Default Fee Schedules Part 1

Default Fee Schedules

Code Price Type Description
10060 1690 HCPCS / CPT® INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS,
10061 1404 HCPCS / CPT® INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS
10080 1690 HCPCS / CPT® INCISION AND DRAINAGE OF PILONIDAL CYST; SIMPLE
10081 1536 HCPCS / CPT® INCISION AND DRAINAGE OF PILONIDAL CYST; COMPLICATED
10120 1182 HCPCS / CPT® REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE
10121 1530 HCPCS / CPT® INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; COMPLICATED
10160 1298 HCPCS / CPT® PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST
11011 1239 HCPCS / CPT® DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTUR
11040 1998 HCPCS / CPT® DBRDMT, SKIN, PARTIAL THICK
11042 330 HCPCS / CPT® DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED);
11200 1267 HCPCS / CPT® REMOVAL OF SKIN TAGS
11404 1757 HCPCS / CPT® EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED
11730 1264 HCPCS / CPT® AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; SINGLE
11740 1275 HCPCS / CPT® EVACUATION OF SUBUNGUAL HEMATOMA
11750 1483 HCPCS / CPT® EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE, (EG, INGROWN OR DEFORMED
11760 1483 HCPCS / CPT® REPAIR OF NAIL BED
11765 1310 HCPCS / CPT® WEDGE EXCISION OF SKIN OF NAIL FOLD (EG, FOR INGROWN TOENAIL)
11771 1270 HCPCS / CPT® EXCISION OF PILONIDAL CYST OR SINUS; EXTENSIVE
12001 1386 HCPCS / CPT® SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA,
12002 1451 HCPCS / CPT® SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL
12004 1598 HCPCS / CPT® SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL
12005 1598 HCPCS / CPT® SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL
12011 1690 HCPCS / CPT® SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR
12013 1478 HCPCS / CPT® SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR
12014 1663 HCPCS / CPT® SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR
12020 1291 HCPCS / CPT® TREATMENT OF SUPERFICIAL WOUND DEHISCENCE; SIMPLE CLOSURE
12031 1458 HCPCS / CPT® Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms,
12032 1692 HCPCS / CPT® Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, a
12034 1643 HCPCS / CPT® Repair of wound (7.6 to 12.5 centimeters) of the scalp, underarms, trunk, arms,
12035 1289 HCPCS / CPT® Repair of wound (12.6 to 20.0 centimeters) of the scalp, underarms, trunk, arms,
12036 1693 HCPCS / CPT® Repair of wound (20.1 to 30.0 centimeters) of the scalp, underarms, trunk, arms,
12041 0 HCPCS / CPT® REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 2.5
12042 780 HCPCS / CPT® REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA;
12044 1693 HCPCS / CPT® REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 7.6
12045 1691 HCPCS / CPT® REPAIR INTERMIEDIAT N/H/F /XTRNAL GEN 12.6-20 CM
12051 1540 HCPCS / CPT® REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS ME
12052 644 HCPCS / CPT® REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS ME
12053 1870 HCPCS / CPT® REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS ME
12054 1786 HCPCS / CPT® REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS ME
12405 1691 HCPCS / CPT® REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 12.
13121 2124 HCPCS / CPT® REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 2.6 CM TO 7.5 CM
13122 1483 HCPCS / CPT® REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; EACH ADDITIONAL 5 CM OR LESS (LIST
13132 2329 HCPCS / CPT® REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS
13151 1959 HCPCS / CPT® REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.1 CM TO 2.5 CM
13152 2664 HCPCS / CPT® REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 2.6 CM TO 7.5 CM
13153 1608 HCPCS / CPT® REPAIR COMPLEX EYELID/NOSE/EAR/LIP EA 4 CM<
15850 1594 HCPCS / CPT® REMOVAL OF SUTURES UNDER ANESTHESIA (OTHER THAN LOCAL), SAME SURGEON
16000 1249 HCPCS / CPT® INITIAL TREATMENT, FIRST DEGREE BURN, WHEN NO MORE THAN LOCAL TREATMENT IS REQUI
16020 1245 HCPCS / CPT® DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THICKNESS BURNS, INITIAL OR SUBSEQUENT;
20552 1160 HCPCS / CPT® INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), ONE OR TWO MUSCLE(S)
20600 1582 HCPCS / CPT® ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; SMALL JOINT OR BURSA (EG, FINGERS,
20605 1140 HCPCS / CPT® ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; INTERMEDIATE JOINT OR BURSA (EG,
20610 1328 HCPCS / CPT® ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; MAJOR JOINT OR BURSA (EG,
21310 1453 HCPCS / CPT® CLOSED TREATMENT OF NASAL BONE FRACTURE WITHOUT MANIPULATION
21480 1411 HCPCS / CPT® CLOSED TREATMENT OF TEMPOROMANDIBULAR DISLOCATION; INITIAL OR SUBSEQUENT
21800 1386 HCPCS / CPT® CLTX RIB FX UNCOMP EA
21890 1677 HCPCS / CPT® RMVL FB BODY FOOT SUBQ
23500 1740 HCPCS / CPT® CLOSED TREATMENT OF CLAVICULAR FRACTURE; WITHOUT MANIPULATION
23570 1763 HCPCS / CPT® CLOSED TREATMENT OF SCAPULAR FRACTURE; WITHOUT MANIPULATION
23600 1346 HCPCS / CPT® CLOSED TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE;
23650 849 HCPCS / CPT® CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH MANIPULATION; WITHOUT ANESTHESIA
24500 1344 HCPCS / CPT® CLOSED TREATMENT OF HUMERAL SHAFT FRACTURE; WITHOUT MANIPULATION
24530 2265 HCPCS / CPT® CLTX SPRCNDYLR/TRANSCNDYL
24576 1346 HCPCS / CPT® CLOSED TREATMENT OF HUMERAL CONDYLAR FRACTURE, MEDIAL OR LATERAL; WITHOUT
24600 1591 HCPCS / CPT® TREATMENT OF CLOSED ELBOW DISLOCATION; WITHOUT ANESTHESIA
24640 1472 HCPCS / CPT® CLOSED TREATMENT OF RADIAL HEAD SUBLUXATION IN CHILD, NURSEMAID ELBOW, WITH
24650 1872 HCPCS / CPT® CLOSED TREATMENT OF RADIAL HEAD OR NECK FRACTURE; WITHOUT MANIPULATION
24670 1856 HCPCS / CPT®
CLOSED TREATMENT OF ULNAR FRACTURE, PROXIMAL END (EG, OLECRANON OR CORONOID PROC
25500 1591 HCPCS / CPT® CLOSED TREATMENT OF RADIAL SHAFT FRACTURE; WITHOUT MANIPULATION
25505 3012 HCPCS / CPT® CLOSED TREATMENT OF RADIAL SHAFT FRACTURE; WITH MANIPULATION
25530 1344 HCPCS / CPT® CLOSED TREATMENT OF ULNAR SHAFT FRACTURE; WITHOUT MANIPULATION
25560 1344 HCPCS / CPT® CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES; WITHOUT MANIPULATION
25600 1950 HCPCS / CPT® CLOSED TREATMENT OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR EPIPHYS
25605 2811 HCPCS / CPT® CLOSED TREATMENT OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR
25622 1591 HCPCS / CPT® CLOSED TREATMENT OF CARPAL SCAPHOID (NAVICULAR) FRACTURE; WITHOUT MANIPULATION
25635 1986 HCPCS / CPT® CLOSED TREATMENT OF CARPAL BONE FRACTURE (EXCLUDING CARPAL SCAPHOID
25650 1997 HCPCS / CPT® CLOSED TREATMENT OF ULNAR STYLOID FRACTURE
26010 1271 HCPCS / CPT® DRAINAGE OF FINGER ABSCESS; SIMPLE
26600 1826 HCPCS / CPT® CLOSED TREATMENT OF METACARPAL FRACTURE, SINGLE; WITHOUT MANIPULATION, EACH BONE
26605 1957 HCPCS / CPT® CLOSED TREATMENT OF METACARPAL FRACTURE, SINGLE; WITH MANIPULATION, EACH BONE
26607 2518 HCPCS / CPT® CLOSED TREATMENT OF METACARPAL FRACTURE, WITH MANIPULATION, WITH EXTERNAL
26700 1346 HCPCS / CPT® CLOSED TREATMENT OF METACARPOPHALANGEAL DISLOCATION, SINGLE, WITH MANIPULATION;
26720 1571 HCPCS / CPT® CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX,
26725 1934 HCPCS / CPT® CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX,
26750 1562 HCPCS / CPT® CLOSED TREATMENT OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB; WITHOUT
26755 1720 HCPCS / CPT® CLOSED TREATMENT OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB; WITH
26770 1509 HCPCS / CPT® CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION, SINGLE, WITH
27220 1577 HCPCS / CPT® CLOSED TREATMENT OF ACETABULUM (HIP SOCKET) FRACTURE(S); WITHOUT MANIPULATION
27372 1318 HCPCS / CPT® REMOVAL OF FOREIGN BODY, DEEP, THIGH REGION OR KNEE AREA
27508 1346 HCPCS / CPT® CLOSED TREATMENT OF FEMORAL FRACTURE, DISTAL END, MEDIAL OR LATERAL CONDYLE,
27520 2095 HCPCS / CPT® CLOSED TREATMENT OF PATELLAR FRACTURE, WITHOUT MANIPULATION
27530 1461 HCPCS / CPT® CLOSED TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); WITHOUT MANIPULATION
27550 2242 HCPCS / CPT® CLOSED TREATMENT OF KNEE DISLOCATION; WITHOUT ANESTHESIA
27560 1346 HCPCS / CPT® CLOSED TREATMENT OF PATELLAR DISLOCATION; WITHOUT ANESTHESIA
27752 2789 HCPCS / CPT® CLOSED TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE);
27760 2048 HCPCS / CPT® CLOSED TREATMENT OF MEDIAL MALLEOLUS FRACTURE; WITHOUT MANIPULATION
27780 1959 HCPCS / CPT® CLOSED TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE; WITHOUT MANIPULATION
27786 0 HCPCS / CPT® CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS); WITHOUT
27808 1461 HCPCS / CPT® CLOSED TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG, LATERAL AND MEDIAL MALLEOLI,
27810 2549 HCPCS / CPT® CLOSED TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG, LATERAL AND MEDIAL MALLEOLI,
27840 1091 HCPCS / CPT® CLOSED TREATMENT OF ANKLE DISLOCATION; WITHOUT ANESTHESIA
28190 1677 HCPCS / CPT® RMVL FB BODY FOOT SUBQ
28192 2248 HCPCS / CPT® REMOVAL OF FOREIGN BODY, FOOT; DEEP
28400 1591 HCPCS / CPT® CLOSED TREATMENT OF CALCANEAL FRACTURE; WITHOUT MANIPULATION
28430 1096 HCPCS / CPT® CLOSED TREATMENT OF TALUS FRACTURE; WITHOUT MANIPULATION
28450 1577 HCPCS / CPT® TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT
28470 1764 HCPCS / CPT® CLOSED TREATMENT OF METATARSAL FRACTURE; WITHOUT MANIPULATION, EACH
28490 1540 HCPCS / CPT® CLOSED TREATMENT OF FRACTURE GREAT TOE, PHALANX OR PHALANGES; WITHOUT
28510 1475 HCPCS / CPT® CLOSED TREATMENT OF FRACTURE, PHALANX OR PHALANGES, OTHER THAN GREAT TOE;
28515 1565 HCPCS / CPT® CLOSED TREATMENT OF FRACTURE, PHALANX OR PHALANGES, OTHER THAN GREAT TOE; WITH
28660 1565 HCPCS / CPT® CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION; WITHOUT ANESTHESIA
29085 1160 HCPCS / CPT® APPLICATION, CAST; HAND AND LOWER FOREARM (GAUNTLET)
29105 0 HCPCS / CPT® APPLICATION OF LONG ARM SPLINT (SHOULDER TO HAND)
29125 1160 HCPCS / CPT® APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC
29126 460 HCPCS / CPT® APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); DYNAMIC
29130 1160 HCPCS / CPT® APPLICATION OF FINGER SPLINT; STATIC
29240 1236 HCPCS / CPT® STRAPPING; SHOULDER (EG, VELPEAU)
29280 1217 HCPCS / CPT® STRAPPING; HAND OR FINGER
29505 1160 HCPCS / CPT® APPLICATION OF LONG LEG SPLINT (THIGH TO ANKLE OR TOES)
29515 168 HCPCS / CPT® APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT)
29530 265 HCPCS / CPT® KNEE STRAPPING
29540 1200 HCPCS / CPT® STRAPPING; ANKLE AND/OR FOOT
29550 1160 HCPCS / CPT® STRAPPING; TOES
29580 1200 HCPCS / CPT® STRAPPING; UNNA BOOT
29700 1115 HCPCS / CPT® REMOVAL OR BIVALVING; GAUNTLET, BOOT OR BODY CAST
30300 1451 HCPCS / CPT® REMOVAL FOREIGN BODY, INTRANASAL; OFFICE TYPE PROCEDURE
30901 1119 HCPCS / CPT® CONTROL NASAL HEMORRHAGE, ANTERIOR, SIMPLE (LIMITED CAUTERY AND/OR PACKING) ANY
30903 1403 HCPCS / CPT® CONTROL NASAL HEMORRHAGE, ANTERIOR, COMPLEX (EXTENSIVE CAUTERY AND/OR PACKING)
31252 1180 HCPCS / CPT® LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; DIAGNOSTIC, EXCEPT NEWBORN
31500 1519 HCPCS / CPT® INTUBATION, ENDOTRACHEAL, EMERGENCY PROCEDURE
31502 1810 HCPCS / CPT® TRACHEOTOMY TUBE CHANGE PRIOR TO ESTABLISHMENT OF FISTULA TRACT
31515 1609 HCPCS / CPT® LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; FOR ASPIRATION
32551 2200 HCPCS / CPT® TUBE THORACOSTOMY, INCLUDES CONNECTION TO DRAINAGE SYSTEM (EG, WATER SEAL), WHEN
33415 1891 HCPCS / CPT® RESECTION OR INCISION OF SUBVALVULAR TISSUE FOR DISCRETE SUBVALVULAR AORTIC
36000 1222 HCPCS / CPT® INTRODUCTION OF NEEDLE OR INTRACATHETER, VEIN
36410 1062 HCPCS / CPT® VENIPUNCTURE, AGE 3 YEARS OR OLDER, NECESSITATING THE SKILL OF A PHYSICIAN OR OT
36415 12 HCPCS / CPT® Blood Draw
36416 1037 HCPCS / CPT® COLLECTION OF CAPILLARY BLOOD SPECIMEN (EG, FINGER, HEEL, EAR STICK)
36558 2960 HCPCS / CPT® INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER, WITHOUT
36591 1133 HCPCS / CPT® COLLECTION OF BLOOD SPECIMEN FROM A COMPLETELY IMPLANTABLE VENOUS ACCESS DEVICE
38300 1275 HCPCS / CPT® DRAINAGE OF LYMPH NODE ABSCESS OR LYMPHADENITIS; SIMPLE
39200 1346 HCPCS / CPT® REMOVAL FOREIGN BODY FROM EXTERNAL AUDITORY CANAL; WITHOUT GENERAL ANESTHESIA
40650 3718 HCPCS / CPT® RPR LIP FULL THICKNESS
41800 1436 HCPCS / CPT® DRAINAGE OF ABSCESS, CYST, HEMATOMA FROM DENTOALVEOLAR STRUCTURES
42700 1779 HCPCS / CPT® INCISION AND DRAINAGE ABSCESS; PERITONSILLAR
43753 1116 HCPCS / CPT® Insertion of stomach tube and aspirations of gastric contents
46040 2779 HCPCS / CPT® INCISION AND DRAINAGE OF ISCHIORECTAL AND/OR PERIRECTAL ABSCESS (SEPARATE
46083 1446 HCPCS / CPT® INCISION OF THROMBOSED HEMORRHOID, EXTERNAL
46320 1556 HCPCS / CPT® EXCISION OF THROMBOSED HEMORRHOID, EXTERNAL
51700 1088 HCPCS / CPT® BLDR IRR SMPL LVG&INSTLJ
51701 1088 HCPCS / CPT® INSERTION OF NON-INDWELLING BLADDER CATHETER (EG, STRAIGHT CATHETERIZATION FOR
51702 1328 HCPCS / CPT® INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; SIMPLE (EG, FOLEY)
51703 1517 HCPCS / CPT® INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; COMPLICATED (EG, ALTERED
56405 1235 HCPCS / CPT® INCISION AND DRAINAGE OF VULVA OR PERINEAL ABSCESS
56420 1091 HCPCS / CPT® Incision and drainage of female genital gland abscess
59025 1545 HCPCS / CPT® FETAL NON-STRESS TEST
59409 4600 HCPCS / CPT® VAGINAL DELIVERY ONLY (WITH OR WITHOUT EPISIOTOMY AND/OR FORCEPS);
62270 1504 HCPCS / CPT® SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC
64402 1582 HCPCS / CPT® INJECTION, ANESTHETIC AGENT; FACIAL NERVE
64450 1508 HCPCS / CPT® INJECTION, ANESTHETIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH
64455 99.3 HCPCS / CPT® N block inj plantar digit
64640 2109 HCPCS / CPT® DESTRUCTION BY NEUROLYTIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH
65205 1222 HCPCS / CPT® REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CONJUNCTIVAL SUPERFICIAL
65220 1345 HCPCS / CPT® REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CORNEAL, WITHOUT SLIT LAMP
65222 1408 HCPCS / CPT® REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CORNEAL, WITH SLIT LAMP
67700 1703 HCPCS / CPT® BLEPHAROTOMY, DRAINAGE OF ABSCESS, EYELID
69005 1330 HCPCS / CPT® DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATOMA; COMPLICATED
69200 1346 HCPCS / CPT® RMVL OF FOREIGN BODY EAR
69205 1372 HCPCS / CPT® REMOVAL FOREIGN BODY FROM EXTERNAL AUDITORY CANAL; WITH GENERAL ANESTHESIA
69209 1309 HCPCS / CPT® removal impacted cerumen using irrigation/lavage, unilateral
69210 1178 HCPCS / CPT® Removal of impact ear wax, one ear
70030 1239 HCPCS / CPT® RADIOLOGIC EXAMINATION, EYE, FOR DETECTION OF FOREIGN BODY
70100 1319 HCPCS / CPT® RADIOLOGIC EXAMINATION, MANDIBLE; PARTIAL, LESS THAN FOUR VIEWS
70110 1319 HCPCS / CPT® RADIOLOGIC EXAMINATION, MANDIBLE; COMPLETE, MINIMUM OF FOUR VIEWS
70120 1143 HCPCS / CPT® RADIOLOGIC EXAMINATION, MASTOIDS; LESS THAN THREE VIEWS PER SIDE
70140 1343 HCPCS / CPT® RADIOLOGIC EXAMINATION, FACIAL BONES; LESS THAN THREE VIEWS
70150 1454 HCPCS / CPT® RADIOLOGIC EXAMINATION, FACIAL BONES; COMPLETE, MINIMUM OF THREE VIEWS
70160 1213 HCPCS / CPT® RADIOLOGIC EXAMINATION, NASAL BONES, COMPLETE, MINIMUM OF THREE VIEWS
70200 1425 HCPCS / CPT® RADIOLOGIC EXAMINATION; ORBITS, COMPLETE, MINIMUM OF FOUR VIEWS
70220 1448 HCPCS / CPT® RADIOLOGIC EXAMINATION, SINUSES, PARANASAL, COMPLETE, MINIMUM OF THREE VIEWS
70250 1344 HCPCS / CPT® RADIOLOGIC EXAMINATION, SKULL; LESS THAN FOUR VIEWS
70260 1455 HCPCS / CPT® RADIOLOGIC EXAMINATION, SKULL; COMPLETE, MINIMUM OF FOUR VIEWS
70328 1319 HCPCS / CPT® RADIOLOGIC EXAMINATION, TEMPOROMANDIBULAR JOINT, OPEN AND CLOSED MOUTH;
70350 1234 HCPCS / CPT® CEPHALOGRAM, ORTHODONTIC
70360 1620 HCPCS / CPT® RADIOLOGIC EXAMINATION; NECK, SOFT TISSUE
70450 2785 HCPCS / CPT® COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST MATERIAL
70460 3330 HCPCS / CPT® COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITH CONTRAST MATERIAL(S)
70470 5285 HCPCS / CPT® COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST MATERIAL, FOLLOWED BY
70480 2591 HCPCS / CPT® COMPUTED TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA OR OUTER, MIDDLE, OR
70481 4200 HCPCS / CPT® COMPUTED TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA OR OUTER, MIDDLE, OR
70486 3619 HCPCS / CPT® COMPUTED TOMOGRAPHY, MAXILLOFACIAL AREA; WITHOUT CONTRAST MATERIAL
70487 3228 HCPCS / CPT® COMPUTED TOMOGRAPHY, MAXILLOFACIAL AREA; WITH CONTRAST MATERIAL(S)
70490 3745 HCPCS / CPT® COMPUTED TOMOGRAPHY, SOFT TISSUE NECK; WITHOUT CONTRAST MATERIAL
70491 4184 HCPCS / CPT® COMPUTED TOMOGRAPHY, SOFT TISSUE NECK; WITH CONTRAST MATERIAL(S)
70496 2703 HCPCS / CPT® COMPUTED TOMOGRAPHIC ANGIOGRAPHY, HEAD, WITH CONTRAST MATERIAL(S), INCLUDING NON
70544 3864 HCPCS / CPT® MAGNETIC RESONANCE ANGIOGRAPHY, HEAD; WITHOUT CONTRAST MATERIAL(S)
70547 3520 HCPCS / CPT® MAGNETIC RESONANCE ANGIOGRAPHY, NECK; WITHOUT CONTRAST MATERIAL(S)
70551 3520 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN STEM); WITHOUT
70553 3971 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN STEM); WITHOUT
71010 1272 HCPCS / CPT® RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW, FRONTAL
71030 1476 HCPCS / CPT® RADIOLOGIC EXAMINATION, CHEST, COMPLETE, MINIMUM OF FOUR VIEWS;
71045 1272 HCPCS / CPT® X-ray exam chest 1 view
71046 422 HCPCS / CPT® RADIOLOGIC EXAMINATION,CHEST,TWO VIEWS,FRONTAL AND LATERL
71060 1488 HCPCS / CPT® BRONCHOGRAPY BI RS&I
71100 1240 HCPCS / CPT® RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; TWO VIEWS
71101 1440 HCPCS / CPT® RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; INCLUDING POSTEROANTERIOR CHEST,
71110 1131 HCPCS / CPT® RADIOLOGIC EXAMINATION, RIBS, BILATERAL; THREE VIEWS
71111 1239 HCPCS / CPT® RADIOLOGIC EXAMINATION, RIBS, BILATERAL; INCLUDING POSTEROANTERIOR CHEST,
71120 1232 HCPCS / CPT® RADIOLOGIC EXAMINATION; STERNUM, MINIMUM OF TWO VIEWS
71250 3885 HCPCS / CPT® COMPUTED TOMOGRAPHY, THORAX; WITHOUT CONTRAST MATERIAL
71260 4780 HCPCS / CPT® COMPUTED TOMOGRAPHY, THORAX; WITH CONTRAST MATERIAL(S)
71270 4840 HCPCS / CPT® COMPUTED TOMOGRAPHY, THORAX; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST
71275 3443 HCPCS / CPT®
COMPUTED TOMOGRAPHIC ANGIOGRAPHY, CHEST (NONCORONARY), WITH CONTRAST MATERIAL(S)
71550 3519 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, CHEST (EG, FOR EVALUATION OF HILAR AND
72020 1285 HCPCS / CPT® RADIOLOGIC EXAMINATION, SPINE, SINGLE VIEW, SPECIFY LEVEL
72040 1374 HCPCS / CPT® X-ray of spine of neck, 2 or 3 views
72050 1446 HCPCS / CPT® RADIOLOGIC EXAMINATION, SPINE, CERVICAL; 4 OR 5 VIEWS
72052 1764 HCPCS / CPT® SPINE CERV. COMP FLEX/EXT
72069 1340 HCPCS / CPT® RADIOLOGIC EXAMINATION, SPINE, THORACOLUMBAR, STANDING (SCOLIOSIS)
72070 1246 HCPCS / CPT® RADIOLOGIC EXAMINATION, SPINE; THORACIC, TWO VIEWS
72072 1246 HCPCS / CPT® RADIOLOGIC EXAMINATION, SPINE; THORACIC, THREE VIEWS
72074 1486 HCPCS / CPT® RADIOLOGIC EXAMINATION, SPINE; THORACIC, MINIMUM OF FOUR VIEWS
72100 1530 HCPCS / CPT® RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; TWO OR THREE VIEWS
72110 1721 HCPCS / CPT® RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; MINIMUM OF FOUR VIEWS
72114 1424 HCPCS / CPT® RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; COMPLETE, INCLUDING BENDING VIEWS, M
72120 1504 HCPCS / CPT® RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; BENDING VIEWS ONLY, 2 OR 3 VIEWS
72125 1745 HCPCS / CPT® COMPUTED TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST MATERIAL
72126 3240 HCPCS / CPT® COMPUTED TOMOGRAPHY, CERVICAL SPINE; WITH CONTRAST MATERIAL
72127 5093 HCPCS / CPT® COMPUTED TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST MATERIAL, FOLLOWED BY
72128 3032 HCPCS / CPT® COMPUTED TOMOGRAPHY, THORACIC SPINE; WITHOUT CONTRAST MATERIAL
72129 4240 HCPCS / CPT® COMPUTED TOMOGRAPHY, THORACIC SPINE; WITH CONTRAST MATERIAL
72131 2984 HCPCS / CPT® COMPUTED TOMOGRAPHY, LUMBAR SPINE; WITHOUT CONTRAST MATERIAL
72132 8640 HCPCS / CPT® COMPUTED TOMOGRAPHY, LUMBAR SPINE; WITH CONTRAST MATERIAL
72141 2697 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, CERVICAL;
72146 3520 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, THORACIC;
72148 3520 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, LUMBAR
72156 3971 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, WITHOUT
72157 3520 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, WITHOUT
72158 3546 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, WITHOUT
72170 1345 HCPCS / CPT® RADIOLOGIC EXAMINATION, PELVIS; ONE OR TWO VIEWS
72190 1394 HCPCS / CPT® RADIOLOGIC EXAMINATION, PELVIS; COMPLETE, MINIMUM OF THREE VIEWS
72191 3059 HCPCS / CPT® COMPUTED TOMOGRAPHIC ANGIOGRAPHY, PELVIS, WITH CONTRAST MATERIAL(S), INCLUDING N
72192 4789 HCPCS / CPT® COMPUTED TOMOGRAPHY, PELVIS; WITHOUT CONTRAST MATERIAL
72193 3500 HCPCS / CPT® COMPUTED TOMOGRAPHY, PELVIS; WITH CONTRAST MATERIAL(S)
72194 7885 HCPCS / CPT® COMPUTED TOMOGRAPHY, PELVIS; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST
72195 3520 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, PELVIS; WITHOUT CONTRAST MATERIAL(S)
72196 3395 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, PELVIS; WITH CONTRAST MATERIAL(S)
72220 1258 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, PELVIS; WITH CONTRAST MATERIAL(S)
73000 1253 HCPCS / CPT® RADIOLOGIC EXAMINATION; CLAVICLE, COMPLETE
73010 1322 HCPCS / CPT® RADIOLOGIC EXAMINATION; SCAPULA, COMPLETE
73020 1210 HCPCS / CPT® RADIOLOGIC EXAMINATION, SHOULDER; ONE VIEW
73030 353 HCPCS / CPT® RADIOLOGIC EXAMINATION, SHOULDER; COMPLETE, MINIMUM OF TWO VIEWS
73050 1388 HCPCS / CPT® RADIOLOGIC EXAMINATION; ACROMIOCLAVICULAR JOINTS, BILATERAL, WITH OR WITHOUT
73060 334 HCPCS / CPT® RADIOLOGIC EXAMINATION; HUMERUS, MINIMUM OF TWO VIEWS
73070 1213 HCPCS / CPT® RADIOLOGIC EXAMINATION, ELBOW; TWO VIEWS
73080 1307 HCPCS / CPT® RADIOLOGIC EXAMINATION, ELBOW; COMPLETE, MINIMUM OF THREE VIEWS
73090 260 HCPCS / CPT® RADIOLOGIC EXAMINATION; FOREARM, TWO VIEWS
73100 1344 HCPCS / CPT® RADIOLOGIC EXAMINATION, WRIST; TWO VIEWS
73110 1334 HCPCS / CPT® RADIOLOGIC EXAMINATION, WRIST; COMPLETE, MINIMUM OF THREE VIEWS
73120 1293 HCPCS / CPT® RADIOLOGIC EXAMINATION, HAND; TWO VIEWS
73130 1378 HCPCS / CPT® RADIOLOGIC EXAMINATION, HAND; MINIMUM OF THREE VIEWS
73140 1323 HCPCS / CPT® RADIOLOGIC EXAMINATION, FINGER(S), MINIMUM OF TWO VIEWS
73200 2994 HCPCS / CPT® COMPUTED TOMOGRAPHY, UPPER EXTREMITY; WITHOUT CONTRAST MATERIAL
73220 3971 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, UPPER EXTREMITY, OTHER THAN JOINT;
73221 3520 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER EXTREMITY; WITHOUT
73500 1345 HCPCS / CPT® RADIOLOGIC EXAMINATION, HIP; UNILATERAL, ONE VIEW
73502 1637 HCPCS / CPT® RADIOLOGIC ECAMINATION, HIP, UNILATERAL, WITH PELVIS WHEN PERFORMED, 2-3 VIEWS
73510 1433 HCPCS / CPT® RADIOLOGIC EXAMINATION, HIP, UNILATERAL; COMPLETE, MINIMUM OF TWO VIEWS
73520 461 HCPCS / CPT® RADIOLOGIC EXAMINATION, HIPS, BILATERAL, MINIMUM OF TWO VIEWS OF EACH HIP,
73550 1283 HCPCS / CPT® RADIOLOGIC EXAMINATION, FEMUR, TWO VIEWS
73560 1284 HCPCS / CPT® RADIOLOGIC EXAMINATION, KNEE; ONE OR TWO VIEWS
73562 1237 HCPCS / CPT® RADIOLOGIC EXAMINATION, KNEE; THREE VIEWS
73564 357 HCPCS / CPT® RADIOLOGIC EXAMINATION, KNEE; COMPLETE, FOUR OR MORE VIEWS
73590 346 HCPCS / CPT® RADIOLOGIC EXAMINATION; TIBIA AND FIBULA, TWO VIEWS
73600 1213 HCPCS / CPT® RADIOLOGIC EXAMINATION, ANKLE; TWO VIEWS
73610 441 HCPCS / CPT® RADIOLOGIC EXAMINATION, ANKLE; COMPLETE, MINIMUM OF THREE VIEWS
73620 347 HCPCS / CPT® RADIOLOGIC EXAMINATION, FOOT; TWO VIEWS
73630 1488 HCPCS / CPT® RADIOLOGIC EXAMINATION, FOOT; COMPLETE, MINIMUM OF THREE VIEWS
73650 1291 HCPCS / CPT® RADIOLOGIC EXAMINATION; CALCANEUS, MINIMUM OF TWO VIEWS
73660 1212 HCPCS / CPT® RADIOLOGIC EXAMINATION; TOE(S), MINIMUM OF TWO VIEWS
73700 5321 HCPCS / CPT® COMPUTED TOMOGRAPHY, LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL
73701 7885 HCPCS / CPT® COMPUTED TOMOGRAPHY, LOWER EXTREMITY; WITH CONTRAST MATERIAL(S)
73702 5003 HCPCS / CPT® COMPUTED TOMOGRAPHY, LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL, FOLLOWED BY
73721 3250 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER EXTREMITY; WITHOUT
73722 3796 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER EXTREMITY; WITH
73723 5590 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER EXTREMITY; WITHOUT
73725 4395 HCPCS / CPT® MAGNETIC RESONANCE ANGIOGRAPHY, LOWER EXTREMITY, WITH OR WITHOUT CONTRAST
74000 7690 HCPCS / CPT® RADIOLOGIC EXAMINATION, ABDOMEN; SINGLE ANTEROPOSTERIOR VIEW
74010 1387 HCPCS / CPT® RADIOLOGIC EXAMINATION, ABDOMEN; ANTEROPOSTERIOR AND ADDITIONAL OBLIQUE AND
74020 1413 HCPCS / CPT® RADIOLOGIC EXAMINATION, ABDOMEN; COMPLETE, INCLUDING DECUBITUS AND/OR ERECT
74022 1518 HCPCS / CPT® Imaging of abdomen and chest
74146 2542 HCPCS / CPT® Computed tomography, abdomen and pelvis; without contrast material
74150 3968 HCPCS / CPT® COMPUTED TOMOGRAPHY, ABDOMEN; WITHOUT CONTRAST MATERIAL
74160 4491 HCPCS / CPT® COMPUTED TOMOGRAPHY, ABDOMEN; WITH CONTRAST MATERIAL(S)
74170 4113 HCPCS / CPT® COMPUTED TOMOGRAPHY, ABDOMEN; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST
74175 5407 HCPCS / CPT® COMPUTED TOMOGRAPHIC ANGIOGRAPHY, ABDOMEN, WITH CONTRAST MATERIAL(S), INCLUDING
74176 2542 HCPCS / CPT® COMP TOMOG AB/PEL W/O CON
74177 3385 HCPCS / CPT® Computed tomography, abdomen and pelvis; with contrast material(s)
74178 2945 HCPCS / CPT® Computed tomography, abdomen and pelvis; without contrast material in one or bot
74181 3520 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMEN; WITHOUT CONTRAST MATERIAL(S)
74183 3971 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMEN; WITHOUT CONTRAST MATERIAL(S),
74241 1907 HCPCS / CPT® MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMEN; WITHOUT CONTRAST MATERIAL(S),
74247 1918 HCPCS / CPT® RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR CONTRAST, WITH
76376 1976 HCPCS / CPT® 3D RENDERING WITH INTERPRETATION AND REPORTING OF COMPUTED TOMOGRAPHY, MAGNETIC
76380 1657 HCPCS / CPT® ULTRASOUND, TRANSVAGINAL
76536 1907 HCPCS / CPT® ULTRASOUND, SOFT TISSUES OF HEAD AND NECK (EG, THYROID, PARATHYROID, PAROTID), R
76645 1654 HCPCS / CPT® US BREAST R-T W/IMAGE DOCUMENTATION
76700 2051 HCPCS / CPT® ULTRASOUND, ABDOMINAL, REAL TIME WITH IMAGE DOCUMENTATION; COMPLETE
76705 934 HCPCS / CPT® ULTRASOUND, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE DOCUMENTATION;
76770 1758 HCPCS / CPT® ULTRASOUND, RETROPERITONEAL (EG, RENAL, AORTA, NODES), REAL TIME WITH IMAGE DOCU
76775 1682 HCPCS / CPT® ULTRASOUND, RETROPERITONEAL (EG, RENAL, AORTA, NODES), B-SCAN AND/OR REAL TIME
76801 1721 HCPCS / CPT® ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATER
76805 1721 HCPCS / CPT® ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND
76815 1324 HCPCS / CPT® ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, LIMITED (EG,
76817 1547 HCPCS / CPT® ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, TRANSVAGINAL
76830 657 HCPCS / CPT® TRANSVAGINAL ULTRASOUND
76856 1763 HCPCS / CPT® ULTRASOUND, PELVIC (NONOBSTETRIC), REAL TIME WITH IMAGE DOCUMENTATION; COMPLETE
76857 1398 HCPCS / CPT® ULTRASOUND, PELVIC (NONOBSTETRIC), B-SCAN AND/OR REAL TIME WITH IMAGE
76870 1693 HCPCS / CPT® ULTRASOUND, SCROTUM AND CONTENTS
76880 1830 HCPCS / CPT® us extremity
76882 1410 HCPCS / CPT® Ultrasound, extremity, nonvascular, real-time with image documentation; limited,
77079 1557 HCPCS / CPT® CT BONE MINERAL DENSITY STUDY 1+SITS APPND
77252 1764 HCPCS / CPT® RADIOLOGIC EXAMINATION, SPINE, CERVICAL; 6 OR MORE VIEWS
77777 1011 HCPCS / CPT® INTERSTITIAL RADIATION SOURCE APPLICATION; INTERMEDIATE
78075 4289 HCPCS / CPT® ADRENAL IMAGING, CORTEX AND/OR MEDULLA
78223 3281 HCPCS / CPT® HIDA SCAN-HEPATBL DUX SYS IMG GLBDR
78306 2309 HCPCS / CPT® BONE AND/OR JOINT IMAGING; WHOLE BODY
78315 2309 HCPCS / CPT® BONE AND/OR JOINT IMAGING; THREE PHASE STUDY
78320 1839 HCPCS / CPT® BONE AND/OR JOINT IMAGING; TOMOGRAPHIC (SPECT)
78472 1854 HCPCS / CPT® BONE AND/OR JOINT IMAGING; TOMOGRAPHIC (SPECT)
80047 1232 HCPCS / CPT® BONE AND/OR JOINT IMAGING; TOMOGRAPHIC (SPECT)
80048 1245 HCPCS / CPT® Blood test, basic group of blood chemicals
80051 252 HCPCS / CPT® Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)
80053 294 HCPCS / CPT® Blood test, comprehensive group of blood chemicals
80061 350 HCPCS / CPT® Blood test, lipids (cholesterol and triglycerides)
80076 1259 HCPCS / CPT® Liver function blood test panel
80100 1209 HCPCS / CPT® DRUG ABUSE PANEL II
80104 1156 HCPCS / CPT® DRUG SCREEN
80178 1054 HCPCS / CPT® LITHIUM
80196 1102 HCPCS / CPT® SALICYLATE
80197 1318 HCPCS / CPT® TACRLIMUS
80202 1208 HCPCS / CPT® VANCOMYCIN PEAK
80300 1201 HCPCS / CPT® DRUG SCREEN
80304 1192 HCPCS / CPT® DRUG SCREEN
80306 322 HCPCS / CPT® URINE DRUG SCREEN
80329 1180 HCPCS / CPT® DRUG SCREEN
81000 116 HCPCS / CPT® URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, K
81001 1077 HCPCS / CPT® URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN,
81002 1116 HCPCS / CPT® URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN,
81003 116 HCPCS / CPT® URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN,
81025 87 HCPCS / CPT® Urinalysis Procedures
82003 1208 HCPCS / CPT® acetaminophen
82009 1033 HCPCS / CPT® KETONE BODY(S) (EG, ACETONE, ACETOACETIC ACID, BETA-HYDROXYBUTYRATE); QUALITATIV
82040 128 HCPCS / CPT® ALBUMIN; SERUM, PLASMA OR WHOLE BLOOD
82055 1183 HCPCS / CPT® ALCOHOL-BLOOD
82150 191 HCPCS / CPT® AMYLASE
82247 149 HCPCS / CPT® BILIRUBIN; TOTAL
82253 1140 HCPCS / CPT® MB FRACTION
82270 1138 HCPCS / CPT® BLOOD, OCCULT, BY PEROXIDASE ACTIVITY (EG, GUAIAC), QUALITATIVE; FECES, CONSECUT
82272 1106 HCPCS / CPT® BLOOD, OCCULT, BY PEROXIDASE ACTIVITY (EG, GUAIAC), QUALITATIVE, FECES, 1-3 SIMU
82310 144 HCPCS / CPT® CALCIUM; TOTAL
82540 1062 HCPCS / CPT® CREATINE
82541 1110 HCPCS / CPT® Chemical analysis using chromatography technique
82550 160 HCPCS / CPT® CREATINE KINASE (CK), (CPK); TOTAL
82553 239 HCPCS / CPT® CREATINE KINASE (CK), (CPK); MB FRACTION ONLY
82565 133 HCPCS / CPT® CREATININE; BLOOD
82607 1065 HCPCS / CPT® CYANOCOBALAMIN (VITAMIN B-12);
82784 1150 HCPCS / CPT® IGC IMMUNOGLOBULIN
82785 1165 HCPCS / CPT® GAMMAGLOBULIN (IMMUNOGLOBULIN); IGE
82800 1118 HCPCS / CPT® GASES, BLOOD, PH ONLY
82947 100 HCPCS / CPT® GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)
82948 1070 HCPCS / CPT® GLUCOSE; BLOOD, REAGENT STRIP
82962 1063 HCPCS / CPT® GLUCOSE FINGER STICK
82977 70 HCPCS / CPT® GLUTAMYLTRANSFERASE, GAMMA (GGT)
83520 1131 HCPCS / CPT® IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT
83540 1093 HCPCS / CPT® IRON- TOTAL
83615 1087 HCPCS / CPT® LACTATE DEHYDROGENASE (LD), (LDH);
83690 1071 HCPCS / CPT® LIPASE
83874 1156 HCPCS / CPT® MYOGLOBIN
83880 291 HCPCS / CPT® NATRIURETIC PEPTIDE
84075 128 HCPCS / CPT® PHOSPHATASE, ALKALINE;
84153 0 HCPCS / CPT® Assay of psa total
84154 0 HCPCS / CPT® Assay of psa free
84155 144 HCPCS / CPT® PROTEIN, TOTAL, EXCEPT BY REFRACTOMETRY; SERUM, PLASMA OR WHOLE BLOOD
84165 1001 HCPCS / CPT® PROTEIN; ELECTROPHORETIC FRACTIONATION AND QUANTITATION, SERUM
84436 1175 HCPCS / CPT® THYROXINE; TOTAL
84439 1170 HCPCS / CPT® THYROXINE; FREE
84443 1239 HCPCS / CPT® THYROID STIMULATING HORMONE (TSH)
84450 124 HCPCS / CPT® TRANSFERASE; ASPARTATE AMINO (AST) (SGOT)
84460 142 HCPCS / CPT® TRANSFERASE; ALANINE AMINO (ALT) (SGPT)
84479 1198 HCPCS / CPT® THYROID HORMONE (T3 OR T4) UPTAKE OR THYROID HORMONE BINDING RATIO (THBR)
84484 239 HCPCS / CPT® TROPONIN, QUANTITATIVE
84512 1140 HCPCS / CPT® TROPONIN, QUALITATIVE
84520 115 HCPCS / CPT® UREA NITROGEN; QUANTITATIVE
84550 137 HCPCS / CPT® URIC ACID; BLOOD
84560 1125 HCPCS / CPT® URIC ACID; OTHER SOURCE
84702 1190 HCPCS / CPT® GONADOTROPIN, CHORIONIC (HCG); QUANTITATIVE
84703 1193 HCPCS / CPT® GONADOTROPIN, CHORIONIC (HCG); QUALITATIVE
85014 1093 HCPCS / CPT® BLOOD COUNT; HEMATOCRIT (HCT)
85018 1093 HCPCS / CPT® BLOOD COUNT; HEMOGLOBIN (HGB)
85025 185 HCPCS / CPT® BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT
85027 135 HCPCS / CPT® BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT)
85032 1138 HCPCS / CPT® BLOOD COUNT; MANUAL CELL COUNT (ERYTHROCYTE, LEUKOCYTE, OR PLATELET) EACH
85347 1032 HCPCS / CPT® COAGULATION TIME; ACTIVATED
85378 1137 HCPCS / CPT® FIBRIN DEGRADATION PRODUCTS, D-DIMER; QUALITATIVE OR SEMIQUANTITATIVE
85379 286 HCPCS / CPT® FIBRIN DEGRADATION PRODUCTS, D-DIMER; QUANTITATIVE
85610 156 HCPCS / CPT® PROTHROMBIN TIME;
85651 1133 HCPCS / CPT® SEDIMENTATION RATE, ERYTHROCYTE; NON-AUTOMATED
85652 1084 HCPCS / CPT® SEDIMENTATION RATE, ERYTHROCYTE; AUTOMATED
85730 1147 HCPCS / CPT® THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD
86256 1001 HCPCS / CPT® FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; TITER, EACH ANTIBODY
86308 1097 HCPCS / CPT® HETEROPHILE ANTIBODIES; SCREENING
86320 1001 HCPCS / CPT® IMMUNOELECTROPHORESIS; SERUM
86360 1570 HCPCS / CPT® T CELLS; ABSOLUTE CD4 AND CD8 COUNT, INCLUDING RATIO
86403 1122 HCPCS / CPT® PARTICLE AGGLUTINATION; SCREEN, EACH ANTIBODY
86430 1067 HCPCS / CPT® RHEUMATOID FACTOR; QUALITATIVE
86592 1070 HCPCS / CPT® SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (EG, VDRL, RPR, ART)
86631 118 HCPCS / CPT® ANTIBODY; CHLAMYDIA
86664 1121 HCPCS / CPT® ANTIBODY; EPSTEIN-BARR (EB) VIRUS, NUCLEAR ANTIGEN (EBNA)
86689 1196 HCPCS / CPT® ANTIBODY; HTLV OR HIV ANTIBODY, CONFIRMATORY TEST (EG, WESTERN BLOT)
86701 1132 HCPCS / CPT® ANTIBODY; HIV-1
86702 1149 HCPCS / CPT® ANTIBODY; HIV-2
86704 65 HCPCS / CPT® Under Qualitative or Semiquantitative Immunoassays
86706 65 HCPCS / CPT® Under Qualitative or Semiquantitative Immunoassays
86708 65 HCPCS / CPT® Under Qualitative or Semiquantitative Immunoassays
86756 1130 HCPCS / CPT® ANTIBODY; RESPIRATORY SYNCYTIAL VIRUS
86803 65 HCPCS / CPT® Under Qualitative or Semiquantitative Immunoassays
86850 1172 HCPCS / CPT® ANTIBODY SCREEN, RBC, EACH SERUM TECHNIQUE
86901 0 HCPCS / CPT® BLOOD TYPING; RH (D)
86906 1078 HCPCS / CPT® BLOOD TYPING; RH PHENOTYPING, COMPLETE
87040 1239 HCPCS / CPT® CULTURE, BACTERIAL; BLOOD, AEROBIC, WITH ISOLATION AND PRESUMPTIVE
87070 1173 HCPCS / CPT® CULTURE, BACTERIAL; ANY OTHER SOURCE EXCEPT URINE, BLOOD OR STOOL, AEROBIC,
87075 1260 HCPCS / CPT® CULTURE, BACTERIAL; ANY SOURCE, EXCEPT BLOOD, ANAEROBIC WITH ISOLATION AND
87081 90 HCPCS / CPT® CULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY; GC Culture
87086 1090 HCPCS / CPT® CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE
87088 1036 HCPCS / CPT® CULTURE, BACTERIAL; WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF EACH ISOLAT
87106 1077 HCPCS / CPT® CULTURE, FUNGI, DEFINITIVE IDENTIFICATION, EACH ORGANISM; YEAST
87110 1236 HCPCS / CPT® CULTURE, CHLAMYDIA, ANY SOURCE
87207 1001 HCPCS / CPT® SMEAR, PRIMARY SOURCE WITH INTERPRETATION; SPECIAL STAIN FOR INCLUSION BODIES
87210 1083 HCPCS / CPT® SMEAR, PRIMARY SOURCE WITH INTERPRETATION; WET MOUNT FOR INFECTIOUS AGENTS (EG,
87275 1050 HCPCS / CPT® INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; INFLUENZA B
87400 1158 HCPCS / CPT® INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE, QUALITATIVE
87430 1213 HCPCS / CPT® INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE, QUALITATIVE
87491 279 HCPCS / CPT® DNA PROBE CHLYMIDA
87493 1179 HCPCS / CPT® Clostridium difficile, toxin gene(s), amplified probe technique
87804 153 HCPCS / CPT® INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL
87807 1038 HCPCS / CPT® INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL
87847 1372 HCPCS / CPT® NO DESCRIPTION
87850 1118 HCPCS / CPT® INFECTIOUS AGENT DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL OBSERVATION;
87880 130 HCPCS / CPT® INFECTIOUS AGENT DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL OBSERVATION;
88305 1001 HCPCS / CPT® Pathology examination of tissue using a microscope, intermediate complexity
89060 1001 HCPCS / CPT® CRYSTAL IDENTIFICATION BY LIGHT MICROSCOPY WITH OR WITHOUT POLARIZING LENS ANALY
89220 1089 HCPCS / CPT® SPUTUM, OBTAINING SPECIMEN, AEROSOL INDUCED TECHNIQUE (SEPARATE PROCEDURE)
90408 88 HCPCS / CPT® ALCOHOL?DRUG COUNSOLING
90471 55 HCPCS / CPT® IMMUNIZATION ADMINISTRATION (INCLUDES PERCUTANEOUS, INTRADERMAL, SUBCUTANEOUS
90660 64 HCPCS / CPT® INFLUENZA VIRUS VACCINE, TRIVALENT, LIVE, FOR INTRANASAL USE
90703 168 HCPCS / CPT® TETANUS TOXOID ADSORBED, FOR INTRAMUSCULAR USE
90714 168 HCPCS / CPT® TETANUS AND DIPHTHERIA TOXOIDS (TD) ADSORBED, PRESERVATIVE FREE, WHEN ADMINISTER
90715 155 HCPCS / CPT® TETANUS, DIPHTHERIA TOXOIDS AND ACELLULAR PERTUSSIS VACCINE (TDAP), WHEN ADMINIS
90718 168 HCPCS / CPT® TETANUS & DIPTHERIA
91105 1542 HCPCS / CPT® GASTRIC INTUBATION/ASPER
92002 1001 HCPCS / CPT® OPHTHALMOLOGICAL SERVICES: MEDICAL EXAMINATION AND EVALUATION WITH INITIATION OF
92081 1001 HCPCS / CPT® VISUAL FIELD EXAMINATION, UNILATERAL OR BILATERAL, WITH INTERPRETATION AND
92552 1001 HCPCS / CPT® PURE TONE AUDIOMETRY (THRESHOLD); AIR ONLY
92960 1990 HCPCS / CPT® CARDIOVERSION, ELECTIVE, ELECTRICAL CONVERSION OF ARRHYTHMIA; EXTERNAL
93000 225 HCPCS / CPT® ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; WITH INTERPRETATION AND R
93005 1238 HCPCS / CPT® ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; TRACING ONLY, WITHOUT
93010 1137 HCPCS / CPT® ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; INTERPRETATION AND
93041 1137 HCPCS / CPT® RHYTHM ECG, ONE TO THREE LEADS; TRACING ONLY WITHOUT INTERPRETATION AND REPORT
93270 325 HCPCS / CPT® Cardiac Monitoring
94010 1424 HCPCS / CPT® SPIROMETRY, INCLUDING GRAPHIC RECORD, TOTAL AND TIMED VITAL CAPACITY, EXPIRATORY
94060 1275 HCPCS / CPT® Under Pulmonary Diagnostic Testing and Therapies
94640 1063 HCPCS / CPT® PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION
94644 1143 HCPCS / CPT® PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION
94760 101 HCPCS / CPT® NONINVASIVE EAR OR PULSE OXIMETRY FOR OXYGEN SATURATION; SINGLE DETERMINATION
94761 1216 HCPCS / CPT® NONINVASIVE EAR OR PULSE OXIMETRY FOR OXYGEN SATURATION; MULTIPLE
94762 101 HCPCS / CPT® PULSE OXOMETER
96360 228 HCPCS / CPT® IV INFUSION HYDRATION- 31-60 MIN
96361 212 HCPCS / CPT® Intravenous infusion, hydration; each additional hour (List separately in additi
96365 345 HCPCS / CPT® intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance
96366 215 HCPCS / CPT® Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance
96367 239 HCPCS / CPT® INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE
96368 239 HCPCS / CPT® Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance
96372 175 HCPCS / CPT® Therapeutic, prophylactic, or diagnostic injection (specify substance or drug);
96373 1207 HCPCS / CPT® Therapeutic, prophylactic, or diagnostic injection (specify substance or drug);
96374 273 HCPCS / CPT® Therapeutic, prophylactic, or diagnostic injection (specify substance or drug);
96375 255 HCPCS / CPT® Injection of different drug or substance into a vein for therapy, diagnosis, or
96376 210 HCPCS / CPT® IV INFUSION – EACH ADD PUSH
97116 36 HCPCS / CPT® CRUTCH TRAINNING
97597 100.51 HCPCS / CPT® Active Wound Care Management.
99000 1016 HCPCS / CPT® HANDLING AND/OR CONVEYANCE OF SPECIMEN FOR TRANSFER FROM THE OFFICE TO A LABORAT
99001 1037 HCPCS / CPT® HANDLING AND/OR CONVEYANCE OF SPECIMEN FOR TRANSFER FROM THE PATIENT IN OTHER TH
99080 50 HCPCS / CPT® MEDICAL RECORDS
99097 1372 HCPCS / CPT® IV NFS THER PROPH/DX 1ST
99143 1399 HCPCS / CPT® Moderate sedation services by physician also performing a procedure, patient you
99144 1394 HCPCS / CPT® Moderate sedation services by physician also performing a procedure, patient 5 y
99145 1153 HCPCS / CPT® Moderate sedation services by physician or health care provider also performing
99149 1330 HCPCS / CPT® MODERATE SEDATION SERVICES (OTHER THAN THOSE SERVICES DESCRIBED BY CODES 00100-0
99152 103.79 HCPCS / CPT® Moderate (conscious) sedation
99153 103.79 HCPCS / CPT® Moderate (conscious) Sedation
99173 86 HCPCS / CPT® SCREENING TEST OF VISUAL ACUITY, QUANTITATIVE, BILATERAL
99217 1575 HCPCS / CPT® HOSPITAL OBSERVATION CARE DISCHARGE
99218 1700 HCPCS / CPT® HOSPITAL OBSERVATION CARE TYPICALLY 30 MINUTES
99219 1960 HCPCS / CPT® HOSPITAL OBSERVATION CARE TYPICALLY 50 MINUTES
99220 1678 HCPCS / CPT® Initial observation care
99234 2150 HCPCS / CPT® HOSPITAL OBSERVATION OR INPATIENT CARE LOW SEVERITY, 40 MINUTES PER DAY
99235 2450 HCPCS / CPT® HOSPITAL OBSERVATION OR INPATIENT CARE MODERATE SEVERITY, 50 MINUTES PER DAY
99236 1725 HCPCS / CPT® HOSPITAL OBSERVATION OR INPATIENT CARE HIGH SEVERITY, 55 MINUTES PER DAY
99239 1575 HCPCS / CPT® Hospital discharge day
99282 925 HCPCS / CPT® EMERGENCY DEPARTMENT VISIT, LOW TO MODERATELY SEVERE PROBLEM
99283 1250 HCPCS / CPT® EMERGENCY DEPARTMENT VISIT, MODERATELY SEVERE PROBLEM
99284 1975 HCPCS / CPT® EMERGENCY DEPARTMENT VISIT, PROBLEM OF HIGH SEVERITY
99285 2360 HCPCS / CPT® EMERGENCY DEPARTMENT VISIT, PROBLEM WITH SIGNIFICANT THREAT TO LIFE OR FUNCTION
99291 2575 HCPCS / CPT® CRITICAL CARE, EVALUATION AND MANAGEMENT OF THE CRITICALLY ILL OR CRITICALLY INJ
99292 1550 HCPCS / CPT® CRITICAL CARE, EVALUATION AND MANAGEMENT OF THE CRITICALLY ILL OR CRITICALLY
99354 1885 HCPCS / CPT® PROLONGED SERVICE IN THE OFFICE OR OTHER OUTPATIENT SETTING REQUIRING DIRECT PAT
99355 1270.34 HCPCS / CPT® PROLONGED SERVICE IN THE OFFICE OR OTHER OUTPATIENT SETTING REQUIRING DIRECT PAT
99406 74 HCPCS / CPT® SMOKING CESSATION 3-10
99407 95 HCPCS / CPT® smoking cessation 10 min
99999 0 HCPCS / CPT® SELF PAY
A0021 0 HCPCS / CPT® OUTSIDE STATE AMBULANCE SERV
A0080 0 HCPCS / CPT® NONINTEREST ESCORT IN NON ER
A0090 0 HCPCS / CPT® INTEREST ESCORT IN NON ER
A0100 0 HCPCS / CPT® NONEMERGENCY TRANSPORT TAXI
A0110 0 HCPCS / CPT® NONEMERGENCY TRANSPORT BUS
A0120 0 HCPCS / CPT® NONER TRANSPORT MINI-BUS
A0130 0 HCPCS / CPT® NONER TRANSPORT WHEELCH VAN
A0140 0 HCPCS / CPT® NONEMERGENCY TRANSPORT AIR
A0160 0 HCPCS / CPT® NONER TRANSPORT CASE WORKER
A0170 0 HCPCS / CPT® TRANSPORT PARKING FEES/TOLLS
A0180 0 HCPCS / CPT® NONER TRANSPORT LODGNG RECIP
A0190 0 HCPCS / CPT® NONER TRANSPORT MEALS RECIP
A0200 0 HCPCS / CPT® NONER TRANSPORT LODGNG ESCRT
A0210 0 HCPCS / CPT® NONER TRANSPORT MEALS ESCORT
A0225 0 HCPCS / CPT® NEONATAL EMERGENCY TRANSPORT
A0380 0 HCPCS / CPT® BASIC LIFE SUPPORT MILEAGE
A0382 0 HCPCS / CPT® BASIC SUPPORT ROUTINE SUPPLS
A0384 0 HCPCS / CPT® BLS DEFIBRILLATION SUPPLIES
A0390 0 HCPCS / CPT® ADVANCED LIFE SUPPORT MILEAG
A0392 0 HCPCS / CPT® ALS DEFIBRILLATION SUPPLIES
A0394 1 HCPCS / CPT® ALS IV DRUG THERAPY SUPPLIES
A0396 27 HCPCS / CPT® ALS ESOPHAGEAL INTUB SUPPLS
A0398 0 HCPCS / CPT® ALS ROUTINE DISPOSBLE SUPPLS
A0420 0 HCPCS / CPT® AMBULANCE WAITING 1/2 HR
A0422 0 HCPCS / CPT® AMBULANCE 02 LIFE SUSTAINING
A0424 0 HCPCS / CPT® EXTRA AMBULANCE ATTENDANT
A0425 0 HCPCS / CPT® GROUND MILEAGE
A0426 0 HCPCS / CPT® ALS 1
A0427 0 HCPCS / CPT® ALS1-EMERGENCY
A0428 0 HCPCS / CPT® BLS
A0429 0 HCPCS / CPT® BLS-EMERGENCY
A0430 0 HCPCS / CPT® FIXED WING AIR TRANSPORT
A0431 0 HCPCS / CPT® ROTARY WING AIR TRANSPORT
A0432 0 HCPCS / CPT® PI VOLUNTEER AMBULANCE CO
A0433 0 HCPCS / CPT® ALS 2
A0434 0 HCPCS / CPT® SPECIALTY CARE TRANSPORT
A0435 0 HCPCS / CPT® FIXED WING AIR MILEAGE
A0436 0 HCPCS / CPT® ROTARY WING AIR MILEAGE
A0888 0 HCPCS / CPT® NONCOVERED AMBULANCE MILEAGE
A0998 0 HCPCS / CPT® AMBULANCE RESPONSE/TREATMENT
A0999 0 HCPCS / CPT® UNLISTED AMBULANCE SERVICE
A4206 0 HCPCS / CPT® 1 CC STERILE SYRINGE&NEEDLE
A4207 0 HCPCS / CPT® 2 CC STERILE SYRINGE&NEEDLE
A4208 29 HCPCS / CPT® 3 CC STERILE SYRINGE&NEEDLE
A4209 32 HCPCS / CPT® 5+ CC STERILE SYRINGE&NEEDLE
A4210 0 HCPCS / CPT® NONNEEDLE INJECTION DEVICE
A4211 0 HCPCS / CPT® SUPP FOR SELF-ADM INJECTIONS
A4212 0 HCPCS / CPT® NON CORING NEEDLE OR STYLET
A4213 6 HCPCS / CPT® 20+ CC SYRINGE ONLY
A4215 11 HCPCS / CPT® STERILE NEEDLE
A4216 3 HCPCS / CPT® STERILE WATER/SALINE, 10 ML
A4217 24 HCPCS / CPT® STERILE WATER/SALINE, 500 ML
A4218 24 HCPCS / CPT® STERILE SALINE OR WATER
A4220 0 HCPCS / CPT® INFUSION PUMP REFILL KIT
A4221 0 HCPCS / CPT® SUPP NON-INSULIN INF CATH/WK
A4222 160 HCPCS / CPT® INFUSION SUPPLIES WITH PUMP
A4223 0 HCPCS / CPT® INFUSION SUPPLIES W/O PUMP
A4224 4 HCPCS / CPT® SUPPLY INSULIN INF CATH/WK
A4225 0 HCPCS / CPT® SUP/EXT INSULIN INF PUMP SYR
A4230 0 HCPCS / CPT® INFUS INSULIN PUMP NON NEEDL
A4231 0 HCPCS / CPT® INFUSION INSULIN PUMP NEEDLE
A4232 23 HCPCS / CPT® SYRINGE W/NEEDLE INSULIN 3CC
A4233 0 HCPCS / CPT® ALKALIN BATT FOR GLUCOSE MON
A4234 0 HCPCS / CPT® J-CELL BATT FOR GLUCOSE MON
A4235 0 HCPCS / CPT® LITHIUM BATT FOR GLUCOSE MON
A4236 0 HCPCS / CPT® SILVR OXIDE BATT GLUCOSE MON
A4244 0 HCPCS / CPT® ALCOHOL OR PEROXIDE PER PINT
A4245 0 HCPCS / CPT® ALCOHOL WIPES PER BOX
A4246 23 HCPCS / CPT® BETADINE/PHISOHEX SOLUTION
A4247 23 HCPCS / CPT® BETADINE/IODINE SWABS/WIPES
A4248 0 HCPCS / CPT® CHLORHEXIDINE ANTISEPT
A4250 0 HCPCS / CPT® URINE REAGENT STRIPS/TABLETS
A4252 5 HCPCS / CPT® BLOOD KETONE TEST OR STRIP
A4253 0 HCPCS / CPT® BLOOD GLUCOSE/REAGENT STRIPS
A4255 0 HCPCS / CPT® GLUCOSE MONITOR PLATFORMS
A4256 0 HCPCS / CPT® CALIBRATOR SOLUTION/CHIPS
A4257 0 HCPCS / CPT® REPLACE LENSSHIELD CARTRIDGE
A4258 0 HCPCS / CPT® LANCET DEVICE EACH
A4259 0 HCPCS / CPT® LANCETS PER BOX
A4261 0 HCPCS / CPT® CERVICAL CAP CONTRACEPTIVE
A4262 0 HCPCS / CPT® TEMPORARY TEAR DUCT PLUG
A4263 0 HCPCS / CPT® PERMANENT TEAR DUCT PLUG
A4264 0 HCPCS / CPT® INTRATUBAL OCCLUSION DEVICE
A4265 0 HCPCS / CPT® PARAFFIN
A4266 0 HCPCS / CPT® DIAPHRAGM
A4267 0 HCPCS / CPT® MALE CONDOM
A4268 0 HCPCS / CPT® FEMALE CONDOM
A4269 0 HCPCS / CPT® SPERMICIDE
A4270 22 HCPCS / CPT® DISPOSABLE ENDOSCOPE SHEATH
A4280 0 HCPCS / CPT® BRST PRSTHS ADHSV ATTCHMNT
A4281 0 HCPCS / CPT® REPLACEMENT BREASTPUMP TUBE
A4282 0 HCPCS / CPT® REPLACEMENT BREASTPUMP ADPT
A4283 0 HCPCS / CPT® REPLACEMENT BREASTPUMP CAP
A4284 0 HCPCS / CPT® REPLCMNT BREAST PUMP SHIELD
A4285 0 HCPCS / CPT® REPLCMNT BREAST PUMP BOTTLE
A4286 0 HCPCS / CPT® REPLCMNT BREASTPUMP LOK RING
A4290 0 HCPCS / CPT® SACRAL NERVE STIM TEST LEAD
A4300 0 HCPCS / CPT® CATH IMPL VASC ACCESS PORTAL
A4301 0 HCPCS / CPT® IMPLANTABLE ACCESS SYST PERC
A4305 0 HCPCS / CPT® DRUG DELIVERY SYSTEM >=50 ML
A4306 0 HCPCS / CPT® DRUG DELIVERY SYSTEM <=50 ML
A4310 0 HCPCS / CPT® INSERT TRAY W/O BAG/CATH
A4311 32 HCPCS / CPT® CATHETER W/O BAG 2-WAY LATEX
A4312 0 HCPCS / CPT® CATH W/O BAG 2-WAY SILICONE
A4313 0 HCPCS / CPT® CATHETER W/BAG 3-WAY
A4314 11 HCPCS / CPT® CATH W/DRAINAGE 2-WAY LATEX
A4315 0 HCPCS / CPT® CATH W/DRAINAGE 2-WAY SILCNE
A4316 82 HCPCS / CPT® CATH W/DRAINAGE 3-WAY
A4320 38 HCPCS / CPT® IRRIGATION TRAY
A4321 0 HCPCS / CPT® CATH THERAPEUTIC IRRIG AGENT
A4322 14 HCPCS / CPT® IRRIGATION SYRINGE
A4326 0 HCPCS / CPT® MALE EXTERNAL CATHETER
A4327 3 HCPCS / CPT® FEM URINARY COLLECT DEV CUP
A4328 0 HCPCS / CPT® FEM URINARY COLLECT POUCH
A4330 0 HCPCS / CPT® STOOL COLLECTION POUCH
A4331 0 HCPCS / CPT® EXTENSION DRAINAGE TUBING
A4332 6 HCPCS / CPT® LUBE STERILE PACKET
A4333 0 HCPCS / CPT® URINARY CATH ANCHOR DEVICE
A4334 0 HCPCS / CPT® URINARY CATH LEG STRAP
A4335 3 HCPCS / CPT® INCONTINENCE SUPPLY
A4336 0 HCPCS / CPT® URETHRAL INSERT
A4337 0 HCPCS / CPT® INCONTINENT RECTAL INSERT
A4338 48 HCPCS / CPT® INDWELLING CATHETER LATEX
A4340 0 HCPCS / CPT® INDWELLING CATHETER SPECIAL
A4344 11 HCPCS / CPT® CATH INDW FOLEY 2 WAY SILICN
A4346 0 HCPCS / CPT® CATH INDW FOLEY 3 WAY
A4349 0 HCPCS / CPT® DISPOSABLE MALE EXTERNAL CAT
A4351 0 HCPCS / CPT® STRAIGHT TIP URINE CATHETER
A4352 0 HCPCS / CPT® COUDE TIP URINARY CATHETER
A4353 22 HCPCS / CPT® INTERMITTENT URINARY CATH
A4354 0 HCPCS / CPT® CATH INSERTION TRAY W/BAG
A4355 0 HCPCS / CPT® BLADDER IRRIGATION TUBING
A4356 0 HCPCS / CPT® EXT URETH CLMP OR COMPR DVC
A4357 48 HCPCS / CPT® BEDSIDE DRAINAGE BAG
A4358 13 HCPCS / CPT® URINARY LEG OR ABDOMEN BAG
A4360 0 HCPCS / CPT® DISPOSABLE EXT URETHRAL DEV
A4361 0 HCPCS / CPT® OSTOMY FACE PLATE
A4362 0 HCPCS / CPT® SOLID SKIN BARRIER
A4363 0 HCPCS / CPT® OSTOMY CLAMP, REPLACEMENT
A4364 30 HCPCS / CPT® ADHESIVE, LIQUID OR EQUAL
A4366 0 HCPCS / CPT® OSTOMY VENT
A4367 0 HCPCS / CPT® OSTOMY BELT
A4368 0 HCPCS / CPT® OSTOMY FILTER
A4369 0 HCPCS / CPT® SKIN BARRIER LIQUID PER OZ
A4371 0 HCPCS / CPT® SKIN BARRIER POWDER PER OZ
A4372 0 HCPCS / CPT® SKIN BARRIER SOLID 4X4 EQUIV
A4373 0 HCPCS / CPT® SKIN BARRIER WITH FLANGE
A4375 0 HCPCS / CPT® DRAINABLE PLASTIC PCH W FCPL
A4376 0 HCPCS / CPT® DRAINABLE RUBBER PCH W FCPLT
A4377 0 HCPCS / CPT® DRAINABLE PLSTIC PCH W/O FP
A4378 0 HCPCS / CPT® DRAINABLE RUBBER PCH W/O FP
A4379 0 HCPCS / CPT® URINARY PLASTIC POUCH W FCPL
A4380 0 HCPCS / CPT® URINARY RUBBER POUCH W FCPLT
A4381 0 HCPCS / CPT® URINARY PLASTIC POUCH W/O FP
A4382 0 HCPCS / CPT® URINARY HVY PLSTC PCH W/O FP
A4383 0 HCPCS / CPT® URINARY RUBBER POUCH W/O FP
A4384 0 HCPCS / CPT® OSTOMY FACEPLT/SILICONE RING
A4385 0 HCPCS / CPT® OST SKN BARRIER SLD EXT WEAR
A4387 0 HCPCS / CPT® OST CLSD POUCH W ATT ST BARR
A4388 0 HCPCS / CPT® DRAINABLE PCH W EX WEAR BARR
A4389 0 HCPCS / CPT® DRAINABLE PCH W ST WEAR BARR
A4390 0 HCPCS / CPT® DRAINABLE PCH EX WEAR CONVEX
A4391 0 HCPCS / CPT® URINARY POUCH W EX WEAR BARR
A4392 0 HCPCS / CPT® URINARY POUCH W ST WEAR BARR
A4393 0 HCPCS / CPT® URINE PCH W EX WEAR BAR CONV
A4394 0 HCPCS / CPT® OSTOMY POUCH LIQ DEODORANT
A4395 0 HCPCS / CPT® OSTOMY POUCH SOLID DEODORANT
A4396 0 HCPCS / CPT® PERISTOMAL HERNIA SUPPRT BLT
A4397 0 HCPCS / CPT® IRRIGATION SUPPLY SLEEVE
A4398 0 HCPCS / CPT® OSTOMY IRRIGATION BAG
A4399 0 HCPCS / CPT® OSTOMY IRRIG CONE/CATH W BRS
A4400 0 HCPCS / CPT® OSTOMY IRRIGATION SET
A4402 0 HCPCS / CPT® LUBRICANT PER OUNCE
A4404 0 HCPCS / CPT® OSTOMY RING EACH
A4405 0 HCPCS / CPT® NONPECTIN BASED OSTOMY PASTE
A4406 0 HCPCS / CPT® PECTIN BASED OSTOMY PASTE
A4407 0 HCPCS / CPT® EXT WEAR OST SKN BARR <=4SQ
A4408 0 HCPCS / CPT® EXT WEAR OST SKN BARR >4SQ
A4409 0 HCPCS / CPT® OST SKN BARR CONVEX <=4 SQ I
A4410 0 HCPCS / CPT® OST SKN BARR EXTND >4 SQ
A4411 0 HCPCS / CPT® OST SKN BARR EXTND =4SQ
A4412 0 HCPCS / CPT® OST POUCH DRAIN HIGH OUTPUT
A4413 0 HCPCS / CPT® 2 PC DRAINABLE OST POUCH
A4414 0 HCPCS / CPT® OST SKNBAR W/O CONV<=4 SQ IN
A4415 0 HCPCS / CPT® OST SKN BARR W/O CONV >4 SQI
A4416 0 HCPCS / CPT® OST PCH CLSD W BARRIER/FILTR
A4417 0 HCPCS / CPT® OST PCH W BAR/BLTINCONV/FLTR
A4418 0 HCPCS / CPT® OST PCH CLSD W/O BAR W FILTR
A4419 0 HCPCS / CPT® OST PCH FOR BAR W FLANGE/FLT
A4420 0 HCPCS / CPT® OST PCH CLSD FOR BAR W LK FL
A4421 0 HCPCS / CPT® OSTOMY SUPPLY MISC
A4422 0 HCPCS / CPT® OST POUCH ABSORBENT MATERIAL
A4423 0 HCPCS / CPT® OST PCH FOR BAR W LK FL/FLTR
A4424 0 HCPCS / CPT® OST PCH DRAIN W BAR & FILTER
A4425 0 HCPCS / CPT® OST PCH DRAIN FOR BARRIER FL
A4426 0 HCPCS / CPT® OST PCH DRAIN 2 PIECE SYSTEM
A4427 0 HCPCS / CPT® OST PCH DRAIN/BARR LK FLNG/F
A4428 0 HCPCS / CPT® URINE OST POUCH W FAUCET/TAP
A4429 0 HCPCS / CPT® URINE OST POUCH W BLTINCONV
A4430 0 HCPCS / CPT® OST URINE PCH W B/BLTIN CONV
A4431 0 HCPCS / CPT® OST PCH URINE W BARRIER/TAPV
A4432 0 HCPCS / CPT® OS PCH URINE W BAR/FANGE/TAP
A4433 0 HCPCS / CPT® URINE OST PCH BAR W LOCK FLN
A4434 0 HCPCS / CPT® OST PCH URINE W LOCK FLNG/FT
A4435 0 HCPCS / CPT® 1PC OST PCH DRAIN HGH OUTPUT
A4450 9 HCPCS / CPT® NON-WATERPROOF TAPE
A4452 9 HCPCS / CPT® WATERPROOF TAPE
A4455 7 HCPCS / CPT® ADHESIVE REMOVER PER OUNCE
A4456 7 HCPCS / CPT® ADHESIVE REMOVER, WIPES
A4458 0 HCPCS / CPT® REUSABLE ENEMA BAG
A4459 0 HCPCS / CPT® MANUAL PUMP ENEMA, REUSABLE
A4461 0 HCPCS / CPT® SURGICL DRESS HOLD NON-REUSE
A4463 0 HCPCS / CPT® SURGICAL DRESS HOLDER REUSE
A4465 0 HCPCS / CPT® NON-ELASTIC EXTREMITY BINDER
A4467 0 HCPCS / CPT® BELT STRAP SLEEV GRMNT COVER
A4470 0 HCPCS / CPT® GRAVLEE JET WASHER
A4480 0 HCPCS / CPT® VABRA ASPIRATOR
A4481 0 HCPCS / CPT® TRACHEOSTOMA FILTER
A4483 0 HCPCS / CPT® MOISTURE EXCHANGER
A4490 0 HCPCS / CPT® ABOVE KNEE SURGICAL STOCKING
A4495 0 HCPCS / CPT® THIGH LENGTH SURG STOCKING
A4500 0 HCPCS / CPT® BELOW KNEE SURGICAL STOCKING
A4510 0 HCPCS / CPT® FULL LENGTH SURG STOCKING
A4520 0 HCPCS / CPT® INCONTINENCE GARMENT ANYTYPE
A4550 372 HCPCS / CPT® SURGICAL TRAYS
A4553 0 HCPCS / CPT® NONDISP UNDERPADS, ALL SIZES
A4554 27 HCPCS / CPT® DISPOSABLE UNDERPADS
A4555 0 HCPCS / CPT® CA TX E-STIM ELECTR/TRANSDUC
A4556 12 HCPCS / CPT® ELECTRODES, PAIR
A4557 19 HCPCS / CPT® LEAD WIRES, PAIR
A4558 7 HCPCS / CPT® CONDUCTIVE GEL OR PASTE
A4559 0 HCPCS / CPT® COUPLING GEL OR PASTE
A4561 0 HCPCS / CPT® PESSARY RUBBER, ANY TYPE
A4562 0 HCPCS / CPT® PESSARY, NON RUBBER,ANY TYPE
A4565 133 HCPCS / CPT® SLINGS
A4566 79 HCPCS / CPT® SHOULD SLING/VEST/ABRESTRAIN
A4570 114 HCPCS / CPT® SPLINT
A4575 0 HCPCS / CPT® HYPERBARIC O2 CHAMBER DISPS
A4580 0 HCPCS / CPT® CAST SUPPLIES (PLASTER)
A4590 76 HCPCS / CPT® SPECIAL CASTING MATERIAL
A4595 42 HCPCS / CPT® TENS SUPPL 2 LEAD PER MONTH
A4600 0 HCPCS / CPT® SLEEVE, INTER LIMB COMP DEV
A4601 0 HCPCS / CPT® LITH ION NON PROSTH RECHARGE
A4602 0 HCPCS / CPT® REPLACE LITHIUM BATTERY 1.5V
A4604 0 HCPCS / CPT® TUBING WITH HEATING ELEMENT
A4605 0 HCPCS / CPT® TRACH SUCTION CATH CLOSE SYS
A4606 115 HCPCS / CPT® OXYGEN PROBE USED W OXIMETER
A4608 0 HCPCS / CPT® TRANSTRACHEAL OXYGEN CATH
A4611 0 HCPCS / CPT® HEAVY DUTY BATTERY
A4612 0 HCPCS / CPT® BATTERY CABLES
A4613 0 HCPCS / CPT® BATTERY CHARGER
A4614 45 HCPCS / CPT® HAND-HELD PEFR METER
A4615 7 HCPCS / CPT® CANNULA NASAL
A4616 7 HCPCS / CPT® TUBING (OXYGEN) PER FOOT
A4617 50 HCPCS / CPT® MOUTH PIECE
A4618 0 HCPCS / CPT® BREATHING CIRCUITS
A4619 0 HCPCS / CPT® FACE TENT
A4620 0 HCPCS / CPT® VARIABLE CONCENTRATION MASK
A4623 0 HCPCS / CPT® TRACHEOSTOMY INNER CANNULA
A4624 0 HCPCS / CPT® TRACHEAL SUCTION TUBE
A4625 0 HCPCS / CPT® TRACH CARE KIT FOR NEW TRACH
A4626 0 HCPCS / CPT® TRACHEOSTOMY CLEANING BRUSH
A4627 0 HCPCS / CPT® SPACER BAG/RESERVOIR
A4628 0 HCPCS / CPT® OROPHARYNGEAL SUCTION CATH
A4629 0 HCPCS / CPT® TRACHEOSTOMY CARE KIT
A4630 0 HCPCS / CPT® REPL BAT T.E.N.S. OWN BY PT
A4633 0 HCPCS / CPT® UVL REPLACEMENT BULB
A4634 0 HCPCS / CPT® REPLACEMENT BULB TH LIGHTBOX
A4635 22 HCPCS / CPT® UNDERARM CRUTCH PAD
A4636 0 HCPCS / CPT® HANDGRIP FOR CANE ETC
A4637 0 HCPCS / CPT® REPL TIP CANE/CRUTCH/WALKER
A4638 0 HCPCS / CPT® REPL BATT PULSE GEN SYS
A4639 0 HCPCS / CPT® INFRARED HT SYS REPLCMNT PAD
A4640 0 HCPCS / CPT® ALTERNATING PRESSURE PAD
A4641 0 HCPCS / CPT® RADIOPHARM DX AGENT NOC
A4642 0 HCPCS / CPT® IN111 SATUMOMAB
A4648 0 HCPCS / CPT® IMPLANTABLE TISSUE MARKER
A4649 121 HCPCS / CPT® SURGICAL SUPPLIES
A4650 0 HCPCS / CPT® IMPLANT RADIATION DOSIMETER
A4651 0 HCPCS / CPT® CALIBRATED MICROCAP TUBE
A4652 0 HCPCS / CPT® MICROCAPILLARY TUBE SEALANT
A4653 0 HCPCS / CPT® PD CATHETER ANCHOR BELT
A4657 6 HCPCS / CPT® SYRINGE W/WO NEEDLE
A4660 0 HCPCS / CPT® SPHYG/BP APP W CUFF AND STET
A4663 0 HCPCS / CPT® DIALYSIS BLOOD PRESSURE CUFF
A4670 33 HCPCS / CPT® AUTOMATIC BP MONITOR, DIAL
A4671 0 HCPCS / CPT® DISPOSABLE CYCLER SET
A4672 0 HCPCS / CPT® DRAINAGE EXT LINE, DIALYSIS
A4673 12 HCPCS / CPT® EXT LINE W EASY LOCK CONNECT
A4674 0 HCPCS / CPT® CHEM/ANTISEPT SOLUTION, 8OZ
A4680 0 HCPCS / CPT® ACTIVATED CARBON FILTER, EA
A4690 0 HCPCS / CPT® DIALYZER, EACH
A4706 0 HCPCS / CPT® BICARBONATE CONC SOL PER GAL
A4707 0 HCPCS / CPT® BICARBONATE CONC POW PER PAC
A4708 0 HCPCS / CPT® ACETATE CONC SOL PER GALLON
A4709 0 HCPCS / CPT® ACID CONC SOL PER GALLON
A4714 0 HCPCS / CPT® TREATED WATER PER GALLON
A4719 0 HCPCS / CPT® Y SET TUBING
A4720 0 HCPCS / CPT® DIALYSAT SOL FLD VOL > 249CC
A4721 0 HCPCS / CPT® DIALYSAT SOL FLD VOL > 999CC
A4722 0 HCPCS / CPT® DIALYS SOL FLD VOL > 1999CC
A4723 0 HCPCS / CPT® DIALYS SOL FLD VOL > 2999CC
A4724 0 HCPCS / CPT® DIALYS SOL FLD VOL > 3999CC
A4725 0 HCPCS / CPT® DIALYS SOL FLD VOL > 4999CC
A4726 0 HCPCS / CPT® DIALYS SOL FLD VOL > 5999CC
A4728 0 HCPCS / CPT® DIALYSATE SOLUTION, NON-DEX
A4730 0 HCPCS / CPT® FISTULA CANNULATION SET, EA
A4736 9 HCPCS / CPT® TOPICAL ANESTHETIC, PER GRAM
A4737 0 HCPCS / CPT® INJ ANESTHETIC PER 10 ML
A4740 0 HCPCS / CPT® SHUNT ACCESSORY
A4750 0 HCPCS / CPT® ART OR VENOUS BLOOD TUBING
A4755 0 HCPCS / CPT® COMB ART/VENOUS BLOOD TUBING
A4760 0 HCPCS / CPT® DIALYSATE SOL TEST KIT, EACH
A4765 0 HCPCS / CPT® DIALYSATE CONC POW PER PACK
A4766 0 HCPCS / CPT® DIALYSATE CONC SOL ADD 10 ML
A4770 0 HCPCS / CPT® BLOOD COLLECTION TUBE/VACUUM
A4771 0 HCPCS / CPT® SERUM CLOTTING TIME TUBE
A4772 7 HCPCS / CPT® BLOOD GLUCOSE TEST STRIPS
A4773 7 HCPCS / CPT® OCCULT BLOOD TEST STRIPS
A4774 0 HCPCS / CPT® AMMONIA TEST STRIPS
A4802 0 HCPCS / CPT® PROTAMINE SULFATE PER 50 MG
A4860 0 HCPCS / CPT® DISPOSABLE CATHETER TIPS
A4870 0 HCPCS / CPT® PLUMB/ELEC WK HM HEMO EQUIP
A4890 0 HCPCS / CPT® REPAIR/MAINT CONT HEMO EQUIP
A4911 0 HCPCS / CPT® DRAIN BAG/BOTTLE
A4913 0 HCPCS / CPT® MISC DIALYSIS SUPPLIES NOC
A4918 0 HCPCS / CPT® VENOUS PRESSURE CLAMP
A4927 1 HCPCS / CPT® NON-STERILE GLOVES
A4928 0 HCPCS / CPT® SURGICAL MASK
A4929 0 HCPCS / CPT® TOURNIQUET FOR DIALYSIS, EA
A4930 3 HCPCS / CPT® STERILE, GLOVES PER PAIR
A4931 0 HCPCS / CPT® REUSABLE ORAL THERMOMETER
A4932 0 HCPCS / CPT® REUSABLE RECTAL THERMOMETER
A5051 0 HCPCS / CPT® POUCH CLSD W BARR ATTACHED
A5052 0 HCPCS / CPT® CLSD OSTOMY POUCH W/O BARR
A5053 0 HCPCS / CPT® CLSD OSTOMY POUCH FACEPLATE
A5054 0 HCPCS / CPT® CLSD OSTOMY POUCH W/FLANGE
A5055 0 HCPCS / CPT® STOMA CAP
A5056 0 HCPCS / CPT® 1 PC OST POUCH W FILTER
A5057 0 HCPCS / CPT® 1 PC OST POU W BUILT-IN CONV
A5061 0 HCPCS / CPT® POUCH DRAINABLE W BARRIER AT
A5062 0 HCPCS / CPT® DRNBLE OSTOMY POUCH W/O BARR
A5063 0 HCPCS / CPT® DRAIN OSTOMY POUCH W/FLANGE
A5071 0 HCPCS / CPT® URINARY POUCH W/BARRIER
A5072 0 HCPCS / CPT® URINARY POUCH W/O BARRIER
A5073 0 HCPCS / CPT® URINARY POUCH ON BARR W/FLNG
A5081 0 HCPCS / CPT® STOMA PLUG OR SEAL, ANY TYPE
A5082 0 HCPCS / CPT® CONTINENT STOMA CATHETER
A5083 0 HCPCS / CPT® STOMA ABSORPTIVE COVER
A5093 0 HCPCS / CPT® OSTOMY ACCESSORY CONVEX INSE
A5102 0 HCPCS / CPT® BEDSIDE DRAIN BTL W/WO TUBE
A5105 0 HCPCS / CPT® URINARY SUSPENSORY
A5112 12 HCPCS / CPT® URINARY LEG BAG
A5113 7 HCPCS / CPT® LATEX LEG STRAP
A5114 7 HCPCS / CPT® FOAM/FABRIC LEG STRAP
A5120 5 HCPCS / CPT® SKIN BARRIER, WIPE OR SWAB
A5121 0 HCPCS / CPT® SOLID SKIN BARRIER 6X6
A5122 0 HCPCS / CPT® SOLID SKIN BARRIER 8X8
A5126 0 HCPCS / CPT® DISK/FOAM PAD +OR- ADHESIVE
A5131 0 HCPCS / CPT® APPLIANCE CLEANER
A5200 0 HCPCS / CPT® PERCUTANEOUS CATHETER ANCHOR
A5500 0 HCPCS / CPT® DIAB SHOE FOR DENSITY INSERT
A5501 0 HCPCS / CPT® DIABETIC CUSTOM MOLDED SHOE
A5503 0 HCPCS / CPT® DIABETIC SHOE W/ROLLER/ROCKR
A5504 0 HCPCS / CPT® DIABETIC SHOE WITH WEDGE
A5505 0 HCPCS / CPT® DIAB SHOE W/METATARSAL BAR
A5506 0 HCPCS / CPT® DIABETIC SHOE W/OFF SET HEEL
A5507 0 HCPCS / CPT® MODIFICATION DIABETIC SHOE
A5508 0 HCPCS / CPT® DIABETIC DELUXE SHOE
A5510 0 HCPCS / CPT® COMPRESSION FORM SHOE INSERT
A5512 0 HCPCS / CPT® MULTI DEN INSERT DIRECT FORM
A5513 0 HCPCS / CPT® MULTI DEN INSERT CUSTOM MOLD
A6000 0 HCPCS / CPT® WOUND WARMING WOUND COVER
A6010 0 HCPCS / CPT® COLLAGEN BASED WOUND FILLER
A6011 0 HCPCS / CPT® COLLAGEN GEL/PASTE WOUND FIL
A6021 15 HCPCS / CPT® COLLAGEN DRESSING <=16 SQ IN
A6022 0 HCPCS / CPT® COLLAGEN DRSG>16<=48 SQ IN
A6023 0 HCPCS / CPT® COLLAGEN DRESSING >48 SQ IN
A6024 0 HCPCS / CPT® COLLAGEN DSG WOUND FILLER
A6025 0 HCPCS / CPT® SILICONE GEL SHEET, EACH
A6154 0 HCPCS / CPT® WOUND POUCH EACH
A6196 0 HCPCS / CPT® ALGINATE DRESSING <=16 SQ IN
A6197 0 HCPCS / CPT® ALGINATE DRSG >16 <=48 SQ IN
A6198 0 HCPCS / CPT® ALGINATE DRESSING > 48 SQ IN
A6199 0 HCPCS / CPT® ALGINATE DRSG WOUND FILLER
A6203 0 HCPCS / CPT® COMPOSITE DRSG <= 16 SQ IN
A6204 0 HCPCS / CPT® COMPOSITE DRSG >16<=48 SQ IN
A6205 20 HCPCS / CPT® COMPOSITE DRSG > 48 SQ IN
A6206 0 HCPCS / CPT® CONTACT LAYER <= 16 SQ IN
A6207 0 HCPCS / CPT® CONTACT LAYER >16<= 48 SQ IN
A6208 0 HCPCS / CPT® CONTACT LAYER > 48 SQ IN
A6209 0 HCPCS / CPT® FOAM DRSG <=16 SQ IN W/O BDR
A6210 89 HCPCS / CPT® FOAM DRG >16<=48 SQ IN W/O B
A6211 28 HCPCS / CPT® FOAM DRG > 48 SQ IN W/O BRDR
A6212 0 HCPCS / CPT® FOAM DRG <=16 SQ IN W/BORDER
A6213 0 HCPCS / CPT® FOAM DRG >16<=48 SQ IN W/BDR
A6214 0 HCPCS / CPT® FOAM DRG > 48 SQ IN W/BORDER
A6215 0 HCPCS / CPT® FOAM DRESSING WOUND FILLER
A6216 12 HCPCS / CPT® NON-STERILE GAUZE<=16 SQ IN
A6217 12 HCPCS / CPT® NON-STERILE GAUZE>16<=48 SQ
A6218 0 HCPCS / CPT® NON-STERILE GAUZE > 48 SQ IN
A6219 17 HCPCS / CPT® GAUZE <= 16 SQ IN W/BORDER
A6220 0 HCPCS / CPT® GAUZE >16 <=48 SQ IN W/BORDR
A6221 0 HCPCS / CPT® GAUZE > 48 SQ IN W/BORDER
A6222 0 HCPCS / CPT® GAUZE <=16 IN NO W/SAL W/O B
A6223 0 HCPCS / CPT® GAUZE >16<=48 NO W/SAL W/O B
A6224 0 HCPCS / CPT® GAUZE > 48 IN NO W/SAL W/O B
A6228 0 HCPCS / CPT® GAUZE <= 16 SQ IN WATER/SAL
A6229 0 HCPCS / CPT® GAUZE >16<=48 SQ IN WATR/SAL
A6230 0 HCPCS / CPT® GAUZE > 48 SQ IN WATER/SALNE
A6231 0 HCPCS / CPT® HYDROGEL DSG<=16 SQ IN
A6232 0 HCPCS / CPT® HYDROGEL DSG>16<=48 SQ IN
A6233 0 HCPCS / CPT® HYDROGEL DRESSING >48 SQ IN
A6234 0 HCPCS / CPT® HYDROCOLLD DRG <=16 W/O BDR
A6235 0 HCPCS / CPT® HYDROCOLLD DRG >16<=48 W/O B
A6236 0 HCPCS / CPT® HYDROCOLLD DRG > 48 IN W/O B
A6237 0 HCPCS / CPT® HYDROCOLLD DRG <=16 IN W/BDR
A6238 0 HCPCS / CPT® HYDROCOLLD DRG >16<=48 W/BDR
A6239 0 HCPCS / CPT® HYDROCOLLD DRG > 48 IN W/BDR
A6240 0 HCPCS / CPT® HYDROCOLLD DRG FILLER PASTE
A6241 0 HCPCS / CPT® HYDROCOLLOID DRG FILLER DRY
A6242 0 HCPCS / CPT® HYDROGEL DRG <=16 IN W/O BDR
A6243 0 HCPCS / CPT® HYDROGEL DRG >16<=48 W/O BDR
A6244 0 HCPCS / CPT® HYDROGEL DRG >48 IN W/O BDR
A6245 0 HCPCS / CPT® HYDROGEL DRG <= 16 IN W/BDR
A6246 0 HCPCS / CPT® HYDROGEL DRG >16<=48 IN W/B
A6247 0 HCPCS / CPT® HYDROGEL DRG > 48 SQ IN W/B
A6248 0 HCPCS / CPT® HYDROGEL DRSG GEL FILLER
A6250 31 HCPCS / CPT® SKIN SEAL PROTECT MOISTURIZR
A6251 0 HCPCS / CPT® ABSORPT DRG <=16 SQ IN W/O B
A6252 0 HCPCS / CPT® ABSORPT DRG >16 <=48 W/O BDR
A6253 0 HCPCS / CPT® ABSORPT DRG > 48 SQ IN W/O B
A6254 0 HCPCS / CPT® ABSORPT DRG <=16 SQ IN W/BDR
A6255 0 HCPCS / CPT® ABSORPT DRG >16<=48 IN W/BDR
A6256 0 HCPCS / CPT® ABSORPT DRG > 48 SQ IN W/BDR
A6257 0 HCPCS / CPT® TRANSPARENT FILM <= 16 SQ IN
A6258 0 HCPCS / CPT® TRANSPARENT FILM >16<=48 IN
A6259 0 HCPCS / CPT® TRANSPARENT FILM > 48 SQ IN
A6260 91 HCPCS / CPT® WOUND CLEANSER ANY TYPE/SIZE
A6261 91 HCPCS / CPT® WOUND FILLER GEL/PASTE /OZ
A6262 0 HCPCS / CPT® WOUND FILLER DRY FORM / GRAM
A6266 0 HCPCS / CPT® IMPREG GAUZE NO H20/SAL/YARD
A6402 0 HCPCS / CPT® STERILE GAUZE <= 16 SQ IN
A6403 0 HCPCS / CPT® STERILE GAUZE>16 <= 48 SQ IN
A6404 0 HCPCS / CPT® STERILE GAUZE > 48 SQ IN
A6407 0 HCPCS / CPT® PACKING STRIPS, NON-IMPREG
A6410 15 HCPCS / CPT® STERILE EYE PAD
A6411 0 HCPCS / CPT® NON-STERILE EYE PAD
A6412 27 HCPCS / CPT® OCCLUSIVE EYE PATCH
A6413 6 HCPCS / CPT® ADHESIVE BANDAGE, FIRST-AID
A6441 0 HCPCS / CPT® PAD BAND W>=3 <5/YD
A6442 0 HCPCS / CPT® CONFORM BAND N/S W<3/YD
A6443 0 HCPCS / CPT® CONFORM BAND N/S W>=3<5/YD
A6444 0 HCPCS / CPT® CONFORM BAND N/S W>=5/YD
A6445 0 HCPCS / CPT® CONFORM BAND S W <3/YD
A6446 0 HCPCS / CPT® CONFORM BAND S W>=3 <5/YD
A6447 0 HCPCS / CPT® CONFORM BAND S W >=5/YD
A6448 10 HCPCS / CPT® LT COMPRES BAND <3/YD
A6449 16 HCPCS / CPT® LT COMPRES BAND >=3 <5/YD
A6450 15 HCPCS / CPT® LT COMPRES BAND >=5/YD elastic
A6451 0 HCPCS / CPT® MOD COMPRES BAND W>=3<5/YD
A6452 0 HCPCS / CPT® HIGH COMPRES BAND W>=3<5YD
A6453 2 HCPCS / CPT® SELF-ADHER BAND W <3/YD
A6454 10 HCPCS / CPT® SELF-ADHER BAND W>=3 <5/YD
A6455 0 HCPCS / CPT® SELF-ADHER BAND >=5/YD
A6456 0 HCPCS / CPT® ZINC PASTE BAND W >=3<5/YD
A6457 0 HCPCS / CPT® TUBULAR DRESSING
A6501 0 HCPCS / CPT® COMPRES BURNGARMENT BODYSUIT
A6502 0 HCPCS / CPT® COMPRES BURNGARMENT CHINSTRP
A6503 0 HCPCS / CPT® COMPRES BURNGARMENT FACEHOOD
A6504 0 HCPCS / CPT® CMPRSBURNGARMENT GLOVE-WRIST
A6505 0 HCPCS / CPT® CMPRSBURNGARMENT GLOVE-ELBOW
A6506 0 HCPCS / CPT® CMPRSBURNGRMNT GLOVE-AXILLA
A6507 0 HCPCS / CPT® CMPRS BURNGARMENT FOOT-KNEE
A6508 0 HCPCS / CPT® CMPRS BURNGARMENT FOOT-THIGH
A6509 0 HCPCS / CPT® COMPRES BURN GARMENT JACKET
A6510 0 HCPCS / CPT® COMPRES BURN GARMENT LEOTARD
A6511 0 HCPCS / CPT® COMPRES BURN GARMENT PANTY
A6512 0 HCPCS / CPT® COMPRES BURN GARMENT, NOC