500 Items and Services

500 Items and Services List for Price Comparison Tool

 

Updated: 7/25/2022

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)  
G2061  

Qualified non physician healthcare professional online assessment; 5-10 minutes  

[use 98970 instead]

Qualified non physician healthcare professional online assessment, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes
G2062

Qualified non physician healthcare professional online assessment service; 11-20 minutes  

[use 98971 instead]

Qualified non physician healthcare professional online assessment service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes
G2063

Qualified non physician qualified healthcare professional assessment service; 21+ minutes  

[use 98970 instead]

Qualified non physician qualified healthcare professional assessment service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes 
G0206

Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral  

[use 77065 instead]

 
G0204

Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral  

[use 77066 instead]

 
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
76001

CHEST X-RAY  

[use 76000 instead]

Flouroscopy, or x-ray "movie" that takes more 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 Psychiatric treatment in which seizures are electrically induced in patients to provide relief from mental disorders 
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 
99201

OFFICE/OUTPATIENT VISIT NEW  

[use 99202 instead]

New patient office or other outpatient visit, typically 10 minutes
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:
09/26/2022 03:15 PM