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bellaireurgent

7 Ways To Help Treat Your Child’S Cold And Cough
7 Ways To Help Treat Your Child’S Cold And Cough 150 150 bellaireurgent

7 Ways To Help Treat Your Child’S Cold And Cough
If your child is suffering from a cough or a cold, you might be praying that a cure comes out soon. Sometimes it’s so severe that you might be looking for an urgent care near you, or even heading to the Emergency Room in Bellaire. Though ERs near you can be option, there are several tricks and tips to help out at home with your child’s cough or cold.

Set up a Good Defense
Make sure your children are always washing their hands before they eat, and make sure they’re staying extra clean during the cold season.

Disinfect so It doesn’t Keep Spreading
Try and keep a cleaner house during this time of year by disinfecting surfaces that are touched the most! These include door handles, phones, and the bathroom.

Over-The-Counter Medicine
If your child is losing sleep due to their cough or cold, try some over-the-counter medicine. There are certain liquid cough and cold medicines meant for children ages 6-13 that are focused on the flavor so your child will actually take it!

Gargling With Salt Water
Have your child gargle with some salt water. This can help with sore throats and coughs. You can also try some hard candy or even a throat lozenge right before they had to bed.

Getting Enough Rest
It’s especially important when sick to make sure that your child is getting enough rest. This is when the body recovers the most and is able to fight off the cold. Everyone feels better after a good night’s sleep and this is especially true when someone is ill.

Agave Syrup
For younger children that can’t take over-the-counter medicine, it’s a good idea to try out a little bit of agave syrup. You can also try feeding them cold things. This can ease any sort throat they might have, which will allow for them to feel a little bit better before they go to sleep – so hopefully they stay asleep longer!

Use a Humidifier
When your child is sick, you can try running a cold mist humidifier. You can also try and elevate their heads a little. This can be done with extra pillows, or by propping up their mattresses a little.

Visual Development: Why Poor Visual Perception Skills Could Make Poor Readers
Visual Development: Why Poor Visual Perception Skills Could Make Poor Readers 150 150 bellaireurgent

Visual Development: Why Poor Visual Perception Skills Could Make Poor Readers
It’s a simple fact of learning in children. The majority of what they learn comes from their visual skills. You’ve probably noticed at home that one of the first things your child will do is to mimic your behavior. That’s because vision is a human’s most powerful sense. Also, your child’s visual system is tied to their vestibular system which can impact how well their balance is developed.

For a lot of parents, they believe that simple stumbles are nothing more than a child learning to walk. But in truth, it may be a sign that your child is experiencing visual development issues which could negatively impact their ability to read in later years.

If you’re searching for an “urgent care near me” that can help not only with your child’s bumps and bruises, but with a visual acuity test as well, you may want to consider emergency services in Bellaire.

It’s a Matter of Perception: Understanding Your Child’s Visual Development
It all boils down to a matter of perception. When you visit an emergency room Bellaire, chances are the doctors and staff will perform one or more of the following visual perception tests:

Visual Memory Testis used to assess your child’s ability to recall visual details of an object, picture or form – also known as comprehension and letter recognition
Visual Sequential Memory Test is used to determine how well your child recalls a sequence of information in the right order – such as numbers and letters
Visual Attention Test will test your child’s ability to focus on important information by filtering out unimportant background clutter
Figure Ground Test assesses your child’s ability to find an object when it is hidden in a busy background
Visual Discrimination Test will determine how well your child understands differences in objects based on things such as size, color and shape
Visual Spatial Relations Test is used to help assess children who are having difficulty understanding and navigating objects within their environment
Visual Closure Test assessesyour child’s ability to identify when an object is missing from a picture, puzzle, or group of objects
Form Constancy Test will assess how well your child can distinguish between two objects that are the same even though they are different in size, shape and color
Remember: A child can have 20/20 vision and still struggle with processing. And often, that equates to poor self-esteem in the classroom when they’re being asked to read out loud. So, whether your toddler is stumbling as they’re learning to walk, or your school-age child suddenly exhibits signs of poor self-esteem, it may be due to their visual development.

9 Causes of That Random Chest Pain
9 Causes of That Random Chest Pain 150 150 bellaireurgent

9 Causes of That Random Chest Pain
Chest pain can be a very scary thing. Especially if it’s random in nature. It may even send a lot of people scrambling to locate an emergency room near me because they’re unsure what’s causing the condition.

While chest pain can very often trigger a need for urgent care Bellaire, there are a number of reasons that could be something less threatening than a heart attack.

But, let’s talk about a heart attack first, since it is the most life-threatening condition.

What to do in the Event of a Heart Attack
The American Heart Association reports that the symptoms of a heart attack come on because of a blockage in one or more coronary arteries that is preventing blood flow to the heart – and this manifests as chest pain. If you believe you’re experiencing a heart attack, you should seek immediate medical attention.

The Severity of Acid Reflux
This is one of the most commonly misunderstood symptoms of a heart attack because it can be so severe in nature. Bellaire ER has treated countless patients who’ve been happy to learn that what they were experiencing was not a heart attack – it was simply their stomach acid backing up into their esophagus

Cyclic – or Non-Cyclic – Chest Pain
For many women, it’s difficult to differentiate between chest pain and breast pain. This is especially true when the pain is linked to a woman’s menstrual cycle. If you’re experiencing chest pain, take a quick look at the calendar!

Asthma is More Than a Breathing Disorder
Believe it or not, asthma is not merely a breathing disorder. The condition can affect the respiratory airways to the point that chest pain is experienced in connection with the breathing difficulty. In cases such as this, individuals should seek immediate medical treatment.

Understanding a Panic Attack
Everyone will experience a panic attack differently; however, the Anxiety and Depression Association of America reports that the primary sensation of a panic attack is pain in the chest – similar to a heart attack.

Stabbing Chest Pain from Pneumonia
When you have pneumonia, whether it’s been diagnosed or not, your lungs become filled with a fluid infection that not only causes difficulty in breathing, but it can cause stabbing chest pains, as well. If you believe you are experiencing an episode of pneumonia that has not been diagnosed, you should seek immediate medical care in Bellaire.

Collapsed Lung, Angina, and Pulmonary Embolism
These symptoms also present as sudden chest pain, and require prompt medical treatment at an urgent care facility that has the necessary testing equipment for prompt treatment such as the technology offered to all patients at Bellaire ER.

Clinical Depression and Cancer: What You Need to Know
Clinical Depression and Cancer: What You Need to Know 150 150 bellaireurgent

Clinical Depression and Cancer: What You Need to Know
There is no way to minimize it. Receiving a cancer diagnosis is a psychological blow like no other. For most patients, the diagnosis inevitable leads to clinical depression – something that a lot of people are equally unprepared for – which leaves them scrambling for answers.

If you find yourself searching for urgent care near you because of symptoms that you’re unfamiliar with, ER in Bellaire provides the following information about the most common signs of clinical depression.

Most Common Signs of Clinical Depression
It’s important to point out that many of the following symptoms can overlap with certain side effects of cancer treatment, so monitoring them becomes even more important:

Depressed mood, ongoing sadness
Loss of interest or pleasure in usual activities
Lowered energy or fatigue
Change in weight or appetite
Being agitated
Increased or decreased sleep
Feeling guilty, worthless, hopeless, or helpless
Difficulty with concentration or indecisiveness
Frequent thoughts of death or suicide
If you or a loved one are experiencingone or more of these symptoms, it’s important to discuss what you’re feeling with your oncologist. However, if the symptoms suddenly become elevated to the point that the last item — frequent thoughts of death or suicide – become top-of-mind, it’s critical that you seek immediate help by visiting an emergency room in Bellaire.

Remember: You are Never Alone in Your Battle
Studies have indicated that 7% of all adults will experience some form of depression throughout their lifetime. But that number can increase to 25% when there’s been a cancer diagnosis. Health professionals report that one of the greatest misconceptions about depression is that it’s normal, when in fact, it’s something that should always be discussed with a heath care provider.

The American Cancer Society recommends the following auxiliary treatments to depression:

Seek help through counseling services or support groups
Consider working with a professional counselor
Use meditation or prayer to calm a sad or worried mind
Make sure you’re taking all your medications as prescribed
Are You a Cancer Survivor? Clinical Depression Can Affect Your Emotions Too!
In many cases, patients who’ve fought their cancer battle have been able to keep their depression at bay, only to find that it appears after they’ve completed their treatment. If that’s the case for you, we encourage you to make note of the information contained above and seek medical help for the condition.

5 Ways to Prevent Workplace Accidents
5 Ways to Prevent Workplace Accidents 150 150 bellaireurgent

5 Ways to Prevent Workplace Accidents
If you or someone you love has recently been injured as a result of a workplace accident, you know that they’re never any fun. After the injury has been attended to by an emergency service in Bellaire, most people will start to wonder whether or not they are the alone in their type of injury.

The good news is that they’re not. Studies in recent years have shown that there are almost 3 million workplace accidents and injuries in the United States each year. Knowing that, the next question is usually, “could my injury have been prevented and saved me a trip to an ER near Bellaire?” Keep reading to learn the answer to that question!

Employers Should Always Provide Proper Safety Equipment
Depending on the type of work that you perform in your job, it is your employer’s responsibility to always provide you with the property equipment to perform your required activities in a safe manner. This equipment can vary from something as simple as ear plugs to protect your hearing in a loud environment to safety casters on heavy carts and equipment to make moving them easier and prevent them from falling on top of you.

Employers Should Always Have a Safety and Wellness Plan
Similar to the safety equipment that we already mentioned, employers are required to offer every employee a safety and wellness plan to encourage cautious behavior on the job site. Countless studies have shown that when employees are encouraged to eatbetter, get sufficient exercise, and feel mentally well, they are more aware of potential safety hazards.

Employers Should Always Have an Adequate Amount of Staff
A very common reason for workplace accidents is that an employer does not have an adequate number of trained staff on hand to perform the required job duties. When this happens, employees can become overwhelmed and stressed which can lead to too heavy of a workload for each individual. Studies have shown that when an employee feels rushed in their job duties, accidents are more prone to occur since they’re unable to focus on the hazards of their environment.

Employers Should Never Encourage Shortcuts
In some instances, an employer may be faced with an unexpected deadline or an increased output requirement. It’s important to note, however, that if a situation such as this does occur, the employer should never encourage employees to take shortcuts in their job duties or ask them to use equipment that has not been maintained adequately.

Employers Should Provide an Organized Workplace Setting
It’s a simple fact that a messy work environment is more prone to result in accidents. Whether it’s a spill that’s not wiped up or shelving that’s not secured to a wall, items such as these can create a hazardous workplace such as a slip and fall or an impact injury. The bottom line is that workplace hazards can crop up at any time – with many requiring a visit to an ER 77410 – but when employers are committed to preventing them, they are far less likely to happen.

Default Fee Schedules Part 4
Default Fee Schedules Part 4 150 150 bellaireurgent

Default Fee Schedules Part 4

Code Price Type Description
G9659 0 HCPCS / CPT® G9660 0 HCPCS / CPT® G9661 0 HCPCS / CPT® G9662 0 HCPCS / CPT® PRIOR DX/ACTIVE CLIN ASCVD
G9663 0 HCPCS / CPT® FAST/DIR LDL = 190 MG/DL
G9664 0 HCPCS / CPT® TAKING STATIN OR REC’D ORDER
G9665 0 HCPCS / CPT® NO STATIN/NO ORDER STATIN
G9666 0 HCPCS / CPT® FAS/DIR LDL 70-189MG/DL MST
G9674 0 HCPCS / CPT® PT W/CLIN ASCVD DX
G9675 0 HCPCS / CPT® G9676 0 HCPCS / CPT® 40-75Y W/TYPE 1/2 W/LDL-C RS
G9678 0 HCPCS / CPT® ONCOLOGY CARE MODEL SERVICE
G9679 0 HCPCS / CPT® ACUTE CARE PNEUMONIA
G9680 0 HCPCS / CPT® ACUTE CARE CONGESTIVE HEART
G9681 0 HCPCS / CPT® ACUTE CARE CHRONIC OBSTRUCT
G9682 0 HCPCS / CPT® ACUTE CARE SKIN INFECTION
G9683 0 HCPCS / CPT® ACUTE CARE FLUID OR ELECTROL
G9684 0 HCPCS / CPT® ACUTE CARE URINARY TRACT INF
G9685 0 HCPCS / CPT® ACUTE NURSING FACILITY CARE
G9686 0 HCPCS / CPT® NURSING FACILITY CONFERENCE
G9687 0 HCPCS / CPT® HOSPICE ANYTIME MSMT PER
G9688 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9689 0 HCPCS / CPT® INPT ELECT CAROTID INTERVENT
G9690 0 HCPCS / CPT® PT REC HOSPICE DUR MSMT PER
G9691 0 HCPCS / CPT® PT HOSP DUR MSMT PERIOD
G9692 0 HCPCS / CPT® HOSP RECD BY PT DUR MSMT PER
G9693 0 HCPCS / CPT® PT USE HOSP DURING MSMT PER
G9694 0 HCPCS / CPT® HOSP SRV USED PT IN MSMT PER
G9695 0 HCPCS / CPT® LONG ACT INHAL BRONCHDIL PRE
G9696 0 HCPCS / CPT® MED RSN NO PRESC BRONCHDIL
G9697 0 HCPCS / CPT® PT RSN NO PRESC BRONCHDIL
G9698 0 HCPCS / CPT® SYS RSN NO PRESC BRONCHDIL
G9699 0 HCPCS / CPT® LONG INHAL BRONCHDIL NO PRES
G9700 0 HCPCS / CPT® PT IS W/HOSP DURING MSMT PER
G9701 0 HCPCS / CPT® CHILD ANBX 30 PRIOR DX ESTAB
G9702 0 HCPCS / CPT® PT USE HOSP DURING MSMT PER
G9703 0 HCPCS / CPT® CHILD ANBX 30 PRIOR DX PHARY
G9704 0 HCPCS / CPT® AJCC BR CA STG I: T1 MIC/T1A
G9705 0 HCPCS / CPT® AJCC BR CA STG IB
G9706 0 HCPCS / CPT® LOW RECUR PROST CA
G9707 0 HCPCS / CPT® PT HAD HOSP DUR MSMT PER
G9708 0 HCPCS / CPT® BILAT MAST/HX BI /UNILAT MAS
G9709 0 HCPCS / CPT® HOSP SRV USED PT IN MSMT PER
G9710 0 HCPCS / CPT® PT PROV HOSP SRV MSMT PER
G9711 0 HCPCS / CPT® PT HX TOT COL OR COLON CA
G9712 0 HCPCS / CPT® DOC MED RSN PRESC ANBX
G9713 0 HCPCS / CPT® PT USE HOSP DURING MSMT PER
G9714 0 HCPCS / CPT® PT IS W/HOSP DURING MSMT PER
G9715 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9716 0 HCPCS / CPT® BMI NOT NORM, NO FOLLOW, DOC
G9717 0 HCPCS / CPT® DOC DX DEPR/DX BIPOL, NO SCR
G9718 0 HCPCS / CPT® HOSPICE ANYTIME MSMT PER
G9719 0 HCPCS / CPT® PT NOT AMBUL/IMMOB/WC
G9720 0 HCPCS / CPT® HOSPICE ANYTIME MSMT PER
G9721 0 HCPCS / CPT® PT NOT AMBUL/IMMOB/WC
G9722 0 HCPCS / CPT® G9723 0 HCPCS / CPT® HOSP RECD BY PT DUR MSMT PER
G9724 0 HCPCS / CPT® PT W/DOC USE ANTICOAG MST YR
G9725 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9726 0 HCPCS / CPT® REFUSED TO PARTICIPATE
G9727 0 HCPCS / CPT® NO KNEE INTAKE PROM, NO PROX
G9728 0 HCPCS / CPT® REFUSED TO PARTICIPATE
G9729 0 HCPCS / CPT® NO HIP INTAKE PROM, NO PROXY
G9730 0 HCPCS / CPT® REFUSED TO PARTICIPATE
G9731 0 HCPCS / CPT® NO FOOT PROM, NO PROXY
G9732 0 HCPCS / CPT® REFUSED TO PARTICIPATE
G9733 0 HCPCS / CPT® NO BACK INTAKE PROM, NO PROX
G9734 0 HCPCS / CPT® REFUSED TO PARTICIPATE
G9735 0 HCPCS / CPT® PT NO FOTO KNEE AND NO PROXY
G9736 0 HCPCS / CPT® REFUSED TO PARTICIPATE
G9737 0 HCPCS / CPT® PT NO FOTO ELBOW, NO PROXY
G9738 0 HCPCS / CPT® REFUSED TO PARTICIPATE
G9739 0 HCPCS / CPT® PT NO FOTO ORTH, NO PROXY
G9740 0 HCPCS / CPT® HOSP SRV TO PT DUR MSMT PER
G9741 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9742 0 HCPCS / CPT® PSYCH SYMPT ASSESSED
G9743 0 HCPCS / CPT® PSYCH SYMP NOT ASSESSED, RNS
G9744 0 HCPCS / CPT® PT NOT ELIG, DX HTN
G9745 0 HCPCS / CPT® DOC RSN NO SCR HIGH BP
G9746 0 HCPCS / CPT® MIT STEN, VALVE OR TRANS AF
G9747 0 HCPCS / CPT® PALL DIALYSIS WITH CATHETER
G9748 0 HCPCS / CPT® APP TRANSPL LVG KIDNEY DONOR
G9749 0 HCPCS / CPT® PALL DIALYSIS WITH CATHETER
G9750 0 HCPCS / CPT® APP TRANSPL LVG KIDNEY DONOR
G9751 0 HCPCS / CPT® PT DIED W/IN 24 MOS RPT TIME
G9752 0 HCPCS / CPT® URGENT SURGERY
G9753 0 HCPCS / CPT® DOC NO DICOM, CT OTHER FAC
G9754 0 HCPCS / CPT® INCID PULM NODULE
G9755 0 HCPCS / CPT® DOC MED RSN FOR IMAGING
G9756 0 HCPCS / CPT® SURG PROC W/SILICONE OIL
G9757 0 HCPCS / CPT® SURG PROC W/SILICONE OIL
G9758 0 HCPCS / CPT® HOSPICE OR TERM PHASE
G9759 0 HCPCS / CPT® HX PREOP POST CAP RUP
G9760 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9761 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9762 0 HCPCS / CPT® PT HAD HPV B/T 9-13 YR
G9763 0 HCPCS / CPT® PT NO HPV B/T 9-13 YR
G9764 0 HCPCS / CPT® PT TX ORAL SYST/BIO MED PSOR
G9765 0 HCPCS / CPT® PT DECL CHAN/CONIND OR <6M
G9766 0 HCPCS / CPT® CVA STROKE DX TX TRANSF FAC
G9767 0 HCPCS / CPT® HOSP NEW DX CVA CONSID EVST
G9768 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9769 0 HCPCS / CPT® BN DEN 2YR/GOT OST MED/THER
G9770 0 HCPCS / CPT® PERIP NERVE BLOCK
G9771 0 HCPCS / CPT® G9772 0 HCPCS / CPT® G9773 0 HCPCS / CPT® G9774 0 HCPCS / CPT® PT HAD HYST
G9775 0 HCPCS / CPT® RECD 2 ANTI-EMET PRE/INTRAOP
G9776 0 HCPCS / CPT® DOC MED RSN NO PROPH ANTIEM
G9777 0 HCPCS / CPT® PT NO ANTIEMET PRE/INTRAOP
G9778 0 HCPCS / CPT® PTS DX W/PREGN
G9779 0 HCPCS / CPT® PTS BREASTFEEDING
G9780 0 HCPCS / CPT® PTS DX W/RHABDOMYOLYSIS
G9781 0 HCPCS / CPT® DOC RSN NO STATIN
G9782 0 HCPCS / CPT® HX DX FAM/PURE HYPERCHOLES
G9783 0 HCPCS / CPT® DOC DX DM, FAST <70, NO STAT
G9784 0 HCPCS / CPT® PATH/DERM 2ND OPIN BX
G9785 0 HCPCS / CPT® PATH RPT SNT PATH/DERM IN 7D
G9786 0 HCPCS / CPT® NO PATH RPT SENT IN 7D
G9787 0 HCPCS / CPT® PT ALIVE LST DAY MSMT YR
G9788 0 HCPCS / CPT® MOST RCT BP </= 140/90
G9789 0 HCPCS / CPT® RECORD BP IP, ER, URG/SELF
G9790 0 HCPCS / CPT® G9791 0 HCPCS / CPT® MOST RCT TOB STAT FREE
G9792 0 HCPCS / CPT® MOST RCT TOB STAT NOT FREE
G9793 0 HCPCS / CPT® PT ON DAILY ASA/ANTIPLAT
G9794 0 HCPCS / CPT® DOC MED RSN NO ASA/ANTIPLAT
G9795 0 HCPCS / CPT® PT NO DAILY ASA/ANTIPLAT
G9796 0 HCPCS / CPT® PT NOT CURRENTLY ON STATIN
G9797 0 HCPCS / CPT® PT CURRENTLY ON STATIN
G9798 0 HCPCS / CPT® D/C AMI BTW 7/1-6/30 MST PER
G9799 0 HCPCS / CPT® MED DISP EVT INDIC HX ASTH
G9800 0 HCPCS / CPT® PT ID INTOL/ALLEG BETA-BLOCK
G9801 0 HCPCS / CPT® NONACUT TRANSF FROM INPT
G9802 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9803 0 HCPCS / CPT® POST D/C 180D TX BETA-BL AMI
G9804 0 HCPCS / CPT® NO POST D/C 180D TX BB AMI
G9805 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9806 0 HCPCS / CPT® PT RECD CERV CYTO/HPV
G9807 0 HCPCS / CPT® PT NO RECD CERV CYTO/HPV
G9808 0 HCPCS / CPT® PT NO ASTHM CONT MED MST PER
G9809 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9810 0 HCPCS / CPT® PDC 75% W/ASTH CONT MED
G9811 0 HCPCS / CPT® NO PDC 75% W/ASTH CONT MED
G9812 0 HCPCS / CPT® PT DIED DURING INPT/30D AFT
G9813 0 HCPCS / CPT® PT NOT DIED W/IN 30D OF PROC
G9814 0 HCPCS / CPT® DEATH OCC DUR HOSPITALIZ
G9815 0 HCPCS / CPT® NO DEATH OCC DUR HOSPITALIZ
G9816 0 HCPCS / CPT® DEATH OCC 30D POST PROC
G9817 0 HCPCS / CPT® NO DEATH OCC 30D POST PROC
G9818 0 HCPCS / CPT® DOC SEX ACTIVITY
G9819 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9820 0 HCPCS / CPT® DOC CHLAM SCR TEST W/FOLLOW
G9821 0 HCPCS / CPT® NO DOC CHLAM SCR TS W/FOLLOW
G9822 0 HCPCS / CPT® ENDO ABL PROC YR PREV IND DT
G9823 0 HCPCS / CPT® ENDO SMPL/HYST BX RES DOC
G9824 0 HCPCS / CPT® ENDO SMPL/HYST BX RES NO DOC
G9825 0 HCPCS / CPT® HER-2 NEG,UNDOC/UNKN
G9826 0 HCPCS / CPT® TRANSF PRACT AFT INIT CHEMO
G9827 0 HCPCS / CPT® HER-2 TARG THER NO INIT TX
G9828 0 HCPCS / CPT® HER-2 TARG THER DUR INIT TX
G9829 0 HCPCS / CPT® BREAST ADJ CHEMO ADMIN
G9830 0 HCPCS / CPT® HER-2 POS
G9831 0 HCPCS / CPT® AJCC STG BRT CA DX II OR III
G9832 0 HCPCS / CPT® BRT CA DX I, NO T1/T1A/T1B
G9833 0 HCPCS / CPT® TRANSF PRACT AFT INIT CHEMO
G9834 0 HCPCS / CPT® PT MET DIS AT DX
G9835 0 HCPCS / CPT® TRASTUZ GIVEN W/IN 12 MOS DX
G9836 0 HCPCS / CPT® RSN NO TRAST GIVEN DOC
G9837 0 HCPCS / CPT® TRASTUZ NOT IN 12 MOS DX
G9838 0 HCPCS / CPT® PT MET DIS AT DX
G9839 0 HCPCS / CPT® ANTI-EGFR MON ANTI THER
G9840 0 HCPCS / CPT® KRAS TST BFR BEG ANTI MOAB
G9841 0 HCPCS / CPT® NO KRAS TST BFR BEG ANT MOAB
G9842 0 HCPCS / CPT® PT MET DIS AT DX
G9843 0 HCPCS / CPT® KRAS GENE MUT
G9844 0 HCPCS / CPT® PT NO RECD ANTI-EGFR THER
G9845 0 HCPCS / CPT® PT RECD ANTI-EGFR THER
G9846 0 HCPCS / CPT® PT DIED FROM CANCER
G9847 0 HCPCS / CPT® PT RECD CHEMO LAST 14D LIFE
G9848 0 HCPCS / CPT® PT NO CHEMO LAST 14D LIFE
G9849 0 HCPCS / CPT® PT DIED FROM CANCER
G9850 0 HCPCS / CPT® 1/MORE ED LAST 30D LIFE
G9851 0 HCPCS / CPT® 1/NO ED VISIT LAST 30D LIFE
G9852 0 HCPCS / CPT® PT DIED FROM CANCER
G9853 0 HCPCS / CPT® ICU STAY LAST 30D LIFE
G9854 0 HCPCS / CPT® NO ICU STAY LAST 30D LIFE
G9855 0 HCPCS / CPT® PT DIED FROM CANCER
G9856 0 HCPCS / CPT® PT NO HOSPICE
G9857 0 HCPCS / CPT® PT ADMIT HOSPICE
G9858 0 HCPCS / CPT® PT ENROLL HOSPICE
G9859 0 HCPCS / CPT® PT DIED FROM CANCER
G9860 0 HCPCS / CPT® PT LESS 3D HOSPICE
G9861 0 HCPCS / CPT® PT MORE THAN 3D HOSPICE
G9862 0 HCPCS / CPT® DOC RSN NO 10 YR FOLLOW
H0001 0 HCPCS / CPT® ALCOHOL AND/OR DRUG ASSESS
H0002 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SCREENIN
H0003 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SCREENIN
H0004 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0005 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0006 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0007 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0008 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0009 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0010 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0011 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0012 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0013 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0014 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0015 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0016 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0017 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0018 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0019 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0020 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0021 0 HCPCS / CPT® ALCOHOL AND/OR DRUG TRAINING
H0022 0 HCPCS / CPT® ALCOHOL AND/OR DRUG INTERVEN
H0023 0 HCPCS / CPT® ALCOHOL AND/OR DRUG OUTREACH
H0024 0 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0025 0 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0026 0 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0027 0 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0028 0 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0029 0 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0030 0 HCPCS / CPT® ALCOHOL AND/OR DRUG HOTLINE
H0031 0 HCPCS / CPT® MH HEALTH ASSESS BY NON-MD
H0032 0 HCPCS / CPT® MH SVC PLAN DEV BY NON-MD
H0033 0 HCPCS / CPT® ORAL MED ADM DIRECT OBSERVE
H0034 0 HCPCS / CPT® MED TRNG & SUPPORT PER 15MIN
H0035 0 HCPCS / CPT® MH PARTIAL HOSP TX UNDER 24H
H0036 0 HCPCS / CPT® COMM PSY FACE-FACE PER 15MIN
H0037 0 HCPCS / CPT® COMM PSY SUP TX PGM PER DIEM
H0038 0 HCPCS / CPT® SELF-HELP/PEER SVC PER 15MIN
H0039 0 HCPCS / CPT® ASSER COM TX FACE-FACE/15MIN
H0040 0 HCPCS / CPT® ASSERT COMM TX PGM PER DIEM
H0041 0 HCPCS / CPT® FOS C CHLD NON-THER PER DIEM
H0042 0 HCPCS / CPT® FOS C CHLD NON-THER PER MON
H0043 0 HCPCS / CPT® SUPPORTED HOUSING, PER DIEM
H0044 0 HCPCS / CPT® SUPPORTED HOUSING, PER MONTH
H0045 0 HCPCS / CPT® RESPITE NOT-IN-HOME PER DIEM
H0046 0 HCPCS / CPT® MENTAL HEALTH SERVICE, NOS
H0047 0 HCPCS / CPT® ALCOHOL/DRUG ABUSE SVC NOS
H0048 0 HCPCS / CPT® SPEC COLL NON-BLOOD:A/D TEST
H0049 0 HCPCS / CPT® ALCOHOL/DRUG SCREENING
H0050 0 HCPCS / CPT® ALCOHOL/DRUG SERVICE 15 MIN
H1000 0 HCPCS / CPT® PRENATAL CARE ATRISK ASSESSM
H1001 0 HCPCS / CPT® ANTEPARTUM MANAGEMENT
H1002 0 HCPCS / CPT® CARECOORDINATION PRENATAL
H1003 0 HCPCS / CPT® PRENATAL AT RISK EDUCATION
H1004 0 HCPCS / CPT® FOLLOW UP HOME VISIT/PRENTAL
H1005 0 HCPCS / CPT® PRENATALCARE ENHANCED SRV PK
H1010 0 HCPCS / CPT® NONMED FAMILY PLANNING ED
H1011 0 HCPCS / CPT® FAMILY ASSESSMENT
H2000 0 HCPCS / CPT® COMP MULTIDISIPLN EVALUATION
H2001 0 HCPCS / CPT® REHABILITATION PROGRAM 1/2 D
H2010 0 HCPCS / CPT® COMPREHENSIVE MED SVC 15 MIN
H2011 0 HCPCS / CPT® CRISIS INTERVEN SVC, 15 MIN
H2012 0 HCPCS / CPT® BEHAV HLTH DAY TREAT, PER HR
H2013 0 HCPCS / CPT® PSYCH HLTH FAC SVC, PER DIEM
H2014 0 HCPCS / CPT® SKILLS TRAIN AND DEV, 15 MIN
H2015 0 HCPCS / CPT® COMP COMM SUPP SVC, 15 MIN
H2016 0 HCPCS / CPT® COMP COMM SUPP SVC, PER DIEM
H2017 0 HCPCS / CPT® PSYSOC REHAB SVC, PER 15 MIN
H2018 0 HCPCS / CPT® PSYSOC REHAB SVC, PER DIEM
H2019 0 HCPCS / CPT® THER BEHAV SVC, PER 15 MIN
H2020 0 HCPCS / CPT® THER BEHAV SVC, PER DIEM
H2021 0 HCPCS / CPT® COM WRAP-AROUND SV, 15 MIN
H2022 0 HCPCS / CPT® COM WRAP-AROUND SV, PER DIEM
H2023 0 HCPCS / CPT® SUPPORTED EMPLOY, PER 15 MIN
H2024 0 HCPCS / CPT® SUPPORTED EMPLOY, PER DIEM
H2025 0 HCPCS / CPT® SUPP MAINT EMPLOY, 15 MIN
H2026 0 HCPCS / CPT® SUPP MAINT EMPLOY, PER DIEM
H2027 0 HCPCS / CPT® PSYCHOED SVC, PER 15 MIN
H2028 0 HCPCS / CPT® SEX OFFEND TX SVC, 15 MIN
H2029 0 HCPCS / CPT® SEX OFFEND TX SVC, PER DIEM
H2030 0 HCPCS / CPT® MH CLUBHOUSE SVC, PER 15 MIN
H2031 0 HCPCS / CPT® MH CLUBHOUSE SVC, PER DIEM
H2032 0 HCPCS / CPT® ACTIVITY THERAPY, PER 15 MIN
H2033 0 HCPCS / CPT® MULTISYS THER/JUVENILE 15MIN
H2034 0 HCPCS / CPT® A/D HALFWAY HOUSE, PER DIEM
H2035 0 HCPCS / CPT® A/D TX PROGRAM, PER HOUR
H2036 0 HCPCS / CPT® A/D TX PROGRAM, PER DIEM
H2037 0 HCPCS / CPT® DEV DELAY PREV DP CH, 15 MIN
J0120 65 HCPCS / CPT® TETRACYCLIN INJECTION
J0129 65 HCPCS / CPT® ABATACEPT INJECTION
J0130 65 HCPCS / CPT® ABCIXIMAB INJECTION
J0131 65 HCPCS / CPT® ACETAMINOPHEN INJECTION
J0132 65 HCPCS / CPT® ACETYLCYSTEINE INJECTION
J0133 65 HCPCS / CPT® ACYCLOVIR INJECTION
J0135 65 HCPCS / CPT® ADALIMUMAB INJECTION
J0153 10 HCPCS / CPT® ADENOSINE INJ 1MG
J0171 10 HCPCS / CPT® ADRENALIN EPINEPHRINE INJECT
J0178 65 HCPCS / CPT® AFLIBERCEPT INJECTION
J0180 65 HCPCS / CPT® AGALSIDASE BETA INJECTION
J0190 65 HCPCS / CPT® INJ BIPERIDEN LACTATE/5 MG
J0200 65 HCPCS / CPT® ALATROFLOXACIN MESYLATE
J0202 65 HCPCS / CPT® INJECTION, ALEMTUZUMAB
J0205 65 HCPCS / CPT® ALGLUCERASE INJECTION
J0207 65 HCPCS / CPT® AMIFOSTINE
J0210 65 HCPCS / CPT® METHYLDOPATE HCL INJECTION
J0215 65 HCPCS / CPT® ALEFACEPT
J0220 65 HCPCS / CPT® ALGLUCOSIDASE ALFA INJECTION
J0221 65 HCPCS / CPT® LUMIZYME INJECTION
J0256 65 HCPCS / CPT® ALPHA 1 PROTEINASE INHIBITOR
J0257 65 HCPCS / CPT® GLASSIA INJECTION
J0270 65 HCPCS / CPT® ALPROSTADIL FOR INJECTION
J0275 65 HCPCS / CPT® ALPROSTADIL URETHRAL SUPPOS
J0278 65 HCPCS / CPT® AMIKACIN SULFATE INJECTION
J0280 65 HCPCS / CPT® AMINOPHYLLIN 250 MG INJ
J0282 12 HCPCS / CPT® AMIODARONE HCL
J0285 65 HCPCS / CPT® AMPHOTERICIN B
J0287 65 HCPCS / CPT® AMPHOTERICIN B LIPID COMPLEX
J0288 65 HCPCS / CPT® AMPHO B CHOLESTERYL SULFATE
J0289 65 HCPCS / CPT® AMPHOTERICIN B LIPOSOME INJ
J0290 22 HCPCS / CPT® AMPICILLIN 500 MG INJ
J0295 49 HCPCS / CPT® AMPICILLIN SODIUM PER 1.5 GM
J0300 65 HCPCS / CPT® AMOBARBITAL 125 MG INJ
J0330 157 HCPCS / CPT® SUCCINYCHOLINE CHLORIDE INJ
J0348 65 HCPCS / CPT® ANIDULAFUNGIN INJECTION
J0350 65 HCPCS / CPT® INJECTION ANISTREPLASE 30 U
J0360 65 HCPCS / CPT® HYDRALAZINE HCL INJECTION
J0364 65 HCPCS / CPT® APOMORPHINE HYDROCHLORIDE
J0365 65 HCPCS / CPT® APROTONIN, 10,000 KIU
J0380 65 HCPCS / CPT® INJ METARAMINOL BITARTRATE
J0390 65 HCPCS / CPT® CHLOROQUINE INJECTION
J0395 65 HCPCS / CPT® ARBUTAMINE HCL INJECTION
J0400 65 HCPCS / CPT® ARIPIPRAZOLE INJECTION
J0401 65 HCPCS / CPT® INJ ARIPIPRAZOLE EXT REL 1MG
J0456 74 HCPCS / CPT® AZITHROMYCIN
J0461 65 HCPCS / CPT® ATROPINE SULFATE INJECTION
J0470 65 HCPCS / CPT® DIMECAPROL INJECTION
J0475 65 HCPCS / CPT® BACLOFEN 10 MG INJECTION
J0476 65 HCPCS / CPT® BACLOFEN INTRATHECAL TRIAL
J0480 65 HCPCS / CPT® BASILIXIMAB
J0485 65 HCPCS / CPT® BELATACEPT INJECTION
J0490 65 HCPCS / CPT® BELIMUMAB INJECTION
J0500 22 HCPCS / CPT® DICYCLOMINE INJECTION
J0515 65 HCPCS / CPT® INJ BENZTROPINE MESYLATE
J0520 65 HCPCS / CPT® BETHANECHOL CHLORIDE INJECT
J0558 68 HCPCS / CPT® PENG BENZATHINE/PROCAINE INJ
J0561 56 HCPCS / CPT® PENICILLIN G BENZATHINE INJ
J0570 65 HCPCS / CPT® BUPRENORPHINE IMPLANT 74.2MG
J0571 65 HCPCS / CPT® BUPRENORPHINE ORAL 1MG
J0572 65 HCPCS / CPT® BUPREN/NAL UP TO 3MG BUPRENO
J0573 65 HCPCS / CPT® BUPREN/NAL 3.1 TO 6MG BUPREN
J0574 65 HCPCS / CPT® BUPREN/NAL 6.1 TO 10MG BUPRE
J0575 65 HCPCS / CPT® BUPREN/NAL OVER 10MG BUPRENO
J0583 65 HCPCS / CPT® BIVALIRUDIN
J0585 65 HCPCS / CPT® INJECTION,ONABOTULINUMTOXINA
J0586 65 HCPCS / CPT® ABOBOTULINUMTOXINA
J0587 65 HCPCS / CPT® INJ, RIMABOTULINUMTOXINB
J0588 65 HCPCS / CPT® INCOBOTULINUMTOXIN A
J0592 65 HCPCS / CPT® BUPRENORPHINE HYDROCHLORIDE
J0594 65 HCPCS / CPT® BUSULFAN INJECTION
J0595 65 HCPCS / CPT® BUTORPHANOL TARTRATE 1 MG
J0596 65 HCPCS / CPT® INJECTION, RUCONEST
J0597 65 HCPCS / CPT® C-1 ESTERASE, BERINERT
J0598 65 HCPCS / CPT® C-1 ESTERASE, CINRYZE
J0600 65 HCPCS / CPT® EDETATE CALCIUM DISODIUM INJ
J0610 65 HCPCS / CPT® CALCIUM GLUCONATE INJECTION
J0620 65 HCPCS / CPT® CALCIUM GLYCER & LACT/10 ML
J0630 65 HCPCS / CPT® CALCITONIN SALMON INJECTION
J0636 65 HCPCS / CPT® INJ CALCITRIOL PER 0.1 MCG
J0637 65 HCPCS / CPT® CASPOFUNGIN ACETATE
J0638 65 HCPCS / CPT® CANAKINUMAB INJECTION
J0640 65 HCPCS / CPT® LEUCOVORIN CALCIUM INJECTION
J0641 6 HCPCS / CPT® LEVOLEUCOVORIN INJECTION
J0670 65 HCPCS / CPT® INJ MEPIVACAINE HCL/10 ML
J0690 22 HCPCS / CPT® CEFAZOLIN SODIUM INJECTION
J0692 42 HCPCS / CPT® CEFEPIME HCL FOR INJECTION
J0694 65 HCPCS / CPT® CEFOXITIN SODIUM INJECTION
J0695 65 HCPCS / CPT® INJ CEFTOLOZANE TAZOBACTAM
J0696 63 HCPCS / CPT® Rocephin/Ceftriaxone Sodium 250 mg
J0697 65 HCPCS / CPT® STERILE CEFUROXIME INJECTION
J0698 65 HCPCS / CPT® CEFOTAXIME SODIUM INJECTION
J0702 65 HCPCS / CPT® BETAMETHASONE ACET&SOD PHOSP
J0706 65 HCPCS / CPT® CAFFEINE CITRATE INJECTION
J0710 65 HCPCS / CPT® CEPHAPIRIN SODIUM INJECTION
J0712 65 HCPCS / CPT® CEFTAROLINE FOSAMIL INJ
J0713 65 HCPCS / CPT® INJ CEFTAZIDIME PER 500 MG
J0714 65 HCPCS / CPT® CEFTAZIDIME AND AVIBACTAM
J0715 65 HCPCS / CPT® CEFTIZOXIME SODIUM / 500 MG
J0716 65 HCPCS / CPT® CENTRUROIDES IMMUNE F(AB)
J0717 65 HCPCS / CPT® CERTOLIZUMAB PEGOL INJ 1MG
J0720 65 HCPCS / CPT® CHLORAMPHENICOL SODIUM INJEC
J0725 65 HCPCS / CPT® CHORIONIC GONADOTROPIN/1000U
J0735 17 HCPCS / CPT® CLONIDINE HYDROCHLORIDE
J0740 65 HCPCS / CPT® CIDOFOVIR INJECTION
J0743 65 HCPCS / CPT® CILASTATIN SODIUM INJECTION
J0744 66 HCPCS / CPT® CIPROFLOXACIN IV
J0745 65 HCPCS / CPT® INJ CODEINE PHOSPHATE /30 MG
J0770 65 HCPCS / CPT® COLISTIMETHATE SODIUM INJ
J0775 65 HCPCS / CPT® COLLAGENASE, CLOST HIST INJ
J0780 11 HCPCS / CPT® PROCHLORPERAZINE INJECTION
J0795 65 HCPCS / CPT® CORTICORELIN OVINE TRIFLUTAL
J0800 65 HCPCS / CPT® CORTICOTROPIN INJECTION
J0833 65 HCPCS / CPT® COSYNTROPIN INJECTION NOS
J0834 65 HCPCS / CPT® COSYNTROPIN CORTROSYN INJ
J0840 65 HCPCS / CPT® CROTALIDAE POLY IMMUNE FAB
J0850 65 HCPCS / CPT® CYTOMEGALOVIRUS IMM IV /VIAL
J0875 65 HCPCS / CPT® INJECTION, DALBAVANCIN
J0878 65 HCPCS / CPT® DAPTOMYCIN INJECTION
J0881 65 HCPCS / CPT® DARBEPOETIN ALFA, NON-ESRD
J0882 65 HCPCS / CPT® DARBEPOETIN ALFA, ESRD USE
J0883 0 HCPCS / CPT® ARGATROBAN NONESRD USE 1MG
J0884 65 HCPCS / CPT® ARGATROBAN ESRD DIALYSIS 1MG
J0885 65 HCPCS / CPT® EPOETIN ALFA, NON-ESRD
J0887 65 HCPCS / CPT® EPOETIN BETA ESRD USE
J0888 65 HCPCS / CPT® EPOETIN BETA NON ESRD
J0890 65 HCPCS / CPT® PEGINESATIDE INJECTION
J0894 65 HCPCS / CPT® DECITABINE INJECTION
J0895 65 HCPCS / CPT® DEFEROXAMINE MESYLATE INJ
J0897 65 HCPCS / CPT® DENOSUMAB INJECTION
J0945 65 HCPCS / CPT® BROMPHENIRAMINE MALEATE INJ
J1000 65 HCPCS / CPT® DEPO-ESTRADIOL CYPIONATE INJ
J1020 6 HCPCS / CPT® METHYLPREDNISOLONE 20 MG INJ
J1030 15 HCPCS / CPT® METHYLPREDNISOLONE 40 MG INJ
J1040 9 HCPCS / CPT® METHYLPREDNISOLONE 80 MG INJ
J1050 65 HCPCS / CPT® MEDROXYPROGESTERONE ACETATE
J1071 65 HCPCS / CPT® INJ TESTOSTERONE CYPIONATE
J1094 22 HCPCS / CPT® INJ DEXAMETHASONE ACETATE
J1100 34 HCPCS / CPT® DECADRON 1MG
J1110 65 HCPCS / CPT® INJ DIHYDROERGOTAMINE MESYLT
J1120 65 HCPCS / CPT® ACETAZOLAMID SODIUM INJECTIO
J1130 65 HCPCS / CPT® INJ DICLOFENAC SODIUM 0.5MG
J1160 65 HCPCS / CPT® DIGOXIN INJECTION
J1162 65 HCPCS / CPT® DIGOXIN IMMUNE FAB (OVINE)
J1165 37 HCPCS / CPT® PHENYTOIN SODIUM INJECTION
J1170 31 HCPCS / CPT® HYDROMORPHONE INJECTION
J1180 65 HCPCS / CPT® DYPHYLLINE INJECTION
J1190 65 HCPCS / CPT® DEXRAZOXANE HCL INJECTION
J1200 22 HCPCS / CPT® BENADRYL-DIPHENHYDRAMINE HCL INJECTIO
J1205 65 HCPCS / CPT® CHLOROTHIAZIDE SODIUM INJ
J1212 65 HCPCS / CPT® DIMETHYL SULFOXIDE 50% 50 ML
J1230 65 HCPCS / CPT® METHADONE INJECTION
J1240 30 HCPCS / CPT® DIMENHYDRINATE INJECTION
J1245 65 HCPCS / CPT® DIPYRIDAMOLE INJECTION
J1250 0 HCPCS / CPT® INJ DOBUTAMINE HCL/250 MG
J1260 65 HCPCS / CPT® DOLASETRON MESYLATE
J1265 65 HCPCS / CPT® DOPAMINE INJECTION
J1267 65 HCPCS / CPT® DORIPENEM INJECTION
J1270 65 HCPCS / CPT® INJECTION, DOXERCALCIFEROL
J1290 65 HCPCS / CPT® ECALLANTIDE INJECTION
J1300 65 HCPCS / CPT® ECULIZUMAB INJECTION
J1320 65 HCPCS / CPT® AMITRIPTYLINE INJECTION
J1322 65 HCPCS / CPT® ELOSULFASE ALFA, INJECTION
J1324 65 HCPCS / CPT® ENFUVIRTIDE INJECTION
J1325 65 HCPCS / CPT® EPOPROSTENOL INJECTION
J1327 65 HCPCS / CPT® EPTIFIBATIDE INJECTION
J1330 65 HCPCS / CPT® ERGONOVINE MALEATE INJECTION
J1335 65 HCPCS / CPT® ERTAPENEM INJECTION
J1364 65 HCPCS / CPT® ERYTHRO LACTOBIONATE /500 MG
J1380 65 HCPCS / CPT® ESTRADIOL VALERATE 10 MG INJ
J1410 65 HCPCS / CPT® INJ ESTROGEN CONJUGATE 25 MG
J1430 65 HCPCS / CPT® ETHANOLAMINE OLEATE 100 MG
J1435 65 HCPCS / CPT® INJECTION ESTRONE PER 1 MG
J1436 65 HCPCS / CPT® ETIDRONATE DISODIUM INJ
J1438 65 HCPCS / CPT® ETANERCEPT INJECTION
J1439 65 HCPCS / CPT® INJ FERRIC CARBOXYMALTOS 1MG
J1442 65 HCPCS / CPT® INJ FILGRASTIM EXCL BIOSIMIL
J1443 65 HCPCS / CPT® INJ FERRIC PYROPHOSPHATE CIT
J1447 65 HCPCS / CPT® INJ TBO FILGRASTIM 1 MICROG
J1450 65 HCPCS / CPT® FLUCONAZOLE
J1451 65 HCPCS / CPT® FOMEPIZOLE, 15 MG
J1452 65 HCPCS / CPT® INTRAOCULAR FOMIVIRSEN NA
J1453 65 HCPCS / CPT® FOSAPREPITANT INJECTION
J1455 65 HCPCS / CPT® FOSCARNET SODIUM INJECTION
J1457 65 HCPCS / CPT® GALLIUM NITRATE INJECTION
J1458 0 HCPCS / CPT® GALSULFASE INJECTION
J1459 65 HCPCS / CPT® INJ IVIG PRIVIGEN 500 MG
J1460 65 HCPCS / CPT® GAMMA GLOBULIN 1 CC INJ
J1556 65 HCPCS / CPT® INJ, IMM GLOB BIVIGAM, 500MG
J1557 65 HCPCS / CPT® GAMMAPLEX INJECTION
J1559 65 HCPCS / CPT® HIZENTRA INJECTION
J1560 65 HCPCS / CPT® J1561 65 HCPCS / CPT® GAMUNEX-C/GAMMAKED
J1562 65 HCPCS / CPT® VIVAGLOBIN, INJ
J1566 65 HCPCS / CPT® IMMUNE GLOBULIN, POWDER
J1568 65 HCPCS / CPT® OCTAGAM INJECTION
J1569 65 HCPCS / CPT® GAMMAGARD LIQUID INJECTION
J1570 65 HCPCS / CPT® GANCICLOVIR SODIUM INJECTION
J1571 65 HCPCS / CPT® HEPAGAM B IM INJECTION
J1572 65 HCPCS / CPT® FLEBOGAMMA INJECTION
J1573 65 HCPCS / CPT® HEPAGAM B INTRAVENOUS, INJ
J1575 65 HCPCS / CPT® HYQVIA 100MG IMMUNEGLOBULIN
J1580 65 HCPCS / CPT® GARAMYCIN GENTAMICIN INJ
J1595 65 HCPCS / CPT® INJECTION GLATIRAMER ACETATE
J1599 65 HCPCS / CPT® IVIG NON-LYOPHILIZED, NOS
J1600 65 HCPCS / CPT® GOLD SODIUM THIOMALEATE INJ
J1602 65 HCPCS / CPT® GOLIMUMAB FOR IV USE 1MG
J1610 16 HCPCS / CPT® GLUCAGON HYDROCHLORIDE/1 MG
J1620 65 HCPCS / CPT® GONADORELIN HYDROCH/ 100 MCG
J1626 65 HCPCS / CPT® GRANISETRON HCL INJECTION
J1630 65 HCPCS / CPT® HALOPERIDOL INJECTION
J1631 65 HCPCS / CPT® HALOPERIDOL DECANOATE INJ
J1640 65 HCPCS / CPT® HEMIN, 1 MG
J1642 12 HCPCS / CPT® INJ HEPARIN SODIUM PER 10 U
J1644 79 HCPCS / CPT® INJ HEPARIN SODIUM PER 1000U
J1645 65 HCPCS / CPT® DALTEPARIN SODIUM
J1650 65 HCPCS / CPT® INJ ENOXAPARIN SODIUM
J1652 65 HCPCS / CPT® FONDAPARINUX SODIUM
J1655 65 HCPCS / CPT® TINZAPARIN SODIUM INJECTION
J1670 65 HCPCS / CPT® TETANUS IMMUNE GLOBULIN INJ
J1675 65 HCPCS / CPT® HISTRELIN ACETATE
J1700 65 HCPCS / CPT® HYDROCORTISONE ACETATE INJ
J1710 65 HCPCS / CPT® HYDROCORTISONE SODIUM PH INJ
J1720 0 HCPCS / CPT® HYDROCORTISONE SODIUM SUCC I
J1725 0 HCPCS / CPT® HYDROXYPROGESTERONE CAPROATE
J1730 0 HCPCS / CPT® DIAZOXIDE INJECTION
J1740 0 HCPCS / CPT® IBANDRONATE SODIUM INJECTION
J1741 0 HCPCS / CPT® IBUPROFEN INJECTION
J1742 0 HCPCS / CPT® IBUTILIDE FUMARATE INJECTION
J1743 0 HCPCS / CPT® IDURSULFASE INJECTION
J1744 0 HCPCS / CPT® ICATIBANT INJECTION
J1745 0 HCPCS / CPT® INFLIXIMAB NOT BIOSIMIL 10MG
J1750 0 HCPCS / CPT® INJ IRON DEXTRAN
J1756 0 HCPCS / CPT® IRON SUCROSE INJECTION
J1786 0 HCPCS / CPT® IMUGLUCERASE INJECTION
J1790 0 HCPCS / CPT® DROPERIDOL INJECTION
J1800 0 HCPCS / CPT® PROPRANOLOL INJECTION
J1810 7 HCPCS / CPT® DROPERIDOL/FENTANYL INJ
J1815 32 HCPCS / CPT® INSULIN INJECTION
J1817 0 HCPCS / CPT® INSULIN FOR INSULIN PUMP USE
J1826 0 HCPCS / CPT® INTERFERON BETA-1A INJ
J1830 0 HCPCS / CPT® INTERFERON BETA-1B / .25 MG
J1833 0 HCPCS / CPT® INJECTION, ISAVUCONAZONIUM
J1835 0 HCPCS / CPT® ITRACONAZOLE INJECTION
J1840 0 HCPCS / CPT® KANAMYCIN SULFATE 500 MG INJ
J1850 0 HCPCS / CPT® KANAMYCIN SULFATE 75 MG INJ
J1885 22 HCPCS / CPT® KETOROLAC TROMETHAMINE INJ
J1890 0 HCPCS / CPT® CEPHALOTHIN SODIUM INJECTION
J1930 0 HCPCS / CPT® LANREOTIDE INJECTION
J1931 0 HCPCS / CPT® LARONIDASE INJECTION
J1940 2000 HCPCS / CPT® FUROSEMIDE INJECTION
J1942 0 HCPCS / CPT® ARIPIPRAZOLE LAUROXIL 1MG
J1945 0 HCPCS / CPT® LEPIRUDIN
J1950 0 HCPCS / CPT® LEUPROLIDE ACETATE /3.75 MG
J1953 0 HCPCS / CPT® LEVETIRACETAM INJECTION
J1955 0 HCPCS / CPT® INJ LEVOCARNITINE PER 1 GM
J1956 86 HCPCS / CPT® LEVOFLOXACIN INJECTION
J1960 0 HCPCS / CPT® LEVORPHANOL TARTRATE INJ
J1980 0 HCPCS / CPT® HYOSCYAMINE SULFATE INJ
J1990 0 HCPCS / CPT® CHLORDIAZEPOXIDE INJECTION
J2001 32 HCPCS / CPT® LIDOCAINE INJECTION
J2010 0 HCPCS / CPT® LINCOMYCIN INJECTION
J2020 0 HCPCS / CPT® LINEZOLID INJECTION
J2060 54 HCPCS / CPT® LORAZEPAM INJECTION
J2150 0 HCPCS / CPT® MANNITOL INJECTION
J2170 0 HCPCS / CPT® MECASERMIN INJECTION
J2175 27 HCPCS / CPT® DEMOROL/ MEPERIDINE HYDROCHL /100 MG
J2180 0 HCPCS / CPT® MEPERIDINE/PROMETHAZINE INJ
J2182 0 HCPCS / CPT® INJECTION, MEPOLIZUMAB, 1MG
J2185 0 HCPCS / CPT® MEROPENEM
J2210 0 HCPCS / CPT® METHYLERGONOVIN MALEATE INJ
J2212 0 HCPCS / CPT® METHYLNALTREXONE INJECTION
J2248 0 HCPCS / CPT® MICAFUNGIN SODIUM INJECTION
J2250 12 HCPCS / CPT® INJ MIDAZOLAM HYDROCHLORIDE
J2260 0 HCPCS / CPT® INJ MILRINONE LACTATE / 5 MG
J2265 0 HCPCS / CPT® MINOCYCLINE HYDROCHLORIDE
J2270 15.1 HCPCS / CPT® INJECTION, MORPHINE SULFATE, UP TO 10 MG
J2274 65 HCPCS / CPT® IN MORPHINE PRESERVATIV FREE
J2278 65 HCPCS / CPT® ZICONOTIDE INJECTION
J2280 0 HCPCS / CPT® INJ, MOXIFLOXACIN 100 MG
J2300 0 HCPCS / CPT® INJ NALBUPHINE HYDROCHLORIDE
J2310 0 HCPCS / CPT® INJ NALOXONE HYDROCHLORIDE
J2315 0 HCPCS / CPT® NALTREXONE, DEPOT FORM
J2320 0 HCPCS / CPT® NANDROLONE DECANOATE 50 MG
J2323 0 HCPCS / CPT® NATALIZUMAB INJECTION
J2325 0 HCPCS / CPT® NESIRITIDE INJECTION
J2353 0 HCPCS / CPT® OCTREOTIDE INJECTION, DEPOT
J2354 0 HCPCS / CPT® OCTREOTIDE INJ, NON-DEPOT
J2355 0 HCPCS / CPT® OPRELVEKIN INJECTION
J2357 0 HCPCS / CPT® OMALIZUMAB INJECTION
J2358 0 HCPCS / CPT® OLANZAPINE LONG-ACTING INJ
J2360 0 HCPCS / CPT® ORPHENADRINE INJECTION
J2370 0 HCPCS / CPT® PHENYLEPHRINE HCL INJECTION
J2400 0 HCPCS / CPT® CHLOROPROCAINE HCL INJECTION
J2405 20 HCPCS / CPT® ONDANSETRON HCL INJECTION
J2407 0 HCPCS / CPT® INJECTION, ORITAVANCIN
J2410 0 HCPCS / CPT® OXYMORPHONE HCL INJECTION
J2425 0 HCPCS / CPT® PALIFERMIN INJECTION
J2426 0 HCPCS / CPT® PALIPERIDONE PALMITATE INJ
J2430 0 HCPCS / CPT® PAMIDRONATE DISODIUM /30 MG
J2440 0 HCPCS / CPT® PAPAVERIN HCL INJECTION
J2460 0 HCPCS / CPT® OXYTETRACYCLINE INJECTION
J2469 0 HCPCS / CPT® PALONOSETRON HCL
J2501 0 HCPCS / CPT® PARICALCITOL
J2502 0 HCPCS / CPT® INJ, PASIREOTIDE LONG ACTING
J2503 0 HCPCS / CPT® PEGAPTANIB SODIUM INJECTION
J2504 0 HCPCS / CPT® PEGADEMASE BOVINE, 25 IU
J2505 0 HCPCS / CPT® INJECTION, PEGFILGRASTIM 6MG
J2507 0 HCPCS / CPT® PEGLOTICASE INJECTION
J2510 0 HCPCS / CPT® PENICILLIN G PROCAINE INJ
J2513 0 HCPCS / CPT® PENTASTARCH 10% SOLUTION
J2515 0 HCPCS / CPT® PENTOBARBITAL SODIUM INJ
J2540 0 HCPCS / CPT® PENICILLIN G POTASSIUM INJ
J2543 0 HCPCS / CPT® PIPERACILLIN/TAZOBACTAM
J2545 0 HCPCS / CPT® PENTAMIDINE NON-COMP UNIT
J2547 0 HCPCS / CPT® INJECTION, PERAMIVIR
J2550 20.8 HCPCS / CPT® INJECTION, PROMETHAZINE HCL, UP TO 50 MG
J2560 0 HCPCS / CPT® PHENOBARBITAL SODIUM INJ
J2562 0 HCPCS / CPT® PLERIXAFOR INJECTION
J2590 0 HCPCS / CPT® OXYTOCIN INJECTION
J2597 0 HCPCS / CPT® INJ DESMOPRESSIN ACETATE
J2650 0 HCPCS / CPT® PREDNISOLONE ACETATE INJ
J2670 0 HCPCS / CPT® TOTAZOLINE HCL INJECTION
J2675 0 HCPCS / CPT® INJ PROGESTERONE PER 50 MG
J2680 0 HCPCS / CPT® FLUPHENAZINE DECANOATE 25 MG
J2690 0 HCPCS / CPT® PROCAINAMIDE HCL INJECTION
J2700 0 HCPCS / CPT® OXACILLIN SODIUM INJECITON
J2704 65 HCPCS / CPT® INJ, PROPOFOL, 10 MG
J2710 65 HCPCS / CPT® NEOSTIGMINE METHYLSLFTE INJ
J2720 0 HCPCS / CPT® INJ PROTAMINE SULFATE/10 MG
J2724 0 HCPCS / CPT® PROTEIN C CONCENTRATE
J2725 0 HCPCS / CPT® INJ PROTIRELIN PER 250 MCG
J2730 0 HCPCS / CPT® PRALIDOXIME CHLORIDE INJ
J2760 0 HCPCS / CPT® PHENTOLAINE MESYLATE INJ
J2765 65 HCPCS / CPT® METOCLOPRAMIDE HCL INJECTION
J2770 0 HCPCS / CPT® QUINUPRISTIN/DALFOPRISTIN
J2778 0 HCPCS / CPT® RANIBIZUMAB INJECTION
J2780 65 HCPCS / CPT® RANITIDINE HYDROCHLORIDE INJ
J2783 0 HCPCS / CPT® RASBURICASE
J2785 0 HCPCS / CPT® REGADENOSON INJECTION
J2786 0 HCPCS / CPT® INJECTION, RESLIZUMAB, 1MG
J2788 0 HCPCS / CPT® RHO D IMMUNE GLOBULIN 50 MCG
J2790 65 HCPCS / CPT® RHO D IMMUNE GLOBULIN INJ
J2791 0 HCPCS / CPT® RHOPHYLAC INJECTION
J2792 0 HCPCS / CPT® RHO(D) IMMUNE GLOBULIN H, SD
J2793 0 HCPCS / CPT® RILONACEPT INJECTION
J2794 0 HCPCS / CPT® RISPERIDONE, LONG ACTING
J2795 0 HCPCS / CPT® ROPIVACAINE HCL INJECTION
J2796 0 HCPCS / CPT® ROMIPLOSTIM INJECTION
J2800 0 HCPCS / CPT® METHOCARBAMOL INJECTION
J2805 0 HCPCS / CPT® SINCALIDE INJECTION
J2810 0 HCPCS / CPT® INJ THEOPHYLLINE PER 40 MG
J2820 0 HCPCS / CPT® SARGRAMOSTIM INJECTION
J2840 0 HCPCS / CPT® INJ SEBELIPASE ALFA 1 MG
J2850 0 HCPCS / CPT® INJ SECRETIN SYNTHETIC HUMAN
J2860 0 HCPCS / CPT® INJECTION, SILTUXIMAB
J2910 0 HCPCS / CPT® AUROTHIOGLUCOSE INJECITON
J2916 0 HCPCS / CPT® NA FERRIC GLUCONATE COMPLEX
J2920 19 HCPCS / CPT® METHYLPREDNISOLONE INJECTION
J2930 17 HCPCS / CPT® METHYLPREDNISOLONE INJECTION
J2940 0 HCPCS / CPT® SOMATREM INJECTION
J2941 0 HCPCS / CPT® SOMATROPIN INJECTION
J2950 0 HCPCS / CPT® PROMAZINE HCL INJECTION
J2993 0 HCPCS / CPT® RETEPLASE INJECTION
J2995 0 HCPCS / CPT® INJ STREPTOKINASE /250000 IU
J2997 0 HCPCS / CPT® ALTEPLASE RECOMBINANT
J3000 0 HCPCS / CPT® STREPTOMYCIN INJECTION
J3010 6 HCPCS / CPT® FENTANYL CITRATE INJECITON
J3030 11 HCPCS / CPT® SUMATRIPTAN SUCCINATE / 6 MG
J3060 0 HCPCS / CPT® INJ, TALIGLUCERACE ALFA 10 U
J3070 0 HCPCS / CPT® PENTAZOCINE INJECTION
J3090 0 HCPCS / CPT® INJ TEDIZOLID PHOSPHATE
J3095 0 HCPCS / CPT® TELAVANCIN INJECTION
J3101 0 HCPCS / CPT® TENECTEPLASE INJECTION
J3105 0 HCPCS / CPT® TERBUTALINE SULFATE INJ
J3110 0 HCPCS / CPT® TERIPARATIDE INJECTION
J3121 0 HCPCS / CPT® INJ TESTOSTERO ENANTHATE 1MG
J3145 0 HCPCS / CPT® TESTOSTERONE UNDECANOATE 1MG
J3230 0 HCPCS / CPT® CHLORPROMAZINE HCL INJECTION
J3240 0 HCPCS / CPT® THYROTROPIN INJECTION
J3243 0 HCPCS / CPT® TIGECYCLINE INJECTION
J3246 0 HCPCS / CPT® TIROFIBAN HCL
J3250 0 HCPCS / CPT® TRIMETHOBENZAMIDE HCL INJ
J3260 0 HCPCS / CPT® TOBRAMYCIN SULFATE INJECTION
J3262 0 HCPCS / CPT® TOCILIZUMAB INJECTION
J3265 0 HCPCS / CPT® INJECTION TORSEMIDE 10 MG/ML
J3280 0 HCPCS / CPT® THIETHYLPERAZINE MALEATE INJ
J3285 0 HCPCS / CPT® TREPROSTINIL INJECTION
J3300 0 HCPCS / CPT® TRIAMCINOLONE A INJ PRS-FREE
J3301 0 HCPCS / CPT® TRIAMCINOLONE ACET INJ NOS
J3302 0 HCPCS / CPT® TRIAMCINOLONE DIACETATE INJ
J3303 0 HCPCS / CPT® TRIAMCINOLONE HEXACETONL INJ
J3305 0 HCPCS / CPT® INJ TRIMETREXATE GLUCORONATE
J3310 0 HCPCS / CPT® PERPHENAZINE INJECITON
J3315 0 HCPCS / CPT® TRIPTORELIN PAMOATE
J3320 0 HCPCS / CPT® SPECTINOMYCN DI-HCL INJ
J3350 0 HCPCS / CPT® UREA INJECTION
J3355 0 HCPCS / CPT® UROFOLLITROPIN, 75 IU
J3357 0 HCPCS / CPT® USTEKINUMAB SUB CU INJ, 1 MG
J3360 11 HCPCS / CPT® DIAZEPAM INJECTION
J3364 0 HCPCS / CPT® UROKINASE 5000 IU INJECTION
J3365 0 HCPCS / CPT® UROKINASE 250,000 IU INJ
J3370 118 HCPCS / CPT® VANCOMYCIN HCL INJECTION
J3380 0 HCPCS / CPT® INJECTION, VEDOLIZUMAB
J3385 0 HCPCS / CPT® VELAGLUCERASE ALFA
J3396 0 HCPCS / CPT® VERTEPORFIN INJECTION
J3400 0 HCPCS / CPT® TRIFLUPROMAZINE HCL INJ
J3410 0 HCPCS / CPT® HYDROXYZINE HCL INJECTION
J3411 0 HCPCS / CPT® THIAMINE HCL 100 MG
J3415 0 HCPCS / CPT® PYRIDOXINE HCL 100 MG
J3420 0 HCPCS / CPT® VITAMIN B12 INJECTION
J3430 17 HCPCS / CPT® VITAMIN K PHYTONADIONE INJ
J3465 0 HCPCS / CPT® INJECTION, VORICONAZOLE
J3470 0 HCPCS / CPT® HYALURONIDASE INJECTION
J3471 0 HCPCS / CPT® OVINE, UP TO 999 USP UNITS
J3472 0 HCPCS / CPT® OVINE, 1000 USP UNITS
J3473 0 HCPCS / CPT® HYALURONIDASE RECOMBINANT
J3475 27 HCPCS / CPT® INJ MAGNESIUM SULFATE
J3480 7 HCPCS / CPT® INJ POTASSIUM CHLORIDE
J3485 0 HCPCS / CPT® ZIDOVUDINE
J3486 0 HCPCS / CPT® ZIPRASIDONE MESYLATE
J3489 0 HCPCS / CPT® ZOLEDRONIC ACID 1MG
J3490 65 HCPCS / CPT® DRUGS UNCLASSIFIED INJECTION
J3499 65 HCPCS / CPT® Unclassified Drugs
J3520 0 HCPCS / CPT® EDETATE DISODIUM PER 150 MG
J3530 0 HCPCS / CPT® NASAL VACCINE INHALATION
J3535 0 HCPCS / CPT® METERED DOSE INHALER DRUG
J3570 0 HCPCS / CPT® LAETRILE AMYGDALIN VIT B17
J3590 0 HCPCS / CPT® UNCLASSIFIED BIOLOGICS
J7030 68 HCPCS / CPT® NORMAL SALINE SOLUTION INFUS
J7040 36 HCPCS / CPT® NORMAL SALINE SOLUTION INFUS
J7042 32 HCPCS / CPT® 5% DEXTROSE/NORMAL SALINE
J7050 28 HCPCS / CPT® NORMAL SALINE SOLUTION INFUS
J7060 38 HCPCS / CPT® 5% DEXTROSE/WATER
J7070 87 HCPCS / CPT® D5W INFUSION
J7100 0 HCPCS / CPT® DEXTRAN 40 INFUSION
J7110 0 HCPCS / CPT® DEXTRAN 75 INFUSION
J7120 96 HCPCS / CPT® RINGERS LACTATE INFUSION
J7121 98 HCPCS / CPT® 5% DEXTROSE IN LAC RINGERS
J7131 77 HCPCS / CPT® HYPERTONIC SALINE SOL
J7175 0 HCPCS / CPT® INJ, FACTOR X, (HUMAN), 1IU
J7178 0 HCPCS / CPT® HUMAN FIBRINOGEN CONC INJ
J7179 0 HCPCS / CPT® VONVENDI INJ 1 IU VWF:RCO
J7180 0 HCPCS / CPT® FACTOR XIII ANTI-HEM FACTOR
J7181 0 HCPCS / CPT® FACTOR XIII RECOMB A-SUBUNIT
J7182 0 HCPCS / CPT® FACTOR VIII RECOMB NOVOEIGHT
J7183 0 HCPCS / CPT® WILATE INJECTION
J7185 0 HCPCS / CPT® XYNTHA INJ
J7186 0 HCPCS / CPT® ANTIHEMOPHILIC VIII/VWF COMP
J7187 0 HCPCS / CPT® HUMATE-P, INJ
J7188 0 HCPCS / CPT® FACTOR VIII RECOMB OBIZUR
J7189 0 HCPCS / CPT® FACTOR VIIA
J7190 0 HCPCS / CPT® FACTOR VIII
J7191 0 HCPCS / CPT® FACTOR VIII (PORCINE)
J7192 0 HCPCS / CPT® FACTOR VIII RECOMBINANT NOS
J7193 0 HCPCS / CPT® FACTOR IX NON-RECOMBINANT
J7194 0 HCPCS / CPT® FACTOR IX COMPLEX
J7195 0 HCPCS / CPT® FACTOR IX RECOMBINANT NOS
J7196 0 HCPCS / CPT® ANTITHROMBIN RECOMBINANT
J7197 0 HCPCS / CPT® ANTITHROMBIN III INJECTION
J7198 0 HCPCS / CPT® ANTI-INHIBITOR
J7199 0 HCPCS / CPT® HEMOPHILIA CLOT FACTOR NOC
J7200 0 HCPCS / CPT® FACTOR IX RECOMBINAN RIXUBIS
J7201 0 HCPCS / CPT® FACTOR IX ALPROLIX RECOMB
J7202 0 HCPCS / CPT® FACTOR IX IDELVION INJ
J7205 0 HCPCS / CPT® FACTOR VIII FC FUSION RECOMB
J7207 0 HCPCS / CPT® FACTOR VIII PEGYLATED RECOMB
J7209 0 HCPCS / CPT® FACTOR VIII NUWIQ RECOMB 1IU
J7297 0 HCPCS / CPT® LILETTA, 52 MG
J7298 0 HCPCS / CPT® MIRENA, 52 MG
J7300 0 HCPCS / CPT® INTRAUT COPPER CONTRACEPTIVE
J7301 0 HCPCS / CPT® SKYLA, 13.5 MG
J7303 0 HCPCS / CPT® CONTRACEPTIVE VAGINAL RING
J7304 0 HCPCS / CPT® CONTRACEPTIVE HORMONE PATCH
J7306 0 HCPCS / CPT® LEVONORGESTREL IMPLANT SYS
J7307 0 HCPCS / CPT® ETONOGESTREL IMPLANT SYSTEM
J7308 0 HCPCS / CPT® AMINOLEVULINIC ACID HCL TOP
J7309 0 HCPCS / CPT® METHYL AMINOLEVULINATE, TOP
J7310 0 HCPCS / CPT® GANCICLOVIR LONG ACT IMPLANT
J7311 0 HCPCS / CPT® FLUOCINOLONE ACETONIDE IMPLT
J7312 65 HCPCS / CPT® DEXAMETHASONE INTRA IMPLANT
J7313 0 HCPCS / CPT® FLUOCINOL ACET INTRAVIT IMP
J7315 0 HCPCS / CPT® OPHTHALMIC MITOMYCIN
J7316 0 HCPCS / CPT® INJ, OCRIPLASMIN, 0.125 MG
J7320 0 HCPCS / CPT® GENVISC 850, INJ, 1MG
J7321 0 HCPCS / CPT® HYALGAN/SUPARTZ INJ PER DOSE
J7322 0 HCPCS / CPT® HYMOVIS INJECTION 1 MG
J7323 0 HCPCS / CPT® EUFLEXXA INJ PER DOSE
J7324 0 HCPCS / CPT® ORTHOVISC INJ PER DOSE
J7325 0 HCPCS / CPT® SYNVISC OR SYNVISC-ONE
J7326 0 HCPCS / CPT® GEL-ONE
J7327 0 HCPCS / CPT® MONOVISC INJ PER DOSE
J7328 0 HCPCS / CPT® GEL-SYN INJECTION 0.1 MG
J7330 0 HCPCS / CPT® CULTURED CHONDROCYTES IMPLNT
J7336 0 HCPCS / CPT® CAPSAICIN 8% PATCH
J7340 0 HCPCS / CPT® CARBIDOPA LEVODOPA ENT 100ML
J7342 0 HCPCS / CPT® CIPROFLOXACIN OTIC SUSP 6 MG
J7500 0 HCPCS / CPT® AZATHIOPRINE ORAL 50MG
J7501 0 HCPCS / CPT® AZATHIOPRINE PARENTERAL
J7502 65 HCPCS / CPT® CYCLOSPORINE ORAL 100 MG
J7503 0 HCPCS / CPT® TACROL ENVARSUS EX REL ORAL
J7504 0 HCPCS / CPT® LYMPHOCYTE IMMUNE GLOBULIN
J7505 0 HCPCS / CPT® MONOCLONAL ANTIBODIES
J7507 65 HCPCS / CPT® TACROLIMUS IMME REL ORAL 1MG
J7508 0 HCPCS / CPT® TACROL ASTAGRAF EX REL ORAL
J7509 0 HCPCS / CPT® METHYLPREDNISOLONE ORAL
J7510 11 HCPCS / CPT® PREDNISOLONE ORAL PER 5 MG
J7511 0 HCPCS / CPT® ANTITHYMOCYTE GLOBULN RABBIT
J7512 11 HCPCS / CPT® PREDNISONE IR OR DR ORAL 1MG
J7513 0 HCPCS / CPT® DACLIZUMAB, PARENTERAL
J7515 0 HCPCS / CPT® CYCLOSPORINE ORAL 25 MG
J7516 0 HCPCS / CPT® CYCLOSPORIN PARENTERAL 250MG
J7517 0 HCPCS / CPT® MYCOPHENOLATE MOFETIL ORAL
J7518 0 HCPCS / CPT® MYCOPHENOLIC ACID
J7520 0 HCPCS / CPT® SIROLIMUS, ORAL
J7525 0 HCPCS / CPT® TACROLIMUS INJECTION
J7527 0 HCPCS / CPT® ORAL EVEROLIMUS
J7599 0 HCPCS / CPT® IMMUNOSUPPRESSIVE DRUG NOC
J7604 0 HCPCS / CPT® ACETYLCYSTEINE COMP UNIT
J7605 0 HCPCS / CPT® ARFORMOTEROL NON-COMP UNIT
J7606 0 HCPCS / CPT® FORMOTEROL FUMARATE, INH
J7607 16 HCPCS / CPT® LEVALBUTEROL COMP CON
J7608 0 HCPCS / CPT® ACETYLCYSTEINE NON-COMP UNIT
J7609 0 HCPCS / CPT® ALBUTEROL COMP UNIT
J7610 17 HCPCS / CPT® ALBUTEROL COMP CON
J7611 17 HCPCS / CPT® ALBUTEROL NON-COMP CON
J7612 0 HCPCS / CPT® LEVALBUTEROL NON-COMP CON
J7613 65 HCPCS / CPT® ALBUTEROL NON-COMP UNIT
J7614 19 HCPCS / CPT® LEVALBUTEROL NON-COMP UNIT
J7615 16 HCPCS / CPT® LEVALBUTEROL COMP UNIT
J7620 65 HCPCS / CPT® ALBUTEROL IPRATROP NON-COMP
J7622 0 HCPCS / CPT® BECLOMETHASONE COMP UNIT
J7624 0 HCPCS / CPT® BETAMETHASONE COMP UNIT
J7626 0 HCPCS / CPT® BUDESONIDE NON-COMP UNIT
J7627 0 HCPCS / CPT® BUDESONIDE COMP UNIT
J7628 0 HCPCS / CPT® BITOLTEROL MESYLATE COMP CON
J7629 0 HCPCS / CPT® BITOLTEROL MESYLATE COMP UNT
J7631 0 HCPCS / CPT® CROMOLYN SODIUM NONCOMP UNIT
J7632 0 HCPCS / CPT® CROMOLYN SODIUM COMP UNIT
J7633 0 HCPCS / CPT® BUDESONIDE NON-COMP CON
J7634 0 HCPCS / CPT® BUDESONIDE COMP CON
J7635 0 HCPCS / CPT® ATROPINE COMP CON
J7636 0 HCPCS / CPT® ATROPINE COMP UNIT
J7637 65 HCPCS / CPT® DEXAMETHASONE COMP CON
J7638 65 HCPCS / CPT® DEXAMETHASONE COMP UNIT
J7639 0 HCPCS / CPT® DORNASE ALFA NON-COMP UNIT
J7640 0 HCPCS / CPT® FORMOTEROL COMP UNIT
J7641 0 HCPCS / CPT® FLUNISOLIDE COMP UNIT
J7642 0 HCPCS / CPT® GLYCOPYRROLATE COMP CON
J7643 0 HCPCS / CPT® GLYCOPYRROLATE COMP UNIT
J7644 28 HCPCS / CPT® IPRATROPIUM BROMIDE NON-COMP
J7645 0 HCPCS / CPT® IPRATROPIUM BROMIDE COMP
J7647 0 HCPCS / CPT® ISOETHARINE COMP CON
J7648 0 HCPCS / CPT® ISOETHARINE NON-COMP CON
J7649 0 HCPCS / CPT® ISOETHARINE NON-COMP UNIT
J7650 0 HCPCS / CPT® ISOETHARINE COMP UNIT
J7657 0 HCPCS / CPT® ISOPROTERENOL COMP CON
J7658 0 HCPCS / CPT® ISOPROTERENOL NON-COMP CON
J7659 0 HCPCS / CPT® ISOPROTERENOL NON-COMP UNIT
J7660 0 HCPCS / CPT® ISOPROTERENOL COMP UNIT
J7665 0 HCPCS / CPT® MANNITOL FOR INHALER
J7667 0 HCPCS / CPT® METAPROTERENOL COMP CON
J7668 0 HCPCS / CPT® METAPROTERENOL NON-COMP CON
J7669 0 HCPCS / CPT® METAPROTERENOL NON-COMP UNIT
J7670 0 HCPCS / CPT® METAPROTERENOL COMP UNIT
J7674 0 HCPCS / CPT® METHACHOLINE CHLORIDE, NEB
J7676 0 HCPCS / CPT® PENTAMIDINE COMP UNIT DOSE
J7680 0 HCPCS / CPT® TERBUTALINE SULF COMP CON
J7681 0 HCPCS / CPT® TERBUTALINE SULF COMP UNIT
J7682 0 HCPCS / CPT® TOBRAMYCIN NON-COMP UNIT
J7683 0 HCPCS / CPT® TRIAMCINOLONE COMP CON
J7684 0 HCPCS / CPT® TRIAMCINOLONE COMP UNIT
J7685 0 HCPCS / CPT® TOBRAMYCIN COMP UNIT
J7686 0 HCPCS / CPT® TREPROSTINIL, NON-COMP UNIT
J7699 7 HCPCS / CPT® INHALATION SOLUTION FOR DME
J7799 65 HCPCS / CPT® NON-INHALATION DRUG FOR DME
J7999 65 HCPCS / CPT® COMPOUNDED DRUG, NOC
J8498 0 HCPCS / CPT® ANTIEMETIC RECTAL/SUPP NOS
J8499 65 HCPCS / CPT® ORAL PRESCRIP DRUG NON CHEMO
J8501 65 HCPCS / CPT® ORAL APREPITANT
J8510 0 HCPCS / CPT® ORAL BUSULFAN
J8515 65 HCPCS / CPT® CABERGOLINE, ORAL 0.25MG
J8520 65 HCPCS / CPT® CAPECITABINE, ORAL, 150 MG
J8521 65 HCPCS / CPT® CAPECITABINE, ORAL, 500 MG
J8530 65 HCPCS / CPT® CYCLOPHOSPHAMIDE ORAL 25 MG
J8540 18 HCPCS / CPT® ORAL DEXAMETHASONE
J8560 65 HCPCS / CPT® ETOPOSIDE ORAL 50 MG
J8562 65 HCPCS / CPT® ORAL FLUDARABINE PHOSPHATE
J8565 65 HCPCS / CPT® GEFITINIB ORAL
J8597 65 HCPCS / CPT® ANTIEMETIC DRUG ORAL NOS
J8600 65 HCPCS / CPT® MELPHALAN ORAL 2 MG
J8610 65 HCPCS / CPT® METHOTREXATE ORAL 2.5 MG
J8650 65 HCPCS / CPT® NABILONE ORAL
J8655 65 HCPCS / CPT® NETUPITANT PALONOSETRON ORAL
J8670 65 HCPCS / CPT® ROLAPITANT, ORAL, 1MG
J8700 65 HCPCS / CPT® TEMOZOLOMIDE
J8705 0 HCPCS / CPT® TOPOTECAN ORAL
J8999 0 HCPCS / CPT® ORAL PRESCRIPTION DRUG CHEMO
J9000 65 HCPCS / CPT® DOXORUBICIN HCL INJECTION
J9015 65 HCPCS / CPT® ALDESLEUKIN INJECTION
J9017 65 HCPCS / CPT® ARSENIC TRIOXIDE INJECTION
J9019 65 HCPCS / CPT® ERWINAZE INJECTION
J9020 65 HCPCS / CPT® ASPARAGINASE, NOS
J9025 65 HCPCS / CPT® AZACITIDINE INJECTION
J9027 128 HCPCS / CPT® CLOFARABINE INJECTION
J9031 65 HCPCS / CPT® BCG LIVE INTRAVESICAL VAC
J9032 65 HCPCS / CPT® INJECTION, BELINOSTAT, 10MG
J9033 65 HCPCS / CPT® INJ., TREANDA 1 MG
J9034 65 HCPCS / CPT® INJ., BENDEKA 1 MG
J9035 65 HCPCS / CPT® BEVACIZUMAB INJECTION
J9039 65 HCPCS / CPT® INJECTION, BLINATUMOMAB
J9040 65 HCPCS / CPT® BLEOMYCIN SULFATE INJECTION
J9041 65 HCPCS / CPT® BORTEZOMIB INJECTION
J9042 65 HCPCS / CPT® BRENTUXIMAB VEDOTIN INJ
J9043 65 HCPCS / CPT® CABAZITAXEL INJECTION
J9045 65 HCPCS / CPT® CARBOPLATIN INJECTION
J9047 65 HCPCS / CPT® INJECTION, CARFILZOMIB, 1 MG
J9050 65 HCPCS / CPT® CARMUSTINE INJECTION
J9055 65 HCPCS / CPT® CETUXIMAB INJECTION
J9060 65 HCPCS / CPT® CISPLATIN 10 MG INJECTION
J9065 65 HCPCS / CPT® INJ CLADRIBINE PER 1 MG
J9070 65 HCPCS / CPT® CYCLOPHOSPHAMIDE 100 MG INJ
J9098 65 HCPCS / CPT® CYTARABINE LIPOSOME INJ
J9100 65 HCPCS / CPT® CYTARABINE HCL 100 MG INJ
J9120 65 HCPCS / CPT® DACTINOMYCIN INJECTION
J9130 65 HCPCS / CPT® DACARBAZINE 100 MG INJ
J9145 65 HCPCS / CPT® INJECTION, DARATUMUMAB 10 MG
J9150 65 HCPCS / CPT® DAUNORUBICIN INJECTION
J9151 65 HCPCS / CPT® DAUNORUBICIN CITRATE INJ
J9155 65 HCPCS / CPT® DEGARELIX INJECTION
J9160 65 HCPCS / CPT® DENILEUKIN DIFTITOX INJ
J9165 65 HCPCS / CPT® DIETHYLSTILBESTROL INJECTION
J9171 65 HCPCS / CPT® DOCETAXEL INJECTION
J9175 65 HCPCS / CPT® ELLIOTTS B SOLUTION PER ML
J9176 65 HCPCS / CPT® INJECTION, ELOTUZUMAB, 1MG
J9178 65 HCPCS / CPT® INJ, EPIRUBICIN HCL, 2 MG
J9179 65 HCPCS / CPT® ERIBULIN MESYLATE INJECTION
J9181 65 HCPCS / CPT® ETOPOSIDE INJECTION
J9185 65 HCPCS / CPT® FLUDARABINE PHOSPHATE INJ
J9190 65 HCPCS / CPT® FLUOROURACIL INJECTION
J9200 65 HCPCS / CPT® FLOXURIDINE INJECTION
J9201 65 HCPCS / CPT® GEMCITABINE HCL INJECTION
J9202 65 HCPCS / CPT® GOSERELIN ACETATE IMPLANT
J9205 65 HCPCS / CPT® INJ IRINOTECAN LIPOSOME 1 MG
J9206 65 HCPCS / CPT® IRINOTECAN INJECTION
J9207 65 HCPCS / CPT® IXABEPILONE INJECTION
J9208 65 HCPCS / CPT® IFOSFAMIDE INJECTION
J9209 65 HCPCS / CPT® MESNA INJECTION
J9211 65 HCPCS / CPT® IDARUBICIN HCL INJECTION
J9212 65 HCPCS / CPT® INTERFERON ALFACON-1 INJ
J9213 65 HCPCS / CPT® INTERFERON ALFA-2A INJ
J9214 65 HCPCS / CPT® INTERFERON ALFA-2B INJ
J9215 65 HCPCS / CPT® INTERFERON ALFA-N3 INJ
J9216 65 HCPCS / CPT® INTERFERON GAMMA 1-B INJ
J9217 65 HCPCS / CPT® LEUPROLIDE ACETATE SUSPNSION
J9218 65 HCPCS / CPT® LEUPROLIDE ACETATE INJECITON
J9219 65 HCPCS / CPT® LEUPROLIDE ACETATE IMPLANT
J9225 65 HCPCS / CPT® VANTAS IMPLANT
J9226 65 HCPCS / CPT® SUPPRELIN LA IMPLANT
J9228 65 HCPCS / CPT® IPILIMUMAB INJECTION
J9230 65 HCPCS / CPT® MECHLORETHAMINE HCL INJ
J9245 65 HCPCS / CPT® INJ MELPHALAN HYDROCHL 50 MG
J9250 65 HCPCS / CPT® METHOTREXATE SODIUM INJ
J9260 65 HCPCS / CPT® METHOTREXATE SODIUM INJ
J9261 65 HCPCS / CPT® NELARABINE INJECTION
J9262 65 HCPCS / CPT® INJ, OMACETAXINE MEP, 0.01MG
J9263 65 HCPCS / CPT® OXALIPLATIN
J9264 65 HCPCS / CPT® PACLITAXEL PROTEIN BOUND
J9266 65 HCPCS / CPT® PEGASPARGASE INJECTION
J9267 65 HCPCS / CPT® PACLITAXEL INJECTION
J9268 65 HCPCS / CPT® PENTOSTATIN INJECTION
J9270 65 HCPCS / CPT® PLICAMYCIN (MITHRAMYCIN) INJ
J9271 65 HCPCS / CPT® INJ PEMBROLIZUMAB
J9280 65 HCPCS / CPT® MITOMYCIN INJECTION
J9293 65 HCPCS / CPT® MITOXANTRONE HYDROCHL / 5 MG
J9295 65 HCPCS / CPT® INJECTION, NECITUMUMAB, 1 MG
J9299 65 HCPCS / CPT® INJECTION, NIVOLUMAB
J9300 65 HCPCS / CPT® GEMTUZUMAB OZOGAMICIN INJ
J9301 65 HCPCS / CPT® OBINUTUZUMAB INJ
J9302 65 HCPCS / CPT® OFATUMUMAB INJECTION
J9303 65 HCPCS / CPT® PANITUMUMAB INJECTION
J9305 65 HCPCS / CPT® PEMETREXED INJECTION
J9306 65 HCPCS / CPT® INJECTION, PERTUZUMAB, 1 MG
J9307 65 HCPCS / CPT® PRALATREXATE INJECTION
J9308 65 HCPCS / CPT® INJECTION, RAMUCIRUMAB
J9310 65 HCPCS / CPT® RITUXIMAB INJECTION
J9315 65 HCPCS / CPT® ROMIDEPSIN INJECTION
J9320 65 HCPCS / CPT® STREPTOZOCIN INJECTION
J9325 65 HCPCS / CPT® INJ TALIMOGENE LAHERPAREPVEC
J9328 65 HCPCS / CPT® TEMOZOLOMIDE INJECTION
J9330 65 HCPCS / CPT® TEMSIROLIMUS INJECTION
J9340 65 HCPCS / CPT® THIOTEPA INJECTION
J9351 65 HCPCS / CPT® TOPOTECAN INJECTION
J9352 65 HCPCS / CPT® INJECTION TRABECTEDIN 0.1MG
J9354 65 HCPCS / CPT® INJ, ADO-TRASTUZUMAB EMT 1MG
J9355 65 HCPCS / CPT® TRASTUZUMAB INJECTION
J9357 65 HCPCS / CPT® VALRUBICIN INJECTION
J9360 65 HCPCS / CPT® VINBLASTINE SULFATE INJ
J9370 65 HCPCS / CPT® VINCRISTINE SULFATE 1 MG INJ
J9371 65 HCPCS / CPT® INJ, VINCRISTINE SUL LIP 1MG
J9390 65 HCPCS / CPT® VINORELBINE TARTRATE INJ
J9395 65 HCPCS / CPT® INJECTION, FULVESTRANT
J9400 65 HCPCS / CPT® INJ, ZIV-AFLIBERCEPT, 1MG
J9600 65 HCPCS / CPT® PORFIMER SODIUM INJECTION
J9999 65 HCPCS / CPT® CHEMOTHERAPY DRUG
K0001 0 HCPCS / CPT® STANDARD WHEELCHAIR
K0002 0 HCPCS / CPT® STND HEMI (LOW SEAT) WHLCHR
K0003 0 HCPCS / CPT® LIGHTWEIGHT WHEELCHAIR
K0004 0 HCPCS / CPT® HIGH STRENGTH LTWT WHLCHR
K0005 0 HCPCS / CPT® ULTRALIGHTWEIGHT WHEELCHAIR
K0006 0 HCPCS / CPT® HEAVY DUTY WHEELCHAIR
K0007 0 HCPCS / CPT® EXTRA HEAVY DUTY WHEELCHAIR
K0008 0 HCPCS / CPT® CSTM MANUAL WHEELCHAIR/BASE
K0009 0 HCPCS / CPT® OTHER MANUAL WHEELCHAIR/BASE
K0010 0 HCPCS / CPT® STND WT FRAME POWER WHLCHR
Default Fee Schedule Part 5
Default Fee Schedule Part 5 150 150 bellaireurgent

Default Fee Schedule Part 5

Code Price Type Description
K0011 0 HCPCS / CPT® STND WT PWR WHLCHR W CONTROL
K0012 0 HCPCS / CPT® LTWT PORTBL POWER WHLCHR
K0013 0 HCPCS / CPT® CUSTOM POWER WHLCHR BASE
K0014 0 HCPCS / CPT® OTHER POWER WHLCHR BASE
K0015 0 HCPCS / CPT® DETACH NON-ADJ HT ARMRST REP
K0017 0 HCPCS / CPT® DETACH ADJUST ARMREST BASE
K0018 0 HCPCS / CPT® DETACH ADJUST ARMRST UPPER
K0019 0 HCPCS / CPT® ARM PAD REPL, EACH
K0020 0 HCPCS / CPT® FIXED ADJUST ARMREST PAIR
K0037 0 HCPCS / CPT® HI MOUNT FLIP-UP FTREST REPL
K0038 0 HCPCS / CPT® LEG STRAP EACH
K0039 0 HCPCS / CPT® LEG STRAP H STYLE EACH
K0040 0 HCPCS / CPT® ADJUSTABLE ANGLE FOOTPLATE
K0041 0 HCPCS / CPT® LARGE SIZE FOOTPLATE EACH
K0042 0 HCPCS / CPT® STANDARD SIZE FTPLATE REP EA
K0043 0 HCPCS / CPT® FTRST LOWR EXTEN TUBE REP EA
K0044 0 HCPCS / CPT® FTRST UPR HANGER BRAC REP EA
K0045 0 HCPCS / CPT® FTRST COMPL ASSEMBLY REPL EA
K0046 0 HCPCS / CPT® ELEV LGRST LWR EXTEN REPL EA
K0047 0 HCPCS / CPT® ELEV LEGRST UPR HANGR REP EA
K0050 0 HCPCS / CPT® RATCHET ASSEMBLY REPLACEMENT
K0051 0 HCPCS / CPT® CAM REL ASM FT/LEGRST REP EA
K0052 0 HCPCS / CPT® SWINGAWAY DETACH FTREST REPL
K0053 0 HCPCS / CPT® ELEVATE FOOTREST ARTICULATE
K0056 0 HCPCS / CPT® K0065 0 HCPCS / CPT® SPOKE PROTECTORS
K0069 0 HCPCS / CPT® RR WHL COMPL SOL TIRE REP EA
K0070 0 HCPCS / CPT® RR WHL COMPL PNE TIRE REP EA
K0071 0 HCPCS / CPT® FR CSTR COMP PNE TIRE REP EA
K0072 0 HCPCS / CPT® FR CSTR SEMI-PNE TIRE REP EA
K0073 0 HCPCS / CPT® CASTER PIN LOCK EACH
K0077 0 HCPCS / CPT® FR CSTR ASMB SOL TIRE REP EA
K0098 0 HCPCS / CPT® DRIVE BELT FOR PWC, REPL
K0105 0 HCPCS / CPT® IV HANGER
K0108 0 HCPCS / CPT® W/C COMPONENT-ACCESSORY NOS
K0195 0 HCPCS / CPT® ELEVATING WHLCHAIR LEG RESTS
K0455 0 HCPCS / CPT® PUMP UNINTERRUPTED INFUSION
K0462 0 HCPCS / CPT® TEMPORARY REPLACEMENT EQPMNT
K0552 0 HCPCS / CPT® SUP/EXT NON-INS INF PUMP SYR
K0601 0 HCPCS / CPT® REPL BATT SILVER OXIDE 1.5 V
K0602 0 HCPCS / CPT® REPL BATT SILVER OXIDE 3 V
K0603 0 HCPCS / CPT® REPL BATT ALKALINE 1.5 V
K0604 0 HCPCS / CPT® REPL BATT LITHIUM 3.6 V
K0605 0 HCPCS / CPT® REPL BATT LITHIUM 4.5 V
K0606 0 HCPCS / CPT® AED GARMENT W ELEC ANALYSIS
K0607 0 HCPCS / CPT® REPL BATT FOR AED
K0608 0 HCPCS / CPT® REPL GARMENT FOR AED
K0609 0 HCPCS / CPT® REPL ELECTRODE FOR AED
K0669 0 HCPCS / CPT® SEAT/BACK CUS NO DMEPDAC VER
K0672 0 HCPCS / CPT® REMOVABLE SOFT INTERFACE LE
K0730 0 HCPCS / CPT® CTRL DOSE INH DRUG DELIV SYS
K0733 0 HCPCS / CPT® 12-24HR SEALED LEAD ACID
K0738 0 HCPCS / CPT® PORTABLE GAS OXYGEN SYSTEM
K0739 0 HCPCS / CPT® REPAIR/SVC DME NON-OXYGEN EQ
K0740 0 HCPCS / CPT® REPAIR/SVC OXYGEN EQUIPMENT
K0743 0 HCPCS / CPT® PORTABLE HOME SUCTION PUMP
K0744 0 HCPCS / CPT® ABSORP DRG <= 16 SUC PUMP
K0745 0 HCPCS / CPT® ABSORP DRG >16<=48 SUC PUMP
K0746 0 HCPCS / CPT® K0800 0 HCPCS / CPT® POV GROUP 1 STD UP TO 300LBS
K0801 0 HCPCS / CPT® POV GROUP 1 HD 301-450 LBS
K0802 0 HCPCS / CPT® POV GROUP 1 VHD 451-600 LBS
K0806 0 HCPCS / CPT® POV GROUP 2 STD UP TO 300LBS
K0807 0 HCPCS / CPT® POV GROUP 2 HD 301-450 LBS
K0808 0 HCPCS / CPT® POV GROUP 2 VHD 451-600 LBS
K0812 0 HCPCS / CPT® POWER OPERATED VEHICLE NOC
K0813 0 HCPCS / CPT® PWC GP 1 STD PORT SEAT/BACK
K0814 0 HCPCS / CPT® PWC GP 1 STD PORT CAP CHAIR
K0815 0 HCPCS / CPT® PWC GP 1 STD SEAT/BACK
K0816 0 HCPCS / CPT® PWC GP 1 STD CAP CHAIR
K0820 0 HCPCS / CPT® PWC GP 2 STD PORT SEAT/BACK
K0821 0 HCPCS / CPT® PWC GP 2 STD PORT CAP CHAIR
K0822 0 HCPCS / CPT® PWC GP 2 STD SEAT/BACK
K0823 0 HCPCS / CPT® PWC GP 2 STD CAP CHAIR
K0824 0 HCPCS / CPT® PWC GP 2 HD SEAT/BACK
K0825 0 HCPCS / CPT® PWC GP 2 HD CAP CHAIR
K0826 0 HCPCS / CPT® PWC GP 2 VHD SEAT/BACK
K0827 0 HCPCS / CPT® PWC GP VHD CAP CHAIR
K0828 0 HCPCS / CPT® PWC GP 2 XTRA HD SEAT/BACK
K0829 0 HCPCS / CPT® PWC GP 2 XTRA HD CAP CHAIR
K0830 0 HCPCS / CPT® PWC GP2 STD SEAT ELEVATE S/B
K0831 0 HCPCS / CPT® PWC GP2 STD SEAT ELEVATE CAP
K0835 0 HCPCS / CPT® PWC GP2 STD SING POW OPT S/B
K0836 0 HCPCS / CPT® PWC GP2 STD SING POW OPT CAP
K0837 0 HCPCS / CPT® PWC GP 2 HD SING POW OPT S/B
K0838 0 HCPCS / CPT® PWC GP 2 HD SING POW OPT CAP
K0839 0 HCPCS / CPT® PWC GP2 VHD SING POW OPT S/B
K0840 0 HCPCS / CPT® PWC GP2 XHD SING POW OPT S/B
K0841 0 HCPCS / CPT® PWC GP2 STD MULT POW OPT S/B
K0842 0 HCPCS / CPT® PWC GP2 STD MULT POW OPT CAP
K0843 0 HCPCS / CPT® PWC GP2 HD MULT POW OPT S/B
K0848 0 HCPCS / CPT® PWC GP 3 STD SEAT/BACK
K0849 0 HCPCS / CPT® PWC GP 3 STD CAP CHAIR
K0850 0 HCPCS / CPT® PWC GP 3 HD SEAT/BACK
K0851 0 HCPCS / CPT® PWC GP 3 HD CAP CHAIR
K0852 0 HCPCS / CPT® PWC GP 3 VHD SEAT/BACK
K0853 0 HCPCS / CPT® PWC GP 3 VHD CAP CHAIR
K0854 0 HCPCS / CPT® PWC GP 3 XHD SEAT/BACK
K0855 0 HCPCS / CPT® PWC GP 3 XHD CAP CHAIR
K0856 0 HCPCS / CPT® PWC GP3 STD SING POW OPT S/B
K0857 0 HCPCS / CPT® PWC GP3 STD SING POW OPT CAP
K0858 0 HCPCS / CPT® PWC GP3 HD SING POW OPT S/B
K0859 0 HCPCS / CPT® PWC GP3 HD SING POW OPT CAP
K0860 0 HCPCS / CPT® PWC GP3 VHD SING POW OPT S/B
K0861 0 HCPCS / CPT® PWC GP3 STD MULT POW OPT S/B
K0862 0 HCPCS / CPT® PWC GP3 HD MULT POW OPT S/B
K0863 0 HCPCS / CPT® PWC GP3 VHD MULT POW OPT S/B
K0864 0 HCPCS / CPT® PWC GP3 XHD MULT POW OPT S/B
K0868 0 HCPCS / CPT® PWC GP 4 STD SEAT/BACK
K0869 0 HCPCS / CPT® PWC GP 4 STD CAP CHAIR
K0870 0 HCPCS / CPT® PWC GP 4 HD SEAT/BACK
K0871 0 HCPCS / CPT® PWC GP 4 VHD SEAT/BACK
K0877 0 HCPCS / CPT® PWC GP4 STD SING POW OPT S/B
K0878 0 HCPCS / CPT® PWC GP4 STD SING POW OPT CAP
K0879 0 HCPCS / CPT® PWC GP4 HD SING POW OPT S/B
K0880 0 HCPCS / CPT® PWC GP4 VHD SING POW OPT S/B
K0884 0 HCPCS / CPT® PWC GP4 STD MULT POW OPT S/B
K0885 0 HCPCS / CPT® PWC GP4 STD MULT POW OPT CAP
K0886 0 HCPCS / CPT® PWC GP4 HD MULT POW S/B
K0890 0 HCPCS / CPT® PWC GP5 PED SING POW OPT S/B
K0891 0 HCPCS / CPT® PWC GP5 PED MULT POW OPT S/B
K0898 0 HCPCS / CPT® POWER WHEELCHAIR NOC
K0899 0 HCPCS / CPT® POW MOBIL DEV NO DMEPDAC
K0900 0 HCPCS / CPT® CSTM DME OTHER THAN WHEELCHR
L0112 0 HCPCS / CPT® CRANIAL CERVICAL ORTHOSIS
L0113 0 HCPCS / CPT® CRANIAL CERVICAL TORTICOLLIS
L0120 0 HCPCS / CPT® CERV FLEX N/ADJ FOAM PRE OTS
L0130 0 HCPCS / CPT® FLEX THERMOPLASTIC COLLAR MO
L0140 0 HCPCS / CPT® CERVICAL SEMI-RIGID ADJUSTAB
L0150 0 HCPCS / CPT® CERV SEMI-RIG ADJ MOLDED CHN
L0160 0 HCPCS / CPT® CERV SR WIRE OCC/MAN PRE OTS
L0170 0 HCPCS / CPT® CERVICAL COLLAR MOLDED TO PT
L0172 37 HCPCS / CPT® CERV COL SR FOAM 2PC PRE OTS
L0174 0 HCPCS / CPT® CERV SR 2PC THOR EXT PRE OTS
L0180 0 HCPCS / CPT® CER POST COL OCC/MAN SUP ADJ
L0190 0 HCPCS / CPT® CERV COLLAR SUPP ADJ CERV BA
L0200 0 HCPCS / CPT® CERV COL SUPP ADJ BAR & THOR
L0220 0 HCPCS / CPT® THOR RIB BELT CUSTOM FABRICA
L0450 0 HCPCS / CPT® TLSO FLEX TRUNK/THOR PRE OTS
L0452 0 HCPCS / CPT® TLSO FLEX CUSTOM FAB THORACI
L0454 0 HCPCS / CPT® TLSO TRNK SJ-T9 PRE CST
L0455 0 HCPCS / CPT® TLSO FLEX TRNK SJ-T9 PRE OTS
L0456 0 HCPCS / CPT® TLSO FLEX TRNK SJ-SS PRE CST
L0457 0 HCPCS / CPT® TLSO FLEX TRNK SJ-SS PRE OTS
L0458 0 HCPCS / CPT® TLSO 2MOD SYMPHIS-XIPHO PRE
L0460 0 HCPCS / CPT® TLSO 2 SHL SYMPHYS-STERN CST
L0462 0 HCPCS / CPT® TLSO 3MOD SACRO-SCAP PRE
L0464 0 HCPCS / CPT® TLSO 4MOD SACRO-SCAP PRE
L0466 0 HCPCS / CPT® TLSO R FRAM SOFT ANT PRE CST
L0467 0 HCPCS / CPT® TLSO R FRAM SOFT PRE OTS
L0468 0 HCPCS / CPT® TLSO RIG FRAM PELVIC PRE CST
L0469 0 HCPCS / CPT® TLSO RIG FRAM PELVIC PRE OTS
L0470 0 HCPCS / CPT® TLSO RIGID FRAME PRE SUBCLAV
L0472 0 HCPCS / CPT® TLSO RIGID FRAME HYPEREX PRE
L0480 0 HCPCS / CPT® TLSO RIGID PLASTIC CUSTOM FA
L0482 0 HCPCS / CPT® TLSO RIGID LINED CUSTOM FAB
L0484 0 HCPCS / CPT® TLSO RIGID PLASTIC CUST FAB
L0486 0 HCPCS / CPT® TLSO RIGIDLINED CUST FAB TWO
L0488 0 HCPCS / CPT® TLSO RIGID LINED PRE ONE PIE
L0490 0 HCPCS / CPT® TLSO RIGID PLASTIC PRE ONE
L0491 0 HCPCS / CPT® TLSO 2 PIECE RIGID SHELL
L0492 0 HCPCS / CPT® TLSO 3 PIECE RIGID SHELL
L0621 0 HCPCS / CPT® SIO FLEX PELVIC/SACR PRE OTS
L0622 0 HCPCS / CPT® SIO FLEX PELVISACRAL CUSTOM
L0623 0 HCPCS / CPT® SIO RIG PNL PELV/SAC PRE OTS
L0624 0 HCPCS / CPT® SIO PANEL CUSTOM
L0625 0 HCPCS / CPT® LO FLEX L1-BELOW L5 PRE OTS
L0626 0 HCPCS / CPT® LO SAG RIG PNL STAYS PRE CST
L0627 0 HCPCS / CPT® LO SAG RI AN/POS PNL PRE CST
L0628 0 HCPCS / CPT® LSO FLEX NO RI STAYS PRE OTS
L0629 0 HCPCS / CPT® LSO FLEX W/RIGID STAYS CUST
L0630 0 HCPCS / CPT® LSO R POST PNL SJ-T9 PRE CST
L0631 0 HCPCS / CPT® LSO SAG R AN/POS PNL PRE CST
L0632 0 HCPCS / CPT® LSO SAG RIGID FRAME CUST
L0633 0 HCPCS / CPT® LSO SC R POS/LAT PNL PRE CST
L0634 0 HCPCS / CPT® LSO FLEXION CONTROL CUSTOM
L0635 0 HCPCS / CPT® LSO SAGIT RIGID PANEL PREFAB
L0636 0 HCPCS / CPT® LSO SAGITTAL RIGID PANEL CUS
L0637 0 HCPCS / CPT® LSO SC R ANT/POS PNL PRE CST
L0638 0 HCPCS / CPT® LSO SAG-CORONAL PANEL CUSTOM
L0639 0 HCPCS / CPT® LSO S/C SHELL/PANEL PREFAB
L0640 0 HCPCS / CPT® LSO S/C SHELL/PANEL CUSTOM
L0641 0 HCPCS / CPT® LO RIG POS PNL L1-L5 PRE OTS
L0642 0 HCPCS / CPT® LO SAG RI AN/POS PNL PRE OTS
L0643 0 HCPCS / CPT® LSO SAG CTR RIGI POS PRE OTS
L0648 0 HCPCS / CPT® LSO SAG R AN/POS PNL PRE OTS
L0649 0 HCPCS / CPT® LSO SC R POS/LAT PNL PRE OTS
L0650 0 HCPCS / CPT® LSO SC R ANT/POS PNL PRE OTS
L0651 0 HCPCS / CPT® LSO SAG-CO SHELL PNL PRE OTS
L0700 0 HCPCS / CPT® CTLSO A-P-L CONTROL MOLDED
L0710 0 HCPCS / CPT® CTLSO A-P-L CONTROL W/ INTER
L0810 0 HCPCS / CPT® HALO CERVICAL INTO JCKT VEST
L0820 0 HCPCS / CPT® HALO CERVICAL INTO BODY JACK
L0830 0 HCPCS / CPT® HALO CERV INTO MILWAUKEE TYP
L0859 0 HCPCS / CPT® MRI COMPATIBLE SYSTEM
L0861 0 HCPCS / CPT® HALO REPL LINER/INTERFACE
L0970 0 HCPCS / CPT® TLSO CORSET FRONT
L0972 0 HCPCS / CPT® LSO CORSET FRONT
L0974 0 HCPCS / CPT® TLSO FULL CORSET
L0976 0 HCPCS / CPT® LSO FULL CORSET
L0978 0 HCPCS / CPT® AXILLARY CRUTCH EXTENSION
L0980 0 HCPCS / CPT® PERONEAL STRAPS PAIR PRE OTS
L0982 0 HCPCS / CPT® STOCKING SUP GRIPS 4 PRE OTS
L0984 0 HCPCS / CPT® PROTECT BODY SOCK EA PRE OTS
L0999 0 HCPCS / CPT® ADD TO SPINAL ORTHOSIS NOS
L1000 0 HCPCS / CPT® CTLSO MILWAUKE INITIAL MODEL
L1001 0 HCPCS / CPT® CTLSO INFANT IMMOBILIZER
L1005 0 HCPCS / CPT® TENSION BASED SCOLIOSIS ORTH
L1010 0 HCPCS / CPT® CTLSO AXILLA SLING
L1020 0 HCPCS / CPT® KYPHOSIS PAD
L1025 0 HCPCS / CPT® KYPHOSIS PAD FLOATING
L1030 0 HCPCS / CPT® LUMBAR BOLSTER PAD
L1040 0 HCPCS / CPT® LUMBAR OR LUMBAR RIB PAD
L1050 0 HCPCS / CPT® STERNAL PAD
L1060 0 HCPCS / CPT® THORACIC PAD
L1070 0 HCPCS / CPT® TRAPEZIUS SLING
L1080 0 HCPCS / CPT® OUTRIGGER
L1085 0 HCPCS / CPT® OUTRIGGER BIL W/ VERT EXTENS
L1090 0 HCPCS / CPT® LUMBAR SLING
L1100 0 HCPCS / CPT® RING FLANGE PLASTIC/LEATHER
L1110 0 HCPCS / CPT® RING FLANGE PLAS/LEATHER MOL
L1120 0 HCPCS / CPT® COVERS FOR UPRIGHT EACH
L1200 0 HCPCS / CPT® FURNSH INITIAL ORTHOSIS ONLY
L1210 0 HCPCS / CPT® LATERAL THORACIC EXTENSION
L1220 0 HCPCS / CPT® ANTERIOR THORACIC EXTENSION
L1230 0 HCPCS / CPT® MILWAUKEE TYPE SUPERSTRUCTUR
L1240 0 HCPCS / CPT® LUMBAR DEROTATION PAD
L1250 0 HCPCS / CPT® ANTERIOR ASIS PAD
L1260 0 HCPCS / CPT® ANTERIOR THORACIC DEROTATION
L1270 0 HCPCS / CPT® ABDOMINAL PAD
L1280 0 HCPCS / CPT® RIB GUSSET (ELASTIC) EACH
L1290 0 HCPCS / CPT® LATERAL TROCHANTERIC PAD
L1300 0 HCPCS / CPT® BODY JACKET MOLD TO PATIENT
L1310 0 HCPCS / CPT® POST-OPERATIVE BODY JACKET
L1499 0 HCPCS / CPT® SPINAL ORTHOSIS NOS
L1600 0 HCPCS / CPT® HO FLEX FREJKA W/COV PRE CST
L1610 0 HCPCS / CPT® HO FREJKA COV ONLY PRE CST
L1620 0 HCPCS / CPT® HO FLEX PAVLIK HARNS PRE CST
L1630 0 HCPCS / CPT® ABDUCT CONTROL HIP SEMI-FLEX
L1640 0 HCPCS / CPT® PELV BAND/SPREAD BAR THIGH C
L1650 0 HCPCS / CPT® HO ABDUCTION HIP ADJUSTABLE
L1652 0 HCPCS / CPT® HO BI THIGHCUFFS W SPRDR BAR
L1660 0 HCPCS / CPT® HO ABDUCTION STATIC PLASTIC
L1680 0 HCPCS / CPT® PELVIC & HIP CONTROL THIGH C
L1685 0 HCPCS / CPT® POST-OP HIP ABDUCT CUSTOM FA
L1686 0 HCPCS / CPT® HO POST-OP HIP ABDUCTION
L1690 0 HCPCS / CPT® COMBINATION BILATERAL HO
L1700 0 HCPCS / CPT® LEG PERTHES ORTH TORONTO TYP
L1710 0 HCPCS / CPT® LEGG PERTHES ORTH NEWINGTON
L1720 0 HCPCS / CPT® LEGG PERTHES ORTHOSIS TRILAT
L1730 0 HCPCS / CPT® LEGG PERTHES ORTH SCOTTISH R
L1755 0 HCPCS / CPT® LEGG PERTHES PATTEN BOTTOM T
L1810 0 HCPCS / CPT® KO ELASTIC WITH JOINTS
L1812 0 HCPCS / CPT® KO ELASTIC W/JOINTS PRE OTS
L1820 0 HCPCS / CPT® KO ELAS W/ CONDYLE PADS & JO
L1830 42 HCPCS / CPT® KO IMMOB CANVAS LONG PRE OTS
L1831 0 HCPCS / CPT® KNEE ORTH POS LOCKING JOINT
L1832 0 HCPCS / CPT® KO ADJ JNT POS R SUP PRE CST
L1833 0 HCPCS / CPT® KO ADJ JNT POS R SUP PRE OTS
L1834 0 HCPCS / CPT® KO W/0 JOINT RIGID MOLDED TO
L1836 0 HCPCS / CPT® KO RIGID W/O JOINTS PRE OTS
L1840 0 HCPCS / CPT® KO DEROT ANT CRUCIATE CUSTOM
L1843 0 HCPCS / CPT® KO SINGLE UPRIGHT PRE CST
L1844 0 HCPCS / CPT® KO W/ADJ JT ROT CNTRL MOLDED
L1845 0 HCPCS / CPT® KO DOUBLE UPRIGHT PRE CST
L1846 0 HCPCS / CPT® KO W ADJ FLEX/EXT ROTAT MOLD
L1847 0 HCPCS / CPT® KO DBL UPRIGHT W/AIR PRE CST
L1848 0 HCPCS / CPT® KO DBL UPRIGHT W/AIR PRE OTS
L1850 0 HCPCS / CPT® KO SWEDISH TYPE PRE OTS
L1851 0 HCPCS / CPT® KO SINGLE UPRIGHT PREFAB OTS
L1852 0 HCPCS / CPT® KO DOUBLE UPRIGHT PREFAB OTS
L1860 0 HCPCS / CPT® KO SUPRACONDYLAR SOCKET MOLD
L1900 0 HCPCS / CPT® AFO SPRNG WIR DRSFLX CALF BD
L1902 0 HCPCS / CPT® AFO ANKLE GAUNTLET PRE OTS
L1904 0 HCPCS / CPT® AFO MOLDED ANKLE GAUNTLET
L1906 121 HCPCS / CPT® AFO MULTILIG ANK SUP PRE OTS
L1907 0 HCPCS / CPT® AFO SUPRAMALLEOLAR CUSTOM
L1910 0 HCPCS / CPT® AFO SING BAR CLASP ATTACH SH
L1920 0 HCPCS / CPT® AFO SING UPRIGHT W/ ADJUST S
L1930 0 HCPCS / CPT® AFO PLASTIC
L1932 0 HCPCS / CPT® AFO RIG ANT TIB PREFAB TCF/=
L1940 0 HCPCS / CPT® AFO MOLDED TO PATIENT PLASTI
L1945 0 HCPCS / CPT® AFO MOLDED PLAS RIG ANT TIB
L1950 0 HCPCS / CPT® AFO SPIRAL MOLDED TO PT PLAS
L1951 0 HCPCS / CPT® AFO SPIRAL PREFABRICATED
L1960 0 HCPCS / CPT® AFO POS SOLID ANK PLASTIC MO
L1970 0 HCPCS / CPT® AFO PLASTIC MOLDED W/ANKLE J
L1971 0 HCPCS / CPT® AFO W/ANKLE JOINT, PREFAB
L1980 0 HCPCS / CPT® AFO SING SOLID STIRRUP CALF
L1990 0 HCPCS / CPT® AFO DOUB SOLID STIRRUP CALF
L2000 0 HCPCS / CPT® KAFO SING FRE STIRR THI/CALF
L2005 0 HCPCS / CPT® KAFO SNG/DBL MECHANICAL ACT
L2010 0 HCPCS / CPT® KAFO SNG SOLID STIRRUP W/O J
L2020 0 HCPCS / CPT® KAFO DBL SOLID STIRRUP BAND/
L2030 0 HCPCS / CPT® KAFO DBL SOLID STIRRUP W/O J
L2034 0 HCPCS / CPT® KAFO PLA SIN UP W/WO K/A CUS
L2035 0 HCPCS / CPT® KAFO PLASTIC PEDIATRIC SIZE
L2036 0 HCPCS / CPT® KAFO PLAS DOUB FREE KNEE MOL
L2037 0 HCPCS / CPT® KAFO PLAS SING FREE KNEE MOL
L2038 0 HCPCS / CPT® KAFO W/O JOINT MULTI-AXIS AN
L2040 0 HCPCS / CPT® HKAFO TORSION BIL ROT STRAPS
L2050 0 HCPCS / CPT® HKAFO TORSION CABLE HIP PELV
L2060 0 HCPCS / CPT® HKAFO TORSION BALL BEARING J
L2070 0 HCPCS / CPT® HKAFO TORSION UNILAT ROT STR
L2080 0 HCPCS / CPT® HKAFO UNILAT TORSION CABLE
L2090 0 HCPCS / CPT® HKAFO UNILAT TORSION BALL BR
L2106 0 HCPCS / CPT® AFO TIB FX CAST PLASTER MOLD
L2108 0 HCPCS / CPT® AFO TIB FX CAST MOLDED TO PT
L2112 0 HCPCS / CPT® AFO TIBIAL FRACTURE SOFT
L2114 0 HCPCS / CPT® AFO TIB FX SEMI-RIGID
L2116 0 HCPCS / CPT® AFO TIBIAL FRACTURE RIGID
L2126 0 HCPCS / CPT® KAFO FEM FX CAST THERMOPLAS
L2128 0 HCPCS / CPT® KAFO FEM FX CAST MOLDED TO P
L2132 0 HCPCS / CPT® KAFO FEMORAL FX CAST SOFT
L2134 0 HCPCS / CPT® KAFO FEM FX CAST SEMI-RIGID
L2136 0 HCPCS / CPT® KAFO FEMORAL FX CAST RIGID
L2180 0 HCPCS / CPT® PLAS SHOE INSERT W ANK JOINT
L2182 0 HCPCS / CPT® DROP LOCK KNEE
L2184 0 HCPCS / CPT® LIMITED MOTION KNEE JOINT
L2186 0 HCPCS / CPT® ADJ MOTION KNEE JNT LERMAN T
L2188 0 HCPCS / CPT® QUADRILATERAL BRIM
L2190 0 HCPCS / CPT® WAIST BELT
L2192 0 HCPCS / CPT® PELVIC BAND & BELT THIGH FLA
L2200 0 HCPCS / CPT® LIMITED ANKLE MOTION EA JNT
L2210 0 HCPCS / CPT® DORSIFLEXION ASSIST EACH JOI
L2220 0 HCPCS / CPT® DORSI & PLANTAR FLEX ASS/RES
L2230 0 HCPCS / CPT® SPLIT FLAT CALIPER STIRR & P
L2232 0 HCPCS / CPT® ROCKER BOTTOM, CONTACT AFO
L2240 0 HCPCS / CPT® ROUND CALIPER AND PLATE ATTA
L2250 0 HCPCS / CPT® FOOT PLATE MOLDED STIRRUP AT
L2260 0 HCPCS / CPT® REINFORCED SOLID STIRRUP
L2265 0 HCPCS / CPT® LONG TONGUE STIRRUP
L2270 0 HCPCS / CPT® VARUS/VALGUS STRAP PADDED/LI
L2275 0 HCPCS / CPT® PLASTIC MOD LOW EXT PAD/LINE
L2280 0 HCPCS / CPT® MOLDED INNER BOOT
L2300 0 HCPCS / CPT® ABDUCTION BAR JOINTED ADJUST
L2310 0 HCPCS / CPT® ABDUCTION BAR-STRAIGHT
L2320 0 HCPCS / CPT® NON-MOLDED LACER
L2330 0 HCPCS / CPT® LACER MOLDED TO PATIENT MODE
L2335 0 HCPCS / CPT® ANTERIOR SWING BAND
L2340 0 HCPCS / CPT® PRE-TIBIAL SHELL MOLDED TO P
L2350 0 HCPCS / CPT® PROSTHETIC TYPE SOCKET MOLDE
L2360 0 HCPCS / CPT® EXTENDED STEEL SHANK
L2370 0 HCPCS / CPT® PATTEN BOTTOM
L2375 0 HCPCS / CPT® TORSION ANK & HALF SOLID STI
L2380 0 HCPCS / CPT® TORSION STRAIGHT KNEE JOINT
L2385 0 HCPCS / CPT® STRAIGHT KNEE JOINT HEAVY DU
L2387 0 HCPCS / CPT® ADD LE POLY KNEE CUSTOM KAFO
L2390 0 HCPCS / CPT® OFFSET KNEE JOINT EACH
L2395 0 HCPCS / CPT® OFFSET KNEE JOINT HEAVY DUTY
L2397 0 HCPCS / CPT® SUSPENSION SLEEVE LOWER EXT
L2405 0 HCPCS / CPT® KNEE JOINT DROP LOCK EA JNT
L2415 0 HCPCS / CPT® KNEE JOINT CAM LOCK EACH JOI
L2425 0 HCPCS / CPT® KNEE DISC/DIAL LOCK/ADJ FLEX
L2430 0 HCPCS / CPT® KNEE JNT RATCHET LOCK EA JNT
L2492 0 HCPCS / CPT® KNEE LIFT LOOP DROP LOCK RIN
L2500 0 HCPCS / CPT® THI/GLUT/ISCHIA WGT BEARING
L2510 0 HCPCS / CPT® TH/WGHT BEAR QUAD-LAT BRIM M
L2520 0 HCPCS / CPT® TH/WGHT BEAR QUAD-LAT BRIM C
L2525 0 HCPCS / CPT® TH/WGHT BEAR NAR M-L BRIM MO
L2526 0 HCPCS / CPT® TH/WGHT BEAR NAR M-L BRIM CU
L2530 0 HCPCS / CPT® THIGH/WGHT BEAR LACER NON-MO
L2540 0 HCPCS / CPT® THIGH/WGHT BEAR LACER MOLDED
L2550 0 HCPCS / CPT® THIGH/WGHT BEAR HIGH ROLL CU
L2570 0 HCPCS / CPT® HIP CLEVIS TYPE 2 POSIT JNT
L2580 0 HCPCS / CPT® PELVIC CONTROL PELVIC SLING
L2600 0 HCPCS / CPT® HIP CLEVIS/THRUST BEARING FR
L2610 0 HCPCS / CPT® HIP CLEVIS/THRUST BEARING LO
L2620 0 HCPCS / CPT® PELVIC CONTROL HIP HEAVY DUT
L2622 0 HCPCS / CPT® HIP JOINT ADJUSTABLE FLEXION
L2624 0 HCPCS / CPT® HIP ADJ FLEX EXT ABDUCT CONT
L2627 0 HCPCS / CPT® PLASTIC MOLD RECIPRO HIP & C
L2628 0 HCPCS / CPT® METAL FRAME RECIPRO HIP & CA
L2630 0 HCPCS / CPT® PELVIC CONTROL BAND & BELT U
L2640 0 HCPCS / CPT® PELVIC CONTROL BAND & BELT B
L2650 0 HCPCS / CPT® PELV & THOR CONTROL GLUTEAL
L2660 0 HCPCS / CPT® THORACIC CONTROL THORACIC BA
L2670 0 HCPCS / CPT® THORAC CONT PARASPINAL UPRIG
L2680 0 HCPCS / CPT® THORAC CONT LAT SUPPORT UPRI
L2750 0 HCPCS / CPT® PLATING CHROME/NICKEL PR BAR
L2755 0 HCPCS / CPT® CARBON GRAPHITE LAMINATION
L2760 0 HCPCS / CPT® EXTENSION PER EXTENSION PER
L2768 0 HCPCS / CPT® ORTHO SIDEBAR DISCONNECT
L2780 0 HCPCS / CPT® NON-CORROSIVE FINISH
L2785 0 HCPCS / CPT® DROP LOCK RETAINER EACH
L2795 0 HCPCS / CPT® KNEE CONTROL FULL KNEECAP
L2800 0 HCPCS / CPT® KNEE CAP MEDIAL OR LATERAL P
L2810 0 HCPCS / CPT® KNEE CONTROL CONDYLAR PAD
L2820 0 HCPCS / CPT® SOFT INTERFACE BELOW KNEE SE
L2830 0 HCPCS / CPT® SOFT INTERFACE ABOVE KNEE SE
L2840 0 HCPCS / CPT® TIBIAL LENGTH SOCK FX OR EQU
L2850 0 HCPCS / CPT® FEMORAL LGTH SOCK FX OR EQUA
L2861 0 HCPCS / CPT® TORSION MECHANISM KNEE/ANKLE
L2999 0 HCPCS / CPT® LOWER EXTREMITY ORTHOSIS NOS
L3000 0 HCPCS / CPT® FT INSERT UCB BERKELEY SHELL
L3001 0 HCPCS / CPT® FOOT INSERT REMOV MOLDED SPE
L3002 0 HCPCS / CPT® FOOT INSERT PLASTAZOTE OR EQ
L3003 0 HCPCS / CPT® FOOT INSERT SILICONE GEL EAC
L3010 0 HCPCS / CPT® FOOT LONGITUDINAL ARCH SUPPO
L3020 0 HCPCS / CPT® FOOT LONGITUD/METATARSAL SUP
L3030 0 HCPCS / CPT® FOOT ARCH SUPPORT REMOV PREM
L3031 0 HCPCS / CPT® FOOT LAMIN/PREPREG COMPOSITE
L3040 0 HCPCS / CPT® FT ARCH SUPRT PREMOLD LONGIT
L3050 0 HCPCS / CPT® FOOT ARCH SUPP PREMOLD METAT
L3060 0 HCPCS / CPT® FOOT ARCH SUPP LONGITUD/META
L3070 0 HCPCS / CPT® ARCH SUPRT ATT TO SHO LONGIT
L3080 0 HCPCS / CPT® ARCH SUPP ATT TO SHOE METATA
L3090 0 HCPCS / CPT® ARCH SUPP ATT TO SHOE LONG/M
L3100 0 HCPCS / CPT® HALLUS-VALGUS NT DYN PRE OTS
L3140 0 HCPCS / CPT® ABDUCTION ROTATION BAR SHOE
L3150 0 HCPCS / CPT® ABDUCT ROTATION BAR W/O SHOE
L3160 0 HCPCS / CPT® SHOE STYLED POSITIONING DEV
L3170 0 HCPCS / CPT® FOOT PLAS HEEL STABI PRE OTS
L3201 0 HCPCS / CPT® OXFORD W SUPINAT/PRONAT INF
L3202 0 HCPCS / CPT® OXFORD W/ SUPINAT/PRONATOR C
L3203 0 HCPCS / CPT® OXFORD W/ SUPINATOR/PRONATOR
L3204 0 HCPCS / CPT® HIGHTOP W/ SUPP/PRONATOR INF
L3206 0 HCPCS / CPT® HIGHTOP W/ SUPP/PRONATOR CHI
L3207 0 HCPCS / CPT® HIGHTOP W/ SUPP/PRONATOR JUN
L3208 0 HCPCS / CPT® SURGICAL BOOT EACH INFANT
L3209 0 HCPCS / CPT® SURGICAL BOOT EACH CHILD
L3211 0 HCPCS / CPT® SURGICAL BOOT EACH JUNIOR
L3212 0 HCPCS / CPT® BENESCH BOOT PAIR INFANT
L3213 0 HCPCS / CPT® BENESCH BOOT PAIR CHILD
L3214 0 HCPCS / CPT® BENESCH BOOT PAIR JUNIOR
L3215 0 HCPCS / CPT® ORTHOPEDIC FTWEAR LADIES OXF
L3216 0 HCPCS / CPT® ORTHOPED LADIES SHOES DPTH I
L3217 0 HCPCS / CPT® LADIES SHOES HIGHTOP DEPTH I
L3219 0 HCPCS / CPT® ORTHOPEDIC MENS SHOES OXFORD
L3221 0 HCPCS / CPT® ORTHOPEDIC MENS SHOES DPTH I
L3222 0 HCPCS / CPT® MENS SHOES HIGHTOP DEPTH INL
L3224 0 HCPCS / CPT® WOMAN’S SHOE OXFORD BRACE
L3225 0 HCPCS / CPT® MAN’S SHOE OXFORD BRACE
L3230 0 HCPCS / CPT® CUSTOM SHOES DEPTH INLAY
L3250 0 HCPCS / CPT® CUSTOM MOLD SHOE REMOV PROST
L3251 0 HCPCS / CPT® SHOE MOLDED TO PT SILICONE S
L3252 0 HCPCS / CPT® SHOE MOLDED PLASTAZOTE CUST
L3253 0 HCPCS / CPT® SHOE MOLDED PLASTAZOTE CUST
L3254 0 HCPCS / CPT® ORTH FOOT NON-STNDARD SIZE/W
L3255 0 HCPCS / CPT® ORTH FOOT NON-STANDARD SIZE/
L3257 0 HCPCS / CPT® ORTH FOOT ADD CHARGE SPLIT S
L3260 79 HCPCS / CPT® AMBULATORY SURGICAL BOOT EAC
L3265 0 HCPCS / CPT® PLASTAZOTE SANDAL EACH
L3300 0 HCPCS / CPT® SHO LIFT TAPER TO METATARSAL
L3310 0 HCPCS / CPT® SHOE LIFT ELEV HEEL/SOLE NEO
L3320 0 HCPCS / CPT® SHOE LIFT ELEV HEEL/SOLE COR
L3330 0 HCPCS / CPT® LIFTS ELEVATION METAL EXTENS
L3332 0 HCPCS / CPT® SHOE LIFTS TAPERED TO ONE-HA
L3334 0 HCPCS / CPT® SHOE LIFTS ELEVATION HEEL /I
L3340 0 HCPCS / CPT® SHOE WEDGE SACH
L3350 0 HCPCS / CPT® SHOE HEEL WEDGE
L3360 0 HCPCS / CPT® SHOE SOLE WEDGE OUTSIDE SOLE
L3370 0 HCPCS / CPT® SHOE SOLE WEDGE BETWEEN SOLE
L3380 0 HCPCS / CPT® SHOE CLUBFOOT WEDGE
L3390 0 HCPCS / CPT® SHOE OUTFLARE WEDGE
L3400 0 HCPCS / CPT® SHOE METATARSAL BAR WEDGE RO
L3410 0 HCPCS / CPT® SHOE METATARSAL BAR BETWEEN
L3420 0 HCPCS / CPT® FULL SOLE/HEEL WEDGE BTWEEN
L3430 0 HCPCS / CPT® SHO HEEL COUNT PLAST REINFOR
L3440 0 HCPCS / CPT® HEEL LEATHER REINFORCED
L3450 0 HCPCS / CPT® SHOE HEEL SACH CUSHION TYPE
L3455 0 HCPCS / CPT® SHOE HEEL NEW LEATHER STANDA
L3460 0 HCPCS / CPT® SHOE HEEL NEW RUBBER STANDAR
L3465 0 HCPCS / CPT® SHOE HEEL THOMAS WITH WEDGE
L3470 0 HCPCS / CPT® SHOE HEEL THOMAS EXTEND TO B
L3480 0 HCPCS / CPT® SHOE HEEL PAD & DEPRESS FOR
L3485 0 HCPCS / CPT® SHOE HEEL PAD REMOVABLE FOR
L3500 0 HCPCS / CPT® ORTHO SHOE ADD LEATHER INSOL
L3510 0 HCPCS / CPT® ORTHOPEDIC SHOE ADD RUB INSL
L3520 0 HCPCS / CPT® O SHOE ADD FELT W LEATH INSL
L3530 0 HCPCS / CPT® ORTHO SHOE ADD HALF SOLE
L3540 0 HCPCS / CPT® ORTHO SHOE ADD FULL SOLE
L3550 0 HCPCS / CPT® O SHOE ADD STANDARD TOE TAP
L3560 0 HCPCS / CPT® O SHOE ADD HORSESHOE TOE TAP
L3570 0 HCPCS / CPT® O SHOE ADD INSTEP EXTENSION
L3580 0 HCPCS / CPT® O SHOE ADD INSTEP VELCRO CLO
L3590 0 HCPCS / CPT® O SHOE CONVERT TO SOF COUNTE
L3595 0 HCPCS / CPT® ORTHO SHOE ADD MARCH BAR
L3600 0 HCPCS / CPT® TRANS SHOE CALIP PLATE EXIST
L3610 0 HCPCS / CPT® TRANS SHOE CALIPER PLATE NEW
L3620 0 HCPCS / CPT® TRANS SHOE SOLID STIRRUP EXI
L3630 0 HCPCS / CPT® TRANS SHOE SOLID STIRRUP NEW
L3640 0 HCPCS / CPT® SHOE DENNIS BROWNE SPLINT BO
L3649 0 HCPCS / CPT® ORTHOPEDIC SHOE MODIFICA NOS
L3650 0 HCPCS / CPT® SO 8 ABD RESTRAINT PRE OTS
L3660 0 HCPCS / CPT® SO 8 AB RSTR CAN/WEB PRE OTS
L3670 0 HCPCS / CPT® SO ACRO/CLAV CAN WEB PRE OTS
L3671 0 HCPCS / CPT® SO CAP DESIGN W/O JNTS CF
L3674 0 HCPCS / CPT® SO AIRPLANE W/WO JOINT CF
L3675 0 HCPCS / CPT® SO VEST CANVAS/WEB PRE OTS
L3677 0 HCPCS / CPT® SO HARD PLAS STABILI PRE CST
L3678 0 HCPCS / CPT® SO HARD PLAS STABILI PRE OTS
L3702 0 HCPCS / CPT® EO W/O JOINTS CF
L3710 0 HCPCS / CPT® EO ELAS W/METAL JNTS PRE OTS
L3720 0 HCPCS / CPT® FOREARM/ARM CUFFS FREE MOTIO
L3730 0 HCPCS / CPT® FOREARM/ARM CUFFS EXT/FLEX A
L3740 0 HCPCS / CPT® CUFFS ADJ LOCK W/ ACTIVE CON
L3760 0 HCPCS / CPT® EO WITHJOINT, PREFABRICATED
L3762 0 HCPCS / CPT® EO RIGID W/O JOINTS PRE OTS
L3763 0 HCPCS / CPT® EWHO RIGID W/O JNTS CF
L3764 0 HCPCS / CPT® EWHO W/JOINT(S) CF
L3765 0 HCPCS / CPT® EWHFO RIGID W/O JNTS CF
L3766 0 HCPCS / CPT® EWHFO W/JOINT(S) CF
L3806 0 HCPCS / CPT® WHFO W/JOINT(S) CUSTOM FAB
L3807 0 HCPCS / CPT® WHFO W/O JOINTS PRE CST
L3808 0 HCPCS / CPT® WHFO, RIGID W/O JOINTS
L3809 0 HCPCS / CPT® WHFO W/O JOINTS PRE OTS
L3891 0 HCPCS / CPT® TORSION MECHANISM WRIST/ELBO
L3900 0 HCPCS / CPT® HINGE EXTENSION/FLEX WRIST/F
L3901 0 HCPCS / CPT® HINGE EXT/FLEX WRIST FINGER
L3904 0 HCPCS / CPT® WHFO ELECTRIC CUSTOM FITTED
L3905 0 HCPCS / CPT® WHO W/NONTORSION JNT(S) CF
L3906 0 HCPCS / CPT® WHO W/O JOINTS CF
L3908 79 HCPCS / CPT® WHO COCK-UP NONMOLDE PRE OTS
L3912 0 HCPCS / CPT® HFO FLEXION GLOVE PRE OTS
L3913 0 HCPCS / CPT® HFO W/O JOINTS CF
L3915 0 HCPCS / CPT® WHO NONTORSION JNTS PRE CST
L3916 0 HCPCS / CPT® WHO NONTORSION JNTS PRE OTS
L3917 0 HCPCS / CPT® METACARP FX ORTHOSIS PRE CST
L3918 0 HCPCS / CPT® METACARP FX ORTHOSIS PRE OTS
L3919 0 HCPCS / CPT® HO W/O JOINTS CF
L3921 0 HCPCS / CPT® HFO W/JOINT(S) CF
L3923 0 HCPCS / CPT® HFO WITHOUT JOINTS PRE CST
L3924 0 HCPCS / CPT® HFO WITHOUT JOINTS PRE OTS
L3925 0 HCPCS / CPT® FO PIP DIP JNT/SPRNG PRE OTS
L3927 0 HCPCS / CPT® FO PIP DIP NO JT SPR PRE OTS
L3929 0 HCPCS / CPT® HFO NONTORSION JNTS PRE CST
L3930 0 HCPCS / CPT® HFO NONTORSION JNTS PRE OTS
L3931 0 HCPCS / CPT® WHFO NONTORSION JOINT PREFAB
L3933 0 HCPCS / CPT® FO W/O JOINTS CF
L3935 0 HCPCS / CPT® FO NONTORSION JOINT CF
L3956 0 HCPCS / CPT® ADD JOINT UPPER EXT ORTHOSIS
L3960 0 HCPCS / CPT® SEWHO AIRPLAN DESIG ABDU POS
L3961 0 HCPCS / CPT® SEWHO CAP DESIGN W/O JNTS CF
L3962 0 HCPCS / CPT® SEWHO ERBS PALSEY DESIGN ABD
L3967 0 HCPCS / CPT® SEWHO AIRPLANE W/O JNTS CF
L3971 0 HCPCS / CPT® SEWHO CAP DESIGN W/JNT(S) CF
L3973 0 HCPCS / CPT® SEWHO AIRPLANE W/JNT(S) CF
L3975 0 HCPCS / CPT® SEWHFO CAP DESIGN W/O JNT CF
L3976 0 HCPCS / CPT® SEWHFO AIRPLANE W/O JNTS CF
L3977 0 HCPCS / CPT® SEWHFO CAP DESGN W/JNT(S) CF
L3978 0 HCPCS / CPT® SEWHFO AIRPLANE W/JNT(S) CF
L3980 0 HCPCS / CPT® UP EXT FX ORTHOS HUMERAL NOS
L3981 0 HCPCS / CPT® UE FX ORTH SHOUL CAP FOREARM
L3982 0 HCPCS / CPT® UPPER EXT FX ORTHOSIS RAD/UL
L3984 0 HCPCS / CPT® UPPER EXT FX ORTHOSIS WRIST
L3995 0 HCPCS / CPT® SOCK FRACTURE OR EQUAL EACH
L3999 0 HCPCS / CPT® UPPER LIMB ORTHOSIS NOS
L4000 0 HCPCS / CPT® REPL GIRDLE MILWAUKEE ORTH
L4002 0 HCPCS / CPT® REPLACE STRAP, ANY ORTHOSIS
L4010 0 HCPCS / CPT® REPLACE TRILATERAL SOCKET BR
L4020 0 HCPCS / CPT® REPLACE QUADLAT SOCKET BRIM
L4030 0 HCPCS / CPT® REPLACE SOCKET BRIM CUST FIT
L4040 0 HCPCS / CPT® REPLACE MOLDED THIGH LACER
L4045 0 HCPCS / CPT® REPLACE NON-MOLDED THIGH LAC
L4050 0 HCPCS / CPT® REPLACE MOLDED CALF LACER
L4055 0 HCPCS / CPT® REPLACE NON-MOLDED CALF LACE
L4060 0 HCPCS / CPT® REPLACE HIGH ROLL CUFF
L4070 0 HCPCS / CPT® REPLACE PROX & DIST UPRIGHT
L4080 0 HCPCS / CPT® REPL MET BAND KAFO-AFO PROX
L4090 0 HCPCS / CPT® REPL MET BAND KAFO-AFO CALF/
L4100 0 HCPCS / CPT® REPL LEATH CUFF KAFO PROX TH
L4110 0 HCPCS / CPT® REPL LEATH CUFF KAFO-AFO CAL
L4130 0 HCPCS / CPT® REPLACE PRETIBIAL SHELL
L4205 0 HCPCS / CPT® ORTHO DVC REPAIR PER 15 MIN
L4210 0 HCPCS / CPT® ORTH DEV REPAIR/REPL MINOR P
L4350 412 HCPCS / CPT® ANKLE CONTROL ORTHO PRE OTS
L4360 106 HCPCS / CPT® PNEUMAT WALKING BOOT PRE CST
L4361 0 HCPCS / CPT® PNEUMA/VAC WALK BOOT PRE OTS
L4370 0 HCPCS / CPT® PNEUM FULL LEG SPLNT PRE OTS
L4380 114 HCPCS / CPT® PNEUMATIC KNEE SPLINT
L4386 153 HCPCS / CPT® NON-PNEUM WALK BOOT PRE CST
L4387 0 HCPCS / CPT® NON-PNEUM WALK BOOT PRE OTS
L4392 0 HCPCS / CPT® REPLACE AFO SOFT INTERFACE
L4394 0 HCPCS / CPT® REPLACE FOOT DROP SPINT
L4396 0 HCPCS / CPT® STATIC OR DYNAMI AFO PRE CST
L4397 0 HCPCS / CPT® STATIC OR DYNAMI AFO PRE OTS
L4398 0 HCPCS / CPT® FOOT DROP SPLINT PRE OTS
L4631 0 HCPCS / CPT® AFO, WALK BOOT TYPE, CUS FAB
L5000 0 HCPCS / CPT® SHO INSERT W ARCH TOE FILLER
L5010 0 HCPCS / CPT® MOLD SOCKET ANK HGT W/ TOE F
L5020 0 HCPCS / CPT® TIBIAL TUBERCLE HGT W/ TOE F
L5050 0 HCPCS / CPT® ANK SYMES MOLD SCKT SACH FT
L5060 0 HCPCS / CPT® SYMES MET FR LEATH SOCKET AR
L5100 0 HCPCS / CPT® MOLDED SOCKET SHIN SACH FOOT
L5105 0 HCPCS / CPT® PLAST SOCKET JTS/THGH LACER
L5150 0 HCPCS / CPT® MOLD SCKT EXT KNEE SHIN SACH
L5160 0 HCPCS / CPT® MOLD SOCKET BENT KNEE SHIN S
L5200 0 HCPCS / CPT® KNE SING AXIS FRIC SHIN SACH
L5210 0 HCPCS / CPT® NO KNEE/ANKLE JOINTS W/ FT B
L5220 0 HCPCS / CPT® NO KNEE JOINT WITH ARTIC ALI
L5230 0 HCPCS / CPT® FEM FOCAL DEFIC CONSTANT FRI
L5250 0 HCPCS / CPT® HIP CANAD SING AXI CONS FRIC
L5270 0 HCPCS / CPT® TILT TABLE LOCKING HIP SING
L5280 0 HCPCS / CPT® HEMIPELVECT CANAD SING AXIS
L5301 0 HCPCS / CPT® BK MOLD SOCKET SACH FT ENDO
L5312 0 HCPCS / CPT® KNEE DISART, SACH FT, ENDO
L5321 0 HCPCS / CPT® AK OPEN END SACH
L5331 0 HCPCS / CPT® HIP DISART CANADIAN SACH FT
L5341 0 HCPCS / CPT® HEMIPELVECTOMY CANADIAN SACH
L5400 0 HCPCS / CPT® POSTOP DRESS & 1 CAST CHG BK
L5410 0 HCPCS / CPT® POSTOP DSG BK EA ADD CAST CH
L5420 0 HCPCS / CPT® POSTOP DSG & 1 CAST CHG AK/D
L5430 0 HCPCS / CPT® POSTOP DSG AK EA ADD CAST CH
L5450 0 HCPCS / CPT® POSTOP APP NON-WGT BEAR DSG
L5460 0 HCPCS / CPT® POSTOP APP NON-WGT BEAR DSG
L5500 0 HCPCS / CPT® INIT BK PTB PLASTER DIRECT
L5505 0 HCPCS / CPT® INIT AK ISCHAL PLSTR DIRECT
L5510 0 HCPCS / CPT® PREP BK PTB PLASTER MOLDED
L5520 0 HCPCS / CPT® PERP BK PTB THERMOPLS DIRECT
L5530 0 HCPCS / CPT® PREP BK PTB THERMOPLS MOLDED
L5535 0 HCPCS / CPT® PREP BK PTB OPEN END SOCKET
L5540 0 HCPCS / CPT® PREP BK PTB LAMINATED SOCKET
L5560 0 HCPCS / CPT® PREP AK ISCHIAL PLAST MOLDED
L5570 0 HCPCS / CPT® PREP AK ISCHIAL DIRECT FORM
L5580 0 HCPCS / CPT® PREP AK ISCHIAL THERMO MOLD
L5585 0 HCPCS / CPT® PREP AK ISCHIAL OPEN END
L5590 0 HCPCS / CPT® PREP AK ISCHIAL LAMINATED
L5595 0 HCPCS / CPT® HIP DISARTIC SACH THERMOPLS
L5600 0 HCPCS / CPT® HIP DISART SACH LAMINAT MOLD
L5610 0 HCPCS / CPT® ABOVE KNEE HYDRACADENCE
L5611 0 HCPCS / CPT® AK 4 BAR LINK W/FRIC SWING
L5613 0 HCPCS / CPT® AK 4 BAR LING W/HYDRAUL SWIG
L5614 0 HCPCS / CPT® 4-BAR LINK ABOVE KNEE W/SWNG
L5616 0 HCPCS / CPT® AK UNIV MULTIPLEX SYS FRICT
L5617 0 HCPCS / CPT® AK/BK SELF-ALIGNING UNIT EA
L5618 0 HCPCS / CPT® TEST SOCKET SYMES
L5620 0 HCPCS / CPT® TEST SOCKET BELOW KNEE
L5622 0 HCPCS / CPT® TEST SOCKET KNEE DISARTICULA
L5624 0 HCPCS / CPT® TEST SOCKET ABOVE KNEE
L5626 0 HCPCS / CPT® TEST SOCKET HIP DISARTICULAT
L5628 0 HCPCS / CPT® TEST SOCKET HEMIPELVECTOMY
L5629 0 HCPCS / CPT® BELOW KNEE ACRYLIC SOCKET
L5630 0 HCPCS / CPT® SYME TYP EXPANDABL WALL SCKT
L5631 0 HCPCS / CPT® AK/KNEE DISARTIC ACRYLIC SOC
L5632 0 HCPCS / CPT® SYMES TYPE PTB BRIM DESIGN S
L5634 0 HCPCS / CPT® SYMES TYPE POSTER OPENING SO
L5636 0 HCPCS / CPT® SYMES TYPE MEDIAL OPENING SO
L5637 0 HCPCS / CPT® BELOW KNEE TOTAL CONTACT
L5638 0 HCPCS / CPT® BELOW KNEE LEATHER SOCKET
L5639 0 HCPCS / CPT® BELOW KNEE WOOD SOCKET
L5640 0 HCPCS / CPT® KNEE DISARTICULAT LEATHER SO
L5642 0 HCPCS / CPT® ABOVE KNEE LEATHER SOCKET
L5643 0 HCPCS / CPT® HIP FLEX INNER SOCKET EXT FR
L5644 0 HCPCS / CPT® ABOVE KNEE WOOD SOCKET
L5645 0 HCPCS / CPT® BK FLEX INNER SOCKET EXT FRA
L5646 0 HCPCS / CPT® BELOW KNEE CUSHION SOCKET
L5647 0 HCPCS / CPT® BELOW KNEE SUCTION SOCKET
L5648 0 HCPCS / CPT® ABOVE KNEE CUSHION SOCKET
L5649 0 HCPCS / CPT® ISCH CONTAINMT/NARROW M-L SO
L5650 0 HCPCS / CPT® TOT CONTACT AK/KNEE DISART S
L5651 0 HCPCS / CPT® AK FLEX INNER SOCKET EXT FRA
L5652 0 HCPCS / CPT® SUCTION SUSP AK/KNEE DISART
L5653 0 HCPCS / CPT® KNEE DISART EXPAND WALL SOCK
L5654 0 HCPCS / CPT® SOCKET INSERT SYMES
L5655 0 HCPCS / CPT® SOCKET INSERT BELOW KNEE
L5656 0 HCPCS / CPT® SOCKET INSERT KNEE ARTICULAT
L5658 0 HCPCS / CPT® SOCKET INSERT ABOVE KNEE
L5661 0 HCPCS / CPT® MULTI-DUROMETER SYMES
L5665 0 HCPCS / CPT® MULTI-DUROMETER BELOW KNEE
L5666 0 HCPCS / CPT® BELOW KNEE CUFF SUSPENSION
L5668 0 HCPCS / CPT® BK MOLDED DISTAL CUSHION
L5670 0 HCPCS / CPT® BK MOLDED SUPRACONDYLAR SUSP
L5671 0 HCPCS / CPT® BK/AK LOCKING MECHANISM
L5672 0 HCPCS / CPT® BK REMOVABLE MEDIAL BRIM SUS
L5673 0 HCPCS / CPT® SOCKET INSERT W LOCK MECH
L5676 0 HCPCS / CPT® BK KNEE JOINTS SINGLE AXIS P
L5677 0 HCPCS / CPT® BK KNEE JOINTS POLYCENTRIC P
L5678 0 HCPCS / CPT® BK JOINT COVERS PAIR
L5679 0 HCPCS / CPT® SOCKET INSERT W/O LOCK MECH
L5680 0 HCPCS / CPT® BK THIGH LACER NON-MOLDED
L5681 0 HCPCS / CPT® INTL CUSTM CONG/LATYP INSERT
L5682 0 HCPCS / CPT® BK THIGH LACER GLUT/ISCHIA M
L5683 0 HCPCS / CPT® INITIAL CUSTOM SOCKET INSERT
L5684 0 HCPCS / CPT® BK FORK STRAP
L5685 0 HCPCS / CPT® BELOW KNEE SUS/SEAL SLEEVE
L5686 0 HCPCS / CPT® BK BACK CHECK
L5688 0 HCPCS / CPT® BK WAIST BELT WEBBING
L5690 0 HCPCS / CPT® BK WAIST BELT PADDED AND LIN
L5692 0 HCPCS / CPT® AK PELVIC CONTROL BELT LIGHT
L5694 0 HCPCS / CPT® AK PELVIC CONTROL BELT PAD/L
L5695 0 HCPCS / CPT® AK SLEEVE SUSP NEOPRENE/EQUA
L5696 0 HCPCS / CPT® AK/KNEE DISARTIC PELVIC JOIN
L5697 0 HCPCS / CPT® AK/KNEE DISARTIC PELVIC BAND
L5698 0 HCPCS / CPT® AK/KNEE DISARTIC SILESIAN BA
L5699 0 HCPCS / CPT® SHOULDER HARNESS
L5700 0 HCPCS / CPT® REPLACE SOCKET BELOW KNEE
L5701 0 HCPCS / CPT® REPLACE SOCKET ABOVE KNEE
L5702 0 HCPCS / CPT® REPLACE SOCKET HIP
L5703 0 HCPCS / CPT® SYMES ANKLE W/O (SACH) FOOT
L5704 0 HCPCS / CPT® CUSTOM SHAPE COVER BK
L5705 0 HCPCS / CPT® CUSTOM SHAPE COVER AK
L5706 0 HCPCS / CPT® CUSTOM SHAPE CVR KNEE DISART
L5707 0 HCPCS / CPT® CUSTOM SHAPE CVR HIP DISART
L5710 0 HCPCS / CPT® KNE-SHIN EXO SNG AXI MNL LOC
L5711 0 HCPCS / CPT® KNEE-SHIN EXO MNL LOCK ULTRA
L5712 0 HCPCS / CPT® KNEE-SHIN EXO FRICT SWG & ST
L5714 0 HCPCS / CPT® KNEE-SHIN EXO VARIABLE FRICT
L5716 0 HCPCS / CPT® KNEE-SHIN EXO MECH STANCE PH
L5718 0 HCPCS / CPT® KNEE-SHIN EXO FRCT SWG & STA
L5722 0 HCPCS / CPT® KNEE-SHIN PNEUM SWG FRCT EXO
L5724 0 HCPCS / CPT® KNEE-SHIN EXO FLUID SWING PH
L5726 0 HCPCS / CPT® KNEE-SHIN EXT JNTS FLD SWG E
L5728 0 HCPCS / CPT® KNEE-SHIN FLUID SWG & STANCE
L5780 0 HCPCS / CPT® KNEE-SHIN PNEUM/HYDRA PNEUM
L5781 0 HCPCS / CPT® LOWER LIMB PROS VACUUM PUMP
L5782 0 HCPCS / CPT® HD LOW LIMB PROS VACUUM PUMP
L5785 0 HCPCS / CPT® EXOSKELETAL BK ULTRALT MATER
L5790 0 HCPCS / CPT® EXOSKELETAL AK ULTRA-LIGHT M
L5795 0 HCPCS / CPT® EXOSKEL HIP ULTRA-LIGHT MATE
L5810 0 HCPCS / CPT® ENDOSKEL KNEE-SHIN MNL LOCK
L5811 0 HCPCS / CPT® ENDO KNEE-SHIN MNL LCK ULTRA
L5812 0 HCPCS / CPT® ENDO KNEE-SHIN FRCT SWG & ST
L5814 0 HCPCS / CPT® ENDO KNEE-SHIN HYDRAL SWG PH
L5816 0 HCPCS / CPT® ENDO KNEE-SHIN POLYC MCH STA
L5818 0 HCPCS / CPT® ENDO KNEE-SHIN FRCT SWG & ST
L5822 0 HCPCS / CPT® ENDO KNEE-SHIN PNEUM SWG FRC
L5824 0 HCPCS / CPT® ENDO KNEE-SHIN FLUID SWING P
L5826 0 HCPCS / CPT® MINIATURE KNEE JOINT
L5828 0 HCPCS / CPT® ENDO KNEE-SHIN FLUID SWG/STA
L5830 0 HCPCS / CPT® ENDO KNEE-SHIN PNEUM/SWG PHA
L5840 0 HCPCS / CPT® MULTI-AXIAL KNEE/SHIN SYSTEM
L5845 0 HCPCS / CPT® KNEE-SHIN SYS STANCE FLEXION
L5848 0 HCPCS / CPT® KNEE-SHIN SYS HYDRAUL STANCE
L5850 0 HCPCS / CPT® ENDO AK/HIP KNEE EXTENS ASSI
L5855 0 HCPCS / CPT® MECH HIP EXTENSION ASSIST
L5856 0 HCPCS / CPT® ELEC KNEE-SHIN SWING/STANCE
L5857 0 HCPCS / CPT® ELEC KNEE-SHIN SWING ONLY
L5858 0 HCPCS / CPT® STANCE PHASE ONLY
L5859 0 HCPCS / CPT® KNEE-SHIN PRO FLEX/EXT CONT
L5910 0 HCPCS / CPT® ENDO BELOW KNEE ALIGNABLE SY
L5920 0 HCPCS / CPT® ENDO AK/HIP ALIGNABLE SYSTEM
L5925 0 HCPCS / CPT® ABOVE KNEE MANUAL LOCK
L5930 0 HCPCS / CPT® HIGH ACTIVITY KNEE FRAME
L5940 0 HCPCS / CPT® ENDO BK ULTRA-LIGHT MATERIAL
L5950 0 HCPCS / CPT® ENDO AK ULTRA-LIGHT MATERIAL
L5960 0 HCPCS / CPT® ENDO HIP ULTRA-LIGHT MATERIA
L5961 0 HCPCS / CPT® ENDO POLY HIP, PNEU/HYD/ROT
L5962 0 HCPCS / CPT® BELOW KNEE FLEX COVER SYSTEM
L5964 0 HCPCS / CPT® ABOVE KNEE FLEX COVER SYSTEM
L5966 0 HCPCS / CPT® HIP FLEXIBLE COVER SYSTEM
L5968 0 HCPCS / CPT® MULTIAXIAL ANKLE W DORSIFLEX
L5969 0 HCPCS / CPT® AK/FT POWER ASST INCL MOTORS
L5970 0 HCPCS / CPT® FOOT EXTERNAL KEEL SACH FOOT
L5971 0 HCPCS / CPT® SACH FOOT, REPLACEMENT
L5972 0 HCPCS / CPT® FLEXIBLE KEEL FOOT
L5973 0 HCPCS / CPT® ANK-FOOT SYS DORS-PLANT FLEX
L5974 0 HCPCS / CPT® FOOT SINGLE AXIS ANKLE/FOOT
L5975 0 HCPCS / CPT® COMBO ANKLE/FOOT PROSTHESIS
L5976 0 HCPCS / CPT® ENERGY STORING FOOT
L5978 0 HCPCS / CPT® FT PROSTH MULTIAXIAL ANKL/FT
L5979 0 HCPCS / CPT® MULTI-AXIAL ANKLE/FT PROSTH
L5980 0 HCPCS / CPT® FLEX FOOT SYSTEM
L5981 0 HCPCS / CPT® FLEX-WALK SYS LOW EXT PROSTH
L5982 0 HCPCS / CPT® EXOSKELETAL AXIAL ROTATION U
L5984 0 HCPCS / CPT® ENDOSKELETAL AXIAL ROTATION
L5985 0 HCPCS / CPT® LWR EXT DYNAMIC PROSTH PYLON
L5986 0 HCPCS / CPT® MULTI-AXIAL ROTATION UNIT
L5987 0 HCPCS / CPT® SHANK FT W VERT LOAD PYLON
L5988 0 HCPCS / CPT® VERTICAL SHOCK REDUCING PYLO
L5990 0 HCPCS / CPT® USER ADJUSTABLE HEEL HEIGHT
L5999 0 HCPCS / CPT® LOWR EXTREMITY PROSTHES NOS
L6000 0 HCPCS / CPT® PART HAND THUMB REM
L6010 0 HCPCS / CPT® PART HAND LITTLE/RING
L6020 0 HCPCS / CPT® PART HAND NO FINGERS
L6026 0 HCPCS / CPT® PART HAND MYO EXCLU TERM DEV
L6050 0 HCPCS / CPT® WRST MLD SCK FLX HNG TRI PAD
L6055 0 HCPCS / CPT® WRST MOLD SOCK W/EXP INTERFA
L6100 0 HCPCS / CPT® ELB MOLD SOCK FLEX HINGE PAD
L6110 0 HCPCS / CPT® ELBOW MOLD SOCK SUSPENSION T
L6120 0 HCPCS / CPT® ELBOW MOLD DOUB SPLT SOC STE
L6130 0 HCPCS / CPT® ELBOW STUMP ACTIVATED LOCK H
L6200 0 HCPCS / CPT® ELBOW MOLD OUTSID LOCK HINGE
L6205 0 HCPCS / CPT® ELBOW MOLDED W/ EXPAND INTER
L6250 0 HCPCS / CPT® ELBOW INTER LOC ELBOW FORARM
L6300 0 HCPCS / CPT® SHLDER DISART INT LOCK ELBOW
L6310 0 HCPCS / CPT® SHOULDER PASSIVE RESTOR COMP
L6320 0 HCPCS / CPT® SHOULDER PASSIVE RESTOR CAP
L6350 0 HCPCS / CPT® THORACIC INTERN LOCK ELBOW
L6360 0 HCPCS / CPT® THORACIC PASSIVE RESTOR COMP
L6370 0 HCPCS / CPT® THORACIC PASSIVE RESTOR CAP
L6380 0 HCPCS / CPT® POSTOP DSG CAST CHG WRST/ELB
L6382 0 HCPCS / CPT® POSTOP DSG CAST CHG ELB DIS/
L6384 0 HCPCS / CPT® POSTOP DSG CAST CHG SHLDER/T
L6386 0 HCPCS / CPT® POSTOP EA CAST CHG & REALIGN
L6388 0 HCPCS / CPT® POSTOP APPLICAT RIGID DSG ON
L6400 0 HCPCS / CPT® BELOW ELBOW PROSTH TISS SHAP
L6450 0 HCPCS / CPT® ELB DISART PROSTH TISS SHAP
L6500 0 HCPCS / CPT® ABOVE ELBOW PROSTH TISS SHAP
L6550 0 HCPCS / CPT® SHLDR DISAR PROSTH TISS SHAP
L6570 0 HCPCS / CPT® SCAP THORAC PROSTH TISS SHAP
L6580 0 HCPCS / CPT® WRIST/ELBOW BOWDEN CABLE MOL
L6582 0 HCPCS / CPT® WRIST/ELBOW BOWDEN CBL DIR F
L6584 0 HCPCS / CPT® ELBOW FAIR LEAD CABLE MOLDED
L6586 0 HCPCS / CPT® ELBOW FAIR LEAD CABLE DIR FO
L6588 0 HCPCS / CPT® SHDR FAIR LEAD CABLE MOLDED
L6590 0 HCPCS / CPT® SHDR FAIR LEAD CABLE DIRECT
L6600 0 HCPCS / CPT® POLYCENTRIC HINGE PAIR
L6605 0 HCPCS / CPT® SINGLE PIVOT HINGE PAIR
L6610 0 HCPCS / CPT® FLEXIBLE METAL HINGE PAIR
L6611 0 HCPCS / CPT® ADDITIONAL SWITCH, EXT POWER
L6615 0 HCPCS / CPT® DISCONNECT LOCKING WRIST UNI
L6616 0 HCPCS / CPT® DISCONNECT INSERT LOCKING WR
L6620 0 HCPCS / CPT® FLEXION/EXTENSION WRIST UNIT
L6621 0 HCPCS / CPT® FLEX/EXT WRIST W/WO FRICTION
L6623 0 HCPCS / CPT® SPRING-ASS ROT WRST W/ LATCH
L6624 0 HCPCS / CPT® FLEX/EXT/ROTATION WRIST UNIT
L6625 0 HCPCS / CPT® ROTATION WRST W/ CABLE LOCK
L6628 0 HCPCS / CPT® QUICK DISCONN HOOK ADAPTER O
L6629 0 HCPCS / CPT® LAMINATION COLLAR W/ COUPLIN
L6630 0 HCPCS / CPT® STAINLESS STEEL ANY WRIST
L6632 0 HCPCS / CPT® LATEX SUSPENSION SLEEVE EACH
L6635 0 HCPCS / CPT® LIFT ASSIST FOR ELBOW
L6637 0 HCPCS / CPT® NUDGE CONTROL ELBOW LOCK
L6638 0 HCPCS / CPT® ELEC LOCK ON MANUAL PW ELBOW
L6640 0 HCPCS / CPT® SHOULDER ABDUCTION JOINT PAI
L6641 0 HCPCS / CPT® EXCURSION AMPLIFIER PULLEY T
L6642 0 HCPCS / CPT® EXCURSION AMPLIFIER LEVER TY
L6645 0 HCPCS / CPT® SHOULDER FLEXION-ABDUCTION J
L6646 0 HCPCS / CPT® MULTIPO LOCKING SHOULDER JNT
L6647 0 HCPCS / CPT® SHOULDER LOCK ACTUATOR
L6648 0 HCPCS / CPT® EXT PWRD SHLDER LOCK/UNLOCK
L6650 0 HCPCS / CPT® SHOULDER UNIVERSAL JOINT
L6655 0 HCPCS / CPT® STANDARD CONTROL CABLE EXTRA
L6660 0 HCPCS / CPT® HEAVY DUTY CONTROL CABLE
L6665 0 HCPCS / CPT® TEFLON OR EQUAL CABLE LINING
L6670 0 HCPCS / CPT® HOOK TO HAND CABLE ADAPTER
L6672 0 HCPCS / CPT® HARNESS CHEST/SHLDER SADDLE
L6675 0 HCPCS / CPT® HARNESS FIGURE OF 8 SING CON
L6676 0 HCPCS / CPT® HARNESS FIGURE OF 8 DUAL CON
L6677 0 HCPCS / CPT® UE TRIPLE CONTROL HARNESS
L6680 0 HCPCS / CPT® TEST SOCK WRIST DISART/BEL E
L6682 0 HCPCS / CPT® TEST SOCK ELBW DISART/ABOVE
L6684 0 HCPCS / CPT® TEST SOCKET SHLDR DISART/THO
L6686 0 HCPCS / CPT® SUCTION SOCKET
L6687 0 HCPCS / CPT® FRAME TYP SOCKET BEL ELBOW/W
L6688 0 HCPCS / CPT® FRAME TYP SOCK ABOVE ELB/DIS
L6689 0 HCPCS / CPT® FRAME TYP SOCKET SHOULDER DI
L6690 0 HCPCS / CPT® FRAME TYP SOCK INTERSCAP-THO
L6691 0 HCPCS / CPT® REMOVABLE INSERT EACH
L6692 0 HCPCS / CPT® SILICONE GEL INSERT OR EQUAL
L6693 0 HCPCS / CPT® LOCKINGELBOW FOREARM CNTRBAL
L6694 0 HCPCS / CPT® ELBOW SOCKET INS USE W/LOCK
L6695 0 HCPCS / CPT® ELBOW SOCKET INS USE W/O LCK
L6696 0 HCPCS / CPT® CUS ELBO SKT IN FOR CON/ATYP
L6697 0 HCPCS / CPT® CUS ELBO SKT IN NOT CON/ATYP
L6698 0 HCPCS / CPT® BELOW/ABOVE ELBOW LOCK MECH
L6703 0 HCPCS / CPT® TERM DEV, PASSIVE HAND MITT
L6704 0 HCPCS / CPT® TERM DEV, SPORT/REC/WORK ATT
L6706 0 HCPCS / CPT® TERM DEV MECH HOOK VOL OPEN
L6707 0 HCPCS / CPT® TERM DEV MECH HOOK VOL CLOSE
L6708 0 HCPCS / CPT® TERM DEV MECH HAND VOL OPEN
L6709 0 HCPCS / CPT® TERM DEV MECH HAND VOL CLOSE
L6711 0 HCPCS / CPT® PED TERM DEV, HOOK, VOL OPEN
L6712 0 HCPCS / CPT® PED TERM DEV, HOOK, VOL CLOS
L6713 0 HCPCS / CPT® PED TERM DEV, HAND, VOL OPEN
L6714 0 HCPCS / CPT® PED TERM DEV, HAND, VOL CLOS
L6715 0 HCPCS / CPT® TERM DEVICE, MULTI ART DIGIT
L6721 0 HCPCS / CPT® HOOK/HAND, HVY DTY, VOL OPEN
L6722 0 HCPCS / CPT® HOOK/HAND, HVY DTY, VOL CLOS
L6805 0 HCPCS / CPT® TERM DEV MODIFIER WRIST UNIT
L6810 0 HCPCS / CPT® TERM DEV PRECISION PINCH DEV
L6880 0 HCPCS / CPT® ELEC HAND IND ART DIGITS
L6881 0 HCPCS / CPT® TERM DEV AUTO GRASP FEATURE
L6882 0 HCPCS / CPT® MICROPROCESSOR CONTROL UPLMB
L6883 0 HCPCS / CPT® REPLC SOCKT BELOW E/W DISA
L6884 0 HCPCS / CPT® REPLC SOCKT ABOVE ELBOW DISA
L6885 0 HCPCS / CPT® REPLC SOCKT SHLDR DIS/INTERC
L6890 0 HCPCS / CPT® PREFAB GLOVE FOR TERM DEVICE
L6895 0 HCPCS / CPT® CUSTOM GLOVE FOR TERM DEVICE
L6900 0 HCPCS / CPT® HAND RESTORAT THUMB/1 FINGER
L6905 0 HCPCS / CPT® HAND RESTORATION MULTIPLE FI
L6910 0 HCPCS / CPT® HAND RESTORATION NO FINGERS
L6915 0 HCPCS / CPT® HAND RESTORATION REPLACMNT G
L6920 0 HCPCS / CPT® WRIST DISARTICUL SWITCH CTRL
L6925 0 HCPCS / CPT® WRIST DISART MYOELECTRONIC C
L6930 0 HCPCS / CPT® BELOW ELBOW SWITCH CONTROL
L6935 0 HCPCS / CPT® BELOW ELBOW MYOELECTRONIC CT
L6940 0 HCPCS / CPT® ELBOW DISARTICULATION SWITCH
L6945 0 HCPCS / CPT® ELBOW DISART MYOELECTRONIC C
L6950 0 HCPCS / CPT® ABOVE ELBOW SWITCH CONTROL
L6955 0 HCPCS / CPT® ABOVE ELBOW MYOELECTRONIC CT
L6960 0 HCPCS / CPT® SHLDR DISARTIC SWITCH CONTRO
L6965 0 HCPCS / CPT® SHLDR DISARTIC MYOELECTRONIC
L6970 0 HCPCS / CPT® INTERSCAPULAR-THOR SWITCH CT
L6975 0 HCPCS / CPT® INTERSCAP-THOR MYOELECTRONIC
L7007 0 HCPCS / CPT® ADULT ELECTRIC HAND
L7008 0 HCPCS / CPT® PEDIATRIC ELECTRIC HAND
L7009 0 HCPCS / CPT® ADULT ELECTRIC HOOK
L7040 0 HCPCS / CPT® PREHENSILE ACTUATOR
L7045 0 HCPCS / CPT® PEDIATRIC ELECTRIC HOOK
L7170 0 HCPCS / CPT® ELECTRONIC ELBOW HOSMER SWIT
L7180 0 HCPCS / CPT® ELECTRONIC ELBOW SEQUENTIAL
L7181 0 HCPCS / CPT® ELECTRONIC ELBO SIMULTANEOUS
L7185 0 HCPCS / CPT® ELECTRON ELBOW ADOLESCENT SW
L7186 0 HCPCS / CPT® ELECTRON ELBOW CHILD SWITCH
L7190 0 HCPCS / CPT® ELBOW ADOLESCENT MYOELECTRON
L7191 0 HCPCS / CPT® ELBOW CHILD MYOELECTRONIC CT
L7259 0 HCPCS / CPT® ELECTRONIC WRIST ROTATOR ANY
L7360 0 HCPCS / CPT® SIX VOLT BAT OTTO BOCK/EQ EA
L7362 0 HCPCS / CPT® BATTERY CHRGR SIX VOLT OTTO
L7364 0 HCPCS / CPT® TWELVE VOLT BATTERY UTAH/EQU
L7366 0 HCPCS / CPT® BATTERY CHRGR 12 VOLT UTAH/E
L7367 0 HCPCS / CPT® REPLACEMNT LITHIUM IONBATTER
L7368 0 HCPCS / CPT® LITHIUM ION BATTERY CHARGER
L7400 0 HCPCS / CPT® ADD UE PROST BE/WD, ULTLITE
L7401 0 HCPCS / CPT® ADD UE PROST A/E ULTLITE MAT
L7402 0 HCPCS / CPT® ADD UE PROST S/D ULTLITE MAT
L7403 0 HCPCS / CPT® ADD UE PROST B/E ACRYLIC
L7404 0 HCPCS / CPT® ADD UE PROST A/E ACRYLIC
L7405 0 HCPCS / CPT® ADD UE PROST S/D ACRYLIC
L7499 0 HCPCS / CPT® UPPER EXTREMITY PROSTHES NOS
L7510 0 HCPCS / CPT® PROSTHETIC DEVICE REPAIR REP
L7520 0 HCPCS / CPT® REPAIR PROSTHESIS PER 15 MIN
L7600 0 HCPCS / CPT® PROSTHETIC DONNING SLEEVE
L7900 0 HCPCS / CPT® MALE VACUUM ERECTION SYSTEM
L7902 0 HCPCS / CPT® TENSION RING, VAC ERECT DEV
L8000 0 HCPCS / CPT® MASTECTOMY BRA
L8001 0 HCPCS / CPT® BREAST PROSTHESIS BRA & FORM
L8002 0 HCPCS / CPT® BRST PRSTH BRA & BILAT FORM
L8010 0 HCPCS / CPT® MASTECTOMY SLEEVE
L8015 0 HCPCS / CPT® EXT BREASTPROSTHESIS GARMENT
L8020 0 HCPCS / CPT® MASTECTOMY FORM
L8030 0 HCPCS / CPT® BREAST PROSTHES W/O ADHESIVE
L8031 0 HCPCS / CPT® BREAST PROSTHESIS W ADHESIVE
L8032 0 HCPCS / CPT® REUSABLE NIPPLE PROSTHESIS
L8035 0 HCPCS / CPT® CUSTOM BREAST PROSTHESIS
L8039 0 HCPCS / CPT® BREAST PROSTHESIS NOS
L8040 0 HCPCS / CPT® NASAL PROSTHESIS
L8041 0 HCPCS / CPT® MIDFACIAL PROSTHESIS
L8042 0 HCPCS / CPT® ORBITAL PROSTHESIS
L8043 0 HCPCS / CPT® UPPER FACIAL PROSTHESIS
L8044 0 HCPCS / CPT® HEMI-FACIAL PROSTHESIS
L8045 0 HCPCS / CPT® AURICULAR PROSTHESIS
L8046 0 HCPCS / CPT® PARTIAL FACIAL PROSTHESIS
L8047 0 HCPCS / CPT® NASAL SEPTAL PROSTHESIS
L8048 0 HCPCS / CPT® UNSPEC MAXILLOFACIAL PROSTH
L8049 0 HCPCS / CPT® REPAIR MAXILLOFACIAL PROSTH
L8300 0 HCPCS / CPT® TRUSS SINGLE W/ STANDARD PAD
L8310 0 HCPCS / CPT® TRUSS DOUBLE W/ STANDARD PAD
L8320 0 HCPCS / CPT® TRUSS ADDITION TO STD PAD WA
L8330 0 HCPCS / CPT® TRUSS ADD TO STD PAD SCROTAL
L8400 0 HCPCS / CPT® SHEATH BELOW KNEE
L8410 0 HCPCS / CPT® SHEATH ABOVE KNEE
L8415 0 HCPCS / CPT® SHEATH UPPER LIMB
L8417 0 HCPCS / CPT® PROS SHEATH/SOCK W GEL CUSHN
L8420 0 HCPCS / CPT® PROSTHETIC SOCK MULTI PLY BK
L8430 0 HCPCS / CPT® PROSTHETIC SOCK MULTI PLY AK
L8435 0 HCPCS / CPT® PROS SOCK MULTI PLY UPPER LM
L8440 0 HCPCS / CPT® SHRINKER BELOW KNEE
L8460 0 HCPCS / CPT® SHRINKER ABOVE KNEE
L8465 0 HCPCS / CPT® SHRINKER UPPER LIMB
L8470 0 HCPCS / CPT® PROS SOCK SINGLE PLY BK
L8480 0 HCPCS / CPT® PROS SOCK SINGLE PLY AK
L8485 0 HCPCS / CPT® PROS SOCK SINGLE PLY UPPER L
L8499 0 HCPCS / CPT® UNLISTED MISC PROSTHETIC SER
L8500 0 HCPCS / CPT® ARTIFICIAL LARYNX
L8501 0 HCPCS / CPT® TRACHEOSTOMY SPEAKING VALVE
L8505 0 HCPCS / CPT® ARTIFICIAL LARYNX, ACCESSORY
L8507 0 HCPCS / CPT® TRACH-ESOPH VOICE PROS PT IN
L8509 0 HCPCS / CPT® TRACH-ESOPH VOICE PROS MD IN
L8510 0 HCPCS / CPT® VOICE AMPLIFIER
L8511 0 HCPCS / CPT® INDWELLING TRACH INSERT
L8512 0 HCPCS / CPT® GEL CAP FOR TRACH VOICE PROS
L8513 0 HCPCS / CPT® TRACH PROS CLEANING DEVICE
L8514 0 HCPCS / CPT® REPL TRACH PUNCTURE DILATOR
L8515 0 HCPCS / CPT® GEL CAP APP DEVICE FOR TRACH
L8600 0 HCPCS / CPT® IMPLANT BREAST SILICONE/EQ
L8603 0 HCPCS / CPT® COLLAGEN IMP URINARY 2.5 ML
L8604 0 HCPCS / CPT® DEXTRANOMER/HYALURONIC ACID
L8605 0 HCPCS / CPT® INJ BULKING AGENT ANAL CANAL
L8606 0 HCPCS / CPT® SYNTHETIC IMPLNT URINARY 1ML
L8607 0 HCPCS / CPT® INJ VOCAL CORD BULKING AGENT
L8609 0 HCPCS / CPT® ARTIFICIAL CORNEA
L8610 0 HCPCS / CPT® OCULAR IMPLANT
L8612 0 HCPCS / CPT® AQUEOUS SHUNT PROSTHESIS
L8613 0 HCPCS / CPT® OSSICULAR IMPLANT
L8614 0 HCPCS / CPT® COCHLEAR DEVICE
L8615 0 HCPCS / CPT® COCH IMPLANT HEADSET REPLACE
L8616 0 HCPCS / CPT® COCH IMPLANT MICROPHONE REPL
L8617 0 HCPCS / CPT® COCH IMPLANT TRANS COIL REPL
L8618 0 HCPCS / CPT® COCH IMPLANT TRAN CABLE REPL
L8619 0 HCPCS / CPT® COCH IMP EXT PROC/CONTR RPLC
L8621 0 HCPCS / CPT® REPL ZINC AIR BATTERY
L8622 0 HCPCS / CPT® REPL ALKALINE BATTERY
L8623 0 HCPCS / CPT® LITH ION BATT CID,NON-EARLVL
L8624 0 HCPCS / CPT® LITH ION BATT CID, EAR LEVEL
L8627 0 HCPCS / CPT® CID EXT SPEECH PROCESS REPL
L8628 0 HCPCS / CPT® CID EXT CONTROLLER REPL
L8629 0 HCPCS / CPT® CID TRANSMIT COIL AND CABLE
L8630 0 HCPCS / CPT® METACARPOPHALANGEAL IMPLANT
L8631 0 HCPCS / CPT® MCP JOINT REPL 2 PC OR MORE
L8641 0 HCPCS / CPT® METATARSAL JOINT IMPLANT
L8642 0 HCPCS / CPT® HALLUX IMPLANT
L8658 0 HCPCS / CPT® INTERPHALANGEAL JOINT SPACER
L8659 0 HCPCS / CPT® INTERPHALANGEAL JOINT REPL
L8670 0 HCPCS / CPT® VASCULAR GRAFT, SYNTHETIC
L8679 0 HCPCS / CPT® IMP NEUROSTI PLS GN ANY TYPE
L8680 0 HCPCS / CPT® IMPLT NEUROSTIM ELCTR EACH
Default Fee Schedule Part 6
Default Fee Schedule Part 6 150 150 bellaireurgent

Default Fee Schedule Part 6

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Code Price Type Description
L8681 0 HCPCS / CPT® PT PRGRM FOR IMPLT NEUROSTIM
L8682 0 HCPCS / CPT® IMPLT NEUROSTIM RADIOFQ REC
L8683 0 HCPCS / CPT® RADIOFQ TRSMTR FOR IMPLT NEU
L8684 0 HCPCS / CPT® RADIOF TRSMTR IMPLT SCRL NEU
L8685 0 HCPCS / CPT® IMPLT NROSTM PLS GEN SNG REC
L8686 0 HCPCS / CPT® IMPLT NROSTM PLS GEN SNG NON
L8687 0 HCPCS / CPT® IMPLT NROSTM PLS GEN DUA REC
L8688 0 HCPCS / CPT® IMPLT NROSTM PLS GEN DUA NON
L8689 0 HCPCS / CPT® EXTERNAL RECHARG SYS INTERN
L8690 0 HCPCS / CPT® AUD OSSEO DEV, INT/EXT COMP
L8691 0 HCPCS / CPT® OSSEOINTEGRATED SND PROC RPL
L8692 0 HCPCS / CPT® NON-OSSEOINTEGRATED SND PROC
L8693 0 HCPCS / CPT® AUD OSSEO DEV, ABUTMENT
L8695 0 HCPCS / CPT® EXTERNAL RECHARG SYS EXTERN
L8696 0 HCPCS / CPT® EXT ANTENNA PHREN NERVE STIM
L8699 0 HCPCS / CPT® PROSTHETIC IMPLANT NOS
L9900 0 HCPCS / CPT® O&P SUPPLY/ACCESSORY/SERVICE
M0075 0 HCPCS / CPT® CELLULAR THERAPY
M0076 0 HCPCS / CPT® PROLOTHERAPY
M0100 0 HCPCS / CPT® INTRAGASTRIC HYPOTHERMIA
M0300 0 HCPCS / CPT® IV CHELATIONTHERAPY
M0301 0 HCPCS / CPT® FABRIC WRAPPING OF ANEURYSM
P2028 0 HCPCS / CPT® CEPHALIN FLOCULATION TEST
P2029 0 HCPCS / CPT® CONGO RED BLOOD TEST
P2031 0 HCPCS / CPT® HAIR ANALYSIS
P2033 0 HCPCS / CPT® BLOOD THYMOL TURBIDITY
P2038 0 HCPCS / CPT® BLOOD MUCOPROTEIN
P3000 75 HCPCS / CPT® SCREEN PAP BY TECH W MD SUPV
P3001 0 HCPCS / CPT® SCREENING PAP SMEAR BY PHYS
P7001 81 HCPCS / CPT® CULTURE BACTERIAL URINE
P9010 0 HCPCS / CPT® WHOLE BLOOD FOR TRANSFUSION
P9011 0 HCPCS / CPT® BLOOD SPLIT UNIT
P9012 0 HCPCS / CPT® CRYOPRECIPITATE EACH UNIT
P9016 0 HCPCS / CPT® RBC LEUKOCYTES REDUCED
P9017 0 HCPCS / CPT® PLASMA 1 DONOR FRZ W/IN 8 HR
P9019 0 HCPCS / CPT® PLATELETS, EACH UNIT
P9020 0 HCPCS / CPT® PLAELET RICH PLASMA UNIT
P9021 0 HCPCS / CPT® RED BLOOD CELLS UNIT
P9022 0 HCPCS / CPT® WASHED RED BLOOD CELLS UNIT
P9023 0 HCPCS / CPT® FROZEN PLASMA, POOLED, SD
P9031 0 HCPCS / CPT® PLATELETS LEUKOCYTES REDUCED
P9032 0 HCPCS / CPT® PLATELETS, IRRADIATED
P9033 0 HCPCS / CPT® PLATELETS LEUKOREDUCED IRRAD
P9034 0 HCPCS / CPT® PLATELETS, PHERESIS
P9035 0 HCPCS / CPT® PLATELET PHERES LEUKOREDUCED
P9036 0 HCPCS / CPT® PLATELET PHERESIS IRRADIATED
P9037 0 HCPCS / CPT® PLATE PHERES LEUKOREDU IRRAD
P9038 0 HCPCS / CPT® RBC IRRADIATED
P9039 0 HCPCS / CPT® RBC DEGLYCEROLIZED
P9040 0 HCPCS / CPT® RBC LEUKOREDUCED IRRADIATED
P9041 0 HCPCS / CPT® ALBUMIN (HUMAN),5%, 50ML
P9043 0 HCPCS / CPT® PLASMA PROTEIN FRACT,5%,50ML
P9044 0 HCPCS / CPT® CRYOPRECIPITATEREDUCEDPLASMA
P9045 0 HCPCS / CPT® ALBUMIN (HUMAN), 5%, 250 ML
P9046 0 HCPCS / CPT® ALBUMIN (HUMAN), 25%, 20 ML
P9047 0 HCPCS / CPT® ALBUMIN (HUMAN), 25%, 50ML
P9048 0 HCPCS / CPT® PLASMAPROTEIN FRACT,5%,250ML
P9050 0 HCPCS / CPT® GRANULOCYTES, PHERESIS UNIT
P9051 0 HCPCS / CPT® BLOOD, L/R, CMV-NEG
P9052 0 HCPCS / CPT® PLATELETS, HLA-M, L/R, UNIT
P9053 0 HCPCS / CPT® PLT, PHER, L/R CMV-NEG, IRR
P9054 0 HCPCS / CPT® BLOOD, L/R, FROZ/DEGLY/WASH
P9055 0 HCPCS / CPT® PLT, APH/PHER, L/R, CMV-NEG
P9056 0 HCPCS / CPT® BLOOD, L/R, IRRADIATED
P9057 0 HCPCS / CPT® RBC, FRZ/DEG/WSH, L/R, IRRAD
P9058 0 HCPCS / CPT® RBC, L/R, CMV-NEG, IRRAD
P9059 0 HCPCS / CPT® PLASMA, FRZ BETWEEN 8-24HOUR
P9060 0 HCPCS / CPT® FR FRZ PLASMA DONOR RETESTED
P9070 0 HCPCS / CPT® PATHOGEN REDUCED PLASMA POOL
P9071 0 HCPCS / CPT® PATHOGEN REDUCED PLASMA SING
P9072 0 HCPCS / CPT® PLATE PATH RED/RAPID BAC TES
P9603 0 HCPCS / CPT® ONE-WAY ALLOW PRORATED MILES
P9604 0 HCPCS / CPT® ONE-WAY ALLOW PRORATED TRIP
P9612 161 HCPCS / CPT® CATHETERIZE FOR URINE SPEC
P9615 0 HCPCS / CPT® URINE SPECIMEN COLLECT MULT
Q0035 0 HCPCS / CPT® CARDIOKYMOGRAPHY
Q0081 0 HCPCS / CPT® INFUSION THER OTHER THAN CHE
Q0083 0 HCPCS / CPT® CHEMO BY OTHER THAN INFUSION
Q0084 0 HCPCS / CPT® CHEMOTHERAPY BY INFUSION
Q0085 0 HCPCS / CPT® CHEMO BY BOTH INFUSION AND O
Q0091 0 HCPCS / CPT® OBTAINING SCREEN PAP SMEAR
Q0092 0 HCPCS / CPT® SET UP PORT XRAY EQUIPMENT
Q0111 27 HCPCS / CPT® WET MOUNTS/ W PREPARATIONS
Q0112 0 HCPCS / CPT® POTASSIUM HYDROXIDE PREPS
Q0113 0 HCPCS / CPT® PINWORM EXAMINATIONS
Q0114 0 HCPCS / CPT® FERN TEST
Q0115 0 HCPCS / CPT® POST-COITAL MUCOUS EXAM
Q0138 0 HCPCS / CPT® FERUMOXYTOL, NON-ESRD
Q0139 0 HCPCS / CPT® FERUMOXYTOL, ESRD USE
Q0144 0 HCPCS / CPT® AZITHROMYCIN DIHYDRATE, ORAL
Q0161 0 HCPCS / CPT® CHLORPROMAZINE HCL 5MG ORAL
Q0162 150 HCPCS / CPT® ONDANSETRON ORAL
Q0163 0 HCPCS / CPT® DIPHENHYDRAMINE HCL 50MG
Q0164 0 HCPCS / CPT® PROCHLORPERAZINE MALEATE 5MG
Q0166 0 HCPCS / CPT® GRANISETRON HCL 1 MG ORAL
Q0167 0 HCPCS / CPT® DRONABINOL 2.5MG ORAL
Q0169 0 HCPCS / CPT® PROMETHAZINE HCL 12.5MG ORAL
Q0173 0 HCPCS / CPT® TRIMETHOBENZAMIDE HCL 250MG
Q0174 0 HCPCS / CPT® THIETHYLPERAZINE MALEATE10MG
Q0175 0 HCPCS / CPT® PERPHENAZINE 4MG ORAL
Q0177 0 HCPCS / CPT® HYDROXYZINE PAMOATE 25MG
Q0180 0 HCPCS / CPT® DOLASETRON MESYLATE ORAL
Q0181 0 HCPCS / CPT® UNSPECIFIED ORAL ANTI-EMETIC
Q0478 0 HCPCS / CPT® POWER ADAPTER, COMBO VAD
Q0479 0 HCPCS / CPT® POWER MODULE COMBO VAD, REP
Q0480 0 HCPCS / CPT® DRIVER PNEUMATIC VAD, REP
Q0481 0 HCPCS / CPT® MICROPRCSR CU ELEC VAD, REP
Q0482 0 HCPCS / CPT® MICROPRCSR CU COMBO VAD, REP
Q0483 0 HCPCS / CPT® MONITOR ELEC VAD, REP
Q0484 0 HCPCS / CPT® MONITOR ELEC OR COMB VAD REP
Q0485 0 HCPCS / CPT® MONITOR CABLE ELEC VAD, REP
Q0486 0 HCPCS / CPT® MON CABLE ELEC/PNEUM VAD REP
Q0487 0 HCPCS / CPT® LEADS ANY TYPE VAD, REP ONLY
Q0488 0 HCPCS / CPT® PWR PACK BASE ELEC VAD, REP
Q0489 0 HCPCS / CPT® PWR PCK BASE COMBO VAD, REP
Q0490 0 HCPCS / CPT® EMR PWR SOURCE ELEC VAD, REP
Q0491 0 HCPCS / CPT® EMR PWR SOURCE COMBO VAD REP
Q0492 0 HCPCS / CPT® EMR PWR CBL ELEC VAD, REP
Q0493 0 HCPCS / CPT® EMR PWR CBL COMBO VAD, REP
Q0494 0 HCPCS / CPT® EMR HD PMP ELEC/COMBO, REP
Q0495 0 HCPCS / CPT® CHARGER ELEC/COMBO VAD, REP
Q0496 0 HCPCS / CPT® BATTERY ELEC/COMBO VAD, REP
Q0497 0 HCPCS / CPT® BAT CLPS ELEC/COMB VAD, REP
Q0498 0 HCPCS / CPT® HOLSTER ELEC/COMBO VAD, REP
Q0499 0 HCPCS / CPT® BELT/VEST ELEC/COMBO VAD REP
Q0500 0 HCPCS / CPT® FILTERS ELEC/COMBO VAD, REP
Q0501 0 HCPCS / CPT® SHWR COV ELEC/COMBO VAD, REP
Q0502 0 HCPCS / CPT® MOBILITY CART PNEUM VAD, REP
Q0503 0 HCPCS / CPT® BATTERY PNEUM VAD REPLACEMNT
Q0504 0 HCPCS / CPT® PWR ADPT PNEUM VAD, REP VEH
Q0506 0 HCPCS / CPT® LITH-ION BATT ELEC/PNEUM VAD
Q0507 0 HCPCS / CPT® MISC SUP/ACC EXT VAD
Q0508 0 HCPCS / CPT® MIS SUP/ACC IMP VAD
Q0509 0 HCPCS / CPT® MIS SUP/AC IMP VAD NOPAY MED
Q0510 0 HCPCS / CPT® DISPENS FEE IMMUNOSUPRESSIVE
Q0511 0 HCPCS / CPT® SUP FEE ANTIEM,ANTICA,IMMUNO
Q0512 0 HCPCS / CPT® PX SUP FEE ANTI-CAN SUB PRES
Q0513 0 HCPCS / CPT® DISP FEE INHAL DRUGS/30 DAYS
Q0514 0 HCPCS / CPT® DISP FEE INHAL DRUGS/90 DAYS
Q0515 0 HCPCS / CPT® SERMORELIN ACETATE INJECTION
Q1004 0 HCPCS / CPT® NTIOL CATEGORY 4
Q1005 0 HCPCS / CPT® NTIOL CATEGORY 5
Q2004 0 HCPCS / CPT® BLADDER CALCULI IRRIG SOL
Q2009