   ADDENDUM N. PROPOSED CY 2026 BYPASS CODES FOR CREATING PSEUDO SINGLE PROCEDURE CLAIMS FOR CALCULATING GEOMETRIC MEAN COSTS FOR THE CY 2026 OPPS			
"CPT codes and descriptions only are copyright 2025 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.  The existence or absence of a HCPCS code does not mean that an item or service is covered or non-covered. As a reminder, the fact that a drug, device, procedure, or service is assigned a HCPCS code and a payment rate under the OPPS does not imply coverage by the Medicare program, but indicates only how the product, procedure, or service may be paid if covered by the program. Medicare Administrative Contractors (MACs) determine whether a drug, device, procedure, or other service meets all program requirements for coverage. For example, MACs determine that it is reasonable and necessary to treat the beneficiarys condition and whether it is excluded from payment."			
CY 2026 HCPCS Code	CY 2026 HCPCS Descriptor	Overlap Bypass Codes	Additions
11954	Tx contour defects >10.0 cc		
17004	Destroy premal lesions 15/>		
17281	Dstr mal ls f/e/e/n/l/m .6-1		
17282	Dstr mal ls f/e/e/n/l/m1.1-2		
20560	Ndl insj w/o njx 1 or 2 musc		
20561	Ndl insj w/o njx 3+ musc		
23600	Cltx prox humrl fx w/o mnpj		
31231	Nasal endoscopy dx		
31579	Laryngoscopy telescopic		
56820	Colposcopy vulva		
57180	Treat vaginal bleeding		
57452	Exam of cervix w/scope		
62252	Csf shunt reprogram		
64566	Neuroeltrd stim post tibial		
70336	Magnetic image jaw joint	*	
70450	Ct head/brain w/o dye	*	
70480	Ct orbit/ear/fossa w/o dye	*	
70486	Ct maxillofacial w/o dye	*	
70490	Ct soft tissue neck w/o dye	*	
70544	Mr angiography head w/o dye	*	
70547	Mr angiography neck w/o dye	*	
70551	Mri brain stem w/o dye	*	
71250	Ct thorax dx c-	*	
71271	Ct thorax lung cancer scr c-		
71550	Mri chest w/o dye	*	
72125	Ct neck spine w/o dye	*	
72128	Ct chest spine w/o dye	*	
72131	Ct lumbar spine w/o dye	*	
72141	Mri neck spine w/o dye	*	
72146	Mri chest spine w/o dye	*	
72148	Mri lumbar spine w/o dye	*	
72192	Ct pelvis w/o dye	*	
73200	Ct upper extremity w/o dye	*	
73218	Mri upper extremity w/o dye	*	
73221	Mri joint upr extrem w/o dye	*	
73700	Ct lower extremity w/o dye	*	
73718	Mri lower extremity w/o dye	*	
73721	Mri jnt of lwr extre w/o dye	*	
74150	Ct abdomen w/o contrast	*	
75580	N-invas est c ffr sw aly cta		*
76700	Us exam abdom complete	*	
76705	Echo exam of abdomen	*	
76770	Us exam abdo back wall comp	*	
76776	Us exam k transpl w/doppler	*	
76801	Ob us < 14 wks single fetus		
76805	Ob us >= 14 wks sngl fetus		
76811	Ob us detailed sngl fetus		
76830	Transvaginal us non-ob		
76856	Us exam pelvic complete	*	
76857	Us exam pelvic limited	*	
76881	Us compl joint r-t w/img		
77084	Mri bone marrow blood supply		
77280	Ther rad simulaj field smpl		
77300	Radiation therapy dose plan		
77301	Radiotherapy dose plan imrt		
77307	Telethx isodose plan cplx		
77316	Brachytx isodose plan simple		
77318	Brachytx isodose complex		
77321	Special teletx port plan		
77331	Special radiation dosimetry		
77336	Radiation physics consult		
77338	Design mlc device for imrt		
77370	Radiation physics consult		
77373	Strtctc bdy rad ther tx dlvr		
77385	Ntsty modul rad tx dlvr smpl		
77401	Radiation tx delivery supfc		
77520	Proton trmt simple w/o comp		
77600	Hyperthermia ext gen supfc		
77605	Hyperthermia ext gen deep		
77610	Hyperthermia ntrstl prb 5/<		
77767	Hdr rdncl skn surf brachytx		
77768	Hdr rdncl skn surf brachytx		
90791	Psych diagnostic evaluation		
90832	Psytx w pt 30 minutes		
90834	Psytx w pt 45 minutes		
90837	Psytx w pt 60 minutes		
90846	Family psytx w/o pt 50 min		
90847	Family psytx w/pt 50 min		
90849	Multiple family group psytx		
90853	Group psychotherapy		
90867	Tcranial magn stim tx plan		
90868	Tcranial magn stim tx deli		
90869	Tcran magn stim redetemine		
92002	Intrm oph exam new patient		
92004	Compre oph exam new pt 1/>		
92012	Intrm oph exam est patient		
92014	Compre oph exam est pt 1/>		
92584	Electrocochleography		
93229	Remote 30 day ecg tech supp		
93271	Ecg/monitoring and analysis		
93306	Tte w/doppler complete		
93668	Peripheral vascular rehab		
93702	Bis xtracell fluid analysis		
93797	Phys/qhp op car rhab wo ecg		
93798	Phys/qhp op car rhab w/ecg		
93880	Extracranial bilat study		
93882	Extracranial uni/ltd study		
93886	Intracranial complete study		
93888	Intracranial limited study		
93923	Upr/lxtr art stdy 3+ lvls		
93924	Lwr xtr vasc stdy bilat		
93925	Lower extremity study		
93926	Lower extremity study		
93930	Upper extremity study		
93931	Upper extremity study		
93970	Extremity study		
93971	Extremity study		
93975	Vascular study		
93976	Vascular study		
93978	Vascular study		
93985	Dup-scan hemo compl bi std		
94625	Phy/qhp op pulm rhb w/o mntr		
94626	Phy/qhp op pulm rhb w/mntr		
95249	Cont gluc mntr pt prov eqp		
95250	Cont gluc mntr phys/qhp eqp		
95700	Eeg cont rec w/vid eeg tech		*
95708	Eeg wo vid ea 12-26hr unmntr		
95714	Veeg ea 12-26 hr unmntr		
95783	Polysom <6 yrs cpap/bilvl		
95800	Slp stdy unattended		
95805	Multiple sleep latency test		
95806	Sleep study unatt&resp efft		
95807	Sleep study attended		
95808	Polysom any age 1-3> param		
95810	Polysom 6/> yrs 4/> param		
95811	Polysom 6/>yrs cpap 4/> parm		
95812	Eeg 41-60 minutes		
95813	Eeg extnd mntr 61-119 min		
95816	Eeg awake and drowsy		
95819	Eeg awake and asleep		
95822	Eeg coma or sleep only		
95926	Somatosensory testing		
95930	Visual ep test cns w/i&r		
95972	Alys cplx sp/pn npgt w/prgrm		
95976	Alys smpl cn npgt prgrmg		
95977	Alys cplx cn npgt prgrmg		
96000	Motion analysis video/3d		
96116	Nubhvl xm phys/qhp 1st hr		
96156	Hlth bhv assmt/reassessment		
96361	Hydrate iv infusion add-on		
96366	Ther/proph/diag iv inf addon		
96367	Tx/proph/dg addl seq iv inf		
96370	Sc ther infusion addl hr		
96375	Tx/pro/dx inj new drug addon		
96411	Chemo iv push addl drug		
96415	Chemo iv infusion addl hr		
96417	Chemo iv infus each addl seq		
96423	Chemo ia infuse each addl hr		
96913	Photochemotx sev dermatoses		
97155	Adapt behavior tx phys/qhp		
99406	Behav chng smoking 3-10 min		
99407	Behav chng smoking > 10 min		
99484	Care mgmt svc bhvl hlth cond		
99490	Chrnc care mgmt staff 1st 20		
0394T	Hdr elctrnc skn surf brchytx		
C7900	"Hopd mntl hlt, 15-29 min"		
C7901	"Hopd mntl hlt, 30-60 min"		
G0008	Admin influenza virus vac		
G0101	Ca screen;pelvic/breast exam		
G0130	Single energy x-ray study		
G0175	"Opps service,sched team conf"		
G0238	"Oth resp proc, indiv"		
G0248	Demonstrate use home inr mon		
G0249	Provide inr test mater/equip		
G0390	Trauma respons w/hosp criti		
G0396	Alcohol/subs interv 15-30mn		
G0397	Alcohol/subs interv >30 min		
G0398	Home sleep test/type 2 porta		
G0399	Home sleep test/type 3 porta		
G0400	Home sleep test/type 4 porta		
G0402	Initial preventive exam		
G0422	Intens cardiac rehab w/exerc		
G0447	Behavior counsel obesity 15m		
G0473	Group behave couns 2-10		
G2214	Init/sub psych care m 1st 30		
