| 0001 | | Level I Photochemotherapy |
| 0002 | ‑ | 0005 | | Deleted Codes - Needle Biopsy/Aspiration |
| 0006 | ‑ | 0008 | | Deleted Codes - Incision & Drainage |
| 0012 | ‑ | 0017 | | Deleted Codes - Debridement & Destruction |
| 0019 | ‑ | 0022 | | Deleted Codes - Excision/ Biopsy |
| 0028 | | Level I Breast and Skin Surgery |
| 0029 | | Level II Breast and Skin Surgery |
| 0030 | | Level III Breast and Skin Surgery |
| 0031 | | Level I Health and Behavior Services |
| 0034 | | Mental Health Services Composite |
| 0035 | | Vascular Puncture and Minor Diagnostic Procedures |
| 0037 | | Level IV Needle Biopsy/Aspiration Except Bone Marrow |
| 0039 | | Level III Neurostimulator & Related Procedures |
| 0040 | | Level I Implantation/Revision/Replacement of Neurostimulator Electrodes |
| 0041 | | Level I Arthroscopy |
| 0042 | | Level II Arthroscopy |
| 0045 | | Bone/Joint Manipulation Under Anesthesia |
| 0047 | | Arthroplasty |
| 0048 | | Level I Arthroplasty or Implantation with Prosthesis |
| 0049 | ‑ | 0064 | | Deleted Codes - Musculoskeletal Procedures |
| 0065 | | IORT, MRgFUS, and MEG |
| 0066 | | Level V Radiation Therapy |
| 0067 | | Single Session Cranial Stereotactic Radiosurgery |
| 0069 | ‑ | 0075 | | Deleted Codes - Endoscopy Upper Airway |
| 0076 | | Level I Endoscopy Lower Airway |
| 0077 | | Pulmonary Treatment |
| 0078 | | Level III Pulmonary Treatment |
| 0079 | | Ventilation Initiation and Management |
| 0080 | | Diagnostic Cardiac Catheterization |
| 0082 | | Coronary or Non-Coronary Atherectomy |
| 0083 | | Level I Endovascular Procedures |
| 0084 | | Level I Electrophysiologic Procedures |
| 0085 | | Level II Electrophysiologic Procedures |
| 0086 | | Level III Electrophysiologic Procedures |
| 0088 | | Thrombectomy |
| 0089 | | Level III Pacemaker and Similar Procedures |
| 0090 | | Level II Pacemaker and Similar Procedures |
| 0091 | | Level II Vascular Ligation |
| 0092 | | Level I Vascular Ligation |
| 0093 | | Vascular Reconstruction/Fistula Repair |
| 0094 | | Resuscitation and Cardioversion |
| 0095 | | Cardiac Rehabilitation |
| 0096 | | Level II Noninvasive Physiologic Studies |
| 0097 | | Level I Noninvasive Physiologic Studies |
| 0099 | | Electrocardiograms/Cardiography |
| 0100 | | Cardiac Stress Tests |
| 0101 | | Tilt Table Evaluation |
| 0102 | | Level II Pulmonary Treatment |
| 0103 | | Miscellaneous Vascular Procedures |
| 0104 | | Transcatheter Placement of Intracoronary Stents |
| 0105 | | Level I Pacemaker & Similar Procedures |
| 0106 | | Insertion/Replacement/Repair of Pacemaker Generator, Leads, and/or Electrodes |
| 0107 | | Level I ICD and Similar Procedures |
| 0108 | | Level II ICD and Similar Procedures |
| 0110 | | Transfusion |
| 0111 | | Blood Product Exchange |
| 0112 | | Apheresis and Stem Cell Procedures |
| 0113 | | Excision Lymphatic System |
| 0114 | | Thyroid/Lymphadenectomy Procedures |
| 0115 | | Cannula/Access Device Procedures |
| 0121 | | Level I Tube or Catheter Changes or Repositioning |
| 0126 | | Level I Urinary and Anal Procedures |
| 0127 | | Level IV Stereotactic Radiosurgery, MRgFUS, and MEG |
| 0128 | | Echocardiogram with Contrast |
| 0129 | | Level I Closed Treatment Fracture |
| 0130 | ‑ | 0174 | | Deleted Codes - Laparoscopy |
| 0133 | ‑ | 0137 | | Deleted Codes - Skin Repair |
| 0138 | | Level II Closed Treatment Fracture |
| 0139 | | Level III Closed Treatment Fracture |
| 0140 | | Esophageal Dilation without Endoscopy |
| 0141 | | Level I Upper GI Procedures |
| 0142 | | Level I Small Intestine Endoscopy |
| 0143 | | Lower GI Endoscopy |
| 0146 | | Level I Sigmoidoscopy and Anoscopy |
| 0147 | | Level II Sigmoidoscopy and Anoscopy |
| 0148 | ‑ | 0150 | | Deleted Codes - Anal/Rectal Procedures |
| 0151 | | Endoscopic Retrograde Cholangio-Pancreatography (ERCP) |
| 0152 | | Level I Percutaneous Abdominal and Biliary Procedures |
| 0153 | | Peritoneal and Abdominal Procedures |
| 0154 | | Hernia/Hydrocele Procedures |
| 0155 | | Level II Anal/Rectal Procedures |
| 0156 | | Level III Urinary and Anal Procedures |
| 0157 | ‑ | 0159 | | Deleted Codes - Colorectal Cancer Screening |
| 0160 | ‑ | 0163 | | Deleted Codes - Cystourethroscopy & Other Genitourinary Procedures |
| 0164 | ‑ | 0168 | | Deleted Codes - Urinary/Anal/Urethral Procedures |
| 0169 | | Lithotripsy |
| 0170 | | Dialysis |
| 0172 | ‑ | 0176 | | Deleted Codes - Partial Hospitalization (CMHCs & PHPs) |
| 0177 | | Level I Echocardiogram with Contrast |
| 0178 | | Level II Echocardiogram with Contrast |
| 0181 | ‑ | 0205 | | Deleted Codes - Male Genital Procedures |
| 0188 | ‑ | 0202 | | Deleted Codes - Female Procedures |
| 0203 | ‑ | 0207 | | Deleted Codes - Nerve Injections |
| 0208 | | Laminotomies and Laminectomies |
| 0209 | | Level II Extended EEG, Sleep, and Cardiovascular Studies |
| 0213 | | Level I Extended EEG, Sleep, and Cardiovascular Studies |
| 0215 | ‑ | 0218 | | Deleted Codes - Nerve & Muscle Services |
| 0219 | | Vascular Ligation |
| 0220 | | Level I Nerve Procedures |
| 0221 | | Level II Nerve Procedures |
| 0222 | | Level II Implantation of Neurostimulator |
| 0224 | | Implantation of Catheter/Reservoir/Shunt |
| 0225 | | Implantation of Neurostimulator Electrodes, Cranial Nerve |
| 0227 | | Implantation of Drug Infusion Device |
| 0229 | | Level II Endovascular Procedures |
| 0230 | ‑ | 0255 | | Deleted Codes - Eye Tests and Procedures related to the Eyes |
| 0250 | ‑ | 0259 | | Deleted Codes - ENT Procedures |
| 0260 | ‑ | 0337 | | Deleted Codes - Radiological & Magnetic Resonance Imaging |
| 0288 | | Bone Density:Axial Skeleton |
| 0293 | | Level IV Intraocular Procedures |
| 0299 | ‑ | 0313 | | Deleted Codes - Radiation Treatment & Cancer related treatments |
| 0303 | | Treatment Device Construction |
| 0315 | | Level II Implantation of Neurostimulator Generator |
| 0317 | | Level II Miscellaneous Radiology Procedures |
| 0318 | | Level IV Neurostimulator & Related Procedures |
| 0319 | | Level III Endovascular Procedures |
| 0320 | ‑ | 0325 | | Deleted Codes - Behavioral & Psychotherapy |
| 0326 | ‑ | 0329 | | Deleted Codes - Skin Procedures |
| 0330 | | Dental Procedures |
| 0340 | | Level II Minor Procedures |
| 0341 | | Skin Tests |
| 0342 | | Level I Pathology |
| 0343 | | Level III Pathology |
| 0344 | | Level IV Pathology |
| 0345 | | Level I Transfusion Laboratory Procedures |
| 0346 | | Level II Transfusion Laboratory Procedures |
| 0347 | | Level III Transfusion Laboratory Procedures |
| 0350 | | Administration of flu and PPV vaccine |
| 0351 | | Level V Intraocular Procedures |
| 0360 | | Level I Alimentary Tests |
| 0361 | | Level II Alimentary Tests |
| 0363 | | Otorhinolaryngologic and Related Tests |
| 0364 | | Level I Audiometry |
| 0365 | | Level II Audiometry |
| 0366 | | Level III Audiometry |
| 0367 | | Level I Pulmonary Tests |
| 0368 | | Level II Pulmonary Tests |
| 0369 | | Level II Pulmonary Tests |
| 0370 | | Multiple Allergy Tests |
| 0373 | | Neuropsychological Testing |
| 0375 | | Ancillary Outpatient Services When Patient Expires |
| 0377 | | Level II Cardiac Imaging |
| 0378 | | Level II Pulmonary Imaging |
| 0379 | | Injection adenosine 6 MG |
| 0381 | | Single Allergy Tests |
| 0382 | | Level II Neuropsychological Testing |
| 0383 | | Cardiac Computed Tomographic Imaging |
| 0384 | | GI Procedures with Stents |
| 0385 | | Level I Urogenital Procedures |
| 0386 | | Level II Urogenital Procedures |
| 0387 | | Level II Hysteroscopy |
| 0388 | ‑ | 0414 | | Deleted Codes - Imaging |
| 0389 | | Level I Non-imaging Nuclear Medicine |
| 0392 | | Level II Non-imaging Nuclear Medicine |
| 0393 | | Hematologic Processing & Studies |
| 0404 | | Renal and Genitourinary Studies |
| 0407 | ‑ | 0413 | | Deleted Codes - Radionuclide Therapy |
| 0409 | | Red Blood Cell Tests |
| 0412 | | Level III Radiation Therapy |
| 0415 | | Level II Endoscopy Lower Airway |
| 0418 | | Insertion of Left Ventricular Pacing Elect. |
| 0419 | | Level II Upper GI Procedures |
| 0420 | | Level III Minor Procedures |
| 0422 | | Level III Upper GI Procedures |
| 0423 | | Level II Percutaneous Abdominal and Biliary Procedures |
| 0424 | | Level II Small Intestine Endoscopy |
| 0425 | | Level V Musculoskeletal Procedures Except Hand and Foot |
| 0426 | | Level II Strapping and Cast Application |
| 0427 | | Level II Tube or Catheter Changes or Repositioning |
| 0428 | | Level III Sigmoidoscopy and Anoscopy |
| 0429 | | Level V Cystourethroscopy and other Genitourinary Procedures |
| 0431 | | Level IV Closed Treatment Fracture |
| 0432 | | Level II Health and Behavior Services |
| 0433 | | Level II Pathology |
| 0434 | | Cardiac Defect Repair |
| 0435 | | Level III Extended EEG, Sleep, and Cardiovascular Studies |
| 0436 | ‑ | 0440 | | Deleted Codes - Drug Administration |
| 0442 | | Dosimetric Drug Administration |
| 0446 | | Level IV Nerve and Muscle Services |
| 0450 | | Level I Minor Procedures |
| 0604 | ‑ | 0608 | | Deleted Codes - Hospital Clinic Visits |
| 0609 | ‑ | 0630 | | Deleted Codes - Emergency Visits |
| 0617 | | Critical Care |
| 0618 | | Trauma Response with Critical Care |
| 0621 | ‑ | 0624 | | Deleted Codes - Vascular Access Procedures |
| 0631 | | Level 1 Examinations & Related Services |
| 0632 | | Level 2 Examinations & Related Services |
| 0633 | | Level 3 Examinations & Related Services |
| 0634 | | Hospital Clinic Visits |
| 0648 | | Level IV Breast and Skin Surgery |
| 0651 | | Complex Interstitial Radiation Source Application |
| 0652 | | Insertion of Intraperitoneal and Pleural Catheters |
| 0653 | | Vascular Reconstruction/Fistula Repair with Device |
| 0654 | | Level II Insertion/Replacement of Permanent Pacemaker |
| 0655 | | Level IV Pacemaker and Similar Procedures |
| 0656 | | Transcatheter Placement of Intracoronary Drug-Eluting Stents |
| 0659 | | Hyperbaric Oxygen |
| 0660 | | Level II Otorhinolaryngologic Function Tests |
| 0661 | | Level III Pathology |
| 0662 | | CT Angiography |
| 0664 | | Level I Proton Beam Radiation Therapy |
| 0665 | | Bone Density:AppendicularSkeleton |
| 0667 | | Level IV Radiation Therapy |
| 0668 | | Level I Angiography and Venography |
| 0672 | | Level III Posterior Segment Eye Procedures |
| 0673 | | Level III Intraocular Procedures |
| 0674 | | Prostate Cryoablation |
| 0676 | | Thrombolysis and Other Device Revisions |
| 0678 | | External Counterpulsation |
| 0679 | | Level II Resuscitation and Cardioversion |
| 0680 | | Insertion of Patient Activated Event Recorders |
| 0681 | | Knee Arthroplasty |
| 0682 | | Level V Debridement & Destruction |
| 0683 | | Level II Photochemotherapy |
| 0685 | | Level III Needle Biopsy/Aspiration Except Bone Marrow |
| 0687 | | Revision/Removal of Neurostimulator Electrodes |
| 0688 | | Level I Neurostimulator & Related Procedures |
| 0689 | ‑ | 0692 | | Deleted Codes - Electronic Analysis of Devices |
| 0694 | | Mohs Surgery |
| 0697 | | Level I Echocardiogram Without Contrast |
| 0698 | | Level II Eye Tests & Treatments |
| 0699 | | Level IV Eye Tests & Treatments |
| 0747 | ‑ | 9289 | | Deleted Codes - Injections |
| 0750 | | Dolasetron mesylate |
| 0751 | | Mechlorethamine hcl inj |
| 0763 | | Dolasetron mesylate oral |
| 0769 | | Ondansetron hcl 8 mg oral |
| 0809 | | Bcg live intravesical 1mg |
| 0814 | | Asparaginase, NOS |
| 0838 | | Interferon gamma 1-b inj |
| 0868 | | Oral aprepitant |
| 0883 | | Fondaparinux sodium |
| 0888 | | Cyclosporine oral |
| 0891 | | Tacrolimus oral |
| 0904 | | Gamma globulin 4 CC inj |
| 0906 | | RSV-ivig |
| 0910 | | Interferon beta-1b / .25 MG |
| 0913 | | Ganciclovir long act implant |
| 0919 | ‑ | 0933 | | Deleted Codes – Gamma globulin, inj. |
| 0934 | | Capecitabine, oral |
| 0935 | | Clonidine hydrochloride |
| 0945 | | Rhophylac injection |
| 0949 | | Frozen plasma, pooled, sd |
| 0950 | | Whole blood for transfusion |
| 0951 | | Reclast injection |
| 0952 | | Cryoprecipitate each unit |
| 0954 | | RBC leukocytes reduced |
| 0955 | | Plasma, frz between 8-24hour |
| 0956 | | Plasma protein fract,5%,50ml |
| 0957 | | Platelets, each unit |
| 0958 | | Plaelet rich plasma unit |
| 0959 | | Red blood cells unit |
| 0960 | | Washed red blood cells unit |
| 0966 | | Plasmaprotein fract,5%,250ml |
| 0967 | | Blood split unit |
| 0968 | | Platelets leukoreduced irrad |
| 0969 | | RBC leukoreduced irradiated |
| 0999 | | Edetate calcium disodium inj |
| 1009 | | Cryoprecipitatereducedplasma |
| 1010 | | Blood, l/r, cmv-neg |
| 1011 | | Platelets, hla-m, l/r, unit |
| 1013 | | Platelets leukocytes reduced |
| 1016 | | Blood, l/r, froz/degly/wash |
| 1017 | | Plt, aph/pher, l/r, cmv-neg |
| 1018 | | Blood, l/r, irradiated |
| 1019 | | Plate pheres leukoredu irrad |
| 1020 | | Plt, pher, l/r cmv-neg, irr |
| 1021 | | RBC, frz/deg/wsh, l/r, irrad |
| 1022 | | RBC, l/r, cmv-neg, irrad |
| 1023 | | Pralidoxime chloride inj |
| 1052 | | Injection, voriconazole |
| 1084 | | Denileukin diftitox inj |
| 1086 | | Temozolomide |
| 1166 | | Cytarabine liposome inj |
| 1167 | | Inj, epirubicin hcl |
| 1186 | | Acetylcysteine injection |
| 1189 | | Foscarnet sodium injection |
| 1204 | | Cyclosporin parenteral |
| 1206 | | Dimecaprol injection |
| 1208 | | Factor VIII (porcine) |
| 1209 | | Diethylstilbestrol injection |
| 1211 | | Oxytetracycline injection |
| 1212 | | Diphtheria antitoxin |
| 1216 | | Lyme disease vaccine, im |
| 1217 | | Penicillin g benzathine inj |
| 1218 | | Triflupromazine hcl inj |
| 1219 | | Dtap-ipv vacc 4-6 yr im |
| 1220 | | Calcitonin salmon injection |
| 1221 | | Dimethyl sulfoxide 50% |
| 1222 | | Pentastarch 10% solution |
| 1223 | | Pentobarbital sodium inj |
| 1224 | | Sincalide injection |
| 1225 | | Somatrem injection |
| 1226 | | Inj streptokinase /250000 IU |
| 1227 | | Urea injection |
| 1228 | | Hyaluronidase recombinant |
| 1230 | | Nabilone oral |
| 1231 | | Plicamycin (mithramycin) inj |
| 1239 | | Rotavirus vacc 2 dose oral |
| 1240 | ‑ | 1248 | | Deleted Codes – Skin Substitutes |
| 1249 | | Cymetra allograft |
| 1250 | | Graftjacket express allograf |
| 1251 | | Integra flowable wound matri |
| 1252 | | Gammagraft skin sub |
| 1253 | | Triamcinolone A inj PRS-free |
| 1254 | | Adenovirus vaccine, type 4 |
| 1255 | | Rotovirus vacc 3 dose, oral |
| 1256 | | Brompheniramine maleate inj |
| 1257 | | Enfuvirtide injection |
| 1260 | | Nandrolone decanoate 100 MG |
| 1266 | | Interferon alfacon-1 inj |
| 1270 | | Alloderm skin sub |
| 1271 | | Cholera vaccine, injectable |
| 1272 | | Acetylcysteine injection |
| 1273 | | Dimecaprol injection |
| 1275 | | Vivaglobin, inj |
| 1276 | | Fondaparinux sodium |
| 1277 | | Insulin for insulin pump use |
| 1279 | | Factor VIII (porcine) |
| 1280 | | Corticotropin injection |
| 1282 | | Gamma globulin 2 CC inj |
| 1283 | | Gamma globulin 3 CC inj |
| 1284 | | Gamma globulin 5 CC inj |
| 1285 | | Nandrolone decanoate 50 MG |
| 1286 | | Nandrolone decanoate 200 MG |
| 1287 | | Alloskin skin sub |
| 1288 | | Visualization adjunct |
| 1290 | | Human fibrinogen conc inj |
| 1291 | | Rilonacept injection |
| 1292 | | Cyclosporine oral 100 mg |
| 1293 | | Bladder calculi irrig sol |
| 1294 | | Cyclosporine oral 25 mg |
| 1298 | | Cosyntropin cortrosyn inj |
| 1299 | | Gadofosveset trisodium inj |
| 1302 | | Inj benztropine mesylate |
| 1304 | | Perphenazine injeciton |
| 1306 | | Urea injection |
| 1307 | | Oral busulfan |
| 1308 | | Mecasermin injection |
| 1309 | | Paclitaxel injection |
| 1310 | | Pneumococcal vacc, 13 val im |
| 1332 | | Antithrombin recombinant |
| 1338 | | Methyl aminolevulinate, top |
| 1339 | | Oral fludarabine phosphate |
| 1342 | | Matristem micromatrix |
| 1343 | | Ganciclovir sodium injection |
| 1344 | | Gonadorelin hydroch/ 100 mcg |
| 1345 | | Theraskin |
| 1346 | | Penicillin g procaine inj |
| 1347 | | Oxacillin sodium injeciton |
| 1348 | | Sincalide injection |
| 1349 | | Anidulafungin injection |
| 1350 | | Topotecan injection |
| 1351 | | Matristem wound matrix |
| 1354 | | Hydroxyprogesterone caproate |
| 1355 | | Itraconazole injection |
| 1356 | | Zoledronic Acid 1mg |
| 1357 | | Inj protirelin per 250 mcg |
| 1358 | | Phentolaine mesylate inj |
| 1359 | | Foscarnet sodium injection |
| 1360 | | Apomorphine hydrochloride |
| 1361 | | Enfuvirtide injection |
| 1362 | | Inj heparin sodium per 10 u |
| 1373 | | Inj heparin sodium per 1000u |
| 1374 | | Sumatriptan succinate / 6 MG |
| 1412 | | Vinorelbine tartrate inj |
| 1414 | | Human fibrinogen conc inj |
| 1418 | | Oral everolimus |
| 1419 | | Dermacell |
| 1422 | | Anthrax vaccine sc or im |
| 1423 | | Minocycline hydrochloride |
| 1424 | | Nabilone oral |
| 1425 | | Thiethylperazine maleate |
| 1427 | | Alloskin |
| 1428 | | Arthroflex |
| 1429 | | Flexhd/Allopatchhd/matrixhd |
| 1430 | | Unite biomatrix |
| 1432 | | Arbutamine hcl injection |
| 1434 | | Testosterone enanthate inj |
| 1435 | | Injection estrone per 1 MG |
| 1436 | | Etidronate disodium inj |
| 1437 | | Gatifloxacin injection |
| 1438 | | Diazoxide injection |
| 1439 | | Aprotonin, 10,000 kiu |
| 1441 | | Intraocular Fomivirsen na |
| 1444 | | Oral everolimus |
| 1445 | | Methylnaltrexone injection |
| 1447 | | Interferon alfacon-1 inj |
| 1448 | | Opthalmic mitomycin |
| 1449 | | Talymed |
| 1452 | | Memoderm/derma/tranz/integup |
| 1453 | | hMatrix |
| 1454 | | Mumps vaccine sc |
| 1455 | | Foscarnet sodium injection |
| 1456 | | Pentobarbital sodium inj |
| 1457 | | Totazoline hcl injection |
| 1459 | | Urea injection |
| 1460 | | Interferon alfa-2a inj |
| 1461 | | Mediskin |
| 1462 | | EZderm |
| 1463 | | Tc99 Tilmanocept diag 0.5mci |
| 1464 | | Factor VIII (porcine) |
| 1465 | | Tacrol astagraf ex rel oral |
| 1473 | | Interferon alfa-n3 inj |
| 1477 | | Inj, tbo-filgrastim, 5 mcg |
| 1479 | | Theraskin |
| 1481 | | Factor XIII A-subunit recomb |
| 1484 | | Pentazocine injection |
| 1487 | | Testosterone undecanoate 1mg |
| 1605 | | Abciximab injection |
| 1607 | | Eptifibatide injection |
| 1612 | | Daclizumab, parenteral |
| 1631 | | Baclofen intrathecal trial |
| 1633 | | Alefacept |
| 1645 | | I131 tositumomab, rx |
| 1657 | | Puraply or puraply am |
| 1659 | | Injection, dalbavancin |
| 1661 | | Gen, neuro, HF, rechg bat |
| 1663 | | Inj, phenylephrine ketorolac |
| 1664 | | Florbetapir f18 |
| 1665 | | Capsaicin 8% patch |
| 1666 | | Tetracyclin injection |
| 1667 | | Alatrofloxacin mesylate |
| 1668 | | Chorionic gonadotropin/1000u |
| 1675 | | P32 Na phosphate |
| 1676 | | P32 chromic phosphate |
| 1682 | | Aprotonin, 10000 kiu |
| 1684 | | Corticorelin ovine triflutal |
| 1693 | | Lepirudin |
| 1695 | | Nesiritide injection |
| 1697 | | Pegaptanib sodium injection |
| 1703 | | Ovine, 1000 USP units |
| 1709 | | Azacitidine injection |
| 1716 | | Brachytx, non-str, Gold-198 |
| 1717 | | Brachytx, non-str, HDR Ir-192 |
| 1719 | | Brachytx, NS, Non-HDRIr-192 |
| 1738 | | Oxaliplatin |
| 1739 | | Pegademase bovine, 25 iu |
| 1740 | | Diazoxide injection |
| 1741 | | Urofollitropin, 75 iu |
| 1742 | | Gold sodium thiomaleate inj |
| 1743 | | Nandrolone decanoate 50 mg |
| 1744 | | Zidovudine |
| 1749 | | Endo, colon, retro imaging |
| 1807 | | Menb pr w/omv vaccine im |
| 1808 | | Menb rlp vaccine im |
| 1828 | | Carbidopa levodopa ent 100ml |
| 1830 | | Power bone marrow bx needle |
| 1831 | | Chloramphenicol sodium injec |
| 1833 | | Epoetin beta esrd use |
| 1834 | | Digoxin injection |
| 1835 | | Ergonovine maleate injection |
| 1837 | | Methocarbamol injection |
| 1838 | | Urokinase 250,000 iu inj |
| 1839 | | Oral busulfan |
| 1840 | | Telescopic intraocular lens |
| 1841 | | Retinal prosth int/ext comp     |
| 1842 | | Leuprolide acetate implant |
| 1843 | | Menacwy vaccine im |
| 1845 | | Tacrol envarsus ex rel oral |
| 1854 | | Pentobarbital sodium inj |
| 1855 | | Pralidoxime chloride inj |
| 1858 | | Leuprolide acetate injeciton |
| 1860 | | Monoclonal antibodies |
| 1863 | | Inj diclofenac sodium 0.5mg |
| 1886 | | Catheter, ablation |
| 2024 | | Generator, ccm, implant |
| 2025 | | Cath, pressure,valve-occlu |
| 2026 | | Orth/devic/drug bn/bn,tis/bn |
| 2027 | | Probe, robotic, water-jet |
| 2028 | | Iris prosthesis |
| 2029 | | Endoscope, single, UGI |
| 2030 | | Gen, neuro, carot sinus baro |
| 2031 | | Hemostatic agent, GI, topic |
| 2032 | | Intravertebral fx aug impl |
| 2037 | | Pressure sensor system, IM |
| 2210 | | Methyldopate hcl injection |
| 2613 | | Lung bx plug w/del sys |
| 2623 | | Cath, translumin, drug-coat |
| 2624 | | Wireless pressure sensor |
| 2644 | | Brachytx cesium-131 chloride |
| 2993 | | Gen, neuro, trans sen/stim |
| 3030 | | Sumatriptan succinate |
| 3041 | | Bivalirudin |
| 3043 | | Gamma globulin 1 CC inj |
| 3050 | | Sermorelin acetate injection |
| 4017 | ‑ | 6105 | | Payer only APC for Testing |
| 5011 | | Level 1 Examinations and Related Services |
| 5013 | | Level 3 Examinations and Related Services |
| 5074 | | Level 4 Excision/ Biopsy/ Incision and Drainage |
| 5121 | | Level1 Musculoskeletal Procedures |
| 5122 | | Level 2 Musculoskeletal Procedures |
| 5123 | | Level 3 Musculoskeletal Procedures |
| 5124 | | Level 4 Musculoskeletal Procedures |
| 5125 | | Level 5 Musculoskeletal Procedures |
| 5141 | | Thoracoscopy |
| 5188 | | Diagnostic Cardiac Catheterization |
| 5271 | | Blood Product Exchange and Related Services |
| 5281 | | Apheresis/Stem Cell and Related Services |
| 5291 | | Thrombolysis and Other Device Revisions |
| 5314 | | Level 4 Lower GI Procedures |
| 5351 | | Level 1 Percutaneous Abdominal/Biliary Procedures and Related Procedures |
| 5352 | | Level 2 Percutaneous Abdominal/Biliary Procedures and Related Procedures |
| 5391 | | Level 1 Tube/Catheter Changes/Thoracentesis/Lavage |
| 5392 | | Level 2 Tube/Catheter Changes/Thoracentesis/Lavage |
| 5525 | | Level 5 X-Ray and Related Services |
| 5526 | | Level 6 X-Ray and Related Services |
| 5531 | | Level 1 Ultrasound and Related Services |
| 5532 | | Level 2 Ultrasound and Related Services |
| 5533 | | Level 3 Ultrasound and Related Services |
| 5534 | | Level 4 Ultrasound and Related Services |
| 5561 | | Level 1 Echocardiogram with Contrast |
| 5562 | | Level 2 Echocardiogram with Contrast |
| 5570 | | Computed Tomography without Contrast |
| 5581 | | Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast |
| 5582 | | Magnetic Resonance Imaging and Magnetic Resonance Angiography with Contrast |
| 5614 | | Level 4 Therapeutic Radiation Treatment Preparation |
| 5681 | | Transfusion Laboratory Procedures |
| 5695 | | Level 5 Drug Administration |
| 5701 | | Dosimetric Drug Administration |
| 5841 | | Psychotherapy |
| 7000 | | Amifostine |
| 7005 | | Gonadorelin hydroch |
| 7011 | | Oprelvekin injection |
| 7015 | | Oral busulfan |
| 7034 | | Somatropin injection |
| 7035 | | Teniposide |
| 7036 | | Urokinase 250,000 IU inj |
| 7038 | | Monoclonal antibodies |
| 7042 | | Capecitabine, oral |
| 7045 | | Inj trimetrexate glucoronate |
| 7049 | | Filgrastim 480 mcg injection |
| 7051 | | Leuprolide acetate implant |
| 8000 | | Cardiac Electrophysiologic Evaluation and Ablation Composite |
| 8001 | | LDR Prostate Brachytherapy Composite |
| 8002 | | Level I Extended Assessment & Management Composite |
| 8003 | | Level II Extended Assessment & Management Composite |
| 8009 | | Extended Assessment & Management Composite |
| 9001 | ‑ | 9486 | | Deleted Codes – Injections |
| 9014 | | Inj., cerliponase alfa 1 mg |
| 9015 | | Inj., haegarda 10 units |
| 9019 | | Caspofungin acetate |
| 9037 | | Aripiprazole injection |
| 9040 | | Corticotropin injection |
| 9052 | | Fluciciovine F-18 |
| 9056 | | Gallium Ga-68 |
| 9063 | | Rh ig minidose im |
| 9069 | | Phenobarbital sodium inj |
| 9081 | | Tisagenlecleucel car-pos t |
| 9082 | | Puraply or puraply am |
| 9086 | | Hepa vacc ped/adol 3 dose |
| 9087 | | Inj, clevidipine butyrate |
| 9089 | | Oral fludarabine phosphate |
| 9090 | | Melphalan oral 2 mg |
| 9092 | | Interferon alfa-2a inj |
| 9093 | | Plicamycin (mithramycin) inj |
| 9098 | | Chorionic gonadotropin/1000u |
| 9124 | | Daptomycin injection |
| 9148 | | Inj pemetrexed (bluepoint) |
| 9172 | | Injection, dexamethasone 9% |
| 9177 | | Antithrombin recombinant |
| 9184 | | Iodine i-131 iobenguane, dx |
| 9190 | | Inj., vestronidase alfa-vjbk |
| 9191 | | Inj., fibryga, 1 mg |
| 9192 | | Inj, bortezomib, nos, 0.1 mg |
| 9202 | | Difelikefalin, esrd on dialy |
| 9227 | | Micafungin sodium injection |
| 9228 | | Tigecycline injection |
| 9229 | | Ibandronate sodium injection |
| 9231 | | Decitabine injection |
| 9232 | | Idursulfase injection |
| 9242 | | Injection, fosaprepitant |
| 9298 | | Inj, Ocriplasmin, 0.125 mg |
| 9303 | | Injection, levoleucovorin |
| 9307 | | Cocaine hcl nasal solution |
| 9308 | | Dexametha opth insert 0.1 mg |
| 9315 | | Diphtheria antitoxin |
| 9316 | | Corticotropin injection |
| 9317 | | Doripenem injection |
| 9322 | | Bcg live intravesical 1mg |
| 9323 | | Gallium ga-68 dotatoc |
| 9326 | | Inj., lanadelumab-flyo, 1 mg |
| 9335 | | Oral busulfan |
| 9342 | | Inj, crizanlizumab-tmca |
| 9344 | | Inj cetirizine hydrochloride |
| 9352 | | Chloroquine injection |
| 9370 | | Fluoroestradiol F 18 |
| 9371 | | Inj. meloxicam 1 mg |
| 9373 | | Inj onase abepar-xioi treat |
| 9379 | | Romidepsin non-lyophilized |
| 9383 | | Copper cu 64 dotatate diag |
| 9393 | | Inj codeine phosphate /30 mg |
| 9397 | | Covid-19 Vaccine Admin Dose 1 of 2 |
| 9423 | | Inj dostarlimab-gxly, 100 mg |
| 9424 | | Inj, amivantamab-vmjw, 10 mg |
| 9425 | | loncastuximab-lpyl, 0.1 mg |
| 9435 | | Inj cyclophosphamd auromedic |
| 9461 | | Choline c-11, diagnostic, per study dose up to 20 millicuries |
| 9462 | | Injection, delafloxacin |
| 9484 | | Inj, eteplirsen, 10 mg |
| 9485 | | Inj, olaratumab, 10 mg |
| 9497 | | Loxapine for inhalation 1 mg |
| 9506 | | Granulocytes, pheresis unit |
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