500 Items and Services
500 Items and Services List for Price Comparison Tool
This page has been archived. It was last updated on 6/23/2023. Starting January 1, 2024, price comparison tools must display information for all covered items and services.
| Code | Description | Plain Language Description |
|---|---|---|
| J0702 | BETAMETHASONE ACET&SOD PHOSP | Injection to treat reaction to a drug |
| J1745 | INFLIXIMAB NOT BIOSIMIL 10MG | A biologic medication |
| G0102 | Prostate cancer screening; digital rectal examination | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | |
| G0121 | Colon ca scrn; not hi risk ind | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
| G0105 | Colorectal ca scrn; hi risk ind | Colorectal cancer screening; colonoscopy on individual at high risk |
| S0285 | Cnslt before screen colonosc | Colonoscopy consultation performed prior to a screening colonoscopy procedure |
| G0289 | Arthro, loose body + chondro | Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee |
| G0120 | Colon ca scrn; barium enema | Colorectal cancer screening; alternative to g0105, screening colonoscopy, barium enema |
| 460 | SPINAL FUSION (POSTERIOR) | Spinal fusion except cervical |
| 470 | KNEE REPLACEMENT | Major joint replacement or reattachment of lower extremity |
| 473 | SPINAL FUSION (ANTERIOR) | Cervical spinal fusion |
| 743 | HYSTERECTOMY | Uterine and adnexa procedures for non-malignancy |
| 01960 | Anesthesia for vaginal delivery | |
| 01961 | Anesthesia for cesarean delivery | |
| 01967 | Anesthesia for labor during planned vaginal delivery | |
| 01968 | Anesthesia for cesarean delivery following labor | |
| 10005 | FNA W IMAGE | Fine needle aspiration biopsy, including ultrasound guidance; first lesion |
| 10021 | FNA W/O IMAGE | Fine Needle Aspiration Biopsy without imaging |
| 10040 | ACNE SURGERY | Incision and Drainage Procedures on the Skin, Subcutaneous and Accessory Structures |
| 10060 | DRAINAGE OF SKIN ABSCESS | Incision and drainage of abscess; simple or single and complex or multiple |
| 10140 | DRAINAGE OF HEMATOMA/FLUID | Incision and drainage of hematoma, seroma or fluid collection |
| 10160 | PUNCTURE DRAINAGE OF LESION | Puncture aspiration of abscess, hematoma, bulla, or cyst |
| 11000 | DEBRIDE INFECTED SKIN | Removal of infected skin |
| 11056 | TRIM SKIN LESIONS 2 TO 4 | Paring or cutting of benign hyperkeratotic lesion |
| 11102 | BIOPSY SKIN LESION | Tangential biopsy of skin (e.g., for example, shave, scoop, saucerize, curette); single lesion |
| 11103 | BIOPSY SKIN ADD-ON | Tangential biopsy of skin (e.g., for example, shave, scoop, saucerize, curette); each separate/additional lesion |
| 11200 | REMOVAL OF SKIN TAGS <W/15 | Removal of skin tags, multiple fibrocutaneous tags, any area |
| 11401 | EXC TR-EXT B9+MARG 0.6-1 CM | Under Excision-Benign Lesions Procedures on the Skin 0.6-1 CM |
| 11422 | EXC H-F-NK-SP B9+MARG 1.1-2 | Under Excision-Benign Lesions Procedures on the Skin 1.1-2 CM |
| 11602 | EXC TR-EXT MAL+MARG 1.1-2 CM | Excision-Malignant Lesions |
| 11721 | DEBRIDE NAIL 6 OR MORE | Removal of 6 or more nails |
| 11730 | REMOVAL OF NAIL PLATE | Separation and removal of the entire nail plate or a portion of nail plate |
| 11900 | INJECT SKIN LESIONS </W 7 | Injections to remove up to 7 lesions on the skin |
| 12001 | RPR S/N/AX/GEN/TRNK 2.5CM/< | Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities |
| 12011 | RPR F/E/E/N/L/M 2.5 CM/< | Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes |
| 17000 | DESTRUCT PREMALG LESION | Destruction of pre-cancerous lesion |
| 17003 | DESTRUCT PREMALG LES 2-14 | Destruction of 2-14 pre-cancerous lesions |
| 17110 | DESTRUCT B9 LESION 1-14 | Destruction of 1-14 common or plantar warts |
| 17111 | DESTRUCT LESION 15 OR MORE | Destruction of >15 common or plantar warts |
| 17250 | CHEM CAUT OF GRANLTJ TISSUE | Chemical destruction of pre-cancerous lesions of the skin |
| 17311 | MOHS 1 STAGE H/N/HF/G | Micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens |
| 19120 | REMOVAL OF BREAST LESION | |
| 20550 | INJ TENDON SHEATH/LIGAMENT | Injection of medication into a tendon or ligament |
| 20551 | INJ TENDON ORIGIN/INSERTION | Injection of medication into the tendon/ligament origin |
| 20553 | INJECT TRIGGER POINTS 3/> | Injection of medication into an area that triggers pain |
| 20600 | DRAIN/INJ JOINT/BURSA W/O US | Draining or injecting medication into a small joint/bursa without ultrasound |
| 20605 | DRAIN/INJ JOINT/BURSA W/O US | Draining or injecting medication into a large joint/bursa without ultrasound |
| 20610 | DRAIN/INJ JOINT/BURSA W/O US | Draining or injecting medication into a major joint/bursa without ultrasound |
| 20612 | ASPIRATE/INJ GANGLION CYST | Removal of fluid or injection of medication into a ganglion cyst |
| 27440 | Revision of knee joint | Repair of knee joint |
| 27441 | Revision of knee joint | Repair of knee joint |
| 27442 | Revision of knee joint | Repair of knee joint |
| 27443 | Revision of knee joint | Repair of knee joint |
| 27445 | Revision of knee joint | Repair of knee joint with hinged prosthesis |
| 27446 | Revision of knee joint | Repair of knee joint |
| 28296 | CORRECTION HALLUX VALGUS | Under Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes |
| 29826 | Subacromial Decompression | Shaving of shoulder bone using an endoscope |
| 29848 | WRIST ENDOSCOPY/SURGERY | Carpal tunnel release |
| 29880 | KNEE ARTHROSCOPY/SURGERY | Surgery to remove of all or part of a torn meniscus in both medial and lateral compartments |
| 29881 | KNEE ARTHROSCOPY/SURGERY | Surgery to remove of all or part of a torn meniscus in one compartment |
| 29888 | KNEE ARTHROSCOPY/SURGERY | ACL reconstruction |
| 30520 | REPAIR OF NASAL SEPTUM | Repair procedures of the nose |
| 31231 | NASAL ENDOSCOPY DX | Nasal endoscopy, diagnostic, unilateral or bilateral |
| 31237 | NASAL/SINUS ENDOSCOPY SURG | Surgical nasal/ sinus endoscopy with biopsy, polypectomy or debridement |
| 31575 | DIAGNOSTIC LARYNGOSCOPY | Flexible, fiberoptic diagnostic laryngoscopy |
| 36415 | ROUTINE VENIPUNCTURE | Collection of venous blood by venipuncture |
| 36471 | NJX SCLRSNT MLT INCMPTNT VN | Injections to remove spider veins on the limbs or trunk |
| 36475 | ENDOVENOUS RF 1ST VEIN | Ablation of incompetent vein |
| 36478 | ENDOVENOUS LASER 1ST VEIN | Laser removal of incompetent vein |
| 42820 | REMOVE TONSILS AND ADENOIDS | Removal of tonsils and adenoid glands patient younger than age 12 |
| 42826 | REMOVAL OF TONSILS | Primary or secondary removal of tonsils |
| 42830 | REMOVAL OF ADENOIDS | Primary removal of the adenoids |
| 43235 | EGD DIAGNOSTIC BRUSH WASH | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope |
| 43239 | EGD BIOPSY SINGLE/MULTIPLE | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope |
| 43846 | Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption | Surgical procedure used for weight loss resulting in a partial removal of stomach |
| 44388 | Colonoscopy thru stoma spx | Diagnostic examination of large bowel using an endoscope which is inserted through abdominal opening |
| 44389 | Colonoscopy with biopsy | Biopsies of large bowel using an endoscope which is inserted through abdominal opening |
| 44394 | Colonoscopy w/snare | Removal of large bowel polyps or growths using an endoscope |
| 45378 | DIAGNOSTIC COLONOSCOPY | Diagnostic examination of large bowel using an endoscope |
| 45379 | Colonoscopy w/fb removal | Removal of foreign bodies in large bowel using an endoscope |
| 45380 | COLONOSCOPY AND BIOPSY | Biopsy of large bowel using an endoscope |
| 45381 | Colonoscopy submucous njx | Injections of large bowel using an endoscope |
| 45382 | Colonoscopy w/control bleed | Control of bleeding in large bowel using an endoscope |
| 45384 | Colonoscopy w/lesion removal | Removal of polyps or growths in large bowel using an endoscope |
| 45385 | COLONOSCOPY W/LESION REMOVAL | Removal of polyps or growths of large bowel using an endoscope |
| 45386 | Colonoscopy w/balloon dilat | Balloon dilation of large bowel using an endoscope |
| 45388 | Colonoscopy w/ablation | Destruction of large bowel growths using an endoscope |
| 45390 | Colonoscopy w/resection | Removal of large bowel tissue using an endoscope |
| 45391 | Colonoscopy w/endoscope us | Ultrasound examination of lower large bowel using an endoscope |
| 45392 | Colonoscopy w/endoscopic fnb | Ultrasound guided needle aspiration or biopsy of lower large bowel using an endoscope |
| 45398 | Colonoscopy w/band ligation | Tying of large bowel using an endoscope |
| 47562 | LAPAROSCOPIC CHOLECYSTECTOMY | Removal of gallbladder using an endoscope |
| 47563 | LAPARO CHOLECYSTECTOMY/GRAPH | Gallbladder removal with use of an x-ray exam of the bile ducts |
| 49505 | PRP I/HERN INIT REDUC >5 YR | Repair of groin hernia patient age 5 years or older |
| 49585 | RPR UMBIL HERN REDUC > 5 YR | Repair of umbilical hernia in patients over 5 years old |
| 49650 | LAP ING HERNIA REPAIR INIT | Inguinal hernia repair done by laparoscope |
| 50590 | FRAGMENTING OF KIDNEY STONE | Surgical procedures on the kidney to break up and remove kidney stones |
| 51741 | ELECTRO-UROFLOWMETRY FIRST | A diagnostic test used to measure the flow of urine |
| 51798 | US URINE CAPACITY MEASURE | Ultrasound of bladder to measure urine capacity |
| 52000 | CYSTOSCOPY | Procedure on the bladder |
| 52310 | CYSTOSCOPY AND TREATMENT | Removing an indwelling ureteral stent by cystoscopy |
| 52332 | CYSTOSCOPY AND TREATMENT | Ureteral stents inserted internally between the bladder and the kidney and will remain within the patient for a defined period of time |
| 55250 | EXCISION PROCEDURES ON THE VAS DEFERENS | Removal of sperm duct(s) |
| 55700 | Prostate biopsy | Biopsy of prostate gland |
| 55866 | Surgical Procedures on the Prostate | Surgical removal of prostate and surrounding lymph nodes using an endoscope |
| 57022 | Incision and drainage of vaginal blood accumulation following delivery | |
| 57288 | REPAIR BLADDER DEFECT | Replacement of sling to support the bladder |
| 57454 | BX/CURETT OF CERVIX W/SCOPE | Biopsy of cervix or uterus |
| 58100 | EXCISION PROCEDURES ON THE CORPUS UTERI | Biopsy of the lining of the uterus |
| 58558 | HYSTEROSCOPY BIOPSY | Surgical hysteroscopy with biopsy |
| 58563 | HYSTEROSCOPY ABLATION | Surgical procedure used to treat premenopausal abnormal uterine bleeding |
| 58565 | HYSTEROSCOPY STERILIZATION | Laparoscopic/Hysteroscopic Procedures on the uterus |
| 58571 | TLH W/T/O 250 G OR LESS | Laparoscopic hysterectomy |
| 58661 | LAPAROSCOPY REMOVE ADNEXA | Removal of either benign or malignant tissue from the uterus, ovaries, fallopian tubes, or any of the surrounding tissues using a laparoscope |
| 58662 | LAPAROSCOPY EXCISE LESIONS | Removal of lesions of the ovary, pelvic viscera, or peritoneal surface |
| 58671 | LAPAROSCOPY TUBAL BLOCK | Laparoscopic tubal sterilization is surgery to block the fallopian tubes to prevent pregnancy |
| 59000 | AMNIOCENTESIS DIAGNOSTIC | Removal of amniotic fluid from the uterus for diagnostic purposes |
| 59025 | FETAL NON-STRESS TEST | A common prenatal test used to check on a baby's health. |
| 59400 | OBSTETRICAL CARE | Obstetrical pre- and postpartum care and vaginal delivery |
| 59409 | Vaginal delivery | |
| 59410 | Vaginal delivery with post-delivery care | |
| 59414 | Vaginal delivery of placenta | |
| 59425 | Pre-delivery care 4-6 visits | |
| 59426 | Pre-delivery care 7 or more visits | |
| 59510 | CESAREAN DELIVERY | Cesarean delivery with pre- and post-delivery care |
| 59514 | Cesarean delivery | |
| 59515 | Cesarean delivery with post-delivery care | |
| 59610 | VBAC DELIVERY | Vaginal delivery after prior cesarean delivery |
| 59612 | Vaginal delivery after prior cesarean delivery | |
| 59614 | Vaginal delivery after prior cesarean delivery with post-delivery care | |
| 62322 | SPINAL INJECTION FOR PAIN MANAGEMENT | Injection of substance into spinal canal of lower back or sacrum using imaging guidance |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | |
| 63030 | LOW BACK DISK SURGERY | Surgical procedure to decompress a herniated vertebra |
| 64483 | Transforaminal Epidural Injection | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance |
| 64493 | INJ PARAVERT F JNT L/S 1 LEV | Injection into lower back of nerve block using imaging guidance |
| 64721 | CARPAL TUNNEL SURGERY | Release of the transverse carpal ligament |
| 66821 | YAG capusulotomy surgery | Removal of recurring cataract in lens capsule using laser |
| 66984 | CATARACT SURG W/IOL 1 STAGE | Removal of cataract with insertion of lens |
| 67028 | INJECTION EYE DRUG | Injection of a pharmaceutical agent into the eye |
| 69210 | REMOVE IMPACTED EAR WAX | Removal of ear wax from one or both ears |
| 69436 | CREATE EARDRUM OPENING | Insertion of tubes into one or both ears |
| 70450 | CT HEAD/BRAIN W/O DYE | CT scan head or brain without dye |
| 70486 | CT MAXILLOFACIAL W/O DYE | CT Scan of the face and jaw without dye |
| 70491 | CT SOFT TISSUE NECK W/DYE | CT scan of neck with dye |
| 70551 | MRI BRAIN STEM W/O DYE | MRI of brain stem without dye |
| 70553 | MRI BRAIN STEM W/O & W/DYE | MRI scan of brain before and after contrast |
| 71045 | CHEST X-RAY | Single view |
| 71046 | CHEST X-RAY | 2 views, front and back |
| 71047 | CHEST X-RAY | 3 views |
| 71048 | CHEST X-RAY | 4 or more views |
| 71101 | X-RAY EXAM UNILAT RIBS/CHEST | Radiologic examination of one side of the chest/ribs |
| 71250 | CT THORAX W/O DYE | CT scan of the thorax without dye |
| 71260 | CT THORAX W/DYE | CT scan of the thorax with dye |
| 71275 | CT ANGIOGRAPHY CHEST | Diagnostic Radiology (Diagnostic Imaging) Procedures of the Chest |
| 72040 | X-RAY EXAM NECK SPINE 2-3 VW | Radiologic examination of the neck/spine, 2-3 views |
| 72050 | X-RAY EXAM NECK SPINE 4/5VWS | Radiologic examination of the neck/spine, 4-5 views |
| 72070 | X-RAY EXAM THORAC SPINE 2VWS | Radiologic examination of the middle spine, 2 views |
| 72072 | X-RAY EXAM THORAC SPINE 3VWS | Radiologic examination of the middle spine, 3 views |
| 72100 | X-RAY EXAM L-S SPINE 2/3 VWS | X-ray of the lower spine 2-3 views |
| 72110 | X-RAY EXAM L-2 SPINE 4/>VWS | X-ray of lower and sacral spine, minimum of 4 views |
| 72131 | CT LUMBAR SPINE W/O DYE | CT scan of lower spine without dye |
| 72141 | MRI NECK SPINE W/O DYE | MRI of the neck or spine without dye |
| 72146 | MRI CHEST SPINE W/O DYE | MRI of chest and spine without dye |
| 72148 | MRI LUMBAR SPINE W/O DYE | MRI scan of lower spinal canal |
| 72156 | MRI NECK SPINE W/O & W/DYE | MRI of neck/spine with and without dye |
| 72157 | MRI CHEST SPINE W/O & W/DYE | MRI of chest and spine with and without dye |
| 72158 | MRI LUMBAR SPINE W/O & W/DYE | MRI of lower back with and without dye |
| 72170 | X-RAY EXAM OF PELVIS | Radiologic examination of the pelvis |
| 72192 | CT PELVIS W/O DYE | CT of pelvis without dye |
| 72193 | CT PELVIS W/DYE | CT scan, pelvis, with contrast |
| 72195 | MRI PELVIS W/O DYE | MRI of pelvis without dye |
| 72197 | MRI PELVIS W/O & W/DYE | MRI of pelvis before and after dye |
| 73000 | X-RAY EXAM OF COLLAR BONE | Radiologic examination of the collar bone |
| 73030 | X-RAY EXAM OF SHOULDER | Radiologic examination of the shoulder |
| 73070 | X-RAY EXAM OF ELBOW | Radiologic examination, elbow; 2 views |
| 73080 | X-RAY EXAM OF ELBOW | Radiologic examination, elbow; 3 or more views |
| 73090 | X-RAY EXAM OF FOREARM | Radiologic examination of the forearm |
| 73100 | X-RAY EXAM OF WRIST | 3 or more views |
| 73110 | X-RAY EXAM OF WRIST | Up to 3 views |
| 73120 | X-RAY EXAM OF HAND | X-ray of the hand with 2 views |
| 73130 | X-RAY EXAM OF HAND | X-ray of the hand with 3 or more views |
| 73140 | X-RAY EXAM OF FINGER(S) | Radiologic examination of the finger(s) |
| 73221 | MRI JOINT UPR EXTREM W/O DYE | MRI of upper extremity without dye |
| 73560 | X-RAY EXAM OF KNEE 1 OR 2 | Radiologic examination of the knee with 1 or 2 views |
| 73562 | X-RAY EXAM OF KNEE 3 | Radiologic examination of the knee with 3 views |
| 73564 | X-RAY EXAM KNEE 4 OR MORE | Radiologic examination of the knee with 4 or more views |
| 73565 | X-RAY EXAM OF KNEES | Radiologic examination of both knees |
| 73590 | X-RAY EXAM OF LOWER LEG | Radiologic examination of the lower leg |
| 73600 | X-RAY EXAM OF ANKLE | Radiologic examination of the ankle with 2 views |
| 73610 | X-RAY EXAM OF ANKLE | Radiologic examination of the ankle with 3 views |
| 73620 | X-RAY EXAM OF FOOT | Radiologic examination, foot; 2 views |
| 73630 | X-RAY EXAM OF FOOT | Radiologic examination of the foot with 3 or more views |
| 73650 | X-RAY EXAM OF HEEL | Radiologic examination of the heel |
| 73660 | X-RAY EXAM OF TOE(S) | Radiologic examination of the toe(s) |
| 73700 | CT LOWER EXTREMITY W/O DYE | CT scan of leg without dye |
| 73718 | MRI LOWER EXTREMITY W/O DYE | MRI of leg without dye |
| 73721 | MRI JNT OF LWR EXTRE W/O DYE | MRI of lower extremity joint (knee/ankle) without dye |
| 73722 | MRI JOINT OF LWR EXTR W/DYE | MRI of lower extremity joint (knee/ankle) with dye |
| 73723 | MRI JOINT LWR EXTR W/O&W/DYE | MRI of lower extremity joint (knee/ankle) with and without dye |
| 74022 | X-RAY EXAM SERIES ABDOMEN | Serial radiologic examination of the abdomen |
| 74150 | CT ABDOMEN W/O DYE | CT of abdomen without dye |
| 74160 | CT ABDOMEN W/DYE | CT of abdomen with dye |
| 74170 | CT ABDOMEN W/O & W/DYE | CT of abdomen with and without dye |
| 74176 | CT ABD & PELVIS W/O CONTRAST | CT of abdomen and pelvis without dye |
| 74177 | CT ABD & PELV W/CONTRAST | CT scan of abdomen and pelvis with contrast |
| 74178 | CT ABD & PELV 1/> REGNS | Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions |
| 74181 | MRI ABDOMEN W/O DYE | MRI of abdomen without dye |
| 74183 | MRI ABDOMEN W/O & W/DYE | MRI of abdomen without and with dye |
| 76000 | CHEST X-RAY | Flouroscopy, or x-ray "movie" that takes less than an hour |
| 76512 | OPHTH US B W/NON-QUANT A | Ultrasound of the eye |
| 76514 | ECHO EXAM OF EYE THICKNESS | A diagnostic procedure that allows a provider to see the organs and other structures in the abdomen |
| 76536 | US EXAM OF HEAD AND NECK | Ultrasound of head and neck |
| 76642 | ULTRASOUND BREAST LIMITED | Limited ultrasound of the breast |
| 76700 | US EXAM ABDOM COMPLETE | Ultrasound of abdomen with all areas scanned |
| 76705 | ECHO EXAM OF ABDOMEN | A diagnostic procedure that allows a provider to see the organs and other structures in the abdomen |
| 76770 | US EXAM ABDO BACK WALL COMP | Ultrasound of back wall of the abdomen with all areas viewed |
| 76775 | US EXAM ABDO BACK WALL LIM | Ultrasound of back wall of the abdomen with limited areas viewed |
| 76801 | OB US < 14 WKS SINGLE FETUS | Abdominal ultrasound of pregnant uterus (less than 14 weeks) single or first fetus |
| 76805 | OB US >/= 14 WKS SNGL FETUS | Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) single or first fetus |
| 76811 | OB US DETAILED SNGL FETUS | Ultrasound of single fetus |
| 76813 | OB US NUCHAL MEAS 1 GEST | Evaluation through measurement of fetal nuchal translucency |
| 76815 | OB US LIMITED FETUS(S) | Ultrasound of fetus with limited views |
| 76817 | TRANSVAGINAL US OBSTETRIC | Transvaginal ultrasound of uterus |
| 76818 | FETAL BIOPHYS PROFILE W/NST | Fetal biophysical profile with non-stress test |
| 76819 | FETAL BIOPHYS PROFIL W/O NST | Fetal biophysical profile without non-stress test |
| 76830 | TRANSVAGINAL US NON-OB | Ultrasound of the pelvis through vagina |
| 76831 | ECHO EXAM UTERUS | A diagnostic procedure that allows a provider to see the uterus |
| 76856 | US EXAM PELVIC COMPLETE | Complete ultrasound of the pelvis |
| 76857 | US EXAM PELVIC LIMITED | Limited ultrasound of the pelvis |
| 76870 | US EXAM SCROTUM | Ultrasound of the scrotum |
| 76872 | US TRANSRECTAL | Transrectal ultrasound |
| 76882 | US LMTD JT/NONVASC XTR STRUX | Diagnostic ultrasound of an extremity excluding the bone, joints or vessels |
| 77047 | MRI BOTH BREASTS | Magnetic resonance imaging, breasts, without contrast material; bilateral |
| 77065 | DX MAMMO INCL CAD UNI | Mammography of one breast |
| 77066 | DX MAMMO INCL CAD BI | Mammography of both breasts |
| 77067 | SCR MAMMO BI INCL CAD | Mammography of both breasts-2 or more views |
| 77080 | BONE DENSITY STUDY OF SPINE OR PELVIS | Scan to measure bone mineral density (BMD) at the spine and hip |
| 77385 | Ntsty modul rad tx dlvr smpl | Radiation therapy delivery |
| 77386 | Ntsty modul rad tx dlvr cplx | Radiation therapy delivery |
| 77387 | Guidance for radia tx dlvr | Guidance for localization of target delivery of radiation treatment delivery |
| 77412 | Radiation treatment delivery | Radiation treatment delivery |
| 78014 | THYROID IMAGING W/BLOOD FLOW | Scan using a radioactive medication (radiopharmaceutical) to take pictures or images of the thyroid gland. |
| 78306 | BONE IMAGING WHOLE BODY | A procedure most commonly ordered to detect areas of abnormal bone growth due to fractures, tumors, infection, or other bone issues |
| 78452 | HT MUSCLE IMAGE SPECT MULT | Image of the heart to assess perfusion |
| 78815 | PET IMAGE W/CT SKULL-THIGH | Tumor imaging, positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization |
| 80048 | METABOLIC PANEL TOTAL CA | Basic metabolic panel |
| 80050 | GENERAL HEALTH PANEL | General health panel |
| 80051 | Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) | |
| 80053 | COMPREHEN METABOLIC PANEL | Blood test, comprehensive group of blood chemicals |
| 80055 | OBSTETRIC PANEL | Obstetric blood test panel |
| 80061 | LIPID PANEL | Blood test, lipids (cholesterol and triglycerides) |
| 80069 | RENAL FUNCTION PANEL | Kidney function panel test |
| 80074 | ACUTE HEPATITIS PANEL | Acute hepatitis panel |
| 80076 | HEPATIC FUNCTION PANEL | Liver function blood test panel |
| 80081 | Blood test panel for obstetrics (cbc, differential wbc count, hepatitis b, hiv, rubella, syphilis, antibody screening, rbc, blood typing) | |
| 80197 | ASSAY OF TACROLIMUS | Test is used to measure the amount of the drug in the blood to determine whether the concentration has reached a therapeutic level and is below the toxic level |
| 80307 | Drug test prsmv chem anlyzr | Testing for presence of drug |
| 81000 | URINALYSIS NONAUTO W/SCOPE | Manual urinalysis test with examination using microscope |
| 81001 | URINALYSIS; MANUAL OR AUTO WITH OR WITHOUT MICROSCOPY | Manual urinalysis test with examination with or without using microscope |
| 81002 | URINALYSIS NONAUTO W/O SCOPE | Manual urinalysis test with examination without using microscope |
| 81003 | URINALYSIS; MANUAL OR AUTO WITH OR WITHOUT MICROSCOPY | Automated urinalysis test |
| 81025 | URINE PREGNANCY TEST | Urine pregnancy test |
| 82043 | UR ALBUMIN QUANTITATIVE | Urine test to measure albumin |
| 82044 | UR ALBUMIN SEMIQUANTITATIVE | Urine test to measure albumin-semiquantitative |
| 82248 | BILIRUBIN DIRECT | Measurement of direct bilirubin |
| 82306 | VITAMIN D 25 HYDROXY | Blood test to monitor vitamin D levels |
| 82553 | CREATINE MB FRACTION | Blood test to detect heart enzymes |
| 82570 | ASSAY OF URINE CREATININE | Test to measure creatinine in the urine |
| 82607 | VITAMIN B-12 | Blood test to measure B-12 |
| 82627 | DEHYDROEPIANDROSTERONE | Blood test to measure an enzyme in the blood |
| 82670 | ASSAY OF ESTRADIOL | Blood test to measure a type of estrogen in the blood |
| 82728 | ASSAY OF FERRITIN | Test to determine level of iron in the blood |
| 82784 | ASSAY IGA/IGD/IGG/IGM EACH | Test to determine levels of immunoglobulins in the blood |
| 82803 | BLOOD GASES ANY COMBINATION | Test to measure arterial blood gases |
| 82947 | ASSAY GLUCOSE BLOOD QUANT | Quantitative measure of glucose build up in the blood over time |
| 82950 | GLUCOSE TEST | Test of glucose level in the blood |
| 82951 | GLUCOSE TOLERANCE TEST | Test to predict likelihood of gestational diabetes |
| 83001 | ASSAY OF GONADOTROPIN (FSH) | Test of hormone in the blood |
| 83002 | ASSAY OF GONADOTROPIN (LH) | Test of hormone in the blood |
| 83013 | H PYLORI (C-13) BREATH | Test of breath for a stomach bacterium |
| 83036 | GLYCOSYLATED HEMOGLOBIN TEST | Blood test to measure average blood glucose levels for past 2-3 months |
| 83516 | IMMUNOASSAY NONANTIBODY | Chemical test of the blood to measure presence or concentration of a substance in the blood |
| 83540 | ASSAY OF IRON | Blood test to measure the amount of iron that is in transit in the body |
| 83550 | IRON BINDING TEST | Blood test that measures the amount of iron carried in the blood |
| 83655 | ASSAY OF LEAD | Blood test to determine the concentration of lead in the blood |
| 83718 | ASSAY OF LIPOPROTEIN | Blood test to measure the level of lipoproteins in the blood |
| 83880 | ASSAY OF NATRIURETIC PEPTIDE | Blood test used to diagnose heart failure |
| 84134 | ASSAY OF PREALBUMIN | Blood test to measure level of prealbumin |
| 84153 | ASSAY OF PSA TOTAL | PSA (prostate specific antigen) |
| 84154 | PSA (prostate specific antigen) measurement | |
| 84436 | ASSAY OF TOTAL THYROXINE | Blood test to measure a type of thyroid hormone |
| 84439 | ASSAY OF FREE THYROXINE | Blood test to evaluate thyroid function |
| 84443 | ASSAY THYROID STIM HORMONE | Blood test, thyroid stimulating hormone (TSH) |
| 84460 | ALANINE AMINO (ALT) (SGPT) | Blood test to evaluate liver function |
| 84480 | ASSAY TRIIODOTHYRONINE (T3) | Blood test to evaluate thyroid function |
| 84484 | ASSAY OF TROPONIN QUANT | Blood test to measure a certain protein in the blood to determine heart muscle damage |
| 84703 | CHORIONIC GONADOTROPIN ASSAY | Blood test to assess for pregnancy |
| 85007 | BL SMEAR W/DIFF WBC COUNT | Blood test to assess for infection |
| 85018 | HEMOGLOBIN | Blood test to measure levels of hemoglobin |
| 85025 | COMPLETE CBC W/AUTO DIFF WBC | Complete blood cell count, with differential white blood cells, automated |
| 85027 | COMPLETE CBC AUTOMATED | Complete blood count, automated |
| 85610 | PROTHROMBIN TIME | Blood test, clotting time |
| 85730 | THROMBOPLASTIN TIME PARTIAL | Coagulation assessment blood test |
| 86039 | ANTINUCLEAR ANTIBODIES (ANA) | Blood test to determine autoimmune disorders |
| 86147 | CARDIOLIPIN ANTIBODY EA IG | Blood test to determine cause of inappropriate blood clot formation |
| 86200 | CCP ANTIBODY | Blood test to diagnose rheumatoid arthritis |
| 86300 | IMMUNOASSAY TUMOR CA 15-3 | Blood test to monitor breast cancer |
| 86304 | IMMUNOASSAY TUMOR CA 125 | Blood test to monitor for cancer |
| 86336 | INHIBIN A | Blood test to monitor for cancer in the ovaries or testis |
| 86592 | SYPHILIS TEST NON-TREP QUAL | Blood test to screen for syphilis |
| 86644 | CMV ANTIBODY | Blood test to monitor for cytomegalovirus |
| 86665 | EPSTEIN-BARR CAPSID VCA | Blood test to diagnose mononucleosis |
| 86677 | HELICOBACTER PYLORI ANTIBODY | Blood test to if peptic ulcers are caused by a certain bacterium |
| 86703 | HIV-1/HIV-2 1 RESULT ANTBDY | Blood test to diagnose HIV |
| 86704 | HEP B CORE ANTIBODY TOTAL | Blood test indicating infection with Hepatitis B |
| 86708 | HEPATITIS A ANTIBODY | Blood test indicating infection with Hepatitis A |
| 86762 | RUBELLA ANTIBODY | Blood test to determine if antibodies exist for rubella |
| 86765 | RUBEOLA ANTIBODY | Blood test to determine if antibodies exist for measles |
| 86780 | TREPONEMA PALLIDUM | Blood test to determine existence of certain bacterium that causes syphilis |
| 86803 | HEPATITIS C AB TEST | Blood test to determine infection with Hepatitis C |
| 86850 | RBC ANTIBODY SCREEN | Blood test to screen for antibodies that could harm red blood cells |
| 87040 | BLOOD CULTURE FOR BACTERIA | Blood test to screen for bacteria in the blood |
| 87046 | STOOL CULTR AEROBIC BACT EA | Blood test to identify bacteria that may be contributing to symptoms in the gastrointestinal tract |
| 87070 | CULTURE OTHR SPECIMN AEROBIC | Test of body fluid other than blood to assess for bacteria |
| 87077 | CULTURE AEROBIC IDENTIFY | Test of a wound for type of bacterial infection |
| 87081 | CULTURE SCREEN ONLY | Medical test to find an infection |
| 87086 | URINE CULTURE/COLONY COUNT | Culture of the urine to determine number of bacteria |
| 87088 | URINE BACTERIA CULTURE | Culture of the urine to determine bacterial infection |
| 87101 | SKIN FUNGI CULTURE | A procedure used to determine if fungi are present in an area of the body |
| 87186 | MICROBE SUSCEPTIBLE MIC | A test used to determine which medications work on bacteria for fungi |
| 87205 | SMEAR GRAM STAIN | A lab test used to detect bacteria or fungi in a sample taken from the site of a suspected infection |
| 87210 | SMEAR WET MOUNT SALINE/INK | A lab test to screen for evidence of vaginal infection |
| 87324 | CLOSTRIDIUM AG IA | A test of the stool to diagnose Clostridium difficile (C. diff) infection |
| 87389 | HIV-1 AG W/HIV-1 & HIV-2 AB | Test for HIV |
| 87491 | CHYLMD TRACH DNA AMP PROBE | Test that detects Chlamydia |
| 87510 | GARDNER VAG DNA DIR PROBE | Blood test for vaginitis |
| 87591 | N.GONORRHOEAE DNA AMP PROB | Blood test for an STD |
| 87624 | Hpv high-risk types | Detection test for human papillomavirus (hpv) |
| 87653 | STREP B DNA AMP PROBE | Blood test for strep infection |
| 87661 | TRICHOMONAS VAGINALIS AMPLIF | Blood test for an STD |
| 87801 | DETECT AGNT MULT DNA AMPLI | Blood test to determine genetic material of certain infectious agents |
| 87804 | INFLUENZA ASSAY W/OPTIC | Flu test |
| 87807 | RSV ASSAY W/OPTIC | Test for RSV |
| 87880 | STREP A ASSAY W/OPTIC | Test for strep A |
| 88112 | CYTOPATH CELL ENHANCE TECH | Urine test |
| 88141 | CYTOPATH C/V INTERPRET | Cervical cancer screening test with interpretation |
| 88142 | CYTOPATH C/V THIN LAYER | PAP smear |
| 88150 | CYTOPATH C/V MANUAL | Cervical cancer screening test done manually |
| 88175 | CYTOPATH C/V AUTO FLUID REDO | PAP smear |
| 88305 | TISSUE EXAM BY PATHOLOGIST | Test of tissues for diagnosis of abnormalities |
| 88312 | SPECIAL STAINS GROUP 1 | Blood test to assist with diagnosis |
| 88313 | SPECIAL STAINS GROUP 2 | Blood test to assist with diagnosis |
| 88342 | IMMUNOHISTO ANTB 1ST STAIN | Pathology test |
| 90460 | IM ADMIN 1ST/ONLY COMPONENT | Immunization administration in children <18 |
| 90471 | IMMUNIZATION ADMIN | Immunization administration by a medical assistant or nurse |
| 90474 | IMMUNE ADMIN ORAL/NASAL ADDL | Immunization administered orally or nasally |
| 90632 | HEPA VACCINE ADULT IM | Hepatitis A vaccination for adults |
| 90633 | HEPA VACC PED/ADOL 2 DOSE IM | Hepatitis A vaccination for adolescents and children |
| 90649 | 4VHPV VACCINE 3 DOSE IM | 3-dose HPV vaccination |
| 90656 | IIV3 VACC NO PRSV 0.5 ML IM | Flu shot-high dose for 2019-2020 flu season given by injection |
| 90658 | IIV3 VACCINE SPLT 0.5 ML IM | Preservative free flu vaccine |
| 90672 | LAIV4 VACCINE INTRANASAL | Nasal flu vaccine |
| 90681 | RV1 VACC 2 DOSE LIVE ORAL | Rotavirus vaccination |
| 90686 | IIV4 VACC NO PRSV 0.5 ML IM | Flu shot-high dose for 2019-2020 flu season given by injection for people >65 |
| 90707 | MMR VACCINE SC | Measles, mumps and rubella vaccine |
| 90710 | MMRV VACCINE SC | measlesMeasles, mumps, rubella and varicella vaccine |
| 90715 | TDAP VACCINE 7 YRS/> IM | Diphtheria, tetanus acellular, and pertussis vaccine for adults |
| 90716 | VAR VACCINE LIVE SUBQ | Varicella vaccine |
| 90732 | PPSV23 VACC 2 YRS+ SUBQ/IM | pneumococcal Pneumococcal vaccine |
| 90734 | MENACWYD/MENACWYCRM VACC IM | meningococcal Meningococcal conjugate vaccine |
| 90736 | HZV VACCINE LIVE SUBQ | Shingles vaccine |
| 90746 | HEPB VACCINE 3 DOSE ADULT IM | Hepatitis B vaccine |
| 90791 | PSYCH DIAGNOSTIC EVALUATION | A diagnostic tool employed by a psychiatrist to diagnose problems with memory, thought processes, and behaviors |
| 90792 | PSYCH DIAG EVAL W/MED SRVCS | A diagnostic tool employed by a psychiatrist to determine if medications are needed |
| 90832 | PSYTX W PT 30 MINUTES | Psychotherapy, 30 min |
| 90833 | PSYTX W PT W E/M 30 MIN | Psychotherapy, 30 minutes with patient when performed with an evaluation and management service |
| 90834 | PSYTX W PT 45 MINUTES | Psychotherapy, 45 min |
| 90836 | PSYTX W PT W E/M 45 MIN | Psychotherapy, 45 minutes with patient when performed with an evaluation and management service |
| 90837 | PSYTX W PT 60 MINUTES | Psychotherapy, 60 min |
| 90838 | Psychotherapy, 60 minutes | |
| 90839 | Psychotherapy for crisis, first 60 minutes | |
| 90840 | Psychotherapy for crisis | |
| 90846 | Family psychotherapy, 50 minutes | Family psychotherapy, not including patient, 50 min |
| 90847 | FAMILY PSYTX W/PT 50 MIN | Family psychotherapy, including patient, 50 min |
| 90853 | GROUP PSYCHOTHERAPY | Group psychotherapy |
| 92002 | EYE EXAM NEW PATIENT | Intermediate exam |
| 92004 | EYE EXAM NEW PATIENT | Complete exam |
| 92012 | EYE EXAM ESTABLISH PATIENT | Eye exam on an established patient |
| 92014 | EYE EXAM&TX ESTAB PT 1/>VST | Eye exam and treatment for established patient |
| 92083 | VISUAL FIELD EXAMINATION(S) | An eye examination that can detect dysfunction in central and peripheral vision |
| 92133 | CMPTR OPHTH IMG OPTIC NERVE | Optic nerve imaging |
| 92507 | SPEECH/HEARING THERAPY | Therapy for speech or hearing |
| 92523 | SPEECH SOUND LANG COMPREHEN | Evaluation of speech sound production with evaluation of language comprehension |
| 92552 | PURE TONE AUDIOMETRY AIR | Type of hearing test |
| 93000 | ELECTROCARDIOGRAM COMPLETE | Routine EKG using at least 12 leads including interpretation and report |
| 93015 | CARDIOVASCULAR STRESS TEST | Test to determine heart abnormalities |
| 93303 | ECHO TRANSTHORACIC | Test to screen the heart for abnormalities |
| 93306 | Tte w/doppler complete | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function |
| 93307 | TTE W/O DOPPLER COMPLETE | Echo without doppler study |
| 93320 | DOPPLER ECHO EXAM HEART | Echo with doppler |
| 93350 | STRESS TTE ONLY | Stress test with echocardiogram |
| 93452 | Cardiac Catheterization | Insertion of catheter into left heart for diagnosis |
| 93798 | CARDIAC REHAB/MONITOR | Use of EKG to monitor cardiac rehabilitation |
| 93880 | EXTRACRANIAL BILAT STUDY | Study of vessels on both sides of the head and neck |
| 93922 | UPR/L XTREMITY ART 2 LEVELS | Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries |
| 93970 | EXTREMITY STUDY | Complete bilateral study of the extremities |
| 93971 | EXTREMITY STUDY | One sided or limited bilateral study |
| 94010 | BREATHING CAPACITY TEST | Test to determine how well oxygen moves from the lungs to the blood stream |
| 94060 | EVALUATION OF WHEEZING | Test to determine if wheezing is present |
| 94375 | RESPIRATORY FLOW VOLUME LOOP | Graphical representation of inspiration and expiration |
| 94726 | PULM FUNCT TST PLETHYSMOGRAP | Measures how much air is in the lungs after taking a deep breath |
| 94727 | PULM FUNCTION TEST BY GAS | Measure of lung function and gas exchange |
| 94729 | CO/MEMBANE DIFFUSE CAPACITY | Test to measure how well gases diffuse across lung surfaces |
| 95004 | PERCUT ALLERGY SKIN TESTS | Allergy test |
| 95115 | IMMUNOTHERAPY ONE INJECTION | Allergy shot-1 shot |
| 95117 | IMMUNOTHERAPY INJECTIONS | Multiple allergy shots |
| 95810 | POLYSOM 6/> YRS 4/> PARAM | Sleep monitoring of patient (6 years or older) in sleep lab |
| 95811 | POLYSOM 6/>YRS CPAP 4/> PARM | Sleep monitoring of patient (6 years or older) in sleep lab using CPAP |
| 95860 | MUSCLE TEST ONE LIMB | Test to measure electrical activity of muscles or nerves in 1 limb |
| 95861 | MUSCLE TEST 2 LIMBS | Test to measure electrical activity of muscles or nerves in 2 limb |
| 95886 | MUSC TEST DONE W/N TEST COMP | Test to assess for nerve damage |
| 96110 | DEVELOPMENTAL SCREEN W/SCORE | Childhood test to screen for developmental disabilities |
| 96365 | THER/PROPH/DIAG IV INF INIT | Intravenous infusion, for therapy, prophylaxis, or diagnosis-initial infusion |
| 96366 | THER/PROPH/DIAG IV INF ADDON | Intravenous infusion, for therapy, prophylaxis, or diagnosis-additional infusions |
| 96374 | THER/PROPH/DIAG INJ IV PUSH | Intravenous infusion, for therapy, prophylaxis, or diagnosis-IV push |
| 96375 | TX/PRO/DX INJ NEW DRUG ADDON | Intravenous infusion, for treatment, prophylaxis, or diagnosis-new drug add on |
| 96376 | TX/PRO/DX INJ SAME DRUG ADON | Intravenous infusion, for treatment, prophylaxis, or diagnosis-same drug add on |
| 96415 | CHEMO IV INFUSION ADDL HR | Chemotherapy infusion-each additional hour |
| 96417 | CHEMO IV INFUS EACH ADDL SEQ | Chemotherapy infusion-additional IV pushes of the same medication |
| 97010 | HOT OR COLD PACKS THERAPY | Use of external hot or cold packs |
| 97012 | MECHANICAL TRACTION THERAPY | Form of decompression therapy of the spine |
| 97014 | ELECTRIC STIMULATION THERAPY | One time use unattended |
| 97016 | VASOPNEUMATIC DEVICE THERAPY | Machines designed to pump cold water into an inflatable wrap or brace, compressing the enveloped area of the body |
| 97026 | INFRARED THERAPY | Light-based method to treat pain and inflammation |
| 97032 | ELECTRICAL STIMULATION | Repeated application to one or more parts of the body |
| 97033 | ELECTRIC CURRENT THERAPY |
Attended Iontophoresis, 15 minute increments in a physical therapy setting or similar |
| 97035 | ULTRASOUND THERAPY | Use of sound waves to treat medical problems, especially musculoskeletal problems like inflammation from injuries |
| 97110 | THERAPEUTIC EXERCISES | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes |
| 97112 | NEUROMUSCULAR REEDUCATION | A technique used by physical therapists to restore normal body movement patterns |
| 97113 | AQUATIC THERAPY/EXERCISES | Use of water for therapy/exercises |
| 97116 | GAIT TRAINING THERAPY | A type of physical therapy |
| 97124 | MASSAGE THERAPY | Use of massage |
| 97140 | MANUAL THERAPY 1/> REGIONS | Manipulation of 1 or more regions of the body |
| 97530 | THERAPEUTIC ACTIVITIES | Incorporates the use of multiple parameters, such as balance, strength, and range of motion, for a functional activity |
| 97535 | SELF CARE MNGMENT TRAINING | Occupational therapy |
| 97597 | RMVL DEVITAL TIS 20 CM/< | Debridement (for example, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps) |
| 97811 | ACUPUNCT W/O STIMUL ADDL 15M | Acupuncture without stimulation |
| 97813 | ACUPUNCT W/STIMUL 15 MIN | Acupuncture with stimulation |
| 98940 | CHIROPRACT MANJ 1-2 REGIONS | Chiropractic manipulation in 1-2 regions |
| 98941 | CHIROPRACT MANJ 3-4 REGIONS | Chiropractic manipulation in 3-4 regions |
| 98943 | CHIROPRACT MANJ XTRSPINL 1/> | Chiropractic manipulation not of the spine |
| 98966 | Hc pro phone call 5-10 min | Telephone assessment and management service, 5-10 minutes of medical discussion |
| 98967 | Hc pro phone call 11-20 min | Telephone assessment and management service, 11-20 minutes of medical discussion |
| 98968 | Hc pro phone call 21-30 min | Telephone assessment and management service, 21-30 minutes of medical discussion |
| 98970 | Qualified non physician health care professional online digital assessment and management est. patient 5-10 minutes | Qualified non physician health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes |
| 98971 | Qualified non physician health care professional online digital assessment and management est. patient 11-20 minutes | Qualified non physician health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes |
| 98972 | Qualified non physician health care professional online digital assessment and management for est. patients 21+ minutes | Qualified non physician health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes |
| 99051 | MED SERV EVE/WKEND/HOLIDAY | Medical service during off-hours |
| 99173 | VISUAL ACUITY SCREEN | Eye test |
| 99202 | OFFICE/OUTPATIENT VISIT NEW | New patient office or other outpatient visit, typically 20 minutes |
| 99203 | OFFICE/OUTPATIENT VISIT NEW | New patient office or other outpatient visit, typically 30 min |
| 99204 | OFFICE/OUTPATIENT VISIT NEW | New patient office of other outpatient visit, typically 45 min |
| 99205 | OFFICE/OUTPATIENT VISIT NEW | New patient office of other outpatient visit, typically 60 min |
| 99211 | OFFICE/OUTPATIENT VISIT EST | Outpatient visit of established patient not requiring a physician |
| 99212 | OFFICE/OUTPATIENT VISIT EST | Outpatient visit of established patient requiring a physician |
| 99213 | OFFICE/OUTPATIENT VISIT EST | Established patient office or other outpatient visit, typically 15 minutes |
| 99214 | OFFICE/OUTPATIENT VISIT EST | Established patient office or other outpatient visit, typically 25 minutes |
| 99215 | OFFICE/OUTPATIENT VISIT EST | Established patient office or other outpatient, visit typically 40 minutes |
| 99243 | OFFICE CONSULTATION | Patient office consultation, typically 40 min |
| 99244 | OFFICE CONSULTATION | Patient office consultation, typically 60 min |
| 99283 | Emergency dept visit | Emergency department visit, moderately severe problem |
| 99284 | Emergency dept visit | Emergency department visit, problem of high severity |
| 99285 | Emergency dept visit | Emergency department visit, problem with significant threat to life or function |
| 99381 | INIT PM E/M NEW PAT INFANT | Initial visit for an infant |
| 99382 | INIT PM E/M NEW PAT 1-4 YRS | Initial visit for new patients 1-4 years old |
| 99383 | PREV VISIT NEW AGE 5-11 | New preventative visit in new patients 5-11 years old |
| 99384 | PREV VISIT NEW AGE 12-17 | New preventative visit in new patients 12-17 years old |
| 99385 | PREV VISIT NEW AGE 18-39 | Initial new patient preventive medicine evaluation (18–39 years) |
| 99386 | PREV VISIT NEW AGE 40-64 | Initial new patient preventive medicine evaluation (40–64 years) |
| 99387 | INIT PM E/M NEW PAT 65+ YRS | Initial visit for new patients 65 and older years old |
| 99391 | PER PM REEVAL EST PAT INFANT | Periodic primary re-evaluation for an established infant patient |
| 99392 | PREV VISIT EST AGE 1-4 | Initial visit for new patients 1-4 years old |
| 99393 | PREV VISIT EST AGE 5-11 | New preventative visit in new patients 5-11 years old |
| 99394 | PREV VISIT EST AGE 12-17 | New preventative visit in new patients 12-17 years old |
| 99395 | PREV VISIT EST AGE 18-39 | Established patient periodic preventive medicine examination age 18-39 years |
| 99396 | PREV VISIT EST AGE 40-64 | Established patient periodic preventive medicine examination age 40-64 years |
| 99397 | PER PM REEVAL EST PAT 65+ YR | Periodic primary re-evaluation for an established patient 65 and older |
| 99421 | ONLINE DIGITAL EVALUATION AND MANAGEMENT SERVICE; 5-10 MINUTES | Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes |
| 99422 | Online digital evaluation and management service; 11-20 minutes | Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes |
| 99441 | Phone e/m phys/qhp 5-10 min | Physician telephone patient service, 5-10 minutes of medical discussion |
| 99442 | Phone e/m phys/qhp 11-20 min | Physician telephone patient service, 11-20 minutes of medical discussion |
| 99443 | Phone e/m phys/qhp 21-30 min | Physician telephone patient service, 21-30 minutes of medical discussion |
Page Last Modified:
01/25/2024 06:54 PM