"Current Procedural Terminology (CPT) codes, descriptions and other data only are copyright 2024 American Medical Association. All rights reserved. 

CPT® is a registered trademark of the American Medical Association.

Applicable FARS\DFARS Restrictions Apply to Government Use. 

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use.  The AMA does not directly or indirectly practice medicine or dispense medical services.  The AMA assumes no liability for the data contained or not contained herein. "		
Column 1	Column 2	"Modifier
Indicator
0=not allowed
1= allowed
9= not applicable"
0421T	C9769	1
0582T	C9769	1
0619T	C9769	0
0655T	C9769	1
0714T	C9769	1
0867T	C9769	1
52282	C9769	0
52400	C9769	1
52402	C9769	1
52450	C9769	1
52500	C9769	1
52601	C9769	1
52630	C9769	1
52640	C9769	1
52647	C9769	1
52648	C9769	1
52649	C9769	1
52700	C9769	1
53850	C9769	1
53852	C9769	1
53854	C9769	1
C9769	0213T	1
C9769	0216T	1
C9769	0596T	0
C9769	0597T	0
C9769	0708T	1
C9769	0709T	1
C9769	11000	1
C9769	11001	1
C9769	11004	1
C9769	11005	1
C9769	11006	1
C9769	11042	1
C9769	11043	1
C9769	11044	1
C9769	11045	1
C9769	11046	1
C9769	11047	1
C9769	12001	1
C9769	12002	1
C9769	12004	1
C9769	12005	1
C9769	12006	1
C9769	12007	1
C9769	12011	1
C9769	12013	1
C9769	12014	1
C9769	12015	1
C9769	12016	1
C9769	12017	1
C9769	12018	1
C9769	12020	1
C9769	12021	1
C9769	12031	1
C9769	12032	1
C9769	12034	1
C9769	12035	1
C9769	12036	1
C9769	12037	1
C9769	12041	1
C9769	12042	1
C9769	12044	1
C9769	12045	1
C9769	12046	1
C9769	12047	1
C9769	12051	1
C9769	12052	1
C9769	12053	1
C9769	12054	1
C9769	12055	1
C9769	12056	1
C9769	12057	1
C9769	13100	1
C9769	13101	1
C9769	13102	1
C9769	13120	1
C9769	13121	1
C9769	13122	1
C9769	13131	1
C9769	13132	1
C9769	13133	1
C9769	13151	1
C9769	13152	1
C9769	13153	1
C9769	36000	1
C9769	36400	1
C9769	36405	1
C9769	36406	1
C9769	36410	1
C9769	36420	1
C9769	36425	1
C9769	36430	1
C9769	36440	1
C9769	36600	1
C9769	36640	1
C9769	43752	1
C9769	51701	0
C9769	51702	0
C9769	51703	0
C9769	52000	0
C9769	52001	1
C9769	52281	0
C9769	52310	0
C9769	52315	0
C9769	53000	0
C9769	53010	0
C9769	53020	0
C9769	53025	0
C9769	53080	1
C9769	53520	1
C9769	53600	0
C9769	53601	0
C9769	53605	0
C9769	53620	0
C9769	53621	0
C9769	53660	0
C9769	53661	0
C9769	53665	0
C9769	53855	0
C9769	57410	0
C9769	62320	1
C9769	62321	1
C9769	62322	1
C9769	62323	1
C9769	62324	1
C9769	62325	1
C9769	62326	1
C9769	62327	1
C9769	64400	1
C9769	64405	1
C9769	64408	1
C9769	64415	1
C9769	64416	1
C9769	64417	1
C9769	64418	1
C9769	64420	1
C9769	64421	1
C9769	64425	1
C9769	64430	1
C9769	64435	1
C9769	64445	1
C9769	64446	1
C9769	64447	1
C9769	64448	1
C9769	64449	1
C9769	64450	1
C9769	64451	1
C9769	64454	1
C9769	64461	1
C9769	64462	1
C9769	64463	1
C9769	64479	1
C9769	64480	1
C9769	64483	1
C9769	64484	1
C9769	64486	1
C9769	64487	1
C9769	64488	1
C9769	64489	1
C9769	64490	1
C9769	64491	1
C9769	64492	1
C9769	64493	1
C9769	64494	1
C9769	64495	1
C9769	64505	1
C9769	64510	1
C9769	64517	1
C9769	64520	1
C9769	64530	1
C9769	69990	0
C9769	76000	1
C9769	77001	1
C9769	77002	1
C9769	92012	1
C9769	92014	1
C9769	93000	1
C9769	93005	1
C9769	93010	1
C9769	93040	1
C9769	93041	1
C9769	93042	1
C9769	93318	1
C9769	93355	1
C9769	94002	1
C9769	94200	1
C9769	94680	1
C9769	94681	1
C9769	94690	1
C9769	95812	1
C9769	95813	1
C9769	95816	1
C9769	95819	1
C9769	95822	1
C9769	95829	1
C9769	95955	1
C9769	96360	1
C9769	96361	1
C9769	96365	1
C9769	96366	1
C9769	96367	1
C9769	96368	1
C9769	96372	1
C9769	96374	1
C9769	96375	1
C9769	96376	1
C9769	96377	1
C9769	97597	1
C9769	97598	1
C9769	97602	1
C9769	99155	1
C9769	99156	1
C9769	99157	1
C9769	99211	1
C9769	99212	1
C9769	99213	1
C9769	99214	1
C9769	99215	1
C9769	99221	1
C9769	99222	1
C9769	99223	1
C9769	99231	1
C9769	99232	1
C9769	99233	1
C9769	99234	1
C9769	99235	1
C9769	99236	1
C9769	99238	1
C9769	99239	1
C9769	99242	1
C9769	99243	1
C9769	99244	1
C9769	99245	1
C9769	99252	1
C9769	99253	1
C9769	99254	1
C9769	99255	1
C9769	99291	1
C9769	99292	1
C9769	99304	1
C9769	99305	1
C9769	99306	1
C9769	99307	1
C9769	99308	1
C9769	99309	1
C9769	99310	1
C9769	99315	1
C9769	99316	1
C9769	99347	1
C9769	99348	1
C9769	99349	1
C9769	99350	1
C9769	99374	1
C9769	99375	1
C9769	99377	1
C9769	99378	1
C9769	99495	1
C9769	99496	1
C9769	C9739	1
C9769	C9740	1
C9769	G0471	0
C9769	P9612	0
G0104	G0106	1
G0104	G0120	1
G0105	G0122	0
G0106	0091U	0
G0106	0163U	0
G0106	0405U	1
G0106	0421U	9
G0106	74019	1
G0106	74270	1
G0106	74280	1
G0106	76000	1
G0106	77001	1
G0106	77002	1
G0106	81528	0
G0106	82274	0
G0106	99202	1
G0106	99203	1
G0106	99204	1
G0106	99205	1
G0106	99211	1
G0106	99212	1
G0106	99213	1
G0106	99214	1
G0106	99215	1
G0106	99221	1
G0106	99222	1
G0106	99223	1
G0106	99231	1
G0106	99232	1
G0106	99233	1
G0106	99234	1
G0106	99235	1
G0106	99236	1
G0106	99238	1
G0106	99239	1
G0106	99281	1
G0106	99282	1
G0106	99283	1
G0106	99284	1
G0106	99285	1
G0106	99291	1
G0106	99292	1
G0106	99304	1
G0106	99305	1
G0106	99306	1
G0106	99307	1
G0106	99308	1
G0106	99309	1
G0106	99310	1
G0106	99315	1
G0106	99316	1
G0106	99341	1
G0106	99342	1
G0106	99344	1
G0106	99345	1
G0106	99347	1
G0106	99348	1
G0106	99350	1
G0106	99358	1
G0106	99359	1
G0106	99360	1
G0106	99415	1
G0106	99416	1
G0106	99418	1
G0106	99455	1
G0106	99456	1
G0106	99460	1
G0106	99461	1
G0106	99462	1
G0106	99463	1
G0106	99464	1
G0106	99465	1
G0106	99466	1
G0106	99468	1
G0106	99469	1
G0106	99471	1
G0106	99472	1
G0106	99475	1
G0106	99476	1
G0106	99477	1
G0106	99478	1
G0106	99479	1
G0106	99480	1
G0106	99483	1
G0106	99485	1
G0106	99497	1
G0106	G0105	0
G0106	G0121	0
G0106	G0122	0
G0106	G0181	1
G0106	G0182	1
G0106	G0380	1
G0106	G0381	1
G0106	G0382	1
G0106	G0383	1
G0106	G0384	1
G0106	G0463	1
G0120	0091U	0
G0120	0163U	0
G0120	0405U	1
G0120	0421U	9
G0120	74270	1
G0120	74280	1
G0120	76000	1
G0120	77001	1
G0120	77002	1
G0120	81528	0
G0120	82274	0
G0120	99202	1
G0120	99203	1
G0120	99204	1
G0120	99205	1
G0120	99211	1
G0120	99212	1
G0120	99213	1
G0120	99214	1
G0120	99215	1
G0120	99221	1
G0120	99222	1
G0120	99223	1
G0120	99231	1
G0120	99232	1
G0120	99233	1
G0120	99234	1
G0120	99235	1
G0120	99236	1
G0120	99238	1
G0120	99239	1
G0120	99281	1
G0120	99282	1
G0120	99283	1
G0120	99284	1
G0120	99285	1
G0120	99291	1
G0120	99292	1
G0120	99304	1
G0120	99305	1
G0120	99306	1
G0120	99307	1
G0120	99308	1
G0120	99309	1
G0120	99310	1
G0120	99315	1
G0120	99316	1
G0120	99341	1
G0120	99342	1
G0120	99344	1
G0120	99345	1
G0120	99347	1
G0120	99348	1
G0120	99349	1
G0120	99350	1
G0120	99358	1
G0120	99359	1
G0120	99360	1
G0120	99415	1
G0120	99416	1
G0120	99418	1
G0120	99455	1
G0120	99456	1
G0120	99460	1
G0120	99461	1
G0120	99462	1
G0120	99463	1
G0120	99464	1
G0120	99465	1
G0120	99466	1
G0120	99468	1
G0120	99469	1
G0120	99471	1
G0120	99472	1
G0120	99475	1
G0120	99476	1
G0120	99477	1
G0120	99478	1
G0120	99479	1
G0120	99480	1
G0120	99483	1
G0120	99485	1
G0120	99497	1
G0120	G0105	0
G0120	G0106	0
G0120	G0121	0
G0120	G0122	0
G0120	G0181	1
G0120	G0182	1
G0120	G0380	1
G0120	G0381	1
G0120	G0382	1
G0120	G0383	1
G0120	G0384	1
G0120	G0463	1
G0121	G0122	0
G0122	0091U	0
G0122	76000	1
G0122	77001	1
G0122	77002	1
G0122	82274	0
G0327	G0106	0
G0327	G0120	0
G0327	G0122	0
G0337	G0106	0
G0337	G0120	0
