTEOMYELITIS) RADICAL RESECTION FOR TUMOR, RADIUS OR ULNA CARPECTOMY; ONE BONE CARPECTOMY; ALL BONES OF PROXIMAL ROW RADIAL STYLOIDECTOMY (SEPARATE PROCEDURE) EXCISION DISTAL ULNA PARTIAL OR COMPLETE (EG, DARRACH TYPE OR MATCHED RESECTION) INJECTION PROCEDURE FOR WRIST ARTHROGRAPHY EXPLORATION WITH REMOVAL OF DEEP FOREIGN BODY, FOREARM OR WRIST REMOVAL OF WRIST PROSTHESIS; (SEPARATE PROCEDURE) REMOVAL OF WRIST PROSTHESIS; COMPLICATED, INCLUDING "TOTAL WRIST" MANIPULATION, WRIST, UNDER ANESTHESIA REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM AND/OR WRIST; PRIMARY, SINGLE, EACH TENDON OR MUSCLE REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM AND/OR WRIST; SECONDARY, SINGLE, EACH TENDON OR MUSC REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM AND/OR WRIST; SECONDARY, WITH FREE GRAFT (INCLUDES O REPAIR, TENDON OR MUSCLE, EXTENSOR, FOREARM AND/OR WRIST; PRIMARY, SINGLE, EACH TENDON OR MUSC REPAIR, TENDON OR MUSCLE, EXTENSOR, FOREARM AND/OR WRIST; SECONDARY, SINGLE, EACH TENDON OR M REPAIR, TENDON OR MUSCLE, EXTENSOR, FOREARM AND/OR WRIST; SECONDARY, WITH FREE GRAFT, EACH TEN REPAIR, TENDON SHEATH, EXTENSOR, FOREARM AND/OR WRIST, WITH FREE GRAFT (INCLUDES OBTAINING GRA LENGTHENING OR SHORTENING OF FLEXOR OR EXTENSOR TENDON, FOREARM AND/OR WRIST, SINGLE, EACH TE TENOTOMY, OPEN, FLEXOR OR EXTENSOR TENDON, FOREARM AND/OR WRIST, SINGLE, EACH TENDON TENOLYSIS, FLEXOR OR EXTENSOR TENDON, FOREARM AND/OR WRIST, SINGLE, EACH TENDON TENODESIS AT WRIST; FLEXORS OF FINGERS TENODESIS AT WRIST; EXTENSORS OF FINGERS TENDON TRANSPLANTATION OR TRANSFER, FLEXOR OR EXTENSOR, FOREARM AND/OR WRIST, SINGLE; EACH TE
- 261. TENDON TRANSPLANTATION ORTRANSFER, FLEXOR OR EXTENSOR, FOREARM AND/OR WRIST, SINGLE; WITH TE FLEXOR ORIGIN SLIDE (EG, FOR CEREBRAL PALSY, VOLKMANN CONTRACTURE), FOREARM AND/OR WRIST; FLEXOR ORIGIN SLIDE (EG, FOR CEREBRAL PALSY, VOLKMANN CONTRACTURE), FOREARM AND/OR WRIST; WITH CAPSULORRHAPHY OR RECONSTRUCTION, WRIST, OPEN (EG, CAPSULODESIS,LIGAMENT REPAIR, TENDON TRAN ARTHOPLASTY, WRIST, WITH OR WITHOUT INTERPOSITION, WITH OR WITHOUT EXTERNAL OR INTERNAL FIXATIO CENTRALIZATION OF WRIST ON ULNA (EG, RADIAL CLUB HAND) RECONSTRUCTION FOR STABILIZATION OF UNSTABLE DISTAL ULNA OR DISTAL RADIOULNAR JOINT, SECONDARY OSTEOTOMY, RADIUS; DISTAL THIRD OSTEOTOMY, RADIUS; MIDDLE OR PROXIMAL THIRD OSTEOTOMY; ULNA OSTEOTOMY; RADIUS AND ULNA MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON INTRAMEDULLARY ROD (SOFIELD TYPE PROCEDURE); RADIUS MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON INTRAMEDULLARY ROD (SOFIELD TYPE PROCEDURE); RADIUS OSTEOPLASTY, RADIUS OR ULNA; SHORTENING OSTEOPLASTY, RADIUS OR ULNA; LENGTHENING WITH AUTOGRAFT OSTEOPLASTY, RADIUS AND ULNA; SHORTENING (EXCLUDING 64876) OSTEOPLASTY, RADIUS AND ULNA; LENGTHENING WITH AUTOGRAFT OSTEOPLASTY, CARPAL BONE, SHORTENING REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; WITHOUT GRAFT (EG, COMPRESSION TECHNIQUE) REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; WITH AUTOGRAFT REPAIR OF NONUNION OR MALUNION, RADIUS AND ULNA; WITHOUT GRAFT (EG, COMPRESSION TECHNIQUE) REPAIR OF NONUNION OR MALUNION, RADIUS AND ULNA; WITH AUTOGRAFT REPAIR OF DEFECT WITH AUTOGRAFT; RADIUS OR ULNA REPAIR OF DEFECT WITH AUTOGRAFT; RADIUS AND ULNA INSERTION OF VASCULAR PEDICLE INTO CARPAL BONE (EG, HORI PROCEDURE) REPAIR OF NONUNION OF CARPAL BONE (EXCLUDING CARPAL SCAPHOID (NAVICULAR)) (INCLUDES OBTAINING G REPAIR OF NONUNION, SCAPHOID CARPALBONE, WITH OR WITHOUT RADIAL STYLOIDECTOMY ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; DISTAL RADIUS ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; DISTAL ULNA ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; SCAPHOID CARPAL ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; LUNATE ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; TRAPEZIUM ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; DISTAL RADIUS AND PARTIAL OR ENTIRE CARPUS ("TOTAL W ARTHROPLASTY, INTERPOSITION, INTERCARPAL OR CARPOMETACARPAL JOINTS REVISION OF ARTHROPLASTY, INCLUDING REMOVAL OF IMPLANT, WRIST JOINT EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; DISTAL RADIUS OR ULNA EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; DISTAL RADIUS AND ULNA PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLAT PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLAT PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLAT CLOSED TREATMENT OF RADIAL SHAFT FRACTURE; WITHOUT MANIPULATION CLOSED TREATMENT OF RADIAL SHAFT FRACTURE; WITH MANIPULATION OPEN TREATMENT OF RADIAL SHAFT FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION CLOSED TREATMENT OF RADIAL SHAFT FRACTURE AND CLOSED TREATMENT OF DISLOCATION OF DISTAL RADIO OPEN TREATMENT OF RADIAL SHAFT FRACTURE, WITH INTERNAL AND/ OR EXTERNAL FIXATION AND CLOSED TR OPEN TREATMENT, RADIAL SHAFT FRACTURE, W INTERNAL &/ EXTERNAL FIXATION&OPEN TREATMENT, WWO INT CLOSED TREATMENT OF ULNAR SHAFT FRACTURE; WITHOUT MANIPULATION CLOSED TREATMENT OF ULNAR SHAFT FRACTURE; WITH MANIPULATION OPEN TREATMENT OF ULNAR SHAFT FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES; WITHOUT MANIPULATION CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES; WITH MANIPULATION OPEN TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES, WITH INTERNAL OR EXTERNAL FIXATION; OF RAD
- 262. OPEN TREATMENT OFRADIAL AND ULNAR SHAFT FRACTURES, WITH INTERNAL OR EXTERNAL FIXATION; OF RAD CLOSED TREATMENT OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL SEPARATION, CLOSED TREATMENT OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL SEPARATION, PERCUTANEOUS SKELETAL FIXATION OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR EPIPHYSEA OPEN TREATMENT OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL SEPARATION, W CLOSED TREATMENT OF CARPAL SCAPHOID (NAVICULAR) FRACTURE; WITHOUT MANIPULATION CLOSED TREATMENT OF CARPAL SCAPHOID (NAVICULAR) FRACTURE; WITH MANIPULATION OPEN TREATMENT OF CARPAL SCAPHOID (NAVICULAR) FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL CLOSED TREATMENT OF CARPAL BONE FRACTURE (EXCLUDING CARPAL SCAPHOID (NAVICULAR)); WITHOUT MAN CLOSED TREATMENT OF CARPAL BONE FRACTURE (EXCLUDING CARPAL SCAPHOID (NAVICULAR)); WITH MANIPU OPEN TREATMENT OF CARPAL BONE FRACTURE, EACH BONE CLOSED TREATMENT OF ULNAR STYLOID FRACTURE PERCUTANEOUS SKELETAL FIXATION OF ULNAR STYLOID FRACTURE OPEN TREATMENT OF ULNAR STYLOID FRACTURE CLOSED TREATMENT OF RADIOCARPAL OR INTERCARPAL DISLOCATION, ONE OR MORE BONES, WITH MANIPULA OPEN TREATMENT OF RADIOCARPAL OR INTERCARPAL DISLOCATION, ONE OR MORE BONES PERCUTANEOUS SKELETAL FIXATION OF DISTAL RADIOULNAR DISLOCATION CLOSED TREATMENT OF DISTAL RADIOULNAR DISLOCATION WITH MANIPULATION OPEN TREATMENT OF DISTAL RADIOULNAR DISLOCATION, ACUTE OR CHRONIC CLOSED TREATMENT OF TRANS-SCAPHOPERILUNAR TYPE OF FRACTURE DISLOCATION, WITH MANIPULATION OPEN TREATMENT OF TRANS-SCAPHOPERILUNAR TYPE OF FRACTURE DISLOCATION CLOSED TREATMENT OF LUNATE DISLOCATION, WITH MANIPULATION OPEN TREATMENT OF LUNATE DISLOCATION ARTHRODESIS, WRIST; COMPLETE, WITHOUT BONE GRAFT (INCLUDES RADIOCARPAL AND/OR INTERCARPAL AND ARTHRODESIS, WRIST JOINT (INCLUDING RADIOCARPAL AND/OR ULNOCARPAL FUSION); WITH SLIDING GRAFT ARTHRODESIS, WRIST JOINT (INCLUDING RADIOCARPAL AND/OR ULNOCARPAL FUSION); WITH ILIAC OR OTHER A ARTHRODESIS, WRIST; LIMITED, WITHOUT BONE GRAFT (EG, INTERCARPAL OR RADIOCARPAL) INTERCARPAL FUSION; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT) ARTHRODESIS, DISTAL RADIOULNAR JOINT WITH SEGMENTAL RESECTION OF ULNA, WITH OR WITHOUT BONE GR AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; OPEN, CIRCULAR (GUILLOTINE) AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; SECONDARY CLOSURE OR SCAR REVISION AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; RE-AMPUTATION KRUKENBERG PROCEDURE DISARTICULATION THROUGH WRIST; DISARTICULATION THROUGH WRIST; SECONDARY CLOSURE OR SCAR REVISION DISARTICULATION THROUGH WRIST; RE-AMPUTATION TRANSMETACARPAL AMPUTATION; TRANSMETACARPAL AMPUTATION; SECONDARY CLOSURE OR SCAR REVISION TRANSMETACARPAL AMPUTATION; RE-AMPUTATION UNLISTED PROCEDURE, FOREARM OR WRIST DRAINAGE OF FINGER ABSCESS; SIMPLE DRAINAGE OF FINGER ABSCESS; COMPLICATED (EG, FELON) DRAINAGE OF TENDON SHEATH, DIGIT AND/OR PALM, EACH DRAINAGE OF PALMAR BURSA; SINGLE, BURSA DRAINAGE OF PALMAR BURSA; MULTIPLE BURSA INCISION, BONE CORTEX, HAND OR FINGER (EG, OSTEOMYELITIS OR BONE ABSCESS) DECOMPRESSION FINGERS AND/OR HAND, INJECTION INJURY (EG, GREASE GUN) DECOMPRESSIVE FASCIOTOMY, HAND (EXCLUDES 26035) FASCIOTOMY, PALMAR (EG, DUPUYTREN'S CONTRACTURE); PERCUTANEOUS FASCIOTOMY, PALMAR, FOR DUPUYTREN'S CONTRACTURE; OPEN, PARTIAL TENDON SHEATH INCISION (EG, FOR TRIGGER FINGER)
- 263. TENOTOMY, PERCUTANEOUS, SINGLE,EACH DIGIT ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN BODY; CARPOMETACARPA ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN BODY; METACARPOPHALA ARTHROTOMY, FOR INFECTION, WITH EXPLORATION, DRAINAGE OR REMOVAL OF FOREIGN BODY; INTERPHALAN ARTHROTOMY WITH BIOPSY; CARPOMETACARPAL JOINT, EACH ARTHROTOMY WITH BIOPSY; METACARPOPHALANGEAL JOINT, EACH ARTHROTOMY WITH SYNOVIAL BIOPSY; INTERPHALANGEAL JOINT, EACH EXCISION, TUMOR OR VASCULAR MALFORMATION, SOFT TISSUE OF HAND OR FINGER; SUBCUTANEOUS EXCISION, TUMOR OR VASCULAR MALFORMATION, SOFT TISSUE OF HAND OR FINGER; DEEP RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF HAND OR FINGER FASCIECTOMY, PALM ONLY, WITH OR WITHOUT Z-PLASTY, OTHER LOCAL TISSUE REARRANGEMENT, OR SKIN GR FASCIECTOMY, PARTIAL PALMAR WITH RELEASE OF SINGLE DIGIT INCL.PROXIMAL INTERPHALANGEAL JOINT, W/ FASCIECTMY, PRTL PALMAR W/REL.OF SNGL DGT INCL. PROX. INTPHALNGL JOINT, W/,W/O Z-PLASTY, OTHR LCL T SYNOVECTOMY, CARPOMETACARPAL JOINT SYNOVECTOMY, METACARPOPHALANGEAL JOINT INCLUDING INTRINSIC RELEASE AND EXTENSOR HOOD RECON SYNOVECTOMY, PROXIMAL INTERPHALANGEAL JOINT, INCLUDING EXTENSOR RECONSTRUCTION, EACH INTERPH SYNOVECTOMY, TENDON SHEATH, RADICAL (TENOSYNOVECTOMY), FLEXOR TENDON, PALM AND/OR FINGER, EAC EXCISION OF LESION OF TENDON SHEATH OR JOINT CAPSULE, HAND OR FINGER EXCISION OF TENDON, PALM, FLEXOR, SINGLE (SEPARATE PROCEDURE), EACH EXCISION OF TENDON, FINGER, FLEXOR (SEPARATE PROCEDURE), EACH TENDON SESAMOIDECTOMY, THUMB OR FINGER (SEPARATE PROCEDURE) EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF METACARPAL; EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF METACARPAL; WITH AUTOGRAFT (INCLUDES OB EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL, MIDDLE OR DISTAL PHALANX OF FIN EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL, MIDDLE OR DISTAL PHALANX OF FIN PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS); METAC PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE (EG, FOR OSTEOMYELITIS) PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE (EG, FOR OSTEOMYELITIS) RADICAL RESECTION, METACARPAL; RADICAL RESECTION, METACARPAL; WITH AUTOGRAFT RADICAL RESECTION, PROXIMAL OR MIDDLE PHALANX OF FINGER (EG, TUMOR) RADICAL RESECTION (OSTECTOMY) FOR TUMOR, PROXIMAL OR MIDDLE PHALANX OF FINGER; WITH AUTOGRAFT RADICAL RESECTION, DISTAL PHALANX OF FINGER (EG, TUMOR) REMOVAL OF IMPLANT FROM FINGER OR HAND MANIPULATION, FINGER JOINT, UNDER ANESTHESIA, EACH JOINT REPAIR OR ADVANCEMENT, FLEXOR TENDON, NOT IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH; PRIMARY OR SE REPAIR OR ADVANCEMENT, FLEXOR TENDON, NOT IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH; SECONDARY W REPAIR OR ADVANCEMENT, FLEXOR TENDON, IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH; PRIMARY OR SECON REPAIR OR ADVANCEMENT, FLEXOR TENDON, IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH; SECONDARY, EACH T REPAIR OR ADVANCEMENT, FLEXOR TENDON, IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH; SECONDARY WITH F REPAIR OR ADVANCEMENT OF PROFUNDUS TENDON, WITH INTACT SUPERFICIALIS TENDON; PRIMARY, EACH TEN REPAIR OR ADVANCEMENT OF PROFUNDUS TENDON, WITH INTACT SUPERFICIALIS TENDON; SECONDARY WITH F REPAIR OR ADVANCEMENT OF PROFUNDUS TENDON, WITH INTACT SUPERFICIALIS TENDON; SECONDARY WITHO EXCISION FLEXOR TENDON, WITH IMPLANTATION OF SYNTHETIC ROD FOR DELAYED TENDON GRAFT, HAND OR F REMOVAL OF SYNTHETIC ROD AND INSERTION OF FLEXOR TENDON GRAFT, HAND OR FINGER, EACH ROD REPAIR, EXTENSOR TENDON, HAND, PRIMARY OR SECONDARY; WITHOUT FREE GRAFT, EACH TENDON EXTENSOR TENDON REPAIR, DORSUM OF HAND, SINGLE, PRIMARY OR SECONDARY; WITH FREE GRAFT (INCLUDE EXCISION OF EXTENSOR TENDON, WITH IMPLANTATION OF SYNTHETIC ROD FOR DELAYED TENDON GRAFT, HAN REMOVAL OF SYNTHETIC ROD AND INSERTION OF EXTENSOR TENDON GRAFT, HAND OR FINGER, EACH ROD REPAIR, EXTENSOR TENDON, FINGER, PRIMARY OR SECONDARY; WITHOUT FREE GRAFT, EACH TENDON EXTENSOR TENDON REPAIR, DORSUM OF FINGER, SINGLE, PRIMARY OR SECONDARY; WITH FREE GRAFT (INCLU REPAIR OF EXTENSOR TENDON, CENTRAL SLIP, SECONDARY; USING LOCAL TISSUE(S), INCLUDING LATERAL BAN
- 264. REPAIR OF EXTENSORTENDON, CENTRAL SLIP, SECONDARY; WITH FREE GRAFT, EACH FINGER CLOSED TREATMENT OF DISTAL EXTENSOR TENDON INSERTION, WITH OR WITHOUT PERCUTANEOUS PINNING (E REPAIR OF EXTENSOR TENDON, DISTAL INSERTION, PRIMARY OR SECONDARY; WITHOUT GRAFT (EG, MALLET FIN EXTENSOR TENDON REPAIR, DISTAL INSERTION ("MALLET FINGER"), OPEN, PRIMARY OR SECONDARY REPAIR; W REALIGNMENT OF EXTENSOR TENDON, HAND, EACH TENDON TENOLYSIS, FLEXOR TENDON; PALM OR FINGER; EACH TENDON TENOLYSIS, SIMPLE, FLEXOR TENDON; PALM AND FINGER, EACH TENDON TENOLYSIS, EXTENSOR TENDON, HAND OR FINGER; EACH TENDON TENOLYSIS, COMPLEX, EXTENSOR TENDON, FINGER, INCLUDING FOREARM, EACH TENDON TENOTOMY, FLEXOR, PALM, OPEN, EACH TENDON TENOTOMY, FLEXOR, FINGER, OPEN, EACH TENDON TENOTOMY, EXTENSOR, HAND OR FINGER, OPEN, EACH TENDON TENODESIS; OF PROXIMAL INTERPHALANGEAL JOINT, EACH JOINT TENODESIS; OF DISTAL JOINT, EACH JOINT LENGTHENING OF TENDON, EXTENSOR, HAND OR FINGER, EACH TENDON SHORTENING OF TENDON, EXTENSOR, HAND OR FINGER, EACH TENDON LENGTHENING OF TENDON, FLEXOR, HAND OR FINGER, EACH TENDON SHORTENING OF TENDON, FLEXOR, HAND OR FINGER, EACH TENDON TRANSFER OR TRANSPLANT OF TENDON, CARPOMETACARPAL AREA OR DORSUM OF HAND; WITHOUT FREE GRA TENDON TRANSFER OR TRANSPLANT, CARPOMETACARPAL AREA OR DORSUM OF HAND, SINGLE; WITH FREE TEN TRANSFER OR TRANSPLANT OF TENDON, PALMAR; WITHOUT FREE TENDON GRAFT, EACH TENDON TENDON TRANSFER OR TRANSPLANT, PALMAR, SINGLE, EACH TENDON; WITH FREE TENDON GRAFT (INCLUDES O OPPONENSPLASTY; SUPERFICIALIS TENDON TRANSFER TYPE, EACH TENDON OPPONENSPLASTY; TENDON TRANSFER WITH GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON OPPONENSPLASTY; HYPOTHENAR MUSCLE TRANSFER OPPONENSPLASTY; OTHER METHODS TRANSFER OF TENDON TO RESTORE INTRINSIC FUNCTION; RING AND SMALL FINGER TENDON TRANSFER TO RESTORE INTRINSIC FUNCTION; ALL FOUR FINGERS CORRECTION CLAW FINGER, OTHER METHODS RECONSTRUCTION OF TENDON PULLEY, EACH TENDON; WITH LOCAL TISSUES (SEPARATE PROCEDURE) TENDON PULLEY RECONSTRUCTION; WITH TENDON OR FASCIAL GRAFT (INCLUDES OBTAINING GRAFT) (SEPARA TENDON PULLEY RECONSTRUCTION; WITH TENDON PROSTHESIS (SEPARATE PROCEDURE) RELEASE OF THENAR MUSCLE(S) (EG, THUMB CONTRACTURE) CROSS INTRINSIC TRANSFER, EACH TENDON CAPSULODESIS, METACARPOPHALANGEAL JOINT; SINGLE DIGIT CAPSULODESIS FOR M-P JOINT STABILIZATION; TWO DIGITS CAPSULODESIS FOR M-P JOINT STABILIZATION; THREE OR FOUR DIGITS CAPSULECTOMY OR CAPSULOTOMY; METACARPOPHALANGEAL JOINT, EACH JOINT CAPSULECTOMY OR CAPSULOTOMY; INTERPHALANGEAL JOINT, EACH JOINT ARTHROPLASTY, METACARPOPHALANGEAL JOINT; EACH JOINT ARTHROPLASTY, METACARPOPHALANGEAL JOINT; WITH PROSTHETIC IMPLANT, EACH JOINT ARTHROPLASTY, INTERPHALANGEAL JOINT; EACH JOINT ARTHROPLASTY, INTERPHALANGEAL JOINT; WITH PROSTHETIC IMPLANT, EACH JOINT REPAIR OF COLLATERAL LIGAMENT, METACARPOPHALANGEAL OR INTERPHALANGEAL JOINT REPAIR OF COLLATERAL LIGAMENT, METACARPOPHALANGEAL JOINT, SINGLE, WITH TENDON OR FASCIAL GRAFT PRIMARY REPAIR OF COLLATERAL LIGAMENT, METACARPOPHALANGEAL JOINT; WITH LOCAL TISSUE (EG, ADDUC RECONSTRUCTION, COLLATERAL LIGAMENT, INTERPHALANGEAL JOINT, SINGLE, INCLUDING GRAFT, EACH JOINT REPAIR NON-UNION, METACARPAL OR PHALANX, (INCLUDES OBTAINING BONE GRAFT WITH OR WITHOUT EXTERN REPAIR AND RECONSTRUCTION, FINGER, VOLAR PLATE, INTERPHALANGEAL JOINT POLLICIZATION OF A DIGIT TRANSFER, TOE-TO-HAND WITH MICROVASCULAR ANASTOMOSIS; GREAT TOE "WRAP-AROUND" WITH BONE GRA TOE-TO-HAND TRANSFER WITH MICROVASCULAR ANASTOMOSIS; OTHER THAN GREAT TOE, SINGLE
- 265. TOE-TO-HAND TRANSFER WITHMICROVASCULAR ANASTOMOSIS; OTHER THAN GREAT TOE, DOUBLE TRANSFER, FINGER TO ANOTHER POSITION WITHOUT MICROVASCULAR ANASTOMOSIS TRANSFER, FREE TOE JOINT, WITH MICROVASCULAR ANASTOMOSIS REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; WITH SKIN FLAPS REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; WITH SKIN FLAPS AND GRAFTS REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; COMPLEX (EG, INVOLVING BONE, NAILS) OSTEOTOMY; METACARPAL, EACH OSTEOTOMY; PHALANX OF FINGER, EACH OSTEOPLASTY, LENGTHENING, METACARPAL OR PHALANX REPAIR CLEFT HAND RECONSTRUCTION OF POLYDACTYLOUS DIGIT, SOFT TISSUE AND BONE REPAIR MACRODACTYLIA, EACH DIGIT REPAIR, INTRINSIC MUSCLES OF HAND, EACH MUSCLE RELEASE, INTRINSIC MUSCLES OF HAND, EACH MUSCLE EXCISION OF CONSTRICTING RING OF FINGER, WITH MULTIPLE Z-PLASTIES CLOSED TREATMENT OF METACARPAL FRACTURE, SINGLE; WITHOUT MANIPULATION, EACH BONE CLOSED TREATMENT OF METACARPAL FRACTURE, SINGLE; WITH MANIPULATION, EACH BONE CLOSED TREATMENT OF METACARPAL FRACTURE, WITH MANIPULATION, WITH EXTERNAL FIXATION, EACH BONE PERCUTANEOUS SKELETAL FIXATION OF METACARPAL FRACTURE, EACH BONE OPEN TREATMENT OF METACARPAL FRACTURE, SINGLE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION, CLOSED TREATMENT OF CARPOMETACARPAL DISLOCATION, THUMB, WITH MANIPULATION CLOSED TREATMENT OF CARPOMETACARPAL FRACTURE DISLOCATION, THUMB (BENNETT FRACTURE), WITH MA PERCUTANEOUS SKELETAL FIXATION OF CARPOMETACARPAL FRACTURE DISLOCATION, THUMB (BENNETT FRAC OPEN TREATMENT OF CARPOMETACARPAL FRACTURE DISLOCATION, THUMB (BENNETT FRACTURE), WITH OR W CLOSED TREATMENT OF CARPOMETACARPAL DISLOCATION, OTHER THAN THUMB, WITH MANIPULATION, EACH J CLOSED TREATMENT OF CARPOMETACARPAL DISLOCATION, OTHER THAN THUMB, WITH MANIPULATION, EACH J PERCUTANEOUS SKELETAL FIXATION OF CARPOMETACARPAL DISLOCATION, OTHER THAN THUMB, WITH MANIPU OPEN TREATMENT OF CARPOMETACARPAL DISLOCATION, OTHER THAN THUMB; WITH OR WITHOUT INTERNAL O OPEN TREATMENT OF CARPOMETACARPAL DISLOCATION, OTHER THAN THUMB; COMPLEX, MULTIPLE OR DELAYE CLOSED TREATMENT OF METACARPOPHALANGEAL DISLOCATION, SINGLE, WITH MANIPULATION; WITHOUT ANES CLOSED TREATMENT OF METACARPOPHALANGEAL DISLOCATION, SINGLE, WITH MANIPULATION; REQUIRING ANE PERCUTANEOUS SKELETAL FIXATION OF METACARPOPHALANGEAL DISLOCATION, SINGLE, WITH MANIPULATION OPEN TREATMENT OF METACARPOPHALANGEAL DISLOCATION, SINGLE, WITH OR WITHOUT INTERNAL OR EXTER CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THUMB; W CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THUMB; W PERCUTANEOUS SKELETAL FIXATION OF UNSTABLE PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHA OPEN TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THUMB, WIT CLOSED TREATMENT OF ARTICULAR FRACTURE, INVOLVING METACARPOPHALANGEAL OR INTERPHALANGEAL JO CLOSED TREATMENT OF ARTICULAR FRACTURE, INVOLVING METACARPOPHALANGEAL OR INTERPHALANGEAL JO OPEN TREATMENT OF ARTICULAR FRACTURE, INVOLVING METACARPOPHALANGEAL OR INTERPHALANGEAL JOIN CLOSED TREATMENT OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB; WITHOUT MANIPULATION, EACH CLOSED TREATMENT OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB; WITH MANIPULATION, EACH PERCUTANEOUS SKELETAL FIXATION OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB, EACH OPEN TREATMENT OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB, WITH OR WITHOUT INTERNAL OR EX CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION, SINGLE, WITH MANIPULATION; WITHOUT ANES CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION, SINGLE, WITH MANIPULATION; REQUIRING ANE PERCUTANEOUS SKELETAL FIXATION OF INTERPHALANGEAL JOINT DISLOCATION, SINGLE, WITH MANIPULATION OPEN TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXA FUSION IN OPPOSITION, THUMB, WITH AUTOGENOUS GRAFT (INCLUDES OBTAINING GRAFT) ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, WITH OR WITHOUT INTERNAL FIXATION; ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, WITH OR WITHOUT INTERNAL FIXATION; WITH AUTOGRAFT ( ARTHRODESIS, CARPOMETACARPAL JOINT, DIGIT, OTHER THAN THUMB, EACH;
- 266. ARTHRODESIS, CARPOMETACARPAL JOINT,DIGIT, OTHER THAN THUMB, EACH; WITH AUTOGRAFT ARTHRODESIS, METACARPOPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; ARTHRODESIS, METACARPOPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; WITH AUTOGRAFT (INC ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; EACH ADDITIONAL INTERPHAL ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; WITH AUTOGRAFT (INCLUDES ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; WITH AUTOGRAFT (INCLUDES AMPUTATION, METACARPAL, WITH FINGER OR THUMB (RAY AMPUTATION), SINGLE, WITH OR WITHOUT INTEROSS AMPUTATION, FINGER OR THUMB, PRIMARY OR SECONDARY, ANY JOINT OR PHALANX, SINGLE, INCLUDING NEUR AMPUTATION, FINGER OR THUMB, PRIMARY OR SECONDARY, ANY JOINT OR PHALANX, SINGLE, INCLUDING NEUR UNLISTED PROCEDURE, HANDS OR FINGERS INCISION AND DRAINAGE, PELVIS OR HIP JOINT AREA; DEEP ABSCESS OR HEMATOMA INCISION AND DRAINAGE, PELVIS OR HIP JOINT AREA; INFECTED BURSA INCISION, BONE CORTEX, PELVIS AND/OR HIP JOINT (EG, OSTEOMYELITIS OR BONE ABSCESS) TENOTOMY, ADDUCTOR OF HIP, PERCUTANEOUS (SEPARATE PROCEDURE) TENOTOMY, ADDUCTOR OF HIP, OPEN TENOTOMY, ADDUCTOR, SUBCUTANEOUS, OPEN, WITH OBTURATOR NEURECTOMY TENOTOMY, HIP FLEXOR(S), OPEN (SEPARATE PROCEDURE) TENOTOMY, ABDUCTORS AND/OR EXTENSOR(S) OF HIP, OPEN (SEPARATE PROCEDURE) FASCIOTOMY, HIP OR THIGH, ANY TYPE ARTHROTOMY, HIP, WITH DRAINAGE (EG, INFECTION) ARTHROTOMY, HIP, INCLUDING EXPLORATION OR REMOVAL OF LOOSE OR FOREIGN BODY DENERVATION, HIP JOINT, INTRAPELVIC OR EXTRAPELVIC INTRA-ARTICULAR BRANCHES OF SCIATIC, FEMORAL, O CAPSULECTOMY OR CAPSULOTOMY, HIP, WITH OR WITHOUT EXCISION OF HETEROTOPIC BONE, WITH RELEASE BIOPSY, SOFT TISSUE OF PELVIS AND HIP AREA; SUPERFICIAL BIOPSY, SOFT TISSUE OF PELVIS AND HIP AREA; DEEP, SUBFASCIAL OR INTRAMUSCULAR EXCISION, TUMOR, PELVIS AND HIP AREA; SUBCUTANEOUS TISSUE EXCISION, TUMOR, PELVIS AND HIP AREA; DEEP, SUBFASCIAL, INTRAMUSCULAR RADICAL RESECTION OF TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA (EG, MALIGNANT NEOPLASM) ARTHROTOMY, WITH BIOPSY; SACROILIAC JOINT ARTHROTOMY, WITH BIOPSY; HIP JOINT ARTHROTOMY WITH SYNOVECTOMY, HIP JOINT EXCISION; ISCHIAL BURSA EXCISION; TROCHANTERIC BURSA OR CALCIFICATION EXCISION OF BONE CYST OR BENIGN TUMOR; SUPERFICIAL (WING OF ILIUM, SYMPHYSIS PUBIS, OR GREATER TR EXCISION OF BONE CYST OR BENIGN TUMOR; DEEP, WITH OR WITHOUT AUTOGRAFT EXCISION OF BONE CYST OR BENIGN TUMOR; WITH AUTOGRAFT REQUIRING SEPARATE INCISION PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION) (EG, OSTEOMYELITIS OR BONE ABSCESS); SUPERFICIAL (E PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION) (EG, OSTEOMYELITIS OR BONE ABSCESS); DEEP (SUBFASC RADICAL RESECTION OF TUMOR OR INFECTION; WING OF ILIUM, ONE PUBIC OR ISCHIAL RAMUS OR SYMPHYSIS P RADICAL RESECTION OF TUMOR OR INFECTION; ILIUM, INCLUDING ACETABULUM, BOTH PUBIC RAMI, OR ISCHIUM RADICAL RESECTION OF TUMOR OR INFECTION; INNOMINATE BONE, TOTAL RADICAL RESECTION OF TUMOR OR INFECTION; ISCHIAL TUBEROSITY AND GREATER TROCHANTER OF FEMUR RADICAL RESECTION OF TUMOR OR INFECTION; ISCHIAL TUBEROSITY AND GREATER TROCHANTER OF FEMUR, W COCCYGECTOMY, PRIMARY REMOVAL OF FOREIGN BODY, PELVIS OR HIP; SUBCUTANEOUS TISSUE REMOVAL OF FOREIGN BODY, PELVIS OR HIP; DEEP (SUBFASCIAL OR INTRAMUSCULAR) REMOVAL OF HIP PROSTHESIS; (SEPARATE PROCEDURE) REMOVAL OF HIP PROSTHESIS; COMPLICATED, INCLUDING TOTAL HIP PROSTHESIS, METHYLMETHACRYLATE WIT INJECTION PROCEDURE FOR HIP ARTHROGRAPHY; WITHOUT ANESTHESIA INJECTION PROCEDURE FOR HIP ARTHROGRAPHY; WITH ANESTHESIA INJECTION PROCEDURE FOR SACROILIAC JOINT, ARTHROGRAPHY AND/OR ANESTHETIC/STEROID
- 267. RELEASE OR RECESSION,HAMSTRING, PROXIMAL TRANSFER, ADDUCTOR TO ISCHIUM TRANSFER EXTERNAL OBLIQUE MUSCLE TO GREATER TROCHANTER INCLUDING FASCIAL OR TENDON EXTENSIO TRANSFER PARASPINAL MUSCLE TO HIP (INCLUDES FASCIAL OR TENDON EXTENSION GRAFT) TRANSFER ILIOPSOAS; TO GREATER TROCHANTER OF FEMUR TRANSFER ILIOPSOAS; TO FEMORAL NECK ACETABULOPLASTY; (EG, WHITMAN, COLONNA, HAYGROVES, OR CUP TYPE) ACETABULOPLASTY; RESECTION, FEMORAL HEAD (EG, GIRDLESTONE PROCEDURE) HEMIARTHROPLASTY, HIP, PARTIAL (EG, FEMORAL STEM PROSTHESIS, BIPOLAR ARTHROPLASTY) ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT, WITH OR WITHOUT AUTO CONVERSION OF PREVIOUS HIP SURGERY TO TOTAL HIP ARTHROPLASTY, WITH OR WITHOUT AUTOGRAFT OR AL REVISION OF TOTAL HIP ARTHROPLASTY; BOTH COMPONENTS, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT REVISION OF TOTAL HIP ARTHROPLASTY; ACETABULAR COMPONENT ONLY, WITH OR WITHOUT AUTOGRAFT OR A REVISION OF TOTAL HIP ARTHROPLASTY; FEMORAL COMPONENT ONLY, WITH OR WITHOUT ALLOGRAFT OSTEOTOMY AND TRANSFER OF GREATER TROCHANTER OF FEMUR OSTEOTOMY, ILIAC, ACETABULAR OR INNOMINATE BONE; OSTEOTOMY, ILIAC, ACETABULAR OR INNOMINATE BONE; WITH OPEN REDUCTION OF HIP OSTEOTOMY, ILIAC, ACETABULAR OR INNOMINATE BONE; WITH FEMORAL OSTEOTOMY OSTEOTOMY, ILIAC, ACETABULAR OR INNOMINATE BONE; WITH FEMORAL OSTEOTOMY AND WITH OPEN REDUCT OSTEOTOMY, PELVIS, BILATERAL (EG, CONGENITAL MALFORMATION) OSTEOTOMY, FEMORAL NECK (SEPARATE PROCEDURE) OSTEOTOMY, INTERTROCHANTERIC OR SUBTROCHANTERIC INCLUDING INTERNAL OR EXTERNAL FIXATION AND/ BONE GRAFT, FEMORAL HEAD, NECK, INTERTROCHANTERIC OR SUBTROCHANTERIC AREA (INCLUDES OBTAINING TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; BY TRACTION, WITHOUT REDUCTION TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; BY SINGLE OR MULTIPLE PINNING, IN SITU OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; SINGLE OR MULTIPLE PINNING OR BONE GRAFT (INCLUDES OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; CLOSED MANIPULATION WITH SINGLE OR MULTIPLE PINNIN OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; OSTEOPLASTY OF FEMORAL NECK (HEYMAN TYPE PROCED OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; OSTEOTOMY AND INTERNAL FIXATION EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING, GREATER TROCHANTER OF FEMUR PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLAT CLOSED TREATMENT OF PELVIC RING FRACTURE, DISLOCATION, DIASTASIS OR SUBLUXATION; WITHOUT MANIPU CLOSED TREATMENT OF PELVIC RING FRACTURE, DISLOCATION, DIASTASIS OR SUBLUXATION; WITH MANIPULAT CLOSED TREATMENT OF COCCYGEAL FRACTURE OPEN TREATMENT OF COCCYGEAL FRACTURE OPEN TREATMENT OF ILIAC SPINE(S), TUBEROSITY AVULSION, OR ILIAC WING FRACTURE(S) (EG, PELVIC FRACTU PERCUTANEOUS SKELETAL FIXATION OF POSTERIOR PELVIC RING FRACTURE AND/OR DISLOCATION (INCLUDES OPEN TREATMENT OF ANTERIOR RING FRACTURE AND/OR DISLOCATION WITH INTERNAL FIXATION, (INCLUDES P OPEN TREATMENT OF POSTERIOR RING FRACTURE AND/OR DISLOCATION WITH INTERNAL FIXATION (INCLUDES CLOSED TREATMENT OF ACETABULUM (HIP SOCKET) FRACTURE(S); WITHOUT MANIPULATION CLOSED TREATMENT OF ACETABULUM (HIP SOCKET) FRACTURE(S); WITH MANIPULATION, WITH OR WITHOUT SK OPEN TREATMENT OF POSTERIOR OR ANTERIOR ACETABULAR WALL FRACTURE, WITH INTERNAL FIXATION OPEN TREATMENT OF ACETABULAR FRACTURE(S) INVOLVING ANTERIOR OR POSTERIOR (ONE) COLUMN, OR A FR OPEN TREATMENT OF ACETABULAR FRACTURE(S) INVOLVING ANT & POST (TWO) COLUMNS, INC T-FRACTURE AN CLOSED TREATMENT OF FEMORAL FRACTURE, PROXIMAL END, NECK; WITHOUT MANIPULATION CLOSED TREATMENT OF FEMORAL FRACTURE, PROXIMAL END, NECK; WITH MANIPULATION, WITH OR WITHOUT S PERCUTANEOUS SKELETAL FIXATION OF FEMORAL FRACTURE, PROXIMAL END, NECK OPEN TREATMENT OF FEMORAL FRACTURE, PROXIMAL END, NECK, INTERNAL FIXATION OR PROSTHETIC REPLAC CLOSED TREATMENT OF INTERTROCHANTERIC, PERTROCHANTERIC, OR SUBTROCHANTERIC FEMORAL FRACTU CLOSED TREATMENT OF INTERTROCHANTERIC, PERTROCHANTERIC, OR SUBTROCHANTERIC FEMORAL FRACTU TREATMENT OF INTERTROCHANTERIC, PERTROCHANTERIC, OR SUBTROCHANTERIC FEMORAL FRACTURE; WITH TREATMENT OF INTERTROCHANTERIC, PERTROCHANTERIC, OR SUBTROCHANTERIC FEMORAL FRACTURE; WITH
- 268. CLOSED TREATMENT OFGREATER TROCHANTERIC FRACTURE, WITHOUT MANIPULATION OPEN TREATMENT OF GREATER TROCHANTERIC FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATI CLOSED TREATMENT OF HIP DISLOCATION, TRAUMATIC; WITHOUT ANESTHESIA CLOSED TREATMENT OF HIP DISLOCATION, TRAUMATIC; REQUIRING ANESTHESIA OPEN TREATMENT OF HIP DISLOCATION, TRAUMATIC, WITHOUT INTERNAL FIXATION OPEN TREATMENT OF HIP DISLOCATION, TRAUMATIC, WITH ACETABULAR WALL AND FEMORAL HEAD FRACTURE TREATMENT OF SPONTANEOUS HIP DISLOCATION (DEVELOPMENTAL, INCLUDING CONGENITAL OR PATHOLOGICA TREATMENT OF SPONTANEOUS HIP DISLOCATION (DEVELOPMENTAL, INCLUDING CONGENITAL OR PATHOLOGICA OPEN TREATMENT OF SPONTANEOUS HIP DISLOCATION (DEVELOPMENTAL, INCLUDING CONGENITAL OR PATHOL OPEN TREATMENT OF SPONTANEOUS HIP DISLOCATION (DEVELOPMENTAL, INCLUDING CONGENITAL OR PATHOL CLOSED TREATMENT OF POST HIP ARTHROPLASTY DISLOCATION; WITHOUT ANESTHESIA CLOSED TREATMENT OF POST HIP ARTHROPLASTY DISLOCATION; REQUIRING REGIONAL OR GENERAL ANESTHE MANIPULATION, HIP JOINT, REQUIRING GENERAL ANESTHESIA ARTHRODESIS, SACROILIAC JOINT (INCLUDING OBTAINING GRAFT) ARTHRODESIS, SYMPHYSIS PUBIS (INCLUDING OBTAINING GRAFT) ARTHRODESIS, HIP JOINT (INCLUDING OBTAINING GRAFT) ARTHRODESIS, HIP JOINT (INCLUDES OBTAINING GRAFT); WITH SUBTROCHANTERIC OSTEOTOMY INTERPELVIABDOMINAL AMPUTATION (HINDQUARTER AMPUTATION) DISARTICULATION OF HIP UNLISTED PROCEDURE, PELVIS OR HIP JOINT INCISION AND DRAINAGE, DEEP ABSCESS, BURSA, OR HEMATOMA, THIGH OR KNEE REGION INCISION, DEEP, WITH OPENING OF BONE CORTEX, FEMUR OR KNEE (EG, OSTEOMYELITIS OR BONE ABSCESS) FASCIOTOMY, ILIOTIBIAL (TENOTOMY), OPEN TENOTOMY, PERCUTANEOUS, ADDUCTOR OR HAMSTRING; SINGLE TENDON (SEPARATE PROCEDURE) TENOTOMY, PERCUTANEOUS, ADDUCTOR OR HAMSTRING; MULTIPLE TENDONS ARTHROTOMY, KNEE, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY (EG, INFECTION) NEURECTOMY, HAMSTRING MUSCLE NEURECTOMY, POPLITEAL (GASTROCNEMIUS) BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA; SUPERFICIAL BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA; DEEP (SUBFASCIAL OR INTRAMUSCULAR) EXCISION, TUMOR, THIGH OR KNEE AREA; SUBCUTANEOUS EXCISION, TUMOR, THIGH OR KNEE AREA; DEEP, SUBFASCIAL, OR INTRAMUSCULAR RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF THIGH OR KNEE AREA ARTHROTOMY, KNEE; WITH SYNOVIAL BIOPSY ONLY ARTHROTOMY, KNEE; INCLUDING JOINT EXPLORATION, BIOPSY, OR REMOVAL OF LOOSE OR FOREIGN BODIES ARTHROTOMY, WITH EXCISION OF SEMILUNAR CARTILAGE (MENISCECTOMY) KNEE; MEDIAL OR LATERAL ARTHROTOMY, KNEE, WITH EXCISION OF SEMILUNAR CARTILAGE (MENISCECTOMY); MEDIAL AND LATERAL ARTHROTOMY, WITH SYNOVECTOMY, KNEE; ANTERIOR OR POSTERIOR ARTHROTOMY, KNEE, WITH SYNOVECTOMY; ANTERIOR AND POSTERIOR INCLUDING POPLITEAL AREA EXCISION, PREPATELLAR BURSA EXCISION OF SYNOVIAL CYST OF POPLITEAL SPACE (EG, BAKER'S CYST) EXCISION OF LESION OF MENISCUS OR CAPSULE (EG, CYST, GANGLION), KNEE PATELLECTOMY OR HEMIPATELLECTOMY EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR; EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR; WITH ALLOGRAFT EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR; WITH AUTOGRAFT (INCLUDES OBTAININ EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR; WITH INTERNAL FIXATION (LIST IN ADD PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE, FEMUR, PROXIMAL TIBIA AND RADICAL RESECTION OF TUMOR, BONE, FEMUR OR KNEE INJECTION PROCEDURE FOR KNEE ARTHROGRAPHY REMOVAL OF FOREIGN BODY, DEEP, THIGH REGION OR KNEE AREA SUTURE OF INFRAPATELLAR TENDON; PRIMARY
- 269. SUTURE OF INFRAPATELLARTENDON; SECONDARY RECONSTRUCTION, INCLUDING FASCIAL OR TENDON GRAFT SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; PRIMARY SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; SECONDARY RECONSTRUCTION, INCLUDING FASC TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; SINGLE TENDON TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; MULTIPLE TENDONS, ONE LEG TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; MULTIPLE TENDONS, BILATERAL LENGTHENING OF HAMSTRING TENDON; SINGLE TENDON LENGTHENING OF HAMSTRING TENDON; MULTIPLE TENDONS, ONE LEG LENGTHENING OF HAMSTRING TENDON; MULTIPLE TENDONS, BILATERAL TRANSPLANT, HAMSTRING TENDON TO PATELLA; SINGLE TENDON TRANSPLANT, HAMSTRING TENDON TO PATELLA; MULTIPLE TENDONS TRANSFER, TENDON OR MUSCLE, HAMSTRINGS TO FEMUR (EG, EGGER'S TYPE PROCEDURE) ARTHROTOMY WITH MENISCUS REPAIR, KNEE REPAIR, PRIMARY, TORN LIGAMENT AND/OR CAPSULE, KNEE; COLLATERAL REPAIR, PRIMARY, TORN LIGAMENT AND/OR CAPSULE, KNEE; CRUCIATE REPAIR, PRIMARY, TORN LIGAMENT AND/OR CAPSULE, KNEE; COLLATERAL AND CRUCIATE LIGAMENTS ANTERIOR TIBIAL TUBERCLEPLASTY (EG, MAQUET TYPE PROCEDURE) RECONSTRUCTION OF DISLOCATING PATELLA; (EG, HAUSER TYPE PROCEDURE) RECONSTRUCTION OF DISLOCATING PATELLA; WITH EXTENSOR REALIGNMENT AND/OR MUSCLE ADVANCEMENT RECONSTRUCTION FOR RECURRENT DISLOCATING PATELLA; WITH PATELLECTOMY LATERAL RETINACULAR RELEASE OPEN LIGAMENTOUS RECONSTRUCTION (AUGMENTATION), KNEE; EXTRA-ARTICULAR LIGAMENTOUS RECONSTRUCTION (AUGMENTATION), KNEE; INTRA-ARTICULAR (OPEN) LIGAMENTOUS RECONSTRUCTION (AUGMENTATION), KNEE; INTRA-ARTICULAR (OPEN) AND EXTRA-ARTICULAR QUADRICEPSPLASTY (EG, BENNETT OR THOMPSON TYPE) CAPSULOTOMY, POSTERIOR CAPSULAR RELEASE, KNEE ARTHROPLASTY, PATELLA; WITHOUT PROSTHESIS ARTHROPLASTY, PATELLA; WITH PROSTHESIS ARTHROPLASTY, KNEE, TIBIAL PLATEAU; ARTHROPLASTY, KNEE, TIBIAL PLATEAU; WITH DEBRIDEMENT AND PARTIAL SYNOVECTOMY ARTHROPLASTY, FEMORAL CONDYLES OR TIBIAL PLATEAU(S), KNEE ARTHROPLASTY, KNEE, FEMORAL CONDYLES OR TIBIAL PLATEAUS; WITH DEBRIDEMENT AND PARTIAL SYNOVEC ARTHROPLASTY, KNEE, HINGE PROSTHESIS (EG, WALLDIUS TYPE) ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL OR LATERAL COMPARTMENT ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PAT OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR; WITHOUT FIXATION OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR; WITH FIXATION OSTEOTOMY, MULTIPLE, WITH REALIGNMENT ON INTRAMEDULLARY ROD, FEMORAL SHAFT (EG, SOFIELD TYPE P OSTEOTOMY, PROXIMAL TIBIA, INCLUDING FIBULAR EXCISION OR OSTEOTOMY (INCLUDES CORRECTION OF GEN OSTEOTOMY, PROXIMAL TIBIA, INCLUDING FIBULAR EXCISION OR OSTEOTOMY (INCLUDES CORRECTION OF GEN OSTEOPLASTY, FEMUR; SHORTENING (EXCLUDING 64876) OSTEOPLASTY, FEMUR; LENGTHENING OSTEOPLASTY, FEMUR; COMBINED, LENGTHENING AND SHORTENING WITH FEMORAL SEGMENT TRANSFER REPAIR, NONUNION OR MALUNION, FEMUR, DISTAL TO HEAD AND NECK; WITHOUT GRAFT (EG, COMPRESSION TE REPAIR, NONUNION OR MALUNION, FEMUR, DISTAL TO HEAD AND NECK; WITH ILIAC OR OTHER AUTOGENOUS BO ARREST, EPIPHYSEAL, ANY METHOD (EG, EPIPHYSIODESIS); DISTAL FEMUR ARREST, EPIPHYSEAL, ANY METHOD; TIBIA AND FIBULA, PROXIMAL ARREST, EPIPHYSEAL, ANY METHOD; COMBINED DISTAL FEMUR, PROXIMAL TIBIA AND FIBULA ARREST, HEMIEPIPHYSEAL, DISTAL FEMUR OR PROXIMAL TIBIA OR FIBULA (EG, GENU VARUS OR VALGUS) REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; ONE COMPONENT REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; FEMORAL AND ENTIRE TIBIAL COMP REMOVAL OF PROSTHESIS, INCLUDING TOTAL KNEE PROSTHESIS, METHYLMETHACRYLATE WITH OR WITHOUT IN
- 270. PROPHYLACTIC TREATMENT (NAILING,PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLAT DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, ONE COMPARTMENT (FLEXOR OR EXTENSOR OR ADDUCT DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, ONE COMPARTMENT (FLEXOR OR EXTENSOR OR ADDUCT DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, MULTIPLE COMPARTMENTS; DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, MULTIPLE COMPARTMENTS; WITH DEBRIDEMENT OF NONV CLOSED TREATMENT OF FEMORAL SHAFT FRACTURE, WITHOUT MANIPULATION CLOSED TREATMENT OF SUPRACONDYLAR OR TRANSCONDYLAR FEMORAL FRACTURE WITH OR WITHOUT INTER CLOSED TREATMENT OF FEMORAL SHAFT FRACTURE, WITH MANIPULATION, WITH OR WITHOUT SKIN OR SKELET CLOSED TREATMENT OF SUPRACONDYLAR OR TRANSCONDYLAR FEMORAL FRACTURE WITH OR WITHOUT INTER OPEN TREATMENT OF FEMORAL SHAFT FRACTURE, WITH OR WITHOUT EXTERNAL FIXATION, WITH INSERTION OF OPEN TREATMENT OF FEMORAL SHAFT FRACTURE WITH PLATE/SCREWS, WITH OR WITHOUT CERCLAGE CLOSED TREATMENT OF FEMORAL FRACTURE, DISTAL END, MEDIAL OR LATERAL CONDYLE, WITHOUT MANIPULA PERCUTANEOUS SKELETAL FIXATION OF FEMORAL FRACTURE, DISTAL END, MEDIAL OR LATERAL CONDYLE, SUP CLOSED TREATMENT OF FEMORAL FRACTURE, DISTAL END, MEDIAL OR LATERAL CONDYLE, WITH MANIPULATION OPEN TREATMENT OF FEMORAL SUPRACONDYLAR OR TRANSCONDYLAR FRACTURE WITHOUT INTERCONDYLAR OPEN TREATMENT OF FEMORAL SUPRACONDYLAR OR TRANSCONDYLAR FRACTURE WITH INTERCONDYLAR EXT OPEN TREATMENT OF FEMORAL FRACTURE, DISTAL END, MEDIAL OR LATERAL CONDYLE, WITH OR WITHOUT INT CLOSED TREATMENT OF DISTAL FEMORAL EPIPHYSEAL SEPARATION; WITHOUT MANIPULATION CLOSED TREATMENT OF DISTAL FEMORAL EPIPHYSEAL SEPARATION; WITH MANIPULATION, WITH OR WITHOUT S OPEN TREATMENT OF DISTAL FEMORAL EPIPHYSEAL SEPARATION, WITH OR WITHOUT INTERNAL OR EXTERNAL CLOSED TREATMENT OF PATELLAR FRACTURE, WITHOUT MANIPULATION OPEN TREATMENT OF PATELLAR FRACTURE, WITH INTERNAL FIXATION AND/OR PARTIAL OR COMPLETE PATELLE CLOSED TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); WITHOUT MANIPULATION CLOSED TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); WITH OR WITHOUT MANIPULATION, WITH SKEL OPEN TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); UNICONDYLAR, WITH OR WITHOUT INTERNAL OR OPEN TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); BICONDYLAR, WITH OR WITHOUT INTERNAL FIXA CLOSED TREATMENT OF INTERCONDYLAR SPINE(S) AND/OR TUBEROSITY FRACTURE(S) OF KNEE, WITH OR WITH OPEN TREATMENT OF INTERCONDYLAR SPINE(S) AND/OR TUBEROSITY FRACTURE(S) OF THE KNEE, WITH OR WIT CLOSED TREATMENT OF KNEE DISLOCATION; WITHOUT ANESTHESIA CLOSED TREATMENT OF KNEE DISLOCATION; REQUIRING ANESTHESIA OPEN TREATMENT OF KNEE DISLOCATION, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION; WITHOUT PRIM OPEN TREATMENT OF KNEE DISLOCATION, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION; WITH PRIMAR OPEN TREATMENT OF KNEE DISLOCATION, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION; WITH PRIMAR CLOSED TREATMENT OF PATELLAR DISLOCATION; WITHOUT ANESTHESIA CLOSED TREATMENT OF PATELLAR DISLOCATION; REQUIRING ANESTHESIA OPEN TREATMENT OF PATELLAR DISLOCATION, WITH OR WITHOUT PARTIAL OR TOTAL PATELLECTOMY MANIPULATION OF KNEE JOINT UNDER GENERAL ANESTHESIA (INCLUDES APPLICATION OF TRACTION OR OTHER ARTHRODESIS, KNEE, ANY TECHNIQUE AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; IMMEDIATE FITTING TECHNIQUE INCLUDING FIRST CAST AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; OPEN, CIRCULAR (GUILLOTINE) AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; SECONDARY CLOSURE OR SCAR REVISION AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; RE-AMPUTATION DISARTICULATION AT KNEE UNLISTED PROCEDURE, FEMUR OR KNEE DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/OR LATERAL COMPARTMENTS ONLY DECOMPRESSION FASCIOTOMY, LEG; POSTERIOR COMPARTMENT(S) ONLY DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/OR LATERAL, AND POSTERIOR COMPARTMENT(S) INCISION AND DRAINAGE, LEG OR ANKLE; DEEP ABSCESS OR HEMATOMA INCISION AND DRAINAGE, LEG OR ANKLE; INFECTED BURSA TENOTOMY, PERCUTANEOUS, ACHILLES TENDON (SEPARATE PROCEDURE); LOCAL ANESTHESIA TENOTOMY, ACHILLES TENDON, SUBCUTANEOUS (SEPARATE PROCEDURE); GENERAL ANESTHESIA
- 271. INCISION (EG, OSTEOMYELITISOR BONE ABSCESS), LEG OR ANKLE ARTHROTOMY, ANKLE, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY ARTHROTOMY, POSTERIOR CAPSULAR RELEASE, ANKLE, WITH OR WITHOUT ACHILLES TENDON LENGTHENING BIOPSY, SOFT TISSUE OF LEG OR ANKLE AREA; SUPERFICIAL BIOPSY, SOFT TISSUE OF LEG OR ANKLE AREA; DEEP (SUBFASCIAL OR INTRAMUSCULAR) RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF LEG OR ANKLE AREA EXCISION, TUMOR, LEG OR ANKLE AREA; SUBCUTANEOUS TISSUE EXCISION, TUMOR, LEG OR ANKLE AREA; DEEP (SUBFASCIAL OR INTRAMUSCULAR) ARTHROTOMY, ANKLE, WITH JOINT EXPLORATION, WITH OR WITHOUT BIOPSY, WITH OR WITHOUT REMOVAL OF ARTHROTOMY, ANKLE, WITH SYNOVECTOMY; ARTHROTOMY, ANKLE, WITH SYNOVECTOMY; INCLUDING TENOSYNOVECTOMY EXCISION OF LESION OF TENDON SHEATH OR CAPSULE (EG, CYST OR GANGLION), LEG AND/OR ANKLE EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TIBIA OR FIBULA; EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TIBIA OR FIBULA; WITH AUTOGRAFT (INCLUDES OB EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TIBIA OR FIBULA; WITH ALLOGRAFT PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS OR EXO PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE (EG, FOR OSTEOMYELITIS RADICAL RESECTION OF TUMOR, BONE; TIBIA RADICAL RESECTION OF TUMOR, BONE; FIBULA RADICAL RESECTION OF TUMOR, BONE; TALUS OR CALCANEUS INJECTION PROCEDURE FOR ANKLE ARTHROGRAPHY REPAIR, PRIMARY, OPEN OR PERCUTANEOUS, RUPTURED ACHILLES TENDON; REPAIR, PRIMARY, OPEN OR PERCUTANEOUS, RUPTURED ACHILLES TENDON; WITH GRAFT (INCLUDES OBTAININ REPAIR, SECONDARY, ACHILLES TENDON, WITH OR WITHOUT GRAFT REPAIR, FASCIAL DEFECT OF LEG REPAIR, FLEXOR TENDON, LEG; PRIMARY, WITHOUT GRAFT, EACH TENDON REPAIR, FLEXOR TENDON, LEG; SECONDARY, WITH OR WITHOUT GRAFT, EACH TENDON REPAIR, EXTENSOR TENDON, LEG; PRIMARY, WITHOUT GRAFT, EACH TENDON REPAIR, EXTENSOR TENDON, LEG; SECONDARY, WITH OR WITHOUT GRAFT, EACH TENDON REPAIR, DISLOCATING PERONEAL TENDON; WITHOUT FIBULAR OSTEOTOMY REPAIR FOR DISLOCATING PERONEAL TENDONS; WITH FIBULAR OSTEOTOMY TENOLYSIS, FLEXOR OR EXTENSOR TENDON, LEG AND/OR ANKLE; SINGLE, EACH TENDON TENOLYSIS, FLEXOR OR EXTENSOR TENDON, LEG AND/OR ANKLE; MULTIPLE TENDONS (THROUGH SEPARATE INC LENGTHENING OR SHORTENING OF TENDON, LEG OR ANKLE; SINGLE TENDON (SEPARATE PROCEDURE) LENGTHENING OR SHORTENING OF TENDON, LEG OR ANKLE; MULTIPLE TENDONS (THROUGH SAME INCISION), EA GASTROCNEMIUS RECESSION (EG, STRAYER PROCEDURE) TRANSFER OR TRANSPLANT OF SINGLE TENDON (WITH MUSCLE REDIRECTION OR REROUTING); SUPERFICIAL (E TRANSFER/TRANSPLANT SINGLE TENDON (W/MUSCLE REDIRECTION/REROUTING); DEEP (EG, ANT/POST TIBIAL TH TRANSFER OR TRANSPLANT OF SINGLE TENDON (WITH MUSCLE REDIRECTION OR REROUTING); EACH ADDITION REPAIR, PRIMARY, DISRUPTED LIGAMENT, ANKLE; COLLATERAL SUTURE, PRIMARY, TORN, RUPTURED OR SEVERED LIGAMENT, ANKLE; BOTH COLLATERAL LIGAMENTS REPAIR, SECONDARY DISRUPTED LIGAMENT, ANKLE, COLLATERAL (EG, WATSON-JONES PROCEDURE) ARTHROPLASTY, ANKLE; ARTHROPLASTY, ANKLE; WITH IMPLANT ("TOTAL ANKLE") ARTHROPLASTY, ANKLE; REVISION, TOTAL ANKLE REMOVAL OF ANKLE IMPLANT OSTEOTOMY; TIBIA OSTEOTOMY; FIBULA OSTEOTOMY; TIBIA AND FIBULA OSTEOTOMY; MULTIPLE, WITH REALIGNMENT ON INTRAMEDULLARY ROD (EG, SOFIELD TYPE PROCEDURE) OSTEOPLASTY, TIBIA AND FIBULA, LENGTHENING OR SHORTENING REPAIR OF NONUNION OR MALUNION, TIBIA; WITHOUT GRAFT, (EG, COMPRESSION TECHNIQUE)
- 272. REPAIR OF NONUNIONOR MALUNION, TIBIA; WITH SLIDING GRAFT REPAIR OF NONUNION OR MALUNION, TIBIA; WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES OBTAINING GRAFT) REPAIR OF NONUNION OR MALUNION, TIBIA; BY SYNOSTOSIS, WITH FIBULA, ANY METHOD REPAIR OF CONGENITAL PSEUDARTHROSIS, TIBIA ARREST, EPIPHYSEAL (EPIPHYSIODESIS), OPEN; DISTAL TIBIA ARREST, EPIPHYSEAL (EPIPHYSIODESIS), OPEN; DISTAL FIBULA ARREST, EPIPHYSEAL (EPIPHYSIODESIS), OPEN; DISTAL TIBIA AND FIBULA ARREST, EPIPHYSEAL (EPIPHYSIODESIS), ANY METHOD, COMBINED, PROXIMAL AND DISTAL TIBIA AND FIBULA EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING, COMBINED, PROXIMAL AND DISTAL TIBIA AND FIBULA; AN PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLAT CLOSED TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE); WITHOUT MANIPULA CLOSED TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE); WITH MANIPULATION PERCUTANEOUS SKELETAL FIXATION OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE) (EG, OPEN TREATMENT OF TIBIAL SHAFT FRACTURE, (WITH OR WITHOUT FIBULAR FRACTURE) WITH PLATE/SCREWS, TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE) BY INTRAMEDULLARY IMPLAN CLOSED TREATMENT OF MEDIAL MALLEOLUS FRACTURE; WITHOUT MANIPULATION CLOSED TREATMENT OF MEDIAL MALLEOLUS FRACTURE; WITH MANIPULATION, WITH OR WITHOUT SKIN OR SKE OPEN TREATMENT OF MEDIAL MALLEOLUS FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION CLOSED TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE; WITHOUT MANIPULATION CLOSED TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE; WITH MANIPULATION OPEN TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXA CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS); WITHOUT MANIPULATION CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS); WITH MANIPULATION OPEN TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS), WITH OR WITHOUT INTERNAL OR EXT CLOSED TREATMENT OF BIMALLEOLAR ANKLE FRACTURE, (INCLUDING POTTS); WITHOUT MANIPULATION CLOSED TREATMENT OF BIMALLEOLAR ANKLE FRACTURE, (INCLUDING POTTS); WITH MANIPULATION OPEN TREATMENT OF BIMALLEOLAR ANKLE FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION CLOSED TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE; WITHOUT MANIPULATION CLOSED TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE; WITH MANIPULATION OPEN TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION, OPEN TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION, CLOSED TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR PORTION OF DISTAL TIBIA (EG, PILON OR T CLOSED TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR PORTION OF DISTAL TIBIA (EG, PILON OR T OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR SURFACE/PORTION OF DISTAL TIBIA (EG, PILO OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR SURFACE/PORTION OF DISTAL TIBIA (EG, PILO OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR SURFACE/PORTION OF DISTAL TIBIA (EG, PILO OPEN TREATMENT OF DISTAL TIBIOFIBULAR JOINT (SYNDESMOSIS) DISRUPTION, WITH OR WITHOUT INTERNAL O CLOSED TREATMENT OF PROXIMAL TIBIOFIBULAR JOINT DISLOCATION; WITHOUT ANESTHESIA CLOSED TREATMENT OF PROXIMAL TIBIOFIBULAR JOINT DISLOCATION; REQUIRING ANESTHESIA OPEN TREATMENT OF PROXIMAL TIBIOFIBULAR JOINT DISLOCATION, WITH OR WITHOUT INTERNAL OR EXTERNAL CLOSED TREATMENT OF ANKLE DISLOCATION; WITHOUT ANESTHESIA CLOSED TREATMENT OF ANKLE DISLOCATION; REQUIRING ANESTHESIA, WITH OR WITHOUT PERCUTANEOUS SK OPEN TREATMENT OF ANKLE DISLOCATION, WITH OR WITHOUT PERCUTANEOUS SKELETAL FIXATION; WITHOUT OPEN TREATMENT OF ANKLE DISLOCATION, WITH OR WITHOUT PERCUTANEOUS SKELETAL FIXATION; WITH REP MANIPULATION OF ANKLE UNDER GENERAL ANESTHESIA (INCLUDES APPLICATION OF TRACTION OR OTHER FIXA ARTHRODESIS, ANKLE, OPEN ARTHRODESIS, TIBIOFIBULAR JOINT, PROXIMAL OR DISTAL AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; WITH IMMEDIATE FITTING TECHNIQUE INCLUDING APPLICATION AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; OPEN, CIRCULAR (GUILLOTINE) AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; SECONDARY CLOSURE OR SCAR REVISION AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; RE-AMPUTATION
- 273. AMPUTATION, ANKLE, THROUGHMALLEOLI OF TIBIA AND FIBULA (EG, SYME, PIROGOFF TYPE PROCEDURES), WIT ANKLE DISARTICULATION DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/OR LATERAL COMPARTMENTS ONLY, WITH DEBRIDEMENT O DECOMPRESSION FASCIOTOMY, LEG; POSTERIOR COMPARTMENT(S) ONLY, WITH DEBRIDEMENT OF NONVIABLE DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/OR LATERAL, AND POSTERIOR COMPARTMENT(S), WITH DE UNLISTED PROCEDURE, LEG OR ANKLE INCISION AND DRAINAGE, BURSA, FOOT INCISION AND DRAINAGE BELOW FASCIA, WITH OR WITHOUT TENDON SHEATH INVOLVEMENT, FOOT; SINGLE BUR DEEP DISSECTION BELOW FASCIA, FOR DEEP INFECTION OF FOOT, WITH OR WITHOUT TENDON SHEATH INVOLV INCISION, BONE CORTEX (EG, OSTEOMYELITIS OR BONE ABSCESS), FOOT FASCIOTOMY, FOOT AND/OR TOE TENOTOMY, PERCUTANEOUS, TOE; SINGLE TENDON TENOTOMY, PERCUTANEOUS, TOE; MULTIPLE TENDONS ARTHROTOMY, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN BODY; INTERTARSAL ARTHROTOMY, WITH EXPLORATION, DRAINAGE OR REMOVAL OF LOOSE OR FOREIGN BODY; METATARSOPHALAN ARTHROTOMY, WITH EXPLORATION, DRAINAGE OR REMOVAL OF LOOSE OR FOREIGN BODY; INTERPHALANGEAL NEURECTOMY, INTRINSIC MUSCULATURE OF FOOT RELEASE, TARSAL TUNNEL (POSTERIOR TIBIAL NERVE DECOMPRESSION) EXCISION, TUMOR, FOOT; SUBCUTANEOUS TISSUE EXCISION, TUMOR, FOOT; DEEP, SUBFASCIAL, INTRAMUSCULAR RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF FOOT ARTHROTOMY WITH BIOPSY; INTERTARSAL OR TARSOMETATARSAL JOINT ARTHROTOMY FOR SYNOVIAL BIOPSY; METATARSOPHALANGEAL JOINT ARTHROTOMY FOR SYNOVIAL BIOPSY; INTERPHALANGEAL JOINT FASCIECTOMY, PLANTAR FASCIA; PARTIAL (SEPARATE PROCEDURE) FASCIECTOMY, EXCISION OF PLANTAR FASCIA; RADICAL (SEPARATE PROCEDURE) SYNOVECTOMY; INTERTARSAL OR TARSOMETATARSAL JOINT, EACH SYNOVECTOMY; METATARSOPHALANGEAL JOINT, EACH EXCISION, INTERDIGITAL (MORTON) NEUROMA, SINGLE, EACH SYNOVECTOMY, TENDON SHEATH, FOOT; FLEXOR SYNOVECTOMY, TENDON SHEATH, FOOT; EXTENSOR EXCISION OF LESION, TENDON, TENDON SHEATH, OR CAPSULE (INCLUDING SYNOVECTOMY) (EG, CYST OR GANG EXCISION OF LESION, TENDON, TENDON SHEATH, OR CAPSULE (INCLUDING SYNOVECTOMY) (EG, CYST OR GANG EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TALUS OR CALCANEUS; EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TALUS OR CALCANEUS; WITH ILIAC OR OTHER AUT EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TALUS OR CALCANEUS; WITH ALLOGRAFT EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TARSAL OR METATARSAL, EXCEPT TALUS OR CAL EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TARSAL OR METATARSAL, EXCEPT TALUS OR CAL EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TARSAL OR METATARSAL, EXCEPT TALUS OR CAL EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, PHALANGES OF FOOT OSTECTOMY, PARTIAL EXCISION, FIFTH METATARSAL HEAD (BUNIONETTE) (SEPARATE PROCEDURE) OSTECTOMY, COMPLETE EXCISION; FIRST METATARSAL HEAD OSTECTOMY, COMPLETE EXCISION; OTHER METATARSAL HEAD (SECOND, THIRD OR FOURTH) OSTECTOMY, COMPLETE EXCISION; FIFTH METATARSAL HEAD OSTECTOMY, COMPLETE EXCISION; ALL METATARSAL HEADS, WITH PARTIAL PROXIMAL PHALANGECTOMY, EXCL OSTECTOMY, EXCISION OF TARSAL COALITION OSTECTOMY, CALCANEUS; OSTECTOMY, CALCANEUS; FOR SPUR, WITH OR WITHOUT PLANTAR FASCIAL RELEASE PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE (EG, OST PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE (EG, OST PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE (EG, OST RESECTION, PARTIAL OR COMPLETE, PHALANGEAL BASE, EACH TOE
- 274. TALECTOMY (ASTRAGALECTOMY) METATARSECTOMY PHALANGECTOMY, TOE,EACH TOE RESECTION, CONDYLE(S), DISTAL END OF PHALANX, EACH TOE HEMIPHALANGECTOMY OR INTERPHALANGEAL JOINT EXCISION, TOE, PROXIMAL END OF PHALANX, EACH RADICAL RESECTION OF TUMOR, BONE; TARSAL (EXCEPT TALUS OR CALCANEUS) RADICAL RESECTION OF TUMOR, BONE; METATARSAL RADICAL RESECTION OF TUMOR, BONE; PHALANX OF TOE REMOVAL OF FOREIGN BODY, FOOT; SUBCUTANEOUS REMOVAL OF FOREIGN BODY, FOOT; DEEP REMOVAL OF FOREIGN BODY, FOOT; COMPLICATED REPAIR, TENDON, FLEXOR, FOOT; PRIMARY OR SECONDARY, WITHOUT FREE GRAFT, EACH TENDON REPAIR OR SUTURE OF TENDON, FOOT, FLEXOR, SINGLE; SECONDARY WITH FREE GRAFT, EACH TENDON (INCLU REPAIR, TENDON, EXTENSOR, FOOT; PRIMARY OR SECONDARY, EACH TENDON REPAIR OR SUTURE OF TENDON, FOOT, EXTENSOR, SINGLE; SECONDARY WITH FREE GRAFT, EACH TENDON (INC TENOLYSIS, FLEXOR, FOOT; SINGLE TENDON TENOLYSIS, FLEXOR, FOOT; MULTIPLE TENDONS TENOLYSIS, EXTENSOR, FOOT; SINGLE TENDON TENOLYSIS, EXTENSOR, FOOT; MULTIPLE TENDONS TENOTOMY, OPEN, TENDON FLEXOR; FOOT, SINGLE OR MULTIPLE TENDON(S) (SEPARATE PROCEDURE) TENOTOMY, OPEN, TENDON FLEXOR; TOE, SINGLE TENDON (SEPARATE PROCEDURE) TENOTOMY, OPEN, EXTENSOR, FOOT OR TOE, EACH TENDON RECONSTRUCTION, POSTERIOR TIBIAL TENDON WITH EXCISION OF ACCESSORY TARSAL NAVICULAR BONE TENOTOMY, LENGTHENING, OR RELEASE, ABDUCTOR HALLUCIS MUSCLE DIVISION OF PLANTAR FASCIA AND MUSCLE (EG, STEINDLER STRIPPING) (SEPARATE PROCEDURE) CAPSULOTOMY, MIDFOOT; MEDIAL RELEASE ONLY (SEPARATE PROCEDURE) CAPSULOTOMY, MIDFOOT; WITH TENDON LENGTHENING CAPSULOTOMY, MIDFOOT; EXTENSIVE, INCLUDING POSTERIOR TALOTIBIAL CAPSULOTOMY AND TENDON(S) LENG CAPSULOTOMY, MIDTARSAL (EG, HEYMAN TYPE PROCEDURE) CAPSULOTOMY; METATARSOPHALANGEAL JOINT, WITH OR WITHOUT TENORRHAPHY, EACH JOINT (SEPARATE PR CAPSULOTOMY; INTERPHALANGEAL JOINT, EACH JOINT (SEPARATE PROCEDURE) SYNDACTYLIZATION, TOES (EG, WEBBING OR KELIKIAN TYPE PROCEDURE) CORRECTION, HAMMERTOE (EG, INTERPHALANGEAL FUSION, PARTIAL OR TOTAL PHALANGECTOMY) CORRECTION, COCK-UP FIFTH TOE, WITH PLASTIC SKIN CLOSURE (EG, RUIZ-MORA TYPE PROCEDURE) OSTECTOMY, PARTIAL, EXOSTECTOMY OR CONDYLECTOMY, METATARSAL HEAD, EACH METATARSAL HEAD HALLUX RIGIDUS CORRECTION WITH CHEILECTOMY, DEBRIDEMENT AND CAPSULAR RELEASE OF THE FIRST MET CORRECTION, HALLUX VALGUS (BUNION), WITH OR WITHOUT SESAMOIDECTOMY; SIMPLE EXOSTECTOMY (EG, SI HALLUX VALGUS (BUNION) CORRECTION, WITH OR WITHOUT SESAMOIDECTOMY; KELLER, MCBRIDE OR MAYO TY HALLUX VALGUS (BUNION) CORRECTION, WITH OR WITHOUT SESAMOIDECTOMY; RESECTION OF JOINT WITH IMP CORRECTION, HALLUX VALGUS (BUNION), WITH OR WITHOUT SESAMOIDECTOMY; WITH TENDON TRANSPLANTS ( HALLUX VALGUS (BUNION) CORRECTION, WITH OR WITHOUT SESAMOIDECTOMY; WITH METATARSAL OSTEOTOM HALLUX VALGUS (BUNION) CORRECTION, WITH OR WITHOUT SESAMOIDECTOMY; LAPIDUS TYPE PROCEDURE HALLUX VALGUS (BUNION) CORRECTION, WITH OR WITHOUT SESAMOIDECTOMY; BY PHALANX OSTEOTOMY CORRECTION, HALLUX VALGUS, WITH OR WITHOUT SESAMOIDECTOMY; BY DOUBLE OSTEOTOMY OSTEOTOMY; CALCANEUS (EG, DWYER OR CHAMBERS TYPE PROCEDURE), WITH OR WITHOUT INTERNAL FIXATIO OSTEOTOMY; TALUS OSTEOTOMY, TARSAL BONES, OTHER THAN CALCANEUS OR TALUS OSTEOTOMY, TARSAL BONES, OTHER THAN CALCANEUS OR TALUS; WITH AUTOGRAFT (INCLUDES OBTAINING GR OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; FIRST OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; FIRST OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; OTHER OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; MULTI
- 275. OSTEOTOMY, SHORTENING, ANGULAROR ROTATIONAL CORRECTION; PROXIMAL PHALANX, FIRST TOE (SEPARAT OSTEOTOMY FOR SHORTENING, ANGULAR OR ROTATIONAL CORRECTION; OTHER PHALANGES, ANY TOE RECONSTRUCTION, ANGULAR DEFORMITY OF TOE, SOFT TISSUE PROCEDURES ONLY (EG, OVERLAPPING SECON SESAMOIDECTOMY, FIRST TOE (SEPARATE PROCEDURE) REPAIR, NONUNION OR MALUNION; TARSAL BONES REPAIR OF NONUNION OR MALUNION; METATARSAL, WITH OR WITHOUT BONE GRAFT (INCLUDES OBTAINING GRA RECONSTRUCTION, TOE, MACRODACTYLY; SOFT TISSUE RESECTION RECONSTRUCTION, TOE, MACRODACTYLY; REQUIRING BONE RESECTION RECONSTRUCTION, TOE(S); POLYDACTYLY RECONSTRUCTION, TOE(S); SYNDACTYLY, WITH OR WITHOUT SKIN GRAFT(S), EACH WEB RECONSTRUCTION, CLEFT FOOT CLOSED TREATMENT OF CALCANEAL FRACTURE; WITHOUT MANIPULATION CLOSED TREATMENT OF CALCANEAL FRACTURE; WITH MANIPULATION PERCUTANEOUS SKELETAL FIXATION OF CALCANEAL FRACTURE, WITH MANIPULATION OPEN TREATMENT OF CALCANEAL FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION; OPEN TREATMENT OF CALCANEAL FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION; WITH PRIM CLOSED TREATMENT OF TALUS FRACTURE; WITHOUT MANIPULATION CLOSED TREATMENT OF TALUS FRACTURE; WITH MANIPULATION PERCUTANEOUS SKELETAL FIXATION OF TALUS FRACTURE, WITH MANIPULATION OPEN TREATMENT OF TALUS FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT MANIPULATION, EACH TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITH MANIPULATION, EACH PERCUTANEOUS SKELETAL FIXATION OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS), WITH MAN OPEN TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS), WITH OR WITHOUT INTERNA CLOSED TREATMENT OF METATARSAL FRACTURE; WITHOUT MANIPULATION, EACH CLOSED TREATMENT OF METATARSAL FRACTURE; WITH MANIPULATION, EACH PERCUTANEOUS SKELETAL FIXATION OF METATARSAL FRACTURE, WITH MANIPULATION, EACH OPEN TREATMENT OF METATARSAL FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION, EACH CLOSED TREATMENT OF FRACTURE GREAT TOE, PHALANX OR PHALANGES; WITHOUT MANIPULATION CLOSED TREATMENT OF FRACTURE GREAT TOE, PHALANX OR PHALANGES; WITH MANIPULATION PERCUTANEOUS SKELETAL FIXATION OF FRACTURE GREAT TOE, PHALANX OR PHALANGES, WITH MANIPULATION OPEN TREATMENT OF FRACTURE GREAT TOE, PHALANX OR PHALANGES, WITH OR WITHOUT INTERNAL OR EXTE CLOSED TREATMENT OF FRACTURE, PHALANX OR PHALANGES, OTHER THAN GREAT TOE; WITHOUT MANIPULATI CLOSED TREATMENT OF FRACTURE, PHALANX OR PHALANGES, OTHER THAN GREAT TOE; WITH MANIPULATION, OPEN TREATMENT OF FRACTURE, PHALANX OR PHALANGES, OTHER THAN GREAT TOE, WITH OR WITHOUT INTER CLOSED TREATMENT OF SESAMOID FRACTURE OPEN TREATMENT OF SESAMOID FRACTURE, WITH OR WITHOUT INTERNAL FIXATION CLOSED TREATMENT OF TARSAL BONE DISLOCATION, OTHER THAN TALOTARSAL; WITHOUT ANESTHESIA CLOSED TREATMENT OF TARSAL BONE DISLOCATION, OTHER THAN TALOTARSAL; REQUIRING ANESTHESIA PERCUTANEOUS SKELETAL FIXATION OF TARSAL BONE DISLOCATION, OTHER THAN TALOTARSAL, WITH MANIPU OPEN TREATMENT OF TARSAL BONE DISLOCATION, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION CLOSED TREATMENT OF TALOTARSAL JOINT DISLOCATION; WITHOUT ANESTHESIA CLOSED TREATMENT OF TALOTARSAL JOINT DISLOCATION; REQUIRING ANESTHESIA PERCUTANEOUS SKELETAL FIXATION OF TALOTARSAL JOINT DISLOCATION, WITH MANIPULATION OPEN TREATMENT OF TALOTARSAL JOINT DISLOCATION, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION CLOSED TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION; WITHOUT ANESTHESIA CLOSED TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION; REQUIRING ANESTHESIA PERCUTANEOUS SKELETAL FIXATION OF TARSOMETATARSAL JOINT DISLOCATION, WITH MANIPULATION OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, WITH OR WITHOUT INTERNAL OR EXTERNAL FIX CLOSED TREATMENT OF METATARSOPHALANGEAL JOINT DISLOCATION; WITHOUT ANESTHESIA CLOSED TREATMENT OF METATARSOPHALANGEAL JOINT DISLOCATION; REQUIRING ANESTHESIA PERCUTANEOUS SKELETAL FIXATION OF METATARSOPHALANGEAL JOINT DISLOCATION, WITH MANIPULATION
- 276. OPEN TREATMENT OFMETATARSOPHALANGEAL JOINT DISLOCATION, WITH OR WITHOUT INTERNAL OR EXTERNA CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION; WITHOUT ANESTHESIA CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION; REQUIRING ANESTHESIA PERCUTANEOUS SKELETAL FIXATION OF INTERPHALANGEAL JOINT DISLOCATION, WITH MANIPULATION OPEN TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXA ARTHRODESIS; PANTALAR ARTHRODESIS; TRIPLE ARTHRODESIS; SUBTALAR ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, MULTIPLE OR TRANSVERSE; ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, MULTIPLE OR TRANSVERSE; WITH OSTEOTOMY (EG, FLATFO ARTHRODESIS, WITH TENDON LENGTHENING AND ADVANCEMENT, MIDTARSAL, TARSAL NAVICULAR-CUNEIFORM ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, SINGLE JOINT ARTHRODESIS, GREAT TOE; METATARSOPHALANGEAL JOINT ARTHRODESIS, GREAT TOE; INTERPHALANGEAL JOINT ARTHRODESIS, WITH EXTENSOR HALLUCIS LONGUS TRANSFER TO FIRST METATARSAL NECK, GREAT TOE, INTER AMPUTATION, FOOT; MIDTARSAL (EG, CHOPART TYPE PROCEDURE) AMPUTATION, FOOT; TRANSMETATARSAL AMPUTATION, METATARSAL, WITH TOE, SINGLE AMPUTATION, TOE; METATARSOPHALANGEAL JOINT AMPUTATION, TOE; INTERPHALANGEAL JOINT UNLISTED PROCEDURE, FOOT OR TOES APPLICATION OF HALO TYPE BODY CAST (SEE 20661-20663 FOR INSERTION) APPLICATION OF RISSER JACKET, LOCALIZER, BODY; ONLY APPLICATION OF RISSER JACKET, LOCALIZER, BODY; INCLUDING HEAD APPLICATION OF TURNBUCKLE JACKET, BODY; ONLY APPLICATION OF TURNBUCKLE JACKET, BODY; INCLUDING HEAD APPLICATION OF BODY CAST, SHOULDER TO HIPS; APPLICATION OF BODY CAST, SHOULDER TO HIPS; INCLUDING HEAD, MINERVA TYPE APPLICATION OF BODY CAST, SHOULDER TO HIPS; INCLUDING ONE THIGH APPLICATION OF BODY CAST, SHOULDER TO HIPS; INCLUDING BOTH THIGHS APPLICATION, CAST; FIGURE-OF-EIGHT APPLICATION, CAST; SHOULDER SPICA APPLICATION, CAST; PLASTER VELPEAU APPLICATION, CAST; SHOULDER TO HAND APPLICATION, CAST; ELBOW TO FINGER APPLICATION, CAST; HAND AND LOWER FOREARM APPLICATION, CAST; FINGER (EG, CONTRACTURE) APPLICATION OF LONG ARM SPLINT (SHOULDER TO HAND) APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); DYNAMIC APPLICATION OF FINGER SPLINT; STATIC APPLICATION OF FINGER SPLINT; DYNAMIC STRAPPING; THORAX STRAPPING; LOW BACK STRAPPING; SHOULDER (EG, VELPEAU) STRAPPING; ELBOW OR WRIST STRAPPING; HAND OR FINGER APPLICATION OF HIP SPICA CAST; ONE LEG APPLICATION OF HIP SPICA CAST; ONE AND ONE-HALF SPICA OR BOTH LEGS APPLICATION OF LONG LEG CAST (THIGH TO TOES); APPLICATION OF LONG LEG CAST (THIGH TO TOES); WALKER OR AMBULATORY TYPE APPLICATION OF LONG LEG CAST BRACE
- 277. APPLICATION OF CYLINDERCAST (THIGH TO ANKLE) APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES); APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES); WALKING OR AMBULATORY TYPE APPLICATION OF PATELLAR TENDON BEARING (PTB) CAST ADDING WALKER TO PREVIOUSLY APPLIED CAST APPLICATION OF RIGID TOTAL CONTACT LEG CAST APPLICATION OF CLUBFOOT CAST WITH MOLDING OR MANIPULATION, LONG OR SHORT LEG APPLICATION OF LONG LEG SPLINT (THIGH TO ANKLE OR TOES) APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT) STRAPPING; HIP STRAPPING; KNEE STRAPPING; ANKLE AND/OR FOOT STRAPPING; TOES STRAPPING; UNNA BOOT DENIS-BROWNE SPLINT STRAPPING REMOVAL OR BIVALVING; GAUNTLET, BOOT OR BODY CAST REMOVAL OR BIVALVING; FULL ARM OR FULL LEG CAST REMOVAL OR BIVALVING; SHOULDER OR HIP SPICA, MINERVA, OR RISSER JACKET, ETC. REMOVAL OR BIVALVING; TURNBUCKLE JACKET REPAIR OF SPICA, BODY CAST OR JACKET WINDOWING OF CAST WEDGING OF CAST (EXCEPT CLUBFOOT CASTS) WEDGING OF CLUBFOOT CAST UNLISTED PROCEDURE, CASTING OR STRAPPING ARTHROSCOPY, TEMPOROMANDIBULAR JOINT, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE P ARTHROSCOPY, TEMPOROMANDIBULAR JOINT, SURGICAL ARTHROSCOPY, SHOULDER, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE PROCEDURE) ARTHROSCOPY, SHOULDER, SURGICAL; CAPSULORRHAPHY ARTHROSCOPY, SHOULDER, SURGICAL; REPAIR OF SLAP LESION ARTHROSCOPY, SHOULDER, SURGICAL; WITH REMOVAL OF LOOSE BODY OR FOREIGN BODY ARTHROSCOPY, SHOULDER, SURGICAL; SYNOVECTOMY, PARTIAL ARTHROSCOPY, SHOULDER, SURGICAL; SYNOVECTOMY, COMPLETE ARTHROSCOPY, SHOULDER, SURGICAL; DEBRIDEMENT, LIMITED ARTHROSCOPY, SHOULDER, SURGICAL; DEBRIDEMENT, EXTENSIVE ARTHROSCOPY, SHOULDER, SURGICAL; DISTAL CLAVICULECTOMY INCLUDING DISTAL ARTICULAR SURFACE (MUM ARTHROSCOPY, SHOULDER, SURGICAL; WITH LYSIS AND RESECTION OF ADHESIONS, WITH OR WITHOUT MANIPU ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLA ARTHROSCOPY, SHOULDER, SURGICAL; WITH ROTATOR CUFF REPAIR ARTHROSCOPY, ELBOW, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE PROCEDURE) ARTHROSCOPY, ELBOW, SURGICAL; WITH REMOVAL OF LOOSE BODY OR FOREIGN BODY ARTHROSCOPY, ELBOW, SURGICAL; SYNOVECTOMY, PARTIAL ARTHROSCOPY, ELBOW, SURGICAL; SYNOVECTOMY, COMPLETE ARTHROSCOPY, ELBOW, SURGICAL; DEBRIDEMENT, LIMITED ARTHROSCOPY, ELBOW, SURGICAL; DEBRIDEMENT, EXTENSIVE ARTHROSCOPY, WRIST, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE PROCEDURE) ARTHROSCOPY, WRIST, SURGICAL; FOR INFECTION, LAVAGE AND DRAINAGE ARTHROSCOPY, WRIST, SURGICAL; SYNOVECTOMY, PARTIAL ARTHROSCOPY, WRIST, SURGICAL; SYNOVECTOMY, COMPLETE ARTHROSCOPY, WRIST, SURGICAL; EXCISION AND/OR REPAIR OF TRIANGULAR FIBROCARTILAGE AND/OR JOINT D ARTHROSCOPY, WRIST, SURGICAL; INTERNAL FIXATION FOR FRACTURE OR INSTABILITY ENDOSCOPY, WRIST, SURGICAL, WITH RELEASE OF TRANSVERSE CARPAL LIGAMENT ARTHROSCOPICALLY AIDED TREATMENT OF INTERCONDYLAR SPINE(S) AND/OR TUBEROSITY FRACTURE(S) OF T
- 278. ARTHROSCOPICALLY AIDED TREATMENTOF INTERCONDYLAR SPINE(S) AND/OR TUBEROSITY FRACTURE(S) OF T ARTHROSCOPICALLY AIDED TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); UNICONDYLAR, WITH OR W ARTHROSCOPICALLY AIDED TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); BICONDYLAR, WITH OR WIT ARTHROSCOPY, HIP, DIAGNOSTIC WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE PROCEDURE) ARTHROSCOPY, HIP, SURGICAL; WITH REMOVAL OF LOOSE BODY OR FOREIGN BODY ARTHROSCOPY, HIP, SURGICAL; WITH DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY), A ARTHROSCOPY, HIP, SURGICAL; WITH SYNOVECTOMY ARTHROSCOPY, KNEE, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE PROCEDURE) ARTHROSCOPY, KNEE, SURGICAL; FOR INFECTION, LAVAGE AND DRAINAGE ARTHROSCOPY, KNEE, SURGICAL; WITH LATERAL RELEASE ARTHROSCOPY, KNEE, SURGICAL; FOR REMOVAL OF LOOSE BODY OR FOREIGN BODY (EG, OSTEOCHONDRITIS D ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY, LIMITED (EG, PLICA OR SHELF RESECTION) (SEPARATE PROC ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY, MAJOR, TWO OR MORE COMPARTMENTS (EG, MEDIAL OR LAT ARTHROSCOPY, KNEE, SURGICAL; DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY) ARTHROSCOPY, KNEE, SURGICAL; ABRASION ARTHROPLASTY (INCLUDES CHONDROPLASTY WHERE NECESSARY ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL AND LATERAL, INCLUDING ANY MENISCAL SHAV ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENISCAL SHAV ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS REPAIR (MEDIAL OR LATERAL) ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS REPAIR (MEDIAL AND LATERAL) ARTHROSCOPY, KNEE, SURGICAL; WITH LYSIS OF ADHESIONS, WITH OR WITHOUT MANIPULATION (SEPARATE PR ARTHROSCOPY, KNEE, SURGICAL; DRILLING FOR OSTEOCHONDRITIS DISSECANS WITH BONE GRAFTING, WITH O ARTHROSCOPY, KNEE, SURGICAL; DRILLING FOR INTACT OSTEOCHONDRITIS DISSECANS LESION ARTHROSCOPY, KNEE, SURGICAL; DRILLING FOR INTACT OSTEOCHONDRITIS DISSECANS LESION WITH INTERNAL ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENTATION OR RECONSTRUCTION ARTHROSCOPICALLY AIDED POSTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENTATION OR RECONSTRUCTION ARTHROSCOPY, ANKLE, SURGICAL; EXCISION OF OSTEOCHONDRAL DEFECT OF TALUS AND/OR TIBIA, INCLUDING ARTHROSCOPICALLY AIDED REPAIR OF LARGE OSTEOCHONDRITIS DISSECANS LESION, TALAR DOME FRACTURE ENDOSCOPIC PLANTAR FASCIOTOMY ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; WITH REMOVAL OF LOOSE BODY OR ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; SYNOVECTOMY, PARTIAL ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; DEBRIDEMENT, LIMITED ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; DEBRIDEMENT, EXTENSIVE ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; WITH ANKLE ARTHRODESIS ARTHROSCOPY, METACARPOPHALANGEAL JOINT, DIAGNOSTIC, INCLUDES SYNOVIAL BIOPSY ARTHROSCOPY, METACARPOPHALANGEAL JOINT, SURGICAL; WITH DEBRIDEMENT ARTHROSCOPY, METACARPOPHALANGEAL JOINT, SURGICAL; WITH REDUCTION OF DISPLACED ULNAR COLLATER UNLISTED PROCEDURE, ARTHROSCOPY DRAINAGE ABSCESS OR HEMATOMA, NASAL, INTERNAL APPROACH DRAINAGE ABSCESS OR HEMATOMA, NASAL SEPTUM BIOPSY, INTRANASAL EXCISION, NASAL POLYP(S), SIMPLE EXCISION, NASAL POLYP(S), EXTENSIVE EXCISION OR DESTRUCTION, INTRANASAL LESION; INTERNAL APPROACH EXCISION OR DESTRUCTION, INTRANASAL LESION; EXTERNAL APPROACH EXCISION OR SURGICAL PLANING OF SKIN OF NOSE FOR RHINOPHYMA EXCISION DERMOID CYST, NOSE; SIMPLE, SKIN, SUBCUTANEOUS EXCISION DERMOID CYST, NOSE; COMPLEX, UNDER BONE OR CARTILAGE EXCISION TURBINATE, PARTIAL OR COMPLETE, ANY METHOD SUBMUCOUS RESECTION TURBINATE, PARTIAL OR COMPLETE, ANY METHOD RHINECTOMY; PARTIAL RHINECTOMY; TOTAL INJECTION INTO TURBINATE(S), THERAPEUTIC
- 279. DISPLACEMENT THERAPY (PROETZTYPE) INSERTION, NASAL SEPTAL PROSTHESIS (BUTTON) REMOVAL FOREIGN BODY, INTRANASAL; OFFICE TYPE PROCEDURE REMOVAL FOREIGN BODY, INTRANASAL; REQUIRING GENERAL ANESTHESIA REMOVAL FOREIGN BODY, INTRANASAL; BY LATERAL RHINOTOMY RHINOPLASTY, PRIMARY; LATERAL AND ALAR CARTILAGES AND/OR ELEVATION OF NASAL TIP RHINOPLASTY, PRIMARY; COMPLETE, EXTERNAL PARTS INCLUDING BONY PYRAMID, LATERAL AND ALAR CARTILA RHINOPLASTY, PRIMARY; INCLUDING MAJOR SEPTAL REPAIR RHINOPLASTY, SECONDARY; MINOR REVISION (SMALL AMOUNT OF NASAL TIP WORK) RHINOPLASTY, SECONDARY; INTERMEDIATE REVISION (BONY WORK WITH OSTEOTOMIES) RHINOPLASTY, SECONDARY; MAJOR REVISION (NASAL TIP WORK AND OSTEOTOMIES) RHINOPLASTY FOR NASAL DEFORMITY SECONDARY TO CONGENITAL CLEFT LIP AND/OR PALATE, INCLUDING COL RHINOPLASTY FOR NASAL DEFORMITY SECONDARY TO CONGENITAL CLEFT LIP AND/OR PALATE, INCLUDING COL REPAIR OF NASAL VESTIBULAR STENOSIS (EG, SPREADER GRAFTING, LATERAL NASAL WALL RECONSTRUCTION) SEPTOPLASTY OR SUBMUCOUS RESECTION, WITH OR WITHOUT CARTILAGE SCORING, CONTOURING OR REPLAC REPAIR CHOANAL ATRESIA; INTRANASAL REPAIR CHOANAL ATRESIA; TRANSPALATINE LYSIS INTRANASAL SYNECHIA REPAIR FISTULA; OROMAXILLARY (COMBINE WITH 31030 IF ANTROTOMY IS INCLUDED) REPAIR FISTULA; ORONASAL SEPTAL OR OTHER INTRANASAL DERMATOPLASTY (DOES NOT INCLUDE OBTAINING GRAFT) REPAIR NASAL SEPTAL PERFORATIONS CAUTERY AND/OR ABLATION, MUCOSA OF TURBINATES, UNILATERAL OR BILATERAL, ANY METHOD,; SUPERFICIAL CAUTERY AND/OR ABLATION, MUCOSA OF TURBINATES, UNILATERAL OR BILATERAL, ANY METHOD; INTRAMURAL CONTROL NASAL HEMORRHAGE, ANTERIOR, SIMPLE (LIMITED CAUTERY AND/OR PACKING) ANY METHOD CONTROL NASAL HEMORRHAGE, ANTERIOR, COMPLEX (EXTENSIVE CAUTERY AND/OR PACKING) ANY METHOD CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH POSTERIOR NASAL PACKS AND/OR CAUTERY, ANY METHOD; CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH POSTERIOR NASAL PACKS AND/OR CAUTERY, ANY METHOD; LIGATION ARTERIES; ETHMOIDAL LIGATION ARTERIES; INTERNAL MAXILLARY ARTERY, TRANSANTRAL FRACTURE NASAL TURBINATE(S), THERAPEUTIC UNLISTED PROCEDURE, NOSE LAVAGE BY CANNULATION; MAXILLARY SINUS (ANTRUM PUNCTURE OR NATURAL OSTIUM) LAVAGE BY CANNULATION; SPHENOID SINUS SINUSOTOMY, MAXILLARY (ANTROTOMY); INTRANASAL SINUSOTOMY, MAXILLARY (ANTROTOMY); RADICAL (CALDWELL-LUC) WITHOUT REMOVAL OF ANTROCHOANAL PO SINUSOTOMY, MAXILLARY (ANTROTOMY); RADICAL (CALDWELL-LUC) WITH REMOVAL OF ANTROCHOANAL POLYPS PTERYGOMAXILLARY FOSSA SURGERY, ANY APPROACH SINUSOTOMY, SPHENOID, WITH OR WITHOUT BIOPSY; SINUSOTOMY, SPHENOID, WITH OR WITHOUT BIOPSY; WITH MUCOSAL STRIPPING OR REMOVAL OF POLYP(S) SINUSOTOMY FRONTAL; EXTERNAL, SIMPLE (TREPHINE OPERATION) SINUSOTOMY FRONTAL; TRANSORBITAL, UNILATERAL (FOR MUCOCELE OR OSTEOMA, LYNCH TYPE) SINUSOTOMY FRONTAL; OBLITERATIVE WITHOUT OSTEOPLASTIC FLAP, BROW INCISION (INCLUDES ABLATION) SINUSOTOMY FRONTAL; OBLITERATIVE, WITHOUT OSTEOPLASTIC FLAP, CORONAL INCISION (INCLUDES ABLATIO SINUSOTOMY FRONTAL; OBLITERATIVE, WITH OSTEOPLASTIC FLAP, BROW INCISION SINUSOTOMY FRONTAL; OBLITERATIVE, WITH OSTEOPLASTIC FLAP, CORONAL INCISION SINUSOTOMY FRONTAL; NONOBLITERATIVE, WITH OSTEOPLASTIC FLAP, BROW INCISION SINUSOTOMY FRONTAL; NONOBLITERATIVE, WITH OSTEOPLASTIC FLAP, CORONAL INCISION SINUSOTOMY, UNILATERAL, THREE OR MORE PARANASAL SINUSES (FRONTAL, MAXILLARY, ETHMOID, SPHENOID) ETHMOIDECTOMY; INTRANASAL, ANTERIOR ETHMOIDECTOMY; INTRANASAL, TOTAL ETHMOIDECTOMY; EXTRANASAL, TOTAL
- 280. MAXILLECTOMY; WITHOUT ORBITALEXENTERATION MAXILLECTOMY; WITH ORBITAL EXENTERATION (EN BLOC) NASAL ENDOSCOPY, DIAGNOSTIC, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE) NASAL/SINUS ENDOSCOPY, DIAGNOSTIC WITH MAXILLARY SINUSOSCOPY (VIA INFERIOR MEATUS OR CANINE FOS NASAL/SINUS ENDOSCOPY, DIAGNOSTIC WITH SPHENOID SINUSOSCOPY (VIA PUNCTURE OF SPHENOIDAL FACE O NASAL/SINUS ENDOSCOPY, SURGICAL; WITH BIOPSY, POLYPECTOMY OR DEBRIDEMENT (SEPARATE PROCEDURE NASAL/SINUS ENDOSCOPY, SURGICAL; WITH CONTROL OF NASAL HEMORRHAGE NASAL/SINUS ENDOSCOPY, SURGICAL; WITH DACRYOCYSTORHINOSTOMY NASAL/SINUS ENDOSCOPY, SURGICAL; WITH CONCHA BULLOSA RESECTION NASAL/SINUS ENDOSCOPY, SURGICAL; WITH ETHMOIDECTOMY, PARTIAL (ANTERIOR) NASAL/SINUS ENDOSCOPY, SURGICAL; WITH ETHMOIDECTOMY, TOTAL (ANTERIOR AND POSTERIOR) NASAL/SINUS ENDOSCOPY, SURGICAL, WITH MAXILLARY ANTROSTOMY; NASAL/SINUS ENDOSCOPY, SURGICAL, WITH MAXILLARY ANTROSTOMY; WITH REMOVAL OF TISSUE FROM MAXILL NASAL/SINUS ENDOSCOPY, SURGICAL WITH FRONTAL SINUS EXPLORATION, WITH OR WITHOUT REMOVAL OF TIS NASAL/SINUS ENDOSCOPY, SURGICAL, WITH SPHENOIDOTOMY; NASAL/SINUS ENDOSCOPY, SURGICAL, WITH SPHENOIDOTOMY; WITH REMOVAL OF TISSUE FROM THE SPHENOID NASAL/SINUS ENDOSCOPY, SURGICAL, WITH REPAIR OF CEREBROSPINAL FLUID LEAK; ETHMOID REGION NASAL/SINUS ENDOSCOPY, SURGICAL, WITH REPAIR OF CEREBROSPINAL FLUID LEAK; SPHENOID REGION NASAL/SINUS ENDOSCOPY, SURGICAL; WITH MEDIAL OR INFERIOR ORBITAL WALL DECOMPRESSION NASAL/SINUS ENDOSCOPY, SURGICAL; WITH MEDIAL ORBITAL WALL AND INFERIOR ORBITAL WALL DECOMPRESS NASAL/SINUS ENDOSCOPY, SURGICAL; WITH OPTIC NERVE DECOMPRESSION UNLISTED PROCEDURE, ACCESSORY SINUSES LARYNGOTOMY (THYROTOMY, LARYNGOFISSURE); WITH REMOVAL OF TUMOR OR LARYNGOCELE, CORDECTOMY LARYNGOTOMY (THYROTOMY, LARYNGOFISSURE); DIAGNOSTIC LARYNGECTOMY; TOTAL, WITHOUT RADICAL NECK DISSECTION LARYNGECTOMY; TOTAL, WITH RADICAL NECK DISSECTION LARYNGECTOMY; SUBTOTAL SUPRAGLOTTIC, WITHOUT RADICAL NECK DISSECTION LARYNGECTOMY; SUBTOTAL SUPRAGLOTTIC, WITH RADICAL NECK DISSECTION PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); HORIZONTAL PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); LATEROVERTICAL PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); ANTEROVERTICAL PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); ANTERO-LATERO-VERTICAL PHARYNGOLARYNGECTOMY, WITH RADICAL NECK DISSECTION; WITHOUT RECONSTRUCTION PHARYNGOLARYNGECTOMY, WITH RADICAL NECK DISSECTION; WITH RECONSTRUCTION ARYTENOIDECTOMY OR ARYTENOIDOPEXY, EXTERNAL APPROACH EPIGLOTTIDECTOMY INTUBATION, ENDOTRACHEAL, EMERGENCY PROCEDURE TRACHEOTOMY TUBE CHANGE PRIOR TO ESTABLISHMENT OF FISTULA TRACT LARYNGOSCOPY, INDIRECT; DIAGNOSTIC (SEPARATE PROCEDURE) LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); WITH BIOPSY LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); WITH REMOVAL OF FOREIGN BODY LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); WITH REMOVAL OF LESION LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); WITH VOCAL CORD INJECTION LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; FOR ASPIRATION LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; DIAGNOSTIC, NEWBORN LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; DIAGNOSTIC, EXCEPT NEWBORN LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; DIAGNOSTIC, WITH OPERATING MICROSCOPE LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; WITH INSERTION OF OBTURATOR LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; WITH DILATION, INITIAL LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; WITH DILATION, SUBSEQUENT LARYNGOSCOPY, DIRECT, OPERATIVE, WITH FOREIGN BODY REMOVAL; LARYNGOSCOPY, DIRECT, OPERATIVE, WITH FOREIGN BODY REMOVAL; WITH OPERATING MICROSCOPE
- 281. LARYNGOSCOPY, DIRECT, OPERATIVE,WITH BIOPSY; LARYNGOSCOPY, DIRECT, OPERATIVE, WITH BIOPSY; WITH OPERATING MICROSCOPE LARYNGOSCOPY, DIRECT, OPERATIVE, WITH EXCISION OF TUMOR AND/OR STRIPPING OF VOCAL CORDS OR EPIG LARYNGOSCOPY, DIRECT, OPERATIVE, WITH EXCISION OF TUMOR AND/OR STRIPPING OF VOCAL CORDS OR EPIG LARYNGOSCOPY, DIRECT, OPERATIVE, WITH ARYTENOIDECTOMY; LARYNGOSCOPY, DIRECT, OPERATIVE, WITH ARYTENOIDECTOMY; WITH OPERATING MICROSCOPE LARYNGOSCOPY, DIRECT, WITH INJECTION INTO VOCAL CORD(S), THERAPEUTIC; LARYNGOSCOPY, DIRECT, WITH INJECTION INTO VOCAL CORD(S), THERAPEUTIC; WITH OPERATING MICROSCOPE LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; DIAGNOSTIC LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; WITH BIOPSY LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; WITH REMOVAL OF FOREIGN BODY LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; WITH REMOVAL OF LESION LARYNGOSCOPY, FLEXIBLE OR RIGID FIBEROPTIC, WITH STROBOSCOPY LARYNGOPLASTY; FOR LARYNGEAL WEB, TWO STAGE, WITH KEEL INSERTION AND REMOVAL LARYNGOPLASTY; FOR LARYNGEAL STENOSIS, WITH GRAFT OR CORE MOLD, INCLUDING TRACHEOTOMY LARYNGOPLASTY; WITH OPEN REDUCTION OF FRACTURE TREATMENT OF CLOSED LARYNGEAL FRACTURE; WITHOUT MANIPULATION TREATMENT OF CLOSED LARYNGEAL FRACTURE; WITH CLOSED MANIPULATIVE REDUCTION LARYNGOPLASTY, CRICOID SPLIT LARYNGOPLASTY, NOT OTHERWISE SPECIFIED (EG, FOR BURNS, RECONSTRUCTION AFTER PARTIAL LARYNGECT LARYNGEAL REINNERVATION BY NEUROMUSCULAR PEDICLE SECTION RECURRENT LARYNGEAL NERVE, THERAPEUTIC (SEPARATE PROCEDURE), UNILATERAL UNLISTED PROCEDURE, LARYNX TRACHEOSTOMY, PLANNED (SEPARATE PROCEDURE); TRACHEOSTOMY, PLANNED (SEPARATE PROCEDURE); UNDER TWO YEARS TRACHEOSTOMY, EMERGENCY PROCEDURE; TRANSTRACHEAL TRACHEOSTOMY, EMERGENCY PROCEDURE; CRICOTHYROID MEMBRANE TRACHEOSTOMY, FENESTRATION PROCEDURE WITH SKIN FLAPS CONSTRUCTION OF TRACHEOESOPHAGEAL FISTULA AND SUBSEQUENT INSERTION OF AN ALARYNGEAL SPEECH TRACHEAL PUNCTURE, PERCUTANEOUS WITH TRANSTRACHEAL ASPIRATION AND/OR INJECTION TRACHEOSTOMA REVISION; SIMPLE, WITHOUT FLAP ROTATION TRACHEOSTOMA REVISION; COMPLEX, WITH FLAP ROTATION TRACHEOBRONCHOSCOPY THROUGH ESTABLISHED TRACHEOSTOMY INCISION BRONCHOSCOPY, (RIGID OR FLEXIBLE); DIAGNOSTIC, WITH OR WITHOUT CELL WASHING (SEPARATE PROCEDUR BRONCHOSCOPY; WITH BRUSHING OR PROTECTED BRUSHINGS BRONCHOSCOPY; WITH BRONCHIAL ALVEOLAR LAVAGE BRONCHOSCOPY; WITH BIOPSY BRONCHOSCOPY; WITH TRANSBRONCHIAL LUNG BIOPSY, WITH OR WITHOUT FLUOROSCOPIC GUIDANCE BRONCHOSCOPY; WITH TRANSBRONCHIAL NEEDLE ASPIRATION BIOPSY BRONCHOSCOPY; WITH TRACHEAL OR BRONCHIAL DILATION OR CLOSED REDUCTION OF FRACTURE BRONCHOSCOPY; WITH TRACHEAL DILATION AND PLACEMENT OF TRACHEAL STENT BRONCHOSCOPY; WITH REMOVAL OF FOREIGN BODY BRONCHOSCOPY; WITH EXCISION OF TUMOR BRONCHOSCOPY,; WITH DESTRUCTION OF TUMOR OR RELIEF OF STENOSIS BY ANY METHOD OTHER THAN EXCIS BRONCHOSCOPY; WITH PLACEMENT OF CATHETER(S) FOR INTRACAVITARY RADIOELEMENT APPLICATION BRONCHOSCOPY; WITH THERAPEUTIC ASPIRATION OF TRACHEOBRONCHIAL TREE, INITIAL BRONCHOSCOPY; WITH THERAPEUTIC ASPIRATION OF TRACHEOBRONCHIAL TREE, SUBSEQUENT BRONCHOSCOPY; WITH INJECTION OF CONTRAST MATERIAL FOR SEGMENTAL BRONCHOGRAPHY CATHETERIZATION, TRANSGLOTTIC (SEPARATE PROCEDURE) INSTILLATION OF CONTRAST MATERIAL FOR LARYNGOGRAPHY OR BRONCHOGRAPHY, WITHOUT CATHETERIZAT CATHETERIZATION FOR BRONCHOGRAPHY, WITH OR WITHOUT INSTILLATION OF CONTRAST MATERIAL TRANSTRACHEAL INJECTION FOR BRONCHOGRAPHY
- 282. CATHETERIZATION WITH BRONCHIALBRUSH BIOPSY CATHETER ASPIRATION (SEPARATE PROCEDURE); NASOTRACHEAL CATHETER ASPIRATION (SEPARATE PROCEDURE); TRACHEOBRONCHIAL WITH FIBERSCOPE, BEDSIDE TRANSTRACHEAL (PERCUTANEOUS) INTRODUCTION OF NEEDLE WIRE DILATOR/STENT OR INDWELLING TUBE FO TRACHEOPLASTY; CERVICAL TRACHEOPLASTY; TRACHEOPHARYNGEAL FISTULIZATION, EACH STAGE TRACHEOPLASTY; INTRATHORACIC CARINAL RECONSTRUCTION BRONCHOPLASTY; GRAFT REPAIR BRONCHOPLASTY; EXCISION STENOSIS AND ANASTOMOSIS EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS; CERVICAL EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS; CERVICOTHORACIC EXCISION OF TRACHEAL TUMOR OR CARCINOMA; CERVICAL EXCISION OF TRACHEAL TUMOR OR CARCINOMA; THORACIC SUTURE OF TRACHEAL WOUND OR INJURY; CERVICAL SUTURE OF TRACHEAL WOUND OR INJURY; INTRATHORACIC SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITHOUT PLASTIC REPAIR SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITH PLASTIC REPAIR REVISION OF TRACHEOSTOMY SCAR UNLISTED PROCEDURE, TRACHEA, BRONCHI THORACENTESIS, PUNCTURE OF PLEURAL CAVITY FOR ASPIRATION, INITIAL OR SUBSEQUENT THORACENTESIS WITH INSERTION OF TUBE WITH OR WITHOUT WATER SEAL (EG, FOR PNEUMOTHORAX) (SEPAR CHEMICAL PLEURODESIS (EG, FOR RECURRENT OR PERSISTENT PNEUMOTHORAX) TUBE THORACOSTOMY WITH OR WITHOUT WATER SEAL (EG, FOR ABSCESS, HEMOTHORAX, EMPYEMA) (SEPARA THORACOSTOMY; WITH RIB RESECTION FOR EMPYEMA THORACOSTOMY; WITH OPEN FLAP DRAINAGE FOR EMPYEMA THORACOTOMY, LIMITED, FOR BIOPSY OF LUNG OR PLEURA THORACOTOMY, MAJOR; WITH EXPLORATION AND BIOPSY THORACOTOMY, MAJOR; WITH CONTROL OF TRAUMATIC HEMORRHAGE AND/OR REPAIR OF LUNG TEAR THORACOTOMY, MAJOR; FOR POSTOPERATIVE COMPLICATIONS THORACOTOMY, MAJOR; WITH OPEN INTRAPLEURAL PNEUMONOLYSIS THORACOTOMY, MAJOR; WITH CYST(S) REMOVAL, WITH OR WITHOUT A PLEURAL PROCEDURE THORACOTOMY, MAJOR; WITH EXCISION-PLICATION OF BULLAE, WITH OR WITHOUT ANY PLEURAL PROCEDURE THORACOTOMY, MAJOR; WITH REMOVAL OF INTRAPLEURAL FOREIGN BODY OR FIBRIN DEPOSIT THORACOTOMY, MAJOR; WITH REMOVAL OF INTRAPULMONARY FOREIGN BODY THORACOTOMY, MAJOR; WITH CARDIAC MASSAGE PNEUMONOSTOMY, WITH OPEN DRAINAGE OF ABSCESS OR CYST PNEUMONOSTOMY; WITH PERCUTANEOUS DRAINAGE OF ABSCESS OR CYST PLEURAL SCARIFICATION FOR REPEAT PNEUMOTHORAX DECORTICATION, PULMONARY, (SEPARATE PROCEDURE); TOTAL DECORTICATION, PULMONARY, (SEPARATE PROCEDURE); PARTIAL PLEURECTOMY, PARIETAL (SEPARATE PROCEDURE) DECORTICATION AND PARIETAL PLEURECTOMY BIOPSY, PLEURA; PERCUTANEOUS NEEDLE BIOPSY, PLEURA; OPEN BIOPSY, LUNG OR MEDIASTINUM, PERCUTANEOUS NEEDLE PNEUMOCENTESIS, PUNCTURE OF LUNG FOR ASPIRATION REMOVAL OF LUNG, TOTAL PNEUMONECTOMY; REMOVAL OF LUNG, TOTAL PNEUMONECTOMY; WITH RESECTION OF SEGMENT OF TRACHEA FOLLOWED BY BRO REMOVAL OF LUNG, TOTAL PNEUMONECTOMY; EXTRAPLEURAL REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; SINGLE LOBE (LOBECTOMY) REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; TWO LOBES (BILOBECTOMY)
- 283. REMOVAL OF LUNG,OTHER THAN TOTAL PNEUMONECTOMY; SINGLE SEGMENT (SEGMENTECTOMY) REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; WITH CIRCUMFERENTIAL RESECTION OF SEGMENT REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; ALL REMAINING LUNG FOLLOWING PREVIOUS REMO RMVL OF LUNG, OTHR THN TOTAL PNEUMONECTOMY; EXCISION-PLICATION OF EMPHYSEMATOUS LUNG(S) (BULL REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; WEDGE RESECTION, SINGLE OR MULTIPLE RESECTION AND REPAIR OF PORTION OF BRONCHUS (BRONCHOPLASTY) WHEN PERFORMED AT TIME OF LOBEC RESECTION OF LUNG; WITH RESECTION OF CHEST WALL RESECTION OF LUNG; WITH RECONSTRUCTION OF CHEST WALL, WITHOUT PROSTHESIS RESECTION OF LUNG; WITH MAJOR RECONSTRUCTION OF CHEST WALL, WITH PROSTHESIS EXTRAPLEURAL ENUCLEATION OF EMPYEMA (EMPYEMECTOMY) THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); LUNGS AND PLEURAL SPACE, WITHOUT BIOPSY THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); LUNGS AND PLEURAL SPACE, WITH BIOPSY THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); PERICARDIAL SAC, WITHOUT BIOPSY THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); PERICARDIAL SAC, WITH BIOPSY THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); MEDIASTINAL SPACE, WITHOUT BIOPSY THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); MEDIASTINAL SPACE, WITH BIOPSY THORACOSCOPY, SURGICAL; WITH PLEURODESIS THORACOSCOPY, SURGICAL; WITH PARTIAL PULMONARY DECORTICATION THORACOSCOPY, SURGICAL; WITH TOTAL PULMONARY DECORTICATION, INCLUDING INTRAPLEURAL PNEUMONO THORACOSCOPY, SURGICAL; WITH REMOVAL OF INTRAPLEURAL FOREIGN BODY OR FIBRIN DEPOSIT THORACOSCOPY, SURGICAL; WITH CONTROL OF TRAUMATIC HEMORRHAGE THORACOSCOPY, SURGICAL; WITH EXCISION-PLICATION OF BULLAE, INCLUDING ANY PLEURAL PROCEDURE THORACOSCOPY, SURGICAL; WITH PARIETAL PLEURECTOMY THORACOSCOPY, SURGICAL; WITH WEDGE RESECTION OF LUNG, SINGLE OR MULTIPLE THORACOSCOPY, SURGICAL; WITH REMOVAL OF CLOT OR FOREIGN BODY FROM PERICARDIAL SAC THORACOSCOPY, SURGICAL; WITH CREATION OF PERICARDIAL WINDOW OR PARTIAL RESECTION OF PERICARDI THORACOSCOPY, SURGICAL; WITH TOTAL PERICARDIECTOMY THORACOSCOPY, SURGICAL; WITH EXCISION OF PERICARDIAL CYST, TUMOR, OR MASS THORACOSCOPY, SURGICAL; WITH EXCISION OF MEDIASTINAL CYST, TUMOR, OR MASS THORACOSCOPY, SURGICAL; WITH LOBECTOMY, TOTAL OR SEGMENTAL THORACOSCOPY, SURGICAL; WITH THORACIC SYMPATHECTOMY THORACOSCOPY, SURGICAL; WITH ESOPHAGOMYOTOMY REPAIR LUNG HERNIA THROUGH CHEST WALL CLOSURE OF CHEST WALL FOLLOWING OPEN FLAP DRAINAGE FOR EMPYEMA (CLAGETT TYPE PROCEDURE) OPEN CLOSURE OF MAJOR BRONCHIAL FISTULA MAJOR RECONSTRUCTION, CHEST WALL (POST-TRAUMATIC) DONOR PNEUMONECTOMY(IES) WITH PREPARATION AND MAINTENANCE OF ALLOGRAFT (CADAVER) LUNG TRANSPLANT, SINGLE; WITHOUT CARDIOPULMONARY BYPASS LUNG TRANSPLANT, SINGLE; WITH CARDIOPULMONARY BYPASS LUNG TRANSPLANT, DOUBLE (BILATERAL SEQUENTIAL OR EN BLOC); WITHOUT CARDIOPULMONARY BYPASS LUNG TRANSPLANT, DOUBLE (BILATERAL SEQUENTIAL OR EN BLOC); WITH CARDIOPULMONARY BYPASS RESECTION OF RIBS, EXTRAPLEURAL, ALL STAGES THORACOPLASTY, SCHEDE TYPE OR EXTRAPLEURAL (ALL STAGES); THORACOPLASTY, SCHEDE TYPE OR EXTRAPLEURAL (ALL STAGES); WITH CLOSURE OF BRONCHOPLEURAL FIST PNEUMONOLYSIS, EXTRAPERIOSTEAL, INCLUDING FILLING OR PACKING PROCEDURES PNEUMOTHORAX, THERAPEUTIC, INTRAPLEURAL INJECTION OF AIR TOTAL LUNG LAVAGE (UNILATERAL) UNLISTED PROCEDURE, LUNGS AND PLEURA PERICARDIOCENTESIS; INITIAL PERICARDIOCENTESIS; SUBSEQUENT TUBE PERICARDIOSTOMY PERICARDIOTOMY FOR REMOVAL OF CLOT OR FOREIGN BODY (PRIMARY PROCEDURE)
- 284. CREATION OF PERICARDIALWINDOW OR PARTIAL RESECTION FOR DRAINAGE PERICARDIECTOMY, SUBTOTAL OR COMPLETE; WITHOUT CARDIOPULMONARY BYPASS PERICARDIECTOMY, SUBTOTAL OR COMPLETE; WITH CARDIOPULMONARY BYPASS EXCISION OF PERICARDIAL CYST OR TUMOR EXCISION OF INTRACARDIAC TUMOR, RESECTION WITH CARDIOPULMONARY BYPASS RESECTION OF EXTERNAL CARDIAC TUMOR TRANSMYOCARDIAL LASER REVASCULARIZATION, BY THORACOTOMY (SEPARATE PROCEDURE) TRANSMYOCARDIAL LASER REVASCULARIZATION, BY THORACOTOMY; PERFORMED AT THE TIME OF OTHER OPE INSERTION OF PERMANENT PACEMAKER WITH EPICARDIAL ELECTRODE(S); BY THORACOTOMY INSERTION OF PERMANENT PACEMAKER WITH EPICARDIAL ELECTRODE(S); BY XIPHOID APPROACH INSERTION OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); ATRIAL INSERTION OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); VENTRICULAR INSERTION OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); ATRIAL AND VE INSERTION OR REPLACEMENT OF TEMPORARY TRANSVENOUS SINGLE CHAMBER CARDIAC ELECTRODE OR PACE INSERTION OR REPLACEMENT OF TEMPORARY TRANSVENOUS DUAL CHAMBER PACING ELECTRODES (SEPARAT INSERTION OR REPLACEMENT OF PACEMAKER PULSE GENERATOR ONLY; SINGLE CHAMBER, ATRIAL OR VENTRIC INSERTION OR REPLACEMENT OF PACEMAKER PULSE GENERATOR ONLY; DUAL CHAMBER UPGRADE OF IMPLANTED PACEMAKER SYSTEM, CONVERSION SINGLE CHAMBER SYS TO DUAL SYS (INC REMOVA REPOSITIONING OF PREVIOUSLY IMPLANTED TRANSVENOUS PACEMAKER OR PACING CARDIOVERTER-DEFIBRILL INSERTION OF A TRANSVENOUS ELECTRODE; SINGLE CHAMBER (ONE ELECTRODE) PERMANENT PACEMAKER OR INSERTION OF A TRANSVENOUS ELECTRODE; DUAL CHAMBER (TWO ELECTRODES) PERMANENT PACEMAKER OR REPAIR OF SINGLE TRANSVENOUS ELECTRODE FOR A SINGLE CHAMBER, PERMANENT PACEMAKER OR SINGLE C REPAIR OF TWO TRANSVENOUS ELECTRODES FOR A DUAL CHAMBER PERMANENT PACEMAKER OR DUAL CHAMB REVISION OR RELOCATION OF SKIN POCKET FOR PACEMAKER REVISION OF SKIN POCKET FOR SINGLE OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR INSRT, PACING ELECTRDE, CARD VEN SYST, LEFT VENTRICULAR PACING, W ATTACH PREVIOUSLY PLACED PACE INSERTION OF PACING ELECTRODE, CARDIAC VENOUS SYSTEM, FOR LEFT VENTRICULAR PACING, AT TIME OF IN REPOSITIONING OF PREVIOUSLY IMPLANTED CARDIAC VENOUS SYSTEM (LEFT VENTRICULAR) ELECTRODE (INCL REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR REMOVAL OF TRANSVENOUS PACEMAKER ELECTRODE(S); SINGLE LEAD SYSTEM, ATRIAL OR VENTRICULAR REMOVAL OF TRANSVENOUS PACEMAKER ELECTRODE(S); DUAL LEAD SYSTEM REMOVAL OF PERMANENT EPICARDIAL PACEMAKER AND ELECTRODES BY THORACOTOMY; SINGLE LEAD SYSTEM REMOVAL OF PERMANENT EPICARDIAL PACEMAKER AND ELECTRODES BY THORACOTOMY; DUAL LEAD SYSTEM REMOVAL OF PERMANENT TRANSVENOUS ELECTRODE(S) BY THORACOTOMY INSERTION OF SINGLE OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR PULSE GENERATOR SUBCUTANEOUS REMOVAL OF SINGLE OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR PULSE GENE REMOVAL OF SINGLE OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR ELECTRODE(S); BY THORACO REMOVAL OF SINGLE OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR ELECTRODE(S); BY TRANSVEN INSERTION OF EPICARDIAL SINGLE OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR ELECTRODES BY INSERTION OF EPICARDIAL SINGLE OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR ELECTRODES BY INSERTION OR REPOSITIONING OF ELECTRODE LEAD(S) FOR SINGLE OR DUAL CHAMBER PACING CARDIOVERTER OPERATIVE ABLATION OF SUPRAVENTRICULAR ARRHYTHMOGENIC FOCUS OR PATHWAY, TRACT(S) AND/OR FOC OPERATIVE ABLATION OF SUPRAVENTRICULAR ARRHYTHMOGENIC FOCUS OR PATHWAY, TRACT(S) AND/OR FOC OPERATIVE INCISIONS AND RECONSTRUCTION OF ATRIA FOR TREATMENT OF ATRIAL FIBRILLATION OR ATRIAL F OPERATIVE ABLATION OF VENTRICULAR ARRHYTHMOGENIC FOCUS WITH CARDIOPULMONARY BYPASS IMPLANTATION OF PATIENT-ACTIVATED CARDIAC EVENT RECORDER REMOVAL OF AN IMPLANTABLE, PATIENT-ACTIVATED CARDIAC EVENT RECORDER REPAIR OF CARDIAC WOUND; WITHOUT BYPASS REPAIR OF CARDIAC WOUND; WITH CARDIOPULMONARY BYPASS CARDIOTOMY, EXPLORATORY (INCLUDES REMOVAL OF FOREIGN BODY); WITHOUT BYPASS CARDIOTOMY, EXPLORATORY (INCLUDES REMOVAL OF FOREIGN BODY); WITH CARDIOPULMONARY BYPASS SUTURE REPAIR OF AORTA OR GREAT VESSELS; WITHOUT SHUNT OR CARDIOPULMONARY BYPASS
- 285. SUTURE REPAIR OFAORTA OR GREAT VESSELS; WITH SHUNT BYPASS SUTURE REPAIR OF AORTA OR GREAT VESSELS; WITH CARDIOPULMONARY BYPASS INSERTION OF GRAFT, AORTA OR GREAT VESSELS; WITHOUT SHUNT, OR CARDIOPULMONARY BYPASS INSERTION OF GRAFT, AORTA OR GREAT VESSELS; WITH SHUNT BYPASS INSERTION OF GRAFT, AORTA OR GREAT VESSELS; WITH CARDIOPULMONARY BYPASS VALVULOPLASTY, AORTIC VALVE; OPEN, WITH CARDIOPULMONARY BYPASS VALVULOPLASTY, AORTIC VALVE; OPEN, WITH INFLOW OCCLUSION VALVULOPLASTY, AORTIC VALVE; USING TRANSVENTRICULAR DILATION, WITH CARDIOPULMONARY BYPASS CONSTRUCTION OF APICAL-AORTIC CONDUIT REPLACEMENT, AORTIC VALVE, WITH CARDIOPULMONARY BYPASS; WITH PROSTHETIC VALVE OTHER THAN HOM REPLACEMENT, AORTIC VALVE, WITH CARDIOPULMONARY BYPASS; WITH ALLOGRAFT VALVE REPLACEMENT, AORTIC VALVE, WITH CARDIOPULMONARY BYPASS; WITH STENTLESS TISSUE VALVE REPLACEMENT, AORTIC VALVE; WITH AORTIC ANNULUS ENLARGEMENT, NONCORONARY CUSP REPLACEMENT, AORTIC VALVE; WITH TRANSVENTRICULAR AORTIC ANNULUS ENLARGEMENT (KONNO PROCEDU REPLACEMENT, AORTIC VALVE; BY TRANSLOCATION OF AUTOLOGOUS PULMONARY VALVE WITH ALLOGRAFT RE REPAIR OF LEFT VENTRICULAR OUTFLOW TRACT OBSTRUCTION BY PATCH ENLARGEMENT OF THE OUTFLOW TR RESECTION OR INCISION OF SUBVALVULAR TISSUE FOR DISCRETE SUBVALVULAR AORTIC STENOSIS VENTRICULOMYOTOMY (-MYECTOMY) FOR IDIOPATHIC HYPERTROPHIC SUBAORTIC STENOSIS (EG, ASYMMETRIC AORTOPLASTY (GUSSET) FOR SUPRAVALVULAR STENOSIS VALVOTOMY, MITRAL VALVE; CLOSED HEART VALVOTOMY, MITRAL VALVE; OPEN HEART, WITH CARDIOPULMONARY BYPASS VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY BYPASS; VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY BYPASS; WITH PROSTHETIC RING VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY BYPASS; RADICAL RECONSTRUCTION, WITH OR WIT REPLACEMENT, MITRAL VALVE, WITH CARDIOPULMONARY BYPASS VALVECTOMY, TRICUSPID VALVE, WITH CARDIOPULMONARY BYPASS VALVULOPLASTY, TRICUSPID VALVE; WITHOUT RING INSERTION VALVULOPLASTY, TRICUSPID VALVE; WITH RING INSERTION REPLACEMENT, TRICUSPID VALVE, WITH CARDIOPULMONARY BYPASS TRICUSPID VALVE REPOSITIONING AND PLICATION FOR EBSTEIN ANOMALY VALVOTOMY, PULMONARY VALVE, CLOSED HEART; TRANSVENTRICULAR VALVOTOMY, PULMONARY VALVE, CLOSED HEART; VIA PULMONARY ARTERY VALVOTOMY, PULMONARY VALVE, OPEN HEART; WITH INFLOW OCCLUSION VALVOTOMY, PULMONARY VALVE, OPEN HEART; WITH CARDIOPULMONARY BYPASS REPLACEMENT, PULMONARY VALVE RIGHT VENTRICULAR RESECTION FOR INFUNDIBULAR STENOSIS, WITH OR WITHOUT COMMISSUROTOMY OUTFLOW TRACT AUGMENTATION (GUSSET), WITH OR WITHOUT COMMISSUROTOMY OR INFUNDIBULAR RESECT REPAIR OF NON-STRUCTURAL PROSTHETIC VALVE DYSFUNCTION WITH CARDIOPULMONARY BYPASS (SEPARATE REPAIR OF CORONARY ARTERIOVENOUS OR ARTERIOCARDIAC CHAMBER FISTULA; WITH CARDIOPULMONARY BY REPAIR OF CORONARY ARTERIOVENOUS OR ARTERIOCARDIAC CHAMBER FISTULA; WITHOUT CARDIOPULMONAR REPAIR OF ANOMALOUS CORONARY ARTERY; BY LIGATION REPAIR OF ANOMALOUS CORONARY ARTERY; BY GRAFT, WITHOUT CARDIOPULMONARY BYPASS REPAIR OF ANOMALOUS CORONARY ARTERY; BY GRAFT, WITH CARDIOPULMONARY BYPASS REPAIR OF ANOMALOUS CORONARY ARTERY; WITH CONSTRUCTION OF INTRAPULMONARY ARTERY TUNNEL (TAK REPAIR OF ANOMALOUS CORONARY ARTERY; BY TRANSLOCATION FROM PULMONARY ARTERY TO AORTA ENDOSCOPY, SURGICAL, INCLUDING VIDEO-ASSISTED HARVEST OF VEIN(S) FOR CORONARY ARTERY BYPASS PR CORONARY ARTERY BYPASS, VEIN ONLY; SINGLE CORONARY VENOUS GRAFT CORONARY ARTERY BYPASS, VEIN ONLY; TWO CORONARY VENOUS GRAFTS CORONARY ARTERY BYPASS, VEIN ONLY; THREE CORONARY VENOUS GRAFTS CORONARY ARTERY BYPASS, VEIN ONLY; FOUR CORONARY VENOUS GRAFTS CORONARY ARTERY BYPASS, VEIN ONLY; FIVE CORONARY VENOUS GRAFTS CORONARY ARTERY BYPASS, VEIN ONLY; SIX OR MORE CORONARY VENOUS GRAFTS
- 286. CORONARY ARTERY BYPASS,USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); SINGLE VEIN GRAFT (LIST SEPA CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); TWO VENOUS GRAFTS (LIST SE CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); THREE VENOUS GRAFTS (LIST CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); FOUR VENOUS GRAFTS (LIST S CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); FIVE VENOUS GRAFTS (LIST SE CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); SIX OR MORE VENOUS GRAFTS REOPERATION, CORONARY ARTERY BYPASS PROCEDURE OR VALVE PROCEDURE, MORE THAN ONE MONTH AFT CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); SINGLE ARTERIAL GRAFT CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); TWO CORONARY ARTERIAL GRAFTS CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); THREE CORONARY ARTERIAL GRAFTS CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); FOUR OR MORE CORONARY ARTERIAL GRAFTS MYOCARDIAL RESECTION (EG, VENTRICULAR ANEURYSMECTOMY) REPAIR OF POSTINFARCTION VENTRICULAR SEPTAL DEFECT, WITH OR WITHOUT MYOCARDIAL RESECTION CORONARY ENDARTERECTOMY, OPEN, ANY METHOD, OF LEFT ANTERIOR DESCENDING, CIRCUMFLEX, OR RIGHT CLOSURE OF ATRIOVENTRICULAR VALVE (MITRAL OR TRICUSPID) BY SUTURE OR PATCH CLOSURE OF SEMILUNAR VALVE (AORTIC OR PULMONARY) BY SUTURE OR PATCH ANASTOMOSIS OF PULMONARY ARTERY TO AORTA (DAMUS-KAYE-STANSEL PROCEDURE) REPAIR OF COMPLEX CARDIAC ANOMALY OTHER THAN PULMONARY ATRESIA WITH VENTRICULAR SEPTAL DEFEC REPAIR OF COMPLEX CARDIAC ANOMALIES BY SURGICAL ENLARGEMENT OF VENTRICULAR SEPTAL DEFECT REPAIR OF DOUBLE OUTLET RIGHT VENTRICLE WITH INTRAVENTRICULAR TUNNEL REPAIR; REPAIR OF DOUBLE OUTLET RIGHT VENTRICLE WITH INTRAVENTRICULAR TUNNEL REPAIR; WITH REPAIR OF RIGH REPAIR OF COMPLEX CARDIAC ANOMALIES (EG, TRICUSPID ATRESIA) BY CLOSURE OF ATRIAL SEPTAL DEFECT A REPAIR OF COMPLEX CARDIAC ANOMALIES (EG, SINGLE VENTRICLE) BY MODIFIED FONTAN PROCEDURE REPAIR OF SINGLE VENTRICLE WITH AORTIC OUTFLOW OBSTRUCTION AND AORTIC ARCH HYPOPLASIA (HYPOPL REPAIR ATRIAL SEPTAL DEFECT, SECUNDUM, WITH CARDIOPULMONARY BYPASS, WITH OR WITHOUT PATCH DIRECT OR PATCH CLOSURE, SINUS VENOSUS, WITH OR WITHOUT ANOMALOUS PULMONARY VENOUS DRAINAGE REPAIR OF ATRIAL SEPTAL DEFECT AND VENTRICULAR SEPTAL DEFECT, WITH DIRECT OR PATCH CLOSURE REPAIR OF INCOMPLETE OR PARTIAL ATRIOVENTRICULAR CANAL (OSTIUM PRIMUM ATRIAL SEPTAL DEFECT), WIT REPAIR OF INTERMEDIATE OR TRANSITIONAL ATRIOVENTRICULAR CANAL, WITH OR WITHOUT ATRIOVENTRICULA REPAIR OF COMPLETE ATRIOVENTRICULAR CANAL, WITH OR WITHOUT PROSTHETIC VALVE CLOSURE OF VENTRICULAR SEPTAL DEFECT, WITH OR WITHOUT PATCH CLOSURE OF VENTRICULAR SEPTAL DEFECT, WITH OR WITHOUT PATCH WITH PULMONARY VALVOTOMY OR INFU CLOSURE OF VENTRICULAR SEPTAL DEFECT, WITH OR WITHOUT PATCH WITH REMOVAL OF PULMONARY ARTER BANDING OF PULMONARY ARTERY COMPLETE REPAIR TETRALOGY OF FALLOT WITHOUT PULMONARY ATRESIA; COMPLETE REPAIR TETRALOGY OF FALLOT WITHOUT PULMONARY ATRESIA; WITH TRANSANNULAR PATCH COMPLETE REPAIR TETRALOGY OF FALLOT WITH PULMONARY ATRESIA INCLUDING CONSTRUCTION OF CONDUIT REPAIR SINUS OF VALSALVA FISTULA, WITH CARDIOPULMONARY BYPASS; REPAIR SINUS OF VALSALVA FISTULA, WITH CARDIOPULMONARY BYPASS; WITH REPAIR OF VENTRICULAR SEPTA REPAIR SINUS OF VALSALVA ANEURYSM, WITH CARDIOPULMONARY BYPASS CLOSURE OF AORTICO-LEFT VENTRICULAR TUNNEL COMPLETE REPAIR OF ANOMALOUS VENOUS RETURN (SUPRACARDIAC, INTRACARDIAC, OR INFRACARDIAC TYPE REPAIR OF COR TRIATRIATUM OR SUPRAVALVULAR MITRAL RING BY RESECTION OF LEFT ATRIAL MEMBRANE ATRIAL SEPTECTOMY OR SEPTOSTOMY; CLOSED HEART (BLALOCK-HANLON TYPE OPERATION) ATRIAL SEPTECTOMY OR SEPTOSTOMY; OPEN HEART WITH CARDIOPULMONARY BYPASS ATRIAL SEPTECTOMY OR SEPTOSTOMY; OPEN HEART, WITH INFLOW OCCLUSION SHUNT; SUBCLAVIAN TO PULMONARY ARTERY (BLALOCK-TAUSSIG TYPE OPERATION) SHUNT; ASCENDING AORTA TO PULMONARY ARTERY (WATERSTON TYPE OPERATION) SHUNT; DESCENDING AORTA TO PULMONARY ARTERY (POTTS-SMITH TYPE OPERATION) SHUNT; CENTRAL, WITH PROSTHETIC GRAFT SHUNT; SUPERIOR VENA CAVA TO PULMONARY ARTERY FOR FLOW TO ONE LUNG (CLASSICAL GLENN PROCEDUR SHUNT; SUPERIOR VENA CAVA TO PULMONARY ARTERY FOR FLOW TO BOTH LUNGS (BIDIRECTIONAL GLENN PRO
- 287. REPAIR OF TRANSPOSITIONOF THE GREAT ARTERIES WITH VENTRICULAR SEPTAL DEFECT AND SUBPULMONAR REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES WITH VENTRICULAR SEPTAL DEFECT AND SUBPULMONAR REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, ATRIAL BAFFLE PROCEDURE (EG, MUSTARD OR SENNING REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, ATRIAL BAFFLE PROCEDURE (EG, MUSTARD OR SENNING REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, ATRIAL BAFFLE PROCEDURE (EG, MUSTARD OR SENNING REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, ATRIAL BAFFLE PROCEDURE (EG, MUSTARD OR SENNING REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, AORTIC PULMONARY ARTERY RECONSTRUCTION (EG, JAT REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, AORTIC PULMONARY ARTERY RECONSTRUCTION (EG, JAT REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, AORTIC PULMONARY ARTERY RECONSTRUCTION (EG, JAT REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, AORTIC PULMONARY ARTERY RECONSTRUCTION (EG, JAT TOTAL REPAIR, TRUNCUS ARTERIOSUS (RASTELLI TYPE OPERATION) REIMPLANTATION OF AN ANOMALOUS PULMONARY ARTERY AORTIC SUSPENSION (AORTOPEXY) FOR TRACHEAL DECOMPRESSION (EG, FOR TRACHEOMALACIA) (SEPARATE DIVISION OF ABERRANT VESSEL (VASCULAR RING); DIVISION OF ABERRANT VESSEL (VASCULAR RING); WITH REANASTOMOSIS OBLITERATION OF AORTOPULMONARY SEPTAL DEFECT; WITHOUT CARDIOPULMONARY BYPASS OBLITERATION OF AORTOPULMONARY SEPTAL DEFECT; WITH CARDIOPULMONARY BYPASS REPAIR OF PATENT DUCTUS ARTERIOSUS; BY LIGATION REPAIR OF PATENT DUCTUS ARTERIOSUS; BY DIVISION, UNDER 18 YEARS REPAIR OF PATENT DUCTUS ARTERIOSUS; BY DIVISION, 18 YEARS AND OLDER EXCISION OF COARCTATION OF AORTA, WITH OR WITHOUT ASSOCIATED PATENT DUCTUS ARTERIOSUS; WITH D EXCISION OF COARCTATION OF AORTA, WITH OR WITHOUT ASSOCIATED PATENT DUCTUS ARTERIOSUS; WITH G EXCISION OF COARCTATION OF AORTA, WITH OR WITHOUT ASSOCIATED PATENT DUCTUS ARTERIOSUS; REPAIR REPAIR OF HYPOPLASTIC OR INTERRUPTED AORTIC ARCH USING AUTOGENOUS OR PROSTHETIC MATERIAL; WIT REPAIR OF HYPOPLASTIC OR INTERRUPTED AORTIC ARCH USING AUTOGENOUS OR PROSTHETIC MATERIAL; WIT ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS, WITH OR WITHOUT VALVE SUSPENSION; ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS, WITH OR WITHOUT VALVE SUSPENSION; WITH CO ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS, WITH OR WITHOUT VALVE SUSPENSION; WITH AO TRANSVERSE ARCH GRAFT, WITH CARDIOPULMONARY BYPASS DESCENDING THORACIC AORTA GRAFT, WITH OR WITHOUT BYPASS REPAIR OF THORACOABDOMINAL AORTIC ANEURYSM WITH GRAFT, WITH OR WITHOUT CARDIOPULMONARY BYP PULMONARY ARTERY EMBOLECTOMY; WITH CARDIOPULMONARY BYPASS PULMONARY ARTERY EMBOLECTOMY; WITHOUT CARDIOPULMONARY BYPASS PULMONARY ENDARTERECTOMY, WITH OR WITHOUT EMBOLECTOMY, WITH CARDIOPULMONARY BYPASS REPAIR OF PULMONARY ARTERY STENOSIS BY RECONSTRUCTION WITH PATCH OR GRAFT REPAIR OF PULMONARY ATRESIA WITH VENTRICULAR SEPTAL DEFECT, BY UNIFOCALIZATION OF PULMONARY AR REPAIR OF PULMONARY ATRESIA WITH VENTRICULAR SEPTAL DEFECT, BY UNIFOCALIZATION OF PULMONARY AR REPAIR OF PULMONARY ATRESIA WITH VENTRICULAR SEPTAL DEFECT, BY CONSTRUCTION OR REPLACEMENT O TRANSECTION OF PULMONARY ARTERY WITH CARDIOPULMONARY BYPASS LIGATION AND TAKEDOWN OF A SYSTEMIC-TO-PULMONARY ARTERY SHUNT, PERFORMED IN CONJUNCTION WITH DONOR CARDIECTOMY-PNEUMONECTOMY, WITH PREPARATION AND MAINTENANCE OF ALLOGRAFT HEART-LUNG TRANSPLANT WITH RECIPIENT CARDIECTOMY-PNEUMONECTOMY DONOR CARDIECTOMY, WITH PREPARATION AND MAINTENANCE OF ALLOGRAFT HEART TRANSPLANT, WITH OR WITHOUT RECIPIENT CARDIECTOMY PROLONGED EXTRACORPOREAL CIRCULATION FOR CARDIOPULMONARY INSUFFICIENCY; INITIAL 24 HOURS PROLONGED EXTRACORPOREAL CIRCULATION FOR CARDIOPULMONARY INSUFFICIENCY; EACH ADDITIONAL 24 H INSERTION OF INTRA-AORTIC BALLOON ASSIST DEVICE, PERCUTANEOUS REMOVAL OF INTRA-AORTIC BALLOON ASSIST DEVICE, PERCUTANEOUS INSERTION OF INTRA-AORTIC BALLOON ASSIST DEVICE THROUGH THE FEMORAL ARTERY, OPEN APPROACH REMOVAL OF INTRA-AORTIC BALLOON ASSIST DEVICE INCLUDING REPAIR OF FEMORAL ARTERY, WITH OR WITHO INSERTION OF INTRA-AORTIC BALLOON ASSIST DEVICE THROUGH THE ASCENDING AORTA REMOVAL OF INTRA-AORTIC BALLOON ASSIST DEVICE FROM THE ASCENDING AORTA, INCLUDING REPAIR OF THE
- 288. INSERTION OF VENTRICULARASSIST DEVICE; EXTRACORPOREAL, SINGLE VENTRICLE INSERTION OF VENTRICULAR ASSIST DEVICE; EXTRACORPOREAL, BIVENTRICULAR REMOVAL OF VENTRICULAR ASSIST DEVICE; EXTRACORPOREAL, SINGLE VENTRICLE REMOVAL OF VENTRICULAR ASSIST DEVICE; EXTRACORPOREAL, BIVENTRICULAR INSERTION OF VENTRICULAR ASSIST DEVICE, IMPLANTABLE INTRACORPOREAL, SINGLE VENTRICLE REMOVAL OF VENTRICULAR ASSIST DEVICE, IMPLANTABLE INTRACORPOREAL, SINGLE VENTRICLE UNLISTED PROCEDURE, CARDIAC SURGERY EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; CAROTID, SUBCLAVIAN OR INNOMINATE AR EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; INNOMINATE, SUBCLAVIAN ARTERY, BY THO EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; AXILLARY, BRACHIAL, INNOMINATE, SUBCLA EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; RADIAL OR ULNAR ARTERY, BY ARM INCISIO EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; RENAL, CELIAC, MESENTERY, AORTOILIAC EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; FEMOROPOPLITEAL, AORTOILIAC ARTERY, EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; POPLITEAL-TIBIO-PERONEAL ARTERY, BY L THROMBECTOMY, DIRECT OR WITH CATHETER; VENA CAVA, ILIAC VEIN, BY ABDOMINAL INCISION THROMBECTOMY, DIRECT OR WITH CATHETER; VENA CAVA, ILIAC, FEMOROPOPLITEAL VEIN, BY LEG INCISION THROMBECTOMY, DIRECT OR WITH CATHETER; VENA CAVA, ILIAC, FEMOROPOPLITEAL VEIN, BY ABDOMINAL AND THROMBECTOMY, DIRECT OR WITH CATHETER; SUBCLAVIAN VEIN, BY NECK INCISION THROMBECTOMY, DIRECT OR WITH CATHETER; AXILLARY AND SUBCLAVIAN VEIN, BY ARM INCISION VALVULOPLASTY, FEMORAL VEIN RECONSTRUCTION OF VENA CAVA, ANY METHOD VENOUS VALVE TRANSPOSITION, ANY VEIN DONOR CROSS-OVER VEIN GRAFT TO VENOUS SYSTEM SAPHENOPOPLITEAL VEIN ANASTOMOSIS ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM OR DISSECTION; USING AORTO-AORTI ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM OR DISSECTION; USING MODULAR BIFU ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM OR DISSECTION; USING UNIBODY BIFU ENDOVASCULAR PLACEMENT OF ILIAC ARTERY OCCLUSION DEVICE (LIST SEPARATELY IN ADDITION TO CODE FO OPEN FEMORAL ARTERY EXPOSURE FOR DELIVERY OF ENDOVASCULAR PROSTHESIS, BY GROIN INCISION, UNILA PLACEMENT OF FEMORAL-FEMORAL PROSTHETIC GRAFT DURING ENDOVASCULAR AORTIC ANEURYSM REPAIR ( OPEN ILIAC ARTERY EXPOSURE FOR DELIVERY OF ENDOVASCULAR PROSTHESIS OR ILIAC OCCLUSION DURING E PLACEMENT OF PROXIMAL OR DISTAL EXTENSION PROSTHESIS FOR ENDOVASCULAR REPAIR OF INFRARENAL AB PLACEMENT, PROXIMAL/DISTAL EXTEN PROSTHESIS, ENDOVASCULAR REPAIR, INFRARENAL ABDOMINAL AORTIC OPEN REPAIR OF INFRARENAL AORTIC ANEURYSM OR DISSECTION, PLUS REPAIR OF ASSOCIATED ARTERIAL TRA OPEN REPAIR OF INFRARENAL AORTIC ANEURYSM OR DISSECTION, PLUS REPAIR OF ASSOCIATED ARTERIAL TRA OPEN REPAIR OF INFRARENAL AORTIC ANEURYSM OR DISSECTION, PLUS REPAIR OF ASSOCIATED ARTERIAL TRA OPEN ILIAC ARTERY EXPOSURE WITH CREATION, CONDUIT FOR DELIVERY, INFRARENAL AORTIC OR ILIAC ENDOV OPEN BRACHIAL ARTERY EXPOSURE TO ASSIST IN THE DEPLOYMENT OF INFRARENAL AORTIC OR ILIAC ENDOVA ENDOVASCULAR GRAFT REPLACEMENT FOR REPAIR OF ILIAC ARTERY (EG, ANEURYSM,PSEUDOANEURYSM, ART DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR,ANEURYSM,PSEUDOANEURYSM, OR EXCISION&GRAFT INSERTION, WITH/WITHOUT PATCH GRAFT DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR, ANEURYSM, PSEUDOANEURYSM/EXCISION&GRAFT INSERTION, WITH/WITHOUT PATCH GRAFT; F DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR, ANEURYSM, PSEUDOANEURYSM, OR EXCISION&GRAFT INSERTION, WITH OR WITHOUT PATCH G
- 289. DIRECT REPAIR OFANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR, ANEURYSM, PSEUDOANEURYSM/EXCISION&GRAFT INSERTION, WITH/WITHOUT PATCH GRAFT; F DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION AND GRAFT INSERTION, WITH OR WITHOUT PA REPAIR, CONGENITAL ARTERIOVENOUS FISTULA; HEAD AND NECK REPAIR, CONGENITAL ARTERIOVENOUS FISTULA; THORAX AND ABDOMEN REPAIR, CONGENITAL ARTERIOVENOUS FISTULA; EXTREMITIES REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTULA; HEAD AND NECK REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTULA; THORAX AND ABDOMEN REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTULA; EXTREMITIES REPAIR BLOOD VESSEL, DIRECT; NECK REPAIR BLOOD VESSEL, DIRECT; UPPER EXTREMITY REPAIR BLOOD VESSEL, DIRECT; HAND, FINGER REPAIR BLOOD VESSEL, DIRECT; INTRATHORACIC, WITH BYPASS REPAIR BLOOD VESSEL, DIRECT; INTRATHORACIC, WITHOUT BYPASS REPAIR BLOOD VESSEL, DIRECT; INTRA-ABDOMINAL REPAIR BLOOD VESSEL, DIRECT; LOWER EXTREMITY REPAIR BLOOD VESSEL WITH VEIN GRAFT; NECK REPAIR BLOOD VESSEL WITH VEIN GRAFT; UPPER EXTREMITY REPAIR BLOOD VESSEL WITH VEIN GRAFT; INTRATHORACIC, WITH BYPASS REPAIR BLOOD VESSEL WITH VEIN GRAFT; INTRATHORACIC, WITHOUT BYPASS REPAIR BLOOD VESSEL WITH VEIN GRAFT; INTRA-ABDOMINAL REPAIR BLOOD VESSEL WITH VEIN GRAFT; LOWER EXTREMITY REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN; NECK REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN; UPPER EXTREMITY REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN; INTRATHORACIC, WITH BYPASS REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN; INTRATHORACIC, WITHOUT BYPASS REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN; INTRA-ABDOMINAL REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN; LOWER EXTREMITY THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; CAROTID, VERTEBRAL, SUBCLAVIAN, BY NECK THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; SUBCLAVIAN, INNOMINATE, BY THORACIC INCIS THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; AXILLARY-BRACHIAL THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; ABDOMINAL AORTA THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; MESENTERIC, CELIAC, OR RENAL THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; ILIAC THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; ILIOFEMORAL THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; COMBINED AORTOILIAC THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; COMBINED AORTOILIOFEMORAL THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; COMMON FEMORAL THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; DEEP (PROFUNDA) FEMORAL THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; FEMORAL AND/OR POPLITEAL, AND/OR TIBIOPE REOPERATION, CAROTID, THROMBOENDARTERECTOMY, MORE THAN ONE MONTH AFTER ORIGINAL OPERATION ANGIOSCOPY (NON-CORONARY VESSELS OR GRAFTS) DURING THERAPEUTIC INTERVENTION (LIST SEPARATELY
- 290. TRANSLUMINAL BALLOON ANGIOPLASTY,OPEN; RENAL OR OTHER VISCERAL ARTERY TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; AORTIC TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; ILIAC TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; FEMORAL-POPLITEAL TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; BRACHIOCEPHALIC TRUNK OR BRANCHES, EACH VESSEL TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; TIBIOPERONEAL TRUNK AND BRANCHES TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; VENOUS TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; TIBIOPERONEAL TRUNK OR BRANCHES, EACH VESSE TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; RENAL OR VISCERAL ARTERY TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; AORTIC TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; ILIAC TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; FEMORAL-POPLITEAL TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; BRACHIOCEPHALIC TRUNK OR BRANCHES, EACH VES TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; VENOUS TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; RENAL OR OTHER VISCERAL ARTERY TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; AORTIC TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; ILIAC TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; FEMORAL-POPLITEAL TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; BRACHIOCEPHALIC TRUNK OR BRANCHES, EACH VESSEL TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; TIBIOPERONEAL TRUNK AND BRANCHES TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; RENAL OR OTHER VISCERAL ARTERY TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; AORTIC TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; ILIAC TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; FEMORAL-POPLITEAL TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; BRACHIOCEPHALIC TRUNK OR BRANCHES, EACH TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; TIBIOPERONEAL TRUNK AND BRANCHES HARVEST OF UPPER EXTREMITY VEIN, ONE SEGMENT, FOR LOWER EXTREMITY OR CORONARY ARTERY BYPASS BYPASS GRAFT, WITH VEIN; CAROTID BYPASS GRAFT, WITH VEIN; CAROTID-SUBCLAVIAN BYPASS GRAFT, WITH VEIN; SUBCLAVIAN-CAROTID BYPASS GRAFT, WITH VEIN; CAROTID-VERTEBRAL BYPASS GRAFT, WITH VEIN; CAROTID-CAROTID BYPASS GRAFT, WITH VEIN; SUBCLAVIAN-SUBCLAVIAN BYPASS GRAFT, WITH VEIN; SUBCLAVIAN-VERTEBRAL BYPASS GRAFT, WITH VEIN; SUBCLAVIAN-AXILLARY BYPASS GRAFT, WITH VEIN; AXILLARY-AXILLARY BYPASS GRAFT, WITH VEIN; AXILLARY-FEMORAL BYPASS GRAFT, WITH VEIN; AORTOSUBCLAVIAN OR CAROTID BYPASS GRAFT, WITH VEIN; AORTOCELIAC OR AORTOMESENTERIC BYPASS GRAFT, WITH VEIN; AXILLARY-FEMORAL-FEMORAL BYPASS GRAFT, WITH VEIN; SPLENORENAL BYPASS GRAFT, WITH VEIN; AORTOILIAC OR BI-ILIAC BYPASS GRAFT, WITH VEIN; AORTOFEMORAL OR BIFEMORAL BYPASS GRAFT, WITH VEIN; AORTOILIOFEMORAL, UNILATERAL BYPASS GRAFT, WITH VEIN; AORTOILIOFEMORAL, BILATERAL BYPASS GRAFT, WITH VEIN; AORTOFEMORAL-POPLITEAL BYPASS GRAFT, WITH VEIN; FEMORAL-POPLITEAL BYPASS GRAFT, WITH VEIN; FEMORAL-FEMORAL BYPASS GRAFT, WITH VEIN; AORTORENAL BYPASS GRAFT, WITH VEIN; ILIOILIAC BYPASS GRAFT, WITH VEIN; ILIOFEMORAL BYPASS GRAFT, WITH VEIN; FEMORAL-ANTERIOR TIBIAL, POSTERIOR TIBIAL, PERONEAL ARTERY OR OTHER DIST
- 291. BYPASS GRAFT, WITHVEIN; POPLITEAL-TIBIAL, -PERONEAL ARTERY OR OTHER DISTAL VESSELS HARVEST OF FEMOROPOPLITEAL VEIN, ONE SEGMENT, FOR VASCULAR RECONSTRUCTION PROCEDURE (EG, AO IN-SITU VEIN BYPASS; AORTOFEMORAL-POPLITEAL (ONLY FEMORAL-POPLITEAL PORTION IN-SITU) IN-SITU VEIN BYPASS; FEMORAL-POPLITEAL IN-SITU VEIN BYPASS; FEMORAL-ANTERIOR TIBIAL, POSTERIOR TIBIAL, OR PERONEAL ARTERY IN-SITU VEIN BYPASS; POPLITEAL-TIBIAL, PERONEAL HARVEST OF UPPER EXTREMITY ARTERY, ONE SEGMENT, FOR CORONARY ARTERY BYPASS PROCEDURE BYPASS GRAFT, WITH OTHER THAN VEIN; CAROTID BYPASS GRAFT, WITH OTHER THAN VEIN; CAROTID-SUBCLAVIAN BYPASS GRAFT, WITH OTHER THAN VEIN; SUBCLAVIAN-SUBCLAVIAN BYPASS GRAFT, WITH OTHER THAN VEIN; SUBCLAVIAN-AXILLARY BYPASS GRAFT, WITH OTHER THAN VEIN; AXILLARY-FEMORAL BYPASS GRAFT, WITH OTHER THAN VEIN; AXILLARY-POPLITEAL OR -TIBIAL BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOSUBCLAVIAN OR CAROTID BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOCELIAC, AORTOMESENTERIC, AORTORENAL BYPASS GRAFT, WITH OTHER THAN VEIN; SPLENORENAL (SPLENIC TO RENAL ARTERIAL ANASTOMOSIS) BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOILIAC OR BI-ILIAC BYPASS GRAFT, WITH OTHER THAN VEIN; CAROTID-VERTEBRAL BYPASS GRAFT, WITH OTHER THAN VEIN; SUBCLAVIAN-VERTEBRAL BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOBIFEMORAL BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOFEMORAL BYPASS GRAFT, WITH OTHER THAN VEIN; AXILLARY-AXILLARY BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOFEMORAL-POPLITEAL BYPASS GRAFT, WITH OTHER THAN VEIN; AXILLARY-FEMORAL-FEMORAL BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-POPLITEAL BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-FEMORAL BYPASS GRAFT, WITH OTHER THAN VEIN; ILIOILIAC BYPASS GRAFT, WITH OTHER THAN VEIN; ILIOFEMORAL BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-ANTERIOR TIBIAL, POSTERIOR TIBIAL, OR PERONEAL ARTERY BYPASS GRAFT, WITH OTHER THAN VEIN; POPLITEAL-TIBIAL OR -PERONEAL ARTERY BYPASS GRAFT; COMPOSITE, PROSTHETIC AND VEIN (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PR BYPASS GRAFT; AUTOGENOUS COMPOSITE, TWO SEGMENTS OF VEINS FROM TWO LOCATIONS (LIST SEPARATEL BYPASS GRAFT; AUTOGENOUS COMPOSITE, THREE OR MORE SEGMENTS OF VEIN FROM TWO OR MORE LOCATIO PLACEMENT OF VEIN PATCH OR CUFF AT DISTAL ANASTOMOSIS OF BYPASS GRAFT, SYNTHETIC CONDUIT (LIST S CREATION OF DISTAL ARTERIOVENOUS FISTULA DURING LOWER EXTREMITY BYPASS SURGERY (NON-HEMODIAL TRANSPOSITION AND/OR REIMPLANTATION; VERTEBRAL TO CAROTID ARTERY TRANSPOSITION AND/OR REIMPLANTATION; VERTEBRAL TO SUBCLAVIAN ARTERY TRANSPOSITION AND/OR REIMPLANTATION; SUBCLAVIAN TO CAROTID ARTERY TRANSPOSITION AND/OR REIMPLANTATION; CAROTID TO SUBCLAVIAN ARTERY REOPERATION, FEMORAL-POPLITEAL OR FEMORAL (POPLITEAL) -ANTERIOR TIBIAL, POSTERIOR TIBIAL, PERONEA EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; CAROTID ARTERY EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; FEMORAL ARTERY EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; POPLITEAL ARTER EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; OTHER VESSELS EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; NECK EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; CHEST EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; ABDOMEN EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; EXTREMITY REPAIR OF GRAFT-ENTERIC FISTULA THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT (OTHER THAN HEMODIALYSIS GRAFT OR FISTULA) THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT; WITH REVISION OF ARTERIAL OR VENOUS GRAFT REVISION, LOWER EXTREMITY ARTERIAL BYPASS, WITHOUT THROMBECTOMY, OPEN; WITH VEIN PATCH ANGIOPL
- 292. REVISION, LOWER EXTREMITYARTERIAL BYPASS, WITHOUT THROMBECTOMY, OPEN; WITH SEGMENTAL VEIN INT EXCISION OF INFECTED GRAFT; NECK EXCISION OF INFECTED GRAFT; EXTREMITY EXCISION OF INFECTED GRAFT; THORAX EXCISION OF INFECTED GRAFT; ABDOMEN INTRODUCTION OF NEEDLE OR INTRACATHETER, VEIN INJECTION PROCEDURES (EG, THROMBIN) FOR PERCUTANEOUS TREATMENT OF EXTREMITY PSEUDOANEURYSM INJECTION PROCEDURE FOR EXTREMITY VENOGRAPHY INTRODUCTION OF CATHETER, SUPERIOR OR INFERIOR VENA CAVA SELECTIVE CATHETER PLACEMENT, VENOUS SYSTEM; FIRST ORDER BRANCH (EG, RENAL VEIN, JUGULAR VEIN) SELECTIVE CATHETER PLACEMENT, VENOUS SYSTEM; SECOND ORDER, OR MORE SELECTIVE, BRANCH (EG, LEFT INTRODUCTION OF CATHETER, RIGHT HEART OR MAIN PULMONARY ARTERY SELECTIVE CATHETER PLACEMENT, LEFT OR RIGHT PULMONARY ARTERY SELECTIVE CATHETER PLACEMENT, SEGMENTAL OR SUBSEGMENTAL PULMONARY ARTERY INTRODUCTION OF NEEDLE OR INTRACATHETER, CAROTID OR VERTEBRAL ARTERY INTRODUCTION OF NEEDLE OR INTRACATHETER; RETROGRADE BRACHIAL ARTERY INTRODUCTION OF NEEDLE OR INTRACATHETER; EXTREMITY ARTERY INTRODUCTION OF NEEDLE OR INTRACATHETER; ARTERIOVENOUS SHUNT CREATED FOR DIALYSIS (CANNULA, F INTRODUCTION OF NEEDLE OR INTRACATHETER, AORTIC, TRANSLUMBAR INTRODUCTION OF CATHETER, AORTA SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; EACH FIRST ORDER THORACIC OR BRACHIOCEPHALIC B SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; INITIAL SECOND ORDER THORACIC OR BRACHIOCEPHAL SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; INITIAL THIRD ORDER OR MORE SELECTIVE THORACIC O SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; ADD SECOND ORDER, THIRD ORDER, & BEYOND, THORAC SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; EACH FIRST ORDER ABDOMINAL, PELVIC, OR LOWER EXT SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; INITIAL SECOND ORDER ABDOMINAL, PELVIC, OR LOWER SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; INITIAL THIRD ORDER OR MORE SELECTIVE ABDOMINAL, SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; ADD 2ND, 3RD ORDER, & BEYOND, ABDOM, PELVIC/LOWE INSERTION OF IMPLANTABLE INTRA-ARTERIAL INFUSION PUMP (EG, FOR CHEMOTHERAPY OF LIVER) REVISION OF IMPLANTED INTRA-ARTERIAL INFUSION PUMP REMOVAL OF IMPLANTED INTRA-ARTERIAL INFUSION PUMP UNLISTED PROCEDURE, VASCULAR INJECTION VENIPUNCTURE, UNDER AGE 3 YEARS; FEMORAL OR JUGULAR VENIPUNCTURE, UNDER AGE 3 YEARS; SCALP VEIN VENIPUNCTURE, UNDER AGE 3 YEARS; OTHER VEIN VENIPUNCTURE, CHILD OVER AGE 3 YEARS OR ADULT, NECESSITATING PHYSICIAN'S SKILL (SEPARATE PROCEDU COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE COLLECTION OF CAPILLARY BLOOD SPECIMEN (EG, FINGER, HEEL, EAR STICK) VENIPUNCTURE, CUTDOWN; UNDER AGE 1 YEAR VENIPUNCTURE, CUTDOWN; AGE 1 OR OVER TRANSFUSION, BLOOD OR BLOOD COMPONENTS PUSH TRANSFUSION, BLOOD, 2 YEARS OR UNDER EXCHANGE TRANSFUSION, BLOOD; NEWBORN EXCHANGE TRANSFUSION, BLOOD; OTHER THAN NEWBORN TRANSFUSION, INTRAUTERINE, FETAL SINGLE OR MULTIPLE INJECTIONS OF SCLEROSING SOLUTIONS, SPIDER VEINS (TELANGIECTASIA); LIMB OR TRUN SINGLE OR MULTIPLE INJECTIONS OF SCLEROSING SOLUTIONS, SPIDER VEINS (TELANGIECTASIA); FACE INJECTION OF SCLEROSING SOLUTION; SINGLE VEIN INJECTION OF SCLEROSING SOLUTION; MULTIPLE VEINS, SAME LEG PERCUTANEOUS PORTAL VEIN CATHETERIZATION BY ANY METHOD PLACEMENT OF CENTRAL VENOUS CATHETER (SUBCLAVIAN, JUGULAR, OR OTHER VEIN) (EG, FOR CENTRAL VEN PLACEMENT OF CENTRAL VENOUS CATHETER (SUBCLAVIAN, JUGULAR, OR OTHER VEIN) (EG, FOR CENTRAL VEN
- 293. PLACEMENT OF CENTRALVENOUS CATHETER (SUBCLAVIAN, JUGULAR, OR OTHER VEIN) (EG, FOR CENTRAL VEN PLACEMENT OF CENTRAL VENOUS CATHETER (SUBCLAVIAN, JUGULAR, OR OTHER VEIN) (EG, FOR CENTRAL VEN REPOSITIONING OF PREVIOUSLY PLACED CENTRAL VENOUS CATHETER UNDER FLUOROSCOPIC GUIDANCE VENOUS CATHETERIZATION FOR SELECTIVE ORGAN BLOOD SAMPLING CATHETERIZATION OF UMBILICAL VEIN FOR DIAGNOSIS OR THERAPY, NEWBORN THERAPEUTIC APHERESIS; FOR WHITE BLOOD CELLS THERAPEUTIC APHERESIS; FOR RED BLOOD CELLS THERAPEUTIC APHERESIS; FOR PLATELETS THERAPEUTIC APHERESIS; FOR PLASMA PHERESIS THERAPEUTIC APHERESIS; WITH EXTRACORPOREAL IMMUNOADSORPTION AND PLASMA REINFUSION THERAPEUTIC APHERESIS; WITH EXTRACORPOREAL SELECTIVE ADSORPTION OR SELECTIVE FILTRATION AND P PHOTOPHERESIS, EXTRACORPOREAL INSERTION OF IMPLANTABLE INTRAVENOUS INFUSION PUMP REVISION OF IMPLANTABLE INTRAVENOUS INFUSION PUMP REMOVAL OF IMPLANTABLE INTRAVENOUS INFUSION PUMP INSERTION OF IMPLANTABLE VENOUS ACCESS DEVICE, WITH OR WITHOUT SUBCUTANEOUS RESERVOIR REVISION OF IMPLANTABLE VENOUS ACCESS DEVICE, AND/OR SUBCUTANEOUS RESERVOIR REMOVAL OF IMPLANTABLE VENOUS ACCESS DEVICE, AND/OR SUBCUTANEOUS RESERVOIR MECHANICAL REMOVAL OF PERICATHETER OBSTRUCTIVE MATERIAL (EG, FIBRIN SHEATH) FROM CENTRAL VENO MECHANICAL REMOVAL OF INTRALUMINAL (INTRACATHETER) OBSTRUCTIVE MATERIAL FROM CENTRAL VENOUS COLLECTION OF BLOOD SPECIMEN FROM A COMPLETELY IMPLANTABLE VENOUS ACCESS DEVICE DECLOTTING BY THROMBOLYTIC AGENT OF IMPLANTED VASCULAR ACCESS DEVICE OR CATHETER ARTERIAL PUNCTURE, WITHDRAWAL OF BLOOD FOR DIAGNOSIS ARTERIAL CATHETERIZATION OR CANNULATION FOR SAMPLING, MONITORING OR TRANSFUSION (SEPARATE PRO ARTERIAL CATHETERIZATION OR CANNULATION FOR SAMPLING, MONITORING OR TRANSFUSION (SEPARATE PRO ARTERIAL CATHETERIZATION FOR PROLONGED INFUSION THERAPY (CHEMOTHERAPY), CUTDOWN CATHETERIZATION, UMBILICAL ARTERY, NEWBORN, FOR DIAGNOSIS OR THERAPY PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPOSE (SEPARATE PROCEDURE); VEIN TO VEIN INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPOSE (SEPARATE PROCEDURE); ARTERIOVENOUS, EXT INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPOSE (SEPARATE PROCEDURE); ARTERIOVENOUS, EXT ARTERIOVENOUS ANASTOMOSIS, OPEN; BY UPPER ARM BASILIC VEIN TRANSPOSITION ARTERIOVENOUS ANASTOMOSIS, OPEN; BY FOREARM VEIN TRANSPOSITION ARTERIOVENOUS ANASTOMOSIS, OPEN; DIRECT, ANY SITE INSERTION OF CANNULA(S) FOR PROLONGED EXTRACORPOREAL CIRCULATION FOR CARDIOPULMONARY INSUFF INSERTION, ARTERIAL&VENOUS CANNULA(S), ISOLATED EXTRACORPOREAL CIRCULATION INCL REGIONAL CHEM CREATION OF ARTERIOVENOUS FISTULA BY OTHER THAN DIRECT ARTERIOVENOUS ANASTOMOSIS (SEPARATE P CREATION OF ARTERIOVENOUS FISTULA BY OTHER THAN DIRECT ARTERIOVENOUS ANASTOMOSIS (SEPARATE P THROMBECTOMY, OPEN, ARTERIOVENOUS FISTULA WITHOUT REVISION, AUTOGENOUS OR NONAUTOGENOUS D REVISION, OPEN, ARTERIOVENOUS FISTULA; WITHOUT THROMBECTOMY, AUTOGENOUS OR NONAUTOGENOUS D REVISION, OPEN, ARTERIOVENOUS FISTULA; WITH THROMBECTOMY, AUTOGENOUS OR NONAUTOGENOUS DIALY PLASTIC REPAIR OF ARTERIOVENOUS ANEURYSM (SEPARATE PROCEDURE) INSERTION OF THOMAS SHUNT (SEPARATE PROCEDURE) EXTERNAL CANNULA DECLOTTING (SEPARATE PROCEDURE); WITHOUT BALLOON CATHETER CANNULA DECLOTTING (SEPARATE PROCEDURE); WITH BALLOON CATHETER THROMBECTOMY, PERCUTANEOUS, ARTERIOVENOUS FISTULA, AUTOGENOUS OR NONAUTOGENOUS GRAFT (INC VENOUS ANASTOMOSIS, OPEN; PORTOCAVAL VENOUS ANASTOMOSIS, OPEN; RENOPORTAL VENOUS ANASTOMOSIS, OPEN; CAVAL-MESENTERIC VENOUS ANASTOMOSIS, OPEN; SPLENORENAL, PROXIMAL VENOUS ANASTOMOSIS, OPEN; SPLENORENAL, DISTAL (SELECTIVE DECOMPRESSION OF ESOPHAGOGASTRIC VA INS, TRANSVEN INTRAHEP PORTOSYSTIC SHNT(S) (TIPS) (INCL VEN ACCSS, HEP&PORTAL VEIN CATHIZATION,POR
- 294. REVISION OF TRANSVENOUSINTRAHEPATIC PORTOSYSTEMIC SHUNT(S) THROMBOLYSIS, CEREBRAL, BY INTRAVENOUS INFUSION TRANSCATHETER BIOPSY TRANSCATHETER THERAPY, INFUSION FOR THROMBOLYSIS OTHER THAN CORONARY TRANSCATHETER THERAPY, INFUSION OTHER THAN FOR THROMBOLYSIS, ANY TYPE (EG, SPASMOLYTIC, VASOCO TRANSCATHETER RETRIEVAL, PERCUTANEOUS, OF INTRAVASCULAR FOREIGN BODY (EG, FRACTURED VENOUS O TRANSCATHETER OCCLUSION OR EMBOLIZATION (EG, FOR TUMOR DESTRUCTION, TO ACHIEVE HEMOSTASIS, TO TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S), (NON-CORONARY VESSEL), PERCUTANEOUS; IN TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S), (NON-CORONARY VESSEL), PERCUTANEOUS; E TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S), (NON-CORONARY VESSEL), OPEN; INITIAL VESS TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S), (NON-CORONARY VESSEL), OPEN; EACH ADDIT EXCHANGE OF A PREVIOUSLY PLACED ARTERIAL CATHETER DURING THROMBOLYTIC THERAPY INTRAVASCULAR ULTRASOUND (NON-CORONARY VESSEL) DURING DIAGNOSTIC EVALUATION AND/OR THERAPEU INTRAVASCULAR ULTRASOUND (NON-CORONARY VESSEL) DURING THERAPEUTIC INTERVENTION; EACH ADDITIO VASCULAR ENDOSCOPY, SURGICAL, WITH LIGATION OF PERFORATOR VEINS, SUBFASCIAL (SEPS) UNLISTED VASCULAR ENDOSCOPY PROCEDURE LIGATION, INTERNAL JUGULAR VEIN LIGATION; EXTERNAL CAROTID ARTERY LIGATION; INTERNAL OR COMMON CAROTID ARTERY LIGATION; INTERNAL OR COMMON CAROTID ARTERY, WITH GRADUAL OCCLUSION, AS WITH SELVERSTONE OR CR LIGATION OR BANDING OF ANGIOACCESS ARTERIOVENOUS FISTULA LIGATION OR BIOPSY, TEMPORAL ARTERY LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTURE); NECK LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTURE); CHEST LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTURE); ABDOMEN LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTURE); EXTREMITY INTERRUPTION, PARTIAL OR COMPLETE, OF INFERIOR VENA CAVA BY SUTURE, LIGATION, PLICATION, CLIP, EXTR LIGATION OF FEMORAL VEIN LIGATION OF COMMON ILIAC VEIN LIGATION AND DIVISION OF LONG SAPHENOUS VEIN AT SAPHENOFEMORAL JUNCTION, OR DISTAL INTERRUPTION LIGATION AND DIVISION AND COMPLETE STRIPPING OF LONG OR SHORT SAPHENOUS VEINS LIGATION AND DIVISION AND COMPLETE STRIPPING OF LONG AND SHORT SAPHENOUS VEINS LIGATION AND DIVISION AND COMPLETE STRIPPING OF LONG OR SHORT SAPHENOUS VEINS WITH RADICAL EXCI LIGATION OF PERFORATOR VEINS, SUBFASCIAL, RADICAL (LINTON TYPE), WITH OR WITHOUT SKIN GRAFT, OPEN LIGATION AND DIVISION OF SHORT SAPHENOUS VEIN AT SAPHENOPOPLITEAL JUNCTION (SEPARATE PROCEDUR LIGATION, DIVISION, AND/OR EXCISION OF RECURRENT OR SECONDARY VARICOSE VEINS (CLUSTERS), ONE LEG PENILE REVASCULARIZATION, ARTERY, WITH OR WITHOUT VEIN GRAFT PENILE VENOUS OCCLUSIVE PROCEDURE UNLISTED PROCEDURE, VASCULAR SURGERY SPLENECTOMY; TOTAL (SEPARATE PROCEDURE) SPLENECTOMY; PARTIAL(SEPARATE PROCEDURE) SPLENECTOMY; TOTAL, EN BLOC FOR EXTENSIVE DISEASE, IN CONJUNCTION WITH OTHER PROCEDURE (LIST IN REPAIR OF RUPTURED SPLEEN (SPLENORRHAPHY) WITH OR WITHOUT PARTIAL SPLENECTOMY LAPAROSCOPY, SURGICAL, SPLENECTOMY UNLISTED LAPAROSCOPY PROCEDURE, SPLEEN INJECTION PROCEDURE FOR SPLENOPORTOGRAPHY MANAGEMENT OF RECIPIENT HEMATOPOIETIC PROGENITOR CELL DONOR SEARCH AND CELL ACQUISITION BLOOD-DERIVED HEMATOPOIETIC PROGENITOR CELL HARVESTING FOR TRANSPLANTATION, PER COLLECTION; A BLOOD-DERIVED HEMATOPOIETIC PROGENITOR CELL HARVESTING FOR TRANSPLANTATION, PER COLLECTION; A TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS;CRYOPRESERVATION AND STORAGE TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; THAWING OF PREVIOUSLY FROZEN HARV TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; WASHING OF HARVEST
- 295. TRANSPLANT PREPARATION OFHEMATOPOIETIC PROGENITOR CELLS; SPECIFIC CELL DEPLETION WITHIN HARVE TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; TUMOR CELL DEPLETION TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; RED BLOOD CELL REMOVAL TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; PLATELET DEPLETION TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; PLASMA (VOLUME) DEPLETION TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; CELL CONCENTRATION IN PLASMA, MONO BONE MARROW; ASPIRATION ONLY BONE MARROW; BIOPSY, NEEDLE OR TROCAR BONE MARROW HARVESTING FOR TRANSPLANTATION BONE MARROW OR BLOOD-DERIVED PERIPHERAL STEM CELL TRANSPLANTATION; ALLOGENIC BONE MARROW TRANSPLANTATION; AUTOLOGOUS BONE MARROW OR BLOOD-DERIVED PERIPHERAL STEM CELL TRANSPLANTATION; ALLOGENEIC DONOR LYMPHO DRAINAGE OF LYMPH NODE ABSCESS OR LYMPHADENITIS; SIMPLE DRAINAGE OF LYMPH NODE ABSCESS OR LYMPHADENITIS; EXTENSIVE LYMPHANGIOTOMY OR OTHER OPERATIONS ON LYMPHATIC CHANNELS SUTURE AND/OR LIGATION OF THORACIC DUCT; CERVICAL APPROACH SUTURE AND/OR LIGATION OF THORACIC DUCT; THORACIC APPROACH SUTURE AND/OR LIGATION OF THORACIC DUCT; ABDOMINAL APPROACH BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, SUPERFICIAL BIOPSY OR EXCISION OF LYMPH NODE(S); BY NEEDLE, SUPERFICIAL (EG, CERVICAL, INGUINAL, AXILLARY) BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, DEEP CERVICAL NODE(S) BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, DEEP CERVICAL NODE(S) WITH EXCISION SCALENE FAT PAD BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, DEEP AXILLARY NODE(S) BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, INTERNAL MAMMARY NODE(S) DISSECTION, DEEP JUGULAR NODE(S) EXCISION OF CYSTIC HYGROMA, AXILLARY OR CERVICAL; WITHOUT DEEP NEUROVASCULAR DISSECTION EXCISION OF CYSTIC HYGROMA, AXILLARY OR CERVICAL; WITH DEEP NEUROVASCULAR DISSECTION LIMITED LYMPHADENECTOMY FOR STAGING (SEPARATE PROCEDURE); PELVIC AND PARA-AORTIC LIMITED LYMPHADENECTOMY FOR STAGING (SEPARATE PROCEDURE); RETROPERITONEAL (AORTIC AND/OR SPL LAPAROSCOPY, SURGICAL; WITH RETROPERITONEAL LYMPH NODE SAMPLING (BIOPSY), SINGLE OR MULTIPLE LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PERI-AORTIC LYMPH NODE UNLISTED LAPAROSCOPY PROCEDURE, LYMPHATIC SYSTEM SUPRAHYOID LYMPHADENECTOMY CERVICAL LYMPHADENECTOMY (COMPLETE) CERVICAL LYMPHADENECTOMY (MODIFIED RADICAL NECK DISSECTION) AXILLARY LYMPHADENECTOMY; SUPERFICIAL AXILLARY LYMPHADENECTOMY; COMPLETE THORACIC LYMPHADENECTOMY, REGIONAL, INCLUDING MEDIASTINAL AND PERITRACHEAL NODES (LIST IN ADDIT ABDOMINAL LYMPHADENECTOMY, REGIONAL, INCLUDING CELIAC, GASTRIC, PORTAL, PERIPANCREATIC, WITH OR INGUINOFEMORAL LYMPHADENECTOMY, SUPERFICIAL, INCLUDING CLOQUET'S NODE (SEPARATE PROCEDURE) INGUINOFEMORAL LYMPHADENECTOMY, SUPERFICIAL, IN CONTINUITY WITH PELVIC LYMPHADENECTOMY, INCLU PELVIC LYMPHADENECTOMY, INCLUDING EXTERNAL ILIAC, HYPOGASTRIC, AND OBTURATOR NODES (SEPARATE RETROPERITONEAL TRANSABDOMINAL LYMPHADENECTOMY, EXTENSIVE, INCLUDING PELVIC, AORTIC, AND RENA INJECTION PROCEDURE; LYMPHANGIOGRAPHY INJECTION PROCEDURE; FOR IDENTIFICATION OF SENTINEL NODE CANNULATION, THORACIC DUCT UNLISTED PROCEDURE, HEMIC OR LYMPHATIC SYSTEM MEDIASTINOTOMY WITH EXPLORATION, DRAINAGE, REMOVAL OF FOREIGN BODY, OR BIOPSY; CERVICAL APPROA MEDIASTINOTOMY WITH EXPLORATION, DRAINAGE, REMOVAL OF FOREIGN BODY, OR BIOPSY; TRANSTHORACIC A EXCISION OF MEDIASTINAL CYST EXCISION OF MEDIASTINAL TUMOR
- 296. MEDIASTINOSCOPY, WITH ORWITHOUT BIOPSY UNLISTED PROCEDURE, MEDIASTINUM REPAIR, LACERATION OF DIAPHRAGM, ANY APPROACH REPAIR, PARAESOPHAGEAL HIATUS HERNIA, TRANSABDOMINAL, WITH OR WITHOUT FUNDOPLASTY, VAGOTOMY, REPAIR, NEONATAL DIAPHRAGMATIC HERNIA, WITH OR WITHOUT CHEST TUBE INSERTION AND WITH OR WITHOU REPAIR, DIAPHRAGMATIC HERNIA (ESOPHAGEAL HIATAL); TRANSTHORACIC REPAIR, DIAPHRAGMATIC HERNIA (ESOPHAGEAL HIATAL); COMBINED, THORACOABDOMINAL REPAIR, DIAPHRAGMATIC HERNIA (ESOPHAGEAL HIATAL); COMBINED, THORACOABDOMINAL, WITH DILATION OF S REPAIR, DIAPHRAGMATIC HERNIA (OTHER THAN NEONATAL), TRAUMATIC; ACUTE REPAIR, DIAPHRAGMATIC HERNIA (OTHER THAN NEONATAL), TRAUMATIC; CHRONIC IMBRICATION OF DIAPHRAGM FOR EVENTRATION, TRANSTHORACIC OR TRANSABDOMINAL, PARALYTIC OR NONP RESECTION, DIAPHRAGM; WITH SIMPLE REPAIR (EG, PRIMARY SUTURE) RESECTION, DIAPHRAGM; WITH COMPLEX REPAIR (EG, PROSTHETIC MATERIAL, LOCAL MUSCLE FLAP) UNLISTED PROCEDURE, DIAPHRAGM BIOPSY OF LIP VERMILIONECTOMY (LIP SHAVE), WITH MUCOSAL ADVANCEMENT EXCISION OF LIP; TRANSVERSE WEDGE EXCISION WITH PRIMARY CLOSURE EXCISION OF LIP; V-EXCISION WITH PRIMARY DIRECT LINEAR CLOSURE EXCISION OF LIP; FULL THICKNESS, RECONSTRUCTION WITH LOCAL FLAP (EG, ESTLANDER OR FAN) EXCISION OF LIP; FULL THICKNESS, RECONSTRUCTION WITH CROSS LIP FLAP (ABBE-ESTLANDER) RESECTION OF LIP, MORE THAN ONE-FOURTH, WITHOUT RECONSTRUCTION REPAIR LIP, FULL THICKNESS; VERMILION ONLY REPAIR LIP, FULL THICKNESS; UP TO HALF VERTICAL HEIGHT REPAIR LIP, FULL THICKNESS; OVER ONE-HALF VERTICAL HEIGHT, OR COMPLEX PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; PRIMARY, PARTIAL OR COMPLETE, UNILATERAL PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; PRIMARY BILATERAL, ONE STAGE PROCEDURE PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; PRIMARY BILATERAL, ONE OF TWO STAGES PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; SECONDARY, BY RECREATION OF DEFECT AND RECLOSURE PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; WITH CROSS LIP PEDICLE FLAP (ABBE-ESTLANDER TYPE), INC UNLISTED PROCEDURE, LIPS DRAINAGE OF ABSCESS, CYST, HEMATOMA, VESTIBULE OF MOUTH; SIMPLE DRAINAGE OF ABSCESS, CYST, HEMATOMA, VESTIBULE OF MOUTH; COMPLICATED REMOVAL OF EMBEDDED FOREIGN BODY, VESTIBULE OF MOUTH; SIMPLE REMOVAL OF EMBEDDED FOREIGN BODY, VESTIBULE OF MOUTH; COMPLICATED INCISION OF LABIAL FRENUM (FRENOTOMY) BIOPSY, VESTIBULE OF MOUTH EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITHOUT REPAIR EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITH SIMPLE REPAIR EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITH COMPLEX REPAIR EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; COMPLEX, WITH EXCISION OF UNDE EXCISION OF MUCOSA OF VESTIBULE OF MOUTH AS DONOR GRAFT EXCISION OF FRENUM, LABIAL OR BUCCAL (FRENUMECTOMY, FRENULECTOMY, FRENECTOMY) DESTRUCTION OF LESION OR SCAR OF VESTIBULE OF MOUTH BY PHYSICAL METHODS (EG, LASER, THERMAL, CR CLOSURE OF LACERATION, VESTIBULE OF MOUTH; 2.5 CM OR LESS CLOSURE OF LACERATION, VESTIBULE OF MOUTH; OVER 2.5 CM OR COMPLEX VESTIBULOPLASTY; ANTERIOR VESTIBULOPLASTY; POSTERIOR, UNILATERAL VESTIBULOPLASTY; POSTERIOR, BILATERAL VESTIBULOPLASTY; ENTIRE ARCH VESTIBULOPLASTY; COMPLEX (INCLUDING RIDGE EXTENSION, MUSCLE REPOSITIONING) UNLISTED PROCEDURE, VESTIBULE OF MOUTH INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR FLOOR OF MOUTH; LIN
- 297. INTRAORAL INCISION ANDDRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR FLOOR OF MOUTH; SUB INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR FLOOR OF MOUTH; SUB INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR FLOOR OF MOUTH; SUB INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR FLOOR OF MOUTH; SUB INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR FLOOR OF MOUTH; MAS INCISION OF LINGUAL FRENUM (FRENOTOMY) EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; SUBLINGUAL EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; SUBMENTAL EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; SUBMANDIBULA EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; MASTICATOR SP BIOPSY OF TONGUE; ANTERIOR TWO-THIRDS BIOPSY OF TONGUE; POSTERIOR ONE-THIRD BIOPSY OF FLOOR OF MOUTH EXCISION OF LESION OF TONGUE WITHOUT CLOSURE EXCISION OF LESION OF TONGUE WITH CLOSURE; ANTERIOR TWO-THIRDS EXCISION OF LESION OF TONGUE WITH CLOSURE; POSTERIOR ONE-THIRD EXCISION OF LESION OF TONGUE WITH CLOSURE; WITH LOCAL TONGUE FLAP EXCISION OF LINGUAL FRENUM (FRENECTOMY) EXCISION, LESION OF FLOOR OF MOUTH GLOSSECTOMY; LESS THAN ONE-HALF TONGUE GLOSSECTOMY; HEMIGLOSSECTOMY GLOSSECTOMY; PARTIAL, WITH UNILATERAL RADICAL NECK DISSECTION GLOSSECTOMY; COMPLETE OR TOTAL, WITH OR WITHOUT TRACHEOSTOMY, WITHOUT RADICAL NECK DISSECTIO GLOSSECTOMY; COMPLETE OR TOTAL, WITH OR WITHOUT TRACHEOSTOMY, WITH UNILATERAL RADICAL NECK D GLOSSECTOMY; COMPOSITE PROCEDURE WITH RESECTION FLOOR OF MOUTH AND MANDIBULAR RESECTION, W GLOSSECTOMY; COMPOSITE PROCEDURE WITH RESECTION FLOOR OF MOUTH, WITH SUPRAHYOID NECK DISSEC GLOSSECTOMY; COMPOSITE PROCEDURE WITH RESECTION FLOOR OF MOUTH, MANDIBULAR RESECTION, AND R REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO-THIRDS OF TONGUE REPAIR OF LACERATION 2.5 CM OR LESS; POSTERIOR ONE-THIRD OF TONGUE REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) SUTURE OF TONGUE TO LIP FOR MICROGNATHIA (DOUGLAS TYPE PROCEDURE) FRENOPLASTY (SURGICAL REVISION OF FRENUM, EG, WITH Z-PLASTY) UNLISTED PROCEDURE, TONGUE, FLOOR OF MOUTH DRAINAGE OF ABSCESS, CYST, HEMATOMA FROM DENTOALVEOLAR STRUCTURES REMOVAL OF EMBEDDED FOREIGN BODY FROM DENTOALVEOLAR STRUCTURES; SOFT TISSUES REMOVAL OF EMBEDDED FOREIGN BODY FROM DENTOALVEOLAR STRUCTURES; BONE GINGIVECTOMY, EXCISION GINGIVA, EACH QUADRANT OPERCULECTOMY, EXCISION PERICORONAL TISSUES EXCISION OF FIBROUS TUBEROSITIES, DENTOALVEOLAR STRUCTURES EXCISION OF OSSEOUS TUBEROSITIES, DENTOALVEOLAR STRUCTURES EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE), DENTOALVEOLAR STRUCTURES; WITHOUT REPAIR EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE), DENTOALVEOLAR STRUCTURES; WITH SIMPLE REPAIR EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE), DENTOALVEOLAR STRUCTURES; WITH COMPLEX REPA EXCISION OF HYPERPLASTIC ALVEOLAR MUCOSA, EACH QUADRANT (SPECIFY) ALVEOLECTOMY, INCLUDING CURETTAGE OF OSTEITIS OR SEQUESTRECTOMY DESTRUCTION OF LESION (EXCEPT EXCISION), DENTOALVEOLAR STRUCTURES PERIODONTAL MUCOSAL GRAFTING GINGIVOPLASTY, EACH QUADRANT (SPECIFY) ALVEOLOPLASTY, EACH QUADRANT (SPECIFY) UNLISTED PROCEDURE, DENTOALVEOLAR STRUCTURES DRAINAGE OF ABSCESS OF PALATE, UVULA
- 298. BIOPSY OF PALATE,UVULA EXCISION, LESION OF PALATE, UVULA; WITHOUT CLOSURE EXCISION, LESION OF PALATE, UVULA; WITH SIMPLE PRIMARY CLOSURE EXCISION, LESION OF PALATE, UVULA; WITH LOCAL FLAP CLOSURE RESECTION OF PALATE OR EXTENSIVE RESECTION OF LESION UVULECTOMY, EXCISION OF UVULA PALATOPHARYNGOPLASTY (EG, UVULOPALATOPHARYNGOPLASTY, UVULOPHARYNGOPLASTY) DESTRUCTION OF LESION, PALATE OR UVULA (THERMAL, CRYO OR CHEMICAL) REPAIR, LACERATION OF PALATE; UP TO 2 CM REPAIR, LACERATION OF PALATE; OVER 2 CM OR COMPLEX PALATOPLASTY FOR CLEFT PALATE, SOFT AND/OR HARD PALATE ONLY PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE OF ALVEOLAR RIDGE; SOFT TISSUE ONLY PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE OF ALVEOLAR RIDGE; WITH BONE GRAFT TO ALVEOLAR RID PALATOPLASTY FOR CLEFT PALATE; MAJOR REVISION PALATOPLASTY FOR CLEFT PALATE; SECONDARY LENGTHENING PROCEDURE PALATOPLASTY FOR CLEFT PALATE; ATTACHMENT PHARYNGEAL FLAP LENGTHENING OF PALATE, AND PHARYNGEAL FLAP LENGTHENING OF PALATE, WITH ISLAND FLAP REPAIR OF ANTERIOR PALATE, INCLUDING VOMER FLAP REPAIR OF NASOLABIAL FISTULA MAXILLARY IMPRESSION FOR PALATAL PROSTHESIS INSERTION OF PIN-RETAINED PALATAL PROSTHESIS UNLISTED PROCEDURE, PALATE, UVULA DRAINAGE OF ABSCESS; PAROTID, SIMPLE DRAINAGE OF ABSCESS; PAROTID, COMPLICATED DRAINAGE OF ABSCESS; SUBMAXILLARY OR SUBLINGUAL, INTRAORAL DRAINAGE OF ABSCESS; SUBMAXILLARY, EXTERNAL FISTULIZATION OF SUBLINGUAL SALIVARY CYST (RANULA); FISTULIZATION OF SUBLINGUAL SALIVARY CYST (RANULA); WITH PROSTHESIS SIALOLITHOTOMY; SUBMANDIBULAR (SUBMAXILLARY), SUBLINGUAL OR PAROTID, UNCOMPLICATED, INTRAORAL SIALOLITHOTOMY; SUBMANDIBULAR (SUBMAXILLARY), COMPLICATED, INTRAORAL SIALOLITHOTOMY; PAROTID, EXTRAORAL OR COMPLICATED INTRAORAL BIOPSY OF SALIVARY GLAND; NEEDLE BIOPSY OF SALIVARY GLAND; INCISIONAL EXCISION OF SUBLINGUAL SALIVARY CYST (RANULA) MARSUPIALIZATION OF SUBLINGUAL SALIVARY CYST (RANULA) EXCISION OF PAROTID TUMOR OR PAROTID GLAND; LATERAL LOBE, WITHOUT NERVE DISSECTION EXCISION OF PAROTID TUMOR OR PAROTID GLAND; LATERAL LOBE, WITH DISSECTION AND PRESERVATION OF F EXCISION OF PAROTID TUMOR OR PAROTID GLAND; TOTAL, WITH DISSECTION AND PRESERVATION OF FACIAL NE EXCISION OF PAROTID TUMOR OR PAROTID GLAND; TOTAL, EN BLOC REMOVAL WITH SACRIFICE OF FACIAL NERV EXCISION OF PAROTID TUMOR OR PAROTID GLAND; TOTAL, WITH UNILATERAL RADICAL NECK DISSECTION EXCISION OF SUBMANDIBULAR (SUBMAXILLARY) GLAND EXCISION OF SUBLINGUAL GLAND PLASTIC REPAIR OF SALIVARY DUCT, SIALODOCHOPLASTY; PRIMARY OR SIMPLE PLASTIC REPAIR OF SALIVARY DUCT, SIALODOCHOPLASTY; SECONDARY OR COMPLICATED PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROCEDURE); PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROCEDURE); WITH EXCISION OF ONE SUBMANDIBULAR GLA PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROCEDURE); WITH EXCISION OF BOTH SUBMANDIBULAR G PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROCEDURE); WITH LIGATION OF BOTH SUBMANDIBULAR (W INJECTION PROCEDURE FOR SIALOGRAPHY CLOSURE SALIVARY FISTULA DILATION SALIVARY DUCT
- 299. DILATION AND CATHETERIZATIONOF SALIVARY DUCT, WITH OR WITHOUT INJECTION LIGATION SALIVARY DUCT, INTRAORAL UNLISTED PROCEDURE, SALIVARY GLANDS OR DUCTS INCISION AND DRAINAGE ABSCESS; PERITONSILLAR INCISION AND DRAINAGE ABSCESS; RETROPHARYNGEAL OR PARAPHARYNGEAL, INTRAORAL APPROACH INCISION AND DRAINAGE ABSCESS; RETROPHARYNGEAL OR PARAPHARYNGEAL, EXTERNAL APPROACH BIOPSY; OROPHARYNX BIOPSY; HYPOPHARYNX BIOPSY; NASOPHARYNX, VISIBLE LESION, SIMPLE BIOPSY; NASOPHARYNX, SURVEY FOR UNKNOWN PRIMARY LESION EXCISION OR DESTRUCTION OF LESION OF PHARYNX, ANY METHOD REMOVAL OF FOREIGN BODY FROM PHARYNX EXCISION BRANCHIAL CLEFT CYST OR VESTIGE, CONFINED TO SKIN AND SUBCUTANEOUS TISSUES EXCISION BRANCHIAL CLEFT CYST, VESTIGE, OR FISTULA, EXTENDING BENEATH SUBCUTANEOUS TISSUES AND/O TONSILLECTOMY AND ADENOIDECTOMY; UNDER AGE 12 TONSILLECTOMY AND ADENOIDECTOMY; AGE 12 OR OVER TONSILLECTOMY, PRIMARY OR SECONDARY; UNDER AGE 12 TONSILLECTOMY, PRIMARY OR SECONDARY; AGE 12 OR OVER ADENOIDECTOMY, PRIMARY; UNDER AGE 12 ADENOIDECTOMY, PRIMARY; AGE 12 OR OVER ADENOIDECTOMY, SECONDARY; UNDER AGE 12 ADENOIDECTOMY, SECONDARY; AGE 12 OR OVER RADICAL RESECTION OF TONSIL, TONSILLAR PILLARS, AND/OR RETROMOLAR TRIGONE; WITHOUT CLOSURE RADICAL RESECTION OF TONSIL, TONSILLAR PILLARS, AND/OR RETROMOLAR TRIGONE; CLOSURE WITH LOCAL F RADICAL RESECTION OF TONSIL, TONSILLAR PILLARS, AND/OR RETROMOLAR TRIGONE; CLOSURE WITH OTHER F EXCISION OF TONSIL TAGS EXCISION OR DESTRUCTION LINGUAL TONSIL, ANY METHOD (SEPARATE PROCEDURE) LIMITED PHARYNGECTOMY RESECTION OF LATERAL PHARYNGEAL WALL OR PYRIFORM SINUS, DIRECT CLOSURE BY ADVANCEMENT OF LATE RESECTION OF PHARYNGEAL WALL REQUIRING CLOSURE WITH MYOCUTANEOUS FLAP SUTURE PHARYNX FOR WOUND OR INJURY PHARYNGOPLASTY (PLASTIC OR RECONSTRUCTIVE OPERATION ON PHARYNX) PHARYNGOESOPHAGEAL REPAIR PHARYNGOSTOMY (FISTULIZATION OF PHARYNX, EXTERNAL FOR FEEDING) CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POSTTONSILLECTOMY); SIMPLE CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POSTTONSILLECTOMY); COMPLICAT CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POSTTONSILLECTOMY); WITH SECON CONTROL OF NASOPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY; SIMPLE, WITH POSTERIOR NASAL PA CONTROL OF NASOPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY; COMPLICATED, REQUIRING HOSPITA CONTROL OF NASOPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY; WITH SECONDARY SURGICAL INTER UNLISTED PROCEDURE, PHARYNX, ADENOIDS, OR TONSILS ESOPHAGOTOMY, CERVICAL APPROACH, WITH REMOVAL OF FOREIGN BODY CRICOPHARYNGEAL MYOTOMY CRICOPHARYNGEAL MYOTOMY ESOPHAGOTOMY, THORACIC APPROACH, WITH REMOVAL OF FOREIGN BODY EXCISION OF LESION, ESOPHAGUS, WITH PRIMARY REPAIR; CERVICAL APPROACH EXCISION OF LESION, ESOPHAGUS, WITH PRIMARY REPAIR; THORACIC OR ABDOMINAL APPROACH TOTAL OR NEAR TOTAL ESOPHAGECTOMY, WITHOUT THORACOTOMY; WITH PHARYNGOGASTROSTOMY OR CERV TOTAL OR NEAR TOTAL ESOPHAGECTOMY, WITHOUT THORACOTOMY; WITH COLON INTERPOSITION OR SMALL IN TOTAL OR NEAR TOTAL ESOPHAGECTOMY, WITH THORACOTOMY; WITH PHARYNGOGASTROSTOMY OR CERVICA TOTAL OR NEAR TOTAL ESOPHAGECTOMY, WITH THORACOTOMY; WITH COLON INTERPOSITION OR SMALL INTES PARTIAL ESOPHAGECTOMY, CERVICAL, WITH FREE INTESTINAL GRAFT, INCLUDING MICROVASCULAR ANASTOMO PARTIAL ESOPHAGECTOMY, DISTAL TWO-THIRDS, WITH THORACOTOMY AND SEPARATE ABDOMINAL INCISION, W
- 300. PARTIAL ESOPHAGECTOMY, DISTAL2-3RDS, W THORACOTOMY&SEPARATE ABDOMINAL INCIS, WWO PROX GAST PARTIAL ESOPHAGECTOMY, DISTAL TWO-THIRDS, WITH THORACOTOMY ONLY, WITH OR WITHOUT PROXIMAL GA PARTIAL ESOPHAGECTOMY, THORACOABDOMINAL OR ABDOMINAL APPROACH, WITH OR WITHOUT PROXIMAL GA PARTIAL ESOPHAGECTOMY, THORACOABDOMINAL/ABDOMINAL APPROACH, WWO PROXIMAL GASTRECTOMY; W C TOTAL OR PARTIAL ESOPHAGECTOMY, WITHOUT RECONSTRUCTION (ANY APPROACH), WITH CERVICAL ESOPHAG DIVERTICULECTOMY OF HYPOPHARYNX OR ESOPHAGUS, WITH OR WITHOUT MYOTOMY; CERVICAL APPROACH DIVERTICULECTOMY OF HYPOPHARYNX OR ESOPHAGUS, WITH OR WITHOUT MYOTOMY; THORACIC APPROACH ESOPHAGOSCOPY, RIGID OR FLEXIBLE; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUS ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S),ANY SUBSTANCE ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH INJECTION SCLEROSIS OF ESOPHAGEAL VARICES ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH BAND LIGATION OF ESOPHAGEAL VARICES ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH REMOVAL OF FOREIGN BODY ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT B ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH INSERTION OF PLASTIC TUBE OR STENT ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH BALLOON DILATION (LESS THAN 30 MM DIAMETER) ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH INSERTION OF GUIDE WIRE FOLLOWED BY DILATION OVER GUIDE W ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPO ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S), NOT AME ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH TRANSENDOSCOPIC ULTRASOUND-GUIDED INTRAMURAL OR TRAN UPPER GASTROINTESTINAL ENDOSCOPY, SIMPLE PRIMARY EXAM (EG, WITH SMALL DIAMETER FLEXIBLE ENDOSC UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GI ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS A UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); DIAGNOSTIC, WITH OR WITHOUT COLLECT ERCP; WITH BIOPSY, SINGLE OR MULTIPLE ERCP; WITH SPHINCTEROTOMY/PAPILLOTOMY ERCP; WITH PRESSURE MEASUREMENT OF SPHINCTER OF ODDI ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH ENDOSCOPIC RETROGRADE REMOV ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH ENDOSCOPIC RETROGRADE DESTRU ERCP; WITH ENDOSCOPIC RETROGRADE INSERTION OF NASOBILIARY OR NASOPANCREATIC DRAINAGE TUBE ERCP; WITH ENDOSCOPIC RETROGRADE INSERTION OF TUBE OR STENT INTO BILE OR PANCREATIC DUCT ERCP; WITH ENDOSCOPIC RETROGRADE REMOVAL OF FOREIGN BODY AND/OR CHANGE OF TUBE OR STENT ERCP; WITH ENDOSCOPIC RETROGRADE BALLOON DILATION OF AMPULLA, BILIARY AND/OR PANCREATIC DUCT(S
- 301. ERCP; WITH ABLATIONOF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT BIOP LAPAROSCOPY, SURGICAL, ESOPHAGOGASTRIC FUNDOPLASTY (EG, NISSEN, TOUPET PROCEDURES) UNLISTED LAPAROSCOPY PROCEDURE, ESOPHAGUS ESOPHAGOPLASTY, (PLASTIC REPAIR OR RECONSTRUCTION), CERVICAL APPROACH; WITHOUT REPAIR OF TRAC ESOPHAGOPLASTY, (PLASTIC REPAIR OR RECONSTRUCTION), CERVICAL APPROACH; WITH REPAIR OF TRACHEO ESOPHAGOPLASTY, (PLASTIC REPAIR OR RECONSTRUCTION), THORACIC APPROACH; WITHOUT REPAIR OF TRAC ESOPHAGOPLASTY, (PLASTIC REPAIR OR RECONSTRUCTION), THORACIC APPROACH; WITH REPAIR OF TRACHEO ESOPHAGOPLASTY FOR CONGENITAL DEFECT, (PLASTIC REPAIR OR RECONSTRUCTION), THORACIC APPROACH; ESOPHAGOPLASTY FOR CONGENITAL DEFECT, (PLASTIC REPAIR OR RECONSTRUCTION), THORACIC APPROACH; ESOPHAGOGASTROSTOMY (CARDIOPLASTY), WITH OR WITHOUT VAGOTOMY AND PYLOROPLASTY, TRANSABDOM ESOPHAGOGASTRIC FUNDOPLASTY (EG, NISSEN, BELSEY IV, HILL PROCEDURES) ESOPHAGOGASTRIC FUNDOPLASTY; WITH FUNDIC PATCH (THAL-NISSEN PROCEDURE) ESOPHAGOGASTRIC FUNDOPLASTY; WITH GASTROPLASTY (EG, COLLIS) ESOPHAGOMYOTOMY (HELLER TYPE); ABDOMINAL APPROACH ESOPHAGOMYOTOMY (HELLER TYPE); THORACIC APPROACH ESOPHAGOJEJUNOSTOMY (WITHOUT TOTAL GASTRECTOMY); ABDOMINAL APPROACH ESOPHAGOJEJUNOSTOMY (WITHOUT TOTAL GASTRECTOMY); THORACIC APPROACH ESOPHAGOSTOMY, FISTULIZATION OF ESOPHAGUS, EXTERNAL; ABDOMINAL APPROACH ESOPHAGOSTOMY, FISTULIZATION OF ESOPHAGUS, EXTERNAL; THORACIC APPROACH ESOPHAGOSTOMY, FISTULIZATION OF ESOPHAGUS, EXTERNAL; CERVICAL APPROACH GASTROINTESTINAL RECONSTRUCTION FOR PREVIOUS ESOPHAGECTOMY, FOR OBSTRUCTING ESOPHAGEAL LE GASTROINTSTINAL RECONS, PREVIOUS ESOPHAGECTOMY, OBSTRUCTING ESOPHAG LES/FIST,/FOR PREVIOUS E LIGATION, DIRECT, ESOPHAGEAL VARICES TRANSECTION OF ESOPHAGUS WITH REPAIR, FOR ESOPHAGEAL VARICES LIGATION OR STAPLING AT GASTROESOPHAGEAL JUNCTION FOR PRE-EXISTING ESOPHAGEAL PERFORATION SUTURE OF ESOPHAGEAL WOUND OR INJURY; CERVICAL APPROACH SUTURE OF ESOPHAGEAL WOUND OR INJURY; TRANSTHORACIC OR TRANSABDOMINAL APPROACH CLOSURE OF ESOPHAGOSTOMY OR FISTULA; CERVICAL APPROACH CLOSURE OF ESOPHAGOSTOMY OR FISTULA; TRANSTHORACIC OR TRANSABDOMINAL APPROACH DILATION OF ESOPHAGUS, BY UNGUIDED SOUND OR BOUGIE, SINGLE OR MULTIPLE PASSES DILATION OF ESOPHAGUS, OVER GUIDE WIRE DILATION OF ESOPHAGUS, BY BALLOON OR DILATOR, RETROGRADE DILATION OF ESOPHAGUS WITH BALLOON (30 MM DIAMETER OR LARGER) FOR ACHALASIA ESOPHAGOGASTRIC TAMPONADE, WITH BALLOON (SENGSTAAKEN TYPE) FREE JEJUNUM TRANSFER WITH MICROVASCULAR ANASTOMOSIS UNLISTED PROCEDURE, ESOPHAGUS GASTROTOMY; WITH EXPLORATION OR FOREIGN BODY REMOVAL GASTROTOMY; WITH SUTURE REPAIR OF BLEEDING ULCER GASTROTOMY; WITH SUTURE REPAIR OF PRE-EXISTING ESOPHAGOGASTRIC LACERATION (EG, MALLORY-WEISS GASTROTOMY; WITH ESOPHAGEAL DILATION AND INSERTION OF PERMANENT INTRALUMINAL TUBE (EG, CELESTI PYLOROMYOTOMY, CUTTING OF PYLORIC MUSCLE (FREDET-RAMSTEDT TYPE OPERATION) BIOPSY OF STOMACH; BY CAPSULE, TUBE, PERORAL (ONE OR MORE SPECIMENS) BIOPSY OF STOMACH; BY LAPAROTOMY EXCISION, LOCAL; ULCER OR BENIGN TUMOR OF STOMACH EXCISION, LOCAL; MALIGNANT TUMOR OF STOMACH GASTRECTOMY, TOTAL; WITH ESOPHAGOENTEROSTOMY GASTRECTOMY, TOTAL; WITH ROUX-EN-Y RECONSTRUCTION GASTRECTOMY, TOTAL; WITH FORMATION OF INTESTINAL POUCH, ANY TYPE GASTRECTOMY, PARTIAL, DISTAL; WITH GASTRODUODENOSTOMY GASTRECTOMY, PARTIAL, DISTAL; WITH GASTROJEJUNOSTOMY GASTRECTOMY, PARTIAL, DISTAL; WITH ROUX-EN-Y RECONSTRUCTION GASTRECTOMY, PARTIAL, DISTAL; WITH FORMATION OF INTESTINAL POUCH
- 302. VAGOTOMY WHEN PERFORMEDWITH PARTIAL DISTAL GASTRECTOMY (LIST SEPARATELY IN ADDITION TO CODE( GASTRECTOMY, PARTIAL, PROXIMAL, THORACIC OR ABDOMINAL APPROACH INCLUDING ESOPHAGOGASTROSTO GASTRECTOMY, PARTIAL, PROXIMAL, THORACIC OR ABDOMINAL APPROACH INCLUDING ESOPHAGOGASTROSTO VAGOTOMY INCLUDING PYLOROPLASTY, WITH OR WITHOUT GASTROSTOMY; TRUNCAL OR SELECTIVE VAGOTOMY INCLUDING PYLOROPLASTY, WITH OR WITHOUT GASTROSTOMY; PARIETAL CELL (HIGHLY SELECTIVE LAPAROSCOPY, SURGICAL; TRANSECTION OF VAGUS NERVES, TRUNCAL LAPAROSCOPY, SURGICAL; TRANSECTION OF VAGUS NERVES, SELECTIVE OR HIGHLY SELECTIVE LAPAROSCOPY, SURGICAL; GASTROSTOMY, WITHOUT CONSTRUCTION OF GASTRIC TUBE (EG, STAMM PROCEDU UNLISTED LAPAROSCOPY PROCEDURE, STOMACH PERCUTANEOUS PLACEMENT OF GASTROSTOMY TUBE NASO- OR ORO-GASTRIC TUBE PLACEMENT, NECESSITATING PHYSICIAN'S SKILL CHANGE OF GASTROSTOMY TUBE REPOSITIONING OF THE GASTRIC FEEDING TUBE, ANY METHOD, THROUGH THE DUODENUM FOR ENTERIC NUTRI PYLOROPLASTY GASTRODUODENOSTOMY GASTROJEJUNOSTOMY; WITHOUT VAGOTOMY GASTROJEJUNOSTOMY; WITH VAGOTOMY, ANY TYPE GASTROSTOMY, OPEN; WITHOUT CONSTRUCTION OF GASTRIC TUBE (EG, STAMM PROCEDURE) (SEPARATE PRO GASTROSTOMY, TEMPORARY (TUBE, RUBBER OR PLASTIC) (SEPARATE PROCEDURE); NEONATAL, FOR FEEDING GASTROSTOMY, OPEN; WITH CONSTRUCTION OF GASTRIC TUBE (EG, JANEWAY PROCEDURE) GASTRORRHAPHY, SUTURE OF PERFORATED DUODENAL OR GASTRIC ULCER, WOUND, OR INJURY GASTRIC RESTRICTIVE PROCEDURE, WITHOUT GASTRIC BYPASS, FOR MORBID OBESITY; VERTICAL-BANDED GAS GASTRIC RESTRICTIVE PROCEDURE, WITHOUT GASTRIC BYPASS, FOR MORBID OBESITY; OTHER THAN VERTICAL GASTRIC RESTRICTIVE PROCEDURE, WITH GASTRIC BYPASS FOR MORBID OBESITY; WITH SHORT LIMB (LESS TH GASTRIC RESTRICTIVE PROCEDURE, WITH GASTRIC BYPASS FOR MORBID OBESITY; WITH SMALL INTESTINE REC REVISION OF GASTRIC RESTRICTIVE PROCEDURE FOR MORBID OBESITY (SEPARATE PROCEDURE) REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITHOUT REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITH VAG REVISION OF GASTROJEJUNAL ANASTOMOSIS (GASTROJEJUNOSTOMY) WITH RECONSTRUCTION, WITH OR WITH REVISION OF GASTROJEJUNAL ANASTOMOSIS (GASTROJEJUNOSTOMY) WITH RECONSTRUCTION, WITH OR WITH CLOSURE OF GASTROSTOMY, SURGICAL CLOSURE OF GASTROCOLIC FISTULA UNLISTED PROCEDURE, STOMACH ENTEROLYSIS (FREEING OF INTESTINAL ADHESION) (SEPARATE PROCEDURE) DUODENOTOMY, FOR EXPLORATION, BIOPSY(S), OR FOREIGN BODY REMOVAL TUBE OR NEEDLE CATHETER JEJUNOSTOMY FOR ENTERAL ALIMENTATION, INTRAOPERATIVE, ANY METHOD (LIST ENTEROTOMY, SMALL INTESTINE, OTHER THAN DUODENUM; FOR EXPLORATION, BIOPSY(S), OR FOREIGN BODY R ENTEROTOMY, SMALL INTESTINE, OTHER THAN DUODENUM; FOR DECOMPRESSION (EG, BAKER TUBE) COLOTOMY, FOR EXPLORATION, BIOPSY(S), OR FOREIGN BODY REMOVAL REDUCTION OF VOLVULUS, INTUSSUSCEPTION, INTERNAL HERNIA, BY LAPAROTOMY CORRECTION OF MALROTATION BY LYSIS OF DUODENAL BANDS AND/OR REDUCTION OF MIDGUT VOLVULUS (EG BIOPSY OF INTESTINE BY CAPSULE, TUBE, PERORAL (ONE OR MORE SPECIMENS) EXCISION OF ONE OR MORE LESIONS OF SMALL OR LARGE INTESTINE NOT REQUIRING ANASTOMOSIS, EXTERIOR EXCISION OF ONE OR MORE LESIONS OF SMALL OR LARGE INTESTINE NOT REQUIRING ANASTOMOSIS, EXTERIOR ENTERECTOMY, RESECTION OF SMALL INTESTINE; SINGLE RESECTION AND ANASTOMOSIS ENTERECTOMY, RESECTION OF SMALL INTESTINE; EACH ADDITIONAL RESECTION AND ANASTOMOSIS (LIST SEPA ENTERECTOMY, RESECTION OF SMALL INTESTINE; WITH ENTEROSTOMY ENTERECTOMY, RESECTION OF SMALL INTESTINE FOR CONGENITAL ATRESIA, SINGLE RESECTION AND ANASTOM ENTERECTOMY, RESECTION OF SMALL INTESTINE FOR CONGENITAL ATRESIA, SINGLE RESECTION AND ANASTOM ENTERECTOMY, RESECTION, SMALL INTESTINE, CONGENITAL ATRESIA, 1 RESECTION&ANASTOMOSIS, PROXIMAL ENTEROENTEROSTOMY, ANASTOMOSIS OF INTESTINE, WITH OR WITHOUT CUTANEOUS ENTEROSTOMY (SEPARA DONOR ENTERECTOMY, OPEN, WITH PREPARATION AND MAINTENANCE OF ALLOGRAFT; FROM CADAVER DONOR
- 303. DONOR ENTERECTOMY, OPEN,WITH PREPARATION AND MAINTENANCE OF ALLOGRAFT; PARTIAL, FROM LIVING D INTESTINAL ALLOTRANSPLANTATION; FROM CADAVER DONOR INTESTINAL ALLOTRANSPLANTATION; FROM LIVING DONOR MOBILIZATION (TAKE-DOWN) OF SPLENIC FLEXURE PERFORMED IN CONJUNCTION WITH PARTIAL COLECTOMY (L COLECTOMY, PARTIAL; WITH ANASTOMOSIS COLECTOMY, PARTIAL; WITH SKIN LEVEL CECOSTOMY OR COLOSTOMY COLECTOMY, PARTIAL; WITH END COLOSTOMY AND CLOSURE OF DISTAL SEGMENT (HARTMANN TYPE PROCEDU COLECTOMY, PARTIAL; WITH RESECTION, WITH COLOSTOMY OR ILEOSTOMY AND CREATION OF MUCOFISTULA COLECTOMY, PARTIAL; WITH COLOPROCTOSTOMY (LOW PELVIC ANASTOMOSIS) COLECTOMY, PARTIAL; WITH COLOPROCTOSTOMY (LOW PELVIC ANASTOMOSIS), WITH COLOSTOMY COLECTOMY, PARTIAL; ABDOMINAL AND TRANSANAL APPROACH COLECTOMY, TOTAL, ABDOMINAL, WITHOUT PROCTECTOMY; WITH ILEOSTOMY OR ILEOPROCTOSTOMY COLECTOMY, TOTAL, ABDOMINAL, WITHOUT PROCTECTOMY; WITH CONTINENT ILEOSTOMY COLECTOMY, TOTAL, ABDOMINAL, WITHOUT PROCTECTOMY; WITH RECTAL MUCOSECTOMY, ILEOANAL ANASTOM COLECTOMY, TOTAL, ABDOMINAL, WITHOUT PROCTECTOMY; WITH RECTAL MUCOSECTOMY, ILEOANAL ANASTOM COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY; WITH ILEOSTOMY COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY; WITH CONTINENT ILEOSTOMY COLECTOMY, PARTIAL, WITH REMOVAL OF TERMINAL ILEUM WITH ILEOCOLOSTOMY LAPAROSCOPY, SURGICAL; ENTEROLYSIS (FREEING OF INTESTINAL ADHESION) (SEPARATE PROCEDURE) LAPAROSCOPY, SURGICAL; JEJUNOSTOMY (EG, FOR DECOMPRESSION OR FEEDING) LAPAROSCOPY, SURGICAL; ENTERECTOMY, RESECTION OF SMALL INTESTINE, SINGLE RESECTION AND ANASTOM LAPAROSCOPY, SURGICAL; EACH ADDITIONAL SMALL INTESTINE RESECTION AND ANASTOMOSIS (LIST SEPARATE LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH REMOVAL OF TERMINAL ILEUM WITH ILEOCOLOSTOMY LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH END COLOSTOMY AND CLOSURE OF DISTAL SEGMENT ( LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS, WITH COLOPROCTOSTOMY (LOW PELVI LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS, WITH COLOPROCTOSTOMY (LOW PELVI LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS, WITH COLOPROCTOSTOMY (LOW PELVI LAPAROSCOPY, SURGICAL; COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY, WITH ILEOANAL ANASTOMO LAPAROSCOPY, SURGICAL; COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY, WITH ILEOSTOMY UNLISTED LAPAROSCOPY PROCEDURE, INTESTINE (EXCEPT RECTUM) UNLISTED LAPAROSCOPY PROCEDURE, RECTUM ENTEROSTOMY OR CECOSTOMY, TUBE (EG, FOR DECOMPRESSION OR FEEDING) (SEPARATE PROCEDURE) ILEOSTOMY OR JEJUNOSTOMY, NON-TUBE (SEPARATE PROCEDURE) REVISION OF ILEOSTOMY; SIMPLE (RELEASE OF SUPERFICIAL SCAR) (SEPARATE PROCEDURE) REVISION OF ILEOSTOMY; COMPLICATED (RECONSTRUCTION IN-DEPTH) (SEPARATE PROCEDURE) CONTINENT ILEOSTOMY (KOCK PROCEDURE) (SEPARATE PROCEDURE) COLOSTOMY OR SKIN LEVEL CECOSTOMY; (SEPARATE PROCEDURE) COLOSTOMY OR SKIN LEVEL CECOSTOMY; WITH MULTIPLE BIOPSIES (EG, FOR CONGENITAL MEGACOLON) (SEPA REVISION OF COLOSTOMY; SIMPLE (RELEASE OF SUPERFICIAL SCAR) (SEPARATE PROCEDURE) REVISION OF COLOSTOMY; COMPLICATED (RECONSTRUCTION IN-DEPTH) (SEPARATE PROCEDURE) REVISION OF COLOSTOMY; WITH REPAIR OF PARACOLOSTOMY HERNIA (SEPARATE PROCEDURE) SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILE SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILE SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILE SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILE SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILE SM INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND 2ND PORTN, DUODENUM, NO INCL ILEUM; W CONTROL, BL SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILE SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILE SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILE SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILE
- 304. SMALL INTESTINAL ENDOSCOPY,ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; SM INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND 2ND PORTION, DUODENUM, INCL ILEUM; W CONTROL, BLE SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; ILEOSCOPY, THROUGH STOMA; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR ILEOSCOPY, THROUGH STOMA; WITH BIOPSY, SINGLE OR MULTIPLE ILEOSCOPY, THROUGH STOMA; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES PREDILATION) ENDOSCOPIC EVALUATION OF SMALL INTESTINAL (ABDOMINAL OR PELVIC) POUCH; DIAGNOSTIC, WITH OR WITHO ENDOSCOPIC EVALUATION OF SMALL INTESTINAL (ABDOMINAL OR PELVIC) POUCH; WITH BIOPSY, SINGLE OR MU COLONOSCOPY THROUGH STOMA; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING COLONOSCOPY THROUGH STOMA; WITH BIOPSY, SINGLE OR MULTIPLE COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF FOREIGN BODY COLONOSCOPY THROUGH STOMA; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPS COLONOSCOPY THROUGH STOMA; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABL COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TEC COLONOSCOPY THROUGH STOMA; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES PREDILATION) INTRODUCTION OF LONG GASTROINTESTINAL TUBE (EG, MILLER-ABBOTT) (SEPARATE PROCEDURE) SUTURE OF SMALL INTESTINE (ENTERORRHAPHY) FOR PERFORATED ULCER, DIVERTICULUM, WOUND, INJURY O SUTURE OF SMALL INTESTINE (ENTERORRHAPHY) FOR PERFORATED ULCER, DIVERTICULUM, WOUND, INJURY O SUTURE OF LARGE INTESTINE (COLORRHAPHY) FOR PERFORATED ULCER, DIVERTICULUM, WOUND, INJURY OR R SUTURE OF LARGE INTESTINE (COLORRHAPHY) FOR PERFORATED ULCER, DIVERTICULUM, WOUND, INJURY OR R INTESTINAL STRICTUROPLASTY (ENTEROTOMY AND ENTERORRHAPHY) WITH OR WITHOUT DILATION, FOR INTES CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE; CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE; WITH RESECTION AND ANASTOMOSIS OTHER THAN C CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE; WITH RESECTION AND COLORECTAL ANASTOMOSIS CLOSURE OF INTESTINAL CUTANEOUS FISTULA CLOSURE OF ENTEROENTERIC OR ENTEROCOLIC FISTULA CLOSURE OF ENTEROVESICAL FISTULA; WITHOUT INTESTINAL OR BLADDER RESECTION CLOSURE OF ENTEROVESICAL FISTULA; WITH INTESTINE AND/OR BLADDER RESECTION INTESTINAL PLICATION (SEPARATE PROCEDURE) EXCLUSION OF SMALL INTESTINE FROM PELVIS BY MESH OR OTHER PROSTHESIS, OR NATIVE TISSUE (EG, BLADD INTRAOPERATIVE COLONIC LAVAGE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) UNLISTED PROCEDURE, INTESTINE EXCISION OF MECKEL'S DIVERTICULUM (DIVERTICULECTOMY) OR OMPHALOMESENTERIC DUCT EXCISION OF LESION OF MESENTERY (SEPARATE PROCEDURE) SUTURE OF MESENTERY (SEPARATE PROCEDURE) UNLISTED PROCEDURE, MECKEL'S DIVERTICULUM AND THE MESENTERY INCISION AND DRAINAGE OF APPENDICEAL ABSCESS; OPEN INCISION AND DRAINAGE OF APPENDICEAL ABSCESS; PERCUTANEOUS APPENDECTOMY APPENDECTOMY; WHEN DONE FOR INDICATED PURPOSE AT TIME OF OTHER MAJOR PROCEDURE (NOT AS SEPA APPENDECTOMY; FOR RUPTURED APPENDIX WITH ABSCESS OR GENERALIZED PERITONITIS LAPAROSCOPY, SURGICAL, APPENDECTOMY UNLISTED LAPAROSCOPY PROCEDURE, APPENDIX TRANSRECTAL DRAINAGE OF PELVIC ABSCESS INCISION AND DRAINAGE OF SUBMUCOSAL ABSCESS, RECTUM INCISION AND DRAINAGE OF DEEP SUPRALEVATOR, PELVIRECTAL, OR RETRORECTAL ABSCESS BIOPSY OF ANORECTAL WALL, ANAL APPROACH (EG, CONGENITAL MEGACOLON) ANORECTAL MYOMECTOMY PROCTECTOMY; COMPLETE, COMBINED ABDOMINOPERINEAL, WITH COLOSTOMY PROCTECTOMY; PARTIAL RESECTION OF RECTUM, TRANSABDOMINAL APPROACH
- 305. PROCTECTOMY, COMBINED ABDOMINOPERINEAL,PULL-THROUGH PROCEDURE (EG, COLO-ANAL ANASTOMOSIS) PROCTECTOMY, PARTIAL, WITH RECTAL MUCOSECTOMY, ILEOANAL ANASTOMOSIS, CREATION OF ILEAL RESERV PROCTECTOMY, PARTIAL, WITH ANASTOMOSIS; ABDOMINAL AND TRANSSACRAL APPROACH PROCTECTOMY, PARTIAL, WITH ANASTOMOSIS; TRANSACRAL APPROACH ONLY (KRASKE TYPE) PROCTECTOMY, COMBINED ABDOMINOPERINEAL PULL-THROUGH PROCEDURE (EG, COLO-ANAL ANASTOMOSIS), PROCTECTOMY, COMPLETE (FOR CONGENITAL MEGACOLON), ABDOMINAL AND PERINEAL APPROACH; WITH PUL PROCTECTOMY, COMPLETE (FOR CONGENITAL MEGACOLON), ABDOMINAL AND PERINEAL APPROACH; WITH SUB PROCTECTOMY, PARTIAL, WITHOUT ANASTOMOSIS, PERINEAL APPROACH PELVIC EXENTERATION FOR COLORECTAL MALIG, W PROCTECTOMY (WWO COLOSTOMY), W REMOVAL OF BLADD EXCISION OF RECTAL PROCIDENTIA, WITH ANASTOMOSIS; PERINEAL APPROACH EXCISION OF RECTAL PROCIDENTIA, WITH ANASTOMOSIS; ABDOMINAL AND PERINEAL APPROACH EXCISION OF ILEOANAL RESERVOIR WITH ILEOSTOMY DIVISION OF STRICTURE OF RECTUM EXCISION OF RECTAL TUMOR BY PROCTOTOMY, TRANSACRAL OR TRANSCOCCYGEAL APPROACH EXCISION OF RECTAL TUMOR, TRANSANAL APPROACH DESTRUCTION OF RECTAL TUMOR (EG, ELECTRODESSICATION, ELECTROSURGERY, LASER ABLATION, LASER RE PROCTOSIGMOIDOSCOPY, RIGID; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING O PROCTOSIGMOIDOSCOPY, RIGID; WITH DILATION (EG, BALLOON, GUIDE WIRE, BOUGIE) PROCTOSIGMOIDOSCOPY, RIGID; WITH BIOPSY, SINGLE OR MULTIPLE PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF FOREIGN BODY PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF SINGLE TUMOR, POLYP, OR OTHER LESION BY HOT BIOPSY PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF SINGLE TUMOR, POLYP, OR OTHER LESION BY SNARE TECH PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF MULTIPLE TUMORS, POLYPS, OR OTHER LESIONS BY HOT B PROCTOSIGMOIDOSCOPY, RIGID; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR C PROCTOSIGMOIDOSCOPY, RIGID; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE PROCTOSIGMOIDOSCOPY, RIGID; WITH DECOMPRESSION OF VOLVULUS PROCTOSIGMOIDOSCOPY, RIGID; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES PREDILATION) SIGMOIDOSCOPY, FLEXIBLE; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR W SIGMOIDOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF FOREIGN BODY SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FOR SIGMOIDOSCOPY, FLEXIBLE; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTE SIGMOIDOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE SIGMOIDOSCOPY, FLEXIBLE; WITH DECOMPRESSION OF VOLVULUS, ANY METHOD SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQU SIGMOIDOSCOPY, FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO R SIGMOIDOSCOPY, FLEXIBLE; WITH DILATION BY BALLOON, 1 OR MORE STRICTURES SIGMOIDOSCOPY, FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC ULTRASOUND GUIDED INTRAMURAL OR TRANSMURAL FIN SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES PREDILATION) COLONOSCOPY, RIGID OR FLEXIBLE, TRANSABDOMINAL VIA COLOTOMY, SINGLE OR MULTIPLE COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF S COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH REMOVAL OF FOREIGN BODY COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH BIOPSY, SINGLE OR MULTIPLE COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY S COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPO COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH DILATION BY BALLOON, 1 OR MORE STRICTUR COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCL PROCTOPLASTY; FOR STENOSIS
- 306. PROCTOPLASTY; FOR PROLAPSEOF MUCOUS MEMBRANE PERIRECTAL INJECTION OF SCLEROSING SOLUTION FOR PROLAPSE PROCTOPEXY FOR PROLAPSE; ABDOMINAL APPROACH PROCTOPEXY FOR PROLAPSE; PERINEAL APPROACH PROCTOPEXY COMBINED WITH SIGMOID RESECTION, ABDOMINAL APPROACH REPAIR OF RECTOCELE (SEPARATE PROCEDURE) EXPLORATION, REPAIR, AND PRESACRAL DRAINAGE FOR RECTAL INJURY; EXPLORATION, REPAIR, AND PRESACRAL DRAINAGE FOR RECTAL INJURY; WITH COLOSTOMY CLOSURE OF RECTOVESICAL FISTULA; CLOSURE OF RECTOVESICAL FISTULA; WITH COLOSTOMY CLOSURE OF RECTOURETHRAL FISTULA; CLOSURE OF RECTOURETHRAL FISTULA; WITH COLOSTOMY REDUCTION OF PROCIDENTIA (SEPARATE PROCEDURE) UNDER ANESTHESIA DILATION OF ANAL SPHINCTER (SEPARATE PROCEDURE) UNDER ANESTHESIA OTHER THAN LOCAL DILATION OF RECTAL STRICTURE (SEPARATE PROCEDURE) UNDER ANESTHESIA OTHER THAN LOCAL REMOVAL OF FECAL IMPACTION OR FOREIGN BODY (SEPARATE PROCEDURE) UNDER ANESTHESIA UNLISTED PROCEDURE, RECTUM PLACEMENT OF SETON REMOVAL OF ANAL SETON, OTHER MARKER INCISION AND DRAINAGE OF ISCHIORECTAL AND/OR PERIRECTAL ABSCESS (SEPARATE PROCEDURE) INCISION AND DRAINAGE OF INTRAMURAL, INTRAMUSCULAR OR SUBMUCOSAL ABSCESS, TRANSANAL, UNDER AN INCISION AND DRAINAGE, PERIANAL ABSCESS, SUPERFICIAL INCISION AND DRAINAGE OF ISCHIORECTAL OR INTRAMURAL ABSCESS, WITH FISTULECTOMY OR FISTULOTOMY, INCISION, ANAL SEPTUM (INFANT) SPHINCTEROTOMY, ANAL, DIVISION OF SPHINCTER (SEPARATE PROCEDURE) INCISION OF THROMBOSED HEMORRHOID, EXTERNAL FISSURECTOMY, WITH OR WITHOUT SPHINCTEROTOMY CRYPTECTOMY; SINGLE CRYPTECTOMY; MULTIPLE (SEPARATE PROCEDURE) PAPILLECTOMY OR EXCISION OF SINGLE TAG, ANUS (SEPARATE PROCEDURE) HEMORRHOIDECTOMY, BY SIMPLE LIGATURE (EG, RUBBER BAND) EXCISION OF EXTERNAL HEMORRHOID TAGS AND/OR MULTIPLE PAPILLAE HEMORRHOIDECTOMY, EXTERNAL, COMPLETE HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SIMPLE; HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SIMPLE; WITH FISSURECTOMY HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SIMPLE; WITH FISTULECTOMY, WITH OR WITHOUT FISSURECT HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, COMPLEX OR EXTENSIVE; HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, COMPLEX OR EXTENSIVE; WITH FISSURECTOMY HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, COMPLEX OR EXTENSIVE; WITH FISTULECTOMY, WITH OR WIT SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); SUBCUTANEOUS SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); SUBMUSCULAR SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); COMPLEX OR MULTIPLE, WITH OR WIT SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); SECOND STAGE CLOSURE OF ANAL FISTULA WITH RECTAL ADVANCEMENT FLAP ENUCLEATION OR EXCISION OF EXTERNAL THROMBOTIC HEMORRHOID INJECTION OF SCLEROSING SOLUTION, HEMORRHOIDS ANOSCOPY; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING (SEPARA ANOSCOPY; WITH DILATION (EG, BALLOON, GUIDE WIRE, BOUGIE) ANOSCOPY; WITH BIOPSY, SINGLE OR MULTIPLE ANOSCOPY; WITH REMOVAL OF FOREIGN BODY ANOSCOPY; WITH REMOVAL OF SINGLE TUMOR, POLYP, OR OTHER LESION BY HOT BIOPSY FORCEPS OR BIPOLA ANOSCOPY; WITH REMOVAL OF SINGLE TUMOR, POLYP, OR OTHER LESION BY SNARE TECHNIQUE
- 307. ANOSCOPY; WITH REMOVALOF MULTIPLE TUMORS, POLYPS, OR OTHER LESIONS BY HOT BIOPSY FORCEPS, BIPO ANOSCOPY; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTERY, LASER, HEA ANOSCOPY; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT ANOPLASTY, PLASTIC OPERATION FOR STRICTURE; ADULT ANOPLASTY, PLASTIC OPERATION FOR STRICTURE; INFANT REPAIR OF ANAL FISTULA WITH FIBRIN GLUE REPAIR OF LOW IMPERFORATE ANUS; WITH ANOPERINEAL FISTULA ("CUT-BACK" PROCEDURE) REPAIR OF LOW IMPERFORATE ANUS; WITH TRANSPOSITION OF ANOPERINEAL OR ANOVESTIBULAR FISTULA REPAIR OF HIGH IMPERFORATE ANUS WITHOUT FISTULA; PERINEAL OR SACROPERINEAL APPROACH REPAIR OF HIGH IMPERFORATE ANUS WITHOUT FISTULA; COMBINED TRANSABDOMINAL AND SACROPERINEAL AP REPAIR OF HIGH IMPERFORATE ANUS WITH RECTOURETHRAL OR RECTOVAGINAL FISTULA; PERINEAL OR SACRO REPAIR OF HIGH IMPERFORATE ANUS WITH RECTOURETHRAL OR RECTOVAGINAL FISTULA; COMBINED TRANSAB REPAIR OF CLOACAL ANOMALY BY ANORECTOVAGINOPLASTY AND URETHROPLASTY, SACROPERINEAL APPROAC REPAIR OF CLOACAL ANOMALY BY ANORECTOVAGINOPLASTY AND URETHROPLASTY, COMBINED ABDOMINAL AN REPAIR OF CLOACAL ANOMALY BY ANORECTOVAGINOPLASTY AND URETHROPLASTY, COMBINED ABDOMINAL AN SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE OR PROLAPSE; ADULT SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE OR PROLAPSE; CHILD GRAFT (THIERSCH OPERATION) FOR RECTAL INCONTINENCE AND/OR PROLAPSE REMOVAL OF THIERSCH WIRE OR SUTURE, ANAL CANAL SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; MUSCLE TRANSPLANT SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; LEVATOR MUSCLE IMBRICATION (PARK POSTERIOR ANA SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESIC DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESIC DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESIC DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESIC DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESIC DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESIC DESTRUCTION OF HEMORRHOIDS, ANY METHOD; INTERNAL DESTRUCTION OF HEMORRHOIDS, ANY METHOD; EXTERNAL DESTRUCTION OF HEMORRHOIDS, ANY METHOD; INTERNAL AND EXTERNAL CRYOSURGERY OF RECTAL TUMOR; BENIGN CRYOSURGERY OF RECTAL TUMOR; MALIGNANT CURETTAGE OR CAUTERY OF ANAL FISSURE, INCLUDING DILATION OF ANAL SPHINCTER (SEPARATE PROCEDURE CURETTAGE OR CAUTERY OF ANAL FISSURE, INCLUDING DILATION OF ANAL SPHINCTER (SEPARATE PROCEDURE LIGATION OF INTERNAL HEMORRHOIDS; SINGLE PROCEDURE LIGATION OF INTERNAL HEMORRHOIDS; MULTIPLE PROCEDURES UNLISTED PROCEDURE, ANUS BIOPSY OF LIVER, NEEDLE; PERCUTANEOUS BIOPSY OF LIVER, NEEDLE; WHEN DONE FOR INDICATED PURPOSE AT TIME OF OTHER MAJOR PROCEDURE (LIST HEPATOTOMY; FOR OPEN DRAINAGE OF ABSCESS OR CYST, ONE OR TWO STAGES HEPATOTOMY; FOR PERCUTANEOUS DRAINAGE OF ABSCESS OR CYST, ONE OR TWO STAGES LAPAROTOMY, WITH ASPIRATION AND/OR INJECTION OF HEPATIC PARASITIC (EG, AMOEBIC OR ECHINOCOCCAL) BIOPSY OF LIVER, WEDGE HEPATECTOMY, RESECTION OF LIVER; PARTIAL LOBECTOMY HEPATECTOMY, RESECTION OF LIVER; TRISEGMENTECTOMY HEPATECTOMY, RESECTION OF LIVER; TOTAL LEFT LOBECTOMY HEPATECTOMY, RESECTION OF LIVER; TOTAL RIGHT LOBECTOMY DONOR HEPATECTOMY, WITH PREPARATION AND MAINTENANCE OF ALLOGRAFT; FROM CADAVER DONOR DONOR HEPATECTOMY, WITH PREPARATION AND MAINTENANCE OF ALLOGRAFT; PARTIAL, FROM LIVING DONOR LIVER ALLOTRANSPLANTATION; ORTHOTOPIC, PARTIAL OR WHOLE, FROM CADAVER OR LIVING DONOR, ANY AGE LIVER ALLOTRANSPLANTATION; HETEROTOPIC, PARTIAL OR WHOLE, FROM CADAVER OR LIVING DONOR, ANY AG
- 308. MARSUPIALIZATION OF CYSTOR ABSCESS OF LIVER MANAGEMENT OF LIVER HEMORRHAGE; SIMPLE SUTURE OF LIVER WOUND OR INJURY MANAGEMENT OF LIVER HEMORRHAGE; COMPLEX SUTURE OF LIVER WOUND OR INJURY, WITH OR WITHOUT HEP MANAGEMENT OF LIVER HEMORRHAGE; EXPLORATION OF HEPATIC WOUND, EXTENSIVE DEBRIDEMENT, COAGUL MANAGEMENT OF LIVER HEMORRHAGE; RE-EXPLORATION OF HEPATIC WOUND FOR REMOVAL OF PACKING LAPAROSCOPY, SURGICAL, ABLATION OF ONE OR MORE LIVER TUMOR(S); RADIOFREQUENCY LAPAROSCOPY, SURGICAL, ABLATION OF ONE OR MORE LIVER TUMOR(S); CRYOSURGICAL UNLISTED LAPAROSCOPIC PROCEDURE, LIVER ABLATION, OPEN, OF ONE OR MORE LIVER TUMOR(S); RADIOFREQUENCY ABLATION, OPEN, OF ONE OR MORE LIVER TUMOR(S); CRYOSURGICAL ABLATION, ONE OR MORE LIVER TUMOR(S), PERCUTANEOUS, RADIOFREQUENCY UNLISTED PROCEDURE, LIVER HEPATICOTOMY OR HEPATICOSTOMY WITH EXPLORATION, DRAINAGE, OR REMOVAL OF CALCULUS CHOLEDOCHOTOMY OR CHOLEDOCHOSTOMY WITH EXPLORATION, DRAINAGE, OR REMOVAL OF CALCULUS, WIT CHOLEDOCHOTOMY OR CHOLEDOCHOSTOMY WITH EXPLORATION, DRAINAGE, OR REMOVAL OF CALCULUS, WIT TRANSDUODENAL SPHINCTEROTOMY OR SPHINCTEROPLASTY, WITH OR WITHOUT TRANSDUODENAL EXTRACTIO CHOLECYSTOTOMY OR CHOLECYSTOSTOMY WITH EXPLORATION, DRAINAGE, OR REMOVAL OF CALCULUS (SEPA PERCUTANEOUS CHOLECYSTOSTOMY INJECTION PROCEDURE FOR PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAPHY INJECTION PROCEDURE FOR CHOLANGIOGRAPHY THROUGH AN EXISTING CATHETER (EG, PERCUTANEOUS TRAN INTRODUCTION OF PERCUTANEOUS TRANSHEPATIC CATHETER FOR BILIARY DRAINAGE INTRODUCTION OF PERCUTANEOUS TRANSHEPATIC STENT FOR INTERNAL AND EXTERNAL BILIARY DRAINAGE CHANGE OF PERCUTANEOUS BILIARY DRAINAGE CATHETER REVISION AND/OR REINSERTION OF TRANSHEPATIC TUBE BILIARY ENDOSCOPY, INTRAOPERATIVE (CHOLEDOCHOSCOPY) (LIST SEPARATELY IN ADDITION TO CODE FOR PR BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE OR OTHER TRACT; DIAGNOSTIC, WITH OR WITHOUT COLLECT BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE OR OTHER TRACT; WITH BIOPSY, SINGLE OR MULTIPLE BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE OR OTHER TRACT; WITH REMOVAL OF CALCULUS/CALCULI BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE OR OTHER TRACT; WITH DILATION OF BILIARY DUCT STRICTU BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE OR OTHER TRACT; WITH DILATION OF BILIARY DUCT STRICTU LAPAROSCOPY, SURGICAL; WITH GUIDED TRANSHEPATIC CHOLANGIOGRAPHY, WITHOUT BIOPSY LAPAROSCOPY, SURGICAL; WITH GUIDED TRANSHEPATIC CHOLANGIOGRAPHY WITH BIOPSY LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT LAPAROSCOPY, SURGICAL; CHOLECYSTOENTEROSTOMY UNLISTED LAPAROSCOPY PROCEDURE, BILIARY TRACT CHOLECYSTECTOMY; CHOLECYSTECTOMY; WITH CHOLANGIOGRAPHY CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT; CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT; WITH CHOLEDOCHOENTEROSTOMY CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT; WITH TRANSDUODENAL SPHINCTEROTOMY OR SP BILIARY DUCT STONE EXTRACTION, PERCUTANEOUS VIA T-TUBE TRACT, BASKET OR SNARE (EG, BURHENNE TEC EXPLORATION FOR CONGENITAL ATRESIA OF BILE DUCTS, WITHOUT REPAIR, WITH OR WITHOUT LIVER BIOPSY, W PORTOENTEROSTOMY (EG, KASAI PROCEDURE) EXCISION OF BILE DUCT TUMOR, WITH OR WITHOUT PRIMARY REPAIR OF BILE DUCT; EXTRAHEPATIC EXCISION OF BILE DUCT TUMOR, WITH OR WITHOUT PRIMARY REPAIR OF BILE DUCT; INTRAHEPATIC EXCISION OF CHOLEDOCHAL CYST ANASTOMOSIS, CHOLEDOCHAL CYST, WITHOUT EXCISION CHOLECYSTOENTEROSTOMY; DIRECT CHOLECYSTOENTEROSTOMY; WITH GASTROENTEROSTOMY CHOLECYSTOENTEROSTOMY; ROUX-EN-Y
- 309. CHOLECYSTOENTEROSTOMY; ROUX-EN-Y WITHGASTROENTEROSTOMY ANASTOMOSIS, OF EXTRAHEPATIC BILIARY DUCTS AND GASTROINTESTINAL TRACT ANASTOMOSIS, OF INTRAHEPATIC DUCTS AND GASTROINTESTINAL TRACT ANASTOMOSIS, ROUX-EN-Y, OF EXTRAHEPATIC BILIARY DUCTS AND GASTROINTESTINAL TRACT ANASTOMOSIS, ROUX-EN-Y, OF INTRAHEPATIC BILIARY DUCTS AND GASTROINTESTINAL TRACT RECONSTRUCTION, PLASTIC, OF EXTRAHEPATIC BILIARY DUCTS WITH END-TO-END ANASTOMOSIS PLACEMENT OF CHOLEDOCHAL STENT U-TUBE HEPATICOENTEROSTOMY SUTURE OF EXTRAHEPATIC BILIARY DUCT FOR PRE-EXISTING INJURY (SEPARATE PROCEDURE) UNLISTED PROCEDURE, BILIARY TRACT PLACEMENT OF DRAINS, PERIPANCREATIC, FOR ACUTE PANCREATITIS; PLACEMENT OF DRAINS, PERIPANCREATIC, FOR ACUTE PANCREATITIS; WITH CHOLECYSTOSTOMY, GASTROSTO RESECTION OR DEBRIDEMENT OF PANCREAS AND PERIPANCREATIC TISSUE FOR ACUTE NECROTIZING PANCREA REMOVAL OF PANCREATIC CALCULUS BIOPSY OF PANCREAS, OPEN (EG, FINE NEEDLE ASPIRATION, NEEDLE CORE BIOPSY, WEDGE BIOPSY) BIOPSY OF PANCREAS, PERCUTANEOUS NEEDLE EXCISION OF LESION OF PANCREAS (EG, CYST, ADENOMA) PANCREATECTOMY, DISTAL SUBTOTAL, WITH OR WITHOUT SPLENECTOMY; WITHOUT PANCREATICOJEJUNOSTO PANCREATECTOMY, DISTAL SUBTOTAL, WITH OR WITHOUT SPLENECTOMY; WITH PANCREATICOJEJUNOSTOMY PANCREATECTOMY, DISTAL, NEAR-TOTAL WITH PRESERVATION OF DUODENUM (CHILD-TYPE PROCEDURE) EXCISION OF AMPULLA OF VATER PANCREATECTOMY, PROXIMAL SUBTOTAL WITH TOTAL DUODENECTOMY, PARTIAL GASTRECTOMY, CHOLEDOCH PANCREATECTOMY, PROXIMAL SUBTOTAL WITH TOTAL DUODENECTOMY, PARTIAL GASTRECTOMY, CHOLEDOCH PANCREATECTOMY, PROXIMAL SUBTOTAL WITH NEAR-TOTAL DUODENECTOMY, CHOLEDOCHOENTEROSTOMY A PANCREATECTOMY, PROXIMAL SUBTOTAL WITH NEAR-TOTAL DUODENECTOMY, CHOLEDOCHOENTEROSTOMY A PANCREATECTOMY, TOTAL PANCREATECTOMY, TOTAL OR SUBTOTAL, WITH AUTOLOGOUS TRANSPLANTATION OF PANCREAS OR PANCREAT PANCREATICOJEJUNOSTOMY, SIDE-TO-SIDE ANASTOMOSIS (PUESTOW-TYPE OPERATION) INJECTION PROCEDURE FOR INTRAOPERATIVE PANCREATOGRAPHY (LIST SEPARATELY IN ADDITION TO CODE FO MARSUPIALIZATION OF PANCREATIC CYST EXTERNAL DRAINAGE, PSEUDOCYST OF PANCREAS EXTERNAL DRAINAGE, PSEUDOCYST OF PANCREAS;PERCUTANEOUS INTERNAL ANASTOMOSIS OF PANCREATIC CYST TO GASTROINTESTINAL TRACT; DIRECT INTERNAL ANASTOMOSIS OF PANCREATIC CYST TO GASTROINTESTINAL TRACT; ROUX-EN-Y PANCREATORRHAPHY FOR INJURY DUODENAL EXCLUSION WITH GASTROJEJUNOSTOMY FOR PANCREATIC INJURY DONOR PANCREATECTOMY, WITH PREPARATION AND MAINTENANCE OF ALLOGRAFT FROM CADAVER DONOR, W TRANSPLANTATION OF PANCREATIC ALLOGRAFT REMOVAL OF TRANSPLANTED PANCREATIC ALLOGRAFT UNLISTED PROCEDURE, PANCREAS EXPLORATORY LAPAROTOMY, EXPLORATORY CELIOTOMY WITH OR WITHOUT BIOPSY(S) (SEPARATE PROCEDUR REOPENING OF RECENT LAPAROTOMY EXPLORATION, RETROPERITONEAL AREA WITH OR WITHOUT BIOPSY(S) (SEPARATE PROCEDURE) DRAINAGE OF PERITONEAL ABSCESS OR LOCALIZED PERITONITIS, EXCLUSIVE OF APPENDICEAL ABSCESS; OPEN DRAINAGE OF PERITONEAL ABSCESS OR LOCALIZED PERITONITIS, EXCLUSIVE OF APPENDICEAL ABSCESS; PERC DRAINAGE OF SUBDIAPHRAGMATIC OR SUBPHRENIC ABSCESS DRAINAGE OF SUBDIAPHRAGMATICOR SUBPHRENIC ABSCESS;PERCUTANEOUS DRAINAGE OF RETROPERITONEAL ABSCESS DRAINAGE OF RETROPERITONEAL ABSCESS;PERCUTANEOUS DRAINAGE OF EXTRAPERITONEAL LYMPHOCELE TO PERITONEAL CAVITY, OPEN PERITONEOCENTESIS, ABDOMINAL PARACENTESIS, OR PERITONEAL LAVAGE (DIAGNOSTIC OR THERAPEUTIC); IN PERITONEOCENTESIS, ABDOMINAL PARACENTESIS, OR PERITONEAL LAVAGE (DIAGNOSTIC OR THERAPEUTIC); S
- 310. REMOVAL OF PERITONEALFOREIGN BODY FROM PERITONEAL CAVITY BIOPSY, ABDOMINAL OR RETROPERITONEAL MASS, PERCUTANEOUS NEEDLE EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL OR RETROPERITONEAL TUMORS OR CYSTS OR ENDOMET EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL OR RETROPERITONEAL TUMORS OR CYSTS OR ENDOMET EXCISION OF PRESACRAL OR SACROCOCCYGEAL TUMOR STAGING LAPAROTOMY, HODGKINS DISEASE/LYMPHOMA (INCL SPLENECTOMY, NEEDLE/OPN BIOPSIES, BOTH LIV UMBILECTOMY, OMPHALECTOMY, EXCISION OF UMBILICUS (SEPARATE PROCEDURE) OMENTECTOMY, EPIPLOECTOMY, RESECTION OF OMENTUM (SEPARATE PROCEDURE) LAPAROSCOPY, ABDOMEN, PERITONEUM, AND OMENTUM, DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPE LAPAROSCOPY, SURGICAL; WITH BIOPSY (SINGLE OR MULTIPLE) LAPAROSCOPY, SURGICAL; WITH ASPIRATION OF CAVITY OR CYST (EG, OVARIAN CYST) (SINGLE OR MULTIPLE) LAPAROSCOPY, SURGICAL; WITH DRAINAGE OF LYMPHOCELE TO PERITONEAL CAVITY UNLISTED LAPAROSCOPY PROCEDURE, ABDOMEN, PERITONEUM AND OMENTUM INJECTION OF AIR OR CONTRAST INTO PERITONEAL CAVITY (SEPARATE PROCEDURE) INSERTION OF INTRAPERITONEAL CANNULA OR CATHETER, WITH SUBCUTANEOUS RESERVOIR, PERMANENT (IE, INSERTION OF INTRAPERITONEAL CANNULA OR CATHETER FOR DRAINAGE OR DIALYSIS; TEMPORARY INSERTION OF INTRAPERITONEAL CANNULA OR CATHETER FOR DRAINAGE OR DIALYSIS; PERMANENT REMOVAL OF PERMANENT INTRAPERITONEAL CANNULA OR CATHETER EXCHANGE OF PREVIOUSLY PLACED ABSCESS OR CYST DRAINAGE CATHETER UNDER RADIOLOGICAL GUIDANCE CONTRAST INJECTION FOR ASSESSMENT OF ABSCESS OR CYST VIA PREVIOUSLY PLACED DRAINAGE CATHETER INSERTION OF PERITONEAL-VENOUS SHUNT REVISION OF PERITONEAL-VENOUS SHUNT INJECTION PROCEDURE (EG, CONTRAST MEDIA) FOR EVALUATION OF PREVIOUSLY PLACED PERITONEAL-VENOU LIGATION OF PERITONEAL-VENOUS SHUNT REMOVAL OF PERITONEAL-VENOUS SHUNT REPAIR, INITIAL INGUINAL HERNIA, PRETERM INFANT (LESS THAN 37 WEEKS GESTATION AT BIRTH), PERFORMED REPAIR, INITIAL INGUINAL HERNIA, PRETERM INFANT (LESS THAN 37 WEEKS GESTATION AT BIRTH), PERFORMED, REPAIR, INITIAL INGUINAL HERNIA, FULL TERM INFANT UNDER AGE 6 MONTHS,/PRETERM INFANT OVER 50 WEEKS REPR, INT INGUIN HERNIA, FULL TERM INFANT UNDER AGE 6 MONTHS,/PRETERM INFANT OVER 50 WEEKS PSTCO REPAIR INITIAL INGUINAL HERNIA, AGE 6 MONTHS TO UNDER 5 YEARS, WITH OR WITHOUT HYDROCELECTOMY; R REPAIR INITIAL INGUINAL HERNIA, AGE 6 MONTHS TO UNDER 5 YEARS, WITH OR WITHOUT HYDROCELECTOMY; IN REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OVER; REDUCIBLE REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OVER; INCARCERATED OR STRANGULATED REPAIR RECURRENT INGUINAL HERNIA, ANY AGE; REDUCIBLE REPAIR RECURRENT INGUINAL HERNIA, ANY AGE; INCARCERATED OR STRANGULATED REPAIR INGUINAL HERNIA, SLIDING, ANY AGE REPAIR LUMBAR HERNIA REPAIR INITIAL FEMORAL HERNIA, ANY AGE; REDUCIBLE REPAIR INITIAL FEMORAL HERNIA, ANY AGE, REDUCIBLE; INCARCERATED OR STRANGULATED REPAIR RECURRENT FEMORAL HERNIA; REDUCIBLE REPAIR RECURRENT FEMORAL HERNIA; INCARCERATED OR STRANGULATED REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE REPAIR INITIAL INCISIONAL HERNIA; INCARCERATED OR STRANGULATED REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE REPAIR RECURRENT INCISIONAL HERNIA; INCARCERATED OR STRANGULATED IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR INCISIONAL OR VENTRAL HERNIA REPAIR (LIST SEPARATE REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED REPAIR UMBILICAL HERNIA, UNDER AGE 5 YEARS; REDUCIBLE REPAIR UMBILICAL HERNIA, UNDER AGE 5 YEARS; INCARCERATED OR STRANGULATED REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OVER; REDUCIBLE REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OVER; INCARCERATED OR STRANGULATED
- 311. REPAIR SPIGELIAN HERNIA REPAIROF SMALL OMPHALOCELE, WITH PRIMARY CLOSURE REPAIR OF LARGE OMPHALOCELE OR GASTROSCHISIS; WITH OR WITHOUT PROSTHESIS REPAIR OF LARGE OMPHALOCELE OR GASTROSCHISIS; WITH REMOVAL OF PROSTHESIS, FINAL REDUCTION AND REPAIR OF OMPHALOCELE (GROSS TYPE OPERATION); FIRST STAGE REPAIR OF OMPHALOCELE (GROSS TYPE OPERATION); SECOND STAGE LAPAROSCOPY, SURGICAL; REPAIR INITIAL INGUINAL HERNIA LAPAROSCOPY, SURGICAL; REPAIR RECURRENT INGUINAL HERNIA UNLISTED LAPAROSCOPY PROCEDURE, HERNIOPLASTY, HERNIORRHAPHY, HERNIOTOMY SUTURE, SECONDARY, OF ABDOMINAL WALL FOR EVISCERATION OR DEHISCENCE OMENTAL FLAP, EXTRA-ABDOMINAL (EG, FOR RECONSTRUCTION OF STERNAL AND CHEST WALL DEFECTS) OMENTAL FLAP, INTRA-ABDOMINAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) FREE OMENTAL FLAP WITH MICROVASCULAR ANASTOMOSIS UNLISTED PROCEDURE, ABDOMEN, PERITONEUM AND OMENTUM RENAL EXPLORATION, NOT NECESSITATING OTHER SPECIFIC PROCEDURES DRAINAGE OF PERIRENAL OR RENAL ABSCESS (SEPARATE PROCEDURE) DRAINAGE OF PERIRENAL OR RENAL ABSCESS; PERCUTANEOUS NEPHROSTOMY, NEPHROTOMY WITH DRAINAGE NEPHROTOMY, WITH EXPLORATION NEPHROLITHOTOMY; REMOVAL OF CALCULUS NEPHROLITHOTOMY; SECONDARY SURGICAL OPERATION FOR CALCULUS NEPHROLITHOTOMY; COMPLICATED BY CONGENITAL KIDNEY ABNORMALITY NEPHROLITHOTOMY; REMOVAL OF LARGE STAGHORN CALCULUS FILLING RENAL PELVIS AND CALYCES (INCLUDI PERCUTANEOUS NEPHROSTOLITHOTOMY OR PYELOSTOLITHOTOMY, WITH OR WITHOUT DILATION, ENDOSCOPY PERCUTANEOUS NEPHROSTOLITHOTOMY OR PYELOSTOLITHOTOMY, WITH OR WITHOUT DILATION, ENDOSCOPY TRANSECTION OR REPOSITIONING OF ABERRANT RENAL VESSELS (SEPARATE PROCEDURE) PYELOTOMY; WITH EXPLORATION PYELOTOMY; WITH DRAINAGE, PYELOSTOMY PYELOTOMY; WITH REMOVAL OF CALCULUS (PYELOLITHOTOMY, PELVIOLITHOTOMY, INCLUDING COAGULUM PYE PYELOTOMY; COMPLICATED (EG, SECONDARY OPERATION, CONGENITAL KIDNEY ABNORMALITY) RENAL BIOPSY; PERCUTANEOUS, BY TROCAR OR NEEDLE RENAL BIOPSY; BY SURGICAL EXPOSURE OF KIDNEY NEPHRECTOMY, INCLUDING PARTIAL URETERECTOMY, ANY OPEN APPROACH INCLUDING RIB RESECTION; NEPHRECTOMY, INCLUDING PARTIAL URETERECTOMY, ANY OPEN APPROACH INCLUDING RIB RESECTION; COMP NEPHRECTOMY, INCLUDING PARTIAL URETERECTOMY, ANY OPEN APPROACH INCLUDING RIB RESECTION; RADIC NEPHRECTOMY WITH TOTAL URETERECTOMY AND BLADDER CUFF; THROUGH SAME INCISION NEPHRECTOMY WITH TOTAL URETERECTOMY AND BLADDER CUFF; THROUGH SEPARATE INCISION NEPHRECTOMY, PARTIAL EXCISION OR UNROOFING OF CYST(S) OF KIDNEY EXCISION OF PERINEPHRIC CYST DONOR NEPHRECTOMY, WITH PREPARATION AND MAINTENANCE OF ALLOGRAFT, FROM CADAVER DONOR, UNILA DONOR NEPHRECTOMY, OPEN FROM LIVING DONOR (EXCLUDING PREPARATION AND MAINTENANCE OF ALLOGR RECIPIENT NEPHRECTOMY (SEPARATE PROCEDURE) RENAL ALLOTRANSPLANTATION, IMPLANTATION OF GRAFT; EXCLUDING DONOR AND RECIPIENT NEPHRECTOMY RENAL ALLOTRANSPLANTATION, IMPLANTATION OF GRAFT; WITH RECIPIENT NEPHRECTOMY REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT RENAL AUTOTRANSPLANTATION, REIMPLANTATION OF KIDNEY ASPIRATION AND/OR INJECTION OF RENAL CYST OR PELVIS BY NEEDLE, PERCUTANEOUS INTRODUCTION OF INTRACATHETER OR CATHETER INTO RENAL PELVIS FOR DRAINAGE AND/OR INJECTION, PER INTRODUCTION OF URETERAL CATHETER OR STENT INTO URETER THROUGH RENAL PELVIS FOR DRAINAGE AND INJECTION PROCEDURE FOR PYELOGRAPHY (AS NEPHROSTOGRAM, PYELOSTOGRAM, ANTEGRADE PYELOURETE INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TR
- 312. MANOMETRIC STUDIES THROUGHNEPHROSTOMY OR PYELOSTOMY TUBE, OR INDWELLING URETERAL CATHETE CHANGE OF NEPHROSTOMY OR PYELOSTOMY TUBE PYELOPLASTY (FOLEY Y-PYELOPLASTY), PLASTIC OPERATION ON RENAL PELVIS, W W/O PLASTIC OPERATION ON PYELOPLASTY (FOLEY Y-PYELOPLASTY), PLASTIC OPERATION ON RENAL PELVIS, W W/O PLASTIC OPERATION ON NEPHRORRHAPHY, SUTURE OF KIDNEY WOUND OR INJURY CLOSURE OF NEPHROCUTANEOUS OR PYELOCUTANEOUS FISTULA CLOSURE OF NEPHROVISCERAL FISTULA (EG, RENOCOLIC), INCLUDING VISCERAL REPAIR; ABDOMINAL APPROAC CLOSURE OF NEPHROVISCERAL FISTULA (EG, RENOCOLIC), INCLUDING VISCERAL REPAIR; THORACIC APPROACH SYMPHYSIOTOMY FOR HORSESHOE KIDNEY WITH OR WITHOUT PYELOPLASTY AND/OR OTHER PLASTIC PROCED LAPAROSCOPY, SURGICAL; ABLATION OF RENAL CYSTS LAPAROSCOPY, SURGICAL; ABLATION OF RENAL MASS LESION(S) LAPAROSCOPY, SURGICAL; PARTIAL NEPHRECTOMY LAPAROSCOPY, SURGICAL; PYELOPLASTY LAPAROSCOPY, SURGICAL; RADICAL NEPHRECTOMY (INCLUDES REMOVAL OF GEROTA'S FASCIA AND SURROUND LAPAROSCOPY, SURGICAL; NEPHRECTOMY, INCLUDING PARTIAL URETERECTOMY LAPAROSCOPY, SURGICAL; DONOR NEPHRECTOMY FROM LIVING DONOR (EXCLUDING PREPARATION AND MAINT LAPAROSCOPY, SURGICAL; NEPHRECTOMY WITH TOTAL URETERECTOMY UNLISTED LAPAROSCOPY PROCEDURE, RENAL RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, W W/O IRRIGATION, INSTILLATIO RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, W W/O IRRIGATION, INSTILLATIO RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, W W/O IRRIGATION, INSTILLATIO RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, W W/O IRRIGATION, INSTILLATIO RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, W W/O IRRIGATION, INSTILLATIO RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, W W/O IRRIGATION, INSTILLATIO RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT IRRIGATION, RENAL ENDOSCOPY THROUGH NEPHROTOMY OR PYELOTOMY, W W/O IRRIGATION, INSTILLATION, OR URETEROP RENAL ENDOSCOPY THROUGH NEPHROTOMY OR PYELOTOMY, W W/O IRRIGATION, INSTILLATION, OR URETEROP RENAL ENDOSCOPY THROUGH NEPHROTOMY OR PYELOTOMY, W W/O IRRIGATION, INSTILLATION, OR URETEROP RENAL ENDOSCOPY THROUGH NEPHROTOMY OR PYELOTOMY, W W/O IRRIGATION, INSTILLATION, OR URETEROP RENAL ENDOSCOPY THROUGH NEPHROTOMY OR PYELOTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, O RENAL ENDOSCOPY THROUGH NEPHROTOMY OR PYELOTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, O RENAL ENDOSCOPY THROUGH NEPHROTOMY OR PYELOTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, O LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE URETEROTOMY WITH EXPLORATION OR DRAINAGE (SEPARATE PROCEDURE) URETEROTOMY FOR INSERTION OF INDWELLING STENT, ALL TYPES URETEROLITHOTOMY; UPPER ONE-THIRD OF URETER URETEROLITHOTOMY; MIDDLE ONE-THIRD OF URETER URETEROLITHOTOMY; LOWER ONE-THIRD OF URETER URETERECTOMY, WITH BLADDER CUFF (SEPARATE PROCEDURE) URETERECTOMY, TOTAL, ECTOPIC URETER, COMBINATION ABDOMINAL, VAGINAL AND/OR PERINEAL APPROACH INJECTION PROCEDURE FOR URETEROGRAPHY OR URETEROPYELOGRAPHY THROUGH URETEROSTOMY OR IND MANOMETRIC STUDIES THROUGH URETEROSTOMY OR INDWELLING URETERAL CATHETER CHANGE OF URETEROSTOMY TUBE INJECTION PROCEDURE FOR VISUALIZATION OF ILEAL CONDUIT AND/OR URETEROPYELOGRAPHY, EXCLUSIVE OF URETEROPLASTY, PLASTIC OPERATION ON URETER (EG, STRICTURE) URETEROLYSIS, WITH OR WITHOUT REPOSITIONING OF URETER FOR RETROPERITONEAL FIBROSIS URETEROLYSIS FOR OVARIAN VEIN SYNDROME URETEROLYSIS FOR RETROCAVAL URETER, WITH REANASTOMOSIS OF UPPER URINARY TRACT OR VENA CAVA REVISION OF URINARY-CUTANEOUS ANASTOMOSIS (ANY TYPE UROSTOMY); REVISION OF URINARY-CUTANEOUS ANASTOMOSIS (ANY TYPE UROSTOMY); WITH REPAIR OF FASCIAL DEFECT A URETEROPYELOSTOMY, ANASTOMOSIS OF URETER AND RENAL PELVIS URETEROCALYCOSTOMY, ANASTOMOSIS OF URETER TO RENAL CALYX
- 313. URETEROURETEROSTOMY TRANSURETEROURETEROSTOMY, ANASTOMOSIS OFURETER TO CONTRALATERAL URETER URETERONEOCYSTOSTOMY; ANASTOMOSIS OF SINGLE URETER TO BLADDER URETERONEOCYSTOSTOMY; ANASTOMOSIS OF DUPLICATED URETER TO BLADDER URETERONEOCYSTOSTOMY; WITH EXTENSIVE URETERAL TAILORING URETERONEOCYSTOSTOMY; WITH VESICO-PSOAS HITCH OR BLADDER FLAP URETEROENTEROSTOMY, DIRECT ANASTOMOSIS OF URETER TO INTESTINE URETEROSIGMOIDOSTOMY, WITH CREATION OF SIGMOID BLADDER AND ESTABLISHMENT OF ABDOMINAL OR PER URETEROCOLON CONDUIT, INCLUDING INTESTINE ANASTOMOSIS URETEROILEAL CONDUIT (ILEAL BLADDER), INCLUDING INTESTINE ANASTOMOSIS (BRICKER OPERATION) CONTINENT DIVERSION, INCLUDING INTESTINE ANASTOMOSIS USING ANY SEGMENT OF SMALL AND/OR LARGE IN URINARY UNDIVERSION (EG, TAKING DOWN OF URETEROILEAL CONDUIT, URETEROSIGMOIDOSTOMY OR URETER REPLACEMENT OF ALL OR PART OF URETER BY INTESTINE SEGMENT, INCLUDING INTESTINE ANASTOMOSIS CUTANEOUS APPENDICO-VESICOSTOMY URETEROSTOMY, TRANSPLANTATION OF URETER TO SKIN URETERORRHAPHY, SUTURE OF URETER (SEPARATE PROCEDURE) CLOSURE OF URETEROCUTANEOUS FISTULA CLOSURE OF URETEROVISCERAL FISTULA (INCLUDING VISCERAL REPAIR) DELIGATION OF URETER LAPAROSCOPY, SURGICAL; URETEROLITHOTOMY LAPAROSCOPY, SURGICAL; URETERONEOCYSTOSTOMY WITH CYSTOSCOPY AND URETERAL STENT PLACEMENT LAPAROSCOPY, SURGICAL; URETERONEOCYSTOSTOMY WITHOUT CYSTOSCOPY AND URETERAL STENT PLACEM UNLISTED LAPAROSCOPY PROCEDURE, URETER URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATIO URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATIO URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATIO URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATIO URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATIO URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATIO URETERAL ENDOSCOPY THROUGH URETEROTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETERO URETERAL ENDOSCOPY THROUGH URETEROTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETERO URETERAL ENDOSCOPY THROUGH URETEROTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETERO URETERAL ENDOSCOPY THROUGH URETEROTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETERO URETERAL ENDOSCOPY THROUGH URETEROTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETERO URETERAL ENDOSCOPY THROUGH URETEROTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETERO ASPIRATION OF BLADDER BY NEEDLE ASPIRATION OF BLADDER; BY TROCAR OR INTRACATHETER ASPIRATION OF BLADDER; WITH INSERTION OF SUPRAPUBIC CATHETER CYSTOTOMY OR CYSTOSTOMY; WITH FULGURATION AND/OR INSERTION OF RADIOACTIVE MATERIAL CYSTOTOMY OR CYSTOSTOMY; WITH CRYOSURGICAL DESTRUCTION OF INTRAVESICAL LESION CYSTOSTOMY, CYSTOTOMY WITH DRAINAGE CYSTOTOMY, WITH INSERTION OF URETERAL CATHETER OR STENT (SEPARATE PROCEDURE) CYSTOLITHOTOMY, CYSTOTOMY WITH REMOVAL OF CALCULUS, WITHOUT VESICAL NECK RESECTION TRANSVESICAL URETEROLITHOTOMY CYSTOTOMY, WITH CALCULUS BASKET EXTRACTION AND/OR ULTRASONIC OR ELECTROHYDRAULIC FRAGMENTA DRAINAGE OF PERIVESICAL OR PREVESICAL SPACE ABSCESS EXCISION OF URACHAL CYST OR SINUS, WITH OR WITHOUT UMBILICAL HERNIA REPAIR CYSTOTOMY; FOR SIMPLE EXCISION OF VESICAL NECK (SEPARATE PROCEDURE) CYSTOTOMY; FOR EXCISION OF BLADDER DIVERTICULUM, SINGLE OR MULTIPLE (SEPARATE PROCEDURE) CYSTOTOMY; FOR EXCISION OF BLADDER TUMOR CYSTOTOMY FOR EXCISION, INCISION, OR REPAIR OF URETEROCELE CYSTECTOMY, PARTIAL; SIMPLE
- 314. CYSTECTOMY, PARTIAL; COMPLICATED(EG, POSTRADIATION, PREVIOUS SURGERY, DIFFICULT LOCATION) CYSTECTOMY, PARTIAL, WITH REIMPLANTATION OF URETER(S) INTO BLADDER (URETERONEOCYSTOSTOMY) CYSTECTOMY, COMPLETE; (SEPARATE PROCEDURE) CYSTECTOMY, COMPLETE; WITH BILATERAL PELVIC LYMPHADENECTOMY, INCLUDING EXTERNAL ILIAC, HYPOGAS CYSTECTOMY, COMPLETE, WITH URETEROSIGMOIDOSTOMY OR URETEROCUTANEOUS TRANSPLANTATIONS; CYSTECTOMY, COMPLETE, WITH URETEROSIGMOIDOSTOMY OR URETEROCUTANEOUS TRANSPLANTATIONS; WIT CYSTECTOMY, COMPLETE, WITH URETEROILEAL CONDUIT OR SIGMOID BLADDER, INCLUDING INTESTINE ANASTO CYSTECTOMY, COMPLETE, WITH URETEROILEAL CONDUIT OR SIGMOID BLADDER, INCLUDING INTESTINE ANASTO CYSTECTOMY, COMPLETE, WITH CONTINENT DIVERSION, ANY OPEN TECHNIQUE, USING ANY SEGMENT OF SMAL PELVIC EXENTERATION, COMPLETE, VESICAL, PROSTATIC OR URETHRAL MALIGNANCY, WITH REMOVAL BLADDER INJECTION PROCEDURE FOR CYSTOGRAPHY OR VOIDING URETHROCYSTOGRAPHY INJECTION PROCEDURE AND PLACEMENT OF CHAIN FOR CONTRAST AND/OR CHAIN URETHROCYSTOGRAPHY INJECTION PROCEDURE FOR RETROGRADE URETHROCYSTOGRAPHY BLADDER IRRIGATION, SIMPLE, LAVAGE AND/OR INSTILLATION INSERTION OF NON-INDWELLING BLADDER CATHETER (EG, STRAIGHT CATHETERIZATION FOR RESIDUAL URINE) INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; SIMPLE (EG, FOLEY) INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; COMPLICATED (EG, ALTERED ANATOMY, FRACTU CHANGE OF CYSTOSTOMY TUBE; SIMPLE CHANGE OF CYSTOSTOMY TUBE; COMPLICATED ENDOSCOPIC INJECTION OF IMPLANT MATERIAL INTO THE SUBMUCOSAL TISSUES OF THE URETHRA AND/OR BLA BLADDER INSTILLATION OF ANTICARCINOGENIC AGENT (INCLUDING DETENTION TIME) SIMPLE CYSTOMETROGRAM (CMG) (EG, SPINAL MANOMETER) COMPLEX CYSTOMETROGRAM (EG, CALIBRATED ELECTRONIC EQUIPMENT) SIMPLE UROFLOWMETRY (UFR) (EG, STOP-WATCH FLOW RATE, MECHANICAL UROFLOWMETER) COMPLEX UROFLOWMETRY (EG, CALIBRATED ELECTRONIC EQUIPMENT) URETHRAL PRESSURE PROFILE STUDIES (UPP) (URETHRAL CLOSURE PRESSURE PROFILE), ANY TECHNIQUE ELECTROMYOGRAPHY STUDIES (EMG) OF ANAL OR URETHRAL SPHINCTER, OTHER THAN NEEDLE, ANY TECHNIQ NEEDLE ELECTROMYOGRAPHY STUDIES (EMG) OF ANAL OR URETHRAL SPHINCTER, ANY TECHNIQUE STIMULUS EVOKED RESPONSE (EG, MEASUREMENT OF BULBOCAVERNOSUS REFLEX LATENCY TIME) VOIDING PRESSURE STUDIES (VP); BLADDER VOIDING PRESSURE, ANY TECHNIQUE VOIDING PRESSURE STUDIES (VP); INTRA-ABDOMINAL VOIDING PRESSURE (AP) (RECTAL, GASTRIC, INTRAPERITO MEASUREMENT OF POST-VOIDING RESIDUAL URINE AND/OR BLADDER CAPACITY BY ULTRASOUND, NON-IMAGING CYSTOPLASTY OR CYSTOURETHROPLASTY, PLASTIC OPERATION ON BLADDER AND/OR VESICAL NECK (ANTERIO CYSTOURETHROPLASTY WITH UNILATERAL OR BILATERAL URETERONEOCYSTOSTOMY ANTERIOR VESICOURETHROPEXY, OR URETHROPEXY (EG, MARSHALL-MARCHETTI-KRANTZ, BURCH); SIMPLE ANTERIOR VESICOURETHROPEXY, OR URETHROPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE); COMPLICATED (EG ABDOMINO-VAGINAL VESICAL NECK SUSPENSION, WITH OR WITHOUT ENDOSCOPIC CONTROL (EG, STAMEY, RAZ CYSTORRHAPHY, SUTURE OF BLADDER WOUND, INJURY OR RUPTURE; SIMPLE CYSTORRHAPHY, SUTURE OF BLADDER WOUND, INJURY OR RUPTURE; COMPLICATED CLOSURE OF CYSTOSTOMY (SEPARATE PROCEDURE) CLOSURE OF VESICOVAGINAL FISTULA, ABDOMINAL APPROACH CLOSURE OF VESICOUTERINE FISTULA; CLOSURE OF VESICOUTERINE FISTULA; WITH HYSTERECTOMY CLOSURE, EXSTROPHY OF BLADDER ENTEROCYSTOPLASTY, INCLUDING INTESTINAL ANASTOMOSIS CUTANEOUS VESICOSTOMY LAPAROSCOPY, SURGICAL; URETHRAL SUSPENSION FOR STRESS INCONTINENCE LAPAROSCOPY, SURGICAL; SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC) CYSTOURETHROSCOPY (SEPARATE PROCEDURE) CYSTOURETHROSCOPY WITH IRRIGATION AND EVACUATION OF MULTIPLE OBSTRUCTING CLOTS CYSTOURETHROSCOPY, WITH URETERAL CATHETERIZATION, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR CYSTOURETHROSCOPY, WITH URETERAL CATHETERIZATION, W W/O IRRIGATION, INSTILLATION, OR URETEROPY
- 315. CYSTOURETHROSCOPY, WITH EJACULATORYDUCT CATHETERIZATION, WITH OR WITHOUT IRRIGATION, INSTILLA CYSTOURETHROSCOPY, WITH BIOPSY CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) OF TRIGONE, BL CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) OR TREATMENT CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) AND/OR RESECT CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) AND/OR RESECT CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) AND/OR RESECT CYSTOURETHROSCOPY WITH INSERTION OF RADIOACTIVE SUBSTANCE, WITH OR WITHOUT BIOPSY OR FULGUR CYSTOURETHROSCOPY, WITH DILATION OF BLADDER FOR INTERSTITIAL CYSTITIS; GENERAL OR CONDUCTION (S CYSTOURETHROSCOPY, WITH DILATION OF BLADDER FOR INTERSTITIAL CYSTITIS; LOCAL ANESTHESIA CYSTOURETHROSCOPY, WITH INTERNAL URETHROTOMY; FEMALE CYSTOURETHROSCOPY, WITH INTERNAL URETHROTOMY; MALE CYSTOURETHROSCOPY WITH DIRECT VISION INTERNAL URETHROTOMY CYSTOURETHROSCOPY, WITH RESECTION OF EXTERNAL SPHINCTER (SPHINCTEROTOMY) CYSTOURETHROSCOPY, WITH CALIBRATION AND/OR DILATION OF URETHRAL STRICTURE OR STENOSIS, WITH O CYSTOURETHROSCOPY, WITH INSERTION OF URETHRAL STENT CYSTOURETHROSCOPY, WITH STEROID INJECTION INTO STRICTURE CYSTOURETHROSCOPY FOR TREATMENT OF FEMALE URETHRAL SYNDROME: URETHRAL MEATOTOMY, URETHRA CYSTOURETHROSCOPY; WITH URETERAL MEATOTOMY, UNILATERAL OR BILATERAL CYSTOURETHROSCOPY; WITH RESECTION OR FULGURATION OF ORTHOTOPIC URETEROCELE(S), UNILATERAL O CYSTOURETHROSCOPY; WITH RESECTION OR FULGURATION OF ECTOPIC URETEROCELE(S), UNILATERAL OR BIL CYSTOURETHROSCOPY; WITH INCISION OR RESECTION OF ORIFICE OF BLADDER DIVERTICULUM, SINGLE OR MU CYSTOURETHROSCOPY, WITH REMOVAL OF FOREIGN BODY, CALCULUS, OR URETERAL STENT FROM URETHRA O CYSTOURETHROSCOPY, WITH REMOVAL OF FOREIGN BODY, CALCULUS, OR URETERAL STENT FROM URETHRA O LITHOLAPAXY: CRUSHING OR FRAGMENTATION OF CALCULUS BY ANY MEANS IN BLADDER AND REMOVAL OF FRA LITHOLAPAXY: CRUSHING OR FRAGMENTATION OF CALCULUS BY ANY MEANS IN BLADDER AND REMOVAL OF FRA CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH REMOVAL OF URETERAL CALCULUS CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH FRAGMENTATION OF URETERAL CALC CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH SUBURETERIC INJECTION OF IMPLANT CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH MANIPULATION, WITHOUT REMOVAL O CYSTOURETHROSCOPY, WITH INSERTION OF INDWELLING URETERAL STENT (EG, GIBBONS OR DOUBLE-J TYPE) CYSTOURETHROSCOPY WITH INSERTION OF URETERAL GUIDE WIRE THROUGH KIDNEY TO ESTABLISH A PERCUT CYSTOURETHROSCOPY; WITH TREATMENT OF URETERAL STRICTURE (EG, BALLOON DILATION, LASER, ELECTRO CYSTOURETHROSCOPY; WITH TREATMENT OF URETEROPELVIC JUNCTION STRICTURE (EG, BALLOON DILATION, CYSTOURETHROSCOPY; WITH TREATMENT OF INTRA-RENAL STRICTURE (EG, BALLOON DILATION, LASER, ELECT CYSTOURETHROSCOPY WITH URETEROSCOPY; WITH TREATMENT OF URETERAL STRICTURE (EG, BALLOON DILA CYSTOURETHROSCOPY WITH URETEROSCOPY; WITH TREATMENT OF URETEROPELVIC JUNCTION STRICTURE (E CYSTOURETHROSCOPY WITH URETEROSCOPY; WITH TREATMENT OF INTRA-RENAL STRICTURE (EG, BALLOON D CYSTOURETHROSCOPY WITH TRANSURETHRAL RESECTION OR INCISION OF EJACULATORY DUCTS CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; DIAGNOSTIC CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH REMOVAL OR MANIPULATION OF CA CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH LITHOTRIPSY (URETERAL CATHETE CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH BIOPSY AND/OR FULGURATION OF U CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH RESECTION OF URETERAL OR RENA CYSTOURETHROSCOPY WITH INCISION, FULGURATION, OR RESECTION OF CONGENITAL POSTERIOR URETHRAL TRANSURETHRAL INCISION OF PROSTATE TRANSURETHRAL RESECTION OF BLADDER NECK (SEPARATE PROCEDURE) TRANSURETHRAL BALLOON DILATION OF THE PROSTATIC URETHRA TRANSURETHRAL ELECTROSURGICAL RESECTION PROSTATE, INC CONTROL OF POSTOPERATIVE BLEEDING, CO TRANSURETHRAL FULGURATION FOR POSTOPERATIVE BLEEDING OCCURRING AFTER THE USUAL FOLLOW-UP T TRANSURETHRAL RESECTION OF PROSTATE; FIRST STAGE OF TWO-STAGE RESECTION (PARTIAL RESECTION) TRANSURETHRAL RESECTION OF PROSTATE; SECOND STAGE OF TWO-STAGE RESECTION (RESECTION COMPLE
- 316. TRANSURETHRAL RESECTION; OFRESIDUAL OBSTRUCTIVE TISSUE AFTER 90 DAYS POSTOPERATIVE TRANSURETHRAL RESECTION; OF REGROWTH OF OBSTRUCTIVE TISSUE LONGER THAN ONE YEAR POSTOPERAT TRANSURETHRAL RESECTION; OF POSTOPERATIVE BLADDER NECK CONTRACTURE NON-CONTACT LASER COAGULATION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMP CONTACT LASER VAPORIZATION W W/O TRANSURETHRAL RESECTION PROSTATE, INC CONTROL POSTOPERATIV TRANSURETHRAL DRAINAGE OF PROSTATIC ABSCESS URETHROTOMY OR URETHROSTOMY, EXTERNAL (SEPARATE PROCEDURE); PENDULOUS URETHRA URETHROTOMY OR URETHROSTOMY, EXTERNAL (SEPARATE PROCEDURE); PERINEAL URETHRA, EXTERNAL MEATOTOMY, CUTTING OF MEATUS (SEPARATE PROCEDURE); EXCEPT INFANT MEATOTOMY, CUTTING OF MEATUS (SEPARATE PROCEDURE); INFANT DRAINAGE OF DEEP PERIURETHRAL ABSCESS DRAINAGE OF SKENE'S GLAND ABSCESS OR CYST DRAINAGE OF PERINEAL URINARY EXTRAVASATION; UNCOMPLICATED (SEPARATE PROCEDURE) DRAINAGE OF PERINEAL URINARY EXTRAVASATION; COMPLICATED BIOPSY OF URETHRA URETHRECTOMY, TOTAL, INCLUDING CYSTOSTOMY; FEMALE URETHRECTOMY, TOTAL, INCLUDING CYSTOSTOMY; MALE EXCISION OR FULGURATION OF CARCINOMA OF URETHRA EXCISION OF URETHRAL DIVERTICULUM (SEPARATE PROCEDURE); FEMALE EXCISION OF URETHRAL DIVERTICULUM (SEPARATE PROCEDURE); MALE MARSUPIALIZATION OF URETHRAL DIVERTICULUM, MALE OR FEMALE EXCISION OF BULBOURETHRAL GLAND (COWPER'S GLAND) EXCISION OR FULGURATION; URETHRAL POLYP(S), DISTAL URETHRA EXCISION OR FULGURATION; URETHRAL CARUNCLE EXCISION OR FULGURATION; SKENE'S GLANDS EXCISION OR FULGURATION; URETHRAL PROLAPSE URETHROPLASTY; FIRST STAGE, FOR FISTULA, DIVERTICULUM, OR STRICTURE (EG, JOHANNSEN TYPE) URETHROPLASTY; SECOND STAGE (FORMATION OF URETHRA), INCLUDING URINARY DIVERSION URETHROPLASTY, ONE-STAGE RECONSTRUCTION OF MALE ANTERIOR URETHRA URETHROPLASTY, TRANSPUBIC OR PERINEAL, ONE STAGE, FOR RECONSTRUCTION OR REPAIR OF PROSTATIC O URETHROPLASTY, TWO-STAGE RECONSTRUCTION OR REPAIR OF PROSTATIC OR MEMBRANOUS URETHRA; FIRS URETHROPLASTY, TWO-STAGE RECONSTRUCTION OR REPAIR OF PROSTATIC OR MEMBRANOUS URETHRA; SECO URETHROPLASTY, RECONSTRUCTION OF FEMALE URETHRA URETHROPLASTY WITH TUBULARIZATION OF POSTERIOR URETHRA AND/OR LOWER BLADDER FOR INCONTINENC SLING OPERATION FOR CORRECTION OF MALE URINARY INCONTINENCE (EG, FASCIA OR SYNTHETIC) REMOVAL OR REVISION OF SLING FOR MALE URINARY INCONTINENCE (EG, FASCIA OR SYNTHETIC) INSERTION OF TANDEM CUFF (DUAL CUFF) INSERTION OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER, INCLUDING PLACEMENT OF PUMP, RESERVO REMOVAL OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER, INCLUDING PUMP, RESERVOIR, AND CUFF REMOVAL AND REPLACEMENT OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER INCLUDING PUMP, RESERV REMOVAL&REPLACEMENT, INFLATABLE URETHRAL/BLADDER NECK SPHINCTER INCLUDING PUMP, RESERVOIR,&C REPAIR OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER, INCLUDING PUMP, RESERVOIR, AND CUFF URETHROMEATOPLASTY, WITH MUCOSAL ADVANCEMENT URETHROMEATOPLASTY, WITH PARTIAL EXCISION OF DISTAL URETHRAL SEGMENT (RICHARDSON TYPE PROCED URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR INJURY, FEMALE URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR INJURY; PENILE URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR INJURY; PERINEAL URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR INJURY; PROSTATOMEMBRANOUS CLOSURE OF URETHROSTOMY OR URETHROCUTANEOUS FISTULA, MALE (SEPARATE PROCEDURE) DILATION OF URETHRAL STRICTURE BY PASSAGE OF SOUND OR URETHRAL DILATOR, MALE; INITIAL DILATION OF URETHRAL STRICTURE BY PASSAGE OF SOUND OR URETHRAL DILATOR, MALE; SUBSEQUENT DILATION OF URETHRAL STRICTURE OR VESICAL NECK BY PASSAGE OF SOUND OR URETHRAL DILATOR, MALE, G
- 317. DILATION OF URETHRALSTRICTURE BY PASSAGE OF FILIFORM AND FOLLOWER, MALE; INITIAL DILATION OF URETHRAL STRICTURE BY PASSAGE OF FILIFORM AND FOLLOWER, MALE; SUBSEQUENT DILATION OF FEMALE URETHRA INCLUDING SUPPOSITORY AND/OR INSTILLATION; INITIAL DILATION OF FEMALE URETHRA INCLUDING SUPPOSITORY AND/OR INSTILLATION; SUBSEQUENT DILATION OF FEMALE URETHRA, GENERAL OR CONDUCTION (SPINAL) ANESTHESIA TRANSURETHRAL DESTRUCTION OF PROSTATE TISSUE; BY MICROWAVE THERMOTHERAPY TRANSURETHRAL DESTRUCTION OF PROSTATE TISSUE; BY RADIOFREQUENCY THERMOTHERAPY TRANSURETHRAL DESTRUCTION OF PROSTATE TISSUE; BY WATER-INDUCED THERMOTHERAPY UNLISTED PROCEDURE, URINARY SYSTEM SLITTING OF PREPUCE, DORSAL OR LATERAL (SEPARATE PROCEDURE); NEWBORN SLITTING OF PREPUCE, DORSAL OR LATERAL (SEPARATE PROCEDURE); EXCEPT NEWBORN INCISION AND DRAINAGE OF PENIS, DEEP DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESI DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESI DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESI DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESI DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESI DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESI BIOPSY OF PENIS (SEPARATE PROCEDURE) BIOPSY OF PENIS; DEEP STRUCTURES EXCISION OF PENILE PLAQUE (PEYRONIE DISEASE); EXCISION OF PENILE PLAQUE (PEYRONIE DISEASE); WITH GRAFT TO 5 CM IN LENGTH EXCISION OF PENILE PLAQUE (PEYRONIE DISEASE); WITH GRAFT GREATER THAN 5 CM IN LENGTH REMOVAL FOREIGN BODY FROM DEEP PENILE TISSUE (EG, PLASTIC IMPLANT) AMPUTATION OF PENIS; PARTIAL AMPUTATION OF PENIS; COMPLETE AMPUTATION OF PENIS, RADICAL; WITH BILATERAL INGUINOFEMORAL LYMPHADENECTOMY AMPUTATION OF PENIS, RADICAL; IN CONTINUITY WITH BILATERAL PELVIC LYMPHADENECTOMY, INCLUDING EXT CIRCUMCISION, USING CLAMP OR OTHER DEVICE; NEWBORN CIRCUMCISION, USING CLAMP OR OTHER DEVICE; EXCEPT NEWBORN CIRCUMCISION, SURGICAL EXCISION OTHER THAN CLAMP, DEVICE OR DORSAL SLIT; NEWBORN CIRCUMCISION, SURGICAL EXCISION OTHER THAN CLAMP, DEVICE OR DORSAL SLIT; EXCEPT NEWBORN LYSIS OR EXCISION OF PENILE POST-CIRCUMCISION ADHESIONS REPAIR INCOMPLETE CIRCUMCISION FRENULOTOMY OF PENIS INJECTION PROCEDURE FOR PEYRONIE DISEASE; INJECTION PROCEDURE FOR PEYRONIE DISEASE; WITH SURGICAL EXPOSURE OF PLAQUE IRRIGATION OF CORPORA CAVERNOSA FOR PRIAPISM INJECTION PROCEDURE FOR CORPORA CAVERNOSOGRAPHY DYNAMIC CAVERNOSOMETRY, INCLUDING INTRACAVERNOSAL INJECTION OF VASOACTIVE DRUGS (EG, PAPAVER INJECTION OF CORPORA CAVERNOSA WITH PHARMACOLOGIC AGENT(S) (EG, PAPAVERINE, PHENTOLAMINE) PENILE PLETHYSMOGRAPHY NOCTURNAL PENILE TUMESCENCE AND/OR RIGIDITY TEST PLASTIC OPERATION OF PENIS FOR STRAIGHTENING OF CHORDEE (EG, HYPOSPADIAS), WITH OR WITHOUT MOB PLASTIC OPERATION ON PENIS FOR CORRECTION OF CHORDEE OR FOR FIRST STAGE HYPOSPADIAS REPAIR WIT URETHROPLASTY FOR SECOND STAGE HYPOSPADIAS REPAIR (INCLUDING URINARY DIVERSION); LESS THAN 3 CM URETHROPLASTY FOR SECOND STAGE HYPOSPADIAS REPAIR (INCLUDING URINARY DIVERSION); GREATER THAN URETHROPLASTY FOR SECOND STAGE HYPOSPADIAS REPAIR (INCLUDING URINARY DIVERSION) WITH FREE SKIN URETHROPLASTY FOR THIRD STAGE HYPOSPADIAS REPAIR TO RELEASE PENIS FROM SCROTUM (EG, THIRD STA ONE STAGE DISTAL HYPOSPADIAS REPAIR (WITH OR WITHOUT CHORDEE OR CIRCUMCISION); WITH SIMPLE MEAT ONE STAGE DISTAL HYPOSPADIAS REPAIR (WITH OR WITHOUT CHORDEE OR CIRCUMCISION); WITH URETHROPL ONE STAGE DISTAL HYPOSPADIAS REPAIR (WITH OR WITHOUT CHORDEE OR CIRCUMCISION); WITH URETHROPL
- 318. ONE STAGE DISTALHYPOSPADIAS REPAIR (WITH OR WITHOUT CHORDEE OR CIRCUMCISION); WITH EXTENSIVE D ONE STAGE PROXIMAL PENILE OR PENOSCROTAL HYPOSPADIAS REPAIR REQUIRING EXTENSIVE DISSECTION TO ONE STAGE PERINEAL HYPOSPADIAS REPAIR REQUIRING EXTENSIVE DISSECTION TO CORRECT CHORDEE AND U REPAIR OF HYPOSPADIAS COMPLICATIONS (IE, FISTULA, STRICTURE, DIVERTICULA); BY CLOSURE, INCISION, OR E REPAIR OF HYPOSPADIAS COMPLICATIONS (IE, FISTULA, STRICTURE, DIVERTICULA); REQUIRING MOBILIZATION O REPAIR OF HYPOSPADIAS COMPLICATIONS (IE, FISTULA, STRICTURE, DIVERTICULA); REQUIRING EXTENSIVE DISS REPAIR OF HYPOSPADIAS CRIPPLE REQUIRING EXTENSIVE DISSECTION & EXCISION OF PREVIOUSLY CONSTRUC PLASTIC OPERATION ON PENIS TO CORRECT ANGULATION PLASTIC OPERATION ON PENIS FOR EPISPADIAS DISTAL TO EXTERNAL SPHINCTER; PLASTIC OPERATION ON PENIS FOR EPISPADIAS DISTAL TO EXTERNAL SPHINCTER; WITH INCONTINENCE PLASTIC OPERATION ON PENIS FOR EPISPADIAS DISTAL TO EXTERNAL SPHINCTER; WITH EXSTROPHY OF BLADD INSERTION OF PENILE PROSTHESIS; NON-INFLATABLE (SEMI-RIGID) INSERTION OF PENILE PROSTHESIS; INFLATABLE (SELF-CONTAINED) INSERTION OF MULTI-COMPONENT, INFLATABLE PENILE PROSTHESIS, INCLUDING PLACEMENT OF PUMP, CYLIND REMOVAL OF ALL COMPONENTS OF A MULTI-COMPONENT, INFLATABLE PENILE PROSTHESIS WITHOUT REPLACE REPAIR OF COMPONENT(S) OF A MULTI-COMPONENT, INFLATABLE PENILE PROSTHESIS REMOVAL AND REPLACEMENT OF ALL COMPONENT(S) OF A MULTI-COMPONENT, INFLATABLE PENILE PROSTHES REMOVAL&REPLACEMENT OF ALL COMPONENTS OF MULTI-COMPONENT INFLATABLE PENILE PROSTHESIS THRO REMOVAL OF NON-INFLATABLE (SEMI-RIGID) OR INFLATABLE (SELF-CONTAINED) PENILE PROSTHESIS, WITHOUT R REMOVAL AND REPLACEMENT OF NON-INFLATABLE (SEMI-RIGID) OR INFLATABLE (SELF-CONTAINED) PENILE PRO REMOVAL&REPLACEMENT, NON-INFLATABLE (SEMI-RIGID)/INFLATABLE (SELF-CONTAINED) PENILE PROSTHESIS T CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT (PRIAPISM OPERATION), UNILATERAL OR BILATERAL CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT (PRIAPISM OPERATION), UNILATERAL OR BILATERAL CORPORA CAVERNOSA-GLANS PENIS FISTULIZATION (EG, BIOPSY NEEDLE, WINTER PROCEDURE, RONGEUR, OR PLASTIC OPERATION OF PENIS FOR INJURY FORESKIN MANIPULATION INCLUDING LYSIS OF PREPUTIAL ADHESIONS AND STRETCHING BIOPSY OF TESTIS, NEEDLE (SEPARATE PROCEDURE) BIOPSY OF TESTIS, INCISIONAL (SEPARATE PROCEDURE) EXCISION OF EXTRAPARENCHYMAL LESION OF TESTIS ORCHIECTOMY, SIMPLE (INCLUDING SUBCAPSULAR), WITH OR WITHOUT TESTICULAR PROSTHESIS, SCROTAL OR ORCHIECTOMY, PARTIAL ORCHIECTOMY, RADICAL, FOR TUMOR; INGUINAL APPROACH ORCHIECTOMY, RADICAL, FOR TUMOR; WITH ABDOMINAL EXPLORATION EXPLORATION FOR UNDESCENDED TESTIS (INGUINAL OR SCROTAL AREA) EXPLORATION FOR UNDESCENDED TESTIS WITH ABDOMINAL EXPLORATION REDUCTION OF TORSION OF TESTIS, SURGICAL, WITH OR WITHOUT FIXATION OF CONTRALATERAL TESTIS FIXATION OF CONTRALATERAL TESTIS (SEPARATE PROCEDURE) ORCHIOPEXY, INGUINAL APPROACH, WITH OR WITHOUT HERNIA REPAIR ORCHIOPEXY, ABDOMINAL APPROACH, FOR INTRA-ABDOMINAL TESTIS (EG, FOWLER-STEPHENS) INSERTION OF TESTICULAR PROSTHESIS (SEPARATE PROCEDURE) SUTURE OR REPAIR OF TESTICULAR INJURY TRANSPLANTATION OF TESTIS(ES) TO THIGH (BECAUSE OF SCROTAL DESTRUCTION) LAPAROSCOPY, SURGICAL; ORCHIECTOMY LAPAROSCOPY, SURGICAL; ORCHIOPEXY FOR INTRA-ABDOMINAL TESTIS UNLISTED LAPAROSCOPY PROCEDURE, TESTIS INCISION AND DRAINAGE OF EPIDIDYMIS, TESTIS AND/OR SCROTAL SPACE (EG, ABSCESS OR HEMATOMA) BIOPSY OF EPIDIDYMIS, NEEDLE EXPLORATION OF EPIDIDYMIS, WITH OR WITHOUT BIOPSY EXCISION OF LOCAL LESION OF EPIDIDYMIS EXCISION OF SPERMATOCELE, WITH OR WITHOUT EPIDIDYMECTOMY EPIDIDYMECTOMY; UNILATERAL EPIDIDYMECTOMY; BILATERAL
- 319. EPIDIDYMOVASOSTOMY, ANASTOMOSIS OFEPIDIDYMIS TO VAS DEFERENS; UNILATERAL EPIDIDYMOVASOSTOMY, ANASTOMOSIS OF EPIDIDYMIS TO VAS DEFERENS; BILATERAL PUNCTURE ASPIRATION OF HYDROCELE, TUNICA VAGINALIS, WITH OR WITHOUT INJECTION OF MEDICATION EXCISION OF HYDROCELE; UNILATERAL EXCISION OF HYDROCELE; BILATERAL REPAIR OF TUNICA VAGINALIS HYDROCELE (BOTTLE TYPE) DRAINAGE OF SCROTAL WALL ABSCESS SCROTAL EXPLORATION REMOVAL OF FOREIGN BODY IN SCROTUM RESECTION OF SCROTUM SCROTOPLASTY; SIMPLE SCROTOPLASTY; COMPLICATED VASOTOMY, CANNULIZATION WITH OR WITHOUT INCISION OF VAS, UNILATERAL OR BILATERAL (SEPARATE PROC VASECTOMY, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE), INCLUDING POSTOPERATIVE SEMEN EXAM(S VASOTOMY FOR VASOGRAMS, SEMINAL VESICULOGRAMS, OR EPIDIDYMOGRAMS, UNILATERAL OR BILATERAL VASOVASOSTOMY, VASOVASORRHAPHY LIGATION (PERCUTANEOUS) OF VAS DEFERENS, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE) EXCISION OF HYDROCELE OF SPERMATIC CORD, UNILATERAL (SEPARATE PROCEDURE) EXCISION OF LESION OF SPERMATIC CORD (SEPARATE PROCEDURE) EXCISION OF VARICOCELE OR LIGATION OF SPERMATIC VEINS FOR VARICOCELE; (SEPARATE PROCEDURE) EXCISION OF VARICOCELE OR LIGATION OF SPERMATIC VEINS FOR VARICOCELE; ABDOMINAL APPROACH EXCISION OF VARICOCELE OR LIGATION OF SPERMATIC VEINS FOR VARICOCELE; WITH HERNIA REPAIR LAPAROSCOPY, SURGICAL, WITH LIGATION OF SPERMATIC VEINS FOR VARICOCELE UNLISTED LAPAROSCOPY PROCEDURE, SPERMATIC CORD VESICULOTOMY; VESICULOTOMY; COMPLICATED VESICULECTOMY, ANY APPROACH EXCISION OF MULLERIAN DUCT CYST BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH BIOPSY, PROSTATE; INCISIONAL, ANY APPROACH PROSTATOTOMY, EXTERNAL DRAINAGE OF PROSTATIC ABSCESS, ANY APPROACH; SIMPLE PROSTATOTOMY, EXTERNAL DRAINAGE OF PROSTATIC ABSCESS, ANY APPROACH; COMPLICATED PROSTATECTOMY, PERINEAL, SUBTOTAL (INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, VASECTOMY, ME PROSTATECTOMY, PERINEAL RADICAL; PROSTATECTOMY, PERINEAL RADICAL; WITH LYMPH NODE BIOPSY(S) (LIMITED PELVIC LYMPHADENECTOMY) PROSTATECTOMY, PERINEAL RADICAL; WITH BILATERAL PELVIC LYMPHADENECTOMY, INCLUDING EXTERNAL ILIA PROSTATECTOMY (INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, VASECTOMY, MEATOTOMY, URETHRAL PROSTATECTOMY (INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, VASECTOMY, MEATOTOMY, URETHRAL PROSTATECTOMY, RETROPUBIC RADICAL, WITH OR WITHOUT NERVE SPARING; PROSTATECTOMY, RETROPUBIC RADICAL, WITH OR WITHOUT NERVE SPARING; WITH LYMPH NODE BIOPSY(S) (LI PROSTATECTOMY, RETROPUBIC RADICAL, WITH OR WITHOUT NERVE SPARING; WITH BILATERAL PELVIC LYMPHA TRANSPERINEAL PLACEMENT OF NEEDLES OR CATHETERS INTO PROSTATE FOR INTERSTITIAL RADIOELEMENT A EXPOSURE OF PROSTATE, ANY APPROACH, FOR INSERTION OF RADIOACTIVE SUBSTANCE; EXPOSURE OF PROSTATE, ANY APPROACH, FOR INSERTION OF RADIOACTIVE SUBSTANCE; WITH LYMPH NODE B EXPOSURE OF PROSTATE, ANY APPROACH, FOR INSERTION OF RADIOACTIVE SUBSTANCE; WITH BILATERAL PEL LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING ELECTROEJACULATION CRYOSURGICAL ABLATION OF THE PROSTATE (INCLUDES ULTRASONIC GUIDANCE FOR INTERSTITIAL CRYOSURG UNLISTED PROCEDURE, MALE GENITAL SYSTEM INTERSEX SURGERY; MALE TO FEMALE INTERSEX SURGERY; FEMALE TO MALE INCISION AND DRAINAGE OF VULVA OR PERINEAL ABSCESS
- 320. INCISION AND DRAINAGEOF BARTHOLIN'S GLAND ABSCESS MARSUPIALIZATION OF BARTHOLIN'S GLAND CYST LYSIS OF LABIAL ADHESIONS DESTRUCTION OF LESION(S), VULVA; SIMPLE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMO DESTRUCTION OF LESION(S), VULVA; EXTENSIVE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CH BIOPSY OF VULVA OR PERINEUM (SEPARATE PROCEDURE); ONE LESION BIOPSY OF VULVA OR PERINEUM (SEPARATE PROCEDURE); EACH SEPARATE ADDITIONAL LESION (LIST SEPARAT VULVECTOMY SIMPLE; PARTIAL VULVECTOMY SIMPLE; COMPLETE VULVECTOMY, RADICAL, PARTIAL; VULVECTOMY, RADICAL, PARTIAL; WITH UNILATERAL INGUINOFEMORAL LYMPHADENECTOMY VULVECTOMY, RADICAL, PARTIAL; WITH BILATERAL INGUINOFEMORAL LYMPHADENECTOMY VULVECTOMY, RADICAL, COMPLETE; VULVECTOMY, RADICAL, COMPLETE; WITH UNILATERAL INGUINOFEMORAL LYMPHADENECTOMY VULVECTOMY, RADICAL, COMPLETE; WITH BILATERAL INGUINOFEMORAL LYMPHADENECTOMY VULVECTOMY, RADICAL, COMPLETE, WITH INGUINOFEMORAL, ILIAC, AND PELVIC LYMPHADENECTOMY PARTIAL HYMENECTOMY OR REVISION OF HYMENAL RING HYMENOTOMY, SIMPLE INCISION EXCISION OF BARTHOLIN'S GLAND OR CYST PLASTIC REPAIR OF INTROITUS CLITOROPLASTY FOR INTERSEX STATE PERINEOPLASTY, REPAIR OF PERINEUM, NON-OBSTETRICAL (SEPARATE PROCEDURE) COLPOSCOPY OF THE VULVA COLPOSCOPY OF THE VULVA; WITH BIOPSY(S) COLPOTOMY; WITH EXPLORATION COLPOTOMY; WITH DRAINAGE OF PELVIC ABSCESS COLPOCENTESIS (SEPARATE PROCEDURE) INCISION AND DRAINAGE OF VAGINAL HEMATOMA; OBSTETRICAL/POSTPARTUM INCISION AND DRAINAGE OF VAGINAL HEMATOMA; NON-OBSTETRICAL (EG, POST-TRAUMA, SPONTANEOUS BLEED DESTRUCTION OF VAGINAL LESION(S); SIMPLE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEM DESTRUCTION OF VAGINAL LESION(S); EXTENSIVE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, C BIOPSY OF VAGINAL MUCOSA; SIMPLE (SEPARATE PROCEDURE) BIOPSY OF VAGINAL MUCOSA; EXTENSIVE, REQUIRING SUTURE (INCLUDING CYSTS) VAGINECTOMY, PARTIAL REMOVAL OF VAGINAL WALL VAGINECTOMY, PARTIAL REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGIN VAGINECTOMY, PARTIAL REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGIN VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAG VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAG COLPOCLEISIS (LE FORT TYPE) EXCISION OF VAGINAL SEPTUM EXCISION OF VAGINAL CYST OR TUMOR IRRIGATION OF VAGINA AND/OR APPLICATION OF MEDICAMENT FOR TREATMENT OF BACTERIAL, PARASITIC, OR INSERTION OF UTERINE TANDEMS AND/OR VAGINAL OVOIDS FOR CLINICAL BRACHYTHERAPY FITTING AND INSERTION OF PESSARY OR OTHER INTRAVAGINAL SUPPORT DEVICE DIAPHRAGM OR CERVICAL CAP FITTING WITH INSTRUCTIONS INTRODUCTION OF ANY HEMOSTATIC AGENT OR PACK FOR SPONTANEOUS OR TRAUMATIC NONOBSTETRICAL VA COLPORRHAPHY, SUTURE OF INJURY OF VAGINA (NONOBSTETRICAL) COLPOPERINEORRHAPHY, SUTURE OF INJURY OF VAGINA AND/OR PERINEUM (NONOBSTETRICAL) PLASTIC OPERATION ON URETHRAL SPHINCTER, VAGINAL APPROACH (EG, KELLY URETHRAL PLICATION) PLASTIC REPAIR OF URETHROCELE ANTERIOR COLPORRHAPHY, REPAIR OF CYSTOCELE WITH OR WITHOUT REPAIR OF URETHROCELE
- 321. POSTERIOR COLPORRHAPHY, REPAIROF RECTOCELE WITH OR WITHOUT PERINEORRHAPHY COMBINED ANTEROPOSTERIOR COLPORRHAPHY; COMBINED ANTEROPOSTERIOR COLPORRHAPHY; WITH ENTEROCELE REPAIR REPAIR OF ENTEROCELE, VAGINAL APPROACH (SEPARATE PROCEDURE) REPAIR OF ENTEROCELE, ABDOMINAL APPROACH (SEPARATE PROCEDURE) COLPOPEXY, ABDOMINAL APPROACH SACROSPINOUS LIGAMENT FIXATION FOR PROLAPSE OF VAGINA PARAVAGINAL DEFECT REPAIR (INCLUDING REPAIR OF CYSTOCELE, STRESS URINARY INCONTINENCE, AND/OR IN REMOVAL OR REVISION OF SLING FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC) SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC) PEREYRA PROCEDURE, INCLUDING ANTERIOR COLPORRHAPHY CONSTRUCTION OF ARTIFICIAL VAGINA; WITHOUT GRAFT CONSTRUCTION OF ARTIFICIAL VAGINA; WITH GRAFT CLOSURE OF RECTOVAGINAL FISTULA; VAGINAL OR TRANSANAL APPROACH CLOSURE OF RECTOVAGINAL FISTULA; ABDOMINAL APPROACH CLOSURE OF RECTOVAGINAL FISTULA; ABDOMINAL APPROACH, WITH CONCOMITANT COLOSTOMY CLOSURE OF RECTOVAGINAL FISTULA; TRANSPERINEAL APPROACH, WITH PERINEAL BODY RECONSTRUCTION, W CLOSURE OF URETHROVAGINAL FISTULA; CLOSURE OF URETHROVAGINAL FISTULA; WITH BULBOCAVERNOSUS TRANSPLANT CLOSURE OF VESICOVAGINAL FISTULA; VAGINAL APPROACH CLOSURE OF VESICOVAGINAL FISTULA; TRANSVESICAL AND VAGINAL APPROACH VAGINOPLASTY FOR INTERSEX STATE DILATION OF VAGINA UNDER ANESTHESIA PELVIC EXAMINATION UNDER ANESTHESIA REMOVAL OF IMPACTED VAGINAL FOREIGN BODY (SEPARATE PROCEDURE) UNDER ANESTHESIA COLPOSCOPY OF THE ENTIRE VAGINA, WITH CERVIX IF PRESENT; COLPOSCOPY OF THE ENTIRE VAGINA, WITH CERVIX IF PRESENT; WITH BIOPSY(S) COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH BIOPSY(S) OF THE CERVIX AND ENDO COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH BIOPSY(S) OF THE CERVIX COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH ENDOCERVICAL CURETTAGE COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH LOOP ELECTRODE BIOPSY(S) OF THE COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH LOOP ELECTRODE CONIZATION OF TH BIOPSY, SINGLE OR MULTIPLE, OR LOCAL EXCISION OF LESION, WITH OR WITHOUT FULGURATION (SEPARATE PR ENDOCERVICAL CURETTAGE (NOT DONE AS PART OF A DILATION AND CURETTAGE) CAUTERY OF CERVIX; ELECTRO OR THERMAL CAUTERY OF CERVIX; CRYOCAUTERY, INITIAL OR REPEAT CAUTERY OF CERVIX; LASER ABLATION CONIZATION OF CERVIX, WITH OR WITHOUT FULGURATION, WITH OR WITHOUT DILATION AND CURETTAGE, WITH CONIZATION OF CERVIX, WITH OR WITHOUT FULGURATION, WITH OR WITHOUT DILATION AND CURETTAGE, WITH TRACHELECTOMY (CERVICECTOMY), AMPUTATION OF CERVIX (SEPARATE PROCEDURE) RADICAL TRACHELECTOMY, WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NOD EXCISION OF CERVICAL STUMP, ABDOMINAL APPROACH; EXCISION OF CERVICAL STUMP, ABDOMINAL APPROACH; WITH PELVIC FLOOR REPAIR EXCISION OF CERVICAL STUMP, VAGINAL APPROACH; EXCISION OF CERVICAL STUMP, VAGINAL APPROACH; WITH ANTERIOR AND/OR POSTERIOR REPAIR EXCISION OF CERVICAL STUMP, VAGINAL APPROACH; WITH REPAIR OF ENTEROCELE CERCLAGE OF UTERINE CERVIX, NONOBSTETRICAL TRACHELORRHAPHY, PLASTIC REPAIR OF UTERINE CERVIX, VAGINAL APPROACH DILATION OF CERVICAL CANAL, INSTRUMENTAL (SEPARATE PROCEDURE) DILATION AND CURETTAGE OF CERVICAL STUMP ENDOMETRIAL SAMPLING (BIOPSY) WITH OR WITHOUT ENDOCERVICAL SAMPLING (BIOPSY), WITHOUT CERVICAL
- 322. DILATION AND CURETTAGE,DIAGNOSTIC AND/OR THERAPEUTIC (NONOBSTETRICAL) MYOMECTOMY, EXCISION OF FIBROID TUMOR(S) OF UTERUS, 1 TO 4 INTRAMURAL MYOMA(S) WITH TOTAL WEIGH MYOMECTOMY, EXCISION OF FIBROID TUMOR(S) OF UTERUS, 1 TO 4 INTRAMURAL MYOMA(S) WITH TOTAL WEIGH MYOMECTOMY, EXCISION OF FIBROID TUMOR(S) OF UTERUS, 5 OR MORE INTRAMURAL MYOMAS AND/OR INTRAM TOTAL ABDOMINAL HYSTERECTOMY (CORPUS AND CERVIX), WITH OR WITHOUT REMOVAL OF TUBE(S), WITH OR TOTAL ABDOMINAL HYSTERECTOMY (CORPUS AND CERVIX), WITH OR WITHOUT REMOVAL OF TUBE(S), WITH OR SUPRACERVICAL ABDOMINAL HYSTERECTOMY (SUBTOTAL HYSTERECTOMY), WITH OR WITHOUT REMOVAL OF TU TOTAL ABDOMINAL HYSTERECTOMY, INCLUDING PARTIAL VAGINECTOMY, WITH PARA-AORTIC AND PELVIC LYMPH RADICAL ABDOMINAL HYSTERECTOMY, WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC PELVIC EXENTERATION FOR GYNECOLOGIC MALIGNANCY, WITH TOTAL ABDOMINAL HYSTERECTOMY OR CERVIC VAGINAL HYSTERECTOMY, FOR UTERUS 250 GRAMS OR LESS; VAGINAL HYSTERECTOMY, FOR UTERUS 250 GRAMS OR LESS; WITH REMOVAL OF TUBE(S), AND/OR OVARY(S) VAGINAL HYSTERECTOMY, FOR UTERUS 250 GRAMS OR LESS; WITH REMOVAL OF TUBE(S), AND/OR OVARY(S), W VAGINAL HYSTERECTOMY, FOR UTERUS 250 GRAMS OR LESS; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-M VAGINAL HYSTERECTOMY, FOR UTERUS 250 GRAMS OR LESS; WITH REPAIR OF ENTEROCELE VAGINAL HYSTERECTOMY, WITH TOTAL OR PARTIAL VAGINECTOMY; VAGINAL HYSTERECTOMY, WITH TOTAL OR PARTIAL VAGINECTOMY; WITH REPAIR OF ENTEROCELE VAGINAL HYSTERECTOMY, RADICAL (SCHAUTA TYPE OPERATION) VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 GRAMS; VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 GRAMS; WITH REMOVAL OF TUBE(S) AND/OR OVARY VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 GRAMS; WITH REMOVAL OF TUBE(S) AND/OR OVARY VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 GRAMS; WITH COLPO-URETHROCYSTOPEXY (MARS VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 GRAMS; WITH REPAIR OF ENTEROCELE INSERTION OF INTRAUTERINE DEVICE (IUD) REMOVAL OF INTRAUTERINE DEVICE (IUD) ARTIFICIAL INSEMINATION; INTRA-CERVICAL ARTIFICIAL INSEMINATION; INTRA-UTERINE SPERM WASHING FOR ARTIFICIAL INSEMINATION INJECTION PROCEDURE FOR HYSTEROSALPINGOGRAPHY TRANSCERVICAL INTRODUCTION OF FALLOPIAN TUBE CATHETER FOR DIAGNOSIS AND/OR RE-ESTABLISHING PAT INSERTION OF HEYMAN CAPSULES FOR CLINICAL BRACHYTHERAPY CHROMOTUBATION OF OVIDUCT, INCLUDING MATERIALS ENDOMETRIAL ABLATION, THERMAL, WITHOUT HYSTEROSCOPIC GUIDANCE UTERINE SUSPENSION, WITH OR WITHOUT SHORTENING OF ROUND LIGAMENTS, WITH OR WITHOUT SHORTENIN UTERINE SUSPENSION, WITH OR WITHOUT SHORTENING OF ROUND LIGAMENTS, WITH OR WITHOUT SHORTENIN HYSTERORRHAPHY, REPAIR OF RUPTURED UTERUS (NONOBSTETRICAL) HYSTEROPLASTY, REPAIR OF UTERINE ANOMALY (STRASSMAN TYPE) LAPAROSCOPY, SURGICAL, MYOMECTOMY, EXCISION; 1 TO 4 INTRAMURAL MYOMAS WITH TOTAL WEIGHT OF 250 LAPAROSCOPY, SURGICAL, MYOMECTOMY, EXCISION; 5 OR MORE INTRAMURAL MYOMAS AND/OR INTRAMURAL M LAPAROSCOPY SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS 250 GRAMS OR LESS; LAPAROSCOPY SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS 250 GRAMS OR LESS; WITH REMOVAL O LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 GRAMS; LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 GRAMS; WITH REM HYSTEROSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE) HYSTEROSCOPY, SURGICAL; WITH SAMPLING (BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY, WITH OR WIT HYSTEROSCOPY, SURGICAL; WITH LYSIS OF INTRAUTERINE ADHESIONS (ANY METHOD) HYSTEROSCOPY, SURGICAL; WITH DIVISION OR RESECTION OF INTRAUTERINE SEPTUM (ANY METHOD) HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF LEIOMYOMATA HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF IMPACTED FOREIGN BODY HYSTEROSCOPY, SURGICAL; WITH ENDOMETRIAL ABLATION (EG, ENDOMETRIAL RESECTION, ELECTROSURGICAL UNLISTED LAPAROSCOPY PROCEDURE, UTERUS UNLISTED HYSTEROSCOPY PROCEDURE, UTERUS
- 323. LIGATION OR TRANSECTIONOF FALLOPIAN TUBE(S), ABDOMINAL OR VAGINAL APPROACH, UNILATERAL OR BILAT LIGATION OR TRANSECTION OF FALLOPIAN TUBE(S), ABDOMINAL OR VAGINAL APPROACH, POSTPARTUM, UNILAT LIGATION OR TRANSECTION OF FALLOPIAN TUBE(S) WHEN DONE AT THE TIME OF CESAREAN DELIVERY OR INTRA OCCLUSION OF FALLOPIAN TUBE(S) BY DEVICE (EG, BAND, CLIP, FALOPE RING) VAGINAL OR SUPRAPUBIC APPRO LAPAROSCOPY, SURGICAL; WITH LYSIS OF ADHESIONS (SALPINGOLYSIS, OVARIOLYSIS) (SEPARATE PROCEDURE LAPAROSCOPY, SURGICAL; WITH REMOVAL OF ADNEXAL STRUCTURES (PARTIAL OR TOTAL OOPHORECTOMY AN LAPAROSCOPY, SURGICAL; WITH FULGURATION OR EXCISION OF LESIONS OF THE OVARY, PELVIC VISCERA, OR P LAPAROSCOPY, SURGICAL; WITH FULGURATION OF OVIDUCTS (WITH OR WITHOUT TRANSECTION) LAPAROSCOPY, SURGICAL; WITH OCCLUSION OF OVIDUCTS BY DEVICE (EG, BAND, CLIP, OR FALOPE RING) LAPAROSCOPY, SURGICAL; WITH FIMBRIOPLASTY LAPAROSCOPY, SURGICAL; WITH SALPINGOSTOMY (SALPINGONEOSTOMY) UNLISTED LAPAROSCOPY PROCEDURE, OVIDUCT, OVARY SALPINGECTOMY, COMPLETE OR PARTIAL, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE) SALPINGO-OOPHORECTOMY, COMPLETE OR PARTIAL, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE) LYSIS OF ADHESIONS (SALPINGOLYSIS, OVARIOLYSIS) TUBOTUBAL ANASTOMOSIS TUBOUTERINE IMPLANTATION FIMBRIOPLASTY SALPINGOSTOMY (SALPINGONEOSTOMY) DRAINAGE OF OVARIAN CYST(S), UNILATERAL OR BILATERAL, (SEPARATE PROCEDURE); VAGINAL APPROACH DRAINAGE OF OVARIAN CYST(S), UNILATERAL OR BILATERAL, (SEPARATE PROCEDURE); ABDOMINAL APPROACH DRAINAGE OF OVARIAN ABSCESS; VAGINAL APPROACH DRAINAGE OF OVARIAN ABSCESS; ABDOMINAL APPROACH DRAINAGE OF PELVIC ABSCESS, TRANSVAGINAL OR TRANSRECTAL APPROACH, PERCUTANEOUS (EG, OVARIAN, TRANSPOSITION, OVARY(S) BIOPSY OF OVARY, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE) WEDGE RESECTION OR BISECTION OF OVARY, UNILATERAL OR BILATERAL OVARIAN CYSTECTOMY, UNILATERAL OR BILATERAL OOPHORECTOMY, PARTIAL OR TOTAL, UNILATERAL OR BILATERAL; OOPHORECT, PRTL OR TTL, UNILAT OR BIL; FOR OVAR, TUBAL OR PRIM PERITON MALIG, W PARA-AORT & PELV LY RESECTION OF OVARIAN, TUBAL OR PRIMARY PERITONEAL MALIGNANCY WITH BILATERAL SALPINGO-OOPHOREC RESECTION OF OVARIAN, TUBAL OR PRIMARY PERITONEAL MALIGNANCY WITH BILATERAL SALPINGO-OOPHOREC RESECTION OF OVARIAN, TUBAL OR PRIMARY PERITONEAL MALIGNANCY WITH BSO AND OMENTECT; WITH RADIC BILATERAL SALPINGO-OOPHORECTOMY WITH OMENTECTOMY, TOTAL ABDOMINAL HYSTERECTOMY AND RADICA BILATERAL SALPINGO-OOPHORECTOMY WITH OMENTECTOMY, TOTAL ABDOMINAL HYSTERECTOMY AND RADICA LAPAROT, FOR STAGING/RESTAG OF OVARIAN, TUBAL/PRIMARY PERITON MALIG (SECOND LOOK), W/W/O OMENTC FOLLICLE PUNCTURE FOR OOCYTE RETRIEVAL, ANY METHOD EMBRYO TRANSFER, INTRAUTERINE GAMETE, ZYGOTE, OR EMBRYO INTRAFALLOPIAN TRANSFER, ANY METHOD UNLISTED PROCEDURE, FEMALE GENITAL SYSTEM (NONOBSTETRICAL) AMNIOCENTESIS; DIAGNOSTIC AMNIOCENTESIS; THERAPEUTIC AMNIOTIC FLUID REDUCTION (INCLUDES ULTRASOUND GUIDANCE) CORDOCENTESIS (INTRAUTERINE), ANY METHOD CHORIONIC VILLUS SAMPLING, ANY METHOD FETAL CONTRACTION STRESS TEST FETAL NON-STRESS TEST FETAL SCALP BLOOD SAMPLING FETAL MONITORING DURING LABOR BY CONSULTING PHYSICIAN (IE, NON-ATTENDING PHYSICIAN) WITH WRITTEN FETAL MONITORING DURING LABOR BY CONSULTING PHYSICIAN (IE, NON-ATTENDING PHYSICIAN) WITH WRITTEN HYSTEROTOMY, ABDOMINAL (EG, FOR HYDATIDIFORM MOLE, ABORTION) SURGICAL TREATMENT OF ECTOPIC PREGNANCY; TUBAL OR OVARIAN, REQUIRING SALPINGECTOMY AND/OR OO SURGICAL TREATMENT OF ECTOPIC PREGNANCY; TUBAL OR OVARIAN, WITHOUT SALPINGECTOMY AND/OR OOPH
- 324. SURGICAL TREATMENT OFECTOPIC PREGNANCY; ABDOMINAL PREGNANCY SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY REQUIRING TOTAL HYSTE SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY WITH PARTIAL RESECTIO SURGICAL TREATMENT OF ECTOPIC PREGNANCY; CERVICAL, WITH EVACUATION LAPAROSCOPIC TREATMENT OF ECTOPIC PREGNANCY; WITHOUT SALPINGECTOMY AND/OR OOPHORECTOMY LAPAROSCOPIC TREATMENT OF ECTOPIC PREGNANCY; WITH SALPINGECTOMY AND/OR OOPHORECTOMY CURRETTAGE, POSTPARTUM INSERTION OF CERVICAL DILATOR (EG, LAMINARIA, PROSTAGLANDIN) (SEPARATE PROCEDURE) EPISIOTOMY OR VAGINAL REPAIR, BY OTHER THAN ATTENDING PHYSICIAN CERCLAGE OF CERVIX, DURING PREGNANCY; VAGINAL CERCLAGE OF CERVIX, DURING PREGNANCY; ABDOMINAL HYSTERORRHAPHY OF RUPTURED UTERUS ROUTINE OBSTETRIC CARE INCLUDING ANTEPARTUM CARE, VAGINAL DELIVERY (WITH OR WITHOUT EPISIOTOMY VAGINAL DELIVERY ONLY (WITH OR WITHOUT EPISIOTOMY AND/OR FORCEPS); VAGINAL DELIVERY ONLY (WITH OR WITHOUT EPISIOTOMY AND/OR FORCEPS); INCLUDING POSTPARTUM CARE EXTERNAL CEPHALIC VERSION, WITH OR WITHOUT TOCOLYSIS DELIVERY OF PLACENTA (SEPARATE PROCEDURE) ANTEPARTUM CARE ONLY; 4-6 VISITS ANTEPARTUM CARE ONLY; 7 OR MORE VISITS POSTPARTUM CARE ONLY (SEPARATE PROCEDURE) ROUTINE OBSTETRIC CARE INCLUDING ANTEPARTUM CARE, CESAREAN DELIVERY, AND POSTPARTUM CARE CESAREAN DELIVERY ONLY; CESAREAN DELIVERY ONLY; INCLUDING POSTPARTUM CARE SUBTOTAL OR TOTAL HYSTERECTOMY AFTER CESAREAN DELIVERY (LIST SEPARATELY IN ADDITION TO CODE FO ROUTINE OBSTETRIC CARE INCLUDING ANTEPARTUM CARE, VAGINAL DELIVERY (WITH OR WITHOUT EPISIOTOMY VAGINAL DELIVERY ONLY, AFTER PREVIOUS CESAREAN DELIVERY (WITH OR WITHOUT EPISIOTOMY AND/OR FOR VAGINAL DELIVERY ONLY, AFTER PREVIOUS CESAREAN DELIVERY (WITH OR WITHOUT EPISIOTOMY AND/OR FOR ROUTINE OBSTETRIC CARE INCLUDING ANTEPARTUM CARE, CESAREAN DELIVERY, AND POSTPARTUM CARE, FOL CESAREAN DELIVERY ONLY, FOLLOWING ATTEMPTED VAGINAL DELIVERY AFTER PREVIOUS CESAREAN DELIVERY CESAREAN DELIVERY ONLY, FOLLOWING ATTEMPTED VAGINAL DELIVERY AFTER PREVIOUS CESAREAN DELIVERY TREATMENT OF INCOMPLETE ABORTION, ANY TRIMESTER, COMPLETED SURGICALLY TREATMENT OF MISSED ABORTION, COMPLETED SURGICALLY; FIRST TRIMESTER TREATMENT OF MISSED ABORTION, COMPLETED SURGICALLY; SECOND TRIMESTER TREATMENT OF SEPTIC ABORTION, COMPLETED SURGICALLY INDUCED ABORTION, BY DILATION AND CURETTAGE INDUCED ABORTION, BY DILATION AND EVACUATION INDUCED ABORTION, BY ONE OR MORE INTRA-AMNIOTIC INJECTIONS (AMNIOCENTESIS-INJECTIONS), INC HOSP A INDUCED ABORTION, BY ONE OR MORE INTRA-AMNIOTIC INJECTIONS (AMNIOCENTESIS-INJECTIONS), INC HOSP A INDUCED ABORTION, BY ONE OR MORE INTRA-AMNIOTIC INJECTIONS (AMNIOCENTESIS-INJECTIONS), INC HOSP A INDUCED ABORTION, BY ONE OR MORE VAGINAL SUPPOSITORIES (EG, PROSTAGLANDIN) W W/O CERVICAL DILAT INDUCED ABORTION, BY ONE OR MORE VAGINAL SUPPOSITORIES (EG, PROSTAGLANDIN) W W/O CERVICAL DILAT INDUCED ABORTION, BY ONE OR MORE VAGINAL SUPPOSITORIES (EG, PROSTAGLANDIN) W W/O CERVICAL DILAT MULTIFETAL PREGNANCY REDUCTION(S) (MPR) UTERINE EVACUATION AND CURETTAGE FOR HYDATIDIFORM MOLE REMOVAL OF CERCLAGE SUTURE UNDER ANESTHESIA (OTHER THAN LOCAL) UNLISTED LAPAROSCOPY PROCEDURE, MATERNITY CARE AND DELIVERY UNLISTED PROCEDURE, MATERNITY CARE AND DELIVERY INCISION AND DRAINAGE OF THYROGLOSSAL DUCT CYST, INFECTED ASPIRATION AND/OR INJECTION, THYROID CYST BIOPSY THYROID, PERCUTANEOUS CORE NEEDLE EXCISION OF CYST OR ADENOMA OF THYROID, OR TRANSECTION OF ISTHMUS PARTIAL THYROID LOBECTOMY, UNILATERAL; WITH OR WITHOUT ISTHMUSECTOMY
- 325. PARTIAL THYROID LOBECTOMY,UNILATERAL; WITH CONTRALATERAL SUBTOTAL LOBECTOMY, INCLUDING ISTHM TOTAL THYROID LOBECTOMY, UNILATERAL; WITH OR WITHOUT ISTHMUSECTOMY TOTAL THYROID LOBECTOMY, UNILATERAL; WITH CONTRALATERAL SUBTOTAL LOBECTOMY, INCLUDING ISTHMUS THYROIDECTOMY, TOTAL OR COMPLETE THYROIDECTOMY, TOTAL OR SUBTOTAL FOR MALIGNANCY; WITH LIMITED NECK DISSECTION THYROIDECTOMY, TOTAL OR SUBTOTAL FOR MALIGNANCY; WITH RADICAL NECK DISSECTION THYROIDECTOMY, REMOVAL OF ALL REMAINING THYROID TISSUE FOLLOWING PREVIOUS REMOVAL OF A PORTIO THYROIDECTOMY, INCLUDING SUBSTERNAL THYROID; STERNAL SPLIT OR TRANSTHORACIC APPROACH THYROIDECTOMY, INCLUDING SUBSTERNAL THYROID; CERVICAL APPROACH EXCISION OF THYROGLOSSAL DUCT CYST OR SINUS; EXCISION OF THYROGLOSSAL DUCT CYST OR SINUS; RECURRENT PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S); PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S); RE-EXPLORATION PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S); WITH MEDIASTINAL EXPLORATION, STERNAL SPL PARATHYROID AUTOTRANSPLANTATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) THYMECTOMY, PARTIAL OR TOTAL; TRANSCERVICAL APPROACH (SEPARATE PROCEDURE) THYMECTOMY, PARTIAL OR TOTAL; STERNAL SPLIT OR TRANSTHORACIC APPROACH, WITHOUT RADICAL MEDIAS THYMECTOMY, PARTIAL OR TOTAL; STERNAL SPLIT OR TRANSTHORACIC APPROACH, WITH RADICAL MEDIASTINA ADRENALECTOMY, PARTIAL OR COMPLETE, OR EXPLORATION OF ADRENAL GLAND WITH OR WITHOUT BIOPSY, T ADRENALECTOMY, PARTIAL OR COMPLETE, OR EXPLORATION OF ADRENAL GLAND WITH OR WITHOUT BIOPSY, T EXCISION OF CAROTID BODY TUMOR; WITHOUT EXCISION OF CAROTID ARTERY EXCISION OF CAROTID BODY TUMOR; WITH EXCISION OF CAROTID ARTERY LAPAROSCOPY, SURGICAL, WITH ADRENALECTOMY, PARTIAL OR COMPLETE, OR EXPLORATION OF ADRENAL GLA UNLISTED LAPAROSCOPY PROCEDURE, ENDOCRINE SYSTEM UNLISTED PROCEDURE, ENDOCRINE SYSTEM SUBDURAL TAP THROUGH FONTANELLE, OR SUTURE, INFANT, UNILATERAL OR BILATERAL; INITIAL SUBDURAL TAP THROUGH FONTANELLE, OR SUTURE, INFANT, UNILATERAL OR BILATERAL; SUBSEQUENT TAPS VENTRICULAR PUNCTURE THROUGH PREVIOUS BURR HOLE, FONTANELLE, SUTURE, OR IMPLANTED VENTRICULA VENTRICULAR PUNCTURE THROUGH PREVIOUS BURR HOLE, FONTANELLE, SUTURE, OR IMPLANTED VENTRICULA CISTERNAL OR LATERAL CERVICAL (C1-C2) PUNCTURE; WITHOUT INJECTION (SEPARATE PROCEDURE) CISTERNAL OR LATERAL CERVICAL (C1-C2) PUNCTURE; WITH INJECTION OF MEDICATION OR OTHER SUBSTANCE PUNCTURE OF SHUNT TUBING OR RESERVOIR FOR ASPIRATION OR INJECTION PROCEDURE TWIST DRILL HOLE FOR SUBDURAL OR VENTRICULAR PUNCTURE TWIST DRILL HOLE FOR SUBDURAL OR VENTRICULAR PUNCTURE; FOR IMPLANTING VENTRICULAR CATHETER OR TWIST DRILL HOLE FOR SUBDURAL OR VENTRICULAR PUNCTURE; FOR EVACUATION AND/OR DRAINAGE OF SUBD BURR HOLE(S) FOR VENTRICULAR PUNCTURE (INCLUDING INJECTION OF GAS, CONTRAST MEDIA, DYE, OR RADIO BURR HOLE(S) OR TREPHINE; WITH BIOPSY OF BRAIN OR INTRACRANIAL LESION BURR HOLE(S) OR TREPHINE; WITH DRAINAGE OF BRAIN ABSCESS OR CYST BURR HOLE(S) OR TREPHINE; WITH SUBSEQUENT TAPPING (ASPIRATION) OF INTRACRANIAL ABSCESS OR CYST BURR HOLE(S) WITH EVACUATION AND/OR DRAINAGE OF HEMATOMA, EXTRADURAL OR SUBDURAL BURR HOLE(S); WITH ASPIRATION OF HEMATOMA OR CYST, INTRACEREBRAL BURR HOLE(S); FOR IMPLANTING VENTRICULAR CATHETER, RESERVOIR, EEG ELECTRODE(S) OR PRESSURE REC INSERTION OF SUBCUTANEOUS RESERVOIR, PUMP OR CONTINUOUS INFUSION SYSTEM FOR CONNECTION TO VE BURR HOLE(S) OR TREPHINE, SUPRATENTORIAL, EXPLORATORY, NOT FOLLOWED BY OTHER SURGERY BURR HOLE(S) OR TREPHINE, INFRATENTORIAL, UNILATERAL OR BILATERAL CRANIECTOMY OR CRANIOTOMY, EXPLORATORY; SUPRATENTORIAL CRANIECTOMY OR CRANIOTOMY, EXPLORATORY; INFRATENTORIAL (POSTERIOR FOSSA) CRANIECTOMY OR CRANIOTOMY FOR EVACUATION OF HEMATOMA, SUPRATENTORIAL; EXTRADURAL OR SUBDUR CRANIECTOMY OR CRANIOTOMY FOR EVACUATION OF HEMATOMA, SUPRATENTORIAL; INTRACEREBRAL CRANIECTOMY OR CRANIOTOMY FOR EVACUATION OF HEMATOMA, INFRATENTORIAL; EXTRADURAL OR SUBDUR CRANIECTOMY OR CRANIOTOMY FOR EVACUATION OF HEMATOMA, INFRATENTORIAL; INTRACEREBELLAR INCISION AND SUBCUTANEOUS PLACEMENT OF CRANIAL BONE GRAFT (LIST SEPARATELY IN ADDITION TO CODE
- 326. CRANIECTOMY OR CRANIOTOMY,DRAINAGE OF INTRACRANIAL ABSCESS; SUPRATENTORIAL CRANIECTOMY OR CRANIOTOMY, DRAINAGE OF INTRACRANIAL ABSCESS; INFRATENTORIAL CRANIECTOMY/CRANIOTOMY, DECOMPRESSIVE, WITH/WITHOUT DURAPLASTY, FOR TREATMENT, INTRACRANIAL CRANIECTOMY OR CRANIOTOMY, DECOMPRESSIVE, WITH OR WITHOUT DURAPLASTY, FOR TREATMENT OF INTR DECOMPRESSION OF ORBIT ONLY, TRANSCRANIAL APPROACH EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH BIOPSY EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH REMOVAL OF LESION EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH REMOVAL OF FOREIGN BODY SUBTEMPORAL CRANIAL DECOMPRESSION (PSEUDOTUMOR CEREBRI, SLIT VENTRICLE SYNDROME) CRANIECTOMY, SUBOCCIPITAL WITH CERVICAL LAMINECTOMY FOR DECOMPRESSION OF MEDULLA AND SPINAL C OTHER CRANIAL DECOMPRESSION, POSTERIOR FOSSA CRANIOTOMY FOR SECTION OF TENTORIUM CEREBELLI (SEPARATE PROCEDURE) CRANIECTOMY, SUBTEMPORAL, FOR SECTION, COMPRESSION, OR DECOMPRESSION OF SENSORY ROOT OF GAS CRANIECTOMY, SUBOCCIPITAL; FOR EXPLORATION OR DECOMPRESSION OF CRANIAL NERVES CRANIECTOMY, SUBOCCIPITAL; FOR SECTION OF ONE OR MORE CRANIAL NERVES CRANIECTOMY, SUBOCCIPITAL; FOR MEDULLARY TRACTOTOMY CRANIECTOMY, SUBOCCIPITAL; FOR MESENCEPHALIC TRACTOTOMY OR PEDUNCULOTOMY CRANIOTOMY FOR LOBOTOMY, INCLUDING CINGULOTOMY CRANIECTOMY; WITH EXCISION OF TUMOR OR OTHER BONE LESION OF SKULL CRANIECTOMY; FOR OSTEOMYELITIS CRANIECTOMY, TREPHINATION, BONE FLAP CRANIOTOMY; FOR EXCISION OF BRAIN TUMOR, SUPRATENTORIAL, E CRANIECTOMY, TREPHINATION, BONE FLAP CRANIOTOMY; FOR EXCISION OF MENINGIOMA, SUPRATENTORIAL CRANIECTOMY, TREPHINATION, BONE FLAP CRANIOTOMY; FOR EXCISION OF BRAIN ABSCESS, SUPRATENTORIAL CRANIECTOMY, TREPHINATION, BONE FLAP CRANIOTOMY; FOR EXCISION OR FENESTRATION OF CYST, SUPRATE IMPLANTATION OF BRAIN INTRACAVITARY CHEMOTHERAPY AGENT (LIST SEPARATELY IN ADDITION TO CODE FOR CRANIECTOMY FOR EXCISION OF BRAIN TUMOR, INFRATENTORIAL OR POSTERIOR FOSSA; EXCEPT MENINGIOMA CRANIECTOMY FOR EXCISION OF BRAIN TUMOR, INFRATENTORIAL OR POSTERIOR FOSSA; MENINGIOMA CRANIECTOMY FOR EXCISION OF BRAIN TUMOR, INFRATENTORIAL OR POSTERIOR FOSSA; CEREBELLOPONTINE CRANIECTOMY FOR EXCISION OF BRAIN TUMOR, INFRATENTORIAL OR POSTERIOR FOSSA; MIDLINE TUMOR AT BA CRANIECTOMY, INFRATENTORIAL OR POSTERIOR FOSSA; FOR EXCISION OF BRAIN ABSCESS CRANIECTOMY, INFRATENTORIAL OR POSTERIOR FOSSA; FOR EXCISION OR FENESTRATION OF CYST CRANIECTOMY, BONE FLAP CRANIOTOMY, TRANSTEMPORAL (MASTOID) FOR EXCISION OF CEREBELLOPONTINE A CRANIECTOMY, BONE FLAP CRANIOTOMY, TRANSTEMPORAL (MASTOID) FOR EXCISION OF CEREBELLOPONTINE A SUBDURAL IMPLANTATION OF STRIP ELECTRODES THROUGH ONE OR MORE BURR OR TREPHINE HOLE(S) FOR LO CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR SUBDURAL IMPLANTATION OF AN ELECTRODE ARRAY, FOR L CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR EXCISION OF EPILEPTOGENIC FOCUS WITHOUT ELECTROCO CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR REMOVAL OF EPIDURAL OR SUBDURAL ELECTRODE ARRAY, CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR EXCISION OF CEREBRAL EPILEPTOGENIC FOCUS, WITH ELEC CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR LOBECTOMY WITH ELECTROCORTICOGRAPHY DURING SURG CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR LOBECTOMY WITH ELECTROCORTICOGRAPHY DURING SURG CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR TRANSECTION OF CORPUS CALLOSUM CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR TOTAL HEMISPHERECTOMY CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR PARTIAL OR SUBTOTAL HEMISPHERECTOMY CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR EXCISION OR COAGULATION OF CHOROID PLEXUS CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR EXCISION OF CRANIOPHARYNGIOMA CRANIOTOMY FOR HYPOPHYSECTOMY OR EXCISION OF PITUITARY TUMOR, INTRACRANIAL APPROACH HYPOPHYSECTOMY OR EXCISION OF PITUITARY TUMOR, TRANSNASAL OR TRANSSEPTAL APPROACH, NONSTERE CRANIECTOMY FOR CRANIOSYNOSTOSIS; SINGLE CRANIAL SUTURE CRANIECTOMY FOR CRANIOSYNOSTOSIS; MULTIPLE CRANIAL SUTURES CRANIOTOMY FOR CRANIOSYNOSTOSIS; FRONTAL OR PARIETAL BONE FLAP CRANIOTOMY FOR CRANIOSYNOSTOSIS; BIFRONTAL BONE FLAP EXTENSIVE CRANIECTOMY FOR MULTIPLE CRANIAL SUTURE CRANIOSYNOSTOSIS (EG, CLOVERLEAF SKULL); NOT
- 327. EXTENSIVE CRANIECTOMY FORMULTIPLE CRANIAL SUTURE CRANIOSYNOSTOSIS (EG, CLOVERLEAF SKULL); REC EXCISION, INTRA AND EXTRACRANIAL, BENIGN TUMOR OF CRANIAL BONE (EG, FIBROUS DYSPLASIA); WITHOUT O EXCISION, INTRA AND EXTRACRANIAL, BENIGN TUMOR OF CRANIAL BONE (EG, FIBROUS DYSPLASIA); WITH OPTIC CRANIECTOMY OR CRANIOTOMY; WITH EXCISION OF FOREIGN BODY FROM BRAIN CRANIECTOMY OR CRANIOTOMY; WITH TREATMENT OF PENETRATING WOUND OF BRAIN TRANSORAL APPROACH TO SKULL BASE, BRAIN STEM OR UPPER SPINAL CORD FOR BIOPSY, DECOMPRESSION O TRANSORAL APPROACH TO SKULL BASE, BRAIN STEM OR UPPER SPINAL CORD FOR BIOPSY, DECOMPRESSION O CRANIOFACIAL APPROACH TO ANTERIOR CRANIAL FOSSA; EXTRADURAL, INCLUDING LATERAL RHINOTOMY, ETHM CRANIOFACIAL APPROACH TO ANTERIOR CRANIAL FOSSA; EXTRADURAL, INCLUDING LATERAL RHINOTOMY, ORB CRANIOFACIAL APPROACH TO ANTERIOR CRANIAL FOSSA; EXTRADURAL, INCLUDING UNILATERAL OR BIFRONTAL CRANIOFACIAL APPROACH TO ANTERIOR CRANIAL FOSSA; INTRADURAL, INCLUDING UNILATERAL OR BIFRONTAL ORBITOCRANIAL APPROACH TO ANTERIOR CRANIAL FOSSA, EXTRADURAL, INCLUDING SUPRAORBITAL RIDGE OS ORBITOCRANIAL APPROACH TO ANTERIOR CRANIAL FOSSA, EXTRADURAL, INCLUDING SUPRAORBITAL RIDGE OS BICORONAL, TRANSZYGOMATIC AND/OR LEFORT I OSTEOTOMY APPROACH TO ANTERIOR CRANIAL FOSSA WITH INFRATEMPORAL PRE-AURICULAR APPROACH TO MID CRANIAL FOSSA (PARAPHARYNGEAL SPACE, INFRATEMPOR INFRATEMPORAL POST-AURICULAR APPROACH TO MID CRANIAL FOSSA (INTERNAL AUDITORY MEATUS, PETROUS ORBITOCRANIAL ZYGOMATIC APPROACH TO MIDDLE CRANIAL FOSSA (CAVERNOUS SINUS & CAROTID ARTERY, B TRANSTEMPORAL APPROACH TO POSTERIOR CRANIAL FOSSA, JUGULAR FORAMEN OR MIDLINE SKULL BASE, INC TRANSCOCHLEAR APPROACH TO POSTERIOR CRANIAL FOSSA, JUGULAR FORAMEN OR MIDLINE SKULL BASE, INC TRANSCONDYLAR (FAR LATERAL) APPROACH TO POSTERIOR CRANIAL FOSSA, JUGULAR FORAMEN OR MIDLINE S TRANSPETROSAL APPROACH TO POSTERIOR CRANIAL FOSSA, CLIVUS OR FORAMEN MAGNUM, INCLUDING LIGAT RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF BASE OF ANTERIOR CRANIAL F RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF BASE OF ANTERIOR CRANIAL F RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF INFRATEMPORAL FOSSA, PARA RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF INFRATEMPORAL FOSSA, PARA RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF PARASELLAR AREA, CAVERNO RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF PARASELLAR AREA, CAVERNO TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS; WITHOUT REPAIR (LIST SEPARATELY IN AD TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS; WITH REPAIR BY ANASTOMOSIS OR GRAFT TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITHOUT REPAIR (LIST SEPARATELY IN ADD TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITH REPAIR BY ANASTOMOSIS OR GRAFT (L OBLITERATION OF CAROTID ANEURYSM, ARTERIOVENOUS MALFORMATION, OR CAROTID-CAVERNOUS FISTULA B RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR/INFECTIOUS LESION BASE OF POSTERIOR CRANIAL FOSSA RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR/INFECTIOUS LESION BASE OF POSTERIOR CRANIAL FOSSA SECONDARY REPAIR,DURA,CEREBROSPINAL FLD LEAK,ANT,MIDDLE/POST CRANIAL FOSSA FOLL SURG,THE SKUL SECONDARY REPR,A,CEREBROSPINAL FLD LEAK,ANT,MIDDLE/PST CRANIAL FOSSA FOLL SURG,THE SKULL BASE;L ENDO TEMP BALOON ART OCLSIN,HED/NCK INCLUD SLCT CATH VESEL OCLDED,POSIT & INFLT OCLSIN,CNCMIT NE TRANSCATHETER PERMANENT OCCLUSION OR EMBOLIZATION (EG, FOR TUMOR DESTRUCTION, TO ACHIEVE HEM TRANSCATH PERM OCCLUSION/EMBOLIZATION (EG,, TUMR DESTRUCT, ACHIEVE HEMOSTA, OCCLUDEVASCMALFO SURGERY OF INTRACRANIAL ARTERIOVENOUS MALFORMATION; SUPRATENTORIAL, SIMPLE SURGERY OF INTRACRANIAL ARTERIOVENOUS MALFORMATION; SUPRATENTORIAL, COMPLEX SURGERY OF INTRACRANIAL ARTERIOVENOUS MALFORMATION; INFRATENTORIAL, SIMPLE SURGERY OF INTRACRANIAL ARTERIOVENOUS MALFORMATION; INFRATENTORIAL, COMPLEX SURGERY OF INTRACRANIAL ARTERIOVENOUS MALFORMATION; DURAL, SIMPLE SURGERY OF INTRACRANIAL ARTERIOVENOUS MALFORMATION; DURAL, COMPLEX SURGERY OF COMPLEX INTRACRANIAL ANEURYSM, INTRACRANIAL APPROACH; CAROTID CIRCULATION SURGERY OF COMPLEX INTRACRANIAL ANEURYSM, INTRACRANIAL APPROACH; VERTEBROBASILAR CIRCULATION SURGERY OF SIMPLE INTRACRANIAL ANEURYSM, INTRACRANIAL APPROACH; CAROTID CIRCULATION SURGERY OF SIMPLE INTRACRANIAL ANEURYSM, INTRACRANIAL APPROACH; VERTEBROBASILAR CIRCULATION SURGERY OF INTRACRANIAL ANEURYSM, CERVICAL APPROACH BY APPLICATION OF OCCLUDING CLAMP TO CERV SURGERY OF ANEURYSM, VASCULAR MALFORMATION OR CAROTID-CAVERNOUS FISTULA; BY INTRACRANIAL AND SURGERY OF ANEURYSM, VASCULAR MALFORMATION OR CAROTID-CAVERNOUS FISTULA; BY INTRACRANIAL ELE
- 328. SURGERY OF ANEURYSM,VASCULAR MALFORMATION OR CAROTID-CAVERNOUS FISTULA; BY INTRA-ARTERIAL EM ANASTOMOSIS, ARTERIAL, EXTRACRANIAL-INTRACRANIAL (EG, MIDDLE CEREBRAL/CORTICAL) ARTERIES CREATION OF LESION BY STEREOTACTIC METHOD, INCLUDING BURR HOLE(S) AND LOCALIZING AND RECORDING CREATION OF LESION BY STEREOTACTIC METHOD, INCLUDING BURR HOLE(S) AND LOCALIZING AND RECORDING STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION, INCLUDING BURR HOLE(S), FOR INTRACRANIAL LESION; STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION, INCLUDING BURR HOLE(S), FOR INTRACRANIAL LESION; WITH STEREOTACTIC IMPLANTATION OF DEPTH ELECTRODES INTO THE CEREBRUM FOR LONG TERM SEIZURE MONITO STEREOTACTIC LOCALIZATION, INCLUDING BURR HOLE(S), WITH INSERTION OF CATHETER(S) OR PROBE(S) FOR CREATION OF LESION BY STEREOTACTIC METHOD, PERCUTANEOUS, BY NEUROLYTIC AGENT (EG, ALCOHOL, THE CREATION OF LESION BY STEREOTACTIC METHOD, PERCUTANEOUS, BY NEUROLYTIC AGENT (EG, ALCOHOL, THE STEREOTACTIC RADIOSURGERY (PARTICLE BEAM, GAMMA RAY OR LINEAR ACCELERATOR), ONE OR MORE SESS STEREOTACTIC COMPUTER ASSISTED VOLUMETRIC (NAVIGATIONAL) PROCEDURE, INTRACRANIAL, EXTRACRANIA TWIST DRILL OR BURR HOLE(S) FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CORTICAL CRANIECTOMY OR CRANIOTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBRAL, CORTICA TWIST DRILL, BURR HOLE, CRANIOTOMY/CRANIECTOMY FOR STEREOTACTIC IMPLANTATION OF 1 NEUROSTIMUL CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR; CORTICAL CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR; SUBCORTICAL REVISION OR REMOVAL OF INTRACRANIAL NEUROSTIMULATOR ELECTRODES INCISION AND SUBCUTANEOUS PLACEMENT OF CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER INCISION AND SUBCUTANEOUS PLACEMENT OF CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER REVISION OR REMOVAL OF CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER ELEVATION OF DEPRESSED SKULL FRACTURE; SIMPLE, EXTRADURAL ELEVATION OF DEPRESSED SKULL FRACTURE; COMPOUND OR COMMINUTED, EXTRADURAL ELEVATION OF DEPRESSED SKULL FRACTURE; WITH REPAIR OF DURA AND/OR DEBRIDEMENT OF BRAIN CRANIOTOMY FOR REPAIR OF DURAL/CEREBROSPINAL FLUID LEAK, INCLUDING SURGERY FOR RHINORRHEA/OTO REDUCTION OF CRANIOMEGALIC SKULL (EG, TREATED HYDROCEPHALUS); NOT REQUIRING BONE GRAFTS OR CR REDUCTION OF CRANIOMEGALIC SKULL (EG, TREATED HYDROCEPHALUS); WITH SIMPLE CRANIOPLASTY REDUCTION OF CRANIOMEGALIC SKULL (EG, TREATED HYDROCEPHALUS); REQUIRING CRANIOTOMY AND RECON REPAIR OF ENCEPHALOCELE, SKULL VAULT, INCLUDING CRANIOPLASTY CRANIOTOMY FOR REPAIR OF ENCEPHALOCELE, SKULL BASE CRANIOPLASTY FOR SKULL DEFECT; UP TO 5 CM DIAMETER CRANIOPLASTY FOR SKULL DEFECT; LARGER THAN 5 CM DIAMETER REMOVAL OF BONE FLAP OR PROSTHETIC PLATE OF SKULL REPLACEMENT OF BONE FLAP OR PROSTHETIC PLATE OF SKULL CRANIOPLASTY FOR SKULL DEFECT WITH REPARATIVE BRAIN SURGERY CRANIOPLASTY WITH AUTOGRAFT (INCLUDES OBTAINING BONE GRAFTS); UP TO 5 CM DIAMETER CRANIOPLASTY WITH AUTOGRAFT (INCLUDES OBTAINING BONE GRAFTS); LARGER THAN 5 CM DIAMETER INCISION AND RETRIEVAL OF SUBCUTANEOUS CRANIAL BONE GRAFT FOR CRANIOPLASTY (LIST SEPARATELY IN NEUROENDOSCOPY, INTRACRANIAL, FOR PLACEMENT OR REPLACEMENT OF VENTRICULAR CATHETER AND ATTA NEUROENDOSCOPY, INTRACRANIAL; WITH DISSECTION OF ADHESIONS, FENESTRATION OF SEPTUM PELLUCIDUM NEUROENDOSCOPY, INTRACRANIAL; WITH FENESTRATION OR EXCISION OF COLLOID CYST, INCLUDING PLACEME NEUROENDOSCOPY, INTRACRANIAL; WITH RETRIEVAL OF FOREIGN BODY NEUROENDOSCOPY, INTRACRANIAL; WITH EXCISION OF BRAIN TUMOR, INCLUDING PLACEMENT OF EXTERNAL VE NEUROENDOSCOPY, INTRACRANIAL; WITH EXCISION OF PITUITARY TUMOR,TRANSNASAL OR TRANS-SPHENOIDA VENTRICULOCISTERNOSTOMY (TORKILDSEN TYPE OPERATION) CREATION OF SHUNT; SUBARACHNOID/SUBDURAL-ATRIAL, -JUGULAR, -AURICULAR CREATION OF SHUNT; SUBARACHNOID/SUBDURAL-PERITONEAL, -PLEURAL, OTHER TERMINUS REPLACEMENT OR IRRIGATION, SUBARACHNOID/SUBDURAL CATHETER VENTRICULOCISTERNOSTOMY, THIRD VENTRICLE; VENTRICULOCISTERNOSTOMY, THIRD VENTRICLE; STEREOTACTIC, NEUROENDOSCOPIC METHOD CREATION OF SHUNT; VENTRICULO-ATRIAL, -JUGULAR, -AURICULAR CREATION OF SHUNT; VENTRICULO-PERITONEAL, -PLEURAL, OTHER TERMINUS
- 329. REPLACEMENT OR IRRIGATION,VENTRICULAR CATHETER REPLACEMENT OR REVISION OF CEREBROSPINAL FLUID SHUNT, OBSTRUCTED VALVE, OR DISTAL CATHETER IN S REPROGRAMMING OF PROGRAMMABLE CEREBROSPINAL SHUNT REMOVAL OF COMPLETE CEREBROSPINAL FLUID SHUNT SYSTEM; WITHOUT REPLACEMENT REMOVAL OF COMPLETE CEREBROSPINAL FLUID SHUNT SYSTEM; WITH REPLACEMENT BY SIMILAR OR OTHER SH PERCUTANEOUS LYSIS, EPIDUR ADHES USING SOL INJECT (EG, HYPERTONIC SAL, ENZYME)/MECH MEANS (EG, CA PERCUTANEOUS LYSIS OF EPIDURAL ADHESIONS USING SOLUTION INJECTION (EG, HYPERTONIC SALINE, ENZYM PERCUTANEOUS ASPIRATION, SPINAL CORD CYST OR SYRINX BIOPSY OF SPINAL CORD, PERCUTANEOUS NEEDLE SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC SPINAL PUNCTURE, THERAPEUTIC, FOR DRAINAGE OF CEREBROSPINAL FLUID (BY NEEDLE OR CATHETER) INJECTION, EPIDURAL, OF BLOOD OR CLOT PATCH INJECTION/INFUSION OF NEUROLYTIC SUBSTANCE (EG, ALCOHOL, PHENOL, ICED SALINE SOLUTIONS), WITH OR W INJECTION OF NEUROLYTIC SUBSTANCE (EG, ALCOHOL, PHENOL, ICED SALINE SOLUTIONS); EPIDURAL, CERVICA INJECTION/INFUSION OF NEUROLYTIC SUBSTANCE (EG, ALCOHOL, PHENOL, ICED SALINE SOLUTIONS), WITH OR W INJECTION PROCEDURE FOR MYELOGRAPHY AND/OR COMPUTED TOMOGRAPHY, SPINAL (OTHER THAN C1-C2 AN ASPIRATION OR DECOMPRESSION PROCEDURE, PERCUTANEOUS, OF NUCLEUS PULPOSUS OF INTERVERTEBRAL INJECTION PROCEDURE FOR DISKOGRAPHY, EACH LEVEL; LUMBAR INJECTION PROCEDURE FOR DISKOGRAPHY, EACH LEVEL; CERVICAL OR THORACIC INJECTION PROCEDURE FOR CHEMONUCLEOLYSIS, INCLUDING DISKOGRAPHY, INTERVERTEBRAL DISK, SINGLE O INJECTION PROCEDURE, ARTERIAL, FOR OCCLUSION OF ARTERIOVENOUS MALFORMATION, SPINAL INJECTION, SING (NOT INDWELL CATH),NOT INCL NEUROLYT SUBST,WWO CONTRAST (FOR EITHER LOCAL/EPIDU INJECTION, SING (NOT INDWELL CATH),NOT INCL NEUROLYT SUBST,WWO CONTRAST (FOR EITHER LOCAL/EPIDU INJECT,INCL CATH PLACE,CONTIN INFUS/INTERMIT BOLUS,NOT INCL NEUROLYT SUB, WWO CONTRAST (EITHER L INJECT,INCL CATH PLACE,CONTIN INFUS/INTERMIT BOLUS,NOT INCL NEUROLYT SUB, WWO CONTRAST (EITHER L IMPLANTATION, REVISION OR REPOSITIONING OF TUNNELED INTRATHECAL/EPIDURAL CATHETER, FOR LONG-TER IMPLANTATION, REVISION OR REPOSITIONING OF INTRATHECAL OR EPIDURAL CATHETER, FOR IMPLANTABLE RE REMOVAL OF PREVIOUSLY IMPLANTED INTRATHECAL OR EPIDURAL CATHETER IMPLANTATION OR REPLACEMENT OF DEVICE FOR INTRATHECAL OR EPIDURAL DRUG INFUSION; SUBCUTANEOU IMPLANTATION OR REPLACEMENT OF DEVICE FOR INTRATHECAL OR EPIDURAL DRUG INFUSION; NON-PROGRAM IMPLANTATION OR REPLACEMENT OF DEVICE FOR INTRATHECAL OR EPIDURAL DRUG INFUSION; PROGRAMMABL REMOVAL OF SUBCUTANEOUS RESERVOIR OR PUMP, PREVIOUSLY IMPLANTED FOR INTRATHECAL OR EPIDURAL ELECTRONIC ANALYSIS OF PROGRAMMABLE, IMPLANTED PUMP FOR INTRATHECAL OR EPIDURAL DRUG INFUSION ELECTRONIC ANALYSIS OF PROGRAMMABLE, IMPLANTED PUMP FOR INTRATHECAL OR EPIDURAL DRUG INFUSION LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQUINA, WITHOU LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQUINA, WITHOU LAMINECTOMY WITH EXPLORATION AND/OR DECOMP OF SPINAL CORD AND/OR CAUDA EQUINA, W/O FACETECTO LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQUINA, WITHOU LAMINECTOMY WITH REMOVAL OF ABNORMAL FACETS AND/OR PARS INTER-ARTICULARIS WITH DECOMPRESSIO LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQUINA, WITHOU LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQUINA, WITHOU LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQUINA, WITHOU LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECT LAMINOTOMY (HEMILAMINECTOMY), W DECOMPRESSION OF NERVE ROOT(S), INCL PARTIAL FACETECTOMY, FOR LAMINOTOMY (HEMILAMINECTOMY), W DECOMPRESS OF NERVE ROOT(S), INCL PART FACETECT, FORAMINOT &/ E LAMINOTOMY (HEMILAMINECTOMY), W/DECOMPRESSION OF NERVE ROOT(S), INCLDG PARTIAL FACETECTOMY, F LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECT LAMINOTOMY (HEMILAMINECTOMY), W/ DECOMPRESS NERVE ROOT(S), INCL PART FACETECTOMY, FORAMINOTO LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESS NERVE ROOT(S), INCL PART FACETECTOMY, FORAMINO LAMINECTOMY, FACETECTOMY AND FORAMINOTOMY (UNI OR BILATERAL W DECOMP OF SPINAL CORD, CAUDA E LAMINECTOMY, FACETECTOMY AND FORAMINOTOMY (UNI OR BILATERAL W DECOMP OF SPINAL CORD, CAUDA E LAMINECTOMY, FACETECTOMY AND FORAMINOTOMY (UNI OR BILATERAL W DECOMP OF SPINAL CORD, CAUDA E
- 330. LAMINECT,FACETECT & FORAMINOT(UNI/BILAT W DECOMP OF SPINAL CORD,CAUDA EQUINA &/ NERVE ROOT(S),( TRANSPEDICULAR APPROACH WITH DECOMPRESSION OF SPINAL CORD, EQUINA AND/OR NERVE ROOT(S) (EG, H TRANSPEDICULAR APPR W DECOMPRESSION OF SPINAL CORD, EQUINA &/ NERVE ROOT(S) (EG,HERNIATED INTER TRANSPEDICULAR APPROACH WITH DECOMPRESSION OF SPINAL CORD, EQUINA AND/OR NERVE ROOT(S) (EG, H COSTOVERTEBRAL APPROACH WITH DECOMPRESSION OF SPINAL CORD OR NERVE ROOT(S), (EG, HERNIATED IN COSTOVERTEBRAL APPROACH WITH DECOMPRESSION OF SPINAL CORD OR NERVE ROOT(S), (EG, HERNIATED IN DISKECTOMY, ANTERIOR, WITH DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOT(S), INCLUDING OSTEOP DISKECTOMY, ANTERIOR, WITH DECOMPRESSION OF SPINAL CORD AND/ OR NERVE ROOT(S), INCLUDING OSTEO DISKECTOMY, ANTERIOR, WITH DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOT(S), INCLUDING OSTEOP DISKECTOMY, ANTERIOR, WITH DECOMPRESSION OF SPINAL CORD AND/ OR NERVE ROOT(S), INCLUDING OSTEO VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, ANTERIOR APPROACH WITH VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, ANTERIOR APPROACH WITH VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, TRANSTHORACIC APPROAC VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, TRANSTHORACIC APPROAC VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, COMBINED THORACOLUMBA VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, COMBINED THORACOLUMBA VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, TRANS/RETROPERITONEAL VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PART/COMP, TRANSPERITONEAL/RETROPERITONEA LAMINECTOMY WITH MYELOTOMY (EG, BISCHOF OR DREZ TYPE), CERVICAL, THORACIC OR THORACOLUMBAR LAMINECTOMY WITH DRAINAGE OF INTRAMEDULLARY CYST/SYRINX; TO SUBARACHNOID SPACE LAMINECTOMY WITH DRAINAGE OF INTRAMEDULLARY CYST/SYRINX; TO PERITONEAL SPACE LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; ONE OR TW LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; MORE THA LAMINECTOMY WITH RHIZOTOMY; ONE OR TWO SEGMENTS LAMINECTOMY WITH RHIZOTOMY; MORE THAN TWO SEGMENTS LAMINECTOMY WITH SECTION OF SPINAL ACCESSORY NERVE LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF ONE SPINOTHALAMIC TRACT, ONE STAGE; CERVICAL LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF ONE SPINOTHALAMIC TRACT, ONE STAGE; THORACIC LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, ONE STAGE; CERVICAL LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, ONE STAGE; THORACIC LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, TWO STAGES WITHIN 14 D LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, TWO STAGES WITHIN 14 D LAMINECTOMY WITH RELEASE OF TETHERED SPINAL CORD, LUMBAR LAMINECTOMY FOR EXCISION OR OCCLUSION OF ARTERIOVENOUS MALFORMATION OF SPINAL CORD; CERVICAL LAMINECTOMY FOR EXCISION OR OCCLUSION OF ARTERIOVENOUS MALFORMATION OF SPINAL CORD; THORACIC LAMINECTOMY FOR EXCISION OR OCCLUSION OF ARTERIOVENOUS MALFORMATION OF SPINAL CORD; THORACO LAMINECTOMY FOR EXCISION OR EVACUATION OF INTRASPINAL LESION OTHER THAN NEOPLASM, EXTRADURAL; LAMINECTOMY FOR EXCISION OR EVACUATION OF INTRASPINAL LESION OTHER THAN NEOPLASM, EXTRADURAL; LAMINECTOMY FOR EXCISION OR EVACUATION OF INTRASPINAL LESION OTHER THAN NEOPLASM, EXTRADURAL; LAMINECTOMY FOR EXCISION OR EVACUATION OF INTRASPINAL LESION OTHER THAN NEOPLASM, EXTRADURAL; LAMINECTOMY FOR EXCISION OF INTRASPINAL LESION OTHER THAN NEOPLASM, INTRADURAL; CERVICAL LAMINECTOMY FOR EXCISION OF INTRASPINAL LESION OTHER THAN NEOPLASM, INTRADURAL; THORACIC LAMINECTOMY FOR EXCISION OF INTRASPINAL LESION OTHER THAN NEOPLASM, INTRADURAL; LUMBAR LAMINECTOMY FOR EXCISION OF INTRASPINAL LESION OTHER THAN NEOPLASM, INTRADURAL; SACRAL LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; EXTRADURAL, CERVICAL LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; EXTRADURAL, THORACIC LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; EXTRADURAL, LUMBAR LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; EXTRADURAL, SACRAL LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; INTRADURAL, EXTRAMEDULLARY, CERVICAL LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; INTRADURAL, EXTRAMEDULLARY, THORACIC LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; INTRADURAL, EXTRAMEDULLARY, LUMBAR LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; INTRADURAL, SACRAL
- 331. LAMINECTOMY FOR BIOPSY/EXCISIONOF INTRASPINAL NEOPLASM; INTRADURAL, INTRAMEDULLARY, CERVICAL LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; INTRADURAL, INTRAMEDULLARY, THORACIC LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; INTRADURAL, INTRAMEDULLARY, THORACOL LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; COMBINED EXTRADURAL-INTRADURAL LESIO VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR EXCISION OF INTRASP VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR EXCISION OF INTRASP VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR EXCISION OF INTRASP VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR EXCISION OF INTRASP VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR EXCISION OF INTRASP VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR EXCISION OF INTRASP VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR EXCISION OF INTRASP VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR EXCISION OF INTRASP VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR EXCISION OF INTRASP CREATION OF LESION OF SPINAL CORD BY STEREOTACTIC METHOD, PERCUTANEOUS, ANY MODALITY (INCLUDIN STEREOTACTIC STIMULATION OF SPINAL CORD, PERCUTANEOUS, SEPARATE PROCEDURE NOT FOLLOWED BY O STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY, EPIDURAL LAMINECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, PLATE/PADDLE, EPIDURAL REVISION OR REMOVAL OF SPINAL NEUROSTIMULATOR ELECTRODE PERCUTANEOUS ARRAY(S) OR PLATE/PADD INCISION AND SUBCUTANEOUS PLACEMENT OF SPINAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, D REVISION OR REMOVAL OF IMPLANTED SPINAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER REPAIR OF MENINGOCELE; LESS THAN 5 CM DIAMETER REPAIR OF MENINGOCELE; LARGER THAN 5 CM DIAMETER REPAIR OF MYELOMENINGOCELE; LESS THAN 5 CM DIAMETER REPAIR OF MYELOMENINGOCELE; LARGER THAN 5 CM DIAMETER REPAIR OF DURAL/CEREBROSPINAL FLUID LEAK, NOT REQUIRING LAMINECTOMY REPAIR OF DURAL/CEREBROSPINAL FLUID LEAK OR PSEUDOMENINGOCELE, WITH LAMINECTOMY DURAL GRAFT, SPINAL CREATION OF SHUNT, LUMBAR, SUBARACHNOID-PERITONEAL, -PLEURAL, OR OTHER; INCLUDING LAMINECTOMY CREATION OF SHUNT, LUMBAR, SUBARACHNOID-PERITONEAL, -PLEURAL, OR OTHER; PERCUTANEOUS, NOT REQ REPLACEMENT, IRRIGATION OR REVISION OF LUMBOSUBARACHNOID SHUNT REMOVAL OF ENTIRE LUMBOSUBARACHNOID SHUNT SYSTEM WITHOUT REPLACEMENT INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANY DIVISION OR BRANCH INJECTION, ANESTHETIC AGENT; FACIAL NERVE INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE INJECTION, ANESTHETIC AGENT; VAGUS NERVE INJECTION, ANESTHETIC AGENT; PHRENIC NERVE INJECTION, ANESTHETIC AGENT; SPINAL ACCESSORY NERVE INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS INJECTION, ANESTHETIC AGENT; BRACHIAL PLEXUS, SINGLE INJECTION, ANESTHETIC AGENT; BRACHIAL PLEXUS, CONTINUOUS INFUSION BY CATHETER (INCLUDING CATHETE INJECTION, ANESTHETIC AGENT; AXILLARY NERVE INJECTION, ANESTHETIC AGENT; SUPRASCAPULAR NERVE INJECTION, ANESTHETIC AGENT; INTERCOSTAL NERVE, SINGLE INJECTION, ANESTHETIC AGENT; INTERCOSTAL NERVES, MULTIPLE, REGIONAL BLOCK INJECTION, ANESTHETIC AGENT; ILIOINGUINAL, ILIOHYPOGASTRIC NERVES INJECTION, ANESTHETIC AGENT; PUDENDAL NERVE INJECTION, ANESTHETIC AGENT; PARACERVICAL (UTERINE) NERVE INJECTION, ANESTHETIC AGENT; SCIATIC NERVE, SINGLE INJECTION, ANESTHETIC AGENT; SCIATIC NERVE, CONTINUOUS INFUSION BY CATHETER, (INCLUDING CATHETER INJECTION, ANESTHETIC AGENT; FEMORAL NERVE, SINGLE INJECTION, ANESTHETIC AGENT; FEMORAL NERVE, CONTINUOUS INFUSION BY CATHETER (INCLUDING CATHETER
- 332. INJECTION, ANESTHETIC AGENT;OTHER PERIPHERAL NERVE OR BRANCH INJECTION, ANESTHETIC AGENT AND/OR STEROID, PARAVERTEBRAL FACET JOINT OR FACET JOINT NERVE; CERV INJECTION, ANESTHETIC AGENT AND/OR STEROID, PARAVERTEBRAL FACET JOINT OR FACET JOINT NERVE; CERV INJECTION, ANESTHETIC AGENT AND/OR STEROID, PARAVERTEBRAL FACET JOINT OR FACET JOINT NERVE; LUMB INJECTION, ANESTHETIC AGENT AND/OR STEROID, PARAVERTEBRAL FACET JOINT OR FACET JOINT NERVE; LUMB INJECTION, ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL; CERVICAL OR THORACIC, SINGL INJECTION, ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL; CERVICAL OR THORACIC, EACH INJECTION, ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL; LUMBAR OR SACRAL, SINGLE LE INJECTION, ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL; LUMBAR OR SACRAL, EACH ADD INJECTION, ANESTHETIC AGENT; SPHENOPALATINE GANGLION INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) INJECTION, ANESTHETIC AGENT; STELLATE GANGLION (CERVICAL SYMPATHETIC) INJECTION, ANESTHETIC AGENT; LUMBAR OR THORACIC (PARAVERTEBRAL SYMPATHETIC) INJECTION, ANESTHETIC AGENT; CELIAC PLEXUS, WITH OR WITHOUT RADIOLOGIC MONITORING APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; CRANIAL NERVE PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; PERIPHERAL NERVE (EXCLUDES SACRAL PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; AUTONOMIC NERVE PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; SACRAL NERVE (TRANSFORAMINAL PLAC PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; NEUROMUSCULAR INCISION FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; CRANIAL NERVE INCISION FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; PERIPHERAL NERVE (EXCLUDES SACRAL NE INCISION FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; AUTONOMIC NERVE INCISION FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; NEUROMUSCULAR INCISION FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; SACRAL NERVE (TRANSFORAMINAL PLACEM REVISION OR REMOVAL OF PERIPHERAL NEUROSTIMULATOR ELECTRODES INCISION AND SUBCUTANEOUS PLACEMENT OF PERIPHERAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIV REVISION OR REMOVAL OF PERIPHERAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER DESTRUCTION BY NEUROLYTIC AGENT, TRIGEMINAL NERVE; SUPRAORBITAL, INFRAORBITAL, MENTAL, OR INFERI DESTRUCTION BY NEUROLYTIC AGENT, TRIGEMINAL NERVE; SECOND AND THIRD DIVISION BRANCHES AT FORAM DESTRUCTION BY NEUROLYTIC AGENT, TRIGEMINAL NERVE; SECOND AND THIRD DIVISION BRANCHES AT FORAM CHEMODENERVATION OF MUSCLE(S); MUSCLE(S) INNERVATED BY FACIAL NERVE (EG, FOR BLEPHAROSPASM, HE CHEMODENERVATION OF MUSCLE(S); CERVICAL SPINAL MUSCLE(S) (EG, FOR SPASMODIC TORTICOLLIS) CHEMODENERVATION OF MUSCLE(S); EXTREMITY(S) AND/OR TRUNK MUSCLE(S) (EG, FOR DYSTONIA, CEREBRAL DESTRUCTION BY NEUROLYTIC AGENT, INTERCOSTAL NERVE DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE; LUMBAR OR SACRAL, SINGLE LEV DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE; LUMBAR OR SACRAL, EACH ADDIT DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE; CERVICAL OR THORACIC, SINGLE DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE; CERVICAL OR THORACIC, EACH A DESTRUCTION BY NEUROLYTIC AGENT; PUDENDAL NERVE DESTRUCTION BY NEUROLYTIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH DESTRUCTION BY NEUROLYTIC AGENT, CELIAC PLEXUS, WITH OR WITHOUT RADIOLOGIC MONITORING NEUROPLASTY; DIGITAL, ONE OR BOTH, SAME DIGIT NEUROPLASTY; NERVE OF HAND OR FOOT NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG; OTHER THAN SPECIFIED NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG; SCIATIC NERVE NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG; BRACHIAL PLEXUS NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG; LUMBAR PLEXUS NEUROPLASTY AND/OR TRANSPOSITION; CRANIAL NERVE (SPECIFY) NEUROPLASTY AND/OR TRANSPOSITION; ULNAR NERVE AT ELBOW NEUROPLASTY AND/OR TRANSPOSITION; ULNAR NERVE AT WRIST NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL
- 333. DECOMPRESSION; UNSPECIFIED NERVE(S)(SPECIFY) DECOMPRESSION; PLANTAR DIGITAL NERVE INTERNAL NEUROLYSIS, REQUIRING USE OF OPERATING MICROSCOPE (LIST SEPARATELY IN ADDITION TO CODE TRANSECTION OR AVULSION OF; SUPRAORBITAL NERVE TRANSECTION OR AVULSION OF; INFRAORBITAL NERVE TRANSECTION OR AVULSION OF; MENTAL NERVE TRANSECTION OR AVULSION OF; INFERIOR ALVEOLAR NERVE BY OSTEOTOMY TRANSECTION OR AVULSION OF; LINGUAL NERVE TRANSECTION OR AVULSION OF; FACIAL NERVE, DIFFERENTIAL OR COMPLETE TRANSECTION OR AVULSION OF; GREATER OCCIPITAL NERVE TRANSECTION OR AVULSION OF; PHRENIC NERVE TRANSECTION OR AVULSION OF; VAGUS NERVE (VAGOTOMY), TRANSTHORACIC TRANSECTION OR AVULSION OF; VAGUS NERVES LIMITED TO PROXIMAL STOMACH (SELECTIVE PROXIMAL VAGOT TRANSECTION OR AVULSION OF; VAGUS NERVE (VAGOTOMY), ABDOMINAL TRANSECTION OR AVULSION OF; PUDENDAL NERVE TRANSECTION OR AVULSION OF OBTURATOR NERVE, EXTRAPELVIC, WITH OR WITHOUT ADDUCTOR TENOTOMY TRANSECTION OR AVULSION OF OBTURATOR NERVE, INTRAPELVIC, WITH OR WITHOUT ADDUCTOR TENOTOMY TRANSECTION OR AVULSION OF OTHER CRANIAL NERVE, EXTRADURAL TRANSECTION OR AVULSION OF OTHER SPINAL NERVE, EXTRADURAL EXCISION OF NEUROMA; CUTANEOUS NERVE, SURGICALLY IDENTIFIABLE EXCISION OF NEUROMA; DIGITAL NERVE, ONE OR BOTH, SAME DIGIT EXCISION OF NEUROMA; DIGITAL NERVE, EACH ADDITIONAL DIGIT (LIST SEPARATELY IN ADDITION TO CODE FOR EXCISION OF NEUROMA; HAND OR FOOT, EXCEPT DIGITAL NERVE EXCISION OF NEUROMA; HAND OR FOOT, EACH ADDITIONAL NERVE, EXCEPT SAME DIGIT (LIST SEPARATELY IN A EXCISION OF NEUROMA; MAJOR PERIPHERAL NERVE, EXCEPT SCIATIC EXCISION OF NEUROMA; SCIATIC NERVE IMPLANTATION OF NERVE END INTO BONE OR MUSCLE (LIST SEPARATELY IN ADDITION TO NEUROMA EXCISION) EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA; CUTANEOUS NERVE EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA; MAJOR PERIPHERAL NERVE EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA; EXTENSIVE (INCLUDING MALIGNANT TYPE) BIOPSY OF NERVE SYMPATHECTOMY, CERVICAL SYMPATHECTOMY, CERVICOTHORACIC SYMPATHECTOMY, THORACOLUMBAR SYMPATHECTOMY, LUMBAR SYMPATHECTOMY; DIGITAL ARTERIES, EACH DIGIT SYMPATHECTOMY; RADIAL ARTERY SYMPATHECTOMY; ULNAR ARTERY SYMPATHECTOMY; SUPERFICIAL PALMAR ARCH SUTURE OF DIGITAL NERVE, HAND OR FOOT; ONE NERVE SUTURE OF DIGITAL NERVE, HAND OR FOOT; EACH ADDITIONAL DIGITAL NERVE (LIST SEPARATELY IN ADDITION T SUTURE OF ONE NERVE, HAND OR FOOT; COMMON SENSORY NERVE SUTURE OF ONE NERVE, HAND OR FOOT; MEDIAN MOTOR THENAR SUTURE OF ONE NERVE, HAND OR FOOT; ULNAR MOTOR SUTURE OF EACH ADDITIONAL NERVE, HAND OR FOOT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY P SUTURE OF POSTERIOR TIBIAL NERVE SUTURE OF MAJOR PERIPHERAL NERVE, ARM OR LEG, EXCEPT SCIATIC; INCLUDING TRANSPOSITION SUTURE OF MAJOR PERIPHERAL NERVE, ARM OR LEG, EXCEPT SCIATIC; WITHOUT TRANSPOSITION SUTURE OF SCIATIC NERVE SUTURE OF EACH ADDITIONAL MAJOR PERIPHERAL NERVE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMA SUTURE OF; BRACHIAL PLEXUS SUTURE OF; LUMBAR PLEXUS
- 334. SUTURE OF FACIALNERVE; EXTRACRANIAL SUTURE OF FACIAL NERVE; INFRATEMPORAL, WITH OR WITHOUT GRAFTING ANASTOMOSIS; FACIAL-SPINAL ACCESSORY ANASTOMOSIS; FACIAL-HYPOGLOSSAL ANASTOMOSIS; FACIAL-PHRENIC SUTURE OF NERVE; REQUIRING SECONDARY OR DELAYED SUTURE (LIST SEPARATELY IN ADDITION TO CODE FO SUTURE OF NERVE; REQUIRING EXTENSIVE MOBILIZATION, OR TRANSPOSITION OF NERVE (LIST SEPARATELY IN SUTURE OF NERVE; REQUIRING SHORTENING OF BONE OF EXTREMITY (LIST SEPARATELY IN ADDITION TO CODE NERVE GRAFT (INCLUDES OBTAINING GRAFT), HEAD OR NECK; UP TO 4 CM IN LENGTH NERVE GRAFT (INCLUDES OBTAINING GRAFT), HEAD OR NECK; MORE THAN 4 CM IN LENGTH NERVE GRAFT (INCLUDES OBTAINING GRAFT), SINGLE STRAND, HAND OR FOOT; UP TO 4 CM LENGTH NERVE GRAFT (INCLUDES OBTAINING GRAFT), SINGLE STRAND, HAND OR FOOT; MORE THAN 4 CM LENGTH NERVE GRAFT (INCLUDES OBTAINING GRAFT), SINGLE STRAND, ARM OR LEG; UP TO 4 CM LENGTH NERVE GRAFT (INCLUDES OBTAINING GRAFT), SINGLE STRAND, ARM OR LEG; MORE THAN 4 CM LENGTH NERVE GRAFT (INCLUDES OBTAINING GRAFT), MULTIPLE STRANDS (CABLE), HAND OR FOOT; UP TO 4 CM LENGTH NERVE GRAFT (INCLUDES OBTAINING GRAFT), MULTIPLE STRANDS (CABLE), HAND OR FOOT; MORE THAN 4 CM LE NERVE GRAFT (INCLUDES OBTAINING GRAFT), MULTIPLE STRANDS (CABLE), ARM OR LEG; UP TO 4 CM LENGTH NERVE GRAFT (INCLUDES OBTAINING GRAFT), MULTIPLE STRANDS (CABLE), ARM OR LEG; MORE THAN 4 CM LENG NERVE GRAFT, EACH ADDITIONAL NERVE; SINGLE STRAND (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMAR NERVE GRAFT, EACH ADDITIONAL NERVE; MULTIPLE STRANDS (CABLE) (LIST SEPARATELY IN ADDITION TO CODE NERVE PEDICLE TRANSFER; FIRST STAGE NERVE PEDICLE TRANSFER; SECOND STAGE UNLISTED PROCEDURE, NERVOUS SYSTEM EVISCERATION OF OCULAR CONTENTS; WITHOUT IMPLANT EVISCERATION OF OCULAR CONTENTS; WITH IMPLANT ENUCLEATION OF EYE; WITHOUT IMPLANT ENUCLEATION OF EYE; WITH IMPLANT, MUSCLES NOT ATTACHED TO IMPLANT ENUCLEATION OF EYE; WITH IMPLANT, MUSCLES ATTACHED TO IMPLANT EXENTERATION OF ORBIT (DOES NOT INCLUDE SKIN GRAFT), REMOVAL OF ORBITAL CONTENTS; ONLY EXENTERATION OF ORBIT (DOES NOT INCLUDE SKIN GRAFT), REMOVAL OF ORBITAL CONTENTS; WITH THERAPEU EXENTERATION OF ORBIT (DOES NOT INCLUDE SKIN GRAFT), REMOVAL OF ORBITAL CONTENTS; WITH MUSCLE O MODIFICATION OF OCULAR IMPLANT WITH PLACEMENT OR REPLACEMENT OF PEGS (EG, DRILLING RECEPTACLE INSERTION OF OCULAR IMPLANT SECONDARY; AFTER EVISCERATION, IN SCLERAL SHELL INSERTION OF OCULAR IMPLANT SECONDARY; AFTER ENUCLEATION, MUSCLES NOT ATTACHED TO IMPLANT INSERTION OF OCULAR IMPLANT SECONDARY; AFTER ENUCLEATION, MUSCLES ATTACHED TO IMPLANT REINSERTION OF OCULAR IMPLANT; WITH OR WITHOUT CONJUNCTIVAL GRAFT REINSERTION OF OCULAR IMPLANT; WITH USE OF FOREIGN MATERIAL FOR REINFORCEMENT AND/OR ATTACHME REMOVAL OF OCULAR IMPLANT REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CONJUNCTIVAL SUPERFICIAL REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CONJUNCTIVAL EMBEDDED (INCLUDES CONCRETIONS), SUBCONJU REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CORNEAL, WITHOUT SLIT LAMP REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CORNEAL, WITH SLIT LAMP REMOVAL OF FOREIGN BODY, INTRAOCULAR; FROM ANTERIOR CHAMBER OF EYE OR LENS REMOVAL OF FOREIGN BODY, INTRAOCULAR; FROM POSTERIOR SEGMENT, MAGNETIC EXTRACTION, ANTERIOR O REMOVAL OF FOREIGN BODY, INTRAOCULAR; FROM POSTERIOR SEGMENT, NONMAGNETIC EXTRACTION REPAIR OF LACERATION; CONJUNCTIVA, WITH OR WITHOUT NONPERFORATING LACERATION SCLERA, DIRECT CL REPAIR OF LACERATION; CONJUNCTIVA, BY MOBILIZATION AND REARRANGEMENT, WITHOUT HOSPITALIZATION REPAIR OF LACERATION; CONJUNCTIVA, BY MOBILIZATION AND REARRANGEMENT, WITH HOSPITALIZATION REPAIR OF LACERATION; CORNEA, NONPERFORATING, WITH OR WITHOUT REMOVAL FOREIGN BODY REPAIR OF LACERATION; CORNEA AND/OR SCLERA, PERFORATING, NOT INVOLVING UVEAL TISSUE REPAIR OF LACERATION; CORNEA AND/OR SCLERA, PERFORATING, WITH REPOSITION OR RESECTION OF UVEAL REPAIR OF LACERATION; APPLICATION OF TISSUE GLUE, WOUNDS OF CORNEA AND/OR SCLERA
- 335. REPAIR OF WOUND,EXTRAOCULAR MUSCLE, TENDON AND/OR TENON'S CAPSULE EXCISION OF LESION, CORNEA (KERATECTOMY, LAMELLAR, PARTIAL), EXCEPT PTERYGIUM BIOPSY OF CORNEA EXCISION OR TRANSPOSITION OF PTERYGIUM; WITHOUT GRAFT EXCISION OR TRANSPOSITION OF PTERYGIUM; WITH GRAFT SCRAPING OF CORNEA, DIAGNOSTIC, FOR SMEAR AND/OR CULTURE REMOVAL OF CORNEAL EPITHELIUM; WITH OR WITHOUT CHEMOCAUTERIZATION (ABRASION, CURETTAGE) REMOVAL OF CORNEAL EPITHELIUM; WITH APPLICATION OF CHELATING AGENT (EG, EDTA) DESTRUCTION OF LESION OF CORNEA BY CRYOTHERAPY, PHOTOCOAGULATION OR THERMOCAUTERIZATION MULTIPLE PUNCTURES OF ANTERIOR CORNEA (EG, FOR CORNEAL EROSION, TATTOO) KERATOPLASTY (CORNEAL TRANSPLANT); LAMELLAR KERATOPLASTY (CORNEAL TRANSPLANT); PENETRATING (EXCEPT IN APHAKIA) KERATOPLASTY (CORNEAL TRANSPLANT); PENETRATING (IN APHAKIA) KERATOPLASTY (CORNEAL TRANSPLANT); PENETRATING (IN PSEUDOPHAKIA) KERATOMILEUSIS KERATOPHAKIA EPIKERATOPLASTY KERATOPROSTHESIS RADIAL KERATOTOMY CORNEAL RELAXING INCISION FOR CORRECTION OF SURGICALLY INDUCED ASTIGMATISM CORNEAL WEDGE RESECTION FOR CORRECTION OF SURGICALLY INDUCED ASTIGMATISM PARACENTESIS OF ANTERIOR CHAMBER OF EYE (SEPARATE PROCEDURE); WITH DIAGNOSTIC ASPIRATION OF AQ PARACENTESIS OF ANTERIOR CHAMBER OF EYE (SEPARATE PROCEDURE); WITH THERAPEUTIC RELEASE OF AQU PARACENTESIS OF ANTERIOR CHAMBER OF EYE (SEPARATE PROCEDURE); WITH REMOVAL OF VITREOUS AND/O PARACENTESIS OF ANTERIOR CHAMBER OF EYE (SEPARATE PROCEDURE); WITH REMOVAL OF BLOOD, WITH OR GONIOTOMY TRABECULOTOMY AB EXTERNO TRABECULOPLASTY BY LASER SURGERY, ONE OR MORE SESSIONS (DEFINED TREATMENT SERIES) SEVERING ADHESIONS OF ANTERIOR SEGMENT, LASER TECHNIQUE (SEPARATE PROCEDURE) SEVERING ADHESIONS OF ANTERIOR SEGMENT OF EYE, INCISIONAL TECHNIQUE (WITH OR WITHOUT INJECTION SEVERING ADHESIONS OF ANTERIOR SEGMENT OF EYE, INCISIONAL TECHNIQUE (WITH OR WITHOUT INJECTION SEVERING ADHESIONS OF ANTERIOR SEGMENT OF EYE, INCISIONAL TECHNIQUE (WITH OR WITHOUT INJECTION SEVERING ADHESIONS OF ANTERIOR SEGMENT OF EYE, INCISIONAL TECHNIQUE (WITH OR WITHOUT INJECTION REMOVAL OF EPITHELIAL DOWNGROWTH, ANTERIOR CHAMBER OF EYE REMOVAL OF IMPLANTED MATERIAL, ANTERIOR SEGMENT OF EYE REMOVAL OF BLOOD CLOT, ANTERIOR SEGMENT OF EYE INJECTION, ANTERIOR CHAMBER OF EYE (SEPARATE PROCEDURE); AIR OR LIQUID INJECTION, ANTERIOR CHAMBER OF EYE (SEPARATE PROCEDURE); MEDICATION EXCISION OF LESION, SCLERA FISTULIZATION OF SCLERA FOR GLAUCOMA; TREPHINATION WITH IRIDECTOMY FISTULIZATION OF SCLERA FOR GLAUCOMA; THERMOCAUTERIZATION WITH IRIDECTOMY FISTULIZATION OF SCLERA FOR GLAUCOMA; SCLERECTOMY WITH PUNCH OR SCISSORS, WITH IRIDECTOMY FISTULIZATION OF SCLERA FOR GLAUCOMA; IRIDENCLEISIS OR IRIDOTASIS FISTULIZATION OF SCLERA FOR GLAUCOMA; TRABECULECTOMY AB EXTERNO IN ABSENCE OF PREVIOUS SURGE FISTULIZATION OF SCLERA FOR GLAUCOMA; TRABECULECTOMY AB EXTERNO WITH SCARRING FROM PREVIOUS AQUEOUS SHUNT TO EXTRAOCULAR RESERVOIR (EG, MOLTENO, SCHOCKET, DENVER-KRUPIN) REVISION OF AQUEOUS SHUNT TO EXTRAOCULAR RESERVOIR REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT REPAIR OF SCLERAL STAPHYLOMA; WITH GRAFT REVISION OR REPAIR OF OPERATIVE WOUND OF ANTERIOR SEGMENT, ANY TYPE, EARLY OR LATE, MAJOR OR MI IRIDOTOMY BY STAB INCISION (SEPARATE PROCEDURE); EXCEPT TRANSFIXION IRIDOTOMY BY STAB INCISION (SEPARATE PROCEDURE); WITH TRANSFIXION AS FOR IRIS BOMBE
- 336. IRIDECTOMY, WITH CORNEOSCLERALOR CORNEAL SECTION; FOR REMOVAL OF LESION IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL SECTION; WITH CYCLECTOMY IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL SECTION; PERIPHERAL FOR GLAUCOMA (SEPARATE PROCED IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL SECTION; SECTOR FOR GLAUCOMA (SEPARATE PROCEDURE IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL SECTION; "OPTICAL" (SEPARATE PROCEDURE) REPAIR OF IRIS, CILIARY BODY (AS FOR IRIDODIALYSIS) SUTURE OF IRIS, CILIARY BODY (SEPARATE PROCEDURE) WITH RETRIEVAL OF SUTURE THROUGH SMALL INCISIO CILIARY BODY DESTRUCTION; DIATHERMY CILIARY BODY DESTRUCTION; CYCLOPHOTOCOAGULATION CILIARY BODY DESTRUCTION; CRYOTHERAPY CILIARY BODY DESTRUCTION; CYCLODIALYSIS IRIDOTOMY/IRIDECTOMY BY LASER SURGERY (EG, FOR GLAUCOMA) (ONE OR MORE SESSIONS) IRIDOPLASTY BY PHOTOCOAGULATION (ONE OR MORE SESSIONS) (EG, FOR IMPROVEMENT OF VISION, FOR WIDE DESTRUCTION OF CYST OR LESION IRIS OR CILIARY BODY (NONEXCISIONAL PROCEDURE) DISCISSION OF SECONDARY MEMBRANOUS CATARACT (OPACIFIED POSTERIOR LENS CAPSULE AND/OR ANTERIO DISCISSION OF SECONDARY MEMBRANOUS CATARACT (OPACIFIED POSTERIOR LENS CAPSULE AND/OR ANTERIO REPOSITIONING OF INTRAOCULAR LENS PROSTHESIS, REQUIRING AN INCISION (SEPARATE PROCEDURE) REMOVAL OF SECONDARY MEMBRANOUS CATARACT (OPACIFIED POSTERIOR LENS CAPSULE AND/OR ANTERIOR REMOVAL OF LENS MATERIAL; ASPIRATION TECHNIQUE, ONE OR MORE STAGES REMOVAL OF LENS MATERIAL; PHACOFRAGMENTATION TECHNIQUE (MECHANICAL OR ULTRASONIC) (EG, PHACO REMOVAL OF LENS MATERIAL; PARS PLANA APPROACH, WITH OR WITHOUT VITRECTOMY REMOVAL OF LENS MATERIAL; INTRACAPSULAR REMOVAL OF LENS MATERIAL; INTRACAPSULAR, FOR DISLOCATED LENS REMOVAL OF LENS MATERIAL; EXTRACAPSULAR (OTHER THAN 66840, 66850, 66852) XCAPSULAR CTRCT REM W INS, IOL PRSTH,MAN/MECH TECHN,CMPLX,REQ S/TECHNS NO GENLY USED ROUTINE INTRACAPSULAR CATARACT EXTRACTION WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (ONE STAGE PR EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (ONE STAGE PRO INSERTION OF INTRAOCULAR LENS PROSTHESIS (SECONDARY IMPLANT), NOT ASSOCIATED WITH CONCURRENT EXCHANGE OF INTRAOCULAR LENS USE OF OPHTHALMIC ENDOSCOPE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) UNLISTED PROCEDURE, ANTERIOR SEGMENT OF EYE REMOVAL OF VITREOUS, ANTERIOR APPROACH (OPEN SKY TECHNIQUE OR LIMBAL INCISION); PARTIAL REMOVAL REMOVAL OF VITREOUS, ANTERIOR APPROACH (OPEN SKY TECHNIQUE OR LIMBAL INCISION); SUBTOTAL REMOV ASPIRATION OR RELEASE OF VITREOUS, SUBRETINAL OR CHOROIDAL FLUID, PARS PLANA APPROACH (POSTERIO INJECTION OF VITREOUS SUBSTITUTE, PARS PLANA OR LIMBAL APPROACH, (FLUID-GAS EXCHANGE), WITH OR W IMPLANTATION OF INTRAVITREAL DRUG DELIVERY SYSTEM (EG, GANCICLOVIR IMPLANT), INCLUDES CONCOMITA INTRAVITREAL INJECTION OF A PHARMACOLOGIC AGENT (SEPARATE PROCEDURE) DISCISSION OF VITREOUS STRANDS (WITHOUT REMOVAL), PARS PLANA APPROACH SEVERING OF VITREOUS STRANDS, VITREOUS FACE ADHESIONS, SHEETS, MEMBRANES OR OPACITIES, LASER SU VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH EPIRETINAL MEMBRANE STRIPPING VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH FOCAL ENDOLASER PHOTOCOAGULATION VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH ENDOLASER PANRETINAL PHOTOCOAGULATION REPAIR OF RETINAL DETACHMENT, ONE OR MORE SESSIONS; CRYOTHERAPY OR DIATHERMY, WITH OR WITHOUT REPAIR OF RETINAL DETACHMENT, ONE OR MORE SESSIONS; PHOTOCOAGULATION (LASER OR XENON ARC, ONE REPAIR RETINAL DETACHMENT; SCLERAL BUCKLING (SUCH AS LAMELLAR SCLERAL DISSECTION, IMBRICATION O REPAIR RETINAL DETACHMENT; W/VITRECTOMY, ANY METHOD, W W/O AIR OR GAS TAMPONADE, FOCAL ENDOLA REPAIR OF RETINAL DETACHMENT, ONE OR MORE SESSIONS; BY INJECTION OF AIR OR OTHER GAS (EG, PNEUMA REPAIR OF RETINAL DETACHMENT; BY SCLERAL BUCKLING OR VITRECTOMY, ON PATIENT HAVING PREVIOUS IPS RELEASE OF ENCIRCLING MATERIAL (POSTERIOR SEGMENT) REMOVAL OF IMPLANTED MATERIAL, POSTERIOR SEGMENT; EXTRAOCULAR REMOVAL OF IMPLANTED MATERIAL, POSTERIOR SEGMENT; INTRAOCULAR
- 337. PROPHYLAXIS OF RETINALDETACHMENT (EG, RETINAL BREAK, LATTICE DEGENERATION) WITHOUT DRAINAGE, O PROPHYLAXIS OF RETINAL DETACHMENT (EG, RETINAL BREAK, LATTICE DEGENERATION) WITHOUT DRAINAGE, O DESTRUCTION OF LOCALIZED LESION OF RETINA (EG, MACULAR EDEMA, TUMORS), ONE OR MORE SESSIONS; CR DESTRUCTION OF LOCALIZED LESION OF RETINA (EG, MACULAR EDEMA, TUMORS), ONE OR MORE SESSIONS; PH DESTRUCTION OF LOCALIZED LESION OF RETINA (EG, MACULOPATHY, CHOROIDOPATHY, SMALL TUMORS), ONE O DESTRUCTION OF LOCALIZED LESION OF CHOROID (EG, CHOROIDAL NEOVASCULARIZATION); PHOTOCOAGULATI DESTRUCTION OF LOCALIZED LESION OF CHOROID (EG, CHOROIDAL NEOVASCULARIZATION); PHOTODYNAMIC TH DESTRUCTION OF LOCALIZED LESION OF CHOROID (EG, CHOROIDAL NEOVASCULARIZATION); PHOTODYNAMIC TH DESTRUCTION OF EXTENSIVE OR PROGRESSIVE RETINOPATHY (EG, DIABETIC RETINOPATHY), ONE OR MORE SE DESTRUCTION OF EXTENSIVE OR PROGRESSIVE RETINOPATHY (EG, DIABETIC RETINOPATHY), ONE OR MORE SE SCLERAL REINFORCEMENT (SEPARATE PROCEDURE); WITHOUT GRAFT SCLERAL REINFORCEMENT (SEPARATE PROCEDURE); WITH GRAFT UNLISTED PROCEDURE, POSTERIOR SEGMENT STRABISMUS SURGERY, RECESSION OR RESECTION PROCEDURE; ONE HORIZONTAL MUSCLE STRABISMUS SURGERY, RECESSION OR RESECTION PROCEDURE (PATIENT NOT PREVIOUSLY OPERATED ON); TW STRABISMUS SURGERY, RECESSION OR RESECTION PROCEDURE (PATIENT NOT PREVIOUSLY OPERATED ON); O STRABISMUS SURGERY, RECESSION OR RESECTION PROCEDURE (PATIENT NOT PREVIOUSLY OPERATED ON); TW STRABISMUS SURGERY, ANY PROCEDURE, SUPERIOR OBLIQUE MUSCLE TRANSPOSITION PROCEDURE (EG, FOR PARETIC EXTRAOCULAR MUSCLE), ANY EXTRAOCULAR MUSCLE (SPECIF STRABISMUS SURGERY ON PATIENT WITH PREVIOUS EYE SURGERY OR INJURY THAT DID NOT INVOLVE THE EXT STRABISMUS SURGERY ON PATIENT WITH SCARRING OF EXTRAOCULAR MUSCLES (EG, PRIOR OCULAR INJURY, S STRABISMUS SURGERY BY POSTERIOR FIXATION SUTURE TECHNIQUE, WITH OR WITHOUT MUSCLE RECESSION PLACEMENT OF ADJUSTABLE SUTURE(S) DURING STRABISMUS SURGERY, INCLUDING POSTOPERATIVE ADJUSTM STRABISMUS SURGERY INVOLVING EXPLORATION AND/OR REPAIR OF DETACHED EXTRAOCULAR MUSCLE(S) (LIS RELEASE OF EXTENSIVE SCAR TISSUE WITHOUT DETACHING EXTRAOCULAR MUSCLE (SEPARATE PROCEDURE) CHEMODENERVATION OF EXTRAOCULAR MUSCLE BIOPSY OF EXTRAOCULAR MUSCLE UNLISTED PROCEDURE, OCULAR MUSCLE ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); FOR EXPLORATION, WITH ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH DRAINAGE ONLY ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL OF LESION ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL OF FOREIG ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL OF BONE F FINE NEEDLE ASPIRATION OF ORBITAL CONTENTS ORBITOTOMY WITH BONE FLAP OR WINDOW, LATERAL APPROACH (EG, KROENLEIN); WITH REMOVAL OF LESION ORBITOTOMY WITH BONE FLAP OR WINDOW, LATERAL APPROACH (EG, KROENLEIN); WITH REMOVAL OF FOREIG ORBITOTOMY WITH BONE FLAP OR WINDOW, LATERAL APPROACH (EG, KROENLEIN); WITH DRAINAGE ORBITOTOMY WITH BONE FLAP OR WINDOW, LATERAL APPROACH (EG, KROENLEIN); WITH REMOVAL OF BONE FO ORBITOTOMY WITH BONE FLAP OR WINDOW, LATERAL APPROACH (EG, KROENLEIN); FOR EXPLORATION, WITH O RETROBULBAR INJECTION; MEDICATION (SEPARATE PROCEDURE, DOES NOT INCLUDE SUPPLY OF MEDICATION) RETROBULBAR INJECTION; ALCOHOL INJECTION OF MEDICATION OR OTHER SUBSTANCE INTO TENON'S CAPSULE ORBITAL IMPLANT (IMPLANT OUTSIDE MUSCLE CONE); INSERTION ORBITAL IMPLANT (IMPLANT OUTSIDE MUSCLE CONE); REMOVAL OR REVISION OPTIC NERVE DECOMPRESSION (EG, INCISION OR FENESTRATION OF OPTIC NERVE SHEATH) UNLISTED PROCEDURE, ORBIT BLEPHAROTOMY, DRAINAGE OF ABSCESS, EYELID SEVERING OF TARSORRHAPHY CANTHOTOMY (SEPARATE PROCEDURE) EXCISION OF CHALAZION; SINGLE EXCISION OF CHALAZION; MULTIPLE, SAME LID EXCISION OF CHALAZION; MULTIPLE, DIFFERENT LIDS
- 338. EXCISION OF CHALAZION;UNDER GENERAL ANESTHESIA AND/OR REQUIRING HOSPITALIZATION, SINGLE OR MUL BIOPSY OF EYELID CORRECTION OF TRICHIASIS; EPILATION, BY FORCEPS ONLY CORRECTION OF TRICHIASIS; EPILATION BY OTHER THAN FORCEPS (EG, BY ELECTROSURGERY, CRYOTHERAPY, CORRECTION OF TRICHIASIS; INCISION OF LID MARGIN CORRECTION OF TRICHIASIS; INCISION OF LID MARGIN, WITH FREE MUCOUS MEMBRANE GRAFT EXCISION OF LESION OF EYELID (EXCEPT CHALAZION) WITHOUT CLOSURE OR WITH SIMPLE DIRECT CLOSURE DESTRUCTION OF LESION OF LID MARGIN (UP TO 1 CM) TEMPORARY CLOSURE OF EYELIDS BY SUTURE (EG, FROST SUTURE) CONSTRUCTION OF INTERMARGINAL ADHESIONS, MEDIAN TARSORRHAPHY, OR CANTHORRHAPHY; CONSTRUCTION OF INTERMARGINAL ADHESIONS, MEDIAN TARSORRHAPHY, OR CANTHORRHAPHY; WITH TRANSP REPAIR OF BROW PTOSIS (SUPRACILIARY, MID-FOREHEAD OR CORONAL APPROACH) REPAIR OF BLEPHAROPTOSIS; FRONTALIS MUSCLE TECHNIQUE WITH SUTURE OR OTHER MATERIAL REPAIR OF BLEPHAROPTOSIS; FRONTALIS MUSCLE TECHNIQUE WITH FASCIAL SLING (INCLUDES OBTAINING FAS REPAIR OF BLEPHAROPTOSIS; (TARSO)LEVATOR RESECTION OR ADVANCEMENT, INTERNAL APPROACH REPAIR OF BLEPHAROPTOSIS; (TARSO)LEVATOR RESECTION OR ADVANCEMENT, EXTERNAL APPROACH REPAIR OF BLEPHAROPTOSIS; SUPERIOR RECTUS TECHNIQUE WITH FASCIAL SLING (INCLUDES OBTAINING FASC REPAIR OF BLEPHAROPTOSIS; CONJUNCTIVO-TARSO-MULLER'S MUSCLE-LEVATOR RESECTION (EG, FASANELLA- REDUCTION OF OVERCORRECTION OF PTOSIS CORRECTION OF LID RETRACTION REPAIR OF ECTROPION; SUTURE REPAIR OF ECTROPION; THERMOCAUTERIZATION REPAIR OF ECTROPION; BLEPHAROPLASTY, EXCISION TARSAL WEDGE REPAIR OF ECTROPION; BLEPHAROPLASTY, EXTENSIVE (EG, KUHNT-SZYMANOWSKI OR TARSAL STRIP OPERATIO REPAIR OF ENTROPION; SUTURE REPAIR OF ENTROPION; THERMOCAUTERIZATION REPAIR OF ENTROPION; BLEPHAROPLASTY, EXCISION TARSAL WEDGE REPAIR OF ENTROPION; BLEPHAROPLASTY, EXTENSIVE (EG, WHEELER OPERATION) SUTURE OF RECENT WOUND, EYELID, INVOLVING LID MARGIN, TARSUS, AND/OR PALPEBRAL CONJUNCTIVA DIRE SUTURE OF RECENT WOUND, EYELID, INVOLVING LID MARGIN, TARSUS, AND/OR PALPEBRAL CONJUNCTIVA DIRE REMOVAL OF EMBEDDED FOREIGN BODY, EYELID CANTHOPLASTY (RECONSTRUCTION OF CANTHUS) EXCISION AND REPAIR OF EYELID, INVOLVING LID MARGIN, TARSUS, CONJUNCTIVA, CANTHUS, OR FULL THICKNE EXCISION AND REPAIR OF EYELID, INVOLVING LID MARGIN, TARSUS, CONJUNCTIVA, CANTHUS, OR FULL THICKNE RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM OPPOSING RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM OPPOSING RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM OPPOSING RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM OPPOSING UNLISTED PROCEDURE, EYELIDS INCISION OF CONJUNCTIVA, DRAINAGE OF CYST EXPRESSION OF CONJUNCTIVAL FOLLICLES, EG, FOR TRACHOMA BIOPSY OF CONJUNCTIVA EXCISION OF LESION, CONJUNCTIVA; UP TO 1 CM EXCISION OF LESION, CONJUNCTIVA; OVER 1 CM EXCISION OF LESION, CONJUNCTIVA; WITH ADJACENT SCLERA DESTRUCTION OF LESION, CONJUNCTIVA SUBCONJUNCTIVAL INJECTION CONJUNCTIVOPLASTY; WITH CONJUNCTIVAL GRAFT OR EXTENSIVE REARRANGEMENT CONJUNCTIVOPLASTY; WITH BUCCAL MUCOUS MEMBRANE GRAFT (INCLUDES OBTAINING GRAFT) CONJUNCTIVOPLASTY, RECONSTRUCTION CUL-DE-SAC; WITH CONJUNCTIVAL GRAFT OR EXTENSIVE REARRANG CONJUNCTIVOPLASTY, RECONSTRUCTION CUL-DE-SAC; WITH BUCCAL MUCOUS MEMBRANE GRAFT (INCLUDES O REPAIR OF SYMBLEPHARON; CONJUNCTIVOPLASTY, WITHOUT GRAFT
- 339. REPAIR OF SYMBLEPHARON;WITH FREE GRAFT CONJUNCTIVA OR BUCCAL MUCOUS MEMBRANE (INCLUDES OBT REPAIR OF SYMBLEPHARON; DIVISION OF SYMBLEPHARON, WITH OR WITHOUT INSERTION OF CONFORMER OR C CONJUNCTIVAL FLAP; BRIDGE OR PARTIAL (SEPARATE PROCEDURE) CONJUNCTIVAL FLAP; TOTAL (SUCH AS GUNDERSON THIN FLAP OR PURSE STRING FLAP) UNLISTED PROCEDURE, CONJUNCTIVA INCISION, DRAINAGE OF LACRIMAL GLAND INCISION, DRAINAGE OF LACRIMAL SAC (DACRYOCYSTOTOMY OR DACRYOCYSTOSTOMY) SNIP INCISION OF LACRIMAL PUNCTUM EXCISION OF LACRIMAL GLAND (DACRYOADENECTOMY), EXCEPT FOR TUMOR; TOTAL EXCISION OF LACRIMAL GLAND (DACRYOADENECTOMY), EXCEPT FOR TUMOR; PARTIAL BIOPSY OF LACRIMAL GLAND EXCISION OF LACRIMAL SAC (DACRYOCYSTECTOMY) BIOPSY OF LACRIMAL SAC REMOVAL OF FOREIGN BODY OR DACRYOLITH, LACRIMAL PASSAGES EXCISION OF LACRIMAL GLAND TUMOR; FRONTAL APPROACH EXCISION OF LACRIMAL GLAND TUMOR; INVOLVING OSTEOTOMY PLASTIC REPAIR OF CANALICULI CORRECTION OF EVERTED PUNCTUM, CAUTERY DACRYOCYSTORHINOSTOMY (FISTULIZATION OF LACRIMAL SAC TO NASAL CAVITY) CONJUNCTIVORHINOSTOMY (FISTULIZATION OF CONJUNCTIVA TO NASAL CAVITY); WITHOUT TUBE CONJUNCTIVORHINOSTOMY (FISTULIZATION OF CONJUNCTIVA TO NASAL CAVITY); WITH INSERTION OF TUBE OR CLOSURE OF THE LACRIMAL PUNCTUM; BY THERMOCAUTERIZATION, LIGATION, OR LASER SURGERY CLOSURE OF THE LACRIMAL PUNCTUM; BY PLUG, EACH CLOSURE OF LACRIMAL FISTULA (SEPARATE PROCEDURE) DILATION OF LACRIMAL PUNCTUM, WITH OR WITHOUT IRRIGATION PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; REQUIRING GENERAL ANESTHESIA PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; WITH INSERTION OF TUBE OR STENT PROBING OF LACRIMAL CANALICULI, WITH OR WITHOUT IRRIGATION INJECTION OF CONTRAST MEDIUM FOR DACRYOCYSTOGRAPHY UNLISTED PROCEDURE, LACRIMAL SYSTEM DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATOMA; SIMPLE DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATOMA; COMPLICATED DRAINAGE EXTERNAL AUDITORY CANAL, ABSCESS EAR PIERCING BIOPSY EXTERNAL EAR BIOPSY EXTERNAL AUDITORY CANAL EXCISION EXTERNAL EAR; PARTIAL, SIMPLE REPAIR EXCISION EXTERNAL EAR; COMPLETE AMPUTATION EXCISION EXOSTOSIS(ES), EXTERNAL AUDITORY CANAL EXCISION SOFT TISSUE LESION, EXTERNAL AUDITORY CANAL RADICAL EXCISION EXTERNAL AUDITORY CANAL LESION; WITHOUT NECK DISSECTION RADICAL EXCISION EXTERNAL AUDITORY CANAL LESION; WITH NECK DISSECTION REMOVAL FOREIGN BODY FROM EXTERNAL AUDITORY CANAL; WITHOUT GENERAL ANESTHESIA REMOVAL FOREIGN BODY FROM EXTERNAL AUDITORY CANAL; WITH GENERAL ANESTHESIA REMOVAL IMPACTED CERUMEN (SEPARATE PROCEDURE), ONE OR BOTH EARS DEBRIDEMENT, MASTOIDECTOMY CAVITY, SIMPLE (EG, ROUTINE CLEANING) DEBRIDEMENT, MASTOIDECTOMY CAVITY, COMPLEX (EG, WITH ANESTHESIA OR MORE THAN ROUTINE CLEANING OTOPLASTY, PROTRUDING EAR, WITH OR WITHOUT SIZE REDUCTION RECONSTRUCTION OF EXTERNAL AUDITORY CANAL (MEATOPLASTY) (EG, FOR STENOSIS DUE TO INJURY, INFECT RECONSTRUCTION EXTERNAL AUDITORY CANAL FOR CONGENITAL ATRESIA, SINGLE STAGE UNLISTED PROCEDURE, EXTERNAL EAR
- 340. EUSTACHIAN TUBE INFLATION,TRANSNASAL; WITH CATHETERIZATION EUSTACHIAN TUBE INFLATION, TRANSNASAL; WITHOUT CATHETERIZATION EUSTACHIAN TUBE CATHETERIZATION, TRANSTYMPANIC FOCAL APPLICATION OF PHASE CONTROL SUBSTANCE, MIDDLE EAR (BAFFLE TECHNIQUE) MYRINGOTOMY INCLUDING ASPIRATION AND/OR EUSTACHIAN TUBE INFLATION MYRINGOTOMY INCLUDING ASPIRATION AND/OR EUSTACHIAN TUBE INFLATION REQUIRING GENERAL ANESTHES VENTILATING TUBE REMOVAL REQUIRING GENERAL ANESTHESIA TYMPANOSTOMY (REQUIRING INSERTION OF VENTILATING TUBE), LOCAL OR TOPICAL ANESTHESIA TYMPANOSTOMY (REQUIRING INSERTION OF VENTILATING TUBE), GENERAL ANESTHESIA MIDDLE EAR EXPLORATION THROUGH POSTAURICULAR OR EAR CANAL INCISION TYMPANOLYSIS, TRANSCANAL TRANSMASTOID ANTROTOMY ("SIMPLE" MASTOIDECTOMY) MASTOIDECTOMY; COMPLETE MASTOIDECTOMY; MODIFIED RADICAL MASTOIDECTOMY; RADICAL PETROUS APICECTOMY INCLUDING RADICAL MASTOIDECTOMY RESECTION TEMPORAL BONE, EXTERNAL APPROACH EXCISION AURAL POLYP EXCISION AURAL GLOMUS TUMOR; TRANSCANAL EXCISION AURAL GLOMUS TUMOR; TRANSMASTOID EXCISION AURAL GLOMUS TUMOR; EXTENDED (EXTRATEMPORAL) REVISION MASTOIDECTOMY; RESULTING IN COMPLETE MASTOIDECTOMY REVISION MASTOIDECTOMY; RESULTING IN MODIFIED RADICAL MASTOIDECTOMY REVISION MASTOIDECTOMY; RESULTING IN RADICAL MASTOIDECTOMY REVISION MASTOIDECTOMY; RESULTING IN TYMPANOPLASTY REVISION MASTOIDECTOMY; WITH APICECTOMY TYMPANIC MEMBRANE REPAIR, WITH OR WITHOUT SITE PREPARATION OR PERFORATION FOR CLOSURE, WITH O MYRINGOPLASTY (SURGERY CONFINED TO DRUMHEAD AND DONOR AREA) TYMPANOPLASTY W/O MASTOIDECTOMY (INC CANALPLASTY, ATTICOTOMY AND/OR MIDDLE EAR SURGERY), INITI TYMPANOPLASTY W/O MASTOIDECTOMY (INC CANALPLASTY, ATTICOTOMY AND/OR MIDDLE EAR SURGERY), INITI TYMPANOPLASTY W/O MASTOIDECTOMY (INC CANALPLASTY, ATTICOTOMY AND/OR MIDDLE EAR SURGERY), INITI TYMPANOPLASTY WITH ANTROTOMY OR MASTOIDOTOMY (INCLUDING CANALPLASTY, ATTICOTOMY, MIDDLE EAR TYMPANOPLASTY WITH ANTROTOMY OR MASTOIDOTOMY (INCLUDING CANALPLASTY, ATTICOTOMY, MIDDLE EAR TYMPANOPLASTY WITH ANTROTOMY OR MASTOIDOTOMY (INCLUDING CANALPLASTY, ATTICOTOMY, MIDDLE EAR TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBR TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBR TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBR TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBR TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBR TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBR STAPES MOBILIZATION STAPEDECTOMY OR STAPEDOTOMY WITH REESTABLISHMENT OF OSSICULAR CONTINUITY, WITH OR WITHOUT U STAPEDECTOMY OR STAPEDOTOMY WITH REESTABLISHMENT OF OSSICULAR CONTINUITY, WITH OR WITHOUT U REVISION OF STAPEDECTOMY OR STAPEDOTOMY REPAIR OVAL WINDOW FISTULA REPAIR ROUND WINDOW FISTULA MASTOID OBLITERATION (SEPARATE PROCEDURE) TYMPANIC NEURECTOMY CLOSURE POSTAURICULAR FISTULA, MASTOID (SEPARATE PROCEDURE) IMPLANTATION OR REPLACEMENT OF ELECTROMAGNETIC BONE CONDUCTION HEARING DEVICE IN TEMPORAL B REMOVAL OR REPAIR OF ELECTROMAGNETIC BONE CONDUCTION HEARING DEVICE IN TEMPORAL BONE IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTER
- 341. IMPLANTATION, OSSEOINTEGRATED IMPLANT,TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTER REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WI REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WI DECOMPRESSION FACIAL NERVE, INTRATEMPORAL; LATERAL TO GENICULATE GANGLION DECOMPRESSION FACIAL NERVE, INTRATEMPORAL; INCLUDING MEDIAL TO GENICULATE GANGLION SUTURE FACIAL NERVE, INTRATEMPORAL, WITH OR WITHOUT GRAFT OR DECOMPRESSION; LATERAL TO GENICU SUTURE FACIAL NERVE, INTRATEMPORAL, WITH OR WITHOUT GRAFT OR DECOMPRESSION; INCLUDING MEDIAL T UNLISTED PROCEDURE, MIDDLE EAR LABYRINTHOTOMY, WITH OR WITHOUT CRYOSURGERY INCLUDING OTHER NONEXCISIONAL DESTRUCTIVE PROC LABYRINTHOTOMY, WITH OR WITHOUT CRYOSURGERY OR OTHER NONEXCISIONAL DESTRUCTIVE PROCEDURES ENDOLYMPHATIC SAC OPERATION; WITHOUT SHUNT ENDOLYMPHATIC SAC OPERATION; WITH SHUNT FENESTRATION SEMICIRCULAR CANAL REVISION FENESTRATION OPERATION LABYRINTHECTOMY; TRANSCANAL LABYRINTHECTOMY; WITH MASTOIDECTOMY VESTIBULAR NERVE SECTION, TRANSLABYRINTHINE APPROACH COCHLEAR DEVICE IMPLANTATION, WITH OR WITHOUT MASTOIDECTOMY UNLISTED PROCEDURE, INNER EAR VESTIBULAR NERVE SECTION, TRANSCRANIAL APPROACH TOTAL FACIAL NERVE DECOMPRESSION AND/OR REPAIR (MAY INCLUDE GRAFT) DECOMPRESSION INTERNAL AUDITORY CANAL REMOVAL OF TUMOR, TEMPORAL BONE UNLISTED PROCEDURE, TEMPORAL BONE, MIDDLE FOSSA APPROACH MICROSURGICAL TECHNIQUES, REQUIRING USE OF OPERATING MICROSCOPE (LIST SEPARATELY IN ADDITION TO MYELOGRAPHY, POSTERIOR FOSSA, RADIOLOGICAL SUPERVISION AND INTERPRETATION CISTERNOGRAPHY, POSITIVE CONTRAST, RADIOLOGICAL SUPERVISION AND INTERPRETATION RADIOLOGIC EXAMINATION, EYE, FOR DETECTION OF FOREIGN BODY RADIOLOGIC EXAMINATION, MANDIBLE; PARTIAL, LESS THAN FOUR VIEWS RADIOLOGIC EXAMINATION, MANDIBLE; COMPLETE, MINIMUM OF FOUR VIEWS RADIOLOGIC EXAMINATION, MASTOIDS; LESS THAN THREE VIEWS PER SIDE RADIOLOGIC EXAMINATION, MASTOIDS; COMPLETE, MINIMUM OF THREE VIEWS PER SIDE RADIOLOGIC EXAMINATION, INTERNAL AUDITORY MEATI, COMPLETE RADIOLOGIC EXAMINATION, FACIAL BONES; LESS THAN THREE VIEWS RADIOLOGIC EXAMINATION, FACIAL BONES; COMPLETE, MINIMUM OF THREE VIEWS RADIOLOGIC EXAMINATION, NASAL BONES, COMPLETE, MINIMUM OF THREE VIEWS DACRYOCYSTOGRAPHY, NASOLACRIMAL DUCT, RADIOLOGICAL SUPERVISION AND INTERPRETATION RADIOLOGIC EXAMINATION; OPTIC FORAMINA RADIOLOGIC EXAMINATION; ORBITS, COMPLETE, MINIMUM OF FOUR VIEWS RADIOLOGIC EXAMINATION, SINUSES, PARANASAL, LESS THAN THREE VIEWS RADIOLOGIC EXAMINATION, SINUSES, PARANASAL, COMPLETE, MINIMUM OF THREE VIEWS RADIOLOGIC EXAMINATION, SELLA TURCICA RADIOLOGIC EXAMINATION, SKULL; LESS THAN FOUR VIEWS, WITH OR WITHOUT STEREO RADIOLOGIC EXAMINATION, SKULL; COMPLETE, MINIMUM OF FOUR VIEWS, WITH OR WITHOUT STEREO RADIOLOGIC EXAMINATION, TEETH; SINGLE VIEW RADIOLOGIC EXAMINATION, TEETH; PARTIAL EXAMINATION, LESS THAN FULL MOUTH RADIOLOGIC EXAMINATION, TEETH; COMPLETE, FULL MOUTH RADIOLOGIC EXAMINATION, TEMPOROMANDIBULAR JOINT, OPEN AND CLOSED MOUTH; UNILATERAL RADIOLOGIC EXAMINATION, TEMPOROMANDIBULAR JOINT, OPEN AND CLOSED MOUTH; BILATERAL TEMPOROMANDIBULAR JOINT ARTHROGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION MAGNETIC RESONANCE (EG, PROTON) IMAGING, TEMPOROMANDIBULAR JOINT(S) CEPHALOGRAM, ORTHODONTIC
- 342. ORTHOPANTOGRAM RADIOLOGIC EXAMINATION; NECK,SOFT TISSUE RADIOLOGIC EXAMINATION; PHARYNX OR LARYNX, INCLUDING FLUOROSCOPY AND/OR MAGNIFICATION TECHNIQ COMPLEX DYNAMIC PHARYNGEAL AND SPEECH EVALUATION BY CINE OR VIDEO RECORDING LARYNGOGRAPHY, CONTRAST, RADIOLOGICAL SUPERVISION AND INTERPRETATION RADIOLOGIC EXAMINATION, SALIVARY GLAND FOR CALCULUS SIALOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST MATERIAL COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITH CONTRAST MATERIAL(S) COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIA COMPUTED TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA OR OUTER, MIDDLE, OR INNER EAR; WITHOUT C COMPUTED TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA OR OUTER, MIDDLE, OR INNER EAR; WITH CONT COMPUTED TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA OR OUTER, MIDDLE, OR INNER EAR; WITHOUT C COMPUTED TOMOGRAPHY, MAXILLOFACIAL AREA; WITHOUT CONTRAST MATERIAL COMPUTED TOMOGRAPHY, MAXILLOFACIAL AREA; WITH CONTRAST MATERIAL(S) COMPUTED TOMOGRAPHY, MAXILLOFACIAL AREA; WITHOUT CONTRAST MATERIAL,FOLLOWED BY CONTRAST MA COMPUTED TOMOGRAPHY, SOFT TISSUE NECK; WITHOUT CONTRAST MATERIAL COMPUTED TOMOGRAPHY, SOFT TISSUE NECK; WITH CONTRAST MATERIAL(S) COMPUTED TOMOGRAPHY, SOFT TISSUE NECK; WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATE COMPUTED TOMOGRAPHIC ANGIOGRAPHY, HEAD, WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CONTRAST COMPUTED TOMOGRAPHIC ANGIOGRAPHY, NECK, WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CONTRAST MAGNETIC RESONANCE (EG, PROTON) IMAGING, ORBIT, FACE, AND NECK; WITHOUT CONTRAST MATERIAL(S) MAGNETIC RESONANCE (EG, PROTON) IMAGING, ORBIT, FACE, AND NECK; WITH CONTRAST MATERIAL(S) MAGNETIC RESONANCE (EG, PROTON) IMAGING, ORBIT, FACE, AND NECK; WITHOUT CONTRAST MATERIAL(S), FO MAGNETIC RESONANCE ANGIOGRAPHY, HEAD; WITHOUT CONTRAST MATERIAL(S) MAGNETIC RESONANCE ANGIOGRAPHY, HEAD; WITH CONTRAST MATERIAL(S) MAGNETIC RESONANCE ANGIOGRAPHY, HEAD; WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CONTRAST MA MAGNETIC RESONANCE ANGIOGRAPHY, NECK; WITHOUT CONTRAST MATERIAL(S) MAGNETIC RESONANCE ANGIOGRAPHY, NECK; WITH CONTRAST MATERIAL(S) MAGNETIC RESONANCE ANGIOGRAPHY, NECK; WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CONTRAST MA MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN STEM); WITHOUT CONTRAST MATERIA MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN STEM); WITH CONTRAST MATERIAL(S) MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN STEM); WITHOUT CONTRAST MATERIA RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW, FRONTAL RADIOLOGIC EXAMINATION, CHEST; STEREO, FRONTAL RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL; RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL; WITH APICAL LORDOTIC PROCEDURE RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL; WITH OBLIQUE PROJECTIONS RADIOLOGIC EXAMINATION, CHEST, TWO VIEWS, FRONTAL AND LATERAL; WITH FLUOROSCOPY RADIOLOGIC EXAMINATION, CHEST, COMPLETE, MINIMUM OF FOUR VIEWS; RADIOLOGIC EXAMINATION, CHEST, COMPLETE, MINIMUM OF FOUR VIEWS; WITH FLUOROSCOPY RADIOLOGIC EXAMINATION, CHEST, SPECIAL VIEWS (EG, LATERAL DECUBITUS, BUCKY STUDIES) BRONCHOGRAPHY, UNILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION BRONCHOGRAPHY, BILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION INSERTION PACEMAKER, FLUOROSCOPY AND RADIOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATIO RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; TWO VIEWS RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; INCLUDING POSTEROANTERIOR CHEST, MINIMUM OF THREE VIEW RADIOLOGIC EXAMINATION, RIBS, BILATERAL; THREE VIEWS RADIOLOGIC EXAMINATION, RIBS, BILATERAL; INCLUDING POSTEROANTERIOR CHEST, MINIMUM OF FOUR VIEWS RADIOLOGIC EXAMINATION; STERNUM, MINIMUM OF TWO VIEWS RADIOLOGIC EXAMINATION; STERNOCLAVICULAR JOINT OR JOINTS, MINIMUM OF THREE VIEWS COMPUTED TOMOGRAPHY, THORAX; WITHOUT CONTRAST MATERIAL
- 343. COMPUTED TOMOGRAPHY, THORAX;WITH CONTRAST MATERIAL(S) COMPUTED TOMOGRAPHY, THORAX; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AN COMPUTED TOMOGRAPHIC ANGIOGRAPHY, CHEST, WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CONTRAS MAGNETIC RESONANCE (EG, PROTON) IMAGING, CHEST (EG, FOR EVALUATION OF HILAR AND MEDIASTINAL LYMP MAGNETIC RESONANCE (EG, PROTON) IMAGING, CHEST (EG, FOR EVALUATION OF HILAR AND MEDIASTINAL LYMP MAGNETIC RESONANCE (EG, PROTON) IMAGING, CHEST (EG, FOR EVALUATION OF HILAR AND MEDIASTINAL LYMP MAGNETIC RESONANCE ANGIOGRAPHY, CHEST (EXCLUDING MYOCARDIUM), WITH OR WITHOUT CONTRAST MATE RADIOLOGIC EXAMINATION, SPINE, ENTIRE, SURVEY STUDY, ANTEROPOSTERIOR AND LATERAL RADIOLOGIC EXAMINATION, SPINE, SINGLE VIEW, SPECIFY LEVEL RADIOLOGIC EXAMINATION, SPINE, CERVICAL; TWO OR THREE VIEWS RADIOLOGIC EXAMINATION, SPINE, CERVICAL; MINIMUM OF FOUR VIEWS RADIOLOGIC EXAMINATION, SPINE, CERVICAL; COMPLETE, INCLUDING OBLIQUE AND FLEXION AND/OR EXTENSIO RADIOLOGIC EXAMINATION, SPINE, THORACOLUMBAR, STANDING (SCOLIOSIS) RADIOLOGIC EXAMINATION, SPINE; THORACIC, TWO VIEWS RADIOLOGIC EXAMINATION, SPINE; THORACIC, THREE VIEWS RADIOLOGIC EXAMINATION, SPINE; THORACIC, MINIMUM OF FOUR VIEWS RADIOLOGIC EXAMINATION, SPINE; THORACOLUMBAR, TWO VIEWS RADIOLOGIC EXAMINATION, SPINE; SCOLIOSIS STUDY, INCLUDING SUPINE AND ERECT STUDIES RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; TWO OR THREE VIEWS RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; MINIMUM OF FOUR VIEWS RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; COMPLETE, INCLUDING BENDING VIEWS RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL, BENDING VIEWS ONLY, MINIMUM OF FOUR VIEWS COMPUTED TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST MATERIAL COMPUTED TOMOGRAPHY, CERVICAL SPINE; WITH CONTRAST MATERIAL COMPUTED TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATER COMPUTED TOMOGRAPHY, THORACIC SPINE; WITHOUT CONTRAST MATERIAL COMPUTED TOMOGRAPHY, THORACIC SPINE; WITH CONTRAST MATERIAL COMPUTED TOMOGRAPHY, THORACIC SPINE; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATER COMPUTED TOMOGRAPHY, LUMBAR SPINE; WITHOUT CONTRAST MATERIAL COMPUTED TOMOGRAPHY, LUMBAR SPINE; WITH CONTRAST MATERIAL COMPUTED TOMOGRAPHY, LUMBAR SPINE; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIA MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, CERVICAL; WITHOUT CONTRAST MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, CERVICAL; WITH CONTRAST MA MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, THORACIC; WITHOUT CONTRAS MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, THORACIC; WITH CONTRAST MA MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, LUMBAR; WITHOUT CONTRAST M MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, LUMBAR; WITH CONTRAST MATE MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, WITHOUT CONTRAST MATERIAL MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, WITHOUT CONTRAST MATERIAL MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, WITHOUT CONTRAST MATERIAL MAGNETIC RESONANCE ANGIOGRAPHY, SPINAL CANAL AND CONTENTS, WITH OR WITHOUT CONTRAST MATERIA RADIOLOGIC EXAMINATION, PELVIS; ONE OR TWO VIEWS RADIOLOGIC EXAMINATION, PELVIS; COMPLETE, MINIMUM OF THREE VIEWS COMPUTED TOMOGRAPHIC ANGIOGRAPHY, PELVIS, WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CONTRAS COMPUTED TOMOGRAPHY, PELVIS; WITHOUT CONTRAST MATERIAL COMPUTED TOMOGRAPHY, PELVIS; WITH CONTRAST MATERIAL(S) COMPUTED TOMOGRAPHY, PELVIS; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND MAGNETIC RESONANCE (EG, PROTON) IMAGING, PELVIS; WITHOUT CONTRAST MATERIAL(S) MAGNETIC RESONANCE (EG, PROTON) IMAGING, PELVIS; WITH CONTRAST MATERIAL(S) MAGNETIC RESONANCE (EG, PROTON) IMAGING, PELVIS; WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CON MAGNETIC RESONANCE ANGIOGRAPHY, PELVIS, WITH OR WITHOUT CONTRAST MATERIAL(S) RADIOLOGIC EXAMINATION, SACROILIAC JOINTS; LESS THAN THREE VIEWS
- 344. RADIOLOGIC EXAMINATION, SACROILIACJOINTS; THREE OR MORE VIEWS RADIOLOGIC EXAMINATION, SACRUM AND COCCYX, MINIMUM OF TWO VIEWS MYELOGRAPHY, CERVICAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION MYELOGRAPHY, THORACIC, RADIOLOGICAL SUPERVISION AND INTERPRETATION MYELOGRAPHY, LUMBOSACRAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION MYELOGRAPHY, ENTIRE SPINAL CANAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION EPIDUROGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION DISKOGRAPHY, CERVICAL OR THORACIC, RADIOLOGICAL SUPERVISION AND INTERPRETATION DISKOGRAPHY, LUMBAR, RADIOLOGICAL SUPERVISION AND INTERPRETATION RADIOLOGIC EXAMINATION; CLAVICLE, COMPLETE RADIOLOGIC EXAMINATION; SCAPULA, COMPLETE RADIOLOGIC EXAMINATION, SHOULDER; ONE VIEW RADIOLOGIC EXAMINATION, SHOULDER; COMPLETE, MINIMUM OF TWO VIEWS RADIOLOGIC EXAMINATION, SHOULDER, ARTHROGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION RADIOLOGIC EXAMINATION; ACROMIOCLAVICULAR JOINTS, BILATERAL, WITH OR WITHOUT WEIGHTED DISTRACT RADIOLOGIC EXAMINATION; HUMERUS, MINIMUM OF TWO VIEWS RADIOLOGIC EXAMINATION, ELBOW; TWO VIEWS RADIOLOGIC EXAMINATION, ELBOW; COMPLETE, MINIMUM OF THREE VIEWS RADIOLOGIC EXAMINATION, ELBOW, ARTHROGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION RADIOLOGIC EXAMINATION; FOREARM, TWO VIEWS RADIOLOGIC EXAMINATION; UPPER EXTREMITY, INFANT, MINIMUM OF TWO VIEWS RADIOLOGIC EXAMINATION, WRIST; TWO VIEWS RADIOLOGIC EXAMINATION, WRIST; COMPLETE, MINIMUM OF THREE VIEWS RADIOLOGIC EXAMINATION, WRIST, ARTHROGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION RADIOLOGIC EXAMINATION, HAND; TWO VIEWS RADIOLOGIC EXAMINATION, HAND; MINIMUM OF THREE VIEWS RADIOLOGIC EXAMINATION, FINGER(S), MINIMUM OF TWO VIEWS COMPUTED TOMOGRAPHY, UPPER EXTREMITY; WITHOUT CONTRAST MATERIAL COMPUTED TOMOGRAPHY, UPPER EXTREMITY; WITH CONTRAST MATERIAL(S) COMPUTED TOMOGRAPHY, UPPER EXTREMITY; WITHOUT CONTRAST MATERIAL,FOLLOWED BY CONTRAST MATE COMPUTED TOMOGRAPHIC ANGIOGRAPHY, UPPER EXTREMITY, WITHOUT CONTRAST MATERIAL(S), FOLLOWED B MAGNETIC RESONANCE (EG, PROTON) IMAGING, UPPER EXTREMITY, OTHER THAN JOINT; WITHOUT CONTRAST M MAGNETIC RESONANCE (EG, PROTON) IMAGING, UPPER EXTREMITY, OTHER THAN JOINT; WITH CONTRAST MATE MAGNETIC RESONANCE IMAGING, UPPER EXTREMITY, OTHER THAN JOINT; WITHOUT CONTRAST MATERIAL(S), FO MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER EXTREMITY; WITHOUT CONTRAST MATER MAGNETIC RESONANCE IMAGING, ANY JOINT OF UPPER EXTREMITY; WITH CONTRAST MATERIAL(S) MAGNETIC RESONANCE IMAGING, ANY JOINT OF UPPER EXTREMITY; WITHOUT CONTRAST MATERIAL(S), FOLLOW MAGNETIC RESONANCE ANGIOGRAPHY, UPPER EXTREMITY, WITH OR WITHOUT CONTRAST MATERIAL(S) RADIOLOGIC EXAMINATION, HIP UNILATERAL; ONE VIEW RADIOLOGIC EXAMINATION, HIP UNILATERAL; COMPLETE, MINIMUM OF TWO VIEWS RADIOLOGIC EXAMINATION, HIPS, BILATERAL, MINIMUM OF TWO VIEWS OF EACH HIP, INCLUDING ANTEROPOSTE RADIOLOGIC EXAMINATION, HIP, ARTHROGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION RADIOLOGIC EXAMINATION, HIP, DURING OPERATIVE PROCEDURE RADIOLOGIC EXAMINATION, PELVIS AND HIPS, INFANT OR CHILD, MINIMUM OF TWO VIEWS RADIOLOGICAL EXAMINATION, SACROILIAC JOINT ARTHROGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRE RADIOLOGIC EXAMINATION, FEMUR, TWO VIEWS RADIOLOGIC EXAMINATION, KNEE; ONE OR TWO VIEWS RADIOLOGIC EXAMINATION, KNEE; THREE VIEWS RADIOLOGIC EXAMINATION, KNEE; COMPLETE, FOUR OR MORE VIEWS RADIOLOGIC EXAMINATION, KNEE; BOTH KNEES, STANDING, ANTEROPOSTERIOR RADIOLOGIC EXAMINATION, KNEE, ARTHROGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION RADIOLOGIC EXAMINATION; TIBIA AND FIBULA, TWO VIEWS
- 345. RADIOLOGIC EXAMINATION; LOWEREXTREMITY, INFANT, MINIMUM OF TWO VIEWS RADIOLOGIC EXAMINATION, ANKLE; TWO VIEWS RADIOLOGIC EXAMINATION, ANKLE; COMPLETE, MINIMUM OF THREE VIEWS RADIOLOGIC EXAMINATION, ANKLE, ARTHROGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION RADIOLOGIC EXAMINATION, FOOT; TWO VIEWS RADIOLOGIC EXAMINATION, FOOT; COMPLETE, MINIMUM OF THREE VIEWS RADIOLOGIC EXAMINATION; CALCANEUS, MINIMUM OF TWO VIEWS RADIOLOGIC EXAMINATION; TOE(S), MINIMUM OF TWO VIEWS COMPUTED TOMOGRAPHY, LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL COMPUTED TOMOGRAPHY, LOWER EXTREMITY; WITH CONTRAST MATERIAL(S) COMPUTED TOMOGRAPHY, LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL,FOLLOWED BY CONTRAST MATE COMPUTED TOMOGRAPHIC ANGIOGRAPHY, LOWER EXTREMITY, WITHOUT CONTRAST MATERIAL(S), FOLLOWED MAGNETIC RESONANCE (EG, PROTON) IMAGING, LOWER EXTREMITY OTHER THAN JOINT; WITHOUT CONTRAST M MAGNETIC RESONANCE (EG, PROTON) IMAGING, LOWER EXTREMITY OTHER THAN JOINT; WITH CONTRAST MATE MAGNETIC RESONANCE IMAGING, LOWER EXTREMITY OTHER THAN JOINT; WITHOUT CONTRAST MATERIAL(S), FO MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER EXTREMITY; WITHOUT CONTRAST MATER MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER EXTREMITY; WITH CONTRAST MATERIAL( MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER EXTREMITY; WITHOUT CONTRAST MATER MAGNETIC RESONANCE ANGIOGRAPHY, LOWER EXTREMITY, WITH OR WITHOUT CONTRAST MATERIAL(S) RADIOLOGIC EXAMINATION, ABDOMEN; SINGLE ANTEROPOSTERIOR VIEW RADIOLOGIC EXAMINATION, ABDOMEN; ANTEROPOSTERIOR AND ADDITIONAL OBLIQUE AND CONE VIEWS RADIOLOGIC EXAMINATION, ABDOMEN; COMPLETE, INCLUDING DECUBITUS AND/OR ERECT VIEWS RADIOLOGIC EXAMINATION, ABDOMEN; COMPLETE ACUTE ABDOMEN SERIES, INCLUDING SUPINE, ERECT, AND/OR COMPUTED TOMOGRAPHY, ABDOMEN; WITHOUT CONTRAST MATERIAL COMPUTED TOMOGRAPHY, ABDOMEN; WITH CONTRAST MATERIAL(S) COMPUTED TOMOGRAPHY, ABDOMEN; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) A COMPUTED TOMOGRAPHIC ANGIOGRAPHY, ABDOMEN, WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CONTR MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMEN; WITHOUT CONTRAST MATERIAL(S) MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMEN; WITH CONTRAST MATERIAL(S) MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMEN; WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY W MAGNETIC RESONANCE ANGIOGRAPHY, ABDOMEN, WITH OR WITHOUT CONTRAST MATERIAL(S) PERITONEOGRAM (EG, AFTER INJECTION OF AIR OR CONTRAST), RADIOLOGICAL SUPERVISION AND INTERPRETA RADIOLOGIC EXAMINATION; PHARYNX AND/OR CERVICAL ESOPHAGUS RADIOLOGIC EXAMINATION; ESOPHAGUS SWALLOWING FUNCTION, WITH CINERADIOGRAPHY/VIDEORADIOGRAPHY REMOVAL OF FOREIGN BODY(S), ESOPHAGEAL, WITH USE OF BALLOON CATHETER, RADIOLOGICAL SUPERVISION RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH OR WITHOUT DELAYED FILMS, WITHOUT K RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH OR WITHOUT DELAYED FILMS, WITH KUB RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH SMALL INTESTINE, INCLUDES MULTIPLE SE RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR CONTRAST, WITH SPECIFIC HIGH DENSITY RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR CONTRAST, WITH SPECIFIC HIGH DENSITY RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR CONTRAST, WITH SPECIFIC HIGH DENSITY RADIOLOGIC EXAMINATION, SMALL INTESTINE, INCLUDES MULTIPLE SERIAL FILMS; RADIOLOGIC EXAMINATION, SMALL INTESTINE, INCLUDES MULTIPLE SERIAL FILMS; VIA ENTEROCLYSIS TUBE DUODENOGRAPHY, HYPOTONIC RADIOLOGIC EXAMINATION, COLON; BARIUM ENEMA, WITH OR WITHOUT KUB RADIOLOGIC EXAMINATION, COLON; AIR CONTRAST WITH SPECIFIC HIGH DENSITY BARIUM, WITH OR WITHOUT G BARIUM ENEMA, THERAPEUTIC, FOR REDUCTION OF INTUSSUSCEPTION CHOLECYSTOGRAPHY, ORAL CONTRAST; CHOLECYSTOGRAPHY, ORAL CONTRAST; ADDITIONAL OR REPEAT EXAMINATION OR MULTIPLE DAY EXAMINATION CHOLANGIOGRAPHY AND/OR PANCREATOGRAPHY; INTRAOPERATIVE, RADIOLOGICAL SUPERVISION AND INTERP CHOLANGIOGRAPHY AND/OR PANCREATOGRAPHY; ADDITIONAL SET INTRAOPERATIVE, RADIOLOGICAL SUPERVIS
- 346. CHOLANGIOGRAPHY AND/OR PANCREATOGRAPHY;THROUGH EXISTING CATHETER, RADIOLOGICAL SUPERVISIO CHOLANGIOGRAPHY, PERCUTANEOUS, TRANSHEPATIC, RADIOLOGICAL SUPERVISION AND INTERPRETATION POSTOPERATIVE BILIARY DUCT CALCULUS REMOVAL, PERCUTANEOUS VIA T-TUBE TRACT, BASKET, OR SNARE (E ENDOSCOPIC CATHETERIZATION OF THE BILIARY DUCTAL SYSTEM, RADIOLOGICAL SUPERVISION AND INTERPRE ENDOSCOPIC CATHETERIZATION OF THE PANCREATIC DUCTAL SYSTEM, RADIOLOGICAL SUPERVISION AND INTE COMBINED ENDOSCOPIC CATHETERIZATION OF THE BILIARY AND PANCREATIC DUCTAL SYSTEMS, RADIOLOGICA INTRODUCTION OF LONG GASTROINTESTINAL TUBE (EG, MILLER-ABBOTT), INCLUDING MULTIPLE FLUOROSCOPIE PERCUTANEOUS PLACEMENT OF GASTROSTOMY TUBE, RADIOLOGICAL SUPERVISION AND INTERPRETATION PERCUTANEOUS PLACEMENT OF ENTEROCLYSIS TUBE, RADIOLOGICAL SUPERVISION AND INTERPRETATION INTRALUMINAL DILATION OF STRICTURES AND/OR OBSTRUCTIONS (EG, ESOPHAGUS), RADIOLOGICAL SUPERVISI PERCUTANEOUS TRANSHEPATIC DILATION OF BILIARY DUCT STRICTURE WITH OR WITHOUT PLACEMENT OF STE UROGRAPHY (PYELOGRAPHY), INTRAVENOUS, WITH OR WITHOUT KUB, WITH OR WITHOUT TOMOGRAPHY; UROGRAPHY, INFUSION, DRIP TECHNIQUE AND/OR BOLUS TECHNIQUE; UROGRAPHY, INFUSION, DRIP TECHNIQUE AND/OR BOLUS TECHNIQUE; WITH NEPHROTOMOGRAPHY UROGRAPHY, RETROGRADE, WITH OR WITHOUT KUB UROGRAPHY, ANTEGRADE, (PYELOSTOGRAM, NEPHROSTOGRAM, LOOPOGRAM), RADIOLOGICAL SUPERVISION A CYSTOGRAPHY, MINIMUM OF THREE VIEWS, RADIOLOGICAL SUPERVISION AND INTERPRETATION VASOGRAPHY, VESICULOGRAPHY, OR EPIDIDYMOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION CORPORA CAVERNOSOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION URETHROCYSTOGRAPHY, RETROGRADE, RADIOLOGICAL SUPERVISION AND INTERPRETATION URETHROCYSTOGRAPHY, VOIDING, RADIOLOGICAL SUPERVISION AND INTERPRETATION RADIOLOGIC EXAMINATION, RENAL CYST STUDY, TRANSLUMBAR, CONTRAST VISUALIZATION, RADIOLOGICAL SUP INTRODUCTION OF INTRACATHETER OR CATHETER INTO RENAL PELVIS FOR DRAINAGE AND/OR INJECTION, PER INTRODUCTION OF URETERAL CATHETER OR STENT INTO URETER THROUGH RENAL PELVIS FOR DRAINAGE AND DILATION OF NEPHROSTOMY, URETERS, OR URETHRA, RADIOLOGICAL SUPERVISION AND INTERPRETATION PELVIMETRY, WITH OR WITHOUT PLACENTAL LOCALIZATION HYSTEROSALPINGOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION TRANSCERVICAL CATHETERIZATION OF FALLOPIAN TUBE, RADIOLOGICAL SUPERVISION AND INTERPRETATION PERINEOGRAM (EG, VAGINOGRAM, FOR SEX DETERMINATION OR EXTENT OF ANOMALIES) CARDIAC MAGNETIC RESONANCE IMAGING FOR MORPHOLOGY; WITHOUT CONTRAST MATERIAL CARDIAC MAGNETIC RESONANCE IMAGING FOR MORPHOLOGY; WITH CONTRAST MATERIAL CARDIAC MAGNETIC RESONANCE IMAGING FOR FUNCTION, WITH OR WITHOUT MORPHOLOGY; COMPLETE STUDY CARDIAC MAGNETIC RESONANCE IMAGING FOR FUNCTION, WITH OR WITHOUT MORPHOLOGY;LIMITED STUDY CARDIAC MAGNETIC RESONANCE IMAGING FOR VELOCITY FLOW MAPPING AORTOGRAPHY, THORACIC, WITHOUT SERIALOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION AORTOGRAPHY, THORACIC, BY SERIALOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION AORTOGRAPHY, ABDOMINAL, BY SERIALOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION AORTOGRAPHY, ABDOMINAL PLUS BILATERAL ILIOFEMORAL LOWER EXTREMITY, CATHETER, BY SERIALOGRAPHY COMPUTD TOMOGRAPH ANGIOGRAPHY,ABDOMIN AORTA & BILATRL ILIOFEMORAL LOW EXTREMITY RUNOFF,RAD ANGIOGRAPHY, CERVICOCEREBRAL, CATHETER, INCLUDING VESSEL ORIGIN, RADIOLOGICAL SUPERVISION AND I ANGIOGRAPHY, BRACHIAL, RETROGRADE, RADIOLOGICAL SUPERVISION AND INTERPRETATION ANGIOGRAPHY, EXTERNAL CAROTID, UNILATERAL, SELECTIVE, RADIOLOGICAL SUPERVISION AND INTERPRETATI ANGIOGRAPHY, EXTERNAL CAROTID, BILATERAL, SELECTIVE, RADIOLOGICAL SUPERVISION AND INTERPRETATIO ANGIOGRAPHY, CAROTID, CEREBRAL, UNILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION ANGIOGRAPHY, CAROTID, CEREBRAL, BILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION ANGIOGRAPHY, CAROTID, CERVICAL, UNILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION ANGIOGRAPHY, CAROTID, CERVICAL, BILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION ANGIOGRAPHY, VERTEBRAL, CERVICAL, AND/OR INTRACRANIAL, RADIOLOGICAL SUPERVISION AND INTERPRETAT ANGIOGRAPHY, SPINAL, SELECTIVE, RADIOLOGICAL SUPERVISION AND INTERPRETATION ANGIOGRAPHY, EXTREMITY, UNILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION ANGIOGRAPHY, EXTREMITY, BILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION ANGIOGRAPHY, RENAL, UNILATERAL, SELECTIVE (INCLUDING FLUSH AORTOGRAM), RADIOLOGICAL SUPERVISION
- 347. ANGIOGRAPHY, RENAL, BILATERAL,SELECTIVE (INCLUDING FLUSH AORTOGRAM), RADIOLOGICAL SUPERVISION A ANGIOGRAPHY, VISCERAL, SELECTIVE OR SUPRASELECTIVE, (WITH OR WITHOUT FLUSH AORTOGRAM), RADIOLO ANGIOGRAPHY, ADRENAL, UNILATERAL, SELECTIVE, RADIOLOGICAL SUPERVISION AND INTERPRETATION ANGIOGRAPHY, ADRENAL, BILATERAL, SELECTIVE, RADIOLOGICAL SUPERVISION AND INTERPRETATION ANGIOGRAPHY, PELVIC, SELECTIVE OR SUPRASELECTIVE, RADIOLOGICAL SUPERVISION AND INTERPRETATION ANGIOGRAPHY, PULMONARY, UNILATERAL, SELECTIVE, RADIOLOGICAL SUPERVISION AND INTERPRETATION ANGIOGRAPHY, PULMONARY, BILATERAL, SELECTIVE, RADIOLOGICAL SUPERVISION AND INTERPRETATION ANGIOGRAPHY, PULMONARY, BY NONSELECTIVE CATHETER OR VENOUS INJECTION, RADIOLOGICAL SUPERVISIO ANGIOGRAPHY, INTERNAL MAMMARY, RADIOLOGICAL SUPERVISION AND INTERPRETATION ANGIOGRAPHY, SELECTIVE, EACH ADDITIONAL VESSEL STUDIED AFTER BASIC EXAMINATION, RADIOLOGICAL SUP ANGIOGRAPHY, ARTERIOVENOUS SHUNT (EG, DIALYSIS PATIENT), RADIOLOGICAL SUPERVISION AND INTERPRET LYMPHANGIOGRAPHY, EXTREMITY ONLY, UNILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION LYMPHANGIOGRAPHY, EXTREMITY ONLY, BILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION LYMPHANGIOGRAPHY, PELVIC/ABDOMINAL, UNILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION LYMPHANGIOGRAPHY, PELVIC/ABDOMINAL, BILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION SHUNTOGRAM FOR INVESTIGATION OF PREVIOUSLY PLACED INDWELLING NONVASCULAR SHUNT (EG, LEVEEN S SPLENOPORTOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION VENOGRAPHY, EXTREMITY, UNILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION VENOGRAPHY, EXTREMITY, BILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION VENOGRAPHY, CAVAL, INFERIOR, WITH SERIALOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION VENOGRAPHY, CAVAL, SUPERIOR, WITH SERIALOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION VENOGRAPHY, RENAL, UNILATERAL, SELECTIVE, RADIOLOGICAL SUPERVISION AND INTERPRETATION VENOGRAPHY, RENAL, BILATERAL, SELECTIVE, RADIOLOGICAL SUPERVISION AND INTERPRETATION VENOGRAPHY, ADRENAL, UNILATERAL, SELECTIVE, RADIOLOGICAL SUPERVISION AND INTERPRETATION VENOGRAPHY, ADRENAL, BILATERAL, SELECTIVE, RADIOLOGICAL SUPERVISION AND INTERPRETATION VENOGRAPHY, SINUS OR JUGULAR, CATHETER, RADIOLOGICAL SUPERVISION AND INTERPRETATION VENOGRAPHY, SUPERIOR SAGITTAL SINUS, RADIOLOGICAL SUPERVISION AND INTERPRETATION VENOGRAPHY, EPIDURAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION VENOGRAPHY, ORBITAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION PERCUTANEOUS TRANSHEPATIC PORTOGRAPHY WITH HEMODYNAMIC EVALUATION, RADIOLOGICAL SUPERVISIO PERCUTANEOUS TRANSHEPATIC PORTOGRAPHY WITHOUT HEMODYNAMIC EVALUATION, RADIOLOGICAL SUPERV HEPATIC VENOGRAPHY, WEDGED OR FREE, WITH HEMODYNAMIC EVALUATION, RADIOLOGICAL SUPERVISION AN HEPATIC VENOGRAPHY, WEDGED OR FREE, WITHOUT HEMODYNAMIC EVALUATION, RADIOLOGICAL SUPERVISION VENOUS SAMPLING THROUGH CATHETER, WITH OR WITHOUT ANGIOGRAPHY (EG, FOR PARATHYROID HORMONE TRANSCATHETER THERAPY, EMBOLIZATION, ANY METHOD, RADIOLOGICAL SUPERVISION AND INTERPRETATION TRANSCATHETER THERAPY, INFUSION, ANY METHOD (EG, THROMBOLYSIS OTHER THAN CORONARY), RADIOLOG ANGIOGRAPHY THROUGH EXISTING CATHETER FOR FOLLOW-UP STUDY FOR TRANSCATHETER THERAPY, EMBOL EXCHANGE OF A PREVIOUSLY PLACED ARTERIAL CATHETER DURING THROMBOLYTIC THERAPY WITH CONTRAST MECHANICAL REMOVAL OF PERICATHETER OBSTRUCTIVE MATERIAL (EG, FIBRIN SHEATH) FROM CENTRAL VENO MECHANICAL REMOVAL OF INTRALUMINAL (INTRACATHETER) OBSTRUCTIVE MATERIAL FROM CENTRAL VENOUS PERCUTANEOUS PLACEMENT OF IVC FILTER, RADIOLOGICAL SUPERVISION AND INTERPRETATION INTRAVASCULAR ULTRASOUND (NON-CORONARY VESSEL), RADIOLOGICAL SUPERVISION AND INTERPRETATION; INTRAVASCULAR ULTRASOUND (NON-CORONARY VESSEL), RADIOLOGICAL SUPERVISION AND INTERPRETATION; ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM OR DISSECTION, RADIOLOGICAL SUPE PLACEMENT OF PROXIMAL OR DISTAL EXTENSION PROSTHESIS FOR ENDOVASCULAR REPAIR OF INFRARENAL AO ENDOVASCULAR REPAIR OF ILIAC ARTERY ANEURYSM, PSEUDOANEURYSM, ARTERIOVENOUS MALFORMATION, O TRANSCATHETER INTRODUCTION OF INTRAVASCULAR STENT(S), (NON-CORONARY VESSEL), PERCUTANEOUS AN TRANSCATHETER RETRIEVAL, PERCUTANEOUS, OF INTRAVASCULAR FOREIGN BODY (EG, FRACTURED VENOUS O TRANSLUMINAL BALLOON ANGIOPLASTY, PERIPHERAL ARTERY, RADIOLOGICAL SUPERVISION AND INTERPRETAT TRANSLUMINAL BALLOON ANGIOPLASTY, EACH ADDITIONAL PERIPHERAL ARTERY, RADIOLOGICAL SUPERVISION TRANSLUMINAL BALLOON ANGIOPLASTY, RENAL OR OTHER VISCERAL ARTERY, RADIOLOGICAL SUPERVISION AN TRANSLUMINAL BALLOON ANGIOPLASTY, EACH ADDITIONAL VISCERAL ARTERY, RADIOLOGICAL SUPERVISION AN
- 348. TRANSCATHETER BIOPSY, RADIOLOGICALSUPERVISION AND INTERPRETATION TRANSLUMINAL BALLOON ANGIOPLASTY, VENOUS (EG, SUBCLAVIAN STENOSIS), RADIOLOGICAL SUPERVISION AN PERCUTANEOUS TRANSHEPATIC BILIARY DRAINAGE WITH CONTRAST MONITORING, RADIOLOGICAL SUPERVISIO PERCUTANEOUS PLACEMENT OF DRAINAGE CATH FOR COMBINED INT/EXTERNAL BILIARY DRAINAGE FOR INTERN CHANGE OF PERCUTANEOUS TUBE OR DRAINAGE CATHETER WITH CONTRAST MONITORING (EG, GASTROINTES RADIOLOGICAL GUIDANCE (IE, FLUOROSCOPY, ULTRASOUND,/COMPUTED TOMOGRAPHY),, PERCUTANEOUS DRA TRANSLUMINAL ATHERECTOMY, PERIPHERAL ARTERY, RADIOLOGICAL SUPERVISION AND INTERPRETATION TRANSLUMINAL ATHERECTOMY, EACH ADDITIONAL PERIPHERAL ARTERY, RADIOLOGICAL SUPERVISION AND INTE TRANSLUMINAL ATHERECTOMY, RENAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION TRANSLUMINAL ATHERECTOMY, VISCERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION TRANSLUMINAL ATHERECTOMY, EACH ADDITIONAL VISCERAL ARTERY, RADIOLOGICAL SUPERVISION AND INTERP FLUOROSCOPY (SEPARATE PROCEDURE), UP TO ONE HOUR PHYSICIAN TIME, OTHER THAN 71023 OR 71034 (EG, FLUOROSCOPY, PHYSICIAN TIME MORE THAN ONE HOUR, ASSISTING A NON-RADIOLOGIC PHYSICIAN (EG, NEPHR FLUOROSCOPIC GUIDANCE FOR NEEDLE PLACEMENT (EG, BIOPSY, ASPIRATION, INJECTION, LOCALIZATION DEVIC FLUOROSCOPIC GUIDE & LOCAL OF NEEDLE/CATH TIP FOR SPINE/PARASPINOUS DIAG/THERAP INJ PROC (EPIDUR MANUAL APPLICATION OF STRESS PERFORMED BY PHYSICIAN FOR JOINT RADIOGRAPHY, INCLUDING CONTRALA RADIOLOGIC EXAMINATION FROM NOSE TO RECTUM FOR FOREIGN BODY, SINGLE VIEW, CHILD RADIOLOGICAL SUPERVISION AND INTERPRETATION, PERCUTANEOUS VERTEBROPLASTY, PER VERTEBRAL BODY RADIOLOGICAL SUPERVISION AND INTERPRETATION, PERCUTANEOUS VERTEBROPLASTY, PER VERTEBRAL BODY BONE AGE STUDIES BONE LENGTH STUDIES (ORTHOROENTGENOGRAM, SCANOGRAM) RADIOLOGIC EXAMINATION, OSSEOUS SURVEY; LIMITED (EG, FOR METASTASES) RADIOLOGIC EXAMINATION, OSSEOUS SURVEY; COMPLETE (AXIAL AND APPENDICULAR SKELETON) RADIOLOGIC EXAMINATION, OSSEOUS SURVEY, INFANT JOINT SURVEY, SINGLE VIEW, TWO OR MORE JOINTS (SPECIFY) COMPUTED TOMOGRAPHY, BONE MINERAL DENSITY STUDY, ONE OR MORE SITES; AXIAL SKELETON (EG, HIPS, PE COMPUTED TOMOGRAPHY, BONE MINERAL DENSITY STUDY, ONE OR MORE SITES; APPENDICULAR SKELETON (PE DUAL ENERGY X-RAY ABSORPTIOMETRY (DEXA), BONE DENSITY STUDY DUAL ENERGY X-RAY ABSORPTIOMETRY (DEXA), BONE DENSITY STUDY, ONE OR MORE SITES;APPENDICULAR SK RADIOGRAPHIC ABSORPTIOMETRY (EG, PHOTODENSITOMETRY, RADIOGRAMMETRY), ONE OR MORE SITES RADIOLOGIC EXAMINATION, FISTULA OR SINUS TRACT STUDY, RADIOLOGICAL SUPERVISION AND INTERPRETATIO DIGITIZATION OF FILM RADIOGRAPHIC IMAGES WITH COMPUTER ANALYSIS FOR LESION DETECTION&FURTHER P MAMMARY DUCTOGRAM OR GALACTOGRAM, SINGLE DUCT, RADIOLOGICAL SUPERVISION AND INTERPRETATION MAMMARY DUCTOGRAM OR GALACTOGRAM, MULTIPLE DUCTS, RADIOLOGICAL SUPERVISION AND INTERPRETAT MAMMOGRAPHY; UNILATERAL MAMMOGRAPHY; BILATERAL SCREENING MAMMOGRAPHY, BILATERAL (TWO VIEW FILM STUDY OF EACH BREAST) MAGNETIC RESONANCE IMAGING, BREAST, WITHOUT AND/OR WITH CONTRAST MATERIAL(S); UNILATERAL MAGNETIC RESONANCE IMAGING, BREAST, WITHOUT AND/OR WITH CONTRAST MATERIAL(S); BILATERAL STEREOTACTIC LOCALIZATION GUIDANCE FOR BREAST BIOPSY OR NEEDLE PLACEMENT (EG, FOR WIRE LOCALIZ MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACEMENT, BREAST (EG, FOR WIRE LOCALIZATION OR FOR INJECTIO RADIOLOGICAL EXAMINATION, SURGICAL SPECIMEN RADIOLOGIC EXAMINATION, SINGLE PLANE BODY SECTION (EG, TOMOGRAPHY), OTHER THAN WITH UROGRAPHY RADIOLOGIC EXAMINATION, COMPLEX MOTION (IE, HYPERCYCLOIDAL) BODY SECTION (EG, MASTOID POLYTOMOG RADIOLOGIC EXAMINATION, COMPLEX MOTION (IE, HYPERCYCLOIDAL) BODY SECTION (EG, MASTOID POLYTOMOG CINERADIOGRAPHY/VIDEORADIOGRAPHY, EXCEPT WHERE SPECIFICALLY INCLUDED CINERADIOGRAPHY/VIDEORADIOGRAPHY TO COMPLEMENT ROUTINE EXAMINATION (LIST SEPARATELY IN ADDITI CONSULTATION ON X-RAY EXAMINATION MADE ELSEWHERE, WRITTEN REPORT XERORADIOGRAPHY SUBTRACTION IN CONJUNCTION WITH CONTRAST STUDIES COMPUTED TOMOGRAPHY GUIDANCE FOR STEREOTACTIC LOCALIZATION COMPUTED TOMOGRAPHY GUIDANCE FOR NEEDLE PLACEMENT (EG, BIOPSY, ASPIRATION, INJECTION, LOCALIZA
- 349. COMPUTERIZED AXIAL TOMOGRAPHICGUIDANCE FOR, AND MONITORING OF, TISSUE ABLATION COMPUTED TOMOGRAPHY GUIDANCE FOR PLACEMENT OF RADIATION THERAPY FIELDS CORONAL, SAGITTAL, MULTIPLANAR, OBLIQUE, 3-DIMENSIONAL AND/OR HOLOGRAPHIC RECONSTRUCTION OF CO COMPUTED TOMOGRAPHY, LIMITED OR LOCALIZED FOLLOW-UP STUDY MAGNETIC RESONANCE SPECTROSCOPY MAGNETIC RESONANCE GUIDANCE FOR NEEDLE PLACEMENT (EG, FOR BIOPSY, NEEDLE ASPIRATION, INJECTION MAGNETIC RESONANCE GUIDANCE FOR, AND MONITORING OF, TISSUE ABLATION MAGNETIC RESONANCE (EG, PROTON) IMAGING, BONE MARROW BLOOD SUPPLY ULTRASOUND GUIDANCE FOR, AND MONITORING OF, TISSUE ABLATION UNLISTED FLUOROSCOPIC PROCEDURE (EG, DIAGNOSTIC, INTERVENTIONAL) UNLISTED COMPUTED TOMOGRAPHY PROCEDURE (EG, DIAGNOSTIC, INTERVENTIONAL) UNLISTED MAGNETIC RESONANCE PROCEDURE (EG, DIAGNOSTIC, INTERVENTIONAL) UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE ECHOENCEPHALOGRAPHY, B-SCAN AND/OR REAL TIME W IMAGE DOC (GRAY SCALE) (FOR VENTRICULAR SIZE, DE OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; A-SCAN ONLY, WITH AMPLITUDE QUANTIFICATION OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; CONTACT B-SCAN (WITH OR WITHOUT SIMULTANEOUS OPHTHALMIC ULTRASOUND, ECHOGRAPHY, DIAGNOSTIC; ANTERIOR SEGMENT ULTRASOUND, IMMERSION (WATE OPHTHALMIC BIOMETRY BY ULTRASOUND ECHOGRAPHY, A-SCAN; OPHTHALMIC BIOMETRY BY ULTRASOUND ECHOGRAPHY, A-SCAN; WITH INTRAOCULAR LENS POWER CALCULATI OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION ULTRASOUND, SOFT TISSUES OF HEAD AND NECK (EG, THYROID, PARATHYROID, PAROTID), B-SCAN AND/OR REA ULTRASOUND, CHEST, B-SCAN (INCLUDES MEDIASTINUM) AND/OR REAL TIME WITH IMAGE DOCUMENTATION ULTRASOUND, BREAST(S) (UNILATERAL OR BILATERAL), B-SCAN AND/OR REAL TIME WITH IMAGE DOCUMENTATIO ULTRASOUND, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE DOCUMENTATION; COMPLETE ULTRASOUND, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE DOCUMENTATION; LIMITED (EG, SINGLE ORG ULTRASOUND, RETROPERITONEAL (EG, RENAL, AORTA, NODES), B-SCAN AND/OR REAL TIME WITH IMAGE DOCUM ULTRASOUND, RETROPERITONEAL (EG, RENAL, AORTA, NODES), B-SCAN AND/OR REAL TIME WITH IMAGE DOCUM ULTRASOUND, TRANSPLANTED KIDNEY, B-SCAN AND/OR REAL TIME WITH IMAGE DOCUMENTATION, WITH OR WIT ULTRASOUND, SPINAL CANAL AND CONTENTS ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL&MATERNAL EVALUATION, F ULTRASOUND, PREGNANT UTERUS, REAL TIME W IMAGE DOCUMENTATION, FETAL&MATERNAL EVAL, 1ST TRIMES ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATIO ULTRASOUND, PREGNANT UTERUS, REAL TME W IMAGE DOCUMENT, FETAL&MATERNAL EVAL, AFTER 1ST TRIMES ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATIO ULTRASOUND, PREGNANT UTERUS, REAL TIME W IMAGE DOCUMENT, FETAL&MATERNAL EVAL+DETAILED FETAL ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, LIMITED (EG, FETAL HEART BEAT, US, PRGNANT UTERUS, REAL TME W IMG DOCUMENTATION, F/U (EG, RE-EVAL, ORGAN SYST(S) SUSPECTED/CONF ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION,TRANSVAGINAL FETAL BIOPHYSICAL PROFILE; WITH NON-STRESS TESTING FETAL BIOPHYSICAL PROFILE; WITHOUT NON-STRESS TESTING ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, REAL TIME WITH IMAGE DOCUMENTATION (2D) WITH O ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, REAL TIME WITH IMAGE DOCUMENTATION (2D) WITH O DOPPLER ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, PULSED WAVE AND/OR CONTINUOUS WAVE DOPPLER ECHOCARDIOGRAPHY, FETAL, CARDIOVASCULAR SYSTEM, PULSED WAVE AND/OR CONTINUOUS WAVE ULTRASOUND, TRANSVAGINAL HYSTEROSONOGRAPHY, WITH OR WITHOUT COLOR FLOW DOPPLER ULTRASOUND, PELVIC (NONOBSTETRIC), B-SCAN AND/OR REAL TIME WITH IMAGE DOCUMENTATION; COMPLETE ULTRASOUND, PELVIC (NONOBSTETRIC), B-SCAN AND/OR REAL TIME WITH IMAGE DOCUMENTATION; LIMITED OR ULTRASOUND, SCROTUM AND CONTENTS ECHOGRAPHY, TRANSRECTAL ECHOGRAPHY, TRANSRECTAL; PROSTATE VOLUME STUDY FOR BRACHYTHERAPY TREATMENT PLANNING (SEPAR ULTRASOUND, EXTREMITY, NON-VASCULAR, B-SCAN AND/OR REAL TIME WITH IMAGE DOCUMENTATION
- 350. ULTRASOUND, INFANT HIPS,REAL TIME WITH IMAGING DOCUMENTATION; DYNAMIC (REQUIRING PHYSICIAN MANI ULTRASOUND, INFANT HIPS, REAL TIME WITH IMAGING DOCUMENTATION; LIMITED, STATIC (NOT REQUIRING PHY ULTRASONIC GUIDANCE FOR PERICARDIOCENTESIS, IMAGING SUPERVISION AND INTERPRETATION ULTRASONIC GUIDANCE FOR ENDOMYOCARDIAL BIOPSY, IMAGING SUPERVISION AND INTERPRETATION ULTRASOUND GUIDED COMPRESSION REPAIR OF ARTERIAL PSEUDOANEURYSM OR ARTERIOVENOUS FISTULAE ULTRASONIC GUIDANCE FOR INTRAUTERINE FETAL TRANSFUSION OR CORDOCENTESIS, IMAGING SUPERVISION ULTRASONIC GUIDANCE FOR NEEDLE PLACEMENT (EG, BIOPSY, ASPIRATION, INJECTION, LOCALIZATION DEVICE) ULTRASONIC GUIDANCE FOR CHORIONIC VILLUS SAMPLING, IMAGING SUPERVISION AND INTERPRETATION ULTRASONIC GUIDANCE FOR AMNIOCENTESIS, IMAGING SUPERVISION AND INTERPRETATION ULTRASONIC GUIDANCE FOR ASPIRATION OF OVA, IMAGING SUPERVISION AND INTERPRETATION ULTRASONIC GUIDANCE FOR PLACEMENT OF RADIATION THERAPY FIELDS ULTRASONIC GUIDANCE FOR INTERSTITIAL RADIOELEMENT APPLICATION ULTRASOUND STUDY FOLLOW-UP (SPECIFY) GASTROINTESTINAL ENDOSCOPIC ULTRASOUND, SUPERVISION AND INTERPRETATION ULTRASOUND BONE DENSITY MEASUREMENT AND INTERPRETATION, PERIPHERAL SITE(S), ANY METHOD ULTRASONIC GUIDANCE, INTRAOPERATIVE UNLISTED ULTRASOUND PROCEDURE (EG, DIAGNOSTIC, INTERVENTIONAL) THERAPEUTIC RADIOLOGY TREATMENT PLANNING; SIMPLE THERAPEUTIC RADIOLOGY TREATMENT PLANNING; INTERMEDIATE THERAPEUTIC RADIOLOGY TREATMENT PLANNING; COMPLEX THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; SIMPLE THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; INTERMEDIATE THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; COMPLEX THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; BY THREE-DIMENSIONAL RECONSTRUCTION OF T UNLISTED PROCEDURE, THERAPEUTIC RADIOLOGY CLINICAL TREATMENT PLANNING BASIC RAD DOSIMETRY CALC,CENTRL AXIS DPTH DOS CALC,TDF,NSD,GAP CALC,OFF AXIS FACTOR,TISS INHOMO INTENSITY MODULATED RADIOTHERAPY PLAN, INCLUDING DOSE-VOLUME HISTOGRAMS FOR TARGET AND CRITIC TELETHERAPY, ISODOSE PLAN (WHETHER HAND OR COMPUTER CALCULATED); SIMPLE (ONE OR TWO PARALLEL TELETHERAPY, ISODOSE PLAN (WHETHER HAND OR COMPUTER CALCULATED); INTERMEDIATE (THREE OR MORE TELETHERAPY, ISODOSE PLAN (WHETHER HAND OR COMPUTER CALCULATED); COMPLEX (MANTLE OR INVERTED SPECIAL TELETHERAPY PORT PLAN, PARTICLES, HEMI-BODY, TOTAL BODY BRACHYTHERAPY ISODOSE PLAN; SIMPLE (CALCULATION MADE FROM SINGLE PLANE, ONE TO FOUR SOURCES/R BRACHYTHERAPY ISODOSE PLAN; INTERMEDIATE (MULTIPLANE DOSAGE CALCULATIONS, APPLICATION INVOLVIN BRACHYTHERAPY ISODOSE PLAN; COMPLEX (MULTIPLANE ISODOSE PLAN, VOL IMPLANT CALCULATIONS, OVER 1 SPECIAL DOSIMETRY (EG, TLD, MICRODOSIMETRY) (SPECIFY), ONLY WHEN PRESCRIBED BY THE TREATING PHYS TREATMENT DEVICES, DESIGN AND CONSTRUCTION; SIMPLE (SIMPLE BLOCK, SIMPLE BOLUS) TREATMENT DEVICES, DESIGN AND CONSTRUCTION; INTERMEDIATE (MULTIPLE BLOCKS, STENTS, BITE BLOCKS, TREATMENT DEVICES, DESIGN AND CONSTRUCTION; COMPLEX (IRREGULAR BLOCKS, SPECIAL SHIELDS, COMPEN CONTINUING MEDICAL PHYSICS CONSULT, INCL ASSESSMENT OF TREAT PARAMETERS, QUALITY ASSURANCE OF SPECIAL MEDICAL RADIATION PHYSICS CONSULTATION UNLISTED PROCEDURE, MEDICAL RADIATION PHYSICS, DOSIMETRY AND TREATMENT DEVICES, AND SPECIAL SER RADIATION TREATMENT DELIVERY, SUPERFICIAL AND/OR ORTHO VOLTAGE RADIATION TREATMENT DELIVERY, SINGLE TREATMENT AREA, SINGLE PORT OR PARALLEL OPPOSED PORTS, SIM RADIATION TREATMENT DELIVERY, SINGLE TREATMENT AREA, SINGLE PORT OR PARALLEL OPPOSED PORTS, SIM RADIATION TREATMENT DELIVERY, SINGLE TREATMENT AREA, SINGLE PORT OR PARALLEL OPPOSED PORTS, SIM RADIATION TREATMENT DELIVERY, SINGLE TREATMENT AREA, SINGLE PORT OR PARALLEL OPPOSED PORTS, SIM RADIATION TREATMENT DELIVERY, TWO SEPARATE TREATMENT AREAS, THREE OR MORE PORTS ON A SINGLE T RADIATION TREATMENT DELIVERY, TWO SEPARATE TREATMENT AREAS, THREE OR MORE PORTS ON A SINGLE T RADIATION TREATMENT DELIVERY, TWO SEPARATE TREATMENT AREAS, THREE OR MORE PORTS ON A SINGLE T RADIATION TREATMENT DELIVERY, TWO SEPARATE TREATMENT AREAS, THREE OR MORE PORTS ON A SINGLE T RADIATION TREATMENT DELIVERY, >=3 SEPARATE TREATMENT AREAS, CUSTOM BLOCKING, TANGENTIAL PORTS RADIATION TREATMENT DELIVERY, >=3 SEPARATE TREATMENT AREAS, CUSTOM BLOCKING, TANGENTIAL PORTS
- 351. RADIATION TREATMENT DELIVERY,>=3 SEPARATE TREATMENT AREAS, CUSTOM BLOCKING, TANGENTIAL PORTS RADIATION TREATMENT DELIVERY, >=3 SEPARATE TREATMENT AREAS, CUSTOM BLOCKING, TANGENTIAL PORTS THERAPEUTIC RADIOLOGY PORT FILM(S) INTENSITY MODULATED TREATMENT DELIVERY, SINGLE OR MULTIPLE FIELDS/ARCS, VIA NARROW SPATIALLY AND RADIATION TREATMENT MANAGEMENT, FIVE TREATMENTS RADIATION THERAPY MANAGEMENT WITH COMPLETE COURSE OF THERAPY CONSISTING OF ONE OR TWO FRAC STEREOTACTIC RADIATION TREATMENT MANAGEMENT OF CEREBRAL LESION(S) (COMPLETE COURSE OF TREAT SPECIAL TREATMENT PROCEDURE (EG, TOTAL BODY IRRADIATION, HEMIBODY RADIATION, PER ORAL, ENDOCAVI UNLISTED PROCEDURE, THERAPEUTIC RADIOLOGY TREATMENT MANAGEMENT PROTON TREATMENT DELIVERY; SIMPLE, WITHOUT COMPENSATION PROTON TREATMENT DELIVERY; SIMPLE, WITH COMPENSATION PROTON TREATMENT DELIVERY; INTERMEDIATE PROTON TREATMENT DELIVERY; COMPLEX HYPERTHERMIA, EXTERNALLY GENERATED; SUPERFICIAL (IE, HEATING TO A DEPTH OF 4 CM OR LESS) HYPERTHERMIA, EXTERNALLY GENERATED; DEEP (IE, HEATING TO DEPTHS GREATER THAN 4 CM) HYPERTHERMIA GENERATED BY INTERSTITIAL PROBE(S); 5 OR FEWER INTERSTITIAL APPLICATORS HYPERTHERMIA GENERATED BY INTERSTITIAL PROBE(S); MORE THAN 5 INTERSTITIAL APPLICATORS HYPERTHERMIA GENERATED BY INTRACAVITARY PROBE(S) INFUSION OR INSTILLATION OF RADIOELEMENT SOLUTION INTRACAVITARY RADIATION SOURCE APPLICATION; SIMPLE INTRACAVITARY RADIATION SOURCE APPLICATION; INTERMEDIATE INTRACAVITARY RADIATION SOURCE APPLICATION; COMPLEX INTERSTITIAL RADIATION SOURCE APPLICATION; SIMPLE INTERSTITIAL RADIATION SOURCE APPLICATION; INTERMEDIATE INTERSTITIAL RADIATION SOURCE APPLICATION; COMPLEX REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 1-4 SOURCE POSITIONS OR CATHETERS REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 5-8 SOURCE POSITIONS OR CATHETERS REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 9-12 SOURCE POSITIONS OR CATHETERS REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; OVER 12 SOURCE POSITIONS OR CATHETERS SURFACE APPLICATION OF RADIATION SOURCE SUPERVISION, HANDLING, LOADING OF RADIATION SOURCE UNLISTED PROCEDURE, CLINICAL BRACHYTHERAPY THYROID UPTAKE; SINGLE DETERMINATION THYROID UPTAKE; MULTIPLE DETERMINATIONS THYROID UPTAKE; STIMULATION, SUPPRESSION OR DISCHARGE (NOT INCLUDING INITIAL UPTAKE STUDIES) THYROID IMAGING, WITH UPTAKE; SINGLE DETERMINATION THYROID IMAGING, WITH UPTAKE; MULTIPLE DETERMINATIONS THYROID IMAGING; ONLY THYROID IMAGING; WITH VASCULAR FLOW THYROID CARCINOMA METASTASES IMAGING; LIMITED AREA (EG, NECK AND CHEST ONLY) THYROID CARCINOMA METASTASES IMAGING; WITH ADDITIONAL STUDIES (EG, URINARY RECOVERY) THYROID CARCINOMA METASTASES IMAGING; WHOLE BODY THYROID CARCINOMA METASTASES UPTAKE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDUR PARATHYROID IMAGING ADRENAL IMAGING, CORTEX AND/OR MEDULLA UNLISTED ENDOCRINE PROCEDURE, DIAGNOSTIC NUCLEAR MEDICINE BONE MARROW IMAGING; LIMITED AREA BONE MARROW IMAGING; MULTIPLE AREAS BONE MARROW IMAGING; WHOLE BODY PLASMA VOLUME, RADIOPHARMACEUTICAL VOLUME-DILUTION TECHNIQUE (SEPARATE PROCEDURE); SINGLE SA PLASMA VOLUME, RADIOPHARMACEUTICAL VOLUME-DILUTION TECHNIQUE (SEPARATE PROCEDURE); MULTIPLE RED CELL VOLUME DETERMINATION (SEPARATE PROCEDURE); SINGLE SAMPLING
- 352. RED CELL VOLUMEDETERMINATION (SEPARATE PROCEDURE); MULTIPLE SAMPLINGS WHOLE BLOOD VOLUME DETERMINATION, INCLUDING SEPARATE MEASUREMENT OF PLASMA VOLUME AND RED RED CELL SURVIVAL STUDY; RED CELL SURVIVAL STUDY; DIFFERENTIAL ORGAN/TISSUE KINETICS, (EG, SPLENIC AND/OR HEPATIC SEQUESTR LABELED RED CELL SEQUESTRATION, DIFFERENTIAL ORGAN/TISSUE, (EG, SPLENIC AND/OR HEPATIC) PLASMA RADIOIRON DISAPPEARANCE (TURNOVER) RATE RADIOIRON ORAL ABSORPTION RADIOIRON RED CELL UTILIZATION CHELATABLE IRON FOR ESTIMATION OF TOTAL BODY IRON SPLEEN IMAGING ONLY, WITH OR WITHOUT VASCULAR FLOW KINETICS, STUDY OF PLATELET SURVIVAL, WITH OR WITHOUT DIFFERENTIAL ORGAN/TISSUE LOCALIZATION PLATELET SURVIVAL STUDY LYMPHATICS AND LYMPH NODES IMAGING UNLISTED HEMATOPOIETIC, RETICULOENDOTHELIAL AND LYMPHATIC PROCEDURE, DIAGNOSTIC NUCLEAR MEDIC LIVER IMAGING; STATIC ONLY LIVER IMAGING; WITH VASCULAR FLOW LIVER IMAGING (SPECT) LIVER IMAGING (SPECT); WITH VASCULAR FLOW LIVER AND SPLEEN IMAGING; STATIC ONLY LIVER AND SPLEEN IMAGING; WITH VASCULAR FLOW LIVER FUNCTION STUDY WITH HEPATOBILIARY AGENTS, WITH SERIAL IMAGES HEPATOBILIARY DUCTAL SYSTEM IMAGING, INCLUDING GALLBLADDER, WITH OR WITHOUT PHARMACOLOGIC INT SALIVARY GLAND IMAGING; SALIVARY GLAND IMAGING; WITH SERIAL IMAGES SALIVARY GLAND FUNCTION STUDY ESOPHAGEAL MOTILITY GASTRIC MUCOSA IMAGING GASTROESOPHAGEAL REFLUX STUDY GASTRIC EMPTYING STUDY UREA BREATH TEST, C-14; ACQUISITION FOR ANALYSIS UREA BREATH TEST, C-14; ANALYSIS VITAMIN B-12 ABSORPTION STUDY (EG, SCHILLING TEST); WITHOUT INTRINSIC FACTOR VITAMIN B-12 ABSORPTION STUDY (EG, SCHILLING TEST); WITH INTRINSIC FACTOR VITAMIN B-12 ABSORPTION STUDIES COMBINED, WITH AND WITHOUT INTRINSIC FACTOR ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING GASTROINTESTINAL PROTEIN LOSS INTESTINE IMAGING (EG, ECTOPIC GASTRIC MUCOSA, MECKELS LOCALIZATION, VOLVULUS) PERITONEAL-VENOUS SHUNT PATENCY TEST (EG, FOR LEVEEN, DENVER SHUNT) UNLISTED GASTROINTESTINAL PROCEDURE, DIAGNOSTIC NUCLEAR MEDICINE BONE AND/OR JOINT IMAGING; LIMITED AREA BONE AND/OR JOINT IMAGING; MULTIPLE AREAS BONE AND/OR JOINT IMAGING; WHOLE BODY BONE AND/OR JOINT IMAGING; THREE PHASE STUDY BONE AND/OR JOINT IMAGING; TOMOGRAPHIC (SPECT) BONE DENSITY (BONE MINERAL CONTENT) STUDY; SINGLE PHOTON ABSORPTIOMETRY BONE DENSITY (BONE MINERAL CONTENT) STUDY; DUAL PHOTON ABSORPTIOMETRY UNLISTED MUSCULOSKELETAL PROCEDURE, DIAGNOSTIC NUCLEAR MEDICINE DETERMINATION OF CENTRAL C-V HEMODYNAMICS (NON-IMAGING) (EG, EJECTION FRACTION WITH PROBE TECH CARDIAC SHUNT DETECTION NON-CARDIAC VASCULAR FLOW IMAGING (IE, ANGIOGRAPHY, VENOGRAPHY) VENOUS THROMBOSIS STUDY (EG, RADIOACTIVE FIBRINOGEN) ACUTE VENOUS THROMBOSIS IMAGING, PEPTIDE
- 353. VENOUS THROMBOSIS IMAGING,VENOGRAM; UNILATERAL VENOUS THROMBOSIS IMAGING (EG, VENOGRAM); BILATERAL MYOCARDIAL IMAGING, POSITRON EMISSION TOMOGRAPHY (PET), METABOLIC EVALUATION MYOCARDIAL PERFUSION IMAGING; (PLANAR) SINGLE STUDY, AT REST OR STRESS (EXERCISE AND/OR PHARMAC MYOCARDIAL PERFUSION IMAGING; MULTIPLE STUDIES, (PLANAR) AT REST AND/OR STRESS (EXERCISE AND/OR P MYOCARDIAL PERFUSION IMAGING; TOMOGRAPHIC (SPECT), SINGLE STUDY AT REST OR STRESS (EXERCISE AND MYOCARDIAL PERFUSION IMAGING; TOMOGRAPHIC (SPECT), MULT. STUDIES AT REST AND/OR STRESS (EXERCIS MYOCARDIAL IMAGING, INFARCT AVID, PLANAR; QUALITATIVE OR QUANTITATIVE MYOCARDIAL IMAGING, INFARCT AVID, PLANAR; WITH EJECTION FRACTION BY FIRST PASS TECHNIQUE MYOCARDIAL IMAGING, INFARCT AVID, PLANAR; TOMOGRAPHIC SPECT WITH OR WITHOUT QUANTIFICATION CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM; PLANAR, SINGLE STUDY AT REST OR STRESS (EXERCISE A CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM; MULTIPLE STUDIES, WALL MOTION STUDY PLUS EJECTION MYOCARDIAL PERFUSION STUDY WITH WALL MOTION, QUALITATIVE OR QUANTITATIVE STUDY (LIST SEPARATELY MYOCARDIAL PERFUSION STUDY WITH EJECTION FRACTION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIM CARDIAC BLOOD POOL IMAGING, (PLANAR), FIRST PASS TECHNIQUE; SINGLE STUDY, AT REST OR W/ STRESS (EX CARDIAC BLOOD POOL IMAGING, (PLANAR), FIRST PASS TECH.; MULT. STUDIES, AT REST & W/ STRESS (EXERCISE MYOCARDIAL IMAGING, POSITRON EMISSION TOMOGRAPHY (PET), PERFUSION;SINGLE STUDY AT REST OR STRE MYOCARDIAL IMAGING, POSITRON EMISSION TOMOGRAPHY (PET), PERFUSION; MULTIPLE STUDIES AT REST AND CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM, SPECT, AT REST, WALL MOTION STUDY PLUS EJECTION FR CARDIAC BLOOD POOL IMAGING, GATED EQUILIBRIUM, SINGLE STUDY, AT REST, WITH RIGHT VENTRICULAR EJEC UNLISTED CARDIOVASCULAR PROCEDURE, DIAGNOSTIC NUCLEAR MEDICINE PULMONARY PERFUSION IMAGING, PARTICULATE PULMONARY PERFUSION IMAGING, PARTICULATE, WITH VENTILATION; SINGLE BREATH PULMONARY PERFUSION IMAGING, PARTICULATE, WITH VENTILATION; REBREATHING AND WASHOUT, WITH OR W PULMONARY VENTILATION IMAGING, AEROSOL; SINGLE PROJECTION PULMONARY VENTILATION IMAGING, AEROSOL; MULTIPLE PROJECTIONS (EG, ANTERIOR, POSTERIOR, LATERAL V PULMONARY PERFUSION IMAGING, PARTICULATE, WITH VENTILATION IMAGING, AEROSOL, ONE OR MULTIPLE PR PULMONARY VENTILATION IMAGING, GASEOUS, SINGLE BREATH, SINGLE PROJECTION PULMONARY VENTILATION IMAGING, GASEOUS, WITH REBREATHING AND WASHOUT WITH OR WITHOUT SINGLE B PULMONARY VENTILATION IMAGING, GASEOUS, WITH REBREATHING AND WASHOUT WITH OR WITHOUT SINGLE B PULMONARY QUANTITATIVE DIFFERENTIAL FUNCTION (VENTILATION/PERFUSION) STUDY UNLISTED RESPIRATORY PROCEDURE, DIAGNOSTIC NUCLEAR MEDICINE BRAIN IMAGING, LIMITED PROCEDURE; STATIC BRAIN IMAGING, LIMITED PROCEDURE; WITH VASCULAR FLOW BRAIN IMAGING, COMPLETE STUDY; STATIC BRAIN IMAGING, COMPLETE STUDY; WITH VASCULAR FLOW BRAIN IMAGING, COMPLETE STUDY; TOMOGRAPHIC (SPECT) BRAIN IMAGING, POSITRON EMISSION TOMOGRAPHY (PET); METABOLIC EVALUATION BRAIN IMAGING, POSITRON EMISSION TOMOGRAPHY (PET); PERFUSION EVALUATION BRAIN IMAGING, VASCULAR FLOW ONLY CEREBRAL VASCULAR FLOW CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF MATERIAL); CISTERNOGRAPHY CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF MATERIAL); VENTRICULOGRAPHY CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF MATERIAL); SHUNT EVALUATION CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF MATERIAL); TOMOGRAPHIC (SPECT) CEREBROSPINAL FLUID LEAKAGE DETECTION AND LOCALIZATION RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY UNLISTED NERVOUS SYSTEM PROCEDURE, DIAGNOSTIC NUCLEAR MEDICINE KIDNEY IMAGING; STATIC ONLY KIDNEY IMAGING; WITH VASCULAR FLOW KIDNEY IMAGING; WITH FUNCTION STUDY (IE, IMAGING RENOGRAM) KIDNEY IMAGING; WITH VASCULAR FLOW AND FUNCTION STUDY
- 354. KIDNEY IMAGING WITHVASCULAR FLOW AND FUNCTION; SINGLE STUDY WITH PHARMACOLOGICAL INTERVENTIO KIDNEY IMAGING WITH VASCULAR FLOW AND FUNCTION; MULTIPLE STUDIES, WITH AND WITHOUT PHARMACOLO KIDNEY IMAGING; TOMOGRAPHIC (SPECT) KIDNEY VASCULAR FLOW ONLY KIDNEY FUNCTION STUDY, NON-IMAGING RADIOISOTOPIC STUDY URINARY BLADDER RESIDUAL STUDY URETERAL REFLUX STUDY (RADIOPHARMACEUTICAL VOIDING CYSTOGRAM) TESTICULAR IMAGING; TESTICULAR IMAGING; WITH VASCULAR FLOW UNLISTED GENITOURINARY PROCEDURE, DIAGNOSTIC NUCLEAR MEDICINE RADIOPHARMACEUTICAL LOCALIZATION OF TUMOR; LIMITED AREA RADIOPHARMACEUTICAL LOCALIZATION OF TUMOR; MULTIPLE AREAS RADIOPHARMACEUTICAL LOCALIZATION OF TUMOR; WHOLE BODY RADIOPHARMACEUTICAL LOCALIZATION OF TUMOR; TOMOGRAPHIC (SPECT) RADIOPHARMACEUTICAL LOCALIZATION OF INFLAMMATORY PROCESS; LIMITED AREA RADIOPHARMACEUTICAL LOCALIZATION OF INFLAMMATORY PROCESS; WHOLE BODY RADIOPHARMACEUTICAL LOCALIZATION OF INFLAMMATORY PROCESS; TOMOGRAPHIC (SPECT) TUMOR IMAGING, POSITRON EMISSION TOMOGRAPHY (PET), METABOLIC EVALUATION GENERATION OF AUTOMATED DATA: INTERACTIVE PROCESS INVOLVING NUCLEAR PHYSICIAN AND/OR ALLIED HE GENERATION OF AUTOMATED DATA: INTERACTIVE PROCESS INVOLVING NUCLEAR PHYSICIAN AND/OR ALLIED HE PROVISION OF DIAGNOSTIC RADIOPHARMACEUTICAL(S) UNLISTED MISCELLANEOUS PROCEDURE, DIAGNOSTIC NUCLEAR MEDICINE RADIOPHARMACEUTICAL THERAPY, HYPERTHYROIDISM; INITIAL, INCLUDING EVALUATION OF PATIENT RADIOPHARMACEUTICAL THERAPY, HYPERTHYROIDISM; SUBSEQUENT, EACH THERAPY RADIOPHARMACEUTICAL THERAPY, THYROID SUPPRESSION (EUTHYROID CARDIAC DISEASE), INCLUDING EVALUA RADIOPHARMACEUTICAL ABLATION OF GLAND FOR THYROID CARCINOMA RADIOPHARMACEUTICAL THERAPY FOR METASTASES OF THYROID CARCINOMA RADIOPHARMACEUTICAL THERAPY, POLYCYTHEMIA VERA, CHRONIC LEUKEMIA, EACH TREATMENT INTRACAVITARY RADIOACTIVE COLLOID THERAPY INTERSTITIAL RADIOACTIVE COLLOID THERAPY RADIOPHARMACEUTICAL THERAPY, NONTHYROID, NONHEMATOLOGIC INTRAVASCULAR RADIOPHARMACEUTICAL THERAPY, PARTICULATE INTRA-ARTICULAR RADIOPHARMACEUTICAL THERAPY PROVISION OF THERAPEUTIC RADIOPHARMACEUTICAL(S) UNLISTED RADIOPHARMACEUTICAL THERAPEUTIC PROCEDURE BASIC METABOLIC PANEL GENERAL HEALTH PANEL ELECTROLYTES PANEL COMPREHENSIVE METABOLIC PANEL OBSTETRIC PANEL LIPID PANEL RENAL FUNCTION PANEL ACUTE HEPATITIS PANEL HEPATIC FUNCTION PANEL DRUG SCREEN, QUALITATIVE; MULTIPLE DRUG CLASSES CHROMATOGRAPHIC METHOD, EACH PROCEDURE DRUG SCREEN, QUALITATIVE; SINGLE DRUG CLASS METHOD (EG, IMMUNOASSAY, ENZYME ASSAY), EACH DRUG C DRUG, CONFIRMATION, EACH PROCEDURE TISSUE PREPARATION FOR DRUG ANALYSIS AMIKACIN AMITRIPTYLINE BENZODIAZEPINES CARBAMAZEPINE; TOTAL
- 355. CARBAMAZEPINE; FREE CYCLOSPORINE DESIPRAMINE DIGOXIN DIPROPYLACETIC ACID(VALPROIC ACID) DOXEPIN ETHOSUXIMIDE GENTAMICIN GOLD HALOPERIDOL IMIPRAMINE LIDOCAINE LITHIUM NORTRIPTYLINE PHENOBARBITAL PHENYTOIN; TOTAL PHENYTOIN; FREE PRIMIDONE PROCAINAMIDE; PROCAINAMIDE; WITH METABOLITES (EG, N-ACETYL PROCAINAMIDE) QUINIDINE SALICYLATE QUANT DRUG TACROLIMUS THEOPHYLLINE TOBRAMYCIN TOPIRAMATE VANCOMYCIN QUANTITATION OF DRUG, NOT ELSEWHERE SPECIFIED ACTH STIMULATION PANEL; FOR ADRENAL INSUFFICIENCY THIS PANEL MUST INCLUDE THE FOLLOWING: CORTISO ACTH STIMULATION PANEL; FOR 21 HYDROXYLASE DEFICIENCY THIS PANEL MUST INCLUDE THE FOLLOWING: CO ACTH STIMULATION PANEL; FOR 3 BETA-HYDROXYDEHYDROGENASE DEFICIENCY THIS PANEL MUST INCLUDE TH ALDOSTERONE SUPPRESSION EVALUATION PANEL (EG, SALINE INFUSION) THIS PANEL MUST INCLUDE THE FOLLO CALCIUM-PENTAGASTRIN STIMULATION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: CALCITONIN (82308 CORTICOTROPIC RELEASING HORMONE (CRH) STIMULATION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING CHORIONIC GONADOTROPIN STIMULATION PANEL; TESTOSTERONE RESPONSE THIS PANEL MUST INCLUDE THE CHORIONIC GONADOTROPIN STIMULATION PANEL; ESTRADIOL RESPONSE THIS PANEL MUST INCLUDE THE FOLL RENAL VEIN RENIN STIMULATION PANEL (EG, CAPTOPRIL) PERIPHERAL VEIN RENIN STIMULATION PANEL (EG, CAPTOPRIL) COMBINED RAPID ANT PITUITARY EVAL PANEL MUST INCLUDE: (ACTH) (82024 X 4) (LH) (83002 X 4) (FSH) (83001 X 4 DEXAMETHASONE SUPPRESSION PANEL, 48 HOUR MUST INCLUDE: FREE CORTISOL, URINE (82530 X 2) CORTISOL GLUCAGON TOLERANCE PANEL; FOR INSULINOMA MUST INCLUDE: GLUCOSE (82947 X 3) INSULIN (83525 X 3) GLUCAGON TOLERANCE PANEL; FOR PHEOCHROMOCYTOMA MUST INCLUDE: CATECHOLAMINES, FRACTIONATED GONADOTROPIN RELEASING HORMONE STIMULATION PANEL MUST INCLUDE: FOLLICLE STIMULATING HORMONE GROWTH HORMONE STIMULATION PANEL (EG, ARGININE INFUSION, L-DOPA ADMINISTRATION) THIS PANEL MUST GROWTH HORMONE SUPPRESSION PANEL (GLUCOSE ADMINISTRATION) THIS PANEL MUST INCLUDE THE FOLLOW INSULIN-INDUCED C-PEPTIDE SUPPRESSION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: INSULIN (83525 INSULIN TOLERANCE PANEL; FOR ACTH INSUFFICIENCY THIS PANEL MUST INCLUDE THE FOLLOWING: CORTISOL INSULIN TOLERANCE PANEL; FOR GROWTH HORMONE DEFICIENCY THIS PANEL MUST INCLUDE THE FOLLOWING METYRAPONE PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: CORTISOL (82533 X 2) 11 DEOXYCORTISOL (82 THYROTROPIN RELEASING HORMONE (TRH) STIMULATION PANEL; ONE HOUR THIS PANEL MUST INCLUDE THE FO THYROTROPIN RELEASING HORMONE (TRH) STIMULATION PANEL; TWO HOUR THIS PANEL MUST INCLUDE THE FO THYROTROPIN RELEASING HORMONE (TRH) STIMULATION PANEL; FOR HYPERPROLACTINEMIA THIS PANEL MUST
- 356. CLINICAL PATHOLOGY CONSULTATION;LIMITED, WITHOUT REVIEW OF PATIENT'S HISTORY AND MEDICAL RECOR CLINICAL PATHOLOGY CONSULTATION; COMPREHENSIVE, FOR A COMPLEX DIAGNOSTIC PROBLEM, WITH REVIEW URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTE URINALYSIS, BY DIP STICK/TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, N URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTE URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTE URINALYSIS; QUALITATIVE OR SEMIQUANTITATIVE, EXCEPT IMMUNOASSAYS URINALYSIS; BACTERIURIA SCREEN, EXCEPT BY CULTURE OR DIPSTICK URINALYSIS; MICROSCOPIC ONLY URINALYSIS; TWO OR THREE GLASS TEST URINE PREGNANCY TEST, BY VISUAL COLOR COMPARISON METHODS VOLUME MEASUREMENT FOR TIMED COLLECTION, EACH UNLISTED URINALYSIS PROCEDURE ACETALDEHYDE, BLOOD ACETAMINOPHEN ACETONE OR OTHER KETONE BODIES, SERUM; QUALITATIVE ACETONE OR OTHER KETONE BODIES, SERUM; QUANTITATIVE ACETYLCHOLINESTERASE ACYLCARNITINES; QUALITATIVE ACYLCARNITINES; QUANTITATIVE, EACH SPECIMEN ADRENOCORTICOTROPIC HORMONE (ACTH) ADENOSINE, 5'-MONOPHOSPHATE, CYCLIC (CYCLIC AMP) ALBUMIN; SERUM ALBUMIN; URINE OR OTHER SOURCE, QUANTITATIVE, EACH SPECIMEN ALBUMIN; URINE, MICROALBUMIN, QUANTITATIVE ALBUMIN; URINE, MICROALBUMIN, SEMIQUANTITATIVE (EG, REAGENT STRIP ASSAY) ALCOHOL (ETHANOL); ANY SPECIMEN EXCEPT BREATH ALCOHOL (ETHANOL); BREATH ALDOLASE ALDOSTERONE ALKALOIDS, URINE, QUANTITATIVE ALPHA-1-ANTITRYPSIN; TOTAL ALPHA-1-ANTITRYPSIN; PHENOTYPE ALPHA-FETOPROTEIN; SERUM ALPHA-FETOPROTEIN; AMNIOTIC FLUID ALUMINUM AMINES, VAGINAL FLUID, QUALITATIVE AMINO ACIDS, SINGLE, QUALITATIVE AMINO ACIDS, QUALITATIVE AMINO ACIDS, QUANTITATION, EACH AMINOLEVULINIC ACID, DELTA (ALA) AMINO ACIDS, 2-5 AMINO ACIDS, QUANTITATIVE, EACH SPECIMEN AMINO ACIDS, 6 OR MORE, QUANTITATIVE AMMONIA AMNIOTIC FLUID SCAN (SPECTROPHOTOMETRIC) AMPHETAMINE OR METHAMPHETAMINE AMYLASE ANDROSTANEDIOL GLUCURONIDE ANDROSTENEDIONE ANDROSTERONE ANGIOTENSIN II ANGIOTENSIN I - CONVERTING ENZYME (ACE)
- 357. APOLIPOPROTEIN, EACH ARSENIC ASCORBIC ACID(VITAMIN C), BLOOD ATOMIC ABSORPTION SPECTROSCOPY, EACH ANALYTE BARBITURATES, NOT ELSEWHERE SPECIFIED BETA-2 MICROGLOBULIN BILE ACIDS; TOTAL BILE ACIDS; CHOLYLGLYCINE BILIRUBIN; TOTAL BILIRUBIN;DIRECT BILIRUBIN; FECES, QUALITATIVE BIOTINIDASE BLOOD, OCCULT, BY PEROXIDASE ACTIVITY (EG, GUAIAC), QUALITATIVE; FECES, 1-3 SIMULTANEOUS DETERMINAT BLOOD, OCCULT, BY PEROXIDASE ACTIVITY (EG, GUAIAC), QUALITATIVE; OTHER SOURCES BLOOD, OCCULT, BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY, QUALITATIVE, FECES, 1-3 SIMULTA BRADYKININ CADMIUM CALCIFEDIOL (25-OH VITAMIN D-3) CALCIFEROL (VITAMIN D) CALCITONIN CALCIUM; TOTAL CALCIUM; IONIZED CALCIUM; AFTER CALCIUM INFUSION TEST CALCIUM; URINE QUANTITATIVE, TIMED SPECIMEN CALCULUS; QUALITATIVE ANALYSIS CALCULUS; QUANTITATIVE ANALYSIS, CHEMICAL CALCULUS; INFRARED SPECTROSCOPY CALCULUS; X-RAY DIFFRACTION CARBOHYDRATE DEFICIENT TRANSFERRIN CARBON DIOXIDE (BICARBONATE) CARBON MONOXIDE, (CARBOXYHEMOGLOBIN); QUANTITATIVE CARBON MONOXIDE, (CARBOXYHEMOGLOBIN); QUALITATIVE CARCINOEMBRYONIC ANTIGEN (CEA) CARNITINE (TOTAL & FREE), QUANTITATIVE CAROTENE CATECHOLAMINES; TOTAL URINE CATECHOLAMINES; BLOOD CATECHOLAMINES; FRACTIONATED CATHEPSIN-D CERULOPLASMIN CHEMILUMINESCENT ASSAY CHLORAMPHENICOL CHLORIDE; BLOOD CHLORIDE; URINE OTHER SOURCE CHLORINATED HYDROCARBONS, SCREEN CHOLESTEROL, SERUM OR WHOLE BLOOD, TOTAL CHOLINESTERASE; SERUM CHOLINESTERASE; RBC CHONDROITIN B SULFATE, QUANTITATIVE CHROMATOGRAPHY, QUALITATIVE; COLUMN (EG, GAS LIQUID OR HIGH PERFORMANCE LIQUID CHROMATOGRAPH CHROMATOGRAPHY, QUALITATIVE; PAPER, 1-DIMENSIONAL, ANALYTE NOT ELSEWHERE SPECIFIED
- 358. CHROMATOGRAPHY, QUALITATIVE; PAPER,2-DIMENSIONAL, ANALYTE NOT ELSEWHERE SPECIFIED CHROMATOGRAPHY, QUALITATIVE; THIN LAYER, ANALYTE NOT ELSEWHERE SPECIFIED CHROMATOGRAPHY, QUANTITATIVE, COLUMN (EG, GAS LIQUID OR HIGH PERFORMANCE LIQUID CHROMATOGRAP CHROMAT,QUANT,GLC/HPLC;MULTI,SINGLE,STATIONARY,MOBILE CHROMIUM CITRATE COCAINE OR METABOLITE COLLAGEN CROSS LINKS, ANY METHOD COPPER CORTICOSTERONE CORTISOL; FREE CORTISOL; TOTAL CREATINE COLUMN CHROMAT/MS,ANALYTE NOS;QUAL,SINGLE,STATIONARY,MOBILE COLUMN CHROMAT/MS,ANALYTE NOS;QUANT,SINGLE,STATIONARY,MOBILE COLUMN CHROMAT/MS,ANALYTE NOS;STABLE ISOTOPE,SINGLE,QUANT COLUMN CHROMAT/MS,ANALYTE NOS;STABLE ISOTOPE,MULTI,QUANT CREATINE KINASE (CK), (CPK); TOTAL CREATINE KINASE (CK), (CPK); ISOENZYMES CREATINE KINASE (CK), (CPK); MB FRACTION ONLY CREATINE KINASE (CK), (CPK); ISOFORMS CREATININE; BLOOD CREATININE; OTHER SOURCE CREATININE; CLEARANCE CRYOFIBRINOGEN CRYOGLOBULIN, QUALITATIVE OR SEMI-QUANTITATIVE (EG, CRYOCRIT) CYANIDE CYANOCOBALAMIN (VITAMIN B-12); CYANOCOBALAMIN (VITAMIN B-12); UNSATURATED BINDING CAPACITY CYSTINE AND HOMOCYSTINE, URINE, QUALITATIVE DEHYDROEPIANDROSTERONE (DHEA) DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S) DESOXYCORTICOSTERONE, 11- DEOXYCORTISOL, 11- DIBUCAINE NUMBER DIHYDROCODEINONE DIHYDROMORPHINONE DIHYDROTESTOSTERONE (DHT) DIHYDROXYVITAMIN D, 1,25- DIMETHADIONE ENZYME ACTIVITY,CULTURED CELLS OR TISSUE,NOS;NON-RADIOACTIVE ENZYME ACTIVITY,CULTURED CELLS OR TISSUE,NOS;RADIOACTIVE ELECTROPHORETIC TECHNIQUE, NOT ELSEWHERE SPECIFIED EPIANDROSTERONE ERYTHROPOIETIN ESTRADIOL ESTROGENS; FRACTIONATED ESTROGENS; TOTAL ESTRIOL ESTRONE ETHCHLORVYNOL ETHYLENE GLYCOL
- 359. ETIOCHOLANOLONE FAT OR LIPIDS,FECES; QUALITATIVE FAT OR LIPIDS, FECES; QUANTITATIVE FAT DIFFERENTIAL, FECES, QUANTITATIVE FATTY ACIDS, NONESTERIFIED VERY LONG CHAIN FATTY ACIDS FERRITIN FETAL FIBRONECTIN, CERVICO VAGINAL SECRETIONS, SEMI-QUANT FLUORIDE FLURAZEPAM FOLIC ACID; SERUM FOLIC ACID; RBC FRUCTOSE, SEMEN GALACTOKINASE, RBC GALACTOSE GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE; QUANTITATIVE GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE; SCREEN GAMMAGLOBULIN; IGA, IGD, IGG, IGM, EACH GAMMAGLOBULIN; IGE GAMMAGLOBULIN; IMMUNOGLOBULIN SUBCLASSES, (IGG1, 2, 3, OR 4), EACH GASES, BLOOD, PH ONLY GASES, BLOOD, ANY COMBINATION OF PH, PCO2, PO2, CO2, HCO2 (INCLUDING CALCULATED O2 SATURATION) GASES, BLOOD, ANY COMBINATION OF PH, PCO2, PO2, CO2, HCO2 (INCLUDING CALCULATED O2 SATURATION); W GASES, BLOOD, O2 SATURATION ONLY, BY DIRECT MEASUREMENT, EXCEPT PULSE OXIMETRY HEMOGLOBIN-OXYGEN AFFINITY (PO2 FOR 50% HEMOGLOBIN SATURATION WITH OXYGEN) GASTRIC ACID, FREE AND TOTAL, EACH SPECIMEN GASTRIC ACID, FREE OR TOTAL; EACH SPECIMEN GASTRIN AFTER SECRETIN STIMULATION GASTRIN GLUCAGON GLUCOSE, BODY FLUID, OTHER THAN BLOOD GLUCAGON TOLERANCE TEST GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP) GLUCOSE; BLOOD, REAGENT STRIP GLUCOSE; POST GLUCOSE DOSE (INCLUDES GLUCOSE) GLUCOSE; TOLERANCE TEST (GTT), THREE SPECIMENS (INCLUDES GLUCOSE) GLUCOSE; TOLERANCE TEST, EACH ADDITIONAL BEYOND THREE SPECIMENS GLUCOSE; TOLBUTAMIDE TOLERANCE TEST GLUCOSE-6-PHOSPHATE DEHYDROGENASE (G6PD); QUANTITATIVE GLUCOSE-6-PHOSPHATE DEHYDROGENASE (G6PD); SCREEN GLUCOSE, BLOOD BY GLUCOSE MONITORING DEVICE(S) CLEARED BY THE FDA SPECIFICALLY FOR HOME USE GLUCOSIDASE, BETA GLUTAMATE DEHYDROGENASE GLUTAMINE (GLUTAMIC ACID AMIDE) GLUTAMYLTRANSFERASE, GAMMA (GGT) GLUTATHIONE GLUTATHIONE REDUCTASE, RBC GLUTETHIMIDE GLYCATED PROTEIN GONADOTROPIN; FOLLICLE STIMULATING HORMONE (FSH) GONADOTROPIN; LUTEINIZING HORMONE (LH) GROWTH HORMONE, HUMAN (HGH) (SOMATOTROPIN)
- 360. GUANOSINE MONOPHOSPHATE (GMP),CYCLIC HAPTOGLOBIN; QUANTITATIVE HAPTOGLOBIN; PHENOTYPES HELICOBACTER PYLORI; ANALYSIS FOR UREASE ACTIVITY, NON-RADIOACTIVE ISOTOPE HELICOBACTER PYLORI; DRUG ADMINISTRATION AND SAMPLE COLLECTION HEAVY METAL (ARSENIC, BARIUM, BERYLLIUM, BISMUTH, ANTIMONY, MERCURY); SCREEN HEAVY METAL (ARSENIC, BARIUM, BERYLLIUM, BISMUTH, ANTIMONY, MERCURY); QUANTITATIVE, EACH HEMOGLOBIN, ELECTROPHORESIS (EG, A2, S, C) HEMOGLOBIN FRACTIONATION & QUANTITATION; CHROMATOGRAPHY HEMOGLOBIN; BY COPPER SULFATE METHOD, NON-AUTOMATED HEMOGLOBIN; F(FETAL), CHEMICAL HEMOGLOBIN; F (FETAL), QUALITATIVE HEMOGLOBIN; GLYCATED HEMOGLOBIN; METHEMOGLOBIN, QUALITATIVE HEMOGLOBIN; METHEMOGLOBIN, QUANTITATIVE HEMOGLOBIN; PLASMA HEMOGLOBIN; SULFHEMOGLOBIN, QUALITATIVE HEMOGLOBIN; SULFHEMOGLOBIN, QUANTITATIVE HEMOGLOBIN; THERMOLABILE HEMOGLOBIN; UNSTABLE, SCREEN HEMOGLOBIN; URINE HEMOSIDERIN; QUALITATIVE HEMOSIDERIN; QUANTITATIVE B-HEXOSAMINIDASE, EACH ASSAY HISTAMINE HOMOCYSTINE HOMOVANILLIC ACID (HVA) HYDROXYCORTICOSTEROIDS, 17- (17-OHCS) HYDROXYINDOLACETIC ACID, 5-(HIAA) HYDROXYPROGESTERONE, 17-D HYDROXYPROGESTERONE, 20- HYDROXYPROLINE; FREE HYDROXYPROLINE; TOTAL IMMUNOASSAY FOR ANALYTE OTHER THAN ANTIBODY OR INFECTIOUS AGENT ANTIGEN, QUALITATIVE OR SEMIQ IMMUNOASSAY FOR ANALYTE OTHER THAN ANTIBODY OR INFECTIOUS AGENT ANTIGEN, QUALITATIVE OR SEMIQ IMMUNOASSAY, ANALYTE, QUANTITATIVE; BY RADIOPHARMACEUTICAL TECHNIQUE (EG, RIA) IMMUNOASSAY, ANALYTE, QUANTITATIVE; NOT OTHERWISE SPECIFIED INSULIN; TOTAL INSULIN; FREE INTRINSIC FACTOR IRON IRON BINDING CAPACITY ISOCITRIC DEHYDROGENASE (IDH) KETOGENIC STEROIDS, FRACTIONATION KETOSTEROIDS, 17- (17-KS); TOTAL KETOSTEROIDS, 17- (17-KS); FRACTIONATION LACTATE (LACTIC ACID) LACTATE DEHYDROGENASE (LD), (LDH); LACTATE DEHYDROGENASE (LD), (LDH); ISOENZYMES, SEPARATION AND QUANTITATION LACTOGEN, HUMAN PLACENTAL (HPL) HUMAN CHORIONIC SOMATOMAMMOTROPIN LACTOSE, URINE; QUALITATIVE LACTOSE, URINE; QUANTITATIVE
- 361. LEAD FETAL LUNG MATURITYASSESSMENT; LECITHIN SPHINGOMYELIN (L/S) RATIO FETAL LUNG MATURITY ASSESSMENT; FOAM STABILITY TEST FETAL LUNG MATURITY ASSESSMENT; FLUORESCENCE POLARIZATION FETAL LUNG MATURITY ASSESSMENT; LAMELLAR BODY DENSITY LEUCINE AMINOPEPTIDASE (LAP) LIPASE LIPOPROTEIN, BLOOD; ELECTROPHORETIC SEPARATION AND QUANTITATION LIPOPROTEIN, BLOOD; HIGH RESOLUTION FRACTIONATION & QUANT LIPOPROTEIN, DIRECT MEASUREMENT; HIGH DENSITY CHOLESTEROL (HDL CHOLESTEROL) LIPOPROTEIN, DIRECT MEASUREMENT; VLDL CHOLESTEROL LIPOPROTEIN, DIRECT MEASUREMENT; LDL CHOLESTEROL LUTEINIZING RELEASING FACTOR (LRH) MAGNESIUM MALATE DEHYDROGENASE MANGANESE MASS SPEC & TANDEM MASS SPEC (MS,MS/MS), NOS, QUAL MASS SPEC & TANDEM MASS SPEC (MS,MS/MS), NOS, QUANT MEPROBAMATE MERCURY, QUANTITATIVE METANEPHRINES METHADONE METHEMALBUMIN METHSUXIMIDE MUCOPOLYSACCHARIDES, ACID; QUANTITATIVE MUCOPOLYSACCHARIDES, ACID; SCREEN MUCIN, SYNOVIAL FLUID (ROPES TEST) MYELIN BASIC PROTEIN, CEREBROSPINAL FLUID MYOGLOBIN NATRIURETIC PEPTIDE NEPHELOMETRY, EACH ANALYTE NOT ELSEWHERE SPECIFIED NICKEL NICOTINE MOLECULAR DIAGNOSTICS; MOLECULAR ISOLATION OR EXTRACTION MOLECULAR DIAGNOSTICS;ISOLATION/EXTRACTION HIGHLY PURIFIED NUCLEAR MOLECULAR DIAGNOSTICS; ENZYMATIC DIGESTION MOLECULAR DIAGNOSTICS;DOT/SLOT BLOT PRODUCTION NUCLEAR MOLECULAR DIAGNOSTICS; SEPARATION (EG, DOT BLOT, ELECTROPHORESIS) NUCLEAR MOLECULAR DIAGNOSTICS; NUCLEIC ACID PROBE, EACH MOLECULAR DIAGNOSTICS; NUCLEIC ACID TRANSFER MOLECULAR DIAGNOSTICS; AMPLIFICATION OF PATIENT NUCLEIC ACID (EG, PCR, LCR), SINGLE PRIMER PAIR, EAC MOLECULAR DIAGNOSTICS;AMPLI NUCLEIC ACID,MULTIPLEX,EA MOLECULAR DIAGNOSTICS; REVERSE TRANSCRIPTION MOLECULAR DIAGNOSTICS;MUT SCANNING PHYSICAL PROPS,SINGLE,EA MOLECULAR DIAGNOSTICS;MUTATION ID SEQUENCING,SINGLE SEG,EA MOLECULAR DIAGNOSTICS;MUT ID ALLELE TRANSCR,SINGLE SEG,EA MOLECULAR DIAGNOSTICS;MUT ID ALLELETRANSL,SINGLE SEG,EA NUCLEAR MOLECULAR DIAGNOSTICS; INTERPRETATION AND REPORT NUCLEOTIDASE 5'- OLIGOCLONAL IMMUNE (OLIGOCLONAL BANDS) ORGANIC ACIDS; TOTAL, QUANTITATIVE, EACH SPECIMEN ORGANIC ACIDS, QUAL
- 362. ORGANIC ACID, SINGLE,QUANTITATIVE OPIATES, (EG, MORPHINE, MEPERIDINE) OSMOLALITY; BLOOD OSMOLALITY; URINE OSTEOCALCIN (BONE G1A PROTEIN) OXALATE ONCOPROTEIN, HER-2/NEU PARATHORMONE (PARATHYROID HORMONE) PH, BODY FLUID, EXCEPT BLOOD PHENCYCLIDINE (PCP) PHENOTHIAZINE PHENYLALANINE (PKU), BLOOD PHENYLKETONES, QUALITATIVE PHOSPHATASE, ACID; TOTAL PHOSPHATASE, ACID; FORENSIC EXAMINATION PHOSPHATASE, ACID; PROSTATIC PHOSPHATASE, ALKALINE; PHOSPHATASE, ALKALINE; HEAT STABLE (TOTAL NOT INCLUDED) PHOSPHATASE, ALKALINE; ISOENZYMES PHOSPHATIDYLGLYCEROL PHOSPHOGLUCONATE, 6-, DEHYDROGENASE, RBC PHOSPHOHEXOSE ISOMERASE PHOSPHORUS INORGANIC (PHOSPHATE); PHOSPHORUS INORGANIC (PHOSPHATE); URINE PORPHOBILINOGEN, URINE; QUALITATIVE PORPHOBILINOGEN, URINE; QUANTITATIVE PORPHYRINS, URINE; QUALITATIVE PORPHYRINS, URINE; QUANTITATION AND FRACTIONATION PORPHYRINS, FECES; QUANTITATIVE PORPHYRINS, FECES; QUALITATIVE POTASSIUM; SERUM POTASSIUM; URINE PREALBUMIN PREGNANEDIOL PREGNANETRIOL PREGNENOLONE 17-HYDROXYPREGNENOLONE PROGESTERONE PROLACTIN PROSTAGLANDIN, EACH PROSTATE SPECIFIC ANTIGEN (PSA); COMPLEXED (DIRECT MEASUREMENT) PROSTATE SPECIFIC ANTIGEN (PSA) PROSTRATE SPECIFIC ANTIGEN (PSA); FREE PROTEIN; TOTAL, EXCEPT REFRACTOMETRY PROTEIN; REFRACTOMETRIC PROTEIN; ELECTROPHORETIC FRACTIONATION AND QUANTITATION PROTEIN; WESTERN BLOT, WITH INTERPRETATION AND REPORT, BLOOD OR OTHER BODY FLUID PROTEIN; WESTERN BLOT, WITH INTERPRETATION AND REPORT, BLOOD OR OTHER BODY FLUID, IMMUNOLOGICA PROTOPORPHYRIN, RBC; QUANTITATIVE PROTOPORPHYRIN, RBC; SCREEN PROINSULIN PYRIDOXAL PHOSPHATE (VITAMIN B-6)
- 363. PYRUVATE PYRUVATE KINASE QUININE RECEPTOR ASSAY;ESTROGEN RECEPTOR ASSAY; PROGESTERONE RECEPTOR ASSAY; ENDOCRINE, OTHER THAN ESTROGEN OR PROGESTERONE (SPECIFY HORMONE) RECEPTOR ASSAY; NON-ENDOCRINE (EG, ACETYLCHOLINE) (SPECIFY RECEPTOR) RENIN RIBOFLAVIN (VITAMIN B-2) SELENIUM SEROTONIN SEX HORMONE BINDING GLOBULIN (SHBG) SIALIC ACID SILICA SODIUM; SERUM SODIUM; URINE SODIUM; OTHER SOURCE SOMATOMEDIN SOMATOSTATIN SPECTROPHOTOMETRY, ANALYTE NOT ELSEWHERE SPECIFIED SPECIFIC GRAVITY (EXCEPT URINE) SUGARS, CHROMATOGRAPHIC, TLC OR PAPER CHROMATOGRAPHY SUGARS; (MONO-,DI-,& OLIGOSACCHARIDES);SINGLE QUALITATIVE, EACH SPECIMEN SUGARS; (MONO-,DI-,& OLIGOSACCHARIDES);MULTIPLE QUALITATIVE, EACH SPECIMEN SUGARS; SINGLE QUANTITATIVE, EACH SPECIMEN SUGARS; MULTIPLE QUANTITATIVE, EACH SPECIMEN SULFATE, URINE TESTOSTERONE; FREE TESTOSTERONE; TOTAL THIAMINE (VITAMIN B-1) THIOCYANATE THYROGLOBULIN THYROXINE; TOTAL THYROXINE; REQUIRING ELUTION (EG, NEONATAL) THYROXINE; FREE THYROXINE BINDING GLOBULIN (TBG) THYROID STIMULATING HORMONE (TSH) THYROID STIMULATING IMMUNE GLOBULINS (TSI) TOCOPHEROL ALPHA (VITAMIN E) TRANSCORTIN (CORTISOL BINDING GLOBULIN) TRANSFERASE; ASPARTATE AMINO (AST) (SGOT) TRANSFERASE; ALANINE AMINO (ALT) (SGPT) TRANSFERRIN TRIGLYCERIDES THYROID HORMONE (T3 OR T4) UPTAKE OR THYROID HORMONE BINDING RATIO (THBR) TRIIODOTHYRONINE T3; TOTAL (TT-3) TRIIODOTHYRONINE (T-3); FREE TRIIODOTHYRONINE (T-3); REVERSE TROPONIN TRYPSIN; DUODENAL FLUID TRYPSIN; FECES, QUALITATIVE TRYPSIN; FECES, QUANTITATIVE, 24-HOUR COLLECTION
- 364. TYROSINE TROPONIN, QUALITATIVE UREA NITROGEN;QUANTITATIVE UREA NITROGEN; SEMIQUANTITATIVE (EG, REAGENT STRIP TEST) UREA NITROGEN, URINE UREA NITROGEN, CLEARANCE URIC ACID; BLOOD URIC ACID; OTHER SOURCE UROBILINOGEN, FECES, QUANTITATIVE UROBILINOGEN, URINE; QUALITATIVE UROBILINOGEN, URINE; QUANTITATIVE, TIMED SPECIMEN UROBILINOGEN, URINE; SEMIQUANTITATIVE VANILLYLMANDELIC ACID (VMA), URINE VASOACTIVE INTESTINAL PEPTIDE (VIP) VASOPRESSIN (ANTIDIURETIC HORMONE, ADH) VITAMIN A VITAMIN, NOT OTHERWISE SPECIFIED VITAMIN K VOLATILES (EG, ACETIC ANHYDRIDE, CARBON TETRACHLORIDE, DICHLOROETHANE, DICHLOROMETHANE, DIETHY XYLOSE ABSORPTION TEST, BLOOD AND/OR URINE ZINC C-PEPTIDE GONADOTROPIN, CHORIONIC (HCG); QUANTITATIVE GONADOTROPIN, CHORIONIC (HCG); QUALITATIVE OVULATION TESTS, BY VISUAL COLOR COMPARISON METHODS FOR HUMAN LUTEINIZING HORMONE UNLISTED CHEMISTRY PROCEDURE BLEEDING TIME BLOOD COUNT; AUTOMATED DIFFERENTIAL WBC COUNT BLOOD COUNT; BLOOD SMEAR, MICROSCOPIC EXAMINATION WITH MANUAL DIFFERENTIAL WBC COUNT BLOOD COUNT; BLOOD SMEAR, MICROSCOPIC EXAMINATION WITHOUT MANUAL DIFFERENTIAL WBC COUNT BLOOD COUNT; MANUAL DIFFERENTIAL WBC COUNT, BUFFY COAT BLOOD COUNT; SPUN MICROHEMATOCRIT BLOOD COUNT; HEMATOCRIT (HCT) BLOOD COUNT; HEMOGLOBIN (HGB) BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED D BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) BLOOD COUNT; MANUAL CELL COUNT (ERYTHROCYTE, LEUKOCYTE, OR PLATELET) EACH BLOOD COUNT; RED BLOOD CELL (RBC), AUTOMATED BLOOD COUNT; RETICULOCYTE, MANUAL BLOOD COUNT; RETICULOCYTE, AUTOMATED BLOOD COUNT; RETIC, HGB CONCENTRATION BLOOD COUNT; LEUKOCYTE (WBC), AUTOMATED BLOOD COUNT; PLATELET, AUTOMATED BLOOD SMEAR, PERIPHERAL, INTERPRETATION BY PHYSICIAN WITH WRITTEN REPORT BONE MARROW, SMEAR INTERPRETATION CHROMOGENIC SUBSTRATE ASSAY CLOT RETRACTION CLOT LYSIS TIME, WHOLE BLOOD DILUTION CLOTTING; FACTOR II, PROTHROMBIN, SPECIFIC CLOTTING; FACTOR V (ACG OR PROACCELERIN), LABILE FACTOR CLOTTING; FACTOR VII (PROCONVERTIN, STABLE FACTOR) CLOTTING; FACTOR VIII (AHG), ONE STAGE
- 365. CLOTTING; FACTOR VIIIRELATED ANTIGEN CLOTTING; FACTOR VIII, VW FACTOR, RISTOCETIN COFACTOR CLOTTING; FACTOR VIII, VW FACTOR ANTIGEN CLOTTING; FACTOR VIII, VON WILLEBRAND'S FACTOR, MULTIMETRIC ANALYSIS CLOTTING; FACTOR IX (PTC OR CHRISTMAS) CLOTTING; FACTOR X (STUART-PROWER) CLOTTING; FACTOR XI (PTA) CLOTTING; FACTOR XII (HAGEMAN) CLOTTING; FACTOR XIII (FIBRIN STABILIZING) CLOTTING; FACTOR XIII (FIBRIN STABILIZING), SCREEN SOLUBILITY CLOTTING; PREKALLIKREIN ASSAY (FLETCHER FACTOR ASSAY) CLOTTING; HIGH MOLECULAR WEIGHT KININOGEN ASSAY (FITZGERALD FACTOR ASSAY) CLOTTING INHIBITORS OR ANTICOAGULANTS; ANTITHROMBIN III, ACTIVITY CLOTTING INHIBITORS OR ANTICOAGULANTS; ANTITHROMBIN III, ANTIGEN ASSAY CLOTTING INHIBITORS OR ANTICOAGULANTS; PROTEIN C, ANTIGEN CLOTTING INHIBITORS OR ANTICOAGULANTS; PROTEIN C, ACTIVITY CLOTTING INHIBITORS OR ANTICOAGULANTS; PROTEIN S, TOTAL CLOTTING INHIBITORS OR ANTICOAGULANTS; PROTEIN S, FREE ACTIVATED PROTEIN C (APC) RESISTANCE ASSAY FACTOR INHIBITOR TEST THROMBOMODULIN COAGULATION TIME; LEE AND WHITE COAGULATION TIME; ACTIVATED COAGULATION TIME; OTHER METHODS EUGLOBULIN LYSIS FIBRIN(OGEN) DEGRADATION (SPLIT) PRODUCTS (FDP)(FSP); AGGLUTINATION SLIDE, SEMIQUANTITATIVE FIBRIN(OGEN) DEGRADATION (SPLIT) PRODUCTS (FDP)(FSP); PARACOAGULATION FIBRIN(OGEN) DEGRADATION (SPLIT) PRODUCTS (FDP)(FSP); QUANTITATIVE FIBRIN DEGRADATION PRODUCTS, D-DIMER; QUALITATIVE OR SEMIQUANTITATIVE FIBRIN DEGRADATION PRODUCTS, D-DIMER; QUANTITATIVE FIBRIN DEGRADATION PRODUCTS, D-DIMER; ULTRASENSITIVE (EG, FOR EVALUATION FOR VENOUS THROMBOEM FIBRINOGEN; ACTIVITY FIBRINOGEN; ANTIGEN FIBRINOLYSINS OR COAGULOPATHY SCREEN, INTERPRETATION AND REPORT FIBRINOLYTIC FACTORS AND INHIBITORS; PLASMIN FIBRINOLYTIC FACTORS AND INHIBITORS; ALPHA-2 ANTIPLASMIN FIBRINOLYTIC FACTORS AND INHIBITORS; PLASMINOGEN ACTIVATOR FIBRINOLYTIC FACTORS AND INHIBITORS; PLASMINOGEN, EXCEPT ANTIGENIC ASSAY FIBRINOLYTIC FACTORS AND INHIBITORS; PLASMINOGEN, ANTIGENIC ASSAY HEINZ BODIES; DIRECT HEINZ BODIES; INDUCED, ACETYL PHENYLHYDRAZINE HEMOGLOBIN OR RBCS, FETAL, FOR FETOMATERNAL HEMORRHAGE; DIFFERENTIAL LYSIS (KLEIHAUER-BETKE) HEMOGLOBIN OR RBCS, FETAL, FOR FETOMATERNAL HEMORRHAGE; ROSETTE HEMOLYSIN, ACID HEPARIN ASSAY HEPARIN NEUTRALIZATION HEPARIN-PROTAMINE TOLERANCE TEST IRON STAIN, PERIPHERAL BLOOD LEUKOCYTE ALKALINE PHOSPHATASE WITH COUNT MECHANICAL FRAGILITY, RBC MURAMIDASE OSMOTIC FRAGILITY, RBC; UNINCUBATED
- 366. OSMOTIC FRAGILITY, RBC;INCUBATED PLATELET; AGGREGATION (IN VITRO), EACH AGENT PLATELET NEUTRALIZATION PROTHROMBIN TIME; PROTHROMBIN TIME; SUBSTITUTION, PLASMA FRACTIONS, EACH RUSSELL VIPER VENOM TIME (INCLUDES VENOM); UNDILUTED RUSSELL VIPER VENOM TIME (INCLUDES VENOM); DILUTED REPTILASE TEST SEDIMENTATION RATE, ERYTHROCYTE, NON-AUTOMATED SEDIMENTATION RATE, ERYTHROCYTE; AUTOMATED SICKLING OF RBC, REDUCTION THROMBIN TIME; PLASMA THROMBIN TIME; TITER THROMBOPLASTIN INHIBITION; TISSUE THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD THROMBOPLASTIN TIME, PARTIAL (PTT); SUBSTITUTION, PLASMA FRACTIONS, EACH VISCOSITY UNLISTED HEMATOLOGY AND COAGULATION PROCEDURE AGGLUTININS, FEBRILE (EG, BRUCELLA, FRANCISELLA, MURINE TYPHUS, Q FEVER, ROCKY MOUNTAIN SPOTTED F ALLERGEN SPECIFIC IGG QUANTITATIVE OR SEMIQUANTITATIVE, EACH ALLERGEN ALLERGEN SPECIFIC IGE; QUANTITATIVE, EACH PANEL OF UP TO 12 ALLERGENS ALLERGEN SPECIFIC IGE; QUALITATIVE, MULTIALLERGEN SCREEN (DIPSTICK OR DISK) ANTIBODY IDENTIFICATION; LEUKOCYTE ANTIBODIES ANTIBODY IDENTIFICATION; PLATELET ANTIBODIES ANTIBODY IDENTIFICATION; PLATELET ASSOCIATED IMMUNOGLOBULIN ASSAY ANTINUCLEAR ANTIBODIES (ANA); ANTINUCLEAR ANTIBODIES (ANA); TITER ANTISTREPTOLYSIN 0; TITER ANTISTREPTOLYSIN 0; SCREEN BLOOD BANK PHYSICIAN SERVICES; DIFFICULT CROSS MATCH AND/OR EVALUATION OF IRREGULAR ANTIBODY(S) BLOOD BANK PHYSICIAN SERVICES; INVESTIGATION OF TRANSFUSION REACTION INCLUDING SUSPICION OF TRA BLOOD BANK PHYSICIAN SERVICES; AUTHORIZATION FOR DEVIATION FROM STANDARD BLOOD BANKING PROCED C-REACTIVE PROTEIN; C-REACTIVE PROTEIN; HIGH SENSITIVITY (HSCRP) BETA 2 GLYCOPROTEIN I ANTIBODY, EACH CARDIOLIPIN (PHOSPHOLIPID) ANTIBODY, EACH IG CLASS ANTI-PHOSPHATIDYLSERINE (PHOSPHOLIPID) ANTIBODY CHEMOTAXIS ASSAY, SPECIFY METHOD COLD AGGLUTININ; SCREEN COLD AGGLUTININ; TITER COMPLEMENT; ANTIGEN, EACH COMPONENT COMPLEMENT; FUNCTIONAL ACTIVITY, EACH COMPONENT COMPLEMENT; TOTAL HEMOLYTIC (CH50) COMPLEMENT FIXATION TESTS, EACH ANTIGEN COUNTERIMMUNOELECTROPHORESIS, EACH ANTIGEN DEOXYRIBONUCLEASE, ANTIBODY DEOXYRIBONUCLEIC ACID (DNA) ANTIBODY; NATIVE OR DOUBLE STRANDED DEOXYRIBONUCLEIC ACID (DNA) ANTIBODY; SINGLE STRANDED EXTRACTABLE NUCLEAR ANTIGEN, ANTIBODY TO, ANY METHOD (EG, NRNP, SS-A, SS-B, SM, RNP, SC170, J01), EAC FC RECEPTOR FLUORESCENT ANTIBODY; SCREEN, EACH ANTIBODY FLUORESCENT ANTIBODY; TITER, EACH ANTIBODY
- 367. GROWTH HORMONE, HUMAN(HGH), ANTIBODY HEMAGGLUTINATION INHIBITION TEST (HAI) IMMUNOASSAY FOR TUMOR ANTIGEN, QUALITATIVE OR SEMIQUANTITATIVE (EG, BLADDER TUMOR ANTIGEN) IMMUNOASSAY FOR TUMOR ANTIGEN, QUANTITATIVE; CA 15-3 (27.29) IMMUNOASSAY FOR TUMOR ANTIGEN, QUANTITATIVE; CA 19-9 IMMUNOASSAY FOR TUMOR ANTIGEN, QUANTITATIVE; CA 125 HETEROPHILE ANTIBODIES; SCREENING HETEROPHILE ANTIBODIES; TITER HETEROPHILE ANTIBODIES; TITERS AFTER ABSORPTION WITH BEEF CELLS AND GUINEA PIG KIDNEY IMMUNOASSAY FOR TUMOR ANTIGEN; OTHER ANTIGEN, QUANTITATIVE (EG, CA 50, 72-4, 549), EACH IMMUNOASSAY FOR INFECTIOUS AGENT ANTIBODY, QUANTITATIVE, NOT ELSEWHERE SPECIFIED IMMUNOASSAY FOR INFECTIOUS AGENT ANTIBODY, QUALITATIVE OR SEMIQUANTITATIVE, SINGLE STEP METHOD IMMUNOELECTROPHORESIS; SERUM IMMUNOELECTROPHORESIS; OTHER FLUIDS (EG, URINE, CEREBROSPINAL FLUID) WITH CONCENTRATION IMMUNOELECTROPHORESIS; CROSSED (2-DIMENSIONAL ASSAY) IMMUNODIFFUSION; NOT ELSEWHERE SPECIFIED IMMUNODIFFUSION; GEL DIFFUSION, QUALITATIVE (OUCHTERLONY), EACH ANTIGEN OR ANTIBODY IMMUNE COMPLEX ASSAY IMMUNOFIXATION ELECTROPHORESIS INHIBIN A INSULIN ANTIBODIES INTRINSIC FACTOR ANTIBODIES ISLET CELL ANTIBODY LEUKOCYTE HISTAMINE RELEASE TEST (LHR) LEUKOCYTE PHAGOCYTOSIS LYMPHOCYTE TRANSFORMATION, MITOGEN (PHYTOMITOGEN) OR ANTIGEN INDUCED BLASTOGENESIS T CELLS; TOTAL COUNT T CELLS; T4 AND T8, INCLUDING RATIO T CELLS; CD4 ABSOLUTE COUNT MICROSOMAL ANTIBODIES (EG, THYROID OR LIVER-KIDNEY), EACH MIGRATION INHIBITORY FACTOR TEST (MIF) NEUTRALIZATION TEST, VIRAL NITROBLUE TETRAZOLIUM DYE TEST (NTD) PARTICLE AGGLUTINATION; SCREEN, EACH ANTIBODY PARTICLE AGGLUTINATION; TITER, EACH ANTIBODY RHEUMATOID FACTOR; QUALITATIVE RHEUMATOID FACTOR; QUANTITATIVE SKIN TEST; CANDIDA SKIN TEST; COCCIDIOIDOMYCOSIS SKIN TEST; HISTOPLASMOSIS SKIN TEST; TUBERCULOSIS, INTRADERMAL SKIN TEST; TUBERCULOSIS, TINE TEST SKIN TEST; UNLISTED ANTIGEN, EACH STREPTOKINASE, ANTIBODY SYPHILIS TEST; QUALITATIVE (EG, VDRL, RPR, ART) SYPHILIS TEST; QUANTITATIVE ANTIBODY; ACTINOMYCES ANTIBODY; ADENOVIRUS ANTIBODY; ASPERGILLUS ANTIBODY; BACTERIUM, NOT ELSEWHERE SPECIFIED ANTIBODY; BARTONELLA ANTIBODY; BLASTOMYCES
- 368. ANTIBODY; BORDETELLA ANTIBODY; BORRELIABURGDORFERI (LYME DISEASE) CONFIRMATORY TEST (EG, WESTERN BLOT OR IMMUNOBL ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE) ANTIBODY; BORRELIA (RELAPSING FEVER) ANTIBODY; BRUCELLA ANTIBODY; CAMPYLOBACTER ANTIBODY; CANDIDA ANTIBODY; CHLAMYDIA ANTIBODY; CHLAMYDIA, IGM ANTIBODY; COCCIDIOIDES ANTIBODY; COXIELLA BRUNETII (Q FEVER) ANTIBODY; CRYPTOCOCCUS ANTIBODY; CYTOMEGALOVIRUS (CMV) ANTIBODY; CYTOMEGALOVIRUS (CMV), IGM ANTIBODY; DIPHTHERIA ANTIBODY; ENCEPHALITIS, CALIFORNIA (LA CROSSE) ANTIBODY; ENCEPHALITIS, EASTERN EQUINE ANTIBODY; ENCEPHALITIS, ST. LOUIS ANTIBODY; ENCEPHALITIS, WESTERN EQUINE ANTIBODY; ENTEROVIRUS (EG, COXSACKIE, ECHO, POLIO) ANTIBODY; EPSTEIN-BARR (EB) VIRUS, EARLY ANTIGEN (EA) ANTIBODY; EPSTEIN-BARR (EB) VIRUS, NUCLEAR ANTIGEN (EBNA) ANTIBODY; EPSTEIN-BARR (EB) VIRUS, VIRAL CAPSID (VCA) ANTIBODY; EHRLICHIA ANTIBODY; FRANCISELLA TULARENSIS ANTIBODY; FUNGUS, NOT ELSEWHERE SPECIFIED ANTIBODY; GIARDIA LAMBLIA ANTIBODY; HELICOBACTER PYLORI ANTIBODY; HELMINTH, NOT ELSEWHERE SPECIFIED ANTIBODY; HEMOPHILUS INFLUENZA ANTIBODY; HTLV I ANTIBODY; HTLV-II ANTIBODY; HTLV OR HIV ANTIBODY, CONFIRMATORY TEST (EG, WESTERN BLOT) ANTIBODY; HEPATITIS, DELTA AGENT ANTIBODY; HERPES SIMPLEX, NON-SPECIFIC TYPE TEST ANTIBODY; HERPES SIMPLEX, TYPE 1 ANTIBODY; HERPES SIMPLEX, TYPE 2 ANTIBODY; HISTOPLASMA ANTIBODY; HIV-1 ANTIBODY; HIV-2 ANTIBODY; HIV-1 AND HIV-2, SINGLE ASSAY HEPATITIS B CORE ANTIBODY (HBCAB), TOTAL IGM ANTIBODY HEPATITIS B SURFACE AB (HBSAB) HEPATITIS BE ANTIBODY (HBEAB) HEPATITIS A ANTIBODY (HAAB), TOTAL HEPATITIS A ANTIBODY (HAAB), IGM ANTIBODY ANTIBODY; INFLUENZA VIRUS ANTIBODY; LEGIONELLA ANTIBODY; LEISHMANIA ANTIBODY; LEPTOSPIRA ANTIBODY; LISTERIA MONOCYTOGENES
- 369. ANTIBODY; LYMPHOCYTIC CHORIOMENINGITIS ANTIBODY;LYMPHOGRANULOMA VENEREUM ANTIBODY; MUCORMYCOSIS ANTIBODY; MUMPS ANTIBODY; MYCOPLASMA ANTIBODY; NEISSERIA MENINGITIDIS ANTIBODY; NOCARDIA ANTIBODY; PARVOVIRUS ANTIBODY; PLASMODIUM (MALARIA) ANTIBODY; PROTOZOA, NOT ELSEWHERE SPECIFIED ANTIBODY; RESPIRATORY SYNCYTIAL VIRUS ANTIBODY; RICKETTSIA ANTIBODY; ROTAVIRUS ANTIBODY; RUBELLA ANTIBODY; RUBEOLA ANTIBODY; SALMONELLA ANTIBODY; SHIGELLA ANTIBODY; TETANUS ANTIBODY; TOXOPLASMA ANTIBODY; TOXOPLASMA, IGM ANTIBODY; TREPONEMA PALLIDUM, CONFIRMATORY TEST (EG, FTA-ABS) ANTIBODY; TRICHINELLA ANTIBODY; VARICELLA-ZOSTER ANTIBODY; VIRUS, NOT ELSEWHERE SPECIFIED ANTIBODY; YERSINIA THYROGLOBULIN ANTIBODY HEPATITIS C ANTIBODY HEPATITIS C ANTIBODY, CONFIRM LYMPHOCYTOTOXICITY ASSAY, VISUAL CROSSMATCH; WITH TITRATION LYMPHOCYTOTOXICITY ASSAY, VISUAL CROSSMATCH; WITHOUT TITRATION SERUM SCREENING FOR CYTOTOXIC PERCENT REACTIVE ANTIBODY (PRA); STANDARD METHOD SERUM SCREENING FOR CYTOTOXIC PERCENT REACTIVE ANTIBODY (PRA); QUICK METHOD HLA TYPING; A, B, OR C (EG, A10, B7, B27), SINGLE ANTIGEN HLA TYPING; A, B, OR C, MULTIPLE ANTIGENS HLA TYPING; DR/DQ, SINGLE ANTIGEN HLA TYPING; DR/DQ, MULTIPLE ANTIGENS HLA TYPING; LYMPHOCYTE CULTURE, MIXED (MLC) HLA TYPING; LYMPHOCYTE CULTURE, PRIMED (PLC) UNLISTED IMMUNOLOGY PROCEDURE ANTIBODY SCREEN, RBC, EACH SERUM TECHNIQUE ANTIBODY ELUTION (RBC), EACH ELUTION ANTIBODY IDENTIFICATION, RBC ANTIBODIES, EACH PANEL FOR EACH SERUM TECHNIQUE ANTIHUMAN GLOBULIN TEST (COOMBS TEST); DIRECT, EACH ANTISERUM ANTIHUMAN GLOBULIN TEST (COOMBS TEST); INDIRECT, QUALITATIVE, EACH ANTISERUM ANTIHUMAN GLOBULIN TEST (COOMBS TEST); INDIRECT, TITER, EACH ANTISERUM AUTOLOGOUS BLOOD OR COMPONENT, COLLECTION PROCESSING AND STORAGE; PREDEPOSITED AUTOLOGOUS BLOOD OR COMPONENT, COLLECTION PROCESSING AND STORAGE; INTRA- OR POSTOPERATIVE S BLOOD TYPING; ABO BLOOD TYPING; RH (D) BLOOD TYPING; ANTIGEN SCREENING FOR COMPATIBLE BLOOD UNIT USING REAGENT SERUM, PER UNIT SCREEN BLOOD TYPING; ANTIGEN SCREENING FOR COMPATIBLE UNIT USING PATIENT SERUM, PER UNIT SCREENED BLOOD TYPING; RBC ANTIGENS, OTHER THAN ABO OR RH (D), EACH
- 370. BLOOD TYPING; RHPHENOTYPING, COMPLETE BLOOD TYPING, FOR PATERNITY TESTING, PER INDIVIDUAL; ABO, RH AND MN BLOOD TYPING, FOR PATERNITY TESTING, PER INDIVIDUAL, ABO, RH AND MN; EACH ADDITIONAL ANTIGEN SYSTE COMPATIBILITY TEST EACH UNIT; IMMEDIATE SPIN TECHNIQUE COMPATIBILITY TEST EACH UNIT; INCUBATION TECHNIQUE COMPATIBILITY TEST EACH UNIT; ANTIGLOBULIN TECHNIQUE FRESH FROZEN PLASMA, THAWING, EACH UNIT FROZEN BLOOD, EACH UNIT; FREEZING (INCLUDES PREPARATION) FROZEN BLOOD, EACH UNIT; THAWING FROZEN BLOOD, EACH UNIT; FREEZING (INCLUDES PREPARATION) AND THAWING HEMOLYSINS AND AGGLUTININS; AUTO, SCREEN, EACH HEMOLYSINS AND AGGLUTININS, AUTO, SCREEN, EACH; INCUBATED IRRADIATION OF BLOOD PRODUCT, EACH UNIT LEUKOCYTE TRANSFUSION POOLING OF PLATELETS OR OTHER BLOOD PRODUCTS PRETREATMENT OF RBC'S FOR USE IN RBC ANTIBODY DETECTION, IDENTIFICATION, AND/OR COMPATIBILITY TES PRETREATMENT OF RBC'S FOR USE IN RBC ANTIBODY DETECTION, IDENTIFICATION, AND/OR COMPATIBILITY TES PRETREATMENT OF RBC'S FOR USE IN RBC ANTIBODY DETECTION, IDENTIFICATION, AND/OR COMPATIBILITY TES PRETREATMENT OF SERUM FOR USE IN RBC ANTIBODY IDENTIFICATION; INCUBATION WITH DRUGS, EACH PRETREATMENT OF SERUM FOR USE IN RBC ANTIBODY IDENTIFICATION; BY DILUTION PRETREATMENT OF SERUM FOR USE IN RBC ANTIBODY IDENTIFICATION; INCUBATION WITH INHIBITORS, EACH PRETREATMENT OF SERUM FOR USE IN RBC ANTIBODY IDENTIFICATION; BY DIFFERENTIAL RED CELL ABSORPTIO SPLITTING OF BLOOD OR BLOOD PRODUCTS, EACH UNIT UNLISTED TRANSFUSION MEDICINE PROCEDURE ANIMAL INOCULATION, SMALL ANIMAL; WITH OBSERVATION ANIMAL INOCULATION, SMALL ANIMAL; WITH OBSERVATION AND DISSECTION CONCENTRATION (ANY TYPE), FOR INFECTIOUS AGENTS CULTURE, BACTERIAL; BLOOD, WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF ISOLATES (INCLUDES AN CULTURE, BACTERIAL; FECES, WITH ISOLATION AND PRELIMINARY EXAMINATION (EG, KIA, LIA), SALMONELLA AND CULTURE, BACTERIAL; STOOL, ADDITIONAL PATHOGENS, ISOLATION AND PRELIMINARY EXAMINATION (EG, CAMP CULTURE, BACTERIAL; ANY OTHER SOURCE EXCEPT URINE, BLOOD OR STOOL, WITH ISOLATION AND PRESUMPT CULTURE, BACTERIAL; QUANTITATIVE, AEROBIC WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF ISOLAT CULTURE, BACTERIAL; QUANTITATIVE, ANAEROBIC WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF ISOL CULTURE, BACTERIAL; ANY SOURCE, ANAEROBIC WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF ISOLA CULTURE, BACTERIAL; ANAEROBIC ISOLATE, ADDITIONAL METHODS REQUIRED FOR DEFINITIVE IDENTIFICATION, CULTURE, BACTERIAL; AEROBIC ISOLATE, ADDITIONAL METHODS REQUIRED FOR DEFINITIVE IDENTIFICATION, EA CULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY CULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY, BY COMMERCIAL KIT (SPECIFY TYPE); W CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE CULTURE, BACTERIAL; WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF ISOLATES, URINE CULTURE, FUNGI (MOLD OR YEAST) ISOLATION, WITH PRESUMPTIVE IDENTIFICATION OF ISOLATES; SKIN, HAIR, O CULTURE, FUNGI (MOLD OR YEAST) ISOLATION, WITH PRESUMPTIVE IDENTIFICATION OF ISOLATES; OTHER SOUR CULTURE, FUNGI (MOLD OR YEAST) ISOLATION, WITH PRESUMPTIVE IDENTIFICATION OF ISOLATES; BLOOD CULTURE, FUNGI, DEFINITIVE IDENTIFICATION, EACH ORGANISM; YEAST CULTURE, FUNGI, DEFINITIVE IDENTIFICATION, EACH ORGANISM; MOLD CULTURE, MYCOPLASMA, ANY SOURCE CULTURE, CHLAMYDIA, ANY SOURCE CULTURE, TUBERCLE OR OTHER ACID-FAST BACILLI (EG, TB, AFB, MYCOBACTERIA) ANY SOURCE, WITH ISOLATIO CULTURE, MYCOBACTERIAL, DEFINITIVE IDENTIFICATION, EACH ISOLATE CULTURE, TYPING; IMMUNOFLUORESCENT METHOD, EACH ANTISERUM CULTURE, TYPING; GAS LIQUID CHROMATOGRAPHY (GLC) OR HIGH PRESSURE LIQUID CHROMATOGRAPHY (HPLC CULTURE, TYPING; IMMUNOLOGIC METHOD, OTHER THAN IMMUNOFLUORESCENCE (EG, AGGLUTINATION GROUP
- 371. CULTURE, TYPING; IDENTIFICATIONBY NUCLEIC ACID PROBE CULTURE, TYPING; IDENTIFICATION BY PULSE FIELD GEL TYPING CULTURE, TYPING; OTHER METHODS DARK FIELD EXAMINATION, ANY SOURCE (EG, PENILE, VAGINAL, ORAL, SKIN); INCLUDES SPECIMEN COLLECTION DARK FIELD EXAMINATION, ANY SOURCE (EG, PENILE, VAGINAL, ORAL, SKIN); WITHOUT COLLECTION MACROSCOPIC EXAMINATION; ARTHROPOD MACROSCOPIC EXAMINATION; PARASITE PINWORM EXAM (EG, CELLOPHANE TAPE PREP) HOMOGENIZATION, TISSUE, FOR CULTURE OVA AND PARASITES, DIRECT SMEARS, CONCENTRATION AND IDENTIFICATION SUSCEPTIBILITY STUDIES, ANTIMICROBIAL AGENT; AGAR DILUTION METHOD, PER AGENT (EG, ANTIBIOTIC GRADIE SUSCEPTIBILITY STUDIES, ANTIMICROBIAL AGENT; DISK METHOD, PER PLATE (12 OR FEWER AGENTS) SUSCEPTIBILITY STUDIES, ANTIMICROBIAL AGENT; ENZYME DETECTION (EG, BETA LACTAMASE), PER ENZYME SUSCEPTIBILITY STUDIES, ANTIMICROBIAL AGENT; MICRODILUTION OR AGAR DILUTION (MINIMUM INHIBITORY CO SUSCEPTIBILITY STUDIES, ANTIMICROBIAL AGENT; MICRODILUTION OR AGAR DILUTION, MINIMUM LETHAL CONCE SUSCEPTIBILITY STUDIES, ANTIMICROBIAL AGENT; MACROBROTH DILUTION METHOD, EACH AGENT SUSCEPTIBILITY STUDIES, ANTIMICROBIAL AGENT; MYCOBACTERIA, PROPORTION METHOD, EACH AGENT SERUM BACTERICIDAL TITER (SCHLICTER TEST) SMEAR, PRIMARY SOURCE WITH INTERPRETATION; GRAM OR GIEMSA STAIN FOR BACTERIA, FUNGI, OR CELL TYP SMEAR, PRIMARY SOURCE WITH INTERPRETATION; FLUORESCENT AND/OR ACID FAST STAIN FOR BACTERIA, FUN SMEAR, PRIMARY SOURCE WITH INTERPRETATION; SPECIAL STAIN FOR INCLUSION BODIES OR PARASITES (EG, M SMEAR, PRIMARY SOURCE WITH INTERPRETATION; WET MOUNT FOR INFECTIOUS AGENTS (EG, SALINE, INDIA INK TISSUE EXAMINATION BY KOH SLIDE OF SAMPLES FROM SKIN, HAIR, OR NAILS FOR FUNGI OR ECTOPARASITE OV TOXIN OR ANTITOXIN ASSAY, TISSUE CULTURE (EG, CLOSTRIDIUM DIFFICILE TOXIN) VIRUS ISOLATION; INOCULATION OF EMBRYONATED EGGS, OR SMALL ANIMAL, INCLUDES OBSERVATION AND DIS VIRUS ISOLATION; TISSUE CULTURE INOCULATION, OBSERVATION, AND PRESUMPTIVE IDENTIFICATION BY CYTOP VIRUS ISOLATION; TISSUE CULTURE, ADDITIONAL STUDIES OR DEFINITIVE IDENTIFICATION (EG, HEMABSORPTION VIRUS ISOLATION; CENTRIFUGE ENHANCED (SHELL VIAL) TECHNIQUE, INCLUDES IDENTIFICATION WITH IMMUNOF VIRUS ISOLATION; INCLUDING IDENTIFICATION BY NON-IMMUNOLOGIC METHOD,OTHER THAN BY CYTOPATHIC EF INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; ADENOVIRUS INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; BORDETELLA PERTUSSIS/PARA INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE;ENTEROVIRUS, DIRECT FLUORE INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; CHLAMYDIA TRACHOMATIS INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; CYTOMEGALOVIRUS, DIRECT F INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; CRYPTOSPORIDIUM/GIARDIA INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; HERPES SIMPLEX VIRUS TYPE INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; HERPES SIMPLEX VIRUS TYPE INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; INFLUENZA B VIRUS INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; INFLUENZA A VIRUS INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; LEGIONELLA MICDADEI INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; LEGIONELLA PNEUMOPHILA INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; PARAINFLUENZA VIRUS, EACH INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; RESPIRATORY SYNCYTIAL VIRU INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; PNEUMOCYSTIS CARINII INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; RUBEOLA INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; TREPONEMA PALLIDUM INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; VARICELLA ZOSTER VIRUS INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; NOT OTHERWISE SPECIFIED, E INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE, POLYVALENT FOR MULTIPLE O INFECTIOUS AGENT AG DETECT BY EI, MULTI;ADENOVIRUS TYPE 40/4 INFECTIOUS AGENT AG DETECT BY EI, MULTI;CHLAMYDIA INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE, QUALITATIVE OR SEMIQUANTI
- 372. INFECTIOUS AGENT ANTIGENDETECTION BY ENZYME IMMUNOASSAY TECHNIQUE, QUALITATIVE OR SEMIQUANTI INFECTIOUS AGENT AG DETECT BY EI, MULTI;CRYPTOSPORIDUM INFECTIOUS AGENT AG DETECT BY EI, MULTI;CYTOMEGALOVIRUS INFECTIOUS AGENT AG DETECT BY EI, MULTI;ESCHERICHIA COLI INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE, QUALITATIVE OR SEMIQUANTI INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE, QUALITATIVE OR SEMIQUANTI INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE, QUALITATIVE OR SEMIQUANTI INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE, QUALITATIVE OR SEMIQUANTI INFECTIOUS AGENT AG DETECT BY EI, MULTI; HBSAG INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE, QUALITATIVE OR SEMIQUANTI INFECTIOUS AGENT AG DETECT BY EI, MULTI; HBEAG INFECTIOUS AGENT AG DETECT BY EI, MULTI;HEPATITIS, DELTA INFECTIOUS AGENT AG DETECT BY EI, MULTI;HISTOPLASMA CAPSULAT INFECTIOUS AGENT AG DETECT BY EI, MULTI; HIV-1 INFECTIOUS AGENT AG DETECT BY EI, MULTI; HIV-2 INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE, QUALITATIVE OR SEMIQUANTI INFECTIOUS AGENT AG DETECT BY EI, MULTI; RSV INFECTIOUS AGENT AG DETECT BY EI, MULTI; ROTAVIRUS INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE, QUALITATIVE OR SEMIQUANTI INFECTIOUS AGENT AG DETECT BY EI, MULTI;STREP, GRP A INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE QUALITATIVE OR SEMIQUANTIT INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE QUALITATIVE OR SEMIQUANTIT INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE QUALITATIVE OR SEMIQUANTIT INFECTIOUS AGENT DETECT BY DNA/RNA; BARTONELLA, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; BARTONELLA, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; BARTONELLA, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; BORRELIA, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; BORRELIA AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; BORRELIA QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; CANDIDA, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; CANDIDA, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; CANDIDA, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; CHLAMYDIA P, DIRECT PROB INFECTIOUS AGENT DETECT BY DNA/RNA; CHLAMYDIA P, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; CHLAMYDIA P, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; CHLAMYDIA T, DIRECT PROB INFECTIOUS AGENT DETECT BY DNA/RNA; CHLAMYDIA T, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; CHLAMYDIA T, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; CYTOMEGALO, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; CYTOMEGALO, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; CYTOMEGALO, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA;GARDNERELLA, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA;GARDNERELLA, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA;GARDNERELLA, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; HEP B, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; HEP B, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; HEP B, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; HEP C, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; HEP C, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; HEP C, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; HEP G, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; HEP G, AMP PROBE
- 373. INFECTIOUS AGENT DETECTBY DNA/RNA; HEP G, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; HERPES SIMP, DIRECT PROB INFECTIOUS AGENT DETECT BY DNA/RNA; HERPES SIMP, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; HERPES SIMP, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; HERPES -6, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; HERPES -6, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; HERPES -6, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; HIV-1, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; HIV-1, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; HIV-1, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; HIV-2, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; HIV-2, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; HIV-2, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; LEGIONELLA, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; LEGIONELLA, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; LEGIONELLA, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; MYCOBACT, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; MYCOBACT, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; MYCOBACT, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; MYCOBACA, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; MYCOBACA, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; MYCOBACA, QUANT INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); MYCOBACTERIA AVIUM-INTRACELLULARE, DIRE INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); MYCOBACTERIA AVIUM-INTRACELLULARE, AMP INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); MYCOBACTERIA AVIUM-INTRACELLULARE, QUA INFECTIOUS AGENT DETECT BY DNA/RNA; MYCOPLASMA, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; MYCOPLASMA, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; MYCOPLASMA, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; NEISSERIA G, DIRECT PROB INFECTIOUS AGENT DETECT BY DNA/RNA; NEISSERIA G, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; NEISSERIA G, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; PAPILLOMA, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; PAPILLOMA, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; PAPILLOMA, QUANT INFECTIOUS AGENT DETECT BY DNA/RNA; STREP A, DIRECT PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; STREP A, AMP PROBE INFECTIOUS AGENT DETECT BY DNA/RNA; STREP A, QUANT INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA), NOT OTHERWISE SPECIFIED; DIRECT PROBE TE INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA), NOT OTHERWISE SPECIFIED; AMPLIFIED PROBE INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA), NOT OTHERWISE SPECIFIED; QUANTIFICATION, INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA), MULTIPLE ORGANISMS; DIRECT PROBE(S) TECH INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA), MULTIPLE ORGANISMS; AMPLIFIED PROBE(S) TE INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL OBSERVATION; STREPTOCOC INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL OBSERVATION; CLOSTRIDIUM INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL OBSERVATION; INFLUENZA INFECTIOUS AGENT DETECT BY IMMUNOASSAY, DIRECT OPT, CHLAMYDI INFECTIOUS AGENT DETECT BY IMMUNOASSAY, DIRECT OPT, NEISSERI INFECTIOUS AGENT DETECT BY IMMUNOASSAY, DIRECT OPT, STREP A INFECTIOUS AGENT DETECT BY IMMUNOASSAY, DIRECT OPT, NOS INFECTIOUS AGENT GENOTYPE ANALYSIS BY NUCLEIC ACID (DNA OR RNA); HIV 1, REVERSE TRANSCRIPTASE AND INFECTIOUS AGENT GENOTYPE ANALYSIS BY NUCLEIC ACID (DNA OR RNA); HEPATITIS C VIRUS INFECTIOUS AGENT PHENOTYPE ANALYSIS BY NUCLEIC ACID (DNA OR RNA) WITH DRUG RESISTANCE TISSUE CU
- 374. INFECTIOUS AGENT PHENOTYPEANALYSIS NUCLEIC ACID (DNA/RNA) WITH DRUG RESISTANCE TISSUE CULTURE UNLISTED MICROBIOLOGY PROCEDURE NECROPSY (AUTOPSY), GROSS EXAMINATION ONLY; WITHOUT CNS NECROPSY (AUTOPSY), GROSS EXAMINATION ONLY; WITH BRAIN NECROPSY (AUTOPSY), GROSS EXAMINATION ONLY; WITH BRAIN AND SPINAL CORD NECROPSY (AUTOPSY), GROSS EXAMINATION ONLY; INFANT WITH BRAIN NECROPSY (AUTOPSY), GROSS EXAMINATION ONLY; STILLBORN OR NEWBORN WITH BRAIN NECROPSY (AUTOPSY), GROSS EXAMINATION ONLY; MACERATED STILLBORN NECROPSY (AUTOPSY), GROSS AND MICROSCOPIC; WITHOUT CNS NECROPSY (AUTOPSY), GROSS AND MICROSCOPIC; WITH BRAIN NECROPSY (AUTOPSY), GROSS AND MICROSCOPIC; WITH BRAIN AND SPINAL CORD NECROPSY (AUTOPSY), GROSS AND MICROSCOPIC; INFANT WITH BRAIN NECROPSY (AUTOPSY), GROSS AND MICROSCOPIC; STILLBORN OR NEWBORN WITH BRAIN NECROPSY (AUTOPSY), LIMITED, GROSS AND/OR MICROSCOPIC; REGIONAL NECROPSY (AUTOPSY), LIMITED, GROSS AND/OR MICROSCOPIC; SINGLE ORGAN NECROPSY (AUTOPSY); FORENSIC EXAMINATION NECROPSY (AUTOPSY); CORONER'S CALL UNLISTED NECROPSY (AUTOPSY) PROCEDURE CYTOPATHOLOGY, FLUIDS, WASHINGS OR BRUSHINGS, EXCEPT CERVICAL OR VAGINAL; SMEARS WITH INTERPRE CYTOPATHOLOGY, FLUIDS, WASHINGS OR BRUSHINGS, EXCEPT CERVICAL OR VAGINAL; FILTER METHOD ONLY W CYTOPATHOLOGY, FLUIDS, WASHINGS OR BRUSHINGS, EXCEPT CERVICAL OR VAGINAL; SMEARS AND FILTER PR CYTOPATHOLOGY, FLUIDS, WASHINGS OR BRUSHINGS, EXCEPT CERVICAL OR VAGINAL; CONCENTRATION TECHN CYTOPATHOLOGY, FORENSIC (EG, SPERM) SEX CHROMATIN IDENTIFICATION; BARR BODIES SEX CHROMATIN IDENTIFICATION; PERIPHERAL BLOOD SMEAR, POLYMORPHONUCLEAR "DRUMSTICKS" CYTOPATHOLOGY INTERPRETATION BY PHYSICIAN CYTOPATHOLOGY; PAP SMEAR, PRESERVED, AUTO THIN LAYER, MAX 3 CYTPATH C/VAG T/LAYER REDO CYTPATH C/VAG AUTOMATED CYTOPATHOLOGY SMEARS, CERVICAL OR VAGINAL; SCREENING BY AUTOMATED SYSTEM WITH MANUAL RESCRE CYTOPATHOLOGY, SMEARS, CERVICAL OR VAGINAL, UP TO THREE SMEARS; SCREENING BY TECHNICIAN UNDER CYTOPATHOLOGY; PAP SMEAR, WITH PHYSICIAN RESCREEN CYTPATH C/VAG REDO CYTPATH C/VAG SELECT CYTOPATHOLOGY, SMEARS, CERVICAL OR VAGINAL, UP TO THREE SMEARS; WITH DEFINITIVE HORMONAL EVALU CYTOPATHOLOGY, SMEARS, ANY OTHER SOURCE; SCREENING AND INTERPRETATION CYTOPATHOLOGY, SMEARS, ANY OTHER SOURCE; PREPARATION, SCREENING AND INTERPRETATION CYTOPATHOLOGY, SMEARS, ANY OTHER SOURCE; EXTENDED STUDY INVOLVING OVER 5 SLIDES AND/OR MULTIP CYTPATH TBS C/VAG MANUAL CYTPATHOLOGY, SLIDES, CERVICAL OR VAGINAL (THE BETHESDA SYSTEM); WITH MANUAL SCREENING AND RES CYTPATH TBS C/VAG AUTO REDO CYTPATH TBS C/VAG SELECT CYTOPATHOLOGY, EVALUATION OF FINE NEEDLE ASPIRATE; IMMEDIATE CYTOHISTOLOGIC STUDY TO DETERMIN CYTOPATHOLOGY, EVALUATION OF FINE NEEDLE ASPIRATE; INTERPRETATION AND REPORT CYTOPATHOLOGY, CERVICAL/VAGINAL (ANY RPTING SYSTEM), COLLECTED PRESERVATIVE FLUID, AUTOMATED T CYTOPATHOLOGY, CERVICAL/VAGINAL (ANY REPORTING SYSTEM), COLLECTED PRESERVATIVE FLUID, AUTOMAT FLOW CYTOMETRY; EACH CELL SURFACE, CYTOPLASMIC OR NUCLEAR MARKER FLOW CYTOMETRY; CELL CYCLE OR DNA ANALYSIS UNLISTED CYTOPATHOLOGY PROCEDURE TISSUE CULTURE FOR CHROMOSOME ANALYSIS; LYMPHOCYTE TISSUE CULTURE FOR CHROMOSOME ANALYSIS; SKIN OR OTHER SOLID TISSUE BIOPSY TISSUE CULTURE FOR CHROMOSOME ANALYSIS; AMNIOTIC FLUID OR CHORIONIC VILLUS CELLS
- 375. TISSUE CULTURE FORCHROMOSOME ANALYSIS; BONE MARROW (MYELOID) CELLS TISSUE CULTURE FOR CHROMOSOME ANALYSIS; OTHER TISSUE CRYOPRESERVATION,FREEZING,& STORAGE OF CELLS,EA CELL LINE THAWING & EXPANSION OF FROZEN CELLS, EA ALIQUOT CHROMOSOME ANALYSIS FOR BREAKAGE SYNDROMES; SCORE 25 CELLS (SCE STUDY), COUNT 5 CELLS, 1 KARYO CHROMOSOME ANALYSIS FOR BREAKAGE SYNDROMES; SCORE 100 CELLS, COUNT 20 CELLS, 2 KARYOTYPES, WI CHROMO ANALYSIS BREAKAGE SYNDS;100 CELLS,CLASTROGEN STRESS CHROMOSOME ANALYSIS; COUNT 5 CELLS, 1 KARYOTYPE, WITH BANDING CHROMOSOME ANALYSIS; COUNT 15-20 CELLS, 2 KARYOTYPES, WITH BANDING CHROMOSOME ANALYSIS; COUNT 45 CELLS FOR MOSAICISM, 2 KARYOTYPES, WITH BANDING CHROMOSOME ANALYSIS; ANALYZE 20-25 CELLS CHROMOSOME ANALYSIS, AMNIOTIC FLUID OR CHORIONIC VILLUS, COUNT 15 CELLS, 1 KARYOTYPE, WITH BANDIN CHROMOSOME ANALYSIS, IN SITU FOR AMNIOTIC FLUID CELLS, COUNT CELLS FROM 6-12 COLONIES, 1 KARYOTYP CYTOGENETICS, DNA PROBE CYTOGENETICS, 3-5 CYTOGENETICS, 10-30 CYTOGENETICS, 25-99 CYTOGENETICS, 100-300 CHROMOSOME ANALYSIS; ADDITIONAL KARYOTYPES, EACH STUDY CHROMOSOME ANALYSIS; ADDITIONAL SPECIALIZED BANDING TECHNIQUE (EG, NOR, C-BANDING) CHROMOSOME ANALYSIS; ADDITIONAL CELLS COUNTED, EACH STUDY CHROMOSOME ANALYSIS; ADDITIONAL HIGH RESOLUTION STUDY CYTOGENETICS & MOLECULAR CYTOGENETICS,INTERP & REPORT UNLISTED CYTOGENETIC STUDY LEVEL I - SURGICAL PATHOLOGY, GROSS EXAMINATION ONLY LEVEL II - SURGICAL PATH, GROSS & MICRO EXAM APPENDIX, FALLOPIAN TUBE, STERILIZATION FINGERS/TOES, A LVL III-SX PATHOLGY,GROSS&MICROSCOP X ABORT,IND ABSCESS ANRYM-ARTRL/VENTRIC ANUS,OTH THAN INCID LVL IV-SX PATHOLOGY,GROSS&MICROSCOPIC X ABORT-SPON/MISSED ART,BX BN MARRW, BX BN XOSTOSIS BRA LEVEL V - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION LEVEL VI - SURGICAL PATH, GROSS & MICRO EXAM BONE RESECTION BREAST, MASTECTOMY - WITH REGIONAL L DECALCIFICATION PROCEDURE (LIST SEPARATELY IN ADDITION TO CODE FOR SURGICAL PATHOLOGY EXAMINAT SPECIAL STAINS (LIST SEPARATELY IN ADDITION TO CODE FOR SURGICAL PATHOLOGY EXAMINATION); GROUP I F SPECIAL STAINS (LIST SEPARATELY IN ADDITION TO CODE FOR SURGICAL PATHOLOGY EXAMINATION); GROUP II, SPECIAL STAINS (LIST SEPARATELY IN ADDITION TO CODE FOR SURGICAL PATHOLOGY EXAMINATION); HISTOCHE DETERMINATIVE HISTOCHEMISTRY TO IDENTIFY CHEMICAL COMPONENTS (EG, COPPER, ZINC) DETERMINATIVE HISTOCHEMISTRY OR CYTOCHEMISTRY TO IDENTIFY ENZYME CONSTITUENTS, EACH CONSULTATION AND REPORT ON REFERRED SLIDES PREPARED ELSEWHERE CONSULTATION AND REPORT ON REFERRED MATERIAL REQUIRING PREPARATION OF SLIDES CONSULTATION, COMPREHENSIVE, WITH REVIEW OF RECORDS AND SPECIMENS, WITH REPORT ON REFERRED M PATHOLOGY CONSULTATION DURING SURGERY; PATHOLOGY CONSULTATION DURING SURGERY; FIRST TISSUE BLOCK, WITH FROZEN SECTION(S), SINGLE SPECI PATHOLOGY CONSULTATION DURING SURGERY; EACH ADDITIONAL TISSUE BLOCK WITH FROZEN SECTION(S) IMMUNOCYTOCHEMISTRY (INCLUDING TISSUE IMMUNOPEROXIDASE), EACH ANTIBODY IMMUNOFLUORESCENT STUDY, EACH ANTIBODY; DIRECT METHOD IMMUNOFLUORESCENT STUDY, EACH ANTIBODY; INDIRECT METHOD ELECTRON MICROSCOPY; DIAGNOSTIC ELECTRON MICROSCOPY; SCANNING MORPHOMETRIC ANALYSIS; SKELETAL MUSCLE MORPHOMETRIC ANALYSIS; NERVE MORPHOMETRIC ANALYSIS; TUMOR NERVE TEASING PREPARATIONS TISSUE IN SITU HYBRIDIZATION, INTERPRETATION AND REPORT
- 376. PROTEIN ANALYSIS OFTISSUE BY WESTERN BLOT, WITH INTERPRETATION AND REPORT; PROTEIN ANALYSIS OF TISSUE BY WESTERN BLOT, WITH INTERPRETATION AND REPORT; IMMUNOLOGICAL PROB MICRODISSECTION (EG, MECHANICAL, LASER CAPTURE) UNLISTED SURGICAL PATHOLOGY PROCEDURE BILIRUBIN, TOTAL, TRANSCUTANEOUS CELL COUNT, MISCELLANEOUS BODY FLUIDS (EG, CEREBROSPINAL FLUID, JOINT FLUID), EXCEPT BLOOD; CELL COUNT, MISCELLANEOUS BODY FLUIDS (EG, CEREBROSPINAL FLUID, JOINT FLUID), EXCEPT BLOOD; WITH D LEUKOCYTE COUNT, FECAL CRYSTAL IDENTIFICATION BY LIGHT MICROSCOPY WITH OR WITHOUT POLARIZING LENS ANALYSIS, ANY BODY FL DUODENAL INTUBATION AND ASPIRATION; SINGLE SPECIMEN (EG, SIMPLE BILE STUDY OR AFFERENT LOOP CULT DUODENAL INTUBATION AND ASPIRATION; COLLECTION OF MULTIPLE FRACTIONAL SPECIMENS WITH PANCREAT FAT STAIN, FECES, URINE, OR RESPIRATORY SECRETIONS GASTRIC INTUBATION AND ASPIRATION, DIAGNOSTIC, EACH SPECIMEN, FOR CHEMICAL ANALYSES OR CYTOPATH GASTRIC INTUBATION AND ASPIRATION, DIAGNOSTIC, EACH SPECIMEN, FOR CHEMICAL ANALYSES OR CYTOPATH GASTRIC INTUBATION, ASPIRATION, AND FRACTIONAL COLLECTIONS (EG, GASTRIC SECRETORY STUDY); ONE HO GASTRIC INTUBATION, ASPIRATION, AND FRACTIONAL COLLECTIONS (EG, GASTRIC SECRETORY STUDY); TWO HO GASTRIC INTUBATION, ASPIRATION, AND FRACTIONAL COLLECTIONS (EG, GASTRIC SECRETORY STUDY); TWO HO GASTRIC INTUBATION, ASPIRATION, AND FRACTIONAL COLLECTIONS (EG, GASTRIC SECRETORY STUDY); THREE MEAT FIBERS, FECES NASAL SMEAR FOR EOSINOPHILS CULTURE AND FERTILIZATION OF OOCYTE(S) CULTURE AND FERTILIZATION OF OOCYTE(S); WITH CO-CULTURE OF EMBRYOS ASSISTED OOCYTE FERTILIZATION, MICROTECHNIQUE (ANY METHOD) ASSISTED EMBRYO HATCHING, MICROTECHNIQUES (ANY METHOD) OOCYTE IDENTIFICATION FROM FOLLICULAR FLUID PREPARATION OF EMBRYO FOR TRANSFER (ANY METHOD) PREPARATION OF CRYOPRESERVED EMBRYOS FOR TRANSFER (INCLUDES THAW) SPERM IDENTIFICATION FROM ASPIRATION (OTHER THAN SEMINAL FLUID) CRYOPRESERVATION; EMBRYO CRYOPRESERVATION; SPERM SPERM ISOLATION; SIMPLE PREP (EG, SPERM WASH AND SWIM-UP) FOR INSEMINATION OR DIAGNOSIS WITH SEM SPERM ISOLATION; COMPLEX PREP (EG, PER COL GRADIENT, ALBUMIN GRADIENT) FOR INSEMINATION OR DIAGN SPERM IDENTIFICATION FROM TESTIS TISSUE, FRESH OR CRYOPRESERVED SEMEN ANALYSIS; PRESENCE AND/OR MOTILITY OF SPERM INCLUDING HUHNER TEST SEMEN ANALYSIS; MOTILITY AND COUNT (NOT INCLUDING HUHNER TEST) SEMEN ANALYSIS; COMPLETE (VOLUME, COUNT, MOTILITY AND DIFFERENTIAL) SEMEN ANALYSIS, PRESENCE AND/OR MOTILITY OF SPERM SPERM ANTIBODIES SPERM EVALUATION; HAMSTER PENETRATION TEST SPERM EVALUATION; CERVICAL MUCUS PENETRATION TEST, WITH OR WITHOUT SPINNBARKEIT TEST SPUTUM, OBTAINING SPECIMEN, AEROSOL INDUCED TECHNIQUE (SEPARATE PROCEDURE) STARCH GRANULES, FECES SWEAT COLLECTION BY IONTOPHORESIS WATER LOAD TEST UNLISTED MISCELLANEOUS PATHOLOGY TEST IMMUNE GLOBULIN (IG), HUMAN, FOR INTRAMUSCULAR USE IMMUNE GLOBULIN (IGIV), HUMAN, FOR INTRAVENOUS USE BOTULINUM ANTITOXIN, EQUINE, ANY ROUTE BOTULISM IMMUNE GLOBULIN, HUMAN, FOR INTRAVENOUS USE CYTOMEGALOVIRUS IMMUNE GLOBULIN (CMV-IGIV), HUMAN, FOR INTRAVENOUS USE DIPHTHERIA ANTITOXIN, EQUINE, ANY ROUTE HEPATITIS B IMMUNE GLOBULIN (HBIG), HUMAN, FOR INTRAMUSCULAR USE
- 377. RABIES IMMUNE GLOBULIN(RIG), HUMAN, FOR INTRAMUSCULAR AND/OR SUBCUTANEOUS USE RABIES IMMUNE GLOBULIN, HEAT-TREATED (RIG-HT), HUMAN, FOR INTRAMUSCULAR AND/OR SUBCUTANEOUS US RESPIRATORY SYNCYTIAL VIRUS IMMUNE GLOBULIN (RSV-IGIM), FOR INTRAMUSCULAR USE, 50 MG, EACH RESPIRATORY SYNCYTIAL VIRUS IMMUNE GLOBULIN (RSV-IGIV), HUMAN, FOR INTRAVENOUS USE RHO(D) IMMUNE GLOBULIN (RHIG), HUMAN, FULL-DOSE, FOR INTRAMUSCULAR USE RHO(D) IMMUNE GLOBULIN (RHIG), HUMAN, MINI-DOSE, FOR INTRAMUSCULAR USE RHO(D) IMMUNE GLOBULIN (RHIGIV), HUMAN, FOR INTRAVENOUS USE TETANUS IMMUNE GLOBULIN (TIG), HUMAN, FOR INTRAMUSCULAR USE VACCINIA IMMUNE GLOBULIN, HUMAN, FOR INTRAMUSCULAR USE VARICELLA-ZOSTER IMMUNE GLOBULIN, HUMAN, FOR INTRAMUSCULAR USE UNLISTED IMMUNE GLOBULIN IMMUNIZATION ADMINISTRATION (INCLUDES PERCUTANEOUS, INTRADERMAL, SUBCUTANEOUS, INTRAMUSCULAR IMMUNIZATION ADMINISTRATION (INCL PERCUTANEOUS, INTRADERMAL, SUBCUTANEOUS, INTRAMUSCULAR&JET IMMUNIZATION ADMINISTRATION BY INTRANASAL OR ORAL ROUTE; ONE VACCINE (SINGLE OR COMBINATION VAC IMMUNIZATION ADMINISTRATION BY INTRANASAL OR ORAL ROUTE; EACH ADDITIONAL VACCINE (SINGLE OR COM ADENOVIRUS VACCINE, TYPE 4, LIVE, FOR ORAL USE ADENOVIRUS VACCINE, TYPE 7, LIVE, FOR ORAL USE ANTHRAX VACCINE, FOR SUBCUTANEOUS USE BACILLUS CALMETTE-GUERIN VACCINE (BCG) FOR TUBERCULOSIS, LIVE, FOR PERCUTANEOUS USE BACILLUS CALMETTE-GUERIN VACCINE (BCG) FOR BLADDER CANCER, LIVE, FOR INTRAVESICAL USE HEPATITIS A VACCINE, ADULT DOSAGE, FOR INTRAMUSCULAR USE HEPATITIS A VACCINE, PEDIATRIC/ADOLESCENT DOSAGE-2 DOSE SCHEDULE, FOR INTRAMUSCULAR USE HEPATITIS A VACCINE, PEDIATRIC/ADOLESCENT DOSAGE-3 DOSE SCHEDULE, FOR INTRAMUSCULAR USE HEPATITIS A AND HEPATITIS B VACCINE (HEPA-HEPB), ADULT DOSAGE, FOR INTRAMUSCULAR USE HEMOPHILUS INFLUENZA B VACCINE (HIB), HBOC CONJUGATE (4 DOSE SCHEDULE), FOR INTRAMUSCULAR USE HEMOPHILUS INFLUENZA B VACCINE (HIB), PRP-D CONJUGATE, FOR BOOSTER USE ONLY, INTRAMUSCULAR USE HEMOPHILUS INFLUENZA B VACCINE (HIB), PRP-OMP CONJUGATE (3 DOSE SCHEDULE), FOR INTRAMUSCULAR US HEMOPHILUS INFLUENZA B VACCINE (HIB),PRP-T CONJUGATE (4 DOSE SCHEDULE), FOR INTRAMUSCULAR USE INFLUENZA VIRUS VACCINE, SPLIT VIRUS, 6-35 MONTHS DOSAGE, FOR INTRAMUSCULAR OR JET INJECTION USE INFLUENZA VIRUS VACCINE, SPLIT VIRUS, 3 YEARS AND ABOVE DOSAGE, FOR INTRAMUSCULAR OR JET INJECTIO INFLUENZA VIRUS VACCINE, WHOLE VIRUS, FOR INTRAMUSCULAR OR JET INJECTION USE INFLUENZA VIRUS VACCINE, LIVE, FOR INTRANASAL USE LYME DISEASE VACCINE, ADULT DOSAGE, FOR INTRAMUSCULAR USE PNEUMOCOCCAL CONJUGATE VACCINE, POLYVALENT, FOR CHILDREN UNDER FIVE YEARS, FOR INTRAMUSCULAR RABIES VACCINE, FOR INTRAMUSCULAR USE RABIES VACCINE, FOR INTRADERMAL USE ROTAVIRUS VACCINE, TETRAVALENT, LIVE, FOR ORAL USE TYPHOID VACCINE, LIVE, ORAL TYPHOID VACCINE, VI CAPSULAR POLYSACCHARIDE (VICPS), FOR INTRAMUSCULAR USE TYPHOID VACCINE, HEAT- AND PHENOL-INACTIVATED (H-P), FOR SUBCUTANEOUS OR INTRADERMAL USE TYPHOID VACCINE, ACETONE-KILLED, DRIED (AKD), FOR SUBCUTANEOUS OR JET INJECTION USE (U.S. MILITARY) DIPHTHERIA, TETANUS TOXOIDS, AND ACELLULAR PERTUSSIS VACCINE (DTAP), FOR INTRAMUSCULAR USE DIPHTHERIA, TETANUS TOXOIDS, AND WHOLE CELL PERTUSSIS VACCINE (DTP), FOR INTRAMUSCULAR USE DIPHTHERIA AND TETANUS TOXOIDS (DT) ADSORBED FOR USE IN INDIVIDUALS YOUNGER THAN SEVEN YEARS, FO TETANUS TOXOID ADSORBED, FOR INTRAMUSCULAR OR JET INJECTION USE MUMPS VIRUS VACCINE, LIVE, FOR SUBCUTANEOUS OR JET INJECTION USE MEASLES VIRUS VACCINE, LIVE, FOR SUBCUTANEOUS OR JET INJECTION USE RUBELLA VIRUS VACCINE, LIVE, FOR SUBCUTANEOUS OR JET INJECTION USE MEASLES, MUMPS AND RUBELLA VIRUS VACCINE (MMR), LIVE, FOR SUBCUTANEOUS OR JET INJECTION USE MEASLES AND RUBELLA VIRUS VACCINE, LIVE, FOR SUBCUTANEOUS OR JET INJECTION USE MEASLES, MUMPS, RUBELLA, AND VARICELLA VACCINE (MMRV), LIVE, FOR SUBCUTANEOUS USE POLIOVIRUS VACCINE, (ANY TYPE(S)) (OPV), LIVE, FOR ORAL USE
- 378. POLIOVIRUS VACCINE, INACTIVATED,(IPV), FOR SUBCUTANEOUS USE VARICELLA VIRUS VACCINE, LIVE, FOR SUBCUTANEOUS USE YELLOW FEVER VACCINE, LIVE, FOR SUBCUTANEOUS USE TETANUS AND DIPHTHERIA TOXOIDS (TD) ADSORBED FOR USE IN INDIVIDUALS SEVEN YEARS OR OLDER, FOR INT DIPHTHERIA TOXOID, FOR INTRAMUSCULAR USE DIPHTHERIA, TETANUS TOXOIDS, AND WHOLE CELL PERTUSSIS VACCINE AND HEMOPHILUS INFLUENZA B VACCIN DIPHTHERIA, TETANUS TOXOIDS, AND ACELLULAR PERTUSSIS VACCINE AND HEMOPHILUS INFLUENZA B VACCINE DIPHTHERIA, TETANUS TOXOIDS, ACELLULAR PERTUSSIS VACCINE, HEPATITIS B, AND POLIOVIRUS VACCINE, INAC CHOLERA VACCINE FOR INJECTABLE USE PLAGUE VACCINE, FOR INTRAMUSCULAR OR JET INJECTION USE PNEUMOCOCCAL POLYSACCHARIDE VACCINE, 23-VALENT, ADULT OR IMMUNOSUPPRESSED PATIENT DOSAGE, FO MENINGOCOCOCCAL POLYSACCHARIDE VACCINE (ANY GROUP(S)), FOR SUBCUTANEOUS OR JET INJECTION USE JAPANESE ENCEPHALITIS VIRUS VACCINE, FOR SUBCUTANEOUS USE HEPATITIS B VACCINE, DIALYSIS OR IMMUNOSUPPRESSED PATIENT DOSAGE (3 DOSE SCHEDULE), FOR INTRAMU HEPATITIS B VACCINE, ADOLESCENT (2 DOSE SCHEDULE), FOR INTRAMUSCULAR USE HEPATITIS B VACCINE, PEDIATRIC/ADOLESCENT DOSAGE (3 DOSE SCHEDULE), FOR INTRAMUSCULAR USE HEPATITIS B VACCINE, ADULT DOSAGE, FOR INTRAMUSCULAR USE HEPATITIS B VACCINE, DIALYSIS OR IMMUNOSUPPRESSED PATIENT DOSAGE (4 DOSE SCHEDULE), FOR INTRAMU HEPATITIS B AND HEMOPHILUS INFLUENZA B VACCINE (HEPB-HIB), FOR INTRAMUSCULAR USE UNLISTED VACCINE/TOXOID INTRAVENOUS INFUSION FOR THERAPY/DIAGNOSIS, ADMINISTERED BY PHYSICIAN OR UNDER DIRECT SUPERVISI INTRAVENOUS INFUSION, THERAPY/DIAGNOSIS, ADMINISTERED PHYSICIAN/UNDER DIRECT SUPERVISION, PHYSIC THERAPEUTIC, PROPHYLACTIC OR DIAGNOSTIC INJECTION (SPECIFY MATERIAL INJECTED); SUBCUTANEOUS OR THERAPEUTIC OR DIAGNOSTIC INJECTION (SPECIFY MATERIAL INJECTED); INTRA-ARTERIAL THERAPEUTIC OR DIAGNOSTIC INJECTION (SPECIFY MATERIAL INJECTED); INTRAVENOUS INTRAMUSCULAR INJECTION OF ANTIBIOTIC (SPECIFY) UNLISTED THERAPEUTIC, PROPHYLACTIC OR DIAGNOSTIC INJECTION PSYCHIATRIC DIAGNOSTIC INTERVIEW EXAMINATION INTERACTIVE PSYCHIATRIC DIAGNOSTIC INTERVIEW EXAMINATION USING PLAY EQUIPMENT, PHYSICAL DEVICES INDIVIDUAL PSYCHOTHERAPY, INSIGHT ORIENTED, BEHAVIOR MODIFYING AND/OR SUPPORTIVE, IN AN OFFICE OR INDIVIDUAL PSYCHOTHERAPY, INSIGHT ORIENTED, BEHAVIOR MODIFYING AND/OR SUPPORTIVE, IN AN OFFICE OR INDIVIDUAL PSYCHOTHERAPY, INSIGHT ORIENTED, BEHAVIOR MODIFYING AND/OR SUPPORTIVE, IN AN OFFICE OR INDIVIDUAL PSYCHOTHERAPY, INSIGHT ORIENTED, BEHAVIOR MODIFYING AND/OR SUPPORTIVE, IN AN OFFICE OR INDIVIDUAL PSYCHOTHERAPY, INSIGHT ORIENTED, BEHAVIOR MODIFYING AND/OR SUPPORTIVE, IN AN OFFICE OR INDIVIDUAL PSYCHOTHERAPY, INSIGHT ORIENTED, BEHAVIOR MODIFYING AND/OR SUPPORTIVE, IN AN OFFICE OR INDIVIDUAL PSYCHOTHERAPY,INTERACTIVE,USING PLAY EQUIP, PHYSICAL DEVICES, LANG INTERPRETER/OTH ME INDIVIDUAL PSYCHOTHER,INTERACT,PLAY EQUIP,PHYS DEVICES,LANG INTERPRETER/OTH MECHANISMS OF NON INDIVIDUAL PSYCHOTHERAPY, INTERACTIVE, USING PLAY EQUIP, PHYSICAL DEVICES, LANG INTERPRETER/OTH M INDIVIDUAL PSYCHOTHER,INTERACT,PLAY EQUIP,PHYS DEVICES,LANG INTERPRETER/OTH MECHANISMS OF NON INDIVIDUAL PSYCHOTHERAPY,INTERACTIVE,USING PLAY EQUIP,PHYSICAL DEVICES, LANGUAGE INTERPRETER/OT INDIVIDUAL PSYCHOTHER,INTERACT,PLAY EQUIP,PHYS DEVICES,LANG INTERPRETER/OTH MECHANISMS OF NON INDIVIDUAL PSYCHOTHERAPY, INSIGHT ORIENTED, BEHAVIOR MODIFYING AND/OR SUPPORTIVE, IN AN INPATIENT INDIVIDUAL PSYCHOTHERAPY, INSIGHT ORIENTED, BEHAV MODIFY &/ SUPPORTIVE, IN AN INPATIENT HOSPITAL, P INDIVIDUAL PSYCHOTHERAPY, INSIGHT ORIENTED, BEHAVIOR MODIFYING AND/OR SUPPORTIVE, IN AN INPATIENT INDIVIDUAL PSYCHOTHERAPY, INSIGHT ORIENTED, BEHAV MODIFY &/ SUPPORTIVE, IN AN INPATIENT HOSPITAL, P INDIVIDUAL PSYCHOTHERAPY, INSIGHT ORIENTED, BEHAVIOR MODIFYING AND/OR SUPPORTIVE, IN AN INPATIENT INDIVIDUAL PSYCHOTHERAPY, INSIGHT ORIENTED, BEHAV MODIFY &/ SUPPORTIVE, IN AN INPATIENT HOSPITAL, P INDIVIDUAL PSYCHOTHER,INTERACT,PLAY EQUIP,PHYS DEVICES,LANG INTERPRETER/OTH MECH OF NON-VERBA INDIVIDUAL PSYCHOTHER, INTERACT, PLAY EQUIP, PHYS DEVICES, LANG INTERPRETER/OTH MECH OF NON-VERB INDIVIDUAL PSYCHOTHER, INTERACTIVE, PLAY EQUIP, PHYS DEVICES, LANG INTERPRETER/OTH MECH OF NON-V INDIVIDUAL PSYCHOTHER,INTERACT,PLAY EQUIP,PHYS DEVICE,LANG INTERPRETER/OTH MECH OF NON-VERBAL INDIVIDUAL PSYCHOTHERAPY,INTERACTIVE, PLAY EQUIP,PHYS DEVICES,LANG INTERPRETER/OTH MECH OF NON
- 379. INDIVIDUAL PSYCHOTHER,INTERACT,PLAY EQUIP,PHYSDEVICE,LANG INTERPRETER/OTH MECH OF NON-VERBAL PSYCHOANALYSIS FAMILY PSYCHOTHERAPY (WITHOUT THE PATIENT PRESENT) FAMILY PSYCHOTHERAPY (CONJOINT PSYCHOTHERAPY) (WITH PATIENT PRESENT) MULTIPLE-FAMILY GROUP PSYCHOTHERAPY GROUP PSYCHOTHERAPY (OTHER THAN OF A MULTIPLE-FAMILY GROUP) INTERACTIVE GROUP PSYCHOTHERAPY PHARMACOLOGIC MANAGEMENT, INCLUDING PRESCRIPTION, USE, AND REVIEW OF MEDICATION WITH NO MORE NARCOSYNTHESIS FOR PSYCHIATRIC DIAGNOSTIC AND THERAPEUTIC PURPOSES (EG, SODIUM AMOBARBITAL (A ELECTROCONVULSIVE THERAPY (INCLUDES NECESSARY MONITORING); SINGLE SEIZURE ELECTROCONVULSIVE THERAPY (INCLUDES NECESSARY MONITORING); MULTIPLE SEIZURES, PER DAY INDIV. PSYCHOPHYSIOLOGICAL THRPY INCORP. BIOFEEDBACK TRNG BY ANY MODALITY FACE/FACE W/ PT.(EG, IN INDIV. PSYCHOPHYSIOLOGICAL THRPY INCORP. BIOFEEDBACK TRNG BY ANY MODALITY FACE/FACE W/ PT.(EG, IN HYPNOTHERAPY ENVIRONMENTAL INTERVENTION FOR MEDICAL MGMT PURPOSES ON A PSYCHIATRIC PATIENT'S BEHALF WITH AG PSYCHIATRIC EVALUATION OF HOSPITAL RECORDS, OTHER PSYCHIATRIC REPORTS, PSYCHOMETRIC AND/OR PR INTERPRETATION OR EXPLANATION OF RESULTS OF PSYCHIATRIC, OTH MEDICAL EXAMS/PROCEDURES, OR OTH PREPARATION OF REPORT OF PATIENT'S PSYCHIATRIC STATUS, HISTORY, TREATMENT, OR PROGRESS (OTHER T UNLISTED PSYCHIATRIC SERVICE OR PROCEDURE BIOFEEDBACK TRAINING BY ANY MODALITY BIOFEEDBACK TRAINING, PERINEAL MUSCLES, ANORECTAL OR URETHRAL SPHINCTER, INCLUDING EMG AND/OR END STAGE RENAL DISEASE (ESRD) RELATED SERVICES PER FULL MONTH; <2 YEARS OF AGE TO INC MONITORIN END STAGE RENAL DISEASE (ESRD) RELATED SERVICES PER FULL MONTH; FOR PATIENTS 2-11 YEARS OLD TO IN END STAGE RENAL DISEASE (ESRD) RELATED SERVICES PER FULL MONTH; FOR PATIENTS 12-19 YEARS OLD TO I END STAGE RENAL DISEASE (ESRD) RELATED SERVICES PER FULL MONTH; 20 YEARS OF AGE AND OVER END STAGE RENAL DISEASE (ESRD) RELATED SERVICES (LESS THAN FULL MONTH), PER DAY; FOR PATIENTS UND END STAGE RENAL DISEASE (ESRD) RELATED SERVICES (LESS THAN FULL MONTH), PER DAY; FOR PATIENTS BET END STAGE RENAL DISEASE (ESRD) RELATED SERVICES (LESS THAN FULL MONTH), PER DAY; FOR PATIENTS BET END STAGE RENAL DISEASE (ESRD) RELATED SERVICES (LESS THAN FULL MONTH), PER DAY; FOR PATIENTS TWE HEMODIALYSIS PROCEDURE WITH SINGLE PHYSICIAN EVALUATION HEMODIALYSIS PROCEDURE REQUIRING REPEATED EVALUATION(S) WITH OR WITHOUT SUBSTANTIAL REVISION HEMODIALYSIS ACCESS FLOW STUDY TO DETERMINE BLOOD FLOW IN GRAFTS AND ARTERIOVENOUS FISTULAE HEMODIALYSIS ACCESS FLOW STUDY TO DETERMINE BLOOD FLOW IN GRAFTS AND ARTERIOVENOUS FISTULAE DIALYSIS PROCEDURE OTHER THAN HEMODIALYSIS (EG, PERITONEAL DIALYSIS, HEMOFILTRATION, OR OTHER CO DIALYSIS PROC OTHER THAN HEMODIALY (EG, PERITONEAL DIALYSIS, HEMOFILTRATION,/OTHER CONT RENAL RE DIALYSIS TRAINING, PATIENT, INCLUDING HELPER WHERE APPLICABLE, ANY MODE, COMPLETED COURSE DIALYSIS TRAINING, PATIENT, INCLUDING HELPER WHERE APPLICABLE, ANY MODE, COURSE NOT COMPLETED, P HEMOPERFUSION (EG, WITH ACTIVATED CHARCOAL OR RESIN) UNLISTED DIALYSIS PROCEDURE, INPATIENT OR OUTPATIENT ESOPHAGEAL INTUBATION AND COLLECTION OF WASHINGS FOR CYTOLOGY, INCLUDING PREPARATION OF SPEC ESOPHAGEAL MOTILITY (MANOMETRIC STUDY OF THE ESOPHAGUS AND/OR GASTROESOPHAGEAL JUNCTION) ST ESOPHAGEAL MOTILITY STUDY; WITH MECHOLYL OR SIMILAR STIMULANT ESOPHAGEAL MOTILITY STUDY; WITH ACID PERFUSION STUDIES GASTRIC MOTILITY (MANOMETRIC) STUDIES ESOPHAGUS, ACID PERFUSION (BERNSTEIN) TEST FOR ESOPHAGITIS ESOPHAGUS, ACID REFLUX TEST, WITH INTRALUMINAL PH ELECTRODE FOR DETECTION OF GASTROESOPHAGEA ESOPHAGUS, ACID REFLUX TEST, WITH INTRALUMINAL PH ELECTRODE FOR DETECTION OF GASTROESOPHAGEA GASTRIC ANALYSIS TEST WITH INJECTION OF STIMULANT OF GASTRIC SECRETION (EG, HISTAMINE, INSULIN, PEN GASTRIC INTUBATION, WASHINGS, AND PREPARING SLIDES FOR CYTOLOGY (SEPARATE PROCEDURE) GASTRIC SALINE LOAD TEST BREATH HYDROGEN TEST (EG, FOR DETECTION OF LACTASE DEFICIENCY) INTESTINAL BLEEDING TUBE, PASSAGE, POSITIONING AND MONITORING
- 380. GASTRIC INTUBATION, ANDASPIRATION OR LAVAGE FOR TREATMENT (EG, FOR INGESTED POISONS) ANORECTAL MANOMETRY PULSED IRRIGATION OF FECAL IMPACTION ELECTROGASTROGRAPHY, DIAGNOSTIC, TRANSCUTANEOUS ELECTROGASTROGRAPHY, DIAGNOSTIC, TRANSCUTANEOUS; WITH PROVOCATIVE TESTING UNLISTED DIAGNOSTIC GASTROENTEROLOGY PROCEDURE OPHTHALMOLOGICAL SERVICES: MEDICAL EXAMINATION AND EVALUATION WITH INITIATION OF DIAGNOSTIC AND OPHTHALMOLOGICAL SERVICES: MEDICAL EXAMINATION AND EVALUATION WITH INITIATION OF DIAGNOSTIC AND OPHTHALMOLOGICAL SERVICES: MEDICAL EXAMINATION AND EVALUATION, WITH INITIATION OR CONTINUATION OPHTHALMOLOGICAL SERVICES: MEDICAL EXAMINATION AND EVALUATION, WITH INITIATION OR CONTINUATION DETERMINATION OF REFRACTIVE STATE OPHTHALMOLOGICAL EXAMINATION AND EVALUATION, UNDER GENERAL ANESTHESIA, WITH OR WITHOUT MANIP OPHTHALMOLOGICAL EXAMINATION AND EVALUATION, UNDER GENERAL ANESTHESIA, WITH OR WITHOUT MANIP GONIOSCOPY (SEPARATE PROCEDURE) SENSORIMOTOR EXAMINATION WITH MULTIPLE MEASUREMENTS OF OCULAR DEVIATION (EG, RESTRICTIVE OR P ORTHOPTIC AND/OR PLEOPTIC TRAINING, WITH CONTINUING MEDICAL DIRECTION AND EVALUATION FITTING OF CONTACT LENS FOR TREATMENT OF DISEASE, INCLUDING SUPPLY OF LENS VISUAL FIELD EXAMINATION, UNI OR BILATERAL, WITH MEDICAL DIAGNOSTIC EVAL; LIMITED EXAM (EG, TANGENT VISUAL FIELD EXAMINATION, UNI OR BILATERAL, WITH MEDICAL DIAGNOSTIC EVAL; INTERMEDIATE EXAM (EG, AT VISUAL FIELD EXAMINATION, UNI OR BILATERAL, WITH MEDICAL DIAGNOSTIC EVAL; EXTENDED EXAM (EG, GOLDM SERIAL TONOMETRY (SEP PROC) WITH MULT MEAS OF INTRAOCULAR PRESSURE OVER EXTENDED TIME PERIOD TONOGRAPHY WITH INTERPRETATION AND REPORT, RECORDING INDENTATION TONOMETER METHOD OR PERIL TONOGRAPHY WITH WATER PROVOCATION SCANNING COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, SCANNING LASER) WITH INTERPRETATION A OPHTHALMIC BIOMETRY BY PARTIAL COHERENCE INTERFEROMETRY WITH INTRAOCULAR LENS POWER CALCUL PROVOCATIVE TESTS FOR GLAUCOMA, WITH INTERPRETATION AND REPORT, WITHOUT TONOGRAPHY OPHTHALMOSCOPY, EXTENDED, WITH RETINAL DRAWING (EG, FOR RETINAL DETACHMENT, MELANOMA), WITH IN OPHTHALMOSCOPY, EXTENDED, WITH RETINAL DRAWING (EG, FOR RETINAL DETACHMENT, MELANOMA), WITH M FLUORESCEIN ANGIOSCOPY WITH INTERPRETATION AND REPORT FLUORESCEIN ANGIOGRAPHY (INCLUDES MULTIFRAME IMAGING) WITH INTERPRETATION AND REPORT INDOCYANINE-GREEN ANGIOGRAPHY (INCLUDES MULTIFRAME IMAGING) WITH INTERPRETATION AND REPORT FUNDUS PHOTOGRAPHY WITH INTERPRETATION AND REPORT OPHTHALMODYNAMOMETRY NEEDLE OCULOELECTROMYOGRAPHY, ONE OR MORE EXTRAOCULAR MUSCLES, ONE OR BOTH EYES, WITH MED ELECTRO-OCULOGRAPHY, WITH MEDICAL DIAGNOSTIC EVALUATION ELECTRORETINOGRAPHY, WITH MEDICAL DIAGNOSTIC EVALUATION COLOR VISION EXAMINATION, EXTENDED, EG, ANOMALOSCOPE OR EQUIVALENT DARK ADAPTATION EXAMINATION, WITH MEDICAL DIAGNOSTIC EVALUATION EXTERNAL OCULAR PHOTOGRAPHY WITH INTERPRETATION AND REPORT FOR DOCUMENTATION OF MEDICAL PR SPECIAL ANTERIOR SEGMENT PHOTOGRAPHY WITH INTERPRETATION AND REPORT; WITH SPECULAR ENDOTHEL SPECIAL ANTERIOR SEGMENT PHOTOGRAPHY WITH MEDICAL DIAGNOSTIC EVALUATION; WITH FLUORESCEIN AN PRESCRIPTION OF OPTICAL AND PHYSICAL CHARACTERISTICS OF AND FITTING OF CONTACT LENS, WITH MEDICA PRESCRIPTION OF OPTICAL AND PHYSICAL CHARACTERISTICS OF AND FITTING OF CONTACT LENS, WITH MEDICA PRESCRIPTION OF OPTICAL AND PHYSICAL CHARACTERISTICS OF AND FITTING OF CONTACT LENS, WITH MEDICA PRESCRIPTION OF OPTICAL AND PHYSICAL CHARACTERISTICS OF AND FITTING OF CONTACT LENS, WITH MEDICA PRESCRIPTION OF OPTICAL AND PHYSICAL CHARACTERISTICS OF CONTACT LENS, WITH MEDICAL SUPERVISION PRESCRIPTION OF OPTICAL AND PHYSICAL CHARACTERISTICS OF CONTACT LENS, WITH MEDICAL SUPERVISION PRESCRIPTION OF OPTICAL AND PHYSICAL CHARACTERISTICS OF CONTACT LENS, WITH MEDICAL SUPERVISION PRESCRIPTION OF OPTICAL AND PHYSICAL CHARACTERISTICS OF CONTACT LENS, WITH MEDICAL SUPERVISION MODIFICATION OF CONTACT LENS (SEPARATE PROCEDURE), WITH MEDICAL SUPERVISION OF ADAPTATION REPLACEMENT OF CONTACT LENS PRESCRIPTION, FITTING, AND SUPPLY OF OCULAR PROSTHESIS (ARTIFICIAL EYE), WITH MEDICAL SUPERVISION O
- 381. PRESCRIPTION OF OCULARPROSTHESIS (ARTIFICIAL EYE) AND DIRECTION OF FITTING AND SUPPLY BY INDEPEN FITTING OF SPECTACLES, EXCEPT FOR APHAKIA; MONOFOCAL FITTING OF SPECTACLES, EXCEPT FOR APHAKIA; BIFOCAL FITTING OF SPECTACLES, EXCEPT FOR APHAKIA; MULTIFOCAL, OTHER THAN BIFOCAL FITTING OF SPECTACLE PROSTHESIS FOR APHAKIA; MONOFOCAL FITTING OF SPECTACLE PROSTHESIS FOR APHAKIA; MULTIFOCAL FITTING OF SPECTACLE MOUNTED LOW VISION AID; SINGLE ELEMENT SYSTEM FITTING OF SPECTACLE MOUNTED LOW VISION AID; TELESCOPIC OR OTHER COMPOUND LENS SYSTEM PROSTHESIS SERVICE FOR APHAKIA, TEMPORARY (DISPOSABLE OR LOAN, INCLUDING MATERIALS) REPAIR AND REFITTING SPECTACLES; EXCEPT FOR APHAKIA REPAIR AND REFITTING SPECTACLES; SPECTACLE PROSTHESIS FOR APHAKIA SUPPLY OF SPECTACLES, EXCEPT PROSTHESIS FOR APHAKIA AND LOW VISION AIDS SUPPLY OF CONTACT LENSES, EXCEPT PROSTHESIS FOR APHAKIA SUPPLY OF LOW VISION AIDS (ANY LENS OR DEVICE USED TO AID OR IMPROVE VISUAL FUNCTION IN PERSON WH SUPPLY OF OCULAR PROSTHESIS (ARTIFICIAL EYE) SUPPLY OF PERMANENT PROSTHESIS FOR APHAKIA; SPECTACLES SUPPLY OF PERMANENT PROSTHESIS FOR APHAKIA; CONTACT LENSES UNLISTED OPHTHALMOLOGICAL SERVICE OR PROCEDURE OTOLARYNGOLOGIC EXAMINATION UNDER GENERAL ANESTHESIA BINOCULAR MICROSCOPY (SEPARATE DIAGNOSTIC PROCEDURE) EVALUATION OF SPEECH, LANGUAGE, VOICE, COMMUNICATION, AUDITORY PROCESSING, AND/OR AURAL REHAB TREATMENT OF SPEECH, LANGUAGE, VOICE, COMMUNICATION, AND/OR AUDITORY PROCESSING DISORDER (INC TREATMENT OF SPEECH, LANGUAGE, VOICE, COMMUNICATION, AND/OR AUDITORY PROCESSING DISORDER (INC AURAL REHABILITATION FOLLOWING COCHLEAR IMPLANT (INCLUDES EVALUATION OF AURAL REHABILITATION ST NASOPHARYNGOSCOPY WITH ENDOSCOPE (SEPARATE PROCEDURE) NASAL FUNCTION STUDIES (EG, RHINOMANOMETRY) FACIAL NERVE FUNCTION STUDIES (EG, ELECTRONEURONOGRAPHY) LARYNGEAL FUNCTION STUDIES TREATMENT OF SWALLOWING DYSFUNCTION AND/OR ORAL FUNCTION FOR FEEDING SPONTANEOUS NYSTAGMUS, INCLUDING GAZE POSITIONAL NYSTAGMUS TEST CALORIC VESTIBULAR TEST, EACH IRRIGATION (BINAURAL, BITHERMAL STIMULATION CONSTITUTES FOUR TESTS OPTOKINETIC NYSTAGMUS TEST SPONTANEOUS NYSTAGMUS TEST, INCLUDING GAZE AND FIXATION NYSTAGMUS, WITH RECORDING POSITIONAL NYSTAGMUS TEST, MINIMUM OF 4 POSITIONS, WITH RECORDING CALORIC VESTIBULAR TEST, EACH IRRIGATION (BINAURAL, BITHERMAL STIMULATION CONSTITUTES FOUR TESTS OPTOKINETIC NYSTAGMUS TEST, BIDIRECTIONAL, FOVEAL OR PERIPHERAL STIMULATION, WITH RECORDING OSCILLATING TRACKING TEST, WITH RECORDING SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING USE OF VERTICAL ELECTRODES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) COMPUTERIZED DYNAMIC POSTUROGRAPHY SCREENING TEST, PURE TONE, AIR ONLY PURE TONE AUDIOMETRY (THRESHOLD); AIR ONLY PURE TONE AUDIOMETRY (THRESHOLD); AIR AND BONE SPEECH AUDIOMETRY THRESHOLD; SPEECH AUDIOMETRY THRESHOLD; WITH SPEECH RECOGNITION COMPREHENSIVE AUDIOMETRY THRESHOLD EVALUATION AND SPEECH RECOGNITION (92553 AND 92556 COMBIN AUDIOMETRIC TESTING OF GROUPS BEKESY AUDIOMETRY; SCREENING BEKESY AUDIOMETRY; DIAGNOSTIC LOUDNESS BALANCE TEST, ALTERNATE BINAURAL OR MONAURAL TONE DECAY TEST
- 382. SHORT INCREMENT SENSITIVITYINDEX (SISI) STENGER TEST, PURE TONE TYMPANOMETRY (IMPEDANCE TESTING) ACOUSTIC REFLEX TESTING ACOUSTIC REFLEX DECAY TEST FILTERED SPEECH TEST STAGGERED SPONDAIC WORD TEST LOMBARD TEST SENSORINEURAL ACUITY LEVEL TEST SYNTHETIC SENTENCE IDENTIFICATION TEST STENGER TEST, SPEECH VISUAL REINFORCEMENT AUDIOMETRY (VRA) CONDITIONING PLAY AUDIOMETRY SELECT PICTURE AUDIOMETRY ELECTROCOCHLEOGRAPHY AUDITORY EVOKED POTENTIALS FOR EVOKED RESPONSE AUDIOMETRY AND/OR TESTING OF THE CENTRAL NER AUDITORY EVOKED POTENTIALS FOR EVOKED RESPONSE AUDIOMETRY AND/OR TESTING OF THE CENTRAL NER EVOKED OTOACOUSTIC EMISSIONS; LIMITED (SINGLE STIMULUS LEVEL, EITHER TRANSIENT OR DISTORTION PRO EVOKED OTOACOUSTIC EMISSIONS; COMPREHENSIVE OR DIAGNOSTIC EVALUATION (COMPARISON OF TRANSIEN CENTRAL AUDITORY FUNCTION TEST(S) (SPECIFY) HEARING AID EXAMINATION AND SELECTION; MONAURAL HEARING AID EXAMINATION AND SELECTION; BINAURAL HEARING AID CHECK; MONAURAL HEARING AID CHECK; BINAURAL ELECTROACOUSTIC EVALUATION FOR HEARING AID; MONAURAL ELECTROACOUSTIC EVALUATION FOR HEARING AID; BINAURAL EAR PROTECTOR ATTENUATION MEASUREMENTS EVALUATION FOR USE AND/OR FITTING OF VOICE PROSTHETIC DEVICE TO SUPPLEMENT ORAL SPEECH DIAGNOSTIC ANALYSIS OF COCHLEAR IMPLANT, PATIENT UNDER 7 YEARS OF AGE; WITH PROGRAMMING DIAGNOSTIC ANALYSIS OF COCHLEAR IMPLANT, PATIENT UNDER 7 YEARS OF AGE; SUBSEQUENT REPROGRAMMI DIAGNOSTIC ANALYSIS OF COCHLEAR IMPLANT, AGE 7 YEARS OR OLDER; WITH PROGRAMMING DIAGNOSTIC ANALYSIS OF COCHLEAR IMPLANT, AGE 7 YEARS OR OLDER; SUBSEQUENT REPROGRAMMING EVALUATION FOR PRESCRIPTION OF NON-SPEECH-GENERATING AUGMENTATIVE AND ALTERNATIVE COMMUNICA THERAPEUTIC SERVICE(S) FOR THE USE OF NON-SPEECH-GENERATING DEVICE, INCLUDING PROGRAMMING AND EVALUATION FOR PRESCRIPTION FOR SPEECH-GENERATING AUGMENTATIVE AND ALTERNATIVE COMMUNICATIO EVAL, RX, SPEECH-GENERATING AUGMENTATIVE&ALTERNATIVE COMM, FCE-TO-FCE W THE PT; EA ADD 30 MIN THERAPEUTIC SERVICES FOR THE USE OF SPEECH-GENERATING DEVICE, INCLUDING PROGRAMMING AND MODI EVALUATION OF ORAL AND PHARYNGEAL SWALLOWING FUNCTION MOTION FLUOROSCOPIC EVALUATION OF SWALLOWING FUNCTION BY CINE OR VIDEO RECORDING FLEXIBLE FIBEROPTIC ENDOSCOPIC EVALUATION OF SWALLOWING BY CINE OR VIDEO RECORDING FLEXIBLE FIBEROPTIC ENDOSCOPIC EVALUATION OF SWALLOWING BY CINE OR VIDEO RECORDING; PHYSICIAN I FLEXIBLE FIBEROPTIC ENDOSCOPIC EVALUATION, LARYNGEAL SENSORY TESTING BY CINE OR VIDEO RECORDIN FLEXIBLE FIBEROPTIC ENDOSCOPIC EVALUATION, LARYNGEAL SENSORY TESTING BY CINE OR VIDEO RECORDIN FLEX FIBEROPTIC ENDOSCOPIC EVAL, SWALLOW&LARYNGEAL SENSRY TSTING CINE/VIDEO REC; FLEXIBLE FIBEROPTIC ENDOSCOPIC EVALUATION OF SWALLOWING AND LARYNGEAL SENSORY TESTING BY CINE UNLISTED OTORHINOLARYNGOLOGICAL SERVICE OR PROCEDURE CARDIOPULMONARY RESUSCITATION (EG, IN CARDIAC ARREST) TEMPORARY TRANSCUTANEOUS PACING CARDIOVERSION, ELECTIVE, ELECTRICAL CONVERSION OF ARRHYTHMIA; EXTERNAL CARDIOVERSION, ELECTIVE, ELECTRICAL CONVERSION OF ARRHYTHMIA; INTERNAL (SEPARATE PROCEDURE) CARDIOASSIST-METHOD OF CIRCULATORY ASSIST; INTERNAL CARDIOASSIST-METHOD OF CIRCULATORY ASSIST; EXTERNAL
- 383. PERCUTANEOUS TRANSLUMINAL CORONARYTHROMBECTOMY (LIST SEPARATELY IN ADDITION TO CODE FOR PR TRANSCATHETER PLACEMENT OF RADIATION DELIVERY DEVICE FOR SUBSEQUENT CORONARY INTRAVASCULAR THROMBOLYSIS, CORONARY; BY INTRACORONARY INFUSION, INCLUDING SELECTIVE CORONARY ANGIOGRAPHY THROMBOLYSIS, CORONARY; BY INTRAVENOUS INFUSION INTRAVASCULAR ULTRASOUND (CORONARY VESSEL/GRAFT) DURING DIAG EVALUATION &/ THERAPEUTIC INTERV INTRAVASCULAR ULTRASOUND (CORONARY VESSEL OR GRAFT) DURING THERAPEUTIC INTERVENTION INCLUDIN TRANSCATHETER PLACEMENT OF AN INTRACORONARY STENT(S), PERCUTANEOUS, WITH OR WITHOUT OTHER T TRANSCATHETER PLACEMENT OF AN INTRACORONARY STENT(S), PERCUTANEOUS, WITH OR WITHOUT OTHER T PERCUTANEOUS TRANSLUMINAL CORONARY BALLOON ANGIOPLASTY; SINGLE VESSEL PERCUTANEOUS TRANSLUMINAL CORONARY BALLOON ANGIOPLASTY; EACH ADDITIONAL VESSEL (LIST SEPARAT PERCUTANEOUS BALLOON VALVULOPLASTY; AORTIC VALVE PERCUTANEOUS BALLOON VALVULOPLASTY; MITRAL VALVE PERCUTANEOUS BALLOON VALVULOPLASTY; PULMONARY VALVE ATRIAL SEPTECTOMY OR SEPTOSTOMY; TRANSVENOUS METHOD, BALLOON (EG, RASHKIND TYPE) (INCLUDES CA ATRIAL SEPTECTOMY OR SEPTOSTOMY; BLADE METHOD (PARK SEPTOSTOMY) (INCLUDES CARDIAC CATHETERIZ PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, BY MECHANICAL OR OTHER METHOD, WITH OR WIT PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, BY MECHANICAL OR OTHER METHOD, WITH OR WIT PERCUTANEOUS TRANSLUMINAL PULMONARY ARTERY BALLOON ANGIOPLASTY; SINGLE VESSEL PERCUTANEOUS TRANSLUMINAL PULMONARY ARTERY BALLOON ANGIOPLASTY; EACH ADDITIONAL VESSEL (LIST ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; WITH INTERPRETATION AND REPORT ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; TRACING ONLY, WITHOUT INTERPRETATION AN ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; INTERPRETATION AND REPORT ONLY TELEPHONIC TRANSMISSION OF POST-SYMPTOM ELECTROCARDIOGRAM RHYTHM STRIP(S), 24-HOUR ATTENDED TELEPHONIC TRANSMISSION OF POST-SYMPTOM ELECTROCARDIOGRAM RHYTHM STRIP(S), 24-HOUR ATTENDED CARDIOVASCULAR STRESS TEST USING MAXIMAL OR SUBMAXIMAL TREADMILL OR BICYCLE EXERCISE, CONTINO CARDIOVASCULAR STRESS TEST USING MAXIMAL OR SUBMAXIMAL TREADMILL OR BICYCLE EXERCISE, CONTINO CARDIOVASCULAR STRESS TEST USING MAXIMAL OR SUBMAXIMAL TREADMILL OR BICYCLE EXERCISE, CONTINO CARDIOVASCULAR STRESS TEST USING MAXIMAL OR SUBMAXIMAL TREADMILL OR BICYCLE EXERCISE, CONTINO ERGONOVINE PROVOCATION TEST MICROVOLT T-WAVE ALTERNANS FOR ASSESSMENT OF VENTRICULAR ARRHYTHMIAS RHYTHM ECG, ONE TO THREE LEADS; WITH INTERPRETATION AND REPORT RHYTHM ECG, ONE TO THREE LEADS; TRACING ONLY WITHOUT INTERPRETATION AND REPORT RHYTHM ECG, ONE TO THREE LEADS; INTERPRETATION AND REPORT ONLY ELECTROCARDIOGRAPHIC MONITORING FOR 24 HOURS BY CONTINUOUS ORIGINAL ECG WAVEFORM RECORD & ELECTROCARDIOGRAPHIC MONITORING FOR 24 HOURS BY CONTINUOUS ORIGINAL ECG WAVEFORM RECORD & ELECTROCARDIOGRAPHIC MONITORING FOR 24 HOURS BY CONTINUOUS ORIGINAL ECG WAVEFORM RECORD & ELECTROCARDIOGRAPHIC MONITORING FOR 24 HOURS BY CONTINUOUS ORIGINAL ECG WAVEFORM RECORD & ELECTROCARDIOGRAPHIC MONITORING FOR 24 HOURS BY CONTINUOUS ORIGINAL ECG WAVEFORM RECORD & ELECTROCARDIOGRAPHIC MONITORING FOR 24 HOURS BY CONTINUOUS ORIGINAL ECG WAVEFORM RECORD & ELECTROCARDIOGRAPHIC MONITORING FOR 24 HOURS BY CONTINUOUS ORIGINAL ECG WAVEFORM RECORD & ELECTROCARDIOGRAPHIC MONITORING FOR 24 HOURS BY CONTINUOUS ORIGINAL ECG WAVEFORM RECORD & ELECTROCARDIOGRAPHIC MONITORING FOR 24 HOURS BY CONTINUOUS COMPUTER MONITOR & NON-CONTINUO ELECTROCARDIOGRAPHIC MONITORING FOR 24 HOURS BY CONTINUOUS COMPUTER MONITOR & NON-CONTINUO ELECTROCARDIOGRAPHIC MONITORING FOR 24 HOURS BY CONTINUOUS COMPUTER MONITOR & NON-CONTINUO PATIENT DEMAND SINGLE OR MULTIPLE EVENT RECORDING WITH PRESYMPTOM MEMORY LOOP, 24-HOUR ATTEN PATIENT DEMAND SINGLE OR MULTIPLE EVENT RECORDING WITH PRESYMPTOM MEMORY LOOP, 24-HOUR ATTEN PATIENT DEMAND SINGLE OR MULTIPLE EVENT RECORDING WITH PRESYMPTOM MEMORY LOOP, 24-HOUR ATTEN PATIENT DEMAND SINGLE OR MULTIPLE EVENT RECORDING WITH PRESYMPTOM MEMORY LOOP, 24-HOUR ATTEN SIGNAL-AVERAGED ELECTROCARDIOGRAPHY (SAECG), WITH OR WITHOUT ECG TRANSTHORACIC ECHOCARDIOGRAPHY FOR CONGENTIAL CARDIAC ANOMALIES; COMPLETE TRANSTHORACIC ECHOCARDIOGRAPHY FOR CONGENTIAL CARDIAC ANOMALIES; FOLLOW-UP OR LIMITED STUDY ECHOCARDIOGRAPHY, TRANSTHORACIC, REAL-TIME WITH IMAGE DOCUMENTATION (2D) WITH OR WITHOUT M-M
- 384. ECHOCARDIOGRAPHY, REAL-TIME WITHIMAGE DOCUMENTATION (2D) WITH OR WITHOUT M-MODE RECORDING; F ECHOCARDIOGRAPHY, TRANSESOPHAGEAL, REAL TIME WITH IMAGE DOCUMENTATION (2D) (WITH OR WITHOUT M ECHOCARDIOGRAPHY, REAL TIME WITH IMAGE DOCUMENTATION (2D) (WITH OR WITHOUT M-MODE RECORDING) ECHOCARDIOGRAPHY, REAL TIME WITH IMAGE DOCUMENTATION (2D) (WITH OR WITHOUT M-MODE RECORDING) TRANSESOPHAGEAL ECHOCARDIOGRAPHY FOR CONGENTIAL CARDIAC ANOMALIES; INCLUDING PROBE PLACEME TRANSESOPHAGEAL ECHOCARDIOGRAPHY FOR CONGENTIAL CARDIAC ANOMALIES; PLACEMENT OF TRANSESOP TRANSESOPHAGEAL ECHOCARDIOGRAPHY FOR CONGENTIAL CARDIAC ANOMALIES; IMAGE ACQUISITION, INTERP ECHOCARDIOGRAPHY,TRANSESOPHAGEAL MONITOR PRPOSES,INCL PROBE PLCEMNT,REAL TIME 2 DIMENZIONA DOPPLER ECHOCARDIOGRAPHY, PULSED WAVE AND/OR CONTINUOUS WAVE WITH SPECTRAL DISPLAY (LIST SEP DOPPLER ECHOCARDIOGRAPHY, PULSED WAVE &/ CONTINUOUS WAVE W SPEC DISP (LIST SEP IN ADD TO CODES DOPPLER ECHOCARDIOGRAPHY COLOR FLOW VELOCITY MAPPING (LIST SEPARATELY IN ADDITION TO CODES FO ECHOCARDIOGRAPHY, TRANSTHORACIC, REAL-TIME W IMAGE DOC (2D, WWO M-MODE RCRDNG), DURING REST & RIGHT HEART CATHETERIZATION INSERTION AND PLACEMENT OF FLOW DIRECTED CATHETER (EG, SWAN-GANZ) FOR MONITORING PURPOSES ENDOMYOCARDIAL BIOPSY CATHETER PLACEMENT IN CORONARY ARTERY(S), ARTERIAL CORONARY CONDUIT(S), AND/OR VENOUS CORONA LEFT HEART CATHETERIZATION, RETROGRADE, FROM THE BRACHIAL ARTERY, AXILLARY ARTERY OR FEMORAL A LEFT HEART CATHETERIZATION, RETROGRADE, FROM THE BRACHIAL ARTERY, AXILLARY ARTERY OR FEMORAL A LEFT HEART CATHETERIZATION BY LEFT VENTRICULAR PUNCTURE COMBINED TRANSSEPTAL AND RETROGRADE LEFT HEART CATHETERIZATION COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTA COMBINED RIGHT HEART CATHETERIZATION WITH LEFT VENTRICULAR PUNCTURE (WITH OR WITHOUT RETROGR COMBINED RIGHT HEART CATHETERIZATION AND LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL O RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENIT COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTA COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXIS INJECTION PROCEDURE DURING CARDIAC CATHETERIZATION; FOR SELECTIVE OPACIFICATION OF ARTERIAL CON INJECTION PROCEDURE DURING CARDIAC CATHETERIZATION; FOR SELECTIVE OPACIFICATION OF AORTOCORON INJECTION PROCEDURE DURING CARDIAC CATHETERIZATION; FOR PULMONARY ANGIOGRAPHY INJECTION PROCEDURE DURING CARDIAC CATHETERIZATION; FOR SELECTIVE RIGHT VENTRICULAR OR RIGHT A INJECTION PROCEDURE DURING CARDIAC CATHETERIZATION; FOR SELECTIVE LEFT VENTRICULAR OR LEFT ATR INJECTION PROCEDURE DURING CARDIAC CATHETERIZATION; FOR AORTOGRAPHY INJECTION PROCEDURE DURING CARDIAC CATHETERIZATION; FOR SELECTIVE CORONARY ANGIOGRAPHY (INJEC IMAGING SUPERVISION, INTERPRETATION AND REPORT FOR INJECTION PROCEDURE(S) DURING CARDIAC CATHE IMAGING SUPERVISION, INTERPRETATION AND REPORT FOR INJECTION PROCEDURE(S) DURING CARDIAC CATH; INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMAL DILUTION, INCLUDING ARTERIAL AND/OR VENOUS CAT INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMAL DILUTION, INCLUDING ARTERIAL AND/OR VENOUS CAT INTRAVASCULAR DOPPLER VELOCITY AND/OR PRESSURE DERIVED CORONARY FLOW RESERVE MEASUREMENT INTRAVASCULAR DOPPLER VELOCITY AND/OR PRESSURE DERIVED CORONARY FLOW RESERVE MEASUREMENT PERCUTANEOUS TRANSCATHETER CLOSURE OF CONGENITAL INTERATRIAL COMMUNICATION (IE, FONTAN FENE PERCUTANEOUS TRANSCATHETER CLOSURE OF A CONGENITAL VENTRICULAR SEPTAL DEFECT WITH IMPLANT BUNDLE OF HIS RECORDING INTRA-ATRIAL RECORDING RIGHT VENTRICULAR RECORDING INTRAVENTRICULAR &/ INTRA-ATRIAL MAPPING, TACHYCARDIA SITE(S) WITH CATHETER MANIPULATION TO RECO INTRA-ATRIAL PACING INTRAVENTRICULAR PACING INTRACARDIAC ELECTROPHYSIOLOGIC 3-DIMENSIONAL MAPPING (LIST SEPARATELY IN ADDITION TO CODE FOR P ESOPHAGEAL RECORDING OF ATRIAL ELECTROGRAM WITH OR WITHOUT VENTRICULAR ELECTROGRAM(S); ESOPHAGEAL RECORDING OF ATRIAL ELECTROGRAM WITH OR WITHOUT VENTRICULAR ELECTROGRAM(S); WITH
- 385. INDUCTION OF ARRHYTHMIABY ELECTRICAL PACING COMPR ELECTROPHYSIOLOGIC EVAL W RIGHT ATRIAL PACING&REC, RIGHT VENTRICULAR PACING&REC, HIS BUN COMPR ELECTROPHYSIOLOGIC EVAL INCL INSERTION&REPOSITION, MULTI ELECTRODE CATHETERS W INDUCTIO COMPREHENSIVE ELECTROPHYSIOLOGIC EVAL INCLUD INSERTION & REPOS OF MULT ELECTRODE CATH W INDU COMPREHENSIVE ELECTROPHYSIOLOGIC EVAL INCLUDING INSERTION & REPOSITIONING OF MULTIPLE ELECTRO PROGRAMMED STIMULATION AND PACING AFTER INTRAVENOUS DRUG INFUSION (LIST SEPARATELY IN ADDITION ELECTROPHYSIOLOGIC FOLLOW-UP STUDY WITH PACING AND RECORDING TO TEST EFFECTIVENESS OF THERAP INTRA-OPERATIVE EPICARDIAL AND ENDOCARDIAL PACING AND MAPPING TO LOCALIZE THE SITE OF TACHYCARD ELECTROPHYSIOLOGIC EVAL,1/2 CHAMB PAC CARDIOVERT-DEFIBRILL LEADS INCL DEFIBRILL THRESH EVAL (INDU ELECTROPHYSIOLOGIC EVAL,1/2 CHAMB PAC CARDIOVERT-DEFIBRILL LEADS INCL DEFIBRILL THRESH EVAL (INDU ELECTROPHYSIOLOGIC EVAL, 1/2 CHAMB PAC CARDIOVERT-DEFIBRILL (INCL DEFIBRILL THRESH EVAL, INDUCT OF INTRACARDIAC CATHETER ABLATION OF ATRIOVENTRICULAR NODE FUNCTION, ATRIOVENTRICULAR CONDUCTIO INTRACARDIAC CATHETER ABLATION OF ARRHYTHMOGENIC FOCUS; FOR TX OF SUPRAVENTRICULAR TACHYCAR INTRACARDIAC CATHETER ABLATION OF ARRHYTHMOGENIC FOCUS; FOR TREATMENT OF VENTRICULAR TACHYC EVALUATION OF CARDIOVASCULAR FUNCTION WITH TILT TABLE EVALUATION, WITH CONTINUOUS ECG MONITOR INTRACARDIAC ECHOCARDIOGRAPHY DURING THERAPEUTIC/DIAGNOSTIC INTERVENTION, INCLUDING IMAGING S PERIPHERAL ARTERIAL DISEASE (PAD) REHABILITATION, PER SESSION BIOIMPEDANCE, THORACIC, ELECTRICAL PLETHYSMOGRAPHY, TOTAL BODY; WITH INTERPRETATION AND REPORT PLETHYSMOGRAPHY, TOTAL BODY; TRACING ONLY, WITHOUT INTERPRETATION AND REPORT PLETHYSMOGRAPHY, TOTAL BODY; INTERPRETATION AND REPORT ONLY ELECTRONIC ANALYSIS OF ANTITACHYCARDIA PACEMAKER (INC ELECTROCARDIOGRAPHIC RECORDING, PROGR ELECTRONIC ANALYSIS OF IMPLANTABLE LOOP RECORDER (ILR) SYSTEM (INCLUDES RETRIEVAL OF RECORDED ELECTRONIC ANALYSIS OF DUAL-CHAMBER PACEMAKER, RECORDING AND INTERPRETATION AT REST AND EXER ELECTRONIC ANALYSIS OF DUAL-CHAMBER PACEMAKER, RECORDING & INTERPRET AT REST AND DURING EXERC ELECTRONIC ANALYSIS OF DUAL-CHAMBER INTERNAL PACEMAKE (MAY INCLUDE RATE, PULSE AMPLITUDE AND D ELECTRONIC ANALYSIS OF SINGLE CHAMBER PACEMAKER SYSTEM (INC EVAL OF PROGRAMMABLE PARAMETERS ELECTRONIC ANALYSIS OF SINGLE CHAMBER PACEMAKER SYSTEM (INC EVAL OF PROGRAMMABLE PARAMETERS ELECTRONIC ANALYSIS OF SINGLE CHAMBER INTERNAL PACEMAKER (RATE, PULSE AMPLITUDE & DURATION, CO TEMPERATURE GRADIENT STUDIES ELECTRONIC ANALYSIS OF PACING CARDIOVERTER-DEFIBRILLATOR (INTERROG,EVAL PULSE GENERATOR,PROG ELECTRONIC ANALYSIS OF PACING CARDIOVERTER-DEFIBRILLATOR (INTERROG,EVAL PULSE GENERATOR,PROG ELECTRONIC ANALYSIS OF PACING CARDIOVERTER-DEFIBRILLATOR (INTERROG,EVAL PULSE GENERATOR,PROG ELECTRONIC ANALYSIS OF PACING CARDIOVERTER-DEFIBRILLATOR (INTERROG,EVAL PULSE GENERATOR,PROG THERMOGRAM; CEPHALIC THERMOGRAM; PERIPHERAL DETERMINATION OF VENOUS PRESSURE AMBULATORY BLOOD PRESSURE MONITORING, UTILIZING A SYSTEM SUCH AS MAGNETIC TAPE AND/OR COMPUT AMBULATORY BLOOD PRESSURE MONITORING, UTILIZING A SYSTEM SUCH AS MAGNETIC TAPE AND/OR COMPUT AMBULATORY BLOOD PRESSURE MONITORING, UTILIZING A SYSTEM SUCH AS MAGNETIC TAPE AND/OR COMPUT AMBULATORY BLOOD PRESSURE MONITORING, UTILIZING A SYSTEM SUCH AS MAGNETIC TAPE AND/OR COMPUT PHYSICIAN SERVICES FOR OUTPATIENT CARDIAC REHABILITATION; WITHOUT CONTINUOUS ECG MONITORING (P PHYSICIAN SERVICES FOR OUTPATIENT CARDIAC REHABILITATION; WITH CONTINUOUS ECG MONITORING (PER S UNLISTED CARDIOVASCULAR SERVICE OR PROCEDURE NONINVASIVE PHYSIOLOGIC STUDIES OF EXTRACRANIAL ARTERIES, COMPLETE BILATERAL STUDY (EG, PERIORB DUPLEX SCAN OF EXTRACRANIAL ARTERIES; COMPLETE BILATERAL STUDY DUPLEX SCAN OF EXTRACRANIAL ARTERIES; UNILATERAL OR LIMITED STUDY TRANSCRANIAL DOPPLER STUDY OF THE INTRACRANIAL ARTERIES; COMPLETE STUDY TRANSCRANIAL DOPPLER STUDY OF THE INTRACRANIAL ARTERIES; LIMITED STUDY NONINVASIVE PHYSIOLOGIC STUDIES OF UPPER/LOWER EXTREMITY ARTERIES, SINGLE LEVEL, BILATERAL (EG, A NONINVASIVE PHYSIOLOGIC STUDIES OF UPPER/LOWER EXTREMITY ARTERIES, MULT LEVEL OR W/ PROVOCATIV NONINVASIVE PHYSIOLOGIC STUDIES OF LOWER EXTREMITY ARTERIES, AT REST AND FOLLOWING TREADMILL S
- 386. DUPLEX SCAN OFLOWER EXTREMITY ARTERIES OR ARTERIAL BYPASS GRAFTS; COMPLETE BILATERAL STUDY DUPLEX SCAN OF LOWER EXTREMITY ARTERIES OR ARTERIAL BYPASS GRAFTS; UNILATERAL OR LIMITED STUDY DUPLEX SCAN OF UPPER EXTREMITY ARTERIES OR ARTERIAL BYPASS GRAFTS; COMPLETE BILATERAL STUDY DUPLEX SCAN OF UPPER EXTREMITY ARTERIES OR ARTERIAL BYPASS GRAFTS; UNILATERAL OR LIMITED STUDY NONINVASIVE PHYSIOLOGIC STUDIES OF EXTREMITY VEINS, COMPLETE BILATERAL STUDY (EG, DOPPLER WAVEF DUPLEX SCAN OF EXTREMITY VEINS INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVERS; COMP DUPLEX SCAN OF EXTREMITY VEINS INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVERS; UNILA DUPLEX SCAN OF ARTERIAL INFLOW AND VENOUS OUTFLOW OF ABDOMINAL, PELVIC, SCROTAL CONTENTS AND/ DUPLEX SCAN OF ARTERIAL INFLOW AND VENOUS OUTFLOW OF ABDOMINAL, PELVIC, AND/OR RETROPERITONEA DUPLEX SCAN OF AORTA, INFERIOR VENA CAVA, ILIAC VASCULATURE, OR BYPASS GRAFTS; COMPLETE STUDY DUPLEX SCAN OF AORTA, INFERIOR VENA CAVA, ILIAC VASCULATURE, OR BYPASS GRAFTS; UNILATERAL OR LIMI DUPLEX SCAN OF ARTERIAL INFLOW AND VENOUS OUTFLOW OF PENILE VESSELS; COMPLETE STUDY DUPLEX SCAN OF ARTERIAL INFLOW AND VENOUS OUTFLOW OF PENILE VESSELS; FOLLOW-UP OR LIMITED STUD DUPLEX SCAN OF HEMODIALYSIS ACCESS (INCLUDING ARTERIAL INFLOW, BODY OF ACCESS AND VENOUS OUTFL SPIROMETRY, INCLUDING GRAPHIC RECORD, TOTAL AND TIMED VITAL CAPACITY, EXPIRATORY FLOW RATE MEAS PATIENT-INITIATED SPIROMETRIC RECORDING PER 30-DAY PERIOD OF TIME; INCL REINFORCED EDUC, TRANSMIS PATIENT INITIATED SPIROMETRIC RECORDING PER 30-DAY PERIOD OF TIME; RECORDING (INCLUDES HOOK-UP, R PATIENT INITIATED SPIROMETRIC RECORDING PER 30-DAY PERIOD OF TIME; PHYSICIAN REVIEW AND INTERPRET BRONCHOSPASM EVALUATION: SPIROMETRY AS IN 94010, BEFORE AND AFTER BRONCHODILATOR (AEROSOL OR PROLONGED POSTEXPOSURE EVALUATION OF BRONCHOSPASM WITH MULTIPLE SPIROMETRIC DETERMINATION VITAL CAPACITY, TOTAL (SEPARATE PROCEDURE) MAXIMUM BREATHING CAPACITY, MAXIMAL VOLUNTARY VENTILATION FUNCTIONAL RESIDUAL CAPACITY OR RESIDUAL VOLUME: HELIUM METHOD, NITROGEN OPEN CIRCUIT METHOD, EXPIRED GAS COLLECTION, QUANTITATIVE, SINGLE PROCEDURE (SEPARATE PROCEDURE) THORACIC GAS VOLUME DETERMINATION OF MALDISTRIBUTION OF INSPIRED GAS: MULTIPLE BREATH NITROGEN WASHOUT CURVE INCLU DETERMINATION OF RESISTANCE TO AIRFLOW, OSCILLATORY OR PLETHYSMOGRAPHIC METHODS DETERMINATION OF AIRWAY CLOSING VOLUME, SINGLE BREATH TESTS RESPIRATORY FLOW VOLUME LOOP BREATHING RESPONSE TO CO2 (CO2 RESPONSE CURVE) BREATHING RESPONSE TO HYPOXIA (HYPOXIA RESPONSE CURVE) PULMONARY STRESS TESTING; SIMPLE (EG, PROLONGED EXERCISE TEST FOR BRONCHOSPASM WITH PRE- AND PULMONARY STRESS TESTING; COMPLEX (INCLUDING MEASUREMENTS OF CO2 PRODUCTION, O2 UPTAKE, AND E PRESSURIZED/NONPRESSURIZED INHAL TREATMENT, ACT AIRWAY OBSTRUC/FOR SPUTUM INDUCTION, DIAG PUR AEROSOL INHALATION OF PENTAMIDINE FOR PNEUMOCYSTIS CARINII PNEUMONIA TREATMENT OR PROPHYLAXIS VENTILATION ASSIST AND MANAGEMENT, INITIATION OF PRESSURE OR VOLUME PRESET VENTILATORS FOR ASS VENTILATION ASSIST AND MANAGEMENT, INITIATION OF PRESSURE OR VOLUME PRESET VENTILATORS FOR ASS CONTINUOUS POSITIVE AIRWAY PRESSURE VENTILATION (CPAP), INITIATION AND MANAGEMENT CONTINUOUS NEGATIVE PRESSURE VENTILATION (CNP), INITIATION AND MANAGEMENT DEMONSTRATION AND/OR EVALUATION OF PATIENT UTILIZATION OF AN AEROSOL GENERATOR, NEBULIZER, MET MANIPULATION CHEST WALL, SUCH AS CUPPING, PERCUSSING, AND VIBRATION TO FACILITATE LUNG FUNCTION; MANIPULATION CHEST WALL, SUCH AS CUPPING, PERCUSSING, AND VIBRATION TO FACILITATE LUNG FUNCTION; OXYGEN UPTAKE, EXPIRED GAS ANALYSIS; REST AND EXERCISE, DIRECT, SIMPLE OXYGEN UPTAKE, EXPIRED GAS ANALYSIS; INCLUDING CO2 OUTPUT, PERCENTAGE OXYGEN EXTRACTED OXYGEN UPTAKE, EXPIRED GAS ANALYSIS; REST, INDIRECT (SEPARATE PROCEDURE) CARBON MONOXIDE DIFFUSING CAPACITY (EG, SINGLE BREATH, STEADY STATE) MEMBRANE DIFFUSION CAPACITY PULMONARY COMPLIANCE STUDY (EG, PLETHYSMOGRAPHY, VOLUME AND PRESSURE MEASUREMENTS) NONINVASIVE EAR OR PULSE OXIMETRY FOR OXYGEN SATURATION; SINGLE DETERMINATION NONINVASIVE EAR OR PULSE OXIMETRY FOR OXYGEN SATURATION; MULTIPLE DETERMINATIONS (EG, DURING E NONINVASIVE EAR OR PULSE OXIMETRY FOR OXYGEN SATURATION; BY CONTINUOUS OVERNIGHT MONITORING CARBON DIOXIDE, EXPIRED GAS DETERMINATION BY INFRARED ANALYZER
- 387. CIRCADIAN RESPIRATORY PATTERNRECORDING (PEDIATRIC PNEUMOGRAM), 12 TO 24 HOUR CONTINUOUS RECO UNLISTED PULMONARY SERVICE OR PROCEDURE PERCUTANEOUS TESTS (SCRATCH, PUNCTURE, PRICK) WITH ALLERGENIC EXTRACTS, IMMEDIATE TYPE REACTIO PERCUTANEOUS TESTS (SCRATCH, PUNCTURE, PRICK) SEQUENTIAL AND INCREMENTAL, WITH DRUGS, BIOLOGIC INTRACUTANEOUS (INTRADERMAL) TESTS, SEQUENTIAL AND INCREMENTAL, WITH DRUGS, BIOLOGICALS, OR VEN INTRACUTANEOUS (INTRADERMAL) TESTS WITH ALLERGENIC EXTRACTS, IMMEDIATE TYPE REACTION, SPECIFY N INTRACUTANEOUS (INTRADERMAL) TESTS, SEQUENTIAL AND INCREMENTAL, WITH ALLERGENIC EXTRACTS FOR INTRACUTANEOUS (INTRADERMAL) TESTS WITH ALLERGENIC EXTRACTS, DELAYED TYPE REACTION, INCLUDING PATCH OR APPLICATION TEST(S) (SPECIFY NUMBER OF TESTS) PHOTO PATCH TEST(S) (SPECIFY NUMBER OF TESTS) PHOTO TESTS OPHTHALMIC MUCOUS MEMBRANE TESTS DIRECT NASAL MUCOUS MEMBRANE TEST INHALATION BRONCHIAL CHALLENGE TESTING (NOT INCLUDING NECESSARY PULMONARY FUNCTION TESTS); WIT INHALATION BRONCHIAL CHALLENGE TESTING (NOT INCLUDING NECESSARY PULMONARY FUNCTION TESTS); WIT INGESTION CHALLENGE TEST (SEQUENTIAL AND INCREMENTAL INGESTION OF TEST ITEMS, EG, FOOD, DRUG OR PROVOCATIVE TESTING (EG, RINKEL TEST) PROFESSIONAL SERVICES FOR ALLERGEN IMMUNOTHERAPY NOT INCLUDING PROVISION OF ALLERGENIC EXTRA PROFESSIONAL SERVICES FOR ALLERGEN IMMUNOTHERAPY NOT INCLUDING PROVISION OF ALLERGENIC EXTRA PROFESSIONAL SERVICES FOR ALLERGEN IMMUNOTHERAPY IN PRESCRIBING PHYSICIAN'S OFFICE OR INSTITUTI PROFESSIONAL SERVICES FOR ALLERGEN IMMUNOTHERAPY IN PRESCRIBING PHYSICIAN'S OFFICE OR INSTITUTI PROFESSIONAL SERVICES FOR ALLERGEN IMMUNOTHERAPY IN PRESCRIBING PHYSICIAN'S OFFICE OR INSTITUTI PROFESSIONAL SERVICES FOR ALLERGEN IMMUNOTHERAPY IN PRESCRIBING PHYSICIAN'S OFFICE OR INSTITUTI PROFESSIONAL SERVICES FOR ALLERGEN IMMUNOTHERAPY IN PRESCRIBING PHYSICIAN'S OFFICE OR INSTITUTI PROFESSIONAL SERVICES FOR ALLERGEN IMMUNOTHERAPY IN PRESCRIBING PHYSICIAN'S OFFICE OR INSTITUTI PROFESSIONAL SERVICES FOR ALLERGEN IMMUNOTHERAPY IN PRESCRIBING PHYSICIAN'S OFFICE OR INSTITUTI PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERG PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERG PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERG PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERG PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERG PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERG PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERG PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERG RAPID DESENSITIZATION PROCEDURE, EACH HOUR (EG, INSULIN, PENICILLIN, EQUINE SERUM) UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SERVICE OR PROCEDURE GLUC MON, UP 72 HRS CONT REC&STORAGE, GLUC VALUES,INTERSTITIAL TISSUE FLUID VIA SUBCUTANEOUS SE MULTIPLE SLEEP LATENCY OR MAINTENANCE OF WAKEFULNESS TESTING, RECORDING, ANALYSIS AND INTERPR SLEEP STUDY, SIMULTANEOUS RECORDING OF VENTILATION, RESPIRATORY EFFORT, ECG OR HEART RATE, AND SLEEP STUDY, SIMULTANEOUS RECORDING OF VENTILATION, RESPIRATORY EFFORT, ECG OR HEART RATE, AND POLYSOMNOGRAPHY; SLEEP STAGING WITH 1-3 ADDITIONAL PARAMETERS OF SLEEP, ATTENDED BY A TECHNOL POLYSOMNOGRAPHY; SLEEP STAGING WITH 4 OR MORE ADDITIONAL PARAMETERS OF SLEEP, ATTENDED BY A T POLYSOMNOGRAPHY; OF SLEEP,ATTEND BY A TECHNOLOGIST SLEEP STAGING W 4/+ ADD PARAMETERS OF SLEE ELECTROENCEPHALOGRAM (EEG) EXTENDED MONITORING; 41-60 MINUTES ELECTROENCEPHALOGRAM (EEG) EXTENDED MONITORING; GREATER THAN ONE HOUR ELECTROENCEPHALOGRAM (EEG); INCLUDING RECORDING AWAKE AND DROWSY ELECTROENCEPHALOGRAM (EEG); INCLUDING RECORDING AWAKE AND ASLEEP ELECTROENCEPHALOGRAM (EEG); RECORDING IN COMA OR SLEEP ONLY ELECTROENCEPHALOGRAM (EEG); CEREBRAL DEATH EVALUATION ONLY ELECTROENCEPHALOGRAM (EEG); ALL NIGHT RECORDING ELECTROCORTICOGRAM AT SURGERY (SEPARATE PROCEDURE) INSERTION BY PHYSICIAN OF SPHENOIDAL ELECTRODES FOR ELECTROENCEPHALOGRAPHIC (EEG) RECORDING
- 388. MUSCLE TESTING, MANUAL(SEPARATE PROCEDURE) WITH REPORT; EXTREMITY (EXCLUDING HAND) OR TRUNK MUSCLE TESTING, MANUAL (SEPARATE PROCEDURE); HAND (WITH OR WITHOUT COMPARISON WITH NORMAL SID MUSCLE TESTING, MANUAL (SEPARATE PROCEDURE); TOTAL EVALUATION OF BODY, EXCLUDING HANDS MUSCLE TESTING, MANUAL (SEPARATE PROCEDURE); TOTAL EVALUATION OF BODY, INCLUDING HANDS RANGE OF MOTION MEASUREMENTS AND REPORT (SEPARATE PROCEDURE); EACH EXTREMITY (EXCLUDING HAN RANGE OF MOTION MEASUREMENTS AND REPORT (SEPARATE PROCEDURE); HAND, WITH OR WITHOUT COMPAR TENSILON TEST FOR MYASTHENIA GRAVIS; TENSILON TEST FOR MYASTHENIA GRAVIS; WITH ELECTROMYOGRAPHIC RECORDING NEEDLE ELECTROMYOGRAPHY, ONE EXTREMITY WITH OR WITHOUT RELATED PARASPINAL AREAS NEEDLE ELECTROMYOGRAPHY, TWO EXTREMITIES WITH OR WITHOUT RELATED PARASPINAL AREAS NEEDLE ELECTROMYOGRAPHY, THREE EXTREMITIES WITH OR WITHOUT RELATED PARASPINAL AREAS NEEDLE ELECTROMYOGRAPHY, FOUR EXTREMITIES WITH OR WITHOUT RELATED PARASPINAL AREAS NEEDLE ELECTROMYOGRAPHY; CRANIAL NERVE SUPPLIED MUSCLE(S), UNILATERAL NEEDLE ELECTROMYOGRAPHY, CRANIAL NERVE SUPPLIED MUSCLES, BILATERAL NEEDLE ELECTROMYOGRAPHY; THORACIC PARASPINAL MUSCLES (EXCLUDING T1 OR T12) NEEDLE ELECTROMYOGRAPHY; LIMITED STUDY OF MUSCLES IN ONE EXTREMITY OR NON-LIMB (AXIAL) MUSCLES NEEDLE ELECTROMYOGRAPHY USING SINGLE FIBER ELECTRODE, WITH QUANTITATIVE MEASUREMENT OF JITTE ISCHEMIC LIMB EXERCISE TEST WITH SERIAL SPECIMEN(S) ACQUISITION FOR MUSCLE(S) METABOLITE(S) NERVE CONDUCTION, AMPLITUDE AND LATENCY/VELOCTIY STUDY, EACH NERVE; MOTOR, WITHOUT F-WAVE STU NERVE CONDUCTION, AMPLITUDE AND LATENCY/VELOCITY STUDY, EACH NERVE, ANY/ALL SITE(S) ALONG THE NE NERVE CONDUCTION, AMPLITUDE AND LATENCY/VELOCITY STUDY, EACH NERVE; SENSORY INTRAOPERATIVE NEUROPHYSIOLOGY TESTING, PER HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMA TSTNG AUTONOMIC NRVOUS SYST. FNCTN; CARDIOVAGAL INNERVATION (PARASYMPATHETIC FNCTN), INCL. 2+ O TSTNG AUTONOMIC NRVOUS SYST. FUNCT.; VASOMOTOR ADRENERGIC (AD.) INNERVATION (SYMP. AD. FUNCT.), I TSTNG AUTONOMIC NRVOUS SYST. FUNCT.;SUDOMOTOR, INCL. 1+ OF FOLLOWING: QUANT. SUDOMOTOR AXON R SHORT-LATENCY SOMATOSENSORY EVOKED POTENTIAL STUDY, STIMULATION OF ANY/ALL PERIPHERAL NERVES SHORT-LATENCY SOMATOSENSORY EVOKED POTENTIAL STUDY, STIMULATION OF ANY/ALL PERIPHERAL NERVES SHORT-LATENCY SOMATOSENSORY EVOKED POTENTIAL STUDY, STIMULATION OF ANY/ALL PERIPHERAL NERVES VISUAL EVOKED POTENTIAL (VEP) TESTING CENTRAL NERVOUS SYSTEM, CHECKERBOARD OR FLASH ORBICULARIS OCULI (BLINK) REFLEX, BY ELECTRODIAGNOSTIC TESTING H-REFLEX, AMPLITUDE AND LATENCY STUDY; RECORD GASTROCNEMIUS/SOLEUS MUSCLE H-REFLEX, AMPLITUDE AND LATENCY STUDY; RECORD MUSCLE OTHER THAN GASTROCNEMIUS/SOLEUS MUSCLE NEUROMUSCULAR JUNCTION TESTING (REPETITIVE STIMULATION, PAIRED STIMULI), EACH NERVE, ANY ONE MET MONITORING FOR IDENTIFICATION AND LATERALIZATION OF CEREBRAL SEIZURE FOCUS, ELECTROENCEPHALOG MONITORING FOR LOCALIZATION OF CEREBRAL SEIZURE FOCUS BY CABLE OR RADIO, 16 OR MORE CHANNEL TE MONITORING FOR LOCALIZATION OF CEREBRAL SEIZURE FOCUS BY COMPUTERIZED PORTABLE 16 OR MORE CH PHARMACOLOGICAL OR PHYSICAL ACTIVATION REQUIRING PHYSICIAN ATTENDANCE DURING EEG RECORDING O ELECTROENCEPHALOGRAM (EEG) DURING NONINTRACRANIAL SURGERY (EG, CAROTID SURGERY) MONITORING FOR LOCALIZATION OF CEREBRAL SEIZURE FOCUS BY CABLE OR RADIO, 16 OR MORE CHANNEL TE DIGITAL ANALYSIS OF ELECTROENCEPHALOGRAM (EEG) (EG, FOR EPILEPTIC SPIKE ANALYSIS) WADA ACTIVATION TEST FOR HEMISPHERIC FUNCTION, INCLUDING ELECTROENCEPHALOGRAPHIC (EEG) MONITO FUNCTIONAL CORTICAL AND SUBCORTICAL MAPPING BY STIMULATION &/ RECORDING OF ELECTRODES ON BRAIN FUNCTIONAL CORTICAL MAPPING BY STIMULATION OF ELECTRODES ON BRAIN SURFACE, OR OF DEPTH ELECTRO MAGNETOENCEPHALOGRAPHY (MEG), RECORDING AND ANALYSIS; FOR SPONTANEOUS BRAIN MAGNETIC ACTIVI MAGNETOENCEPHALOGRAPHY (MEG), RECORDING AND ANALYSIS; FOR EVOKED MAGNETIC FIELDS, SINGLE MOD MAGNETOENCEPHALOGRAPHY (MEG), RECORDING&ANALYSIS;EVOKED MAGNETIC FIELDS, EA ADDITION MODALIT ELECTRONIC ANAL OF IMPLANT NEUROSTIM PULSE GEN SYS; SIMPLE/COMPLEX BRAIN, SPINAL CORD/PERIPHERA ELECTRONIC ANAL OF IMPLANT NEUROSTIM PULSE GEN SYS; SIMPLE BRAIN, SPINAL CORD, OR PERIPHERAL (IE, P ELECTRONIC ANAL OF IMPLANT NEUROSTIM PULSE GEN SYS; COMPLEX BRAIN, SPINAL CORD, OR PERIPHERAL (E ELECTRONIC ANAL OF IMPLANT NEUROSTIM PULSE GEN SYS;COMPLEX BRAIN,SPINAL CORD/PERIPHERAL (EXCEP ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR PULSE GENERATOR SYSTEM (EG, RATE, PULSE AMPL ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR PULSE GENERATOR SYSTEM (EG, RATE, PULSE AMPL
- 389. REFILLING AND MAINTENANCEOF IMPLANTABLE PUMP OR RESERVOIR FOR DRUG DELIVERY, SPINAL (INTRATHEC UNLISTED NEUROLOGICAL OR NEUROMUSCULAR DIAGNOSTIC PROCEDURE COMPREHENSIVE COMPUTER-BASED MOTION ANALYSIS BY VIDEO-TAPING AND 3-D KINEMATICS; COMPREHENSIVE COMPUTER-BASED MOTION ANALYSIS BY VIDEO-TAPING AND 3-D KINEMATICS; WITH DYNAMIC DYNAMIC SURFACE ELECTROMYOGRAPHY, DURING WALKING OR OTHER FUNCTIONAL ACTIVITIES, 1-12 MUSCLES DYNAMIC FINE WIRE ELECTROMYOGRAPHY, DURING WALKING OR OTHER FUNCTIONAL ACTIVITIES, 1 MUSCLE PHYSICIAN REV&INTERPRET, COMPR COMPUTER BASED MOTION ANAL, DYNAM PLANTAR PRESS MEASURES, DYN PSYCHOLOGICAL TESTING (INCLUDES PSYCHODIAGNOSTIC ASSESSMENT OF PERSONALITY PSYCHOPATHOLOGY ASSESSMENT OF APHASIA (INCLUDES ASSESS EXPRESS & RECEPT SPEECH & LANG FNC, LANG COMPR, SPEECH DEVELOPMENTAL TESTING; LIMITED (EG, DEVELOPMENTAL SCREENING TEST II, EARLY LANGUAGE MILESTONE S DEVELOPMENTAL TESTING; EXTENDED (INCLUDES ASSESSMENT OF MOTOR, LANGUAGE, SOCIAL, ADAPTIVE &/OR NEUROBEHAVIORAL STATUS EXAM (CLINICAL ASSESS OF THINKING, REASON & JUDGMENT, EG, ACQUIRED KNOW NEUROPSYCHOLOGICAL TESTING BATTERY (EG, HALSTEAD-REITAN, LURIA, WAIS-R) WITH INTERPRETATION AND HEALTH&BEHAV ASSESSMENT (EG, HEALTH-FOC CLINICAL INTERVIEW, BEHAVIORAL OBSERVATIONS, PSYCHOPH HEALTH AND BEHAVIOR ASSESS (EG, HEALTH-FOC CLIN INTERVIEW, BEHAVIORAL OBSERVATIONS, PSYCHOPHYS HEALTH AND BEHAVIOR INTERVENTION, EACH 15 MINUTES, FACE-TO-FACE; INDIVIDUAL HEALTH AND BEHAVIOR INTERVENTION, EACH 15 MINUTES, FACE-TO-FACE; GROUP (2 OR MORE PATIENTS) HEALTH AND BEHAVIOR INTERVENTION, EACH 15 MINUTES, FACE-TO-FACE; FAMILY (WITH THE PATIENT PRESENT HEALTH AND BEHAVIOR INTERVENTION, EACH 15 MINUTES, FACE-TO-FACE; FAMILY (WITHOUT THE PATIENT PRES CHEMOTHERAPY ADMINISTRATION, SUBCUTANEOUS OR INTRAMUSCULAR, WITH OR WITHOUT LOCAL ANESTHES CHEMOTHERAPY ADMINISTRATION, INTRALESIONAL; UP TO AND INCLUDING 7 LESIONS CHEMOTHERAPY ADMINISTRATION, INTRALESIONAL; MORE THAN 7 LESIONS CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS; PUSH TECHNIQUE CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS; INFUSION TECHNIQUE, UP TO ONE HOUR CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS; INFUSION TECHNIQUE, ONE TO 8 HOURS, EACH ADDITIONAL H CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS; INFUSION TECHNIQUE, INITIATION OF PROLONGED INFUSION CHEMOTHERAPY ADMINISTRATION, INTRA-ARTERIAL; PUSH TECHNIQUE CHEMOTHERAPY ADMINISTRATION, INTRA-ARTERIAL; INFUSION TECHNIQUE, UP TO ONE HOUR CHEMOTHERAPY ADMINISTRATION, INTRA-ARTERIAL; INFUSION TECHNIQUE, ONE TO 8 HOURS, EACH ADDITIONA CHEMOTHERAPY ADMINISTRATION, INTRA-ARTERIAL; INFUSION TECHNIQUE, INITIATION OF PROLONGED INFUSIO CHEMOTHERAPY ADMINISTRATION INTO PLEURAL CAVITY, REQUIRING AND INCLUDING THORACENTESIS CHEMOTHERAPY ADMINISTRATION INTO PERITONEAL CAVITY, REQUIRING AND INCLUDING PERITONEOCENTESIS CHEMOTHERAPY ADMINISTRATION, INTO CNS (EG, INTRATHECAL), REQUIRING AND INCLUDING SPINAL PUNCTUR REFILLING AND MAINTENANCE OF PORTABLE PUMP REFILLING AND MAINTENANCE OF IMPLANTABLE PUMP OR RESERVOIR FOR DRUG DELIVERY, SYSTEMIC (EG, INTR CHEMOTHERAPY INJECTION, SUBARACHNOID OR INTRAVENTRICULAR VIA SUBCUTANEOUS RESERVOIR, SINGLE PROVISION OF CHEMOTHERAPY AGENT UNLISTED CHEMOTHERAPY PROCEDURE PHOTODYNAMIC THERAPY EXTERNAL APPLICATION, LIGHT TO DESTROY PREMALIGNANT &/ MALIGNANT LESIONS PHOTODYNAMIC THERAPY BY ENDOSCOPIC APPL OF LIGHT TO ABLATE ABNORMAL TISS VIA ACTIVAT OF PHOTOS PHOTODYNAMIC THERAPY BY ENDOSCOPIC APPL OF LIGHT TO ABLATE ABNORMAL TISS VIA ACTIVAT OF PHOTOS ACTINOTHERAPY (ULTRAVIOLET LIGHT) MICROSCOPIC EXAMINATION OF HAIRS PLUCKED OR CLIPPED BY THE EXAMINER (EXCLUDING HAIR COLLECTED B PHOTOCHEMOTHERAPY; TAR AND ULTRAVIOLET B (GOECKERMAN TREATMENT) OR PETROLATUM AND ULTRAVIO PHOTOCHEMOTHERAPY; PSORALENS AND ULTRAVIOLET A (PUVA) PHOTOCHEMOTHERAPY (GOECKERMAN AND/OR PUVA) FOR SEVERE PHOTORESPONSIVE DERMATOSES REQUIR LASER TREATMENT FOR INFLAMMATORY SKIN DISEASE (PSORIASIS); TOTAL AREA LESS THAN 250 SQ CM LASER TREATMENT FOR INFLAMMATORY SKIN DISEASE (PSORIASIS); 250 SQ CM TO 500 SQ CM LASER TREATMENT FOR INFLAMMATORY SKIN DISEASE (PSORIASIS); OVER 500 SQ CM UNLISTED SPECIAL DERMATOLOGICAL SERVICE OR PROCEDURE PHYSICAL THERAPY EVALUATION PHYSICAL THERAPY RE-EVALUATION
- 390. OCCUPATIONAL THERAPY EVALUATION OCCUPATIONALTHERAPY RE-EVALUATION ATHLETIC TRAINING EVALUATION ATHLETIC TRAINING RE-EVALUATION APPLICATION OF A MODALITY TO ONE OR MORE AREAS; HOT OR COLD PACKS APPLICATION OF A MODALITY TO ONE OR MORE AREAS; TRACTION, MECHANICAL APPLICATION OF A MODALITY TO ONE OR MORE AREAS; ELECTRICAL STIMULATION (UNATTENDED) APPLICATION OF A MODALITY TO ONE OR MORE AREAS; VASOPNEUMATIC DEVICES APPLICATION OF A MODALITY TO ONE OR MORE AREAS; PARAFFIN BATH APPLICATION OF A MODALITY TO ONE OR MORE AREAS; MICROWAVE APPLICATION OF A MODALITY TO ONE OR MORE AREAS; WHIRLPOOL APPLICATION OF A MODALITY TO ONE OR MORE AREAS; DIATHERMY APPLICATION OF A MODALITY TO ONE OR MORE AREAS; INFRARED APPLICATION OF A MODALITY TO ONE OR MORE AREAS; ULTRAVIOLET APPLICATION OF A MODALITY TO ONE OR MORE AREAS; ELECTRICAL STIMULATION (MANUAL), EACH 15 MINUTES APPLICATION OF A MODALITY TO ONE OR MORE AREAS; IONTOPHORESIS, EACH 15 MINUTES APPLICATION OF A MODALITY TO ONE OR MORE AREAS; CONTRAST BATHS, EACH 15 MINUTES APPLICATION OF A MODALITY TO ONE OR MORE AREAS; ULTRASOUND, EACH 15 MINUTES APPLICATION OF A MODALITY TO ONE OR MORE AREAS; HUBBARD TANK, EACH 15 MINUTES UNLISTED MODALITY (SPECIFY TYPE AND TIME IF CONSTANT ATTENDANCE) THERAPEUTIC PROCEDURE, ONE OR MORE AREAS, EACH 15 MINUTES; THERAPEUTIC EXERCISES TO DEVELOP S THERAPEUTIC PROCEDURE, ONE OR MORE AREAS, EA 15 MINUTES; NEUROMUSCULAR REEDUCATION OF MOVEM THERAPEUTIC PROCEDURE, ONE OR MORE AREAS, EACH 15 MINUTES; AQUATIC THERAPY WITH THERAPEUTIC E THERAPEUTIC PROCEDURE, ONE OR MORE AREAS, EACH 15 MINUTES; GAIT TRAINING (INCLUDES STAIR CLIMBIN THERAPEUTIC PROCEDURE, ONE OR MORE AREAS, EACH 15 MINUTES; MASSAGE, INCLUDING EFFLEURAGE, PETR UNLISTED THERAPEUTIC PROCEDURE (SPECIFY) MANUAL THERAPY TECHNIQUES (EG, MOBILIZATION/MANIPULATION, MANUAL LYMPHATIC DRAINAGE, MANUAL TR THERAPEUTIC PROCEDURE(S), GROUP (2 OR MORE INDIVIDUALS) ORTHOTIC(S) FITTING AND TRAINING, UPPER EXTREMITY(IES), LOWER EXTREMITY(IES), AND/OR TRUNK, EACH 15 PROSTHETIC TRAINING, UPPER AND/OR LOWER EXTREMITIES, EACH 15 MINUTES THERAPEUTIC ACTIVITIES, DIRECT (ONE ON ONE) PATIENT CONTACT BY THE PROVIDER (USE OF DYNAMIC ACTIV DEVELOPMENT OF COGNITIVE SKILLS TO IMPROVE ATTENTION, MEMORY, PROBLEM SOLVING, (INCLUDES COMPE SENSORY INTEGRATIVE TECHNIQUES TO ENHANCE SENSORY PROCESSING AND PROMOTE ADAPTIVE RESPONSE SELF-CARE/HOME MGT TRAIN (EG, ACTIVITIES, DAILY LIVNG (ADL)&COMPENSAT TRAIN, MEAL PREP, SAFETY PROC COMMUNITY/WORK REINTEGRATION TRAIN (EG, SHOP, TRANSPORT, MONEY MGMT, AVOCATIONAL ACTIVITIES &/ WHEELCHAIR MANAGEMENT/PROPULSION TRAINING, EACH 15 MINUTES WORK HARDENING/CONDITIONING; INITIAL 2 HOURS WORK HARDENING/CONDITIONING; EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIM REM,DEVITAL TISS,WND(S);SEL DEBRIDE,WO ANES(EG,HI PRESS WATER JET,SHRP SEL DEBRIDE W SCISSORS, SC REM, DEVITAL TISSUE,WOUND(S); NON-SELECT DEBRIDEMENT, WO ANES (EG, WET-TO-MOIST DRESSINGS, ENZY CHECKOUT FOR ORTHOTIC/PROSTHETIC USE, ESTABLISHED PATIENT, EACH 15 MINUTES PHYSICAL PERFORMANCE TEST OR MEASUREMENT (EG, MUSCULOSKELETAL, FUNCTIONAL CAPACITY), WITH WR ACUPUNCTURE, ONE OR MORE NEEDLES; WITHOUT ELECTRICAL STIMULATION ACUPUNCTURE, ONE OR MORE NEEDLES; WITH ELECTRICAL STIMULATION UNLISTED PHYSICAL MEDICINE/REHABILITATION SERVICE OR PROCEDURE MEDICAL NUTRITION THERAPY; INITIAL ASSESSMENT AND INTERVENTION, INDIVIDUAL, FACE-TO-FACE WITH THE MEDICAL NUTRITION THERAPY; RE-ASSESSMENT AND INTERVENTION, INDIVIDUAL, FACE-TO-FACE WITH THE PAT MEDICAL NUTRITION THERAPY; GROUP (2 OR MORE INDIVIDUAL(S)), EACH 30 MINUTES OSTEOPATHIC MANIPULATIVE TREATMENT (OMT); ONE TO TWO BODY REGIONS INVOLVED OSTEOPATHIC MANIPULATIVE TREATMENT (OMT); THREE TO FOUR BODY REGIONS INVOLVED OSTEOPATHIC MANIPULATIVE TREATMENT (OMT); FIVE TO SIX BODY REGIONS INVOLVED OSTEOPATHIC MANIPULATIVE TREATMENT (OMT); SEVEN TO EIGHT BODY REGIONS INVOLVED
- 391. OSTEOPATHIC MANIPULATIVE TREATMENT(OMT); NINE TO TEN BODY REGIONS INVOLVED CHIROPRACTIC MANIPULATIVE TREATMENT (CMT); SPINAL, ONE TO TWO REGIONS CHIROPRACTIC MANIPULATIVE TREATMENT (CMT); SPINAL, THREE TO FOUR REGIONS CHIROPRACTIC MANIPULATIVE TREATMENT (CMT); SPINAL, FIVE REGIONS CHIROPRACTIC MANIPULATIVE TREATMENT (CMT); EXTRASPINAL, ONE OR MORE REGIONS HANDLING AND/OR CONVEYANCE OF SPECIMEN FOR TRANSFER FROM THE PHYSICIAN'S OFFICE TO A LABORATO HANDLING AND/OR CONVEYANCE OF SPECIMEN FOR TRANSFER FROM THE PATIENT IN OTHER THAN A PHYSICIA HANDLING, CONVEYANCE, ANY OTHER SERVICE IN CONNECTION WITH DEVICES (EG, DESIGNING, FITTING, PACKA POSTOPERATIVE FOLLOW-UP VISIT, INCLUDED IN GLOBAL SERVICE INITIAL (NEW PATIENT) VISIT WHEN STARRED ( ) SURGICAL PROCEDURE CONSTITUTES MAJOR SERVICE AT THAT HOSPITAL MANDATED ON CALL SERVICE; IN-HOSPITAL, EACH HOUR HOSPITAL MANDATED ON CALL SERVICE; OUT-OF-HOSPITAL, EACH HOUR SERVICES REQUESTED AFTER OFFICE HOURS IN ADDITION TO BASIC SERVICE SERVICES REQUESTED BETWEEN 10:00 PM AND 8:00 AM IN ADDITION TO BASIC SERVICE SERVICES REQUESTED ON SUNDAYS AND HOLIDAYS IN ADDITION TO BASIC SERVICE SERVICES PROVIDED AT REQUEST OF PATIENT IN A LOCATION OTHER THAN PHYSICIAN'S OFFICE WHICH ARE NO OFFICE SERVICES PROVIDED ON AN EMERGENCY BASIS SUPPLIES & MATERIALS (EXCEPT SPECTACLES), PROVIDED BY PHYSICIAN OVER AND ABOVE THOSE USUALLY INC EDUCATIONAL SUPPLIES, SUCH AS BOOKS, TAPES, AND PAMPHLETS, PROVIDED BY THE PHYSICIAN FOR THE PAT MEDICAL TESTIMONY PHYSICIAN EDUCATIONAL SERVICES RENDERED TO PATIENTS IN A GROUP SETTING (EG, PRENATAL, OBESITY, OR SPECIAL REPORTS SUCH AS INSURANCE FORMS, MORE THAN THE INFORMATION CONVEYED IN THE USUAL MEDI UNUSUAL TRAVEL (EG, TRANSPORTATION AND ESCORT OF PATIENT) ANALYSIS OF CLINICAL DATA STORED IN COMPUTERS (EG, ECGS, BLOOD PRESSURES, HEMATOLOGIC DATA) COLLECT&INTERPRET, PHYSIOLOGIC DATA (EG, ECG, BLOOD PRESS, GLUC MON) DIGITALLY STORED &/ TRANSMI ANESTHESIA FOR PATIENT OF EXTREME AGE, UNDER ONE YEAR AND OVER SEVENTY (LIST SEPARATELY IN ADDI ANESTHESIA COMPLICATED BY UTILIZATION OF TOTAL BODY HYPOTHERMIA (LIST SEPARATELY IN ADDITION TO C ANESTHESIA COMPLICATED BY UTILIZATION OF CONTROLLED HYPOTENSION (LIST SEPARATELY IN ADDITION TO ANESTHESIA COMPLICATED BY EMERGENCY CONDITIONS (SPECIFY) (LIST SEPARATELY IN ADDITION TO CODE FO SEDATION WITH OR WITHOUT ANALGESIA (CONSCIOUS SEDATION); INTRAVENOUS, INTRAMUSCULAR OR INHALAT SEDATION WITH OR WITHOUT ANALGESIA (CONSCIOUS SEDATION); ORAL, RECTAL AND/OR INTRANASAL ANOGENITAL EXAMINATION WITH COLPOSCOPIC MAGNIFICATION IN CHILDHOOD FOR SUSPECTED TRAUMA VISUAL FUNCTION SCREENING, AUTOMATED OR SEMI-AUTOMATED BILATERAL QUANTITATIVE DETERMINATION O SCREENING TEST OF VISUAL ACUITY, QUANTITATIVE, BILATERAL IPECAC OR SIMILAR ADMINISTRATION FOR INDIVIDUAL EMESIS AND CONTINUED OBSERVATION UNTIL STOMACH PHYSICIAN ATTENDANCE AND SUPERVISION OF HYPERBARIC OXYGEN THERAPY, PER SESSION HYPOTHERMIA; REGIONAL HYPOTHERMIA; TOTAL BODY ASSEMBLY AND OPERATION OF PUMP WITH OXYGENATOR OR HEAT EXCHANGER (WITH OR WITHOUT ECG AND/O ASSEMBLY AND OPERATION OF PUMP WITH OXYGENATOR OR HEAT EXCHANGER (WITH OR WITHOUT ECG AND/O ASSEMBLY AND OPERATION OF PUMP WITH OXYGENATOR OR HEAT EXCHANGER (WITH OR WITHOUT ECG AND/O PHLEBOTOMY, THERAPEUTIC (SEPARATE PROCEDURE) UNLISTED SPECIAL SERVICE, PROCEDURE OR REPORT OFFICE OR OTHER OUTPATIENT VISIT FOR EVAL & MGMT OF NEW PATIENT, REQUIRES: PROBLEM FOCUSED HIST OFFICE OR OTHER OUTPATIENT VISIT FOR EVAL & MGMT OF NEW PATIENT, REQUIRES: EXPANDED PROBLEM FOC OFFICE OR OTHER OUTPATIENT VISIT FOR EVAL & MGMT OF NEW PATIENT, REQUIRES: DETAILED HISTORY; EXAM OFFICE OR OTHER OUTPATIENT VISIT FOR EVAL & MGMT OF NEW PATIENT, REQUIRES: COMPREHENSIVE HISTOR OFFICE OR OTHER OUTPATIENT VISIT FOR EVAL & MGMT OF NEW PATIENT, REQUIRES: COMPREHENSIVE HISTOR OFFICE OR OTHER OUTPATIENT VISIT FOR EVAL & MGMT OF ESTABLISHED PATIENT, MAY NOT REQUIRE PHYSICIA OFFICE OR OTHER OUTPATIENT VISIT FOR EVAL & MGMT OF ESTABLISHED PATIENT, REQUIRES 2 OF 3: PROBLEM OFFICE OR OTHER OUTPATIENT VISIT FOR EVAL & MGMT OF ESTABLISHED PATIENT, REQUIRES 2 OF 3: EXPANDE OFFICE OR OTHER OUTPATIENT VISIT FOR EVAL & MGMT OF ESTABLISHED PATIENT, REQUIRES 2 OF 3: DETAILED
- 392. OFFICE OR OTHEROUTPATIENT VISIT FOR EVAL & MGMT OF ESTABLISHED PATIENT, REQUIRES 2 OF 3: COMPREH OBSERVATION CARE DISCHARGE DAY MANAGEMENT INITIAL OBSERVATION CARE, PER DAY FOR EVAL & MGMT OF PATIENT, REQUIRES: COMPREHENSIVE HISTORY; EX INITIAL OBSERVATION CARE, PER DAY FOR EVAL & MGMT OF PATIENT, REQUIRES: COMPREHENSIVE HISTORY; EX INITIAL OBSERVATION CARE, PER DAY FOR EVAL & MGMT OF PATIENT, REQUIRES: COMPREHENSIVE HISTORY; EX INITIAL HOSPITAL CARE, PER DAY, FOR EVAL & MGMT OF PATIENT REQUIRES: COMPREHENSIVE HISTORY; EXAM; INITIAL HOSPITAL CARE, PER DAY, FOR EVAL & MGMT OF PATIENT, REQUIRES: COMPREHENSIVE HISTORY; EXAM; INITIAL HOSPITAL CARE, PER DAY, FOR EVAL & MGMT OF PATIENT, REQUIRES: COMPREHENSIVE HISTORY; EXAM; SUBSEQUENT HOSPITAL CARE, PER DAY, FOR EVAL & MGMT, REQUIRES 2 OF: PROBLEM FOCUSED INTERVAL HIS SUBSEQUENT HOSPITAL CARE, PER DAY, FOR EVAL & MGMT, REQUIRES 2 OF: EXPANDED INTERVAL HISTORY; EX SUBSEQUENT HOSPITAL CARE, PER DAY, FOR EVAL & MGMT, REQUIRES 2 OF: DETAILED INTERVAL HISTORY; EXA OBSER/INPAT HOSP CARE,INC ADMIS & DISCH ON SAME DATE,REQ:DETAIL/COMP HX,EXAM;MED DEC MAKING THA OBSER/INPAT HOSP CARE,INC ADMIS & DISCH ON SAME DATE,REQ:COMP HX,EXAM;MED DEC MAKING OF MOD CO OBSER/INPAT HOSP CARE,INC ADMIS & DISCH ON SAME DATE,REQ:COMP HX,EXAM;MED DEC MAKING OF HIGH CO HOSPITAL DISCHARGE DAY MANAGEMENT; 30 MINUTES OR LESS HOSPITAL DISCHARGE DAY MANAGEMENT; MORE THAN 30 MINUTES OFFICE CONSULTATION FOR NEW OR ESTABLISHED PATIENT, REQUIRES: PROBLEM FOCUSED HISTORY; EXAM; S OFFICE CONSULTATION FOR A NEW/EST PATIENT,REQUIRES THESE 3 KEY COMP:AN EXPAND PROB FOC HX;AN E OFFICE CONSULTATION FOR NEW OR ESTABLISHED PATIENT, REQUIRES: DETAILED HISTORY; DETAILED EXAM; M OFFICE CONSULTATION FOR NEW OR ESTABLISHED PATIENT, REQUIRES: COMPREHENSIVE HISTORY; EXAM; MED OFFICE CONSULTATION FOR NEW OR ESTABLISHED PATIENT, REQUIRES: COMPREHENSIVE HISTORY; EXAM; MED INITIAL INPATIENT CONSULT FOR NEW OR ESTABLISHED PATIENT, REQUIRES: PROBLEM FOCUSED HISTORY; EXA INITIAL INPATIENT CONSULT FOR NEW OR ESTABLISHED PATIENT, REQUIRES: EXPANDED PROBLEM FOCUSED HI INITIAL INPATIENT CONSULT FOR NEW OR ESTABLISHED PATIENT, REQUIRES: DETAILED HISTORY; EXAM; MEDICA INITIAL INPATIENT CONSULT FOR NEW OR ESTABLISHED PATIENT, REQUIRES: COMPREHENSIVE HISTORY; EXAM; INITIAL INPATIENT CONSULT FOR NEW OR ESTABLISHED PATIENT, REQUIRES: A COMPREHENSIVE HISTORY; A CO FOLLOW-UP INPATIENT CONSULT FOR ESTABLISHED PATIENT REQUIRES 2 OF: PROBLEM FOCUSED INTERVAL HIS FOLLOW-UP INPATIENT CONSULT FOR ESTABLISHED PATIENT REQUIRES 2 OF: EXPANDED PROBLEM FOCUSED H FOLLOW-UP INPATIENT CONSULT FOR ESTABLISHED PATIENT REQUIRES 2 OF: DETAILED INTERVAL HISTORY; EX CONFIRMATORY CONSULT, REQUIRES: PROBLEM FOCUSED HISTORY; EXAM; STRAIGHTFORWARD MEDICAL DECI CONFIRMATORY CONSULT, REQUIRES: EXPANDED PROBLEM FOCUSED HISTORY; AN EXPANDED PROBLEM FOCU CONFIRMATORY CONSULT, REQUIRES: DETAILED HISTORY; EXAM; MEDICAL DECISION MAKING OF LOW COMPLEX CONFIRMATORY CONSULT, REQUIRES: COMPREHENSIVE HISTORY; COMPREHENSIVE EXAM; MEDICAL DECISION CONFIRMATORY CONSULT, REQUIRES: COMPREHENSIVE HISTORY; COMPREHENSIVE EXAM; MEDICAL DECISION EMERGENCY DEPARTMENT VISIT FOR EVAL & MGMT, REQUIRES: PROBLEM FOCUSED HISTORY; EXAM; AND STRA EMERGENCY DEPARTMENT VISIT FOR EVAL & MGMT, REQUIRES: EXPANDED PROBLEM FOCUSED HISTORY; EXAM EMERGENCY DEPARTMENT VISIT FOR EVAL & MGMT, REQUIRES: EXPANDED PROBLEM FOCUSED HISTORY; EXAM EMERGENCY DEPARTMENT VISIT FOR EVAL & MGMT, REQUIRES: DETAILED HISTORY; EXAM; MEDICAL DECISION M EMERGENCY DEPART VISIT FOR THE EVAL & MGT OF A PATIENT,REQUIRES THESE 3 KEY COMP:COMP HX; COMP PHYSICIAN DIRECTION OF EMERGENCY MEDICAL SYSTEMS (EMS) EMERGENCY CARE, ADVANCED LIFE SUPPORT CRITICAL CARE SVCS DELIVERED PHYSICIAN, FACE-TO-FACE, DUR AN INTERFACIL TRANSPORT, CRITICALLY ILL/C CRITICAL CARE SVCS DELIVER PHYSICIAN, FCE-TO-FCE, DUR ANINTERFACIL TRNSPORT, CRITICALLY ILL/CRITICAL CRITICAL CARE, EVALUATION AND MANAGEMENT OF THE CRITICALLY ILL OR CRITICALLY INJURED PATIENT; FIRS CRITICAL CARE, EVALUATION AND MANAGEMENT OF THE UNSTABLE CRITICALLY ILL OR UNSTABLE CRITICALLY IN INITIAL PEDIATRIC CRITICAL CARE, 31 DAYS UP THROUGH 24 MONTHS OF AGE, PER DAY, FOR THE EVALUATION A SUBSEQUENT PEDIATRIC CRITICAL CARE, 31 DAYS UP THROUGH 24 MONTHS OF AGE,PER DAY, FOR THE EVALUA INIT NEO CRIT CARE,PER DAY,EVAL & MANAG CRIT ILL NEO,30 DAYS OLD/<THIS CDE IS RSRD DATE ADMIS NEO CR SUBSEQUENT NEO CRITICAL CARE,PER DAY, FOR THE EVALU &MANAGEMENT CRITI ILL NEONATE,30 DAYS OLD< SUBSEQUENT INTENSIVE CARE, PER DAY, EVALUATION & MANAGEMENT RECOVERING VERY LOW BIRTH WT INFA SUBSEQUENT INTENSIVE CARE,PER DAY,FOR EVAL&MANAGEMENT OF RECOVR LOW BIRTH WT;INFNT W BODY W EVAL&MGT,NEW/EST PT AN ANNUAL NURSE FAC ASSESS,REQS 3 COMPTS:DET INTRVL HX;COMPR X;&MED DECIS EVALUATION & MGMT OF NEW/ESTABLISHED PATIENT INVOLVING NURSING FACILITY ASSESSMENT; MODERATE T
- 393. EVALUATION & MGMTOF NEW/ESTABLISHED PATIENT INVOLVING NURSING FACILITY ASSESSMENT; INITIAL ADMIS SUBSQNT NURSE FAC CARE,EVAL&MGT,NEW/EST PT,REQS AT LST TWO,3 KEY COMPTS:PROB FOC INTERVAL HX; SUBSEQUENT NURSING FACILITY CARE, PER DAY, EVAL & MGMT OF NEW/ESTABLISHED PATIENT, REQUIRES 2 OF SUBSEQUENT NURSING FACILITY CARE, PER DAY, EVAL & MGMT OF NEW/ESTABLISHED PATIENT, REQUIRES 2 OF NURSING FACILITY DISCHARGE DAY MANAGEMENT; 30 MINUTES OR LESS NURSING FACILITY DISCHARGE DAY MANAGEMENT; MORE THAN 30 MINUTES DOMICILIARY OR REST HOME VISIT FOR EVAL & MGMT OF NEW PATIENT REQUIRES: PROBLEM FOCUSED HISTOR DOMICILIARY OR REST HOME VISIT FOR EVAL & MGMT OF NEW PATIENT REQUIRES: EXPANDED PROBLEM FOCUS DOMICILIARY OR REST HOME VISIT FOR EVAL & MGMT OF NEW PATIENT REQUIRES: DETAILED HISTORY; EXAM; M DOMICILIARY OR REST HOME VISIT FOR EVAL & MGMT OF ESTABLISHED PATIENT REQUIRES 2 OF: PROBLEM FOC DOMICILIARY OR REST HOME VISIT FOR EVAL & MGMT OF ESTABLISHED PATIENT REQUIRES 2 OF: EXPANDED PR DOMICILIARY OR REST HOME VISIT FOR EVAL & MGMT OF ESTABLISHED PATIENT REQUIRES 2 OF: DETAILED HIST HOME VISIT FOR E&M OF NEW PAT,REQ 3: PROB FOCUSED HX,EXAM;STRAIGHTFORWARD MED DEC MAKING;CAR HOME VISIT FOR E&M OF NEW PAT,REQ 3:EXPAND PROB FOC HX,EXAM;MED DEC MAKING OF LOW COMPLX;CARE HOME VISIT FOR E&M OF NEW PAT,REQ 3:DETAILED HX,EXAM;MED DEC MAKING OF MOD COMPLX;CARE CONSIST HOME VISIT FOR E&M OF NEW PAT,REQ: COMP HX,EXAM;MED DEC MAKING OF MOD COMPLX;CARE CONSIST W P HME VIS FOR E&M OF NEW PAT,REQ:COMP HX,EXAM;MED DEC MAKING OF HIGH COMPLX;CARE CONSIST W PROB HME VIS FOR E&M OF ESTAB PAT,REQ AT LEAST 2:PROB FOCUSED INTERVAL HX,EXAM;STRAIGHTFOR MEDICAL D HME VIS FOR E&M OF ESTAB PAT,REQ AT LEAST 2:EXPAND PROB FOC INTERVAL HX,EXAM;LOW COMPLX MED DE HME VIS FOR E&M OF ESTAB PAT,REQ AT LEAST 2:DETAIL INTERVAL HX,EXAM; MED DEC MAKING OF MOD COMPL HM VIS FOR E&M OF ESTAB PAT,REQ AT LEAST 2:COMP INTER HX,EXAM;MED DEC MAKING MOD-HIGH COMPLX;CA PROLONGED PHYSICIAN SERVICE IN THE OFFICE OR OTHER OUTPATIENT SETTING REQUIRING DIRECT (FACE-TO PROLONGED PHYSICIAN SERVICE IN THE OFFICE OR OTHER OUTPATIENT SETTING REQUIRING DIRECT (FACE-TO PROLONGED PHYSICIAN SERVICE IN THE INPATIENT SETTING, REQUIRING DIRECT (FACE-TO-FACE) PATIENT CON PROLONGED PHYSICIAN SERVICE IN THE INPATIENT SETTING, REQUIRING DIRECT (FACE-TO-FACE) PATIENT CON PROLONGED EVALUATION AND MANAGEMENT SERVICE BEFORE AND/OR AFTER DIRECT (FACE-TO-FACE) PATIEN PROLONGED EVALUATION AND MANAGEMENT SERVICE BEFORE AND/OR AFTER DIRECT (FACE-TO-FACE) PATIEN PHYSICIAN STANDBY SERVICE, REQUIRING PROLONGED PHYSICIAN ATTENDANCE, EACH 30 MINUTES (EG, OPERA MEDICAL CONFERENCE BY PHYSICIAN WITH INTERDISCIPLINARY TEAM OF HEALTH PROFESSIONALS OR REPRES MEDICAL CONFERENCE BY PHYSICIAN WITH INTERDISCIPLINARY TEAM OF HEALTH PROFESSIONALS OR REPRES TELEPHONE CALL BY PHYSICIAN TO PATIENT OR CONSULT OR MEDICAL MGMT OR FOR COORDINATING W/ OTH H TELEPHONE CALL BY PHYSICIAN TO PATIENT OR CONSULT OR MEDICAL MGMT OR FOR COORDINATING W/ OTH H TELEPHONE CALL BY PHYSICIAN TO PATIENT OR CONSULT OR MEDICAL MGMT OR FOR COORDINATING W/ OTH H PHYS SUPRVSN,PT UNDER CARE,HHA HM,DOMICIL/EQUIV ENV REQ CMPLX&MULTDISC CARE MODAL DR DEV &/CA PHYS SUPRVSN,PT UNDER CARE,HHA HOME,CARE PLANS, REV, SUBSQNT RPTS, PT STATUS, REV, RELATED LAB& PHYS SUPRVSN,HOSPICE PT REQ CMPLX&MULTDISC CARE MODAL &/CARE PLANS,SUBSQNT RPTS,PT STATUS,RE PHYS SUPRVSN,HOSPICE PT REQ CMPLX&MULTDISCIPL CARE MODAL&/CARE PLANS,PT STATUS,REV,RELATED LA PHYS SUPRVSN,NURSE FAC PT REQ CMPLX&MULTDIS CARE MODAL&/CARE PLANS,REV,SUBSQNT RPTS,PT STATU PHYS SUPRVSN,NURSE FAC PT REQ CMPLX&MULTDISCIPL CARE MODAL&/CARE PLANSPT STATUS,REV,RELATED INT COMPR PREVENTIVE MEDICINE EVAL&MGT, AN INDIV AN AGE&GENDER HX, EX, COUNS/ANTICIPATORY/RSK FA INT COMPR PREVENTIVE MEDICINE EVAL&MGT, AN INDIV AN AGE&GENDER HX, X, COUNS/ANTICIPATORY/RSK FAC INT COMPR PREVENTIVE MEDICINE EVAL&MGT, AN INDIV AN AGE&GENDER HX, X, COUNS/ANTICIPATORY/RSK FAC INT COMPR PREVENTIVE MEDICINE EVAL&MGT, AN INDIV AN AGE&GENDER HX, X, COUNS/ANTICIPATORY/RSK FAC INIT COMPR PREVENTIVE MEDICINE EVAL&MGT, AN INDIV AN AGE&GENDER APPROP HX, EX,COUNS/ANTICIPATOR INIT COMPR PREVENTIVE MEDICINE EVAL&MGT, AN INDIV AN AGE&GENDER APPROP HX, EX,COUNS/ANTICIPATOR INIT COMPR PREVENTIVE MEDICINE EVAL&MGT, AN INDIV AN AGE&GENDER APPROP HX, EX,COUNS/ANTICIPATOR PDIC COMPR PREVENTIVE MEDICINE REEVAL&MGT, AN INDIV AN AGE&GENDER HX, X, COUNS/ANTICIPATORY/RSK PDIC COMPR PREVENTIVE MEDICINE REEVAL&MGT, AN INDIV AN AGE&GENDER HX, X, COUNS/ANTICIPATORY/RSK PDIC COMPR PREVENTIVE MEDICINE REEVAL&MGT, AN INDIV AN AGE&GENDER HX, X, COUNS/ANTICIPATORY/RSK PDIC COMPR PREVENTIVE MEDICINE REEVAL&MGT, AN INDIV AN AGE&GENDER HX, X, COUNS/ANTICIPATORY/RSK PDIC COMPR PREVENTIVE MEDICINE REEVAL&MGT, AN INDIV AN AGE&GENDER HX, EX, COUNS/ANTICIPATORY/RS PDIC COMPR PREVENTIVE MEDICINE REEVAL&MGT, AN INDIV AN AGE&GENDER HX, EX, COUNS/ANTICIPATORY/RS
- 394. PDIC COMPR PREVENTIVEMEDICINE REEVAL&MGT, AN INDIV AN AGE&GENDER HX, EX, COUNS/ANTICIPATORY/RS PREVENTIVE MEDICINE COUNSELING AND/OR RISK FACTOR REDUCTION INTERVENTION(S) PROVIDED TO AN INDI PREVENTIVE MEDICINE COUNSELING AND/OR RISK FACTOR REDUCTION INTERVENTION(S) PROVIDED TO AN INDI PREVENTIVE MEDICINE COUNSELING AND/OR RISK FACTOR REDUCTION INTERVENTION(S) PROVIDED TO AN INDI PREVENTIVE MEDICINE COUNSELING AND/OR RISK FACTOR REDUCTION INTERVENTION(S) PROVIDED TO AN INDI PREVENTIVE MEDICINE COUNSELING AND/OR RISK FACTOR REDUCTION INTERVENTION(S) PROVIDED TO INDIVID PREVENTIVE MEDICINE COUNSELING AND/OR RISK FACTOR REDUCTION INTERVENTION(S) PROVIDED TO INDIVID ADMINISTRATION AND INTERPRETATION OF HEALTH RISK ASSESSMENT INSTRUMENT (EG, HEALTH HAZARD APPR UNLISTED PREVENTIVE MEDICINE SERVICE HISTORY AND EXAM OF THE NORMAL NEWBORN INFANT, INITIATION OF DIAGNOSTIC AND TREATMENT PROGRAM NORMAL NEWBORN CARE IN OTHER THAN HOSPITAL OR BIRTHING ROOM SETTING, INCLUDING PHYSICAL EXAM O SUBSEQUENT HOSPITAL CARE, FOR EVAL & MGMT OF A NORMAL NEWBORN, PER DAY HISTORY AND EXAM OF NORMAL NEWBORN INFANT, INCLUDING PREP OF MEDICAL RECORDS (THIS CODE SHOUL ATTENDANCE AT DELIVERY (WHEN REQUESTED BY DELIVERING PHYSICIAN) AND INITIAL STABILIZATION OF NEWB NEWBORN RESUSCITATION: PROVISION OF POSITIVE PRESSURE VENTILATION AND/OR CHEST COMPRESSIONS I BASIC LIFE AND/OR DISABILITY EXAM THAT INCLUDES: HEIGHT, WEIGHT & BLOOD PRESSURE; COMPLETION OF M WORK RELATED OR MEDICAL DISABILITY EXAM BY TREATING PHYSICIAN INC: MEDICAL HISTORY; EXAM; DIAGNOS WORK RELATED OR MEDICAL DISABILITY EXAM BY OTHER THAN TREATING PHYSICIAN INC: MEDICAL HX; EXAM; D UNLISTED EVALUATION & MANAGEMENT SERVICE HOME VISIT FOR PRENATAL MONITORING AND ASSESSMENT TO INCLUDE FETAL HEART RATE, NON-STRESS TEST HOME VISIT FOR POSTNATAL ASSESSMENT AND FOLLOW-UP CARE HOME VISIT FOR NEWBORN CARE AND ASSESSMENT HOME VISIT FOR RESPIRATORY THERAPY CARE (EG, BRONCHODILATOR, OXYGEN THERAPY, RESPIRATORY ASSE HOME VISIT FOR MECHANICAL VENTILATION CARE HOME VISIT FOR STOMA CARE AND MAINTENANCE INCLUDING COLOSTOMY AND CYSTOSTOMY HOME VISIT FOR INTRAMUSCULAR INJECTIONS HOME VISIT FOR CARE AND MAINTENANCE OF CATHETER(S) (EG, URINARY, DRAINAGE, AND ENTERAL) HOME VISIT FOR ASSISTANCE WITH ACTIVITIES OF DAILY LIVING AND PERSONAL CARE HOME VISIT FOR INDIVIDUAL, FAMILY, OR MARRIAGE COUNSELING HOME VISIT FOR FECAL IMPACTION MANAGEMENT AND ENEMA ADMINISTRATION HOME VISIT FOR HEMODIALYSIS HOME INFUSION FOR PAIN MANAGEMENT (INTRAVENOUS OR SUBCUTANEOUS), PER VISIT HOME INFUSION FOR PAIN MANAGEMENT (EPIDURAL OR INTRATHECAL), PER VISIT HOME INFUSION FOR TOCOLYTIC THERAPY, PER VISIT HOME INFUSION FOR HEMATOPOIETIC HORMONES (EG, ERYTHROPOIETIN, G-CSF, CM-CSF) OR PLATELETS, PER V HOME INFUSION FOR CHEMOTHERAPY, PER VISIT HOME INFUSION FOR ANTIBIOTICS/ANTIFUNGALS/ANTIVIRALS, PER VISIT HOME INFUSION OF CONTINUOUS ANTICOAGULANT THERAPY (EG, HEPARIN), PER VISIT HOME INFUSION OF IMMUNOTHERAPY, PER VISIT HOME INFUSION OF PERITONEAL DIALYSIS, PER VISIT HOME INFUSION OF ENTERAL NUTRITION, PER VISIT HOME INFUSION OF HYDRATION THERAPY, PER VISIT HOME INFUSION OF TOTAL PARENTERAL NUTRITION, PER VISIT HOME ADMINISTRATION OF AEROSOLIZED PENTAMIDINE, PER VISIT HOME INFUSION FOR ANTI-HEMOPHILIC AGENTS (EG, FACTOR VIII), PER VISIT HOME INFUSION OF ALPHA-1-PROTEINASE INHIBITOR (EG, PROLASTIN), PER VISIT HOME INFUSION FOR UNINTERRUPTED, LONG-TERM INTRAVENOUS TREATMENT (EG,EPOPROSTENOL), PER VISIT HOME INFUSION OF SYMPATHOMIMETIC AGENTS (EG, DOBUTAMINE), PER VISIT HOME INFUSION OF MISCELLANEOUS DRUGS, PER VISIT HOME INFUSION, EACH ADDITIONAL THERAPY GIVEN ON SAME DAY (LIST SEPARATELY IN ADDITION TO CODE FOR UNLISTED HOME VISIT SERVICE OR PROCEDURE ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM OR DISSECTION; MODULAR BIFURCATE
- 395. ENDOVASCULAR REPAIR OFINFRARENAL ABDOMINAL AORTIC ANEURYSM OR DISSECTION; AORTO-UNI-ILIAC OR CERVICOGRAPHY TRANSCATHETER PLACEMENT OF EXTRACRANIAL CEREBROVASCULAR ARTERY STENT(S), PERCUTANEOUS; INIT TRANSCATHETER PLACEMENT OF EXTRACRANIAL CEREBROVASCULAR ARTERY STENT(S), PERCUTANEOUS; EAC TRANSCATHETER PLACEMENT OF EXTRACRANIAL CEREBROVASCULAR ARTERY STENT(S), PERCUTANEOUS, RAD UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND ENDOMETRIAL CRYOABLATION WITH ULTRASONIC GUIDANCE ANESTHESIA FOR PROCEDURES ON SALIVARY GLANDS, INCLUDING BIOPSY ANESTHESIA FOR PROCEDURES ON PLASTIC REPAIR OF CLEFT LIP ANESTHESIA FOR RECONSTRUCTIVE PROCEDURES OF EYELID (EG, BLEPHAROPLASTY, PTOSIS SURGERY) ANESTHESIA FOR ELECTROCONVULSIVE THERAPY TUBERCULOSIS TEST, CELL MEDIATED IMMUNITY MEASUREMENT OF GAMMA INTERFERON ANTIGEN RESPONSE ANESTHESIA FOR PROCEDURES ON EXTERNAL, MIDDLE, AND INNER EAR INCLUDING BIOPSY; NOT OTHERWISE S ANESTHESIA FOR PROCEDURES ON EXTERNAL, MIDDLE, AND INNER EAR INCLUDING BIOPSY; OTOSCOPY ANESTHESIA FOR PROCEDURES ON EXTERNAL, MIDDLE, AND INNER EAR INCLUDING BIOPSY; TYMPANOTOMY ARTHROSCOPY, KNEE, SURGICAL, IMPLANTATION OF OSTEOCHONDRAL GRAFT(S) FOR TREATMENT OF ARTICULA ARTHROSCOPY, KNEE, SURGICAL, IMPLANTATION OF OSTEOCHONDRAL GRAFT(S) FOR TREATMENT OF ARTICULA ANESTHESIA FOR PROCEDURES ON EYE; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON EYE; LENS SURGERY ANESTHESIA FOR PROCEDURES ON EYE; CORNEAL TRANSPLANT ANESTHESIA FOR PROCEDURES ON EYE; VITREORETINAL SURGERY ANESTHESIA FOR PROCEDURES ON EYE; IRIDECTOMY ANESTHESIA FOR PROCEDURES ON EYE; OPHTHALMOSCOPY MENISCAL TRANSPLANTATION, MEDIAL OR LATERAL, KNEE (ANY METHOD) ANESTHESIA FOR PROCEDURES ON NOSE AND ACCESSORY SINUSES; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON NOSE AND ACCESSORY SINUSES; RADICAL SURGERY ANESTHESIA FOR PROCEDURES ON NOSE AND ACCESSORY SINUSES; BIOPSY, SOFT TISSUE DESTRUCTION OF LOCALIZED LESION OF CHOROID (EG, CHOROIDAL NEOVASCULARIZATION), TRANSPUPILLARY T ANESTHESIA FOR INTRAORAL PROCEDURES, INCLUDING BIOPSY; NOT OTHERWISE SPECIFIED ANESTHESIA FOR INTRAORAL PROCEDURES, INCLUDING BIOPSY; REPAIR OF CLEFT PALATE ANESTHESIA FOR INTRAORAL PROCEDURES, INCLUDING BIOPSY; EXCISION OF RETROPHARYNGEAL TUMOR ANESTHESIA FOR INTRAORAL PROCEDURES, INCLUDING BIOPSY; RADICAL SURGERY DESTRUCTION OF MACULAR DRUSEN, PHOTOCOAGULATION DELIVERY OF HIGH POWER, FOCAL MAGNETIC PULSES FOR DIRECT STIMULATION TO CORTICAL NEURONS ANESTHESIA FOR PROCEDURES ON FACIAL BONES OR SKULL; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON FACIAL BONES OR SKULL; RADICAL SURGERY (INCLUDING PROGNATHISM) EXTRACORPOREAL SHOCK WAVE THERAPY; INVOLVING MUSCULOSKELETAL SYSTEM EXTRACORPOREAL SHOCK WAVE THERAPY; INVOLVING PLANTAR FASCIA ANESTHESIA FOR INTRACRANIAL PROCEDURES; NOT OTHERWISE SPECIFIED ANESTHESIA FOR INTRACRANIAL PROCEDURES; SUBDURAL TAPS ANESTHESIA FOR INTRACRANIAL PROCEDURES; BURR HOLES, INCLUDING VENTRICULOGRAPHY ANESTHESIA FOR INTRACRANIAL PROCEDURES; CRANIOPLASTY OR ELEVATION OF DEPRESSED SKULL FRACTUR ANESTHESIA FOR INTRACRANIAL PROCEDURES; VASCULAR PROCEDURES ANESTHESIA FOR INTRACRANIAL PROCEDURES; PROCEDURES IN SITTING POSITION INSERTION OF TRANSCERVICAL OR TRANSVAGINAL FETAL OXIMETRY SENSOR ANESTHESIA FOR INTRACRANIAL PROCEDURES; CEREBROSPINAL FLUID SHUNTING PROCEDURES ANESTHESIA FOR INTRACRANIAL PROCEDURES; ELECTROCOAGULATION OF INTRACRANIAL NERVE INFECTIOUS AGENT DRUG SUSCEPTIBILITY PHENOTYPE PREDICTION USING GENOTYPIC COMPARISON TO KNOW NON-SURGICAL SEPTAL REDUCTION THERAPY (EG, ALCOHOL ABLATION), FOR HYPERTROPHIC OBSTRUCTIVE CA DETERMINATION OF CORNEAL THICKNESS (EG, PACHYMETRY) WITH INTERPRETATIONAND REPORT, BILATERAL LIPOPROTEIN, DIRECT MEASUREMENT, INTERMEDIATE DENSITY LIPOPROTEINS (IDL)(REMNANT LIPOPROTEINS) ENDOSCOPIC LYSIS OF EPIDURAL ADHESIONS W DIRECT VISUALIZATION USING MECHANICAL MEANS (EG, SPINAL
- 396. DUAL ENERGY X-RAYABSORPTIOMETRY (DEXA) BODY COMPOSITION STUDY, ONE OR MORE SITES TREATMENT(S) FOR INCONTINENCE, PULSED MAGNETIC NEUROMODULATION, PER DAY ANESTHESIA FOR ALL PROCEDURES ON THE INTEGUMENTARY SYSTEM, MUSCLES AND NERVES OF HEAD, NECK, ANTIPROTHROMBIN (PHOSPHOLIPID COFACTOR) ANTIBODY, EACH IG CLASS SPECULOSCOPY ANESTHESIA FOR ALL PROCEDURES ON ESOPHAGUS, THYROID, LARYNX, TRACHEA AND LYMPHATIC SYSTEM OF ANESTHESIA FOR ALL PROCEDURES ON ESOPHAGUS, THYROID, LARYNX, TRACHEA AND LYMPHATIC SYSTEM OF ANESTHESIA FOR ALL PROCEDURES ON THE LARYNX AND TRACHEA IN CHILDREN LESS THAN 1 YEAR OF AGE SPECULOSCOPY; WITH DIRECTED SAMPLING ENDOVASCULAR REPAIR OF DESCENDING THORACIC AORTIC ANEURYSM, PSEUDOANEURYSM OR DISSECTION; I ENDOVASCULAR REPAIR OF DESCENDING THORACIC AORTIC ANEURYSM, PSEUDOANEURYSM OR DISSECTION; N ANESTHESIA FOR PROCEDURES ON MAJOR VESSELS OF NECK; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON MAJOR VESSELS OF NECK; SIMPLE LIGATION PLACEMENT OF PROXIMAL OR DISTAL EXTENSION PROSTHESIS FOR ENDOVASCULAR REPAIR OF DESCENDING T PLACEMENT OF PROXIMAL/ DISTAL EXTENSION PROSTHESIS FOR ENDOVASCULAR REPAIR OF DESCENDING THO OPEN SUBCLAVIAN TO CAROTID ARTERY TRANSPOSITION PERFORMED IN CONJUNCTION WITH ENDOVASCULAR ENDOVASCULAR REPAIR, DESCENDING THORACIC AORTIC ANEURYSM, PSEUDOANEURYSM/DISSECTION INVOLVI ENDOVASCULAR REPAIR, DESCENDING THORACIC AORTIC ANEURYSM, PSEUDOANEURYSM/DISSECTION NO INVO ANESTHESIA FOR PROCEDURES ON THE INTEGUMENTARY SYSTEM ON THE EXTREMITIES, ANTERIOR TRUNK AND ANESTHESIA FOR PROCEDURES ON ANTERIOR INTEGUMENTARY SYSTEM OF CHEST, INCLUDING SUBCUTANEOU ANESTHESIA FOR PROCEDURES ON ANTERIOR INTEGUMENTARY SYSTEM OF CHEST, INCLUDING SUBCUTANEOU ANESTHESIA FOR PROCEDURES ON ANTERIOR INTEGUMENTARY SYSTEM OF CHEST, INCLUDING SUBCUTANEOU PLACEMENT, PROXIMAL OR DISTAL EXTENSION PROSTHESIS FOR ENDOVASCULAR REPAIR, DESCENDING THORA ANESTHESIA FOR PROCEDURES ON ANTERIOR INTEGUMENTARY SYSTEM OF CHEST, INCLUDING SUBCUTANEOU URINALYSIS INFECTIOUS AGENT DETECTION, SEMI-QUANTITATIVE ANALYSIS OF VOLATILE COMPOUNDS CEREBRAL PERFUSION ANAL USING COMPUTED TOMOGRAPHY W CONTRAST ADMIN, INCLUDING POST-PROCESS CARBON MONOXIDE, EXPIRED GAS ANALYSIS (EG, ETCOC/HEMOLYSIS BREATH TEST) WHOLE BODY INTEGUMENTARY PHOTOGRAPHY, AT REQUEST OF A PHYSICIAN, FOR MONITORING OF HIGH-RISK ANESTHESIA FOR PROCEDURES ON CLAVICLE AND SCAPULA; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON CLAVICLE AND SCAPULA; RADICAL SURGERY ANESTHESIA FOR PROCEDURES ON CLAVICLE AND SCAPULA; BIOPSY OF CLAVICLE ANESTHESIA FOR PARTIAL RIB RESECTION; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PARTIAL RIB RESECTION; THORACOPLASTY (ANY TYPE) ANESTHESIA FOR PARTIAL RIB RESECTION; RADICAL PROCEDURES (EG, PECTUS EXCAVATUM) ANESTHESIA FOR ALL PROCEDURES ON ESOPHAGUS ANESTHESIA FOR CLOSED CHEST PROCEDURES; (INCLUDING BRONCHOSCOPY) NOT OTHERWISE SPECIFIED ANESTHESIA FOR CLOSED CHEST PROCEDURES (INCLUDING ESOPHAGOSCOPY, BRONCHOSCOPY, THORACOSC ANESTHESIA FOR CLOSED CHEST PROCEDURES (INCLUDING ESOPHAGOSCOPY, BRONCHOSCOPY, THORACOSC ANESTHESIA FOR CLOSED CHEST PROCEDURES; MEDIASTINOSCOPY AND DIAGNOSTIC THORACOSCOPY ANESTHESIA FOR PERMANENT TRANSVENOUS PACEMAKER INSERTION ANESTHESIA FOR ACCESS TO CENTRAL VENOUS CIRCULATION ANESTHESIA FOR TRANSVENOUS INSERTION OR REPLACEMENT OF PACING CARDIOVERTER-DEFIBRILLATOR ANESTHESIA FOR CARDIAC ELECTROPHYSIOLOGIC PROCEDURES INCLUDING RADIOFREQUENCY ABLATION ANESTHESIA FOR TRACHEOBRONCHIAL RECONSTRUCTION ANESTHESIA FOR THORACOTOMY PROCEDURES INVOLVING LUNGS, PLEURA, DIAPHRAGM, AND MEDIASTINUM (IN ANESTHESIA FOR THORACOTOMY PROCEDURES INVOLVING LUNGS, PLEURA, DIAPHRAGM, AND MEDIASTINUM (IN ANESTHESIA FOR THORACOTOMY PROCEDURES INVOLVING LUNGS, PLEURA, DIAPHRAGM, AND MEDIASTINUM; D ANESTHESIA FOR THORACOTOMY PROCEDURES INVOLVING LUNGS, PLEURA, DIAPHRAGM, AND MEDIASTINUM; P ANESTHESIA FOR THORACOTOMY PROCEDURES INVOLVING LUNGS, PLEURA, DIAPHRAGM, AND MEDIASTINUM; P ANESTHESIA FOR THORACOTOMY PROCEDURES INVOLVING LUNGS, PLEURA, DIAPHRAGM, AND MEDIASTINUM (IN ANESTHESIA FOR STERNAL DEBRIDEMENT ANESTHESIA FOR PROCEDURES ON HEART, PERICARDIAL SAC, AND GREAT VESSELS OF CHEST; WITHOUT PUMP
- 397. ANESTHESIA FOR PROCEDURESON HEART, PERICARDIAL SAC, AND GREAT VESSELS OF CHEST; WITH PUMP OXY ANESTHESIA FOR PROCEDURES ON HEART, PERICARDIAL SAC, AND GREAT VESSELS OF CHEST; WITH PUMP OXY ANESTHESIA FOR DIRECT CORONARY ARTERY BYPASS GRAFTING WITHOUT PUMP OXYGENATOR ANESTHESIA FOR HEART TRANSPLANT OR HEART/LUNG TRANSPLANT ANESTHESIA FOR PROCEDURES ON CERVICAL SPINE AND CORD; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON CERVICAL SPINE AND CORD; PROCEDURES WITH PATIENT IN THE SITTING PO ANESTHESIA FOR PROCEDURES ON THORACIC SPINE AND CORD; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON THORACIC SPINE AND CORD; THORACOLUMBAR SYMPATHECTOMY ANESTHESIA FOR PROCEDURES IN LUMBAR REGION; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES IN LUMBAR REGION; LUMBAR SYMPATHECTOMY ANESTHESIA FOR PROCEDURES IN LUMBAR REGION; CHEMONUCLEOLYSIS ANESTHESIA FOR PROCEDURES IN LUMBAR REGION; DIAGNOSTIC OR THERAPEUTIC LUMBAR PUNCTURE ANESTHESIA FOR MANIPULATION OF THE SPINE OR FOR CLOSED PROCEDURES ON THE CERVICAL, THORACIC O ANESTHESIA FOR EXTENSIVE SPINE AND SPINAL CORD PROCEDURES (EG, SPINAL INSTRUMENTATION OR VASCU ANESTHESIA FOR PROCEDURES ON UPPER ANTERIOR ABDOMINAL WALL; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON UPPER ANTERIOR ABDOMINAL WALL; PERCUTANEOUS LIVER BIOPSY ANESTHESIA FOR PROCEDURES ON UPPER POSTERIOR ABDOMINAL WALL ANESTHESIA FOR UPPER GASTROINTESTINAL ENDOSCOPIC PROCEDURES, ENDOSCOPE INTRODUCED PROXIMA ANESTHESIA FOR HERNIA REPAIRS IN UPPER ABDOMEN; NOT OTHERWISE SPECIFIED ANESTHESIA FOR HERNIA REPAIRS IN UPPER ABDOMEN; LUMBAR AND VENTRAL (INCISIONAL) HERNIAS AND/OR W ANESTHESIA FOR HERNIA REPAIRS IN UPPER ABDOMEN; OMPHALOCELE ANESTHESIA FOR HERNIA REPAIRS IN UPPER ABDOMEN; TRANSABDOMINAL REPAIR OF DIAPHRAGMATIC HERNIA ANESTHESIA FOR ALL PROCEDURES ON MAJOR ABDOMINAL BLOOD VESSELS ANESTHESIA FOR INTRAPERITONEAL PROCEDURES IN UPPER ABDOMEN INCLUDING LAPAROSCOPY; NOT OTHER ANESTHESIA FOR INTRAPERITONEAL PROCEDURES IN UPPER ABDOMEN INCLUDING LAPAROSCOPY; PARTIAL HE ANESTHESIA FOR INTRAPERITONEAL PROCEDURES IN UPPER ABDOMEN INCLUDING LAPAROSCOPY; PANCREATE ANESTHESIA FOR INTRAPERITONEAL PROCEDURES IN UPPER ABDOMEN INCLUDING LAPAROSCOPY; LIVER TRAN ANESTHESIA FOR INTRAPERITONEAL PROCEDURES IN UPPER ABDOMEN INCLUDING LAPAROSCOPY; GASTRIC RE ANESTHESIA FOR PROCEDURES ON LOWER ANTERIOR ABDOMINAL WALL; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON LOWER ANTERIOR ABDOMINAL WALL; PANNICULECTOMY ANESTHESIA FOR LOWER INTESTINAL ENDOSCOPIC PROCEDURES, ENDOSCOPE INTRODUCED DISTAL TO DUODE ANESTHESIA FOR PROCEDURES ON LOWER POSTERIOR ABDOMINAL WALL ANESTHESIA FOR HERNIA REPAIRS IN LOWER ABDOMEN; NOT OTHERWISE SPECIFIED ANESTHESIA FOR HERNIA REPAIRS IN LOWER ABDOMEN; VENTRAL AND INCISIONAL HERNIAS ANESTHESIA FOR HERNIA REPAIRS IN THE LOWER ABDOMEN NOT OTHERWISE SPECIFIED, UNDER 1 YEAR OF AG ANESTHESIA FOR HERNIA REPAIRS IN THE LOWER ABDOMEN NOT OTHERWISE SPECIFIED, INFANTS LESS THAN 3 ANESTHESIA FOR INTRAPERITONEAL PROCEDURES IN LOWER ABDOMEN INCLUDING LAPAROSCOPY; NOT OTHER ANESTHESIA FOR INTRAPERITONEAL PROCEDURES IN LOWER ABDOMEN INCLUDING LAPAROSCOPY; AMNIOCEN ANESTHESIA FOR INTRAPERITONEAL PROCEDURES IN LOWER ABDOMEN INCLUDING LAPAROSCOPY; ABDOMINO ANESTHESIA FOR INTRAPERITONEAL PROCEDURES IN LOWER ABDOMEN INCLUDING LAPAROSCOPY; RADICAL HY ANESTHESIA FOR INTRAPERITONEAL PROCEDURES IN LOWER ABDOMEN INCLUDING LAPAROSCOPY; PELVIC EXE ANESTHESIA FOR INTRAPERITONEAL PROCEDURES IN LOWER ABDOMEN INCLUDING LAPAROSCOPY; TUBAL LIGA ANESTHESIA FOR EXTRAPERITONEAL PROCEDURES IN LOWER ABDOMEN, INCLUDING URINARY TRACT; NOT OTH ANESTHESIA FOR EXTRAPERITONEAL PROCEDURES IN LOWER ABDOMEN, INCLUDING URINARY TRACT; RENAL P ANESTHESIA FOR EXTRAPERITONEAL PROCEDURES IN LOWER ABDOMEN, INCLUDING URINARY TRACT; TOTAL C ANESTHESIA FOR EXTRAPERITONEAL PROCEDURES IN LOWER ABDOMEN, INCLUDING URINARY TRACT; RADICAL ANESTHESIA FOR EXTRAPERITONEAL PROCEDURES IN LOWER ABDOMEN, INCLUDING URINARY TRACT; ADRENAL ANESTHESIA FOR EXTRAPERITONEAL PROCEDURES IN LOWER ABDOMEN, INCLUDING URINARY TRACT; RENAL T ANESTHESIA FOR EXTRAPERITONEAL PROCEDURES IN LOWER ABDOMEN, INCLUDING URINARY TRACT; CYSTOLI ANESTHESIA FOR LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE; WITH WATER BATH ANESTHESIA FOR LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE; WITHOUT WATER BATH ANESTHESIA FOR PROCEDURES ON MAJOR LOWER ABDOMINAL VESSELS; NOT OTHERWISE SPECIFIED
- 398. ANESTHESIA FOR PROCEDURESON MAJOR LOWER ABDOMINAL VESSELS; INFERIOR VENA CAVA LIGATION ANESTHESIA FOR; ANORECTAL PROCEDURE ANESTHESIA FOR; RADICAL PERINEAL PROCEDURE ANESTHESIA FOR; VULVECTOMY ANESTHESIA FOR; PERINEAL PROSTATECTOMY ANESTHESIA FOR TRANSURETHRAL PROCEDURES (INCLUDING URETHROCYSTOSCOPY); NOT OTHERWISE SPEC ANESTHESIA FOR TRANSURETHRAL PROCEDURES (INCLUDING URETHROCYSTOSCOPY); TRANSURETHRAL RESE ANESTHESIA FOR TRANSURETHRAL PROCEDURES (INCLUDING URETHROCYSTOSCOPY); TRANSURETHRAL RESE ANESTHESIA FOR TRANSURETHRAL PROCEDURES (INCLUDING URETHROCYSTOSCOPY); POST-TRANSURETHRAL ANESTHESIA FOR TRANSURETHRAL PROCEDURES (INCLUDING URETHROCYSTOSCOPY); WITH FRAGMENTATION ANESTHESIA FOR PROCEDURES ON MALE GENITALIA (INCLUDING OPEN URETHRAL PROCEDURES); NOT OTHERW ANESTHESIA FOR PROCEDURES ON MALE GENITALIA (INCLUDING OPEN URETHRAL PROCEDURES); VASECTOMY, ANESTHESIA FOR PROCEDURES ON MALE GENITALIA (INCLUDING OPEN URETHRAL PROCEDURES); SEMINAL VES ANESTHESIA FOR PROCEDURES ON MALE GENITALIA (INCLUDING OPEN URETHRAL PROCEDURES); UNDESCENDE ANESTHESIA FOR PROCEDURES ON MALE GENITALIA (INCLUDING OPEN URETHRAL PROCEDURES); RADICAL ORC ANESTHESIA FOR PROCEDURES ON MALE GENITALIA (INCLUDING OPEN URETHRAL PROCEDURES); RADICAL ORC ANESTHESIA FOR PROCEDURES ON MALE GENITALIA (INCLUDING OPEN URETHRAL PROCEDURES); ORCHIOPEXY ANESTHESIA FOR PROCEDURES ON MALE GENITALIA (INCLUDING OPEN URETHRAL PROCEDURES); COMPLETE A ANESTHESIA FOR PROCEDURES ON MALE GENITALIA (INCLUDING OPEN URETHRAL PROCEDURES); RADICAL AMP ANESTHESIA FOR PROCEDURES ON MALE GENITALIA (INCLUDING OPEN URETHRAL PROCEDURES); RADICAL AMP ANESTHESIA FOR PROCEDURES ON MALE GENITALIA (INCLUDING OPEN URETHRAL PROCEDURES); INSERTION O ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF LABIA, VAGINA, CERVIX OR ENDOMETRIUM); NO ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF LABIA, VAGINA, CERVIX OR ENDOMETRIUM); CO ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF LABIA, VAGINA, CERVIX OR ENDOMETRIUM); VA ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF LABIA, VAGINA, CERVIX OR ENDOMETRIUM); CE ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF LABIA, VAGINA, CERVIX OR ENDOMETRIUM); CU ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF LABIA, VAGINA, CERVIX OR ENDOMETRIUM); HY ANESTHESIA FOR BONE MARROW ASPIRATION AND/OR BIOPSY, ANTERIOR OR POSTERIOR ILIAC CREST ANESTHESIA FOR PROCEDURES ON BONY PELVIS ANESTHESIA FOR BODY CAST APPLICATION OR REVISION ANESTHESIA FOR INTERPELVIABDOMINAL (HINDQUARTER) AMPUTATION ANESTHESIA FOR RADICAL PROCEDURES FOR TUMOR OF PELVIS, EXCEPT HINDQUARTER AMPUTATION ANESTHESIA FOR CLOSED PROCEDURES INVOLVING SYMPHYSIS PUBIS OR SACROILIAC JOINT ANESTHESIA FOR OPEN PROCEDURES INVOLVING SYMPHYSIS PUBIS OR SACROILIAC JOINT ANESTHESIA FOR OBTURATOR NEURECTOMY; EXTRAPELVIC ANESTHESIA FOR OBTURATOR NEURECTOMY; INTRAPELVIC ANESTHESIA FOR ALL CLOSED PROCEDURES INVOLVING HIP JOINT ANESTHESIA FOR ARTHROSCOPIC PROCEDURES OF HIP JOINT ANESTHESIA FOR OPEN PROCEDURES INVOLVING HIP JOINT; NOT OTHERWISE SPECIFIED ANESTHESIA FOR OPEN PROCEDURES INVOLVING HIP JOINT; HIP DISARTICULATION ANESTHESIA FOR OPEN PROCEDURES INVOLVING HIP JOINT; TOTAL HIP ARTHROPLASTY ANESTHESIA FOR OPEN PROCEDURES INVOLVING HIP JOINT; REVISION OF TOTAL HIP ARTHROPLASTY ANESTHESIA FOR ALL CLOSED PROCEDURES INVOLVING UPPER 2/3 OF FEMUR ANESTHESIA FOR OPEN PROCEDURES INVOLVING UPPER 2/3 OF FEMUR; NOT OTHERWISE SPECIFIED ANESTHESIA FOR OPEN PROCEDURES INVOLVING UPPER 2/3 OF FEMUR; AMPUTATION ANESTHESIA FOR OPEN PROCEDURES INVOLVING UPPER 2/3 OF FEMUR; RADICAL RESECTION ANESTHESIA FOR ALL PROCEDURES ON NERVES, MUSCLES, TENDONS, FASCIA, AND BURSA OF UPPER LEG ANESTHESIA FOR ALL PROCEDURES INVOLVING VEINS OF UPPER LEG, INCLUDING EXPLORATION ANESTHESIA FOR PROCEDURES INVOLVING ARTERIES OF UPPER LEG, INCLUDING BYPASS GRAFT; NOT OTHERW ANESTHESIA FOR PROCEDURES INVOLVING ARTERIES OF UPPER LEG, INCLUDING BYPASS GRAFT; FEMORAL ART ANESTHESIA FOR PROCEDURES INVOLVING ARTERIES OF UPPER LEG, INCLUDING BYPASS GRAFT; FEMORAL ART ANESTHESIA FOR ALL PROCEDURES ON NERVES, MUSCLES, TENDONS, FASCIA, AND BURSA OF KNEE AND/OR PO
- 399. ANESTHESIA FOR ALLCLOSED PROCEDURES ON LOWER 1/3 OF FEMUR ANESTHESIA FOR ALL OPEN PROCEDURES ON LOWER 1/3 OF FEMUR ANESTHESIA FOR ALL CLOSED PROCEDURES ON KNEE JOINT ANESTHESIA FOR DIAGNOSTIC ARTHROSCOPIC PROCEDURES OF KNEE JOINT ANESTHESIA FOR ALL CLOSED PROCEDURES ON UPPER ENDS OF TIBIA, FIBULA, AND/OR PATELLA ANESTHESIA FOR ALL OPEN PROCEDURES ON UPPER ENDS OF TIBIA, FIBULA, AND/OR PATELLA ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES ON KNEE JOINT;NOT OTHERWISE SPECIFIE ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES ON KNEE JOINT;TOTAL KNEE ARTHROPLAS ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES ON KNEE JOINT;DISARTICULATION AT KNE ANESTHESIA FOR ALL CAST APPLICATIONS, REMOVAL, OR REPAIR INVOLVING KNEE JOINT ANESTHESIA FOR PROCEDURES ON VEINS OF KNEE AND POPLITEAL AREA; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON VEINS OF KNEE AND POPLITEAL AREA; ARTERIOVENOUS FISTULA ANESTHESIA FOR PROCEDURES ON ARTERIES OF KNEE AND POPLITEAL AREA; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON ARTERIES OF KNEE AND POPLITEAL AREA; POPLITEAL THROMBOENDARTERE ANESTHESIA FOR PROCEDURES ON ARTERIES OF KNEE AND POPLITEAL AREA; POPLITEAL EXCISION AND GRAFT ANESTHESIA FOR ALL CLOSED PROCEDURES ON LOWER LEG, ANKLE, AND FOOT ANESTHESIA FOR ARTHROSCOPIC PROCEDURES OF ANKLE AND/OR FOOT ANESTHESIA FOR PROCEDURES ON NERVES, MUSCLES, TENDONS, AND FASCIA OF LOWER LEG, ANKLE, AND FOO ANESTHESIA FOR PROCEDURES ON NERVES, MUSCLES, TENDONS, AND FASCIA OF LOWER LEG, ANKLE, AND FOO ANESTHESIA FOR PROCEDURES ON NERVES, MUSCLES, TENDONS, AND FASCIA OF LOWER LEG, ANKLE, AND FOO ANESTHESIA FOR OPEN PROCEDURES ON BONES OF LOWER LEG, ANKLE, AND FOOT; NOT OTHERWISE SPECIFIE ANESTHESIA FOR OPEN PROCEDURES ON BONES OF LOWER LEG, ANKLE, AND FOOT; RADICAL RESECTION (INCL ANESTHESIA FOR OPEN PROCEDURES ON BONES OF LOWER LEG, ANKLE, AND FOOT; OSTEOTOMY OR OSTEOPL ANESTHESIA FOR OPEN PROCEDURES ON BONES OF LOWER LEG, ANKLE, AND FOOT; TOTAL ANKLE REPLACEME ANESTHESIA FOR LOWER LEG CAST APPLICATION, REMOVAL, OR REPAIR ANESTHESIA FOR PROCEDURES ON ARTERIES OF LOWER LEG, INCLUDING BYPASS GRAFT; NOT OTHERWISE SPE ANESTHESIA FOR PROCEDURES ON ARTERIES OF LOWER LEG, INCLUDING BYPASS GRAFT; EMBOLECTOMY, DIRE ANESTHESIA FOR PROCEDURES ON VEINS OF LOWER LEG; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON VEINS OF LOWER LEG; VENOUS THROMBECTOMY, DIRECT OR CATHETER ANESTHESIA FOR ALL PROCEDURES ON NERVES, MUSCLES, TENDONS, FASCIA, AND BURSA OF SHOULDER AND A ANESTHESIA FOR ALL CLOSED PROCEDURES ON HUMERAL HEAD AND NECK, STERNOCLAVICULAR JOINT, ACROM ANESTHESIA FOR DIAGNOSTIC ARTHROSCOPIC PROCEDURES OF SHOULDER JOINT ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES ON HUMERAL HEAD AND NECK, STERNOCL ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES ON HUMERAL HEAD AND NECK, STERNOCL ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES ON HUMERAL HEAD AND NECK, STERNOCL ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES ON HUMERAL HEAD AND NECK, STERNOCL ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES ON HUMERAL HEAD AND NECK, STERNOCL ANESTHESIA FOR PROCEDURES ON ARTERIES OF SHOULDER AND AXILLA; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON ARTERIES OF SHOULDER AND AXILLA; AXILLARY-BRACHIAL ANEURYSM ANESTHESIA FOR PROCEDURES ON ARTERIES OF SHOULDER AND AXILLA; BYPASS GRAFT ANESTHESIA FOR PROCEDURES ON ARTERIES OF SHOULDER AND AXILLA; AXILLARY-FEMORAL BYPASS GRAFT ANESTHESIA FOR ALL PROCEDURES ON VEINS OF SHOULDER AND AXILLA ANESTHESIA FOR SHOULDER CAST APPLICATION, REMOVAL OR REPAIR; NOT OTHERWISE SPECIFIED ANESTHESIA FOR SHOULDER CAST APPLICATION, REMOVAL OR REPAIR; SHOULDER SPICA ANESTHESIA FOR PROCEDURES ON NERVES, MUSCLES, TENDONS, FASCIA, AND BURSA OF UPPER ARM AND ELB ANESTHESIA FOR PROCEDURES ON NERVES, MUSCLES, TENDONS, FASCIA, AND BURSA OF UPPER ARM AND ELB ANESTHESIA FOR PROCEDURES ON NERVES, MUSCLES, TENDONS, FASCIA, AND BURSA OF UPPER ARM AND ELB ANESTHESIA FOR PROCEDURES ON NERVES, MUSCLES, TENDONS, FASCIA, AND BURSA OF UPPER ARM AND ELB ANESTHESIA FOR ALL CLOSED PROCEDURES ON HUMERUS AND ELBOW ANESTHESIA FOR DIAGNOSTIC ARTHROSCOPIC PROCEDURES OF ELBOW JOINT ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES OF THE ELBOW;NOT OTHERWISE SPECIFIE ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES OF THE ELBOW;OSTEOTOMY OF HUMERUS
- 400. ANESTHESIA FOR OPEN/SURGICALARTHROSCOPIC PROCEDURES, THE ELBOW;REPAIR, NONUNION/MALUNION, H ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES OF THE ELBOW;RADICAL PROCEDURES ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES OF THE ELBOW;EXCISION OF CYST OR TUM ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES OF THE ELBOW;TOTAL ELBOW REPLACEM ANESTHESIA FOR PROCEDURES ON ARTERIES OF UPPER ARM AND ELBOW; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON ARTERIES OF UPPER ARM AND ELBOW; EMBOLECTOMY ANESTHESIA FOR PROCEDURES ON VEINS OF UPPER ARM AND ELBOW; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON VEINS OF UPPER ARM AND ELBOW; PHLEBORRHAPHY ANESTHESIA FOR ALL PROCEDURES ON NERVES, MUSCLES, TENDONS, FASCIA, AND BURSA OF FOREARM, WRIST ANESTHESIA FOR ALL CLOSED PROCEDURES ON RADIUS, ULNA, WRIST, OR HAND BONES ANESTHESIA FOR DIAGNOSTIC ARTHROSCOPIC PROCEDURES ON THE WRIST ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC/ENDOSCOPIC PROCEDURES ON DISTAL RADIUS, DISTAL U ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC/ENDOSCOPIC PROCEDURES ON DISTAL RADIUS, DISTAL U ANESTHESIA FOR PROCEDURES ON ARTERIES OF FOREARM, WRIST, AND HAND; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON ARTERIES OF FOREARM, WRIST, AND HAND; EMBOLECTOMY ANESTHESIA FOR VASCULAR SHUNT, OR SHUNT REVISION, ANY TYPE (EG, DIALYSIS) ANESTHESIA FOR PROCEDURES ON VEINS OF FOREARM, WRIST, AND HAND; NOT OTHERWISE SPECIFIED ANESTHESIA FOR PROCEDURES ON VEINS OF FOREARM, WRIST, AND HAND; PHLEBORRHAPHY ANESTHESIA FOR FOREARM, WRIST, OR HAND CAST APPLICATION, REMOVAL, OR REPAIR ANESTHESIA FOR MYELOGRAPHY, DISKOGRAPHY, VERTEBROPLASTY ANESTHESIA FOR DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY ANESTHESIA FOR CARDIAC CATHETERIZATION INCLUDING CORONARY ANGIOGRAPHY AND VENTRICULOGRAPHY ANESTHESIA FOR NON-INVASIVE IMAGING OR RADIATION THERAPY ANESTHESIA FOR THERAPEUTIC INTERVENTIONAL RADIOLOGIC PROCEDURES INVOLVING THE ARTERIAL SYSTEM ANESTHESIA FOR THERAPEUTIC INTERVENTIONAL RADIOLOGIC PROCEDURES INVOLVING THE ARTERIAL SYSTEM ANESTHESIA FOR THERAPEUTIC INTERVENTIONAL RADIOLOGIC PROCEDURES INVOLVING THE ARTERIAL SYSTEM ANESTHESIA FOR THERAPEUTIC INTERVENTIONAL RADIOLOGIC PROCEDURES INVOLVING THE VENOUS/LYMPHA ANES, THERAPEUTIC INTERVENEAL RADIOLOGIC PROCS INVOLV THE VENOUS/LYMPHATIC SYST (NOT INCL ACCS ANESTHESIA FOR THERAPEUTIC INTERVENTIONAL RADIOLOGIC PROCEDURES INVOLVING THE VENOUS/LYMPHA ANESTHESIA FOR THERAPEUTIC INTERVENTIONAL RADIOLOGIC PROCEDURES INVOLVING THE VENOUS/LYMPHA ANESTHESIA, SECOND&THIRD DEGREE BURN EXCISION/DEBRIDEMENT WWO SKIN GRAFTING, ANY SITE,TOTAL B ANESTHESIA, SECOND&THIRD DEGREE BURN EXCISION/DEBRIDEMENT WWO SKIN GRAFTING, ANY SITE,TOTAL B ANESTHESIA, 2ND&3RD DEGREE BURN EXCISION/DEBRIDEMENT WWO SKIN GRAFTING, ANY SITE,TOTAL BODY SU ANESTHESIA FOR; VAGINAL DELIVERY ONLY ANESTHESIA FOR CESAREAN DELIVERY ONLY ANESTHESIA FOR URGENT HYSTERECTOMY FOLLOWING DELIVERY ANESTHESIA FOR CESAREAN HYSTERECTOMY WITHOUT ANY LABOR ANALGESIA/ANESTHESIA CARE ANESTHESIA FOR ABORTION PROCEDURES NEURAXIAL LABOR ANALGESIA/ANESTHESIA FOR PLANNED VAGINAL DELIVERY (THIS INCLUDES ANY REPEAT SUB ANESTHESIA FOR CESAREAN DELIVERY FOLLOWING NEURAXIAL LABOR ANALGESIA/ANESTHESIA (LIST SEPARAT ANESTHESIA FOR CESAREAN HYSTERECTOMY FOLLOWING NEURAXIAL LABOR ANALGESIA/ANESTHESIA (LIST SE PHYSIOLOGICAL SUPPORT FOR HARVESTING OF ORGAN(S) FROM BRAIN-DEAD PATIENT ANESTHESIA FOR DIAGNOSTIC OR THERAPEUTIC NERVE BLOCKS AND INJECTIONS (WHEN BLOCK OR INJECTION ANESTHESIA FOR DIAGNOSTIC OR THERAPEUTIC NERVE BLOCKS AND INJECTIONS (WHEN BLOCK OR INJECTION REGIONAL INTRAVENOUS ADMINISTRATION OF LOCAL ANESTHETIC AGENT OR OTHER MEDICATION DAILY HOSPITAL MANAGEMENT OF EPIDURAL OR SUBARACHNOID CONTINUOUS DRUG ADMINISTRATION UNLISTED ANESTHESIA PROCEDURE(S) AMBULANCE SERVICE, OUTSIDE STATE PER MILE, TRANSPORT (MEDICAID ONLY) NON-EMERGENCY TRANSPORTATION, PER MILE - VEHICLE PROVIDED BY VOLUNTEER (INDIVIDUAL OR ORGANIZA NON-EMERGENCY TRANSPORTATION, PER MILE - VEHICLE PROVIDED BY INDIVIDUAL (FAMILY MEMBER, SELF, NEI NON-EMERGENCY TRANSPORTATION; TAXI NONEMERGENCY TRANSPORTATION AND BUS, INTRA- OR INTER STATE CARRIER
- 401. NON-EMERGENCY TRANSPORTATION: MINI-BUS,MOUNTAIN AREA TRANSPORTS, OR OTHER TRANSPORTATION S NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN NONEMERGENCY TRANSPORTATION AND AIR TRAVEL (PRIVATE OR COMMERCIAL) INTRA OR INTER STATE NONEMERGENCY TRANSPORTATION: PER MILE - CASE WORKER OR SOCIAL WORKER TRANSPORTATION ANCILLARY: PARKING FEES, TOLLS, OTHER NONEMERGENCY TRANSPORTATION: ANCILLARY: LODGING-RECIPIENT NONEMERGENCY TRANSPORTATION: ANCILLARY: MEALS-RECIPIENT NONEMERGENCY TRANSPORTATION: ANCILLARY: LODGING ESCORT NONEMERGENCY TRANSPORTATION: ANCILLARY: MEALS-ESCORT AMBULANCE SERVICE, NEONATAL TRANSPORT, BASE RATE, EMERGENCY TRANSPORT, ONE WAY BLS MILEAGE (PER MILE) BLS ROUTINE DISPOSABLE SUPPLIES BLS SPECIALIZED SERVICE DISPOSABLE SUPPLIES; DEFIBRILLATION (USED BY ALS AMBULANCES AND BLS AMBUL ALS MILEAGE (PER MILE) ALS SPECIALIZED SERVICE DISPOSABLE SUPPLIES; DEFIBRILLATION (TO BE USED ONLY IN JURISDICTIONS WHER ALS SPECIALIZED SERVICE DISPOSABLE SUPPLIES; IV DRUG THERAPY ALS SPECIALIZED SERVICE DISPOSABLE SUPPLIES; ESOPHAGEAL INTUBATION ALS ROUTINE DISPOSABLE SUPPLIES AMBULANCE WAITING TIME (ALS OR BLS), ONE HALF (1/2) HOUR INCREMENTS AMBULANCE (ALS OR BLS) OXYGEN AND OXYGEN SUPPLIES, LIFE SUSTAINING SITUATION EXTRA AMBULANCE ATTENDANT, GROUND (ALS OR BLS) OR AIR (FIXED OR ROTARY WINGED); (REQUIRES MEDIC GROUND MILEAGE, PER STATUTE MILE AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, NON-EMERGENCY TRANSPORT, LEVEL 1 (ALS 1) AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS1-EMERGENCY) AMBULANCE SERVICE, BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT (BLS) AMBULANCE SERVICE, BASIC LIFE SUPPORT, EMERGENCY TRANSPORT (BLS-EMERGENCY) AMBULANCE SERVICE, CONVENTIONAL AIR SERVICES, TRANSPORT, ONE WAY (FIXED WING) AMBULANCE SERVICE, CONVENTIONAL AIR SERVICES, TRANSPORT, ONE WAY (ROTARY WING) PARAMEDIC INTERCEPT (PI), RURAL AREA, TRANSPORT FURNISHED BY A VOLUNTEER AMBULANCE COMPANY WH ADVANCED LIFE SUPPORT, LEVEL 2 (ALS 2) SPECIALTY CARE TRANSPORT (SCT) FIXED WING AIR MILEAGE, PER STATUTE MILE ROTARY WING AIR MILEAGE, PER STATUTE MILE NONCOVERED AMBULANCE MILEAGE, PER MILE (E.G., FOR MILES TRAVELED BEYOND CLOSEST APPROPRIATE FA UNLISTED AMBULANCE SERVICE SYRINGE WITH NEEDLE, STERILE 1CC, EACH SYRINGE WITH NEEDLE, STERILE 2CC, EACH SYRINGE WITH NEEDLE, STERILE 3CC, EACH SYRINGE WITH NEEDLE, STERILE 5CC OR GREATER, EACH NEEDLE-FREE INJECTION DEVICE, EACH SUPPLIES FOR SELF-ADMINISTERED INJECTIONS NON CORING NEEDLE OR STYLET WITH OR WITHOUT CATHETER SYRINGE, STERILE, 20 CC OR GREATER, EACH STERILE SALINE OR WATER, 30 CC VIAL NEEDLES ONLY, STERILE, ANY SIZE, EACH REFILL KIT FOR IMPLANTABLE INFUSION PUMP SUPPLIES FOR MAINTENANCE OF DRUG INFUSION CATHETER, PER WEEK (LIST DRUG SEPARATELY) SUPPLIES FOR EXTERNAL DRUG INFUSION PUMP, PER CASSETTE OR BAG (LIST DRUG SEPARATELY) INFUSION SET FOR EXTERNAL INSULIN PUMP, NON NEEDLE CANNULA TYPE INFUSION SET FOR EXTERNAL INSULIN PUMP, NEEDLE TYPE SYRINGE WITH NEEDLE FOR EXTERNAL INSULIN PUMP, STERILE, 3CC ALCOHOL OR PEROXIDE, PER PINT
- 402. ALCOHOL WIPES, PERBOX BETADINE OR PHISOHEX SOLUTION, PER PINT BETADINE OR IODINE SWABS/WIPES, PER BOX URINE TEST OR REAGENT STRIPS OR TABLETS (100 TABLETS OR STRIPS) BLOOD GLUCOSE TEST OR REAGENT STRIPS FOR HOME BLOOD GLUCOSE MONITOR, PER 50 STRIPS REPLACEMENT BATTERY, ANY TYPE, FOR USE WITH MEDICALLY NECESSARY HOME BLOOD GLUCOSE MONITOR O PLATFORMS FOR HOME BLOOD GLUCOSE MONITOR, 50 PER BOX NORMAL, LOW AND HIGH CALIBRATOR SOLUTION/CHIPS REPLACEMENT LENS SHIELD CARTRIDGE FOR USE WITH LASER SKIN PIERCING DEVICE, EACH SPRING-POWERED DEVICE FOR LANCET, EACH LANCETS, PER BOX OF 100 LEVONORGESTREL (CONTRACEPTIVE) IMPLANTS SYSTEM, INCLUDING IMPLANTS AND SUPPLIES CERVICAL CAP FOR CONTRACEPTIVE USE TEMPORARY, ABSORBABLE LACRIMAL DUCT IMPLANT, EACH PERMANENT, LONG-TERM, NONDISSOLVABLE LACRIMAL DUCT IMPLANT, EACH PARAFFIN, PER POUND DIAPHRAGM FOR CONTRACEPTIVE USE CONTRACEPTIVE SUPPLY, CONDOM, MALE, EACH CONTRACEPTIVE SUPPLY, CONDOM, FEMALE, EACH CONTRACEPTIVE SUPPLY, SPERMICIDE (E.G., FOAM, GEL), EACH DISPOSABLE ENDOSCOPE SHEATH, EACH ADHESIVE SKIN SUPPORT ATTACHMENT FOR USE WITH EXTERNAL BREAST PROSTHESIS, EACH TUBING FOR BREAST PUMP, REPLACEMENT ADAPTER FOR BREAST PUMP, REPLACEMENT CAP FOR BREAST PUMP BOTTLE, REPLACEMENT BREAST SHIELD AND SPLASH PROTECTOR FOR USE WITH BREAST PUMP, REPLACEMENT POLYCARBONATE BOTTLE FOR USE WITH BREAST PUMP, REPLACEMENT LOCKING RING FOR BREAST PUMP, REPLACEMENT SACRAL NERVE STIMULATION TEST LEAD, EACH IMPLANTABLE ACCESS CATHETER,(E.G., VENOUS, ARTERIAL, EPIDURAL SUBARACHNOID, OR PERITONEAL, ETC.) E IMPLANTABLE ACCESS TOTAL CATHETER, PORT/RESERVOIR (E.G., VENOUS, ARTERIAL, EPIDURAL, SUBARACHNO DISPOSABLE DRUG DELIVERY SYSTEM, FLOW RATE OF 50 ML OR GREATER PER HOUR DISPOSABLE DRUG DELIVERY SYSTEM, FLOW RATE OF 5 ML OR LESS PER HOUR INSERTION TRAY WITHOUT DRAINAGE BAG AND WITHOUT CATHETER (ACCESSORIES ONLY) INSERTION TRAY WITHOUT DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, TWO-WAY LATEX WITH C INSERTION TRAY WITHOUT DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, TWO-WAY, ALL SILICONE INSERTION TRAY WITHOUT DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, THREE-WAY, FOR CONTI INSERTION TRAY WITH DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, TWO-WAY LATEX WITH COAT INSERTION TRAY WITH DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, TWO-WAY, ALL SILICONE INSERTION TRAY WITH DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, THREE-WAY, FOR CONTINUO STERILE WATER IRRIGATION SOLUTION, 1000 ML IRRIGATION TRAY WITH BULB OR PISTON SYRINGE, ANY PURPOSE THERAPEUTIC AGENT FOR URINARY CATHETER IRRIGATION IRRIGATION SYRINGE, BULB OR PISTON, EACH STERILE SALINE IRRIGATION SOLUTION, 1000 ML MALE EXTERNAL CATHETER, WITH ADHESIVE COATING, EACH MALE EXTERNAL CATHETER, WITH ADHESIVE STRIP, EACH MALE EXTERNAL CATHETER SPECIALTY TYPE (E.G., INFLATABLE, FACEPLATE, ETC.), EACH FEMALE EXTERNAL URINARY COLLECTION DEVICE; METAL CUP, EACH FEMALE EXTERNAL URINARY COLLECTION DEVICE; POUCH, EACH PERIANAL FECAL COLLECTION POUCH WITH ADHESIVE, EACH EXTENSION DRAINAGE TUBING, ANY TYPE, ANY LENGTH, WITH CONNECTOR/ADAPTOR, FOR USE WITH URINARY L
- 403. LUBRICANT, INDIVIDUAL STERILEPACKET, FOR INSERTION OF URINARY CATHETER, EACH URINARY CATHETER ANCHORING DEVICE, ADHESIVE SKIN ATTACHMENT, EACH URINARY CATHETER ANCHORING DEVICE, LEG STRAP, EACH INCONTINENCE SUPPLY; MISCELLANEOUS INDWELLING CATHETER; FOLEY TYPE, TWO-WAY LATEX WITH COATING (TEFLON, SILICONE, SILICONE ELASTOME INDWELLING CATHETER; SPECIALTY TYPE, (E.G., COUDE, MUSHROOM, WING, ETC.), EACH INDWELLING CATHETER, FOLEY TYPE, TWO-WAY, ALL SILICONE, EACH INDWELLING CATHETER; FOLEY TYPE, THREE WAY FOR CONTINUOUS IRRIGATION, EACH MALE EXTERNAL CATHETER WITH OR WITHOUT ADHESIVE, WITH OR WITHOUT ANTI-REFLUX DEVICE; PER DOZEN MALE EXTERNAL CATHETER WITH INTEGRAL COLLECTION COMPARTMENT, EXTENDED WEAR, EACH (E.G., 2 PER INTERMITTENT URINARY CATHETER; STRAIGHT TIP, WITH OR WITHOUT COATING(TEFLON, SILICONE, SILICONE E INTERMITTENT URINARY CATHETER; COUDE (CURVED) TIP, WITH OR WITHOUT COATING(TEFLON, SILICONE. SILIC INTERMITTENT URINARY CATHETER, WITH INSERTION SUPPLIES INSERTION TRAY WITH DRAINAGE BAG BUT WITHOUT CATHETER IRRIGATION TUBING SET FOR CONTINUOUS BLADDER IRRIGATION THROUGH A THREE-WAY INDWELLING FOLEY C EXTERNAL URETHRAL CLAMP OR COMPRESSION DEVICE (NOT TO BE USED FOR CATHETER CLAMP), EACH BEDSIDE DRAINAGE BAG, DAY OR NIGHT, WITH OR WITHOUT ANTI-REFLUX DEVICE, WITH OR WITHOUT TUBE, EAC URINARY DRAINAGE BAG, LEG OR ABDOMEN, VINYL, WITH OR WITHOUT TUBE, WITH STRAPS, EACH URINARY SUSPENSORY WITHOUT LEG BAG, EACH OSTOMY FACEPLATE, EACH SKIN BARRIER; SOLID, FOUR BY FOUR OR EQUIVALENT; EACH ADHESIVE, LIQUID OR EQUAL, ANY TYPE ADHESIVE REMOVER WIPES, ANY TYPE, PER 50 OSTOMY BELT, EACH OSTOMY FILTER, ANY TYPE, EACH OSTOMY SKIN BARRIER, LIQUID (SPRAY, BRUSH, ETC), PER OZ OSTOMY SKIN BARRIER, POWDER, PER OZ OSTOMY SKIN BARRIER, SOLID 4X4 OR EQUIVALENT, WITH BUILT-IN CONVEXITY, EACH OSTOMY SKIN BARRIER, WITH FLANGE (SOLID, FLEXIBLE OR ACCORDIAN), WITH BUILT-IN CONVEXITY, ANY SIZE, OSTOMY POUCH, DRAINABLE, WITH FACEPLATE ATTACHED, PLASTIC, EACH OSTOMY POUCH, DRAINABLE, WITH FACEPLATE ATTACHED, RUBBER, EACH OSTOMY POUCH, DRAINABLE, FOR USE ON FACEPLATE, PLASTIC, EACH OSTOMY POUCH, DRAINABLE, FOR USE ON FACEPLATE, RUBBER, EACH OSTOMY POUCH, URINARY, WITH FACEPLATE ATTACHED, PLASTIC, EACH OSTOMY POUCH, URINARY, WITH FACEPLATE ATTACHED, RUBBER, EACH OSTOMY POUCH, URINARY, FOR USE ON FACEPLATE, PLASTIC, EACH OSTOMY POUCH, URINARY, FOR USE ON FACEPLATE, HEAVY PLASTIC, EACH OSTOMY POUCH, URINARY, FOR USE ON FACEPLATE, RUBBER, EACH OSTOMY FACEPLATE EQUIVALENT, SILICONE RING, EACH OSTOMY SKIN BARRIER, SOLID 4X4 OR EQUIVALENT, EXTENDED WEAR, WITHOUT BUILT-IN CONVEXITY, EACH OSTOMY POUCH, CLOSED, WITH BARRIER ATTACHED, WITH BUILT-IN CONVEXITY (1 PIECE), EACH OSTOMY POUCH, DRAINABLE, WITH EXTENDED WEAR BARRIER ATTACHED, (1 PIECE), EACH OSTOMY POUCH, DRAINABLE, WITH BARRIER ATTACHED, WITH BUILT-IN CONVEXITY (1 PIECE), EACH OSTOMY POUCH, DRAINABLE, WITH EXTENDED WEAR BARRIER ATTACHED, WITH BUILT-IN CONVEXITY (1 PIECE), OSTOMY POUCH, URINARY, WITH EXTENDED WEAR BARRIER ATTACHED (1 PIECE), EACH OSTOMY POUCH, URINARY, WITH STANDARD WEAR BARRIER ATTACHED, WITH BUILT-IN CONVEXITY (1 PIECE), EA OSTOMY POUCH, URINARY, WITH EXTENDED WEAR BARRIER ATTACHED, WITH BUILT-IN CONVEXITY (1 PIECE), EA OSTOMY DEODORANT FOR USE IN OSTOMY POUCH, LIQUID, PER FLUID OUNCE OSTOMY DEODORANT FOR USE IN OSTOMY POUCH, SOLID, PER TABLET OSTOMY BELT WITH PERISTOMAL HERNIA SUPPORT IRRIGATION SUPPLY; SLEEVE, EACH OSTOMY IRRIGATION SUPPLY; BAG, EACH
- 404. OSTOMY IRRIGATION SUPPLY;CONE/CATHETER, INCLUDING BRUSH OSTOMY IRRIGATION SET LUBRICANT, PER OUNCE OSTOMY RING, EACH OSTOMY SKIN BARRIER, NON-PECTIN BASED, PASTE, PER OUNCE OSTOMY SKIN BARRIER, PECTIN-BASED, PASTE, PER OUNCE OSTOMY SKIN BARRIER, WITH FLANGE (SOLID, FLEXIBLE, OR ACCORDION), EXTENDED WEAR, WITH BUILT-IN CON OSTOMY SKIN BARRIER, WITH FLANGE (SOLID, FLEXIBLE OR ACCORDION), EXTENDED WEAR, WITH BUILT-IN CON OSTOMY SKIN BARRIER, WITH FLANGE (SOLID, FLEXIBLE OR ACCORDION), EXTENDED WEAR, WITHOUT BUILT-IN OSTOMY SKIN BARRIER, WITH FLANGE (SOLID, FLEXIBLE OR ACCORDION), EXTENDED WEAR, WITHOUT BUILT-IN OSTOMY POUCH, DRAINABLE, HIGH OUTPUT, FOR USE ON A BARRIER WITH FLANGE (2 PIECE SYSTEM), WITH FILT OSTOMY SKIN BARRIER, WITH FLANGE (SOLID, FLEXIBLE OR ACCORDION), WITHOUT BUILT-IN CONVEXITY, 4 X 4 IN OSTOMY SKIN BARRIER, WITH FLANGE (SOLID, FLEXIBLE OR ACCORDION), WITHOUT BUILT-IN CONVEXITY, LARGE OSTOMY SUPPLY; MISCELLANEOUS OSTOMY ABSORBENT MATERIAL (SHEET/PAD/CRYSTAL PACKET) FOR USE IN OSTOMY POUCH TO THICKEN LIQUID TAPE, NON-WATERPROOF, PER 18 SQUARE INCHES TAPE, WATERPROOF, PER 18 SQUARE INCHES ADHESIVE REMOVER OR SOLVENT (FOR TAPE, CEMENT OR OTHER ADHESIVE), PER OUNCE ENEMA BAG WITH TUBING, REUSABLE ABDOMINAL DRESSING HOLDER, EACH NONELASTIC BINDER FOR EXTREMITY GRAVLEE JET WASHER VABRA ASPIRATOR TRACHEOSTOMA FILTER, ANY TYPE, ANY SIZE, EACH MOISTURE EXCHANGER, DISPOSABLE, FOR USE WITH INVASIVE MECHANICAL VENTILATION SURGICAL STOCKINGS ABOVE KNEE LENGTH, EACH SURGICAL STOCKINGS THIGH LENGTH, EACH SURGICAL STOCKINGS BELOW KNEE LENGTH, EACH SURGICAL STOCKINGS FULL-LENGTH, EACH ADULT-SIZED INCONTINENCE PRODUCT, DIAPER, SMALL SIZE, EACH ADULT-SIZED INCONTINENCE PRODUCT, DIAPER, MEDIUM SIZE, EACH ADULT-SIZED INCONTINENCE PRODUCT, DIAPER, LARGE SIZE, EACH ADULT-SIZED INCONTINENCE PRODUCT, DIAPER, EXTRA LARGE SIZE, EACH ADULT-SIZED INCONTINENCE PRODUCT, BRIEF, SMALL SIZE, EACH ADULT-SIZED INCONTINENCE PRODUCT, BRIEF, MEDIUM SIZE, EACH ADULT-SIZED INCONTINENCE PRODUCT, BRIEF, LARGE SIZE, EACH ADULT-SIZED INCONTINENCE PRODUCT, BRIEF, EXTRA-LARGE SIZE, EACH CHILD-SIZED INCONTINENCE PRODUCT, DIAPER, SMALL/MEDIUM SIZE, EACH CHILD-SIZED INCONTINENCE PRODUCT, DIAPER, LARGE SIZE, EACH CHILD-SIZED INCONTINENCE PRODUCT, BRIEF, SMALL/MEDIUM SIZE, EACH CHILD-SIZED INCONTINENCE PRODUCT, BRIEF, LARGE SIZE, EACH YOUTH-SIZED INCONTINENCE PRODUCT, DIAPER, EACH YOUTH-SIZED INCONTINENCE PRODUCT, BRIEF, EACH DISPOSABLE LINER/SHIELD FOR INCONTINENCE, EACH PROTECTIVE UNDERWEAR, WASHABLE, ANY SIZE, EACH UNDER PAD, REUSABLE/WASHABLE, ANY SIZE, EACH DIAPER SERVICE, REUSABLE DIAPER, EACH DIAPER SURGICAL TRAYS DISPOSABLE UNDERPADS, ALL SIZES, (E.G., CHUX'S) ELECTRODES (E.G., APNEA MONITOR), PER PAIR LEAD WIRES (E.G., APNEA MONITOR), PER PAIR CONDUCTIVE PASTE OR GEL
- 405. PESSARY, RUBBER, ANYTYPE PESSARY, NON RUBBER, ANY TYPE SLINGS SPLINT TOPICAL HYPERBARIC OXYGEN CHAMBER, DISPOSABLE CAST SUPPLIES (E.G. PLASTER) SPECIAL CASTING MATERIAL (E.G. FIBERGLASS) ELECTRICAL STIMULATOR SUPPLIES, 2 LEAD, PER MONTH, (E.G. TENS, NMES) OXYGEN PROBE FOR USE WITH OXIMETER DEVICE, REPLACEMENT TRANSTRACHEAL OXYGEN CATHETER, EACH TRACHEAL SUCTION CATHETER, CLOSED SYSTEM, FOR LESS THAN 72 HOURS OF USE, EACH TRACHEAL SUCTION CATHETER, CLOSED SYSTEM, FOR 72 OR MORE HOURS OF USE, EACH BATTERY, HEAVY DUTY; REPLACEMENT FOR PATIENT OWNED VENTILATOR BATTERY CABLES; REPLACEMENT FOR PATIENT-OWNED VENTILATOR BATTERY CHARGER; REPLACEMENT FOR PATIENT-OWNED VENTILATOR PEAK EXPIRATORY FLOW RATE METER, HAND HELD CANNULA, NASAL TUBING (OXYGEN), PER FOOT MOUTH PIECE BREATHING CIRCUITS FACE TENT VARIABLE CONCENTRATION MASK TRACHEOSTOMY MASK OR COLLAR TRACHEOSTOMY OR LARYNGECTOMY TUBE TRACHEOSTOMY, INNER CANNULA (REPLACEMENT ONLY) TRACHEAL SUCTION CATHETER, ANY TYPE OTHER THAN CLOSED SYSTEM, EACH TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY TRACHEOSTOMY CLEANING BRUSH, EACH SPACER, BAG OR RESERVOIR, WITH OR WITHOUT MASK, FOR USE WITH METERED DOSE INHALER OROPHARYNGEAL SUCTION CATHETER, EACH TRACHEOSTOMY CARE KIT FOR ESTABLISHED TRACHEOSTOMY REPLACEMENT BATTERIES FOR MEDICALLY NECESSARY TRANSCUTANEOUS ELECTRICAL NERVE STIMULATOR (T REPLACEMENT BATTERIES FOR MEDICALLY NECESSARY ELECTRONIC WHEEL CHAIR OWNED BY PATIENT REPLACEMENT BATTERY FOR EXTERNAL INFUSION PUMP, ANY TYPE, EACH REPLACEMENT BULB/LAMP FOR ULTRAVIOLET LIGHT THERAPY SYSTEM, EACH REPLACEMENT BULB FOR THERAPEUTIC LIGHT BOX, TABLETOP MODEL UNDERARM PAD, CRUTCH, REPLACEMENT, EACH REPLACEMENT, HANDGRIP, CANE, CRUTCH, OR WALKER, EACH REPLACEMENT, TIP, CANE, CRUTCH, WALKER, EACH REPLACEMENT PAD FOR INFRARED HEATING PAD SYSTEM, EACH REPLACEMENT PAD FOR USE WITH MEDICALLY NECESSARY ALTERNATING PRESSURE PAD OWNED BY PATIENT SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, NOT OTHERWISE CLASSIFIED SUPPLY OF SATUMOMAB PENDETIDE, RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, PER DOSE SUPPLY OF ADDITIONAL HIGH DOSE CONTRAST MATERIAL(S) DURING MAGNETIC RESONANCE IMAGING, E.G., GAD SUPPLY OF LOW OSMOLAR CONTRAST MATERIAL (100-199 MG OF IODINE) SUPPLY OF LOW OSMOLAR CONTRAST MATERIAL (200-299 MG OF IODINE) SUPPLY OF LOW OSMOLAR CONTRAST MATERIAL (300-399 MG OF IODINE) SUPPLY OF PARAMAGNETIC CONTRAST MATERIAL (E.G., GADOLINIUM) SURGICAL SUPPLY; MISCELLANEOUS CALIBRATED MICROCAPILLARY TUBE, EACH MICROCAPILLARY TUBE SEALANT PERITONEAL DIALYSIS CATHETER ANCHORING DEVICE, BELT, EACH
- 406. NEEDLE, ANY SIZE,EACH SYRINGE, WITH OR WITHOUT NEEDLE, EACH SPHYGMOMANOMETER/BLOOD PRESSURE APPARATUS WITH CUFF AND STETHOSCOPE BLOOD PRESSURE CUFF ONLY AUTOMATIC BLOOD PRESSURE MONITOR ACTIVATED CARBON FILTER FOR HEMODIALYSIS, EACH DIALYZER (ARTIFICIAL KIDNEYS), ALL TYPES, ALL SIZES, FOR HEMODIALYSIS, EACH BICARBONATE CONCENTRATE, SOLUTION, FOR HEMODIALYSIS, PER GALLON BICARBONATE CONCENTRATE, POWDER, FOR HEMODIALYSIS, PER PACKET ACETATE CONCENTRATE SOLUTION, FOR HEMODIALYSIS, PER GALLON ACID CONCENTRATE, SOLUTION, FOR HEMODIALYSIS, PER GALLON WATER, STERILE, FOR INJECTION, PER 10 ML TREATED WATER (DEIONIZED, DISTILLED, OR REVERSE OSMOSIS) FOR PERITONEALDIALYSIS, PER GALLON Y SET TUBING FOR PERITONEAL DIALYSIS DIALYSATE SOLUTION, ANY CONCENTRATION OF DEXTROSE, FLUID VOLUME GREATER THAN 249CC, BUT LESS TH DIALYSATE SOLUTION, ANY CONCENTRATION OF DEXTROSE, FLUID VOLUME GREATER THAN 999CC, BUT LESS TH DIALYSATE SOLUTION, ANY CONCENTRATION OF DEXTROSE, FLUID VOLUME GREATER THAN 1999CC, BUT LESS T DIALYSATE SOLUTION, ANY CONCENTRATION OF DEXTROSE, FLUID VOLUME GREATER THAN 2999CC, BUT LESS T DIALYSATE SOLUTION, ANY CONCENTRATION OF DEXTROSE, FLUID VOLUME GREATER THAN 3999CC, BUT LESS T DIALYSATE SOLUTION, ANY CONCENTRATION OF DEXTROSE, FLUID VOLUME GREATER THAN 4999CC, BUT LESS T DIALYSATE SOLUTION, ANY CONCENTRATION OF DEXTROSE, FLUID VOLUME GREATER THAN 5999CC, FOR PERIT FISTULA CANNULATION SET FOR HEMODIALYSIS, EACH TOPICAL ANESTHETIC, FOR DIALYSIS, PER GRAM INJECTABLE ANESTHETIC, FOR DIALYSIS, PER 10 ML SHUNT ACCESSORY, FOR HEMODIALYSIS, ANY TYPE, EACH BLOOD TUBING, ARTERIAL OR VENOUS, FOR HEMODIALYSIS, EACH BLOOD TUBING, ARTERIAL AND VENOUS COMBINED, FOR HEMODIALYSIS, EACH DIALYSATE SOLUTION TEST KIT, FOR PERITONEAL DIALYSIS, ANY TYPE, EACH DIALYSATE CONCENTRATE, POWDER, ADDITIVE FOR PERITONEAL DIALYSIS, PER PACKET DIALYSATE CONCENTRATE, SOLUTION, ADDITIVE FOR PERITONEAL DIALYSIS, PER 10 ML BLOOD COLLECTION TUBE, VACUUM, FOR DIALYSIS, PER 50 SERUM CLOTTING TIME TUBE, FOR DIALYSIS, PER 50 BLOOD GLUCOSE TEST STRIPS, FOR DIALYSIS, PER 50 OCCULT BLOOD TEST STRIPS, FOR DIALYSIS, PER 50 AMMONIA TEST STRIPS, FOR DIALYSIS, PER 50 PROTAMINE SULFATE, FOR HEMODIALYSIS, PER 50 MG DISPOSABLE CATHETER TIPS FOR PERITONEAL DIALYSIS, PER 10 PLUMBING AND/OR ELECTRICAL WORK FOR HOME HEMODIALYSIS EQUIPMENT CONTRACTS, REPAIR AND MAINTENANCE, FOR HEMODIALYSIS EQUIPMENT DRAIN BAG/BOTTLE, FOR DIALYSIS, EACH MISCELLANEOUS DIALYSIS SUPPLIES, NOT OTHERWISE SPECIFIED VENOUS PRESSURE CLAMP, FOR HEMODIALYSIS, EACH GLOVES, NON-STERILE, PER 100 SURGICAL MASK, PER 20 TOURNIQUET FOR DIALYSIS, EACH GLOVES, STERILE, PER PAIR ORAL THERMOMETER, REUSABLE, ANY TYPE, EACH RECTAL THERMOMETER, REUSABLE, ANY TYPE, EACH OSTOMY POUCH, CLOSED; WITH BARRIER ATTACHED (1 PIECE), EACH OSTOMY POUCH, CLOSED; WITHOUT BARRIER ATTACHED (1 PIECE), EACH OSTOMY POUCH, CLOSED; FOR USE ON FACEPLATE, EACH OSTOMY POUCH, CLOSED; FOR USE ON BARRIER WITH FLANGE (2 PIECE), EACH
- 407. STOMA CAP OSTOMY POUCH,DRAINABLE; WITH BARRIER ATTACHED, (1 PIECE), EACH OSTOMY POUCH, DRAINABLE; WITHOUT BARRIER ATTACHED (1 PIECE), EACH OSTOMY POUCH, DRAINABLE; FOR USE ON BARRIER WITH FLANGE (2 PIECE SYSTEM), EACH OSTOMY POUCH, URINARY; WITH BARRIER ATTACHED (1 PIECE), EACH OSTOMY POUCH, URINARY; WITHOUT BARRIER ATTACHED (1 PIECE), EACH OSTOMY POUCH, URINARY; FOR USE ON BARRIER WITH FLANGE (2 PIECE), EACH CONTINENT DEVICE; PLUG FOR CONTINENT STOMA CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA OSTOMY ACCESSORY; CONVEX INSERT BEDSIDE DRAINAGE BOTTLE WITH OR WITHOUT TUBING, RIGID OR EXPANDABLE, EACH URINARY SUSPENSORY; WITH LEG BAG, WITH OR WITHOUT TUBE URINARY LEG BAG; LATEX LEG STRAP; LATEX, REPLACEMENT ONLY, PER SET LEG STRAP; FOAM OR FABRIC, REPLACEMENT ONLY, PER SET SKIN BARRIER; WIPES, BOX PER 50 SKIN BARRIER; SOLID, 6 X 6 OR EQUIVALENT, EACH SKIN BARRIER; SOLID, 8 X 8 OR EQUIVALENT, EACH ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD APPLIANCE CLEANER, INCONTINENCE AND OSTOMY APPLIANCES, PER 16 OZ. PERCUTANEOUS CATHETER/TUBE ANCHORING DEVICE, ADHESIVE SKIN ATTACHMENT FOR DIABETICS ONLY, FITTING (INCLUDING FOLLOW-UP), CUSTOM PREPARATION AND SUPPLY OF OFF-THE-SHEL FOR DIABETICS ONLY, FITTING (INCLUDING FOLLOW-UP), CUSTOM PREPARATION AND SUPPLY OF SHOE MOLDED FOR DIABETICS ONLY, MODIFICATION (INCLUDING FITTING) OF OFF-THE-SHELF DEPTH-INLAY SHOE OR CUSTOM M FOR DIABETICS ONLY, MODIFICATION (INCLUDING FITTING) OF OFF-THE-SHELF DEPTH-INLAY SHOE OR CUSTOM M FOR DIABETICS ONLY, MODIFICATION (INCLUDING FITTING) OF OFF-THE-SHELF DEPTH-INLAY SHOE OR CUSTOM M FOR DIABETICS ONLY, MODIFICATION (INCLUDING FITTING) OF OFF-THE-SHELF DEPTH-INLAY SHOE OR CUSTOM M FOR DIABETICS ONLY, NOT OTHERWISE SPECIFIED MODIFICATION (INCLUDING FITTING) OF OFF-THE-SHELF DEPT FOR DIABETICS ONLY, DELUXE FEATURE OF OFF-THE-SHELF DEPTH-INLAY SHOE OR CUSTOM MOLDED SHOE, PE FOR DIABETICS ONLY, DIRECT FORMED, MOLDED TO FOOT WITH EXTERNAL HEAT SOURCE (I.E. HEAT GUN) MULT FOR DIABETICS ONLY, DIRECT FORMED, COMPRESSION MOLDED TO PATIENT'S FOOT WITHOUT EXTERNAL HEAT FOR DIABETICS ONLY, CUSTOM-MOLDED FROM MODEL OF PATIENT'S FOOT, MULTIPLE DENSITY INSERT(S), CUST NON-CONTACT WOUND WARMING WOUND COVER FOR USE WITH THE NON-CONTACT WOUND WARMING DEVICE COLLAGEN BASED WOUND FILLER, DRY FORM, PER GRAM OF COLLAGEN COLLAGEN BASED WOUND FILLER, GEL/PASTE, PER GRAM OF COLLAGEN COLLAGEN DRESSING, PAD SIZE 16 SQ. IN. OR LESS, EACH COLLAGEN DRESSING, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH COLLAGEN DRESSING, PAD SIZE MORE THAN 48 SQ. IN., EACH COLLAGEN DRESSING WOUND FILLER, PER 6 INCHES SILICONE GEL SHEET, EACH WOUND POUCH, EACH ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND COVER, PAD SIZE 16 SQ. IN. OR LESS, EACH DRESSING ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND COVER, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THA ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND COVER, PAD SIZE MORE THAN 48 SQ. IN., EACH DRESSI ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND FILLER, PER 6 INCHES COMPOSITE DRESSING, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING COMPOSITE DRESSING, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHE COMPOSITE DRESSING, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING COMPOSITE DRESSING, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING COMPOSITE DRESSING, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY SIZE COMPOSITE DRESSING, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING CONTACT LAYER, 16 SQ. IN. OR LESS, EACH DRESSING
- 408. CONTACT LAYER, MORETHAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH DRESSING CONTACT LAYER, MORE THAN 48 SQ. IN., EACH DRESSING FOAM DRESSING, WOUND COVER, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING FOAM DRESSING, WOUND COVER, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH FOAM DRESSING, WOUND COVER, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSIN FOAM DRESSING, WOUND COVER, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESS FOAM DRESSING, WOUND COVER, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH FOAM DRESSING, WOUND COVER, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DR FOAM DRESSING, WOUND FILLER, PER GRAM GAUZE, NON-IMPREGNATED, NON-STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DR GAUZE, NON-IMPREGNATED, NON-STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ GAUZE, NON-IMPREGNATED, NON-STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH GAUZE, NON-IMPREGNATED, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING GAUZE, NON-IMPREGNATED, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY GAUZE, NON-IMPREGNATED, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSIN GAUZE, IMPREGNATED WITH OTHER THAN WATER, NORMAL SALINE, OR HYDROGEL, PAD SIZE 16 SQ. IN. OR LESS GAUZE, IMPREGNATED WITH OTHER THAN WATER, NORMAL SALINE, OR HYDROGEL, PAD SIZE MORE THAN 16 SQ GAUZE, IMPREGNATED WITH OTHER THAN WATER, NORMAL SALINE, OR HYDROGEL, PAD SIZE MORE THAN 48 SQ GAUZE, IMPREGNATED, WATER OR NORMAL SALINE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, GAUZE, IMPREGNATED, WATER OR NORMAL SALINE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL GAUZE, IMPREGNATED, WATER OR NORMAL SALINE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORD GAUZE, IMPREGNATED, HYDROGEL, FOR DIRECT WOUND CONTACT, PAD SIZE 16 SQ. IN. OR LESS, EACH DRESSIN GAUZE, IMPREGNATED, HYDROGEL, FOR DIRECT WOUND CONTACT, PAD SIZE GREATER THAN 16 SQ. IN., BUT LES GAUZE, IMPREGNATED, HYDROGEL FOR DIRECT WOUND CONTACT, PAD SIZE MORE THAN 48 SQ. IN., EACH DRES HYDROCOLLOID DRESSING, WOUND COVER, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH D HYDROCOLLOID DRESSING, WOUND COVER, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ HYDROCOLLOID DRESSING, WOUND COVER, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EAC HYDROCOLLOID DRESSING, WOUND COVER, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EA HYDROCOLLOID DRESSING, WOUND COVER, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ HYDROCOLLOID DRESSING, WOUND COVER, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER HYDROCOLLOID DRESSING, WOUND FILLER, PASTE, PER FLUID OUNCE HYDROCOLLOID DRESSING, WOUND FILLER, DRY FORM, PER GRAM HYDROGEL DRESSING, WOUND COVER, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESS HYDROGEL DRESSING, WOUND COVER, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. HYDROGEL DRESSING, WOUND COVER, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DR HYDROGEL DRESSING, WOUND COVER, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH D HYDROGEL DRESSING, WOUND COVER, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. HYDROGEL DRESSING, WOUND COVER, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EAC HYDROGEL DRESSING, WOUND FILLER, GEL, PER FLUID OUNCE SKIN SEALANTS, PROTECTANTS, MOISTURIZERS, OINTMENTS, ANY TYPE, ANY SIZE SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORD SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BOR SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE TRANSPARENT FILM, 16 SQ. IN. OR LESS, EACH DRESSING TRANSPARENT FILM, MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH DRESSING TRANSPARENT FILM, MORE THAN 48 SQ. IN., EACH DRESSING WOUND CLEANSERS, ANY TYPE, ANY SIZE WOUND FILLER, GEL/PASTE, PER FLUID OUNCE, NOT ELSEWHERE CLASSIFIED WOUND FILLER, DRY FORM, PER GRAM, NOT ELSEWHERE CLASSIFIED
- 409. GAUZE, IMPREGNATED, OTHERTHAN WATER, NORMAL SALINE, OR ZINC PASTE, ANY WIDTH, PER LINEAR YARD GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSIN GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., W GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRE EYE PAD, STERILE, EACH EYE PAD, NON-STERILE, EACH EYE PATCH, OCCLUSIVE, EACH PADDING BANDAGE, NON-ELASTIC, NON-WOVEN/NON-KNITTED, WIDTH GREATER THAN OR EQUAL TO 3 INCHES A CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, NON-STERILE, WIDTH GREATER THAN OR EQUAL TO 3 ONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, NON-STERILE, WIDTH GREATER THAN OR EQUAL TO 5 IN CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, STERILE WIDTH GREATER THAN OR EQUAL TO 3 INCHE CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, STERILE, WIDTH GREATER THAN OR EQUAL TO 5 INCH LIGHT COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, LOAD RESISTANCE < 1.25 FOOT POUNDS AT 50% MA LIGHT COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, LOAD RESISTANCE < 1.25 FT LBS AT 50% MAX STRET MODERATE COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, LOAD RESISTANCE OF 1.25 - 1.34 FOOT POUND HIGH COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, LOAD RESISTANCE >/= 1.35 FOOT POUNDS AT 50% MA SELF-ADHERENT BANDAGE, ELASTIC, NON-KNITTED/NON-WOVEN, LOAD RESISTANCE >/= 0.55 FOOT POUNDS AT 5 ZINC PASTE IMPREGNATED BANDAGE, NON-ELASTIC, KNITTED/WOVEN, WIDTH GREATER THAN OR EQUAL TO 3 IN COMPRESSION BURN GARMENT, BODYSUIT (HEAD TO FOOT), CUSTOM FABRICATED COMPRESSION BURN GARMENT, CHIN STRAP, CUSTOM FABRICATED COMPRESSION BURN GARMENT, FACIAL HOOD, CUSTOM FABRICATED COMPRESSION BURN GARMENT, GLOVE TO WRIST, CUSTOM FABRICATED COMPRESSION BURN GARMENT, GLOVE TO ELBOW, CUSTOM FABRICATED COMPRESSION BURN GARMENT, GLOVE TO AXILLA, CUSTOM FABRICATED COMPRESSION BURN GARMENT, FOOT TO KNEE LENGTH, CUSTOM FABRICATED COMPRESSION BURN GARMENT, FOOT TO THIGH LENGTH, CUSTOM FABRICATED COMPRESSION BURN GARMENT, UPPER TRUNK TO WAIST INCLUDING ARM OPENINGS (VEST), CUSTOM FABRICAT COMPRESSION BURN GARMENT, TRUNK, INCLUDING ARMS DOWN TO LEG OPENINGS (LEOTARD), CUSTOM FABRI COMPRESSION BURN GARMENT, LOWER TRUNK INCLUDING LEG OPENINGS (PANTY), CUSTOM FABRICATED COMPRESSION BURN GARMENT, NOT OTHERWISE CLASSIFIED CANISTER, DISPOSABLE, USED WITH SUCTION PUMP, EACH CANISTER, NON-DISPOSABLE, USED WITH SUCTION PUMP, EACH TUBING, USED WITH SUCTION PUMP, EACH ADMINISTRATION SET, WITH SMALL VOLUME NONFILTERED PNEUMATIC NEBULIZER, DISPOSABLE SMALL VOLUME NONFILTERED PNEUMATIC NEBULIZER, DISPOSABLE ADMINISTRATION SET, WITH SMALL VOLUME NONFILTERED PNEUMATIC NEBULIZER, NON-DISPOSABLE ADMINISTRATION SET, WITH SMALL VOLUME FILTERED PNEUMATIC NEBULIZER LARGE VOLUME NEBULIZER, DISPOSABLE, UNFILLED, USED WITH AEROSOL COMPRESSOR LARGE VOLUME NEBULIZER, DISPOSABLE, PREFILLED, USED WITH AEROSOL COMPRESSOR RESERVOIR BOTTLE, NON-DISPOSABLE, USED WITH LARGE VOLUME ULTRASONIC NEBULIZER CORRUGATED TUBING, DISPOSABLE, USED WITH LARGE VOLUME NEBULIZER, 100 FEET CORRUGATED TUBING, NON-DISPOSABLE, USED WITH LARGE VOLUME NEBULIZER, 10 FEET WATER COLLECTION DEVICE, USED WITH LARGE VOLUME NEBULIZER FILTER, DISPOSABLE, USED WITH AEROSOL COMPRESSOR FILTER, NONDISPOSABLE, USED WITH AEROSOL COMPRESSOR OR ULTRASONIC GENERATOR AEROSOL MASK, USED WITH DME NEBULIZER DOME AND MOUTHPIECE, USED WITH SMALL VOLUME ULTRASONIC NEBULIZER NEBULIZER, DURABLE, GLASS OR AUTOCLAVABLE PLASTIC, BOTTLE TYPE, NOT USED WITH OXYGEN WATER, DISTILLED, USED WITH LARGE VOLUME NEBULIZER, 1000 ML SALINE SOLUTION, PER 10 ML, METERED DOSE DISPENSER, FOR USE WITH INHALATION DRUGS STERILE WATER OR STERILE SALINE, 1000 ML, USED WITH LARGE VOLUME NEBULIZER HIGH FREQUENCY CHEST WALL OSCILLATION SYSTEM VEST, REPLACEMENT FOR USE WITH PATIENT OWNED EQ
- 410. HIGH FREQUENCY CHESTWALL OSCILLATION SYSTEM HOSE, REPLACEMENT FOR USE WITH PATIENT OWNED EQ FULL FACE MASK USED WITH POSITIVE AIRWAY PRESSURE DEVICE, EACH FACE MASK INTERFACE, REPLACEMENT FOR FULL FACE MASK, EACH REPLACEMENT CUSHION FOR NASAL APPLICATION DEVICE, EACH REPLACEMENT PILLOWS FOR NASAL APPLICATION DEVICE, PAIR NASAL INTERFACE (MASK OR CANNULA TYPE) USED WITH POSITIVE AIRWAY PRESSURE DEVICE, WITH OR WITHO HEADGEAR USED WITH POSITIVE AIRWAY PRESSURE DEVICE CHINSTRAP USED WITH POSITIVE AIRWAY PRESSURE DEVICE TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE FILTER, DISPOSABLE, USED WITH POSITIVE AIRWAY PRESSURE DEVICE FILTER, NON DISPOSABLE, USED WITH POSITIVE AIRWAY PRESSURE DEVICE IMPLANTED PLEURAL CATHETER, EACH VACUUM DRAINAGE BOTTLE AND TUBING FOR USE WITH IMPLANTED CATHETER ORAL INTERFACE USED WITH POSITIVE AIRWAY PRESSURE DEVICE, EACH TRACHEOSTOMA VALVE, INCLUDING DIAPHRAGM, EACH REPLACEMENT DIAPHRAGM/FACEPLATE FOR TRACHEOSTOMA VALVE, EACH FILTER HOLDER OR FILTER CAP, REUSABLE, FOR USE IN A TRACHEOSTOMA HEAT AND MOISTURE EXCHANGE SY FILTER FOR USE IN A TRACHEOSTOMA HEAT AND MOISTURE EXCHANGE SYSTEM, EACH HOUSING, REUSABLE WITHOUT ADHESIVE, FOR USE IN A HEAT AND MOISTURE EXCHANGE SYSTEM AND/OR WITH ADHESIVE DISC FOR USE IN A HEAT AND MOISTURE EXCHANGE SYSTEM AND/OR WITH TRACHEOSTOMA VALVE, A FILTER HOLDER AND INTEGRATED FILTER WITHOUT ADHESIVE, FOR USE IN A TRACHEOSTOMA HEAT AND MOIST HOUSING AND INTEGRATED ADHESIVE, FOR USE IN A TRACHEOSTOMA HEAT AND MOISTURE EXCHANGE SYSTEM FILTER HOLDER AND INTEGRATED FILTER HOUSING, AND ADHESIVE, FOR USE AS A TRACHEOSTOMA HEAT AND M NONPRESCRIPTION DRUG NONCOVERED ITEM OR SERVICE EXERCISE EQUIPMENT SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC 99M SESTAMIBI, PER DOSE SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC 99M TETROFOSMIN, PER UN SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC 99M, MEDRONATE, UP TO 30 SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC 99M APCITIDE SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, THALLOUS CHLORIDE TL-201, PER MILLICURIE SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, INDIUM IN 111 CAPROMAB PENDETIDE, PER D SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, IOBENGUANE SULFATE I-131, PER 0.5 MCI SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC99M DISOFENIN, PER VIAL SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC 99M, DEPREOTIDE, PER MCI SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC-99M PERTECHNETATE, PER SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC-99M MEBROFENIN, PER MCI SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC-99M PYROPHOSPHATE, PER SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC-99M PENTETATE, PER MCI SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, I-123 SODIUM IODIDE CAPSULE, PER 100 UCI SUPPLY OF RADIOPHARMACEUTICAL THERAPEUTIC IMAGING AGENT, I-131 SODIUM IODIDE CAPSULE, PER MCI SUPPLY OF RADIOPHARMACEUTICAL THERAPEUTIC IMAGING AGENT, I-131 SODIUM IODIDE SOLUTION, PER UCI SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC-99M MACROAGGREGATED A SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC-99M SULFUR COLLOID, PER SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC-99M EXAMETAZINE, PER DO SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, INDIUM-111 IBRITUMOMAB TIUXETAN, PER MC SUPPLY OF RADIOPHARMACEUTICAL THERAPEUTIC IMAGING AGENT, YTTRIUM 90 IBRITUMOMAB TIUXETAN, PER SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, IODINATED I-131 SERUM ALBUMIN, 5 MICROCU SUPPLY OF THERAPEUTIC RADIOPHARMACEUTICAL, STRONTIUM-89 CHLORIDE, PER MCI SUPPLY OF THERAPEUTIC RADIOPHARMACEUTICAL, I-131 SODIUM IODIDE CAPSULE, PER MCI SUPPLY OF THERAPEUTIC RADIOPHARMACEUTICAL, SAMARIUM SM 153 LEXIDRONAMM, 50 MCI SUPPLY OF RADIOPHARMACEUTICAL THERAPEUTIC IMAGING AGENT, NOT OTHERWISE CLASSIFIED
- 411. SUPPLY OF INJECTABLECONTRAST MATERIAL FOR USE IN ECHOCARDIOGRAPHY, PER STUDY MISCELLANEOUS DME SUPPLY, ACCESSORY, AND/OR SERVICE COMPONENT OF ANOTHER HCPCS CODE DME DELIVERY, SET UP, AND/OR DISPENSING SERVICE COMPONENT OF ANOTHER HCPCS CODE ENTERAL FEEDING SUPPLY KIT; SYRINGE, PER DAY ENTERAL FEEDING SUPPLY KIT; PUMP FED, PER DAY ENTERAL FEEDING SUPPLY KIT; GRAVITY FED, PER DAY NASOGASTRIC TUBING WITH STYLET NASOGASTRIC TUBING WITHOUT STYLET STOMACH TUBE - LEVINE TYPE GASTROSTOMY/JEJUNOSTOMY TUBE, ANY MATERIAL, ANY TYPE, (STANDARD OR LOW PROFILE), EACH FOOD THICKENER, ADMINISTERED ORALLY, PER OUNCE ENTERAL FORMULAE; CATEGORY I; SEMI-SYNTHETIC INTACT PROTEIN/PROTEIN ISOLATES, ADMINISTERED THRO ENTERAL FORMULAE; CATEGORY I: NATURAL INTACT PROTEIN/PROTEIN ISOLATES, ADMINISTERED THROUGH AN ENTERAL FORMULAE; CATEGORY II: INTACT PROTEIN/PROTEIN ISOLATES (CALORICALLY DENSE), ADMINISTERED ENTERAL FORMULAE; CATEGORY III: HYDROLIZED PROTEIN/AMINO ACIDS, ADMINISTERED THROUGH AN ENTERA ENTERAL FORMULAE; CATEGORY IV: DEFINED FORMULA FOR SPECIAL METABOLIC NEED, ADMINISTERED THROU ENTERAL FORMULAE; CATEGORY V: MODULAR COMPONENTS, ADMINISTERED THROUGH AN ENTERAL FEEDING T ENTERAL FORMULAE; CATEGORY VI: STANDARDIZED NUTRIENTS, ADMINISTERED THROUGH AN ENTERAL FEEDIN PARENTERAL NUTRITION SOLUTION; CARBOHYDRATES (DEXTROSE), 50% OR LESS (500 ML = 1 UNIT) - HOMEMIX PARENTERAL NUTRITION SOLUTION; AMINO ACID, 3.5%, (500 ML = 1 UNIT) - HOMEMIX PARENTERAL NUTRITION SOLUTION; AMINO ACID, 5.5% THROUGH 7%, (500 ML = 1 UNIT) - HOMEMIX PARENTERAL NUTRITION SOLUTION; AMINO ACID, 7% THROUGH 8.5%, (500 ML = 1 UNIT) - HOMEMIX PARENTERAL NUTRITION SOLUTION; AMINO ACID, GREATER THAN 8.5% (500 ML = 1 UNIT) - HOMEMIX PARENTERAL NUTRITION SOLUTION; CARBOHYDRATES (DEXTROSE), GREATER THAN 50% (500 ML=1 UNIT) - HOME PARENTERAL NUTRITION SOLUTION; LIPIDS, 10% WITH ADMINISTRATION SET (500 ML = 1 UNIT) PARENTERAL NUTRITION SOLUTION, LIPIDS, 20% WITH ADMINISTRATION SET (500 ML = 1 UNIT) PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, T PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, T PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, T PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, T PARENTERAL NUTRITION; ADDITIVES (VITAMINS, TRACE ELEMENTS, HEPARIN, ELECTROLYTES) HOMEMIX PER DA PARENTERAL NUTRITION SUPPLY KIT; PREMIX, PER DAY PARENTERAL NUTRITION SUPPLY KIT; HOME MIX, PER DAY PARENTERAL NUTRITION ADMINISTRATION KIT, PER DAY PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES,TR PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES,TR PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, T ENTERAL NUTRITION INFUSION PUMP - WITHOUT ALARM ENTERAL NUTRITION INFUSION PUMP - WITH ALARM PARENTERAL NUTRITION INFUSION PUMP, PORTABLE PARENTERAL NUTRITION INFUSION PUMP, STATIONARY NOC FOR ENTERAL SUPPLIES NOC FOR PARENTERAL SUPPLIES WHOLE BLOOD OR RED BLOOD CELLS, LEUKOREDUCED, CMV NEGATIVE, EACH UNIT PLATELET, HLA-MATCHED LEUKOREDUCED, APHERESIS/PHERESIS, EACH UNIT PLATELETS, PHERESIS, LEUKOCYTE-REDUCED, CMV NEGATIVE, IRRADIATED, EACH UNIT WHOLE BLOOD OR RED BLOOD CELLS, LEUKOREDUCED, FROZEN, DEGLYCEROL, WASHED, EACH UNIT PLATELET, LEUKOREDUCED, CMV-NEGATIVE, APHERESIS/PHERESIS, EACH UNIT WHOLE BLOOD, LEUKOREDUCED, IRRADIATED, EACH UNIT RED BLOOD CELLS, FROZEN/DEGLYCEROLIZED/WASHED, LEUKOCYTE-REDUCED, IRRADIATED, EACH UNIT RED BLOOD CELLS, LEUKOCYTE-REDUCED, CMV NEGATIVE, IRRADIATED, EACH UNIT PLASMA, FROZEN WITHIN 24 HOURS OF COLLECTION, EACH UNIT
- 412. ELECTRODE, NEEDLE, ABLATION,MR COMPATIBLE LEVEEN, MODIFIED LEVEEN NEEDLE ELECTRODE SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, CYANOCOBALAMIN CO 57/58, PER 0.5 MICROC LASER OPTIC TREATMENT SYSTEM, INDIGO LASEROPTIC TREATMENT SYSTEM SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, INDIUM 111 OXYQUINOLINE, PER 0.5 MILLICUR SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, INDIUM 111 PENTETATE, PER 0.5 MILLICURIE SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC 99M ARCITUMOMAB, PER VIA ENDOTRACHEAL TUBE, VETT TRACHEOBRONCHIAL TUBE INJECTION, CYTARABINE LIPOSOME, PER 10 MG INJECTION, EPIRUBICIN HYDROCHLORIDE, 2 MG BIOPSY DEVICE, BREAST, ABBI DEVICE BIOPSY DEVICE, 11-GAUGE MAMMOTOME PROBE WITH VACUUM CANNISTER INJECTION, BUSULFAN, PER 6 MG SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC 99M SODIUM GLUCOHEPTON SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC 99M SUCCIMER, PER VIAL HYPERBARIC OXYGEN UNDER PRESSURE, FULL BODY CHAMBER, PER 30 MINUTE INTERVAL APLIGRAF, PER 44 SQ CM ELECTRODE, DISPOSABLE, PALATE SOMNOPLASTY COAGULATING ELECTRODE, BASE OF TONGUE SOMNOPLAST ELECTRODE, DISPOSABLE, TURBINATE SOMNOPLASTY COAGULATING ELECTRODE ELECTRODE, DISPOSABLE, VAPR ELECTRODE, VAPR T THERMAL ELECTRODE ELECTRODE, DISPOSABLE, LIGASURE DISPOSABLE ELECTRODE ELECTRODE, DISPOSABLE, GYNECARE VERSAPOINT RESECTOSCOPIC SYSTEM BIPOLAR ELECTRODE INFUSION SYSTEM, ON-Q PAIN MANAGEMENT SYSTEM, ON-Q SOAKER PAIN MANAGEMENT SYSTEM, AND PAINBUS ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (INPLANTABLE) BRACHYTHERAPY SEED, GOLD 198 BRACHYTHERAPY SEED, IODINE 125 BRACHYTHERAPY SEED, NON-HIGH DOSE RATE IRIDIUM 192 BRACHYTHERAPY SEED, PALLADIUM 103 ADHESION BARRIER INJECTION, DARBEPOETIN ALFA (FOR NON ESRD USE), PER 1 MCG SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, FLUORODEOXYGLUCOSE F18 (2-DEOXY-2-[18 OCULAR IMPLANT, AQUEOUS DRAINAGE ASSIST DEVICE CATHETER, ABLATION, NON-CARDIAC, ENDOVASCULAR (IMPLANTABLE) LEAD, LEFT VENTRICULAR CORONARY VENOUS SYSTEM CATHETER, GOLD PROBE SINGLE-USE ELECTROHEMOSTASIS CATHETER PROBE, PERCUTANEOUS LUMBAR DISCECTOMY BRACHYTHERAPY SEED, YTTRIUM-90 PROBE, CRYOABLATION BRACHYTHERAPY SOLUTION, IODINE-125, PER MCI MAGNETIC RESONANCE ANGIOGRAPHY WITH CONTRAST, ABDOMEN MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST, ABDOMEN MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, ABDOMEN MAGNETIC RESONANCE IMAGING WITH CONTRAST, BREAST; UNILATERAL MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST, BREAST; UNILATERAL MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, BREAST; UNILATERAL MAGNETIC RESONANCE IMAGING WITH CONTRAST, BREAST; BILATERAL MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST, BREAST; BILATERAL MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, BREAST; BILATERAL MAGNETIC RESONANCE ANGIOGRAPHY WITH CONTRAST, CHEST (EXCLUDING MYOCARDIUM) MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST, CHEST (EXCLUDING MYOCARDIUM) MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, CHEST (EXCLUDIN MAGNETIC RESONANCE ANGIOGRAPHY WITH CONTRAST, LOWER EXTREMITY MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST, LOWER EXTREMITY
- 413. MAGNETIC RESONANCE ANGIOGRAPHYWITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, LOWER EXTREMIT INJECTION, SODIUM CHROMATE CR51, PER 0.25 MCI PALIVIZUMAB-RSV-IGM, PER 50 MG BACLOFEN INTRATHECAL SCREENING KIT (1 AMP) BACLOFEN INTRATHECAL REFILL KIT, PER 500 MCG BACLOFEN REFILL KIT, PER 2000 MCG BACLOFEN INTRATHECAL REFILL KIT, PER 4000 MCG SUPPLY OF CO 57 COBALTOUS CHLORIDE, RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, 51 SODIUM CHROMATE, PER 50 MCI SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, SODIUM IOTHALAMATE I-125 INJECTION, PER INJECTION, HEPATITIS B IMMUNE GLOBULIN, PER 1 ML INJECTION, TIROFIBAN HYDROCHLORIDE, 6.25 MG INJECTION, BIVALIRUDIN, 250 MG PER VIAL INJECTION, PERFLUTREN LIPID MICROSPHERE, PER 2 ML VIAL INJECTION, PANTOPRAZOLE SODIUM, PER VIAL INJECTION, ERTAPENEM SODIUM, PER 1 GRAM VIAL INJECTION, PEGFILGRASTIM, PER 6 MG SINGLE DOSE VIAL INJECTION, FULVESTRANT, PER 50 MG INJECTION, ARGATROBAN, PER 5 MG ORCEL, PER 36 SQUARE CENTIMETERS DERMAGRAFT, PER 37.5 SQUARE CENTIMETERS FRESH FROZEN PLASMA, DONOR RETESTED, EACH UNIT STRETTA SYSTEM BARD ENDOSCOPIC SUTURING SYSTEM H.E.L.P. APHERESIS SYSTEM PERIODIC ORAL EVALUATION LIMIT ORAL EVAL PROBLM FOCUS COMPREHENSIVE ORAL EVALUATION - NEW OR ESTABLISHED PATIENT EXTENSV ORAL EVAL PROB FOCUS RE-EVALUATION-LIMITED, PROBLEM FOCUSED (ESTABLISHED PATIENT; NOT POST-OPERATIVE VISIT) COMPREHENSIVE PERIODONTAL EVALUATION - NEW OR ESTABLISHED PATIENT INTRAOR COMPLETE FILM SERIES INTRAORAL PERIAPICAL FIRST F INTRAORAL PERIAPICAL EA ADD INTRAORAL OCCLUSAL FILM EXTRAORAL FIRST FILM EXTRAORAL EA ADDITIONAL FILM DENTAL BITEWING SINGLE FILM DENTAL BITEWINGS TWO FILMS DENTAL BITEWINGS FOUR FILMS VERTICAL BITEWINGS - 7 TO 8 FILMS DENTAL FILM SKULL/ FACIAL BON DENTAL SALIOGRAPHY DENTAL TMJ ARTHROGRAM INCL I DENTAL OTHER TMJ FILMS DENTAL TOMOGRAPHIC SURVEY DENTAL PANORAMIC FILM DENTAL CEPHALOMETRIC FILM ORAL/FACIAL IMAGES (INCLUDES INTRA AND EXTRAORAL IMAGES) BACTERIOLOGIC STUDY CARIES SUSCEPTIBILITY TEST PULP VITALITY TEST
- 414. DIAGNOSTIC CASTS ACCESSION OFTISSUE, GROSS EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINATION, PREPARATION AND TRANSMISSION OF WRITT ACCESSION OF TISSUE, GROSS AND MICROSCOPIC EXAMINATION, INCLUDING ASSESSMENT OF SURGICAL MARG PROCESSING AND INTERPRETATION OF CYTOLOGIC SMEARS, INCLUDING THE PREPARATION AND TRANSMISSION OTHER ORAL PATHOLOGY PROCEDU UNSPECIFIED DIAGNOSTIC PROCE DENTAL PROPHYLAXIS ADULT DENTAL PROPHYLAXIS CHILD TOPICAL FLUOR W/ PROPHY CHILD TOPICAL FLUOR W/O PROPHY CHI TOPICAL FLUOR W/O PROPHY ADU TOPICAL FLUORIDE W/ PROPHY A NUTRI COUNSEL-CONTROL CARIES TOBACCO COUNSELING ORAL HYGIENE INSTRUCTION DENTAL SEALANT PER TOOTH SPACE MAINTAINER FXD UNILAT FIXED BILAT SPACE MAINTAINER REMOVE UNILAT SPACE MAINTAIN REMOVE BILAT SPACE MAINTAIN RECEMENT SPACE MAINTAINER AMALGAM-ONE SURFACE, PRIMARY OR PERMANENT AMALGAM-TWO SURFACES, PRIMARY OR PERMANENT AMALGAM-THREE SURFACES, PRIMARY OR PERMANENT AMALGAM-FOUR OR MORE SURFACES, PRIMARY OR PERMANENT RESIN ONE SURFACE- ANTERIOR RESIN TWO SURFACES- ANTERIOR RESIN THREE SURFACES- ANTERIO RESIN 4/> SURF OR W/ INCIS AN RESIN-BASED COMPOSITE CROWN, ANTERIOR RESIN-BASED COMPOSITE - ONE SURFACE, POSTERIOR RESIN-BASED COMPOSITE - TWO SURFACES, POSTERIOR RESIN-BASED COMPOSITE - THREE SURFACES, POSTERIOR RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES, POSTERIOR DENTAL GOLD FOIL ONE SURFACE DENTAL GOLD FOIL TWO SURFACE DENTAL GOLD FOIL THREE SURFA DENTAL INLAY METALIC 1 SURF DENTAL INLAY METALLIC 2 SURF DENTAL INLAY METL 3/ MORE SUR ONLAY-METALLIC-TWO SURFACES DENTAL ONLAY METALLIC 3 SURF DENTAL ONLAY METL 4/ MORE SUR INLAY PORCELAIN/CERAMIC 1 SU INLAY PORCELAIN/CERAMIC 2 SU DENTAL ONLAY PORC 3/ MORE SUR DENTAL ONLAY PORCELIN 2 SURF DENTAL ONLAY PORCELIN 3 SURF DENTAL ONLAY PORC 4/ MORE SUR INLAY - RESIN-BASED COMPOSITE - ONE SURFACE INLAY - RESIN-BASED COMPOSITE - TWO SURFACES
- 415. INLAY - RESIN-BASEDCOMPOSITE - THREE OR MORE SURFACES ONLAY - RESIN-BASED COMPOSITE - TWO SURFACES ONLAY - RESIN-BASED COMPOSITE - THREE SURFACES ONLAY - RESIN-BASED COMPOSITE - FOUR OR MORE SURFACES CROWN - RESIN (INDIRECT) CROWN RESIN W/ HIGH NOBLE ME CROWN RESIN W/ BASE METAL CROWN RESIN W/ NOBLE METAL CROWN PORCELAIN/CERAMIC SUBS CROWN PORCELAIN W/ H NOBLE M CROWN PORCELAIN FUSED BASE M CROWN PORCELAIN W/ NOBLE MET CROWN - 3/4 CAST HIGH NOBLE METAL CROWN - 3/4 CAST PREDOMINANTLY BASE METAL CROWN - 3/4 CAST NOBLE METAL (SINGLE RESTORATION ONLY) CROWN - 3/4 PORCELAIN/CERAMIC (SINGLE RESTORATION ONLY) CROWN FULL CAST HIGH NOBLE M CROWN FULL CAST BASE METAL CROWN FULL CAST NOBLE METAL PROVISIONAL CROWN DENTAL RECEMENT INLAY DENTAL RECEMENT CROWN PREFAB STNLSS STEEL CRWN PRI PREFAB STNLSS STEEL CROWN PE PREFABRICATED RESIN CROWN PREFAB STAINLESS STEEL CROWN DENTAL SEDATIVE FILLING CORE BUILD-UP INCL ANY PINS TOOTH PIN RETENTION POST AND CORE CAST + CROWN EACH ADDITIONAL CAST POST - SAME TOOTH (OTHER RESTORATIVE SERVICES) PREFAB POST/CORE + CROWN POST REMOVAL EACH ADDITIONAL PREFABRICATED POST - SAME TOOTH (OTHER RESTORATIVE SERVICES) LAMINATE LABIAL VENEER LAB LABIAL VENEER RESIN LAB LABIAL VENEER PORCELAIN TEMPORARY- FRACTURED TOOTH CROWN REPAIR DENTAL UNSPEC RESTORATIVE PR PULP CAP DIRECT PULP CAP INDIRECT THERAPEUTIC PULPOTOMY (EXCLUDING FINAL RESTORATION) REMOVAL OF PULP CORONAL TO THE DENTINOCE PULPAL DEBRIDEMENT, PRIMARY AND PERMANENT TEETH PULPAL THERAPY ANTERIOR PRIM PULPAL THERAPY POSTERIOR PRI ANTERIOR ROOT CANAL THERAPY 2 CANALS ROOT CANAL THERAPY 3 CANALS TREATMENT OF ROOT CANAL OBSTRUCTION; NON-SURGICAL ACCESS INCOMPLETE ENDODONTIC THERAPY; INOPERABLE OR FRACTURED TOOTH INTERNAL ROOT REPAIR OF PERFORATION DEFECTS
- 416. RETREAT ROOT CANALANTERIOR RETREAT ROOT CANAL BICUSPID RETREAT ROOT CANAL MOLAR APEXIFICATION/RECALC INITIAL APEXIFICATION/RECALC INTERIM APEXIFICATION/RECALC FINAL APICOECT/PERIRAD SURG ANTER ROOT SURGERY BICUSPID ROOT SURGERY MOLAR ROOT SURGERY EA ADD ROOT RETROGRADE FILLING ROOT AMPUTATION ENDODONTIC ENDOSSEOUS IMPLAN INTENTIONAL REPLANTATION ISOLATION-TOOTH W RUBB DAM TOOTH SPLITTING CANAL PREP/FITTING OF DOWEL ENDODONTIC PROCEDURE GINGIVECTOMY OR GINGIVOPLASTY - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES, PER Q GINGIVECTOMY OR GINGIVOPLASTY - ONE TO THREE TEETH, PER QUADRANT GINGIVAL FLAP PROCEDURE, INCLUDING ROOT PLANING - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TE GINGIVAL FLAP PROCEDURE, INCLUDING ROOT PLANING - ONE TO THREE TEETH, PER QUADRANT APICALLY POSITIONED FLAP CROWN LENGTHEN HARD TISSUE OSSEOUS SURGERY (INCLUDING FLAP ENTRY AND CLOSURE) - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDE OSSEOUS SURGERY (INCLUDING FLAP ENTRY AND CLOSURE) - ONE TO THREE TEETH, PER QUADRANT BONE REPLCE GRAFT FIRST SITE BONE REPLCE GRAFT EACH ADD BIOLOGIC MATERIALS TO AID IN SOFT AND OSSEOUS TISSUE REGENERATION GUIDED TISSUE REGENERATION - RESORBABLE BARRIER, PER SITE GUIDED TISSUE REGENERATION - NONRESORBABLE BARRIER, PER SITE, (INCLUDES MEMBRANE REMOVAL) SURGICAL REVISION PROCEDURE, PER TOOTH PEDICLE SOFT TISSUE GRAFT PR FREE SOFT TISSUE GRAFT PROC SUBEPITHELIAL CONNECTIVE TISSUE GRAFT PROCEDURES DISTAL/PROXIMAL WEDGE PROC SOFT TISSUE ALLOGRAFT COMBINED CONNECTIVE TISSUE AND DOUBLE PEDICLE GRAFT PROVISION SPLNT INTRACORONAL PROVISIONAL SPLINT EXTRACORO PERIODONTAL SCALING AND ROOT PLANING - FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACE PERIODONTAL SCALING AND ROOT PLANING - ONE TO THREE TEETH, PER QUADRANT FULL MOUTH DEBRIDEMENT TO ENABLE COMPREHENSIVE EVALUATION AND DIAGNOSIS LOCALIZED CHEMO DELIVERY PERIODONTAL MAINTENANCE UNSCHEDULED DRESSING CHANGE UNSPECIFIED PERIODONTAL PROC DENTURES COMPLETE MAXILLARY DENTURES COMPLETE MANDIBLE DENTURES IMMEDIAT MAXILLARY DENTURES IMMEDIAT MANDIBLE DENTURES MAXILL PART RESIN
- 417. DENTURES MAND PARTRESIN DENTURES MAXILL PART METAL DENTURES MANDIBL PART METAL REMOVABLE PARTIAL DENTURE DENTURES ADJUST CMPLT MAXIL DENTURES ADJUST CMPLT MAND DENTURES ADJUST PART MAXILL DENTURES ADJUST PART MANDBL DENTUR REPR BROKEN COMPL BAS REPLACE DENTURE TEETH COMPLT DENTURES REPAIR RESIN BASE REP PART DENTURE CAST FRAME REP PARTIAL DENTURE CLASP REPLACE PART DENTURE TEETH ADD TOOTH TO PARTIAL DENTURE ADD CLASP TO PARTIAL DENTURE REPLACE ALL TEETH AND ACRYLIC ON CAST METAL FRAMEWORK (MAXILLARY) REPLACE ALL TEETH AND ACRYLIC ON CAST METAL FRAMEWORK (MANDIBULAR) DENTURES REBASE CMPLT MAXIL DENTURES REBASE CMPLT MAND DENTURES REBASE PART MAXILL DENTURES REBASE PART MANDBL DENTURE RELN CMPLT MAXIL CH DENTURE RELN CMPLT MAND CHR DENTURE RELN PART MAXIL CHR DENTURE RELN PART MAND CHR DENTURE RELN CMPLT MAX LAB DENTURE RELN CMPLT MAND LAB DENTURE RELN PART MAXIL LAB DENTURE RELN PART MAND LAB DENTURE INTERM CMPLT MAXILL DENTURE INTERM CMPLT MANDBL DENTURE INTERM PART MAXILL DENTURE INTERM PART MANDBL DENTURE TISS CONDITN MAXILL DENTURE TISS CONDTIN MANDBL OVERDENTURE COMPLETE OVERDENTURE PARTIAL PRECISION ATTACHMENT BY REPORT REPLACEMENT OF REPLACEABLE PART OF SEMI-PRECISION OR PRECISION ATTACHMENT (MALE OR FEMALE COM MODIFICATION OF REMOVABLE PROSTHESIS FOLLOWING IMPLANT SURGERY REMOVABLE PROSTHODONTIC PROC FACIAL MOULAGE SECTIONAL FACIAL MOULAGE COMPLETE NASAL PROSTHESIS AURICULAR PROSTHESIS ORBITAL PROSTHESIS OCULAR PROSTHESIS FACIAL PROSTHESIS NASAL SEPTAL PROSTHESIS OCULAR PROSTHESIS INTERIM CRANIAL PROSTHESIS
- 418. FACIAL AUGMENTATION IMPLANT REPLACEMENTNASAL PROSTHESIS AURICULAR REPLACEMENT ORBITAL REPLACEMENT FACIAL REPLACEMENT SURGICAL OBTURATOR POSTSURGICAL OBTURATOR REFITTING OF OBTURATOR MANDIBULAR FLANGE PROSTHESIS MANDIBULAR DENTURE PROSTH TEMP OBTURATOR PROSTHESIS TRISMUS APPLIANCE FEEDING AID PEDIATRIC SPEECH AID ADULT SPEECH AID SUPERIMPOSED PROSTHESIS PALATAL LIFT PROSTHESIS INTRAORAL CON DEF INTER PLT INTRAORAL CON DEF MOD PALAT MODIFY SPEECH AID PROSTHESIS SURGICAL STENT RADIATION APPLICATOR RADIATION SHIELD RADIATION CONE LOCATOR FLUORIDE APPLICATOR COMMISSURE SPLINT SURGICAL SPLINT MAXILLOFACIAL PROSTHESIS ODONTICS ENDOSTEAL IMPLANT ODONTICS ABUTMENT PLACEMENT ODONTICS EPOSTEAL IMPLANT ODONTICS TRANSOSTEAL IMPLNT IMPLANT/ABUTMENT SUPPORTED REMOVABLE DENTURE FOR COMPLETELY EDENTULOUS ARCH IMPLANT/ABUTMENT SUPPORTED REMOVABLE DENTURE FOR PARTIALLY EDENTULOUS ARCH IMPLANT CONNECTING BAR PREFABRICATED ABUTMENT CUSTOM ABUTMENT ABUTMENT SUPPORTED PORCELAIN/CERAMIC CROWN ABUTMENT SUPPORTED PORCELAIN FUSED TO METAL CROWN (HIGH NOBLE METAL) ABUTMENT SUPPORTED PORCELAIN FUSED TO METAL CROWN (PREDOMINANTLY BASE METAL) ABUTMENT SUPPORTED PORCELAIN FUSED TO METAL CROWN (NOBLE METAL) ABUTMENT SUPPORTED CAST METAL CROWN (HIGH NOBLE METAL) ABUTMENT SUPPORTED CAST METAL CROWN (PREDOMINANTLY BASE METAL) ABUTMENT SUPPORTED CAST METAL CROWN (NOBLE METAL) IMPLANT SUPPORTED PORCELAIN/CERAMIC CROWN IMPLANT SUPPORTED PORCELAIN FUSED TO METAL CROWN (TITANIUM, TITANIUM ALLOY, HIGH NOBLE METAL) IMPLANT SUPPORTED METAL CROWN (TITANIUM, TITANIUM ALLOY, HIGH NOBLE METAL) ABUTMENT SUPPORTED RETAINER FOR PORCELAIN/CERAMIC FPD ABUTMENT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD (HIGH NOBLE METAL) ABUTMENT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD (PREDOMINANTLY BASE METAL) ABUTMENT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD (NOBLE METAL) ABUTMENT SUPPORTED RETAINER FOR CAST METAL FPD (HIGH NOBLE METAL)
- 419. ABUTMENT SUPPORTED RETAINERFOR CAST METAL FPD (PREDOMINANTLY BASE METAL) ABUTMENT SUPPORTED RETAINER FOR CAST METAL FPD (NOBLE METAL) IMPLANT SUPPORTED RETAINER FOR CERAMIC FPD IMPLANT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD (TITANIUM, TITANIUM ALLOY, OR HIGH N IMPLANT SUPPORTED RETAINER FOR CAST METAL FPD (TITANIUM, TITANIUM ALLOY, OR HIGH NOBLE METAL) IMPLANT/ABUTMENT SUPPORTED FIXED DENTURE FOR COMPLETELY EDENTULOUS ARCH IMPLANT/ABUTMENT SUPPORTED FIXED DENTURE FOR PARTIALLY EDENTULOUS ARCH IMPLANT MAINTENANCE REPAIR IMPLANT ODONTICS REPR ABUTMENT REMOVAL OF IMPLANT IMPLANT PROCEDURE PROSTHODONT HIGH NOBLE METAL BRIDGE BASE METAL CAST BRIDGE NOBLE METAL CAST BRIDGE PORCELAIN HIGH NOBLE BRIDGE PORCELAIN BASE METAL BRIDGE PORCELAIN NOBEL METAL PONTIC - PORCELAIN/CERAMIC BRIDGE RESIN W/HIGH NOBLE BRIDGE RESIN BASE METAL BRIDGE RESIN W/NOBLE METAL PROVISIONAL PONTIC DENTAL RETAINR CAST METL RETAINER - PORCELAIN/CERAMIC FOR RESIN BONDED FIXED PROSTHESIS INLAY-PORCELAIN/CERAMIC, TWO SURFACES INLAY - PORCELAIN/CERAMIC, THREE OR MORE SURFACES INLAY - CAST HIGH NOBLE METAL, TWO SURFACES INLAY - CAST HIGH NOBLE METAL, THREE OR MORE SURFACES INLAY - CAST PREDOMINANTLY BASE METAL, TWO SURFACES INLAY - CAST PREDOMINANTLY BASE METAL, THREE OR MORE SURFACES INLAY - CAST NOBLE METAL, TWO SURFACES INLAY - CAST NOBLE METAL, THREE OR MORE SURFACES ONLAY - PORCELAIN/CERAMIC, TWO SURFACES ONLAY - PORCELAIN/CERAMIC, THREE OR MORE SURFACES ONLAY - CAST HIGH NOBLE METAL, TWO SURFACES ONLAY - CAST HIGH NOBLE METAL, THREE OR MORE SURFACES ONLAY - CAST PREDOMINANTLY BASE METAL, TWO SURFACES ONLAY - CAST PREDOMINANTLY BASE METAL, THREE OR MORE SURFACES ONLAY - CAST NOBLE METAL, TWO SURFACES ONLAY - CAST NOBLE METAL, THREE OR MORE SURFACES RETAIN CROWN RESIN W HI NBLE CROWN RESIN W/BASE METAL CROWN RESIN W/NOBLE METAL CROWN - PORCELAIN/CERAMIC CROWN PORCELAIN HIGH NOBLE CROWN PORCELAIN BASE METAL CROWN PORCELAIN NOBLE METAL CROWN 3/4 HIGH NOBLE METAL CROWN - 3/4 CAST PREDOMINANTLY BASED METAL CRWN - 3/4 CAST NOBLE METAL (FIXED PARTIAL DENTURE RETAINERS) CROWN - 3/4 PORCELAIN/CERAMIC (FIXED PARTIAL DENTURE RETAINERS-CROWNS)
- 420. CROWN FULL HIGHNOBLE METAL CROWN FULL BASE METAL CAST CROWN FULL NOBLE METAL CAST PROVISIONAL RETAINER CROWN DENTAL CONNECTOR BAR DENTAL RECEMENT BRIDGE STRESS BREAKER PRECISION ATTACH POST & CORE PLUS RETAINER CAST POST BRIDGE RETAINER PREFAB POST & CORE PLUS RETA CORE BUILD UP FOR RETAINER COPING METAL EACH ADDITIONAL CAST POST - SAME TOOTH (OTHER FIXED PARTIAL DENTURE SERVICES) EA ADDITIONAL PREFABRICATED POST - SAME TOOTH (OTHER FIXED PARTIAL DENTURE SERVICES) BRIDGE REPAIR PEDIATRIC PARTIAL DENTURE, FIXED FIXED PROSTHODONTIC PROC CORONAL REMNANTS - DECIDUOUS TOOTH EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT (ELEVATION AND/OR FORCEPS REMOVAL) REM IMP TOOTH W MUCOPER FLP IMPACT TOOTH REMOV SOFT TISS IMPACT TOOTH REMOV PART BONY IMPACT TOOTH REMOV COMP BONY IMPACT TOOTH REM BONY W/ COMP SURG REMOV TOOTH ROOTS (CUT PROC) ORAL ANTRAL FISTULA CLOSURE PRIMARY CLOSURE OF A SINUS PERFORATION TOOTH REIMPLANTATION AND/OR STABILIZATION OF ACCIDENTALLY EVULSED OR DISPLACED TOOTH TOOTH TRANSPLANTATION SURGICAL ACCESS OF AN UNERUPTED TOOTH EXPOSURE TOOTH AID ERUPTION MOBILIZATION OF ERUPTED OR MALPOSITIONED TOOTH TO AID ERUPTION BIOPSY OF ORAL TISSUE - HARD (BONE, TOOTH) BIOPSY OF ORAL TISSUE - SOFT (ALL OTHERS) CYTOLOGY SAMPLE COLLECTION REPOSITIONING OF TEETH TRANSSEPTAL FIBEROTOMY/SUPRA CRESTAL FIBEROTOMY, BY REPORT ALVEOPLASTY W/ EXTRACTION ALVEOPLASTY W/O EXTRACTION VESTIBULOPLASTY RIDGE EXTENS VESTIBULOPLASTY EXTEN GRAFT EXCISION OF BENIGN LESION UP TO 1.25 CM EXCISION OF BENIGN LESION GREATER THAN 1.25 CM EXCISION OF BENIGN LESION, COMPLICATED EXCISION OF MALIGNANT LESION UP TO 1.25 CM EXCISION OF MALIGNANT LESION GREATER THAN 1.25 CM EXCISION OF MALIGNANT LESION, COMPLICATED MALIG TUMOR EXC TO 125 CM MALIG TUMOR > 125 CM REMOVAL OF BENIGN ODONTOGENIC CYST OR TUMOR-LESION DIAMETER UP T0 1.25 CM REMOVAL OF BENIGN ODONTOGENIC CYST OR TUMOR-LESION DIAMETER GREATER THAN 1.25 CM
- 421. REMOVAL OF BENIGNNONODONTOGENIC CYST OR TUMOR-LESION DIAMETER UP TO 1.25 CM REMOVAL OF BENIGN NONODONTOGENIC CYST OR TUMOR-LESION DIAMETER GREATER THAN 1.25 CM LESION DESTRUCTION REMOVAL OF LATERAL EXOSTOSIS (MAXILLA OR MANDIBLE) REMOVAL OF TORUS PALATINUS REMOVAL OF TORUS MANDIBULARIS SURGICAL REDUCTION OF OSSEOUS TUBEROSITY MANDIBLE RESECTION I&D ABSC INTRAORAL SOFT TISS I&D ABSCESS EXTRAORAL REMOVAL OF FOREIGN BODY FROM MUCOSA, SKIN, OR SUBCUTANEOUS ALVEOLAR TISSUE REMOVAL OF FB REACTION PARTIAL OSTECTOMY/SEQUESTRECTOMY FOR REMOVAL OF NON-VITAL BONE MAXILLARY SINUSOTOMY MAXILLA OPEN REDUCT SIMPLE CLSD REDUCT SIMPL MAXILLA FX OPEN RED SIMPL MANDIBLE FX CLSD RED SIMPL MANDIBLE FX OPEN RED SIMP MALAR/ ZYGOM FX CLSD RED SIMP MALAR/ ZYGOM FX ALVEOLUS - CLOSED REDUCTION, MAY INCLUDE STABILIZATION OF TEETH ALVEOLUS - OPEN REDUCTION, MAY INCLUDE STABILIZATION OF TEETH REDUCT SIMPLE FACIAL BONE FX MAXILLA OPEN REDUCT COMPOUND CLSD REDUCT COMPD MAXILLA FX OPEN REDUCT COMPD MANDBLE FX CLSD REDUCT COMPD MANDBLE FX OPEN RED COMP MALAR/ ZYGMA FX CLSD RED COMP MALAR/ ZYGMA FX ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH ALVEOLUS, CLOSED REDUCTION STABILIZATION OF TEETH REDUCT COMPND FACIAL BONE FX TMJ OPEN REDUCT- DISLOCATION CLOSED TMP MANIPULATION TMJ MANIPULATION UNDER ANEST REMOVAL OF TMJ CONDYLE TMJ MENISCECTOMY TMJ REPAIR OF JOINT DISC TMJ EXCISN OF JOINT MEMBRANE TMJ CUTTING OF A MUSCLE TMJ RECONSTRUCTION TMJ CUTTING INTO JOINT TMJ RESHAPING COMPONENTS TMJ ASPIRATION JOINT FLUID NON-ARTHROSCOPIC LYSIS AND LAVAGE TMJ DIAGNOSTIC ARTHROSCOPY TMJ ARTHROSCOPY LYSIS ADHESN TMJ ARTHROSCOPY DISC REPOSIT TMJ ARTHROSCOPY SYNOVECTOMY TMJ ARTHROSCOPY DISCECTOMY TMJ ARTHROSCOPY DEBRIDEMENT OCCLUSAL ORTHOTIC APPLIANCE
- 422. TMJ UNSPECIFIED THERAPY DENTSUTURE RECENT WOUND TO 5 CM DENTAL SUTURE WOUND TO 5 CM SUTURE COMPLICATE WND > 5 CM DENTAL SKIN GRAFT RESHAPING BONE ORTHOGNATHIC OSTEOTOMY- MANDIBULAR RAMI OSTEOTOMY - MANDIBULAR RAMI WITH BONE GRAFT; INCLUDES OBTAINING THE GRAFT BONE CUTTING SEGMENTED BONE CUTTING BODY MANDIBLE RECONSTRUCTION MAXILLA TOTAL RECONSTRUCT MAXILLA SEGMENT RECONSTRUCT MIDFACE NO GRAFT RECONSTRUCT MIDFACE W/ GRAFT MANDIBLE GRAFT REPAIR MAXILLOFACIAL DEFECTS FRENULECTOMY/ FRENULOTOMY EXCISION HYPERPLASTIC TISSUE EXCISION PERICORONAL GINGIVA SURGICAL REDUCTION OF FIBROUS TUBEROSITY SIALOLITHOTOMY EXCISION OF SALIVARY GLAND SIALODOCHOPLASTY CLOSURE OF SALIVARY FISTULA EMERGENCY TRACHEOTOMY DENTAL CORONOIDECTOMY SYNTHETIC GRAFT FACIAL BONES IMPLANT MANDIBLE FOR AUGMENT APPLIANCE REMOVAL (NOT BY DENTIST WHO PLACED APPLIANCE), INCLUDES REMOVAL OF ARCHBAR ORAL SURGERY PROCEDURE LIMITED DENTAL TX PRIMARY LIMITED DENTAL TX TRANSITION LIMITED DENTAL TX ADOLESCENT LIMITED DENTAL TX ADULT NTERCEP DENTAL TX PRIMARY INTERCEP DENTAL TX TRANSITION COMPRE DENTAL TX TRANSITION COMPRE DENTAL TX ADOLESCENT COMPRE DENTAL TX ADULT ORTHODONTIC REM APPLIANCE TX FIXED APPLIANCE THERAPY HABT PREORTHODONTIC TX VISIT PERIODIC ORTHODONTIC TX VISIT ORTHODONTIC RETENTION ORTHODONTIC TREATMENT REPAIR OF ORTHODONTIC APPLIANCE REPLACEMENT OF LOST OR BROKEN RETAINER ORTHODONTIC PROCEDURE TX DENTAL PAIN MINOR PROC DENT ANESTHESIA W/O SURGERY REGIONAL BLOCK ANESTHESIA TRIGEMINAL BLOCK ANESTHESIA
- 423. LOCAL ANESTHESIA DEEP SEDATION/GENERALANESTHESIA-FIRST 30 MINUTES DEEP SEDATION/GENERAL ANESTHESIA-EACH ADDITIONAL 15 MINUTES ANALGESIA, ANXIOLYSIS, INHALATION OF NITROUS OXIDE INTRAVENOUS CONSCIOUS SEDATION/ANALGESIA - FIRST 30 MINUTES INTRAVENOUS CONSCIOUS SEDATION/ANALGESIA - EACH ADDITIONAL 15 MINUTES NON-INTRAVENOUS CONSCIOUS SEDATION DENTAL CONSULTATION HOUSE/EXTENDED CARE FACILITY CALL HOSPITAL CALL OFFICE VISIT DURING HOURS OFFICE VISIT AFTER HOURS CASE PRESENTATION, DETAILED AND EXTENSIVE TREATMENT PLANNING DENT THERAPEUTIC DRUG INJECT OTHER DRUGS/MEDICAMENTS DENT APPL DESENSITIZING MED APPLICATION OF DESENSITIZING RESIN FOR CERVICAL AND/OR ROOT SURFACE, PER TOOTH BEHAVIOR MANAGEMENT TREATMENT OF COMPLICATIONS DENTAL OCCLUSAL GUARD FABRICATION ATHLETIC GUARD OCCLUSION ANALYSIS LIMITED OCCLUSAL ADJUSTMENT COMPLETE OCCLUSAL ADJUSTMENT ENAMEL MICROABRASION ODONTOPLASTY 1 - 2 TEETH; INCLUDES REMOVAL OF ENAMEL PROJECTIONS EXTERNAL BLEACHING - PER ARCH EXTERNAL BLEACHING - PER TOOTH INTERNAL BLEACHING - PER TOOTH ADJUNCTIVE PROCEDURE CANE, INCLUDES CANES OF ALL MATERIALS, ADJUSTABLE OR FIXED, WITH TIP CANE, QUAD OR THREE PRONG, INCLUDES CANES OF ALL MATERIALS, ADJUSTABLE OR FIXED, WITH TIPS CRUTCHES, FOREARM, INCLUDES CRUTCHES OF VARIOUS MATERIALS, ADJUSTABLE OR FIXED, PAIR, COMPLETE CRUTCH FOREARM, INCLUDES CRUTCHES OF VARIOUS MATERIALS, ADJUSTABLE OR FIXED, EACH, WITH TIP AND CRUTCHES UNDERARM, WOOD, ADJUSTABLE OR FIXED, PAIR, WITH PADS, TIPS AND HANDGRIPS CRUTCH UNDERARM, WOOD, ADJUSTABLE OR FIXED, EACH, WITH PAD, TIP AND HANDGRIP CRUTCHES UNDERARM, OTHER THAN WOOD, ADJUSTABLE OR FIXED, PAIR, WITH PADS, TIPS AND HANDGRIPS CRUTCH UNDERARM, OTHER THAN WOOD, ADJUSTABLE OR FIXED, EACH, WITH PAD, TIP AND HANDGRIP CRUTCH, UNDERARM, ARTICULATING, SPRING ASSISTED, EACH WALKER, RIGID (PICKUP), ADJUSTABLE OR FIXED HEIGHT WALKER, FOLDING (PICKUP), ADJUSTABLE OR FIXED HEIGHT RIGID WALKER, WHEELED, WITHOUT SEAT RIGID WALKER, WHEELED, WITH SEAT FOLDING WALKER, WHEELED, WITHOUT SEAT ENCLOSED, FRAMED FOLDING WALKER, WHEELED, WITH POSTERIOR SEAT WALKER, WHEELED, WITH SEAT AND CRUTCH ATTACHMENTS FOLDING WALKER, WHEELED, WITH SEAT HEAVY DUTY, MULTIPLE BREAKING SYSTEM, VARIABLE WHEEL RESISTANCE WALKER WALKER, HEAVY DUTY, WITHOUT WHEELS, RIGID OR FOLDING, ANY TYPE, EACH WALKER, HEAVY DUTY, WHEELED, RIGID OR FOLDING, ANY TYPE, EACH PLATFORM ATTACHMENT, FOREARM CRUTCH, EACH PLATFORM ATTACHMENT, WALKER, EACH
- 424. WHEEL ATTACHMENT, RIGIDPICK-UP WALKER, PER PAIR SEAT ATTACHMENT, WALKER CRUTCH ATTACHMENT, WALKER, EACH LEG EXTENSIONS FOR WALKER, PER SET OF FOUR (4) BRAKE ATTACHMENT FOR WHEELED WALKER, REPLACEMENT, EACH SITZ TYPE BATH OR EQUIPMENT, PORTABLE, USED WITH OR WITHOUT COMMODE SITZ TYPE BATH OR EQUIPMENT, PORTABLE, USED WITH OR WITHOUT COMMODE, WITH FAUCET ATTACHMENT/S SITZ BATH CHAIR COMMODE CHAIR, STATIONARY, WITH FIXED ARMS COMMODE CHAIR, MOBILE, WITH FIXED ARMS COMMODE CHAIR, STATIONARY, WITH DETACHABLE ARMS COMMODE CHAIR, MOBILE, WITH DETACHABLE ARMS PAIL OR PAN FOR USE WITH COMMODE CHAIR COMMODE CHAIR, EXTRA WIDE AND/OR HEAVY DUTY, STATIONARY OR MOBILE, WITH OR WITHOUT ARMS, ANY T COMMODE CHAIR WITH SEAT LIFT MECHANISM FOOT REST, FOR USE WITH COMMODE CHAIR, EACH AIR PRESSURE PAD OR CUSHION, NONPOSITIONING WATER PRESSURE PAD OR CUSHION, NONPOSITIONING GEL OR GEL-LIKE PRESSURE PAD OR CUSHION, NONPOSITIONING DRY PRESSURE PAD OR CUSHION, NONPOSITIONING PRESSURE PAD, ALTERNATING WITH PUMP PRESSURE PAD, ALTERNATING WITH PUMP, HEAVY DUTY PUMP FOR ALTERNATING PRESSURE PAD DRY PRESSURE MATTRESS GEL OR GEL-LIKE PRESSURE PAD FOR MATTRESS, STANDARD MATTRESS LENGTH AND WIDTH AIR PRESSURE MATTRESS WATER PRESSURE MATTRESS SYNTHETIC SHEEPSKIN PAD LAMBSWOOL SHEEPSKIN PAD, ANY SIZE HEEL OR ELBOW PROTECTOR, EACH LOW PRESSURE AND POSITIONING EQUALIZATION PAD, FOR WHEELCHAIR POWERED AIR FLOTATION BED (LOW AIR LOSS THERAPY) AIR FLUIDIZED BED GEL PRESSURE MATTRESS AIR PRESSURE PAD FOR MATTRESS, STANDARD MATTRESS LENGTH AND WIDTH WATER PRESSURE PAD FOR MATTRESS, STANDARD MATTRESS LENGTH AND WIDTH DRY PRESSURE PAD FOR MATTRESS, STANDARD MATTRESS LENGTH AND WIDTH HEAT LAMP, WITHOUT STAND (TABLE MODEL), INCLUDES BULB, OR INFRARED ELEMENT PHOTOTHERAPY (BILIRUBIN) LIGHT WITH PHOTOMETER THERAPEUTIC LIGHTBOX, MINIMUM 10,000 LUX, TABLE TOP MODEL HEAT LAMP, WITH STAND, INCLUDES BULB, OR INFRARED ELEMENT ELECTRIC HEAT PAD, STANDARD ELECTRIC HEAT PAD, MOIST WATER CIRCULATING HEAT PAD WITH PUMP WATER CIRCULATING COLD PAD WITH PUMP HOT WATER BOTTLE INFRARED HEATING PAD SYSTEM HYDROCOLLATOR UNIT, INCLUDES PADS ICE CAP OR COLLAR NON-CONTACT WOUND WARMING DEVICE (TEMPERATURE CONTROL UNIT, AC ADAPTER AND POWER CORD) FOR WARMING CARD FOR USE WITH THE NON CONTACT WOUND WARMING DEVICE AND NON CONTACT WOUND WAR PARAFFIN BATH UNIT, PORTABLE (SEE MEDICAL SUPPLY CODE A4265 FOR PARAFFIN)
- 425. PUMP FOR WATERCIRCULATING PAD NON-ELECTRIC HEAT PAD, MOIST HYDROCOLLATOR UNIT, PORTABLE BATH TUB WALL RAIL, EACH BATH TUB RAIL, FLOOR BASE TOILET RAIL, EACH RAISED TOILET SEAT TUB STOOL OR BENCH TRANSFER TUB RAIL ATTACHMENT PAD FOR WATER CIRCULATING HEAT UNIT HOSPITAL BED, FIXED HEIGHT, WITH ANY TYPE SIDE RAILS, WITH MATTRESS HOSPITAL BED, FIXED HEIGHT, WITH ANY TYPE SIDE RAILS, WITHOUT MATTRESS HOSPITAL BED, VARIABLE HEIGHT, HI-LO, WITH ANY TYPE SIDE RAILS, WITH MATTRESS HOSPITAL BED, VARIABLE HEIGHT, HI-LO, WITH ANY TYPE SIDE RAILS, WITHOUT MATTRESS HOSPITAL BED, SEMI-ELECTRIC (HEAD AND FOOT ADJUSTMENT), WITH ANY TYPE SIDE RAILS, WITH MATTRESS HOSPITAL BED, SEMI-ELECTRIC (HEAD AND FOOT ADJUSTMENT), WITH ANY TYPE SIDE RAILS, WITHOUT MATTRES HOSPITAL BED, TOTAL ELECTRIC (HEAD, FOOT AND HEIGHT ADJUSTMENTS), WITH ANY TYPE SIDE RAILS, WITH M HOSPITAL BED, TOTAL ELECTRIC (HEAD, FOOT AND HEIGHT ADJUSTMENTS), WITH ANY TYPE SIDE RAILS, WITHOU HOSPITAL BED, INSTITUTIONAL TYPE INCLUDES: OSCILLATING, CIRCULATING AND STRYKER FRAME, WITH MATTR MATTRESS, INNERSPRING MATTRESS, FOAM RUBBER BED BOARD OVER-BED TABLE BED PAN, STANDARD, METAL OR PLASTIC BED PAN, FRACTURE, METAL OR PLASTIC POWERED PRESSURE-REDUCING AIR MATTRESS BED CRADLE, ANY TYPE HOSPITAL BED, FIXED HEIGHT, WITHOUT SIDE RAILS, WITH MATTRESS HOSPITAL BED, FIXED HEIGHT, WITHOUT SIDE RAILS, WITHOUT MATTRESS HOSPITAL BED, VARIABLE HEIGHT, HI-LO, WITHOUT SIDE RAILS, WITH MATTRESS HOSPITAL BED, VARIABLE HEIGHT, HI-LO, WITHOUT SIDE RAILS, WITHOUT MATTRESS HOSPITAL BED, SEMI-ELECTRIC (HEAD AND FOOT ADJUSTMENT), WITHOUT SIDE RAILS, WITH MATTRESS HOSPITAL BED, SEMI-ELECTRIC (HEAD AND FOOT ADJUSTMENT), WITHOUT SIDE RAILS, WITHOUT MATTRESS HOSPITAL BED, TOTAL ELECTRIC (HEAD, FOOT AND HEIGHT ADJUSTMENTS), WITHOUT SIDE RAILS, WITH MATTRE HOSPITAL BED, TOTAL ELECTRIC (HEAD, FOOT AND HEIGHT ADJUSTMENTS), WITHOUT SIDE RAILS, WITHOUT MAT BED SIDE RAILS, HALF-LENGTH BED SIDE RAILS, FULL-LENGTH BED ACCESSORY: BOARD, TABLE, OR SUPPORT DEVICE, ANY TYPE SAFETY ENCLOSURE FRAME/CANOPY FOR USE WITH HOSPITAL BED, ANY TYPE URINAL; MALE, JUG-TYPE, ANY MATERIAL URINAL; FEMALE, JUG-TYPE, ANY MATERIAL CONTROL UNIT FOR ELECTRONIC BOWEL IRRIGATION/EVACUATION SYSTEM DISPOSABLE PACK (WATER RESERVOIR BAG, SPECULUM, VALVING MECHANISM AND COLLECTION BAG/BOX) FOR AIR PRESSURE ELEVATOR FOR HEEL NONPOWERED ADVANCED PRESSURE REDUCING OVERLAY FOR MATTRESS, STANDARD MATTRESS LENGTH AND POWERED AIR OVERLAY FOR MATTRESS, STANDARD MATTRESS LENGTH AND WIDTH NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS STATIONARY COMPRESSED GASEOUS OXYGEN SYSTEM, RENTAL; INCLUDES CONTAINER, CONTENTS, REGULATO STATIONARY COMPRESSED GAS SYSTEM, PURCHASE; INCLUDES REGULATOR, FLOWMETER, HUMIDIFIER, NEBUL PORTABLE GASEOUS OXYGEN SYSTEM, PURCHASE; INCLUDES REGULATOR, FLOWMETER, HUMIDIFIER, CANNULA PORTABLE GASEOUS OXYGEN SYSTEM, RENTAL; INCLUDES PORTABLE CONTAINER, REGULATOR, FLOWMETER, H PORTABLE LIQUID OXYGEN SYSTEM, RENTAL; INCLUDES PORTABLE CONTAINER, SUPPLY RESERVOIR, HUMIDIFIE
- 426. PORTABLE LIQUID OXYGENSYSTEM, PURCHASE; INCLUDES PORTABLE CONTAINER, SUPPLY RESERVOIR, FLOWM STATIONARY LIQUID OXYGEN SYSTEM, RENTAL; INCLUDES CONTAINER, CONTENTS, REGULATOR, FLOWMETER, H STATIONARY LIQUID OXYGEN SYSTEM, PURCHASE; INCLUDES USE OF RESERVOIR, CONTENTS INDICATOR, REGU OXYGEN CONTENTS, GASEOUS (FOR USE WITH OWNED GASEOUS STATIONARY SYSTEMS OR WHEN BOTH A STA OXYGEN CONTENTS, LIQUID (FOR USE WITH OWNED LIQUID STATIONARY SYSTEMS OR WHEN BOTH A STATIONA PORTABLE OXYGEN CONTENTS, GASEOUS (FOR USE ONLY WITH PORTABLE GASEOUS SYSTEMS WHEN NO STAT PORTABLE OXYGEN CONTENTS, LIQUID (FOR USE ONLY WITH PORTABLE LIQUID SYSTEMS WHEN NO STATIONAR OXIMETER DEVICE FOR MEASURING BLOOD OXYGEN LEVELS NON-INVASIVELY VOLUME VENTILATOR, STATIONARY OR PORTABLE, WITH BACKUP RATE FEATURE, USED WITH INVASIVE INTERFA PRESSURE VENTILATOR WITH PRESSURE CONTROL, PRESSURE SUPPORT AND FLOW TRIGGERING FEATURES OXYGEN TENT, EXCLUDING CROUP OR PEDIATRIC TENTS CHEST SHELL (CUIRASS) CHEST WRAP NEGATIVE PRESSURE VENTILATOR; PORTABLE OR STATIONARY VOLUME VENTILATOR, STATIONARY OR PORTABLE, WITH BACKUP RATE FEATURE, USED WITH NON-INVASIVE INT ROCKING BED WITH OR WITHOUT SIDE RAILS PERCUSSOR, ELECTRIC OR PNEUMATIC, HOME MODEL INTRAPULMONARY PERCUSSIVE VENTILATION SYSTEM AND RELATED ACCESSORIES COUGH STIMULATING DEVICE, ALTERNATING POSITIVE AND NEGATIVE AIRWAY PRESSURE HIGH FREQUENCY CHEST WALL OSCILLATION AIR-PULSE GENERATOR SYSTEM, (INCLUDES HOSES AND VEST), EA OSCILLATORY POSITIVE EXPIRATORY PRESSURE DEVICE, NON-ELECTRIC, ANY TYPE, EACH IPPB MACHINE, ALL TYPES, WITH BUILT-IN NEBULIZATION; MANUAL OR AUTOMATIC VALVES; INTERNAL OR EXTER HUMIDIFIER, DURABLE FOR EXTENSIVE SUPPLEMENTAL HUMIDIFICATION DURING IPPB TREATMENTS OR OXYGEN HUMIDIFIER, DURABLE, GLASS OR AUTOCLAVABLE PLASTIC BOTTLE TYPE, FOR USE WITH REGULATOR OR FLOW HUMIDIFIER, DURABLE FOR SUPPLEMENTAL HUMIDIFICATION DURING IPPB TREATMENT OR OXYGEN DELIVERY COMPRESSOR, AIR POWER SOURCE FOR EQUIPMENT WHICH IS NOT SELF- CONTAINED OR CYLINDER DRIVEN NEBULIZER, WITH COMPRESSOR AEROSOL COMPRESSOR, BATTERY POWERED, FOR USE WITH SMALL VOLUME NEBULIZER AEROSOL COMPRESSOR, ADJUSTABLE PRESSURE, LIGHT DUTY FOR INTERMITTENT USE ULTRASONIC/ELECTRONIC AEROSOL GENERATOR WITH SMALL VOLUME NEBULIZER NEBULIZER, ULTRASONIC, LARGE VOLUME NEBULIZER, DURABLE, GLASS OR AUTOCLAVABLE PLASTIC, BOTTLE TYPE, FOR USE WITH REGULATOR OR FLOW NEBULIZER, WITH COMPRESSOR AND HEATER DISPENSING FEE COVERED DRUG ADMINISTERED THROUGH DME NEBULIZER RESPIRATORY SUCTION PUMP, HOME MODEL, PORTABLE OR STATIONARY, ELECTRIC CONTINUOUS AIRWAY PRESSURE (CPAP) DEVICE BREAST PUMP, MANUAL, ANY TYPE BREAST PUMP, ELECTRIC (AC AND/OR DC), ANY TYPE BREAST PUMP, HEAVY DUTY,HOSPITAL GRADE,PISTON OPERATED,PULSATILE VACUUM SUCTION/RELEASE CYCL VAPORIZER, ROOM TYPE POSTURAL DRAINAGE BOARD HOME BLOOD GLUCOSE MONITOR PACEMAKER MONITOR, SELF-CONTAINED, CHECKS BATTERY DEPLETION, INCLUDES AUDIBLE AND VISIBLE CHEC PACEMAKER MONITOR, SELF-CONTAINED, CHECKS BATTERY DEPLETION AND OTHER PACEMAKER COMPONENTS IMPLANTABLE CARDIAC EVENT RECORDER WITH MEMORY, ACTIVATOR AND PROGRAMMER EXTERNAL DEFIBRILLATOR WITH INTEGRATED ELECTROCARDIOGRAM ANALYSIS APNEA MONITOR, WITHOUT RECORDING FEATURE APNEA MONITOR, WITH RECORDING FEATURE SKIN PIERCING DEVICE FOR COLLECTION OF CAPILLARY BLOOD, LASER, EACH SLING OR SEAT, PATIENT LIFT, CANVAS OR NYLON PATIENT LIFT, KARTOP, BATHROOM OR TOILET SEAT LIFT MECHANISM INCORPORATED INTO A COMBINATION LIFT-CHAIR MECHANISM
- 427. SEPARATE SEAT LIFTMECHANISM FOR USE WITH PATIENT OWNED FURNITURE-ELECTRIC SEPARATE SEAT LIFT MECHANISM FOR USE WITH PATIENT OWNED FURNITURE-NON-ELECTRIC PATIENT LIFT, HYDRAULIC, WITH SEAT OR SLING PATIENT LIFT, ELECTRIC WITH SEAT OR SLING MULTIPOSITIONAL PATIENT SUPPORT SYSTEM, WITH INTEGRATED LIFT, PATIENT ACCESSIBLE CONTROLS PNEUMATIC COMPRESSOR, NONSEGMENTAL HOME MODEL PNEUMATIC COMPRESSOR, SEGMENTAL HOME MODEL WITHOUT CALIBRATED GRADIENT PRESSURE PNEUMATIC COMPRESSOR, SEGMENTAL HOME MODEL WITH CALIBRATED GRADIENT PRESSURE NONSEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, HALF ARM NONSEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, FULL LEG NONSEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, FULL ARM NONSEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, HALF LEG SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, FULL LEG SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, FULL ARM SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, HALF LEG SEGMENTAL GRADIENT PRESSURE PNEUMATIC APPLIANCE, FULL LEG SEGMENTAL GRADIENT PRESSURE PNEUMATIC APPLIANCE, FULL ARM SEGMENTAL GRADIENT PRESSURE PNEUMATIC APPLIANCE, HALF LEG ULTRAVIOLET LIGHT THERAPY SYSTEM PANEL, INCLUDES BULBS/LAMPS, TIMER AND EYE PROTECTION; TREATME ULTRAVIOLET LIGHT THERAPY SYSTEM PANEL, INCLUDES BULBS/LAMPS, TIMER AND EYE PROTECTION, 4 FOOT P ULTRAVIOLET LIGHT THERAPY SYSTEM PANEL, INCLUDES BULBS/LAMPS, TIMER AND EYE PROTECTION, 6 FOOT P ULTRAVIOLET MULTIDIRECTIONAL LIGHT THERAPY SYSTEM IN 6 FOOT CABINET, INCLUDES BULBS/LAMPS, TIMER SAFETY EQUIPMENT (E.G., BELT, HARNESS OR VEST) HELMET WITH FACE GUARD AND SOFT INTERFACE MATERIAL, PREFABRICATED RESTRAINT, ANY TYPE (BODY, CHEST, WRIST OR ANKLE) TENS, TWO LEAD, LOCALIZED STIMULATION TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION DEVICE, FOUR OR MORE LEADS, FOR MULTIPLE NERVE ST FORM-FITTING CONDUCTIVE GARMENT FOR DELIVERY OF TENS OR NMES (WITH CONDUCTIVE FIBERS SEPARATE INCONTINENCE TREATMENT SYSTEM, PELVIC FLOOR STIMULATOR, MONITOR, SENSOR AND/OR TRAINER NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS NEUROMUSCULAR STIMULATOR, ELECTRONIC SHOCK UNIT ELECTROMYOGRAPHY (EMG), BIOFEEDBACK DEVICE OSTEOGENESIS STIMULATOR, ELECTRICAL, NONINVASIVE, OTHER THAN SPINAL APPLICATIONS OSTEOGENESIS STIMULATOR, ELECTRICAL, NONINVASIVE, SPINAL APPLICATIONS OSTEOGENESIS STIMULATOR, ELECTRICAL, SURGICALLY IMPLANTED IMPLANTABLE NEUROSTIMULATOR ELECTRODE, EACH PATIENT PROGRAMMER (EXTERNAL) FOR USE WITH IMPLANTABLE PROGRAMMABLE NEUROSTIMULATOR PULSE ELECTRONIC SALIVARY REFLEX STIMULATOR (INTRAORAL/NONINVASIVE) IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR IMPLANTABLE NEUROSTIMULATOR RADIOFREQUENCY RECEIVER RADIOFREQUENCY TRANSMITTER (EXTERNAL) FOR USE WITH IMPLANTABLE NEUROSTIMULATOR RADIOFREQUE RADIOFREQUENCY TRANSMITTER (EXTERNAL) FOR USE WITH IMPLANTABLE SACRAL ROOT NEUROSTIMULATOR OSTEOGENESIS STIMULATOR, LOW INTENSITY ULTRASOUND, NON-INVASIVE NON-THERMAL PULSED HIGH FREQUENCY RADIOWAVES, HIGH PEAK POWER ELECTROMAGNETIC ENERGY TREA FDA APPROVED NERVE STIMULATOR, WITH REPLACEABLE BATTERIES, FOR TREATMENT OF NAUSEA AND VOMITI IV POLE AMBULATORY INFUSION PUMP, MECHANICAL, REUSABLE, FOR INFUSION 8 HOURS OR GREATER AMBULATORY INFUSION PUMP, MECHANICAL, REUSABLE, FOR INFUSION LESS THAN 8 HOURS AMBULATORY INFUSION PUMP, SINGLE OR MULTIPLE CHANNELS, ELECTRIC OR BATTERY OPERATED, WITH ADMI INFUSION PUMP, IMPLANTABLE, NON-PROGRAMMABLE (INCLUDES ALL COMPONENTS, E.G., PUMP, CATHETER, CO INFUSION PUMP SYSTEM, IMPLANTABLE, PROGRAMMABLE (INCLUDES ALL COMPONENTS, E.G., PUMP, CATHETER EXTERNAL AMBULATORY INFUSION PUMP, INSULIN
- 428. IMPLANTABLE INTRASPINAL (EPIDURAL/INTRATHECAL)CATHETER USED WITH IMPLANTABLE INFUSION PUMP, RE IMPLANTABLE PROGRAMMABLE INFUSION PUMP, REPLACEMENT (EXCLUDES IMPLANTABLE INTRASPINAL CATHET PARENTERAL INFUSION PUMP, STATIONARY, SINGLE OR MULTI-CHANNEL AMBULATORY TRACTION DEVICE, ALL TYPES, EACH TRACTION FRAME, ATTACHED TO HEADBOARD, CERVICAL TRACTION TRACTION STAND, FREE STANDING, CERVICAL TRACTION CERVICAL TRACTION EQUIPMENT NOT REQUIRING ADDITIONAL STAND OR FRAME TRACTION EQUIPMENT, OVERDOOR, CERVICAL TRACTION FRAME, ATTACHED TO FOOTBOARD, EXTREMITY TRACTION, (E.G., BUCK'S) TRACTION STAND, FREE STANDING, EXTREMITY TRACTION, (E.G., BUCK'S) TRACTION FRAME, ATTACHED TO FOOTBOARD, PELVIC TRACTION TRACTION STAND, FREE STANDING, PELVIC TRACTION, (E.G., BUCK'S) TRAPEZE BARS, ALSO KNOWN AS PATIENT HELPER, ATTACHED TO BED, WITH GRAB BAR FRACTURE FRAME, ATTACHED TO BED, INCLUDES WEIGHTS FRACTURE FRAME, FREE STANDING, INCLUDES WEIGHTS PASSIVE MOTION EXERCISE DEVICE TRAPEZE BAR, FREE STANDING, COMPLETE WITH GRAB BAR GRAVITY ASSISTED TRACTION DEVICE, ANY TYPE CERVICAL HEAD HARNESS/HALTER CERVICAL PILLOW PELVIC BELT/HARNESS/BOOT EXTREMITY BELT/HARNESS FRACTURE, FRAME, DUAL WITH CROSS BARS, ATTACHED TO BED, (E.G. BALKEN, 4 POSTER) FRACTURE FRAME, ATTACHMENTS FOR COMPLEX PELVIC TRACTION FRACTURE FRAME, ATTACHMENTS FOR COMPLEX CERVICAL TRACTION TRAY LOOP HEEL, EACH LOOP TOE, EACH PNEUMATIC TIRE, EACH SEMI-PNEUMATIC CASTER, EACH WHEELCHAIR ATTACHMENT TO CONVERT ANY WHEELCHAIR TO ONE ARM DRIVE AMPUTEE ADAPTER (DEVICE USED TO COMPENSATE FOR TRANSFER OF WEIGHT DUE TO LOST LIMBS TO MAINTA BRAKE EXTENSION, FOR WHEELCHAIR ONE-INCH CUSHION, FOR WHEELCHAIR TWO-INCH CUSHION, FOR WHEELCHAIR THREE-INCH CUSHION, FOR WHEELCHAIR FOUR-INCH CUSHION, FOR WHEELCHAIR HOOK ON HEAD REST EXTENSION WHEELCHAIR HAND RIMS WITH EIGHT VERTICAL RUBBER TIPPED PROJECTIONS, PAIR COMMODE SEAT, WHEELCHAIR NARROWING DEVICE, WHEELCHAIR NO.2 FOOTPLATES, EXCEPT FOR ELEVATING LEG REST ANTI-TIPPING DEVICE WHEELCHAIR TRANSFER BOARD OR DEVICE ADJUSTABLE HEIGHT DETACHABLE ARMS, DESK OR FULL-LENGTH, WHEELCHAIR "GRADE-AID" (DEVICE TO PREVENT ROLLING BACK ON AN INCLINE) FOR WHEELCHAIR REINFORCED SEAT UPHOLSTERY, WHEELCHAIR REINFORCED BACK, WHEELCHAIR, UPHOLSTERY OR OTHER MATERIAL WEDGE CUSHION, WHEELCHAIR BELT, SAFETY WITH AIRPLANE BUCKLE, WHEELCHAIR BELT, SAFETY WITH VELCRO CLOSURE, WHEELCHAIR SAFETY VEST, WHEELCHAIR
- 429. ELEVATING LEG REST,EACH UPHOLSTERY SEAT SOLID SEAT INSERT BACK, UPHOLSTERY ARM REST, EACH CALF REST, EACH TIRE, SOLID, EACH CASTER WITH FORK CASTER WITHOUT FORK PNEUMATIC TIRE WITH WHEEL TIRE, PNEUMATIC CASTER WHEEL, SINGLE MODIFICATION TO PEDIATRIC WHEELCHAIR, WIDTH ADJUSTMENT PACKAGE (NOT TO BE DISPENSED WITH INITIAL INTEGRATED SEATING SYSTEM, PLANAR, FOR PEDIATRIC WHEELCHAIR INTEGRATED SEATING SYSTEM, CONTOURED, FOR PEDIATRIC WHEELCHAIR RECLINING BACK, ADDITION TO PEDIATRIC WHEELCHAIR SHOCK ABSORBER FOR MANUAL WHEELCHAIR, EACH SHOCK ABSORBER FOR POWER WHEELCHAIR, EACH HEAVY DUTY SHOCK ABSORBER FOR HEAVY DUTY OR EXTRA HEAVY DUTY MANUAL WHEELCHAIR, EACH HEAVY DUTY SHOCK ABSORBER FOR HEAVY DUTY OR EXTRA HEAVY DUTY POWER WHEELCHAIR, EACH RESIDUAL LIMB SUPPORT SYSTEM FOR WHEELCHAIR LATERAL THORACIC SUPPORT, NON-CONTOURED, FOR PEDIATRIC WHEELCHAIR, EACH (INCLUDES HARDWARE) LATERAL THORACIC SUPPORT, CONTOURED, FOR PEDIATRIC WHEELCHAIR, EACH (INCLUDES HARDWARE) LATERAL/ANTERIOR SUPPORT, FOR PEDIATRIC WHEELCHAIR, EACH (INCLUDES HARDWARE) ROLLABOUT CHAIR, ANY AND ALL TYPES WITH CASTERS FIVE INCHES OR GREATER MULTI-POSITIONAL PATIENT TRANSFER SYSTEM, WITH INTEGRATED SEAT, OPERATED BY CARE GIVER TRANSPORT CHAIR, PEDIATRIC SIZE TRANSPORT CHAIR, ADULT SIZE FULLY RECLINING WHEELCHAIR; FIXED FULL-LENGTH ARMS, SWING-AWAY, DETACHABLE, ELEVATING LEGRESTS FULLY RECLINING WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETACHABLE, ELEV POWER ATTACHMENT (TO CONVERT ANY WHEELCHAIR TO MOTORIZED WHEELCHAIR, E.G., SOLO) BATTERY CHARGER DEEP CYCLE BATTERY FULLY RECLINING WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETACHABLE FOOT HEMI-WHEELCHAIR; FIXED FULL-LENGTH ARMS, SWING-AWAY, DETACHABLE, ELEVATING LEGRESTS HEMI-WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETACHABLE, ELEVATING LEGR HEMI-WHEELCHAIR; FIXED FULL-LENGTH ARMS, SWING-AWAY, DETACHABLE FOOTRESTS HEMI-WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETACHABLE FOOTRESTS HIGH-STRENGTH LIGHTWEIGHT WHEELCHAIR; FIXED FULL-LENGTH ARMS, SWING-AWAY, DETACHABLE, ELEVATIN HIGH-STRENGTH LIGHTWEIGHT WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETAC HIGH-STRENGTH LIGHTWEIGHT WHEELCHAIR; FIXED-LENGTH ARMS, SWING-AWAY, DETACHABLE FOOTRESTS HIGH-STRENGTH LIGHTWEIGHT WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETAC WIDE HEAVY-DUTY WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETACHABLE, ELE WIDE HEAVY-DUTY WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH ARMS, SWING-AWAY, DETACHABL SEMI-RECLINING WHEELCHAIR; FIXED FULL-LENGTH ARMS, SWING-AWAY, DETACHABLE, ELEVATING LEGRESTS SEMI-RECLINING WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, ELEVATING LEG REST STANDARD WHEELCHAIR; FIXED FULL-LENGTH ARMS, FIXED OR SWING-AWAY, DETACHABLE FOOTRESTS WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETACHABLE FOOTRESTS WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETACHABLE, ELEVATING LEGRESTS WHEELCHAIR; FIXED FULL-LENGTH ARMS, SWING-AWAY, DETACHABLE, ELEVATING LEGRESTS MANUAL ADULT SIZE WHEELCHAIR, INCLUDES TILT IN SPACE AMPUTEE WHEELCHAIR; FIXED FULL-LENGTH ARMS, SWING-AWAY, DETACHABLE, ELEVATING LEGRESTS
- 430. AMPUTEE WHEELCHAIR; FIXEDFULL-LENGTH ARMS, WITHOUT FOOTRESTS OR LEGRESTS AMPUTEE WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, WITHOUT FOOTRESTS OR LEGRESTS AMPUTEE WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETACHABLE FOOTRESTS AMPUTEE WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETACHABLE, ELEVATING L HEAVY DUTY WHEELCHAIR; FIXED FULL-LENGTH ARMS, SWING-AWAY, DETACHABLE, ELEVATING LEGRESTS AMPUTEE WHEELCHAIR; FIXED FULL-LENGTH ARMS, SWING-AWAY, DETACHABLE FOOTREST MOTORIZED WHEELCHAIR; FIXED FULL-LENGTH ARMS, SWING-AWAY, DETACHABLE, ELEVATING LEGRESTS MOTORIZED WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETACHABLE, ELEVATING MOTORIZED WHEELCHAIR; FIXED FULL-LENGTH ARMS, SWING-AWAY, DETACHABLE FOOTRESTS MOTORIZED WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETACHABLE FOOTREST WHEELCHAIR; SPECIALLY SIZED OR CONSTRUCTED, (INDICATE BRAND NAME, MODEL NUMBER, IF ANY, AND JUST WHEELCHAIR WITH FIXED ARM, FOOTRESTS WHEELCHAIR WITH FIXED ARM, ELEVATING LEGRESTS WHEELCHAIR WITH DETACHABLE ARMS, FOOTRESTS WHEELCHAIR WITH DETACHABLE ARMS, ELEVATING LEGRESTS SEMI-RECLINING BACK FOR CUSTOMIZED WHEEL CHAIR FULL RECLINING BACK FOR CUSTOMIZED WHEELCHAIR SPECIAL HEIGHT ARMS FOR WHEELCHAIR SPECIAL BACK HEIGHT FOR WHEELCHAIR POWER OPERATED VEHICLE (THREE- OR FOUR-WHEEL NONHIGHWAY), SPECIFY BRAND NAME AND MODEL NUMB WHEELCHAIR, PEDIATRIC SIZE, TILT-IN-SPACE, RIGID, ADJUSTABLE, WITH SEATING SYSTEM WHEELCHAIR, PEDIATRIC SIZE, TILT-IN-SPACE, FOLDING, ADJUSTABLE, WITH SEATING SYSTEM WHEELCHAIR, PEDIATRIC SIZE, TILT-IN-SPACE, RIGID, ADJUSTABLE, WITHOUT SEATING SYSTEM WHEELCHAIR, PEDIATRIC SIZE, TILT-IN-SPACE, FOLDING, ADJUSTABLE, WITHOUT SEATING SYSTEM WHEELCHAIR, PEDIATRIC SIZE, RIGID, ADJUSTABLE, WITH SEATING SYSTEM WHEELCHAIR, PEDIATRIC SIZE, FOLDING, ADJUSTABLE, WITH SEATING SYSTEM WHEELCHAIR, PEDIATRIC SIZE, RIGID, ADJUSTABLE, WITHOUT SEATING SYSTEM WHEELCHAIR, PEDIATRIC SIZE, FOLDING, ADJUSTABLE, WITHOUT SEATING SYSTEM LIGHTWEIGHT WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETACHABLE, ELEVATIN LIGHTWEIGHT WHEELCHAIR; FIXED FULL-LENGTH ARMS, SWING-AWAY, DETACHABLE FOOTRESTS LIGHTWEIGHT WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETACHABLE FOOTRES LIGHTWEIGHT WHEELCHAIR; FIXED FULL-LENGTH ARMS, SWING-AWAY, DETACHABLE, ELEVATING LEGRESTS HEAVY DUTY WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, ELEVATING LEGRESTS HEAVY DUTY WHEELCHAIR; FIXED FULL-LENGTH ARMS, SWING-AWAY, DETACHABLE FOOTREST HEAVY DUTY WHEELCHAIR; DETACHABLE ARMS, DESK OR FULL-LENGTH, SWING-AWAY, DETACHABLE FOOTREST HEAVY DUTY WHEELCHAIR; FIXED FULL-LENGTH ARMS, ELEVATING LEGREST SPECIAL WHEELCHAIR SEAT HEIGHT FROM FLOOR SPECIAL WHEELCHAIR SEAT DEPTH, BY UPHOLSTERY SPECIAL WHEELCHAIR SEAT DEPTH AND/OR WIDTH, BY CONSTRUCTION WHIRLPOOL, PORTABLE (OVERTUB TYPE) WHIRLPOOL, NONPORTABLE (BUILT-IN TYPE) REPAIR OR NONROUTINE SERVICE FOR DURABLE MEDICAL EQUIPMENT REQUIRING THE SKILL OF A TECHNICIAN, REGULATOR STAND/RACK IMMERSION EXTERNAL HEATER FOR NEBULIZER OXYGEN CONCENTRATOR, CAPABLE OF DELIVERING 85 PERCENT OR GREATER OXYGEN CONCENTRATION AT TH DURABLE MEDICAL EQUIPMENT, MISCELLANEOUS OXYGEN AND WATER VAPOR ENRICHING SYSTEM WITH HEATED DELIVERY OXYGEN AND WATER VAPOR ENRICHING SYSTEM WITHOUT HEATED DELIVERY CENTRIFUGE, FOR DIALYSIS KIDNEY, DIALYSATE DELIVERY SYSTEM KIDNEY MACHINE, PUMP RECIRCULATING, AIR REMOVAL SYSTEM, FLOWR HEPARIN INFUSION PUMP FOR HEMODIALYSIS
- 431. AIR BUBBLE DETECTORFOR HEMODIALYSIS, EACH, REPLACEMENT PRESSURE ALARM FOR HEMODIALYSIS, EACH, REPLACEMENT BATH CONDUCTIVITY METER FOR HEMODIALYSIS, EACH BLOOD LEAK DETECTOR FOR HEMODIALYSIS, EACH, REPLACEMENT ADJUSTABLE CHAIR, FOR ESRD PATIENTS TRANSDUCER PROTECTORS/FLUID BARRIERS, FOR HEMODIALYSIS, ANY SIZE, PER 10 UNIPUNCTURE CONTROL SYSTEM FOR HEMODIALYSIS HEMODIALYSIS MACHINE AUTOMATIC INTERMITTENT PERITONEAL DIALYSIS SYSTEM CYCLER DIALYSIS MACHINE FOR PERITONEAL DIALYSIS DELIVERY AND/OR INSTALLATION CHARGES FOR HEMODIALYSIS EQUIPMENT REVERSE OSMOSIS WATER PURIFICATION SYSTEM, FOR HEMODIALYSIS DEIONIZER WATER PURIFICATION SYSTEM, FOR HEMODIALYSIS BLOOD PUMP FOR HEMODIALYSIS, REPLACEMENT WATER SOFTENING SYSTEM, FOR HEMODIALYSIS RECIPROCATING PERITONEAL DIALYSIS SYSTEM WEARABLE ARTIFICIAL KIDNEY, EACH COMPACT (PORTABLE) TRAVEL HEMODIALYZER SYSTEM SORBENT CARTRIDGES, FOR HEMODIALYSIS, PER 10 HEMOSTATS, EACH SCALE, EACH DIALYSIS EQUIPMENT, NOT OTHERWISE SPECIFIED JAW MOTION REHABILITATION SYSTEM REPLACEMENT CUSHIONS FOR JAW MOTION REHABILITATION SYSTEM, PACKAGE OF SIX REPLACEMENT MEASURING SCALES FOR JAW MOTION REHABILITATION SYSTEM, PACKAGE OF 200 DYNAMIC ADJUSTABLE ELBOW EXTENSION/FLEXION DEVICE, INCLUDES SOFT INTERFACE MATERIAL BI-DIRECTIONAL STATIC PROGRESSIVE STRETCH ELBOW DEVICE WITH RANGE OF MOTION ADJUSTMENT, INCLUD DYNAMIC ADJUSTABLE FOREARM PRONATION/SUPINATION DEVICE, INCLUDES SOFT INTERFACE MATERIAL DYNAMIC ADJUSTABLE WRIST EXTENSION/FLEXION DEVICE, INCLUDES SOFT INTERFACE MATERIAL BI-DIRECTIONAL STATIC PROGRESSIVE STRETCH WRIST DEVICE WITH RANGE OF MOTION ADJUSTMENT, INCLUD DYNAMIC ADJUSTABLE KNEE EXTENSION/FLEXION DEVICE, INCLUDES SOFT INTERFACE MATERIAL BI-DIRECTIONAL STATIC PROGRESSIVE STRETCH KNEE DEVICE WITH RANGE OF MOTION ADJUSTMENT, INCLUDE DYNAMIC ADJUSTABLE ANKLE EXTENSION/FLEXION DEVICE, INCLUDES SOFT INTERFACE MATERIAL BI-DIRECTIONAL STATIC PROGRESSIVE STRETCH ANKLE DEVICE WITH RANGE OF MOTION ADJUSTMENT, INCLUD BI-DIRECTIONAL STATIC PROGRESSIVE STRETCH FOREARM PRONATION/SUPINATION DEVICE WITH RANGE OF M REPLACEMENT SOFT INTERFACE MATERIAL, DYNAMIC ADJUSTABLE EXTENSION/FLEXION DEVICE REPLACEMENT SOFT INTERFACE MATERIAL/CUFFS FOR BI-DIRECTIONAL STATIC PROGRESSIVE STRETCH DEVICE DYNAMIC ADJUSTABLE FINGER EXTENSION/FLEXION DEVICE, INCLUDES SOFT INTERFACE MATERIAL DYNAMIC ADJUSTABLE TOE EXTENSION/FLEXION DEVICE, INCLUDES SOFT INTERFACE MATERIAL DYNAMIC ADJUSTABLE SHOULDER FLEXION/ABDUCTION/ROTATION DEVICE, INCLUDES SOFT INTERFACE MATERI COMMUNICATION BOARD, NON-ELECTRONIC AUGMENTATIVE OR ALTERNATIVE COMMUNICATION DEVICE GASTRIC SUCTION PUMP, HOME MODEL, PORTABLE OR STATIONARY, ELECTRIC BLOOD GLUCOSE MONITOR WITH INTEGRATED VOICE SYNTHESIZER BLOOD GLUCOSE MONITOR WITH INTEGRATED LANCING/BLOOD SAMPLE ROUTINE VENIPUNCTURE FOR COLLECTION OF SPECIMEN(S) ADMINISTRATION OF INFLUENZA VIRUS VACCINE WHEN NO PHYSICIAN FEE SCHEDULE SERVICE ON THE SAME DA ADMINISTRATION OF PNEUMOCOCCAL VACCINE WHEN NO PHYSICIAN FEE SCHEDULE SERVICE ON THE SAME DA ADMINISTRATION OF HEPATITIS B VACCINE WHEN NO PHYSICIAN FEE SCHEDULE SERVICE ON THE SAME DAY COLLAGEN SKIN TEST KIT PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING PREVIOUS PET, G0030-G0047); SINGLE STUDY, REST OR ST PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING PREVIOUS PET, G0030-G0047); MULTIPLE STUDIES, REST OR PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING REST SPECT, 78464); SINGLE STUDY, REST OR STRESS (EX
- 432. PET MYOCARDIAL PERFUSIONIMAGING, (FOLLOWING REST SPECT, 78464); MULTIPLE STUDIES, REST OR STRESS PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING STRESS SPECT, 78465); SINGLE STUDY, REST OR STRESS ( PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING STRESS SPECT, 78465); MULTIPLE STUDIES, REST OR STRE PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING CORONARY ANGIOGRAPHY, 93510-93529); SINGLE STUDY, R PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING CORONARY ANGIOGRAPHY, 93510-93529); MULTIPLE STUDIE PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING STRESS PLANAR MYOCARDIAL PERFUSION, 78460); SINGLE PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING STRESS PLANAR MYOCARDIAL PERFUSION, 78460); MULTIP PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING STRESS ECHOCARDIOGRAM, 93350); SINGLE STUDY, REST PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING STRESS ECHOCARDIOGRAM, 93350); MULTIPLE STUDIES, R PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING STRESS NUCLEAR VENTRICULOGRAM, 78481 OR 78483); SIN PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING STRESS NUCLEAR VENTRICULOGRAM, 78481 OR 78483); MU PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING REST ECG, 93000); SINGLE STUDY, REST OR STRESS (EXER PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING REST ECG, 93000); MULTIPLE STUDIES, REST OR STRESS (E PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING STRESS ECG, 93015); SINGLE STUDY, REST OR STRESS (EX PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING STRESS ECG, 93015); MULTIPLE STUDIES, REST OR STRESS CERVICAL OR VAGINAL CANCER SCREENING; PELVIC AND CLINICAL BREAST EXAMINATION PROSTATE CANCER SCREENING; DIGITAL RECTAL EXAMINATION PROSTATE CANCER SCREENING; PROSTATE SPECIFIC ANTIGEN TEST (PSA), TOTAL COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK COLORECTAL CANCER SCREENING; ALTERNATIVE TO G0104, SCREENING SIGMOIDOSCOPY, BARIUM ENEMA COLORECTAL CANCER SCREENING; FECAL-OCCULT BLOOD TEST, 1-3 SIMULTANEOUS DETERMINATIONS DIABETES OUTPATIENT SELF-MANAGEMENT TRAINING SERVICES, INDIVIDUAL, PER 30 MINUTES DIABETES OUTPATIENT SELF-MANAGEMENT TRAINING SERVICES, GROUP SESSION (2 OR MORE), PER 30 MINUTE NETT PULMONARY REHABILITATION; EDUCATION/SKILLS TRAINING, INDIVIDUAL NETT PULMONARY REHABILITATION; EDUCATION/SKILLS TRAINING, GROUP NETT PULMONARY REHABILITATION; NUTRITIONAL GUIDANCE, INITIAL NETT PULMONARY REHABILITATION; NUTRITIONAL GUIDANCE, SUBSEQUENT NETT PULMONARY REHABILITATION; PSYCHOSOCIAL CONSULTATION NETT PULMONARY REHABILITATION; PSYCHOLOGICAL TESTING NETT PULMONARY REHABILITATION; PSYCHOSOCIAL COUNSELLING GLAUCOMA SCREENING FOR HIGH RISK PATIENTS FURNISHED BY AN OPTOMETRIST OR OPHTHALMOLOGIST GLAUCOMA SCREENING FOR HIGH RISK PATIENT FURNISHED UNDER THE DIRECT SUPERVISION OF AN OPTOMET COLORECTAL CANCER SCREENING; ALTERNATIVE TO G0105, SCREENING COLONOSCOPY, BARIUM ENEMA COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK COLORECTAL CANCER SCREENING; BARIUM ENEMA SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY REPORTING SYSTEM), COLLECTED IN PRESERVATIV SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY REPORTING SYSTEM), COLLECTED IN PRESERVATIV PET IMAGING REGIONAL OR WHOLE BODY; SINGLE PULMONARY NODULE TRIMMING OF DYSTROPHIC NAILS, ANY NUMBER DIRECT (FACE-TO-FACE WITH PATIENT) SKILLED NURSING SERVICES OF A REGISTERED NURSE PROVIDED IN A C OCCUPATIONAL THERAPY REQUIRING THE SKILLS OF A QUALIFIED OCCUPATIONAL THERAPIST, FURNISHED AS A SINGLE ENERGY X-RAY ABSORPTIOMETRY (SEXA) BONE DENSITY STUDY, ONE OR MORE SITES; APPENDICULAR S SCREENING CYTOPATHOLOGY SMEARS, CERVICAL OR VAGINAL, PERFORMED BY AUTOMATED SYSTEM, WITH MA SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY REPORTING SYSTEM), COLLECTED IN PRESERVATIV SCREENING CYTOPATHOLOGY, CERVICAL/VAGINAL, COLLECTED IN PRESERVATIVE FLUID, AUTOMATED THIN LAY SCREENING CYTOPATHOLOGY, CERVICAL/VAGINAL (ANY RPTING SYSTEM), COLLECTED PRESERVATIVE FLUID, AU SCREENING CYTOPATHOLOGY SMEARS, CERVICAL OR VAGINAL, PERFORMED BY AUTOMATED SYSTEM UNDER P SCREENING CYTOPATHOLOGY SMEARS, CERVICAL OR VAGINAL, PERFORMED BY AUTOMATED SYSTEM WITH MA SERVICES OF PHYSICAL THERAPIST IN HOME HEALTH SETTING, EACH 15 MINUTES SERVICES OF OCCUPATIONAL THERAPIST IN HOME HEALTH SETTING, EACH 15 MINUTES SERVICES OF SPEECH AND LANGUAGE PATHOLOGIST IN HOME HEALTH SETTING, EACH 15 MINUTES
- 433. SERVICES OF SKILLEDNURSE IN HOME HEALTH SETTING, EACH 15 MINUTES SERVICES OF CLINICAL SOCIAL WORKER IN HOME HEALTH SETTING, EACH 15 MINUTES SERVICES OF HOME HEALTH AIDE IN HOME HEALTH SETTING, EACH 15 MINUTES EXTERNAL COUNTERPULSATION, PER TREATMENT SESSION HYPERBARIC OXYGEN TREATMENT NOT REQUIRING PHYSICIAN ATTENDANCE, PER TREATMENT SESSION WOUND CLOSURE UTILIZING TISSUE ADHESIVE(S) ONLY STEREOTACTIC RADIOSURGERY, COMPLETE COURSE OF THERAPY IN ONE SESSION SCHEDULED INTERDISCIPLINARY TEAM CONFERENCE (MINIMUM OF THREE EXCLUSIVE OF PATIENT CARE NURSIN ACTIVITY THERAPY, SUCH AS MUSIC, DANCE, ART OR PLAY THERAPIES NOT FOR RECREATION, RELATED TO THE TRAINING AND EDUCATIONAL SERVICES RELATED TO THE CARE AND TREATMENT OF PATIENT'S DISABLING MENT PHYSICIAN RE-CERTIFICATION MEDICARE-COVERED HOME HEALTH SERVICES,CONTACTS W AGENCY & REVIEW R PHYS CERT, MEDICARE-CVR HOME HEALTH SVCS UNDER HOME HEALTH PLAN, CARE (PT NO PRES), CONTS W H PHYS SUPERVSN,PAT RECEIV MEDICARE-COVERD SRV PROV BY PART HHA REQ COMPLX&MULTIDISC CARE MOD PHYS SUPERVSN,PAT UNDR MEDICARE-APPROVED HOSPICE REQ COMPLX&MULTIDISC CARE MODALITIES INVLV DESTRUCTION OF LOCALIZED LESION OF CHOROID (FOR EXAMPLE, CHOROIDAL NEOVASCULARIZATION); PHOTO SCREENING MAMMOGRAPHY, PRODUCING DIRECT DIGITAL IMAGE, BILATERAL, ALL VIEWS DIAGNOSTIC MAMMOGRAPHY, PRODUCING DIRECT DIGITAL IMAGE, BILATERAL, ALL VIEWS DIAGNOSTIC MAMMOGRAPHY, PRODUCING DIRECT DIGITAL IMAGE, UNILATERAL, ALL VIEWS PET IMAGING WHOLE BODY; DIAGNOSIS; LUNG CANCER, NON-SMALL CELL PET IMAGING WHOLE BODY; INITIAL STAGING; LUNG CANCER; NON-SMALL CELL (REPLACES G0126) PET IMAGING WHOLE BODY; RESTAGING; LUNG CANCER; NON-SMALL PET IMAGING WHOLE BODY; DIAGNOSIS; COLORECTAL PET IMAGING WHOLE BODY; INITIAL STAGING; COLORECTAL PET IMAGING WHOLE BODY; RESTAGING; COLORECTAL CANCER (REPLACES G0163) PET IMAGING WHOLE BODY; DIAGNOSIS; MELANOMA PET IMAGING WHOLE BODY; INITIAL STAGING; MELANOMA PET IMAGING WHOLE BODY; RESTAGING; MELANOMA (REPLACES G0165) PET IMAGING WHOLE BODY; MELANOMA FOR NON-COVERED INDICATIONS PET IMAGING WHOLE BODY; DIAGNOSIS; LYMPHOMA PET IMAGING WHOLE BODY; INITIAL STAGING; LYMPHOMA (REPLACES G0164) PET IMAGING WHOLE BODY; RESTAGING; LYMPHOMA (REPLACES G0164) PET IMAGING WHOLE BODY OR REGIONAL; DIAGNOSIS; HEAD AND NECK CANCER; EXCLUDING THYROID AND CNS PET IMAGING WHOLE BODY OR REGIONAL; INITIAL STAGING; HEAD AND NECK CANCER; EXCLUDING THYROID AND PET IMAGING WHOLE BODY OR REGIONAL; RESTAGING; HEAD AND NECK CANCER, EXCLUDING THYROID AND CN PET IMAGING WHOLE BODY; DIAGNOSIS; ESOPHAGEAL CANCER PET IMAGING WHOLE BODY; INITIAL STAGING; ESOPHAGEAL CANCER PET IMAGING WHOLE BODY; RESTAGING; ESOPHAGEAL CANCER PET IMAGING; METABOLIC BRAIN IMAGING FOR PRE-SURGICAL EVALUATION OF REFRACTORY SEIZURES PET IMAGING; METABOLIC ASSESSMENT FOR MYOCARDIAL VIABILITY FOLLOWING INCONCLUSIVE SPECT STUDY PET, WHOLE BODY, FOR RECURRENCE OF COLORECTAL OR COLORECTAL METASTATIC CANCER; GAMMA CAMER PET, WHOLE BODY, FOR STAGING AND CHARACTERIZATION OF LYMPHOMA; GAMMA CAMERAS ONLY PET, WHOLE BODY, FOR RECURRENCE OF MELANOMA OR MELANOMA METASTATIC CANCER; GAMMA CAMERAS O PET, REGAL/WHOLE BDY, SOLITARY PULMONARY NODULE FOLL CT/FOR INT STGNG, PATHOLOGICALLY DIAGNOSE DIGITIZATION, FILM RADIOGRAPHIC IMAG W COMPUTER ANAL, LES DETECT,/COMP ANAL DIG MAMMO &FURTHER THERAPEUTIC PROCEDURES TO INCREASE STRENGTH OR ENDURANCE OF RESPIRATORY MUSCLES, FACE TO FA THERAPEUTIC PROCEDURES TO IMPROVE RESPIRATORY FUNCTION, OTHER THAN DESCRIBED BY G0237, ONE ON THERAPEUTIC PROCEDURES TO IMPROVE RESPIRATORY FUNCTION / INCREASE STRENGTH / ENDURANCE OF RE MULT-SRC PHOTON STEREOTAC RADSRG PLAN,DOS HISTOGMS,TARGT&CRITICL STRUCTUR TOLERANCES,PLAN MULTI-SOURCE PHOTON STEREOTACTIC RADIOSURGERY, DELIVERY INCLUDING COLLIMATOR CHANGES AND CU OBSERVATION CARE PROVIDED BY A FACILITY TO A PATIENT WITH CHF, CHEST PAIN, OR ASTHMA, MINIMUM EIGH INITIAL PHYSICIAN EVALUATION & MANAGEMENT DIABETIC W SENSORY NEUROPATHY LOSS OF PROTECTIVE SEN FOLLOW-UP PHYSICIAN EVALUATION & MANAGEMENT DIABETIC W SENSORY NEUROPATHY LOSS OF PROTECTIV
- 434. ROUTINE FOOT CAREBY A PHYSICIAN OF A DIABETIC W SENSORY NEUROPATHY LOSS OF PROTECTIVE SENSATI DEMONSTRATION,INITIAL USE,HOME INR MONITORING PATIENT W MECHANICAL HEART VALVE MEDICARE COVER PROVISION OF TEST MATERIALS & EQUIPMENT HOME INR MONITORING TO PATIENT W MECHANICAL HEART VALV PHYSICIAN REVIEW, INTERPRETATION AND PATIENT MANAGEMENT OF HOME INR TESTING FOR A PATIENT WITH LINEAR ACCELERATOR BASED STEREOTACTIC RADIOSURGERY, DELIVERY INCLUDING COLLIMATOR CHANGES & PET IMAGING, FULL AND PARTIAL-RING PET SCANNERS ONLY, FOR INITIAL DIAGNOSIS OF BREAST CANCER AND/O PET IMAGING FOR BREAST CANCER, FULL & PARTIAL-RING PET SCANNERS ONLY, STAGING/RESTAGING OF LOCA PET IMAGING FOR BREAST CANCER, FULL AND PARTIAL-RING PET SCANNERS ONLY, EVALUATION OF RESPONSE CURRENT PERCEPTION THRESHOLD/SENSORY NERVE CONDUCTION TEST, (SNCT) PER LIMB, ANY NERVE PROSTATE BRACHYTHERAPY USING PERMANENTLY IMPLANTED PALLADIUM SEEDS, TRANSPERITONEAL PLACEM UNSCHEDULED OR EMERGENCY DIALYSIS TREATMENT FOR AN ESRD PATIENT IN A HOSPITAL OUTPATIENT DEPA INTRAVENOUS INFUSION DURING SEPARATELY PAYABLE OBSERVATION STAY, PER OBSERVATION STAY (MUST B INJECTION PROCEDURE FOR SACROILIAC JOINT; ARTHROGRAPY INJECTION PROCEDURE FOR SACROILIAC JOINT; PROVISION OF ANESTHETIC, STEROID AND/OR OTHER THERAPE PROSTATE BRACHYTHERAPY PERMANENTLY IMPLANTED IODINE SEEDS, INCLUDING TRANSPERINEAL PLACEMEN SMALL INTESTINAL IMAGING; INTRALUMINAL, FROM LIGAMENT OF TREITZ TO THE ILEO CECAL VALVE, INCLUDES P DIRECT ADMISSION OF PATIENT WITH DIAGNOSIS OF CONGESTIVE HEART FAILURE, CHEST PAIN OR ASTHMA FOR INITIAL NURSING ASSESSMENT OF PATIENT DIRECTLY ADMITTED TO OBSERVATION WITH DIAGNOSIS OTHER THA CRYOPRESERVATION, FREEZING AND STORAGE OF CELLS FOR THERAPEUTIC USE, EACH CELL LINE THAWING AND EXPANSION OF FROZEN CELLS FOR THERAPEUTIC USE, EACH ALIQUOT BONE MARROW OR PERIPHERAL STEM CELL HARVEST, MODIFICATION OR TREATMENT TO ELIMINATE CELL TYPE REMOVAL OF IMPACTED CERUMEN (ONE OR BOTH EARS) BY PHYSICIAN ON SAME DATE OF SERVICE AS AUDIOLO PLACEMENT OF OCCLUSIVE DEVICE INTO EITHER A VENOUS OR ARTERIAL ACCESS SITE, POST SURGICAL OR INT MEDICAL NUTRITION THERAPY; REASSESSMENT & SUBSEQUENT INTERVENTION FOLLOWING 2ND REFERRL SAM MEDICAL NUTRITION THERAPY, REASSESSMENT & SUBSEQUENT INTERVENTION FOLLOWING 2ND REFERRL SAM NASO/ORO GASTRIC TUBE PLACEMENT, REQUIRING PHYSICIAN'S SKILL AND FLUOROSCOPIC GUIDANCE (INCLUDE RADIOPHARMACEUTICAL BIODISTRIBUTION, SINGLE/MULTIPLE SCANS 1 /+ DAYS, PRE-TREATMENT PLANNING RAD RADIOPHARMACEUTICAL THERAPY, NON-HODGKIN'S LYMPHOMA, INCLUDES ADMINISTRATION OF RADIOPHARMA RENAL ARTERY ANGIOGRAPHY PERFORMED TIME OF CARDIAC CATHETERIZATION, INCLUDES CATHETER PLACEM ILIAC ARTERY ANGIOGRAPHY PERFORMED AT THE SAME TIME OF CARDIAC CATHETERIZATION, INCLUDES CATHE EXTRACORPOREAL SHOCK WAVE THERAPY; INVOLVING ELBOW EPICONDYLITIS EXTRACORPOREAL SHOCK WAVE THERAPY; INVOLVING OTHER THAN ELBOW EPICONDYLITIS OR PLANTAR FASC ELECTRICAL STIMULATION,TO 1/+ AREAS,FOR CHRONIC STAGE III & STAGE IV PRESSURE ULCERS,ARTERIAL ULCE ELECTRICAL STIMULATION, (UNATTENDED), TO ONE OR MORE AREAS, FOR WOUND CARE OTHER THAN DESCRIB ELECTRICAL STIMULATION (UNATTENDED), TO ONE OR MORE AREAS FOR INDICATION(S) OTHER THAN WOUND C RECONSTRUCTION, COMPUTED TOMOGRAPHIC ANGIOGRAPHY OF AORTA FOR SURGICAL PLANNING FOR VASCU ARTHROSCOPY, KNEE, SURGICAL, FOR REMOVAL OF LOOSE BODY, FOREIGN BODY, DEBRIDEMENT/SHAVING OF A TRANSCATHETER PLACEMENT OF A DRUG ELUTING INTRACORONARY STENT(S), PERCUTANEOUS, W/ WO OTHER TRANSCATHETER PLACEMENT OF A DRUG ELUTING INTRACORONARY STENT(S), PERCUTANEOUS,W/WO OTHER ADMINISTRATION EXPERIMENTAL DRUG ONLY MEDICARE QUALIFYING CLINICAL TRIAL (INCLUDES ADMINISTRATIO NONCOVERED SURGICAL PROCEDURE(S) USING CONSCIOUS SEDATION, REGIONAL, GENERAL OR SPINAL ANEST NONCOVERED PROCEDURE(S) USING EITHER NO ANESTHESIA OR LOCAL ANESTHESIA ONLY, IN A MEDICARE QUA ELECTROMAGNETIC STIMULATION, TO ONE OR MORE AREAS COORDINATED CARE FEE, INITIAL RATE COORDINATED CARE FEE, MAINTENANCE RATE COORDINATED CARE FEE, RISK ADJUSTED HIGH, INITIAL COORDINATED CARE FEE, RISK ADJUSTED LOW, INITIAL COORDINATED CARE FEE, RISK ADJUSTED MAINTENANCE COORDINATED CARE FEE, HOME MONITORING COORDINATED CARE FEE, SCHEDULE TEAM CONFERENCE COORDINATED CARE FEE, PHYSICIAN COORDINATED CARE OVERSIGHT SERVICES COORDINATED CARE FEE, RISK ADJUSTED MAINTENANCE, LEVEL 3
- 435. COORDINATED CARE FEE,RISK ADJUSTED MAINTENANCE, LEVEL 4 COORDINATED CARE FEE, RISK ADJUSTED MAINTENANCE, LEVEL 5 OTHER SPECIFIED CASE MANAGEMENT SERVICE NOT ELSEWHERE CLASSIFIED SMOKING CESSATION COUNSELING, INDIVIDUAL, IN THE ABSENCE OF OR IN ADDITION TO ANY OTHER EVALUATIO ALCOHOL AND/OR DRUG ASSESSMENT BEHAVIORAL HEALTH SCREENING TO DETERMINE ELIGIBILITY FOR ADMISSION TO TREATMENT PROGRAM ALCOHOL AND/OR DRUG SCREENING; LABORATORY ANALYSIS OF SPECIMENS FOR PRESENCE OF ALCOHOL AND BEHAVIORAL HEALTH COUNSELING AND THERAPY, PER 15 MINUTES ALCOHOL AND/OR DRUG SERVICES; GROUP COUNSELING BY A CLINICIAN ALCOHOL AND/OR DRUG SERVICES; CASE MANAGEMENT ALCOHOL AND/OR DRUG SERVICES; CRISIS INTERVENTION (OUTPATIENT) ALCOHOL AND/OR DRUG SERVICES; SUB-ACUTE DETOXIFICATION (HOSPITAL INPATIENT) ALCOHOL AND/OR DRUG SERVICES; ACUTE DETOXIFICATION (HOSPITAL INPATIENT) ALCOHOL AND/OR DRUG SERVICES; SUB-ACUTE DETOXIFICATION (RESIDENTIAL ADDICTION PROGRAM INPATIEN ALCOHOL AND/OR DRUG SERVICES; ACUTE DETOXIFICATION (RESIDENTIAL ADDICTION PROGRAM INPATIENT) ALCOHOL AND/OR DRUG SERVICES; SUB-ACUTE DETOXIFICATION (RESIDENTIAL ADDICTION PROGRAM OUTPATIE ALCOHOL AND/OR DRUG SERVICES; ACUTE DETOXIFICATION (RESIDENTIAL ADDICTION PROGRAM OUTPATIENT) ALCOHOL AND/OR DRUG SERVICES; AMBULATORY DETOXIFICATION ALCOHOL AND/OR DRUG SERVICES; INTENSIVE OUTPATIENT (TX PRGM OPERATES >= 3 HRS/DAY & >= 3 DAYS/WK ALCOHOL AND/OR DRUG SERVICES; MEDICAL/SOMATIC (MEDICAL INTERVENTION IN AMBULATORY SETTING) BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOA BEHAVIORAL HEALTH; SHORT-TERM RESIDENTIAL (NON-HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHO BEHAVIORAL HEALTH; LONG-TERM RESIDENTIAL (NON-MEDIAL, NON-ACUTE CARE IN A RESIDENTIAL TREATMENT ALCOHOL AND/OR DRUG SERVICES; METHADONE ADMINISTRATION AND/OR SERVICE (PROVISION OF THE DRUG B ALCOHOL AND/OR DRUG TRAINING SERVICE (FOR STAFF AND PERSONNEL NOT EMPLOYED BY PROVIDERS) ALCOHOL AND/OR DRUG INTERVENTION SERVICE (PLANNED FACILITATION) BEHAVIORAL HEALTH OUTREACH SERVICE (PLANNED APPROACH TO REACH A TARGETED POPULATION) BEHAVIORAL HEALTH PREVENTION INFORMATION DISSEMINATION SERVICE (ONE-WAY DIRECT OR NON-DIRECT C BEHAVIORAL HEALTH PREVENTION EDUCATION SERVICE (DELIVERY OF SERVICES WITH TARGET POPULATION TO ALCOHOL AND/OR DRUG PREVENTION PROCESS SERVICE, COMMUNITY-BASED (DELIVERY OF SERVICES TO DEVE ALCOHOL AND/OR DRUG PREVENTION ENVIRONMENTAL SERVICE (BROAD RANGE OF EXTERNAL ACTIVITIES GEA ALCOHOL AND/OR DRUG PREVENTION PROBLEM IDENTIFICATION AND REFERRAL SERVICE (E.G., STUDENT ASSIS ALCOHOL AND/OR DRUG PREVENTION ALTERNATIVES SERVICE (SERVICES FOR POPULATIONS THAT EXCLUDE AL BEHAVIORAL HEALTH HOTLINE SERVICE MENTAL HEALTH ASSESSMENT, BY NON-PHYSICIAN MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY NON-PHYSICIAN ORAL MEDICATION ADMINISTRATION, DIRECT OBSERVATION MEDICATION TRAINING AND SUPPORT, PER 15 MINUTES MENTAL HEALTH PARTIAL HOSPITALIZATION, TREATMENT, LESS THAN 24 HOURS COMMUNITY PSYCHIATRIC SUPPORTIVE TREATMENT, FACE-TO-FACE, PER 15 MINUTES COMMUNITY PSYCHIATRIC SUPPORTIVE TREATMENT PROGRAM, PER DIEM SELF-HELP/PEER SERVICES, PER 15 MINUTES ASSERTIVE COMMUNITY TREATMENT, FACE-TO-FACE, PER 15 MINUTES ASSERTIVE COMMUNITY TREATMENT PROGRAM, PER DIEM FOSTER CARE, CHILD, NON-THERAPEUTIC, PER DIEM FOSTER CARE, CHILD, NON-THERAPEUTIC, PER MONTH SUPPORTED HOUSING, PER DIEM SUPPORTED HOUSING, PER MONTH RESPITE CARE SERVICES, NOT IN THE HOME, PER DIEM MENTAL HEALTH SERVICES, NOT OTHERWISE SPECIFIED ALCOHOL AND/OR OTHER DRUG ABUSE SERVICES, NOT OTHERWISE SPECIFIED ALCOHOL AND/OR OTHER DRUG TESTING: COLLECTION AND HANDLING ONLY, SPECIMENS OTHER THAN BLOOD
- 436. PRENATAL CARE, AT-RISKASSESSMENT PRENATAL CARE, AT-RISK ENHANCED SERVICE; ANTEPARTUM MANAGEMENT PRENATAL CARE, AT RISK ENHANCED SERVICE; CARE COORDINATION PRENATAL CARE, AT-RISK ENHANCED SERVICE; EDUCATION PRENATAL CARE, AT-RISK ENHANCED SERVICE; FOLLOW-UP HOME VISIT PRENATAL CARE, AT-RISK ENHANCED SERVICE PACKAGE (INCLUDES H1001-H1004) NON-MEDICAL FAMILY PLANNING EDUCATION, PER SESSION FAMILY ASSESSMENT BY LICENSED BEHAVIORAL HEALTH PROFESSIONAL FOR STATE DEFINED PURPOSES COMPREHENSIVE MULTIDISCIPLINARY EVALUATION REHABILITATION PROGRAM, PER 1/2 DAY INJECTION, TETRACYCLINE, UP TO 250 MG INJECTION ABCIXIMAB, 10 MG INJECTION, ADENOSINE, 6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEA INJECTION, ADENOSINE, 90 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTE INJECTION, ADRENALIN, EPINEPHRINE, UP TO 1 ML AMPULE INJECTION, BIPERIDEN LACTATE, PER 5 MG INJECTION, ALATROFLOXACIN MESYLATE, 100 MG INJECTION, ALGLUCERASE, PER 10 UNITS INJECTION, AMIFOSTINE, 500 MG INJECTION, METHYLDOPATE HCL, UP TO 250 MG INJECTION, ALPHA 1 - PROTEINASE INHIBITOR - HUMAN, 10 MG INJECTION, ALPROSTADIL, 1.25 MCG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER TH ALPROSTADIL URETHRAL SUPPOSITORY (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDE INJECTION, AMINOPHYLLIN, UP TO 250 MG INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG INJECTION, AMPHOTERICIN B, 50 MG INJECTION, AMPHOTERICIN B LIPID COMPLEX, 10 MG INJECTION, AMPHOTERICIN B CHOLESTERYL SULFATE COMPLEX, 10 MG INJECTION, AMPHOTERICIN B LIPOSOME, 10 MG INJECTION, AMPICILLIN SODIUM, 500 MG INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 G INJECTION, AMOBARBITAL, UP TO 125 MG INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG INJECTION, ANISTREPLASE, PER 30 UNITS INJECTION, HYDRALAZINE HCL, UP TO 20 MG INJECTION, METARAMINOL BITARTRATE, PER 10 MG INJECTION, CHLOROQUINE HCL, UP TO 250 MG INJECTION, ARBUTAMINE HCL, 1 MG INJECTION, AZITHROMYCIN, 500 MG INJECTION, ATROPINE SULFATE, UP TO 0.3 MG INJECTION, DIMERCAPROL, PER 100 MG INJECTION, BACLOFEN, 10 MG INJECTION, BACLOFEN, 50 MCG FOR INTRATHECAL TRIAL INJECTION, DICYCLOMINE HCL, UP TO 20 MG INJECTION, BENZTROPINE MESYLATE, PER 1 MG INJECTION, BETHANECHOL CHLORIDE, MYOTONACHOL OR URECHOLINE, UP TO 5 MG INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 1,200,000 UNITS INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 2,400,000 UNITS INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS INJECTION, PENICILLIN G BENZATHINE, UP TO 1,200,000 UNITS INJECTION, PENICILLIN G BENZATHINE, UP TO 2,400,000 UNITS
- 437. BOTULINUM TOXIN TYPEA, PER UNIT BOTULINUM TOXIN TYPE B, PER 100 UNITS INJECTION, BUPRENORPHINE HYDROCHLORIDE, 0.1 MG INJECTION, EDETATE CALCIUM DISODIUM, UP TO 1000 MG INJECTION, CALCIUM GLUCONATE, PER 10 ML INJECTION, CALCIUM GLYCEROPHOSPHATE AND CALCIUM LACTATE, PER 10 ML INJECTION, CALCITONIN-SALMON, UP TO 400 UNITS INJECTION, CALCITRIOL, 0.1 MCG INJECTION, CASPOFUNGIN ACETATE, 5 MG INJECTION, LEUCOVORIN CALCIUM, PER 50 MG INJECTION, MEPIVACAINE HCL, PER 10 ML INJECTION, CEFAZOLIN SODIUM, 500 MG INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG INJECTION, CEFOXITIN SODIUM, 1 G INJECTION, CEFTRIAXONE SODIUM, PER 250 MG INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG CEFOTAXIME SODIUM, PER G INJECTION, BETAMETHASONE ACETATE AND BETAMETHASONE SODIUM PHOSPHATE, PER 3 MG INJECTION, BETAMETHASONE SODIUM PHOSPHATE, PER 4 MG INJECTION, CAFFEINE CITRATE, 5MG INJECTION, CEPHAPIRIN SODIUM, UP TO 1 G INJECTION, CEFTAZIDIME, PER 500 MG INJECTION, CEFTIZOXIME SODIUM, PER 500 MG INJECTION, CHLORAMPHENICOL SODIUM SUCCINATE, UP TO 1 G INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG INJECTION, CIDOFOVIR, 375 MG INJECTION, CILASTATIN SODIUM; IMIPENEM, PER 250 MG INJECTION, CIPROFLOXACIN FOR INTRAVENOUS INFUSION, 200 MG INJECTION, CODEINE PHOSPHATE, PER 30 MG INJECTION, COLCHICINE, PER 1MG INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG INJECTION, PROCHLORPERAZINE, UP TO 10 MG INJECTION, CORTICOTROPIN, UP TO 40 UNITS INJECTION, COSYNTROPIN, PER 0.25 MG INJECTION, CYTOMEGALOVIRUS IMMUNE GLOBULIN INTRAVENOUS (HUMAN), PER VIAL INJECTION, DARBEPOETIN ALFA, 5 MCG INJECTION, DEFEROXAMINE MESYLATE, 500 MG INJECTION, TESTOSTERONE ENANTHATE AND ESTRADIOL VALERATE, UP TO 1 CC INJECTION, BROMPHENIRAMINE MALEATE, PER 10 MG INJECTION, ESTRADIOL VALERATE, UP TO 40 MG INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG INJECTION, METHYLPREDNISOLONE ACETATE, 20 MG INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG INJECTION, MEDROXYPROGESTERONE ACETATE, 50 MG INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG INJECTION, MEDROXYPROGESTERONE ACETATE/ESTRADIOL CYPIONATE, 5MG/25MG INJECTION, TESTOSTERONE CYPIONATE AND ESTRADIOL CYPIONATE, UP TO 1 ML INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG INJECTION, DEXAMETHASONE ACETATE, 1 MG
- 438. INJECTION, DEXAMETHASONE SODIUMPHOSPHATE, 1MG INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG INJECTION, ACETAZOLAMIDE SODIUM, UP TO 500 MG INJECTION, DIGOXIN, UP TO 0.5 MG INJECTION, PHENYTOIN SODIUM, PER 50 MG INJECTION, HYDROMORPHONE, UP TO 4 MG INJECTION, DYPHYLLINE, UP TO 500 MG INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG INJECTION, CHLOROTHIAZIDE SODIUM, PER 500 MG INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML INJECTION, METHADONE HCL, UP TO 10 MG INJECTION, DIMENHYDRINATE, UP TO 50 MG INJECTION, DIPYRIDAMOLE, PER 10 MG INJECTION, DOBUTAMINE HCL, PER 250 MG INJECTION, DOLASETRON MESYLATE, 10 MG INJECTION, DOXERCALCIFEROL, 1 MCG INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG INJECTION, EPOPROSTENOL, 0.5 MG INJECTION, EPTIFIBATIDE, 5 MG INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG INJECTION, ERYTHROMYCIN LACTOBIONATE, PER 500 MG INJECTION, ESTRADIOL VALERATE, UP TO 10 MG INJECTION, ESTRADIOL VALERATE, UP TO 20 MG INJECTION, ESTROGEN CONJUGATED, PER 25 MG INJECTION, ESTRONE, PER 1 MG INJECTION, ETIDRONATE DISODIUM, PER 300 MG INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE D INJECTION, FILGRASTIM (G-CSF), 300 MCG INJECTION, FILGRASTIM (G-CSF), 480 MCG INJECTION FLUCONAZOLE, 200 MG INJECTION, FOMIVIRSEN SODIUM, INTRAOCULAR, 1.65 MG INJECTION, FOSCARNET SODIUM, PER 1000 MG INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 1 CC INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 2 CC INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 3 CC INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 4 CC INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 5 CC INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 6 CC INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 7 CC INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 8 CC INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 9 CC INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 10 CC INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, OVER 10 CC INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G INJECTION, IMMUNE GLOBULIN, 10 MG INJECTION, RESPIRATORY SYNCYTIAL VIRUS IMMUNE GLOBULIN, INTRAVENOUS, 50 MG INJECTION, GANCICLOVIR SODIUM, 500 MG INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG INJECTION, GATIFLOXACIN, 10MG INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG INJECTION, GLUCAGON HYDROCHLORIDE, PER 1 MG
- 439. INJECTION, GONADORELIN HYDROCHLORIDE,PER 100 MCG INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG INJECTION, HALOPERIDOL, UP TO 5 MG INJECTION, HALOPERIDOL DECANOATE, PER 50 MG INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS INJECTION, HEPARIN SODIUM, PER 1000 UNITS INJECTION, DALTEPARIN SODIUM, PER 2500 IU INJECTION, ENOXAPARIN SODIUM, 10 MG INJECTION, FONDAPARINUX SODIUM, 0.5 MG INJECTION, TINZAPARIN SODIUM, 1000 IU INJECTION, TETANUS IMMUNE GLOBULIN, HUMAN, UP TO 250 UNITS INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG INJECTION, HYDROCORTISONE SODIUM PHOSPHATE, UP TO 50 MG INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG INJECTION, DIAZOXIDE, UP TO 300 MG INJECTION, IBUTILIDE FUMARATE, 1 MG INJECTION INFLIXIMAB, 10 MG INJECTION, IRON DEXTRAN, 50 MG INJECTION, IRON SUCROSE, 1 MG INJECTION, IMIGLUCERASE, PER UNIT INJECTION, DROPERIDOL, UP TO 5 MG INJECTION, PROPRANOLOL HCL, UP TO 1 MG INJECTION, DROPERIDOL AND FENTANYL CITRATE, UP TO 2 ML AMPULE INJECTION, INSULIN, PER 5 UNITS INSULIN FOR ADMINISTRATION THROUGH DME (I.E., INSULIN PUMP) PER 50 UNITS INJECTION, INTERFERON BETA-1A, 33 MCG INJECTION INTERFERON BETA-1B, 0.25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UND INJECTION, ITRACONAZOLE, 50 MG INJECTION, KANAMYCIN SULFATE, UP TO 500 MG INJECTION, KANAMYCIN SULFATE, UP TO 75 MG INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG INJECTION, CEPHALOTHIN SODIUM, UP TO 1 G INJECTION, KUTAPRESSIN, UP TO 2 ML INJECTION, FUROSEMIDE, UP TO 20 MG INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG INJECTION, LEVOCARNITINE, PER 1 G INJECTION, LEVOFLOXACIN, 250 MG INJECTION, LEVORPHANOL TARTRATE, UP TO 2 MG INJECTION, CHLORDIAZEPOXIDE HCL, UP TO 100 MG INJECTION, LIDOCAINE HCL, 50 CC INJECTION, LINCOMYCIN HCL, UP TO 300 MG INJECTION, LINEZOLID, 200MG INJECTION, LORAZEPAM, 2 MG INJECTION, MANNITOL, 25% IN 50 ML INJECTION, MEPERIDINE HCL, PER 100 MG INJECTION, MEPERIDINE AND PROMETHAZINE HCL, UP TO 50 MG INJECTION, METHYLERGONOVINE MALEATE, UP TO 0.2 MG INJECTION, MIDAZOLAM HCL, PER 1 MG INJECTION, MILRINON LACTATE, 5MG INJECTION, MORPHINE SULFATE, UP TO 10 MG INJECTION, MORPHINE SULFATE, 100MG INJECTION, MORPHINE SULFATE (PRESERVATIVE-FREE STERILE SOLUTION), PER 10 MG
- 440. INJECTION, NALBUPHINE HCL,PER 10 MG INJECTION, NALOXONE HCL, PER 1 MG INJECTION, NANDROLONE DECANOATE, UP TO 50 MG INJECTION, NANDROLONE DECANOATE, UP TO 100 MG INJECTION, NANDROLONE DECANOATE, UP TO 200 MG INJECTION, NESIRITIDE, 0.5 MG INJECTION, OCTREOTIDE ACETATE, 1 MG INJECTION, OPRELVEKIN, 5 MG INJECTION, ORPHENADRINE CITRATE, UP TO 60 MG INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML INJECTION, CHLOROPROCAINE HCL, PER 30 ML INJECTION, ONDANSETRON HCL, PER 1 MG INJECTION, OXYMORPHONE HCL, UP TO 1 MG INJECTION, PAMIDRONATE DISODIUM, PER 30 MG INJECTION, PAPAVERINE HCL, UP TO 60 MG INJECTION, OXYTETRACYCLINE HCL, UP TO 50 MG INJECTION, PARICALCITOL, 1 MCG INJECTION, PENICILLIN G PROCAINE, AQUEOUS, UP TO 600,000 UNITS INJECTION, PENTOBARBITAL SODIUM, PER 50 MG INJECTION, PENICILLIN G POTASSIUM, UP TO 600,000 UNITS INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) PENTAMIDINE ISETHIONATE, INHALATION SOLUTION, PER 300 MG, ADMINISTERED THROUGH A DME INJECTION, PROMETHAZINE HCL, UP TO 50 MG INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG INJECTION, OXYTOCIN, UP TO 10 UNITS INJECTION, DESMOPRESSIN ACETATE, PER 1 MCG INJECTION, PREDNISOLONE ACETATE, UP TO 1 ML INJECTION, TOLAZOLINE HCL, UP TO 25 MG INJECTION, PROGESTERONE, PER 50 MG INJECTION, FLUPHENAZINE DECANOATE, UP TO 25 MG INJECTION, PROCAINAMIDE HCL, UP TO 1 G INJECTION, OXACILLIN SODIUM, UP TO 250 MG INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG INJECTION, PROTAMINE SULFATE, PER 10 MG INJECTION, PROTIRELIN, PER 250 MCG INJECTION, PRALIDOXIME CHLORIDE, UP TO 1 G INJECTION, PHENTOLAMINE MESYLATE, UP TO 5 MG INJECTION, METOCLOPRAMIDE HCL, UP TO 10 MG INJECTION, QUINUPRISTIN/DALFOPRISTIN, 500 MG (150/350) INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, MINIDOSE, 50 MCG INJECTION, RHO D IMMUNE GLOBULIN, HUMAN, FULL DOSE, 300 MCG INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG INJECTION, METHOCARBAMOL, UP TO 10 ML INJECTION, THEOPHYLLINE, PER 40 MG INJECTION, SARGRAMOSTIM (GM-CSF), 50 MCG INJECTION, AUROTHIOGLUCOSE, UP TO 50 MG INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML INJECTION, SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE INJECTION, 12.5 MG INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 40 MG INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG
- 441. INJECTION, SOMATREM, 1MG INJECTION, SOMATROPIN, 1 MG INJECTION, PROMAZINE HCL, UP TO 25 MG INJECTION, RETEPLASE, 18.1 MG INJECTION, STREPTOKINASE, PER 250,000 IU INJECTION, ALTEPLASE RECOMBINANT, 1 MG INJECTION, STREPTOMYCIN, UP TO 1 G INJECTION, FENTANYL CITRATE, 0.1 MG INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED U INJECTION, PENTAZOCINE, 30 MG INJECTION, TENECTEPLASE, 50MG INJECTION, TERBUTALINE SULFATE, UP TO 1 MG INJECTION, TESTOSTERONE ENANTHATE, UP TO 100 MG INJECTION, TESTOSTERONE ENANTHATE, UP TO 200 MG INJECTION, TESTOSTERONE SUSPENSION, UP TO 50 MG INJECTION, TESTOSTERONE PROPIONATE, UP TO 100 MG INJECTION, CHLORPROMAZINE HCL, UP TO 50 MG INJECTION, THYROTROPIN ALPHA, 0.9 MG, PROVIDED IN 1.1 MG VIAL INJECTION, TIROFIBAN HYDROCHLORIDE, 12.5 MG INJECTION, TRIMETHOBENZAMIDE HCL, UP TO 200 MG INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG INJECTION, TORSEMIDE, 10 MG/ML INJECTION, THIETHYLPERAZINE MALEATE, UP TO 10 MG INJECTION, TRIAMCINOLONE ACETONIDE, PER 10MG INJECTION, TRIAMCINOLONE DIACETATE, PER 5MG INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG INJECTION, TRIMETREXATE GLUCORONATE, PER 25 MG INJECTION, PERPHENAZINE, UP TO 5 MG INJECTION, TRIPTORELIN PAMOATE, 3.75 MG INJECTION, SPECTINOMYCIN DIHYDROCHLORIDE, UP TO 2 G INJECTION, UREA, UP TO 40 G INJECTION, DIAZEPAM, UP TO 5 MG INJECTION, UROKINASE, 5000 IU VIAL INJECTION, IV, UROKINASE, 250,000 IU VIAL INJECTION, VANCOMYCIN HCL, 500 MG INJECTION, VERTEPORFIN, 15MG INJECTION, TRIFLUPROMAZINE HCL, UP TO 20 MG INJECTION, HYDROXYZINE HCL, UP TO 25 MG INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG INJECTION, PHYTONADIONE (VITAMIN K), PER 1 MG INJECTION, HYALURONIDASE, UP TO 150 UNITS INJECTION, MAGNESIUM SULPHATE, PER 500 MG INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ INJECTION, ZIDOVUDINE, 10 MG INJECTION, ZOLEDRONIC ACID, 1 MG UNCLASSIFIED DRUGS EDETATE DISODIUM, PER 150 MG NASAL VACCINE INHALATION DRUG ADMINISTERED THROUGH A METERED DOSE INHALER LAETRILE, AMYGDALIN, VITAMIN B-17 UNCLASSIFIED BIOLOGICS INFUSION, NORMAL SALINE SOLUTION , 1000 CC
- 442. INFUSION, NORMAL SALINESOLUTION, STERILE (500 ML=1 UNIT) 5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT) INFUSION, NORMAL SALINE SOLUTION , 250 CC STERILE SALINE OR WATER, UP TO 5 CC 5% DEXTROSE/WATER (500 ML = 1 UNIT) INFUSION, D5W, 1000 CC INFUSION, DEXTRAN 40, 500 ML INFUSION, DEXTRAN 75, 500 ML RINGERS LACTATE INFUSION, UP TO 1000 CC HYPERTONIC SALINE SOLUTION, 50 OR 100 MEQ, 20 CC VIAL FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER IU FACTOR VIII (ANTIHEMOPHILIC FACTOR (PORCINE)), PER IU FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER IU FACTOR IX (ANTIHEMOPHILIC FACTOR, PURIFIED, NON-RECOMBINANT) PER I.U. FACTOR IX, COMPLEX, PER IU FACTOR IX (ANTIHEMOPHILIC FACTOR, RECOMBINANT) PER I.U. ANTITHROMBIN III (HUMAN), PER IU ANTI-INHIBITOR, PER IU HEMOPHILIA CLOTTING FACTOR, NOT OTHERWISE CLASSIFIED INTRAUTERINE COPPER CONTRACEPTIVE LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM, 52 MG AMINOLEVULINIC ACID HCL FOR TOPICAL ADMINISTRATION, 20%, SINGLE UNIT DOSAGE FORM (354 MG) GANCICLOVIR, 4.5 MG, LONG-ACTING IMPLANT SODIUM HYALURONATE, PER 20 TO 25 MG DOSE FOR INTRA-ARTICULAR INJECTION HYLAN G-F 20, 16 MG, FOR INTRA-ARTICULAR INJECTION AUTOLOGOUS CULTURED CHONDROCYTES, IMPLANT DERMAL AND EPIDERMAL TISSUE OF HUMAN ORIGIN, WITH OR WITHOUT BIOENGINEERED OR PROCESSED ELEM DERMAL TISSUE, OF HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WI DERMAL TISSUE OF HUMAN ORIGIN, INJECTABLE, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED EL AZATHIOPRINE, ORAL, 50 MG AZATHIOPRINE, PARENTERAL, 100 MG CYCLOSPORINE, ORAL, 100 MG LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, EQUINE, PARENTERAL, 250 MG MUROMONAB-CD3, PARENTERAL, 5 MG PREDNISONE, ORAL, PER 5MG TACROLIMUS, ORAL, PER 1 MG TACROLIMUS, ORAL, PER 5 MG METHYLPREDNISOLONE ORAL, PER 4 MG PREDNISOLONE ORAL, PER 5 MG LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, RABBIT, PARENTERAL, 25MG DACLIZUMAB, PARENTERAL, 25 MG CYCLOSPORINE, ORAL, 25 MG CYCLOSPORINE, PARENTERAL, 250 MG MYCOPHENOLATE MOFETIL, ORAL, 250 MG SIROLIMUS, ORAL, 1 MG TACROLIMUS, PARENTERAL, 5 MG IMMUNOSUPPRESSIVE DRUG, NOT OTHERWISE CLASSIFIED ACETYLCYSTEINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM ALBUTEROL,ALL FORMULATIONS SEPARATED ISOMERS,INHALATION SOLUTION ADMINISTERED THRU DME,CONCE ALBUTEROL,ALL FORMULATIONS SEPARATED ISOMERS,INHALATION SOLUTION ADMINISTERED THRU DME,UNIT D BECLOMETHASONE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM BETAMETHASONE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM
- 443. BUDESONIDE INHALATION SOLUTION,ADMINISTERED THROUGH DME, UNIT DOSE FORM, 0.25 TO 0.50 MG BITOLTEROL MESYLATE, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER MIL BITOLTEROL MESYLATE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRA CROMOLYN SODIUM, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 MILLIGRA BUDESONIDE, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 0.25 MILLIGRA ATROPINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER MILLIGRAM ATROPINE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM DEXAMETHASONE, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER MILLIGRA DEXAMETHASONE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM DORNASE ALPHA, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM FLUNISOLIDE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER MILLIGRAM GLYCOPYRROLATE, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER MILLIGR GLYCOPYRROLATE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM IPRATROPIUM BROMIDE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRA ISOETHARINE HCL, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER MILLIGRA ISOETHARINE HCL, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM ISOPROTERENOL HCL, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER MILL ISOPROTERENOL HCL, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM METAPROTERENOL SULFATE, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PE METAPROTERENOL SULFATE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 10 M TERBUTALINE SULFATE, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER MIL TERBUTALINE SULFATE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRA TOBRAMYCIN, UNIT DOSE FORM, 300 MG, INHALATION SOLUTION, ADMINISTERED THROUGH DME TRIAMCINOLONE, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER MILLIGRAM TRIAMCINOLONE, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM NOC DRUGS, INHALATION SOLUTION ADMINISTERED THROUGH DME NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME PRESCRIPTION DRUG, ORAL, NONCHEMOTHERAPEUTIC, NOT OTHERWISE SPECIFIED BUSULFAN; ORAL, 2 MG CAPECITABINE, ORAL, 150 MG CAPECITABINE, ORAL, 500 MG CYCLOPHOSPHAMIDE; ORAL, 25 MG ETOPOSIDE; ORAL, 50 MG MELPHALAN; ORAL, 2 MG METHOTREXATE; ORAL, 2.5 MG TEMOZOLOMIDE, ORAL, 5 MG PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS DOXORUBICIN HCL, 10 MG DOXORUBICIN HYDROCHLORIDE, ALL LIPID FORMULATIONS, 10 MG ALEMTUZUMAB, 10 MG ALDESLEUKIN, PER SINGLE USE VIAL ARSENIC TRIOXIDE, 1MG ASPARAGINASE, 10,000 UNITS BCG LIVE (INTRAVESICAL) PER INSTALLATION BLEOMYCIN SULFATE, 15 UNITS CARBOPLATIN, 50 MG CARMUSTINE, 100 MG CISPLATIN, POWDER OR SOLUTION, PER 10 MG CISPLATIN, 50 MG INJECTION, CLADRIBINE, PER 1 MG CYCLOPHOSPHAMIDE, 100 MG CYCLOPHOSPHAMIDE, 200 MG
- 444. CYCLOPHOSPHAMIDE, 500 MG CYCLOPHOSPHAMIDE,1.0 G CYCLOPHOSPHAMIDE, 2.0 G CYCLOPHOSPHAMIDE, LYOPHILIZED, 100 MG CYCLOPHOSPHAMIDE, LYOPHILIZED, 200 MG CYCLOPHOSPHAMIDE, LYOPHILIZED, 500 MG CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM CYCLOPHOSPHAMIDE, LYOPHILIZED, 2.0 GRAM CYTARABINE, 100 MG CYTARABINE, 500 MG DACTINOMYCIN, 0.5 MG DACARBAZINE, 100 MG DACARBAZINE, 200 MG DAUNORUBICIN, 10 MG DAUNORUBICIN CITRATE, LIPOSOMAL FORMULATION, 10 MG DENILEUKIN DIFTITOX, 300 MCG DIETHYLSTILBESTROL DIPHOSPHATE, 250 MG DOCETAXEL, 20 MG EPIRUBICIN HYDROCHLORIDE, 50 MG ETOPOSIDE, 10 MG ETOPOSIDE, 100 MG FLUDARABINE PHOSPHATE, 50 MG FLUOROURACIL, 500 MG FLOXURIDINE, 500 MG GEMCITABINE HCL, 200 MG GOSERELIN ACETATE IMPLANT, PER 3.6 MG IRINOTECAN, 20 MG IFOSFAMIDE, 1 G MESNA, 200 MG IDARUBICIN HCL, 5 MG INJECTION, INTERFERON ALFACON-1, RECOMBINANT, 1 MCG INTERFERON, ALFA-2A, RECOMBINANT, 3 MILLION UNITS INTERFERON, ALFA-2B, RECOMBINANT, 1 MILLION UNITS INTERFERON, ALFA-N3, (HUMAN LEUKOCYTE DERIVED), 250,000 IU INTERFERON, GAMMA 1-B, 3 MILLION UNITS LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG LEUPROLIDE ACETATE, PER 1 MG LEUPROLIDE ACETATE IMPLANT, 65 MG MECHLORETHAMINE HCL, (NITROGEN MUSTARD), 10 MG INJECTION, MELPHALAN HCL, 50 MG METHOTREXATE SODIUM, 5 MG METHOTREXATE SODIUM, 50 MG PACLITAXEL, 30 MG PEGASPARGASE, PER SINGLE DOSE VIAL PENTOSTATIN, PER 10 MG PLICAMYCIN, 2.5 MG MITOMYCIN, 5 MG MITOMYCIN, 20 MG MITOMYCIN, 40 MG INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG GEMTUZUMAB OZOGAMICIN, 5MG RITUXIMAB, 100 MG
- 445. STREPTOZOCIN, 1 G THIOTEPA,15 MG TOPOTECAN, 4 MG TRASTUZUMAB, 10 MG VALRUBICIN, INTRAVESICAL, 200 MG VINBLASTINE SULFATE, 1 MG VINCRISTINE SULFATE, 1 MG VINCRISTINE SULFATE, 2 MG VINCRISTINE SULFATE, 5 MG VINORELBINE TARTRATE, PER 10 MG PORFIMER SODIUM, 75 MG NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUG STANDARD WHEELCHAIR STANDARD HEMI (LOW SEAT) WHEELCHAIR LIGHTWEIGHT WHEELCHAIR HIGH STRENGTH, LIGHTWEIGHT WHEELCHAIR ULTRALIGHTWEIGHT WHEELCHAIR HEAVY DUTY WHEELCHAIR EXTRA HEAVY DUTY WHEELCHAIR OTHER MANUAL WHEELCHAIR/BASE STANDARD - WEIGHT FRAME MOTORIZED/POWER WHEELCHAIR STANDARD - WEIGHT FRAME MOTORIZED/POWER WHEELCHAIR WITH PROGRAMMABLE CONTROL PARAMETERS LIGHTWEIGHT PORTABLE MOTORIZED/POWER WHEELCHAIR OTHER MOTORIZED/POWER WHEELCHAIR BASE DETACHABLE, NONADJUSTABLE HEIGHT ARMREST, EACH DETACHABLE, ADJUSTABLE HEIGHT ARMREST, COMPLETE ASSEMBLY, EACH DETACHABLE, ADJUSTABLE HEIGHT ARMREST, BASE, EACH DETACHABLE, ADJUSTABLE HEIGHT ARMREST, UPPER PORTION, EACH ARM PAD, EACH FIXED, ADJUSTABLE HEIGHT ARMREST, PAIR REINFORCED BACK UPHOLSTERY SOLID BACK INSERT, PLANAR BACK, SINGLE DENSITY FOAM, ATTACHED WITH STRAPS SOLID BACK INSERT, PLANAR BACK, SINGLE DENSITY FOAM, WITH ADJUSTABLE HOOK-ON HARDWARE HOOK-ON HEADREST EXTENSION BACK UPHOLSTERY FOR ULTRALIGHTWEIGHT OR HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR BACK UPHOLSTERY FOR WHEELCHAIR TYPE OTHER THAN ULTRALIGHTWEIGHT OR HIGH STRENGTH LIGHTWEIGH MANUAL, FULLY RECLINING BACK REINFORCED SEAT UPHOLSTERY SOLID SEAT INSERT, PLANAR SEAT, SINGLE DENSITY FOAM SAFETY BELT/PELVIC STRAP, EACH SEAT UPHOLSTERY FOR ULTRALIGHTWEIGHT OR HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR SEAT UPHOLSTERY FOR WHEELCHAIR TYPE OTHER THAN ULTRALIGHTWEIGHT OR HIGH STRENGTH LIGHTWEIGH HEEL LOOP WITH ANKLE STRAP, EACH TOE LOOP, EACH HIGH MOUNT FLIP-UP FOOTREST, EACH LEG STRAP, EACH LEG STRAP, H STYLE, EACH ADJUSTABLE ANGLE FOOTPLATE, EACH LARGE SIZE FOOTPLATE, EACH STANDARD SIZE FOOTPLATE, EACH FOOTREST, LOWER EXTENSION TUBE, EACH FOOTREST, UPPER HANGER BRACKET, EACH
- 446. FOOTREST, COMPLETE ASSEMBLY ELEVATINGLEGREST, LOWER EXTENSION TUBE, EACH ELEVATING LEGREST, UPPER HANGER BRACKET, EACH ELEVATING LEGREST, COMPLETE ASSEMBLY CALF PAD, EACH RATCHET ASSEMBLY CAM RELEASE ASSEMBLY, FOOTREST OR LEGREST, EACH SWINGAWAY, DETACHABLE FOOTRESTS, EACH ELEVATING FOOTRESTS, ARTICULATING (TELESCOPING), EACH SEAT WIDTH OF 10, 11, 12, 15, 17, OR 20 INCHES FOR A HIGH STRENGTH, LIGHTWEIGHT OR ULTRALIGHTWEIGHT W SEAT DEPTH OF 15, 17, OR 18 INCHES FOR A HIGH STRENGTH, LIGHTWEIGHT OR ULTRALIGHTWEIGHT WHEELCHA SEAT HEIGHT LESS THAN 17 INCHES OR EQUAL TO OR GREATER THAN 21 INCHES FOR A HIGH STRENGTH, LIGHT SEAT WIDTH 19 OR 20 INCHES FOR HEAVY DUTY OR EXTRA HEAVY DUTY CHAIR SEAT DEPTH 17 OR 18 INCHES FOR MOTORIZED/POWER WHEELCHAIR PLASTIC COATED HANDRIM, EACH STEEL HANDRIM, EACH ALUMINUM HANDRIM, EACH HANDRIM WITH 8 TO 10 VERTICAL OR OBLIQUE PROJECTIONS, EACH HANDRIM WITH 12 TO 16 VERTICAL OR OBLIQUE PROJECTIONS, EACH ZERO PRESSURE TUBE (FLAT FREE INSERT), ANY SIZE, EACH SPOKE PROTECTORS, EACH SOLID TIRE, ANY SIZE, EACH PNEUMATIC TIRE, ANY SIZE, EACH PNEUMATIC TIRE TUBE, EACH REAR WHEEL ASSEMBLY, COMPLETE, WITH SOLID TIRE, SPOKES OR MOLDED, EACH REAR WHEEL ASSEMBLY, COMPLETE, WITH PNEUMATIC TIRE, SPOKES OR MOLDED, EACH FRONT CASTER ASSEMBLY, COMPLETE, WITH PNEUMATIC TIRE, EACH FRONT CASTER ASSEMBLY, COMPLETE, WITH SEMI-PNEUMATIC TIRE, EACH CASTER PIN LOCK,EACH PNEUMATIC CASTER TIRE, ANY SIZE, EACH SEMIPNEUMATIC CASTER TIRE, ANY SIZE, EACH SOLID CASTER TIRE, ANY SIZE, EACH FRONT CASTER ASSEMBLY, COMPLETE, WITH SOLID TIRE, EACH PNEUMATIC CASTER TIRE TUBE, EACH WHEEL LOCK EXTENSION, PAIR ANTIROLLBACK DEVICE, PAIR WHEEL LOCK ASSEMBLY, COMPLETE, EACH 22 NF NON-SEALED LEAD ACID BATTERY, EACH 22 NF SEALED LEAD ACID BATTERY, EACH (E.G., GEL CELL, ABSORBED GLASS MAT) GROUP 24 NON-SEALED LEAD ACID BATTERY, EACH GROUP 24 SEALED LEAD ACID BATTERY, EACH (E.G., GEL CELL, ABSORBED GLASS MAT) U-1 NON-SEALED LEAD ACID BATTERY, EACH U-1 SEALED LEAD ACID BATTERY, EACH (E.G., GEL CELL, ABSORBED GLASS MAT) BATTERY CHARGER, SINGLE MODE, FOR USE WITH ONLY ONE BATTERY TYPE, SEALED OR NON-SEALED BATTERY CHARGER, DUAL MODE, FOR USE WITH EITHER BATTERY TYPE, SEALED OR NON-SEALED REAR WHEEL TIRE FOR POWER WHEELCHAIR, ANY SIZE, EACH REAR WHEEL TIRE TUBE OTHER THAN ZERO PRESSURE FOR POWER WHEELCHAIR, ANY SIZE, EACH REAR WHEEL ASSEMBLY FOR POWER WHEELCHAIR, COMPLETE, EACH REAR WHEEL ZERO PRESSURE TIRE TUBE (FLAT FREE INSERT) FOR POWER WHEELCHAIR, ANY SIZE, EACH WHEEL TIRE FOR POWER BASE, ANY SIZE, EACH WHEEL TIRE TUBE OTHER THAN ZERO PRESSURE FOR EACH BASE, ANY SIZE, EACH WHEEL ASSEMBLY FOR POWER BASE, COMPLETE, EACH
- 447. WHEEL ZERO PRESSURETIRE TUBE (FLAT FREE INSERT) FOR POWER BASE, ANY SIZE, EACH DRIVE BELT FOR POWER WHEELCHAIR FRONT CASTER FOR POWER WHEELCHAIR WHEELCHAIR ADAPTER FOR AMPUTEE, PAIR CRUTCH AND CANE HOLDER, EACH TRANSFER BOARD, LESS THAN 25 INCHES CYLINDER TANK CARRIER, EACH IV HANGER, EACH ARM TROUGH, EACH WHEELCHAIR TRAY OTHER ACCESSORIES TRUNK SUPPORT DEVICE, VEST TYPE, WITH INNER FRAME, PREFABRICATED TRUNK SUPPORT DEVICE, VEST TYPE, WITHOUT INNER FRAME, PREFABRICATED BACK SUPPORT SYSTEM FOR USE WITH A WHEELCHAIR, WITH INNER FRAME, PREFABRICATED SEATING SYSTEM, BACK MODULE, POSTERIORLATERAL CONTROL, WITH OR WITHOUT LATERAL SUPPORTS, CUS SEATING SYSTEM, COMBINED BACK AND SEAT MODULE, CUSTOM FABRICATED FOR ATTACHMENT TO WHEELCHA ELEVATING LEGRESTS, PAIR (FOR USE WITH CAPPED RENTAL WHEELCHAIR BASE) HUMIDIFIER, NONHEATED, USED WITH POSITIVE AIRWAY PRESSURE DEVICE PRESCRIPTION ANTIEMETIC DRUG, ORAL, PER 1 MG, FOR USE IN CONJUNCTION WITH ORAL ANTI-CANCER DRUG PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUNCTION WITH ORAL ANTI-CANCER DRU WHEELCHAIR BEARINGS, ANY TYPE INFUSION PUMP USED FOR UNINTERRUPTED ADMINISTRATION OF EPOPROSTENOL POWER ADD-ON, TO CONVERT MANUAL WHEELCHAIR TO MOTORIZED WHEELCHAIR, JOYSTICK CONTROL POWER ADD-ON, TO CONVERT MANUAL WHEELCHAIR TO POWER OPERATED VEHICLE, TILLER CONTROL TEMPORARY REPLACEMENT FOR PATIENT OWNED EQUIPMENT BEING REPAIRED, ANY TYPE HUMIDIFIER, HEATED, USED WITH POSITIVE AIRWAY PRESSURE DEVICE RESPIRATORY ASSIST DEVICE, BI-LEVEL PRESSURE CAPABILITY, WITHOUT BACKUP RATE FEATURE, USED WITH RESPIRATORY ASSIST DEVICE, BI-LEVEL PRESSURE CAPABILITY, WITH BACKUP RATE FEATURE, USED WITH NON RESPIRATORY ASSIST DEVICE, BI-LEVEL PRESSURE CAPACITY, WITH BACK UP RATE FEATURE, USED WITH INVAS NEGATIVE PRESSURE WOUND THERAPY ELECTRICAL PUMP, STATIONARY OR PORTABLE DRESSING SET FOR NEGATIVE PRESSURE WOUND THERAPY ELECTRICAL PUMP, STATIONARY OR PORTABLE, EA CANISTER SET FOR NEGATIVE PRESSURE WOUND THERAPY ELECTRICAL PUMP, STATIONARY OR PORTABLE, EA SPEECH GENERATING DEVICE, DIGITIZED SPEECH, USING PRE-RECORDED MESSAGES, LESS THAN OR EQUAL TO SPEECH GENERATING DEVICE, DIGITIZED SPEECH, USING PRE-RECORDED MESSAGES, GREATER THAN 8 MINUTE SPEECH GENERATING DEVICE, SYNTHESIZED SPEECH, REQUIRING MESSAGE FORMULATION BY SPELLING AND A SPEECH GENERATING DEVICE, SYNTHESIZED SPEECH, PERMITTING MULTIPLE METHODS OF MESSAGE FORMULA SPEECH GENERATING SOFTWARE PROGRAM, FOR PERSONAL COMPUTER OR PERSONAL DIGITAL ASSISTANT ACCESSORY FOR SPEECH GENERATING DEVICE, MOUNTING SYSTEM ACCESSORY FOR SPEECH GENERATING DEVICE, NOT OTHERWISE CLASSIFIED HOSPITAL BED, HEAVY DUTY, EXTRA WIDE, WITH WEIGHT CAPACITY GREATER THAN 350 POUNDS, BUT LESS THA HOSPITAL BED, EXTRA HEAVY DUTY, EXTRA WIDE, WITH WEIGHT CAPACITY GREATER THAN 600 POUNDS, WITH A ADDITION TO LOWER EXTREMITY, BELOW KNEE/ABOVE KNEE, CUSTOM FABRICATED FROM EXISTING MOLD OR P ADDITION TO LOWER EXTREMITY, BELOW KNEE/ABOVE KNEE, CUSTOM FABRICATED FROM EXISTING MOLD OR P ADDITION LOWER EXTREMITY,BELOW KNEE/ABOVE KNEE,CUSTOM FABRICATED SOCKET INSERT FOR CONGENIT ADDITION LOWER EXTREMITY,BELOW KNEE/ABOVE KNEE,CUSTOM FABRICATED SOCKET INSERT NOT CONGENIT OSTOMY POUCH, CLOSED, WITH BARRIER ATTACHED, WITH FILTER (1 PIECE), EACH OSTOMY POUCH, CLOSED, WITH BARRIER ATTACHED, WITH BUILT-IN CONVEXITY, WITH FILTER (1 PIECE), EACH OSTOMY POUCH, CLOSED; WITHOUT BARRIER ATTACHED, WITH FILTER (1 PIECE), EACH OSTOMY POUCH, CLOSED; FOR USE ON BARRIER WITH FLANGE, WITH FILTER (2 PIECE), EACH OSTOMY POUCH, CLOSED; FOR USE ON BARRIER WITH LOCKING FLANGE (2 PIECE), EACH OSTOMY POUCH, CLOSED; FOR USE ON BARRIER WITH LOCKING FLANGE, WITH FILTER (2 PIECE), EACH OSTOMY POUCH, DRAINABLE, WITH BARRIER ATTACHED, WITH FILTER (1 PIECE), EACH
- 448. OSTOMY POUCH, DRAINABLE;FOR USE ON BARRIER WITH FLANGE, WITH FILTER (2 PIECE SYSTEM), EACH OSTOMY POUCH, DRAINABLE; FOR USE ON BARRIER WITH LOCKING FLANGE (2 PIECE SYSTEM), EACH OSTOMY POUCH, DRAINABLE; FOR USE ON BARRIER WITH LOCKING FLANGE, WITH FILTER (2 PIECE SYSTEM), EA OSTOMY POUCH, URINARY, WITH EXTENDED WEAR BARRIER ATTACHED, WITH FAUCET-TYPE TAP WITH VALVE (1 OSTOMY POUCH, URINARY, WITH BARRIER ATTACHED, WITH BUILT-IN CONVEXITY, WITH FAUCET-TYPE TAP WITH OSTOMY POUCH, URINARY, WITH EXTENDED WEAR BARRIER ATTACHED, WITH BUILT-IN CONVEXITY, WITH FAUCE OSTOMY POUCH, URINARY; WITH BARRIER ATTACHED, WITH FAUCET-TYPE TAP WITH VALVE (1 PIECE), EACH OSTOMY POUCH, URINARY; FOR USE ON BARRIER WITH FLANGE, WITH FAUCET-TYPE TAP WITH VALVE (2 PIECE), OSTOMY POUCH, URINARY; FOR USE ON BARRIER WITH LOCKING FLANGE (2 PIECE), EACH OSTOMY POUCH, URINARY; FOR USE ON BARRIER WITH LOCKING FLANGE, WITH FAUCET-TYPE TAP WITH VALVE CRANIAL ORTHOSIS (HELMET), WITH OR WITHOUT SOFT INTERFACE, MOLDED TO PATIENT MODEL CRANIAL ORTHOSIS (HELMET), WITH OR WITHOUT SOFT-INTERFACE, NON-MOLDED CERVICAL, FLEXIBLE, NONADJUSTABLE (FOAM COLLAR) CERVICAL, FLEXIBLE, THERMOPLASTIC COLLAR, MOLDED TO PATIENT CERVICAL, SEMI-RIGID, ADJUSTABLE (PLASTIC COLLAR) CERVICAL, SEMI-RIGID, ADJUSTABLE MOLDED CHIN CUP (PLASTIC COLLAR WITH MANDIBULAR/OCCIPITAL PIECE) CERVICAL, SEMI-RIGID, WIRE FRAME OCCIPITAL/MANDIBULAR SUPPORT CERVICAL, COLLAR, MOLDED TO PATIENT MODEL CERVICAL, COLLAR, SEMI-RIGID THERMOPLASTIC FOAM, TWO PIECE CERVICAL, COLLAR, SEMI-RIGID, THERMOPLASTIC FOAM, TWO PIECE WITH THORACIC EXTENSION CERVICAL, MULTIPLE POST COLLAR, OCCIPITAL/MANDIBULAR SUPPORTS, ADJUSTABLE CERVICAL, MULTIPLE POST COLLAR, OCCIPITAL/MANDIBULAR SUPPORTS, ADJUSTABLE CERVICAL BARS (SOMI, G CERVICAL, MULTIPLE POST COLLAR, OCCIPITAL/MANDIBULAR SUPPORTS, ADJUSTABLE CERVICAL BARS, AND THO THORACIC, RIB BELT THORACIC, RIB BELT, CUSTOM FABRICATED TLSO,FLEXIBLE,PROVIDES TRUNK SUPPORT,UPPER THORACIC REGION,PRODUCES INTRACAVITARY PRESSURE R TLSO,FLEXIBLE,PROVIDES TRUNK SUPPORT,UPPER THORACIC REGION,PRODUCES INTRACAVITARY PRESSURE R TLSO FLEXIBLE,TRUNK SUPPORT,SACROCOCCYGEAL JUNCTION ABOVE T-9 VERTEBRA,RESTRICTS GROSS TRUN TLSO,FLEXIBLE,TRUNK SUPPORT,THORACIC REGION,RIGID POSTERIOR PANEL & SOFT ANTERIOR APRON,EXTEND TLSO,TRIPLANAR CONTROL,MODULAR SEGMENTED SPINAL SYSTEM,2 RIGID PLASTIC SHELLS,POSTERIOR EXTEN TLSO,TRIPLANAR CONTROL,MODULAR SEGMENTED SPINAL SYSTEM,2 RIGID PLASTIC SHELLS,POSTERIOR EXTEN TLSO,TRIPLANAR CONTROL,MODULAR SEGMENTED SPINAL SYSTEM,3 RIGID PLASTIC SHELLS,POSTERIOR EXTEN TLSO,TRIPLANAR CONTROL,MODULAR SEGMENTED SPINAL SYSTEM,4 RIGID PLASTIC SHELLS,POSTERIOR EXTEN TLSO,SAGITTAL CONTROL,RIGID POSTERIOR FRAME & FLEX SOFT ANTERIOR APRON W STRAPS,CLOSURES & PA TLSO,SAGITTAL-CORONAL CONTROL,RIGID POSTERIOR FRAME & FLEXIBLE SOFT ANTERIOR APRON W STRAPS,C TLSO,TRIPLANAR CONTROL,RIGID POSTERIOR FRAME & FLEXIBLE SOFT ANTERIOR APRON W STRAPS, CLOSURES TLSO,TRIPLANAR CONTROL,HYPEREXTENSION,RIGID ANTERIOR & LATERAL FRAME EXTENDS SYMPHYSIS PUBIS T TLSO,TRIPLANAR CONTROL,RIGID POSTERIOR FRAME W FLEXIBLE SOFT APRON ANTERIOR W MULTIPLE STRAPS TLSO,SAGITTAL-CORONAL CONTROL,FLEXION COMPRESS JACKET,2 RIGID PLASTIC SHELLS W SOFT LINER,POST TLSO,SAGITTAL-CORONAL CONTROL,FLEXION COMPRESSION JACKET,2 RIGID PLASTIC SHELLS W SOFT LINER,PO TLSO,TRIPLANAR CONTROL,1 PIECE RIGID PLASTIC SHELL WO INTERFACE LINER,W MULTIPLE STRAPS & CLOSUR TLSO,TRIPLANAR CONTROL,1 PIECE RIGID PLASTIC SHELL W INTERFACE LINER,MULTIPLE STRAPS & CLOSURES,P TLSO,TRIPLANAR CONTROL,2 PIECE RIGID PLASTIC SHELL WO INTERFACE LINER,W MULTIPLE STRAPS & CLOSUR TLSO,TRIPLANAR CONTROL,2 PIECE RIGID PLASTIC SHELL W INTERFACE LINER,MULTIPLE STRAPS & CLOSURES,P TLSO,TRIPLANAR CONTROL,1 PIECE RIGID PLASTIC SHELL W INTERFACE LINER,MULTIPLE STRAPS & CLOSURES,P TLSO,SAGITTAL-CORONAL CONTROL,1 PIECE RIGID PLASTIC SHELL,W OVERLAPPING REINFORCED ANTERIOR,W LUMBAR-SACRAL-ORTHOSIS (LSO), FLEXIBLE, (LUMBO-SACRAL SUPPORT) LSO, FLEXIBLE (LUMBO-SACRAL SUPPORT), CUSTOM FABRICATED LSO, ANTERIOR-POSTERIOR CONTROL, WITH RIGID OR SEMI-RIGID POSTERIOR PANEL, PREFABRICATED LUMBAR-SACRAL ORTHOSIS (LSO), ANTERIOR-POSTERIOR-LATERAL CONTROL (KNIGHT, WILCOX TYPES), WITH A LUMBAR-SACRAL ORTHOSIS (LSO), ANTERIOR-POSTERIOR CONTROL (MACAUSLAND TYPE), WITH APRON FRONT LUMBAR-SACRAL ORTHOSIS (LSO), LUMBAR FLEXION (WILLIAMS FLEXION TYPE)
- 449. LUMBAR-SACRAL ORTHOSIS (LSO),ANTERIOR-POSTERIOR-LATERAL CONTROL, MOLDED TO PATIENT MODEL LUMBAR-SACRAL ORTHOSIS (LSO), ANTERIOR-POSTERIOR-LATERAL CONTROL, MOLDED TO PATIENT MODEL, WIT LSO, ANTERIOR-POSTERIOR-LATERAL CONTROL, WITH RIGID OR SEMI-RIGID POSTERIOR PANEL, PREFABRICATED LUMBAR-SACRAL ORTHOSIS (LSO), ANTERIOR-POSTERIOR-LATERAL CONTROL, CUSTOM FITTED SACROILIAC, FLEXIBLE (SACROILIAC SURGICAL SUPPORT) SACROILIAC, FLEXIBLE (SACROILIAC SURGICAL SUPPORT), CUSTOM FABRICATED SACROILIAC, SEMI-RIGID (GOLDTHWAITE, OSGOOD TYPES), WITH APRON FRONT CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO), ANTERIOR-POSTERIOR-LATERAL CONTROL, MOLDED CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO), ANTERIOR-POSTERIOR-LATERAL-CONTROL, MOLDED HALO PROCEDURE, CERVICAL HALO INCORPORATED INTO JACKET VEST HALO PROCEDURE, CERVICAL HALO INCORPORATED INTO PLASTER BODY JACKET HALO PROCEDURE, CERVICAL HALO INCORPORATED INTO MILWAUKEE TYPE ORTHOSIS ADDITION TO HALO PROCEDURES, MAGNETIC RESONANCE IMAGE COMPATIBLE SYSTEM TORSO SUPPORT, POST SURGICAL SUPPORT, PADS FOR POST SURGICAL SUPPORT THORACIC-LUMBAR-SACRAL ORTHOSIS (TLSO), CORSET FRONT LUMBAR-SACRAL ORTHOSIS (LSO), CORSET FRONT THORACIC-LUMBAR-SACRAL ORTHOSIS (TLSO), FULL CORSET LUMBAR-SACRAL ORTHOSIS (LSO), FULL CORSET AXILLARY CRUTCH EXTENSION PERONEAL STRAPS, PAIR STOCKING SUPPORTER GRIPS, SET OF FOUR (4) PROTECTIVE BODY SOCK, EACH ADDITION TO SPINAL ORTHOSIS, NOT OTHERWISE SPECIFIED CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) (MILWAUKEE), INCLUSIVE OF FURNISHING INITIAL ORT TENSION BASED SCOLIOSIS ORTHOSIS AND ACCESSORY PADS, INCLUDES FITTING AND ADJUSTMENT ADDITION TO CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) OR SCOLIOSIS ORTHOSIS, AXILLA SLING ADDITION TO CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) OR SCOLIOSIS ORTHOSIS, KYPHOSIS PA ADDITION TO CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) OR SCOLIOSIS ORTHOSIS, KYPHOSIS PA ADDITION TO CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) OR SCOLIOSIS ORTHOSIS, LUMBAR BOL ADDITION TO CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) OR SCOLIOSIS ORTHOSIS, LUMBAR OR L ADDITION TO CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) OR SCOLIOSIS ORTHOSIS, STERNAL PAD ADDITION TO CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) OR SCOLIOSIS ORTHOSIS, THORACIC PA ADDITION TO CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) OR SCOLIOSIS ORTHOSIS, TRAPEZIUS S ADDITION TO CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) OR SCOLIOSIS ORTHOSIS, OUTRIGGER ADDITION TO CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) OR SCOLIOSIS ORTHOSIS, OUTRIGGER, ADDITION TO CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) OR SCOLIOSIS ORTHOSIS, LUMBAR SLIN ADDITION TO CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) OR SCOLIOSIS ORTHOSIS, RING FLANGE ADDITION TO CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO) OR SCOLIOSIS ORTHOSIS, RING FLANGE ADDITION TO CERVICAL-THORACIC-LUMBAR-SACRAL ORTHOSIS (CTLSO), SCOLIOSIS ORTHOSIS, COVER FOR UPR THORACIC-LUMBAR-SACRAL ORTHOSIS (TLSO), INCLUSIVE OF FURNISHING INITIAL ORTHOSIS ONLY ADDITION TO THORACIC-LUMBAR-SACRAL ORTHOSIS (TLSO), (LOW PROFILE), LATERAL THORACIC EXTENSION ADDITION TO THORACIC-LUMBAR-SACRAL ORTHOSIS (TLSO), (LOW PROFILE), ANTERIOR THORACIC EXTENSION ADDITION TO THORACIC-LUMBAR-SACRAL ORTHOSIS (TLSO), (LOW PROFILE), MILWAUKEE TYPE SUPERSTRUCTU ADDITION TO THORACIC-LUMBAR-SACRAL ORTHOSIS (TLSO), (LOW PROFILE), LUMBAR DEROTATION PAD ADDITION TO THORACIC-LUMBAR-SACRAL ORTHOSIS (TLSO), (LOW PROFILE), ANTERIOR ASIS PAD ADDITION TO THORACIC-LUMBAR-SACRAL ORTHOSIS (TLSO), (LOW PROFILE), ANTERIOR THORACIC DEROTATION ADDITION TO THORACIC-LUMBAR-SACRAL ORTHOSIS (TLSO), (LOW PROFILE), ABDOMINAL PAD ADDITION TO THORACIC-LUMBAR-SACRAL ORTHOSIS (TLSO), (LOW PROFILE), RIB GUSSET (ELASTIC), EACH ADDITION TO THORACIC-LUMBAR-SACRAL ORTHOSIS (TLSO), (LOW PROFILE), LATERAL TROCHANTERIC PAD OTHER SCOLIOSIS PROCEDURE, BODY JACKET MOLDED TO PATIENT MODEL OTHER SCOLIOSIS PROCEDURE, POSTOPERATIVE BODY JACKET SPINAL ORTHOSIS, NOT OTHERWISE SPECIFIED
- 450. THORACIC-HIP-KNEE-ANKLE ORTHOSIS (THKAO),MOBILITY FRAME (NEWINGTON, PARAPODIUM TYPES) THKAO, STANDING FRAME, WITH OR WITHOUT TRAY AND ACCESSORIES THORACIC-HIP-KNEE-ANKLE ORTHOSIS (THKAO), SWIVEL WALKER HIP ORTHOSIS (HO), ABDUCTION CONTROL OF HIP JOINTS, FLEXIBLE, FREJKA TYPE WITH COVER, PREFABRICATE HIP ORTHOSIS (HO), ABDUCTION CONTROL OF HIP JOINTS, FLEXIBLE, (FREJKA COVER ONLY), PREFABRICATED, IN HIP ORTHOSIS (HO), ABDUCTION CONTROL OF HIP JOINTS, FLEXIBLE, (PAVLIK HARNESS), PREFABRICATED, INCLU HIP ORTHOSIS (HO), ABDUCTION CONTROL OF HIP JOINTS, SEMI-FLEXIBLE (VON ROSEN TYPE), CUSTOM FABRICA HIP ORTHOSIS (HO), ABDUCTION CONTROL OF HIP JOINTS, STATIC, PELVIC BAND OR SPREADER BAR, THIGH CUF HIP ORTHOSIS (HO), ABDUCTION CONTROL OF HIP JOINTS, STATIC, ADJUSTABLE, (ILFLED TYPE), PREFABRICATED HIP ORTHOSIS, BILATERAL THIGH CUFFS WITH ADJUSTABLE ABDUCTOR SPREADER BAR, ADULT SIZE, PREFABRIC HIP ORTHOSIS (HO), ABDUCTION CONTROL OF HIP JOINTS, STATIC, PLASTIC, PREFABRICATED, INCLUDES FITTING HIP ORTHOSIS (HO), ABDUCTION CONTROL OF HIP JOINTS, DYNAMIC, PELVIC CONTROL, ADJUSTABLE HIP MOTION HIP ORTHOSIS (HO), ABDUCTION CONTROL OF HIP JOINT, POSTOPERATIVE HIP ABDUCTION TYPE, CUSTOM FABR HIP ORTHOSIS (HO), ABDUCTION CONTROL OF HIP JOINT, POSTOPERATIVE HIP ABDUCTION TYPE, PREFABRICATE COMBINATION, BILATERAL, LUMBO-SACRAL, HIP, FEMUR ORTHOSIS PROVIDING ADDUCTION AND INTERNAL ROTA LEGG PERTHES ORTHOSIS, (TORONTO TYPE), CUSTOM FABRICATED LEGG PERTHES ORTHOSIS, (NEWINGTON TYPE), CUSTOM FABRICATED LEGG PERTHES ORTHOSIS, TRILATERAL, (TACHDIJAN TYPE), CUSTOM FABRICATED LEGG PERTHES ORTHOSIS, (SCOTTISH RITE TYPE), CUSTOM FABRICATED LEGG PERTHES ORTHOSIS, LEGG PERTHES SLING (SAM BROWN TYPE), PREFABRICATED, INCLUDES FITTING AND LEGG PERTHES ORTHOSIS, (PATTEN BOTTOM TYPE), CUSTOM FABRICATED KNEE ORTHOSIS (KO), ELASTIC WITH STAYS, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT KNEE ORTHOSIS (KO), ELASTIC WITH JOINTS, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT KNEE ORTHOSIS (KO), ELASTIC OR OTHER ELASTIC TYPE MATERIAL WITH CONDYLAR PAD(S), PREFABRICATED, IN KNEE ORTHOSIS (KO), ELASTIC WITH CONDYLAR PADS AND JOINTS, PREFABRICATED, INCLUDES FITTING AND AD KNEE ORTHOSIS (KO), ELASTIC KNEE CAP, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT KNEE ORTHOSIS (KO), IMMOBILIZER, CANVAS LONGITUDINAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTM KNEE ORTHOSIS (KO), ADJUSTABLE KNEE JOINTS, POSITIONAL ORTHOSIS, RIGID SUPPORT, PREFABRICATED, INC KNEE ORTHOSIS (KO), WITHOUT KNEE JOINT, RIGID, CUSTOM FABRICATED KNEE ORTHOSIS, RIGID, WITHOUT JOINT(S), INCLUDES SOFT INTERFACE MATERIAL, PREFABRICATED, INCLUDES KNEE ORTHOSIS (KO), DEROTATION, MEDIAL-LATERAL, ANTERIOR CRUCIATE LIGAMENT, CUSTOM FABRICATED KNEE ORTHOSIS, SINGLE UPRIGHT, THIGH&CALF, WITH ADJUSTABLE FLEXION&EXTENSION JOINT, MEDIAL-LATER KNEE ORTHOSIS, SINGLE UPRIGHT, THIGH AND CALF, WITH ADJUSTABLE FLEXION AND EXTENSION JOINT, MEDIA KNEE ORTHOSIS (KO), DOUBLE UPRIGHT, THIGH AND CALF, WITH ADJUSTABLE FLEXION AND EXTENSION JOINT, M KNEE ORTHOSIS (KO), DOUBLE UPRIGHT, THIGH AND CALF, WITH ADJUSTABLE FLEXION AND EXTENSION JOINT, M KNEE ORTHOSIS (KO), DOUBLE UPRIGHT WITH ADJUSTABLE JOINT, WITH INFLATABLE AIR SUPPORT CHAMBER(S) KNEE ORTHOSIS (KO), SWEDISH TYPE, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT KNEE ORTHOSIS (KO), MOLDED PLASTIC, THIGH AND CALF SECTIONS, WITH DOUBLE UPRIGHT KNEE JOINTS, CUS KNEE ORTHOSIS (KO), MOLDED PLASTIC, POLYCENTRIC KNEE JOINTS, PNEUMATIC KNEE PADS (CTI), CUSTOM FA KNEE ORTHOSIS (KO), MODIFICATION OF SUPRACONDYLAR PROSTHETIC SOCKET, CUSTOM FABRICATED (SK) KNEE ORTHOSIS (KO), DOUBLE UPRIGHT, THIGH AND CALF LACERS, WITH KNEE JOINTS, CUSTOM FABRICATED KNEE ORTHOSIS (KO), DOUBLE UPRIGHT, NON-MOLDED THIGH AND CALF CUFFS/LACERS WITH KNEE JOINTS, CUS KNEE ORTHOSIS (KO), SINGLE OR DOUBLE UPRIGHT, THIGH AND CALF, WITH FUNCTIONAL ACTIVE RESISTANCE C ANKLE-FOOT ORTHOSIS (AFO), SPRING WIRE, DORSIFLEXION ASSIST CALF BAND, CUSTOM FABRICATED ANKLE ORTHOSIS, ELASTIC, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT (E.G. NEOPRENE, LYCRA) ANKLE-FOOT ORTHOSIS (AFO), ANKLE GAUNTLET, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT ANKLE-FOOT ORTHOSIS (AFO), MOLDED ANKLE GAUNTLET, CUSTOM FABRICATED ANKLE-FOOT ORTHOSIS (AFO), MULTILIGAMENTUS ANKLE SUPPORT, PREFABRICATED, INCLUDES FITTING AND AD ANKLE-FOOT ORTHOSIS (AFO), POSTERIOR, SINGLE BAR, CLASP ATTACHMENT TO SHOE COUNTER, PREFABRICA ANKLE-FOOT ORTHOSIS (AFO), SINGLE UPRIGHT WITH STATIC OR ADJUSTABLE STOP (PHELPS OR PERLSTEIN TY ANKLE FOOT ORTHOSIS, PLASTIC OR OTHER MATERIAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT ANKLE FOOT ORTHOSIS, PLASTIC OR OTHER MATERIAL, CUSTOM-FABRICATED
- 451. ANKLE-FOOT ORTHOSIS (AFO),MOLDED TO PATIENT MODEL, PLASTIC, RIGID ANTERIOR TIBIAL SECTION (FLOOR R ANKLE-FOOT ORTHOSIS (AFO), SPIRAL, (IRM TYPE), PLASTIC, CUSTOM FABRICATED ANKLE-FOOT ORTHOSIS (AFO), POSTERIOR SOLID ANKLE, PLASTIC, CUSTOM FABRICATED ANKLE-FOOT ORTHOSIS (AFO), PLASTIC, WITH ANKLE JOINT, CUSTOM FABRICATED ANKLE-FOOT ORTHOSIS (AFO), SINGLE UPRIGHT FREE PLANTAR DORSIFLEXION, SOLID STIRRUP, CALF BAND/CUF ANKLE-FOOT ORTHOSIS (AFO), DOUBLE UPRIGHT FREE PLANTAR DORSIFLEXION, SOLID STIRRUP, CALF BAND/CU KNEE-ANKLE-FOOT ORTHOSIS (KAFO), SINGLE UPRIGHT, FREE KNEE, FREE ANKLE, SOLID STIRRUP, THIGH AND C KNEE-ANKLE-FOOT ORTHOSIS (KAFO), SINGLE UPRIGHT, FREE ANKLE, SOLID STIRRUP, THIGH AND CALF BANDS/C KNEE-ANKLE-FOOT ORTHOSIS (KAFO), DOUBLE UPRIGHT, FREE KNEE, FREE ANKLE, SOLID STIRRUP, THIGH AND C KNEE-ANKLE-FOOT ORTHOSIS (KAFO), DOUBLE UPRIGHT, FREE ANKLE, SOLID STIRRUP, THIGH AND CALF BANDS/ KNEE-ANKLE-FOOT ORTHOSIS (KAFO), FULL PLASTIC, STATIC, (PEDIATRIC SIZE), PREFABRICATED, INCLUDES FITT KNEE-ANKLE-FOOT ORTHOSIS (KAFO), FULL PLASTIC, DOUBLE UPRIGHT, FREE KNEE, CUSTOM FABRICATED KNEE-ANKLE-FOOT ORTHOSIS (KAFO), FULL PLASTIC, SINGLE UPRIGHT, FREE KNEE, CUSTOM FABRICATED KNEE-ANKLE-FOOT ORTHOSIS (KAFO), FULL PLASTIC, WITHOUT KNEE JOINT, MULTI-AXIS ANKLE, (LIVELY ORTHOS KNEE-ANKLE-FOOT ORTHOSIS (KAFO), FULL PLASTIC, SINGLE UPRIGHT, POLY-AXIAL HINGE, MEDIAL LATERAL ROT HIP-KNEE-ANKLE-FOOT ORTHOSIS (HKAFO), TORSION CONTROL, BILATERAL ROTATION STRAPS, PELVIC BAND/BE HIP-KNEE-ANKLE-FOOT ORTHOSIS (HKAFO), TORSION CONTROL, BILATERAL TORSION CABLES, HIP JOINT, PELVIC HIP-KNEE-ANKLE-FOOT ORTHOSIS (HKAFO), TORSION CONTROL, BILATERAL TORSION CABLES, BALL BEARING HIP HIP-KNEE-ANKLE-FOOT ORTHOSIS (HKAFO), TORSION CONTROL, UNILATERAL ROTATION STRAPS, PELVIC BAND/B HIP-KNEE-ANKLE-FOOT ORTHOSIS (HKAFO), TORSION CONTROL, UNILATERAL TORSION CABLE, HIP JOINT, PELVIC HIP-KNEE-ANKLE-FOOT ORTHOSIS (HKAFO), TORSION CONTROL, UNILATERAL TORSION CABLE, BALL BEARING HI ANKLE-FOOT ORTHOSIS (AFO), FRACTURE ORTHOSIS, TIBIAL FRACTURE CAST ORTHOSIS, PLASTER TYPE CASTIN ANKLE-FOOT ORTHOSIS (AFO), FRACTURE ORTHOSIS, TIBIAL FRACTURE CAST ORTHOSIS, SYNTHETIC TYPE CAST ANKLE-FOOT ORTHOSIS (AFO), FRACTURE ORTHOSIS, TIBIAL FRACTURE CAST ORTHOSIS, THERMOPLASTIC TYPE ANKLE-FOOT ORTHOSIS (AFO), FRACTURE ORTHOSIS, TIBIAL FRACTURE CAST ORTHOSIS, CUSTOM FABRICATED ANKLE-FOOT ORTHOSIS (AFO), FRACTURE ORTHOSIS, TIBIAL FRACTURE ORTHOSIS, SOFT, PREFABRICATED, INCL ANKLE-FOOT ORTHOSIS (AFO), FRACTURE ORTHOSIS, TIBIAL FRACTURE ORTHOSIS, SEMI-RIGID, PREFABRICATED ANKLE-FOOT ORTHOSIS (AFO), FRACTURE ORTHOSIS, TIBIAL FRACTURE ORTHOSIS, RIGID, PREFABRICATED, INC KNEE-ANKLE-FOOT ORTHOSIS (KAFO), FRACTURE ORTHOSIS, FEMORAL FRACTURE CAST ORTHOSIS, PLASTER TY KNEE-ANKLE-FOOT ORTHOSIS (KAFO), FRACTURE ORTHOSIS, FEMORAL FRACTURE CAST ORTHOSIS, SYNTHETIC KNEE-ANKLE-FOOT ORTHOSIS (KAFO), FRACTURE ORTHOSIS, FEMORAL FRACTURE CAST ORTHOSIS, THERMOPL KNEE-ANKLE-FOOT ORTHOSIS (KAFO), FRACTURE ORTHOSIS, FEMORAL FRACTURE CAST ORTHOSIS, CUSTOM FA KNEE-ANKLE-FOOT ORTHOSIS (KAFO), FRACTURE ORTHOSIS, FEMORAL FRACTURE CAST ORTHOSIS, SOFT, PREF KNEE-ANKLE-FOOT ORTHOSIS (KAFO), FRACTURE ORTHOSIS, FEMORAL FRACTURE CAST ORTHOSIS, SEMI-RIGID KNEE-ANKLE-FOOT ORTHOSIS (KAFO), FRACTURE ORTHOSIS, FEMORAL FRACTURE CAST ORTHOSIS, RIGID, PREF ADDITION TO LOWER EXTREMITY FRACTURE ORTHOSIS, PLASTIC SHOE INSERT WITH ANKLE JOINTS ADDITION TO LOWER EXTREMITY FRACTURE ORTHOSIS, DROP LOCK KNEE JOINT ADDITION TO LOWER EXTREMITY FRACTURE ORTHOSIS, LIMITED MOTION KNEE JOINT ADDITION TO LOWER EXTREMITY FRACTURE ORTHOSIS, ADJUSTABLE MOTION KNEE JOINT, LERMAN TYPE ADDITION TO LOWER EXTREMITY FRACTURE ORTHOSIS, QUADRILATERAL BRIM ADDITION TO LOWER EXTREMITY FRACTURE ORTHOSIS, WAIST BELT ADDITION TO LOWER EXTREMITY FRACTURE ORTHOSIS, HIP JOINT, PELVIC BAND, THIGH FLANGE, AND PELVIC BE ADDITION TO LOWER EXTREMITY, LIMITED ANKLE MOTION, EACH JOINT ADDITION TO LOWER EXTREMITY, DORSIFLEXION ASSIST (PLANTAR FLEXION RESIST), EACH JOINT ADDITION TO LOWER EXTREMITY, DORSIFLEXION AND PLANTAR FLEXION ASSIST/RESIST, EACH JOINT ADDITION TO LOWER EXTREMITY, SPLIT FLAT CALIPER STIRRUPS AND PLATE ATTACHMENT ADDITION TO LOWER EXTREMITY, ROUND CALIPER AND PLATE ATTACHMENT ADDITION TO LOWER EXTREMITY, FOOT PLATE, MOLDED TO PATIENT MODEL, STIRRUP ATTACHMENT ADDITION TO LOWER EXTREMITY, REINFORCED SOLID STIRRUP (SCOTT-CRAIG TYPE) ADDITION TO LOWER EXTREMITY, LONG TONGUE STIRRUP ADDITION TO LOWER EXTREMITY, VARUS/VALGUS CORRECTION ("T") STRAP, PADDED/LINED OR MALLEOLUS PAD ADDITION TO LOWER EXTREMITY, VARUS/VALGUS CORRECTION, PLASTIC MODIFICATION, PADDED/LINED
- 452. ADDITION TO LOWEREXTREMITY, MOLDED INNER BOOT ADDITION TO LOWER EXTREMITY, ABDUCTION BAR (BILATERAL HIP INVOLVEMENT), JOINTED, ADJUSTABLE ADDITION TO LOWER EXTREMITY, ABDUCTION BAR-STRAIGHT ADDITION TO LOWER EXTREMITY, NON-MOLDED LACER ADDITION TO LOWER EXTREMITY, LACER MOLDED TO PATIENT MODEL ADDITION TO LOWER EXTREMITY, ANTERIOR SWING BAND ADDITION TO LOWER EXTREMITY, PRE-TIBIAL SHELL, MOLDED TO PATIENT MODEL ADDITION TO LOWER EXTREMITY, PROSTHETIC TYPE, (BK) SOCKET, MOLDED TO PATIENT MODEL, (USED FOR 'PT ADDITION TO LOWER EXTREMITY, EXTENDED STEEL SHANK ADDITION TO LOWER EXTREMITY, PATTEN BOTTOM ADDITION TO LOWER EXTREMITY, TORSION CONTROL, ANKLE JOINT AND HALF SOLID STIRRUP ADDITION TO LOWER EXTREMITY, TORSION CONTROL, STRAIGHT KNEE JOINT, EACH JOINT ADDITION TO LOWER EXTREMITY, STRAIGHT KNEE JOINT, HEAVY DUTY, EACH JOINT ADDITION TO LOWER EXTREMITY, OFFSET KNEE JOINT, EACH JOINT ADDITION TO LOWER EXTREMITY, OFFSET KNEE JOINT, HEAVY DUTY, EACH JOINT ADDITION TO LOWER EXTREMITY ORTHOSIS, SUSPENSION SLEEVE ADDITION TO KNEE JOINT, DROP LOCK, EACH JOINT ADDITION TO KNEE LOCK WITH INTEGRATED RELEASE MECHANISM (BAIL, CABLE, OR EQUAL), ANY MATERIAL, EAC ADDITION TO KNEE JOINT, DISC OR DIAL LOCK FOR ADJUSTABLE KNEE FLEXION, EACH JOINT ADDITION TO KNEE JOINT, RATCHET LOCK FOR ACTIVE AND PROGRESSIVE KNEE EXTENSION, EACH JOINT ADDITION TO KNEE JOINT, POLYCENTRIC JOINT, EACH JOINT ADDITION TO KNEE JOINT, LIFT LOOP FOR DROP LOCK RING ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, GLUTEAL/ ISCHIAL WEIGHT BEARING, RING ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, QUADRI- LATERAL BRIM, MOLDED TO PATIENT MODE ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, QUADRI- LATERAL BRIM, CUSTOM FITTED ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, ISCHIAL CONTAINMENT/NARROW M-L BRIM MOLDED ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, ISCHIAL CONTAINMENT/NARROW M-L BRIM, CUSTOM ADDITION TO LOWER EXTREMITY, THIGH-WEIGHT BEARING, LACER, NON-MOLDED ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, LACER, MOLDED TO PATIENT MODEL ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, HIGH ROLL CUFF ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, HIP JOINT, CLEVIS TYPE TWO POSITION JOINT, EACH ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, PELVIC SLING ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, HIP JOINT, CLEVIS TYPE, OR THRUST BEARING, FREE, EACH ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, HIP JOINT, CLEVIS OR THRUST BEARING, LOCK, EACH ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, HIP JOINT, HEAVY DUTY, EACH ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, HIP JOINT, ADJUSTABLE FLEXION, EACH ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, HIP JOINT, ADJUSTABLE FLEXION, EXTENSION, ABDUCTION ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, PLASTIC, MOLDED TO PATIENT MODEL, RECIPROCATING HIP ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, METAL FRAME, RECIPROCATING HIP JOINT AND CABLES ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, BAND AND BELT, UNILATERAL ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, BAND AND BELT, BILATERAL ADDITION TO LOWER EXTREMITY, PELVIC AND THORACIC CONTROL, GLUTEAL PAD, EACH ADDITION TO LOWER EXTREMITY, THORACIC CONTROL, THORACIC BAND ADDITION TO LOWER EXTREMITY, THORACIC CONTROL, PARASPINAL UPRIGHTS ADDITION TO LOWER EXTREMITY, THORACIC CONTROL, LATERAL SUPPORT UPRIGHTS ADDITION TO LOWER EXTREMITY ORTHOSIS, PLATING CHROME OR NICKEL, PER BAR ADDITION TO LOWER EXTREMITY ORTHOSIS, HIGH STRENGTH, LIGHTWEIGHT MATERIAL, ALL HYBRID LAMINATION ADDITION TO LOWER EXTREMITY ORTHOSIS, EXTENSION, PER EXTENSION, PER BAR (FOR LINEAL ADJUSTMENT F ORTHOTIC SIDE BAR DISCONNECT DEVICE, PER BAR ADDITION TO LOWER EXTREMITY ORTHOSIS, ANY MATERIAL - PER BAR OR JOINT ADDITION TO LOWER EXTREMITY ORTHOSIS, NON-CORROSIVE FINISH, PER BAR ADDITION TO LOWER EXTREMITY ORTHOSIS, DROP LOCK RETAINER, EACH
- 453. ADDITION TO LOWEREXTREMITY ORTHOSIS, KNEE CONTROL, FULL KNEECAP ADDITION TO LOWER EXTREMITY ORTHOSIS, KNEE CONTROL, KNEE CAP, MEDIAL OR LATERAL PULL ADDITION TO LOWER EXTREMITY ORTHOSIS, KNEE CONTROL, CONDYLAR PAD ADDITION TO LOWER EXTREMITY ORTHOSIS, SOFT INTERFACE FOR MOLDED PLASTIC, BELOW KNEE SECTION ADDITION TO LOWER EXTREMITY ORTHOSIS, SOFT INTERFACE FOR MOLDED PLASTIC, ABOVE KNEE SECTION ADDITION TO LOWER EXTREMITY ORTHOSIS, TIBIAL LENGTH SOCK, FRACTURE OR EQUAL, EACH ADDITION TO LOWER EXTREMITY ORTHOSIS, FEMORAL LENGTH SOCK, FRACTURE OR EQUAL, EACH ADDITION TO LOWER EXTREMITY JOINT, KNEE OR ANKLE, CONCENTRIC ADJUSTABLE TORSION STYLE MECHANIS LOWER EXTREMITY ORTHOSES, NOT OTHERWISE SPECIFIED FOOT INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, "UCB" TYPE, BERKELEY SHELL, EACH FOOT INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, SPENCO, EACH FOOT INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, PLASTAZOTE OR EQUAL, EACH FOOT INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, SILICONE GEL, EACH FOOT INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, LONGITUDINAL ARCH SUPPORT, EACH FOOT INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, LONGITUDINAL/ METATARSAL SUPPORT, EACH FOOT INSERT, REMOVABLE, FORMED TO PATIENT FOOT, EACH FOOT, ARCH SUPPORT, REMOVABLE, PREMOLDED, LONGITUDINAL, EACH FOOT, ARCH SUPPORT, REMOVABLE, PREMOLDED, METATARSAL, EACH FOOT, ARCH SUPPORT, REMOVABLE, PREMOLDED, LONGITUDINAL/ METATARSAL, EACH FOOT, ARCH SUPPORT, NONREMOVABLE ATTACHED TO SHOE, LONGITUDINAL, EACH FOOT, ARCH SUPPORT, NONREMOVABLE ATTACHED TO SHOE, METATARSAL, EACH FOOT, ARCH SUPPORT, NONREMOVABLE ATTACHED TO SHOE, LONGITUDINAL/METATARSAL, EACH HALLUS-VALGUS NIGHT DYNAMIC SPLINT FOOT, ABDUCTION ROTATION BAR, INCLUDING SHOES FOOT, ABDUCTION ROTATION BAR, WITHOUT SHOES FOOT, ADJUSTABLE SHOE-STYLED POSITIONING DEVICE FOOT, PLASTIC HEEL STABILIZER ORTHOPEDIC SHOE, OXFORD WITH SUPINATOR OR PRONATOR, INFANT ORTHOPEDIC SHOE, OXFORD WITH SUPINATOR OR PRONATOR, CHILD ORTHOPEDIC SHOE, OXFORD WITH SUPINATOR OR PRONATOR, JUNIOR ORTHOPEDIC SHOE, HIGHTOP WITH SUPINATOR OR PRONATOR, INFANT ORTHOPEDIC SHOE, HIGHTOP WITH SUPINATOR OR PRONATOR, CHILD ORTHOPEDIC SHOE, HIGHTOP WITH SUPINATOR OR PRONATOR, JUNIOR SURGICAL BOOT, EACH, INFANT SURGICAL BOOT, EACH, CHILD SURGICAL BOOT, EACH, JUNIOR BENESCH BOOT, PAIR, INFANT BENESCH BOOT, PAIR, CHILD BENESCH BOOT, PAIR, JUNIOR ORTHOPEDIC FOOTWEAR, WOMAN'S SHOES, OXFORD ORTHOPEDIC FOOTWEAR, WOMAN'S SHOES, DEPTH INLAY ORTHOPEDIC FOOTWEAR, WOMAN'S SHOES, HIGHTOP, DEPTH INLAY ORTHOPEDIC FOOTWEAR, MAN'S SHOES, OXFORD ORTHOPEDIC FOOTWEAR, MAN'S SHOES, DEPTH INLAY ORTHOPEDIC FOOTWEAR, MAN'S SHOES, HIGHTOP, DEPTH INLAY ORTHOPEDIC FOOTWEAR, WOMAN'S SHOE, OXFORD, USED AS AN INTEGRAL PART OF A BRACE (ORTHOSIS) ORTHOPEDIC FOOTWEAR, MAN'S SHOE, OXFORD, USED AS AN INTEGRAL PART OF A BRACE (ORTHOSIS) ORTHOPEDIC FOOTWEAR, CUSTOM SHOES, DEPTH INLAY ORTHOPEDIC FOOTWEAR, CUSTOM MOLDED SHOE, REMOVABLE INNER MOLD, PROSTHETIC SHOE, EACH FOOT, SHOE MOLDED TO PATIENT MODEL, SILICONE SHOE, EACH FOOT, SHOE MOLDED TO PATIENT MODEL, PLASTAZOTE (OR SIMILAR), CUSTOM FABRICATED, EACH FOOT, MOLDED SHOE PLASTAZOTE (OR SIMILAR), CUSTOM FITTED, EACH
- 454. NONSTANDARD SIZE ORWIDTH NONSTANDARD SIZE OR LENGTH ORTHOPEDIC FOOTWEAR, ADDITIONAL CHARGE FOR SPLIT SIZE SURGICAL BOOT/SHOE, EACH PLASTAZOTE SANDAL, EACH LIFT, ELEVATION, HEEL, TAPERED TO METATARSALS, PER INCH LIFT, ELEVATION, HEEL AND SOLE, NEOPRENE, PER INCH LIFT, ELEVATION, HEEL AND SOLE, CORK, PER INCH LIFT, ELEVATION, METAL EXTENSION (SKATE) LIFT, ELEVATION, INSIDE SHOE, TAPERED, UP TO ONE-HALF INCH LIFT, ELEVATION, HEEL, PER INCH HEEL WEDGE, SACH HEEL WEDGE SOLE WEDGE, OUTSIDE SOLE SOLE WEDGE, BETWEEN SOLE CLUBFOOT WEDGE OUTFLARE WEDGE METATARSAL BAR WEDGE, ROCKER METATARSAL BAR WEDGE, BETWEEN SOLE FULL SOLE AND HEEL WEDGE, BETWEEN SOLE HEEL, COUNTER, PLASTIC REINFORCED HEEL, COUNTER, LEATHER REINFORCED HEEL, SACH CUSHION TYPE HEEL, NEW LEATHER, STANDARD HEEL, NEW RUBBER, STANDARD HEEL, THOMAS WITH WEDGE HEEL, THOMAS EXTENDED TO BALL HEEL, PAD AND DEPRESSION FOR SPUR HEEL, PAD, REMOVABLE FOR SPUR ORTHOPEDIC SHOE ADDITION, INSOLE, LEATHER ORTHOPEDIC SHOE ADDITION, INSOLE, RUBBER ORTHOPEDIC SHOE ADDITION, INSOLE, FELT COVERED WITH LEATHER ORTHOPEDIC SHOE ADDITION, SOLE, HALF ORTHOPEDIC SHOE ADDITION, SOLE, FULL ORTHOPEDIC SHOE ADDITION, TOE TAP STANDARD ORTHOPEDIC SHOE ADDITION, TOE TAP, HORSESHOE ORTHOPEDIC SHOE ADDITION, SPECIAL EXTENSION TO INSTEP (LEATHER WITH EYELETS) ORTHOPEDIC SHOE ADDITION, CONVERT INSTEP TO VELCRO CLOSURE ORTHOPEDIC SHOE ADDITION, CONVERT FIRM SHOE COUNTER TO SOFT COUNTER ORTHOPEDIC SHOE ADDITION, MARCH BAR TRANSFER OF AN ORTHOSIS FROM ONE SHOE TO ANOTHER, CALIPER PLATE, EXISTING TRANSFER OF AN ORTHOSIS FROM ONE SHOE TO ANOTHER, CALIPER PLATE, NEW TRANSFER OF AN ORTHOSIS FROM ONE SHOE TO ANOTHER, SOLID STIRRUP, EXISTING TRANSFER OF AN ORTHOSIS FROM ONE SHOE TO ANOTHER, SOLID STIRRUP, NEW TRANSFER OF AN ORTHOSIS FROM ONE SHOE TO ANOTHER, DENNIS BROWNE SPLINT (RIVETON), BOTH SHOES ORTHOPEDIC SHOE, MODIFICATION, ADDITION OR TRANSFER, NOT OTHERWISE SPECIFIED SHOULDER ORTHOSIS (SO), FIGURE OF EIGHT DESIGN ABDUCTION RESTRAINER, PREFABRICATED, INCLUDES FIT SHOULDER ORTHOSIS, SINGLE SHOULDER, ELASTIC, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT (E.G SHOULDER ORTHOSIS, DOUBLE SHOULDER, ELASTIC, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT (E. SHOULDER ORTHOSIS (SO), FIGURE OF EIGHT DESIGN ABDUCTION RESTRAINER, CANVAS AND WEBBING, PREFA SHOULDER ORTHOSIS (SO), ACROMIO/CLAVICULAR, CANVAS AND WEBBING TYPE, PREFABRICATED, INCLUDES FI SHOULDER ORTHOSIS (SO), VEST TYPE ABDUCTION RESTRAINER, CANVAS WEBBING TYPE, OR EQUAL, PREFABR
- 455. SHOULDER ORTHOSIS, HARDPLASTIC, SHOULDER STABILIZER, PRE-FABRICATED, INCLUDES FITTING AND ADJUS ELBOW ORTHOSIS (EO), ELASTIC WITH STAYS, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT ELBOW ORTHOSIS, ELASTIC, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT (E.G. NEOPRENE, LYCRA) ELBOW ORTHOSIS (EO), ELASTIC WITH METAL JOINTS, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT ELBOW ORTHOSIS (EO), DOUBLE UPRIGHT WITH FOREARM/ARM CUFFS, FREE MOTION, CUSTOM FABRICATED ELBOW ORTHOSIS (EO), DOUBLE UPRIGHT WITH FOREARM/ARM CUFFS, EXTENSION/ FLEXION ASSIST, CUSTOM F ELBOW ORTHOSIS (EO), DOUBLE UPRIGHT WITH FOREARM/ARM CUFFS, ADJUSTABLE POSITION LOCK WITH ACTI ELBOW ORTHOSIS (EO), WITH ADJUSTABLE POSITION LOCKING JOINT(S), PREFABRICATED, INCLUDES FITTING AN ELBOW ORTHOSIS, RIGID, WITHOUT JOINTS, INCLUDES SOFT INTERFACE MATERIAL, PREFABRICATED, INCLUDES WRIST-HAND-FINGER ORTHOSIS (WHFO), SHORT OPPONENS, NO ATTACHMENTS, CUSTOM FABRICATED WRIST-HAND-FINGER ORTHOSIS (WHFO), LONG OPPONENS, NO ATTACHMENT, CUSTOM FABRICATED WRIST-HAND-FINGER ORTHOSIS (WHFO), WITHOUT JOINT(S), PREFABRICATED, INCLUDES FITTING AND ADJUSTM WRIST-HAND-FINGER ORTHOSIS (WHFO), ADDITION TO SHORT AND LONG OPPONENS, THUMB ABDUCTION ("C") B WRIST-HAND-FINGER ORTHOSIS (WHFO), ADDITION TO SHORT AND LONG OPPONENS, SECOND M.P. ABDUCTION WRIST-HAND-FINGER ORTHOSIS (WHFO), ADDITION TO SHORT AND LONG OPPONENS, I.P. EXTENSION ASSIST, W WRIST-HAND-FINGER ORTHOSIS (WHFO), ADDITION TO SHORT AND LONG OPPONENS, M.P. EXTENSION STOP WRIST-HAND-FINGER ORTHOSIS (WHFO), ADDITION TO SHORT AND LONG OPPONENS, M.P. EXTENSION ASSIST WRIST-HAND-FINGER ORTHOSIS (WHFO), ADDITION TO SHORT AND LONG OPPONENS, M.P. SPRING EXTENSION A WRIST-HAND-FINGER ORTHOSIS (WHFO), ADDITION TO SHORT AND LONG OPPONENS, SPRING SWIVEL THUMB WRIST-HAND-FINGER ORTHOSIS (WHFO), ADDITION TO SHORT AND LONG OPPONENS, THUMB I.P. EXTENSION AS WRIST-HAND ORTHOSIS (WHO), ADDITION TO SHORT AND LONG OPPONENS, ACTION WRIST, WITH DORSIFLEXIO WRIST-HAND-FINGER ORTHOSIS (WHFO), ADDITION TO SHORT AND LONG OPPONENS, ADJUSTABLE M.P. FLEXION WRIST-HAND-FINGER ORTHOSIS (WHFO), ADDITION TO SHORT AND LONG OPPONENS, ADJUSTABLE M.P. FLEXION ADDITION TO UPPER EXTREMITY JOINT, WRIST OR ELBOW, CONCENTRIC ADJUSTABLE TORSION STYLE MECHAN WRIST-HAND-FINGER ORTHOSIS (WHFO), DYNAMIC FLEXOR HINGE, RECIPROCAL WRIST EXTENSION/ FLEXION, FI WRIST-HAND-FINGER ORTHOSIS (WHFO), DYNAMIC FLEXOR HINGE, RECIPROCAL WRIST EXTENSION/ FLEXION, FI WRIST-HAND-FINGER ORTHOSIS (WHFO), EXTERNAL POWERED, COMPRESSED GAS, CUSTOM FABRICATED WRIST-HAND-FINGER ORTHOSIS (WHFO), EXTERNAL POWERED, ELECTRIC, CUSTOM FABRICATED WRIST-HAND ORTHOSIS (WHO), WRIST GAUNTLET, MOLDED TO PATIENT MODEL, CUSTOM FABRICATED WRIST-HAND-FINGER ORTHOSIS (WHFO), WRIST GAUNTLET WITH THUMB SPICA, MOLDED TO PATIENT MODEL, CU WRIST-HAND ORTHOSIS (WHO), WRIST EXTENSION CONTROL COCK-UP, NON MOLDED, PREFABRICATED, INCLUD WRIST ORTHOSIS, ELASTIC, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT (E.G. NEOPRENE, LYCRA) WRIST-HAND-FINGER ORTHOSIS (WHFO), SWANSON DESIGN, PREFABRICATED, INCLUDES FITTING AND ADJUSTM WRIST HAND FINGER ORTHOSIS, ELASTIC, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT (E.G. NEOPRE HAND-FINGER ORTHOSIS (HFO), FLEXION GLOVE WITH ELASTIC FINGER CONTROL, PREFABRICATED, INCLUDES F WRIST-HAND ORTHOSIS (WHO), WRIST EXTENSION COCK-UP, PREFABRICATED, INCLUDES FITTING AND ADJUSTM WRIST-HAND-FINGER ORTHOSIS (WHFO), WRIST EXTENSION COCK-UP, WITH OUTRIGGER, PREFABRICATED, INCL HAND-FINGER ORTHOSIS (HFO), KNUCKLE BENDER, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT HAND-FINGER ORTHOSIS (HFO), KNUCKLE BENDER, WITH OUTRIGGER, PREFABRICATED, INCLUDES FITTING AND HAND-FINGER ORTHOSIS (HFO), KNUCKLE BENDER, TWO SEGMENT TO FLEX JOINTS, PREFABRICATED, INCLUDES HAND-FINGER ORTHOSIS (HFO), WITHOUT JOINT(S), PREFABRICATED, INCLUDES FITTING AND ADJUSTMENTS, AN WRIST-HAND-FINGER ORTHOSIS (WHFO), OPPENHEIMER, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT WRIST-HAND-FINGER ORTHOSIS (WHFO), THOMAS SUSPENSION, PREFABRICATED, INCLUDES FITTING AND ADJU HAND-FINGER ORTHOSIS (HFO), FINGER EXTENSION, WITH CLOCK SPRING, PREFABRICATED, INCLUDES FITTING WRIST-HAND-FINGER ORTHOSIS (WHFO), FINGER EXTENSION, WITH WRIST SUPPORT, PREFABRICATED, INCLUDE FINGER ORTHOSIS (FO), SAFETY PIN, SPRING WIRE, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT FINGER ORTHOSIS (FO), SAFETY PIN, MODIFIED, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT WRIST-HAND-FINGER ORTHOSIS (WHFO), PALMER, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT WRIST-HAND-FINGER ORTHOSIS (WHFO), DORSAL WRIST, PREFABRICATED, INCLUDES FITTING AND ADJUSTMEN WRIST-HAND-FINGER ORTHOSIS (WHFO), DORSAL WRIST, WITH OUTRIGGER ATTACHMENT, PREFABRICATED, INC HAND-FINGER ORTHOSIS (HFO), REVERSE KNUCKLE BENDER, PREFABRICATED, INCLUDES FITTING AND ADJUSTM HAND-FINGER ORTHOSIS (HFO), REVERSE KNUCKLE BENDER, WITH OUTRIGGER, PREFABRICATED, INCLUDES FIT
- 456. HAND-FINGER ORTHOSIS (HFO),COMPOSITE ELASTIC, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT FINGER ORTHOSIS (FO), FINGER KNUCKLE BENDER, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT WRIST-HAND-FINGER ORTHOSIS (WHFO), COMBINATION OPPENHEIMER, WITH KNUCKLE BENDER AND TWO ATTA WRIST-HAND-FINGER ORTHOSIS (WHFO), COMBINATION OPPENHEIMER, WITH REVERSE KNUCKLE AND TWO ATT HAND-FINGER ORTHOSIS (HFO), SPREADING HAND, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT ADDITION OF JOINT TO UPPER EXTREMITY ORTHOSIS, ANY MATERIAL; PER JOINT SHOULDER-ELBOW-WRIST-HAND ORTHOSIS (SEWHO), ABDUCTION POSITIONING, AIRPLANE DESIGN, PREFABRIC SHOULDER-ELBOW-WRIST-HAND ORTHOSIS (SEWHO), ABDUCTION POSITIONING, ERB'S PALSEY DESIGN, PREFAB SHOULDER-ELBOW-WRIST-HAND ORTHOSIS (SEWHO), MOLDED SHOULDER, ARM, FOREARM, AND WRIST, WITH A SHOULDER-ELBOW ORTHOSIS (SEO), MOBILE ARM SUPPORT ATTACHED TO WHEELCHAIR, BALANCED, ADJUSTAB SHOULDER-ELBOW ORTHOSIS (SEO), MOBILE ARM SUPPORT ATTACHED TO WHEELCHAIR, BALANCED, ADJUSTAB SHOULDER-ELBOW ORTHOSIS (SEO), MOBILE ARM SUPPORT ATTACHED TO WHEELCHAIR, BALANCED, RECLINING SHOULDER-ELBOW ORTHOSIS (SEO), MOBILE ARM SUPPORT ATTACHED TO WHEELCHAIR, BALANCED, FRICTION SHOULDER-ELBOW ORTHOSIS (SEO), MOBILE ARM SUPPORT, MONOSUSPENSION ARM AND HAND SUPPORT, OVE SHOULDER-ELBOW ORTHOSIS (SEO), ADDITION TO MOBILE ARM SUPPORT, ELEVATING PROXIMAL ARM SHOULDER-ELBOW ORTHOSIS (SEO), ADDITION TO MOBILE ARM SUPPORT, OFFSET OR LATERAL ROCKER ARM W SHOULDER-ELBOW ORTHOSIS (SEO), ADDITION TO MOBILE ARM SUPPORT, SUPINATOR UPPER EXTREMITY FRACTURE ORTHOSIS, HUMERAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT UPPER EXTREMITY FRACTURE ORTHOSIS, RADIUS/ULNAR, PREFABRICATED, INCLUDES FITTING AND ADJUSTMEN UPPER EXTREMITY FRACTURE ORTHOSIS, WRIST, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT UPPER EXTREMITY FRACTURE ORTHOSIS, FOREARM, HAND WITH WRIST HINGE, CUSTOM FABRICATED UPPER EXTREMITY FRACTURE ORTHOSIS, COMBINATION OF HUMERAL, RADIUS/ULNAR, WRIST (EXAMPLE: COLLE ADDITION TO UPPER EXTREMITY ORTHOSIS, SOCK, FRACTURE OR EQUAL, EACH UPPER LIMB ORTHOSIS, NOT OTHERWISE SPECIFIED REPLACE GIRDLE FOR SPINAL ORTHOSIS REPLACE TRILATERAL SOCKET BRIM REPLACE QUADRILATERAL SOCKET BRIM, MOLDED TO PATIENT MODEL REPLACE QUADRILATERAL SOCKET BRIM, CUSTOM FITTED REPLACE MOLDED THIGH LACER REPLACE NONMOLDED THIGH LACER REPLACE MOLDED CALF LACER REPLACE NONMOLDED CALF LACER REPLACE HIGH ROLL CUFF REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KNEE-ANKLE-FOOT ORTHOSIS (KAFO) REPLACE METAL BANDS KNEE-ANKLE-FOOT ORTHOSIS (KAFO), PROXIMAL THIGH REPLACE METAL BANDS KAFO-AFO, CALF OR DISTAL THIGH REPLACE LEATHER CUFF KNEE-ANKLE-FOOT ORTHOSIS (KAFO), PROXIMAL THIGH REPLACE LEATHER CUFF KAFO-AFO, CALF OR DISTAL THIGH REPLACE PRETIBIAL SHELL REPAIR OF ORTHOTIC DEVICE, LABOR COMPONENT, PER 15 MINUTES REPAIR OF ORTHOTIC DEVICE, REPAIR OR REPLACE MINOR PARTS PNEUMATIC ANKLE CONTROL SPLINT, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT PNEUMATIC ANKLE FOOT ORTHOSIS, WITH OR WITHOUT JOINTS, PREFABRICATED, INCLUDES FITTING AND ADJU PNEUMATIC FULL LEG SPLINT, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT PNEUMATIC KNEE SPLINT, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT NON-PNEUMATIC WALKING SPLINT, WITH OR WITHOUT JOINTS, PREFABRICATED, INCLUDES FITTING AND ADJUST REPLACEMENT SOFT INTERFACE MATERIAL, STATIC ANKLE-FOOT ORTHOSIS (AFO) REPLACE SOFT INTERFACE MATERIAL, FOOT DROP SPLINT STATIC ANKLE FOOT ORTHOSIS, INCL SFT INTERFACE MATL,ADJUST, FIT, POSITIONING, PRESSURE REDUCTION, FOOT DROP SPLINT, RECUMBENT POSITIONING DEVICE, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT PARTIAL FOOT, SHOE INSERT WITH LONGITUDINAL ARCH, TOE FILLER PARTIAL FOOT, MOLDED SOCKET, ANKLE HEIGHT, WITH TOE FILLER
- 457. PARTIAL FOOT, MOLDEDSOCKET, TIBIAL TUBERCLE HEIGHT, WITH TOE FILLER ANKLE, SYMES, MOLDED SOCKET, SACH FOOT ANKLE, SYMES, METAL FRAME, MOLDED LEATHER SOCKET, ARTICULATED ANKLE/FOOT BELOW KNEE, MOLDED SOCKET, SHIN, SACH FOOT BELOW KNEE, PLASTIC SOCKET, JOINTS AND THIGH LACER, SACH FOOT KNEE DISARTICULATION (OR THROUGH KNEE), MOLDED SOCKET, EXTERNAL KNEE JOINTS, SHIN, SACH FOOT KNEE DISARTICULATION (OR THROUGH KNEE), MOLDED SOCKET, BENT KNEE CONFIGURATION, EXTERNAL KNEE ABOVE KNEE, MOLDED SOCKET, SINGLE AXIS CONSTANT FRICTION KNEE, SHIN, SACH FOOT ABOVE KNEE, SHORT PROSTHESIS, NO KNEE JOINT ("STUBBIES"), WITH FOOT BLOCKS, NO ANKLE JOINTS, EACH ABOVE KNEE, SHORT PROSTHESIS, NO KNEE JOINT ("STUBBIES"), WITH ARTICULATED ANKLE/FOOT, DYNAMICALL ABOVE KNEE, FOR PROXIMAL FEMORAL FOCAL DEFICIENCY, CONSTANT FRICTION KNEE, SHIN, SACH FOOT HIP DISARTICULATION, CANADIAN TYPE; MOLDED SOCKET, HIP JOINT, SINGLE AXIS CONSTANT FRICTION KNEE, S HIP DISARTICULATION, TILT TABLE TYPE; MOLDED SOCKET, LOCKING HIP JOINT, SINGLE AXIS CONSTANT FRICTIO HEMIPELVECTOMY, CANADIAN TYPE; MOLDED SOCKET, HIP JOINT, SINGLE AXIS CONSTANT FRICTION KNEE, SHIN BELOW KNEE, MOLDED SOCKET, SHIN, SACH FOOT, ENDOSKELETAL SYSTEM KNEE DISARTICULATION (OR THROUGH KNEE), MOLDED SOCKET, EXTERNAL KNEE JOINTS, SHIN, SACH FOOT, EN ABOVE KNEE, MOLDED SOCKET, OPEN END, SACH FOOT, ENDOSKELETAL SYSTEM, SINGLE AXIS KNEE HIP DISARTICULATION, CANADIAN TYPE, MOLDED SOCKET, ENDOSKELETAL SYSTEM, HIP JOINT, SINGLE AXIS KNE HEMIPELVECTOMY, CANADIAN TYPE, MOLDED SOCKET, ENDOSKELETAL SYSTEM, HIP JOINT, SINGLE AXIS KNEE, S IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF INITIAL RIGID DRESSING, INCLUDING FITTING, A IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF INITIAL RIGID DRESSING, INCLUDING FITTING, A IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF INITIAL RIGID DRESSING, INCLUDING FITTING, A IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF INITIAL RIGID DRESSING, INCLUDING FITTING, A IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF NONWEIGHT BEARING RIGID DRESSING, BELOW IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF NONWEIGHT BEARING RIGID DRESSING, ABOVE INITIAL, BELOW KNEE "PTB" TYPE SOCKET, NON-ALIGNABLE SYSTEM, PYLON, NO COVER, SACH FOOT, PLASTER S INITIAL, ABOVE KNEE - KNEE DISARTICULATION, ISCHIAL LEVEL SOCKET, NON-ALIGNABLE SYSTEM, PYLON, NO CO PREPARATORY, BELOW KNEE "PTB" TYPE SOCKET, NON-ALIGNABLE SYSTEM, PYLON, NO COVER, SACH FOOT, PL PREPARATORY, BELOW KNEE "PTB" TYPE SOCKET, NON-ALIGNABLE SYSTEM, PYLON, NO COVER, SACH FOOT, TH PREPARATORY, BELOW KNEE "PTB" TYPE SOCKET, NON-ALIGNABLE SYSTEM, PYLON, NO COVER, SACH FOOT, TH PREPARATORY, BELOW KNEE "PTB" TYPE SOCKET, NON-ALIGNABLE SYSTEM, PYLON, NO COVER, SACH FOOT, PR PREPARATORY, BELOW KNEE "PTB" TYPE SOCKET, NON-ALIGNABLE SYSTEM, PYLON, NO COVER, SACH FOOT, LA PREPARATORY, ABOVE KNEE- KNEE DISARTICULATION, ISCHIAL LEVEL SOCKET, NON-ALIGNABLE SYSTEM, PYLON PREPARATORY, ABOVE KNEE - KNEE DISARTICULATION, ISCHIAL LEVEL SOCKET, NON-ALIGNABLE SYSTEM, PYLO PREPARATORY, ABOVE KNEE - KNEE DISARTICULATION ISCHIAL LEVEL SOCKET, NON-ALIGNABLE SYSTEM, PYLON PREPARATORY, ABOVE KNEE - KNEE DISARTICULATION, ISCHIAL LEVEL SOCKET, NON-ALIGNABLE SYSTEM, PYLO PREPARATORY, ABOVE KNEE - KNEE DISARTICULATION ISCHIAL LEVEL SOCKET, NON-ALIGNABLE SYSTEM, PYLON PREPARATORY, HIP DISARTICULATION-HEMIPELVECTOMY, PYLON, NO COVER, SACH FOOT, THERMOPLASTIC OR PREPARATORY, HIP DISARTICULATION-HEMIPELVECTOMY, PYLON, NO COVER, SACH FOOT, LAMINATED SOCKET, ADDITION TO LOWER EXTREMITY, ENDOSKELETAL SYSTEM, ABOVE KNEE, HYDRACADENCE SYSTEM ADDITION TO LOWER EXTREMITY, ENDOSKELETAL SYSTEM, ABOVE KNEE - KNEE DISARTICULATION, 4-BAR LINKA ADDITION TO LOWER EXTREMITY, ENDOSKELETAL SYSTEM, ABOVE KNEE-KNEE DISARTICULATION, 4-BAR LINKAG ADDITION TO LOWER EXTREMITY, ENDOSKELETAL SYSTEM, ABOVE KNEE-KNEE DISARTICULATION, 4-BAR LINKAG ADDITION TO LOWER EXTREMITY, ENDOSKELETAL SYSTEM, ABOVE KNEE, UNIVERSAL MULTIPLEX SYSTEM, FRICT ADDITION TO LOWER EXTREMITY, QUICK CHANGE SELF-ALIGNING UNIT, ABOVE KNEE OR BELOW KNEE, EACH ADDITION TO LOWER EXTREMITY, TEST SOCKET, SYMES ADDITION TO LOWER EXTREMITY, TEST SOCKET, BELOW KNEE ADDITION TO LOWER EXTREMITY, TEST SOCKET, KNEE DISARTICULATION ADDITION TO LOWER EXTREMITY, TEST SOCKET, ABOVE KNEE ADDITION TO LOWER EXTREMITY, TEST SOCKET, HIP DISARTICULATION ADDITION TO LOWER EXTREMITY, TEST SOCKET, HEMIPELVECTOMY ADDITION TO LOWER EXTREMITY, BELOW KNEE, ACRYLIC SOCKET
- 458. ADDITION TO LOWEREXTREMITY, SYMES TYPE, EXPANDABLE WALL SOCKET ADDITION TO LOWER EXTREMITY, ABOVE KNEE OR KNEE DISARTICULATION, ACRYLIC SOCKET ADDITION TO LOWER EXTREMITY, SYMES TYPE, "PTB" BRIM DESIGN SOCKET ADDITION TO LOWER EXTREMITY, SYMES TYPE, POSTERIOR OPENING (CANADIAN) SOCKET ADDITION TO LOWER EXTREMITY, SYMES TYPE, MEDIAL OPENING SOCKET ADDITION TO LOWER EXTREMITY, BELOW KNEE, TOTAL CONTACT ADDITION TO LOWER EXTREMITY, BELOW KNEE, LEATHER SOCKET ADDITION TO LOWER EXTREMITY, BELOW KNEE, WOOD SOCKET ADDITION TO LOWER EXTREMITY, KNEE DISARTICULATION, LEATHER SOCKET ADDITION TO LOWER EXTREMITY, ABOVE KNEE, LEATHER SOCKET ADDITION TO LOWER EXTREMITY, HIP DISARTICULATION, FLEXIBLE INNER SOCKET, EXTERNAL FRAME ADDITION TO LOWER EXTREMITY, ABOVE KNEE, WOOD SOCKET ADDITION TO LOWER EXTREMITY, BELOW KNEE, FLEXIBLE INNER SOCKET, EXTERNAL FRAME ADDITION TO LOWER EXTREMITY, BELOW KNEE, AIR CUSHION SOCKET ADDITION TO LOWER EXTREMITY, BELOW KNEE SUCTION SOCKET ADDITION TO LOWER EXTREMITY, ABOVE KNEE, AIR CUSHION SOCKET ADDITION TO LOWER EXTREMITY, ISCHIAL CONTAINMENT/NARROW M-L SOCKET ADDITION TO LOWER EXTREMITY, TOTAL CONTACT, ABOVE KNEE OR KNEE DISARTICULATION SOCKET ADDITION TO LOWER EXTREMITY, ABOVE KNEE, FLEXIBLE INNER SOCKET, EXTERNAL FRAME ADDITION TO LOWER EXTREMITY, SUCTION SUSPENSION, ABOVE KNEE OR KNEE DISARTICULATION SOCKET ADDITION TO LOWER EXTREMITY, KNEE DISARTICULATION, EXPANDABLE WALL SOCKET ADDITION TO LOWER EXTREMITY, SOCKET INSERT, SYMES, (KEMBLO, PELITE, ALIPLAST, PLASTAZOTE OR EQUAL ADDITION TO LOWER EXTREMITY, SOCKET INSERT, BELOW KNEE (KEMBLO, PELITE, ALIPLAST, PLASTAZOTE OR E ADDITION TO LOWER EXTREMITY, SOCKET INSERT, KNEE DISARTICULATION (KEMBLO, PELITE, ALIPLAST, PLASTA ADDITION TO LOWER EXTREMITY, SOCKET INSERT, ABOVE KNEE (KEMBLO, PELITE, ALIPLAST, PLASTAZOTE OR E ADDITION TO LOWER EXTREMITY, SOCKET INSERT, MULTI-DUROMETER SYMES ADDITION TO LOWER EXTREMITY, SOCKET INSERT, MULTI-DUROMETER, BELOW KNEE ADDITION TO LOWER EXTREMITY, BELOW KNEE, CUFF SUSPENSION ADDITION TO LOWER EXTREMITY, BELOW KNEE, MOLDED DISTAL CUSHION ADDITION TO LOWER EXTREMITY, BELOW KNEE, MOLDED SUPRACONDYLAR SUSPENSION ("PTS" OR SIMILAR) ADDITION TO LOWER EXTREMITY, BELOW KNEE/ABOVE KNEE SUSPENSION LOCKING MECHANISM (SHUTTLE, LAN ADDITION TO LOWER EXTREMITY, BELOW KNEE, REMOVABLE MEDIAL BRIM SUSPENSION ADDITION TO LOWER EXTREMITY, BELOW KNEE, SUSPENSION SLEEVE, ANY MATERIAL, EACH ADDITION TO LOWER EXTREMITY, BELOW KNEE, SUSPENSION SLEEVE, HEAVY DUTY, ANY MATERIAL, EACH ADDITION TO LOWER EXTREMITY, BELOW KNEE, KNEE JOINTS, SINGLE AXIS, PAIR ADDITION TO LOWER EXTREMITY, BELOW KNEE, KNEE JOINTS, POLYCENTRIC, PAIR ADDITION TO LOWER EXTREMITY, BELOW KNEE, JOINT COVERS, PAIR ADDITION TO LOWER EXTREMITY, BELOW KNEE, THIGH LACER, NONMOLDED ADDITION TO LOWER EXTREMITY, BELOW KNEE, THIGH LACER, GLUTEAL/ISCHIAL, MOLDED ADDITION TO LOWER EXTREMITY, BELOW KNEE, FORK STRAP ADDITION TO LOWER EXTREMITY, BELOW KNEE, BACK CHECK (EXTENSION CONTROL) ADDITION TO LOWER EXTREMITY, BELOW KNEE, WAIST BELT, WEBBING ADDITION TO LOWER EXTREMITY, BELOW KNEE, WAIST BELT, PADDED AND LINED ADDITION TO LOWER EXTREMITY, ABOVE KNEE, PELVIC CONTROL BELT, LIGHT ADDITION TO LOWER EXTREMITY, ABOVE KNEE, PELVIC CONTROL BELT, PADDED AND LINED ADDITION TO LOWER EXTREMITY, ABOVE KNEE, PELVIC CONTROL, SLEEVE SUSPENSION, NEOPRENE OR EQUAL, ADDITION TO LOWER EXTREMITY, ABOVE KNEE OR KNEE DISARTICULATION, PELVIC JOINT ADDITION TO LOWER EXTREMITY, ABOVE KNEE OR KNEE DISARTICULATION, PELVIC BAND ADDITION TO LOWER EXTREMITY, ABOVE KNEE OR KNEE DISARTICULATION, SILESIAN BANDAGE ALL LOWER EXTREMITY PROSTHESES, SHOULDER HARNESS REPLACEMENT, SOCKET, BELOW KNEE, MOLDED TO PATIENT MODEL REPLACEMENT, SOCKET, ABOVE KNEE/KNEE DISARTICULATION, INCLUDING ATTACHMENT PLATE, MOLDED TO PA
- 459. REPLACEMENT, SOCKET, HIPDISARTICULATION, INCLUDING HIP JOINT, MOLDED TO PATIENT MODEL CUSTOM SHAPED PROTECTIVE COVER, BELOW KNEE CUSTOM SHAPED PROTECTIVE COVER, ABOVE KNEE CUSTOM SHAPED PROTECTIVE COVER, KNEE DISARTICULATION CUSTOM SHAPED PROTECTIVE COVER, HIP DISARTICULATION ADDITION, EXOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, MANUAL LOCK ADDITION, EXOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, MANUAL LOCK, ULTRA-LIGHT MATERIAL ADDITION, EXOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, FRICTION SWING AND STANCE PHASE CONTROL (SA ADDITION, EXOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, VARIABLE FRICTION SWING PHASE CONTROL ADDITION, EXOSKELETAL KNEE-SHIN SYSTEM, POLYCENTRIC, MECHANICAL STANCE PHASE LOCK ADDITION, EXOSKELETAL KNEE-SHIN SYSTEM, POLYCENTRIC, FRICTION SWING AND STANCE PHASE CONTROL ADDITION, EXOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, PNEUMATIC SWING, FRICTION STANCE PHASE CONT ADDITION, EXOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, FLUID SWING PHASE CONTROL ADDITION, EXOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, EXTERNAL JOINTS FLUID SWING PHASE CONTROL ADDITION, EXOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, FLUID SWING AND STANCE PHASE CONTROL ADDITION, EXOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, PNEUMATIC/HYDRA PNEUMATIC SWING PHASE CONT ADDITION TO LOWER LIMB PROSTHESIS, VACUUM PUMP, RESIDUAL LIMB VOLUME MANAGEMENT AND MOISTURE ADDITION TO LOWER LIMB PROSTHESIS, VACUUM PUMP, RESIDUAL LIMB VOLUME MANAGEMENT AND MOISTURE ADDITION, EXOSKELETAL SYSTEM, BELOW KNEE, ULTRA-LIGHT MATERIAL (TITANIUM, CARBON FIBER OR EQUAL) ADDITION, EXOSKELETAL SYSTEM, ABOVE KNEE, ULTRA-LIGHT MATERIAL (TITANIUM, CARBON FIBER OR EQUAL) ADDITION, EXOSKELETAL SYSTEM, HIP DISARTICULATION, ULTRA-LIGHT MATERIAL (TITANIUM, CARBON FIBER OR ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, MANUAL LOCK ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, MANUAL LOCK, ULTRA-LIGHT MATERIAL ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, FRICTION SWING AND STANCE PHASE CONTROL (S ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, POLYCENTRIC, HYDRAULIC SWING PHASE CONTROL, MECHANIC ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, POLYCENTRIC, MECHANICAL STANCE PHASE LOCK ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, POLYCENTRIC, FRICTION SWING, AND STANCE PHASE CONTROL ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, PNEUMATIC SWING, FRICTION STANCE PHASE CON ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, FLUID SWING PHASE CONTROL ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, HYDRAULIC SWING PHASE CONTROL, WITH MINIAT ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, FLUID SWING AND STANCE PHASE CONTROL ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, SINGLE AXIS, PNEUMATIC/ SWING PHASE CONTROL ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, 4-BAR LINKAGE OR MULTIAXIAL, PNEUMATIC SWING PHASE CONT ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, STANCE FLEXION FEATURE, ADJUSTABLE ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, MICROPROCESSOR CONTROL FEATURE, SWING PHASE ONLY ADDITION, ENDOSKELETAL KNEE-SHIN SYSTEM, MICROPROCESSOR CONTROL FEATURE, STANCE PHASE ADDITION TO ENDOSKELETAL, KNEE-SHIN SYSTEM, HYDRAULIC STANCE EXTENSION, DAMPENING FEATURE, ADJU ADDITION, ENDOSKELETAL SYSTEM, ABOVE KNEE OR HIP DISARTICULATION, KNEE EXTENSION ASSIST ADDITION, ENDOSKELETAL SYSTEM, HIP DISARTICULATION, MECHANICAL HIP EXTENSION ASSIST ADDITION, ENDOSKELETAL SYSTEM, BELOW KNEE, ALIGNABLE SYSTEM ADDITION, ENDOSKELETAL SYSTEM, ABOVE KNEE OR HIP DISARTICULATION, ALIGNABLE SYSTEM ADDITION, ENDOSKELETAL SYSTEM, ABOVE KNEE, KNEE DISARTICULATION OR HIP DISARTICULATION, MANUAL LO ADDITION, ENDOSKELETAL SYSTEM, HIGH ACTIVITY KNEE CONTROL FRAME ADDITION, ENDOSKELETAL SYSTEM, BELOW KNEE, ULTRA-LIGHT MATERIAL (TITANIUM, CARBON FIBER OR EQUAL ADDITION, ENDOSKELETAL SYSTEM, ABOVE KNEE, ULTRA-LIGHT MATERIAL (TITANIUM, CARBON FIBER OR EQUAL ADDITION, ENDOSKELETAL SYSTEM, HIP DISARTICULATION, ULTRA-LIGHT MATERIAL (TITANIUM, CARBON FIBER O ADDITION, ENDOSKELETAL SYSTEM, BELOW KNEE, FLEXIBLE PROTECTIVE OUTER SURFACE COVERING SYSTEM ADDITION, ENDOSKELETAL SYSTEM, ABOVE KNEE, FLEXIBLE PROTECTIVE OUTER SURFACE COVERING SYSTEM ADDITION, ENDOSKELETAL SYSTEM, HIP DISARTICULATION, FLEXIBLE PROTECTIVE OUTER SURFACE COVERING ADDITION TO LOWER LIMB PROSTHESIS, MULTIAXIAL ANKLE WITH SWING PHASE ACTIVE DORSIFLEXION FEATUR ALL LOWER EXTREMITY PROSTHESES, FOOT, EXTERNAL KEEL, SACH FOOT ALL LOWER EXTREMITY PROSTHESES, FLEXIBLE KEEL FOOT (SAFE, STEN, BOCK DYNAMIC OR EQUAL)
- 460. ALL LOWER EXTREMITYPROSTHESES, FOOT, SINGLE AXIS ANKLE/FOOT ALL LOWER EXTREMITY PROSTHESIS, COMBINATION SINGLE AXIS ANKLE AND FLEXIBLE KEEL FOOT ALL LOWER EXTREMITY PROSTHESES, ENERGY STORING FOOT (SEATTLE CARBON COPY II OR EQUAL) ALL LOWER EXTREMITY PROSTHESES, FOOT, MULTIAXIAL ANKLE/FOOT ALL LOWER EXTREMITY PROSTHESES, MULTI-AXIAL ANKLE, DYNAMIC RESPONSE FOOT, ONE PIECE SYSTEM ALL LOWER EXTREMITY PROSTHESES, FLEX FOOT SYSTEM ALL LOWER EXTREMITY PROSTHESES, FLEX-WALK SYSTEM OR EQUAL ALL EXOSKELETAL LOWER EXTREMITY PROSTHESES, AXIAL ROTATION UNIT ALL ENDOSKELETAL LOWER EXTREMITY PROSTHESES, AXIAL ROTATION UNIT ALL ENDOSKELETAL LOWER EXTREMITY PROTHESES, DYNAMIC PROSTHETIC PYLON ALL LOWER EXTREMITY PROSTHESES, MULTI-AXIAL ROTATION UNIT ("MCP" OR EQUAL) ALL LOWER EXTREMITY PROSTHESIS, SHANK FOOT SYSTEM WITH VERTICAL LOADING PYLON ADDITION TO LOWER LIMB PROSTHESIS, VERTICAL SHOCK REDUCING PYLON FEATURE ADDITION TO LOWER EXTREMITY PROSTHESIS, ENDOSKELETAL SYSTEM, PYLON WITH INTEGRATED ELECTRONIC ADDITION TO LOWER EXTREMITY PROSTHESIS, USER ADJUSTABLE HEEL HEIGHT ADDITION TO LOWER EXTREMITY PROSTHESIS, HEAVY DUTY FEATURE (FOR PATIENT WEIGHT > 300 LBS) LOWER EXTREMITY PROSTHESIS, NOT OTHERWISE SPECIFIED PARTIAL HAND, ROBIN-AIDS, THUMB REMAINING (OR EQUAL) PARTIAL HAND, ROBIN-AIDS, LITTLE AND/OR RING FINGER REMAINING (OR EQUAL) PARTIAL HAND, ROBIN-AIDS, NO FINGER REMAINING (OR EQUAL) TRANSCARPAL/METACARPAL/PARTIAL HAND DISARTICULATION PROSTHESIS, EXTERN POWER,SELF-SUSPENDED WRIST DISARTICULATION, MOLDED SOCKET, FLEXIBLE ELBOW HINGES, TRICEPS PAD WRIST DISARTICULATION, MOLDED SOCKET WITH EXPANDABLE INTERFACE, FLEXIBLE ELBOW HINGES, TRICEPS BELOW ELBOW, MOLDED SOCKET, FLEXIBLE ELBOW HINGE, TRICEPS PAD BELOW ELBOW, MOLDED SOCKET, (MUENSTER OR NORTHWESTERN SUSPENSION TYPES) BELOW ELBOW, MOLDED DOUBLE WALL SPLIT SOCKET, STEP-UP HINGES, HALF CUFF BELOW ELBOW, MOLDED DOUBLE WALL SPLIT SOCKET, STUMP ACTIVATED LOCKING HINGE, HALF CUFF ELBOW DISARTICULATION, MOLDED SOCKET, OUTSIDE LOCKING HINGE, FOREARM ELBOW DISARTICULATION, MOLDED SOCKET WITH EXPANDABLE INTERFACE, OUTSIDE LOCKING HINGES, FOREA ABOVE ELBOW, MOLDED DOUBLE WALL SOCKET, INTERNAL LOCKING ELBOW, FOREARM SHOULDER DISARTICULATION, MOLDED SOCKET, SHOULDER BULKHEAD, HUMERAL SECTION, INTERNAL LOCKING SHOULDER DISARTICULATION, PASSIVE RESTORATION (COMPLETE PROSTHESIS) SHOULDER DISARTICULATION, PASSIVE RESTORATION (SHOULDER CAP ONLY) INTERSCAPULAR THORACIC, MOLDED SOCKET, SHOULDER BULKHEAD, HUMERAL SECTION, INTERNAL LOCKING E INTERSCAPULAR THORACIC, PASSIVE RESTORATION (COMPLETE PROSTHESIS) INTERSCAPULAR THORACIC, PASSIVE RESTORATION (SHOULDER CAP ONLY) IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF INITIAL RIGID DRESSING, INCLUDING FITTING AL IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF INITIAL RIGID DRESSING INCLUDING FITTING AL IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF INITIAL RIGID DRESSING INCLUDING FITTING AL IMMEDIATE POST SURGICAL OR EARLY FITTING, EACH ADDITIONAL CAST CHANGE AND REALIGNMENT IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF RIGID DRESSING ONLY BELOW ELBOW, MOLDED SOCKET, ENDOSKELETAL SYSTEM, INCLUDING SOFT PROSTHETIC TISSUE SHAPING ELBOW DISARTICULATION, MOLDED SOCKET, ENDOSKELETAL SYSTEM, INCLUDING SOFT PROSTHETIC TISSUE SH ABOVE ELBOW, MOLDED SOCKET, ENDOSKELETAL SYSTEM, INCLUDING SOFT PROSTHETIC TISSUE SHAPING SHOULDER DISARTICULATION, MOLDED SOCKET, ENDOSKELETAL SYSTEM, INCLUDING SOFT PROSTHETIC TISSU INTERSCAPULAR THORACIC, MOLDED SOCKET, ENDOSKELETAL SYSTEM, INCLUDING SOFT PROSTHETIC TISSUE PREPARATORY,WRIST DISARTICULATN/BELOW ELBOW,1 WALL PLASTIC SOCKET, FRICTION WRIST, FLEXIBLE ELB PREPARATORY, WRIST DISARTICULATION OR BELOW ELBOW, SINGLE WALL SOCKET, FRICTION WRIST, FLEXIBLE PREPARATORY, ELBOW DISARTICULATION OR ABOVE ELBOW, SINGLE WALL PLASTIC SOCKET, FRICTION WRIST, PREPARATORY, ELBOW DISARTICULATION OR ABOVE ELBOW, SINGLE WALL SOCKET, FRICTION WRIST, LOCKING PREPARATORY, SHOULDER DISARTICULATION OR INTERSCAPULAR THORACIC, SINGLE WALL PLASTIC SOCKET,S PREPARATORY, SHOULDER DISARTICULATION OR INTERSCAPULAR THORACIC, SINGLE WALL SOCKET, SHOULDE
- 461. UPPER EXTREMITY ADDITIONS,POLYCENTRIC HINGE, PAIR UPPER EXTREMITY ADDITIONS, SINGLE PIVOT HINGE, PAIR UPPER EXTREMITY ADDITIONS, FLEXIBLE METAL HINGE, PAIR UPPER EXTREMITY ADDITION, DISCONNECT LOCKING WRIST UNIT UPPER EXTREMITY ADDITION, ADDITIONAL DISCONNECT INSERT FOR LOCKING WRIST UNIT, EACH UPPER EXTREMITY ADDITION, FLEXION-FRICTION WRIST UNIT UPPER EXTREMITY ADDITION, SPRING ASSISTED ROTATIONAL WRIST UNIT WITH LATCH RELEASE UPPER EXTREMITY ADDITION, ROTATION WRIST UNIT WITH CABLE LOCK UPPER EXTREMITY ADDITION, QUICK DISCONNECT HOOK ADAPTER, OTTO BOCK OR EQUAL UPPER EXTREMITY ADDITION, QUICK DISCONNECT LAMINATION COLLAR WITH COUPLING PIECE, OTTO BOCK OR UPPER EXTREMITY ADDITION, STAINLESS STEEL, ANY WRIST UPPER EXTREMITY ADDITION, LATEX SUSPENSION SLEEVE, EACH UPPER EXTREMITY ADDITION, LIFT ASSIST FOR ELBOW UPPER EXTREMITY ADDITION, NUDGE CONTROL ELBOW LOCK UPPER EXTREMITY ADDITION TO PROSTHESIS, ELECTRIC LOCKING FEATURE, ONLY FOR USE WITH MANUALLY PO UPPER EXTREMITY ADDITIONS, SHOULDER ABDUCTION JOINT, PAIR UPPER EXTREMITY ADDITION, EXCURSION AMPLIFIER, PULLEY TYPE UPPER EXTREMITY ADDITION, EXCURSION AMPLIFIER, LEVER TYPE UPPER EXTREMITY ADDITION, SHOULDER FLEXION-ABDUCTION JOINT, EACH UPPER EXTREMITY ADDITION, SHOULDER JOINT, MULTIPOSITIONAL LOCKING, FLEXION, ADJUSTABLE ABDUCTION UPPER EXTREMITY ADDITION, SHOULDER LOCK MECHANISM, BODY POWERED ACTUATOR UPPER EXTREMITY ADDITION, SHOULDER LOCK MECHANISM, EXTERNAL POWERED ACTUATOR UPPER EXTREMITY ADDITION, SHOULDER UNIVERSAL JOINT, EACH UPPER EXTREMITY ADDITION, STANDARD CONTROL CABLE, EXTRA UPPER EXTREMITY ADDITION, HEAVY DUTY CONTROL CABLE UPPER EXTREMITY ADDITION, TEFLON, OR EQUAL, CABLE LINING UPPER EXTREMITY ADDITION, HOOK TO HAND, CABLE ADAPTER UPPER EXTREMITY ADDITION, HARNESS, CHEST OR SHOULDER, SADDLE TYPE UPPER EXTREMITY ADDITION, HARNESS, FIGURE OF EIGHT TYPE, FOR SINGLE CONTROL UPPER EXTREMITY ADDITION, HARNESS, FIGURE OF EIGHT TYPE, FOR DUAL CONTROL UPPER EXTREMITY ADDITION, TEST SOCKET, WRIST DISARTICULATION OR BELOW ELBOW UPPER EXTREMITY ADDITION, TEST SOCKET, ELBOW DISARTICULATION OR ABOVE ELBOW UPPER EXTREMITY ADDITION, TEST SOCKET, SHOULDER DISARTICULATION OR INTERSCAPULAR THORACIC UPPER EXTREMITY ADDITION, SUCTION SOCKET UPPER EXTREMITY ADDITION, FRAME TYPE SOCKET, BELOW ELBOW OR WRIST DISARTICULATION UPPER EXTREMITY ADDITION, FRAME TYPE SOCKET, ABOVE ELBOW OR ELBOW DISARTICULATION UPPER EXTREMITY ADDITION, FRAME TYPE SOCKET, SHOULDER DISARTICULATION UPPER EXTREMITY ADDITION, FRAME TYPE SOCKET, INTERSCAPULAR-THORACIC UPPER EXTREMITY ADDITION, REMOVABLE INSERT, EACH UPPER EXTREMITY ADDITION, SILICONE GEL INSERT OR EQUAL, EACH UPPER EXTREMITY ADDITION, LOCKING ELBOW, FOREARM COUNTERBALANCE TERMINAL DEVICE, HOOK, DORRANCE, OR EQUAL, MODEL #3 TERMINAL DEVICE, HOOK, DORRANCE, OR EQUAL, MODEL #5 TERMINAL DEVICE, HOOK, DORRANCE, OR EQUAL, MODEL #5X TERMINAL DEVICE, HOOK, DORRANCE, OR EQUAL, MODEL #5XA TERMINAL DEVICE, HOOK, DORRANCE, OR EQUAL, MODEL #6 TERMINAL DEVICE, HOOK, DORRANCE, OR EQUAL, MODEL #7 TERMINAL DEVICE, HOOK, DORRANCE, OR EQUAL, MODEL #7LO TERMINAL DEVICE, HOOK, DORRANCE, OR EQUAL, MODEL #8 TERMINAL DEVICE, HOOK, DORRANCE, OR EQUAL, MODEL #8X TERMINAL DEVICE, HOOK, DORRANCE, OR EQUAL, MODEL #88X TERMINAL DEVICE, HOOK, DORRANCE, OR EQUAL, MODEL #10P
- 462. TERMINAL DEVICE, HOOK,DORRANCE, OR EQUAL, MODEL #10X TERMINAL DEVICE, HOOK, DORRANCE, OR EQUAL, MODEL #12P TERMINAL DEVICE, HOOK, DORRANCE, OR EQUAL, MODEL #99X TERMINAL DEVICE, HOOK, DORRANCE, OR EQUAL, MODEL #555 TERMINAL DEVICE, HOOK, DORRANCE, OR EQUAL, MODEL #SS555 TERMINAL DEVICE, HOOK, ACCU HOOK, OR EQUAL TERMINAL DEVICE, HOOK, 2 LOAD, OR EQUAL TERMINAL DEVICE, HOOK, APRL VC, OR EQUAL TERMINAL DEVICE, MODIFIER WRIST FLEXION UNIT TERMINAL DEVICE, HOOK, TRS GRIP, GRIP III, VC, OR EQUAL TERMINAL DEVICE, HOOK, GRIP I, GRIP II, VC, OR EQUAL TERMINAL DEVICE, HOOK, TRS ADEPT, INFANT OR CHILD, VC, OR EQUAL TERMINAL DEVICE, HOOK, TRS SUPER SPORT, PASSIVE TERMINAL DEVICE, PINCHER TOOL, OTTO BOCK OR EQUAL TERMINAL DEVICE, HAND, DORRANCE, VO TERMINAL DEVICE, HAND, APRL, VC TERMINAL DEVICE, HAND, SIERRA, VO TERMINAL DEVICE, HAND, BECKER IMPERIAL TERMINAL DEVICE, HAND, BECKER LOCK GRIP TERMINAL DEVICE, HAND, BECKER PLYLITE TERMINAL DEVICE, HAND, ROBIN-AIDS, VO TERMINAL DEVICE, HAND, ROBIN-AIDS, VO SOFT TERMINAL DEVICE, HAND, PASSIVE HAND TERMINAL DEVICE, HAND, DETROIT INFANT HAND (MECHANICAL) TERMINAL DEVICE, HAND, PASSIVE INFANT HAND, (STEEPER, HOSMER OR EQUAL) TERMINAL DEVICE, HAND, CHILD MITT TERMINAL DEVICE, HAND, NYU CHILD HAND TERMINAL DEVICE, HAND, MECHANICAL INFANT HAND, STEEPER OR EQUAL TERMINAL DEVICE, HAND, BOCK, VC TERMINAL DEVICE, HAND, BOCK, VO AUTOMATIC GRASP FEATURE, ADDITION TO UPPER LIMB PROSTHETIC TERMINAL DEVICE MICROPROCESSOR CONTROL FEATURE, ADDITION TO UPPER LIMB PROSTHETIC TERMINAL DEVICE TERMINAL DEVICE, GLOVE FOR ABOVE HANDS, PRODUCTION GLOVE TERMINAL DEVICE, GLOVE FOR ABOVE HANDS, CUSTOM GLOVE HAND RESTORATION (CASTS, SHADING AND MEASUREMENTS INCLUDED), PARTIAL HAND, WITH GLOVE, THUMB O HAND RESTORATION (CASTS, SHADING AND MEASUREMENTS INCLUDED), PARTIAL HAND, WITH GLOVE, MULTIPLE HAND RESTORATION (CASTS, SHADING AND MEASUREMENTS INCLUDED), PARTIAL HAND, WITH GLOVE, NO FINGE HAND RESTORATION (SHADING, AND MEASUREMENTS INCLUDED), REPLACEMENT GLOVE FOR ABOVE WRIST DISARTICULATION, EXTERNAL POWER, SELF-SUSPENDED INNER SOCKET, REMOVABLE FOREARM SHELL, WRIST DISARTICULATION, EXTERNAL POWER, SELF-SUSPENDED INNER SOCKET, REMOVABLE FOREARM SHELL, BELOW ELBOW, EXTERNAL POWER, SELF-SUSPENDED INNER SOCKET, REMOVABLE FOREARM SHELL, OTTO BOC BELOW ELBOW, EXTERNAL POWER, SELF-SUSPENDED INNER SOCKET, REMOVABLE FOREARM SHELL, OTTO BOC ELBOW DISARTICULATION, EXTERNAL POWER, MOLDED INNER SOCKET, REMOVABLE HUMERAL SHELL, OUTSIDE ELBOW DISARTICULATION, EXTERNAL POWER, MOLDED INNER SOCKET, REMOV HUMERAL SHELL, OUTSIDE LOCK ABOVE ELBOW, EXTERNAL POWER, MOLDED INNER SOCKET, REMOVABLE HUMERAL SHELL, INTERNAL LOCKING ABOVE ELBOW, EXTERNAL POWER, MOLDED INNER SOCKET, REMOVABLE HUMERAL SHELL, INTERNAL LOCKING SHLDR DISARTICULTN,EXTERNL POWR,MOLDED INNER SOCKET,REMOV SHLDR SHELL,SHLDR BULKHEAD,HUMRA SHLDR DISARTICULTN,EXTERN POWR,MOLDED INNER SOCKET,REMOV SHLDR SHELL,SHLDR BULKHEAD,HMERAL INTERSCAPULAR-THORAC,EXTERN POWR,MOLDED INNR SOCKET,REMOV SHLDR SHELL,SHLDR BULKHEAD,HUME INTERSCAPULAR-THORACIC, EXTERNAL POWER,MOLDED INNER SOCKET,REMOV SHLDR SHELL,SHLDR BULKHEA ELECTRONIC HAND, OTTO BOCK, STEEPER OR EQUAL, SWITCH CONTROLLED ELECTRONIC HAND, SYSTEM TEKNIK, VARIETY VILLAGE OR EQUAL, SWITCH CONTROLLED
- 463. ELECTRONIC GREIFER, OTTOBOCK OR EQUAL, SWITCH CONTROLLED ELECTRONIC HAND, OTTO BOCK OR EQUAL, MYOELECTRONICALLY CONTROLLED ELECTRONIC HAND, SYSTEM TEKNIK, VARIETY VILLAGE OR EQUAL, MYOELECTRONICALLY CONTROLLED ELECTRONIC GREIFER, OTTO BOCK OR EQUAL, MYOELECTRONICALLY CONTROLLED PREHENSILE ACTUATOR, HOSMER OR EQUAL, SWITCH CONTROLLED ELECTRONIC HOOK, CHILD, MICHIGAN OR EQUAL, SWITCH CONTROLLED ELECTRONIC ELBOW, HOSMER OR EQUAL, SWITCH CONTROLLED ELECTRONIC ELBOW, BOSTON, UTAH OR EQUAL, MYOELECTRONICALLY CONTROLLED ELECTRONIC ELBOW, ADOLESCENT, VARIETY VILLAGE OR EQUAL, SWITCH CONTROLLED ELECTRONIC ELBOW, CHILD, VARIETY VILLAGE OR EQUAL, SWITCH CONTROLLED ELECTRONIC ELBOW, ADOLESCENT, VARIETY VILLAGE OR EQUAL, MYOELECTRONICALLY CONTROLLED ELECTRONIC ELBOW, CHILD, VARIETY VILLAGE OR EQUAL, MYOELECTRONICALLY CONTROLLED ELECTRONIC WRIST ROTATOR, OTTO BOCK OR EQUAL ELECTRONIC WRIST ROTATOR, FOR UTAH ARM SERVO CONTROL, STEEPER OR EQUAL ANALOGUE CONTROL, UNB OR EQUAL PROPORTIONAL CONTROL, 6-12 VOLT, LIBERTY, UTAH OR EQUAL SIX VOLT BATTERY, OTTO BOCK OR EQUAL, EACH BATTERY CHARGER, SIX VOLT, OTTO BOCK OR EQUAL TWELVE VOLT BATTERY, UTAH OR EQUAL, EACH BATTERY CHARGER, TWELVE VOLT, UTAH OR EQUAL LITHIUM ION BATTERY, REPLACEMENT LITHIUM ION BATTERY CHARGER UPPER EXTREMITY PROSTHESIS, NOT OTHERWISE SPECIFIED REPAIR OF PROSTHETIC DEVICE, HOURLY RATE (EXCLUDES V5335 REPAIR OF ORAL OR LARYNGEAL PROSTHESIS REPAIR OF PROSTHETIC DEVICE, REPAIR OR REPLACE MINOR PARTS REPAIR PROSTHETIC DEVICE, LABOR COMPONENT, PER 15 MINUTES VACUUM ERECTION SYSTEM BREAST PROSTHESIS, MASTECTOMY BRA BREAST PROSTHESIS, MASTECTOMY BRA, WITH INTEGRATED BREAST PROSTHESIS FORM, UNILATERAL BREAST PROSTHESIS, MASTECTOMY BRA, WITH INTEGRATED BREAST PROSTHESIS FORM, BILATERAL BREAST PROSTHESIS, MASTECTOMY SLEEVE EXTERNAL BREAST PROSTHESIS GARMENT, WITH MASTECTOMY FORM, POST MASTECTOMY BREAST PROSTHESIS, MASTECTOMY FORM BREAST PROSTHESIS, SILICONE OR EQUAL CUSTOM BREAST PROSTHESIS, POST MASTECTOMY, MOLDED TO PATIENT MODEL BREAST PROSTHESIS, NOT OTHERWISE SPECIFIED NASAL PROSTHESIS, PROVIDED BY A NON-PHYSICIAN MIDFACIAL PROSTHESIS, PROVIDED BY A NON-PHYSICIAN ORBITAL PROSTHESIS, PROVIDED BY A NON-PHYSICIAN UPPER FACIAL PROSTHESIS, PROVIDED BY A NON-PHYSICIAN HEMI-FACIAL PROSTHESIS, PROVIDED BY A NON-PHYSICIAN AURICULAR PROSTHESIS, PROVIDED BY A NON-PHYSICIAN PARTIAL FACIAL PROSTHESIS, PROVIDED BY A NON-PHYSICIAN NASAL SEPTAL PROSTHESIS, PROVIDED BY A NON-PHYSICIAN UNSPECIFIED MAXILLOFACIAL PROSTHESIS, BY REPORT, PROVIDED BY A NON-PHYSICIAN REPAIR OR MODIFICATION OF MAXILLOFACIAL PROSTHESIS, LABOR COMPONENT, 15 MINUTE INCREMENTS, PROV GRADIENT COMPRESSION STOCKING, BELOW KNEE, 18-30 MMHG, EACH GRADIENT COMPRESSION STOCKING, BELOW KNEE, 30-40 MMHG, EACH GRADIENT COMPRESSION STOCKING, BELOW KNEE, 40-50 MMHG, EACH GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 18-30 MMHG, EACH GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 30-40 MMHG, EACH
- 464. GRADIENT COMPRESSION STOCKING,THIGH LENGTH, 40-50 MMHG, EACH GRADIENT COMPRESSION STOCKING, FULL-LENGTH/CHAP STYLE, 18-30 MMHG, EACH GRADIENT COMPRESSION STOCKING, FULL-LENGTH/CHAP STYLE, 30-40 MMHG, EACH GRADIENT COMPRESSION STOCKING, FULL-LENGTH/CHAP STYLE, 40-50 MMHG, EACH GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 18-30 MMHG, EACH GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 30-40 MMHG, EACH GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 40-50 MMHG, EACH GRADIENT COMPRESSION STOCKING, CUSTOM MADE GRADIENT COMPRESSION STOCKING, LYMPHEDEMA GRADIENT COMPRESSION STOCKING, GARTER BELT GRADIENT COMPRESSION STOCKING, NOT OTHERWISE SPECIFIED TRUSS, SINGLE WITH STANDARD PAD TRUSS, DOUBLE WITH STANDARD PADS TRUSS, ADDITION TO STANDARD PAD, WATER PAD TRUSS, ADDITION TO STANDARD PAD, SCROTAL PAD PROSTHETIC SHEATH, BELOW KNEE, EACH PROSTHETIC SHEATH, ABOVE KNEE, EACH PROSTHETIC SHEATH, UPPER LIMB, EACH PROSTHETIC SHEATH/SOCK, INCLUDING A GEL CUSHION LAYER, BELOW KNEE OR ABOVE KNEE, EACH PROSTHETIC SOCK, MULTIPLE PLY, BELOW KNEE, EACH PROSTHETIC SOCK, MULTIPLE PLY, ABOVE KNEE, EACH PROSTHETIC SOCK, MULTIPLE PLY, UPPER LIMB, EACH PROSTHETIC SHRINKER, BELOW KNEE, EACH PROSTHETIC SHRINKER, ABOVE KNEE, EACH PROSTHETIC SHRINKER, UPPER LIMB, EACH PROSTHETIC SOCK, SINGLE PLY, FITTING, BELOW KNEE, EACH PROSTHETIC SOCK, SINGLE PLY, FITTING, ABOVE KNEE, EACH PROSTHETIC SOCK, SINGLE PLY, FITTING, UPPER LIMB, EACH ADDITION TO PROSTHETIC SHEATH/SOCK, AIR SEAL SUCTION RETENTION SYSTEM UNLISTED PROCEDURE FOR MISCELLANEOUS PROSTHETIC SERVICES ARTIFICIAL LARYNX, ANY TYPE TRACHEOSTOMY SPEAKING VALVE ARTIFICIAL LARYNX REPLACEMENT BATTERY/ACCESSORY, ANY TYPE TRACHEO-ESOPHAGEAL VOICE PROSTHESIS, PATIENT INSERTED, ANY TYPE, EACH TRACHEO-ESOPHAGEAL VOICE PROSTHESIS, INSERTED BY A LICENSED HEALTH CARE PROVIDER, ANY TYPE VOICE AMPLIFIER IMPLANTABLE BREAST PROSTHESIS, SILICONE OR EQUAL INJECTABLE BULKING AGENT, COLLAGEN IMPLANT, URINARY TRACT, 2.5 ML SYRINGE, INCLUDES SHIPPING AND N INJECTABLE BULKING AGENT, SYNTHETIC IMPLANT, URINARY TRACT, 1 ML SYRINGE, INCLUDES SHIPPING AND NE OCULAR IMPLANT AQUEOUS SHUNT OSSICULA IMPLANT COCHLEAR DEVICE/SYSTEM COCHLEAR IMPLANT EXTERNAL SPEECH PROCESSOR, REPLACEMENT METACARPOPHALANGEAL JOINT IMPLANT METATARSAL JOINT IMPLANT HALLUX IMPLANT INTERPHALANGEAL JOINT IMPLANT VASCULAR GRAFT MATERIAL, SYNTHETIC, IMPLANT PROSTHETIC IMPLANT, NOT OTHERWISE SPECIFIED ORTHOTIC AND PROSTHETIC SUPPLY, ACCESSORY, AND/OR SERVICE COMPONENT OF ANOTHER HCPCS L CODE BRIEF OFFICE VISIT FOR THE SOLE PURPOSE OF MONITORING OR CHANGING DRUG PRESCRIPTIONS USED IN TH
- 465. CELLULAR THERAPY PROLOTHERAPY INTRAGASTRIC HYPOTHERMIAUSING GASTRIC FREEZING (MNP) IV CHELATION THERAPY (CHEMICAL ENDARTERECTOMY) FABRIC WRAPPING OF ABDOMINAL ANEURYSM (MNP) CEPHALIN FLOCULATION, BLOOD CONGO RED, BLOOD HAIR ANALYSIS (EXCLUDING ARSENIC) THYMOL TURBIDITY, BLOOD MUCOPROTEIN, BLOOD (SEROMUCOID) (MEDICAL NECESSITY PROCEDURE) SCREENING PAPANICOLAOU SMEAR, CERVICAL OR VAGINAL, UP TO THREE SMEARS, BY TECHNICIAN UNDER PHY SCREENING PAPANICOLAOU SMEAR, CERVICAL OR VAGINAL, UP TO THREE SMEARS, REQUIRING INTERPRETATIO CULTURE, BACTERIAL, URINE; QUANTITATIVE, SENSITIVITY STUDY BLOOD (WHOLE), FOR TRANSFUSION, PER UNIT BLOOD (SPLIT UNIT), SPECIFY AMOUNT CRYOPRECIPITATE, EACH UNIT RED BLOOD CELLS, LEUKOCYTES REDUCED, EACH UNIT FRESH FROZEN PLASMA (SINGLE DONOR), EACH UNIT PLATELETS, EACH UNIT PLATELET RICH PLASMA, EACH UNIT RED BLOOD CELLS, EACH UNIT RED BLOOD CELLS, WASHED, EACH UNIT PLASMA, POOLED MULTIPLE DONOR, SOLVENT/DETERGENT TREATED, FROZEN, EACH UNIT PLATELETS, LEUKOCYTES REDUCED, EACH UNIT PLATELETS, IRRADIATED, EACH UNIT PLATELETS, LEUKOCYTES REDUCED, IRRADIATED, EACH UNIT PLATELETS, PHERESIS, EACH UNIT PLATELETS, PHERESIS, LEUKOCYTES REDUCED, EACH UNIT PLATELETS, PHERESIS, IRRADIATED, EACH UNIT PLATELETS, PHERESIS, LEUKOCYTES REDUCED, IRRADIATED, EACH UNIT RED BLOOD CELLS, IRRADIATED, EACH UNIT RED BLOOD CELLS, DEGLYCEROLIZED, EACH UNIT RED BLOOD CELLS, LEUKOCYTES REDUCED, IRRADIATED, EACH UNIT INFUSION, ALBUMIN (HUMAN), 5%, 50 ML INFUSION, PLASMA PROTEIN FRACTION (HUMAN), 5%, 50 ML PLASMA, CRYOPRECIPITATE REDUCED, EACH UNIT INFUSION, ALBUMIN (HUMAN), 5%, 250 ML INFUSION, ALBUMIN (HUMAN), 25%, 20 ML INFUSION, ALBUMIN (HUMAN), 25%, 50 ML INFUSION, PLASMA PROTEIN FRACTION (HUMAN), 5%, 250ML GRANULOCYTES, PHERESIS, EACH UNIT TRAVEL ALLOWANCE ONE WAY IN CONNECTION WITH MEDICALLY NECESSARY LABORATORY SPECIMEN COLLEC TRAVEL ALLOWANCE ONE WAY IN CONNECTION WITH MEDICALLY NECESSARY LABORATORY SPECIMEN COLLEC CATHETERIZATION FOR COLLECTION OF SPECIMEN, SINGLE PATIENT, ALL PLACES OF SERVICE CATHETERIZATION FOR COLLECTION OF SPECIMEN (S) (MULTIPLE PATIENTS) CARDIOKYMOGRAPHY INFUSION THERAPY, USING OTHER THAN CHEMOTHERAPEUTIC DRUGS, PER VISIT CHEMOTHERAPY ADMINISTRATION BY OTHER THAN INFUSION TECHNIQUE ONLY (E.G., SUBCUTANEOUS, INTRAM CHEMOTHERAPY ADMINISTRATION BY INFUSION TECHNIQUE ONLY, PER VISIT CHEMOTHERAPY ADMINISTRATION BY BOTH INFUSION TECHNIQUE AND OTHER TECHNIQUE(S) (E.G., SUBCUTANE PHYSICAL THERAPY EVALUATION/TREATMENT, PER VISIT SCREENING PAPANICOLAOU SMEAR; OBTAINING, PREPARING AND CONVEYANCE OF CERVICAL OR VAGINAL SME
- 466. SET-UP PORTABLE X-RAYEQUIPMENT WET MOUNTS, INCLUDING PREPARATIONS OF VAGINAL, CERVICAL OR SKIN SPECIMENS ALL POTASSIUM HYDROXIDE (KOH) PREPARATIONS PINWORM EXAMINATION FERN TEST POST-COITAL DIRECT, QUALITATIVE EXAMINATIONS OF VAGINAL OR CERVICAL MUCOUS INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A PROCHLORPERAZINE MALEATE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPL PROCHLORPERAZINE MALEATE, 10 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMP GRANISETRON HYDROCHLORIDE, 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMP DRONABINOL, 2.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUT DRONABINOL, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A C PROMETHAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A CO CHLORPROMAZINE HYDROCHLORIDE, 10 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A CHLORPROMAZINE HYDROCHLORIDE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A TRIMETHOBENZAMIDE HYDROCHLORIDE, 250 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE A THIETHYLPERAZINE MALEATE, 10 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPL PERPHENZAINE, 4 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEU PERPHENZAINE, 8 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEU HYDROXYZINE PAMOATE, 25 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE T HYDROXYZINE PAMOATE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE T ONDANSETRON HYDROCHLORIDE 8 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COM DOLASETRON MESYLATE, 100 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE UNSPECIFIED ORAL DOSAGE FORM, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THE DERMAL TISSUE, OF HUMAN ORIGIN, WITH AND WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, B DERMAL TISSUE, OF HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WI FACTOR VIIA (COAGULATION FACTOR, RECOMBINANT) PER 1.2 MG NEW TECHNOLOGY INTRAOCULAR LENS CATEGORY 1 AS DEFINED IN FEDERAL REGISTER NOTICE, VOL. 65, DATE NEW TECHNOLOGY INTRAOCULAR LENS CATEGORY 2 AS DEFINED IN FEDERAL REGISTER NOTICE, VOL. 65, DATE NEW TECHNOLOGY INTRAOCULAR LENS CATEGORY 3 AS DEFINED IN FEDERAL REGISTER NOTICE NEW TECHNOLOGY INTRAOCULAR LENS CATEGORY 4 AS DEFINED IN FEDERAL REGISTER NOTICE NEW TECHNOLOGY INTRAOCULAR LENS CATEGORY 5 AS DEFINED IN FEDERAL REGISTER NOTICE ORAL, CABERGOLINE, 0.5 MG INJECTION, ELLIOTTS B SOLUTION, PER ML INJECTION, APROTININ, 10,000 KIU IRRIGATION SOLUTION FOR TREATMENT OF BLADDER CALCULI, FOR EXAMPLE RENACIDIN, PER 500 ML INJECTION, CORTICORELIN OVINE TRIFLUTATE, PER DOSE INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL INJECTION, ETHANOLAMINE OLEATE, 100 MG INJECTION, FOMEPIZOLE, 15 MG INJECTION, FOSPHENYTOIN, 50 MG INJECTION, GLATIRAMER ACETATE, PER DOSE INJECTION, HEMIN, PER 1 MG INJECTION, PEGADEMASE BOVINE, 25 IU INJECTION, PENTASTARCH, 10% SOLUTION, PER 100 ML INJECTION, SERMORELIN ACETATE, 0.5 MG INJECTION, TENIPOSIDE, 50 MG INJECTION, UROFOLLITROPIN, 75 IU INJECTION, BASILIXIMAB, 20 MG
- 467. INJECTION, HISTRELIN ACETATE,10 MG INJECTION, LEPIRUDIN, 50 MG VON WILLEBRAND FACTOR COMPLEX, HUMAN, PER IU SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, RUBIDIUM RB-82, PER DOSE RADIOELEMENTS FOR BRACHYTHERAPY, ANY TYPE, EACH SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, GALLIUM GA 67, PER MCI SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC99M BICISATE, PER UNIT DOS SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, XENON XE 133, PER 10 MCI SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC 99M MERTIATIDE, PER MCI SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC 99M GLUCEPATATE, PER 5 M SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, SODIUM PHOSPHATE P32, PER MCI SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, INDIUM 111-IN PENTETREOTIDE, PER 3 MCI SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC99M OXIDRONATE, PER MCI SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, TECHNETIUM TC99M - LABELED RED BLOOD C SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, CHROMIC PHOSPHATE P32 SUSPENSION, PER SUPPLY OF ORAL RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, CYANOCOBALAMIN COBALT CO57, PER TELEHEALTH ORIGINATING SITE FACILITY FEE ALS VEHICLE USED, EMERGENCY TRANSPORT, NO ALS LEVEL SERVICES FURNISHED ALS VEHICLE USED, NON-EMERGENCY TRANSPORT, NO ALS LEVEL SERVICE FURNISHED INJECTION, HEPATITIS B VACCINE, PEDIATRIC OR ADOLESCENT, PER DOSE INJECTION, HEPATITIS B VACCINE, ADULT, PER DOSE INJECTION, HEPATITIS B VACCINE, IMMUNOSUPPRESSED PATIENTS (INCLUDING RENAL DIALYSIS PATIENTS), PER INJECTION, INTERFERON BETA-1A, 11 MCG FOR INTRAMUSCULAR USE INJECTION, INTERFERON BETA-1A, 11 MCG FOR SUBCUTANEOUS USE CASTING SUPPLIES, BODY CAST ADULT, WITH OR WITHOUT HEAD, PLASTER CAST SUPPLIES, BODY CAST ADULT, WITH OR WITHOUT HEAD, FIBERGLASS CAST SUPPLIES, SHOULDER CAST, ADULT (11 YEARS +), PLASTER CAST SUPPLIES, SHOULDER CAST, ADULT (11 YEARS +), FIBERGLASS CAST SUPPLIES, LONG ARM CAST, ADULT (11 YEARS +), PLASTER CAST SUPPLIES, LONG ARM CAST, ADULT (11 YEARS +), FIBERGLASS CAST SUPPLIES, LONG ARM CAST, PEDIATRIC (0-10 YEARS), PLASTER CAST SUPPLIES, LONG ARM CAST, PEDIATRIC (0-10 YEARS), FIBERGLASS CAST SUPPLIES, SHORT ARM CAST, ADULT (11 YEARS +), PLASTER CAST SUPPLIES, SHORT ARM CAST, ADULT (11 YEARS +), FIBERGLASS CAST SUPPLIES, SHORT ARM CAST, PEDIATRIC (0-10 YEARS), PLASTER CAST SUPPLIES, SHORT ARM CAST, PEDIATRIC (0-10 YEARS), FIBERGLASS CAST SUPPLIES, GAUNTLET CAST (INCLUDES LOWER FOREARM AND HAND), ADULT (11 YEARS +), PLASTER CAST SUPPLIES, GAUNTLET CAST (INCLUDES LOWER FOREARM AND HAND), ADULT (11 YEARS +), FIBERGLASS CAST SUPPLIES, GAUNTLET CAST (INCLUDES LOWER FOREARM AND HAND), PEDIATRIC (0-10 YEARS), PLASTER CAST SUPPLIES, GAUNTLET CAST (INCLUDES LOWER FOREARM AND HAND), PEDIATRIC (0-10 YEARS), FIBERGLAS CAST SUPPLIES, LONG ARM SPLINT, ADULT (11 YEARS +), PLASTER CAST SUPPLIES, LONG ARM SPLINT, ADULT (11 YEARS +), FIBERGLASS CAST SUPPLIES, LONG ARM SPLINT, PEDIATRIC (0-10 YEARS), PLASTER CAST SUPPLIES, LONG ARM SPLINT, PEDIATRIC (0-10 YEARS), FIBERGLASS CAST SUPPLIES, SHORT ARM SPLINT, ADULT (11 YEARS +), PLASTER CAST SUPPLIES, SHORT ARM SPLINT, ADULT (11 YEARS +), FIBERGLASS CAST SUPPLIES, SHORT ARM SPLINT, PEDIATRIC (0-10 YEARS), PLASTER CAST SUPPLIES, SHORT ARM SPLINT, PEDIATRIC (0-10 YEARS), FIBERGLASS CAST SUPPLIES, HIP SPICA (ONE OR BOTH LEGS), ADULT (11 YEARS +), PLASTER CAST SUPPLIES, HIP SPICA (ONE OR BOTH LEGS), ADULT (11 YEARS +), FIBERGLASS CAST SUPPLIES, HIP SPICA (ONE OR BOTH LEGS), PEDIATRIC (0-10 YEARS), PLASTER CAST SUPPLIES, HIP SPICA (ONE OR BOTH LEGS), PEDIATRIC (0-10 YEARS), FIBERGLASS
- 468. CAST SUPPLIES, LONGLEG CAST, ADULT (11 YEARS +), PLASTER CAST SUPPLIES, LONG LEG CAST, ADULT (11 YEARS +), FIBERGLASS CAST SUPPLIES, LONG LEG CAST, PEDIATRIC (0-10 YEARS), PLASTER CAST SUPPLIES, LONG LEG CAST, PEDIATRIC (0-10 YEARS), FIBERGLASS CAST SUPPLIES, LONG LEG CYLINDER CAST, ADULT (11 YEARS +), PLASTER CAST SUPPLIES, LONG LEG CYLINDER CAST, ADULT (11 YEARS +), FIBERGLASS CAST SUPPLIES, LONG LEG CYLINDER CAST, PEDIATRIC (0-10 YEARS), PLASTER CAST SUPPLIES, LONG LEG CYLINDER CAST, PEDIATRIC (0-10 YEARS), FIBERGLASS CAST SUPPLIES, SHORT LEG CAST, ADULT (11 YEARS +), PLASTER CAST SUPPLIES, SHORT LEG CAST, ADULT (11 YEARS +), FIBERGLASS CAST SUPPLIES, SHORT LEG CAST, PEDIATRIC (0-10 YEARS), PLASTER CAST SUPPLIES, SHORT LEG CAST, PEDIATRIC (0-10 YEARS), FIBERGLASS CAST SUPPLIES, LONG LEG SPLINT, ADULT (11 YEARS +), PLASTER CAST SUPPLIES, LONG LEG SPLINT, ADULT (11 YEARS +), FIBERGLASS CAST SUPPLIES, LONG LEG SPLINT, PEDIATRIC (0-10 YEARS), PLASTER CAST SUPPLIES, LONG LEG SPLINT, PEDIATRIC (0-10 YEARS), FIBERGLASS CAST SUPPLIES, SHORT LEG SPLINT, ADULT (11 YEARS +), PLASTER CAST SUPPLIES, SHORT LEG SPLINT, ADULT (11 YEARS +), FIBERGLASS CAST SUPPLIES, SHORT LEG SPLINT, PEDIATRIC (0-10 YEARS), PLASTER CAST SUPPLIES, SHORT LEG SPLINT, PEDIATRIC (0-10 YEARS), FIBERGLASS FINGER SPLINT, STATIC CAST SUPPLIES, FOR UNLISTED TYPES AND MATERIALS OF CASTS SPLINT SUPPLIES, MISCELLANEOUS (INCLUDES THERMOPLASTICS, STRAPPING, FASTENERS, PADDING AND OTHE INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 20 OR LESS INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 21 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 22 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 23 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 24 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 25 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 26 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 27 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 28 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 29 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 30 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 31 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 32 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 33 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 34 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 35 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 36 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 37 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 38 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 39 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 40 OR ABOVE TRANSPORTATION OF PORTABLE X-RAY EQUIPMENT AND PERSONNEL TO HOME OR NURSING HOME, PER TRIP T TRANSPORTATION OF PORTABLE X-RAY EQUIPMENT AND PERSONNEL TO HOME OR NURSING HOME, PER TRIP T TRANSPORTATION OF PORTABLE EKG TO FACILITY OR LOCATION, PER PATIENT INJECTION, BUTORPHANOL TARTRATE, 1 MG BUTORPHANOL TARTRATE, NASAL SPRAY, 25 MG TACRINE HYDROCHLORIDE, 10 MG INJECTION, AMIKACIN SULFATE, 500 MG INJECTION, AMINOCAPROIC ACID, 5 GRAMS
- 469. INJECTION, BUPIVICAINE HYDROCHLORIDE,30 ML INJECTION, CEFTOPERAZONE SODIUM, 1 GRAM INJECTION, CIMETIDINE HYDROCHLORIDE, 300 MG INJECTION, FAMOTIDINE, 20 MG INJECTION, METRONIDAZOLE, 500 MG INJECTION, NAFCILLIN SODIUM, 2 GRAMS INJECTION, OFLOXACIN, 400 MG INJECTION, SULFAMETHOXAZOLE AND TRIMETHOPRIM, 10 ML INJECTION, TICARCILLIN DISODIUM AND CLAVULANATE POTASSIUM, 3.1 GRAMS INJECTION, ACYCLOVIR SODIUM, 50 MG INJECTION, AMIKACIN SULFATE, 100 MG INJECTION, AZTREONAM, 500 MG INJECTION, CEFOTETAN DISODIUM, 500 MG INJECTION, CLINDAMYCIN PHOSPHATE, 300 MG INJECTION, FOSPHENYTOIN SODIUM, 750 MG INJECTION, OCTREOTIDE ACETATE, 100 MCG (FOR DOSES OVER 1 MG USE J2352 OR C1207) INJECTION, PENTAMIDINE ISETHIONATE, 300 MG INJECTION, PIPERACILLIN SODIUM, 500 MG ALEMTUZUMAB INJECTION, 30 MG SILDENAFIL CITRATE, 25 MG GRAINSETRON HYDROCHLORIDE, 1MG (FOR CIRCUMSTANCES FALLING UNDER THE MEDICARE STATUE, USE Q01 INJECTION, HYROMORPHONE HYDROCHLORIDE, 250MG (LOADING DOSE FOR INFUSION PUMP) INJECTION, MORPHINE SULFATE, 500MG (LOADING DOSE FOR INFUSION PUMP) ZIDOVUDINE, ORAL, 100MG BUPROPION HCL SUSTAINED RELEASE TABLET, 150 MG, PER BOTTLE OF 60 TABLETS MERCAPTOPURINE, ORAL, 50 MG INJECTION, TREPROSTINIL SODIUM, 0.5 MG INJECTION, MENOTROPINS, 75 IU INJECTION, UROFOLLITROPIN, PURIFIED, 75 IU INJECTION, FOLLITROPIN ALFA, 75 IU INJECTION, FOLLITROPIN BETA, 75 IU INJECTION, CHORIONIC GONADOTROPIN, 5000 UNITS INJECTION, GANIRELIX ACETATE, 250 MCG INJECTION, PEGFILGRASTIM, 6MG STERILE DILUTANT FOR EPOPROSTENOL, 50ML EXEMESTANE, 25 MG BECAPLERMIN GEL 0.01%, 0.5 G ANASTROZOLE, ORAL, 1MG INJECTION, BUMETANIDE, 0.5MG CHLORAMBUCIL, ORAL, 2MG DEXAMETHASONE, ORAL, 4MG DOLASETRON MESYLATE, ORAL 50MG (FOR CIRCUMSTANCES FALLING UNDER THE MEDICARE STATUTE, USE Q01 FLUTAMIDE, ORAL, 125MG HYDROXYUREA, ORAL, 500MG LEVAMISOLE HYDROCHLORIDE, ORAL, 50MG LOMUSTINE, ORAL, 10MG MEGESTROL ACETATE, ORAL, 20MG ONDANSETRON HYDROCHLORIDE, ORAL, 4MG (FOR CIRCUMSTANCES FALLING UNDER THE MEDICARE STATUTE, PROCARBAZINE HYDROCHLORIDE, ORAL, 50MG PROCHLORPERAZINE MALEATE, ORAL, 5MG (FOR CIRCUMSTANCES FALLING UNDER THE MEDICARE STATUTE, US TAMOXIFEN CITRATE, ORAL, 10MG TESTOSTERONE PELLET, 75MG
- 470. MIFEPRISTONE, ORAL, 200MG MISOPROSTOL, ORAL, 200 MCG PNEUMOCOCCAL CONJUGATE VACCINE, POLYVALENT, INTRAMUSCULAR, FOR CHILDREN FROM FIVE YEARS TO N MEDICALLY INDUCED ABORTION BY ORAL INGESTION OF MEDICATION INCLUDING ALL ASSOCIATED SERVICES AN PARTIAL HOSPITALIZATION SERVICES, LESS THAN 24 HOURS, PER DIEM PARAMEDIC INTERCEPT, NON-HOSPITAL BASED ALS SERVICE (NON-VOLUNTARY), NON-TRANSPORT PARAMEDIC INTERCEPT, HOSPITAL-BASED ALS SERVICE (NON-VOLUNTARY), NON-TRANSPORT WHEELCHAIR VAN, MILEAGE, PER MILE NON-EMERGENCY TRANSPORTATION; MILEAGE, PER MILE MEDICAL CONFERENCE BY A PHYSICIAN WITH INTERDISCIPLINARY TEAM OF HEALTH PROFESSIONALS OR REPRE MEDICAL CONFERENCE BY A PHYSICIAN WITH INTERDISCIPLINARY TEAM OF HEALTH PROFESSIONALS OR REPRE COMPREHENSIVE GERIATRIC ASSESSMENT AND TREATMENT PLANNING PERFORMED BY ASSESSMENT TEAM HOSPICE REFERRAL VISIT (ADVISING PATIENT AND FAMILY OF CARE OPTIONS) PERFORMED BY NURSE, SOCIAL W HISTORY&PHYSICAL (OUTPATIENT/OFFICE) RELATED SURGICAL PROCEDURE (LIST SEPARATELY ADDITION CD, A COMPLETED EARLY PERIODIC SCREENING DIAGNOSIS AND TREATMENT (EPSDT) SERVICE (LIST IN ADDITION TO C HOSPITALIST SERVICES (LIST SEPARATELY IN ADDITION TO CODE FOR APPROPRIATE EVALUATION AND MANAGE DISEASE MANAGEMENT PROGRAM; INITIAL ASSESSMENT AND INITIATION OF THE PROGRAM FOLLOW-UP/REASSESSMENT TELEPHONE CALLS BY A REGISTERED NURSE TO A DISEASE MANAGEMENT PROGRAM MEMBER FOR MONITORING LIFESTYLE MODIFICATION PROGRAM FOR MANAGEMENT OF CORONARY ARTERY DISEASE, INCLUDING ALL SUPP LIFESTYLE MODIFICATION PROGRAM FOR MANAGEMENT OF CORONARY ARTERY DISEASE, INCLUDING ALL SUPP LIFESTYLE MODIFICATION PROGRAM FOR MANAGEMENT OF CORONARY ARTERY DISEASE, INCLUDING ALL SUPP ROUTINE FOOT CARE; REMOVAL AND/OR TRIMMING OF CORNS, CALLUSES AND/OR NAILS AND PREVENTIVE MAIN IMPRESSION CASTING OF A FOOT PERFORMED BY A PRACTITIONER OTHER THAN THE MANUFACTURER OF THE O GLOBAL FEE FOR EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY TREATMENT OF KIDNEY STONE(S) DISPOSABLE CONTACT LENS, PER LENS SINGLE VISION PRESCRIPTION LENS (SAFETY, ATHLETIC, OR SUNGLASS), PER LENS BIFOCAL VISION PRESCRIPTION LENS (SAFETY, ATHLETIC, OR SUNGLASS), PER LENS TRIFOCAL VISION PRESCRIPTION LENS (SAFETY, ATHLETIC, OR SUNGLASS), PER LENS NON-PRESCRIPTION LENS (SAFETY, ATHLETIC, OR SUNGLASS), PER LENS DAILY WEAR SPECIALTY CONTACT LENS, PER LENS COLOR CONTACT LENS, PER LENS SAFETY EYEGLASS FRAMES SUNGLASSES FRAMES POLYCARBONATE LENS (LIST THIS CODE IN ADDITION TO THE BASIC CODE FOR THE LENS) NONSTANDARD LENS (LIST THIS CODE IN ADDITION TO THE BASIC CODE FOR THE LENS) INTEGRAL LENS SERVICE, MISCELLANEOUS SERVICES REPORTED SEPARATELY COMPREHENSIVE CONTACT LENS EVALUATION SCREENING PROCTOSCOPY DIGITAL RECTAL EXAMINATION, ANNUAL ANNUAL GYNECOLOGICAL EXAMINATION, NEW PATIENT ANNUAL GYNECOLOGICAL EXAMINATION, ESTABLISHED PATIENT ROUTINE OPHTHALMOLOGICAL EXAMINATION INCLUDING REFRACTION; NEW PATIENT ROUTINE OPHTHALMOLOGICAL EXAMINATION INCLUDING REFRACTION; ESTABLISHED PATIENT PHYSICAL EXAM FOR COLLEGE, NEW OR ESTABLISHED PATIENT (LIST SEPARATELY IN ADDITION TO APPROPRIAT REMOVAL OF SUTURES; BY A PHYSICIAN OTHER THAN THE PHYSICIAN WHO ORIGINALLY CLOSED THE WOUND LASER IN SITU KERATOMILEUSIS (LASIK) PHOTOREFRACTIVE KERATECTOMY (PRK) PHOTOTHERAPEUTIC KERATECTOMY (PTK) COMPUTERIZED CORNEAL TOPOGRAPHY, UNILATERAL ULTRASOUND PACHYMETRY TO DETERMINE CORNEAL THICKNESS, WITH INTERPRETATION AND REPORT, UNILAT DELUXE ITEM, PATIENT AWARE (LIST IN ADDITION TO CODE FOR BASIC ITEM)
- 471. CUSTOMIZED ITEM (LISTIN ADDITION TO CODE FOR BASIC ITEM) IV TUBING EXTENSION SET NON-PVC (POLYVINYL CHLORIDE) INTRAVENOUS ADMINISTRATION SET, FOR USE WITH DRUGS THAT ARE NOT ST INHALED NITRIC OXIDE FOR THE TREATMENT OF HYPOXIC RESPIRATORY FAILURE IN THE NEONATE; PER DIEM CONTINUOUS NONINVASIVE GLUCOSE MONITORING DEVICE, PURCHASE (FOR PHYSICIAN INTERPRETATION OF D CONT NONINVASIVE GLUCOSE MONITOR DEVICE, RENTAL, INCL SENSR, SENSR REPLCMNT,&DOWNLOAD MONITO CRAINAL REMOLDING ORTHOSIS, RIGID, WITH SOFT INTERFACE MATERIAL, CUSTOM FABRICATED, INCLUDES FIT TRANSPLANTATION OF SMALL INTESTINE AND LIVER ALLOGRAFTS TRANSPLANTATION OF MULTIVISCERAL ORGANS HARVESTING OF DONOR MULTIVISCERAL ORGANS, WITH PREPARATION AND MAINTENANCE OF ALLOGRAFTS; FR LOBAR LUNG TRANSPLANTATION DONOR LOBECTOMY (LUNG) FOR TRANSPLANTATION, LIVING DONOR SIMULTANEOUS PANCREAS KIDNEY TRANSPLANTATION LASER-ASSISTED UVULOPALATOPLASTY (LAUP) ISLET CELL TISSUE TRANSPLANT FROM PANCREAS; ALLOGENEIC ADRENAL TISSUE TRANSPLANT TO BRAIN ADOPTIVE IMMUNOTHERAPY I.E. DEVELOPMENT OF SPECIFIC ANTI-TUMOR REACTIVITY (E.G. TUMOR-INFILTRATIN ARTHROSCOPY, KNEE, SURGICAL FOR HARVESTING OF CARTILAGE (CHONDROCYTE CELLS) OSTEOTOMY, PERIACETABULAR, WITH INTERNAL FIXATION LOW DENSITY LIPOPROTEIN (LDL) APHERESIS USING HEPARIN-INDUCED EXTRACORPOREAL LDL PRECIPITATION ENDOLUMINAL RADIOFREQUENCY ABLATION OF REFLUXING SAPHENOUS VEIN CORD BLOOD HARVESTING FOR TRANSPLANTATION, ALLOGENEIC CORD BLOOD-DERIVED STEM-CELL TRANSPLANTATION, ALLOGENEIC BN MARRW/BLOOD-DERIVED PERIPH STEM CELL HARV&TRANSPLANT, ALLO/AUTOLOGOUS, INCL PHERES, HI-DOS ECHOSCLEROTHERAPY MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS SURGERY INVOLVING MINI-THORACOTOMY OR MINI-ST MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS SURGERY INVOLVING MINI-THORACOTOMY OR MINI-ST MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS SURGERY INVOLVING MINI-THORACOTOMY OR MINI-ST MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS SURGERY INVOLVING MINI-THORACOTOMY OR MINI-ST MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS SURGERY INVOLVING MINI-THORACOTOMY OR MINI-ST TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT(S), CAROTID ARTERY, PERCUTANEOUS, UNILATERAL ( UTERINE ARTERY EMBOLIZATION FOR UTERINE FIBROIDS INDUCED ABORTION, 17 TO 24 WEEKS, ANY SURGICAL METHOD ABORTION FOR MATERNAL INDICATION, 25 WEEKS OR GREATER ABORTION FOR FETAL INDICATION, 25-28 WEEKS ABORTION FOR FETAL INDICATION, 29-31 WEEKS ABORTION FOR FETAL INDICATION, 32 WEEKS OR GREATER ARTHROSCOPY, SHOULDER, SURGICAL; WITH THERMALLY-INDUCED CAPSULORRHAPHY CHEMODENERVATION OF ABDUCTOR MUSCLE(S) OF VOCAL CORD CHEMODENERVATION OF ADDUCTOR MUSCLE(S) OF VOCAL CORD NASAL ENDOSCOPY FOR POST-OPERATIVE DEBRIDEMENT FOLLOWING FUNCTIONAL ENDOSCOPIC SINUS SURGE DISKECTOMY, ANTERIOR, WITH DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOT(S), INCLUDING OSTEOP DISKECTOMY, ANTERIOR, WITH DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOT(S), INCLUDING OSTEOP PERCUTANEOUS VERTEBROPLASTY, ONE VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION; CERVICAL EACH ADDITIONAL CERVICAL VERTEBRAL BODY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCED INTRADISCAL ELECTROTHERMAL THERAPY, SINGLE INTERSPACE EACH ADDITIONAL INTERSPACE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) REPAIR, CONGENITAL DIAPHRAGMATIC HERNIA IN THE FETUS USING TEMPORARY TRACHEAL OCCLUSION, PROC REPAIR, URINARY TRACT OBSTRUCTION IN THE FETUS, PROCEDURE PERFORMED IN UTERO REPAIR, CONGENITAL CYSTIC ADENOMATOID MALFORMATION IN THE FETUS, PROCEDURE PERFORMED IN UTER REPAIR, EXTRALOBAR PULMONARY SEQUESTRATION IN THE FETUS, PROCEDURE PERFORMED IN UTERO REPAIR, MYELOMENINGOCELE IN THE FETUS, PROCEDURE PERFORMED IN UTERO
- 472. REPAIR OF SACROCOCCYGEALTERATOMA IN THE FETUS, PROCEDURE PERFORMED IN UTERO REPAIR, CONGENITAL MALFORMATION OF FETUS, PROCEDURE PERFORMED IN UTERO, NOT OTHERWISE CLASSI FETOSCOPIC LASER THERAPY FOR TREATMENT OF TWIN-TO-TWIN TRANSFUSION SYNDROME STAT LABORATORY REQUEST (SITUATIONS OTHER THAN S3601) EMERGENCY STAT LABORATORY CHARGE FOR PATIENT WHO IS HOMEBOUND OR RESIDING IN A NURSING FACIL NEWBORN METABOLIC SCREENING PANEL, INCLUDES TEST KIT, POSTAGE AND THE LABORATORY TESTS SPECIF EOSINOPHIL COUNT, BLOOD, DIRECT HIV-1 ANTIBODY TESTING OF ORAL MUCOSAL TRANSUDATE SALIVA TEST, HORMONE LEVEL; DURING MENOPAUSE SALIVA TEST, HORMONE LEVEL; TO ASSESS PRETERM LABOR RISK ANTISPERM ANTIBODIES TEST (IMMUNOBEAD) IMMUNOASSAY FOR NUCLEAR MATRIX PROTEIN 22 (NMP-22), QUANTITATIVE GASTROINTESTINAL FAT ABSORPTION STUDY COMPLETE GENE SEQUENCE ANALYSIS; BRCA1 GENE COMPLETE GENE SEQUENCE ANALYSIS; BRCA2 GENE COMPLETE MLH1 AND MLH2 GENE SEQUENCE ANALYSIS FOR HEREDITARY NONPOLYPOSIS COLORECTAL CANCE 1-MUTATION ANAL (IN INDIV W KNOWN MLH1&MLH2 MUTATION THE FAMILY), HEREDITARY NONPOLYPOSIS COLOR COMPLETE GENE SEQUENCE ANALYSIS FOR CYSTIC FIBROSIS GENETIC TESTING COMPLETE GENE SEQUENCE ANALYSIS FOR HEMOCHROMATOSIS GENETIC TESTING SURFACE ELECTROMYOGRAPHY (EMG) BALLISTOCARDIOGRAM MASTERS TWO STEP INTERIM LABOR FACILITY GLOBAL (LABOR OCCURRING BUT NOT RESULTING IN DELIVERY) IN VITRO FERTILIZATION; INCLUDING BUT NO LIMITED IDENTIFICATION&INCUBATION, MATURE OOCYTES, FERTILIZ COMPLETE CYCLE, GAMETE INTRAFALLOPIAN TRANSFER (GIFT), CASE RATE COMPLETE CYCLE, ZYGOTE INTRAFALLOPIAN TRANSFER (ZIFT), CASE RATE COMPLETE IN VITRO FERTILIZATION CYCLE, NOT OTHERWISE SPECIFIED, CASE RATE FROZEN IN VITRO FERTILIZATION CYCLE, CASE RATE INCOMPLETE CYCLE, TREATMENT CANCELLED PRIOR TO STIMULATION, CASE RATE FROZEN EMBRYO TRANSFER PROCEDURE CANCELLED BEFORE TRANSFER, CASE RATE IN VITRO FERTILIZATION PROCEDURE CANCELLED BEFORE ASPIRATION, CASE RATE IN VITRO FERTILIZATION PROCEDURE CANCELLED AFTER ASPIRATION, CASE RATE ASSISTED OOCYTE FERTILIZATION, CASE RATE DONOR EGG CYCLE, INCOMPLETE, CASE RATE DONOR SERVICES FOR IN VITRO FERTILIZATION (SPERM OR EMBRYO), CASE RATE PROCUREMENT OF DONOR SPERM FROM SPERM BANK STORAGE OF PREVIOUSLY FROZEN EMBRYOS MICROSURGICAL EPIDIDYMAL SPERM ASPIRATION (MESA) SPERM PROCUREMENT AND CRYOPRESERVATION SERVICES; INITIAL VISIT SPERM PROCUREMENT AND CRYOPRESERVATION SERVICES; SUBSEQUENT VISIT STIMULATED INTRAUTERINE INSEMINATION (IUI), CASE RATE INTRAVAGINAL CULTURE (IVC), CASE RATE CRYOPRESERVED EMBRYO TRANSFER, CASE RATE MONITORING AND STORAGE OF CRYOPRESERVED EMBRYOS, PER 30 DAYS INSERTION OF LEVONORGESTREL-RELEASING INTRAUTERINE SYSTEM CONTRACEPTIVE INTRAUTERINE DEVICE (E.G. PROGESTACERT IUD), INCLUDING IMPLANTS AND SUPPLIES NICOTINE PATCHES, LEGEND NICOTINE PATCHES, NON-LEGEND CONTRACEPTIVE PILLS FOR BIRTH CONTROL SMOKING CESSATION GUM PRESCRIPTION DRUG, GENERIC PRESCRIPTION DRUG, BRAND NAME
- 473. 5% DEXTROSE AND45% NORMAL SALINE, 1000 ML 5% DEXTROSE IN LACTATED RINGER'S, 1000 ML 5% DEXTROSE WITH POTASSIUM CHLORIDE, 1000 ML 5% DEXTROSE/45% NORMAL SALINE WITH POTASSIUM CHLORIDE AND MAGNESIUM SULFATE, 1000 ML 5% DEXTROSE/0.45% NORMAL SALINE WITH POTASSIUM CHLORIDE AND MAGNESIUM SULFATE, 1500 ML HOME INFUSION THERAPY, ROUTINE SERVICE OF INFUSION DEVICE (E.G. PUMP MAINTENANCE) HOME INFUSION THERAPY, REPAIR OF INFUSION DEVICE (E.G. PUMP REPAIR) DAY CARE SERVICES, ADULT;PER 15 MINUTES DAY CARE SERVICES, ADULT;PER HALF DAY DAY CARE SERVICES, ADULT;PER DIEM DAY CARE SERVICES, CENTER-BASED;SERVICES NOT INCLUDED IN PROGRAM FEE, PER DIEM HOME CARE TRAINING, FAMILY;PER 15 MINUTES HOME CARE TRAINING, FAMILY;PER SESSION HOME CARE TRAINING, NON-FAMILY; PER 15 MINUTES HOME CARE TRAINING, NON-FAMILY; PER SESSION CHORE SERVICES; PER 15 MINUTES CHORE SERVICES; PER DIEM ATTENDANT CARE SERVICES; PER 15 MINUTES ATTENDANT CARE SERVICES; PER DIEM HOMEMAKER SERVICES, NOS; PER 15 MINUTES HOMEMAKER SERVICES, NOS; PER DIEM COMPAINION CARE, ADULT(E.G. IADL/ADL);PER 15 MINUTES COMPAINION CARE, ADULT(E.G. IADL/ADL);PER DIEM FOSTER CARE, ADULT; PER DIEM FOSTER CARE, ADULT;PER MONTH FOSTER CARE, THERAPEUTIC, CHILD; PER DIEM FOSTER CARE, THERAPEUTIC, CHILD; PER MONTH UNSKILLED RESPITE CARE, NOT HOSPICE; PER 15 MINUTES UNSKILLED RESPITE CARE, NOT HOSPICE; PER DIEM EMERGENCY RESPONSE SYSTEM; INSTALLATION AND TESTING EMERGENCY RESPONSE SYSTEM; SERVICE FEE, PER MONTH(EXCLUDES INSTALLATION AND TESTING) EMERGENCY RESPONSE SYSTEM; PURCHASE ONLY HOME MODIFICATIONS; PER SERVICE HOME DELIVERED MEALS, INCLUDING PREPARATION; PER MEAL LAUNDRY SERBICE, EXTERNAL,PROFESSIONAL; PER ORDER HOME HEALTH RESPIRATORY THERAPY, INITIAL EVALUATION HOME HEALTH RESPIRATORY THERAPY, NOS, PER DIEM MEDICATION REMINDER SERVICE, NON-FACE-TO-FACE; PER MONTH WELLNESS ASSESSMENT, PERFORMED BY NON-PHYSICIAN PERSONAL CARE ITEM, NOS, EACH HOME INFUS TX, CATH CARE/MAINT, NOT OTHRWISE CLASSFD; ADMINISTRATIVE SVCS, PROFSIONAL PHARMACY HOME INFUS TX, CATH CARE/MAINT, SIMP (1 LMN), ADMINISTRATIVE SVCS, PROFSIONAL PHARMACY SVCS, CARE HOME INFUS TX, CATH CARE/MAINT, CMPLX (> 1 LMN), ADMINISTRATIVE SVCS, PROFSIONAL PHARMACY SVCS, CA HOME INFUS TX, CATH CARE/MAINT, IMPLED ACCSS, ADMIN SVCS, PROFSIONAL PHARMACY SVCS, CARE COORDN HOME INFUSION THERAPY, ALL SUPPLIES NECESSARY FOR RESTORATION OF CATHETER PATENCY OR DECLOTT HOME INFUSION THERAPY, ALL SUPPLIES NECESSARY FOR CATHETER REPAIR HOME INFUSION THERAPY, ALL SUPPLIES (INCLUDING CATHETER) NECESSARY FOR A PERIPHERALLY INSERTED HOME INFUSION THERAPY, ALL SUPPLIES (INCLUDING CATHETER) NECESSARY FOR A MIDLINE CATHETER INSERT HOME INFUSION THERAPY, INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER (PICC), NURSI HOME INFUSION THERAPY, INSERTION OF MIDLINE CENTRAL VENOUS CATHETER, NURSING SERVICES ONLY (NO RADIOIMMUNOPHARMACEUTICAL LOCALIZATION OF TARGETED CELLS; WHOLE BODY SCLERAL APPLICATION OF TANTALUM RING(S) FOR LOCALIZATION OF LESIONS FOR PROTON BEAM THERAPY
- 474. MAGNETIC SOURCE IMAGING MAGNETICRESONANCE CHOLANGIOPANCREATOGRAPHY (MRCP) TOPOGRAPHIC BRAIN MAPPING MAGNETIC RESONANCE IMAGING (MRI), LOW-FIELD INTRAOPERATIVE RADIATION THERAPY (SINGLE ADMINISTRATION) US, MULTFET PRG REDUCTION(S), TECHNICAL COMPONENT (BE USED WHEN THEDRDOING THE REDUCTN PROC SCINTIMAMMOGRAPHY (RADIOIMMUNOSCINTIGRAPHY OF THE BREAST), UNILATERAL, INCLUDING SUPPLY OF RAD FLUORINE-18 FLUORODEOXYGLUCOSE (F-18 FDG) IMAGING USING DUAL-HEAD COINCIDENCE DETECTION SYSTEM ELECTRON BEAM COMPUTED TOMOGRAPHY (ALSO KNOWN AS ULTRAFAST CT, CINE CT) WIG (FOR MEDICALLY-INDUCED OR CONGENITAL HAIR LOSS) PORTABLE PEAK FLOW METER ASTHMA KIT (INCLUDING BUT NOT LIMITED TO PORTABLE PEAK EXPIRATORY FLOW METER, INSTRUCTIONAL VIDE HOLDING CHAMBER OR SPACER FOR USE WITH AN INHALER OR NEBULIZER; WITHOUT MASK HOLDING CHAMBER OR SPACER FOR USE WITH AN INHALER OR NEBULIZER; WITH MASK PEAK EXPIRATORY FLOW RATE (PHYSICIAN SERVICES) TRACHEOSTOMY SHOWER PROTECTOR TRACHEOSTOMY TUBE HOLDER HUMIDIFIER, HEATED, USED WITH VENTILATOR, NON-SERVO-CONTROLLED HUMIDIFIER, HEATED, USED WITH VENTILATOR, DUAL SERVO-CONTROLLED WITH TEMPERATURE MONITORING FLUTTER DEVICE SWIVEL ADAPTOR TRACHEOSTOMY SUPPLY, NOT OTHERWISE CLASSIFIED ELECTRONIC SPIROMETER (OR MICROSPIROMETER) MUCUS TRAP ORAL ORTHOTIC FOR TREATMENT OF SLEEP APNEA, INCLUDES FITTING, FABRICATION, AND MATERIALS MANDIBULAR ORTHOPEDIC REPOSITIONING DEVICE, EACH HABERMAN FEEDER FOR CLEFT LIP/PALATE SUPPLIES FOR HOME DELIVERY OF INFANT GRADIENT PRESSURE AID (SLEEVE AND GLOVE COMBINATION), CUSTOM MADE GRADIENT PRESSURE AID (SLEEVE AND GLOVE COMBINATION), READY MADE GRADIENT PRESSURE AID (SLEEVE), CUSTOM MADE, MEDIUM WEIGHT GRADIENT PRESSURE AID (SLEEVE), CUSTOM MADE, HEAVY WEIGHT GRADIENT PRESSURE AID (SLEEVE), READY MADE GRADIENT PRESSURE AID (GLOVE), CUSTOM MADE, MEDIUM WEIGHT GRADIENT PRESSURE AID (GLOVE), CUSTOM MADE, HEAVY WEIGHT GRADIENT PRESSURE AID (GLOVE), READY MADE GRADIENT PRESSURE AID (GAUNTLET), READY MADE GRADIENT PRESSURE EXTERIOR WRAP PADDING FOR COMPRESSION BANDAGE, ROLL COMPRESSION BANDAGE, ROLL SPLINT, PREFABRICATED, DIGIT (SPECIFY DIGIT BY USE OF MODIFIER) SPLINT, PREFABRICATED, WRIST OR ANKLE SPLINT, PREFABRICATED, ELBOW INSULIN SYRINGES (100 SYRINGES, ANY SIZE) PHYSICAL MEDICINE TREATMENT (CONSTANT ATTENDANCE BY PROVIDER) TO ONE AREA, INITIAL 30 MINUTES, EA COMPLEX LYMPHEDEMA THERAPY, EACH 15 MINUTES RESUSCITATION BAG (FOR USE BY PATIENT ON ARTIFICIAL RESPIRATION DURING POWER FAILURE OR OTHER CA HOME UTERINE MONITOR WITH OR WITHOUT ASSOCIATED NURSING SERVICES ULTRAFILTRATION MONITOR AUTOMATED EEG MONITORING DIGITAL SUBTRACTION ANGIOGRAPHY (USE IN ADDITION TO CPT CODE FOR THE PROCEDURE FOR FURTHER IDE PARANASAL SINUS ULTRASOUND
- 475. OMNICARDIOGRAM/CARDIOINTEGRAM EXTRACORPOREAL SHOCKWAVE LITHOTRIPSYFOR GALL STONES (IF PERFORMED WITH ERCP, USE 43265) PROCUREN OR OTHER GROWTH FACTOR PREPARATION TO PROMOTE WOUND HEALING COMA STIMULATION PER DIEM HOME ADMINISTRATION, AEROSOLIZED DRUG THERAPY (E.G., PENTAMIDINE); ADMINISTRATIVE SERVICES, PROFE SMOKING CESSATION TREATMENT GLOBAL FEE URGENT CARE CENTERS SERVICES PROVIDED IN AN URGENT CARE CENTER (LIST IN ADDITION TO CODE FOR SERVICE) VERTEBRAL AXIAL DECOMPRESSION, PER SESSION CANOLITH REPOSITIONING, PER VISIT HOME VISIT, PHOTOTHERAPY SERVICES (E.G. BILI-LITE), INCLUDING EQUIPMENT RENTAL, NURSING SERVICES, BL CONGESTIVE HEART FAILURE TELEMONITORING, EQUIPMENT RENTAL, INCLUDING TELESCALE, COMPUTER SYST BACK SCHOOL, PER VISIT HOME HEALTH AIDE OR CERTIFIED NURSE ASSISTANT, PROVIDING CARE IN THE HOME; PER HOUR NURSING CARE, IN THE HOME; BY REGISTERED NURSE, PER HOUR (USE FOR GENERAL NURSING CARE ONLY, NO NURSING CARE, IN THE HOME; BY LICENSED PRACTICAL NURSE, PER HOUR RESPITE CARE, IN THE HOME, PER DIEM HOSPICE CARE, IN THE HOME, PER DIEM SOCIAL WORK VISIT, IN THE HOME, PER DIEM SPEECH THERAPY, IN THE HOME, PER DIEM OCCUPATIONAL THERAPY, IN THE HOME, PER DIEM PHYSICAL THERAPY; IN THE HOME, PER DIEM DIABETIC MANAGEMENT PROGRAM, FOLLOW-UP VISIT TO NON-MD PROVIDER DIABETIC MANAGEMENT PROGRAM, FOLLOW-UP VISIT TO MD PROVIDER INSULIN PUMP INITIATION, INSTRUCTION IN INITIAL USE OF PUMP (PUMP NOT INCLUDED) EVALUATION BY OCULARIST HOME MGT, PRETERM LABOR, ADMINISTRATIVE SVCS, PROFSIONAL PHARMACY SVCS, CARE COORDINATION, AN HOME MGT, PRETERM PREMATURE RUPTURE, MEMBRANES (PPROM), ADMINISTRATIVE SVCS, PROFSIONAL PHAR HOME MGT, GESTATIONAL HTN, ADMINISTRATIVE SVCS, PROFSIONAL PHARMACY SVCS, CARE COORDINATION, A HOME MGT, PSTPT HTN, ADMINISTRATIVE SVCS, PROFSIONAL PHARMACY SVCS, CARE COORDINATION, AND SUP HOME MGT, PREECLAMPSIA, ADMINISTRATIVE SVCS, PROFSIONAL PHARMACY SVCS, CARE COORDINATION,SUP& HOME MGT, GESTATIONAL DIABETES, ADMINISTRATIVE SVCS, PROFSIONAL PHARMACY SVCS, CARE COORDINATI HOME INFUS TX, PAIN MGT INFUS; ADMINISTRATIVE SVCS, PROFSIONAL PHARMACY SVCS, CARE COORD,SUP&EQ HOME INFUSION THERAPY, CONTINUOUS PAIN MGT INFUSION; ADMINISTRATIVE SVCS, PROFESSIONAL PHARMAC HOME INFUSION THERAPY, INTERMITTENT PAIN MGT INFUSION; ADMINISTRATIVE SVCS, PROFESSIONAL PHARMA HOME INFUSION THERAPY, IMPLANTED PUMP PAIN MGT INFUSION; ADMINISTRATIVE SVCS, PROFESSIONAL PHAR HOME INFUS TX, CHEMOTX INFUS; ADMINISTRATIVE SVCS, PROFSIONAL PHARMACY SVCS, CARE COORDINATION HOME INFUSION THERAPY, CONTINUOUS CHEMOTHERAPY INFUSION; ADMINISTRATIVE SVCS, PROFESSIONAL PH HOME INFUSION THERAPY, INTERMITTENT CHEMOTHERAPY INFUSION; ADMINISTRATIVE SVCS, PROFESSIONAL P HOME INFUS TX, CONT ANTICOAGULANT INFUS TX (E.G. HEPARIN), ADMINISTRATIVE SVCS, PROFSIONAL PHARMA HOME INFUSION THERAPY, IMMUNOTHERAPY THERAPY; ADMINISTRATIVE SVCS, PROFESSIONAL PHARMACY SVC HOME THERAPY; PERITONEAL DIALYSIS, ADMINISTRATIVE SVCS, PROFESSIONAL PHARMACY SVCS, CARE COORD HOME THERAPY; ENTERAL NUTRITION; ADMINISTRATIVE SVCS, PROFESSIONAL PHARMACY SVCS, CARE COORDIN HOME THERAPY; ENTERAL NUTRITION VIA GRAVITY; ADMINISTRATIVE SVCS, PROFESSIONAL PHARMACY SVCS, C HOME THERAPY; ENTERAL NUTRITION VIA PUMP; ADMINISTRATIVE SVCS, PROFESSIONAL PHARMACY SVCS, CARE HOME THERAPY; ENTERAL NUTRITION VIA BOLUS; ADMINISTRATIVE SVCS, PROFESSIONAL PHARMACY SVCS, CAR HOME INFUS TX, ANTI-HEMOPHILIC AG INFUS TX (E.G. FACTOR VIII); ADMINISTRATIVE SVCS, PROFSIONAL PHARMA HOME INFUS TX, ALPHA-1-PROTASE INHIBITOR (E.G., PROLASTIN); ADMINISTRATIVE SVCS, PROFSIONAL PHARMAC HOME INFUS TX, UNINTER, LONG-TERM, CNTRL RATE IV/SUBQ INFUS TX (E.G. EPOPROSTEN); ADMINISTRATIVE SV HOME INFUS TX, SYMPATHOMIMETIC/INOTROPIC AG INFUS TX (E.G.,DOBUTAMINE); ADMINISTRATIVE SVCS, PROF HOME INFUSION THERAPY, TOCOLYTIC INFUSION THERAPY; ADMINISTRATIVE SVCS, PROFESSIONAL PHARMACY HOME INFUSION THERAPY, CONTINUOUS ANTI-EMETIC INFUSION THERAPY; ADMINISTRATIVE SVCS, PROFESSION
- 476. HOME INFUSION THERAPY,CONTINUOUS INSULIN INFUSION THERAPY; ADMINISTRATIVE SVCS, PROFESSIONAL P HOME INFUSION THERAPY, CHELATION THERAPY; ADMINISTRATIVE SVCS, PROFESSIONAL PHARMACY SVCS, CAR HOME INFUS TX, ENZYME REPLCMNT IV TX; (E.G. IMIGLUCERASE); ADMINISTRATIVE SVCS, PROFSIONAL PHARMAC HOME INFUS TX, ANTI-TUMR NECROSIS FACTOR IV TX; (E.G. INFLIXIMAB); ADMINISTRATIVE SVCS, PROFSIONAL PH HOME INFUSION THERAPY, DIURETIC INTRAVENOUS THERAPY; ADMINISTRATIVE SVCS, PROFESSIONAL PHARMAC HOME INFUSION THERAPY, ANTI-SPASMOTIC INTRAVENOUS THERAPY; ADMINISTRATIVE SVCS, PROFESSIONAL P HOME INFUS TX, TTL PARENTERAL NUTR (TPN);ADMIN SVCS, PROFSIONAL PHARMACY SVCS, CARE COORDINATIO HOME INFUS TX,TTL PARENTERAL NUTR;1 LITER/DAY,ADMINISTRATIVE SVCS,PROFSIONAL PHARMACY SVCS,CAR HOME INFUS TX,TTL PARENTRAL NUTR;>1 LITER BUT NO>2 LITERS/DAY,ADMIN SVCS,PROFSIONAL RX SVCS,CARE HOME INFUS TX,TTL PARENTERAL NUTR(TPN);>2 LITERS BUT NO>3 LITERS/DAY,ADMIN SVCS,PROF RX SVCS, CAR HOME INFUS TX,TTL PARENTERAL NUTR(TPN);>3 LITERS/DAY,ADMIN SVCS,PROF RX SVCS,CARE COORDINATION,S HOME THERAPY, INTERMITTENT ANTI-EMETIC INJECTION THERAPY; ADMINISTRATIVE SVCS, PROFESSIONAL PHAR HOME TX;INTERMITT ANTICOAGULANT INJ TX(E.G. HEPARIN);ADMIN SVCS,PROFSIONAL RX SVCS,CARE COORDINA HOME INFUS TX, HYD TX; ADMINISTRATIVE SVCS, PROFSIONAL PHARMACY SVCS, CARE COORDINATION,SUP&EQU HOME INFUSION THERAPY, HYDRATION THERAPY; 1 LITER/DAY, ADMINISTRATIVE SVCS, PROFESSIONAL PHARMA HOME INFUS TX, HYD TX; > 1 LITER BUT NO > 2 LITERS/DAY, ADMINISTRATIVE SVCS, PROFSIONAL PHARMACY SVC HOME INFUS TX, HYD TX; > 2 LITERS BUT NO > 3 LITERS/DAY, ADMINISTRATIVE SVCS, PROFSIONAL PHARMACY SV HOME INFUSION THERAPY, HYDRATION THERAPY; > 3 LITERS/DAY, ADMINISTRATIVE SERVICES, PROFESSIONAL P HOME INFUS TX, INFUS TX, NOT OTHRWISE CLASSFD; ADMIN SVCS, PROFSIONAL PHARMACY SVCS, CARE COORD DELIVERY OR SERVICE TO HIGH RISK AREAS REQUIRING ESCORT OR EXTRA PROTECTION, PER VISIT ANTICOAGULATION CLINIC, INCLUSIVE OF ALL SERVICES EXCEPT LABORATORY TESTS, PER SESSION PHARMACY COMPOUNDING AND DISPENSING SERVICES MEDICAL FOODS FOR INBORN ERRORS OF METABOLISM CHILDBIRTH PREPARATION/LAMAZE CLASSES, NON-PHYSICIAN PROVIDER, PER SESSION CHILDBIRTH REFRESHER CLASSES, NON-PHYSICIAN PROVIDER, PER SESSION CESAREAN BIRTH CLASSES, NON-PHYSICIAN PROVIDER, PER SESSION VBAC (VAGINAL BIRTH AFTER CESAREAN) CLASSES, NON-PHYSICIAN PROVIDER, PER SESSION ASTHMA EDUCATION, NON-PHYSICIAN PROVIDER, PER SESSION BIRTHING CLASSES, NON-PHYSICIAN PROVIDER, PER SESSION LACTATION CLASSES, NON-PHYSICIAN PROVIDER, PER SESSION PARENTING CLASSES, NON-PHYSICIAN PROVIDER, PER SESSION PATIENT EDUCATION, NOT OTHERWISE CLASSIFIED, NON-PHYSICIAN PROVIDER, INDIVIDUAL, PER SESSION PATIENT EDUCATION, NOT OTHERWISE CLASSIFIED, NON-PHYSICIAN PROVIDER, GROUP, PER SESSION INFANT SAFETY (INCLUDING CPR) CLASSES, NON-PHYSICIAN PROVIDER, PER SESSION WEIGHT MANAGEMENT CLASSES, NON-PHYSICIAN PROVIDER, PER SESSION EXERCISE CLASSES, NON-PHYSICIAN PROVIDER, PER SESSION NUTRITION CLASSES, NON-PHYSICIAN PROVIDER, PER SESSION SMOKING CESSATION CLASSES, NON-PHYSICIAN PROVIDER, PER SESSION STRESS MANAGEMENT CLASSES, NON-PHYSICIAN PROVIDER, PER SESSION DIABETIC MANAGEMENT PROGRAM, GROUP SESSION DIABETIC MANAGEMENT PROGRAM, NURSE VISIT DIABETIC MANAGEMENT PROGRAM, DIETITIAN VISIT NUTRITIONAL COUNSELING, DIETITIAN VISIT CARDIAC REHABILITATION PROGRAM, NON-PHYSICIAN PROVIDER, PER DIEM PULMONARY REHABILITATION PROGRAM, NON-PHYSICIAN PROVIDER, PER DIEM ENTEROSTOMAL THERAPY BY A REGISTERED NURSE CERTIFIED IN ENTEROSTOMAL THERAPY, PER DIEM AMBULATORY SETTING SUBSTANCE ABUSE TREATMENT OR DETOXIFICATION SERVICES, PER DIEM INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM CRISIS INTERBENTION MENTAL HEALTH SERVICES, PER HOUR CRISIS INTERVENTION MENTAL HEALTH SERVICES, PER DIEM HOME INFUSION THERAPY, CORTICOSTEROID INFUSION; ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY HOME INFUS TX,ABX,ANTIVIR,/ANTIFUNGAL TX;ADMIN SVCS,PROFSIONAL PHARMACY SVCS,CARE COORDINATION
- 477. HOME INFUS TX,ABX, ANTIVIR,/ANTIFUNGAL TX; ONCE EVERY 3 HRS; ADMINISTRATIVE SVCS, PROFSIONAL PHARM HOME INFUS TX, ABX, ANTIVIR,/ANTIFUNGAL TX; ONCE EVERY 24 HRS; ADMINISTRATIVE SVCS, PROFSIONAL PHAR HOME INFUS TX, ABX, ANTIVIR,/ANTIFUNGAL TX; ONCE EVERY 12 HRS; ADMINISTRATIVE SVCS, PROFSIONAL PHAR HOME INFUS TX, ABX, ANTIVIR,/ANTIFUNGAL TX; ONCE EVERY 8 HRS, ADMINISTRATIVE SVCS, PROFSIONAL PHARM HOME INFUS TX, ABX, ANTIVIR,/ANTIFUNGAL; ONCE EVERY 6 HRS; ADMINISTRATIVE SVCS, PROFSIONAL PHARMAC HOME INFUS TX, ABX, ANTIVIR,/ANTIFUNGAL; ONCE EVERY 4 HRS; ADMINISTRATIVE SVCS, PROFSIONAL PHARMAC NURSING SERVICES RELATED TO HOME IV THERAPY, PER DIEM ROUTINE VENIPUNCTURE FOR COLLECTION OF SPECIMEN(S), SINGLE HOME BOUND, NURSING HOME, OR SKILLE HOME TX; HEMATOP HORME INJ TX (E.G.CRYTHROPOIETIN, G-CSF, GM-CSF); ADMINISTRATIVE SVCS, PROFSIONA HOME TRANSFUSION, BLOOD PRODUCT(S); ADMINISTRATIVE SVCS, PROFESSIONAL PHARMACY SVCS, CARE COO HOME INJABLE TX; NOT OTHRWISE CLASSIFIED, ADMIN SVCS, PROFSIONAL PHARMACY SVCS, COORDINATION, CA HOME INFUSION OF BLOOD PRODUCTS, NURSING SERVICES, PER VISIT HOME INJECTABLE THERAPY; GROWTH HORMONE, INCL ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY HOME INJECTABLE THERAPY; INTERFERON, INCL ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVIC HOME INJABLE TX; HORMAL TX (E.G., LEUPROLIDE, GOSERELIN),ADMINISTRATIVE SVCS, PROFSIONAL PHARMACY HOME INJECTABLE THERAPY,PALIVIZUMAB,ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES,CA HOME THERAPY,IRRIGATION THERAPY;ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE HOME INFUSION/SPECIALTY DRUG ADMINISTRATION, NURSING SERVICES; PER VISIT (UP TO 2 HOURS) EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE S9802) RN SERVICES IN THE INFUSION SUITE OF THE IV THERAPY PROVIDER, PER VISIT HOME THERAPY; PROFESSIONAL PHARMACY SERVICES, PROVISION, INFUSION, SPECIALTY DRUG ADMINISTRATIO SERVICES BY AUTHORIZED CHRISTIAN SCIENCE PRACTITIONER FOR THE PROCESS OF HEALING, PER DIEM. NOT HEALTH CLUB MEMBERSHIP, ANNUAL TRANSPLANT RELATED LODGING, MEALS AND TRANSPORTATION, PER DIEM MEDICAL RECORDS COPYING FEE, ADMINISTRATIVE MEDICAL RECORDS COPYING FEE, PER PAGE NOT MEDICALLY NECESSARY SERVICE (PATIENT IS AWARE THAT SERVICE NOT MEDICALLY NECESSARY) SERVICES PROVIDED OUTSIDE OF THE UNITED STATES OF AMERICA (LIST IN ADDITION TO CODE(S) FOR SERVICE SERVICES PROVIDED AS PART OF A PHASE II CLINICAL TRIAL SERVICES PROVIDED AS PART OF A PHASE III CLINICAL TRIAL TRANSPORTATION COSTS TO AND FROM TRIAL LOCATION AND LOCAL TRANSPORTATION COSTS (E.G., FARES FO LODGING COSTS (E.G., HOTEL CHARGES) FOR CLINICAL TRIAL PARTICIPANT AND ONE CAREGIVER/COMPANION MEALS FOR CLINICAL TRIAL PARTICIPANT AND ONE CAREGIVER/COMPANION SALES TAX PRIVATE DUTY/INDEPENDENT NURSING SERVICE(S) - LICENSED, UP TO 15 MINUTES NURSING ASSESSMENT/EVALUATION RN SERVICES, UP TO 15 MINUTES LPN/LVN SERVICES, UP TO 15 MINUTES SERVICES OF A QUALIFIED NURSING AIDE, UP TO 15 MINUTES RESPITE CARE SERVICES, UP TO 15 MINUTES ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, FAMILY/COUPLE COUNSELING ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, TREATMENT PLAN DEVELOPMENT AND/OR MODIFICATION DAY TREATMENT FOR INDIVIDUAL ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES CHILD SITTING SERVICES FOR CHILDREN OF THE INDIVIDUAL RECEIVING ALCOHOL AND/OR SUBSTANCE ABUSE S MEALS FOR INDIVIDUALS RECEIVING ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES (WHEN MEALS NOT INCLUD ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, NOT OTHERWISE CLASSIFIED ALCOHOL AND/OR SUBSTANCE ABUSE SERVICES, SKILLS DEVELOPMENT SIGN LANGUAGE OR ORAL INTERPRETIVE SERVICES, PER 15 MINUTE TELEHEALTH TRANSMISSION, PER MINUTE, PROFESSIONAL SERVICES BILL SEPARATELY CLINIC VISIT/ENCOUNTER, ALL-INCLUSIVE CASE MANAGEMENT, EACH 15 MINUTES TARGETED CASE MANAGEMENT, EACH 15 MINUTES
- 478. SCHOOL-BASED INDIVIDUALIZED EDUCATIONPROGRAM (IEP) SERVICES, BUNDLED PERSONAL CARE SERVICES,PER 15 MINUTES,NOT FOR AN INPATIENT/RESIDENT OF A HOSPITAL,NURSING FACILIT PERSONAL CARE SERVICES, PER DIEM, NOT FOR AN INPATIENT OR RESIDENT OF A HOSPITAL, NURSING FACILITY HOME HEALTH AIDE OR CERTIFIED NURSE ASSISTANT, PER VISIT CONTRACTED HOME HEALTH AGENCY SERVICES, ALL SERVICES PROVIDED UNDER CONTRACT, PER DAY SCREENING TO DETERMINE THE APPROPRIATENESS OF CONSIDERATION OF AN INDIVIDUAL FOR PARTICIPATION EVALUATION AND TREATMENT BY AN INTEGRATED, SPECIALTY TEAM CONTRACTED TO PROVIDE COORDINATED INTENSIVE, EXTENDED MULTIDISCIPLINARY SERVICES PROVIDED IN A CLINIC SETTING TO CHILDREN WITH COMP INTENSIVE, EXTENDED MULTIDISCIPLINARY SERVICES PROVIDED IN A CLINIC SETTING TO CHILDREN WITH COMP FAMILY TRAINING AND COUNSELING FOR CHILD DEVELOPMENT, PER 15 MINUTES ASSESSMENT OF HOME, PHYSICAL AND FAMILY ENVIRONMENT, TO DETERMINE SUITABILITY TO MEET PATIENT'S COMPREHENSIVE ENVIRONMENTAL LEAD INVESTIGATION, NOT INCLUDING LABORATORY ANALYSIS, PER DWELLI NURSING CARE, IN THE HOME, BY REGISTERED NURSE, PER DIEM NURSING CARE, IN THE HOME, BY LICENSED PRACTICAL NURSE, PER DIEM DIAPER/INCONTINENT PANT, REUSABLE/WASHABLE, ANY SIZE, EACH ADMINISTRATION OF ORAL, INTRAMUSCULAR AND/OR SUBCUTANEOUS MEDICATION BY HEALTH CARE AGENCY/P MISCELLANEOUS THERAPEUTIC ITEMS AND SUPPLIES, RETAIL PURCHASES, NOT OTHERWISE CLASSIFIED; IDENT NON-EMERGENCY TRANSPORTATION; PATIENT ATTENDANT/ESCORT NON-EMERGENCY TRANSPORTATION; PER DIEM NON-EMERGENCY TRANSPORTATION; ENCOUNTER/TRIP NON-EMERGENCY TRANSPORT; COMMERCIAL CARRIER, MULTI-PASS NON-EMERGENCY TRANSPORTATION; NON-AMBULATORY STRETCHER VAN AMBULANCE RESPONSE AND TREATMENT, NO TRANSPORT TRANSPORTATION WAITING TIME, AIR AMBULANCE AND NON-EMERGENCY VEHICLE, ONE-HALF (1/2) HOUR INCRE FRAMES, PURCHASES DELUXE FRAME SPHERE, SINGLE VISION, PLANO TO PLUS OR MINUS 4.00, PER LENS SPHERE, SINGLE VISION, PLUS OR MINUS 4.12 TO PLUS OR MINUS 7.00D, PER LENS SPHERE, SINGLE VISION, PLUS OR MINUS 7.12 TO PLUS OR MINUS 20.00D, PER LENS SPHEROCYLINDER, SINGLE VISION, PLANO TO PLUS OR MINUS 4.00D SPHERE, .12 TO 2.00D CYLINDER, PER LENS SPHEROCYLINDER, SINGLE VISION, PLANO TO PLUS OR MINUS 4.00D SPHERE, 2.12 TO 4.00D CYLINDER, PER LENS SPHEROCYLINDER, SINGLE VISION, PLANO TO PLUS OR MINUS 4.00D SPHERE, 4.25 TO 6.00D CYLINDER, PER LENS SPHEROCYLINDER, SINGLE VISION, PLANO TO PLUS OR MINUS 4.00D SPHERE, OVER 6.00D CYLINDER, PER LENS SPHEROCYLINDER, SINGLE VISION, PLUS OR MINUS 4.25 TO PLUS OR MINUS 7.00 SPHERE, .12 TO 2.00D CYLINDER SPHEROCYLINDER, SINGLE VISION, PLUS OR MINUS 4.25D TO PLUS OR MINUS 7.00D SPHERE, 2.12 TO 4.00D CYLIN SPHEROCYLINDER, SINGLE VISION, PLUS OR MINUS 4.25 TO PLUS OR MINUS 7.00D SPHERE, 4.25 TO 6.00D CYLIND SPHEROCYLINDER, SINGLE VISION, PLUS OR MINUS 4.25 TO 7.00D SPHERE, OVER 6.00D CYLINDER, PER LENS SPHEROCYLINDER, SINGLE VISION, PLUS OR MINUS 7.25 TO PLUS OR MINUS 12.00D SPHERE, .25 TO 2.25D CYLIND SPHEROCYLINDER, SINGLE VISION, PLUS OR MINUS 7.25 TO PLUS OR MINUS 12.00D SPHERE, 2.25D TO 4.00D CYLI SPHEROCYLINDER, SINGLE VISION, PLUS OR MINUS 7.25 TO PLUS OR MINUS 12.00D SPHERE, 4.25 TO 6.00D CYLIN SPHEROCYLINDER, SINGLE VISION, SPHERE OVER PLUS OR MINUS 12.00D, PER LENS LENTICULAR, (MYODISC), PER LENS, SINGLE VISION LENTICULAR LENS, NONASPHERIC, PER LENS, SINGLE VISION LENTICULAR, ASPHERIC, PER LENS, SINGLE VISION ANISEIKONIC LENS, SINGLE VISION NOT OTHERWISE CLASSIFIED, SINGLE VISION LENS SPHERE, BIFOCAL, PLANO TO PLUS OR MINUS 4.00D, PER LENS SPHERE, BIFOCAL, PLUS OR MINUS 4.12 TO PLUS OR MINUS 7.00D, PER LENS SPHERE, BIFOCAL, PLUS OR MINUS 7.12 TO PLUS OR MINUS 20.00D, PER LENS SPHEROCYLINDER, BIFOCAL, PLANO TO PLUS OR MINUS 4.00D SPHERE, .12 TO 2.00D CYLINDER, PER LENS SPHEROCYLINDER, BIFOCAL, PLANO TO PLUS OR MINUS 4.00D SPHERE, 2.12 TO 4.00D CYLINDER, PER LENS SPHEROCYLINDER, BIFOCAL, PLANO TO PLUS OR MINUS 4.00D SPHERE, 4.25 TO 6.00D CYLINDER, PER LENS
- 479. SPHEROCYLINDER, BIFOCAL, PLANOTO PLUS OR MINUS 4.00D SPHERE, OVER 6.00D CYLINDER, PER LENS SPHEROCYLINDER, BIFOCAL, PLUS OR MINUS 4.25 TO PLUS OR MINUS 7.00D SPHERE,.12 TO 2.00D CYLINDER, PER SPHEROCYLINDER, BIFOCAL, PLUS OR MINUS 4.25 TO PLUS OR MINUS 7.00D SPHERE, 2.12 TO 4.00D CYLINDER, PE SPHEROCYLINDER, BIFOCAL, PLUS OR MINUS 4.25 TO PLUS OR MINUS 7.00D SPHERE, 4.25 TO 6.00D CYLINDER, PE SPHEROCYLINDER, BIFOCAL, PLUS OR MINUS 4.25 TO PLUS OR MINUS 7.00D SPHERE, OVER 6.00D CYLINDER,PER SPHEROCYLINDER, BIFOCAL, PLUS OR MINUS 7.25 TO PLUS OR MINUS 12.00D SPHERE, 0.25 TO 2.25D CYLINDER, P SPHEROCYLINDER, BIFOCAL, PLUS OR MINUS 7.25 TO PLUS OR MINUS 12.00D SPHERE, 2.25 TO 4.00D CYLINDER, P SPHEROCYLINDER, BIFOCAL, PLUS OR MINUS 7.25 TO PLUS OR MINUS 12.00D SPHERE, 4.25 TO 6.00D CYLINDER, P SPHEROCYLINDER, BIFOCAL, SPHERE OVER PLUS OR MINUS 12.00D, PER LENS LENTICULAR (MYODISC), PER LENS, BIFOCAL LENTICULAR, NONASPHERIC, PER LENS, BIFOCAL LENTICULAR, ASPHERIC LENS, BIFOCAL ANISEIKONIC, PER LENS, BIFOCAL BIFOCAL SEG WIDTH OVER 28 MM BIFOCAL ADD OVER 3.25D SPECIALTY BIFOCAL (BY REPORT) SPHERE, TRIFOCAL, PLANO TO PLUS OR MINUS 4.00D, PER LENS SPHERE, TRIFOCAL, PLUS OR MINUS 4.12 TO PLUS OR MINUS 7.00D, PER LENS SPHERE, TRIFOCAL, PLUS OR MINUS 7.12 TO PLUS OR MINUS 20.00, PER LENS SPHEROCYLINDER, TRIFOCAL, PLANO TO PLUS OR MINUS 4.00D SPHERE, .12-2.00D CYLINDER, PER LENS SPHEROCYLINDER, TRIFOCAL, PLANO TO PLUS OR MINUS 4.00D SPHERE, 2.25-4.00D CYLINDER, PER LENS SPHEROCYLINDER, TRIFOCAL, PLANO TO PLUS OR MINUS 4.00D SPHERE, 4.25 TO 6.00 CYLINDER, PER LENS SPHEROCYLINDER, TRIFOCAL, PLANO TO PLUS OR MINUS 4.00D SPHERE, OVER 6.00D CYLINDER, PER LENS SPHEROCYLINDER, TRIFOCAL, PLUS OR MINUS 4.25 TO PLUS OR MINUS 7.00D SPHERE, .12 TO 2.00D CYLINDER, PE SPHEROCYLINDER, TRIFOCAL, PLUS OR MINUS 4.25 TO PLUS OR MINUS 7.00D SPHERE, 2.12 TO 4.00D CYLINDER, P SPHEROCYLINDER, TRIFOCAL, PLUS OR MINUS 4.25 TO PLUS OR MINUS 7.00D SPHERE, 4.25 TO 6.00D CYLINDER, P SPHEROCYLINDER, TRIFOCAL, PLUS OR MINUS 4.25 TO PLUS OR MINUS 7.00D SPHERE, OVER 6.00D CYLINDER, PE SPHEROCYLINDER, TRIFOCAL, PLUS OR MINUS 7.25 TO PLUS OR MINUS 12.00D SPHERE, .25 TO 2.25D CYLINDER, P SPHEROCYLINDER, TRIFOCAL, PLUS OR MINUS 7.25 TO PLUS OR MINUS 12.00D SPHERE, 2.25 TO 4.00D CYLINDER, SPHEROCYLINDER, TRIFOCAL, PLUS OR MINUS 7.25 TO PLUS OR MINUS 12.00D SPHERE, 4.25 TO 6.00D CYLINDER, SPHEROCYLINDER, TRIFOCAL, SPHERE OVER PLUS OR MINUS 12 .00D, PER LENS LENTICULAR, (MYODISC), PER LENS, TRIFOCAL LENTICULAR NONASPHERIC, PER LENS, TRIFOCAL LENTICULAR, ASPHERIC LENS, TRIFOCAL ANISEIKONIC LENS, TRIFOCAL TRIFOCAL SEG WIDTH OVER 28 MM TRIFOCAL ADD OVER 3.25D SPECIALTY TRIFOCAL (BY REPORT) VARIABLE ASPHERICITY LENS, SINGLE VISION, FULL FIELD, GLASS OR PLASTIC, PER LENS VARIABLE ASPHERICITY LENS, BIFOCAL, FULL FIELD, GLASS OR PLASTIC, PER LENS VARIABLE SPHERICITY LENS, OTHER TYPE CONTACT LENS, PMMA, SPHERICAL, PER LENS CONTACT LENS, PMMA, TORIC OR PRISM BALLAST, PER LENS CONTACT LENS, PMMA, BIFOCAL, PER LENS CONTACT LENS, PMMA, COLOR VISION DEFICIENCY, PER LENS CONTACT LENS, GAS PERMEABLE, SPHERICAL, PER LENS CONTACT LENS, GAS PERMEABLE, TORIC, PRISM BALLAST, PER LENS CONTACT LENS, GAS PERMEABLE, BIFOCAL, PER LENS CONTACT LENS, GAS PERMEABLE, EXTENDED WEAR, PER LENS CONTACT LENS, HYDROPHILIC, SPHERICAL, PER LENS CONTACT LENS, HYDROPHILIC, TORIC, OR PRISM BALLAST, PER LENS CONTACT LENS, HYDROPHILIC, BIFOCAL, PER LENS
- 480. CONTACT LENS, HYDROPHILIC,EXTENDED WEAR, PER LENS CONTACT LENS, SCLERAL, GAS IMPERMEABLE, PER LENS (FOR CONTACT LENS MODIFICATION, SEE 92325) CONTACT LENS, SCLERAL, GAS PERMEABLE, PER LENS (FOR CONTACT LENS MODIFICATION, SEE 92325) CONTACT LENS, OTHER TYPE HAND HELD LOW VISION AIDS AND OTHER NONSPECTACLE MOUNTED AIDS SINGLE LENS SPECTACLE MOUNTED LOW VISION AIDS TELESCOPIC AND OTHER COMPOUND LENS SYSTEM, INCLUDING DISTANCE VISION TELESCOPIC, NEAR VISION TE PROSTHETIC EYE, PLASTIC, CUSTOM POLISHING/RESURFACING OF OCULAR PROSTHESIS ENLARGEMENT OF OCULAR PROSTHESIS REDUCTION OF OCULAR PROSTHESIS SCLERAL COVER SHELL FABRICATION AND FITTING OF OCULAR CONFORMER PROSTHETIC EYE, OTHER TYPE ANTERIOR CHAMBER INTRAOCULAR LENS IRIS SUPPORTED INTRAOCULAR LENS POSTERIOR CHAMBER INTRAOCULAR LENS BALANCE LENS, PER LENS SLAB OFF PRISM, GLASS OR PLASTIC, PER LENS PRISM, PER LENS PRESS-ON LENS, FRESNELL PRISM, PER LENS SPECIAL BASE CURVE, GLASS OR PLASTIC, PER LENS TINT, PLASTIC, ROSE 1 OR 2 PER LENS TINT, PLASTIC, OTHER THAN ROSE 1-2, PER LENS TINT, GLASS ROSE 1 OR 2, PER LENS TINT, GLASS OTHER THAN ROSE 1 OR 2, PER LENS TINT, PHOTOCHROMATIC, PER LENS ANTI-REFLECTIVE COATING, PER LENS U-V LENS, PER LENS SCRATCH RESISTANT COATING, PER LENS OCCLUDER LENS, PER LENS OVERSIZE LENS, PER LENS PROGRESSIVE LENS, PER LENS PROCESSING, PRESERVING AND TRANSPORTING CORNEAL TISSUE AMNIOTIC MEMBRANE FOR SURGICAL RECONSTRUCTION, PER PROCEDURE VISION SERVICE, MISCELLANEOUS HEARING SCREENING ASSESSMENT FOR HEARING AID FITTING/ORIENTATION/CHECKING OF HEARING AID REPAIR/MODIFICATION OF A HEARING AID CONFORMITY EVALUATION HEARING AID, MONAURAL, BODY WORN, AIR CONDUCTION HEARING AID, MONAURAL, BODY WORN, BONE CONDUCTION HEARING AID, MONAURAL, IN THE EAR HEARING AID, MONAURAL, BEHIND THE EAR GLASSES, AIR CONDUCTION GLASSES, BONE CONDUCTION DISPENSING FEE, UNSPECIFIED HEARING AID SEMI-IMPLANTABLE MIDDLE EAR HEARING PROSTHESIS HEARING AID, BILATERAL, BODY WORN DISPENSING FEE, BILATERAL BINAURAL, BODY
- 481. BINAURAL, IN THEEAR BINAURAL, BEHIND THE EAR BINAURAL, GLASSES DISPENSING FEE, BINAURAL HEARING AID, CROS, IN THE EAR HEARING AID, CROS, BEHIND THE EAR HEARING AID, CROS, GLASSES DISPENSING FEE, CROS HEARING AID, BICROS, IN THE EAR HEARING AID, BICROS, BEHIND THE EAR HEARING AID, BICROS, GLASSES DISPENSING FEE, BICROS DISPENSING FEE, MONAURAL HEARING AID, ANY TYPE HEARING AID, ANALOG, MONAURAL, CIC (COMPLETELY IN THE EAR CANAL) HEARING AID, ANALOG, MONAURAL, ITC (IN THE CANAL) HEARING AID, DIGITALLY PROGRAMMABLE ANALOG, MONAURAL, CIC HEARING AID, DIGITALLY PROGRAMMABLE, ANALOG, MONAURAL, ITC HEARING AID, DIGITALLY PROGRAMMABLE ANALOG, MONAURAL, ITE (IN THE EAR) HEARING AID, DIGITALLY PROGRAMMABLE ANALOG, MONAURAL, BTE (BEHIND THE EAR) HEARING AID, ANALOG, BINAURAL, CIC HEARING AID, ANALOG, BINAURAL, ITC HEARING AID, DIGITALLY PROGRAMMABLE ANALOG, BINAURAL, CIC HEARING AID, DIGITALLY PROGRAMMABLE ANALOG, BINAURAL, ITC HEARING AID, DIGITALLY PROGRAMMABLE, BINAURAL, ITE HEARING AID, DIGITALLY PROGRAMMABLE, BINAURAL, BTE HEARING AID, DIGITAL, MONAURAL, CIC HEARING AID, DIGITAL, MONAURAL, ITC HEARING AID, DIGITAL, MONAURAL, ITE HEARING AID, DIGITAL, MONAURAL, BTE HEARING AID, DIGITAL, BINAURAL, CIC HEARING AID, DIGITAL, BINAURAL, ITC HEARING AID, DIGITAL, BINAURAL, ITE HEARING AID, DIGITAL, BINAURAL, BTE HEARING AID, DISPOSABLE, ANY TYPE, MONAURAL HEARING AID, DISPOSABLE, ANY TYPE, BINAURAL EAR MOLD/INSERT, NOT DISPOSABLE, ANY TYPE EAR MOLD/INSERT, DISPOSABLE, ANY TYPE BATTERY FOR USE IN HEARING DEVICE HEARING AID SUPPLIES/ACCESSORIES ASSISTIVE LISTENING DEVICE, TELEPHONE AMPLIFIER, ANY TYPE ASSISTIVE LISTENING DEVICE, ALERTING, ANY TYPE ASSISTIVE LISTENING DEVICE, TELEVISION AMPLIFIER, ANY TYPE ASSISTIVE LISTENING DEVICE, TELEVISION CAPTION DECODER ASSISTIVE LISTENING DEVICE, TDD ASSISTIVE LISTENING DEVICE, FOR USE WITH COCHLEAR IMPLANT ASSISTIVE LISTENING DEVICE, NOT OTHERWISE CLASSIFIED EAR IMPRESSION, EACH HEARING AID, NOT OTHERWISE CLASSIFIED HEARING SERVICE, MISCELLANEOUS REPAIR/MODIFICATION OF AUGMENTATIVE COMMUNICATIVE SYSTEM OR DEVICE (EXCLUDES ADAPTIVE HEARING SPEECH SCREENING LANGUAGE SCREENING
- 482.
- 483. MEDONES, CYSTS, PUSTULES) IMP LE OR SINGLE OMP LICATED OR MULTIPLE PRO CEDURE) ACTURE(S) AND/OR DISLOCATION(S); SKIN AND SUBCUTANEOUS TISSUES SCI A, AND MUSCLE SCI A, MUSCLE AND BONE TO FOUR LESIONS THAN FOUR LESIONS ION TE/ ADD LESION (LIST SEP IN ADD TO CODE FOR PRIMARY PROC) UDING 15 LESIONS EDU RE) SION DIAMETER 0.5 CM OR LESS SION DIAMETER 0.6 TO 1.0 CM SION DIAMETER 1.1 TO 2.0 CM SION DIAMETER OVER 2.0 CM , GENITALIA; LESION DIAMETER 0.5 CM OR LESS , GENITALIA; LESION DIAMETER 0.6 TO 1.0 CM , GENITALIA; LESION DIAMETER 1.1 TO 2.0 CM , GENITALIA; LESION DIAMETER OVER 2.0 CM E, LIPS, MUCOUS MEMBRANE; LESION DIAMETER 0.5 CM OR LESS E, LIPS, MUCOUS MEMBRANE; LESION DIAMETER 0.6 TO 1.0 CM E, LIPS, MUCOUS MEMBRANE; LESION DIAMETER 1.1 TO 2.0 CM E, LIPS, MUCOUS MEMBRANE; LESION DIAMETER OVER 2.0 CM WHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS WHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.6 TO 1.0 CM WHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM WHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM WHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM WHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER OVER 4.0 CM CM OR LESS TO 1.0 CM TO 2.0 CM TO 3.0 CM
- 484. TO 4.0 CM R4 .0 CM 0.5 CM OR LESS 0.6 TO 1.0 CM 0.1 TO 2.0 C 0.1 TO 3.0 CM 0.1 TO 4.0 CM VER 4.0 CM LE OR INTERMEDIATE REPAIR PLEX REPAIR LE OR INTERMEDIATE REPAIR PLEX REPAIR OR UMBILICAL; WITH SIMPLE OR INTERMEDIATE REPAIR OR UMBILICAL; WITH COMPLEX REPAIR METER 0.5 CM OR LESS METER 0.6 TO 1.0 CM METER 1.1 TO 2.0 CM METER 2.1 TO 3.0 CM METER 3.1 TO 4.0 CM METER OVER 4.0 CM LIA; EXCISED DIAMETER 0.5 CM OR LESS LIA; EXCISED DIAMETER 0.6 TO 1.0 CM LIA; EXCISED DIAMETER 1.1 TO 2.0 CM LIA; EXCISED DIAMETER 2.1 TO 3.0 CM LIA; EXCISED DIAMETER 3.1 TO 4.0 CM LIA; EXCISED DIAMETER OVER 4.0 CM CISED DIAMETER 0.5 CM OR LESS CISED DIAMETER 0.6 TO 1.0 CM CISED DIAMETER 1.1 TO 2.0 CM CISED DIAMETER 2.1 TO 3.0 CM CISED DIAMETER 3.1 TO 4.0 CM CISED DIAMETER OVER 4.0 CM (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ED NAIL) FOR PERMANENT REMOVAL; PHA LANX NAIL FOLDS) (SEPARATE PROCEDURE) SS CM 20 .0 SQ CM (LIST SEP IN ADD TO CODE FOR PRIMARY PROC)
- 485. OF "FILLING" MATERIAL (EG, COLLAGEN); 1 CC OR LESS CT COLOR DEFECTS OF SKIN, INCLUDING MICROPIGMENTATION; 1.1 TO 5.0 CC CT COLOR DEFECTS OF SKIN, INCLUDING MICROPIGMENTATION; 5.1 TO 10.0 CC CT COLOR DEFECTS OF SKIN, INCLUDING MICROPIGMENTATION; OVER 10.0 CC EXPANSION R TESTOSTERONE PELLETS BENEATH THE SKIN) LE SS 7 5 CM 12 .5 CM O2 0.0 CM O3 0.0 CM CM MUCOUS MEMBRANES; 2.5 CM OR LESS MUCOUS MEMBRANES; 2.6 CM TO 5.0 CM MUCOUS MEMBRANES; 5.1 CM TO 7.5 CM MUCOUS MEMBRANES; 7.6 CM TO 12.5 CM MUCOUS MEMBRANES; 12.6 CM TO 20.0 CM MUCOUS MEMBRANES; 20.1 CM TO 30.0 CM MUCOUS MEMBRANES; OVER 30.0 CM NG HANDS AND FEET); 2.5 CM OR LESS NG HANDS AND FEET); 2.6 CM TO 7.5 CM NG HANDS AND FEET); 7.6 CM TO 12.5 CM NG HANDS AND FEET); 12.6 CM TO 20.0 CM NG HANDS AND FEET); 20.1 CM TO 30.0 CM NG HANDS AND FEET); OVER 30.0 CM CM OR LESS CM TO 7.5 CM CM TO 12.5 CM CM TO 20.0 CM CM TO 30.0 CM MBRANES; 2.5 CM OR LESS MBRANES; 2.6 CM TO 5.0 CM MBRANES; 5.1 CM TO 7.5 CM MBRANES; 7.6 CM TO 12.5 CM MBRANES; 12.6 CM TO 20.0 CM MBRANES; 20.1 CM TO 30.0 CM MBRANES; OVER 30.0 CM ON TO CODE FOR PRIMARY PROCEDURE)
- 486. EPARATELY IN ADDITIONTO CODE FOR PRIMARY PROCEDURE) AND/OR FEET; 1.1 CM TO 2.5 CM AND/OR FEET; 2.6 CM TO 7.5 CM DDI TION TO CODE FOR PRIMARY PROCEDURE) LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) T 10 SQ CM OR LESS T 10.1 SQ CM TO 30.0 SQ CM NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; DEFECT 10 SQ CM OR LESS 0S Q CM DEFECT 10 SQ CM OR LESS DEFECT 10.1 SQ CM TO 30.0 SQ CM COMPLICATED, ANY AREA SQ CM OR ONE PERCENT OF BODY AREA OF INFANTS & CHILDREN TIO NAL 100 SQ CM OR EACH ADDITIONAL ONE PERCENT OF BODY ER Y AREA OF INFANTS AND CHILDREN (EXCEPT 15050) (L IST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROC) RCE NT OF BODY AREA OF INFANTS AND CHILDREN (EXC 15050) CEN T OF BODY AREA OF INFANTS & CHILDREN, OR PART THEREOF SQ CM OR LESS IMA RY PROCEDURE) MS, AND/OR LEGS; 20 SQ CM OR LESS TIO N TO CODE FOR PRIMARY PROCEDURE) ;2 0 SQ CM OR LESS ;E ACH ADDITIONAL 20 SQ CM S, EYELIDS, AND/OR LIPS; 20 SQ CM OR LESS IN ADDITION TO CODE FOR PRIMARY PROCEDURE) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) DDITION TO CODE FOR PRIMARY PROCEDURE) DDITION TO CODE FOR PRIMARY PROCEDURE) HEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS OR FEET E, EARS, LIPS, OR INTRAORAL CHIN, NECK, AXILLAE, GENITALIA, HANDS (EXCEPT 15625), OR FEET UBE), ANY LOCATION LIS, MASSETER MUSCLE, STERNOCLEIDOMASTOID, LEVATOR SCAPULAE)
- 487. PRIMARY CLOSURE, DONORAREA ERAL KERATOSIS) CODE FOR PRIMARY PROCEDURE) MEN (ABDOMINOPLASTY) ARM OR HAND ENTAL FAT PAD
- 488. S FLAP ORSKIN GRAFT CLOSURE ; WITH OSTECTOMY OR MYOCUTANEOUS FLAP OR SKIN GRAFT CLOSURE ANEOUS FLAP OR SKIN GRAFT CLOSURE ANEOUS FLAP OR SKIN GRAFT CLOSURE; WITH OSTECTOMY UM OR LARGE, OR WITH MAJOR DEBRIDEMENT FICE OR HOSPITAL, SMALL DIUM (EG, WHOLE FACE OR WHOLE EXTREMITY) GE (EG, MORE THAN ONE EXTREMITY) R PRIMARY PROCEDURE) ANEOUS VASCULAR PROLIFERATIVE LESIONS; FIRST LESION CH ANEOUS VASCULAR PROLIFERATIVE LESIONS; 15 OR MORE LESIONS UE); LESS THAN 10 SQ CM UE); 10.0 - 50.0 SQ CM UE); OVER 50.0 SQ CM ETER 0.5 CM OR LESS ETER 0.6 TO 1.0 CM ETER 1.1 TO 2.0 CM ETER 2.1 TO 3.0 CM ETER 3.1 TO 4.0 CM ETER OVER 4.0 CM NE; LESION DIAMETER 0.5 CM OR LESS
- 489. NE; LESION DIAMETER0.6 TO 1.0 CM NE; LESION DIAMETER 1.1 TO 2.0 CM NE; LESION DIAMETER 2.1 TO 3.0 CM NE; LESION DIAMETER 3.1 TO 4.0 CM NE; LESION DIAMETER OVER 4.0 CM NE STAIN;1ST STAGE,FRESH TISSUE TECH,UP TO 5 SPECIMEN AIN ; 2ND STAGE,FIXED / FRESH TISSUE,UP TO 5 SPECIMENS ES TAIN;3RD STAGE,FIXED / FRESH TISSUE,UP TO 5 SPECIM INE STAIN ADDL STAGE,UP TO 5 SPECIMENS, EACH STAGE PEC I,AFTER THE 1ST 5 SPECI,FIXED /FRESH TISSUE,ANY STAGE IN ADDITION TO CODE FOR PRIMARY PROCEDURE) PARATE PROCEDURE) PSY DEVICE, USING IMAGING GUIDANCE OR A PAPILLOMA LACTIFEROUS DUCT ,O PEN, MALE OR FEMALE, ONE OR MORE LESIONS AL MARKER, OPEN; SINGLE LESION RKE R (LIST SEP IN ADD TO CODE FOR PRIM PROC) MARY LYMPH NODES (URBAN TYPE OPERATION) UT PECTORALIS MINOR MUSCLE, BUT EXCLUDING PECTORALIS MAJOR MUSCLE THOUT MEDIASTINAL LYMPHADENECTOMY TH MEDIASTINAL LYMPHADENECTOMY LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) RE) OR IN RECONSTRUCTION R IN RECONSTRUCTION G SUBSEQUENT EXPANSION
- 490. IC IMPLANT P (TRAM),SINGLE PEDICLE, INCLUDING CLOSURE OF DONOR SITE; CUL AR ANASTOMOSIS (SUPERCHARGING) P (TRAM), DOUBLE PEDICLE, INCLUDING CLOSURE OF DONOR SITE AINED THROUGH SAME FASCIAL INCISION TROCHANTER OF FEMUR) NON BURSA) DER, HIP, KNEE JOINT, SUBACROMIAL BURSA) OVAL (SEPARATE PROCEDURE) VAL (SEPARATE PROCEDURE) ENE SIS IMPERFECTA), REQUIRING GENERAL ANESTHESIA ATION SYSTEM , EXTERNAL FIXATION SYSTEM (EG, ILIZAROV, MONTICELLI TYPE)
- 491. , NEW PIN(S)OR WIRE(S) AND/OR NEW RING(S) OR BAR(S)) COMPLETE AMPUTATION PLETE AMPUTATION MPLETE AMPUTATION O INSERTION OF FLEXOR SUBLIMIS TENDON); COMPLETE AMPUTATION SERTION); COMPLETE AMPUTATION AMPUTATION CIS ION ED (THROUGH SEPARATE SKIN OR FASCIAL INCISION) ION ) OF MUSCLE COMPARTMENT SYNDROME R METATARSAL LIAC CREST, METATARSAL, OR GREAT TOE WEB SPACE Y (EG, LOCALLY AGGRESSIVE OR DESTRUCTIVE LESION(S)) ON( S)) (EG, LOCALLY AGGRESSIVE OR DESTRUCTIVE LESION(S)) ION (S))
- 492. VAL (SEPARATE PROCEDURE) REOR DISLOCATION, INCLUDES REMOVAL ON OR BONE WEDGE REVERSAL FOR ASYMMETRICAL CHIN) S OBTAINING AUTOGRAFTS) ITIONAL (INCLUDES OBTAINING AUTOGRAFT) ONE GRAFT (INCLUDES OBTAINING AUTOGRAFT) CTION (EG, FOR LONG FACE SYNDROME), WITHOUT BONE GRAFT TION, WITHOUT BONE GRAFT N ANY DIRECTION, WITHOUT BONE GRAFT CTION, REQUIRING BONE GRAFTS (INCLUDES OBTAINING AUTOGRAFTS) RAF TED UNILATERAL ALVEOLAR CLEFT) NGR AFTED BILAT ALVEOLAR CLEFT OR MULT OSTEOTOMIES) UDES OBTAINING AUTOGRAFTS) RAFTS (INCLUDES OBTAINING AUTOGRAFTS); WITHOUT LEFORT I RAFTS (INCLUDES OBTAINING AUTOGRAFTS); WITH LEFORT I GA UTOGRAFTS); WITHOUT LEFORT I GA UTOGRAFTS); WITH LEFORT I S) HYC EPHALY), W W/O GRAFTS (INC OBTAINING AUTOGRAFTS) ITH GRAFTS (ALLOGRAFT OR PROSTHETIC MATERIAL) ITH AUTOGRAFT (INCLUDES OBTAINING GRAFTS) S DYSPLASIA), EXTRACRANIAL LE AUTOGRAFTS; TOTAL AREA, BONE GRAFTING < 40 SQ CM RAF TS; TOTAL AREA, BONE GRAFT > 40 SQ CM BUT < 80 SQ CM LE AUTOGRAFTS; TOTAL AREA, BONE GRAFTING > 80 SQ CM FTS (INCLUDES OBTAINING AUTOGRAFTS) Y; WITHOUT BONE GRAFT OMY; WITH BONE GRAFT (INCLUDES OBTAINING GRAFT) RNAL RIGID FIXATION
- 493. AL RIGID FIXATION IC IMPLANT) S OBTAINING GRAFT) NDIBULAR STAPLE BONE PLATE) (INCLUDES OBTAINING GRAFTS) (EG, FOR HEMIFACIAL MICROSOMIA) R); PARTIAL R); COMPLETE GE (INCLUDES OBTAINING AUTOGRAFTS) FTS (INCLUDES OBTAINING AUTOGRAFTS) (EG, MICRO-OPHTHALMIA) CRANIAL APPROACH NED INTRA- AND EXTRACRANIAL APPROACH OREHEAD ADVANCEMENT ; EXTRACRANIAL APPROACH ; COMBINED INTRA- AND EXTRACRANIAL APPROACH ERIC HYPERTROPHY); EXTRAORAL APPROACH ERIC HYPERTROPHY); INTRAORAL APPROACH AL SKELETAL FIXATION CTURED SEPTUM NA SOLACRIMAL APPARATUS ) FRONTAL SINUS FRACTURE, VIA CORONAL OR MULTIPLE APPROACHES TERDENTAL WIRE FIXATION OR FIXATION OF DENTURE OR SPLINT NG AND/OR LOCAL FIXATION G MULTIPLE OPEN APPROACHES E GRAFTING (INCLUDES OBTAINING GRAFT) CH AND MALAR TRIPOD, WITH MANIPULATION
- 494. MALAR TRIPOD RT RIPOD; WITH INTERNAL FIXATION & MULT SURG APPROACHES RT RIPOD; WITH BONE GRAFTING (INCLUDES OBTAINING GRAFT) (CALDWELL-LUC TYPE OPERATION) WITH ALLOPLASTIC OR OTHER IMPLANT WITH BONE GRAFT (INCLUDES OBTAINING GRAFT) INCLUDES OBTAINING GRAFT) RDENTAL WIRE FIXATION OR FIXATION OF DENTURE OR SPLINT HES AL WIRE FIXATION OF DENTURE OR SPLINT R INTERNAL FIXATION LA PPROACHES HA LO DEVICE, AND/OR INTERMAXILLARY FIXATION) INC LUDES OBTAINING GRAFT) RATE PROCEDURE) TE PROCEDURE) ING OF DENTURES OR SPLINTS QUE NT ORAX; WITH PARTIAL RIB OSTECTOMY SCESS), THORAX
- 495. ST APPLICATION PPLICATION APPROACH (NUSSPROCEDURE), WITHOUT THORACOSCOPY APPROACH (NUSS PROCEDURE), WITH THORACOSCOPY ERV ICAL ACH ADDITIONAL SEG (LIST SEPARATE FROM PRIMARY PROC) CE RVICAL DED VERTEBRAL SEG (LIST SEPARATE FROM PRIMARY PROC) SEGMENT; CERVICAL SEGMENT; THORACIC SEGMENT; LUMBAR TO PRIMARY PROCEDURE) RAL SEGMENT; CERVICAL RAL SEGMENT; THORACIC RAL SEGMENT; LUMBAR DIT ION TO PRIMARY PROCEDURE) UIRING AND INCLUDING CASTING OR BRACING RW ITHOUT ANESTHESIA, BY MANIPULATION OR TRACTION TO F INTERNAL FIXATION; WITHOUT GRAFTING TO F INTERNAL FIXATION; WITH GRAFTING NT; LUMBAR NT; CERVICAL NT; THORACIC TV ERT OR DISLOC SEG (LIST SEPARATE FROM PRIMARY PROC) NJECTION; THORACIC NJECTION; LUMBAR ARA TELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) -AXIS), WITH OR WITHOUT EXCISION OF ODONTOID PROCESS
- 496. PREPARE INTERSPACE (OTHERTHAN FOR DECOMPRESSION); CERVICAL BELOW C2 PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION); THORACIC PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION); LUMBAR NTE RSPACE (LIST SEPARATE FROM PRIMARY PROC) BELOW C2 SEGMENT (WITH OR WITHOUT LATERAL TRANSVERSE TECHNIQUE) WITH OR WITHOUT LATERAL TRANSVERSE TECHNIQUE) IMA RY PROCEDURE) EI NTERSPACE; LUMBAR EDU RE) ERTEBRAL SEGMENTS ERTEBRAL SEGMENTS RE VERTEBRAL SEGMENTS TEBRAL SEGMENTS TEBRAL SEGMENTS VERTEBRAL SEGMENTS TS SEGMENT(S) (INCLUDING BODY AND POSTERIOR ELEMENTS); 3 OR MORE SEGMENTS ULTIPLE HOOKS AND SUBLAMINAL WIRES); 3 TO 6 VERTEBRAL SEGMENTS ULTIPLE HOOKS AND SUBLAMINAL WIRES); 7 TO 12 VERTEBRAL SEGMENTS ULTIPLE HOOKS AND SUBLAMINAL WIRES); 13 OR MORE VERTEBRAL SEGMENTS STRUCTURES) OTHER THAN SACRUM RI NTERSPACE AL OF FOREIGN BODY ON, DRAINAGE, OR REMOVAL OF FOREIGN BODY OPSY AND/OR EXCISION OF TORN CARTILAGE
- 497. MOVAL OF LOOSEOR FOREIGN BODY L LIGAMENT RELEASE WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT) WITH ALLOGRAFT TH AUTOGRAFT (INCLUDES OBTAINING GRAFT) TH ALLOGRAFT RGICAL NECK STEOMYELITIS), CLAVICLE STEOMYELITIS), SCAPULA STEOMYELITIS), PROXIMAL HUMERUS TAINING GRAFT) ER ARTHROGRAPHY LUDES ACROMIOPLASTY) MERAL REPLACEMENT (EG, TOTAL SHOULDER)) ATI ON) METHYLMETHACRYLATE; CLAVICLE METHYLMETHACRYLATE; PROXIMAL HUMERUS
- 498. AL FIXATION CIAL GRAFT(INCLUDES OBTAINING GRAFT) SCIAL GRAFT (INCLUDES OBTAINING GRAFT) SKELETAL TRACTION (WITH OR WITHOUT SHOULDER JOINT INVOLVEMENT) THOUT INTERNAL FIXATION RE; WITHOUT MANIPULATION RE; WITH MANIPULATION, WITH OR WITHOUT SKELETAL TRACTION RO F TUBEROSITY(-IES); SIT Y(-IES); W/ PROXIMAL HUMERAL PROSTHETIC REPLACEMENT TERNAL OR EXTERNAL FIXATION AL TUBEROSITY, WITH MANIPULATION TUBEROSITY, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION K FRACTURE, WITH MANIPULATION RACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION TION APPARATUS (DISLOCATION EXCLUDED) SCESS), HUMERUS OR ELBOW ARATE PROCEDURE) M OR ELBOW AREA WITHOUT REMOVAL OF LOOSE OR FOREIGN BODY FT (INCLUDES OBTAINING GRAFT)
- 499. US OR OLECRANONPROCESS US OR OLECRANON PROCESS; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT) US OR OLECRANON PROCESS; WITH ALLOGRAFT STEOMYELITIS), HUMERUS STEOMYELITIS), RADIAL HEAD OR NECK STEOMYELITIS), OLECRANON PROCESS CONTRACTURE RELEASE (SEPARATE PROCEDURE) DES OBTAINING GRAFT) OBTAINING GRAFT) MUSCULAR) 24320-24331) ULDER, SINGLE (SEDDON-BROOKES TYPE PROCEDURE) RY OR SECONDARY (EXCLUDES ROTATOR CUFF) NDON GRAFT UDES HARVESTING OF GRAFT) DES HARVESTING OF GRAFT) NSOR ORIGIN DETACHMENT LAR LIGAMENT RESECTION AL OSTECTOMY RV ALGUS, DISTAL HUMERUS) FT (SOFIELD TYPE PROCEDURE) LUDES OBTAINING GRAFT)
- 500. METHYLMETHACRYLATE, HUMERAL SHAFT HOUT SKELETAL TRACTION OUT CERCLAGE ANT, WITH OR WITHOUT CERCLAGE AND/OR LOCKING SCREWS ITH OR WITHOUT INTERCONDYLAR EXTENSION; WITHOUT MANIPULATION TS KIN OR SKELETAL TRACTION AL FRACTURE, WITH OR WITHOUT INTERCONDYLAR EXTENSION ON H OR WITHOUT INTERNAL OR EXTERNAL FIXATION; WITH INTERCONDYLAR EXTENSION OUT MANIPULATION MANIPULATION LATERAL, WITH MANIPULATION R WITHOUT INTERNAL OR EXTERNAL FIXATION T MANIPULATION NIPULATION THOUT INTERNAL OR EXTERNAL FIXATION TERAL, WITH MANIPULATION FRACTURE DISTAL HUMERUS AND PROXIMAL ULNA AND/OR PROXIMAL RADIUS) TH IMPLANT ARTHROPLASTY ULA TION OUT INTERNAL OR EXTERNAL FIXATION H MANIPULATION XATION OR RADIAL HEAD EXCISION ENT HOUT MANIPULATION H MANIPULATION R WITHOUT INTERNAL OR EXTERNAL FIXATION ARTMENT; WITHOUT DEBRIDEMENT OF NONVIABLE MUSCLE AND/OR NERVE PARTMENT; WITHOUT DEBRIDEMENT OF NONVIABLE MUSCLE AND/OR NERVE PARTMENT; WITH DEBRIDEMENT OF NONVIABLE MUSCLE AND/OR NERVE
- 501. REMOVAL OF FOREIGNBODY AND/OR WRIST AREA H OR WITHOUT REMOVAL OF LOOSE OR FOREIGN BODY E, COMPLEX IS) ; FLEXORS )E XTENSORS, WITH W/O TRANSPOSITION DORSAL RETINACULUM ECTION OF DISTAL ULNA UDING HEAD OR NECK OF RADIUS AND OLECRANON PROCESS); INC LUDES OBTAINING GRAFT) UDING HEAD OR NECK OF RADIUS AND OLECRANON PROCESS); WITH ALLOGRAFT UTOGRAFT (INCLUDES OBTAINING GRAFT) FOR OSTEOMYELITIS); ULNA FOR OSTEOMYELITIS); RADIUS H TENDON OR MUSCLE ACH TENDON OR MUSCLE E GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON OR MUSCLE ACH TENDON OR MUSCLE E, EACH TENDON OR MUSCLE FREE GRAFT, EACH TENDON OR MUSCLE UDES OBTAINING GRAFT) (EG, FOR EXTENSOR CARPI ULNARIS SUBLUXATION) WRIST, SINGLE, EACH TENDON ACH TENDON RIST, SINGLE; EACH TENDON
- 502. DON AND/OR WRIST; AND/OR WRIST; WITH TENDON(S) TRANSFER DO PEN REDUCTION) FOR CARPAL INSTABILITY OR INTERNAL FIXATION NDO N GRAFT/WEAVE, OR TENODESIS) W W/O OPEN REDUC PROCEDURE); RADIUS OR ULNA PROCEDURE); RADIUS AND ULNA ION TECHNIQUE) SION TECHNIQUE) NCLUDES OBTAINING GRAFT AND NECESSARY FIXATION), EACH BONE RE CARPUS ("TOTAL WRIST") METHYLMETHACRYLATE; RADIUS METHYLMETHACRYLATE; ULNA METHYLMETHACRYLATE; RADIUS AND ULNA NAL FIXATION TION OF DISTAL RADIOULNAR JOINT ,W ITH OR WITHOUT PERCUTANEOUS SKELETAL FIXATION IN CLUDES REPAIR, TRIANGULAR FIBROCARTILAGE COMPLEX NAL FIXATION NAL FIXATION; OF RADIUS OR ULNA
- 503. NAL FIXATION; OFRADIUS AND ULNA OUT MANIPULATION MA NIPULATION YLO ID, REQUIRING MANIPULATION, W W/O EXTERNAL FIXATION RW ITHOUT INTERNAL OR EXTERNAL FIXATION TERNAL OR EXTERNAL FIXATION CULAR)); WITHOUT MANIPULATION, EACH BONE CULAR)); WITH MANIPULATION, EACH BONE ONES, WITH MANIPULATION WITH MANIPULATION /OR INTERCARPAL AND/OR CARPOMETACARPAL JOINTS) ITH SLIDING GRAFT ITH ILIAC OR OTHER AUTOGRAFT (INCLUDES OBTAINING GRAFT) OR WITHOUT BONE GRAFT (EG, SAUVE-KAPANDJI PROCEDURE)
- 504. DY; CARPOMETACARPAL JOINT DY;METACARPOPHALANGEAL JOINT, EACH N BODY; INTERPHALANGEAL JOINT, EACH BCUTANEOUS NGEMENT, OR SKIN GRAFTING (INCLUDES OBTAINING GRAFT) ENT , OR SKIN GRAFTING (INCL. OBTAINING GRAFT); EA. ADDIT. DGT(LIST SEP. IN ADDIT. TO PRIM. PROC.) TENSOR HOOD RECONSTRUCTION, EACH DIGIT UCTION, EACH INTERPHALANGEAL JOINT M AND/OR FINGER, EACH TENDON OGRAFT (INCLUDES OBTAINING GRAFT) ISTAL PHALANX OF FINGER; ISTAL PHALANX OF FINGER; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT) STEOMYELITIS); METACARPAL , FOR OSTEOMYELITIS); PROXIMAL OR MIDDLE PHALANX OF FINGER , FOR OSTEOMYELITIS); DISTAL PHALANX OF FINGER ER; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT) HEATH; PRIMARY OR SECONDARY WITHOUT FREE GRAFT, EACH TENDON HEATH; SECONDARY WITH FREE GRAFT, EACH TENDON H; PRIMARY OR SECONDARY WITHOUT FREE GRAFT, EACH TENDON H; SECONDARY, EACH TENDON H; SECONDARY WITH FREE GRAFT, EACH TENDON N; PRIMARY, EACH TENDON N; SECONDARY WITH FREE GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON N; SECONDARY WITHOUT FREE GRAFT, EACH TENDON ON GRAFT, HAND OR FINGER, EACH ROD GER, EACH ROD ACH TENDON FREE GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON D TENDON GRAFT, HAND OR FINGER, EACH ROD INGER, EACH ROD EACH TENDON H FREE GRAFT (INCLUDES OBTAINING GRAFT) EACH TENDON CLUDING LATERAL BAND(S), EACH FINGER
- 505. CUTANEOUS PINNING (EG,MALLET FINGER) GRAFT (EG, MALLET FINGER) ECONDARY REPAIR; WITH FREE GRAFT (INCLUDES OBTAINING GRAFT) D; WITHOUT FREE GRAFT, EACH TENDON SINGLE; WITH FREE TENDON GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON ON GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON PROCEDURE) NING GRAFT) (SEPARATE PROCEDURE) ON OR FASCIAL GRAFT (INCLUDES OBTAINING GRAFT) AL TISSUE (EG, ADDUCTOR ADVANCEMENT) G GRAFT, EACH JOINT H OR WITHOUT EXTERNAL OR INTERNAL FIXATION) OUND" WITH BONE GRAFT
- 506. FIXATION, EACH BONE EXTERNAL FIXATION, EACH BONE T FRACTURE), WITH MANIPULATION IXA TION RACTURE), WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION MANIPULATION, EACH JOINT; WITHOUT ANESTHESIA MANIPULATION, EACH JOINT; REQUIRING ANESTHESIA N THUMB, WITH MANIPULATION, EACH JOINT WITHOUT INTERNAL OR EXTERNAL FIXATION, EACH JOINT X, MULTIPLE OR DELAYED REDUCTION ATION; WITHOUT ANESTHESIA ATION; REQUIRING ANESTHESIA , WITH MANIPULATION T INTERNAL OR EXTERNAL FIXATION , FINGER OR THUMB; WITHOUT MANIPULATION, EACH TR ACTION, EACH XIMAL OR MIDDLE PHALANX, FINGER OR THUMB, WITH MANIPULATION, EACH INGER OR THUMB, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION, EACH INTERPHALANGEAL JOINT; WITHOUT MANIPULATION, EACH INTERPHALANGEAL JOINT; WITH MANIPULATION, EACH CH MANIPULATION, EACH PULATION, EACH HOUT INTERNAL OR EXTERNAL FIXATION, EACH ATION; WITHOUT ANESTHESIA ATION; REQUIRING ANESTHESIA WITH MANIPULATION NAL OR EXTERNAL FIXATION, SINGLE N; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)
- 507. WITH AUTOGRAFT (INCLUDESOBTAINING GRAFT) DE FOR PRIMARY PROCEDURE) UTOGRAFT (INCLUDES OBTAINING GRAFT) EPA RATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) OR WITHOUT INTEROSSEOUS TRANSFER GLE, INCLUDING NEURECTOMIES; WITH DIRECT CLOSURE D) F SCIATIC, FEMORAL, OR OBTURATOR NERVES MI NIMUS, TENSOR FASCIA LATAE, RECTUS FEMORIS, SARTORIUS NEOPLASM) UBIS, OR GREATER TROCHANTER OF FEMUR) WITH OR WITHOUT AUTOGRAFT RT ROCHANTER OF FEMUR) CESS); DEEP (SUBFASCIAL OR INTRAMUSCULAR) AMUS OR SYMPHYSIS PUBIS BIC RAMI, OR ISCHIUM AND ACETABULUM CHANTER OF FEMUR CHANTER OF FEMUR, WITH SKIN FLAPS YLMETHACRYLATE WITH OR WITHOUT INSERTION OF SPACER
- 508. OR TENDON EXTENSION(GRAFT) TH OR WITHOUT AUTOGRAFT OR ALLOGRAFT OUT AUTOGRAFT OR ALLOGRAFT RAFT OR ALLOGRAFT HOUT AUTOGRAFT OR ALLOGRAFT T ALLOGRAFT D WITH OPEN REDUCTION OF HIP TERNAL FIXATION AND/OR CAST (INCLUDES OBTAINING BONE GRAFT) ONE GRAFT (INCLUDES OBTAINING GRAFT) E OR MULTIPLE PINNING HEYMAN TYPE PROCEDURE) METHYLMETHACRYLATE, FEMORAL NECK AND PROXIMAL FEMUR TION; WITHOUT MANIPULATION TION; WITH MANIPULATION, REQUIRING MORE THAN LOCAL ANESTHESIA WI TH INTERNAL FIXATION LOCATION (INCLUDES ILIUM, SACROILIAC JOINT AND/OR SACRUM) FIXATION, (INCLUDES PUBIC SYMPHYSIS AND/OR RAMI) L FIXATION (INCLUDES ILIUM, SACROILIAC JOINT AND/OR SACRUM) WITH OR WITHOUT SKELETAL TRACTION TERNAL FIXATION ,W ITH INTERNAL FIXATION MEN T, SINGLE COLUMN OR TRANSVERSE FRACTURE N, WITH OR WITHOUT SKELETAL TRACTION R PROSTHETIC REPLACEMENT RIC FEMORAL FRACTURE; WITHOUT MANIPULATION LT RACTION ORAL FRACTURE; WITH PLATE/SCREW TYPE IMPLANT, WITH OR WITHOUT CERCLAGE SC REWS AND/OR CERCLAGE
- 509. L OR EXTERNALFIXATION ORAL HEAD FRACTURE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION HES IA, WITHOUT MANIPULATION TIO N, REQUIRING ANESTHESIA (IN CLUDING TENOTOMY, ETC); (IN CLUDING TENOTOMY, ETC) WITH FEMORAL SHAFT SHORTENING OR GENERAL ANESTHESIA OR BONE ABSCESS) ROCEDURE) G, INFECTION) KNEE AREA OR FOREIGN BODIES L OR LATERAL AL AND LATERAL TEAL AREA FT (INCLUDES OBTAINING GRAFT) FIXATION (LIST IN ADDITION TO CODE FOR PRIMARY PROCEDURE) R, PROXIMAL TIBIA AND/OR FIBULA (EG, OSTEOMYELITIS OR BONE ABSCESS)
- 510. AL OR TENDONGRAFT TION, INCLUDING FASCIAL OR TENDON GRAFT LIGAMENTS USCLE ADVANCEMENT OR RELEASE (EG, CAMPBELL, GOLDWAITE TYPE PROCEDURE) D EXTRA-ARTICULAR ND PARTIAL SYNOVECTOMY WITH OR WITHOUT PATELLA RESURFACING T (EG, SOFIELD TYPE PROCEDURE) FOR E EPIPHYSEAL CLOSURE TER EPIPHYSEAL CLOSURE MENT TRANSFER (EG, COMPRESSION TECHNIQUE) HER AUTOGENOUS BONE GRAFT (INCLUDES OBTAINING GRAFT) US OR VALGUS) D ENTIRE TIBIAL COMPONENT E WITH OR WITHOUT INSERTION OF SPACER, KNEE
- 511. METHYLMETHACRYLATE, FEMUR XTENSOR ORADDUCTOR); E DEBRIDEMENT OF NONVIABLE MUSCLE AND/OR NERVE TH OR WITHOUT INTERCONDYLAR EXTENSION, WITHOUT MANIPULATION HOUT SKIN OR SKELETAL TRACTION SK IN OR SKELETAL TRACTION AN D/OR LOCKING SCREWS OUT CERCLAGE E, WITHOUT MANIPULATION ENS ION, OR DISTAL FEMORAL EPIPHYSEAL SEPARATION E, WITH MANIPULATION N INTERCONDYLAR EXTENSION, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION N, WITH OR WITHOUT SKIN OR SKELETAL TRACTION ERNAL OR EXTERNAL FIXATION OR COMPLETE PATELLECTOMY AND SOFT TISSUE REPAIR NIPULATION, WITH SKELETAL TRACTION WITHOUT INTERNAL OR EXTERNAL FIXATION THOUT INTERNAL FIXATION F KNEE, WITH OR WITHOUT MANIPULATION HE KNEE, WITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION CTI ON XATION; WITH PRIMARY LIGAMENTOUS REPAIR CTI ON TELLECTOMY F TRACTION OR OTHER FIXATION DEVICES) UDING FIRST CAST PARTMENT(S)
- 512. NDON LENGTHENING ITHOUT REMOVALOF LOOSE OR FOREIGN BODY D/OR ANKLE OGRAFT (INCLUDES OBTAINING GRAFT) STEOMYELITIS OR EXOSTOSIS); TIBIA , FOR OSTEOMYELITIS OR EXOSTOSIS); FIBULA T (INCLUDES OBTAINING GRAFT) HROUGH SEPARATE INCISION(S)) PROCEDURE) GH SAME INCISION), EACH TING); SUPERFICIAL (EG, ANTERIOR TIBIAL EXTENSORS INTO MIDFOOT) ,F LX HALLICUS LNG, OR PERONEAL TENDON TO MIDFT/HINDFT) OCE DURE) LIGAMENTS ROCEDURE) PE PROCEDURE)
- 513. S OBTAINING GRAFT) LTIBIA AND FIBULA AL TIBIA AND FIBULA; AND DISTAL FEMUR METHYLMETHACRYLATE, TIBIA E); WITHOUT MANIPULATION E); WITH MANIPULATION, WITH OR WITHOUT SKELETAL TRACTION ULAR FRACTURE) (EG, PINS OR SCREWS) WITH PLATE/SCREWS, WITH OR WITHOUT CERCLAGE CLA GE WITHOUT SKIN OR SKELETAL TRACTION XTERNAL FIXATION NAL OR EXTERNAL FIXATION ANIPULATION OUT INTERNAL OR EXTERNAL FIXATION MANIPULATION EXTERNAL FIXATION OF POSTERIOR LIP PO STERIOR LIP HOU T MANIPULATION HS KELETAL TRACTION AND/OR REQUIRING MANIPULATION FI XATION; OF FIBULA ONLY FI XATION; OF TIBIA ONLY FI XATION; OF BOTH TIBIA AND FIBULA WITHOUT INTERNAL OR EXTERNAL FIXATION NTERNAL OR EXTERNAL FIXATION, OR WITH EXCISION OF PROXIMAL FIBULA UT PERCUTANEOUS SKELETAL FIXATION L FIXATION; WITHOUT REPAIR OR INTERNAL FIXATION L FIXATION; WITH REPAIR OR INTERNAL OR EXTERNAL FIXATION CTION OR OTHER FIXATION APPARATUS) CLUDING APPLICATION OF FIRST CAST
- 514. PE PROCEDURES), WITHPLASTIC CLOSURE AND RESECTION OF NERVES , WITH DEBRIDEMENT OF NONVIABLE MUSCLE AND/OR NERVE EMENT OF NONVIABLE MUSCLE AND/OR NERVE PARTMENT(S), WITH DEBRIDEMENT OF NONVIABLE MUSCLE AND/OR NERVE ENT, FOOT; SINGLE BURSAL SPACE NDON SHEATH INVOLVEMENT; MULTIPLE AREAS N BODY; INTERTARSAL OR TARSOMETATARSAL JOINT Y; METATARSOPHALANGEAL JOINT Y; INTERPHALANGEAL JOINT Y) (EG, CYST OR GANGLION); FOOT Y) (EG, CYST OR GANGLION); TOE(S), EACH TH ILIAC OR OTHER AUTOGRAFT (INCLUDES OBTAINING GRAFT) TH ALLOGRAFT EXCEPT TALUS OR CALCANEUS; EXCEPT TALUS OR CALCANEUS; WITH ILIAC OR OTHER AUTOGRAFT EXCEPT TALUS OR CALCANEUS; WITH ALLOGRAFT ) CTOMY) BONE (EG, OSTEOMYELITIS OR BOSSING); TALUS OR CALCANEUS E, EXCEPT TALUS OR CALCANEUS CTOMY) BONE (EG, OSTEOMYELITIS OR BOSSING); PHALANX OF TOE
- 515. HALANX, EACH EACHTENDON (INCLUDES OBTAINING GRAFT) FT, EACH TENDON (INCLUDES OBTAINING GRAFT) PROCEDURE) NAVICULAR BONE Y AND TENDON(S) LENGTHENING (EG, RESISTANT CLUBFOOT DEFORMITY) H JOINT (SEPARATE PROCEDURE) ROCEDURE) ETATARSAL HEAD ASE OF THE FIRST METATARSOPHALANGEAL JOINT EXOSTECTOMY (EG, SILVER TYPE PROCEDURE) MCBRIDE OR MAYO TYPE PROCEDURE ON OF JOINT WITH IMPLANT NDON TRANSPLANTS (EG, JOPLIN TYPE PROCEDURE) RES ) TYPE PROCEDURE ANX OSTEOTOMY OUT INTERNAL FIXATION CLUDES OBTAINING GRAFT) (EG, FOWLER TYPE) N, METATARSAL; FIRST METATARSAL N, METATARSAL; FIRST METATARSAL WITH AUTOGRAFT (OTHER THAN FIRST TOE) N, METATARSAL; OTHER THAN FIRST METATARSAL, EACH N, METATARSAL; MULTIPLE (EG, SWANSON TYPE CAVUS FOOT PROCEDURE)
- 516. X, FIRST TOE(SEPARATE PROCEDURE) NGES, ANY TOE OVERLAPPING SECOND TOE, FIFTH TOE, CURLY TOES) LUDES OBTAINING GRAFT) L FIXATION; SO BTAINING GRAFT) ANIPULATION, EACH ULATION, EACH ALCANEUS), WITH MANIPULATION, EACH OR WITHOUT INTERNAL OR EXTERNAL FIXATION, EACH NAL FIXATION, EACH NIPULATION S, WITH MANIPULATION UT INTERNAL OR EXTERNAL FIXATION WITHOUT MANIPULATION, EACH WITH MANIPULATION, EACH ITH OR WITHOUT INTERNAL OR EXTERNAL FIXATION, EACH UT ANESTHESIA ING ANESTHESIA TARSAL, WITH MANIPULATION ERNAL FIXATION R EXTERNAL FIXATION MANIPULATION NAL OR EXTERNAL FIXATION WITH MANIPULATION
- 517. NTERNAL OR EXTERNALFIXATION ANIPULATION NAL OR EXTERNAL FIXATION TEOTOMY (EG, FLATFOOT CORRECTION) AVICULAR-CUNEIFORM ECK, GREAT TOE, INTERPHALANGEAL JOINT (EG, JONES TYPE PROCEDURE)
- 518. L BIOPSY (SEPARATEPROCEDURE) TE PROCEDURE) ICULAR SURFACE (MUMFORD PROCEDURE) H OR WITHOUT MANIPULATION PARTIAL ACROMIOPLASTY, WITH OR WITHOUT CORACOACROMIAL RELEASE ROCEDURE) ROCEDURE) TILAGE AND/OR JOINT DEBRIDEMENT ERN AL OR EXTERNAL FIXATION (INCLUDES ARTHROSCOPY)
- 519. AL OR EXTERNAL FIXATION (INCLUDES ARTHROSCOPY) RTH ROSCOPY) THR OSCOPY) (CHONDROPLASTY), ABRASION ARTHROPLASTY, AND/OR RESECTION OF LABRUM , OSTEOCHONDRITIS DISSECANS FRAGMENTATION, CHONDRAL FRAGMENTATION) ON) (SEPARATE PROCEDURE) TS (EG, MEDIAL OR LATERAL) ONDROPLASTY) TY WHERE NECESSARY) OR MULTIPLE DRILLING OR MICROFRACTURE NG ANY MENISCAL SHAVING) G ANY MENISCAL SHAVING) LATION (SEPARATE PROCEDURE) TO F BASE OF LESION) LESION WITH INTERNAL FIXATION RECONSTRUCTION RECONSTRUCTION D/OR TIBIA, INCLUDING DRILLING OF THE DEFECT NAL FIXATION (INCLUDES ARTHROSCOPY) AL OF LOOSE BODY OR FOREIGN BODY MY, PARTIAL T, EXTENSIVE ARTHRODESIS ACED ULNAR COLLATERAL LIGAMENT (EG, STENAR LESION)
- 520. RAL AND ALARCARTILAGES, AND/OR ELEVATION OF NASAL TIP ALATE, INCLUDING COLUMELLAR LENGTHENING; TIP ONLY ALATE, INCLUDING COLUMELLAR LENGTHENING; TIP, SEPTUM, OSTEOTOMIES LL RECONSTRUCTION) NTOURING OR REPLACEMENT WITH GRAFT METHOD,; SUPERFICIAL METHOD; INTRAMURAL ANY METHOD CKING) ANY METHOD UTERY, ANY METHOD; INITIAL UTERY, ANY METHOD; SUBSEQUENT OF ANTROCHOANAL POLYPS NTROCHOANAL POLYPS OVAL OF POLYP(S) NCLUDES ABLATION) ON (INCLUDES ABLATION) , ETHMOID, SPHENOID)
- 521. EATUS OR CANINEFOSSA PUNCTURE) OF SPHENOIDAL FACE OR CANNULATION OF OSTIUM) EPARATE PROCEDURE) F TISSUE FROM MAXILLARY SINUS HOUT REMOVAL OF TISSUE FROM FRONTAL SINUS E FROM THE SPHENOID SINUS HMOID REGION HENOID REGION AL WALL DECOMPRESSION GOCELE, CORDECTOMY TING MICROSCOPE MICROSCOPE
- 522. VOCAL CORDS OREPIGLOTTIS; VOCAL CORDS OR EPIGLOTTIS; WITH OPERATING MICROSCOPE ERATING MICROSCOPE RACHEOTOMY R PARTIAL LARYNGECTOMY) ) SEPARATE PROCEDURE) PIC GUIDANCE OD OTHER THAN EXCISION NT APPLICATION THOUT CATHETERIZATION ST MATERIAL
- 523. E, BEDSIDE INDWELLING TUBEFOR OXYGEN THERAPY EUMOTHORAX) (SEPARATE PROCEDURE) X, EMPYEMA) (SEPARATE PROCEDURE) F LUNG TEAR LEURAL PROCEDURE EA FOLLOWED BY BRONCHO-TRACHEAL ANASTOMOSIS (SLEEVE PNEUMONECTOMY)
- 524. S( SLEEVE LOBECTOMY) WING PREVIOUS REMOVAL OF A PORTION OF LUNG (COMPLETION PNEUMONECTOMY) LIT /TRANSTHORACIC APPRCH, W/OR W/O PLEURAL PROC. OR MULTIPLE OC ODE FOR PRIMARY PROCEDURE) THOUT BIOPSY APLEURAL PNEUMONOLYSIS URAL PROCEDURE ECTION OF PERICARDIAL SAC FOR DRAINAGE YPE PROCEDURE) LMONARY BYPASS NARY BYPASS RONCHOPLEURAL FISTULA
- 525. TO CODE FOR PRIMARY PROCEDURE) ODE(S); ATRIAL ODE(S); VENTRICULAR ODE(S); ATRIAL AND VENTRICULAR C ELECTRODE OR PACEMAKER CATHETER (SEPARATE PROCEDURE) LECTRODES (SEPARATE PROCEDURE) ER, ATRIAL OR VENTRICULAR LEA D, INSERT NEW LEAD, INSERT NEW PULSE GENERATOR) RDIOVERTER-DEFIBRILLATOR (RIGHT ATRIAL OR RIGHT VENTRICULAR) ELECTRODE ANENT PACEMAKER OR SINGLE CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR ANENT PACEMAKER OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR CEMAKER OR SINGLE CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR AKER OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR IS, POCKET, REM, INSRT &/ REPLCMNT, GEN) PA CEMAKER PULSE GENERATOR NER ATOR) OR VENTRICULAR Y; SINGLE LEAD SYSTEM, ATRIAL OR VENTRICULAR Y; DUAL LEAD SYSTEM E GENERATOR RILLATOR PULSE GENERATOR RODE(S); BY THORACOTOMY RODE(S); BY TRANSVENOUS EXTRACTION LATOR ELECTRODES BY THORACOTOMY LATOR ELECTRODES BY THORACOTOMY; WITH INSERTION OF PULSE GENERATOR PACING CARDIOVERTER-DEFIBRILLATOR AND INSERTION OF PULSE GENERATOR TRACT(S) AND/OR FOCUS; WITHOUT CARDIOPULMONARY BYPASS TRACT(S) AND/OR FOCUS (FOCI); WITH CARDIOPULMONARY BYPASS RILLATION OR ATRIAL FLUTTER (EG, MAZE PROCEDURE) NARY BYPASS MONARY BYPASS
- 526. ARY BYPASS MONARYBYPASS LVE OTHER THAN HOMOGRAFT OR STENTLESS VALVE NT (KONNO PROCEDURE) E WITH ALLOGRAFT REPLACEMENT OF PULMONARY VALVE T OF THE OUTFLOW TRACT OSIS (EG, ASYMMETRIC SEPTAL HYPERTROPHY) UCTION, WITH OR WITHOUT RING MISSUROTOMY NFUNDIBULAR RESECTION RY BYPASS (SEPARATE PROCEDURE) CARDIOPULMONARY BYPASS OUT CARDIOPULMONARY BYPASS Y ARTERY TUNNEL (TAKEUCHI PROCEDURE) TERY TO AORTA PRI MARY PROCEDURE)
- 527. VEIN GRAFT (LISTSEPARATELY IN ADDITION TO CODE FOR ARTERIAL GRAFT) NOUS GRAFTS (LIST SEPARATELY IN ADDITION TO CODE FOR ARTERIAL GRAFT) T) ) ) LG RAFT) COD E FOR PRIMARY PROCEDURE) TERIAL GRAFTS DIAL RESECTION ASS GRAFT PROCEDURE, EACH VESSEL (LIST SEPARATELY) GHT OR LEFT VENTRICLE TO PULMONARY ARTERY R SEPTAL DEFECT ; WITH REPAIR OF RIGHT VENTRICULAR OUTFLOW TRACT OBSTRUCTION RY ARTERY (SIMPLE FONTAN PROCEDURE) N PROCEDURE HYPOPLASIA (HYPOPLASTIC LEFT HEART SYNDROME) (EG, NORWOOD PROCEDURE) R WITHOUT PATCH RY VENOUS DRAINAGE PATCH CLOSURE L SEPTAL DEFECT), WITH OR WITHOUT ATRIOVENTRICULAR VALVE REPAIR OUT ATRIOVENTRICULAR VALVE REPAIR Y VALVOTOMY OR INFUNDIBULAR RESECTION (ACYANOTIC) OF PULMONARY ARTERY BAND, WITH OR WITHOUT GUSSET ANNULAR PATCH RE OF VENTRICULAR SEPTAL DEFECT; F VENTRICULAR SEPTAL DEFECT R INFRACARDIAC TYPES) ATRIAL MEMBRANE CAL GLENN PROCEDURE) RECTIONAL GLENN PROCEDURE)
- 528. ULA R SEPTAL DEFECT RS EPTAL DEFECT MUSTARD OR SENNING TYPE) WITH CARDIOPULMONARY BYPASS; OF PULMONARY BAND OF VENTRICULAR SEPTAL DEFECT FS UBPULMONIC OBSTRUCTION ONSTRUCTION (EG, JATENE TYPE) ONSTRUCTION (EG, JATENE TYPE); WITH REMOVAL OF PULMONARY BAND ECT ONSTRUCTION (EG, JATENE TYPE); WITH REPAIR OF SUBPULMONIC OBSTRUCTION MALACIA) (SEPARATE PROCEDURE) ARTERIOSUS; WITH DIRECT ANASTOMOSIS ARTERIOSUS; WITH GRAFT MA TERIAL AS GUSSET FOR ENLARGEMENT THETIC MATERIAL; WITHOUT CARDIOPULMONARY BYPASS THETIC MATERIAL; WITH CARDIOPULMONARY BYPASS SUSPENSION; SUSPENSION; WITH CORONARY RECONSTRUCTION ND CORONARY RECONSTRUCTION RDIOPULMONARY BYPASS ONARY BYPASS ON OF PULMONARY ARTERIES; WITHOUT CARDIOPULMONARY BYPASS ON OF PULMONARY ARTERIES; WITH CARDIOPULMONARY BYPASS AR TERY DDI TION TO CODE FOR PRIMARY PROCEDURE) INITIAL 24 HOURS RY PROCEDURE) OPEN APPROACH RTERY, WITH OR WITHOUT GRAFT LUDING REPAIR OF THE ASCENDING AORTA, WITH OR WITHOUT GRAFT
- 529. AN OR INNOMINATEARTERY, BY NECK INCISION AVIAN ARTERY, BY THORACIC INCISION L, INNOMINATE, SUBCLAVIAN ARTERY, BY ARM INCISION RTERY, BY ARM INCISION ENTERY, AORTOILIAC ARTERY, BY ABDOMINAL INCISION AORTOILIAC ARTERY, BY LEG INCISION RONEAL ARTERY, BY LEG INCISION N, BY LEG INCISION N, BY ABDOMINAL AND LEG INCISION ; USING AORTO-AORTIC TUBE PROSTHESIS ; USING MODULAR BIFURCATED PROSTHESIS (ONE DOCKING LIMB) ; USING UNIBODY BIFURCATED PROSTHESIS ADDITION TO CODE FOR PRIMARY PROCEDURE) GROIN INCISION, UNILATERAL DUR E) EAL INCISION, UNILATERAL OR DISSECTION; INITIAL VESSEL DIT ION VESSEL (LIST SEPARATELY ADDITION CD, 1 PROCEDU TU BE PROSTHESIS AO RTO-BI-ILIAC PROSTHESIS AO RTO-BIFEMORAL PROSTHESIS LI NCISION, UNILATERAL RTIC OR ILIAC ENDOVASCULAR PROSTHESIS BY ARM INCISION, UNILATERAL EUDOANEURYSM, ARTERIOVENOUS MALFORMATION, TRAUMA) DIS EASE, CAROTID, SUBCLAVIAN ARTERY, BY NECK INCISION VIA N ARTERY, BY NECK INCISION CIA TED OCCLUSIVE DISEASE, VERTEBRAL ARTERY DIS EASE, AXILLARY-BRACHIAL ARTERY, BY ARM INCISION AL ARTERY, BY ARM INCISION ASE , INNOMINATE, SUBCLAVIAN ARTERY, THORACIC INCISION CLA VIAN ARTERY, BY THORACIC INCISION CIA TED OCCLUSIVE DISEASE, RADIAL OR ULNAR ARTERY CIA TED OCCLUSIVE DISEASE, ABDOMINAL AORTA WITH OR WITHOUT PATCH GRAFT; FOR RUPTURED ANEURYSM, ABDOMINAL AORTA DIS EASE, ABDOMINAL AORTA INVOLVING VISCERAL VESSELS IN VOLVING VISCERAL VESSELS LUS IVE DISEASE, ABDOMINAL AORTA INVOLVING ILIAC VESSELS
- 530. IN VOLVING ILIAC VESSELS CIA TED OCCLUSIVE DISEASE, SPLENIC ARTERY WITH OR WITHOUT PATCH GRAFT; FOR RUPTURED ANEURYSM, SPLENIC ARTERY ISE ASE, HEPATIC, CELIAC, RENAL/MESENTERIC ARTERY ,R ENAL, OR MESENTERIC ARTERY CIA TED OCCLUSIVE DISEASE, ILIAC ARTERY WITH OR WITHOUT PATCH GRAFT; FOR RUPTURED ANEURYSM, ILIAC ARTERY CIA TED OCCLUSIVE DISEASE, COMMON FEMORAL ARTERY ART ERY CIA TED OCCLUSIVE DISEASE, POPLITEAL ARTERY Y CIA TED OCCLUSIVE DISEASE, OTHER ARTERIES WITH OR WITHOUT PATCH GRAFT; FOR RUPTURED ANEURYSM, OTHER ARTERIES SUBCLAVIAN, BY NECK INCISION TE, BY THORACIC INCISION ITEAL, AND/OR TIBIOPERONEAL EDU RE) ON (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
- 531. , EACH VESSEL ANCHES,EACH VESSEL BRANCHES, EACH VESSEL CHES, EACH VESSEL K OR BRANCHES, EACH VESSEL ND BRANCHES PRI MARY PROCEDURE) RTERY OR OTHER DISTAL VESSELS
- 532. SE PARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) SS PROCEDURE NASTOMOSIS) OR PERONEAL ARTERY ODE FOR PRIMARY PROCEDURE) IONS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) PRO CEDURE) DUR E) ARY PROCEDURE) EM ONTH AFTER ORIGINAL OPERATION (LIST SEPARATELY) RY; CAROTID ARTERY RY; FEMORAL ARTERY RY; POPLITEAL ARTERY RY; OTHER VESSELS OR FISTULA) OUS GRAFT H VEIN PATCH ANGIOPLASTY
- 533. H SEGMENTAL VEININTERPOSITION TY PSEUDOANEURYSM VEIN, JUGULAR VEIN) IVE, BRANCH (EG, LEFT ADRENAL VEIN, PETROSAL SINUS) DIALYSIS (CANNULA, FISTULA, OR GRAFT) R BRACHIOCEPHALIC BRANCH, WITHIN A VASCULAR FAMILY C OR BRACHIOCEPHALIC BRANCH, WITHIN A VASCULAR FAMILY LY LIS T IN ADD TO CODE FOR INIT 2ND/3RD ORDER VESS AS APP) PELVIC, OR LOWER EXTREMITY ARTERY BRANCH, WITHIN A VASCULAR FAMILY LY NA VASCULAR FAMILY ST IN ADD TO CODE FOR INIT 2ND/3RD ORDER VESS AS APP) TT O BE USED FOR ROUTINE VENIPUNCTURE. CTASIA); LIMB OR TRUNK CTASIA); FACE CH EMOTHERAPY); PERCUTANEOUS, AGE 2 YEARS OR UNDER CH EMOTHERAPY); PERCUTANEOUS, OVER AGE 2
- 534. CH EMOTHERAPY); CUTDOWN, AGE 2 YEARS OR UNDER CH EMOTHERAPY); CUTDOWN, OVER AGE 2 COPIC GUIDANCE IVE FILTRATION AND PLASMA REINFUSION US RESERVOIR FROM CENTRAL VENOUS DEVICE VIA SEPARATE VENOUS ACCESS OM CENTRAL VENOUS DEVICE THROUGH DEVICE LUMEN USION (SEPARATE PROCEDURE); PERCUTANEOUS USION (SEPARATE PROCEDURE); CUTDOWN VEIN TO VEIN ARTERIOVENOUS, EXTERNAL (SCRIBNER TYPE) ARTERIOVENOUS, EXTERNAL REVISION, OR CLOSURE DIOPULMONARY INSUFFICIENCY (ECMO) (SEPARATE PROCEDURE) W REM, CANNULA(S)&REPAIR, ARTERIOTOMY&VENOTOMY SITES TOMOSIS (SEPARATE PROCEDURE); AUTOGENOUS GRAFT AGE N, THERMOPLASTIC GRAFT) R NONAUTOGENOUS DIALYSIS GRAFT (SEPARATE PROCEDURE) R NONAUTOGENOUS DIALYSIS GRAFT (SEPARATE PROCEDURE) ONAUTOGENOUS DIALYSIS GRAFT (SEPARATE PROCEDURE) HRO MBOLYSIS) ESOPHAGOGASTRIC VARICES, ANY TECHNIQUE) ION /DILATATION, STNT PLCMNT&ALL ASSOC IMAG GDNCE&DOCENT
- 535. SPASMOLYTIC, VASOCONSTRICTIVE) FRACTURED VENOUSOR ARTERIAL CATHETER) NY METHOD, NON-CENTRAL NERVOUS SYSTEM, NON-HEAD OR NECK L), PERCUTANEOUS; INITIAL VESSEL TO CODE FOR PRIMARY PROCEDURE) L), OPEN; INITIAL VESSEL FOR PRIMARY PROCEDURE) AD DITION TO CODE FOR PRIMARY PROCEDURE) ENTION; EACH ADDITIONAL VESSEL H SELVERSTONE OR CRUTCHFIELD CLAMP PLICATION, CLIP, EXTRAVASCULAR, INTRAVASCULAR (UMBRELLA DEVICE) DISTAL INTERRUPTIONS CO MMUNICATING VEINS LOWER LEG, WITH EXCIS DEEP FASCIA UT SKIN GRAFT, OPEN SEPARATE PROCEDURE) (CLUSTERS), ONE LEG R PROCEDURE (LIST IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ELL ACQUISITION ON, PER COLLECTION; ALLOGENIC ON, PER COLLECTION; AUTOLOGOUS ON AND STORAGE IOUSLY FROZEN HARVEST
- 536. PLETION WITHIN HARVEST,T-CELL DEPLETION DEPLETION TION IN PLASMA, MONONUCLEAR, OR BUFFY COAT LAYER ENEIC DONOR LYMPHOCYTE INFUSIONS NAL, AXILLARY) SCALENE FAT PAD AR DISSECTION L (AORTIC AND/OR SPLENIC) NGLE OR MULTIPLE I-AORTIC LYMPH NODE SAMPLING (BIOPSY), SINGLE OR MULTIPLE L NODES (LIST IN ADDITION TO CODE FOR PRIMARY PROCEDURE) SEP ARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ARATE PROCEDURE) DES (SEPARATE PROCEDURE) OR NODES (SEPARATE PROCEDURE) VIC, AORTIC, AND RENAL NODES (SEPARATE PROCEDURE) PSY; CERVICAL APPROACH ST ERNOTOMY
- 537. OPLASTY, VAGOTOMY, AND/ORPYLOROPLASTY, EXCEPT NEONATAL AND WITH OR WITHOUT CREATION OF VENTRAL HERNIA AL, WITH DILATION OF STRICTURE (WITH OR WITHOUT GASTROPLASTY) , PARALYTIC OR NONPARALYTIC SCLE FLAP) ECT AND RECLOSURE ESTLANDER TYPE), INCLUDING SECTIONING AND INSERTING OF PEDICLE TH EXCISION OF UNDERLYING MUSCLE , LASER, THERMAL, CRYO, CHEMICAL) FLOOR OF MOUTH; LINGUAL
- 538. FLOOR OF MOUTH;SUBLINGUAL, SUPERFICIAL FLOOR OF MOUTH; SUBLINGUAL, DEEP, SUPRAMYLOHYOID FLOOR OF MOUTH; SUBMENTAL SPACE FLOOR OF MOUTH; SUBMANDIBULAR SPACE FLOOR OF MOUTH; MASTICATOR SPACE OUTH; SUBLINGUAL OUTH; SUBMENTAL OUTH; SUBMANDIBULAR OUTH; MASTICATOR SPACE DICAL NECK DISSECTION ERAL RADICAL NECK DISSECTION IBULAR RESECTION, WITHOUT RADICAL NECK DISSECTION RAHYOID NECK DISSECTION LAR RESECTION, AND RADICAL NECK DISSECTION (COMMANDO TYPE) DS OF TONGUE S; WITHOUT REPAIR S; WITH SIMPLE REPAIR S; WITH COMPLEX REPAIR
- 539. AFT TO ALVEOLARRIDGE (INCLUDES OBTAINING GRAFT) LICATED, INTRAORAL D PRESERVATION OF FACIAL NERVE RVATION OF FACIAL NERVE RIFICE OF FACIAL NERVE ECK DISSECTION E SUBMANDIBULAR GLAND TH SUBMANDIBULAR GLANDS TH SUBMANDIBULAR (WHARTON'S) DUCTS
- 540. AL APPROACH AL APPROACH ANEOUSTISSUES AND/OR INTO PHARYNX ITHOUT CLOSURE LOSURE WITH LOCAL FLAP (EG, TONGUE, BUCCAL) LOSURE WITH OTHER FLAP ADVANCEMENT OF LATERAL AND POSTERIOR PHARYNGEAL WALLS ECTOMY); SIMPLE ECTOMY); COMPLICATED, REQUIRING HOSPITALIZATION ECTOMY); WITH SECONDARY SURGICAL INTERVENTION POSTERIOR NASAL PACKS, WITH OR WITHOUT ANTERIOR PACKS AND/OR CAUTERY D, REQUIRING HOSPITALIZATION DARY SURGICAL INTERVENTION OF FOREIGN BODY (TR ANSHIATAL) ATI ON, PREPARATION AND ANASTOMOSIS(ES) ROSTOMY OR CERVICAL ESOPHAGOGASTROSTOMY, WITH OR WITHOUT PYLOROPLASTY ON, PREPARATION, AND ANASTOMOSIS(ES) TIO N AST ROSTOMY, W W/O PYLOROPLASTY (IVOR LEWIS)
- 541. N, INCL INTSTINE MOBILIZATION, PREP,&ANASTOMOSIS(ES) OR WITHOUT PYLOROPLASTY PYL OROPLASTY ING INTESTINE MOBILIZATION, PREPARATION,&ANASTOMOSIS(ES) TH CERVICAL ESOPHAGOSTOMY ERVICAL APPROACH HORACIC APPROACH SPECIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE) SUBSTANCE R LESION(S) BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY R LESION(S) BY SNARE TECHNIQUE ILATION OVER GUIDE WIRE SMA COAGULATOR) AR CAUTERY OR SNARE TECHNIQUE NTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S) TER FLEXIBLE ENDOSCOPE) (SEPARATE PROCEDURE) ION OF SPECIMEN(S) BY BRUSHING/WASHING (SEP PROCEDURE) INJ ECTION(S), ANY SUBSTANCE LTI PLE OF PSEUDOCYST ALU MINAL TUBE OR CATHETER PLACEMENT INT RAMURAL/TRANSMURAL FINE NEEDLE ASPIRATION/BIOPS OF ESOPHAGEAL AND/OR GASTRIC VARICES PHA GEAL AND/OR GASTRIC VARICES OUT LET FOR OBSTRUCTION (EG, BALLOON, GUIDE WIRE, BOUGIE) FP ERCUTANEOUS GASTROSTOMY TUBE ODY IRE FOLLOWED BY DILATION OF ESOPHAGUS OVER GUIDE WIRE ESO PHAGUS (LESS THAN 30 MM DIAMETER) PO LYP(S), OR OTH LESION(S) HOT BIOPSY FORCEPS CAUTERY PO LYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE AN Y METHOD TP LACEMENT (INCLUDES PREDILATION) OLY P,OR OTH LESION(S) NOT AMENABLE TO TECHNIQUE DE XAM ROC EDURE) CTS RETROGRADE DESTRUCTION, LITHOTRIPSY OF CALCULUS/CALCULI, ANY METHOD IC DRAINAGE TUBE NCREATIC DUCT F TUBE OR STENT R PANCREATIC DUCT(S)
- 542. REMOVAL BY HOTBIOPSY FORCEPS, BIPOLAR CAUTERY OR SNARE TECHNIQUE HOUT REPAIR OF TRACHEOESOPHAGEAL FISTULA H REPAIR OF TRACHEOESOPHAGEAL FISTULA HOUT REPAIR OF TRACHEOESOPHAGEAL FISTULA H REPAIR OF TRACHEOESOPHAGEAL FISTULA TUL A A OPLASTY, TRANSABDOMINAL OR TRANSTHORACIC APPROACH MAC H,W W/O PYLOROPLASTY ONS , INCL INTSTINE MOBILIZATION, PREP,&ANASTOMOSIS(ES) EAL PERFORATION (EG, MALLORY-WEISS) NAL TUBE (EG, CELESTIN OR MOUSSEAUX-BARBIN)
- 543. IN ADDITION TOCODE(S) FOR PRIMARY PROCEDURE) SOPHAGOGASTROSTOMY, WITH VAGOTOMY; SOPHAGOGASTROSTOMY, WITH VAGOTOMY; WITH PYLOROPLASTY OR PYLOROMYOTOMY SELECTIVE LL (HIGHLY SELECTIVE) (EG, STAMM PROCEDURE) (SEPARATE PROCEDURE) M FOR ENTERIC NUTRITION DURE) (SEPARATE PROCEDURE) NATAL, FOR FEEDING VERTICAL-BANDED GASTROPLASTY OTHER THAN VERTICAL-BANDED GASTROPLASTY SHORT LIMB (LESS THAN 100 CM) ROUX-EN-Y GASTROENTEROSTOMY SMALL INTESTINE RECONSTRUCTION TO LIMIT ABSORPTION STRUCTION; WITHOUT VAGOTOMY STRUCTION; WITH VAGOTOMY OUT VAGOTOMY VA GOTOMY IVE, ANY METHOD (LIST SEPARATELY IN ADDITION TO PRIMARY PROCEDURE) S), OR FOREIGN BODY REMOVAL AKER TUBE) MIDGUT VOLVULUS (EG, LADD PROCEDURE) ASTOMOSIS, EXTERIORIZATION, OR FISTULIZATION; SINGLE ENTEROTOMY ASTOMOSIS, EXTERIORIZATION, OR FISTULIZATION; MULTIPLE ENTEROTOMIES ) PER ING ING TOM OSIS (LIST SEPARATELY ADDITION CODE, 1 PROCEDURE) NTEROSTOMY (SEPARATE PROCEDURE) ROM CADAVER DONOR
- 544. ARTIAL, FROM LIVINGDONOR ARTIAL COLECTOMY (LIST SEPARATELY IN ADDITION TO PRIMARY PROCEDURE) MANN TYPE PROCEDURE) ON OF MUCOFISTULA ROCTOSTOMY MY, ILEOANAL ANASTOMOSIS, WITH OR WITHOUT LOOP ILEOSTOMY WIT HOUT LOOP ILEOSTOMY E PROCEDURE) SECTION AND ANASTOMOSIS MOSIS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ITH ILEOCOLOSTOMY OF DISTAL SEGMENT (HARTMANN TYPE PROCEDURE) TOSTOMY (LOW PELVIC ANASTOMOSIS) TOSTOMY (LOW PELVIC ANASTOMOSIS) WITH COLOSTOMY TOSTOMY (LOW PELVIC ANASTOMOSIS) WITH COLOSTOMY PI LEOSTOMY, WITH OR WITHOUT RECTAL MUCOSECTOMY ILEOSTOMY TE PROCEDURE) AL MEGACOLON) (SEPARATE PROCEDURE) MEN (S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE) UM, NOT INCLUDING ILEUM; WITH BIOPSY, SINGLE OR MULTIPLE UM, NOT INCLUDING ILEUM; WITH REMOVAL OF FOREIGN BODY SIO N(S) BY SNARE TECHNIQUE SIO N(S) BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY AUT ERY, LASER, HEATER PROBE, STAPLER, PLASMA COAGULATOR) ION (S) NOT AMENABLE TO BIOPSY FORCEPS, CAUTERY OR SNARE PRE DILATION) UM, NOT INCLUDING ILEUM; WITH PLACEMENT OF PERCUTANEOUS JEJUNOSTOMY TUBE ET OPERCUTANEOUS JEJUNOSTOMY TUBE
- 545. S) BYBRUSHING OR WASHING (SEPARATE PROCEDURE) UM, INCLUDING ILEUM; WITH BIOPSY, SINGLE OR MULTIPLE UTE RY, LASER, HEATER PROBE, STAPLER, PLASMA COAGULATOR) ILA TION) EN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE) PREDILATION) HIN G(SEPARATE PROCEDURE) BIOPSY, SINGLE OR MULTIPLE CIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE) GUL ATOR) SION(S) BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY RY ORSNARE TECHNIQUE SION(S) BY SNARE TECHNIQUE ES PREDILATION) UM, WOUND, INJURY OR RUPTURE; SINGLE PERFORATION UM, WOUND, INJURY OR RUPTURE; MULTIPLE PERFORATIONS CO LOSTOMY LOS TOMY T DILATION, FOR INTESTINAL OBSTRUCTION OMOSIS OTHER THAN COLORECTAL ECTAL ANASTOMOSIS (EG, CLOSURE OF HARTMANN TYPE PROCEDURE) IVE TISSUE (EG, BLADDER OR OMENTUM) RY PROCEDURE) FO R PRIMARY PROCEDURE)
- 546. O-ANAL ANASTOMOSIS) TION OFILEAL RESERVOIR (S OR J), WITH OR WITHOUT LOOP ILEOSTOMY TH ORWITHOUT PROXIMAL DIVERTING OSTOMY HAM EL, OR SOAVE TYPE OPERATION) APPROACH; WITH SUBTOTAL OR TOTAL COLECTOMY, WITH MULTIPLE BIOPSIES ICE CTOMY, WWO REM OF TUBE(S), OVARY(S)/ANY COMB THEREOF R ABLATION, LASER RESECTION, CRYOSURGERY) TRANSANAL APPROACH MEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE) ESION BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY ESION BY SNARE TECHNIQUE HER LESIONS BY HOT BIOPSY FORCEPS, BIPOLAR CAUTERY OR SNARE TECHNIQUE AGU LATOR) ERY OR SNARE TECHNIQUE (EG, LASER) S PREDILATION) S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE) S) BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY LAT OR) S) BY SNARE TECHNIQUE OR SNARE TECHNIQUE AL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S) UTC OLON DECOMPRESSION (SEPARATE PROCEDURE) AL INJECTION(S), ANY SUBSTANCE ROB E, STAPLER, PLASMA COAGULATOR) SY FORCEPS, BIPOLAR CAUTERY OR SNARE TECHNIQUE TER Y ), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE 1 OR MORE STRICTURES TENT PLACEMENT (INCLUDES PREDILATION)
- 547. TRANSANAL, UNDER ANESTHESIA MYOR FISTULOTOMY, SUBMUSCULAR, WITH OR WITHOUT PLACEMENT OF SETON R WITHOUT FISSURECTOMY ECTOMY, WITH OR WITHOUT FISSURECTOMY ULTIPLE, WITH OR WITHOUT PLACEMENT OF SETON OR WASHING (SEPARATE PROCEDURE) Y FORCEPS OR BIPOLAR CAUTERY
- 548. BIOPSY FORCEPS, BIPOLARCAUTERY OR SNARE TECHNIQUE CAUTERY, LASER, HEATER PROBE, STAPLER, PLASMA COAGULATOR) IQU E STIBULAR FISTULA ND SACROPERINEAL APPROACHES A; PERINEAL OR SACROPERINEAL APPROACH A; COMBINED TRANSABDOMINAL AND SACROPERINEAL APPROACHES ROPERINEAL APPROACH MBINED ABDOMINAL AND SACROPERINEAL APPROACH IN TESTINAL GRAFT OR PEDICLE FLAPS (PARK POSTERIOR ANAL REPAIR) OSUM, HERPETIC VESICLE), SIMPLE; CHEMICAL OSUM, HERPETIC VESICLE), SIMPLE; ELECTRODESICCATION OSUM, HERPETIC VESICLE), SIMPLE; CRYOSURGERY OSUM, HERPETIC VESICLE), SIMPLE; LASER SURGERY OSUM, HERPETIC VESICLE), SIMPLE; SURGICAL EXCISION Y, CRYOSURGERY, CHEMOSURGERY) SEPARATE PROCEDURE); INITIA SEPARATE PROCEDURE); SUBSEQUENT EDU RE) C OR ECHINOCOCCAL) CYST(S) OR ABSCESS(ES) ADAVER DONOR , FROM LIVING DONOR VING DONOR, ANY AGE IVING DONOR, ANY AGE
- 549. WITH OR WITHOUTHEPATIC ARTERY LIGATION R OVAL OF PACKING INC TEROTOMY OR SPHINCTEROPLASTY TER OTOMY OR SPHINCTEROPLASTY DUODENAL EXTRACTION OF CALCULUS (SEPARATE PROCEDURE) AL OF CALCULUS (SEPARATE PROCEDURE) PERCUTANEOUS TRANSHEPATIC OR T-TUBE) L BILIARY DRAINAGE TION TO CODE FOR PRIMARY PROCEDURE) PAR ATE PROCEDURE) LE OR MULTIPLE CALCULUS/CALCULI BILIARY DUCT STRICTURE(S) WITHOUT STENT BILIARY DUCT STRICTURE(S) WITH STENT HINCTEROTOMY OR SPHINCTEROPLASTY, WITH OR WITHOUT CHOLANGIOGRAPHY RE (EG, BURHENNE TECHNIQUE) THOUT LIVER BIOPSY, WITH OR WITHOUT CHOLANGIOGRAPHY
- 550. OSTOMY, GASTROSTOMY, ANDJEJUNOSTOMY NECROTIZING PANCREATITIS GE BIOPSY) CREATICOJEJUNOSTOMY ATICOJEJUNOSTOMY PE PROCEDURE) DUR E); WITH PANCREATOJEJUNOSTOMY DUR E); WITHOUT PANCREATOJEJUNOSTOMY CED URE); WITH PANCREATOJEJUNOSTOMY CED URE); WITHOUT PANCREATOJEJUNOSTOMY NCREAS OR PANCREATIC ISLET CELLS ADDITION TO CODE FOR PRIMARY PROCEDURE) M CADAVER DONOR, WITH OR WITHOUT DUODENAL SEGMENT FOR TRANSPLANTATION SEPARATE PROCEDURE) ICEAL ABSCESS; OPEN ICEAL ABSCESS; PERCUTANEOUS C OR THERAPEUTIC); INITIAL C OR THERAPEUTIC); SUBSEQUENT
- 551. R CYSTS ORENDOMETRIOMAS; R CYSTS OR ENDOMETRIOMAS; EXTENSIVE OMI NAL NODE &/ BONE MARROW BIOPSIES, OVARIAN REPOSITION) ) NGLE OR MULTIPLE) VOIR, PERMANENT (IE, TOTALLY IMPLANTABLE) EMPORARY ERMANENT DIOLOGICAL GUIDANCE (SEPARATE PROCEDURE) DRAINAGE CATHETER OR TUBE (SEPARATE PROCEDURE) D PERITONEAL-VENOUS SHUNT E, WITH OR WITHOUT HYDROCELECTOMY; REDUCIBLE TH/ WITHOUT HYDROCELECTOMY; INCARCERATED/STRANGULATED TI ME, SURGERY, WITH/WITHOUT HYDROCELECTOMY; REDUCIBLE WW O HYDROCELECTOMY; INCARCERATED/STRANGULATED HYDROCELECTOMY; REDUCIBLE HYDROCELECTOMY; INCARCERATED OR STRANGULATED TRA LHERNIA REPAIR)
- 552. FINAL REDUCTION ANDCLOSURE, IN OPERATING ROOM WALL DEFECTS) Y PROCEDURE) ND CALYCES (INCLUDING ANATROPHIC PYELOLITHOTOMY) CM M UDING COAGULUM PYELOLITHOTOMY) RIB RESECTION; RIB RESECTION; COMPLICATED BECAUSE OF PREVIOUS SURGERY ON SAME KIDNEY TH ROMBECTOMY ADAVER DONOR, UNILATERAL OR BILATERAL NTENANCE OF ALLOGRAFT) PIENT NEPHRECTOMY ND/OR INJECTION, PERCUTANEOUS IS FOR DRAINAGE AND/OR INJECTION, PERCUTANEOUS DWE LLING URETERAL CATHETER LISH NEPHROSTOMY TRACT, PERCUTANEOUS
- 553. G URETERAL CATHETER RU RETERAL SPLINTING; SIMPLE RU RETERAL SPLINTING; COMPLICATED (CONGENITAL) ABDOMINAL APPROACH THORACIC APPROACH HER PLASTIC PROCEDURE, UNILATERAL OR BILATERAL (ONE OPERATION) AND ADRENALECTOMY) EPARATION AND MAINTENANCE OF ALLOGRAFT) E; E; WITH URETERAL CATH, W W/O DILATION URETER E; WITH BIOPSY E; WITH FULGURATION AND/OR INCISION, W W/O BIOPSY E; WITH INSERT RADIOACTIVE SUBSTANCE W W/O BIOPSY E; WITH REMOVAL OF FOREIGN BODY OR CALCULUS DIO LOGIC SERVICE; WITH RESECTION OF TUMOR LATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; AL CATHETERIZATION, WITH OR WITHOUT DILATION OF URETER LATION, OR URETEROPYELOGRAPHY, EXCL OF RADIOLOGIC SERVICE; WITH BIOPSY (I NCCYSTO, URETEROSCOPY, DILATION URETER AND URETERAL) CE; WITH FULGURATION AND/OR INCISION, W W/O BIOPSY CE; WITH INSERT RAD SUBSTANCE, W W/O BIOPSY CE; WITH REMOVAL OF FOREIGN BODY OR CALCULUS PERINEAL APPROACH RETEROSTOMY OR INDWELLING URETERAL CATHETER GRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE RACT OR VENA CAVA OF FASCIAL DEFECT AND HERNIA
- 554. OF ABDOMINAL ORPERINEAL COLOSTOMY, INCLUDING INTESTINE ANASTOMOSIS R OPERATION) MALL AND/OR LARGE INTESTINE (KOCK POUCH OR CAMEY ENTEROCYSTOPLASTY) CYS TOSTOMY) NE ANASTOMOSIS AL STENT PLACEMENT TERAL STENT PLACEMENT ERV ICE; ERV ICE; WITH URETERAL CATH, W W/O DILATION OF URETER ERV ICE; WITH BIOPSY ERV ICE; WITH FULGURATION AND/OR INCISION, W W/O BIOPSY ERV ICE; WITH INSERTION OF RAD SUBSTANCE, W W/O BIOPSY ERV ICE; WITH REMOVAL OF FOREIGN BODY OR CALCULUS LLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; URE TERAL CATHETERIZATION, W W/O DILATION OF URETER BIO PSY FUL GURATION AND/OR INCISION, WITH OR WITHOUT BIOPSY INS ERTION OF RADIOACTIVE SUBSTANCE, W W/O BIOPSY REM OVAL OF FOREIGN BODY OR CALCULUS RESECTION YDRAULIC FRAGMENTATION OF URETERAL CALCULUS E PROCEDURE)
- 555. ULT LOCATION) NEOCYSTOSTOMY) ERNAL ILIAC,HYPOGASTRIC AND OBTURATOR NODES ANSPLANTATIONS; IL IAC, HYPOGASTRIC AND OBTURATOR NODES NG INTESTINE ANASTOMOSIS; LUD ING EXTERNAL ILIAC, HYPOGASTRIC, AND OBTURATOR NODES NY SEGMENT OF SMALL AND/OR LARGE INTESTINE TO CONSTRUCT NEOBLADDER CT OFRECTUM, COLON & COLOSTOMY, OR ANY COMBINATION HROCYSTOGRAPHY FOR RESIDUAL URINE) ED ANATOMY, FRACTURED CATHETER/BALLOON) URETHRA AND/OR BLADDER NECK ), ANY TECHNIQUE NEEDLE, ANY TECHNIQUE GASTRIC, INTRAPERITONEAL) ASOUND, NON-IMAGING E, WW/O WEDGE RESECT OF POSTERIOR VESICAL NECK Z, BURCH); SIMPLE PE); COMPLICATED (EG, SECONDARY REPAIR) ROL (EG, STAMEY, RAZ, MODIFIED PEREYRA) R SYNTHETIC) ICE ; BRU SHBIOPSY OF URETER AND/OR RENAL PELVIS
- 556. CS ERVICE LG LANDS BI OPSY GERY) AND/OR RESECTION OF; SMALL BLADDER TUMOR(S) (0.5 TO 2.0 CM) GERY) AND/OR RESECTION OF; MEDIUM BLADDER TUMOR(S) (2.0 TO 5.0 CM) GERY) AND/OR RESECTION OF; LARGE BLADDER TUMOR(S) UT BIOPSY OR FULGURATION AL OR CONDUCTION (SPINAL) ANESTHESIA ANESTHESIA CED URE FOR CYSTOGRAPHY, MALE OR FEMALE SEP TAL FIBROSIS, POLYP(S) URETHRA, BLADDER NECK CELE(S), UNILATERAL OR BILATERAL (S), UNILATERAL OR BILATERAL CULUM, SINGLE OR MULTIPLE ENT FROM URETHRA OR BLADDER (SEPARATE PROCEDURE); SIMPLE ENT FROM URETHRA OR BLADDER (SEPARATE PROCEDURE); COMPLICATED AND REMOVAL OF FRAGMENTS; SIMPLE OR SMALL (LESS THAN 2.5 CM) AND REMOVAL OF FRAGMENTS; COMPLICATED OR LARGE (OVER 2.5 CM) RETERAL CALCULUS ON OF URETERAL CALCULUS (EG, ULTRASONIC OR ELECTRO-HYDRAULIC TECHNIQUE) NJECTION OF IMPLANT MATERIAL WITHOUT REMOVAL OF URETERAL CALCULUS S OR DOUBLE-J TYPE) O ESTABLISH A PERCUTANEOUS NEPHROSTOMY, RETROGRADE TION, LASER, ELECTROCAUTERY, AND INCISION) G, BALLOON DILATION, LASER, ELECTROCAUTERY, AND INCISION) LATION, LASER, ELECTROCAUTERY, AND INCISION) URE (EG, BALLOON DILATION, LASER, ELECTROCAUTERY, AND INCISION) ION ) CTURE (EG, BALLOON DILATION, LASER, ELECTROCAUTERY, AND INCISION) R MANIPULATION OF CALCULUS (URETERAL CATHETERIZATION IS INCLUDED) Y (URETERAL CATHETERIZATION IS INCLUDED) OR FULGURATION OF URETERAL OR RENAL PELVIC LESION OF URETERAL OR RENAL PELVIC TUMOR SAL FOLDS THR ALCALIBRATION AND/OR DILATION, INTERNAL URETHROTOMY) E USUAL FOLLOW-UP TIME ARTIAL RESECTION) N (RESECTION COMPLETED)
- 557. NE YEAR POSTOPERATIVE HRA LCALIBRATION AND/OR DILATION INTERNAL URETHROTOMY) THR OSCOPY, URETHRAL CALIBRATION DILATION, URETHROTOMY) ETHRA, EXTERNAL NNSEN TYPE) EPAIR OF PROSTATIC OR MEMBRANOUS URETHRA ANOUS URETHRA; FIRST STAGE ANOUS URETHRA; SECOND STAGE DER FOR INCONTINENCE (EG, TENAGO, LEADBETTER PROCEDURE) NT OF PUMP, RESERVOIR, AND CUFF ERVOIR, AND CUFF LUDING PUMP, RESERVOIR, AND CUFF AT THE SAME OPERATIVE SESSION SSI ON INCLUDING IRRIGATION&DEBRIDEMENT, INFECTED TISSUE VOIR, AND CUFF ARDSON TYPE PROCEDURE) E; SUBSEQUENT HRAL DILATOR, MALE, GENERAL OR CONDUCTION (SPINAL) ANESTHESIA
- 558. OSUM, HERPETIC VESICLE),SIMPLE; CHEMICAL OSUM, HERPETIC VESICLE), SIMPLE; ELECTRODESICCATION OSUM, HERPETIC VESICLE), SIMPLE; CRYOSURGERY OSUM, HERPETIC VESICLE), SIMPLE; LASER SURGERY OSUM, HERPETIC VESICLE), SIMPLE; SURGICAL EXCISION RY, CRYOSURGERY, CHEMOSURGERY) TOMY, INCLUDING EXTERNAL ILIAC, HYPOGASTRIC AND OBTURATOR NODES PT NEWBORN DRUGS (EG, PAPAVERINE, PHENTOLAMINE) E, PHENTOLAMINE) ITH OR WITHOUT MOBILIZATION OF URETHRA IN FLAPS RSION); LESS THAN 3 CM RSION); GREATER THAN 3 CM RSION) WITH FREE SKIN GRAFT OBTAINED FROM SITE OTHER THAN GENITALIA ROTUM (EG, THIRD STAGE CECIL REPAIR) ON); WITH SIMPLE MEATAL ADVANCEMENT (EG, MAGPI, V-FLAP) FL AP) RA
- 559. ITH LOCAL SKIN FLAPS, SKIN GRAFT PATCH, ISLAND FLAP GRA FTTUBE AND/OR ISLAND FLAP ND FLAP OSURE, INCISION, OR EXCISION, SIMPLE PAT CHGRAFT TU BED GRAFT (INCLUDES URINARY DIVERSION) URE THRA & PENIS; LOCAL SKIN GRAFTS & ISLAND FLAPS NCONTINENCE EXSTROPHY OF BLADDER ENT OF PUMP, CYLINDERS, AND RESERVOIR SIS WITHOUT REPLACEMENT OF PROSTHESIS BLE PENILE PROSTHESIS AT THE SAME OPERATIVE SESSION INC LUDING IRRIGATION&DEBRIDEMENT OF INFECTED TISSUE ROSTHESIS, WITHOUT REPLACEMENT OF PROSTHESIS ONTAINED) PENILE PROSTHESIS AT THE SAME OPERATIVE SESSION SIO N, INCLUDING IRRIGATION&DEBRIDEMENT, INFECTED TISSUE BILATERAL AL OR BILATERAL EDURE, RONGEUR, OR PUNCH) FOR PRIAPISM STHESIS, SCROTAL OR INGUINAL APPROACH LATERAL TESTIS OR HEMATOMA)
- 560. N OF MEDICATION RAL (SEPARATE PROCEDURE) RATIVE SEMEN EXAM(S) ERAL OR BILATERAL ROCEDURE) ATE PROCEDURE) NAL APPROACH RNIA REPAIR IN TERNAL URETHROTOMY) MPHADENECTOMY) LUDING EXTERNAL ILIAC, HYPOGASTRIC AND OBTURATOR NODES Y); SUPRAPUBIC, SUBTOTAL, ONE OR TWO STAGES Y); RETROPUBIC, SUBTOTAL PH NODE BIOPSY(S) (LIMITED PELVIC LYMPHADENECTOMY) AND OBTURATOR NODES ITIAL RADIOELEMENT APPLICATION, WITH OR WITHOUT CYSTOSCOPY ; WITH LYMPH NODE BIOPSY(S) (LIMITED PELVIC LYMPHADENECTOMY) POG ASTRIC AND OBTURATOR NODES TERSTITIAL CRYOSURGICAL PROBE PLACEMENT)
- 561. RYOSURGERY, CHEMOSURGERY) Y, CRYOSURGERY,CHEMOSURGERY) LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) DENECTOMY SPONTANEOUS BLEEDING) CRYOSURGERY, CHEMOSURGERY) RY, CRYOSURGERY, CHEMOSURGERY) ISSUE (RADICAL VAGINECTOMY) OMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) L TISSUE (RADICAL VAGINECTOMY) TOM Y AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ERIAL, PARASITIC, OR FUNGOID DISEASE C NONOBSTETRICAL VAGINAL HEMORRHAGE (SEPARATE PROCEDURE) AL PLICATION)
- 562. ONTINENCE, AND/OR INCOMPLETEVAGINAL PROLAPSE) Y RECONSTRUCTION, WITH OR WITHOUT LEVATOR PLICATION THE CERVIX AND ENDOCERVICAL CURETTAGE THE CERVIX L CURETTAGE ODE BIOPSY(S) OF THE CERVIX ODE CONIZATION OF THE CERVIX RATION (SEPARATE PROCEDURE) AND CURETTAGE, WITH OR WITHOUT REPAIR; COLD KNIFE OR LASER AND CURETTAGE, WITH OR WITHOUT REPAIR; LOOP ELECTRODE EXCISION S), WITH OR WITHOUT REMOVAL OF OVARY(S) ), WITHOUT CERVICAL DILATION, ANY METHOD (SEPARATE PROCEDURE)
- 563. MY OMAS; ABDOMINAL APPROACH MY OMAS; VAGINAL APPROACH MS, ABDOMINAL APPROACH OF TUBE(S), WITH OR WITHOUT REMOVAL OF OVARY(S); STO PEXY (EG, MARSHALL-MARCHETTI-KRANTZ, BURCH) THOUT REMOVAL OF TUBE(S), WITH OR WITHOUT REMOVAL OF OVARY(S) ), WITH OR WITHOUT REMOVAL OF OVARY(S) AL OFTUBE(S), WITH OR WITHOUT REMOVAL OF OVARY(S) VAL OF BLADDER AND URETERAL TRANSPLANT; ANY COMBINATION , AND/OR OVARY(S) , AND/OR OVARY(S), WITH REPAIR OF ENTEROCELE END OSCOPIC CONTROL UBE(S) AND/OR OVARY(S) UBE(S) AND/OR OVARY(S), WITH REPAIR OF ENTEROCELE HOU T ENDOSCOPIC CONTROL OGR APHY WITHOUT SHORTENING OF SACROUTERINE LIGAMENTS; (SEPARATE PROCEDURE) ECT OMY TOTAL WEIGHT OF 250 GRAMS OR LESS AND/OR REMOVAL OF SURFACE MYOMAS AND/OR INTRAMURAL MYOMAS WITH TOTAL WEIGHT GREATER THAN 250 GRAMS ESS; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S) 250 GRAMS; 250 GRAMS; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S) ECTOMY, WITH OR WITHOUT D & C NY METHOD) ON, ELECTROSURGICAL ABLATION, THERMOABLATION)
- 564. UNILATERAL OR BILATERAL SEP ARATE PROCEDURE) ST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) R SUPRAPUBIC APPROACH EPARATE PROCEDURE) L OOPHORECTOMY AND/OR SALPINGECTOMY) , PELVIC VISCERA, OR PERITONEAL SURFACE BY ANY METHOD R FALOPE RING) ATE PROCEDURE) AGINAL APPROACH BDOMINAL APPROACH NEOUS (EG, OVARIAN, PERICOLIC) RAG M ASSESS, W/W/O SALPINGECT, W/W/O OMENTECT SALPINGO-OOPHORECTOMY AND OMENTECTOMY; PA RA-AORTIC LYMPHADENECTOMY UCT , INTRA-ABDOMINAL/RETROPERITONEAL TUMORS) RECTOMY AND RADICAL DISSECTION FOR DEBULKING; YA ND LIMITED PARA-AORTIC LYMPHADENECTOMY AS SESS W/PELV& LTD PARA-AORT LYMPHADENECTOMY SICIAN) WITH WRITTEN REPORT; SUPERVISION AND INTERPRETATION LY GECTOMY AND/OR OOPHORECTOMY, ABDOMINAL OR VAGINAL APPROACH ECTOMY AND/OR OOPHORECTOMY
- 565. EQUIRING TOTAL HYSTERECTOMY TH PARTIAL RESECTION OF UTERUS R OOPHORECTOMY OPHORECTOMY WITHOUT EPISIOTOMY, AND/OR FORCEPS) AND POSTPARTUM CARE POSTPARTUM CARE OSTPARTUM CARE ADDITION TO CODE FOR PRIMARY PROCEDURE) IOU SCESAREAN DELIVERY SIOTOMY AND/OR FORCEPS); SIOTOMY AND/OR FORCEPS); INCLUDING POSTPARTUM CARE ESA REAN DELIVERY S CESAREAN DELIVERY; S CESAREAN DELIVERY; INCLUDING POSTPARTUM CARE ES; ES; WITH DILATION AND CURETTAGE AND/OR EVACUATION ES; WITH HYSTEROTOMY (FAILED INTRA-AMNIOTIC INJECTION) ,D ELIVERY OF FETUS & SECUNDINES; RY FETUS & SECUNDINES; WITH D&C &/OR EVAC RY FETUS & SECUNDINES; W HYSTEROTOMY (FAILED MED EVAL)
- 566. OMY, INCLUDING ISTHMUSECTOMY Y, INCLUDING ISTHMUSECTOMY REMOVAL OF A PORTION OF THYROID C APPROACH RATION, STERNAL SPLIT OR TRANSTHORACIC APPROACH IMARY PROCEDURE) HOUT RADICAL MEDIASTINAL DISSECTION (SEPARATE PROCEDURE) H RADICAL MEDIASTINAL DISSECTION (SEPARATE PROCEDURE) E); E); WITH EXCISION OF ADJACENT RETROPERITONEAL TUMOR OR DORSAL ; SUBSEQUENT TAPS MPLANTED VENTRICULAR CATHETER/RESERVOIR; WITHOUT INJECTION OR OTHER SUBSTANCE FOR DIAGNOSIS OR TREATMENT ROCEDURE) OR OTHER SUBSTANCE FOR DIAGNOSIS OR TREATMENT (EG, C1-C2) RICULAR CATHETER OR PRESSURE RECORDING DEVICE OR DRAINAGE OF SUBDURAL HEMATOMA MEDIA, DYE, OR RADIOACTIVE MATERIAL) AL ABSCESS OR CYST (S) OR PRESSURE RECORDING DEVICE (SEPARATE PROCEDURE) OR CONNECTION TO VENTRICULAR CATHETER ER SURGERY TRADURAL OR SUBDURAL RACEREBRAL RADURAL OR SUBDURAL RACEREBELLAR IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
- 567. ARE NCHYMAL HEMATOMA; WITHOUT LOBECTOMY TED INTRAPARENCHYMAL HEMATOMA; WITH LOBECTOMY IM ALFORMATION) ENSORY ROOT OF GASSERIAN GANGLION R, SUPRATENTORIAL, EXCEPT MENINGIOMA , SUPRATENTORIAL ESS, SUPRATENTORIAL ON OF CYST, SUPRATENTORIAL DDITION TO CODE FOR PRIMARY PROCEDURE) TB ASE OF SKULL MENINGIOMA CEREBELLOPONTINE ANGLE TUMOR MIDLINE TUMOR AT BASE OF SKULL CEREBELLOPONTINE ANGLE TUMOR; RAN IOTOMY/CRANIECTOMY EPHINE HOLE(S) FOR LONG TERM SEIZURE MONITORING CTRODE ARRAY, FOR LONG TERM SEIZURE MONITORING WITHOUT ELECTROCORTICOGRAPHY DURING SURGERY EDU RE) LO FELECTRODE ARRAY) GRAPHY DURING SURGERY, TEMPORAL LOBE GRAPHY DURING SURGERY, OTHER THAN TEMPORAL LOBE, PARTIAL OR TOTAL ROID PLEXUS L APPROACH APPROACH, NONSTEREOTACTIC OVERLEAF SKULL); NOT REQUIRING BONE GRAFTS
- 568. G, BARREL-STAVE PROCEDURE) (INC OBTAINING GRAFTS) YSPLASIA); WITHOUT OPTIC NERVE DECOMPRESSION YSPLASIA); WITH OPTIC NERVE DECOMPRESSION SY, DECOMPRESSION OR EXCISION OF LESION; EA ND/OR MANDIBLE (INCLUDING TRACHEOSTOMY) RO RBITAL EXENTERATION ND/ ORMAXILLECTOMY OMY OF BASE OF ANTERIOR CRANIAL FOSSA BE, OSTEOTOMY OF BASE OF ANTERIOR CRANIAL FOSSA OBE (S); WITHOUT ORBITAL EXENTERATION OBE (S); WITH ORBITAL EXENTERATION CRANIAL FOSSA WITH OR WITHOUT INTERNAL FIXATION, WITHOUT BONE GRAFT ICU LATION OF MANDIBLE, INC PAROTIDECTOMY, CRANIOTOMY ,I NFRATEMPORAL FOSSA) INC MASTOIDECTOMY GOM A,CRANIOTOMY, EXTRA/INTRADURAL ELEV TEMPORAL LOBE US AND/OR FACIAL NERVE, WITH OR WITHOUT MOBILIZATION IZA TION OF FACIAL NERVE AND/OR PETROUS CAROTID ARTERY MY, RESECTION OF C1-C3 VERTEBRAL BODY(S) NUM, INCLUDING LIGATION OF SUPERIOR PETROSAL SINUS AND/OR SIGMOID SINUS F ANTERIOR CRANIAL FOSSA; EXTRADURAL OR WITHOUT GRAFT EMPORAL FOSSA, PARAPHARYNGEAL SPACE, PETROUS APEX; EXTRADURAL UDI NGDURAL REPAIR, WITH OR WITHOUT GRAFT L L, INCLUDING DURAL REPAIR, WITH OR WITHOUT GRAFT LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) YP ROCEDURE) T SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) PRO CEDURE) CAVERNOUS FISTULA BY DISSECTION WITHIN CAVERNOUS SINUS EBR AL BODIES; EXTRADURAL EBR AL BODIES; INTRADURAL, INC DURAL REPAIR, W W/O GRAFT OR FASCIA LATA, ADIPOSE TISS, HOMOLOGOUS/SYNTH GFS) NEO US FLAP(GALEA,TEMPIS,FRONTALIS/OCCIPITALIS MUSC) OR BALOON OCLSIN & EXCLDE VASCU INJRY POST OCLSIN TAN EOUS, ANY METHOD; CENTRAL NERVOUS SYSTEM SS YST, HD/NCK (EXTRACRANIAL,BRACHIOCEPHALIC BRANCH) CIRCULATION OBASILAR CIRCULATION ASILAR CIRCULATION UDING CLAMP TO CERVICAL CAROTID ARTERY (SELVERSTONE-CRUTCHFIELD TYPE) BY INTRACRANIAL AND CERVICAL OCCLUSION OF CAROTID ARTERY BY INTRACRANIAL ELECTROTHROMBOSIS
- 569. ER AL) ARTERIES LLI DUS OR THALAMUS AL STRUCTURE(S) OTHER THAN GLOBUS PALLIDUS OR THALAMUS CRANIAL LESION; CE GUIDANCE TERM SEIZURE MONITORING R(S) OR PROBE(S) FOR PLACEMENT OF RADIATION SOURCE LIO N ULL ARY TRACT ), ONE OR MORE SESSIONS FOR PRIMARY PROCEDURE) S, CEREBRAL, CORTICAL LLI DUS,SUBTHALAM NUCL,PERIVENTRIC,PERIAQUEDUCTAL GRAY) UBCORTICAL SIN GLE ELECTRODE ARRAY OO R MORE ELECTRODE ARRAYS ENT OF BRAIN FOR RHINORRHEA/OTORRHEA G BONE GRAFTS OR CRANIOPLASTY RANIOPLASTY INI NG GRAFTS) CM DIAMETER (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) PAR ATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) EPL ACEMENT, OR REMOVAL OF VENTRICULAR CATHETER) T, INCLUDING PLACEMENT OF EXTERNAL VENTRICULAR CATHETER FOR DRAINAGE MENT OF EXTERNAL VENTRICULAR CATHETER FOR DRAINAGE OR TRANS-SPHENOIDAL APPROACH
- 570. DISTAL CATHETER INSHUNT SYSTEM SIMILAR OR OTHER SHUNT AT SAME OPERATION WH EN ADMINISTERED), MULTI ADHESIOL SESSNS; 2/MORE DA LIZ ATION, MULTIPLE ADHESIOLYSIS SESSIONS; 1 DAY E OR CATHETER) OID S); EPIDURAL, CERVICAL OR THORACIC LU MBAR, SACRAL (CAUDAL) OTHER THAN C1-C2 AND POSTERIOR FOSSA) (EG , MAN/AUTO PERCUT DISKECTOMY,PERCUT LASER DISKECTOMY) TEBRAL DISK, SINGLE OR MULTIPLE LEVELS, LUMBAR SM, OPIOID,STER,OTH SOL), EPIDUR/SUBARACHNOID;CERV/THORAC PIO ID,STER,OTH SOL),EPIDUR/SUBARACHN;LUMBAR,SACRAL(CAUD) NTI SP,OPIOID,STER,OTH SOL),EPIDUR/SUBARACH;CERV/THORACIC SP, OPIOID,STER,OTH SOL),EPIDUR/SUBARACH;LUMB,SACRL(CAUD) BLE RESERVOIR/INFUSION PUMP; W/O LAMINECTOMY ECT OMY USION; SUBCUTANEOUS RESERVOIR USION; NON-PROGRAMMABLE PUMP OUT PROGRAMMING THECAL OR EPIDURAL INFUSION TAT US, DRUG PRESCRIPTION STATUS); WITHOUT REPROGRAMMING TAT US, DRUG PRESCRIPTION STATUS); WITH REPROGRAMMING NAL STENOSIS), ONE OR TWO VERTEBRAL SEGMENTS; CERVICAL NAL STENOSIS), ONE OR TWO VERTEBRAL SEGMENTS; THORACIC GME NTS; LUMBAR, EXCEPT SPONDYLOLISTHESIS NAL STENOSIS), ONE OR TWO VERTEBRAL SEGMENTS; SACRAL SIS ,LUMBAR (GILL TYPE PROCEDURE) NAL STENOSIS), MORE THAN 2 VERTEBRAL SEGMENTS; CERVICAL NAL STENOSIS), MORE THAN 2 VERTEBRAL SEGMENTS; THORACIC NAL STENOSIS), MORE THAN 2 VERTEBRAL SEGMENTS; LUMBAR ERV ERTEBRAL DISK; ONE INTERSPACE, CERVICAL 1 INTERSPACE, LUMBAR (INCL OPEN/ENDOSCOPIC-ASSIST APPR) TER SP, CERV/LUMB (LIST SEP IN ADD TO CODE FOR PRIM PROC) ISK , REEXPLORATION, SNGL INTERSPACE; CERVICAL ERV ERTEBRAL DISK, RE-EXPLORATION; LUMBAR PLO RATION,SINGLE INTERSPACE;EA ADDTL CERVICAL INTE EXP LORATION,SINGLE INTERSPACE;EA ADDTL LUMBAR INTE REC ESS STENOSIS)), SINGLE VERTEBRAL SEGMENT; CERVICAL REC ESS STENOSIS)), SINGLE VERTEBRAL SEGMENT; THORACIC REC ESS STENOSIS)), SINGLE SEGMENT; LUMBAR
- 571. DD SEG, CERV, THOR/LUMB (LIST SEP,ADD TO CODE,PRIM PROC) RAC IC CET /LAT EXTRAFORAMIN APPR) (EG,FAR LAT HERN INTERV DISK) HA DDITIONAL SEGMENT, THORACIC OR LUMBAR (S), (EG, HERNIATED INTERVERTEBRAL DISK), THORACIC; SINGLE SEGMENT ENT (LIST SEPARATELY IN ADD TO CODE FOR PRIMARY PROC) S), INCLUDING OSTEOPHYTECTOMY; CERVICAL, SINGLE INTERSPACE (LI ST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROC) S), INCLUDING OSTEOPHYTECTOMY; THORACIC, SINGLE INTERSPACE (LI ST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROC) CE RVICAL, SINGLE SEGMENT CE RVICAL, EACH ADDITIONAL SEGMENT T(S );THORACIC, SINGLE SEGMENT T(S ); THORACIC, EACH ADDITIONAL SEGMENT NER VEROOT(S), LOWER THORACIC OR LUMBAR; SINGLE SEGMENT EQU INA OR NERVE ROOT(S), LOWER THORACIC OR LUMBAR; EACH ERV EROOT(S), LOWER THORACIC, LUMBAR, SACRAL; 1 SEGMENT ER OOT(S), LOWER THORACIC, LUMBAR, OR SACRAL; EA ADD SEG R THORACOLUMBAR CERVICAL; ONE OR TWO SEGMENTS CERVICAL; MORE THAN TWO SEGMENTS TAGE; CERVICAL TAGE; THORACIC E STAGE; CERVICAL E STAGE; THORACIC O STAGES WITHIN 14 DAYS; CERVICAL O STAGES WITHIN 14 DAYS; THORACIC PINAL CORD; CERVICAL PINAL CORD; THORACIC PINAL CORD; THORACOLUMBAR OPLASM, EXTRADURAL; CERVICAL OPLASM, EXTRADURAL; THORACIC OPLASM, EXTRADURAL; LUMBAR OPLASM, EXTRADURAL; SACRAL RAL; CERVICAL RAL; THORACIC RAL; LUMBAR RAL; SACRAL EDULLARY, CERVICAL EDULLARY, THORACIC EDULLARY, LUMBAR
- 572. EDULLARY, CERVICAL EDULLARY, THORACIC EDULLARY,THORACOLUMBAR AL-INTRADURAL LESION, ANY LEVEL EXCISION OF INTRASPINAL LESION, SINGLE SEGMENT; EXTRADURAL, CERVICAL BY TRANSTHORACIC APPROACH BY THORACOLUMBAR APPROACH SA CRAL BY TRANSPERITONEAL OR RETROPERITONEAL APPROACH EXCISION OF INTRASPINAL LESION, SINGLE SEGMENT; INTRADURAL, CERVICAL BY TRANSTHORACIC APPROACH BY THORACOLUMBAR APPROACH SA CRAL BY TRANSPERITONEAL OR RETROPERITONEAL APPROACH NT (LIST SEP IN ADD TO CODES FOR SINGLE SEGMENT) Y MODALITY (INCLUDING STIMULATION AND/OR RECORDING) NOT FOLLOWED BY OTHER SURGERY RAY(S) OR PLATE/PADDLE(S) RATOR OR RECEIVER, DIRECT OR INDUCTIVE COUPLING R RECEIVER UDING LAMINECTOMY CUTANEOUS, NOT REQUIRING LAMINECTOMY STH ETIC AGENT ADMINISTRATION THE TIC AGENT ADMINISTRATION HET IC AGENT ADMINISTRATION
- 573. ET JOINT NERVE;CERVICAL OR THORACIC, SINGLE LEVEL EPA RATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ET JOINT NERVE; LUMBAR OR SACRAL, SINGLE LEVEL ATE LY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) L OR THORACIC, SINGLE LEVEL OC ODE FOR PRIMARY PROCEDURE) OR SACRAL, SINGLE LEVEL DE FOR PRIMARY PROCEDURE) VE (EXCLUDES SACRAL NERVE) RANSFORAMINAL PLACEMENT) EXCLUDES SACRAL NERVE) NSFORAMINAL PLACEMENT) GENERATOR OR RECEIVER, DIRECT OR INDUCTIVE COUPLING AL, MENTAL, OR INFERIOR ALVEOLAR BRANCH BRANCHES AT FORAMEN OVALE BRANCHES AT FORAMEN OVALE UNDER RADIOLOGIC MONITORING R BLEPHAROSPASM, HEMIFACIAL SPASM) TORTICOLLIS) DYSTONIA, CEREBRAL PALSY, MULTIPLE SCLEROSIS) R SACRAL, SINGLE LEVEL FOR PRIMARY PROCEDURE) OR THORACIC, SINGLE LEVEL ODE FOR PRIMARY PROCEDURE) MONITORING
- 574. NE UROLYSIS) OTO MY, SUPRA- OR HIGHLY SELECTIVE VAGOTOMY) DDUCTOR TENOTOMY DDUCTOR TENOTOMY DDITION TO CODE FOR PRIMARY PROCEDURE) LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) NEUROMA EXCISION) ARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) CODE FOR PRIMARY PROCEDURE) N TO CODE FOR PRIMARY PROCEDURE)
- 575. ADDITION TO CODEFOR PRIMARY NEURORRHAPHY) (LIST SEPARATELY IN ADDITION TO CODE FOR NERVE SUTURE) IN ADDITION TO CODE FOR NERVE SUTURE) AN 4 CM LENGTH 4 CM LENGTH T; UP TO 4 CM LENGTH T; MORE THAN 4 CM LENGTH UP TO 4 CM LENGTH MORE THAN 4 CM LENGTH TO CODE FOR PRIMARY PROCEDURE) IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ENTS; ONLY ENTS; WITH THERAPEUTIC REMOVAL OF BONE ENTS; WITH MUSCLE OR MYOCUTANEOUS FLAP RILLING RECEPTACLE FOR PROSTHESIS APPENDAGE) (SEPARATE PROCEDURE) CHED TO IMPLANT D TO IMPLANT NT AND/OR ATTACHMENT OF MUSCLES TO IMPLANT CRETIONS), SUBCONJUNCTIVAL, OR SCLERAL NONPERFORATING TRACTION, ANTERIOR OR POSTERIOR ROUTE C EXTRACTION ON SCLERA, DIRECT CLOSURE UT HOSPITALIZATION HOSPITALIZATION RESECTION OF UVEAL TISSUE
- 576. ON, CURETTAGE) MOCAUTERIZATION STIC ASPIRATIONOF AQUEOUS EUTIC RELEASE OF AQUEOUS WIT HOUT AIR INJECTION L OF BLOOD, WITH OR WITHOUT IRRIGATION AND/OR AIR INJECTION ECH IAE SY NECHIAE, EXCEPT GONIOSYNECHIAE RS YNECHIAE TRE ALADHESIONS WITH IRIDECTOMY E OF PREVIOUS SURGERY IFI BROTIC AGENTS) OR LATE, MAJOR OR MINOR PROCEDURE
- 577. A (SEPARATE PROCEDURE) EPARATEPROCEDURE) ROUGH SMALL INCISION (EG, MCCANNEL SUTURE) T OF VISION, FOR WIDENING OF ANTERIOR CHAMBER ANGLE) ELE RKNIFE) ORE STAGES) E PROCEDURE) TI RIDECTOMY (IRIDOCAPSULOTOMY, IRIDOCAPSULECTOMY) RASONIC) (EG, PHACOEMULSIFICATION), WITH ASPIRATION LOR RHEXIS)/PERF PTS THE AMBLYOGENIC DEVEL STAGE THESIS (ONE STAGE PROCEDURE) ION AND ASPIRATION OR PHACOEMULSIFICATION) D WITH CONCURRENT CATARACT REMOVAL Y PROCEDURE) ON); PARTIAL REMOVAL ON); SUBTOTAL REMOVAL WITH MECHANICAL VITRECTOMY APPROACH (POSTERIOR SCLEROTOMY) XCHANGE), WITH OR WITHOUT ASPIRATION (SEPARATE PROCEDURE) NCLUDES CONCOMITANT REMOVAL OF VITREOUS R OPACITIES, LASER SURGERY (ONE OR MORE STAGES) AGULATION OTOCOAGULATION MY, WITH OR WITHOUT DRAINAGE OF SUBRETINAL FLUID BRE TINAL FLUID RAP Y,PHOTOCOAGULATION, & DRAINAGE OF SUBRETINAL FLUID ,S CLERAL BUCKLING, &/OR LENS REMOVAL BY SAME TECHNIQUE HER GAS (EG, PNEUMATIC RETINOPEXY) RAL BUCKLING OR VITECTOMY TECHNIQUES
- 578. WITHOUT DRAINAGE, ONEOR MORE SESSIONS; CRYOTHERAPY, DIATHERMY XEN ONARC) R MORE SESSIONS; CRYOTHERAPY, DIATHERMY R MORE SESSIONS; PHOTOCOAGULATION URC E(INCLUDES REMOVAL OF SOURCE) ON); PHOTOCOAGULATION (EG, LASER), ONE OR MORE SESSIONS ON); PHOTODYNAMIC THERAPY (INCLUDES INTRAVENOUS INFUSION) TEL Y IN ADDITION TO CODE FOR PRIMARY EYE TREATMENT) HY), ONE OR MORE SESSIONS; CRYOTHERAPY, DIATHERMY HY), ONE OR MORE SESSIONS; PHOTOCOAGULATION (LASER OR XENON ARC) SLY OPERATED ON); TWO HORIZONTAL MUSCLES SLY OPERATED ON); ONE VERTICAL MUSCLE (EXCLUDING SUPERIOR OBLIQUE) IQU E) PR OCEDURE) COD E FOR PRIMARY PROCEDURE) ICT IVE MYOPATHY (EG, DYSTHYROID OPHTHALMOPATHY) OCE DURE) CO DE FOR SPECIFIC STRABISMUS SURGERY) DUR E) PARATE PROCEDURE) R EXPLORATION, WITH OR WITHOUT BIOPSY H DRAINAGE ONLY H REMOVAL OF LESION H REMOVAL OF FOREIGN BODY H REMOVAL OF BONE FOR DECOMPRESSION REMOVAL OF LESION REMOVAL OF FOREIGN BODY DRAINAGE REMOVAL OF BONE FOR DECOMPRESSION EXPLORATION, WITH OR WITHOUT BIOPSY PPLY OF MEDICATION)
- 579. ATION, SINGLE ORMULTIPLE GERY, CRYOTHERAPY, LASER SURGERY) E DIRECT CLOSURE RHAPHY; WITH TRANSPOSITION OF TARSAL PLATE LUDES OBTAINING FASCIA) L APPROACH AL APPROACH UDES OBTAINING FASCIA) TION (EG, FASANELLA-SERVAT TYPE) RSAL STRIP OPERATIONS) AL CONJUNCTIVA DIRECT CLOSURE; PARTIAL THICKNESS AL CONJUNCTIVA DIRECT CLOSURE; FULL THICKNESS AP WITH ADJ TISSUE TRF/REARRANGE; <1/4TH OF LID MARGIN AP WITH ADJ TISSUE TRF/REARRANGE; >1/4TH OF LID MARGIN IRS TSTAGE AGE AGE FLAP FROM OPPOSING EYELID; SECOND STAGE EXTENSIVE REARRANGEMENT NE GRAFT (INCLUDES OBTAINING GRAFT)
- 580. BRANE (INCLUDES OBTAININGGRAFT) OF CONFORMER OR CONTACT LENS NSERTION OF TUBE OR STENT ANESTHESIA TUBE OR STENT AN ROUTINE CLEANING) DUE TO INJURY, INFECTION) (SEPARATE PROCEDURE)
- 581. G GENERAL ANESTHESIA FORCLOSURE, WITH OR WITHOUT PATCH CTI ON OST FENESTRATION) NTH ETIC PROSTHESIS (PORP/TORP) OSS ICULAR CHAIN RECONSTRUCTION ICU LAR CHAIN RECONSTRUCTION ICU LAR CHAIN RECONSTRUCTION AND SYNTHETIC PROSTHESIS RY, TYMPANIC MEMBRANE REPAIR); WITHOUT OSSICULAR CHAIN RECONSTRUCTION RY, TYMPANIC MEMBRANE REPAIR); WITH OSSICULAR CHAIN RECONSTRUCTION OUT OSSICULAR CHAIN RECONSTRUCTION ,W ITH OSSICULAR CHAIN RECONSTRUCTION CHA INRECONSTRUCTION IN RECONSTRUCTION Y, WITH OR WITHOUT USE OF FOREIGN MATERIAL; Y, WITH OR WITHOUT USE OF FOREIGN MATERIAL; WITH FOOTPLATE DRILL OUT DEVICE IN TEMPORAL BONE MPORAL BONE STO IDECTOMY
- 582. IDE CTOMY CES SOR/COCHLEAR STIMULATOR; WITHOUT MASTOIDECTOMY CES SOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY N; LATERAL TO GENICULATE GANGLION N; INCLUDING MEDIAL TO GENICULATE GANGLION OR MULTIPLE PERFUSIONS); TRANSCANAL RUCTIVE PROCEDURES OR TACK PROCEDURE; WITH MASTOIDECTOMY RATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) OUT STEREO
- 583. GNIFICATION TECHNIQUE BY CONTRASTMATERIAL(S) AND FURTHER SECTIONS NNER EAR; WITHOUT CONTRAST MATERIAL NNER EAR; WITH CONTRAST MATERIAL(S) S) AND FURTHER SECTIONS WED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS ED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS ST- PROCESSING ST- PROCESSING RAST MATERIAL(S) T MATERIAL(S) ENC ES WED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES WED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES T CONTRAST MATERIAL ONTRAST MATERIAL(S) SEQ UENCES RDOTIC PROCEDURE PROJECTIONS N AND INTERPRETATION NIMUM OF THREE VIEWS IMUM OF FOUR VIEWS
- 584. TRAST MATERIAL(S) ANDFURTHER SECTIONS OST #NAME? ND MEDIASTINAL LYMPHADENOPATHY); WITHOUT CONTRAST MATERIAL(S) ND MEDIASTINAL LYMPHADENOPATHY); WITH CONTRAST MATERIAL(S) LOW ED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES HOUT CONTRAST MATERIAL(S) ON AND/OR EXTENSION STUDIES BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS Y CONTRAST MATERIAL(S) AND FURTHER SECTIONS L; WITHOUT CONTRAST MATERIAL L; WITH CONTRAST MATERIAL(S) C; WITHOUT CONTRAST MATERIAL C; WITH CONTRAST MATERIAL(S) WITHOUT CONTRAST MATERIAL WITH CONTRAST MATERIAL(S) UEN CES; CERVICAL UEN CES; THORACIC UEN CES; LUMBAR T CONTRAST MATERIAL(S) POS T-PROCESSING RAST MATERIAL(S) AND FURTHER SECTIONS S), FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES
- 585. ND INTERPRETATION WEIGHTEDDISTRACTION NTERPRETATION NTERPRETATION D BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS NG IMAGE POST-PROCESSING WITHOUT CONTRAST MATERIAL(S) WITH CONTRAST MATERIAL(S) NCE S UT CONTRAST MATERIAL(S) MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES T MATERIAL(S) UDING ANTEROPOSTERIOR VIEW OF PELVIS RPRETATION RVISION AND INTERPRETATION TERPRETATION
- 586. NTERPRETATION ED BY CONTRASTMATERIAL(S) AND FURTHER SECTIONS NG IMAGE POST-PROCESSING WITHOUT CONTRAST MATERIAL(S) WITH CONTRAST MATERIAL(S) CES OUT CONTRAST MATERIAL CONTRAST MATERIAL(S) ER SEQUENCES ST MATERIAL(S) D CONE VIEWS SUPINE, ERECT, AND/OR DECUBITUS VIEWS, SINGLE VIEW CHEST NTRAST MATERIAL(S) AND FURTHER SECTIONS PO ST-PROCESSING AL(S), FOLLOWED BY WITH CONTRAST MATERIAL(S) AND FURTHER SEQUENCES SION AND INTERPRETATION LOGICAL SUPERVISION AND INTERPRETATION YED FILMS, WITHOUT KUB YED FILMS, WITH KUB NCLUDES MULTIPLE SERIAL FILMS LUC AGON; WITH OR WITHOUT DELAYED FILMS, WITHOUT KUB LUC AGON; WITH OR WITHOUT DELAYED FILMS, WITH KUB LUC AGON; WITH SMALL INTESTINE FOLLOW-THROUGH TEROCLYSIS TUBE , WITH OR WITHOUT GLUCAGON IPLE DAY EXAMINATION ERVISION AND INTERPRETATION TO CODE FOR PRIMARY PROCEDURE)
- 587. OLOGICAL SUPERVISION ANDINTERPRETATION INTERPRETATION AN D INTERPRETATION VISION AND INTERPRETATION UPERVISION AND INTERPRETATION YSTEMS, RADIOLOGICAL SUPERVISION AND INTERPRETATION RET ATION D INTERPRETATION INTERPRETATION DIOLOGICAL SUPERVISION AND INTERPRETATION UT PLACEMENT OF STENT, RADIOLOGICAL SUPERVISION AND INTERPRETATION T TOMOGRAPHY; GICAL SUPERVISION AND INTERPRETATION AND INTERPRETATION ON, RADIOLOGICAL SUPERVISION AND INTERPRETATION ATI ON ON AND INTERPRETATION INTERPRETATION ND INTERPRETATION OGY; COMPLETE STUDY OGY;LIMITED STUDY D INTERPRETATION RPRETATION ERPRETATION ER, BY SERIALOGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION LOW CONTRST MTRIAL & FURTHR SECT,INCL IMGE POST-PROCESS AL SUPERVISION AND INTERPRETATION ON AND INTERPRETATION N AND INTERPRETATION ERPRETATION RPRETATION RPRETATION PRETATION ION AND INTERPRETATION LOGICAL SUPERVISION AND INTERPRETATION
- 588. OGICAL SUPERVISION ANDINTERPRETATION ORTOGRAM), RADIOLOGICAL SUPERVISION AND INTERPRETATION ERPRETATION RPRETATION ND INTERPRETATION INTERPRETATION NTERPRETATION OLOGICAL SUPERVISION AND INTERPRETATION AD DITION TO CODE FOR PRIMARY PROCEDURE) ISION AND INTERPRETATION NTERPRETATION TERPRETATION D INTERPRETATION INTERPRETATION ON PUMP), RADIOLOGICAL S AND I ND INTERPRETATION ND INTERPRETATION ERPRETATION RPRETATION OLOGICAL SUPERVISION AND INTERPRETATION RADIOLOGICAL SUPERVISION AND INTERPRETATION GICAL SUPERVISION AND INTERPRETATION OLOGICAL SUPERVISION AND INTERPRETATION RATHYROID HORMONE, RENIN), RADIOLOGICAL SUPERVISION AND INTERPRETATION AND INTERPRETATION ORONARY), RADIOLOGICAL SUPERVISION AND INTERPRETATION ETER THERAPY, EMBOLIZATION OR INFUSION TIO N PER VISION&INTERPRETATION AN D INTERPRETATION AND INTERPRETATION; INITIAL VESSEL LY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) , RADIOLOGICAL SUPERVISION AND INTERPRETATION DIS SECTION, RADIOLOGICAL SUPERVISION AND INTERPRETATI N ION ,EACH VESSEL INT ERPRETATION ON AND INTERPRETATION OC ODE FOR PRIMARY PROCEDURE) ICAL SUPERVISION AND INTERPRETATION COD E FOR PRIMARY PROCEDURE)
- 589. GICAL SUPERVISION ANDINTERPRETATION OLOGICAL SUPERVISION AND INTERPRETATION LOG ICAL SUPERVISION AND INTERPRETATION GIC ALSUPERVISION AND INTERPRETATION MEN T, CATHETER, RADIOLOGICAL SUPERVISION&INTERPRETATN INTERPRETATION OR PRIMARY PROCEDURE) PR IMARY PROCEDURE) N 71023 OR 71034 (EG, CARDIAC FLUOROSCOPY) LB IOPSY) N, LOCALIZATION DEVICE) T,P ARAVERT FACET JT NV/SACROIL JT),INCL NEUROLYT AG DSTR INCLUDING CONTRALATERAL JOINT IF INDICATED PER VERTEBRAL BODY; UNDER FLUOROSCOPIC GUIDANCE PER VERTEBRAL BODY; UNDER CT GUIDANCE KELETON (EG, HIPS, PELVIS, SPINE) DICULAR SKELETON (PERIPHERAL) (EG, RADIUS, WRIST, HEEL) TES;APPENDICULAR SKELETON (PERIPHERAL) (EG, RADIUS, WRIST, HEEL) OR MORE SITES ON AND INTERPRETATION LIS T SEPARATELY ADDITION TO CODE FOR PRIMARY PROCEDURE) AND INTERPRETATION ON AND INTERPRETATION S); UNILATERAL S); BILATERAL LS UPERVISION AND INTERPRETATION RPR ETATION AN WITH UROGRAPHY MASTOID POLYTOMOGRAPHY), OTHER THAN WITH UROGRAPHY; UNILATERAL MASTOID POLYTOMOGRAPHY), OTHER THAN WITH UROGRAPHY; BILATERAL SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) RET ATION
- 590. MAG ING, OR OTHER TOMOGRAPHIC MODALITY AL SUPERVISION AND INTERPRETATION UID MASSES OR INTRACRANIAL ABNORMALITIES), INC A-MODE QUANTIFICATION HOUT SIMULTANEOUS A-SCAN) ND, IMMERSION (WATER BATH) B-SCAN OR HIGH RESOLUTION BIOMICROSCOPY NS POWER CALCULATION ), B-SCAN AND/OR REAL TIME WITH IMAGE DOCUMENTATION DOCUMENTATION MAGE DOCUMENTATION MITED (EG, SINGLE ORGAN, QUADRANT, FOLLOW-UP) ME WITH IMAGE DOCUMENTATION; COMPLETE ME WITH IMAGE DOCUMENTATION; LIMITED NTATION, WITH OR WITHOUT DUPLEX DOPPLER STUDY APP ROACH; SINGLE/FIRST GESTATION AD DITION GESTATION (LIST SEP ADDITION CD, 1 PROCEDURE) TR ANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATION AD DITION GESTATION (LST SEP ADDITION CD, 1 PROCEDURE) DOM INAL APPROACH; SINGLE OR FIRST GESTATION DIT ION GESTATION (LIST SEP ADDITION CD, 1 PROCEDURE) TAT IVE AMNIOTIC FLUID VOLUME), ONE OR MORE FETUSES FET US MENTATION (2D) WITH OR WITHOUT M-MODE RECORDING; TUD Y OR CONTINUOUS WAVE WITH SPECTRAL DISPLAY; COMPLETE OR CONTINUOUS WAVE WITH SPECTRAL DISPLAY; FOLLOW-UP OR REPEAT STUDY ENTATION; COMPLETE ENTATION; LIMITED OR FOLLOW-UP (EG, FOR FOLLICLES) MENT PLANNING (SEPARATE PROCEDURE) UMENTATION
- 591. IRING PHYSICIAN MANIPULATION) (NOT REQUIRING PHYSICIAN MANIPULATION) ERPRETATION ON OF LESION AND IMAGING) MAGING SUPERVISION AND INTERPRETATION OCALIZATION DEVICE), IMAGING SUPERVISION AND INTERPRETATION NTERPRETATION , ANY METHOD ECONSTRUCTION OF TUMOR VOLUME DO S,AS REQD COURSE,TX, WHEN PRESCRIBED TREAT PHYS OR TARGET AND CRITICAL STRUCTURE PARTIAL TOLERANCE SPECIFICATIONS OF INTEREST) EST ) COM PLEX BLOCKING, ROTATIONAL OR SPECIAL BEAM) PY, 1 TO 8 SOURCES) ACH YTHERAPY, 9 TO 12 SOURCES) ON, REMOTE AFTERLOADING BRACHYTHERAPY, OVER 12 SRCS) Y THE TREATING PHYSICIAN STENTS, BITE BLOCKS, SPECIAL BOLUS) CIAL SHIELDS, COMPENSATORS, WEDGES, MOLDS OR CASTS) UPP OF THE RAD ONCOLOGIST, REPORTED PER WEEK OF THERAPY CES, AND SPECIAL SERVICES L OPPOSED PORTS, SIMPLE BLOCKS OR NO BLOCKS; UP TO 5 MEV L OPPOSED PORTS, SIMPLE BLOCKS OR NO BLOCKS; 6-10 MEV L OPPOSED PORTS, SIMPLE BLOCKS OR NO BLOCKS; 11-19 MEV L OPPOSED PORTS, SIMPLE BLOCKS OR NO BLOCKS; 20 MEV OR GREATER PORTS ON A SINGLE TREATMENT AREA, USE OF MULTIPLE BLOCKS; UP TO 5 MEV PORTS ON A SINGLE TREATMENT AREA, USE OF MULTIPLE BLOCKS; 6-10 MEV PORTS ON A SINGLE TREATMENT AREA, USE OF MULTIPLE BLOCKS; 11-19 MEV REA TER ICL EBEAM (EG, ELECTRON OR NEUTRONS); UP TO 5 MEV ICL EBEAM (EG, ELECTRON OR NEUTRONS); 6-10 MEV
- 592. ICL EBEAM (EG, ELECTRON OR NEUTRONS); 11-19 MEV ICL EBEAM (EG, ELECTRON OR NEUTRONS); 20 MEV OR GREATER CM LC), PER TREATMENT SESSION OF ONE OR TWO FRACTIONS ONLY TE COURSE OF TREATMENT CONSISTING OF ONE SESSION) PER ORAL, ENDOCAVITARY OR INTRAOPERATIVE CONE IRRADIATION) M OR LESS) CATHETERS OR CATHETERS UPTAKE STUDIES) R PRIMARY PROCEDURE) OCEDURE); SINGLE SAMPLING OCEDURE); MULTIPLE SAMPLINGS
- 593. NIQ UE) R HEPATIC SEQUESTRATION) UE LOCALIZATION OSTIC NUCLEAR MEDICINE TO F GALLBLADDER FUNCTION OR EXERCISE, SINGLE OR MULTIPLE DETERMINATIONS
- 594. CISE AND/OR PHARMACOLOGIC),WITH OR WITHOUT QUANTIFICATION INJ ECTION, WITH OR WITHOUT QUANTIFICATION ON RR EST INJECTION, W/WO QUANT. TECHNIQUE QUANTIFICATION JEC TION FRACTION, WWO ADDITIONAL QUANTITATIVE PROCESSING PHA RMACOLOGIC), W W/O ADDITIONAL QUANTIFICATION UDY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ON TO CODE FOR PRIMARY PROCEDURE) DY PLUS EJECTION FRACTION, W/WOQUANT. LUS EJECT. FRACTION, W/WO QUANTIFICATION UDY AT REST OR STRESS STUDIES AT REST AND/OR STRESS G PAR ATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) WASHOUT, WITH OR WITHOUT SINGLE BREATH POSTERIOR, LATERAL VIEWS) ONE OR MULTIPLE PROJECTIONS OR WITHOUT SINGLE BREATH; SINGLE PROJECTION OR, LATERAL VIEWS) ISTERNOGRAPHY ENTRICULOGRAPHY HUNT EVALUATION OMOGRAPHIC (SPECT)
- 595. /OR DIURETIC) YME INHIBITOR AND/OR DIURETIC) AN DINTERPRETATION, NOT TO EXCEED 30 MINUTES SA NDINTERPRETATION, EXCEEDING 30 MINUTES OF PATIENT SE), INCLUDING EVALUATION OF PATIENT ACH PROCEDURE ASSAY), EACH DRUG CLASS
- 596. E FOLLOWING: CORTISOL(82533 X 2) X 2) NOL ONE (84143 X 2) ST INCLUDE THE FOLLOWING: ALDOSTERONE (82088 X 2) RENIN (84244 X 2) G: CALCITONIN (82308 X 4) (A CTH) (82024 X 6) BLO ODSAMPLES) SAM PLES) X4 )CORTISOL (82533 X 4) (TSH) (84443 X 4) N( 81050 X 2) (SINGLE DOSE DEXAMETHASONE, USE 82533) SULIN (83525 X 3) MINES, FRACTIONATED (82384 X 2) 4) H) (83003 X 4) (8 3003 X 4) OWING: INSULIN (83525) C-PEPTIDE (84681 X 5) GLUCOSE (82947 X 5) OLLOWING: CORTISOL (82533 X 5) GLUCOSE (82947 X 5) 300 3X 5) 11 DEOXYCORTISOL (82634 X 2) X 3) X 4) EMIA THIS PANEL MUST INCLUDE THE FOLLOWING: PROLACTIN (84146 X 3)
- 597. Y AND MEDICALRECORDS ROBLEM, WITH REVIEW OF PATIENT'S HISTORY AND MEDICAL RECORDS NOG EN, ANY NUMBER OF CONSTITUENTS; WITH MICROSCOPY AN YNUMBER OF CONSTITUENTS; AUTOMATED, W/ MICROSCOPY NOG EN, ANY NUMBER OF CONSTITUENTS; W/O MICRO, NON-AUTO NOG EN, ANY NUMBER OF CONSTITUENTS; W/O MICRO, AUTOMATED
- 598. TANEOUS DETERMINATIONS E, FECES,1-3 SIMULTANEOUS DETERMINATIONS UID CHROMATOGRAPHY), ANALYTE NOT ELSEWHERE SPECIFIED
- 599. QUID CHROMATOGRAPHY), ANALYTENOT ELSEWHERE SPECIFIED
- 600. D O2 SATURATION) PT PULSE OXIMETRY LLY FOR HOME USE
- 601. ATIVE, EACH UALITATIVE ORSEMIQUANTITATIVE; MULTIPLE STEP METHOD )
- 602. NGLE PRIMER PAIR,EACH PRIMER PAIR
- 603. FLUID, IMMUNOLOGICAL PROBEFOR BAND IDENTIFICATION, EACH
- 605. OROMETHANE, DIETHYLETHER, ISOPROPYLALCOHOL, METHANOL) WBC COUNT TIAL WBC COUNT NT) AND AUTOMATED DIFFERENTIAL WBC COUNT
- 606. QUANTITATIVE VENOUS THROMBOEMBOLISM), QUALITATIVEOR SEMIQUANTITATIVE (KLEIHAUER-BETKE)
- 607. MOUNTAIN SPOTTED FEVER,SCRUB TYPHUS), EACH ANTIGEN REGULAR ANTIBODY(S), INTERPRETATION AND WRITTEN REPORT EPO RT IN COMPATIBLE UNITS), WITH WRITTEN REPORT , RNP, SC170, J01), EACH ANTIBODY
- 608. TUMOR ANTIGEN) SINGLE STEPMETHOD (EG, REAGENT STRIP) NCENTRATION STOGENESIS
- 609. N BLOT ORIMMUNOBLOT)
- 610. OR POSTOPERATIVE SALVAGE RUM,PER UNIT SCREENED UNIT SCREENED
- 611. IONAL ANTIGEN SYSTEM ,E ACH OR COMPATIBILITY TESTING; INCUBATION WITH ENZYMES, EACH OR COMPATIBILITY TESTING; BY DENSITY GRADIENT SEPARATION H DRUGS, EACH H INHIBITORS, EACH PE, EACH ABSORPTION OLATES (INCLUDES ANAEROBIC CULTURE, IF APPROPRIATE) LIA), SALMONELLA AND SHIGELLA SPECIES HP LATE ATION AND PRESUMPTIVE IDENTIFICATION OF ISOLATES TIFICATION OF ISOLATES, ANY SOURCE EXCEPT URINE, BLOOD OR STOOL ENTIFICATION OF ISOLATES, ANY SOURCE EXCEPT URINE, BLOOD OR STOOL NTIFICATION OF ISOLATES ITIVE IDENTIFICATION, EACH ISOLATE VE IDENTIFICATION, EACH ISOLATE KIT (SPECIFY TYPE); WITH COLONY ESTIMATION FROM DENSITY CHART SOLATES; SKIN, HAIR, OR NAIL SOLATES; OTHER SOURCE (EXCEPT BLOOD) SOLATES; BLOOD OURCE, WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF ISOLATES ROMATOGRAPHY (HPLC) METHOD GGLUTINATION GROUPING),PER ANTISERUM
- 612. ECIMEN COLLECTION EG, ANTIBIOTICGRADIENT STRIP) ER AGENTS) MASE), PER ENZYME ANT IMICROBIAL, PER PLATE AD DITION TO CODE FOR PRIMARY PROCEDURE) D, EACH AGENT A, FUNGI, OR CELL TYPES AIN FOR BACTERIA, FUNGI, PARASITES, VIRUSES OR CELL TYPES HER PES VIRUSES) S (EG, SALINE, INDIA INK, KOH PREPS) OR ECTOPARASITE OVA OR MITES (EG, SCABIES) OBSERVATION AND DISSECTION NTIFICATION BY CYTOPATHIC EFFECT EA CH ISOLATE LYS IS; MOTILITY AND COUNT (NOT INCLUDING HUHNER TEST) AN BY CYTOPATHIC EFFECT (EG, VIRUS SPECIFIC ENZYMATIC ACTIVITY) TELLA PERTUSSIS/PARAPERTUSSIS VIRUS, DIRECT FLUORESCENT ANTIBODY (DFA) YDIA TRACHOMATIS EGALOVIRUS, DIRECT FLUORESCENT ANTIBODY (DFA) OSPORIDIUM/GIARDIA SIMPLEX VIRUS TYPE 2 SIMPLEX VIRUS TYPE 1 NZA B VIRUS NZA A VIRUS ELLA MICDADEI ELLA PNEUMOPHILA FLUENZA VIRUS, EACH TYPE ATORY SYNCYTIAL VIRUS OCYSTIS CARINII NEMA PALLIDUM LLA ZOSTER VIRUS HERWISE SPECIFIED, EACH ORGANISM LENT FOR MULTIPLE ORGANISMS, EACH POLYVALENT ANTISERUM ET OXIN(S)
- 613. ANS AD ISPAR GROUP AG ROUP ST OOL ATIVE OR SEMIQUANTITATIVE, MULTIPLE STEP METHOD; HELICOBACTER PYLORI ANT IGEN (HBSAG) NEUTRALIZATION ACH ATIVE OR SEMIQUANTITATIVE, MULTIPLE STEP METHOD; SHIGA-LIKE TOXIN ED, EACH ORGANISM ,E ACH ORGANISM LE ORGANISMS, EACH POLYVALENT ANTISERUM
- 614. NTRACELLULARE, DIRECT PROBETECHNIQUE NTRACELLULARE, AMPLIFIED PROBE TECHNIQUE NTRACELLULARE, QUANTIFICATION FIED; DIRECT PROBE TECHNIQUE, EACH ORGANISM FIED; AMPLIFIED PROBE TECHNIQUE, EACH ORGANISM FIED; QUANTIFICATION, EACH ORGANISM DIRECT PROBE(S) TECHNIQUE AMPLIFIED PROBE(S) TECHNIQUE RVATION; STREPTOCOCCUS, GROUP B RVATION; CLOSTRIDIUM DIFFICILE TOXIN A RVATION; INFLUENZA E TRANSCRIPTASE AND PROTEASE STE D
- 615. STE D (LIST SEPARATELY ADDITION CODE, PRIMARY PROCEDURE) MEARS WITH INTERPRETATION LTER METHOD ONLY WITH INTERPRETATION MEARS AND FILTER PREPARATION WITH INTERPRETATION CHN IQUE) RUMSTICKS" WITH MANUAL RESCREENING UNDER PHYSICIAN SUPERVISION Y TECHNICIAN UNDER PHYSICIAN SUPERVISION ES TROGENIC INDEX) SLIDES AND/OR MULTIPLE STAINS SCREENING AND RESCREENING UNDER PHYSICIAN SUPERVISION C STUDY TO DETERMINE ADEQUACY OF SPECIMEN(S) UN DER PHYSICIAN SUPERVISION DS YSTEM&MANUAL RESCREENING, UNDER PHYSICIAN SUPERVISIO
- 616. OUNT 5 CELLS,1 KARYOTYPE, WITH BANDING (EG, BLOOM SYNDROME) MIA ) RYOTYPE, WITH BANDING COLONIES, 1 KARYOTYPE, WITH BANDING IA SAC, HYDROCELE SAC NERVE SKIN, STERILIZATION RSA /SYNOVL CYST CRPL TUN TISS CART,INFLM,NASL/SINOIDL SK ROS COP EVAL,SX MARGINS BRST,REDUCTN MAMMOPLASTY BRONCHS CO LON, TOTAL RESECTION ESOPHAGUS PATHOLOGY EXAMINATION) THE NAMINE SILVER), EACH UNO CYTOCHEMISTRY AND IMMUNOPEROXIDASE STAINS, EACH AMINATION); HISTOCHEMICAL STAINING WITH FROZEN SECTION(S) ENTS, EACH EPORT ON REFERRED MATERIAL TION(S), SINGLE SPECIMEN ROZEN SECTION(S)
- 617. MMUNOLOGICAL PROBE FORBAND IDENTIFICATION, EACH XCEPT BLOOD; XCEPT BLOOD; WITH DIFFERENTIAL COUNT NALYSIS, ANY BODY FLUID (EXCEPT URINE) AFFERENT LOOP CULTURE) PLUS APPROPRIATE TEST PROCEDURE MEN TUBE ALYSES OR CYTOPATHOLOGY; ALYSES OR CYTOPATHOLOGY; AFTER STIMULATION TORY STUDY); ONE HOUR TORY STUDY); TWO HOURS ,P ENTAGASTRIN) TORY STUDY); THREE HOURS, INCLUDING GASTRIC STIMULATION R DIAGNOSIS WITH SEMEN ANALYSIS SEMINATION OR DIAGNOSIS WITH SEMEN ANALYSIS
- 618. OR SUBCUTANEOUS USE E,50 MG, EACH ATI ON VACCINE/TOXOID) CCI NE/TOXOID) (LIST SEPARATELY ADDITION CD, 1 PROCEDURE) OR COMBINATION VACCINE/TOXOID) ITI ON TO CODE FOR PRIMARY PROCEDURE) USCULAR USE USCULAR USE TRAMUSCULAR USE NTRAMUSCULAR USE R INTRAMUSCULAR USE TRAMUSCULAR USE R JET INJECTION USE ULAR OR JET INJECTION USE , FOR INTRAMUSCULAR USE ADERMAL USE ON USE (U.S. MILITARY) AMUSCULAR USE AMUSCULAR USE THAN SEVEN YEARS, FOR INTRAMUSCULAR USE T INJECTION USE
- 619. RS OR OLDER,FOR INTRAMUSCULAR OR JET INJECTION S INFLUENZA B VACCINE (DTP-HIB), FOR INTRAMUSCULAR USE INFLUENZA B VACCINE (DTAP-HIB), FOR INTRAMUSCULAR USE SE EOU S OR INTRAMUSCULAR USE OR JET INJECTION USE EDULE), FOR INTRAMUSCULAR USE MUSCULAR USE EDULE), FOR INTRAMUSCULAR USE DER DIRECT SUPERVISION OF PHYSICIAN; UP TO ONE HOUR (LI ST SEPARATELY ADDITION TO CODE, PRIMARY PROCEDURE) ; SUBCUTANEOUS OR INTRAMUSCULAR OMM UNICATION INU TES FACE-TO-FACE WITH THE PATIENT INU TES FACE-TO-FACE W THE PATIENT; W MED EVAL & MGT SER INU TES FACE-TO-FACE WITH THE PATIENT INU TES FACE-TO-FACE W THE PATIENT; W MED EVAL & MGT SER INU TES FACE-TO-FACE WITH THE PATIENT INU TES FACE-TO-FACE W THE PATIENT; W MED EVAL & MGT SER TIE NTFACILITY,APPROX 20-30 MIN FACE-TO-FACE W THE PAT 20 -30 MIN FACE-TO-FACE W THE PAT;W MED EVAL & MGT SER PAT IENT FACIL,APPROX 45-50 MIN FACE-TO-FACE W THE PAT 45 -50 MIN FACE-TO-FACE W THE PAT;W MED EVAL & MGT SER TPA TIENT FACIL,APPROX 75-80 MIN FACE-TO-FACE W THE PAT 75 -80 MIN FACE-TO-FACE W THE PAT;W MED EVAL & MGT SER ES ETTING, APPROX 20-30 MINUTES FACE-TO-FACE W THE PAT 20 -30 MIN FACE-TO-FACE W THE PAT;W MED EVAL & MGT SER ES ETTING, APPROX 45-50 MINUTES FACE-TO-FACE W THE PAT 45 -50 MIN FACE-TO-FACE W THE PAT;W MED EVAL & MGT SER ES ETTING, APPROX 75-80 MINUTES FACE-TO-FACE W THE PAT 75 -80 MIN FACE-TO-FACE W THE PAT;W MED EVAL & MGT SER CA RESETTING, APPROX 20-30 MIN FACE-TO-FACE W THE PAT RE, APPROX 20-30 MIN FACE-TO-FACE W PAT; W MED E&M SER IDE NTSETTING, APPROX 45-50 MIN FACE-TO-FACE W THE PAT ,AP PROX 45-50 MIN FACE-TO-FACE W THE PAT;W MED E&M SER RES IDENT CARE, APPROX 75-80 MIN FACE-TO-FACE W THE PAT
- 620. ,AP PROX 75-80 MIN FACE-TO-FACE W THE PAT;W MED E&M SER ATION WITH NO MORE THAN MINIMAL MEDICAL PSYCHOTHERAPY DIUM AMOBARBITAL (AMYTAL) INTERVIEW) ES, PER DAY VE PSYCHOTHRPY); APPROX. 20-30 MINS VE PSYCHOTHRPY); APPROX. 45-50 MINS ENT'S BEHALF WITH AGENCIES, EMPLOYERS, OR INSTITUTIONS ICA LDIAGNOSTIC PURPOSES SON S,OR ADVISING THEM HOW TO ASSIST PATIENT RP HYSICIANS, AGENCIES, OR INSURANCE CARRIERS CLUDING EMG AND/OR MANOMETRY DEV ELOPMENT, & COUNSELING OF PARENTS ,A SSESS GROWTH & DEVELOPMENT, & COUNSELING OF PARENTS N, ASSESS GROWTH & DEVELOPMENT, & COUNSELING OF PARENTS GE AND OVER AY; FOR PATIENTS UNDER TWO YEARS OF AGE AY; FOR PATIENTS BETWEEN TWO AND ELEVEN YEARS OF AGE AY; FOR PATIENTS BETWEEN TWELVE AND NINETEEN YEARS OF AGE AY; FOR PATIENTS TWENTY YEARS OF AGE AND OVER UBSTANTIAL REVISION OF DIALYSIS PRESCRIPTION NEO US MEASUREMENT AND DISCONNECTION NT AND DISCONNECTION GLE PHYSICIAN EVALUATION ,W /WO SUBSTANT REVIS OF DIALYSIS PRESCRIPT LETED COURSE SE NOT COMPLETED, PER TRAINING SESSION REPARATION OF SPECIMENS (SEPARATE PROCEDURE) HAGEAL JUNCTION) STUDY F GASTROESOPHAGEAL REFLUX; F GASTROESOPHAGEAL REFLUX; PROLONGED RECORDING STAMINE, INSULIN, PENTAGASTRIN, CALCIUM AND SECRETIN) ROCEDURE)
- 621. N OF DIAGNOSTICAND TREATMENT PROGRAM; INTERMEDIATE, NEW PATIENT ONE OR MORE VISITS E, ESTABLISHED PATIENT VE, ESTABLISHED PATIENT, ONE OR MORE VISITS ER MANIPULATION TO FACILITATE DIAGNOSTIC EXAM; COMPLETE ER MANIPULATION TO FACILITATE DIAGNOSTIC EXAM; LIMITED ND REPORT (SEPARATE PROCEDURE) STI MULUS LEVEL AUTO TEST, EG OCTOPUS 3 OR 7 EQUIVALENT) SEM IQUANT, AUTO SUPRATHRESHOLD SCREEN PROGRAM, HUMPHREY OTT EDAND STATIC WITHIN THE CENTRAL 30, OR QUANT ME DICAL TX OF ACUTE ELEVATION OF INTRAOCULAR PRESSURE) ER METHOD OR PERILIMBAL SUCTION METHOD TH INTERPRETATION AND REPORT, UNILATERAL LENS POWER CALCULATION ONOGRAPHY T, MELANOMA), WITH INTERPRETATION AND REPORT; INITIAL T, MELANOMA), WITH MEDICAL DIAGNOSTIC EVALUATION; SUBSEQUENT AND REPORT ATION AND REPORT BOTH EYES, WITH MEDICAL DIAGNOSTIC EVALUATION HY, GONIOPHOTOGRAPHY, STEREO-PHOTOGRAPHY) SPECULAR ENDOTHELIAL MICROSCOPY AND CELL COUNT WITH FLUORESCEIN ANGIOGRAPHY EY ES, EXCEPT FOR APHAKIA PHA KIA, ONE EYE PHA KIA, BOTH EYES CT LENS, WITH MEDICAL SUPERVISION OF ADAPTATION; CORNEOSCLERAL LENS TEC H;CORNEAL LENS, BOTH EYES, EXCEPT FOR APHAKIA TEC H;CORNEAL LENS FOR APHAKIA, ONE EYE TEC H;CORNEAL LENS FOR APHAKIA, BOTH EYES TEC H;CORNEOSCLERAL LENS OF ADAPTATION EDICAL SUPERVISION OF ADAPTATION
- 622. DAP TATION ENS SYSTEM LC ORRECTION.INC READING ADDITIONS UP TO 4D) AND/OR AURAL REHABILITATION STATUS SSING DISORDER (INCLUDES AURAL REHABILITATION); INDIVIDUAL DIV IDUALS WIT HOUT SPEECH PROCESSOR PROGRAMMING STITUTES FOUR TESTS) STITUTES FOUR TESTS), WITH RECORDING WITH RECORDING ROCEDURE) 553 AND 92556 COMBINED)
- 623. OF THE CENTRALNERVOUS SYSTEM; COMPREHENSIVE OF THE CENTRAL NERVOUS SYSTEM; LIMITED T OR DISTORTION PRODUCTS) TM ULTIPLE LEVELS AND FREQUENCIES) ORAL SPEECH ROGRAMMING QUENT REPROGRAMMING EPROGRAMMING ERNATIVE COMMUNICATION DEVICE G PROGRAMMING AND MODIFICATION NATIVE COMMUNICATION DEVICE, FACE-TO-FACE WITH THE PATIENT; FIRST HOUR E PT; EA ADD 30 MIN GRAMMING AND MODIFICATION CORDING; PHYSICIAN INTERPRETATION AND REPORT ONLY E OR VIDEO RECORDING E OR VIDEO RECORDING; PHYSICIAN INTERPRETATION AND REPORT ONLY REP ORT ONLY RATE PROCEDURE)
- 624. TION TO CODEFOR PRIMARY PROCEDURE) OR PRIMARY PROCEDURE) ONARY ANGIOGRAPHY T;I NITIAL VESSEL (LIST SEP IN ADD TO CODE FOR PRIM PROC) ACH ADDITIONAL VESSEL OR WITHOUT OTHER THERAPEUTIC INTERVENTION, ANY METHOD; SINGLE VESSEL VE SSEL (LIST SEPARATELY IN ADD TO CODE FOR PRIMARY) VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) D TYPE) (INCLUDES CARDIAC CATHETERIZATION) CARDIAC CATHETERIZATION) METHOD, WITH OR WITHOUT BALLOON ANGIOPLASTY; SINGLE VESSEL TS EPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) RE) AND REPORT T INTERPRETATION AND REPORT EPORT ONLY S), 24-HOUR ATTENDED MONITORING, PER 30 DAY PERIOD OF TIME;TRACING ONLY IEW WITH INTERPRETATION AND REPORT ONLY STR ESS; WITH PHYS SUPERVISION, INTERPRET AND REPORT STR ESS; PHYS SUPERVISION ONLY, W/O INTERPRET & REPORT STR ESS; TRACING ONLY, W/O INTERPRET AND REPORT STR ESS; INTERPRETATION AND REPORT ONLY ,S CAN ANALYSIS W/ REPORT, PHYSICIAN REVIEW & INTERPRET CLU DES HOOK-UP, RECORDING, AND DISCONNECTION) YSI SWITH REPORT IEW AND INTERPRETATION ABL EOF FULL MINI PRINTOUT; RECORD & REPORT ABL EOF FULL MINI PRINTOUT; HOOK-UP DISCONNECT ABL EOF FULL MINI PRINTOUT; MICROPROCESSOR ANALYSIS ABL EOF FULL MINI PRINTOUT; PHYSICIAN REVIEW & INTERPRET NGS ,W/ REPORT, PHYSICIAN REVIEW & INTERPRET NGS ,POSSIBLY PATIENT ACTIVATED; REAL-TIME ANALYSIS NGS ,POSSIBLY PT ACTIVATED; PHYSICIAN REV & INTERPRET TR ANSMISSION, PHYSICIAN REVIEW AND INTERPRETATION G( INCLUDES HOOK-UP, RECORDING, AND DISCONNECTION) NG, RECEIPT OF TRANSMISSIONS, AND ANALYSIS NR EVIEW AND INTERPRETATION ONLY -UP OR LIMITED STUDY WITH OR WITHOUT M-MODE RECORDING; COMPLETE
- 625. M-MODE RECORDING; FOLLOW-UPOR LIMITED STUDY AC QUISITION, INTERPRETATION AND REPORT BE ONLY NA NDREPORT ONLY UDING PROBE PLACEMENT, IMAGE ACQUISITION, INTERPRETATION AND REPORT EMENT OF TRANSESOPHAGEAL PROBE ONLY E ACQUISITION, INTERPRETATION AND REPORT ONLY RDI AC PUMP FUNC & THERAPEUTIC MSURES IMMED TIME BA IMA GING); COMPLETE UDY (LIST SEP IN ADD TO CODES FOR ECHOCARDIOGRAPH IMAG) ADDITION TO CODES FOR ECHOCARDIOGRAPHY) PHA RMACOL INDUCED STRESS, W INTERP & RPT TORING PURPOSES CO NCOMITANT LEFT HEART CATHETERIZATION ARTERY OR FEMORAL ARTERY; PERCUTANEOUS ARTERY OR FEMORAL ARTERY; BY CUTDOWN THE TERIZATION) OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION) ETE RIZATION) ATION, FOR CONGENITAL CARDIAC ANOMALIES HET ERIZATION, FOR CONGENITAL CARDIAC ANOMALIES TH EART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIE USE DFOR BYPASS ERI ES TRICULAR OR RIGHT ATRIAL ANGIOGRAPHY RICULAR OR LEFT ATRIAL ANGIOGRAPHY Y ANGIOGRAPHY (INJECTION OF RADIOPAQUE MATERIAL MAY BE BY HAND) URING CARDIAC CATHETERIZATION; VENTRICULAR AND/OR ATRIAL ANGIOGRAPHY TIV ECORONARY ANGIOGRAPHY INC VENOUS BYPASS GRAFTS SEP ARATE PROCEDURE) OU TPUT IN CL PHARMACOLOGICALLY INDUCED STRESS; INITIAL VESSEL IN CLUDING PHARMACOLOGICALLY INDUCED STRESS; EA ADD VESS TION (IE, FONTAN FENESTRATION, ATRIAL SEPTAL DEFECT) WITH IMPLANT EFECT WITH IMPLANT IA (LIST SEPARATELY ADDITION TO CODE, PRIMARY PROCEDURE) DITION TO CODE FOR PRIMARY PROCEDURE) LECTROGRAM(S); LECTROGRAM(S); WITH PACING
- 626. ATH ETERS, WO INDUCTION/ATTEMPTED INDUCTION, ARRHYTHMIA PAC ING&REC, RIGHT VENTRICULAR PACING&REC, HIS BUNDLE IAL PACING & RECORDING FROM CORONARY SINUS /LEFT ATRI ARR HYTHMIA;W LEFT VENTRICULAR PACING & RECORDING PARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) RHY THMIA CTI ON AR RHYTHMIA TERMINATION) AT TIME OF INIT IMPLANT/REPLACE IM PLNT/REPLACE;TEST OF 1/2 CH PAC CARDIOV-DEF PULSE GEN HMI A TERM, & PROGRAM/REPROG OF SENS/THERAP PARAMETERS) HOU T TEMPORARY PACEMAKER PLACEMENT YS, ACCESSORY CONNECTIONS OR OTHER ATRIAL FOCI VENTRICULAR TACHYCARDIA TH OR WITHOUT PHARMACOLOGICAL INTERVENTION ADD ITION TO CODE FOR PRIMARY PROCEDURE) RDI AVIA IMPLANTED PACEMAKER & INTERPRET OF RECORDINGS) ETA TION OF RETRIEVED ECG DATA AND REPROGRAMMING) WI THOUT REPROGRAMMING ;W ITH REPROGRAMMING NG OFSENSORY FUNCTION OF PACEMAKER) TELEPHONIC ANALYSIS EV ENT MARKERS & DEVICE RESPONSE); WITHOUT REPROGRAMMING EV ENT MARKERS & DEVICE RESPONSE); WITH REPROGRAMMING FUN CTION OF PACEMAKER), TELEPHONIC ANALYSIS ERP RE OF REC AT REST & DUR EXER); 1 CHAMB, WO REPROGRAM ERP RE OF REC AT REST & DUR EXER); 1 CHAMB,WITH REPROGRAM ERP RE OF REC AT REST & DUR EXER); 2 CHAMBER,WO REPROGRAM ERP RE OF REC AT REST & DUR EXER); 2 CHAMBER,W REPROGRAM G, SCANNING ANALYSIS, INTERPRETATION AND REPORT TAPE AND/OR COMPUTER DISK, FOR 24 HOURS OR LONGER; RECORDING ONLY WIT HREPORT ITH INTERPRETATION AND REPORT S ECG MONITORING (PER SESSION) G MONITORING (PER SESSION) LAR PNEUMOPLETHYSMOGRAPHY, DOPPLER ULTRASOUND ANALYSIS) EP LETHYSMOGRAPHY, TRANSCUTANEOUS OXYGEN MEASUREMENT) (SE GMENTAL PRESSURE, DOPPLER WAVEFORM, PLETHYSMOGRAPHY) LLOWING TREADMILL STRESS TESTING, COMPLETE BILATERAL STUDY
- 627. E BILATERAL STUDY RALOR LIMITED STUDY E BILATERAL STUDY AL OR LIMITED STUDY PH LEBORHEOGRAPHY, IMPEDANCE PLETHYSMOGRAPHY) ER MANEUVERS; COMPLETE BILATERAL STUDY ER MANEUVERS; UNILATERAL OR LIMITED STUDY OTAL CONTENTS AND/OR RETROPERITONEAL ORGANS; COMPLETE STUDY /OR RETROPERITONEAL ORGANS; LIMITED STUDY S; COMPLETE STUDY S; UNILATERAL OR LIMITED STUDY ETE STUDY W-UP OR LIMITED STUDY SS AND VENOUS OUTFLOW) NTI LATION FT RANSMIT DATA,PERIODIC RECAL & PHYS REVIEW & INTERPRET APT URE, TREND ANALYSIS, AND PERIODIC RECALIBRATION) EVIEW AND INTERPRETATION ONLY DILATOR (AEROSOL OR PARENTERAL) CAL AGENT, WITH SUBSEQUENT SPIROMETRICS PEN CIRCUIT METHOD, OR OTHER METHOD ME SPASM WITH PRE- AND POST-SPIROMETRY) ION, O2 UPTAKE, AND ELECTROCARDIOGRAPHIC RECORDINGS) HAL ER/INTERMITT POSITIVE PRESS BREATHING (IPPB) DEVIC MENT OR PROPHYLAXIS VENTILATORS FOR ASSISTED OR CONTROLLED BREATHING; FIRST DAY VENTILATORS FOR ASSISTED OR CONTROLLED BREATHING; SUBSEQUENT DAYS ATOR, NEBULIZER, METERED DOSE INHALER OR IPPB DEVICE TATE LUNG FUNCTION; INITIAL DEMONSTRATION AND/OR EVALUATION TATE LUNG FUNCTION; SUBSEQUENT EN EXTRACTED ASUREMENTS) ATIONS (EG, DURING EXERCISE) RNIGHT MONITORING (SEPARATE PROCEDURE)
- 628. UR CONTINUOUS RECORDING,INFANT MEDIATE TYPE REACTION, SPECIFY NUMBER OF TESTS UMB EROF TESTS TES TS E REACTION, SPECIFY NUMBER OF TESTS IFY NUMBER OF TESTS REACTION, INCLUDING READING, SPECIFY NUMBER OF TESTS FUNCTION TESTS); WITH HISTAMINE, METHACHOLINE, OR SIMILAR COMPOUNDS FUNCTION TESTS); WITH ANTIGENS OR GASES, SPECIFY S, EG, FOOD, DRUG OR OTHER SUBSTANCE SUCH AS METABISULFITE) OF ALLERGENIC EXTRACTS; SINGLE INJECTION OF ALLERGENIC EXTRACTS; TWO OR MORE INJECTIONS ING LEINJECTION ULT IPLE INJECTIONS (SPECIFY NUMBER OF INJECTIONS) ING LESTINGING INSECT VENOM WO STINGING INSECT VENOMS HRE ESTINGING INSECT VENOMS OUR STINGING INSECT VENOMS IVE STINGING INSECT VENOMS BER OF VIALS) ST INGING INSECT VENOM NGL E STINGING INSECT VENOMS SIN GLE STINGING INSECT VENOMS ING LE STINGING INSECT VENOMS ING LE STINGING INSECT VENOMS CIF Y NUMBER OF DOSES) ECT OR OTHER ARTHROPOD (SPECIFY NUMBER OF DOSES) ON& TRAIN, REC, DCION, DOWNLOADING W PRINTOUT, DATA) ING MULTIPLE TRIALS TO ASSESS SLEEPINESS G OR HEART RATE, AND OXYGEN SATURATION, UNATTENDED BY A TECHNOLOGIST G OR HEART RATE, AND OXYGEN SATURATION, ATTENDED BY A TECHNOLOGIST ENDED BY A TECHNOLOGIST EEP, ATTENDED BY A TECHNOLOGIST SUR ETHERAPY/BILEVEL VENTILATION,ATTEND BY A TECHNOLOGIST HIC (EEG) RECORDING
- 629. ING HAND) ORTRUNK SON WITH NORMAL SIDE) UDING HANDS UDING HANDS EMITY (EXCLUDING HAND) OR EACH TRUNK SECTION (SPINE) OR WITHOUT COMPARISON WITH NORMAL SIDE PINAL AREAS INAL AREAS ARA SPINAL, CRANIAL NERVE SUPPLIED MUSCLES, OR SPHINCTERS EAC HMUSCLE STUDIED METABOLITE(S) WITHOUT F-WAVE STUDY SITE(S) ALONG THE NERVE; MOTOR, WITH F-WAVE STUDY N TO CODE FOR PRIMARY PROCEDURE) REC R'D R-R INTERVAL, VALSALVA RATIO, AND 30:15 RATIO HNG SDURING VALSALVA MNVR & 5+ MINS OF PASSIVE TILT YS WEAT TST&CHNGS IN SYMPATHETIC SKIN POTENTIAL SYS TEM; IN UPPER LIMBS SYS TEM; IN LOWER LIMBS SYS TEM; IN THE TRUNK OR HEAD MIUS/SOLEUS MUSCLE NERVE, ANY ONE METHOD ATI ON, EACH 24 HOURS ,F ORPRESURGICAL LOCALIZATION), EACH 24 HOURS AND INTERPRETATION, EACH 24 HOURS NG EEG RECORDING OF ACTIVATION PHASE (EG, THIOPENTAL ACTIVATION TEST) AND INTERPRETATION, EACH 24 HOURS GRAPHIC (EEG) MONITORING /ID ENTIFY VITAL BRAIN STRUCT; INITIAL HOUR OF PHYS ATTN ;E ACH ADDITIONAL HOUR OF PHYSICIAN ATTENDANCE RAIN MAGNETIC ACTIVITY (EG, EPILEPTIC CEREBRAL CORTEX LOCALIZATION) EX LOCALIZATION) LIZ ATION) (LIST SEPARATELY ADDITION CODE, 1 PROCEDURE) ,NE UROMUSC) NEUROSTIM PULSE GEN/TRANSMIT, WO REPROGRAM LAR ) NEUROSTIM PULSE GEN/TRANSMIT, W INTRAOP/SUBSEQ PROG RAT OR/TRANSMITTER, WITH INTRAOP/SUBSEQ PROG, FIRST HOUR NTR AOP/SUBSEQ PROG,EACH ADD 30 MINUTES AFTER FIRST HOUR TTE RY STATUS, ELECTRODE SELECTABILITY, OUTPUT MODULATION TTE RY STATUS, ELECTRODE SELECTABILITY, OUTPUT MODULATION
- 630. RY, SPINAL (INTRATHECAL,EPIDURAL) OR BRAIN (INTRAVENTRICULAR) ATICS; WITH DYNAMIC PLANTAR PRESSURE MEASUREMENTS DURING WALKING TIVITIES, 1-12 MUSCLES TIVITIES, 1 MUSCLE YNA M FINE WIRE EMG, W WRITTEN RPT ORS CHACH, MMPI) WITH INTERPRETATION AND REPORT, PER HOUR IAG NOSTIC APHASIA EXAM) W/ INTERP & REPORT, PER HOUR NGUAGE MILESTONE SCREEN), WITH INTERPRETATION AND REPORT NFA NTDEVELOPMENT) W/ INTERPRETATION & REPORT, PER HOUR S, LANGUAGE FNC, PLANNING) W/ INTERP & REPORT, PER HOUR INTERPRETATION AND REPORT, PER HOUR ), EA 15 MIN FACE-TO-FACE W THE PATIENT; INIT ASSESSMENT EAC H 15 MIN FACE-TO-FACE WITH THE PATIENT; RE-ASSESS MORE PATIENTS) THE PATIENT PRESENT) OUT THE PATIENT PRESENT) OUT LOCAL ANESTHESIA MAR Y PROCEDURE) ABL EOR IMPLANTABLE PUMP PRI MARY PROCEDURE) ORT ABLE OR IMPLANTABLE PUMP ORACENTESIS PERITONEOCENTESIS DING SPINAL PUNCTURE RY, SYSTEMIC (EG, INTRAVENOUS, INTRA-ARTERIAL) S RESERVOIR, SINGLE OR MULTIPLE AGENTS HOT OSENSITIVE DRUG(S), EA PHOTOTHERAPY EXPOSURE SESSION TO CODE FOR ENDOSC/BRONCHOSCOPY PROC OF LUNG & ESOPHAG) DT O CODE FOR ENDOSC/BRONCHOSCOPY PROC OF LUNG & ESOPHG) OUN TS, OR STRUCTURAL HAIR SHAFT ABNORMALITY OLATUM AND ULTRAVIOLET B PER VISION OF THE PHYSICIAN (INC MEDICATION & DRESSINGS) HAN 250 SQ CM
- 631. AL), EACH 15MINUTES LIT Y RE, &/ PROPRIOCEPTION FOR SITTING &/ STANDING ACTIVITIES WITH THERAPEUTIC EXERCISES CLUDES STAIR CLIMBING) PER CUSSION) DRAINAGE, MANUAL TRACTION), ONE OR MORE REGIONS, EACH 15 MINUTES ND/OR TRUNK, EACH 15 MINUTES 15 MINUTES NTA CT BY THE PROVIDER, EACH 15 MINUTES NT CONTACT BY THE PROVIDER, EACH 15 MINUTES APT EQUIP) DRCT ONE-ON-ONE CONT PROVIDER, EA 15 MIN ANA LYSIS), DIRECT 1 ON 1 CONTACT BY PROVIDER, EA 15 MIN ON TO CODE FOR PRIMARY PROCEDURE) ND ASSESSMNT,&INSTRUCTION(S), ONGOING CARE,/SESS OUN D ASSESSMENT,&INSTRUCTION(S), ONGOING CARE,/SESSN L CAPACITY), WITH WRITTEN REPORT, EACH 15 MINUTES CE-TO-FACE WITH THE PATIENT, EACH 15 MINUTES O-FACE WITH THE PATIENT, EACH 15 MINUTES
- 632. FFICE TO ALABORATORY TED ) SUC HAS ORTHOTICS, PROTECTIVES, PROSTHETICS JOR SERVICE AT THAT VISIT OFFICE WHICH ARE NORMALLY PROVIDED IN OFFICE RUG S,TRAYS, SUPPLIES, OR MATERIALS PROVIDED) HYSICIAN FOR THE PATIENT'S EDUCATION AT COST TO PHYSICIAN RENATAL, OBESITY, OR DIABETIC INSTRUCTIONS) ED IN THE USUAL MEDICAL COMMUNICATIONS OR STANDARD REPORTING FORM MATOLOGIC DATA) ED HEALTH CARE PROFESSIONAL, REQUIR MIN, 30 MIN OF TME T SEPARATELY IN ADDITION TO CODE FOR PRIMARY ANESTHESIA PROCEDURE) TELY IN ADDITION TO CODE FOR PRIMARY ANESTHESIA PROCEDURE) ATELY IN ADDITION TO CODE FOR PRIMARY ANESTHESIA PROCEDURE) ADDITION TO CODE FOR PRIMARY ANESTHESIA PROCEDURE) MUSCULAR OR INHALATION R INTRANASAL PECTED TRAUMA PS EUDOISOCHROMATIC PLATES, AND FIELD OF VISION TION UNTIL STOMACH ADEQUATELY EMPTIED OF POISON R WITHOUT ECG AND/OR PRESSURE MONITORING); EACH HOUR R WITHOUT ECG AND/OR PRESSURE MONITORING); 3/4 HOUR R WITHOUT ECG AND/OR PRESSURE MONITORING); 1/2 HOUR ND/ ORCOORDINATION OF CARE W/ PROVIDERS/AGENCIES NSE LING, COORDINATION OF CARE; LOW/MODERATE SEVERITY OUN SELING, COORDINATION OF CARE; MODERATE SEVERITY ELI NG, COORDINATION OF CARE; MODERATE TO HIGH SEVERITY G, COORDINATION OD CARE; MODERATE TO HIGH SEVERITY MI NUTES ARE SPENT PERFORMING OR SUPERVISING SERVICES G. PROBLEM(S) ARE SELF LIMITED OR MINOR NG LOW COMPLEXITY. PROBLEM(S) LOW TO MODERATE SEVERITY ATE COMPLEXITY. PROBLEM(S) MODERATE TO HIGH SEVERITY
- 633. HIG HCOMPLEXITY. PROBLEM(S) MODERATE TO HIGH SEVERITY QUI RING ADMISSION TO "OBSERVATION STATUS" LOW SEVERITY Y. ADMISSION TO "OBSERVATION STATUS" MODERATE SEVERITY .A DMISSION TO "OBSERVATION STATUS" HIGH SEVERITY OBL EMS REQUIRING ADMISSION OF LOW SEVERITY TY. PROBLEMS REQUIRING ADMISSION OF MODERATE SEVERITY PRO BLEMS REQUIRING ADMISSION OF HIGH SEVERITY TY. PATIENT IS STABLE, RECOVERING OR IMPROVING IEN TIN ADEQUATELY RESPONDING TO THERAPY UN STABLE, SIGNIFICANT COMPLICATION OR NEW PROBLEM &P ATIENT'S &/ FAM'S NEEDS;PRES PROB REQ ADMIS, LOW SEV NEE DS;PRESENTING PROBLEM(S) REQ ADMISSION ARE OF MOD SEV EDS ;PRESENTING PROBLEM(S) REQ ADMIS ARE OF HIGH SEV GP ROBLEM(S) ARE SELF LIMITED OR MINOR ROB ARE OF LOW SEVER,30 MIN FACE-TO-FACE W PAT &/ FAM NTI NG PROBLEM(S) ARE OF MODERATE SEVERITY ENT ING PROBLEM(S) ARE OF MODERATE TO HIGH SEVERITY NG PROBLEM(S) ARE OF MODERATE TO HIGH SEVERITY SEN TING PROBLEM(S) ARE SELF LIMITED OR MINOR KIN G.PRESENTING PROBLEM(S) ARE OF LOW SEVERITY NG PROBLEM(S) ARE OF MODERATE SEVERITY TIN G PROBLEM(S) MODERATE TO HIGH SEVERITY OF HIGH COMPLEXITY, MODERATE TO HIGH SEVERITY ING OR LOW COMPLEXITY; RECOVERING OR IMPROVING COM PLEXITY; INADEQUATELY REPONDING, MINOR COMPLICATION UN STABLE, SIGNIFICANT COMPLICATIONS OR NEW PROBLEM OR MINOR .PR ESENTING PROBLEM(S) ARE OF LOW SEVERITY Y AR E OF MODERATE TO HIGH SEVERITY EO F MODERATE TO HIGH SEVERITY OBL EMS ARE SELF LIMITED OR MINOR TIN G PROBLEM(S) ARE OF LOW TO MODERATE SEVERITY RES ENTING PROBLEM(S) ARE OF MODERATE SEVERITY M(S )HIGH SEVERITY, & REQUIRE URGENT EVAL BY PHYSICIAN SE V & AN IMMED SIGNIF THREAT TO LIFE/PHYSIOLOGIC FUNC ANCED LIFE SUPPORT HS, AGE/LESS; 1ST 30-74 MIN, HANDS CARE DUR TRANSPORT E/L ESS; EA ADDITION 30 MIN (LST SEP ADDITION CD, 1 SV NJURED PATIENT; FIRST 30-74 MINUTES CE OF THE PHYSICIAN; EACH ADDITIONAL 30 MINUTES YOU NG CHILD RY OUNG CHILD CON T /FREQ VITAL SGN MNTRG,LAB &BLD GAS INTERPRET,FLW ORY SUPPORT,CONTINUOUS /FREQUENT VITAL SIGN MONITORIN CRI T ILL CONT REQUIRE INTENSIVE CARDIAC & RESPIR MNTR H WT;INFNT W BODY WT 1500-2500 GMS ES, PT IS STABLE,RECVRING/IMPROVING;CARE IS REQD,30 MIN RMA NENT STATUS CHANGE. NEW CARE PLAN REQUIRED
- 634. HIG H COMPLEXITY. CREATION OF MEDICAL CARE PLAN REQUIRED IS STABLE, RECVRING/IMPROVING PHYS SPEND 15 MIN,BEDSIDE ATE .PT RESPONDING INADEQUATELY; MINOR COMPLICATION NG MODERATE/HIGH. SIGNIFICANT COMPLICATION/NEW PROBLEM Y. PRESENTING PROBLEM(S) ARE OF LOW SEVERITY RAT E COMPLEXITY.PROBLEM(S) OF MODERATE SEVERITY BLE M(S) ARE OF HIGH COMPLEXITY LOW COMPLEXITY. STABLE, RECOVERING OR IMPROVING MO DERATE COMPLEXITY. MINOR COMPLICATION/NEW PROBLEM MPL EXITY. UNSTABLE, SIGNIFICANT COMPLICATION/NEW PROBLEM OF LOW SEV; 20 MIN FACE-TO-FACE W THE PATIENT &/ FAMILY OF MOD SEV;30 MINUTES FACE-TO-FACE WITH PATIENT &/ FAM #NAME? GH SEV; 45 MINUTES FACE-TO-FACE W THE PATIENT &/ FAM HS EV; PHYSICIANS SPEND 60 MIN FACE-TO-FACE W PAT &/ FAM RE QIM MED PHYS ATTN;75 MIN FACE-TO-FACE W THE PAT &/FAM EED S;PROB SELF-LIMIT/MIN;15 MIN FACE-TO-FACE W PAT &/FAM DS; PRES PROB LOW-MOD SEV;25 MIN FACE-TO-FACE W PAT &/FAM S;P RES PROB MOD-HIGH SEV;40 MIN FACE-TO-FACE W PAT &/FAM D-H IGH SEV;UNSTAB/SIGNIF NEW PROB;60 MIN W THE PAT &/FAM (EG , PROLONGED CARE AND TREATMENT OF AN ACUTE ASTHMATIC (EG , PROLONGED CARE AND TREATMENT OF AN ACUTE ASTHMATIC TAL MONITORING FOR HIGH RISK DELIVERY OR OTHER PHYSIOLOG TAL MONITORING FOR HIGH RISK DELIVERY OR OTHER PHYSIOLOG OTH PHYS SERVICE(S) &/ INPAT/OUTPAT E&M SERVICE) TO CODE FOR PROLONGED PHYS SERVICE) AN/ HIGH RISK DELIVERY,MONITORING EEG) ENT CARE (PATIENT NOT PRESENT); APPROX 30 MINS ENT CARE (PATIENT NOT PRESENT); APPROX 60 MINS ORDINATING W/ OTH HEALTH CARE PROFESSIONALS; SIMPLE OR BRIEF ORDINATING W/ OTH HEALTH CARE PROFESSIONALS; INTERMEDIATE ORDINATING W/ OTH HEALTH CARE PROFESSIONALS; COMPLEX OR LENGTHLY /CA RE DEC W HLTH CARE PROF,FAM,W/IN CAL MNTH;15-29 MIN ,SU RROGATE DECISN MAKER&/KEY CARGIVER PT CARE,30 MN/MRE F,N W INFO,MED TX PLAN &/ ADJ,W/IN CAL MNTH; 15-29 MIN DT X PLAN &/ ADJ, MED TX, W/IN CAL MONTH; 30 MIN/MORE EP ROF,NEW INFO,MED TX PLAN&/ADJ,W/IN CAL MNTH;15-29 MIN CA RE PROF,INFO,MED TX PLAN&/ADJ,MEDTX,W/IN MNTH;>30 MIN AB/ DIAG PROCS, NEW PT; INFANT (AGE UNDER 1 YEAR) B/D IAG PROCS, NEW PT; (AGE 1 THRU 4 YEARS) B/D IAG PROCS, NEW PT; (AGE 5 THRU 11 YEARS) B/D IAG PROCS, NEW PT; ADOLE AGE 12-17 YEARS AP PROP IMM(S), LAB/DIAG PROCS, NEW PT; 18-39 YEARS AP PROP IMM(S), LAB/DIAG PROCS, NEW PT; 40-64 YEARS AP PROP IMM(S), LAB/DIAG PROCS, NEW PT; 65 YEARS&OVER LA B/DIAG PROCS, ESTABLISHED PT; UNDER 1 YEAR LA B/DIAG PROCS, ESTABLISHED PT;AGE 1-4 YEARS LA B/DIAG PROCS, ESTABLISHED PT;AGE 5-11 YEARS LA B/DIAG PROCS, ESTABLISHED PT;AGE 12-17 YEARS S), LAB/DIAG PROCS, ESTABLISHED PT; 18-39 YEARS S), LAB/DIAG PROCS, ESTABLISHED PT; 40-64 YEARS
- 635. S), LAB/DIAG PROCS, ESTABLISHED PT; 65 YEARS&OVER NUT ES NUT ES NUT ES NUT ES PRO XIMATELY 30 MINUTES PRO XIMATELY 60 MINUTES HEALTH HAZARD APPRAISAL) SHO ULD ALSO BE USED FOR BIRTHING ROOM DELIVERIES) DING PHYSICAL EXAM OF BABY AND CONFERENCE(S) WITH PARENT(S) DF ROM THE HOSPITAL OR BIRTHING ROOM ON THE SAME DATE) TABILIZATION OF NEWBORN /OR CARDIAC OUTPUT FOR MA; COLLECTION OF BLOOD SAMPLE AND/OR URINALYSIS CUL ATION OF IMPAIRMENT; FUTURE TREATMENT PLAN ULA TION OF IMPAIRMENT; FUTURE TREATMENT PLAN NIT ORING Y, RESPIRATORY ASSESSMENT, APNEA EVALUATION) D ENTERAL) ) OR PLATELETS, PER VISIT ROSTENOL), PER VISIT ADDITION TO CODE FOR PRIMARY VISIT),PER VISIT ; MODULAR BIFURCATED PROSTHESIS (TWO DOCKING LIMBS)
- 636. ; AORTO-UNI-ILIAC ORAORTO-UNIFEMORAL PROSTHESIS PERCUTANEOUS; INITIAL VESSEL ODE FOR PRIMARY PROCEDURE) PERCUTANEOUS, RADIOLOGICAL SUPERVISION AND INTERPRETATION, EACH VESSEL HAG OGASTRIC JUNCTION OSIS SURGERY) ANTIGEN RESPONSE SY; NOT OTHERWISE SPECIFIED SY; OTOSCOPY SY; TYMPANOTOMY EATMENT OF ARTICULAR SURFACE DEFECT; AUTOGRAFTS EATMENT OF ARTICULAR SURFACE DEFECT; ALLOGRAFTS ON), TRANSPUPILLARY THERMOTHERAPY ARYNGEAL TUMOR TICAL NEURONS DING PROGNATHISM) ESSED SKULL FRACTURE, EXTRADURAL (SIMPLE OR COMPOUND) OMPARISON TO KNOWN GENOTYPIC/PHENOTYPIC DATABASE, HIV 1 ITH OUT TEMPORARY PACEMAKER D REPORT, BILATERAL NANT LIPOPROTEINS) NI NCLUDING RADIOLOGIC LOCALIZATION & EPIDUROGRAPHY
- 637. RVES OF HEAD,NECK, AND POSTERIOR TRUNK, NOT OTHERWISE SPECIFIED YMPHATIC SYSTEM OF NECK; NOT OTHERWISE SPECIFIED, AGE 1 YEAR OR OLDER YMPHATIC SYSTEM OF NECK; NEEDLE BIOPSY OF THYROID HAN 1 YEAR OF AGE INI TIAL ENDOPROSTHESIS IN, INITIAL ENDOPROSTHESIS ON; INITIAL EXTENSION EAC H ADDITIONAL EXTENSION AL END OPROSTHESIS, RADIOLOGICAL SUPERVISION&INTERPRETATION END OPROSTHESIS, RADIOLOGICAL SUPERVISION&INTERPRETATION ANTERIOR TRUNK AND PERINEUM; NOT OTHERWISE SPECIFIED DUC TION OR AUGMENTATION MAMMOPLASTY, MUSCLE FLAPS) REA ST REA STWITH INTERNAL MAMMARY NODE DISSECTION EA EXTENSION, RADIOLOGICAL SUPERVISION&INTERPRETATION UDING SUBCUTANEOUS TISSUE; ELECTRICAL CONVERSION OF ARRHYTHMIAS COMPOUNDS BL OOD FLOW, CEREBRAL BLOOD VOLUME, & MEAN TRANSIT TIME LM ELANOMA ERWISE SPECIFIED OSCOPY, THORACOSCOPY); NEEDLE BIOPSY OF PLEURA OSCOPY, THORACOSCOPY); PNEUMOCENTESIS ORACOSCOPY ER-DEFIBRILLATOR UENCY ABLATION CIF IED VE NTILATION , AND MEDIASTINUM; DECORTICATION , AND MEDIASTINUM; PLEURECTOMY , AND MEDIASTINUM; PULMONARY RESECTION WITH THORACOPLASTY EDU RES ON THE TRACHEA AND BRONCHI HEST; WITHOUT PUMP OXYGENATOR
- 638. HEST; WITH PUMPOXYGENATOR HEST; WITH PUMP OXYGENATOR WITH HYPOTHERMIC CIRCULATORY ARREST IENT IN THE SITTING POSITION PATHECTOMY BAR PUNCTURE ERVICAL, THORACIC OR LUMBAR SPINE MENTATION OR VASCULAR PROCEDURES) E SPECIFIED S LIVER BIOPSY NTRODUCED PROXIMAL TO DUODENUM AL) HERNIAS AND/OR WOUND DEHISCENCE APHRAGMATIC HERNIA ROSCOPY; NOT OTHERWISE SPECIFIED ING LIVER BIOPSY) ROSCOPY; PANCREATECTOMY, PARTIAL OR TOTAL (EG, WHIPPLE PROCEDURE) ROSCOPY; LIVER TRANSPLANT (RECIPIENT) ROSCOPY; GASTRIC RESTRICTIVE PROCEDURE FOR MORBID OBESITY E SPECIFIED CED DISTAL TO DUODENUM UNDER 1 YEAR OF AGE 0W EEKS GESTATIONAL AGE AT TIME OF SURGERY ROSCOPY; NOT OTHERWISE SPECIFIED ROSCOPY; AMNIOCENTESIS ROSCOPY; ABDOMINOPERINEAL RESECTION ROSCOPY; RADICAL HYSTERECTOMY ROSCOPY; PELVIC EXENTERATION ROSCOPY; TUBAL LIGATION/TRANSECTION NARY TRACT; NOT OTHERWISE SPECIFIED NEP HRECTOMY NARY TRACT; TOTAL CYSTECTOMY NARY TRACT; RADICAL PROSTATECTOMY (SUPRAPUBIC, RETROPUBIC) NARY TRACT; ADRENALECTOMY NARY TRACT; RENAL TRANSPLANT (RECIPIENT) NARY TRACT; CYSTOLITHOTOMY SE SPECIFIED
- 639. CAVA LIGATION NOT OTHERWISESPECIFIED RANSURETHRAL RESECTION OF BLADDER TUMOR(S) RANSURETHRAL RESECTION OF PROSTATE POST-TRANSURETHRAL RESECTION BLEEDING WITH FRAGMENTATION, MANIPULATION AND/OR REMOVAL OF URETERAL CALCULUS EDURES); NOT OTHERWISE SPECIFIED EDURES); VASECTOMY, UNILATERAL/BILATERAL EDURES); SEMINAL VESICLES EDURES); UNDESCENDED TESTIS, UNILATERAL OR BILATERAL EDURES); RADICAL ORCHIECTOMY, INGUINAL EDURES); RADICAL ORCHIECTOMY, ABDOMINAL EDURES); ORCHIOPEXY, UNILATERAL OR BILATERAL EDURES); COMPLETE AMPUTATION OF PENIS ECT OMY LY MPHADENECTOMY EDURES); INSERTION OF PENILE PROSTHESIS (PERINEAL APPROACH) OR ENDOMETRIUM); NOT OTHERWISE SPECIFIED ETH IAL PROCEEDURES OR ENDOMETRIUM); VAGINAL HYSTERECTOMY OR ENDOMETRIUM); CERVICAL CERCLAGE OR ENDOMETRIUM); CULDOSCOPY OR ENDOMETRIUM); HYSTEROSCOPY AND/OR HYSTEROSALPINGOGRAPHY R ILIAC CREST AMPUTATION HROPLASTY SPECIFIED SA OF UPPER LEG S GRAFT; NOT OTHERWISE SPECIFIED S GRAFT; FEMORAL ARTERY LIGATION S GRAFT; FEMORAL ARTERY EMBOLECTOMY SA OF KNEE AND/OR POPLITEAL AREA
- 640. T OTHERWISE SPECIFIED AL KNEE ARTHROPLASTY ARTICULATION AT KNEE SE SPECIFIED US FISTULA RWISE SPECIFIED THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT EXCISION AND GRAFT OR REPAIR FOR OCCLUSION OR ANEURYSM R LEG, ANKLE, AND FOOT; NOT OTHERWISE SPECIFIED THO UTGRAFT ) OTHERWISE SPECIFIED ICAL RESECTION (INCLUDING BELOW KNEE AMPUTATION) EOTOMY OR OSTEOPLASTY OF TIBIA AND/OR FIBULA AL ANKLE REPLACEMENT T; NOT OTHERWISE SPECIFIED T; EMBOLECTOMY, DIRECT OR CATHETER RECT OR CATHETER SA OF SHOULDER AND AXILLA VICULAR JOINT, ACROMIOCLAVICULAR JOINT, AND SHOULDER JOINT JO INT; NOT OTHERWISE SPECIFIED JO INT; RADICAL RESECTION JO INT; SHOULDER DISARTICULATION JO INT; INTERTHORACOSCAPULAR (FOREQUARTER) AMPUTATION JO INT; TOTAL SHOULDER REPLACEMENT SE SPECIFIED CHIAL ANEURYSM ORAL BYPASS GRAFT F UPPER ARM AND ELBOW; NOT OTHERWISE SPECIFIED F UPPER ARM AND ELBOW; TENOTOMY, ELBOW TO SHOULDER, OPEN F UPPER ARM AND ELBOW; TENOPLASTY, ELBOW TO SHOULDER F UPPER ARM AND ELBOW; TENODESIS, RUPTURE OF LONG TENDON OF BICEPS T OTHERWISE SPECIFIED EOTOMY OF HUMERUS
- 641. ONUNION/MALUNION, HUMERUS DICAL PROCEDURES ISION OF CYST OR TUMOR OF HUMERUS AL ELBOW REPLACEMENT ISE SPECIFIED SA OF FOREARM, WRIST, AND HAND D T ERWISE SPECIFIED WISE SPECIFIED D VENTRICULOGRAPHY THE ARTERIAL SYSTEM; NOT OTHERWISE SPECIFIED THE ARTERIAL SYSTEM; CAROTID OR CORONARY THE ARTERIAL SYSTEM; INTRACRANIAL, INTRACARDIAC, OR AORTIC CUL ATION); NOT OTHERWISE SPECIFIED RCU LATION (EG, TRANSCUTANEOUS PORTO-CAVAL SHUNT (TIPS)) CUL ATION); INTRATHORACIC OR JUGULAR CUL ATION); INTRACRANIAL GER Y; LESS THAN FOUR % TOTAL BODY SURFACE AREA GER Y; BETWEEN FOUR&NINE %, TOTAL BODY SURFACE AREA EA ADDITION 9 % TOTAL BODY SURFACE AREA/PART THEREOF NE CESSARY REPLACEMENT, AN EPIDURAL CATHETER DUR LABOR) ED) PER FORMED) TH E PRONE POSITION TIO N MINISTRATION IVIDUAL OR ORGANIZATION), WITH NO VESTED INTEREST LY MEMBER, SELF, NEIGHBOR) WITH VESTED INTEREST
- 642. R TRANSPORTATION SYSTEMS ORINTER STATE PE RMITTED IN BLS AMBULANCES) MBU LANCES) ED); (REQUIRES MEDICAL REVIEW) 1-EMERGENCY) PAR TY PAYERS SEST APPROPRIATE FACILITY)
- 643. D GLUCOSE MONITOROWNED BY PATIENT, EACH OR PERITONEAL, ETC.) EXTERNAL ACCESS PIDURAL, SUBARACHNOID, PERITONEAL, ETC.) YDR OPHILIC, ETC.) WO-WAY, ALL SILICONE HREE-WAY, FOR CONTINUOUS IRRIGATION OPH ILIC, ETC.) WAY, ALL SILICONE E-WAY, FOR CONTINUOUS IRRIGATION R USE WITH URINARY LEG BAG OR UROSTOMY POUCH, EACH
- 644. E, SILICONE ELASTOMER,OR HYDROPHILIC, ETC.), EACH UX DEVICE; PER DOZEN AR, EACH (E.G., 2 PER MONTH) SILICONE, SILICONE ELASTOMER, OR HYDROPHILIC, ETC.), EACH EFLON, SILICONE. SILICONE ELASTOMER, OR HYDROPHILIC, ETC.),EACH Y INDWELLING FOLEY CATHETER, EACH R CLAMP), EACH OR WITHOUT TUBE, EACH CONVEXITY, ANY SIZE, EACH CONVEXITY, EACH CONVEXITY (1 PIECE), EACH ONVEXITY (1 PIECE), EACH ONVEXITY (1 PIECE), EACH
- 645. AR, WITH BUILT-INCONVEXITY, 4 X 4 INCHES OR SMALLER, EACH AR, WITH BUILT-IN CONVEXITY, LARGER THAN 4 X 4 INCHES, EACH AR, WITHOUT BUILT-IN CONVEXITY, 4 X 4 INCHES OR SMALLER, EACH AR, WITHOUT BUILT-IN CONVEXITY, LARGER THAN 4 X 4 INCHES, EACH CE SYSTEM), WITH FILTER, EACH -IN CONVEXITY, 4 X 4 INCHES OR SMALLER, EACH -IN CONVEXITY, LARGER THAN 4X4 INCHES, EACH CH TO THICKEN LIQUID STOMAL OUTPUT, EACH
- 646. NERVE STIMULATOR (TENS)OWNED BY PATIENT ED BY PATIENT D OWNED BY PATIENT NT, PER DOSE NCE IMAGING, E.G., GADOTERIDOL INJECTION
- 647. SIS, PER GALLON AN249CC, BUT LESS THAN OR EQUAL TO 999CC, FOR PERITONEAL DIALYSIS AN 999CC, BUT LESS THAN OR EQUAL TO 1999CC, FOR PERITONEAL DIALYSIS AN 1999CC, BUT LESS THAN OR EQUAL TO 2999CC, FOR PERITONEAL DIALYSIS AN 2999CC, BUT LESS THAN OR EQUAL TO 3999CC, FOR PERITONEAL DIALYSIS AN 3999CC, BUT LESS THAN OR EQUAL TO 4999CC, FOR PERITONEAL DIALYSIS AN 4999CC, BUT LESS THAN OR EQUAL TO 5999CC, FOR PERITONEAL DIALYSIS AN 5999CC, FOR PERITONEAL DIALYSIS
- 648. MUL TI- DENSITY INSERT(S), PER SHOE HOE ), PER SHOE ,P ER SHOE AY SHOE OR CUSTOM MOLDED SHOE WITH WEDGE(S), PER SHOE AY SHOE OR CUSTOM MOLDED SHOE WITH METATARSAL BAR, PER SHOE AY SHOE OR CUSTOM MOLDED SHOE WITH OFF-SET HEEL(S), PER SHOE F OFF-THE-SHELF DEPTH-INLAY SHOE OR CUSTOM MOLDED SHOE, PER SHOE OM MOLDED SHOE, PER SHOE E (I.E. HEAT GUN) MULTIPLE DENSITY INSERT(S), PREFABRICATED, PER SHOE PE R SHOE NSITY INSERT(S), CUSTOM-FABRICATED, PER SHOE UND WARMING DEVICE AND WARMING CARD Q. IN., EACH ESS, EACH DRESSING 6 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH DRESSING 8 SQ. IN., EACH DRESSING SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING CH DRESSING EACH DRESSING SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING ER, EACH DRESSING
- 649. DER, EACH DRESSING UALTO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING ORDER, EACH DRESSING BORDER, EACH DRESSING UAL TO 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING IVE BORDER, EACH DRESSING IVE BORDER, EACH DRESSING N OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING HESIVE BORDER, EACH DRESSING DER, EACH DRESSING O 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING ORDER, EACH DRESSING SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING UT ADHESIVE BORDER, EACH DRESSING SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING UT ADHESIVE BORDER, EACH DRESSING RES SING HOUT ADHESIVE BORDER, EACH DRESSING R LESS, EACH DRESSING HAN 16 SQ. IN., BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH DRESSING 48 SQ. IN., EACH DRESSING SIVE BORDER, EACH DRESSING AN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING DHESIVE BORDER, EACH DRESSING ADHESIVE BORDER, EACH DRESSING SSI NG ZE ADHESIVE BORDER, EACH DRESSING BORDER, EACH DRESSING R EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING IVE BORDER, EACH DRESSING ESIVE BORDER, EACH DRESSING G DHESIVE BORDER, EACH DRESSING UT ADHESIVE BORDER, EACH DRESSING RES SING HOUT ADHESIVE BORDER, EACH DRESSING NY SIZE ADHESIVE BORDER, EACH DRESSING EAC H DRESSING H ANY SIZE ADHESIVE BORDER, EACH DRESSING H DRESSING
- 650. H, PER LINEARYARD ORDER, EACH DRESSING EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING E BORDER, EACH DRESSING EQUAL TO 3 INCHES AND LESS THAN 5 INCHES, PER ROLL (AT LEAST 3 THAN OR EQUAL TO 3 INCHES AND LESS THAN 5 INCHES PER ROLL (AT L HAN OR EQUAL TO 5 INCHES, PER ROLL (AT LEAST 3 YARDS, UNSTRETCH OR EQUAL TO 3 INCHES AND LESS THAN 5 INCHES, PER ROLL (AT LEAST N OR EQUAL TO 5 INCHES, PER ROLL (AT LEAST 3 YARDS, UNSTRETCHED) OT POUNDS AT 50% MAXIMUM STRETCH, WIDTH >/=3 INCHES & < 5 INCH BS AT 50% MAX STRETCH, WIDTH >/=3 INCHES &< 5 INCHES, PER RO .25 - 1.34 FOOT POUNDS AT 50% MAXIMUM STRETCH, WIDTH >/= 3 INCHE OT POUNDS AT 50% MAX STRETCH, WIDTH >/= 3 INCHES & < 5 INCHES .55 FOOT POUNDS AT 50% MAXIMUM STRETCH, WIDTH >/= 3 INCHES &< HAN OR EQUAL TO 3 INCHES AND LESS THAN 5 INCHES, PER ROLL (AT L ST), CUSTOM FABRICATED TARD), CUSTOM FABRICATED TOM FABRICATED DISPOSABLE H PATIENT OWNED EQUIPMENT, EACH
- 651. TH PATIENT OWNEDEQUIPMENT, EACH EVICE, WITH OR WITHOUT HEAD STRAP ISTURE EXCHANGE SYSTEM, EACH SYSTEM AND/OR WITH A TRACHEOSTOMA VALVE, EACH ACHEOSTOMA VALVE, ANY TYPE EACH OMA HEAT AND MOISTURE EXCHANGE SYSTEM, EACH RE EXCHANGE SYSTEM AND/OR WITH A TRACHEOSTOMA VALVE, EACH HEOSTOMA HEAT AND MOISTURE EXCHANGE SYSTEM, EACH SESTAMIBI, PER DOSE TETROFOSMIN, PER UNIT DOSE MEDRONATE, UP TO 30 MILLICURIE TL-201, PER MILLICURIE MAB PENDETIDE, PER DOSE E I-131, PER 0.5 MCI ISOFENIN, PER VIAL DEPREOTIDE, PER MCI PERTECHNETATE, PER MCI MEBROFENIN, PER MCI PYROPHOSPHATE, PER MCI PENTETATE, PER MCI APSULE, PER 100 UCI CAPSULE, PER MCI SOLUTION, PER UCI MACROAGGREGATED ALBUMIN, PER MCI SULFUR COLLOID, PER MCI EXAMETAZINE, PER DOSE MAB TIUXETAN, PER MCI OMAB TIUXETAN, PER MCI M ALBUMIN, 5 MICROCURIES
- 652. HCPCS CODE OFILE), EACH IT ISTERED THROUGH AN ENTERAL FEEDING TUBE, 100 CALORIES = 1 UNIT 1 UNIT THROUGH AN ENTERAL FEEDING TUBE, 100 CALORIES = 1 UNIT ADMINISTERED THROUGH AN ENTERAL FEEDING TUBE, 100 CALORIES = 1 UNIT AN ENTERAL FEEDING TUBE, 100 CALORIES = 1 UNIT H AN ENTERAL FEEDING TUBE, 100 CALORIES = 1 UNIT = 1 UNIT) - HOMEMIX (500 ML=1 UNIT) - HOMEMIX ANY STRENGTH, 10 TO 51 GRAMS OF PROTEIN - PREMIX ANY STRENGTH, 52 TO 73 GRAMS OF PROTEIN - PREMIX NY STRENGTH, 74 TO 100 GRAMS OF PROTEIN - PREMIX NY STRENGTH, OVER 100 GRAMS OF PROTEIN - PREMIX TES) HOMEMIX PER DAY GTH ,RENAL - AMIROSYN RF,NEPHRAMINE, RENAMINE - PREMIX NY STRENGTH, HEPATIC - FREAMINE HBC, HEPATAMINE - PREMIX ANY STRENGTH, STRESS - BRANCH CHAIN AMINO ACIDS - PREMIX , EACH UNIT TED, EACH UNIT
- 653. 57/58, PER 0.5MICROCURIE LINE, PER 0.5 MILLICURIE E, PER 0.5 MILLICURIE ARCITUMOMAB, PER VIAL SODIUM GLUCOHEPTONATE, PER VIAL SUCCIMER, PER VIAL TONGUE SOMNOPLASTY COAGULATING ELECTRODE SYSTEM, AND PAINBUSTER PAIN MANAGEMENT SYSTEM SE F18 (2-DEOXY-2-[18F]FLUORO-D-GLUCOSE), PER DOSE (4-40 MCI/ML) AST, ABDOMEN REAST; UNILATERAL REAST; BILATERAL AST, CHEST (EXCLUDING MYOCARDIUM)
- 654. AST, LOWER EXTREMITY E,PER 50 MCI E I-125 INJECTION, PER 10 UCI
- 655. TTEN REPORT ANSMISSION OFWRITTEN REPORT MIS SION OF WRITTEN REPORT ON AND TRANSMISSION OF WRITTEN REPORT
- 656. AL TO THEDENTINOCEMENTAL JUNCTION AND APPLICATION OF MEDICAMENT
- 657. TEETH SPACES, PERQUADRANT EETH OR BOUNDED TEETH SPACES, PER QUADRANT OUS TEETH OR BOUNDED TEETH SPACES, PER QUADRANT R QUADRANT BRANE REMOVAL) OUNDED TEETH SPACES, PER QUADRANT
- 658. (MALE OR FEMALECOMPONENT)
- 659. HIGH NOBLE METAL) TLYBASE METAL)
- 660. IUM ALLOY, ORHIGH NOBLE METAL) GH NOBLE METAL)
- 661.
- 662.
- 663.
- 664. XED, WITH TIPS XED, PAIR, COMPLETE WITH TIPS AND HANDGRIPS D, EACH, WITH TIP AND HANDGRIPS PS AND HANDGRIPS ND HANDGRIP
- 665. AUCET ATTACHMENT/S WITHOUT ARMS,ANY TYPE, EACH ND POWER CORD) FOR USE WITH WARMING CARD AND WOUND COVER CONTACT WOUND WARMING WOUND COVER
- 666. LS, WITH MATTRESS LS,WITHOUT MATTRESS PE SIDE RAILS, WITH MATTRESS PE SIDE RAILS, WITHOUT MATTRESS R FRAME, WITH MATTRESS TH MATTRESS THOUT MATTRESS E RAILS, WITH MATTRESS E RAILS, WITHOUT MATTRESS ON SYSTEM ATTRESS LENGTH AND WIDTH ,A ND TUBING ER, HUMIDIFIER, NEBULIZER, CANNULA OR MASK, AND TUBING , HUMIDIFIER, CANNULA OR MASK, AND TUBING LATOR, FLOWMETER, HUMIDIFIER, CANNULA OR MASK, AND TUBING NNU LA OR MASK, AND TUBING
- 667. TU BING AND REFILL ADAPTER LATOR, FLOWMETER, HUMIDIFIER, NEBULIZER, CANNULA OR MASK, AND TUBING OR MASK, AND TUBING OR WHEN BOTH A STATIONARY AND PORTABLE GASEOUS SYSTE HEN BOTH A STATIONARY AND PORTABLE LIQUID SYSTEM A STEMS WHEN NO STATIONARY GAS OR LIQUID SYSTEM IS USE WHEN NO STATIONARY GAS OR LIQUID SYSTEM IS USED) WITH INVASIVE INTERFACE (E.G., TRACHEOSTOMY TUBE) GGERING FEATURES WITH NON-INVASIVE INTERFACE S HOSES AND VEST), EACH S; INTERNAL OR EXTERNAL POWER SOURCE EATMENTS OR OXYGEN DELIVERY REGULATOR OR FLOWMETER R OXYGEN DELIVERY R CYLINDER DRIVEN REGULATOR OR FLOWMETER AC AND/OR DC) BLE AND VISIBLE CHECK SYSTEMS EMAKER COMPONENTS, INCLUDES DIGITAL/VISIBLE CHECK SYSTEMS
- 668. BLE CONTROLS PROTECTION; TREATMENTAREA 2 SQUARE FEET OR LESS PROTECTION, 4 FOOT PANEL PROTECTION, 6 FOOT PANEL BULBS/LAMPS, TIMER AND EYE PROTECTION R MULTIPLE NERVE STIMULATION TIVE FIBERS SEPARATED FROM THE PATIENT'S SKIN BY LAYERS OF FABRIC) D/OR TRAINER OSTIMULATOR PULSE GENERATOR LATOR RADIOFREQUENCY RECEIVER NT GNETIC ENERGY TREATMENT DEVICE F NAUSEA AND VOMITING OPERATED, WITH ADMINISTRATIVE EQUIPMENT, WORN BY PATIENT , PUMP, CATHETER, CONNECTORS, ETC.) E.G., PUMP, CATHETER, CONNECTORS, ETC.)
- 669. LE INFUSION PUMP,REPLACEMENT E INTRASPINAL CATHETER) LOST LIMBS TO MAINTAIN PROPER BALANCE)
- 670. SPENSED WITH INITIALCHAIR) LCHAIR, EACH LCHAIR, EACH CLUDES HARDWARE) DES HARDWARE) CARE GIVER ELEVATING LEGRESTS AY, DETACHABLE, ELEVATING LEGRESTS AY, DETACHABLE FOOTREST BLE, ELEVATING LEGRESTS BLE FOOTRESTS DETACHABLE, ELEVATING LEGRESTS H, SWING-AWAY, DETACHABLE, ELEVATING LEGRESTS CHABLE FOOTRESTS H, SWING-AWAY, DETACHABLE FOOTRESTS AY, DETACHABLE, ELEVATING LEGRESTS NG-AWAY, DETACHABLE FOOTRESTS LEVATING LEGRESTS LE FOOTRESTS ELEVATING LEGRESTS NG LEGRESTS
- 671. TS OR LEGRESTS CHABLEFOOTRESTS CHABLE, ELEVATING LEGRESTS ATING LEGRESTS ATING LEGRESTS TACHABLE, ELEVATING LEGREST TACHABLE FOOTRESTS BER, IF ANY, AND JUSTIFICATION) AME AND MODEL NUMBER DETACHABLE, ELEVATING LEGREST DETACHABLE FOOTRESTS VATING LEGRESTS ETACHABLE FOOTREST KILL OF A TECHNICIAN, LABOR COMPONENT, PER 15 MINUTES CONCENTRATION AT THE PRESCRIBED FLOW RATE ALA RM,IV POLES,PRESSURE GAUGE,CONCENTRATE CONTAINER
- 672. N ADJUSTMENT, INCLUDESCUFFS RFACE MATERIAL ADJUSTMENT, INCLUDES CUFFS ADJUSTMENT, INCLUDES CUFFS ADJUSTMENT, INCLUDES CUFFS CE WITH RANGE OF MOTION ADJUSTMENT, INCLUDES CUFFS SSIVE STRETCH DEVICE FT INTERFACE MATERIAL CATION DEVICE RVICE ON THE SAME DAY VICE ON THE SAME DAY ON THE SAME DAY E STUDY, REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC) IPLE STUDIES, REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC) REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC)
- 673. DIES, REST ORSTRESS (EXERCISE AND/OR PHARMACOLOGIC) DY, REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC) TUDIES, REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC) 3529); SINGLE STUDY, REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC) C) LOG IC) MAC OLOGIC) SINGLE STUDY, REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC) MULTIPLE STUDIES, REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC) MAC OLOGIC) PHA RMACOLOGIC) EST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC) ES, REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC) , REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC) DIES, REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC) Y, BARIUM ENEMA ERMINATIONS MORE), PER 30 MINUTES PHTHALMOLOGIST ISION OF AN OPTOMETRIST OR OPHTHALOMOLOGIST BARIUM ENEMA IA FOR HIGH RISK NG BY CYTOTECHNOLOGIST UNDER PHYSICIAN SUPERVISION NG INTERPRETATION BY PHYSICIAN Y, EACH 10 MINUTES BEYOND THE FIRST 5 MINUTES TP ROGRAM, PER DAY ITES; APPENDICULAR SKELETON (PERIPHERAL) (EG, RADIUS, WRIST, HEEL) IAN CRE EN & RESCREEN BY CYTOTECHNOLOGIST UNDER PHYS SUPERVSN AUTOMATED THIN LAYER PREPARATION, W SCREENING B RESERVATIVE FLUID, AUTOMATED THIN LAYR PREPARATION TED SYSTEM UNDER PHYSICIAN SUPERVISION TED SYSTEM WITH MANUAL RESCREENING
- 674. MENT SESSION PATIENTCARE NURSING STAFF) WITH PATIENT PRESENT AL HEALTH PROBLEMS, PER SESSION (45 MINUTES OR MORE) RE) W AGENCY & REVIEW REPORTS OF PATIENT STATUS BY PHY NO PRES), CONTS W HHA&REV, RPTS, PT STATUS REQD VW, SUBSEQNT RPTS,PAT STAT,REVW,LAB&OTHR STUDIES,COMMUNIC ,PA T STAT,REVW,LAB&OTH STUDIES,COMMUNICTN W HLTH CR PROF SES SIONS) ING THYROID AND CNS CANCERS CLUDING THYROID AND CNS CANCERS DING THYROID AND CNS CANCERS ORY SEIZURES LUSIVE SPECT STUDY ANCER; GAMMA CAMERAS ONLY ER; GAMMA CAMERAS ONLY OLOGICALLY DIAGNOSED NONSM CEL LNG CA; GAMMA CAMERAS G MAMMO &FURTHER PHYSIC REVIEW, DIAGNOSTIC MAMMOGM MUSCLES, FACE TO FACE, ONE ON ONE, EACH 15 MINUTES IBED BY G0237, ONE ON ONE, FACE TO FACE, PER 15 MINUTES SM ONITORING) AC CURCY&DOS VERIFICATION ,ALL LESS TRTD,/COURSE,TX ION S STHMA, MINIMUM EIGHT HOURS, MAXIMUM FORTY EIGHT HOURS S OF PROTECTIVE SENSATION WHICH MUST INCLUDE:(1) THE DIAG OF LO Y LOSS OF PROTECTIVE SENSATION TO INCLUDE AT LEAST THE FOLLOWING:(
- 675. PROTECTIVE SENSATION TOINCLUDE IF PRESENT, AT LEAST THE FOLLO LVE MEDICARE COVERAGE CRITERIA, UNDER THE DIRECTION OF A PHYSIC CHANICAL HEART VALVE MEDICARE COVERAGE CRITERIA; INCLUDES PROVI FOR A PATIENT WITH MECHANICAL HEART VALVE(S) WHO MEETS OTHER C LLIMATOR CHANGES & CUSTOM PLUGGING, FRACTIONATED TREATMENT, ALL L BREAST CANCER AND/OR SURGICAL PLANNING FOR BREAST CANCER (E G/RESTAGING OF LOCAL REGIONAL RECURRENCE / DISTANT METASTASES UATION OF RESPONSE TO TREATMENT, PERFORMED DURING COURSE OF TR MB, ANY NERVE SPERITONEAL PLACEMENT OF NEEDLES / CATH INTO THE PROSTATE, CYSTOSC TAL OUTPATIENT DEPARTMENT THAT IS NOT CERTIFIED AS AN ESRD FACIL VATION STAY (MUST BE REPORTED WITH G0244) ND/OR OTHER THERAPEUTIC AGENT AND ARTHROGRAPHY SPERINEAL PLACEMENT OF NEEDLES /CATH INTO THE PROSTATE, CYSTOSCOP CAL VALVE, INCLUDES PHYSICIAN INTERPRETATION AND REPORT T PAIN OR ASTHMA FOR OBSERVATION DIAGNOSIS OTHER THAN CONGESTIVE HEART FAILURE, CHEST PAIN OR A ELIMINATE CELL TYPE(S) (E.G. T-CELLS, METASTATIC CARCINOMA) F SERVICE AS AUDIOLOGIC FUNCTION TESTING OST SURGICAL OR INTERVENTIONAL PROCEDURE (E.G. ANGIOSEAL PLUG NG 2ND REFERRL SAME YEAR CHANGE DIAG, MEDICAL CONDITION /TREATMEN NG 2ND REFERRL SAME YEAR CHANGE IN DIAGNOSIS, MEDICAL CONDITION,/ IC GUIDANCE (INCLUDES FLUOROSCOPY, IMAGE DOCUMENTATION AND REPO ATMENT PLANNING RADIOPHARMACEUTICAL THERAPY NON-HODGKIN'S LYM ION OF RADIOPHARMACEUTICAL (E.G. RADIOLABELED ANTIBODIES) DES CATHETER PLACEMENT,INJECTION OF DYE, FLUSH AORTOGRAM & RADIOL TION, INCLUDES CATHETER PLACEMENT, INJECTION OF DYE, RADIOLOGIC TIS OR PLANTAR FASCITIS LCERS,ARTERIAL ULCERS,DIABETIC ULCERS,&VENOUS STATSIS ULCER OTHER THAN DESCRIBED IN G0281 OTHER THAN WOUND CARE, AS PART OF A THERAPY PLAN OF CARE PLANNING FOR VASCULAR SURGERY DEMENT/SHAVING OF ARTICULAR CARTILAGE AT THE TIME OF OTHER SURG ANEOUS, W/ WO OTHER THERAPEUTIC INTERVENTION, ANY METHOD; SINGLE V ANEOUS,W/WO OTHER THERAPEUTIC INTERVENTION, ANY METHOD; EACH ADDIT LUDES ADMINISTRATION FOR CHEMOTHERAPY & OTHER TYPES OF THERAP RAL OR SPINAL ANESTHESIA IN A MEDICARE QUALIFYING CLINICAL TRIAL, LY, IN A MEDICARE QUALIFYING CLINICAL TRIAL, PER DAY
- 676. NUT ES) [DEMO PROJECT CODE ONLY] ENT PROGRAM NCE OF ALCOHOL AND/OR DRUGS N PROGRAM INPATIENT) OGRAM INPATIENT) N PROGRAM OUTPATIENT) OGRAM OUTPATIENT) NSE L;CRISIS INTERVENTN,& ACT THERAPIES/EDUC LATORY SETTING) HOUT ROOM AND BOARD, PER DIEM NT PROGRAM), WITHOUT ROOM AND BOARD, PER DIEM SIDENTIAL TREATMENT PROGRAM WHERE STAY IS TYPICA VISION OF THE DRUG BY A LICENSED PROGRAM) D BY PROVIDERS) POPULATION) ECT OR NON-DIRECT CONTACT WITH SERVICE AUDIENCES ARGET POPULATION TO AFFECT KNOWLEDGE, ATTITUDE AN OF SERVICES TO DEVELOP SKILLS OF IMPACTORS) PR EVENTION THROUGH POLICY AND LAW) TI NCLUDE ASSESSMENT EV ENTS) OTHER THAN BLOOD
- 677. NED PURPOSES COMPOUNDS,INSTEAD USE A9270) E COMPOUNDS, INSTEAD USE A9270) WH EN DRUG IS SELF ADMINISTERED) WH EN DRUG IS SELF ADMINISTERED)
- 679. ND RUG IS SELF ADMINISTERED)
- 680. RU SE WHEN DRUG IS SELF ADMINISTERED)
- 682. OR USE WHEN DRUG IS SELF ADMINISTERED)
- 683. RM (354 MG) OR PROCESSED ELEMENTS, WITH METABOLICALLY ACTIVE CESSED ELEMENTS, WITH METABOLICALLY ACTIVE ELEMENTS, PER SQUARE RED OR PROCESSED ELEMENTS, BUT WITHOUT METABOLIZED ACTIVE ELEME M, PER GRAM BUT EROL) RED THRU DME,UNIT DOSE PER 1 MG PER.5 MG ORM, PER MILLIGRAM RM, PER MILLIGRAM
- 684. 25 TO 0.50MG TRATED FORM, PER MILLIGRAM E FORM, PER MILLIGRAM ORM, PER 10 MILLIGRAMS RM, PER 0.25 MILLIGRAM , PER MILLIGRAM MILLIGRAM D FORM, PER MILLIGRAM RM, PER MILLIGRAM M, PER MILLIGRAM ED FORM, PER MILLIGRAM RM, PER MILLIGRAM E FORM, PER MILLIGRAM D FORM, PER MILLIGRAM RM, PER MILLIGRAM ATED FORM, PER MILLIGRAM FORM, PER MILLIGRAM CENTRATED FORM, PER 10 MILLIGRAMS T DOSE FORM, PER 10 MILLIGRAMS RATED FORM, PER MILLIGRAM E FORM, PER MILLIGRAM FORM, PER MILLIGRAM M, PER MILLIGRAM
- 686. NTR OL AND BRAKING HARDWARE TRENGTH LIGHTWEIGHT WHEELCHAIR TRENGTH LIGHTWEIGHT WHEELCHAIR
- 687. ULTRALIGHTWEIGHT WHEELCHAIR GHTWEIGHT WHEELCHAIR IGH STRENGTH, LIGHTWEIGHT, OR ULTRALIGHTWEIGHT WHEELCHAIR NON-SEALED , ANY SIZE, EACH
- 688. ERAL SUPPORTS, CUSTOMFABRICATED FOR ATTACHMENT TO WHEELCHAIR BASE CHMENT TO WHEELCHAIR BASE L ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED RAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED TICK CONTROL LER CONTROL SK TURE, USED WITH NONINVASIVE INTERFACE, E.G., NASAL OR FACIAL MASK URE, USED WITH INVASIVE INTERFACE, E.G., TRACHEOSTOMY TUBE ARY OR PORTABLE, EACH ARY OR PORTABLE, EACH SS THAN OR EQUAL TO 8 MINUTES RECORDING TIME EATER THAN 8 MINUTES RECORDING TIME ON BY SPELLING AND ACCESS BY PHYSICAL CONTACT WITH THE DEVICE OF MESSAGE FORMULATION AND MULTIPLE METHODS OF DEVICE ACCESS DIGITAL ASSISTANT ILS , WITH MATTRESS N 600 POUNDS, WITH ANY TYPE SIDE RAILS, WITH MATTRESS M EXISTING MOLD OR PREFABRICATED, SOCKET INSERT, SILICONE GEL, EL M EXISTING MOLD OR PREFABRICATED, SOCKET INSERT, SILICONE GEL, EL NSERT FOR CONGENITAL / ATYPICAL TRAUMATIC AMPUTEE, SILICONE GEL, NSERT NOT CONGENITAL /ATYPICAL TRAUMATIC AMPUTEE, SILICONE GEL, E LTER (1 PIECE), EACH PIECE), EACH
- 689. SYSTEM), EACH (2PIECE SYSTEM), EACH YPE TAP WITH VALVE (1 PIECE), EACH AUCET-TYPE TAP WITH VALVE (1 PIECE), EACH ONVEXITY, WITH FAUCET-TYPE TAP WITH VALVE (1 PIECE), EACH VE (1 PIECE), EACH WITH VALVE (2 PIECE), EACH TYPE TAP WITH VALVE (2 PIECE), EACH LAR/OCCIPITAL PIECE) RVICAL BARS (SOMI, GUILFORD, TAYLOR TYPES) RVICAL BARS, AND THORACIC EXTENSION CAVITARY PRESSURE REDUCE LOAD INTEVERTEBRAL DISKS W RIGID STAYS / CAVITARY PRESSURE REDUCE LOAD INTERVERTEBRAL DISKS W RIGID STAYS STRICTS GROSS TRUNK MOTION SAGITTAL PLANE, INTRACAVITARY PRESSURE TERIOR APRON,EXTENDS FROM SACROCOCCYGEAL JUNCTION & TERMINATES LLS,POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION & TERMINATES LLS,POSTERIOR EXTENDS FROM SACROCOCCYGEAL & TERMINATES INFERIOR LLS,POSTERIOR EXTENDS FROM SACROCOCCYGEAL & TERMINATES INFERIOR LLS,POSTERIOR EXTENDS FROM SACROCOCCYGEAL & TERMINATES INFERIOR RAPS,CLOSURES & PADDING,RESTRICTS GROSS TRUNK MOTION SAGITTAL P R APRON W STRAPS,CLOSURES & PADDING,EXTENDS FROM SACROCOCCYGEAL W STRAPS, CLOSURES & PADDING, EXTENDS FROM SACROCOCCYGEAL JUNC DS SYMPHYSIS PUBIS TO STERNAL NOTCH W 2 ANTERIOR COMPONENTS,POST R W MULTIPLE STRAPS,CLOSURES &PADDING,EXTENDS SACROCOCCYGEAL JUN S W SOFT LINER,POSTERIOR EXTEND SACROCOCCYGEAL JUNCTION &TO XIP ELLS W SOFT LINER,POSTERIOR EXTENDS SACROCOCCYGEAL JUNCTION & T PLE STRAPS & CLOSURES,POSTERIOR EXTENDS SACROCOCCYGEAL JUNCTI STRAPS & CLOSURES,POSTERIOR EXTENDS SACROCOCCYGEAL JUNCTION PLE STRAPS & CLOSURES,POSTERIOR EXTENDS SACROCOCCYGEAL JUNCTI STRAPS & CLOSURES,POSTERIOR EXTENDS SACROCOCCYGEAL JUNCTION STRAPS & CLOSURES,POSTERIOR EXTENDS SACROCOCCYGEAL JUNCTION FORCED ANTERIOR,W MULTIPLE STRAPS & CLOSURES, POSTERIOR EXTEND EFABRICATED ILCOX TYPES), WITH APRON FRONT , WITH APRON FRONT
- 690. O PATIENT MODEL OPATIENT MODEL, WITH INTERFACE MATERIAL ANEL, PREFABRICATED AL CONTROL, MOLDED TO PATIENT MODEL, (MINERVA TYPE) VA TYPE) URNISHING INITIAL ORTHOSIS, INCLUDING MODEL DJUSTMENT RTHOSIS, AXILLA SLING RTHOSIS, KYPHOSIS PAD RTHOSIS, KYPHOSIS PAD, FLOATING RTHOSIS, LUMBAR BOLSTER PAD RTHOSIS, LUMBAR OR LUMBAR RIB PAD RTHOSIS, STERNAL PAD RTHOSIS, THORACIC PAD RTHOSIS, TRAPEZIUS SLING RTHOSIS, OUTRIGGER RTHOSIS, OUTRIGGER, BILATERAL WITH VERTICAL EXTENSIONS RTHOSIS, LUMBAR SLING RTHOSIS, RING FLANGE, PLASTIC OR LEATHER RTHOSIS, RING FLANGE, PLASTIC OR LEATHER, MOLDED TO PATIENT MODEL HOSIS, COVER FOR UPRIGHT, EACH ORACIC EXTENSION HORACIC EXTENSION TYPE SUPERSTRUCTURE ROTATION PAD HORACIC DEROTATION PAD (ELASTIC), EACH OCHANTERIC PAD
- 691. DIUM TYPES) COVER, PREFABRICATED,INCLUDES FITTING AND ADJUSTMENT Y), PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT PE), CUSTOM FABRICATED ADER BAR, THIGH CUFFS, CUSTOM FABRICATED TYPE), PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT ADULT SIZE, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT, ANY TED, INCLUDES FITTING AND ADJUSTMENT ), CUSTOM FABRICATED N TYPE, CUSTOM FABRICATED N TYPE, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENTS DA DJUSTMENT NCLUDES FITTING AND ADJUSTMENT S), PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT LUDES FITTING AND ADJUSTMENT FITTING AND ADJUSTMENT T, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT ABRICATED, INCLUDES FITTING AND ADJUSTMENT USTOM FABRICATED N JOINT, MEDIAL-LATERAL&ROTATION CONTROL, INCLUDE TENSION JOINT, MEDIAL-LATERAL AND ROTATION CONT ATE D, INCLUDES FITTING AND ADJUSTMENT BRI CATED T GHT KNEE JOINTS, CUSTOM FABRICATED ADS (CTI), CUSTOM FABRICATED M FABRICATED (SK) USTOM FABRICATED WITH KNEE JOINTS, CUSTOM FABRICATED JUS TMENT FABRICATED NEOPRENE, LYCRA) D ADJUSTMENT LUDES FITTING AND ADJUSTMENT OUNTER, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT LPS OR PERLSTEIN TYPE), CUSTOM FABRICATED NG AND ADJUSTMENT
- 692. BIAL SECTION (FLOORREACTION), CUSTOM FABRICATED D D UST OM FABRICATED JO INT, CUSTOM FABRICATED UST OM FABRICATED EJ OINT, CUSTOM FABRICATED CATED, INCLUDES FITTING AND ADJUSTMENT TOM FABRICATED OM FABRICATED NKLE, (LIVELY ORTHOSIS OR EQUAL), CUSTOM FABRICATED , MEDIAL LATERAL ROTATION CONTROL, CUSTOM FABRICATED RAPS, PELVIC BAND/BELT, CUSTOM FABRICATED LES, HIP JOINT, PELVIC BAND/BELT, CUSTOM FABRICATED LES, BALL BEARING HIP JOINT, PELVIC BAND/ BELT, CUSTOM FABRICATED TRAPS, PELVIC BAND/BELT, CUSTOM FABRICATED BLE, HIP JOINT, PELVIC BAND/BELT, CUSTOM FABRICATED BLE, BALL BEARING HIP JOINT, PELVIC BAND/ BELT, CUSTOM FABRICATED PLASTER TYPE CASTING MATERIAL, CUSTOM FABRICATED SYNTHETIC TYPE CASTING MATERIAL, CUSTOM FABRICATED THERMOPLASTIC TYPE CASTING MATERIAL, CUSTOM FABRICATED CUSTOM FABRICATED PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT RIGID, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT ORTHOSIS, PLASTER TYPE CASTING MATERIAL, CUSTOM FABRICATED ORTHOSIS, SYNTHETIC TYPE CASTING MATERIAL, CUSTOM FABRICATED ORTHOSIS, THERMOPLASTIC TYPE CASTING MATERIAL, CUSTOM FABRICATED ORTHOSIS, CUSTOM FABRICATED ORTHOSIS, SOFT, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT ORTHOSIS, SEMI-RIGID, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT ORTHOSIS, RIGID, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT T, LERMAN TYPE LANGE, AND PELVIC BELT EACH JOINT D OR MALLEOLUS PAD PADDED/LINED
- 693. ED, ADJUSTABLE MODEL, (USEDFOR 'PTB' 'AFO' ORTHOSES) AL), ANY MATERIAL, EACH JOINT ON, EACH JOINT ARING, RING DED TO PATIENT MODEL OW M-L BRIM MOLDED TO PATIENT MODEL OW M-L BRIM, CUSTOM FITTED ON JOINT, EACH BEARING, FREE, EACH NG, LOCK, EACH TENSION, ABDUCTION CONTROL, EACH L, RECIPROCATING HIP JOINT AND CABLES JOINT AND CABLES ALL HYBRID LAMINATION/PREPREG COMPOSITE, PER SEGMENT LINEAL ADJUSTMENT FOR GROWTH)
- 694. LOW KNEE SECTION OVEKNEE SECTION SION STYLE MECHANISM, EACH UPPORT, EACH RACE (ORTHOSIS) E (ORTHOSIS) IC SHOE, EACH
- 695. VETON), BOTH SHOES RICATED,INCLUDES FITTING AND ADJUSTMENT AND ADJUSTMENT (E.G. NEOPRENE, LYCRA) G AND ADJUSTMENT (E.G. NEOPRENE, LYCRA) AND WEBBING, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT RICATED, INCLUDES FITTING AND ADJUSTMENT E, OR EQUAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT
- 696. ES FITTING ANDADJUSTMENT DJUSTMENT NEOPRENE, LYCRA) G AND ADJUSTMENT STOM FABRICATED ION ASSIST, CUSTOM FABRICATED ITION LOCK WITH ACTIVE CONTROL, CUSTOM FABRICATED , INCLUDES FITTING AND ADJUSTMENTS, ANY TYPE ABRICATED, INCLUDES FITTING AND ADJUSTMENT FABRICATED FITTING AND ADJUSTMENTS, ANY TYPE UMB ABDUCTION ("C") BAR COND M.P. ABDUCTION ASSIST EXTENSION ASSIST, WITH M.P. EXTENSION STOP . EXTENSION STOP . EXTENSION ASSIST . SPRING EXTENSION ASSIST RING SWIVEL THUMB UMB I.P. EXTENSION ASSIST, WITH M.P. STOP ST, WITH DORSIFLEXION ASSIST USTABLE M.P. FLEXION CONTROL USTABLE M.P. FLEXION CONTROL AND I.P. RSION STYLE MECHANISM, EACH CU STOM FABRICATED BRI CATED OM FABRICATED FABRICATED TO PATIENT MODEL, CUSTOM FABRICATED EFABRICATED, INCLUDES FITTING AND ADJUSTMENT NEOPRENE, LYCRA) FITTING AND ADJUSTMENT STMENT (E.G. NEOPRENE, LYCRA) BRICATED, INCLUDES FITTING AND ADJUSTMENT FITTING AND ADJUSTMENT PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT ND ADJUSTMENT NCLUDES FITTING AND ADJUSTMENT FABRICATED, INCLUDES FITTING AND ADJUSTMENT AND ADJUSTMENTS, ANY TYPE TING AND ADJUSTMENT DES FITTING AND ADJUSTMENT ED, INCLUDES FITTING AND ADJUSTMENT EFABRICATED, INCLUDES FITTING AND ADJUSTMENT AND ADJUSTMENT ADJUSTMENT ND ADJUSTMENT TING AND ADJUSTMENT T, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT FITTING AND ADJUSTMENT RICATED, INCLUDES FITTING AND ADJUSTMENT
- 697. G AND ADJUSTMENT ANDADJUSTMENT MEN T TME NT ND ADJUSTMENT E DESIGN, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT ALSEY DESIGN, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT M, AND WRIST, WITH ARTICULATING ELBOW JOINT, CUSTOM FABRICATED BALANCED, ADJUSTABLE, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT AD JUSTMENT BALANCED, RECLINING, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT STA L JOINTS),PREFABRICATED,INCL FITTING&ADJUST MS USPENSION SUPPORT, PREFABRICATED,INCL FITTNG& ADJUST OXIMAL ARM TERAL ROCKER ARM WITH ELASTIC BALANCE CONTROL AND ADJUSTMENT TTING AND ADJUSTMENT D ADJUSTMENT FABRICATED RIST (EXAMPLE: COLLES' FRACTURE), CUSTOM FABRICATED DES FITTING AND ADJUSTMENT S FITTING AND ADJUSTMENT D, INCLUDES FITTING & ADJUSTMENT NG AND ADJUSTMENT
- 698. , SHIN, SACHFOOT TION, EXTERNAL KNEE JOINTS, SHIN, SACH FOOT ANKLE JOINTS, EACH LE/FOOT, DYNAMICALLY ALIGNED, EACH HIN, SACH FOOT ANT FRICTION KNEE, SHIN, SACH FOOT XIS CONSTANT FRICTION KNEE, SHIN, SACH FOOT T FRICTION KNEE, SHIN, SACH FOOT , SHIN, SACH FOOT, ENDOSKELETAL SYSTEM AXIS KNEE OINT, SINGLE AXIS KNEE, SACH FOOT T, SINGLE AXIS KNEE, SACH FOOT BE LOW KNEE ADD ITIONAL CAST CHANGE AND REALIGNMENT E" AK" OR KNEE DISARTICULATION RTI CULATION, EACH ADDITIONAL CAST CHANGE AND REALIGNMENT GID DRESSING, BELOW KNEE GID DRESSING, ABOVE KNEE ACH FOOT, PLASTER SOCKET, DIRECT FORMED ED COVER, SACH FOOT, PLASTER SOCKET, MOLDED TO MODEL COVER, SACH FOOT, THERMOPLASTIC OR EQUAL, DIRECT FORMED COVER, SACH FOOT, THERMOPLASTIC OR EQUAL, MOLDED TO MODEL COVER, SACH FOOT, PREFABRICATED, ADJUSTABLE OPEN END SOCKET COVER, SACH FOOT, LAMINATED SOCKET, MOLDED TO MODEL OM ODEL DI RECT FORMED MOL DED TO MODEL EO PEN END SOCKET TO MODEL , THERMOPLASTIC OR EQUAL, MOLDED TO PATIENT MODEL , LAMINATED SOCKET, MOLDED TO PATIENT MODEL ULATION, 4-BAR LINKAGE, WITH FRICTION SWING PHASE CONTROL ULATION, 4-BAR LINKAGE, WITH HYDRAULIC SWING PHASE CONTROL ULATION, 4-BAR LINKAGE, WITH PNEUMATIC SWING PHASE CONTROL TIPLEX SYSTEM, FRICTION SWING PHASE CONTROL BELOW KNEE, EACH
- 699. NAL FRAME ION SOCKET CULATIONSOCKET LASTAZOTE OR EQUAL) AST, PLASTAZOTE OR EQUAL) ITE, ALIPLAST, PLASTAZOTE OR EQUAL) ST, PLASTAZOTE OR EQUAL) ("PTS" OR SIMILAR) HANISM (SHUTTLE, LANYARD OR EQUAL), EXCLUDES SOCKET INSERT MATERIAL, EACH NEOPRENE OR EQUAL, EACH PLATE, MOLDED TO PATIENT MODEL
- 700. E PHASE CONTROL(SAFETY KNEE) HASE CONTROL CE PHASE CONTROL STANCE PHASE CONTROL NG PHASE CONTROL ASE CONTROL IC SWING PHASE CONTROL EMENT AND MOISTURE EVACUATION SYSTEM EMENT AND MOISTURE EVACUATION SYSTEM, HEAVY DUTY BON FIBER OR EQUAL) BON FIBER OR EQUAL) UM, CARBON FIBER OR EQUAL) CE PHASE CONTROL (SAFETY KNEE) CONTROL, MECHANICAL STANCE PHASE LOCK ANCE PHASE CONTROL N STANCE PHASE CONTROL ONTROL, WITH MINIATURE HIGH ACTIVITY FRAME PHASE CONTROL IC SWING PHASE CONTROL SWING PHASE ONLY STANCE PHASE PENING FEATURE, ADJUSTABLE SION ASSIST ICULATION, MANUAL LOCK RBON FIBER OR EQUAL) RBON FIBER OR EQUAL) NIUM, CARBON FIBER OR EQUAL) E COVERING SYSTEM E COVERING SYSTEM SURFACE COVERING SYSTEM ORSIFLEXION FEATURE OR EQUAL)
- 701. I OR EQUAL) NEPIECE SYSTEM EGRATED ELECTRONIC FORCE SENSORS GHT > 300 LBS) WER,SELF-SUSPENDED,INNER SOCKET W RMVBLE FOREARM SECT,ELECTRODES& BOW HINGES, TRICEPS PAD E, HALF CUFF CKING HINGES, FOREARM ON, INTERNAL LOCKING ELBOW, FOREARM N, INTERNAL LOCKING ELBOW, FOREARM ONE CAST CHANGE, WRIST DISARTICULATION OR BELOW ELBOW NE CAST CHANGE, ELBOW DISARTICULATION OR ABOVE ELBOW CAS T CHANGE,SHLDR DISARTICULATN/INTERSCAPULAR THORACIC ALIGNMENT C TISSUE SHAPING PROSTHETIC TISSUE SHAPING C TISSUE SHAPING FT PROSTHETIC TISSUE SHAPING T PROSTHETIC TISSUE SHAPING EN CABLE CONTROL,USMC/=PYLON,NO COVR,MOLDED TO PAT MDL BOW DEN CABLE CONTROL,USMC/= PYLON,NO COVER,DIR FORMED DC ABLE CONTROL, USMC/=PYLON,NO COVER,MOLD TO PAT MDL CON TROL, USMC OR EQUAL PYLON, NO COVER, DIRECT FORMED AIR LD CABLE CONTRL,USMC/=PYLON,NO COVER,MOLD TO PAT MDL FAI R LEAD CABLE CONTROL,USMC/=PYLON,NO COVER, DIR FORMED
- 702. PIECE, OTTO BOCKOR EQUAL SE WITH MANUALLY POWERED ELBOW DJUSTABLE ABDUCTION FRICTION CONTROL, FOR USE WITH BODY POWER PULAR THORACIC
- 703. WITH GLOVE, THUMBOR ONE FINGER REMAINING WITH GLOVE, MULTIPLE FINGERS REMAINING WITH GLOVE, NO FINGERS REMAINING FOR ABOVE AND ONE CHARGER, SWITCH CONTROL OF TERMINAL DEVICE &1 CHARGER,MYOELECTRONIC CONTROL OF TERMINL DEVICE RGE R, SWITCH CONTROL OF TERMINAL DEVICE CH ARGER, MYOELECTRONIC CONTROL OF TERMINAL DEVICE 2B ATTERIES & 1 CHARGER,SWITCH CONTROL OF TRMINAL DEVICE 2B ATTERIES & 1 CHARGER,MYOELECTRONIC CNTRL,TRMINAL DEVC BA TTERIES & 1 CHARGER,SWITCH CONTROL OF TERMINAL DEVICE ES, 2 BATTERIES& 1 CHRGER,MYOELECTRONIC CNTRL,TRMINL DEVC 2B ATTERIES&1 CHARGER,SWITCH CNTRL,TRMINL DEV BLE S, 2 BATTERIES& 1 CHRGER,MYOELECTRONIC CNTRL,TERM DEV ,2 BATTERIES& 1 CHRGER,SWITCH CNTRL,TERM DEV ES, CABLES,2 BATTERIES &1 CHRGER,MYOELECT CNTRL,TERM DEV
- 704. CONTROLLED CONTROLLED RYNGEAL PROSTHESIS ORARTIFICIAL LARYNX) , UNILATERAL , BILATERAL TE INCREMENTS, PROVIDED BY A NON-PHYSICIAN
- 705. KNEE, EACH OVIDER, ANYTYPE UDES SHIPPING AND NECESSARY SUPPLIES UDES SHIPPING AND NECESSARY SUPPLIES OTHER HCPCS L CODE LIT Y DISORDERS
- 706. ECHNICIAN UNDER PHYSICIANSUPERVISION UIRING INTERPRETATION BY PHYSICIAN ENT ; PRORATED MILES ACTUALLY TRAVELLED. ENT ; PRORATED TRIP CHARGE. BCUTANEOUS, INTRAMUSCULAR, PUSH), PER VISIT E(S) (E.G., SUBCUTANEOUS, INTRAMUSCULAR, PUSH), PER VISIT ICAL OR VAGINAL SMEAR TO LABORATORY
- 707. TIC AT TIME,CHEMO TX NOT TO EXCEED 48-HR DOSAGE REGIMEN AT TIME,CHEMO TX, NOT TO EXCEED 48-HR DOSAGE REGIMEN CA T TIME,CHEMO TX, NOT TO EXCEED 48-HR DOSAGE REGIMEN CA T TIME,CHEMO TX, NOT TO EXCEED 24-HR DOSAGE REGIMEN OF CHEMO TX, NOT TO EXCEED A 48-HOUR DOSAGE REGIMEN FC HEMO TX, NOT TO EXCEED A 48-HOUR DOSAGE REGIMEN MET IC AT TIME,CHEMO TX,NOT TO EXCEED 48-HR DOSAGE REGIMN TIC AT TIME,CHEMO TX,NOT TO EXCEED 48-HR DOSAGE REGIMEN MET IC AT TIME,CHEMO TX,NOT TO EXCEED 48-HR DOSAGE REGIMN MET IC AT TIME,CHEMO TX,NOT TO EXCEED 48-HR DOSAGE REGIMN TIC AT TIME,CHEMO TX,NOT TO EXCEED 48-HR DOSAGE REGIMEN CA T TIME OF CHEMO TX,NOT TO EXCEED 48-HR DOSAGE REGIMEN OF CHEMO TX, NOT TO EXCEED A 48-HOUR DOSAGE REGIMEN OF CHEMO TX,NOT TO EXCEED A 48-HOUR DOSAGE REGIMEN TIM E OF CHEMO TX, NOT TO EXCEED A 48-HOUR DOSAGE REGIMEN TIM E OF CHEMO TX, NOT TO EXCEED A 48-HOUR DOSAGE REGIMEN AT TIME,CHEMO TX,NOT TO EXCEED A 48-HOUR DOSAGE REGIMEN TI ME OF CHEMO TX,NOT TO EXCEED A 24-HOUR DOSAGE REGIMEN OF CHEMO TX,NOT TO EXCEED A 48-HOUR DOSAGE REGIMEN RE CENTIMETER MET ER NOTICE, VOL. 65, DATED MAY 3, 2000 NOTICE, VOL. 65, DATED MAY 3, 2000 PER 500 ML
- 708. ICISATE, PER UNITDOSE MERTIATIDE, PER MCI GLUCEPATATE, PER 5 MCI P32, PER MCI REOTIDE, PER 3 MCI XIDRONATE, PER MCI LABELED RED BLOOD CELLS, PER MCI P32 SUSPENSION, PER MCI MIN COBALT CO57, PER 0.5 MCI ALYSIS PATIENTS), PER DOSE ARS +), PLASTER ARS +), FIBERGLASS 10 YEARS), PLASTER 10 YEARS), FIBERGLASS
- 709. RS, PADDING ANDOTHER SUPPLIES) ING HOME, PER TRIP TO FACILITY OR LOCATION, ONE PATIENT SEEN PE R PATIENT
- 710. ARE STATUE, USEQ0166) ARE STATUTE, USE Q0180) E MEDICARE STATUTE, USE Q0179) MEDICARE STATUTE, USE Q0164 - Q0165)
- 711. HE VACCINE OCIATED SERVICES AND SUPPLIES EXCEPT DRUGS TIV ITIES OF PATIENT CARE; APPROXIMATELY 30 MINUTES TIV ITIES OF PATIENT CARE; APPROXIMATELY 60 MINUTES ASSESSMENT TEAM D BY NURSE, SOCIAL WORKER, OR OTHER DESIGNATED STAFF ATELY ADDITION CD, APPROPRIATE EVAL & MGT SERVICE) SER VICE) LUATION AND MANAGEMENT SERVICE) MBER FOR MONITORING PURPOSES; PER MONTH , INCLUDING ALL SUPPORTIVE SERVICES; FIRST QUARTER/STAGE , INCLUDING ALL SUPPORTIVE SERVICES; SECOND OR THIRD QUARTER/STAGE , INCLUDING ALL SUPPORTIVE SERVICES; FOURTH QUARTER/STAGE ETE S), PER VISIT NUFACTURER OF THE ORTHOTIC DITION TO APPROPRIATE EVALUATION AND MANAGEMENT CODE) LOSED THE WOUND N AND REPORT, UNILATERAL
- 712. UGS THAT ARENOT STABLE IN PVC E.G., PACLITAXEL NEONATE; PER DIEM NTERPRETATION OF DATA, USE CPT CODE) ,&DOWNLOAD MONITOR (FOR PHYSICIAN INTERPRET, DATA, USE CPT CD) ICATED, INCLUDES FITTING AND ADJUSTMENT(S) E OF ALLOGRAFTS; FROM CADAVER DONOR G. TUMOR-INFILTRATING LYMPHOCYTE THERAPY) PER COURSE OF TREATMENT AL LDL PRECIPITATION HO SPIZATION; MED, SURG, DIAG&EMRGNCY SVCS) USI NG ARTERIAL GRAFT(S), SINGLE CORONARY ARTERIAL GRAFT USI NG ARTERIAL GRAFT(S), TWO CORONARY ARTERIAL GRAFTS USI NG VENOUS GRAFT ONLY, SINGLE CORONARY VENOUS GRAFT USI NG SINGLE ARTERIAL AND VENOUS GRAFT(S),1 VENOUS GRAFT USI NG TWO ARTERIAL GRAFTS AND SINGLE VENOUS GRAFT ANEOUS, UNILATERAL (IF PERFORMED BILATERALLY, USE-50 MODIFIER) ERA L S), INCLUDING OSTEOPHYTECTOMY; LUMBAR, SINGLE INTERSPACE ST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) NJECTION; CERVICAL FOR PRIMARY PROCEDURE) ROCEDURE) EAL OCCLUSION, PROCEDURE PERFORMED IN UTERO PERFORMED IN UTERO RMED IN UTERO
- 713. OT OTHERWISE CLASSIFIED G IN A NURSING FACILITY RATORY TESTS SPECIFIED BY THE STATE FOR INCLUSION IN THIS PANEL S COLORECTAL CANCER (HNPCC) GENETIC TESTING NONPOLYPOSIS COLOREC CA (HNPCC) GENETIC TSTING QUE NT VISUALIZATION, DETERMINATION, DEVELOPMENT S AND SUPPLIES
- 714. TE, 1000 ML ATE,1500 ML ND TESTING) SA ND NURSE VSTS CDD SEP),/DIEM SE P),/DIEM CDD SEP),/DIEM SE CD, INTERIM MAINT,VASCACCSS NOT CURRENTLY USE) PATENCY OR DECLOTTING IPHERALLY INSERTED CENTRAL VENOUS CATHETER (PICC) LINE INSERTION LINE CATHETER INSERTION ED) G SERVICES ONLY (NO SUPPLIES OR CATHETER INCLUDED) ON BEAM THERAPY
- 715. EDU CTN - 59866) LUDING SUPPLY OF RADIOPHARMACEUTICAL CE DETECTION SYSTEM (NON-DEDICATED PET SCAN) R, INSTRUCTIONAL VIDEO, BROCHURE, AND/OR SPACER) ATURE MONITORING D MATERIALS INITIAL 30 MINUTES, EACH VISIT; PHONOPHORESIS FAILURE OR OTHER CATASTROPHIC EVENT) URE FOR FURTHER IDENTIFICATION)
- 716. RCP, USE 43265) ALL NECESSARY SUPPLIES & EQUIPMENT, PER DIEM DI EM NAN CE, PER MONTH ES S9802-S9803 CAN BE USED) SC DD SEP),/DIEM (DO NO CD W HOME INFUS/DIEM CD) EV STS CDD SEP),/DIEM (DO NO CD W HOME INFUS/DIEM CD) ARA TELY), PER DIEM (DO NO CD W HOME INFUS/DIEM CD) (N OT CODE W HOME INFUS/DIEM CD) (DO NO CD W HOME INFUS/DIEM CD) ERD IEM (DO NO CD W HOME INFUS/DIEM CD) CO DE WITH S9326, S9327/S9328) LIE S&EQUIPMENT (DRUGS&NURSING VISITS CDD SEP),/DIEM PPL IES&EQUIPMENT (DRUGS&NURSING VISITS CDD SEP),/DIEM SUP PLIES&EQUIPMENT (DRUGS&NURSING VISITS CDD SEP),/DIEM DE SEP),/DIEM (DO NO CD W S9330/S9331) SUP PLIES&EQUIPMENT (DRUGS&NURSING VISITS CDD SEP),/DIEM YS UPPL&EQUIPMENT (DRUGS&NURSING VISITS CDD SEP),/DIEM SUP PLIES AND EQUIPMENT (DRGS&NURSE VSTS CDD SEP),/DIEM DE QUIPMENT (DRUG&NURSING VISITS CDD SEP),/DIEM (D RUGS AND NURSING VISITS CDD SEP),/DIEM ENT ERAL FORMULA AND NURSING VSTS CDD SEP),/DIEM QUI PMENT (ENTERAL FORMULA&NURSING VISITS CDD SEP),/DIEM TER AL FORMULA&NURSING VSTS CDD SEP),/DIEM MEN T (ENTERAL FORMULA&NURSING VISITS CDD SEP),/DIEM ARY SUPPLIES & EQUIP (DRGS&NURSE VSTS CDD SEP),/DIEM SU PPLIES & EQUIPMENT (DRGS&NURSE VSTS CDD SEP),/DIEM N); ADMINISTRATIVE SVCS, PROFESSIONAL PHARMACY UPP LIES & EQUIP (DRGS&NURSE VSTS CDD SEP),/DIEM &E QUIPMENT (DRUGS&NURSING VISITS CDD SEP),/DIEM ESS ARY SUPPL & EQUIP (DRUGS&NURSING VSTS CDD SEP),/DIEM
- 717. SU PPL & EQUIPMENT (DRUGS&NURSING VISITS CDD SEP),/DIEM IPM ENT(DRUGS&NURSING VSTS CDD SEP),/DIEM SUP PLIES & EQUIPMENT (DRGS&NURSE VSTS CDD SEP),/DIEM CES SARY SUPPLIES & EQUIP (DRGS&NURSE VSTS CDD SEP),/DIEM L&E QUIPMENT (DRUGS&NURSING VSTS CDD SEP),/DIEM YS UPPL&EQUIPMENT (DRUGS&NURSING VISITS CDD SEP),/DIEM OA CID FORMULAS, DRGS,&NURSE VSTS CDD SEP),/DIEM SPE C AMINO ACID FORMULAS,DRGS,&NURSE VSTS CDD SEP),/DIEM ,SP EC AMINO ACID FORMULAS,DRGS,&NURSE VSTS CDD SEP)/DIEM DS, SPEC AMINO ACIDS,DRGS,&NURSE VSTS CDD SEP),/DIEM FO RMULAS,DRGS,&NURSE VSTS CDD SEP),/DIEM PLI ES&EQUIPMENT (DRUGS&NURSING VISITS CDD SEP),/DIEM ON O CD,FLUSHING,INFUS S W HEPARIN MAINTAIN PATENCY) TX CDS S9374-S9377 USNG DAILY SCALES) PPL IES&EQUIPMENT (DRUGS&NURSING VISITS CDD SEP),/DIEM LIE S & EQUIPMENT (DRGS AND NURSE VSTS CDD SEP),/DIEM PPL IES & EQUIPMENT (DRGS AND NURSE VSTS CDD SEP),/DIEM ECE SSARY SUPPLIES (DRUGS&NURSING VISITS CDD SEP),/DIEM (D RGS AND NURSE VSTS CODE SEPARATELY),/DIEM AL, PER SESSION PER SESSION APY, PER DIEM FESSIONAL PHARMACY SERVICES, CARE COORDINAT HOM E INFUS CDS,HRLY DOSING SCHEDULES S9497-S9504)
- 718. RY SUP & EQUIP (DRGS&NURSE VSTS CDD SEP),/DIEM RY SUP & EQUIP (DRGS&NURSE VSTS CDD SEP),/DIEM RY SUP & EQUIP (DRGS&NURSE VSTS CDD SEP),/DIEM YS UP & EQUIP (DRGS&NURSE VSTS CDD SEP),/DIEM UP & EQUIP (DRGS&NURSE VSTS CDD SEP),/DIEM UP & EQUIP (DRGS&NURSE VSTS CDD SEP),/DIEM SING HOME, OR SKILLED NURSING FACILITY PATIENT ESS ARY SUP&EQUIP (DRGS&NURSE VSTS CDD SEP),/DIEM OD PRODUCTS, DRUGS,&NURSING VISITS CDD SEP),/DIEM S&N URSE VSTS CDD SEP),/DIEM ES& EQUIPMENT (DRUGS&NURSING VISITS CDD SEP),/DIEM QUI PMENT (DRUGS&NURSING VISITS CDD SEPARATELY),/DIEM PLI ES & EQUIPMENT (DRGS&NURSE VSTS CDD SEP),/DIEM HARMACY SERVICES,CARE COORDINATION,& ALL NECESSARY SUPPLIES & E (D RUGS & NURSING VISITS CODED SEPARATELY),PER DIEM O 2 HOURS) SSI FIED,/HR (DO NO USE CD W ANY/DIEM CD) ERV ICES Y NECESSARY) CODE(S) FOR SERVICES(S)) AND ONE CAREGIVER/COMPANION EGIVER/COMPANION OR MODIFICATION R SUBSTANCE ABUSE SERVICES HEN MEALS NOT INCLUDED IN THE PROGRAM)
- 719. NO F TREATMENT LAN OF TREATMENT RACT, PER DAY TOC OL, PER ENCOUNTER OVIDE COORDINATED CARE TO MULTIPLE OR SEVERELY HANDICAPPED CHILD IM PAIRMENTS, PER DIEM LI MPAIRMENTS, PER HOUR Y TO MEET PATIENT'S MEDICAL NEEDS ANALYSIS, PER DWELLING EALTH CARE AGENCY/PROFESSIONAL, PER VISIT ISE CLASSIFIED; IDENTIFY PRODUCT IN "REMARKS" HALF (1/2) HOUR INCREMENTS CYLINDER, PER LENS D CYLINDER, PER LENS D CYLINDER, PER LENS CYLINDER, PER LENS .12 TO 2.00D CYLINDER, PER LENS RE, 2.12 TO 4.00D CYLINDER, PER LENS , 4.25 TO 6.00D CYLINDER, PER LENS LINDER, PER LENS E, .25 TO 2.25D CYLINDER, PER LENS E, 2.25D TO 4.00D CYLINDER, PER LENS E, 4.25 TO 6.00D CYLINDER, PER LENS NDER, PER LENS NDER, PER LENS NDER, PER LENS
- 720. DER, PER LENS O2.00D CYLINDER, PER LENS TO 4.00D CYLINDER, PER LENS TO 6.00D CYLINDER, PER LENS R 6.00D CYLINDER,PER LENS TO 2.25D CYLINDER, PER LENS TO 4.00D CYLINDER, PER LENS TO 6.00D CYLINDER, PER LENS ER, PER LENS DER, PER LENS NDER, PER LENS NDER, PER LENS TO 2.00D CYLINDER, PER LENS 2 TO 4.00D CYLINDER, PER LENS 5 TO 6.00D CYLINDER, PER LENS ER 6.00D CYLINDER, PER LENS 5 TO 2.25D CYLINDER, PER LENS 25 TO 4.00D CYLINDER, PER LENS 25 TO 6.00D CYLINDER, PER LENS
- 721. TION, SEE 92325) ON,SEE 92325) COPIC, NEAR VISION TELESCOPES AND COMPOUND MICROSCOPIC LENS SYSTEM
- 722.
- 723. CPT_CODE CPT_SHORT_DESCRIPTION 10021 FNA W/O IMAGE 10022 FNA W/IMAGE 10040 ACNE SURGERY OF SKIN ABSCESS 10060 DRAINAGE OF SKIN ABSCESS 10061 DRAINAGE OF SKIN ABSCESS 10080 DRAINAGE OF PILONIDAL CYST 10081 DRAINAGE OF PILONIDAL CYST 10120 REMOVE FOREIGN BODY 10121 REMOVE FOREIGN BODY 10140 DRAINAGE OF HEMATOMA/FLUID 10160 PUNCTURE DRAINAGE OF LESION 10180 COMPLEX DRAINAGE, WOUND 11000 DEBRIDE INFECTED SKIN 11001 DEBRIDE INFECTED SKIN ADD-ON 11010 DEBRIDE SKIN, FX 11011 DEBRIDE SKIN/MUSCLE, FX 11012 DEBRIDE SKIN/MUSCLE/BONE, FX 11040 DEBRIDE SKIN, PARTIAL 11041 DEBRIDE SKIN, FULL 11042 DEBRIDE SKIN/TISSUE 11043 DEBRIDE TISSUE/MUSCLE 11044 DEBRIDE TISSUE/MUSCLE/BONE 11055 TRIM SKIN LESION 11056 TRIM SKIN LESIONS, 2 TO 4 11057 TRIM SKIN LESIONS, OVER 4 11100 BIOPSY OF SKIN LESION 11101 BIOPSY, SKIN ADD-ON 11200 REMOVAL OF SKIN TAGS 11201 REMOVE SKIN TAGS ADD-ON 11300 SHAVE SKIN LESION 11301 SHAVE SKIN LESION 11302 SHAVE SKIN LESION 11303 SHAVE SKIN LESION 11305 SHAVE SKIN LESION 11306 SHAVE SKIN LESION 11307 SHAVE SKIN LESION 11308 SHAVE SKIN LESION 11310 SHAVE SKIN LESION 11311 SHAVE SKIN LESION 11312 SHAVE SKIN LESION 11313 SHAVE SKIN LESION 11400 EXC B9+MARG ARM DIAM 0.5 < CM 11401 EXC B9+MARG ARM DIAM 0.6-1 CM 11402 EXC B9+MARG ARM DIAM 1.1-2 CM 11403 EXC B9+MARG ARM DIAM 2.1-3 CM 11404 EXC B9+MARG ARM DIAM 3.1-4 CM 11406 EXC B9+MARG ARM DIAM > 4.0 CM 11420 EXC B9+MARG HND DIAM 0.5 < CM 11421 EXC B9+MARG HND DIAM 0.6-1 CM 11422 EXC B9+MARG HND DIAM 1.1-2 CM 11423 EXC B9+MARG HND DIAM 2.1-3 CM
- 724. 11424 EXC B9+MARG HND DIAM 3.1-4 CM 11426 EXC B9+MARG HND DIAM > 4.0 CM 11440 EXC B9+MARG EAR DIAM 0.5 < CM 11441 EXC B9+MARG EAR DIAM 0.6-1 CM 11442 EXC B9+MARG EAR DIAM 1.1-2 CM 11443 EXC B9+MARG EAR DIAM 2.1-3 CM 11444 EXC B9+MARG EAR DIAM 3.1-4 CM 11446 EXC B9+MARG ARM DIAM > 4.0 CM 11450 REMOVAL, SWEAT GLAND LESION 11451 REMOVAL, SWEAT GLAND LESION 11462 REMOVAL, SWEAT GLAND LESION 11463 REMOVAL, SWEAT GLAND LESION 11470 REMOVAL, SWEAT GLAND LESION 11471 REMOVAL, SWEAT GLAND LESION 11600 EXCIS MALIG ARM DIAM 0.5 < CM 11601 EXCIS MALIG ARM DIAM 0.6-1 CM 11602 EXCIS MALIG ARM DIAM 1.1-2 CM 11603 EXCIS MALIG ARM DIAM 2.1-3 CM 11604 EXCIS MALIG ARM DIAM 3.1-4 CM 11606 EXCIS MALIG ARM DIAM > 4.0 CM 11620 EXCIS MALIG HND DIAM 0.5 < CM 11621 EXCIS MALIG HND DIAM 0.6-1 CM 11622 EXCIS MALIG HND DIAM 1.1-2 CM 11623 EXCIS MALIG HND DIAM 2.1-3 CM 11624 EXCIS MALIG HND DIAM 3.1-4 CM 11626 EXCIS MALIG HND DIAM > 4.0 CM 11640 EXCIS MALIG EAR DIAM 0.5 < CM 11641 EXCIS MALIG EAR DIAM 0.6-1 CM 11642 EXCIS MALIG EAR DIAM 1.1-2 CM 11643 EXCIS MALIG EAR DIAM 2.1-3 CM 11644 EXCIS MALIG EAR DIAM 3.1-4 CM 11646 EXCIS MALIG EAR DIAM > 4.0 CM 11719 TRIM NAIL(S) 11720 DEBRIDE NAIL, 1-5 11721 DEBRIDE NAIL, 6 OR MORE 11730 REMOVAL OF NAIL PLATE 11732 REMOVE NAIL PLATE, ADD-ON 11740 DRAIN BLOOD FROM UNDER NAIL 11750 REMOVAL OF NAIL BED 11752 REMOVE NAIL BED/FINGER TIP 11755 BIOPSY, NAIL UNIT 11760 REPAIR OF NAIL BED 11762 RECONSTRUCTION OF NAIL BED 11765 EXCISION OF NAIL FOLD, TOE 11770 REMOVAL OF PILONIDAL LESION 11771 REMOVAL OF PILONIDAL LESION 11772 REMOVAL OF PILONIDAL LESION 11900 INJECTION INTO SKIN LESIONS 11901 ADDED SKIN LESIONS INJECTION 11920 CORRECT SKIN COLOR DEFECTS 11921 CORRECT SKIN COLOR DEFECTS 11922 CORRECT SKIN COLOR DEFECTS
- 725. 11950 THERAPY FOR CONTOUR DEFECTS 11951 THERAPY FOR CONTOUR DEFECTS 11952 THERAPY FOR CONTOUR DEFECTS 11954 THERAPY FOR CONTOUR DEFECTS 11960 INSERT TISSUE EXPANDER(S) 11970 REPLACE TISSUE EXPANDER 11971 REMOVE TISSUE EXPANDER(S) 11975 INSERT CONTRACEPTIVE CAP 11976 REMOVAL OF CONTRACEPTIVE CAP 11977 REMOVAL/REINSERT CONTRA CAP 11980 IMPLANT HORMONE PELLET(S) 11981 INSERT DRUG IMPLANT DEVICE 11982 REMOVE DRUG IMPLANT DEVICE 11983 REMOVE/INSERT DRUG IMPLANT 12001 REPAIR SUPERFICIAL WOUND(S) 12002 REPAIR SUPERFICIAL WOUND(S) 12004 REPAIR SUPERFICIAL WOUND(S) 12005 REPAIR SUPERFICIAL WOUND(S) 12006 REPAIR SUPERFICIAL WOUND(S) 12007 REPAIR SUPERFICIAL WOUND(S) 12011 REPAIR SUPERFICIAL WOUND(S) 12013 REPAIR SUPERFICIAL WOUND(S) 12014 REPAIR SUPERFICIAL WOUND(S) 12015 REPAIR SUPERFICIAL WOUND(S) 12016 REPAIR SUPERFICIAL WOUND(S) 12017 REPAIR SUPERFICIAL WOUND(S) 12018 REPAIR SUPERFICIAL WOUND(S) 12020 CLOSURE OF SPLIT WOUND 12021 CLOSURE OF SPLIT WOUND 12031 LAYER CLOSURE OF WOUND(S) 12032 LAYER CLOSURE OF WOUND(S) 12034 LAYER CLOSURE OF WOUND(S) 12035 LAYER CLOSURE OF WOUND(S) 12036 LAYER CLOSURE OF WOUND(S) 12037 LAYER CLOSURE OF WOUND(S) 12041 LAYER CLOSURE OF WOUND(S) 12042 LAYER CLOSURE OF WOUND(S) 12044 LAYER CLOSURE OF WOUND(S) 12045 LAYER CLOSURE OF WOUND(S) 12046 LAYER CLOSURE OF WOUND(S) 12047 LAYER CLOSURE OF WOUND(S) 12051 LAYER CLOSURE OF WOUND(S) 12052 LAYER CLOSURE OF WOUND(S) 12053 LAYER CLOSURE OF WOUND(S) 12054 LAYER CLOSURE OF WOUND(S) 12055 LAYER CLOSURE OF WOUND(S) 12056 LAYER CLOSURE OF WOUND(S) 12057 LAYER CLOSURE OF WOUND(S) 13100 REPAIR OF WOUND OR LESION 13101 REPAIR OF WOUND OR LESION 13102 REPAIR WOUND/LESION ADD-ON 13120 REPAIR OF WOUND OR LESION
- 726. 13121 REPAIR OF WOUND OR LESION 13122 REPAIR WOUND/LESION ADD-ON 13131 REPAIR OF WOUND OR LESION 13132 REPAIR OF WOUND OR LESION 13133 REPAIR WOUND/LESION ADD-ON 13150 REPAIR OF WOUND OR LESION 13151 REPAIR OF WOUND OR LESION 13152 REPAIR OF WOUND OR LESION 13153 REPAIR WOUND/LESION ADD-ON 13160 LATE CLOSURE OF WOUND 14000 SKIN TISSUE REARRANGEMENT 14001 SKIN TISSUE REARRANGEMENT 14020 SKIN TISSUE REARRANGEMENT 14021 SKIN TISSUE REARRANGEMENT 14040 SKIN TISSUE REARRANGEMENT 14041 SKIN TISSUE REARRANGEMENT 14060 SKIN TISSUE REARRANGEMENT 14061 SKIN TISSUE REARRANGEMENT 14300 SKIN TISSUE REARRANGEMENT 14350 SKIN TISSUE REARRANGEMENT 15000 SKIN GRAFT 15001 SKIN GRAFT ADD-ON 15050 SKIN PINCH GRAFT 15100 SKIN SPLIT GRAFT 15101 SKIN SPLIT GRAFT ADD-ON 15120 SKIN SPLIT GRAFT 15121 SKIN SPLIT GRAFT ADD-ON 15200 SKIN FULL GRAFT 15201 SKIN FULL GRAFT ADD-ON 15220 SKIN FULL GRAFT 15221 SKIN FULL GRAFT ADD-ON 15240 SKIN FULL GRAFT 15241 SKIN FULL GRAFT ADD-ON 15260 SKIN FULL GRAFT 15261 SKIN FULL GRAFT ADD-ON 15342 APP BILAM SKN SUB/NEOD;25 SQCM 15343 APP BILAM SKN SUB/NEOD;ADD 25 15350 SKIN HOMOGRAFT 15351 SKIN HOMOGRAFT ADD-ON 15400 SKIN HETEROGRAFT 15401 SKIN HETEROGRAFT ADD-ON 15570 FORM SKIN PEDICLE FLAP 15572 FORM SKIN PEDICLE FLAP 15574 FORM SKIN PEDICLE FLAP 15576 FORM SKIN PEDICLE FLAP 15600 SKIN GRAFT 15610 SKIN GRAFT 15620 SKIN GRAFT 15630 SKIN GRAFT 15650 TRANSFER SKIN PEDICLE FLAP 15732 MUSCLE-SKIN GRAFT, HEAD/NECK 15734 MUSCLE-SKIN GRAFT, TRUNK
- 727. 15736 MUSCLE-SKIN GRAFT, ARM 15738 MUSCLE-SKIN GRAFT, LEG 15740 ISLAND PEDICLE FLAP GRAFT 15750 NEUROVASCULAR PEDICLE GRAFT 15756 FREE MYO FLAP W/MICROVASC 15757 FREE SKIN FLAP, MICROVASC 15758 FREE FASCIAL FLAP, MICROVASC 15760 COMPOSITE SKIN GRAFT 15770 DERMA-FAT-FASCIA GRAFT 15775 HAIR TRANSPLANT PUNCH GRAFTS 15776 HAIR TRANSPLANT PUNCH GRAFTS 15780 ABRASION TREATMENT OF SKIN 15781 ABRASION TREATMENT OF SKIN 15782 ABRASION TREATMENT OF SKIN 15783 ABRASION TREATMENT OF SKIN 15786 ABRASION, LESION, SINGLE 15787 ABRASION, LESIONS, ADD-ON 15788 CHEMICAL PEEL, FACE, EPIDERM 15789 CHEMICAL PEEL, FACE, DERMAL 15792 CHEMICAL PEEL, NONFACIAL 15793 CHEMICAL PEEL, NONFACIAL 15810 SALABRASION 15811 SALABRASION 15819 PLASTIC SURGERY, NECK 15820 REVISION OF LOWER EYELID 15821 REVISION OF LOWER EYELID 15822 REVISION OF UPPER EYELID 15823 REVISION OF UPPER EYELID 15824 REMOVAL OF FOREHEAD WRINKLES 15825 REMOVAL OF NECK WRINKLES 15826 REMOVAL OF BROW WRINKLES 15828 REMOVAL OF FACE WRINKLES 15829 REMOVAL OF SKIN WRINKLES 15831 EXCISE EXCESSIVE SKIN TISSUE 15832 EXCISE EXCESSIVE SKIN TISSUE 15833 EXCISE EXCESSIVE SKIN TISSUE 15834 EXCISE EXCESSIVE SKIN TISSUE 15835 EXCISE EXCESSIVE SKIN TISSUE 15836 EXCISE EXCESSIVE SKIN TISSUE 15837 EXCISE EXCESSIVE SKIN TISSUE 15838 EXCISE EXCESSIVE SKIN TISSUE 15839 EXCISE EXCESSIVE SKIN TISSUE 15840 GRAFT FOR FACE NERVE PALSY 15841 GRAFT FOR FACE NERVE PALSY 15842 GRFT,FAC NRVE PARAL;MICROSUR 15845 SKIN AND MUSCLE REPAIR, FACE 15850 REMOVAL OF SUTURES 15851 REMOVAL OF SUTURES 15852 DRESSING CHANGE,NOT FOR BURN 15860 TEST FOR BLOOD FLOW IN GRAFT 15876 SUCTION ASSISTED LIPECTOMY 15877 SUCTION ASSISTED LIPECTOMY
- 728. 15878 SUCTION ASSISTED LIPECTOMY 15879 SUCTION ASSISTED LIPECTOMY 15920 REMOVAL OF TAIL BONE ULCER 15922 REMOVAL OF TAIL BONE ULCER 15931 REMOVE SACRUM PRESSURE SORE 15933 REMOVE SACRUM PRESSURE SORE 15934 REMOVE SACRUM PRESSURE SORE 15935 REMOVE SACRUM PRESSURE SORE 15936 REMOVE SACRUM PRESSURE SORE 15937 REMOVE SACRUM PRESSURE SORE 15940 REMOVE HIP PRESSURE SORE 15941 REMOVE HIP PRESSURE SORE 15944 REMOVE HIP PRESSURE SORE 15945 REMOVE HIP PRESSURE SORE 15946 REMOVE HIP PRESSURE SORE 15950 REMOVE THIGH PRESSURE SORE 15951 REMOVE THIGH PRESSURE SORE 15952 REMOVE THIGH PRESSURE SORE 15953 REMOVE THIGH PRESSURE SORE 15956 REMOVE THIGH PRESSURE SORE 15958 REMOVE THIGH PRESSURE SORE 15999 REMOVAL OF PRESSURE SORE 16000 INITIAL TREATMENT OF BURN(S) 16010 TREATMENT OF BURN(S) 16015 TREATMENT OF BURN(S) 16020 TREATMENT OF BURN(S) 16025 TREATMENT OF BURN(S) 16030 TREATMENT OF BURN(S) 16035 ESCHAROTOMY; INITIAL INCISION 16036 ESCHAROTOMY; EACH ADD INCISION 17000 DETROY BENIGN/PREMAL LESION 17003 DESTROY LESIONS, 2-14 17004 DESTROY LESIONS, 15 OR MORE 17106 DESTRUCTION OF SKIN LESIONS 17107 DESTRUCTION OF SKIN LESIONS 17108 DESTRUCTION OF SKIN LESIONS 17110 DESTRUCT LESION, 1-14 17111 DESTRUCT LESION, 15 OR MORE 17250 CHEMICAL CAUTERY, TISSUE 17260 DESTRUCTION OF SKIN LESIONS 17261 DESTRUCTION OF SKIN LESIONS 17262 DESTRUCTION OF SKIN LESIONS 17263 DESTRUCTION OF SKIN LESIONS 17264 DESTRUCTION OF SKIN LESIONS 17266 DESTRUCTION OF SKIN LESIONS 17270 DESTRUCTION OF SKIN LESIONS 17271 DESTRUCTION OF SKIN LESIONS 17272 DESTRUCTION OF SKIN LESIONS 17273 DESTRUCTION OF SKIN LESIONS 17274 DESTRUCTION OF SKIN LESIONS 17276 DESTRUCTION OF SKIN LESIONS 17280 DESTRUCTION OF SKIN LESIONS
- 729. 17281 DESTRUCTION OF SKIN LESIONS 17282 DESTRUCTION OF SKIN LESIONS 17283 DESTRUCTION OF SKIN LESIONS 17284 DESTRUCTION OF SKIN LESIONS 17286 DESTRUCTION OF SKIN LESIONS 17304 CHMO;1 STGE MOHS,UP TO 5 SPEC 17305 CHMO;2 STGE MOHS,UP TO 5 SPEC 17306 CHMO;3 STGE MOHS,UP TO 5 SPEC 17307 CHMO;ADL STGE MOHS UP 5 SPEC 17310 CHMO;ANY STGE MOHS >5 SPEC ECH 17340 CRYOTHERAPY OF SKIN 17360 SKIN PEEL THERAPY 17380 HAIR REMOVAL BY ELECTROLYSIS 17999 SKIN TISSUE PROCEDURE 19000 DRAINAGE OF BREAST LESION 19001 DRAIN BREAST LESION ADD-ON 19020 INCISION OF BREAST LESION 19030 INJECTION FOR BREAST X-RAY 19100 BX OF BRST;PERCUTAN,NEEDL CORE 19101 BIOPSY OF BREAST;OPEN,INCISION 19102 BX,BREAST;PERCUT,NEED CORE,IMG 19103 BX,BRST;PERCUT,AUT VAC/ROT,IMG 19110 NIPPLE EXPLORATION 19112 EXCISE BREAST DUCT FISTULA 19120 EXC CYST,FIB/OTH BRN/MGL BRST 19125 EXC BRST LES IDENT,PREOP PLACE 19126 EXC BRST LES PLC RAD MRK,OPN 19140 REMOVAL OF BREAST TISSUE 19160 REMOVAL OF BREAST TISSUE 19162 REMOVE BREAST TISSUE, NODES 19180 REMOVAL OF BREAST 19182 REMOVAL OF BREAST 19200 REMOVAL OF BREAST 19220 REMOVAL OF BREAST 19240 REMOVAL OF BREAST 19260 REMOVAL OF CHEST WALL LESION 19271 REVISION OF CHEST WALL 19272 EXTENSIVE CHEST WALL SURGERY 19290 PLACE NEEDLE WIRE, BREAST 19291 PLACE NEEDLE WIRE, BREAST 19295 IMG GUID,MET LOC CLIP,BREST BX 19316 SUSPENSION OF BREAST 19318 REDUCTION OF LARGE BREAST 19324 ENLARGE BREAST 19325 ENLARGE BREAST WITH IMPLANT 19328 REMOVAL OF BREAST IMPLANT 19330 REMOVAL OF IMPLANT MATERIAL 19340 IMMEDIATE BREAST PROSTHESIS 19342 DELAYED BREAST PROSTHESIS 19350 BREAST RECONSTRUCTION 19355 CORRECT INVERTED NIPPLE(S) 19357 BREAST RECONSTRUCTION
- 730. 19361 BREAST RECONSTRUCTION 19364 BREAST RECONSTRUCTION 19366 BREAST RECONSTRUCTION 19367 BREAST RECONSTRUCTION 19368 BREAST RECONSTRUCTION 19369 BREAST RECONSTRUCTION 19370 SURGERY OF BREAST CAPSULE 19371 REMOVAL OF BREAST CAPSULE 19380 REVISE BREAST RECONSTRUCTION 19396 DESIGN CUSTOM BREAST IMPLANT 19499 BREAST SURGERY PROCEDURE 20000 INCISION OF ABSCESS 20005 INCISION OF DEEP ABSCESS 20100 EXPLORE WOUND, NECK 20101 EXPLORE WOUND, CHEST 20102 EXPLORE WOUND, ABDOMEN 20103 EXPLORE WOUND, EXTREMITY 20150 EXCISE EPIPHYSEAL BAR 20200 MUSCLE BIOPSY 20205 DEEP MUSCLE BIOPSY 20206 NEEDLE BIOPSY, MUSCLE 20220 BONE BIOPSY, TROCAR/NEEDLE 20225 BONE BIOPSY, TROCAR/NEEDLE 20240 BONE BIOPSY, EXCISIONAL 20245 BONE BIOPSY, EXCISIONAL 20250 OPEN BONE BIOPSY 20251 OPEN BONE BIOPSY 20500 INJECTION OF SINUS TRACT 20501 INJECT SINUS TRACT FOR X-RAY 20520 REMOVAL OF FOREIGN BODY 20525 REMOVAL OF FOREIGN BODY 20526 THER INJECTION, CARPAL TUNNEL 20550 INJ TENDON SHEATH/LIGAMENT 20551 INJECT TENDON ORIGIN/INSERT 20552 INJ SIGL/MULT TRIG PNT 1 OR 2 20553 INJ SIGL/MULT TRIG PNT 3 + 20600 ART,ASP &/ INJ;SML JNT /BURSA 20605 ART,ASP &/ INJ;INTE JNT /BURSA 20610 DRAIN/INJECT, JOINT/BURSA 20612 ASPIRATE/INJ GANGLION CYST 20615 TREATMENT OF BONE CYST 20650 INSERT AND REMOVE BONE PIN 20660 APPLY,REMOVE FIXATION DEVICE 20661 APPLICATION OF HEAD BRACE 20662 APPLICATION OF PELVIS BRACE 20663 APPLICATION OF THIGH BRACE 20664 HALO BRACE APPLICATION 20665 REMOVAL OF FIXATION DEVICE 20670 REMOVAL OF SUPPORT IMPLANT 20680 REMOVAL OF SUPPORT IMPLANT 20690 APPLY BONE FIXATION DEVICE 20692 APPLY BONE FIXATION DEVICE
- 731. 20693 ADJUST BONE FIXATION DEVICE 20694 REMOVE BONE FIXATION DEVICE 20802 REPLANTATION, ARM, COMPLETE 20805 REPLANT, FOREARM, COMPLETE 20808 REPLANTATION HAND, COMPLETE 20816 REPLANTATION DIGIT, COMPLETE 20822 REPLANTATION DIGIT, COMPLETE 20824 REPLANTATION THUMB, COMPLETE 20827 REPLANTATION THUMB, COMPLETE 20838 REPLANTATION FOOT, COMPLETE 20900 REMOVAL OF BONE FOR GRAFT 20902 REMOVAL OF BONE FOR GRAFT 20910 REMOVE CARTILAGE FOR GRAFT 20912 REMOVE CARTILAGE FOR GRAFT 20920 REMOVAL OF FASCIA FOR GRAFT 20922 REMOVAL OF FASCIA FOR GRAFT 20924 REMOVAL OF TENDON FOR GRAFT 20926 REMOVAL OF TISSUE FOR GRAFT 20930 SPINAL BONE ALLOGRAFT 20931 SPINAL BONE ALLOGRAFT 20936 SPINAL BONE AUTOGRAFT 20937 SPINAL BONE AUTOGRAFT 20938 SPINAL BONE AUTOGRAFT 20950 FLUID PRESSURE, MUSCLE 20955 FIBULA BONE GRAFT, MICROVASC 20956 ILIAC BONE GRAFT, MICROVASC 20957 MT BONE GRAFT, MICROVASC 20962 OTHER BONE GRAFT, MICROVASC 20969 BONE/SKIN GRAFT, MICROVASC 20970 BONE/SKIN GRAFT, ILIAC CREST 20972 BONE/SKIN GRAFT, METATARSAL 20973 BONE/SKIN GRAFT, GREAT TOE 20974 ELECTRICAL BONE STIMULATION 20975 ELECTRICAL BONE STIMULATION 20979 US BONE STIMULATION 20999 MUSCULOSKELETAL SURGERY 21010 INCISION OF JAW JOINT 21015 RESECTION OF FACIAL TUMOR 21025 EXCISION OF BONE, LOWER JAW 21026 EXCISION OF FACIAL BONE(S) 21029 CONTOUR OF FACE BONE LESION 21030 EXCIS B9 TUMOR MAX/ZYGOMA 21031 REMOVE EXOSTOSIS, MANDIBLE 21032 REMOVE EXOSTOSIS, MAXILLA 21034 EXCIS MLG TUMOR MAX/ZYGOMA 21040 EXCIS B9 TMR MANDIBLE &/ CURET 21044 REMOVAL OF JAW BONE LESION 21045 EXTENSIVE JAW SURGERY 21046 REMOVE MANDIBLE CYST COMPLEX 21047 EXCISE LWR JAW CYST W/REPAIR 21048 REMOVE MAXILLA CYST COMPLEX 21049 EXCIS UPPR JAW CYST W/REPAIR
- 732. 21050 REMOVAL OF JAW JOINT 21060 REMOVE JAW JOINT CARTILAGE 21070 REMOVE CORONOID PROCESS 21076 PREPARE FACE/ORAL PROSTHESIS 21077 PREPARE FACE/ORAL PROSTHESIS 21079 PREPARE FACE/ORAL PROSTHESIS 21080 PREPARE FACE/ORAL PROSTHESIS 21081 PREPARE FACE/ORAL PROSTHESIS 21082 PREPARE FACE/ORAL PROSTHESIS 21083 PREPARE FACE/ORAL PROSTHESIS 21084 PREPARE FACE/ORAL PROSTHESIS 21085 PREPARE FACE/ORAL PROSTHESIS 21086 PREPARE FACE/ORAL PROSTHESIS 21087 PREPARE FACE/ORAL PROSTHESIS 21088 PREPARE FACE/ORAL PROSTHESIS 21089 PREPARE FACE/ORAL PROSTHESIS 21100 MAXILLOFACIAL FIXATION 21110 INTERDENTAL FIXATION 21116 INJECTION, JAW JOINT X-RAY 21120 RECONSTRUCTION OF CHIN 21121 RECONSTRUCTION OF CHIN 21122 RECONSTRUCTION OF CHIN 21123 RECONSTRUCTION OF CHIN 21125 AUGMENTATION, LOWER JAW BONE 21127 AUGMENTATION, LOWER JAW BONE 21137 REDUCTION OF FOREHEAD 21138 REDUCTION OF FOREHEAD 21139 REDUCTION OF FOREHEAD 21141 RECONSTRUCT MIDFACE, LEFORT 21142 RECONSTRUCT MIDFACE, LEFORT 21143 RECONSTRUCT MIDFACE, LEFORT 21145 RECONSTRUCT MIDFACE, LEFORT 21146 RECONSTRUCT MIDFACE, LEFORT 21147 RECONSTRUCT MIDFACE, LEFORT 21150 RECONSTRUCT MIDFACE, LEFORT 21151 RECONSTRUCT MIDFACE, LEFORT 21154 RECONSTRUCT MIDFACE, LEFORT 21155 RECONSTRUCT MIDFACE, LEFORT 21159 RECONSTRUCT MIDFACE, LEFORT 21160 RECONSTRUCT MIDFACE, LEFORT 21172 RECONSTRUCT ORBIT/FOREHEAD 21175 RECONSTRUCT ORBIT/FOREHEAD 21179 RECONSTRUCT ENTIRE FOREHEAD 21180 RECONSTRUCT ENTIRE FOREHEAD 21181 CONTOUR CRANIAL BONE LESION 21182 RECONSTRUCT CRANIAL BONE 21183 RECONSTRUCT CRANIAL BONE 21184 RECONSTRUCT CRANIAL BONE 21188 RECONSTRUCTION OF MIDFACE 21193 RECONSTRUCT LOWER JAW BONE 21194 RECONSTRUCT LOWER JAW BONE 21195 RECONSTRUCT LOWER JAW BONE
- 733. 21196 RECONSTRUCT LOWER JAW BONE 21198 RECONSTRUCT LOWER JAW BONE 21199 OSTEOT,MAND,SEG;GENIOGLOS ADVN 21206 RECONSTRUCT UPPER JAW BONE 21208 AUGMENTATION OF FACIAL BONES 21209 REDUCTION OF FACIAL BONES 21210 FACE BONE GRAFT 21215 LOWER JAW BONE GRAFT 21230 RIB CARTILAGE GRAFT 21235 EAR CARTILAGE GRAFT 21240 RECONSTRUCTION OF JAW JOINT 21242 RECONSTRUCTION OF JAW JOINT 21243 RECONSTRUCTION OF JAW JOINT 21244 RECONSTRUCTION OF LOWER JAW 21245 RECONSTRUCTION OF JAW 21246 RECONSTRUCTION OF JAW 21247 RECONSTRUCT LOWER JAW BONE 21248 RECONSTRUCTION OF JAW 21249 RECONSTRUCTION OF JAW 21255 RECONSTRUCT LOWER JAW BONE 21256 RECONSTRUCTION OF ORBIT 21260 REVISE EYE SOCKETS 21261 REVISE EYE SOCKETS 21263 REVISE EYE SOCKETS 21267 REVISE EYE SOCKETS 21268 REVISE EYE SOCKETS 21270 AUGMENTATION, CHEEK BONE 21275 REVISION, ORBITOFACIAL BONES 21280 REVISION OF EYELID 21282 REVISION OF EYELID 21295 REVISION OF JAW MUSCLE/BONE 21296 REVISION OF JAW MUSCLE/BONE 21299 CRANIO/MAXILLOFACIAL SURGERY 21300 TREATMENT OF SKULL FRACTURE 21310 TREATMENT OF NOSE FRACTURE 21315 TREATMENT OF NOSE FRACTURE 21320 TREATMENT OF NOSE FRACTURE 21325 TREATMENT OF NOSE FRACTURE 21330 TREATMENT OF NOSE FRACTURE 21335 TREATMENT OF NOSE FRACTURE 21336 TREAT NASAL SEPTAL FRACTURE 21337 TREAT NASAL SEPTAL FRACTURE 21338 TREAT NASOETHMOID FRACTURE 21339 TREAT NASOETHMOID FRACTURE 21340 TREATMENT OF NOSE FRACTURE 21343 TREATMENT OF SINUS FRACTURE 21344 TREATMENT OF SINUS FRACTURE 21345 TREAT NOSE/JAW FRACTURE 21346 TREAT NOSE/JAW FRACTURE 21347 TREAT NOSE/JAW FRACTURE 21348 TREAT NOSE/JAW FRACTURE 21355 TREAT CHEEK BONE FRACTURE
- 734. 21356 TREAT CHEEK BONE FRACTURE 21360 TREAT CHEEK BONE FRACTURE 21365 TREAT CHEEK BONE FRACTURE 21366 TREAT CHEEK BONE FRACTURE 21385 TREAT EYE SOCKET FRACTURE 21386 TREAT EYE SOCKET FRACTURE 21387 TREAT EYE SOCKET FRACTURE 21390 TREAT EYE SOCKET FRACTURE 21395 TREAT EYE SOCKET FRACTURE 21400 TREAT EYE SOCKET FRACTURE 21401 TREAT EYE SOCKET FRACTURE 21406 TREAT EYE SOCKET FRACTURE 21407 TREAT EYE SOCKET FRACTURE 21408 TREAT EYE SOCKET FRACTURE 21421 TREAT MOUTH ROOF FRACTURE 21422 TREAT MOUTH ROOF FRACTURE 21423 TREAT MOUTH ROOF FRACTURE 21431 TREAT CRANIOFACIAL FRACTURE 21432 TREAT CRANIOFACIAL FRACTURE 21433 TREAT CRANIOFACIAL FRACTURE 21435 TREAT CRANIOFACIAL FRACTURE 21436 TREAT CRANIOFACIAL FRACTURE 21440 TREAT DENTAL RIDGE FRACTURE 21445 TREAT DENTAL RIDGE FRACTURE 21450 TREAT LOWER JAW FRACTURE 21451 TREAT LOWER JAW FRACTURE 21452 TREAT LOWER JAW FRACTURE 21453 TREAT LOWER JAW FRACTURE 21454 TREAT LOWER JAW FRACTURE 21461 TREAT LOWER JAW FRACTURE 21462 TREAT LOWER JAW FRACTURE 21465 TREAT LOWER JAW FRACTURE 21470 TREAT LOWER JAW FRACTURE 21480 RESET DISLOCATED JAW 21485 RESET DISLOCATED JAW 21490 REPAIR DISLOCATED JAW 21493 TREAT HYOID BONE FRACTURE 21494 TREAT HYOID BONE FRACTURE 21495 TREAT HYOID BONE FRACTURE 21497 INTERDENTAL WIRING 21499 HEAD SURGERY PROCEDURE 21501 DRAIN NECK/CHEST LESION 21502 DRAIN CHEST LESION 21510 DRAINAGE OF BONE LESION 21550 BIOPSY OF NECK/CHEST 21555 REMOVE LESION, NECK/CHEST 21556 REMOVE LESION, NECK/CHEST 21557 REMOVE TUMOR, NECK/CHEST 21600 PARTIAL REMOVAL OF RIB 21610 PARTIAL REMOVAL OF RIB 21615 REMOVAL OF RIB 21616 REMOVAL OF RIB AND NERVES
- 735. 21620 PARTIAL REMOVAL OF STERNUM 21627 STERNAL DEBRIDEMENT 21630 EXTENSIVE STERNUM SURGERY 21632 EXTENSIVE STERNUM SURGERY 21700 REVISION OF NECK MUSCLE 21705 REVISION OF NECK MUSCLE/RIB 21720 REVISION OF NECK MUSCLE 21725 REVISION OF NECK MUSCLE 21740 RECONSTRUCTION PECTS EXCAVATUM 21742 REPAIR STERN/NUSS W/O SCOPE 21743 REPAIR STERNUM/NUSS W/SCOPE 21750 REPAIR OF STERNUM SEPARATION 21800 TREATMENT OF RIB FRACTURE 21805 TREATMENT OF RIB FRACTURE 21810 TREATMENT OF RIB FRACTURE(S) 21820 TREAT STERNUM FRACTURE 21825 TREAT STERNUM FRACTURE 21899 NECK/CHEST SURGERY PROCEDURE 21920 BIOPSY SOFT TISSUE OF BACK 21925 BIOPSY SOFT TISSUE OF BACK 21930 REMOVE LESION, BACK OR FLANK 21935 REMOVE TUMOR, BACK 22100 REMOVE PART OF NECK VERTEBRA 22101 REMOVE PART, THORAX VERTEBRA 22102 REMOVE PART, LUMBAR VERTEBRA 22103 REMOVE EXTRA SPINE SEGMENT 22110 REMOVE PART OF NECK VERTEBRA 22112 REMOVE PART, THORAX VERTEBRA 22114 REMOVE PART, LUMBAR VERTEBRA 22116 REMOVE EXTRA SPINE SEGMENT 22210 REVISION OF NECK SPINE 22212 REVISION OF THORAX SPINE 22214 REVISION OF LUMBAR SPINE 22216 REVISE, EXTRA SPINE SEGMENT 22220 REVISION OF NECK SPINE 22222 REVISION OF THORAX SPINE 22224 REVISION OF LUMBAR SPINE 22226 REVISE, EXTRA SPINE SEGMENT 22305 TREAT SPINE PROCESS FRACTURE 22310 TREAT SPINE FRACTURE 22315 TREAT SPINE FRACTURE 22318 TREAT ODONTOID FX W/O GRAFT 22319 TREAT ODONTOID FX W/GRAFT 22325 TREAT SPINE FRACTURE 22326 TREAT NECK SPINE FRACTURE 22327 TREAT THORAX SPINE FRACTURE 22328 TREAT EACH ADD SPINE FX 22505 MANIPULATION OF SPINE 22520 PERCUT VERTEBROPLAS,1;THORACIC 22521 PERCUT VERTEBROPLASTY,1;LUMBAR 22522 PERCUT VRTBRPL,1;ADD THOR/LMBR 22548 NECK SPINE FUSION
- 736. 22554 NECK SPINE FUSION 22556 THORAX SPINE FUSION 22558 LUMBAR SPINE FUSION 22585 ADDITIONAL SPINAL FUSION 22590 SPINE & SKULL SPINAL FUSION 22595 NECK SPINAL FUSION 22600 NECK SPINE FUSION 22610 THORAX SPINE FUSION 22612 LUMBAR SPINE FUSION 22614 SPINE FUSION, EXTRA SEGMENT 22630 LUMBAR SPINE FUSION 22632 SPINE FUSION, EXTRA SEGMENT 22800 FUSION OF SPINE 22802 FUSION OF SPINE 22804 FUSION OF SPINE 22808 FUSION OF SPINE 22810 FUSION OF SPINE 22812 FUSION OF SPINE 22818 KYPHECTOMY, 1-2 SEGMENTS 22819 KYPHECTOMY, 3 OR MORE 22830 EXPLORATION OF SPINAL FUSION 22840 INSERT SPINE FIXATION DEVICE 22841 INSERT SPINE FIXATION DEVICE 22842 INSERT SPINE FIXATION DEVICE 22843 INSERT SPINE FIXATION DEVICE 22844 INSERT SPINE FIXATION DEVICE 22845 INSERT SPINE FIXATION DEVICE 22846 INSERT SPINE FIXATION DEVICE 22847 INSERT SPINE FIXATION DEVICE 22848 INSERT PELV FIXATION DEVICE 22849 REINSERT SPINAL FIXATION 22850 REMOVE SPINE FIXATION DEVICE 22851 APPLY SPINE PROSTH DEVICE 22852 REMOVE SPINE FIXATION DEVICE 22855 REMOVE SPINE FIXATION DEVICE 22899 SPINE SURGERY PROCEDURE 22900 REMOVE ABDOMINAL WALL LESION 22999 ABDOMEN SURGERY PROCEDURE 23000 REMOVAL OF CALCIUM DEPOSITS 23020 RELEASE SHOULDER JOINT 23030 DRAIN SHOULDER LESION 23031 DRAIN SHOULDER BURSA 23035 DRAIN SHOULDER BONE LESION 23040 EXPLORATORY SHOULDER SURGERY 23044 EXPLORATORY SHOULDER SURGERY 23065 BIOPSY SHOULDER TISSUES 23066 BIOPSY SHOULDER TISSUES 23075 REMOVAL OF SHOULDER LESION 23076 REMOVAL OF SHOULDER LESION 23077 REMOVE TUMOR OF SHOULDER 23100 BIOPSY OF SHOULDER JOINT 23101 SHOULDER JOINT SURGERY
- 737. 23105 REMOVE SHOULDER JOINT LINING 23106 INCISION OF COLLARBONE JOINT 23107 EXPLORE TREAT SHOULDER JOINT 23120 PARTIAL REMOVAL, COLLAR BONE 23125 REMOVAL OF COLLAR BONE 23130 REMOVE SHOULDER BONE, PART 23140 REMOVAL OF BONE LESION 23145 REMOVAL OF BONE LESION 23146 REMOVAL OF BONE LESION 23150 REMOVAL OF HUMERUS LESION 23155 REMOVAL OF HUMERUS LESION 23156 REMOVAL OF HUMERUS LESION 23170 REMOVE COLLAR BONE LESION 23172 REMOVE SHOULDER BLADE LESION 23174 REMOVE HUMERUS LESION 23180 REMOVE COLLAR BONE LESION 23182 REMOVE SHOULDER BLADE LESION 23184 REMOVE HUMERUS LESION 23190 PARTIAL REMOVAL OF SCAPULA 23195 REMOVAL OF HEAD OF HUMERUS 23200 REMOVAL OF COLLAR BONE 23210 REMOVAL OF SHOULDER BLADE 23220 PARTIAL REMOVAL OF HUMERUS 23221 PARTIAL REMOVAL OF HUMERUS 23222 PARTIAL REMOVAL OF HUMERUS 23330 REMOVE SHOULDER FOREIGN BODY 23331 REMOVE SHOULDER FOREIGN BODY 23332 REMOVE SHOULDER FOREIGN BODY 23350 INJECTION FOR SHOULDER X-RAY 23395 MUSCLE TRANSFER,SHOULDER/ARM 23397 MUSCLE TRANSFERS 23400 FIXATION OF SHOULDER BLADE 23405 INCISION OF TENDON & MUSCLE 23406 INCISE TENDON(S) & MUSCLE(S) 23410 REPAIR ROTATOR CUFF, ACUTE 23412 REPAIR ROTATOR CUFF, CHRONIC 23415 RELEASE OF SHOULDER LIGAMENT 23420 REPAIR OF SHOULDER 23430 REPAIR BICEPS TENDON 23440 REMOVE/TRANSPLANT TENDON 23450 REPAIR SHOULDER CAPSULE 23455 REPAIR SHOULDER CAPSULE 23460 REPAIR SHOULDER CAPSULE 23462 REPAIR SHOULDER CAPSULE 23465 REPAIR SHOULDER CAPSULE 23466 REPAIR SHOULDER CAPSULE 23470 RECONSTRUCT SHOULDER JOINT 23472 RECONSTRUCT SHOULDER JOINT 23480 REVISION OF COLLAR BONE 23485 REVISION OF COLLAR BONE 23490 REINFORCE CLAVICLE 23491 REINFORCE SHOULDER BONES
- 738. 23500 TREAT CLAVICLE FRACTURE 23505 TREAT CLAVICLE FRACTURE 23515 TREAT CLAVICLE FRACTURE 23520 TREAT CLAVICLE DISLOCATION 23525 TREAT CLAVICLE DISLOCATION 23530 TREAT CLAVICLE DISLOCATION 23532 TREAT CLAVICLE DISLOCATION 23540 TREAT CLAVICLE DISLOCATION 23545 TREAT CLAVICLE DISLOCATION 23550 TREAT CLAVICLE DISLOCATION 23552 TREAT CLAVICLE DISLOCATION 23570 TREAT SHOULDER BLADE FX 23575 TREAT SHOULDER BLADE FX 23585 TREAT SCAPULA FRACTURE 23600 TREAT HUMERUS FRACTURE 23605 TREAT HUMERUS FRACTURE 23615 TREAT HUMERUS FRACTURE 23616 TREAT HUMERUS FRACTURE 23620 TREAT HUMERUS FRACTURE 23625 TREAT HUMERUS FRACTURE 23630 TREAT HUMERUS FRACTURE 23650 TREAT SHOULDER DISLOCATION 23655 TREAT SHOULDER DISLOCATION 23660 TREAT SHOULDER DISLOCATION 23665 TREAT DISLOCATION/FRACTURE 23670 TREAT DISLOCATION/FRACTURE 23675 TREAT DISLOCATION/FRACTURE 23680 TREAT DISLOCATION/FRACTURE 23700 FIXATION OF SHOULDER 23800 FUSION OF SHOULDER JOINT 23802 FUSION OF SHOULDER JOINT 23900 AMPUTATION OF ARM & GIRDLE 23920 AMPUTATION AT SHOULDER JOINT 23921 AMPUTATION FOLLOW-UP SURGERY 23929 SHOULDER SURGERY PROCEDURE 23930 DRAINAGE OF ARM LESION 23931 DRAINAGE OF ARM BURSA 23935 DRAIN ARM/ELBOW BONE LESION 24000 EXPLORATORY ELBOW SURGERY 24006 RELEASE ELBOW JOINT 24065 BIOPSY ARM/ELBOW SOFT TISSUE 24066 BIOPSY ARM/ELBOW SOFT TISSUE 24075 REMOVE ARM/ELBOW LESION 24076 REMOVE ARM/ELBOW LESION 24077 REMOVE TUMOR OF ARM/ELBOW 24100 BIOPSY ELBOW JOINT LINING 24101 EXPLORE/TREAT ELBOW JOINT 24102 REMOVE ELBOW JOINT LINING 24105 REMOVAL OF ELBOW BURSA 24110 REMOVE HUMERUS LESION 24115 REMOVE/GRAFT BONE LESION 24116 REMOVE/GRAFT BONE LESION
- 739. 24120 REMOVE ELBOW LESION 24125 REMOVE/GRAFT BONE LESION 24126 REMOVE/GRAFT BONE LESION 24130 REMOVAL OF HEAD OF RADIUS 24134 REMOVAL OF ARM BONE LESION 24136 REMOVE RADIUS BONE LESION 24138 REMOVE ELBOW BONE LESION 24140 PARTIAL REMOVAL OF ARM BONE 24145 PARTIAL REMOVAL OF RADIUS 24147 PARTIAL REMOVAL OF ELBOW 24149 RADICAL RESECTION OF ELBOW 24150 EXTENSIVE HUMERUS SURGERY 24151 EXTENSIVE HUMERUS SURGERY 24152 EXTENSIVE RADIUS SURGERY 24153 EXTENSIVE RADIUS SURGERY 24155 REMOVAL OF ELBOW JOINT 24160 REMOVE ELBOW JOINT IMPLANT 24164 REMOVE RADIUS HEAD IMPLANT 24200 REMOVAL OF ARM FOREIGN BODY 24201 REMOVAL OF ARM FOREIGN BODY 24220 INJECTION FOR ELBOW X-RAY 24300 MANIPULATE ELBOW W/ANESTH 24301 MUSCLE/TENDON TRANSFER 24305 ARM TENDON LENGTHENING 24310 REVISION OF ARM TENDON 24320 REPAIR OF ARM TENDON 24330 REVISION OF ARM MUSCLES 24331 REVISION OF ARM MUSCLES 24332 TENOLYSIS, TRICEPS 24340 REPAIR OF BICEPS TENDON 24341 REPAIR ARM TENDON/MUSCLE 24342 REPAIR OF RUPTURED TENDON 24343 REPR ELBOW LAT LIGMNT W/TISS 24344 RECONSTRUCT ELBOW LAT LIGMNT 24345 REPR ELBW MED LIGMNT W/TISS 24346 RECONSTRUCT ELBOW MED LIGMNT 24350 REPAIR OF TENNIS ELBOW 24351 REPAIR OF TENNIS ELBOW 24352 REPAIR OF TENNIS ELBOW 24354 REPAIR OF TENNIS ELBOW 24356 REVISION OF TENNIS ELBOW 24360 RECONSTRUCT ELBOW JOINT 24361 RECONSTRUCT ELBOW JOINT 24362 RECONSTRUCT ELBOW JOINT 24363 REPLACE ELBOW JOINT 24365 RECONSTRUCT HEAD OF RADIUS 24366 RECONSTRUCT HEAD OF RADIUS 24400 REVISION OF HUMERUS 24410 REVISION OF HUMERUS 24420 REVISION OF HUMERUS 24430 REPAIR OF HUMERUS 24435 REPAIR HUMERUS WITH GRAFT
- 740. 24470 REVISION OF ELBOW JOINT 24495 DECOMPRESSION OF FOREARM 24498 REINFORCE HUMERUS 24500 TREAT HUMERUS FRACTURE 24505 TREAT HUMERUS FRACTURE 24515 TREAT HUMERUS FRACTURE 24516 TREAT HUMRL FRAC INTRAMDULLARY 24530 TREAT HUMERUS FRACTURE 24535 TREAT HUMERUS FRACTURE 24538 TREAT HUMERUS FRACTURE 24545 TREAT HUMERUS FRACTURE 24546 TREAT HUMERUS FRACTURE 24560 TREAT HUMERUS FRACTURE 24565 TREAT HUMERUS FRACTURE 24566 TREAT HUMERUS FRACTURE 24575 TREAT HUMERUS FRACTURE 24576 TREAT HUMERUS FRACTURE 24577 TREAT HUMERUS FRACTURE 24579 TREAT HUMERUS FRACTURE 24582 TREAT HUMERUS FRACTURE 24586 TREAT ELBOW FRACTURE 24587 TREAT ELBOW FRACTURE 24600 TREAT ELBOW DISLOCATION 24605 TREAT ELBOW DISLOCATION 24615 TREAT ELBOW DISLOCATION 24620 TREAT ELBOW FRACTURE 24635 TREAT ELBOW FRACTURE 24640 TREAT ELBOW DISLOCATION 24650 TREAT RADIUS FRACTURE 24655 TREAT RADIUS FRACTURE 24665 TREAT RADIUS FRACTURE 24666 TREAT RADIUS FRACTURE 24670 TREAT ULNAR FRACTURE 24675 TREAT ULNAR FRACTURE 24685 TREAT ULNAR FRACTURE 24800 FUSION OF ELBOW JOINT 24802 FUSION/GRAFT OF ELBOW JOINT 24900 AMPUTATION OF UPPER ARM 24920 AMPUTATION OF UPPER ARM 24925 AMPUTATION FOLLOW-UP SURGERY 24930 AMPUTATION FOLLOW-UP SURGERY 24931 AMPUTATE UPPER ARM & IMPLANT 24935 REVISION OF AMPUTATION 24940 REVISION OF UPPER ARM 24999 UPPER ARM/ELBOW SURGERY 25000 INCISION OF TENDON SHEATH 25001 INCISE FLEXOR CARPI RADIALIS 25020 DECOMPRESS FOREARM 1 SPACE 25023 DECOMPRESS FOREARM 1 SPACE 25024 DECOMPRESS FOREARM 2 SPACES 25025 DECOMPRESS FORARM 2 SPACES 25028 DRAINAGE OF FOREARM LESION
- 741. 25031 DRAINAGE OF FOREARM BURSA 25035 TREAT FOREARM BONE LESION 25040 EXPLORE/TREAT WRIST JOINT 25065 BIOPSY FOREARM SOFT TISSUES 25066 BIOPSY FOREARM SOFT TISSUES 25075 REMOVE FOREARM LESION SUBCUT 25076 REMOVE FOREARM LESION DEEP 25077 REMOVE TUMOR, FOREARM/WRIST 25085 INCISION OF WRIST CAPSULE 25100 BIOPSY OF WRIST JOINT 25101 EXPLORE/TREAT WRIST JOINT 25105 REMOVE WRIST JOINT LINING 25107 REMOVE WRIST JOINT CARTILAGE 25110 REMOVE WRIST TENDON LESION 25111 REMOVE WRIST TENDON LESION 25112 REREMOVE WRIST TENDON LESION 25115 REMOVE WRIST/FOREARM LESION 25116 REMOVE WRIST/FOREARM LESION 25118 EXCISE WRIST TENDON SHEATH 25119 PARTIAL REMOVAL OF ULNA 25120 REMOVAL OF FOREARM LESION 25125 REMOVE/GRAFT FOREARM LESION 25126 REMOVE/GRAFT FOREARM LESION 25130 REMOVAL OF WRIST LESION 25135 REMOVE & GRAFT WRIST LESION 25136 REMOVE & GRAFT WRIST LESION 25145 REMOVE FOREARM BONE LESION 25150 PARTIAL REMOVAL OF ULNA 25151 PARTIAL REMOVAL OF RADIUS 25170 EXTENSIVE FOREARM SURGERY 25210 REMOVAL OF WRIST BONE 25215 REMOVAL OF WRIST BONES 25230 PARTIAL REMOVAL OF RADIUS 25240 PARTIAL REMOVAL OF ULNA 25246 INJECTION FOR WRIST X-RAY 25248 REMOVE FOREARM FOREIGN BODY 25250 REMOVAL OF WRIST PROSTHESIS 25251 REMOVAL OF WRIST PROSTHESIS 25259 MANIPULATE WRIST W/ANESTHES 25260 REPAIR FOREARM TENDON/MUSCLE 25263 REPAIR FOREARM TENDON/MUSCLE 25265 REPAIR FOREARM TENDON/MUSCLE 25270 REPAIR FOREARM TENDON/MUSCLE 25272 REPAIR FOREARM TENDON/MUSCLE 25274 REPAIR FOREARM TENDON/MUSCLE 25275 REPAIR FOREARM TENDON SHEATH 25280 REVISE WRIST/FOREARM TENDON 25290 INCISE WRIST/FOREARM TENDON 25295 RELEASE WRIST/FOREARM TENDON 25300 FUSION OF TENDONS AT WRIST 25301 FUSION OF TENDONS AT WRIST 25310 TRANSPLANT FOREARM TENDON
- 742. 25312 TRANSPLANT FOREARM TENDON 25315 REVISE PALSY HAND TENDON(S) 25316 REVISE PALSY HAND TENDON(S) 25320 CAPSULORRHAPHY/RECONSRCT WRIST 25332 REVISE WRIST JOINT 25335 REALIGNMENT OF HAND 25337 RECONSTRUCT ULNA/RADIOULNAR 25350 REVISION OF RADIUS 25355 REVISION OF RADIUS 25360 REVISION OF ULNA 25365 REVISE RADIUS & ULNA 25370 REVISE RADIUS OR ULNA 25375 REVISE RADIUS & ULNA 25390 SHORTEN RADIUS OR ULNA 25391 LENGTHEN RADIUS OR ULNA 25392 SHORTEN RADIUS & ULNA 25393 LENGTHEN RADIUS & ULNA 25394 REPAIR CARPAL BONE, SHORTEN 25400 REPAIR RADIUS OR ULNA 25405 REPAIR/GRAFT RADIUS OR ULNA 25415 REPAIR RADIUS & ULNA 25420 REPAIR/GRAFT RADIUS & ULNA 25425 REPAIR/GRAFT RADIUS OR ULNA 25426 REPAIR/GRAFT RADIUS & ULNA 25430 VASC GRAFT INTO CARPAL BONE 25431 REPAIR NONUNION CARPAL BONE 25440 REPAIR/GRAFT WRIST BONE 25441 RECONSTRUCT WRIST JOINT 25442 RECONSTRUCT WRIST JOINT 25443 RECONSTRUCT WRIST JOINT 25444 RECONSTRUCT WRIST JOINT 25445 RECONSTRUCT WRIST JOINT 25446 WRIST REPLACEMENT 25447 REPAIR WRIST JOINT(S) 25449 REMOVE WRIST JOINT IMPLANT 25450 REVISION OF WRIST JOINT 25455 REVISION OF WRIST JOINT 25490 REINFORCE RADIUS 25491 REINFORCE ULNA 25492 REINFORCE RADIUS AND ULNA 25500 TREAT FRACTURE OF RADIUS 25505 TREAT FRACTURE OF RADIUS 25515 TREAT FRACTURE OF RADIUS 25520 TREAT FRACTURE OF RADIUS 25525 TREAT FRACTURE OF RADIUS 25526 TREAT FRACTURE OF RADIUS 25530 TREAT FRACTURE OF ULNA 25535 TREAT FRACTURE OF ULNA 25545 TREAT FRACTURE OF ULNA 25560 TREAT FRACTURE RADIUS & ULNA 25565 TREAT FRACTURE RADIUS & ULNA 25574 TREAT FRACTURE RADIUS & ULNA
- 743. 25575 TREAT FRACTURE RADIUS/ULNA 25600 TREAT FRACTURE RADIUS/ULNA 25605 TREAT FRACTURE RADIUS/ULNA 25611 TREAT FRACTURE RADIUS/ULNA 25620 TREAT FRACTURE RADIUS/ULNA 25622 TREAT WRIST BONE FRACTURE 25624 TREAT WRIST BONE FRACTURE 25628 TREAT WRIST BONE FRACTURE 25630 TREAT WRIST BONE FRACTURE 25635 TREAT WRIST BONE FRACTURE 25645 TREAT WRIST BONE FRACTURE 25650 TREAT WRIST BONE FRACTURE 25651 PIN ULNAR STYLOID FRACTURE 25652 TREAT FRACTURE ULNAR STYLOID 25660 TREAT WRIST DISLOCATION 25670 TREAT WRIST DISLOCATION 25671 PIN RADIOULNAR DISLOCATION 25675 TREAT WRIST DISLOCATION 25676 TREAT WRIST DISLOCATION 25680 TREAT WRIST FRACTURE 25685 TREAT WRIST FRACTURE 25690 TREAT WRIST DISLOCATION 25695 TREAT WRIST DISLOCATION 25800 FUSION OF WRIST JOINT 25805 FUSION/GRAFT OF WRIST JOINT 25810 FUSION/GRAFT OF WRIST JOINT 25820 FUSION OF HAND BONES 25825 FUSE HAND BONES WITH GRAFT 25830 FUSION, RADIOULNAR JNT/ULNA 25900 AMPUTATION OF FOREARM 25905 AMPUTATION OF FOREARM 25907 AMPUTATION FOLLOW-UP SURGERY 25909 AMPUTATION FOLLOW-UP SURGERY 25915 AMPUTATION OF FOREARM 25920 AMPUTATE HAND AT WRIST 25922 AMPUTATE HAND AT WRIST 25924 AMPUTATION FOLLOW-UP SURGERY 25927 AMPUTATION OF HAND 25929 AMPUTATION FOLLOW-UP SURGERY 25931 AMPUTATION FOLLOW-UP SURGERY 25999 FOREARM OR WRIST SURGERY 26010 DRAINAGE OF FINGER ABSCESS 26011 DRAINAGE OF FINGER ABSCESS 26020 DRAIN HAND TENDON SHEATH 26025 DRAINAGE OF PALM BURSA 26030 DRAINAGE OF PALM BURSA(S) 26034 TREAT HAND BONE LESION 26035 DECOMPRESS FINGERS/HAND 26037 DECOMPRESS FINGERS/HAND 26040 RELEASE PALM CONTRACTURE 26045 RELEASE PALM CONTRACTURE 26055 INCISE FINGER TENDON SHEATH
- 744. 26060 INCISION OF FINGER TENDON 26070 EXPLORE/TREAT HAND JOINT 26075 EXPLORE/TREAT FINGER JOINT 26080 EXPLORE/TREAT FINGER JOINT 26100 BIOPSY HAND JOINT LINING 26105 BIOPSY FINGER JOINT LINING 26110 BIOPSY FINGER JOINT LINING 26115 REMOVE HAND LESION SUBCUT 26116 REMOVE HAND LESION, DEEP 26117 REMOVE TUMOR, HAND/FINGER 26121 RELEASE PALM CONTRACTURE 26123 RELEASE PALM CONTRACTURE 26125 RELEASE PALM CONTRACTURE 26130 REMOVE WRIST JOINT LINING 26135 REVISE FINGER JOINT, EACH 26140 REVISE FINGER JOINT, EACH 26145 TENDON EXCISION, PALM/FINGER 26160 REMOVE TENDON SHEATH LESION 26170 REMOVAL OF PALM TENDON, EACH 26180 REMOVAL OF FINGER TENDON 26185 REMOVE FINGER BONE 26200 REMOVE HAND BONE LESION 26205 REMOVE/GRAFT BONE LESION 26210 REMOVAL OF FINGER LESION 26215 REMOVE/GRAFT FINGER LESION 26230 PARTIAL REMOVAL OF HAND BONE 26235 PARTIAL REMOVAL, FINGER BONE 26236 PARTIAL REMOVAL, FINGER BONE 26250 EXTENSIVE HAND SURGERY 26255 EXTENSIVE HAND SURGERY 26260 EXTENSIVE FINGER SURGERY 26261 EXTENSIVE FINGER SURGERY 26262 PARTIAL REMOVAL OF FINGER 26320 REMOVAL OF IMPLANT FROM HAND 26340 MANIPULATE FINGER W/ANESTH 26350 REPAIR FINGER/HAND TENDON 26352 REPAIR/GRAFT HAND TENDON 26356 REPAIR FINGER/HAND TENDON 26357 REPAIR FINGER/HAND TENDON 26358 REPAIR/GRAFT HAND TENDON 26370 REPAIR FINGER/HAND TENDON 26372 REPAIR/GRAFT HAND TENDON 26373 REPAIR FINGER/HAND TENDON 26390 REVISE HAND/FINGER TENDON 26392 REPAIR/GRAFT HAND TENDON 26410 REPAIR HAND TENDON 26412 REPAIR/GRAFT HAND TENDON 26415 EXCISION, HAND/FINGER TENDON 26416 GRAFT HAND OR FINGER TENDON 26418 REPAIR FINGER TENDON 26420 REPAIR/GRAFT FINGER TENDON 26426 REPAIR FINGER/HAND TENDON
- 745. 26428 REPAIR/GRAFT FINGER TENDON 26432 REPAIR FINGER TENDON 26433 REPAIR FINGER TENDON 26434 REPAIR/GRAFT FINGER TENDON 26437 REALIGNMENT OF TENDONS 26440 RELEASE PALM/FINGER TENDON 26442 RELEASE PALM & FINGER TENDON 26445 RELEASE HAND/FINGER TENDON 26449 RELEASE FOREARM/HAND TENDON 26450 INCISION OF PALM TENDON 26455 INCISION OF FINGER TENDON 26460 INCISE HAND/FINGER TENDON 26471 FUSION OF FINGER TENDONS 26474 FUSION OF FINGER TENDONS 26476 TENDON LENGTHENING 26477 TENDON SHORTENING 26478 LENGTHENING OF HAND TENDON 26479 SHORTENING OF HAND TENDON 26480 TRANSPLANT HAND TENDON 26483 TRANSPLANT/GRAFT HAND TENDON 26485 TRANSPLANT PALM TENDON 26489 TRANSPLANT/GRAFT PALM TENDON 26490 REVISE THUMB TENDON 26492 TENDON TRANSFER WITH GRAFT 26494 HAND TENDON/MUSCLE TRANSFER 26496 REVISE THUMB TENDON 26497 FINGER TENDON TRANSFER 26498 FINGER TENDON TRANSFER 26499 REVISION OF FINGER 26500 HAND TENDON RECONSTRUCTION 26502 HAND TENDON RECONSTRUCTION 26504 HAND TENDON RECONSTRUCTION 26508 RELEASE THUMB CONTRACTURE 26510 THUMB TENDON TRANSFER 26516 FUSION OF KNUCKLE JOINT 26517 FUSION OF KNUCKLE JOINTS 26518 FUSION OF KNUCKLE JOINTS 26520 RELEASE KNUCKLE CONTRACTURE 26525 RELEASE FINGER CONTRACTURE 26530 REVISE KNUCKLE JOINT 26531 REVISE KNUCKLE WITH IMPLANT 26535 REVISE FINGER JOINT 26536 REVISE/IMPLANT FINGER JOINT 26540 REPAIR HAND JOINT 26541 REPAIR HAND JOINT WITH GRAFT 26542 REPAIR HAND JOINT WITH GRAFT 26545 RECONSTRUCT FINGER JOINT 26546 REPAIR NONUNION HAND 26548 RECONSTRUCT FINGER JOINT 26550 CONSTRUCT THUMB REPLACEMENT 26551 GREAT TOE-HAND TRANSFER 26553 SINGLE TRANSFER, TOE-HAND
- 746. 26554 DOUBLE TRANSFER, TOE-HAND 26555 POSITIONAL CHANGE OF FINGER 26556 TOE JOINT TRANSFER 26560 REPAIR OF WEB FINGER 26561 REPAIR OF WEB FINGER 26562 REPAIR OF WEB FINGER 26565 CORRECT METACARPAL FLAW 26567 CORRECT FINGER DEFORMITY 26568 LENGTHEN METACARPAL/FINGER 26580 REPAIR HAND DEFORMITY 26587 RECONSTRUCT EXTRA FINGER 26590 REPAIR FINGER DEFORMITY 26591 REPAIR MUSCLES OF HAND 26593 RELEASE MUSCLES OF HAND 26596 EXCISION CONSTRICTING TISSUE 26600 TREAT METACARPAL FRACTURE 26605 TREAT METACARPAL FRACTURE 26607 TREAT METACARPAL FRACTURE 26608 TREAT METACARPAL FRACTURE 26615 TREAT METACARPAL FRACTURE 26641 TREAT THUMB DISLOCATION 26645 TREAT THUMB FRACTURE 26650 TREAT THUMB FRACTURE 26665 TREAT THUMB FRACTURE 26670 TREAT HAND DISLOCATION 26675 TREAT HAND DISLOCATION 26676 PIN HAND DISLOCATION 26685 TREAT HAND DISLOCATION 26686 TX CARPOMTACRPL DSLCT,NT THUMB 26700 TREAT KNUCKLE DISLOCATION 26705 TREAT KNUCKLE DISLOCATION 26706 PIN KNUCKLE DISLOCATION 26715 TREAT KNUCKLE DISLOCATION 26720 TREAT FINGER FRACTURE, EACH 26725 TREAT FINGER FRACTURE, EACH 26727 TREAT FINGER FRACTURE, EACH 26735 TREAT FINGER FRACTURE, EACH 26740 TREAT FINGER FRACTURE, EACH 26742 TREAT FINGER FRACTURE, EACH 26746 TREAT FINGER FRACTURE, EACH 26750 TREAT FINGER FRACTURE, EACH 26755 TREAT FINGER FRACTURE, EACH 26756 PIN FINGER FRACTURE, EACH 26765 TREAT FINGER FRACTURE, EACH 26770 TREAT FINGER DISLOCATION 26775 TREAT FINGER DISLOCATION 26776 PIN FINGER DISLOCATION 26785 TREAT FINGER DISLOCATION 26820 THUMB FUSION WITH GRAFT 26841 FUSION OF THUMB 26842 THUMB FUSION WITH GRAFT 26843 FUSION OF HAND JOINT
- 747. 26844 FUSION/GRAFT OF HAND JOINT 26850 FUSION OF KNUCKLE 26852 FUSION OF KNUCKLE WITH GRAFT 26860 FUSION OF FINGER JOINT 26861 FUSION OF FINGER JNT, ADD-ON 26862 FUSION/GRAFT OF FINGER JOINT 26863 FUSE/GRAFT ADDED JOINT 26910 AMPUTATE METACARPAL BONE 26951 AMPUTATION OF FINGER/THUMB 26952 AMPUTATION OF FINGER/THUMB 26989 HAND/FINGER SURGERY 26990 DRAINAGE OF PELVIS LESION 26991 DRAINAGE OF PELVIS BURSA 26992 DRAINAGE OF BONE LESION 27000 INCISION OF HIP TENDON 27001 INCISION OF HIP TENDON 27003 INCISION OF HIP TENDON 27005 INCISION OF HIP TENDON 27006 INCISION OF HIP TENDONS 27025 INCISION OF HIP/THIGH FASCIA 27030 DRAINAGE OF HIP JOINT 27033 EXPLORATION OF HIP JOINT 27035 DENERVATION OF HIP JOINT 27036 EXCISION OF HIP JOINT/MUSCLE 27040 BIOPSY OF SOFT TISSUES 27041 BIOPSY OF SOFT TISSUES 27047 REMOVE HIP/PELVIS LESION 27048 REMOVE HIP/PELVIS LESION 27049 REMOVE TUMOR, HIP/PELVIS 27050 BIOPSY OF SACROILIAC JOINT 27052 BIOPSY OF HIP JOINT 27054 REMOVAL OF HIP JOINT LINING 27060 REMOVAL OF ISCHIAL BURSA 27062 REMOVE FEMUR LESION/BURSA 27065 REMOVAL OF HIP BONE LESION 27066 REMOVAL OF HIP BONE LESION 27067 REMOVE/GRAFT HIP BONE LESION 27070 PARTIAL REMOVAL OF HIP BONE 27071 PARTIAL REMOVAL OF HIP BONE 27075 EXTENSIVE HIP SURGERY 27076 EXTENSIVE HIP SURGERY 27077 EXTENSIVE HIP SURGERY 27078 EXTENSIVE HIP SURGERY 27079 EXTENSIVE HIP SURGERY 27080 REMOVAL OF TAIL BONE 27086 REMOVE HIP FOREIGN BODY 27087 REMOVE HIP FOREIGN BODY 27090 REMOVAL OF HIP PROSTHESIS 27091 REMOVAL OF HIP PROSTHESIS 27093 INJECTION FOR HIP X-RAY 27095 INJECTION FOR HIP X-RAY 27096 INJECT SACROILIAC JOINT
- 748. 27097 REVISION OF HIP TENDON 27098 TRANSFER TENDON TO PELVIS 27100 TRANSFER OF ABDOMINAL MUSCLE 27105 TRANSFER OF SPINAL MUSCLE 27110 TRANSFER OF ILIOPSOAS MUSCLE 27111 TRANSFER OF ILIOPSOAS MUSCLE 27120 RECONSTRUCTION OF HIP SOCKET 27122 RECONSTRUCTION OF HIP SOCKET 27125 PARTIAL HIP REPLACEMENT 27130 TOTAL HIP ARTHROPLASTY 27132 TOTAL HIP ARTHROPLASTY 27134 REVISE HIP JOINT REPLACEMENT 27137 REVISE HIP JOINT REPLACEMENT 27138 REVISE HIP JOINT REPLACEMENT 27140 TRANSPLANT FEMUR RIDGE 27146 INCISION OF HIP BONE 27147 REVISION OF HIP BONE 27151 INCISION OF HIP BONES 27156 REVISION OF HIP BONES 27158 REVISION OF PELVIS 27161 INCISION OF NECK OF FEMUR 27165 INCISION/FIXATION OF FEMUR 27170 REPAIR/GRAFT FEMUR HEAD/NECK 27175 TREAT SLIPPED EPIPHYSIS 27176 TREAT SLIPPED EPIPHYSIS 27177 TREAT SLIPPED EPIPHYSIS 27178 TREAT SLIPPED EPIPHYSIS 27179 REVISE HEAD/NECK OF FEMUR 27181 TREAT SLIPPED EPIPHYSIS 27185 REVISION OF FEMUR EPIPHYSIS 27187 REINFORCE HIP BONES 27193 TREAT PELVIC RING FRACTURE 27194 TREAT PELVIC RING FRACTURE 27200 TREAT TAIL BONE FRACTURE 27202 TREAT TAIL BONE FRACTURE 27215 TREAT PELVIC FRACTURE(S) 27216 TREAT PELVIC RING FRACTURE 27217 TREAT PELVIC RING FRACTURE 27218 TREAT PELVIC RING FRACTURE 27220 TREAT HIP SOCKET FRACTURE 27222 TREAT HIP SOCKET FRACTURE 27226 TREAT HIP WALL FRACTURE 27227 TREAT HIP FRACTURE(S) 27228 TREAT HIP FRACTURE(S) 27230 TREAT THIGH FRACTURE 27232 TREAT THIGH FRACTURE 27235 PERCUT SKEL FIX OF FEMRL FRACT 27236 OPN TX FEM FX,PROX END,NCK,FIX 27238 TREAT THIGH FRACTURE 27240 TREAT THIGH FRACTURE 27244 TREAT FEMRAL FRAC W/PLATE/SCRW 27245 TREAT FEMRAL FRAC W/INTRAEDULL
- 749. 27246 TREAT THIGH FRACTURE 27248 TREAT THIGH FRACTURE 27250 TREAT HIP DISLOCATION 27252 TREAT HIP DISLOCATION 27253 TREAT HIP DISLOCATION 27254 TREAT HIP DISLOCATION 27256 TREAT HIP DISLOCATION 27257 TREAT HIP DISLOCATION 27258 TREAT HIP DISLOCATION 27259 TREAT HIP DISLOCATION 27265 TREAT HIP DISLOCATION 27266 TREAT HIP DISLOCATION 27275 MANIPULATION OF HIP JOINT 27280 FUSION OF SACROILIAC JOINT 27282 FUSION OF PUBIC BONES 27284 FUSION OF HIP JOINT 27286 FUSION OF HIP JOINT 27290 AMPUTATION OF LEG AT HIP 27295 AMPUTATION OF LEG AT HIP 27299 PELVIS/HIP JOINT SURGERY 27301 DRAIN THIGH/KNEE LESION 27303 DRAINAGE OF BONE LESION 27305 INCISE THIGH TENDON & FASCIA 27306 INCISION OF THIGH TENDON 27307 INCISION OF THIGH TENDONS 27310 EXPLORATION OF KNEE JOINT 27315 PARTIAL REMOVAL, THIGH NERVE 27320 PARTIAL REMOVAL, THIGH NERVE 27323 BIOPSY, THIGH SOFT TISSUES 27324 BIOPSY, THIGH SOFT TISSUES 27327 REMOVAL OF THIGH LESION 27328 REMOVAL OF THIGH LESION 27329 REMOVE TUMOR, THIGH/KNEE 27330 BIOPSY, KNEE JOINT LINING 27331 EXPLORE/TREAT KNEE JOINT 27332 REMOVAL OF KNEE CARTILAGE 27333 REMOVAL OF KNEE CARTILAGE 27334 REMOVE KNEE JOINT LINING 27335 REMOVE KNEE JOINT LINING 27340 REMOVAL OF KNEECAP BURSA 27345 REMOVAL OF KNEE CYST 27347 REMOVE KNEE CYST 27350 REMOVAL OF KNEECAP 27355 REMOVE FEMUR LESION 27356 REMOVE FEMUR LESION/GRAFT 27357 REMOVE FEMUR LESION/GRAFT 27358 REMOVE FEMUR LESION/FIXATION 27360 PARTIAL REMOVAL, LEG BONE(S) 27365 EXTENSIVE LEG SURGERY 27370 INJECTION FOR KNEE X-RAY 27372 REMOVAL OF FOREIGN BODY 27380 REPAIR OF KNEECAP TENDON
- 750. 27381 REPAIR/GRAFT KNEECAP TENDON 27385 REPAIR OF THIGH MUSCLE 27386 REPAIR/GRAFT OF THIGH MUSCLE 27390 INCISION OF THIGH TENDON 27391 INCISION OF THIGH TENDONS 27392 INCISION OF THIGH TENDONS 27393 LENGTHENING OF THIGH TENDON 27394 LENGTHENING OF THIGH TENDONS 27395 LENGTHENING OF THIGH TENDONS 27396 TRANSPLANT OF THIGH TENDON 27397 TRANSPLANTS OF THIGH TENDONS 27400 REVISE THIGH MUSCLES/TENDONS 27403 REPAIR OF KNEE CARTILAGE 27405 REPAIR OF KNEE LIGAMENT 27407 REPAIR OF KNEE LIGAMENT 27409 REPAIR OF KNEE LIGAMENTS 27418 REPAIR DEGENERATED KNEECAP 27420 REVISION OF UNSTABLE KNEECAP 27422 REVISION OF UNSTABLE KNEECAP 27424 REVISION/REMOVAL OF KNEECAP 27425 LAT RETINACULAR RELEASE OPEN 27427 RECONSTRUCTION, KNEE 27428 RECONSTRUCTION, KNEE 27429 RECONSTRUCTION, KNEE 27430 REVISION OF THIGH MUSCLES 27435 INCISION OF KNEE JOINT 27437 REVISE KNEECAP 27438 REVISE KNEECAP WITH IMPLANT 27440 REVISION OF KNEE JOINT 27441 REVISION OF KNEE JOINT 27442 REVISION OF KNEE JOINT 27443 REVISION OF KNEE JOINT 27445 REVISION OF KNEE JOINT 27446 REVISION OF KNEE JOINT 27447 TOTAL KNEE ARTHROPLASTY 27448 INCISION OF THIGH 27450 INCISION OF THIGH 27454 REALIGNMENT OF THIGH BONE 27455 REALIGNMENT OF KNEE 27457 REALIGNMENT OF KNEE 27465 SHORTENING OF THIGH BONE 27466 LENGTHENING OF THIGH BONE 27468 SHORTEN/LENGTHEN THIGHS 27470 REPAIR OF THIGH 27472 REPAIR/GRAFT OF THIGH 27475 SURGERY TO STOP LEG GROWTH 27477 SURGERY TO STOP LEG GROWTH 27479 SURGERY TO STOP LEG GROWTH 27485 SURGERY TO STOP LEG GROWTH 27486 REVISE/REPLACE KNEE JOINT 27487 REVISE/REPLACE KNEE JOINT 27488 REMOVAL OF KNEE PROSTHESIS
- 751. 27495 REINFORCE THIGH 27496 DECOMPRESSION OF THIGH/KNEE 27497 DECOMPRESSION OF THIGH/KNEE 27498 DECOMPRESSION OF THIGH/KNEE 27499 DECOMPRESSION OF THIGH/KNEE 27500 TREATMENT OF THIGH FRACTURE 27501 TREATMENT OF THIGH FRACTURE 27502 TREATMENT OF THIGH FRACTURE 27503 TREATMENT OF THIGH FRACTURE 27506 TREATMENT OF THIGH FRACTURE 27507 TREATMENT OF THIGH FRACTURE 27508 TREATMENT OF THIGH FRACTURE 27509 TREATMENT OF THIGH FRACTURE 27510 TREATMENT OF THIGH FRACTURE 27511 TREATMENT OF THIGH FRACTURE 27513 TREATMENT OF THIGH FRACTURE 27514 TREATMENT OF THIGH FRACTURE 27516 TREAT THIGH FX GROWTH PLATE 27517 TREAT THIGH FX GROWTH PLATE 27519 TREAT THIGH FX GROWTH PLATE 27520 TREAT KNEECAP FRACTURE 27524 TREAT KNEECAP FRACTURE 27530 TREAT KNEE FRACTURE 27532 TREAT KNEE FRACTURE 27535 TREAT KNEE FRACTURE 27536 TREAT KNEE FRACTURE 27538 TREAT KNEE FRACTURE(S) 27540 TREAT KNEE FRACTURE 27550 TREAT KNEE DISLOCATION 27552 TREAT KNEE DISLOCATION 27556 TREAT KNEE DISLOCATION 27557 TREAT KNEE DISLOCATION 27558 TREAT KNEE DISLOCATION 27560 TREAT KNEECAP DISLOCATION 27562 TREAT KNEECAP DISLOCATION 27566 TREAT KNEECAP DISLOCATION 27570 FIXATION OF KNEE JOINT 27580 FUSION OF KNEE 27590 AMPUTATE LEG AT THIGH 27591 AMPUTATE LEG AT THIGH 27592 AMPUTATE LEG AT THIGH 27594 AMPUTATION FOLLOW-UP SURGERY 27596 AMPUTATION FOLLOW-UP SURGERY 27598 AMPUTATE LOWER LEG AT KNEE 27599 LEG SURGERY PROCEDURE 27600 DECOMPRESSION OF LOWER LEG 27601 DECOMPRESSION OF LOWER LEG 27602 DECOMPRESSION OF LOWER LEG 27603 DRAIN LOWER LEG LESION 27604 DRAIN LOWER LEG BURSA 27605 INCISION OF ACHILLES TENDON 27606 INCISION OF ACHILLES TENDON
- 752. 27607 TREAT LOWER LEG BONE LESION 27610 EXPLORE/TREAT ANKLE JOINT 27612 EXPLORATION OF ANKLE JOINT 27613 BIOPSY LOWER LEG SOFT TISSUE 27614 BIOPSY LOWER LEG SOFT TISSUE 27615 REMOVE TUMOR, LOWER LEG 27618 REMOVE LOWER LEG LESION 27619 REMOVE LOWER LEG LESION 27620 EXPLORE/TREAT ANKLE JOINT 27625 REMOVE ANKLE JOINT LINING 27626 REMOVE ANKLE JOINT LINING 27630 REMOVAL OF TENDON LESION 27635 REMOVE LOWER LEG BONE LESION 27637 REMOVE/GRAFT LEG BONE LESION 27638 REMOVE/GRAFT LEG BONE LESION 27640 PARTIAL REMOVAL OF TIBIA 27641 PARTIAL REMOVAL OF FIBULA 27645 EXTENSIVE LOWER LEG SURGERY 27646 EXTENSIVE LOWER LEG SURGERY 27647 EXTENSIVE ANKLE/HEEL SURGERY 27648 INJECTION FOR ANKLE X-RAY 27650 REPAIR ACHILLES TENDON 27652 REPAIR/GRAFT ACHILLES TENDON 27654 REPAIR OF ACHILLES TENDON 27656 REPAIR LEG FASCIA DEFECT 27658 REPAIR OF LEG TENDON, EACH 27659 REPAIR OF LEG TENDON, EACH 27664 REPAIR OF LEG TENDON, EACH 27665 REPAIR OF LEG TENDON, EACH 27675 REPAIR LOWER LEG TENDONS 27676 REPAIR LOWER LEG TENDONS 27680 RELEASE OF LOWER LEG TENDON 27681 RELEASE OF LOWER LEG TENDONS 27685 REVISION OF LOWER LEG TENDON 27686 REVISE LOWER LEG TENDONS 27687 REVISION OF CALF TENDON 27690 REVISE LOWER LEG TENDON 27691 REVISE LOWER LEG TENDON 27692 REVISE ADDITIONAL LEG TENDON 27695 REPAIR OF ANKLE LIGAMENT 27696 REPAIR OF ANKLE LIGAMENTS 27698 REPAIR OF ANKLE LIGAMENT 27700 REVISION OF ANKLE JOINT 27702 RECONSTRUCT ANKLE JOINT 27703 RECONSTRUCTION, ANKLE JOINT 27704 REMOVAL OF ANKLE IMPLANT 27705 INCISION OF TIBIA 27707 INCISION OF FIBULA 27709 INCISION OF TIBIA & FIBULA 27712 REALIGNMENT OF LOWER LEG 27715 REVISION OF LOWER LEG 27720 REPAIR OF TIBIA
- 753. 27722 REPAIR/GRAFT OF TIBIA 27724 REPAIR/GRAFT OF TIBIA 27725 REPAIR OF LOWER LEG 27727 REPAIR OF LOWER LEG 27730 ARREST,EPIPHYSEAL, OPEN TIBIA 27732 ARREST,EPIPHYSEAL,OPEN FIBULA 27734 ARST, EPI, OPN TIBIA & FIBULA 27740 REPAIR OF LEG EPIPHYSES 27742 REPAIR OF LEG EPIPHYSES 27745 REINFORCE TIBIA 27750 TREATMENT OF TIBIA FRACTURE 27752 TREATMENT OF TIBIA FRACTURE 27756 TREATMENT OF TIBIA FRACTURE 27758 TREATMENT OF TIBIA FRACTURE 27759 TREATMENT OF TIBIA FRACTURE 27760 TREATMENT OF ANKLE FRACTURE 27762 TREATMENT OF ANKLE FRACTURE 27766 TREATMENT OF ANKLE FRACTURE 27780 TREATMENT OF FIBULA FRACTURE 27781 TREATMENT OF FIBULA FRACTURE 27784 TREATMENT OF FIBULA FRACTURE 27786 TREATMENT OF ANKLE FRACTURE 27788 TREATMENT OF ANKLE FRACTURE 27792 TREATMENT OF ANKLE FRACTURE 27808 TREATMENT OF ANKLE FRACTURE 27810 TREATMENT OF ANKLE FRACTURE 27814 TREATMENT OF ANKLE FRACTURE 27816 TREATMENT OF ANKLE FRACTURE 27818 TREATMENT OF ANKLE FRACTURE 27822 TREATMENT OF ANKLE FRACTURE 27823 TREATMENT OF ANKLE FRACTURE 27824 TREAT LOWER LEG FRACTURE 27825 TREAT LOWER LEG FRACTURE 27826 TREAT LOWER LEG FRACTURE 27827 TREAT LOWER LEG FRACTURE 27828 TREAT LOWER LEG FRACTURE 27829 TREAT LOWER LEG JOINT 27830 TREAT LOWER LEG DISLOCATION 27831 TREAT LOWER LEG DISLOCATION 27832 TREAT LOWER LEG DISLOCATION 27840 TREAT ANKLE DISLOCATION 27842 TREAT ANKLE DISLOCATION 27846 TREAT ANKLE DISLOCATION 27848 TREAT ANKLE DISLOCATION 27860 FIXATION OF ANKLE JOINT 27870 ARTHRODESIS, ANKLE, OPEN 27871 FUSION OF TIBIOFIBULAR JOINT 27880 AMPUTATION OF LOWER LEG 27881 AMPUTATION OF LOWER LEG 27882 AMPUTATION OF LOWER LEG 27884 AMPUTATION FOLLOW-UP SURGERY 27886 AMPUTATION FOLLOW-UP SURGERY
- 754. 27888 AMPUTATION OF FOOT AT ANKLE 27889 AMPUTATION OF FOOT AT ANKLE 27892 DECOMPRESSION OF LEG 27893 DECOMPRESSION OF LEG 27894 DECOMPRESSION OF LEG 27899 LEG/ANKLE SURGERY PROCEDURE 28001 DRAINAGE OF BURSA OF FOOT 28002 TREATMENT OF FOOT INFECTION 28003 TREATMENT OF FOOT INFECTION 28005 TREAT FOOT BONE LESION 28008 INCISION OF FOOT FASCIA 28010 INCISION OF TOE TENDON 28011 INCISION OF TOE TENDONS 28020 EXPLORATION OF FOOT JOINT 28022 EXPLORATION OF FOOT JOINT 28024 EXPLORATION OF TOE JOINT 28030 REMOVAL OF FOOT NERVE 28035 DECOMPRESSION OF TIBIA NERVE 28043 EXCISION OF FOOT LESION 28045 EXCISION OF FOOT LESION 28046 RESECTION OF TUMOR, FOOT 28050 BIOPSY OF FOOT JOINT LINING 28052 BIOPSY OF FOOT JOINT LINING 28054 BIOPSY OF TOE JOINT LINING 28060 PARTIAL REMOVAL, FOOT FASCIA 28062 REMOVAL OF FOOT FASCIA 28070 REMOVAL OF FOOT JOINT LINING 28072 REMOVAL OF FOOT JOINT LINING 28080 REMOVAL OF FOOT LESION 28086 EXCISE FOOT TENDON SHEATH 28088 EXCISE FOOT TENDON SHEATH 28090 REMOVAL OF FOOT LESION 28092 REMOVAL OF TOE LESIONS 28100 REMOVAL OF ANKLE/HEEL LESION 28102 REMOVE/GRAFT FOOT LESION 28103 REMOVE/GRAFT FOOT LESION 28104 REMOVAL OF FOOT LESION 28106 REMOVE/GRAFT FOOT LESION 28107 REMOVE/GRAFT FOOT LESION 28108 REMOVAL OF TOE LESIONS 28110 PART REMOVAL OF METATARSAL 28111 PART REMOVAL OF METATARSAL 28112 PART REMOVAL OF METATARSAL 28113 PART REMOVAL OF METATARSAL 28114 REMOVAL OF METATARSAL HEADS 28116 REVISION OF FOOT 28118 REMOVAL OF HEEL BONE 28119 REMOVAL OF HEEL SPUR 28120 PART REMOVAL OF ANKLE/HEEL 28122 PARTIAL REMOVAL OF FOOT BONE 28124 PARTIAL REMOVAL OF TOE 28126 PARTIAL REMOVAL OF TOE
- 755. 28130 REMOVAL OF ANKLE BONE 28140 REMOVAL OF METATARSAL 28150 REMOVAL OF TOE 28153 PARTIAL REMOVAL OF TOE 28160 PARTIAL REMOVAL OF TOE 28171 EXTENSIVE FOOT SURGERY 28173 EXTENSIVE FOOT SURGERY 28175 EXTENSIVE FOOT SURGERY 28190 REMOVAL OF FOOT FOREIGN BODY 28192 REMOVAL OF FOOT FOREIGN BODY 28193 REMOVAL OF FOOT FOREIGN BODY 28200 REPAIR OF FOOT TENDON 28202 REPAIR/GRAFT OF FOOT TENDON 28208 REPAIR OF FOOT TENDON 28210 REPAIR/GRAFT OF FOOT TENDON 28220 RELEASE OF FOOT TENDON 28222 RELEASE OF FOOT TENDONS 28225 RELEASE OF FOOT TENDON 28226 RELEASE OF FOOT TENDONS 28230 INCISION OF FOOT TENDON(S) 28232 INCISION OF TOE TENDON 28234 INCISION OF FOOT TENDON 28238 REVISION OF FOOT TENDON 28240 RELEASE OF BIG TOE 28250 REVISION OF FOOT FASCIA 28260 RELEASE OF MIDFOOT JOINT 28261 REVISION OF FOOT TENDON 28262 REVISION OF FOOT AND ANKLE 28264 RELEASE OF MIDFOOT JOINT 28270 RELEASE OF FOOT CONTRACTURE 28272 RELEASE OF TOE JOINT, EACH 28280 FUSION OF TOES 28285 REPAIR OF HAMMERTOE 28286 REPAIR OF HAMMERTOE 28288 PARTIAL REMOVAL OF FOOT BONE 28289 REPAIR HALLUX RIGIDUS 28290 CORRECTION OF BUNION 28292 CORRECTION OF BUNION 28293 CORRECTION OF BUNION 28294 CORRECTION OF BUNION 28296 CORRECTION OF BUNION 28297 CORRECTION OF BUNION 28298 CORRECTION OF BUNION 28299 CORRECTION OF BUNION 28300 INCISION OF HEEL BONE 28302 INCISION OF ANKLE BONE 28304 INCISION OF MIDFOOT BONES 28305 INCISE/GRAFT MIDFOOT BONES 28306 INCISION OF METATARSAL 28307 INCISION OF METATARSAL 28308 INCISION OF METATARSAL 28309 INCISION OF METATARSALS
- 756. 28310 REVISION OF BIG TOE 28312 REVISION OF TOE 28313 REPAIR DEFORMITY OF TOE 28315 REMOVAL OF SESAMOID BONE 28320 REPAIR OF FOOT BONES 28322 REPAIR OF METATARSALS 28340 RESECT ENLARGED TOE TISSUE 28341 RESECT ENLARGED TOE 28344 REPAIR EXTRA TOE(S) 28345 REPAIR WEBBED TOE(S) 28360 RECONSTRUCT CLEFT FOOT 28400 TREATMENT OF HEEL FRACTURE 28405 TREATMENT OF HEEL FRACTURE 28406 TREATMENT OF HEEL FRACTURE 28415 TREAT HEEL FRACTURE 28420 TREAT/GRAFT HEEL FRACTURE 28430 TREATMENT OF ANKLE FRACTURE 28435 TREATMENT OF ANKLE FRACTURE 28436 TREATMENT OF ANKLE FRACTURE 28445 TREAT ANKLE FRACTURE 28450 TREAT MIDFOOT FRACTURE, EACH 28455 TREAT MIDFOOT FRACTURE, EACH 28456 TREAT MIDFOOT FRACTURE 28465 TREAT MIDFOOT FRACTURE, EACH 28470 TREAT METATARSAL FRACTURE 28475 TREAT METATARSAL FRACTURE 28476 TREAT METATARSAL FRACTURE 28485 TREAT METATARSAL FRACTURE 28490 TREAT BIG TOE FRACTURE 28495 TREAT BIG TOE FRACTURE 28496 TREAT BIG TOE FRACTURE 28505 TREAT BIG TOE FRACTURE 28510 TREATMENT OF TOE FRACTURE 28515 TREATMENT OF TOE FRACTURE 28525 TREAT TOE FRACTURE 28530 TREAT SESAMOID BONE FRACTURE 28531 TREAT SESAMOID BONE FRACTURE 28540 TREAT FOOT DISLOCATION 28545 TREAT FOOT DISLOCATION 28546 TREAT FOOT DISLOCATION 28555 REPAIR FOOT DISLOCATION 28570 TREAT FOOT DISLOCATION 28575 TREAT FOOT DISLOCATION 28576 TREAT FOOT DISLOCATION 28585 REPAIR FOOT DISLOCATION 28600 TREAT FOOT DISLOCATION 28605 TREAT FOOT DISLOCATION 28606 TREAT FOOT DISLOCATION 28615 REPAIR FOOT DISLOCATION 28630 TREAT TOE DISLOCATION 28635 TREAT TOE DISLOCATION 28636 TREAT TOE DISLOCATION
- 757. 28645 REPAIR TOE DISLOCATION 28660 TREAT TOE DISLOCATION 28665 TREAT TOE DISLOCATION 28666 TREAT TOE DISLOCATION 28675 REPAIR OF TOE DISLOCATION 28705 FUSION OF FOOT BONES 28715 FUSION OF FOOT BONES 28725 FUSION OF FOOT BONES 28730 FUSION OF FOOT BONES 28735 FUSION OF FOOT BONES 28737 REVISION OF FOOT BONES 28740 FUSION OF FOOT BONES 28750 FUSION OF BIG TOE JOINT 28755 FUSION OF BIG TOE JOINT 28760 FUSION OF BIG TOE JOINT 28800 AMPUTATION OF MIDFOOT 28805 AMPUTATION THRU METATARSAL 28810 AMPUTATION TOE & METATARSAL 28820 AMPUTATION OF TOE 28825 PARTIAL AMPUTATION OF TOE 28899 FOOT/TOES SURGERY PROCEDURE 29000 APPLICATION OF BODY CAST 29010 APPLICATION OF BODY CAST 29015 APPLICATION OF BODY CAST 29020 APPLICATION OF BODY CAST 29025 APPLICATION OF BODY CAST 29035 APPLICATION OF BODY CAST 29040 APPLICATION OF BODY CAST 29044 APPLICATION OF BODY CAST 29046 APPLICATION OF BODY CAST 29049 APPLICATION OF FIGURE EIGHT 29055 APPLICATION OF SHOULDER CAST 29058 APPLICATION OF SHOULDER CAST 29065 APPLICATION OF LONG ARM CAST 29075 APPLICATION OF FOREARM CAST 29085 APPLY HAND/WRIST CAST 29086 APPLY FINGER CAST 29105 APPLY LONG ARM SPLINT 29125 APPLY FOREARM SPLINT 29126 APPLY FOREARM SPLINT 29130 APPLICATION OF FINGER SPLINT 29131 APPLICATION OF FINGER SPLINT 29200 STRAPPING OF CHEST 29220 STRAPPING OF LOW BACK 29240 STRAPPING OF SHOULDER 29260 STRAPPING OF ELBOW OR WRIST 29280 STRAPPING OF HAND OR FINGER 29305 APPLICATION OF HIP CAST 29325 APPLICATION OF HIP CASTS 29345 APPLICATION OF LONG LEG CAST 29355 APPLICATION OF LONG LEG CAST 29358 APPLY LONG LEG CAST BRACE
- 758. 29365 APPLICATION OF LONG LEG CAST 29405 APPLY SHORT LEG CAST 29425 APPLY SHORT LEG CAST 29435 APPLY SHORT LEG CAST 29440 ADDITION OF WALKER TO CAST 29445 APPLY RIGID LEG CAST 29450 APPLICATION OF LEG CAST 29505 APPLICATION, LONG LEG SPLINT 29515 APPLICATION LOWER LEG SPLINT 29520 STRAPPING OF HIP 29530 STRAPPING OF KNEE 29540 STRAPPING; ANKLE &/ FOOT 29550 STRAPPING OF TOES 29580 APPLICATION OF PASTE BOOT 29590 APPLICATION OF FOOT SPLINT 29700 REMOVAL/REVISION OF CAST 29705 REMOVAL/REVISION OF CAST 29710 REMOVAL/REVISION OF CAST 29715 REMOVAL/REVISION OF CAST 29720 REPAIR OF BODY CAST 29730 WINDOWING OF CAST 29740 WEDGING OF CAST 29750 WEDGING OF CLUBFOOT CAST 29799 CASTING/STRAPPING PROCEDURE 29800 JAW ARTHROSCOPY/SURGERY 29804 JAW ARTHROSCOPY/SURGERY 29805 SHOULDER ARTHROSCOPY, DX 29806 SHOULDER ARTHROSCOPY/SURGERY 29807 SHOULDER ARTHROSCOPY/SURGERY 29819 SHOULDER ARTHROSCOPY/SURGERY 29820 SHOULDER ARTHROSCOPY/SURGERY 29821 SHOULDER ARTHROSCOPY/SURGERY 29822 SHOULDER ARTHROSCOPY/SURGERY 29823 SHOULDER ARTHROSCOPY/SURGERY 29824 SHOULDER ARTHROSCOPY/SURGERY 29825 SHOULDER ARTHROSCOPY/SURGERY 29826 SHOULDER ARTHROSCOPY/SURGERY 29827 ARTHROSCOP ROTATOR CUFF REPR 29830 ELBOW ARTHROSCOPY 29834 ELBOW ARTHROSCOPY/SURGERY 29835 ELBOW ARTHROSCOPY/SURGERY 29836 ELBOW ARTHROSCOPY/SURGERY 29837 ELBOW ARTHROSCOPY/SURGERY 29838 ELBOW ARTHROSCOPY/SURGERY 29840 WRIST ARTHROSCOPY 29843 WRIST ARTHROSCOPY/SURGERY 29844 WRIST ARTHROSCOPY/SURGERY 29845 WRIST ARTHROSCOPY/SURGERY 29846 WRIST ARTHROSCOPY/SURGERY 29847 WRIST ARTHROSCOPY/SURGERY 29848 WRIST ENDOSCOPY/SURGERY 29850 KNEE ARTHROSCOPY/SURGERY
- 759. 29851 KNEE ARTHROSCOPY/SURGERY 29855 TIBIAL ARTHROSCOPY/SURGERY 29856 TIBIAL ARTHROSCOPY/SURGERY 29860 HIP ARTHROSCOPY, DX 29861 HIP ARTHROSCOPY/SURGERY 29862 HIP ARTHROSCOPY/SURGERY 29863 HIP ARTHROSCOPY/SURGERY 29870 KNEE ARTHROSCOPY, DX 29871 KNEE ARTHROSCOPY/DRAINAGE 29873 KNEE ARTHROSCOPY/SURGERY 29874 KNEE ARTHROSCOPY/SURGERY 29875 KNEE ARTHROSCOPY/SURGERY 29876 KNEE ARTHROSCOPY/SURGERY 29877 KNEE ARTHROSCOPY/SURGERY 29879 KNEE ARTHROSCOPY/SURGERY 29880 KNEE ARTHROSCOPY/SURGERY 29881 KNEE ARTHROSCOPY/SURGERY 29882 KNEE ARTHROSCOPY/SURGERY 29883 KNEE ARTHROSCOPY/SURGERY 29884 KNEE ARTHROSCOPY/SURGERY 29885 KNEE ARTHROSCOPY/SURGERY 29886 KNEE ARTHROSCOPY/SURGERY 29887 KNEE ARTHROSCOPY/SURGERY 29888 KNEE ARTHROSCOPY/SURGERY 29889 KNEE ARTHROSCOPY/SURGERY 29891 ANKLE ARTHROSCOPY/SURGERY 29892 ANKLE ARTHROSCOPY/SURGERY 29893 SCOPE, PLANTAR FASCIOTOMY 29894 ANKLE ARTHROSCOPY/SURGERY 29895 ANKLE ARTHROSCOPY/SURGERY 29897 ANKLE ARTHROSCOPY/SURGERY 29898 ANKLE ARTHROSCOPY/SURGERY 29899 ANKLE ARTHROSCOPY/SURGERY 29900 MCP JOINT ARTHROSCOPY, DX 29901 MCP JOINT ARTHROSCOPY, SURG 29902 MCP JOINT ARTHROSCOPY, SURG 29999 ARTHROSCOPY OF JOINT 30000 DRAINAGE OF NOSE LESION 30020 DRAINAGE OF NOSE LESION 30100 INTRANASAL BIOPSY 30110 REMOVAL OF NOSE POLYP(S) 30115 REMOVAL OF NOSE POLYP(S) 30117 REMOVAL OF INTRANASAL LESION 30118 REMOVAL OF INTRANASAL LESION 30120 REVISION OF NOSE 30124 REMOVAL OF NOSE LESION 30125 REMOVAL OF NOSE LESION 30130 REMOVAL OF TURBINATE BONES 30140 REMOVAL OF TURBINATE BONES 30150 PARTIAL REMOVAL OF NOSE 30160 REMOVAL OF NOSE 30200 INJECTION TREATMENT OF NOSE
- 760. 30210 NASAL SINUS THERAPY 30220 INSERT NASAL SEPTAL BUTTON 30300 REMOVE NASAL FOREIGN BODY 30310 REMOVE NASAL FOREIGN BODY 30320 REMOVE NASAL FOREIGN BODY 30400 RECONSTRUCTION OF NOSE 30410 RECONSTRUCTION OF NOSE 30420 RECONSTRUCTION OF NOSE 30430 REVISION OF NOSE 30435 REVISION OF NOSE 30450 REVISION OF NOSE 30460 REVISION OF NOSE 30462 REVISION OF NOSE 30465 REPR NASAL VESTIBULAR STENOSIS 30520 REPAIR OF NASAL SEPTUM 30540 REPAIR NASAL DEFECT 30545 REPAIR NASAL DEFECT 30560 RELEASE OF NASAL ADHESIONS 30580 REPAIR UPPER JAW FISTULA 30600 REPAIR MOUTH/NOSE FISTULA 30620 INTRANASAL RECONSTRUCTION 30630 REPAIR NASAL SEPTUM DEFECT 30801 CAUTERIZATION, INNER NOSE 30802 CAUTERIZATION, INNER NOSE 30901 CONTROL OF NOSEBLEED 30903 CONTROL OF NOSEBLEED 30905 CONTROL OF NOSEBLEED 30906 REPEAT CONTROL OF NOSEBLEED 30915 LIGATION, NASAL SINUS ARTERY 30920 LIGATION, UPPER JAW ARTERY 30930 THERAPY, FRACTURE OF NOSE 30999 NASAL SURGERY PROCEDURE 31000 IRRIGATION, MAXILLARY SINUS 31002 IRRIGATION, SPHENOID SINUS 31020 EXPLORATION, MAXILLARY SINUS 31030 EXPLORATION, MAXILLARY SINUS 31032 EXPLORE SINUS,REMOVE POLYPS 31040 EXPLORATION BEHIND UPPER JAW 31050 EXPLORATION, SPHENOID SINUS 31051 SPHENOID SINUS SURGERY 31070 EXPLORATION OF FRONTAL SINUS 31075 EXPLORATION OF FRONTAL SINUS 31080 REMOVAL OF FRONTAL SINUS 31081 REMOVAL OF FRONTAL SINUS 31084 REMOVAL OF FRONTAL SINUS 31085 REMOVAL OF FRONTAL SINUS 31086 REMOVAL OF FRONTAL SINUS 31087 REMOVAL OF FRONTAL SINUS 31090 EXPLORATION OF SINUSES 31200 REMOVAL OF ETHMOID SINUS 31201 REMOVAL OF ETHMOID SINUS 31205 REMOVAL OF ETHMOID SINUS
- 761. 31225 REMOVAL OF UPPER JAW 31230 REMOVAL OF UPPER JAW 31231 NASAL ENDOSCOPY, DX 31233 NASAL/SINUS ENDOSCOPY, DX 31235 NASAL/SINUS ENDOSCOPY, DX 31237 NASAL/SINUS ENDOSCOPY, SURG 31238 NASAL/SINUS ENDOSCOPY, SURG 31239 NASAL/SINUS ENDOSCOPY, SURG 31240 NASAL/SINUS ENDOSCOPY, SURG 31254 REVISION OF ETHMOID SINUS 31255 REMOVAL OF ETHMOID SINUS 31256 EXPLORATION MAXILLARY SINUS 31267 ENDOSCOPY, MAXILLARY SINUS 31276 SINUS ENDOSCOPY, SURGICAL 31287 NASAL/SINUS ENDOSCOPY, SURG 31288 NASAL/SINUS ENDOSCOPY, SURG 31290 NASAL/SINUS ENDOSCOPY, SURG 31291 NASAL/SINUS ENDOSCOPY, SURG 31292 NASAL/SINUS ENDOSCOPY, SURG 31293 NASAL/SINUS ENDOSCOPY, SURG 31294 NASAL/SINUS ENDOSCOPY, SURG 31299 SINUS SURGERY PROCEDURE 31300 REMOVAL OF LARYNX LESION 31320 DIAGNOSTIC INCISION, LARYNX 31360 REMOVAL OF LARYNX 31365 REMOVAL OF LARYNX 31367 PARTIAL REMOVAL OF LARYNX 31368 PARTIAL REMOVAL OF LARYNX 31370 PARTIAL REMOVAL OF LARYNX 31375 PARTIAL REMOVAL OF LARYNX 31380 PARTIAL REMOVAL OF LARYNX 31382 PARTIAL REMOVAL OF LARYNX 31390 REMOVAL OF LARYNX & PHARYNX 31395 RECONSTRUCT LARYNX & PHARYNX 31400 REVISION OF LARYNX 31420 REMOVAL OF EPIGLOTTIS 31500 INSERT EMERGENCY AIRWAY 31502 CHANGE OF WINDPIPE AIRWAY 31505 DIAGNOSTIC LARYNGOSCOPY 31510 LARYNGOSCOPY WITH BIOPSY 31511 REMOVE FOREIGN BODY, LARYNX 31512 REMOVAL OF LARYNX LESION 31513 INJECTION INTO VOCAL CORD 31515 LARYNGOSCOPY FOR ASPIRATION 31520 DIAGNOSTIC LARYNGOSCOPY 31525 DIAGNOSTIC LARYNGOSCOPY 31526 DIAGNOSTIC LARYNGOSCOPY 31527 LARYNGOSCOPY FOR TREATMENT 31528 LARYNGOSCOPY AND DILATION 31529 LARYNGOSCOPY AND DILATION 31530 OPERATIVE LARYNGOSCOPY 31531 OPERATIVE LARYNGOSCOPY
- 762. 31535 OPERATIVE LARYNGOSCOPY 31536 OPERATIVE LARYNGOSCOPY 31540 OPERATIVE LARYNGOSCOPY 31541 OPERATIVE LARYNGOSCOPY 31560 OPERATIVE LARYNGOSCOPY 31561 OPERATIVE LARYNGOSCOPY 31570 LARYNGOSCOPY WITH INJECTION 31571 LARYNGOSCOPY WITH INJECTION 31575 DIAGNOSTIC LARYNGOSCOPY 31576 LARYNGOSCOPY WITH BIOPSY 31577 REMOVE FOREIGN BODY, LARYNX 31578 REMOVAL OF LARYNX LESION 31579 DIAGNOSTIC LARYNGOSCOPY 31580 REVISION OF LARYNX 31582 REVISION OF LARYNX 31584 TREAT LARYNX FRACTURE 31585 TREAT LARYNX FRACTURE 31586 TREAT LARYNX FRACTURE 31587 REVISION OF LARYNX 31588 REVISION OF LARYNX 31590 REINNERVATE LARYNX 31595 LARYNX NERVE SURGERY 31599 LARYNX SURGERY PROCEDURE 31600 INCISION OF WINDPIPE 31601 INCISION OF WINDPIPE 31603 INCISION OF WINDPIPE 31605 INCISION OF WINDPIPE 31610 INCISION OF WINDPIPE 31611 SURGERY/SPEECH PROSTHESIS 31612 PUNCTURE/CLEAR WINDPIPE 31613 REPAIR WINDPIPE OPENING 31614 REPAIR WINDPIPE OPENING 31615 VISUALIZATION OF WINDPIPE 31622 DX BRONCHOSCOPE/WASH 31623 DX BRONCHOSCOPE/BRUSH 31624 DX BRONCHOSCOPE/LAVAGE 31625 BRONCHOSCOPY WITH BIOPSY 31628 BRONCHOSCOPY WITH BIOPSY 31629 BRONCHOSCOPY WITH BIOPSY 31630 BRONCHOSCOPY WITH REPAIR 31631 BRONCHOSCOPY WITH DILATION 31635 REMOVE FOREIGN BODY, AIRWAY 31640 BRONCHOSCOPY & REMOVE LESION 31641 BRONCHOSCOPY, TREAT BLOCKAGE 31643 DIAG BRONCHOSCOPE/CATHETER 31645 BRONCHOSCOPY, CLEAR AIRWAYS 31646 BRONCHOSCOPY, RECLEAR AIRWAY 31656 BRONCHOSCOPY, INJ FOR XRAY 31700 INSERTION OF AIRWAY CATHETER 31708 INSTILL AIRWAY CONTRAST DYE 31710 INSERTION OF AIRWAY CATHETER 31715 INJECTION FOR BRONCHUS X-RAY
- 763. 31717 BRONCHIAL BRUSH BIOPSY 31720 CLEARANCE OF AIRWAYS 31725 CLEARANCE OF AIRWAYS 31730 INTRO, WINDPIPE WIRE/TUBE 31750 REPAIR OF WINDPIPE 31755 REPAIR OF WINDPIPE 31760 REPAIR OF WINDPIPE 31766 RECONSTRUCTION OF WINDPIPE 31770 REPAIR/GRAFT OF BRONCHUS 31775 RECONSTRUCT BRONCHUS 31780 RECONSTRUCT WINDPIPE 31781 RECONSTRUCT WINDPIPE 31785 REMOVE WINDPIPE LESION 31786 REMOVE WINDPIPE LESION 31800 REPAIR OF WINDPIPE INJURY 31805 REPAIR OF WINDPIPE INJURY 31820 CLOSURE OF WINDPIPE LESION 31825 REPAIR OF WINDPIPE DEFECT 31830 REVISE WINDPIPE SCAR 31899 AIRWAYS SURGICAL PROCEDURE 32000 DRAINAGE OF CHEST 32002 TREATMENT OF COLLAPSED LUNG 32005 TREAT LUNG LINING CHEMICALLY 32020 INSERTION OF CHEST TUBE 32035 EXPLORATION OF CHEST 32036 EXPLORATION OF CHEST 32095 BIOPSY THROUGH CHEST WALL 32100 EXPLORATION/BIOPSY OF CHEST 32110 EXPLORE/REPAIR CHEST 32120 RE-EXPLORATION OF CHEST 32124 EXPLORE CHEST FREE ADHESIONS 32140 REMOVAL OF LUNG LESION(S) 32141 REMOVE/TREAT LUNG LESIONS 32150 REMOVAL OF LUNG LESION(S) 32151 REMOVE LUNG FOREIGN BODY 32160 OPEN CHEST HEART MASSAGE 32200 DRAIN, OPEN, LUNG LESION 32201 DRAIN, PERCUT, LUNG LESION 32215 TREAT CHEST LINING 32220 RELEASE OF LUNG 32225 PARTIAL RELEASE OF LUNG 32310 REMOVAL OF CHEST LINING 32320 FREE/REMOVE CHEST LINING 32400 NEEDLE BIOPSY CHEST LINING 32402 OPEN BIOPSY CHEST LINING 32405 BIOPSY, LUNG OR MEDIASTINUM 32420 PUNCTURE/CLEAR LUNG 32440 REMOVAL OF LUNG 32442 SLEEVE PNEUMONECTOMY 32445 REMOVAL OF LUNG 32480 PARTIAL REMOVAL OF LUNG 32482 BILOBECTOMY
- 764. 32484 SEGMENTECTOMY 32486 SLEEVE LOBECTOMY 32488 COMPLETION PNEUMONECTOMY 32491 LUNG VOLUME REDUCTION 32500 PARTIAL REMOVAL OF LUNG 32501 REPAIR BRONCHUS ADD-ON 32520 REMOVE LUNG & REVISE CHEST 32522 REMOVE LUNG & REVISE CHEST 32525 REMOVE LUNG & REVISE CHEST 32540 REMOVAL OF LUNG LESION 32601 THORACOSCOPY, DIAGNOSTIC 32602 THORACOSCOPY, DIAGNOSTIC 32603 THORACOSCOPY, DIAGNOSTIC 32604 THORACOSCOPY, DIAGNOSTIC 32605 THORACOSCOPY, DIAGNOSTIC 32606 THORACOSCOPY, DIAGNOSTIC 32650 THORACOSCOPY, SURGICAL 32651 THORACOSCOPY, SURGICAL 32652 THORACOSCOPY, SURGICAL 32653 THORACOSCOPY, SURGICAL 32654 THORACOSCOPY, SURGICAL 32655 THORACOSCOPY, SURGICAL 32656 THORACOSCOPY, SURGICAL 32657 THORACOSCOPY, SURGICAL 32658 THORACOSCOPY, SURGICAL 32659 THORACOSCOPY, SURGICAL 32660 THORACOSCOPY, SURGICAL 32661 THORACOSCOPY, SURGICAL 32662 THORACOSCOPY, SURGICAL 32663 THORACOSCOPY, SURGICAL 32664 THORACOSCOPY, SURGICAL 32665 THORACOSCOPY, SURGICAL 32800 REPAIR LUNG HERNIA 32810 CLOSE CHEST AFTER DRAINAGE 32815 CLOSE BRONCHIAL FISTULA 32820 RECONSTRUCT INJURED CHEST 32850 DONOR PNEUMONECTOMY 32851 LUNG TRANSPLANT, SINGLE 32852 LUNG TRANSPLANT WITH BYPASS 32853 LUNG TRANSPLANT, DOUBLE 32854 LUNG TRANSPLANT WITH BYPASS 32900 REMOVAL OF RIB(S) 32905 REVISE & REPAIR CHEST WALL 32906 REVISE & REPAIR CHEST WALL 32940 REVISION OF LUNG 32960 THERAPEUTIC PNEUMOTHORAX 32997 TOTAL LUNG LAVAGE 32999 CHEST SURGERY PROCEDURE 33010 DRAINAGE OF HEART SAC 33011 REPEAT DRAINAGE OF HEART SAC 33015 INCISION OF HEART SAC 33020 INCISION OF HEART SAC
- 765. 33025 INCISION OF HEART SAC 33030 PARTIAL REMOVAL OF HEART SAC 33031 PARTIAL REMOVAL OF HEART SAC 33050 REMOVAL OF HEART SAC LESION 33120 REMOVAL OF HEART LESION 33130 REMOVAL OF HEART LESION 33140 HEART REVASCULARIZE (TMR) 33141 TRANSMYCD LSR REVAS,THORCT;OTH 33200 INSERTION OF HEART PACEMAKER 33201 INSERTION OF HEART PACEMAKER 33206 INSERTION OF HEART PACEMAKER 33207 INSERTION OF HEART PACEMAKER 33208 INSERTION OF HEART PACEMAKER 33210 INSERTION OF HEART ELECTRODE 33211 INSERTION OF HEART ELECTRODE 33212 INSERTION OF PULSE GENERATOR 33213 INSERTION OF PULSE GENERATOR 33214 UPGRADE OF PACEMAKER SYSTEM 33215 REPOSITION PACING-DEFIB LEAD 33216 INSERT TRANS ELECT SINGL CHAM 33217 INSERT TRANS ELECT DUAL CHAMBR 33218 REVISE ELTRD PACING-DEFIB 33220 REVISE ELTRD PACING-DEFIB 33222 REVISE POCKET, PACEMAKER 33223 REVISE POCKET, PACING-DEFIB 33224 INSERT PACING LEAD & CONNECT 33225 L VENTRIC PACING LEAD ADD-ON 33226 REPOSITION L VENTRIC LEAD 33233 REMOVAL OF PACEMAKER SYSTEM 33234 REMOVAL OF PACEMAKER SYSTEM 33235 REMOVAL PACEMAKER ELECTRODE 33236 REMOVE ELECTRODE/THORACOTOMY 33237 REMOVE ELECTRODE/THORACOTOMY 33238 REMOVE ELECTRODE/THORACOTOMY 33240 INSERT PULSE GENERATOR 33241 REMOVE PULSE GENERATOR 33243 REMOVE ELTRD/THORACOTOMY 33244 REMOVE ELTRD, TRANSVEN 33245 INSERT EPIC ELTRD PACE-DEFIB 33246 INSERT EPIC ELTRD/GENERATOR 33249 ELTRD/INSERT PACE-DEFIB 33250 ABLATE HEART DYSRHYTHM FOCUS 33251 ABLATE HEART DYSRHYTHM FOCUS 33253 RECONSTRUCT ATRIA 33261 ABLATE HEART DYSRHYTHM FOCUS 33282 IMPLANT PAT-ACTIVE HT RECORD 33284 REMOVE PAT-ACTIVE HT RECORD 33300 REPAIR OF HEART WOUND 33305 REPAIR OF HEART WOUND 33310 EXPLORATORY HEART SURGERY 33315 EXPLORATORY HEART SURGERY 33320 REPAIR MAJOR BLOOD VESSEL(S)
- 766. 33321 REPAIR MAJOR VESSEL 33322 REPAIR MAJOR BLOOD VESSEL(S) 33330 INSERT MAJOR VESSEL GRAFT 33332 INSERT MAJOR VESSEL GRAFT 33335 INSERT MAJOR VESSEL GRAFT 33400 REPAIR OF AORTIC VALVE 33401 VALVULOPLASTY, OPEN 33403 VALVULOPLASTY, W/CP BYPASS 33404 PREPARE HEART-AORTA CONDUIT 33405 REPLACEMENT OF AORTIC VALVE 33406 REPLACEMENT OF AORTIC VALVE 33410 REPLACEMENT OF AORTIC VALVE 33411 REPLACEMENT OF AORTIC VALVE 33412 REPLACEMENT OF AORTIC VALVE 33413 REPLACEMENT OF AORTIC VALVE 33414 REPAIR OF AORTIC VALVE 33415 REVISION, SUBVALVULAR TISSUE 33416 REVISE VENTRICLE MUSCLE 33417 REPAIR OF AORTIC VALVE 33420 REVISION OF MITRAL VALVE 33422 REVISION OF MITRAL VALVE 33425 REPAIR OF MITRAL VALVE 33426 REPAIR OF MITRAL VALVE 33427 REPAIR OF MITRAL VALVE 33430 REPLACEMENT OF MITRAL VALVE 33460 REVISION OF TRICUSPID VALVE 33463 VALVULOPLASTY, TRICUSPID 33464 VALVULOPLASTY, TRICUSPID 33465 REPLACE TRICUSPID VALVE 33468 REVISION OF TRICUSPID VALVE 33470 REVISION OF PULMONARY VALVE 33471 VALVOTOMY, PULMONARY VALVE 33472 REVISION OF PULMONARY VALVE 33474 REVISION OF PULMONARY VALVE 33475 REPLACEMENT, PULMONARY VALVE 33476 REVISION OF HEART CHAMBER 33478 REVISION OF HEART CHAMBER 33496 REPAIR, PROSTH VALVE CLOT 33500 REPAIR HEART VESSEL FISTULA 33501 REPAIR HEART VESSEL FISTULA 33502 CORONARY ARTERY CORRECTION 33503 CORONARY ARTERY GRAFT 33504 CORONARY ARTERY GRAFT 33505 REPAIR ARTERY W/TUNNEL 33506 REPAIR ARTERY, TRANSLOCATION 33508 ENDOSCOPIC VEIN HARVEST 33510 CABG, VEIN, SINGLE 33511 CABG, VEIN, TWO 33512 CABG, VEIN, THREE 33513 CABG, VEIN, FOUR 33514 CABG, VEIN, FIVE 33516 CABG, VEIN, SIX OR MORE
- 767. 33517 CABG, ARTERY-VEIN, SINGLE 33518 CABG, ARTERY-VEIN, TWO 33519 CABG, ARTERY-VEIN, THREE 33521 CABG, ARTERY-VEIN, FOUR 33522 CABG, ARTERY-VEIN, FIVE 33523 CABG, ART-VEIN, SIX OR MORE 33530 CORONARY ARTERY, BYPASS/REOP 33533 CABG, ARTERIAL, SINGLE 33534 CABG, ARTERIAL, TWO 33535 CABG, ARTERIAL, THREE 33536 CABG, ARTERIAL, FOUR OR MORE 33542 REMOVAL OF HEART LESION 33545 REPAIR OF HEART DAMAGE 33572 OPEN CORONARY ENDARTERECTOMY 33600 CLOSURE OF VALVE 33602 CLOSURE OF VALVE 33606 ANASTOMOSIS/ARTERY-AORTA 33608 REPAIR ANOMALY W/CONDUIT 33610 REPAIR BY ENLARGEMENT 33611 REPAIR DOUBLE VENTRICLE 33612 REPAIR DOUBLE VENTRICLE 33615 REPAIR, SIMPLE FONTAN 33617 REPAIR, MODIFIED FONTAN 33619 REPAIR SINGLE VENTRICLE 33641 REPAIR HEART SEPTUM DEFECT 33645 REVISION OF HEART VEINS 33647 REPAIR HEART SEPTUM DEFECTS 33660 REPAIR OF HEART DEFECTS 33665 REPAIR OF HEART DEFECTS 33670 REPAIR OF HEART CHAMBERS 33681 REPAIR HEART SEPTUM DEFECT 33684 REPAIR HEART SEPTUM DEFECT 33688 REPAIR HEART SEPTUM DEFECT 33690 REINFORCE PULMONARY ARTERY 33692 REPAIR OF HEART DEFECTS 33694 REPAIR OF HEART DEFECTS 33697 REPAIR OF HEART DEFECTS 33702 REPAIR OF HEART DEFECTS 33710 REPAIR OF HEART DEFECTS 33720 REPAIR OF HEART DEFECT 33722 REPAIR OF HEART DEFECT 33730 REPAIR HEART-VEIN DEFECT(S) 33732 REPAIR HEART-VEIN DEFECT 33735 REVISION OF HEART CHAMBER 33736 REVISION OF HEART CHAMBER 33737 REVISION OF HEART CHAMBER 33750 MAJOR VESSEL SHUNT 33755 MAJOR VESSEL SHUNT 33762 MAJOR VESSEL SHUNT 33764 MAJOR VESSEL SHUNT & GRAFT 33766 MAJOR VESSEL SHUNT 33767 MAJOR VESSEL SHUNT
- 768. 33770 REPAIR GREAT VESSELS DEFECT 33771 REPAIR GREAT VESSELS DEFECT 33774 REPAIR GREAT VESSELS DEFECT 33775 REPAIR GREAT VESSELS DEFECT 33776 REPAIR GREAT VESSELS DEFECT 33777 REPAIR GREAT VESSELS DEFECT 33778 REPAIR GREAT VESSELS DEFECT 33779 REPAIR GREAT VESSELS DEFECT 33780 REPAIR GREAT VESSELS DEFECT 33781 REPAIR GREAT VESSELS DEFECT 33786 REPAIR ARTERIAL TRUNK 33788 REVISION OF PULMONARY ARTERY 33800 AORTIC SUSPENSION 33802 REPAIR VESSEL DEFECT 33803 REPAIR VESSEL DEFECT 33813 REPAIR SEPTAL DEFECT 33814 REPAIR SEPTAL DEFECT 33820 REVISE MAJOR VESSEL 33822 REVISE MAJOR VESSEL 33824 REVISE MAJOR VESSEL 33840 REMOVE AORTA CONSTRICTION 33845 REMOVE AORTA CONSTRICTION 33851 REMOVE AORTA CONSTRICTION 33852 REPAIR SEPTAL DEFECT 33853 REPAIR SEPTAL DEFECT 33860 ASCENDING AORTIC GRAFT 33861 ASCENDING AORTIC GRAFT 33863 ASCENDING AORTIC GRAFT 33870 TRANSVERSE AORTIC ARCH GRAFT 33875 THORACIC AORTIC GRAFT 33877 THORACOABDOMINAL GRAFT 33910 REMOVE LUNG ARTERY EMBOLI 33915 REMOVE LUNG ARTERY EMBOLI 33916 SURGERY OF GREAT VESSEL 33917 REPAIR PULMONARY ARTERY 33918 REPAIR PULMONARY ATRESIA 33919 REPAIR PULMONARY ATRESIA 33920 REPAIR PULMONARY ATRESIA 33922 TRANSECT PULMONARY ARTERY 33924 REMOVE PULMONARY SHUNT 33930 REMOVAL OF DONOR HEART/LUNG 33935 TRANSPLANTATION, HEART/LUNG 33940 REMOVAL OF DONOR HEART 33945 TRANSPLANTATION OF HEART 33960 EXTERNAL CIRCULATION ASSIST 33961 EXTERNAL CIRCULATION ASSIST 33967 INSERT IA PERCUT DEVICE 33968 REMOVE AORTIC ASSIST DEVICE 33970 AORTIC CIRCULATION ASSIST 33971 AORTIC CIRCULATION ASSIST 33973 INSERT BALLOON DEVICE 33974 REMOVE INTRA-AORTIC BALLOON
- 769. 33975 IMPLANT VENTRICULAR DEVICE 33976 IMPLANT VENTRICULAR DEVICE 33977 REMOVE VENTRICULAR DEVICE 33978 REMOVE VENTRICULAR DEVICE 33979 INSERT INTRACORPOREAL DEVICE 33980 REMOVE INTRACORPOREAL DEVICE 33999 CARDIAC SURGERY PROCEDURE 34001 REMOVAL OF ARTERY CLOT 34051 REMOVAL OF ARTERY CLOT 34101 REMOVAL OF ARTERY CLOT 34111 REMOVAL OF ARM ARTERY CLOT 34151 REMOVAL OF ARTERY CLOT 34201 REMOVAL OF ARTERY CLOT 34203 REMOVAL OF LEG ARTERY CLOT 34401 REMOVAL OF VEIN CLOT 34421 REMOVAL OF VEIN CLOT 34451 REMOVAL OF VEIN CLOT 34471 REMOVAL OF VEIN CLOT 34490 REMOVAL OF VEIN CLOT 34501 REPAIR VALVE, FEMORAL VEIN 34502 RECONSTRUCT VENA CAVA 34510 TRANSPOSITION OF VEIN VALVE 34520 CROSS-OVER VEIN GRAFT 34530 LEG VEIN FUSION 34800 ENDVS REP AB ARTC ANRYSM;AORTO 34802 ENDV REP AB ART ANRYM;MOD BIFR 34804 ENDV REP AB ART ANRYM;UNIB BIF 34808 ENDOVS PLCE ILIAC ART OCCL DEV 34812 OPN FEMRL ART XPSE ENDO PROSTH 34813 PLACE FMRL GF,ENDVS AORT ANRYS 34820 OPN ILC ART,ENDVS PROS,ILI,UNI 34825 EXTEND PRSTH ENDVSC,INIT VESEL 34826 EXTEND PRSTH ENDVSC,ADDL VESEL 34830 OPEN REP AORT ANRYSM/DISS;TUBE 34831 OPN REP AORT ANRYS/DISS;A-BI-I 34832 OPN REP AORT ANRYS/DISS;AOR-BI 34833 XPOSE FOR ENDOPROSTH, ILIAC 34834 XPOSE, ENDOPROSTH, BRACHIAL 34900 ENDOVASC ILIAC REPR W/GRAFT 35001 REPAIR DEFECT OF ARTERY 35002 REPAIR ARTERY RUPTURE, NECK 35005 REPAIR DEFECT OF ARTERY 35011 REPAIR DEFECT OF ARTERY 35013 REPAIR ARTERY RUPTURE, ARM 35021 REPAIR DEFECT OF ARTERY 35022 REPAIR ARTERY RUPTURE, CHEST 35045 REPAIR DEFECT OF ARM ARTERY 35081 REPAIR DEFECT OF ARTERY 35082 REPAIR ARTERY RUPTURE, AORTA 35091 REPAIR DEFECT OF ARTERY 35092 REPAIR ARTERY RUPTURE, AORTA 35102 REPAIR DEFECT OF ARTERY
- 770. 35103 REPAIR ARTERY RUPTURE, GROIN 35111 REPAIR DEFECT OF ARTERY 35112 REPAIR ARTERY RUPTURE,SPLEEN 35121 REPAIR DEFECT OF ARTERY 35122 REPAIR ARTERY RUPTURE, BELLY 35131 REPAIR DEFECT OF ARTERY 35132 REPAIR ARTERY RUPTURE, GROIN 35141 REPAIR DEFECT OF ARTERY 35142 REPAIR ARTERY RUPTURE, THIGH 35151 REPAIR DEFECT OF ARTERY 35152 REPAIR ARTERY RUPTURE, KNEE 35161 REPAIR DEFECT OF ARTERY 35162 REPAIR ARTERY RUPTURE 35180 REPAIR BLOOD VESSEL LESION 35182 REPAIR BLOOD VESSEL LESION 35184 REPAIR BLOOD VESSEL LESION 35188 REPAIR BLOOD VESSEL LESION 35189 REPAIR BLOOD VESSEL LESION 35190 REPAIR BLOOD VESSEL LESION 35201 REPAIR BLOOD VESSEL LESION 35206 REPAIR BLOOD VESSEL LESION 35207 REPAIR BLOOD VESSEL LESION 35211 REPAIR BLOOD VESSEL LESION 35216 REPAIR BLOOD VESSEL LESION 35221 REPAIR BLOOD VESSEL LESION 35226 REPAIR BLOOD VESSEL LESION 35231 REPAIR BLOOD VESSEL LESION 35236 REPAIR BLOOD VESSEL LESION 35241 REPAIR BLOOD VESSEL LESION 35246 REPAIR BLOOD VESSEL LESION 35251 REPAIR BLOOD VESSEL LESION 35256 REPAIR BLOOD VESSEL LESION 35261 REPAIR BLOOD VESSEL LESION 35266 REPAIR BLOOD VESSEL LESION 35271 REPAIR BLOOD VESSEL LESION 35276 REPAIR BLOOD VESSEL LESION 35281 REPAIR BLOOD VESSEL LESION 35286 REPAIR BLOOD VESSEL LESION 35301 RECHANNELING OF ARTERY 35311 RECHANNELING OF ARTERY 35321 RECHANNELING OF ARTERY 35331 RECHANNELING OF ARTERY 35341 RECHANNELING OF ARTERY 35351 RECHANNELING OF ARTERY 35355 RECHANNELING OF ARTERY 35361 RECHANNELING OF ARTERY 35363 RECHANNELING OF ARTERY 35371 RECHANNELING OF ARTERY 35372 RECHANNELING OF ARTERY 35381 RECHANNELING OF ARTERY 35390 REOPERATION, CAROTID ADD-ON 35400 ANGIOSCOPY
- 771. 35450 REPAIR ARTERIAL BLOCKAGE 35452 REPAIR ARTERIAL BLOCKAGE 35454 REPAIR ARTERIAL BLOCKAGE 35456 REPAIR ARTERIAL BLOCKAGE 35458 REPAIR ARTERIAL BLOCKAGE 35459 REPAIR ARTERIAL BLOCKAGE 35460 REPAIR VENOUS BLOCKAGE 35470 REPAIR ARTERIAL BLOCKAGE 35471 REPAIR ARTERIAL BLOCKAGE 35472 REPAIR ARTERIAL BLOCKAGE 35473 REPAIR ARTERIAL BLOCKAGE 35474 REPAIR ARTERIAL BLOCKAGE 35475 REPAIR ARTERIAL BLOCKAGE 35476 REPAIR VENOUS BLOCKAGE 35480 ATHERECTOMY, OPEN 35481 ATHERECTOMY, OPEN 35482 ATHERECTOMY, OPEN 35483 ATHERECTOMY, OPEN 35484 ATHERECTOMY, OPEN 35485 ATHERECTOMY, OPEN 35490 ATHERECTOMY, PERCUTANEOUS 35491 ATHERECTOMY, PERCUTANEOUS 35492 ATHERECTOMY, PERCUTANEOUS 35493 ATHERECTOMY, PERCUTANEOUS 35494 ATHERECTOMY, PERCUTANEOUS 35495 ATHERECTOMY, PERCUTANEOUS 35500 HARVEST VEIN FOR BYPASS 35501 ARTERY BYPASS GRAFT 35506 ARTERY BYPASS GRAFT 35507 ARTERY BYPASS GRAFT 35508 ARTERY BYPASS GRAFT 35509 ARTERY BYPASS GRAFT 35511 ARTERY BYPASS GRAFT 35515 ARTERY BYPASS GRAFT 35516 ARTERY BYPASS GRAFT 35518 ARTERY BYPASS GRAFT 35521 ARTERY BYPASS GRAFT 35526 ARTERY BYPASS GRAFT 35531 ARTERY BYPASS GRAFT 35533 ARTERY BYPASS GRAFT 35536 ARTERY BYPASS GRAFT 35541 ARTERY BYPASS GRAFT 35546 ARTERY BYPASS GRAFT 35548 ARTERY BYPASS GRAFT 35549 ARTERY BYPASS GRAFT 35551 ARTERY BYPASS GRAFT 35556 ARTERY BYPASS GRAFT 35558 ARTERY BYPASS GRAFT 35560 ARTERY BYPASS GRAFT 35563 ARTERY BYPASS GRAFT 35565 ARTERY BYPASS GRAFT 35566 ARTERY BYPASS GRAFT
- 772. 35571 ARTERY BYPASS GRAFT 35572 HARVEST FEMOROPOPLITEAL VEIN 35582 VEIN BYPASS GRAFT 35583 VEIN BYPASS GRAFT 35585 VEIN BYPASS GRAFT 35587 VEIN BYPASS GRAFT 35600 HARV,UP EXT ART,1,CORO ART BYP 35601 ARTERY BYPASS GRAFT 35606 ARTERY BYPASS GRAFT 35612 ARTERY BYPASS GRAFT 35616 ARTERY BYPASS GRAFT 35621 ARTERY BYPASS GRAFT 35623 BYPASS GRAFT, NOT VEIN 35626 ARTERY BYPASS GRAFT 35631 ARTERY BYPASS GRAFT 35636 ARTERY BYPASS GRAFT 35641 ARTERY BYPASS GRAFT 35642 ARTERY BYPASS GRAFT 35645 ARTERY BYPASS GRAFT 35646 ARTERY BYPASS GRAFT 35647 ARTERY BYPASS GRAFT 35650 ARTERY BYPASS GRAFT 35651 ARTERY BYPASS GRAFT 35654 ARTERY BYPASS GRAFT 35656 ARTERY BYPASS GRAFT 35661 ARTERY BYPASS GRAFT 35663 ARTERY BYPASS GRAFT 35665 ARTERY BYPASS GRAFT 35666 ARTERY BYPASS GRAFT 35671 ARTERY BYPASS GRAFT 35681 COMPOSITE BYPASS GRAFT 35682 COMPOSITE BYPASS GRAFT 35683 COMPOSITE BYPASS GRAFT 35685 BYPASS GRAFT PATENCY/PATCH 35686 BYPASS GRAFT/AV FIST PATENCY 35691 ARTERIAL TRANSPOSITION 35693 ARTERIAL TRANSPOSITION 35694 ARTERIAL TRANSPOSITION 35695 ARTERIAL TRANSPOSITION 35700 REOPERATION, BYPASS GRAFT 35701 EXPLORATION, CAROTID ARTERY 35721 EXPLORATION, FEMORAL ARTERY 35741 EXPLORATION POPLITEAL ARTERY 35761 EXPLORATION OF ARTERY/VEIN 35800 EXPLORE NECK VESSELS 35820 EXPLORE CHEST VESSELS 35840 EXPLORE ABDOMINAL VESSELS 35860 EXPLORE LIMB VESSELS 35870 REPAIR VESSEL GRAFT DEFECT 35875 REMOVAL OF CLOT IN GRAFT 35876 REMOVAL OF CLOT IN GRAFT 35879 REVISE GRAFT W/VEIN
- 773. 35881 REVISE GRAFT W/VEIN 35901 EXCISION, GRAFT, NECK 35903 EXCISION, GRAFT, EXTREMITY 35905 EXCISION, GRAFT, THORAX 35907 EXCISION, GRAFT, ABDOMEN 36000 PLACE NEEDLE IN VEIN 36002 PSEUDOANEURYSM INJECTION TRT 36005 INJECTION EXT VENOGRAPHY 36010 PLACE CATHETER IN VEIN 36011 PLACE CATHETER IN VEIN 36012 PLACE CATHETER IN VEIN 36013 PLACE CATHETER IN ARTERY 36014 PLACE CATHETER IN ARTERY 36015 PLACE CATHETER IN ARTERY 36100 ESTABLISH ACCESS TO ARTERY 36120 ESTABLISH ACCESS TO ARTERY 36140 ESTABLISH ACCESS TO ARTERY 36145 ARTERY TO VEIN SHUNT 36160 ESTABLISH ACCESS TO AORTA 36200 PLACE CATHETER IN AORTA 36215 PLACE CATHETER IN ARTERY 36216 PLACE CATHETER IN ARTERY 36217 PLACE CATHETER IN ARTERY 36218 PLACE CATHETER IN ARTERY 36245 PLACE CATHETER IN ARTERY 36246 PLACE CATHETER IN ARTERY 36247 PLACE CATHETER IN ARTERY 36248 PLACE CATHETER IN ARTERY 36260 INSERTION OF INFUSION PUMP 36261 REVISION OF INFUSION PUMP 36262 REMOVAL OF INFUSION PUMP 36299 VESSEL INJECTION PROCEDURE 36400 DRAWING BLOOD 36405 DRAWING BLOOD 36406 DRAWING BLOOD 36410 DRAWING BLOOD 36415 COLL VENOUS BLOOD VENIPUNCTURE 36416 CAPILLARY BLOOD DRAW 36420 ESTABLISH ACCESS TO VEIN 36425 ESTABLISH ACCESS TO VEIN 36430 BLOOD TRANSFUSION SERVICE 36440 BLOOD TRANSFUSION SERVICE 36450 EXCHANGE TRANSFUSION SERVICE 36455 EXCHANGE TRANSFUSION SERVICE 36460 TRANSFUSION SERVICE, FETAL 36468 INJECTION(S), SPIDER VEINS 36469 INJECTION(S), SPIDER VEINS 36470 INJECTION THERAPY OF VEIN 36471 INJECTION THERAPY OF VEINS 36481 INSERTION OF CATHETER, VEIN 36488 INSERTION OF CATHETER, VEIN 36489 INSERTION OF CATHETER, VEIN
- 774. 36490 INSERTION OF CATHETER, VEIN 36491 INSERTION OF CATHETER, VEIN 36493 REPOSITIONING OF CVC 36500 INSERTION OF CATHETER, VEIN 36510 INSERTION OF CATHETER, VEIN 36511 APHERESIS WBC 36512 APHERESIS RBC 36513 APHERESIS PLATELETS 36514 APHERESIS PLASMA 36515 APHERESIS, ADSORP/REINFUSE 36516 APHERESIS, SELECTIVE 36522 PHOTOPHERESIS 36530 INSERTION OF INFUSION PUMP 36531 REVISION OF INFUSION PUMP 36532 REMOVAL OF INFUSION PUMP 36533 INSERTION OF ACCESS DEVICE 36534 REVISION OF ACCESS DEVICE 36535 REMOVAL OF ACCESS DEVICE 36536 REMOVE CVA DEVICE OBSTRUCT 36537 REMOVE CVA LUMEN OBSTRUCT 36540 COLLECT BLOOD VENOUS DEVICE 36550 DECLOT VASCULAR DEVICE 36600 WITHDRAWAL OF ARTERIAL BLOOD 36620 INSERTION CATHETER, ARTERY 36625 INSERTION CATHETER, ARTERY 36640 INSERTION CATHETER, ARTERY 36660 INSERTION CATHETER, ARTERY 36680 INSERT NEEDLE, BONE CAVITY 36800 INSERTION OF CANNULA 36810 INSERTION OF CANNULA 36815 INSERTION OF CANNULA 36819 AV FUSION/UPPR ARM VEIN 36820 AV FUSION/FOREARM VEIN 36821 AV FUSION DIRECT ANY SITE 36822 INSERTION OF CANNULA(S) 36823 INSERTION OF CANNULA(S) 36825 ARTERY-VEIN GRAFT 36830 CREAT ARTVNUS NONAUTOGENS GRFT 36831 THROMB,OP,AV FIST WO REVI,GRFT 36832 REV,OP,AV FIST;WO THRMBCT,GRFT 36833 REV,OP,AV FIST;W THROMBCT,GRFT 36834 REPAIR A-V ANEURYSM 36835 ARTERY TO VEIN SHUNT 36860 EXTERNAL CANNULA DECLOTTING 36861 CANNULA DECLOTTING 36870 THROMB,ARTER FIST,AUTO/NON GFT 37140 VENOUS ANASTOMOSIS, OPN PRTCVL 37145 VENOUS ANASTMSIS,OPN; RENOPRTL 37160 VNOUS ANASTOMOSIS,OPN CVL-MESE 37180 VNOUS ANASTOMOSI,OPN SPLEN,PRX 37181 VNOUS ANASTMOSI,OPN SPLEN,DSTL 37182 INSERT HEPATIC SHUNT (TIPS)
- 775. 37183 REMOVE HEPATIC SHUNT (TIPS) 37195 THROMBOLYTIC THERAPY, STROKE 37200 TRANSCATHETER BIOPSY 37201 TRANSCATHETER THERAPY INFUSE 37202 TRANSCATHETER THERAPY INFUSE 37203 TRANSCATHETER RETRIEVAL 37204 TRANSCATHETER OCCLUSION 37205 TRANSCATHETER STENT 37206 TRANSCATHETER STENT ADD-ON 37207 TRANSCATHETER STENT 37208 TRANSCATHETER STENT ADD-ON 37209 EXCHANGE ARTERIAL CATHETER 37250 IV US FIRST VESSEL ADD-ON 37251 IV US EACH ADD VESSEL ADD-ON 37500 ENDOSCOPY LIGATE PERF VEINS 37501 UNLSTEDVASCENDOSCOPY PROCEDU 37565 LIGATION OF NECK VEIN 37600 LIGATION OF NECK ARTERY 37605 LIGATION OF NECK ARTERY 37606 LIGATION OF NECK ARTERY 37607 LIGATION OF A-V FISTULA 37609 TEMPORAL ARTERY PROCEDURE 37615 LIGATION OF NECK ARTERY 37616 LIGATION OF CHEST ARTERY 37617 LIGATION OF ABDOMEN ARTERY 37618 LIGATION OF EXTREMITY ARTERY 37620 REVISION OF MAJOR VEIN 37650 REVISION OF MAJOR VEIN 37660 REVISION OF MAJOR VEIN 37700 REVISE LEG VEIN 37720 REMOVAL OF LEG VEIN 37730 REMOVAL OF LEG VEINS 37735 REMOVAL OF LEG VEINS/LESION 37760 LIGATION VEINS W/WO SKN GRFT 37780 REVISION OF LEG VEIN 37785 REVISE SECONDARY VARICOSITY 37788 REVASCULARIZATION, PENIS 37790 PENILE VENOUS OCCLUSION 37799 VASCULAR SURGERY PROCEDURE 38100 REMOVAL OF SPLEEN, TOTAL 38101 REMOVAL OF SPLEEN, PARTIAL 38102 REMOVAL OF SPLEEN, TOTAL 38115 REPAIR OF RUPTURED SPLEEN 38120 LAPAROSCOPY, SPLENECTOMY 38129 LAPAROSCOPE PROC, SPLEEN 38200 INJECTION FOR SPLEEN X-RAY 38204 BL DONOR SEARCH MANAGEMENT 38205 HARVEST ALLOGENIC STEM CELLS 38206 HARVEST AUTO STEM CELLS 38207 CRYOPRESERVE STEM CELLS 38208 THAW PRESERVED STEM CELLS 38209 WASH HARVEST STEM CELLS
- 776. 38210 T-CELL DEPLETION OF HARVEST 38211 TUMOR CELL DEPLETE OF HARVST 38212 RBC DEPLETION OF HARVEST 38213 PLATELET DEPLETE OF HARVEST 38214 VOLUME DEPLETE OF HARVEST 38215 HARVEST STEM CELL CONCENTRTE 38220 BONE MARROW ASPIRATION 38221 BONE MARROW BIOPSY, NDLE/TROCR 38230 BONE MARROW COLLECTION 38240 BONE MARROW/STEM TRANSPLANT 38241 BONE MARROW/STEM TRANSPLANT 38242 LYMPHOCYTE INFUSE TRANSPLANT 38300 DRAINAGE, LYMPH NODE LESION 38305 DRAINAGE, LYMPH NODE LESION 38308 INCISION OF LYMPH CHANNELS 38380 THORACIC DUCT PROCEDURE 38381 THORACIC DUCT PROCEDURE 38382 THORACIC DUCT PROCEDURE 38500 BX/EXCIS,LYMPH NODE;OPN,SPRFCL 38505 NEEDLE BIOPSY, LYMPH NODES 38510 BX/EXC,LYMPH NDE;DP CRVICL NDE 38520 BX/EXC;OP,DP CRV NDE W EXC SCL 38525 BX/EXC,NODE;OPN,DP AXILLAR NDE 38530 BX/EXC,NODE;OPN,INTRNL MAMMRY 38542 EXPLORE DEEP NODE(S), NECK 38550 REMOVAL, NECK/ARMPIT LESION 38555 REMOVAL, NECK/ARMPIT LESION 38562 REMOVAL, PELVIC LYMPH NODES 38564 REMOVAL, ABDOMEN LYMPH NODES 38570 LAPAROSCOPY, LYMPH NODE BIOP 38571 LAPAROSCOPY, LYMPHADENECTOMY 38572 LAPAROSCOPY, LYMPHADENECTOMY 38589 LAPAROSCOPE PROC, LYMPHATIC 38700 REMOVAL OF LYMPH NODES, NECK 38720 REMOVAL OF LYMPH NODES, NECK 38724 REMOVAL OF LYMPH NODES, NECK 38740 REMOVE ARMPIT LYMPH NODES 38745 REMOVE ARMPIT LYMPH NODES 38746 REMOVE THORACIC LYMPH NODES 38747 REMOVE ABDOMINAL LYMPH NODES 38760 REMOVE GROIN LYMPH NODES 38765 REMOVE GROIN LYMPH NODES 38770 REMOVE PELVIS LYMPH NODES 38780 REMOVE ABDOMEN LYMPH NODES 38790 INJECT FOR LYMPHATIC X-RAY 38792 IDENTIFY SENTINEL NODE 38794 ACCESS THORACIC LYMPH DUCT 38999 BLOOD/LYMPH SYSTEM PROCEDURE 39000 EXPLORATION OF CHEST 39010 EXPLORATION OF CHEST 39200 REMOVAL CHEST LESION 39220 REMOVAL CHEST LESION
- 777. 39400 VISUALIZATION OF CHEST 39499 CHEST PROCEDURE 39501 REPAIR DIAPHRAGM LACERATION 39502 REPAIR PARAESOPHAGEAL HERNIA 39503 REPAIR OF DIAPHRAGM HERNIA 39520 REPAIR OF DIAPHRAGM HERNIA 39530 REPAIR OF DIAPHRAGM HERNIA 39531 REPAIR OF DIAPHRAGM HERNIA 39540 REPAIR OF DIAPHRAGM HERNIA 39541 REPAIR OF DIAPHRAGM HERNIA 39545 REVISION OF DIAPHRAGM 39560 RESECT DIAPHRAGM, SIMPLE 39561 RESECT DIAPHRAGM, COMPLEX 39599 DIAPHRAGM SURGERY PROCEDURE 40490 BIOPSY OF LIP 40500 PARTIAL EXCISION OF LIP 40510 PARTIAL EXCISION OF LIP 40520 PARTIAL EXCISION OF LIP 40525 RECONSTRUCT LIP WITH FLAP 40527 RECONSTRUCT LIP WITH FLAP 40530 PARTIAL REMOVAL OF LIP 40650 REPAIR LIP 40652 REPAIR LIP 40654 REPAIR LIP 40700 REPAIR CLEFT LIP/NASAL 40701 REPAIR CLEFT LIP/NASAL 40702 REPAIR CLEFT LIP/NASAL 40720 REPAIR CLEFT LIP/NASAL 40761 REPAIR CLEFT LIP/NASAL 40799 LIP SURGERY PROCEDURE 40800 DRAINAGE OF MOUTH LESION 40801 DRAINAGE OF MOUTH LESION 40804 REMOVAL, FOREIGN BODY, MOUTH 40805 REMOVAL, FOREIGN BODY, MOUTH 40806 INCISION OF LIP FOLD 40808 BIOPSY OF MOUTH LESION 40810 EXCISION OF MOUTH LESION 40812 EXCISE/REPAIR MOUTH LESION 40814 EXCISE/REPAIR MOUTH LESION 40816 EXCISION OF MOUTH LESION 40818 EXCISE ORAL MUCOSA FOR GRAFT 40819 EXCISE LIP OR CHEEK FOLD 40820 TREATMENT OF MOUTH LESION 40830 REPAIR MOUTH LACERATION 40831 REPAIR MOUTH LACERATION 40840 RECONSTRUCTION OF MOUTH 40842 RECONSTRUCTION OF MOUTH 40843 RECONSTRUCTION OF MOUTH 40844 RECONSTRUCTION OF MOUTH 40845 RECONSTRUCTION OF MOUTH 40899 MOUTH SURGERY PROCEDURE 41000 DRAINAGE OF MOUTH LESION
- 778. 41005 DRAINAGE OF MOUTH LESION 41006 DRAINAGE OF MOUTH LESION 41007 DRAINAGE OF MOUTH LESION 41008 DRAINAGE OF MOUTH LESION 41009 DRAINAGE OF MOUTH LESION 41010 INCISION OF TONGUE FOLD 41015 DRAINAGE OF MOUTH LESION 41016 DRAINAGE OF MOUTH LESION 41017 DRAINAGE OF MOUTH LESION 41018 DRAINAGE OF MOUTH LESION 41100 BIOPSY OF TONGUE 41105 BIOPSY OF TONGUE 41108 BIOPSY OF FLOOR OF MOUTH 41110 EXCISION OF TONGUE LESION 41112 EXCISION OF TONGUE LESION 41113 EXCISION OF TONGUE LESION 41114 EXCISION OF TONGUE LESION 41115 EXCISION OF TONGUE FOLD 41116 EXCISION OF MOUTH LESION 41120 PARTIAL REMOVAL OF TONGUE 41130 PARTIAL REMOVAL OF TONGUE 41135 TONGUE AND NECK SURGERY 41140 REMOVAL OF TONGUE 41145 TONGUE REMOVAL, NECK SURGERY 41150 TONGUE, MOUTH, JAW SURGERY 41153 TONGUE, MOUTH, NECK SURGERY 41155 TONGUE, JAW, & NECK SURGERY 41250 REPAIR TONGUE LACERATION 41251 REPAIR TONGUE LACERATION 41252 REPAIR TONGUE LACERATION 41500 FIXATION OF TONGUE 41510 TONGUE TO LIP SURGERY 41520 RECONSTRUCTION, TONGUE FOLD 41599 TONGUE AND MOUTH SURGERY 41800 DRAINAGE OF GUM LESION 41805 REMOVAL FOREIGN BODY, GUM 41806 REMOVAL FOREIGN BODY,JAWBONE 41820 EXCISION, GUM, EACH QUADRANT 41821 EXCISION OF GUM FLAP 41822 EXCISION OF GUM LESION 41823 EXCISION OF GUM LESION 41825 EXCISION OF GUM LESION 41826 EXCISION OF GUM LESION 41827 EXCISION OF GUM LESION 41828 EXCISION OF GUM LESION 41830 REMOVAL OF GUM TISSUE 41850 TREATMENT OF GUM LESION 41870 GUM GRAFT 41872 REPAIR GUM 41874 REPAIR TOOTH SOCKET 41899 DENTAL SURGERY PROCEDURE 42000 DRAINAGE MOUTH ROOF LESION
- 779. 42100 BIOPSY ROOF OF MOUTH 42104 EXCISION LESION, MOUTH ROOF 42106 EXCISION LESION, MOUTH ROOF 42107 EXCISION LESION, MOUTH ROOF 42120 REMOVE PALATE/LESION 42140 EXCISION OF UVULA 42145 REPAIR PALATE, PHARYNX/UVULA 42160 TREATMENT MOUTH ROOF LESION 42180 REPAIR PALATE 42182 REPAIR PALATE 42200 RECONSTRUCT CLEFT PALATE 42205 RECONSTRUCT CLEFT PALATE 42210 RECONSTRUCT CLEFT PALATE 42215 RECONSTRUCT CLEFT PALATE 42220 RECONSTRUCT CLEFT PALATE 42225 RECONSTRUCT CLEFT PALATE 42226 LENGTHENING OF PALATE 42227 LENGTHENING OF PALATE 42235 REPAIR PALATE 42260 REPAIR NOSE TO LIP FISTULA 42280 PREPARATION, PALATE MOLD 42281 INSERTION, PALATE PROSTHESIS 42299 PALATE/UVULA SURGERY 42300 DRAINAGE OF SALIVARY GLAND 42305 DRAINAGE OF SALIVARY GLAND 42310 DRAINAGE OF SALIVARY GLAND 42320 DRAINAGE OF SALIVARY GLAND 42325 CREATE SALIVARY CYST DRAIN 42326 CREATE SALIVARY CYST DRAIN 42330 REMOVAL OF SALIVARY STONE 42335 REMOVAL OF SALIVARY STONE 42340 REMOVAL OF SALIVARY STONE 42400 BIOPSY OF SALIVARY GLAND 42405 BIOPSY OF SALIVARY GLAND 42408 EXCISION OF SALIVARY CYST 42409 DRAINAGE OF SALIVARY CYST 42410 EXCISE PAROTID GLAND/LESION 42415 EXCISE PAROTID GLAND/LESION 42420 EXCISE PAROTID GLAND/LESION 42425 EXCISE PAROTID GLAND/LESION 42426 EXCISE PAROTID GLAND/LESION 42440 EXCISE SUBMAXILLARY GLAND 42450 EXCISE SUBLINGUAL GLAND 42500 REPAIR SALIVARY DUCT 42505 REPAIR SALIVARY DUCT 42507 PAROTID DUCT DIVERSION 42508 PAROTID DUCT DIVERSION 42509 PAROTID DUCT DIVERSION 42510 PAROTID DUCT DIVERSION 42550 INJECTION FOR SALIVARY X-RAY 42600 CLOSURE OF SALIVARY FISTULA 42650 DILATION OF SALIVARY DUCT
- 780. 42660 DILATION OF SALIVARY DUCT 42665 LIGATION OF SALIVARY DUCT 42699 SALIVARY SURGERY PROCEDURE 42700 DRAINAGE OF TONSIL ABSCESS 42720 DRAINAGE OF THROAT ABSCESS 42725 DRAINAGE OF THROAT ABSCESS 42800 BIOPSY OF THROAT 42802 BIOPSY OF THROAT 42804 BIOPSY OF UPPER NOSE/THROAT 42806 BIOPSY OF UPPER NOSE/THROAT 42808 EXCISE PHARYNX LESION 42809 REMOVE PHARYNX FOREIGN BODY 42810 EXCISION OF NECK CYST 42815 EXCISION OF NECK CYST 42820 REMOVE TONSILS AND ADENOIDS 42821 REMOVE TONSILS AND ADENOIDS 42825 REMOVAL OF TONSILS 42826 REMOVAL OF TONSILS 42830 REMOVAL OF ADENOIDS 42831 REMOVAL OF ADENOIDS 42835 REMOVAL OF ADENOIDS 42836 REMOVAL OF ADENOIDS 42842 EXTENSIVE SURGERY OF THROAT 42844 EXTENSIVE SURGERY OF THROAT 42845 EXTENSIVE SURGERY OF THROAT 42860 EXCISION OF TONSIL TAGS 42870 EXCISION OF LINGUAL TONSIL 42890 PARTIAL REMOVAL OF PHARYNX 42892 REVISION OF PHARYNGEAL WALLS 42894 REVISION OF PHARYNGEAL WALLS 42900 REPAIR THROAT WOUND 42950 RECONSTRUCTION OF THROAT 42953 REPAIR THROAT, ESOPHAGUS 42955 SURGICAL OPENING OF THROAT 42960 CONTROL THROAT BLEEDING 42961 CONTROL THROAT BLEEDING 42962 CONTROL THROAT BLEEDING 42970 CONTROL NOSE/THROAT BLEEDING 42971 CONTROL NOSE/THROAT BLEEDING 42972 CONTROL NOSE/THROAT BLEEDING 42999 THROAT SURGERY PROCEDURE 43020 INCISION OF ESOPHAGUS 43030 THROAT MUSCLE SURGERY 43045 INCISION OF ESOPHAGUS 43100 EXCISION OF ESOPHAGUS LESION 43101 EXCISION OF ESOPHAGUS LESION 43107 REMOVAL OF ESOPHAGUS 43108 REMOVAL OF ESOPHAGUS 43112 REMOVAL OF ESOPHAGUS 43113 REMOVAL OF ESOPHAGUS 43116 PARTIAL REMOVAL OF ESOPHAGUS 43117 PARTIAL REMOVAL OF ESOPHAGUS
- 781. 43118 PARTIAL REMOVAL OF ESOPHAGUS 43121 PARTIAL REMOVAL OF ESOPHAGUS 43122 PARITAL REMOVAL OF ESOPHAGUS 43123 PARTIAL REMOVAL OF ESOPHAGUS 43124 REMOVAL OF ESOPHAGUS 43130 REMOVAL OF ESOPHAGUS POUCH 43135 REMOVAL OF ESOPHAGUS POUCH 43200 ESOPHAGUS ENDOSCOPY 43201 ESOPH SCOPE W/SUBMUCOUS INJ 43202 ESOPHAGUS ENDOSCOPY, BIOPSY 43204 ESOPHAGUS ENDOSCOPY & INJECT 43205 ESOPHAGUS ENDOSCOPY/LIGATION 43215 ESOPHAGUS ENDOSCOPY 43216 ESOPHAGUS ENDOSCOPY/LESION 43217 ESOPHAGUS ENDOSCOPY 43219 ESOPHAGUS ENDOSCOPY 43220 ESOPH ENDOSCOPY, DILATION 43226 ESOPH ENDOSCOPY, DILATION 43227 ESOPH ENDOSCOPY, REPAIR 43228 ESOPH ENDOSCOPY, ABLATION 43231 ESOPHAG,RIG/FLX;ENDOSC ULTRASD 43232 ESOPHAG,RIG/FLX;ULTRSD,FN NEED 43234 UPPER GI ENDOSCOPY, EXAM 43235 UPPR GI ENDOSCOPY, DIAGNOSIS 43236 UPPR GI SCOPE W/SUBMUC INJ 43239 UPPER GI ENDOSCOPY, BIOPSY 43240 UP GI ENDSCOP ESPHG,STOM;DRAIN 43241 UP GI ENDO ESOP/STOM&EITH DUOD 43242 UP GI ENDSCOP ESPHG,STOM;ULTSD 43243 UPPER GI ENDOSCOPY & INJECT 43244 UPPER GI ENDOSCOPY/LIGATION 43245 OPERATIVE UPPER GI ENDOSCOPY 43246 PLACE GASTROSTOMY TUBE 43247 OPERATIVE UPPER GI ENDOSCOPY 43248 UPPR GI ENDOSCOPY/GUIDE WIRE 43249 ESOPH ENDOSCOPY, DILATION 43250 UPPER GI ENDOSCOPY/TUMOR 43251 OPERATIVE UPPER GI ENDOSCOPY 43255 OPERATIVE UPPER GI ENDOSCOPY 43256 UP GI ENDSCOP ESPHG,STOM;STENT 43258 OPERATIVE UPPER GI ENDOSCOPY 43259 ENDOSCOPIC ULTRASOUND EXAM 43260 ENDO CHOLANGIOPANCREATOGRAPH 43261 ENDO CHOLANGIOPANCREATOGRAPH 43262 ENDO CHOLANGIOPANCREATOGRAPH 43263 ENDO CHOLANGIOPANCREATOGRAPH 43264 ENDO CHOLANGIOPANCREATOGRAPH 43265 ENDO CHOLANGIOPANCREATOGRAPH 43267 ENDO CHOLANGIOPANCREATOGRAPH 43268 ENDO CHOLANGIOPANCREATOGRAPH 43269 ENDO CHOLANGIOPANCREATOGRAPH 43271 ENDO CHOLANGIOPANCREATOGRAPH
- 782. 43272 ENDO CHOLANGIOPANCREATOGRAPH 43280 LAPAROSCOPY, FUNDOPLASTY 43289 LAPAROSCOPE PROC, ESOPH 43300 REPAIR OF ESOPHAGUS 43305 REPAIR ESOPHAGUS AND FISTULA 43310 REPAIR OF ESOPHAGUS 43312 REPAIR ESOPHAGUS AND FISTULA 43313 ESOPHAGOPLASTY CONGENTIAL 43314 TRACHEO-ESOPHAGOPLASTY CONG 43320 FUSE ESOPHAGUS & STOMACH 43324 REVISE ESOPHAGUS & STOMACH 43325 REVISE ESOPHAGUS & STOMACH 43326 REVISE ESOPHAGUS & STOMACH 43330 REPAIR OF ESOPHAGUS 43331 REPAIR OF ESOPHAGUS 43340 FUSE ESOPHAGUS & INTESTINE 43341 FUSE ESOPHAGUS & INTESTINE 43350 SURGICAL OPENING, ESOPHAGUS 43351 SURGICAL OPENING, ESOPHAGUS 43352 SURGICAL OPENING, ESOPHAGUS 43360 GASTROINTESTINAL REPAIR 43361 GASTROINTESTINAL REPAIR 43400 LIGATE ESOPHAGUS VEINS 43401 ESOPHAGUS SURGERY FOR VEINS 43405 LIGATE/STAPLE ESOPHAGUS 43410 REPAIR ESOPHAGUS WOUND 43415 REPAIR ESOPHAGUS WOUND 43420 REPAIR ESOPHAGUS OPENING 43425 REPAIR ESOPHAGUS OPENING 43450 DILATE ESOPHAGUS 43453 DILATE ESOPHAGUS 43456 DILATE ESOPHAGUS 43458 DILATE ESOPHAGUS 43460 PRESSURE TREATMENT ESOPHAGUS 43496 FREE JEJUNUM FLAP, MICROVASC 43499 ESOPHAGUS SURGERY PROCEDURE 43500 SURGICAL OPENING OF STOMACH 43501 SURGICAL REPAIR OF STOMACH 43502 SURGICAL REPAIR OF STOMACH 43510 SURGICAL OPENING OF STOMACH 43520 INCISION OF PYLORIC MUSCLE 43600 BIOPSY OF STOMACH 43605 BIOPSY OF STOMACH 43610 EXCISION OF STOMACH LESION 43611 EXCISION OF STOMACH LESION 43620 REMOVAL OF STOMACH 43621 REMOVAL OF STOMACH 43622 REMOVAL OF STOMACH 43631 REMOVAL OF STOMACH, PARTIAL 43632 REMOVAL OF STOMACH, PARTIAL 43633 REMOVAL OF STOMACH, PARTIAL 43634 REMOVAL OF STOMACH, PARTIAL
- 783. 43635 REMOVAL OF STOMACH, PARTIAL 43638 REMOVAL OF STOMACH, PARTIAL 43639 REMOVAL OF STOMACH, PARTIAL 43640 VAGOTOMY & PYLORUS REPAIR 43641 VAGOTOMY & PYLORUS REPAIR 43651 LAPAROSCOPY, VAGUS NERVE 43652 LAPAROSCOPY, VAGUS NERVE 43653 LAPAROSCOPY, GASTROSTOMY 43659 LAPAROSCOPE PROC, STOM 43750 PLACE GASTROSTOMY TUBE 43752 NASO/ORO-GASTR TUBE PLACE,PHYS 43760 CHANGE GASTROSTOMY TUBE 43761 REPOSITION GASTROSTOMY TUBE 43800 RECONSTRUCTION OF PYLORUS 43810 FUSION OF STOMACH AND BOWEL 43820 FUSION OF STOMACH AND BOWEL 43825 FUSION OF STOMACH AND BOWEL 43830 PLACE GASTROSTOMY TUBE 43831 PLACE GASTROSTOMY TUBE 43832 PLACE GASTROSTOMY TUBE 43840 REPAIR OF STOMACH LESION 43842 GASTROPLASTY FOR OBESITY 43843 GASTROPLASTY FOR OBESITY 43846 GASTRIC BYPASS FOR OBESITY 43847 GASTRIC BYPASS FOR OBESITY 43848 REVISION GASTROPLASTY 43850 REVISE STOMACH-BOWEL FUSION 43855 REVISE STOMACH-BOWEL FUSION 43860 REVISE STOMACH-BOWEL FUSION 43865 REVISE STOMACH-BOWEL FUSION 43870 REPAIR STOMACH OPENING 43880 REPAIR STOMACH-BOWEL FISTULA 43999 STOMACH SURGERY PROCEDURE 44005 FREEING OF BOWEL ADHESION 44010 INCISION OF SMALL BOWEL 44015 INSERT NEEDLE CATH BOWEL 44020 EXPLORE SMALL INTESTINE 44021 DECOMPRESS SMALL BOWEL 44025 INCISION OF LARGE BOWEL 44050 REDUCE BOWEL OBSTRUCTION 44055 CORRECT MALROTATION OF BOWEL 44100 BIOPSY OF BOWEL 44110 EXCISE INTESTINE LESION(S) 44111 EXCISION OF BOWEL LESION(S) 44120 REMOVAL OF SMALL INTESTINE 44121 REMOVAL OF SMALL INTESTINE 44125 REMOVAL OF SMALL INTESTINE 44126 ENTERECTOMY W/TAPER, CONG 44127 ENTERECTOMY W/O TAPER, CONG 44128 ENTERECTOMY CONG, ADD-ON 44130 BOWEL TO BOWEL FUSION 44132 DON ENTERECT,OPN,ALLOGFT;CADVR
- 784. 44133 DON ENTERECT,OPN,ALLOGF;PRT,LV 44135 INTESTINAL ALLOTRANSPL;CADAVER 44136 INTESTINAL ALLOTRANSPL; LIVING 44139 MOBILIZATION OF COLON 44140 PARTIAL REMOVAL OF COLON 44141 PARTIAL REMOVAL OF COLON 44143 PARTIAL REMOVAL OF COLON 44144 PARTIAL REMOVAL OF COLON 44145 PARTIAL REMOVAL OF COLON 44146 PARTIAL REMOVAL OF COLON 44147 PARTIAL REMOVAL OF COLON 44150 REMOVAL OF COLON 44151 REMOVAL OF COLON/ILEOSTOMY 44152 REMOVAL OF COLON/ILEOSTOMY 44153 REMOVAL OF COLON/ILEOSTOMY 44155 REMOVAL OF COLON/ILEOSTOMY 44156 REMOVAL OF COLON/ILEOSTOMY 44160 REMOVAL OF COLON 44200 LAPAROSCOPY, ENTEROLYSIS 44201 LAPAROSCOPY, JEJUNOSTOMY 44202 LAP RESECT S/INTESTINE SINGL 44203 LAP RESECT S/INTESTINE, ADDL 44204 LAPARO PARTIAL COLECTOMY 44205 LAP COLECTOMY PART W/ILEUM 44206 LAP PART COLECTOMY W/STOMA 44207 L COLECTOMY/COLOPROCTOSTOMY 44208 LAP COLECTOMY/COLOPRCTOSTOMY 44210 LAPARO TOTAL PROCTOCOLECTOMY 44211 LAPARO TOTAL PROCTOCOLECTOMY 44212 LAPARO TOTAL PROCTOCOLECTOMY 44238 LAPAROSCOPE PROC, INTESTINE 44239 UNLSTED LAP PROC, RECTUM 44300 OPEN BOWEL TO SKIN 44310 ILEOSTOMY/JEJUNOSTOMY 44312 REVISION OF ILEOSTOMY 44314 REVISION OF ILEOSTOMY 44316 DEVISE BOWEL POUCH 44320 COLOSTOMY 44322 COLOSTOMY WITH BIOPSIES 44340 REVISION OF COLOSTOMY 44345 REVISION OF COLOSTOMY 44346 REVISION OF COLOSTOMY 44360 SMALL BOWEL ENDOSCOPY 44361 SMALL BOWEL ENDOSCOPY/BIOPSY 44363 SMALL BOWEL ENDOSCOPY 44364 SMALL BOWEL ENDOSCOPY 44365 SMALL BOWEL ENDOSCOPY 44366 SMALL BOWEL ENDOSCOPY 44369 SMALL BOWEL ENDOSCOPY 44370 SM INT ENDSCP,ENTS,NO ILM;STNT 44372 SMALL BOWEL ENDOSCOPY 44373 SMALL BOWEL ENDOSCOPY
- 785. 44376 SMALL BOWEL ENDOSCOPY 44377 SMALL BOWEL ENDOSCOPY/BIOPSY 44378 SMALL BOWEL ENDOSCOPY 44379 SM INT ENDSCP,ENTS,ILEUM;STENT 44380 SMALL BOWEL ENDOSCOPY 44382 SMALL BOWEL ENDOSCOPY 44383 ILEOSCO,STOMA;TRANSENDOSC STNT 44385 ENDOSCOPY OF BOWEL POUCH 44386 ENDOSCOPY, BOWEL POUCH/BIOP 44388 COLON ENDOSCOPY 44389 COLONOSCOPY WITH BIOPSY 44390 COLONOSCOPY FOR FOREIGN BODY 44391 COLONOSCOPY FOR BLEEDING 44392 COLONOSCOPY & POLYPECTOMY 44393 COLONOSCOPY, LESION REMOVAL 44394 COLONOSCOPY W/SNARE 44397 COLONOSCPY,STOMA;TRANSENDOSCOP 44500 INTRO, GASTROINTESTINAL TUBE 44602 SUTURE, SMALL INTESTINE 44603 SUTURE, SMALL INTESTINE 44604 SUTURE, LARGE INTESTINE 44605 REPAIR OF BOWEL LESION 44615 INTESTINAL STRICTUROPLASTY 44620 REPAIR BOWEL OPENING 44625 REPAIR BOWEL OPENING 44626 REPAIR BOWEL OPENING 44640 REPAIR BOWEL-SKIN FISTULA 44650 REPAIR BOWEL FISTULA 44660 REPAIR BOWEL-BLADDER FISTULA 44661 REPAIR BOWEL-BLADDER FISTULA 44680 SURGICAL REVISION, INTESTINE 44700 SUSPEND BOWEL W/PROSTHESIS 44701 INTRAOP COLON LAVAGE ADD-ON 44799 INTESTINE SURGERY PROCEDURE 44800 EXCISION OF BOWEL POUCH 44820 EXCISION OF MESENTERY LESION 44850 REPAIR OF MESENTERY 44899 BOWEL SURGERY PROCEDURE 44900 DRAIN APP ABSCESS, OPEN 44901 DRAIN APP ABSCESS, PERCUT 44950 APPENDECTOMY 44955 APPENDECTOMY ADD-ON 44960 APPENDECTOMY 44970 LAPAROSCOPY, APPENDECTOMY 44979 LAPAROSCOPE PROC, APP 45000 DRAINAGE OF PELVIC ABSCESS 45005 DRAINAGE OF RECTAL ABSCESS 45020 DRAINAGE OF RECTAL ABSCESS 45100 BIOPSY OF RECTUM 45108 REMOVAL OF ANORECTAL LESION 45110 REMOVAL OF RECTUM 45111 PARTIAL REMOVAL OF RECTUM
- 786. 45112 REMOVAL OF RECTUM 45113 PARTIAL PROCTECTOMY 45114 PARTIAL REMOVAL OF RECTUM 45116 PARTIAL REMOVAL OF RECTUM 45119 REMOVE RECTUM W/RESERVOIR 45120 REMOVAL OF RECTUM 45121 REMOVAL OF RECTUM AND COLON 45123 PARTIAL PROCTECTOMY 45126 PELVIC EXENTERATION 45130 EXCISION OF RECTAL PROLAPSE 45135 EXCISION OF RECTAL PROLAPSE 45136 EXCISE ILEOANAL RESERVOIR 45150 EXCISION OF RECTAL STRICTURE 45160 EXCISION OF RECTAL LESION 45170 EXCISION OF RECTAL LESION 45190 DESTRUCTION, RECTAL TUMOR 45300 PROCTOSIGMOIDOSCOPY 45303 PROCTOSIGMOIDOSCOPY DILATE 45305 PROCTOSIGMOIDOSCOPY & BIOPSY 45307 PROCTOSIGMOIDOSCOPY 45308 PROCTOSIGMOIDOSCOPY 45309 PROCTOSIGMOIDOSCOPY 45315 PROCTOSIGMOIDOSCOPY 45317 PROTOSIGMOIDOSCOPY BLEED 45320 PROCTOSIGMOIDOSCOPY 45321 PROCTOSIGMOIDOSCOPY 45327 PROCTOSIG,RIGID;TRANSENDO STNT 45330 DIAGNOSTIC SIGMOIDOSCOPY 45331 SIGMOIDOSCOPY AND BIOPSY 45332 SIGMOIDOSCOPY 45333 SIGMOIDOSCOPY & POLYPECTOMY 45334 SIGMOIDOSCOPY FOR BLEEDING 45335 SIGMOIDOSCOPE W/SUBMUC INJ 45337 SIGMOIDOSCOPY & DECOMPRESS 45338 SIGMOIDOSCOPY 45339 SIGMOIDOSCOPY 45340 SIG W/BALLOON DILATION 45341 SIGMOID,FLEX;ENDOSC ULTRSND EX 45342 SIGM,FLEX;TRANSEND ULTRSND ASP 45345 SIGMOIDOSC,FLEX;TRANSEND STENT 45355 SURGICAL COLONOSCOPY 45378 DIAGNOSTIC COLONOSCOPY 45379 COLONOSCOPY 45380 COLONOSCOPY AND BIOPSY 45381 COLONOSCOPE, SUBMUCOUS INJ 45382 COLONOSCOPY/CONTROL BLEEDING 45383 LESION REMOVAL COLONOSCOPY 45384 COLONOSCOPY 45385 LESION REMOVAL COLONOSCOPY 45386 COLONOSCOPE DILATE STRICTURE 45387 COLON,FLX,PROX SPLN;TRNSN STNT 45500 REPAIR OF RECTUM
- 787. 45505 REPAIR OF RECTUM 45520 TREATMENT OF RECTAL PROLAPSE 45540 CORRECT RECTAL PROLAPSE 45541 CORRECT RECTAL PROLAPSE 45550 REPAIR RECTUM/REMOVE SIGMOID 45560 REPAIR OF RECTOCELE 45562 EXPLORATION/REPAIR OF RECTUM 45563 EXPLORATION/REPAIR OF RECTUM 45800 REPAIR RECT/BLADDER FISTULA 45805 REPAIR FISTULA W/COLOSTOMY 45820 REPAIR RECTOURETHRAL FISTULA 45825 REPAIR FISTULA W/COLOSTOMY 45900 REDUCTION OF RECTAL PROLAPSE 45905 DILATION OF ANAL SPHINCTER 45910 DILATION OF RECTAL NARROWING 45915 REMOVE RECTAL OBSTRUCTION 45999 RECTUM SURGERY PROCEDURE 46020 PLACEMENT OF SETON 46030 REMOVAL OF RECTAL MARKER 46040 INCISION OF RECTAL ABSCESS 46045 INCISION OF RECTAL ABSCESS 46050 INCISION OF ANAL ABSCESS 46060 INCISION OF RECTAL ABSCESS 46070 INCISION OF ANAL SEPTUM 46080 INCISION OF ANAL SPHINCTER 46083 INCISE EXTERNAL HEMORRHOID 46200 REMOVAL OF ANAL FISSURE 46210 REMOVAL OF ANAL CRYPT 46211 REMOVAL OF ANAL CRYPTS 46220 REMOVAL OF ANAL TAB 46221 LIGATION OF HEMORRHOID(S) 46230 REMOVAL OF ANAL TABS 46250 HEMORRHOIDECTOMY 46255 HEMORRHOIDECTOMY 46257 REMOVE HEMORRHOIDS & FISSURE 46258 REMOVE HEMORRHOIDS & FISTULA 46260 HEMORRHOIDECTOMY 46261 REMOVE HEMORRHOIDS & FISSURE 46262 REMOVE HEMORRHOIDS & FISTULA 46270 REMOVAL OF ANAL FISTULA 46275 REMOVAL OF ANAL FISTULA 46280 REMOVAL OF ANAL FISTULA 46285 REMOVAL OF ANAL FISTULA 46288 REPAIR ANAL FISTULA 46320 REMOVAL OF HEMORRHOID CLOT 46500 INJECTION INTO HEMORRHOIDS 46600 DIAGNOSTIC ANOSCOPY 46604 ANOSCOPY AND DILATION 46606 ANOSCOPY AND BIOPSY 46608 ANOSCOPY/ REMOVE FOR BODY 46610 ANOSCOPY/REMOVE LESION 46611 ANOSCOPY
- 788. 46612 ANOSCOPY/ REMOVE LESIONS 46614 ANOSCOPY/CONTROL BLEEDING 46615 ANOSCOPY 46700 REPAIR OF ANAL STRICTURE 46705 REPAIR OF ANAL STRICTURE 46706 REPR, ANAL FIST W FIBRIN GLU 46715 REPAIR OF ANOVAGINAL FISTULA 46716 REPAIR OF ANOVAGINAL FISTULA 46730 CONSTRUCTION OF ABSENT ANUS 46735 CONSTRUCTION OF ABSENT ANUS 46740 CONSTRUCTION OF ABSENT ANUS 46742 REPAIR OF IMPERFORATED ANUS 46744 REPAIR OF CLOACAL ANOMALY 46746 REPAIR OF CLOACAL ANOMALY 46748 REPAIR OF CLOACAL ANOMALY 46750 REPAIR OF ANAL SPHINCTER 46751 REPAIR OF ANAL SPHINCTER 46753 RECONSTRUCTION OF ANUS 46754 REMOVAL OF SUTURE FROM ANUS 46760 REPAIR OF ANAL SPHINCTER 46761 REPAIR OF ANAL SPHINCTER 46762 IMPLANT ARTIFICIAL SPHINCTER 46900 DESTRUCTION, ANAL LESION(S) 46910 DESTRUCTION, ANAL LESION(S) 46916 CRYOSURGERY, ANAL LESION(S) 46917 LASER SURGERY, ANAL LESIONS 46922 EXCISION OF ANAL LESION(S) 46924 DESTRUCTION, ANAL LESION(S) 46934 DESTRUCTION OF HEMORRHOIDS 46935 DESTRUCTION OF HEMORRHOIDS 46936 DESTRUCTION OF HEMORRHOIDS 46937 CRYOTHERAPY OF RECTAL LESION 46938 CRYOTHERAPY OF RECTAL LESION 46940 TREATMENT OF ANAL FISSURE 46942 TREATMENT OF ANAL FISSURE 46945 LIGATION OF HEMORRHOIDS 46946 LIGATION OF HEMORRHOIDS 46999 ANUS SURGERY PROCEDURE 47000 NEEDLE BIOPSY OF LIVER 47001 NEEDLE BIOPSY, LIVER ADD-ON 47010 OPEN DRAINAGE, LIVER LESION 47011 PERCUT DRAIN, LIVER LESION 47015 INJECT/ASPIRATE LIVER CYST 47100 WEDGE BIOPSY OF LIVER 47120 PARTIAL REMOVAL OF LIVER 47122 EXTENSIVE REMOVAL OF LIVER 47125 PARTIAL REMOVAL OF LIVER 47130 PARTIAL REMOVAL OF LIVER 47133 REMOVAL OF DONOR LIVER 47134 PARTIAL REMOVAL, DONOR LIVER 47135 TRANSPLANTATION OF LIVER 47136 TRANSPLANTATION OF LIVER
- 789. 47300 SURGERY FOR LIVER LESION 47350 REPAIR LIVER WOUND 47360 REPAIR LIVER WOUND 47361 REPAIR LIVER WOUND 47362 REPAIR LIVER WOUND 47370 LAPARO ABLATE LIVER TUMOR RF 47371 LAPARO ABLATE LIVER CRYOSUG 47379 UNLIST LAPAROSCOPIC PROC,LIVER 47380 OPEN ABLATE LIVER TUMOR RF 47381 OPEN ABLATE LIVER TUMOR CRYO 47382 PERCUT ABLATE LIVER RF 47399 LIVER SURGERY PROCEDURE 47400 INCISION OF LIVER DUCT 47420 INCISION OF BILE DUCT 47425 INCISION OF BILE DUCT 47460 INCISE BILE DUCT SPHINCTER 47480 INCISION OF GALLBLADDER 47490 INCISION OF GALLBLADDER 47500 INJECTION FOR LIVER X-RAYS 47505 INJECTION FOR LIVER X-RAYS 47510 INSERT CATHETER, BILE DUCT 47511 INSERT BILE DUCT DRAIN 47525 CHANGE BILE DUCT CATHETER 47530 REVISE/REINSERT BILE TUBE 47550 BILE DUCT ENDOSCOPY ADD-ON 47552 BILIARY ENDOSCOPY THRU SKIN 47553 BILIARY ENDOSCOPY THRU SKIN 47554 BILIARY ENDOSCOPY THRU SKIN 47555 BILIARY ENDOSCOPY THRU SKIN 47556 BILIARY ENDOSCOPY THRU SKIN 47560 LAPAROSCOPY W/CHOLANGIO 47561 LAPARO W/CHOLANGIO/BIOPSY 47562 LAPAROSCOPIC CHOLECYSTECTOMY 47563 LAPARO CHOLECYSTECTOMY/GRAPH 47564 LAPARO CHOLECYSTECTOMY/EXPLR 47570 LAPARO CHOLECYSTOENTEROSTOMY 47579 LAPAROSCOPE PROC, BILIARY 47600 REMOVAL OF GALLBLADDER 47605 REMOVAL OF GALLBLADDER 47610 REMOVAL OF GALLBLADDER 47612 REMOVAL OF GALLBLADDER 47620 REMOVAL OF GALLBLADDER 47630 REMOVE BILE DUCT STONE 47700 EXPLORATION OF BILE DUCTS 47701 BILE DUCT REVISION 47711 EXCISION OF BILE DUCT TUMOR 47712 EXCISION OF BILE DUCT TUMOR 47715 EXCISION OF BILE DUCT CYST 47716 FUSION OF BILE DUCT CYST 47720 FUSE GALLBLADDER & BOWEL 47721 FUSE UPPER GI STRUCTURES 47740 FUSE GALLBLADDER & BOWEL
- 790. 47741 FUSE GALLBLADDER & BOWEL 47760 FUSE BILE DUCTS AND BOWEL 47765 FUSE LIVER DUCTS & BOWEL 47780 FUSE BILE DUCTS AND BOWEL 47785 FUSE BILE DUCTS AND BOWEL 47800 RECONSTRUCTION OF BILE DUCTS 47801 PLACEMENT, BILE DUCT SUPPORT 47802 FUSE LIVER DUCT & INTESTINE 47900 SUTURE BILE DUCT INJURY 47999 BILE TRACT SURGERY PROCEDURE 48000 DRAINAGE OF ABDOMEN 48001 PLACEMENT OF DRAIN, PANCREAS 48005 RESECT/DEBRIDE PANCREAS 48020 REMOVAL OF PANCREATIC STONE 48100 BIOPSY OF PANCREAS, OPEN 48102 NEEDLE BIOPSY, PANCREAS 48120 REMOVAL OF PANCREAS LESION 48140 PARTIAL REMOVAL OF PANCREAS 48145 PARTIAL REMOVAL OF PANCREAS 48146 PANCREATECTOMY 48148 REMOVAL OF PANCREATIC DUCT 48150 PARTIAL REMOVAL OF PANCREAS 48152 PANCREATECTOMY 48153 PANCREATECTOMY 48154 PANCREATECTOMY 48155 REMOVAL OF PANCREAS 48160 PANCREAS REMOVAL/TRANSPLANT 48180 FUSE PANCREAS AND BOWEL 48400 INJECTION, INTRAOP ADD-ON 48500 SURGERY OF PANCREATIC CYST 48510 DRAIN PANCREATIC PSEUDOCYST 48511 DRAIN PANCREATIC PSEUDOCYST 48520 FUSE PANCREAS CYST AND BOWEL 48540 FUSE PANCREAS CYST AND BOWEL 48545 PANCREATORRHAPHY 48547 DUODENAL EXCLUSION 48550 DONOR PANCREATECTOMY 48554 TRANSPL ALLOGRAFT PANCREAS 48556 REMOVAL, ALLOGRAFT PANCREAS 48999 PANCREAS SURGERY PROCEDURE 49000 EXPLORATION OF ABDOMEN 49002 REOPENING OF ABDOMEN 49010 EXPLORATION BEHIND ABDOMEN 49020 DRAIN ABDOMINAL ABSCESS 49021 DRAIN ABDOMINAL ABSCESS 49040 DRAIN, OPEN, ABDOM ABSCESS 49041 DRAIN, PERCUT, ABDOM ABSCESS 49060 DRAIN, OPEN, RETROP ABSCESS 49061 DRAIN, PERCUT, RETROPER ABSC 49062 DRAIN TO PERITONEAL CAVITY 49080 PUNCTURE, PERITONEAL CAVITY 49081 REMOVAL OF ABDOMINAL FLUID
- 791. 49085 REMOVE ABDOMEN FOREIGN BODY 49180 BIOPSY, ABDOMINAL MASS 49200 EXCIS INTRA-ABDM TMRS ENDOMETR 49201 EXCS INTRA-ABOM TMRS ENDO;EXTE 49215 EXCISE SACRAL SPINE TUMOR 49220 MULTIPLE SURGERY, ABDOMEN 49250 EXCISION OF UMBILICUS 49255 REMOVAL OF OMENTUM 49320 LAP,ABD/PERIT/OMEN,DX,WWO SPEC 49321 LAPROSCPY,SRGL;W BX(SNGL/MULT) 49322 LAPROSCPY,SRGL;W ASPRAT,CAVITY 49323 LAPROSCPY,SRGL;W DRNGE,LYMPHCL 49329 LAPARO PROC, ABDM/PER/OMENT 49400 AIR INJECTION INTO ABDOMEN 49419 INSRT ABDOM CATH FOR CHEMOTX 49420 INSERT ABDOMINAL DRAIN 49421 INSERT ABDOMINAL DRAIN 49422 REMOVE PERM CANNULA/CATHETER 49423 EXCHANGE DRAINAGE CATHETER 49424 ASSESS CYST, CONTRAST INJECT 49425 INSERT ABDOMEN-VENOUS DRAIN 49426 REVISE ABDOMEN-VENOUS SHUNT 49427 INJECTION, ABDOMINAL SHUNT 49428 LIGATION OF SHUNT 49429 REMOVAL OF SHUNT 49491 REPAIRING HERN PREMIE REDUC 49492 RPR ING HERN PREMIE, BLOCKED 49495 RPR ING HERNIA BABY, REDUC 49496 RPR ING HERNIA BABY, BLOCKED 49500 REPAIR INGUINAL HERNIA 49501 REPAIR INGUINAL HERNIA, INIT 49505 REPAIR INGUINAL HERNIA 49507 REPAIR INGUINAL HERNIA 49520 REREPAIR INGUINAL HERNIA 49521 REPAIR INGUINAL HERNIA, REC 49525 REPAIR INGUINAL HERNIA 49540 REPAIR LUMBAR HERNIA 49550 REPAIR FEMORAL HERNIA 49553 REPAIR FEMORAL HERNIA, INIT 49555 REPAIR FEMORAL HERNIA 49557 REPAIR FEMORAL HERNIA, RECUR 49560 REPAIR ABDOMINAL HERNIA 49561 REPAIR INCISIONAL HERNIA 49565 REREPAIR ABDOMINAL HERNIA 49566 REPAIR INCISIONAL HERNIA 49568 HERNIA REPAIR W/MESH 49570 REPAIR EPIGASTRIC HERNIA 49572 REPAIR EPIGASTRIC HERNIA 49580 REPAIR UMBILICAL HERNIA 49582 REPAIR UMBILICAL HERNIA 49585 REPAIR UMBILICAL HERNIA 49587 REPAIR UMBILICAL HERNIA
- 792. 49590 REPAIR ABDOMINAL HERNIA 49600 REPAIR UMBILICAL LESION 49605 REPAIR UMBILICAL LESION 49606 REPAIR UMBILICAL LESION 49610 REPAIR UMBILICAL LESION 49611 REPAIR UMBILICAL LESION 49650 LAPARO HERNIA REPAIR INITIAL 49651 LAPARO HERNIA REPAIR RECUR 49659 LAPARO PROC, HERNIA REPAIR 49900 REPAIR OF ABDOMINAL WALL 49904 OMENTAL FLAP, EXTRA-ABDOM 49905 OMENTAL FLAP, INTRA-ABDOM 49906 FREE OMENTAL FLAP, MICROVASC 49999 ABDOMEN SURGERY PROCEDURE 50010 EXPLORATION OF KIDNEY 50020 RENAL ABSCESS, OPEN DRAIN 50021 RENAL ABSCESS, PERCUT DRAIN 50040 DRAINAGE OF KIDNEY 50045 EXPLORATION OF KIDNEY 50060 REMOVAL OF KIDNEY STONE 50065 INCISION OF KIDNEY 50070 INCISION OF KIDNEY 50075 REMOVAL OF KIDNEY STONE 50080 REMOVAL OF KIDNEY STONE 50081 REMOVAL OF KIDNEY STONE 50100 REVISE KIDNEY BLOOD VESSELS 50120 EXPLORATION OF KIDNEY 50125 EXPLORE AND DRAIN KIDNEY 50130 REMOVAL OF KIDNEY STONE 50135 EXPLORATION OF KIDNEY 50200 BIOPSY OF KIDNEY 50205 BIOPSY OF KIDNEY 50220 REMOVE KIDNEY, OPEN 50225 REMOVAL KIDNEY OPEN, COMPLEX 50230 REMOVAL KIDNEY OPEN, RADICAL 50234 REMOVAL OF KIDNEY & URETER 50236 REMOVAL OF KIDNEY & URETER 50240 PARTIAL REMOVAL OF KIDNEY 50280 REMOVAL OF KIDNEY LESION 50290 REMOVAL OF KIDNEY LESION 50300 REMOVAL OF DONOR KIDNEY 50320 REMOVAL OF DONOR KIDNEY 50340 REMOVAL OF KIDNEY 50360 TRANSPLANTATION OF KIDNEY 50365 TRANSPLANTATION OF KIDNEY 50370 REMOVE TRANSPLANTED KIDNEY 50380 REIMPLANTATION OF KIDNEY 50390 DRAINAGE OF KIDNEY LESION 50392 INSERT KIDNEY DRAIN 50393 INSERT URETERAL TUBE 50394 INJECTION FOR KIDNEY X-RAY 50395 CREATE PASSAGE TO KIDNEY
- 793. 50396 MEASURE KIDNEY PRESSURE 50398 CHANGE KIDNEY TUBE 50400 REVISION OF KIDNEY/URETER 50405 REVISION OF KIDNEY/URETER 50500 REPAIR OF KIDNEY WOUND 50520 CLOSE KIDNEY-SKIN FISTULA 50525 REPAIR RENAL-ABDOMEN FISTULA 50526 REPAIR RENAL-ABDOMEN FISTULA 50540 REVISION OF HORSESHOE KIDNEY 50541 LAPARO ABLATE RENAL CYST 50542 LAPARO ABLATE RENAL MASS 50543 LAP, SURG; PARTIAL NEPHRCT 50544 LAPAROSCOPY, PYELOPLASTY 50545 LAPAROSCOP,SRG;RAD NEPHRECTOMY 50546 LAPROSCPY,SRGL;NEPHRECTMY,PART 50547 LAPARO REMOVAL DONOR KIDNEY 50548 LAPROSCPY,SRGL;NEPHRECTMY,TOTL 50549 LAPAROSCOPE PROC, RENAL 50551 KIDNEY ENDOSCOPY 50553 KIDNEY ENDOSCOPY 50555 KIDNEY ENDOSCOPY & BIOPSY 50557 KIDNEY ENDOSCOPY & TREATMENT 50559 RENAL ENDOSCOPY/RADIOTRACER 50561 KIDNEY ENDOSCOPY & TREATMENT 50562 RENAL SCOPE W/TUMOR RESECT 50570 KIDNEY ENDOSCOPY 50572 KIDNEY ENDOSCOPY 50574 KIDNEY ENDOSCOPY & BIOPSY 50575 KIDNEY ENDOSCOPY 50576 KIDNEY ENDOSCOPY & TREATMENT 50578 RENAL ENDOSCOPY/RADIOTRACER 50580 KIDNEY ENDOSCOPY & TREATMENT 50590 FRAGMENTING OF KIDNEY STONE 50600 EXPLORATION OF URETER 50605 INSERT URETERAL SUPPORT 50610 REMOVAL OF URETER STONE 50620 REMOVAL OF URETER STONE 50630 REMOVAL OF URETER STONE 50650 REMOVAL OF URETER 50660 REMOVAL OF URETER 50684 INJECTION FOR URETER X-RAY 50686 MEASURE URETER PRESSURE 50688 CHANGE OF URETER TUBE 50690 INJECTION FOR URETER X-RAY 50700 REVISION OF URETER 50715 RELEASE OF URETER 50722 RELEASE OF URETER 50725 RELEASE/REVISE URETER 50727 REVISE URETER 50728 REVISE URETER 50740 FUSION OF URETER & KIDNEY 50750 FUSION OF URETER & KIDNEY
- 794. 50760 FUSION OF URETERS 50770 SPLICING OF URETERS 50780 REIMPLANT URETER IN BLADDER 50782 REIMPLANT URETER IN BLADDER 50783 REIMPLANT URETER IN BLADDER 50785 REIMPLANT URETER IN BLADDER 50800 IMPLANT URETER IN BOWEL 50810 FUSION OF URETER & BOWEL 50815 URINE SHUNT TO INTESTINE 50820 CONSTRUCT BOWEL BLADDER 50825 CONSTRUCT BOWEL BLADDER 50830 REVISE URINE FLOW 50840 REPLACE URETER BY BOWEL 50845 APPENDICO-VESICOSTOMY 50860 TRANSPLANT URETER TO SKIN 50900 REPAIR OF URETER 50920 CLOSURE URETER/SKIN FISTULA 50930 CLOSURE URETER/BOWEL FISTULA 50940 RELEASE OF URETER 50945 LAPROSCPY,SRGL;URETEROLITHOTMY 50947 LAP,SRG;URTERNEOCYST,CYSTOSCPY 50948 LAP,SRG;URTERNEOCYST,WO CYSTSC 50949 UNLIST LAPAROSCOPY PROC,URETER 50951 ENDOSCOPY OF URETER 50953 ENDOSCOPY OF URETER 50955 URETER ENDOSCOPY & BIOPSY 50957 URETER ENDOSCOPY & TREATMENT 50959 URETER ENDOSCOPY & TRACER 50961 URETER ENDOSCOPY & TREATMENT 50970 URETER ENDOSCOPY 50972 URETER ENDOSCOPY & CATHETER 50974 URETER ENDOSCOPY & BIOPSY 50976 URETER ENDOSCOPY & TREATMENT 50978 URETER ENDOSCOPY & TRACER 50980 URETER ENDOSCOPY & TREATMENT 51000 DRAINAGE OF BLADDER 51005 DRAINAGE OF BLADDER 51010 DRAINAGE OF BLADDER 51020 INCISE & TREAT BLADDER 51030 INCISE & TREAT BLADDER 51040 INCISE & DRAIN BLADDER 51045 INCISE BLADDER/DRAIN URETER 51050 REMOVAL OF BLADDER STONE 51060 REMOVAL OF URETER STONE 51065 REMOVE URETER CALCULUS 51080 DRAINAGE OF BLADDER ABSCESS 51500 REMOVAL OF BLADDER CYST 51520 REMOVAL OF BLADDER LESION 51525 REMOVAL OF BLADDER LESION 51530 REMOVAL OF BLADDER LESION 51535 REPAIR OF URETER LESION 51550 PARTIAL REMOVAL OF BLADDER
- 795. 51555 PARTIAL REMOVAL OF BLADDER 51565 REVISE BLADDER & URETER(S) 51570 REMOVAL OF BLADDER 51575 REMOVAL OF BLADDER & NODES 51580 REMOVE BLADDER/REVISE TRACT 51585 REMOVAL OF BLADDER & NODES 51590 REMOVE BLADDER/REVISE TRACT 51595 REMOVE BLADDER/REVISE TRACT 51596 REMOVE BLADDER/CREATE POUCH 51597 REMOVAL OF PELVIC STRUCTURES 51600 INJECTION FOR BLADDER X-RAY 51605 PREPARATION FOR BLADDER XRAY 51610 INJECTION FOR BLADDER X-RAY 51700 IRRIGATION OF BLADDER 51701 INSERT BLADDER CATHETER 51702 INSERT TEMP BLADDER CATH 51703 INSERT BLADDER CATH, COMPLEX 51705 CHANGE OF BLADDER TUBE 51710 CHANGE OF BLADDER TUBE 51715 ENDOSCOPIC INJECTION/IMPLANT 51720 TREATMENT OF BLADDER LESION 51725 SIMPLE CYSTOMETROGRAM 51726 COMPLEX CYSTOMETROGRAM 51736 URINE FLOW MEASUREMENT 51741 ELECTRO-UROFLOWMETRY, FIRST 51772 URETHRA PRESSURE PROFILE 51784 ANAL/URINARY MUSCLE STUDY 51785 ANAL/URINARY MUSCLE STUDY 51792 URINARY REFLEX STUDY 51795 URINE VOIDING PRESSURE STUDY 51797 INTRAABDOMINAL PRESSURE TEST 51798 US URINE CAPACITY MEASURE 51800 REVISION OF BLADDER/URETHRA 51820 REVISION OF URINARY TRACT 51840 ATTACH BLADDER/URETHRA 51841 ATTACH BLADDER/URETHRA 51845 REPAIR BLADDER NECK 51860 REPAIR OF BLADDER WOUND 51865 REPAIR OF BLADDER WOUND 51880 REPAIR OF BLADDER OPENING 51900 REPAIR BLADDER/VAGINA LESION 51920 CLOSE BLADDER-UTERUS FISTULA 51925 HYSTERECTOMY/BLADDER REPAIR 51940 CORRECTION OF BLADDER DEFECT 51960 REVISION OF BLADDER & BOWEL 51980 CONSTRUCT BLADDER OPENING 51990 LAPARO URETHRAL SUSPENSION 51992 LAPARO SLING OPERATION 52000 CYSTOSCOPY 52001 CYSTO W IRRG &EVAC MULT OB CLT 52005 CYSTOSCOPY & URETER CATHETER 52007 CYSTOSCOPY AND BIOPSY
- 796. 52010 CYSTOSCOPY & DUCT CATHETER 52204 CYSTOSCOPY 52214 CYSTOSCOPY AND TREATMENT 52224 CYSTOSCOPY AND TREATMENT 52234 CYSTOSCOPY AND TREATMENT 52235 CYSTOSCOPY AND TREATMENT 52240 CYSTOSCOPY AND TREATMENT 52250 CYSTOSCOPY AND RADIOTRACER 52260 CYSTOSCOPY AND TREATMENT 52265 CYSTOSCOPY AND TREATMENT 52270 CYSTOSCOPY & REVISE URETHRA 52275 CYSTOSCOPY & REVISE URETHRA 52276 CYSTOSCOPY AND TREATMENT 52277 CYSTOSCOPY AND TREATMENT 52281 CYSTOSCOPY AND TREATMENT 52282 CYSTOSCOPY, IMPLANT STENT 52283 CYSTOSCOPY AND TREATMENT 52285 CYSTOSCOPY AND TREATMENT 52290 CYSTOSCOPY AND TREATMENT 52300 CYSTOSCOPY AND TREATMENT 52301 CYSTOSCOPY AND TREATMENT 52305 CYSTOSCOPY AND TREATMENT 52310 CYSTOSCOPY AND TREATMENT 52315 CYSTOSCOPY AND TREATMENT 52317 REMOVE BLADDER STONE 52318 REMOVE BLADDER STONE 52320 CYSTOSCOPY AND TREATMENT 52325 CYSTOSCOPY, STONE REMOVAL 52327 CYSTOSCOPY, INJECT MATERIAL 52330 CYSTOSCOPY AND TREATMENT 52332 CYSTOSCOPY AND TREATMENT 52334 CREATE PASSAGE TO KIDNEY 52341 CYSTOURETHRO;TREAT,URETER STRC 52342 CYSTOURETHRO;TREAT,URETEROPELV 52343 CYSTOURETHRO;TREAT,INTRA-RENAL 52344 CYSTOURETHRO,URETRSCPY;URETERL 52345 CYSTOURETHR,URTRSCOP;URETERPLV 52346 CYSTOURETHR,URTRSCP;INTRA-RENL 52347 CYSTOSCOPY, RESECT DUCTS 52351 CYSTOURET,URETEROS,PYELOS;DIAG 52352 CYSTOURE,URTRSC,PYELOS;REM/MAN 52353 CYSTOURE,URTRSC,PYELS;LTHTRPSY 52354 CYSTOURETHROSCOPY W/BIOPSY 52355 CYSTOURETHROSCOPY W/RESECTION 52400 CYSTOUR,INC,FLGR/RESC VAL/FOLD 52450 INCISION OF PROSTATE 52500 REVISION OF BLADDER NECK 52510 DILATION PROSTATIC URETHRA 52601 PROSTATECTOMY (TURP) 52606 CONTROL POSTOP BLEEDING 52612 PROSTATECTOMY, FIRST STAGE 52614 PROSTATECTOMY, SECOND STAGE
- 797. 52620 REMOVE RESIDUAL PROSTATE 52630 REMOVE PROSTATE REGROWTH 52640 RELIEVE BLADDER CONTRACTURE 52647 LASER SURGERY OF PROSTATE 52648 LASER SURGERY OF PROSTATE 52700 DRAINAGE OF PROSTATE ABSCESS 53000 INCISION OF URETHRA 53010 INCISION OF URETHRA 53020 INCISION OF URETHRA 53025 INCISION OF URETHRA 53040 DRAINAGE OF URETHRA ABSCESS 53060 DRAINAGE OF URETHRA ABSCESS 53080 DRAINAGE OF URINARY LEAKAGE 53085 DRAINAGE OF URINARY LEAKAGE 53200 BIOPSY OF URETHRA 53210 REMOVAL OF URETHRA 53215 REMOVAL OF URETHRA 53220 TREATMENT OF URETHRA LESION 53230 REMOVAL OF URETHRA LESION 53235 REMOVAL OF URETHRA LESION 53240 SURGERY FOR URETHRA POUCH 53250 REMOVAL OF URETHRA GLAND 53260 TREATMENT OF URETHRA LESION 53265 TREATMENT OF URETHRA LESION 53270 REMOVAL OF URETHRA GLAND 53275 REPAIR OF URETHRA DEFECT 53400 REVISE URETHRA, STAGE 1 53405 REVISE URETHRA, STAGE 2 53410 RECONSTRUCTION OF URETHRA 53415 RECONSTRUCTION OF URETHRA 53420 RECONSTRUCT URETHRA, STAGE 1 53425 RECONSTRUCT URETHRA, STAGE 2 53430 RECONSTRUCTION OF URETHRA 53431 RECONSTRUCT URETHRA/BLADDER 53440 SLNG OPERAT MALE URINARY INCON 53442 REMOVE/REVISE SLING MALE URNRY 53444 INSERT TANDEM CUFF 53445 INSERT URO/VES NCK SPHINCTER 53446 REMOVE URO SPHINCTER 53447 REMOVE/REPLACE UR SPHINCTER 53448 REMOV/REPLC UR SPHINCTR COMP 53449 REPAIR URO SPHINCTER 53450 REVISION OF URETHRA 53460 REVISION OF URETHRA 53502 REPAIR OF URETHRA INJURY 53505 REPAIR OF URETHRA INJURY 53510 REPAIR OF URETHRA INJURY 53515 REPAIR OF URETHRA INJURY 53520 REPAIR OF URETHRA DEFECT 53600 DILATE URETHRA STRICTURE 53601 DILATE URETHRA STRICTURE 53605 DILATE URETHRA STRICTURE
- 798. 53620 DILATE URETHRA STRICTURE 53621 DILATE URETHRA STRICTURE 53660 DILATION OF URETHRA 53661 DILATION OF URETHRA 53665 DILATION OF URETHRA 53850 PROSTATIC MICROWAVE THERMOTX 53852 PROSTATIC RF THERMOTX 53853 PROSTATIC WATER THERMOTHER 53899 UROLOGY SURGERY PROCEDURE 54000 SLITTING OF PREPUCE 54001 SLITTING OF PREPUCE 54015 DRAIN PENIS LESION 54050 DESTRUCTION, PENIS LESION(S) 54055 DESTRUCTION, PENIS LESION(S) 54056 CRYOSURGERY, PENIS LESION(S) 54057 LASER SURG, PENIS LESION(S) 54060 EXCISION OF PENIS LESION(S) 54065 DESTRUCTION, PENIS LESION(S) 54100 BIOPSY OF PENIS 54105 BIOPSY OF PENIS 54110 TREATMENT OF PENIS LESION 54111 TREAT PENIS LESION, GRAFT 54112 TREAT PENIS LESION, GRAFT 54115 TREATMENT OF PENIS LESION 54120 PARTIAL REMOVAL OF PENIS 54125 REMOVAL OF PENIS 54130 REMOVE PENIS & NODES 54135 REMOVE PENIS & NODES 54150 CIRCUMCISION 54152 CIRCUMCISION 54160 CIRCUMCISION 54161 CIRCUMCISION 54162 LYSIS PENIL CIRCUMCIS LESION 54163 REPAIR OF CIRCUMCISION 54164 FRENULOTOMY OF PENIS 54200 TREATMENT OF PENIS LESION 54205 TREATMENT OF PENIS LESION 54220 TREATMENT OF PENIS LESION 54230 PREPARE PENIS STUDY 54231 DYNAMIC CAVERNOSOMETRY 54235 PENILE INJECTION 54240 PENIS STUDY 54250 PENIS STUDY 54300 REVISION OF PENIS 54304 REVISION OF PENIS 54308 RECONSTRUCTION OF URETHRA 54312 RECONSTRUCTION OF URETHRA 54316 RECONSTRUCTION OF URETHRA 54318 RECONSTRUCTION OF URETHRA 54322 RECONSTRUCTION OF URETHRA 54324 RECONSTRUCTION OF URETHRA 54326 RECONSTRUCTION OF URETHRA
- 799. 54328 REVISE PENIS/URETHRA 54332 REVISE PENIS/URETHRA 54336 REVISE PENIS/URETHRA 54340 SECONDARY URETHRAL SURGERY 54344 SECONDARY URETHRAL SURGERY 54348 SECONDARY URETHRAL SURGERY 54352 RECONSTRUCT URETHRA/PENIS 54360 PENIS PLASTIC SURGERY 54380 REPAIR PENIS 54385 REPAIR PENIS 54390 REPAIR PENIS AND BLADDER 54400 INSERT SEMI-RIGID PROSTHESIS 54401 INSERT SELF-CONTD PROSTHESIS 54405 INSERT MULTI-COMP PENIS PROS 54406 REMOVE MULTI-COMP PENIS PROS 54408 REPAIR MULTI-COMP PENIS PROS 54410 REMOVE/REPLACE PENIS PROSTH 54411 REMV/REPLC PENIS PROS, COMP 54415 REMOVE SELF-CONTD PENIS PROS 54416 REMV/REPL PENIS CONTAIN PROS 54417 REMV/REPLC PENIS PROS, COMPL 54420 REVISION OF PENIS 54430 REVISION OF PENIS 54435 REVISION OF PENIS 54440 REPAIR OF PENIS 54450 PREPUTIAL STRETCHING 54500 BIOPSY OF TESTIS 54505 BIOPSY OF TESTIS 54512 EXCS,EXTRAPARENCHYM LES,TESTIS 54520 REMOVAL OF TESTIS 54522 ORCHIECTOMY, PARTIAL 54530 REMOVAL OF TESTIS 54535 EXTENSIVE TESTIS SURGERY 54550 EXPLORATION FOR TESTIS 54560 EXPLORATION FOR TESTIS 54600 REDUCE TESTIS TORSION 54620 SUSPENSION OF TESTIS 54640 SUSPENSION OF TESTIS 54650 ORCHIOPEXY (FOWLER-STEPHENS) 54660 REVISION OF TESTIS 54670 REPAIR TESTIS INJURY 54680 RELOCATION OF TESTIS(ES) 54690 LAPAROSCOPY, ORCHIECTOMY 54692 LAPAROSCOPY, ORCHIOPEXY 54699 LAPAROSCOPE PROC, TESTIS 54700 DRAINAGE OF SCROTUM 54800 BIOPSY OF EPIDIDYMIS 54820 EXPLORATION OF EPIDIDYMIS 54830 REMOVE EPIDIDYMIS LESION 54840 REMOVE EPIDIDYMIS LESION 54860 REMOVAL OF EPIDIDYMIS 54861 REMOVAL OF EPIDIDYMIS
- 800. 54900 FUSION OF SPERMATIC DUCTS 54901 FUSION OF SPERMATIC DUCTS 55000 DRAINAGE OF HYDROCELE 55040 REMOVAL OF HYDROCELE 55041 REMOVAL OF HYDROCELES 55060 REPAIR OF HYDROCELE 55100 DRAINAGE OF SCROTUM ABSCESS 55110 EXPLORE SCROTUM 55120 REMOVAL OF SCROTUM LESION 55150 REMOVAL OF SCROTUM 55175 REVISION OF SCROTUM 55180 REVISION OF SCROTUM 55200 INCISION OF SPERM DUCT 55250 REMOVAL OF SPERM DUCT(S) 55300 PREPARE, SPERM DUCT X-RAY 55400 REPAIR OF SPERM DUCT 55450 LIGATION OF SPERM DUCT 55500 REMOVAL OF HYDROCELE 55520 REMOVAL OF SPERM CORD LESION 55530 REVISE SPERMATIC CORD VEINS 55535 REVISE SPERMATIC CORD VEINS 55540 REVISE HERNIA & SPERM VEINS 55550 LAPARO LIGATE SPERMATIC VEIN 55559 LAPARO PROC, SPERMATIC CORD 55600 INCISE SPERM DUCT POUCH 55605 INCISE SPERM DUCT POUCH 55650 REMOVE SPERM DUCT POUCH 55680 REMOVE SPERM POUCH LESION 55700 BIOPSY OF PROSTATE 55705 BIOPSY OF PROSTATE 55720 DRAINAGE OF PROSTATE ABSCESS 55725 DRAINAGE OF PROSTATE ABSCESS 55801 REMOVAL OF PROSTATE 55810 EXTENSIVE PROSTATE SURGERY 55812 EXTENSIVE PROSTATE SURGERY 55815 EXTENSIVE PROSTATE SURGERY 55821 REMOVAL OF PROSTATE 55831 REMOVAL OF PROSTATE 55840 EXTENSIVE PROSTATE SURGERY 55842 EXTENSIVE PROSTATE SURGERY 55845 EXTENSIVE PROSTATE SURGERY 55859 PERCUT/NEEDLE INSERT, PROS 55860 SURGICAL EXPOSURE, PROSTATE 55862 EXTENSIVE PROSTATE SURGERY 55865 EXTENSIVE PROSTATE SURGERY 55866 LAPARO RADICAL PROSTATECTOMY 55870 ELECTROEJACULATION 55873 CRYOSURGICAL ABLATION,PROSTATE 55899 GENITAL SURGERY PROCEDURE 55970 SEX TRANSFORMATION, M TO F 55980 SEX TRANSFORMATION, F TO M 56405 I & D OF VULVA/PERINEUM
- 801. 56420 DRAINAGE OF GLAND ABSCESS 56440 SURGERY FOR VULVA LESION 56441 LYSIS OF LABIAL LESION(S) 56501 DESTROY, VULVA LESIONS, SIMP 56515 DESTROY VULVA LESION/S COMPL 56605 BIOPSY OF VULVA/PERINEUM 56606 BIOPSY OF VULVA/PERINEUM 56620 PARTIAL REMOVAL OF VULVA 56625 COMPLETE REMOVAL OF VULVA 56630 EXTENSIVE VULVA SURGERY 56631 EXTENSIVE VULVA SURGERY 56632 EXTENSIVE VULVA SURGERY 56633 EXTENSIVE VULVA SURGERY 56634 EXTENSIVE VULVA SURGERY 56637 EXTENSIVE VULVA SURGERY 56640 EXTENSIVE VULVA SURGERY 56700 PARTIAL REMOVAL OF HYMEN 56720 INCISION OF HYMEN 56740 REMOVE VAGINA GLAND LESION 56800 REPAIR OF VAGINA 56805 REPAIR CLITORIS 56810 REPAIR OF PERINEUM 56820 COLPOSCOPY; VULVA 56821 COLPOSCOPY, THE VULVA; W BX( 57000 EXPLORATION OF VAGINA 57010 DRAINAGE OF PELVIC ABSCESS 57020 DRAINAGE OF PELVIC FLUID 57022 I & D VAGINAL HEMATOMA, PP 57023 I & D VAG HEMATOMA, NON-OB 57061 DESTROY VAG LESIONS, SIMPLE 57065 DESTROY VAG LESIONS, COMPLEX 57100 BIOPSY OF VAGINA 57105 BIOPSY OF VAGINA 57106 REMOVE VAGINA WALL, PARTIAL 57107 REMOVE VAGINA TISSUE, PART 57109 VAGINECTOMY PARTIAL W/NODES 57110 REMOVE VAGINA WALL, COMPLETE 57111 REMOVE VAGINA TISSUE, COMPL 57112 VAGINECTOMY W/NODES, COMPL 57120 CLOSURE OF VAGINA 57130 REMOVE VAGINA LESION 57135 REMOVE VAGINA LESION 57150 TREAT VAGINA INFECTION 57155 INSERT UTERI TANDEMS/OVOIDS 57160 INSERT PESSARY/OTHER DEVICE 57170 FITTING OF DIAPHRAGM/CAP 57180 TREAT VAGINAL BLEEDING 57200 REPAIR OF VAGINA 57210 REPAIR VAGINA/PERINEUM 57220 REVISION OF URETHRA 57230 REPAIR OF URETHRAL LESION 57240 REPAIR BLADDER & VAGINA
- 802. 57250 REPAIR RECTUM & VAGINA 57260 REPAIR OF VAGINA 57265 EXTENSIVE REPAIR OF VAGINA 57268 REPAIR OF BOWEL BULGE 57270 REPAIR OF BOWEL POUCH 57280 SUSPENSION OF VAGINA 57282 REPAIR OF VAGINAL PROLAPSE 57284 REPAIR PARAVAGINAL DEFECT 57287 REMV/REVIS,SLING,STRESS INCONT 57288 REPAIR BLADDER DEFECT 57289 REPAIR BLADDER & VAGINA 57291 CONSTRUCTION OF VAGINA 57292 CONSTRUCT VAGINA WITH GRAFT 57300 REPAIR RECTUM-VAGINA FISTULA 57305 REPAIR RECTUM-VAGINA FISTULA 57307 FISTULA REPAIR & COLOSTOMY 57308 FISTULA REPAIR, TRANSPERINE 57310 REPAIR URETHROVAGINAL LESION 57311 REPAIR URETHROVAGINAL LESION 57320 REPAIR BLADDER-VAGINA LESION 57330 REPAIR BLADDER-VAGINA LESION 57335 REPAIR VAGINA 57400 DILATION OF VAGINA 57410 PELVIC EXAMINATION 57415 REMOVE VAGINAL FOREIGN BODY 57420 COLPOSCOPY, VAGINA W/CERVIX 57421 COLPOSCOPY, VAG W/CER W/BX(S 57452 COLPSPY CRVX UP/AJCNT VAGINA 57454 CLPSPY CRVX UP/AJCT VAG W/BIPY 57455 COLPOSCOPY, CERVIX W/BX(S) 57456 COLPOSCOPY, CER W ENDOCERV 57460 CLPSPY CRVX UP/AJCT VAG W/LOOP 57461 COLPOSCOPY, CER W COZ OF CER 57500 BIOPSY OF CERVIX 57505 ENDOCERVICAL CURETTAGE 57510 CAUTERIZATION OF CERVIX 57511 CRYOCAUTERY OF CERVIX 57513 LASER SURGERY OF CERVIX 57520 CONIZATION OF CERVIX 57522 CONIZATION OF CERVIX 57530 REMOVAL OF CERVIX 57531 REMOVAL OF CERVIX, RADICAL 57540 REMOVAL OF RESIDUAL CERVIX 57545 REMOVE CERVIX/REPAIR PELVIS 57550 REMOVAL OF RESIDUAL CERVIX 57555 REMOVE CERVIX/REPAIR VAGINA 57556 REMOVE CERVIX, REPAIR BOWEL 57700 REVISION OF CERVIX 57720 REVISION OF CERVIX 57800 DILATION OF CERVICAL CANAL 57820 D & C OF RESIDUAL CERVIX 58100 BIOPSY OF UTERUS LINING
- 803. 58120 DILATION AND CURETTAGE 58140 MYOMECTOMY ABDOMINAL APPROACH 58145 MYOMECTOMY VAGINAL APPROACH 58146 MYOMECTOMY ABDOM COMPLEX 58150 TOTAL HYSTERECTOMY 58152 TOTAL HYSTERECTOMY 58180 PARTIAL HYSTERECTOMY 58200 EXTENSIVE HYSTERECTOMY 58210 EXTENSIVE HYSTERECTOMY 58240 REMOVAL OF PELVIS CONTENTS 58260 VAGINAL HYSTERECT UTRS <250GMS 58262 VAG HYST UTRS <250GMS RMV TUBE 58263 VAG HYST W/RPAIR OF ENTEROCELE 58267 VAG HYST W/COLPO W/WO ENDOSCOP 58270 VAG HYST W/ REPAIR ENTEROCELE 58275 HYSTERECTOMY/REVISE VAGINA 58280 HYSTERECTOMY/REVISE VAGINA 58285 EXTENSIVE HYSTERECTOMY 58290 VAG HYST UTER > 250 GRMS 58291 VAG HYST UT > 250 W/RMV T&O 58292 VAG HYST T/O & RPAR ENTEROCE 58293 VAG HYST W/URO W/WO ENDOSCOP 58294 VAG HYST W/ RPAR ENTEROCELE 58300 INSERT INTRAUTERINE DEVICE 58301 REMOVE INTRAUTERINE DEVICE 58321 ARTIFICIAL INSEMINATION 58322 ARTIFICIAL INSEMINATION 58323 SPERM WASHING 58340 CATHETER FOR HYSTEROGRAPHY 58345 REOPEN FALLOPIAN TUBE 58346 INSERT HEYMAN UTERI CAPSULE 58350 REOPEN FALLOPIAN TUBE 58353 ENDOMET ABLAT,THRM,WO HYSTERSC 58400 SUSPENSION OF UTERUS 58410 SUSPENSION OF UTERUS 58520 REPAIR OF RUPTURED UTERUS 58540 REVISION OF UTERUS 58545 LAPAROSCOPIC MYOMECTOMY 58546 LAPARO-MYOMECTOMY, COMPLEX 58550 LAPARO SURG VAG HYSTERECTOMY 58552 LAPARO-VAG HYST RMV T&/O 58553 LAPARO-VAG HYST UTER >250 58554 LAPARO-VAG HYST W RMV T&/O 58555 HYSTEROSCOPY, DX, SEP PROC 58558 HYSTEROSCOPY, BIOPSY 58559 HYSTEROSCOPY, LYSIS 58560 HYSTEROSCOPY, RESECT SEPTUM 58561 HYSTEROSCOPY, REMOVE MYOMA 58562 HYSTEROSCOPY, REMOVE FB 58563 HYSTEROSCOPY, ABLATION 58578 LAPARO PROC, UTERUS 58579 HYSTEROSCOPE PROCEDURE
- 804. 58600 DIVISION OF FALLOPIAN TUBE 58605 DIVISION OF FALLOPIAN TUBE 58611 LIGATE OVIDUCT(S) ADD-ON 58615 OCCLUDE FALLOPIAN TUBE(S) 58660 LAPAROSCOPY, LYSIS 58661 LAPAROSCOPY, REMOVE ADNEXA 58662 LAPAROSCOPY, EXCISE LESIONS 58670 LAPAROSCOPY, TUBAL CAUTERY 58671 LAPAROSCOPY, TUBAL BLOCK 58672 LAPAROSCOPY, FIMBRIOPLASTY 58673 LAPAROSCOPY, SALPINGOSTOMY 58679 LAPARO PROC, OVIDUCT-OVARY 58700 REMOVAL OF FALLOPIAN TUBE 58720 REMOVAL OF OVARY/TUBE(S) 58740 REVISE FALLOPIAN TUBE(S) 58750 REPAIR OVIDUCT 58752 REVISE OVARIAN TUBE(S) 58760 REMOVE TUBAL OBSTRUCTION 58770 CREATE NEW TUBAL OPENING 58800 DRAINAGE OF OVARIAN CYST(S) 58805 DRAINAGE OF OVARIAN CYST(S) 58820 DRAIN OVARY ABSCESS, OPEN 58822 DRAIN OVARY ABSCESS, PERCUT 58823 DRAIN PELVIC ABSCESS, PERCUT 58825 TRANSPOSITION, OVARY(S) 58900 BIOPSY OF OVARY(S) 58920 PARTIAL REMOVAL OF OVARY(S) 58925 REMOVAL OF OVARIAN CYST(S) 58940 REMOVAL OF OVARY(S) 58943 OOPH,OVAR/TUB/PRI MAL,W BX,WSH 58950 RESCT OVR/TUB/PRI MAL,W BSO 58951 RESCT OVR/TB/MAL;W TAH,PEL<D 58952 RESCT OVR/TUB/MAL;W RAD DISSCT 58953 TAH, RAD DISSECT FOR DEBULK 58954 TAH RAD DEBULK/LYMPH REMOVE 58960 LAP,STGNG/RESTGNG O/T/MLG,O/P 58970 RETRIEVAL OF OOCYTE 58974 TRANSFER OF EMBRYO 58976 TRANSFER OF EMBRYO 58999 GENITAL SURGERY PROCEDURE 59000 AMNIOCENTESIS, DIAGNOSTIC 59001 AMNIOCENTESIS, THERAPEUTIC 59012 FETAL CORD PUNCTURE,PRENATAL 59015 CHORION BIOPSY 59020 FETAL CONTRACT STRESS TEST 59025 FETAL NON-STRESS TEST 59030 FETAL SCALP BLOOD SAMPLE 59050 FETAL MONITOR W/REPORT 59051 FETAL MONITOR/INTERPRET ONLY 59100 REMOVE UTERUS LESION 59120 TREAT ECTOPIC PREGNANCY 59121 TREAT ECTOPIC PREGNANCY
- 805. 59130 TREAT ECTOPIC PREGNANCY 59135 TREAT ECTOPIC PREGNANCY 59136 TREAT ECTOPIC PREGNANCY 59140 TREAT ECTOPIC PREGNANCY 59150 TREAT ECTOPIC PREGNANCY 59151 TREAT ECTOPIC PREGNANCY 59160 D & C AFTER DELIVERY 59200 INSERT CERVICAL DILATOR 59300 EPISIOTOMY OR VAGINAL REPAIR 59320 REVISION OF CERVIX 59325 REVISION OF CERVIX 59350 REPAIR OF UTERUS 59400 OBSTETRICAL CARE 59409 OBSTETRICAL CARE 59410 OBSTETRICAL CARE 59412 ANTEPARTUM MANIPULATION 59414 DELIVER PLACENTA 59425 ANTEPARTUM CARE ONLY 59426 ANTEPARTUM CARE ONLY 59430 CARE AFTER DELIVERY 59510 CESAREAN DELIVERY 59514 CESAREAN DELIVERY ONLY 59515 CESAREAN DELIVERY 59525 REMOVE UTERUS AFTER CESAREAN 59610 VBAC DELIVERY 59612 VBAC DELIVERY ONLY 59614 VBAC CARE AFTER DELIVERY 59618 ATTEMPTED VBAC DELIVERY 59620 ATTEMPTED VBAC DELIVERY ONLY 59622 ATTEMPTED VBAC AFTER CARE 59812 TREATMENT OF MISCARRIAGE 59820 CARE OF MISCARRIAGE 59821 TREATMENT OF MISCARRIAGE 59830 TREAT UTERUS INFECTION 59840 ABORTION 59841 ABORTION 59850 ABORTION 59851 ABORTION 59852 ABORTION 59855 ABORTION 59856 ABORTION 59857 ABORTION 59866 ABORTION (MPR) 59870 EVACUATE MOLE OF UTERUS 59871 REMOVE CERCLAGE SUTURE 59898 LAPARO PROC, OB CARE/DELIVER 59899 MATERNITY CARE PROCEDURE 60000 DRAIN THYROID/TONGUE CYST 60001 ASPIRATE/INJECT THYRIOD CYST 60100 BIOPSY OF THYROID 60200 REMOVE THYROID LESION 60210 PARTIAL THYROID EXCISION
- 806. 60212 PARITAL THYROID EXCISION 60220 TOTAL REMOVAL OF THYROID 60225 TOTAL REMOVAL OF THYROID 60240 REMOVAL OF THYROID 60252 REMOVAL OF THYROID 60254 EXTENSIVE THYROID SURGERY 60260 REPEAT THYROID SURGERY 60270 REMOVAL OF THYROID 60271 REMOVAL OF THYROID 60280 REMOVE THYROID DUCT LESION 60281 REMOVE THYROID DUCT LESION 60500 EXPLORE PARATHYROID GLANDS 60502 RE-EXPLORE PARATHYROIDS 60505 EXPLORE PARATHYROID GLANDS 60512 AUTOTRANSPLANT PARATHYROID 60520 REMOVAL OF THYMUS GLAND 60521 REMOVAL OF THYMUS GLAND 60522 REMOVAL OF THYMUS GLAND 60540 EXPLORE ADRENAL GLAND 60545 EXPLORE ADRENAL GLAND 60600 REMOVE CAROTID BODY LESION 60605 REMOVE CAROTID BODY LESION 60650 LAPAROSCOPY ADRENALECTOMY 60659 LAPARO PROC, ENDOCRINE 60699 ENDOCRINE SURGERY PROCEDURE 61000 REMOVE CRANIAL CAVITY FLUID 61001 REMOVE CRANIAL CAVITY FLUID 61020 REMOVE BRAIN CAVITY FLUID 61026 INJECTION INTO BRAIN CANAL 61050 REMOVE BRAIN CANAL FLUID 61055 INJECTION INTO BRAIN CANAL 61070 BRAIN CANAL SHUNT PROCEDURE 61105 TWIST DRILL HOLE 61107 DRILL SKULL FOR IMPLANTATION 61108 DRILL SKULL FOR DRAINAGE 61120 BURR HOLE FOR PUNCTURE 61140 PIERCE SKULL FOR BIOPSY 61150 PIERCE SKULL FOR DRAINAGE 61151 PIERCE SKULL FOR DRAINAGE 61154 PIERCE SKULL & REMOVE CLOT 61156 PIERCE SKULL FOR DRAINAGE 61210 PIERCE SKULL, IMPLANT DEVICE 61215 INSERT BRAIN-FLUID DEVICE 61250 PIERCE SKULL & EXPLORE 61253 PIERCE SKULL & EXPLORE 61304 OPEN SKULL FOR EXPLORATION 61305 OPEN SKULL FOR EXPLORATION 61312 OPEN SKULL FOR DRAINAGE 61313 OPEN SKULL FOR DRAINAGE 61314 OPEN SKULL FOR DRAINAGE 61315 OPEN SKULL FOR DRAINAGE 61316 INCI & SUB CRAN BONE GRAFT
- 807. 61320 OPEN SKULL FOR DRAINAGE 61321 OPEN SKULL FOR DRAINAGE 61322 CRANIECTOMY W/O LOBECTOMY 61323 CRANIECTOMY W/ LOBECTOMY 61330 DECOMPRESS EYE SOCKET 61332 EXPLORE/BIOPSY EYE SOCKET 61333 EXPLORE ORBIT/REMOVE LESION 61334 EXPLORE ORBIT/REMOVE OBJECT 61340 SUBTEMPORAL DECOMPRESSION 61343 INCISE SKULL (PRESS RELIEF) 61345 RELIEVE CRANIAL PRESSURE 61440 INCISE SKULL FOR SURGERY 61450 INCISE SKULL FOR SURGERY 61458 INCISE SKULL FOR BRAIN WOUND 61460 INCISE SKULL FOR SURGERY 61470 INCISE SKULL FOR SURGERY 61480 INCISE SKULL FOR SURGERY 61490 INCISE SKULL FOR SURGERY 61500 REMOVAL OF SKULL LESION 61501 REMOVE INFECTED SKULL BONE 61510 REMOVAL OF BRAIN LESION 61512 REMOVE BRAIN LINING LESION 61514 REMOVAL OF BRAIN ABSCESS 61516 REMOVAL OF BRAIN LESION 61517 IMPLT BRAIN CHEMOTX ADD-ON 61518 REMOVAL OF BRAIN LESION 61519 REMOVE BRAIN LINING LESION 61520 REMOVAL OF BRAIN LESION 61521 REMOVAL OF BRAIN LESION 61522 REMOVAL OF BRAIN ABSCESS 61524 REMOVAL OF BRAIN LESION 61526 REMOVAL OF BRAIN LESION 61530 REMOVAL OF BRAIN LESION 61531 IMPLANT BRAIN ELECTRODES 61533 IMPLANT BRAIN ELECTRODES 61534 REMOVAL OF BRAIN LESION 61535 REMOVE BRAIN ELECTRODES 61536 REMOVAL OF BRAIN LESION 61538 REMOVAL OF BRAIN TISSUE 61539 REMOVAL OF BRAIN TISSUE 61541 INCISION OF BRAIN TISSUE 61542 REMOVAL OF BRAIN TISSUE 61543 REMOVAL OF BRAIN TISSUE 61544 REMOVE & TREAT BRAIN LESION 61545 EXCISION OF BRAIN TUMOR 61546 REMOVAL OF PITUITARY GLAND 61548 REMOVAL OF PITUITARY GLAND 61550 RELEASE OF SKULL SEAMS 61552 RELEASE OF SKULL SEAMS 61556 INCISE SKULL/SUTURES 61557 INCISE SKULL/SUTURES 61558 EXCISION OF SKULL/SUTURES
- 808. 61559 EXCISION OF SKULL/SUTURES 61563 EXCISION OF SKULL TUMOR 61564 EXCISION OF SKULL TUMOR 61570 REMOVE FOREIGN BODY, BRAIN 61571 INCISE SKULL FOR BRAIN WOUND 61575 SKULL BASE/BRAINSTEM SURGERY 61576 SKULL BASE/BRAINSTEM SURGERY 61580 CRANIOFACIAL APPROACH, SKULL 61581 CRANIOFACIAL APPROACH, SKULL 61582 CRANIOFACIAL APPROACH, SKULL 61583 CRANIOFACIAL APPROACH, SKULL 61584 ORBITOCRANIAL APPROACH/SKULL 61585 ORBITOCRANIAL APPROACH/SKULL 61586 RESECT NASOPHARYNX, SKULL 61590 INFRATEMPORAL APPROACH/SKULL 61591 INFRATEMPORAL APPROACH/SKULL 61592 ORBITOCRANIAL APPROACH/SKULL 61595 TRANSTEMPORAL APPROACH/SKULL 61596 TRANSCOCHLEAR APPROACH/SKULL 61597 TRANSCONDYLAR APPROACH/SKULL 61598 TRANSPETROSAL APPROACH/SKULL 61600 RESECT/EXCISE CRANIAL LESION 61601 RESECT/EXCISE CRANIAL LESION 61605 RESECT/EXCISE CRANIAL LESION 61606 RESECT/EXCISE CRANIAL LESION 61607 RESECT/EXCISE CRANIAL LESION 61608 RESECT/EXCISE CRANIAL LESION 61609 TRANSECT ARTERY, SINUS 61610 TRANSECT ARTERY, SINUS 61611 TRANSECT ARTERY, SINUS 61612 TRANSECT ARTERY, SINUS 61613 REMOVE ANEURYSM, SINUS 61615 RESECT/EXCISE LESION, SKULL 61616 RESECT/EXCISE LESION, SKULL 61618 REPAIR DURA 61619 REPAIR DURA 61623 ENDOVASC TEMPORY VESSEL OCCL 61624 TRANSCATH OCCLUSION, CNS 61626 TRANSCATH OCCLUSION, NON-CNS 61680 INTRACRANIAL VESSEL SURGERY 61682 INTRACRANIAL VESSEL SURGERY 61684 INTRACRANIAL VESSEL SURGERY 61686 INTRACRANIAL VESSEL SURGERY 61690 INTRACRANIAL VESSEL SURGERY 61692 INTRACRANIAL VESSEL SURGERY 61697 SRG,COMP INTRACRNL ANEUR;CARTD 61698 SRG,COMP INTRCRN ANEU;VERTEBRO 61700 SRG INTRACRN ANEUR,CAROTD CIRC 61702 SRG INTRACRN ANEUR,VERTEBROBSL 61703 CLAMP NECK ARTERY 61705 REVISE CIRCULATION TO HEAD 61708 REVISE CIRCULATION TO HEAD
- 809. 61710 REVISE CIRCULATION TO HEAD 61711 FUSION OF SKULL ARTERIES 61720 INCISE SKULL/BRAIN SURGERY 61735 INCISE SKULL/BRAIN SURGERY 61750 INCISE SKULL/BRAIN BIOPSY 61751 STEREO BIOPSY W/CT/MR GUIDE 61760 IMPLANT BRAIN ELECTRODES 61770 STEREOTACT,BURR HLE,CATH/PRB 61790 TREAT TRIGEMINAL NERVE 61791 TREAT TRIGEMINAL TRACT 61793 FOCUS RADIATION BEAM 61795 BRAIN SURGERY USING COMPUTER 61850 IMPLANT NEUROELECTRODES 61860 IMPLANT NEUROELECTRODES 61862 IMPLANT NEUROSTIMUL, SUBCORT 61870 IMPLANT NEUROELECTRODES 61875 IMPLANT NEUROELECTRODES 61880 REVISE/REMOVE NEUROELECTRODE 61885 IMPLANT NEUROSTIM ONE ARRAY 61886 IMPLANT NEUROSTIM ARRAYS 61888 REVISE/REMOVE NEURORECEIVER 62000 TREAT SKULL FRACTURE 62005 TREAT SKULL FRACTURE 62010 TREATMENT OF HEAD INJURY 62100 REPAIR BRAIN FLUID LEAKAGE 62115 REDUCTION OF SKULL DEFECT 62116 REDUCTION OF SKULL DEFECT 62117 REDUCTION OF SKULL DEFECT 62120 REPAIR SKULL CAVITY LESION 62121 INCISE SKULL REPAIR 62140 REPAIR OF SKULL DEFECT 62141 REPAIR OF SKULL DEFECT 62142 REMOVE SKULL PLATE/FLAP 62143 REPLACE SKULL PLATE/FLAP 62145 REPAIR OF SKULL & BRAIN 62146 REPAIR OF SKULL WITH GRAFT 62147 REPAIR OF SKULL WITH GRAFT 62148 INCI&RET SUBCUT CRAN BONE GR 62160 NEUROENDOSCOPY VENT CATH ADD 62161 NEUROENDOSCOPY W DISS OF ADH 62162 NEUROENDOSCOPY W FENE OF COL 62163 NEUROENDOSCOPY W/RETVE OF FB 62164 NEUROENDOSCOPY W BRAIN TUMOR 62165 NEUROENDOSCOPY W PITU TUMOR 62180 ESTABLISH BRAIN CAVITY SHUNT 62190 ESTABLISH BRAIN CAVITY SHUNT 62192 ESTABLISH BRAIN CAVITY SHUNT 62194 REPLACE/IRRIGATE CATHETER 62200 ESTABLISH BRAIN CAVITY SHUNT 62201 VENTRICULOCISTER, NEURO METHOD 62220 ESTABLISH BRAIN CAVITY SHUNT 62223 ESTABLISH BRAIN CAVITY SHUNT
- 810. 62225 REPLACE/IRRIGATE CATHETER 62230 REPLACE/REVISE BRAIN SHUNT 62252 CSF SHUNT REPROGRAM 62256 REMOVE BRAIN CAVITY SHUNT 62258 REPLACE BRAIN CAVITY SHUNT 62263 PERC LYSIS EPID MULT SESSIONS 62264 EPIDURAL LYSIS ON SINGLE DAY 62268 DRAIN SPINAL CORD CYST 62269 NEEDLE BIOPSY, SPINAL CORD 62270 SPINAL FLUID TAP, DIAGNOSTIC 62272 DRAIN CEREBRO SPINAL FLUID 62273 TREAT EPIDURAL SPINE LESION 62280 TREAT SPINAL CORD LESION 62281 TREAT SPINAL CORD LESION 62282 TREAT SPINAL CANAL LESION 62284 INJCT MYELO &/C TOMOGRPH SPINL 62287 PERCUTANEOUS DISKECTOMY 62290 INJECT FOR SPINE DISK X-RAY 62291 INJECT FOR SPINE DISK X-RAY 62292 INJECTION INTO DISK LESION 62294 INJECTION INTO SPINAL ARTERY 62310 INJECT SPINE C/T 62311 INJECT SPINE L/S (CD) 62318 INJECT SPINE W/CATH, C/T 62319 INJECT SPINE W/CATH L/S (CD) 62350 IMPLNT,REV/REP TUN INT/EPI CTH 62351 IMPLANT SPINAL CANAL CATH 62355 REMOVE SPINAL CANAL CATHETER 62360 INSERT SPINE INFUSION DEVICE 62361 IMPLANT SPINE INFUSION PUMP 62362 IMPLANT SPINE INFUSION PUMP 62365 REMOVE SPINE INFUSION DEVICE 62367 ANALYZE SPINE INFUSION PUMP 62368 ANALYZE SPINE INFUSION PUMP 63001 REMOVAL OF SPINAL LAMINA 63003 REMOVAL OF SPINAL LAMINA 63005 REMOVAL OF SPINAL LAMINA 63011 REMOVAL OF SPINAL LAMINA 63012 REMOVAL OF SPINAL LAMINA 63015 REMOVAL OF SPINAL LAMINA 63016 REMOVAL OF SPINAL LAMINA 63017 REMOVAL OF SPINAL LAMINA 63020 NECK SPINE DISK SURGERY 63030 LOW BACK DISK SURGERY 63035 SPINAL DISK SURGERY ADD-ON 63040 LAMIN,DECOM NRV RT,FAC,REEX 63042 LOW BACK DISK SURGERY 63043 LAMINOT,DECMP NRV,1;EA ADD CRV 63044 LAMINOT,DECM NRV,1;EA ADD LUMB 63045 REMOVAL OF SPINAL LAMINA 63046 REMOVAL OF SPINAL LAMINA 63047 REMOVAL OF SPINAL LAMINA
- 811. 63048 REMOVE SPINAL LAMINA ADD-ON 63055 DECOMPRESS SPINAL CORD 63056 DECOMPRESS SPINAL CORD 63057 DECOMPRESS SPINE CORD ADD-ON 63064 DECOMPRESS SPINAL CORD 63066 DECOMPRESS SPINE CORD ADD-ON 63075 NECK SPINE DISK SURGERY 63076 NECK SPINE DISK SURGERY 63077 SPINE DISK SURGERY, THORAX 63078 SPINE DISK SURGERY, THORAX 63081 REMOVAL OF VERTEBRAL BODY 63082 REMOVE VERTEBRAL BODY ADD-ON 63085 REMOVAL OF VERTEBRAL BODY 63086 REMOVE VERTEBRAL BODY ADD-ON 63087 REMOVAL OF VERTEBRAL BODY 63088 REMOVE VERTEBRAL BODY ADD-ON 63090 REMOVAL OF VERTEBRAL BODY 63091 REMOVE VERTEBRAL BODY ADD-ON 63170 INCISE SPINAL CORD TRACT(S) 63172 DRAINAGE OF SPINAL CYST 63173 DRAINAGE OF SPINAL CYST 63180 REVISE SPINAL CORD LIGAMENTS 63182 REVISE SPINAL CORD LIGAMENTS 63185 INCISE SPINAL COLUMN/NERVES 63190 INCISE SPINAL COLUMN/NERVES 63191 INCISE SPINAL COLUMN/NERVES 63194 INCISE SPINAL COLUMN & CORD 63195 INCISE SPINAL COLUMN & CORD 63196 INCISE SPINAL COLUMN & CORD 63197 INCISE SPINAL COLUMN & CORD 63198 INCISE SPINAL COLUMN & CORD 63199 INCISE SPINAL COLUMN & CORD 63200 RELEASE OF SPINAL CORD 63250 REVISE SPINAL CORD VESSELS 63251 REVISE SPINAL CORD VESSELS 63252 REVISE SPINAL CORD VESSELS 63265 EXCISE INTRASPINAL LESION 63266 EXCISE INTRASPINAL LESION 63267 EXCISE INTRASPINAL LESION 63268 EXCISE INTRASPINAL LESION 63270 EXCISE INTRASPINAL LESION 63271 EXCISE INTRASPINAL LESION 63272 EXCISE INTRASPINAL LESION 63273 EXCISE INTRASPINAL LESION 63275 BIOPSY/EXCISE SPINAL TUMOR 63276 BIOPSY/EXCISE SPINAL TUMOR 63277 BIOPSY/EXCISE SPINAL TUMOR 63278 BIOPSY/EXCISE SPINAL TUMOR 63280 BIOPSY/EXCISE SPINAL TUMOR 63281 BIOPSY/EXCISE SPINAL TUMOR 63282 BIOPSY/EXCISE SPINAL TUMOR 63283 BIOPSY/EXCISE SPINAL TUMOR
- 812. 63285 BIOPSY/EXCISE SPINAL TUMOR 63286 BIOPSY/EXCISE SPINAL TUMOR 63287 BIOPSY/EXCISE SPINAL TUMOR 63290 BIOPSY/EXCISE SPINAL TUMOR 63300 REMOVAL OF VERTEBRAL BODY 63301 REMOVAL OF VERTEBRAL BODY 63302 REMOVAL OF VERTEBRAL BODY 63303 REMOVAL OF VERTEBRAL BODY 63304 REMOVAL OF VERTEBRAL BODY 63305 REMOVAL OF VERTEBRAL BODY 63306 REMOVAL OF VERTEBRAL BODY 63307 REMOVAL OF VERTEBRAL BODY 63308 REMOVE VERTEBRAL BODY ADD-ON 63600 REMOVE SPINAL CORD LESION 63610 STIMULATION OF SPINAL CORD 63615 REMOVE LESION OF SPINAL CORD 63650 IMPLANT NEUROELECTRODES 63655 IMPLANT NEUROELECTRODES 63660 REVISE/REMOVE NEUROELECTRODE 63685 IMPLANT NEURORECEIVER 63688 REVISE/REMOVE NEURORECEIVER 63700 REPAIR OF SPINAL HERNIATION 63702 REPAIR OF SPINAL HERNIATION 63704 REPAIR OF SPINAL HERNIATION 63706 REPAIR OF SPINAL HERNIATION 63707 REPAIR SPINAL FLUID LEAKAGE 63709 REPAIR SPINAL FLUID LEAKAGE 63710 GRAFT REPAIR OF SPINE DEFECT 63740 INSTALL SPINAL SHUNT 63741 INSTALL SPINAL SHUNT 63744 REVISION OF SPINAL SHUNT 63746 REMOVAL OF SPINAL SHUNT 64400 INJECTION FOR NERVE BLOCK 64402 INJECTION FOR NERVE BLOCK 64405 INJECTION FOR NERVE BLOCK 64408 INJECTION FOR NERVE BLOCK 64410 INJECTION FOR NERVE BLOCK 64412 INJECTION FOR NERVE BLOCK 64413 INJECTION FOR NERVE BLOCK 64415 INJT,ANES AGNT;BRCHL PLEX,SNGL 64416 NJECT B PLEX CONT INFUSE CAT 64417 INJECTION FOR NERVE BLOCK 64418 INJECTION FOR NERVE BLOCK 64420 INJECTION FOR NERVE BLOCK 64421 INJECTION FOR NERVE BLOCK 64425 INJECTION FOR NERVE BLOCK 64430 INJECTION FOR NERVE BLOCK 64435 INJECTION FOR NERVE BLOCK 64445 INJT,ANES AGNT;SCIAT NRVE,SNGL 64446 NJECT S NERVE CONT INFUSE CA 64447 NJECT FEMORAL NERVE SINGLE 64448 NJECT F NERVE CONT INFUSE CA
- 813. 64450 INJECTION FOR NERVE BLOCK 64470 INJ PARAVERTEBRAL C/T 64472 INJ PARAVERTEBRAL C/T ADD-ON 64475 INJ PARAVERTEBRAL L/S 64476 INJ PARAVERTEBRAL L/S ADD-ON 64479 INJ FORAMEN EPIDURAL C/T 64480 INJ FORAMEN EPIDURAL ADD-ON 64483 INJ FORAMEN EPIDURAL L/S 64484 INJ FORAMEN EPIDURAL ADD-ON 64505 INJECTION FOR NERVE BLOCK 64508 INJECTION FOR NERVE BLOCK 64510 INJECTION FOR NERVE BLOCK 64520 INJECTION FOR NERVE BLOCK 64530 INJECTION FOR NERVE BLOCK 64550 APPLY NEUROSTIMULATOR 64553 IMPLANT NEUROELECTRODES 64555 IMPLANT NEUROELECTRODES 64560 IMPLANT NEUROELECTRODES 64561 IMPLANT NEUROELECTRODES 64565 IMPLANT NEUROELECTRODES 64573 IMPLANT NEUROELECTRODES 64575 IMPLANT NEUROELECTRODES 64577 IMPLANT NEUROELECTRODES 64580 IMPLANT NEUROELECTRODES 64581 IMPLANT NEUROELECTRODES 64585 REVISE/REMOVE NEUROELECTRODE 64590 IMPLANT NEURORECEIVER 64595 REVISE/REMOVE NEURORECEIVER 64600 INJECTION TREATMENT OF NERVE 64605 INJECTION TREATMENT OF NERVE 64610 INJECTION TREATMENT OF NERVE 64612 CHEMODENERV;INNERVATD,FAC NRVE 64613 CHEMODENERV;CERVICL SPINAL MSC 64614 CHEMODEN,MUSC(S);EXT,TRNK MUSC 64620 INJECTION TREATMENT OF NERVE 64622 DESTR PARAVERTEBRL NERVE L/S 64623 DESTR PARAVERTEBRAL N ADD-ON 64626 DESTR PARAVERTEBRL NERVE C/T 64627 DESTR PARAVERTEBRAL N ADD-ON 64630 DESTRCT,NEURO AGNT;PUDENDL NRV 64640 DESTRCT,NEURO;OTHR NRV/BRANCH 64680 INJECTION TREATMENT OF NERVE 64702 REVISE FINGER/TOE NERVE 64704 REVISE HAND/FOOT NERVE 64708 REVISE ARM/LEG NERVE 64712 REVISION OF SCIATIC NERVE 64713 REVISION OF ARM NERVE(S) 64714 REVISE LOW BACK NERVE(S) 64716 REVISION OF CRANIAL NERVE 64718 REVISE ULNAR NERVE AT ELBOW 64719 REVISE ULNAR NERVE AT WRIST 64721 CARPAL TUNNEL SURGERY
- 814. 64722 RELIEVE PRESSURE ON NERVE(S) 64726 RELEASE FOOT/TOE NERVE 64727 INTERNAL NERVE REVISION 64732 INCISION OF BROW NERVE 64734 INCISION OF CHEEK NERVE 64736 INCISION OF CHIN NERVE 64738 INCISION OF JAW NERVE 64740 INCISION OF TONGUE NERVE 64742 INCISION OF FACIAL NERVE 64744 INCISE NERVE, BACK OF HEAD 64746 INCISE DIAPHRAGM NERVE 64752 INCISION OF VAGUS NERVE 64755 INCISION OF STOMACH NERVES 64760 INCISION OF VAGUS NERVE 64761 INCISION OF PELVIS NERVE 64763 INCISE HIP/THIGH NERVE 64766 INCISE HIP/THIGH NERVE 64771 SEVER CRANIAL NERVE 64772 INCISION OF SPINAL NERVE 64774 REMOVE SKIN NERVE LESION 64776 REMOVE DIGIT NERVE LESION 64778 DIGIT NERVE SURGERY ADD-ON 64782 REMOVE LIMB NERVE LESION 64783 LIMB NERVE SURGERY ADD-ON 64784 REMOVE NERVE LESION 64786 REMOVE SCIATIC NERVE LESION 64787 IMPLANT NERVE END 64788 REMOVE SKIN NERVE LESION 64790 REMOVAL OF NERVE LESION 64792 REMOVAL OF NERVE LESION 64795 BIOPSY OF NERVE 64802 REMOVE SYMPATHETIC NERVES 64804 REMOVE SYMPATHETIC NERVES 64809 REMOVE SYMPATHETIC NERVES 64818 REMOVE SYMPATHETIC NERVES 64820 REMOVE SYMPATHETIC NERVES 64821 REMOVE SYMPATHETIC NERVES 64822 REMOVE SYMPATHETIC NERVES 64823 REMOVE SYMPATHETIC NERVES 64831 REPAIR OF DIGIT NERVE 64832 REPAIR NERVE ADD-ON 64834 REPAIR OF HAND OR FOOT NERVE 64835 REPAIR OF HAND OR FOOT NERVE 64836 REPAIR OF HAND OR FOOT NERVE 64837 REPAIR NERVE ADD-ON 64840 REPAIR OF LEG NERVE 64856 REPAIR/TRANSPOSE NERVE 64857 REPAIR ARM/LEG NERVE 64858 REPAIR SCIATIC NERVE 64859 NERVE SURGERY 64861 REPAIR OF ARM NERVES 64862 REPAIR OF LOW BACK NERVES
- 815. 64864 REPAIR OF FACIAL NERVE 64865 REPAIR OF FACIAL NERVE 64866 FUSION OF FACIAL/OTHER NERVE 64868 FUSION OF FACIAL/OTHER NERVE 64870 FUSION OF FACIAL/OTHER NERVE 64872 SUBSEQUENT REPAIR OF NERVE 64874 REPAIR & REVISE NERVE ADD-ON 64876 REPAIR NERVE/SHORTEN BONE 64885 NERVE GRAFT, HEAD OR NECK 64886 NERVE GRAFT, HEAD OR NECK 64890 NERVE GRAFT, HAND OR FOOT 64891 NERVE GRAFT, HAND OR FOOT 64892 NERVE GRAFT, ARM OR LEG 64893 NERVE GRAFT, ARM OR LEG 64895 NERVE GRAFT, HAND OR FOOT 64896 NERVE GRAFT, HAND OR FOOT 64897 NERVE GRAFT, ARM OR LEG 64898 NERVE GRAFT, ARM OR LEG 64901 NERVE GRAFT ADD-ON 64902 NERVE GRAFT ADD-ON 64905 NERVE PEDICLE TRANSFER 64907 NERVE PEDICLE TRANSFER 64999 NERVOUS SYSTEM SURGERY 65091 REVISE EYE 65093 REVISE EYE WITH IMPLANT 65101 REMOVAL OF EYE 65103 REMOVE EYE/INSERT IMPLANT 65105 REMOVE EYE/ATTACH IMPLANT 65110 REMOVAL OF EYE 65112 REMOVE EYE/REVISE SOCKET 65114 REMOVE EYE/REVISE SOCKET 65125 REVISE OCULAR IMPLANT 65130 INSERT OCULAR IMPLANT 65135 INSERT OCULAR IMPLANT 65140 ATTACH OCULAR IMPLANT 65150 REVISE OCULAR IMPLANT 65155 REINSERT OCULAR IMPLANT 65175 REMOVAL OF OCULAR IMPLANT 65205 REMOVE FOREIGN BODY FROM EYE 65210 REMOVE FOREIGN BODY FROM EYE 65220 REMOVE FOREIGN BODY FROM EYE 65222 REMOVE FOREIGN BODY FROM EYE 65235 REMOVE FOREIGN BODY FROM EYE 65260 REMOVE FOREIGN BODY FROM EYE 65265 REMOVE FOREIGN BODY FROM EYE 65270 REPAIR OF EYE WOUND 65272 REPAIR OF EYE WOUND 65273 REPAIR OF EYE WOUND 65275 REPAIR OF EYE WOUND 65280 REPAIR OF EYE WOUND 65285 REPAIR OF EYE WOUND 65286 REPAIR OF EYE WOUND
- 816. 65290 REPAIR OF EYE SOCKET WOUND 65400 REMOVAL OF EYE LESION 65410 BIOPSY OF CORNEA 65420 REMOVAL OF EYE LESION 65426 REMOVAL OF EYE LESION 65430 CORNEAL SMEAR 65435 CURETTE/TREAT CORNEA 65436 CURETTE/TREAT CORNEA 65450 TREATMENT OF CORNEAL LESION 65600 REVISION OF CORNEA 65710 CORNEAL TRANSPLANT 65730 CORNEAL TRANSPLANT 65750 CORNEAL TRANSPLANT 65755 CORNEAL TRANSPLANT 65760 REVISION OF CORNEA 65765 REVISION OF CORNEA 65767 CORNEAL TISSUE TRANSPLANT 65770 REVISE CORNEA WITH IMPLANT 65771 RADIAL KERATOTOMY 65772 CORRECTION OF ASTIGMATISM 65775 CORRECTION OF ASTIGMATISM 65800 DRAINAGE OF EYE 65805 DRAINAGE OF EYE 65810 DRAINAGE OF EYE 65815 DRAINAGE OF EYE 65820 RELIEVE INNER EYE PRESSURE 65850 INCISION OF EYE 65855 LASER SURGERY OF EYE 65860 INCISE INNER EYE ADHESIONS 65865 INCISE INNER EYE ADHESIONS 65870 INCISE INNER EYE ADHESIONS 65875 INCISE INNER EYE ADHESIONS 65880 INCISE INNER EYE ADHESIONS 65900 REMOVE EYE LESION 65920 REMOVE IMPLANT OF EYE 65930 REMOVE BLOOD CLOT FROM EYE 66020 INJECTION TREATMENT OF EYE 66030 INJECTION TREATMENT OF EYE 66130 REMOVE EYE LESION 66150 GLAUCOMA SURGERY 66155 GLAUCOMA SURGERY 66160 GLAUCOMA SURGERY 66165 GLAUCOMA SURGERY 66170 GLAUCOMA SURGERY 66172 INCISION OF EYE 66180 IMPLANT EYE SHUNT 66185 REVISE EYE SHUNT 66220 REPAIR EYE LESION 66225 REPAIR/GRAFT EYE LESION 66250 FOLLOW-UP SURGERY OF EYE 66500 INCISION OF IRIS 66505 INCISION OF IRIS
- 817. 66600 REMOVE IRIS AND LESION 66605 REMOVAL OF IRIS 66625 REMOVAL OF IRIS 66630 REMOVAL OF IRIS 66635 REMOVAL OF IRIS 66680 REPAIR IRIS & CILIARY BODY 66682 REPAIR IRIS & CILIARY BODY 66700 DESTRUCTION, CILIARY BODY 66710 DESTRUCTION, CILIARY BODY 66720 DESTRUCTION, CILIARY BODY 66740 DESTRUCTION, CILIARY BODY 66761 REVISION OF IRIS 66762 REVISION OF IRIS 66770 REMOVAL OF INNER EYE LESION 66820 INCISION, SECONDARY CATARACT 66821 AFTER CATARACT LASER SURGERY 66825 REPOSITION INTRAOCULAR LENS 66830 REMOVAL OF LENS LESION 66840 REMOVAL OF LENS MATERIAL 66850 REMOVAL OF LENS MATERIAL 66852 REMOVAL OF LENS MATERIAL 66920 EXTRACTION OF LENS 66930 EXTRACTION OF LENS 66940 EXTRACTION OF LENS 66982 CATARACT SURGERY, COMPLEX 66983 REMOVE CATARACT/INSERT LENS 66984 REMOVE CATARACT/INSERT LENS 66985 INSERT LENS PROSTHESIS 66986 EXCHANGE LENS PROSTHESIS 66990 OPHTHALMIC ENDOSCOPE ADD-ON 66999 EYE SURGERY PROCEDURE 67005 PARTIAL REMOVAL OF EYE FLUID 67010 PARTIAL REMOVAL OF EYE FLUID 67015 RELEASE OF EYE FLUID 67025 REPLACE EYE FLUID 67027 IMPLANT EYE DRUG SYSTEM 67028 INJECTION EYE DRUG 67030 INCISE INNER EYE STRANDS 67031 LASER SURGERY, EYE STRANDS 67036 REMOVAL OF INNER EYE FLUID 67038 STRIP RETINAL MEMBRANE 67039 LASER TREATMENT OF RETINA 67040 LASER TREATMENT OF RETINA 67101 REPAIR DETACHED RETINA 67105 REPAIR DETACHED RETINA 67107 REPAIR DETACHED RETINA 67108 REPAIR DETACHED RETINA 67110 REPAIR DETACHED RETINA 67112 REREPAIR DETACHED RETINA 67115 RELEASE ENCIRCLING MATERIAL 67120 REMOVE EYE IMPLANT MATERIAL 67121 REMOVE EYE IMPLANT MATERIAL
- 818. 67141 TREATMENT OF RETINA 67145 TREATMENT OF RETINA 67208 TREATMENT OF RETINAL LESION 67210 TREATMENT OF RETINAL LESION 67218 TREATMENT OF RETINAL LESION 67220 DESTRCT;PHOTOCOAGLAT,1 OR>SESS 67221 DESTR,LOC LES,CHOROID;PHOTODYN 67225 EYE PHOTODYNAMIC THER ADD-ON 67227 TREATMENT OF RETINAL LESION 67228 TREATMENT OF RETINAL LESION 67250 REINFORCE EYE WALL 67255 REINFORCE/GRAFT EYE WALL 67299 EYE SURGERY PROCEDURE 67311 REVISE EYE MUSCLE 67312 REVISE TWO EYE MUSCLES 67314 REVISE EYE MUSCLE 67316 REVISE TWO EYE MUSCLES 67318 REVISE EYE MUSCLE(S) 67320 REVISE EYE MUSCLE(S) ADD-ON 67331 EYE SURGERY FOLLOW-UP ADD-ON 67332 REREVISE EYE MUSCLES ADD-ON 67334 REVISE EYE MUSCLE W/SUTURE 67335 EYE SUTURE DURING SURGERY 67340 REVISE EYE MUSCLE ADD-ON 67343 RELEASE EYE TISSUE 67345 DESTROY NERVE OF EYE MUSCLE 67350 BIOPSY EYE MUSCLE 67399 EYE MUSCLE SURGERY PROCEDURE 67400 EXPLORE/BIOPSY EYE SOCKET 67405 EXPLORE/DRAIN EYE SOCKET 67412 EXPLORE/TREAT EYE SOCKET 67413 EXPLORE/TREAT EYE SOCKET 67414 EXPLR/DECOMPRESS EYE SOCKET 67415 ASPIRATION, ORBITAL CONTENTS 67420 EXPLORE/TREAT EYE SOCKET 67430 EXPLORE/TREAT EYE SOCKET 67440 EXPLORE/DRAIN EYE SOCKET 67445 EXPLR/DECOMPRESS EYE SOCKET 67450 EXPLORE/BIOPSY EYE SOCKET 67500 INJECT/TREAT EYE SOCKET 67505 INJECT/TREAT EYE SOCKET 67515 INJECT/TREAT EYE SOCKET 67550 INSERT EYE SOCKET IMPLANT 67560 REVISE EYE SOCKET IMPLANT 67570 DECOMPRESS OPTIC NERVE 67599 ORBIT SURGERY PROCEDURE 67700 DRAINAGE OF EYELID ABSCESS 67710 INCISION OF EYELID 67715 INCISION OF EYELID FOLD 67800 REMOVE EYELID LESION 67801 REMOVE EYELID LESIONS 67805 REMOVE EYELID LESIONS
- 819. 67808 REMOVE EYELID LESION(S) 67810 BIOPSY OF EYELID 67820 REVISE EYELASHES 67825 REVISE EYELASHES 67830 REVISE EYELASHES 67835 REVISE EYELASHES 67840 REMOVE EYELID LESION 67850 TREAT EYELID LESION 67875 CLOSURE OF EYELID BY SUTURE 67880 REVISION OF EYELID 67882 REVISION OF EYELID 67900 REPAIR BROW DEFECT 67901 REPAIR EYELID DEFECT 67902 REPAIR EYELID DEFECT 67903 REPAIR EYELID DEFECT 67904 REPAIR EYELID DEFECT 67906 REPAIR EYELID DEFECT 67908 REPAIR EYELID DEFECT 67909 REVISE EYELID DEFECT 67911 REVISE EYELID DEFECT 67914 REPAIR EYELID DEFECT 67915 REPAIR EYELID DEFECT 67916 REPAIR EYELID DEFECT 67917 REPAIR EYELID DEFECT 67921 REPAIR EYELID DEFECT 67922 REPAIR EYELID DEFECT 67923 REPAIR EYELID DEFECT 67924 REPAIR EYELID DEFECT 67930 REPAIR EYELID WOUND 67935 REPAIR EYELID WOUND 67938 REMOVE EYELID FOREIGN BODY 67950 REVISION OF EYELID 67961 REVISION OF EYELID 67966 REVISION OF EYELID 67971 RECONSTRUCTION OF EYELID 67973 RECONSTRUCTION OF EYELID 67974 RECONSTRUCTION OF EYELID 67975 RECONSTRUCTION OF EYELID 67999 REVISION OF EYELID 68020 INCISE/DRAIN EYELID LINING 68040 TREATMENT OF EYELID LESIONS 68100 BIOPSY OF EYELID LINING 68110 REMOVE EYELID LINING LESION 68115 REMOVE EYELID LINING LESION 68130 REMOVE EYELID LINING LESION 68135 REMOVE EYELID LINING LESION 68200 TREAT EYELID BY INJECTION 68320 REVISE/GRAFT EYELID LINING 68325 REVISE/GRAFT EYELID LINING 68326 REVISE/GRAFT EYELID LINING 68328 REVISE/GRAFT EYELID LINING 68330 REVISE EYELID LINING
- 820. 68335 REVISE/GRAFT EYELID LINING 68340 SEPARATE EYELID ADHESIONS 68360 REVISE EYELID LINING 68362 REVISE EYELID LINING 68399 EYELID LINING SURGERY 68400 INCISE/DRAIN TEAR GLAND 68420 INCISE/DRAIN TEAR SAC 68440 INCISE TEAR DUCT OPENING 68500 REMOVAL OF TEAR GLAND 68505 PARTIAL REMOVAL, TEAR GLAND 68510 BIOPSY OF TEAR GLAND 68520 REMOVAL OF TEAR SAC 68525 BIOPSY OF TEAR SAC 68530 CLEARANCE OF TEAR DUCT 68540 REMOVE TEAR GLAND LESION 68550 REMOVE TEAR GLAND LESION 68700 REPAIR TEAR DUCTS 68705 REVISE TEAR DUCT OPENING 68720 CREATE TEAR SAC DRAIN 68745 CREATE TEAR DUCT DRAIN 68750 CREATE TEAR DUCT DRAIN 68760 CLOSE TEAR DUCT OPENING 68761 CLOSE TEAR DUCT OPENING 68770 CLOSE TEAR SYSTEM FISTULA 68801 DILATE TEAR DUCT OPENING 68810 PROBE NASOLACRIMAL DUCT 68811 PROBE NASOLACRIMAL DUCT 68815 PROBE NASOLACRIMAL DUCT 68840 EXPLORE/IRRIGATE TEAR DUCTS 68850 INJECTION FOR TEAR SAC X-RAY 68899 TEAR DUCT SYSTEM SURGERY 69000 DRAIN EXTERNAL EAR LESION 69005 DRAIN EXTERNAL EAR LESION 69020 DRAIN OUTER EAR CANAL LESION 69090 PIERCE EARLOBES 69100 BIOPSY OF EXTERNAL EAR 69105 BIOPSY OF EXTERNAL EAR CANAL 69110 REMOVE EXTERNAL EAR, PARTIAL 69120 REMOVAL OF EXTERNAL EAR 69140 REMOVE EAR CANAL LESION(S) 69145 REMOVE EAR CANAL LESION(S) 69150 EXTENSIVE EAR CANAL SURGERY 69155 EXTENSIVE EAR/NECK SURGERY 69200 CLEAR OUTER EAR CANAL 69205 CLEAR OUTER EAR CANAL 69210 REMOVE IMPACTED EAR WAX 69220 CLEAN OUT MASTOID CAVITY 69222 CLEAN OUT MASTOID CAVITY 69300 REVISE EXTERNAL EAR 69310 REBUILD OUTER EAR CANAL 69320 REBUILD OUTER EAR CANAL 69399 OUTER EAR SURGERY PROCEDURE
- 821. 69400 INFLATE MIDDLE EAR CANAL 69401 INFLATE MIDDLE EAR CANAL 69405 CATHETERIZE MIDDLE EAR CANAL 69410 INSET MIDDLE EAR (BAFFLE) 69420 INCISION OF EARDRUM 69421 INCISION OF EARDRUM 69424 VENT TUBE RMVL GEN ANESTHESIA 69433 CREATE EARDRUM OPENING 69436 CREATE EARDRUM OPENING 69440 EXPLORATION OF MIDDLE EAR 69450 EARDRUM REVISION 69501 MASTOIDECTOMY 69502 MASTOIDECTOMY 69505 REMOVE MASTOID STRUCTURES 69511 EXTENSIVE MASTOID SURGERY 69530 EXTENSIVE MASTOID SURGERY 69535 REMOVE PART OF TEMPORAL BONE 69540 REMOVE EAR LESION 69550 REMOVE EAR LESION 69552 REMOVE EAR LESION 69554 REMOVE EAR LESION 69601 MASTOID SURGERY REVISION 69602 MASTOID SURGERY REVISION 69603 MASTOID SURGERY REVISION 69604 MASTOID SURGERY REVISION 69605 MASTOID SURGERY REVISION 69610 REPAIR OF EARDRUM 69620 REPAIR OF EARDRUM 69631 REPAIR EARDRUM STRUCTURES 69632 REBUILD EARDRUM STRUCTURES 69633 REBUILD EARDRUM STRUCTURES 69635 REPAIR EARDRUM STRUCTURES 69636 REBUILD EARDRUM STRUCTURES 69637 REBUILD EARDRUM STRUCTURES 69641 REVISE MIDDLE EAR & MASTOID 69642 REVISE MIDDLE EAR & MASTOID 69643 REVISE MIDDLE EAR & MASTOID 69644 REVISE MIDDLE EAR & MASTOID 69645 REVISE MIDDLE EAR & MASTOID 69646 REVISE MIDDLE EAR & MASTOID 69650 RELEASE MIDDLE EAR BONE 69660 REVISE MIDDLE EAR BONE 69661 REVISE MIDDLE EAR BONE 69662 REVISE MIDDLE EAR BONE 69666 REPAIR MIDDLE EAR STRUCTURES 69667 REPAIR MIDDLE EAR STRUCTURES 69670 REMOVE MASTOID AIR CELLS 69676 REMOVE MIDDLE EAR NERVE 69700 CLOSE MASTOID FISTULA 69710 IMPLANT/REPLACE HEARING AID 69711 REMOVE/REPAIR HEARING AID 69714 IMPL,TMP BNE,SPCH/COCH;WO MAST
- 822. 69715 IMPL,TMP BONE,SPCH/COCH;W MAST 69717 REP,IMPL,BNE,SPCH/COCH;WO MAST 69718 REP,IMPL,BONE,SPCH/COCH;W MAST 69720 RELEASE FACIAL NERVE 69725 RELEASE FACIAL NERVE 69740 REPAIR FACIAL NERVE 69745 REPAIR FACIAL NERVE 69799 MIDDLE EAR SURGERY PROCEDURE 69801 INCISE INNER EAR 69802 INCISE INNER EAR 69805 EXPLORE INNER EAR 69806 EXPLORE INNER EAR 69820 ESTABLISH INNER EAR WINDOW 69840 REVISE INNER EAR WINDOW 69905 REMOVE INNER EAR 69910 REMOVE INNER EAR & MASTOID 69915 INCISE INNER EAR NERVE 69930 IMPLANT COCHLEAR DEVICE 69949 INNER EAR SURGERY PROCEDURE 69950 INCISE INNER EAR NERVE 69955 RELEASE FACIAL NERVE 69960 RELEASE INNER EAR CANAL 69970 REMOVE INNER EAR LESION 69979 TEMPORAL BONE SURGERY 69990 MICROSURGERY ADD-ON 70010 CONTRAST X-RAY OF BRAIN 70015 CONTRAST X-RAY OF BRAIN 70030 X-RAY EYE FOR FOREIGN BODY 70100 X-RAY EXAM OF JAW 70110 X-RAY EXAM OF JAW 70120 X-RAY EXAM OF MASTOIDS 70130 X-RAY EXAM OF MASTOIDS 70134 X-RAY EXAM OF MIDDLE EAR 70140 X-RAY EXAM OF FACIAL BONES 70150 X-RAY EXAM OF FACIAL BONES 70160 X-RAY EXAM OF NASAL BONES 70170 X-RAY EXAM OF TEAR DUCT 70190 X-RAY EXAM OF EYE SOCKETS 70200 X-RAY EXAM OF EYE SOCKETS 70210 X-RAY EXAM OF SINUSES 70220 X-RAY EXAM OF SINUSES 70240 X-RAY EXAM, PITUITARY SADDLE 70250 X-RAY EXAM OF SKULL 70260 X-RAY EXAM OF SKULL 70300 X-RAY EXAM OF TEETH 70310 X-RAY EXAM OF TEETH 70320 FULL MOUTH X-RAY OF TEETH 70328 X-RAY EXAM OF JAW JOINT 70330 X-RAY EXAM OF JAW JOINTS 70332 X-RAY EXAM OF JAW JOINT 70336 MAGNETC IMG,TEMPOROMANDIBUL JT 70350 X-RAY HEAD FOR ORTHODONTIA
- 823. 70355 PANORAMIC X-RAY OF JAWS 70360 X-RAY EXAM OF NECK 70370 THROAT X-RAY & FLUOROSCOPY 70371 SPEECH EVALUATION, COMPLEX 70373 CONTRAST X-RAY OF LARYNX 70380 X-RAY EXAM OF SALIVARY GLAND 70390 X-RAY EXAM OF SALIVARY DUCT 70450 CT HEAD/BRAIN W/O CONTST MATRL 70460 CT HEAD/BRAIN W CONTST MATERL 70470 CT HD/BRN WO CNTS MAT FURT SEC 70480 CT ORBT/FOSS/EAR WO CNTRST MAT 70481 CT ORBT/FOSS/EAR W CNTRST MATL 70482 CT OBT/EAR WO CNTS MAT FRT SEC 70486 CT MAXILLOFACIAL WO CNTRST MAT 70487 CT MAXILLOFACIAL W/DYE 70488 CT MAXILLOFACIAL W/O&W DYE 70490 CT SFT TISE NECK WO CNTRST MAT 70491 CT SFT TISE NECK W CNTRST MATL 70492 CT NCK WO CNTST MAT FURT SECT 70496 CT ANGIO,HEAD,WO CONT MAT,IMAG 70498 CT ANGIO,NECK,WO CONT MAT,IMAG 70540 MRI ORBT,FC,&NCK;WO CNTRST MAT 70542 MRI,ORB,FCE,NCK;W CONTRAST MAT 70543 MRI,ORB,FACE,NECK;WO CONT MAT 70544 MAG RES ANGIO,HEAD;WO CONT MAT 70545 MAG RES ANGIO,HEAD;W CONT MAT 70546 MAG RES ANG,HEAD;WO,W CONT MAT 70547 MAG RES ANGIO,NECK;WO CONT MAT 70548 MAG RES ANGIO,NECK;W CONT MAT 70549 MAG RES ANG,NECK;WO,W CONT MAT 70551 MAGNETIC IMAGE, BRAIN (MRI) 70552 MAGNETIC IMAGE, BRAIN (MRI) 70553 MAGNETIC IMAGE, BRAIN (MRI) 71010 CHEST X-RAY 71015 CHEST X-RAY 71020 CHEST X-RAY 71021 CHEST X-RAY 71022 CHEST X-RAY 71023 CHEST X-RAY AND FLUOROSCOPY 71030 CHEST X-RAY 71034 CHEST X-RAY AND FLUOROSCOPY 71035 CHEST X-RAY 71040 CONTRAST X-RAY OF BRONCHI 71060 CONTRAST X-RAY OF BRONCHI 71090 X-RAY & PACEMAKER INSERTION 71100 X-RAY EXAM OF RIBS 71101 X-RAY EXAM OF RIBS/CHEST 71110 X-RAY EXAM OF RIBS 71111 X-RAY EXAM OF RIBS/ CHEST 71120 X-RAY EXAM OF BREASTBONE 71130 X-RAY EXAM OF BREASTBONE 71250 CT THORAX WO CONTRAST MATERIAL
- 824. 71260 CT THORAX W CONTRAST MATERIAL 71270 CT THRAX WO CNTST MAT FUR SEC 71275 CT ANGIO,CHEST,WO CONT MAT,IMG 71550 MRI IMG,CHST;WO CNTRST MATRIAL 71551 MAG RES IMAG,CHEST;W CONT MAT 71552 MAG RES IMAG,CHEST;WO CONT MAT 71555 MAGNETIC IMAGE, CHEST (MRA) 72010 X-RAY EXAM OF SPINE 72020 X-RAY EXAM OF SPINE 72040 RAD EXAM,SPINE,CERVICAL;2/3 VW 72050 X-RAY EXAM OF NECK SPINE 72052 X-RAY EXAM OF NECK SPINE 72069 X-RAY EXAM OF TRUNK SPINE 72070 RAD EXAM,SPINE;THORACIC,2 VW 72072 RAD EXAM,SPINE;THORACIC,3 VW 72074 RAD EXAM,SPINE;THORAC,MIN 4 VW 72080 RAD EXAM,SPINE;THRACOLUMB,2 VW 72090 X-RAY EXAM OF TRUNK SPINE 72100 RAD EXM,SPINE,LUMBOSCRL;2/3 VW 72110 RAD EXM,SPN,LUMBOSCRL;MIN 4 VW 72114 X-RAY EXAM OF LOWER SPINE 72120 X-RAY EXAM OF LOWER SPINE 72125 CT CRVICL SPINE WO CNTRST MAT 72126 CT CRVCL SPNE W CNTRST MAT 72127 CT CRV SPN WO CNTR MAT FUR SEC 72128 CT THORACIC SPN WO CNTRST MAT 72129 CT THORACIC SPN W CNTRST MAT 72130 CT THRA SPN WO CNT MAT FUR SEC 72131 CT LUMBAR SPNE, WO CNTRST MAT 72132 CT LUMBAR SPNE, W CNTRST MAT 72133 CT LMBR WO CNTR MAT FUR SEC 72141 MAGNETIC IMAGE, NECK SPINE 72142 MAGNETIC IMAGE, NECK SPINE 72146 MAGNETIC IMAGE, CHEST SPINE 72147 MAGNETIC IMAGE, CHEST SPINE 72148 MAGNETIC IMAGE, LUMBAR SPINE 72149 MAGNETIC IMAGE, LUMBAR SPINE 72156 MAGNETIC IMAGE, NECK SPINE 72157 MAGNETIC IMAGE, CHEST SPINE 72158 MAGNETIC IMAGE, LUMBAR SPINE 72159 MAGNETIC IMAGE, SPINE (MRA) 72170 RAD EXAM,PELVIS;1 OR 2 VIEWS 72190 X-RAY EXAM OF PELVIS 72191 CT ANGIO,PELVIS,WO CONT MAT 72192 CT PELVIS, WO CONTRAST MATERIA 72193 CT PELVIS, W CONTRAST MATERIAL 72194 CT PLVS WO CNTRST MAT FUR SEC 72195 MAG RES IMG,PELVIS;WO CONT MAT 72196 MRI,PELVIS;W CONTRST MAT(S) 72197 MAG RES IMG,PELV;WO,W CONT MAT 72198 MAGNETIC IMAGE, PELVIS (MRA) 72200 X-RAY EXAM SACROILIAC JOINTS
- 825. 72202 X-RAY EXAM SACROILIAC JOINTS 72220 X-RAY EXAM OF TAILBONE 72240 CONTRAST X-RAY OF NECK SPINE 72255 CONTRAST X-RAY, THORAX SPINE 72265 CONTRAST X-RAY, LOWER SPINE 72270 CONTRAST X-RAY OF SPINE 72275 EPIDUROGRAPHY 72285 X-RAY C/T SPINE DISK 72295 X-RAY OF LOWER SPINE DISK 73000 X-RAY EXAM OF COLLAR BONE 73010 X-RAY EXAM OF SHOULDER BLADE 73020 X-RAY EXAM OF SHOULDER 73030 X-RAY EXAM OF SHOULDER 73040 CONTRAST X-RAY OF SHOULDER 73050 X-RAY EXAM OF SHOULDERS 73060 X-RAY EXAM OF HUMERUS 73070 RADIOLOGIC EXAM,ELBOW;2 VIEWS 73080 X-RAY EXAM OF ELBOW 73085 CONTRAST X-RAY OF ELBOW 73090 RADIOLOGIC EXAM;FOREARM,2 VIEW 73092 X-RAY EXAM OF ARM, INFANT 73100 RADIOLOGIC EXAM,WRIST;2 VIEWS 73110 X-RAY EXAM OF WRIST 73115 CONTRAST X-RAY OF WRIST 73120 X-RAY EXAM OF HAND 73130 X-RAY EXAM OF HAND 73140 X-RAY EXAM OF FINGER(S) 73200 CT UP EXTRM WO CNTRAST MATERIA 73201 CT UP EXTRM W CNTRAST MATERIAL 73202 CT UP EXTM WO CNTR MAT FUR SEC 73206 CT ANGIO,UP EXTRM,WO,W CON MAT 73218 MAG RES IMG,UP EXT,NO JT;WO CM 73219 MAG RES IMG,UP EXT,NO JT;W CM 73220 MRI UPPR EXTREMITY W/O&W DYE 73221 MRI,JOINT,UP EXTRM;WO CONT MAT 73222 MRI JOINT UPR EXTREM W/ DYE 73223 MRI JOINT UPR EXTR W/O&W DYE 73225 MAGNETIC IMAGE, UPPER (MRA) 73500 X-RAY EXAM OF HIP 73510 X-RAY EXAM OF HIP 73520 X-RAY EXAM OF HIPS 73525 CONTRAST X-RAY OF HIP 73530 X-RAY EXAM OF HIP 73540 X-RAY EXAM OF PELVIS & HIPS 73542 X-RAY EXAM, SACROILIAC JOINT 73550 RADIOLOGIC EXAM,FEMUR,2 VIEWS 73560 X-RAY EXAM OF KNEE, 1 OR 2 73562 X-RAY EXAM OF KNEE, 3 73564 X-RAY EXAM, KNEE, 4 OR MORE 73565 X-RAY EXAM OF KNEES 73580 CONTRAST X-RAY OF KNEE JOINT 73590 RADIOLOG EXAM;TIBIA&FIBLA,2 VW
- 826. 73592 X-RAY EXAM OF LEG, INFANT 73600 RADIOLOGIC EXAM,ANKLE;2 VIEWS 73610 X-RAY EXAM OF ANKLE 73615 CONTRAST X-RAY OF ANKLE 73620 RADIOLOGIC EXAM,FOOT;2 VIEWS 73630 X-RAY EXAM OF FOOT 73650 X-RAY EXAM OF HEEL 73660 X-RAY EXAM OF TOE(S) 73700 CT LW EXTRM WO CNTRAST MATERIA 73701 CT LOWER EXTREMITY W/DYE 73702 CT LW EXTM WO CNTR MAT FUR SEC 73706 CT ANGIO,LOW EXT,WO,W CONT MAT 73718 MAG RES IMG,LW EXT,NO JT;WO CM 73719 MAG RES IMG,LOW EXT,NO JT;W CM 73720 MRI LWR EXTREMITY W/O&W DYE 73721 MRI,JNT,LOW EXT;WO CNTRST MAT 73722 MAG RES IMG,ANY JT,LW EXT;W CM 73723 MAG RES IM,ANY JT,LW EXT;WO CM 73725 MAGNETIC IMAGE/LOWER (MRA) 74000 X-RAY EXAM OF ABDOMEN 74010 X-RAY EXAM OF ABDOMEN 74020 X-RAY EXAM OF ABDOMEN 74022 RADIO EXAM ABDM,SNGL VIEW CHST 74150 CT, ABDOM WO CNTRAST MATERIAL 74160 CT, ABDOM W CNTRAST MATERIAL 74170 CT ABDOM WO CNTRST MAT FUR SEC 74175 CT ANGIO,ABDOMEN,WO,W CONT MAT 74181 MRI, ABDOMEN;WO CNTRST MAT 74182 MAG RES IMG,ABDOMEN;W CONT MAT 74183 MAG RES IM,ABDOMEN;WO,W CON MT 74185 MAGNETIC IMAGE/ABDOMEN (MRA) 74190 X-RAY EXAM OF PERITONEUM 74210 CONTRST X-RAY EXAM OF THROAT 74220 CONTRAST X-RAY, ESOPHAGUS 74230 CINE/VIDEO X-RAY, THROAT/ESO 74235 REMOVE ESOPHAGUS OBSTRUCTION 74240 X-RAY EXAM, UPPER GI TRACT 74241 X-RAY EXAM, UPPER GI TRACT 74245 X-RAY EXAM, UPPER GI TRACT 74246 CONTRST X-RAY UPPR GI TRACT 74247 CONTRST X-RAY UPPR GI TRACT 74249 CONTRST X-RAY UPPR GI TRACT 74250 X-RAY EXAM OF SMALL BOWEL 74251 X-RAY EXAM OF SMALL BOWEL 74260 X-RAY EXAM OF SMALL BOWEL 74270 CONTRAST X-RAY EXAM OF COLON 74280 CONTRAST X-RAY EXAM OF COLON 74283 CONTRAST X-RAY EXAM OF COLON 74290 CONTRAST X-RAY, GALLBLADDER 74291 CONTRAST X-RAYS, GALLBLADDER 74300 X-RAY BILE DUCTS/PANCREAS 74301 X-RAYS AT SURGERY ADD-ON
- 827. 74305 X-RAY BILE DUCTS/PANCREAS 74320 CONTRAST X-RAY OF BILE DUCTS 74327 X-RAY BILE STONE REMOVAL 74328 XRAY BILE DUCT ENDOSCOPY 74329 X-RAY FOR PANCREAS ENDOSCOPY 74330 X-RAY BILE/PANC ENDOSCOPY 74340 X-RAY GUIDE FOR GI TUBE 74350 X-RAY GUIDE, STOMACH TUBE 74355 X-RAY GUIDE, INTESTINAL TUBE 74360 X-RAY GUIDE, GI DILATION 74363 X-RAY, BILE DUCT DILATION 74400 CONTRST X-RAY, URINARY TRACT 74410 CONTRST X-RAY, URINARY TRACT 74415 CONTRST X-RAY, URINARY TRACT 74420 CONTRST X-RAY, URINARY TRACT 74425 CONTRST X-RAY, URINARY TRACT 74430 CONTRAST X-RAY, BLADDER 74440 X-RAY, MALE GENITAL TRACT 74445 X-RAY EXAM OF PENIS 74450 X-RAY, URETHRA/BLADDER 74455 X-RAY, URETHRA/BLADDER 74470 X-RAY EXAM OF KIDNEY LESION 74475 X-RAY CONTROL, CATH INSERT 74480 X-RAY CONTROL, CATH INSERT 74485 X-RAY GUIDE, GU DILATION 74710 X-RAY MEASUREMENT OF PELVIS 74740 X-RAY, FEMALE GENITAL TRACT 74742 X-RAY, FALLOPIAN TUBE 74775 X-RAY EXAM OF PERINEUM 75552 MAGNETIC IMAGE, MYOCARDIUM 75553 MAGNETIC IMAGE, MYOCARDIUM 75554 CARDIAC MRI/FUNCTION 75555 CARDIAC MRI/LIMITED STUDY 75556 CARDIAC MRI/FLOW MAPPING 75600 CONTRAST X-RAY EXAM OF AORTA 75605 CONTRAST X-RAY EXAM OF AORTA 75625 CONTRAST X-RAY EXAM OF AORTA 75630 X-RAY AORTA, LEG ARTERIES 75635 CT ANGIO,ABDM AORT,BILAT ILIOF 75650 ARTERY X-RAYS, HEAD & NECK 75658 ARTERY X-RAYS, ARM 75660 ARTERY X-RAYS, HEAD & NECK 75662 ARTERY X-RAYS, HEAD & NECK 75665 ARTERY X-RAYS, HEAD & NECK 75671 ARTERY X-RAYS, HEAD & NECK 75676 ARTERY X-RAYS, NECK 75680 ARTERY X-RAYS, NECK 75685 ARTERY X-RAYS, SPINE 75705 ARTERY X-RAYS, SPINE 75710 ARTERY X-RAYS, ARM/LEG 75716 ARTERY X-RAYS, ARMS/LEGS 75722 ARTERY X-RAYS, KIDNEY
- 828. 75724 ARTERY X-RAYS, KIDNEYS 75726 ARTERY X-RAYS, ABDOMEN 75731 ARTERY X-RAYS, ADRENAL GLAND 75733 ARTERY X-RAYS, ADRENALS 75736 ARTERY X-RAYS, PELVIS 75741 ARTERY X-RAYS, LUNG 75743 ARTERY X-RAYS, LUNGS 75746 ARTERY X-RAYS, LUNG 75756 ARTERY X-RAYS, CHEST 75774 ARTERY X-RAY, EACH VESSEL 75790 VISUALIZE A-V SHUNT 75801 LYMPH VESSEL X-RAY, ARM/LEG 75803 LYMPH VESSEL X-RAY,ARMS/LEGS 75805 LYMPH VESSEL X-RAY, TRUNK 75807 LYMPH VESSEL X-RAY, TRUNK 75809 SHUNTOGRM,INVSTIGTN PRV PLCD 75810 VEIN X-RAY, SPLEEN/LIVER 75820 VEIN X-RAY, ARM/LEG 75822 VEIN X-RAY, ARMS/LEGS 75825 VEIN X-RAY, TRUNK 75827 VEIN X-RAY, CHEST 75831 VEIN X-RAY, KIDNEY 75833 VEIN X-RAY, KIDNEYS 75840 VEIN X-RAY, ADRENAL GLAND 75842 VEIN X-RAY, ADRENAL GLANDS 75860 VEIN X-RAY, NECK 75870 VEIN X-RAY, SKULL 75872 VEIN X-RAY, SKULL 75880 VEIN X-RAY, EYE SOCKET 75885 VEIN X-RAY, LIVER 75887 VEIN X-RAY, LIVER 75889 VEIN X-RAY, LIVER 75891 VEIN X-RAY, LIVER 75893 VENOUS SAMPLING BY CATHETER 75894 X-RAYS, TRANSCATH THERAPY 75896 X-RAYS, TRANSCATH THERAPY 75898 FOLLOW-UP ANGIOGRAPHY 75900 ARTERIAL CATHETER EXCHANGE 75901 REMOVE CVA DEVICE OBSTRUCT 75902 REMOVE CVA LUMEN OBSTRUCT 75940 X-RAY PLACEMENT, VEIN FILTER 75945 INTRAVASCULAR US 75946 INTRAVASCULAR US ADD-ON 75952 ENDOVS REP INF ABDM AORT ANEUR 75953 PRXM PROS ENDO RPR ART ANRYM 75954 ENDOVAS RPR ILIAC ANEURYSM 75960 TRANSCATHETER INTRO, STENT 75961 RETRIEVAL, BROKEN CATHETER 75962 REPAIR ARTERIAL BLOCKAGE 75964 REPAIR ARTERY BLOCKAGE, EACH 75966 REPAIR ARTERIAL BLOCKAGE 75968 REPAIR ARTERY BLOCKAGE, EACH
- 829. 75970 VASCULAR BIOPSY 75978 REPAIR VENOUS BLOCKAGE 75980 CONTRAST XRAY EXAM BILE DUCT 75982 CONTRAST XRAY EXAM BILE DUCT 75984 XRAY CONTROL CATHETER CHANGE 75989 RADIO DRAIN W/ CATH & INTERP 75992 ATHERECTOMY, X-RAY EXAM 75993 ATHERECTOMY, X-RAY EXAM 75994 ATHERECTOMY, X-RAY EXAM 75995 ATHERECTOMY, X-RAY EXAM 75996 ATHERECTOMY, X-RAY EXAM 76000 FLUOROSCOPE EXAMINATION 76001 FLUOROSCOPE EXAM, EXTENSIVE 76003 FLUOROSCOP GUID,NDL PLACE 76005 FLUOROGUIDE FOR SPINE INJECT 76006 APP STRES JNT RDIO INCLUDE JNT 76010 RADIO EXM,NSE TO RECTM FRN BDY 76012 RAD SUP&INT,VERTEBROPLS;FLUORS 76013 RAD SUP&INT,VERTEBROPL;CT GUID 76020 X-RAYS FOR BONE AGE 76040 X-RAYS, BONE EVALUATION 76061 X-RAYS, BONE SURVEY 76062 X-RAYS, BONE SURVEY 76065 X-RAYS, BONE EVALUATION 76066 JOINT SURVEY, SINGLE VIEW 76070 CT BNE MNERAL DENS 1+ SITES 76071 CT BONE DENSITY, PERIPHERAL 76075 DUAL ENERGY X-RAY STUDY 76076 DUAL ENERGY X-RAY STUDY 76078 RADIOGRAPHIC ABSORPTIOMETRY 76080 X-RAY EXAM OF FISTULA 76085 DIG FLM W/ COMP ANALYS MAMMO 76086 X-RAY OF MAMMARY DUCT 76088 X-RAY OF MAMMARY DUCTS 76090 MAMMOGRAM, ONE BREAST 76091 MAMMOGRAM, BOTH BREASTS 76092 MAMM0GRAM, SCREENING 76093 MAGNETIC IMAGE, BREAST 76094 MAGNETIC IMAGE, BOTH BREASTS 76095 STEREOTACT LOC GD,BRST BX/NDL 76096 MAMMOGRAPH GD,NDL,BRST,EA LSN 76098 X-RAY EXAM, BREAST SPECIMEN 76100 X-RAY EXAM OF BODY SECTION 76101 COMPLEX BODY SECTION X-RAY 76102 COMPLEX BODY SECTION X-RAYS 76120 CINE/VIDEO X-RAYS 76125 CINE/ VIDEO X-RAYS ADD-ON 76140 X-RAY CONSULTATION 76150 X-RAY EXAM, DRY PROCESS 76350 SPECIAL X-RAY CONTRAST STUDY 76355 CT GUIDANCE STEROTCT LOCAL 76360 CT GUID NEDLE PLACEMENT
- 830. 76362 CAT SCAN FOR TISSUE ABLATION 76370 CT GUID PLACE RADIO THRPY FELD 76375 3D/HOLOGRAPH RECONSTR ADD-ON 76380 CT LMTED LOCAL FOLOW-UP STUDY 76390 MR SPECTROSCOPY 76393 MAG RES,NEED PLACE RAD SUP&INT 76394 MRI FOR TISSUE ABLATION 76400 MAGNETIC IMAGE, BONE MARROW 76490 US FOR TISSUE ABLATION 76496 UNLIST FLUOROSCOPIC PROCEDUR 76497 UNLIST COMP TOMOGRAPHY PROC 76498 UNLIST MAGNET RESONACE PROC 76499 ULISTED DIAG RADIOGRAPH PROC 76506 ECHO EXAM OF HEAD 76511 ECHO EXAM OF EYE 76512 ECHO EXAM OF EYE 76513 ECHO EXAM OF EYE, WATER BATH 76516 ECHO EXAM OF EYE 76519 ECHO EXAM OF EYE 76529 ECHO EXAM OF EYE 76536 US EXAM OF HEAD AND NECK 76604 US EXAM, CHEST, B-SCAN 76645 US EXAM, BREAST(S) 76700 US EXAM, ABDOM, COMPLETE 76705 US EXAM, ABDOM, LIMITED 76770 US EXAM ABDO BACK WALL, COMP 76775 US EXAM ABDO BACK WALL, LIM 76778 US EXAM KIDNEY TRANSPLANT 76800 US EXAM, SPINAL CANAL 76801 ULTRASOUND 1ST TRI SINGLE 76802 ULTRASOUND 1ST TRI ADD GEST 76805 ULTRASND >/=14WK 0 DAY; SNGL 76810 ULTRASND >/=14WK 0 DAY;ADD'L 76811 ULTRASOUND ANATOMIC EXAM SGN 76812 ULTSOUND ANTOMIC EXAM ADD GE 76815 ULTRASND LIMITED 1+ FETUSES 76816 ULTRASND FOLOW-UP TRANS APRCH 76817 ULTRASOUND, TRANSVAGINAL 76818 FTL BIOPHYS PROF;NON-STRSS TST 76819 FETAL BIOPHYS PROFIL W/O NST 76825 ECHO EXAM OF FETAL HEART 76826 ECHO EXAM OF FETAL HEART 76827 ECHO EXAM OF FETAL HEART 76828 ECHO EXAM OF FETAL HEART 76830 US EXAM, TRANSVAGINAL 76831 ECHO EXAM, UTERUS 76856 US EXAM, PELVIC, COMPLETE 76857 US EXAM, PELVIC, LIMITED 76870 US EXAM, SCROTUM 76872 ECHO EXAM, TRANSRECTAL 76873 ECHOGRAP TRANS R, PROS STUDY 76880 US EXAM, EXTREMITY
- 831. 76885 US EXAM INFANT HIPS, DYNAMIC 76886 US EXAM INFANT HIPS, STATIC 76930 ULTRASON GD,PERICARDIOCENTESIS 76932 ULTRASON GD,ENDOMYOCARDIAL BX 76936 ECHO GUIDE FOR ARTERY REPAIR 76941 US GD,INTRAUTER TRANSFS/CORDOC 76942 ULTRASONIC GD,NDL PLACEMENT 76945 ULTRASONIC GD,CHORIONIC VILLUS 76946 ULTRASONIC GD,AMNIOCENTESIS 76948 ULTRASONIC GD,ASPIRATION,OVA 76950 ULTRASNC GD,PLACEMNT,RAD THER 76965 ECHO GUIDANCE RADIOTHERAPY 76970 ULTRASOUND EXAM FOLLOW-UP 76975 GASTROINTSTIN ENDOSC ULTRASND 76977 US BONE DENSITY MEASURE 76986 ULTRASONIC GD,INTRAOPERATIVE 76999 UNLISTED ULTRASOUND PROC 77261 RADIATION THERAPY PLANNING 77262 RADIATION THERAPY PLANNING 77263 RADIATION THERAPY PLANNING 77280 SET RADIATION THERAPY FIELD 77285 SET RADIATION THERAPY FIELD 77290 SET RADIATION THERAPY FIELD 77295 SET RADIATION THERAPY FIELD 77299 RADIATION THERAPY PLANNING 77300 RADIATION THERAPY DOSE PLAN 77301 RADIOLTHERAPY DOS PLAN, IMRT 77305 RADIATION THERAPY DOSE PLAN 77310 RADIATION THERAPY DOSE PLAN 77315 RADIATION THERAPY DOSE PLAN 77321 RADIATION THERAPY PORT PLAN 77326 BRACHYTX ISODOSE CALC SIMP 77327 BRACHYTX ISODOSE CALC INTERM 77328 BRACHYTX ISODOSE PLAN COMPL 77331 SPECIAL RADIATION DOSIMETRY 77332 RADIATION TREATMENT AID(S) 77333 RADIATION TREATMENT AID(S) 77334 RADIATION TREATMENT AID(S) 77336 RADIATION PHYSICS CONSULT 77370 RADIATION PHYSICS CONSULT 77399 EXTERNAL RADIATION DOSIMETRY 77401 RADIATION TREATMENT DELIVERY 77402 RADIATION TREATMENT DELIVERY 77403 RADIATION TREATMENT DELIVERY 77404 RADIATION TREATMENT DELIVERY 77406 RADIATION TREATMENT DELIVERY 77407 RADIATION TREATMENT DELIVERY 77408 RADIATION TREATMENT DELIVERY 77409 RADIATION TREATMENT DELIVERY 77411 RADIATION TREATMENT DELIVERY 77412 RADIATION TREATMENT DELIVERY 77413 RADIATION TREATMENT DELIVERY
- 832. 77414 RADIATION TREATMENT DELIVERY 77416 RADIATION TREATMENT DELIVERY 77417 RADIOLOGY PORT FILM(S) 77418 RADIATION TX DELIVERY, IMRT 77427 RADIATION TX MANAGEMENT, X5 77431 RADIATION THERAPY MANAGEMENT 77432 STEREOTACTIC RADIATION TRMT 77470 SPECIAL TREATMENT PROCEDURE 77499 RADIATION THERAPY MANAGEMENT 77520 PROTON TX DEL;SMPL,WO COMPNSAT 77522 PROTON TREAT DEL;SIMPLE,COMPEN 77523 PROTON TX DEL;INTERMEDIATE 77525 PROTON TREAT DELIVERY; COMPLEX 77600 HYPERTHERMIA TREATMENT 77605 HYPERTHERMIA TREATMENT 77610 HYPERTHERMIA TREATMENT 77615 HYPERTHERMIA TREATMENT 77620 HYPERTHERMIA TREATMENT 77750 INFUSE RADIOACTIVE MATERIALS 77761 INTRACAV RAD SRC APPL;SIMPLE 77762 INTRACAV RAD SRC APPL;INTERMED 77763 INTRACAV RAD SRC APPL;COMPLEX 77776 INTRSTIT RAD SRC APPL;SIMPLE 77777 INTRSTIT RAD SRC APPL;INTERMED 77778 INTRSTIT RAD SRC APPL;COMPLEX 77781 HIGH INTENSITY BRACHYTHERAPY 77782 HIGH INTENSITY BRACHYTHERAPY 77783 HIGH INTENSITY BRACHYTHERAPY 77784 HIGH INTENSITY BRACHYTHERAPY 77789 SURFACE APPL,RADIATION SOURCE 77790 SUPERVIS,HANDLNG,LOAD,RAD SRC 77799 RADIUM/RADIOISOTOPE THERAPY 78000 THYROID, SINGLE UPTAKE 78001 THYROID, MULTIPLE UPTAKES 78003 THYROID SUPPRESS/STIMUL 78006 THYROID IMAGING WITH UPTAKE 78007 THYROID IMAGE, MULT UPTAKES 78010 THYROID IMAGING 78011 THYROID IMAGING WITH FLOW 78015 THYROID MET IMAGING 78016 THYROID MET IMAGING/STUDIES 78018 THYROID MET IMAGING, BODY 78020 THYROID MET UPTAKE 78070 PARATHYROID NUCLEAR IMAGING 78075 ADRENAL NUCLEAR IMAGING 78099 ENDOCRINE NUCLEAR PROCEDURE 78102 BONE MARROW IMAGING, LTD 78103 BONE MARROW IMAGING, MULT 78104 BONE MARROW IMAGING, BODY 78110 PLASMA VOLUME, SINGLE 78111 PLASMA VOLUME, MULTIPLE 78120 RED CELL MASS, SINGLE
- 833. 78121 RED CELL MASS, MULTIPLE 78122 BLOOD VOLUME 78130 RED CELL SURVIVAL STUDY 78135 RED CELL SURVIVAL KINETICS 78140 RED CELL SEQUESTRATION 78160 PLASMA IRON TURNOVER 78162 IRON ABSORPTION EXAM 78170 RED CELL IRON UTILIZATION 78172 TOTAL BODY IRON ESTIMATION 78185 SPLEEN IMAGING 78190 PLATELET SURVIVAL, KINETICS 78191 PLATELET SURVIVAL 78195 LYMPH SYSTEM IMAGING 78199 BLOOD/LYMPH NUCLEAR EXAM 78201 LIVER IMAGING 78202 LIVER IMAGING WITH FLOW 78205 LIVER IMAGING (3D) 78206 LIVER IMAGE (3D) W/FLOW 78215 LIVER AND SPLEEN IMAGING 78216 LIVER & SPLEEN IMAGE/FLOW 78220 LIVER FUNCTION STUDY 78223 HEPATOBILIARY IMAGING 78230 SALIVARY GLAND IMAGING 78231 SERIAL SALIVARY IMAGING 78232 SALIVARY GLAND FUNCTION EXAM 78258 ESOPHAGEAL MOTILITY STUDY 78261 GASTRIC MUCOSA IMAGING 78262 GASTROESOPHAGEAL REFLUX EXAM 78264 GASTRIC EMPTYING STUDY 78267 BREATH TST ATTAIN/ANAL C-14 78268 BREATH TEST ANALYSIS, C-14 78270 VIT B-12 ABSORPTION EXAM 78271 VIT B-12 ABSORP EXAM, IF 78272 VIT B-12 ABSORP, COMBINED 78278 ACUTE GI BLOOD LOSS IMAGING 78282 GI PROTEIN LOSS EXAM 78290 MECKEL'S DIVERT EXAM 78291 LEVEEN/SHUNT PATENCY EXAM 78299 GI NUCLEAR PROCEDURE 78300 BONE IMAGING, LIMITED AREA 78305 BONE IMAGING, MULTIPLE AREAS 78306 BONE IMAGING, WHOLE BODY 78315 BONE IMAGING, 3 PHASE 78320 BONE IMAGING (3D) 78350 BONE MINERAL, SINGLE PHOTON 78351 BONE MINERAL, DUAL PHOTON 78399 MUSCULOSKELETAL NUCLEAR EXAM 78414 NON-IMAGING HEART FUNCTION 78428 CARDIAC SHUNT IMAGING 78445 VASCULAR FLOW IMAGING 78455 VENOUS THROMBOSIS STUDY 78456 ACUTE VENOUS THROMBUS IMAGE
- 834. 78457 VENOUS THROMBOSIS IMAGING 78458 VEN THROMBOSIS IMAGES, BILAT 78459 HEART MUSCLE IMAGING (PET) 78460 HEART MUSCLE BLOOD, SINGLE 78461 HEART MUSCLE BLOOD, MULTIPLE 78464 HEART IMAGE (3D), SINGLE 78465 HEART IMAGE (3D), MULTIPLE 78466 HEART INFARCT IMAGE 78468 HEART INFARCT IMAGE (EF) 78469 HEART INFARCT IMAGE (3D) 78472 GATED HEART, PLANAR, SINGLE 78473 GATED HEART, MULTIPLE 78478 HEART WALL MOTION ADD-ON 78480 HEART FUNCTION ADD-ON 78481 HEART FIRST PASS, SINGLE 78483 HEART FIRST PASS, MULTIPLE 78491 HEART IMAGE (PET), SINGLE 78492 HEART IMAGE (PET), MULTIPLE 78494 HEART IMAGE, SPECT 78496 HEART FIRST PASS ADD-ON 78499 CARDIOVASCULAR NUCLEAR EXAM 78580 LUNG PERFUSION IMAGING 78584 LUNG V/Q IMAGE SINGLE BREATH 78585 LUNG V/Q IMAGING 78586 AEROSOL LUNG IMAGE, SINGLE 78587 AEROSOL LUNG IMAGE, MULTIPLE 78588 PERFUSION LUNG IMAGE 78591 VENT IMAGE, 1 BREATH, 1 PROJ 78593 VENT IMAGE, 1 PROJ, GAS 78594 VENT IMAGE, MULT PROJ, GAS 78596 LUNG DIFFERENTIAL FUNCTION 78599 RESPIRATORY NUCLEAR EXAM 78600 BRAIN IMAGING, LTD STATIC 78601 BRAIN IMAGING, LTD W/ FLOW 78605 BRAIN IMAGING, COMPLETE 78606 BRAIN IMAGING, COMPL W/FLOW 78607 BRAIN IMAGING (3D) 78608 BRAIN IMAGING (PET) 78609 BRAIN IMAGING (PET) 78610 BRAIN FLOW IMAGING ONLY 78615 CEREBRAL VASCULAR FLOW IMAGE 78630 CEREBROSPINAL FLUID SCAN 78635 CSF VENTRICULOGRAPHY 78645 CSF SHUNT EVALUATION 78647 CEREBROSPINAL FLUID SCAN 78650 CSF LEAKAGE IMAGING 78660 NUCLEAR EXAM OF TEAR FLOW 78699 NERVOUS SYSTEM NUCLEAR EXAM 78700 KIDNEY IMAGING, STATIC 78701 KIDNEY IMAGING WITH FLOW 78704 IMAGING RENOGRAM 78707 KIDNEY FLOW/FUNCTION IMAGE
- 835. 78708 KIDNEY FLOW/FUNCTION IMAGE 78709 KIDNEY FLOW/FUNCTION IMAGE 78710 KIDNEY IMAGING (3D) 78715 RENAL VASCULAR FLOW EXAM 78725 KIDNEY FUNCTION STUDY 78730 URINARY BLADDER RETENTION 78740 URETERAL REFLUX STUDY 78760 TESTICULAR IMAGING 78761 TESTICULAR IMAGING/FLOW 78799 GENITOURINARY NUCLEAR EXAM 78800 TUMOR IMAGING, LIMITED AREA 78801 TUMOR IMAGING, MULT AREAS 78802 TUMOR IMAGING, WHOLE BODY 78803 TUMOR IMAGING (3D) 78805 RADIOPHRM LOCALZTN,LIMTED AREA 78806 RADIOPHARM LOCALZTN,WHOLE BODY 78807 RADIOPHARM LOCALZTN,TOMOGRPHC 78810 TUMOR IMAGING (PET) 78890 NUCLEAR MEDICINE DATA PROC 78891 NUCLEAR MED DATA PROC 78990 PROVIDE DIAG RADIONUCLIDE(S) 78999 NUCLEAR DIAGNOSTIC EXAM 79000 INIT HYPERTHYROID THERAPY 79001 REPEAT HYPERTHYROID THERAPY 79020 THYROID ABLATION 79030 THYROID ABLATION, CARCINOMA 79035 THYROID METASTATIC THERAPY 79100 HEMATOPOETIC NUCLEAR THERAPY 79200 INTRACAVITARY NUCLEAR TRMT 79300 INTERSTITIAL NUCLEAR THERAPY 79400 NONHEMATO NUCLEAR THERAPY 79420 INTRAVASCULAR NUCLEAR THER 79440 NUCLEAR JOINT THERAPY 79900 PROVIDE THER RADIOPHARM(S) 79999 NUCLEAR MEDICINE THERAPY 80048 BASIC METABOLIC PANEL 80050 GENERAL HEALTH PANEL 80051 ELECTROLYTE PANEL 80053 COMPREHEN METABOLIC PANEL 80055 OBSTETRIC PANEL 80061 LIPID PANEL 80069 RENAL FUNCTION PANEL 80074 ACUTE HEPATITIS PANEL 80076 HEPATIC FUNCTION PANEL 80100 DRUG SCRN,QUALIT;MULT DRG CLSS 80101 DRUG SCRN,QUALIT;SNGL DRG CLSS 80102 DRUG CONFIRMATION 80103 DRUG ANALYSIS, TISSUE PREP 80150 ASSAY OF AMIKACIN 80152 ASSAY OF AMITRIPTYLINE 80154 ASSAY OF BENZODIAZEPINES 80156 CARBAMAZEPINE; TOTAL
- 836. 80157 ASSAY, CARBAMAZEPINE, FREE 80158 ASSAY OF CYCLOSPORINE 80160 ASSAY OF DESIPRAMINE 80162 ASSAY OF DIGOXIN 80164 ASSAY, DIPROPYLACETIC ACID 80166 ASSAY OF DOXEPIN 80168 ASSAY OF ETHOSUXIMIDE 80170 ASSAY OF GENTAMICIN 80172 ASSAY OF GOLD 80173 ASSAY OF HALOPERIDOL 80174 ASSAY OF IMIPRAMINE 80176 ASSAY OF LIDOCAINE 80178 ASSAY OF LITHIUM 80182 ASSAY OF NORTRIPTYLINE 80184 ASSAY OF PHENOBARBITAL 80185 ASSAY OF PHENYTOIN, TOTAL 80186 ASSAY OF PHENYTOIN, FREE 80188 ASSAY OF PRIMIDONE 80190 ASSAY OF PROCAINAMIDE 80192 ASSAY OF PROCAINAMIDE 80194 ASSAY OF QUINIDINE 80196 ASSAY OF SALICYLATE 80197 ASSAY OF TACROLIMUS 80198 ASSAY OF THEOPHYLLINE 80200 ASSAY OF TOBRAMYCIN 80201 ASSAY OF TOPIRAMATE 80202 ASSAY OF VANCOMYCIN 80299 QUANTITATIVE ASSAY, DRUG 80400 ACTH STIMULATION PANEL 80402 ACTH STIMULATION PANEL 80406 ACTH STIMULATION PANEL 80408 ALDOSTERONE SUPPRESSION EVAL 80410 CALCITONIN STIMUL PANEL 80412 CRH STIMULATION PANEL 80414 TESTOSTERONE RESPONSE 80415 ESTRADIOL RESPONSE PANEL 80416 RENIN STIMULATION PANEL 80417 RENIN STIMULATION PANEL 80418 PITUITARY EVALUATION PANEL 80420 DEXAMETHASONE PANEL 80422 GLUCAGON TOLERANCE PANEL 80424 GLUCAGON TOLERANCE PANEL 80426 GONADOTROPIN HORMONE PANEL 80428 GROWTH HORMONE PANEL 80430 GROWTH HORMONE PANEL 80432 INSULIN SUPPRESSION PANEL 80434 INSULIN TOLERANCE PANEL 80435 INSULIN TOLERANCE PANEL 80436 METYRAPONE PANEL 80438 TRH STIMULATION PANEL 80439 TRH STIMULATION PANEL 80440 TRH STIMULATION PANEL
- 837. 80500 LAB PATHOLOGY CONSULTATION 80502 LAB PATHOLOGY CONSULTATION 81000 URINALYSIS, NONAUTO W/SCOPE 81001 URINALYSIS, AUTO W/SCOPE 81002 URINALYSIS NONAUTO W/O SCOPE 81003 URINALYSIS, AUTO, W/O SCOPE 81005 URINALYSIS 81007 URINALYSIS;BACTERIURIA SCREEN 81015 MICROSCOPIC EXAM OF URINE 81020 URINALYSIS, GLASS TEST 81025 URINE PREGNANCY TEST 81050 URINALYSIS, VOLUME MEASURE 81099 URINALYSIS TEST PROCEDURE 82000 ASSAY OF BLOOD ACETALDEHYDE 82003 ASSAY OF ACETAMINOPHEN 82009 TEST FOR ACETONE/KETONES 82010 ACETONE ASSAY 82013 ACETYLCHOLINESTERASE ASSAY 82016 ACYLCARNITINES, QUAL 82017 ACYLCARNITINES, QUANT 82024 ASSAY OF ACTH 82030 ASSAY OF ADP & AMP 82040 ASSAY OF SERUM ALBUMIN 82042 ALBUMIN;URINE OR OTHER SOURCE 82043 MICROALBUMIN, QUANTITATIVE 82044 MICROALBUMIN, SEMIQUANT 82055 ASSAY OF ETHANOL 82075 ASSAY OF BREATH ETHANOL 82085 ASSAY OF ALDOLASE 82088 ASSAY OF ALDOSTERONE 82101 ASSAY OF URINE ALKALOIDS 82103 ALPHA-1-ANTITRYPSIN, TOTAL 82104 ALPHA-1-ANTITRYPSIN, PHENO 82105 ALPHA-FETOPROTEIN, SERUM 82106 ALPHA-FETOPROTEIN, AMNIOTIC 82108 ASSAY OF ALUMINUM 82120 AMINES, VAGINAL FLUID QUAL 82127 AMINO ACID, SINGLE QUAL 82128 AMINO ACIDS, MULT QUAL 82131 AMINO ACIDS, SINGLE QUANT 82135 ASSAY, AMINOLEVULINIC ACID 82136 AMINO ACIDS, QUANT, 2-5 82139 AMINO ACIDS, QUAN, 6 OR MORE 82140 ASSAY OF AMMONIA 82143 AMNIOTIC FLUID SCAN 82145 ASSAY OF AMPHETAMINES 82150 ASSAY OF AMYLASE 82154 ANDROSTANEDIOL GLUCURONIDE 82157 ASSAY OF ANDROSTENEDIONE 82160 ASSAY OF ANDROSTERONE 82163 ASSAY OF ANGIOTENSIN II 82164 ANGIOTENSIN I ENZYME TEST
- 838. 82172 ASSAY OF APOLIPOPROTEIN 82175 ASSAY OF ARSENIC 82180 ASSAY OF ASCORBIC ACID 82190 ATOMIC ABSORPTION 82205 ASSAY OF BARBITURATES 82232 ASSAY OF BETA-2 PROTEIN 82239 BILE ACIDS, TOTAL 82240 BILE ACIDS, CHOLYLGLYCINE 82247 BILIRUBIN, TOTAL 82248 BILIRUBIN, DIRECT 82252 FECAL BILIRUBIN TEST 82261 ASSAY OF BIOTINIDASE 82270 TEST FOR BLOOD, FECES 82273 TEST FOR BLOOD, OTHER SOURCE 82274 ASSAY TEST FOR BLOOD, FECAL 82286 ASSAY OF BRADYKININ 82300 ASSAY OF CADMIUM 82306 ASSAY OF VITAMIN D 82307 ASSAY OF VITAMIN D 82308 ASSAY OF CALCITONIN 82310 ASSAY OF CALCIUM 82330 ASSAY OF CALCIUM 82331 CALCIUM INFUSION TEST 82340 ASSAY OF CALCIUM IN URINE 82355 CALCULUS ANALYSIS, QUAL 82360 CALCULUS ASSAY, QUANT 82365 CALCULUS SPECTROSCOPY 82370 X-RAY ASSAY, CALCULUS 82373 CARBOHYD DEFICIENT TRANSFERRIN 82374 ASSAY, BLOOD CARBON DIOXIDE 82375 ASSAY, BLOOD CARBON MONOXIDE 82376 TEST FOR CARBON MONOXIDE 82378 CARCINOEMBRYONIC ANTIGEN 82379 ASSAY OF CARNITINE 82380 ASSAY OF CAROTENE 82382 ASSAY, URINE CATECHOLAMINES 82383 ASSAY, BLOOD CATECHOLAMINES 82384 ASSAY, THREE CATECHOLAMINES 82387 ASSAY OF CATHEPSIN-D 82390 ASSAY OF CERULOPLASMIN 82397 CHEMILUMINESCENT ASSAY 82415 ASSAY OF CHLORAMPHENICOL 82435 ASSAY OF BLOOD CHLORIDE 82436 ASSAY OF URINE CHLORIDE 82438 ASSAY, OTHER FLUID CHLORIDES 82441 TEST FOR CHLOROHYDROCARBONS 82465 CHOLESTEROL,SERUM/WHOLE BLOOD 82480 ASSAY, SERUM CHOLINESTERASE 82482 ASSAY, RBC CHOLINESTERASE 82485 ASSAY, CHONDROITIN SULFATE 82486 GAS/LIQUID CHROMATOGRAPHY 82487 PAPER CHROMATOGRAPHY
- 839. 82488 PAPER CHROMATOGRAPHY 82489 THIN LAYER CHROMATOGRAPHY 82491 CHROMOTOGRAPHY, QUANT, SING 82492 CHROMOTOGRAPHY, QUANT, MULT 82495 ASSAY OF CHROMIUM 82507 ASSAY OF CITRATE 82520 ASSAY OF COCAINE 82523 COLLAGEN CROSSLINKS 82525 ASSAY OF COPPER 82528 ASSAY OF CORTICOSTERONE 82530 CORTISOL, FREE 82533 TOTAL CORTISOL 82540 ASSAY OF CREATINE 82541 COLUMN CHROMOTOGRAPHY, QUAL 82542 COLUMN CHROMOTOGRAPHY, QUANT 82543 COLUMN CHROMOTOGRAPH/ISOTOPE 82544 COLUMN CHROMOTOGRAPH/ISOTOPE 82550 ASSAY OF CK (CPK) 82552 ASSAY OF CPK IN BLOOD 82553 CREATINE, MB FRACTION 82554 CREATINE, ISOFORMS 82565 ASSAY OF CREATININE 82570 ASSAY OF URINE CREATININE 82575 CREATININE CLEARANCE TEST 82585 ASSAY OF CRYOFIBRINOGEN 82595 CRYOGLOBULIN, QUAL/SEMI-QUANT 82600 ASSAY OF CYANIDE 82607 VITAMIN B-12 82608 B-12 BINDING CAPACITY 82615 TEST FOR URINE CYSTINES 82626 DEHYDROEPIANDROSTERONE 82627 DEHYDROEPIANDROSTERONE 82633 DESOXYCORTICOSTERONE 82634 DEOXYCORTISOL 82638 ASSAY OF DIBUCAINE NUMBER 82646 ASSAY OF DIHYDROCODEINONE 82649 ASSAY OF DIHYDROMORPHINONE 82651 ASSAY OF DIHYDROTESTOSTERONE 82652 ASSAY OF DIHYDROXYVITAMIN D 82654 ASSAY OF DIMETHADIONE 82657 ENZYME CELL ACTIVITY 82658 ENZYME CELL ACTIVITY, RA 82664 ELECTROPHORETIC TEST 82666 ASSAY OF EPIANDROSTERONE 82668 ASSAY OF ERYTHROPOIETIN 82670 ASSAY OF ESTRADIOL 82671 ASSAY OF ESTROGENS 82672 ASSAY OF ESTROGEN 82677 ASSAY OF ESTRIOL 82679 ASSAY OF ESTRONE 82690 ASSAY OF ETHCHLORVYNOL 82693 ASSAY OF ETHYLENE GLYCOL
- 840. 82696 ASSAY OF ETIOCHOLANOLONE 82705 FATS/LIPIDS, FECES, QUAL 82710 FATS/LIPIDS, FECES, QUANT 82715 ASSAY OF FECAL FAT 82725 ASSAY OF BLOOD FATTY ACIDS 82726 LONG CHAIN FATTY ACIDS 82728 ASSAY OF FERRITIN 82731 ASSAY OF FETAL FIBRONECTIN 82735 ASSAY OF FLUORIDE 82742 ASSAY OF FLURAZEPAM 82746 BLOOD FOLIC ACID SERUM 82747 ASSAY OF FOLIC ACID, RBC 82757 ASSAY OF SEMEN FRUCTOSE 82759 ASSAY OF RBC GALACTOKINASE 82760 ASSAY OF GALACTOSE 82775 ASSAY GALACTOSE TRANSFERASE 82776 GALACTOSE TRANSFERASE TEST 82784 ASSAY OF GAMMAGLOBULIN IGM 82785 ASSAY OF GAMMAGLOBULIN IGE 82787 GAMMAGLOB;IMMUNOGLOB SUBCLASS 82800 BLOOD PH 82803 BLOOD GASES: PH, PO2 & PCO2 82805 BLOOD GASES W/02 SATURATION 82810 BLOOD GASES, O2 SAT ONLY 82820 HEMOGLOBIN-OXYGEN AFFINITY 82926 ASSAY OF GASTRIC ACID 82928 ASSAY OF GASTRIC ACID 82938 GASTRIN TEST 82941 ASSAY OF GASTRIN 82943 ASSAY OF GLUCAGON 82945 GLUCOSE,BDY FLUID,OTH THN BLOD 82946 GLUCAGON TOLERANCE TEST 82947 GLUCOSE; QUANTITATIVE, BLOOD 82948 REAGENT STRIP/BLOOD GLUCOSE 82950 GLUCOSE TEST 82951 GLUCOSE TOLERANCE TEST (GTT) 82952 GTT-ADDED SAMPLES 82953 GLUCOSE-TOLBUTAMIDE TEST 82955 ASSAY OF G6PD ENZYME 82960 TEST FOR G6PD ENZYME 82962 GLUCOSE BLOOD TEST 82963 ASSAY OF GLUCOSIDASE 82965 ASSAY OF GDH ENZYME 82975 ASSAY OF GLUTAMINE 82977 ASSAY OF GGT 82978 ASSAY OF GLUTATHIONE 82979 ASSAY, RBC GLUTATHIONE 82980 ASSAY OF GLUTETHIMIDE 82985 GLYCATED PROTEIN 83001 GONADOTROPIN (FSH) 83002 GONADOTROPIN (LH) 83003 ASSAY, GROWTH HORMONE (HGH)
- 841. 83008 ASSAY OF GUANOSINE 83010 ASSAY OF HAPTOGLOBIN, QUANT 83012 ASSAY OF HAPTOGLOBINS 83013 H PYLORI ANALYSIS 83014 H PYLORI DRUG ADMIN/COLLECT 83015 HEAVY METAL SCREEN 83018 QUANTITATIVE SCREEN, METALS 83020 HEMOGLOBIN ELECTROPHORESIS 83021 HEMOGLOBIN CHROMOTOGRAPHY 83026 HEMOGLOBIN, COPPER SULFATE 83030 FETAL HEMOGLOBIN ASSAY 83033 HEMOGLOBIN;F(FETAL),QUALITATVE 83036 GLYCATED HEMOGLOBIN TEST 83045 BLOOD METHEMOGLOBIN TEST 83050 BLOOD METHEMOGLOBIN ASSAY 83051 ASSAY OF PLASMA HEMOGLOBIN 83055 BLOOD SULFHEMOGLOBIN TEST 83060 BLOOD SULFHEMOGLOBIN ASSAY 83065 ASSAY OF HEMOGLOBIN HEAT 83068 HEMOGLOBIN STABILITY SCREEN 83069 ASSAY OF URINE HEMOGLOBIN 83070 ASSAY OF HEMOSIDERIN, QUAL 83071 ASSAY OF HEMOSIDERIN, QUANT 83080 ASSAY OF B HEXOSAMINIDASE 83088 ASSAY OF HISTAMINE 83090 HOMOCYSTINE 83150 ASSAY OF FOR HVA 83491 ASSAY OF CORTICOSTEROIDS 83497 ASSAY OF 5-HIAA 83498 ASSAY OF PROGESTERONE 83499 ASSAY OF PROGESTERONE 83500 ASSAY, FREE HYDROXYPROLINE 83505 ASSAY, TOTAL HYDROXYPROLINE 83516 IMMUNOASSAY, NONANTIBODY 83518 IMMUNOASSAY, DIPSTICK 83519 IMMUNOASSAY, NONANTIBODY 83520 IMMUNOASSAY, RIA 83525 ASSAY OF INSULIN 83527 ASSAY OF INSULIN 83528 ASSAY OF INTRINSIC FACTOR 83540 ASSAY OF IRON 83550 IRON BINDING TEST 83570 ASSAY OF IDH ENZYME 83582 ASSAY OF KETOGENIC STEROIDS 83586 ASSAY 17- KETOSTEROIDS 83593 FRACTIONATION, KETOSTEROIDS 83605 ASSAY OF LACTIC ACID 83615 LACTATE (LD) (LDH) ENZYME 83625 ASSAY OF LDH ENZYMES 83632 PLACENTAL LACTOGEN 83633 TEST URINE FOR LACTOSE 83634 ASSAY OF URINE FOR LACTOSE
- 842. 83655 ASSAY OF LEAD 83661 FETAL LUNG MATURITY;L/S RATIO 83662 FETL LUNG MATUR;FOAM STABL TST 83663 FETAL LUNG MAT;FLUORESC POLAR 83664 FETAL LUNG MAT;LAMELL BDY DENS 83670 ASSAY OF LAP ENZYME 83690 ASSAY OF LIPASE 83715 ASSAY OF BLOOD LIPOPROTEINS 83716 ASSAY OF BLOOD LIPOPROTEINS 83718 ASSAY OF LIPOPROTEIN 83719 ASSAY OF BLOOD LIPOPROTEIN 83721 ASSAY OF BLOOD LIPOPROTEIN 83727 ASSAY OF LRH HORMONE 83735 ASSAY OF MAGNESIUM 83775 ASSAY OF MD ENZYME 83785 ASSAY OF MANGANESE 83788 MASS SPECTROMETRY QUAL 83789 MASS SPECTROMETRY QUANT 83805 ASSAY OF MEPROBAMATE 83825 ASSAY OF MERCURY 83835 ASSAY OF METANEPHRINES 83840 ASSAY OF METHADONE 83857 ASSAY OF METHEMALBUMIN 83858 ASSAY OF METHSUXIMIDE 83864 MUCOPOLYSACCHARIDES 83866 MUCOPOLYSACCHARIDES SCREEN 83872 ASSAY SYNOVIAL FLUID MUCIN 83873 ASSAY OF CSF PROTEIN 83874 ASSAY OF MYOGLOBIN 83880 NATRIURETIC PEPTIDE 83883 ASSAY, NEPHELOMETRY NOT SPEC 83885 ASSAY OF NICKEL 83887 ASSAY OF NICOTINE 83890 MOLECULE ISOLATE 83891 MOLECULE ISOLATE NUCLEIC 83892 MOLECULAR DIAGNOSTICS 83893 MOLECULE DOT/SLOT/BLOT 83894 MOLECULE GEL ELECTROPHOR 83896 MOLECULAR DIAGNOSTICS 83897 MOLECULE NUCLEIC TRANSFER 83898 MOLECUL DX;AMPLIF PT NUCL ACD 83901 MOLECULE NUCLEIC AMPLI 83902 MOLECULAR DIAGNOSTICS 83903 MOLECULE MUTATION SCAN 83904 MOLECULE MUTATION IDENTIFY 83905 MOLECULE MUTATION IDENTIFY 83906 MOLECULE MUTATION IDENTIFY 83912 GENETIC EXAMINATION 83915 ASSAY OF NUCLEOTIDASE 83916 OLIGOCLONAL BANDS 83918 ORGANIC ACIDS;TOT,QUANTITATIVE 83919 ASSAY, ORGANIC ACIDS QUAL
- 843. 83921 ORGANIC ACID,SING,QUANTITATIVE 83925 ASSAY OF OPIATES 83930 ASSAY OF BLOOD OSMOLALITY 83935 ASSAY OF URINE OSMOLALITY 83937 ASSAY OF OSTEOCALCIN 83945 ASSAY OF OXALATE 83950 ONCORPROTEIN, HER-2/NEU 83970 ASSAY OF PARATHORMONE 83986 ASSAY OF BODY FLUID ACIDITY 83992 ASSAY FOR PHENCYCLIDINE 84022 ASSAY OF PHENOTHIAZINE 84030 ASSAY OF BLOOD PKU 84035 ASSAY OF PHENYLKETONES 84060 ASSAY ACID PHOSPHATASE 84061 PHOSPHATASE, FORENSIC EXAM 84066 ASSAY PROSTATE PHOSPHATASE 84075 ASSAY ALKALINE PHOSPHATASE 84078 ASSAY ALKALINE PHOSPHATASE 84080 ASSAY ALKALINE PHOSPHATASES 84081 AMNIOTIC FLUID ENZYME TEST 84085 ASSAY OF RBC PG6D ENZYME 84087 ASSAY PHOSPHOHEXOSE ENZYMES 84100 ASSAY OF PHOSPHORUS 84105 ASSAY OF URINE PHOSPHORUS 84106 TEST FOR PORPHOBILINOGEN 84110 ASSAY OF PORPHOBILINOGEN 84119 TEST URINE FOR PORPHYRINS 84120 ASSAY OF URINE PORPHYRINS 84126 ASSAY OF FECES PORPHYRINS 84127 ASSAY OF FECES PORPHYRINS 84132 ASSAY OF SERUM POTASSIUM 84133 ASSAY OF URINE POTASSIUM 84134 ASSAY OF PREALBUMIN 84135 ASSAY OF PREGNANEDIOL 84138 ASSAY OF PREGNANETRIOL 84140 ASSAY OF PREGNENOLONE 84143 ASSAY OF 17-HYDROXYPREGNENO 84144 ASSAY OF PROGESTERONE 84146 ASSAY OF PROLACTIN 84150 ASSAY OF PROSTAGLANDIN 84152 PSA;COMPLEXED (DIRECT MEASURE) 84153 ASSAY OF PSA, TOTAL 84154 ASSAY OF PSA, FREE 84155 ASSAY OF PROTEIN 84160 ASSAY OF SERUM PROTEIN 84165 ASSAY OF SERUM PROTEINS 84181 WESTERN BLOT TEST 84182 PROTEIN, WESTERN BLOT TEST 84202 ASSAY RBC PROTOPORPHYRIN 84203 TEST RBC PROTOPORPHYRIN 84206 ASSAY OF PROINSULIN 84207 ASSAY OF VITAMIN B-6
- 844. 84210 ASSAY OF PYRUVATE 84220 ASSAY OF PYRUVATE KINASE 84228 ASSAY OF QUININE 84233 ASSAY OF ESTROGEN 84234 ASSAY OF PROGESTERONE 84235 ASSAY OF ENDOCRINE HORMONE 84238 ASSAY, NONENDOCRINE RECEPTOR 84244 ASSAY OF RENIN 84252 ASSAY OF VITAMIN B-2 84255 ASSAY OF SELENIUM 84260 ASSAY OF SEROTONIN 84270 ASSAY OF SEX HORMONE GLOBUL 84275 ASSAY OF SIALIC ACID 84285 ASSAY OF SILICA 84295 ASSAY OF SERUM SODIUM 84300 ASSAY OF URINE SODIUM 84302 SODIUM; OTHER SOURCE 84305 ASSAY OF SOMATOMEDIN 84307 ASSAY OF SOMATOSTATIN 84311 SPECTROPHOTOMETRY 84315 BODY FLUID SPECIFIC GRAVITY 84375 CHROMATOGRAM ASSAY, SUGARS 84376 SUGARS, SINGLE, QUAL 84377 SUGARS, MULTIPLE, QUAL 84378 SUGARS SINGLE QUANT 84379 SUGARS MULTIPLE QUANT 84392 ASSAY OF URINE SULFATE 84402 ASSAY OF TESTOSTERONE 84403 ASSAY OF TOTAL TESTOSTERONE 84425 ASSAY OF VITAMIN B-1 84430 ASSAY OF THIOCYANATE 84432 ASSAY OF THYROGLOBULIN 84436 ASSAY OF TOTAL THYROXINE 84437 ASSAY OF NEONATAL THYROXINE 84439 ASSAY OF FREE THYROXINE 84442 ASSAY OF THYROID ACTIVITY 84443 ASSAY THYROID STIM HORMONE 84445 ASSAY OF TSI 84446 ASSAY OF VITAMIN E 84449 ASSAY OF TRANSCORTIN 84450 TRANSFERASE (AST) (SGOT) 84460 ALANINE AMINO (ALT) (SGPT) 84466 ASSAY OF TRANSFERRIN 84478 ASSAY OF TRIGLYCERIDES 84479 ASSAY OF THYROID (T3 OR T4) 84480 ASSAY, TRIIODOTHYRONINE (T3) 84481 FREE ASSAY (FT-3) 84482 T3 REVERSE 84484 ASSAY OF TROPONIN, QUANT 84485 ASSAY DUODENAL FLUID TRYPSIN 84488 TEST FECES FOR TRYPSIN 84490 ASSAY OF FECES FOR TRYPSIN
- 845. 84510 ASSAY OF TYROSINE 84512 ASSAY OF TROPONIN, QUAL 84520 ASSAY OF UREA NITROGEN 84525 UREA NITROGEN SEMI-QUANT 84540 ASSAY OF URINE/UREA-N 84545 UREA-N CLEARANCE TEST 84550 ASSAY OF BLOOD/URIC ACID 84560 ASSAY OF URINE/URIC ACID 84577 ASSAY OF FECES/UROBILINOGEN 84578 TEST URINE UROBILINOGEN 84580 ASSAY OF URINE UROBILINOGEN 84583 ASSAY OF URINE UROBILINOGEN 84585 ASSAY OF URINE VMA 84586 ASSAY OF VIP 84588 ASSAY OF VASOPRESSIN 84590 ASSAY OF VITAMIN A 84591 VITAMIN, NOS 84597 ASSAY OF VITAMIN K 84600 ASSAY OF VOLATILES 84620 XYLOSE TOLERANCE TEST 84630 ASSAY OF ZINC 84681 ASSAY OF C-PEPTIDE 84702 CHORIONIC GONADOTROPIN TEST 84703 CHORIONIC GONADOTROPIN ASSAY 84830 OVULATION TESTS 84999 CLINICAL CHEMISTRY TEST 85002 BLEEDING TIME TEST 85004 BC; AUTOMATED DIFF WBC COUNT 85007 BL SMEAR W/DIFF WBC COUNT 85008 BL SMEAR W/O DIFF WBC COUNT 85009 MANUAL DIFF WBC COUNT B-COAT 85013 HEMATOCRIT 85014 BLD CNT; HEMATOCRIT 85018 BLD CNT; HEMOGLOBIN 85025 COMPLETE CBC W/AUTO DIFF WBC 85027 COMPLETE CBC, AUTOMATED 85032 BC; MANUAL CELL COUNT, EACH 85041 BLD CNT; RBC COUNT AUTOMATED 85044 BLD CNT; RETICULOCYTE, MANUAL 85045 BLD CNT; RETICULOCYTE, AUTO 85046 RETICYTE/HGB CONCENTRATE 85048 BLD CNT; LEUKOCYTE, AUTOMATED 85049 BLOOD COUNT; PLATELET, AUTO 85060 BLOOD SMEAR INTERPRETATION 85097 BONE MARROW INTERPRETATION 85130 CHROMOGENIC SUBSTRATE ASSAY 85170 BLOOD CLOT RETRACTION 85175 BLOOD CLOT LYSIS TIME 85210 BLOOD CLOT FACTOR II TEST 85220 BLOOD CLOT FACTOR V TEST 85230 BLOOD CLOT FACTOR VII TEST 85240 BLOOD CLOT FACTOR VIII TEST
- 846. 85244 BLOOD CLOT FACTOR VIII TEST 85245 BLOOD CLOT FACTOR VIII TEST 85246 BLOOD CLOT FACTOR VIII TEST 85247 BLOOD CLOT FACTOR VIII TEST 85250 BLOOD CLOT FACTOR IX TEST 85260 BLOOD CLOT FACTOR X TEST 85270 BLOOD CLOT FACTOR XI TEST 85280 BLOOD CLOT FACTOR XII TEST 85290 BLOOD CLOT FACTOR XIII TEST 85291 BLOOD CLOT FACTOR XIII TEST 85292 BLOOD CLOT FACTOR ASSAY 85293 BLOOD CLOT FACTOR ASSAY 85300 ANTITHROMBIN III TEST 85301 ANTITHROMBIN III TEST 85302 BLOOD CLOT INHIBITOR ANTIGEN 85303 BLOOD CLOT INHIBITOR TEST 85305 BLOOD CLOT INHIBITOR ASSAY 85306 BLOOD CLOT INHIBITOR TEST 85307 ACTIV PROT C (APC) RESIST ASSA 85335 FACTOR INHIBITOR TEST 85337 THROMBOMODULIN 85345 COAGULATION TIME 85347 COAGULATION TIME 85348 COAGULATION TIME 85360 EUGLOBULIN LYSIS 85362 FIBRIN DEGRADATION PRODUCTS 85366 FIBRINOGEN TEST 85370 FIBRINOGEN TEST 85378 FIBRIN DEGRADE, SEMIQUANT 85379 FIBRIN DEGRADATION, QUANT 85380 FIBRIN DEGRADATION, VTE 85384 FIBRINOGEN 85385 FIBRINOGEN 85390 FIBRINOLYSINS SCREEN 85400 FIBRINOLYTIC PLASMIN 85410 FIBRINOLYTIC ANTIPLASMIN 85415 FIBRINOLYTIC PLASMINOGEN 85420 FIBRINOLYTIC PLASMINOGEN 85421 FIBRINOLYTIC PLASMINOGEN 85441 HEINZ BODIES, DIRECT 85445 HEINZ BODIES, INDUCED 85460 HEMOGLOBIN, FETAL 85461 HEMOGLOBIN, FETAL 85475 HEMOLYSIN 85520 HEPARIN ASSAY 85525 HEPARIN 85530 HEPARIN-PROTAMINE TOLERANCE 85536 IRON STAIN, PERIPHERAL BLOOD 85540 WBC ALKALINE PHOSPHATASE 85547 RBC MECHANICAL FRAGILITY 85549 MURAMIDASE 85555 RBC OSMOTIC FRAGILITY
- 847. 85557 RBC OSMOTIC FRAGILITY 85576 BLOOD PLATELET AGGREGATION 85597 PLATELET NEUTRALIZATION 85610 PROTHROMBIN TIME 85611 PROTHROMBIN TEST 85612 VIPER VENOM PROTHROMBIN TIME 85613 RUSSELL VIPER VENOM, DILUTED 85635 REPTILASE TEST 85651 RBC SED RATE, NONAUTOMATED 85652 RBC SED RATE, AUTOMATED 85660 RBC SICKLE CELL TEST 85670 THROMBIN TIME, PLASMA 85675 THROMBIN TIME, TITER 85705 THROMBOPLASTIN INHIBITION 85730 THROMBOPLASTIN TIME, PARTIAL 85732 THROMBOPLASTIN TIME, PARTIAL 85810 BLOOD VISCOSITY EXAMINATION 85999 HEMATOLOGY PROCEDURE 86000 AGGLUTININS, FEBRILE 86001 ALLERGN SPEC IGG QUAN/SEMIQ,EA 86003 ALLERGEN SPECIFIC IGE 86005 ALLERGEN SPECIFIC IGE 86021 WBC ANTIBODY IDENTIFICATION 86022 PLATELET ANTIBODIES 86023 IMMUNOGLOBULIN ASSAY 86038 ANTINUCLEAR ANTIBODIES 86039 ANTINUCLEAR ANTIBODIES (ANA) 86060 ANTISTREPTOLYSIN O, TITER 86063 ANTISTREPTOLYSIN O, SCREEN 86077 PHYSICIAN BLOOD BANK SERVICE 86078 PHYSICIAN BLOOD BANK SERVICE 86079 PHYSICIAN BLOOD BANK SERVICE 86140 C-REACTIVE PROTEIN 86141 C-REACTIVE PROTEIN, HS 86146 BETA 2 GLYCOPROT I ANTIBODY,EA 86147 CARDIOLIPN(PHOSPHOLIPD)ANTIBDY 86148 PHOSPHOLIPID ANTIBODY 86155 CHEMOTAXIS ASSAY 86156 COLD AGGLUTININ, SCREEN 86157 COLD AGGLUTININ, TITER 86160 COMPLEMENT, ANTIGEN 86161 COMPLEMENT/FUNCTION ACTIVITY 86162 COMPLEMENT, TOTAL (CH50) 86171 COMPLEMENT FIXATION, EACH 86185 COUNTERIMMUNOELECTROPHORESIS 86215 DEOXYRIBONUCLEASE, ANTIBODY 86225 DNA ANTIBODY 86226 DNA ANTIBODY, SINGLE STRAND 86235 NUCLEAR ANTIGEN ANTIBODY 86243 FC RECEPTOR 86255 FLUORESCENT ANTIBODY, SCREEN 86256 FLUORESCENT ANTIBODY, TITER
- 848. 86277 GROWTH HORMONE ANTIBODY 86280 HEMAGGLUTINATION INHIBITION 86294 IMMUNOASSA,TUM ANT,QUAL/SEMIQN 86300 IMMUNOAS,TUM ANT,QUANT;CA 15-3 86301 IMMUNOAS,TUM ANT,QUANT;CA 19-9 86304 IMMUNOAS,TUM ANT,QUANT; CA 125 86308 HETEROPHILE ANTIBODIES 86309 HETEROPHILE ANTIBODIES 86310 HETEROPHILE ANTIBODIES 86316 IMMUNOASSAY,TUMOR ANTGN;QUANT 86317 IMMUNOASSAY,INFECTIOUS AGENT 86318 IMMUNOASSAY,INFECTIOUS AGENT 86320 SERUM IMMUNOELECTROPHORESIS 86325 OTHER IMMUNOELECTROPHORESIS 86327 IMMUNOELECTROPHORESIS ASSAY 86329 IMMUNODIFFUSION 86331 IMMUNODIFFUSION OUCHTERLONY 86332 IMMUNE COMPLEX ASSAY 86334 IMMUNOFIXATION PROCEDURE 86336 INHIBIN A 86337 INSULIN ANTIBODIES 86340 INTRINSIC FACTOR ANTIBODY 86341 ISLET CELL ANTIBODY 86343 LEUKOCYTE HISTAMINE RELEASE 86344 LEUKOCYTE PHAGOCYTOSIS 86353 LYMPHOCYTE TRANSFORMATION 86359 T CELLS, TOTAL COUNT 86360 T CELL, ABSOLUTE COUNT/RATIO 86361 T CELL, ABSOLUTE COUNT 86376 MICROSOMAL ANTIBODY 86378 MIGRATION INHIBITORY FACTOR 86382 NEUTRALIZATION TEST, VIRAL 86384 NITROBLUE TETRAZOLIUM DYE 86403 PARTICLE AGGLUTINATION TEST 86406 PARTICLE AGGLUTINATION TEST 86430 RHEUMATOID FACTOR TEST 86431 RHEUMATOID FACTOR, QUANT 86485 SKIN TEST, CANDIDA 86490 COCCIDIOIDOMYCOSIS SKIN TEST 86510 HISTOPLASMOSIS SKIN TEST 86580 TB INTRADERMAL TEST 86585 TB TINE TEST 86586 SKIN TEST, UNLISTED 86590 STREPTOKINASE, ANTIBODY 86592 BLOOD SEROLOGY, QUALITATIVE 86593 BLOOD SEROLOGY, QUANTITATIVE 86602 ANTINOMYCES ANTIBODY 86603 ADENOVIRUS ANTIBODY 86606 ASPERGILLUS ANTIBODY 86609 BACTERIUM ANTIBODY 86611 ANTIBODY; BARTONELLA 86612 BLASTOMYCES ANTIBODY
- 849. 86615 BORDETELLA ANTIBODY 86617 LYME DISEASE ANTIBODY 86618 LYME DISEASE ANTIBODY 86619 BORRELIA ANTIBODY 86622 BRUCELLA ANTIBODY 86625 CAMPYLOBACTER ANTIBODY 86628 CANDIDA ANTIBODY 86631 CHLAMYDIA ANTIBODY 86632 CHLAMYDIA IGM ANTIBODY 86635 COCCIDIOIDES ANTIBODY 86638 Q FEVER ANTIBODY 86641 CRYPTOCOCCUS ANTIBODY 86644 CMV ANTIBODY 86645 CMV ANTIBODY, IGM 86648 DIPHTHERIA ANTIBODY 86651 ENCEPHALITIS ANTIBODY 86652 ENCEPHALITIS ANTIBODY 86653 ENCEPHALITIS ANTIBODY 86654 ENCEPHALITIS ANTIBODY 86658 ENTEROVIRUS ANTIBODY 86663 EPSTEIN-BARR ANTIBODY 86664 EPSTEIN-BARR ANTIBODY 86665 EPSTEIN-BARR ANTIBODY 86666 ANTIBODY; EHRLICHIA 86668 FRANCISELLA TULARENSIS 86671 FUNGUS ANTIBODY 86674 GIARDIA LAMBLIA ANTIBODY 86677 HELICOBACTER PYLORI 86682 HELMINTH ANTIBODY 86684 HEMOPHILUS INFLUENZA 86687 HTLV-I ANTIBODY 86688 HTLV-II ANTIBODY 86689 HTLV/HIV CONFIRMATORY TEST 86692 HEPATITIS, DELTA AGENT 86694 HERPES SIMPLEX TEST 86695 HERPES SIMPLEX TEST 86696 ANTIBODY;HERPES SIMPLEX,TYPE 2 86698 HISTOPLASMA 86701 HIV-1 86702 HIV-2 86703 HIV-1/HIV-2, SINGLE ASSAY 86704 HEP B CORE ANTIBODY(HBCAB),TOT 86705 IGM ANTIBODY 86706 HEP B SURFACE ANTIBODY 86707 HEP BE ANTIBODY 86708 HEPATITIS A ANTIBODY(HAAB),TOT 86709 HEP A ANTIBDY(HAAB),IGM ANTBDY 86710 INFLUENZA VIRUS ANTIBODY 86713 LEGIONELLA ANTIBODY 86717 LEISHMANIA ANTIBODY 86720 LEPTOSPIRA ANTIBODY 86723 LISTERIA MONOCYTOGENES AB
- 850. 86727 LYMPH CHORIOMENINGITIS AB 86729 LYMPHO VENEREUM ANTIBODY 86732 MUCORMYCOSIS ANTIBODY 86735 MUMPS ANTIBODY 86738 MYCOPLASMA ANTIBODY 86741 NEISSERIA MENINGITIDIS 86744 NOCARDIA ANTIBODY 86747 PARVOVIRUS ANTIBODY 86750 MALARIA ANTIBODY 86753 PROTOZOA ANTIBODY NOS 86756 RESPIRATORY VIRUS ANTIBODY 86757 ANTIBODY; RICKETTSIA 86759 ROTAVIRUS ANTIBODY 86762 RUBELLA ANTIBODY 86765 RUBEOLA ANTIBODY 86768 SALMONELLA ANTIBODY 86771 SHIGELLA ANTIBODY 86774 TETANUS ANTIBODY 86777 TOXOPLASMA ANTIBODY 86778 TOXOPLASMA ANTIBODY, IGM 86781 TREPONEMA PALLIDUM, CONFIRM 86784 TRICHINELLA ANTIBODY 86787 VARICELLA-ZOSTER ANTIBODY 86790 VIRUS ANTIBODY NOS 86793 YERSINIA ANTIBODY 86800 THYROGLOBULIN ANTIBODY 86803 HEPATITIS C AB TEST 86804 HEP C AB TEST, CONFIRM 86805 LYMPHOCYTOTOXICITY ASSAY 86806 LYMPHOCYTOTOXICITY ASSAY 86807 CYTOTOXIC ANTIBODY SCREENING 86808 CYTOTOXIC ANTIBODY SCREENING 86812 HLA TYPING, A, B, OR C 86813 HLA TYPING, A, B, OR C 86816 HLA TYPING, DR/DQ 86817 HLA TYPING, DR/DQ 86821 LYMPHOCYTE CULTURE, MIXED 86822 LYMPHOCYTE CULTURE, PRIMED 86849 IMMUNOLOGY PROCEDURE 86850 RBC ANTIBODY SCREEN 86860 RBC ANTIBODY ELUTION 86870 RBC ANTIBODY IDENTIFICATION 86880 COOMBS TEST 86885 COOMBS TEST 86886 COOMBS TEST 86890 AUTOLOGOUS BLOOD PROCESS 86891 AUTOLOGOUS BLOOD, OP SALVAGE 86900 BLOOD TYPING, ABO 86901 BLOOD TYPING, RH (D) 86903 BLOOD TYPING, ANTIGEN SCREEN 86904 BLOOD TYPING, PATIENT SERUM 86905 BLOOD TYPING, RBC ANTIGENS
- 851. 86906 BLOOD TYPING, RH PHENOTYPE 86910 BLOOD TYPING, PATERNITY TEST 86911 BLOOD TYPING, ANTIGEN SYSTEM 86920 COMPATIBILITY TEST 86921 COMPATIBILITY TEST 86922 COMPATIBILITY TEST 86927 PLASMA, FRESH FROZEN 86930 FROZEN BLOOD, EACH UNIT FREEZE 86931 FROZEN BLOOD, EACH UNIT THAW 86932 FRZN BLOD,EACH UNIT FREZE&THAW 86940 HEMOLYSINS/AGGLUTININS, AUTO 86941 HEMOLYSINS/AGGLUTININS 86945 BLOOD PRODUCT/IRRADIATION 86950 LEUKACYTE TRANSFUSION 86965 POOLING BLOOD PLATELETS 86970 RBC PRETREATMENT 86971 RBC PRETREATMENT 86972 RBC PRETREATMENT 86975 RBC PRETREATMENT, SERUM 86976 RBC PRETREATMENT, SERUM 86977 RBC PRETREATMENT, SERUM 86978 RBC PRETREATMENT, SERUM 86985 SPLIT BLOOD OR PRODUCTS 86999 TRANSFUSION PROCEDURE 87001 SMALL ANIMAL INOCULATION 87003 SMALL ANIMAL INOCULATION 87015 CONCNTRAT(ANY TYPE),INFCT AGNT 87040 CULT,BACT;BLD,W ISOLAT&PRESUMP 87045 FECES CULTURE, BACTERIA 87046 STOOL CULTR, BACTERIA, EACH 87070 CULT,BACT;SRC EXC UR/BLD/STL 87071 CULT,BAC;QUANT,AEROBIC,NO URIN 87073 CULT,BAC;QUANT,ANAEROBC,NO URN 87075 CULT,BACT;ANAERBC W ISOL&PRESM 87076 CULT,BACT;ANAEROB ISL,ADD METH 87077 CULT,BAC;AEROBIC,ADD ID,EA ISO 87081 CULT,PRESUMP,PATHOGEN ORGANISM 87084 CULTURE OF SPECIMEN BY KIT 87086 CULT,BACT;QUANTIT COLONY COUNT 87088 CULT,BACT;ISOLAT&PRESUM,URINE 87101 CULT,FUNGI ISOL;SKN/HAIR/NAIL 87102 CULT,FUNG ISOL;OTH SRC EXC BLD 87103 CULT,FUNGI ISOLAT,W ID,ISL;BLD 87106 CULT,FNGI,IDNT,EA ORGNSM;YEAST 87107 CULT,FUNGI,DEF ID,EA ORGN;MOLD 87109 MYCOPLASMA CULTURE 87110 CULT,CHLAMYDIA, ANY SOURCE 87116 CULT,TUB/OTH ACID-FST BACIL 87118 CULT,MYCOBACTERL,DEF IDENT,ISL 87140 CULT,TYP;IMMUNFLR METH,ANTISER 87143 CULT,TYP;GAS LIQD CHROMATOGRPH 87147 CULT,TYP;IMMUNOLOG METH,ANTISR
- 852. 87149 CULT,TYP;ID,NUCLEIC ACID PROBE 87152 CULT,TYP;ID,PULSE FIELD GEL TY 87158 CULTURE TYPING, ADDED METHOD 87164 DARK FIELD EXAMINATION 87166 DARK FIELD EXAMINATION 87168 MACROSCOPIC EXAM; ARTHROPOD 87169 MACROSCOPIC EXAM; PARASITE 87172 PINWORM EXAM (CELLOPHANE TAPE) 87176 HOMOGENIZATION, TISSUE,CULTURE 87177 OVA AND PARASITES SMEARS 87181 SUSPT STD,AGAR DILTN METH,AGNT 87184 SUSPT STD,DISK METH,PR PLT 87185 SUSCEPT STY,ANTIMICROB;ENZ DET 87186 SUSPT STD,MICR/AGR DIL,MC/BKPT 87187 SUSPT STD,MICR/AGR DIL,MLC,PL 87188 SUSPT STD,MACR DIL MTHD,EA AGT 87190 SUSPT STD,MYCOBACT,PROPOR MTH 87197 BACTERICIDAL LEVEL, SERUM 87205 SMEAR,GRM/GIEM STN,BACT,FUNG 87206 SMR,FLUO &/OR AC FS ST BCT/FNG 87207 SMEAR, SPECIAL STAIN 87210 SMR,PRI SRC;WET MT,INFECT AGNT 87220 TISS EXM,KOH SLD SMP FRM SK/HR 87230 ASSAY, TOXIN OR ANTITOXIN 87250 VIR ISL;INOC,EMBRYO EGG/SML 87252 VIR ISL;TISS CULT INOC,CYTOPTH 87253 VIR ISOL;TISS CULT,STUD/DEFIN 87254 VIRUS INOCULATION, SHELL VIL 87255 VIRUS ISOLATE; CYTOPATH EFCT 87260 INFECT AGT;IMMUNO TECH;ADNOVRS 87265 INFCT AGT;BRDET PRTUS/PARAPERT 87267 ENTEROVIRUS ANTIBODY, DFA 87270 INFECT AGT;CHLAMYDIA TRACHOMAT 87271 CRYPTOSPORIDUM ANTIBODY, DFA 87272 INFECT AGT;CRYPTOSPRID/GIARDIA 87273 INF AG AN,IMMUNOF;HRP SMP VIR2 87274 INFECT AGT;IMMUNOFL,HSV TYPE 1 87275 INF AG ANT,IMMUNOF;INFLU B VIR 87276 INFECT AGT;INFLUENZA A VIRUS 87277 INF AG AN,IMMU;LEGION MICDADEI 87278 INFECT AGT;LEGIONLLA PNEUMOPHL 87279 INF AG AN,IMMU;PARAINFLUEN VIR 87280 INFECT AGT;IMMUNOFLR TECH;RSV 87281 INF AG AN,IMM;PNEUMOCYS CARINI 87283 INFEC AGT ANT,IMMUNOFL;RUBEOLA 87285 INFECT AGT;TREPONEMA PALLIDUM 87290 INFECT AGT;VARICLLA ZOSTR VIR 87299 INFECT AGT; NOS, EA ORGSM 87300 INF AG AN,IMM,POLYVAL,EA ANTIS 87301 ADENOVIRUS AG, EIA 87320 CHYLMD TRACH AG, EIA 87324 INFECT AG;MLT STP MTH;C-DIF TX
- 853. 87327 INF AG AN,IMM;CRYPTOCOC NEOFRM 87328 CRYPTOSPOR AG, EIA 87332 CYTOMEGALOVIRUS AG, EIA 87335 E COLI 0157 AG, EIA 87336 INF AG AN,;ENTAMOE HISTOLY DIS 87337 INF AG AN,IMM;ENTAMOE HISTOLYT 87338 HPYLORI, STOOL, EIA 87339 INF AG ANT;HELICOBACTER PYLORI 87340 HEPATITIS B SURFACE AG, EIA 87341 INF AG ANT;HEP B SURF ANT NEUT 87350 HEPATITIS BE AG, EIA 87380 HEPATITIS DELTA AG, EIA 87385 HISTOPLASMA CAPSUL AG, EIA 87390 HIV-1 AG, EIA 87391 HIV-2 AG, EIA 87400 INFECT AG ANT;INFLUENZA,A/B,EA 87420 RESP SYNCYTIAL AG, EIA 87425 ROTAVIRUS AG, EIA 87427 INF AG AN,IMM;SHIGA-LIKE TOXIN 87430 STREP A AG, EIA 87449 INFECT AG;ML ST MTH,NOS,EA ORG 87450 INFECT AG;SN ST MTH,NOS,EA ORG 87451 INF AG ANT,QUAL;POLYVAL,EA ANT 87470 BARTONELLA, DNA, DIR PROBE 87471 BARTONELLA, DNA, AMP PROBE 87472 BARTONELLA, DNA, QUANT 87475 LYME DIS, DNA, DIR PROBE 87476 LYME DIS, DNA, AMP PROBE 87477 LYME DIS, DNA, QUANT 87480 CANDIDA, DNA, DIR PROBE 87481 CANDIDA, DNA, AMP PROBE 87482 CANDIDA, DNA, QUANT 87485 CHYLMD PNEUM, DNA, DIR PROBE 87486 CHYLMD PNEUM, DNA, AMP PROBE 87487 CHYLMD PNEUM, DNA, QUANT 87490 CHYLMD TRACH, DNA, DIR PROBE 87491 CHYLMD TRACH, DNA, AMP PROBE 87492 CHYLMD TRACH, DNA, QUANT 87495 CYTOMEG, DNA, DIR PROBE 87496 CYTOMEG, DNA, AMP PROBE 87497 CYTOMEG, DNA, QUANT 87510 GARDNER VAG, DNA, DIR PROBE 87511 GARDNER VAG, DNA, AMP PROBE 87512 GARDNER VAG, DNA, QUANT 87515 HEPATITIS B, DNA, DIR PROBE 87516 HEPATITIS B, DNA, AMP PROBE 87517 HEPATITIS B, DNA, QUANT 87520 HEPATITIS C, RNA, DIR PROBE 87521 HEPATITIS C, RNA, AMP PROBE 87522 HEPATITIS C, RNA, QUANT 87525 HEPATITIS G, DNA, DIR PROBE 87526 HEPATITIS G, DNA, AMP PROBE
- 854. 87527 HEPATITIS G, DNA, QUANT 87528 HSV, DNA, DIR PROBE 87529 HSV, DNA, AMP PROBE 87530 HSV, DNA, QUANT 87531 HHV-6, DNA, DIR PROBE 87532 HHV-6, DNA, AMP PROBE 87533 HHV-6, DNA, QUANT 87534 HIV-1, DNA, DIR PROBE 87535 HIV-1, DNA, AMP PROBE 87536 HIV-1, DNA, QUANT 87537 HIV-2, DNA, DIR PROBE 87538 HIV-2, DNA, AMP PROBE 87539 HIV-2, DNA, QUANT 87540 LEGION PNEUMO, DNA, DIR PROB 87541 LEGION PNEUMO, DNA, AMP PROB 87542 LEGION PNEUMO, DNA, QUANT 87550 MYCOBACTERIA, DNA, DIR PROBE 87551 MYCOBACTERIA, DNA, AMP PROBE 87552 MYCOBACTERIA, DNA, QUANT 87555 M.TUBERCULO, DNA, DIR PROBE 87556 M.TUBERCULO, DNA, AMP PROBE 87557 M.TUBERCULO, DNA, QUANT 87560 M.AVIUM-INTRA, DNA, DIR PROB 87561 M.AVIUM-INTRA, DNA, AMP PROB 87562 M.AVIUM-INTRA, DNA, QUANT 87580 M.PNEUMON, DNA, DIR PROBE 87581 M.PNEUMON, DNA, AMP PROBE 87582 M.PNEUMON, DNA, QUANT 87590 N.GONORRHOEAE, DNA, DIR PROB 87591 N.GONORRHOEAE, DNA, AMP PROB 87592 N.GONORRHOEAE, DNA, QUANT 87620 HPV, DNA, DIR PROBE 87621 HPV, DNA, AMP PROBE 87622 HPV, DNA, QUANT 87650 STREP A, DNA, DIR PROBE 87651 STREP A, DNA, AMP PROBE 87652 STREP A, DNA, QUANT 87797 INFECT AGT;DIR PRB TECH,EA ORG 87798 INFECT AGT;AMPLFD PRB TECH,EA 87799 INFECT AGT;NOS;QUANTFCT,EA ORG 87800 INF AG,NUC ACID,MULT;DIR PROBE 87801 INF AG,NUC ACD,MULT;AMPL PROBE 87802 STREP B ASSAY W/OPTIC 87803 CLOSTRIDIUM TOXIN A W/OPTIC 87804 INFLUENZA ASSAY W/OPTIC 87810 CHYLMD TRACH ASSAY W/OPTIC 87850 N. GONORRHOEAE ASSAY W/OPTIC 87880 STREP A ASSAY W/OPTIC 87899 AGENT NOS ASSAY W/OPTIC 87901 GENOTYPE, DNA, HIV REVERSE T 87902 GENOTYPE, DNA, HEPATITIS C 87903 PHENOTYPE, DNA HIV W/CULTURE
- 855. 87904 PHENOTYPE, DNA HIV W/CLT ADD 87999 MICROBIOLOGY PROCEDURE 88000 AUTOPSY (NECROPSY), GROSS 88005 AUTOPSY (NECROPSY), GROSS 88007 AUTOPSY (NECROPSY), GROSS 88012 AUTOPSY (NECROPSY), GROSS 88014 AUTOPSY (NECROPSY), GROSS 88016 AUTOPSY (NECROPSY), GROSS 88020 AUTOPSY (NECROPSY), COMPLETE 88025 AUTOPSY (NECROPSY), COMPLETE 88027 AUTOPSY (NECROPSY), COMPLETE 88028 AUTOPSY (NECROPSY), COMPLETE 88029 AUTOPSY (NECROPSY), COMPLETE 88036 LIMITED AUTOPSY 88037 LIMITED AUTOPSY 88040 FORENSIC AUTOPSY (NECROPSY) 88045 CORONER'S AUTOPSY (NECROPSY) 88099 NECROPSY (AUTOPSY) PROCEDURE 88104 CYTOPATHOLOGY, FLUIDS 88106 CYTOPATHOLOGY, FLUIDS 88107 CYTOPATHOLOGY, FLUIDS 88108 CYTOPATH, CONCENTRATE TECH 88125 FORENSIC CYTOPATHOLOGY 88130 SEX CHROMATIN IDENTIFICATION 88140 SEX CHROMATIN IDENTIFICATION 88141 CYTOPATH, C/V, INTERPRET 88142 CYTOPATH, C/V, THIN LAYER 88143 CYTOPATH C/V THIN LAYER REDO 88147 CYTOPATH, C/V, AUTOMATED 88148 CYTOPATH, C/V, AUTO RESCREEN 88150 CYTOPATH, C/V, MANUAL 88152 CYTOPATH, C/V, AUTO REDO 88153 CYTOPATH, C/V, REDO 88154 CYTOPATH, C/V, SELECT 88155 CYTOPATH, C/V, INDEX ADD-ON 88160 CYTOPATH SMEAR, OTHER SOURCE 88161 CYTOPATH SMEAR, OTHER SOURCE 88162 CYTOPATH SMEAR, OTHER SOURCE 88164 CYTOPATH TBS, C/V, MANUAL 88165 CYTOPATH TBS, C/V, REDO 88166 CYTOPATH TBS, C/V, AUTO REDO 88167 CYTOPATH TBS, C/V, SELECT 88172 CYTOPATH;IMM CYTOHSTO STD DETR 88173 CYTOPATH; INTERPRET & REPORT 88174 CYTOPATH, C/V AUTO, IN FLUID 88175 CYTOPATH C/V AUTO FLUID REDO 88180 FLW CYTOMTRY;CYTOPLS/NUCL MRKR 88182 CELL MARKER STUDY 88199 CYTOPATHOLOGY PROCEDURE 88230 TISSUE CULTURE, LYMPHOCYTE 88233 TISSUE CULTURE, SKIN/BIOPSY 88235 TISSUE CULTURE, PLACENTA
- 856. 88237 TISSUE CULTURE, BONE MARROW 88239 TISSUE CULTURE, TUMOR 88240 CELL CRYOPRESERVE/STORAGE 88241 FROZEN CELL PREPARATION 88245 CHROMOSOME ANALYSIS, 20-25 88248 CHROMOSOME ANALYSIS, 50-100 88249 CHROMOSOME ANALYSIS, 100 88261 CHROMOSOME ANALYSIS, 5 88262 CHROMOSOME ANALYSIS, 15-20 88263 CHROMOSOME ANALYSIS, 45 88264 CHROMOSOME ANALYSIS, 20-25 88267 CHROMOSOME ANALYS, PLACENTA 88269 CHROMOSOME ANALYS, AMNIOTIC 88271 CYTOGENETICS, DNA PROBE 88272 CYTOGENETICS, 3-5 88273 CYTOGENETICS, 10-30 88274 CYTOGENETICS, 25-99 88275 CYTOGENETICS, 100-300 88280 CHROMOSOME KARYOTYPE STUDY 88283 CHROMOSOME BANDING STUDY 88285 CHROMOSOME COUNT, ADDITIONAL 88289 CHROMOSOME STUDY, ADDITIONAL 88291 CYTO/MOLECULAR REPORT 88299 CYTOGENETIC STUDY 88300 SURGICAL PATH, GROSS 88302 TISSUE EXAM BY PATHOLOGIST 88304 TISSUE EXAM BY PATHOLOGIST 88305 TISSUE EXAM BY PATHOLOGIST 88307 LVL V-SURG PATHO,GROSS&MICROSC 88309 TISSUE EXAM BY PATHOLOGIST 88311 DECALCIFY TISSUE 88312 SPECIAL STAINS 88313 SPECIAL STAINS 88314 HISTOCHEMICAL STAIN 88318 CHEMICAL HISTOCHEMISTRY 88319 ENZYME HISTOCHEMISTRY 88321 MICROSLIDE CONSULTATION 88323 MICROSLIDE CONSULTATION 88325 COMPREHENSIVE REVIEW OF DATA 88329 PATHOLOGY CONSULT IN SURGERY 88331 PATH CONSULT DUR SRG;TISS BLCK 88332 PATHOLOGY CONSULT IN SURGERY 88342 IMMUNOCYTOCHEMISTRY 88346 IMMUNOFLUORESCENT STUDY 88347 IMMUNOFLUORESCENT STUDY 88348 ELECTRON MICROSCOPY 88349 SCANNING ELECTRON MICROSCOPY 88355 ANALYSIS, SKELETAL MUSCLE 88356 ANALYSIS, NERVE 88358 ANALYSIS, TUMOR 88362 NERVE TEASING PREPARATIONS 88365 TISSUE HYBRIDIZATION
- 857. 88371 PROTEIN, WESTERN BLOT TISSUE 88372 PROTEIN ANALYSIS W/PROBE 88380 MICRODISSECTION 88399 SURGICAL PATHOLOGY PROCEDURE 88400 BILIRUBIN,TOTAL,TRANSCUTANEOUS 89050 BODY FLUID CELL COUNT 89051 BODY FLUID CELL COUNT 89055 LEUKOCYTE COUNT, FECAL 89060 EXAM,SYNOVIAL FLUID CRYSTALS 89100 SAMPLE INTESTINAL CONTENTS 89105 SAMPLE INTESTINAL CONTENTS 89125 FAT STN,FECES,URINE,/RESP SECR 89130 SAMPLE STOMACH CONTENTS 89132 SAMPLE STOMACH CONTENTS 89135 SAMPLE STOMACH CONTENTS 89136 SAMPLE STOMACH CONTENTS 89140 SAMPLE STOMACH CONTENTS 89141 SAMPLE STOMACH CONTENTS 89160 EXAM FECES FOR MEAT FIBERS 89190 NASAL SMEAR FOR EOSINOPHILS 89250 FERTILIZATION OF OOCYTE 89251 CULTURE OOCYTE W/EMBRYOS 89252 ASSIST OOCYTE FERTILIZATION 89253 EMBRYO HATCHING 89254 OOCYTE IDENTIFICATION 89255 PREPARE EMBRYO FOR TRANSFER 89256 PREPARE CRYOPRESERVED EMBRYO 89257 SPERM IDENTIFICATION 89258 CRYOPRESERVATION, EMBRYO 89259 CRYOPRESERVATION, SPERM 89260 SPERM ISOLATION, SIMPLE 89261 SPERM ISOLATION, COMPLEX 89264 IDENTIFY SPERM TISSUE 89300 SEMEN ANALYSIS 89310 SEMEN ANALY; MOTILITY & CNT 89320 SEMEN ANALYSIS 89321 SEMEN ANAL,PRES &/ MOTIL,SPERM 89325 SPERM ANTIBODY TEST 89329 SPERM EVALUATION TEST 89330 EVALUATION, CERVICAL MUCUS 89350 SPUTUM SPECIMEN COLLECTION 89355 EXAM FECES FOR STARCH 89360 COLLECT SWEAT FOR TEST 89365 WATER LOAD TEST 89399 PATHOLOGY LAB PROCEDURE 90281 HUMAN IG, IM 90283 HUMAN IG, IV 90287 BOTULINUM ANTITOXIN 90288 BOTULISM IG, IV 90291 CMV IG, IV 90296 DIPHTHERIA ANTITOXIN 90371 HEP B IG, IM
- 858. 90375 RABIES IG, IM/SC 90376 RABIES IG, HEAT TREATED 90378 RSV-IGIM,FOR IM USE, 50 MG, EA 90379 RSV IG, IV 90384 RH IG, FULL-DOSE, IM 90385 RH IG, MINIDOSE, IM 90386 RH IG, IV 90389 TETANUS IG, IM 90393 VACCINA IG, IM 90396 VARICELLA-ZOSTER IG, IM 90399 IMMUNE GLOBULIN 90471 IMMUNIZATION ADMIN 90472 IMMUNIZATION ADMIN, EACH ADD 90473 IMMUNE ADMIN ORAL/NASAL 90474 IMMUNE ADMIN ORAL/NASAL ADDL 90476 ADENOVIRUS VACCINE, TYPE 4 90477 ADENOVIRUS VACCINE, TYPE 7 90581 ANTHRAX VACCINE, SC 90585 BCG VACCINE, PERCUT 90586 BCG VACCINE, INTRAVESICAL 90632 HEP A VACCINE, ADULT IM 90633 HEP A VACC, PED/ADOL, 2 DOSE 90634 HEP A VACC, PED/ADOL, 3 DOSE 90636 HEP A/HEP B VACC, ADULT IM 90645 HIB VACCINE, HBOC, IM 90646 HIB VACCINE, PRP-D, IM 90647 HIB VACCINE, PRP-OMP, IM 90648 HIB VACCINE, PRP-T, IM 90657 FLU VACCINE, 6-35 MO, IM 90658 FLU VACCINE, 3 YRS, IM 90659 FLU VACCINE, WHOLE, IM 90660 FLU VACCINE, NASAL 90665 LYME DISEASE VACCINE, IM 90669 PNEUMCOCCL CONJGT VACC,PLYVLNT 90675 RABIES VACCINE, IM 90676 RABIES VACCINE, ID 90680 ROTOVIRUS VACCINE, ORAL 90690 TYPHOID VACCINE, ORAL 90691 TYPHOID VACCINE, IM 90692 TYPHOID VACCINE, H-P, SC/ID 90693 TYPHOID VACCINE, AKD, SC 90700 DTAP VACCINE, IM 90701 DTP VACCINE, IM 90702 DT ADSRB,USE IN INDVD<7YRS,IM 90703 TETANUS VACCINE, IM 90704 MUMPS VACCINE, SC 90705 MEASLES VACCINE, SC 90706 RUBELLA VACCINE, SC 90707 MMR VACCINE, SC 90708 MEASLES-RUBELLA VACCINE, SC 90710 MMRV VACCINE, SC 90712 ORAL POLIOVIRUS VACCINE
- 859. 90713 POLIOVIRUS, IPV, SC 90716 CHICKEN POX VACCINE, SC 90717 YELLOW FEVER VACCINE, SC 90718 TD ADSRB,INDVD 7YRS OR>,IM/JET 90719 DIPHTHERIA VACCINE, IM 90720 DTP/HIB VACCINE, IM 90721 DTAP/HIB VACCINE, IM 90723 DTAP-HEPB-IPV,INACT,INTRAMUSC 90725 CHOLERA VACCINE, INJECTABLE 90727 PLAGUE VACCINE, IM 90732 PNEUMOCOCCAL VACCINE 90733 MENINGOCOCCAL VACCINE, SC 90735 ENCEPHALITIS VACCINE, SC 90740 HEPATITIS B VACC,3 DOSE,INTRAM 90743 HEPATITS B VACC,ADOLE,2,INTRAM 90744 HEP B VACC,PED/ADLESCNT DOS 90746 HEP B VACCINE, ADULT, IM 90747 HEP B VACC,DIAL/IMMNSUPPRS DOS 90748 HEP B/HIB VACCINE, IM 90749 VACCINE TOXOID 90780 IV INFUSION THERAPY, 1 HOUR 90781 IV INFUSION, ADDITIONAL HOUR 90782 INJECTION, SC/IM 90783 INJECTION, IA 90784 INJECTION, IV 90788 INJECTION OF ANTIBIOTIC 90799 THER/PROPHYLACTIC/DX INJECT 90801 PSY DX INTERVIEW 90802 INTAC PSY DX INTERVIEW 90804 PSYTX, OFFICE, 20-30 MIN 90805 PSYTX, OFF, 20-30 MIN W/E&M 90806 PSYTX, OFF, 45-50 MIN 90807 PSYTX, OFF, 45-50 MIN W/E&M 90808 PSYTX, OFFICE, 75-80 MIN 90809 PSYTX, OFF, 75-80, W/E&M 90810 INTAC PSYTX, OFF, 20-30 MIN 90811 INTAC PSYTX, 20-30, W/E&M 90812 INTAC PSYTX, OFF, 45-50 MIN 90813 INTAC PSYTX, 45-50 MIN W/E&M 90814 INTAC PSYTX, OFF, 75-80 MIN 90815 INTAC PSYTX, 75-80 W/E&M 90816 PSYTX, HOSP, 20-30 MIN 90817 PSYTX, HOSP, 20-30 MIN W/E&M 90818 PSYTX, HOSP, 45-50 MIN 90819 PSYTX, HOSP, 45-50 MIN W/E&M 90821 PSYTX, HOSP, 75-80 MIN 90822 PSYTX, HOSP, 75-80 MIN W/E&M 90823 INTAC PSYTX, HOSP, 20-30 MIN 90824 INTAC PSYTX, HSP 20-30 W/E&M 90826 INTAC PSYTX, HOSP, 45-50 MIN 90827 INTAC PSYTX, HSP 45-50 W/E&M 90828 INTAC PSYTX, HOSP, 75-80 MIN
- 860. 90829 INTAC PSYTX, HSP 75-80 W/E&M 90845 PSYCHOANALYSIS 90846 FAMILY PSYTX W/O PATIENT 90847 FAMILY PSYTX W/PATIENT 90849 MULTIPLE FAMILY GROUP PSYTX 90853 GROUP PSYCHOTHERAPY 90857 INTAC GROUP PSYTX 90862 MEDICATION MANAGEMENT 90865 NARCOSYNTHESIS 90870 ELECTROCONVULSIVE THERAPY 90871 ELECTROCONVULSIVE THERAPY 90875 PSYCHOPHYSIOLOGICAL THERAPY 90876 PSYCHOPHYSIOLOGICAL THERAPY 90880 HYPNOTHERAPY 90882 ENVIRONMENTAL MANIPULATION 90885 PSY EVALUATION OF RECORDS 90887 CONSULTATION WITH FAMILY 90889 PREPARATION OF REPORT 90899 PSYCHIATRIC SERVICE/THERAPY 90901 BIOFEEDBACK TRAIN, ANY METH 90911 BIOFEEDBACK PERI/URO/RECTAL 90918 ESRD RELATED SERVICES, MONTH 90919 ESRD RELATED SERVICES, MONTH 90920 ESRD RELATED SERVICES, MONTH 90921 ESRD RELATED SERVICES, MONTH 90922 ESRD RELATED SERVICES, DAY 90923 ESRD RELATED SERVICES, DAY 90924 ESRD RELATED SERVICES, DAY 90925 ESRD RELATED SERVICES, DAY 90935 HEMODIALYSIS, ONE EVALUATION 90937 HEMODIALYSIS, REPEATED EVAL 90939 HEMODIALYSIS STUDY, TRANSCUT 90940 HEMODIALYSIS ACCESS STUDY 90945 DIAL PROC,W 1 PHYS EVALUATION 90947 DIAL PROC,REQ REP PHY EVL 90989 DIALYSIS TRAINING, COMPLETE 90993 DIALYSIS TRAINING, INCOMPL 90997 HEMOPERFUSION 90999 DIALYSIS PROCEDURE 91000 ESOPHAGEAL INTUBATION 91010 ESOPHAGUS MOTILITY STUDY 91011 ESOPHAGUS MOTILITY STUDY 91012 ESOPHAGUS MOTILITY STUDY 91020 GASTRIC MOTILITY 91030 ACID PERFUSION OF ESOPHAGUS 91032 ESOPHAGUS, ACID REFLUX TEST 91033 PROLONGED ACID REFLUX TEST 91052 GASTRIC ANALYSIS TEST 91055 GASTRIC INTUBATION FOR SMEAR 91060 GASTRIC SALINE LOAD TEST 91065 BREATH HYDROGEN TEST 91100 PASS INTESTINE BLEEDING TUBE
- 861. 91105 GASTRIC INTUBATION TREATMENT 91122 ANAL PRESSURE RECORD 91123 IRRIGATE FECAL IMPACTION 91132 ELECTROGASTROGRP,DIAG,TRANSCUT 91133 ELECTROGASTR,DIAG;PROVOCAT TST 91299 GASTROENTEROLOGY PROCEDURE 92002 EYE EXAM, NEW PATIENT 92004 EYE EXAM, NEW PATIENT 92012 EYE EXAM ESTABLISHED PAT 92014 EYE EXAM & TREATMENT 92015 REFRACTION 92018 NEW EYE EXAM & TREATMENT 92019 EYE EXAM & TREATMENT 92020 SPECIAL EYE EVALUATION 92060 SPECIAL EYE EVALUATION 92065 ORTHOPTIC/PLEOPTIC TRAINING 92070 FITTING OF CONTACT LENS 92081 VISUAL FIELD EXAMINATION(S) 92082 VISUAL FIELD EXAMINATION(S) 92083 VISUAL FIELD EXAMINATION(S) 92100 SERIAL TONOMETRY EXAM(S) 92120 TONOGRAPHY & EYE EVALUATION 92130 WATER PROVOCATION TONOGRAPHY 92135 OPTHALMIC DX IMAGING 92136 OPHTHALMIC BIOMETRY 92140 GLAUCOMA PROVOCATIVE TESTS 92225 SPECIAL EYE EXAM, INITIAL 92226 SPECIAL EYE EXAM, SUBSEQUENT 92230 EYE EXAM WITH PHOTOS 92235 EYE EXAM WITH PHOTOS 92240 ICG ANGIOGRAPHY 92250 EYE EXAM WITH PHOTOS 92260 OPHTHALMOSCOPY/DYNAMOMETRY 92265 EYE MUSCLE EVALUATION 92270 ELECTRO-OCULOGRAPHY 92275 ELECTRORETINOGRAPHY 92283 COLOR VISION EXAMINATION 92284 DARK ADAPTATION EYE EXAM 92285 EYE PHOTOGRAPHY 92286 INTERNAL EYE PHOTOGRAPHY 92287 INTERNAL EYE PHOTOGRAPHY 92310 CONTACT LENS FITTING 92311 CONTACT LENS FITTING 92312 CONTACT LENS FITTING 92313 CONTACT LENS FITTING 92314 PRESCRIPTION OF CONTACT LENS 92315 PRESCRIPTION OF CONTACT LENS 92316 PRESCRIPTION OF CONTACT LENS 92317 PRESCRIPTION OF CONTACT LENS 92325 MODIFICATION OF CONTACT LENS 92326 REPLACEMENT OF CONTACT LENS 92330 FITTING OF ARTIFICIAL EYE
- 862. 92335 FITTING OF ARTIFICIAL EYE 92340 FITTING OF SPECTACLES 92341 FITTING OF SPECTACLES 92342 FITTING OF SPECTACLES 92352 SPECIAL SPECTACLES FITTING 92353 SPECIAL SPECTACLES FITTING 92354 SPECIAL SPECTACLES FITTING 92355 SPECIAL SPECTACLES FITTING 92358 EYE PROSTHESIS SERVICE 92370 REPAIR & ADJUST SPECTACLES 92371 REPAIR & ADJUST SPECTACLES 92390 SUPPLY OF SPECTACLES 92391 SUPPLY OF CONTACT LENSES 92392 SUPPLY OF LOW VISION AIDS 92393 SUPPLY OF ARTIFICIAL EYE 92395 SUPPLY OF SPECTACLES 92396 SUPPLY OF CONTACT LENSES 92499 EYE SERVICE OR PROCEDURE 92502 EAR AND THROAT EXAMINATION 92504 EAR MICROSCOPY EXAMINATION 92506 SPEECH/HEARING EVALUATION 92507 SPEECH/HEARING THERAPY 92508 SPEECH/HEARING THERAPY 92510 REHAB FOR EAR IMPLANT 92511 NASOPHARYNGOSCOPY 92512 NASAL FUNCTION STUDIES 92516 FACIAL NERVE FUNCTION TEST 92520 LARYNGEAL FUNCTION STUDIES 92526 ORAL FUNCTION THERAPY 92531 SPONTANEOUS NYSTAGMUS STUDY 92532 POSITIONAL NYSTAGMUS TEST 92533 CALORIC VESTIBULAR TEST 92534 OPTOKINETIC NYSTAGMUS TEST 92541 SPONTANEOUS NYSTAGMUS TEST 92542 POSITIONAL NYSTAGMUS TEST 92543 CALORIC VESTIBULAR TEST 92544 OPTOKINETIC NYSTAGMUS TEST 92545 OSCILLATING TRACKING TEST 92546 SINUSOIDAL ROTATIONAL TEST 92547 SUPPLEMENTAL ELECTRICAL TEST 92548 POSTUROGRAPHY 92551 PURE TONE HEARING TEST, AIR 92552 PURE TONE AUDIOMETRY, AIR 92553 AUDIOMETRY, AIR & BONE 92555 SPEECH THRESHOLD AUDIOMETRY 92556 SPEECH AUDIOMETRY, COMPLETE 92557 COMPREHENSIVE HEARING TEST 92559 GROUP AUDIOMETRIC TESTING 92560 BEKESY AUDIOMETRY, SCREEN 92561 BEKESY AUDIOMETRY, DIAGNOSIS 92562 LOUDNESS BALANCE TEST 92563 TONE DECAY HEARING TEST
- 863. 92564 SISI HEARING TEST 92565 STENGER TEST, PURE TONE 92567 TYMPANOMETRY 92568 ACOUSTIC REFLEX TESTING 92569 ACOUSTIC REFLEX DECAY TEST 92571 FILTERED SPEECH HEARING TEST 92572 STAGGERED SPONDAIC WORD TEST 92573 LOMBARD TEST 92575 SENSORINEURAL ACUITY TEST 92576 SYNTHETIC SENTENCE TEST 92577 STENGER TEST, SPEECH 92579 VISUAL AUDIOMETRY (VRA) 92582 CONDITIONING PLAY AUDIOMETRY 92583 SELECT PICTURE AUDIOMETRY 92584 ELECTROCOCHLEOGRAPHY 92585 AUDIT EVOK POTNT EVOK RSPN AUD 92586 AUD EVK POT,RESP &/TST CNS;LTD 92587 EVOKED AUDITORY TEST 92588 EVOKED AUDITORY TEST 92589 AUDITORY FUNCTION TEST(S) 92590 HEARING AID EXAM, ONE EAR 92591 HEARING AID EXAM, BOTH EARS 92592 HEARING AID CHECK, ONE EAR 92593 HEARING AID CHECK, BOTH EARS 92594 ELECTRO HEARNG AID TEST, ONE 92595 ELECTRO HEARNG AID TST, BOTH 92596 EAR PROTECTOR EVALUATION 92597 EVAL VOICE DVIC ORAL SPEECH 92601 COCHLEAR IMPLT <7 W PROGRAM 92602 COCHLEAR IMPLT <7 REPROGRAM 92603 COCHLEAR IMPLT >7 W PROGRAM 92604 COCHLEAR IMPLT >7 REPROGRAM 92605 EVAL FOR RX NONSPEECH DEVICE 92606 SERV USE OF NON-SPEECH DEVIC 92607 EX FOR RX SPEECH DEVICE, 1HR 92608 EX RX SPEECH DEVICE, ADDL 30 92609 SERV USE OF SPEECH DEVICE 92610 EVAL ORAL&PHARY SWALL FUNCT 92611 MOTION FLUOROSCOPY/SWALLOW 92612 FIBER ENDOSCO EVAL SWALLOW 92613 FIBER ENDO EVAL SWALOW REPOR 92614 LARYNGEAL SENSORY TESTING 92615 LARYNGEAL SENSORY TESTING RP 92616 ENDO EVAL SWAL&LARYN TESTING 92617 ENDO EVAL SWAL&LARYN TEST RP 92700 OTORHINOLARYNFOLOGICAL PROC 92950 HEART/LUNG RESUSCITATION CPR 92953 TEMPORARY EXTERNAL PACING 92960 CARDIOVERSION ELECTRIC, EXT 92961 CARDIOVERSION, ELECTRIC, INT 92970 CARDIOASSIST, INTERNAL 92971 CARDIOASSIST, EXTERNAL
- 864. 92973 PERCUT CORONARY THROMBECTOMY 92974 CATH PLACE, CARDIO BRACHYTX 92975 DISSOLVE CLOT, HEART VESSEL 92977 DISSOLVE CLOT, HEART VESSEL 92978 INTRAVASC US, HEART ADD-ON 92979 INTRAVASC US, HEART ADD-ON 92980 INSERT INTRACORONARY STENT 92981 INSERT INTRACORONARY STENT 92982 CORONARY ARTERY DILATION 92984 CORONARY ARTERY DILATION 92986 REVISION OF AORTIC VALVE 92987 REVISION OF MITRAL VALVE 92990 REVISION OF PULMONARY VALVE 92992 REVISION OF HEART CHAMBER 92993 REVISION OF HEART CHAMBER 92995 CORONARY ATHERECTOMY 92996 CORONARY ATHERECTOMY ADD-ON 92997 PUL ART BALLOON REPR, PERCUT 92998 PUL ART BALLOON REPR, PERCUT 93000 ELECTROCARDIOGRAM, COMPLETE 93005 ELECTROCARDIOGRAM, TRACING 93010 ELECTROCARDIOGRAM REPORT 93012 TELE TRANS ELECT RYTH;TRACING 93014 TELE TRANS ELECT RYTH; REPORT 93015 CARDIOVASCULAR STRESS TEST 93016 CARDIOVASCULAR STRESS TEST 93017 CARDIOVASCULAR STRESS TEST 93018 CARDIOVASCULAR STRESS TEST 93024 CARDIAC DRUG STRESS TEST 93025 MICROVOLT T-WAVE ASSESS 93040 RHYTHM ECG WITH REPORT 93041 RHYTHM ECG, TRACING 93042 RHYTHM ECG, REPORT 93224 ECG MONITOR/REPORT, 24 HRS 93225 ECG MONITOR/RECORD, 24 HRS 93226 ECG MONITOR/REPORT, 24 HRS 93227 ECG MONITOR/REVIEW, 24 HRS 93230 ECG MONITOR/REPORT, 24 HRS 93231 ECG MONITOR/RECORD, 24 HRS 93232 ECG MONITOR/REPORT, 24 HRS 93233 ECG MONITOR/REVIEW, 24 HRS 93235 ECG MONITOR/REPORT, 24 HRS 93236 ECG MONITOR/REPORT, 24 HRS 93237 ECG MONITOR/REVIEW, 24 HRS 93268 SNGL/MULT RECRD W PRESYMP MEMY 93270 SNGL/MULT RECRD W PRESYMP RCRD 93271 SNGL/MULT RECRD W PRESYMP MNTR 93272 SNGL/MULT RECRD W PRESYMP RVEW 93278 ECG/SIGNAL-AVERAGED 93303 ECHO TRANSTHORACIC 93304 ECHO TRANSTHORACIC 93307 ECHO EXAM OF HEART
- 865. 93308 ECHO EXAM OF HEART 93312 ECHO TRANSESOPHAGEAL 93313 ECHO TRANSESOPHAGEAL 93314 ECHO TRANSESOPHAGEAL 93315 ECHO TRANSESOPHAGEAL 93316 ECHO TRANSESOPHAGEAL 93317 ECHO TRANSESOPHAGEAL 93318 ECHOCARD,TRANSESOPH,PROBE,IMMD 93320 DOPPLER ECHO EXAM, HEART 93321 DOPPLER ECHO EXAM, HEART 93325 DOPPLER COLOR FLOW ADD-ON 93350 ECHO TRANSTHORACIC 93501 RIGHT HEART CATHETERIZATION 93503 INSERT/PLACE HEART CATHETER 93505 BIOPSY OF HEART LINING 93508 CATH PLACEMENT, ANGIOGRAPHY 93510 LEFT HEART CATHETERIZATION 93511 LEFT HEART CATHETERIZATION 93514 LEFT HEART CATHETERIZATION 93524 LEFT HEART CATHETERIZATION 93526 RT & LT HEART CATHETERS 93527 RT & LT HEART CATHETERS 93528 RT & LT HEART CATHETERS 93529 RT, LT HEART CATHETERIZATION 93530 RT HEART CATH, CONGENITAL 93531 R & L HEART CATH, CONGENITAL 93532 R & L HEART CATH, CONGENITAL 93533 R & L HEART CATH, CONGENITAL 93539 INJECTION, CARDIAC CATH 93540 INJECTION, CARDIAC CATH 93541 INJECTION FOR LUNG ANGIOGRAM 93542 INJECTION FOR HEART X-RAYS 93543 INJECTION FOR HEART X-RAYS 93544 INJECTION FOR AORTOGRAPHY 93545 INJECT FOR CORONARY X-RAYS 93555 IMAGING, CARDIAC CATH 93556 IMAGING, CARDIAC CATH 93561 CARDIAC OUTPUT MEASUREMENT 93562 CARDIAC OUTPUT MEASUREMENT 93571 HEART FLOW RESERVE MEASURE 93572 HEART FLOW RESERVE MEASURE 93580 TRANSCATH CLOS OF CONGENT IN 93581 TRANSCATH CLOS OF CONGENT VE 93600 BUNDLE OF HIS RECORDING 93602 INTRA-ATRIAL RECORDING 93603 RIGHT VENTRICULAR RECORDING 93609 MAP TACHYCARDIA, ADD-ON 93610 INTRA-ATRIAL PACING 93612 INTRAVENTRICULAR PACING 93613 ELECTROPHYS MAP, 3D, ADD-ON 93615 ESOPHAGEAL RECORDING 93616 ESOPHAGEAL RECORDING
- 866. 93618 HEART RHYTHM PACING 93619 ELECTROPHYSIOLOGY EVALUATION 93620 ELECTROPHYSIOLO EVAL RGT VENTR 93621 ELECTROPHYSIOLO EVAL LFT ATRUM 93622 ELECTROPHYSIOLO EVAL LFT VENTR 93623 STIMULATION, PACING HEART 93624 ELECTROPHYSIOLOGIC STUDY 93631 HEART PACING, MAPPING 93640 EVALUATION HEART DEVICE 93641 ELECTROPHYSIOLOGY EVALUATION 93642 ELECTROPHYSIOLOGY EVALUATION 93650 ABLATE HEART DYSRHYTHM FOCUS 93651 ABLATE HEART DYSRHYTHM FOCUS 93652 ABLATE HEART DYSRHYTHM FOCUS 93660 TILT TABLE EVALUATION 93662 INTRACARD ECHOCARD,THR/DG,IMAG 93668 PERIPH ART DIS (PAD) REHAB/SES 93701 BIOIMPEDANCE, THORACIC 93720 TOTAL BODY PLETHYSMOGRAPHY 93721 PLETHYSMOGRAPHY TRACING 93722 PLETHYSMOGRAPHY REPORT 93724 ANALYZE PACEMAKER SYSTEM 93727 ANALYZE ILR SYSTEM 93731 ANALYZE PACEMAKER SYSTEM 93732 ANALYZE PACEMAKER SYSTEM 93733 TELEPHONE ANALY, PACEMAKER 93734 ANALYZE PACEMAKER SYSTEM 93735 ANALYZE PACEMAKER SYSTEM 93736 TELEPHONE ANALY, PACEMAKER 93740 TEMPERATURE GRADIENT STUDIES 93741 ANALYZE HT PACE DEVICE SNGL 93742 ANALYZE HT PACE DEVICE SNGL 93743 ANALYZE HT PACE DEVICE DUAL 93744 ANALYZE HT PACE DEVICE DUAL 93760 CEPHALIC THERMOGRAM 93762 PERIPHERAL THERMOGRAM 93770 MEASURE VENOUS PRESSURE 93784 AMBULATORY BP MONITORING 93786 AMBULATORY BP RECORDING 93788 AMBULATORY BP ANALYSIS 93790 REVIEW/REPORT BP RECORDING 93797 CARDIAC REHAB 93798 CARDIAC REHAB/MONITOR 93799 CARDIOVASCULAR PROCEDURE 93875 EXTRACRANIAL STUDY 93880 EXTRACRANIAL STUDY 93882 EXTRACRANIAL STUDY 93886 INTRACRANIAL STUDY 93888 INTRACRANIAL STUDY 93922 EXTREMITY STUDY 93923 EXTREMITY STUDY 93924 EXTREMITY STUDY
- 867. 93925 LOWER EXTREMITY STUDY 93926 LOWER EXTREMITY STUDY 93930 UPPER EXTREMITY STUDY 93931 UPPER EXTREMITY STUDY 93965 EXTREMITY STUDY 93970 EXTREMITY STUDY 93971 EXTREMITY STUDY 93975 VASCULAR STUDY 93976 VASCULAR STUDY 93978 VASCULAR STUDY 93979 VASCULAR STUDY 93980 PENILE VASCULAR STUDY 93981 PENILE VASCULAR STUDY 93990 DOPPLER FLOW TESTING 94010 BREATHING CAPACITY TEST 94014 PATIENT RECORDED SPIROMETRY 94015 PATIENT RECORDED SPIROMETRY 94016 REVIEW PATIENT SPIROMETRY 94060 EVALUATION OF WHEEZING 94070 EVALUATION OF WHEEZING 94150 VITAL CAPACITY TEST 94200 LUNG FUNCTION TEST (MBC/MVV) 94240 RESIDUAL LUNG CAPACITY 94250 EXPIRED GAS COLLECTION 94260 THORACIC GAS VOLUME 94350 LUNG NITROGEN WASHOUT CURVE 94360 MEASURE AIRFLOW RESISTANCE 94370 BREATH AIRWAY CLOSING VOLUME 94375 RESPIRATORY FLOW VOLUME LOOP 94400 CO2 BREATHING RESPONSE CURVE 94450 HYPOXIA RESPONSE CURVE 94620 PULMONARY STRESS TEST/SIMPLE 94621 PULM STRESS TEST/COMPLEX 94640 INHALATION TREAT ACUTE AIRWAY 94642 AEROSOL INHALATION TREATMENT 94656 INITIAL VENTILATOR MGMT 94657 CONTINUED VENTILATOR MGMT 94660 POS AIRWAY PRESSURE, CPAP 94662 NEG PRESS VENTILATION, CNP 94664 EVAL UTIL AEROS INHALER DEVICE 94667 CHEST WALL MANIPULATION 94668 CHEST WALL MANIPULATION 94680 EXHALED AIR ANALYSIS, O2 94681 EXHALED AIR ANALYSIS, O2/CO2 94690 EXHALED AIR ANALYSIS 94720 MONOXIDE DIFFUSING CAPACITY 94725 MEMBRANE DIFFUSION CAPACITY 94750 PULMONARY COMPLIANCE STUDY 94760 MEASURE BLOOD OXYGEN LEVEL 94761 MEASURE BLOOD OXYGEN LEVEL 94762 MEASURE BLOOD OXYGEN LEVEL 94770 EXHALED CARBON DIOXIDE TEST
- 868. 94772 BREATH RECORDING, INFANT 94799 PULMONARY SERVICE/PROCEDURE 95004 ALLERGY SKIN TESTS 95010 SENSITIVITY SKIN TESTS 95015 SENSITIVITY SKIN TESTS 95024 ALLERGY SKIN TESTS 95027 INTRAC TEST W ALRG AIRBORN 95028 ALLERGY SKIN TESTS 95044 ALLERGY PATCH TESTS 95052 PHOTO PATCH TEST 95056 PHOTOSENSITIVITY TESTS 95060 EYE ALLERGY TESTS 95065 NOSE ALLERGY TEST 95070 BRONCHIAL ALLERGY TESTS 95071 BRONCHIAL ALLERGY TESTS 95075 INGESTION CHALLENGE TEST 95078 PROVOCATIVE TESTING 95115 IMMUNOTHERAPY, ONE INJECTION 95117 IMMUNOTHERAPY INJECTIONS 95120 IMMUNOTHERAPY, ONE INJECTION 95125 IMMUNOTHERAPY, MANY ANTIGENS 95130 IMMUNOTHERAPY, INSECT VENOM 95131 IMMUNOTHERAPY, INSECT VENOMS 95132 IMMUNOTHERAPY, INSECT VENOMS 95133 IMMUNOTHERAPY, INSECT VENOMS 95134 IMMUNOTHERAPY, INSECT VENOMS 95144 ANTIGEN THERAPY SERVICES 95145 ANTIGEN THERAPY SERVICES 95146 ANTIGEN THERAPY SERVICES 95147 ANTIGEN THERAPY SERVICES 95148 ANTIGEN THERAPY SERVICES 95149 ANTIGEN THERAPY SERVICES 95165 ANTIGEN THERAPY SERVICES 95170 ANTIGEN THERAPY SERVICES 95180 RAPID DESENSITIZATION 95199 ALLERGY IMMUNOLOGY SERVICES 95250 GLUCOSE MONITORING, CONT 95805 MULTIPLE SLEEP LATENCY TEST 95806 SLEEP STUDY, UNATTENDED 95807 SLEEP STUDY, ATTENDED 95808 POLYSOMNOGRAPHY, 1-3 95810 POLYSOMNOGRAPHY, 4 OR MORE 95811 POLYSOMNOGRAPHY W/CPAP 95812 EEG EXTEND MONIT 41-60 MINS 95813 EEG, OVER 1 HOUR 95816 EEG INCLDE RCRD AWAKE & DROWSY 95819 EEG INCLDE RCRD AWAKE & ASLEEP 95822 EEG RECORD IN COMA / SLEEP ONY 95824 EEG, CEREBRAL DEATH ONLY 95827 EEG ALL NIGHT RECORDING 95829 SURGERY ELECTROCORTICOGRAM 95830 INSERT ELECTRODES FOR EEG
- 869. 95831 LIMB MUSCLE TESTING, MANUAL 95832 HAND MUSCLE TESTING, MANUAL 95833 BODY MUSCLE TESTING, MANUAL 95834 BODY MUSCLE TESTING, MANUAL 95851 RANGE OF MOTION MEASUREMENTS 95852 RANGE OF MOTION MEASUREMENTS 95857 TENSILON TEST 95858 TENSILON TEST & MYOGRAM 95860 MUSCLE TEST, ONE LIMB 95861 MUSCLE TEST, TWO LIMBS 95863 MUSCLE TEST, 3 LIMBS 95864 MUSCLE TEST, 4 LIMBS 95867 NEDL ELECTRO CRNAL NRVE,UNILAT 95868 MUSCLE TEST, HEAD OR NECK 95869 NEDL ELECTRO THORACIC MUSCLES 95870 MUSCLE TEST, NONPARASPINAL 95872 MUSCLE TEST, ONE FIBER 95875 ISCHEMIC LIMB EXERCISE TEST 95900 MOTOR NERVE CONDUCTION TEST 95903 MOTOR NERVE CONDUCTION TEST 95904 SENSE NERVE CONDUCTION TEST 95920 INTRAOP NERVE TEST ADD-ON 95921 AUTONOMIC NERV FUNCTION TEST 95922 AUTONOMIC NERV FUNCTION TEST 95923 AUTONOMIC NERV FUNCTION TEST 95925 SOMATOSENSORY TESTING 95926 SOMATOSENSORY TESTING 95927 SOMATOSENSORY TESTING 95930 VISUAL EVOKED POTENTIAL TEST 95933 BLINK REFLEX TEST 95934 H-REFLEX TEST 95936 H-REFLEX TEST 95937 NEUROMUSCULAR JUNCTION TEST 95950 AMBULATORY EEG MONITORING 95951 EEG MONITORING/VIDEORECORD 95953 EEG MONITORING/COMPUTER 95954 EEG MONITORING/GIVING DRUGS 95955 EEG DURING SURGERY 95956 EEG MONITORING, CABLE/RADIO 95957 EEG DIGITAL ANALYSIS 95958 EEG MONITORING/FUNCTION TEST 95961 ELECTRODE STIMULATION, BRAIN 95962 ELECTRODE STIM, BRAIN ADD-ON 95965 MEG, SPONTANEOUS 95966 MEG, EVOKED, SINGLE 95967 MEG, EVOKED, EACH ADDL 95970 ANALYZE NEUROSTIM, NO PROG 95971 ANALYZE NEUROSTIM, SIMPLE 95972 ANALYZE NEUROSTIM, COMPLEX 95973 ANALYZE NEUROSTIM, COMPLEX 95974 CRANIAL NEUROSTIM, COMPLEX 95975 CRANIAL NEUROSTIM, COMPLEX
- 870. 95990 REFIL & MAIN SPIN/BRAIN PUMP 95999 NEUROLOGICAL PROCEDURE 96000 MOTION ANALYSIS, VIDEO/3D 96001 MOTION TEST W/FT PRESS MEAS 96002 DYNAMIC SURFACE EMG 96003 DYNAMIC FINE WIRE EMG 96004 PHYS REVIEW OF MOTION TESTS 96100 PSYCHOLOGICAL TESTING 96105 ASSESSMENT OF APHASIA 96110 DEVELOPMENTAL TEST, LIM 96111 DEVELOPMENTAL TEST, EXTEND 96115 NEUROBEHAVIOR STATUS EXAM 96117 NEUROPSYCH TEST BATTERY 96150 ASSESS HLTH/BEHAVE, INIT 96151 ASSESS HLTH/BEHAVE, SUBSEQ 96152 INTERVENE HLTH/BEHAVE, INDIV 96153 INTERVENE HLTH/BEHAVE, GROUP 96154 INTERV HLTH/BEHAV, FAM W/PT 96155 INTERV HLTH/BEHAV FAM NO PT 96400 CHEMOTHERAPY, SC/IM 96405 INTRALESIONAL CHEMO ADMIN 96406 INTRALESIONAL CHEMO ADMIN 96408 CHEMOTHERAPY, PUSH TECHNIQUE 96410 CHEMOTHERAPY,INFUSION METHOD 96412 CHEMO, INFUSE METHOD ADD-ON 96414 CHEMO, INFUSE METHOD ADD-ON 96420 CHEMOTHERAPY, PUSH TECHNIQUE 96422 CHEMOTHERAPY,INFUSION METHOD 96423 CHEMO, INFUSE METHOD ADD-ON 96425 CHEMOTHERAPY,INFUSION METHOD 96440 CHEMOTHERAPY, INTRACAVITARY 96445 CHEMOTHERAPY, INTRACAVITARY 96450 CHEMOTHERAPY, INTO CNS 96520 PUMP REFILLING, MAINTENANCE 96530 REFILL&MAIN IMPLANT PUMP SYS 96542 CHEMOTHERAPY INJECTION 96545 PROVIDE CHEMOTHERAPY AGENT 96549 CHEMOTHERAPY, UNSPECIFIED 96567 PHOTODYNAMIC TX, SKIN 96570 PHOTODYNAMIC TX, 30 MIN 96571 PHOTODYNAMIC TX, ADDL 15 MIN 96900 ULTRAVIOLET LIGHT THERAPY 96902 TRICHOGRAM 96910 PHOTOCHEMOTHERAPY WITH UV-B 96912 PHOTOCHEMOTHERAPY WITH UV-A 96913 PHOTOCHEMOTHERAPY, UV-A OR B 96920 LASER TX, SKIN < 250 SQ CM 96921 LASER TX, SKIN 250-500 SQ CM 96922 LASER TX, SKIN > 500 SQ CM 96999 DERMATOLOGICAL PROCEDURE 97001 PT EVALUATION 97002 PT RE-EVALUATION
- 871. 97003 OT EVALUATION 97004 OT RE-EVALUATION 97005 ATHLETIC TRAIN EVAL 97006 ATHLETIC TRAIN REEVAL 97010 HOT OR COLD PACKS THERAPY 97012 MECHANICAL TRACTION THERAPY 97014 ELECTRIC STIMULATION THERAPY 97016 VASOPNEUMATIC DEVICE THERAPY 97018 PARAFFIN BATH THERAPY 97020 MICROWAVE THERAPY 97022 WHIRLPOOL THERAPY 97024 DIATHERMY TREATMENT 97026 INFRARED THERAPY 97028 ULTRAVIOLET THERAPY 97032 ELECTRICAL STIMULATION 97033 ELECTRIC CURRENT THERAPY 97034 CONTRAST BATH THERAPY 97035 ULTRASOUND THERAPY 97036 HYDROTHERAPY 97039 PHYSICAL THERAPY TREATMENT 97110 THERAPEUTIC EXERCISES 97112 NEUROMUSCULAR REEDUCATION 97113 AQUATIC THERAPY/EXERCISES 97116 GAIT TRAINING THERAPY 97124 MASSAGE THERAPY 97139 PHYSICAL MEDICINE PROCEDURE 97140 MANUAL THERAPY 97150 GROUP THERAPEUTIC PROCEDURES 97504 ORTHOTIC TRAINING 97520 PROSTHETIC TRAINING 97530 THERAPEUTIC ACTIVITIES 97532 DEV COGN SKL,ATT,MEM,DIR,EA 15 97533 SENSOR TECH,SEN PROC,DIR,EA 15 97535 SELF CARE MNGMENT TRAINING 97537 COMMUNITY/WORK REINTEGRATION 97542 WHEELCHAIR MNGMENT TRAINING 97545 WORK HARDENING 97546 WORK HARDENING ADD-ON 97601 WOUND(S) CARE, SELECTIVE 97602 WOUND(S) CARE NON-SELECTIVE 97703 PROSTHETIC CHECKOUT 97750 PHYSICAL PERFORMANCE TEST 97780 ACUPUNCTURE W/O STIMUL 97781 ACUPUNCTURE W/STIMUL 97799 PHYSICAL MEDICINE PROCEDURE 97802 MED NUT THER;INIT ASSESS,EA 15 97803 MED NUT THR;RE-ASSESS,EA 15 MN 97804 MED NUTR THER;GRP(2/+),EA 30MN 98925 OSTEOPATHIC MANIPULATION 98926 OSTEOPATHIC MANIPULATION 98927 OSTEOPATHIC MANIPULATION 98928 OSTEOPATHIC MANIPULATION
- 872. 98929 OSTEOPATHIC MANIPULATION 98940 CHIROPRACTIC MANIPULATION 98941 CHIROPRACTIC MANIPULATION 98942 CHIROPRACTIC MANIPULATION 98943 CHIROPRACTIC MANIPULATION 99000 SPECIMEN HANDLING 99001 SPECIMEN HANDLING 99002 DEVICE HANDLING 99024 POSTOP FOLLOW-UP VISIT 99025 INITIAL SURGICAL EVALUATION 99026 HOSP ON CALL; IN-HOSP EACH H 99027 HOSP ON CALL; OUT-OF-HOSP HR 99050 MEDICAL SERVICES AFTER HRS 99052 MEDICAL SERVICES AT NIGHT 99054 MEDICAL SERVCS, UNUSUAL HRS 99056 NON-OFFICE MEDICAL SERVICES 99058 OFFICE EMERGENCY CARE 99070 SPECIAL SUPPLIES 99071 PATIENT EDUCATION MATERIALS 99075 MEDICAL TESTIMONY 99078 GROUP HEALTH EDUCATION 99080 SPECIAL REPORTS OR FORMS 99082 UNUSUAL PHYSICIAN TRAVEL 99090 COMPUTER DATA ANALYSIS 99091 COLLECT/REVIEW DATA FROM PT 99100 SPECIAL ANESTHESIA SERVICE 99116 ANESTHESIA WITH HYPOTHERMIA 99135 SPECIAL ANESTHESIA PROCEDURE 99140 EMERGENCY ANESTHESIA 99141 SEDATION, IV/IM OR INHALANT 99142 SEDATION, ORAL/RECTAL/NASAL 99170 ANOGENITAL EXAM, CHILD 99172 VIS FUNC SCRN,BILAT,ALGN,COLOR 99173 VISUAL SCREENING TEST 99175 INDUCTION OF VOMITING 99183 HYPERBARIC OXYGEN THERAPY 99185 REGIONAL HYPOTHERMIA 99186 TOTAL BODY HYPOTHERMIA 99190 SPECIAL PUMP SERVICES 99191 SPECIAL PUMP SERVICES 99192 SPECIAL PUMP SERVICES 99195 PHLEBOTOMY 99199 SPECIAL SERVICE/PROC/REPORT 99201 OFFICE/OUTPATIENT VISIT, NEW 99202 OFFICE/OUTPATIENT VISIT, NEW 99203 OFFICE/OUTPATIENT VISIT, NEW 99204 OFFICE/OUTPATIENT VISIT, NEW 99205 OFFICE/OUTPATIENT VISIT, NEW 99211 OFFICE/OUTPATIENT VISIT, EST 99212 OFFICE/OUTPATIENT VISIT, EST 99213 OFFICE/OUTPATIENT VISIT, EST 99214 OFFICE/OUTPATIENT VISIT, EST
- 873. 99215 OFFICE/OUTPATIENT VISIT, EST 99217 OBSERVATION CARE DISCHARGE 99218 OBSERVATION CARE 99219 OBSERVATION CARE 99220 OBSERVATION CARE 99221 INITIAL HOSPITAL CARE 99222 INITIAL HOSPITAL CARE 99223 INITIAL HOSPITAL CARE 99231 SUBSEQUENT HOSPITAL CARE 99232 SUBSEQUENT HOSPITAL CARE 99233 SUBSEQUENT HOSPITAL CARE 99234 OBSERV/HOSP SAME DATE 99235 OBSERV/HOSP SAME DATE 99236 OBSERV/HOSP SAME DATE 99238 HOSPITAL DISCHARGE DAY 99239 HOSPITAL DISCHARGE DAY 99241 OFFICE CONSULTATION 99242 OFFICE CONSULTATION 99243 OFFICE CONSULTATION 99244 OFFICE CONSULTATION 99245 OFFICE CONSULTATION 99251 INITIAL INPATIENT CONSULT 99252 INITIAL INPATIENT CONSULT 99253 INITIAL INPATIENT CONSULT 99254 INITIAL INPATIENT CONSULT 99255 INITIAL INPATIENT CONSULT 99261 FOLLOW-UP INPATIENT CONSULT 99262 FOLLOW-UP INPATIENT CONSULT 99263 FOLLOW-UP INPATIENT CONSULT 99271 CONFIRMATORY CONSULTATION 99272 CONFIRMATORY CONSULTATION 99273 CONFIRMATORY CONSULTATION 99274 CONFIRMATORY CONSULTATION 99275 CONFIRMATORY CONSULTATION 99281 EMERGENCY DEPT VISIT 99282 EMERGENCY DEPT VISIT 99283 EMERGENCY DEPT VISIT 99284 EMERGENCY DEPT VISIT 99285 EMERGENCY DEPT VISIT 99288 DIRECT ADVANCED LIFE SUPPORT 99289 PED CRIT CARE TRANSPORT 99290 PED CRIT CARE TRANSPORT ADDL 99291 CRITICAL CARE, FIRST HOUR 99292 CRITICAL CARE, ADDL 30 MIN 99293 INITIAL PED CRITICAL CARE 99294 SUBSEQ PED CRITICAL CARE 99295 NEONATE CRIT CARE, INITIAL 99296 NEONATE CRITICAL CARE SUBSEQ 99298 IC FOR LBW INFANT < 1500 GM 99299 IC, LBW INFANT 1500-2500 GM 99301 NURSING FACILITY CARE 99302 NURSING FACILITY CARE
- 874. 99303 NURSING FACILITY CARE 99311 NURSING FAC CARE, SUBSEQ 99312 NURSING FAC CARE, SUBSEQ 99313 NURSING FAC CARE, SUBSEQ 99315 NURSING FAC DISCHARGE DAY 99316 NURSING FAC DISCHARGE DAY 99321 REST HOME VISIT, NEW PATIENT 99322 REST HOME VISIT, NEW PATIENT 99323 REST HOME VISIT, NEW PATIENT 99331 REST HOME VISIT, EST PAT 99332 REST HOME VISIT, EST PAT 99333 REST HOME VISIT, EST PAT 99341 HOME VISIT, NEW PATIENT 99342 HOME VISIT, NEW PATIENT 99343 HOME VISIT, NEW PATIENT 99344 HOME VISIT, NEW PATIENT 99345 HOME VISIT, NEW PATIENT 99347 HOME VISIT, EST PATIENT 99348 HOME VISIT, EST PATIENT 99349 HOME VISIT, EST PATIENT 99350 HOME VISIT, EST PATIENT 99354 PROLONGED SERVICE, OFFICE 99355 PROLONGED SERVICE, OFFICE 99356 PROLONGED SERVICE, INPATIENT 99357 PROLONGED SERVICE, INPATIENT 99358 PROLONGED SERV, W/O CONTACT 99359 PROLONGED SERV, W/O CONTACT 99360 PHYSICIAN STANDBY SERVICES 99361 PHYSICIAN/TEAM CONFERENCE 99362 PHYSICIAN/TEAM CONFERENCE 99371 PHYSICIAN PHONE CONSULTATION 99372 PHYSICIAN PHONE CONSULTATION 99373 PHYSICIAN PHONE CONSULTATION 99374 HOME HEALTH CARE SUPERVISION 99375 HOME HEALTH CARE SUPERVISION 99377 HOSPICE CARE SUPERVISION 99378 HOSPICE CARE SUPERVISION 99379 NURSING FAC CARE SUPERVISION 99380 NURSING FAC CARE SUPERVISION 99381 PREV VISIT, NEW, INFANT 99382 PREV VISIT, NEW, AGE 1-4 99383 PREV VISIT, NEW, AGE 5-11 99384 PREV VISIT, NEW, AGE 12-17 99385 PREV VISIT, NEW, AGE 18-39 99386 PREV VISIT, NEW, AGE 40-64 99387 PREV VISIT, NEW, 65 & OVER 99391 PREV VISIT, EST, INFANT 99392 PREV VISIT, EST, AGE 1-4 99393 PREV VISIT, EST, AGE 5-11 99394 PREV VISIT, EST, AGE 12-17 99395 PREV VISIT, EST, AGE 18-39 99396 PREV VISIT, EST, AGE 40-64
- 875. 99397 PREV VISIT, EST, 65 & OVER 99401 PREVENTIVE COUNSELING, INDIV 99402 PREVENTIVE COUNSELING, INDIV 99403 PREVENTIVE COUNSELING, INDIV 99404 PREVENTIVE COUNSELING, INDIV 99411 PREVENTIVE COUNSELING, GROUP 99412 PREVENTIVE COUNSELING, GROUP 99420 HEALTH RISK ASSESSMENT TEST 99429 UNLISTED PREVENTIVE SERVICE 99431 INITIAL CARE, NORMAL NEWBORN 99432 NEWBORN CARE, NOT IN HOSP 99433 NORMAL NEWBORN CARE/HOSPITAL 99435 NEWBORN DISCHARGE DAY HOSP 99436 ATTENDANCE, BIRTH 99440 NEWBORN RESUSCITATION 99450 LIFE/DISABILITY EVALUATION 99455 DISABILITY EXAMINATION 99456 DISABILITY EXAMINATION 99499 UNLISTED E&M SERVICE 99500 HOME VISIT, PRENATAL 99501 HOME VISIT, POSTNATAL 99502 HOME VISIT, NB CARE 99503 HOME VISIT, RESP THERAPY 99504 HOME VISIT MECH VENTILATOR 99505 HOME VISIT, STOMA CARE 99506 HOME VISIT, IM INJECTION 99507 HOME VISIT, CATH MAINTAIN 99509 HOME VISIT DAY LIFE ACTIVITY 99510 HOME VISIT, SING/M/FAM COUNS 99511 HOME VISIT, FECAL/ENEMA MGMT 99512 HOME VISIT, HEMODIALYSIS 99551 HOME INFUS, PAIN MGMT, IV/SC 99552 HM INFUS PAIN MGMT, EPID/ITH 99553 HOME INFUSE, TOCOLYTIC THRPY 99554 HOME INFUS, HORMONE/PLATELET 99555 HOME INFUSE, CHEMOTHERAPHY 99556 HOME INFUS, ANTIBIO/FUNG/VIR 99557 HOME INFUSE, ANTICOAGULANT 99558 HOME INFUSE, IMMUNOTHERAPY 99559 HOME INFUS, PERITON DIALYSIS 99560 HOME INFUS, ENTERO NUTRITION 99561 HOME INFUSE, HYDRATION THRPY 99562 HOME INFUS, PARENT NUTRITION 99563 HOME ADMIN, PENTAMIDINE 99564 HME INFUS, ANTIHEMOPHIL AGNT 99565 HOME INFUS, PROTEINASE INHIB 99566 HOME INFUSE,LNG TRM IV TREAT 99567 HOME INFUSE, SYMPATH AGENT 99568 HOME INFUS,MISC DRUG,PER VISIT 99569 HOME INFUSE, EACH ADDL THRPY 99600 UNLSTED HOME VST SVC/PROC 0001T ENDOVS REP INFRARNL AAA/DISCTN
- 876. 0002T ENDOVS REP INFRARNL AAA/DISCTN 0003T CERVICOGRAPHY 0005T TRANSCATHETER PLACEMENT 0006T TRANSCATHETER PLACEMENT 0007T TRANSCATHETER PLACEMENT 0008T UGI ENDOSCOPY 0009T ENDOMETRIAL CRYOABLATION 100 ANESTH, SALIVARY GLAND 102 ANESTH, REPAIR OF CLEFT LIP 103 ANESTH, BLEPHAROPLASTY 104 ANESTH, ELECTROSHOCK 0010T TUBERCULOSIS TEST 120 ANESTH, EAR SURGERY 124 ANESTH, EAR EXAM 126 ANESTH, TYMPANOTOMY 0012T ARTHRS,KNEE,SUR,IMPLANT GRAFT 0013T ARTHRS,KNEE,SUR,IMPLANT GRAFT 140 ANESTH, PROCEDURES ON EYE 142 ANESTH, LENS SURGERY 144 ANESTH, CORNEAL TRANSPLANT 145 ANESTHES,VITREORETINAL SURGERY 147 ANESTH, IRIDECTOMY 148 ANESTH, EYE EXAM 0014T MENISCAL TRANSPLANTATION 160 ANESTH, NOSE/SINUS SURGERY 162 ANESTH, NOSE/SINUS SURGERY 164 ANESTH, BIOPSY OF NOSE 0016T DESTRCTN,LOCLZD LESION CHOROID 170 ANESTH, PROCEDURE ON MOUTH 172 ANESTH, CLEFT PALATE REPAIR 174 ANESTH, PHARYNGEAL SURGERY 176 ANESTH, PHARYNGEAL SURGERY 0017T DESTRUCTION OF MACULAR DRUSEN 0018T DELVRY MAGNETC PULSES 190 ANES,FACIAL BONE/SKULL;NOS 192 ANES,FACE BNE/SKULL;RADCL SURG 0019T EXTRACORPOREAL SHOCK WAVE TX 0020T EXTRACORPOREAL SHOCK WAVE TX 210 ANESTH, OPEN HEAD SURGERY 212 ANESTH, SKULL DRAINAGE 214 ANESTH, SKULL DRAINAGE 215 ANES INTRACRN;CRANIOPLS,XTRADR 216 ANESTH, HEAD VESSEL SURGERY 218 ANESTH, SPECIAL HEAD SURGERY 0021T TRANSCERV/TRANSVAG FETAL SENSR 220 ANESTH, INTRCRN NERVE 222 ANESTH, HEAD NERVE SURGERY 0023T INFCT AGT DRG PHENTP PREDCT 0024T NON-SX SEPTAL REDUCT TX 0025T DETERMINATN,CORNEAL THICKNESS 0026T LIPOPROTEIN,DIR MEASUREMNT 0027T ENDOSCOPIC EPIDURAL LYSIS
- 877. 0028T DEXA BODY COMPOSITION STUDY 0029T MAGNETIC TX FOR INCONTINENCE 300 ANESTH, HEAD/NECK/PTRUNK 0030T ANTIPROTHROMBIN ANTIBODY 0031T SPECULOSCOPY 320 ANESTH, NECK ORGAN, 1 & OVER 322 ANESTH, BIOPSY OF THYROID 326 ANESTH, LARYNX/TRACH, < 1 YR 0032T SPECULOSCOPY W/DIRECT SAMPLE 0033T ENDOVASC TAA REPR INCL SUBCL 0034T ENDOVASC TAA REPR W/O SUBCL 350 ANESTH, NECK VESSEL SURGERY 352 ANESTH, NECK VESSEL SURGERY 0035T INSERT ENDOVASC PROSTH, TAA 0036T ENDOVASC PROSTH, TAA, ADD-ON 0037T ARTERY TRANSPOSE/ENDOVAS TAA 0038T RAD ENDOVASC TAA RPR W/COVER 0039T RAD S/I, ENDOVASC TAA REPAIR 400 ANESTH, SKIN, EXT/PER/ATRUNK 402 ANESTH, SURGERY OF BREAST 404 ANESTH, SURGERY OF BREAST 406 ANESTH, SURGERY OF BREAST 0040T RAD S/I, ENDOVASC TAA PROSTH 410 ANESTH, CORRECT HEART RHYTHM 0041T DETECT UR INFECT AGNT W/CPAS 0042T CT PERFUSION W/CONTRAST, CBF 0043T CO EXPIRED GAS ANALYSIS 0044T WHOLE BODY PHOTOGRAPHY 450 ANESTH, SURGERY OF SHOULDER 452 ANESTH, SURGERY OF SHOULDER 454 ANESTH, COLLAR BONE BIOPSY 470 ANESTH, REMOVAL OF RIB 472 ANESTH, CHEST WALL REPAIR 474 ANESTH, SURGERY OF RIB(S) 500 ANESTH, ESOPHAGEAL SURGERY 520 ANESTH, CHEST PROCEDURE 522 ANESTH, CHEST LINING BIOPSY 524 ANESTH, CHEST DRAINAGE 528 ANESTH, CHEST PARTITION VIEW 530 ANES,PERM TRANSVEN PACEMKR 532 ANESTH, VASCULAR ACCESS 534 ANES,TRANSVEN CARDIVRTR-DEFIB 537 ANES CARD ELECTROPHY,RAD ABLAT 539 ANES, TRACHEOBRONCH RECONS 540 ANESTH, CHEST SURGERY 541 ANESTH, ONE LUNG VENTILATION 542 ANESTH, RELEASE OF LUNG 544 ANESTH, CHEST LINING REMOVAL 546 ANESTH, LUNG,CHEST WALL SURG 548 ANESTH, TRACHEA,BRONCHI SURG 550 ANES FOR STERNAL DEBRIDEMENT 560 ANESTH, OPEN HEART SURGERY
- 878. 562 ANESTH, OPEN HEART SURGERY 563 ANESTH, HEART PROC W/PUMP 566 ANES COR ART BYP GF WO PMP OXY 580 ANESTH HEART/LUNG TRANSPLANT 600 ANESTH, SPINE, CORD SURGERY 604 ANES,PROC,CERVCL SPN & CORD 620 ANESTH, SPINE, CORD SURGERY 622 ANESTH, REMOVAL OF NERVES 630 ANESTH, SPINE, CORD SURGERY 632 ANESTH, REMOVAL OF NERVES 634 ANESTH FOR CHEMONUCLEOLYSIS 635 ANES LUMB;DIAG/THER LMBR PUNCT 640 ANESTH, SPINE MANIPULATION 670 ANES,XTENSIVE SPINE&SPINL CORD 700 ANESTH, ABDOMINAL WALL SURG 702 ANESTH, FOR LIVER BIOPSY 730 ANESTH, ABDOMINAL WALL SURG 740 ANESTH, UPPER GI VISUALIZE 750 ANESTH, REPAIR OF HERNIA 752 ANESTH, REPAIR OF HERNIA 754 ANESTH, REPAIR OF HERNIA 756 ANESTH, REPAIR OF HERNIA 770 ANESTH, BLOOD VESSEL REPAIR 790 ANESTH, SURG UPPER ABDOMEN 792 ANES INTRPERIT PROC IN UP ABD 794 ANESTH, PANCREAS REMOVAL 796 ANESTH, FOR LIVER TRANSPLANT 797 ANESTH, SURGERY FOR OBESITY 800 ANESTH, ABDOMINAL WALL SURG 802 ANESTH, FAT LAYER REMOVAL 810 ANESTH, LOW INTESTINE SCOPE 820 ANESTH, ABDOMINAL WALL SURG 830 ANESTH, REPAIR OF HERNIA 832 ANESTH, REPAIR OF HERNIA 834 ANESTH, HERNIA REPAIR< 1 YR 836 ANESTH HERNIA REPAIR PREEMIE 840 ANESTH, SURG LOWER ABDOMEN 842 ANESTH, AMNIOCENTESIS 844 ANESTH, PELVIS SURGERY 846 ANESTH, HYSTERECTOMY 848 ANESTH, PELVIC ORGAN SURG 851 ANESTH, TUBAL LIGATION 860 ANESTH, SURGERY OF ABDOMEN 862 ANESTH, KIDNEY/URETER SURG 864 ANESTH, REMOVAL OF BLADDER 865 ANESTH, REMOVAL OF PROSTATE 866 ANESTH, REMOVAL OF ADRENAL 868 ANESTH, KIDNEY TRANSPLANT 870 ANESTH, BLADDER STONE SURG 872 ANESTH KIDNEY STONE DESTRUCT 873 ANESTH KIDNEY STONE DESTRUCT 880 ANESTH, ABDOMEN VESSEL SURG
- 879. 882 ANESTH, MAJOR VEIN LIGATION 902 ANESTHESIA,ANORECTAL PROCEDURE 904 ANESTHESIA,RADCL PERINEAL PROC 906 ANESTHESIA FOR; VULVECTOMY 908 ANES,PERINEAL PROSTATECTOMY 910 ANESTH, BLADDER SURGERY 912 ANESTH, BLADDER TUMOR SURG 914 ANESTH, REMOVAL OF PROSTATE 916 ANESTH, BLEEDING CONTROL 918 ANESTH, STONE REMOVAL 920 ANES,MALE GEN(INC OP URTH);NOS 921 ANESTH, VASECTOMY 922 ANES,MALE GEN(URTH);SEMIN VES 924 ANES,MALE GEN;UNDESCND TESTI 926 ANS,ML GEN;RAD ORCHIECT,INGUIN 928 ANES,MALE GEN;RAD ORCHIECT,ABD 930 ANES,MALE GEN;ORCHIOPX, UNI/BI 932 ANES,MALE GEN;COMP AMP,PENIS 934 ANS,ML GEN;BI NGUIN LYMPHADNCT 936 ANS,ML GN; NGUIN&IL LYMPHDNCT 938 ANS,ML GEN;INSRT PENILE PROSTH 940 ANESTH, VAGINAL PROCEDURES 942 ANESTH, SURG ON VAG/URETHAL 944 ANESTH, VAGINAL HYSTERECTOMY 948 ANESTH, REPAIR OF CERVIX 950 ANESTH, VAGINAL ENDOSCOPY 952 ANESTH, HYSTEROSCOPE/GRAPH 1112 ANES BNE MAR ASP/BX,ILIAC CRST 1120 ANESTH, PELVIS SURGERY 1130 ANESTH, BODY CAST PROCEDURE 1140 ANESTH, AMPUTATION AT PELVIS 1150 ANESTH, PELVIC TUMOR SURGERY 1160 ANESTH, PELVIS PROCEDURE 1170 ANESTH, PELVIS SURGERY 1180 ANESTH, PELVIS NERVE REMOVAL 1190 ANESTH, PELVIS NERVE REMOVAL 1200 ANESTH, HIP JOINT PROCEDURE 1202 ANESTH, ARTHROSCOPY OF HIP 1210 ANESTH, HIP JOINT SURGERY 1212 ANESTH, HIP DISARTICULATION 1214 ANESTH, HIP ARTHROPLASTY 1215 ANES OPN,HIP JT;TOT HIP ARTHRO 1220 ANESTH, PROCEDURE ON FEMUR 1230 ANESTH, SURGERY OF FEMUR 1232 ANESTH, AMPUTATION OF FEMUR 1234 ANESTH, RADICAL FEMUR SURG 1250 ANESTH, UPPER LEG SURGERY 1260 ANESTH, UPPER LEG VEINS SURG 1270 ANESTH, THIGH ARTERIES SURG 1272 ANESTH, FEMORAL ARTERY SURG 1274 ANESTH, FEMORAL EMBOLECTOMY 1320 ANESTH, KNEE AREA SURGERY
- 880. 1340 ANESTH, KNEE AREA PROCEDURE 1360 ANESTH, KNEE AREA SURGERY 1380 ANESTH, KNEE JOINT PROCEDURE 1382 ANESTH, DX ARTHROSCOPY KNEE 1390 ANESTH, KNEE AREA PROCEDURE 1392 ANESTH, KNEE AREA SURGERY 1400 ANESTH, SURGERY KNEE JOINT 1402 ANESTH, KNEE ARTHROPLASTY 1404 ANESTH,DISARTICULATION AT KNEE 1420 ANESTH, KNEE JOINT CASTING 1430 ANESTH, KNEE VEINS SURGERY 1432 ANESTH, KNEE VESSEL SURG 1440 ANESTH, KNEE ARTERIES SURG 1442 ANESTH, KNEE ARTERY SURG 1444 ANESTH, KNEE ARTERY REPAIR 1462 ANESTH, LOWER LEG PROCEDURE 1464 ANESTH, ARTHROSCOPY ANKLE/FT 1470 ANESTH, LOWER LEG SURGERY 1472 ANESTH, ACHILLES TENDON SURG 1474 ANESTH, LOWER LEG SURGERY 1480 ANESTH, LOWER LEG BONE SURG 1482 ANS OPN,PRC BNE LOW LEG,ANK,FT 1484 ANESTH, LOWER LEG REVISION 1486 ANESTH, ANKLE REPLACEMENT 1490 ANESTH, LOWER LEG CASTING 1500 ANESTH, LEG ARTERIES SURG 1502 ANESTH, LWR LEG EMBOLECTOMY 1520 ANESTH, LOWER LEG VEIN SURG 1522 ANESTH, LOWER LEG VEIN SURG 1610 ANESTH, SURGERY OF SHOULDER 1620 ANESTH, SHOULDER PROCEDURE 1622 ANES DX ARTHROSCOPY SHOULDER 1630 ANESTH,SURG ARTHROSCP SHOULDER 1632 ANES,SURG OF SHOULDER RAD RESE 1634 ANES, DISARTICULATION SHOULDER 1636 ANESTH, SURG FOREQUARTER AMPUT 1638 ANESTH, SHOULDER REPLACEMENT 1650 ANESTH, SHOULDER ARTERY SURG 1652 ANESTH, SHOULDER VESSEL SURG 1654 ANESTH, SHOULDER VESSEL SURG 1656 ANESTH, ARM-LEG VESSEL SURG 1670 ANESTH, SHOULDER VEIN SURG 1680 ANESTH, SHOULDER CASTING 1682 ANESTH, AIRPLANE CAST 1710 ANESTH, ELBOW AREA SURGERY 1712 ANESTH, UPPR ARM TENDON SURG 1714 ANESTH, UPPR ARM TENDON SURG 1716 ANESTH, BICEPS TENDON REPAIR 1730 ANESTH, UPPR ARM PROCEDURE 1732 ANESTH, DX ARTHROSCOPY ELBOW 1740 ANESTH, SURG ARTHROSCOPY ELBOW 1742 ANESTH, SURG OSTEOTOMY HUMERUS
- 881. 1744 ANESTH, SURG REPAIR HUMERUS 1756 ANESTH,SURG ARTH EBOW RAD PROC 1758 ANESTH,SURG EBOW EXCS HUMERAL 1760 ANESTH, ELBOW REPLACEMENT 1770 ANESTH, UPPR ARM ARTERY SURG 1772 ANESTH, UPPR ARM EMBOLECTOMY 1780 ANESTH, UPPER ARM VEIN SURG 1782 ANESTH, UPPR ARM VEIN REPAIR 1810 ANESTH, LOWER ARM SURGERY 1820 ANESTH, LOWER ARM PROCEDURE 1829 ANESTH, DX WRIST ARTHROSCOPY 1830 ANESTH, SURG ARTHRO HAND JOINT 1832 ANESTH, WRIST REPLACEMENT 1840 ANESTH, LWR ARM ARTERY SURG 1842 ANESTH, LWR ARM EMBOLECTOMY 1844 ANESTH, VASCULAR SHUNT SURG 1850 ANESTH, LOWER ARM VEIN SURG 1852 ANESTH, LWR ARM VEIN REPAIR 1860 ANESTH, LOWER ARM CASTING 1905 ANES, SPINE INJECT, X-RAY/RE 1916 ANESTH, DX ARTERIOGRAPHY 1920 ANESTH, CATHETERIZE HEART 1922 ANESTH, CAT OR MRI SCAN 1924 ANES, THER INTERVEN RAD, ART 1925 ANES, THER INTERVEN RAD, CAR 1926 ANES, TX INTERV RAD HRT/CRAN 1930 ANES, THER INTERVEN RAD, VEI 1931 ANES, THER INTERVEN RAD, TIP 1932 ANES, TX INTERV RAD, TH VEIN 1933 ANES, TX INTERV RAD, CRAN V 1951 ANESTH, BURN, LESS 4 PERCENT 1952 ANESTH, BURN, 4-9 PERCENT 1953 ANESTH, BURN, EACH 9 PERCENT 1960 ANESTH, VAGINAL DELIVERY 1961 ANESTH, CESAREAN DELIVERY 1962 ANESTH, URGENT HYSTERECTOMY 1963 ANESTH, CESAREAN HYST WO LABOR 1964 ANESTH, ABORTION PROCEDURES 1967 ANESTH/ANALG, VAG DELIVERY 1968 ANES CS DELIV NEURAXIAL LABOR 1969 ANES CS DELIV HYST NEURAX LABR 1990 SUPPORT FOR ORGAN DONOR 1991 ANESTH, NERVE BLOCK/INJ 1992 ANESTH, N BLOCK/INJ, PRONE 1995 REGIONAL ANESTHESIA LIMB 1996 HOSP MANAGE CONT DRUG ADMIN 1999 UNLISTED ANESTH PROCEDURE A0021 OUTSIDE STATE AMBULANCE SERV A0080 NON-EMERG,/MILE-VOLUNTER VHCL A0090 NON-EMERG,/MILE-VHCL INDVDUAL A0100 NON-EMRGNCY TRNSPRTATION; TAXI A0110 NONEMERGENCY TRANSPORT BUS
- 882. A0120 NON-EMERG: MINI-BUS,/ OTHER A0130 NONER TRANSPORT WHEELCH VAN A0140 NONEMERGENCY TRANSPORT AIR A0160 NONER TRANSPORT CASE WORKER A0170 TRANSPORT ANCILLARY:PARK FEES A0180 NONER TRANSPORT LODGNG RECIP A0190 NONER TRANSPORT MEALS RECIP A0200 NONER TRANSPORT LODGNG ESCRT A0210 NONER TRANSPORT MEALS ESCORT A0225 NEONATAL EMERGENCY TRANSPORT A0380 BASIC LIFE SUPPORT MILEAGE A0382 BLS ROUTINE DISPOS SUPPLIES A0384 BLS DEFIBRILLATION SUPPLIES A0390 ADVANCED LIFE SUPPORT MILEAG A0392 ALS DEFIBRILLATION SUPPLIES A0394 ALS IV DRUG THERAPY SUPPLIES A0396 ALS ESOPHAGEAL INTUB SUPPLS A0398 ALS ROUTINE DISPOSABLE SUPPLS A0420 AMBULANCE WAIT 1/2 HR INCRMTS A0422 ALS/BLS 02 LIFE SUSTAIN SIT A0424 EXTRA AMBULANCE ATTENDANT,AIR A0425 GROUND MILEAGE,PER STATUTE MLE A0426 AMB SRV,ADV LF SPT,NON-EMG,LV1 A0427 AMB SRV,ADV LF SPT,EMRG,LEVEL1 A0428 AMB SRV,BSC LF SPT,NON-EMR TRN A0429 AMB SRV,BSC LF SPT,EMERG TRNSP A0430 AMB,CONVN AIR,TRNS,1WY FXD WNG A0431 AMB,CONVN AIR,TRNS,1WY RTR WNG A0432 PI,RURL,VOLUN AMB,PRHB,3RD PTY A0433 ADVND LF SPPRT,LEVEL 2 (ALS 2) A0434 SPECIALTY CARE TRANSPORT (SCT) A0435 FXD WNG AR MLG,PER STATUTE MLE A0436 RTRY WNG AIR MLG,PER STAT MILE A0888 NONCOVERED AMBULANCE MILEAGE A0999 UNLISTED AMBULANCE SERVICE A4206 1 CC STERILE SYRINGE&NEEDLE A4207 2 CC STERILE SYRINGE&NEEDLE A4208 3 CC STERILE SYRINGE&NEEDLE A4209 5+ CC STERILE SYRINGE&NEEDLE A4210 NONNEEDLE INJECTION DEVICE A4211 SUPP FOR SELF-ADM INJECTIONS A4212 NON CORING NEEDLE OR STYLET A4213 20+ CC SYRINGE ONLY A4214 30 CC STERILE WATER/ SALINE A4215 STERILE NEEDLE A4220 INFUSION PUMP REFILL KIT A4221 MAINT DRUG INFUS CATH PER WK A4222 DRUG INFUSION PUMP SUPPLIES A4230 INFUS INSULIN PUMP NON NEEDLE A4231 INFUSION INSULIN PUMP NEEDLE A4232 SYRINGE W/NEEDLE INSULIN 3CC A4244 ALCOHOL OR PEROXIDE PER PINT
- 883. A4245 ALCOHOL WIPES PER BOX A4246 BETADINE/PHISOHEX SOLUTION A4247 BETADINE/IODINE SWABS/ WIPES A4250 URINE REAGENT STRIPS/ TABLETS A4253 BLOOD GLUCOSE/REAGENT STRIPS A4254 BATTERY FOR GLUCOSE MONITOR A4255 GLUCOSE MONITOR PLATFORMS A4256 CALIBRATOR SOLUTION/CHIPS A4257 REPLACE LENSSHIELD CARTRIDGE A4258 LANCET DEVICE EACH A4259 LANCETS PER BOX A4260 LEVONORGESTREL IMPLANT A4261 CERV CAP FOR CONTRACEPTION USE A4262 TEMPORARY TEAR DUCT PLUG A4263 PERMANENT TEAR DUCT PLUG A4265 PARAFFIN A4266 DIAPHRAGM, CONTRACEPTIVE USE A4267 CONTRACEPTIVE,CONDOM,MALE A4268 CONTRACEPTIVE,CONDOM,FEMALE A4269 CONTRACEPTIVE,SPERMICIDE A4270 DISPOSABLE ENDOSCOPE SHEATH A4280 ADH SKN SUP,EXT BREAST PROS,EA A4281 TUBING FOR BREAST PUMP A4282 ADAPTER FOR BREAST PUMP A4283 CAP FOR BREAST PUMP BOTTLE A4284 BREST SHIELD&SPLASH PROTECTOR A4285 POLYCARBONATE BOTTLE,REPLACE A4286 LOCKING RING FOR BREAST PUMP A4290 SACRL NRV STMLTN TST LEAD,EACH A4300 CATH IMPL VASC ACCESS PORTAL A4301 IMPLANTABLE ACCESS TOTAL CATH A4305 DRUG DELIVERY SYSTEM >=50 ML A4306 DRUG DELIVERY SYSTEM <=5 ML A4310 INSERT TRAY W/O BAG/ CATH A4311 CATHETER W/O BAG 2-WAY LATEX A4312 CATH W/O BAG 2-WAY SILICONE A4313 CATHETER W/BAG 3-WAY A4314 CATH W/DRAINAGE 2-WAY LATEX A4315 CATH W/DRAINAGE 2-WAY SILCNE A4316 CATH W/DRAINAGE 3-WAY A4319 STRLE WTR IRGTN SLTION,1000 ML A4320 IRRIGATION TRAY A4321 CATH THERAPEUTIC IRRIG AGENT A4322 IRRIGATION SYRINGE A4323 SALINE IRRIGATION SOLUTION A4324 MLE EXTNL CATH,W ADHSV CTNG,EA A4325 MLE EXTNL CATH,W ADHSV STRP,EA A4326 MALE EXTERNAL CATHETER A4327 FEM URINARY COLLECT DEV CUP A4328 FEM URINARY COLLECT POUCH A4330 STOOL COLLECTION POUCH A4331 EXT DRNG TBG,TP,LEN,W CNCT/ADP
- 884. A4332 LUBRCT,IND STRL,INSRT URIN CTH A4333 URN CATH ANCHR,ADHSV SKN ATTCH A4334 URN CATH ANCHR,LEG STRAP, EACH A4335 INCONTINENCE SUPPLY A4338 INDWELLING CATHETER LATEX A4340 INDWELLING CATHETER SPECIAL A4344 CATH INDW FOLEY 2 WAY SILICN A4346 CATH INDW FOLEY 3 WAY A4347 MALE EXTERNAL CATHETER A4348 MAL EXT CTH W INTG CMPT,EXT WR A4351 STRAIGHT TIP URINE CATHETER A4352 COUDE TIP URINARY CATHETER A4353 INTERMTTNT URINARY CATH W/SPLY A4354 CATH INSERT TRY W/BAG W/O CATH A4355 BLADDER IRRIGATION TUBING A4356 EXT URETH CLMP OR COMPR DVC A4357 BEDSIDE DRAINAGE BAG A4358 URINARY LEG OR ABDOMEN BAG A4359 URINARY SUSPENSORY W/O LEG B A4361 OSTOMY FACE PLATE A4362 SOLID SKIN BARRIER A4364 ADHESIVE,LIQUID,/=,ANY TYPE A4365 ADHS REMOVR WIPE,ANY TYP,PR 50 A4367 OSTOMY BELT A4368 OSTOMY FILTER A4369 OSTOMY SKIN BARR, LIQ, PER OZ A4371 OSTOMY SKIN BARR,POWDER,PER OZ A4372 OSTOMY BARRIER,4X4,W CONVEXTY A4373 OSTOMY BARRER,W FLNG,W CNVXTY A4375 OSTOMY PCH,DRN,FCE ATT,PLST,EA A4376 OSTOMY PCH,DRN,FCE ATT,RUBB,EA A4377 OSTOMY PCH,DRN USE FCE,PLAS,EA A4378 OSTOMY PCH,DRN USE FCE,RUBB,EA A4379 OSTOMY PCH,URI,FCE ATT,PLST,EA A4380 OSTOMY PCH,URI,FCE ATT,RUBB,EA A4381 OSTMOMY POUCH,URN,FCEPLT,PLSTC A4382 OSTOMY PCH,UR,USE FCE,HV PL,EA A4383 OSTOMY PCH,URI,USE FACE,RUB,EA A4384 OSTOMY FACEPL EQU,SILIC RNG,EA A4385 OSTOMY SKN BAR,4X4,WO CONVX,EA A4387 OSTOMY,CLSD,W BARRIER ATTACH A4388 OSTOMY,DRAIN,W EXTEND BARRIER A4389 OSTOMY,DRAIN,W BARRIER ATTACH A4390 OSTOMY POUCH,DRAIN,EXT,CONV,EA A4391 OSTOMY,URIN,W EXTEND BARRIER A4392 OSTOMY POUCH,URI,STD,CONVEX,EA A4393 OSTOMY POUCH,URI,EXT,CONVEX,EA A4394 OSTOMY DEODORANT,LIQ,/FLUID OZ A4395 OSTOMY DEODORANT,SOLID,/TABLET A4396 OSTOMY BLT W PERSTML HRN SUPPT A4397 IRRIGATION SUPPLY SLEEVE A4398 OSTOMY IRRIGATION BAG
- 885. A4399 OSTOMY IRRIG CONE/CATH W BRS A4400 OSTOMY IRRIGATION SET A4402 LUBRICANT PER OUNCE A4404 OSTOMY RING EACH A4405 OSTOMY BARRIER,NON-PECTIN BSED A4406 OSTOMY BARRIER,PECTIN-BASED A4407 OSTOMY SKIN,W CNVXTY,4 X 4/< A4408 OSTOMY SKIN,W CNVXTY,> 4 X 4 A4409 OSTOMY SKIN,WO CNVXTY,4 X 4 A4410 OSTOMY SKIN,WO CNVXTY, > 4 X 4 A4413 OSTOMY POUCH,DRAIN,HIGH OUTPUT A4414 OSTOMY,W FLNG,WO CNVTY,4 X 4/< A4415 OSTOMY,W FLNG,WO CNVTY,>4X4 A4421 OSTOMY SUPPLY MISC A4422 OSTOMY ABSORB MATERIAL,POUCH A4450 TAPE,NON-H20PROOF,PER 18 SQ IN A4452 TAPE,H20PROOF,PER 18 SQ IN A4455 ADHESIVE REMOVER PER OUNCE A4458 ENEMA BAG W TUBING,REUSABLE A4462 ABDOMINAL DRESS HOLDER, EACH A4465 NON-ELASTIC EXTREMITY BINDER A4470 GRAVLEE JET WASHER A4480 VABRA ASPIRATOR A4481 TRACHEOSTOMA FILTER A4483 MOIST EXCH,DISP,INVAS MECH VEN A4490 ABOVE KNEE SURGICAL STOCKING A4495 THIGH LENGTH SURG STOCKING A4500 BELOW KNEE SURGICAL STOCKING A4510 FULL LENGTH SURG STOCKING A4521 ADULT-SZ,DIAPER,SM SIZE,EACH A4522 ADULT-SZ,DIAPER,MED SIZE,EACH A4523 ADULT-SZ,DIAPER,LG SIZE, EACH A4524 ADULT-SZ,DIAPER,XL SIZE,EACH A4525 ADULT-SZ,BRIEF,SM SIZE, EACH A4526 ADULT-SZ,BRIEF,MED SIZE, EACH A4527 ADULT-SZ,BRIEF,LG SIZE, EACH A4528 ADULT-SZ,BRIEF,XL SIZE,EACH A4529 CHILD-SZ,DIAPER,SM/MED SIZE A4530 CHILD-SZ,DIAPER,LG SIZE,EACH A4531 CHILD-SZ,BRIEF,SM/MED SIZE A4532 CHILD-SZ,BRIEF,LG SIZE,EACH A4533 CHILD-SZ,DIAPER, EACH A4534 CHILD-SZ,BRIEF, EACH A4535 DISPOSABLE LINER/SHIELD A4536 PROTECTIVE UNDERWEAR, WASHABLE A4537 UNDER PAD, REUSABLE/WASHABLE A4538 DIAPER SERVICE, REUSABLE DIAPE A4550 SURGICAL TRAYS A4554 DISPOSABLE UNDERPADS A4556 ELECTRODES, PER PAIR A4557 LEAD WIRES, PER PAIR A4558 CONDUCTIVE PASTE OR GEL
- 886. A4561 PESSARY, RUBBER, ANY TYPE A4562 PESSARY, NON RUBBER, ANY TYPE A4565 SLINGS A4570 SPLINT A4575 HYPERBARIC O2 CHAMBER DISPS A4580 CAST SUPPLIES (PLASTER) A4590 SPECIAL CASTING MATERIAL A4595 ELECTRIC STIMULATOR SUPPLIES A4606 OXYGEN PROBE W OXIMETER DEVICE A4608 TRANSTRACHEAL OXYGEN CATH,EACH A4609 TRACHEAL SUCTION CATH,< 72 HRS A4610 TRACHEAL SUCTION CATH,72/+ HRS A4611 HEAVY DUTY BATTERY A4612 BATTERY CABLES A4613 BATTERY CHARGER A4614 PEAK EXPIR FLOW RATE MET, HAND A4615 CANNULA NASAL A4616 TUBING (OXYGEN) PER FOOT A4617 MOUTH PIECE A4618 BREATHING CIRCUITS A4619 FACE TENT A4620 VARIABLE CONCENTRATION MASK A4621 TRACHEOTOMY MASK OR COLLAR A4622 TRACHEOSTOMY OR LARNGECTOMY A4623 TRACHEOSTOMY INNER CANNULA A4624 TRACHEAL SUCTION CATHETER A4625 TRACH CARE KIT FOR NEW TRACH A4626 TRACHEOSTOMY CLEANING BRUSH A4627 SPACER BAG/RESERVOIR A4628 OROPHARYNGEAL SUCTION CATH A4629 TRACHEOSTOMY CARE KIT A4630 REPL BAT TENS OWN BY PT A4631 WHEELCHAIR BATTERY A4632 REPLACE BATRY,EXTERN INFUSION A4633 REPLACE BULB ULTRAVIOLET THRPY A4634 REPLACE BULB THERAPEUTIC BOX A4635 UNDERARM CRUTCH PAD A4636 HANDGRIP FOR CANE ETC A4637 REPL TIP CANE/CRUTCH/ WALKER A4639 REPLACE PAD INFRARED HEATING A4640 ALTERNATING PRESS PAD RPLCMNT A4641 DIAGNOSTIC IMAGING AGENT A4642 SATUMOMAB PENDETIDE PER DOSE A4643 HIGH DOSE CONTRAST MRI A4644 CONTRAST 100-199 MGS IODINE A4645 CONTRAST 200-299 MGS IODINE A4646 CONTRAST 300-399 MGS IODINE A4647 SUPP- PARAMAGNETIC CONTR MAT A4649 SURGICAL SUPPLIES A4651 CALIBRATED MICROCAP TUBE A4652 MICROCAPILLARY TUBE SEALANT A4653 PERITONEAL DIALYSI CATH ANCHOR
- 887. A4656 NEEDLE, ANY SIZE, EACH A4657 SYRINGE, W/WO NEEDLE, EACH A4660 SPHYGMOMANO & STETHOSCOPE A4663 BLOOD PRESSURE CUFF ONLY A4670 AUTOMATIC BLD PRESS MONITOR A4680 ACTIFICIAL CARBON FILTER, EA A4690 DIALYZER, EACH A4706 BICARBONATE CONC SOL PER GAL A4707 BICARBONATE CONC POW PER PAC A4708 ACETATE CONC SOL PER GALLON A4709 ACID CONC SOL PER GALLON A4712 H20,STERILE,INJECTION,/10 ML A4714 TREATED WATER PER GALLON A4719 "Y SET" TUBING A4720 DIALYSAT SOL FLD VOL > 249CC A4721 DIALYSAT SOL FLD VOL > 999CC A4722 DIALYS SOL FLD VOL > 1999CC A4723 DIALYS SOL FLD VOL > 2999CC A4724 DIALYS SOL FLD VOL > 3999CC A4725 DIALYS SOL FLD VOL > 4999CC A4726 DIALYS SOL FLD VOL > 5999CC A4730 FISTULA CANNULATION SET, EA A4736 TOPICAL ANESTHETIC, PER GRAM A4737 INJ ANESTHETIC PER 10 ML A4740 SHUNT ACCESSORY A4750 ART OR VENOUS BLOOD TUBING A4755 COMB ART/VENOUS BLOOD TUBING A4760 DIALYSATE SOL TEST KIT, EACH A4765 DIALYSATE CONC POW PER PACK A4766 DIALYSATE CONC SOL ADD 10 ML A4770 BLOOD COLLECTION TUBE/VACUUM A4771 SERUM CLOTTING TIME TUBE A4772 BLOOD GLUCOSE TEST STRIPS A4773 OCCULT BLOOD TEST STRIPS A4774 AMMONIA TEST STRIPS A4802 PROTAMINE SULFATE PER 50 MG A4860 DISPOSABLE CATHETER TIPS A4870 PLUMB/ELEC WK HM HEMO EQUIP A4890 REPAIR/MAINT CONT HEMO EQUIP A4911 DRAIN BAG/BOTTLE A4913 MISC DIALYSIS SUPPLIES NOC A4918 VENOUS PRESSURE CLAMP A4927 GLOVES, NON-STERILE, PER 100 A4928 SURGICAL MASK, PER 20 A4929 TOURNIQUET FOR DIALYSIS, EA A4930 GLOVES, STERILE, PER PAIR A4931 ORAL THERMOMETER, REUSABLE A4932 RECTAL THERMOMETER, REUSABLE A5051 OSTOMY,CLSD;W BARRIER,EACH A5052 OSTOMY,CLSD;WO BARRIER,EACH A5053 OSTOMY,CLSD;ON FACEPLATE,EA A5054 OSTOMY,CLSD;ON BARR W FLNGE
- 888. A5055 STOMA CAP A5061 OSTOMY,DRAIN;W BARRIER,EACH A5062 OSTOMY,DRAIN;WO BARRIER,EA A5063 OSTOMY,DRAIN;ON BARRI W FLG A5071 OSTOMY,URIN;W BARRIER, EACH A5072 OSTOMY,URIN;WO BARRIER,EACH A5073 OSTOMY,URIN;BARRI W FLANGE A5081 CONTINENT STOMA PLUG A5082 CONTINENT STOMA CATHETER A5093 OSTOMY ACCESSORY CONVEX INSE A5102 BEDSIDE DRAIN BTL W/WO TUBE A5105 URINARY SUSPENSORY A5112 URINARY LEG BAG A5113 LEG STRAP;LATEX, REPL ONLY/SET A5114 LEG STRP;FOAM/FAB,REP ONLY/SET A5119 SKIN BARRIER WIPES BOX PR 50 A5121 SOLID SKIN BARRIER 6X6 A5122 SOLID SKIN BARRIER 8X8 A5126 ADHES/NON-ADHES; DISK/FOAM PAD A5131 APPLIANCE CLEANER A5200 PERCUT CATH/TUBE ANCH,ADH SKIN A5500 DIAB SHOE FOR DENSITY INSERT A5501 DIABETIC CUSTOM MOLDED SHOE A5503 DIABETIC SHOE W/ROLLER/ ROCKR A5504 DIABETIC SHOE WITH WEDGE A5505 DIAB SHOE W/METATARSAL BAR A5506 DIABETIC SHOE W/OFF SET HEEL A5507 MODIFICATION DIABETIC SHOE A5508 DIABET,OTS-DEP-INLAY SHOE/SHOE A5509 DIRECT HEAT FORM SHOE INSERT A5510 COMPRESSION FORM SHOE INSERT A5511 CUSTOM FAB MOLDED SHOE INSER A6000 WOUND WARMING WOUND COVER A6010 COLLAGEN BASED WOUND FILLER A6011 COLLAGEN BASED WOUND FILER,GEL A6021 CLLGEN DRG,PD SZ16SQ IN OR<,EA A6022 CLGN DRG,PD SZ>16 /<=48SQIN,EA A6023 CLGN DRG,PD SZ>THN 48 SQ IN,EA A6024 CLGN DRG WND FILL,PER 6 INCHES A6025 SILICONE GEL SHEET, EACH A6154 WOUND POUCH EACH A6196 ALGINATE DRESSING <=16 SQ IN A6197 ALGINATE DRSG >16 <=48 SQ IN A6198 ALGINATE DRESSING > 48 SQ IN A6199 ALGINATE DRSG WOUND FILLER A6200 COMP DRESS,16 SQ/IN OR <, EACH A6201 COMP DRESS, > 16, <= 48 SQ/IN A6202 COMP DRESS, > 48 SQ/IN, EACH A6203 COMPOSITE DRSG <= 16 SQ IN A6204 COMPOSITE DRSG >16<=48 SQ IN A6205 COMPOSITE DRSG > 48 SQ IN A6206 CONTACT LAYER <= 16 SQ IN
- 889. A6207 CONTACT LAYER >16<= 48 SQ IN A6208 CONTACT LAYER > 48 SQ IN A6209 FOAM DRSG <=16 SQ IN W/ O BDR A6210 FOAM DRG >16<=48 SQ IN W/O B A6211 FOAM DRG > 48 SQ IN W/O BRDR A6212 FOAM DRG <=16 SQ IN W/ BORDER A6213 FOAM DRG >16<=48 SQ IN W/BDR A6214 FOAM DRG > 48 SQ IN W/ BORDER A6215 FOAM DRESSING WOUND FILLER A6216 NON-STERILE GAUZE<=16 SQ IN A6217 NON-STERILE GAUZE>16<=48 SQ A6218 NON-STERILE GAUZE > 48 SQ IN A6219 GAUZE <= 16 SQ IN W/ BORDER A6220 GAUZE >16 <=48 SQ IN W/ BORDR A6221 GAUZE > 48 SQ IN W/ BORDER A6222 GZ,IMPRG,PD SZ 16SQ.IN.OR< A6223 GZ,PD SZ>16SQ.IN.<=48SQ.IN A6224 GZ,IMPRG,PD SZ>48SQ.IN A6228 GAUZE <= 16 SQ IN WATER/ SAL A6229 GAUZE >16<=48 SQ IN WATR/SAL A6230 GAUZE > 48 SQ IN WATER/ SALNE A6231 GZ,IMP,HYD,DIR WND,PD16SQIN<EA A6232 GZ,DIR WND,PD>16<OR=48SQ IN,EA A6233 GZ,IMP,DIR WND,PAD>48SQ IN,EA A6234 HYDROCOLLD DRG <=16 W/O BDR A6235 HYDROCOLLD DRG >16<=48 W/O B A6236 HYDROCOLLD DRG > 48 IN W/O B A6237 HYDROCOLLD DRG <=16 IN W/BDR A6238 HYDROCOLLD DRG >16<=48 W/BDR A6239 HYDROCOLLD DRG > 48 IN W/BDR A6240 HYDROCOLLD DRG FILLER PASTE A6241 HYDROCOLLOID DRG FILLER DRY A6242 HYDROGEL DRG <=16 IN W/ O BDR A6243 HYDROGEL DRG >16<=48 W/O BDR A6244 HYDROGEL DRG >48 IN W/O BDR A6245 HYDROGEL DRG <= 16 IN W/ BDR A6246 HYDROGEL DRG >16<=48 IN W/B A6247 HYDROGEL DRG > 48 SQ IN W/B A6248 HYDROGEL DRSG GEL FILLER A6250 SKIN SEAL PROTECT MOISTURIZR A6251 ABSORPT DRG <=16 SQ IN W/O B A6252 ABSORPT DRG >16 <=48 W/ O BDR A6253 ABSORPT DRG > 48 SQ IN W/O B A6254 ABSORPT DRG <=16 SQ IN W/BDR A6255 ABSORPT DRG >16<=48 IN W/BDR A6256 ABSORPT DRG > 48 SQ IN W/BDR A6257 TRANSPARENT FILM <= 16 SQ IN A6258 TRANSPARENT FILM >16<=48 IN A6259 TRANSPARENT FILM > 48 SQ IN A6260 WOUND CLEANSER ANY TYPE/ SIZE A6261 WOUND FILL,GEL/PASTE/FL OZ,NEC A6262 WOUND FILL, DRY FORM/GRAM, NEC
- 890. A6266 GAUZE,IMPREGNATED,NOT H20 A6402 STERILE GAUZE <= 16 SQ IN A6403 STERILE GAUZE>16 <= 48 SQ IN A6404 STERILE GAUZE > 48 SQ IN A6410 EYE PAD, STERILE, EACH A6411 EYE PAD, NON-STERILE, EACH A6412 EYE PATCH, OCCLUSIVE, EACH A6421 PAD BNDGE,WIDTH >/=3IN&<5IN A6422 CONFORM BNDG,WIDTH >/=3IN&<5IN A6424 CONFORM,KNITTED,WIDTH >/=5 IN A6426 CONFORM,KNIT,WIDTH >/=3IN&<5IN A6428 CONFORM,KNIT,STRLE,WIDTH>/=5IN A6430 LT CMPRSS,WIDTH >/=3 IN & >5IN A6432 LT CMPRSS, WIDTH >/=5 IN A6434 MOD CMPRSS,WIDTH >/=3IN/<5IN A6436 HGH CMPRSS,WIDTH >/= 3IN &<5IN A6438 SELF-ADHERENT,WIDTH>/=3IN&<5IN A6440 ZINC PASTE IMPREGNATED BANDAGE A6501 COMPRESS BURN GARMENT,BODYSUIT A6502 CMPRSS BURN GARMENT,CHIN STRAP A6503 CMPRSS BURN GARMENT,FCAL HOOD A6504 CMPRSS BURN,GLOVE TO WRIST A6505 CMPRSS BURN,GLOVE TO ELBOW A6506 CMPRSS BURN,GLOVE TO AXILLA A6507 CMPRSS BURN,FOOT TO KNEE A6508 COMPRESS BURN,FOOT TO THIGH A6509 CMPRSS BURN,TRUNK TO WAIST+ARM A6510 CMPRSS BURN,TRUNK+ARMS TO LEG A6511 CMPRSS BURN,LOWER TRUNK+LEG A6512 CMPRSS BURN,NOT CLASSIFIED A7000 CANISTER,DISPOS,W SUCT PUMP,EA A7001 CANISTER,NON-DISPOS,SUC PMP,EA A7002 TUBING, USED W SUCTION PUMP,EA A7003 ADM,SM VOL NONFIL PNEU NEB,DIS A7004 SM VOL NONFIL PNEUM NEB,DISPOS A7005 ADM,SM VL NONF PNEU NEB,NONDIS A7006 ADM,SM VOL FILT PNEU NEBULIZER A7007 LG VOL NEB,DISP,UNFIL,AERO COM A7008 LG VOL NEB,DISP,PREFIL,AER COM A7009 RESERV BOT,NONDIS,LG VL ULT NB A7010 CORR TUB,DIS,LG VOL NEB,100 FT A7011 CORR TUB,NONDIS,LG VL NEB,10FT A7012 WATER COL DEV,LG VOL NEBULIZER A7013 FILTER,DISP,AEROSOL COMPRESSOR A7014 FILTER,NONDIS,AERO CMP/ULT GEN A7015 AEROSOL MASK, W DME NEBULIZER A7016 DOME & MOUTHPCE,SM VOL ULT NEB A7017 NEB,GLASS/AUTOCL PLS,BOT,NO O2 A7018 WTR,DIST,W/LG VOLM NEB,1000 ML A7019 SAL SOL,10 ML,MET DOS,W INH DG A7020 STRL H2O/SAL,1000 ML,W VOL NEB A7025 HGH FREQ CHST OSCILAT SYS VEST
- 891. A7026 HGH FREQ CHST OSCILAT SYS HOSE A7030 FCE MSK W PSTVE AIRWAY PRESURE A7031 MASK INTERFACE, REPLACEMENT A7032 REPLACEMENT CUSHION,NASAL APP A7033 REPLACEMENT PILLOWS,NASAL APP A7034 NASAL INTRFACE W PSTVE AIRWAY A7035 HEADGER W PSTVE AIRWAY PRESSUR A7036 CHNSTRP W PSTVE AIRWAY PRESSUR A7037 TUBING W PSTVE AIRWAY PRESSURE A7038 FLTR DISPOSABLE,W PSTVE AIRWAY A7039 FLTR,NON DISPOS,W PSTVE AIRWAY A7042 IMPLANTED PLEURAL CATH, EACH A7043 VACUM DRAIN BTLE&TUBING W CATH A7044 INTRFCE W PSTVE AIRWAY PRESURE A7501 TRACHESTMA VLV,INCLD DPHRGM,EA A7502 RPLCM DIPRM/F/P TRCHSTM VLV,EA A7503 FLTR HLD/CP,TRCH HT&MST EXC,EA A7504 FLTR TRCHST HT&MST EXCH SYS,EA A7505 HOUS,WO AD,HT&MS EXC&/TR VL,EA A7506 ADH DS,HT&MS EXC&/TR VL,ANY,EA A7507 INTG FLT&HLD WO ADH,TRH EXC,EA A7508 HSNG&ADHS,TRCHT EXCHG & VLV,EA A7509 INTGR FLT HSG/HLD,&ADHS,TRH EA A9150 MISC/EXPER NON- PRESCRIPT DRU A9270 NON-COVERED ITEM OR SERVICE A9300 EXERCISE EQUIPMENT A9500 TECHNETIUM TC 99M SESTAMIBI A9502 TECHNETIUM TC99M TETROFOSMN/UD A9503 TECHNETIUM TC 99M MEDRONATE A9504 TECHNETIUM TC 99M APCITIDE A9505 THALLOUS CHLORIDE TL 201/MCI A9507 SUPP RADIO,IND 111 CAP PEN/DOS A9508 RAD AG,IOBEN SLF I-131,0.5 MCI A9510 RAD DG,TCHNTM TC 99M DISOFENIN A9511 TECHNETIUM TC 99M DEPREOTIDE A9512 SUPLY RADIOPHARM DIAG,PRTCHNTE A9513 SUPLY RADIOPHARM DIAG,MEBROFEN A9514 RADIOPHARM DIAG,PYROPHOS,/MCI A9515 RADIOPHARM DIAG,PENTETATE,/MCI A9516 RDIOPHRM DIAG,I-123 SOD IODIDE A9517 RDIOPHRM THRPTC,IODIDE CAPSULE A9518 RDIOPHRM THRPTC,IODIDE SOLUTIN A9519 RDIOPHRM DIAG,MCROAGRE ALBUMIN A9520 RADIOPHRM DIAG,SUL COLOID,/MCI A9521 RADIOPHARM DIAG,XETAZINE,/DOS A9522 RDIOPHRM DIAG,INDIM-111 IBRTUM A9523 RADIOPHARM THRPTC,YTTRIUM 90 A9524 RDIOPHRM DIAG,IODIN I-131 SRUM A9600 STRONTIUM-89 CHLORIDE PER MCI A9603 THRPTC RDIOPHRM,I-131 SODIUM A9605 SUP RAD,SAM SM 153 LEXI,50 MCI A9699 RDIOPHRM THRPTC,NOT CLASSIFIED
- 892. A9700 INJCTBL CNTRST MAT,ECHOCRDGRPH A9900 MSC DME SPP,ACCSSRY,&/ANTHR CD A9901 DME DLVRY,SET UP,&/ANTHR CD B4034 ENTERAL FEEDING KIT; SYRINGE B4035 ENTERAL FEEDING KIT; PUMP FED B4036 ENTERAL FEEDING KIT; GRAVITY B4081 NASOGASTRIC TUBING W/ STYLET B4082 NASOGASTRIC TUBING W/O STYLET B4083 STOMACH TUBE - LEVINE TYPE B4086 GASTROSTOMY/JEJUNOSTOMY TUBE B4100 THICKENER,ADMINISTERED ORALLY B4150 ENTRL FRM;CAT I;SEMI-SYNTH PRT B4151 ENTRL FRM;CAT I:NATRL PRT/ ISL B4152 ENTRL FRM;CAT II:INTCT PRTN B4153 ENTRL FRM;CAT III:HYDRLZD PRT B4154 ENTRL FRM;CAT IV:DEFND FRM B4155 ENTRL FRM;CAT V:MODLR COMP B4156 ENTRL FRM;CAT VI:STND NUTRNT B4164 P.NUTR SOLN: CARBO <=50%-HOME B4168 P.NUTR SOLN; A.A.3.5% - HOME B4172 P.NUTR SOLN; A.A. 5.5-7%-HOME B4176 P.NUTR SOLN; A.A.7-8.5%-HOME B4178 P.NUTR SOLN: A.A.> 8.5% -HOME B4180 P.NUTR SOLN; CARBO >50% -HOME B4184 P.NUTR SOLN; LIPIDS 10% W/SET B4186 P.NUTR SOLN, LIPIDS 20% W/SET B4189 P.NUTR SOLN; 10-51 GM OF PROT B4193 P.NUTR SOLN; 52-73 GM OF PROT B4197 P.NUTR SOLN; 74-100 GM PROT B4199 P.NUTR SOLN; >100 GM OF PROT B4216 P.NUTR ADDITIVES HOME MIX B4220 PARENTERAL NUTRITION SUPPLY B4222 PARENTERAL NTRN SUPPLY KIT B4224 PARENTERAL NTRN ADMIN KIT B5000 P.NUTR SOLN RENAL AMIROSYN RF B5100 P.NUTR SOLN HEP-FREAMINE HBC B5200 P.NUTR SOLN: STRESS-BRANCH B9000 ENTER NTRN INF PUMP-W/O ALARM B9002 ENTER NUTR INF PUMP - W/ ALARM B9004 P NUTR INFUSION PUMP, PORTABLE B9006 P NUTR INF PUMP, STATIONARY B9998 NOC FOR ENTERNAL SUPPLIES B9999 NOC FOR PARENTER SUPP DURABLE C1010 BLD/RBC,LEUKOREDUCED,CMV NEG C1011 PLT,HLA-MTCH LR,APHRS/PHRS, EA C1015 PLTLTS,PHERES,LEUKOCYTE-RDUCD C1016 BLD/RBC,LEUKORED,FROZ,DEGLYC C1017 PLT,LR,CMV-NG,APHRS/PHRS,EA UN C1018 BLD,LEUKOREDUCED,IRRADIATED C1020 RED BLD CELS,FRZN,LEUKOCYTE C1021 RED BLD CELL,LEUKOCYTE-RDCED C1022 PLSM,FRZN 24 HRS OF COLLECT
- 893. C1031 ELCTRD,ABL,MR CMP LEVN/MOD NDL C1079 CO 57/58 PER 0.5 UCI C1088 LASER OPTC TRTMNT SYSTM,INDIGO C1091 IN111 OXYQUINOLINE,PER0.5MCI C1092 IN 111 PENTETATE PER 0.5 MCI C1122 RAD,TECHNTM TC 99M ARCITMMB/VL C1146 ET, VETT TRACHEOBRONCHIAL TUBE C1166 INJECTION,CYTARABINE LIPOSOME C1167 INJECTION, EPIRUBICIN HCL,2 MG C1170 BX DEVICE, BREAST, ABBI DEVICE C1177 BX DVC,11-GAUG MAMMTM PB W VCM C1178 INJECTION, BUSULFAN, PER 6MG C1200 RAD IMG,TECH TC 99M SODM GLCHP C1201 RAD TECHNT TC 99M SUCCIMR,VIAL C1300 HYPRBR OX PRS,FULL BD CHM,30MN C1305 APLIGRAF, PER 44 SQ CM C1321 ELCTRD,PALATE SOMNPLSTY COAGLT C1322 ELCTRD,TURBNT SOMNPLSTY COAGLT C1323 ELCTRD,VAPR/VAPR T THERMAL C1324 ELECTRODE,LIGASURE DISPOSABLE C1329 ELECTRDE,DISP,GYNECRE VERSAPNT C1368 INFUSN SYS,ON-Q PAIN MGMT SYST C1713 ANCH BNE TO BNE/SFT TIS TO BNE C1716 BRACHYTHERAPY SEED, GOLD 198 C1718 BRACHYTHERAPY SEED, IODINE 125 C1719 BRCHYTHRPY SEED,NON-HDR IR-192 C1720 BRACHYTHRPY SEED,PALLADIUM 103 C1765 ADHESION BARRIER C1774 INJECT,DARBEPOETIN ALFA,/1 MCG C1775 RADIOPHARM,FLURDEOXYGLUCOSE C1783 OCULARR IMPLANT,AQUEOUS DRAIN C1888 CATH,ABLATION,NON-CARDIAC,ENDO C1900 LFT VENTRIC CRNARY VENOUS SYS C2600 CTH,GOLD PRB1-USE ELCTRHMSTSIS C2614 PERCUTANEOUS LUMBAR DISCECTOMY C2616 BRACHYTHERAPY SEED, YTTRIUM-90 C2618 PROBE, CRYOABLATION C2632 BRACHYTHERAPY SOL, IODINE-125 C8900 MRA W/CONT, ABD C8901 MRA W/O CONT, ABD C8902 MRA W/O FOL W/CONT, ABD C8903 MRI W/CONT, BREAST, UNI C8904 MRI W/O CONT, BREAST, UNI C8905 MRI W/O FOL W/CONT, BRST, UN C8906 MRI W/CONT, BREAST, BI C8907 MRI W/O CONT, BREAST, BI C8908 MRI W/O FOL W/CONT, BREAST, C8909 MRA W/CONT, CHEST C8910 MRA W/O CONT, CHEST C8911 MRA W/O FOL W/CONT, CHEST C8912 MRA W/CONT, LWR EXT C8913 MRA W/O CONT, LWR EXT
- 894. C8914 MRA W/O FOL W/CONT, LWR EXT C9000 INJ,SOD CHROMATE CR51/0.25 MCI C9003 PALIVIZUMAB-RSV-IGM, PER 50 MG C9007 BACLOFN INTRATHECAL SCRN,1 AMP C9008 BACLOFEN INTRATH REFIL/500 MCG C9009 BACLOFEN REFILL KIT/2000 MCG C9010 BACLOFN INTRATH REFIL/4000 MCG C9013 CO 57 COBALTOUS CHLORIDE C9102 SUPP,51 SODIUM CHROMATE/50 MCI C9103 SOD IOTHALAM I-125 INJ,/10 UCI C9105 INJ,HEPATITIS B IMM GLOB/1 ML C9109 TIROFIBAN HCL, 6.25 MG C9111 INJ, BIVALIRUDIN, 250MG VIAL C9112 PERFLUTREN LIPID MICRO, 2ML C9113 INJ PANTOPRAZOLE SODIUM,VIAL C9116 INJCT,ERTAPENEM SODIUM,/1GRAM C9119 INJCT,PEGFILGRASTIM,/6 MG C9120 INJECTION,FULVESTRANT,/50 MG C9121 INJECTION,ARGATROBAN,/5 MG C9200 ORCEL, PER 36 CM2 C9201 DERMAGRAFT, PER 37.5 SQ CM C9503 FRESH FROZ PLASMA,DON RETST,EA C9701 STRETTA SYSTEM C9703 BARD ENDOSCOPIC SUTURING SYS C9711 H.E.L.P. APHERESIS SYSTEM D0120 PERIODIC ORAL EVALUATION D0140 LIMIT ORAL EVAL PROBLM FOCUS D0150 COMPREHENSIVE ORAL EVAL D0160 EXTENSV ORAL EVAL PROB FOCUS D0170 RE-EVAL-LIM,PROB FOCUS(EST PT) D0180 COMPREHENSIVE PERIODONTAL EVAL D0210 INTRAOR COMPLETE FILM SERIES D0220 INTRAORAL PERIAPICAL FIRST F D0230 INTRAORAL PERIAPICAL EA ADD D0240 INTRAORAL OCCLUSAL FILM D0250 EXTRAORAL FIRST FILM D0260 EXTRAORAL EA ADDITIONAL FILM D0270 DENTAL BITEWING SINGLE FILM D0272 DENTAL BITEWINGS TWO FILMS D0274 DENTAL BITEWINGS FOUR FILMS D0277 VERTICAL BITEWINGS - 7-8 FILMS D0290 DENTAL FILM SKULL/ FACIAL BON D0310 DENTAL SALIOGRAPHY D0320 DENTAL TMJ ARTHROGRAM INCL I D0321 DENTAL OTHER TMJ FILMS D0322 DENTAL TOMOGRAPHIC SURVEY D0330 DENTAL PANORAMIC FILM D0340 DENTAL CEPHALOMETRIC FILM D0350 ORAL/FACIAL IMAGES (INT & EXT) D0415 BACTERIOLOGIC STUDY D0425 CARIES SUSCEPTIBILITY TEST D0460 PULP VITALITY TEST
- 895. D0470 DIAGNOSTIC CASTS D0472 ACCESS TISS,GROSS EXM,WRIT RPT D0473 ACC TISS,GROS&MIC EXM,WRIT RPT D0474 ACC TISS,GROS&MIC,SURG MAR,RPT D0480 PROCESS,INTERP,CYTOLG SMRS,RPT D0502 OTHER ORAL PATHOLOGY PROCEDU D0999 UNSPECIFIED DIAGNOSTIC PROCE D1110 DENTAL PROPHYLAXIS ADULT D1120 DENTAL PROPHYLAXIS CHILD D1201 TOPICAL FLUOR W/ PROPHY CHILD D1203 TOPICAL FLUOR W/O PROPHY CHI D1204 TOPICAL FLUOR W/O PROPHY ADU D1205 TOPICAL FLUORIDE W/ PROPHY A D1310 NUTRI COUNSEL-CONTROL CARIES D1320 TOBACCO COUNSELING D1330 ORAL HYGIENE INSTRUCTION D1351 DENTAL SEALANT PER TOOTH D1510 SPACE MAINTAINER FXD UNILAT D1515 FIXED BILAT SPACE MAINTAINER D1520 REMOVE UNILAT SPACE MAINTAIN D1525 REMOVE BILAT SPACE MAINTAIN D1550 RECEMENT SPACE MAINTAINER D2140 AMALGAM-1 SURFACE,PRIM/PERM D2150 AMALGAM-2 SURFACES,PRIM/PERM D2160 AMALGAM-3 SURFACES,PRIM/PERM D2161 AMALGAM-4+SURFACES,PRIM/PERM D2330 RESIN ONE SURFACE- ANTERIOR D2331 RESIN TWO SURFACES- ANTERIOR D2332 RESIN THREE SURFACES- ANTERIO D2335 RESIN 4/> SURF OR W/ INCIS AN D2390 BASED COMPOSITE CROWN,ANTERIOR D2391 BASED CMPSTE -1 SURFACE,POSTER D2392 BASED CMPSTE -2 SURFACE,POSTER D2393 BASED CMPSTE -3 SURFACE,POSTER D2394 BASED CMPSTE -4+SURFACE,POSTER D2410 DENTAL GOLD FOIL ONE SURFACE D2420 DENTAL GOLD FOIL TWO SURFACE D2430 DENTAL GOLD FOIL THREE SURFA D2510 DENTAL INLAY METALIC 1 SURF D2520 DENTAL INLAY METALLIC 2 SURF D2530 DENTAL INLAY METL 3/ MORE SUR D2542 ONLAY-METALLIC-TWO SURFACES D2543 DENTAL ONLAY METALLIC 3 SURF D2544 DENTAL ONLAY METL 4/ MORE SUR D2610 INLAY PORCELAIN/CERAMIC 1 SU D2620 INLAY PORCELAIN/CERAMIC 2 SU D2630 DENTAL ONLAY PORC 3/ MORE SUR D2642 DENTAL ONLAY PORCELIN 2 SURF D2643 DENTAL ONLAY PORCELIN 3 SURF D2644 DENTAL ONLAY PORC 4/ MORE SUR D2650 INLAY-RESIN-COMPOSITE - 1 SURF D2651 INLAY-RESIN-COMPOSITE - 2 SURF
- 896. D2652 INLAY-RESIN-COMPOSITE-3/+ SURF D2662 ONLAY-RESIN-COMPOSITE - 2 SURF D2663 ONLAY-RESIN-COMPOSITE - 3 SURF D2664 ONLAY-RESIN-COMPOSITE-4/+ SURF D2710 CROWN - RESIN (INDIRECT) D2720 CROWN RESIN W/ HIGH NOBLE ME D2721 CROWN RESIN W/ BASE METAL D2722 CROWN RESIN W/ NOBLE METAL D2740 CROWN PORCELAIN/CERAMIC SUBS D2750 CROWN PORCELAIN W/ H NOBLE M D2751 CROWN PORCELAIN FUSED BASE M D2752 CROWN PORCELAIN W/ NOBLE MET D2780 CROWN- 3/4 CAST HIGH NOBLE MET D2781 CROWN-3/4 CAST PREDOM BASE MET D2782 CROWN - 3/4 CAST NOBLE METAL D2783 CROWN - 3/4 PORCELAIN/CERAMIC D2790 CROWN FULL CAST HIGH NOBLE M D2791 CROWN FULL CAST BASE METAL D2792 CROWN FULL CAST NOBLE METAL D2799 PROVISIONAL CROWN D2910 DENTAL RECEMENT INLAY D2920 DENTAL RECEMENT CROWN D2930 PREFAB STNLSS STEEL CRWN PRI D2931 PREFAB STNLSS STEEL CROWN PE D2932 PREFABRICATED RESIN CROWN D2933 PREFAB STAINLESS STEEL CROWN D2940 DENTAL SEDATIVE FILLING D2950 CORE BUILD-UP INCL ANY PINS D2951 TOOTH PIN RETENTION D2952 POST AND CORE CAST + CROWN D2953 EA ADD CAST POST - SAME TOOTH D2954 PREFAB POST/CORE + CROWN D2955 POST REMOVAL D2957 EA ADD PREFAB POST- SAME TOOTH D2960 LAMINATE LABIAL VENEER D2961 LAB LABIAL VENEER RESIN D2962 LAB LABIAL VENEER PORCELAIN D2970 TEMPORARY- FRACTURED TOOTH D2980 CROWN REPAIR D2999 DENTAL UNSPEC RESTORATIVE PR D3110 PULP CAP DIRECT D3120 PULP CAP INDIRECT D3220 THERAPEUTIC PULPOTOMY & MEDICM D3221 PULPAL DEBRIDE, 1&PERM TEETH D3230 PULPAL THERAPY ANTERIOR PRIM D3240 PULPAL THERAPY POSTERIOR PRI D3310 ANTERIOR D3320 ROOT CANAL THERAPY 2 CANALS D3330 ROOT CANAL THERAPY 3 CANALS D3331 TREAT ROOT CANAL OBST;NON-SURG D3332 INCOM ENDODON;INOP/FRACT TOOTH D3333 INTERN ROOT REP PERFORA DEFECT
- 897. D3346 RETREAT ROOT CANAL ANTERIOR D3347 RETREAT ROOT CANAL BICUSPID D3348 RETREAT ROOT CANAL MOLAR D3351 APEXIFICATION/RECALC INITIAL D3352 APEXIFICATION/RECALC INTERIM D3353 APEXIFICATION/RECALC FINAL D3410 APICOECT/PERIRAD SURG ANTER D3421 ROOT SURGERY BICUSPID D3425 ROOT SURGERY MOLAR D3426 ROOT SURGERY EA ADD ROOT D3430 RETROGRADE FILLING D3450 ROOT AMPUTATION D3460 ENDODONTIC ENDOSSEOUS IMPLAN D3470 INTENTIONAL REPLANTATION D3910 ISOLATION-TOOTH W RUBB DAM D3920 TOOTH SPLITTING D3950 CANAL PREP/FITTING OF DOWEL D3999 ENDODONTIC PROCEDURE D4210 GINGIVECTOMY/GINGIVOPLASTY-4+ D4211 GINGIVECTOMY/GINGIVOPLASTY-1-3 D4240 GINGIVAL FLAP,ROOT PLANING -4+ D4241 VAL FLAP,ROOT PLAN- 1 3 TEETH D4245 APICALLY POSITIONED FLAP D4249 CROWN LENGTHEN HARD TISSUE D4260 OSSEOUS SURGERY -4+ TEETH D4261 US SURGERY- 1 3 TEETH,/QUAD D4263 BONE REPLCE GRAFT FIRST SITE D4264 BONE REPLCE GRAFT EACH ADD D4265 BIOLOGIC MATER AID SFT&OSSEOUS D4266 GUIDED TISS REGEN-RESORB,/SITE D4267 GUID TISS REGEN-NONRESRB,/SITE D4268 SURG REVISION PROC, PER TOOTH D4270 PEDICLE SOFT TISSUE GRAFT PR D4271 FREE SOFT TISSUE GRAFT PROC D4273 SUBEPITHELIAL CONECTIVE TISSUE D4274 DISTAL/PROXIMAL WEDGE PROC D4275 TISSUE ALLOGRAFT D4276 CMBNED CNNECT TISS&DBLE PDICLE D4320 PROVISION SPLNT INTRACORONAL D4321 PROVISIONAL SPLINT EXTRACORO D4341 PERIODON SCALING& ROOT PLANING D4342 PERIODONT SCALING&ROOT PLANING D4355 FULL MOUTH DEBRIDEMENT D4381 LOCALIZED CHEMO DELIVERY D4910 PERIODONTAL MAINTENANCE D4920 UNSCHEDULED DRESSING CHANGE D4999 UNSPECIFIED PERIODONTAL PROC D5110 DENTURES COMPLETE MAXILLARY D5120 DENTURES COMPLETE MANDIBLE D5130 DENTURES IMMEDIAT MAXILLARY D5140 DENTURES IMMEDIAT MANDIBLE D5211 DENTURES MAXILL PART RESIN
- 898. D5212 DENTURES MAND PART RESIN D5213 DENTURES MAXILL PART METAL D5214 DENTURES MANDIBL PART METAL D5281 REMOVABLE PARTIAL DENTURE D5410 DENTURES ADJUST CMPLT MAXIL D5411 DENTURES ADJUST CMPLT MAND D5421 DENTURES ADJUST PART MAXILL D5422 DENTURES ADJUST PART MANDBL D5510 DENTUR REPR BROKEN COMPL BAS D5520 REPLACE DENTURE TEETH COMPLT D5610 DENTURES REPAIR RESIN BASE D5620 REP PART DENTURE CAST FRAME D5630 REP PARTIAL DENTURE CLASP D5640 REPLACE PART DENTURE TEETH D5650 ADD TOOTH TO PARTIAL DENTURE D5660 ADD CLASP TO PARTIAL DENTURE D5670 REPLACE,ACRYLIC CAST MTAL(MAX) D5671 REPLACE,ACRYLC CAST METAL(MAN) D5710 DENTURES REBASE CMPLT MAXIL D5711 DENTURES REBASE CMPLT MAND D5720 DENTURES REBASE PART MAXILL D5721 DENTURES REBASE PART MANDBL D5730 DENTURE RELN CMPLT MAXIL CH D5731 DENTURE RELN CMPLT MAND CHR D5740 DENTURE RELN PART MAXIL CHR D5741 DENTURE RELN PART MAND CHR D5750 DENTURE RELN CMPLT MAX LAB D5751 DENTURE RELN CMPLT MAND LAB D5760 DENTURE RELN PART MAXIL LAB D5761 DENTURE RELN PART MAND LAB D5810 DENTURE INTERM CMPLT MAXILL D5811 DENTURE INTERM CMPLT MANDBL D5820 DENTURE INTERM PART MAXILL D5821 DENTURE INTERM PART MANDBL D5850 DENTURE TISS CONDITN MAXILL D5851 DENTURE TISS CONDTIN MANDBL D5860 OVERDENTURE COMPLETE D5861 OVERDENTURE PARTIAL D5862 PRECISION ATTACHMENT D5867 REPL PART,SEMI-PRECISON/ATTACH D5875 MOD REM PROSTH FOLL IMPLT SURG D5899 REMOVABLE PROSTHODONTIC PROC D5911 FACIAL MOULAGE SECTIONAL D5912 FACIAL MOULAGE COMPLETE D5913 NASAL PROSTHESIS D5914 AURICULAR PROSTHESIS D5915 ORBITAL PROSTHESIS D5916 OCULAR PROSTHESIS D5919 FACIAL PROSTHESIS D5922 NASAL SEPTAL PROSTHESIS D5923 OCULAR PROSTHESIS INTERIM D5924 CRANIAL PROSTHESIS
- 899. D5925 FACIAL AUGMENTATION IMPLANT D5926 REPLACEMENT NASAL PROSTHESIS D5927 AURICULAR REPLACEMENT D5928 ORBITAL REPLACEMENT D5929 FACIAL REPLACEMENT D5931 SURGICAL OBTURATOR D5932 POSTSURGICAL OBTURATOR D5933 REFITTING OF OBTURATOR D5934 MANDIBULAR FLANGE PROSTHESIS D5935 MANDIBULAR DENTURE PROSTH D5936 TEMP OBTURATOR PROSTHESIS D5937 TRISMUS APPLIANCE D5951 FEEDING AID D5952 PEDIATRIC SPEECH AID D5953 ADULT SPEECH AID D5954 SUPERIMPOSED PROSTHESIS D5955 PALATAL LIFT PROSTHESIS D5958 INTRAORAL CON DEF INTER PLT D5959 INTRAORAL CON DEF MOD PALAT D5960 MODIFY SPEECH AID PROSTHESIS D5982 SURGICAL STENT D5983 RADIATION APPLICATOR D5984 RADIATION SHIELD D5985 RADIATION CONE LOCATOR D5986 FLUORIDE APPLICATOR D5987 COMMISSURE SPLINT D5988 SURGICAL SPLINT D5999 MAXILLOFACIAL PROSTHESIS D6010 ODONTICS ENDOSTEAL IMPLANT D6020 ODONTICS ABUTMENT PLACEMENT D6040 ODONTICS EPOSTEAL IMPLANT D6050 ODONTICS TRANSOSTEAL IMPLNT D6053 IMPLNT RMV DENTRE,COMP EDENTUL D6054 IMPLNT RMV DENTRE,PART EDENTUL D6055 IMPLANT CONNECTING BAR D6056 PREFABRICATED ABUTMENT D6057 CUSTOM ABUTMENT D6058 ABUT SUPP PORCEL/CERAMIC CROWN D6059 ABUT,PORC FUSE-HI NOB MET CRWN D6060 ABUTM,PORC FUSE-BASE MET CROWN D6061 ABUTM,PORC FUSE-NOB METAL CRWN D6062 ABUTM,CAST HI NOBL METAL CROWN D6063 ABUTMENT,CAST BASE METAL CROWN D6064 ABUTMENT,CAST NOBL METAL CROWN D6065 IMPLNT,PORCELAIN/CERAMIC CROWN D6066 IMPL SUP PORC FUSE - MET CROWN D6067 IMPLANT SUPPORTED METAL CROWN D6068 ABUTM,RETAINER, PORC/CERAM FPD D6069 ABUT,PORC FUSE-HI NOB MET FPD D6070 ABUTM,PORC FUSE-BASE METAL FPD D6071 ABUTM,PORC FUSE-NOBL METAL FPD D6072 ABUTM, CAST HI NOBLE METAL FPD
- 900. D6073 ABUTM,RET, CAST BASE METAL FPD D6074 ABUTM,RET,CAST NOBLE METAL FPD D6075 IMPLT SUPP RETAINR,CERAMIC FPD D6076 IMPL SUP RET,PORC FUSE,MET FPD D6077 IMPLT SUPP RET, CAST METAL FPD D6078 IMPL/ABUT,FIX DENT, EDENT ARCH D6079 IMPL/ABUT,FIX DEN,PART EDEN AR D6080 IMPLANT MAINTENANCE D6090 REPAIR IMPLANT D6095 ODONTICS REPR ABUTMENT D6100 REMOVAL OF IMPLANT D6199 IMPLANT PROCEDURE D6210 PROSTHODONT HIGH NOBLE METAL D6211 BRIDGE BASE METAL CAST D6212 BRIDGE NOBLE METAL CAST D6240 BRIDGE PORCELAIN HIGH NOBLE D6241 BRIDGE PORCELAIN BASE METAL D6242 BRIDGE PORCELAIN NOBEL METAL D6245 PONTIC - PORCELAIN/CERAMIC D6250 BRIDGE RESIN W/HIGH NOBLE D6251 BRIDGE RESIN BASE METAL D6252 BRIDGE RESIN W/NOBLE METAL D6253 PROVISIONAL PONTIC D6545 DENTAL RETAINR CAST METL D6548 RETAINR-POR/CERAM,RES,FIX PROS D6600 INLAY-PRCLAN/CRMC,2 SURFACES D6601 INLAY-PRCLAN/CRMC,3+ SURFACES D6602 INLAY-CAST HGH NOBLE,2 SURFACE D6603 INLAY-CAST HGH NOBLE,3+SURFACE D6604 INLAY-CAST PREDOM BASE,2 SRFCE D6605 INLAY-CAST PREDOM BASE,3+SRFCE D6606 INLAY-CAST NOBLE METAL,2 SRFCE D6607 INLAY-CAST NOBLE METAL,3+SRFCE D6608 ONLAY-PRCLAN/CRMC, 2 SURFACES D6609 ONLAY-PRCLAN/CRMC,3+ SURFACES D6610 ONLAY-CAST HGH NOBLE,2 SURFACE D6611 ONLAY-CAST HGH NOBLE,3+SURFACE D6612 ONLAY-CAST PREDOM BASE,2 SRFCE D6613 ONLAY-CAST PREDOM BASE,3+SRFCE D6614 ONLAY-CAST NOBLE METAL,2 SRFCE D6615 ONLAY-CAST NOBLE METAL,3+SRFCE D6720 RETAIN CROWN RESIN W HI NBLE D6721 CROWN RESIN W/BASE METAL D6722 CROWN RESIN W/NOBLE METAL D6740 CROWN - PORCELAIN/CERAMIC D6750 CROWN PORCELAIN HIGH NOBLE D6751 CROWN PORCELAIN BASE METAL D6752 CROWN PORCELAIN NOBLE METAL D6780 CROWN 3/4 HIGH NOBLE METAL D6781 CRWN-3/4 CAST PREDOM BASED MET D6782 CROWN - 3/4 CAST NOBLE METAL D6783 CROWN - 3/4 PORCELAIN/CERAMIC
- 901. D6790 CROWN FULL HIGH NOBLE METAL D6791 CROWN FULL BASE METAL CAST D6792 CROWN FULL NOBLE METAL CAST D6793 PROVISIONAL RETAINER CROWN D6920 DENTAL CONNECTOR BAR D6930 DENTAL RECEMENT BRIDGE D6940 STRESS BREAKER D6950 PRECISION ATTACHMENT D6970 POST & CORE PLUS RETAINER D6971 CAST POST BRIDGE RETAINER D6972 PREFAB POST & CORE PLUS RETA D6973 CORE BUILD UP FOR RETAINER D6975 COPING METAL D6976 EACH ADD CAST POST- SAME TOOTH D6977 EA ADD PREFAB POST- SAME TOOTH D6980 BRIDGE REPAIR D6985 PEDIATRIC PARTIAL DENTRE,FIXED D6999 FIXED PROSTHODONTIC PROC D7111 CORONAL RMNNTS-DECIDUOUS TOOTH D7140 EXTRCT,ERPTD TOOTH/EXPSED ROOT D7210 REM IMP TOOTH W MUCOPER FLP D7220 IMPACT TOOTH REMOV SOFT TISS D7230 IMPACT TOOTH REMOV PART BONY D7240 IMPACT TOOTH REMOV COMP BONY D7241 IMPACT TOOTH REM BONY W/ COMP D7250 TOOTH ROOT REMOVAL D7260 ORAL ANTRAL FISTULA CLOSURE D7261 PRIM CLSUR SINUS PERFORATION D7270 TOOTH REIMPL &/ STABILIZATION D7272 TOOTH TRANSPLANTATION D7280 SURG ACCESS UNERUPTED TOOTH D7281 EXPOSURE TOOTH AID ERUPTION D7282 MOBILIZ ERUPTED TOOTH AID ERPT D7285 BIOPSY OF ORAL TISSUE - HARD D7286 BIOPSY OF ORAL TISSUE - SOFT D7287 CYTOLOGY SAMPLE COLLECTION D7290 REPOSITIONING OF TEETH D7291 TRANSSEPTAL FIBEROTOMY/SUPRA D7310 ALVEOPLASTY W/ EXTRACTION D7320 ALVEOPLASTY W/O EXTRACTION D7340 VESTIBULOPLASTY RIDGE EXTENS D7350 VESTIBULOPLASTY EXTEN GRAFT D7410 EXCIS B9 LESION UP TO 1.25 CM D7411 EXCISION OF B9 LESION>1.25 CM D7412 EXCISION OF B9 LESION,COMPLCAT D7413 EXCI MALIGNANT LESION <1.25 CM D7414 EXCI MALIGNANT LESION >1.25 CM D7415 EXCI MALIGNANT LESION,CMPLICTD D7440 MALIG TUMOR EXC TO 125 CM D7441 MALIG TUMOR > 125 CM D7450 REM,B9 ODON CYST DIAM <1.25 CM D7451 REM,B9 ODON CYST DIAM >1.25 CM
- 902. D7460 REM,B9 NONODO CYST DIA <1.25CM D7461 REM,B9 NONODO CYST DIAM>1.25CM D7465 LESION DESTRUCTION D7471 REMOVAL OF LATERAL EXOSTOSIS D7472 REMOVAL OF TORUS PALATINUS D7473 REMOVAL OF TORUS MANDIBULARIS D7485 SURG REDUCT OSSEOUS TUBEROSITY D7490 MANDIBLE RESECTION D7510 I&D ABSC INTRAORAL SOFT TISS D7520 I&D ABSCESS EXTRAORAL D7530 RMVL,FB,MUCOSA,/SUBCUTANEOUS D7540 REMOVAL OF FB REACTION D7550 PART OSTECTOMY,RMVL,NON-VITAL D7560 MAXILLARY SINUSOTOMY D7610 MAXILLA OPEN REDUCT SIMPLE D7620 CLSD REDUCT SIMPL MAXILLA FX D7630 OPEN RED SIMPL MANDIBLE FX D7640 CLSD RED SIMPL MANDIBLE FX D7650 OPEN RED SIMP MALAR/ ZYGOM FX D7660 CLSD RED SIMP MALAR/ ZYGOM FX D7670 ALVEOLUS-CLOSED REDUCTION D7671 ALVEOLUS-OPN REDCT,STBLZ TEETH D7680 REDUCT SIMPLE FACIAL BONE FX D7710 MAXILLA OPEN REDUCT COMPOUND D7720 CLSD REDUCT COMPD MAXILLA FX D7730 OPEN REDUCT COMPD MANDBLE FX D7740 CLSD REDUCT COMPD MANDBLE FX D7750 OPEN RED COMP MALAR/ ZYGMA FX D7760 CLSD RED COMP MALAR/ ZYGMA FX D7770 ALVEOLUS-OPEN REDUCTION D7771 ALVEOLUS,CLS REDCT,STBLZ TEETH D7780 REDUCT COMPND FACIAL BONE FX D7810 TMJ OPEN REDUCT- DISLOCATION D7820 CLOSED TMP MANIPULATION D7830 TMJ MANIPULATION UNDER ANEST D7840 REMOVAL OF TMJ CONDYLE D7850 TMJ MENISCECTOMY D7852 TMJ REPAIR OF JOINT DISC D7854 TMJ EXCISN OF JOINT MEMBRANE D7856 TMJ CUTTING OF A MUSCLE D7858 TMJ RECONSTRUCTION D7860 TMJ CUTTING INTO JOINT D7865 TMJ RESHAPING COMPONENTS D7870 TMJ ASPIRATION JOINT FLUID D7871 NON-ARTHROSCOPIC LYS & LAVAGE D7872 TMJ DIAGNOSTIC ARTHROSCOPY D7873 TMJ ARTHROSCOPY LYSIS ADHESN D7874 TMJ ARTHROSCOPY DISC REPOSIT D7875 TMJ ARTHROSCOPY SYNOVECTOMY D7876 TMJ ARTHROSCOPY DISCECTOMY D7877 TMJ ARTHROSCOPY DEBRIDEMENT D7880 OCCLUSAL ORTHOTIC APPLIANCE
- 903. D7899 TMJ UNSPECIFIED THERAPY D7910 DENT SUTUR RECENT WND TO 5 CM D7911 DENTAL SUTURE WOUND TO 5 CM D7912 SUTURE COMPLICATE WND > 5 CM D7920 DENTAL SKIN GRAFT D7940 RESHAPING BONE ORTHOGNATHIC D7941 OSTEOTOMY- MANDIBULAR RAMI D7943 OSTEOTOMY-MAND RAM,BNE GFT;OBT D7944 BONE CUTTING SEGMENTED D7945 BONE CUTTING BODY MANDIBLE D7946 RECONSTRUCTION MAXILLA TOTAL D7947 RECONSTRUCT MAXILLA SEGMENT D7948 RECONSTRUCT MIDFACE NO GRAFT D7949 RECONSTRUCT MIDFACE W/ GRAFT D7950 MANDIBLE GRAFT D7955 REPAIR MAXILLOFACIAL DEFECTS D7960 FRENULECTOMY/ FRENULOTOMY D7970 EXCISION HYPERPLASTIC TISSUE D7971 EXCISION PERICORONAL GINGIVA D7972 SURG REDUCT FIBROUS TUBEROSITY D7980 SIALOLITHOTOMY D7981 EXCISION OF SALIVARY GLAND D7982 SIALODOCHOPLASTY D7983 CLOSURE OF SALIVARY FISTULA D7990 EMERGENCY TRACHEOTOMY D7991 DENTAL CORONOIDECTOMY D7995 SYNTHETIC GRAFT FACIAL BONES D7996 IMPLANT MANDIBLE FOR AUGMENT D7997 APPLIANCE REM, INC REM ARCHBAR D7999 ORAL SURGERY PROCEDURE D8010 LIMITED DENTAL TX PRIMARY D8020 LIMITED DENTAL TX TRANSITION D8030 LIMITED DENTAL TX ADOLESCENT D8040 LIMITED DENTAL TX ADULT D8050 INTERCEP DENTAL TX PRIMARY D8060 INTERCEP DENTAL TX TRANSITION D8070 COMPRE DENTAL TX TRANSITION D8080 COMPRE DENTAL TX ADOLESCENT D8090 COMPRE DENTAL TX ADULT D8210 ORTHODONTIC REM APPLIANCE TX D8220 FIXED APPLIANCE THERAPY HABT D8660 PREORTHODONTIC TX VISIT D8670 PERIODIC ORTHODONTIC TX VISIT D8680 ORTHODONTIC RETENTION D8690 ORTHODONTIC TREATMENT D8691 REPAIR, ORTHODONTIC APPLIANCE D8692 REPLACE, LOST/BROKEN RETAINER D8999 ORTHODONTIC PROCEDURE D9110 TX DENTAL PAIN MINOR PROC D9210 DENT ANESTHESIA W/O SURGERY D9211 REGIONAL BLOCK ANESTHESIA D9212 TRIGEMINAL BLOCK ANESTHESIA
- 904. D9215 LOCAL ANESTHESIA D9220 DEEP SEDATION -1ST 30 MINUTES D9221 DEEP SEDATION-EACH ADDL 15 MIN D9230 ANALGES,ANXIOLYS,INHAL NITR OX D9241 IV CONSCIOUS SEDAT-1ST 30 MIN D9242 IV CONSCIOUS SEDAT-ADDL 15 MIN D9248 NON-INTRAVENS CONSCIOUS SEDAT D9310 DENTAL CONSULTATION D9410 HOUSE/EXTENDED CARE FACIL CALL D9420 HOSPITAL CALL D9430 OFFICE VISIT DURING HOURS D9440 OFFICE VISIT AFTER HOURS D9450 CASE PRESENTATION,TREAT PLNING D9610 DENT THERAPEUTIC DRUG INJECT D9630 OTHER DRUGS/MEDICAMENTS D9910 DENT APPL DESENSITIZING MED D9911 APP DESEN RES,CERV &/RT,/TOOTH D9920 BEHAVIOR MANAGEMENT D9930 TREATMENT OF COMPLICATIONS D9940 DENTAL OCCLUSAL GUARD D9941 FABRICATION ATHLETIC GUARD D9950 OCCLUSION ANALYSIS D9951 LIMITED OCCLUSAL ADJUSTMENT D9952 COMPLETE OCCLUSAL ADJUSTMENT D9970 ENAMEL MICROABRASION D9971 ODONTOPLAS 1-2;REMOV ENAM PROJ D9972 EXTERNAL BLEACHING - PER ARCH D9973 EXTERNAL BLEACHING - PER TOOTH D9974 INTERNAL BLEACHING - PER TOOTH D9999 ADJUNCTIVE PROCEDURE E0100 CANE, ADJUSTABLE/FIXED, W/TIP E0105 CANE QUAD, ADJ/FIXED, W/TIPS E0110 CRUTCHES FOREARM ADJ/FIXED E0111 CRUTCH FOREARM ADJ/FIXED,W/TIP E0112 CRTCHS UNDERARM WOOD ADJ/FIXED E0113 CRUTCH UNDERARM WOOD ADJ/FIXED E0114 CRUTCHES UNDERARM, NOT WOOD E0116 CRUTCH UNDERARM, NOT WOOD E0117 CRUTCH,UNDERARM,SPRING ASISTED E0130 WALKER, RIGID, ADJ/FIXD HT E0135 WALKER, FOLDING ADJ/FIXD HT E0141 RIGID WALKR, WHEELED, W/O SEAT E0142 RIGID WALKR, WHEEL, W/ SEAT E0143 FOLD WALKER, WHEELED, W/O SEAT E0144 ENCL,FRAM FOLD WALK,WHEEL,SEAT E0145 WLKR, WHEELED W/SEAT&CRUTCH E0146 FOLD WALKER, WHEELED, W/ SEAT E0147 HVY DTY, VARI WHEEL WALKER E0148 WALKR,HV,WO WHEL,RG/FLD,ANY,EA E0149 WALKR,HV,WHEEL,RIG/FOLD,ANY,EA E0153 PLTFRM ATTCHMNT, FOREARM CRTCH E0154 PLTFRM ATTCHMNT, WALKER,
- 905. E0155 WHEEL ATT,PICK-UP WALKER,/PAIR E0156 SEAT ATTACHMENT, WALKER E0157 CRUTCH ATTACHMENT, WALKER E0158 LEG EXTENS,WALKER,PER SET OF 4 E0159 BRAKE; WHEELED WALKER, REPL EA E0160 SITZ BATH, PORT, COMMODE SEAT E0161 SITZ BATH, PORT, W/FAUCET E0162 SITZ BATH CHAIR E0163 COMMODE CHAIR, STATION, W/ARMS E0164 COMMODE CHAIR, MOBILE, W/ARMS E0165 COMMODE CHR, STNRY, W/DET ARMS E0166 COMMODE CH, MOBILE, W/DET ARMS E0167 PAIL/PAN FOR COMMODE CHAIR E0168 COMMDE CHAIR,EX WIDE,HV,ANY,EA E0169 SEATLIFT INCORP COMMODECHAIR E0175 FOOT REST, FOR COMMODE CHAIR E0176 AIR PRESS PAD/CUSHION, NONPOS E0177 H20 PRESS PAD/CUSHION, NONPOS E0178 GEL PRESS PAD/CUSHION NONPOSIT E0179 DRY PRESS PAD/CUSHION, NONPOS E0180 PRESS PAD, ALTERNATING W/ PUMP E0181 PRESS PAD, ALT W/PUMP, HVY DTY E0182 ALTERNATING PRESSURE PAD PUMP E0184 DRY PRESSURE MATTRESS DRY E0185 GEL PRESS PAD;MATTRESS,STD L&W E0186 AIR PRESSURE MATTRESS E0187 WATER PRESSURE MATTRESS E0188 SYNTHETIC SHEEPSKIN PAD E0189 LAMBSWOOL SHEEPSKIN PAD E0191 HEEL OR ELBOW PROTECTOR, EACH E0192 LOW PRESS/POSIT EQ PAD;WHEELCH E0193 POWERED AIR FLOTATATION BED E0194 AIR FLUIDIZED BED E0196 GEL PRESSURE MATTRESS E0197 AIR PRESS PAD;MATTRESS,STD L&W E0198 H2O PRESS PAD;MATTRESS,STD L&W E0199 DRY PRESS PAD;MATTRESS,STD L&W E0200 HEAT LAMP W/O STAND W/BULB E0202 BILIRUBIN LIGHT W/ PHOTOMETER E0203 THRPTC LIGHTBOX,MIN 10,000 LUX E0205 HEAT LAMP, W/ STAND, W/ BULB E0210 ELECTRIC HEAT PAD, STANDARD E0215 ELECTRIC HEAT PAD, MOIST E0217 WATER CRCULAT HEAT PAD W/ PUMP E0218 WATER CRCULAT COLD PAD W/ PUMP E0220 HOT WATER BOTTLE E0221 INFRARED HEATING PAD SYSTEM E0225 HYDROCOLLATOR UNIT, W/ PADS E0230 ICE CAP OR COLLAR E0231 WOUND WARMING DEVICE E0232 WARMING CARD FOR NWT E0235 PARAFFIN BATH UNIT, PORTABLE
- 906. E0236 PUMP FOR WATER CIRCULATING PAD E0238 NON-ELECTRIC HEAT PAD, MOIST E0239 HYDROCOLLATOR UNIT, PORTABLE E0241 BATH TUB WALL RAIL, EACH E0242 BATH TUB RAIL, FLOOR BASE E0243 TOILET RAIL, EACH E0244 RAISED TOILET SEAT E0245 TUB STOOL OR BENCH E0246 TRANSFER TUB RAIL ATTACHMENT E0249 WATER CIRCULATNG HEAT UNIT PAD E0250 BED FXD HGT W/RAILS, W/MATTRS E0251 BED FXD HGT W/RAILS, W/O MTRS E0255 BED VAR HT, W/RAIL&MATTRESS E0256 BED VAR HT W/RAIL W/O MTTRS E0260 HOSP BED SEMI-ELEC, W/MATTRESS E0261 BED SEMI-ELEC, W/O MATTRESS E0265 BED TOT ELEC, W/RAILS&MATTRSS E0266 BED TOT ELEC, W/RAIL W/O MTTRS E0270 HOS BED STRYKER FRAME,W/MTTRS E0271 MATTRESS, INNERSPRING E0272 MATTRESS, FOAM RUBBER E0273 BED BOARD E0274 OVER-BED TABLE E0275 BED PAN, STD, METAL OR PLASTIC E0276 BED PAN, FRACT, METAL/PLASTIC E0277 POWER PRESS-REDUC AIR MATTRESS E0280 BED CRADLE, ANY TYPE E0290 BED FIX HT, W/O RAILS,W/MTRS E0291 BED FIX HT, W/O RAIL & MTTRS E0292 BED VAR HT, W/O RAIL, W/MTRS E0293 BED VAR HT, W/O RAIL, W/O MTRS E0294 BED SEMI-ELEC W/O RAIL, W/MTRS E0295 BED SEMI-ELEC W/O RAIL&W/OMTRS E0296 BED ELEC W/O RAILS, W/MTRSS E0297 BED ELEC W/O RAILS, W/OMTRSS E0305 BED SIDE RAILS, HALF LENGTH E0310 BED SIDE RAILS, FULL LENGTH E0315 BED ACCESSORY: ANY TYPE E0316 BED SAFETY ENCLOSURE E0325 URINAL; MALE, JUG-TYPE E0326 URINAL; FEMALE, JUG-TYPE E0350 CTRL UNT ELEC BOWEL IRRIG SYS E0352 ELEC BOWEL IRRIGATION SYS E0370 AIR PRESSURE ELEVATOR FOR HEEL E0371 NONPOW OVERLAY,MATTRESS,STD LW E0372 POW AIR OVRLAY,MATTRESS STD LW E0373 NONPOW ADV PRESS REDUC MATRESS E0424 STATNRY COMPRSS GAS OX SYST E0425 STNRY COMPRSS GAS SYS, PURCHAS E0430 PORTABLE GAS O2 SYS, PURCHASE E0431 PORTBL GAS OX SYS,RENT;INC CNT E0434 PORTABLE LIQ O2 SYSTEM, RENTAL
- 907. E0435 PORT LIQ O2 SYSTEM, PURCHASE E0439 STATNRY LIQD OX SYS,RENT E0440 STATIONARY LIQ O2 SYS, PURCHAS E0441 OXYGEN,GASEOUS,1 MONTH SUPPLY E0442 OXYGEN,LIQUID, 1 MONTH SUPPLY E0443 PORTABLE OXYGEN,GAS,1 MONTH E0444 PORTABLE OXYGEN,LIQUID,1 MONTH E0445 OXIMTR DVCE MEASUR BLD OXYGEN E0450 VOL VENT,STA/PORT,INVAS INTERF E0454 PRSSRE VENT W PRSSRE CNTRL E0455 O2 TENT, EXCL CROUP/ PEDI TENT E0457 CHEST SHELL (CUIRASS) E0459 CHEST WRAP E0460 NEG PRESS VENTITLATOR E0461 VOL VNT,STION/PRT,W BCKUP FEAT E0462 ROCKING BED W/ OR W/O RAILS E0480 PERCUSSOR, ELECTRIC/PNEUMATIC E0481 INTRPULMNRY PERCUSS VENT SYS E0482 COUGH STIMULATING DEVICE E0483 HGH FREQ CHEST WALL OSCILATION E0484 OSCLLTRY PSTVE EXPRTRY PRESURE E0500 IPPB MACHINE, BUILT-IN NEBULIZ E0550 HUMID EXTEN SUPPLE IPPB TX/O2 E0555 HUMIDIFIER GLASS/PLASTIC BOTLE E0560 HUMIDIFYING IPPB TX/O2 DELIV E0565 COMPRESSOR AIR POWER FOR EQUIP E0570 NEBULIZER, WITH COMPRESSOR E0571 AEROS COMP,BATT,SM VOL NEBULIZ E0572 AEROS COMP,ADJ,LIGHT,INTERMITT E0574 ULTRASONIC/ELECTRON W SM NEBUL E0575 NEBULIZER,ULTRASONIC,LRGE VOLM E0580 NEBULIZER GLASS/PLASTIC BOTTLE E0585 NEBULIZER, W/COMPRESS & HEATER E0590 DISP FEE COV DRUG ADM, DME NEB E0600 SUCTION PUMP PORTAB HOM MODL E0601 CONTINUOUS AIRWAY PRESSURE DVC E0602 MANUAL BREAST PUMP E0603 ELECTRIC BREAST PUMP E0604 HOSP GRADE ELEC BREAST PUMP E0605 VAPORIZER, ROOM TYPE E0606 POST DRAINBOARDMONITORING EQMT E0607 HOME BLOOD GLUCOSE MONITOR E0610 PACEMAKER W/ AUDIBL/VISIBL SYS E0615 PACEMAKER DIGITAL/VISIBLE SYS E0616 IMPL CARD EVT REC,MEM,ACT,PROG E0617 EXTERN DEFIBRILLA, ELECTROCARD E0618 APNEA MONITOR, WO RECORD FEAT E0619 APNEA MONITOR,W RECORDING FEAT E0620 CAP BLD SKIN PIERCING LASER E0621 SLING/SEAT, PATIENT LIFT E0625 PAT. LIFT, KARTOP BATH/TOILET E0627 SEAT LIFT/CHAIR LIFT MECHANISM
- 908. E0628 SEP SEAT LIFT MECHANISM, ELECT E0629 SEP SEAT LIFT MECHNISM NONELEC E0630 PATIENT LIFT, HYDRAULIC E0635 PATIENT LIFT, ELECTRIC E0636 MULTIPSTNAL PT SUPP SYS,W LIFT E0650 PNEUM CMPRESSOR, NON-SEGMENTAL E0651 PNEUM CMPRESS W/O CAL GRADIENT E0652 PNEUM COMPRESS W/CAL GRADIENT E0655 NONSEG PNEUM APPL: 1/2 ARM E0660 NONSEG PNEUM APPL: FULL LEG E0665 NONSEG PNEUM APPL: FULL ARM E0666 NONSEG PNEUM APPL: HALF LEG E0667 SEG PNEUM APPL: FULL LEG E0668 SEG PNEUM APPL: FULL ARM E0669 SEG PNEUM APPL: HALF LEG E0671 SEG GRAD PNEUM APPL, FULL LEG E0672 SEG GRAD PNEUM APPL, FULL ARM E0673 SEG GRAD PNEU APPL, HALF LEG E0691 UV THRPY,BULBS;TREAT 2SQFT/< E0692 UV THRPY,BULBS, 4 FT PANEL E0693 UV THRPY,BULBS, 6 FT PANEL E0694 UV MLTIDRCT THRPY 6FT CAB E0700 SAFETY EQUIPMENT E0701 HLMT W FCE GRD&SFT INTRFCE MAT E0710 RESTRAINTS, ANY TYPE E0720 TENS, 2 LEAD, LOCALIZED STIMUL E0730 TRNSCUT ELECAL,4+ LDS,MULT NRV E0731 FORM FIT CONDUCTIVE GARMENT E0740 PELVIC FLOOR STIM, MONITOR E0744 NEUROMUSCULAR STIML, SCOLIOSIS E0745 NEUROMUSC STIMULR, ELEC SHOCK E0746 EMG, BIOFEEDBACK DEVICE E0747 ELEC OSTEOGEN STIM, NOT SPINAL E0748 OSTEOGEN STIM, NONINVAS SPINAL E0749 OSTEOGENESS STIM,ELCTR,SRG IMP E0752 NEUROSTIMULATOR ELECTRODE E0754 PULSEGENERATOR PT PROGRAMMER E0755 ELEC SALIVARY REFLEX STIMULR E0756 IMPL NEUROSTIM PULSE GENERATOR E0757 IMPL NEUROSTIM RADIOFREQ RECVR E0758 RADIOFREQ TRANSMITTER (EXTERN) E0759 REPLACE RDFRQUNCY TRANSMITTR E0760 OSTOGEN STIM, ULTRASOUND E0761 NON-THRML PLSD HGH FREQ RDIOWV E0765 FDA,NRVE STIM,REP BAT,NAUS,VOM E0776 IV POLE E0779 AMB INFUS PUMP,MECH,REUS,8 HR+ E0780 AMB INFUS PUMP,MECH,REUS,< 8HR E0781 AMBUL INFUS PUMP,1/+ CHAN,PAT E0782 INFUSI PUMP,IMPLNT,NON-PROGRAM E0783 INFUS PUMP SYS,IMPLANT,PROGRAM E0784 EXTN AMBUL INFUS PMP, INSULIN
- 909. E0785 IMPLT INTRASPIN,CATH,PUMP,REPL E0786 IMPLT PROG INFUS PUMP, REPLACE E0791 PARENTL INFUS PMP, MULTI-CHAN E0830 AMBULAT TRACT DEV,ALL TYPE,EA E0840 TRACT FRAME, HDBRD, CERV TRCT E0850 TRACT STAND, FREE STAND, CERV E0855 CERV TRAC EQP,NO ADD STD/FRAME E0860 TRACT EQMNT, OVERDOOR, CERVIC E0870 TRACT FRAME, FTBRD, EXTREMITY E0880 TRACT STAND, FREE STAND, EXTRM E0890 TRACT FRAME, FTBRD, PELVIC E0900 TRCT STAND, FREE STAND, PELVIC E0910 TRAPEZE BARS, W/GRAB BAR E0920 FRACT FRAME, W/WGTS E0930 FRACT FRAME, FREE STAND, W/WTS E0935 PASSIVE MOTION EXERCISE DEVICE E0940 TRAPEZE BAR, FREE STAND, COMPL E0941 GRAVITY ASST TRACTION DEVICE E0942 CERVICAL HEAD HARNESS/HALTER E0943 CERVICAL PILLOW E0944 PELVIC BELT/HARNESS/BOOT E0945 EXTREMITY BELT/HARNESS E0946 FRACT FRAME, W/X-BARS, BED E0947 FRACT FRAME, COMPLEX PELVIC E0948 FRACT FRAME, COMPLEX CERVICAL E0950 TRAY E0951 LOOP HEEL, EACH E0952 LOOP TOE, EACH E0953 PNEUMATIC TIRE, EACH E0954 SEMI-PNEUMATIC CASTER, EACH E0958 WHEELCHAIR ATTCH, 1 ARM DRIVE E0959 AMPUTEE ADAPTER E0961 BRAKE EXTENSION, FOR WHEELCHR E0962 1 IN CUSHION, FOR WHEELCHAIR E0963 2 INCH CUSHION, FOR WHEELCHAIR E0964 3 IN CUSHION, FOR WHEELCHAIR E0965 4 IN CUSHION, FOR WHEELCHAIR E0966 HOOK ON HEAD REST EXTENSION E0967 WHEELCHAIR HAND RIMS E0968 COMMODE SEAT, WHEELCHAIR E0969 NARROWING DEVICE, WHEELCHAIR E0970 #2 FOOTPLATE, EX ELEV LEG REST E0971 ANTI-TIPPING DEVICE WHEELCHAIR E0972 TRANSFER BOARD, WHEELCHAIR E0973 ADJ HGT DETCH ARM, FULL WCHAIR E0974 GRADE AID WHEELCHAIR E0975 REINF SEAT UPHOLSTERY, WCHAIR E0976 REINFORCED BACK, WHEELCHAIR E0977 WEDGE CUSHION, WHEELCHAIR E0978 WCHAIR W/SFTY BELT, W/ BUCKLE E0979 WCHAIR W SFTY BELT W/ VELCRO E0980 SAFETY VEST, WHEELCHAIR
- 910. E0990 ELEVATING LEG REST, EACH E0991 UPHOLSTERY SEAT E0992 SOLID SEAT INSERT E0993 BACK, UPHOLSTERY E0994 ARM REST, EACH E0995 CALF REST, EACH E0996 TIRE, SOLID, EACH E0997 CASTER WITH A FORK E0998 CASTER WITHOUT FORK E0999 PNEUMATIC TIRE WITH WHEEL E1000 TIRE, PNEUMATIC CASTER E1001 WHEEL, SINGLEROLLABOUT CHAIR E1011 MOD PEDIATRIC WC,WIDTH ADJSTMT E1012 INTGRTD SEAT SYS,PLANAR,PED WC E1013 INTGRTD SEAT SYS,CNTURD,PED WC E1014 RECLINING BACK,ADD PED WC E1015 SHOCK ABSORBER MANUAL WC E1016 SHOCK ABSORBER POWER WC E1017 HVY DUTY SHCK ABSORBER MAN WC E1018 HVY DUTY SHCK ABSRBER,POWER WC E1020 RESIDUAL LIMB SUPPORT SYS WC E1025 LTRL THRC SUP,NON-CNTRD,PED WC E1026 LTRL THRC SUPP,CONTRED,PED WC E1027 LTRL/ANTROR SUPP,PEDC WC E1031 ROLLABOUT CHAIR, W/=>5 CASTORS E1035 MULT-POSIT PAT TRNSF,INTG SEAT E1037 TRANSPORT CHAIR, PED SIZE E1038 TRANSPORT CHAIR, ADULT SIZE E1050 RECLN WCHAIR, DETACH LEG REST E1060 RECLN WCHAIR, DTCH ARMS& LEG E1065 WHEELCHAIR POWER ATTACHMENT E1066 BATTERY CHARGER E1069 DEEP CYCLE BATTERY E1070 WHEELCH, DET ARMS, SWING FOOT E1083 HEMIWHCHAIR, FIX ARMS ELEV LEG E1084 HEMIWHCHAIR, DET ARMS/ELEV LEG E1085 HEMIWHCHAIR, FIX ARMS DET FOOT E1086 HEMIWHCHAR, DET ARMS/FOOT DESK E1087 LTWT WHLCHR, FIX ARMS, DET LEG E1088 LTWT WHLCHR ARMS DESK ELEV LEG E1089 LTWT WHLCHR, FIX ARMS DET FOOT E1090 LTWT WHLCHR DESK ARMS, DETFOOT E1092 WDE H DTY WHLCHR DESK ARMS LEG E1093 WDE H DTY WHLCHR DET FOOTRESTS E1100 SMI RCLN WHLCH FIX ARM DET LEG E1110 SMI RCLN WHLCH DET ARM ELV LEG E1130 STD WHLCH FULL ARM F/S/D FOOT E1140 WHELCH DET DSK/FULL ARM DET FT E1150 WHELCH DET ARM DSK ELEV LEG E1160 WHLCH, FIX ARM, DET ELEV LEG E1161 MANUAL ADULT SIZE WC,TLT SPACE E1170 AMP WHLCH FUL ARM DET ELV LEG
- 911. E1171 AMP WHLCH FUL ARM W/O FT REST E1172 AMP WHLCH DET ARM W/O FT REST E1180 AMP WHLCH DET ARM DET FT REST E1190 AMP WHLCH DET ARM DET ELEV LEG E1195 H DTY WHLCH FUL ARM DET/ELV LG E1200 AMP WHLCH FUL ARM DET FT REST E1210 MTR WHLCH FUL ARM ELV LEG REST E1211 MTR WHLCH DET ARM DET/ELV LEG E1212 MTR WHEELCH FUL ARM DET FT RST E1213 MTR WHLCH DET ARM DET FT RESTS E1220 WHLCHR SPEC SIZED/CONSTRUCTED E1221 WHLCHAIR W/FIX ARM, FOOTRESTS E1222 WHLCHR W/FIX ARM ELEV LEG RST E1223 WHLCHR W/DET ARM & FOOTRESTS E1224 WHLCHR W/DET ARM ELEV LEG REST E1225 SEMI-RECLN BACK CUSTM WHLCHR E1226 FULL RECLN BACK CUSTM WHLCHR E1227 SPEC HT ARMS FOR WHEELCHAIR E1228 SPEC BACK HT FOR WHEELCHAIR E1230 PWRD VEHICLE 3 OR 4 WHEEL E1231 W/C,PED SZ,TLT-N-SPCE,RIG,W SS E1232 W/C,PED SZ,TLT-N-SPCE,FLD,W SS E1233 W/C,PED SZ,TLT-N-SPC,RIG,WO SS E1234 W/C,PED SZ,TLT-N-SPC,FLD,WO SS E1235 W/C,PED SZ,RIG,ADJ,W SEAT SYS E1236 W/C,PED SZ,FOLD,ADJ,W SEAT SYS E1237 W/C,PED SZ,RIG,ADJ,WO SEAT SYS E1238 W/C,PED SZ,FLD,ADJ,WO SEAT SYS E1240 LTWT WHLCH DET ARMS DET ELV LG E1250 LTWT WHLCH FIX ARM DET FT REST E1260 LTWT WHLCH DET ARM DET FT REST E1270 LTWT WHLCH FUL ARM DET ELV LEG E1280 H DTY WHLCH DET ARM ELV LEG E1285 H DTY WHLCH FIX ARM DET FT RST E1290 H DTY WHLCH DET ARM DET FT RST E1295 H DTY WHLCH FIX FUL ARM ELV LG E1296 SPEC WHLCH SEAT HT FROM FLOOR E1297 SPEC WHLCH SEAT DPTH BY UPLSRY E1298 SPEC WHLCH SEAT DPTH AND WIDTH E1300 WHIRLPOOL, PORTABLE OVERTUB E1310 WHIRLPOOL, NON-PORTABLE E1340 NONROUT SVC DME REQ SKILD TECH E1353 REGULATOR E1355 STAND/RACK E1372 NEBUL IMMERSION EXTNL HEATER E1390 OXYGEN CONCENTRATOR,DEL 85% /+ E1399 MISC DURABLE MEDICAL EQUIPMNT E1405 O2 & H20 VAPOR SYS W/ HEAT E1406 O2 AND H20 VAPOR SYS W/O HEAT E1500 CENTRIFUGE E1510 KIDNEY, DIALYSATE DELIVERY SYS E1520 HEPARIN INFUSION PUMP
- 912. E1530 REPLACEMENT AIR BUBBLE DETEC E1540 REPLACEMENT PRESSURE ALARM E1550 BATH CONDUCTIVITY METER E1560 REPLACE BLOOD LEAK DETECTOR E1570 ADJ CHAIR, FOR ESRD PATIENTS E1575 TRANSDUCER PROTECT/FLD BAR E1580 UNIPUNCTURE CONTROL SYSTEM E1590 HEMODIALYSIS MACHINE E1592 AUTO INTERMITTENT DIALYSIS SYS E1594 CYCLER DIALYSIS MACHINE E1600 DELI/INSTALL CHRG HEMO EQUIP E1610 REVERSE OSMOSIS H2O PURI SYS E1615 DEIONIZER H2O PURI SYSTEM E1620 REPLACEMENT BLOOD PUMP E1625 WATER SOFTENING SYSTEM E1630 RECIPROCATING DIALYSIS SYSTEM E1632 WEARABLE ARTIFICIAL KIDNEY E1635 TRAVEL HEMODIALYZER SYS E1636 SORBENT CARTRIDGES PER 10 E1637 HEMOSTATS, EACH E1639 SCALE, EACH E1699 DIALYSIS EQUIPMENT NOC E1700 JAW MOTION REHAB SYSTEM (JMRS) E1701 REPLACEMNT CUSHIONS, JMRS SYS E1702 REPLACMNT MEAS SCALES, JMRS E1800 ADJUST ELBOW EXT/FLEX DEVICE E1801 SPS ELBOW DEVICE E1802 DYNAMIC ADJ FOREARM PRONATION E1805 ADJUST WRIST EXT/FLEX DEVICE E1806 SPS WRIST DEVICE E1810 ADJUST KNEE EXT/FLEX DEVICE E1811 SPS KNEE DEVICE E1815 ADJUST ANKLE EXT/FLEX DEVICE E1816 SPS ANKLE DEVICE E1818 SPS FOREARM DEVICE E1820 SOFT INTERFACE MATERIAL E1821 REPLACEMENT INTERFACE SPSD E1825 ADJUST FINGER EXT/FLEX DEVC E1830 ADJUST TOE EXT/FLEX DEVICE E1840 ADJ SHOULDER EXT/FLEX DEVICE E1902 AAC NON-ELECTRONIC BOARD E2000 GASTRIC SUCTION PUMP HME MDL E2100 BLD GLUCOSE MONITOR W VOICE E2101 BLD GLUCOSE MONITOR W LANCE G0001 DRAWING BLOOD FOR SPECIMEN G0008 ADMIN INFLUENZA VIRUS VAC G0009 ADMIN PNEUMOCOCCAL VACCINE G0010 ADMIN HEPATITIS B VACCINE G0025 COLLAGEN SKIN TEST KIT G0030 PET IMAGING PREV PET SINGLE G0031 PET IMAGING PREV PET MULTPLE G0032 PET FOLLOW SPECT 78464 SINGL
- 913. G0033 PET FOLLOW SPECT 78464 MULT G0034 PET FOLLOW SPECT 76865 SINGL G0035 PET FOLLOW SPECT 78465 MULT G0036 PET FOLLOW CORNRY ANGIO SING G0037 PET FOLLOW CORNRY ANGIO MULT G0038 PET FOLLOW MYOCARD PERF SING G0039 PET FOLLOW MYOCARD PERF MULT G0040 PET FOLLOW STRESS ECHO SINGL G0041 PET FOLLOW STRESS ECHO MULT G0042 PET FOLLOW VENTRICULOGM SING G0043 PET FOLLOW VENTRICULOGM MULT G0044 PET FOLLOWING REST ECG SINGL G0045 PET FOLLOWING REST ECG MULT G0046 PET FOLLOW STRESS ECG SINGL G0047 PET FOLLOW STRESS ECG MULT G0101 CER/VAG CA SCR;PELV&BREAST EXM G0102 PROSTATE CANCER SCRN;DIGT RECT G0103 PROSTATE CANCER SCREEN;PSA,TOT G0104 COLOREC CA SCR;FLX SIGMOIDSCPY G0105 COLOREC CA;COLONOSCOPY,HI RISK G0106 COLOREC CA;SIGMOIDSCPY,BAR ENM G0107 COLOREC CA;FEC-OCCULT,1-3 SIML G0108 DIABETES SELF-MGMT,INDVD,30 MN G0109 DIABETES SELF-MGMT,GRP SESSN G0110 NETT PULM-REHAB;EDU/SKILLS,IND G0111 NETT PULM-REHAB;EDU/SKILLS,GRP G0112 NETT PULM-REHAB;NUTRIT,INITIAL G0113 NETT PULM-REHAB;NUTRI,SUBSEQNT G0114 NETT PULM-REHAB;PSYCHOSOC CONS G0115 NETT PULM-REHAB;PSYCHOLOG TEST G0116 NETT PULM-REHAB;PSYCHOSOC COUN G0117 GLAUCOMA SCRN HGH RISK DIREC G0118 GLAUCOMA SCRN HGH RISK DIREC G0120 COLOREC CA;COLONSCPY,BAR ENEMA G0121 COLONSCPY,NOT MEET CRIT,HI RSK G0122 COLORECTAL CA SCR;BARIUM ENEMA G0123 SCRN CYTO,CERV/VAG,PHYS SUPERV G0124 SCRN CYT,CER/VAG,INTERPRET PHY G0125 PET IMAGIN REGIONAL/WHOLE BODY G0127 TRIM DYSTROPH NAILS,ANY NUMBER G0128 DIR NUR SERV,EA 10 MIN,> 5 MIN G0129 OCCUPAT THER,OT,PART HOSP,/DAY G0130 SEXA, BONE, 1+SITE; APPEN SKEL G0141 SCREEN CYTO SMR,INTERPRET PHYS G0143 SCRN CYTO,CERV/VAG,MAN,PHY SUP G0144 SCREEN CYTOPATH,CRVC AUTO SYS G0145 SCREEN CYTOPATH,CRVC,SYS&MAN G0147 SCR CYTO, AUTO SYS, PHYS SUPER G0148 SCR CYTO,AUTO SYS,MAN RESCREEN G0151 SERV,PHYS THER,HOME, EA 15 MIN G0152 SERV,OCCUP THER,HOME,EA 15 MIN G0153 SERV,SPECH&LANG,HOME,EA 15 MIN
- 914. G0154 SERV,NURSE,HOME SET, EA 15 MIN G0155 SERV,CLN SOC WRK,HME,EA 15 MIN G0156 SERV,HEALTH AIDE,HME,EA 15 MIN G0166 EXTER COUNTERPULSATION/TX SESS G0167 HYPERBAR O2, NO PHYS ATTN/SESS G0168 WOUND CLOS UTL TISS ADHES ONLY G0173 STEREOTAC RADSRG,COMPLT,1 SESS G0175 SCHD INTERDISC TEAM CONF,W PAT G0176 ACT THER,NO REC,MENTL HLTH,45+ G0177 TRAIN,ED,MENTL HEALTH,45 MIN/+ G0179 PHYS RE-CERT MEDCARE-HOME HLTH G0180 PHYS CERT MEDICARE- HOME HLTH G0181 PHYS SUP PAT,HME HLTH AG,30MN+ G0182 PHYS SUP PAT,HOSPICE,30 MIN/+ G0186 DES,LOC LES,CHOR;PHOTOCOA,FEED G0202 SCREENINGMAMMOGRAPHYDIGITAL G0204 DIAGNOSTICMAMMOGRAPHYDIGITAL G0206 DIAGNOSTICMAMMOGRAPHYDIGITAL G0210 PET IMG BODY;DIAGN;LUNG CANCER G0211 PET IMG BDY;INT STGNG;LNG CA G0212 PET IMG BDY;RESTAG;LNG CANCER G0213 PET IMG BDY;DIAG;COLORECTAL G0214 PET IMG BDY;INIT STAG;COLORE G0215 PET IMG BDY;RESTGNG;COLOREC CA G0216 PET IMG BDY;DIAGNOSI; MELANOMA G0217 PET IMG BDY;INIT STAG;MELANOMA G0218 PET IMG BODY;RESTAG;MELANOMA G0219 PET IMG BODY;MELANOMA NON-CVER G0220 PET IMG BODY;DIAGNOS;LYMPHOMA G0221 PET IMG BDY;INIT STAG;LYMPHOMA G0222 PET IMG BODY;RESTAG;LYMPHOMA G0223 PET IMG BDY;DIAG;HEAD&NECK G0224 PET IMG BDY;INIT;HEAD&NECK G0225 PET IMG BDY;RESTAG;HEAD&NECK G0226 PET IMG BDY;DIAG;ESOPHAGEAL G0227 PET IMG BDY;INIT;ESOPHAGEAL G0228 PET IMG ODY;RESTAG;ESOPHAGEAL G0229 PET IMG;METAB BRAIN,PRE-SURG G0230 PET IMG;METAB ASSES MYOCARDIAL G0231 PET WHBD COLOREC; GAMMA CAM G0232 PET WHBD LYMPHOMA; GAMMA CAM G0233 PET WHBD MELANOMA; GAMMA CAM G0234 PET WHBD PULM NOD; GAMMA CAM G0236 DIGITIZATION,FILM RADIOGRAPHIC G0237 THERAPEUTIC PROCD STRG ENDUR G0238 OTH RESP PROC, INDIV G0239 THERAPEUT PROC;IMPRVE RESPIRAT G0242 MULTISOURCE PHOTON STER PLAN G0243 MULTISOUR PHOTON STERO TREAT G0244 OBSERV CARE BY FACILITY TOPT G0245 INIT PHYS EVAL&MNGT DIABT NURO G0246 FLW-UP PHYS EVL&MGT DIABT NURO
- 915. G0247 RUTNE FT CARE DIABETIC W NEURO G0248 DMNSTRT,INIT,HME INR MNTR PATE G0249 PROVIS TST MATR&EQUP HME MNTOR G0250 PHYSI RVEW,INTERPRET&MANAG HME G0251 LNEAR ACCELER BSED STREOTACTIC G0252 PET IMG,INIT DIAG BRST CNCER G0253 PET IMG BRST CNCER,STAGING G0254 PET IMG BRST CNCER,EVAL RESP G0255 CURENT PERCP THRSHLD/SNRY NRVE G0256 PRSTE BRACHYTHRPY PERM IMPLANT G0257 UNSCHEDLD/EMERG DIALYSIS TREAT G0258 IV INFUS DURING SPRT PAY OBSRV G0259 INJECT SACROILIAC JNT;ARTRGRPY G0260 INJECT SACROILIAC JNTANESTHETC G0261 PROST BRACHYTHRPY PERM IMPLNTD G0262 SM INTEST IMG;INTRLMINAL,LGMNT G0263 DRCT ADM,PT W DX,CHF,CHST PAIN G0264 INIT NURS ASSES PT DRCT ADMTTD G0265 CRYOPRESERVATION,FREZNG&STRGE G0266 THAW&EXPAN,FRZN CELLS THRAPETC G0267 BNE MARW/PRPHRL STEM CEL HRVST G0268 RMVL IMPACTED CERUMEN G0269 PLCE OCCLSVE DVCE VENUS/ARTRAL G0270 MEDICAL NUTRIT THRPY;INDIVDUAL G0271 MEDICAL NUTRIT THRPY;GROUP G0272 NASO/ORO GASTRIC TUBE PLACE G0273 RADIOPHARM BIODISTRI,S/M SCANS G0274 RADIOPHARM THRPY,NON-HODGKIN'S G0275 RENAL ART ANGIOGRPHY TIME CATH G0278 ILIAC ART ANGIOGRPHY TIME CATH G0279 XTRACORPOREAL THRPY;ELBW EPCND G0280 XTRACORPOREAL THRPY;NOT ELBW G0281 ELECT STM,1/+ AREAS,STG3&4 ULC G0282 ELECT STM,1/+ AREAS,WOUND CARE G0283 ELECT STM,1/+ AREA NOT WND CAR G0288 RECNSTRCT,CTA,AORTA,SURG PLAN G0289 ARTHROSCPY,KNEE,SURG,RMVL LSE G0290 TRANSCATH PLCE DRUG,SIGL VESS G0291 TRANSCATH PLCE DRUG,ADDL VESS G0292 ADMIN EXPRI DRUG CLNCAL TRIAL G0293 NONCVERED SURG CNSCIS SEDAT G0294 NONCVRD PROC NO ANES/LCAL ANES G0295 ELECTROMAGNETIC STIMULATION G9001 COORD CARE FEE, INITIAL RATE G9002 COORD CARE FEE, MAINT RATE G9003 COORD CARE FEE,RSK ADJ HI,INIT G9004 COORD CARE FEE,RSK ADJ LOW,INT G9005 COORD CARE FEE, RISK ADJ MAINT G9006 COORD CARE FEE, HOME MONITOR G9007 COORD CARE FEE,SCHED TEAM CONF G9008 COORD CARE FEE,PHYS CARE SERV G9009 MCCD, RISK ADJ, LEVEL 3
- 916. G9010 MCCD, RISK ADJ, LEVEL 4 G9011 MCCD, RISK ADJ, LEVEL 5 G9012 OTHER SPECIFIED CASE MGMT G9016 SMOK CESS COUN,IND/SESS,6-10MN H0001 ALCOHOL AND/OR DRUG ASSESSMENT H0002 BEHAVL HLTH SCREEN,ADM TX PRGM H0003 ALCOHOL &/ DRUG SCRN; LAB ANAL H0004 BEHAVL HEALTH COUNSELI & THRPY H0005 ALCOHOL &/ DRUG SERV;GRP COUNS H0006 ALCOHOL &/ DRUG SERV;CASE MGT H0007 ALCOHOL &/DRUG SER;CRIS,OUTPAT H0008 ALCOHOL &/DRUG;SUB-ACT,HOSP IN H0009 ALCOHOL &/DRUG;ACUTE,HOSP INPT H0010 ALCOHOL &/DRUG;SUB-ACUTE INPAT H0011 ALCOHOL &/DRUG SER;ACUTE INPAT H0012 ALCOHL &/DRUG;SUB-ACUTE OUTPAT H0013 ALCOHOL &/DRG SER;ACUTE OUTPAT H0014 ALCOHL &/DRG SERV; AMBUL DETOX H0015 ALCOHL &/DRG SERV;INTEN OUTPAT H0016 ALCOHOL &/ DRUG SERV;MED/SOMAT H0017 BEHAVL HLTH;RES,WO ROOM&BOARD H0018 BEHAVL HLTH;SHORT-TRM RESIDENT H0019 BEHAVL HLTH;LONG-TERM RESIDENT H0020 ALCOHOL &/ DRUG SERV;METHADONE H0021 ALCOHOL &/ DRUG TRAINING SERV H0022 ALCOHOL &/ DRUG INTERVENT SERV H0023 BEHAVL HEALTH OUTREACH SERVICE H0024 BEHAVL HEALTH PREVENTION INFO H0025 BEHAVL HLTH PREVENT EDUCATION H0026 ALCOHOL &/ DRUG PREVENT,COMMUN H0027 ALCOHOL &/ DRUG PREVENTION ENV H0028 ALCOHL &/DRG PREV,REF,NO ASSES H0029 ALCOHL &/ DRG PREVEN ALTERN SR H0030 BEHAVL HEALTH HOTLINE SERVICE H0031 MENTAL HEALTH ASSESS,NON-PHYS H0032 MENTAL HEALTH SRVCE PLAN DEVEL H0033 ORAL MEDICATION ADMINISTRATION H0034 MEDICATION TRAINING & SUPPORT H0035 MNTL HEALTH PART HSPTL,<24 HRS H0036 CMMUN PSYCHAT SUPP TREAT/15MIN H0037 CMMUN PSYCHAT SUPP TREAT PRGRM H0038 SELF-HELP/PEER SRVCS,/15 MIN H0039 ASSERT COMMUN TREAT,FCE-2-FCE H0040 ASSERT COMMUN TREAT PROGRAM H0041 FOSTER CARE,CHILD, PER DIEM H0042 FOSTER CARE, CHILD, PER MONTH H0043 SUPPORTED HOUSING, PER DIEM H0044 SUPPORTED HOUSING, PER MONTH H0045 RESPTE CARE SRVCE,NOT IN HME H0046 MENTAL HEALTH SERVICES, NOS H0047 ALCHL&/OTH DRUG ABUSE SRVCS H0048 ALCOHOL&/OTH DRG TSTING:COLL
- 917. H1000 PRENATAL CARE ATRISK ASSESSM H1001 ANTEPARTUM MANAGEMENT H1002 CARECOORDINATION PRENATAL H1003 PRENATAL AT RISK EDUCATION H1004 FOLLOW UP HOME VISIT/PRENTAL H1005 PRENATALCARE ENHANCED SRV PK H1010 NON-MEDICAL FAMILY PLANNING H1011 FAM ASSESS STATE DEFIND PURP H2000 COMPREHEN MULTIDISCIPLIN EVAL H2001 REHABILITATION PROGRAM,1/2 DAY J0120 TETRACYCLIN INJ <= 250 MG J0130 INJECTION ABCIXIMAB, 10 MG J0150 INJECTION, ADENOSINE, 6 MG J0151 INJECT, ADENOSINE, 90 MG J0170 ADRENALN EPINEPHRIN INJ <=1 ML J0190 INJ BIPERIDEN LACTATE/5 MG J0200 INJ,ALATROFLOXACIN MESYL,100MG J0205 ALGLUCERASE INJ / 10 UNITS J0207 INJECTION, AMIFOSTINE, 500 MG J0210 METHYLDOPATE HCL INJ <=250 MG J0256 INJ, ALPHA 1-PROTEIN INHIB-HUM J0270 INJECT, ALPROSTADIL, 1.25 MCG J0275 ALPROSTADIL URETHRAL SUPPOSIT J0280 AMINOPHYLLIN 250 MG INJ J0282 INJ,AMIODARONE HYDROCHLR,30 MG J0285 INJECT, AMPHOTERICIN B, 50 MG J0287 INJECT,AMPHOTERICIN B LIPID J0288 INJECT,AMPHOTERICIN B CHLSTRYL J0289 INJECT,AMPHOTERICIN B LIPOSOME J0290 INJEC,AMPICILLIN SODIUM,500 MG J0295 AMPI/SULBACT / 1.5 GM INJ J0300 AMOBARBITAL 125 MG INJ J0330 SUCCINYCHOLINE CL INJ <=2- MG J0350 INJECTION ANISTREPLASE 30 U J0360 HYDRALAZINE HCL INJ <=20 MG J0380 INJ METARAMINL BITARTRTE /10MG J0390 CHLOROQUINE INJ <=250 MG J0395 INJECTION, ARBUTAMINE HCL,1 MG J0456 INJECTION,AZITHROMYCIN, 500 MG J0460 ATROPINE SULFATE INJECTION J0470 DIMECAPROL INJECTION / 100 MG J0475 BACLOFEN 10 MG INJECTION J0476 INJ,BACLOFEN,50 MCG,INTR TRIAL J0500 DICYCLOMINE INJECTION <= 20 MG J0515 INJ BENZTROPINE MESYLATE J0520 BETHANECHOL CHLORIDE INJECT J0530 PENICILLIN G BENZATHINE INJ J0540 PENICILLIN G BENZATHINE INJ J0550 PENICILLIN G BENZATHINE INJ J0560 PENICILLIN G BENZATHINE INJ J0570 PENICILLIN G BENZATHINE INJ J0580 PENICILLIN G BENZATHINE INJ
- 918. J0585 BOTULINUM TOXIN A PER UNIT J0587 BOTULINUM TOXIN TYPE B J0592 INJECT,BUPRENORPHINE HYDROCHLO J0600 EDETATE CALCIUM DISODIUM INJ J0610 CALCIUM GLUCONATE INJECTION J0620 CALCIUM GLYCER & LACT/ 10 ML J0630 CALCITONIN SALMON INJECTION J0636 INJECTION, CALCITRIOL, 0.1 MCG J0637 INJECT,CASPOFUNGIN ACETAT,5 MG J0640 LEUCOVORIN CALCIUM INJECTION J0670 INJ MEPIVACAINE HCL/10 ML J0690 INJECT,CEFAZOLIN SODIUM,500 MG J0692 CEFEPIME HCL FOR INJECTION J0694 CEFOXITIN SODIUM INJ 1 GM J0696 CEFTRIAXONE SODIUM INJ/250 MG J0697 STERILE CEFUROXIME INJECTION J0698 CEFOTAXIME SODIUM INJ /GM J0702 BETAMETHASONE ACET&SOD PHOSP J0704 BETAMETHASONE SOD PHOSP/ 4 MG J0706 CAFFEINE CITRATE INJECTION J0710 CEPHAPIRIN SODIUM INJ, <= 1 GM J0713 INJ CEFTAZIDIME PER 500 MG J0715 CEFTIZOXIME SODIUM INJ/500 MG J0720 CHLORAMPHENICOL NA INJ <=1 GM J0725 CHORIONIC GONADOTROPIN/ 1000U J0735 INJECTION, CLONIDINE HCL, 1 MG J0740 INJECTION, CIDOFOVIR, 375 MG J0743 CILASTATIN SODIUM INJ / 250 MG J0744 CIPROFLOXACIN IV J0745 INJ CODEINE PHOSPHATE / 30 MG J0760 COLCHICINE INJECTION J0770 COLISTIMETHATE SODIUM INJ J0780 PROCHLORPERAZINE INJECTION J0800 CORTICOTROPIN INJECTION J0835 INJ COSYNTROPIN PER 025 MG J0850 CYTOMEGALOVIRUS IMM IV / VIAL J0880 INJECT,DARBEPOETIN ALFA, 5 MCG J0895 INJCTN,DEFEROXAMINE MESYLATE J0900 TESTOSTERONE ENANTHATE INJ J0945 BROMPHENIRAMINE MALEATE INJ J0970 ESTRADIOL VALERATE INJECTION J1000 DEPO-ESTRADIOL CYPIONATE INJ J1020 METHYLPREDNISOLONE 20 MG INJ J1030 METHYLPREDNISOLONE 40 MG INJ J1040 METHYLPREDNISOLONE 80 MG INJ J1051 INJECT,MEDROXYPROGESTER ACTATE J1055 MEDRXYPROGESTER ACETATE INJ J1056 MA/EC CONTRACEPTIVEINJECTION J1060 TESTOSTERONE CYPIONATE 1 ML J1070 TESTOSTERONE CYPIONATE 100 MG J1080 TESTOSTERONE CYPIONATE 200 MG J1094 INJECT,DEXAMETHASONE ACETATE
- 919. J1100 INJCTN,DEXAMETHASONE SDM PHOS J1110 INJ DIHYDROERGOTAMINE MESYLT J1120 ACETAZOLAMID NA INJECTN <500 J1160 DIGOXIN INJECTION <= 5 MG J1165 PHENYTOIN SODIUM INJECTION J1170 HYDROMORPHONE INJECTION J1180 DYPHYLLINE INJECTION J1190 DEXRAZOXANE HCL INJECTION J1200 DIPHENHYDRAMNE HCL INJ <=50 MG J1205 CHLOROTHIAZIDE NA INJ/500 MG J1212 DIMETHYL SULFOXIDE 50% 50 ML J1230 METHADONE INJECTION J1240 DIMENHYDRINATE INJ <= 50 MG J1245 DIPYRIDAMOLE INJECTION / 10 MG J1250 INJ DOBUTAMINE HCL/250 MG J1260 INJ, DOLASETRON MESYLATE,10 MG J1270 INJECTION, DOXERCALCIFEROL J1320 AMITRIPTYLINE INJECTION J1325 INJECTION,EPOPROSTENOL, 0.5 MG J1327 INJECTION, EPTIFIBATIDE, 5 MG J1330 ERGONOVINE MALEATE INJECTION J1364 ERYTHRO LACTOBIONATE / 500 MG J1380 ESTRADIOL VALERATE 10 MG INJ J1390 ESTRADIOL VALERATE 20 MG INJ J1410 INJ ESTROGEN CONJUGATE 25 MG J1435 INJECTION ESTRONE PER 1 MG J1436 ETIDRONATE DISODIUM INJ J1438 INJECTION, ETANERCEPT, 25 MG J1440 FILGRASTIM 300 MCG INJECTION J1441 FILGRASTIM 480 MCG INJECTION J1450 INJECTION FLUCONAZOLE, 200 MG J1452 INJ,FOMIVIR SOD,INTRAOC,1.65MG J1455 FOSCARNET SODIUM INJECTION J1460 GAMMA GLOBULIN 1 CC INJ J1470 GAMMA GLOBULIN 2 CC INJ J1480 GAMMA GLOBULIN 3 CC INJ J1490 GAMMA GLOBULIN 4 CC INJ J1500 GAMMA GLOBULIN 5 CC INJ J1510 GAMMA GLOBULIN 6 CC INJ J1520 GAMMA GLOBULIN 7 CC INJ J1530 GAMMA GLOBULIN 8 CC INJ J1540 GAMMA GLOBULIN 9 CC INJ J1550 GAMMA GLOBULIN 10 CC INJ J1560 GAMMA GLOBULIN > 10 CC INJ J1563 INJ,IMM GLOBULIN, INTRAVEN,1 G J1564 INJECT,IMMUNE GLOBULIN, 10 MG J1565 INJ, RSV IMM GLOB,INTRAV,50 MG J1570 GANCICLOVIR SODIUM INJECTION J1580 GARAMYCIN GENTAMICIN INJ J1590 GATIFLOXACIN INJECTION J1600 GOLD SODIUM THIOMALEATE INJ J1610 GLUCAGON HYDROCHLORIDE/ 1 MG
- 920. J1620 GONADORELIN HYDROCH/ 100 MCG J1626 INJEC,GRANISETRON HCL, 100 MCG J1630 HALOPERIDOL INJECTION J1631 HALOPERIDOL DECANOATE INJ J1642 INJ HEPARIN SODIUM PER 10 U J1644 INJ HEPARIN SODIUM PER 1000 U J1645 DALTEPARIN SODIUM / 2500 IU J1650 INJECT,ENOXAPARIN SODIUM,10 MG J1652 INJECT,FONDAPARINUX SODIUM J1655 TINZAPARIN SODIUM INJECTION J1670 TETANUS IMMUNE GLOBULIN INJ J1700 HYDROCORTISONE ACETATE INJ J1710 HYDROCORTISONE SODIUM PH INJ J1720 HYDROCORTISONE SODIUM SUCC I J1730 DIAZOXIDE INJECTION <= 300 MG J1742 INJECT,IBUTILIDE FUMARATE,1 MG J1745 INJECTION INFLIXIMAB, 10 MG J1750 INJECTION, IRON DEXTRAN, 50 MG J1756 INJECT, IRON SUCROSE, 1 MG J1785 INJECTION IMIGLUCERASE / UNIT J1790 DROPERIDOL INJECTION J1800 PROPRANOLOL INJECTION J1810 DROPERIDOL/FENTANYL INJ <=2 ML J1815 INJECTION,INSULIN,/5 UNITS J1817 INSULIN,ADMIN THRU DME/50 UNIT J1825 INJECT,INTERFER BETA-1A,33MCG J1830 INJ INTERFERON BETA-1B,0.25 MG J1835 INTRACONAZOLE INJECTION J1840 KANAMYCIN SULFATE 500 MG INJ J1850 KANAMYCIN SULFATE 75 MG INJ J1885 KETOROLAC TROMETHAMINE INJ J1890 CEPHALOTHIN NA INJ, <= 1 GM J1910 KUTAPRESSIN INJECTION J1940 FUROSEMIDE INJECTION J1950 LEUPROLIDE ACETATE / 375 MG J1955 INJ LEVOCARNITINE PER 1 GM J1956 INJECTION, LEVOFLOXACIN,250 MG J1960 LEVORPHANOL TARTRATE INJ J1990 CHLORDIAZEPOXIDE INJ <= 100 MG J2000 LIDOCAINE INJECTION J2010 LINCOMYCIN INJECTION J2020 LINEZOLID INJECTION J2060 LORAZEPAM INJECTION J2150 MANNITOL INJECTION J2175 MEPERIDINE HYDROCHL / 100 MG J2180 MEPERIDINE/PROMETHAZINE INJ J2210 METHYLERGONOVIN MALEATE INJ J2250 INJ MIDAZOLAM HYDROCHLORIDE J2260 INJECTION,MILRINON LACTATE,5MG J2270 MORPHINE SULFATE INJECTION J2271 INJECT,MORPHINE SULFATE,100 MG J2275 MORPHINE SULFATE INJECTION
- 921. J2300 INJ NALBUPHINE HYDROCHLORIDE J2310 INJ NALOXONE HYDROCHLORIDE J2320 NANDROLONE DECANOATE 50 MG J2321 NANDROLONE DECANOATE 100 MG J2322 NANDROLONE DECANOATE 200 MG J2324 INJECTION, NESIRITIDE, 0.5 MG J2352 INJECT,OCTREOTIDE ACETATE,1 MG J2355 INJECTION, OPRELVEKIN, 5 MG J2360 ORPHENADRINE INJECTION J2370 PHENYLEPHRINE HCL INJECTION J2400 CHLOROPROCAINE HCL INJ/30 ML J2405 ONDANSETRON HCL INJECTION J2410 OXYMORPHONE HCL INJECTION J2430 PAMIDRONATE DISODIUM / 30 MG J2440 PAPAVERIN HCL INJECTION J2460 OXYTETRACYCLINE INJECTION J2501 INJECTION, PARICALCITOL, 1 MCG J2510 PENICILLIN G PROCAINE INJ J2515 PENTOBARBITAL SODIUM INJ J2540 PENICILLIN G POTASSIUM INJ J2543 INJCTN,PIPERACILLN SDM/TAZBCTM J2545 PENTAMIDINE ISETHIONTE/ 300MG J2550 PROMETHAZINE HCL INJECTION J2560 PHENOBARBITAL SODIUM INJ J2590 OXYTOCIN INJECTION J2597 INJ DESMOPRESSIN ACETATE J2650 PREDNISOLONE ACETATE INJ J2670 TOTAZOLINE HCL INJECTION J2675 INJECTION, PROGESTERONE,/50 MG J2680 FLUPHENAZINE DECANOATE 25 MG J2690 PROCAINAMIDE HCL INJECTION J2700 OXACILLIN SODIUM INJECITON J2710 NEOSTIGMINE METHYLSLFTE INJ J2720 INJ PROTAMINE SULFATE/ 10 MG J2725 INJ PROTIRELIN PER 250 MCG J2730 PRALIDOXIME CHLORIDE INJ J2760 PHENTOLAINE MESYLATE INJ J2765 METOCLOPRAMIDE HCL INJECTION J2770 INJ,QUINU/DALFOPRISTIN,500 MG J2780 INJ,RANITIDINE HYDROCHLOR,25MG J2788 INJECT,RHO D IMMUNE GLOBULIN J2790 INJECT,RHO D IMMUNE GLOBULIN J2792 INJ,RHO D IMM GLOB,INTR,100 IU J2795 INJ,ROPIVACAINE HYDROCHLR,1 MG J2800 METHOCARBAMOL INJECTION J2810 INJ THEOPHYLLINE PER 40 MG J2820 INJECT, SARGRAMOSTIM, 50 MCG J2910 AUROTHIOGLUCOSE <= 50 MG INJ J2912 SODIUM CHLORIDE INJECTION J2916 INJECT,SODIUM FERRIC GLUCONATE J2920 METHYLPREDNISOLONE INJECTION J2930 METHYLPREDNISOLONE INJECTION
- 922. J2940 SOMATREM INJECTION J2941 SOMATROPIN INJECTION J2950 PROMAZINE HCL INJECITON J2993 RETEPLASE INJECTION J2995 INJ STREPTOKINASE / 250000 IU J2997 INJ,ALTEPLASE RECOMBINANT,1 MG J3000 STREPTOMYCIN INJECTION J3010 INJCTN,FENTANYL CITRATE,0.1 MG J3030 INJ,SUMATRIPTAN SUCCINATE,6 MG J3070 INJECT,PENTAZOCINE, 30 MG J3100 TENECTEPLASE INJECTION J3105 TERBUTALINE SULFATE INJ J3120 TESTOSTERONE ENANTHATE INJ J3130 TESTOSTERONE ENANTHATE INJ J3140 TESTOSTERONE SUSPENSION INJ J3150 TESTOSTERON PROPIONATE INJ J3230 CHLORPROMAZINE HCL INJ <=50 MG J3240 INJECT,THYROTROPIN ALPHA,0.9MG J3245 INJ,TIROFIBAN HYDROCHL,12.5 MG J3250 TRIMETHOBENZAMIDE HCL INJ J3260 TOBRAMYCIN SULFATE INJECTION J3265 INJECTION TORSEMIDE 10 MG/ML J3280 THIETHYLPERAZINE MALEATE INJ J3301 TRIAMCINOLONE ACETONIDE INJ J3302 TRIAMCINOLONE DIACETATE INJ J3303 TRIAMCINOLONE HEXACETONL INJ J3305 INJ TRIMETREXATE GLUCORONATE J3310 PERPHENAZINE INJECITON J3315 INJECT,TRIPTORELIN PAMOATE J3320 SPECTINOMYCN DI-HCL INJ J3350 UREA INJECTION J3360 DIAZEPAM INJECTION <= 5 MG J3364 UROKINASE 5000 IU INJECTION J3365 UROKINASE 250,000 IU INJ J3370 INJECT, VANCOMYCIN HCL, 500 MG J3395 VERTEPORFIN INJECTION J3400 TRIFLUPROMAZINE HCL INJ J3410 HYDROXYZINE HCL INJECTION J3420 VITAMIN B12 INJECTION J3430 VITAMIN K PHYTONADIONE INJ J3470 HYALURONIDASE INJECTION J3475 INJ MAGNESIUM SULFATE J3480 INJ POTASSIUM CHLORIDE J3485 INJECTION, ZIDOVUDINE, 10 MG J3487 INJECT,ZOLEDRONIC ACID, 1 MG J3490 DRUGS UNCLASSIFIED INJECTION J3520 EDETATE DISODIUM PER 150 MG J3530 NASAL VACCINE INHALATION J3535 METERED DOSE INHALER DRUG J3570 LAETRILE AMYGDALIN VIT B17 J3590 UNCLASSIFIED BIOLOGICS J7030 NORMAL SALINE SOLUTION INFUS
- 923. J7040 NORMAL SALINE SOLUTION INFUS J7042 5% DEXTROSE/NORMAL SALINE J7050 NORMAL SALINE SOLUTION INFUS J7051 STERILE SALINE/WATER J7060 5% DEXTROSE/WATER J7070 D5W INFUSION. 100 CC J7100 DEXTRAN 40 / 500 ML INFUSION J7110 DEXTRAN 75 / 500 ML INFUSION J7120 RINGERS LACTATE INFUSION J7130 HYPERTONIC SALINE SOLUTION J7190 FACTOR VIII(ANTIHM,HUM) PER IU J7191 FACTOR VIII (PORCINE) J7192 FACTOR VIII(ANTIHM,REC) PER IU J7193 FACTOR IX NON-RECOMBINANT J7194 FACTOR IX COMPLEX J7195 FACTOR IX RECOMBINANT J7197 ANTITHROMBIN III INJECTION J7198 ANTI-INHIBITOR, PER I.U. J7199 HEMOPHILIA CLOTT FACTOR, NOC J7300 INTRAUT COPPER CONTRACEPTIVE J7302 LEVONORGESTREL IU CONTRACEPT J7308 AMINOLEVULINIC ACID HCL TOP J7310 GANCICLOVIR LONG ACT IMPLANT J7317 SODIUM HYALURONT,INTRA-ARTICLR J7320 HYLAN G-F 20,16 MG,INT ART INJ J7330 AUTOLOG CULT CHONDROCYTES,IMPL J7340 DERMAL& EPIDERMAL TISSUE;HUMAN J7342 DERM TISS,HUMAN,W META,/SQCNT J7350 DERM TISS,HUMAN,INJECT,WO META J7500 AZATHIOP PO TAB 50MG 100S EA J7501 AZATHIOPRNE PARENTL 100MG/20ML J7502 CYCLOSPORINE ORAL SOLUTION J7504 LYMPHOCYTE IMMUNE GLOBULIN J7505 MUROMONAB-CD3, PARENTERAL,5 MG J7506 PREDNISONE ORAL J7507 TACROLIMUS ORAL PER 1 MG J7508 TACROLIMUS ORAL PER 5 MG J7509 METHYLPREDNISOLONE ORAL J7510 PREDNISOLONE ORAL PER 5 MG J7511 ANTITHYMOCYTE GLOBULN RABBIT J7513 DACLIZUMAB, PARENTERAL, 25 MG J7515 CYCLOSPORINE, ORAL, 25 MG J7516 CYCLOSPORINE,PARENTERAL,250 MG J7517 MYCOPHENOLATE MOFET,ORL,250 MG J7520 SIROLIMUS, ORAL, 1 MG J7525 TACROLIMUS, PARENTERAL, 5 MG J7599 IMMUNOSUPPRESSIVE DRUG NOC J7608 ACETYLCYST,INH,DME,UNT DOSE/GM J7618 ALBUTEROL INH SOL CON J7619 ALBUTEROL INH SOL U D J7622 BECLOMETHASONE INHALATN SOL J7624 BETAMETHASONE INHALATION SOL
- 924. J7626 BUDESONIDE INHALATION,THRU DME J7628 BITOLTER MESYL,INH,DME,CONC/MG J7629 BITOLTER MESYL,INH,DME,UNT,/MG J7631 CROMOLYN SOD,INH,DME,UNT/10 MG J7633 BUDESON,INHAL THRU DME,CONCENT J7635 ATROPINE, INH,DME,CONCN,PER MG J7636 ATROPINE,INH,DME,UNIT DOSE /MG J7637 DEXAMETHASONE,INH,DME,CONCN/MG J7638 DEXAMETHASONE,INH,DME,UNIT,/MG J7639 DORNASE ALPHA,INH,DME,UNIT,/MG J7641 FLUNISOLIDE, INHALATION SOL J7642 GLYCOPYRROLATE,INH,DME,CONC/MG J7643 GLYCOPYRROLATE,INH,DME,UNIT/MG J7644 IPRATROPIUM BROMIDE,INH,UNT/MG J7648 ISOETHARINE HCL,INH,CONCEN,/MG J7649 ISOETHARINE HCL,INHAL,UNIT,/MG J7658 ISOPROTERENOL HCL,INH,CONC,/MG J7659 ISOPROTERENOL HCL,INH,UNIT,/MG J7668 METAPROTEREN SULF,INH,CON/10MG J7669 METAPROTEREN SULF,INH,UNT/10MG J7680 TERBUTALINE SULF,INH,CONC, /MG J7681 TERBUTALINE SULFATE,INH,UNT/MG J7682 TOBRAMYCIN,UNIT DOSE,300MG,INH J7683 TRIAMCINOLONE,INHAL,CONCEN,/MG J7684 TRIAMCINOLONE,INHAL, UNIT, /MG J7699 INHALATION SOLUTION FOR DME J7799 NON-INHALATION DRUG FOR DME J8499 ORAL PRESCRIP DRUG NON CHEMO J8510 BUSULFAN; ORAL, 2 MG J8520 CAPECITABINE, ORAL, 150 MG J8521 CAPECITABINE, ORAL, 500 MG J8530 CYCLOPHOSPHAMIDE ORAL 25 MG J8560 ETOPOSIDE ORAL 50 MG J8600 MELPHALAN ORAL 2 MG J8610 METHOTREXATE ORAL 25 MG J8700 TEMOZOLOMIDE, ORAL, 5 MG J8999 ORAL PRESCRIPTION DRUG CHEMO J9000 DOXORUBIC HCL 10 MG VL CHEMO J9001 DOXORUB HYDROCHL,ALL LIP,10 MG J9010 ALEMTUZUMAB, 10 MG J9015 ALDESLEUKIN/SINGLE USE VIAL J9017 ARSENIC TRIOXIDE J9020 ASPARAGINASE INJECTION J9031 BCG LIVE INTRAVESICAL VAC J9040 BLEOMYCIN SULFATE INJECTION J9045 CARBOPLATIN INJECTION J9050 CARMUS BISCHL NITRO INJ J9060 CISPLATIN, PWDR/SOLN /10 MG J9062 CISPLATIN 50 MG J9065 INJ CLADRIBINE PER 1 MG J9070 CYCLOPHOSPHAMIDE 100 MG INJ J9080 CYCLOPHOSPHAMIDE 200 MG INJ
- 925. J9090 CYCLOPHOSPHAMIDE 500 MG INJ J9091 CYCLOPHOSPHAMIDE 10 GRM INJ J9092 CYCLOPHOSPHAMIDE 20 GRM INJ J9093 CYCLOPHOSPHAMIDE LYOPH 100 MG J9094 CYCLOPHOSPHAMIDE LYOPH 200 MG J9095 CYCLOPHOSPHAMIDE LYOPH 500 MG J9096 CYCLOPHOSPHAMIDE LYOPH 1.0 GM J9097 CYCLOPHOSPHAMIDE LYOPH 2.0 GM J9100 CYTARABINE HCL 100 MG INJ J9110 CYTARABINE HCL 500 MG INJ J9120 DACTINOMYCIN/ACTINOMYCN 0.5 MG J9130 DACARBAZINE 100 MG INJ J9140 DACARBAZINE 200 MG INJ J9150 DAUNORUBICIN, 10 MG J9151 DAUNORUBICIN CITRAT,LIPO,10 MG J9160 DENILEUKIN DIFTITOX, 300 MCG J9165 DIETHYLSTILBESTROL IN 250 MG J9170 DOCETAXEL, 20 MG J9180 EPIRUBICIN HYDROCHLORIDE,50 MG J9181 ETOPOSIDE 10 MG INJ J9182 ETOPOSIDE 100 MG INJ J9185 FLUDARABINE PHOSPHATE INJ J9190 FLUOROURACIL INJECTION J9200 FLOXURIDINE INJECTION J9201 GEMCITABINE HCL, 200 MG J9202 GOSERELIN ACETATE IMPLANT J9206 IRINOTECAN, 20 MG J9208 IFOSFOMIDE INJECTION J9209 MESNA INJECTION J9211 IDARUBICIN HCL INJECTION J9212 INJ,INTERFERON ALFACON-1,1 MCG J9213 INTERFERON ALFA-2A INJ J9214 INTERFERON ALFA-2B INJ J9215 INTERFERON ALFA-N3 INJ J9216 INTERFERON GAMMA 1-B INJ J9217 LEUPROLIDE ACETATE SUSPENSION J9218 LEUPROLIDE ACETATE INJECTION J9219 LEUPROLIDE ACETATE IMPLT,65 MG J9230 MECHLORETHAMINE HCL INJ J9245 INJ MELPHALAN HYDROCHL 50 MG J9250 METHOTREXATE SODIUM INJ 5 MG J9260 METHOTREXATE SODIUM INJ 50 MG J9265 PACLITAXEL INJECTION J9266 PEGASPARGASE/SINGL DOSE VIAL J9268 PENTOSTATIN INJECTION J9270 PLICAMYCIN (MITHRAMYCIN) INJ J9280 MITOMYCIN 5 MG INJ J9290 MITOMYCIN 20 MG INJ J9291 MITOMYCIN 40 MG INJ J9293 MITOXANTRONE HYDROCHL/5 MG J9300 GEMTUZUMAB OZOGAMICIN J9310 RITUXIMAB, 100 MG
- 926. J9320 STREPTOZOCIN INJECTION J9340 THIOTEPA INJECTION J9350 TOPOTECAN, 4 MG J9355 TRASTUZUMAB, 10 MG J9357 VALRUBICIN,INTRAVESICAL,200 MG J9360 VINBLASTINE SULFATE INJ J9370 VINCRISTINE SULFATE 1 MG INJ J9375 VINCRISTINE SULFATE 2 MG INJ J9380 VINCRISTINE SULFATE 5 MG INJ J9390 VINORELBINE TARTRATE/10 MG J9600 PORFIMER SODIUM, 75 MG J9999 CHEMOTHERAPY DRUG K0001 STANDARD WHEELCHAIR K0002 STD HEMI WHEELCHAIR K0003 LIGHTWEIGHT WHEELCHAIR K0004 HIGH STRENGTH, LT WT WCHAIR K0005 ULTRALIGHTWEIGHT WHEELCHAIR K0006 HEAVY DUTY WHEELCHAIR K0007 EXTRA HEAVY DUTY WHEELCHAIR K0009 OTHER MANUAL WHEELCHAIR/BASE K0010 STD, WT FRAME POWER WHEELCHAIR K0011 STD WT POWER PROGRAM WCHAIR K0012 LT WT PORTABLE POWER WCHAIR K0014 OTHER POWER WHEELCHAIR BASE K0015 DETACH, NON-ADJUST HGT ARMREST K0016 DET, ADJ HGT ARMREST, COMPLETE K0017 DETACH, ADJ HGT ARMREST, BASE K0018 DETACH, ADJ HGT ARMREST, UPPR K0019 ARM PAD, EACH K0020 FIX/ADJ HEIGHT ARMREST, PAIR K0022 REINFORCED BACK UPOSTERY K0023 BACK INSERT, PLANAR W/STRAPS K0024 SOLID BACK INSERT, PLANAR BACK K0025 HOOK-ON HEADREST EXTENSION K0026 BACK UPHOLSTERY LT WT WHEELCH K0027 BACK UPHOLS WHEELCH, NOT LTWT K0028 MANUAL, FULLY RECLINING BACK K0029 REINFORCED SEAT UPHOLSTERY K0030 SOLID SEAT INSERT, PLANAR SEAT K0031 SAFETY BELT/PELVIC STRAP, EACH K0032 SEAT UPHOLS: LT WT WHEELCHAIR K0033 SEAT UPHOLS: WCHAIR NOT LT WT K0035 HEEL LOOP W/ANKLE STRAP K0036 TOE LOOP, EACH K0037 HIGH MOUNT FLIP-UP FOOTREST K0038 LEG STRAP, EACH K0039 LEG STRAP, H STYLE, EACH K0040 ADJUSTABLE ANGLE FOOTPLATE K0041 LARGE SIZE FOOTPLATE, EACH K0042 STANDARD SIZE FOOTPLATE, EACH K0043 FOOTREST, LOWER EXTENSION TUBE K0044 FOOTREST, UPPER HANGER BRACKET
- 927. K0045 FOOTREST, COMPLETE ASSEMBLY K0046 ELEV LEGREST, LOWER EXTEN TUBE K0047 ELEV LEGREST, UP HANGER BRACKT K0048 ELEVLEGREST, COMPLETE ASSEMBLY K0049 CALF PAD, EACH K0050 RATCHET ASSEMBLY K0051 CAM RELEAS ASSY, FOOT/LEG REST K0052 SWINGAWAY, DETACH, FOOTRESTS K0053 ELEV FOOTRESTS, ARTICULATING K0054 SEAT WID 10,11,12,15,17 OR 20 K0055 SEAT DEPTH 15, 17, OR 18 K0056 SEAT HEIGHT < 17" OR => 21" K0057 SEAT WIDTH 19 K0058 SEAT DEPTH 17 K0059 PLASTIC COATED HANDRIM, EACH K0060 STEEL HANDRIM, EACH K0061 ALUMINUM HANDRIM, EACH K0062 HANDRIM W/8-10 VERT/OBLI PROJS K0063 HANDRIM W/12-16 VERT/OLB PROJS K0064 ZERO PRESSURE TUBE K0065 SPOKE PROTECTORS, EACH K0066 SOLID TIRE, ANY SIZE EACH K0067 PNEUMATIC TIRE, ANY SIZE, EACH K0068 PNEUMATIC TIRE TUBE, EACH K0069 R WHEEL ASSY, SOLID TIRE SPOKE K0070 R WHEEL ASSY, PNEUM TIRE SPOKE K0071 FR CASTER ASSY, W/ PNEUM TIRE K0072 FR CSTER ASSY, W/SEMIPNEU TIRE K0073 CASTER PIN LOCK,EACH K0074 PNEUM CASTER TIRE, ANY SIZE K0075 SEMI-PNEUMATIC CASTER TIRE K0076 SOLID CASTER TIRE, ANY SIZE K0077 FRT CASTER ASSY, W/ SOLID TIRE K0078 PNEUM CASTER TIRE TUBE, EACH K0079 WHEEL LOCK EXTENSION, PAIR K0080 ANTI-ROLLBACK DEVICE, PAIR K0081 WHEEL LOCK ASSEMBLY, COMPLETE K0082 22NF NON-SEALED LEAD ACID BATT K0083 22 NF SEALED LEAD ACID BATTERY K0084 GROUP 24 NON-SEALED LEAD ACID K0085 GROUP 24 SEAL LEAD ACID BATERY K0086 U-1 NON-SEAL LEAD ACID BATTERY K0087 U-1 SEALED LEAD ACID BATTERY K0088 BATT CHRGR,1 MODE,W 1 BATT TYP K0089 BATT CHRGR,DL MODE,W BATT TYPE K0090 R WHEEL TIRE, POWER WHEELCHAIR K0091 R TIRE TUBE, POWER WHEELCH K0092 R WHEEL ASSY, POWER WHEELCHAIR K0093 R WHEEL, 0 PRESS TUBE PWR WCHR K0094 WHEEL TIRE FOR POWER BASE K0095 WHEEL TIRE TUBE, NOT 0 PRESSUR K0096 WHEEL ASSEMBLY FOR POWER BASE
- 928. K0097 WHEEL 0 PRESS TUBE, POWER BASE K0098 DRIVE BELT FOR POWER WHEELCHR K0099 FRONT CASTER,POW WHEELCHAIR,EA K0100 WHEELCH ADAPTER, AMPUTEE, PAIR K0102 CRUTCH AND CANE HOLDER, EACH K0103 TRANSFER BOARD,< 25 K0104 CYLINDER TANK CARRIER, EACH K0105 IV HANGER, EACH K0106 ARM TROUGH, EACH K0107 WHEELCHAIR TRAY K0108 WHEELCH COMPONENT/ACCESS, NOS K0112 TRUNK SUP VEST, W/INNER FRAME K0113 TRUNK SUP VEST, W/O INNR FRAME K0114 BACK SUP, WHLCHAIR, W/IN FRAME K0115 ORTHO SEAT, BACK MOD, CUSTOM K0116 ORTHO SEAT, COMBO BACK & SEAT K0195 ELEV LEG RESTS, PR K0268 HUMID,NON-HEAT,W POS AIR PRESS K0415 RX ANTIEMETIC, ORAL, 1 MG K0416 RX ANTIEMETIC, RECTAL, 1 MG K0452 WHEELCHAIR BEARINGS, ANY TYPE K0455 INF PMP,UNINTERPT,EPOPROSTENOL K0460 POW ADD,CONV MAN TO MOTOR, JOY K0461 POW ADD,MAN TO POW VEH, TILLER K0462 TEMP REPL,PAT OWN EQUP,REP,ANY K0531 HUMIDIF,HEAT,W POSIT AIR PRESS K0532 RESPIR ASSIS,WO BACK,W NONINVA K0533 RESPIR ASSIS,W BACKUP,W NONINV K0534 RESPIR ASSIS,W BACKUP,W INVAS K0538 NEG PRESS WND,ELEC PMP,STA/POR K0539 DRESS,NEG PRESS WND,ELC PMP,EA K0540 CANNIS,NEG PRES WND,ELC PMP,EA K0541 SGD PRERECORDED MSG <= 8 MIN K0542 SPEECH GEN DEV,DIGIT,REC >8 MN K0543 SPEECH GEN DEV,SYNTH,SPELL,CON K0544 SPEECH GEN DEV,SYNTH,MULT MESS K0545 SPEECH GEN PRG,PC/PER DIG ASST K0546 ACCESS,SPEECH GEN DEV,MOUNT SY K0547 ACCESS,SPEECH GENERAT DEV, NOC K0549 HOSP BED HVY DTY XTRA WIDE K0550 HOSP BED XTRA HVY DTY X WIDE K0556 ADD LWR EXTRM,KNEE,W LOCK MECH K0557 ADD LWR EXTRM,KNEE,WO LCK MECH K0558 ADD,KNEE,CONG W/WO LCK MECH K0559 ADD,KNEE,NOT CONG WWO LCK MECH K0581 OSTOMY,CLSD,W BARRIER,W FILTER K0582 OSTOMY,CLSD,W BARRIER,W CNVXTY K0583 OSTOMY,CLSD;WO BARRIER,W FILTR K0584 OSTOMY,CLSD;BARR W FLNG,W FLTR K0585 OSTOMY,CLSD;BARR W LCK FLANGE K0586 OSTMY,CLSD;BARR W LCK FLNG,FIL K0587 OSTOMY,DRN,W BARR,W FILTER
- 929. K0588 OSTOMY,DRN;BARR W FLNG,W FILTE K0589 OSTOMY,DRN;BARR W LCK FLNGE K0590 OSTMY,DRN;BARR W LCK FLNG,W FI K0591 OSTMY,URNRY,W EXT WEAR,W VLVE K0592 OSTMY,URNRY,W CNVXTY,W VLVE K0593 OSTMY,URNY,W EXT WEAR,W CNVXTY K0594 OSTMY,URNRY;W FAUCET,W VALVE K0595 OSTMY,URNY;BARR,W FLNG,W FACET K0596 OSTMY,URNY;USE BARR W LCK FLNG K0597 OSTMY,URNRY;BARR W LCK FLNGE L0100 CRANIAL ORTHOSIS/HELMET MOLD L0110 CRANIAL ORTHOSIS/HELMET NONM L0120 FOAM COLLAR FLEXIBLE, NON-ADJ L0130 FLEX, THERMOPLSTC COLLAR, MOLD L0140 PLASTIC COLLR, SEMI-RIGID, ADJ L0150 CHIN CUP, SEMI-RIGID, ADJ MOLD L0160 CRV, SEMI-RIG WIRE OCCIPIT SUP L0170 CERV, COLLAR, MOLDED L0172 CERV CLLR, SEMI-RGD FOAM, 2 PC L0174 CERV CLLR SEMI-RGD 2 PC, THORC L0180 MULT POST CLLR OCCIP/MANDIB L0190 CRV MULT PST COLLR OCCIP/MANDB L0200 CRV MULT PST COLLAR CRV BARS L0210 THORACIC, RIB BELT L0220 THORACIC, RIB BELT, CUSTOM FAB L0450 TLSO,FLX,TRNK SUPP,THRC,PREFAB L0452 TLSO,FLX,TRNK SUPP,THRC,C FAB L0454 TLSO FLX,TRNK SUPP,SAC TO T-9 L0456 TLSO,FLX,TRNK SUPP,RIG PST PAN L0458 TLSO,TRIPLANAR,PUBIS TO XIPHOI L0460 TLSO,TRIPLANAR,PUBIS TO STERNA L0462 TLSO,TRPLNR,MDLR,3 RIG PLSTSHL L0464 TLSO,TRPLNR,MDLR,4 RIG PLSTSHL L0466 TLSO,SAGITAL,RIG POST FRAME&FL L0468 TLSO,SGTL-CRNL,RIG PST FRME&FL L0470 TLSO,TRIPLNR,RIG PSTER FRME&FL L0472 TLSO,TRPLNR,HYPEREXT,RIG ANTRI L0474 TLSO,TRPLNR,RGID W FLX SFT ANT L0476 TLSO,SGTL-CRNAL SACROCOC TO XI L0478 TLSO,SGTL-CRNL,SACROCOC TO T-9 L0480 TLSO,TRPLNR,1 PIECE RIG WO LNE L0482 TLSO,TRPLNR,1 PIECE RIG W LINE L0484 TLSO,TRPLNR,2 PIECE RIG WO LNE L0486 TLSO,TRPLNR,2 PIECE RIG W LINE L0488 TLSO,TRPLNR,1 RIG SHELL,PREFAB L0490 TLSO,SGTTL-CRNL,1 RIG,W OVERLA L0500 LUMBAR-SACRAL-ORTHOSIS, FLEX L0510 LSO, FLEXIBLE,CUSTOM FABRICATE L0515 LSO FLEX ELAS W/ RIG POST PA L0520 LSO, ANT/POST/LAT CTRL W/APRON L0530 LSO, AP CONTROL W/APRON FRONT L0540 LSO, LUMBAR FLEXION, Y JACKET
- 930. L0550 LSO, ANT/POS/LAT CTRL, MOLDED L0560 LSO, AP-LAT CTRL MOLD W/INTERF L0561 PREFAB LSO L0565 LSO, AP-LAT CONTROL, CUSTOM L0600 SACROILIAC, FLEXIBLE SURG SUPP L0610 SACROILIAC, FLEX CUSTOM FAB L0620 SACROILAC SEMI-RIG W/APRN FRNT L0700 CTLSO AP-L CTRL, MINERVA TYPE L0710 CTLSO APL CTRL MINERVA W/INTRF L0810 CERV HALO INCORP TO JACKETVEST L0820 CERV HALO PLASTER BODY JACKET L0830 CERV HALO MILWAUKEE ORTHOSIS L0860 ADD HALO PROC MRI COMPAT SYS L0960 TORSO SUP, POST SURG SUP PADS L0970 TLSO, CORSET FRONT L0972 LSO, CORSET FRONT L0974 TLSO, FULL CORSET L0976 LSO, FULL CORSET L0978 AXILLARY CRUTCH EXTENSION L0980 PERONEAL STRAPS, PAIR L0982 STOCKING SUPRTER GRIPS, SET-4 L0984 PROTECTIVE BODY SOCK, EACH L0999 ADD TO SPINAL ORTHOSIS, NOS L1000 CTLSO INITL ORTHOSIS,W/ MODEL L1005 TENSION BASED SCOLIOSIS ORTH L1010 ADD CTLSO AXILLA SLING L1020 ADD CTLSO KYPHOSIS PAD L1025 ADD CTLSO KYPHOSIS PAD FLOAT L1030 ADD CTLSOLUMBAR BOLSTER PAD L1040 ADD CTLSO LUMBAR RIB PAD L1050 ADD CTLSO STERNAL PAD L1060 ADD CTLSO THORACIC PAD L1070 ADD CTLSO TRAPEZIUS SLING L1080 ADD CTLSO OUTRIGGER L1085 ADD CTLSO OUTRIG BILT W/EXTNS L1090 ADD CTLSO LUMBAR SLING L1100 ADD CTLSO RING FLNG PLST/LTHR L1110 ADD CTLSO RING FLNGE MODED L1120 ADD CTLSO COVER FOR UPRIGHT L1200 TLSO FURNSH INIT ORTHOSIS ONLY L1210 ADD TLSO, LAT-THORACIC EXTEN L1220 ADD TLSO, ANT-THORACIC EXTEN L1230 ADD TLSO MILWAUKEE SUPERSTRUCT L1240 ADD TLSO, LUMBR DEROTATION PAD L1250 ADD TLSO, ANTERIOR ASIS PAD L1260 ADD TLSO ANT-THOR DEROTATN PAD L1270 ADD TLSO, ABDOMINAL PAD L1280 ADDI TLSO, RIB GUSSET ELASTIC L1290 ADD TLSO, LAT-TROCHANTERIC PAD L1300 OTH/SCOLIO PROC, BODY JACKET L1310 OTH SCOLIO PROC, POST-OP JACKT L1499 SPINAL ORTHOSIS, NOS
- 931. L1500 THKAO, NEWINGTN, PARAPODM FRAM L1510 THKAO STANDING FRAME L1520 THKAO, SWIVEL WALKER L1600 HO,FLXB,FRJKA TYP W CVR,PREFB L1610 HO,FLXB,FRJKA CVR ONLY,PREFB L1620 HO,FLXB,PAVLK HRNSS,PREFB L1630 HO,SEM-FLXBL(VON ROSEN TYP),CU L1640 HO,STAT,PLV BND/SPR BAR,THGH C L1650 HO,STAT,ADJSTBL,PREFAB,FTNG&AD L1652 HIP ORTHOSIS,BILTRL THIGH CUFF L1660 HO,STAT,PLSTC,PREFAB,FTNG&ADJS L1680 HO,DYNMC,PLV,ADJ HP MTN,CST FB L1685 HO,POSTOP HIP ABDCTN TP,CST FB L1686 HO,PSTOP HP ABD TP,PRFB,FTG&AD L1690 COMB,BI,L/S,HP,FMR ORTH PRV L1700 LEGG ORTHOS,(TORNTO TP),CST FB L1710 LEGG ORTHOS,(NWNGTN TP),CST FB L1720 LEGG ORTHOS,TRILAT,TACHDIJ TP L1730 LEGG ORTHOS,SCOTTISH RITE TP L1750 LEGG ORTHOS,LEGG PRTHS SLING L1755 LEGG ORTHOS,PATTEN BTTM TP L1800 KO,ELASTIC W STAYS,INC FTNG&AD L1810 KO,ELASTC W JOINTS,INC FTNG&AD L1815 NO,ELASTC/OTH ELSTC TP MAT L1820 KO,ELASTIC W CNDYLR PDS&JNTS L1825 KO,ELASTC KNEE CAP,PREFABRICTD L1830 KO,IMMBILIZR,CANVS LONGITUDINL L1832 KO,ADJST KNEE JT,POSITL ORTHSS L1834 KO,WO KNEE JT,RIGID,CSTM FB L1836 KNEE ORTHOSIS,RIG,WO JNT(S) L1840 KO,DROTAT,MDIAL-LAT,CRUC LGMNT L1843 KNEE ORTHOSI,THIGH&CALF,PREFAB L1844 KNEE ORTHO,THIGH&CALF,CUST FAB L1845 KO,2 UPT,THI&CF,ADJ FLX&EXT JT L1846 KO,2 UPT,THI&CLF,W ADJ FLX&EXT L1847 KO,2 UPT W ADJ JT,SPT CHMBRS L1850 KO,SWEDSH TP,PRFAB,INC FTNG&AD L1855 KO,MOLD PLAS,THIGH&CALF SECT L1858 KO,MOLD PLAS,POLYCENTR KNEE JT L1860 KO,MOD,SUPRACNDYLR PROSTH SCKT L1870 KO,DBL UPRT,THIGH&CALF LACERS L1880 KO,DBL UPRT,NONMOLD THI&CLF L1885 KO,1/2 UPRT,THI&CLF,RES CTRL L1900 AFO,SPRING WR,DORSIFLX CLF BD L1901 ANKL ORTHO,ELSC,PREFAB,FIT&ADJ L1902 AFO,ANKLE GAUNTLET,PREFAB,FTNG L1904 AFO,MOLD ANKLE GAUNTLET,CST FB L1906 AFO,MULTILIGAMENTUS ANKL SPPRT L1910 AFO,POST,1 BAR,CLASP SHOE CNTR L1920 AFO,1 UPRT STAT/ADJ STP,CST FB L1930 AFO PLASTIC L1940 AFO MOLDED TO PATIENT PLASTI
- 932. L1945 AFO,MLD PAT MODL,PLAS,TIBL SCT L1950 AFO,SPIRAL,IRM TYPE,PLASTIC L1960 AFO,POSTERR SOLID ANKLE,PLASTC L1970 AFO,PLAST,W ANKLE JNT,CUST FAB L1980 AFO,SGLUPRT FR PLANTAR DRSIFLX L1990 AFO,DBLUPRT FR PLANTAR DRSIFLX L2000 KAFO,SGLUPRT,FR KNEE,FR ANKL L2010 KAFO,SGLUPRT,FR ANKL,WO KNJT L2020 KAFO,DBLUPRT,FR KNEE,FR ANKL L2030 KAFO,DBLUPRT,FR ANKL,WO KNJT L2035 KAFO,STATIC,PREFAB,INC FIT&ADJ L2036 KAFO,DBL UPRT,FR KNEE,CST FABR L2037 KAFO,SGL UPRT,FR KNEE,CST FABR L2038 KAFO,WO KNEE JT,MLTIAX ANKL L2039 KAFO,SGL UPRT,POLYX HNG,RT CTL L2040 HKAFO,BILAT ROTATN STRAPS L2050 HKAFO,BI TRSN CBLS,HIP JNT L2060 HKAFO,BI TRSN CBL,BLLBRG HP JT L2070 HKAFO,UNI ROTATION STRAPS L2080 HKAFO,UNI TRSN CBL,HIP JNT L2090 HKAFO,UNI TRSN CBL,BLBRG HP JT L2102 AFO,FX ORTH,TIBL,PLSTR CST MTL L2104 AFO,FX ORTH,TBL,SYNTHTC CST MT L2106 AFO,FX ORTH,TIBL,THRMPLS MATL L2108 AFO,FX ORTH,TIBL FRCT CST ORTH L2112 AFO,FX ORTH,TIBL FRCT,SOFT L2114 AFO,FX ORTH,TIBL ORTH,SEMIRGD L2116 AFO,FX ORTH,TIBL FRCT,RIGID L2122 KAFO,FX ORTH,PLASTR CST MATL L2124 KAFO,FX ORTH,SYNTHETIC MATL L2126 KAFO,FX ORTH,THERMOPLAST MATL L2128 KAFO,FX ORTH,CUSTOM FABRICATED L2132 KAFO,FX ORTH,SOFT,PREFB,FT&ADJ L2134 KAFO,FX ORTH,SEMIRGD,PREFAB L2136 KAFO,FX ORTH,RIGD,PREFB,FT&ADJ L2180 LE FX ORTHO PLSTC INSRT W/ANKL L2182 LE FX ORTHOS DRP LCK KNEE JT L2184 LE FX ORTHO LTD MOTION KNEE JT L2186 LE FX ORTHO MOTION KNEE LERMAN L2188 LE FX ORTHOSIS, QUADRILAT BRIM L2190 LE FX ORTHOSIS, WAIST BELT L2192 LE FX ORTH PELV BND THGH FLNGE L2200 LE, LIMITED ANKLE MOTION, L2210 LE DORSIFLEX ASSIST EACH JOINT L2220 LE DORSIFLEX&PLNTR ASST/REST L2230 LE SPLIT FLT CALPR STIRUP&PLTE L2240 LE, ROUND CALIPER&PLATE ATTACH L2250 LE, FT PLT, MOLD STIRUP ATTACH L2260 LE, REINF SLD STIRUP SCOTT-CRA L2265 LE, LONG TONGUE STIRRUP L2270 LE, VARUS/VALGUS CORRECT STRP L2275 LE, VRS/VLGS CORRCT PAD/LINED
- 933. L2280 LE, MOLDED INNER BOOT L2300 LE, ABDUCT BAR JOINTED, ADJ L2310 LE, ABDUCTION BAR-STRAIGHT L2320 LE, NON-MOLDED LACER L2330 LE, LACER MOLDED TO PATIENT L2335 LE, ANTERIOR SWING BAND L2340 LE, PRE-TIBIAL SHELL,MOLDED L2350 LE, PROST (BK) SCKT, MOLDED L2360 LE, EXTENDED STEEL SHANK L2370 LE, PATTEN BOTTOM L2375 LE, TORSN CTRL ANKL&HALF STRUP L2380 LE, TORSN CTRL STRGHT KNEE JNT L2385 LE, STRAIGHT KNEE JT, HVY DTY L2390 LE, OFFSET KNEE JOINT L2395 LE, OFFSET KNEE JOINT, HVY DTY L2397 LE ORTHOSIS, SUSPENSION SLEEVE L2405 KNEE JOINT, DROP LOCK L2415 KNEE JOINT CAM LOCK EACH JNT L2425 KNEE JT, DISC/DIAL LOCK L2430 KNEE JT,RATCHET LOCK L2435 KNEE JT, POLYCENT JOINT L2492 KNEE JT LIFT LOOP, DRP LCK RNG L2500 LE, THIGH GLUT/ISCH, RING L2510 LE, THIGH, QUAD-LAT BRIM, MOLD L2520 LE, TIGH QUAD-LAT BRIM, CUSTOM L2525 LE, ISCH CNT/NRW M-L BRIM MOLD L2526 LE ISCH CTNMT/NAR M-L BRIM CUS L2530 LE, THGH WT BEAR, LACR, NN-MLD L2540 LE, THIGH/WT BEAR, LACER, MOLD L2550 LE, THIGH/WT BEAR, HIROLL CUFF L2570 PELV CTRL HIP JT, CLEVIS 2 POS L2580 PELVIC CTRL, PELVIC SLING L2600 PELV CTRL HIP JT CLEVIS, FREE L2610 PELV CTRL HIP JT CLEVIS, LOCK L2620 LE, PELV CTRL, HIP JT, HVY DTY L2622 LE, PELV CTRL, HIP JT ADJ FLEX L2624 PELV CTRL ADJ FLEX EXT ABD CRL L2627 PELV CTRL PLST RECP HIP JT&CBL L2628 PELV CTRL METL RECP HIP JT&CBL L2630 LE, PELV CTRL BAND&BELT UNILAT L2640 LE, PELV CTRL BAND&BELT, BILAT L2650 LE, PELV&THORAC CTRL GLUTL PAD L2660 LE, THORACIC CTRL, THORAC BAND L2670 LE, THRAC CTRL, PRASPINL UPRTS L2680 LE, THRAC CTRL, LAT SUP UPRTS L2750 LE ORTHOSIS, CHROME OR NICKLE L2755 CARBON GRAPHITE LAMINATION L2760 LE ORTHOSIS, EXTEN, PEREXTENS L2768 ORTHO SIDEBAR DISCONNECT L2770 LE ORTHOSIS, ANY MATERIAL L2780 LE ORTHOSIS, NON-CORROSIVE FIN L2785 LE ORTHOSIS, DROP LOCK RETAINR
- 934. L2795 LE ORTHOSS KNEE CTRL, FULL CAP L2800 LE ORTH KNEE CTRL MED/LAT PULL L2810 LE ORTH KNEE CTRL CONDYLAR PAD L2820 LE ORTH SFT MLD PLSTC BLW KNEE L2830 LE ORTH SFT MLD PLSTC ABV KNEE L2840 LE ORTH, TIBIAL SOCK, FX L2850 LE ORTH, FEMORAL LNGTH SOCK L2860 LE JT, KNEE/ANKL, TORSION MECH L2999 LOWER EXTREMITY ORTHOSIS, NOS L3000 FT INSRT MOLD UCB BERLELY SHEL L3001 FOOT INSERT, MOLDE, SPENCO L3002 FOOT INSRT, MOLD, PLASTAZOTE L3003 FT INSRT, MOLD, SILICONEGEL L3010 FT INSRT MOLD ARCH SUP LONGIT L3020 FT INSRT MOLD SUP LNGIT/METATR L3030 FT INSRT FORM SUP RMOV PREMOLD L3040 ARCH SUP, REMOV, PREMLD, LNGIT L3050 ARCH SUP REMV, PREMOLD MTATRSL L3060 ARCH SUP REMOVABLE, PREMOLD L3070 FT ARCH SUP NON-REMOV, LONGIT L3080 FT ARCH SUP NON-REMOV, MTATRSL L3090 FT ARCH SUP NN-REMOV LNGT/META L3100 HALLUS-VALGUS NGHT DYNAM SPLNT L3140 FT, ROTATN POSIT DEV, W/SHOE L3150 FT, ROTATN POSIT DEV, W/O SHOE L3160 FOOT, ADJ SHOE-STYL POSIT DEV L3170 FOOT, PLASTIC HEEL STABILZER L3201 ORTHO SHOE OXFRD W/SUPIN,INFNT L3202 ORTHO SHOE OXFRD W/SUPIN, CHLD L3203 ORTHO SHOE OXFRD W/SUPIN, JR L3204 ORTHO SHOE HITOP W/SUPIN INFNT L3206 ORTHO SHOE HITOP W/SUPIN CHLD L3207 ORTHO SHOE HITOP W/SUPIN JR L3208 SURGICAL BOOT, EACH, INFANT L3209 SURGICAL BOOT, EACH, CHILD L3211 SURGICAL BOOT, EACH, JUNIOR L3212 BENESCH BOOT, PAIR, INFANT L3213 BENESCH BOOT, PAIR, CHILD L3214 BENESCH BOOT, PAIR, JUNIOR L3215 ORTHO LADIES SHOES, OXFORD L3216 ORTHO LADIES SHOES DEPTH INLAY L3217 ORTHO LADIES SHOES HITOP INLAY L3219 ORTHOP MENS SHOES, OXFORD L3221 ORTHO MENS SHOES, DEPTH INLAY L3222 ORTHO MENS SHOES, HITOP, INLAY L3224 ORTHO, WOMAN SHOE OXFRD, BRACE L3225 ORTHO, MAN SHOE, OXFRD, BRACE L3230 ORTHO, CUSTOM SHOES, INLAY L3250 ORTHO CUSTM MOLDED PROSTH SHOE L3251 SHOE MOLD TO PATIENT, SILICONE L3252 SHOE MOLD PLASTAZOTE CUSTM FAB L3253 SHOE MOLD PLASTAZOTE CUSTM FIT
- 935. L3254 NON-STANDARD SIZE OR WIDTH L3255 NON-STANDARD SIZE OR LENGTH L3257 ORTHO FOOTWEAR SPLIT SIZE L3260 SURGICAL BOOT/SHOE, EACH L3265 PLASTAZOTE SANDAL L3300 LIFT, ELEV, HEEL, TAPERED L3310 LIFT, ELEV, HEEL&SOLE NEOPRENE L3320 LIFT, ELEV, HEEL& SOLE, CORK L3330 LIFT, ELEV, METAL EXTENSION L3332 LIFT, ELEV, INSIDE SHOE TAPERD L3334 LIFT, ELEVATION, HEEL L3340 HEEL WEDGE, SACH L3350 HEEL WEDGE L3360 SOLE WEDGE, OUTSIDE SOLE L3370 SOLE WEDGE, BETWEEN SOLE L3380 CLUBFOOT WEDGE L3390 OUTFLARE WEDGE L3400 METATARSAL BAR WEDGE, ROCKER L3410 METATRSL BAR WEDGE, BETWN SOLE L3420 FULL SOLE&HEEL WEDGE BTWN SOLE L3430 HEEL, COUNTER, PLASTIC REINFOR L3440 HEEL, COUNTER, LEATHER REINFOR L3450 HEEL, SACH CUSHION TYPE L3455 HEEL, NEW LEATHER, STANDARD L3460 HEEL, NEW RUBBER, STANDARD L3465 HEEL, THOMAS WITH WEDGE L3470 HEEL, THOMAS EXTENDED TO BALL L3480 HEEL, PAD& DEPRESSION FOR SPUR L3485 HEEL, PAD, REMOVABLE FOR SPUR L3500 ORTHOPED SHOE ADD,INSOLE,LEATH L3510 ORTHOPED SHOE ADD,INSOL,RUBBER L3520 ORTH SHOE ADD,INSOL,FELT,LEATH L3530 ORTHOPED SHOE ADD, SOLE, HALF L3540 ORTHOPED SHOE ADD, SOLE, FULL L3550 ORTHO SHOE ADD, TOE TAP STAND L3560 ORTH SHOE ADD,TOE TAP, HORSESH L3570 ORTH SHOE ADD,SPEC EXTN,INSTEP L3580 ORTH SHOE ADD,CONV INSTEP,VELC L3590 ORTHOPED SHOE ADD,FIRM TO SOFT L3595 ORTHOPEDIC SHOE ADD, MARCH BAR L3600 TRNSFR ORTHO 1 SHOE CALPR EX L3610 TRNSFR ORTHO 1 SHOE CALPR NEW L3620 TRNSFR ORTHO 1 SHOE STRUP EXST L3630 TRNSFR ORTHO 1 SHOE STRUP NEW L3640 TRNSFR ORTHO, D. BROWNE 2 SHOE L3649 ORTH SHOE,MOD,ADD/TRANSFER,NOS L3650 SO,PREFAB,INCL FIT & ADJUST L3651 SHLDER ORTHO,SNG SHLDR,ELASTIC L3652 SHLDER ORTHO,DBL SHLDR,ELASTIC L3660 SO,CANVAS&WEB,PREFAB,FIT & ADJ L3670 SO,ACROMIO/CLAVICL,PREFB,FT&AD L3675 SO,VST TYP ABD RESTR,/=,PREFAB
- 936. L3677 SO HARD PLASTIC STABILIZER L3700 EO,ELASTC W STYS,PREFABRICATED L3701 ELBOW ORTH,ELSTC,PREFAB L3710 EO,ELASTC W METL JT,PREFABRICT L3720 EO,2 UPRT,FREE MOTN,CUST FABR L3730 EO,2 UPRT,EXTNSN/FLX ASSIST L3740 EO,2 UPRT,ADJ POS LCK W CNTL L3760 ELBOW ORTHOSIS,ADJ LOCK JT,ANY L3762 ELBW ORTH,RIG,WO JTS,SFT MATER L3800 WHFO,SHRT OPPONENS,NO ATTACH L3805 WHFO,LONG OPPONENS,NO ATTACH L3807 WHFO,WO JT,PREFAB,INC FIT&ADJ L3810 WHFO, THUMB ABDUCTION (C BAR) L3815 WHFO, 2ND M.P.ABDUCTION ASSIST L3820 WHFO, I.P. EXT ASSIST W/M.P. L3825 WHFO, M.P. EXTENSION STOP L3830 WHFO, M.P. EXTENSION ASSIST L3835 WHFO, M.P. SPRING EXT ASSIST L3840 WHFO, SPRING SWIVEL THUMB L3845 WHFO, THUMB I.P. EXT ASST L3850 WHO, ACTN WRST, W/DORSIFLX AST L3855 WHFO, ADJ M.P. FLEX CONTROL L3860 WHFO, ADJ M.P. FLEX CNTRL&I.P. L3890 WRIST/ELBOW, CONC ADJ TORSION L3900 WHFO,DYNFLXR HNG,WRST/FGR EXT L3901 WHFO,DYNFLXR HNG,CBLDRV,CST FB L3902 WHFO,COMPRESSED GAS,CUST FABR L3904 WHFO,ELECTRIC, CUSTOM FABRICAT L3906 WHO,WRIST GAUNTLT,MOLD PAT MDL L3907 WHFO,WRIST GAUNTLT W THMB SPCA L3908 WHO,WRST CNTL COCK-UP,NONMLD L3909 WRIST ORTH,ELSTC,PREFAB L3910 WHFO,SWANSON DESIGN,PREFAB L3911 WRIST HAND FINGER,ELSTC,PREFAB L3912 HFO,FLEXN GLVE W ELSTC FGR CTL L3914 WHO, WRIST EXTENSION COCK-UP L3916 WHFO,WRST COCK-UP,W OUTRGGR L3918 HFO,KNUCKLE BENDER,PREFAB,F&A L3920 HFO,KNUCKLE BENDER,W OUTRIGGER L3922 HFO,KNUCKLE BENDR,2 SGM FLX JT L3923 HAND FINGER ORTHOSIS,WO JT,ANY L3924 WHFO,OPPENHEIMER,PREFAB,FIT&AD L3926 WHFO,THOMAS SUSPENSION,PREFABR L3928 HFO,FINGR XTNSN,W CLOCK SPRING L3930 WHFO,FINGR XTNSN,W WRIST SUPP L3932 FO,SAFETY PIN,SPRING WIRED L3934 FO, SAFETY PIN,MOD PREFABRICTD L3936 WHFO, PALMER, PREFAB,INC F&ADJ L3938 WHFO,DORSAL WRST,PREFABRICATED L3940 WHFO,DORSAL WRST,W OUTRGGR ATT L3942 HFO,REVERSE KNUCKLE BENDER L3944 HFO,REVRS KNCKL BNDR,W OUTRGGR
- 937. L3946 HFO,COMPOSITE ELASTIC,PREFABR L3948 FO,FINGER KNUCKLE BENDER,PRFB L3950 WHFO,OPPNHMR,W KNCKL BNDR&2 AT L3952 WHFO,OPPNHMR,W RVRS KNCKL&2 AT L3954 HFO,SPREADING HAND,PREFABRICTD L3956 ADD UPPR EXTREMITY ORTHOSIS L3960 SEWHO,ABD POSITN,AIRPLN DESIGN L3962 SEWHO,ABD POSIT,ERB PALSY DSGN L3963 SEWHO,MOLD SHLDR,ARM,FRARM L3964 SEO,ARM SPT WHEELCH,BALAN,ADJ L3965 SEO,ARM SPT,BALAN,ADJUST RNCHO L3966 SEO,ARM SPT,BALAN,RECLINING L3968 SEO,ARM SPT,BALAN,FRCT ARM SPT L3969 SEO,MBLARM,MONOARM&HND,OVRLBFR L3970 SEO, ARM SUP, ELE PROXIMAL ARM L3972 SEO, ARM SPT OFFSET/LAT ROCKER L3974 SEO, ADD ARM SUPPRT, SUPINATOR L3980 UP EXTREM FRACT ORTHOS,HUMERAL L3982 UP XTRM FRCT ORTH,RADIUS/ULNAR L3984 UP XTRM FRACT ORTHOSIS,WRIST L3985 UP XTRM FX ORTH,FOREARM,HAND L3986 UP XTRM FX ORTH,COMBO HUMERAL L3995 UE ORTHO, SOCK, FX L3999 UPPER LIMB ORTHOSIS, NOS L4000 REPL GIRDLE MILWAUKEE ORTH L4010 REPLACE TRILATERAL SOCKET BRIM L4020 REPL QUAD SOCKET BRIM, MOLDED L4030 REPL QUAD SOCKET BRIM, CUSTOM L4040 REPLACE MOLDED THIGH LACER L4045 REPLACE NON-MOLDED THIGH LACER L4050 REPLACE MOLDED CALF LACER L4055 REPLACE NON-MOLDED CALF LACER L4060 REPLACE HIGH ROLL CUFF L4070 REPL PROXML& DISTL UPRGHT KAFO L4080 REPL METAL BANDS KAFO, THIGH L4090 RPL METAL BANDS KAFO-AFO, CALF L4100 REPL CUFF KAFO, PROXIMAL THIGH L4110 REPL CUFF KAFO-AFO, DISTL THGH L4130 REPLACE PRETIBIAL SHELL L4205 REPAIR OF ORTHOTIC DEVICE L4210 REPR OF ORTHO DEV, MINOR PRTS L4350 PNEUMATIC ANKLE CNTRL SPLINT L4360 PNEUMATIC AFO,WWO JOINTS,PREFA L4370 PNEUMATIC LEG SPLINT, PREFAB L4380 PNEUMATIC KNEE SPLINT, PREFAB L4386 NON-PNEUMTC WLK SPLNT,WWO JNTS L4392 REPLACEMENT SOFT INTERFACE MAT L4394 REPL MATERL, FOOT DROP SPLINT L4396 STATIC AFO L4398 FT DROP SPLINT,RECMB POS DVC L5000 SHOE INSERT W/LONGITUDINL ARCH L5010 MOLDED SOCKET, ANKLE HEIGHT
- 938. L5020 MOLDD SOCKT TIBIAL TUBERCLE HT L5050 ANKLE, SYMES, MOLD SOCKT, SACH L5060 ANKLE SYMES METAL FRAME MOLDED L5100 BELW KNEE, MOLDED SOCKET, SHIN L5105 BELW KNEE PLASTIC SOCKET JTS L5150 KNEE DISARTIC, EXT KNEE JNTS L5160 KNEE DISARTIC BENT KNEE JNTS L5200 ABV KNEE MOLDED SOCKET 1 AXIS L5210 ABV KNEE SHT PROSTH FOOT BLCKS L5220 ABV KNE SHT PROSTH ARTIC ALIGN L5230 ABV KNE PROX FEM FOCAL DEFIC L5250 HIP DISARTIC CANADIAN TYPE L5270 HIP DISARTIC, TILT TABLE TYPE L5280 HEMIPELVECTOMY, CANADIAN TYPE L5301 BK MOLD SOCKET SACH FT ENDO L5311 KNEE DISART, SACH FT, ENDO L5321 AK OPEN END SACH L5331 HIP DISART CANADIAN SACH FT L5341 HEMIPELVECTOMY CANADIAN SACH L5400 IMD P-SURG RGD DRSSG BLW KNEE L5410 P-SURG BLW KNEE CST CHNG&RELGN L5420 IMD POST SURG/EARLY FIT L5430 IMMED POST SURG RIGID DRESS L5450 IMD P-SRG NN-WT DRSSG BLW KNEE L5460 IMD P-SRG NN-WT DRSG ABV KNEE L5500 INIT, BLW KNEE PTB, PLSTR, DIR L5505 INIT ABV KNEE ISCH, PLSTR, DIR L5510 PREP, BLW KNEE, PLASTER, MOLD L5520 PREP, BLW KNEE, THRMPLST DIRCT L5530 PREP, BLW KNEE, THRMPLST, MOLD L5535 PRP, BLW KNE, PREFAB, ADJ OPEN L5540 PREP, BLW KNEE, LAMINATD, MOLD L5560 PRP ABV KNEE ISCH, PLSTR, MOLD L5570 PRP ABV KNEE ISCH THRMPLAS DIR L5580 PRP ABV KNEE ISCH THRMPLAS MLD L5585 PRP ABV KNEE ISCH PREFAB, ADJ L5590 PRP ABV KNEE ISCH LMNTD, MOLD L5595 PREP HIP DISRT THERMPLAST MOLD L5600 PREP HIP DISRT LAMNT SCKT MOLD L5610 LE ENSKL ABV KNEE HYDRACAD SYS L5611 LE ENSKL ABV KNEE 4 BAR FRICT L5613 LE ENSKL ABV KNEE 4 BAR HYDRAL L5614 LE, ENSKL ABV KNEE 4-BAR PNEUM L5616 LE ENSKL ABV KNEE UNI SWNG CTL L5617 LE, SELF-ALIGN, ABVEBLW KNEE L5618 ADD LE, TEST SCKT, SYMES L5620 ADD LE, TEST SCKT, BLW KNEE L5622 ADD LE, TEST SCKT KNEE DISARTC L5624 ADD LE, TEST SCKT, ABV KNEE L5626 ADD LE, TEST SCKT HIP DISARTC L5628 ADD LE, TEST SCKT HEMIPELVCTMY L5629 ADD LE BLW KNEE, ACRYLIC SCKT
- 939. L5630 ADD LE, SYMES, EXPAND WALLSCKT L5631 ADD LE ABV KNEE, ACRYLIC SCKT L5632 ADD LE, SYMES TYPE L5634 ADD LE, SYMES CANADIAN SCKT L5636 ADD LE SYMES, MEDIAL OPEN SCKT L5637 ADD LE, BLW KNEE, TOTL CONTACT L5638 ADD LE, BLW KNEE, LEATHR SOCKT L5639 ADD LE, BLW KNEE, WOOD SOCKET L5640 ADD LE KNEE DISART LEATHR SCKT L5642 ADD LE, ABV KNEE, LEATHR SOCKT L5643 ADD LE HIP DISARTC, EXT FRAME L5644 ADD LE, ABV KNEE, WOOD SOCKET L5645 ADD LE, BLW KNEE, FLX EXT FRME L5646 ADD LE, BLW KNEE, AIR CUSHION L5647 ADD LE, BLW KNEE SUCTION SOCKT L5648 ADD LE, ABV KNEE, AIR CUSHION L5649 ADD LE, ISCH CONTNMT NAR SCKT L5650 ADD LE TOT CNTCT ABV KNEE SCKT L5651 ADD LE ABV KNEE FLX EXTN FRAME L5652 ADD LE, SUCT SUSP ABV KNEE/DIS L5653 ADD LE, KNEE DISART EXPND SCKT L5654 ADD LE, SCKT INSRT, SYMES L5655 ADD LE, SCKT INSRT BLW KNEE L5656 ADD LE SCKT INSRT KNEE DISARTC L5658 ADD LE, SCKT INSRT, ABV KNEE L5661 ADD LE, SCKT INSRT, MULTI-DURO L5665 ADD LE, MULTI-DUROMTR BLW KNEE L5666 ADD LE, BLW KNEE CUFF SUSPENSN L5668 AD LE BLW KNE MOLD DISTL CUSHN L5670 BLW KNEE SUPRACONDYLAR SUSP L5671 BK/AK LOCKING MECHANISM L5672 BLW KNEE REMOV MEDIALBRIM SUSP L5674 ADD LOW EXTRM,ANY MATERIAL,EA L5675 ADD LOW EXTRM,HVY DTY,ANY MATL L5676 BLW KNEE, KNEE JOINTS, 1 AXIS L5677 BLW KNEE, KNEE JNTS POLYCENTRC L5678 ADD LE, BLW KNEE, JOINT COVERS L5680 BLW KNEE, THIGH LACER NON-MOLD L5682 BLW KNEE, LACER,GLUTEAL, MOLD L5684 ADD LE, BLW KNEE, FORK STRAP L5686 ADD LE, BLW KNEE, BACK CHECK L5688 BLW KNEE, WAIST BELT, WEBBING L5690 BLW KNEE WAIST BELT, PAD&LINED L5692 ABV KNEE, PELVIC CTRL BELT, LT L5694 ABV KNEE, PELV CTRL BELT, PAD L5695 ABV KNE PELV CTRL SLEVE NEOPRN L5696 ABV KNEE/DISARTC, PELVIC JNT L5697 ABV KNEE/DISARTC, PELVIC BAND L5698 ABV KNEE/DISARTC, SILESIAN BND L5699 ALL LE PROST, SHOULDER HARNESS L5700 REPLCMT, SCKT, BLW KNEE, MOLD L5701 REPL, SCKT ABV KNEE ATTCH PLTE
- 940. L5702 REPL SCKT HIP DISARTIC MOLDED L5704 CUSTOM SHAPE COVER BK L5705 CUSTOM SHAPE COVER AK L5706 CUSTOM SHAPE CVR KNEE DISART L5707 CUSTOM SHAPE CVR HIP DISART L5710 EXOSKEL KNEE-SHIN SYS 1 AXIS L5711 EXOSKL K-S SYS 1 AXIS ULTRA-LT L5712 1 AXIS SAFETY KNEE L5714 1 AXIS, VARI FRICT SWING PHASE L5716 EXOSKEL K-S SYS, POLYCENTRIC L5718 K-S SYS, POLYCEN, SWING&STANCE L5722 1 AXIS, PNEUM SWING, FRICTION L5724 1 AXIS, FLUID SWING PHASE CTRL L5726 1 AXIS, EXT JNT FLD SWING CTRL L5728 1 AXIS, FLD SWING& STANCE CTRL L5780 1 AXIS PNEUMATIC SWING CONTROL L5781 ADD LWR LIMB PROSTH,VAC PUMP L5782 ADD LWR LIMB PRSTH,VAC,HVY DTY L5785 EXOSKEL SYS BLW KNEE UL-LT MAT L5790 EXOSKEL SYS ABV KNEE UL-LT MAT L5795 EXOSKEL HIP DISARTIC UL-LT MAT L5810 ENDOSKL K-S SYS 1 AXIS MAN LCK L5811 1 AXIS, MAN LOCK, ULTRA-LT MAT L5812 1 AXIS FRICT SWING&STANCE CTRL L5814 POLYCENT, HYDRL SWING PHS CTL L5816 POLYCENT, MECHAN STNCE PHS LCK L5818 POLYCN FRIC SWING&STANCE CNTRL L5822 1 AXIS, PNEUM SWING FRICT CTRL L5824 1 AXIS, ADD FLD SWINGPHSE CTRL L5826 ENDOS K-SH,1 AX,MINI HI ACT FR L5828 1 AXIS FLUID SWING&STANCE CTRL L5830 1 AXIS, PNEUM/SWING PHASE CTRL L5840 ADD, ENDOSKEL KNEE/SHIN SYSTEM L5845 ENDOSKL, K-S, STANCE FLEX, ADJ L5846 ENDOSKL, K-S, MICRO CTL, SWING L5847 MICROPROCESSOR CNTRL FEATURE L5848 ADD ENDOSKEL,KNEE-SHIN SYS L5850 ABV KNEE/HIP DISARTC EXTN ASST L5855 ENDOSK HIP DISART MECH HIP AST L5910 ENDOSKEL, BLW KNEE, ALIGN SYS L5920 ABV KNEE/HIP DISARTC, ALIGN SY L5925 ADD,ENDOSKL,ABOV KNEE,MAN LOCK L5930 ENDOSKL, HI ACT KNEE CTRL FRAM L5940 BLW KNEE, ULTRA-LIGHT MATERIAL L5950 ENDOSKEL, ABV KNEE, ULT-LT MAT L5960 ENDOSKL, HIP DISART ULT-LT MAT L5962 BLW KNEE, FLEX OUT SURFACE CVR L5964 ABV KNEE, FLEX OUT SURFACE CVR L5966 HIP DISART FLEX OUT SURFAC CVR L5968 ADD,LOW LIMB PROS,MULTIAX ANKL L5970 LE PROST FOOT, EXTNL KEEL SACH L5972 ALL LE PROST, FLEXI KEEL FOOT
- 941. L5974 LE PROST, FOOT, 1 AXIS ANKL/FT L5975 ALL LOW PRO,COMB,1 AXI ANK+FLX L5976 LE PROST, ENERGY STORING FOOT L5978 LE PROST, FT MULTIAXIL ANKL/FT L5979 ALL LOW EXT PRSTH,MULT-AXL ANK L5980 LE PROST, FLEX FOOT SYSTEM L5981 LE PROSTHESES, FLEX-WALK SYS L5982 EXOSKEL LE PRST AXIL ROTAT UNT L5984 ENDOSKL LE PRST AXIL ROTAT UNT L5985 ENDOSKL LE PROST DYNAM PYLON L5986 LE PROST, MULTI-AXIL ROTAT UNT L5987 LE PROST SHANK FOOT WVERT PYLN L5988 ADD,LOW LIMB PROS,VRT SHCK RED L5989 PYLON W ELCTRNC FORCE SENSOR L5990 USER ADJUSTABLE HEEL HEIGHT L5995 ADD LOW EXTREM PRSTH,HVY DTY L5999 LOWER EXTREMITY PROSTHESIS,NOS L6000 PART HND, ROBIN-AID THUMB REMN L6010 PRT HND, R-A, LTL +/RING FNGR L6020 PRT HND, R-A, NO FINGER REMAIN L6025 TRANSCARPAL HAND DISARTICULAT L6050 WRST DISART SCKT FLX HNG TRICP L6055 WRST DISART W/EX INTRF FLX HNG L6100 BLW ELBW SCKT FLX HNGE, TRICEP L6110 BELOW ELBOW MOLDED SOCKET L6120 BLW ELBW DBL WALL SCKT, STEPUP L6130 BLW ELB MOLD 2 SPLIT SCKT STMP L6200 ELBW DISART MOLD SCKT OUT LOCK L6205 ELBW DISART MOLD SCKT EXPAND L6250 ABV ELB MOLD 2 SCKT INTRN LOCK L6300 SHLDR DISART SCKT BULKHD HMERL L6310 SHLDR DISART, PASS RESTORATION L6320 SHLDR DISRT PASS RSTR CAP ONLY L6350 I-T MOLD SCKT SHLDR BLKHD HMRL L6360 INTERSCAP THORACIC COMP PROSTH L6370 INTRSCAP THRC PASS RESTR CAP L6380 P SURG DRSS WRST DISAR/BLW ELB L6382 P SURG DRSS ELB DISART/ABV ELB L6384 P SURG SHLD DISRT/INTRSCP THOR L6386 P SURG CAST CHANGE AND REALIGN L6388 P SURG APP RIGID DRESSING ONLY L6400 BLW ELB SCKT W/SOFT TISSU SHAP L6450 ELB DISART SCKT W/SOFT TIS SHP L6500 ABV ELB W/SOFT PROST TISS SHAP L6550 SHLDR DISART W/SOFT TISS SHAPG L6570 ENDOSKELINTERSCAP THORAC SCKET L6580 PREP WRIST DISARTICUL MOLDED L6582 PREP WRIST DISARTICUL DIRECT L6584 PREP ELBOW DISARTICUL MOLDED L6586 PREP ELBOW DISARTICUL DIRECT L6588 PREP SHLDR DISARTIC L6590 PREP SHOULDER DISARTIC DIRECT
- 942. L6600 UE ADD, POLYCEN HINGE L6605 UE ADDITION, 1 PIVOT HINGE L6610 UE ADDITIONS, FLEX METAL HINGE L6615 UE ADD DISCONCT LOCK WRST UNIT L6616 UE DISCONCT INSRT LCK WRST UNT L6620 UE, FLEXION-FRICTN WRIST UNIT L6623 UE SPRING ROTATE WRST W/LATCH L6625 UE, ROTAT WRST UNT W/CABLE LCK L6628 UE QUICK DISCON HOOK ADAPTER L6629 UE QUK DISC LAMIN COLLAR W/CPL L6630 UE, STAINLESS STEEL, ANY WRIST L6632 UE, LATEX SUSPENSION SLEEVE L6635 UE, LIFT ASSIST FOR ELBOW L6637 UE, NUDGE CONTROL ELBOW LOCK L6638 UP EXTRM ADD PRSTH, LCK FEAT L6640 UE, SHOULDER ABDUCTION JOINT L6641 UE, EXCURS AMPLIFIER, PULLEY L6642 UE, EXCURSION AMPLIFIER, LEVER L6645 UE SHLDR FLEXN-ABDUCTION JNT L6646 UP EXTRM ADD,SHLDER JNT,FLEX L6647 UP EXTRM ADD,BODY PWD ACTUATOR L6648 UP EXTRM ADD,EXTRL PWD ACTUATR L6650 UE, SHOULDER UNIVERSAL JOINT L6655 UE, STD CONTROL CABLE, EXTRA L6660 UE, HEAVY DUTY CONTROL CABLE L6665 UE, TEFLON, CABLE LINING L6670 UE, HOOK-HAND, CABLE ADAPTER L6672 UE, HARNSS, CHEST/SHLDR SADDLE L6675 UE, HARNESS, FIG 8 SINGLE CTRL L6676 UE, HARNESS, FIG 8 DUAL CTRL L6680 UE TST SCKT WRST DISAR/BLW ELB L6682 UE TST SCKT ELBW DISAR/ABV ELB L6684 UE TST SCKT SHDR DISAR/INTRSCP L6686 UE ADD, SUCTION SOCKET L6687 UE FRME SCKT BLW ELB/WRST DISR L6688 UE FRME SCKT ABV ELB/ELB DISAR L6689 UE FRME SCKT SHLDR DISARTICUL L6690 UE FRME SCKT INTERSCAP-THORAC L6691 UE, REMOVABLE INSERT L6692 UE, SILICONE GEL INSERT L6693 UP EXT ADD,LOCK ELB,COUNTERBAL L6700 TERMNL DEV, HOOK, DORRANCE #3 L6705 TERMNL DEV, HOOK, DORRANCE #5 L6710 TERMNL DEV, HOOK, DORRANCE #5X L6715 TRMNNL DEV, HOOK, DORRANC #5XA L6720 TERMNL DEV, HOOK, DORRANCE #6 L6725 TERMNL DEV, HOOK, DORRANCE #7 L6730 TERMNL DEV, HOOK, DORRANC #7LO L6735 TERMNL DEV, HOOK, DORRANCE #8 L6740 TERMNL DEV, HOOK, DORRANCE #8X L6745 TERMNL DEV, HOOK, DORRANC #88X L6750 TERMNL DEV, HOOK, DORRANC #10P
- 943. L6755 TERMNL DEV, HOOK, DORRANC #10X L6765 TERMNL DEV, HOOK, DORRANC #12P L6770 TERMNL DEV, HOOK, DORRANC #99X L6775 TERMNL DEV, HOOK, DORRANC #555 L6780 TERMNL DEV, HK, DORRANC #SS555 L6790 TERMNL DEV, HOOK-ACCU HOOK L6795 TERMINAL DEVICE, HOOK-2 LOAD L6800 TERMINAL DEVICE, HOOK-APRL VC L6805 TRMNL DEV, MODFR WRST FLEX UNT L6806 TRMNL DEV, HK, TRS GRIP III,VC L6807 TRMNL DEV, HK, GRIP I,II, VC L6808 TRMNL DEV, TRS ADEPT,INFNTCHLD L6809 TRMNL DEV, TRS SUPR SPORT PASS L6810 TRMNL DEV, PINCH TL, OTTO BOCK L6825 TRMNL DEV, HAND, DORRANCE, VO L6830 TERMNL DEVICE, HAND, APRL, VC L6835 TERMNL DEV, HAND, SIERRA, VO L6840 TRMNL DEV, HND, BECKER IMPERIL L6845 TRMNL DEV, HND, BECKR LOCK GRP L6850 TEMNL DEV, HND, BECKER PLYLITE L6855 TRMNL DEV, HND, ROBIN-AIDS, VO L6860 TRMNL DEV, HND, R-AIDS VO SOFT L6865 TRMNL DEV, HAND, PASSIVE HAND L6867 TRMNL DEV, HND, DETROIT INFANT L6868 TRMNL DEV, HAND, PASS INFANT L6870 TRMNL DEV, HAND, CHILD MITT L6872 TRMNL DEV, HAND, NYU CHILD L6873 TRMNL DEV, HD INFNT STEEPER L6875 TRMNL DEV, HAND, BOCK, VC L6880 TRMNL DEV, HAND, BOCK, VO L6881 AUTOGRASP FEATURE UL TERM DV L6882 MICROPROCESSOR CONTROL UPLMB L6890 TRMNL DEV, GLOVE ABV HANDS L6895 TRMNL DEV, GLVE ABV HANDS CUST L6900 HAND RESTR W/GLOVE TMB/1 FINGR L6905 HAND RESTR W/GLVE, MULTI FINGR L6910 HAND RESTR W/GLOVE, NO FINGERS L6915 HAND RESTOR REPLACEMENT GLOVE L6920 TRM DV WRST DIST EX PWR SW CRL L6925 TRM DV WRT DIST EX PWR MYO CRL L6930 TRM DV BLW ELB EX PWR SW CTRL L6935 TRM DV BLW ELB EX PWR MYOC CRL L6940 TRM DV ELB DIST EX PWR SW CTRL L6945 TRM DV ELB DIST EX PWR MYE CRL L6950 TRM DV ABV ELB EX PWR SW CTRL L6955 TRM DV ABV ELB EX PWR MYOE CRL L6960 TRM DV SHLD DIST EX PWR SW CRL L6965 TRM DV SHLD DIS EX PWR MYO CRL L6970 TRM DV INTSC-THR EX PWR SW CRL L6975 TRM DV INTSC-THR EX PWR MY CRL L7010 EL HND, O-B, STEEPER, SWH CTRL L7015 EL HAND TEKNIK/VV SWITCH CTRL
- 944. L7020 ELEC GREIFER, O-B, SWITCH CTRL L7025 EL HND OTTO BOCK, MYOELEC CTRL L7030 EL HND TEKNIK/VV, MYOELEC CTRL L7035 EL HND GREIFR, O-B, MYOEL CTRL L7040 PREHENS ACTR, HOSMER, SWH CTRL L7045 EL HOOK, CHILD, MICH, SW CTRL L7170 ELEC ELB, HOSMER, SWITCH CTRL L7180 ELEC ELB, BOSTON/UTAH MYOELEC L7185 ELEC ELBOW ADOLESC, SWITCH L7186 ELEC ELBOW CHILD, VARI, SWITCH L7190 ELEC ELBOW ADOLSC, VAR MYOELEC L7191 ELEC ELBOW CHILD VARI MYOELEC L7260 ELEC WRIST ROTATOR, OTTO BOCK L7261 ELEC WRIST ROTATOR, UTAH ARM L7266 SERVO CONTROL, STEEPER L7272 ANALOGUE CONTROL, UNB OR EQUAL L7274 PROPORTIONAL CNTRL, 6-12 VOLT L7360 6 V BATTERY, OTTO BOCK L7362 6 V BATTERY CHARGER, OTTO BOCK L7364 12 VOLT BATTERY, UTAH OR EQUAL L7366 BATTERY CHARGER, 12 VOLT, UTAH L7367 LITHIUM ION BATERY,REPLACEMENT L7368 LITHIUM ION BATTERY CHARGER L7499 UPPER EXTREMITY PROSTHESIS,NOS L7500 REP PROSTHETIC DEVICE, HRLY L7510 REPAIR PROSTHETIC DEVICE L7520 REPAIR PROSTH DEVICE, LABOR L7900 VACUUM ERECTION SYSTEM L8000 BREAST PROSTH, MASTECTOMY BRA L8001 BREAST PROSTHESIS BRA & FORM L8002 BRST PRSTH BRA & BILAT FORM L8010 BREAST PROSTH, MASTCTMY SLEEVE L8015 EXT BREAST PRO,POST MASTECTOMY L8020 BREAST PROSTH, MASTECTOMY FORM L8030 BREAST PROSTH, SILICONE L8035 CUST BREAST PROS, POST MASTECT L8039 BREAST PROSTHESIS, NOS L8040 NASAL PROSTHESIS,NON-PHYSICIAN L8041 MIDFACIAL PROSTHESIS,NON-PHYSN L8042 ORBITAL PROSTHESIS,NON-PHYSICN L8043 UPPER FACIAL PROSTHES,NON-PHYS L8044 HEMI-FACIAL PROSTH,NON-PHYSICN L8045 AURICULAR PROSTH,NON-PHYSICIAN L8046 PART FACIAL PROS,NON-PHYSICIAN L8047 NASAL SEPTL PROS,NON-PHYSICIAN L8048 UNSPEC MAXILLOFAC PROS,NON-PHY L8049 REP,MAXILLOFAC PROS,15,NON-PHY L8100 ELASTIC SUP, BELOW KNEE MED WT L8110 ELAST SUP, BELW KNEE, HEAVY WT L8120 ELAST SUP, BELOW KNEE, SURG WT L8130 ELAST SUP, ABOVE KNEE, MED WT L8140 ELAST SUP, ABOVE KNEE, HVY WT
- 945. L8150 ELAST SUP, ABOVE KNEE, SURG WT L8160 ELAST SUP, FULL LENGTH, MED WT L8170 ELAST SUP, FULL LENGTH, HVY WT L8180 ELAST SUP, FUL LN, HVY SURG WT L8190 ELAST SUP, LEOTARDS, MED WT L8195 GRAD STOCK,WAIST,30-40 MMHG,EA L8200 ELAST SUPRT, LEOTARDS, SURG WT L8210 GRAD COMPRES STOCK,CUSTOM MADE L8220 GRAD COMPRES STOCK, LYMPHEDEMA L8230 GRAD COMPRES STOCK,GARTER BELT L8239 GRAD COMPRESSION STOCKING, NOS L8300 TRUSS, 1 WITH STANDARD PAD L8310 TRUSS, DOUBLE W/ STANDARD PADS L8320 TRUSS, ADD TO STD/WATER PAD L8330 TRUSS, ADD TO STD/SCROTAL PAD L8400 PROSTHETIC SHEATH, BELOW KNEE L8410 PROSTHETIC SHEATH, ABOVE KNEE L8415 PROSTHETIC SHEATH, UPPER LIMB L8417 PROSTH SHEATH/SOCK, INCL GEL L8420 PROS SOCK,MULT PLY, BELOW KNEE L8430 PROS SOCK,MULT PLY, ABOVE KNEE L8435 PROS SOCK,MULT PLY,UP LIMB, EA L8440 PROSTH SHRINKER, BELOW KNEE L8460 PROSTH SHRINKER, ABOVE KNEE L8465 PROSTH SHRINKER, UPPER LIMB L8470 PROS SOCK,1 PLY,FIT,BELOW KNEE L8480 PROS SOCK,1 PLY,FIT,ABOVE KNEE L8485 PROS SOCK,1 PLY,FIT,UPPER LIMB L8490 ADD PROST SOCK, AIR SEAL L8499 UNLIST PROCED, MISC PROST SERV L8500 ARTIFICIAL LARYNX, ANY TYPE L8501 TRACHEOSTOMY SPEAKING VALVE L8505 ARTIFICIAL LARYNX, ACCESSORY L8507 TRACH-ESOPH VOICE PROS PT IN L8509 TRACH-ESOPH VOICE PROS MD IN L8510 VOICE AMPLIFIER L8600 IMPLANT BREAST PROST, SILICONE L8603 INJCT BLK AGNT,COLLGN IMPL L8606 INJ BULK AG,SYNT,URIN,1 ML SYR L8610 OCULAR IMPLANT L8612 AQUEOUS SHUNT L8613 OSSICULA IMPLANT L8614 COCHLEAR DEVICE/SYSTEM L8619 CHCHLAR IMPLT, EXT SPCH RPLCMT L8630 METACARPOPHALANGEAL JNT IMPLNT L8641 METATARSAL JOINT IMPLANT L8642 HALLUX IMPLANT L8658 INTERPHALANGEAL JOINT IMPLANT L8670 VASCULAR GRAFT, SYNTH IMPLANT L8699 PROSTHETIC IMPLANT, NOS L9900 ORTHOT &PROS SUP,AC&/SER,OTH L M0064 VISIT FOR DRUG MONITORINGBRIEF
- 946. M0075 CELLULAR THERAPY M0076 PROLOTHERAPY M0100 INTRAGASTRIC HYPOTHERMIA INTRA M0300 IV CHELATIONTHERAPY M0301 FABRIC WRAPPING OF ANEURYSM P2028 CEPHALIN FLOCULATION TEST P2029 CONGO RED BLOOD TEST P2031 HAIR ANALYSIS HAIR P2033 BLOOD THYMOL TURBIDITY P2038 BLOOD MUCOPROTEIN P3000 SCREEN PAP BY TECH W MD SUPV P3001 SCREENING PAP SMEAR BY PHYS P7001 CULTURE BACTERIAL URINE P9010 WHOLE BLOOD,FOR TRNSFSN, UNIT P9011 BLOOD SPLIT UNIT P9012 CRYOPRECIPITATE EACH UNIT P9016 RED BLOOD CELLS,LEUKOCYTES RED P9017 FRSH FROZ PLSMA(1 DONOR),EA UN P9019 PLATELETS, EACH UNIT P9020 PLAELET RICH PLASMA UNIT P9021 RED BLOOD CELLS UNIT P9022 RED BLOOD CELLS,WASHED,EA UNIT P9023 PLASM,POOL MUL DON,FROZ,EA UNT P9031 PLATELETS,LEUKOCYTES RED,EA UN P9032 PLATELETS, IRRADIATED, EACH UN P9033 PLATE,LEUKOCYTES RED,IRR,EA UN P9034 PLATELETS, PHERESIS, EACH UNIT P9035 PLAT,PHERES,LEUKOCYT RED,EA UN P9036 PLATELETS, PHERESIS, IRR,EA UN P9037 PLAT,PHERES,LEUK RED,IRR,EA UN P9038 RBC, IRRADIATED, EACH UNIT P9039 RBC, DEGLYCEROLIZED, EACH UNIT P9040 RBC,LEUKOCYTES RED,IRR,EA UNIT P9041 ALBUMIN (HUMAN),5%, 50ML P9043 PLASMA PROTEIN FRACT,5%,50ML P9044 PLASMA,CRYOPRECIP RED,EA UNIT P9045 ALBUMIN (HUMAN), 5%, 250 ML P9046 ALBUMIN (HUMAN), 25%, 20 ML P9047 ALBUMIN (HUMAN), 25%, 50ML P9048 PLASMAPROTEIN FRACT,5%,250ML P9050 GRANULOCYTES, PHERESIS UNIT P9603 ONE-WAY ALLOW PRORATED MILES P9604 ONE-WAY ALLOW PRORATED TRIP P9612 CATH,COLL SPECIMEN,1,ALL PLACE P9615 CATH CLCT SPECMN MULTI-PATNTS Q0035 CARDIOKYMOGRAPHY Q0081 INFUS THER W/ OTHER THAN CHEMO Q0083 CHEMO ADMIN,OTHER THAN INFUSN Q0084 CHEMO ADMIN BY INFUSION Q0085 CHEMO ADMIN, BOTH INFUS/OTHER Q0086 PHYS THERAPY EVAL/TREATMENT Q0091 OBTAINING SCREEN PAP SMEAR
- 947. Q0092 SET UP PORT X-RAY EQUIPMENT Q0111 WET MOUNTS/ W PREPARATIONS Q0112 POTASSIUM HYDROXIDE PREPS Q0113 PINWORM EXAMINATIONS Q0114 FERN TEST Q0115 POST-COITAL MUCOUS EXAM Q0136 NON ESRD EPOETIN ALPHA INJ Q0144 AZITHRROMYCIN DIHYDRATE,ORAL Q0163 DIPHENHYDRAMINE HYDROCHLORIDE Q0164 PROCHLORPERAZINE MALEATE, 5 MG Q0165 PROCHLORPERAZINE MALEATE,10 MG Q0166 GRANISETRON HYDROCHLORIDE,1 MG Q0167 DRONABINOL, 2.5 MG, ORAL Q0168 DRONABINOL, 5 MG, ORAL Q0169 PROMETHAZINE HYDROCHL, 12.5 MG Q0170 PROMETHAZINE HYDROCHLOR, 25 MG Q0171 CHLORPROMAZINE HYDROCHL, 10 MG Q0172 CHLORPROMAZINE HYDROCHL, 25 MG Q0173 TRIMETHOBENZAMIDE HYDROCHLOR Q0174 THIETHYLPERAZINE MALEATE,10 MG Q0175 PERPHENZAINE, 4 MG, ORAL Q0176 PERPHENZAINE, 8 MG, ORAL Q0177 HYDROXYZINE PAMOATE,25 MG,ORAL Q0178 HYDROXYZINE PAMOATE,50 MG,ORAL Q0179 ONDANSETRON HYDROCHLORIDE 8 MG Q0180 DOLASETRON MESYLATE, 100 MG Q0181 UNSPECIFIED ORAL DOSAGE FORM Q0183 DERMAL TISSUE,HUM,W/O META ELE Q0184 DERMAL TISSUE,HUM, W META ELEM Q0187 FACTOR VIIA (COAG,RECMB)/1.2MG Q1001 NEW TECH LENS CAT 1,FED RG NTC Q1002 NEW TECH LENS CAT 2,FED RG NTC Q1003 NEW TECH INTRAOCULAR LEN CAT 3 Q1004 NEW TECH INTRAOCULAR LEN CAT 4 Q1005 NEW TECH INTRAOCULAR LEN CAT 5 Q2001 ORAL, CABERGOLINE, 0.5 MG Q2002 INJECT, ELLIOTTS B SOLUTION/ML Q2003 INJECT, APROTININ, 10,000 KIU Q2004 IRR SOL,BLADDER CALCULI/500 ML Q2005 INJ,CORTICOR OVINE TRIFLUT/DSE Q2006 INJ,DIGOXIN IMM FAB (OVINE)/VL Q2007 INJ,ETHANOLAMINE OLEATE,100 MG Q2008 INJECTION, FOMEPIZOLE, 15 MG Q2009 INJECTION, FOSPHENYTOIN, 50 MG Q2010 INJCT,GLATIRAMER ACETATE,/DOSE Q2011 INJECTION, HEMIN, PER 1 MG Q2012 INJECT,PEGADEMASE BOVINE,25 IU Q2013 INJ,PENTASTARCH,10% SOL/100 ML Q2014 INJ,SERMORELIN ACETATE, 0.5 MG Q2017 INJECTION, TENIPOSIDE, 50 MG Q2018 INJECT, UROFOLLITROPIN, 75 IU Q2019 INJECTION, BASILIXIMAB, 20 MG
- 948. Q2020 INJ, HISTRELIN ACETATE,10 MCG Q2021 INJECTION, LEPIRUDIN, 50 MG Q2022 VON WILLEBRND FCT CMP,HUMAN/IU Q3000 RUBIDIUM RB-82, PER DOSE Q3001 RADIOELEM,BRACHYTHERAPY,ANY,EA Q3002 SUPPLY, GALLIUM GA 67, PER MCI Q3003 SUP,TECHNET TC 99M BICIS/UN DS Q3004 SUPP, XENON XE 133, PER 10 MCI Q3005 SUP,TECHNET TC 99M MERTIAT/MCI Q3006 SUP,TECHN TC 99M GLUCEPA/5 MCI Q3007 SUPP,SODIUM PHOSPHATE P32/MCI Q3008 SUP,IND 111-IN PENTETREO/3 MCI Q3009 SUP,TECHNET TC 99M OXIDRON/MCI Q3010 SUPP,TECHNETIUM TC 99M-RBC/MCI Q3011 SUP,CHROM PHOSPH P32 SUSPN/MCI Q3012 SUP,CYANOCOB COBLT CO57/0.5MCI Q3014 TELEHEALTH FACILITY FEE Q3019 ALS VEHICLE,EMRGNCY TRANS Q3020 ALS VEHICLE,NON-EMRGNCY TRNS Q3021 INJECT,HPATI B, PED,PER DOSE Q3022 INJECT,HPATI B, ADULT,PER DOSE Q3023 INJECT,HPATI B,IMMUNONSUPPRESS Q3025 INJECT,BETA-1A,INTRAMUSCUL USE Q3026 INJECT,BETA-1A,SUBCUTANEOU USE Q4001 CAST SUP BODY CAST PLASTER Q4002 CAST SUP BODY CAST FIBERGLAS Q4003 CAST SUP SHOULDER CAST PLSTR Q4004 CAST SUP SHOULDER CAST FBRGL Q4005 CAST SUP LONG ARM ADULT PLST Q4006 CAST SUP LONG ARM ADULT FBRG Q4007 CAST SUP LONG ARM PED PLSTER Q4008 CAST SUP LONG ARM PED FBRGLS Q4009 CAST SUP SHT ARM ADULT PLSTR Q4010 CAST SUP SHT ARM ADULT FBRGL Q4011 CAST SUP SHT ARM PED PLASTER Q4012 CAST SUP SHT ARM PED FBRGLAS Q4013 CAST SUP GAUNTLET PLASTER Q4014 CAST SUP GAUNTLET FIBERGLASS Q4015 CAST SUP GAUNTLET PED PLSTER Q4016 CAST SUP GAUNTLET PED FBRGLS Q4017 CAST SUP LNG ARM SPLINT PLST Q4018 CAST SUP LNG ARM SPLINT FBRG Q4019 CAST SUP LNG ARM SPLNT PED P Q4020 CAST SUP LNG ARM SPLNT PED F Q4021 CAST SUP SHT ARM SPLINT PLST Q4022 CAST SUP SHT ARM SPLINT FBRG Q4023 CAST SUP SHT ARM SPLNT PED P Q4024 CAST SUP SHT ARM SPLNT PED F Q4025 CAST SUP HIP SPICA PLASTER Q4026 CAST SUP HIP SPICA FIBERGLAS Q4027 CAST SUP HIP SPICA PED PLSTR Q4028 CAST SUP HIP SPICA PED FBRGL
- 949. Q4029 CAST SUP LONG LEG PLASTER Q4030 CAST SUP LONG LEG FIBERGLASS Q4031 CAST SUP LNG LEG PED PLASTER Q4032 CAST SUP LNG LEG PED FBRGLS Q4033 CAST SUP LNG LEG CYLINDER PL Q4034 CAST SUP LNG LEG CYLINDER FB Q4035 CAST SUP LNGLEG CYLNDR PED P Q4036 CAST SUP LNGLEG CYLNDR PED F Q4037 CAST SUP SHRT LEG PLASTER Q4038 CAST SUP SHRT LEG FIBERGLASS Q4039 CAST SUP SHRT LEG PED PLSTER Q4040 CAST SUP SHRT LEG PED FBRGLS Q4041 CAST SUP LNG LEG SPLNT PLSTR Q4042 CAST SUP LNG LEG SPLNT FBRGL Q4043 CAST SUP LNG LEG SPLNT PED P Q4044 CAST SUP LNG LEG SPLNT PED F Q4045 CAST SUP SHT LEG SPLNT PLSTR Q4046 CAST SUP SHT LEG SPLNT FBRGL Q4047 CAST SUP SHT LEG SPLNT PED P Q4048 CAST SUP SHT LEG SPLNT PED F Q4049 FINGER SPLINT, STATIC Q4050 CAST SUPPLIES UNLISTED Q4051 SPLINT SUPPLIES MISC Q9920 EPOETIN WITH HCT <= 20 Q9921 EPOETIN WITH HCT = 21 Q9922 EPOETIN WITH HCT = 22 Q9923 EPOETIN WITH HCT = 23 Q9924 EPOETIN WITH HCT = 24 Q9925 EPOETIN WITH HCT = 25 Q9926 EPOETIN WITH HCT = 26 Q9927 EPOETIN WITH HCT = 27 Q9928 EPOETIN WITH HCT = 28 Q9929 EPOETIN WITH HCT = 29 Q9930 EPOETIN WITH HCT = 30 Q9931 EPOETIN WITH HCT = 31 Q9932 EPOETIN WITH HCT = 32 Q9933 EPOETIN WITH HCT = 33 Q9934 EPOETIN WITH HCT = 34 Q9935 EPOETIN WITH HCT = 35 Q9936 EPOETIN WITH HCT = 36 Q9937 EPOETIN WITH HCT = 37 Q9938 EPOETIN WITH HCT = 38 Q9939 EPOETIN WITH HCT = 39 Q9940 EPOETIN WITH HCT >= 40 R0070 TRANSPORT PORTABLE X- RAY R0075 TRANSPORT PORT X-RAY MULTIPL R0076 TRANSPORT PORTABLE EKG S0009 INJCT,BUTORPHANOL TARTRATE,1MG S0012 BUTORPHANOL TARTRATE,NASL,25MG S0014 TACRINE HYDROCHLORIDE, 10 MG S0016 INJECT,AMIKACIN SULFATE,500 MG S0017 INJECT,AMINOCAPROIC ACID,5 GMS
- 950. S0020 INJ,BUPIVICAINE HYDROCHLR,30ML S0021 INJT,CEFTOPERAZONE SODIUM,1 GM S0023 INJ,CIMETIDINE HYDROCHL, 300MG S0028 INJECTION, FAMOTIDINE, 20 MG S0030 INJECTION,METRONIDAZOLE,500 MG S0032 INJ, NAFCILLIN SODIUM, 2 GRAMS S0034 INJECTION, OFLOXACIN, 400 MG S0039 INJ,SULFAMETHOX & TRIMETH,10ML S0040 INJ,TICAR DIS & CLAV POT,3.1GM S0071 INJECT,ACYCLOVIR SODIUM, 50 MG S0072 INJECT,AMIKACIN SULFATE,100 MG S0073 INJECTION, AZTREONAM, 500 MG S0074 INJ,CEFOTETAN DISODIUM, 500 MG S0077 INJ,CLINDAMYCIN PHOSPHT,300 MG S0078 INJ,FOSPHENYTOIN SODIUM,750 MG S0079 OCTREOTIDE 100 MCG S0080 INJ,PENTAMIDINE ISETHION,300MG S0081 INJ,PIPERACILLIN SODIUM,500 MG S0088 ALEMTUZUMAB INJECTION, 30 MG S0090 SILDENAFIL CITRATE, 25 MG S0091 GRAINSETRON HYDROCHLORIDE, 1MG S0092 INJECT,HYROMORPHONE, 250MG S0093 INJECT,MORPHINE SULFATE, 500MG S0104 ZIDOVUDINE, ORAL, 100MG S0106 BUPROPION HCL SUSTAIND RELEASE S0108 MERCAPTOPURINE,ORAL,50 MG S0114 INJECT,TREPROSTINIL SODIUM S0122 INJECT,MENOTROPINS,75 IU S0124 INJECT,UROFOLLITROPIN,PURIFIED S0126 INJECT,FOLLITROPIN ALFA, 75 IU S0128 INJECT,FOLLITROPIN BETA, 75 IU S0130 INJECT,CHORIONIC GONADOTROPIN S0132 INJECT,GANIREL ACETATE,250 MCG S0135 INJECTION, PEGFILGRASTIM, 6MG S0155 EPOPROSTENOL DILUTANT S0156 EXEMESTANE, 25 MG S0157 BECAPLERMIN GEL 0.01%, 0.5 GM S0170 ANASTROZOLE 1 MG S0171 BUMETANIDE 0.5 MG S0172 CHLORAMBUCIL 2 MG S0173 DEXAMETHASONE 4 MG S0174 DOLASETRON 50 MG S0175 FLUTAMIDE 125 MG S0176 HYDROXYUREA 500 MG S0177 LEVAMISOLE 50 MG S0178 LOMUSTINE 10 MG S0179 MEGESTROL 20 MG S0181 ONDANSETRON 4 MG S0182 PROCARBAZINE 5 MG S0183 PROCHLORPERAZINE 5 MG S0187 TAMOXIFEN 10 MG S0189 TESTOSTERONE PELLET 75 MG
- 951. S0190 MIFEPRISTONE, ORAL, 200 MG S0191 MISOPROSTOL, ORAL, 200 MCG S0195 PNEUMOCOCAL CNJGT VACNE,AGE5-9 S0199 MED ABORTION INC ALL EX DRUG S0201 PARTIAL HOSPITALIZATION SERV S0207 PARAMEDIC INTERCPT,NON-HOSPTAL S0208 PARAMED INTRCEPT NONVOL S0209 WC VAN MILEAGE PER MI S0215 NON-EMERG TRANSPORT; MILEAGE S0220 MED CONF,PHYS,INTERDISC;APP 30 S0221 MED CONF,PHYS,INTERDISC;APP 60 S0250 COMP GERIATR ASSMT TEAM S0255 HOSPICE REFER VISIT NONMD S0260 H&P FOR SURGERY S0302 COMPLETED EPSDT S0310 HOSPITALIST VISIT S0315 DISEASE MANAGEMENT PROGRAM S0316 FOLLOW-UP/REASSESSMENT S0320 RN TELEPHONE CALLS TO DMP S0340 LIFESTYLE MOD 1ST STAGE S0341 LIFESTYLE MOD 2 OR 3 STAGE S0342 LIFESTYLE MOD 4TH STAGE S0390 ROUTINE FT CARE;RMVAL CORNS S0395 IMPRESSION CASTING FT S0400 GLOBAL ESWL KIDNEY S0500 DISPOS CONT LENS S0504 SINGL PRSCRP LENS S0506 BIFOC PRSCP LENS S0508 TRIFOC PRSCRP LENS S0510 NON-PRSCRP LENS S0512 DAILY CONT LENS S0514 COLOR CONT LENS S0516 SAFETY FRAMES S0518 SUNGLASS FRAMES S0580 POLYCARB LENS S0581 NONSTND LENS S0590 MISC INTEGRAL LENS SERV S0592 COMP CONT LENS EVAL S0601 SCREENING PROCTOSCOPY S0605 DIGITAL RECTAL EXAM, ANNUAL S0610 ANN GYNECOLOGICAL EXAM,NEW PAT S0612 ANN GYNECOLOGICAL EXAM,EST PAT S0620 ROUT OPHTHALMOLOG EXAM,REF;NEW S0621 ROUT OPHTHALMOLOG EXAM,REF;EST S0622 PHYS EXAM FOR COLLEGE S0630 REM SUTURES;PHYS NOT ORIG PHYS S0800 LASER IN SITU KERATOMILE,LASIK S0810 PHOTOREFRACT KERATECTOMY (PRK) S0812 PHOTOTHERAP KERATECT S0820 COMPUT CORNEAL TOPOGRAPHY,UNIL S0830 ULTRASD PACHYM,CORN THICK,UNIL S1001 DELUXE ITEM
- 952. S1002 CUSTOM ITEM S1015 IV TUBING EXTENSION SET S1016 NON-PVC IV AD,DRG NOT STAB,PVC S1025 INHAL NITRIC OXIDE NEONATE S1030 GLUC MONITOR PURCHASE S1031 GLUC MONITOR RENTAL S1040 CRAINAL REMOLDING ORTHOSIS S2053 TRANSPL,SM INTEST & LIV ALLOGF S2054 TRANSPL, MULTIVISCERAL ORGANS S2055 HARV,MULTIVISC ORG,ALLOGFT;CAD S2060 LOBAR LUNG TRANSPLANTATION S2061 DON LOBECT (LUNG),TRANSPLT,LIV S2065 SIMULT PANC KIDN TRANS S2080 LAUP S2102 ISLET CELL TISSUE TRANSPLANT S2103 ADRENAL TISS TRANSPLANT, BRAIN S2107 ADOP IMMUNOTHRPY I.E. DEVEL S2112 KNEE ARTHROSCP HARV S2115 PERIACETABULAR OSTEOTOMY S2120 LDL APHERES,HEPARIN,EXTRACORPL S2130 ENDOLUMINAL RADIOFREQ ABLATION S2140 CORD BLD HARVEST,TRANSPL,ALLOG S2142 CORD BLD-STEM-CEL TRANSP,ALLOG S2150 BMT HARV/TRANSPL 28D PKG S2202 ECHOSCLEROTHERAPY S2205 SURG,MINI-THORAC/STRN;1 ART GF S2206 SURG,MINI-THORAC/STRN;2 ART GF S2207 SURG,MINI-THORAC/STRN;1 VEN GF S2208 SURG,MIN-THORAC/STRN;1 ART&VEN S2209 SRG,MIN-THORA/STRN;2 ART,1 VEN S2211 TRANSCATH PLACE INTRAVAS STENT S2250 UTERINE ARTERY EMBOLIZ S2260 INDUCED ABORTION 17-24 WEEKS S2262 ABORTION MATERNAL INDIC,>=25W S2265 ABORTION,25-28WKS FETAL INDICA S2266 ABORTION,29-31WKS FETAL INDICA S2267 ABORTION,>=32 WKS FETAL INDICA S2300 ARTHROSCOP,SHOULD;THERM CAPSUL S2340 CHEMODENERVAT,ABDUCTOR MUS,VOC S2341 CHEMODENERV ADDUCT VOCAL S2342 NASAL ENDOSCOP PO DEBRID S2350 DISKECT,ANT,DECOM,SP/NER;LUM,1 S2351 DISKECT,DECOM,SP/NER;LUM,EA AD S2360 VERTEBROPLAST CERV 1ST S2361 VERTEBROPLAST CERV ADDL S2370 INTRADISCAL ELECTROTHERML TH;1 S2371 EACH ADDITIONAL INTERSPACE S2400 REPAIR,CONGENI DIAPHRAG HERNIA S2401 FETAL SURG URIN TRAC OBSTR S2402 FETAL SURG CONG CYST MALF S2403 FETAL SURG PULMON SEQUEST S2404 FETAL SURG MYELOMENINGO
- 953. S2405 REPAIR,SACROCOCCYGEAL TERATOMA S2409 FETAL SURG NOC S2411 FETOSCOP LASER THER TTTS S3600 STAT LAB S3601 STAT LAB HOME/NF S3620 NEWBORN METABOLIC SCREENING S3630 EOSINOPHIL BLOOD COUNT S3645 HIV-1 ANTIBODY TEST,ORAL MUCOS S3650 SALIVA TEST,HORM LEV;MENOPAUSE S3652 SALIVA TEST,HORM;PRETERM LABOR S3655 ANTISPERM ANTIBODIES TEST S3701 NMP-22 ASSAY S3708 GASTROINTESTIN FAT ABSORPT STD S3818 BRCA1 GENE ANAL S3819 BRCA2 GENE ANAL S3830 GENE TEST HNPCC COMP S3831 GENE TEST HNPCC SINGLE S3835 GENE TEST CYSTIC FIBROSIS S3837 GENE TEST HEMOCHROMATO S3900 SURFACE EMG S3902 BALLISTOCARDIOGRAM S3904 MASTERS TWO STEP S4005 INTERIM LABOR FAC GLOBAL S4011 IVF PACKAGE S4013 COMPLETE CYC,GAMETE TRANSFER S4014 COMPLETE CYC,ZYGOTE TRANSFER S4015 COMP VITRO FERTILIZATION CYCLE S4016 FROZEN IVF CASE RATE S4017 COMPLETE CYC,CNCLD PRIOR STIM S4018 F EMB TRNS CANC CASE RATE S4020 IVF CANC A ASPIR CASE RATE S4021 IVF CANC P ASPIR CASE RATE S4022 ASST OOCYTE FERT CASE RATE S4023 DONOR EGG CYCLE,INCOMPLETE S4025 DONOR SERV IVF CASE RATE S4026 PROCURE DONOR SPERM S4027 STORE PREV FROZ EMBRYOS S4028 MICROSURG EPI SPERM ASP S4030 SPERM PROCURE INIT VISIT S4031 SPERM PROCURE SUBS VISIT S4035 STMLTD INTRAUTERN INSEMINATION S4036 INTRAVAGINAL CULTURE,CASE RATE S4037 CRYOPRESERVED EMBRYO TRANSFER S4040 MONITOR&STORAGE CRYOPR EMBRYOS S4981 INSERT LEVONORGESTREL IUS S4989 CONTRACEPT IUD S4990 NICOTINE PATCH LEGEND S4991 NICOTINE PATCH NONLEGEND S4993 CNTRCEPTVE PILLS BIRTH CONTROL S4995 SMOKING CESSATION GUM S5000 PRESCRIPTION DRUG, GENERIC S5001 PRESCRIPTION DRUG, BRAND NAME
- 954. S5010 5% DEXTRS,0.45% NOR SAL,1000ML S5011 5% DEXTROSE,LACT RING, 1000 ML S5012 5% DEXTROS,POTAS CHLOR,1000 ML S5013 5% DEXTRS/0.45% NOR SAL,1000ML S5014 D5W/0.45NS W KCL AND MGS04 S5035 HIT ROUTINE DEVICE MAINT S5036 HIT DEVICE REPAIR S5100 ADULT DAY CARE SERVICES 15 MIN S5101 ADULT DAY CARE PER HALF DAY S5102 ADULT DAY CARE PER DIEM S5105 CENTER-BASED DAYCARE PER DIEM S5110 FAMILY HOME CARE TRAIN 15 MIN S5111 FAMILY HOMECARE TRAIN/SESSION S5115 NON-FAMILY HOMECARE 15 MINUTES S5116 NON-FAMILY HC TRAINING/SESSION S5120 CHORE SERVICES; PER 15 MINUTES S5121 CHORE SERVICES; PER DIEM S5125 ATTENDANT CARE SERVICE/15 MIN S5126 ATTENDANT CARE SERVICE/DIEM S5130 HOMEMAKER SERVICES,NOS;/15 MIN S5131 HOMEMAKER SERVICES,NOS;/DIEM S5135 COMPAINION CARE,ADULT;/15 MIN S5136 COMPAINION CARE,ADULT;/DIEM S5140 FOSTER CARE, ADULT; PER DIEM S5141 FOSTER CARE, ADULT;PER MONTH S5145 CHILD FOSTER CARE,THERAP;/DIEM S5146 CHILD FOSTER CARE,THERP;/MONTH S5150 UNSKILLED RESPITE CARE;/15 MIN S5151 UNSKILLED RESPITE CARE;/DIEM S5160 EMER RESPNSE SYS;INSTAL & TEST S5161 EMER RSPNS SYS;SERV FEE,/MONTH S5162 EMERGENCY RESPONSE SYS;PURCHSE S5165 HOME MODIFICATIONS; PER SERVCE S5170 HOME DELIVERED PREPARED MEAL S5175 LAUNDRY SERVICE,EXTRNAL;/ORDER S5180 HH RESPIRATORY THRPY,INIT EVAL S5181 HH RESPIRATORY THRPY,NOS,/DIEM S5185 MED REMINDER SERV;PER MONTH S5190 WELLNESS ASSESSMENT NON-PHYSIC S5199 PERSONAL CARE ITEM, NOS, EACH S5497 HIT CATH CARE NOC S5498 HIT SIMPLE CATH CARE S5501 HIT COMPLEX CATH CARE S5502 HIT INTERIM CATH CARE S5517 HIT DECLOTTING KIT S5518 HIT CATH REPAIR KIT S5520 HIT PICC INSERT KIT S5521 HIT MIDLINE CATH INSERT KIT S5522 HIT PICC INSERT NO SUPP S5523 HIP MIDLINE CATH INSERT KIT S8004 WHOLEBODY RADIOPHARM TRG CELLS S8030 TANTALUM RING APPLICATION
- 955. S8035 MAGNETIC SOURCE IMAGING S8037 MRCP S8040 TOPOGRAPHIC BRAIN MAPPING S8042 MAGNETIC RESONANCE IMAGING S8049 INTRAOP RADIATION THER (1 ADM) S8055 US GUIDANCE FETAL REDUCT S8080 SCINTIMAMMOGRAP,UNILAT,RADIOPH S8085 FLUOR-18 FLUORODEOXYGL IM,2 HD S8092 ELECTRON BEAM COMPUT TOMOGRPHY S8095 WIG S8096 PORTABLE PEAK FLOW METER S8097 ASTHMA KIT S8100 SPACER WITHOUT MASK S8101 SPACER WITH MASK S8110 PEAK EXPIRATORY FLOW RATE S8180 TRACH SHOWER PROTECTOR S8181 TRACH TUBE HOLDER S8182 HUMIDIFIER NON-SERVO S8183 HUMIDIFIER DUAL SERVO S8185 FLUTTER DEVICE S8186 SWIVEL ADAPTOR S8189 TRACH SUPPLY NOC S8190 ELECTRONIC SPIROMETER S8210 MUCUS TRAP S8260 ORAL ORTHOTIC, TX, SLEEP APNEA S8262 MANDBULAR ORTHOPEDC REPOSITION S8265 HABERMAN FEEDER CLEFT LIP S8415 SUPPLIES FOR HOME DELIVERY S8420 CUSTOM GRADIENT SLEEV/GLOV S8421 READY GRADIENT SLEEV/GLOV S8422 CUSTOM GRAD SLEEVE MED S8423 CUSTOM GRAD SLEEVE HEAVY S8424 READY GRADIENT SLEEVE S8425 CUSTOM GRAD GLOVE MED S8426 CUSTOM GRAD GLOVE HEAVY S8427 READY GRADIENT GLOVE S8428 READY GRADIENT GAUNTLET S8429 GRADIENT PRESSURE WRAP S8430 PADDING FOR COMPRSSN BDG S8431 COMPRESSION BANDAGE S8450 SPLINT DIGIT S8451 SPLINT WRIST OR ANKLE S8452 SPLINT ELBOW S8490 100 INSULIN SYRINGES S8945 PHYS MED TREAT 1 AREA,30 MIN S8950 COMPL LYMPHEDEMA THER,EA 15 MN S8999 RESUSCITATION BAG (POWER FAIL) S9001 HOME UTERINE MONITOR WWO NURSE S9007 ULTRAFILTRATION MONITOR S9015 AUTOMATED EEG MONITORING S9022 DIGITAL SUBTRACTION ANGIOGRPHY S9024 PARANASAL SINUS ULTRASOUND
- 956. S9025 OMNICARDIOGRAM/CARDIOINTEGRAM S9034 EXTRACORPOR SHCKWVE GALL STNE S9055 PROCUREN/OTH GROW FAC,WND HEAL S9056 COMA STIMULATION PER DIEM S9061 MEDICAL SUPPLIES AND EQUIP S9075 SMOKING CESSATION TREATMENT S9083 URGENT CARE CENTER GLOBAL S9088 SERVICES PROVIDED IN URGENT S9090 VERTEBRAL AXIAL DECOMPRESS/SES S9092 CANOLITH REPOSITIONING S9098 HOME PHOTOTHERAPY VISIT S9109 CHF TELEMONITORING MONTH S9117 BACK SCHOOL VISIT S9122 HOME HLT AIDE/CNA,HOME; PER HR S9123 NURSING CARE,IN HOME;REG NURSE S9124 NURSE CARE,HME;LIC PRAC NUR/HR S9125 RESPITE CARE, HOME, PER DIEM S9126 HOSPICE CARE, HOME, PER DIEM S9127 SOCIAL WRK VISIT,HOME,PER DIEM S9128 SPEECH THERAPY, HOME, PER DIEM S9129 OCCUPATIONAL THER,HME,PER DIEM S9131 PT IN THE HOME PER DIEM S9140 DIABET MGT PG,FOL-UP,NO-MD PRV S9141 DIABET MGT PG,FOL-UP,MD PROVID S9145 INSULIN PMP INITIATION,INSTRCT S9150 EVALUATION BY OCULARIST S9208 HOME MGMT PRETERM LABOR S9209 HOME MGMT PPROM S9211 HOME MGMT GEST HYPERTENSION S9212 HM POSTPAR HYPER PER DIEM S9213 HM PREECLAMP PER DIEM S9214 HM GEST DM PER DIEM S9325 HIT PAIN MGMT PER DIEM S9326 HIT CONT PAIN PER DIEM S9327 HIT INT PAIN PER DIEM S9328 HIT PAIN IMP PUMP DIEM S9329 HIT CHEMO PER DIEM S9330 HIT CONT CHEM DIEM S9331 HIT INTERMIT CHEMO DIEM S9336 HIT CONT ANTICOAG DIEM S9338 HIT IMMUNOTHERAPY DIEM S9339 HIT PERITON DIALYSIS DIEM S9340 HIT ENTERAL PER DIEM S9341 HIT ENTERAL GRAV DIEM S9342 HIT ENTERAL PUMP DIEM S9343 HIT ENTERAL BOLUS NURS S9345 HIT ANTI-HEMOPHIL DIEM S9346 HIT ALPHA-1-PROTEINAS DIEM S9347 HOME INFUS TX,UNINTER,LONG-TRM S9348 HIT SYMPATHOMIM DIEM S9349 HIT TOCOLYSIS DIEM S9351 HIT CONT ANTIEMETIC DIEM
- 957. S9353 HIT CONT INSULIN DIEM S9355 HIT CHELATION DIEM S9357 HIT ENZYME REPLACE DIEM S9359 HIT ANTI-TNF PER DIEM S9361 HIT DIURETIC INFUS DIEM S9363 HIT ANTI-SPASMOTIC DIEM S9364 HIT TPN TOTAL DIEM S9365 HIT TPN 1 LITER DIEM S9366 HIT TPN 2 LITER DIEM S9367 HIT TPN 3 LITER DIEM S9368 HIT TPN OVER 3L DIEM S9370 HT INJ ANTIEMETIC DIEM S9372 HT INJ ANTICOAG DIEM S9373 HIT HYDRA TOTAL DIEM S9374 HIT HYDRA 1 LITER DIEM S9375 HIT HYDRA 2 LITER DIEM S9376 HIT HYDRA 3 LITER DIEM S9377 HIT HYDRA OVER 3L DIEM S9379 HIT NOC PER DIEM S9381 HIT HIGH RISK/ESCORT S9401 ANTICOAGULATION CLINIC S9430 PHARMACY COMPOUND&DISPENS SERV S9435 MED FOODS,INBORN ERROR,METABOL S9436 CHILDBIRTH PREP/LAMAZE CLASSES S9437 CHILDBIRTH REFRESHER CLASSES S9438 CESAREAN BIRTH CLASSES S9439 VBAC CLASS,NON-PHYSICIAN S9441 ASTHMA EDUCATION S9442 BIRTHING CLASS S9443 LACTATION CLASS S9444 PARENTING CLASS,NON-PHYSICIAN S9445 PT EDUCATION NOC INDIVID S9446 PT EDUCATION NOC GROUP S9447 INFANT SAFETY CLASSES S9449 WEIGHT MANAGEMENT CLASSES S9451 EXERCISE CLASS,NON-PHYSICIAN S9452 NUTRITION CLASS,NON-PHYSICIAN S9453 SMOKING CESSATION CLASSES S9454 STRESS MANAGEMENT CLASSES S9455 DIABETIC MGT PROG, GROUP SESS S9460 DIABETIC MGT PROG, NURSE VISIT S9465 DIABET MGT PROG, DIETITIAN VIS S9470 NUTRITN COUNSEL, DIETITIAN VIS S9472 CARD REHAB PRG,NON-PHYS, /DIEM S9473 PULMON REHAB PRG,NON-PHY,/DIEM S9474 ENTEROSTOM,THER,RN CERT, /DIEM S9475 AMBUL,SUBST ABSE TX/DETOX/DIEM S9480 INTENS OUTPAT PSYCHIATRIC/DIEM S9484 CRISIS INTERBENTION, PER HOUR S9485 CRISIS INTERVEN MENT HLTH/DIEM S9490 HIT CORTICOSTEROID /DIEM S9494 HIT ANTIBIOTIC TOTAL DIEM
- 958. S9497 HIT ANTIBIOTIC Q3H DIEM S9500 HIT ANTIBIOTIC Q24H DIEM S9501 HIT ANTIBIOTIC Q12H DIEM S9502 HIT ANTIBIOTIC Q8H DIEM S9503 HIT ANTIBIOTIC Q6H DIEM S9504 HIT ANTIBIOTIC Q4H DIEM S9524 NURSING SERV,HOME IV THER/DIEM S9529 VENIPUNCTURE HOME/SNF S9537 HT HEM HORM INJ DIEM S9538 HIT BLOOD PRODUCTS DIEM S9542 HT INJ NOC PER DIEM S9546 HOME INFUSION BLD,NURSING SERV S9558 HT INJ GROWTH HORM DIEM S9559 HIT INJ INTERFERON DIEM S9560 HT INJ HORMONE DIEM S9562 HOME THRPY,PALIVIZ,ADMIN,PHRMY S9590 HOME THRPY,IRRIGAT;ADMIN,PHRMY S9802 HOME INFUS/SPECIAL DRUG ADMIN S9803 EACH ADDITIONAL HOUR S9806 RN INFUSION SUITE VISIT S9810 HT PHARM PER HOUR S9900 CHRISTIAN SCI PRACT VISIT S9970 HEALTH CLUB MEMBERSHIP, ANNUAL S9975 TRNSPLNT RELATED LODGING,MEALS S9981 MED RECORD COPY ADMIN S9982 MED RECORD COPY PER PAGE S9986 NOT MEDICALLY NECESSARY SVC S9989 SERVICES OUTSIDE US S9990 SERV PROV, PHASE II CLIN TRIAL S9991 SERV PROV,PHASE III CLIN TRIAL S9992 TRANSP COSTS TO & FM TRIAL LOC S9994 LODG COSTS,CLIN TRIAL PART & 1 S9996 MEALS,CLIN TRIAL PART & 1 COMP S9999 SALES TAX T1000 PRIVATE DUTY/INDEPENDENT NSG T1001 NURSING ASSESSMENT/EVALUATN T1002 RN SERVICES UP TO 15 MINUTES T1003 LPN/LVN SERVICES UP TO 15MIN T1004 NSG AIDE SERVICE UP TO 15MIN T1005 RESPITE CARE SERVICE 15 MIN T1006 FAMILY/COUPLE COUNSELING T1007 TREATMENT PLAN DEVELOPMENT T1008 DAY TREATMENT FOR INDIVIDUAL T1009 CHILD SITTING SERVICES T1010 MEALS WHEN RECEIVE SERVICES T1011 ALCOHOL/SUBSTANCE ABUSE NOC T1012 ALCOHOL/SUBSTANCE ABUSE SKIL T1013 SIGN LANGUAGE/ORAL INTERPRTIVE T1014 TELEHEALTH TRANSMIT, PER MIN T1015 CLINIC SERVICE T1016 CASE MANGEMENT,EACH 15 MINUTES T1017 TARGETED CASE MANAG,15 MINUTES
- 959. T1018 SCHOOL-BASED INDIVIDUAL EDCAT T1019 PRSNAL CARE,/15 MIN,NOT INPAT T1020 PRSNAL CARE,/DIEM,NOT INPAT T1021 HME HEALTH AIDE/NURSE ASSIST T1022 CONTACTED HHA SVCS, ALL SVCS T1023 SCREEN APPROPRIATENESS INDIVL T1024 EVAL&TREAT,SPCLTY COORD CARE T1025 INTNSVE,EXT MULTIDSCPLIN,/DIEM T1026 INTENSIVE,EXT MULTIDSCPLIN,/HR T1027 FMLY TRAIN&COUNSL CHILD DEVEL T1028 ASSES HME,PHYSICAL&FMLY ENVIR T1029 COMPREHEN ENVAL LD INVESTIGAT T1030 NURSING CARE,IN HOME,REG NURSE T1031 NURSING CARE,HOME,PRACT NURSE T1500 DIAPER/INCNTINENT PANT, REUSE T1502 ADMIN ORAL,INTRAMUS&/SUBCUTAN T1999 MIS THRP ITMS&SUPP,RTAIL PURC T2001 NON-EMERG TRNSPRT;PT ATENDANT T2002 NON-EMERG TRANSPORT; PER DIEM T2003 NON-EMERG TRANSPORT; ENCOUNTR T2004 NON-EMRG TRNSPRT;COMRCAL CARRI T2005 NON-EMRG TRNSPRT;NON-AMBULATRY T2006 AMBLNCE RSPNSE&TREAT,NO TRNSPT T2007 TRNSPRT WAIT TIME,AIR AMBUL V2020 VISION SVCS FRAMES PURCHASES V2025 EYEGLASSES DELUX FRAMES V2100 LENS SPHER SINGLE PLANO 400 V2101 SINGLE VISN SPHERE 412- 700 V2102 SINGL VISN SPHERE 712- 2000 V2103 SPHEROCYLINDR 400D/12- 200D V2104 SPHEROCYLINDR 400D/ 212-4D V2105 SPHEROCYLINDER 400D/ 425-6D V2106 SPHEROCYLINDER 400D/ >600D V2107 SPHEROCYLINDER 425D/12- 2D V2108 SPHEROCYLINDER 425D/ 212-4D V2109 SPHEROCYLINDER 425D/ 425-6D V2110 SPHEROCYLINDER 425D/ OVER 6D V2111 SPHEROCYLINDR 725D/25- 225 V2112 SPHEROCYLINDR 725D/ 225-4D V2113 SPHEROCYLINDR 725D/ 425-6D V2114 SPHEROCYLINDER OVER 1200D V2115 LENS LENTICULAR BIFOCAL V2116 NONASPHERIC LENS BIFOCAL V2117 ASPHERIC LENS BIFOCAL V2118 LENS ANISEIKONIC SINGLE V2199 LENS SINGLE VISION NOT OTH C V2200 LENS SPHER BIFOC PLANO 400D V2201 LENS SPHERE BIFOCAL 412-70 V2202 LENS SPHERE BIFOCAL 712-20 V2203 LENS SPHCYL BIFOCAL 400D/1 V2204 LENS SPHCY BIFOCAL 400D/21 V2205 LENS SPHCY BIFOCAL 400D/42
- 960. V2206 LENS SPHCY BIFOCAL 400D/OVE V2207 LENS SPHCY BIFOCAL 425- 7D/ V2208 LENS SPHCY BIFOCAL 425- 7/2 V2209 LENS SPHCY BIFOCAL 425- 7/4 V2210 LENS SPHCY BIFOCAL 425- 7/OV V2211 LENS SPHCY BIFO 725-12/ 25- V2212 LENS SPHCYL BIFO 725- 12/22 V2213 LENS SPHCYL BIFO 725- 12/42 V2214 LENS SPHCYL BIFOCAL OVER 12 V2215 LENS LENTICULAR BIFOCAL V2216 LENS LENTICULAR NONASPHERIC V2217 LENS LENTICULAR ASPHERIC BIF V2218 LENS ANISEIKONIC BIFOCAL V2219 LENS BIFOCAL SEG WIDTH OVER V2220 LENS BIFOCAL ADD OVER 325D V2299 LENS BIFOCAL SPECIALITY V2300 LENS SPHERE TRIFOCAL 400D V2301 LENS SPHERE TRIFOCAL 412-7 V2302 LENS SPHERE TRIFOCAL 712-20 V2303 LENS SPHCY TRIFOCAL 40/ 12- V2304 LENS SPHCY TRIFOCAL 40/ 225 V2305 LENS SPHCY TRIFOCAL 40/ 425 V2306 LENS SPHCYL TRIFOCAL 400/>6 V2307 LENS SPHCY TRIFOCAL 425-7/ V2308 LENS SPHC TRIFOCAL 425- 7/2 V2309 LENS SPHC TRIFOCAL 425- 7/4 V2310 LENS SPHC TRIFOCAL 425- 7/>6 V2311 LENS SPHC TRIFO 725-12/ 25- V2312 LENS SPHC TRIFO 725-12/ 225 V2313 LENS SPHC TRIFO 725-12/ 425 V2314 LENS SPHCYL TRIFOCAL OVER 12 V2315 LENS LENTICULAR TRIFOCAL V2316 LENS LENTICULAR NONASPHERIC V2317 LENS LENTICULAR ASPHERIC TRI V2318 LENS ANISEIKONIC TRIFOCAL V2319 LENS TRIFOCAL SEG WIDTH > 28 V2320 LENS TRIFOCAL ADD OVER 325D V2399 LENS TRIFOCAL SPECIALITY V2410 LENS VARIAB ASPHERICITY SING V2430 LENS VARIABLE ASPHERICITY BI V2499 VARIABLE ASPHERICITY LENS V2500 CONTACT LENS PMMA SPHERICAL V2501 CNTCT LENS PMMA-TORIC/ PRISM V2502 CONTACT LENS PMMA BIFOCAL V2503 CNTCT LENS PMMA COLOR VISION V2510 CNTCT GAS PERMEABLE SPHERICL V2511 CNTCT TORIC PRISM BALLAST V2512 CNTCT LENS GAS PERMBL BIFOCL V2513 CONTACT LENS EXTENDED WEAR V2520 CONTACT LENS HYDROPHILIC V2521 CNTCT LENS HYDROPHILIC TORIC V2522 CNTCT LENS HYDROPHIL BIFOCL
- 961. V2523 CNTCT LENS HYDROPHIL EXTEND V2530 CONTACT LENS GAS IMPERMEABLE V2531 CONTACT LENS GAS PERMEABLE V2599 CONTACT LENS/ES OTHER TYPE V2600 HAND HELD LOW VISION AIDS V2610 SINGLE LENS SPECTACLE MOUNT V2615 TELESCOP/OTHR COMPOUND LENS V2623 PLASTIC EYE PROSTH CUSTOM V2624 POLISHING ARTIFICIAL EYE V2625 ENLARGEMNT OF EYE PROSTHESIS V2626 REDUCTION OF EYE PROSTHESIS V2627 SCLERAL COVER SHELL V2628 FABRICATION & FITTING V2629 PROSTHETIC EYE OTHER TYPE V2630 ANTER CHAMBER INTRAOCUL LENS V2631 IRIS SUPPORT INTRAOCLR LENS V2632 POST CHMBR INTRAOCULAR LENS V2700 BALANCE LENS V2710 GLASS/PLASTIC SLAB OFF PRISM V2715 PRISM LENS/ES V2718 FRESNELL PRISM PRESS-ON LENS V2730 SPECIAL BASE CURVE V2740 ROSE TINT PLASTIC V2741 NON-ROSE TINT PLASTIC V2742 ROSE TINT GLASS V2743 NON-ROSE TINT GLASS V2744 TINT PHOTOCHROMATIC LENS/ES V2750 ANTI-REFLECTIVE COATING V2755 UV LENS/ES V2760 SCRATCH RESISTANT COATING V2770 OCCLUDER LENS/ES V2780 OVERSIZE LENS/ES V2781 PROGRESSIVE LENS PER LENS V2785 CORNEAL TISSUE PROCESSING V2790 AMNIOT MEMB,SURG RECONSTR/PROC V2799 MISCELLANEOUS VISION SERVICE V5008 HEARING SCREENING V5010 ASSESSMENT FOR HEARING AID V5011 HEARING AID FITTING/ CHECKING V5014 HEARING AID REPAIR/ MODIFYING V5020 CONFORMITY EVALUATION V5030 BODY-WORN HEARING AID AIR V5040 BODY-WORN HEARING AID BONE V5050 BODY-WORN HEARING AID IN EAR V5060 BEHIND EAR HEARING AID V5070 GLASSES AIR CONDUCTION V5080 GLASSES BONE CONDUCTION V5090 HEARING AID DISPENSING FEE V5095 SEMI-IMPLNTBL MIDDLE EAR PRSTH V5100 BODY-WORN BILAT HEARING AID V5110 HEARING AID DISPENSING FEE V5120 BODY-WORN BINAUR HEARING AID
- 962. V5130 IN EAR BINAURAL HEARING AID V5140 BEHIND EAR BINAUR HEARING AID V5150 GLASSES BINAURAL HEARING AID V5160 DISPENSING FEE BINAURAL V5170 WITHIN EAR CROS HEARING AID V5180 BEHIND EAR CROS HEARING AID V5190 GLASSES CROS HEARING AID V5200 CROS HEARING AID DISPENS FEE V5210 IN EAR BICROS HEARING AID V5220 BEHIND EAR BICROS HEARING AID V5230 GLASSES BICROS HEARING AID V5240 DISPENSING FEE BICROS V5241 DISPENSING FEE, MONAURAL V5242 HEARING AID, MONAURAL, CIC V5243 HEARING AID, MONAURAL, ITC V5244 HEARING AID, PROG, MON, CIC V5245 HEARING AID, PROG, MON, ITC V5246 HEARING AID, PROG, MON, ITE V5247 HEARING AID, PROG, MON, BTE V5248 HEARING AID, BINAURAL, CIC V5249 HEARING AID, BINAURAL, ITC V5250 HEARING AID, PROG, BIN, CIC V5251 HEARING AID, PROG, BIN, ITC V5252 HEARING AID, PROG, BIN, ITE V5253 HEARING AID, PROG, BIN, BTE V5254 HEARING ID, DIGIT, MON, CIC V5255 HEARING AID, DIGIT, MON, ITC V5256 HEARING AID, DIGIT, MON, ITE V5257 HEARING AID, DIGIT, MON, BTE V5258 HEARING AID, DIGIT, BIN, CIC V5259 HEARING AID, DIGIT, BIN, ITC V5260 HEARING AID, DIGIT, BIN, ITE V5261 HEARING AID, DIGIT, BIN, BTE V5262 HEARING AID, DISP, MONAURAL V5263 HEARING AID, DISP, BINAURAL V5264 EAR MOLD/INSERT V5265 EAR MOLD/INSERT, DISP V5266 BATTERY FOR HEARING DEVICE V5267 HEARING AID SUPPLY/ACCESSORY V5268 ALD TELEPHONE AMPLIFIER V5269 ALERTING DEVICE, ANY TYPE V5270 ALD, TV AMPLIFIER, ANY TYPE V5271 ALD, TV CAPTION DECODER V5272 TDD V5273 ALD FOR COCHLEAR IMPLANT V5274 ALD NOC V5275 EAR IMPRESSION V5298 HEARING AID, NOC V5299 HEARING SERVICE V5336 REPAIR COMMUNICATION DEVICE V5362 SPEECH SCREENING V5363 LANGUAGE SCREENING
- 963. V5364 DYSPALGIA SCREENING